chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 52.0
Sex: F
Vaccine: MMR, MUR, MMR
Symptoms: Insomnia, Joint stiffness, Laboratory test abnormal, Myalgia, Pain
Clinical narrative: After receiving vaccine 3/08/04, later in the afternoon and evening I started to have chills and fever and flu like symptoms with aching all over but worse in my upper extremities.  This lasted two weeks.  The 3rd and 4th week the pain and aching was only in my upper arms and elbows.  The pain was severe.  Being a transcriptionist I was unable to do my job.  My bicep muscles ached, burned and hurt terribly with any exertion.  After about another week, the elbows were much better but I have continued to this day with bicep pain, fatigue, muscle spasm.  I have seen an internist, two pain physicians.  All other illnesses have been ruled out with lab tests, EMG and nerve conduction studies.  I have been treated with Vioxx, Darvocet, Ultram.  Ultram seems to take the edge off the pain but does not relieve completely.  I am unable to lift my grandchildren, open heavy doors, pull on anything and the pain is in my biceps and with use of my arms it is difficult to open drinks, lift grocery bags, etc.  My life has changed completely.  I was on no medication when the vaccine was given.  I have always been active.  As a transcriptionist I was able to type 2200 lines per day.  Just typing this form fatigues my arms and causes muscle spasms in my biceps only. I tried working on a graduated basis from 4 hours to 8 hours.  The pain was extreme and I took extra breaks.  After two months of not seeing my grandchildren, 1 year old and 3 years old, I spent time with them.  I was unable to lift or play with them without extreme pain and afterwards had really bad muscle spasms.  This has continued to this date and I am exhausted.  My workers' compensation was stopped two weeks ago because the pain physicians wording was "cannot say for sure that the vaccine did or did not cause this problem."  I was perfectly healthy and able to do anything I wanted.  I am divorced, live alone and take care of everything.  That is almost impossible now without so much pain.  I was required to have this vaccine to keep the job.  The manufacturer of this vaccine was Merck.
Age: 52.0
Sex: F
Vaccine: MMR, MUR, MMR
Symptoms: Pyrexia
Clinical narrative: After receiving vaccine 3/08/04, later in the afternoon and evening I started to have chills and fever and flu like symptoms with aching all over but worse in my upper extremities.  This lasted two weeks.  The 3rd and 4th week the pain and aching was only in my upper arms and elbows.  The pain was severe.  Being a transcriptionist I was unable to do my job.  My bicep muscles ached, burned and hurt terribly with any exertion.  After about another week, the elbows were much better but I have continued to this day with bicep pain, fatigue, muscle spasm.  I have seen an internist, two pain physicians.  All other illnesses have been ruled out with lab tests, EMG and nerve conduction studies.  I have been treated with Vioxx, Darvocet, Ultram.  Ultram seems to take the edge off the pain but does not relieve completely.  I am unable to lift my grandchildren, open heavy doors, pull on anything and the pain is in my biceps and with use of my arms it is difficult to open drinks, lift grocery bags, etc.  My life has changed completely.  I was on no medication when the vaccine was given.  I have always been active.  As a transcriptionist I was able to type 2200 lines per day.  Just typing this form fatigues my arms and causes muscle spasms in my biceps only. I tried working on a graduated basis from 4 hours to 8 hours.  The pain was extreme and I took extra breaks.  After two months of not seeing my grandchildren, 1 year old and 3 years old, I spent time with them.  I was unable to lift or play with them without extreme pain and afterwards had really bad muscle spasms.  This has continued to this date and I am exhausted.  My workers' compensation was stopped two weeks ago because the pain physicians wording was "cannot say for sure that the vaccine did or did not cause this problem."  I was perfectly healthy and able to do anything I wanted.  I am divorced, live alone and take care of everything.  That is almost impossible now without so much pain.  I was required to have this vaccine to keep the job.  The manufacturer of this vaccine was Merck.
Age: 52.0
Sex: F
Vaccine: MMR, MUR, MMR
Symptoms: Chills, Fatigue, Influenza like illness, Muscle spasms, Myalgia
Clinical narrative: After receiving vaccine 3/08/04, later in the afternoon and evening I started to have chills and fever and flu like symptoms with aching all over but worse in my upper extremities.  This lasted two weeks.  The 3rd and 4th week the pain and aching was only in my upper arms and elbows.  The pain was severe.  Being a transcriptionist I was unable to do my job.  My bicep muscles ached, burned and hurt terribly with any exertion.  After about another week, the elbows were much better but I have continued to this day with bicep pain, fatigue, muscle spasm.  I have seen an internist, two pain physicians.  All other illnesses have been ruled out with lab tests, EMG and nerve conduction studies.  I have been treated with Vioxx, Darvocet, Ultram.  Ultram seems to take the edge off the pain but does not relieve completely.  I am unable to lift my grandchildren, open heavy doors, pull on anything and the pain is in my biceps and with use of my arms it is difficult to open drinks, lift grocery bags, etc.  My life has changed completely.  I was on no medication when the vaccine was given.  I have always been active.  As a transcriptionist I was able to type 2200 lines per day.  Just typing this form fatigues my arms and causes muscle spasms in my biceps only. I tried working on a graduated basis from 4 hours to 8 hours.  The pain was extreme and I took extra breaks.  After two months of not seeing my grandchildren, 1 year old and 3 years old, I spent time with them.  I was unable to lift or play with them without extreme pain and afterwards had really bad muscle spasms.  This has continued to this date and I am exhausted.  My workers' compensation was stopped two weeks ago because the pain physicians wording was "cannot say for sure that the vaccine did or did not cause this problem."  I was perfectly healthy and able to do anything I wanted.  I am divorced, live alone and take care of everything.  That is almost impossible now without so much pain.  I was required to have this vaccine to keep the job.  The manufacturer of this vaccine was Merck.
Age: 52.0
Sex: F
Vaccine: MMR, MUR, MMR
Symptoms: Pain, Pyrexia
Clinical narrative: After receiving vaccine 3/08/04, later in the afternoon and evening I started to have chills and fever and flu like symptoms with aching all over but worse in my upper extremities.  This lasted two weeks.  The 3rd and 4th week the pain and aching was only in my upper arms and elbows.  The pain was severe.  Being a transcriptionist I was unable to do my job.  My bicep muscles ached, burned and hurt terribly with any exertion.  After about another week, the elbows were much better but I have continued to this day with bicep pain, fatigue, muscle spasm.  I have seen an internist, two pain physicians.  All other illnesses have been ruled out with lab tests, EMG and nerve conduction studies.  I have been treated with Vioxx, Darvocet, Ultram.  Ultram seems to take the edge off the pain but does not relieve completely.  I am unable to lift my grandchildren, open heavy doors, pull on anything and the pain is in my biceps and with use of my arms it is difficult to open drinks, lift grocery bags, etc.  My life has changed completely.  I was on no medication when the vaccine was given.  I have always been active.  As a transcriptionist I was able to type 2200 lines per day.  Just typing this form fatigues my arms and causes muscle spasms in my biceps only. I tried working on a graduated basis from 4 hours to 8 hours.  The pain was extreme and I took extra breaks.  After two months of not seeing my grandchildren, 1 year old and 3 years old, I spent time with them.  I was unable to lift or play with them without extreme pain and afterwards had really bad muscle spasms.  This has continued to this date and I am exhausted.  My workers' compensation was stopped two weeks ago because the pain physicians wording was "cannot say for sure that the vaccine did or did not cause this problem."  I was perfectly healthy and able to do anything I wanted.  I am divorced, live alone and take care of everything.  That is almost impossible now without so much pain.  I was required to have this vaccine to keep the job.  The manufacturer of this vaccine was Merck.
Age: 52.0
Sex: F
Vaccine: MMR, MUR, MMR
Symptoms: Arthralgia, Influenza like illness, Myalgia, Myasthenic syndrome, Pain
Clinical narrative: After receiving vaccine 3/08/04, later in the afternoon and evening I started to have chills and fever and flu like symptoms with aching all over but worse in my upper extremities.  This lasted two weeks.  The 3rd and 4th week the pain and aching was only in my upper arms and elbows.  The pain was severe.  Being a transcriptionist I was unable to do my job.  My bicep muscles ached, burned and hurt terribly with any exertion.  After about another week, the elbows were much better but I have continued to this day with bicep pain, fatigue, muscle spasm.  I have seen an internist, two pain physicians.  All other illnesses have been ruled out with lab tests, EMG and nerve conduction studies.  I have been treated with Vioxx, Darvocet, Ultram.  Ultram seems to take the edge off the pain but does not relieve completely.  I am unable to lift my grandchildren, open heavy doors, pull on anything and the pain is in my biceps and with use of my arms it is difficult to open drinks, lift grocery bags, etc.  My life has changed completely.  I was on no medication when the vaccine was given.  I have always been active.  As a transcriptionist I was able to type 2200 lines per day.  Just typing this form fatigues my arms and causes muscle spasms in my biceps only. I tried working on a graduated basis from 4 hours to 8 hours.  The pain was extreme and I took extra breaks.  After two months of not seeing my grandchildren, 1 year old and 3 years old, I spent time with them.  I was unable to lift or play with them without extreme pain and afterwards had really bad muscle spasms.  This has continued to this date and I am exhausted.  My workers' compensation was stopped two weeks ago because the pain physicians wording was "cannot say for sure that the vaccine did or did not cause this problem."  I was perfectly healthy and able to do anything I wanted.  I am divorced, live alone and take care of everything.  That is almost impossible now without so much pain.  I was required to have this vaccine to keep the job.  The manufacturer of this vaccine was Merck.
Age: 0.0
Sex: F
Vaccine: ANTH
Symptoms: Arthralgia
Clinical narrative: diffuse arthralgias; especially knees/shoulders
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Fatigue, Headache, Laboratory test abnormal, Malaise
Clinical narrative: Felt sick, nausea, fatigue within the week and felt like fainting-symptoms progressed after that-very fatigued dizziness, nausea-hospitalized in Dec and seeking treatment since. Discharge summary states headache. msv Per the follow up report-dizziness, fatigue, low blood pressure especially when standing not sweating as much in hot weather-diagnosed autonomic neuropathy have been unable to drive or work since vaccine.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea
Clinical narrative: Felt sick, nausea, fatigue within the week and felt like fainting-symptoms progressed after that-very fatigued dizziness, nausea-hospitalized in Dec and seeking treatment since. Discharge summary states headache. msv Per the follow up report-dizziness, fatigue, low blood pressure especially when standing not sweating as much in hot weather-diagnosed autonomic neuropathy have been unable to drive or work since vaccine.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Apnoea, Bacterial infection, Cyanosis, Gastrooesophageal reflux disease, Laboratory test abnormal
Clinical narrative: Cyanotic spell, lethargy; admitted to hospital and treated with antibiotics and Acyclovir. Urine culture grew Gardnerella vaginalis, blood culture and CSF negative. UGI: mild reflux, Renal US NL. Sent home on apnea monitor. CXR and EKG NL.  Final Diagnosis: apneic spell, gastroesophageal reflux disease, and urinary tract infection.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Lethargy, Urinary tract infection
Clinical narrative: Cyanotic spell, lethargy; admitted to hospital and treated with antibiotics and Acyclovir. Urine culture grew Gardnerella vaginalis, blood culture and CSF negative. UGI: mild reflux, Renal US NL. Sent home on apnea monitor. CXR and EKG NL.  Final Diagnosis: apneic spell, gastroesophageal reflux disease, and urinary tract infection.
Age: 0.25
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Purpura, Vasculitis
Clinical narrative: This 2 month old developed asymmetric purpuric rash on anterior shins (lower legs) bilaterally. No other symptoms. Etiology under, but rash developed 48 hours after vaccination.  Nurse follow up on 08/31/04 states: "vasculitis."
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Temp 102, chills, headache saw physician on Monday-said alternate Tylenol and ibuprofen. No definitive Dx.
Age: 4.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Injection site mass, Oedema
Clinical narrative: Arm red, swollen, hard. Per conversation with mom.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Decreased appetite, Irritability
Clinical narrative: Decreased appetite, fussy, irritable.
Age: 0.33
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Convulsion, Gaze palsy
Clinical narrative: Approximately 2 hours after receiving immunizations, pt had a series of episodes of tonus and staring lasting about 30 sec each. This happened off and on, frequenting for about 3 hours.
Age: 9.0
Sex: F
Vaccine: DTAP, HEP, IPV, VARCEL
Symptoms: Rash papular, Rash pustular, Skin ulcer
Clinical narrative: Chest with papular pustular lesion in various stages.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Feeling hot, Injection site erythema, Injection site reaction
Clinical narrative: 08/06/2004 pt returned to office with reddened warm oral area on left arm at injection site- measuring 3"x3"- ?Rxn vs. Cellulitis-Advised to use Tylenol, warm compresses-Rev on 8/9 redness and warmth.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Injection site mass
Clinical narrative: 1 cm erythema, 2.5cm induration.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR
Symptoms: Rash papular
Clinical narrative: Papular rash developed 8 days after MMR vaccine- no treatment.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Mother states area became red with swelling on evening of 8/3/04. Area is warm to touch, slightly swollen, red. Cool compresses advised. (left deltoid)
Sex: M
Vaccine: UNK
Symptoms: Arthralgia, Influenza, Lymphadenopathy, Pyrexia
Clinical narrative: Swollen lymph nodes on both sides of the neck and flu-like symptoms with sore joints and fever.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site reaction
Clinical narrative: Local reaction, area red and warm, left upper thigh
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema, Injection site mass
Clinical narrative: Red induration left thigh 34x20mm right thigh 34x30mm, redness on areas of face and body.
Age: 43.0
Sex: F
Vaccine: HEPAB, PPV
Symptoms: Feeling hot, Injection site mass, Oedema, Skin discolouration
Clinical narrative: Client received pneumonia vaccine LSQ. Back of right arm began swelling within minutes. Continued to swell all night and is now from elbow to shoulder, almost purple, very tight, and hot. Advised to put cold on area, see MD and contact HD after seeing MD. 40mg Prednisone BIOX 14 days, Benadryl 25mg BIO per Dr. 8/11/04 reaction resolving. No Prednisone taken.
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Crying, Injection site mass, Irritability, Pallor
Clinical narrative: 6 hours after immunizations, fussy, crying, lump, pale, CPR-EMS activated-normal by hospital arrival.
Age: 1.25
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Dermatitis bullous, Pyrexia
Clinical narrative: High fever since Saturday August 7. Seen in ER 8/12/2004 at 3AM for temp 104 with noted chicken pox rash to trunk. Seen in office 8/12/2004 at 10:30.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Baby had local reaction-site of injection, was red, puffy and hard to the touch. Site was left leg.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Contusion, Injection site erythema
Clinical narrative: Mom states child has 3 inch circle of redness at site of injections left arm. States there is a bruise in the center of redness.
Age: 3.0
Sex: M
Vaccine: DTAP, HEP, IPV, VARCEL
Symptoms: Erythema, Rash vesicular
Clinical narrative: Small, red vesicles on back and legs.
Age: 11.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Rash macular
Clinical narrative: Blotchy, tender, pink area around injection site on right deltoid-2 days after immunization. Child put on Keflex 500g twice daily and to use heat pack.
Age: 6.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: 6x4cm redness, warm, tenderness.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Red and hot shot site.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Erythema, Rash macular, Similar reaction on previous exposure to drug
Clinical narrative: Developed erythematous, macular rash with tan center 3 days after vaccine. 6x12cm left thigh, 16x18cm right thigh. Given Benadryl 12.5mg, 5cc 1 1/4 tsp per mouth ever 6 hours.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Urticaria
Clinical narrative: Pt returned to office approximately 1 hour after vaccines. Had generalized urticarial eruption (hives), no difficulty breathing. Benadryl given.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Red, warm to touch, Keflex 250mg.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: About 3 inch red, warm area right deltoid.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: Signs and symptoms of cellulitis 48 hours after immunization. Prescribed Omnicef 2tsp two times a day for 10 days with 48 hour follow up.
Age: 1.0
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Anorexia, Cough, Erythema, Insomnia, Pruritus
Clinical narrative: Rash to body, in ER Saturday. Not sleeping, itching, runny nose Friday until Sunday.  08/06/04: Rapidly spreading red, papular rash began right post-axillar then generalized. Temperature 101, afebrile since then. Anorexia. 08/03/04: Cough dry, clear skin. 08/07/04: Care now (ER), treatment: Zyrtec 1/2 tsp every day, Benadryl 1/2 tsp every 6 hours.
Age: 1.0
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash papular, Rhinorrhoea
Clinical narrative: Rash to body, in ER Saturday. Not sleeping, itching, runny nose Friday until Sunday.  08/06/04: Rapidly spreading red, papular rash began right post-axillar then generalized. Temperature 101, afebrile since then. Anorexia. 08/03/04: Cough dry, clear skin. 08/07/04: Care now (ER), treatment: Zyrtec 1/2 tsp every day, Benadryl 1/2 tsp every 6 hours.
Age: 18.0
Sex: F
Vaccine: HEP, MEN, TTOX
Symptoms: Pruritus, Throat tightness, Urticaria
Clinical narrative: Parent contacted HD stated "daughter complaining of itching, hives, and throat swelling". Mother gave her Benadryl and call her MD who "thought she might have reacted to the Meningococcal vaccine." Symptoms subsided after Benadryl taken according to mother.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Hypersensitivity, Oedema peripheral, Pruritus, Rash macular
Clinical narrative: No complications with injections. 5-10 minutes later pt complained of upset stomach. Then started vomiting several times. Then pt started complaining of itching hands. His palms were red/blotchy and swollen.  I checked pt's feet. The bottoms are the same. Pt's doctor was notified. Pt was given Benadryl and checked over by MD, then released.  08/06/04 @ 16:05: I spoke with mother; pt is doing fine today. No rash and has discharged Benadryl.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Stomach discomfort, Vomiting
Clinical narrative: No complications with injections. 5-10 minutes later pt complained of upset stomach. Then started vomiting several times. Then pt started complaining of itching hands. His palms were red/blotchy and swollen.  I checked pt's feet. The bottoms are the same. Pt's doctor was notified. Pt was given Benadryl and checked over by MD, then released.  08/06/04 @ 16:05: I spoke with mother; pt is doing fine today. No rash and has discharged Benadryl.
Sex: M
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Injection site erythema
Clinical narrative: Large local reaction with possible associated cellulitis on right arm-deltoid. 4-5cm diameter redness started 48 hours after receiving shot and spread 24 later.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Urticaria
Clinical narrative: RDT and hives happened and nurse reported to provider to give 1 1/2 tsp of Benadryl observed x50 min then treated with 20mg per mouth Prednisone, 5mg Zyrtec.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Erythematous-induration 8-10cm verses warm to touch-tender. Amoxicillin 260/5, 1 tsp twice daily for 10 days, Motrin 100/5, 2 tsp per mouth every 6 hours as needed for pain.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Broke out in pox-like lesions about 12 days after vaccines given. Resolving 08/16/04.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Pyrexia, Vomiting
Clinical narrative: 48 hours after immunization started feeling ill having low grade temperature 100 degrees and vomiting. Mother called 04/13/04 at 11:30am and I advised her to call her PMD and have her daughter checked. 04/17/04 I spoke with her mother again and her daughter has greatly improved. 04/13/04: not going to her PMD.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema, Injection site warmth, Oedema, Rash
Clinical narrative: Mom states approximately 1 1/2 hours after immunization, pt got a "red rash on face", hands and face got swollen, and got "very hot". Temperature not taken. Went to ER, was examined and mom told symptoms were an allergic reaction to immunizations. Pt asymptomatic by next day (today). Meet mom to sign release of info to receive ER records.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Red and hot left arm. Swelling started 24-36 hours after vaccine 6x12 cm patch of
Age: 2.0
Sex: F
Vaccine: DTAP, IPV, VARCEL
Symptoms: Urticaria
Clinical narrative: Generalized urticaria developed shortly after leaving clinic. No angioedema. No respiratory difficulty. Was seen 2 days later 8/5/04 with mild ant hives. Given Atarax.
Age: 2.5
Sex: F
Vaccine: DTAP, HBHEPB, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Approximately 24 hours after shot developed redness and swelling over thigh.
Age: 0.7
Sex: F
Vaccine: UNK
Symptoms: Erythema, Rash macular
Clinical narrative: Temp 99F on 4/29/03. 7 month with 2 or 3 erythematous macules on trunk. Brother had chicken pox about two weeks earlier.
Age: 1.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Right deltoid redness and swelling when when home arm was red and swollen.
Age: 1.0
Sex: F
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Pyrexia, Tenderness
Clinical narrative: Pt had URI and no fever at time of vaccinations. Developed T fever 104 erythema, hard, tender at LAT
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site induration, Swelling
Clinical narrative: 5/18/04: Mom noted left arm red and swollen . No fever. 5/19: seen with 6x5cm area of erythema, induration. Treated with Keflex 520 mg, bid, 10 days. , Benadryl 19.5mg
Age: 56.0
Sex: F
Vaccine: YF
Symptoms: Difficulty in walking, Muscle spasms
Clinical narrative: Pt complained of muscle cramping in right leg, unable to bear weight on right leg starting 6/18/04, approximately 3 days after receiving sq administration of YFS in left arm on 6/15/04. Pt reported above to her private MD, no follow up needed, problem resolved with No medical intervention per patient.
Age: 0.2
Sex: F
Vaccine: DTP, HIBV, IPV, PNC
Symptoms: Screaming
Clinical narrative: Crying nonstop since received immunization this morning. T 98.3 R
Age: 6.0
Sex: F
Vaccine: MMR, OPV, VARCEL
Symptoms: Blister, Drug ineffective, Pyrexia, Rash erythematous, Rash macular
Clinical narrative: Temp 100 degrees F on 5/17/04. Several erythematous macules and papules. Some clear fluid filled blisters on trunk, face, left majora, arms and legs.
Age: 6.0
Sex: F
Vaccine: MMR, OPV, VARCEL
Symptoms: Rash papular
Clinical narrative: Temp 100 degrees F on 5/17/04. Several erythematous macules and papules. Some clear fluid filled blisters on trunk, face, left majora, arms and legs.
Age: 4.0
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Blister, Pyrexia, Rash erythematous, Rash macular
Clinical narrative: 4/29/04: temp 99F. 5-8 erythematous macules on arms, trunk, face and base of penis. Developed on morning of visit. 1 Vesicle.
Age: 6.0
Sex: M
Vaccine: MMR, OPV, VARCEL
Symptoms: Drug ineffective, Pyrexia, Rash erythematous, Rash macular, Rash vesicular
Clinical narrative: 5/20/04: Temp 97F. Several erythematous macules and vesicles on trunk and legs. No lesions of face. 1 scab. Developed 2 days prior to visit.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia, Rash
Clinical narrative: Rash on chest and cheeks. Temp 101-102 degrees over the weekend after injection 22-23MAY2004.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Urticaria
Clinical narrative: Mom states hives developed today on back, abd and arm. Pt does have URI. No other sxs. Received shot on 6/28/04. Given Benadryl.
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Pyrexia
Clinical narrative: Pt has redness, pain, feels hot at site of injection. Fever 100.4F. Started Keflex 500mg Tpo QID x 10 days per doctor. Pt to call if worsens or has red streaks on arm. Taking Ibuprofen.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Convulsion, Petit mal epilepsy, Vaccine positive rechallenge
Clinical narrative: 2 hours after vaccines, mom states child had petit mal seizure. Afebrile. Hx of grand mal at 8 months after vaccine. No adverse reactions since, but history of Petit mal seizure 8 months.
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Coma, Crying, Dyskinesia, Restlessness
Clinical narrative: 4am next morning: restless and crying, started with jerking movements, non responsive. Lasted after 4 minutes. To ER for evaluation. Had 1 similar episode June 25, 2004.
Age: 6.0
Sex: M
Vaccine: UNK
Symptoms: Pyrexia, Rash erythematous, Rash macular, Rash vesicular
Clinical narrative: Temp 98 degrees F on 4/19/04. Erythematous macules, vesicles, some scabs seen on scalp, trunk, legs, penis.
Sex: M
Vaccine: DTAP
Symptoms: Cardiac disorder, Urticaria
Clinical narrative: Circle of hives around waist band and forehead.
Age: 11.0
Sex: M
Vaccine: DT
Symptoms: Erythema, Eye swelling, Swelling
Clinical narrative: Swelling around eyes and penis. Redness with swelling on chest, legs and genitalia August 7th. Reaction not caused by vaccination.
Age: 29.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Pyrexia, Rash, Viral infection
Clinical narrative: Received Varicella vaccine and MMR vaccine July 27. August 12, client reports a fever of 101. On August 13, noticed bumps on her back, over the next couple more bumps appeared on back and stomach, arms,and face. She went to see the doctor. Doctor diagnosed as Varicella. Now bumps are starting to dry up. Client is afebrile now.
Age: 24.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Cow pox
Clinical narrative: Generalized vaccinia rash
Age: 24.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Generalized vaccinia rash
Age: 0.0
Sex: M
Vaccine: HEP
Symptoms: Arthralgia, Arthritis, Laboratory test abnormal, Myalgia, Shoulder pain
Clinical narrative: 50 year old male received 3 anthrax vaccines while activated.  He noted bilateral shoulder joint pain that lasted approximately 3 weeks without any intervention.  In March 2004 he received anthrax vaccine #4.  Within 24 hours he had a recurrence of the bilateral shoulder pain and also muscle pain in the left shoulder.  The pain has not dissipated.  He has right knee and ankle pain that is related to a compound fracture sustained in 1986.  He has no other medical complaints.
Age: 0.0
Sex: M
Vaccine: HEP
Symptoms: Tendonitis
Clinical narrative: 50 year old male received 3 anthrax vaccines while activated.  He noted bilateral shoulder joint pain that lasted approximately 3 weeks without any intervention.  In March 2004 he received anthrax vaccine #4.  Within 24 hours he had a recurrence of the bilateral shoulder pain and also muscle pain in the left shoulder.  The pain has not dissipated.  He has right knee and ankle pain that is related to a compound fracture sustained in 1986.  He has no other medical complaints.
Age: 30.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site vesicles, Laboratory test abnormal, Lymphadenopathy, Malaise, Pyrexia
Clinical narrative: Round red "rash" appearing spots on chest, abdomen and both arms, fever, malaise started 24 hours ago, swollen lymph nodes under left arm, tender to touch, 2cm x 2cm pustual at injection site.
Age: 30.0
Sex: M
Vaccine: SMALL
Symptoms: Rash maculo-papular
Clinical narrative: Round red "rash" appearing spots on chest, abdomen and both arms, fever, malaise started 24 hours ago, swollen lymph nodes under left arm, tender to touch, 2cm x 2cm pustual at injection site.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Pyrexia
Clinical narrative: Patient became febrile w/ fever of 103 F axillary within 24 hours of vaccine administration. Fever was controlled with cool baths and infant Tylenol and fever brought down to 99.5 F axillary by next day. Patient otherwise fine. Mother told to take temperature between Tylenol doses and to give Tylenol if temp over 100 F. Instructed to call back if fever persisted past 48-72 hours.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Asthma, Dyspnoea, Nasal congestion, Pyrexia, Rash
Clinical narrative: Fever 102 less than 8hrs after shots given, shortness of breath, rash on trunk, congested lungs.  Parent took child to ER and was diagnosed by ER physician as having an "asthmatic reaction and viral infection."  Three breathing treatments were given in ER, strep throat culture was done but was negative.  Sent home on every hour hour breathing treatments.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Viral infection
Clinical narrative: Fever 102 less than 8hrs after shots given, shortness of breath, rash on trunk, congested lungs.  Parent took child to ER and was diagnosed by ER physician as having an "asthmatic reaction and viral infection."  Three breathing treatments were given in ER, strep throat culture was done but was negative.  Sent home on every hour hour breathing treatments.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Laboratory test abnormal, Parotid gland enlargement, Sarcoma, Skin nodule
Clinical narrative: Information has been received from a 65 year old female pt with an unspecified allergy and a history of cataract extraction left eye (15Dec03), left near total parotidectomy (16Mar04) and adenocarcinoma of thyroid (1989) who on 20Jan04 was vaccinated with pneumococcal 23v polysaccharide vaccine in the left upper arm. On the morning of 21Jan04 the pt noticed a mass of quarter size on the left side under the jaw bone area which was rapidly expanding to the tail of the parotid gland described as painless, mobile. On 11Feb04 a fine needle aspiration revealed atypical cells highly suspicious for malignancy. On 05Mar04 a CT Scan showed large slightly hyper-dense mass arising from left parotid approximately 4 cm in length with maximum AP diameter of 3.1cm, depth of 2.2cm. On 16Mar04 the pt was diagnosed with myxofibrosarcoma intermediate grade (also known as myxoid variant of malignant fibrous hystocytoma). The pt was hospitalized and is being treated with radiation therapy. The reporter considered myxofibrosarcoma intermediate grade to be an other important medical event and was life threatening. No further information is available.
Age: 40.0
Sex: M
Vaccine: PPV
Symptoms: Anorexia, Arthralgia, Chills, Diarrhoea, Feeling hot
Clinical narrative: Information has been received from a physician concerning a male pt in his 40's with a concurrent condition of multiple sclerosis who on 06Aug04 was vaccinated at 16:30 with a dose of pneumococcal 23v polysaccharide vaccine. Concomitant therapy included MS medications. On 07Aug04, Saturday morning, the pt reported to the physician that he had developed a fever, chills, myalgia, arthralgia, vomiting, headache, diarrhea, rash that was warm and tender to the touch, the injection site swelled to 13x10cm and was incapacitated and unable to eat until Sunday 08Aug04. It was noted that the pt was able to return to work on Monday, 09Aug04. It was also noted that there was no intervention to prevent serious criteria. Unspecified medical attention was sought. Subsequently, the pt improved after a few days and recovered on 09Aug04. The physician considered the fever, chills, myalgia, arthralgia, vomiting, headache, diarrhea, rash, warm and tender to touch, injection site swelled, unable to eat and incapacitated to be significantly disabling. Additional information has been requested.
Age: 40.0
Sex: M
Vaccine: PPV
Symptoms: Headache, Hypokinesia, Injection site oedema, Myalgia, Pyrexia
Clinical narrative: Information has been received from a physician concerning a male pt in his 40's with a concurrent condition of multiple sclerosis who on 06Aug04 was vaccinated at 16:30 with a dose of pneumococcal 23v polysaccharide vaccine. Concomitant therapy included MS medications. On 07Aug04, Saturday morning, the pt reported to the physician that he had developed a fever, chills, myalgia, arthralgia, vomiting, headache, diarrhea, rash that was warm and tender to the touch, the injection site swelled to 13x10cm and was incapacitated and unable to eat until Sunday 08Aug04. It was noted that the pt was able to return to work on Monday, 09Aug04. It was also noted that there was no intervention to prevent serious criteria. Unspecified medical attention was sought. Subsequently, the pt improved after a few days and recovered on 09Aug04. The physician considered the fever, chills, myalgia, arthralgia, vomiting, headache, diarrhea, rash, warm and tender to touch, injection site swelled, unable to eat and incapacitated to be significantly disabling. Additional information has been requested.
Age: 40.0
Sex: M
Vaccine: PPV
Symptoms: Rash, Tenderness, Vomiting
Clinical narrative: Information has been received from a physician concerning a male pt in his 40's with a concurrent condition of multiple sclerosis who on 06Aug04 was vaccinated at 16:30 with a dose of pneumococcal 23v polysaccharide vaccine. Concomitant therapy included MS medications. On 07Aug04, Saturday morning, the pt reported to the physician that he had developed a fever, chills, myalgia, arthralgia, vomiting, headache, diarrhea, rash that was warm and tender to the touch, the injection site swelled to 13x10cm and was incapacitated and unable to eat until Sunday 08Aug04. It was noted that the pt was able to return to work on Monday, 09Aug04. It was also noted that there was no intervention to prevent serious criteria. Unspecified medical attention was sought. Subsequently, the pt improved after a few days and recovered on 09Aug04. The physician considered the fever, chills, myalgia, arthralgia, vomiting, headache, diarrhea, rash, warm and tender to touch, injection site swelled, unable to eat and incapacitated to be significantly disabling. Additional information has been requested.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Bacterial infection, Blister, Drug ineffective, Headache, Hypoacusis
Clinical narrative: It was reported in a published literature article that a previously immunized 5 year old female developed skin lesions consistent with varicella and aseptic meningitis. The patient was vaccinated with varicella virus vaccine live and eighteen months after vaccination, the patient presented to the emergency room with a five day history of fever, headache, and rash. The rash began on her face and spread to the trunk. The rash was described as pruritic and painful and the lesions were raised. Her headache was diffuse and it would wake her from her sleep. She had not experienced vomiting or ataxia. She was started on penicillin a few days before presentation for presumed group A streptococcal pharyngitis. The culture was subsequently negative and the penicillin was discontinued. There were no known sick contacts or exposures to varicella and her immunizations were up to date. On admission, her temperature was 40.3C, pulse was 148/min, blood pressure was 109/80 and she was awake and responsive. There were vesicles on the soft palate and her neck was supple. A positive Brudzinski and negative Kerning's sign were elicited. The skin had diffuse papules, vesicles and scabbed lesions. Her serum electrolytes, hemoglobin and platelet count were normal. Her white blood cell count was 45000 cells/mm with 50% neutrophils, 26% lymphocytes, 12% monocytes and 7% reactive lymphocytes. There were 168 red blood cells/mm, the protein was 133 mg/dl, and the glucose was 46 mg/dl with concurrent serum glucose of 86 mg/dl. The gram stain was negative for bacteria. The child was started on acyclovir for presumed VZV meningitis and vancomycin and ceftriaxone for possible partially treated bacterial meningitis. Her skin lesions were positive for VZV by direct immunofluorescence antibody, and the CSF was positive for VZV by polymerase chain reaction. The CSF PCR for herpes simplex virus types 1 and 2 were negative. Serum immunoglobulin and lymphocyte subsets were normal. She completed a 10 day course of acyclovir in the hospital. The patient made an uneventful recovery and was discharged from the hospital without medications. A follow up hearing evaluation six weeks later demonstrated mild to moderate sensorineural hearing loss from 500 to 100 Hz on the right side and normal hearing on the left. Tympanometric testing was normal. Two years later, hearing was normal and she was doing well. No further information is available.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Insomnia, Laboratory test abnormal, Meningitis, Pain, Pharyngitis
Clinical narrative: It was reported in a published literature article that a previously immunized 5 year old female developed skin lesions consistent with varicella and aseptic meningitis. The patient was vaccinated with varicella virus vaccine live and eighteen months after vaccination, the patient presented to the emergency room with a five day history of fever, headache, and rash. The rash began on her face and spread to the trunk. The rash was described as pruritic and painful and the lesions were raised. Her headache was diffuse and it would wake her from her sleep. She had not experienced vomiting or ataxia. She was started on penicillin a few days before presentation for presumed group A streptococcal pharyngitis. The culture was subsequently negative and the penicillin was discontinued. There were no known sick contacts or exposures to varicella and her immunizations were up to date. On admission, her temperature was 40.3C, pulse was 148/min, blood pressure was 109/80 and she was awake and responsive. There were vesicles on the soft palate and her neck was supple. A positive Brudzinski and negative Kerning's sign were elicited. The skin had diffuse papules, vesicles and scabbed lesions. Her serum electrolytes, hemoglobin and platelet count were normal. Her white blood cell count was 45000 cells/mm with 50% neutrophils, 26% lymphocytes, 12% monocytes and 7% reactive lymphocytes. There were 168 red blood cells/mm, the protein was 133 mg/dl, and the glucose was 46 mg/dl with concurrent serum glucose of 86 mg/dl. The gram stain was negative for bacteria. The child was started on acyclovir for presumed VZV meningitis and vancomycin and ceftriaxone for possible partially treated bacterial meningitis. Her skin lesions were positive for VZV by direct immunofluorescence antibody, and the CSF was positive for VZV by polymerase chain reaction. The CSF PCR for herpes simplex virus types 1 and 2 were negative. Serum immunoglobulin and lymphocyte subsets were normal. She completed a 10 day course of acyclovir in the hospital. The patient made an uneventful recovery and was discharged from the hospital without medications. A follow up hearing evaluation six weeks later demonstrated mild to moderate sensorineural hearing loss from 500 to 100 Hz on the right side and normal hearing on the left. Tympanometric testing was normal. Two years later, hearing was normal and she was doing well. No further information is available.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Pruritus, Pyrexia, Rash, Skin ulcer, Viral infection
Clinical narrative: It was reported in a published literature article that a previously immunized 5 year old female developed skin lesions consistent with varicella and aseptic meningitis. The patient was vaccinated with varicella virus vaccine live and eighteen months after vaccination, the patient presented to the emergency room with a five day history of fever, headache, and rash. The rash began on her face and spread to the trunk. The rash was described as pruritic and painful and the lesions were raised. Her headache was diffuse and it would wake her from her sleep. She had not experienced vomiting or ataxia. She was started on penicillin a few days before presentation for presumed group A streptococcal pharyngitis. The culture was subsequently negative and the penicillin was discontinued. There were no known sick contacts or exposures to varicella and her immunizations were up to date. On admission, her temperature was 40.3C, pulse was 148/min, blood pressure was 109/80 and she was awake and responsive. There were vesicles on the soft palate and her neck was supple. A positive Brudzinski and negative Kerning's sign were elicited. The skin had diffuse papules, vesicles and scabbed lesions. Her serum electrolytes, hemoglobin and platelet count were normal. Her white blood cell count was 45000 cells/mm with 50% neutrophils, 26% lymphocytes, 12% monocytes and 7% reactive lymphocytes. There were 168 red blood cells/mm, the protein was 133 mg/dl, and the glucose was 46 mg/dl with concurrent serum glucose of 86 mg/dl. The gram stain was negative for bacteria. The child was started on acyclovir for presumed VZV meningitis and vancomycin and ceftriaxone for possible partially treated bacterial meningitis. Her skin lesions were positive for VZV by direct immunofluorescence antibody, and the CSF was positive for VZV by polymerase chain reaction. The CSF PCR for herpes simplex virus types 1 and 2 were negative. Serum immunoglobulin and lymphocyte subsets were normal. She completed a 10 day course of acyclovir in the hospital. The patient made an uneventful recovery and was discharged from the hospital without medications. A follow up hearing evaluation six weeks later demonstrated mild to moderate sensorineural hearing loss from 500 to 100 Hz on the right side and normal hearing on the left. Tympanometric testing was normal. Two years later, hearing was normal and she was doing well. No further information is available.
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Autism, Drug toxicity, Nervous system disorder, Personality disorder
Clinical narrative: This case was considered medically important (OMIC). This case has been reclassified as serious as a result of follow up information received from an attorney who provided specified products, diagnosis, names and dates of concomitantly administered vaccines, date of birth and patient history. Information regarding HIB-TITER vaccine was received from an attorney regarding a male patient who received a dose of HIB-TITER on 3/17/00 and 5/19/00. The child also received a dose of Acel-Imune vaccine on the same dates. In addition, other childhood vaccines were administered between 3/17/00 and 7/25/01. On 10/2/02, the child was diagnosed with severe autism. The child also experienced mercury poisoning, mental and intellectual impairment, developmental incapacity, neurological incapacity, learning disability and affect disorder. The patient has a past history of having been a normal newborn (reported as a perfectly normal, healthy baby boy). Indication for Hib-Titer and Acel-Imune was immunization. The dose regimen was 1 dose, administered on 3/17/00 and 5/19/00. Additional suspect vaccines included Infanrix administered on 7/25/01, MMR administered on 7/25/01, Act-Hib administered on 7/21/00, Tripedia administered on 7/21/00, Engerix B administered on 3/17/00, 5/19/00 and 7/21/00, and IPOL administered on 3/17/00, 5/19/00, and 7/25/01. Concomitant medications were not reported. An attorney reported that a male child received a dose of Hib-TITER on 3/17/00 and 5/19/00. The patient also received a dose of Acel-Imune on the same dates. In addition, the reporter indicated that the patient received other childhood vaccines approximately 14 doses administered to him between 3/17/00 and 7/25/01. It is alleged, that as a result of exposure to mercury in the thimerosal-containing vaccine(s), the child suffers from mercury poisoning, mental and intellectual impairment, developmental incapacity, neurological incapacity, learning disability and affect disorder. The child was diagnosed with severe autism on 10/2/02. No additional information was available at the time of this report.
Age: 0.54
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, Pyrexia
Clinical narrative: Diagnosis: post vaccine seizure. Patient started having seizure the night after receiving the vaccines. Fever was around 100.5 degrees (axillary). Patient was in ER that night; was fine for 2 days, the seizure activities happened again. Patient sent to ER and was admitted to the hospital on 8/6/04; was there for 4 days and the final diagnosis is post vaccine seizure.  Nurse follow up on 09/07/04 states: "complete." Information from Annual Follow-up report states had one more episode of seizure activity on April of 05. Patient still under a neurologist care.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Injection site induration
Clinical narrative: Seen at hospital urgent care/ER on 8/12/04 with right upper arm showing erythema of 15x18 cm and induration of 7x141 cm. Diagnosed with cellulitis and given IM Rocephin and oral Keflex. Seen at Pediatric Care North on 8/13/04 showing right upper arm redness of 11x11 cm and minimal induration. Prescribed Duric of oral abx.
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Warm to touch, redness, swollen. Treatment cold compress to affected area.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Warm to touch, redness, swollen deltoid. Treatment: cold compress to affected area.
Age: 1.08
Sex: F
Vaccine: HBHEPB, VARCEL
Symptoms: Erythema, Injection site induration, Injection site infection, Injection site swelling, Skin discolouration
Clinical narrative: Area started with redness 1.5 week after shots. Small head ruptured at injection site, never oozed but crusted over. Dark central crater like scale. Firmness in skin getting bigger, slightly tender, started on abx for presumed injection site infection.