chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 56.0
Sex: F
Vaccine: TTOX
Symptoms: Oedema, Rash, Tenderness
Clinical narrative: tetanus given 8sep03, effects noticed on 11sep03 on right arm rash with tenderness,slight swelling. treated with cortisone cream as prescribed by provider dr.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Irritability, Pyrexia
Clinical narrative: fever 103 degrees axillary, and fussiness within the first 24 hours post vaccines
Age: 1.3
Sex: F
Vaccine: HIBV, PNC
Symptoms: Anorexia, Pyrexia, Rash, Vomiting
Clinical narrative: 8/31-Present Fever ranging from normal 98.6 to as high as 104. Spiking high fevers.  Loss of appetite. Not as active. Child was placed on antibiotic for 48hrs and taken off. Treatment now includes motrin and tylenol.  There was a rash on my daughter's arms and legs and vomiting, but it may have been an reaction to the antibiotic.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pain
Clinical narrative: 24 hours after vaccine was administered, the sight of the injections became very hot, swollen and red.  The swelling encompased the entire upper arm, from shoulder to elbow.  There was some pain as well.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Apnoea, Haemoglobin decreased
Clinical narrative: History of prematurity, caffeine was given by mouth in ICN. Discharged one week prior to hospital discharge. No apnea at home prior to immunization. Had apneic spells at home following immunization.  Follow up on 12/12/03: "Vaccine recipient has recovered from the adverse events that were reported for this vaccination.  Has received his 4 month immunizations without difficulty."
Age: 0.21
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Leukocytosis, Pyrexia, Screaming, Vomiting
Clinical narrative: Pt developed fever of 102 degrees and screaming for 12 hours at 8 hours after immunization. The follow up states vomiting and elevated WBC (leukocytosis). Sepsis was ruled out.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Pain
Clinical narrative: Persistant deep pain in arms right greater than left.  Right is injection site for several months.  Eating well and pain, exercise and pain.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Feeling hot, Injection site induration, Pain
Clinical narrative: Red, pain, erythema, induration, warmth
Age: 37.0
Sex: F
Vaccine: HEP
Symptoms: Feeling hot, Headache, Pyrexia
Clinical narrative: Patient reports that 2 days after 3rd Hepatitis B shot, she began to have intermittent low-grade fever (99.7-100) and frontal headaches.  Injection site is not red or swollen but continues to be warm to the touch 18 days post vaccination and headaches and fever continue.  Advised to consult her physician.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Pruritus
Clinical narrative: Injection site red, warm area of swelling 2.5 inches in diameter, itchy.
Age: 65.0
Sex: F
Vaccine: MEN, TYP
Symptoms: Abdominal pain, Back pain, Thirst
Clinical narrative: Abdominal pain, back pain, thirst
Age: 23.5
Sex: F
Vaccine: DTAP, HBHEPB, MMR, PNC, VARCEL
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Febrile seizure, 3 hours after immunization, temperature 103F.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Urticaria
Clinical narrative: Hives: face, arms, leg. Benadryl per mouth.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Rash erythematous
Clinical narrative: Patient developed a 2 inch non-tender red, raised area.
Age: 55.0
Sex: F
Vaccine: RAB
Symptoms: Chest discomfort, Dyspnoea, Erythema, Oedema, Pain
Clinical narrative: At bedtime on the day of plasma donation and rabies immunization, the patient developed redness, soreness and edema of the mid-upper left arm.  She had shortness of breath, chest tightness, and palpitations.  She vomited once.  All the symptoms except the arm redness and soreness resolved by 08/22 AM.  The arm redness and soreness lasted several days.
Age: 55.0
Sex: F
Vaccine: RAB
Symptoms: Palpitations, Vomiting
Clinical narrative: At bedtime on the day of plasma donation and rabies immunization, the patient developed redness, soreness and edema of the mid-upper left arm.  She had shortness of breath, chest tightness, and palpitations.  She vomited once.  All the symptoms except the arm redness and soreness resolved by 08/22 AM.  The arm redness and soreness lasted several days.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Feeling hot, Pain
Clinical narrative: Entire right deltoid, hot, slightly reddened, slight tenderness, full range of motion.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Headache, Injection site warmth, Malaise, Pyrexia, Rash erythematous
Clinical narrative: Injection site: red, raised, hot: treated with ice packs and Tylenol.  3-4 days after injection: Malaise, headache, particularly upon excertion.  Feels like my brain is bouncing.  Fever 101 treatment: Tylenol and rest.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Injection site erythema, Injection site pain, Vomiting
Clinical narrative: 4 inch area around shot, site, red and painful.  Vomited night of shot.  Mother applied warm compress.  Redness and pain subsided after 1.5 days of Tylenol/Motrin/Benadryl schedule.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Laboratory test abnormal, Splenomegaly
Clinical narrative: Patient found to have splenanegaly (5 cm below costal margin) 10 days after vaccination.  Concurrently had fever and URI symptoms but nothing suggesting of BBV infection, including normal CBC.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Rash
Clinical narrative: Broke out in rash all over body.
Age: 1.4
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Paralysis
Clinical narrative: Left VI palsy onset less than 24 hours after DTaP #4, HIB #4, Prevnar #3.
Age: 1.7
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Contusion, Erythema, Feeling hot, Oedema
Clinical narrative: Right thigh swelling, erythema, bruising, warm to touch.
Age: 51.0
Sex: F
Vaccine: RAB
Symptoms: Arthralgia, Fatigue
Clinical narrative: Arthralgia: neck, collar bone, left shoulder, knees, fingers.  Fatigue, no rash, no dyspnea.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Pyrexia
Clinical narrative: Augmentin 400mg Bid x 14 days given by ER phsician.  diagnosed with cellulitis per pertussis.  Febrile.  ER visit was pm of 9/4/03
Age: 75.0
Sex: F
Vaccine: DT
Symptoms: Diarrhoea, Dry skin, Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: patient received dT vaccine on 9/3/03. on 9/5/03 developed severe diarrhea and erythema of vaccine site. on 9/6/03 vaccine site became quite edematous, skin taut, warm and red. redness extended to under her arm and almost encircled her entire upper arm. the size would be that of a grapefruit. the redness and swelling did subside by 9/8/03 but the site is still pink. only treatment was a couple doses of ibuprofen.
Age: 1.3
Sex: M
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Type III immune complex mediated reaction
Clinical narrative: Arthus reaction
Age: 1.3
Sex: M
Vaccine: HEP, HIBV, MMR
Symptoms: Lymphadenopathy, Pyrexia, Rash
Clinical narrative: On the seventh day after the vaccination patienthad a fever of 103.2 and a rash on his neck, back and stomach along with swollen lymph nodes.  The fever and rash lasted until Sunday, September 7, 2003.  The emergency room said it was due to his MMR shot.  He also had a HIB, HEP B, and Prevnar shot along with the MMR shot.
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Urticaria
Clinical narrative: Hives over area of injection (R triceps) after using muscle in workouts.
Age: 33.0
Sex: F
Vaccine: ANTH, TYP
Symptoms: Hypoaesthesia, Laboratory test abnormal
Clinical narrative: About 2 weeks after the vaccine he developed numbness up to his chest.
Age: 23.0
Sex: M
Vaccine: DT
Symptoms: Arthralgia, Chills, Myalgia, Pyrexia, Radiculitis brachial
Clinical narrative: arthralgia, brachial plexus neuropathy, muscle pain, fever and chills
Age: 1.2
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Convulsion
Clinical narrative: Patient was fine after she received her vaccinations. One week to the date and time of her vaccinations, she had 3 or 4 seizures. She did not have a fever at the time of the seizure. The first seizure lasted a couple of minutes, the last seizure lasted about 30 minutes and stopped after she received Ativan and Phenobarbital in the ER. The hospital record received on 1/22/04 confirms diagnosis of seizure activity.
Age: 25.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Unevaluable event
Clinical narrative: Pt was inject with anthrax in left forarm (ID). Anthrax Vaccine Immunization Program was called for further instructions. They explained what pt should look for as far as sign/symptom. They also stated that since pt was on #3 of series, that the anthrax given would count in the series and progress with schedule. Pt felt fine and was told to follow up if any signs/symptoms occurred.
Age: 25.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt was inject with anthrax in left forarm (ID). Anthrax Vaccine Immunization Program was called for further instructions. They explained what pt should look for as far as sign/symptom. They also stated that since pt was on #3 of series, that the anthrax given would count in the series and progress with schedule. Pt felt fine and was told to follow up if any signs/symptoms occurred.
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR, VARCEL
Symptoms: Anaemia, Diarrhoea, Necrosis, Neutropenia, Oedema peripheral
Clinical narrative: Patient received vaccines on 7/14/03.  Initially fever and leg swelling.  After 3 days, vomiting, diarrhea, and fever to 104.  Presented on 7/19/03 in septic shock with absolute neutrophil count of 0.  Clostridium septicum bacteremia with necrosis of distal ileum and local myonecrosis of abdominal wall.  Slow recovery with prolonged intensive care support, aggressive surgical debridement of necrotic intestine and abdominal muscle, and antibiotics.  Neutrophil count recovered quickly to normal range and has remained normal in the convalescent period.
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR, VARCEL
Symptoms: Pyrexia, Shock, Vomiting
Clinical narrative: Patient received vaccines on 7/14/03.  Initially fever and leg swelling.  After 3 days, vomiting, diarrhea, and fever to 104.  Presented on 7/19/03 in septic shock with absolute neutrophil count of 0.  Clostridium septicum bacteremia with necrosis of distal ileum and local myonecrosis of abdominal wall.  Slow recovery with prolonged intensive care support, aggressive surgical debridement of necrotic intestine and abdominal muscle, and antibiotics.  Neutrophil count recovered quickly to normal range and has remained normal in the convalescent period.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Feeling hot, Inflammation, Oedema
Clinical narrative: Symptoms:  inflammation of the arm (extending from just below the shoulder to the middle of the forearm).  The arm is hot and swollen, appearing similar to simptoms of cellulitis.  No fever was present.  Patient received vaccination on 09/11/2003.  Symptoms were seen on 09/12/2003.  The physician was called 09/12/2003.  Patient saw physician on 09/13/2003 at approximately 10:30.  Treatment (Duricef) on 09/13/2003.
Age: 34.0
Sex: F
Vaccine: MMR
Symptoms: Erythema, Pyrexia
Clinical narrative: On 9/12 I saw 4 red marks on my face & then more small red dots/circles (at least 20) appeared on my body primarily on my arms & back. Red circles/dots are not itchy.  Slight Fever but not sure if it's due to immunization. I'm fighting off a cold.   We called our doctor & they said to drink lots of fluids & stay out of the sun & use cortisone if necessary.
Age: 34.0
Sex: M
Vaccine: MMR
Symptoms: Erythema, Pyrexia
Clinical narrative: Red dots/circles all over body but primarily on torso, arms, & back. At least 20 spots.  Some fever.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Pericarditis, Syncope
Clinical narrative: C/O LOWER LEFT SIDED CHEST PAIN FOR OVER 1 WEEK, MILD AT ONSET BUT INCREASING IN SEVERITY. ON 15JULY HAD SOME TEETH EXTRACTED. WHILE WAITING FOR HIS PRESCRIPTIONS PASSED OUT. HE WAS TREATED IN ER AND RELEASED. RETURNED WITHIN 24 HOURS WHERE AFTER A WORKUP, SENT TO A CIVILIAN HOSPITAL FOR CARDIAC CARE WITH THE DIAGNOSIS OF PERICARDITIS
Age: 1.1
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Lymphadenopathy, Pyrexia, Rash, Vomiting
Clinical narrative: Patient had MMR, Act HIB, and Varicella on Aug. 25, 2003.  On Sept. 4, 2003 I notices that her glands in neck and behind ear were swelled up and they still are.  On Sept. 11, 2003 she woke with a fever and threw up only one time, but ran a fever for 48 hours.  Sept. 14 woke with red dots on face, neck and down to legs.
Age: 20.0
Sex: M
Vaccine: JEV, JEV
Symptoms: Headache, Musculoskeletal stiffness, Pyrexia
Clinical narrative: Headache began 3 days post immunization. Progressed to stiff neck, fever 100.5, and severe headache. To ER: spinal tap negative. CT also negative. Symptoms resolving 7/29/03; using Tylenol.
Age: 4.0
Sex: M
Vaccine: MMR
Symptoms: Anaphylactic reaction, Cyanosis, Hypotonia
Clinical narrative: Within few minutes of administering MMR, the child became limp, cyanotic; mouth to mouth rescusitation. Epiniphrine injection and intubation by paramedics. Diagnosis anaphylactic reaction to MMR. 60-day follow up on 12/03/2003: "Vaccine recipient has recovered from adverse events that were reported for this vaccination."
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Swelling
Clinical narrative: Severe swelling of left thigh. Review of other correspondence indicates hospitalization was only for a few hours. The diagnosis was "vaccine reaction."
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Dehydration, Laboratory test abnormal, Meningitis, Pyrexia
Clinical narrative: Persistent fever to 103 rectally for 2 days. Decreased activity, mild dehydration. Admitted for IV fluids and septic work up. The discharge summary states aseptic meningitis. 60-day follow up on 11/26/2003: "Vaccine recipient has recovered from the adverse events that were reported for this vaccination. "
Age: 0.6
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Faeces pale, Feeling cold, Pallor, Somnolence
Clinical narrative: Really pale, cold, sleepy. White stools, lasted a couple days. Got better on his own. Called Dr who was gone and left message, but did not get called back.
Age: 58.0
Sex: M
Vaccine: HEPAB
Symptoms: Blood pressure increased, Epistaxis
Clinical narrative: 01/17/03, 9AM: Hep A/B. 1AM 1/18/03 Nosebleed and he felt his BP was up 140/90. No MD this time. 02/20/03, 1PM: Hep A/B. 6AM 2/21/03 Nosebleed more serious and increased BP 140/95. He went to MD within 5 days. Stress test abnormal, 1 week BP pills. BP still increased. In one month, BP lowered, stress test normal. Pt is overweight.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Diffuse 10cm induration/erythema in deltoid area (appears as delayed type III reaction) (?DTAP).
Age: 42.0
Sex: F
Vaccine: IPV, TYP
Symptoms: Dizziness, Headache, Stomach discomfort
Clinical narrative: 8/6/03 queasy stomach, dizzy, continued through 8/10/03. No fever, no vomiting, no diarrhea, little headache. Off work for one week. To Dr on 8/7/03.
Age: 18.0
Sex: F
Vaccine: HEPA, MEN
Symptoms: Dizziness, Fatigue, Headache, Heart rate increased, Nausea
Clinical narrative: Given Hep A and meningococcal vaccine at 1:45 PM 08/11/03. At 2PM same day, arrived at her home with severe headache, fast heartbeat, slight dizziness, slight nausea, very tired. At 4:40 PM returned to our office with these symptoms, plus hands feel tingly.
Age: 18.0
Sex: F
Vaccine: HEPA, MEN
Symptoms: Paraesthesia
Clinical narrative: Given Hep A and meningococcal vaccine at 1:45 PM 08/11/03. At 2PM same day, arrived at her home with severe headache, fast heartbeat, slight dizziness, slight nausea, very tired. At 4:40 PM returned to our office with these symptoms, plus hands feel tingly.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Agitation, Crying, Irritability, Pyrexia
Clinical narrative: Irritability and fever. Temp max 103.8 at 36 hours after vaccination. No vomiting. He did have irritability with (apisthofaniz?) posturing with cry. No loss of consciousness. No trunk convulsion noted.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Area of redness, swelling, induration on left deltoid. Approx 3 inches of redness. Motrin and Cefzil given.
Age: 51.0
Sex: F
Vaccine: TD
Symptoms: Headache, Injection site erythema, Injection site mass, Injection site oedema, Pain
Clinical narrative: Swelling, redness, itchy and painful if touched. Slight headache. 15mm x 15mm erythema with 4mm lump.
Age: 51.0
Sex: F
Vaccine: TD
Symptoms: Pruritus
Clinical narrative: Swelling, redness, itchy and painful if touched. Slight headache. 15mm x 15mm erythema with 4mm lump.
Age: 40.0
Sex: M
Vaccine: MMR
Symptoms: Joint range of motion decreased
Clinical narrative: Approx 1 1/2 weeks following immunization, left shoulder decreased mobility and ROM. States cannot lift left arm >90 degrees. Taking Aleve to relieve symptoms. Referred to another clinic approx 2 weeks ago for evaluation. Appt with NP on 9/11/03.
Age: 27.0
Sex: F
Vaccine: HEP
Symptoms: Diplopia, Headache, Hypoaesthesia, Muscle twitching, Paraesthesia
Clinical narrative: 06/02: Eye twitch, headache, double vision, vertigo. 07/02: left then right face/head numb/tingling. Days later arms and legs numb with loss of function. To ER. Function returned. Symptoms continued through October with no specific Dx per pt. 10/02 MRI (negative). 12/02 Vertigo, headache, right arm numb/tingling for 3 weeks. Saw family Dr and neurologists in this 6 months. As of 9/03 weak, headache, vertigo, on Topomax without relief, more testing to be done.
Age: 27.0
Sex: F
Vaccine: HEP
Symptoms: Vertigo
Clinical narrative: 06/02: Eye twitch, headache, double vision, vertigo. 07/02: left then right face/head numb/tingling. Days later arms and legs numb with loss of function. To ER. Function returned. Symptoms continued through October with no specific Dx per pt. 10/02 MRI (negative). 12/02 Vertigo, headache, right arm numb/tingling for 3 weeks. Saw family Dr and neurologists in this 6 months. As of 9/03 weak, headache, vertigo, on Topomax without relief, more testing to be done.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pain, Parotid gland enlargement
Clinical narrative: Parotid gland swelling and soreness.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Pain
Clinical narrative: Right shoulder redness and swelling, approx 3" x 5". Tender to touch.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Rash morbilliform
Clinical narrative: Pt received MMR, VAR and PCV on 8/21/2003. On 9/03/03 pt's mom brought her in to the office saying she took her to the ER 8/30/03 and ER said she had measles. Dr said it was also measles on 9/3/03.
Age: 1.0
Sex: M
Vaccine: HIBV
Symptoms: Feeling hot, Injection site induration, Injection site oedema, Skin ulcer
Clinical narrative: Quarter size lesion, indurated. Warm, swollen. Placed on Augmentin.
Age: 1.6
Sex: F
Vaccine: DT
Symptoms: Injection site swelling, Urticaria
Clinical narrative: Within several seconds of administration, developed white, raised wheal at site of injection, approx 2" x 3" in area. Cleared in <1 minute. No other symptoms, no respiratory changes. Observed for 1/2 hour and fine, no treatment necessary.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Feeling hot, Injection site erythema, Pyrexia
Clinical narrative: Warmth/erythema at site of Pneumovax. Low grade temp, arthralgias.
Age: 49.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: After administering Td vaccine as ordered per protocol and while placing bandaid over site, I noted the area was visibly swelling and become reddened; area involved was approx 5 cm in diameter. Ice pack to site and MD notified. Pt monitored for 30 minutes after infection with no other adverse symptoms noted. Remained stable. Pt examined by MD and allowed to leave after visible swelling subsided. Phone call to pt next AM-pt stated no redness, mild swelling but "minor".
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Rash papular, Skin ulcer, Urticaria
Clinical narrative: Some target lesion right thigh with blanching urticarial like lesions on legs and some blanching papules on abdomen with hypopigmented halos; rash starting 9/4/03. Currently no rash.
Age: 3.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Rash erythematous, Rash macular
Clinical narrative: 10cm x 7cm - blotchy, red, raised area left thigh.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema, Pruritus
Clinical narrative: Patient presented at office 24 hours after shot administration with red, swollen shoulder.  He said it was warm and itchy.
Age: 5.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Joint range of motion decreased, Pyrexia
Clinical narrative: DTaP given at left upper extremity 08/22/2003.  Reportedly with high fever (103F max), erythema, induration, swelling and limited range of motion within intradermal of vaccine.  Largely resolved when seen 08/29/2003 for follow up.
Age: 0.4
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site mass
Clinical narrative: Knot on upper left thigh, grew for 4 days.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Pyrexia
Clinical narrative: Fever to 102 night of immunization for 2 days.  Large 5 x 5 cm area of induration and redness to right arm at site of injection.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Pyrexia, Tremor
Clinical narrative: Had MMR, Varivax, and Prevnar vaccine in the morning.  Returned to clinic around 2 pm after having shaking episode of 1.5-2 minutes after waking up from nap.  Temperature at that time 101.5 (rectal).  Temperature upon arrival at clinic 100.7 tympanically.
Age: 4.5
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Pain, Palpitations, Pruritus
Clinical narrative: Child received Daptacel vaccine to right deltoid on 09/03/2003.  Mom noted swelling and redness to area of injection on 09/04/2003-child complained of slight pain on palpation, other wise complaines of itching.  09/08/2003-child seen in clinic 09/07/2003-area of swelling decreased, redness resolving.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site induration, Skin ulcer
Clinical narrative: Large, hard, red, warm 4.5 inch lesions over left deltoid.
Sex: F
Vaccine: DTAP, MMR
Symptoms: Erythema
Clinical narrative: Has 8 x 3 cm erythematous area on left arm.
Age: 50.0
Sex: F
Vaccine: RAB
Symptoms: Rash
Clinical narrative: 08/22/2003: rash to left deltoid.
Age: 1.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Decreased appetite, Insomnia, Irritability, Mood swings, Otitis media
Clinical narrative: 09/03/2003: Mother stated child has not been the same since immunizations.  Mood swings, irritable, not sleeping, decrease appetite, temperature 101, went to ER 09/01/2003-otitis media diagnosed.
Age: 1.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Pyrexia
Clinical narrative: 09/03/2003: Mother stated child has not been the same since immunizations.  Mood swings, irritable, not sleeping, decrease appetite, temperature 101, went to ER 09/01/2003-otitis media diagnosed.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Eyelid oedema
Clinical narrative: Patient got MMR (#2), DTaP (#5), IPV (#4) in office in AM.  Came back to office at 3:10PM with Havey and eyelid swelling but no oral or pharyngial anedara, no sensoring change, no dysphiaga or soreness, no borpatia, no wheeze, and no blood pressure change.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Patient developed clinical "chicken pox" (varicella).  The patient has classical rash with fluid fluctal vessicles in multiple stages of development.  Diagnosis on 09/08/2003.  Rash started on 09/07/2003.  Suspect vaccine failure.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Musculoskeletal stiffness, Pyrexia, Screaming
Clinical narrative: Patient stiffened right leg: wouldn't move it for several hours after shot.  Temperature to 102.2, screamed inconsolable most of the night.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Oedema
Clinical narrative: Redness/swelling (early cellulitis) to right thigh.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Convulsion, Laboratory test abnormal, Pyrexia
Clinical narrative: High fever, seizure, febrile temperature 104, UA (+) WBC, Na: 134, Bun/Creatinine: 33.3.
Age: 4.8
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: Left arm red and swollen for 2 days.  Warm compress-cold compress, tylenol as needed.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site pain
Clinical narrative: Left upper shoulder, warm, tender, erythema and induration symptoms.  TD booster that location 09/04/2003.  Otherwise doing well, afebrile. (?) reaction range vs ailvers reaction vs doubtful cellulitis.  Benadryl, Motrin, Keflex,
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: 6 cm red area surrounding injection site of either DTaP or IPV.
Age: 25.0
Sex: F
Vaccine: UNK
Symptoms: Injection site reaction
Clinical narrative: Moderate to severe local reaction occuring 4 days after vaccine administration.  Extending to elbow-estimate 10x 12 cm size.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Decreased appetite, Rash
Clinical narrative: Onset of rash following injections.  ~ 6 hours later, decreased actor, decreased appetite, rash resolved within 48 hours.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Arthralgia, Headache, Myalgia, Neck pain, Pyrexia
Clinical narrative: Developed headache, neck pain, myalgia and joint pain, followed by non-petechail rash and fever to 100.5. Treatment: ibuprofen 400mg-600mg po prn q 6 hours and Allegra180 mg 1 po q day x 5-7 days
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Rash
Clinical narrative: Developed headache, neck pain, myalgia and joint pain, followed by non-petechail rash and fever to 100.5. Treatment: ibuprofen 400mg-600mg po prn q 6 hours and Allegra180 mg 1 po q day x 5-7 days
Age: 5.0
Sex: F
Vaccine: DTAP, MMR, OPV
Symptoms: Feeling hot, Injection site oedema, Injection site pain
Clinical narrative: Patient presented to the Emergency Department with moderate edema of left upper arm. Area was warm to touch and tender at site of vaccine administration (DTaP, IPV, MMR) within the previous 24 hours. Patient was treated symptomatically and discharged from the ED with instructions to return for worsening symptoms or fever and follow up with primary physician in one week.
Age: 43.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain, Eye disorder, Fatigue, Hypokinesia, Lethargy
Clinical narrative: On 3/19/2003 I became very lethargic. I was unable to keep my eyes open for more than a few minutes to converse with anyone. I slept for over 48 hours and felt tired for a few days after this. I also had severe swelling under my left arm, pain under my left arm down to my hand. My left arm swelled to twice its size for two days. The swelling decreased but my left arm and hand are still swollen. I am also still having alot of pain in my left axilla, arm and tingling in my hand. My left breast is also swollen. Prior to my period of lethargy I had pain originating from my left axilla that spread across my chest into my Rt Axilla and arm. I still get some shooting pain into my chest but this is not constant. Slept for 48 hrs after 2 days after vaccine administration. Developed swelling and pain in left arm and axilla 2 days after vaccine administration, this is not resolved. Unable to use left arm to do any type of heavy lifting or pulling.  The medical records received on 12/4/03 states lymphedema and neuropathy.
Age: 43.0
Sex: F
Vaccine: SMALL
Symptoms: Lymphoedema, Neuropathy, Oedema, Pain, Paraesthesia
Clinical narrative: On 3/19/2003 I became very lethargic. I was unable to keep my eyes open for more than a few minutes to converse with anyone. I slept for over 48 hours and felt tired for a few days after this. I also had severe swelling under my left arm, pain under my left arm down to my hand. My left arm swelled to twice its size for two days. The swelling decreased but my left arm and hand are still swollen. I am also still having alot of pain in my left axilla, arm and tingling in my hand. My left breast is also swollen. Prior to my period of lethargy I had pain originating from my left axilla that spread across my chest into my Rt Axilla and arm. I still get some shooting pain into my chest but this is not constant. Slept for 48 hrs after 2 days after vaccine administration. Developed swelling and pain in left arm and axilla 2 days after vaccine administration, this is not resolved. Unable to use left arm to do any type of heavy lifting or pulling.  The medical records received on 12/4/03 states lymphedema and neuropathy.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema, Pyrexia
Clinical narrative: Mother reports child se3nt home from school 9-9-03 for elevated temp. 100.7 - developed red swollen area left upper arm this am - devoid of any other symptoms.
Age: 22.0
Sex: F
Vaccine: HEP, HEPA, TD, YF
Symptoms: Unintended pregnancy
Clinical narrative: Patient presents to the Vaccine Healthcare Center today with questions regarding vaccinations received around the time she became pregnant.  She reports that she is approximately 22 weeks pregnant and that her delivery date is 20 Jan 2004.  She is unsure of when her last menstrual period was but thinks it was mid-March to Mid-February.  She reports no problems with this pregnancy but is concerned because she received several vaccines (Yellow Fever, Tetanus Diphtheria, Hep A #2, Heb B #1, PPD)  before she knew she was pregnant.  She had an ultrasound on 11 Sep 2003 that was normal and estimated her to have an EDC of 18 January 2004.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: Patient given vaccine in AM-came in PM with erythema NT 5 x 5 cm area left upper arm-no itch or other complaints.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, DTAP, HEPA, IPV, MMR
Symptoms: Erythema
Clinical narrative: Patient given vaccine in AM-came in PM with erythema NT 5 x 5 cm area left upper arm-no itch or other complaints.
Age: 37.0
Sex: F
Vaccine: HEP, TD, TD
Symptoms: Joint range of motion decreased, Pain
Clinical narrative: Went back Health Department 07/09/2003, could not raise arm over head, side to side pain in muscle (shot site) top shoulder and neck.  Crying with pain.  Was sent to Clinic, seen by a doctor, put on medicine for 10 days, went back to doctor, referred to neurologist.  08/26/03: Pain not so much in shoulder and neck, but deep aching pain in muscle (shot site).  Put on medicine to try and relieve some discomfort.  Pain has been so bad.  Leaning or putting pressure on arm was unbearable.
Age: 37.0
Sex: F
Vaccine: HEP, TD, TD
Symptoms: Gait disturbance, Injection site pain, Joint range of motion decreased, Myalgia, Neck pain
Clinical narrative: Went back Health Department 07/09/2003, could not raise arm over head, side to side pain in muscle (shot site) top shoulder and neck.  Crying with pain.  Was sent to Clinic, seen by a doctor, put on medicine for 10 days, went back to doctor, referred to neurologist.  08/26/03: Pain not so much in shoulder and neck, but deep aching pain in muscle (shot site).  Put on medicine to try and relieve some discomfort.  Pain has been so bad.  Leaning or putting pressure on arm was unbearable.
Age: 0.8
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Apnoea, Convulsion, Eye movement disorder, Gastrooesophageal reflux disease, High-pitched crying
Clinical narrative: #1 series 12/24/2002. On 12/26/2002 piercing crying as if in severe pain. Started focal seizures of hands. #2 series 04/17/2003. More focal seizures, screaming, GERD, eyes rolling back. #3 series 05/21/2003. All the above only worse. Realized these were seizures. Went to ER, Grand Mal 08/03 stopped breathing 30 seconds. Pt was doing well after open heart surgery until he started his immunizations. Mom did not realize the jerky movements, screams, eye rolling were seizures until other people saw them and told her. The she went to the ER. Patient is on ACTH shots daily for the seizures and Sabril.
Age: 0.8
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Infantile spasms, Neurodevelopmental disorder, Respiratory disorder, Screaming
Clinical narrative: #1 series 12/24/2002. On 12/26/2002 piercing crying as if in severe pain. Started focal seizures of hands. #2 series 04/17/2003. More focal seizures, screaming, GERD, eyes rolling back. #3 series 05/21/2003. All the above only worse. Realized these were seizures. Went to ER, Grand Mal 08/03 stopped breathing 30 seconds. Pt was doing well after open heart surgery until he started his immunizations. Mom did not realize the jerky movements, screams, eye rolling were seizures until other people saw them and told her. The she went to the ER. Patient is on ACTH shots daily for the seizures and Sabril.
Age: 0.8
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Convulsion, Eye movement disorder, Gastrooesophageal reflux disease, Grand mal convulsion, Pain
Clinical narrative: #1 series 12/24/2002. On 12/26/2002 piercing crying as if in severe pain. Started focal seizures of hands. #2 series 04/17/2003. More focal seizures, screaming, GERD, eyes rolling back. #3 series 05/21/2003. All the above only worse. Realized these were seizures. Went to ER, Grand Mal 08/03 stopped breathing 30 seconds. Pt was doing well after open heart surgery until he started his immunizations. Mom did not realize the jerky movements, screams, eye rolling were seizures until other people saw them and told her. The she went to the ER. Patient is on ACTH shots daily for the seizures and Sabril.
Age: 0.8
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Screaming
Clinical narrative: #1 series 12/24/2002. On 12/26/2002 piercing crying as if in severe pain. Started focal seizures of hands. #2 series 04/17/2003. More focal seizures, screaming, GERD, eyes rolling back. #3 series 05/21/2003. All the above only worse. Realized these were seizures. Went to ER, Grand Mal 08/03 stopped breathing 30 seconds. Pt was doing well after open heart surgery until he started his immunizations. Mom did not realize the jerky movements, screams, eye rolling were seizures until other people saw them and told her. The she went to the ER. Patient is on ACTH shots daily for the seizures and Sabril.
Age: 20.0
Sex: F
Vaccine: HEPAB
Symptoms: Abortion
Clinical narrative: Report A0383620A was received from a nurse and prospectively describes a 20-year-old female who was vaccinated with hepatitis A vaccine inactivated and hepatitis B vaccine recombinant (TWINRIX) while in the first trimester of pregnancy.  The subject's medical history, concurrent conditions, and concurrent medications were not reported.  On 10/15/2002, the subject received her first injection of Twinrix.  On that date, an unspecified pregnancy test was positive.  Additional information was received on 05/13/2003.  The reporting nurse stated that the subject had known that she was pregnant at the time of immunization, and had already scheduled an elective abortion for reasons unrelated to Twinrix administration.  The subject proceeded with the scheduled abortion on 10/29/2002.  The subject returned for her second injection of Twinrix on 02/01/2003; no adverse experiences were reported after that injection.
Age: 42.0
Sex: F
Vaccine: HEPAB
Symptoms: Chest discomfort, Fatigue, Laboratory test abnormal, Pain
Clinical narrative: This case was reported by a nurse and described the occurrence of chest tightness in a 42-year-old female patient who received hepatitis A inactivated and hepatitis B recombinant vaccine (TWINRIX) for prophylaxis.  The patient's past medical history included "sensitivity" to yeast.  She had no adverse experiences following receipt of the first injection of Twinrix.  There were no concomitant medications.  On an unspecified date, the patient received the 2nd dose of Twinrix.  On the same date, the she also received injections of MMRII (Merck), and Tetanus Toxoid (AP).  On the same date, an unspecified time post-immunization, the patient experienced chest tightness, "aches all over her body", and fatigue.  Additionally, she developed a rash on the arm where MMRII vaccine was injected.  The events resolved after seven days. The follow up received on 10/13/03 states the nurse reported the pt tested positive for both the hep A antibody and the hpe B surface antibody. No furthe rfollow-up is expected.
Age: 64.0
Sex: F
Vaccine: HEPAB
Symptoms: Abdominal pain, Dizziness, Dry throat, Dyspnoea, Flushing
Clinical narrative: This case described the occurrence of dizziness in a 64-year-old female who received hepatitis A inactivated and hepatitis B recombinant vaccine (TWINRIX) for prophylaxis.  This report was received from the patient and has not been verified by a physician or other health care professional. The patient's medical history included hypertension.  Concurrent medications included lisinopril.  The patient stated that the lisinopril dosage was doubled on 07/03/2003.  On 07/03/2003 at 16:00 hours, the patient received the first injection of Twinrix.  On 07/04/2003, "late" in the day, the patient began to experience dizziness, upset stomach, "feeling like throwing up", flushing, and "hurting in her abdominal cavity".  On 07/07/2003 at 02:00 hours, the patient experienced "difficulty breathing because her throat was very dry."  The patient stated that she had talked with an "advice nurse", who told her that "the vaccine in combination with the increase in blood pressure medication could be causing her symptoms."  The dizziness, upset stomach, nausea, flushing, and abdominal pain were unresolved as of 07/07/2003.  The difficulty breathing resolved on 07/07/2003.  The outcome of the dry throat was unknown as of 07/07/2003.
Age: 64.0
Sex: F
Vaccine: HEPAB
Symptoms: Malaise, Nausea, Stomach discomfort
Clinical narrative: This case described the occurrence of dizziness in a 64-year-old female who received hepatitis A inactivated and hepatitis B recombinant vaccine (TWINRIX) for prophylaxis.  This report was received from the patient and has not been verified by a physician or other health care professional. The patient's medical history included hypertension.  Concurrent medications included lisinopril.  The patient stated that the lisinopril dosage was doubled on 07/03/2003.  On 07/03/2003 at 16:00 hours, the patient received the first injection of Twinrix.  On 07/04/2003, "late" in the day, the patient began to experience dizziness, upset stomach, "feeling like throwing up", flushing, and "hurting in her abdominal cavity".  On 07/07/2003 at 02:00 hours, the patient experienced "difficulty breathing because her throat was very dry."  The patient stated that she had talked with an "advice nurse", who told her that "the vaccine in combination with the increase in blood pressure medication could be causing her symptoms."  The dizziness, upset stomach, nausea, flushing, and abdominal pain were unresolved as of 07/07/2003.  The difficulty breathing resolved on 07/07/2003.  The outcome of the dry throat was unknown as of 07/07/2003.
Age: 0.19
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Injury
Clinical narrative: This subject is a three month old female, who suffered a fatal head injury while enrolled in a comparative post marketing safety study of Daptacel (diptheria and tetanus toxoids and acellular pertussis vaccine absorbed) administered with other recommended vaccines according to the US standard of care. The subject received one dose of study vaccine: the last dose prior to the event was given on 01/14/2003. The subject "expired instantly due to blunt head injuries in motor vehicle accident described as "auto vs. fixed object, ejected," 18 days post immunization and expired the same day. No other information was reported. Death Certificate has been received. Autopsy has been performed but report not yet received. The event of fatal head injury was reported by the investigator as unrelated to the study product.  The autopsy report states accident automobile, death.  Follow up on 09/30/2003: "Autopsy Report received by medical affairs on 09/16/2003.  This three-month-old female is a victim of an apparent accidental death.  "Auto (passenger) vs. F/O, rollover, ejected".  The base portion of the car seat strapped in the center of the back seat.  The car seat carrier was facing rear, however it was behind the passengers seat of the vehicle (not locked in the base) with the seat belts in use.  The car seat canopy was found with the descedent.  She was about 100 feet north of the vehicle, face down with her head against a rock.  There was a blanket covering her.  Death is probably instant and is clearly from crushing blunt injuries to the head.  Other injuries also listed in the autopsy report include a crushed head and multiple severe abrasions and probable compressed chest event due to collapsed lungs and areas of hemorrhagic discoloration on lungs.  This can happen in infants without fractures of the ribs, etc.  Other injuries included fracture of the left femur as well as crushed and avulsed toes of the right foot.  There was no signs of internal torso injuries except for the lungs.  No further information is anticipated, this case is considered closed.
Age: 0.75
Sex: F
Vaccine: PNC
Symptoms: Convulsion, Laboratory test abnormal, Pyrexia
Clinical narrative: Fever 105.3 on or before 5:00 PM 8/20/2003. Febrile seizure 5:05PM approximately 8/20/03.
Age: 7.0
Sex: F
Vaccine: MMR
Symptoms: Anaphylactic reaction, Dyspnoea, Eye oedema, Face oedema, Vomiting
Clinical narrative: Anaphylactic rxn, vomiting, wheezing, IM Epinephrine, IM Benadryl. Discharge summary states edema arround eyes, edema of lips, difficulty breathing, vomit. msv
Age: 7.0
Sex: F
Vaccine: MMR
Symptoms: Wheezing
Clinical narrative: Anaphylactic rxn, vomiting, wheezing, IM Epinephrine, IM Benadryl. Discharge summary states edema arround eyes, edema of lips, difficulty breathing, vomit. msv
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Contusion, Petechiae, Platelet count decreased, Purpura, Thrombocytopenia
Clinical narrative: Complaints of bruising; seen in office on 9/8/03. Widespread petechiae and purpura in numerous areas. Diagnosed with thrombocytopenia. Question of idiopathic thrombocytopenia purpura. Adverse effect; measles vaccine. Treatment IV gammaglobulin with good response. The discharge statement states ITP.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Thrombocytopenic purpura
Clinical narrative: Complaints of bruising; seen in office on 9/8/03. Widespread petechiae and purpura in numerous areas. Diagnosed with thrombocytopenia. Question of idiopathic thrombocytopenia purpura. Adverse effect; measles vaccine. Treatment IV gammaglobulin with good response. The discharge statement states ITP.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Anorexia, Face oedema, Oedema peripheral
Clinical narrative: Mother stated 24 hours after vaccine, swelling of top lip, one eye, one hand and both feet. Was taken to ER and transported by ambulance to another hospital. Was admitted to hospital 9/12/03 and released 9/14/03. Mother states no known allergies; states he had three red spots on neck. Medical records state decreased PO intake. msv
Age: 22.0
Sex: F
Vaccine: UNK
Symptoms: Tachycardia
Clinical narrative: Possible tacharrhymia? pmh MVP.  1 10 second episodes over past 48 hours.  Halter and echo card occurred.  Follow up daily.
Age: 0.8
Sex: M
Vaccine: PNC
Symptoms: Pyrexia, Rash
Clinical narrative: Received Prevnar #2 (Pneumococcal Conjugate 7) on 07/01/2003.  Simple vaccine administered.  Within 24 hours developed full-body rash.  Temperature max: 100 degrees F.  Axillary.  Rash and fever resolved spontaneously after 32 hours.
Age: 1.9
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Erythema, Oedema
Clinical narrative: 08/22/2003: Redness, swelling 4 cm x 6 cm, given Zyrtec and Tylenol.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pruritus, Urticaria
Clinical narrative: 8/21/03 AM itching, same night large hive 7 1/4cm x 5cm. Taken to pediatrician. Given Zyrtec and Tylenol.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Pain
Clinical narrative: Right arm swollen, 1 inch>circumference than left arm, area red, warm, slightly tender to touch.
Age: 15.0
Sex: M
Vaccine: HEP, TD
Symptoms: Convulsion, Hypoaesthesia, Paraesthesia
Clinical narrative: Received Td booster in right arm and Hepatitis B #2 in Left arm.  Within 3 minutes of having the immunizations he had a 10-15 second seizure.  (Had a problem with DPT in past but not Td).  Complained of lips being numb/tingling and tip of tongue being numb.  (Faxed to Dr's office).
Age: 1.0
Sex: M
Vaccine: HIBV, IPV, MMR, VARCEL
Symptoms: Erythema, Pyrexia, Rash
Clinical narrative: Small dots size of a freckle, red, all over body. Started at shot site, right leg. Went to ER and was told reaction to the shot. Also had fever at 104.
Age: 10.0
Sex: M
Vaccine: HEPA
Symptoms: Convulsion
Clinical narrative: 11:30: Administered Hep A IM to left deltoid, child had seizure like activity and lasting approximately on about 30 seconds.  Immediately after pulling needle out, Child's school nurse and mom presented child referred to ER by school nurse for evaluation.  Child in school next morning.  Follow up call on pt who had a seizure like activity 30 sec. after receiving his first hep A shot. Mother stated her son tends to tense up when receiving his shots, which cause the seizures. Their doctor will have to determine whether her son recieved his next dose of hep A. As of now, he is doing jus fine.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site oedema, Injection site vesicles, Pyrexia
Clinical narrative: Arm swelling, fever in arm, blisters.
Age: 5.0
Sex: F
Vaccine: DTAP, HEP, IPV, MMR, VARCEL
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Received vaccines listed below Mon 08/11/2003.  Presented to clinic then 08/14/2003 with report of redness and swelling onset day after vaccinations, and progressing since that time.  Today 3 inch (length) x 2.5 inch (width) area on left deltoid with redness, swelling, warmth, and tenderness.  Parent to take child to MD at once and call and report. 08/25/2003: Patient's left arm was reported to have become reddened and swollen one day after immunizations were given.  Mom stated that patient was taken into MD for evaluation, and was told that patient had an 'allergic reaction" to the immunizations.  Since three vaccines were administered in left arm, pediatrician was unable to distinguish which vaccine (if one, or all) may have attributed to the inflammation.  Patient's mother stated that patient was given Benadryl and Tylenol per MD's orders, and arm is better now.
Age: 1.7
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Mother describes arm as red and swollen. Very concerned about situation. Instructed per telephone conversation to visit PMD and call us back. 8/15/03 visited PCP.
Age: 30.0
Sex: F
Vaccine: MMR
Symptoms: Hypoaesthesia, Muscular weakness, Pain, Paraesthesia
Clinical narrative: Given MMR injection approximately 16:00 on 08/21/2003.  Left arm Lot # 1126M, expiration date 11/14/2004.  Arm became painful--less grip noted, numbness; tingling at approximately 18:00.  ER visit on 08/23/2003.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Croup infectious, Pneumonia, Pyrexia
Clinical narrative: Child received his school immunizations DTaP, IPV and MMR. Within 8 hours he was running a high temp. Developed croup within 24 hours. Took to ER on 8/25/03. Diagnosed with pneumonia. Child not hospitalized. Rx with antibiotics.