chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 2.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Rhinitis, White blood cell count increased
Clinical narrative: Information has been received from a physician concerning a 24 month old male with hereditary spherocytosis who on 4/3/01 was vaccinated with pneumococcal vaccine 23 polyvalent in the right thigh. On 4/3/01, 3 hours, post vax, the pt's mother reported the child was crying and in "obvious discomfort". The child was favoring his right knee and was unable to bend his right knee. On 4/4/01, the pt's mother reported the pt had a fever of 103F and could not bend his knee. The child was still in discomfort, but was not favoring his knee as much. On 4/5/01, the pt's mother reported that the child still could not bend his knee. Also, she tried to bend his knee and was unable to do so. The child still had a fever in the range of 103F. On 4/5/01, the child was seen by his physician. On physical exam, the physician noted that the child was not able to bend his knee and that she could not bend the child's knee. The pt's knee was not red or tender and there were no lumps or bruises. When the child walks, he does not bend his knee. In follow-up, the physician decided to have the child evaluated by the orthopedic doctors because the child still was not bending his right leg, which is the leg that the child received the pneumococcal vaccine. The physician reported that the orthopedic physician felt that the child had a hematoma in the muscle that would take time to resolve. The physician spoke to the pt's mother on 4/11/01 and the mother reported that the child "slowly became better". The pt's mother said that as of 4/10/01, the child was "normal". Fever of 103F, crying, obvious discomfort and favoring right knee and unable to bend right knee, were considered to be disabling. Additional information has been requested. In follow-up, the mother reported that very shortly after receiving the IZ, he developed a minimal splotchy red rash, about the size of a quarter, below the site of the knee. The physician reported this  was not in contingous area to the IZ itself. Following the vaccination, the pt went on a 3 day car ride. By the last hour, the child was crying continuously and was telling his mother that he had a "owie". The physician reported that by the time they reached their destination, he was not bending the knee. The pt's mother reported the fever would go down to 100F with ibuprofen (Motrin). The pt had some mild cough and cold symptoms. On 4/5/01, the pt's mother spoke to a nurse in the office and reported that the pt's appetite was decreased and drinking was decreased but the child had wet diapers. She also reported that the child's leg was swollen.
Age: 2.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Crying, Decreased appetite, Haematoma, Haemoglobin decreased, Hypokinesia
Clinical narrative: Information has been received from a physician concerning a 24 month old male with hereditary spherocytosis who on 4/3/01 was vaccinated with pneumococcal vaccine 23 polyvalent in the right thigh. On 4/3/01, 3 hours, post vax, the pt's mother reported the child was crying and in "obvious discomfort". The child was favoring his right knee and was unable to bend his right knee. On 4/4/01, the pt's mother reported the pt had a fever of 103F and could not bend his knee. The child was still in discomfort, but was not favoring his knee as much. On 4/5/01, the pt's mother reported that the child still could not bend his knee. Also, she tried to bend his knee and was unable to do so. The child still had a fever in the range of 103F. On 4/5/01, the child was seen by his physician. On physical exam, the physician noted that the child was not able to bend his knee and that she could not bend the child's knee. The pt's knee was not red or tender and there were no lumps or bruises. When the child walks, he does not bend his knee. In follow-up, the physician decided to have the child evaluated by the orthopedic doctors because the child still was not bending his right leg, which is the leg that the child received the pneumococcal vaccine. The physician reported that the orthopedic physician felt that the child had a hematoma in the muscle that would take time to resolve. The physician spoke to the pt's mother on 4/11/01 and the mother reported that the child "slowly became better". The pt's mother said that as of 4/10/01, the child was "normal". Fever of 103F, crying, obvious discomfort and favoring right knee and unable to bend right knee, were considered to be disabling. Additional information has been requested. In follow-up, the mother reported that very shortly after receiving the IZ, he developed a minimal splotchy red rash, about the size of a quarter, below the site of the knee. The physician reported this  was not in contingous area to the IZ itself. Following the vaccination, the pt went on a 3 day car ride. By the last hour, the child was crying continuously and was telling his mother that he had a "owie". The physician reported that by the time they reached their destination, he was not bending the knee. The pt's mother reported the fever would go down to 100F with ibuprofen (Motrin). The pt had some mild cough and cold symptoms. On 4/5/01, the pt's mother spoke to a nurse in the office and reported that the pt's appetite was decreased and drinking was decreased but the child had wet diapers. She also reported that the child's leg was swollen.
Age: 2.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Injection site pain, Muscle disorder, Platelet count increased, Pyrexia, Rash maculo-papular
Clinical narrative: Information has been received from a physician concerning a 24 month old male with hereditary spherocytosis who on 4/3/01 was vaccinated with pneumococcal vaccine 23 polyvalent in the right thigh. On 4/3/01, 3 hours, post vax, the pt's mother reported the child was crying and in "obvious discomfort". The child was favoring his right knee and was unable to bend his right knee. On 4/4/01, the pt's mother reported the pt had a fever of 103F and could not bend his knee. The child was still in discomfort, but was not favoring his knee as much. On 4/5/01, the pt's mother reported that the child still could not bend his knee. Also, she tried to bend his knee and was unable to do so. The child still had a fever in the range of 103F. On 4/5/01, the child was seen by his physician. On physical exam, the physician noted that the child was not able to bend his knee and that she could not bend the child's knee. The pt's knee was not red or tender and there were no lumps or bruises. When the child walks, he does not bend his knee. In follow-up, the physician decided to have the child evaluated by the orthopedic doctors because the child still was not bending his right leg, which is the leg that the child received the pneumococcal vaccine. The physician reported that the orthopedic physician felt that the child had a hematoma in the muscle that would take time to resolve. The physician spoke to the pt's mother on 4/11/01 and the mother reported that the child "slowly became better". The pt's mother said that as of 4/10/01, the child was "normal". Fever of 103F, crying, obvious discomfort and favoring right knee and unable to bend right knee, were considered to be disabling. Additional information has been requested. In follow-up, the mother reported that very shortly after receiving the IZ, he developed a minimal splotchy red rash, about the size of a quarter, below the site of the knee. The physician reported this  was not in contingous area to the IZ itself. Following the vaccination, the pt went on a 3 day car ride. By the last hour, the child was crying continuously and was telling his mother that he had a "owie". The physician reported that by the time they reached their destination, he was not bending the knee. The pt's mother reported the fever would go down to 100F with ibuprofen (Motrin). The pt had some mild cough and cold symptoms. On 4/5/01, the pt's mother spoke to a nurse in the office and reported that the pt's appetite was decreased and drinking was decreased but the child had wet diapers. She also reported that the child's leg was swollen.
Age: 2.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Swelling
Clinical narrative: Information has been received from a physician concerning a 24 month old male with hereditary spherocytosis who on 4/3/01 was vaccinated with pneumococcal vaccine 23 polyvalent in the right thigh. On 4/3/01, 3 hours, post vax, the pt's mother reported the child was crying and in "obvious discomfort". The child was favoring his right knee and was unable to bend his right knee. On 4/4/01, the pt's mother reported the pt had a fever of 103F and could not bend his knee. The child was still in discomfort, but was not favoring his knee as much. On 4/5/01, the pt's mother reported that the child still could not bend his knee. Also, she tried to bend his knee and was unable to do so. The child still had a fever in the range of 103F. On 4/5/01, the child was seen by his physician. On physical exam, the physician noted that the child was not able to bend his knee and that she could not bend the child's knee. The pt's knee was not red or tender and there were no lumps or bruises. When the child walks, he does not bend his knee. In follow-up, the physician decided to have the child evaluated by the orthopedic doctors because the child still was not bending his right leg, which is the leg that the child received the pneumococcal vaccine. The physician reported that the orthopedic physician felt that the child had a hematoma in the muscle that would take time to resolve. The physician spoke to the pt's mother on 4/11/01 and the mother reported that the child "slowly became better". The pt's mother said that as of 4/10/01, the child was "normal". Fever of 103F, crying, obvious discomfort and favoring right knee and unable to bend right knee, were considered to be disabling. Additional information has been requested. In follow-up, the mother reported that very shortly after receiving the IZ, he developed a minimal splotchy red rash, about the size of a quarter, below the site of the knee. The physician reported this  was not in contingous area to the IZ itself. Following the vaccination, the pt went on a 3 day car ride. By the last hour, the child was crying continuously and was telling his mother that he had a "owie". The physician reported that by the time they reached their destination, he was not bending the knee. The pt's mother reported the fever would go down to 100F with ibuprofen (Motrin). The pt had some mild cough and cold symptoms. On 4/5/01, the pt's mother spoke to a nurse in the office and reported that the pt's appetite was decreased and drinking was decreased but the child had wet diapers. She also reported that the child's leg was swollen.
Sex: F
Vaccine: PPV
Symptoms: Bacterial infection, Lymphoma, Spleen disorder
Clinical narrative: Information has been received from a male consumer concerning his wife who had a history of Hodgkin's Disease and a splenectomy. On an unspecified date, the patient was vaccinated with pneumococcal vaccine polyvalent. Subsequently, she developed pneumococcal disease. The patient died in approximately January 2001 due to pneumococcal disease. The consumer reported that his wife had not received the five year follow up vaccination with pneumococcal vaccine 23 polyvalent. No further info is available.
Sex: M
Vaccine: PPV
Symptoms: Hernia, Hypersensitivity, Injection site erythema, Prostatic disorder
Clinical narrative: Information has been received from a medical assistant and medical records concerning a non-smoking male patient with no known allergies and history of prior transurethral resection of the prostate, a left inguinal hernia repair, tonsillectomy, and adenoidectomy who on 03/09/00 was vaccinated with Pneumococcal vaccine 23 polyvalent. Concomitant therapy included Bisoprolol (+) hydrochlorothiazide (ZIAC). On 03/10/00, the patient presented to a walk in clinic because he experienced a reaction on the arm of the injection which was described as a reddened area involving the upper arm on down to the elbow (also described by the medical assistant as being swollen). The patient was not admitted to the hospital but was given a shot of Rocephin and advised to take Benadryl. That night, the patient took on dose of Benadryl and the following morning he again presented to the walk in clinic because he had increasing redness, but no fever or shortness of breath. A white blood cell count was drawn at the clinic and the result was within nml range. The patient was the referred to the ER for evaluation. A physical exam revealed a well nourished, well developed male with a normal physical exam exam except for marked erythema of the lateral aspect of the right upper arm down the elbow. The area was not indurated or tender to palpitation. The patient's temp was 97.2 and a pulse ox was 97%, showing no evidence of hypoxia. The patient was placed on therapy with prednisone. He was advised to use moist heat on his arm, and to follow up with his physician within two to eight days, or with the walk in clinic. On 04/02/01, the medical assistant reported that the patient's experience was "an allergic reaction" and he was noted to be "fine". It was also noted that the patient had received Pneumococcal vaccine once before and did not have a reaction. Upon internal review, allergic reaction was considered an Other Important Medical Event. Additional info is not expected. The reporter also provided info regarding the experience of the patient's wife following vaccination with Pneumococcal vaccine polyvalent. Additional info has been requested. Addt'l info received states this was an allergic reaction, pt now fine.
Sex: F
Vaccine: HEP
Symptoms: Anaphylactoid reaction, Demyelination, Fatigue, Fibromyalgia, Hepatitis C virus
Clinical narrative: Information has been received from a lawyer concerning a female who was vaccinated with Hep-B vaccine recombinant (yeast). Subsequently, the pt experienced hepatitis C which "caused chronic fatigue and fibromyalgia". According to the lawyer, she also had an anaphylactoid type of reaction "from the vaccine" followed by optic neuritis and "other evidence of" demyelinizing disease. Upon internal review, Hepatitis C, anaphylactoid type of reaction, optic neuritis and demyelinizing disease were considered to be "Other Important Medical Events". No further information is available.
Sex: F
Vaccine: HEP
Symptoms: Optic neuritis
Clinical narrative: Information has been received from a lawyer concerning a female who was vaccinated with Hep-B vaccine recombinant (yeast). Subsequently, the pt experienced hepatitis C which "caused chronic fatigue and fibromyalgia". According to the lawyer, she also had an anaphylactoid type of reaction "from the vaccine" followed by optic neuritis and "other evidence of" demyelinizing disease. Upon internal review, Hepatitis C, anaphylactoid type of reaction, optic neuritis and demyelinizing disease were considered to be "Other Important Medical Events". No further information is available.
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Information has been received from an MA concerning a non-smoking female pt with no allergies and a history of cataract surgery and hysterectomy who on 3/9/00 was vaccinated with pneumococcal vaccine 23 polyvalent. Shortly following vaccination, the pt's arm, where she received the injection, swelled and turned red. On 3/10/00, the pt presented to a walk-in clinic. The pt was not admitted to the hospital but was evaluated at the walk-in clinic and treated with Rocephin and instructed to take Benadryl. That night, the pt took 1 dose of Benadryl and on the following morning, she presented to the clinic again because her arm was worse. A WBC count was normal. The pt was referred to the ER for evaluation. A physical exam showed an afebrile, well developed, well nourished female and all review of systems were negative except for a redness of the left upper arm down almost to the elbow. There was no induration or tenderness and the area was slightly warm to touch. The medical records indicated that the impression was an: "allergic reaction to pneumococcal vaccine 23 polyvalent." The pt was prescribed prednisone 40mg per day for 4 days, 20mg per day for 4 days and 10mg per day for 4 days. She was advised to follow-up with the walk-in clinic or her physician within 2 to 8 days. On 4/2/01, the MA noted that the pt was "fine". It was also noted that the pt had never received pneumococcal vaccine 23 polyvalent before. Upon internal review, it was determined that the pt's allergic reaction was an "Other Important Medical Event". Additional information is not expected. The reporter also provided information regarding the experience of the pt's husband, following the same vaccine vaccination; (see WAES 01031442).
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Convulsion, Ear disorder, Erythema, Pyrexia, Urinary tract infection
Clinical narrative: Information has been received concerning a 14 week old female with no medical history of illnesses or fevers who on 1/17/01, was vaccinated with the 1st dose of haemophilus b conjugate vaccine + hepatitis b vaccine recombinant (yeast). Concomitant therapy included the 1st dose of streptococcus pneumoniae vaccine (Prevnar) IM, the 1st dose diphtheria toxoid/pertussis/tetanus vaccine (Acel-Imune), and the 1st dose poliovirus vaccine. On 2/20/01, the pt experienced a seizure and fever of 103F. She was taken to ER. The seizure was considered a "Significant Medical Event". Follow-up was received from a healthcare professional. She was treated at the ER with Rocephin. An LP was offered but was refused by the parents. The pt was discharged from the ER. On 2/21/01, the pt was seen for follow-up in the pediatrician's office. She was given Rocephin 700mg again. On 2/22/01, the pt was in the pediatrician's office for another follow-up visit and it was documented that the pt was "alert, active and doing great". The CBC came back with elevated WBC's. The pt's ears were red, and the final dx was a urinary tract infection. The last visit for the pt was 3/14/01, at which time she received her 2nd dose of haemophilus b conjugate vaccine + hepatitis b vaccine recombinant (yeast). The decision was made to not give the pt a 2nd dose of Streptococcus pneumoniae vaccine (Prevnar). No further information is available. This was originally reported by a physician.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: White blood cell count increased
Clinical narrative: Information has been received concerning a 14 week old female with no medical history of illnesses or fevers who on 1/17/01, was vaccinated with the 1st dose of haemophilus b conjugate vaccine + hepatitis b vaccine recombinant (yeast). Concomitant therapy included the 1st dose of streptococcus pneumoniae vaccine (Prevnar) IM, the 1st dose diphtheria toxoid/pertussis/tetanus vaccine (Acel-Imune), and the 1st dose poliovirus vaccine. On 2/20/01, the pt experienced a seizure and fever of 103F. She was taken to ER. The seizure was considered a "Significant Medical Event". Follow-up was received from a healthcare professional. She was treated at the ER with Rocephin. An LP was offered but was refused by the parents. The pt was discharged from the ER. On 2/21/01, the pt was seen for follow-up in the pediatrician's office. She was given Rocephin 700mg again. On 2/22/01, the pt was in the pediatrician's office for another follow-up visit and it was documented that the pt was "alert, active and doing great". The CBC came back with elevated WBC's. The pt's ears were red, and the final dx was a urinary tract infection. The last visit for the pt was 3/14/01, at which time she received her 2nd dose of haemophilus b conjugate vaccine + hepatitis b vaccine recombinant (yeast). The decision was made to not give the pt a 2nd dose of Streptococcus pneumoniae vaccine (Prevnar). No further information is available. This was originally reported by a physician.
Age: 40.0
Sex: F
Vaccine: LYME
Symptoms: Arthralgia, Arthritis, Asthenia, Fatigue, Injection site inflammation
Clinical narrative: Beginning July 1999, symptoms mimicking rheumatoid arthritis in some ways have been persistently present. Debilitating pain and inflammation in knees is primary symptom, but there has also been chronic fatigue, and other arthralgia. This is not RA, and Sjogren's has also been ruled out. Follow-up information per pt, "Ongoing auto-immune arthritis symptoms. Still unresolved diagnosis or treatement plan as of 7/01/01.
Age: 0.5
Sex: U
Vaccine: PNC
Symptoms: Convulsion, Erythema, Eye disorder
Clinical narrative: Information has been received from an investigator concerning a child who received a 1st dose of Prevnar as a part of a trial. On 06/27/00, the child was taken to a local clinic after waking from a nap with a red face, rubbing eyes that were closed. A diagnosis of possible seizure was made. The events were considered medically important. As of the date of this report, the investigator and the medical monitor assessments were unknown. Follow up information received on 04/19/2001 from the study investigator revealed the events were "outside the reportable window" and therefore, not related.  A follow up report received 12/03/2001 adds: Seen 07/05/2000 for follow-up to an ER visit on 6/27/00 for possible seizure. "Pt woke up from nap, seen rubbing eye, face red, eye closed. Dx'd possible seizure." Child born at 40 3/7 weeks (by dates). On day of discharge=breast fed well, good urinary output, passing stools, birth weight 8lbs 5oz. Exam of head at this time overlapping sutures, noggizal and coronal, very small anterior fontanel, only fingertip in size. Discharge note indicates pt to be observed closely for head circumference and resolution of overlapping sutures, otherwise, rule out craniosynostosis. 1/17/00 negative skull X-ray for premature synostosis. 6/26/00 11AM seen in ER (registered 6/27/00) for "At 2230 child rubbed his eyes then he appeared to pass out (mother) yelled and shook him and he gasp(ed) for air. Had just awakened ..ago." Review of symptoms: Temp 97 at ER. Pulse 124, Resp 28, O2 Sat 98%. Tugging at ears. TM's red, neck supple. "Gasped for air 2 wks ago." Neg for nausea/vomiting/diarrhea. Neg for hx of seizures. Eating well. Dx at this visit Acute altered level of consciousness-possible seizure. Acute OM. 7/5/00 seen for f/u in clinic. States: ER f/u seen 6/27/00. Just woke up from nap, seen rubbing eye, face red, eye closed slowly, fell forward, seemed alert afterward. No hx of seizure in family. Hx of ingestion. Negative CT and labs by report; no fever but said to have OM in ED, given shot. Well appearing at this time. Assessed ? seizure. 7/10/00 EEC done: Tracing within normal limits in the brief interpretable periods of the tracing, and a repeat tracing should be considered if the child's spells recur. Child has more visits, all without recurrence of above event or similar. 8/3/00 mentions normal EEG above without discussion of seizure like events. 11/24/00 well care, normal exam. 2/26/01 well care, recent OM otherwise normal exam. 9/20/01 well care, normal exam, normal development.
Age: 2.0
Sex: M
Vaccine: DTAP, MMR, OPV
Symptoms: Autism, Gastrointestinal disorder, Personality disorder, Pyrexia, Speech disorder
Clinical narrative: A mother reported that her son received Orimune, Tripedia and MMR vaccines on 7/21/95 at the age of 30 months. He also received Tetanus in 1994 at approximately 18 months of age. the mother reported that after her son's final series of vaccinations at the age of 18 months he developed autism. On either 7/24/95 or 7/26/95 he developed a fever of approximately 105. Since that time, his mother watched him lose language skills and interest in interacting with other children. He was reportedly officially diagnosed with autism at 3 years old. Autism is considered "medically important".  Follow-up states that the pt also developed gastrointestinal problems. Information received on follow-up also indicated that the event resulted in permanent disability. The pt also received tetanus toxoid adsorbed purogenated (IM) in 1994 apt approx. 18 months of age. Aditional information has been requested.
Age: 8.0
Sex: F
Vaccine: PNC, PPV
Symptoms: Erythema, Oedema
Clinical narrative: This child had Swelling, and redness of the left arm.
Age: 3.0
Sex: F
Vaccine: PNC
Symptoms: Injection site erythema, Injection site oedema, Urticaria
Clinical narrative: This child had a local reaction a the site of injection;right deltoid. Edema and redness to the elbow. On the 2nd evening, delayed hives. She was given Benadryl for the hives.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Convulsion, Feeling hot, High-pitched crying, Injection site erythema, Irritability
Clinical narrative: The parents of this patient related that the patient had a 3 day history of fever, fussiness, local red, warm, tenderness, and high pitched crying. Question shuddering behavior vs seizure-like activity.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pain, Pyrexia
Clinical narrative: The parents of this patient related that the patient had a 3 day history of fever, fussiness, local red, warm, tenderness, and high pitched crying. Question shuddering behavior vs seizure-like activity.
Age: 1.0
Sex: F
Vaccine: DTAP, MMR, MUR, PNC, VARCEL
Symptoms: Coma, Convulsion, Hypoxia, Vomiting
Clinical narrative: This infant was unresponsive within less than 2 minutes, followed by tonic clonic seizures, vomiting. Oxygen was applied, 911 called to the ER.
Age: 1.9
Sex: M
Vaccine: HEP, PNC, VARCEL
Symptoms: Vomiting
Clinical narrative: A mother states after an hour she left the clinic, the child started to vomit and it was persistent. She went home and called the clinic. The child returned to the clinic, was evaluated and referred to the ER for further observation. Discharged from the ER on the same day.
Age: 41.0
Sex: F
Vaccine: LYME
Symptoms: Dizziness, Headache, Hemiparesis, Hypersensitivity, Hypoaesthesia
Clinical narrative: Report 2001009563-1 described numb fingers (right hand) in a 41 year old female who received Lyme disease vaccine recombinant OspA (Lymerix) for the prevention of Lyme Disease. This report was received from the vaccinee and has not been verified by a physician or other health care professional. The vaccinee has seasonal allergies. Her medical history included crushed vertebrae (cervical spine). She took Hydrocodone and Zolpidem Hemitartrate (Ambien) prn. On 04/13/01, the vaccinee received her first left deltoid dose of Lymerix, twenty minutes post-vaccination, she experienced fever, chills, numb fingers (right hand), and weakness. As of 04/13/01, the outcome of the events was resolved. The adverse event of "numb fingers" does not meet ICM serious criteria, but is being submitted as an expedited report by special FDA request per the June 28, 2000 letter. Follow up states the patient also experienced a headache and light headedness.
Age: 41.0
Sex: F
Vaccine: LYME
Symptoms: Injury, Pyrexia
Clinical narrative: Report 2001009563-1 described numb fingers (right hand) in a 41 year old female who received Lyme disease vaccine recombinant OspA (Lymerix) for the prevention of Lyme Disease. This report was received from the vaccinee and has not been verified by a physician or other health care professional. The vaccinee has seasonal allergies. Her medical history included crushed vertebrae (cervical spine). She took Hydrocodone and Zolpidem Hemitartrate (Ambien) prn. On 04/13/01, the vaccinee received her first left deltoid dose of Lymerix, twenty minutes post-vaccination, she experienced fever, chills, numb fingers (right hand), and weakness. As of 04/13/01, the outcome of the events was resolved. The adverse event of "numb fingers" does not meet ICM serious criteria, but is being submitted as an expedited report by special FDA request per the June 28, 2000 letter. Follow up states the patient also experienced a headache and light headedness.
Sex: U
Vaccine: TTOX
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pain, Pruritus
Clinical narrative: The patient noticed last night around 10 PM, his arm was very sore and itching. The patient pulled up his sleeve, there was a huge red circular swelling, and the area was very hot. At 2 PM the following day and it was still red, hot, and swollen.
Age: 3.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: This child had varicella zoster on the left hand and forearm.
Age: 1.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: This child has a rapidly enlarging erythematous induration, tender, and firm on the left thigh, 10 x 9 cm.
Age: 2.0
Sex: M
Vaccine: HEP, HIBV, IPV
Symptoms: Unevaluable event
Clinical narrative: No data
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash, Urticaria
Clinical narrative: This infant was vaccinated on 03/19/01 with Varicella. The patient's mother called the primary care physician on 03/21/01, with complaints of hive like rash all over his body. The mother treated with Benadryl and Calamine lotion. Some question of whether moms allergy to Neomycin carried over to the child.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Erythema, Skin ulcer
Clinical narrative: This child had scattered vesicular lesions with red base, a few on the trunk, less than 20 lesions. Brea through varicella / had vaccine.
Age: 1.5
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: This infant had DTaP given 03/29/01. 10 x 8 cm local reaction, redness, and induration on the leg leg.
Age: 11.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site reaction, Injection site vesicles
Clinical narrative: HBV & VZV given at 2 PM on 04/12/2001. In the AM of 04/13/01, the patient had swelling, erythema, and bullae noted on the right triceps, site of VZV vaccine. Area appears cellulitis.
Age: 6.0
Sex: M
Vaccine: HEPA
Symptoms: Pyrexia
Clinical narrative: 3 hours after the patient was given his Hepatitis A vaccine he started running a fever. The fever lasted on and off for 3 days. The highest the fever got was 104. He was given Motrin and Tylenol which did not keep the fever down.
Age: 1.0
Sex: F
Vaccine: DTAP, HIBV, RAB
Symptoms: Diarrhoea, Vomiting
Clinical narrative: This infant has onset of vomiting lasting about 12 hours, followed by diarrhea. Inset within 4 hours of vaccines.
Age: 14.0
Sex: M
Vaccine: DT, HIBV
Symptoms: Rash erythematous
Clinical narrative: Two days after injections, this client developed raised, red, nickle size, bumps on both legs, groin and buttocks areas and chest. Went away over night and then reappeared the next evening only on the legs. The father is a doctor who cared for the client.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Chest pain, Pain, Pyrexia
Clinical narrative: The pt experienced a fever of 101, pain in rib cage and chest area.
Age: 58.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: The pt experienced a 4"x3" area of redness and warmth at the injection site. The doctor prescribed cold compress, and Tylenol for discomfort and Allegra (antihistamine) as needed.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, PNC, DTAP, IPV, MMR, PNC
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling on lower left arm; redness the size of an orange. Child states it doesn't hurt and he feels good.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, PNC, DTAP, IPV, MMR, PNC
Symptoms: Erythema, Swelling
Clinical narrative: Redness and swelling on lower left arm; redness the size of an orange. Child states it doesn't hurt and he feels good.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site swelling, Screaming
Clinical narrative: Pt presents with swollen area of left thigh 35cm X 40cm in size at 16:00. Mom complained that pt has cried since receiving injection at 11:30. Area has no redness or heat. Mom calls on 4/9/01 and states that pt is better.
Age: 3.0
Sex: F
Vaccine: PNC
Symptoms: Injection site erythema, Pruritus, Rash
Clinical narrative: Developed erythematous, pruritic rash over body.
Age: 0.4
Sex: F
Vaccine: PNC
Symptoms: Erythema, Rash maculo-papular, Urticaria
Clinical narrative: 3 days, post vax, pt developed hives and whelps all over body. Neck and chest splotchy, macular erythema. No other complications.
Age: 0.75
Sex: M
Vaccine: PNC
Symptoms: Rash
Clinical narrative: The pt experienced a rash all over his body. Treated with Benadryl.
Age: 0.5
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Urticaria
Clinical narrative: Developed whelps following immunizations. Administered po Benadryl.
Age: 1.5
Sex: F
Vaccine: PNC
Symptoms: Cellulitis, Injection site erythema, Injection site warmth
Clinical narrative: Left thigh cellulitis treated with Keflex 250mg X 10 days; ice prn; Tylenol/Advil prn. Shot given on 4/13/01 and seen for cellulitis on 4/14/01. Quarter-sized red and warm area at injection site.
Age: 1.0
Sex: M
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Convulsion, Hyperglycaemia, Infection, Pyrexia
Clinical narrative: Approx. 10 days, post vax, pt had generalized t/c seizure about 20 minutes and fever to 39C (rectally). Also had rash consistent with chickenpox.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Child new pt to this practice, came in for symptoms of rash. Has 15-20 chickenpox lesions on trunk and face. Apparently had vaccine at Pediatrician, elsewhere. We only have dates transferred. Child is doing well and expect full recovery.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Pyrexia, Screaming
Clinical narrative: Prolonged screaming over 4 hours. Temperature maximum of 100.9F.
Age: 15.0
Sex: M
Vaccine: HEPA, TYP, YF
Symptoms: Hyperhidrosis, Hypertension, Hyperventilation, Injury, Loss of consciousness
Clinical narrative: 1-2 minutes, post vax, and walking around, pt fell to the floor. BP 132/84; P 100; R 24. Laceration to tongue and lower lip and about 1" laceration above right ear. Has a history of seizures. Sweating profusely and ice was applied to lip and ear. Pt did lose consciousness of 1-2 minutes.
Age: 15.0
Sex: M
Vaccine: HEPA, TYP, YF
Symptoms: Syncope
Clinical narrative: 1-2 minutes, post vax, and walking around, pt fell to the floor. BP 132/84; P 100; R 24. Laceration to tongue and lower lip and about 1" laceration above right ear. Has a history of seizures. Sweating profusely and ice was applied to lip and ear. Pt did lose consciousness of 1-2 minutes.
Age: 1.25
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site warmth, Pruritus
Clinical narrative: Localized redness, approx. 6cm in diameter area, warm to touch and toddler noted to scratch. Advised warm compresses and Tylenol every 4 hours, follow-up with our office if symptoms persist or worsen.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Within 12 hours, post vax, developed fever to 103F-104F without other symptoms. About 30 hours, post vax, developed very large area of redness and swelling of left upper arm. Fever resolved within 24 hours.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site haemorrhage, Injection site swelling, Injection site warmth
Clinical narrative: On 4/15/01, post vax, pt developed ecchymosis at injection site with a very large area "whole upper arm" red, swollen and "hot to touch".
Age: 46.0
Sex: F
Vaccine: TYP, UNK
Symptoms: Dizziness, Headache, Heart rate increased, Nausea, Throat tightness
Clinical narrative: At 14:45, felt as if heart was in throat. Pulse "felt-racing", dizziness and vital signs were slightly increased. 12 hours later, had nausea, vomiting and headache.
Age: 46.0
Sex: F
Vaccine: TYP, UNK
Symptoms: Vomiting
Clinical narrative: At 14:45, felt as if heart was in throat. Pulse "felt-racing", dizziness and vital signs were slightly increased. 12 hours later, had nausea, vomiting and headache.
Age: 5.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash papular, Skin ulcer
Clinical narrative: 20-30 papular vesicular lesions, onset 4/12/01. Afebrile. On 4/16/01, had total of 120 lesions.
Age: 1.0
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Fatigue, Otitis media, Pyrexia
Clinical narrative: On 4/6/01, call from mom stating child had a fever of 106F (axillary) this AM. Notified nurse to return call. Tylenol and Motrin were given with good outcome. Temperature was down to 99F. During the day child was "tired". Fever went up again during the night to 103F Took child to ER on 4/7/01. Dx'd with bilateral otitis media. On different medication now and is doing well without temperature.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling and redness of left arm from shoulder to wrist.
Age: 1.5
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Left leg from thigh to knee, swollen with slight redness at medial aspect. None at injection site but increased heat. Some tenderness to touch.
Age: 48.0
Sex: F
Vaccine: TD, TD
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Neck pain, Pyrexia
Clinical narrative: The pt experienced a 5 x 4 inch area around the injection site which became red, swollen, and painful about 9 hours after injection. The pain also involved top of shoulder and side of neck. Pain, redness and swelling lasted 4 days. Slight temp elevation onset 11 hours post vax lasting one day and was relieved by Tylenol.
Age: 48.0
Sex: F
Vaccine: TD, TD
Symptoms: Shoulder pain
Clinical narrative: The pt experienced a 5 x 4 inch area around the injection site which became red, swollen, and painful about 9 hours after injection. The pain also involved top of shoulder and side of neck. Pain, redness and swelling lasted 4 days. Slight temp elevation onset 11 hours post vax lasting one day and was relieved by Tylenol.
Age: 48.0
Sex: F
Vaccine: TD, TD
Symptoms: Arthralgia, Injection site erythema, Injection site pain, Injection site swelling, Neck pain
Clinical narrative: The pt experienced a 5 x 4 inch area around the injection site which became red, swollen, and painful about 9 hours after injection. The pain also involved top of shoulder and side of neck. Pain, redness and swelling lasted 4 days. Slight temp elevation onset 11 hours post vax lasting one day and was relieved by Tylenol.
Age: 48.0
Sex: F
Vaccine: TD, TD
Symptoms: Pyrexia
Clinical narrative: The pt experienced a 5 x 4 inch area around the injection site which became red, swollen, and painful about 9 hours after injection. The pain also involved top of shoulder and side of neck. Pain, redness and swelling lasted 4 days. Slight temp elevation onset 11 hours post vax lasting one day and was relieved by Tylenol.
Age: 8.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: The pt experienced warm, erythematous, swelling and tenderness to the left deltoid injection site. Treated with cold compresses, and Motrin.
Age: 6.0
Sex: M
Vaccine: DT, IPV, MMR, VARCEL
Symptoms: Agitation, Convulsion, Eye movement disorder, Feeling cold
Clinical narrative: The pt was given Motrin at 2:30pm and then received vaccines at 3:30pm. The mother gave more Motrin at 8:00pm. At 2:00am he yelled and she found him standing, cold with his eyes rolled back. The pt was taken to the hospital by ambulance. Na+ level was checked. Neurologist was called. The child continues to be afebrile. Seizures in past occurred with fever.
Age: 14.0
Sex: F
Vaccine: HEPA, MEN
Symptoms: Injection site erythema
Clinical narrative: One day post vax, the pt experienced a local reaction of erythema the size of a half dollar. Follow-up information indicates that Havrix was the only vax given on 09/01/1999.  The information received on 05/03/2000 reported the symptoms as resolved.
Age: 67.0
Sex: M
Vaccine: HEPA
Symptoms: Myalgia, Pain
Clinical narrative: Three days post vax the pt experienced body aches and muscle aches. As of 10/3/00, the outcome of the events is unknown.
Age: 19.0
Sex: U
Vaccine: FLU3, FLU3
Symptoms: Myelitis transverse
Clinical narrative: This patient had transverse myelitis, onset. Prescribed a 5 day "burst" of IV steroids, and oral steroids.
Age: 21.0
Sex: F
Vaccine: HEP, HEPA, TYP, HEP, HEPA, TYP
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: Within 24 hours of receiving vax, the pt developed a fever of 101.1 F, headaches and generalized body aches. As of 12/28/2000, the outcome of the events is unknown.
Age: 26.0
Sex: M
Vaccine: HEPA, TYP, HEPA, TYP
Symptoms: Asthenia, Injection site pain, Lethargy, Pyrexia, Sinus congestion
Clinical narrative: Within 5 hours post vax, the pt experienced pain at the site of typhoid vax administration. Over the next few days, he developed fever, blocked sinuses, lethargy and lack of energy. He was unable to squeeze anything with the hand on the arm into which typhoid vax had been injected. He recovered after a few days.
Age: 26.0
Sex: M
Vaccine: HEPA, TYP, HEPA, TYP
Symptoms: Asthenia, Injection site pain, Lethargy, Pyrexia, Respiratory disorder
Clinical narrative: Within 5 hours post vax, the pt experienced pain at the site of typhoid vax administration. Over the next few days, he developed fever, blocked sinuses, lethargy and lack of energy. He was unable to squeeze anything with the hand on the arm into which typhoid vax had been injected. He recovered after a few days.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, DTAP, HIBV, IPV
Symptoms: Erythema, Hypotonia, Syncope
Clinical narrative: On 3/21/01, infant received vaccines. Infant with mother and grandmother, post vax. Grandmother stated, infant went "limp" for a "few seconds" and was "red in the face". Infant observed by PHN. Pulse and respirations taken and PMD called. Infant sent to ER per MD. Follow-up call to mother in AM; infant recovered. ER MD said "possible fainting" per mother. Infant responsive and moving all limbs while observed by PHN.
Age: 0.25
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Infection, Pyrexia
Clinical narrative: On 2/26/01 (2 weeks after immunizations), pt started having a fever of 100.8F and later increased to 103F with no relief with Tylenol. Pt went to see PMD and was admitted to the hospital on 2/27/01. On 2/28/01, he was dx'd with H. Influenza infection. Pt was discharged home on 3/5/01 with Augmentin X 5 days. Follow-up on 3/9/01 with PMD.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Coma, Hypotonia, Lethargy, Pallor
Clinical narrative: A few minutes after her vaccination, the infant became nonresponsive with blank stares, initially was limp with pallor, she cried intermittently with sensation, oxygen given. Episode lasted about 45 minutes with infant lethargic. After episode infant was alert and smiling.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Staring
Clinical narrative: A few minutes after her vaccination, the infant became nonresponsive with blank stares, initially was limp with pallor, she cried intermittently with sensation, oxygen given. Episode lasted about 45 minutes with infant lethargic. After episode infant was alert and smiling.
Age: 1.7
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Blood alkaline phosphatase increased, Blood sodium decreased, Carbon dioxide decreased, Coma, Convulsion
Clinical narrative: Approx. 11 hours, post vax, pt awoke with fever, vomited and was unresponsive X 20 minutes. Taken to ER by EMS. Discharged to home without further incident while in the hospital. Have been unable to reach at home. Diagnosed with seizure.
Age: 1.7
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Laboratory test abnormal, Pyrexia, Vomiting
Clinical narrative: Approx. 11 hours, post vax, pt awoke with fever, vomited and was unresponsive X 20 minutes. Taken to ER by EMS. Discharged to home without further incident while in the hospital. Have been unable to reach at home. Diagnosed with seizure.
Age: 0.3
Sex: F
Vaccine: DTPHIB, OPV
Symptoms: Abasia, Apraxia, Autism, Blindness, Crying
Clinical narrative: Pt became listless, crying, hypotonic, poor appetite and nystagmus. These symptoms were noted after her 4 month immunizations. She was seen by her physician at 5 1/2 months and noted she had no visual tracking. Referred to other physician and dx'd as legally blind. Other symptoms not addressed. Physicians felt she would grow out of the hypotonia and listlessness. The pt has had extensive workup so far for developmental delay and without any definite etiology being identified. A review of her course in infancy indicates that she had a normal head circumference at birth but thereafter, there was progressive decline in the head circumference after 6 months. She cannot even use her hands to feed herself finger foods (apraxia); is unable to walk without support and there is a tendency for repeated teeth grinding. I feel that the history of autistic features developing in association with regression in head growth as well as the associated hand wringing gestures and poor weight gain are highly suggestive of the Rett Syndrome. She is receiving speech therapy and she now walks with a platform walker. She has significant developmental delay/mental retardation of undetermined etiology. The 60 day follow-up states low tone, listless, developmental delay.
Age: 0.3
Sex: F
Vaccine: DTPHIB, OPV
Symptoms: Growth retardation, Hypotonia, Laboratory test abnormal, Listless, Neurodevelopmental disorder
Clinical narrative: Pt became listless, crying, hypotonic, poor appetite and nystagmus. These symptoms were noted after her 4 month immunizations. She was seen by her physician at 5 1/2 months and noted she had no visual tracking. Referred to other physician and dx'd as legally blind. Other symptoms not addressed. Physicians felt she would grow out of the hypotonia and listlessness. The pt has had extensive workup so far for developmental delay and without any definite etiology being identified. A review of her course in infancy indicates that she had a normal head circumference at birth but thereafter, there was progressive decline in the head circumference after 6 months. She cannot even use her hands to feed herself finger foods (apraxia); is unable to walk without support and there is a tendency for repeated teeth grinding. I feel that the history of autistic features developing in association with regression in head growth as well as the associated hand wringing gestures and poor weight gain are highly suggestive of the Rett Syndrome. She is receiving speech therapy and she now walks with a platform walker. She has significant developmental delay/mental retardation of undetermined etiology. The 60 day follow-up states low tone, listless, developmental delay.
Age: 0.3
Sex: F
Vaccine: DTPHIB, OPV
Symptoms: Nystagmus, Oral intake reduced, Speech disorder
Clinical narrative: Pt became listless, crying, hypotonic, poor appetite and nystagmus. These symptoms were noted after her 4 month immunizations. She was seen by her physician at 5 1/2 months and noted she had no visual tracking. Referred to other physician and dx'd as legally blind. Other symptoms not addressed. Physicians felt she would grow out of the hypotonia and listlessness. The pt has had extensive workup so far for developmental delay and without any definite etiology being identified. A review of her course in infancy indicates that she had a normal head circumference at birth but thereafter, there was progressive decline in the head circumference after 6 months. She cannot even use her hands to feed herself finger foods (apraxia); is unable to walk without support and there is a tendency for repeated teeth grinding. I feel that the history of autistic features developing in association with regression in head growth as well as the associated hand wringing gestures and poor weight gain are highly suggestive of the Rett Syndrome. She is receiving speech therapy and she now walks with a platform walker. She has significant developmental delay/mental retardation of undetermined etiology. The 60 day follow-up states low tone, listless, developmental delay.