chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 53.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Pruritus, Skin ulcer
Clinical narrative: Painless red dime-size lesion on l clavical, appeared on day 4 post vaccination. Mild itching, never became pustular, faded by day 11 post vaccination.  No other systemic symptoms.  Vaccination lesion WNL.  Vaccinated for post exposure to monkey pox.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Agitation, Screaming
Clinical narrative: Excessive crying, unable to comfort child.  Child would fall asleep and wake up crying.
Age: 39.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Chills, Cough, Diarrhoea, Dizziness
Clinical narrative: Pt was hospitalized for treatment of smallpox vaccine adverse reaction-cellulitis-12 days post vaccination. Pt c/o left shoulder swelling, redness at vaccination site, fever, chills, "loose stools," vomiting, headache, light-headedness, body aches, and dry cough for 3 days. Pt was hospitalized for 5 days, then was discharged. Pt is now fully recovered. Pt left before VAERS could be filed. VAERS form created from inpatient medical records.
Age: 39.0
Sex: M
Vaccine: SMALL
Symptoms: Headache, Injection site erythema, Injection site oedema, Pain, Pyrexia
Clinical narrative: Pt was hospitalized for treatment of smallpox vaccine adverse reaction-cellulitis-12 days post vaccination. Pt c/o left shoulder swelling, redness at vaccination site, fever, chills, "loose stools," vomiting, headache, light-headedness, body aches, and dry cough for 3 days. Pt was hospitalized for 5 days, then was discharged. Pt is now fully recovered. Pt left before VAERS could be filed. VAERS form created from inpatient medical records.
Age: 39.0
Sex: M
Vaccine: SMALL
Symptoms: Vomiting
Clinical narrative: Pt was hospitalized for treatment of smallpox vaccine adverse reaction-cellulitis-12 days post vaccination. Pt c/o left shoulder swelling, redness at vaccination site, fever, chills, "loose stools," vomiting, headache, light-headedness, body aches, and dry cough for 3 days. Pt was hospitalized for 5 days, then was discharged. Pt is now fully recovered. Pt left before VAERS could be filed. VAERS form created from inpatient medical records.
Age: 43.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain, Dizziness, Dyspnoea, Ear pain, Neck pain
Clinical narrative: Chest pain, SOB, pain in right side of neck, pain in right ear, pain in right arm, light headed.
Age: 43.0
Sex: F
Vaccine: SMALL
Symptoms: Pain
Clinical narrative: Chest pain, SOB, pain in right side of neck, pain in right ear, pain in right arm, light headed.
Age: 34.0
Sex: F
Vaccine: HEPAB, TYP, YF
Symptoms: Contusion, Oedema, Pain
Clinical narrative: Approx 1 week after receiving vaccines pt began to ache at the yellow fever injection site, it was sore to touch and some bruising at the site was noted. This ache progressed to involve the entire arm shifting from upper scapula, shoulder to hand and thumb. At one point making use difficult, this went on for 2 days. Swelling in left armpit "tender" and "quite large" lasting 1 week.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, PNC
Symptoms: Anorexia, Crying, Irritability, Pyrexia, Rash
Clinical narrative: Fever 100.0, Loss of appetite, Fussiness/Crying, and Rash all over body.  All occured about 4 hours after the immunizations.  Rash disappeared on day two and so did fever.  Appetite and crying spells became better on day three, but not as they were before.
Age: 42.0
Sex: F
Vaccine: ANTH
Symptoms: Pain
Clinical narrative: Sharp pain in left arm where the shot was given. Dull pain for approximately 30 days after shot was given.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site warmth, Oedema, Pain
Clinical narrative: Painless swelling of left arm 3x4cm. No secondary infection.Increased heat & warmth in area of site. Treated with cool compresses & benadryl
Age: 2.0
Sex: M
Vaccine: HEPA, PPV
Symptoms: Decreased appetite, Irritability, Joint range of motion decreased, Oedema, Pyrexia
Clinical narrative: 3 cm induration/redness and mild edema in anterior/lateral left thigh. does not want to bear weight on left leg.  cranky, fever, decreased appetite since night of vaccination date. Temp 102.9F tympanic
Age: 2.0
Sex: M
Vaccine: HEPA, PPV
Symptoms: Rash erythematous
Clinical narrative: 3 cm induration/redness and mild edema in anterior/lateral left thigh. does not want to bear weight on left leg.  cranky, fever, decreased appetite since night of vaccination date. Temp 102.9F tympanic
Age: 51.0
Sex: M
Vaccine: SMALL
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: Nausea, vomiting (mild), dizziness and lightheadedness
Age: 12.0
Sex: F
Vaccine: HEPA
Symptoms: Alopecia areata
Clinical narrative: Patient developed alopecia areata within 12 weeks of vacination. Alopecia Areata - multiple dermatology visits for injection.
Age: 51.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Vaccination complication
Clinical narrative: Satellite lesions (chest, back, upper arm-some with fluid filling). Saw Dr. at hospital. 7-9 pustules on back, 5 on chest, 4 on neck, 1 on nose, 1 large one on shoulder. As of 4/1/03 patient has developed 1-2 more at right ear and 2 more on chest. 04/21/2003: patient is recovering. On 6/9/03 I received a voicemail from this vaccinee. She had seen her optometrist on June 6th. He told her she had fluid behind her corneas; left more than right. He advised her to see an ophthalmologist for further evaluation. He gave her some drops to use to decrease the fluid. He also told her that this is sometimes seen with head injury, blunt trauma, or with an allergic reaction, or with "systemic problems". Patient reports that when she saw Dr on 4/3/03, he examined her eyes and said that there were no lesions. She saw him again last week; he recommended that she have an evaluation of her headaches if there was no improvement. Patient reports that her headaches are improved, but not gone. Some days no meds are necessary; some days she needs to take TYLENOL. Patient reports that her eyes hurt during the first two weeks of her reaction after the smallpox vaccination. 6/10/03 - email from patient. She reviewed the records from her visits with Dr., and found that there was no note that she had told him that her eyes were hurting. Her personal records show that she was noticing some eye discomfort. 6/16/03 - Email from patient. She reports she saw an ophthalmologist on 6/13/03. He gave her a diagnosis of Fuch's Endothelial Dystrophy and said that his understanding is that it is familial. Patient does not have any first or second degree relatives with this diagnosis. 6/26/03 - email from patient. She got a second opinion which confirmed the first.
Age: 51.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Rash papular, Skin ulcer
Clinical narrative: Satellite lesions (chest, back, upper arm-some with fluid filling). Saw Dr. at hospital. 7-9 pustules on back, 5 on chest, 4 on neck, 1 on nose, 1 large one on shoulder. As of 4/1/03 patient has developed 1-2 more at right ear and 2 more on chest. 04/21/2003: patient is recovering. On 6/9/03 I received a voicemail from this vaccinee. She had seen her optometrist on June 6th. He told her she had fluid behind her corneas; left more than right. He advised her to see an ophthalmologist for further evaluation. He gave her some drops to use to decrease the fluid. He also told her that this is sometimes seen with head injury, blunt trauma, or with an allergic reaction, or with "systemic problems". Patient reports that when she saw Dr on 4/3/03, he examined her eyes and said that there were no lesions. She saw him again last week; he recommended that she have an evaluation of her headaches if there was no improvement. Patient reports that her headaches are improved, but not gone. Some days no meds are necessary; some days she needs to take TYLENOL. Patient reports that her eyes hurt during the first two weeks of her reaction after the smallpox vaccination. 6/10/03 - email from patient. She reviewed the records from her visits with Dr., and found that there was no note that she had told him that her eyes were hurting. Her personal records show that she was noticing some eye discomfort. 6/16/03 - Email from patient. She reports she saw an ophthalmologist on 6/13/03. He gave her a diagnosis of Fuch's Endothelial Dystrophy and said that his understanding is that it is familial. Patient does not have any first or second degree relatives with this diagnosis. 6/26/03 - email from patient. She got a second opinion which confirmed the first.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Irritability, Pyrexia, Rash
Clinical narrative: Fever for 3 days, generalized morbiliform rash. Fever 103-104. Seen in office on 5/12/03.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Pyrexia, Rash morbilliform
Clinical narrative: Fever for 3 days, generalized morbiliform rash. Fever 103-104. Seen in office on 5/12/03.
Age: 13.0
Sex: M
Vaccine: HEP, TD, HEP, TD
Symptoms: Myelitis transverse
Clinical narrative: Acute onset 6/17 of extremity weakness, intubated 6/9. Dx: transverse myelitis-cervical cord involvement.
Age: 13.0
Sex: M
Vaccine: HEP, TD, HEP, TD
Symptoms: Laboratory test abnormal, Muscular weakness, Myelitis transverse
Clinical narrative: Acute onset 6/17 of extremity weakness, intubated 6/9. Dx: transverse myelitis-cervical cord involvement.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Depressed level of consciousness, Diarrhoea, Erythema, Pyrexia
Clinical narrative: Information has been received from a physician who is the spouse of a 72 year old female patient who was vaccinated with a dose of pneumococcal vaccine 23 polyvalent. Concomitant therapy included low dose corticosteroids (unspecified). The patient developed fever over 105 F, swelling of arm and redness on both upper and lower arm, vomiting, diarrhea, disturbances of consciousness and was hospitalized for 6 days and treated with antibiotics (therapy unspecified) and released. The discharge diagnosis was cellulitis. No additional information provided at this time. Additional information has been requested.  Follow up on 07/17/2003: "Follow up information received from a physician indicated that within 12 hours of vaccination, on approximately 04/22/2003, the patient developed a fever, swelling of the entire arm, redness at the injection site, nausea, vomiting, and diarrhea.  The patient was hospitalized 2 days after receiving the vaccination.  Her white cells were elevated and her blood cultures were negative.  An ultrasound of the patient's arm showed no abscess formation, only normal muscle.  The physician indicated that she was unsure if the patient had cellulitis or a reaction to the vaccination.  The patient reported to the physician that she had a history of similar reactions to many vaccines as a child.  The patient was treated with Ampicillin sodium (+) sulbactam sodium (UNASYN(ampicillin sodium(+)) and IV fluids while hospitalized.  She was sent home on amoxicillin (+) clavulantate potassium (AUGMENTIN).  The physician reported that the patient had recovered completely.  Additional information has been requested."
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Swelling, Vomiting
Clinical narrative: Information has been received from a physician who is the spouse of a 72 year old female patient who was vaccinated with a dose of pneumococcal vaccine 23 polyvalent. Concomitant therapy included low dose corticosteroids (unspecified). The patient developed fever over 105 F, swelling of arm and redness on both upper and lower arm, vomiting, diarrhea, disturbances of consciousness and was hospitalized for 6 days and treated with antibiotics (therapy unspecified) and released. The discharge diagnosis was cellulitis. No additional information provided at this time. Additional information has been requested.  Follow up on 07/17/2003: "Follow up information received from a physician indicated that within 12 hours of vaccination, on approximately 04/22/2003, the patient developed a fever, swelling of the entire arm, redness at the injection site, nausea, vomiting, and diarrhea.  The patient was hospitalized 2 days after receiving the vaccination.  Her white cells were elevated and her blood cultures were negative.  An ultrasound of the patient's arm showed no abscess formation, only normal muscle.  The physician indicated that she was unsure if the patient had cellulitis or a reaction to the vaccination.  The patient reported to the physician that she had a history of similar reactions to many vaccines as a child.  The patient was treated with Ampicillin sodium (+) sulbactam sodium (UNASYN(ampicillin sodium(+)) and IV fluids while hospitalized.  She was sent home on amoxicillin (+) clavulantate potassium (AUGMENTIN).  The physician reported that the patient had recovered completely.  Additional information has been requested."
Age: 3.9
Sex: M
Vaccine: PPV
Symptoms: Dehydration, Otitis media, Sepsis
Clinical narrative: This report was received from manufacturer research (control number HQWYE5096909JUN03) for pneumococcal vaccine 23 polyvalent. It was reported that a 47 month old male was vaccinated on 10/4/02 with a dose of pneumococcal vaccine 23 polyvalent. On 4/21/03 the pt experienced pneumococcal bacteremia (serotype 9F strep pneumoniae) dehydration and otitis media. Subsequently, the pt was hospitalized. The outcome was reported as recovered. This was originally reported by a physician. Additional info has been requested.  A 15-day follow up report received 7/15/2003 adds: The child was given no other vaccinations that day and was not taking any concomitant medications. The reporter indicated that the child received the first dose of Streptococcus pneumoniae vaccine (Prevnar) in July 2002 at a local health department, but had not received a second dose. It was reported that the child had a history of chronic otitis and had tubes placed. Due to deterioration of his inner ear from the recurrent infections, he was eventually given cochlear implants. On 04/21/2003 the pt experienced pneumococcal bacteremia (serotype 9F strep pneumoniae) dehydration and otitis media. Subsequently, the pt was hospitalized. The outcome was reported as recovered. Follow up info received from a physician indicated that on 04/21/2003 the child was taken to the ER and admitted to the hospital with pneumococcal meningitis, pneumococcal bacteremia, dehydration and otitis media. Blood cultures and CSF cultures grew strep pneumoniae, serotype 19F not 9F as previously reported. The child was initially treated with ceftriaxone sodium (ROCEPHIN) and IV fluids. The child improved and was discharged from this hospital approximately 4 to 5 days later. The child recovered completely. The physician noted that he had spoken to an infectious disease specialist who suggested that they revaccinate the child with pneumococcal vaccine 23 polyvalent and Streptococcus pneumoniae vaccine (PREVNAR) and place the child on penicillin prophylactically for one year. This was originally reported by a physician. Additional info has been requested. Additional follow up received on 8/8/03 indicated that the onset of hte adverse event was 4/15/03 in the PM. The child was admitted to the hospital on 4/21/03 and transferred to another hospital on 4/22/03. He was hospitalized for 10 days. The child was diagnosed with sepsis and meningitis. The child was treated with vancomycin and Rocephin for several days. He was discharged in good health with resolved sepsis and meningitis. The outcome was reported as recovered on 4/30/03. The reporter indicated that the sepsis and pneumococcal meningitis were considered to be life threatening and other important medical events (OMIC). This was originally reported by a physician. No further info is expected.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Drug toxicity, Mental retardation severity unspecified, Nervous system disorder, Speech disorder
Clinical narrative: Information has been received from a legal firm concerning a minor male child who on 6/9/98 at 12 month of age was vaccinated with MMR (second generation) (batch not reported). It was reported that before the patient was a month old, he was given his first vaccination (therapy unspecified). Concomitant therapy included globulin, immune and Rho (D) immune globulin (BAYRHO-D). By 13 months old, the patient was given sixteen vaccinations, sometimes four at a time and that through these vaccinations he was subjected to very high doses of the mercury contained in thimerosal, a highly toxic preservative intentionally added to the vaccines he received. Additionally, while she was pregnant with the patient, his mother received three injectable globulin products containing thimerosal. It has been alleged that as a result of the mercury in the thimerosal-containing vaccinations and the MMR (second generation) vaccine that the patient received as an infant, he now suffers and in the future will continue to suffer neurological damage, including but not limited to developmental and speech delays. Upon internal review, mercury poisoning, neurological damage, developmental delays and speech delays were considered other important medical events (OMIC). No further information is available. Follow up information received on 04Aug04 reported the following adverse experiences: food sensitivities and food intolerances (onset unknown), treated with a gluten free/casein free diet. No furthere information is available. All available medical records will be provided upon request.
Age: 1.0
Sex: F
Vaccine: HBHEPB
Symptoms: Injection site induration, Injection site warmth
Clinical narrative: Information has been received from a physician concerning a 12 month old female who in October 2002, December 2002 and 6/12/03 was vaccinated with Haemophilus B conjugate vaccine (+) hepatitis B vaccine recombinant. The physician reported that the patient subsequently developed a 1.5cm induration on her thigh after being vaccinated with the second dose of Haemophilus B conjugate vaccine (+) hepatitis B vaccine recombinant. After several months, the induration did not resolve and the patient was referred to a surgeon who removed the induration. On 6/12/03, after receiving her third dose of Haemophilus B conjugate vaccine (+) hepatitis B vaccine recombinant, the patient developed a 1x1 inch induration that was slightly warm to the touch. The patient was afebrile and there was no pus or infection noted. The patient was seen by the physician and was treated with an unspecified non-steroidal, diphenhydramine HCl and local measures. At the time of this report, the patient's induration had not resolved. Upon internal review, 1.5cm induration was considered to be an other important medical event (OMIC). Additional information has been requested.
Age: 0.25
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Kawasaki's disease, Pyrexia, Rash
Clinical narrative: Developed Kawasaki disease-fever started 6/1/03. Rash started 6/2/03. Hospitalized-IVIG given 6/3/03-discharged 6/5/03 with symptoms resolved.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Apnoea, Convulsion
Clinical narrative: Pt began having seizures 6/17 at 5am with apnea. He had a total of 6 evens requiring hospitalization for 2 days and treatment with Dilantin.
Age: 51.0
Sex: F
Vaccine: LYME
Symptoms: Arthritis, Carpal tunnel syndrome, Fatigue, Hepatic enzyme abnormal, Hypoaesthesia
Clinical narrative: Arthritis of neck and lower spine, carpal tunnel, numbness of arm, fatigue, general achiness, increased liver enzymes, neuropathy of wrist, lumbar neuropathy.
Age: 51.0
Sex: F
Vaccine: LYME
Symptoms: Neuropathy, Pain
Clinical narrative: Arthritis of neck and lower spine, carpal tunnel, numbness of arm, fatigue, general achiness, increased liver enzymes, neuropathy of wrist, lumbar neuropathy.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: Left arm became red, swollen. Developed fever, chills. Given Keflex 500 tid for 5 days with Benadryl.
Sex: U
Vaccine: TD
Symptoms: Arthralgia, Chills, Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Erythema, swelling, warmth in left arm, subjective fever, chills, myalgia, arthralgia, starting 12-24 hours after Td administration in left deltoid.
Sex: U
Vaccine: TD
Symptoms: Myalgia, Pyrexia
Clinical narrative: Erythema, swelling, warmth in left arm, subjective fever, chills, myalgia, arthralgia, starting 12-24 hours after Td administration in left deltoid.
Age: 20.0
Sex: F
Vaccine: DTAP
Symptoms: Pruritus
Clinical narrative: On evening following receiving vaccine, patient reports itching on both arms and legs which continued to get worse.  Appointment to see MD on 05/21/2003.  Saw MD who gave medication for itching and told her it was a reaction to the Hep B vaccine.
Sex: F
Vaccine: VARCEL
Symptoms: Rash macular, Rash papular
Clinical narrative: 06/13/2003: Varivax given at age 1 year. 06/15/2003: Per parent, patient developed "blotches" on left arm and left side of face. 06/18/2003: On exam, papules large red, bases on body.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Rash pruritic
Clinical narrative: Varicella like rash, slight itching (client on allergy medication).  Slight fever on 1st day.  53 spots total.  Spots concentrated on side of body that was nearest infected person.  Rash scabed over by 05/01/2003.
Age: 4.0
Sex: U
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Pruritus
Clinical narrative: Patient received DTaP and IPV in same arm (right) within 24 hours, had redness, swelling, and itching at site of DTaP.  Examined patient at 48 hours-arm reddened and swollen from shoulder to elbow.  Not tender to touch.  Complete rom of arm.
Age: 7.0
Sex: F
Vaccine: PNC
Symptoms: Erythema, Feeling hot
Clinical narrative: Patient has 3x4 inch red spot, warm to touch.
Age: 0.8
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Injection site erythema, Injection site oedema, Screaming
Clinical narrative: About 1 hour after receiving shots-started crying unconsolably x 4 hours.  Called MD office but did not go to office.  Gave Tylenol before and after immunization.  No fever noted.  Injection site on leg-swollen, red.  Cold compresses x 3.  Discussed event at next visit 05/2003; Recommended ped DT.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Convulsion, Pyrexia
Clinical narrative: Patient developed 104 fever within 12 hours of vaccines administration and had a 30' seizure.  Full recovery.  W/u (-) PE no source.  Hx/ROS N/C.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Feeling hot, Injection site pain
Clinical narrative: 5.5 inch from vaccination site of erythema warmth and tenderness.
Age: 1.6
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Rash, Fever 39.5-10 days after MMR.
Age: 60.0
Sex: M
Vaccine: TD
Symptoms: Back pain, Injection site erythema, Injection site induration, Injection site oedema, Myalgia
Clinical narrative: Pain, swelling, redness, induration at Td vaccination site 36 hours after vaccination; accompanied by myalgia, upper back pain, symptoms worse 06/19, 06/20, 06/21, now subsiding 06/22, 06/23.
Age: 50.0
Sex: M
Vaccine: TD
Symptoms: Injection site oedema, Injection site pain
Clinical narrative: Pain, tenderness, swelling at injection site (left deltoid)
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Cold sweat, Feeling abnormal, Heart rate increased, Hyperhidrosis, Nausea
Clinical narrative: Mom phone stated "son complained of burning, sweaty, clammy, fuzzy, nausea and heart racing next day after receiving Hep B shot lasted x 4 hours.  Fine after 4 hours.  Also happened after 1st Heb B shot.  Complained of similar symptoms that night...but thought it was from playing baseball.  Should he receive not Hep B?
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Skin burning sensation
Clinical narrative: Mom phone stated "son complained of burning, sweaty, clammy, fuzzy, nausea and heart racing next day after receiving Hep B shot lasted x 4 hours.  Fine after 4 hours.  Also happened after 1st Heb B shot.  Complained of similar symptoms that night...but thought it was from playing baseball.  Should he receive not Hep B?
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site warmth
Clinical narrative: 09:00: Upon wakening this am, left arm red, hot to touch.  Redness extending from shoulder toward elbow.  Redness approximately 2cm width x 11 cm length.
Age: 1.5
Sex: M
Vaccine: DTAP, HBHEPB
Symptoms: Decreased appetite, Dehydration, Heart rate increased, Irritability, Pyrexia
Clinical narrative: Fever and irritability, down appetite, x 2 days.  "heart racing" (? 2in to mild dehydration)
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site mass, Rash erythematous
Clinical narrative: Patient's mom showed RN rash to both upper thighs that had appeard the day after immunizations were given to this area.  Rash was seen by RN on 4th day after immunizations were given.  both upper thighs had small raised red bumps.  Alcohol wipes had been used to cleanse thighs before immunizations had been given.  Rash resolved with treatment within a week.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site pain
Clinical narrative: Patient received shots at around 15:00 06/24/2003.  That night began turning pink at left thigh skin, gradually up size yeast/mild warm to touch, 17cm x 13 cm a widest areas now tender.  Lungs clear, heart rate at mrg.  Happy/active.  Benadryl .5 tsp per mouth.  Coll washcloth.
Age: 1.6
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Rash vesicular, Skin ulcer
Clinical narrative: Presented on 06/25/2003 with chicken pox/vescular lesions covering torso in scalp and on extremities.
Age: 5.0
Sex: U
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Malaise
Clinical narrative: Local redness and swelling, followed by one week serum-sickness type hypersensitivity reaction.  Full recovery thereafter.
Age: 1.5
Sex: M
Vaccine: HBHEPB, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 2 days following vaccine, patient was brought to office with red, firm area on left thigh were vaccine was given.  Axillary temp 96.8.  Treated with Augmentin suspention 200/5cc, 5cc per mouth bid x 7 days for early cellulitis.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Nonspecific reaction
Clinical narrative: MD noted : possible febrile DTaP reaction.
Age: 54.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Feeling hot, Oedema peripheral, Pruritus
Clinical narrative: Redness, swelling-L arm x 1 week-hot to touch-itching. Rx: Benadryl. Erythema over dorsum of left shoulder going down almost to  elbow-around the biceps-little bit in triceps area.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema peripheral
Clinical narrative: Swelling, redness L thigh-mildly warm to touch. Probable immunization reaction, but tx'd with Omnicef 250 BID x 10D to cover for possible cellulitis. The follow up received on 7/23/03 states Omnicef change to Duricef.
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pyrexia
Clinical narrative: Swelling and redness outer aspect R thigh-from hip to knee-warm to touch. Low grade fever x 3 days.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site reaction
Clinical narrative: Local reaction/ no fever.
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Oedema peripheral, Pyrexia, Rash erythematous
Clinical narrative: Mom called stating child's arm was swollen and red-red raised area-lemon sized. Lo grade fever today.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Eyelid oedema, Rash maculo-papular
Clinical narrative: Vaccines DTaP, IPV and MMR admin at about 1200 on 6/20/03. Mother phone office stating pt had swollen eye lids and redness and raised reddened area to chest. Dr. notified immediately and gave orders for Benadryl. Instruction given to parent and if symptoms persist go to nearest ER. F/U calls made on 6/23/03. Resolved symptoms. Did not go to ER.
Age: 30.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Pain, Pyrexia
Clinical narrative: Fever, swelling, redness, pain at injection site, body aches.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Oedema peripheral
Clinical narrative: After immunization visit, mom took child home and he took a nap. When child awoke mom thought child felt warm to touch but did not take temperature. Mom gave child Motrin. Mom noticed swelling of Rt. arm from shoulder to elbow that afternoon. Child playing when mom called. No c/o discomfort from child.
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: High fever (105 R); febrile seizure
Age: 29.0
Sex: M
Vaccine: TD
Symptoms: Erythema, Fatigue, Feeling hot, Nausea, Oedema peripheral
Clinical narrative: Fatigue, nausea, vomiting, erythema to L upper arm (are warm, swollen).
Age: 29.0
Sex: M
Vaccine: TD
Symptoms: Vomiting
Clinical narrative: Fatigue, nausea, vomiting, erythema to L upper arm (are warm, swollen).
Age: 5.0
Sex: M
Vaccine: DT
Symptoms: Erythema, Oedema peripheral, Pruritus
Clinical narrative: R deltoid swelling, redness, itchy onset 24 hrs post shot.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pallor, Vomiting
Clinical narrative: Pt received 3 immunization booster, IPV, MMR #2, and DTaP #5. AFter 20 min. pt vomited clear sputum after another 5 min, pt lips and gums became pale so I had mom sit with pt while I went for PA who immediately administered oxygen. Pt sent to hospital for transport.
Age: 16.0
Sex: F
Vaccine: HEP, IPV, MMR, TD, VARCEL
Symptoms: Unevaluable event
Clinical narrative: Immunized on 1/15/03 and 2/19/03. Client reported that she was not pregnant nor would she become pregnant in next 3 months, call received from certified nurse midwife on 6/25/03 that client was in labor and had received immunizations from the dept of health while pregnant.
Age: 18.0
Sex: M
Vaccine: MEN
Symptoms: Erythema, Rash papular
Clinical narrative: Erythematous papules on upper arms and chest itching.  Treatment: Prednisone 40mg on AM x 2 days-tapering down for total of 8 days.
Age: 1.0
Sex: F
Vaccine: HEP, IPV, MMR
Symptoms: Pyrexia, Rash erythematous
Clinical narrative: Fever-Tremors 06/20/2003.  Small bumps all over back.  Today-generalized rash on face, trunk.  Does have ear infections.
Age: 0.2
Sex: F
Vaccine: DTAP
Symptoms: Anorexia, Diarrhoea, Musculoskeletal stiffness
Clinical narrative: Failure to thrive at 1 year; weighs only 15 pounds. Repetitive and severe tightening of body now. Chronic diarrhea after vaccine administered.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Chills, Headache, Hyperhidrosis, Myalgia, Rash
Clinical narrative: Chills, sweats, ryalgia, headache, rash all started simultaneously although rash noted later at about 16:00 06/23/2003.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Haemoptysis, Hot flush, Hyperhidrosis, Lymphadenopathy, Pharyngolaryngeal pain
Clinical narrative: Following morning after immunization, complained of sore throat, feeling hot with sweating (did not take temperature), swollen glands in neck, mild productive cough-positive for blood tingles mucus (pinkish).  Denies headache, nausea or vomiting, myalgias or muscle weakness.  Three days after injection developed raised, pruritic "hive-like" rash that stared on right lower abdomen (at belt level) that spread across abdomen lower left up to include left upper quadrant with several spots on his right inner thigh and both feet.  He also complained of itchy painful lesion in his mouth.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Rash pruritic, Skin ulcer
Clinical narrative: Following morning after immunization, complained of sore throat, feeling hot with sweating (did not take temperature), swollen glands in neck, mild productive cough-positive for blood tingles mucus (pinkish).  Denies headache, nausea or vomiting, myalgias or muscle weakness.  Three days after injection developed raised, pruritic "hive-like" rash that stared on right lower abdomen (at belt level) that spread across abdomen lower left up to include left upper quadrant with several spots on his right inner thigh and both feet.  He also complained of itchy painful lesion in his mouth.
Age: 52.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: High fever (102.6), chills & severe headache
Age: 42.0
Sex: F
Vaccine: SMALL
Symptoms: Blood pressure increased
Clinical narrative: On day 6 post vaccination, went to health dept clinic for BP monitoring.  Reading was 186/114.  Pt monitored x 48 hrs-came to usual level within about 18 hrs.  Called own physician.  Has history of hypertension and was on medication.
Age: 57.0
Sex: F
Vaccine: SMALL
Symptoms: Impaired healing
Clinical narrative: The healing time is significantly delayed. 1st scab (about 1 cm)came off on day 31 or 32   (6/27 or 28) After the scab came off it still had a moist area in the center.   7/2 (day 35) it is a little yellow in the center and looks like it needs to form another scab of about 5 mm.  I NEVER got it wet, do not have diabetes, have kept it open to the air about 2 hrs a day most days, loosely covered with gauze until about 2 wk ago, now use a bandaid.  I did need to use the occulsive dressing recommended when around high risk people (water repellent but lets air in)for about 6 hrs on 4 different days up to day 17 and then about 48 hrs three different weekends beginning day 17.  I don't think it was ever infected.  I am a nurse, but do not in clinical practice (do research), so I did not need to keep it occluded as much as clinical nurses would. I saw my primary physician yesterday for a routine annual physical; she did not look at it.  I told her it looked like it was progressing normally but unusually slow.  She and I agreed I would contact CDC today.  I called CDC, was told to continue what I have been doing and contact the people who gave the vaccine for adverse event report.  I question the information provided in the brochure about "normal Reaction Timeline".  Where did they get this data?  Maybe this is the normal times for people years ago when no one covered them up at all.  However, everyone needs to cover them now and Health care providers need to keep them covered even more - all of which will delay healing.  I think the questionnaire we are given post vaccine should ask about healing times.  This may be important information for HCW and others in deciding whether to get the vaccine or not.
Age: 54.0
Sex: F
Vaccine: SMALL
Symptoms: Back pain, Erythema, Herpes zoster, Skin burning sensation
Clinical narrative: 06/12/2003: Noted red, burning area right of spine on lower back.  Some mild itching, burning, achy pain radiating from area.  06/16/2003: Saw MD-shingles diagnosis.  Patient started on Viatrex, antiviral x 7 days.  Today 06/27/2003: Patch beginning to resolve.  Continues to have pain radiating from patch to front of pelvis.  Also has pain under scapula which is improving.  Also has right lbp which began 06/08/2003.  Subscapular pain began 2 weeks prior to shingles.
Age: 1.5
Sex: M
Vaccine: DTAP, MMR
Symptoms: Erythema, Feeling hot
Clinical narrative: Immunization given in right upper lateral thigh IM on 06/30/03.  07/02/03 mother noticed right lower,medial aspect of thigh was red, swollem and slightly warm to touch.  No evidence of reaction at injection site.  Patient was examined by doctor today.
Age: 18.0
Sex: M
Vaccine: MEN
Symptoms: Back pain, Musculoskeletal stiffness, Neck pain, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Per Mom was fine till evening when he developed low grade temp. back and neck pain with a "stiff feeling", which continues today.  He is able to bring chin to chest without pain, no fever today.  Also has a sore throat but no trouble breathing.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema
Clinical narrative: 120mm red, pruritic erythematous patch surrounding injection site; no lymphadenopathy, no systemic symptoms/signs; started within 2 days after vaccination; treated with diphenhydramine, fluocinonide ointment
Age: 35.0
Sex: M
Vaccine: SMALL
Symptoms: Acne, Feeling cold, Headache, Hot flush, Injection site erythema
Clinical narrative: Large red swollen tender area surrounding vaccination site, rash or red bumps on chest back and buttocks.  Headache, Body acne fatigue and hot and cold flashes, lesions developing.  Multiform lesions in vaccination site
Age: 35.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site pain, Injection site swelling, Rash, Skin ulcer, Vaccination complication
Clinical narrative: Large red swollen tender area surrounding vaccination site, rash or red bumps on chest back and buttocks.  Headache, Body acne fatigue and hot and cold flashes, lesions developing.  Multiform lesions in vaccination site
Age: 54.0
Sex: F
Vaccine: SMALL
Symptoms: Skin ulcer
Clinical narrative: Patient was re-vaccinated on 02/27/2003.  Uneventful course.  Scab off 03/15/2003, appeared healed-dry.  On 04/03/2003, patient noticed vaccination scar was fluid filled with white cloudy fluid.  No erythema, no itching etc.  04/04/2003: Was collected fluid: did testing (see results to follow) once fluid appeared.  Uneventful healing within 2-3 days.  No fever.
Age: 46.0
Sex: M
Vaccine: ANTH, FLUX, MEN, TYP
Symptoms: Pain, Skin ulcer
Clinical narrative: Received 4 vaccines on 01/25/2003 and developed flare in pemphigus vulgaris.  See attached summary.  Patient first developed blistering facial lesions in 06/2002.  Patient assumed it was sunburn and sought no medical care.  Over the next 2 months, patient developed blistering lesions over back, chest, shoulders and scalp.  This prompted evaluation by MD where the diagnosis of pemphigus vulgaris was made after 3 biopsies.  Patient was treated with prednisone 20 mg qd and the lesions reportedly "calmed down", but did not resolve.  On 01/31/2003, patient had developed pustules, crusting, bleeding and erosions on the scalp, face, back and chest.  Patient's pain was rated at a 7/10.  The prednisone was continued and temovate ointment prescribed.  At a follow up appointment 3 weeks later, patient was noted to have improved with "no new lesions".  The prednisone was decreased to 10mg qod, temovate cream continued and keflex 500mg bid x 10 days was added.  On the next 3 subsequent visits patient was treated with another course of keflex and/or bactroban ointment.  Ketoconazole shampoo was added and the prednisone dose changed to 5mg qd.  Patient's has pain from the erosive lesions most of the time.  Presently, patient reports 20 or more lesions on chest, back and arms.  Patient cannot lay on back without discomfort.  Patient's activities have been curtailed due to disfiguring lesions particularly on face.  Patient believes other shy away from him and that they believe patient has a communicable disease such as AIDS.
Age: 4.11
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema
Clinical narrative: Erythematous arm around site of injection
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site swelling
Clinical narrative: 14-15 cm round wheel raised and hot after swimming in clorinated pool-day after vaccines.
Age: 9.0
Sex: M
Vaccine: HEPA, IPV, TD
Symptoms: Injection site oedema, Rash
Clinical narrative: Patients mom called and said patients arm was swollen on site where Hep A was given on same day vaccine was given and 3 days later had rash on same site and today 5 days later has rash all oer body.  Patients mom thinks patient had an allergic reaction to Hep A.  Advised her to bring in patietn to be examined but she was unable to bring patient.  Advised her to give Benadryl.
Age: 1.04
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Blister, CSF test normal, Cerebellar ataxia, Febrile convulsion, Polymerase chain reaction
Clinical narrative: Fever and febrile seizure 9 days after MMR. Follow-up: Rash 9-10 days after MMR. Two vesicles and cerebellar ataxia 14 days after IZs.
Age: 1.04
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash, Virus serology test
Clinical narrative: Fever and febrile seizure 9 days after MMR. Follow-up: Rash 9-10 days after MMR. Two vesicles and cerebellar ataxia 14 days after IZs.
Age: 0.75
Sex: M
Vaccine: PNC
Symptoms: Apnoea, Febrile convulsion
Clinical narrative: Child with niece - began "seizuring" and quit breathing. Was at fair and close to ambulance - EMT's gave treatment and took to ER where diagnosed as febrile seizure and bacterial infection. Was put on Zithromax and given shot according to mom - child had temperature for 2 days prior to injections and teething.
Age: 40.0
Sex: F
Vaccine: HEP
Symptoms: Injection site inflammation, Joint range of motion decreased, Oedema, Pain, Paraesthesia
Clinical narrative: Pain, temp, swelling, occasional tingling, less range of motion, hard areas, inflammatory response.
Age: 40.0
Sex: F
Vaccine: HEP
Symptoms: Pyrexia
Clinical narrative: Pain, temp, swelling, occasional tingling, less range of motion, hard areas, inflammatory response.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Red swelling of right thigh - site of DTaP injection.
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Abscess, Injection site mass
Clinical narrative: Mass to right thigh t days following vaccine administration. Working diagnosis: sterile abscess started. Motrin, Keflex, warm pads.
Age: 28.0
Sex: F
Vaccine: TD
Symptoms: Asthenia, Injection site erythema, Injection site warmth, Myalgia, Pain
Clinical narrative: Patient's description: Arm was red, hot and tender 24 hours after Td injection. Missed 2 days of work. Muscle soreness all over several days. Legs feel like they will give out from under her. Had fever 3 days following injection. Palpitations. Muscle aches have resolved. Weakness persisting.
Age: 28.0
Sex: F
Vaccine: TD
Symptoms: Palpitations, Pyrexia
Clinical narrative: Patient's description: Arm was red, hot and tender 24 hours after Td injection. Missed 2 days of work. Muscle soreness all over several days. Legs feel like they will give out from under her. Had fever 3 days following injection. Palpitations. Muscle aches have resolved. Weakness persisting.
Age: 1.6
Sex: F
Vaccine: IPV
Symptoms: Contusion, Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Developed a very red (size of a half dollar), hard area at the injection site, feverish to the touch. Next day, taken back to the physician and he indicated she had an "adverse reaction" and recommended warm compresses. Within 2 days of the vaccination, the area turned to a bruise, which is still apparent 5 days later.
Age: 32.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Feeling hot, Injection site mass, Pain
Clinical narrative: dT given 6/28/03 - redness and soreness started 6/29/03 - steadily worsening. Now very red, warm, fore. Swollen lump left neck noted 6/29 and increasing in size and is firm.
Age: 2.6
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Red, swollen and warm to touch (6 cm x 5 cm). Informed Mom the reaction of DTaP and gave Tylenol. No fever. Full range of movement and non tender upper arm. Ice packs advised.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Febrile convulsion
Clinical narrative: Seen in ER for febrile seizure lasting approx 6 minutes (limbs rigid). Hx of previous seizure with fever at 18 months and NL EEG at that time.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Pruritus, Rash vesicular
Clinical narrative: Presents with vesicular rash on erythemous base few in scalp, face, upper and lower extremities. No fever. Mild case. Isolation at home and Benadryl for pruritis. Will return 1 week.
Age: 45.0
Sex: M
Vaccine: SMALL
Symptoms: Coronary artery disease, Dyspnoea, Hypertension
Clinical narrative: Patient received SP vac in conjunction with military activation.  Over the next month he began having exertional SOB episodes.  He underwent cardiac eval to include treadmill, GXT scan, Echocardiogram, and eventually, Angiocatheterization. Final diagnosis was HTN with CAD.  Patient remained otherwise stable.  He was not deployed, but returned to his home station for f/u with his PCP and cardiologist. He remains out of work.
Age: 40.0
Sex: M
Vaccine: SMALL
Symptoms: Myocardial infarction
Clinical narrative: Patient received SP vac in conjunction with activation.  Within one month of receiving the vac he suffered an Acute Myocardial Infarction.  He was also undergoing some strenuous training that month.
Age: 43.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain, Dyspnoea, Fatigue, Headache, Myalgia
Clinical narrative: Left sided chest pressure that radiated to the shoulder, accompanied by palpitations and shortness of breath.  Occurred roughly 3 times a day for about a two month period.  Occurred with exertion and lying down at night. Other symptoms included leg edema, headache, myalgias, and fatigue.  Saw PMD in April and was referred to cardiologist where EKG, Echo, and Cardiac Catheterization was performed.  Findings included tricuspid regurgitation and mitral valve prolapse. (Pt. had history of MVP that predated vaccination). Significant cardiac risk factors include family history of death from MI prior to age 50, and menopausal.  Also has history of hypertension. Cardiologist switched current HCTZ med to bisoprolol with almost complete relief of symptoms, follow up visits are planned.
Age: 43.0
Sex: F
Vaccine: SMALL
Symptoms: Oedema peripheral, Palpitations
Clinical narrative: Left sided chest pressure that radiated to the shoulder, accompanied by palpitations and shortness of breath.  Occurred roughly 3 times a day for about a two month period.  Occurred with exertion and lying down at night. Other symptoms included leg edema, headache, myalgias, and fatigue.  Saw PMD in April and was referred to cardiologist where EKG, Echo, and Cardiac Catheterization was performed.  Findings included tricuspid regurgitation and mitral valve prolapse. (Pt. had history of MVP that predated vaccination). Significant cardiac risk factors include family history of death from MI prior to age 50, and menopausal.  Also has history of hypertension. Cardiologist switched current HCTZ med to bisoprolol with almost complete relief of symptoms, follow up visits are planned.
Age: 44.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Hypercholesterolaemia, Hypertension
Clinical narrative: Patient received SP vac.  He was deployed.  He experienced a chest pain episode while deployed sometime after unremarkably receiving the SP vac.  He was medically evacuated to hospital.  A cardiac work-up was negative for cadiac pathology.  His diagnosis was non-cardiac chest pain.  He was also newly diagnosed with hypertension and hypercholesterolemia.  No other cardiac event noted.  Redeployed and sent home.
Age: 20.0
Sex: M
Vaccine: YF
Symptoms: Chest pain, Pruritus, Urticaria
Clinical narrative: Approx 50 minutes after vaccination pt had itchy eyes and throat. Mother had him take 50 mg Benadryl. Reaction continued with chest pain, throat swelling, hives. Paramedics treated with epi, steroids then observed in ER. Has hx of egg/chicken sensitivity but takes flu vaccine without difficulty.
Age: 50.0
Sex: F
Vaccine: SMALL
Symptoms: Diplopia, Dysphagia, Eyelid ptosis, Multiple sclerosis, Neurological symptom
Clinical narrative: On post vaccination day 99, patient began to complain of neurologic symptoms: diplopia, ptosis, leg paresis, dysphagia, and blurred speech.  Saw a neurologist 3 days later who gave a diagnosis of multiple sclerosis.  Clinical team in process of obtaining documentation.
Age: 50.0
Sex: F
Vaccine: SMALL
Symptoms: Paresis, Speech disorder
Clinical narrative: On post vaccination day 99, patient began to complain of neurologic symptoms: diplopia, ptosis, leg paresis, dysphagia, and blurred speech.  Saw a neurologist 3 days later who gave a diagnosis of multiple sclerosis.  Clinical team in process of obtaining documentation.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Lethargy, Pyrexia, Vomiting
Clinical narrative: Infant went to sleep immediately after injections. Mother awakened her at 7 pm, with temp 101 gave motrin.  Took a little formula and went back to sleep.  Awakened at 9 pm temp 101. Very lethargic et choked et spit up when fed. Lethargy lasted 20-30 min called nurse who came et stimulated infant. temp continued 1 1/2 day at 101 with motrin given every 6 hours 1 dose had been given prior to injections.