chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 30.0
Sex: F
Vaccine: UNK
Symptoms: Injection site hypersensitivity, Injection site oedema, Pruritus, Rash papular
Clinical narrative: Pruritus, tenderness, 3 papules at injection site-left outer upper arm. Erythema also noted. One papule noted right forearm. Papules noted above lip.
Age: 40.0
Sex: F
Vaccine: RAB
Symptoms: Unevaluable event
Clinical narrative: 04/30/02 presents to office with hx of a scratch to right index finger ~ T wk prior. Today there is no visible scratch redness, or sign of wound of complications.
Age: 1.3
Sex: M
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Cellulitis, Injection site mass, Injection site reaction
Clinical narrative: Pt had a large lump about the size of a small saddle bag on upper left thigh. No fever, no streak. Pt was seen in ED, Keflex for cellulitis.
Age: 73.0
Sex: F
Vaccine: HEPAB
Symptoms: Rash papular, Urticaria
Clinical narrative: Developed papular rash approx 5 d post Twinrix vaccine with generalized urticaria. Rx cantihistamine-resolved over 2 days.
Age: 6.0
Sex: M
Vaccine: MMR
Symptoms: Headache, Lymphadenopathy, Pyrexia
Clinical narrative: Fever, lymphadenopathy, headache.
Age: 0.5
Sex: F
Vaccine: HBHEPB
Symptoms: Laboratory test abnormal
Clinical narrative: Child vaccinated X 3 for HB according to schedule at 2 days, 1 mo, 7 1/2 mos of age. HBs Ab at age 3 non-reactive. Revaccination started will retest in 2 mos. 1st dose given in nursery hospital and do not know manufacturer or lot #. Recombivax (05/02/98 and 06/02/98).
Age: 47.0
Sex: M
Vaccine: HEP
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Pt was given injection  of hep B vaccine (20mcg/cc) in left deltoid muscle in the AM of 06/11/02. Pt states he began feeling tingling and numbness in 4th and 5th digits of left hand 5 to 10 minutes after the injection. Pt states no improvement as of today 06/21/02 and states possible workman's comp. claim.
Age: 43.0
Sex: F
Vaccine: TD
Symptoms: Headache, Muscle spasms, Pyrexia
Clinical narrative: Muscle spasms, fever 100.6/HA. Benadryl/50mg po q 5h; Valium 5mg 2 po bid since 06/22/02. Steroid inj by PCP on 06/24/02.
Age: 37.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Joint range of motion decreased
Clinical narrative: Swelling, tenderness, redness left upper arm. Decrease ROM left arm requiring pt; Motrin, Flexeril, ice.
Age: 1.3
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth, Pyrexia
Clinical narrative: Pt had injections on 06/18/02. Returned 06/19/02 c c/o vomiting fever (none at this time) and red and swollen left deltoid. Feels warm to touch and is tender.
Age: 1.3
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Vomiting
Clinical narrative: Pt had injections on 06/18/02. Returned 06/19/02 c c/o vomiting fever (none at this time) and red and swollen left deltoid. Feels warm to touch and is tender.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Pt developed redness over mid-thing day after administration. 10x10cm area on leg became stiff, red, warm, seemed to move after 3 days.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Arthralgia
Clinical narrative: Joint pain 06/22 and 06/23 vaccine menomune received 06/21.
Age: 10.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Soreness, redness (4cm x 9cm erythema) Rx. Tylenol and topical ice.
Age: 17.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Dyskinesia, Loss of consciousness, Pallor
Clinical narrative: 10 mins after shot-was paying, felt dizzy and passed out. Was pale-color improved then became pale again. Pt not awaking for few seconds with 1-2 jerk. Heart rate OK then color improved.
Age: 18.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain, Back pain, Dyspnoea, Hypokinesia, Pain
Clinical narrative: I first started having problems about five mins after my shot. It was very hard to breathe and every movement caused a sharp pain in my center back to occur my stomach hurt and I felt achy. I still have pain in my center back. I seen a chiropractor immediately after these symptoms. Still experiencing aches.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth, Pyrexia
Clinical narrative: Five year old with 42-55mm area of redness on upper right deltoid, hot to touch. No drainage or streaking, temp 99, had DTaP at site 2 days ago, Redness started same day. Cool compresses and Acetaminaphen.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: RA swollen with redness x 24 hrs - 4 1/2" by 4 1/2" hot to touch with no c/o pain getting worse over 24 hrs. Keflex 250/5, Zyrtec qd, Benadryl (post swelling).
Age: 1.08
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Ecchymosis, Erythema multiforme, Oedema peripheral, Pyrexia, Rash papular
Clinical narrative: Fever and papular rash beginning 8 days after MMR/Varivax immunization which turned into erythema multiforme type rash the following day consisting of target lesions, urticaria, swelling of hands and feet with ecchymosis of groin lesions.
Age: 1.08
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Fever and papular rash beginning 8 days after MMR/Varivax immunization which turned into erythema multiforme type rash the following day consisting of target lesions, urticaria, swelling of hands and feet with ecchymosis of groin lesions.
Age: 4.0
Sex: U
Vaccine: DTAP, IPV, MMR
Symptoms: Angioneurotic oedema, Urticaria
Clinical narrative: Developed Angioedema and urticaria after receiving DTaP/MMR/IPV boosters within few hours.
Age: 6.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Pt was seen during a routine physical doctor noted rt upper arm swollen, red, painful to touch. When pt was questioned, he reported getting a shot and that his brother has been "slugging him hard" on that spot since. Was instructed to use ice packs on arm and Tylenol as needed. Brother and mother spoken to 06/11/02. Much improved.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Agitation, Feeling hot, Musculoskeletal stiffness
Clinical narrative: Mom described this: started at 2:15pm on 06/24/02. Child stiffened up extremities, curled toes up, abdomen turned blue and then legs were blue. No fever but warm to touch. Screamed/cried. Mom called doctor and told to stop FE+ and take child to ER. Seen at ER 3:30pm by ambulance-was asleep and pickup. At ER-child normal. Sent home. No subsequent events.
Age: 48.0
Sex: M
Vaccine: HEPA
Symptoms: Hypokinesia, Injection site mass, Neck pain, Pain
Clinical narrative: Hep A vaccine give 04/10/01 within 2 wks of injection client developed a round ball about the size of half dollar at injection site. About 6 months later if he lifts arm higher then shoulder he has pain in arm and neck. Went to see private doctor 04/15/02.
Age: 4.8
Sex: F
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site oedema, Injection site reaction
Clinical narrative: Left deltoid-swelling area was red, hot and hard. Had reaction DTaP #4-red swollen leg. 04/20/02, seen by MD dx. wit cellulitis, given Rocephin IM and Amoxicillin PO.
Age: 44.0
Sex: F
Vaccine: HEPA, MEN, TD, TYP
Symptoms: Asthenia, Body temperature increased, Eye inflammation, Fatigue, Urticaria
Clinical narrative: Hives on trunk and neck next day Sunday. Tiredness, weakness, burning eyes, and feverish on Monday.
Age: 0.25
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pneumonia
Clinical narrative: Information has been received from a physician regarding a 3 month old male who recived his first dose of Prevnar, Comvax, Infanrix and IPV vaccines on 03/22/01. On 04/05/01, he was diagnosed with invasive pneumococcal disease. A blood culture was positive for Streptococcus pneumoniae serotype 14. He recovered. This event is considered medically important.
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Bacterial infection, Blood chloride decreased, Blood sodium decreased, Carbon dioxide decreased, Drug ineffective
Clinical narrative: Information has been received from a physician regarding a 7 month old male. On 12/12/2001, at 6 months of age, he received injections of prevnar, Hib, DTaP and Hep B vaccines. On 02/01/2002, he developed meningitis. On 02/02/2002, he was hospitalized. A blood culture and CSF culture were positive for Streptococcal pneumoniae serotype 19F. A blood electrolyte test revealed a sodium of 137 meg/L, potassium of 5.4 meg/L, chloride of 110 meg/L and carbon dioxide of 17 mmol/L. On 02/11/2002, he was discharged. He recovered. Follow up 07/23/2002: "A serum anti-pneumococcal antibody levels for serotype 19F was 0.12 and for serotype 23F was 0.71.  On 02/11/2002, he was discharged.  On 05/08/2002, profound hearing loss was confirmed."
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Meningitis
Clinical narrative: Information has been received from a physician regarding a 7 month old male. On 12/12/2001, at 6 months of age, he received injections of prevnar, Hib, DTaP and Hep B vaccines. On 02/01/2002, he developed meningitis. On 02/02/2002, he was hospitalized. A blood culture and CSF culture were positive for Streptococcal pneumoniae serotype 19F. A blood electrolyte test revealed a sodium of 137 meg/L, potassium of 5.4 meg/L, chloride of 110 meg/L and carbon dioxide of 17 mmol/L. On 02/11/2002, he was discharged. He recovered. Follow up 07/23/2002: "A serum anti-pneumococcal antibody levels for serotype 19F was 0.12 and for serotype 23F was 0.71.  On 02/11/2002, he was discharged.  On 05/08/2002, profound hearing loss was confirmed."
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Bacterial infection, Drug ineffective, Sepsis
Clinical narrative: A registered nurse reported that a 2 month old female received a 1st dose of Prevnar, Infanrix, Polio vaccine, and ActHIB vaccines on 01/05/2002. The pt developed meningitis 4 weeks after receiving her first Prevnar immunization. The child was hospitalized. A spinal tab revealed a "streptococcal pneumonia organism" that is now being studied to determine the serotype involved. No additional info was available as of the date of this report.
Age: 0.3
Sex: U
Vaccine: PNC
Symptoms: Drug ineffective, Sepsis
Clinical narrative: A physician reported that a 5 month old infant (gender unspecified) developed drug resistant Streptococcus pneumoniae meningitis on 02/27/2002. The infant received two doses of prevnar, two months apart. In November 2001, the infant (at age 2 months) received that both twins developed meningitis. The physician noted that the infants had no ddaycare experience, no immune deficiencies or drug sensitivitie. They were "resistant to all" except vancomycinand chloramphenicol. At the time of this report, the infants had no improved. No further info was provided. This event was considered medically important.
Age: 2.0
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Sepsis
Clinical narrative: Follow Up information regarding vaccine administration, concomitant medications, medical history, and event outcome was received from a physician on 05/28/02. A physician reported that a 5 month old male received his first doses of Prevnar, Tripedia, IPOl and Comvax vaccines on 02/06/01 at 2 months of age On 04/27/01, the infant presented to an emergency room with a fever of 104.3 deg. F., a cough, a runny nose and a nose bleed. He was reportedly sluggish but arousable. "Mild" erythema of the oropharynx was noted.  A diagnosis of pneumococal bacteremia without focus was made. He was treated with saline bolus and IM ceftriaxone and was released on 04/28/01 He recovered. Pneumococal bacteremia was considered medically important.
Age: 0.3
Sex: U
Vaccine: PNC
Symptoms: Drug ineffective, Sepsis
Clinical narrative: A physician reported that a 5 month old infant (gender unspecified) developed drug resistant Streptococcus pneumoniae meningitis on 02/2/2002. The infant received two doses of Prevnar, two months apart. In November 2001, the infant (at age 2 months) received the first dose. The infant is a twin, and it was reported that both twins developed meningitis (see HQ1255711MAR2002). The physician noted that the infants had no daycare experience, no immune deficiencies or drug sensitivities. They were "resistant to all" except vancomycin and chloramphenicol. At the time of this report, the infants had not improved. No further info was provided. This event was considered medically important.
Age: 1.3
Sex: M
Vaccine: PNC
Symptoms: Bacterial infection, Pyrexia, Upper respiratory tract infection, White blood cell count increased
Clinical narrative: A physician reported that a 16 month old male received his second dose of Prevnar on 07 JUN 2001. On 28 FEB 2002, at 24 months of age, the child was seen in a emergency room with symptoms of an upper respiratory tract infection and fever. A blood culture was positive for Streptococcus pneumoniae. No serotype was identified. A WBC count was 20,000 cells per cubic millimeter. The child was treated with unspecified antibiotics and recovered. Streptococcal septimcemia is considered medically important. Per follow up: The child was treated with Rocephin (ceftriaxone) and Cefzil (cefpozil).
Age: 3.0
Sex: M
Vaccine: PNC
Symptoms: Drug ineffective, Pneumonia
Clinical narrative: Information has been received from a consumer concerning her 31 month old son who received his first injection of Prevnar on 05/01/2000. Since that time, the child has experienced five episodes of pneumonia for which he was hospitalized. The child had a history of asthma and his sister developed an injection site reaction described as a "hard, red, lump" following Prevnar administration. See related non-serious case HQ1648605APR2002. No further info was available at the date of this report.  Follow up on 10/01/02 states: "This case was been reversioned to change the coded event of "vaccination failure" to the more appropriate event of "drug ineffective".
Sex: U
Vaccine: PNC
Symptoms: Drug ineffective
Clinical narrative: A company representative reported that a child received Prevnar and subsequently developed invasive pneumococcal disease. As of the date of this report, no further information was available. This event was considered medically important.
Age: 0.2
Sex: M
Vaccine: PNC
Symptoms: Bacterial infection, Meningitis
Clinical narrative: A pediatrician reported that a 2 month old male received his first dose of Prevnar on 22 JAN 2002. On 19 MAR 2002, at 4 months of age, the infant developed pneumococcal meningitis. The following day, he was hospitalized where CSF and subdural fluid cultures were positive for Streptococcus pneumoniae, serotype 14. No further information was available at the date of this report.
Age: 0.3
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Bacterial infection, Laboratory test abnormal, Sepsis
Clinical narrative: A company representative reported that a female infant received her second dose of Prevnar. At the age of 6 months, she developed streptococcal bacteremia and was hospitalized. Follow-up info was received from the physician on 05/20/2002. The infant, who had a medical history of mixed gonadal dysgenesis, received her second dose of Prevnar and doses of Comvax, IPV and Infanrix vaccines on 12/17/2001 at age 4 months. When she was 6 months old, a blood culture was performed which was positive for streptococcus. She subsequently recovered.
Age: 0.8
Sex: M
Vaccine: PNC
Symptoms: Bacterial infection
Clinical narrative: A physician reported that a child received a third dose of Prevnar and subsequently developed Stretpococcus pneumoniae meningitis. A blood culture was positive. A lumbar puncture revealed 180 white blood cells and no bacteria. Treatment with ceftriaxone had commenced two days prior to lumbar puncture. This event is considered medically important. Follow up information received on 03 MAY 2002 indicated that the child is a 19 month old male. On 27 JUN 2001, at 10 months of age, he received his third dose of Prevnar. On 20 APR 2002, developed Streptococcus pneumoniae meningitis and on 21 APR 2002, he was hospitalized. A blood culture was positive for Streptococcus pneumoniae (serotype unknown). Follow up information received on 13 MAY 2002 indicated that the Streptococcal pneumoniae isolate was non typable because it did not react with the antisera. The reporter indicated that ribotyping will be done for this isolate. Follow up information received on 17 MAY 2002 indicated that lab tests revealed an IgG of 1050 mg/dl, an IgA of 173 mg/dL, and an IgM of 144 mg/dL. Follow up information received on 28 may 2002 indicated that he was discharged after 14 days. He recovered.
Sex: M
Vaccine: PNC
Symptoms: Drug administration error
Clinical narrative: A nurse reported that a male patient inadvertently received a dose of Prevnar on 07 MAR 2002, instead of Pnu-Imune 23 vaccine. At the date of the report, no adverse event was reported and no further information is available.
Age: 0.88
Sex: M
Vaccine: PNC
Symptoms: Agitation, Erythema, Pyrexia, Rash erythematous
Clinical narrative: A nurse reported that an 11 month old female received her second dose of Prevnar on 04 MAR 2002. On the evening of vaccination, the child experienced irritability and a low grade fever. On 05 MAR 2002, he developed a sunburn-like reaction on his arms and legs. His skin appeared bright red with no raised bumps or itching. The following day, the redness resolved. The reporter noted that the child had just finished a course of amoxicillin therapy. No further information was available at the date of the report.  Follow up on 10/01/02 states: "Follow up information received from the reporter on 07/08/02, corrected the gender of the pt, and stated that "several other children had the same sunburn rash, without receiving the Prevnar vaccine-the rash appeared to be viral."
Age: 1.25
Sex: M
Vaccine: PNC
Symptoms: Ear disorder, Infection, Injection site erythema, Injection site mass, Injection site pain
Clinical narrative: A mother reported that her 15 month old son received his fourth dose of Prevnar vaccine on 02/05/2002. That same day, he developed an injection site reaction on his thigh characterized by a "half-dollar size" area of redness, pain and a hard lump. He developed a low-grade fever and since vaccine administration, he had developed four episodes of ear infection and fever. At the date of the report on 03/12/2002, the mother stated that a small hard lump remained at the site of injection. Additional info received from the vaccine provider on 03/25/2002, provided the lot number, site of administration, and history of Augmentin drug sensitivity.
Age: 1.25
Sex: M
Vaccine: PNC
Symptoms: Pyrexia
Clinical narrative: A mother reported that her 15 month old son received his fourth dose of Prevnar vaccine on 02/05/2002. That same day, he developed an injection site reaction on his thigh characterized by a "half-dollar size" area of redness, pain and a hard lump. He developed a low-grade fever and since vaccine administration, he had developed four episodes of ear infection and fever. At the date of the report on 03/12/2002, the mother stated that a small hard lump remained at the site of injection. Additional info received from the vaccine provider on 03/25/2002, provided the lot number, site of administration, and history of Augmentin drug sensitivity.
Sex: U
Vaccine: PNC
Symptoms: Crying, Skin burning sensation
Clinical narrative: A nurse reported that a child received a dose of Prevnar vaccine and immediately experienced burning at the the site and crying. The child recovered. MANUFACTURER'S NOTE: The reporter indicated that "all children" between the age of "2 months to 12 months" of age have experienced injection site but burning and crying however the reporter could not specify the exact number of patients. Additional reports will be generated when identifying information is provided. No further information was available at the date of the report.
Age: 0.2
Sex: U
Vaccine: PNC
Symptoms: Swelling, Urticaria
Clinical narrative: A nurse reported that a 2 month old infant received the first dose of Prevnar (pneomococcal 7 valent conjugate vaccine (diphtheria crm197 protein)) on 11 MAR 2002. On 13 MAR 2002, the infant developed generalized hives all over the body and right ear swelling and was referred to a dermatologist. The symptoms were reported to have abated. No further information was available as of the date of this report.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Aspiration, Hypersensitivity
Clinical narrative: A mother reported that her 4 month old son, with a history of reflux problems, received his second doses of Prevnar, IPV, DTap and haemophilus b conjugate vaccines on 25 FEB 2002. That same day, the infant developed an increase in reflux that led to aspiration. He was treated with Cefzil. The mother stated that the physician believes that the reactions may be the result of an allergy to the ingredients in any of the vaccines received.
Age: 1.0
Sex: F
Vaccine: PNC
Symptoms: Decreased appetite, Gastroenteritis, Sleep disorder, Viral infection
Clinical narrative: A mother reported that her 12 month old daughter received an injection of Prevnar in April, 2002. Subsequently the child developed a "stomach virus." The mother also reported that the child developed a decrease in appetite and a change in her sleep patterns. The stomach virus has resolved. The reporter did indicate that she did not think the stomach virus was due to Prevnar as she developed the same stomach virus. She does believe
Age: 1.25
Sex: M
Vaccine: PNC
Symptoms: Diarrhoea
Clinical narrative: A mother reported that her 15 month old son received Prevnar and other immunizations (unknown by mother) in the morning on 05/20/2002 and that afternoon, began vomiting. His vomiting abated within approximately 16 hours; he then developed fever and diarrhea and experienced lethargy. The pt was taken to the emergency room and treated with intravenous fluids. His fever, lethargy and diarrhea resolved within aprproximately 2-3 days. At the date of this report, no further info was available.
Age: 1.5
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Rash maculo-papular, Urticaria
Clinical narrative: A physician reported that an 18 month old female received her fourth dose of Prevnar on 29 MAY 2002. The following day, the child's mother notified the physician's office, that her daughter had developed a rash measuring 3-cm by 2-cm in diameter (site not provided), a maculopapular rash on her trunk and extremities, and hives. The child was seen by the physician on 31 MAY 2002. The mother noted that she had applied sunscreen to her daughter; however, she had used the same product previously without an adverse reaction. The reporter indicated that the child had a dry red rash on her face at the time of vaccination. No further information was available at the date of the report.
Age: 1.0
Sex: M
Vaccine: MMR, PNC
Symptoms: Injection site swelling, Myalgia
Clinical narrative: A nurse reported that a 12 month old male received Prevnar, MMRII and "Variox" vaccines on 02/28/02. "Almost immediately", the child developed swelling at the site of Prevnar administration. According to the nurse, the child's mother subsequently reported that the swelling extended from the child's thigh to his knee, and he also developed tenderness. The site of administration of the concomitant administered vaccines were not reported. No further information was available at the date of this report. MANUFACTURER'S comment: The lot number reported was 48317; however, this this not a valid Lederle lot number.
Age: 0.75
Sex: F
Vaccine: PNC
Symptoms: Diarrhoea, Pyrexia, Vomiting
Clinical narrative: A pediatrician reported that, over a year ago, a 9 month old female received a dose of Prevnar on 18 JUL 2000. That same day the child experienced vomiting, diarrhea, irritability and a low grade temperature which lasted three days. The child recovered.
Age: 6.0
Sex: F
Vaccine: PNC
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site reaction, Pneumonia
Clinical narrative: A mother reported that her 6 year old daughter received an injection of Prevnar on 05/01/2000. The mother indicated that child experienced five episodes of pneumonia over one year. On 05/01/2000, the child developed an injection site reaction characterized by a hard, red lump lasting a "few days." Per follow up: Cancelled-duplicate of HQ1648605APR2002.
Sex: F
Vaccine: PNC
Symptoms: Hypersensitivity, Injection site erythema, Injection site mass, Injection site oedema, Injection site reaction
Clinical narrative: Information has been received from a consumer concerning her daughter who had received a dose of Prevnar and developed an injection site reaction described as a hard, red, lump. No further information was available at the date of this report. Follow up information received on 23 APR 2002 from the patient's mother via manufacturer indicated her daughter's experience was an allergic reation (hypersensitivity NOS). Treatment was not provided.
Age: 0.2
Sex: F
Vaccine: PNC
Symptoms: Agitation, Injection site erythema, Injection site oedema, Injection site reaction, Injection site warmth
Clinical narrative: A mother reported via company representative that her 2 month old female infant received a dose of Prevnar and "other 2 month injections" (manuf unknown). The mother reported the infant experienced "extreme irritability" and "cried continuously for two hours." The infant developed an injection site reaction characterized by erythema, swelling, and warmth. The infant was treated with Benadryl; she subsequently recovered. Follow-up info was received from the mother, a pediatric nurse practitioner, on 05/21/2002. The mother described the injection site reaction as "moderate." Early in May 2002, the infant received her second dose of Prevnar. She was treated with Benadryl prior to vaccination and subsequently experienced no adverse event.
Age: 0.2
Sex: F
Vaccine: PNC
Symptoms: Irritability
Clinical narrative: A mother reported via company representative that her 2 month old female infant received a dose of Prevnar and "other 2 month injections" (manuf unknown). The mother reported the infant experienced "extreme irritability" and "cried continuously for two hours." The infant developed an injection site reaction characterized by erythema, swelling, and warmth. The infant was treated with Benadryl; she subsequently recovered. Follow-up info was received from the mother, a pediatric nurse practitioner, on 05/21/2002. The mother described the injection site reaction as "moderate." Early in May 2002, the infant received her second dose of Prevnar. She was treated with Benadryl prior to vaccination and subsequently experienced no adverse event.
Age: 0.2
Sex: M
Vaccine: PNC
Symptoms: Somnolence
Clinical narrative: A physician reported that a 2 month old male received his first dose of Prevnar on 21 FEB 2002 and developed sleepiness later that day which lasted for 48 hours. No concomitant vaccines were administered.
Sex: U
Vaccine: PNC
Symptoms: Injection site urticaria, Urticaria
Clinical narrative: A pharmacist reported that "several" patients received their second injection of Prevnar and subsequently developed a welt at the injection site. The symptoms resolved in "several" weeks. No further info was available at the date of this report. The reporter was unable to specify the number of patients who experienced this event. Additional reports will be generalized when identifying info is provided.
Sex: M
Vaccine: PNC
Symptoms: Injection site induration
Clinical narrative: A Pediatrician reported via a company representative that a patient received a first dose of Prevnar vaccine and subsequently developed induration at the injection site. No further information was available at the date of this report.
Age: 0.75
Sex: M
Vaccine: PNC, HEP, PNC
Symptoms: Pyrexia, Rash
Clinical narrative: A pharmacist and mother of the patient reported that her 9 month old son received his second dose  of Prevnar on 05/24/02.  That same day, he developed a rash which started on his legs and by the next day covered his entire body. He also had a fever of 101.9 degrees F. She gave her son Tylenol and Motrin. On 05/30/02, she reported that the rash was very faint." No further information was available at the date of the report.
Age: 13.0
Sex: F
Vaccine: HEP
Symptoms: Oedema, Skin discolouration
Clinical narrative: 7/2/02 Telephone call.  Pt. c/o that aprox. 1Hour following injection on 7/1/02 that pt noticed knees turning blue and later noticed feet being swollen.  Today,7/02/02, notices that knees and elbows are blue and ankles are swollen.  Pt. c/o of headache at aprox. 3:00pm on 7/01/02 and was relieved after taking Ibuprofen. Encouraged to have pt seen by Dr. asap. The 60 day follow-up states that on 7/26/02 T.C. to father and was informed that they felt like the blue colored appearance of knees and elbows were from the dye of new sheets put on bed. Sitter also had blue coloring on body parts.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site hypersensitivity, Injection site oedema, Pruritus
Clinical narrative: Day after receiving shot, he complained of itching at site. Left arm very red and swollen from top of shoulder to just below site. Area became very red, extremely swollen. Each day radiated from top of shoulder down to elbow by 3rd day. Area affected increased each day from small area at the top, down to elbow. (Note: There were concomitant vaccines, but the reporter only listed the Infanrix.)
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Hypotonia, Pyrexia
Clinical narrative: 2 hrs after receiving vaccines had two 15 second spells of being completely limp. Subsequently developed temp 101 deg. Admitted on ATB x 2 days until cult back.
Age: 1.08
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Dyspnoea, Erythema, Nausea, Urticaria, Vomiting
Clinical narrative: Had nausea and vomiting, wheezing, difficulty breathing. She had hives and skin turned red everywhere.
Age: 1.08
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Wheezing
Clinical narrative: Had nausea and vomiting, wheezing, difficulty breathing. She had hives and skin turned red everywhere.
Age: 1.08
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Dyspnoea, Flushing, Vomiting
Clinical narrative: Had nausea and vomiting, wheezing, difficulty breathing. She had hives and skin turned red everywhere.
Age: 1.25
Sex: F
Vaccine: HIBV, PNC, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: > 15 varicella lesions.
Age: 0.3
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever of 104 rectally x 48 hrs.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Irritability, Leukocytosis, Pyrexia
Clinical narrative: Feverm, irritability 8-10 hrs after shots. ER visit next day 05/24/02. Lab: see below #12. Dx. fever, leukocytosis. Rx: Rocephin IM 05/24 and 05/25.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Anorexia, Crying, Screaming
Clinical narrative: Crying unconsolably for 4 hrs. Got vaccination (DTAP, s. Pnemo, HIB, IPV) approximately 9:30, slept approx. 1 hr then screamed for 4 hrs and wouldn't nurse. In office at 3:30 pt was calm, no exam, nursed for few minutes.
Age: 1.08
Sex: M
Vaccine: HEP, MMR, PNC, VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: Macular-papular rash on torso.
Age: 0.6
Sex: M
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Convulsion, Hypotonia, Hypoventilation, Irritability, Pallor
Clinical narrative: Received vaccines-went to ER pm-fussy, tonic-clonic movements lasting few seconds-happened every few minutes for 30-45 minutes. Became limp and pale-shallow breathing. Went to ER-LP, CT scan, CBC, blooc tests. WNL Given IV Rocephin. Tempin ER 99 deg had OM was (WBC 30.2) finishing up Amox-seen here for follow-up 6/26. Referred to hospital for EEG. Dx-seizure.
Age: 0.3
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Screaming
Clinical narrative: Crying prolonged > 5 hrs after immunization in location of DTaP.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Crying, Pyrexia, Vomiting
Clinical narrative: Baby woke up screaming uncontrollably with a fever of 104 F parents gave her Ibuprofen but she threw it up. Instructed them to take her to ER for evaluation and to call back to let our agency know what findings were. 06/19 no tc received on 06/18. RN contacted them, father stated that the fever broke, they didn't take her to MD and is fine today.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying
Clinical narrative: Parents called stating child inconsolable all day after shots. DR returned called. Much improved.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Drug ineffective, Infection, Pyrexia
Clinical narrative: Chicken pox disease. 3 year old pt mom called, pt has chicken pox 20+ spots on 06/25/02 and fever.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Chicken pox disease. Pt awoke with spots, sister developed spots night before 06/25/02. pt has chicken pox 20+ spots on 06/26/02.
Age: 6.0
Sex: M
Vaccine: UNK
Symptoms: Injection site erythema
Clinical narrative: Left deltoid erythema 72 hrs post shots. 8 x 9cm.
Age: 4.7
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site oedema
Clinical narrative: 2x3inch swelling of left deltoid at injection site.
Age: 6.0
Sex: M
Vaccine: DTAP, HEP, HEPA, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: Left deltoid 8x8cm erythema 72 hrs post injections.
Age: 57.0
Sex: F
Vaccine: TD
Symptoms: Atrial flutter, Hypoaesthesia, Injection site hypersensitivity, Pruritus
Clinical narrative: TD 0.5cc at 4:30pm. At 4:45pm-fluttering in chest, lower limp numb, pruritus at site of injection. Benadryl 25mg po at 4:50pm. 6pm, fluttering ceased, lower lip numbness less stable. 6:30pm, to hospital.
Age: 1.25
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Has clinical chickenpox approximately 30 lesions on extremities, neck. No fever. No other symptoms. Rash appeared 06/25/02.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Rash
Clinical narrative: Child developed rash on body.
Age: 1.5
Sex: F
Vaccine: DTAP, HEP, IPV
Symptoms: Injection site erythema, Injection site oedema, Injection site reaction, Pyrexia, Somnolence
Clinical narrative: Localized reaction from DTaP verses Hep B (same arm). Egg sized swelling with redness down to elbow-sleepy with 102 temp RT. Still has symptoms. late vaccine start, mom previously refused shots.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Convulsion, Electroencephalogram abnormal, Epilepsy, Eye movement disorder, Neurodevelopmental disorder
Clinical narrative: Five days after receiving his MMR, (the child) had a seizure. He did not have a fever. He had a CT + bloodwork- Normal. He had an EEG which showed "spikes". He had more seizures. He had a 48 hour EEG with video monitoring on 11/10/02 -11/11/02. At this time, he was diagnosed with epilepsy. He is currently on Phenobarbitol, which has controlled his seizures. He does, however, continue to have "episodes" where his eyes rolled back for a few seconds and he collapses. (The child) has also been diagnosed with a developmental delay. He was not walking at 15 months and was refereed to a physical therapist. He is still not walking at 20.5 months although he is talking some steps. He had no developmental delays prior to receiving the MMR shot  As per follow up letter; the pt has not recovered fron vaccination. Pt has seizures daily. He was hospitalized in August and he was specifically diagnosed with complex partial seizures. Although pt began pulling up to standing at 12 months, he just started walking at 22 1/2 months. The annual follow up received on 8/5/03 states pt was averaging 40 seizures per day until 7/14/03. He is now on the ketogenic diet and seizure-free for 2 weeks. He will have to remain on this diet for at least 2 years. Pt still has developmental delays. He receives speech, OT and PT. He will have to start pre-school in October for physically challenged children. He had no delays prior to the MMR and varicella vaccines.
Age: 3.7
Sex: M
Vaccine: VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: > 50 lesions (varicella)
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Varicella
Age: 23.0
Sex: U
Vaccine: TD
Symptoms: Injection site pain, Muscle rigidity
Clinical narrative: Deltoid soreness/tenderness x 3 wks. Muscle felt rigid. Afebrile.
Age: 42.0
Sex: F
Vaccine: MMR
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site rash, Pruritus
Clinical narrative: Localized red rash 2.5cm that itches. Benadryl 50mg po q 4hr x 2 day given.
Age: 1.5
Sex: F
Vaccine: DTAP
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Within 24hr swelling and redness at site size 9cm x 5cm-red, edematous, warm to touch.
Age: 25.0
Sex: F
Vaccine: TYP
Symptoms: Abdominal pain, Pain, Pyrexia
Clinical narrative: Pt states stomach cramps lower abd. and full body aches. Pt states fever-but has not checked temp with thermometer. Symptoms started on 06/21/2002 late afternoon around 4pm.
Age: 12.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Dermatitis bullous, Malaise
Clinical narrative: Low temp general ill feeling after shot for 1-1 1/2 wks. Nine days after shot had mild case of chicken pox for 1 week. Doctor called it varicella rash.
Age: 4.3
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Mother brought pt into clinic 3 days post immunization. Right upper deltoid area with palpable induration, redness and warmth. 7x5cm redness right arm 20cm circumference. Advised Motrin/Tylenol for pain, cold compresses. Return if sx's worsen.
Age: 5.3
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site hypersensitivity, Injection site rash, Injection site reaction, Pruritus
Clinical narrative: 6" red hive on right thigh-pt complained of itching. No fever, no shortness of breath-only local reaction at injection site. Pt given Decadron eloc.
Age: 11.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Convulsion
Clinical narrative: Mom states she and pt left the building post vaccination and pulled around the block and pt "went into a full blown seizure." Immediately drove to hospital ER. Mom states pediatrician there did not feel seizure was caused by vaccine.
Age: 23.0
Sex: F
Vaccine: RAB
Symptoms: Headache, Hyperhidrosis, Pyrexia
Clinical narrative: Profuse sweating, fever, h/a 24 hrs after receiving vaccine #1.
Age: 12.0
Sex: F
Vaccine: HEP
Symptoms: Vomiting
Clinical narrative: Notified by general clinic staff that client's mom reported child vomited after getting into her car. Evaluate client-color pink, skin slightly clammy, pulse slow and regular. Client stated she was feeling ok. Per mom, client was in for 1st Hep B, was afraid and crying before the shot and she feels this is reason child vomited. Mom gives history of reaction to 1st DTP of prolonged crying. Did not share this info when 2nd DTP given. Following 2nd DtP became limp after receiving. Talked with client and mom for awhile and child seemed ok. Advised to notify health department if further problems. Call from mom approximately 1 1/2 hours after leaving health dept. States child vomited x 2 after getting home. Advised to have PMD evaluate and notify health dept of recommendation. Discussed above with RN who advised completing VAERS form and send to her. Call from client's mother states she talked with PMD by phone. PMD does not feel vomiting is related to Hep B immunization and ok to give 2nd dose. 06/17/02 3pm, call to pt's home-mom at work but pt states she has had no more vomiting or effects from shot.
Age: 1.3
Sex: M
Vaccine: MMR
Symptoms: Rash
Clinical narrative: Rash on body and face (mild rash) on 10 days after vaccination.
Age: 1.5
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Red area swollen/hot to touch measured 3 1/2 x 3 1/2. Pt given rx. for Duricef and hydrocortisone 1% cream.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Urticaria
Clinical narrative: Hives around site of injection, dry cough for 24 hrs post injection. Rx Beandryl.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Unevaluable event
Clinical narrative: Left deltoid
Age: 1.25
Sex: M
Vaccine: DTAPH, IPV
Symptoms: Rash
Clinical narrative: Received injection in right upper thigh on 06/24/02 at 4:15-4"30pm. First noticed rash 5-5:30pm on 06/25/02. Rash approx. 6cm across-lat leg. Right leg circumf. 12 3/4 cm left leg 1 1/4cm. Rx. Zyrtec 1/2 tsp hs, compresses.
Age: 1.5
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Received injection left thigh on 06/24/2002 at 18:06. No reaction on night of 06/24/02. On morning of 06/25/02, awoke with swollen left thigh and redness and warmth at site of injection.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Blister, Dermatitis bullous, Rash maculo-papular
Clinical narrative: Maco-papular rash, few vesicles on neck and face, lasted 2-3 days. Atypical varicella.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Broke out in chicken pox. Hx. of varivax.
Age: 12.0
Sex: F
Vaccine: HEP
Symptoms: Rash
Clinical narrative: Developed generalized rash over body within 24 hrs of receiving vaccine. Rash persisted for several months and caused scarring. has been under care of dermatologist.
Age: 1.08
Sex: F
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Pt received vaccine on 06/17/02. She became symptomatic on 06/26 and broke out with rash systemically on 06/27/02.
Age: 76.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Local swelling, redness, pain, warmth (around injection site). Treated at approx 24 hrs post with ice and Tylenol. Reaction began about 2 hrs after injection. MD gave medrol cortico pack. Arm returned to normal over several days.
Age: 0.75
Sex: M
Vaccine: HEP, IPV
Symptoms: Rash macular
Clinical narrative: Mother called from car after shots. Child had blotchy face. Could have been heat. Mom was concerned. Child better.
Age: 0.6
Sex: M
Vaccine: DTAP, IPV
Symptoms: Dystonia
Clinical narrative: Dystonic reaction with lateral deviation of neck.
Age: 1.3
Sex: M
Vaccine: HEP, DTP, HIBV, MMR
Symptoms: Drug toxicity, Emotional disorder, Nervous system disorder, Pain
Clinical narrative: An attorney reported that a male child received series of Tri-Immunol, Orimune, hep B and MMR II vaccines from 11/18/1995 through 03/14/1997. It is alleged that, as a result of the cumulative exposure to thimerosal in the vaccines he received until 16 months of age, the child suffered mercury poisoning and neurological damage that has required medical treatment and hospitalization. The damage is alleged to be permanent and progressive in nature. No further info is available at the date of this report.
Age: 1.3
Sex: M
Vaccine: HEP, DTP, HIBV, MMR
Symptoms: Drug toxicity
Clinical narrative: An attorney reported that a male child received series of Tri-Immunol, Orimune, hep B and MMR II vaccines from 11/18/1995 through 03/14/1997. It is alleged that, as a result of the cumulative exposure to thimerosal in the vaccines he received until 16 months of age, the child suffered mercury poisoning and neurological damage that has required medical treatment and hospitalization. The damage is alleged to be permanent and progressive in nature. No further info is available at the date of this report.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Decreased appetite, Lethargy, Somnolence
Clinical narrative: Pt came in mom and dad for 4 month well visit. Was doing well at that time with no illness or temp noted. Pt is former 32 weeks premie who had good weight gain was up to 8#9lb. Shots below were administered. Pt tolerated them well. When parents got home they gave dose of Tylenol at 8pm but stated no temp was noted. They then gave another dose at 12am. Pt acted very lethargic with decreased po intake. Parents awake at 6am and found pt to have passed. No fussiness was ever noted, just increased sleepiness with a decrease in po intake.
Age: 0.08
Sex: F
Vaccine: HEP
Symptoms: Agitation, Autism, Crying
Clinical narrative: Information has been received from a physician concerning a 5 week old female with no known drug allergies or relevant medical history who was vaccinated with a first, second, and third dose of hep B vaccine recombinant on 04/03/99, 05/07/99, and 01/05/00, respectively. It was reported that the pt was "intense and screaming" on all office visits and for an emergency room visit. The pt was diagnosed with autism at the age of 3. The pt sought unspecified medical attention. Upon internal review, the pt's autism was considered an other medical event. Additional info has been requested. The follow up states the pt was born with jaundice and was seen in the practice at 4 days of age with continued jaundice. The jaundice resolved within a few weeks. The pt was a healthy infant with no known drug allergies or significant past medical history. The pt had may well visits documented, and a few sick visits for otitis media.
Sex: M
Vaccine: IPV, MMR
Symptoms: Eye movement disorder, Grand mal convulsion, Opisthotonus, Paraesthesia
Clinical narrative: Information has been received from a Pharm D. and a physician concerning a male with no known allergies and a history of abnormal sized pupils of unknown origin at 3 months of age who on 09/27/2001 was vaccinated with MMR II. On 09/27/2001, the pt was concomitantly vaccinated wit poliovirus vaccine inactivated in the other arm. It was reported that 2 minutes after the pt received MMR II vaccine, the mother felt the child tingling and his eyes rolled back. He had a clonic tonic seizure with back arched and arms raised over his head. The seizure lasted 30 seconds. The child was administered Tylenol, and his temp was 97. The child recovered from the incident and the diagnosis was questionable seizure or vasovagal response. It was reported that all previous immunizations were pretreated with Tylenol except for the immunization on 09/27/2001. On 06/19/2001, the pt was in his "normal state" of health. Upon internal review, the pt's grand mal convulsion was considered an other medical event. Additional info has been requested.  Follow up on 07/17/2003: "No additional information is expected."
Sex: U
Vaccine: MMR
Symptoms: Autism
Clinical narrative: Information has been received from a registered nurse who heard from a colleague that a child was vaccinated with measles virus vaccine, mumps virus vaccine live, rubella virus vaccine live and developed autism. Upon internal review, autism was considered an other medical event. Addtional information has been requested.
Age: 0.2
Sex: U
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Coma, Decreased appetite, Irritability, Staring
Clinical narrative: DTaP, IPV, Comvax, Prevnar given 06/26/02 at 9:00. On next day, irritable, poor appetite, poor tone. 06/27/02 at 18:00, lost any control staring and unresponsive for 10 minutes.
Age: 0.5
Sex: F
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Febrile convulsion
Clinical narrative: Night of shot, pt had febrile seizures x 2 at 11pm and 2am.
Age: 29.0
Sex: F
Vaccine: TD
Symptoms: Crying, Injection site erythema, Injection site pain
Clinical narrative: Pt had pain to left arm-crying with pain with any movement to arm-injection site had red area (3cm) to upper left deltoid. Pt received Solumedrol 120mg IM at clinic. Doctor Rx: Prednisone 20mg bid x 4 days; Vicoproten 75/200 T-H po with 4-6 hrs prn pain.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Dysphonia, Dyspnoea, Pharyngolaryngeal pain, Wheezing
Clinical narrative: Had received shots on 06/27/02. At 2am 06/29/02, developed sore throat, difficulty to breath, hoarse voice and wheezing. Taken to ED and prescribed prelone syrup for 5 days.
Age: 4.5
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site oedema, Injection site warmth, Pruritus
Clinical narrative: Large 17 x 15 inch area of erythema warmth and pruritus and swelling. Treated with Claritin and oatmeal.
Age: 1.25
Sex: F
Vaccine: MMR
Symptoms: Lymphadenopathy
Clinical narrative: Pt developed Rt Inguinal lymphadenopathy seen by MD on 06/26/02.