chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, DTAPHEPBIP, HIBV, DTAPHEPBIP, HIBV
Symptoms: Anaphylactic reaction, Asthenia, Diarrhoea, Gastroenteritis, Laboratory test abnormal
Clinical narrative: A physician reported the occurrence of anaphylaxis in a 2-month-old of unspecified gender who was vaccinated with diphtheria and tetanus toxoids and acellular pertussis adsorbed, hepatitis B recombinant and inactivated poliovirus vaccine combined (Pediarix) for immunization.  The vaccine provider submitted a report directly to VAERS.  The subject had no known drug allergies.  Other medical history, concurrent conditions, and concurrent medications were not reported.  On either 05/28/2003 or 05/29/2003, the subject received the first injection of Pediarix.  The subject then received an injection of haemophilus influenzae type B conjugate vaccine (manufacturer unknown).  While the physician was preparing to administer a third vaccine, the subject "started to turn white, then blue, then purple."  The vaccine provider made a diagnosis of anaphylactic reaction and administered epinephrine.  The vaccine provider stated that the subject "almost died".  The subject was transported to the hospital by ambulance and admitted to the intensive care unit.  The infant recovered and was discharged from the hospital after an unspecified period of time.  The subject was referred to an allergist for testing.  The vaccine provider considered the anaphylactic reaction to be possibly related to Pediarix administration. The most recent info was received on 7/1/03. The vaccine provider stated that the subject was under the care of another physiican. Therefore, no further info will be available.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, DTAPHEPBIP, HIBV, DTAPHEPBIP, HIBV
Symptoms: Pallor, Pyrexia, Skin discolouration, Somnolence, Urticaria
Clinical narrative: A physician reported the occurrence of anaphylaxis in a 2-month-old of unspecified gender who was vaccinated with diphtheria and tetanus toxoids and acellular pertussis adsorbed, hepatitis B recombinant and inactivated poliovirus vaccine combined (Pediarix) for immunization.  The vaccine provider submitted a report directly to VAERS.  The subject had no known drug allergies.  Other medical history, concurrent conditions, and concurrent medications were not reported.  On either 05/28/2003 or 05/29/2003, the subject received the first injection of Pediarix.  The subject then received an injection of haemophilus influenzae type B conjugate vaccine (manufacturer unknown).  While the physician was preparing to administer a third vaccine, the subject "started to turn white, then blue, then purple."  The vaccine provider made a diagnosis of anaphylactic reaction and administered epinephrine.  The vaccine provider stated that the subject "almost died".  The subject was transported to the hospital by ambulance and admitted to the intensive care unit.  The infant recovered and was discharged from the hospital after an unspecified period of time.  The subject was referred to an allergist for testing.  The vaccine provider considered the anaphylactic reaction to be possibly related to Pediarix administration. The most recent info was received on 7/1/03. The vaccine provider stated that the subject was under the care of another physiican. Therefore, no further info will be available.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, DTAPHEPBIP, HIBV, DTAPHEPBIP, HIBV
Symptoms: Vomiting
Clinical narrative: A physician reported the occurrence of anaphylaxis in a 2-month-old of unspecified gender who was vaccinated with diphtheria and tetanus toxoids and acellular pertussis adsorbed, hepatitis B recombinant and inactivated poliovirus vaccine combined (Pediarix) for immunization.  The vaccine provider submitted a report directly to VAERS.  The subject had no known drug allergies.  Other medical history, concurrent conditions, and concurrent medications were not reported.  On either 05/28/2003 or 05/29/2003, the subject received the first injection of Pediarix.  The subject then received an injection of haemophilus influenzae type B conjugate vaccine (manufacturer unknown).  While the physician was preparing to administer a third vaccine, the subject "started to turn white, then blue, then purple."  The vaccine provider made a diagnosis of anaphylactic reaction and administered epinephrine.  The vaccine provider stated that the subject "almost died".  The subject was transported to the hospital by ambulance and admitted to the intensive care unit.  The infant recovered and was discharged from the hospital after an unspecified period of time.  The subject was referred to an allergist for testing.  The vaccine provider considered the anaphylactic reaction to be possibly related to Pediarix administration. The most recent info was received on 7/1/03. The vaccine provider stated that the subject was under the care of another physiican. Therefore, no further info will be available.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, DTAPHEPBIP, HIBV, DTAPHEPBIP, HIBV
Symptoms: Blood gases, Cyanosis, Differential white blood cell count, Full blood count, Immediate post-injection reaction
Clinical narrative: A physician reported the occurrence of anaphylaxis in a 2-month-old of unspecified gender who was vaccinated with diphtheria and tetanus toxoids and acellular pertussis adsorbed, hepatitis B recombinant and inactivated poliovirus vaccine combined (Pediarix) for immunization.  The vaccine provider submitted a report directly to VAERS.  The subject had no known drug allergies.  Other medical history, concurrent conditions, and concurrent medications were not reported.  On either 05/28/2003 or 05/29/2003, the subject received the first injection of Pediarix.  The subject then received an injection of haemophilus influenzae type B conjugate vaccine (manufacturer unknown).  While the physician was preparing to administer a third vaccine, the subject "started to turn white, then blue, then purple."  The vaccine provider made a diagnosis of anaphylactic reaction and administered epinephrine.  The vaccine provider stated that the subject "almost died".  The subject was transported to the hospital by ambulance and admitted to the intensive care unit.  The infant recovered and was discharged from the hospital after an unspecified period of time.  The subject was referred to an allergist for testing.  The vaccine provider considered the anaphylactic reaction to be possibly related to Pediarix administration. The most recent info was received on 7/1/03. The vaccine provider stated that the subject was under the care of another physiican. Therefore, no further info will be available.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, DTAPHEPBIP, HIBV, DTAPHEPBIP, HIBV
Symptoms: Injection site discolouration, Intensive care, Metabolic function test, Pallor, Skin discolouration
Clinical narrative: A physician reported the occurrence of anaphylaxis in a 2-month-old of unspecified gender who was vaccinated with diphtheria and tetanus toxoids and acellular pertussis adsorbed, hepatitis B recombinant and inactivated poliovirus vaccine combined (Pediarix) for immunization.  The vaccine provider submitted a report directly to VAERS.  The subject had no known drug allergies.  Other medical history, concurrent conditions, and concurrent medications were not reported.  On either 05/28/2003 or 05/29/2003, the subject received the first injection of Pediarix.  The subject then received an injection of haemophilus influenzae type B conjugate vaccine (manufacturer unknown).  While the physician was preparing to administer a third vaccine, the subject "started to turn white, then blue, then purple."  The vaccine provider made a diagnosis of anaphylactic reaction and administered epinephrine.  The vaccine provider stated that the subject "almost died".  The subject was transported to the hospital by ambulance and admitted to the intensive care unit.  The infant recovered and was discharged from the hospital after an unspecified period of time.  The subject was referred to an allergist for testing.  The vaccine provider considered the anaphylactic reaction to be possibly related to Pediarix administration. The most recent info was received on 7/1/03. The vaccine provider stated that the subject was under the care of another physiican. Therefore, no further info will be available.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, DTAPHEPBIP, HIBV, DTAPHEPBIP, HIBV
Symptoms: Anaphylactic reaction
Clinical narrative: A physician reported the occurrence of anaphylaxis in a 2-month-old of unspecified gender who was vaccinated with diphtheria and tetanus toxoids and acellular pertussis adsorbed, hepatitis B recombinant and inactivated poliovirus vaccine combined (Pediarix) for immunization.  The vaccine provider submitted a report directly to VAERS.  The subject had no known drug allergies.  Other medical history, concurrent conditions, and concurrent medications were not reported.  On either 05/28/2003 or 05/29/2003, the subject received the first injection of Pediarix.  The subject then received an injection of haemophilus influenzae type B conjugate vaccine (manufacturer unknown).  While the physician was preparing to administer a third vaccine, the subject "started to turn white, then blue, then purple."  The vaccine provider made a diagnosis of anaphylactic reaction and administered epinephrine.  The vaccine provider stated that the subject "almost died".  The subject was transported to the hospital by ambulance and admitted to the intensive care unit.  The infant recovered and was discharged from the hospital after an unspecified period of time.  The subject was referred to an allergist for testing.  The vaccine provider considered the anaphylactic reaction to be possibly related to Pediarix administration. The most recent info was received on 7/1/03. The vaccine provider stated that the subject was under the care of another physiican. Therefore, no further info will be available.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Dehydration, Lethargy, Vomiting projectile
Clinical narrative: 15 minutes after vaccination, profuse projectiile vomiting and lethargy. Admitted for observation and IV fluids. No medications needed. Resolved all symptoms in 3 hours. Patient was treated at ER after reaction began. Medical record states dehydration. It was noted that pt had an "adverse reaction to immunizations." Pt was in hospital 7-8 hrs only.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Injection site mass, Injection site reaction, Injection site warmth, Oedema
Clinical narrative: This report describes the occurrence of an injection site reaction in a 5-year-old female who was vaccinated with diphtheria and tetanus toxoids and acellular pertussis adsorbed, hepatitis B (recombinant) and inactivated poliovirus vaccine combined (Pediarix) for prophylaxis.  The subject's medical history, concurrent conditions, and concurrent medications were not reported.  On 04/04/2003, the subject received an injection of Pediarix, which is not indicated for use as the booster dose in DTPa immunization series.  "Almost immediately", the subject developed an injection site reaction characterized by swelling and a "knot the size of a tennis ball", which was "very hot" to the touch.  The subject was seen by her physician.  As of 04/10/2003, the swelling had "gone down some".
Age: 1.5
Sex: F
Vaccine: MMR
Symptoms: Dyspnoea, Rash
Clinical narrative: Information has been received from a licensed practical nurse concerning a currently 21 year old female patient who has an allergy to eggs and with a history of an allergic reaction when she was a child. When the patient was 18 months old she was vaccinated IM with a dose of MMR (second generation) (lot # not reported). Within one hour of receiving the vaccine the patient developed a severe rash and could not breathe (also reported as difficulty breathing). The patient was seen in the emergency room but was not admitted. She was sent home the same day with a lot of medications. It was not known what she was treated with. It was reported that the patient was now married and wanted to start a family. Lab evaluation revealed that her measles titer came back negative. Her physician requested that the patient receive a dose of MMR (second generation). It was reported that the patient was afraid to get since she is allergic to eggs and had allergic reaction when she was a child. Upon internal review, could not breathe was determined to be an other important medical event (OMIC). Additional information  has been requested.
Age: 1.08
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Rash
Clinical narrative: On Sunday, June 22 child became ill. On Monday June 23 and Tuesday June 24 pt had a fever of 100.5. Pt started with rash on Thursday June 26. Pt was seen by private physician on June 27 and diagnosed with adverse event to MMR vaccine.
Age: 49.0
Sex: M
Vaccine: TD, TTOX
Symptoms: Muscular weakness, Pain
Clinical narrative: Right arm pain. Muscle wasting right bicep right deltoid. Weakness right biceps right deltoid right supmator/pronutis.
Age: 49.0
Sex: M
Vaccine: TD, TTOX
Symptoms: Asthenia, Hypoaesthesia, Joint range of motion decreased, Pain, Paraesthesia
Clinical narrative: Right arm pain. Muscle wasting right bicep right deltoid. Weakness right biceps right deltoid right supmator/pronutis.
Age: 1.0
Sex: M
Vaccine: HIBV, PNC
Symptoms: Injection site erythema, Injection site oedema, Pain
Clinical narrative: Child had marked swelling and tenderness of right upper leg (firm and slightly red).
Age: 2.2
Sex: F
Vaccine: DTAPHEPBIP, VARCEL
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Right deltoid area red, swollen, and warm to touch. Cool compresses.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Pyrexia
Clinical narrative: IPV given right deltoid IM. Small bandaid applied. Child developed small blisters at site. Had elevated temp to 102.7 at night on Tues (7/8/03). 7/13: 101.3. 7/14 - temp 98.3.
Sex: M
Vaccine: VARCEL
Symptoms: Infection, Otitis media
Clinical narrative: 2nd breakthrough VZV complicated with otitis media.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, IPV
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Right arm noted swelling and warm to touch, reddened. Able to move but slight pain. Ibuprofen every 6 hours and ice pack to arm.
Age: 1.0
Sex: M
Vaccine: IPV, PNC, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Large (about 4 cm round) red, firm to area developed over injection site 2 weeks after injection (right thigh).
Age: 0.6
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Agitation, Irritability, Pyrexia
Clinical narrative: Cried himself to sleep after shot, slept for 2 hour and woke very cranky and fussy, alternated with Tylenol and Motrin for 5 days, cranky until 6/25. Had temp 2-3 days (over 100). Would grab at right leg often until 6/25 - still occasionally hold right thigh especially when he is in his jumper.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Infection
Clinical narrative: Chicken pox like rash - occurred 2 weeks after shots. Strongly resembles. On penneal area and spreading to truck and back.
Age: 2.0
Sex: F
Vaccine: DTAP, HBHEPB, IPV, MMR
Symptoms: Cellulitis, Feeling hot, Injection site erythema, Injection site oedema, Pain
Clinical narrative: Cellulitis of anterior thigh with swelling erythema, tenderness and warmth. Treated with Keflex.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Red swollen firm spot approx 3 cm anterior right thigh. Tx - compresses.
Age: 6.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Pain
Clinical narrative: Rule out cellulitis with pain, redness, swelling over right anterior thigh. Treated with Keflex.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema
Clinical narrative: Left arm redness.
Age: 56.0
Sex: F
Vaccine: HEP, MMR, TTOX
Symptoms: Headache, Rash, Vision blurred
Clinical narrative: Approx 2 weeks after receiving vaccines, pt woke up with severe headache and blurred vision and constant headache since then worse in left eye. Also began with fine pinpoint rash on upper chest, right shoulder and left lower arm just above wrist. Pt has been seen by an opthalmologist and also specialist. Pt had CAT scan recently and is scheduled for a MRI next week. Rash previously mentioned has almost faded. Advised pt to get permission from doctor re receiving next 2 doses of vaccine (Hep B #2 and MMR #2).
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Pain, Pyrexia
Clinical narrative: Redness in area whole left upper arm with swelling, fever, painful at site.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: Erythema to injection site.
Age: 13.0
Sex: M
Vaccine: HEP, TD
Symptoms: Fall, Malaise, Syncope vasovagal, Urinary incontinence
Clinical narrative: Health nurse gave immunization at school.  Student received Hep B #1, and Td vaccine.  Sent to snack area for snack and 10 minute wait.  Student reported "he didn't feel well", stood from sitting position and fell.  hoC brief, lost bladder control.  Chipped tooth in fall.
Age: 3.5
Sex: M
Vaccine: MMR
Symptoms: Erythema, Oedema, Rash pruritic, Urticaria, Vomiting
Clinical narrative: Vomiting forceful x 10 minutes beginning <1 minute after shot, then red rash with hives then had/foot/face swelling and itching all over.
Age: 59.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site oedema, Injection site vesicles
Clinical narrative: Localized swelling, redness and blistering at immunization site.  Now with scar/keloid formation 1/2cm in length.
Age: 0.4
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Contusion, Crying
Clinical narrative: Patient presented to triage at 16:15.  Patient crying-large 4 x 5 cm bruise left thigh.  Continue over the counter medication and T #3 immunization received in AM.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Febrile convulsion, Pneumonia
Clinical narrative: Vaccine administered 07/09/2003; Febrile Seizure 07/13/2003; Diagnosis of Pneumonia 07/13/2003; Child recovered well without symptoms of illness.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Oedema, Pain
Clinical narrative: Swelling and pain at left upper arm/deltoid with mild cellulitis 2 hours to immunizations received 07/09/2003.
Age: 5.2
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Arthralgia, Myalgia, Pyrexia
Clinical narrative: Fever 103, Myalgia and arthralgia ~18 hours post vaccinations with DTaP, IPV & MMR.  Examined 24 hours after shots, no focal findings.
Age: 42.0
Sex: M
Vaccine: HEP, IPV, TD
Symptoms: Fatigue, Pain, Pyrexia
Clinical narrative: Fatigue, body aches, temperature.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Cough, Erythema, Feeling hot, Oedema, Pruritus
Clinical narrative: Local: Upper arm, swelling, redness, warmth, itchy 48 hours after injection. System: Cough/wheeze starting 4 hours after shot.   Gave Benadryl/albuterol aerosol.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Wheezing
Clinical narrative: Local: Upper arm, swelling, redness, warmth, itchy 48 hours after injection. System: Cough/wheeze starting 4 hours after shot.   Gave Benadryl/albuterol aerosol.
Age: 54.0
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: Low grade fever, Left upper extremity (+) warm/red/swollen around injection site.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Pruritus, Respiratory distress, Urticaria
Clinical narrative: Received immunizations x 4. Stayed 20-30 minutes - no problem.  Patient was home and 30-110 minutes after vaccines, started itching and scratching.  Developed whelps and when arrived in ER was having respiratory difficulty.  Treatment in ER are with an IV, Cortisone, and Benadryl.  Discharged 2 hours after indicent.  Benadryl every 6 hours, prednisone for 3 days.  Mom notified CIS 07/18/2003 at about 12 noon of the problems. A follow up report received 8/26/2003 adds: Made phone call to the pt's residence, spoke with pt's father to inquire as to how many days the rash lasted. He stated the rash lasted only one day. And his son is doing just fine. I told father to please check with their doctor about the next dose of Hep A, as to whether or not to take it.
Age: 3.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site induration, Oedema, Pain, Pruritus, Rash erythematous
Clinical narrative: Right arm below elbow was swollen, firm, raised, warm to touch.  Patient complained of pain and itching in area.  Arm extremely reddened in color.
Age: 3.0
Sex: F
Vaccine: TTOX
Symptoms: Erythema, Feeling hot, Injection site induration, Injection site pain, Oedema
Clinical narrative: Area reddened x 1/5 to 2 in in diameter.  Warm to touch and very swollen.  Area hard and tender.
Age: 10.0
Sex: M
Vaccine: TTOX
Symptoms: Feeling hot, Hypersensitivity, Injection site mass
Clinical narrative: Reaction was 4 mm with whitesh head-raised.  Has been warm to touch and area was knotted.
Age: 1.3
Sex: M
Vaccine: DTAP, MMR, PNC
Symptoms: Pyrexia, Rash macular, Rash papular, Skin ulcer
Clinical narrative: Rash-scattered macular/papular lesions; Fever (max 103);
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Redness, swelling at injection site 12 x 16 cm.  Treatment: Ice packs, Tylenol as needed.
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Pyrexia
Clinical narrative: This report describes the occurrence of fever in a female child of unspecified age who was vaccinated with diphtheria and tetanus toxoids and acellular pertussis adsorbed, hepatitis B recombinant and inactivated poliovirus vaccine combined (Pediarix) for prophylaxis.  This report was received from the subjects' father and has not been verified by a physician or other healthcare professional.  The subject's medical history, concurrent conditions, and concurrent medications were not reported.  On an unspecified date, the subject received an injection of Pediarix; the number of previous injections of Pediarix was not reported.  At an unspecified time post-immunization, the subject reportedly developed a "high" fever.  Treatment and outcome of the event were not reported.  The subject's father declined to provide additional information and declined to grant authorization to contact the subject's physician.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Laboratory test abnormal
Clinical narrative: This case was reported by a pharmacist and described the occurrence of increased white blood cell count in a 2 month old female patient who received diphtheria and tetanus toxoids and acellular pertussis adsorbed, hepatitis B recombinant and inactivated poliovirus vaccine combined (Pediarix) for prophylaxis.  The patient's past medical history included gastroesophageal reflux disorder.  Concurrent medications included Zantac.  On 05/12/2003 the patient received the 1st dose of pediarix.  One day post-immunization, on 05/13/2003, the patient experienced increased white blood cell and band neutrophil counts.  The patient was seen by a physician.  The outcome of the events is unknown.
Sex: U
Vaccine: DTAPHEPBIP
Symptoms: Pyrexia
Clinical narrative: This case was reported by a physician and described the occurrence of fever in a patient who received diphtheria and tetanus toxoids and acellular pertussis adsorbed, hepatitis B recombinant and inactivated poliovirus vaccine combined (Pediarix) for prophylaxis.  On 06/10/2003 the patient received an injection of Pediarix.  Later that day, at an unspecified time post-immunization, the patient experienced a "high fever."  The outcome of the event is unknown.
Age: 46.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Coronary artery disease, Myocardial infarction
Clinical narrative: Patient received Smallpox vaccine on March 04 2003.  He was deployed on April 25 had an episode of exertional chest pain.  He was evacuated from theater back home.  He underwent two angiocatheterizations, with angioplasty and two stent placements.  His primary diagnosis was Coronary Artery Disease, with a possible mild AMI.
Age: 53.0
Sex: F
Vaccine: TD
Symptoms: Asthenia, Hypoaesthesia, Injection site haemorrhage, Insomnia, Pain
Clinical narrative: Pt began to develop pain and "tightness" in left shoulder & neck 2 days following vaccination and had ecchymosis at vaccination site.  Pain progressively worsened over following weeks finally prompting return OV this past week X 2.  Pt now complains of severe pain in left upper extremity/neck/shoulder which is resistant to OTC pain remedies, Flexeril, and Tylenol #3.  Pt returned 7/19/03 after OV on 7/17/03 with interim phone call to on call physician.  Pt now complains of intermittent forearm numbness on the left and weakness in left upper extremity.  Pain is debilitating patient, and she is unable to sleep.  Pt was started on Prednisone and narcotic pain meds on 7/19/03.
Age: 53.0
Sex: F
Vaccine: TD
Symptoms: Shoulder pain
Clinical narrative: Pt began to develop pain and "tightness" in left shoulder & neck 2 days following vaccination and had ecchymosis at vaccination site.  Pain progressively worsened over following weeks finally prompting return OV this past week X 2.  Pt now complains of severe pain in left upper extremity/neck/shoulder which is resistant to OTC pain remedies, Flexeril, and Tylenol #3.  Pt returned 7/19/03 after OV on 7/17/03 with interim phone call to on call physician.  Pt now complains of intermittent forearm numbness on the left and weakness in left upper extremity.  Pain is debilitating patient, and she is unable to sleep.  Pt was started on Prednisone and narcotic pain meds on 7/19/03.
Age: 39.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site pustule, Injection site reaction, Pruritus
Clinical narrative: skin lesion at the samllpox vaccination site scab seperation.  Patient had a robust take.  Initial scab separation @28 days, 1-2 wk scab separation the cycle started again with pustule, itching etc.  2nd scab separated  2 wks after pustule and on 6/18/03 pustule formed again this time no scab formation.
Age: 28.0
Sex: F
Vaccine: MMR
Symptoms: Lymphadenopathy, Pruritus, Rash maculo-papular
Clinical narrative: 10 days after I received the vaccine I present a  maculopapular rash that begins in my face and spread to my neck and chest in 24 hours after appears, the itching increase after sun exposure. Also I notice a retroauricular adenopathy retroauricular left ear. No fever no malaise, pain 3/10 intensity, right elbow.
Age: 9.0
Sex: M
Vaccine: YF
Symptoms: Arthralgia, Asthenia, Convulsion, Jaundice, Myalgia
Clinical narrative: A 9y/o boy got YF vaccine to travel to YF endemic area. He traveled to YF endemic areat either July 8 or July 9 until July 12. He presented to clinic on July 13 with fever 39.5, asthenia, vomiting, myalgia, arthalgia. Weak, febile, icteric sclera on exam in clinic. Had generalized tonic clonic seizure in clinic. Responded well to anticonvulsants. Hospitalized. Still in the hospital. Working diagnosis: dengue hemorrhagic fever by tourniquet test. Question as to whether adverse event is due to vaccine and whether or not this is dengue.
Age: 9.0
Sex: M
Vaccine: YF
Symptoms: Pyrexia, Vomiting
Clinical narrative: A 9y/o boy got YF vaccine to travel to YF endemic area. He traveled to YF endemic areat either July 8 or July 9 until July 12. He presented to clinic on July 13 with fever 39.5, asthenia, vomiting, myalgia, arthalgia. Weak, febile, icteric sclera on exam in clinic. Had generalized tonic clonic seizure in clinic. Responded well to anticonvulsants. Hospitalized. Still in the hospital. Working diagnosis: dengue hemorrhagic fever by tourniquet test. Question as to whether adverse event is due to vaccine and whether or not this is dengue.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Irritability
Clinical narrative: Ldeltoid and below red and warm to touch  Bruised area size of half dollar.  Child fussy and crying.  Mother has to hold child while nurse examed L arm.  Instructed to apply warm compresses to arm no improvement see the doctor.
Age: 41.0
Sex: M
Vaccine: ANTH, YF
Symptoms: Pain, Pyrexia, Weight decreased
Clinical narrative: Intermittent fever/chills, lasting about 1 day, starting 2 days after vaccination. Ongoing bilateral knee/hands, neck and shoulder pain. 15 pound weight loss between Dec 2002-May 2003. Short Prednisone course Feb and June 2003 with dramatic improvement.
Age: 27.0
Sex: F
Vaccine: ANTH
Symptoms: Erythema, Erythema multiforme, Pruritus, Rash maculo-papular, Skin exfoliation
Clinical narrative: Anthrax vaccine administerd 3/27/03.  Macular papular rash develop 3/29/03 on trunk, face and extremities.  Patient returned 4/7/03 with c/o erythema and severe itching on entire trunk and extremities. Also presented with flaking and peeling of skin at site of anthrax vaccination.  Patient referred to dermatology that day to r/o erythema multiforme.
Age: 58.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site pain, Injection site reaction, Injection site swelling, Paraesthesia, Pruritus
Clinical narrative: Day 23(post IZ) scab detached leaving a flat raw area at site. Day 30,10 mm site area became swollen, tingly and itchy with 3-4 pinpoint yellow spots visable. Some sorenes with pressure. There was no drainage.  Another scab developed and then detached 9 weeks post IZ.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Redness, swelling at site of injection in left leg beginning 4 days after vaccination, today had 3 cm induration, 1 cm erythema with white drainage
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Difficulty in walking, Pain, Rash erythematous, Swelling
Clinical narrative: Received DTaP and IPV IM in RT Thigh on July 16, 2003 at 11:50am. Mother stated that child complained of leg hurting the am of July 18th. Child was seen 7:30pm July 18th as parents had noticed swelling of rt thigh and knee with a red raised rash. Child complained of pain with walking.
Age: 27.0
Sex: F
Vaccine: MU
Symptoms: Foetal disorder
Clinical narrative: Information has been received from a 27 year old pregnant female (LMP date 7/2/01) with no past medical history and no allergies who, four weeks after her last menstrual period, on 8/1/01 was vaccinated with a dose of mumps virus vaccine live. There was no concomitant medication. The pt sought unspecified medical attention. Follow up info was received from a physician's office. The reporter indicated that the pt had no previous pregnancies and that medication taken by the pt during the current pregnancy included unspecified vitamins. The pt had an ultrasound performed during the pregnancy, but no results were reported. It was reported that the pt did not have any infections or illnesses during the pregnancy, nor did she take any prescription drugs during the pregnancy. It was reported that the pt delivered a normal live born male infant on 4/17/02, weighing 8 pounds 5 ounces. It was noted that the infant had a congenital anomaly of pyloric stenosis but that there were no other complications. Additional info has been requested.  A 15-day follow up report received 7/29/2003 adds: Additional info is not expected.
Age: 41.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Joint stiffness, Pyrexia
Clinical narrative: Fever/chills (for 1-2 days) 2 days after vaccinations. Ongoing knee/hand (bilateral) and posterior neck stiffness of intermittent severity.
Age: 41.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Arthralgia, Asthenia, Gait disturbance, Pyrexia
Clinical narrative: 11/22/2002 noted hand/knee joint pain with decreased strength and limping from the above. 1-2 days fever/chills following vaccination, treated with Ibuprofen.
Age: 41.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Injection site mass, Rheumatoid arthritis
Clinical narrative: 11/22/2002 noted hand/knee joint pain with decreased strength and limping from the above. 1-2 days fever/chills following vaccination, treated with Ibuprofen.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Unevaluable event
Clinical narrative: Pt given 4th shot in series 15 days prior to due date.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Unevaluable event
Clinical narrative: Pt given 4th shot in series 15 days prior to due date. A follow up report received 8/12/2003 adds: No adverse event. Verification of vaccination given out of sequence.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Crying, Pyrexia, Screaming
Clinical narrative: After receiving immunizations on 6/5/03, infant had fever of 102.5 degrees rectally. Mother gave Pedicies at home. Infant cried for more than 3 hours, went to ER. ER drew labs, monitored infant for 7 hours. Discharged home 6/6/03.
Age: 24.0
Sex: M
Vaccine: HEP
Symptoms: Chest pain, Dyspnoea
Clinical narrative: Complaints of shortness of breath and intermittent "shooting" pain to anterior midsternal chest for approximately 10 minutes. Symptoms began approximately 30 minutes after receiving Hepatitis B vaccine.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Pt presented for PPD reading on 7/11/03 at 11:00 AM, PPD negative, however left and right arm redness and swelling noted at vaccination sites. Also, hard red area 4 x 3 cm noted beneath DTaP site on left arm which appeared to be infected. Afebrile. Referred to ER for evaluation.
Age: 47.0
Sex: F
Vaccine: LYME
Symptoms: Arthritis, Infection, Joint swelling, Myalgia, Pain
Clinical narrative: A follow up report received 8/14/03 adds: Diagnosed with Lyme disease 8/02 after receiving a full series of Lymerix with titres of 60-70%. Symptoms arthritis and swelling of knees. Lymerix dose #1 6/8/99 Lot #LY123B9. Lymerix dose #2 7/7/99. The medical records state myalgias, knee pain, and lyme disease. As the Lyme disease was diagnosed after all three vaccinations, this might be considered a vaccine failure. However notes found later in the medical records indicate 2 specialists' opinions that the pt had not actually had Lyme disease.  Follow up on 10/16/2003: "Vaccine recipient did not recovere from adverse events.  Same as I reported to you in writing in 07/2003 (3 months ago!).
Age: 3.9
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site oedema
Clinical narrative: Marked swelling area of vaccination plus all of deltoid area.
Age: 17.0
Sex: M
Vaccine: HEP, TD
Symptoms: Injection site erythema, Pain, Pruritus
Clinical narrative: Pt presented with 6 day history of redness, itchiness and tenderness to right upper arm. Presented to clinic 5/12/03 today. Given Benadryl by mouth with relief.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site oedema, Injection site vesicles, Pain
Clinical narrative: Mom reports child's arm is very tight, swollen from shoulder to elbow, with small blisters. Child is afebrile and complains of arm hurting. Advised to see MD or go to ER.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Erythema, Pyrexia, Rash
Clinical narrative: Mother called 7/10/03 states child started with fever PM of 7/9/03. On 7/10/03 AM noticed red spots/bumps - possible rash. Advised increased fluids, Tylenol, Benadryl as prescribed if no resolution in 1-3 days return to office. 7/14/03 Spoke with Mom - no further problems.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Left arm became bright red, hot and hard from shoulder to elbow. Reaction began 2 days after shot was given.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Pruritus, Pyrexia
Clinical narrative: Onset 7/10 4 PM - itching, swollen, hot, red arm. Fever 100.6. Seen in ER on advice of pediatrician, no treatment, exam only. Mom giving Tylenol and Benadryl. 7/15 residual redness decreasing.
Age: 14.0
Sex: M
Vaccine: HEPA, MMR, TD
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Pain
Clinical narrative: Td given right deltoid IM on 7/1/03. Returned to clinic on 7/3 with erythema over deltoid, increased warmth and minor swelling. Tender over muscle. Provider note says cellulitis vs myositis vs allergy. Treated with Diphorhydramine 25 mg po every 6 hours and Cephalexin 500 mg tid for 10 days.
Age: 22.0
Sex: M
Vaccine: TD
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Td given right deltoid IM on 7/1/03. Returned to clinic on 7/3 with redness, swelling and warmth to right deltoid. No tenderness, no fever. Provider charted myositis vs allergy. Treated with cephalexin 500 mg tid for 10 days, Diphenhydramenol 25 mg po every 6 hours. Instructed to go the Peds Urgent Care for follow up 7/4 or sooner if needed.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Pain, Pruritus
Clinical narrative: Site warm to touch, slightly tender, itchy.
Age: 4.0
Sex: F
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Pruritus
Clinical narrative: Vaccines 7/1/03 pt showed mother 7/3/03 - redness, itching and swelling at shot sites; left upper arm 7 x 9 cm, right upper arm 2 x 2 cm - erythema with slight induration, warm, blanching, non-tender, itching. Benadryl/hydrocortisone resolving by one week.
Age: 22.0
Sex: F
Vaccine: HEPA, IPV, TYP
Symptoms: Urticaria
Clinical narrative: Pt reported hives after vaccines on 7/9/03. Pt reported hives after yellow fever vaccine on 7/10/03.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Dyspnoea
Clinical narrative: Child received IPV/DTaP/MMR in clinic. Developed "breathing problems" approximately 45 minutes after vaccines (while on bus). Taken to ER where oxygen was administered - no additional interventions reported - then discharged home. No repeat events.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Screaming
Clinical narrative: Approximately 4 hours after injection, child was crying and irritable for approximately 24 hours.  then back to normal.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Injection site induration, Oedema
Clinical narrative: 4 hours following IM injection of vaccine developed redness and swelling of left thigh with induration DTaP given in that thigh.
Age: 1.0
Sex: F
Vaccine: HBHEPB, PNC, VARCEL
Symptoms: Pyrexia
Clinical narrative: Fever
Age: 40.0
Sex: M
Vaccine: HEP
Symptoms: Chest discomfort, Erythema, Myalgia
Clinical narrative: Soreness in arm for 2 days.  Redness in area.  Slight tightness in chest.  No medical treatment needed.  Patient did not report reaction till reported for titer.  patient has referred titer.
Age: 0.6
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema, Injection site pain, Oedema
Clinical narrative: Prevnar and Hib were administered right thigh (injected separately) with resulting 2.5 cm area of erythema, swelling and apparent tenderness.  Resolved.
Age: 1.1
Sex: F
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Injection site swelling
Clinical narrative: Child was given Varicella SQ & immediately developed 6mm raised area on right leg at injection site.
Age: 1.0
Sex: M
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Pyrexia
Clinical narrative: Mother notified agency 07/15/2003 that son has had fever 07/09 thru 07/15 spikes at 104.5, this AM (07/15/2003) no rash, no vomiting, diarrhea.  Denies other symptoms.  Could not specify fever.
Age: 1.4
Sex: M
Vaccine: HIBV, MMR, PNC
Symptoms: Erythema, Injection site induration, Injection site warmth
Clinical narrative: Received HIB & PCV 7 in left thigh on 07/14/2003.  Woke up this AM left thigh 2 1/4 x 1/5 erythema, hard, hot to touch.
Age: 15.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Oedema, Pain
Clinical narrative: Left deltoid arm area red and swollen, painful to touch.  No fever.  Varicella immunization given 06/25/2003.  Warm to touch.
Age: 1.6
Sex: F
Vaccine: PNC
Symptoms: Urticaria
Clinical narrative: Child broke out in hives.
Age: 0.6
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site inflammation, Injection site oedema
Clinical narrative: Local inflammation and swelling at immunization site.
Age: 29.0
Sex: F
Vaccine: MMR
Symptoms: Aphasia, Pain, Pain in jaw
Clinical narrative: 20 minutes after vaccination, patient became achey, experienced jaw tightness and difficulty speaking.  Her speech was hesitant and she had trouble forming words.  Patient also on effexor and topanax since 06/10/2003, which may have been responsible or contributed to the reaction.  Exam normal.
Age: 1.0
Sex: M
Vaccine: MMR, PPV, VARCEL, MMR, PNC, VARCEL
Symptoms: Diarrhoea, Hypersensitivity, Otitis media, Respiratory tract infection
Clinical narrative: Child would fall sleep and it was hard to wake him up.  When awoke, he would scream and fall asleep again.  "Bumps on mid torso section (back, chest, genital area, underarms), ear infection, respiratory infection.  Next day had throat infection, diarrhea.  Throat still hoarse.
Age: 1.0
Sex: M
Vaccine: MMR, PPV, VARCEL, MMR, PNC, VARCEL
Symptoms: Irritability, Pharyngolaryngeal pain, Pyrexia, Respiratory distress, Wheezing
Clinical narrative: Child would fall sleep and it was hard to wake him up.  When awoke, he would scream and fall asleep again.  "Bumps on mid torso section (back, chest, genital area, underarms), ear infection, respiratory infection.  Next day had throat infection, diarrhea.  Throat still hoarse.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Received injections on morning of 07/17/2003.  Afternoon of 07/18/2003, childs left arm, red, swollen, hot and hard to touch.  Encourage motrin/tylenol for pain.  Apply ice to effect area.  Call Pediatrician.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site oedema
Clinical narrative: Swollen and warm area around the site area.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Left deltoid red, tender, hot to touch
Age: 14.0
Sex: M
Vaccine: HEPA, TTOX, VARCEL, HEPA, TD, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Left outer deltoid, red, hot, swollen, area sore, painful to touch.  No fever.  Received Varicella given on 06/25/2003.
Age: 14.0
Sex: M
Vaccine: HEPA, TTOX, VARCEL, HEPA, TD, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pain
Clinical narrative: Left outer deltoid, red, hot, swollen, area sore, painful to touch.  No fever.  Received Varicella given on 06/25/2003.
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Rash macular
Clinical narrative: Right deltoid: red, swollen, warm to touch, blotchy, non-tender, red/swollen 7.5 cm x 10.5.  Prescribed: Amoxil 250mg, Benadryl 1 teaspoon every 4-6 hours.
Age: 0.7
Sex: M
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Irritability, Pyrexia
Clinical narrative: Right thigh swollen, red, hot to touch, DTaP 3rd dose, given at this sight.  Child irritable, fever (102), child eat well, mother states child fine otherwise.
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Erythema, Feeling hot, Injection site induration, Oedema
Clinical narrative: Left thigh red, swollen, hard and hot.  child gets irritable at times.  child had fever wednesday only.
Age: 1.08
Sex: M
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Convulsion, Pyrexia
Clinical narrative: Pt had a fever, then a single seizure same day as immunizations. Fever lasted 4 days-white count done 6/4/03-was normal.
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Dyspnoea, Electrocardiogram abnormal, Enzyme abnormality, Hyperhidrosis
Clinical narrative: Beginning day 5-7s/p vaccination - muscle ache in his neck, felt feverish, and had cold sweats à 10 days post vaccination -chest pain and shortness of breath
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Myalgia, Pyrexia
Clinical narrative: Beginning day 5-7s/p vaccination - muscle ache in his neck, felt feverish, and had cold sweats à 10 days post vaccination -chest pain and shortness of breath
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Chills, Fatigue, Injection site erythema, Pain, Rash vesicular
Clinical narrative: 3 CM AREA OF ERYTHEMA AROUND INJECTION SITE, WITH MULTI VESICLES DISTAL TO SITE, PROB SELF INCULATION. BODY ACHES, CHILLS, FATIGUE.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: RED, SWOLLEN AREA. TREATMENT OF AUGMENTIN 600 ES.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Dyspnoea, Laboratory test abnormal
Clinical narrative: 7 day s/p vaccination sudden onset of chest pain and dyspnea, denies N/V, diaphoresis or syncopy = myopericarditis
Age: 1.0
Sex: F
Vaccine: DTAP, HEP, MMR, PNC, VARCEL
Symptoms: Erythema, Injection site warmth, Irritability, Swelling
Clinical narrative: "By the time we got home from the health department her left leg was red and swelling.  About 5 pm, left leg began swelling and truning red about 10-15 minutes after getting shot.  It was red, swollen and hot over the weekend. Child was fussy and irritabel at night but during the day was running and walking fine."  Mother states leg is looking better today, but still going to doctor.
Age: 52.0
Sex: F
Vaccine: MMR
Symptoms: Injection site hypersensitivity, Injection site warmth, Myalgia, Pain, Pruritus
Clinical narrative: SHOT ADMINISTERED 6/30/03 - IT BURNED IMMEDIATELY, SINCE THEN, BEGINNING APPROXIMATELY A WEEK LATER, I BEGAN HAVING CONSTANT PAIN IN MY LEFT SHOULDER, THE JOINT AREA IN PARTICULAR. THE AREA HAS BEEN HOT TO THE TOUCH AND ICHES STILL. I HAVE HAD MUSCULAR ACHES THAT FEEL LIKE BRUISING. I HAVE AVOIDED USING MY ARM AS MUCH AS. AT NIGHT I MUST PUT PILLOWS UNDER MY ARM IN ORDER TO GET COMFORTABLE ENOUGH TO SLEEP.
Age: 52.0
Sex: F
Vaccine: MMR
Symptoms: Shoulder pain
Clinical narrative: SHOT ADMINISTERED 6/30/03 - IT BURNED IMMEDIATELY, SINCE THEN, BEGINNING APPROXIMATELY A WEEK LATER, I BEGAN HAVING CONSTANT PAIN IN MY LEFT SHOULDER, THE JOINT AREA IN PARTICULAR. THE AREA HAS BEEN HOT TO THE TOUCH AND ICHES STILL. I HAVE HAD MUSCULAR ACHES THAT FEEL LIKE BRUISING. I HAVE AVOIDED USING MY ARM AS MUCH AS. AT NIGHT I MUST PUT PILLOWS UNDER MY ARM IN ORDER TO GET COMFORTABLE ENOUGH TO SLEEP.
Age: 3.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Alopecia
Clinical narrative: I got my heb b shot and a mmr in may of 2003 and a few days after that i notice my hair falling out i have not got treated yet i got 7-23-03 to see a work mens comp doctor other then that none my hair is still falling out