chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 34.0
Sex: F
Vaccine: SMALL
Symptoms: Tongue ulceration
Clinical narrative: On day 4 post vaccination, this primary vaccinee reported redness and crusty yellow drainage from right eye, no evidence of lesion reported.  Vaccinee was seen by hospital ER physician for employee health visit and was diagnosed with conjuctivitis and was prescribed ophthalmic antibiotics. Vaccinee reported the left eye soon developed similar symptoms.  After about 48 hours, vaccinee's eyes were clear and she returned to work.  On 03-27-03,day 7 post vaccination, vaccinee reported a couple of small ulcers with tenderness on left side of the tongue.  Reported the oral ulcers resolved after about 48 hours.  Vaccinee reported a history of similar type to oral lesions during stress.  Also reported onset of "fever blister" on upper lip on 03-31-03, day 11 post vaccination.  By day 14, the fever blister was resolving.
Age: 46.0
Sex: F
Vaccine: SMALL
Symptoms: Breast tenderness, Lymphadenopathy
Clinical narrative: Complained of tenderness in left breast within 24 hours of vaccination.  Also complanined of tenderness swollen lymph nodes under left arm (axilla).  Breast tenderness continued for 12 days - then disappeared
Age: 48.0
Sex: F
Vaccine: SMALL
Symptoms: Arthralgia, Chest discomfort
Clinical narrative: PATIENT REPORTED BACK THAT SHE HAD NOTED CHEST DISCOMFORT THAT COVERED THE LEFT SIDE OF HER CHEST AND THE WHOLE LEFT ARM AND SHOULDER. THIS WAS AN EXAMPLE OF POTENTIAL OUTCOME PRIOR TO BEING VACCINATED BY THOSE VACCINATING. THIS PAIN WAS NOTED WITHIN THE FIRST WEEK AFTER THE VACCINATION BUT WAS NOTE NOTED AFTER THIS TIME. SHE WAS SEEN BY A PHYSICIAN, ON THE 17 TH DAY AFTER THE VACCINATION FOR COMPLAINT OF JOINT PAIN BUT NOT FOR CHEST OR ARM PAIN.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Chills, Headache, Meningitis, Nausea, Photosensitivity reaction
Clinical narrative: Fever, Chills, Headache, Nausea, Photosensitivity
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia
Clinical narrative: Fever, Chills, Headache, Nausea, Photosensitivity
Age: 55.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Myocarditis, Pericardial effusion, Pericarditis, Ventricular extrasystoles
Clinical narrative: Vaccinated 4/1/03 Noted palpitations 4/9/03 No chest pain
Age: 55.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Palpitations, Pericardial effusion, Pericarditis
Clinical narrative: Vaccinated 4/1/03 Noted palpitations 4/9/03 No chest pain
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site inflammation, Injection site mass, Injection site oedema
Clinical narrative: Complete swelling of outer L upper arm from shoulder to elbow. Red, warm, mildly tender, no fluctuance.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Complete swelling of outer L upper arm from shoulder to elbow. Red, warm, mildly tender, no fluctuance.
Sex: F
Vaccine: HEP
Symptoms: Drug toxicity, Nervous system disorder
Clinical narrative: This report describes the occurrence of mercury poisoning in a female child of unspecified age who was vaccinated with hepatitis B vaccine recombinant for prophylaxis. This report was received as part of litigation proceedings and has not been verified by a physician or other health care professional. The subject's medical history, concurrent conditions, and concurrent medications were not reported. The subject received injections of Engerix B on 3/2/93, 3/26/93, and 10/22/93. Each dose of vaccine was from lot ENG3141A2. The second injection was administered 24 days after the first injection, rather than the recommended interval of one month. The subject also received combination diphtheria and tetanus toxoids and acellular pertussis/Haemophilus influenzae type B conjugate vaccine; oral poliomyelitis virus vaccine; and MMR. The subject's attorney alleged that, as a result of mercury in the thimerosal adulterated infant injections that the subject received as an infant, she now suffers, and in the future will continue to suffer, from the toxic neurological effects of mercury poisoning. The attorney also alleged that the subject will be hindered and prevented from pursuing a normal course of employment.
Age: 0.75
Sex: M
Vaccine: HEP
Symptoms: Drug toxicity, Nervous system disorder
Clinical narrative: This report describes the occurrence of mercury poisoning in a male child of unspecified age who was vaccinated with hepatitis B vaccine for prophylaxis. This report was received as part of litigation proceedings and has not been verified by a physician or other health care professional. The subject's medical history, concurrent conditions, and concurrent medications were not reported. The subject received injections of hepatitis B vaccine on 9/15/97, 11/17/97, and 4/27/98. he also received diphtheria and tetanus toxoids or diphtheria and tetanus toxoids and pertussis vaccine or diphtheria and tetanus toxoids and acellular pertussis vaccine 9/15/97, 11/17/97, 1/20/98, and 1/25/99; haemophilus influenzae type B conjugate vaccine 9/15/97, 11/17/97, 1/20/98, and 10/26/98; poliomyelitis virus vaccine  9/15/97, 11/17/97, and 1/25/99; MMR 10/26/98; and varicella virus vaccine. The subject's attorney alleged that, as a result of mercury in thimerosal-adulterated infant injections that the subject received as an infant, he now suffers, and in the future will continue to suffer, from the toxic neurological effects of mercury poisoning. The attorney also alleged that the subject will be hindered and prevented from pursuing an normal course of employment.
Sex: M
Vaccine: HEP
Symptoms: Drug toxicity, Nervous system disorder
Clinical narrative: This report describes the occurrence of mercury poisoning in a male child of unspecified age who was vaccinated with hepatitis B vaccine for prophylaxis. This report was received as part of litigation proceedings and has not been verified by a physician or other health care professional. The subject's medical history, concurrent conditions, and concurrent medications were not reported. The subject received an injection of hepatitis B vaccine on 4/6/96. He also received hepatitis B vaccine, diphtheria and tetanus toxoids and pertussis vaccine, diphtheria and tetanus toxoids and acellular pertussis vaccine, haemophilus influenzae type B conjugate vaccine, oral poliomyelitis virus vaccine, MMR, and varicella virus vaccine. The subject's attorney alleged that as a result of mercury in thimerosal-adulterated infant injection s that the subject received as an infant, he now suffers, and in the future will continue to suffer from the toxic neurological effects of mercury poisoning. The attorney alleged that the subject will be hindered and prevented from pursuing a normal course of employment.
Age: 2.0
Sex: M
Vaccine: HEP
Symptoms: Drug toxicity, Nervous system disorder
Clinical narrative: This report describes the occurrence of mercury poisoning in a male child of unspecified age who was vaccinated with hepatitis B vaccine for prophylaxis. This report was received as part of litigation proceedings and has not been verified by a physician or other health care professional. The subject's medical  history, concurrent conditions, and concurrent medications were not reported. The subject received injections of hepatitis B vaccine on 5/14/93, 6/18/93, and 5/10/94. He also received diphtheria and tetanus toxoids and pertussis vaccine, Haemophilus influenzae type B conjugate vaccine, oral poliomyelitis virus vaccine, MMR, and varicella virus vaccine. He received unspecified tuberculin tests on 5/14/93 and 6/23/98. The subject's attorney alleged that, as a result of mercury in thimerosal-adulterated infant injections that the subject received as an infant, he now suffers, and in the future will continue to suffer, from the toxic neurological effects of mercury poisoning. The attorney also alleged that the subject will be hindered and prevented from pursuing a normal course of employment.
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV, OPV
Symptoms: Drug toxicity, Nervous system disorder
Clinical narrative: This report describes the occurrence of mercury poisoning in a male child of unspecified age who was vaccinated with diphtheria and tetanus toxoids and acellular pertussis vaccine and hepatitis B vaccine for prophylaxis. This report was received as part of litigation proceedings and has not been verified by a physician or other health care professional. The subject's medical history, concurrent conditions, and concurrent medications were not reported. The subject received injections of diphtheria and tetanus toxoids and acellular pertussis vaccine on 11/3/97, 1/9/98, 3/30/98, and 4/21/98. He also received hepatitis B vaccine, haemophilus influenzae type B conjugate vaccine, oral poliomyelitis virus vaccine, and MMR. He received an unspecified tuberculin test on 9/28/98. The subject's attorney alleged that, as a result of mercury in thimerosal-adulterated infant injections that the subject received as an infant, he now suffers, and in the future will continue to suffer, from the toxic neurological effects of mercury poisoning. The attorney also alleged that the subject will be hindered and prevented from pursuing a normal course of employment.
Age: 0.17
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Agitation, Coma, Eye movement disorder
Clinical narrative: Eye rolling-unresponsiveness-prolonged crying. Follow up on 06/04/2004: States pt recovered from adverse events. "Normal development at 10 monts visit 02/2004.
Age: 0.75
Sex: M
Vaccine: HEP, HIBV, PNC
Symptoms: Fatigue, Jaundice, Pallor
Clinical narrative: Fatigue, pale, jaundice, and little blood in diapers. 60 day follow up states pt is now receiving, on a monthly basis, ab IVIG treatment to boost his immune system due to the low dose chemotherapy (Rituxan) that was used to bring down his immune system to attack the antibody that was destroying  his red blood cells. His hemoglobin is now normal.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Contusion, Headache
Clinical narrative: 4/6/03 pt here today to receive his 3rd anthrax vaccination. He has had some questions regarding possible reaction from the anthrax vaccine. He informed me that since he had his 1st anthrax vaccine on 2/7/03 he has been having recurrent headaches. He states that he never had headaches before receiving the anthrax vaccine. He states that his headache began approximately 2 days after having received his first anthrax vaccine. He describes the headaches occurring 2-4 times per week, located on the top of his head. he graded them as a dull headache, as a #2 on a scale of 0-5 scale. He could take a couple of ASA and the headache would go away. He also noted some bruising that occurred on 2 locations. One small bruise on his L anterior forearm measured approx 2cm in diameter.his second bruise was located on his L side between his lower thoroc and his L illiac crest. Both bruises lasted approx. 2-3 weeks and then dissipated. He has had a total of 3 anthrax vaccines. His headaches have become less frequent and less intense as time has gone. He denies having any headaches following his 3rd vaccine.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: L arm moderate erythema, moderate swelling all localized-Motrin 500mg 3 x daily, elevation.
Age: 40.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site nodule, Injection site oedema
Clinical narrative: (+) nodule to 1st anthrax. (+) erythema/edema to complete L arm post 2nd anthrax.
Age: 39.0
Sex: F
Vaccine: ANTH, TD
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Swollen and red and hot 1 1/2 weeks soreness.
Age: 17.0
Sex: F
Vaccine: HEP, MMR, TD, VARCEL
Symptoms: Pruritus, Rash
Clinical narrative: Itchy rash-started day of immunization, getting worse-very widely spread size varies (~5-30mm), irregular margins, not raised-location: first ones mid abd and bilat. arms, nowhere else. Arrived ~ 1wk ago. Recommended: Benadryl, anti-itch cream prn-to go to health clinic if not improved. 4/17 TC with pt and her rash disappeared ~ 3 days after vaccination.
Age: 1.6
Sex: F
Vaccine: DTAP, HEP, HIBV, MMR, PNC, VARCEL
Symptoms: Cough, Diarrhoea, Irritability, Lethargy, Nasal congestion
Clinical narrative: 3/27/03 102.5 degrees fever day after shots, cranky until Sat. noc. 3 days after shots got congested, cough. Sun-lethargic, feverish, cough, congestion. Rash 9 days later got worse. Day 13 rash resolving. No fever. (+) cough (+) diarrhea.
Age: 1.6
Sex: F
Vaccine: DTAP, HEP, HIBV, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: 3/27/03 102.5 degrees fever day after shots, cranky until Sat. noc. 3 days after shots got congested, cough. Sun-lethargic, feverish, cough, congestion. Rash 9 days later got worse. Day 13 rash resolving. No fever. (+) cough (+) diarrhea.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site inflammation, Injection site oedema, Pain
Clinical narrative: Pain, swelling arm and shoulder and hand, redness burning upper arm, 4/17/03 decreased pain in hand, shoulder. Redness and swelling continues upper arm. Pt on Benadryl po 25mg bid-tid recheck 4/21/03.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site reaction
Clinical narrative: Large local reaction left deltoid-area 3 x 5cm of swelling, edema in deltoid no fluctuence with overlying intense erythema. 3/24/03 site clear-none states no redness and swelling.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, VARCEL
Symptoms: Dermatitis bullous, Pyrexia
Clinical narrative: Presented to clinic 3/24/03. Fever off and on since last Saturday 3/22/03 as high as 103 and 104. Has 10 chicken pox lesions. Previously vaccinated with Varivax on 2/16/01. Clinic was instructed to check temperature logs to see if vaccine was properly stored.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site swelling, Pruritus
Clinical narrative: The R thigh where the vaccine was administered had a raised area 3" in diameter and was very itchy for approximately 4 days.
Age: 37.0
Sex: F
Vaccine: TD
Symptoms: Eye oedema, Pruritus, Rash
Clinical narrative: 4/3/03 received adult TD for puncture wound on foot. States after receiving shot felt a warm rush and questioned if it was nerves, after noted prickly feeling back of neck seemed as getting more itchy-noted rash ? shoulders and then came back to clinic and rash extended up neck and swelling under eyes. Came back to clinic evaluations and received Benadryl shot. Pt received Medrol dose and med for itching. 4/11/03 minimal rash no ? hot ? its ?
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Pt had Pneumovax at 0940. Never had one before. Pt called at 1640 c/o red, warm to touch, swollen arm. Exam revealed 11x13cm swollen area, warmth, non-tender, given Dexamethasone and took Benadryl through evening upon rev, decreased swelling. Still with erythema. Placed on antibiotics, cont. Benadryl.
Age: 1.4
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: Redness, swelling to area. Slight fever controlled with Tylenol.
Age: 1.0
Sex: M
Vaccine: PNC
Symptoms: Drug ineffective, Sepsis
Clinical narrative: Child did not have adverse reaction at time of imm. Had positive blood cultures for pneumoccus on 4/14/03 post receiving 4 doses Prevnar. Had high fever 4/14/03.
Age: 0.5
Sex: F
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Irritability, Pyrexia
Clinical narrative: Temp 103.9 to 105.0 on 4/10/03. Temp on 4/9/03 began of 103, fussy, mom gives Tylenol q 4 hrs, mom concern very fussy since 4/9/03. Child received 6 mos old shots on 4/8/03 of DTaP, HIb, Hep B and Prevnar.
Age: 2.0
Sex: M
Vaccine: HEP, MMR, VARCEL
Symptoms: Erythema, Rash
Clinical narrative: Multiple small red bumps some with yellow filled centers spreading in clusters.
Age: 1.2
Sex: M
Vaccine: HIBV, IPV, MMR, VARCEL
Symptoms: Pyrexia, Rash erythematous, Rash maculo-papular
Clinical narrative: Child developed extensive rash maculopapular, erythematous, coalescent rash on chest, abd and back. Areas of coalescent up to 4" spotty rash on face and legs. Had a temp of 102 F on 4/12/03 lasted one day only. This case is an unusual adverse effect in sense the child had rash of measles but no ? symptoms (except temp 102 for few hrs.).
Age: 1.08
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Infection
Clinical narrative: Child developed a case of varicella, resolved in office on 4/13/03 for follow up visit.
Age: 1.25
Sex: F
Vaccine: DTAP, MMR
Symptoms: Rash
Clinical narrative: Rash on stomach and lower back.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 5cmx7xm erythema dn swelling with central clearing on right thigh; no induration.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: Right thigh cellulitis.
Age: 5.0
Sex: M
Vaccine: DT, DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site swelling, Injection site warmth
Clinical narrative: Right leg swollen, cellulitis, hot to touch.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Pyrexia
Clinical narrative: Mother contacted the office and states that the child is febrile (temp 102) and the child has a 1-2" area of redness at the injection site.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Mother called; states child has fist size area of redness, warm to touch at site of the DTaP on left upper thigh.
Age: 1.25
Sex: M
Vaccine: HBHEPB, MMR, PNC
Symptoms: Rash
Clinical narrative: Had vaccine on 3/19/03. Developed a severe rash on 3/27/03. worsened enough to see doctor on 4/7/03. Continued to worsen. Saw pediatric dermatologist on 4/17/03; said it looks like its clearing up. Could have been a reaction when given.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patient presented swelling with some redness and warmth to touch to area of immunization given. Mother stated child was fine; had no fever, some soreness to that area. Otherwise child running around normal.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling
Clinical narrative: Local reaction left deltoid; swelling and redness 8cmx11cm. Rx Benadryl and Ibuprofen PRN
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Infection, Injection site erythema
Clinical narrative: Received vaccine 4/14/03. On 4/16/03 came to clinic for PPD reading and noted to have 6cmx4cm wide erythema to papule and honey color crusting at site. Seen by provider. Treatment for skin infection.
Age: 9.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Child received Td in left deltoid. Next day noted to have redness and swelling 2 days later came to clinic for PPD reading and noted to have 4cmx6cm red, warm, swollen area.
Age: 11.0
Sex: M
Vaccine: HEP, HEPA, MMR, TD
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Child received Td and MMR in same left arm. Next day noted to have redness and swelling. came to clinic for PPD reading and seen by nurse on 04/16/2003. Had 4 x 6 cm red, warm, swollen area left deltoid.
Age: 24.0
Sex: F
Vaccine: VARCEL
Symptoms: Chills, Headache, Myalgia, Pruritus, Pyrexia
Clinical narrative: Developed fever, chills, mylagias, and headache on 04/14/2003. then noted 3 red itchy papules/vesicles on back, hip, and calf.
Age: 24.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash erythematous, Rash papular
Clinical narrative: Developed fever, chills, mylagias, and headache on 04/14/2003. then noted 3 red itchy papules/vesicles on back, hip, and calf.
Age: 1.0
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: Mom reported swelling of about 1" in diameter at L thigh on 4/1/03.  Mom applied ice intermittently that day. Pt's Mom brought baby to the clinic on 4/3/03 in the afternoon.  L thigh red, swollen area about 1.5" x 1.5". Area warm to touch. On 4/7/03, pt came to clinic for F/U. Swelling much less to L thigh.  F/U call made.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema marginatum, Injection site erythema, Injection site oedema
Clinical narrative: Local edema, erythema and erythema marginatum. (Given Benadryl and Orapned). Pt seen at emergency room 4 days prior.
Age: 3.4
Sex: M
Vaccine: DTAP, HEP, HIBV
Symptoms: Feeling hot, Injection site erythema, Injection site rash, Rash maculo-papular
Clinical narrative: Red, splotchy, warm rash discovered on 4/16/03.  Received Hib in that leg on 4/11/03. Rash is on L thigh 8.5cm x 8.5cm. No signs of trauma, insect bite.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR, MMR
Symptoms: Anxiety, Pruritus, Rhinorrhoea, Urticaria, Vomiting
Clinical narrative: Given MMR S/C child active, playing 15 minutes.  Complained of itching on face, neck, complained of excessive nasal secretions, apprehensive. Given 1.5 tsp Benadryl. Child vomited, complained of hives on face. Remedicated with Benadryl. Complained of wheezing, (given) Xoponex via neb machine.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR, MMR
Symptoms: Wheezing
Clinical narrative: Given MMR S/C child active, playing 15 minutes.  Complained of itching on face, neck, complained of excessive nasal secretions, apprehensive. Given 1.5 tsp Benadryl. Child vomited, complained of hives on face. Remedicated with Benadryl. Complained of wheezing, (given) Xoponex via neb machine.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR, MMR
Symptoms: Cough, Pharyngolaryngeal pain, Pruritus, Sneezing, Vomiting
Clinical narrative: Given MMR S/C child active, playing 15 minutes.  Complained of itching on face, neck, complained of excessive nasal secretions, apprehensive. Given 1.5 tsp Benadryl. Child vomited, complained of hives on face. Remedicated with Benadryl. Complained of wheezing, (given) Xoponex via neb machine.
Age: 4.3
Sex: M
Vaccine: DTAP, MMR, MMR
Symptoms: Anxiety, Pruritus, Rhinorrhoea, Urticaria, Vomiting
Clinical narrative: Symptoms included excessive coughing and repetitive sneezing; itchy throat, chest, stomach, and scalp; heaving and vomiting; hives on face and torso; and wheezing. Treatment administered, over the course of approximately 1 hour and 25 minutes, included 2 dosages of Benadryl (1.5 teaspoons each) - one prior to vomiting incident and one following. One nebulizer treatment was given to address the wheezing. Other treatment included physician and nurse observation and continuous temperature, breathing and heartrate monitoring.
Age: 4.3
Sex: M
Vaccine: DTAP, MMR, MMR
Symptoms: Wheezing
Clinical narrative: Symptoms included excessive coughing and repetitive sneezing; itchy throat, chest, stomach, and scalp; heaving and vomiting; hives on face and torso; and wheezing. Treatment administered, over the course of approximately 1 hour and 25 minutes, included 2 dosages of Benadryl (1.5 teaspoons each) - one prior to vomiting incident and one following. One nebulizer treatment was given to address the wheezing. Other treatment included physician and nurse observation and continuous temperature, breathing and heartrate monitoring.
Age: 4.3
Sex: M
Vaccine: DTAP, MMR, MMR
Symptoms: Cough, Pharyngolaryngeal pain, Pruritus, Sneezing, Vomiting
Clinical narrative: Symptoms included excessive coughing and repetitive sneezing; itchy throat, chest, stomach, and scalp; heaving and vomiting; hives on face and torso; and wheezing. Treatment administered, over the course of approximately 1 hour and 25 minutes, included 2 dosages of Benadryl (1.5 teaspoons each) - one prior to vomiting incident and one following. One nebulizer treatment was given to address the wheezing. Other treatment included physician and nurse observation and continuous temperature, breathing and heartrate monitoring.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Infection
Clinical narrative: Rash - varicella
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Right leg red and swelling noted (purple in center) (15cm x 12cm) at site. Noted on the AM of 4/8/03. Tx:  ice, rest and Tylenol, "Mom" counseled.
Age: 42.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Swelling, Urticaria
Clinical narrative: Lip swelled after shots in Feb. and March. Over the last month have had extensive itching over entire body, more so behind knees, inner thighs, feet, hands. It wasn't until my lip swelled after the shot in March that I correlated it. Some of the itching was also accompanied with welts. Itching on inner thighs was worst after the March shot.
Age: 2.9
Sex: M
Vaccine: HEPA, HIBV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Received HIB #4 on Right deltoid on 4/7/03; redness and slight swelling started 4/8/03 AM, increased on Wed. 4/9/03, to include upper arm; F-ROM, nothing found, playful. 4/15/03: swelling and redness gone - purplish coloration, small at site remains, getting better.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Discomfort, Skin burning sensation
Clinical narrative: I have continued to have a deep burning sensation in my left upper arm - mild to moderate discomfort.  As the months have gone by the area is slightly larger. The discomfort about the same.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site cellulitis
Clinical narrative: Left thigh cellulitis
Age: 1.75
Sex: F
Vaccine: HBHEPB, MMR, PPV, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Developed breakthrough case of varicella
Age: 8.0
Sex: M
Vaccine: DTPHIB
Symptoms: Dermatitis bullous
Clinical narrative: On 4/25/03 AM started breaking out with red bumps all over body "scattered papulovesicular lesions" - tx with Benadryl and Zovirax.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cough, Parotid gland enlargement, Pyrexia, Rhinitis
Clinical narrative: Large parotid gland swelling. Cough, fever, rhinitis.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Pruritus
Clinical narrative: Small cloudy fluid filled rash all over body - spreading in clusters. Itchy, break-through chicken pox.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Pruritus
Clinical narrative: Small cloudy fluid filled rash clusters spreading all over body itchy break through chicken pox.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Pruritus
Clinical narrative: Small fluid filled rash all over body spreading in clusters, itchy, fluid cloudy.  Breakthrough chicken pox.
Age: 1.25
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Pruritus, Pyrexia
Clinical narrative: Received Varicella vaccine 3/11/03. 20 days after receiving vaccine, broke out with clear vesicle on face, spots multiplied. Low grade fever. On exam by MD on 4/1/03, she had 2 scabbed papule lesions on L post scalp, 1 behind R ear, 1 R jaw, 1 L popliteal, 1 deltoid R.  Tx isolate till scabbed over. Benadryl for itch.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site induration, Swelling
Clinical narrative: 4/14/03: Pt has 2-3 inch circular area that is red/swollen and hot to touch and hard - had called on 4/12/03 and nurse told her to give ibuprofen - not helping. Augmentin 600/5  tsp twice daily.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Rash
Clinical narrative: Fine rash on legs. Benadryl PRN tsp every 6 hours, heat and ice.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site rash
Clinical narrative: 4/15/03: Rash around left thigh where shot was given - Augmentin ES, Benadryl. 4/17/03: Recheck for shot reactin - Dx with reaction to DTAP - Pt to finish Augmentin.
Age: 1.5
Sex: M
Vaccine: DTAP
Symptoms: Feeling hot, Injection site erythema, Injection site mass, Injection site swelling, Tenderness
Clinical narrative: Marked erythema, swelling and warmth from site of injection to knee. Minimal tenderness/small raised firm "cystic" mass at site.
Age: 4.0
Sex: F
Vaccine: IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Tenderness
Clinical narrative: About 36 hours after vaccination, arm became markedly swollen/red/tender.
Age: 49.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Arthralgia, Oedema
Clinical narrative: Onset of joint pain 4/13/03, until present. Intense pain, edema especially of knees. Using celebrex and ibprofon
Age: 49.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Arthralgia
Clinical narrative: Onset of joint pain 4/13/03, until present. Intense pain, edema especially of knees. Using celebrex and ibprofon
Age: 48.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site pain, Injection site warmth, Musculoskeletal stiffness
Clinical narrative: Member was vaccinated with Anthrax #6 on 21 Apr 03.  About 15 seconds after injection member felt a stinging sensation that subsided shortly after vaccination.  On 22 Apr 03 member felt burning and itching at the injection site.  There was swelling and mild stiffness also noted. Member has a large area of erythema extending from deltoid to elbow.  Area is warm to touch.  He has no fever, chills or constitutional symptoms related to the Anthrax vaccine.  On 23 Apr 03 member reported to be evaluated by a  surgeon.  Member was seen and was evaluated as having a local reaction to the vaccine.  Member was given a prescription for Motrin 600mg and for 25mg Atarax for the itching.  Member was advised to return if symptoms worsen or persist.
Age: 48.0
Sex: M
Vaccine: ANTH
Symptoms: Pruritus, Swelling
Clinical narrative: Member was vaccinated with Anthrax #6 on 21 Apr 03.  About 15 seconds after injection member felt a stinging sensation that subsided shortly after vaccination.  On 22 Apr 03 member felt burning and itching at the injection site.  There was swelling and mild stiffness also noted. Member has a large area of erythema extending from deltoid to elbow.  Area is warm to touch.  He has no fever, chills or constitutional symptoms related to the Anthrax vaccine.  On 23 Apr 03 member reported to be evaluated by a  surgeon.  Member was seen and was evaluated as having a local reaction to the vaccine.  Member was given a prescription for Motrin 600mg and for 25mg Atarax for the itching.  Member was advised to return if symptoms worsen or persist.
Age: 30.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema, Erythema multiforme, Hypersensitivity, Pruritus, Rash erythematous
Clinical narrative: 3/7/03 @ 7pm. Red rash began to appear bilaterally on inner aspect of upper arm. Pruritis and tenderness experienced. Rash became raised a short while later. By 3/21 about 15 discrete rash were on each arm and had spread to outer aspect of biceps and several on the back of the trunk. On 3/27 same discrete rash began bilaterally on thigh. Seen by MD on 4/2. Dx: Allergy. Symptoms persisted. Seen by MD on 4/7 & Dx: erythema multiforme. Rx: Allegra & methylprednisone x6D. Within 24 hr pruritis ceased. No further rash developed. Raised rash diminished and skin became flat. Redness decreased. As of 4/11, some red rash still remained, but continued to diminish.
Age: 30.0
Sex: F
Vaccine: SMALL
Symptoms: Tenderness
Clinical narrative: 3/7/03 @ 7pm. Red rash began to appear bilaterally on inner aspect of upper arm. Pruritis and tenderness experienced. Rash became raised a short while later. By 3/21 about 15 discrete rash were on each arm and had spread to outer aspect of biceps and several on the back of the trunk. On 3/27 same discrete rash began bilaterally on thigh. Seen by MD on 4/2. Dx: Allergy. Symptoms persisted. Seen by MD on 4/7 & Dx: erythema multiforme. Rx: Allegra & methylprednisone x6D. Within 24 hr pruritis ceased. No further rash developed. Raised rash diminished and skin became flat. Redness decreased. As of 4/11, some red rash still remained, but continued to diminish.
Age: 54.0
Sex: F
Vaccine: SMALL
Symptoms: Bronchitis, Cough, Headache, Malaise, Pharyngitis
Clinical narrative: 02/22 Headache; 02/23-25 malaise; 02/27 cold, cough; 03/04 physician diagnosed bronochitis, pneumonitis and "rubbing" of right lung only, no x-ray, improvement with Biaxin but never completely resolved; 04/14 "rubbing" persists - cough - appt. with nurse practioner - chest x-ray - began another course of Biaxin with no improvement and "rubbing" of right lung continues.
Age: 54.0
Sex: F
Vaccine: SMALL
Symptoms: Pneumonitis, Rhinitis
Clinical narrative: 02/22 Headache; 02/23-25 malaise; 02/27 cold, cough; 03/04 physician diagnosed bronochitis, pneumonitis and "rubbing" of right lung only, no x-ray, improvement with Biaxin but never completely resolved; 04/14 "rubbing" persists - cough - appt. with nurse practioner - chest x-ray - began another course of Biaxin with no improvement and "rubbing" of right lung continues.
Age: 34.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain
Clinical narrative: C/O constant mild pressure to chest. EKG done at pt with labs, echo done, 24 hr observation for telemetry.
Age: 53.0
Sex: M
Vaccine: SMALL
Symptoms: Fatigue, Headache, Injection site pustule, Myalgia, Skin irritation
Clinical narrative: 4/15/03 Noticed "white spot" at vaccination site. 4/16/03 Developed pustule. Followed up with MD- "irritation" to site. 4/18/03 Seen in ER with brown drainage to site, 2 pustules noted.C/O muscle aches, fatigue, and headache. Treated with 1gm Rocephin and given script for Keflex 500 tid. 4/22/03 Contacted State Health Department and CDC- viral cultures x 3 and 2 slides obtained. 4/23/03 Biopsy to be obtained and sent to CDC for evaluation
Age: 51.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Shoulder pain, Sleep disorder
Clinical narrative: Chest pain beginning on April 9th described as pleuritic-type pain.  Left shoulder pain on April 14 with pain worsening over next two days preventing patient from sleeping well.  The patient is a doctor and self-noted that he heard friction rub and went to ER on April 16.  There he had normal chest X-ray and changes from his usual baseline ECG, namely ST segment elevation.  Transferred to Hospital and spent 24 hour under observation of a cardiologist beginning the evening of the 16th. Other physicians could not hear friction rub.  A stress cardiogram was normal with no pericaridal fluid being noted. Cardiac enzymes were normal as were CBC and sedimentation rate.  At hospital he received an injection of Toradol and then started Indocin for one week.  Shoulder pain improved markedly after injection of Toradol.  He had no unusual symptoms during the three weeks after the vaccination.
Age: 45.0
Sex: F
Vaccine: SMALL
Symptoms: Pruritus, Rash papular
Clinical narrative: Itchy, papular rach on the top of the left hand
Age: 47.0
Sex: F
Vaccine: SMALL
Symptoms: Blood pressure increased, Chest pain
Clinical narrative: 3/23/03 woke up with chest pains. Lasted about 8 hours. BP=130/110 3/24/03: BP 150/96; 130/94 no chest pain 3/26/03: BP 132/90 3/28/03: BP back to normal (110/80)
Age: 0.0
Sex: F
Vaccine: SMALL
Symptoms: Lymphadenopathy, Rash erythematous
Clinical narrative: 8 days past vaccine developed lymphadema and bilateral erythematous rash under both arms.
Age: 25.0
Sex: M
Vaccine: ANTH, SMALL, SMALL
Symptoms: Asthenia, Hypoaesthesia
Clinical narrative: 7 days after receiving Anthrax and MGC vaccination and 1 day after receiving the Smallpox vaccination, Patient developed right sided facial numbness with very slight weakness--this eventually spread to entire face.  No overt motor symptoms or physical findings.
Age: 25.0
Sex: M
Vaccine: ANTH, SMALL, SMALL
Symptoms: Paraesthesia
Clinical narrative: 7 days after receiving Anthrax and MGC vaccination and 1 day after receiving the Smallpox vaccination, Patient developed right sided facial numbness with very slight weakness--this eventually spread to entire face.  No overt motor symptoms or physical findings.
Age: 33.0
Sex: F
Vaccine: SMALL, SMALL, SMALL
Symptoms: Cardiac disorder, Dyspnoea
Clinical narrative: Went to PCP for physical on 4/9/03.  Audible murmur detected.  Had echocardiogram on 4/21/03 "tricuspid insufficiency".  PCP does not think related to Smallpox vaccine.  Referred to cardiologist (appt. 4/24/03)  Remembers around day 9 of vaccine becoming short of breath.  No other cardiac symptoms
Age: 33.0
Sex: F
Vaccine: SMALL, SMALL, SMALL
Symptoms: Tremor
Clinical narrative: Went to PCP for physical on 4/9/03.  Audible murmur detected.  Had echocardiogram on 4/21/03 "tricuspid insufficiency".  PCP does not think related to Smallpox vaccine.  Referred to cardiologist (appt. 4/24/03)  Remembers around day 9 of vaccine becoming short of breath.  No other cardiac symptoms
Age: 62.0
Sex: F
Vaccine: SMALL
Symptoms: Fatigue, Headache, Myalgia, Pharyngolaryngeal pain
Clinical narrative: 3/27/03 C/O sore throat.  3/31/03 Presents to ER with severe HA starting on 3/29 and progressively worsened. Treated with IM pain medicine.  Notes muscle aches and extreme fatigue. 4/1/03 Followed up with physician who recommended off work for rest of week and po pain medicine.  Sx gradually lessened.  Stated feels "like I have the flu only 3 times worse".
Age: 58.0
Sex: F
Vaccine: SMALL
Symptoms: Blood pressure increased, Fatigue, Nausea, Tinnitus, Upper respiratory tract infection
Clinical narrative: Vaccinated 2/24/03. Experienced fatigue, nausea, and URI symptoms in 1st week after vaccination.  Eventually sought treatment, placed on Biaxin. Patient states she was fatigued throughout March, "legs felt like rubber."   She started Curves diet on March 13 2003.  As part of the regine, she drank a protein drink in the morning.  Components of the drink included Mrock root, Hawthorne, Ginseng, and "stimulants."  On Sat. March 15, approximately 10 am she was working on her computer when she began to suffer blurred vision.  Her head felt "heavy," her vision got worse, and she called EMS.  She was transported to ER, BP was 189/110.  She had lab testing, EKG, CXR and was eventually released from ER with a BP of 138/90.  She continued to consume the protein drink in the mornings.  On Monday March 17 while at work, her head felt "heavy" and she had someone take her BP (160/110).  She saw Dr. who prescribed Tenomin and told her to discontinue the protein drinks.  She had an echo done 1 week ago that was normal and is scheduled for a stress test on May 1.  No problems with BP recently, however in 1998 she did have elevated BP (220/130).  At that time, she saw silver spots, her head felt heavy and her ears were ringing.  She was put on Tenomin and the doctor felt her problems were related to caffeine consumption.  Also she was going through a stressful period emotionally.   She took medication for 6 months and then discontinued on her own since BP readings were normal and she felt better.  She states her recent BP problems stemmed from the smallpox vaccine.  She stated she has had out of pocket medical expenses and anticipates more.
Age: 58.0
Sex: F
Vaccine: SMALL
Symptoms: Vision blurred, Visual disturbance
Clinical narrative: Vaccinated 2/24/03. Experienced fatigue, nausea, and URI symptoms in 1st week after vaccination.  Eventually sought treatment, placed on Biaxin. Patient states she was fatigued throughout March, "legs felt like rubber."   She started Curves diet on March 13 2003.  As part of the regine, she drank a protein drink in the morning.  Components of the drink included Mrock root, Hawthorne, Ginseng, and "stimulants."  On Sat. March 15, approximately 10 am she was working on her computer when she began to suffer blurred vision.  Her head felt "heavy," her vision got worse, and she called EMS.  She was transported to ER, BP was 189/110.  She had lab testing, EKG, CXR and was eventually released from ER with a BP of 138/90.  She continued to consume the protein drink in the mornings.  On Monday March 17 while at work, her head felt "heavy" and she had someone take her BP (160/110).  She saw Dr. who prescribed Tenomin and told her to discontinue the protein drinks.  She had an echo done 1 week ago that was normal and is scheduled for a stress test on May 1.  No problems with BP recently, however in 1998 she did have elevated BP (220/130).  At that time, she saw silver spots, her head felt heavy and her ears were ringing.  She was put on Tenomin and the doctor felt her problems were related to caffeine consumption.  Also she was going through a stressful period emotionally.   She took medication for 6 months and then discontinued on her own since BP readings were normal and she felt better.  She states her recent BP problems stemmed from the smallpox vaccine.  She stated she has had out of pocket medical expenses and anticipates more.
Age: 14.0
Sex: M
Vaccine: HEP, MMR, HEP, MMR
Symptoms: Arthralgia, Emotional disorder, Irritability, Migraine, Shoulder pain
Clinical narrative: Information has been received from a registered nurse concerning a 15 year old white male student with mental retardation (3 years of age) after multiple unspecified vaccinations and slight developmental delay and a history of premature birth who on 1/12/01 was vaccinated SC with the first dose of MMR (second generation) (lot #G34045/0996K) and vaccinated IM with the second dose of concomitant suspect therapy hepatitis B vaccine recombinant (lot # 636121/0497K). After the patient's immunizations on 6/12/01, the patient deteriorated and had migraines. The regisitered nurse reported that the patient had become difficult to manage, needs special education, care, etc. The patient underwent electroencephalography, computed axial tomography, magnetic resonance imaging, heavy metal blood test and fragile X (results not reported). The outcome of the patient's events was unknown. The reporter considered the worsening of the patient's developmental delay and migraines to be disabling events. Additional information has been requested. The follow up received on 4/28/03 states conflicting info received by the father of the pt. The father reported that the pt had received a booster dose of MMR II and hep B vacine. The father also reported that the pt's "developmental disability had worsened, he develoepd a lump on his lymph gland and he has pains in his legs when he does anything strenuous." The pt also had experienced migraines "about once a month," but has been getting them every day, "although, they have been decreasing in frequency." The pt has also developed a "pervasive developmental disorder, and is unable to attend school." The pt's father considered the pt' sexperiene to be disabling. The registered nurse considered the worsening of the pt's developmental delay and migraines to be disabling events. Further info has been received from a physician. The physician reported that the pt is a twin who has "received speech therapy since he was 4 years old and that he has made progress." The physician also reported that the pt does not attend school secondary to his headaches, and that the pt began seeing a neurologist since "sometime after December 2001" for the headaches. Additional info has been requested.
Age: 14.0
Sex: M
Vaccine: HEP, MMR, HEP, MMR
Symptoms: Migraine, Pain
Clinical narrative: Information has been received from a registered nurse concerning a 15 year old white male student with mental retardation (3 years of age) after multiple unspecified vaccinations and slight developmental delay and a history of premature birth who on 1/12/01 was vaccinated SC with the first dose of MMR (second generation) (lot #G34045/0996K) and vaccinated IM with the second dose of concomitant suspect therapy hepatitis B vaccine recombinant (lot # 636121/0497K). After the patient's immunizations on 6/12/01, the patient deteriorated and had migraines. The regisitered nurse reported that the patient had become difficult to manage, needs special education, care, etc. The patient underwent electroencephalography, computed axial tomography, magnetic resonance imaging, heavy metal blood test and fragile X (results not reported). The outcome of the patient's events was unknown. The reporter considered the worsening of the patient's developmental delay and migraines to be disabling events. Additional information has been requested. The follow up received on 4/28/03 states conflicting info received by the father of the pt. The father reported that the pt had received a booster dose of MMR II and hep B vacine. The father also reported that the pt's "developmental disability had worsened, he develoepd a lump on his lymph gland and he has pains in his legs when he does anything strenuous." The pt also had experienced migraines "about once a month," but has been getting them every day, "although, they have been decreasing in frequency." The pt has also developed a "pervasive developmental disorder, and is unable to attend school." The pt's father considered the pt' sexperiene to be disabling. The registered nurse considered the worsening of the pt's developmental delay and migraines to be disabling events. Further info has been received from a physician. The physician reported that the pt is a twin who has "received speech therapy since he was 4 years old and that he has made progress." The physician also reported that the pt does not attend school secondary to his headaches, and that the pt began seeing a neurologist since "sometime after December 2001" for the headaches. Additional info has been requested.
Age: 48.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Chest X-ray normal, Chest pain, Electrocardiogram normal
Clinical narrative: 4/8 began with rash in left groin-described as a vesicle- spread to skin fold in abd and inner thighs;4/19 seen in ED- given 60mg prednisone+decadron injection + atarax-was taking benadryl and allegra at home dx: atopic dermatitis;4/21 returned to ED due to rash on arms and face given atarax, nystatin cream told to stop prednisone-dx: hives, candiasis; 4/22 saw local PA in office given 60mg prednisone dose pack+decadron and nystatin powder, keflex 500mg bid;taking benadryl and atarax 50mg each q6hrs. dx: tinea corpus, psoriasis;pictures done 4/23 sent to state; 4/24 repeated pictures- face and arms minimum redness groin dry not draining some itching still; family md wants dermatologist to see- pt. given xanax for sleep.
Age: 48.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Dermatitis atopic, Erythema, Pruritus, Rash vesicular, Urticaria
Clinical narrative: 4/8 began with rash in left groin-described as a vesicle- spread to skin fold in abd and inner thighs;4/19 seen in ED- given 60mg prednisone+decadron injection + atarax-was taking benadryl and allegra at home dx: atopic dermatitis;4/21 returned to ED due to rash on arms and face given atarax, nystatin cream told to stop prednisone-dx: hives, candiasis; 4/22 saw local PA in office given 60mg prednisone dose pack+decadron and nystatin powder, keflex 500mg bid;taking benadryl and atarax 50mg each q6hrs. dx: tinea corpus, psoriasis;pictures done 4/23 sent to state; 4/24 repeated pictures- face and arms minimum redness groin dry not draining some itching still; family md wants dermatologist to see- pt. given xanax for sleep.
Age: 57.0
Sex: M
Vaccine: SMALL
Symptoms: Chest discomfort
Clinical narrative: At 3/20/03 experienced chest discomfort lasting at 15-20 minutes while working in the garden. Since 3/20/03 had several recurrent episodes lasting at 5 minutes which improved after rest. Saw MD 4/1/03; sent to cardiologist 4/3/03. 4/7/03 triple cardiac bypass.