chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Inflammation
Clinical narrative: 9cm x 9.5cm inflammation area right deltoid 24 hours after vaccine given. Resolved by 9/5/04 per follow up phone call with mom.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Crying, Erythema, Injection site mass
Clinical narrative: Mother called; child crying, unconsolable, red, knot at injection site: advised mom to bring child back to office immediately. Mom called back 1 hour later . Child calm: red area going away. No treatment given.
Age: 3.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Left leg swollen and reddened 20 min after shot returned to clinic 2 days after: treated with Duricef.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot
Clinical narrative: Large red area upper left thigh: hot to touch. Received Orapred and Duricef
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Pruritus
Clinical narrative: red area top (L) leg: itchy and hot 14cm x 14 cm; treated with OTC Benadryl , Duricef and cold compresses
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot
Clinical narrative: red area to mid left thigh: 10 cm x 5 cm, hot to touch, treated with Duricef.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot
Clinical narrative: red, hot area to left upper leg: treated with ice to area, OTC Benadryl , Duricef
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Swelling
Clinical narrative: Swollen upper leg (thigh) left
Age: 54.0
Sex: M
Vaccine: ANTH
Symptoms: Rash pruritic, Skin ulcer, Sleep disorder
Clinical narrative: 5/24/04- received anthrax #1 (given alone) on left upper arm- no anaphylaxis sxs. 5/25/04- developed "extremely" pruritic rashes (sudden) on the left side of the body- started from the inoculation site to left axillary region to left shoulder, then to left hand- unable to sleep d/t pruritus- no other systemic complaints. 5/26/04- seen by healthcare practitioner- given steroid po x3ds- "better" but rashes did not resolve completely. 6/4/03- deployed - noticed lesions reappearing for "about three days" then disappearing without any intervention- lesions completely resolved 2 wks after receiving the vaccine.
Age: 14.0
Sex: M
Vaccine: DTAP
Symptoms: Infection
Clinical narrative: Within a month of the vaccine patient had ear infections.  These could not be cleared by antibiotics.  These ear infection lasted 8 months.
Age: 19.0
Sex: M
Vaccine: RAB
Symptoms: Chest pain, Hyperhidrosis, Nausea, Paraesthesia mucosal, Rash
Clinical narrative: Patient had been in the clinic room for about 10 - 15 minutes after he received the RabAvert vaccination.  He was fine in the clinic room, no symptoms reported.  He walked out of the building with his parents.  Once outside he complained of tingling in his throat and mouth.  He continued out to his parents car.  His symptoms worsened with continued tingling in throat and mouth, nausea, and chest pain.  His parents drove to outside the health department's door and his father came to get me.  911 was called as I went out to the car.  When I arrived to the car, he was lying on his right side on the back seat of the car.  His blood pressure was 110/66 and his pulse was 104.  He was diaphoretic and complained of chest pain and nausea.  He vomited.  He said he was afraid.  The ambulance arrived and took him to the ED.  In the ambulance, he was treated with benedryl 50 mg IVP. At the ED, he was found to have a rash on neck, trunk,and hands.  BP 138/68, pulse 89, respirations 16.  Treated in ED with solumedrol 50 mg IVP X1 and Pepcid 20 mg IV.  He was sent home with prednisone 2 pills daily X 4 days, then 1 pill daily X 3 days, Benedryl 25 mg q 6 hrs for 4-5 days, and pepcid 20 mg q 12 hours prn for hives not controlled by benedryl.  History of 5 doses Rabies post-exposure vaccination in 1993 with Imovax.  No reactions to any of those vaccinations.
Age: 19.0
Sex: M
Vaccine: RAB
Symptoms: Vomiting
Clinical narrative: Patient had been in the clinic room for about 10 - 15 minutes after he received the RabAvert vaccination.  He was fine in the clinic room, no symptoms reported.  He walked out of the building with his parents.  Once outside he complained of tingling in his throat and mouth.  He continued out to his parents car.  His symptoms worsened with continued tingling in throat and mouth, nausea, and chest pain.  His parents drove to outside the health department's door and his father came to get me.  911 was called as I went out to the car.  When I arrived to the car, he was lying on his right side on the back seat of the car.  His blood pressure was 110/66 and his pulse was 104.  He was diaphoretic and complained of chest pain and nausea.  He vomited.  He said he was afraid.  The ambulance arrived and took him to the ED.  In the ambulance, he was treated with benedryl 50 mg IVP. At the ED, he was found to have a rash on neck, trunk,and hands.  BP 138/68, pulse 89, respirations 16.  Treated in ED with solumedrol 50 mg IVP X1 and Pepcid 20 mg IV.  He was sent home with prednisone 2 pills daily X 4 days, then 1 pill daily X 3 days, Benedryl 25 mg q 6 hrs for 4-5 days, and pepcid 20 mg q 12 hours prn for hives not controlled by benedryl.  History of 5 doses Rabies post-exposure vaccination in 1993 with Imovax.  No reactions to any of those vaccinations.
Age: 8.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: local swelling & erythema at immunization site
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Asthma, Pyrexia, Wheezing
Clinical narrative: Client began wheezing approximately 8-12hrs after receiving a Varicella vaccine. Her condition continued to worsen all night. Her mother took her to the doctor the next morning and he diagnosed her with an asthmatic episode secondary to receiving the Varicella Vaccine. The child did have an axillary temp of 100.6 which was controlled with tylenol. The child was put on Albuterol inhaler 2 puffs QID and her condition is much improved.
Age: 19.0
Sex: M
Vaccine: MEN
Symptoms: Laboratory test abnormal, Myositis, Nephritis, Systemic lupus erythematosus
Clinical narrative: Patient with systemic lupus erythematosus and lupus nephritis experienced a significant flare in disease activity and also new myositis.   Prior to the immunization he had trace proteinuria, normal complement levels; normal muscle enzymes.
Age: 29.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Chills, Influenza like illness, Pyrexia
Clinical narrative: Flu like symptoms, fatigue, chills, fever and nausea/vomiting.  Treatment: Tylenol for fever, clear liquids and antiemetics for nausea/vomiting
Age: 29.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Chills, Fatigue, Influenza like illness, Nausea, Pyrexia
Clinical narrative: Flu like symptoms, fatigue, chills, fever and nausea/vomiting.  Treatment: Tylenol for fever, clear liquids and antiemetics for nausea/vomiting
Age: 29.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Vomiting
Clinical narrative: Flu like symptoms, fatigue, chills, fever and nausea/vomiting.  Treatment: Tylenol for fever, clear liquids and antiemetics for nausea/vomiting
Age: 36.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Cellulitis, Hypersensitivity, Injection site reaction, Malaise, Pain
Clinical narrative: Information has been received from a registered nurse concerning a 36 year old female with Crohn's Disease and a codeine allergy who on 8/2/04 was vaccinated in the right arm with a dose of pneumococcal 23v polysaccharide vaccine (lot # 647655/0869N). On 8/3/04, the next day, the patient presented to the office with a local site reaction described as a red, tender, edematous right arm which looked like cellulitis. The patient also had a fever of 103 F and was tachycardic. A chest x-ray was negative. An EKG was normal but tachycardic. The WBC was elevated at 10.6. The patient was treated with ceftriaxone sodium 1 gram. The patient was hospitalized on 8/3/04, and was diagosed with an allergic reaction to pneumococcal 23v polysaccharide vaccine. The patient was treated with IV antibiotics, and was discharged on 8/6/04. The outcome was reported as recovered. There was no product quality complaint. Additional information has been requested.
Age: 36.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Pyrexia
Clinical narrative: Information has been received from a registered nurse concerning a 36 year old female with Crohn's Disease and a codeine allergy who on 8/2/04 was vaccinated in the right arm with a dose of pneumococcal 23v polysaccharide vaccine (lot # 647655/0869N). On 8/3/04, the next day, the patient presented to the office with a local site reaction described as a red, tender, edematous right arm which looked like cellulitis. The patient also had a fever of 103 F and was tachycardic. A chest x-ray was negative. An EKG was normal but tachycardic. The WBC was elevated at 10.6. The patient was treated with ceftriaxone sodium 1 gram. The patient was hospitalized on 8/3/04, and was diagosed with an allergic reaction to pneumococcal 23v polysaccharide vaccine. The patient was treated with IV antibiotics, and was discharged on 8/6/04. The outcome was reported as recovered. There was no product quality complaint. Additional information has been requested.
Age: 36.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Cellulitis, Hypersensitivity, Injection site erythema, Injection site pain, Injection site reaction
Clinical narrative: Information has been received from a registered nurse concerning a 36 year old female with Crohn's Disease and a codeine allergy who on 8/2/04 was vaccinated in the right arm with a dose of pneumococcal 23v polysaccharide vaccine (lot # 647655/0869N). On 8/3/04, the next day, the patient presented to the office with a local site reaction described as a red, tender, edematous right arm which looked like cellulitis. The patient also had a fever of 103 F and was tachycardic. A chest x-ray was negative. An EKG was normal but tachycardic. The WBC was elevated at 10.6. The patient was treated with ceftriaxone sodium 1 gram. The patient was hospitalized on 8/3/04, and was diagosed with an allergic reaction to pneumococcal 23v polysaccharide vaccine. The patient was treated with IV antibiotics, and was discharged on 8/6/04. The outcome was reported as recovered. There was no product quality complaint. Additional information has been requested.
Age: 36.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site swelling, Pyrexia, Tachycardia, White blood cell count increased
Clinical narrative: Information has been received from a registered nurse concerning a 36 year old female with Crohn's Disease and a codeine allergy who on 8/2/04 was vaccinated in the right arm with a dose of pneumococcal 23v polysaccharide vaccine (lot # 647655/0869N). On 8/3/04, the next day, the patient presented to the office with a local site reaction described as a red, tender, edematous right arm which looked like cellulitis. The patient also had a fever of 103 F and was tachycardic. A chest x-ray was negative. An EKG was normal but tachycardic. The WBC was elevated at 10.6. The patient was treated with ceftriaxone sodium 1 gram. The patient was hospitalized on 8/3/04, and was diagosed with an allergic reaction to pneumococcal 23v polysaccharide vaccine. The patient was treated with IV antibiotics, and was discharged on 8/6/04. The outcome was reported as recovered. There was no product quality complaint. Additional information has been requested.
Age: 26.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Right deltoid erythema and induration of 11x12 centimeters.  No lymphangitis, lymphadenapathy, fever or swelling of arm.
Age: 68.0
Sex: M
Vaccine: PPV
Symptoms: Cough, Pneumonia, Pyrexia
Clinical narrative: Information has been received from a licensed practical nurse concerning a 68 year old male who on the afternoon of 8/23/04 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine (lot # 647635/0864N). The LPN reported that on 8/24/04, at 3:30, the patient developed coughing and  two hours later developed a fever of 103F. Unspecified medical attention was sought. The patient was subsequently hospitalized as a diagnosis of pneumonia was made. The patient was treated with IV antibiotics and was discharged from the hospital. After discharge, the patient subsequently recovered from the pneumonia. Additional information has been requested.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Blindness, Injection site oedema, Lacrimation increased, Pain, Photophobia
Clinical narrative: Excessive rash over most of the body. Swelling of glands under the arms and groin area. Vision problems, very irritating when exposed to sunlight or electrical lights. Vision worsened in right eye from 20/30 to 20/200 within 5 months.  Smallpox: all deporting shots to leave country was given on 08/06. Knowledge of all-unknown.  I had a reaction to a vaccination for smallpox while I was in the military.  It was given to me by medics on 08/06/1970.  Symptoms were swelling, pain, temperature, splotch type rash, itchy and watery eyes. I was treated for the swelling and rash first. After 4 days of treatment for these problems I was then refined to quarters with no use of any type of light-just total darkness for 2 days. Eventually all the rash and swelling went away. At this time I acknowledged to the military that I was having vision problems. There was no available optometrist at the base where I was stationed. I came home in 09/1970.  I then was sent to another country. Between 10/1970 and 01/1971 I noticed a distinct problem with having to squint all the time because the sun or bright lights hurt my eyes severely. At this time I went to the optometrist and found my eye sight to be 20/100 already. By 02/1971 my eye sight had gone to 20/200. This being in my right eye only.  My left eye is still 20/20. Glasses were issued by the military at this time. By 975 glasses for the vision in the right eye could not be fitted. I'm blind in this eye today. I never filed a complaint to the military until 02/02.  I have talked to numerous optomologists and optometrists and they suggest or agree that I may have a weak or weaker eye, being the right eye. This is all after fact or a matter of opinion. If there is any information available on the effects of a reaction to Smallpox vaccination that could have caused this problem I would greatly appreciate hearing about it. I would like to hear a response on this or advise on what you think.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus, Pyrexia, Rash, Vaccine positive rechallenge
Clinical narrative: Excessive rash over most of the body. Swelling of glands under the arms and groin area. Vision problems, very irritating when exposed to sunlight or electrical lights. Vision worsened in right eye from 20/30 to 20/200 within 5 months.  Smallpox: all deporting shots to leave country was given on 08/06. Knowledge of all-unknown.  I had a reaction to a vaccination for smallpox while I was in the military.  It was given to me by medics on 08/06/1970.  Symptoms were swelling, pain, temperature, splotch type rash, itchy and watery eyes. I was treated for the swelling and rash first. After 4 days of treatment for these problems I was then refined to quarters with no use of any type of light-just total darkness for 2 days. Eventually all the rash and swelling went away. At this time I acknowledged to the military that I was having vision problems. There was no available optometrist at the base where I was stationed. I came home in 09/1970.  I then was sent to another country. Between 10/1970 and 01/1971 I noticed a distinct problem with having to squint all the time because the sun or bright lights hurt my eyes severely. At this time I went to the optometrist and found my eye sight to be 20/100 already. By 02/1971 my eye sight had gone to 20/200. This being in my right eye only.  My left eye is still 20/20. Glasses were issued by the military at this time. By 975 glasses for the vision in the right eye could not be fitted. I'm blind in this eye today. I never filed a complaint to the military until 02/02.  I have talked to numerous optomologists and optometrists and they suggest or agree that I may have a weak or weaker eye, being the right eye. This is all after fact or a matter of opinion. If there is any information available on the effects of a reaction to Smallpox vaccination that could have caused this problem I would greatly appreciate hearing about it. I would like to hear a response on this or advise on what you think.
Age: 3.0
Sex: M
Vaccine: MMR
Symptoms: Anaphylactic reaction, Cough, Dyspnoea, Hypersensitivity, Wheezing
Clinical narrative: Patient received the MMR vaccine as part of 3 year old well exam. After leaving the office, he developed severe coughing episode and difficulty breathing in the parking lot. They returned to office where he was found to be wheezing, had decreased air movement and oxygen saturation of 92%. He received Benadryl, Orapred steroid and nebulized Xopenex 2 times. After treatment he was normal and remained symptom free overnight. There were no other foods or medications ingested during that time.  Nurse follow up on 10/11/04 states: "Anaphylaxis, Allergic reaction to gellatin."
Age: 0.32
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Infection, Injection site oedema, Pyrexia
Clinical narrative: According to the grandmother of pt, pt had a slight fever on 08/23/04 after receiving three immunizations. Pt was given Tylenol and the temperature went back to normal. No adverse events occurred on 08/24/04.  On 08/25/04 at 9AM, one leg appeared larger than the other leg and pt had a fever of 102. Seen at ER and admitted with fever and infected leg.  08/26/04 at 9:45AM, child is doing OK according to the hospital.  Which leg is infected is unknown at this time.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: 1 1/2" red, warm, swelling surrounding injection site left deltoid.
Age: 12.0
Sex: F
Vaccine: MMR, TD
Symptoms: Hypokinesia, Injection site erythema, Injection site mass, Pain
Clinical narrative: Developed induration and mild erythema with pain on movement in deltoid area overlying Td site. Induration 12x15 cm with erythema 6.5x7.4cm- no fluctuance.
Age: 46.0
Sex: F
Vaccine: MMR
Symptoms: Headache, Oedema, Pain, Pruritus, Rash
Clinical narrative: Pt had hive like rash over trunk, extremities. Assoc with itching. Left wrist soreness, swelling. No fever, no N/V. Headache (mild). Benadryl. To see her own MD also. To F/U with us in one week.
Age: 0.88
Sex: F
Vaccine: IPV, PNC
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Pt was seen in the emergency room and put on antibiotics but she had swelling and redness at site of injection.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema, Oedema
Clinical narrative: Redness and swelling
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Feeling hot, Injection site oedema
Clinical narrative: Localized red, swollen, hot area about 5-6cm in diameter around immunization sites on right thigh
Age: 13.0
Sex: F
Vaccine: HEP, HEPA, TD
Symptoms: Dizziness, Pallor
Clinical narrative: Client fell onto the floor c/o dizziness. Alert, awake, oriented x 3. Skin pale, called 911. N.S. P-68, R-18, B/P 110/58
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP, MMR
Symptoms: Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: Foster mom brought pt in on 8/19/04 with left thigh swollen approx 3 1/2 in. in size, induration with red splotchy area. He had received Pediarix in left thigh on 8/17/04. She said it had been that way for 2 days. He received 12.5 mg of Benadryl IM. Dr. spoke with mom on 8/20/04 and his left thigh area had turned completely red, told to bring back in, mom didn't. Spoke with foster mom this AM said doing great, redness gone.
Age: 1.03
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Rash papular
Clinical narrative: Left left with papulovesicular rash at injection site to 1 inch diameter around site.
Age: 3.0
Sex: M
Vaccine: DTAP, HEP, HIBV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Injection site reaction, Tenderness
Clinical narrative: Local reaction to site of injection. Redness, swelling, tenderness, warm to touch, to the right thigh.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Rash vesicular
Clinical narrative: Pt has patchy, red vesicular eruption on anterior right thigh. Dr from ER described.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site haemorrhage, Injection site mass, Somnolence
Clinical narrative: Sleepiness but about 24 hrs later. Redness and induration right arm approx 12 hrs, small purple ecchymosis 24hr later.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Abscess, Feeling hot, Injection site erythema, Injection site pain, Skin discolouration
Clinical narrative: Softball size area of redness, warmth, pain to right arm. Was seen by MD on 8/27/04 who told mother the arm had an abcess and rx'd Augmentin x 7d and Benadryl as needed. Purple after 7d with continued pain.
Age: 4.0
Sex: F
Vaccine: HEPA
Symptoms: Rash
Clinical narrative: Mother reported child developed rash all over body, no fever no N/V, no swelling. Took child 8/24/04 to MD, given Benadryl every 12 hours and Lidamente cream per MA at DR.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Unevaluable event
Clinical narrative: UNK
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Feeling hot, Injection site erythema, Oedema
Clinical narrative: Redness, swelling (severe), warmth, and skin firm at site of injection. Examined by Dr and given Prednisone 20mg 1 BID #6 and Benadryl OTC.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: RUE edema, erythema, warmth, elbow to shoulder
Age: 1.51
Sex: F
Vaccine: DTAP
Symptoms: Gait disturbance, Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: Swollen right leg 24 hours after given DTaP, slight limp. Swelling at exam was from knee to hip, erythematous and indurated 12-13cm.
Age: 3.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Injection site reaction
Clinical narrative: 24 hours after vaccine, redness, swelling, warm to touch, local reaction at injection site.
Age: 0.55
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, MMR
Symptoms: Medication error
Clinical narrative: Gave MMR Vaccine too early
Age: 39.0
Sex: F
Vaccine: MMR
Symptoms: Chills, Diarrhoea, Headache, Hyperhidrosis, Myalgia
Clinical narrative: fevers/ chills/sweats, headache, vertigo, diarrhea, myalgias.
Age: 39.0
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Vertigo
Clinical narrative: fevers/ chills/sweats, headache, vertigo, diarrhea, myalgias.
Age: 5.5
Sex: F
Vaccine: DTP, IPV, MMR, VARCEL
Symptoms: Erythema, Rash, Rash maculo-papular
Clinical narrative: On Wednesday, 9/1/04: Early morning. She had (small bumpy) bid red splotches all over her body. Took her to school NOB. They said it looked like reaction from the vaccine. Splotches went away and as they went, she had and has single bumps over her body that itch. Still has bumps as of today. September 13, 2004. Still has bumps.
Age: 10.0
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Musculoskeletal stiffness, Paraesthesia
Clinical narrative: Pt stated, "as soon as the nurse put the medicine (Hep A vaccine) in me, my arm started to tingle all the way to my fingertips. Then, it (the tingling) went clear across my chest and all through the rest of my body. The tingling that went through my chest and the rest of my body was over really fast, but my arm kept tingling. " Pt told me, "the tingling in  arm finally stopped" about 45 minutes after receiving the vaccine. To the best of my knowledge, she has fully recovered. What I observed: Immediately after receiving the Hep A vaccine, pt clearly and in a mater of fact manner stated "my arm is tingling." She was not hyperventilating nor was she gasping for breath. Two medical personnel were in the room and both were within earshot of my daughter. Neither of them questioned her at all. We waited a good ten minutes in the waiting area before leaving for home. It was about 45 minutes after pt had received her immunization that she told me her arm had finally quit tingling. The following morning, she complained of stiffness in her arm, and again began talking about what happened to her when she received her immunization. It was then, on the morning of September 2, 2004 that she again stated that her arm immediately began tingling all the way to her fingertips. Then she also disclosed that as soon as she felt the tingling go all through her arm, that it (the tingling) also went all the way across her chest and then all through the rest of her body. I questioned her more about the tingling that went across her chest. She swept her hand quickly across my thigh and said it was like that... that the tingling that went across her chest and then through the rest of her body started and subsided rapidly. But she also stated that the tingling in her arm lasted much longer, that we were about half way home before her arm finally quit tingling. Pt finally got an appointment with doctor to report this. She was seen on 10SEP04 in the pediatrics clinic on the post. No treatment was required.
Age: 10.0
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Paraesthesia, Sensory disturbance
Clinical narrative: Pt stated, "as soon as the nurse put the medicine (Hep A vaccine) in me, my arm started to tingle all the way to my fingertips. Then, it (the tingling) went clear across my chest and all through the rest of my body. The tingling that went through my chest and the rest of my body was over really fast, but my arm kept tingling. " Pt told me, "the tingling in  arm finally stopped" about 45 minutes after receiving the vaccine. To the best of my knowledge, she has fully recovered. What I observed: Immediately after receiving the Hep A vaccine, pt clearly and in a mater of fact manner stated "my arm is tingling." She was not hyperventilating nor was she gasping for breath. Two medical personnel were in the room and both were within earshot of my daughter. Neither of them questioned her at all. We waited a good ten minutes in the waiting area before leaving for home. It was about 45 minutes after pt had received her immunization that she told me her arm had finally quit tingling. The following morning, she complained of stiffness in her arm, and again began talking about what happened to her when she received her immunization. It was then, on the morning of September 2, 2004 that she again stated that her arm immediately began tingling all the way to her fingertips. Then she also disclosed that as soon as she felt the tingling go all through her arm, that it (the tingling) also went all the way across her chest and then all through the rest of her body. I questioned her more about the tingling that went across her chest. She swept her hand quickly across my thigh and said it was like that... that the tingling that went across her chest and then through the rest of her body started and subsided rapidly. But she also stated that the tingling in her arm lasted much longer, that we were about half way home before her arm finally quit tingling. Pt finally got an appointment with doctor to report this. She was seen on 10SEP04 in the pediatrics clinic on the post. No treatment was required.
Sex: U
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Mom took child to ER on 9/10/04 due to the swelling and redness of the injection site, left leg. Child was put on Keflex due to localized reaction. VS early cellulitis (9/10/04) On 9/13/04 child seen for flu and the cellulitis was improving only slight induration, slight red growth. No tenderness. Left leg.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site swelling
Clinical narrative: Large, puffy left arm at site of DTaP
Age: 1.08
Sex: F
Vaccine: HIBV, IPV, MMR, UNK
Symptoms: Eyelid ptosis
Clinical narrative: Received MMR, Comvax, IPV on 8/7/04. Had left ptosis on 8/27/04 lasting around  hours. Checked by opthalmologist. No allergy. No infection. Left ptosis returned on 9/10/04: Checked by neurologist
Age: 18.0
Sex: F
Vaccine: MEN, TD
Symptoms: Rash maculo-papular
Clinical narrative: Maculopapular rash started over acute orbital forearm , then face, chest, back, whole arm and legs.
Age: 33.0
Sex: M
Vaccine: MEN
Symptoms: Chills, Headache, Malaise, Myalgia, Pyrexia
Clinical narrative: Malaise, headaches, fevers 103 degrees, chills, myalgias. Lasted 4 full days. Treated with Tylenol and Ibuprofen and Rest.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Screaming
Clinical narrative: 5 hours screaming unrelenting 1-3 hours post vaccine: injection site not inflammed nor edematous, not tender beyond expectaiton.
Age: 77.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis
Clinical narrative: 24 hours past injection, pt developed cellulitis right upper arm approximately 5" below injection site.
Age: 25.0
Sex: F
Vaccine: TTOX
Symptoms: Myalgia, Pyrexia
Clinical narrative: Lower extremities muscle aches with fever x 24 hours
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Rash
Clinical narrative: Rash: all over body
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia, Rash
Clinical narrative: The night of the vaccination, the patient developed rash and the next morning (around 5 am) suffered with fever that increased from 100-102. Doctor visit that day and there was rash all over body, not on scalp and did not look like hives.
Age: 66.0
Sex: F
Vaccine: PPV, TD
Symptoms: Injection site rash, Urticaria
Clinical narrative: Pt complained of rash / hives to injection site of Pneumo vaccine, about 24 hours after administration. Pt advised to start Benadryl every 6 hours. Pt seen at our office today 9/17/04.
Age: 19.0
Sex: M
Vaccine: MEN
Symptoms: Fatigue, Pyrexia
Clinical narrative: fever 101.2 and severe fatigue. 12-15 hours after vaccination of Menomune. Early exam 9/16/04. No fever.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site abscess, Injection site erythema, Injection site swelling
Clinical narrative: red, swollen purulent at site of injection.
Age: 4.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Dyskinesia, Injection site induration, Injection site vesicles
Clinical narrative: Induration, vesiculation in area of injection. Needle scratch result from pt. Child kicking at time of injection.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Unevaluable event
Clinical narrative: This is a 23 year old who presents to the Vaccine Healthcare Center for clearance prior to deployment. He received his first three anthrax vaccinations within a 12 day period. He denies any symptoms, such as fever, chills, nausea, vomiting or diarrhea. He has not experienced any dermatological reactions as a result of his scheduled being compressed. The product line leader for immunizations has requested that he be evaluated and cleared prior to receiving any addition vaccinations or deploying. Additional guidance has been requested in regards to future vaccinations.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Headache, Injection site induration, Lymphadenopathy, Malaise
Clinical narrative: Local severe reaction 120 mm local erythema and induration with painful axillary nodes, malaise. Afebrile, Headaches resolved, no breathing difficulty or angioedema.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Pain
Clinical narrative: Local severe reaction 120 mm local erythema and induration with painful axillary nodes, malaise. Afebrile, Headaches resolved, no breathing difficulty or angioedema.
Age: 14.0
Sex: M
Vaccine: HEPA, IPV, TD, VARCEL
Symptoms: Unevaluable event
Clinical narrative: Phone call attempted 9/20/2004 at 10:30am. Left message on answering machine. Phone call attempted 9/20/2004 at 11:30am no answer.
Age: 40.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Difficulty in walking, Dizziness, Dyspnoea, Fatigue
Clinical narrative: This is a 41 year-old who had been in his usual health until approximately May 2003. He began experiencing joint and muscle pain in May of 2003. He describes his muscle pain as being an ache that is 5/10 in intensity. He experiences his pain continuously. He states that his joint pain is primarily in his bilateral elbows and knees. The joint pain is constant with an intensity of 5/10. He was diagnosed with bilateral ulnar neuropathy with numbness in hands in March of 2004. He is also experiencing pain in his upper shoulder/neck and lower back pain. He describes this pain as constant with intermittent spasm, 7/10 in intensity. His pain interferes with his job and activities of daily living, in that he cannot lift heavy weight.  He was a heat casualty in June of 2003 while deployed. He began to experience migraine headaches and chronic fatigue. His migraine headaches are occurring on a daily basis with 3-10/10 intensity. He experiences associated nausea, dizziness, photophobia and near syncope. He states that his headaches start in frontal and progress back or from back to front with associated neck pain.   He began experiencing shortness of breath in September 2003. He attributed his symptoms to being in the desert for along period. He is now unable to walk long distances due to his shortness of breath. Additionally, he states he becomes short of breath if he is talking for long periods.  He has rashes that appear primarily on his upper body that began in September 2004. He initially had blister like bumps on his arms. In April 2004, he experienced a rash on his stomach that was diagnosed as leishmaniasis, which confirmed by biopsy. He has begun experiencing new rashes on his upper body that has not been explained. The client describes his current rash, as round circular (the size of a quarter) lesions with associated scattered small bumps on his upper posterior torso and scrotum.  He is currently in the Wellness Program. He is on Medical Hold. He has just completed signing of his medical board and is awaiting demobilization orders to return to his home of record.
Age: 40.0
Sex: M
Vaccine: ANTH
Symptoms: Laboratory test abnormal, Migraine, Muscle spasms, Myalgia, Nausea
Clinical narrative: This is a 41 year-old who had been in his usual health until approximately May 2003. He began experiencing joint and muscle pain in May of 2003. He describes his muscle pain as being an ache that is 5/10 in intensity. He experiences his pain continuously. He states that his joint pain is primarily in his bilateral elbows and knees. The joint pain is constant with an intensity of 5/10. He was diagnosed with bilateral ulnar neuropathy with numbness in hands in March of 2004. He is also experiencing pain in his upper shoulder/neck and lower back pain. He describes this pain as constant with intermittent spasm, 7/10 in intensity. His pain interferes with his job and activities of daily living, in that he cannot lift heavy weight.  He was a heat casualty in June of 2003 while deployed. He began to experience migraine headaches and chronic fatigue. His migraine headaches are occurring on a daily basis with 3-10/10 intensity. He experiences associated nausea, dizziness, photophobia and near syncope. He states that his headaches start in frontal and progress back or from back to front with associated neck pain.   He began experiencing shortness of breath in September 2003. He attributed his symptoms to being in the desert for along period. He is now unable to walk long distances due to his shortness of breath. Additionally, he states he becomes short of breath if he is talking for long periods.  He has rashes that appear primarily on his upper body that began in September 2004. He initially had blister like bumps on his arms. In April 2004, he experienced a rash on his stomach that was diagnosed as leishmaniasis, which confirmed by biopsy. He has begun experiencing new rashes on his upper body that has not been explained. The client describes his current rash, as round circular (the size of a quarter) lesions with associated scattered small bumps on his upper posterior torso and scrotum.  He is currently in the Wellness Program. He is on Medical Hold. He has just completed signing of his medical board and is awaiting demobilization orders to return to his home of record.
Age: 40.0
Sex: M
Vaccine: ANTH
Symptoms: Neck pain, Neuropathy, Photophobia, Rash, Shoulder pain
Clinical narrative: This is a 41 year-old who had been in his usual health until approximately May 2003. He began experiencing joint and muscle pain in May of 2003. He describes his muscle pain as being an ache that is 5/10 in intensity. He experiences his pain continuously. He states that his joint pain is primarily in his bilateral elbows and knees. The joint pain is constant with an intensity of 5/10. He was diagnosed with bilateral ulnar neuropathy with numbness in hands in March of 2004. He is also experiencing pain in his upper shoulder/neck and lower back pain. He describes this pain as constant with intermittent spasm, 7/10 in intensity. His pain interferes with his job and activities of daily living, in that he cannot lift heavy weight.  He was a heat casualty in June of 2003 while deployed. He began to experience migraine headaches and chronic fatigue. His migraine headaches are occurring on a daily basis with 3-10/10 intensity. He experiences associated nausea, dizziness, photophobia and near syncope. He states that his headaches start in frontal and progress back or from back to front with associated neck pain.   He began experiencing shortness of breath in September 2003. He attributed his symptoms to being in the desert for along period. He is now unable to walk long distances due to his shortness of breath. Additionally, he states he becomes short of breath if he is talking for long periods.  He has rashes that appear primarily on his upper body that began in September 2004. He initially had blister like bumps on his arms. In April 2004, he experienced a rash on his stomach that was diagnosed as leishmaniasis, which confirmed by biopsy. He has begun experiencing new rashes on his upper body that has not been explained. The client describes his current rash, as round circular (the size of a quarter) lesions with associated scattered small bumps on his upper posterior torso and scrotum.  He is currently in the Wellness Program. He is on Medical Hold. He has just completed signing of his medical board and is awaiting demobilization orders to return to his home of record.
Age: 40.0
Sex: M
Vaccine: ANTH
Symptoms: Syncope
Clinical narrative: This is a 41 year-old who had been in his usual health until approximately May 2003. He began experiencing joint and muscle pain in May of 2003. He describes his muscle pain as being an ache that is 5/10 in intensity. He experiences his pain continuously. He states that his joint pain is primarily in his bilateral elbows and knees. The joint pain is constant with an intensity of 5/10. He was diagnosed with bilateral ulnar neuropathy with numbness in hands in March of 2004. He is also experiencing pain in his upper shoulder/neck and lower back pain. He describes this pain as constant with intermittent spasm, 7/10 in intensity. His pain interferes with his job and activities of daily living, in that he cannot lift heavy weight.  He was a heat casualty in June of 2003 while deployed. He began to experience migraine headaches and chronic fatigue. His migraine headaches are occurring on a daily basis with 3-10/10 intensity. He experiences associated nausea, dizziness, photophobia and near syncope. He states that his headaches start in frontal and progress back or from back to front with associated neck pain.   He began experiencing shortness of breath in September 2003. He attributed his symptoms to being in the desert for along period. He is now unable to walk long distances due to his shortness of breath. Additionally, he states he becomes short of breath if he is talking for long periods.  He has rashes that appear primarily on his upper body that began in September 2004. He initially had blister like bumps on his arms. In April 2004, he experienced a rash on his stomach that was diagnosed as leishmaniasis, which confirmed by biopsy. He has begun experiencing new rashes on his upper body that has not been explained. The client describes his current rash, as round circular (the size of a quarter) lesions with associated scattered small bumps on his upper posterior torso and scrotum.  He is currently in the Wellness Program. He is on Medical Hold. He has just completed signing of his medical board and is awaiting demobilization orders to return to his home of record.
Age: 18.0
Sex: F
Vaccine: HEPA, IPV, TD, VARCEL
Symptoms: Unevaluable event
Clinical narrative: Phone call attempted 9/20/04 at 10:30 a.m. Left message on answering machine. Phone call attempted 9/20/04 at 11:30 a.m. No answer.
Age: 15.0
Sex: F
Vaccine: HEPA, IPV, TD, VARCEL
Symptoms: Unevaluable event
Clinical narrative: Phone call attempted 9/20/04 at 10:30 a.m. Left message on answering machine. Phone call attempted 9/20/04 at 11:30 a.m. No answer.
Age: 11.0
Sex: M
Vaccine: HEPA, IPV, TD, VARCEL
Symptoms: Unevaluable event
Clinical narrative: Phone call attempted 9/20/04 at 10:30 a.m. Left message on answering machine. Phone call attempted 9/20/04 at 11:30 a.m. No answer.
Age: 14.0
Sex: F
Vaccine: HEP, HEPA, VARCEL
Symptoms: Face oedema, Pruritus, Rash papular
Clinical narrative: Guardian called to report that child complained of head, both left/right hands, arms, feet, and legs itching. At the ER the child continue to complain of itching as well as experienced a generalized red rash with papulas over the face and body, and swelling of face. The physician treated with Epinephrine, Benadryl, and Steroids.
Age: 19.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Erythema, Lymphadenopathy, Rash
Clinical narrative: Generalized varicella Advorol Rev. Small pox vaccination 12 days ago , left arm. This AM woke up with red bump on left arms, upper back, lymph nodes in axilla , feet swollen. T 98 degrees. Pt will follow up.
Age: 19.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Erythema, Lymphadenopathy, Oedema peripheral, Swelling
Clinical narrative: Generalized varicella Advorol Rev. Small pox vaccination 12 days ago , left arm. This AM woke up with red bump on left arms, upper back, lymph nodes in axilla , feet swollen. T 98 degrees. Pt will follow up.
Age: 14.0
Sex: M
Vaccine: DT, TD
Symptoms: Cellulitis, Dizziness, Headache, Infection, Injection site swelling
Clinical narrative: Pain after injection. Approximately 5 days later erythema of the arm extending from elbow to shoulder with swelling. Taken to ER and diagnosed with cellulitis: given IM Benadryl and Keflex po 1 week later shoulder area improved but swelling continued to elbow. Seen in the ER again + by priv. MD. 9/1/04=> by 9/3/04 resolved.
Age: 14.0
Sex: M
Vaccine: DT, TD
Symptoms: Injection site warmth, Laboratory test abnormal, Pain
Clinical narrative: Pain after injection. Approximately 5 days later erythema of the arm extending from elbow to shoulder with swelling. Taken to ER and diagnosed with cellulitis: given IM Benadryl and Keflex po 1 week later shoulder area improved but swelling continued to elbow. Seen in the ER again + by priv. MD. 9/1/04=> by 9/3/04 resolved.
Age: 14.0
Sex: M
Vaccine: DT, TD
Symptoms: Cellulitis, Erythema, Pain, Swelling
Clinical narrative: Pain after injection. Approximately 5 days later erythema of the arm extending from elbow to shoulder with swelling. Taken to ER and diagnosed with cellulitis: given IM Benadryl and Keflex po 1 week later shoulder area improved but swelling continued to elbow. Seen in the ER again + by priv. MD. 9/1/04=> by 9/3/04 resolved.
Age: 0.19
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Cyanosis, Heart disease congenital, Hypoxia
Clinical narrative: Pertinent history of hypoplastic left heart. Patient died; ER resuscitation attempted with intubation. 5 doses epinephrine after acute episode collapse. Nurse follow up on 10/07/04 states: "Cyanosis." Autopsy Report received on 1/07/2005 states congenital heart disease.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: From initial information received on 9/14/04 from a health care professional regarding an adverse event occurring in the USA, it was reported that a four year old male patient received a dose of DAPTACEL, lot number C1698AA, administered in the left thigh on 9/9/04. The next day, on 9/10/04, the patient's mother called the doctor's office to report that her son's left thigh was red and swollen. The nurse referred the mother to the emergency room. The patient was admitted to the hospital on 9/10/04, with a diagnosis of cellulitis. He was treated with antibiotics and was discharged on 9/11/04. The patient's recovery status was not reported. From additional information received on 28Oct04 from a health care professional, it was reported that the pt has recovered from this event. No other information was provided at this time. The reporter of this case is the same as for case 200403029. Medical assessment: Even though, injection site cellulitis is not expected after Daptacel, the signs that were reported redness and swelling of the left thigh may be related to the administation of DTAP-containing vaccine.
Age: 5.0
Sex: F
Vaccine: MMR
Symptoms: Encephalitis, Lethargy, Neuropathy, Pyrexia, Stupor
Clinical narrative: Encephalitis. Medical Record received on 12/15/2004 states pt experienced lethargy, fever, altered mental status, and neurological sequela.
Age: 1.48
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Abscess, Injection site mass, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Vaccinations given (DTaP and VZV) 8/11/04. Noted swelling on site of injection 8/12/04 and 8/13/04. Hospitalized 8/14/04. I & D (Abscess) done 8/16/04.  Nurse follow up on 11/01/04 states: "fever; pain; induration."
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Rash maculo-papular
Clinical narrative: Maculopapular skin eruption.
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Cyst, Injection site induration, Injection site mass, Thrombosis, Vaccine positive rechallenge
Clinical narrative: 1. lump found in same exact location where anthrax vaccine was given. Surgery performed. Patch, blood clot: August 2003. 2. Lump no. 2 location: second surgery, patch, crust. Per the subject's mother: her son developed a blood clot in the bicep of the same arm as the shot was given. The clot was surgically removed as an outpt in Aug03. A suspected second clot developed in the tricep of the same arm, which was surgically removed as an outpt in Jan2004. The pathology report after the second surgery came back as a benign tumor. The subject has received 5 doses of AVA with the following lot information. Dec 17, 2002 FAV966, Jan 3, 2003 FAV067, Jan 20,2003 FAV066, Sep 22, 2003 FAV079, Mar 16, 2004 FAV068. This report is linked to VAERS226832 which was submitted by the subject's mother.
Age: 3.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Dermatitis bullous, Drug ineffective, Infection
Clinical narrative: + (pos) Chicken pox rash at trunk with spreading to LE, UE.
Age: 5.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Dermatitis bullous, Drug ineffective, Infection
Clinical narrative: Rash on trunk consistent with chicken pox.
Age: 7.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Cough, Cyanosis, Dyspnoea, Erythema, Pruritus
Clinical narrative: Pt started coughing approximately 5 minutes after vaccine administered. Cyanotic around eyes. Complained of palms, soles of feet, neck itching. Redness noted. Pt using accessory muscles with respiration. Definite retracting noted. Treated with 0.15 ml epinephrine given IM in the left thigh. Sxs relived at 4:15. Pt released into mother's care at 4:35. No complaints at time of exit.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema, Pyrexia, Rash maculo-papular
Clinical narrative: Pt developed fever 101 degrees, which continued 9/2/04 - 9/6/04. Presents 9/7/004 with generalized red, macular/ papular rash face/ trunk and extremities, no fever. Treatment was Tylenol prn for fever, no other medication.
Age: 20.0
Sex: M
Vaccine: MEN
Symptoms: Pruritus, Rash, Rash erythematous, Swelling
Clinical narrative: Pt developed itchy rash on right forearm approximately 6-8 hours after vaccine administration 9/10. Developed rash 9/11 with swollen oozing LL erythematous rash to face, neck, right arm. Penis/ Scrotum.