chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.3
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Pharyngitis, Purpura, Vasculitis
Clinical narrative: Henoch-schonlein purpura palpable purpura on lower extremities, vasculitis on face. The hospital discharge summary states pharyngitis.
Age: 29.0
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Injection site oedema, Pain
Clinical narrative: Severe pain, moderate edema, warmth left upper arm at shot site. Pain treated with Tylenol 3, Percocet, Prednisone 50 mg for 5 days.
Age: 1.08
Sex: F
Vaccine: MMR, PNC, VARCEL, PNC, VARCEL
Symptoms: Feeling hot, Injection site erythema, Injection site induration
Clinical narrative: Area on left thigh, red, warm to touch, hard.
Age: 1.08
Sex: F
Vaccine: MMR, PNC, VARCEL, PNC, VARCEL
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: Area on left thigh, red, warm to touch, hard.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Erythema and swelling around site 48 hours after injection. Seen in a local ER. Put on Keflex. F/U in office.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Pruritus, Rash
Clinical narrative: MMR, Varicella and Comvax given 9/12/03. C/o itchy rash on 9/14/03. Came as walk in to clinic on 9/16/04 and seen. Dx with allergic rash. No respiratory problem noted. Had appt to RTC on 9/17/03, did not return.
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Convulsion
Clinical narrative: Brief (20 seconds) generalized seizure at 18 hours after vaccination. No treatment.
Age: 4.0
Sex: U
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 10 x 9 cm erythema and induratino right anterior thigh.
Age: 0.17
Sex: F
Vaccine: DTAP, DTAPHEPBIP, HIBV
Symptoms: Medication error
Clinical narrative: Child given 2 DTaP's.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Redness, swollen immunization area.
Age: 15.0
Sex: F
Vaccine: HEP, TD
Symptoms: Dyspnoea, Feeling hot, Hot flush, Hypersensitivity, Pruritus
Clinical narrative: Child says about 1&1/2 hours after taking immunization that she started itching within 2 hours she was broke out in hives & had trouble breathing.  Went to ER via ambulance, was given meds in ER Medical record states flushed, warm. msv
Age: 15.0
Sex: F
Vaccine: HEP, TD
Symptoms: Urticaria
Clinical narrative: Child says about 1&1/2 hours after taking immunization that she started itching within 2 hours she was broke out in hives & had trouble breathing.  Went to ER via ambulance, was given meds in ER Medical record states flushed, warm. msv
Age: 16.0
Sex: F
Vaccine: TD
Symptoms: Anxiety, Back pain, Dyspnoea, Neck pain, Pyrexia
Clinical narrative: Patient received Td vaccine appoximately 3:30 - 3:45pm 09-23-03 @ health department site without incident. Mother described event as follows: Patient took (1) Ibuprofen at work apporximately 4pm (09-23-03)to help decrease possibility of fever and/or pain.  Repeated dose at 8pm.  Arrived home from work approximately 10:30pm with compaints of neck & back hurting and tempature of 103 F.  Took (2)Ibuprofen apprpoximately midnight.  Did not sleep that night.  Approximately 7:30am Wednesday (09-24-03) "could barely lift head from pillow" and was "having difficulty breathing" and took 2 more Ibuprofen.   Family physician,  was contacted.  He instructed mother to alternate Tyleno & Ibuprofen every 3 hours and to start Claritin and to contact him at 4pm if she was not improved. Dr.  told mother he felt the difficulty breathing was "due to anxiety."   09-25-03 mother reported to health department that pt was not improved that evening and they had taken her to Emergency Room at a local hospital where "blood & urine tests and spinal tap" were done.  Family was told by doctor that she was "allergic to tetanus and her days of having tentanus shots were over."  Prednisone dose pack was prescribed. 09-026-03  I spoke with father today by telephone and he stated pt was much improved and they were getting ready to "go out of town for the week-end" Father did not know if she had taken the prednisone dose pak.  Will attempt to contact mother again on 09-29-03.
Age: 37.0
Sex: F
Vaccine: ANTH
Symptoms: Dizziness, Fatigue, Headache, Injection site erythema, Injection site swelling
Clinical narrative: Patient received her 3rd series on 24 July 2003.  She experienced swelling at the site along with small red spots (3-5mm) with in erythematic site.  The patient also experienced itching, rashes, migraine like headaches, fatigue, fever and dizziness. Symptoms with her second shot included swelling, redness, low-grade fever and headache.
Age: 37.0
Sex: F
Vaccine: ANTH
Symptoms: Migraine, Pruritus, Pyrexia, Rash
Clinical narrative: Patient received her 3rd series on 24 July 2003.  She experienced swelling at the site along with small red spots (3-5mm) with in erythematic site.  The patient also experienced itching, rashes, migraine like headaches, fatigue, fever and dizziness. Symptoms with her second shot included swelling, redness, low-grade fever and headache.
Age: 2.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Oedema peripheral
Clinical narrative: Swelling of the right thigh from groin to above knee
Age: 32.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Dyspnoea
Clinical narrative: Pt's vaccine was administered at approx 9am.  Pt returned to the office at 11:35am c/o feeling "light headed, dizzy, and that her capacity to breath is diminishing".  Injection site was checked.  No swelling, redness, or warmth to touch was noted.  Pt was advised to go to PMH ED for further evaluation of symptoms.
Age: 1.0
Sex: M
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Rash, Rash papular
Clinical narrative: MOTHER NOTICED RASH ALL OVER BODY THIS MORNING. SEEN IN CLINIC BY PROVIDER THIS MORNING AND PAPULES WITH ERUPTIONS NOTED ON TRUNK, SCALP AND ALL EXTREMITIES. NO FEVER NOTED. NO TREATMENT. PARENT WAS REASSURED BY PROVIDER.
Age: 15.0
Sex: M
Vaccine: HEP, HEPA, TD, VARCEL
Symptoms: Pruritus, Rash macular, Rash pruritic
Clinical narrative: Pt. recieved Varicella Vaccination 09/09/03. Returned to clinic 09/25/03 with Puritic macular rash covering scalp,chest,back, arms and hands. Described as "itchy". Onset 09/22/03.
Age: 2.0
Sex: M
Vaccine: MMR
Symptoms: Crying, Difficulty in walking, Fall, Irritability, Joint range of motion decreased
Clinical narrative: Child awoke on morning of 9/13/03 @ 8:00 am, crying as if in pain, lying on right side, not moving.  When asked where he hurt, he put his hands to his neck.  Patient continued to cry for a couple of hours, expressing he wanted to get out of bed, but he would not when encouraged by parent.  He was unable to turn his head in either direction or lift himself up to sitting position.  Parent stood him on feet to see if he could bear weight, which he did, but when he began walking, fell to ground in pain and cried harder.  When asked again where he hurt, he put his hands to neck and also jaw area. Parent took child to doctor at 11:30 am same morning.  Child continued to cry from pain, however, able to move his head in either direction and walked in patient room for doctor.  Patient was given 100 mg Advil for pain at 12:30 pm.  Child became less irritable; however continued to exhibit a "stiff neck" for rest of day and 48 hours thereafter.  Unable to turn head to right or too look up.  Symptoms were no longer observed after 9/16/03.
Age: 2.0
Sex: M
Vaccine: MMR
Symptoms: Musculoskeletal stiffness, Neck pain
Clinical narrative: Child awoke on morning of 9/13/03 @ 8:00 am, crying as if in pain, lying on right side, not moving.  When asked where he hurt, he put his hands to his neck.  Patient continued to cry for a couple of hours, expressing he wanted to get out of bed, but he would not when encouraged by parent.  He was unable to turn his head in either direction or lift himself up to sitting position.  Parent stood him on feet to see if he could bear weight, which he did, but when he began walking, fell to ground in pain and cried harder.  When asked again where he hurt, he put his hands to neck and also jaw area. Parent took child to doctor at 11:30 am same morning.  Child continued to cry from pain, however, able to move his head in either direction and walked in patient room for doctor.  Patient was given 100 mg Advil for pain at 12:30 pm.  Child became less irritable; however continued to exhibit a "stiff neck" for rest of day and 48 hours thereafter.  Unable to turn head to right or too look up.  Symptoms were no longer observed after 9/16/03.
Age: 0.2
Sex: F
Vaccine: DTAPH, HEP, IPV
Symptoms: Anorexia, Somnolence
Clinical narrative: sleepiness lack of apetite
Age: 1.2
Sex: F
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Coma, Convulsion, Muscle twitching, Pyrexia, Tremor
Clinical narrative: Mom states approx. 7 hrs. after receiving shots, her daughter started having seizures.  Mom states her daughter suddenly started twitching and shaking.  She was staring out the window and did not respond to her name.  Mom called 911 and child was transported to hospital.  Mom states temp @ hosp was 104.2 and they told mom that the child had been seizing for an hour.  They put child on a heart monitor, IVs and oxygen.  Tylenol and Motrin were adm.
Age: 16.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Headache, Retinal haemorrhage, Retinopathy, Visual disturbance
Clinical narrative: Headache-back of head; subsided in a few visual problems in right eye (line obscuring vision). Flashing light; subsided in 72 hours.  Retinal bleeding on eye exam 03/21/2003.  No longer evident 04/18/2003.
Age: 16.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Headache, Visual disturbance
Clinical narrative: Headache-back of head; subsided in a few visual problems in right eye (line obscuring vision). Flashing light; subsided in 72 hours.  Retinal bleeding on eye exam 03/21/2003.  No longer evident 04/18/2003.
Age: 0.2
Sex: F
Vaccine: DTAP
Symptoms: Anorexia, Diarrhoea, Hypokinesia
Clinical narrative: This report described the occurrence of failure to thrive in a female patient who received diphtheria and tetanus toxoids and acellular pertussis vaccine absorbed for prophylaxis. This report was received from the patient's mother and has not been verified by a physician or other healthcare professional. The patient's mother submitted a report directly to VAERS. The patient's medical history reportedly included a seizure following receipt of hepatitis B vaccine at 2 weeks of age. The mother stated that the neurologist explained the child was okay and the patient received a second dose of hepatitis B at a later time with no side effects. Other medical history, concurrent conditions, and concurrent medications were not reported. The patient received the first dose of Infanrix on 8/28/02. The mother stated that, two or three days post-immunization, the patient developed diarrhea. The diarrhea resolved after an unspecified period of time. The mother reported that the patient also experienced failure to thrive and decreased motor skills. The mother suspected that the vaccines the patient received contributed to the failure to thrive and decreased motor skills. She stated that the patient had been evaluated by several physicians, who would not provide any additional information as they do not feel this has anything to do with the vaccines given. However, the mother decided to stop all vaccinations at 4 months of age. The failure to thrive and decreased motor skills persisted as of 9/12/03. The failure to thrive and decreased motor skills in this report were considered to be medically serious (OMIC).
Age: 1.5
Sex: M
Vaccine: DTAP, IPV, DTAP, IPV, DTAP, IPV
Symptoms: Erythema multiforme, Pruritus, Pyrexia, Rash maculo-papular, Serum sickness
Clinical narrative: This report was received from a physician and described the occurrence of erythema multiforme in an 18 month old male patient who received diphtheria and tetanus toxoids and acellular pertussis vaccine absorbed for prophylaxis. The patient had no known allergies, no concurrent medications, and no adverse experiences following receipt of the first three doses of diphtheria and tetanus toxoids and enhanced pertussis vaccine. The patient was described by the physician as otherwise healthy. The patient received Infanrix on 9/13/03 for the fourth dose in the immunization series. On 9/17/03, four days post immunization, the patient developed a fever of less than 100 degrees F, an itchy maculopapular rash that was confluent on the thigh where Infanrix had been administered, and a lot of other urticarial, target-like lesions on the whole body. The target-like lesions ranged in size from greater than 3mm to 1.5 inches in diameter. The patient was seen by the physician, who made a diagnosis of typical erythema multiforme. She also stated that his whole set of symptoms were like a serum sickness type reaction. The physician prescribed diphenhydramine which helps with the itchy rash. The patient continued to have a fever and to get new lesions as of 9/18/03. Erythema multiforme is considered to be medically serious (OMIC). Annual follow-up report from GlaxoSmithKline (October 1,2004 to October 21, 2004).
Age: 1.5
Sex: M
Vaccine: DTAP, IPV, DTAP, IPV, DTAP, IPV
Symptoms: Skin ulcer
Clinical narrative: This report was received from a physician and described the occurrence of erythema multiforme in an 18 month old male patient who received diphtheria and tetanus toxoids and acellular pertussis vaccine absorbed for prophylaxis. The patient had no known allergies, no concurrent medications, and no adverse experiences following receipt of the first three doses of diphtheria and tetanus toxoids and enhanced pertussis vaccine. The patient was described by the physician as otherwise healthy. The patient received Infanrix on 9/13/03 for the fourth dose in the immunization series. On 9/17/03, four days post immunization, the patient developed a fever of less than 100 degrees F, an itchy maculopapular rash that was confluent on the thigh where Infanrix had been administered, and a lot of other urticarial, target-like lesions on the whole body. The target-like lesions ranged in size from greater than 3mm to 1.5 inches in diameter. The patient was seen by the physician, who made a diagnosis of typical erythema multiforme. She also stated that his whole set of symptoms were like a serum sickness type reaction. The physician prescribed diphenhydramine which helps with the itchy rash. The patient continued to have a fever and to get new lesions as of 9/18/03. Erythema multiforme is considered to be medically serious (OMIC). Annual follow-up report from GlaxoSmithKline (October 1,2004 to October 21, 2004).
Age: 1.5
Sex: M
Vaccine: DTAP, IPV, DTAP, IPV, DTAP, IPV
Symptoms: Urticaria
Clinical narrative: This report was received from a physician and described the occurrence of erythema multiforme in an 18 month old male patient who received diphtheria and tetanus toxoids and acellular pertussis vaccine absorbed for prophylaxis. The patient had no known allergies, no concurrent medications, and no adverse experiences following receipt of the first three doses of diphtheria and tetanus toxoids and enhanced pertussis vaccine. The patient was described by the physician as otherwise healthy. The patient received Infanrix on 9/13/03 for the fourth dose in the immunization series. On 9/17/03, four days post immunization, the patient developed a fever of less than 100 degrees F, an itchy maculopapular rash that was confluent on the thigh where Infanrix had been administered, and a lot of other urticarial, target-like lesions on the whole body. The target-like lesions ranged in size from greater than 3mm to 1.5 inches in diameter. The patient was seen by the physician, who made a diagnosis of typical erythema multiforme. She also stated that his whole set of symptoms were like a serum sickness type reaction. The physician prescribed diphenhydramine which helps with the itchy rash. The patient continued to have a fever and to get new lesions as of 9/18/03. Erythema multiforme is considered to be medically serious (OMIC). Annual follow-up report from GlaxoSmithKline (October 1,2004 to October 21, 2004).
Age: 0.75
Sex: F
Vaccine: HEP, IPV, MMR
Symptoms: Anaphylactic reaction, Coma, Dyspnoea, Respiratory distress, Salivary hypersecretion
Clinical narrative: Immediate respiratory distress. Patient was here today for a 9 month well child visit. The family will be going out of the country for 4 months, leaving over the next 2-3 weeks. Mom would like immunizations for this. Because of that we gave her IPV #3 and MMR #1, as well as her 3rd HEP-B today. Patient cried initially with the immunizations and then quieted down, but then had respiratory distress where she had difficulty with inspiration. No stridor but she was catching her breath and was moving very little air. Mom called us and went to evaluate her and the evaluation showed decreased air entry bilaterally with supraclavicular and intercostal retractions. Patient also had quite a bit of oral secretions. Patient was taken to the treatment room and she was given 5ml BENADRYL, estimated WT was 8 kilos, and then given .3ml RACEMIC EPI. She seemed to respond somewhat to the RACEMIC EPI but then became less aware of her surrounding and would even drift off and then would become more arousable again. Because of that we gave her 0.5cc SC of EPINEPHRINE 1"1000 in her left thigh. An IV was started 24 angiocath in the right hand and she was given 80cc of normal saline by syringe push over approximately 6 minutes. She was then started on IV at 50cc per hour of normal saline. At that time, she was noted to have some inspiratory stridor and had expiratory wheeze on auscultation. She was given an ALBUTEROL neb 0.25ml and SOLUMEDROL 20mg IV. The ALBUTEROL neb was given with 5 liters of O2. Pulse ox saturations on 5 liter O2 were 92 to 95%. BP were 106/59 and heart rate after the SC and RACEMIC EPI were anywhere from 80 to 120. Because of the significant reaction post immunization, EMT services were called and I transported patient to the pediatric unit where she was admitted to the ICU for further observations of a late phase anaphylactic reaction. She was stable throughout the transport with normal vital signs. She had better aeration after the ALBUTEROL neb, stridor had also resolved and she was moving air in her lungs without any wheezing. On arrival to pediatrics, she became more alert and irritable. She was sitting on mom's lap and looking around. She was placed on a monitor and changed to D5 IMB at 38cc per hour. Doctor is at the hospital this week and assumed care of her there. Discussed with parents regarding anaphylactic reaction. Discussed with the parents that she should not receive further immunizations prior to allergy testing. They will not do any immunizations while in the foreign country and will have her tested when they return home.
Age: 0.75
Sex: F
Vaccine: HEP, IPV, MMR
Symptoms: Stridor, Wheezing
Clinical narrative: Immediate respiratory distress. Patient was here today for a 9 month well child visit. The family will be going out of the country for 4 months, leaving over the next 2-3 weeks. Mom would like immunizations for this. Because of that we gave her IPV #3 and MMR #1, as well as her 3rd HEP-B today. Patient cried initially with the immunizations and then quieted down, but then had respiratory distress where she had difficulty with inspiration. No stridor but she was catching her breath and was moving very little air. Mom called us and went to evaluate her and the evaluation showed decreased air entry bilaterally with supraclavicular and intercostal retractions. Patient also had quite a bit of oral secretions. Patient was taken to the treatment room and she was given 5ml BENADRYL, estimated WT was 8 kilos, and then given .3ml RACEMIC EPI. She seemed to respond somewhat to the RACEMIC EPI but then became less aware of her surrounding and would even drift off and then would become more arousable again. Because of that we gave her 0.5cc SC of EPINEPHRINE 1"1000 in her left thigh. An IV was started 24 angiocath in the right hand and she was given 80cc of normal saline by syringe push over approximately 6 minutes. She was then started on IV at 50cc per hour of normal saline. At that time, she was noted to have some inspiratory stridor and had expiratory wheeze on auscultation. She was given an ALBUTEROL neb 0.25ml and SOLUMEDROL 20mg IV. The ALBUTEROL neb was given with 5 liters of O2. Pulse ox saturations on 5 liter O2 were 92 to 95%. BP were 106/59 and heart rate after the SC and RACEMIC EPI were anywhere from 80 to 120. Because of the significant reaction post immunization, EMT services were called and I transported patient to the pediatric unit where she was admitted to the ICU for further observations of a late phase anaphylactic reaction. She was stable throughout the transport with normal vital signs. She had better aeration after the ALBUTEROL neb, stridor had also resolved and she was moving air in her lungs without any wheezing. On arrival to pediatrics, she became more alert and irritable. She was sitting on mom's lap and looking around. She was placed on a monitor and changed to D5 IMB at 38cc per hour. Doctor is at the hospital this week and assumed care of her there. Discussed with parents regarding anaphylactic reaction. Discussed with the parents that she should not receive further immunizations prior to allergy testing. They will not do any immunizations while in the foreign country and will have her tested when they return home.
Age: 59.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site oedema, Injection site warmth, Pain, Rash
Clinical narrative: Right arm swollen, hot to touch, pain when touched. Red spots on deltoid. Took Benadryl and Cortisone.
Age: 23.0
Sex: M
Vaccine: ANTH, HEP, RAB
Symptoms: Pain, Speech disorder
Clinical narrative: Had (?), bone ache in left arm after shot. Began Friday. Then Sunday noted episodes of slurred speech. (?) Improved since then. No noticeable problem now.
Age: 41.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site oedema
Clinical narrative: Received Anthrax #1 on 9/3/03 and #2 on 9/17/03; left tricep. Swelling that began at shot site and expanded past elbow. Required 3 physician visits and possible admission. Abx and pain reliever.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Rash papular
Clinical narrative: C/o localized papular rash on legs that presented 1 day after immunizations given.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Irritability, Pain, Sleep disorder
Clinical narrative: Fussy for 3 days after shots given. Sleep disruption. Perceived leg pain; no swelling.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Pyrexia, Rash erythematous
Clinical narrative: Red, erythematous indurated non-urticarial rash extends from left shoulder to elbow. Low grade fever (T 101).
Age: 1.25
Sex: M
Vaccine: MMR
Symptoms: Difficulty in walking
Clinical narrative: After the MMR, pt had trouble walking, tight legs. Does have lupus chilbain's (?), prior to all this.
Age: 24.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Pain
Clinical narrative: 9/5/03 presented with redness and tenderness at injection site. Resolved with compresses and PO Keflex for 14 days.
Age: 4.0
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Right thigh induration slightly erythematous.
Age: 58.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Following Pneumovax, pt had severe edema and erythema of upper arm.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema, Pyrexia, Rash maculo-papular
Clinical narrative: Vaccines administered 9/22/03. T 99 this AM and faint erythema, maculo-papular rash trunk and upper extremities.
Age: 3.0
Sex: M
Vaccine: HIBV, PPV
Symptoms: Unevaluable event
Clinical narrative: Comvax given at age 2m, 4m, 12m. Haemophilus Influenza B vac response done 8/21/03 <0.15 ug/ml, non protective antibody level. HIB vaccine given again 9/19/03.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Pain
Clinical narrative: Developed warmth, redness, swelling, tenderness of (?) tissues in 12 x 14cm area adjacent to MMR and DTaP site. Resolution in 5 days.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Pain
Clinical narrative: On 8/16/03 right arm swollen and reddened from elbow. 8/19/03 mild swelling over deltoid area with some erythema, minimal pain.
Age: 2.0
Sex: M
Vaccine: HEP
Symptoms: Convulsion, Pyrexia
Clinical narrative: Immunization given at noon on 9/20; at 4:30 PM fever developed and pt had seizure at 5:30 PM. Taken to ER by medics. Released 4 hours later.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: Right thigh was red, warm after injection of DTAP; area noted to be red and warm beginning on 08/26/2003.  Treatment was Zyrtec 5 mg by mouth day.
Age: 2.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pruritus, Urticaria
Clinical narrative: Broke out in hives all over his body.  Gave him Aveeno-oatmeal baths and Benadryl and Calomine lotion for itching.  Recently diagnosed with Autism.  Hot patch where shot was administered.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Patient developed redness and swelling within 24 hours of injection.  Area involved left side of right forearm with tenderness on deep palpation.  Instructed in cold compresses to area.  Placed on Prednisone.  As of 09/22/2003, reaction is resolving well.  Previous 1st dose of Pneumovax in 1990.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Crying, Pyrexia
Clinical narrative: Crying non stop for 4 hours.  Temperature 102, not responding to Tylenol.  Advised luke warm baths, supportive care.
Age: 29.0
Sex: M
Vaccine: HEP, HEPA, JEV, RAB, TYP
Symptoms: Pruritus, Urticaria
Clinical narrative: Patient noted pruritis and hives 18 hours after immunization, which recurred daily since onset.  At time of exam on 09/16/2003, he had wheals on face, left side of neck (1), back (3), Lower left extremity (1).  He had not taken any meds yet.
Age: 64.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Chills, Feeling hot, Headache, Injection site erythema
Clinical narrative: Within 24-36 hours of injection, there was warm, indurated injection site and several walnut size red nodes in injection arm.  There were chills, muscle and joint pain (which continues), nausea, vomiting and a very severe generalized headache and stiff neck which lasted 24 hours.
Age: 64.0
Sex: F
Vaccine: PPV
Symptoms: Injection site induration, Musculoskeletal stiffness, Myalgia, Nausea, Vomiting
Clinical narrative: Within 24-36 hours of injection, there was warm, indurated injection site and several walnut size red nodes in injection arm.  There were chills, muscle and joint pain (which continues), nausea, vomiting and a very severe generalized headache and stiff neck which lasted 24 hours.
Age: 22.0
Sex: F
Vaccine: TD
Symptoms: Hypokinesia, Injection site oedema, Injection site pain
Clinical narrative: Report of pain at injection site about 12 hours after injection.  Next day developed swelling at injection site with continuing pain.  Next day developed decreased ability to move left shoulder due to pain at injection site.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: About 10:00 AM 09/18/2003, hives started above pubic gone; to arm pits, neck, hands, ears by noon.  Patient did go to clinic this AM was given oral Benadryl, but mom couldn't get patient to take.  He came to our facility at 14:30; received Benadryl IM.
Age: 2.0
Sex: M
Vaccine: HIBV, MMR
Symptoms: Balance disorder, Coordination abnormal, Speech disorder
Clinical narrative: Patient received MMR/HIB 07/22/2002- seen in office 07/29/2002.  Patient appeared off balance-appeared improved 07/30.  Patient saw Pediatric Neurologist 08/05/2003.  Seen again 08/29/2003- resolved.  patient noted bet 18/21 months to have speech delay.  Patient is currently being evaluated for intermittent ataxia which cannot be explained immediately after recovered and was considered to have normal exam.
Age: 32.0
Sex: F
Vaccine: VARCEL
Symptoms: Dyspnoea, Oedema, Pyrexia
Clinical narrative: Patient states temperature after vaccine injection.  She experienced fever, swelling, some difficulty breathing (SOB).  did not seek medical intervention.  Improved over night.  Seen in office after 24 hours; continuing improvement.
Sex: F
Vaccine: TD
Symptoms: Pain, Rash
Clinical narrative: Rash on right shoulder/back/breast.  Began shortly after Td vaccine.  Sore, especially with shower.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Erythema, Rash papular
Clinical narrative: Seen in office 09/16/2003, 5 varicella vaccine break through rash.  Red papule, few blisters face, legs, arm abdomen, and back.
Age: 1.3
Sex: M
Vaccine: HIBV, IPV, PNC
Symptoms: Gait disturbance, Hypokinesia
Clinical narrative: Patient got vaccines at 11:30 AM.  By mid-afternoon patient should not bear weight or move his back.  Patient seen at an urgent care center and found to be neurologically and ostepathy intact.  Patient awoke next day and was completely fine.
Age: 4.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Oedema, Pain
Clinical narrative: Patient developed swelling, pain in the right upper arm one day after immunizations.  When came to office 2 days after, had a 16 x 17 cm circumferenced band of erythema and swelling in the right upper arm.
Age: 1.33
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Developed swelling and redness over right upper arm (site of DTaP injection days before) in the AM after vaccination.
Age: 27.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Feeling hot, Injection site erythema, Injection site oedema, Pain
Clinical narrative: Cellulitis at site of injection. T=99.6. Reported onset of itching, then redness/pain. Swelling began after 24 hours. Seen in office at 48 hours. Started on Keflex 500mg PO QID, warm soaks with slow improvement. 8 x 11cm of erythema. Warmth, pain, swelling around injection site.
Age: 27.0
Sex: F
Vaccine: TD
Symptoms: Pruritus, Pyrexia
Clinical narrative: Cellulitis at site of injection. T=99.6. Reported onset of itching, then redness/pain. Swelling began after 24 hours. Seen in office at 48 hours. Started on Keflex 500mg PO QID, warm soaks with slow improvement. 8 x 11cm of erythema. Warmth, pain, swelling around injection site.
Age: 5.0
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Rash erythematous
Clinical narrative: Finely erythematous rash on torso for 1 day. Low grade temp last night (not confirmed).
Age: 73.0
Sex: F
Vaccine: HEPA, TD, TYP, YF
Symptoms: Injection site hypersensitivity, Injection site inflammation, Injection site swelling, Pruritus
Clinical narrative: reported on 8/28, l arm where received an immunization had become inflamed, itching and swelling generalized in the upper arm from 3"above the elbow to shoulder.  Duration approximately one week.  Saw PMD who advised continue benedryl until well.
Age: 51.0
Sex: F
Vaccine: IPV, YF
Symptoms: Oedema
Clinical narrative: Pt called to report swelling under arms extending to anterior chest, right to left. Onset 5 days after yellow fever/polio vaccine received. 3 days after Td/Hep A received. Pt refused to come into clinic for evaluation. 9/19 seen for typhoid injection, reports swelling resolved. Would not allow nurse to examine or see areas involved.
Age: 45.0
Sex: F
Vaccine: HEPA, TYP, YF
Symptoms: Dizziness, Erythema, Faeces pale, Nausea, Rash
Clinical narrative: Started having lightheadedness and dizziness and nausea on 7/11/03. Little non-itchy, non red bumps appeared on 7/15/03. Began yellow (light stool color) on 7/18/03. Pt referred to her Dr for f/u to R/o WNV and for f/u care and management.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Convulsion, Eye movement disorder, Fatigue, Loss of consciousness, Muscle twitching
Clinical narrative: Two weeks later (9/9/03) while at a chiropractors office, patient had apparent convulsion with loss of consciousness, eyes rolling back and quick twitching of limbs. some tiredness afterward. She was seen by neurologist that day with a normal exam. sunsequent work-up revealed normal EEG and MRI
Age: 27.0
Sex: M
Vaccine: ANTH, HEP, SMALL
Symptoms: Pruritus, Rash erythematous, Skin ulcer
Clinical narrative: Smallpox (L arm)Hep B #1 ( R arm)Anthrax #6 (R arm) 09 Sept 03 Service member received anthrax and smallpox briefings and brochures prior to vaccinations.  No contraindications to vaccination.  Reports no complaints on this date.  14 Sept 03 Service member had a tattoo placed on his upper back-R scapular region.  No complaints on this date.   23 Sept 03 Noted a few lesions on his left upper arm.  Described them as red and slightly itchy.  Service member thought they were just ingrown hairs and attempted to pluck the hairs.  24 Sept 03 Reported to the Chemical Simulation (CS) Gas Chamber for training.  Upon exiting, his friend noted that he had lesions covering both arms and on his neck.  In the training exercise, he reports that he wore a mask but no other special protective equipment needed.  He did not experience any problems during the training and did not become "overly warm."  Reports that he was only in the gas chamber for a few seconds.  Has done this training numerous times in the past without any problems.Presented to the TMC and was referred. Service member is without complaints except for the numerous erythematous lesions on his extremities, neck, and R ankle.   No oral lesions or lesions on soles of feet or palms of hands. He describes them as non-tender and slightly pruritic.  Denies chest pain or shortness of breath.  No fever, headache, neck pain, abdominal pain, or fatigue.  Diagnosis: Non-viral Pustulosis Tx:  Zyrtec 10 mg po qhs
Age: 44.0
Sex: F
Vaccine: MMR, YF
Symptoms: Erythema, Pain
Clinical narrative: INDURATION 135MM x 76 MM, MUSCLE SORENESS, LOCAL REDNESS. TEMP 98.4, B/P 126/89, P 91, R 16.  PT SEEN BY MD, GIVEN BENADRYL PO.  PT INSTRUCTED TO RETURN TO CLINIC IF CONDITION WORSENS, OR PERSISTS.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Convulsion, Dyskinesia, Staring
Clinical narrative: Received 2 vaccines on 9/15. Described as having "seizures or convulsions without fever on 9/17 and 9/18."  Events characterized as "grimacing with arms flailing" and "staring off into space for about 5 seconds" following this movement.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Oedema, Pruritus
Clinical narrative: 39 Y/O MALE C/O SWELLING AND ITCHING TO HIS RIGHT ARM AFTER 4TH ANTHRAX VACCINE ADMINISTERED 3 DAYS AGO.
Age: 0.7
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Somnolence, Vomiting
Clinical narrative: Started vomiting 2hours after receiving immuniztions.  Vomiting after feeding and sleeping more for 2 days and then was seen at local hospital emergency department.
Age: 53.0
Sex: U
Vaccine: VARCEL, VARCEL
Symptoms: Confusional state, Fatigue, Photosensitivity reaction, Skin ulcer
Clinical narrative: Varicella 8/29/03 disseminated headache, ?, photophobia. Rx Acyclovir. Recovered 9/17/03.
Age: 53.0
Sex: U
Vaccine: VARCEL, VARCEL
Symptoms: Headache, Infection, Photophobia
Clinical narrative: Varicella 8/29/03 disseminated headache, ?, photophobia. Rx Acyclovir. Recovered 9/17/03.
Age: 1.25
Sex: U
Vaccine: VARCEL
Symptoms: Encephalitis
Clinical narrative: Information has been received from a company representative concerning a 15 month old patient, who in 1995, was vaccinated with a dose of varicella virus vaccine live (lot number unknown). The company representative heard from a certified midwife about the patient who in 1995 received the varicella virus vaccine live shot and two weeks later developed encephalitis, was hospitalized, and died two weeks later. It was noted this occurred at a different clinic than where the nurse midwife is currently working. It was noted the patient's gender was reported unknown (also reported as she). The cause of death was reported unknown. No additional information was provided. There was no product quality complaint reported. The encephalitis was considered to be immediately life threatening and disabling. Additional information has been requested. A 15-day follow report received 10/02/2003 adds: This is an amended report. The reporter has been changed, and the narrative has been updated to reflect the info. This report has been corrected as amended. Follow-up info was received, which reported that the certified nurse midwife, who was the original reporting source, indicated she had taken care of a mother, who tole her she had a child who received varicella virus vaccine live, experienced encephalitis and died two weeks later. The nurse midwife indicated she now worked at another practice and was unable to remember the name of the mother or the child. She did not know whether an autopsy had been done, and indicated that she had previously reported everything she knew. The case was considered closed, since no new info would be forth coming. The encephalitis was considered to be immediately life-threatening and disabling. A 15-day follow up report received 10/15/2003 adds no new info.  Follow up on 11/25/2003: "No further information is available, since the reporter no longer had access to the patient's records, nor could any details be remembered."
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Condition aggravated, Erythema, Feeling hot, Injection site reaction, Lung disorder
Clinical narrative: Information has been received from a licensed practical nurse concerning a 72 year old female long term smoker with severe chronic obstructive pulmonary disease, chronic sinusitis, and a penicillin allergy who on 7/15/03 at 10am was vaccinated SC in the left arm with a second dose of pneumococcal 23 poysaccharide vaccine. There was no illness at the time of vaccination. Concomitant therapy included alendronate sodium (70mg daily, started in February 2003), Combivnet (2 puffs QID), Prilosec (20mg daily) and Evista (60mg daily). The pt was vaccinated with a first dose of pneumococcal 23 polysaccharide vaccine on 1/22/98. On 7/15/03 the pt developed warmth, swelling, and redness between her shoulder and elbow. Unspecified medical attention was sought. The pt was started on a medrol dose pack. A product quality complaint was not involved. Follow-up info was received from a licensed practical nurse which indicated that on 7/15/03 at 11am, the pt developed left upper arm swelling which began about seven hours after injection. The event began as itching and then swelling. On 7/16/03 the entire upper arm and elbow was swollen. The left elbow site was positive for erythema, tenderness and pitting edema. The pt was treated with ice and a Medrol dose pack (4mg). The pt recovered two to three days later. No diagnostic or laboratory tests were performed. The reporter indicated that the pt was admitted to the hospital on 8/26/03 under her pulmonary physician with an admitting diagnosis of obstructive chronic bronchitis with acute exacerbation, acute respiratory failure and pneumonia. It was noted that it was a right middle lobe pneumonia with infiltrates. Her final diagnoses were pneumonia, chronic obstructive pulmonary disease, chronic sinusitis and positive tobacco use. The pt subsequently recovered and was discharged from the hospital on 9/4/03. No laboratory data regarding the hospitalization was available. Information was received on 9/19/03 which pertained to events that occurred approximately one month after vaccination with pneumococcal 23 polysaccharide vaccine. This info contained the following adverse experiences: pneumonia (8/26/03), chronic obstructive pulmonary disease (8/26/03), and chronic sinusitis (8/26/03). Additional info has been requested.  Follow up on 10/20/2003: "Follow up information was received from the office of the pulmonary physician which indicated that the pneumococcal 23v polysaccharide vaccine was not given at their office.  No further information is expected."
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Oedema peripheral, Pneumonia, Pruritus, Respiratory failure, Sinusitis
Clinical narrative: Information has been received from a licensed practical nurse concerning a 72 year old female long term smoker with severe chronic obstructive pulmonary disease, chronic sinusitis, and a penicillin allergy who on 7/15/03 at 10am was vaccinated SC in the left arm with a second dose of pneumococcal 23 poysaccharide vaccine. There was no illness at the time of vaccination. Concomitant therapy included alendronate sodium (70mg daily, started in February 2003), Combivnet (2 puffs QID), Prilosec (20mg daily) and Evista (60mg daily). The pt was vaccinated with a first dose of pneumococcal 23 polysaccharide vaccine on 1/22/98. On 7/15/03 the pt developed warmth, swelling, and redness between her shoulder and elbow. Unspecified medical attention was sought. The pt was started on a medrol dose pack. A product quality complaint was not involved. Follow-up info was received from a licensed practical nurse which indicated that on 7/15/03 at 11am, the pt developed left upper arm swelling which began about seven hours after injection. The event began as itching and then swelling. On 7/16/03 the entire upper arm and elbow was swollen. The left elbow site was positive for erythema, tenderness and pitting edema. The pt was treated with ice and a Medrol dose pack (4mg). The pt recovered two to three days later. No diagnostic or laboratory tests were performed. The reporter indicated that the pt was admitted to the hospital on 8/26/03 under her pulmonary physician with an admitting diagnosis of obstructive chronic bronchitis with acute exacerbation, acute respiratory failure and pneumonia. It was noted that it was a right middle lobe pneumonia with infiltrates. Her final diagnoses were pneumonia, chronic obstructive pulmonary disease, chronic sinusitis and positive tobacco use. The pt subsequently recovered and was discharged from the hospital on 9/4/03. No laboratory data regarding the hospitalization was available. Information was received on 9/19/03 which pertained to events that occurred approximately one month after vaccination with pneumococcal 23 polysaccharide vaccine. This info contained the following adverse experiences: pneumonia (8/26/03), chronic obstructive pulmonary disease (8/26/03), and chronic sinusitis (8/26/03). Additional info has been requested.  Follow up on 10/20/2003: "Follow up information was received from the office of the pulmonary physician which indicated that the pneumococcal 23v polysaccharide vaccine was not given at their office.  No further information is expected."
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Tenderness
Clinical narrative: Information has been received from a licensed practical nurse concerning a 72 year old female long term smoker with severe chronic obstructive pulmonary disease, chronic sinusitis, and a penicillin allergy who on 7/15/03 at 10am was vaccinated SC in the left arm with a second dose of pneumococcal 23 poysaccharide vaccine. There was no illness at the time of vaccination. Concomitant therapy included alendronate sodium (70mg daily, started in February 2003), Combivnet (2 puffs QID), Prilosec (20mg daily) and Evista (60mg daily). The pt was vaccinated with a first dose of pneumococcal 23 polysaccharide vaccine on 1/22/98. On 7/15/03 the pt developed warmth, swelling, and redness between her shoulder and elbow. Unspecified medical attention was sought. The pt was started on a medrol dose pack. A product quality complaint was not involved. Follow-up info was received from a licensed practical nurse which indicated that on 7/15/03 at 11am, the pt developed left upper arm swelling which began about seven hours after injection. The event began as itching and then swelling. On 7/16/03 the entire upper arm and elbow was swollen. The left elbow site was positive for erythema, tenderness and pitting edema. The pt was treated with ice and a Medrol dose pack (4mg). The pt recovered two to three days later. No diagnostic or laboratory tests were performed. The reporter indicated that the pt was admitted to the hospital on 8/26/03 under her pulmonary physician with an admitting diagnosis of obstructive chronic bronchitis with acute exacerbation, acute respiratory failure and pneumonia. It was noted that it was a right middle lobe pneumonia with infiltrates. Her final diagnoses were pneumonia, chronic obstructive pulmonary disease, chronic sinusitis and positive tobacco use. The pt subsequently recovered and was discharged from the hospital on 9/4/03. No laboratory data regarding the hospitalization was available. Information was received on 9/19/03 which pertained to events that occurred approximately one month after vaccination with pneumococcal 23 polysaccharide vaccine. This info contained the following adverse experiences: pneumonia (8/26/03), chronic obstructive pulmonary disease (8/26/03), and chronic sinusitis (8/26/03). Additional info has been requested.  Follow up on 10/20/2003: "Follow up information was received from the office of the pulmonary physician which indicated that the pneumococcal 23v polysaccharide vaccine was not given at their office.  No further information is expected."
Age: 1.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Cellulitis, Drug ineffective, Oedema, Rash vesicular
Clinical narrative: Fascial cellulitis and break through VZV. CT Scan left soft tissue edema; no abscess. Responded to Clondamycin. Failed OP.
Age: 0.59
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Laboratory test abnormal, Rash, Thrombocytopenia
Clinical narrative: Acute onset of thrombocytopenia 5 days after Pediarix vaccine. Patient hospitalized 4 days; now recovered. Discharge summary states rash. msv
Age: 80.0
Sex: F
Vaccine: TD
Symptoms: Abdominal pain, Affect lability, Arthralgia, Asthenia, Chills
Clinical narrative: Manifested generalized myalgias, arthralgias, abdominal pain, fever after receiving Td immunization following puncture wound to ? suspect serum sickness secondary to Td injection. The discharge summary received on 2/18/04 states diarrhea, nausea, leg pain, tearfull, shaking, rigors, weak, and arthrus reaction.
Age: 80.0
Sex: F
Vaccine: TD
Symptoms: Diarrhoea, Laboratory test abnormal, Myalgia, Nausea, Pain
Clinical narrative: Manifested generalized myalgias, arthralgias, abdominal pain, fever after receiving Td immunization following puncture wound to ? suspect serum sickness secondary to Td injection. The discharge summary received on 2/18/04 states diarrhea, nausea, leg pain, tearfull, shaking, rigors, weak, and arthrus reaction.
Age: 80.0
Sex: F
Vaccine: TD
Symptoms: Pyrexia, Serum sickness, Tremor, Type III immune complex mediated reaction
Clinical narrative: Manifested generalized myalgias, arthralgias, abdominal pain, fever after receiving Td immunization following puncture wound to ? suspect serum sickness secondary to Td injection. The discharge summary received on 2/18/04 states diarrhea, nausea, leg pain, tearfull, shaking, rigors, weak, and arthrus reaction.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Joint range of motion decreased, Pain
Clinical narrative: 2-4 hours after receiving Anthrax vaccine, pt felt severe pains in neck and trapezius muscles. Could not turn head more than 30 degrees left or right. Symptoms/pains and soreness went away after 3 weeks.
Age: 20.0
Sex: F
Vaccine: ANTH
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Red bumps, itching, scattered
Sex: U
Vaccine: HIBV, MM
Symptoms: Coordination abnormal
Clinical narrative: Ataxia
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site oedema
Clinical narrative: Swelling of deltoid. Ice applied after 15 minutes. No further swelling noted.
Age: 41.0
Sex: F
Vaccine: RAB
Symptoms: Arthralgia, Asthenia, Diarrhoea, Dizziness, Headache
Clinical narrative: Pt was "dizzy" after vaccination, felt better after approx 1/2 hour. Also felt "tingling" in feet. Approx 2 hours after shot, stated that "eyes were hurting", she needed to blink a lot and was sensitive to the light. By 4 PM, c/o being very weak. This weakness continued through next day. By 3 AM c/o diarrhea and frontal and temporal headache. Next day 9/18/03 c/o sore joints (wrists and elbows).