chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 9.0
Sex: F
Vaccine: RAB
Symptoms: Vomiting
Clinical narrative: Post exposure prophylaxis after raccoon bite. 24 hours after dose one: client vomited. Went to ER : nothing done. 24 hours after dose two client reported upset stomach. 48 hours after dose 2: generalized urticaria, itching and malaise. No difficulty breathing. Recommended Benadryl q 6 hours until rash disappeared. To seek medical care if rash progressed or child had difficulty breathing. Went to ER: rash progressed. Atarax IM given. Given reaction for Atarax PO. Rash improved, no itching on day 5.
Age: 69.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Cough, Dyspnoea, Laboratory test abnormal, Pyrexia
Clinical narrative: Patient received Pneumovax 8/23/04. Physical exam NL (including CXR). 8/24/04 at 5:30 AM, patient woke up with cough, SOB. Temp 103; taken to hospital. Within 24 hours patient afebrile and discharged.
Age: 69.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Cough, Dyspnoea, Pyrexia
Clinical narrative: Patient received Pneumovax 8/23/04. Physical exam NL (including CXR). 8/24/04 at 5:30 AM, patient woke up with cough, SOB. Temp 103; taken to hospital. Within 24 hours patient afebrile and discharged.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: R upper arm swollen, red, warm to touch.
Age: 1.0
Sex: M
Vaccine: PNC
Symptoms: Bronchopulmonary dysplasia, Computerised tomogram, Convulsion, Electrocardiogram, Electroencephalogram
Clinical narrative: PATIENT RECIEVED HIS VACCINE ON MONDAY OCT 25 2004, ON THURSDAY OCT 28 2004, HE HAD 3 SEIZURES. THE FIRST ONE WAS IN THE MORNING, AND I TOOK HIM TO THE ER, AND THE ER MD TOLD US THAT IT WAS PROBABLY FROM THE PREVNAR VACCINE GIVEN TO HIM MONDAY, AND TO MONITOR HIM FOR ANYMORE REACTIONS. ABOUT 2 HOURS AFTER BEING DISCHARGED FROM THE ER, PATIENT HAD ANOTHER SEIZURE, AND WE RETURNED TO THE ER. HE WAS ADMITTED, AND AT THAT TIME HE HAD DEVELOPED A FEVER. MOTRIN WAS GIVEN. AT AROUND 1130 THAT EVENING, HE HAD A 3RD SEIZURE, AND ONCE AGAIN HAD A FEVER TO GO ALONG WITH IT. TYLENOL WAS GIVEN, AND THE FEVER REDUCED. A CT SCAN AND AN EEG WERE PERFORMED ON HIM TO MAKE SURE THERE WERE NO OTHER UNDERLYING PROBLEMS. ALL TESTS WERE NEGATIVE, AND HE WAS DISCHARGED FROM THE HOSPITAL. Medical record received on 12/15/2004 states pt experienced otitis media, broncho pulmonary dysplasia, status asthmaticus, and status post prematurity. Medical receord received on 12/21/2004 states pt experienced sinusitis. Follow-up: Mom called and reported pt received PREVNAR 10-26-06 - Had 1st seizure 7:40AM Oct 28 went to ER - Released 10:00AM had 2nd seizure 12 noon - went back to ER and was admitted - had 3rd seizure 11:00pm - 10-28-04 at hospital.
Age: 1.0
Sex: M
Vaccine: PNC
Symptoms: Full blood count, Otitis media, Premature baby, Pyrexia, Sinusitis
Clinical narrative: PATIENT RECIEVED HIS VACCINE ON MONDAY OCT 25 2004, ON THURSDAY OCT 28 2004, HE HAD 3 SEIZURES. THE FIRST ONE WAS IN THE MORNING, AND I TOOK HIM TO THE ER, AND THE ER MD TOLD US THAT IT WAS PROBABLY FROM THE PREVNAR VACCINE GIVEN TO HIM MONDAY, AND TO MONITOR HIM FOR ANYMORE REACTIONS. ABOUT 2 HOURS AFTER BEING DISCHARGED FROM THE ER, PATIENT HAD ANOTHER SEIZURE, AND WE RETURNED TO THE ER. HE WAS ADMITTED, AND AT THAT TIME HE HAD DEVELOPED A FEVER. MOTRIN WAS GIVEN. AT AROUND 1130 THAT EVENING, HE HAD A 3RD SEIZURE, AND ONCE AGAIN HAD A FEVER TO GO ALONG WITH IT. TYLENOL WAS GIVEN, AND THE FEVER REDUCED. A CT SCAN AND AN EEG WERE PERFORMED ON HIM TO MAKE SURE THERE WERE NO OTHER UNDERLYING PROBLEMS. ALL TESTS WERE NEGATIVE, AND HE WAS DISCHARGED FROM THE HOSPITAL. Medical record received on 12/15/2004 states pt experienced otitis media, broncho pulmonary dysplasia, status asthmaticus, and status post prematurity. Medical receord received on 12/21/2004 states pt experienced sinusitis. Follow-up: Mom called and reported pt received PREVNAR 10-26-06 - Had 1st seizure 7:40AM Oct 28 went to ER - Released 10:00AM had 2nd seizure 12 noon - went back to ER and was admitted - had 3rd seizure 11:00pm - 10-28-04 at hospital.
Age: 1.0
Sex: M
Vaccine: PNC
Symptoms: Status asthmaticus
Clinical narrative: PATIENT RECIEVED HIS VACCINE ON MONDAY OCT 25 2004, ON THURSDAY OCT 28 2004, HE HAD 3 SEIZURES. THE FIRST ONE WAS IN THE MORNING, AND I TOOK HIM TO THE ER, AND THE ER MD TOLD US THAT IT WAS PROBABLY FROM THE PREVNAR VACCINE GIVEN TO HIM MONDAY, AND TO MONITOR HIM FOR ANYMORE REACTIONS. ABOUT 2 HOURS AFTER BEING DISCHARGED FROM THE ER, PATIENT HAD ANOTHER SEIZURE, AND WE RETURNED TO THE ER. HE WAS ADMITTED, AND AT THAT TIME HE HAD DEVELOPED A FEVER. MOTRIN WAS GIVEN. AT AROUND 1130 THAT EVENING, HE HAD A 3RD SEIZURE, AND ONCE AGAIN HAD A FEVER TO GO ALONG WITH IT. TYLENOL WAS GIVEN, AND THE FEVER REDUCED. A CT SCAN AND AN EEG WERE PERFORMED ON HIM TO MAKE SURE THERE WERE NO OTHER UNDERLYING PROBLEMS. ALL TESTS WERE NEGATIVE, AND HE WAS DISCHARGED FROM THE HOSPITAL. Medical record received on 12/15/2004 states pt experienced otitis media, broncho pulmonary dysplasia, status asthmaticus, and status post prematurity. Medical receord received on 12/21/2004 states pt experienced sinusitis. Follow-up: Mom called and reported pt received PREVNAR 10-26-06 - Had 1st seizure 7:40AM Oct 28 went to ER - Released 10:00AM had 2nd seizure 12 noon - went back to ER and was admitted - had 3rd seizure 11:00pm - 10-28-04 at hospital.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Cellulitis, Hypersensitivity, Injection site erythema, Injection site swelling
Clinical narrative: Pt was given vaccines on 10/27/04. Reported back to office on 10/9/04 with red swollen area at the injection site. He was evaluated and treated with Bactrim and Bactraban. Diagnosis was allergic reaction vs cellulitis.
Age: 86.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Cellulitis, Coma, Injection site erythema, Injection site swelling
Clinical narrative: Arm became red, swollen, warm to touch. Resident became weak and had an episode of unresponsiveness. Sent to hospital on 10/16/04 from long term care facility. Diagnosis: Left upper arm cellulitis. Discharge Summary received on 1/13/20005 states lab test abnormal.
Age: 86.0
Sex: F
Vaccine: PPV
Symptoms: Injection site warmth, Laboratory test abnormal
Clinical narrative: Arm became red, swollen, warm to touch. Resident became weak and had an episode of unresponsiveness. Sent to hospital on 10/16/04 from long term care facility. Diagnosis: Left upper arm cellulitis. Discharge Summary received on 1/13/20005 states lab test abnormal.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Hypersensitivity, Injection site erythema, Injection site swelling
Clinical narrative: Pt. received vaccines on 10/20/04. Reported back to the office on 10/21/04 in the afternoon that the injection area was very red and swollen at which time an appointment was made for 8:30 AM. He was given Rocephin at the visit and given Bactrim for 10 days. Dx was allergic reaction vs cellulitis.
Age: 1.17
Sex: M
Vaccine: FLU3, IPV, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash erythematous, Rash papular
Clinical narrative: Erythematous papular rash over face, trunk, and extremities 10 days after injection.  Associated low grade temperature.  No treatment.
Age: 96.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Right upper arm red; arm and shoulder swollen; Dr notified and a steroid regimen (prednisone) initiated.
Age: 1.53
Sex: M
Vaccine: DTAP, MMR
Symptoms: Erythema, Pyrexia, Rash
Clinical narrative: 6 days after MMR was administer, client had high fever of 102 and lasted 4 days along with a red rash.  Parents took client to ER and he was tested for possible problems.  Pediatrician informed family that fever and rash were related to MMR vaccine.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Confusional state, Headache, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, heat, and sweeling at the injection site on 11-2-04 C/o Headache on 11-1-04 at 3:30pm Nausea and vomiting excitable affect and slight confusion
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Vomiting
Clinical narrative: Redness, heat, and sweeling at the injection site on 11-2-04 C/o Headache on 11-1-04 at 3:30pm Nausea and vomiting excitable affect and slight confusion
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Hypersensitivity, Injection site warmth, Oedema peripheral
Clinical narrative: shot site to bend of lt. arm was swollen and hot to touch on 10/28/04. Pt. f/u with dr. He state she is allergic to something in vaccine.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Anxiety, Dysphonia, Dyspnoea
Clinical narrative: Had flu shot on 10/27 at approx. 11 am, presented with C/O horseness and SOB at approx. 3 pm. Referred to Emergency room where treated for reaction. Meds given-benadryl,prednisone, pepcid, ativan, epinephrine by nebulizer treatment. Patient was discharged to home. Infoirmation from Medical records states ancxiety. msv
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia oral
Clinical narrative: numbness tongue tip, roof of mouth, bottom lip
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Pruritus, Urticaria
Clinical narrative: Pt presented in ER at 17:02 hours with hives,itching and nausea since noon today (11/02/2004). Was started on IV with Benadryl and Solumedrol and monitored. She was DC on Medrol pack and Benadryl. To follow-up with family MD.
Age: 1.71
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Hypersensitivity, Injection site erythema
Clinical narrative: Pt. received vaccines on 11/03/2004. Mom reported pt had redness around the injection site. Pt rechecked in office dx with allergic reaction. Instructed to give Benadryl.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: PATIENT GOT FLUZONE DOSE ON 10/13. CALLED ME ON NOV 1 SAYING SHE HAS HAD UPPER ARM PAIN SINCE SHE GOT SHOT. HER DR PUT HER ON DARVOCET N 100. ON NOV 1, DR ALSO PRESCRIBED DARVOCET N 100 & MEDROL DOSEPAK. DR TOLD HER THE NEEDLE EITHER HIT BONE OR NERVE. PAIN MOVED TO AREA JUST ABOVE ELBOW, FEELS LIKE TIGHT RUBBER BAND AROUND ARM. FOLLOWED UP WITH DOCTOR 11/3. WHO IS REFERRING HER TO NEUROLOGIST. FOLLOWED UP WITH THE PATIENT 11/3, SAYS SHE IS FEELING BETTER TODAY, HAVE NOT TAKEN DAVOCET TODAY, BUT USUALLY IS WORSE AT NIGHT. TOLD HER TO KEEP IN TOUCH WITH US
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Herpes zoster
Clinical narrative: Shingles (Herpes zoster) noted approx 80 hrs after flu vaccine
Age: 0.17
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PPV
Symptoms: Hemihypertrophy, Hepatomegaly, Skin hyperpigmentation, Swelling
Clinical narrative: When my daughter was born she had nothing wrong with her and when she got her first baby shots in her left leg her left leg got swollen. I talked to the dr. about and he said the swelling will go down; just put a ice pack on, Time past on and every time she got her shot they gave it to her in the same leg and I keep asking why haven't the swelling went down. He said it was baby fat. No treatment what so ever he thought she had hip click which that diagnosis was wrong. I decided to go to a different hospital to a second oppion on my daughter leg because it was not getting better I took her the hospital. They told me she had hemihypertophy and hyper pigmentation and slightly enlarge liver. I went back and they are still running more test on her but they still denied that her problem has anything do with ber baby shots but like I said from the beginning she was a perfect baby when she was born and I look at each part of her body and I did not notice nothing wrong with her and I still belive that swollen to her left leg and her left body has something to do with her baby shots!
Age: 33.0
Sex: F
Vaccine: FLUX
Symptoms: Ketoacidosis
Clinical narrative: DKA  (Diabetic ketoacidosis) 4 days after flu shot received. Patient was in ICU and recovered.
Age: 82.0
Sex: M
Vaccine: FLU3
Symptoms: Cough, Fatigue, Headache, Hyperhidrosis, Lung disorder
Clinical narrative: Tuesday 1:00 AM, woke up with headache, sweating, vomiting, fever. Taken to hospital; stayed until Thursday. Did lots of testing; could not find anything. Ruled out all except flu shot (per wife). Discharge Summary received on 1/3/2005 states pneumonia, cough, anorexia, and vertigo. Medical Record received on 1/3/2005 states pneumonia, cough increased, anorexia and vertigo.
Age: 82.0
Sex: M
Vaccine: FLU3
Symptoms: Pneumonia, Pyrexia, Vertigo, Vomiting
Clinical narrative: Tuesday 1:00 AM, woke up with headache, sweating, vomiting, fever. Taken to hospital; stayed until Thursday. Did lots of testing; could not find anything. Ruled out all except flu shot (per wife). Discharge Summary received on 1/3/2005 states pneumonia, cough, anorexia, and vertigo. Medical Record received on 1/3/2005 states pneumonia, cough increased, anorexia and vertigo.
Age: 1.16
Sex: M
Vaccine: FLU3
Symptoms: Anorexia, Cough, Dehydration, Irritability, Pyrexia
Clinical narrative: Baby received flu vaccine 0.25ml IM first time. 2 hours later, presents with vomiting, anorexia, fever. fussiness, cough lasted from 10/21/04 to 10/26/04. On 10/25/04, admitted to hospital for dehydration. Admission 24 hours and discharged home recovered after IV fluids. Medical Records received on 12/07/2004 states rash.
Age: 1.16
Sex: M
Vaccine: FLU3
Symptoms: Rash, Vomiting
Clinical narrative: Baby received flu vaccine 0.25ml IM first time. 2 hours later, presents with vomiting, anorexia, fever. fussiness, cough lasted from 10/21/04 to 10/26/04. On 10/25/04, admitted to hospital for dehydration. Admission 24 hours and discharged home recovered after IV fluids. Medical Records received on 12/07/2004 states rash.
Age: 28.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Drug ineffective, Infection, Joint stiffness, Joint swelling
Clinical narrative: Sore joints, swelling in joints, stiffness. Diagnosed with Lyme disease. Follow up 01/27/05: Patient still has soreness, swelling and pain in joints.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Back pain, Chills, Pyrexia
Clinical narrative: Patient had 102.5F fever during the night following the shot, had chills , and ached in joints and back. Fever went down to 101.0F 24 hours after shot. All symptoms gone by 6PM next day.
Age: 47.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Influenza like illness
Clinical narrative: chills, flu-like symptoms around about 12am midnight on the same day, shot was administered on 10/27/2004. Note : patient administered self injection of Copaxone (SQ) cIDPM on 10/27/04. He takes this daily. Patient stayed home in bed today 10/28/04. Patient returned to work 10/29/04.
Age: 51.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site pruritus, Injection site vesicles
Clinical narrative: Developed blisters right deltoid area, itching in right deltoid area.
Age: 66.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Back pain, Muscular weakness, Paraesthesia
Clinical narrative: 5 min after shots, had pain in lower back , tingling in legs and face and leg weakness. Pain got progressively worse for 5 minutes then began to abate. After 30 min symptoms mostly gone. Only slight feeling of weakness.
Age: 13.0
Sex: F
Vaccine: FLU3
Symptoms: Depressed level of consciousness
Clinical narrative: Hour after flu vaccine, patient had loss of sensation: left arm and rest of body. Curled up in fetal position. Went to Hospital ER: had second episode 24 hours later. Went to hospital ER.
Age: 1.26
Sex: F
Vaccine: DTAP, FLU3, PNC
Symptoms: Erythema, Feeling hot, Injection site induration
Clinical narrative: Child had extensive erythema right thigh/ increased warmth/ induration around 36 hours after DTAP injection. No alteration of consciousness. No fever. Parents very upset.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia, Neck pain, Tenderness
Clinical narrative: Soreness and pain in arm and neck , in left arm and left side of neck is constant. Shot was given in right arm.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: Vomiting
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Hyperhidrosis, Pallor, Vomiting
Clinical narrative: 5 minutes following the shot: had turned pale sweaty and vomited once. Epinephrine 0.22cc given.
Age: 42.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Fatigue, Headache, Hyperhidrosis, Injection site erythema, Injection site pain
Clinical narrative: Pneumovax site was painful after injection. Extremely painful 3 hours after injection. Very large local reaction 9" area of redness: 4' x 2.5" inch raised reddened area around injection site. Pain shoulder to mid humorous. Fatigue, diaphoresis, headache, site warm to touch. Symptoms resolving after first day.
Age: 42.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site swelling, Injection site warmth, Pain
Clinical narrative: Pneumovax site was painful after injection. Extremely painful 3 hours after injection. Very large local reaction 9" area of redness: 4' x 2.5" inch raised reddened area around injection site. Pain shoulder to mid humorous. Fatigue, diaphoresis, headache, site warm to touch. Symptoms resolving after first day.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Cerebellar syndrome, Coordination abnormal, Gait disturbance, Nervous system disorder, Otitis media
Clinical narrative: Unstable gait (Ataxia) and tremors started 10/10/04...About 6 Days after vaccine (Flu Vaccine) Given. Seen by pediatric neurologist and diagnosed with post vaccination Cerebellisis. Medical records state Otitis, cerebellitis.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Tremor
Clinical narrative: Unstable gait (Ataxia) and tremors started 10/10/04...About 6 Days after vaccine (Flu Vaccine) Given. Seen by pediatric neurologist and diagnosed with post vaccination Cerebellisis. Medical records state Otitis, cerebellitis.
Age: 9.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Injection site mass
Clinical narrative: 3 cm in diameter erythema, slightly raised lump on left forearm
Age: 77.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pruritus
Clinical narrative: Localized itching, edema, redness and warmth around 15 cm diameter at site of injection. Starting around 6 hours after administration, evaluated around 24 hours after administration.
Age: 1.72
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Hives within 24 hours of vaccine. No anaphylaxis. No wheezing. No other detailed factors.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Skin irritation
Clinical narrative: Red area around injection site 3 inches in diameter. Irritated looking. Not raised or warm to touch. No fever or SOB.
Age: 6.0
Sex: F
Vaccine: FLU3
Symptoms: Laboratory test abnormal, Oedema, Rash
Clinical narrative: Rash on legs, left foot swollen, noticed rash the same night of Flu shot given. No redness at site of injection.
Age: 3.0
Sex: F
Vaccine: FLUX, HEPA
Symptoms: Agitation, Anger, Cough, Crying, Pallor
Clinical narrative: Asking to be held she was crying, her behavior, she was angry and mad, she was wheezing, paleness and had small bumpy all over her neck and arms. The bumps went away after 1 week and has a cough still.
Age: 3.0
Sex: F
Vaccine: FLUX, HEPA
Symptoms: Rash, Wheezing
Clinical narrative: Asking to be held she was crying, her behavior, she was angry and mad, she was wheezing, paleness and had small bumpy all over her neck and arms. The bumps went away after 1 week and has a cough still.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis
Clinical narrative: Developed cellulitis like reaction (right arm), 4 inches long along medial aspect of right arm.
Age: 66.0
Sex: M
Vaccine: UNK
Symptoms: Abdominal discomfort, Dizziness, Hyperhidrosis, Retching, Vomiting
Clinical narrative: Light headed, felt like vomiting, stomach blotted, sweating a little (had dry heaves), Took 1 dose pepto bismal and was ok 1/2 hour later and felt fine the rest of the day.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Furuncle, Injection site infection, Injection site reaction, Pyrexia, Vomiting
Clinical narrative: 3 days after shot developed purulent ring around inj site, 5 days later vomiting and high fever. Pt says she believes she developed a staph infection at injection site which spread to face and ears (pt developed boils in ear and around airline). Fever, vomiting resolved, injection site reaction improving but still there.
Age: 13.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: Flu shot given 10/21/2004: seen in office 10/22/04 with fever, headache and left hip pain.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Chest discomfort, Dyspnoea, Pain
Clinical narrative: Intermittent aching pain distribution. Right arriculotemporal nerve plus constant feeling of tightness, inability to take deep breath. Onset 24 hrs post Anthrax 1, duration 7 months, complete resolution w/o sequelae. No current findings.
Age: 28.0
Sex: F
Vaccine: ANTH
Symptoms: Chills, Dizziness, Feeling cold, Feeling hot, Headache
Clinical narrative: Local reaction, flu-like symptoms x 72hrs, ache, light headed, fever, cold chills, trouble keeping warm, headache. Superior aspect of left tricep 3x5cm area of erythema and warm and tender to touch. Continue ibuprofen 800mg tid and heat to affected area.
Age: 28.0
Sex: F
Vaccine: ANTH
Symptoms: Influenza like illness, Injection site erythema, Injection site reaction, Myalgia, Pyrexia
Clinical narrative: Local reaction, flu-like symptoms x 72hrs, ache, light headed, fever, cold chills, trouble keeping warm, headache. Superior aspect of left tricep 3x5cm area of erythema and warm and tender to touch. Continue ibuprofen 800mg tid and heat to affected area.
Age: 28.0
Sex: F
Vaccine: ANTH
Symptoms: Tenderness, Vaccine positive rechallenge
Clinical narrative: Local reaction, flu-like symptoms x 72hrs, ache, light headed, fever, cold chills, trouble keeping warm, headache. Superior aspect of left tricep 3x5cm area of erythema and warm and tender to touch. Continue ibuprofen 800mg tid and heat to affected area.
Age: 12.0
Sex: M
Vaccine: TD
Symptoms: Diarrhoea, Pyrexia, Vomiting
Clinical narrative: Fever 102, vomiting, diarrhea, went to Dr on 10/22.
Age: 0.25
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever axillary temp of 105F in an otherwise well appearing infant.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Patient complained of swelling and redness at the site of injection and fever for 12 hours that night.
Age: 0.96
Sex: F
Vaccine: HEP, IPV, PNC, VARCEL
Symptoms: Pyrexia, Rash, Rash papular
Clinical narrative: Fever 101.6 10/23/04. Resolved. 10/25 fever and rash started. No cough rhin. No exposure to varicella, not ill. No oral lesions. Multiple red papules trunk, arms, scalp (few). No vesicles. Approx 40 lesions. 10 mot lesions over next 2 days no vesicles. Not ill.
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Feeling hot, Hypersensitivity, Injection site erythema, Injection site oedema
Clinical narrative: Slight fever, pain at injection site. Left arm, red, warm, swollen at site of Pneumovax. Allergic reaction to Pneumovax v/s cellulitis. Benadryl 50mg ever 6 hrs prn. Keflex 500mg qid x 10 days.
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pain, Injection site reaction, Pyrexia
Clinical narrative: Slight fever, pain at injection site. Left arm, red, warm, swollen at site of Pneumovax. Allergic reaction to Pneumovax v/s cellulitis. Benadryl 50mg ever 6 hrs prn. Keflex 500mg qid x 10 days.
Age: 23.0
Sex: F
Vaccine: ANTH, HEP, SMALL, TYP
Symptoms: Blister, Erythema, Oedema, Pain, Tenderness
Clinical narrative: 9 days post vaccination pt returns to clinic c/o pain and swelling since 2 days ago. Observe tenderness, swelling, redness, that extends 9.5cm x 9.5cm. Blister white with secretions.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: Right deltoid cellulitis. 11cm x 16cm treatment: Augmentin ES 600/5 1 1/2 tsp bid x 10d.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV
Symptoms: Injection site erythema
Clinical narrative: A DPT and IPV given in anterior left thigh with 4.5cm by 11.5cm erythematous pseudopodal rx 6 other symptoms
Age: 0.16
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever 101.4 after receiving shots. Seen in ER. Septic work up done including catheterized urine and spinal tap. Baby received IM antibiotics.
Age: 3.0
Sex: M
Vaccine: DTAP, HBHEPB
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Left thigh swollen to knee with erythema and warmth. Diameter of thigh 2 1/2 cm larger than right. At knee 2cm larger diameter than right.
Age: 96.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Pt received a Pneumovax 10/20/2004. His right arm was very sore for 2 days and started getting red 10/22/04 and more so today 10/23/04. Red from mid upper arm posterior to Elbow. Edema over olecranon. No fever. pt was seen by MD and advised to apply heat to affected area and given Omnicef 300mg, BID x 8days.
Age: 78.0
Sex: F
Vaccine: PNC, PPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: The pt was given Prevnar Vaccine (10/22/04) and assistant thought she was giving pneumococcal vaccine. The lot # indicated Prevnar was given. Pt called the office 10/25/04 complaining the arm where she was given the pneumococcal vaccine was red, hot and swollen and the symptoms worsened over the weekend. She was seen by Dr 10/25/04 and advised at length. She was given NSAIDS and Omnicef 300mg x 6 days
Age: 78.0
Sex: F
Vaccine: PNC, PPV
Symptoms: Cellulitis, Feeling hot, Injection site swelling, Rash erythematous, Tenderness
Clinical narrative: The pt was given Prevnar Vaccine (10/22/04) and assistant thought she was giving pneumococcal vaccine. The lot # indicated Prevnar was given. Pt called the office 10/25/04 complaining the arm where she was given the pneumococcal vaccine was red, hot and swollen and the symptoms worsened over the weekend. She was seen by Dr 10/25/04 and advised at length. She was given NSAIDS and Omnicef 300mg x 6 days
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site induration, Pruritus
Clinical narrative: Erythema, induration 3x4 cm. Complaints of pruritus. No treatment.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Injection site induration
Clinical narrative: 4 cm round area of induration with redness and warmth.
Age: 82.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Pruritus
Clinical narrative: Erythema, warmth, pruritus of right arm from sub-deltoid area to elbow.
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site inflammation, Swelling, Tenderness
Clinical narrative: Below obvious injection sites 2 in deltoid 1/2 inch down. Large, red, swollen: warm to touch 3x4" round: noted evening 10/26. More inflamed am 10/27. Tender small bruise at injection site Treatment: cold compress and Advil.
Age: 3.0
Sex: M
Vaccine: HEPA, MMR
Symptoms: Erythema, Swelling
Clinical narrative: MMR vaccine given left deltoid area: immediately afterwards. Localized erythema, mild swelling. Size of a lime. Benadryl 1 tsp given. Patient monitored far 45 minutes.
Age: 0.34
Sex: F
Vaccine: DT, HIBV, PNC
Symptoms: Agitation, Pyrexia, Screaming, Somnolence, Vomiting
Clinical narrative: At 2 months of age, pt received Pediarix, HIB, Prevnar 6/23/04. Parents noted 4-5 hours of inconsolable crying that day and excessive sleeping the next day. On 8/26/04 (4mo), received DT, HIB, Prevnar (due to possible pertussis reaction ) and parents reported >5 hours inconsolable period with low grade fever and emesis x 1.
Age: 4.0
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Erythema, Injection site warmth, Swelling
Clinical narrative: 1.5 inch swelling, red, increased heat left deltoid injection site.
Age: 70.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Pain, Pruritus, Swelling
Clinical narrative: About 8 days later: Pain, swelling redness and itching left upper arm.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema, Tenderness
Clinical narrative: Left anterior thigh 13x17.5 cm erythematous , edematous tender. Treatment: Keflex, Benadryl
Age: 1.01
Sex: F
Vaccine: HIBV, MMR, PPV, VARCEL
Symptoms: Rash papular, Skin nodule, Somnolence
Clinical narrative: Has firm nodule on left thigh with small papule surrounding in size from 0.5 cm -2cm in size, also several small papules around top of diaper area on back. One on left side and one on left side of face . 3 on left arm. no fever, good appetite, sleeping more than usual. Instructed to give Tylenol every 4 hours for 2 days and Benadryl every 8 hours.
Age: 1.06
Sex: F
Vaccine: DTAP, HEP, HIBV, MMR, VARCEL
Symptoms: Blister, Dermatitis acneiform, Dermatitis bullous, Drug ineffective, Infection
Clinical narrative: Thursday 21st Oct. Began having red bumps like "bug bites". Some with pimple like appearance . Began on face. Spread daily over extremities and torso. No back or bottom . No fever noted. Bactroban, Hydroxyzine 10/5 Diagnosed: Varicella disease. Also blisters and Crusty.
Age: 1.06
Sex: F
Vaccine: DTAP, HEP, HIBV, MMR, VARCEL
Symptoms: Rash erythematous
Clinical narrative: Thursday 21st Oct. Began having red bumps like "bug bites". Some with pimple like appearance . Began on face. Spread daily over extremities and torso. No back or bottom . No fever noted. Bactroban, Hydroxyzine 10/5 Diagnosed: Varicella disease. Also blisters and Crusty.
Age: 0.35
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PPV
Symptoms: Unevaluable event
Clinical narrative: No adverse reaction.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site induration, Rash papular, Swelling
Clinical narrative: Left deltoid. Swelling mildly indurated. Induration , erythema 2.5cm x 3.75cm. Central punctate, red papules, no Fluctuance. No Abs. No drainage.
Age: 1.45
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Received Prevnar booster (#4) in left thigh on 10/25/04. Developed redness, swelling and pain the following day in same area.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site reaction, Injection site warmth, Tenderness
Clinical narrative: Patient developed reaction to injection site pm of injection. Area 10cm x 15cm, erythematous , firm, warm to touch, tender.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema
Clinical narrative: Shot administered on evening of 11/01/4. No problems noted. On evening of 11/02/04, a red area with diameter of approximately 2" was present. (no fever associated with ). Pt was brought to hospital to have Peds look at site. The diameter of the red area on 11/03/04 is approximately 4". Mother will monitor.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and mild swelling at injection site, left deltoid noted the day after injection.
Age: 0.35
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Nasal congestion, Otitis media, Pyrexia, Screaming
Clinical narrative: 10/19/2004 received IZs , that night mother states was crying all night. 10/21 brought in to clinic with crying, congested: given Benadryl, albuterol for URI. That night went to ER with fever 103, continued crying. CXR, labs done all WNL. 10/24 to ER again with fever, congestion told had ear infection, put on Amoxicillin . 10/26 seen in clinic, better.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Swelling
Clinical narrative: Redness, swelling of upper left arm below injection site.
Sex: U
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Tenderness
Clinical narrative: Mom mentioned at visit on 11/01/04 that when patient received 4y/o shots, her entire right thigh had large red area, now tender surrounding injection site. Mom was aware that local reactions happen, so did not call at time. But mentioned it became so large an area.
Age: 35.0
Sex: F
Vaccine: HEP
Symptoms: Rash
Clinical narrative: States flat, faint rash on forearms, wrist and across back of hips; no itching. Also on Rx of amoxicillin; finished last dose Tuesday 11/2 evening.
Age: 47.0
Sex: F
Vaccine: SMALL
Symptoms: Post vaccination autoinoculation
Clinical narrative: Exacerbation of left, lateral, leg lesion appeared two days after vaccation. Generalized Vaccinia vs Autoinoculation
Age: 49.0
Sex: F
Vaccine: FLUX
Symptoms: Vomiting
Clinical narrative: Severe vomiting began one week after vaccine administered.  Vomiting lasted approx. 18 hours.  I had the same reaction last year approx. two weeks after receiving vaccine.  I went to the ER for treatment last year and explained that I had had a flu shot recently, but they dismissed that information.
Age: 49.0
Sex: F
Vaccine: HEPA
Symptoms: Dizziness, Headache, Injection site erythema, Injection site induration, Injection site rash
Clinical narrative: Severe Body aches, temp 102.2F, headache, dizziness, redness and induration at injection site which progressed over one week to involve the entire anterior and antecubital surface of right upper arm, bubbles/blister-like rash at injection site, severe arm pain for 10 days, induration remains at 2 weeks post injection
Age: 49.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site vesicles, Pain, Pyrexia, Vaccinia
Clinical narrative: Severe Body aches, temp 102.2F, headache, dizziness, redness and induration at injection site which progressed over one week to involve the entire anterior and antecubital surface of right upper arm, bubbles/blister-like rash at injection site, severe arm pain for 10 days, induration remains at 2 weeks post injection
Age: 1.02
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Insomnia, Irritability, Pruritus, Urticaria
Clinical narrative: At approximatly 2:00PM on Tuesday November 2nd 2004 patient received her immunization shots. These shots consisted of: Pedvax (Hib), Measels Mumps Rubella, Varicella (chicken pox,) and Prevnar (doeses 3 and 4). Of these immunizations the only new ones were Chicken Pox and Measels, mumps and rubella. She has not had any adverse reactions with the prior immunizations. At approximatly 9:30AM the following day (wednesday) she started to become fussy and scratch at her head and ears. That night, had difficulty sleeping for long periods of time and was very fussy. At approximatly 7:30 Thursday morning (Nov 4) became covered with hives. The hives covered all parts of her body including inside her ears. At 8:45 that same moring we took her to the doctors office and was told to give her Benadryl for the hives.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Herpes zoster
Clinical narrative: Developed sx of herpes zoster on 10/29.  Received influenza vaccine on 10/26. Dx w/ herpes zoster on 11/1.
Age: 18.0
Sex: F
Vaccine: HEP, HEPA, TD
Symptoms: Convulsion, Eye movement disorder, Hyperhidrosis, Mydriasis, Pallor
Clinical narrative: I am a physician who was called away from seeing patients to attend this patient for this adverse event.  She apparently passed out shortly after receiving three immunizations (Td, hepatitis B, and hepatitis A).  When I entered the vaccine room, she had bilateral tonic-clonic (clenching and shaking) movements of both arms and forearms, her eyes were rolled upward, she was quite pale, and when the seizure stopped, both pupils were dilated and she was diaphoretic.  There was no history of fever.  Oxygen was administered by nasal cannula and the patient was placed on a gurney in our clinic to recover for several minutes.  During the seizure, she urinated on the chair where she was sitting.  There was no fall or trauma to the head (she remained in the chair during the entire seizure)
Age: 18.0
Sex: F
Vaccine: HEP, HEPA, TD
Symptoms: Tremor, Urinary incontinence
Clinical narrative: I am a physician who was called away from seeing patients to attend this patient for this adverse event.  She apparently passed out shortly after receiving three immunizations (Td, hepatitis B, and hepatitis A).  When I entered the vaccine room, she had bilateral tonic-clonic (clenching and shaking) movements of both arms and forearms, her eyes were rolled upward, she was quite pale, and when the seizure stopped, both pupils were dilated and she was diaphoretic.  There was no history of fever.  Oxygen was administered by nasal cannula and the patient was placed on a gurney in our clinic to recover for several minutes.  During the seizure, she urinated on the chair where she was sitting.  There was no fall or trauma to the head (she remained in the chair during the entire seizure)
Age: 1.53
Sex: F
Vaccine: FLU3
Symptoms: Irritability, Urticaria
Clinical narrative: 10/27/04 @ 1700 - received vaccination in rt thigh; 10/29/04 @ 0010 to 10/31/04 @ 1130 - pt "fussy" and hives appeared on face, trunk (front and back),upper and lower extremities; Benadryl given during this time per PCP
Age: 60.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Asthma, Chills, Cough, Injection site erythema, Injection site swelling
Clinical narrative: Pt presents to clinic two days after receiving both the flu and pneumococcal vaccines at the same time in the right arm.  Pt presents with right arm pain which manifested within a few hours of receiving the shots.  Pt noted redness and swelling of the arm (20cm diameter) and general 'ill' feeling (fever and chills).  Pt also experienced some exacerbation of asthma with coughing.  Pt took 25-50mg diphenhydramine which helped a great deal with the redness.  Coughing is resolving.  No other treatment at this time.  Pt has had the flu shot in the past with no adverse reactions.
Age: 60.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Malaise, Pain
Clinical narrative: Pt presents to clinic two days after receiving both the flu and pneumococcal vaccines at the same time in the right arm.  Pt presents with right arm pain which manifested within a few hours of receiving the shots.  Pt noted redness and swelling of the arm (20cm diameter) and general 'ill' feeling (fever and chills).  Pt also experienced some exacerbation of asthma with coughing.  Pt took 25-50mg diphenhydramine which helped a great deal with the redness.  Coughing is resolving.  No other treatment at this time.  Pt has had the flu shot in the past with no adverse reactions.
Age: 0.51
Sex: M
Vaccine: DTAP, FLU3, PNC
Symptoms: Angioneurotic oedema, Eyelid oedema, Laboratory test abnormal, Urticaria
Clinical narrative: Egg allergic infant with urticaria and angioedema of eyelids 2 hours after receiving infanrix, influenza vaccine and PREVNAR.
Age: 86.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: GRADUAL DEVELOPMENT (MILD TO SEVERE) REDNESS, SWELLING, PAIN, WARMTH TO TOUCH TO LEFT UPPER ARM 24-48 HOURS AFTER RECEIVING FLU VACCINE AND PNEUMOVAX TO LEFT DELTOID ON 11/01/04. GIVEN RX FOR KEFLEX 500MG, ADVEISED TO TAKE OTC BENADRYL, TYLENOL PRN FOR PAIN AND FEVER.
Age: 0.34
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Faeces discoloured, Insomnia, Sudden infant death syndrome
Clinical narrative: Sleeplessness, blue/green/black stools. 4 days later he past away. Nurse follow up on 11/05/04 states: "No new information." Autopsy report gives COD as SIDS (03/02/2005).
Age: 0.8
Sex: M
Vaccine: FLUX, HEP, PNC
Symptoms: Urticaria
Clinical narrative: 10 month old male received PCV, Hep B, and Flu immunizations at same visit. Returned in 3 hours with profuse urticaria.
Age: 36.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Headache, Injection site erythema, Injection site swelling, Laboratory test abnormal
Clinical narrative: Chest pain, sub-sternal. Start: 10/03/2004. On 8/30/04, patient received his Smallpox vaccine in his left arm. He had a robust take at the site (red, raised area approximately 4" surrounding vaccination site). Around day 7, the site was assessed and interpreted as a major reaction. He denies significant systemic symptoms; he did experience a low grade fever and generalized body aches for the first 48-72 hours following vaccine receipt. On the morning of 10/3/04, around 0630, patient was on his way to eat breakfast when he experienced left-sided substernal pain that he rated as a pain intensity of 4-5 on a pain scale of 0-10. He initially thought it might be indigestion, but was also concerned about heart disease because he has a strong family history of cardiac disease. When the pain didn't go away after a couple of hours, he went on sick call. He was given a GI cocktail with no change in symptoms. He had an ECG, blood drawn, and a CXR. He was then given sublingual NTG and the pain subsided after the second tablet. After the pain subsided, he was released to eat lunch, but instructed to come back to be reassessed and to repeat labs. When he went back to the clinic after lunch, he was told his labs were abnormal and he was admitted to the field hospital. Around 2030 that evening, he experienced another episode of chest pain, which was more severe than his initial episode (about a level 6-7 on pain scale). He was given sublingual NTG, as well as started on Nitro-paste, and the chest pain subsided. (He experienced a severe headache secondary to the nitroglycerin). The following morning, he went to a staging area where he waited for 1.5 days before he was air-evac'ed. On 10/7, he had a cardiac cath that was normal. Prior to 10/3/04, patient denies any history of similar chest pain. The pain was not accompanied by nausea, shortness of breath, cough, or diaphoresis. He denies radiation. He notes that the pain seemed to be worse while lying on his right side and sitting up somewhat ipmproved the pain. He does have a positive family history of CAD and is a smoker. He denies a personal history of DM, hyperlipidemia, or HTN. He has not experienced chest pain since 10/3/04. He will undergo cardiology evaluation over the next 1-2 weeks. Follow up 01/31/05: Patient was seen for cardiology evaluation on 01/27/05-01/28/05 ECG Normal, Graded exercise test stopped due to fatigue, will return to full duty.
Age: 36.0
Sex: M
Vaccine: SMALL
Symptoms: Pain, Pyrexia
Clinical narrative: Chest pain, sub-sternal. Start: 10/03/2004. On 8/30/04, patient received his Smallpox vaccine in his left arm. He had a robust take at the site (red, raised area approximately 4" surrounding vaccination site). Around day 7, the site was assessed and interpreted as a major reaction. He denies significant systemic symptoms; he did experience a low grade fever and generalized body aches for the first 48-72 hours following vaccine receipt. On the morning of 10/3/04, around 0630, patient was on his way to eat breakfast when he experienced left-sided substernal pain that he rated as a pain intensity of 4-5 on a pain scale of 0-10. He initially thought it might be indigestion, but was also concerned about heart disease because he has a strong family history of cardiac disease. When the pain didn't go away after a couple of hours, he went on sick call. He was given a GI cocktail with no change in symptoms. He had an ECG, blood drawn, and a CXR. He was then given sublingual NTG and the pain subsided after the second tablet. After the pain subsided, he was released to eat lunch, but instructed to come back to be reassessed and to repeat labs. When he went back to the clinic after lunch, he was told his labs were abnormal and he was admitted to the field hospital. Around 2030 that evening, he experienced another episode of chest pain, which was more severe than his initial episode (about a level 6-7 on pain scale). He was given sublingual NTG, as well as started on Nitro-paste, and the chest pain subsided. (He experienced a severe headache secondary to the nitroglycerin). The following morning, he went to a staging area where he waited for 1.5 days before he was air-evac'ed. On 10/7, he had a cardiac cath that was normal. Prior to 10/3/04, patient denies any history of similar chest pain. The pain was not accompanied by nausea, shortness of breath, cough, or diaphoresis. He denies radiation. He notes that the pain seemed to be worse while lying on his right side and sitting up somewhat ipmproved the pain. He does have a positive family history of CAD and is a smoker. He denies a personal history of DM, hyperlipidemia, or HTN. He has not experienced chest pain since 10/3/04. He will undergo cardiology evaluation over the next 1-2 weeks. Follow up 01/31/05: Patient was seen for cardiology evaluation on 01/27/05-01/28/05 ECG Normal, Graded exercise test stopped due to fatigue, will return to full duty.
Age: 20.0
Sex: M
Vaccine: HEPA, SMALL, TYP
Symptoms: Abdominal pain, Cardiac failure congestive, Cardiomyopathy, Dyspnoea, Hepatitis
Clinical narrative: 4/15/03 Temp 103, noted mosquito bite like lesions on back of hand. 4/16/03 Continued fever, lesions fading, hands started swelling. 4/17/03 Increased swelling of hands; new onset swelling of ankles, knees, and neck. Pain in upper abdominal quadrants radiating to back. Abdominal fullness noted. Dark urine. Seem and treated for viral syndrome with fluids and Tylenol. 4/30/03 New onset SOB. Hospitalized. Treated with antibiotics, breathing treatments, and O2. Fever and swelling continued. Evidence of CHF. Pain now localized to LUQ, with normal LFTs, elevated LFT's. Negative for mono. Negative ANA. Symptoms gradually diminished over 3 week period. After rash on hands resolved, experienced peeling of skin on hands and elbows. Dyspnea at rest related to cardiomyopathy, improving. Hepatitis, unknown etiology, resolving. Acute onset illness/Lupus-type reaction temporally associated with multiple vaccinations. Follow up 01/27/05: Recovery status unknown, lost to follow up. Follow up 02/03/05: Recovery status unknown, lost to follow up.
Age: 20.0
Sex: M
Vaccine: HEPA, SMALL, TYP
Symptoms: Hypoxia, Joint swelling, Oedema peripheral, Pyrexia, Skin exfoliation
Clinical narrative: 4/15/03 Temp 103, noted mosquito bite like lesions on back of hand. 4/16/03 Continued fever, lesions fading, hands started swelling. 4/17/03 Increased swelling of hands; new onset swelling of ankles, knees, and neck. Pain in upper abdominal quadrants radiating to back. Abdominal fullness noted. Dark urine. Seem and treated for viral syndrome with fluids and Tylenol. 4/30/03 New onset SOB. Hospitalized. Treated with antibiotics, breathing treatments, and O2. Fever and swelling continued. Evidence of CHF. Pain now localized to LUQ, with normal LFTs, elevated LFT's. Negative for mono. Negative ANA. Symptoms gradually diminished over 3 week period. After rash on hands resolved, experienced peeling of skin on hands and elbows. Dyspnea at rest related to cardiomyopathy, improving. Hepatitis, unknown etiology, resolving. Acute onset illness/Lupus-type reaction temporally associated with multiple vaccinations. Follow up 01/27/05: Recovery status unknown, lost to follow up. Follow up 02/03/05: Recovery status unknown, lost to follow up.
Age: 20.0
Sex: M
Vaccine: HEPA, SMALL, TYP
Symptoms: Skin ulcer, Systemic lupus erythematosus
Clinical narrative: 4/15/03 Temp 103, noted mosquito bite like lesions on back of hand. 4/16/03 Continued fever, lesions fading, hands started swelling. 4/17/03 Increased swelling of hands; new onset swelling of ankles, knees, and neck. Pain in upper abdominal quadrants radiating to back. Abdominal fullness noted. Dark urine. Seem and treated for viral syndrome with fluids and Tylenol. 4/30/03 New onset SOB. Hospitalized. Treated with antibiotics, breathing treatments, and O2. Fever and swelling continued. Evidence of CHF. Pain now localized to LUQ, with normal LFTs, elevated LFT's. Negative for mono. Negative ANA. Symptoms gradually diminished over 3 week period. After rash on hands resolved, experienced peeling of skin on hands and elbows. Dyspnea at rest related to cardiomyopathy, improving. Hepatitis, unknown etiology, resolving. Acute onset illness/Lupus-type reaction temporally associated with multiple vaccinations. Follow up 01/27/05: Recovery status unknown, lost to follow up. Follow up 02/03/05: Recovery status unknown, lost to follow up.