chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 71.0
Sex: F
Vaccine: UNK
Symptoms: Wheezing
Clinical narrative: Sore throat, runny nose, headache, fatigue, low-grade fever, extreme and frequent urge incontinence through the night (23:00 to 07:00) with resulting weakness, headache, dehydration and no appetite but moderated late on 10/29/00 PM. Coughing, wheezing, weakness and fatigue continued but nearly normal on 11/2/00 PM.
Age: 1.0
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Nasal congestion, Pruritus, Rash
Clinical narrative: On 11/1/00, presented to office with a history of rash over her legs and abdomen today with itching. Also has nasal congestion. Afebrile. Treatment with Robitussin and Dimetapp.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: On 10/25/00, pt reports 50 cents sized red mark on arm from vaccine site with warmth to touch. Pt instructed to use ice to area and call if worsens.
Age: 38.0
Sex: M
Vaccine: HEP
Symptoms: Dizziness, Nausea, Urticaria, Vomiting
Clinical narrative: Nausea, vomiting, dizziness after 1.5 hours, after 3rd shot HBV vaccine. No prior reaction to other shots. Also, complaining of hives. Denied shortness of breath.
Age: 13.0
Sex: F
Vaccine: HEP
Symptoms: Hypersensitivity, Pruritus, Urticaria
Clinical narrative: Hives, itching for 2 weeks. Treated with Benadryl, steroids, Zyrtec, Axid and epi shots; 2 days. Our family physician and her dermatologist felt like it was probably not the vaccine, but the Dynacin that she was taking that caused this reaction. However, we were advised to put in this report in the event they are mistaken and she reacts to her 3rd dose the same way.
Age: 51.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 10/12/00 at 08:00, woke up with pain and swelling in upper left arm. Red and swollen from shoulder to elbow.
Age: 48.0
Sex: F
Vaccine: HEP, IPV, TD
Symptoms: Injection site pain, Neck pain, Pyrexia
Clinical narrative: On 9/19/00 about 17:00, the right arm became painful. Pain radiated to the neck and ran a slight fever late last night. No fever today. Arm is still painful. Taking Aleve.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Herpes zoster, Infection
Clinical narrative: Developed Herpes Zoster without having known primary varicella infection. Given varivax on 10/29/96 at 1 year old.
Age: 51.0
Sex: M
Vaccine: YF
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Large swelling and red area where vaccine was administered.
Age: 1.2
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Pt developed an itchy, red rash, 10 days, post vax.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Oedema peripheral
Clinical narrative: Post vax, the pt's legs became swollen.
Age: 55.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Erythema, Oedema peripheral, Pain, Paraesthesia
Clinical narrative: Post vax, the pt had severe pain in upper left arm. The pt had swelling and erythema of entire upper arm spreading to neck and hand. Neck limited movement, tingling hand. Went to ER and received Ancef, Keflex, and Vicodin.
Age: 56.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Post vax, the pt developed swollen right arm with some redness. Treated with Benadryl.
Age: 79.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Post vax, the pt developed redness and swelling in the left arm. Pt states that it is just slightly pink with itching.
Age: 0.5
Sex: F
Vaccine: DTAP, HBHEPB
Symptoms: Injection site erythema, Injection site mass, Pyrexia
Clinical narrative: The pt experienced a red area with knot at injection site. Treated with Benadryl and cool compresses to the area, Tylenol for pain and fever. Instructed to call back if area worsens.
Age: 0.6
Sex: U
Vaccine: DTAP, HBHEPB
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: The pt experienced a reddened area with a knot at injection site on right leg. Treated with Benadryl, Tylenol, Motrin, and cool compresses to the site.
Age: 39.0
Sex: F
Vaccine: LYME, LYME
Symptoms: Lipase increased, Pancreatitis
Clinical narrative: On 10/22/00, 3 days, post vax, the pt presented to the hospital with abdominal pain and anorexia. She was admitted to the hospital on 10/22/00 with the dx of acute idiopathic pancreatitis. The pt was reportedly neither hypoxemic nor thrombocytopenic. The pt was treated with IV hydration and pain control. She was discharged from the hospital on 10/26/00, feeling 85% clinically improved. Her lipase on 11/2/00 was 313. As of 11/9/00, the vaccinee's clinical and lab status was improving and was "nearly normal". The reporting physician felt that the elevated lipase and pancreatitis were probably not related to Lymerix. The reporting physician stated that the event was temporally linked to injection with Lymerix, and that other potential causes of this pt's acute pancreatitis included biliary lithiasis and viral infection.
Age: 39.0
Sex: F
Vaccine: LYME, LYME
Symptoms: Abdominal pain, Anorexia, Cholelithiasis, Dehydration, Lipase increased
Clinical narrative: On 10/22/00, 3 days, post vax, the pt presented to the hospital with abdominal pain and anorexia. She was admitted to the hospital on 10/22/00 with the dx of acute idiopathic pancreatitis. The pt was reportedly neither hypoxemic nor thrombocytopenic. The pt was treated with IV hydration and pain control. She was discharged from the hospital on 10/26/00, feeling 85% clinically improved. Her lipase on 11/2/00 was 313. As of 11/9/00, the vaccinee's clinical and lab status was improving and was "nearly normal". The reporting physician felt that the elevated lipase and pancreatitis were probably not related to Lymerix. The reporting physician stated that the event was temporally linked to injection with Lymerix, and that other potential causes of this pt's acute pancreatitis included biliary lithiasis and viral infection.
Age: 39.0
Sex: F
Vaccine: LYME, LYME
Symptoms: Pancreatitis acute, Viral infection
Clinical narrative: On 10/22/00, 3 days, post vax, the pt presented to the hospital with abdominal pain and anorexia. She was admitted to the hospital on 10/22/00 with the dx of acute idiopathic pancreatitis. The pt was reportedly neither hypoxemic nor thrombocytopenic. The pt was treated with IV hydration and pain control. She was discharged from the hospital on 10/26/00, feeling 85% clinically improved. Her lipase on 11/2/00 was 313. As of 11/9/00, the vaccinee's clinical and lab status was improving and was "nearly normal". The reporting physician felt that the elevated lipase and pancreatitis were probably not related to Lymerix. The reporting physician stated that the event was temporally linked to injection with Lymerix, and that other potential causes of this pt's acute pancreatitis included biliary lithiasis and viral infection.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth, Joint range of motion decreased
Clinical narrative: 2 days post vax, the mother noticed swelling of right arm with purple color. Treated with Keflex for possible cellulitis. On 11/7/00 swelling remains and redness to right arm above elbow.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Skin discolouration
Clinical narrative: 2 days post vax, the mother noticed swelling of right arm with purple color. Treated with Keflex for possible cellulitis. On 11/7/00 swelling remains and redness to right arm above elbow.
Age: 29.0
Sex: F
Vaccine: PPV
Symptoms: Dyspnoea, Pain, Swelling, Urticaria
Clinical narrative: Information has been received concerning a 28 year old female who in 10/1999, was vaccinated with pneumococcal vaccine 23 polyvalent. In 10/2000, the pt was re-vaccinated with this same vaccine. Subsequently, in 10/2000, post vax, the pt experienced arm swelling, hives on neck and face and the pt was hospitalized. The pt was treated with steroids and Benadryl and she "felt better." The pt reported that as of 11/6/00, she was still "unable to breathe properly" and her arm was still sore. Additional information has been requested. F/U information indicated that the pt was treated with Pnu-Immune 23 and not Pneumovax 23 as previously reported. Therefore, WAES #00110589 id being deleted from our files on pneumococcal vaccine 23 polyvalent.
Sex: F
Vaccine: HEP, MMR
Symptoms: Pneumonia
Clinical narrative: On 10/19/00, the pt was hospitalized with pneumonia. The mother indicated that her physician stated there was not any relationship between the MMR vaccine and the development of pneumonia. No further information is available.
Age: 14.0
Sex: M
Vaccine: FLU3
Symptoms: Malaise, Pyrexia
Clinical narrative: Low-grade and genuine malaise the next day and increasing temperature to 106F with chills. Pt is a kidney transplant pt on cyclosporine and prednisone.
Age: 30.0
Sex: M
Vaccine: TD
Symptoms: Injury, Mental retardation severity unspecified, Nervous system disorder
Clinical narrative: The pt experienced a severe reaction described as a "brain injury" which resulted in the pt being diagnosed with mental retardation.
Age: 12.0
Sex: M
Vaccine: HEP, MMR, TD, VARCEL
Symptoms: Anaphylactic shock, Cardiac disorder, Dyspnoea, Eyelid oedema, Hypersensitivity
Clinical narrative: Approx. 10 minutes, post vax, pt was noted to have subcutaneous swelling and itching of upper eyelids, bilateral wheezing, shortness of breath and palpebral edema. He was give epinephrine X's 2, O2 at 2 LPM and IV obtained-KVO. Transferred to hospital and admitted to Pediatrics for further treatment and observation. Given albuterol updraft X 1 and every 4 hours, if needed; IV Solu-Medrol and every 6 hours, if needed; Benadryl X 1 and po every 6 hours, if needed. Diagnosed with anaphylactic shock. Per F/U 6/4/02: EpiPen JR to be applied IM in case of recurrence of wheezing or SOB. The pt has been given 2 injection, 1 for school and 1 for home. The family has been advised not to feed him with eggs. Also, prophylactic immunization needs to be reviewed in order to prevent a similar reaction. The pt will be scheduled for echocardiogram due to heart murmur. F/U appt. on 3/24/00. Final DX: Anaphylactic reaction and heart murmur.
Age: 12.0
Sex: M
Vaccine: HEP, MMR, TD, VARCEL
Symptoms: Pruritus, Wheezing
Clinical narrative: Approx. 10 minutes, post vax, pt was noted to have subcutaneous swelling and itching of upper eyelids, bilateral wheezing, shortness of breath and palpebral edema. He was give epinephrine X's 2, O2 at 2 LPM and IV obtained-KVO. Transferred to hospital and admitted to Pediatrics for further treatment and observation. Given albuterol updraft X 1 and every 4 hours, if needed; IV Solu-Medrol and every 6 hours, if needed; Benadryl X 1 and po every 6 hours, if needed. Diagnosed with anaphylactic shock. Per F/U 6/4/02: EpiPen JR to be applied IM in case of recurrence of wheezing or SOB. The pt has been given 2 injection, 1 for school and 1 for home. The family has been advised not to feed him with eggs. Also, prophylactic immunization needs to be reviewed in order to prevent a similar reaction. The pt will be scheduled for echocardiogram due to heart murmur. F/U appt. on 3/24/00. Final DX: Anaphylactic reaction and heart murmur.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Apnoea, Bradycardia, Cyanosis, Encephalopathy, Hypotension
Clinical narrative: Encephalopathy within 7days of DTAP. (See attached). Early AM of 11/6, he spiked a fever of 38.4C. He was noted to be bradycardic during the blood draw but recovered immediately. He was also noted to have apnea lasting up to 20 seconds, associated with desats down to high 80's while on O2. At 13:30, RN responded to apnea alarm. He was not breathing and sats were down to 50's. He was stimulated and MD was called. He continued to be apneic, by this time sats down to 30's with dusky color. HR remained over 140's. Decision was made to send him to PICU. He had IV placed and during which time he was given CPAP via bagging, 0.4mg of MSO4 given, intubation was 1st attempted by resident MD with attending supervision. After placement of ETT, we were unable to hear good breath sounds and pt had poor color, so tube was pulled, NG place, pt continued to be bagged back to 100%. No epinephrine was given (HR recovered by the time epi was drawn up). After this report was prepared, I was called back into the pt's room, because he became tonic with mouth movements. Was given valium and pt's extremities relaxed. At about the same time, his BP was found to be low, MAPs 30-40. NS bolus of 20/kg given. On 60-day followup: pt was transferred to ICU where he got slightly better, then worse again. He died 12/2000. The pt was medically fragile and because his decompensation occurred after DTAP I reported it. Believes his decompensation is multifactorial and not related to vaccines alone.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Hypoxia, Laboratory test abnormal, Pyrexia, Tachycardia, Tonic clonic movements
Clinical narrative: Encephalopathy within 7days of DTAP. (See attached). Early AM of 11/6, he spiked a fever of 38.4C. He was noted to be bradycardic during the blood draw but recovered immediately. He was also noted to have apnea lasting up to 20 seconds, associated with desats down to high 80's while on O2. At 13:30, RN responded to apnea alarm. He was not breathing and sats were down to 50's. He was stimulated and MD was called. He continued to be apneic, by this time sats down to 30's with dusky color. HR remained over 140's. Decision was made to send him to PICU. He had IV placed and during which time he was given CPAP via bagging, 0.4mg of MSO4 given, intubation was 1st attempted by resident MD with attending supervision. After placement of ETT, we were unable to hear good breath sounds and pt had poor color, so tube was pulled, NG place, pt continued to be bagged back to 100%. No epinephrine was given (HR recovered by the time epi was drawn up). After this report was prepared, I was called back into the pt's room, because he became tonic with mouth movements. Was given valium and pt's extremities relaxed. At about the same time, his BP was found to be low, MAPs 30-40. NS bolus of 20/kg given. On 60-day followup: pt was transferred to ICU where he got slightly better, then worse again. He died 12/2000. The pt was medically fragile and because his decompensation occurred after DTAP I reported it. Believes his decompensation is multifactorial and not related to vaccines alone.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Demyelination, Encephalitis, Eye pain, Headache, Optic neuritis
Clinical narrative: Onset of acute optic neuritis OD, worse following 2nd inoculation with symptoms of headache and orbital pain and marked visual field defect with loss of VA-OD to 20/40. Symptoms resolved and VA/VF returned to normal following IV steroids. Final dx: acute (immune) demyelinating encephalomyelitis (ADEM)
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Visual field defect
Clinical narrative: Onset of acute optic neuritis OD, worse following 2nd inoculation with symptoms of headache and orbital pain and marked visual field defect with loss of VA-OD to 20/40. Symptoms resolved and VA/VF returned to normal following IV steroids. Final dx: acute (immune) demyelinating encephalomyelitis (ADEM)
Age: 44.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Muscle spasms, Myalgia
Clinical narrative: Approximately one month post vax, the pt experienced bilateral pain in elbows, wrists, and knees. These symptoms were ongoing.  In approximately March, 2000, the pt received his 2nd dose of Lymerix, in addition to the above joint pain symptoms, he now complained of leg cramps in the upper part of his leg. There was no redness, swelling, or heat generated by the joints. In 6/00, he was seen by an orthopedist and diagnosed with tennis elbow, and advised to take ibuprofen and to exercise. In 10/00, the pt still complained of generalized pain. He was seen by a rheumatologist and was diagnosed with joint-muscle pain. The rheumatologist prescribed Vioxx for pain control. Lymerix was discontinued. As of 11/10/00, the outcome of the events is ongoing.
Age: 42.0
Sex: M
Vaccine: LYME
Symptoms: Laboratory test abnormal, Paraesthesia
Clinical narrative: Following the vax, the pt experienced a "tingly/prickly" feeling on the bottom of his feet which worsened after exercise or jogging.  The reporting physician felt that the pt's symptoms were not related to the vaccine. As of 11/13/00, the outcome of the event is unknown.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Paraesthesia
Clinical narrative: The pt experienced left small finger and ring finger paresthesia, reported one week after 6th anthrax vaccine.  Follow up on 12/20/2000: "Patient recovered partially.  Numbness in ring and fifth finger of left hand.  Numbness is subsiding.  Patient didn't receive any further shots since reported event.  Large knot and soreness followed by numbness in edge of hand fifth and 4th finger."
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Cyanosis, Musculoskeletal stiffness, Pallor, Staring
Clinical narrative: Following vaccines, the pt had 4 episodes of turning purple, arm outstretched, eyes wide. Mom would pat him on the back and he would then take a breath ant turn very pale. Took the pt to the ER.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Apnoea, Crying, Listless, Skin discolouration, Staring
Clinical narrative: Following vaccines, the pt had 4 episodes of turning purple, arm outstretched, eyes wide. Mom would pat him on the back and he would then take a breath ant turn very pale. Took the pt to the ER.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Tremor
Clinical narrative: Following vaccines, the pt had 4 episodes of turning purple, arm outstretched, eyes wide. Mom would pat him on the back and he would then take a breath ant turn very pale. Took the pt to the ER.
Age: 1.3
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: The pt experienced right arm injection site redness, swelling, and induration.
Age: 1.08
Sex: M
Vaccine: PNC
Symptoms: Ear disorder, Pharyngitis, Pyrexia, Rhinitis
Clinical narrative: The pt experienced a fever a few hours post vax. The fever went as high as 105.5 by the middle of the night. The pt was taken to the ER. He had also developed cold symptoms and drainage from his ears.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Blister, Pyrexia, Rash papular
Clinical narrative: Following vaccination, the pt developed a fever and a papular rash on trunk and extremities, vesicles on hands, feet and ankles.
Age: 1.6
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: The pt developed a 4-5 cm area of erythema and slight edema 5 minutes post vax. No other symptoms. 30 minutes post vax, symptoms resolving.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Pyrexia, Rash, Viral infection, Vomiting
Clinical narrative: The pt experienced a fever, rash vomiting. Diagnosed with a viral (hand, foot and mouth), coxsackie B virus.
Age: 1.25
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Rash
Clinical narrative: The pt experienced redness and swelling and a rash about the size of a quarter.
Age: 36.0
Sex: M
Vaccine: HEP
Symptoms: Injection site oedema, Injection site rash, Joint range of motion decreased, Myalgia
Clinical narrative: The pt experienced a rash from the shoulder to the elbow with redness, muscle soreness, swelling and loss of range of motion.
Age: 46.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: The pt experienced erythema in the affected arm on the same days as vax. The pt contacted the clinic to report erythema at injection site and that the area was painful to touch. Treated with Keflex.
Age: 56.0
Sex: M
Vaccine: HEP
Symptoms: Infection, Laboratory test abnormal
Clinical narrative: The pt developed acute hepatitis B infection following vaccination.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: On 11/9/00, during doctor visit, pt received injection of the pneumovax 23 in left arm, deltoid region. Pt returned on 11/10/00 with redness, heat and swelling in band-like region around left arm injection site. Treated with Keflex.
Age: 2.0
Sex: F
Vaccine: DTAP, HEP
Symptoms: Anorexia, Crying, Insomnia, Listless, Pyrexia
Clinical narrative: The pt experienced a fever of 103 for over 3 days, listlessness, uncontrollable crying for 3 days. No appetite, and no sleep for 2 days.
Age: 50.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Oedema, Pain, Testicular disorder
Clinical narrative: The pt experienced testicular pain and swelling. No fever, no other symptoms. Slowly resolving over course of 10 days.
Age: 39.0
Sex: F
Vaccine: RAB
Symptoms: Headache, Hypoaesthesia, Injection site induration, Injection site oedema, Muscle spasms
Clinical narrative: The pt experienced induration and swelling at injection site (left deltoid), muscle spasms in neck and left arm, neck pain, headache and numbness and tingling in left arm. The pt also experienced hives to the left upper arm. Treated with Benadryl.
Age: 39.0
Sex: F
Vaccine: RAB
Symptoms: Neck pain, Urticaria
Clinical narrative: The pt experienced induration and swelling at injection site (left deltoid), muscle spasms in neck and left arm, neck pain, headache and numbness and tingling in left arm. The pt also experienced hives to the left upper arm. Treated with Benadryl.
Age: 11.0
Sex: M
Vaccine: HEP
Symptoms: Dyspnoea, Oedema peripheral, Urticaria, Wheezing
Clinical narrative: The pt complained of "popping" sensation in the throat and chest about 1 hour post vax, the pt experienced wheezing, breathing difficulty and feet and hands were swollen 3 times their normal size. The pt also complained of hives that started at the ankles and then became generalized. He was taken to the ER and treated with steroids and Benadryl.
Age: 83.0
Sex: M
Vaccine: FLU3
Symptoms: Cough, Haemoptysis
Clinical narrative: Pt received flu shot on 10/14/1999, developed severe cough 10/29, was coughing up blood on 10/30. Was hospitalized 10/30 and received transfusion on 10/31. Tests were conducted and he was referred on 11/14. Pt died on 12/23/99.
Age: 0.2
Sex: M
Vaccine: HEP
Symptoms: Respiratory disorder
Clinical narrative: Pt was seen 11/07 for 2 month physical evaluation and received Hepatitis B vax. No problems occurred while in the office. He apparently developed respiratory problems on the car ride home and was transferred to the hospital ER and then to another hospital by ambulance. He expired on 11/09/2000.
Age: 8.0
Sex: F
Vaccine: PNC
Symptoms: Bacterial infection, Chorea, Convulsion, Coordination abnormal, Dysarthria
Clinical narrative: The father of an 8-year-old female reported that his daughter received an injection of Prevnar on 09/25/2000 and post vax developed a fever of 100.8 degrees F. Her fever abated within 24 hours. She then developed lethargy and an injection site reaction characterized by warmth, swelling which extended from her elbow to her shoulder and a welt the size of a silver dollar. Her lethargy abated within 24 hours and the injection site reaction resolved within 48 hours. Approximately 10/17, she developed ataxia and on 10/24 slurred speech. The pt was hospitalized on 10/31 and was seen by a neurologist and dxed with ataxia and chorea. Upon dx of strep, she was treated with phenytoin, Dilantin made her symptoms 50 times worse. 11/04 she was discharged and rxed Depakote.  Follow up 06/19/2001: "phone call from MD: diagnosis for this patient was Sydenhams Chorea as per treating neurologist.  The patient has almost completely recovered.  Patient had tested positive for Strep infection."
Age: 8.0
Sex: F
Vaccine: PNC
Symptoms: Feeling hot, Injection site hypersensitivity, Injection site oedema, Lethargy, Nervous system disorder
Clinical narrative: The father of an 8-year-old female reported that his daughter received an injection of Prevnar on 09/25/2000 and post vax developed a fever of 100.8 degrees F. Her fever abated within 24 hours. She then developed lethargy and an injection site reaction characterized by warmth, swelling which extended from her elbow to her shoulder and a welt the size of a silver dollar. Her lethargy abated within 24 hours and the injection site reaction resolved within 48 hours. Approximately 10/17, she developed ataxia and on 10/24 slurred speech. The pt was hospitalized on 10/31 and was seen by a neurologist and dxed with ataxia and chorea. Upon dx of strep, she was treated with phenytoin, Dilantin made her symptoms 50 times worse. 11/04 she was discharged and rxed Depakote.  Follow up 06/19/2001: "phone call from MD: diagnosis for this patient was Sydenhams Chorea as per treating neurologist.  The patient has almost completely recovered.  Patient had tested positive for Strep infection."
Age: 8.0
Sex: F
Vaccine: PNC
Symptoms: Pyrexia
Clinical narrative: The father of an 8-year-old female reported that his daughter received an injection of Prevnar on 09/25/2000 and post vax developed a fever of 100.8 degrees F. Her fever abated within 24 hours. She then developed lethargy and an injection site reaction characterized by warmth, swelling which extended from her elbow to her shoulder and a welt the size of a silver dollar. Her lethargy abated within 24 hours and the injection site reaction resolved within 48 hours. Approximately 10/17, she developed ataxia and on 10/24 slurred speech. The pt was hospitalized on 10/31 and was seen by a neurologist and dxed with ataxia and chorea. Upon dx of strep, she was treated with phenytoin, Dilantin made her symptoms 50 times worse. 11/04 she was discharged and rxed Depakote.  Follow up 06/19/2001: "phone call from MD: diagnosis for this patient was Sydenhams Chorea as per treating neurologist.  The patient has almost completely recovered.  Patient had tested positive for Strep infection."
Age: 0.75
Sex: M
Vaccine: HEP, PNC
Symptoms: Pyrexia
Clinical narrative: Pt with fever of 102 within 48 hours post vax. fever increasing to almost 105 witnin 96 hours of dose. Neg cough, vomiting, rash and labs.
Age: 44.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Swelling, erythema, tender around injection site.
Age: 49.0
Sex: F
Vaccine: RAB
Symptoms: Myalgia
Clinical narrative: Polymyalgia after 5th dose.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Dyspnoea, Feeling cold, Hyperhidrosis
Clinical narrative: Pt diopheric. C/O difficulty breathing, pt cool to touch. 3 cc Epinephrine. MD seem to think it was not a true reaction it might of been a physcialogical reaction. Pt doing fine.
Age: 47.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Pruritus
Clinical narrative: Pt reports vax site red, sore, swollen itchy. Painful, pt advised to see MD.
Age: 55.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Erythema, Feeling hot, Injection site pain, Pain
Clinical narrative: Developed red, tender warm area underside of upper arm. Size of red area 4-5 " x 1-2" saw MD on Friday 11/13/2000 at 14:30 advised that she had allergic  reaction and to take po Benadryl. Resolved in 3 days. Actual site of injection was very tender first 24 hours post vax. but no redness.
Age: 55.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Erythema, Pain, Vasodilation procedure
Clinical narrative: Developed red, tender warm area underside of upper arm. Size of red area 4-5 " x 1-2" saw MD on Friday 11/13/2000 at 14:30 advised that she had allergic  reaction and to take po Benadryl. Resolved in 3 days. Actual site of injection was very tender first 24 hours post vax. but no redness.
Age: 0.3
Sex: F
Vaccine: DTAP, IPV
Symptoms: Rash
Clinical narrative: The pt developed a rash.
Age: 1.4
Sex: M
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Injection site oedema, Pruritus, Rash erythematous
Clinical narrative: 2 hours post vax pt broke out in a rash all over body, from neck on down but eating and drinking.  Gave Benadryl.  10/18/2000 Went to ER last night, would like to know which shots were given.  10/20/2000 10 pm that night rash was much worse so I took him into ER again no problem with breathing. Doctor said it was from the DTAP left arm was swollen about 2 weeks in discomfort, raised and red. Rash continued to spread. Pt was given steroid and prednisone 15 mg, Benadryl . He also has severe itching. I had to put him in the tub to control the itching. He scratched until he was bleeding. The Benadryl that she gave him in the afternoon didn't help at all. Today he still has the rash on his abd. He's eating, drinking & doing okay. I will discuss this with MD.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Pruritus
Clinical narrative: The pt developed an injection site reactions characterized by a large area of redness and itching. She recovered.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Similar reaction on previous exposure to drug
Clinical narrative: The pt immediately experienced a headache. She recovered. The pt reported undergoing a thyroidectomy in 1966 and reported experiencing viral infectious attack on her nervous system in 1984.
Age: 50.0
Sex: F
Vaccine: HEPA, TD, HEPA, TD
Symptoms: Asthenia, Erythema, Lethargy, Muscle spasms, Pain
Clinical narrative: 12 hours, post vax, pain in left arm, redness, muscle spasm, lethargy and weakness. Went to ER and received epinephrine, IV therapy, prednisone and Benadryl.
Age: 50.0
Sex: F
Vaccine: HEPA, TD, HEPA, TD
Symptoms: Asthenia, Injection site erythema, Injection site pain, Lethargy, Muscle spasms
Clinical narrative: 12 hours, post vax, pain in left arm, redness, muscle spasm, lethargy and weakness. Went to ER and received epinephrine, IV therapy, prednisone and Benadryl.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Haemoptysis, Loss of consciousness, White blood cell disorder
Clinical narrative: Approximately 3 hours post vax, the pt experienced frothy bloody sputum, unconscious was taken to the ER and transferred to the hospital ICU. Tests are pending.
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Arrhythmia, Arthralgia, Arthritis, Blood creatinine increased, Erythema
Clinical narrative: Severe hives, 2-3 days, then severe joint pain and swelling starting in feet and moving to all joints. Pain and swelling would migrate from joint to joint along with times of extreme cold and shaking. Pain lasted approximately 3 weeks. Treatment was high dose aspirin and pain medications. The pt was hospitalized on 9/29/00. He also had a rash and a low-grade fever. Musculoskeletal exam show inflamed joints involving multiple areas. There is redness and swelling and diffuse aches and pains. He indicates that the rash has been controlled with Benadryl. Rheumatic fever does seem to be in the differential with an elevated ASO, history of strep throat and recent sore throat. Vasculitis should also be considered as well as non-specific autoimmune disease. Consider doing arterial biopsies and evaluate for renal disease as well as other manifestations of immune complex disease. Relationship to work seems remote but there were 2 other individuals who have recently had similar presentations. If biopsies are obtained, I would recommend keeping tissue in a frozen and unpreserved state for future evaluation if indicated. Daily labs are recommended while this illness is developing.
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Feeling cold, Immune system disorder, Joint swelling, Laboratory test abnormal, Proteinuria
Clinical narrative: Severe hives, 2-3 days, then severe joint pain and swelling starting in feet and moving to all joints. Pain and swelling would migrate from joint to joint along with times of extreme cold and shaking. Pain lasted approximately 3 weeks. Treatment was high dose aspirin and pain medications. The pt was hospitalized on 9/29/00. He also had a rash and a low-grade fever. Musculoskeletal exam show inflamed joints involving multiple areas. There is redness and swelling and diffuse aches and pains. He indicates that the rash has been controlled with Benadryl. Rheumatic fever does seem to be in the differential with an elevated ASO, history of strep throat and recent sore throat. Vasculitis should also be considered as well as non-specific autoimmune disease. Consider doing arterial biopsies and evaluate for renal disease as well as other manifestations of immune complex disease. Relationship to work seems remote but there were 2 other individuals who have recently had similar presentations. If biopsies are obtained, I would recommend keeping tissue in a frozen and unpreserved state for future evaluation if indicated. Daily labs are recommended while this illness is developing.
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Pyrexia, Rash, Tremor, Urticaria, Vasculitis
Clinical narrative: Severe hives, 2-3 days, then severe joint pain and swelling starting in feet and moving to all joints. Pain and swelling would migrate from joint to joint along with times of extreme cold and shaking. Pain lasted approximately 3 weeks. Treatment was high dose aspirin and pain medications. The pt was hospitalized on 9/29/00. He also had a rash and a low-grade fever. Musculoskeletal exam show inflamed joints involving multiple areas. There is redness and swelling and diffuse aches and pains. He indicates that the rash has been controlled with Benadryl. Rheumatic fever does seem to be in the differential with an elevated ASO, history of strep throat and recent sore throat. Vasculitis should also be considered as well as non-specific autoimmune disease. Consider doing arterial biopsies and evaluate for renal disease as well as other manifestations of immune complex disease. Relationship to work seems remote but there were 2 other individuals who have recently had similar presentations. If biopsies are obtained, I would recommend keeping tissue in a frozen and unpreserved state for future evaluation if indicated. Daily labs are recommended while this illness is developing.
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: White blood cell count increased
Clinical narrative: Severe hives, 2-3 days, then severe joint pain and swelling starting in feet and moving to all joints. Pain and swelling would migrate from joint to joint along with times of extreme cold and shaking. Pain lasted approximately 3 weeks. Treatment was high dose aspirin and pain medications. The pt was hospitalized on 9/29/00. He also had a rash and a low-grade fever. Musculoskeletal exam show inflamed joints involving multiple areas. There is redness and swelling and diffuse aches and pains. He indicates that the rash has been controlled with Benadryl. Rheumatic fever does seem to be in the differential with an elevated ASO, history of strep throat and recent sore throat. Vasculitis should also be considered as well as non-specific autoimmune disease. Consider doing arterial biopsies and evaluate for renal disease as well as other manifestations of immune complex disease. Relationship to work seems remote but there were 2 other individuals who have recently had similar presentations. If biopsies are obtained, I would recommend keeping tissue in a frozen and unpreserved state for future evaluation if indicated. Daily labs are recommended while this illness is developing.
Age: 1.9
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MMR, VARCEL
Symptoms: Anorexia, Apnoea, Convulsion, Cyanosis, Eye movement disorder
Clinical narrative: Fussy, loss of appetite on the day of IZ. No redness or swelling at sites of injection. Pt went to bed about 21:20, awake for 4 hours, tired but unable to sleep, awakened again at 06:30 and refused bottle. He could not stretch his arms out enough to reach for a bottle, as they were so sore. Mom checked on him and found him blue, not breathing and his eyes rolling around in his head. She called EMT. Pt was transported to hospital. Second episode of apnea in ER and was stabilized with IV's then he was transferred to another hospital. The attending doctors in ER informed her the "seizure" was the result of too many IZ's given at one time and she was she was instructed by these physicians to inform this dept. of our inappropriate administration of the IZ's. The child was given Tylenol before the shots were given, at 16:00 and at 12:30; he did not appear to run a fever. However, when the EMT's arrived he had a fever of 103.7F. He was kept overnight. He was placed on Dilantin and discharged.
Age: 1.9
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MMR, VARCEL
Symptoms: Insomnia, Irritability, Pain, Pyrexia
Clinical narrative: Fussy, loss of appetite on the day of IZ. No redness or swelling at sites of injection. Pt went to bed about 21:20, awake for 4 hours, tired but unable to sleep, awakened again at 06:30 and refused bottle. He could not stretch his arms out enough to reach for a bottle, as they were so sore. Mom checked on him and found him blue, not breathing and his eyes rolling around in his head. She called EMT. Pt was transported to hospital. Second episode of apnea in ER and was stabilized with IV's then he was transferred to another hospital. The attending doctors in ER informed her the "seizure" was the result of too many IZ's given at one time and she was she was instructed by these physicians to inform this dept. of our inappropriate administration of the IZ's. The child was given Tylenol before the shots were given, at 16:00 and at 12:30; he did not appear to run a fever. However, when the EMT's arrived he had a fever of 103.7F. He was kept overnight. He was placed on Dilantin and discharged.
Age: 22.0
Sex: F
Vaccine: HEP
Symptoms: Petit mal epilepsy, Pyrexia
Clinical narrative: Received dose #1 on 3/3/00; #2 on 4/7/00. Pt phoned in on 9/8/00 to report that 1-2 weeks after receiving dose #2, she developed petit mal seizures, mostly at night and 1 grand mal seizure. She reports she had a mild fever for 1-2 days after vaccination; no other adverse reactions. Is still undergoing neurological testing at this time.
Age: 16.0
Sex: M
Vaccine: RAB
Symptoms: Bradycardia, Convulsion, Hypotension, Injection site pain, Loss of consciousness
Clinical narrative: The pt experienced convulsions, loss of consciousness, pain in the left arm, blood pressure of 80/40, and an irregular pulse rate (48). Causality is stated to be unrelated. The most likely cause is a circulatory reaction due to the injection rather than the vaccine.
Age: 1.0
Sex: M
Vaccine: MMR, MMR
Symptoms: Abnormal behaviour, Autism, Dyspepsia, Gastrointestinal disorder, Laboratory test abnormal
Clinical narrative: My son received his MMR shot at 1 year old and shortly after, began showing autistic behavior. He was completely normal before this. Sat up at 4 1/2 months, walked at 9 months and started talking at 10 or 11 months. After he received this IZ, this started to disappear. He is now autistic and I know he would not be without the MMR vaccine. The presence of mercury, aluminum and formaldyhide are in this vaccine. They are at toxic levels. Please take this off the market and make other kids safe from this happening again. Every symptom for mercury poisoning is a symptom for autism. I am utterly shocked that this relationship has been overlooked for so long. He now has food intolerances, allergies and digestive problems, visual disturbances, sensory problems and the list is endless. No formal diagnosis to be made until child's 3rd birthday, now in speech, physical and occupational therapies, went through psychological testing.
Age: 1.0
Sex: M
Vaccine: MMR, MMR
Symptoms: Sensory disturbance, Visual disturbance
Clinical narrative: My son received his MMR shot at 1 year old and shortly after, began showing autistic behavior. He was completely normal before this. Sat up at 4 1/2 months, walked at 9 months and started talking at 10 or 11 months. After he received this IZ, this started to disappear. He is now autistic and I know he would not be without the MMR vaccine. The presence of mercury, aluminum and formaldyhide are in this vaccine. They are at toxic levels. Please take this off the market and make other kids safe from this happening again. Every symptom for mercury poisoning is a symptom for autism. I am utterly shocked that this relationship has been overlooked for so long. He now has food intolerances, allergies and digestive problems, visual disturbances, sensory problems and the list is endless. No formal diagnosis to be made until child's 3rd birthday, now in speech, physical and occupational therapies, went through psychological testing.
Age: 1.0
Sex: M
Vaccine: MMR, MMR
Symptoms: Autism, Gastrointestinal disorder, Hypersensitivity, Laboratory test abnormal, Sensory disturbance
Clinical narrative: My son received his MMR shot at 1 year old and shortly after, began showing autistic behavior. He was completely normal before this. Sat up at 4 1/2 months, walked at 9 months and started talking at 10 or 11 months. After he received this IZ, this started to disappear. He is now autistic and I know he would not be without the MMR vaccine. The presence of mercury, aluminum and formaldyhide are in this vaccine. They are at toxic levels. Please take this off the market and make other kids safe from this happening again. Every symptom for mercury poisoning is a symptom for autism. I am utterly shocked that this relationship has been overlooked for so long. He now has food intolerances, allergies and digestive problems, visual disturbances, sensory problems and the list is endless. No formal diagnosis to be made until child's 3rd birthday, now in speech, physical and occupational therapies, went through psychological testing.
Age: 1.0
Sex: M
Vaccine: MMR, MMR
Symptoms: Visual disturbance
Clinical narrative: My son received his MMR shot at 1 year old and shortly after, began showing autistic behavior. He was completely normal before this. Sat up at 4 1/2 months, walked at 9 months and started talking at 10 or 11 months. After he received this IZ, this started to disappear. He is now autistic and I know he would not be without the MMR vaccine. The presence of mercury, aluminum and formaldyhide are in this vaccine. They are at toxic levels. Please take this off the market and make other kids safe from this happening again. Every symptom for mercury poisoning is a symptom for autism. I am utterly shocked that this relationship has been overlooked for so long. He now has food intolerances, allergies and digestive problems, visual disturbances, sensory problems and the list is endless. No formal diagnosis to be made until child's 3rd birthday, now in speech, physical and occupational therapies, went through psychological testing.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Coma, Crying, Hypotension, Hypotonia, Lethargy
Clinical narrative: 4 hours, post vax, pt had 1 hour of crying then became pale, limp, poorly responding, which lasted several minutes; then remained pale and lethargic for 1-2 hours. Diagnosed with Hypotensive, unresponsive episode
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Pallor
Clinical narrative: 4 hours, post vax, pt had 1 hour of crying then became pale, limp, poorly responding, which lasted several minutes; then remained pale and lethargic for 1-2 hours. Diagnosed with Hypotensive, unresponsive episode
Age: 0.05
Sex: M
Vaccine: HEP, HEP
Symptoms: Apnoea, Cyanosis
Clinical narrative: Pt had a cyanotic event at 14:00 on 11/08/00. His feet and legs up to his waist, turned blue. Mom stated he wasn't breathing for approx. 2 minutes until he turned "pink". 10 minutes went by before he had a faint cry. No rescue breaths given. Taken to ER by EMS. He was transferred to another hospital.
Age: 0.05
Sex: M
Vaccine: HEP, HEP
Symptoms: Cyanosis neonatal, Neonatal apnoeic attack
Clinical narrative: Pt had a cyanotic event at 14:00 on 11/08/00. His feet and legs up to his waist, turned blue. Mom stated he wasn't breathing for approx. 2 minutes until he turned "pink". 10 minutes went by before he had a faint cry. No rescue breaths given. Taken to ER by EMS. He was transferred to another hospital.
Age: 1.0
Sex: M
Vaccine: HBHEPB, MMR
Symptoms: Convulsion
Clinical narrative: Received MMR and Comvax on 9/14/00. On 9/23 and 9/24, went to ER with symptoms of seizure activity. Referred to an MD; who reported the seizure was R/T MMR.
Sex: F
Vaccine: HEP
Symptoms: Anorexia, Antinuclear antibody positive, Arthralgia, Fatigue, Headache
Clinical narrative: The pt experienced debilitating fatigue, excruciating joint pain throughout entire body, chills, headache, and fever. The pt also experienced loss of appetite. 60 day follow-up states the pt had high liver function, muscle weakness and joint aches.
Sex: F
Vaccine: HEP
Symptoms: Hypothyroidism, Liver function test abnormal, Muscular weakness, Pyrexia
Clinical narrative: The pt experienced debilitating fatigue, excruciating joint pain throughout entire body, chills, headache, and fever. The pt also experienced loss of appetite. 60 day follow-up states the pt had high liver function, muscle weakness and joint aches.
Age: 3.0
Sex: M
Vaccine: HEPA, PNC
Symptoms: Decreased appetite, Erythema, Pyrexia, Rash
Clinical narrative: The pt experienced a red rash for 2 days, fever, decreased appetite, decreased liquids were also experienced.
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Coma, Dyskinesia, Febrile convulsion, Hypersensitivity, Rhinorrhoea
Clinical narrative: Had 5 seizures, beginning about 23:00 on 10/13/00, ending at 09:00 on 10/14/00. Pt was unresponsive at those times. Tonic/clonic movements about 1 minute. Temperature 100.2F (axilla) in office at 10:40 on 10/14/00. Exam was normal except for mild rhinorrhea and elevated temperature. Dx: (1) febrile seizure and (2) viral illness versus IZ reaction. EEG scheduled for 11/1/00. The parent did not keep appointment for EEG and has not, as yet, rescheduled.
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Viral infection
Clinical narrative: Had 5 seizures, beginning about 23:00 on 10/13/00, ending at 09:00 on 10/14/00. Pt was unresponsive at those times. Tonic/clonic movements about 1 minute. Temperature 100.2F (axilla) in office at 10:40 on 10/14/00. Exam was normal except for mild rhinorrhea and elevated temperature. Dx: (1) febrile seizure and (2) viral illness versus IZ reaction. EEG scheduled for 11/1/00. The parent did not keep appointment for EEG and has not, as yet, rescheduled.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Dry skin, Pyrexia, Rash
Clinical narrative: Child was vaccinated 10/03/00 around 14:00. Mother called clinic and stated that the child has a fever of 100.9F (R) and that she has a fine white rash on her face and back. States PMD has not returned her call. On 10/6/00, per call to mother; child is doing fine. Took child to pediatrician, who stated rash due to dry skin and treated with ointment.
Age: 1.25
Sex: F
Vaccine: PNC
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: Fever of 103F-104F X 4 days and swollen arm.
Age: 1.2
Sex: F
Vaccine: PNC
Symptoms: Irritability, Pyrexia
Clinical narrative: Fever of 102F, very fussy for 5 days, post vax, 2nd Prevnar.
Age: 1.3
Sex: M
Vaccine: HIBV, MMR, PNC
Symptoms: Crying, Parotid gland enlargement, Swelling face
Clinical narrative: Pt had been fine, awoke on 11/9/00 at 04:00 and cried X 15 minutes like in pain, no fever, face swollen and took to ER but seemed fine. Seen by doctor in the afternoon and had enlarged parotid glands, bilaterally, no tenderness. No treatment, just to observe.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Apnoea, Coma, Lethargy
Clinical narrative: One day, post vax, child had an episode of lethargy and didn't respond well. It seemed to parent/grandparent that child wasn't breathing (but no one reports blue color of skin) and decreased responsiveness. Called 911 and child was taken to ER. Did well after. The child had a mild cough, the day of the shot, but no cold symptoms to report at the time of this episode.
Age: 46.0
Sex: F
Vaccine: ANTH
Symptoms: Blister, Scleroderma
Clinical narrative: On 3/7/99, had Anthrax #1 with flu-like symptoms. On 3/19/99, had Anthrax #2 had blisters on arms and legs, 3 days later, which were largely resolved over 1-2 months. On 5/13/99, had Anthrax #3 and on the 2nd day, post vax, had blisters over entire body.