chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: M
Vaccine: PPV
Symptoms: Pain, Tenderness
Clinical narrative: Several hours after receiving vaccine, he developed pain, swelling and redness around site on upper right arm. This continued into next day along with nausea, headache, chills and worse swelling. Examined 7/15 and still had tenderness with mild erythema and swelling of UE. Improving as of 7/15/04.
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Crying, Pyrexia, Screaming
Clinical narrative: Fever of 103 at home, inconsolable.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia, Sleep disorder, Vomiting
Clinical narrative: Emesis and Temp 102.5, woke up from sleep.
Age: 57.0
Sex: F
Vaccine: HEP
Symptoms: Chills, Diarrhoea, Fatigue, Myalgia, Nausea
Clinical narrative: 3/19/2004-Hep B vac 2nd dose 8AM, 11:30AM, Nausea, vomiting and diarrhea, tired. 3/20/04-muscle aching, arms, legs, back, neck, restless at night, awoke sweating and chills, no fever. 3/21/04-face, neck swollen and itchy, ringing in ears, then hands, arms, chest, itchy, no SOB or constricted airway. 3/22/04 No gI symptoms. Some itching. 3/23/04-returned to work. Slight itching only, didn't want to see a doctor.
Age: 57.0
Sex: F
Vaccine: HEP
Symptoms: Night sweats, Pruritus, Restlessness, Tinnitus, Vomiting
Clinical narrative: 3/19/2004-Hep B vac 2nd dose 8AM, 11:30AM, Nausea, vomiting and diarrhea, tired. 3/20/04-muscle aching, arms, legs, back, neck, restless at night, awoke sweating and chills, no fever. 3/21/04-face, neck swollen and itchy, ringing in ears, then hands, arms, chest, itchy, no SOB or constricted airway. 3/22/04 No gI symptoms. Some itching. 3/23/04-returned to work. Slight itching only, didn't want to see a doctor.
Age: 47.0
Sex: F
Vaccine: HEP
Symptoms: Rash pruritic
Clinical narrative: Received 1st dose of Hep B vaccine in left deltoid on 3/31/04 at 12 Noon. On 4/1/04 noticed an itchy rash on both shoulders. No soreness or redness at site of injection. Sent to Dermatologist. Given Triamcinolone 0.025% cream and Doxepin HCP 10mg at bedtime.
Age: 0.38
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Feeling hot
Clinical narrative: Temp not check but mother said he was warm so Tylenol infant dose x 1 given by mother when patient cried unconsollably for 2-3 hours the morning after receiving immunizations (mother shared this when she brought pt in for his 6 months shots).
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Discomfort, Feeling hot, Pruritus, Swelling
Clinical narrative: Right upper arm swollen/uncomfortable --extends to shoulder area. Warm to touch with pruritus. Seen by doctor 2 days after injection.
Age: 4.0
Sex: M
Vaccine: IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Red, raised, feverish area around injection site approximately 5cm in diameter.
Age: 12.0
Sex: F
Vaccine: HEP, TD
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Red, raised, feverish area around injection site approximately 4.5cm in diameter.
Age: 1.5
Sex: F
Vaccine: VARCEL
Symptoms: Lethargy, Pyrexia
Clinical narrative: High fever (102-103). Lethargy.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site induration, Swelling
Clinical narrative: 3.5x5cm area of redness/ induration/ swelling and warmth in right deltoid area began on 7/8/04 at 1500. Minimal progression in size when seen in office at 0900 on 7/9/04. Given Benadryl and Ibuprofen.
Age: 2.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Blister, Contusion, Erythema, Injection site erythema, Injection site induration
Clinical narrative: 7/9/04: phone call from mom: DTaP in left thigh on 7/9 now has bruise the size of an orange with small pinhead size water blisters around it no pain, waling fine. Doctor advised appointment to evaluate. Seen 7/10/04 by doctor. History, swelling , redness 2 days after shot at site, left thigh, 1 day later. Swollen, red (orange size) blisters on surface of skin. 7/10/04 blisters mostly gone, slightly red. 6.5cmx10.5cm area of erythema and induration.
Age: 2.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site swelling, Swelling
Clinical narrative: 7/9/04: phone call from mom: DTaP in left thigh on 7/9 now has bruise the size of an orange with small pinhead size water blisters around it no pain, waling fine. Doctor advised appointment to evaluate. Seen 7/10/04 by doctor. History, swelling , redness 2 days after shot at site, left thigh, 1 day later. Swollen, red (orange size) blisters on surface of skin. 7/10/04 blisters mostly gone, slightly red. 6.5cmx10.5cm area of erythema and induration.
Age: 1.25
Sex: M
Vaccine: HIBV
Symptoms: Crying, Injection site swelling, Irritability
Clinical narrative: Swollen leg at site of injection, fussiness and constant crying for 2 hours straight.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Following varicella vaccine, pt developed wheal at vaccination site.
Age: 5.0
Sex: M
Vaccine: IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Extensive swelling reaction in left arm after 5th dose of DTaP vaccine. Two days post vaccination swelling = 75x50 mm and redness = 80x80mm. No change in mid-arm circumference.
Age: 11.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Joint range of motion decreased, Pain
Clinical narrative: 5x4cm right shoulder red, hurt to move.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Office has seen 2 other kids in past exp with rxn. Mom called 2 days after receiving DTaP reports 4x4 area red warm, swollen on arm where DTaP given. Mom describes much more significant after 48hours. Mom to given ASA med prn, Benadryl and cool compresses. Care with significant changes or further concerns.
Sex: F
Vaccine: TD
Symptoms: Arthralgia, Injection site inflammation
Clinical narrative: Localized inflammation left upper arm. Joint pain for 24 hours.
Age: 4.0
Sex: F
Vaccine: DTP, HIBV, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 7/12/04: complained of local red and swollen area on left thigh where DTP and IPV was given. No pain or fever. Ice packs and Tylenol recommended for 2 days. IT began to improve 2 days later on 7/14/2004 in the am. No further complaints noted.
Age: 18.0
Sex: M
Vaccine: MEN
Symptoms: Eye movement disorder, Movement disorder, Opisthotonus, Syncope
Clinical narrative: Syncope followed by arms and legs flailing, body arching, eyes rolled back: lasting approximately 20 seconds. O2 and 4l applied: vital signs freq=. range 100/52-122/70-118/78
Age: 35.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Injection site vesicles
Clinical narrative: Pt seen for laceration left index finger. Last Td 1998. Given Td booster in left deltoid. (This was last full dose in that bottle) At wound and hook on 7/15/04 pt noted to have slight erythema and 2 2-3mm vesicles (clear) at injection site. Pt denied itching, burning, respiratory symptoms, fever.
Age: 53.0
Sex: F
Vaccine: UNK
Symptoms: Injection site inflammation, Malaise, Pain, Pyrexia
Clinical narrative: 7/7/04: Pt received Td left deltoid. 7/8/04: developed inflamed deltoid at site of injection with achiness, malaise, fever for next 5-6 days.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Screaming
Clinical narrative: 4 hours of high pitched crying, during which time she was inconsolable.
Age: 51.0
Sex: F
Vaccine: RAB
Symptoms: Chills, Pyrexia, Tremor
Clinical narrative: 3rd rabies shot after exposure to bat-brushed against her head. Pt had fever, shaking chills x 1 day . Temperature 101 F.
Age: 13.0
Sex: F
Vaccine: HEP, TTOX
Symptoms: Erythema, Skin nodule
Clinical narrative: Scattered nodules on arms, face, firm, red, not itchy, not painful; some nodules surrounded by arm erythema and patch. History of Benadryl. Depo Medrol 30mg IM.
Age: 53.0
Sex: F
Vaccine: TD, YF
Symptoms: Chest pain
Clinical narrative: On 07/16/04 Client reports extreme soreness in her chest which began the evening of 07/14/04. Denies fever or soreness at site of vaccinations. States she took ibuprofen but is unable to sleep.
Age: 36.0
Sex: F
Vaccine: RUB
Symptoms: Discomfort, Lymphadenopathy, Pharyngolaryngeal pain
Clinical narrative: Sore throat and lympadenopathy to posterior and anterior cervical chains beginning 7/17/04.  Advised warm compresses and OTC analgensics prn discomfort
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pain, Pyrexia, Swelling
Clinical narrative: Patient woke up on saturday July 17,2004 with painful arm, red and swollen. Patient did not want to move the arm for anything. Low grade temp.No other symptom.
Age: 28.0
Sex: F
Vaccine: ANTH
Symptoms: Anxiety, Arthralgia, Depression, Dyskinesia, Dyspnoea
Clinical narrative: This is a 30 year old now temporarily retired who had been in her usual health until approximately one week after receiving her primary anthrax vaccination. At that time she began having a constant headache with pain localized over her left eye (9/10) with associated photophobia and blurred vision. She was seen by a doctor who diagnosed her with migraine headaches. She was found fit for deployment and deployed on 04/20/2003, with Loritab 5mg for headache management. After arrival, the heat caused an increase in intensity (10/10). She continued to be photophobic and had GI symptoms of nausea and vomiting. She remained for 5.5 months. She experienced an increase in pain, frequency and intensity following the second anthrax vaccination. She increased her pain medication to 20-40mg to reduce pain and was absent from duty because of the pain. She also experience pain in her bilateral knees and shoulder (5-6/10). She was seen multiple times in medical for this problem. She returned on October 5, 2003. She continued to have headaches and associated symptoms. The neurologist completed an angiogram of the brain (12/12/2003). In November 2003, began counseling with a psychiatrist for complaints of depression with out suicidal ideation. She was diagnosed with a major depressive disorder and an anxiety disorder.  She was placed on convalescent leave in December 2003. During her convalescent period, she experienced a seizure, which she describes as "my whole body locked up" the individuals with her told her that she "was stiff as aboard, teeth were locked, and upper body was jerking". She states that her friends said the episode last about 8-10 minutes. She was exhausted afterwards and slept approximately 16 hours. On another occasion, she was driving and her head started jerking and her arms felt heavy and achy. She could not speak but she remained conscious during the episode which last approximately five minutes. She was seen in the Emergency Department for her headache and "shaking" episodes. She returned approximately one week later (January 2004) and saw her neurologist immediately. He ordered a Tilt Table Test (02/24/2004) and EEG (03/4/2004). These tests were reportedly normal. She was initially given a profile and instructed to wear sunglasses when she was in any bright light, even indoors and self paced physical training. She continued to have headaches and had 2 more "episodes". She was placed on temporary retirement in June 2004. During the week of July 5th 2004, she became very short of breath, swelling in hands and feet and had experienced a 22 pound weight gain in a 5 day period. She was admitted to the hospital. She underwent multiple chest x-rays, laboratory draws and a bronchoscope. The bronchoscope was reportedly normal. She was diagnosed with pneumonia and released on 13 July 2004.
Age: 28.0
Sex: F
Vaccine: ANTH
Symptoms: Headache, Migraine, Musculoskeletal stiffness, Nausea, Oedema peripheral
Clinical narrative: This is a 30 year old now temporarily retired who had been in her usual health until approximately one week after receiving her primary anthrax vaccination. At that time she began having a constant headache with pain localized over her left eye (9/10) with associated photophobia and blurred vision. She was seen by a doctor who diagnosed her with migraine headaches. She was found fit for deployment and deployed on 04/20/2003, with Loritab 5mg for headache management. After arrival, the heat caused an increase in intensity (10/10). She continued to be photophobic and had GI symptoms of nausea and vomiting. She remained for 5.5 months. She experienced an increase in pain, frequency and intensity following the second anthrax vaccination. She increased her pain medication to 20-40mg to reduce pain and was absent from duty because of the pain. She also experience pain in her bilateral knees and shoulder (5-6/10). She was seen multiple times in medical for this problem. She returned on October 5, 2003. She continued to have headaches and associated symptoms. The neurologist completed an angiogram of the brain (12/12/2003). In November 2003, began counseling with a psychiatrist for complaints of depression with out suicidal ideation. She was diagnosed with a major depressive disorder and an anxiety disorder.  She was placed on convalescent leave in December 2003. During her convalescent period, she experienced a seizure, which she describes as "my whole body locked up" the individuals with her told her that she "was stiff as aboard, teeth were locked, and upper body was jerking". She states that her friends said the episode last about 8-10 minutes. She was exhausted afterwards and slept approximately 16 hours. On another occasion, she was driving and her head started jerking and her arms felt heavy and achy. She could not speak but she remained conscious during the episode which last approximately five minutes. She was seen in the Emergency Department for her headache and "shaking" episodes. She returned approximately one week later (January 2004) and saw her neurologist immediately. He ordered a Tilt Table Test (02/24/2004) and EEG (03/4/2004). These tests were reportedly normal. She was initially given a profile and instructed to wear sunglasses when she was in any bright light, even indoors and self paced physical training. She continued to have headaches and had 2 more "episodes". She was placed on temporary retirement in June 2004. During the week of July 5th 2004, she became very short of breath, swelling in hands and feet and had experienced a 22 pound weight gain in a 5 day period. She was admitted to the hospital. She underwent multiple chest x-rays, laboratory draws and a bronchoscope. The bronchoscope was reportedly normal. She was diagnosed with pneumonia and released on 13 July 2004.
Age: 28.0
Sex: F
Vaccine: ANTH
Symptoms: Pain, Photophobia, Pneumonia, Shoulder pain, Somnolence
Clinical narrative: This is a 30 year old now temporarily retired who had been in her usual health until approximately one week after receiving her primary anthrax vaccination. At that time she began having a constant headache with pain localized over her left eye (9/10) with associated photophobia and blurred vision. She was seen by a doctor who diagnosed her with migraine headaches. She was found fit for deployment and deployed on 04/20/2003, with Loritab 5mg for headache management. After arrival, the heat caused an increase in intensity (10/10). She continued to be photophobic and had GI symptoms of nausea and vomiting. She remained for 5.5 months. She experienced an increase in pain, frequency and intensity following the second anthrax vaccination. She increased her pain medication to 20-40mg to reduce pain and was absent from duty because of the pain. She also experience pain in her bilateral knees and shoulder (5-6/10). She was seen multiple times in medical for this problem. She returned on October 5, 2003. She continued to have headaches and associated symptoms. The neurologist completed an angiogram of the brain (12/12/2003). In November 2003, began counseling with a psychiatrist for complaints of depression with out suicidal ideation. She was diagnosed with a major depressive disorder and an anxiety disorder.  She was placed on convalescent leave in December 2003. During her convalescent period, she experienced a seizure, which she describes as "my whole body locked up" the individuals with her told her that she "was stiff as aboard, teeth were locked, and upper body was jerking". She states that her friends said the episode last about 8-10 minutes. She was exhausted afterwards and slept approximately 16 hours. On another occasion, she was driving and her head started jerking and her arms felt heavy and achy. She could not speak but she remained conscious during the episode which last approximately five minutes. She was seen in the Emergency Department for her headache and "shaking" episodes. She returned approximately one week later (January 2004) and saw her neurologist immediately. He ordered a Tilt Table Test (02/24/2004) and EEG (03/4/2004). These tests were reportedly normal. She was initially given a profile and instructed to wear sunglasses when she was in any bright light, even indoors and self paced physical training. She continued to have headaches and had 2 more "episodes". She was placed on temporary retirement in June 2004. During the week of July 5th 2004, she became very short of breath, swelling in hands and feet and had experienced a 22 pound weight gain in a 5 day period. She was admitted to the hospital. She underwent multiple chest x-rays, laboratory draws and a bronchoscope. The bronchoscope was reportedly normal. She was diagnosed with pneumonia and released on 13 July 2004.
Age: 28.0
Sex: F
Vaccine: ANTH
Symptoms: Speech disorder, Vision blurred, Vomiting, Weight increased
Clinical narrative: This is a 30 year old now temporarily retired who had been in her usual health until approximately one week after receiving her primary anthrax vaccination. At that time she began having a constant headache with pain localized over her left eye (9/10) with associated photophobia and blurred vision. She was seen by a doctor who diagnosed her with migraine headaches. She was found fit for deployment and deployed on 04/20/2003, with Loritab 5mg for headache management. After arrival, the heat caused an increase in intensity (10/10). She continued to be photophobic and had GI symptoms of nausea and vomiting. She remained for 5.5 months. She experienced an increase in pain, frequency and intensity following the second anthrax vaccination. She increased her pain medication to 20-40mg to reduce pain and was absent from duty because of the pain. She also experience pain in her bilateral knees and shoulder (5-6/10). She was seen multiple times in medical for this problem. She returned on October 5, 2003. She continued to have headaches and associated symptoms. The neurologist completed an angiogram of the brain (12/12/2003). In November 2003, began counseling with a psychiatrist for complaints of depression with out suicidal ideation. She was diagnosed with a major depressive disorder and an anxiety disorder.  She was placed on convalescent leave in December 2003. During her convalescent period, she experienced a seizure, which she describes as "my whole body locked up" the individuals with her told her that she "was stiff as aboard, teeth were locked, and upper body was jerking". She states that her friends said the episode last about 8-10 minutes. She was exhausted afterwards and slept approximately 16 hours. On another occasion, she was driving and her head started jerking and her arms felt heavy and achy. She could not speak but she remained conscious during the episode which last approximately five minutes. She was seen in the Emergency Department for her headache and "shaking" episodes. She returned approximately one week later (January 2004) and saw her neurologist immediately. He ordered a Tilt Table Test (02/24/2004) and EEG (03/4/2004). These tests were reportedly normal. She was initially given a profile and instructed to wear sunglasses when she was in any bright light, even indoors and self paced physical training. She continued to have headaches and had 2 more "episodes". She was placed on temporary retirement in June 2004. During the week of July 5th 2004, she became very short of breath, swelling in hands and feet and had experienced a 22 pound weight gain in a 5 day period. She was admitted to the hospital. She underwent multiple chest x-rays, laboratory draws and a bronchoscope. The bronchoscope was reportedly normal. She was diagnosed with pneumonia and released on 13 July 2004.
Age: 33.0
Sex: M
Vaccine: ANTH, HEP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pruritus, Tenderness
Clinical narrative: 33-year-old WM who received his anthrax vaccine #5 on morning of 1 July 2004 in his left upper arm, towards the triceps. On 7/2/04, when he awoke, the vaccine site was red, warm, swollen, pruritic and tender; the area involved was approximately 2-3" around the vaccine site and almost 1/2 the circumference of his upper arm. He denies any significant systemic symptoms such as lymphadenopathy, fever, muscle or joint pain, or headaches. He has not had a similar reaction with previous anthrax vaccines. The involved area increased in size over the next few days. On 7/3/04, he was advised to treat with atarax and topical steroids for itching, and to take tylenol or ibuprofen for tenderness. On 7/14/04, the tenderness, pruritis and edema resolved, but still a little patchy redness on inner, upper arm just above the elbow; no streaking.
Age: 9.0
Sex: M
Vaccine: HBHEPB
Symptoms: Feeling hot, Skin irritation
Clinical narrative: local reaction consisting of skin irritation.  Skin warm to touch.  Patient did not have a fever.
Age: 1.1
Sex: F
Vaccine: HIBV, MMR
Symptoms: Laboratory test abnormal, Pyrexia, Rash, Rash papular
Clinical narrative: Light rash occurred on 07-09-04 progressed to a more generalized rash on 7-12-04 on 7-13-04 she presented with fever of 101.5 papular rash all over her body and scalp.
Sex: U
Vaccine: FLUN3, FLUN3
Symptoms: Guillain-Barre syndrome
Clinical narrative: This case was considered medically important (OMIC). Information regarding Flumist was received from an attorney regarding a patient who experienced Guillain Barre. The patient received the vaccine on an unspecified date. Relevant medical history was not provided. Indication for Flumist was immunization. Product was administered on an unspecified date. Dose regimen was not provided. Concomitant medications were not reported. An attorney reported that a patient experienced Guillain Barre following receipt of Flumist. The attorney declined to provide any further information due to potential litigation; no lawsuit has been filed. The attorney stated that if improperly shipped and stored, Flumist had been administered to a patient, then interstate commerce could be involved if a patient got sick. The attorney mentioned, there is a bill in Congress which lists influenza as covered from compensation, which is an attempt by your company to limit liability towards problems like this. No additional information was available at the time of this report.
Age: 0.3
Sex: M
Vaccine: PNC
Symptoms: Abscess, Bacterial infection, Erythema, Joint range of motion decreased, Laboratory test abnormal
Clinical narrative: Information regarding Prevnar was received from a physician, an infectious disease specialist, regarding a 17 week old male patient who received a second dose on 7/2/04, as well as other unspecified 4 month vaccines and subsequently developed an abscess in his arm and a septic elbow. The patient has a past history of otitis media (two weeks prior to second dose of Prevnar). Indication for Prevnar was immunization. Product was administered on 7/2/04. Dose regimen was 0.5ml one time per day (IM). Additional, other 4 month vaccines (name and dose regimens unknown) were administered on 7/2/04. An infectious disease physician, consulted on 7/7/04, reported that a 17 week old male developed an abscess in his arm and a septic elbow following receipt of a second dose of Prevnar, as well as other unspecified 4 month vaccines from his pediatrician, on 7/2/04. The patient had experienced otitis media two weeks previously, but his ears appeared clear prior to receiving the vaccines on 7/2/04. The patient became febrile in the evening on 7/2/04, which increased and continued for 3 days. The patient was treated with alternating Tylenol and Motrin. He presented in the emergency room, with a temperature of 103.6 degrees F, on 7/5/04. On 7/6/04, the elbow appeared red. On 7/7/04, the elbow was firm, indurated, and the range of motion was limited. IV clindamycin was initiated in the left hand. On an unspecified date, an MRI was obtained and a culture performed showing Streptococcus pneumoniae and a septic elbow. Clindamycin was discontinued and the patient was treated with vancomycin and ceftriaxone. The physician stated that further information could be obtained from the pediatrician. The physician also indicated that she thought the Streptococcus pneumoniae might be secondary to the otitis media the child had previously. As of 7/7/04, the child was being transferred to a different hospital. No additional information was available at the time of this report. Follow up information from a physician, a pediatric infectioius disease specialist, provided information on subsequent serotype result as, "type not covered in Prevnar vaccine."
Age: 0.3
Sex: M
Vaccine: PNC
Symptoms: Pyrexia, Sepsis
Clinical narrative: Information regarding Prevnar was received from a physician, an infectious disease specialist, regarding a 17 week old male patient who received a second dose on 7/2/04, as well as other unspecified 4 month vaccines and subsequently developed an abscess in his arm and a septic elbow. The patient has a past history of otitis media (two weeks prior to second dose of Prevnar). Indication for Prevnar was immunization. Product was administered on 7/2/04. Dose regimen was 0.5ml one time per day (IM). Additional, other 4 month vaccines (name and dose regimens unknown) were administered on 7/2/04. An infectious disease physician, consulted on 7/7/04, reported that a 17 week old male developed an abscess in his arm and a septic elbow following receipt of a second dose of Prevnar, as well as other unspecified 4 month vaccines from his pediatrician, on 7/2/04. The patient had experienced otitis media two weeks previously, but his ears appeared clear prior to receiving the vaccines on 7/2/04. The patient became febrile in the evening on 7/2/04, which increased and continued for 3 days. The patient was treated with alternating Tylenol and Motrin. He presented in the emergency room, with a temperature of 103.6 degrees F, on 7/5/04. On 7/6/04, the elbow appeared red. On 7/7/04, the elbow was firm, indurated, and the range of motion was limited. IV clindamycin was initiated in the left hand. On an unspecified date, an MRI was obtained and a culture performed showing Streptococcus pneumoniae and a septic elbow. Clindamycin was discontinued and the patient was treated with vancomycin and ceftriaxone. The physician stated that further information could be obtained from the pediatrician. The physician also indicated that she thought the Streptococcus pneumoniae might be secondary to the otitis media the child had previously. As of 7/7/04, the child was being transferred to a different hospital. No additional information was available at the time of this report. Follow up information from a physician, a pediatric infectioius disease specialist, provided information on subsequent serotype result as, "type not covered in Prevnar vaccine."
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Epilepsy
Clinical narrative: This case was reported by a consumer and described the occurrence of epilepsy in her 4 month old son was received diphtheria and tetanus toxoids and acellular pertussis absorbed, hepatitis B recombinant and inactivated poliovirus vaccine combined. A physician or other health care professional has not verified this report. On 6/23/04, the patient received a dose of Pediarix 9dose number not specified). Approximately three hours after the administration of Pediarix, on 6/23/04, the patient experienced a seizure. The patient was hospitalized for five days and was treated with an unspecified anticonvulsant. The reporter stated that the patient, has developed new onset epilepsy and has 10 to 20 seizures a day. The event was ongoing at the time of initial reporting.
Age: 0.46
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Diarrhoea, Intestinal obstruction, Intestinal stenosis, Vomiting
Clinical narrative: Bilious vomiting, possible bowel obstruction. Secondary to possible stricture. Patient has remote history of necrotizing enterocolitis as a newborn (not surgically treated). Patient currently hospitalized.  Nurse follow up on 08/10/04 states: "Diarrhea." Per annual report-Patient had 2 "no show" appointments since reaction last on e 8/2/04.  Not seen at RMCHCS since then.
Age: 80.0
Sex: M
Vaccine: PPV
Symptoms: Arthropathy, Dizziness, Flushing, Hyperhidrosis, Injection site pain
Clinical narrative: Patient has undergone 2 surgical procedures for open debridement, had to have a PICC line put in and will receive IV antibiotics for one month. Spouse called stating he can't move his arm where he got his pneumonia shot.  Nurse follow up on 07/20/04 states: "Severe pain at, and just below, the injection site, Nauseated, Flushed, Diaphoretic, Unresponsive, Dizzy, HEMARTHROSIS, Swelling in L shoulder  swollen join."  Nurse follow up on 08/06/04 states: "Oral Candidiasis."
Age: 80.0
Sex: M
Vaccine: PPV
Symptoms: Joint range of motion decreased, Nausea, Oral candidiasis, Osteoarthritis, Stupor
Clinical narrative: Patient has undergone 2 surgical procedures for open debridement, had to have a PICC line put in and will receive IV antibiotics for one month. Spouse called stating he can't move his arm where he got his pneumonia shot.  Nurse follow up on 07/20/04 states: "Severe pain at, and just below, the injection site, Nauseated, Flushed, Diaphoretic, Unresponsive, Dizzy, HEMARTHROSIS, Swelling in L shoulder  swollen join."  Nurse follow up on 08/06/04 states: "Oral Candidiasis."
Age: 30.0
Sex: F
Vaccine: ANTH, ANTH
Symptoms: Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: 7/17/04: Pt received #5 Anthrax deltoid SQ (brief ) Pt notified 1 of Immunization RW's of "quarter size" red swelling at injection site (right deltoid) and warmness at site of 5cm and no systemic symptoms or signs 7/18/04. Pt referred to reserve  doctor. Pt complained of itchiness that she couldn't tolerate. Doctor ordered Benadryl 25mg po prn. Vaccine provider reviewed symptoms of normal reactions, Benadryl use and side effects and will follow up with pt.
Age: 30.0
Sex: F
Vaccine: ANTH, ANTH
Symptoms: Feeling hot, Injection site induration, Injection site swelling
Clinical narrative: 7/17/04: Pt received #5 Anthrax deltoid SQ (brief ) Pt notified 1 of Immunization RW's of "quarter size" red swelling at injection site (right deltoid) and warmness at site of 5cm and no systemic symptoms or signs 7/18/04. Pt referred to reserve  doctor. Pt complained of itchiness that she couldn't tolerate. Doctor ordered Benadryl 25mg po prn. Vaccine provider reviewed symptoms of normal reactions, Benadryl use and side effects and will follow up with pt.
Age: 30.0
Sex: F
Vaccine: ANTH, ANTH
Symptoms: Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: Pt noticed "quarter-sized" swelling at injection site right deltoid with swelling/ warmth to touch. Local reaction with induration 5 cm. No sys system. Pt given Bendadryl 25mg po per
Age: 30.0
Sex: F
Vaccine: ANTH, ANTH
Symptoms: Feeling hot, Injection site induration, Injection site swelling
Clinical narrative: Pt noticed "quarter-sized" swelling at injection site right deltoid with swelling/ warmth to touch. Local reaction with induration 5 cm. No sys system. Pt given Bendadryl 25mg po per
Sex: F
Vaccine: ANTH
Symptoms: Injection site abscess, Vaccine positive rechallenge
Clinical narrative: Anthrax injection site 5.5cm circle larger reaction that on other 5 doses.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Hypersensitivity, Injection site rash, Pruritus
Clinical narrative: Itching and rash persisting > 17days post injection at injection site.
Age: 78.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Hypersensitivity, Swelling
Clinical narrative: Pt called this AM and stated that she was having problems with her arm. She had received a shot in it on Wednesday and she said that about 6 inches of her arm is red and swollen. She is wondering what to do about it. It old the patient to take some Benadryl if not allergic to it which it does appear that she is and use some compressions on it. I told that she was having an allergic reaction to the pneu. shot that she got an it should be better in a few days. She said that she would be fine.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site swelling, Pruritus
Clinical narrative: Reports left arm red and swollen from shot site to elbow. Pt received pneumonia shot yesterday. Recommended she apply ice pack 15 min at a time 3 or 4 times daily to help with swelling. Recommended Benadryl prn itching. Let me know if no better over next 24 to 48 hours.  6/23/2004: spoke to pt and states arm much better. Swelling has gone down, there still is a little redness. Took 1 Benadryl before bed.
Age: 58.0
Sex: F
Vaccine: PPV
Symptoms: Headache, Hypersensitivity, Pruritus
Clinical narrative: PT called at 3:15 this AM concerned that she might be having an allergic reaction to the Pneumovax she received at her comp visit. She had a bad headache, and itching on her back and shoulders. She denied any rash or breathing difficulty. I advised her to take Tylenol 1000 mg Q 6 hours, and Benedryl 50 mg Q 6 hours, have someone drive her home, and if she did have problems breathing to call 911.
Age: 50.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pyrexia, Swelling, Tenderness
Clinical narrative: Pt reports in yesterday to see doctor. Has pneumonia vaccine. Arm is swelling and sore, swelling is 7x6 inches in area, reddened, and feverish, reddened are is 6x4 inches.
Age: 82.0
Sex: F
Vaccine: PPV
Symptoms: Discomfort, Pain, Swelling, Tenderness
Clinical narrative: Pt was contacted after another pt that we had seen on the same day as she was seen received a pneumococcal vaccination and subsequently developed a large cellulitis/ abscess. We contacted all of the patients who received the vaccine from that same lot and out of all of them, the pt was the only other one with any kind of discomfort. Had some mild pain the evening after the vaccination which worsened over the course of the night and peaked yesterday. No fever, chills or other systemic symptoms. She feels that the pain is 90% better. Does have some slight tenderness in the left deltoid area along with some slight swelling but really not very impressive. Good range of motion limitation. A local reaction to pneumococcal vaccination-- I do not really see much compelling evidence for infection but we'll obviously maintain a low threshold for this. The pneumococcal vaccination that we administered was in unit dose form and the likelihood of the whole lot being contaminated would seem to be small. Nonetheless I have encouraged her to contact me or my partners immediately should she develop any swelling, increased pain, fever, chills, or any questions whatsoever. I wasn't sure if she fully understood the ramifications of all of this and I tried to contact her daughter at the contact number that was given that was given but her daughter was not there. Message left with the son in law.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Dyspnoea, Fatigue
Clinical narrative: My Mom is not doing well. SOB. No pain anywhere. Extremely fatigue, cannot walk very far, no temp, could this be from that pneumonia shot.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Right arm around shot site swells, red.
Age: 2.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Drug ineffective, Herpes zoster, Pain, Rash vesicular
Clinical narrative: Received varicella vaccine in doctor's office on 01/08/2003. Did not have any systemic or local reaction at that time. On 6/23/04 developed vesicular rash with pain on left shin. On 6/24 rash had circled up leg, over knee, around thigh to lower left buttock. Seen by doctor. Diagnosed with Shingles (Herpes Zoster). Started on 6/23/04. 6/28/04: rash is resolving, but not completely gone yet.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Swelling
Clinical narrative: Pt received DTaP #4 on 6/15/04. Came into office 6/16/14 with redness and swelling to left deltoid.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Swelling, Urticaria
Clinical narrative: hives, swollen right thigh
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: Mild erythema/ color on proximal arm where DTaP given.
Age: 37.0
Sex: M
Vaccine: SMALL
Symptoms: Diarrhoea, Influenza like illness, Nausea, Pyrexia
Clinical narrative: flu-like symptoms, nausea, fever, diarrhea.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Pyrexia, Rash, Swelling, Tenderness
Clinical narrative: 7/6/04: started with low grade fever, now rash (sun burn like). Complete front of thigh, tender to touch, swollen. Seen by  CPNP 7/7/04. Per CPNP. Ice pack. RTC no imp. 2-3 days, Augmentin ES 2 tsp BID x 10 days.
Age: 60.0
Sex: F
Vaccine: PPV
Symptoms: Contusion, Feeling hot, Influenza like illness, Injection site erythema, Oedema
Clinical narrative: Began flu-like symptoms on evening of injection, then developed local reaction with a bruise at injection site, with redness at site down to elbow with mild edema and warm and sore to touch. Applied local moist heat and cool compress and took Aleve prn.
Age: 60.0
Sex: F
Vaccine: PPV
Symptoms: Tenderness
Clinical narrative: Began flu-like symptoms on evening of injection, then developed local reaction with a bruise at injection site, with redness at site down to elbow with mild edema and warm and sore to touch. Applied local moist heat and cool compress and took Aleve prn.
Age: 1.25
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Dermatitis bullous, Drug ineffective, Infection, Pyrexia
Clinical narrative: Fever starting 7/11/04. Rash 7/12/04: presents in office today for rash consistent with chicken pox.
Age: 0.2
Sex: F
Vaccine: DTP, HBHEPB, IPV, PNC
Symptoms: Crying, Irritability, Oral intake reduced, Sleep disorder
Clinical narrative: Excessive crying and fussiness x 24-36 hours and poor eating and sleeping.
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Injection site mass
Clinical narrative: Left deltoid area erythema and induration 7cmx7cm.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Pyrexia
Clinical narrative: Cried for 2 days, Temp of 99-100
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Feeling hot, Injection site mass, Pain
Clinical narrative: 07/09/04 DTaP given right thigh mom noted no rxn until 7/11 and erythema induration and pain. Seen 7/13 in office. +small at vaccine with 3/4 cm erythema induration and warm. 7/14 only scab at site of injection.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema, Pain
Clinical narrative: Phone call from Health Center. Pt had 3 1/2" x 2 3/4" red, swollen, painful, hot to touch area. Right deltoid. Seen by Dr. Tx with Motrin and PO Benadryl.
Age: 0.5
Sex: M
Vaccine: DTAP, PNC
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: red, warm, swollen right lat. thigh area.
Age: 0.5
Sex: F
Vaccine: DTAP, PNC
Symptoms: Grunting, Nasal congestion, Pyrexia
Clinical narrative: High fever-congestion-Temp up to 102.9, grunting.
Age: 1.25
Sex: M
Vaccine: HEP, HIBV
Symptoms: Pyrexia
Clinical narrative: Vaccine 6/22/2004 ActHib and Hep B developed temp 104, no other sx and complete resolution within 24 hours.
Age: 1.08
Sex: F
Vaccine: MMR
Symptoms: Erythema
Clinical narrative: 6/29 mom noticed redness on left arm. When checking out brought pt back to office area to have Dr assess arm. Left arm with a 5 1/2 cm to 7 cm red area where MMR vaccine administered. 6/30 spoke with mom 2 minutes later redness was gone.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Hallucination
Clinical narrative: Hallucinations during evening for 2 hours after- saw things in his bed and room.
Age: 1.17
Sex: F
Vaccine: DTAP, PNC
Symptoms: Pyrexia, Similar reaction on previous exposure to drug
Clinical narrative: When here for 12-15 mo shots states that last time here in Nov, pt had 103 fever and that has had after each set of shots. Had not told nurse prior to this.
Age: 56.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Feeling hot, Headache
Clinical narrative: 7/9/04-received vaccine 7/10/04 and 7/11/04 noted headache 7/12/04 seen in office per Dr-No fever. Site hot and reddened-sx have improved from previous day no treatment at this time. Pt did not inform Dr of previous adverse reaction
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Inflammation
Clinical narrative: Right thigh 4x4 with inflammation. No fever, no pain.
Age: 4.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Erythema, Oedema
Clinical narrative: Significant redness/swelling left upper arm from shoulder to elbow.
Age: 5.0
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Child developed chicken pox with classic vesicular lesions #10. Tx: Acyclovir 200/5 8 1/2 PO QIDx5 days
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Oedema
Clinical narrative: Swollen left shoulder, arm and elbow w/i 24 hours erythematous. Ice, Motrin PO ABX, F/U 24 hours.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site reaction, Oedema, Pruritus
Clinical narrative: shot site/itchy and irritated immediately swelling occurred less than 24 hours later.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Blister, Feeling hot, Oedema
Clinical narrative: Pt had adverse reaction on the right arm, Deltoid IM Warm, swelling, blistering on day 2 seen by doctor on 7/19/04.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site mass, Oedema
Clinical narrative: Swollen and Induration first noted on 7/17/04 given on right deltoid IM. Reaction was documented by Dr.
Age: 1.25
Sex: M
Vaccine: DTAP, HBHEPB, MMR
Symptoms: Erythema, Injection site reaction, Pyrexia, Tenderness
Clinical narrative: Left thigh: 8x9cm erythema with central injection mark; tender to touch; 101.3 temp
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Vaccine failure pt diagnosed with chickenpox.
Age: 18.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site warmth, Pain
Clinical narrative: Redness to site, warm to touch, soreness to deltoid (left).
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Tenderness
Clinical narrative: DTaP and IPV administered to left upper arm on 7/13/04. On 7/14/04, localized erythema and swelling which on 7/15/04 had spread to circumferential swelling, erythema, induration of upper arm. Mildly tender; no systemic symptoms. Patient was moving extremity with no limitations.
Age: 6.0
Sex: F
Vaccine: FLUN3
Symptoms: Herpes simplex
Clinical narrative: Follow up information received on 4/26/04, provided demographic information, medical history, administration of initial dose of Flumist and subsequent dosing information and date, lot number and site of herpes lesion. Information regarding Flumist was received from a physician regarding a 6 year old female patient who received a first dose on 12/11/03, and developed herpes. The patient's concurrent illness includes food allergy. Indication for Flumist was immunization. Product was administered on 12/11/03. Dose regimen was 1 dose. Patient was not taking concomitant therapy. On 12/16/03, a 6 year old female patient developed herpes on top of lip, under nose, after receiving her first dose of Flumist on 12/11/03. Zovirax ointment was prescribed, and patient recovered. On 2/19/04, the child received a second dose of Flumist, and the reporter stated, no herpes outbreak, but 7 days later mom called to report that mom had herpes outbreak. The reporter also indicated that the mother received Zovirax and recovered.
Age: 9.0
Sex: M
Vaccine: FLUN3
Symptoms: Malaise, Pyrexia
Clinical narrative: Follow up information pertaining to patient's medical history was received from a physician. Information regarding Flumist was received from a healthcare professional regarding a 9 year old male who experienced malaise and fever. At 9 years of age, the patient received his first dose on 11/19/03. Relevant medical history: none. Indication for Flumist was immunization. Product was administered on 11/19/03. Dose regimen was 1 dose. Patient was not taking concomitant therapy. On 11/24/03, approximately five days after receiving Flumist, the patient developed fevers of 102-104 that lasted for about three days. The patient also experienced malaise. All symptoms resolved in about five days. It was reported that the patient's brother received the Flumist on the same date and did not experience problems. The physician additionally noted in his follow up that it is unknown if the fever was vaccine related or whether the patient had some other illness since he did not have a chance to examine him. No additional information is was available at the time of this report.
Age: 47.0
Sex: M
Vaccine: LYME
Symptoms: Anorexia, Asthenia, Back pain, Blood testosterone decreased, Chills
Clinical narrative: IN JUNE OF 1999, GENERAL HEALTH STARTS DETERIORATING.  BACK PAIN, CHIROPRACTOR.  10/99 ACUTE SINUSITUS, ANTIOBIOTIC.  12/99 SINUSITUS, ANTIBIOTIC. HEADACHE, CHILLS, WEAK, TIRED.  4/00 FATIGUE, WASHED-OUT, DIARRHEA, LOSS OF APPETITE, NO ENERGY, SLEEPING ALOT.  11/00 SINUSITUS, BODY ACHES, FATIGUE, ANTIBIOTIC. 1/01 ACUTE SINUSITUS, ANITBIOTIC. FATIGUE, NO AMBITION, DOESN'T EXERCISE NOW.  5/01 STOMACH DISORDER, DIARREHEA. WORSENING DEPRESSION, INCREASISNG, CHANGING ANTI-DEPRESSANTS AND SLEEP MEDICATION.  6/01 INCREASING NAUSEA, DIET OFF, LOSING WEIGHT. COLONOSCOPY, UPPER G/I.  7/01 DIARRHEA NOW TWO MONTHS. CANNOT DO ANYTHING.   ASKS TO BE HOSPITALIZED.  BLOOD TESTS, PANCREAS ENZYMES, CT SCAN ABDOMEN, SMALL BOWEL SERIES. ELEVATED LIPASE, DEPRESSION .  3/02 PAIN UPPER BACK AND FLANK, LEFT SIDE, POSSIBLE STONE, FATIGUE, DEPRESSION, WEIGHT GAIN.  2 SMALL KIDNEY STONES.  2/03 FREQUENT DIARRHEA, CHILLS, CANNOT EAT.  7/03 INVOLUNTARY WEIGHT LOSS, FATIGUE, DEFICIENT TESTOSTERONE LEVELS.  2/04 RECURRENT HEADACHE, EARACHE, ANITBIOTIC, GENERAL STIFFNESS, FATIGUE.  6/04 STOMACH PROBLEMS, DIARRHEA I WEEK, INVOLUNTARY WEIGHT LOSS, ABDOMONAL TENDERNESS.  ALL COMMENTS TO THIS POINT ARE FROM PRIMARY CARE PHYSICIAN.  DURING SAME PERIOD, I HAD TWO SLEEP STUDIES, VISITED NUEROLOGIST, TWO BRAIN SCANS DUE TO SEVERE HEADACHES. ALSO TREATED BY PSYCHIATRIS WITH INCREASING AMOUNTS OF ANTI-DEPRESSANTS, STIMULANTS, EARLY-ONSET ALZHEIMER DRUG.  RECEIVED PSHYCHOLOGICAL TESTING BY ANOTHER PSYCHIATRIST. DIAGNOSED WITH AN ACQUIRED LEARNING DIABILITY. DETERIORATION IN MEMORY, COGNITION, SPATIAL ABILITIES.    CEASED WORKING AS OF 7/01/04 DUE TO COMPOUNDING AND CONFOUNDING ILLNESSES.  ALTHOUGH 1998 AND 2004  BLOOD TESTS FOR LYME DISEASE WERE NEGATIVE, MORE AND MORE PEOPLE AROUND ME SUGGEST I HAVE SIMILAR SYMPTOMS.  FRIEND REFERS ME TO INTERNIST THAT DIAGNOSED HER FRIEND WITH LYME AFTER MANY YEARS OF BEING TOLD SHE DID NOT HAVE IT.    ON 7/12/04 I VISITED THIS DOCTOR.  AS I EXPLAIN MY PROBLEMS AND MENTION THAT I HAD THE LYME VACCINE IN 1999, HE ASKS IF I WAS AWARE OF A LAWSUIT AGAINST THE MANUFACTURER.