chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 29.0
Sex: M
Vaccine: ANTH, MEN, PPV, SMALL, SMALL
Symptoms: Pericardial effusion, Pericarditis, Viral infection
Clinical narrative: Acute myopericarditis with pericardial effusion post smallpox vac. This 29 year old, in good health with no history of cardiac disease or risk factors for coronary artery disease, presented for preparation and received the following vaccines on 3/8/03. Anthrax #1, hep A, hep B, typhoid, influenza, smallpox, ppd skin test. The pt stated that he felt well in the first week but about day 8 he developed flu-like symptoms which consisted of a dry cough, nausea, no appetite and fatigue. He had no diarrhea, emesis, chest pain, chills or fever. The flu-like symptoms lasted several days, and then lessened but then recurred. On the day he presented for anthrax #2 (3/24/03) he felt well. On the evening of 3/24, the flu-like symptoms recurred with emesis but no chest pain. On 3/25/03 he presented to sick call. He was treated with cough medicine, anti-emetics and bedrest. He slept, rested then he noted sweating predominating around the head area with concomitant "cold chills" at night. On the 3/26 he again returned to sick call, complaining of headache and dry cough with trace, orange colored sputum. No CXR was done. He reports that the cough persisted and seemed to worsen throughout the evening of the 26th and he subsequently returned to the clinic for follow-up evaluation. The pt was reevaluated on 3/27/03 and prescribed a renewed cough medication and what he believed to be an antibiotic (duration 3 days). That evening he reports awakening with difficulty breathing and emesis of green material. In addition he noted green sputum production and chest pain (substernal dull pressure without radiation) along with SO while lying supine. He noted his ribs hurt as well. He requested transfer to hospital on Friday 3/28. His symptoms included worsening SOB, inability to lie flat.  Report of one set of vital signs were as follows: BP 120/70, pulse 120, R 24, no elevated JVP.
Age: 29.0
Sex: M
Vaccine: ANTH, MEN, PPV, SMALL, SMALL
Symptoms: Anorexia, Chest pain, Chills, Cough, Dyspnoea
Clinical narrative: Acute myopericarditis with pericardial effusion post smallpox vac. This 29 year old, in good health with no history of cardiac disease or risk factors for coronary artery disease, presented for preparation and received the following vaccines on 3/8/03. Anthrax #1, hep A, hep B, typhoid, influenza, smallpox, ppd skin test. The pt stated that he felt well in the first week but about day 8 he developed flu-like symptoms which consisted of a dry cough, nausea, no appetite and fatigue. He had no diarrhea, emesis, chest pain, chills or fever. The flu-like symptoms lasted several days, and then lessened but then recurred. On the day he presented for anthrax #2 (3/24/03) he felt well. On the evening of 3/24, the flu-like symptoms recurred with emesis but no chest pain. On 3/25/03 he presented to sick call. He was treated with cough medicine, anti-emetics and bedrest. He slept, rested then he noted sweating predominating around the head area with concomitant "cold chills" at night. On the 3/26 he again returned to sick call, complaining of headache and dry cough with trace, orange colored sputum. No CXR was done. He reports that the cough persisted and seemed to worsen throughout the evening of the 26th and he subsequently returned to the clinic for follow-up evaluation. The pt was reevaluated on 3/27/03 and prescribed a renewed cough medication and what he believed to be an antibiotic (duration 3 days). That evening he reports awakening with difficulty breathing and emesis of green material. In addition he noted green sputum production and chest pain (substernal dull pressure without radiation) along with SO while lying supine. He noted his ribs hurt as well. He requested transfer to hospital on Friday 3/28. His symptoms included worsening SOB, inability to lie flat.  Report of one set of vital signs were as follows: BP 120/70, pulse 120, R 24, no elevated JVP.
Age: 29.0
Sex: M
Vaccine: ANTH, MEN, PPV, SMALL, SMALL
Symptoms: Fatigue, Headache, Hyperhidrosis, Influenza like illness, Myocarditis
Clinical narrative: Acute myopericarditis with pericardial effusion post smallpox vac. This 29 year old, in good health with no history of cardiac disease or risk factors for coronary artery disease, presented for preparation and received the following vaccines on 3/8/03. Anthrax #1, hep A, hep B, typhoid, influenza, smallpox, ppd skin test. The pt stated that he felt well in the first week but about day 8 he developed flu-like symptoms which consisted of a dry cough, nausea, no appetite and fatigue. He had no diarrhea, emesis, chest pain, chills or fever. The flu-like symptoms lasted several days, and then lessened but then recurred. On the day he presented for anthrax #2 (3/24/03) he felt well. On the evening of 3/24, the flu-like symptoms recurred with emesis but no chest pain. On 3/25/03 he presented to sick call. He was treated with cough medicine, anti-emetics and bedrest. He slept, rested then he noted sweating predominating around the head area with concomitant "cold chills" at night. On the 3/26 he again returned to sick call, complaining of headache and dry cough with trace, orange colored sputum. No CXR was done. He reports that the cough persisted and seemed to worsen throughout the evening of the 26th and he subsequently returned to the clinic for follow-up evaluation. The pt was reevaluated on 3/27/03 and prescribed a renewed cough medication and what he believed to be an antibiotic (duration 3 days). That evening he reports awakening with difficulty breathing and emesis of green material. In addition he noted green sputum production and chest pain (substernal dull pressure without radiation) along with SO while lying supine. He noted his ribs hurt as well. He requested transfer to hospital on Friday 3/28. His symptoms included worsening SOB, inability to lie flat.  Report of one set of vital signs were as follows: BP 120/70, pulse 120, R 24, no elevated JVP.
Age: 29.0
Sex: M
Vaccine: ANTH, MEN, PPV, SMALL, SMALL
Symptoms: Nausea, Pericardial effusion, Vomiting
Clinical narrative: Acute myopericarditis with pericardial effusion post smallpox vac. This 29 year old, in good health with no history of cardiac disease or risk factors for coronary artery disease, presented for preparation and received the following vaccines on 3/8/03. Anthrax #1, hep A, hep B, typhoid, influenza, smallpox, ppd skin test. The pt stated that he felt well in the first week but about day 8 he developed flu-like symptoms which consisted of a dry cough, nausea, no appetite and fatigue. He had no diarrhea, emesis, chest pain, chills or fever. The flu-like symptoms lasted several days, and then lessened but then recurred. On the day he presented for anthrax #2 (3/24/03) he felt well. On the evening of 3/24, the flu-like symptoms recurred with emesis but no chest pain. On 3/25/03 he presented to sick call. He was treated with cough medicine, anti-emetics and bedrest. He slept, rested then he noted sweating predominating around the head area with concomitant "cold chills" at night. On the 3/26 he again returned to sick call, complaining of headache and dry cough with trace, orange colored sputum. No CXR was done. He reports that the cough persisted and seemed to worsen throughout the evening of the 26th and he subsequently returned to the clinic for follow-up evaluation. The pt was reevaluated on 3/27/03 and prescribed a renewed cough medication and what he believed to be an antibiotic (duration 3 days). That evening he reports awakening with difficulty breathing and emesis of green material. In addition he noted green sputum production and chest pain (substernal dull pressure without radiation) along with SO while lying supine. He noted his ribs hurt as well. He requested transfer to hospital on Friday 3/28. His symptoms included worsening SOB, inability to lie flat.  Report of one set of vital signs were as follows: BP 120/70, pulse 120, R 24, no elevated JVP.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Apnoea, Nasal congestion, Sudden infant death syndrome
Clinical narrative: To clinic 4/7/03 for 2 month check and immunizations. Doing well, only complaints stuffy nose. On 4/12/03 to ER, not breathing and ER was not able to revive her.  Preliminary autopsy reports listed as SIDS as cause of death.
Age: 38.0
Sex: F
Vaccine: RAB
Symptoms: Eye pain, Headache, Influenza like illness, Pain, Pyrexia
Clinical narrative: A 38 year old female pt, born in 12/18/64, was vaccinated three times with 1ml Rabipur for pre-exposure prophylaxis in February/March 2003. One or two days after the third vaccination on 3/5/03, she developed subfebrile temperature around 38C, lasting for four to six weeks. She also complained about headache, pain in limbs, eye pain (like neuritis opticus pain) and flu like symptoms, improving at reporting date on 4/16/03. The pt was hospitalized on 4/9/03.  A 15-day follow up report received 6/26/2003 adds: Seriousness criterion: Hospitalization. Causality: insufficient data. Addendum 06/10/2003: We also received this case. A 28-year-old (error) female pt-a physician-was vaccinated with 3 doses of Rabipur (batch #3084799). (Local?) redness was reported after the first 2 vaccinations. Four weeks after the 3rd vaccination she experienced malaise, fatigue and "toxic" and "infectious" symptoms, which lasted for weeks. Lab tests were normal, a delayed vaccination reaction was suspected. Company assessment: Seriousness criterion: hospitalization Causality: not related.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Convulsion, Dehydration, Diarrhoea, Irritability, Pyrexia
Clinical narrative: Seizure 24 hours after vaccine from just after to 36 hrs after vaccines-fever up to 102.6 deg F, vomiting, fussiness, diarrhea 24 hrs after vaccines.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Vomiting
Clinical narrative: Seizure 24 hours after vaccine from just after to 36 hrs after vaccines-fever up to 102.6 deg F, vomiting, fussiness, diarrhea 24 hrs after vaccines.
Age: 50.0
Sex: F
Vaccine: LYME
Symptoms: Asthenia, Balance disorder, Chest pain, Dizziness, Ear pain
Clinical narrative: I began to have flu-like symptoms, slight fever, achiness, nausea and I thought I had flu. I also developed headaches, vertigo, numbness in my arms and legs, and neurological symptoms-pain in teeth, tongue throat, chest. I have extreme fatigue, bladder symptoms, and problems sleeping. I have been treated for Lyme disease, after testing positive, which was after LYMErix vaccine. I have been on various courses of antibiotics which have included: Doxycycline 200mg per day-2 months, Zithromax 500mg per day-3 months, Primaxin 1500mg per day IV-6 weeks; Zithromax 750mg per day-6 weeks to present and continuing. I began having symptoms after the Lymerix vaccine, but did not realize that my illness could have been a result of the vaccine. I was sick for 3 out of 6 months after the first 2 doses of the vaccine, which was the last month of 1999. I was sick on and off in 2000, with a bad episode in the fall of 2000 beginning in September. In 2001, my symptoms seemed to worsen and included severe headaches, toothaches, earaches, a feeling of swelling in my throat, pressure and pain in the chest, faintness, dizziness, weakness, severe fatigue, and muscle aches. At the end of 2001, I became so ill that I could not work. I was sick for months and never really recuperated-all of the same symptoms grew worse. I began to experience crushing pressure in my head and tingling and prickling sensations in my arms, hands, legs and all over-even the face and spine. I had severe neurological symptoms in my bladder. I returned to the doctor several times with various symptoms, but was never diagnosed with Lyme until May of 2002. I began treatment at the very end of May 2002 and am still being treated. I am also still sick every day and have dramatically curtailed my usual activities. 60 day follow up states: pt has headaches, earaches, vertigo, tingling in arms and hands, legs and feet, fatigue (extreme), a feeling of fullness and pressure in head, chest, stomach. This particularly effects the face, ears, jaw, and throat. Pt has not felt health since receiving this vaccine. Follow up on 6/2004: No further information reported. Neurological pain, pressure and tingling in face- ears, nose, teeth, jaw, tongue and throatl arms, legs, chest, stomach, bladder- bladder symptoms are constant. There is no bladder infection- just neurological sensations. Also feeling of loss of balance, headahce from trigeminal pressure & pain. I have spent 5 years checking out possible causes of my symptoms and my doctors have concluded that the Lymerix vaccine is the cause of these symptoms and illness. They can only attempt to treat the symptoms (somewhat unsatifactorily) and do not know if I will get better.
Age: 50.0
Sex: F
Vaccine: LYME
Symptoms: Fatigue, Headache, Hypoaesthesia, Infection parasitic, Influenza like illness
Clinical narrative: I began to have flu-like symptoms, slight fever, achiness, nausea and I thought I had flu. I also developed headaches, vertigo, numbness in my arms and legs, and neurological symptoms-pain in teeth, tongue throat, chest. I have extreme fatigue, bladder symptoms, and problems sleeping. I have been treated for Lyme disease, after testing positive, which was after LYMErix vaccine. I have been on various courses of antibiotics which have included: Doxycycline 200mg per day-2 months, Zithromax 500mg per day-3 months, Primaxin 1500mg per day IV-6 weeks; Zithromax 750mg per day-6 weeks to present and continuing. I began having symptoms after the Lymerix vaccine, but did not realize that my illness could have been a result of the vaccine. I was sick for 3 out of 6 months after the first 2 doses of the vaccine, which was the last month of 1999. I was sick on and off in 2000, with a bad episode in the fall of 2000 beginning in September. In 2001, my symptoms seemed to worsen and included severe headaches, toothaches, earaches, a feeling of swelling in my throat, pressure and pain in the chest, faintness, dizziness, weakness, severe fatigue, and muscle aches. At the end of 2001, I became so ill that I could not work. I was sick for months and never really recuperated-all of the same symptoms grew worse. I began to experience crushing pressure in my head and tingling and prickling sensations in my arms, hands, legs and all over-even the face and spine. I had severe neurological symptoms in my bladder. I returned to the doctor several times with various symptoms, but was never diagnosed with Lyme until May of 2002. I began treatment at the very end of May 2002 and am still being treated. I am also still sick every day and have dramatically curtailed my usual activities. 60 day follow up states: pt has headaches, earaches, vertigo, tingling in arms and hands, legs and feet, fatigue (extreme), a feeling of fullness and pressure in head, chest, stomach. This particularly effects the face, ears, jaw, and throat. Pt has not felt health since receiving this vaccine. Follow up on 6/2004: No further information reported. Neurological pain, pressure and tingling in face- ears, nose, teeth, jaw, tongue and throatl arms, legs, chest, stomach, bladder- bladder symptoms are constant. There is no bladder infection- just neurological sensations. Also feeling of loss of balance, headahce from trigeminal pressure & pain. I have spent 5 years checking out possible causes of my symptoms and my doctors have concluded that the Lymerix vaccine is the cause of these symptoms and illness. They can only attempt to treat the symptoms (somewhat unsatifactorily) and do not know if I will get better.
Age: 50.0
Sex: F
Vaccine: LYME
Symptoms: Insomnia, Myalgia, Nausea, Neurological symptom, Pain
Clinical narrative: I began to have flu-like symptoms, slight fever, achiness, nausea and I thought I had flu. I also developed headaches, vertigo, numbness in my arms and legs, and neurological symptoms-pain in teeth, tongue throat, chest. I have extreme fatigue, bladder symptoms, and problems sleeping. I have been treated for Lyme disease, after testing positive, which was after LYMErix vaccine. I have been on various courses of antibiotics which have included: Doxycycline 200mg per day-2 months, Zithromax 500mg per day-3 months, Primaxin 1500mg per day IV-6 weeks; Zithromax 750mg per day-6 weeks to present and continuing. I began having symptoms after the Lymerix vaccine, but did not realize that my illness could have been a result of the vaccine. I was sick for 3 out of 6 months after the first 2 doses of the vaccine, which was the last month of 1999. I was sick on and off in 2000, with a bad episode in the fall of 2000 beginning in September. In 2001, my symptoms seemed to worsen and included severe headaches, toothaches, earaches, a feeling of swelling in my throat, pressure and pain in the chest, faintness, dizziness, weakness, severe fatigue, and muscle aches. At the end of 2001, I became so ill that I could not work. I was sick for months and never really recuperated-all of the same symptoms grew worse. I began to experience crushing pressure in my head and tingling and prickling sensations in my arms, hands, legs and all over-even the face and spine. I had severe neurological symptoms in my bladder. I returned to the doctor several times with various symptoms, but was never diagnosed with Lyme until May of 2002. I began treatment at the very end of May 2002 and am still being treated. I am also still sick every day and have dramatically curtailed my usual activities. 60 day follow up states: pt has headaches, earaches, vertigo, tingling in arms and hands, legs and feet, fatigue (extreme), a feeling of fullness and pressure in head, chest, stomach. This particularly effects the face, ears, jaw, and throat. Pt has not felt health since receiving this vaccine. Follow up on 6/2004: No further information reported. Neurological pain, pressure and tingling in face- ears, nose, teeth, jaw, tongue and throatl arms, legs, chest, stomach, bladder- bladder symptoms are constant. There is no bladder infection- just neurological sensations. Also feeling of loss of balance, headahce from trigeminal pressure & pain. I have spent 5 years checking out possible causes of my symptoms and my doctors have concluded that the Lymerix vaccine is the cause of these symptoms and illness. They can only attempt to treat the symptoms (somewhat unsatifactorily) and do not know if I will get better.
Age: 50.0
Sex: F
Vaccine: LYME
Symptoms: Paraesthesia, Pharyngeal oedema, Pyrexia, Toothache, Vertigo
Clinical narrative: I began to have flu-like symptoms, slight fever, achiness, nausea and I thought I had flu. I also developed headaches, vertigo, numbness in my arms and legs, and neurological symptoms-pain in teeth, tongue throat, chest. I have extreme fatigue, bladder symptoms, and problems sleeping. I have been treated for Lyme disease, after testing positive, which was after LYMErix vaccine. I have been on various courses of antibiotics which have included: Doxycycline 200mg per day-2 months, Zithromax 500mg per day-3 months, Primaxin 1500mg per day IV-6 weeks; Zithromax 750mg per day-6 weeks to present and continuing. I began having symptoms after the Lymerix vaccine, but did not realize that my illness could have been a result of the vaccine. I was sick for 3 out of 6 months after the first 2 doses of the vaccine, which was the last month of 1999. I was sick on and off in 2000, with a bad episode in the fall of 2000 beginning in September. In 2001, my symptoms seemed to worsen and included severe headaches, toothaches, earaches, a feeling of swelling in my throat, pressure and pain in the chest, faintness, dizziness, weakness, severe fatigue, and muscle aches. At the end of 2001, I became so ill that I could not work. I was sick for months and never really recuperated-all of the same symptoms grew worse. I began to experience crushing pressure in my head and tingling and prickling sensations in my arms, hands, legs and all over-even the face and spine. I had severe neurological symptoms in my bladder. I returned to the doctor several times with various symptoms, but was never diagnosed with Lyme until May of 2002. I began treatment at the very end of May 2002 and am still being treated. I am also still sick every day and have dramatically curtailed my usual activities. 60 day follow up states: pt has headaches, earaches, vertigo, tingling in arms and hands, legs and feet, fatigue (extreme), a feeling of fullness and pressure in head, chest, stomach. This particularly effects the face, ears, jaw, and throat. Pt has not felt health since receiving this vaccine. Follow up on 6/2004: No further information reported. Neurological pain, pressure and tingling in face- ears, nose, teeth, jaw, tongue and throatl arms, legs, chest, stomach, bladder- bladder symptoms are constant. There is no bladder infection- just neurological sensations. Also feeling of loss of balance, headahce from trigeminal pressure & pain. I have spent 5 years checking out possible causes of my symptoms and my doctors have concluded that the Lymerix vaccine is the cause of these symptoms and illness. They can only attempt to treat the symptoms (somewhat unsatifactorily) and do not know if I will get better.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Fatigue, Hypotonia, Irritability, Staring
Clinical narrative: Child was irritable afternoon of shots, then about 6:20PM had staring/limp episode for few seconds. Then was tired for 2 hours. Child evaluated in ER with NL CBC/BC/VA/UC NL, VSS. Child admitted for 24 hours without further episodes.
Age: 3.0
Sex: M
Vaccine: HEP, IPV, VARCEL
Symptoms: Abnormal behaviour, Aggression, Autism, Crying, Social avoidant behaviour
Clinical narrative: Autism. Severe depressive and receptive language delay. Does not understand new words each week. Does not recognize names of body parts. Difficult to manage; kicking and screaming. Does not interact with teacher or classmates. Inability to follow commands; unable to play with toys presented. Becoming increasingly frustrated and crying. Bangs head and hits himself.
Age: 3.0
Sex: M
Vaccine: HEP, IPV, VARCEL
Symptoms: Speech disorder
Clinical narrative: Autism. Severe depressive and receptive language delay. Does not understand new words each week. Does not recognize names of body parts. Difficult to manage; kicking and screaming. Does not interact with teacher or classmates. Inability to follow commands; unable to play with toys presented. Becoming increasingly frustrated and crying. Bangs head and hits himself.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Anorexia, Autism, Cognitive disorder, Diarrhoea, Drug toxicity
Clinical narrative: Stop talking, diarrhea, vomiting, picky eater, no pointing, no eye gaze or contact, self absorbed. Follow Up: still severely devlopment delays, expressive language delays, fine motor delays, recurring GI problems, severe issues with food choices, side ways ofances, still detoxing of heavy metals. I feel my child has been robbed of his childhood/rest of his life. I hope in time that the responsibe party/parties will be held accountable.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Drug withdrawal syndrome, Vomiting
Clinical narrative: Stop talking, diarrhea, vomiting, picky eater, no pointing, no eye gaze or contact, self absorbed. Follow Up: still severely devlopment delays, expressive language delays, fine motor delays, recurring GI problems, severe issues with food choices, side ways ofances, still detoxing of heavy metals. I feel my child has been robbed of his childhood/rest of his life. I hope in time that the responsibe party/parties will be held accountable.
Age: 28.0
Sex: M
Vaccine: HEP
Symptoms: Arrhythmia, Asthenia, Fatigue, Hyperhidrosis, Laboratory test abnormal
Clinical narrative: Beginning in January 1987, I experienced recurring fevers, sweats, muscle aches, fatigue, sore throat, heart arrhythmias, lack of energy, as well as other symptoms.
Age: 28.0
Sex: M
Vaccine: HEP
Symptoms: Myalgia, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Beginning in January 1987, I experienced recurring fevers, sweats, muscle aches, fatigue, sore throat, heart arrhythmias, lack of energy, as well as other symptoms.
Sex: M
Vaccine: UNK
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: (+) erythema/edema/warmth noted to upper arm/shoulder.
Age: 45.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site hypersensitivity, Injection site induration, Injection site mass, Injection site oedema, Injection site pain
Clinical narrative: Given in R arm within 6 hrs experienced pain, swelling, itching at site. Systemic symptoms included malaise, nausea, reduced mental ability. Systemic effects gone within 36 hrs of shot. Local rxn lasted another week. Pain itching and hard lump about size of quarter.
Age: 45.0
Sex: F
Vaccine: ANTH
Symptoms: Malaise, Mental impairment, Nausea, Pruritus
Clinical narrative: Given in R arm within 6 hrs experienced pain, swelling, itching at site. Systemic symptoms included malaise, nausea, reduced mental ability. Systemic effects gone within 36 hrs of shot. Local rxn lasted another week. Pain itching and hard lump about size of quarter.
Age: 40.0
Sex: F
Vaccine: ANTH
Symptoms: Chills, Headache, Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: Localized reaction-red, hot, swollen with a quarter sized lump. Generalized-malaise, chills, body aches, headache. Treatment Atarax and Tylenol symptoms lasted for 2 1/2 weeks.
Age: 40.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site warmth, Malaise, Pain
Clinical narrative: Localized reaction-red, hot, swollen with a quarter sized lump. Generalized-malaise, chills, body aches, headache. Treatment Atarax and Tylenol symptoms lasted for 2 1/2 weeks.
Age: 19.0
Sex: U
Vaccine: ANTH
Symptoms: Erythema, Oedema, Pruritus, Rash
Clinical narrative: Rash started that night and was swollen itching and still red.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Approximately 2 days after Anthrax vaccination, began to have redness and swelling of ipsilateral arm extending quickly to his wrist from the vaccination site. By 3rd day, there was circumferential swelling and patient was admitted for IV antibiotics. Gradually improved and was discharged after 36 hours. To finish course of antibiotics.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Began with soreness, swelling, redness at inj site radiating to elbow. Was given Benadryl and antibiotic by MD x 1 wk.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Urticaria
Clinical narrative: 2 days hives.
Age: 55.0
Sex: F
Vaccine: LYME
Symptoms: Laboratory test abnormal, Rash
Clinical narrative: Bullseye on stomach area. Given antibodies on 5/10/99 for five to six weeks. No further problems until fall of 2002.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Irritability, Nasal congestion, Otitis media, Pharyngitis, Pyrexia
Clinical narrative: Irritable crying, temp 101.4 post injection cried x 3 days. Seen 4/8/03 otitis media/cold-congestion seen 4/3/03 vaccine reaction.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Rhinitis, Screaming
Clinical narrative: Irritable crying, temp 101.4 post injection cried x 3 days. Seen 4/8/03 otitis media/cold-congestion seen 4/3/03 vaccine reaction.
Age: 53.0
Sex: F
Vaccine: TD
Symptoms: Dysphagia, Hypersensitivity, Rash, Urticaria
Clinical narrative: Diff. swallowing, hives, rash ? allergic reaction app 24 hrs after rec. tetanus shot.
Age: 24.0
Sex: F
Vaccine: TD
Symptoms: Fatigue, Injection site erythema, Injection site oedema
Clinical narrative: Localized swelling, redness, deltoid and edema of Lt arm, finger, ? feel Pt felt tired. O/E ? erythematous 3cm ?
Age: 12.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Skin ulcer
Clinical narrative: No fever, spread lesions over abdomen, face, arms > 50 spots.
Age: 4.0
Sex: M
Vaccine: DT, IPV, MMR, DTAP, IPV, MMR
Symptoms: Cough, Dyspnoea, Pruritus, Rash, Vomiting
Clinical narrative: Difficulty breathing within 10 minutes for DT, MMR, IPV; rash on trunk itchy-cough vomited x 1 lungs clear. Administered 1 1/4-1 1/2 tsp Benadryl and observation x 1 1/2 pt active and alert.
Age: 4.0
Sex: M
Vaccine: DT, IPV, MMR, DTAP, IPV, MMR
Symptoms: Cough, Dyspnoea, Rash pruritic, Vomiting
Clinical narrative: Difficulty breathing within 10 minutes for DT, MMR, IPV; rash on trunk itchy-cough vomited x 1 lungs clear. Administered 1 1/4-1 1/2 tsp Benadryl and observation x 1 1/2 pt active and alert.
Age: 26.0
Sex: F
Vaccine: MEN
Symptoms: Dizziness, Injection site erythema, Injection site induration, Injection site pain, Nausea
Clinical narrative: Large local erythema and induration following anthrax immunization #3. Onset with local itching within 4 hrs. ER visit with nausea, lightheadedness. Treated with Benadryl, Phenergan, hydrocortisone 10x5cm erythema; 5x5cm induration and tenderness.
Age: 26.0
Sex: F
Vaccine: MEN
Symptoms: Pruritus
Clinical narrative: Large local erythema and induration following anthrax immunization #3. Onset with local itching within 4 hrs. ER visit with nausea, lightheadedness. Treated with Benadryl, Phenergan, hydrocortisone 10x5cm erythema; 5x5cm induration and tenderness.
Age: 4.0
Sex: F
Vaccine: MMR
Symptoms: Decreased appetite, Lethargy, Rash papular, Rhinitis, Vomiting
Clinical narrative: Coryza pot 7 d with decreased appetite and sl lethargy papular rash trunk-extr-face starting ? vomiting x 1 po st 12 d.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Local redness and swelling at site of innoculation; no throat swelling, generalized urticaria or wheezing. left deltoid. Tx Benadryl PO.
Age: 1.3
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site discolouration, Injection site swelling, Rash erythematous
Clinical narrative: Patient seen 1 day after immunization given with erythema and swelling at injection site, as well as maculopapular blanching, erythematous rash on lower extremities and trunk. Patient also had URI symptoms.
Age: 29.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: 10"x16" red, raised area. Diagnosed at local ER as cellulitis. Treated with Augmentin 500mg x7.
Age: 1.5
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema
Clinical narrative: Site right arm is red 5cmx6cm; no induration. Seen in office 4/21/03.
Age: 0.7
Sex: M
Vaccine: DTP
Symptoms: Anorexia, Influenza like illness, Personality disorder, Pyrexia
Clinical narrative: Developed fever 101 and flu within 3 days; whiny crying nonstop for 3-5 hours after 2nd day. Zombie like for 13 days after vaccine with no personality and no appetite. KP on call advised to give Motrin and said it did not sound like reaction to DTP. Vaccine paperwork listed all his symptoms as possible reaction symptoms.
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Joint range of motion decreased, Neck pain, Pyrexia
Clinical narrative: Temp 101.6 4/24/03 14:00. Arthralgia left shoulder; unable to lift arm, decreased range of motion, pain radiates to neck, elbow and wrist 4/24/03 14:00.
Age: 4.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Child received DTaP #5 to left deltoid on 4/21/03. Mother brought child today 4/23/03 at 11:30AM. Left deltoid moderately swollen, hard, and warm to touch and slightly red. Cold compress applied by mother on 4/22/03 when swelling was first noted. No other adverse reactions noted. Advised mother to continue with cold compress and bring child to a doctor if symptoms worsens. Child alert, conscious, and responsive.
Age: 1.9
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling of left upper arm. Size: 6cm by 7.5cm.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR, PNC
Symptoms: Injection site erythema, Injection site warmth, Pruritus
Clinical narrative: Vaccines administered 3/24/03. Patient's mom returns to clinic for PPD reading and shows provider left deltoid with erythema, hot, itchy area. Mom reports is better on 3/26/03 than 3/25/03. Symptoms improving per mom.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Agitation, Crying
Clinical narrative: Mother states that approximately 3 hours after immunization, infant began screaming and continued to do so for 3 hours. No able to console or comfort child in any way. No fever. Immunization given 4/23/03.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Urticaria
Clinical narrative: Urticaria both thighs, upper arms and right cheek 2 days after vaccines received. No respiratory distress.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Skin papilloma
Clinical narrative: Right upper arm with localized redness/warmth/swelling- Onset day after immunizations. No fever/chills. No difficulty breathing, no difficulty swallowing- local treatment with cool compress. Zyrtec po, Keflex po
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Contusion, Injection site mass, Joint range of motion decreased, Pain, Skin striae
Clinical narrative: Terrible knot, bruise, and branches of broken blood vessels on back of arm. Much pain. Couldn't move arm for 7-10 days. Due to their negligence, pt was given way to many shots. They failed to rcord some of her previous shots on their records. Has been fixed on their now, but to late.  By age 4, pt was given way to many shots due to negligence. Here is the list of all of her shots: DTaP 5 doses, Hep A 2 doses, Hep B 2 doses, Hep B- Hib 2 doses,  Hib- Hboc 3 doses, Hib Covax 1 dose ( still not recorded by health dept), IPV 4 doses, MMR 3 doses, Varicella 2 doses. All were valid doses given at appropriate times.
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Rash, Urticaria
Clinical narrative: 01/31/2003 developed rash/hives- arms, legs, trunk, face. One week after administration.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Left upper arm with edema/ erythema over 10 x 10cm area left upper arm. Mild tenderness. Afebrile.
Age: 6.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pharyngitis, Rash, Rhinitis
Clinical narrative: Child had slight cold symptoms, broke out with varicella like rash down abdomen two days ago. Confirmed at Dr's visit today.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site reaction, Urticaria
Clinical narrative: Hives at site of both injections
Age: 27.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Dizziness, Headache, Pain, Pyrexia
Clinical narrative: Received Hep B and MMR 04/08/2003. During night of 04/08-04/09 began S+S of fever of 102 degrees (responded to Advil), occ dizziness. 04/14 continued to feel "achey" all over and "very bad headache" that has been nagging since Friday. PCP prescribed Percacett. 04/21 c/o Headache triggered by light/glare.
Age: 1.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash macular
Clinical narrative: Deformed macular rash to face, trunk, few on extremities. No exanthem, no lymphadenpathy. Fever of 101 degrees for 2 days.
Age: 1.25
Sex: M
Vaccine: HBHEPB, PNC
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Fever- leading to febrile seizure. Fever began 24 hours after shots and lasted 3 days.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth, Pyrexia
Clinical narrative: To left arm apprx 10 cm area of erythema, warm to touch, induration. fever lasting and symptoms started yesterday.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site mass, Injection site oedema, Swelling, Tenderness, Urticaria
Clinical narrative: Knot with swelling, wheal, edema, and tenderness with ring around it, about size of small grapefruit.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia, Screaming
Clinical narrative: 3 hours after immunizations, had fever to 104 degrees and cried all night. Had 2nd fever to 104 degrees then went to 98 degrees without further complications.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Hypotonia, Stupor
Clinical narrative: Hypotonic- Hyporesponsive episode
Age: 3.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: 1st day after immunization - local "golf ball" size erythematous, edematous lesion. 2nd day 3/31/03 - Shoulder to elbows - erythema, fever, edematous encircling upper arm. Full range of motion.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Child received DTaP vaccine onto left deltoid on 4/4/03 #5. Mother was instructed to give child Tylenol post vaccination. Mother brought child today 4/17/03. Left upper arm noted to be slightly swollen and red, warm to touch and with flat rashes. Mother claims cold compress was applied on and off but noted no improvement. Mother was advised to bring child to his MD. Alert, conscious and responsive; ambulatory; not in any distress.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt presented with large, red, tender swelling approx. 3" diameter on left upper arm (delt.). Mom says pt was given IM vaccination at this site on 4/21/03. MD advised Benadryl po.
Age: 20.0
Sex: F
Vaccine: SMALL
Symptoms: Groin pain, Infection transmission via personal contact, Lymphadenopathy
Clinical narrative: Inadverent innoculation by husband who had been vaccinated with Smallpox vaccine. Patient had pain in r.groin with swelling in inguinal lymph nodes and a small ulcer on r. labia majora. Culture taken from ulcer return positive for vaccina virus.
Age: 66.0
Sex: F
Vaccine: SMALL
Symptoms: Headache, Hypertension
Clinical narrative: BP 180/98 on 3/28, 200/100 3/29, took extra hypertensive medication each day.  Put on additional BP med 3/30 and diurectic.  Checked BP due to feeling bad and severe headache.  Never been that high before.
Age: 24.0
Sex: F
Vaccine: ANTH, MEN, SMALL, TYP
Symptoms: Unevaluable event
Clinical narrative: Date of last menstrual period: 01/31/03. Currently with a pregnancy of 10 weeks, 2 days by ultrasound on 04/24/03. Possible fetal exposure.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Rash erythematous
Clinical narrative: Red raised skin on left anterior thigh, vital signs stable.  Benadry 50mg given
Age: 2.0
Sex: F
Vaccine: HEPA, PNC
Symptoms: Lethargy, Urticaria
Clinical narrative: Patient developed hives and lethargy 6 hours after receiving Prevnar and Hepatitis A
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Blister, Dermatitis
Clinical narrative: Multiple fluid filled vesicles on hands, feet, few on elbows and knees.
Age: 50.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema multiforme, Rash macular
Clinical narrative: upper arms, trunk and upper thighs - 1-1.5 cm sl. elevated "macules", well scattered, asymptomatic.  erythema multiforme minor according to a local physician.  Rx:  watchful waiting
Age: 54.0
Sex: F
Vaccine: SMALL
Symptoms: Chest discomfort, Extrasystoles, Nasal congestion, Upper respiratory tract infection
Clinical narrative: 4/14/03 - 4/15/03 Began to experience URI symptoms. 4/16/03 Chest tightness and congestion started in addition to other symptoms. 4/17/03 Went to physician and was admitted based on abnormal EKG which showed PVCs and bigeminy. No known etiology. 4/19/03 Discharged from hospital. Following 24 hr course of beta-blockers problems resolved.
Age: 32.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: vaccinated on 3/6/03 On the evening of 3/22/03 developed temperature, rash and subsequently a total of 143 spots on whole body. On 3/26/03 did a DFA which came back positive for varicella zoster virus antigen
Age: 35.0
Sex: F
Vaccine: SMALL
Symptoms: Dyspnoea, Pain, Pruritus, Pyrexia, Urticaria
Clinical narrative: Urticarial rash 4/23/03; tx with Benadryl/Pepcid then 50-100 mg qd Atarax/Pepcid 10 mg bid.  Pt did not follow instructions and took 100 mg Atarax q6h x 3 days to improve symptoms; then attempting to "wean" self off meds over weekend.  On 4/27/03 at 9 PM pt reports return of pruritis and took 100mg Atarax.   Pt instructed not to take additional meds - oatmeal bath and ice packs on "achy" feet advised.  4/28/03:  pt seen at emp health for take check - still reports pruritis at site, achy feet, 1 urticarial lesion; called provider line later in day to c/o achy back, arms, joints but reported full motion of joints.  4/29/03: called to report temp 99.7 at 1700, tx with 1000 mg tylenol; at 1845 temp 100.7 and reported painful throat and difficulty breathing.  Sent to local ED where temp 37 noted; nl cbc with wbc of 4.7 noted; nl electrolytes, no urticarial or other rashes, neg rapid strep and neg mono.  Given IV fluids s/p c/o watery diarrhea, antiemetics, and narcotic pain meds; d/c on Tyl #3 elixir with dx viral syndrome.
Age: 11.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Blood alkaline phosphatase increased, Convulsion
Clinical narrative: Seizures occurred while pt was in school; rushed to ER; hospitalized.
Age: 11.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Convulsion
Clinical narrative: Seizures occurred while pt was in school; rushed to ER; hospitalized.
Age: 42.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Abdominal distension, Arthralgia, Chest pain, Depression, Difficulty in walking
Clinical narrative: Peripheral neuropathy. R/O GBS. Also received the smallpox vaccine the same day. He reports he had no adverse events to the smallpox immunization. He describes the classic major reaction and scabbing over of the lesion without problems. He does not recall the date when the scab fell off. He denies symptoms until Sunday 3/16/03 when he experienced an episode of coldness, with teeth chattering that lasted from 6PM to about 4PM the following day. The next day he felt numbness in both legs, numbness in and between the toes and on the bottom of the feet. He also reports significant swelling and pain in the feet, lower abdomen and testicles. He had intermittent episodes of sharp pain felt as an electrical shock down both legs into the feet. These symptoms continued for a week and then he developed a pins and needles feeling in the bottoms of the feet and slightly on the top of each foot. The symptoms worsened as the week progressed and by day seven 3/19/03 he was barely able to walk and could not wear his boots due to swelling of the feet. He was in port and stayed in his stateroom for 10 days to rest. he was first seen for medical evaluation on 3/28/03 by an MD where labs and foot x-rays were done and he was diagnosed with gout. He was sent home; he could not perform his duties due to pain and inability to ambulate. He arrived home on 3/31/03. Patient was evaluated on 4/1/03 and admitted to hospital for the above symptoms and feeling of fullness in the back of the throat. He also presented with uvular edema and had a 3 day course of IV decadron after which the throat symptoms resolved. He underwent numerous diagnostic tests outlined below. Of note is a significant, unexplained increase in LFT's during his hospitalization, which spontaneously returned to normal within a few days. On 4/14/03 he was transferred to another hospital. He continued this diagnostic work up and was discharged home on 4/19/03. The follow up received on 11/4/03 states pt has not improved and he has developed other medical problems in the last 6 months including unidentified pneumonia with fevers to 105 deg and 2 pulmonary emboli. He is now on continuous O2 and Coumadin therapy. He still is unable to walk without assistance, has swollen ankles, and describes chest pain, palpitations, bloating, generalized arthralgias, weight loss, headaches, insomnia, depression and pain and numbness in lower extremities. Last neurological evaluation on 9/25/03 states "pt represents an unfortunate and complicated clinical picture. He represents an acquired demyelinating axonal neuropathy. If he does not have spontaneous remission, the prognosis remains very guarded. More likely than not, he will have life-long disability even with significant recovery." Diagnosis: Sensory motor polyneuropathy, most likely toxic in nature "more likely than not, this represents a autoimmune reaction to vaccination." Comprehensive medical workup is pending. Litigation is pending.
Age: 42.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Feeling cold, Headache, Hypoaesthesia, Injection site reaction, Insomnia
Clinical narrative: Peripheral neuropathy. R/O GBS. Also received the smallpox vaccine the same day. He reports he had no adverse events to the smallpox immunization. He describes the classic major reaction and scabbing over of the lesion without problems. He does not recall the date when the scab fell off. He denies symptoms until Sunday 3/16/03 when he experienced an episode of coldness, with teeth chattering that lasted from 6PM to about 4PM the following day. The next day he felt numbness in both legs, numbness in and between the toes and on the bottom of the feet. He also reports significant swelling and pain in the feet, lower abdomen and testicles. He had intermittent episodes of sharp pain felt as an electrical shock down both legs into the feet. These symptoms continued for a week and then he developed a pins and needles feeling in the bottoms of the feet and slightly on the top of each foot. The symptoms worsened as the week progressed and by day seven 3/19/03 he was barely able to walk and could not wear his boots due to swelling of the feet. He was in port and stayed in his stateroom for 10 days to rest. he was first seen for medical evaluation on 3/28/03 by an MD where labs and foot x-rays were done and he was diagnosed with gout. He was sent home; he could not perform his duties due to pain and inability to ambulate. He arrived home on 3/31/03. Patient was evaluated on 4/1/03 and admitted to hospital for the above symptoms and feeling of fullness in the back of the throat. He also presented with uvular edema and had a 3 day course of IV decadron after which the throat symptoms resolved. He underwent numerous diagnostic tests outlined below. Of note is a significant, unexplained increase in LFT's during his hospitalization, which spontaneously returned to normal within a few days. On 4/14/03 he was transferred to another hospital. He continued this diagnostic work up and was discharged home on 4/19/03. The follow up received on 11/4/03 states pt has not improved and he has developed other medical problems in the last 6 months including unidentified pneumonia with fevers to 105 deg and 2 pulmonary emboli. He is now on continuous O2 and Coumadin therapy. He still is unable to walk without assistance, has swollen ankles, and describes chest pain, palpitations, bloating, generalized arthralgias, weight loss, headaches, insomnia, depression and pain and numbness in lower extremities. Last neurological evaluation on 9/25/03 states "pt represents an unfortunate and complicated clinical picture. He represents an acquired demyelinating axonal neuropathy. If he does not have spontaneous remission, the prognosis remains very guarded. More likely than not, he will have life-long disability even with significant recovery." Diagnosis: Sensory motor polyneuropathy, most likely toxic in nature "more likely than not, this represents a autoimmune reaction to vaccination." Comprehensive medical workup is pending. Litigation is pending.