chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Abdominal pain upper, Decreased appetite, Eye movement disorder, Hypokinesia, Hypotonia
Clinical narrative: Approximately 10 minutes post vax, mother brought child back into clinic area and stated that child was talking, holding onto her arm when she went "limp, eyes rolled back" and she hit her head on pavement. She was not moving. Pt immediately placed on exam table and immediately began crying, was alert and talking. Her color was pink and she was noted to have a slight scrape on right knee. There were no bumps or abrasions noted on head. Parents instructed to phone MD re: incident. At 5:15 PM, pt walked out without problems. Phone call at 6:30 PM revealed mother took pt to MD as she became "pale" on ride home. Nothing was found. Pt did have emesis but was playing without problems. Phone call on 8/17/01 revealed pt had decreased appetite, was complaining of stomach ache but was playing at child care with some fussiness.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injury, Irritability, Pallor, Vomiting
Clinical narrative: Approximately 10 minutes post vax, mother brought child back into clinic area and stated that child was talking, holding onto her arm when she went "limp, eyes rolled back" and she hit her head on pavement. She was not moving. Pt immediately placed on exam table and immediately began crying, was alert and talking. Her color was pink and she was noted to have a slight scrape on right knee. There were no bumps or abrasions noted on head. Parents instructed to phone MD re: incident. At 5:15 PM, pt walked out without problems. Phone call at 6:30 PM revealed mother took pt to MD as she became "pale" on ride home. Nothing was found. Pt did have emesis but was playing without problems. Phone call on 8/17/01 revealed pt had decreased appetite, was complaining of stomach ache but was playing at child care with some fussiness.
Age: 14.0
Sex: F
Vaccine: HEP, TD
Symptoms: Hallucination, Pyrexia
Clinical narrative: Four hours post vax, pt developed a fever of 102 and hallucinations.
Age: 2.0
Sex: F
Vaccine: DTAP, HEP, IPV
Symptoms: Cellulitis, Injection site discolouration, Injection site erythema, Injection site swelling
Clinical narrative: Pt developed a 3 cm round, red circle at site of Hepatitis B. The reaction site was edematous and blanched. Pt was treated with Benadryl, 3/4 tsp q6h. Consider cellulitis per MD.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Pt developed several chicken pox that lasted less than 10 days. She had less than 25 pox. Paternal grandfather had shingles, and pt was exposed during incubation.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt developed passive swelling of the left triceps, 13.0cm vertically and diameter from 15.4-18.0cm with mild erythema. No pain or bother to the child. On 8/21/01, pt fully recovered, per mom.
Age: 7.0
Sex: M
Vaccine: HEPA
Symptoms: Pallor, Syncope
Clinical narrative: A 7 year old received the 1st dose of Hep-A vaccine and 5 minutes later, while in the waiting room, he suddenly fainted. Blood pressure was normal. He was pale. He saw the blood coming on the PPD test site, 1 minute before fainting.
Age: 4.0
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Called office with complaint of rash that sounded like chickenpox. No fever or sickness; course of chickenpox described and told caller to call back if any complications.
Age: 1.3
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Pt developed erythema and induration at right upper arm below DTAP vaccination point. Range of motion (+).
Sex: M
Vaccine: HEP
Symptoms: Cyanosis, Respiratory disorder
Clinical narrative: Newborn boy received Hep-B vaccine at 15:20 on 8/1/01. Fifteen minutes later, the RN noticed the baby was cyanotic and not breathing. The baby was stimulated and O2 via face mask was given and baby turned pink. Baby was transferred to NICU and discharged on 8/2/01.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash papular
Clinical narrative: Pt's father reports that for 2 days, the pt had eruption of papules on trunk, extremities and face (some weeping with fluid). Treated with calamine lotion and Aveeno bath and Tylenol if has a fever.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Eye movement disorder, Nausea, Syncope vasovagal
Clinical narrative: Mom states, while walking to exit, pt fell to ground, face fluctuated, eyes rolled back for a few seconds and then awoke and stood up and stated she felt nauseous. Questionable seizure; probably vasovagal episode.
Age: 4.0
Sex: F
Vaccine: IPV, PNC
Symptoms: Erythema, Pain, Skin ulcer
Clinical narrative: 50mm diameter lesion, with tenderness and erythema, noted after shots given and getting larger.
Age: 1.7
Sex: M
Vaccine: DTAP, HBHEPB, PNC, VARCEL
Symptoms: Convulsion, Crying, Pyrexia
Clinical narrative: Pt developed fever, prolonged crying and brief (about 2 minutes) of generalized seizure.
Age: 21.0
Sex: M
Vaccine: YF
Symptoms: Pruritus, Urticaria
Clinical narrative: Onset of itchy hives 1 hour after yellow fever vaccine given. Pt had also just worked out. No SOB, dysphagia or wheezing. Responded well to Benadryl 25 po.
Age: 63.0
Sex: F
Vaccine: YF, YF
Symptoms: Rash
Clinical narrative: Pt developed a rash beginning 2 days, post vax. Started on face and arms and progressed to trunk area and legs. Pt saw her PMD and he gave her an "antihistamine".
Age: 63.0
Sex: F
Vaccine: YF, YF
Symptoms: Erythema, Rash maculo-papular
Clinical narrative: Pt developed a rash beginning 2 days, post vax. Started on face and arms and progressed to trunk area and legs. Pt saw her PMD and he gave her an "antihistamine".
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia
Clinical narrative: Pt developed a fever to over 104F without localizing signs. Fever lasted x 4 days.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt developed red and swollen arm area of approx. 6"-8". Treatment: monitor for increased swelling, temperature, etc.
Age: 26.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Headache, Lymphadenopathy, Neck pain
Clinical narrative: Pt developed swollen lymph nodes in neck, headache, pain in neck and aches in joints of ankles and knees.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Irritability, Pyrexia
Clinical narrative: Pt developed a fever X 48 hours, post vax, along with being irritable.
Age: 34.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Arthralgia, Chest discomfort, Dizziness, Headache, Pain
Clinical narrative: Pt received vaccine on 6/28/01. Symptoms started that evening and peaked on 6/30/01 and 7/01/01. Complained of temperature 103F, chills, arthralgias, myalgia, chest and light-headed. Treated by personal physician with Rocephin and steroids. Returned to work, symptoms abated on 7/2/01.
Age: 34.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Pyrexia
Clinical narrative: Pt received vaccine on 6/28/01. Symptoms started that evening and peaked on 6/30/01 and 7/01/01. Complained of temperature 103F, chills, arthralgias, myalgia, chest and light-headed. Treated by personal physician with Rocephin and steroids. Returned to work, symptoms abated on 7/2/01.
Age: 34.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Arthralgia, Chest pain, Dizziness, Myalgia, Pyrexia
Clinical narrative: Pt received vaccine on 6/28/01. Symptoms started that evening and peaked on 6/30/01 and 7/01/01. Complained of temperature 103F, chills, arthralgias, myalgia, chest and light-headed. Treated by personal physician with Rocephin and steroids. Returned to work, symptoms abated on 7/2/01.
Age: 1.4
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Sudden infant death syndrome
Clinical narrative: A pediatrician reported that a 17 month old female received injections of Prevnar, MMR, and varicella vaccines on 10/18/2000. She was noted to be a healthy child with no past history of illness and no pre-exititng illness at this time of vaccination. The child was found dead in her crib on 10/26/2000. Sudden Infant Death Syndrome was reported. An autopsy was reported to be negative. NOTE: this report of a serious, labeled event (SIDS) is being submitted in a 15 day time frame as requested by the FDA.
Age: 1.65
Sex: F
Vaccine: DTAP, IPV, PNC, VARCEL
Symptoms: Difficulty in walking, Histrionic personality disorder
Clinical narrative: The pt cannot walk properly; she is very unsteady on her feet. While on prednisolone, does make progress. If dose is reduced, walking gets worse or she stops walking. She got very insecure and frightened and scared.  Diagnosed with transverse myelitis.
Age: 12.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Constipation, Difficulty in walking, Dyspepsia, Ecchymosis, Fatigue
Clinical narrative: Recovering from a stroke he suffered 3 months ago. Post vax, the pt woke up the next morning with his right arm weak and right leg completely numb. The right side was affected by the stroke. Complained of stomach ache after eating 2 bites of a hamburger last night and stomach still hurts today, 11/29/99. Saw a psychiatrist and was put of Paxil. Also seen by a psychologist about 1 week ago and bumped head on right and made a complaint of left sided weakness. Seen in ER and CT Scan was nml. He still feels tired and bruising more on Plavix with nausea. Scattered ecchymosis in various stages of healing over arm and legs. Dx'd with mild epigastric pain and gastritis and probable constipation. Senokot prescribed X 1-2 days. Has been walking with a cane but had not needed it after rehabilitation until the morning of 11/3/99 because of weakness and numbness in left side. Right arm has purpura and less strength than usual same as stroke. Dx'd with possible TIA. Hospitalized for more tests. Had a fainting spell at school on 12/1/99 and was out for about 20 seconds. He was complaining of a headache and dizziness for 1 hour after the episode. He has increased bruises per dad but he is on blood thinners and aspirin. Called dad on 12/4/99 at 12:00, to check on pt per doctor's request and no more fainting or constipation in several days; seems to be doing ok per dad.
Age: 12.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Gastritis, Headache, Hemiparesis, Hypoaesthesia, Nausea
Clinical narrative: Recovering from a stroke he suffered 3 months ago. Post vax, the pt woke up the next morning with his right arm weak and right leg completely numb. The right side was affected by the stroke. Complained of stomach ache after eating 2 bites of a hamburger last night and stomach still hurts today, 11/29/99. Saw a psychiatrist and was put of Paxil. Also seen by a psychologist about 1 week ago and bumped head on right and made a complaint of left sided weakness. Seen in ER and CT Scan was nml. He still feels tired and bruising more on Plavix with nausea. Scattered ecchymosis in various stages of healing over arm and legs. Dx'd with mild epigastric pain and gastritis and probable constipation. Senokot prescribed X 1-2 days. Has been walking with a cane but had not needed it after rehabilitation until the morning of 11/3/99 because of weakness and numbness in left side. Right arm has purpura and less strength than usual same as stroke. Dx'd with possible TIA. Hospitalized for more tests. Had a fainting spell at school on 12/1/99 and was out for about 20 seconds. He was complaining of a headache and dizziness for 1 hour after the episode. He has increased bruises per dad but he is on blood thinners and aspirin. Called dad on 12/4/99 at 12:00, to check on pt per doctor's request and no more fainting or constipation in several days; seems to be doing ok per dad.
Age: 12.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Syncope, Transient ischaemic attack
Clinical narrative: Recovering from a stroke he suffered 3 months ago. Post vax, the pt woke up the next morning with his right arm weak and right leg completely numb. The right side was affected by the stroke. Complained of stomach ache after eating 2 bites of a hamburger last night and stomach still hurts today, 11/29/99. Saw a psychiatrist and was put of Paxil. Also seen by a psychologist about 1 week ago and bumped head on right and made a complaint of left sided weakness. Seen in ER and CT Scan was nml. He still feels tired and bruising more on Plavix with nausea. Scattered ecchymosis in various stages of healing over arm and legs. Dx'd with mild epigastric pain and gastritis and probable constipation. Senokot prescribed X 1-2 days. Has been walking with a cane but had not needed it after rehabilitation until the morning of 11/3/99 because of weakness and numbness in left side. Right arm has purpura and less strength than usual same as stroke. Dx'd with possible TIA. Hospitalized for more tests. Had a fainting spell at school on 12/1/99 and was out for about 20 seconds. He was complaining of a headache and dizziness for 1 hour after the episode. He has increased bruises per dad but he is on blood thinners and aspirin. Called dad on 12/4/99 at 12:00, to check on pt per doctor's request and no more fainting or constipation in several days; seems to be doing ok per dad.
Age: 20.0
Sex: M
Vaccine: YF
Symptoms: Chest discomfort, Erythema, Eye oedema
Clinical narrative: Slight chest tightness, redness and swelling around the eyes, at 08:45, 0.5ml EPI 1:1000 given.
Age: 1.4
Sex: M
Vaccine: PNC
Symptoms: Convulsion
Clinical narrative: Onset of apparent seizure disorder on 7/19/01. Doc 207958 states no further seizures but still on anticonvulsants.
Age: 1.08
Sex: F
Vaccine: DTAP, HBHEPB, MMR, PNC, VARCEL
Symptoms: Convulsion
Clinical narrative: Pt had a seizure lasting around 45 minutes. taken to ER by ambulance. Given Tylenol, Ativan, Rocephin, and Vancomycin.
Age: 3.0
Sex: F
Vaccine: PNC
Symptoms: Henoch-Schonlein purpura
Clinical narrative: Dr diagnosed client with Henoch Schonlein Pupura after immunization. No treatment.
Age: 1.0
Sex: F
Vaccine: HEP, MMR, PNC, VARCEL, HEP, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash morbilliform
Clinical narrative: This patient was seen on 08/02/01 for a well child visit. Vaccinations given MMR, Varivax, Prevnar, and Hep B # 3. 10 days later this patient developed a fever and a morbilliform rash on her face and upper arm.
Age: 27.0
Sex: F
Vaccine: FLU3, HEP
Symptoms: Discomfort, Pruritus, Restlessness, Urticaria, Wheezing
Clinical narrative: At 1:35 pm on 11/17/00, this patient arrived to the health dept complaining of hives and itching of the upper torso. Symptoms progressed. The itching intensified, restless. Complains of throat discomfort. Wheezing noted. The patient was transported to the ER via rescue unit. She received Epinephrine, Benadryl, breathing treatment, and Prednisone.
Age: 4.0
Sex: F
Vaccine: HEPA, PNC
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: This patient had swelling and redness involving 2/3 of the right arm (site of injection).
Age: 1.7
Sex: M
Vaccine: PNC
Symptoms: Injection site erythema, Injection site mass, Injection site rash
Clinical narrative: On 06/20/01: Prevnar (pneumococcal) vaccine administered on the right deltoid, a red mass developed at the site of the injection. On 06/21/01: red "ball" mass continued at the site of injection. On 06/22/01: red small rash developed at the site of the injection. Denies any other symptoms.
Age: 4.0
Sex: F
Vaccine: PNC
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Tenderness
Clinical narrative: This patient developed 11 1/2 x 9 1/2 cm area of redness, tenderness and mild induration at the site of vaccination on the right thigh. The patient complains of some pain but no difficulties walking. Seen 06/20/01. Treatment: Zyrtec, Zithromax (for possible cellulitis), ice.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Listless, Pyrexia, Screaming, Staring
Clinical narrative: Pt developed screaming starting shortly post vax until 10 PM. He would settle down for a few minutes a couple of times. He developed fever to 101 all evening. The next day, he wanted mother to hold him. He was very listless and and "eyes glassy."
Age: 0.75
Sex: F
Vaccine: IPV, PNC
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: This infant had left leg erythema 3 cm, 2 cm induration. No treatment.
Age: 1.0
Sex: M
Vaccine: PNC
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Approximately 10 cm red patch on the left thigh at the injection site, 1.2 cm hard knot .
Age: 43.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Back pain, Discomfort, Headache, Myalgia
Clinical narrative: 5/20/01 pt developed discomfort of left anterior thigh. 5/26/01 pt developed headache, fever, myalgias, arthralgias, upper back and leg pain. on 6/12/01, systemic symptoms had resolved but pt still had left leg pain.
Age: 43.0
Sex: M
Vaccine: LYME
Symptoms: Pyrexia
Clinical narrative: 5/20/01 pt developed discomfort of left anterior thigh. 5/26/01 pt developed headache, fever, myalgias, arthralgias, upper back and leg pain. on 6/12/01, systemic symptoms had resolved but pt still had left leg pain.
Age: 1.2
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Laboratory test abnormal, Petechiae, Pyrexia, Viral infection
Clinical narrative: This infant had a fever greater than or equal to 102 for 5-6 days with petechial type rash. Phone consult with Peds ID specialist suggested probable viral infection rather than vaccine related.
Age: 0.5
Sex: M
Vaccine: DTAP, PNC
Symptoms: Rash papular, Urticaria
Clinical narrative: Pt developed wheal around Prevnar site and then developed papular rash all over body. He had no GI or respiratory symptoms.
Age: 3.0
Sex: F
Vaccine: HEP, HEPA, PNC, VARCEL
Symptoms: Rash
Clinical narrative: This child had a fine rash on her arm , face, back, and neck the next day following immunizations.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Apnoea, Petechiae, Urticaria
Clinical narrative: Petechial rash throughout body, mother saw wheals that quickly resolved. One episode of apnea (she was having these before).
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site reaction, Urticaria
Clinical narrative: Received varivax vaccine on 8/7/01 in the office. A few minutes, post vax, a hive developed near the injection site. Ice pack applied and 1/2 tsp Benadryl given. Waited in office for 30 minutes with no further adverse reactions noted.
Age: 59.0
Sex: F
Vaccine: HEP
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Asthenia, Blood alkaline phosphatase increased, Blood glucose increased
Clinical narrative: On 8/4/01, pt had lack of energy; on 8/5/01, she went for a hike and thinks she got dehydrated so she drank water; later afternoon she had a fever of 102F and took aspirin and felt much better by 20:00. On 8/6/01, she felt good; got hepatitis B #3 vaccine in the morning; on 8/7/01, pt had a headache in the evening, rather strong so she took ibuprofen. She also had profuse sweating from head/neck/chest area at night. On 8/8/01, she had strong headache in the evening and woke up with a strong headache at 03:00 so she took ibuprofen and Tylenol and still had profuse sweating from head/neck/chest area at night. On 8/9/01, still with same symptoms so on 8/10/01 she saw MD in Infectious Diseases in the afternoon and he ordered a battery of tests, blood work and a CT of head. On 8/11/01, had a very mild headache at midday so took Advil. On 8/12/01, felt ok; on 8/13/01, felt ok and had blood work done which showed Alkaline phosphatase, AST and ALT were very high. On 8/14/01, she felt ok but a rash had appeared on her abdomen on either side of the midline and the area was about 2 X 4, they were eruption, not blisters, slowly disappeared over the next 3 days and by 8/17/01, they were gone; rash was not itchy. On 8/15/01, no other symptoms. On 8/22/01, saw MD and CT test returned as normal; he ordered an abdominal sonogram to make sure gallbladder, liver and pancreas are OK; sonogram scheduled for 8/28/01; he ordered liver function enzymes to be redone and I will redo that on 8/27/01.
Age: 59.0
Sex: F
Vaccine: HEP
Symptoms: Headache, Hyperhidrosis, Laboratory test abnormal, Rash
Clinical narrative: On 8/4/01, pt had lack of energy; on 8/5/01, she went for a hike and thinks she got dehydrated so she drank water; later afternoon she had a fever of 102F and took aspirin and felt much better by 20:00. On 8/6/01, she felt good; got hepatitis B #3 vaccine in the morning; on 8/7/01, pt had a headache in the evening, rather strong so she took ibuprofen. She also had profuse sweating from head/neck/chest area at night. On 8/8/01, she had strong headache in the evening and woke up with a strong headache at 03:00 so she took ibuprofen and Tylenol and still had profuse sweating from head/neck/chest area at night. On 8/9/01, still with same symptoms so on 8/10/01 she saw MD in Infectious Diseases in the afternoon and he ordered a battery of tests, blood work and a CT of head. On 8/11/01, had a very mild headache at midday so took Advil. On 8/12/01, felt ok; on 8/13/01, felt ok and had blood work done which showed Alkaline phosphatase, AST and ALT were very high. On 8/14/01, she felt ok but a rash had appeared on her abdomen on either side of the midline and the area was about 2 X 4, they were eruption, not blisters, slowly disappeared over the next 3 days and by 8/17/01, they were gone; rash was not itchy. On 8/15/01, no other symptoms. On 8/22/01, saw MD and CT test returned as normal; he ordered an abdominal sonogram to make sure gallbladder, liver and pancreas are OK; sonogram scheduled for 8/28/01; he ordered liver function enzymes to be redone and I will redo that on 8/27/01.
Age: 33.0
Sex: F
Vaccine: MMR
Symptoms: Balance disorder, Dizziness, Dyspnoea, Headache, Heart rate increased
Clinical narrative: This patient had an injection at 2:00 PM on 08/29/2001. She felt funny all afternoon, off balance. She went back to bed, awoke a 3:00 AM having difficulty breathing. Glands, throat all swollen. Tingly fingers and toes. No fever. Stiff neck, headache, queasy stomach, heart beating fast, sore throat when she swallows (hard to swollow), also feels spacey and dizzy.
Age: 33.0
Sex: F
Vaccine: MMR
Symptoms: Lymphadenopathy, Musculoskeletal stiffness, Nausea, Odynophagia, Pharyngeal oedema
Clinical narrative: This patient had an injection at 2:00 PM on 08/29/2001. She felt funny all afternoon, off balance. She went back to bed, awoke a 3:00 AM having difficulty breathing. Glands, throat all swollen. Tingly fingers and toes. No fever. Stiff neck, headache, queasy stomach, heart beating fast, sore throat when she swallows (hard to swollow), also feels spacey and dizzy.
Age: 33.0
Sex: F
Vaccine: MMR
Symptoms: Pharyngolaryngeal pain
Clinical narrative: This patient had an injection at 2:00 PM on 08/29/2001. She felt funny all afternoon, off balance. She went back to bed, awoke a 3:00 AM having difficulty breathing. Glands, throat all swollen. Tingly fingers and toes. No fever. Stiff neck, headache, queasy stomach, heart beating fast, sore throat when she swallows (hard to swollow), also feels spacey and dizzy.
Age: 1.5
Sex: M
Vaccine: DTAP
Symptoms: Injection site pain, Injection site swelling, Pruritus
Clinical narrative: Extreme swelling and pain in left arm to fingers and slight swelling in neck on same side. Also, complained of itching in area. Treated with cold compresses and Claritin.
Age: 51.0
Sex: M
Vaccine: TTOX
Symptoms: Pain, Shoulder pain
Clinical narrative: This donor previously took Tetanus injections February 2001 and experienced a "deep throbbing pain" bilaterally in arms and shoulders. Did not associate this occurence with injection. He began to have same signs and symptoms after the injections on 06/25/01. The patient states that pain would alternate b/w arms lasting at 15 minutes. Pain is ongoing.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Face oedema, Rash erythematous
Clinical narrative: This infant had a diffuse homogenous erythematous rash on her trunk and face, with swelling of her nasal bridge and mouth as per her father. It occurred one hour post immunization. She was seen in the ER and treated with Prelone.
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Pyrexia
Clinical narrative: This infant had a fever of 102-103 for three days following immunization. On 08/24/01 still 101.
Age: 47.0
Sex: F
Vaccine: RAB
Symptoms: Urticaria
Clinical narrative: Urticaria of torso. Treated with Benadryl 50mg po Tid.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Crying, Injection site erythema, Injection site induration
Clinical narrative: Post vax, the pt's left extremity turned red and hard from his thigh down to his toes. Pt cried loudly for 30 minutes. Benadryl was given and the pt recovered within 30 minutes.
Age: 39.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Arm swollen (left) and red after tetanus shot; 43mm X 41mm (red, hot and swollen).
Age: 4.0
Sex: M
Vaccine: IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Urticaria
Clinical narrative: At 11:25 gave MMR in this child's right arm sq and IPV in his left arm sq. Approximately  2-5 minutes later the child had 2-3 mm hive like welts 1 cm above the injection site. Over the next 2 minutes the welts joined and became approximately 1 cm raised red area. Redness 5 cm around injection site. No hives anywhere else, no respiratory distress, Benadryl given. Patient was observed for 20 minutes. Discharged. Advised to return if SOB, wheezing, more hives or redness lasting longer than 1-3 days.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Urticaria
Clinical narrative: Pt developed diffuse urticaria. No wheezing or retraction. Treated with Epi along with 2 tsp Benadryl and within 30 minutes, urticaria was decreased.
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Agitation, Pyrexia
Clinical narrative: On 6/25/01, within 12 hours, post vax, the pt developed a fever of 102F and incessant and inconsolable crying for  30-45 minutes.
Age: 1.5
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: This infant had 0.8 cm x 5 cm irregular, slightly raised erythematous area on his left thigh. A- local reaction, B- observe.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site warmth, Oedema peripheral
Clinical narrative: This child's left arm was swollen, and hot to touch at the injection site. Diagnosed with cellulitis. The patient was prescribed Keflex.
Age: 25.0
Sex: F
Vaccine: TTOX
Symptoms: Syncope
Clinical narrative: This client felt faint with in 15 minutes of receiving TT, had to lye down. Ambulance phoned and monitored client.
Age: 18.0
Sex: F
Vaccine: MMR
Symptoms: Dizziness, Face oedema, Feeling hot, Flushing, Nausea
Clinical narrative: On 07/05/01, this patient's mother reports the patient was experiencing, dizziness, nausea, skin flushed, and warm to touch. This began the next day 07/04/01 after MMR was taken. On 07/09/01, this mother reports the child was seen in the ER on Saturday 07/07/01 with swollen lips, areas of the throat and mouth swollen, and rash on her arms. The ER gave her steroids and Benadryl.
Age: 18.0
Sex: F
Vaccine: MMR
Symptoms: Pharyngeal oedema, Rash
Clinical narrative: On 07/05/01, this patient's mother reports the patient was experiencing, dizziness, nausea, skin flushed, and warm to touch. This began the next day 07/04/01 after MMR was taken. On 07/09/01, this mother reports the child was seen in the ER on Saturday 07/07/01 with swollen lips, areas of the throat and mouth swollen, and rash on her arms. The ER gave her steroids and Benadryl.
Age: 0.08
Sex: F
Vaccine: HEP
Symptoms: Irritability, Screaming
Clinical narrative: Pt developed severe irritability with non-stop crying for 24 hours.
Age: 9.0
Sex: F
Vaccine: HEP
Symptoms: Pharyngolaryngeal pain, Rash
Clinical narrative: Pt developed a rash, located on trunk, thighs and waist. No hives. Complained of a sore throat, no respiratory distress instructed to take over-the-counter Benadryl. Follow-up scheduled for 7/30/01.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Pt developed vesicular lesions on arms and torso.
Age: 4.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR, VARCEL
Symptoms: Erythema, Pyrexia, Urticaria
Clinical narrative: On 7/24/01, pt developed a fever. On 7/25/01, his cheeks were bright red with welts. On 7/25/01 and 7/26/01, the rash was over entire body; worse on legs and feels rough. It was lighter on back and chest. The child told mom he was sunburned which was not possible per mom. When sleeping on 7/26/01 AM, his cheeks were not red. When up and about, his cheeks would get very red again. Had a low-grade fever for about 1 week, post vax, which lasted a couple of days and was fine until he had a fever again on 7/24/01.
Age: 4.0
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Right upper arm was swollen, red and hot. Girth of right upper arm was twice the size of the left upper arm. No tenderness on 7/20/01. Rechecked on 7/23/01 and all of the above symptoms were resolved.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site induration, Injection site pain
Clinical narrative: Pt developed induration on right deltoid with a 3x5 area of tenderness.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Ear pain, Neck pain, Pyrexia, Swelling, Wheezing
Clinical narrative: Pt developed swelling of right jaw, pain in right ear and neck, wheezing and fever. She denies any rash.
Age: 42.0
Sex: M
Vaccine: HEP
Symptoms: Pyrexia, Urticaria
Clinical narrative: Pt developed hives to entire body and a mild fever. He used Benadryl x 3 days.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Hypersensitivity, Pruritus, Rash erythematous, Respiratory disorder, Urticaria
Clinical narrative: At 5:50 PM on day of receiving vax, pt's mother called office stating pt was having an allergic reaction. He had a red rash all over body, was very itchy, and was "breathing noisey." At 6 PM pt arrived in office alert/oriented with generalized urticaria and diffuse, mild wheezing. He was given Zyrtec 10mg po and Xopenex 0.63% via nebulizer. His chest cleared and rash was fading. He was sent home with Xopenex tid and Benadryl 25mg q6h 2 24 hrs.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Wheezing
Clinical narrative: At 5:50 PM on day of receiving vax, pt's mother called office stating pt was having an allergic reaction. He had a red rash all over body, was very itchy, and was "breathing noisey." At 6 PM pt arrived in office alert/oriented with generalized urticaria and diffuse, mild wheezing. He was given Zyrtec 10mg po and Xopenex 0.63% via nebulizer. His chest cleared and rash was fading. He was sent home with Xopenex tid and Benadryl 25mg q6h 2 24 hrs.
Age: 23.0
Sex: M
Vaccine: HEP
Symptoms: Chest pain, Dizziness
Clinical narrative: Pt complained of being lightheaded and chest felt heavy.
Age: 54.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Fatigue, Hypoaesthesia, Injection site haemorrhage, Joint swelling
Clinical narrative: Pt complained of fatigue, left arm numbness and tingling, muscle aches, arthralgia, joint swelling and 1 cm superficial ecchymosis on upper left deltoid at injection site. Pt was seen by MD on 8/2/00.
Age: 54.0
Sex: F
Vaccine: HEP
Symptoms: Myalgia
Clinical narrative: Pt complained of fatigue, left arm numbness and tingling, muscle aches, arthralgia, joint swelling and 1 cm superficial ecchymosis on upper left deltoid at injection site. Pt was seen by MD on 8/2/00.
Age: 5.0
Sex: M
Vaccine: MMR
Symptoms: Anaphylactic reaction, Swelling, Urticaria
Clinical narrative: Pt developed anaphylaxis, swelling and hives. He improved with subcutaneous epinephrine.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Infection, Rash
Clinical narrative: Pt presented to MD office on 7/31/01 with a rash but no fever. He was positively diagnosed by MD with chicken pox.
Age: 1.08
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Pt recvd Varivax 7/11/96 and broke out with a mild varicella rash mid May 2001.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Injection site erythema
Clinical narrative: Pt developed a local erythematous, urticarial rash 5 days post vax which persisted for another 5 days. He was treated with antihistamines.
Age: 5.0
Sex: F
Vaccine: MMR, MMR, MMR
Symptoms: Brain oedema, Headache, Hernia, Lethargy, Pyrexia
Clinical narrative: On 8/12/01, pt had a headache; on 8/14/01 pt had a headache and a fever; on 8/15/01, the pt was lethargic; on 08/17/01, pt had herniation and on 8/18/01; life support removed. Death certificate states cause of death to be cerebral edema due to viral illness.
Age: 5.0
Sex: F
Vaccine: MMR, MMR, MMR
Symptoms: Viral infection
Clinical narrative: On 8/12/01, pt had a headache; on 8/14/01 pt had a headache and a fever; on 8/15/01, the pt was lethargic; on 08/17/01, pt had herniation and on 8/18/01; life support removed. Death certificate states cause of death to be cerebral edema due to viral illness.
Age: 5.0
Sex: F
Vaccine: MMR, MMR, MMR
Symptoms: Headache, Hernia, Lethargy, Pyrexia
Clinical narrative: On 8/12/01, pt had a headache; on 8/14/01 pt had a headache and a fever; on 8/15/01, the pt was lethargic; on 08/17/01, pt had herniation and on 8/18/01; life support removed. Death certificate states cause of death to be cerebral edema due to viral illness.
Age: 5.0
Sex: F
Vaccine: MMR, MMR, MMR
Symptoms: Unevaluable event
Clinical narrative: On 8/12/01, pt had a headache; on 8/14/01 pt had a headache and a fever; on 8/15/01, the pt was lethargic; on 08/17/01, pt had herniation and on 8/18/01; life support removed. Death certificate states cause of death to be cerebral edema due to viral illness.
Age: 44.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia
Clinical narrative: Employee states that on the day of her varivax #3 administration, later that day, she did not feel weak but describes hot/cold and fever of 101.2F.
Age: 0.6
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, MMR
Symptoms: Asthma, Cyanosis, Rales
Clinical narrative: This infant's mother stated that on 08/15/01 at 4 PM this child had a severe asthmatic reaction, turned blue, retractions and rales. Taken to the ER 9 PM at the hospital until Wednesday afternoon.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Convulsion
Clinical narrative: This child had a seizure in the afternoon, paramedics were called. Arrest- stabilized and transported to CMH. EEG, Spinal Tap with CNS done, MRI completed on 08/16/2001. No diagnosis yet. Child still hospitalized.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Loss of consciousness, Pyrexia, Somnolence
Clinical narrative: One day after vaccine, it was reported the pt had loss of consciousness, then was sleepy for about 10 minutes. Temperature was 99.2 AX. No color change. No seizure activity. Was in very hot house without air conditioning and then event occurred. Recovered without treatment. Was seen in ER after event and then the MD'S office.
Age: 7.0
Sex: F
Vaccine: DTAP, HBPV, HEP, PNC
Symptoms: Coma, Drooling, Sleep disorder
Clinical narrative: Seemed out of it for a little while, drooling out side of mother , then fell asleep, per mother
Age: 55.0
Sex: F
Vaccine: LYME
Symptoms: Arthritis, Asthenia, Laboratory test abnormal, Nausea, Pain
Clinical narrative: I had a reaction the the third injection. Soon after my first 2 injections of Lymerix I started having leg and joint pain. I now have arthritic pain all over my body. I cannot carry or lift anything of weight. There are days I need to help to get out of bed. I need MS Contin for pain. I will never be able to work again. I have vision problems and nausea and weakness. The annual follow up states "I am still the same-MD put me on Prednisone which has helped. Without Prednisone and MSContin-Cr, I cannot handle the pain and to move my body without these medications.
Age: 55.0
Sex: F
Vaccine: LYME
Symptoms: Visual disturbance
Clinical narrative: I had a reaction the the third injection. Soon after my first 2 injections of Lymerix I started having leg and joint pain. I now have arthritic pain all over my body. I cannot carry or lift anything of weight. There are days I need to help to get out of bed. I need MS Contin for pain. I will never be able to work again. I have vision problems and nausea and weakness. The annual follow up states "I am still the same-MD put me on Prednisone which has helped. Without Prednisone and MSContin-Cr, I cannot handle the pain and to move my body without these medications.
Age: 1.5
Sex: F
Vaccine: PNC
Symptoms: Pyrexia, Swelling
Clinical narrative: Fever X 72 Hrs > 102 F at vaccine site -> 4-5 cm area of enthema, L thigh swelling, limp - lasting 12 hrs X lmp . 72 hrs
Age: 0.7
Sex: M
Vaccine: PNC
Symptoms: Difficulty in walking, Injection site erythema, Injection site mass, Injection site swelling, Pyrexia
Clinical narrative: where prevnar immunization given, area got very swolledn, red - larger than quater size, fever 100.3.  could hardly walk, swelling slasing going down- redness gone but small lump still in area of thigh, baby still has lump on thigh and doctor does not think its important to see baby. baby is still having trouble walking
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Dysphagia, Dyspnoea, Erythema, Feeling hot
Clinical narrative: Pt was found in the bed red in the face and did not seem herself. She seemed to be short of breath and unable to swallow. Was brought to ER where blood sugar and blood gases were found to be normal and was warm to touch. Temperature was 98.3 by ear. Was sent to Morgantown for a  EEG on 08/31/2001.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Infection, Pyrexia
Clinical narrative: Received Dtap, Ipv, Hib, Prevnar 8-29-01 Developed fever to 103.6 R w/in 24 hrs some irritablility
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: On 8/9/01, approx. 10:30, mother brought child to the district to look at his left arm. Arm was edematous and slightly reddened, warm to touch inferior to injection sites. Pt was referred to MD and mom transported child at that time and to treat as recommended by MD.
Age: 11.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Rash papular
Clinical narrative: Vaccinated with Hep-A and B on 8/13/01. The pt woke up with rash, the day after vaccination. It was a small papular rash over the body. Referred to own MD. No other symptoms.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Mother of child, states that a couple of hours, post vax, site of injection turned red. It continued to enlarge in size. Today it is approx. 6" in diameter, hot to touch and very hard. Child complaining of pain upon touch. Called for missing info on 8/17/01 and again on 8/24/01.
Age: 1.0
Sex: F
Vaccine: IPV, MMR, VARCEL
Symptoms: Blister, Pyrexia, Rash
Clinical narrative: One week after receiving vaccines, this infant had 2 blisters, the 2nd week after the patient broke out all over. She had a temp of 101, that responded to Tylenol. The doctor also diagnosed with impetigo. Gave Cephalaxin and Bactroban cream.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt reacted with swollen and red left arm the next day. No fever. Came into office and was looked at. No medications.
Age: 2.0
Sex: M
Vaccine: DTAP, HBHEPB
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site warmth
Clinical narrative: Post vax, that evening, the pt developed a small red and hard area. On 8/26/01, redness was approx. 2" X 3", warm and tender. Parent treated with ice and Motrin. On 8/27/01, reports that redness is gone and only the hard knot remains. No fever and no fussiness.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site inflammation
Clinical narrative: On right thigh, site is inflammed and redness of 17cm diameter and induration of 12cm diameter at site of DTAP, immediately onset less than 24 hours, post vax. At 72 hours, post vax, it is resolving.
Age: 1.75
Sex: F
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Pt developed a 10 x 6 cm area of erythema and induration on right thigh and a 4 x 2 area of erythema and induration on left thigh.
Age: 2.0
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Pt had swelling and red area on right arm.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt developed an 8 cm area of erythema, swelling and tenderness on left deltoid region.
Age: 42.0
Sex: F
Vaccine: RAB
Symptoms: Eyelid oedema, Pyrexia, Urticaria
Clinical narrative: Pt c/o developing temp of 104, hives on scalp and puffy eyelids within 3 hours of receiving vax.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt had a local reaction consisting of redness and swelling on right leg 4-5".
Age: 43.0
Sex: F
Vaccine: MMR
Symptoms: Anorexia, Asthenia, Diarrhoea, Influenza like illness, Nausea
Clinical narrative: The first day pt had flu-like symptoms, body aches, diarrhea, and vomiting. The second day she felt better yet weak. The third day she had a fever of 102, body aches, nausea, hands had tingly feeling. On the fourth day, nausea persisted, she had loss of appetite and weakness. On the fifth day, bouts of nausea were lessening, she had intermittent diarrhea but not as bad as the first day. As of 8/16/01, she was slightly nauseated.
Age: 43.0
Sex: F
Vaccine: MMR
Symptoms: Pain, Paraesthesia, Pyrexia, Vomiting
Clinical narrative: The first day pt had flu-like symptoms, body aches, diarrhea, and vomiting. The second day she felt better yet weak. The third day she had a fever of 102, body aches, nausea, hands had tingly feeling. On the fourth day, nausea persisted, she had loss of appetite and weakness. On the fifth day, bouts of nausea were lessening, she had intermittent diarrhea but not as bad as the first day. As of 8/16/01, she was slightly nauseated.
Age: 1.25
Sex: M
Vaccine: DTAP, HBHEPB
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: At site of Comvax, pt developed redness, induration and warmth measuring 23mm x 12mm.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: Pt developed swelling, erythema and mild tenderness over 3 days. He was treated with Benadryl.
Age: 1.6
Sex: M
Vaccine: DTAP, HEP, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt developed some swelling and redness on upper thigh area (4.5cm). He was treated with ice. Call back to mother on 8/24/01 revealed pt doing fine.
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Vomiting
Clinical narrative: Pt's mother stated pt threw up approximately 12 hrs post vax. She had no further problems.
Age: 47.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pruritus, Swelling
Clinical narrative: Pt noted itching and swelling on 8/22/01. She used ice since vax on 8/21/01. Left upper arm was very swollen (twice the size of other upper arm), red and warm from top of shoulder to elbow laterally.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Twenty four hours post vax, pt developed swelling and erythema measuring 11 x 7.8 cm. At 36 hours, the swelling and erythema had increased to 20 x 11 cm. She was treated with oral diphenhydramine.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Bone disorder, Contusion, Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: A female reported that she was re-immunized with Pnu-Imune 23 on 09/05/00. Later that evening, she developed an injection site reaction characterized by redness, warmth, and swelling that extended from her shoulder to her elbow. She also experienced pain at the site that extended to her fingers. She was seen by the physician and treated with Prednisone. As of 09/09/00, her arm was yellow and itchy but the pain had resolved. The reporter indicated that she never had a major reaction to an immunization in the past. Additional info received from the physician on 03/28/01 indicated that the patient is a 74 year  old female with a history of pain in her neck, shoulders, and upper arms. The injection site reaction is diminishing on a tapering dose of Prednisone. The physician also indicated that the patient experienced a dramatic improvement in the pain in her neck, shoulders, and upper arms. The physician believes the patient may have been experiencing an element of polymyalgia rheumatica.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Laboratory test abnormal, Neck pain, Shoulder pain
Clinical narrative: A female reported that she was re-immunized with Pnu-Imune 23 on 09/05/00. Later that evening, she developed an injection site reaction characterized by redness, warmth, and swelling that extended from her shoulder to her elbow. She also experienced pain at the site that extended to her fingers. She was seen by the physician and treated with Prednisone. As of 09/09/00, her arm was yellow and itchy but the pain had resolved. The reporter indicated that she never had a major reaction to an immunization in the past. Additional info received from the physician on 03/28/01 indicated that the patient is a 74 year  old female with a history of pain in her neck, shoulders, and upper arms. The injection site reaction is diminishing on a tapering dose of Prednisone. The physician also indicated that the patient experienced a dramatic improvement in the pain in her neck, shoulders, and upper arms. The physician believes the patient may have been experiencing an element of polymyalgia rheumatica.
Age: 78.0
Sex: M
Vaccine: PPV
Symptoms: Arthralgia, Chills, Fatigue, Headache, Injection site erythema
Clinical narrative: A nurse reported that a 78 year old male received an injection of Pnu-Imune 23 on 09/11/00. Six hours post-immunization, he developed an injection site reaction characterized by warmth, and swelling. Thirty hours post-immunization, he developed a fever of 103 degrees, chills, fatigue, headache, joint pain, and 2 lesions on his back; one 5 cm and the other one 3 cm. The injection site was red, hot and elevated over an area 11 cm by 12 cm.  Additional info received from the reporter on 11/09/00 indicated that the patient recovered.
Age: 78.0
Sex: M
Vaccine: PPV
Symptoms: Injection site oedema, Injection site swelling, Injection site warmth, Pyrexia, Skin ulcer
Clinical narrative: A nurse reported that a 78 year old male received an injection of Pnu-Imune 23 on 09/11/00. Six hours post-immunization, he developed an injection site reaction characterized by warmth, and swelling. Thirty hours post-immunization, he developed a fever of 103 degrees, chills, fatigue, headache, joint pain, and 2 lesions on his back; one 5 cm and the other one 3 cm. The injection site was red, hot and elevated over an area 11 cm by 12 cm.  Additional info received from the reporter on 11/09/00 indicated that the patient recovered.
Age: 2.0
Sex: F
Vaccine: PPV
Symptoms: Unevaluable event
Clinical narrative: A nurse reported that a 24 month old child received an injection of Pnu-Imune 23 on 10/30/00. Subsequently,the patient developed a local reaction which the reporter did not describe. No further info was available at the date of this report. This is 1 of 3 patients from this facility who experienced this event following receipt of Pnu-Imune 23 lot 466-440. Follow-up info received from the physician on 03/27/01, indicated that the patient was a 28 month old female. She was seen in the ER and recovered.