chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 25.0
Sex: F
Vaccine: HEP, TD
Symptoms: Tremor
Clinical narrative: Pt developed shortness of breath, extreme fatigue, low blood pressure, episodic low grade fever, hypoxia, quickening of the heart (up to 90), tremors, pale, clamminess, cold, sweating, weakness, and cough. Doc 198136 states the following: Hypersensitivity to environmental allergens, developed food allergies. A follow up report received 8/1/2000 adds: Pt states that symptoms had sudden onset. She was seen that day (5/19/2000) by her physician who ordered several tests all of which were WNL. In late June-early July, she was hospitalized as symptoms worsened. More tests were performed including CXR, echocardiogram and blood tests for oxygen content of her blood. Admitting diagnosis was hypoxia. She consulted with a pulmonary-critical care specialist after discharge from the hospital. Again, all tests were negative or WNL. Pt states she obtained a copy of the package insert from SmithKline and that "all my symptoms are there." She plans follow-up with PCP later this week to discuss this. Currently her health status is slowly improving. Her breathing has become easier and she is able to cook for herself. She continues to sleep a lot and feel fatigued.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Diarrhoea, Influenza like illness, Vomiting
Clinical narrative: Vomiting, diarrhea and flu-like symptoms.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Localized erythema and induration to right tricep, approximately 130mm in diameter. Does not extend below the elbow. No systemic symptoms.
Sex: M
Vaccine: ANTH, HEPA, MEN, MMR
Symptoms: Hypokinesia, Pain
Clinical narrative: Pt describes left shoulder pain with abduction beyond 90 degrees. Symptoms began approximately 1 hour, post vax, on 6/22/00.
Age: 49.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Difficulty in walking, Joint swelling, Pain in jaw
Clinical narrative: Knees, swollen and sharp pain and hard to walk. Jaw pain. Started in January 2000 and progressively has worsened. It is hard to work and hard to walk.
Age: 48.0
Sex: F
Vaccine: LYME
Symptoms: Rash
Clinical narrative: Client reports she developed a rash under her breasts, at elbows and in groin, 3 or 4 hours, post vax. She continues to have rash.
Age: 38.0
Sex: M
Vaccine: LYME
Symptoms: Arthritis, Oedema peripheral, Pain
Clinical narrative: Swelling of hands, arthritis-like symptoms in hands and wrists. Have been to clinic and to a arthritis specialist.
Age: 1.75
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Screaming, Swelling
Clinical narrative: Had swelling and fitful crying X 24 hours.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Agitation, Crying, Injection site oedema, Irritability, Pyrexia
Clinical narrative: Fussy, crying for more than 2 hours. Had a low-grade fever 99-100.5 and had hardness and swelling at injection site of left upper thigh.
Age: 9.0
Sex: F
Vaccine: PNC
Symptoms: Feeling hot, Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: Swelling, induration 40mm X 40mm, redness 5cm X 5cm and warmth.
Age: 42.0
Sex: M
Vaccine: MMR
Symptoms: Bacterial infection
Clinical narrative: Strep throat on Monday, 6/5/00 and missed work on 6/6/00. Examined by family doctor on 6/8/00. Still recovering.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Crying, Hypersensitivity, Injection site warmth, Urticaria
Clinical narrative: Within 1-2 minutes, post vax, a quarter-sized welt was observed at injection site and the area was warm to touch. Child was crying, no acute distress noted. Cool compress applied then ice pack applied to site. Phone call advised mother to check with pharmacist for possible over the counter antihistimine. Mother to follow-up with MD if problems occur. Child left with mother, ambulatory and playful.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling to injection site (DTAP), 7cm X 8cm at 2 days, post vax. Rechecked on 7/27 and 7/28/00; examined by provider.
Age: 4.0
Sex: M
Vaccine: DTP, HIBV, MMR
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Swelling and warmth around site of injection. Swelling extended down to knee. Right thigh only.
Age: 1.08
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Infection
Clinical narrative: 11 (total)-pox marks on extremities and face. (Broke out with varicella).
Age: 34.0
Sex: M
Vaccine: HEP
Symptoms: Hypoaesthesia, Pain
Clinical narrative: Three to four days, post vax, pt complained of pain in his left shoulder, upper left arm and numbness of fingers at times. Reported to nursing supervisor who advised him to go to ER for evaluation and RX.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Hypothermia, Injection site warmth, Night sweats, Oliguria, Somnolence
Clinical narrative: At 14:00 feeding, post vax, the pt has vomited curdled milk after every feeding (large amount). Mother feeding both breast milk and formula. Infant wants to eat, but vomits. She is urinating smaller amounts but no darker. Last BM on 7/18/00, no diarrhea. Temperature is 96.9 (axillary). She is not acting her usual self. Halfway sleepy, injection site warmer and has night sweating but no redness. Mother had an allergy to yeast when she was in middle school and had to be desensitized before she took Hep-B vaccine. Mother had called MD and he instructed her to only give Pedialyte for 24 hours. Thinks it might be a "bug". On 7/21, still not keeping anything down except Pedialyte. Suppository RX started. Unable to keep formula, no temperature or diarrhea. No increase in redness or warmness at injection sites.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Vomiting
Clinical narrative: At 14:00 feeding, post vax, the pt has vomited curdled milk after every feeding (large amount). Mother feeding both breast milk and formula. Infant wants to eat, but vomits. She is urinating smaller amounts but no darker. Last BM on 7/18/00, no diarrhea. Temperature is 96.9 (axillary). She is not acting her usual self. Halfway sleepy, injection site warmer and has night sweating but no redness. Mother had an allergy to yeast when she was in middle school and had to be desensitized before she took Hep-B vaccine. Mother had called MD and he instructed her to only give Pedialyte for 24 hours. Thinks it might be a "bug". On 7/21, still not keeping anything down except Pedialyte. Suppository RX started. Unable to keep formula, no temperature or diarrhea. No increase in redness or warmness at injection sites.
Age: 54.0
Sex: F
Vaccine: HEPA, IPV, TD, TYP
Symptoms: Injection site pain, Joint range of motion decreased
Clinical narrative: Pain n right deltoid, started on 4/24/00 and continues. She is unable to raise arm above her head and cannot perform weight-bearing exercises. Pain is present at rest and described as sharp, deep, non-radiating pain. Has not taken any medications or had other treatments, nor has she seen a physician for dx or treatment.
Age: 0.8
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Agitation, Feeling hot, Rash erythematous
Clinical narrative: The pt experienced a raised red rash all over the body. Cried for 1 hour post vax. Did not take temp but felt warm for one day. Does not have private physician.
Age: 2.0
Sex: F
Vaccine: DTPHIB
Symptoms: Pyrexia, Screaming, Vaccine positive rechallenge
Clinical narrative: The pt received vaccines on 4/14/98 and 7/1/98 and experienced a fever, and prolonged unconsolable high-pitched crying for 2 days. DT and HIB given on 10/9/98 with the same symptoms for 2 days. On 6/9/00, the pt was given DT and MMR and mother states child is doing well with this series.
Age: 57.0
Sex: F
Vaccine: TD, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pruritus
Clinical narrative: The pt experienced redness, swelling and warmth to the touch to the injection site. The pt complained of itching at the site of injection that evening.
Age: 3.3
Sex: F
Vaccine: VARCEL
Symptoms: Injection site reaction, Urticaria
Clinical narrative: The pt developed two wheals near the injection site. None noted elsewhere on body. Child is not in distress. The wheals diminished in size within 30 minutes with no intervention.
Age: 51.0
Sex: F
Vaccine: TD
Symptoms: Injection site oedema, Injection site warmth, Oedema, Pruritus, Urticaria
Clinical narrative: Symptoms started in the middle of the night with swelling, heat and intense itching of the upper arm and of the injection site, from shoulder to 2" above elbow was covered with one large hive. Temp was 98.9. The pt was instructed to take Tylenol and Benadryl.
Age: 1.7
Sex: M
Vaccine: DTAP
Symptoms: Injection site rash
Clinical narrative: The pt experienced an erythematous rash to the right arm to the injection site.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, RV
Symptoms: Grunting, Opisthotonus, Screaming
Clinical narrative: The mother of a 4 month old female reported that her daughter received Rota Shield, DTAP, HIB and IPV in June, 1999. The day of IZ's, the infant developed uncontrollable screaming, which persisted for 24 to 48 hours. She was then "just uncomfortable" with grunting, groaning, and arching of her back. The physician could "not find anything wrong" and attributed the event to the infant's pre-existing gastroesophageal reflux. The infant recovered.
Sex: U
Vaccine: VARCEL
Symptoms: Pruritus, Pyrexia, Rash papular
Clinical narrative: Had varivax on 5/23/96 and started breaking out with papulo-vesicular lesions on 4/12/00 with a low-grade fever and itching. Seen in office on 4/13/00.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Dysphonia, Muscle spasms, Musculoskeletal stiffness, Myalgia
Clinical narrative: On the day shots were given, mother called to report that that evening the child complained of charlie horses in both legs and muscle aches. He sounded hoarse the next morning. Stiff neck began the evening of 2nd day. Parent gave ibuprofen. Called parent and child is eating well again with good energy, but still some stiffness in neck.
Age: 0.6
Sex: M
Vaccine: HEP
Symptoms: Ear disorder, Eye swelling, Injection site induration, Rash erythematous, Swelling
Clinical narrative: Infant pulling at ears. Ears swollen. Approx. 1/4" raised rash suddenly appeared followed by swollen eyes. Injection site induration the size of a golf ball. Pt was given Benadryl in ER with marked improvement. Rash covered whole body. Everything cleared up in 24 hours.
Age: 36.0
Sex: F
Vaccine: TD
Symptoms: Arthralgia, Rash
Clinical narrative: Within 24 hours of TD, pt developed rash on forearms and diffuse arthralgias. Rash was non-pruritic. No shortness of breath. Placed on 24 hours of Quarters. Still symptomatic when seen.
Age: 19.0
Sex: M
Vaccine: HEP
Symptoms: Muscular weakness, Pain
Clinical narrative: Pt states that 3 hours or so, post vax, his arm hurt and if he holds his arm up too long, it gets weak.
Age: 4.0
Sex: U
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Injection site reaction
Clinical narrative: Aseptic reaction localized to area of vaccine injection on left thigh.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Headache, Injection site mass
Clinical narrative: 100 x 75 mm local reaction with 2 x 2 cm induration. Headaches.
Age: 1.26
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR, DTAP, HIBV, IPV, MMR
Symptoms: Drooling, Immune system disorder, Myasthenic syndrome, Pneumonia aspiration, Respiratory arrest
Clinical narrative: Drooling. Swallowing well on 01/31/2000. Admitted to hospital, went into respiratory arrest post one dose of Carafate on 02/03/2000. Most recent hospital discharge summary reports that this 15 month old was dxed with myasthenia syndrome had been readmitted to hospital for diarrhea and observation post choking episode at home (laughing while eating a popsicle). One day prior to admission, she began to develop foul smelling, pasty stools (non bloody) similar to stools she had before when found to be C Diff positive. She was transferred to hospital due to recent dx on 02/27 with principal admission dx of "diarrhea" which was noted to be improved upon discharge 02/28. She had otherwise been doing well at home. She experienced no diarrhea while an inpatient.  Also dxed was "choking episode."  She also had ptosis bilaterally upon second admission and discharge which was the only finding on neurological exam.
Age: 1.26
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR, DTAP, HIBV, IPV, MMR
Symptoms: Choking, Diarrhoea, Drooling, Eyelid ptosis, Infection
Clinical narrative: Drooling. Swallowing well on 01/31/2000. Admitted to hospital, went into respiratory arrest post one dose of Carafate on 02/03/2000. Most recent hospital discharge summary reports that this 15 month old was dxed with myasthenia syndrome had been readmitted to hospital for diarrhea and observation post choking episode at home (laughing while eating a popsicle). One day prior to admission, she began to develop foul smelling, pasty stools (non bloody) similar to stools she had before when found to be C Diff positive. She was transferred to hospital due to recent dx on 02/27 with principal admission dx of "diarrhea" which was noted to be improved upon discharge 02/28. She had otherwise been doing well at home. She experienced no diarrhea while an inpatient.  Also dxed was "choking episode."  She also had ptosis bilaterally upon second admission and discharge which was the only finding on neurological exam.
Age: 1.26
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR, DTAP, HIBV, IPV, MMR
Symptoms: Laboratory test abnormal, Myasthenic syndrome, Respiratory arrest
Clinical narrative: Drooling. Swallowing well on 01/31/2000. Admitted to hospital, went into respiratory arrest post one dose of Carafate on 02/03/2000. Most recent hospital discharge summary reports that this 15 month old was dxed with myasthenia syndrome had been readmitted to hospital for diarrhea and observation post choking episode at home (laughing while eating a popsicle). One day prior to admission, she began to develop foul smelling, pasty stools (non bloody) similar to stools she had before when found to be C Diff positive. She was transferred to hospital due to recent dx on 02/27 with principal admission dx of "diarrhea" which was noted to be improved upon discharge 02/28. She had otherwise been doing well at home. She experienced no diarrhea while an inpatient.  Also dxed was "choking episode."  She also had ptosis bilaterally upon second admission and discharge which was the only finding on neurological exam.
Age: 69.0
Sex: M
Vaccine: PPV
Symptoms: Dyspnoea, Injection site erythema, Injection site oedema, Pneumonia
Clinical narrative: Information has been received from a healthcare facility concerning a 69 year old male pt who on 7/19/00 was vaccinated. On 7/19/00, the pt developed redness and swelling at the injection site. On approximately 7/22/00, the pt experienced shortness of breath and was admitted to the hospital on 7/24/2000 with a dx of pneumonia. Additional information has been requested.
Age: 1.0
Sex: M
Vaccine: HBHEPB
Symptoms: Blood disorder, Pneumonia
Clinical narrative: Information has been received from an individual concerning a 1 year old non-Hispanic male pt who did not attend daycare who on 8/9/98, 10/14/98 and 7/13/99 was vaccinated with a 1st dose (lot #623436/1176E), 2nd dose (lot #623436/1176E) and 3rd dose (lot #629768/1797H), respectively of Haemophilus b conjugate vaccine (+) hepatitis b vaccine recombinant (yeast). The pt was subsequently, dx'd with pneumonia and bacteremia (through a blood specimen). The first culture was on 11/15/99. Upon internal review, pneumonia and bacteremia were considered to be 'Other Medical Events'. This was reported as a case of vaccine failure. Additional information has been requested.
Age: 3.0
Sex: M
Vaccine: HIBV
Symptoms: Bacterial infection, Infection, Meningitis
Clinical narrative: Subsequent to first dose of Haemophilus b conjugate vax, this pt developed meningitis and a cerebrospinal fluid analysis was positive for Haemophilus type b due to vaccine failure. These events were considered other medical events. Subsequently, the pt "survived." Sixteen additional pts had similar experiences following exposure to Haemophilus b conjugate vax.  Received on 11/19/2000: "Information has been received concerning a 39-month-old caucasian male patient who on 01/15/1992 was vaccinated with a first dose of Haemophilus b conjugate vaccine.  Subsequently, the patient developed meningitis and a cerebrospinal fluid analysis was positive for Haemophilus type b due to vaccine failure.  These events were considered other medical events.  Subsequently, the patient "survived".  Sixteen additional patient's (WAES #'s 00072311, 00072312, and 00072314 through 00072327 had similar experiences following exposure to Haemophilus b conjugate vaccine.  Additional information has been received from a published abstract titled "Haemophilus influenzae invasive disease among children aged <5 years--epidemiology in the United States, 1994-1995" from the 34th National Immunization Conference on Vaccine Preventable Diseases (WAES # 00102472); abstract is attached.
Age: 4.0
Sex: F
Vaccine: HIBV
Symptoms: Drug ineffective, Infection, Meningitis
Clinical narrative: This Native American/Alaskan female received 3 doses of Haemophilus b conjugate vax and subsequently developed meningitis and unspecified blood work and CSF analysis which were positive for  Haemophilus type b due to vax failure. These events were considered other medical events. Subsequently the pt "survived." Sixteen additional pts had similar experiences following exposure to Haemophilus b conjugate vax. Follow up information states: "Additional information has been received from a published abstract titled "Haemophilus influenzae invasive disease among children aged <5 years--epidemiology in the United States, 1994-1999" from the 34th National Immunization Conference on Vaccine Preventable Diseases (WAES # 00102472); abstract is attached."
Age: 53.0
Sex: M
Vaccine: PPV
Symptoms: Fatigue, Headache, Muscular weakness, Pyrexia, Serum sickness
Clinical narrative: A few hours post vax, the pt experienced leg and back weakness with a severe headache and tiredness. Two days later, he experienced high fever and went to ER. On presentation to the ER he was treated with Rocephin and was discharged on the same day, but his condition worsened despite treatment. On 9/7/99, the pt was admitted to the hospital and was dx with serum sickness form vax. He was placed on therapy with prednisone, Tobramycin, and Rocephin. He was discharged on 9/13/99.
Sex: F
Vaccine: FLUX, PPV
Symptoms: Unevaluable event
Clinical narrative: Subsequently post vax, the pt died due to unknown causes. The pt's family feels that it was secondary to receiving those vax. FU information received from a physician which indicated that as per the patient's daughter/daughter-in-law, the patient did not die. No further information is available. WAES 00032767 will be voided from the mfg's database.
Age: 6.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Pyrexia
Clinical narrative: On 4/10/00, the pt presented with a fever of 104 and an injection site reaction that consisted of erythema and tenderness in an area 5 1/2 inches by 4 inches. The pt sought unspecified medical attention.
Age: 53.0
Sex: M
Vaccine: PPV
Symptoms: Headache, Myalgia, Pyrexia
Clinical narrative: Information has been received from a RN concerning a 53 year old white male who on 12/22/99 was vaccinated. Subsequently, he experienced fever, muscle aches and a headache. He was in bed for 3 days "incapacitated". The adverse events were reported as disabling. The reporter expressed concern about the particular lot of vaccine. No further information is available.
Age: 9.0
Sex: M
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Pruritus
Clinical narrative: Information has been received from a physician concerning a 9 year old white male pt with asthma, who on 12/26/99 was vaccinated with a 1st dose of pneumococcal vaccine 23 polyvalent. On 12/27/99, the pt experienced fever and injection site tenderness and swelling. The pt was seen in the physician's office on 12/27/99 and treated with Tylenol and ice packs. On 12/28/99, the swelling became worse and the size of the induration increased to 8cm X 8cm. The physician treated the pt with Keflex. On 12/29/99, the pt was admitted to the hospital and started on IV antibiotics. The pt received IV Kefzol from 12/29/99 to 12/30/99. It was reported that on 12/30/99 the pt's "IV came out" and the pt was uncooperative for IV reinsertion. On 12/30/99, the pt received IM Kefzol X 1 dose. On 12/31/99, the pt was discharged to home on Duricef. On 1/6/00, the pt was seen in the physician's office with increasing swelling, redness, tenderness and itching at the injection site. The pt's antibiotics were changed to Keflex and Zyrtec "with good clinical response". It was reported that on 1/10/00, the pt recovered. Additionally, it was noted that the pt's mother reported a similar event with a prior vaccine. The exact vaccine is not known.
Age: 9.0
Sex: M
Vaccine: PPV
Symptoms: Pyrexia, White blood cell count increased
Clinical narrative: Information has been received from a physician concerning a 9 year old white male pt with asthma, who on 12/26/99 was vaccinated with a 1st dose of pneumococcal vaccine 23 polyvalent. On 12/27/99, the pt experienced fever and injection site tenderness and swelling. The pt was seen in the physician's office on 12/27/99 and treated with Tylenol and ice packs. On 12/28/99, the swelling became worse and the size of the induration increased to 8cm X 8cm. The physician treated the pt with Keflex. On 12/29/99, the pt was admitted to the hospital and started on IV antibiotics. The pt received IV Kefzol from 12/29/99 to 12/30/99. It was reported that on 12/30/99 the pt's "IV came out" and the pt was uncooperative for IV reinsertion. On 12/30/99, the pt received IM Kefzol X 1 dose. On 12/31/99, the pt was discharged to home on Duricef. On 1/6/00, the pt was seen in the physician's office with increasing swelling, redness, tenderness and itching at the injection site. The pt's antibiotics were changed to Keflex and Zyrtec "with good clinical response". It was reported that on 1/10/00, the pt recovered. Additionally, it was noted that the pt's mother reported a similar event with a prior vaccine. The exact vaccine is not known.
Age: 74.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Injection site reaction, Paraesthesia
Clinical narrative: Information has been received from a physician concerning a 74 year old male who on 10/11/99 was vaccinated. On 10/11/99, post vax, the pt experienced paresthesia (numbness) of right arm from site of injection down to the fingers. Upon medical review, the pt's condition was considered an 'important medical event.' Follow-up information received, indicated that the pt was seen at the clinic following his CT scan and was much improved. The physician believed that his condition was complicated by the fact that the pt had experienced a stroke on the same side. No further details were provided.
Age: 44.0
Sex: M
Vaccine: HEP
Symptoms: Respiratory arrest
Clinical narrative: Respiratory arrest occurred approximately 5 hours post vax. In ICU. Survival doubtful.  A follow up report received 8/3/2000 adds: Call from MD - he has no further info on where pt was hospitalized or if he has recovered or not. MD has no more info about this pt.
Age: 1.5
Sex: M
Vaccine: DTPHIB, MMR
Symptoms: Autism, Neurodevelopmental disorder
Clinical narrative: Autism, developmental delay beginning after the vaccine. Follow-up dated 9/6/00 provided no additional data. 60 day follow up dated 10/30/00 provided no additional data. The annual follow-up states autism; developmental delay. A follow up report received 8/3/2000 adds: Spoke to mother of pt. Child displayed unusual behavior - unresponsive, started talking at one year, then stopped 4/95, does not play. Mother said that later vaccines may have contributed to problem - now in therapy.
Age: 0.08
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Bradycardia, Lethargy, Neonatal apnoeic attack, Neonatal respiratory distress syndrome
Clinical narrative: Acute respiratory distress within 24 hours of post vax. Lethargic, bradycardia, apnea. Pt is recovering but is still hospitalized and in serious condition.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, MMR, PNC
Symptoms: Decreased appetite, Hypochloraemia, Irritability, Laboratory test abnormal, Lethargy
Clinical narrative: Same day post vax, the pt developed irritability, decreased activity, and poor p.o. intake. Pt hospitalized for 48 hours. A follow up report received 8/1/2000 adds: Mother of pt states Prevnar and MMR were 1st doses. The child was on no medications at the time of vaccine and there were no vaccines received 4 weeks prior to 6/14/2000 and neither this child nor 2 siblings had past adverse events to vaccines. Mother states pt was treated with antibiotics in the hospital. She was given no diagnosis other than "possibly from vaccine or virus". The sequence of events was as follows: on the morning of the vaccine and after he received vaccines, the child had slight fever, appeared fatigued (would not lift head off mom's shoulder). Did not cry and was not active as he normally would be. Vomited one time. He was allergic to formula so had been on soy formula and being weaned off. This was the 1st day of no soy. Only took 2-3 or refused to eat so dehydrated by evening. Was taken to the hospital and started on IV fluids. No further vomiting. Took small amounts of juice by mouth. Exhausted and slept through the night. In the morning he "seemed brighter" and took toast and juice. By 12 noon he was irritable, unhappy, seemed "uncomfortable in the belly". Suppository administered and resulted in very hard stool. Child then appeared happier and comfortable. He continued to increase food and fluid intake. At first his legs seemed weak especially the left and he didn't want to walk, but this gradually abated by 10 PM. The following morning he was discharged.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, MMR, PNC
Symptoms: Mental impairment
Clinical narrative: Same day post vax, the pt developed irritability, decreased activity, and poor p.o. intake. Pt hospitalized for 48 hours. A follow up report received 8/1/2000 adds: Mother of pt states Prevnar and MMR were 1st doses. The child was on no medications at the time of vaccine and there were no vaccines received 4 weeks prior to 6/14/2000 and neither this child nor 2 siblings had past adverse events to vaccines. Mother states pt was treated with antibiotics in the hospital. She was given no diagnosis other than "possibly from vaccine or virus". The sequence of events was as follows: on the morning of the vaccine and after he received vaccines, the child had slight fever, appeared fatigued (would not lift head off mom's shoulder). Did not cry and was not active as he normally would be. Vomited one time. He was allergic to formula so had been on soy formula and being weaned off. This was the 1st day of no soy. Only took 2-3 or refused to eat so dehydrated by evening. Was taken to the hospital and started on IV fluids. No further vomiting. Took small amounts of juice by mouth. Exhausted and slept through the night. In the morning he "seemed brighter" and took toast and juice. By 12 noon he was irritable, unhappy, seemed "uncomfortable in the belly". Suppository administered and resulted in very hard stool. Child then appeared happier and comfortable. He continued to increase food and fluid intake. At first his legs seemed weak especially the left and he didn't want to walk, but this gradually abated by 10 PM. The following morning he was discharged.
Age: 0.75
Sex: M
Vaccine: PNC
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Local reaction to right thigh with 3.5cm X 2cm redness, 2cm X 1cm induration. Non-tender, no fever and no treatment.
Age: 0.9
Sex: M
Vaccine: PNC
Symptoms: Rash maculo-papular
Clinical narrative: Pt was vaccinated on 7/21/00. Mom reported rash (maculo-papular/whelp-like) on trunk and back on 7/22/00. This cleared and then had some on face. On 7/23/00, seen at office visit; 7/24/00 in the early morning, still had rash on trunk and back consistent with heat rash. Recommended no further Prevnar vaccines.
Age: 3.0
Sex: F
Vaccine: PNC
Symptoms: Eyelid oedema, Hypersensitivity, Pruritus, Urticaria
Clinical narrative: 7/7/00, had raised hives over body, itchy and swollen eyelids. On 7/9/00, sick appt in office and dx'd with allergic reaction. On 7/21/00, hives continued 4-5 x since 7/7/00. Treated with Atarax, prednisone and Benadryl. On 7/24/00, mom concerned and Zyrtec prescribed.
Age: 27.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Injection site reaction
Clinical narrative: Local reaction
Age: 27.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Local reaction
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site reaction
Clinical narrative: Severe local reaction to Anthrax vaccine with 180mm X 80 mm.
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema
Clinical narrative: Local erythema and redness.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Feeling hot, Injection site erythema, Injection site mass, Injection site oedema, Injection site pain
Clinical narrative: Itching, red and swollen left tricep, caused by 3rd Anthrax shot. 28cm X 24cm erythematous, warm and indurated left upper arm extending past elbow into forearm, FROM, plus a deep ache.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Pruritus
Clinical narrative: Itching, red and swollen left tricep, caused by 3rd Anthrax shot. 28cm X 24cm erythematous, warm and indurated left upper arm extending past elbow into forearm, FROM, plus a deep ache.
Age: 8.0
Sex: F
Vaccine: HEP
Symptoms: Headache, Nausea, Vomiting
Clinical narrative: Approximately 8 minutes, post vax, pt vomited. Vital signs were stable. She complained of a frontal headache. She was medicated with Children's Tylenol and again complained of nausea but no vomiting. Supine for about 35 minutes. Discharged to home; headache better.
Age: 24.0
Sex: F
Vaccine: MMR
Symptoms: Injection site erythema, Mouth ulceration, Rash vesicular
Clinical narrative: The next morning, post vax, pt noted "small, red bumps on left arm near vaccine site". Called clinic on 7/25/00 and was seen. (+) Koplik's spot on right buccal. Vesicular lesions X 6 or 7, no fever.
Age: 1.57
Sex: F
Vaccine: DTAP
Symptoms: Ecchymosis, Injection site erythema
Clinical narrative: Large erythema and small ecchymosis in left deltoid area.
Age: 24.0
Sex: M
Vaccine: TD
Symptoms: Bursitis, Hypokinesia, Injection site swelling, Injection site warmth, Pain
Clinical narrative: 2 days, post vax, injection site swelled to 3" in diameter, was warm to touch and sore. He couldn't lift arm above head. No swelling on 7/9 but arm feels tight. Then on 7/12 at 03:00, he woke up with swollen elbow, red and warm to touch. Seen by MD and dx'd with acute bursitis. Treated with antibiotic therapy.
Age: 0.75
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Pruritus, Pyrexia, Rash vesicular
Clinical narrative: Child received IZ on 6/19/00. Mother telephoned on 6/21/00 and reported that child had temperature and was managed with Tylenol. He developed small fluid (clear) filled blisters on his legs since this morning with itching. No hives. On 6/22/00, follow-up phone call to mother, indicates rash no worse and temperature is resolved. Itching was controlled with OTC "steroid" cream.
Age: 16.0
Sex: M
Vaccine: HEP, MMR, TD
Symptoms: Cough, Dyspnoea, Eye oedema, Pruritus
Clinical narrative: At 16:10, pt complains of coughing and itching and edema under each eye. Pt received epinefrine. At 16:20, he started having difficulty breathing. EMS notified, was given Benadryl IM and EMS arrived at 16:25 and assisted then took client to ER. On 5/12/99, client was contacted, mom stated pt had returned to school. Pt received cortisone and Benadryl in the ER.
Age: 9.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Headache, Injection site erythema, Pyrexia, Skin striae, Vomiting
Clinical narrative: Pt with 4cm erythema on left upper arm and shoulder, streaking of entire shoulder and left neck. She has a fever to 104.5F, onset 10/29/99 and peaked 10/30/99, duration 5 days. Also, has a headache and vomiting.
Age: 4.0
Sex: M
Vaccine: DTAP, OPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: DTP given on 7/26/00 in LA. LA red, hot and swollen. Gave Motrin and antibiotics.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Erythema, Pyrexia
Clinical narrative: 2 weeks, post vax, pt presented to ER with a temperature of 103F with rash over trunk. Evaluated on 7/1/00 and dx'd with febrile illness. Had erythematous vesicles on mouth and erythmatous macules over trunk only.
Age: 2.0
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Diarrhoea, Gastroenteritis, Pharyngolaryngeal pain, Pyrexia, Rash
Clinical narrative: Child had low-grade fever, rash and some diarrhea. Mother gave Tylenol. No report that child is worse; she attended school each day. On 7/14/00, child's teacher reported she had a sore throat. She was checked but found nothing wrong. Seen in ER on 7/15/00 and dx'd with gastroenteritis. It was questionable as to whether this was an adverse reaction to Hib vaccine. Treated with Pedialyte, Phenergam suppositories as needed if severe vomiting.
Age: 35.0
Sex: F
Vaccine: TD
Symptoms: Asthenia, Injection site swelling, Syncope
Clinical narrative: Arm swollen, weakness, syncope
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Crying, Pyrexia
Clinical narrative: Post vax, pt began crying intensely. Mother took temperature and it was 104.5F (ax) and took baby to ER. She was given phanobneb X 3.
Age: 1.25
Sex: F
Vaccine: DTAP, HEP, HIBV
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: 3cm X 6cm , warm, red and tender area on right upper thigh; probable local reaction versus cellulitis. Treated with cephalexin. On 7/21/00-improving already.
Age: 1.7
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Six days post vax, the pt developed fever to 103 for 3 days, then developed rash initially under left arm and spread all over body.
Age: 19.0
Sex: F
Vaccine: YF
Symptoms: Pruritus, Rash macular, Swelling
Clinical narrative: Small red blotch  which spread across my arm, itchy and swollen.
Age: 0.3
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Pain, Swelling
Clinical narrative: On 7/21/00, mom noticed swollen, red, tender area on left knee below injection site.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site urticaria
Clinical narrative: Child presented with 5 cm circle at site of injection. Best description is a hive. Treated with Benadryl and cool compresses.
Age: 10.0
Sex: F
Vaccine: HEP, HEP, HEPA
Symptoms: Cataract, Intraocular pressure increased, Uveitis, Vision blurred
Clinical narrative: On 3/4/99, when pt awoke, she had blurry eyes and could not see details of people's faces. She said eyes were not painful but slightly red. The next day, the school sent her home and parents took her to physician who referred them to opthalmology. There she was dx with severe uveitis. She was treated with prednisone and Isopto-Homatropine. The pt's symptoms were not relieved and she was seeing a physician for this problem at least once a week. Due to the medication she was taking,  the pt also developed cataracts and had to be treated for very high eye pressure.  She currently has methotrexate shots once a week, eye drops twice daily, and she sees a physician twice a week.
Age: 10.0
Sex: F
Vaccine: HEP, HEP, HEPA
Symptoms: Intraocular pressure increased, Uveitis, Vision blurred
Clinical narrative: On 3/4/99, when pt awoke, she had blurry eyes and could not see details of people's faces. She said eyes were not painful but slightly red. The next day, the school sent her home and parents took her to physician who referred them to opthalmology. There she was dx with severe uveitis. She was treated with prednisone and Isopto-Homatropine. The pt's symptoms were not relieved and she was seeing a physician for this problem at least once a week. Due to the medication she was taking,  the pt also developed cataracts and had to be treated for very high eye pressure.  She currently has methotrexate shots once a week, eye drops twice daily, and she sees a physician twice a week.
Age: 22.0
Sex: F
Vaccine: IPV, JEV, RAB, TYP, IPV, JEV, RAB, TYP
Symptoms: Erythema, Sensory disturbance
Clinical narrative: 45 minutes post vax, the pt began the sensation of swollen lips and periorbital edema and the sensation of difficulty breathing. Symptoms gradually diminished but still has subtle facial erythema 5 days later.
Age: 22.0
Sex: F
Vaccine: IPV, JEV, RAB, TYP, IPV, JEV, RAB, TYP
Symptoms: Dyspnoea, Face oedema, Periorbital oedema
Clinical narrative: 45 minutes post vax, the pt began the sensation of swollen lips and periorbital edema and the sensation of difficulty breathing. Symptoms gradually diminished but still has subtle facial erythema 5 days later.
Age: 0.2
Sex: F
Vaccine: HEP, IPV
Symptoms: Hypoacusis
Clinical narrative: Temporary loss of hearing or responding. Stopped turning towards my voice. Did not respond til she saw me. Reacted to no loud noises like she did before vaccines were given.
Age: 2.0
Sex: M
Vaccine: DTAP, HBHEPB, IPV, VARCEL
Symptoms: Pyrexia
Clinical narrative: Got shots Wednesday morning and he started a fever that afternoon, did not take temperature but gave Motrin, during the night. Yesterday temperature was 102-103F, off and on. Denies any other symptoms, stiffness of neck and so on. Advised by FNP to take Tylenol and Motrin, alternating and if any problems call or go to ER.
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Decreased appetite, Erythema, Influenza like illness, Pyrexia, Swelling
Clinical narrative: 24 hours post vax, the pt felt as though she had the flu, her left arm had some swelling and by 3:30 pm the arm was red and swollen to elbow and felt like it was going to fall off. She experienced hard chill, high fever, no appetite which lasted 3 days. She took Tylenol.
Age: 1.8
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Otitis media, Pyrexia, White blood cell count decreased
Clinical narrative: Pt developed a fever to 100 degrees 2 to 3 hours post vax. Seen in ER on 7/15 and in the physician's office on 7/17. Fever persisted. Dx with otitis media and treated with antibiotics.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Wheezing
Clinical narrative: Wheezing
Age: 2.0
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: Gross swelling of left deltoid/upper arm to elbow. Mom did not notice until 07:00 AM on 6/19/00. Pt would not let mom keep cold rag on arm as she was instructed to do. Mother thinks he had a little fever.
Age: 34.0
Sex: F
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Vasodilatation
Clinical narrative: Information has been received from a physician concerning a 34 year old white female pt who, 8 hours, post vax, experienced throbbing, swelling, redness and increased sensation of heat at the injection site. The pt reportedly took Tylenol every 4 hours. On 10/9/98 she was seen at the health dept. for evaluation. The injection site was a 6cm - 7cm induration with satellite redness and induration located to the left and distal to the injection site 1 1/2cm X 3cm. The pt was instructed to apply heat and cold compresses alternately. She was also advised to take ibuprofen 600mg X 3 days. Follow-up information indicated that the pt recovered on the same day of onset.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Hypoaesthesia, Pain
Clinical narrative: On 10/13/98, the pt began experiencing pain in what she calls drawing in the left upper arm and shoulder. The pt has noted numbness in the left hand since then. The pt feels that the arm is awkard but doesn't note any actual weakness. The pt had a cortisone shot in the shoulder, which did not help. The pt was on 10 or 12 days of prednisone therapy, which has not help. The pt has continuing pain largely between her elbow and shoulder blade and persistant numbness in the fingers of the left hand. The pt noted no heat or swelling. There is no difference whether sh is moving the arm or not. The pt has not experienced pain or any other difficulities in her right arm. She has no difficulty in moving the head or in either leg.  Impression: possible brachial plexus neuritis.
Age: 27.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Cellulitis, Injection site hypersensitivity, Injection site oedema, Pruritus, Vasodilatation
Clinical narrative: On 10/7/99, the pt developed an injection site reaction characterized by redness, swelling, heat, and pruritus which extended to the elbow. The following morning the pt awoke with cellulitis of the right arm approximately 20 cm x 10 cm around the injection site.
Age: 27.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: On 10/7/99, the pt developed an injection site reaction characterized by redness, swelling, heat, and pruritus which extended to the elbow. The following morning the pt awoke with cellulitis of the right arm approximately 20 cm x 10 cm around the injection site.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Injection site mass, Injection site oedema, Nausea, Pruritus, Pyrexia
Clinical narrative: Information has been received from an RN concerning a 68 year old female who on 10/7/99 was vaccinated with a 2nd dose of pneumococcal vaccine 23 polyvalent. She was vaccinated with 1st dose of the vaccine on 9/14/94. On 10/7/99, post vax, the pt experienced fever with some nausea. Within a few days, her arm became swollen from top of shoulder to elbow with lump at site of injection and itchy. Subsequently, the pt recovered from all her experiences. No further information is available.
Age: 62.0
Sex: M
Vaccine: IPV, PPV
Symptoms: Headache, Injection site hypersensitivity, Pyrexia
Clinical narrative: Information has been received from an RN concerning a 62 year old male who on 10/25/99 was vaccinated with a 1st dose of pneumococcal vaccine 23 polyvalent and influenza virus vaccine. On 10/25/99, the pt experienced redness which continued to increase in size. On 10/26/99, the pt experienced a fever of 102F. On 10/27/99, the pt experienced a headache. The redness continued to increase at the time of the report. No further information is available.
Age: 77.0
Sex: M
Vaccine: PPV
Symptoms: Ecchymosis, Injection site hypersensitivity, Urticaria, Vasodilatation
Clinical narrative: Information has been received from an RN concerning a 77 year old male who on 10/18/99 was vaccinated with pneumococcal vaccine 23 polyvalent. On 10/19/99, the pt experienced hives with injection site redness (5" X 3"). On 10/20/99, the pt developed injection site bruise and warmth. The pt visited a physician for the symptoms. Subsequently, the pt recovered from all his experiences. No further information is available.
Age: 62.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Ecchymosis, Injection site oedema, Injection site pain, Oedema peripheral, Vasodilatation
Clinical narrative: Information has been received from an RN concerning a 62 year old male who on 10/26/99 was vaccinated with a 2nd dose of pneumococcal vaccine 23 polyvalent and influenza virus vaccine. On 10/30/99, the pt experienced right arm swelling and tenderness, as well as, bruising on fingers. Also, the finger were warm to the touch and were swollen. No further information is available.
Age: 85.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site hypersensitivity, Vasodilatation
Clinical narrative: Information has been received from a health dept. concerning an 85 year old female pt who on 10/25/99, was vaccinated with a 2nd dose of pneumococcal vaccine 23 polyvalent and influenza virus vaccine. That evening, the pt developed redness and warmth from the right upper deltoid to the elbow. Subsequently, the pt recovered. Additional information has been requested.
Age: 58.0
Sex: F
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Injection site oedema, Pain, Vasodilatation
Clinical narrative: On 11/17/99, approximately 5 hours post vax, the pt's injection arm became hot and began to swell. On 11/16/99, the arm was 3 times larger from the shoulder to elbow and part of the shoulder blade. Redness was present. The pt also developed aches in her legs and arms on 11/18/99. The pt was seen by a physician who advised that the pt take diphenhydramine. It was reported that on 11/24/99 the pt's arm was still swollen. Follow-up information from a physician reported that a telephone call was made to the pt by a registered nurse on 2/9/00 and the pt indicated that she had recovered from her experiences.
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site pain, Insomnia, Vasodilatation
Clinical narrative: Information has been received from a physician concerning a 59 year old female pt who, post vax, the pt developed an extremely sore arm within 2 hours. It was reported that there was also a warm, red knot the size of a quarter. The pt's arm hurt to the extent that it interfered with sleep. Subsequently, the pt recovered.
Age: 30.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site hypersensitivity, Injection site oedema, Malaise, Myalgia, Pyrexia
Clinical narrative: On 11/17/99, the pt experienced injection site redness (3 inches radius), 5 to 7 cm area of localized edema, injection site swelling and warmth on right lateral deltoid area surrounding site of vax, accompanied by fever of 102, myalgia and malaise with body aches. The next day, the pt was seen by a physician and was placed on therapy with unspecified antibiotic. Subsequently, the pt recovered from all of her experiences. No further details are expected.
Age: 30.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Vasodilatation
Clinical narrative: On 11/17/99, the pt experienced injection site redness (3 inches radius), 5 to 7 cm area of localized edema, injection site swelling and warmth on right lateral deltoid area surrounding site of vax, accompanied by fever of 102, myalgia and malaise with body aches. The next day, the pt was seen by a physician and was placed on therapy with unspecified antibiotic. Subsequently, the pt recovered from all of her experiences. No further details are expected.
Age: 40.0
Sex: F
Vaccine: MMR
Symptoms: Vaginal haemorrhage
Clinical narrative: Vaginal bleeding, brown blood, almost as much as in a normal period, however, pt has periods regularly every 28 days and last period started 12/10/1999. This started immediately, post vax. The case later stated that it was not a reaction but she was due for her monthly period.
Age: 81.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Feeling hot, Oedema
Clinical narrative: Information has been received from a physician concerning an 81 year old white female who on 3/28/00 was vaccinated IM with 1st dose of pneumococcal vaccine 23 polyvalent in the left deltoid. In the evening of 3/28/00, the pt developed swelling and redness at the injection site which involved the left upper arm. On 3/29/00, the pt developed local tenderness and her arm was red from the shoulder down to the elbow and was warm to touch. The pt sought unspecified medical attention. On 3/30/00, the pt recovered. No further information is available.
Age: 81.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Information has been received from a physician concerning an 81 year old white female who on 3/28/00 was vaccinated IM with 1st dose of pneumococcal vaccine 23 polyvalent in the left deltoid. In the evening of 3/28/00, the pt developed swelling and redness at the injection site which involved the left upper arm. On 3/29/00, the pt developed local tenderness and her arm was red from the shoulder down to the elbow and was warm to touch. The pt sought unspecified medical attention. On 3/30/00, the pt recovered. No further information is available.