chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.09
Sex: M
Vaccine: DPP, MMR, VARCEL
Symptoms: Pyrexia, Rash erythematous, Rash maculo-papular, Rhinorrhoea
Clinical narrative: Initial and follow up information has been received from an epidemiologist and a registered nurse concerning a 13 month old male with upper respiratory tract infection, sinusitis, and otitis media, and no known drug allergies who on 11/19/2004 was vaccinated with a dose of measles virus vaccine live, mumps virus vaccine live, rubella virus vaccine live.  Concomitant vaccinations included a dose of varicella virus vaccine live, and a dose of diphtheria toxoid, pertussis vaccine, tetanus toxoid.  On 11/27/2004, about 8 days later, the patient developed a fever that maxed to 104.  The parents reported that the child's appetite was decreased; he was sleeping more and less active than usual.  The parents also reported that the child had no vomiting and no diarrhea recently, although he did have diarrhea on approximately 11/22/2004.  It was also reported that he had a cough and cold since approximately 11/15/2004 with a runny nose that has been worse and is thicker and greenish and that he recovered from an ear infection during the first week of November.  Upon exam, the child had a maculopapular erythematous blanching rash scattered over his trunk and upper extremities; none on palms or soles.  The right TM is mildly erythematous otherwise normal light reflex and mobility.  The left is bulging and opaque with absent landmarks.  Nares with thick rhinorrhea.  The assessment was fever and rash, most likely secondary to the measles virus vaccine live, mumps virus vaccine live, rubella virus vaccine live, a concomitant prolonged upper respiratory infection, which could be sinusitis given the current fever.  He also has a left otitis media.  Course of treatment was reported as amoxicillin 250mg/5ml one and a half teaspoons 2 times a day for 10 days.  Symptomatic supportive treatment.  The epidemiologist would like to know if the high fever is related to the measles virus vaccine live, mumps virus vaccine live, rubella virus vaccine live.  Lot check has been requested.  The records of testing prior to release of this lot have been checked by quality assurance and found to be satisfactory.  The lot complies with the standards of the center for biologics evaluation and research and was released.  This is a consolidation of two reports concerning the same patient.  Additional information is not expected.
Age: 4.0
Sex: F
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: Information has been received from a medical assistant concerning a 4-year-old with female with no relevant medical history or illness at the time of vaccination who at 15:20 on 08-Dec-2004 was vaccinated IM in the left thigh with a first dose of hepatitis A virus vaccine inactivated (Lot # 647909/0123P). there was no concomitant medication. On 08-Dec-2004, a half hour after receiving the vaccination, the patient's neck swelled with big hives. The patient was given diphenhydramine hydrochloride (BENADRYL) and luke warm baths. The next morning, on 09-Dec-2004, the child woke up with a big hive on her eye and hives all down her back. Unspecified medical attention was sought. The patient was given more diphenhydramine hydrochloride (BENADRYL) and bathed again. The physician advised to watch her throughout the day. The patient recovered on 10-Dec-2004. A product quality complaint was not involved.  Additional information is not expected.  This is a consolidation of two reports concerning the same patient. This is in follow-up to report(s) previously submitted on 5/26/2005. Information has been received from a medical assistant concerning a 4-year-old female with no relevant medical history or illness at the time of vaccination who at 15:20 on 08-DEC-2004 was vaccinated IM in the left tigh with a first dose of VAQTA (lot #647909/0123P). There was no concomitant medication. On 08-DEC-2004, a half hour after receiving the vaccination, the patient's neck swelled with big hives. The patient was given BENADRYL and luke warm baths. The next morning, on 09EC-2004, the child woke up with a big hive on her eye and hives all down her back. Unspecified medical attention was sought. The patient was given more BENADRYL and bathed again. The physician advised to watch her throughout the day. On 10-DEC-2004, the patient recovered. A product quality complaint was not involved. Additional information is not expected.
Age: 63.0
Sex: M
Vaccine: HEPA
Symptoms: Hypoaesthesia, Paraesthesia mucosal, Tongue disorder
Clinical narrative: Initial and follow-up information has been received from a physician's assistant concerning a 63-year-old white male maintenance worker with no reported medical history and no known drug allergies who on 02-Dec-2004 at 15:10 PM was vaccinated IM in the left deltoid with a first dose of hepatitis A virus vaccine inactivated (lot # 648037/0085P). There was no illness at the time of vaccination. Within approximately two hours of the vaccinations (17:10 PM), the patient's entire tongue became numb for 39 minutes and he had a "minimum sensation of tingling in tongue as well." It was also reported that there was no swelling, wheezing or shortness of breath. No treatment was required and the sensation was reported to have "resolved in approximately one half an hour." A product quality complaint was not involved.  Additional information is not expected.  This is consolidation of two reports concerning the same patient.
Age: 47.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Arthralgia, Carpal tunnel syndrome, Lymphadenopathy, Oedema peripheral, Pain
Clinical narrative: Information has been received from a registered nurse concerning a 47 year old female patient with a healthy medical history and allergies to meperidine hydrochloride and aspirin (+) oxycodone hydrochloride (+) oxycodone terephthalate who on 11/19/04 was vaccinated with a MMR (lot # not reported). On12/4/04, fifteen days later, the patient developed swelling and pain in the joints of her fingers and pain in her ankles and feet. It was reported that the patient sought unspecified medical attention and that she had not recovered at the time of the report. There was no product quality complaint involved. Additional information has been requested.
Age: 47.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Arthralgia, Joint swelling, Pain in extremity
Clinical narrative: Information has been received from a registered nurse concerning a 47 year old female patient with a healthy medical history and allergies to meperidine hydrochloride and aspirin (+) oxycodone hydrochloride (+) oxycodone terephthalate who on 11/19/04 was vaccinated with a MMR (lot # not reported). On12/4/04, fifteen days later, the patient developed swelling and pain in the joints of her fingers and pain in her ankles and feet. It was reported that the patient sought unspecified medical attention and that she had not recovered at the time of the report. There was no product quality complaint involved. Additional information has been requested.
Age: 1.04
Sex: F
Vaccine: MMR, PNC, VARCEL, MMR, PNC, VARCEL
Symptoms: Convulsion, Drooling, Dyskinesia, Electroencephalogram abnormal
Clinical narrative: Initial and follow up information has been received from a physician via a company representative concerning a 12 month old female with no medical history and no known allergies who on 17Aug04, at about 09:00AM, was vaccinated SC in the right thigh with a first dose of measles virus vaccine live  (Moraten) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3) (lot 648461/1306N). Concomitant secondary suspect vaccinations on the same day included a first dose of varicella virus vaccine live (lot 648045/0197P; previously reported as Lot 648546/0272P), administered SC in left thigh, and fourth dose of pneumococcal 4 6B 9V 14 18C 19F 23F conj vaccine (PREVNAR), administered IM in the right thigh. On 26Aug04, around 8:00AM, the pt was found having seizure activity, primarily on the right side with repetitive movements of right upper and lower extremities and drooling. She was taken to the hospital ER at 9:00AM and given lorazepam (Ativan), which stopped the seizures. She was admitted to the hospital for three days. The physician reported that lumbar puncture results were all negative and an EEG showed slowing consistent with postictal state. It was also reported that the pt recovered on an unspecified date. There was no product quality complaint involved. Additional information is not expected.
Age: 1.04
Sex: F
Vaccine: MMR, PNC, VARCEL, MMR, PNC, VARCEL
Symptoms: Convulsion, Drooling, Postictal state
Clinical narrative: Initial and follow up information has been received from a physician via a company representative concerning a 12 month old female with no medical history and no known allergies who on 17Aug04, at about 09:00AM, was vaccinated SC in the right thigh with a first dose of measles virus vaccine live  (Moraten) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3) (lot 648461/1306N). Concomitant secondary suspect vaccinations on the same day included a first dose of varicella virus vaccine live (lot 648045/0197P; previously reported as Lot 648546/0272P), administered SC in left thigh, and fourth dose of pneumococcal 4 6B 9V 14 18C 19F 23F conj vaccine (PREVNAR), administered IM in the right thigh. On 26Aug04, around 8:00AM, the pt was found having seizure activity, primarily on the right side with repetitive movements of right upper and lower extremities and drooling. She was taken to the hospital ER at 9:00AM and given lorazepam (Ativan), which stopped the seizures. She was admitted to the hospital for three days. The physician reported that lumbar puncture results were all negative and an EEG showed slowing consistent with postictal state. It was also reported that the pt recovered on an unspecified date. There was no product quality complaint involved. Additional information is not expected.
Age: 6.0
Sex: M
Vaccine: HEPA, TYP, YF
Symptoms: Dyspnoea, Throat tightness, Urticaria
Clinical narrative: Approximately 5:45 PM (on the way home), mother called health department saying her son had hives, throat tightening and difficulty breathing. Given directions to ER. 5/23/05 Spoke with mom. He was given Epi; observed for a few hours; sent home.
Age: 0.38
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Abnormal sleep-related event, Apnoea, Bronchitis
Clinical narrative: Mom reported to Emergency services that infant was sleeping in bed with her and when she awoke at 6:30AM on 5/21/05, infant was not breathing. Autopsy Report received stated patient experienced bronchitis.
Age: 0.5
Sex: F
Vaccine: HIBV
Symptoms: Bacterial infection, Cough, Fontanelle bulging, Laboratory test abnormal, Lethargy
Clinical narrative: Information has been received from the authors of a published literature article concerning a 6 month old female with gastroesophageal reflux and reactive airway disease and a history of frequent respiratory illnesses who on an unspecified date was vaccinated with her second dose of HIB conjugate vaccine. Concomitant therapy included ranitidine, fluticasone propionate, and albuterol. Subsequently, the patient developed cough and fever and was given amoxicillin/clavulanic acid and prednisolone. Three days later, she was hospitalized with chest radiograph confirmed pneumonia and fever to 38.9 degrees C and was treated with ceftriaxone. Blood cultures from admission and hospital day 2 grew H. influenzae type a, which was subsequently determined to be beta-lactamase-negative and sensitive to amoxicillin/clavulanic acid. She completed 6 days of ceftriaxone treatment, followed by 4 days of amoxicillin/clavulanic acid treatment, and returned to her baseline state of health. Four months later, the patient was again evaluated for cough and fever. Chest radiograph revealed bilateral upper lobe infiltrates. She was treated with oral clindamycin and albuterol. Three days later, she was hospitalized with cough, fever, poor oral intake, and non-bilious vomiting. She later became lethargic and developed a bulging fontanel. Cerebrospinal fluid analysis showed 9750 mm^3 white blood cells (with 68% segmented neutrophils and 32% lymphocytes), protein 248 mg/dL, and glucose <20mg/dL. She was treated with vancomycin, ceftriaxone, and dexamethasone. Cerebrospinal fluid cultures grew H. influenzae type a, and she was treated with ceftriaxone. After IV antibiotic treatment was started, her neurological status returned to normal in 2 days, and her fevers resolved in 6 days. She completed 10 days of ceftriaxone treatment and was well at the time of discharge. The patient was subsequently evaluated by a immunologist and found to have normal values of immunoglobulin (IgG), immunoglobulin A (IgA), immunoglobulin M (IgM), component C3 and C4, and a normal neutrophil oxidative burst test. No further information is available. A copy of the published literature article is attached as further documentation of the patient's experience.
Age: 0.5
Sex: F
Vaccine: HIBV
Symptoms: Meningitis, Oral intake reduced, Pneumonia, Pyrexia, Sepsis
Clinical narrative: Information has been received from the authors of a published literature article concerning a 6 month old female with gastroesophageal reflux and reactive airway disease and a history of frequent respiratory illnesses who on an unspecified date was vaccinated with her second dose of HIB conjugate vaccine. Concomitant therapy included ranitidine, fluticasone propionate, and albuterol. Subsequently, the patient developed cough and fever and was given amoxicillin/clavulanic acid and prednisolone. Three days later, she was hospitalized with chest radiograph confirmed pneumonia and fever to 38.9 degrees C and was treated with ceftriaxone. Blood cultures from admission and hospital day 2 grew H. influenzae type a, which was subsequently determined to be beta-lactamase-negative and sensitive to amoxicillin/clavulanic acid. She completed 6 days of ceftriaxone treatment, followed by 4 days of amoxicillin/clavulanic acid treatment, and returned to her baseline state of health. Four months later, the patient was again evaluated for cough and fever. Chest radiograph revealed bilateral upper lobe infiltrates. She was treated with oral clindamycin and albuterol. Three days later, she was hospitalized with cough, fever, poor oral intake, and non-bilious vomiting. She later became lethargic and developed a bulging fontanel. Cerebrospinal fluid analysis showed 9750 mm^3 white blood cells (with 68% segmented neutrophils and 32% lymphocytes), protein 248 mg/dL, and glucose <20mg/dL. She was treated with vancomycin, ceftriaxone, and dexamethasone. Cerebrospinal fluid cultures grew H. influenzae type a, and she was treated with ceftriaxone. After IV antibiotic treatment was started, her neurological status returned to normal in 2 days, and her fevers resolved in 6 days. She completed 10 days of ceftriaxone treatment and was well at the time of discharge. The patient was subsequently evaluated by a immunologist and found to have normal values of immunoglobulin (IgG), immunoglobulin A (IgA), immunoglobulin M (IgM), component C3 and C4, and a normal neutrophil oxidative burst test. No further information is available. A copy of the published literature article is attached as further documentation of the patient's experience.
Age: 0.5
Sex: F
Vaccine: HIBV
Symptoms: Viral infection, Vomiting, White blood cell disorder
Clinical narrative: Information has been received from the authors of a published literature article concerning a 6 month old female with gastroesophageal reflux and reactive airway disease and a history of frequent respiratory illnesses who on an unspecified date was vaccinated with her second dose of HIB conjugate vaccine. Concomitant therapy included ranitidine, fluticasone propionate, and albuterol. Subsequently, the patient developed cough and fever and was given amoxicillin/clavulanic acid and prednisolone. Three days later, she was hospitalized with chest radiograph confirmed pneumonia and fever to 38.9 degrees C and was treated with ceftriaxone. Blood cultures from admission and hospital day 2 grew H. influenzae type a, which was subsequently determined to be beta-lactamase-negative and sensitive to amoxicillin/clavulanic acid. She completed 6 days of ceftriaxone treatment, followed by 4 days of amoxicillin/clavulanic acid treatment, and returned to her baseline state of health. Four months later, the patient was again evaluated for cough and fever. Chest radiograph revealed bilateral upper lobe infiltrates. She was treated with oral clindamycin and albuterol. Three days later, she was hospitalized with cough, fever, poor oral intake, and non-bilious vomiting. She later became lethargic and developed a bulging fontanel. Cerebrospinal fluid analysis showed 9750 mm^3 white blood cells (with 68% segmented neutrophils and 32% lymphocytes), protein 248 mg/dL, and glucose <20mg/dL. She was treated with vancomycin, ceftriaxone, and dexamethasone. Cerebrospinal fluid cultures grew H. influenzae type a, and she was treated with ceftriaxone. After IV antibiotic treatment was started, her neurological status returned to normal in 2 days, and her fevers resolved in 6 days. She completed 10 days of ceftriaxone treatment and was well at the time of discharge. The patient was subsequently evaluated by a immunologist and found to have normal values of immunoglobulin (IgG), immunoglobulin A (IgA), immunoglobulin M (IgM), component C3 and C4, and a normal neutrophil oxidative burst test. No further information is available. A copy of the published literature article is attached as further documentation of the patient's experience.
Age: 0.7
Sex: M
Vaccine: HIBV
Symptoms: Arthritis bacterial, Bacterial infection, Hypokinesia, Pyrexia, Sepsis
Clinical narrative: Information has been received from the authors of a published literature article concerning an 8 month old male with a history of pyelonephritis who on an unspecified date was vaccinated with his second dose of HIB conjugate vaccine. There was no concomitant medication. Subsequently, he presented to the clinic with 1 day of fever to 39.4 degrees C and refusal to move his left leg. The patient was hospitalized. Ceftriaxone was given. Joint fluid cultures grew H. influenzae type A. Blood cultures were sterile. He became afebrile on day 2 of antibiotics and was well at the time of discharge. He completed 3 weeks of ceftriaxone treatment. Three months later, the patient was again evaluated because of fever to 41.1 degrees C, and refusal to use his left leg and left arm. Ceftriaxone and vancomycin were started. Blood and joint fluid from his elbow and hip grew H. influenzae type a. He became afebrile on day 5 of treatment. He completed 4 weeks of ceftriaxone therapy and recovered completely. No further information is available.
Age: 0.3
Sex: M
Vaccine: HIBV
Symptoms: Bacterial infection, Cough, Diarrhoea, Pneumonia, Pyrexia
Clinical narrative: Information has been received from the authors of a published literature article concerning a 4 month old male with a neuro-degenerative disease of unknown etiology who on an unspecified date was vaccinated with his first dose of HIB conjugate vaccine. There was no concomitant medication. Subsequently, the patient presented to the clinic with a 1 week history of cough and watery diarrhea and 1 day history of fever to 40 degrees C. Chest radiograph revealed bilateral pneumonia. The patient was hospitalized. He was treated with IV cefuroxime. Blood culture grew H. influenzae type a. The patient became afebrile after 2 days of antibiotic therapy and was discharged in his baseline state of health. The patient subsequently died of unspecified complications of his underlying neuro-degenerative disease. No further information is available. A copy of the published article is attached as further documentation of the patient's experience.
Age: 0.3
Sex: M
Vaccine: HIBV
Symptoms: Sepsis
Clinical narrative: Information has been received from the authors of a published literature article concerning a 4 month old male with a neuro-degenerative disease of unknown etiology who on an unspecified date was vaccinated with his first dose of HIB conjugate vaccine. There was no concomitant medication. Subsequently, the patient presented to the clinic with a 1 week history of cough and watery diarrhea and 1 day history of fever to 40 degrees C. Chest radiograph revealed bilateral pneumonia. The patient was hospitalized. He was treated with IV cefuroxime. Blood culture grew H. influenzae type a. The patient became afebrile after 2 days of antibiotic therapy and was discharged in his baseline state of health. The patient subsequently died of unspecified complications of his underlying neuro-degenerative disease. No further information is available. A copy of the published article is attached as further documentation of the patient's experience.
Age: 0.51
Sex: U
Vaccine: DTAP, FLU3, HBHEPB, PNC
Symptoms: Convulsion, Hypotonia, Postictal state, Stupor
Clinical narrative: Seizures (1st episode) around 18 hours after shots x4 with hypotonic/hyporesponsive episodes post-ictal. Hospitalized for 3 days with negative evaluation. On day of subsequent seizures one month later.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia, White blood cell count increased
Clinical narrative: Information regarding Prevnar was received from a healthcare professional regarding a 2 month old female patient who experienced elevated white blood cell count and fever of 103 degrees F. At 2 months of age, the patient received a dose in April 2005. The patient also received a dose of haemophilus influenzae type B conjugated vaccine and the first dose of Pediarix in April 2005. At the time of immunization, the patient had an upper respiratory tract infection but no fever. The indication for Prevnar was immunization. Product was administered in April 2005. The dose regimen was 1 dose 1 time per day. Concomitant medications were not reported. Within 24 hours of vaccine administration, the infant experienced an elevated white blood cell count of 36,000 and a fever of 103 degrees F. The child was hospitalized where a septic work up was negative. The fever resolved within 24 hours after the onset. No additional information was available at the time of this report.
Age: 3.0
Sex: M
Vaccine: DT, HEP, IPV, MMR, VARCEL
Symptoms: Chest pain, Coordination abnormal, Gait disturbance, Lung disorder, Movement disorder
Clinical narrative: Information has been received from an occupational therapist concerning an approx 3 year old male pt with no allergies and a history of neurological disorders noted at birth with low muscle tone, poor upper extremity movement, some seizure movement noted but an EEG was unclear, ocular flutter and jerking movements, who was vaccinated with varicella virus vaccine live. Other vaccine therapy included measles virus vaccine live  (Enders-Edmonston) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3), hep B virus vaccine rHBsAg (yeast) (manf unk), poliovirus vaccine and diphtheria toxoid (+) pertussis vaccine (unspecified) (+) tetanus toxoid. The reporter noted that since the previously reported neurological disorders as an infant, he has had frequent sinus infections with lung and chest congestion, ataxic gait with poor balance, poor tongue movement and pain in his hands. The reported mentioned that the pt did not walk until he was three years old. Recently (approx 2005) he was diagnosed with autosomal dominant movement disorder. He is now in kindergarten. The pt has been treated with physical and occupational therapies. The reporter also mentioned that the pt's mother has the same symptoms and diagnosis with similar body movements. It was noted that the reporter questioned "if symptoms are related to vaccinations received or lack of vaccinations that he should have received thus far. Unspecified lab tests were performed. There was no product quality complaint reported. The reporter considered the events to be other important medical events. Sinus infections, lung and chest congestion, ataxic gait, poor balance, poor tongue movement, pains in hands and Autosomal dominant movement disorder were considered to be disabling by the reporter. Additional information has been requested.
Age: 3.0
Sex: M
Vaccine: DT, HEP, IPV, MMR, VARCEL
Symptoms: Nasal congestion, Pain, Sinusitis, Tongue disorder
Clinical narrative: Information has been received from an occupational therapist concerning an approx 3 year old male pt with no allergies and a history of neurological disorders noted at birth with low muscle tone, poor upper extremity movement, some seizure movement noted but an EEG was unclear, ocular flutter and jerking movements, who was vaccinated with varicella virus vaccine live. Other vaccine therapy included measles virus vaccine live  (Enders-Edmonston) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3), hep B virus vaccine rHBsAg (yeast) (manf unk), poliovirus vaccine and diphtheria toxoid (+) pertussis vaccine (unspecified) (+) tetanus toxoid. The reporter noted that since the previously reported neurological disorders as an infant, he has had frequent sinus infections with lung and chest congestion, ataxic gait with poor balance, poor tongue movement and pain in his hands. The reported mentioned that the pt did not walk until he was three years old. Recently (approx 2005) he was diagnosed with autosomal dominant movement disorder. He is now in kindergarten. The pt has been treated with physical and occupational therapies. The reporter also mentioned that the pt's mother has the same symptoms and diagnosis with similar body movements. It was noted that the reporter questioned "if symptoms are related to vaccinations received or lack of vaccinations that he should have received thus far. Unspecified lab tests were performed. There was no product quality complaint reported. The reporter considered the events to be other important medical events. Sinus infections, lung and chest congestion, ataxic gait, poor balance, poor tongue movement, pains in hands and Autosomal dominant movement disorder were considered to be disabling by the reporter. Additional information has been requested.
Sex: F
Vaccine: VARCEL
Symptoms: Abortion, Unintended pregnancy
Clinical narrative: Information has been received through a pregnancy registry from a female with no pertinent medical history and no drug reactions/allergies who on 2/21/05 was vaccinated with a dose of varicella virus vaccine live, subsequently and learned that she was pregnant 2 weeks later. There were no concomitant medication. The patient indicated that she was not pregnant at the time of vaccination, because she had her period after vaccination. She indicated that she had since terminated the pregnancy. Unspecified medical attention was sought. No lab diagnostic studies were performed. There was no product quality complaint. No additional information is expected.
Age: 40.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Arthralgia, Hypoaesthesia, Joint swelling
Clinical narrative: Patient reports numbness in left hand started 2 days after vaccination followed then by joint swelling and pain for about 5 days. Then resolved. Patient did not access any PMD. She mentioned she had same response with flu shot she had this previous year and then mentioned a formaldehyde sensitivity.
Age: 1.08
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Skin ulcer, Viral infection
Clinical narrative: Multiple 50-60 chicken pox lesions on 5/31/05 examination.
Age: 1.18
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Skin ulcer, Viral infection
Clinical narrative: 10-15 chicken pox lesions on 5/31/05 examination.
Age: 0.28
Sex: F
Vaccine: DTAPHEPBIP, HIBV, MNQ
Symptoms: Medication error
Clinical narrative: None. Menactra was given in place of Prevnar. No symptoms or treatment to report.
Age: 2.0
Sex: M
Vaccine: VARCEL
Symptoms: Eye inflammation, Skin ulcer
Clinical narrative: Office visit 5/24/05. Lesions on face, chest, back. Lesion of left upper eyelid. Referred to ophthalmology.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site reaction
Clinical narrative: 3" circular area around injection site on right leg.
Age: 1.86
Sex: F
Vaccine: DTAP, PNC
Symptoms: Cyanosis, Musculoskeletal stiffness, Pyrexia
Clinical narrative: Early AM 05/27, had 3 minute episode of stiffening, turned blue. Came around without intervention. Was taken to ER; had CBC and blood culture. Had low grade fever; seemed to feel well when seen in the office 5/28/05.
Age: 5.0
Sex: F
Vaccine: DTAP, HEP, MMR
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Patient came into office 5/27/05, red, hot area at injection site. Area measures 11x9cm.
Age: 0.82
Sex: M
Vaccine: HIBV
Symptoms: Crying
Clinical narrative: Had roller coaster crying for 25-30 minutes nonstop about 1 hour after administration of HIB vaccine.
Age: 0.91
Sex: M
Vaccine: HEP, PNC
Symptoms: Decreased appetite, Insomnia, Irritability, Pyrexia, Rash
Clinical narrative: Had similar rash and discolored lip problem 8/04. Increased temp for 4 days; irritability for 4 days. Rash on arms, face, trunk, legs and lips with discoloration. Decreased appetite and decreased sleep for 4 days. All problems spontaneously resolved by 5/19/05.
Age: 0.91
Sex: M
Vaccine: HEP, PNC
Symptoms: Skin discolouration
Clinical narrative: Had similar rash and discolored lip problem 8/04. Increased temp for 4 days; irritability for 4 days. Rash on arms, face, trunk, legs and lips with discoloration. Decreased appetite and decreased sleep for 4 days. All problems spontaneously resolved by 5/19/05.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Rash, Urticaria
Clinical narrative: DTaP, IPV and MMR given on 4/25/05. Mom calls clinic AM of 4/29/05 and reports child has welt-like rash all over body. Not acting like himself since getting shots; no breathing difficulty, up and active. Now started Benadryl 3/4tsp but discharge and started Orapred 2cc today. Mom is MD.
Age: 54.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Pain, Urticaria
Clinical narrative: Hard and red right deltoid with 5 hive like bumps and bad body aches for 3 days.
Age: 1.01
Sex: F
Vaccine: MMR
Symptoms: Rash morbilliform
Clinical narrative: Measle like rash.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: 14.5cm redness, 30cm swelling right arm. Treated with Motrin and Benadryl.
Age: 48.0
Sex: F
Vaccine: SMALL
Symptoms: Skin ulcer, Vaccination complication
Clinical narrative: Member received vaccine on 5/9/05. On 5/18/05, patient started getting satellite lesions all over her body, face, neck, back, arms, scalp, and legs. Patient confirms she has been careful to keep the vaccine site covered at all times.
Age: 1.85
Sex: F
Vaccine: DTAPHEPBIP, HIBV, MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Rash and fever 10 days after MMR and varicella.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Injection site warmth, Swelling
Clinical narrative: Immunizations given 5/24/05. Erythema noticed 5/25/05. Brought to office 5/26 with erythema, swelling and warmth. Started on Augmentin to rule out cellulitis.
Age: 3.0
Sex: M
Vaccine: HEP, IPV, PNC
Symptoms: Cold sweat, Depressed level of consciousness, Respiratory rate increased, Staring
Clinical narrative: According to mom, child was cool, clammy and breathing quickly while asleep about 1-2 hours after immunizations. Difficult to arouse; staring blankly for 10-15 minutes. No seizure activity.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling and redness with mild pain in the location where DTaP shot was administered.
Age: 1.07
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: About 48 hours after receiving below two vaccines, daycare noted upper right arm was red. Ice applied and improved. My exam reveals very healthy one year old with about 3cm area of non-tender erythema with central induration upper right arm.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Developed redness and mild swelling in right deltoid region at about 1330 on 5/25/05 with no fever, but with mild itching. She was seen in clinic at 1630 that same day with area measuring 4.5 by 3.5cm with on tenderness, warmth, or flucture. Prescribed Benadryl and Ibuprofen; felt to be local reaction and not cellulitis. Area marked with instruction to call if progressing.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, IPV, MMR
Symptoms: Headache, Lethargy, Myalgia, Pyrexia, Vomiting
Clinical narrative: Fever, lethargy, vomiting, headache, myalgias.
Age: 0.7
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Left upper thigh red, warm from immunizations at 2 areas surrounded by redness around both areas.
Age: 1.05
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Received Varivax on 8/7/97 (at previous pediatrician's office). Diagnosed with chicken pox on 5/26/05.
Age: 0.37
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Medication error
Clinical narrative: None. Extra HIB vaccine given at today's visit.
Age: 20.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Had Td 5/31/2005. On 6/1/05 injection site began to swell, have warmth redness and pain that worsened  It is swollen from the top of the left shoulder to 4 inches above the elbow. Referred to pmd. Had only had 5 DTPs in the past , first Td.
Age: 1.36
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MMR
Symptoms: Rash erythematous
Clinical narrative: Had slightly raised red rash from neck down, covering most of body. Dad fist noticed when he awoke at 8am.
Age: 1.32
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: This vaccine was administered in the right thigh.  This area was red, warm, swollen. 1-2 days later.  Patient placed on Benadryl and Keflex.
Age: 31.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Swelling, pain at injection site. Low grade fever 99F.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Depressed level of consciousness, Hypotonia, Irritability, Pyrexia, Somnolence
Clinical narrative: Pt received Pediarix, Hib and Prevnar at 10:30 am. Atabout 2 pm was fussy with low grade temp to 100. Went to sleep at 11 pm. At about 2 am, mom tried to wake up the baby for his usual feeding and found him to be hyporesponsive and difficult to arouse. She picked him up and the baby was hypotonic. After about 15- 20 minutes of stimulation, she was able to arouse him enough to take the feeding. At 6 am he was still very drowsy. Was seen by me at 11 am on 6/02/05 in the clinic at which time he was his normal self.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Stupor
Clinical narrative: Pt received Pediarix, Hib and Prevnar at 10:30 am. Atabout 2 pm was fussy with low grade temp to 100. Went to sleep at 11 pm. At about 2 am, mom tried to wake up the baby for his usual feeding and found him to be hyporesponsive and difficult to arouse. She picked him up and the baby was hypotonic. After about 15- 20 minutes of stimulation, she was able to arouse him enough to take the feeding. At 6 am he was still very drowsy. Was seen by me at 11 am on 6/02/05 in the clinic at which time he was his normal self.
Age: 79.0
Sex: M
Vaccine: TD
Symptoms: Dysphagia, Hypokinesia, Injury, Muscle spasms, Neck pain
Clinical narrative: Received injection - 4 or 5 days later developed neck spasms, difficulty holding head up, difficulty swallowing, pain on both sides of the neck, worsens as the day progresses. Received vaccine on 2/23/05 due to a dog scratch that occurred on 2/20/05 the scratch caused a 4" cut on left arm of patient.
Age: 60.0
Sex: F
Vaccine: MMR
Symptoms: Rash
Clinical narrative: Patient reported "mosquito bite-like rash on arms (unsure if rash was on other parts of body)" that was moderately "itchy" that started "a few days after the injection" and lasted for 7-10 days.  Patient denies any shortness of breath, fever, or any other systemic reactions.
Age: 48.0
Sex: F
Vaccine: TD
Symptoms: Pruritus, Throat tightness
Clinical narrative: Itching of scalp, fullness sensation to back of throat immediately after Td vaccine. Benadryl 50mg IM 11:35 AM 6/2/05. Adrenaline 0.02ml SC 6/2/05 12:05. Vital signs stable.
Age: 0.35
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema, Injection site induration, Injection site nodule
Clinical narrative: Right anterior thigh 18mmx12mm oval area of erythema and induration. 40mmx38mm nodule underlying the area of erythema.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Shoulder pain
Clinical narrative: Swelling, redness, warmth and pain left shoulder began 1 hour after injections; persisted until 3/27/05.
Age: 3.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Left arm redness, pain, warmth, swelling, and induration for 24 hours after vaccines.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Erythema induratum, Oedema peripheral, Skin warm
Clinical narrative: Pt with bilateral upper arm edema induration, erythema and warmth after pre K vaccines, approximately 2 hours , lasting 3 days R  and 4-5 for L,
Age: 36.0
Sex: M
Vaccine: PPV
Symptoms: Shoulder pain
Clinical narrative: Moderate right shoulder pain.
Age: 4.0
Sex: U
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site induration, Oedema peripheral, Tenderness
Clinical narrative: Swelling to right thigh= R leg hard and tender to the touch. PR RX for Atarax syrup 1 tsp TID, Hydrocortisone cream 2.5% BID and cool compresses.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Left deltoid / biceps ; erythema, hot, painful and indurated 3" x 4" .
Age: 36.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site oedema, Injection site pain, Injection site vesicles
Clinical narrative: Administered on 06/01/2005. On 06/03/05- Pt complained of pain and swelling. Noted erythema and SM vesicles approximately 5x5cm . Localized reaction.
Age: 4.0
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying, Screaming
Clinical narrative: Cried > 4 hours, resolved spontaneously.
Age: 5.0
Sex: F
Vaccine: DT, MMR, VARCEL
Symptoms: Drug ineffective, Rash vesicular, Viral infection
Clinical narrative: 05/20/2005- Presented in office with rash on face and wrist. DX: with varicella (post vaccine)
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Injection site hypersensitivity, Injection site warmth, Oedema peripheral, Pain
Clinical narrative: Left arm swollen, red, hot to touch, with pain. Prelone 15mg/5 ml 2.5 PO BID x 3 days. Alternate Tylenol and Motrin . Augmentin ES # QS x7days 1 1/2 tsp PO BID to return in 1 day.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Injection site hypersensitivity, Urticaria
Clinical narrative: 1x2cm  urticaria reaction to thighs from MMR and Varicella 5-10 minutes after administration. Vistaril administered to pt IM and sx resolved.
Age: 26.0
Sex: F
Vaccine: MMR
Symptoms: Urinary tract infection
Clinical narrative: Initial and follow up information has been received from a registered nurse and a completed questionnaire concerning a 26 year old caucasian female with a history of 1 pregnancy and 1 live birth, who on 09/15/2003 was vaccinated with a dose of measles virus vaccine live, mumps virus vaccine live, rubella virus vaccine live.  There was no concomitant medication.  On 10/23/2003 the patient underwent an ultrasound, which revealed that the patient was 8 weeks 3 days gestation.  The ultrasound was reported as appropriate fetal growth and the fetal heartbeat was within normal limits.  In follow-up, the questionnaire reported that the patient was placed on pre-natal vitamin therapy.  During pregnancy the patient developed a urinary tract infection, which was treated with amoxicillin.  The outcome of the urinary tract infection was not reported.  The patient underwent unspecified diagnostic tests during pregnancy, which revealed normal results.  On 05/29/2004, at 40 weeks from patient's last menstrual period, the patient delivered a normal live, female infant.  The infant weighed 7 lbs and 3 oz.  No further information is expected.
Age: 5.0
Sex: F
Vaccine: DPP, IPV, MMR
Symptoms: Injection site mass
Clinical narrative: Information has been received from a registered nurse concerning a 5 year old female patient with no history and no allergies who on 04/02/2004 was vaccinated with a dose of measles virus vaccine live, mumps virus vaccine live, rubella virus vaccine live.  Concomitant therapy included tuberculin purified protein derivative, diphtheria toxoid pertussis vaccine, tetanus toxoid and poliovirus vaccine.  The nurse reported that the child received the measles virus vaccine live, mumps virus vaccine live, rubella virus vaccine live intradermally.  The child was very thin and the nurse reported that she thought it was being given subcutaneously.  A small bubble appeared under the skin after administration and then resolved.  Medical attention was not sought.  Follow up information received from someone at the physician's office noted that the physician stated that what they were seeing was because the patient was so skinny and that the vaccine was not administered intradermal.  The patient was fine and the method of administration was correct.  Additional information is not expected.
Age: 48.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Hypoaesthesia, Joint stiffness, Rash
Clinical narrative: Information has been received from a registered nurse concerning a 47 year old white female with no known allergies or illness at the time of vaccination who at 8:15 on 03/19/2004 was vaccinated subcutaneously in the left deltoid with a dose of measles virus vaccine live, mumps virus vaccine live, rubella virus vaccine live.  Subsequently, the patient experienced joint pain and stiffness in the same arm she had been vaccinated.  Additional information received indicated that the patient notified the employee health services that on 04/04/2004, approximately 2 weeks after receiving measles virus vaccine live, mumps virus vaccine live, rubella virus vaccine live, the patient had numbness in her wrist, fingers, and thumb.  She complained of joints being sore.  She also reported that she had a rash following vaccination, but the rash had gone away.  It was reported that the joint, numbness, and pain persisted.  No additional information is expected.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Information has been received from a RN concerning a 5 yr old white male pt with no illness at the time of vaccination who on 29Mar04 at about 2:30PM was vaccinated SC in the left arm with a second dose of measles virus vaccine live  (Moraten) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3) (lot 646707/0815N). Follow up information indicated that secondary suspect therapy included vaccination on 29Mar04 in the right deltoid with a fifth dose of diphtheria toxoid (+) pertussis vaccine (unspecified) (+) tetanus toxoid (Tripedia) (lot C1625AA). Concomitant therapy included vaccination on 29Mar04 in the right arm with a fourth dose of poliovirus vaccine inactivated (IPOL) (lot X0316). On 31Mar04 at 4:30PM the pt experienced swelling and some color (redness to pink) seven inches down the right arm including elbow and below. No other symptoms were noted by mother. Follow up information from someone at the physician's office reported that the injection was DTaP not MMR and he was fine within 2 days. No further information is available.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Hypersensitivity, Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: Information has been received from a physician's assistant concerning a 5 yr old male with asthma and no known allergies who on 31Mar04 was vaccinated with a dose measles virus vaccine live  (Moraten) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3), SC admin in the left arm (lot 646579/0958N). Secondary suspect therapy included a dose of diphtheria toxoid (+) pertussis vaccine (unspecified) (+) tetanus toxoid and a dose of poliovirus vaccine, both administered on 31Mar04 on the left arm. Concomitant therapy included albuterol. On 02Apr04 the pt was seen in the doctor's office with redness, itching and swelling of the left upper arm. The physician's assistant noted that there was a 10cm diameter of erythema, induration, and warmth with no tenderness and no discharge. The injection sites were along the periphery of the redness. The physician's assistant stated that it appeared to be a hypersensitivity reaction. The pt was treated with diphenhydramine hydrochloride (Benadryl) and cool compresses. The pt has no prior history of adverse reactions to any previous immunizations including the vaccines he received on 31Mar04. At the time of this report, the outcome of the events was unk. Additional information has been requested. Additional information has been requested.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pruritus
Clinical narrative: Information has been received from a physician's assistant concerning a 5 yr old male with asthma and no known allergies who on 31Mar04 was vaccinated with a dose measles virus vaccine live  (Moraten) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3), SC admin in the left arm (lot 646579/0958N). Secondary suspect therapy included a dose of diphtheria toxoid (+) pertussis vaccine (unspecified) (+) tetanus toxoid and a dose of poliovirus vaccine, both administered on 31Mar04 on the left arm. Concomitant therapy included albuterol. On 02Apr04 the pt was seen in the doctor's office with redness, itching and swelling of the left upper arm. The physician's assistant noted that there was a 10cm diameter of erythema, induration, and warmth with no tenderness and no discharge. The injection sites were along the periphery of the redness. The physician's assistant stated that it appeared to be a hypersensitivity reaction. The pt was treated with diphenhydramine hydrochloride (Benadryl) and cool compresses. The pt has no prior history of adverse reactions to any previous immunizations including the vaccines he received on 31Mar04. At the time of this report, the outcome of the events was unk. Additional information has been requested. Additional information has been requested.
Sex: F
Vaccine: MMR
Symptoms: Drug ineffective
Clinical narrative: Information has been received from a physician concerning a college age female pt who was vaccinated SC with a dose of measles virus vaccine live  (Moraten) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3) (lot not reported). Subsequently the pt was tested and had a negative titer for mumps. The physician reported that the pt had the appropriate doses of measles virus vaccine live  (Moraten) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3) as a child. Unspecified medical attention was sought. The physician reported that he would be re-vaccinating the pt. Additional information has been requested.
Age: 4.0
Sex: M
Vaccine: MMR
Symptoms: Injection site inflammation
Clinical narrative: Information has been received from a physician concerning a 4 yr old white male who on 01Mar04 was vaccinated SC with a second dose of measles virus vaccine live  (Moraten) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3)  (lot 645911/0613N). On 08Mar04 the pt experienced local inflammation at injection site. There were no diagnostic lab tests performed. Subsequently, the pt recovered. No further information is available.