chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Palpitations
Clinical narrative: Post vax the patient reported "heart pounding" in her chest and difficulty taking a breath. The patient was treated with epininephrine. Call 911 and transferred patient to emergency dept.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Swelling face, Urticaria
Clinical narrative: Post vax, the patient developed a rash, hives on her back and neck, and lip swelling. The patient refused treatment. The symptoms started resolving within 45 minutes.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Infection
Clinical narrative: The patient started a dry cough with yellowish phlegm on 10/20/2001. Treated with Guaifenex LA.
Age: 58.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Chills, Dizziness, Erythema, Joint range of motion decreased, Myalgia
Clinical narrative: The patient had chills and dizziness. The patient's arm was red and hot with fever. The patient could not raise her arm for 2 days. The patient slept all day Saturday and Sunday and was sore on Monday from laying around. It is now Wednesday and my arm is still red, hurts and has a fever.
Age: 58.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Pyrexia
Clinical narrative: The patient had chills and dizziness. The patient's arm was red and hot with fever. The patient could not raise her arm for 2 days. The patient slept all day Saturday and Sunday and was sore on Monday from laying around. It is now Wednesday and my arm is still red, hurts and has a fever.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Carpal tunnel syndrome, Injection site erythema, Injection site induration, Injection site pain, Paraesthesia
Clinical narrative: Post vax the patient developed a painful area of redness and slight induration over the injection site about 8cm in diameter. The patient complained of a flare up of carpal tunnel syndrome with wrist and forearm pain, and paresthesis in the first 3 fingers.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Pain, Paraesthesia, Swelling
Clinical narrative: Post vax, the patient developed tingling in her fingers and numbness, swelling and pain of arm.
Age: 66.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Oedema peripheral, Pyrexia
Clinical narrative: After receiving 2 vaccines on the same day, the patient developed a local reaction at the pneumovax site with bilateral hand swelling and a fever of 101F. The patient still has these symptoms.
Age: 55.0
Sex: M
Vaccine: FLU3
Symptoms: Angioneurotic oedema
Clinical narrative: Two hours post vax, developed angioedema of the upper lip. Progressed despite treatment with Benadryl. ER treated with epinephrine, IV Benadryl, and prednisone.
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Pyrexia, Rash maculo-papular
Clinical narrative: High fever and maculopapular skin rash that erupted between 7 and 10 days after Prevnar injections. 1st and 2nd dose-exact same reaction.
Age: 1.4
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Petechiae, Pyrexia, Rash maculo-papular
Clinical narrative: Fever of 101-103 developed 10 days after immunizations while a generalized rash developed 1 day later. Pt seen 2 days later at office on 10/6/01. PE positive for generalized maculo-papular rash on thorax, few on extremities. Positive petechie upper palate. History of subsequent desquamation. Tylenol rx'd for fever.
Age: 64.0
Sex: F
Vaccine: LYME
Symptoms: Arthralgia, Infection parasitic, Influenza like illness, Myalgia
Clinical narrative: Received Lymevax after being treated for Lyme a year before- became very fl-like-strong pain-muscles and joints. Nothing relieved till pt had and IV treatment.Pt still being treated /tested
Age: 43.0
Sex: M
Vaccine: LYME
Symptoms: Influenza like illness, Joint swelling, Night sweats, Pyrexia
Clinical narrative: After shots flu like symptoms, night sweats, and fever, swelling of legs and lower joints( foot, ankle,andknees) over 2 yrs have passed since shots and still having join pains and swelling.
Age: 29.0
Sex: F
Vaccine: TD
Symptoms: Hypokinesia, Injection site pain, Neck pain, Pain
Clinical narrative: On 10/31/01 soreness in arm and neck, with pain on movement. Also had swelling. Took Ibuprofen because nauseous. On 11/1 symptoms abating.
Age: 1.0
Sex: F
Vaccine: HBHEPB, IPV
Symptoms: Body temperature increased, Pyrexia, Rash
Clinical narrative: Mother states child developed low grade temperature on 10/12/01 and on 10/19/01 temperature was 105 degrees. Began developing rash on neck, chest, back, buttocks and arms on 10/22/01. Mother stated it looks like heat rash but I know its not.
Age: 12.0
Sex: F
Vaccine: DT, HEPA, IPV, MMR
Symptoms: Syncope
Clinical narrative: Pt fainted after receiving 4 vaccines. She became alert 10-15 seconds later.
Age: 14.0
Sex: F
Vaccine: DT, HEP, IPV, MMR
Symptoms: Chest discomfort, Ocular hyperaemia, Pruritus, Sneezing, Swelling face
Clinical narrative: Tight chest, mild wheezing, puffy face, red eyes, sneezing, and itchy throat.
Age: 14.0
Sex: F
Vaccine: DT, HEP, IPV, MMR
Symptoms: Wheezing
Clinical narrative: Tight chest, mild wheezing, puffy face, red eyes, sneezing, and itchy throat.
Age: 1.7
Sex: F
Vaccine: HIBV, PPV
Symptoms: Diarrhoea, Injection site swelling, Nausea, Pyrexia, Vomiting
Clinical narrative: Swelling golf ball size, fever reached 102 F, nausea, vomiting and diarrhea.
Age: 1.4
Sex: M
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Lymphadenopathy, Pruritus
Clinical narrative: For 3 days pt had itching, scattered rash varicella like, and lymphdemopathy.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Failed chicken pox vaccine. Around 50 chicken pox lesions.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: pt has swelling, redness and pain. 5 cm developing at site of injection right upper arm.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Injection site induration, Injection site reaction, Injection site warmth, Pyrexia
Clinical narrative: Fever, warm, hot indurated, red 95X105 mm. PO ABX for cellulitis.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Noticed on 10/24/2001 injection hot to touch and red and swollen. Area of redness 2 X 3 inches. On 10/25/2001, left upper arm with 805 X 7.0 cm with erythema and mild swelling, induration, warm-non tender. Instructed cool compresses and Benadryl. Lidocaine topical prn.
Age: 68.0
Sex: F
Vaccine: HEP
Symptoms: Diarrhoea, Nausea, Vomiting
Clinical narrative: Nausea-stomach upset, with inclination to vomit-very severe diarrhea for a week. I took Promethazine  for nausea, Imodium AD for one week until the nausea and diarrhea stopped.
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Chills, Dyspnoea, Pyrexia, Rash papular
Clinical narrative: chills, weak, dyspnea, papular rash and temperature of 102.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Urticaria
Clinical narrative: Within 15-20 minutes after vaccination in left upper forearm, pt had urticarial rash on forearms, spreading to face and trunk, no respiratory sx, resolved with oral Benadryl and observation.
Age: 39.0
Sex: F
Vaccine: HEPA
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased
Clinical narrative: One month following vax, pt's ALT (SGPT) was 169 and AST (SGOT) was 70. Pt had no symptoms. The abnormal labs were noted through routine bloodwork.
Age: 1.2
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Pt developed Herpes Zoster-facial and LUQ. No ocular or otic involvement. Treated with IV nafcillin and acyclovir. Discharged home on oral acyclovir.
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Confusional state, Dizziness, Erythema, Hypotension, Lethargy
Clinical narrative: Around 11:30 on 10/2/01, he called his son and said he was dizzy and nauseated and was brought to MD's office with erythema, confusion and lethargy. His BP was 54/40, then 74/30. He was given epinephrine, SC, steroids and IV fluids in ER with full recovery. He also had taken 1 aspirin at 10:00. He is not allergic to eggs. He had taken flu vaccine on 1/11/01 without problem and previous aspirin also.
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Nausea
Clinical narrative: Around 11:30 on 10/2/01, he called his son and said he was dizzy and nauseated and was brought to MD's office with erythema, confusion and lethargy. His BP was 54/40, then 74/30. He was given epinephrine, SC, steroids and IV fluids in ER with full recovery. He also had taken 1 aspirin at 10:00. He is not allergic to eggs. He had taken flu vaccine on 1/11/01 without problem and previous aspirin also.
Age: 14.0
Sex: M
Vaccine: HEP
Symptoms: Guillain-Barre syndrome, Malaise
Clinical narrative: Guillain-Barre Syndrome developed about 1 month, post vax. Still with symptoms.  Per doc 215039, patient is still "ill" wearing braces + been to hospital several times. Per 1 year follow up: It is unknown if pt has recovered. Any residual symtoms have been updates and sent to CDC 01/03/2003
Age: 0.25
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Convulsion, Pyrexia
Clinical narrative: Pt developed 2 brief seizures and a low-grade fever. Both self resolved. Seizures occurred about 20 hours, post vax.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Bradycardia, Convulsion, Depressed level of consciousness, Staring, Vomiting projectile
Clinical narrative: The child was taken to ER for projectile vomiting X 3 on 9/9/01. During the exam, the pt stopped crying, eyes glazed over for 5 seconds and had decreased responsiveness. No apnea, color change or desaturations. Heart rate changed from 140 to 90. Pt then resumed normal activity. She was observed overnight and discharged home. No further seizures noted. Vomited 1 X in hospital (small amount of yellow fluid).
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: White blood cell count increased
Clinical narrative: The child was taken to ER for projectile vomiting X 3 on 9/9/01. During the exam, the pt stopped crying, eyes glazed over for 5 seconds and had decreased responsiveness. No apnea, color change or desaturations. Heart rate changed from 140 to 90. Pt then resumed normal activity. She was observed overnight and discharged home. No further seizures noted. Vomited 1 X in hospital (small amount of yellow fluid).
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Dehydration, Diarrhoea haemorrhagic, Vomiting
Clinical narrative: The evening, post vax, pt reported to ER with vomiting, hemocult (+) diarrhea and dehydration. Pt received 4 bolus of NS, bicarb and admitted for workup (blood and urine cultures-neg). Placed on ?.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Paraesthesia, Pelvic pain
Clinical narrative: Vaccine given at approximately 10:45am. Symptoms of tingling accompanied by brief sharp pain (1-2 seconds duration) occurred intermittently within twenty minutes of injection. This has repeated 6 - 7 times until now (3pm). Pain and tingling occurs left lower pelvic region and starts to radiate to left upper thigh.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Feeling hot
Clinical narrative: 70cmx60cm red area (knot) on upper arm, warm to touch, developed about 48 hours after administration of vaccine. Treatment ice and Ibuprofen. Reported to Occupational Health Nurse.
Sex: M
Vaccine: FLUX
Symptoms: Influenza
Clinical narrative: Flu had to get treatment from doctor.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Rash to upper extremities and neck. Pt not on any other meds.
Age: 68.0
Sex: F
Vaccine: FLUX
Symptoms: Influenza
Clinical narrative: Flu had to go to ER for treatment. Got ill 3 days after receiving shot, I am still sick.
Age: 0.25
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Rash erythematous
Clinical narrative: Diffuse erthymatic, rash from head to toe. Large egg size knot on right thigh.
Age: 1.3
Sex: M
Vaccine: HEP, HIBV, MMR, PNC
Symptoms: Injection site erythema, Urticaria
Clinical narrative: Hives 1 cm 5 minutes after vaccine and redness around about 5 cm diameter. Benadryl 12.5 mg PO given.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, PNC, RAB
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Immediately following HiB injection to RAT; thigh swelled, hot to touch and red. Cool moist compress applied. Pt held in office. Thirty-five minutes later swelling down and redness decreased. Pt release with instruction to continue cool compresses. Mom to phone office if any change.
Age: 1.13
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Constipation, Decreased appetite, Pyrexia, Rash, Rhinorrhoea
Clinical narrative: Decreased appetite, nasal drainage, overall rash (except legs), high fever (started 10/17/2001) and constipated. Seen by Dr. 10/25/2001 and 10/28/2001.
Age: 46.0
Sex: M
Vaccine: LYME
Symptoms: Back pain, Pain in extremity, Swelling
Clinical narrative: Pains in my left upper leg, my right foot, swelling of right index finger and back pain.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site rash, Pruritus
Clinical narrative: Pt developed red, itchy rash on and off at injection site. Per mother, the rash goes away and then comes back 1-2 wks later. Initially there was a red spot which lasted x 1 month after immunization. It went away and then a small red spot came back and spread 2 wks later.
Age: 51.0
Sex: F
Vaccine: PPV
Symptoms: Hypokinesia, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Pt developed moderate pain at injection site that woke her up 1-2 times during the night. She had difficulty raising her arm because of soreness. There was erythema about the size of a 50 cent piece, and it was warm to touch. The pain finally resolved 10/22/01.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Screaming
Clinical narrative: Pt developed excessive screaming for 48 hours following vax.
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Dyspnoea, Injection site erythema, Injection site swelling, Screaming
Clinical narrative: Pt developed screaming post vax. Her right leg became swollen and red. Mother thought pt had labored breathing as well.
Age: 0.75
Sex: M
Vaccine: HEP, IPV
Symptoms: Convulsion, Pyrexia
Clinical narrative: 10/27/2001 Parents seen with child at clinic. Parent report child had temp of 105 and seizure last night. Was taken to ER. No report avaiable. Seizure related to immunizations of viral illness.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Blister, Oral intake reduced, Oral mucosal blistering, Pyrexia
Clinical narrative: Pt developed a fever of 102 for 2 days which resolved. She developed vesicles in her mouth and on her lips, a couple of which have become pustules. She refuses to drink or eat secondary to the discomfort.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Skin ulcer, Viral infection
Clinical narrative: Mild case of varicella with skin and oral lesions 10/24/2001.
Age: 2.0
Sex: M
Vaccine: VARCEL
Symptoms: Contusion, Erythema, Oedema
Clinical narrative: Developed large amount of soft tissue swelling with surrounding erythema within minutes of injection. Central portion of swelling looked bruised. Treatment was Benadryl po, ice pack and observation.
Age: 11.0
Sex: M
Vaccine: HEP
Symptoms: Feeling hot, Injection site erythema, Oedema
Clinical narrative: Upper left arm swollen (noticible) red (size 16cm long by 8cm wide), warm to touch. Applied ice and within 30 minutes arm felt much better. Benadryl 2tsp at 6pm. Resolved within 12 hours. Mom reports younger sister hitting brother in area of shot. Afebrile.
Age: 3.0
Sex: M
Vaccine: VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Pt developed a rash and tactile fever.
Age: 25.0
Sex: M
Vaccine: HEP
Symptoms: Blood pressure increased, Dizziness, Flushing, Heart rate decreased, Nausea
Clinical narrative: Received hep B vaccine. Onset 30 minutes after injection, dizziness, nausea, face flushed and slight increase BP, decreased pulse. Checked by school nurse then ER physician. No Rx. S and S resolved. Diagnosis are adverse reaction by ER physician.
Age: 1.3
Sex: F
Vaccine: HEP, MMR, VARCEL
Symptoms: Rash papular
Clinical narrative: Pt developed a generalized rash with fine, flat papules.
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Pyrexia
Clinical narrative: The night of receiving vax, pt developed erythema and swelling at injection site. The following day, pt had fever and induration. The swelling subsided slightly with cold compresses. Pt was seen 10/26/01 and treated with oral antibiotics.
Age: 4.0
Sex: F
Vaccine: DTAP, HBPV, MMR, VARCEL, DTAP, HIBV, MMR, VARCEL
Symptoms: Herpes zoster, Infection
Clinical narrative: R thumb and thenar eminence, herpes Zoster eruption
Age: 4.0
Sex: F
Vaccine: DTAP, HBPV, MMR, VARCEL, DTAP, HIBV, MMR, VARCEL
Symptoms: Herpes zoster
Clinical narrative: R thumb and thenar eminence, herpes Zoster eruption
Age: 13.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Anaemia, Conjunctivitis, Deep vein thrombosis, Fatigue, Glomerulonephritis
Clinical narrative: Eyes sensitive to light, skin turned yellow, flu-like symptoms, loss of hair, pain in joints and cough. Now she has been dx'd with end-stage kidney failure. She is on dialysis for 12 hours per day. She has end-stage renal failure and Wegener's Granulomatosis.
Age: 13.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Immune system disorder, Malaise, Myalgia, Renal failure, Wegener's granulomatosis
Clinical narrative: Eyes sensitive to light, skin turned yellow, flu-like symptoms, loss of hair, pain in joints and cough. Now she has been dx'd with end-stage kidney failure. She is on dialysis for 12 hours per day. She has end-stage renal failure and Wegener's Granulomatosis.
Age: 13.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Alopecia, Arthralgia, Cough, Influenza like illness, Jaundice
Clinical narrative: Eyes sensitive to light, skin turned yellow, flu-like symptoms, loss of hair, pain in joints and cough. Now she has been dx'd with end-stage kidney failure. She is on dialysis for 12 hours per day. She has end-stage renal failure and Wegener's Granulomatosis.
Age: 13.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Photosensitivity reaction, Renal failure
Clinical narrative: Eyes sensitive to light, skin turned yellow, flu-like symptoms, loss of hair, pain in joints and cough. Now she has been dx'd with end-stage kidney failure. She is on dialysis for 12 hours per day. She has end-stage renal failure and Wegener's Granulomatosis.
Age: 7.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Drug ineffective, Infection, Pyrexia
Clinical narrative: Pt had Varivax injection on 3/3/98 and on 9/20/01 developed low grade fever and chickenpox. Saw doctor on 9/26/01. treated with Zovirax.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Hypersensitivity, Injection site oedema, Vasodilation procedure
Clinical narrative: Circumferential redness, edema and tenderness in left upper arm. Treatment: Oral dose of Allegra, 180mg.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Circumferential redness, edema and tenderness in left upper arm. Treatment: Oral dose of Allegra, 180mg.
Age: 11.0
Sex: F
Vaccine: DTP
Symptoms: Autism, Convulsion, Pyrexia
Clinical narrative: A consumer reported that her 11 year old daughter received a dose of DTP approx. 10 years ago. That same day, the child developed a fever and experienced convulsions. The child received no treatment for the events. The mother reported that her daughter had become autistic. The convulsions and autism were considered "Medically Important Events".
Age: 0.2
Sex: M
Vaccine: PNC, PNC
Symptoms: Antisocial behaviour, Listless, Oral intake reduced, Pyrexia, Staring
Clinical narrative: A physician reported that a 2 month old male received his 1st dose of Prevnar on 10/26/01. That same day, the infant developed a fever, decreased appetite and became listless. He was hospitalized. F/U states: The reporter stated that the symptoms resolved "about 24 hours later". F/U information received from the physician on 11/28/01, indicated that the infant also displayed a lack of eye contact and was "less interactive". The infant was treated with ampicillin and Rocephin (ceftriaxone).
Age: 0.2
Sex: M
Vaccine: PNC, PNC
Symptoms: Decreased appetite, Hypokinesia, Laboratory test abnormal, Listless, Pyrexia
Clinical narrative: A physician reported that a 2 month old male received his 1st dose of Prevnar on 10/26/01. That same day, the infant developed a fever, decreased appetite and became listless. He was hospitalized. F/U states: The reporter stated that the symptoms resolved "about 24 hours later". F/U information received from the physician on 11/28/01, indicated that the infant also displayed a lack of eye contact and was "less interactive". The infant was treated with ampicillin and Rocephin (ceftriaxone).
Age: 0.2
Sex: M
Vaccine: PNC, PNC
Symptoms: Somnolence, Staring
Clinical narrative: A physician reported that a 2 month old male received his 1st dose of Prevnar on 10/26/01. That same day, the infant developed a fever, decreased appetite and became listless. He was hospitalized. F/U states: The reporter stated that the symptoms resolved "about 24 hours later". F/U information received from the physician on 11/28/01, indicated that the infant also displayed a lack of eye contact and was "less interactive". The infant was treated with ampicillin and Rocephin (ceftriaxone).
Age: 49.0
Sex: M
Vaccine: HEP
Symptoms: Neuritis, Vertigo
Clinical narrative: Vastibular neuritis () vertigo.
Age: 10.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Swelling
Clinical narrative: Arm swollen from wrist to shoulder. Treated in hospital with IV antibiotics for cellulitis.
Age: 65.0
Sex: F
Vaccine: LYME
Symptoms: Arthralgia, Arthritis, Back pain, Neck pain, Pain
Clinical narrative: Severe back and neck pain. Severe pain in several fingers and now also in toes. Went to Chiropractor, Orthopedic and Physical Therapy. The follow up states back and neck pain. Severe pain in several fingers like arthritis.
Age: 41.0
Sex: M
Vaccine: LYME
Symptoms: Immune system disorder, Injection site pain, Nervous system disorder, Neuropathy
Clinical narrative: Soreness at injection site. Lyme symptoms rapidly worsening with neuropathies, central nervous system deficits and autoimmune disease. Recovery is ongoing.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Dehydration, Oral intake reduced, Vaccine positive rechallenge, Viral infection
Clinical narrative: Within 2 days of 2 month immunizations, baby developed poor sucking resulting in decreased intake of fluids and subsequent dehydration. He was hospitalized and treated with IV fluids. At that time, the episode was thought to be of viral etiology but had similar response after 4 month vaccines, not requiring treatment.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome, Muscular weakness, Neuropathy
Clinical narrative: GBS, onset approx. 10/30/01; currently hospitalized. Ongoing. Per doc 211932, 60 Day follow Up, GBS with rediagnosis of CIDP, also states that patient walks bu still has neuropathies and residuals. The annual follow up states, "Developed CIOP, medically on disability. Last known symptom muscular weakeness although ambulatory."
Age: 86.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain upper, Anorexia, Asthenia, Dehydration, Nausea
Clinical narrative: Vomiting, fever, achy, loss of appetite, stomach pain. Given IV's. The discharge summary states weakness, dehydration, vertigo and nausea.
Age: 86.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pyrexia, Vertigo, Vomiting
Clinical narrative: Vomiting, fever, achy, loss of appetite, stomach pain. Given IV's. The discharge summary states weakness, dehydration, vertigo and nausea.
Age: 51.0
Sex: F
Vaccine: LYME
Symptoms: Amnesia, Neuralgia, Paraesthesia
Clinical narrative: Tingling in legs, increased to shooting nerve pains in legs and also memory loss. Treated with Amoxicillin po X 6-8 weeks; IV antibiotic X 8 weeks.
Age: 70.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Loss of consciousness, Pain, Pyrexia
Clinical narrative: At 1pm the left arm was sore. By 7pm it was red and hard shoulder to elbow. Low grade temperature per wife. He drank ice water and passed out. Ambulance summoned. ER visit.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Pharyngitis, Pruritus, Rash maculo-papular
Clinical narrative: At 1000, pt feeling shaky, "different", feeling like going to fall. At 1050, lips itching, pruretic macular red areas on neck, no SOB. At 1115, scratchy throat. At 1125, scratchiness gone. At 1145, symptoms have ceased. At 1105, Sdrimedrol 125mg IV, Benadryl 25mg IV. Then Prednisone 6 tabs this afternoon, then 5,4,3,2,1.
Sex: M
Vaccine: FLU3, PPV
Symptoms: Oedema peripheral, Pain, Vasodilation procedure
Clinical narrative: Client got pneumonia shot on 10/23/2001 and right arm swelled, redness and pain.
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Generalized rash.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Insomnia, Oedema peripheral
Clinical narrative: Swollen arm 15 minutes after administration of vaccine. Bad headaches 4 days, disrupting sleep and work.
Age: 88.0
Sex: M
Vaccine: FLU3
Symptoms: Face oedema, Oedema, Pain
Clinical narrative: Pt present to clinic with facial swelling, edema and tenderness. Pt states he started with symptoms 1 hour after flu injection. Treatment consisted of tapering doses of Prednisone.
Age: 47.0
Sex: F
Vaccine: FLU3, PNC
Symptoms: Depression, Pain, Pyrexia, Swelling, Vomiting
Clinical narrative: Swelling, painful, vomited last night, chills, fever and pain under left armpit. Saw MD (states increased stress lately).
Age: 58.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Arthralgia, Asthenia, Injection site oedema, Pyrexia, Vasodilation procedure
Clinical narrative: High fever, joint aches, chills (next day), left arm edema, redness, hot to touch and edema great enough to hide elbow. One week later pt still feels tired.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia, Oedema, Pain, Vasodilation procedure
Clinical narrative: Employee received flu vaccine on 10/24/2001 at around 10am. She stated when she arrived home she felt pain, redness, swelling and aching all the way down to finger tips (dull ache). She immediately applied ice pack on and off. On 11/02/2001, complained of soreness and pain to touch on RA.
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt developed a 12 x 6 cm area of redness, swelling and warmth to touch on left arm.
Age: 41.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Hypokinesia, Pain
Clinical narrative: Extreme pain in the right arm. She couldn't move her arm for 3 days.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Tachycardia
Clinical narrative: Rapid heart rate 4.5 to 5 hours after flu vaccine. No treatment.
Age: 89.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema
Clinical narrative: Local reaction upper arm (deltoid muscle) area appeared dark red. Was given Tylenol and cold compresses.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Aggression, Agitation, Amnesia
Clinical narrative: Eight hours after Fluzone, was having a disagreement with husband, out of the ordinary, throwing things, banging hands on table, driving away without shoes, some events she did not remember doing.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia, Vasodilation procedure
Clinical narrative: Pt felt warm feet and numbness of lips and body. Treated with Benadryl only.
Age: 38.0
Sex: M
Vaccine: FLU3
Symptoms: Myalgia
Clinical narrative: Generalized myalgias, arms, shoulders, legs and elevation of liver enzymes (SGOT and SGPT).
Age: 45.0
Sex: M
Vaccine: FLU3
Symptoms: Headache
Clinical narrative: 11/01/2001 Telephone call, continued to have dull headache, back to work.
Age: 72.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pt's right upper arm was red, swollen and hot to the touch. Pneumococcal injection given in right deltoid on 10/16/01. Pain in arm started on evening of 10/16/01.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Pain, Pyrexia
Clinical narrative: Pt received vaccine around 10:30 and at approx. 16:00 that evening, she started feeling achy, possible fever and diarrhea started the following day (10/20/01).
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Cough, Dysphonia, Dyspnoea, Influenza like illness
Clinical narrative: Pt received vaccine on 10/22/01. On 10/25/01 c/o flu like symptoms, cough, hoarseness, SOB upon exertion decreased energy. Afebrile. Monitor S/S, rest. Teacher to F/U with PCO if S/S persist.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Injection site rash, Oedema
Clinical narrative: Rash to injection site painful, edematous area approx. size of half dollar coin.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling cold, Hypoaesthesia, Injection site pain, Injection site warmth, Paraesthesia
Clinical narrative: Vaccine given 10/23/01. On 10/25/01 F.A noted painful sensations of heat/cold numbness tingling in the left anterior/medial deltoid area. Has had past flu vaccines with reactions. NO local tenderness, erythema, heat or nodularity.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site induration, Pain
Clinical narrative: Pt c/o hard knot at injection site with slight soreness. No c/o redness or fever.
Age: 19.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site mass, Injection site warmth
Clinical narrative: 1st day golf ball size lump with redness and purple with warmth around area. 2nd day lump grew to soft ball size w/redness, purple and swelling. Felt Warm to touch. 2nd started on Augmentin day 3 lump size going down.
Age: 60.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Tenderness
Clinical narrative: Within hours of injection R arm sore, by 6 hrs later some what red, mildly, tender. TX - for comfort acetaminophen.
Age: 42.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Asthenia, Injection site erythema, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: Pt stated there is pain since injection and began with a "egg sized" lump at injection site. Continues with pain and R arm is swollen form shoulder down, C/O severe pain, redness and weakness.
Age: 27.0
Sex: M
Vaccine: FLU3
Symptoms: Myalgia, Pain, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Had flu vaccine administered 10/31/01 and developed sore throat, achy, temp, sore muscles axilla area L arm. 14 hrs after vaccine given.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Tooth disorder, Vision blurred
Clinical narrative: Teeth started hurting, vision blurred
Age: 1.6
Sex: F
Vaccine: FLU3, PNC
Symptoms: Injection site erythema
Clinical narrative: Lt thigh - 1/2 cm x 3cm erythema, confluent,NT area no fever. At injection site. Tx 1 - cool compress, motrin q6 hrs, f/u prn if worsens.
Age: 3.0
Sex: F
Vaccine: FLU3, PNC
Symptoms: Injection site reaction
Clinical narrative: Developed a local reaction 5cm at site of immunization.
Age: 3.0
Sex: F
Vaccine: FLU3, PNC
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 4x9cm red swollen area surrounding the area of immunization appeared the did next day.
Age: 2.0
Sex: F
Vaccine: PNC
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling, pain and erythema at injection site and in upper arm.
Age: 14.0
Sex: M
Vaccine: PNC
Symptoms: Erythema, Hypersensitivity, Pyrexia, Swelling
Clinical narrative: Localized allergic reaction with swelling, erythema, warmth, fever.
Age: 0.5
Sex: M
Vaccine: DT, DTPIPV, HIBV, PNC
Symptoms: Crying
Clinical narrative: High pitch crying for 2 days.
Age: 0.2
Sex: M
Vaccine: HIBV, IPV, PNC
Symptoms: Crying, Pyrexia
Clinical narrative: Unconsolable crying times four hours. Refusing to feed. Temperature 101.5.
Age: 0.6
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Rash, Urticaria, Vomiting
Clinical narrative: Pt developed vomiting and rash around face after a fourth IPV and fourth Prevnar were given in error. Symptoms started an hour later. Pt was taken to ER and was treated for urticaria with Benadryl and released.
Age: 1.6
Sex: F
Vaccine: DTAP, MMR, PNC
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pt developed swelling in right thigh 1 day post vax. Two days post vax lesion became red and redness, warmth, swelling and pain increased over 2 days until presentation in office.
Age: 1.2
Sex: M
Vaccine: HEP, PNC
Symptoms: Injection site induration, Irritability, Pyrexia
Clinical narrative: On 7/27/01 pt noted to have a temperature of 101.9F which lasted for 48 hours. Pt was cranky and developed a knot on the thigh that took a week to go away.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Herpes zoster
Clinical narrative: Herpes zoster on leg 7 months after immunization.
Age: 28.0
Sex: M
Vaccine: ANTH, HBPV
Symptoms: Injection site pain, Paraesthesia
Clinical narrative: One day after Anthrax shot #3, noted pain and tingling in right arm (same as shot) from axilla to IV & V fingers. Has continued off and on since then and seemed to be exacerbated by subsequent Anthrax shots, of arm. No other local reaction.
Age: 0.08
Sex: M
Vaccine: HEP
Symptoms: Erythema, Lethargy, Swelling, Tenderness
Clinical narrative: Lethargy with vomiting. Local erythema, swelling and tenderness.
Age: 24.0
Sex: F
Vaccine: HEP, IPV
Symptoms: Hyperaemia, Injection site warmth
Clinical narrative: Hyperemia of the arm and upper trunk. immununization feeling of heat: symptoms occurred after one and a half hours, after vaccination WH LPV and Hep B. Trance instructed to lay down on a bed. Benadryl 7wal im, Hydrocorizine sodium succimate 100 mg after 1 hour skim normal. Feel normal.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash morbilliform
Clinical narrative: Morbilliform rash. Temp 105
Sex: M
Vaccine: HBHEPB
Symptoms: Pyrexia, Tremor
Clinical narrative: Mother states baby started shaking about 1pm and baby trembled about 1 hour. Baby also started to be febrile. Mother instructed to bring baby in to be checked. Treatment: Tylenol monitoring no other reason for fever.
Age: 47.0
Sex: M
Vaccine: HEP
Symptoms: Arthralgia, Headache, Influenza like illness, Muscle twitching, Pyrexia
Clinical narrative: HA, fever, flu like symptoms, eye twitching, joint pain same S and S after last hep B on 09/06/2001
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Cellulitis
Clinical narrative: DTap positive reaction: 2 in by 3 in welt, which increased in size the next day. Seen at Urgent Care. Diagnosed as cellulitis. On Cefzil 250 BID for 10 days. Much improved by next day. To be reviewed after medication finished.
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: Pt developed urticaria, 24 hours, post vax.
Age: 53.0
Sex: M
Vaccine: JEV, RAB
Symptoms: Amnesia, Electroencephalogram abnormal, Hypersensitivity
Clinical narrative: About 1 hours, post vax, the pt was in an MVA (vehicle was seen to move erratically, then drive off road and down an embankment). Pt has no memory of the accident. Subsequent vaccines are being held due to concern about reaction.
Age: 18.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt developed local erythema and swelling on injection site after Varivax #2.
Age: 2.0
Sex: M
Vaccine: HBHEPB, IPV, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Pt had Varicella vaccine on 1/14/00. He was seen in the clinic on 6/12/01 for a probable chickenpox. Doctor advised Benadryl and Caladryl.
Age: 5.0
Sex: M
Vaccine: DTPHIB, MMR, VARCEL
Symptoms: Ear disorder, Infection, Pruritus, Pyrexia, Rash
Clinical narrative: On 10/19/01, the pt broke out with a rash. On 10/21/01, the pt developed a fever of 101F and itching. Rx'd with Tylenol and Amoxicillin (for Otitis).
Age: 43.0
Sex: F
Vaccine: HEPA
Symptoms: Difficulty in walking, Erythema, Hypoaesthesia, Muscle contractions involuntary, Paralysis
Clinical narrative: On 10/27/01, pt had itching on anterior left forearm and scratched. It was followed by "small, red bumps". Then the left arm and hand curled upward, elbow flexed for 1 second every second. While arm is having trouble, left leg goes numb while walking. She states she only stops when this happens and has never fallen due to this condition. The pt states she has periodic burning and that the rash only lasted 15 minutes. She states that the paralytic condition has happened 4 times in the last 15 minutes. She cannot be specific with time frames or period of times in which this condition lasts or intervals of occurrence. She has not been to see a PCP but has been strongly encouraged to do so.
Age: 43.0
Sex: F
Vaccine: HEPA
Symptoms: Pruritus, Rash
Clinical narrative: On 10/27/01, pt had itching on anterior left forearm and scratched. It was followed by "small, red bumps". Then the left arm and hand curled upward, elbow flexed for 1 second every second. While arm is having trouble, left leg goes numb while walking. She states she only stops when this happens and has never fallen due to this condition. The pt states she has periodic burning and that the rash only lasted 15 minutes. She states that the paralytic condition has happened 4 times in the last 15 minutes. She cannot be specific with time frames or period of times in which this condition lasts or intervals of occurrence. She has not been to see a PCP but has been strongly encouraged to do so.
Age: 5.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Skin ulcer
Clinical narrative: Twenty to thirty vesicular lesions noted, onset 2 days prior to exam. Exposed to chicken pox at school past several weeks. Afebrile.  Benadryl po, Aveeno bath and fluids.
Age: 14.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Convulsion, Postictal state, Syncope
Clinical narrative: The child received 1st Hep-A and Hep-B shots and felt faint and then had blood drawn. After blood was drawn the pt fainted and had a seizure. The seizure lasted 5-10 seconds and pt woke up disoriented. The child was sent to ER for further evaluation.
Age: 7.0
Sex: M
Vaccine: MMR
Symptoms: Skin ulcer
Clinical narrative: 10/15/2001 Lesions noted.
Age: 8.0
Sex: M
Vaccine: HEPA
Symptoms: Rash
Clinical narrative: Rash started about an hour after vaccine was given.
Age: 38.0
Sex: F
Vaccine: TTOX
Symptoms: Arthralgia, Myalgia
Clinical narrative: Pt has had muscle/joint aches starting about one week after tetanus booster.
Age: 56.0
Sex: F
Vaccine: TD
Symptoms: Fatigue, Oedema, Pain
Clinical narrative: Axillary node swelling, fatigue, left arm soreness; starting 3 days after vaccine lasting 1 week. Motrin and ice pack.
Age: 1.0
Sex: F
Vaccine: HIBV, IPV, MMR, VARCEL
Symptoms: Skin ulcer
Clinical narrative: Developed chicken pox lesions (few and scattered) one week after Varivax. Advised Tylenol and supportive measures.
Age: 2.0
Sex: F
Vaccine: MMR
Symptoms: Convulsion, Hypoventilation, Pallor, Pyrexia
Clinical narrative: Fever and pale, shallow breathing 30-60 minutes. Hx neonatal seizure. Parent took child to ER in Vermont, saw MD porb atypical seizure.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Agitation, Coma, Eye movement disorder, Irritability, Pallor
Clinical narrative: Vaccine administered 10/25/01. Mother reports child fussy on Thursday. Had slight fever on Friday. On Saturday child's face pale and non-responsive. Unable to arouse. Mother felt child was not breathing-began CPR. Child came to but eyes would roll back in head and then would come to again. Took to ER at Redwood Falls Hospital. By that time child aroused and crying
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Pyrexia, Respiratory arrest
Clinical narrative: Vaccine administered 10/25/01. Mother reports child fussy on Thursday. Had slight fever on Friday. On Saturday child's face pale and non-responsive. Unable to arouse. Mother felt child was not breathing-began CPR. Child came to but eyes would roll back in head and then would come to again. Took to ER at Redwood Falls Hospital. By that time child aroused and crying
Age: 1.5
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site hypersensitivity, Injection site pain, Injection site swelling
Clinical narrative: Swollen and painful shot site in left upper thigh. Local reaction to vaccine.
Age: 2.9
Sex: M
Vaccine: VARCEL
Symptoms: Pruritus, Rash pustular
Clinical narrative: Developed pustules on back and chest on 10/24/01. Very itchy, spreading, approximately 225.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Around 4:30 noticed discomfort to left forearm, swelling, redness,and warm to touch. Following morning, 10/12/01 area of redness larger, pain and temperature of 101.2 F. Seen at PCP and given antibiotics, antihistamines, and pain meds. Med administered should have been PPD for routine TB testing at place of employment.
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Cellulitis, Pyrexia
Clinical narrative: On Oct 22nd 2001 pt's mother noted pink line across left thigh. Then it became a pink spot with a high temperature of 104.5 F. Had low grade fever following day of vaccination.
Age: 12.0
Sex: F
Vaccine: HEP
Symptoms: Pyrexia, Viral infection
Clinical narrative: Mother contacted clinic stated brought child to Dr with complaint of high fever for 2 days after having shot. Temperature was 103 and consistent. Dr had blood work and urinalysis and stated was either viral or related to vaccine. Spoke with mother on 10/31/01 and she stated child's temperature was finally back to normal this AM.
Age: 1.5
Sex: M
Vaccine: VARCEL
Symptoms: Herpes zoster, Infection
Clinical narrative: Developed probable shingles on leg. No hx of natural chicken pox. History of receiving Varivax.
Age: 33.0
Sex: F
Vaccine: PPV
Symptoms: Injection site inflammation, Injection site pain, Injection site swelling, Nausea, Pain
Clinical narrative: Pt has body aches, severe nausea, vomited. Sx 3 days post administration of vaccine. Local swelling and pain, inflammatory at site of vaccine. Pt still has knot today.
Age: 33.0
Sex: F
Vaccine: PPV
Symptoms: Vomiting
Clinical narrative: Pt has body aches, severe nausea, vomited. Sx 3 days post administration of vaccine. Local swelling and pain, inflammatory at site of vaccine. Pt still has knot today.
Age: 44.0
Sex: F
Vaccine: HEP
Symptoms: Cold sweat, Hyperhidrosis, Nausea
Clinical narrative: Donor had rxn after leaving center. Felt clammy, sweaty. and nauseated.
Age: 64.0
Sex: F
Vaccine: DT
Symptoms: Bacterial infection, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Pt called on 10/30/01 with complaints of reaction at injection site. Pt stated that arm was sore the next day after I got my shot. On the 19th he saw his doctor because it was red, and warm to touch. Pt stated the Dr said I had a bacterial infection and gave an antibiotic. My arm is fine now, but I knew you would want to know The Dr asked if the nurse cleaned my arm good with alcohol. I told him she certainly did and she used a new needle and disposable syringe. I am not upset, I will continue to get my shots at the health dept. the nurse was very nice.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash erythematous, Rash maculo-papular
Clinical narrative: Less than 24 hours after injections, pt had a red rash, fever less than 100 degrees. Rash is generalized, erythematous, maculo-papular eruption.
Age: 1.25
Sex: M
Vaccine: MMR, MMR
Symptoms: Autism, Irritability, Pyrexia, Rash morbilliform
Clinical narrative: This report is concerning a pt who on 9/15/98 was vaccinated with 1 dose of MMRII. Subsequently, on an unknown date, the pt developed autism. The pt's autism was considered to be an "Other Important Medical Event". This was originally reported by a physician. Additional information has been requested.
Age: 1.25
Sex: M
Vaccine: MMR, MMR
Symptoms: Autism
Clinical narrative: This report is concerning a pt who on 9/15/98 was vaccinated with 1 dose of MMRII. Subsequently, on an unknown date, the pt developed autism. The pt's autism was considered to be an "Other Important Medical Event". This was originally reported by a physician. Additional information has been requested.
Age: 1.7
Sex: F
Vaccine: PPV
Symptoms: Bacterial infection, Otitis media
Clinical narrative: Information has been received from a literature article concerning a 33 month old female pt who, at the age of 19 months, was vaccinated with 1 dose of pneumococcal vaccine 23 polyvalent. Subsequently, the pt developed otitis media and bacteremia from sero group 12 (pneumococcal bacteremia). Eight months later, the pt developed a second episode of bacteremia with sero group 19F. It was noted that both isolates were susceptible to penicillin and ceftriaxone. The pt was not taking antimicrobial prophylaxis at the time of either infection. Upon internal review, the pt's bacteremia with sero group 12 and 19F were considered to be "Other Important Medical Events". F/U states: It was noted that this information was received from medical records of all cardiac transplant pts receiving their care at a hospital from 3/90 to 11/00 that were reviewed for cases of invasive bacterial infections caused by S. pneumonia that occurred after transplantation. The risk factors for the development of invasive pneumococcal disease included African-American race, transplantation at age less than 12 years and having idiopathic cardiomyopathy as the indication for transplantation. It was noted that the 1st infection occurred at median age of 20 months post/transplant (range 3 to 48 months). Fever over 101F was the presenting sign/symptom in 75% of cases. Other clinical presentations included pneumonia, otitis media and petechia/purpura. In 15% of episodes pts had received a course of oral antimicrobial therapy within 30 days before their invasive disease. All pts were taking immunosuppressive medications at the time of infection including cyclosporin, azathioprine, systemic corticosteroids and mycophenolate mofetil. It was also noted that 4 pts were vaccinated with 1 dose of pneumococcal vaccine 23 polyvalent and developed similar eventss (WAES01102590, 01104800, 01104801 and 01104803). No further information is available. It has been determined that WAES01104802 is a duplicate of WAES01104800. Therefore, WAES01104802 is being deleted from our files and the reports consolidated into WAES01104800.