chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 42.0
Sex: M
Vaccine: ANTH
Symptoms: Fatigue, Muscular weakness, Myalgia
Clinical narrative: "99-"03- anthrax vaccine #1-#6- "no problems" 6/22/04- anthrax booster- "few days after" developed myalgias and fatigue- legs "gave out" at times and noticed "difficulty writing" due to hand weakness
Age: 34.0
Sex: F
Vaccine: HEP
Symptoms: Bacterial infection, Eye irritation
Clinical narrative: Administered vaccination on Thursday August 5th at approximately 11 am.  Woke up Friday morning with a yeast infection and a stye in my left eye.  The Employee Health Dept administered it because they recommended the Hepititis B Vaccination - I don't which one specifically there is a whole list below.
Age: 22.0
Sex: F
Vaccine: HEP
Symptoms: Hot flush, Malaise, Rash macular, Throat tightness
Clinical narrative: 7/2/04 0100- Face flushed and hot; sick feeling 0130- Mild facial swelling with red blotches on face; felt "goose egg" in throat 0300- Went to ER; given Claritin, Prednisone and Pepcid. Sent home with prescription for Claritin and Prednisone 0800- Went home and took Benadryl 2000- Flushing of face resumed 7/3/04 0800- Got prescriptions filled and took. 7/4/04- Symptoms stopped
Age: 1.6
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Erythema, Rash macular, Rash pustular, Skin ulcer
Clinical narrative: 3 day history of approximately 15 lesions on chest, back, femoral area. Lesions, erythematus macules, pustules and scabbed lesions.
Age: 2.0
Sex: M
Vaccine: MMR
Symptoms: Apnoea, Asthma, Atelectasis, Conjunctivitis, Cough
Clinical narrative: Patient was given MMR in office without problem.  Within 48 hours he developed a severe nonpurulent conjunctivitis and cough.  He was hospitalized for a left sided pneumonia and required intubation and ventlation for several days.  All cultures were negative. He was eventual discharged and had a full recovery. Child also had tachypnea and short of breath.  Nurse follow up on 09/02/04 states: "fever; atelectasis; reactive airway; tachypnea; respiratory arrest."
Age: 2.0
Sex: M
Vaccine: MMR
Symptoms: Dyspnoea, Hypoxia, Lobar pneumonia, Pneumonia, Pyrexia
Clinical narrative: Patient was given MMR in office without problem.  Within 48 hours he developed a severe nonpurulent conjunctivitis and cough.  He was hospitalized for a left sided pneumonia and required intubation and ventlation for several days.  All cultures were negative. He was eventual discharged and had a full recovery. Child also had tachypnea and short of breath.  Nurse follow up on 09/02/04 states: "fever; atelectasis; reactive airway; tachypnea; respiratory arrest."
Age: 2.0
Sex: M
Vaccine: MMR
Symptoms: Tachypnoea
Clinical narrative: Patient was given MMR in office without problem.  Within 48 hours he developed a severe nonpurulent conjunctivitis and cough.  He was hospitalized for a left sided pneumonia and required intubation and ventlation for several days.  All cultures were negative. He was eventual discharged and had a full recovery. Child also had tachypnea and short of breath.  Nurse follow up on 09/02/04 states: "fever; atelectasis; reactive airway; tachypnea; respiratory arrest."
Sex: M
Vaccine: HEP, HEP
Symptoms: Drug ineffective, Hepatitis
Clinical narrative: This report was received for ENGERIX-B. This report concerns an adult male patient who was vaccinated with an unknown number of doses of hepatitis B virus vaccine. Subsequently, a hepatitis B surface antibody titer was negative. It was noted that the patient did not respond to immunization with hepatitis B virus vaccine. The patient later died of chronic hepatitis B. This was originally reported by a physician.  Follow up information fron the physician indicated that the pt was vaccinated with a series of hep B vaccine and subsequently contracted hep B and has developed chronic active hepatitis, but no one has died. The physician said that the rumor about one of his pt's dying after hep B was not true. No further information is available. This report no longer meets criteria for expedited submission to the FDA.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Crying, Erythema, Oedema, Pyrexia
Clinical narrative: Child began crying a high pitch cry for three + hours became very irritable, bilateral thighs red, and swollen fever 102 and greater for five days.  Child did fine on two months shots.  Received DTaP, IPV, Hib and Prevnar 4/29/04
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Erythema, High-pitched crying, Irritability, Pyrexia
Clinical narrative: Child began crying a high pitch cry for three + hours became very irritable, bilateral thighs red, and swollen fever 102 and greater for five days.  Child did fine on two months shots.  Received DTaP, IPV, Hib and Prevnar 4/29/04
Age: 26.0
Sex: F
Vaccine: VARCEL
Symptoms: Abortion spontaneous, Medication error, Unintended pregnancy
Clinical narrative: Information has been received from a 26 year old female, through a pregnancy registry, with no medical history or drug allergies who on 7/19/04 was vaccinated with a dose of varicella virus vaccine live. There was no concomitant therapy. The patient reported that on 7/26/04, she found out she was pregnant and miscarried on that same day. The patient believed she was only a few weeks pregnant at the time of vaccination. Unspecified medical attention was sought, but no treatment was required. Additional information has been requested.
Age: 21.0
Sex: F
Vaccine: VARCEL
Symptoms: Medication error, Unintended pregnancy
Clinical narrative: Information has been received form a registered nurse through a pregnancy registry concerning an approximately 21 year old white female with no concurrent conditions and a history of one previous pregnancy (pre-term birth at 36 weeks) and no history of birth defects, stillbirth, or miscarriage who was vaccinated with a dose of varicella virus vaccine live. The reporter indicated that the patient was now pregnant and may have been pregnant at the time of vaccination. The patient was not tested for varicella antibodies before vaccination. It was noted that no other medications were used during pregnancy. The patient's last menstrual period was on 12/20/02 and her estimated delivery date was 9/26/03. A pregnancy test confirmed pregnancy. Unspecified medical attention was sought. Follow up information was received from the registered nurse who indicated that in April 2003, the patient had a routine ultrasound at 21 weeks that was within normal limits. The patient had no local reaction at the vaccination site and no varicella or herpes zoster symptoms post vaccination. On 7/31/03, the patient gave birth to a live born normal male infant weighing 3 pounds and 11 ounces at 30.5 weeks from her last menstrual period. There were no congenital anomalies. Complications included immature lungs. The patient was hospitalized for five weeks requiring mechanical ventilation, a feeding tube, and a heart monitor. The patient improved and was discharged from the hospital on a heart monitor. It was noted that this was done more for the mother's peace of mind than due to the patient's health status. The patient had a fine recovery with a good outcome. There were no other complications during pregnancy or labor. There were no infections or illnesses during pregnancy. The infant had no feature of congenital varicella zoster syndrome. No further information is expected.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Eye disorder, Herpes zoster, Laboratory test abnormal, Necrosis
Clinical narrative: Information has been received from a physician concerning a 4 year old male patient with no known allergies and no prior medical history, who at 12 months of age, on approximately 8/17/00, was vaccinated with a dose of varicella virus vaccine live (lot number unknown). The physician reported that the patient now has a viral mediated process which is consistent with herpes zoster infection and was diagnosed with acute retinal necrosis of the left eye. It was noted that the patient had laser surgery as an outpatient, sometime in July 2004. Surgical repair (scar barrier) was performed to prevent further deterioration of his left eye. At the time of the surgery, a tiny bit of fluid was obtained from the anterior eye chamber by the ophthalmologist, who sent the specimen to the eye reference lab and all antibodies for VZV, CMV, and EBV were negative. The patient was treated with oral acyclovir (dose not reported) for approximately two weeks then IV acyclovir (dose and duration not reported), and now the patient is back on oral acyclovir. There was no product quality complaint reported. The acute retinal necrosis did not improve and the patient is not yet recovered. It was noted that the patient has never had breakthrough, but neither has he manifested a serologic response. It was noted that this was tested several times for varicella antibodies when the patient presented with the retinal problem and the result was negative. It was noted that immunologically the patient appears normal. There has not been an etiologic diagnosis, just a very aggressive retinal process. Upon internal review, acute retinal necrosis of the left eye was considered an other important medical event (OMIC). Additional information has bee requested.  Follow up on 09/09/04 states: "Follow-up information was received from a health professional who reported that "2 samples of the vitreous fluid" were PCR negative for VZV and was positive for betaglobin. Upon internal review, acute retinal necrosis of the left eye was considered an other important medical event (OMIC).  Additional information has been requested." Additional follow up information was received from a health professional which indicated that the sample of the left anterior eye chamber fluid (vitreous sample) was obtained on approximately 16AUG2004, sent to the laboratory on 25AUG2004, and arrived in the laboratory on 26AUG2004. It was reported VZV DNA was not amplified and B-globin DNA was amplified.The specimen was adequate and no VZV was identified and therefore was VZV negative.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Viral infection
Clinical narrative: Information has been received from a physician concerning a 4 year old male patient with no known allergies and no prior medical history, who at 12 months of age, on approximately 8/17/00, was vaccinated with a dose of varicella virus vaccine live (lot number unknown). The physician reported that the patient now has a viral mediated process which is consistent with herpes zoster infection and was diagnosed with acute retinal necrosis of the left eye. It was noted that the patient had laser surgery as an outpatient, sometime in July 2004. Surgical repair (scar barrier) was performed to prevent further deterioration of his left eye. At the time of the surgery, a tiny bit of fluid was obtained from the anterior eye chamber by the ophthalmologist, who sent the specimen to the eye reference lab and all antibodies for VZV, CMV, and EBV were negative. The patient was treated with oral acyclovir (dose not reported) for approximately two weeks then IV acyclovir (dose and duration not reported), and now the patient is back on oral acyclovir. There was no product quality complaint reported. The acute retinal necrosis did not improve and the patient is not yet recovered. It was noted that the patient has never had breakthrough, but neither has he manifested a serologic response. It was noted that this was tested several times for varicella antibodies when the patient presented with the retinal problem and the result was negative. It was noted that immunologically the patient appears normal. There has not been an etiologic diagnosis, just a very aggressive retinal process. Upon internal review, acute retinal necrosis of the left eye was considered an other important medical event (OMIC). Additional information has bee requested.  Follow up on 09/09/04 states: "Follow-up information was received from a health professional who reported that "2 samples of the vitreous fluid" were PCR negative for VZV and was positive for betaglobin. Upon internal review, acute retinal necrosis of the left eye was considered an other important medical event (OMIC).  Additional information has been requested." Additional follow up information was received from a health professional which indicated that the sample of the left anterior eye chamber fluid (vitreous sample) was obtained on approximately 16AUG2004, sent to the laboratory on 25AUG2004, and arrived in the laboratory on 26AUG2004. It was reported VZV DNA was not amplified and B-globin DNA was amplified.The specimen was adequate and no VZV was identified and therefore was VZV negative.
Sex: M
Vaccine: HEP, HIBV
Symptoms: Autism, Drug toxicity, Nervous system disorder
Clinical narrative: Information has been received regarding a case in litigation concerning a minor male patient who on 7/10/98 and 11/6/98 was vaccinated with doses of hepatitis B virus vaccine (lot # 624499/1165E and 624318/1038E respectively). Concomitant therapy on 7/10/98 included a dose of HIB conjugate vaccine (lot # 627434/0723H). It was reported that on 9/3/98 the patient received another dose of HIB conjugate vaccine (lot # 627559/0726H). Subsequently, as a result of the exposure to thimerosal and the mercury contained in thimerosal, the patient sustained neurological injuries and as a result of those injuries has been diagnosed with autistic spectrum disorder. Upon internal review, the patient's experience was considered an other important medical event (OMIC). No additional information was provided.
Age: 49.0
Sex: F
Vaccine: HEP
Symptoms: Hemiparesis, Laboratory test abnormal, Myelitis transverse, Peroneal nerve palsy
Clinical narrative: This case was reported by a nurse practitioner and described the occurrence of transverse myelitis in a 49 year old female patient who received hepatitis B vaccine recombinant. On unspecified dates in 2003, the patient received the first two doses of Engerix B (lot ENG5384A2). On an unspecified date in January 2004, the patient received the third dose of Engerix-B (lot ENG5384A2). On an unspecified date in 2004, a hepatitis B surface antibody titer revealed that the patient was a non-responder. Subsequently, the patient received the fourth dose of Engerix-B on an unspecified date in March 2004 (lot number not provided). On an unspecified date in April 2004, the patient received the fifth dose of Engerix-B in the deltoid (lot ENG5514A2). Approximately three months after the fifth administration of Engerix-B, on an unspecified date in July 2004, after returning from a trip, the patient experienced transverse myelitis, right foot drop and right leg weakness. The patient was seen at a physician's office. MRI, performed on an unspecified date in July 2004, revealed a broad disk protrusion on the right side of L5 and S1. The events were ongoing at the time of initial reporting. The nurse practitioner considered the events to be unrelated to vaccination with Engerix B. Comment: Transverse myelitis and intervertebral disc protrusion were assessed as medically serious (OMIC).
Age: 21.0
Sex: M
Vaccine: HEPAB
Symptoms: Anxiety, Asthenia, Atelectasis, Bronchial obstruction, Depression
Clinical narrative: Guillain Barre Syndrome post Twinrix. Immediately after the injection he "felt like it went straight to the base of my neck and down the spine, felt like a worm." He reports he asked the vaccinator "am I supposed to feel like this?" 24 days later on 30JAN04 he reports his "back became numb and I had a sensation in my legs and was weak. " The next day these sxs continued as well as he developed numbness in the hands and feet bilaterally and had difficulty walking Also his "throat felt tight" but denied shortness of breath. On 2FEB04 he presented to the emergency room and was admitted to the ICU for Guillain-Barre syndrome. On admission he denied any recent hx of URI, diarrhea, fever or chills. The initial problem list included generalized weakness, autonomic instability and transaminitis. Sxs quickly progressed to complete immobility although he was fully alert and responded to yes an no question with a slight squeezing of the left hand. On 5FEB he was intubated secondary to an aspiration episode. He had a gastrostomy tube insert4ed. He received 5 treatments of IVIG with little improvement. He remained intubated in the ICU for several weeks with telemetry, sequential compression devices, tube feeding and UE peripheral IVs. Eventually he was extubated and made slow progress toward regaining mobility. On hospital day 45 physical medicine and rehabilitation was consulted to assist in pt's rehabilitation. He then began intensive physical therapy, occupation therapy and speech therapy. At the time he had diffuse neuropathic pain and had become incontinent of urine and stool. He was unable to ambulate and had developed glaucoma following extensive steroid use. He developed a reactive depression with insomnia, anxiety and depressed mood. He was receiving DVT prophylaxis. He continued to improve and was discharged from the hospital on 5JUN04 and allowed 30 days convalescent leave. At the time of this writing his hands are numb to temperature and light pressure. Fine motor movement is improving and he is able to ambulate a few steps independently. He has full sensation in the thighs but it is markedly reduced below the knees. he has constant throbbing neuropathic pain in the lower extremities and frequent feelings "like an electric shock or on fire". His bladder control had returned and bowel function is improving. He is pending medical board separation form the military. Per the follow up report-Spoke to SM. Has greatly improved. Is walking now with a cane, no longer wheelchair bound. Has neuropathic pain in feet only, no longer in legs. Feet are painful only with contact, not continuosly. Still has numbness in fingertips, but no longer in hands. His smile is asymmetrical. Bowel and bladder function has returned to normal. Is receiving care. Is medically retired from the military and received 50% disability. VA claim still pending. Is applying to school now to acquire new skills.
Age: 21.0
Sex: M
Vaccine: HEPAB
Symptoms: Difficulty in walking, Dyspnoea, Enzyme abnormality, Faecal incontinence, Glaucoma
Clinical narrative: Guillain Barre Syndrome post Twinrix. Immediately after the injection he "felt like it went straight to the base of my neck and down the spine, felt like a worm." He reports he asked the vaccinator "am I supposed to feel like this?" 24 days later on 30JAN04 he reports his "back became numb and I had a sensation in my legs and was weak. " The next day these sxs continued as well as he developed numbness in the hands and feet bilaterally and had difficulty walking Also his "throat felt tight" but denied shortness of breath. On 2FEB04 he presented to the emergency room and was admitted to the ICU for Guillain-Barre syndrome. On admission he denied any recent hx of URI, diarrhea, fever or chills. The initial problem list included generalized weakness, autonomic instability and transaminitis. Sxs quickly progressed to complete immobility although he was fully alert and responded to yes an no question with a slight squeezing of the left hand. On 5FEB he was intubated secondary to an aspiration episode. He had a gastrostomy tube insert4ed. He received 5 treatments of IVIG with little improvement. He remained intubated in the ICU for several weeks with telemetry, sequential compression devices, tube feeding and UE peripheral IVs. Eventually he was extubated and made slow progress toward regaining mobility. On hospital day 45 physical medicine and rehabilitation was consulted to assist in pt's rehabilitation. He then began intensive physical therapy, occupation therapy and speech therapy. At the time he had diffuse neuropathic pain and had become incontinent of urine and stool. He was unable to ambulate and had developed glaucoma following extensive steroid use. He developed a reactive depression with insomnia, anxiety and depressed mood. He was receiving DVT prophylaxis. He continued to improve and was discharged from the hospital on 5JUN04 and allowed 30 days convalescent leave. At the time of this writing his hands are numb to temperature and light pressure. Fine motor movement is improving and he is able to ambulate a few steps independently. He has full sensation in the thighs but it is markedly reduced below the knees. he has constant throbbing neuropathic pain in the lower extremities and frequent feelings "like an electric shock or on fire". His bladder control had returned and bowel function is improving. He is pending medical board separation form the military. Per the follow up report-Spoke to SM. Has greatly improved. Is walking now with a cane, no longer wheelchair bound. Has neuropathic pain in feet only, no longer in legs. Feet are painful only with contact, not continuosly. Still has numbness in fingertips, but no longer in hands. His smile is asymmetrical. Bowel and bladder function has returned to normal. Is receiving care. Is medically retired from the military and received 50% disability. VA claim still pending. Is applying to school now to acquire new skills.
Age: 21.0
Sex: M
Vaccine: HEPAB
Symptoms: Guillain-Barre syndrome, Hypoaesthesia, Lung disorder, Movement disorder, Nervous system disorder
Clinical narrative: Guillain Barre Syndrome post Twinrix. Immediately after the injection he "felt like it went straight to the base of my neck and down the spine, felt like a worm." He reports he asked the vaccinator "am I supposed to feel like this?" 24 days later on 30JAN04 he reports his "back became numb and I had a sensation in my legs and was weak. " The next day these sxs continued as well as he developed numbness in the hands and feet bilaterally and had difficulty walking Also his "throat felt tight" but denied shortness of breath. On 2FEB04 he presented to the emergency room and was admitted to the ICU for Guillain-Barre syndrome. On admission he denied any recent hx of URI, diarrhea, fever or chills. The initial problem list included generalized weakness, autonomic instability and transaminitis. Sxs quickly progressed to complete immobility although he was fully alert and responded to yes an no question with a slight squeezing of the left hand. On 5FEB he was intubated secondary to an aspiration episode. He had a gastrostomy tube insert4ed. He received 5 treatments of IVIG with little improvement. He remained intubated in the ICU for several weeks with telemetry, sequential compression devices, tube feeding and UE peripheral IVs. Eventually he was extubated and made slow progress toward regaining mobility. On hospital day 45 physical medicine and rehabilitation was consulted to assist in pt's rehabilitation. He then began intensive physical therapy, occupation therapy and speech therapy. At the time he had diffuse neuropathic pain and had become incontinent of urine and stool. He was unable to ambulate and had developed glaucoma following extensive steroid use. He developed a reactive depression with insomnia, anxiety and depressed mood. He was receiving DVT prophylaxis. He continued to improve and was discharged from the hospital on 5JUN04 and allowed 30 days convalescent leave. At the time of this writing his hands are numb to temperature and light pressure. Fine motor movement is improving and he is able to ambulate a few steps independently. He has full sensation in the thighs but it is markedly reduced below the knees. he has constant throbbing neuropathic pain in the lower extremities and frequent feelings "like an electric shock or on fire". His bladder control had returned and bowel function is improving. He is pending medical board separation form the military. Per the follow up report-Spoke to SM. Has greatly improved. Is walking now with a cane, no longer wheelchair bound. Has neuropathic pain in feet only, no longer in legs. Feet are painful only with contact, not continuosly. Still has numbness in fingertips, but no longer in hands. His smile is asymmetrical. Bowel and bladder function has returned to normal. Is receiving care. Is medically retired from the military and received 50% disability. VA claim still pending. Is applying to school now to acquire new skills.
Age: 21.0
Sex: M
Vaccine: HEPAB
Symptoms: Neuralgia, Sensory disturbance, Throat tightness, Urinary incontinence
Clinical narrative: Guillain Barre Syndrome post Twinrix. Immediately after the injection he "felt like it went straight to the base of my neck and down the spine, felt like a worm." He reports he asked the vaccinator "am I supposed to feel like this?" 24 days later on 30JAN04 he reports his "back became numb and I had a sensation in my legs and was weak. " The next day these sxs continued as well as he developed numbness in the hands and feet bilaterally and had difficulty walking Also his "throat felt tight" but denied shortness of breath. On 2FEB04 he presented to the emergency room and was admitted to the ICU for Guillain-Barre syndrome. On admission he denied any recent hx of URI, diarrhea, fever or chills. The initial problem list included generalized weakness, autonomic instability and transaminitis. Sxs quickly progressed to complete immobility although he was fully alert and responded to yes an no question with a slight squeezing of the left hand. On 5FEB he was intubated secondary to an aspiration episode. He had a gastrostomy tube insert4ed. He received 5 treatments of IVIG with little improvement. He remained intubated in the ICU for several weeks with telemetry, sequential compression devices, tube feeding and UE peripheral IVs. Eventually he was extubated and made slow progress toward regaining mobility. On hospital day 45 physical medicine and rehabilitation was consulted to assist in pt's rehabilitation. He then began intensive physical therapy, occupation therapy and speech therapy. At the time he had diffuse neuropathic pain and had become incontinent of urine and stool. He was unable to ambulate and had developed glaucoma following extensive steroid use. He developed a reactive depression with insomnia, anxiety and depressed mood. He was receiving DVT prophylaxis. He continued to improve and was discharged from the hospital on 5JUN04 and allowed 30 days convalescent leave. At the time of this writing his hands are numb to temperature and light pressure. Fine motor movement is improving and he is able to ambulate a few steps independently. He has full sensation in the thighs but it is markedly reduced below the knees. he has constant throbbing neuropathic pain in the lower extremities and frequent feelings "like an electric shock or on fire". His bladder control had returned and bowel function is improving. He is pending medical board separation form the military. Per the follow up report-Spoke to SM. Has greatly improved. Is walking now with a cane, no longer wheelchair bound. Has neuropathic pain in feet only, no longer in legs. Feet are painful only with contact, not continuosly. Still has numbness in fingertips, but no longer in hands. His smile is asymmetrical. Bowel and bladder function has returned to normal. Is receiving care. Is medically retired from the military and received 50% disability. VA claim still pending. Is applying to school now to acquire new skills.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Laboratory test abnormal, Oedema, Pain
Clinical narrative: Pain and swelling in joints fingers, knees and feet status post Anthrax vaccine #2 worsened and exacerbated after Anthrax vaccine #3. Swelling start: 07/22/03; pain and edema of both hands and knees.  Joint pain, multiple joints start: 07/07/03.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Leg swollen from upper thigh to knee. Red, hot to touch, painful to touch. Treatment: Benadryl.
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 30x34cm erythema and induration noted at site.
Age: 0.9
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Cyanosis, Pyrexia, Vomiting
Clinical narrative: Fever 104.8 less than 12 hours after administering below immunization. Vomiting with cyanosis. EMS called, to ER.
Age: 53.0
Sex: M
Vaccine: ANTH
Symptoms: Dizziness, Dyspnoea, Nausea
Clinical narrative: 2 hours after injection: lightheaded, nausea, dizzy, difficult breathing. Anthrax #2. No signs and symptoms after Anthrax #2.
Age: 1.15
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MMR, PNC
Symptoms: Pyrexia, Rash morbilliform
Clinical narrative: Child received immunizations on 07/27/04, 4-5 days later fever 99.7. Rash resembling measles rash started 6 days after MMR shot on forehead, then thighs and abdomen. No treatment. Mother advised Tylenol for discomfort and fever, TLC and to watch for lethargy, respiratory signs and symptoms, etc. 08/10/04: I called and pt's rash gone.
Age: 0.5
Sex: M
Vaccine: PNC
Symptoms: Urticaria
Clinical narrative: Prevnar given on 08/02/04. Pt returned on 08/03/04 with lower extremity urticaria.
Age: 17.0
Sex: F
Vaccine: HEP
Symptoms: Nasal congestion, Pharyngolaryngeal pain, Rash
Clinical narrative: 08/04/04: Vaccine. 08/05/04-08/06/04: Stuffiness, sore throat. 08/07/04: Sore throat, rash on buttocks. 08/08/04: Throat soreness, intense.
Age: 44.0
Sex: F
Vaccine: HEPA, TD, YF
Symptoms: Headache, Nausea, Nuchal rigidity, Pain in jaw
Clinical narrative: 08/02/04 noticed poor peripheral vision episode around 10PM, 8/3/04 awakened at 1:00AM with severe headache which lasted most of morning. Has continued to have dull headache which lessens daily c/o nausea, stiff neck and jaw pain.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site swelling, Tenderness
Clinical narrative: redness nd swelling to right arm at site of DtaP and IPV injections. Started <24 hrs after vaccines were given. Erythema and mild edema to right upper arm to shoulder, mildly tender to touch, full range of motion at sholder. Treatment: Frequent warm compresses. Use arm. RTC or call for fever, increasing redness, or discharge.
Age: 51.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Pain, Swelling
Clinical narrative: Severe pain and swelling between elbow and shoulder; skin red and "hot".
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Skin ulcer, Viral infection
Clinical narrative: Developed varicella rash on 7/24/04--had six classic lesions.  Symptoms resolved in 2-3 days.  Fine now.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Dyskinesia
Clinical narrative: Generalized tonic-clonic movement of his extremities for about 15 minutes.  Taken to ER, observed and then discharged.
Age: 1.0
Sex: F
Vaccine: MEA, UNK, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Developed classic varicella infection on 8/8/04.  Mom took her to the ER last night for evaluation and diagnosis.  She did not require treatment.  She is doing well now.
Age: 5.0
Sex: F
Vaccine: DTP, HEP, IPV, MEA
Symptoms: Drug ineffective
Clinical narrative: Patient recieved the mmr vacinne on July 31 2004 and as a result she came down with the measles
Age: 0.6
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Apnoea, Eye movement disorder, Hypoxia, Pyrexia
Clinical narrative: Eyes rolled back in head and quit breathing around 8:00 PM (per grandmother). To ER, intubated/ventilator. Transferred to another hospital. Temp 105.   Nurse follow up on 08/30/04 states: "Complete."
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Cellulitis, Injection site erythema, Injection site swelling, Oedema
Clinical narrative: Patient received immunizations on 7/15/04. By 7/17/04, patient's right arm was red, swollen, and had blisters from the elbow to the shoulder.  Nurse follow up on 08/31/04 states: "Cellulitis, inflammatory reaction, tender, tonsils erythema."
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Pain
Clinical narrative: Patient received immunizations on 7/15/04. By 7/17/04, patient's right arm was red, swollen, and had blisters from the elbow to the shoulder.  Nurse follow up on 08/31/04 states: "Cellulitis, inflammatory reaction, tender, tonsils erythema."
Age: 19.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Convulsion
Clinical narrative: Took smallpox vaccination in December 2003. Had first seizure on 2/7/04. Now having 2 or 3 seizures a month.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Abdominal distension, Contusion, Laboratory test abnormal, Pyrexia
Clinical narrative: Seen at hospital ER 3/10/04-fever, abdominal bruising, abdominal distention.
Sex: M
Vaccine: ANTH
Symptoms: Diarrhoea, Injection site pain, Muscle spasms, Nausea, Skin burning sensation
Clinical narrative: Burning in injection site-to neck area, nausea and crampy, diarrhea
Age: 30.0
Sex: F
Vaccine: ANTH
Symptoms: Oedema peripheral, Rash
Clinical narrative: Rash on fore arm and swelling on upper arm.
Age: 12.0
Sex: M
Vaccine: MMR
Symptoms: Convulsion, Diarrhoea, Joint stiffness, Nausea, Pyrexia
Clinical narrative: Fainted, seizure, temp/fever, joint stiffness, nausea, vomiting, diarrhea-up to 12 hours after shot.
Age: 12.0
Sex: M
Vaccine: MMR
Symptoms: Syncope, Vomiting
Clinical narrative: Fainted, seizure, temp/fever, joint stiffness, nausea, vomiting, diarrhea-up to 12 hours after shot.
Age: 0.75
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Cellulitis, Erythema, Injection site mass, Irritability, Tremor
Clinical narrative: 8/10/2004-was seen in our office fussy, more than normal, shaking head, no fever, local reaction, ? Cellulitis. Started Duricef. Left thigh. +induration and erythema Left thigh. Episodes of shaking head for a few seconds.
Age: 0.17
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Crying, Pyrexia, Screaming, Somnolence
Clinical narrative: 08/05/04-10:30PM high pitch scream, sleeping a lot. No swelling at injection site. 8/6/04 9:30AM ate ok no fever or other symptoms. 8/9/04 100.8 temp crying when child is moved, Dr. Sent to ER -4AM. Blood culture done neg. 08/10/04 per mom 102 temp off and on since 8/5/04.
Age: 0.17
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Pyrexia, Somnolence
Clinical narrative: Fever 101 night of shots 8/9/04 shot area fine. 8/10/04-still running 101 temp-sleeping a lot.
Age: 33.0
Sex: F
Vaccine: MMR, TD, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Pruritus
Clinical narrative: Received Td vaccine in Left arm/deltoid on 8/3/04. c/o redness/swelling of left deltoid 8/6/04. Redness/swelling approx 3" wide x 4" high. Also itching at injection site.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site oedema
Clinical narrative: Hot and swollen arm at injection site
Age: 19.0
Sex: F
Vaccine: HEPAB
Symptoms: Rash
Clinical narrative: States a rash appeared on left side of face and neck 2 days after shot given in right arm. She has a doctors appointment (routine) tomorrow and I told her to inform him of the rash.
Age: 34.0
Sex: M
Vaccine: HEPA
Symptoms: Diarrhoea, Hepatic enzyme abnormal, Pyrexia, Rash, Stomach discomfort
Clinical narrative: Pt received a Hep A shot on 09/03/03. Mother called today to report he has been sick ever since his shot. She said 2-3 days after the shot he developed a rash and fever, then diarrhea and upset stomach. He has seen several doctors and in July flew out of state to see a hepatoligist who gave a possible diagnosis of colengitis.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema
Clinical narrative: On 08/2/04 started with area of redness on right thigh. Continued to enlarge to size of 5 inch diameter on 8/4 non tender. Monitor. Benadryl PO.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site mass, Oedema
Clinical narrative: redness, swelling 10cm x 11cm induration, warm compresses
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: red, swollen and warm on effected area.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, MMR
Symptoms: Loss of consciousness
Clinical narrative: After pt received immunizations while mother was holding pt pt went in and out of consciousness in mother's arms. Regained complete consciousness after 20 min.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Feeling hot, Injection site erythema, Oedema, Pharyngitis
Clinical narrative: Pt received vaccine 8/3/02, temp high 102, 7x4.5cm redness at injection site,warm to touch with swelling, no induration. Returned to office 8/5/04 with fever still 102. 8/6/04 redness increased in size, temp 99 orally.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia
Clinical narrative: Pt received vaccine 8/3/02, temp high 102, 7x4.5cm redness at injection site,warm to touch with swelling, no induration. Returned to office 8/5/04 with fever still 102. 8/6/04 redness increased in size, temp 99 orally.
Age: 2.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash papular, Rash pruritic, Skin ulcer
Clinical narrative: Pt presented in office with umbilicated lesions scattered on trunk, face, legs and few papules in diaper area. Pt did not have any fever; lesions are pruritic.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Injection site reaction
Clinical narrative: Local reaction- erythema
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: Pt received 4 year shots 8/2/04 returned to office 8/5/04 left leg very red and swollen approximately 1/4 of front of leg.
Age: 1.08
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash, Viral infection
Clinical narrative: 103 Temp 7/28. Viral exanthem with fever presented 7/29/04- looked like early pre-blister chickenpox but no vesicles by next day
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash vesicular
Clinical narrative: local varicella for eruptions. 7 days after vaccine given.
Age: 1.25
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Injection site reaction, Urticaria
Clinical narrative: Immediately after immunization developed hives at site of shots and developed scattered urticaria over entire body.
Age: 1.08
Sex: M
Vaccine: VARCEL
Symptoms: Angioneurotic oedema, Erythema, Swelling face, Urticaria
Clinical narrative: Mother reported that pt had facial redness and swelling with hives or angioedema. My other exposure was cantaloupe on 7/25/04 and 7/26/04. Other than varicella vaccine on 7/26/04. Was also seen in the office 7/30/04 for local reaction to mosquito bites.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema
Clinical narrative: 3"x5" reddened area on right arm.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Pruritus, Skin discolouration, Swelling, Urticaria
Clinical narrative: Moderate swelling/ pinkness to upper half of upper left arm- itchy. Progressive over 48 hours after DTaP/IPV. Urticarial appearing. No significant bump at injection site.
Age: 27.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Tetanus booster given in left deltoid on 08/06/2004. Pt called8/5/04 with complaints of red, hot swollen left upper arm. Advised Tylenol or Motrin, cool compress, OTC Benadryl. Call if worsening with 3-4 doses of Benadryl.
Age: 1.0
Sex: M
Vaccine: HIBV, VARCEL
Symptoms: Rash
Clinical narrative: 7/23/04: chicken pox vaccine. 7/25/04: broke out in rash on arms, legs, buttock. 7/27/04: Benadryl and Tylenol for 2.5 days. 7/30/04: scabs present, drying up.
Age: 1.5
Sex: F
Vaccine: DTAP, IPV
Symptoms: Breath holding, Convulsion, Fall
Clinical narrative: No fever. Patient fell and hit head 24 hours after immunizations had seizure. EMS called and brought pt to ER. As per pediatrician this may have been a breath-holding spell. EEG pending. No obvious sequelae.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Skin discolouration, Tenderness
Clinical narrative: Right upper arm erythema, warmth, light pink, tender , sore. Worsening since onset . MD appointment 8/4/04 am to evaluate. No cellulitis. Motrin PRN.
Age: 1.6
Sex: F
Vaccine: DTPHIB, IPV
Symptoms: Blister, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: At site of injection left ant thigh erythema, swelling, induration -3 cm. Questionable vesicular presentation in area of erythema. Sxs developed last 48 hours.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia, Tremor, Vomiting
Clinical narrative: Fever 104 degrees, oral the evening after (same noc) as receiving immunization. Vomiting and shaking the morning after receiving vaccines.
Age: 14.0
Sex: M
Vaccine: TD
Symptoms: Pyrexia, Urticaria
Clinical narrative: Onset fever <24 hours after Td booster 102.4. Generalized hives 3 days later. No sxs other illness.
Age: 26.0
Sex: F
Vaccine: HEP
Symptoms: Headache, Migraine, Nausea, Urticaria, Wheezing
Clinical narrative: Vaccine given 7/22/04. On 7/23/04 about midnight started with hive on left upper am. 2am headache- progressing to migraine headache, nausea. Wheezing in chest. Took Ibuprofen, Vicodin which she had order for previously. Recovered sat am. No treatment or evaluation my MD. Resolved on left arm.
Age: 1.5
Sex: F
Vaccine: MMR, PNC
Symptoms: Pyrexia
Clinical narrative: Fever of 102.5 8 days after shots. Tylenol/ Ibuprofen given: fever varied between 99.5-103x 4 days. No rash or other signs of distress/ Reaction.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Localized swelling of left thigh with patches of warm erythema. No fevers. Prescribed Cephalexin 400 mg TID for 5 days. Area returned to normal (swelling/ redness) within 3-4 days.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Irritability, Pyrexia, Rash
Clinical narrative: Began running fever 24 hour after MMR was given. Tactile temp per mom was approximately 102. Fever x 3 days (Friday, Saturday, Sunday). Fever broke Sunday, after fever, rash developed began behind ears and face- body. Increased irritability.
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Red, swollen deltoid
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: redness, measuring 12cm in diameter at injection site. No tenderness. No lymphadenopathy.
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Hypersensitivity, Lymphadenopathy, Pyrexia, Rash
Clinical narrative: Possible undiagnosed allergic reaction to MMR. Developed rash, swollen glands, Temp F104-105 within 48 hours of receiving vaccine. Gave Motrin, child recovered without seeing doctor.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site swelling, Injection site vesicles
Clinical narrative: Swelling in site area about 4"-5" in size with vesicles; no pustules.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pain, erythema and swelling in left arm from about 2 inches below shoulder to about 1 inch below elbow.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site reaction
Clinical narrative: Local reaction.
Age: 46.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain, Agitation, Arthralgia, Chills, Headache
Clinical narrative: Joint pain, nausea, abdominal pain, headache, blurred vision, rash to thighs, malaise, chills, extreme agitation. Treated with Toradol 60mg IM, Toradol 10mg  PO Q 4-6 hours PRN, Ativan 0.5mg PO BID PRN, Vistaril 25mg Q 4-6 hours PRN.
Age: 46.0
Sex: F
Vaccine: HEP
Symptoms: Malaise, Nausea, Rash, Vision blurred
Clinical narrative: Joint pain, nausea, abdominal pain, headache, blurred vision, rash to thighs, malaise, chills, extreme agitation. Treated with Toradol 60mg IM, Toradol 10mg  PO Q 4-6 hours PRN, Ativan 0.5mg PO BID PRN, Vistaril 25mg Q 4-6 hours PRN.
Age: 6.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Pyrexia, Swelling, Tenderness
Clinical narrative: Erythema, swelling, minimal tenderness, and increased temperature.
Age: 4.0
Sex: F
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 5"x5" area of redness and swelling at left upper outer thigh.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Face oedema, Feeling hot, Medication error
Clinical narrative: 07/30/04-DTaP administered. 1 hour later had vomiting, hives, facial swelling -responded to Benadryl and resolved. 8/2/04-presented with large, red, warm swelling in leg. Dx cellulitis (right leg). Rx for Augmentin given. 2 pt's same day developed cellulitis one of the DTaP vials in lot was broken.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Oedema, Urticaria, Vomiting
Clinical narrative: 07/30/04-DTaP administered. 1 hour later had vomiting, hives, facial swelling -responded to Benadryl and resolved. 8/2/04-presented with large, red, warm swelling in leg. Dx cellulitis (right leg). Rx for Augmentin given. 2 pt's same day developed cellulitis one of the DTaP vials in lot was broken.
Age: 24.0
Sex: F
Vaccine: ANTH, MEN
Symptoms: Medication error, Unintended pregnancy
Clinical narrative: Patient is 24-years old female who reports finding out that she was pregnant on 2 August.  She reports dating by Ultrasound the fetus was 7 weeks (9 August 04) and she got her anthrax vaccination on the 25th of June.  Her calculated date of conception would be the 16th or 17th of June.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Pain
Clinical narrative: Dtap given on 8/9/04 Seen in office on 8/11/04 Rt upperarm reddened, swollen and hard to touch from shoulder to elbow.  Motrin ordered for pain.  Cold compress.
Age: 22.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Musculoskeletal stiffness
Clinical narrative: On 7-14-2004,(2 days after Td administered) returned to clinic for ppd reading.  Client showed her left deltoid to clinic nurse.  Soreness, large erythematous and edematous patch below and around Td injection site.  Warm to touch.  Client stated that shoulder and arm very stiff and sore.  Client stated she had MD appt. for the afternoon of 7/14/04.  Highly recommended to have site assessed by MD.
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site induration
Clinical narrative: 4.5cm x 4.5cm induration at injection site.
Age: 44.0
Sex: M
Vaccine: ANTH
Symptoms: Asthenia, Fatigue, Injection site erythema, Injection site mass, Injection site pain
Clinical narrative: That evening I felt a low fever, aches, weakness, tiredness that lasted 3 days. Injection site had large painful lump that continues, and warm red skin patch the size of a softball that was severely itchy for 3 days. I have had similar, less severe, reactions to prior Anthrax injections
Age: 44.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site warmth, Pain, Pruritus, Pyrexia
Clinical narrative: That evening I felt a low fever, aches, weakness, tiredness that lasted 3 days. Injection site had large painful lump that continues, and warm red skin patch the size of a softball that was severely itchy for 3 days. I have had similar, less severe, reactions to prior Anthrax injections