chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 2.0
Sex: F
Vaccine: HIBV, PPV
Symptoms: Cellulitis, Erythema, Injection site induration, Injection site reaction, Injection site swelling
Clinical narrative: 3/13/03 Cellulitis of left leg. She developed fever (Temp max 103), redness and welling after receiving HIB and pneumovax on 3/11/03. On presentation, erythema was approximately 4cmx2cm with underlying swelling measuring approximately 5cmx5cm. By 3/14/03 the erythema increased area 10cmx3cm and swelling increased with an area of induration.
Age: 2.0
Sex: F
Vaccine: HIBV, PPV
Symptoms: Pyrexia
Clinical narrative: 3/13/03 Cellulitis of left leg. She developed fever (Temp max 103), redness and welling after receiving HIB and pneumovax on 3/11/03. On presentation, erythema was approximately 4cmx2cm with underlying swelling measuring approximately 5cmx5cm. By 3/14/03 the erythema increased area 10cmx3cm and swelling increased with an area of induration.
Age: 1.2
Sex: F
Vaccine: VARCEL
Symptoms: Convulsion
Clinical narrative: Five tonic-clinic seizures lasting 2-3 mins.
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Apnoea, Convulsion, Cough, Laboratory test abnormal, Laryngeal oedema
Clinical narrative: Six month old had immunization on 3/25/03. On 3/26/03 developed fever, had a 25 minutes generalized tonic/clonic seizure. After getting anticonvulsants, child became apneic intubated x 12 hrs. Temp=104 degrees. On antibiotics x 48 hrs for r/o bacterial meningitis. The medical record states cough, edema glottis, nad lab test abnormal.
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Six month old had immunization on 3/25/03. On 3/26/03 developed fever, had a 25 minutes generalized tonic/clonic seizure. After getting anticonvulsants, child became apneic intubated x 12 hrs. Temp=104 degrees. On antibiotics x 48 hrs for r/o bacterial meningitis. The medical record states cough, edema glottis, nad lab test abnormal.
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Myasthenic syndrome, Pain
Clinical narrative: Left upper arm weakness. Minimal pain with movement. He has somewhat weakened handgrip.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Dizziness
Clinical narrative: Lightheadedness
Age: 36.0
Sex: F
Vaccine: ANTH
Symptoms: Oedema, Pruritus
Clinical narrative: PT describes itchy sensation initially - worsening at 4 days post vax and progressing to head, swelling and increased itching. PT states swelling and itching have increased through today (9 days post vax). Referred to provider.
Age: 30.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Erythema, Pruritus
Clinical narrative: PT reports redness and itching of left upper arm approx 24 hrs post Anthrax vax #2. Denies fever, chills, or systemic Sx's. Advised to use cool compress and avoid scratching - and to return to clinic as needed.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema
Clinical narrative: Redness about 12.5 x 1 cm, swelling and induration (about 9 x 9 cm) left upper arm and shoulders.
Age: 54.0
Sex: F
Vaccine: TD
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: On 3/24/03 PT received TD vax on left arm. After vax, PT started with swelling, redness inject site. No fever, no Sx's of infection or cellulitis.
Age: 5.4
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site mass, Skin ulcer, Vasodilation procedure
Clinical narrative: Received MMR and DTaP in left deltoid on 3/28/03. Mom noted red indurated lesion arm 3/30/03 during bath. Exam on 3/31/03 shows red, warm 3.5 cm x 4 cm ovoid / round indurated lesion that is non-tender and not ulcerating.
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Lymphadenopathy, Rash pruritic, Rash vesicular
Clinical narrative: PT presented to office w/reactive lymph nodes behind right ear and a chicken pox rash, which PT had for 3 days. No fever. PT c/o rash itching very much. PT was Dx'd w/chicken pox and reactive lymph nodes post auricular. Lesions of chicken pox were already crusted over at time of visit.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema, Vasodilation procedure, Vomiting
Clinical narrative: Received injection on 1/30/03. Called office on 1/31 c/o redness from inject site left arm to shoulder, swelling, warmth, and vomiting. Went to ER told to give PT Tylenol. T.C. to PT on 2/3/03. Mom states PT is fine now.
Age: 2.4
Sex: M
Vaccine: HEP
Symptoms: Convulsion
Clinical narrative: 12/16/02 - Mom called and states child had seizure. 12/5/02 - was seen at a medical facility. 3/18/03 - Phoned dad states neither he nor mom witnessed the seizure - it was a relative, have left message for this witness to call reporter back - no response.
Age: 18.0
Sex: M
Vaccine: HEP
Symptoms: Nervousness, Tachycardia
Clinical narrative: PT waited required 20 mins then walked back to school a short distance from health dept. Teacher called and spoke w/PHN at 10:45 - states PT shaky and heart racing - requests direction on what to do. Advised teacher to call for ambulance and then notify parents. PT transported to a medical center ER. PT reports they gave him Benadryl and steroids but he can't remember the name of the other medicine (Pepcid).
Age: 1.5
Sex: F
Vaccine: DTAP, HBHEPB
Symptoms: Injection site hypersensitivity, Injection site oedema, Vasodilation procedure
Clinical narrative: Got shots at 9 a.m. Was swelled in right thigh p.m. of 2/26. At a.m. of 2/27 had more swelling, redness and heat at inject site. Was red and 4 x 4 in. large. Improvement with ice packs and Motrin.
Age: 25.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Pyrexia, Rash pruritic, Urticaria
Clinical narrative: Received MMR 3/19/03 and on 3/22/03 developed 101 deg fever which continued thru 3/25/03. Also c/o joint pain, developing rash on arms, leg, torso that is itching and large welts with blisters (hives). ER staff told client she probably had allergic reaction to hives. Went to ER on 3/25/03 - given Tylenol & Benadryl.
Age: 16.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Injection site mass, Myalgia, Vasodilation procedure
Clinical narrative: 3/23/03 Noted redness / some soreness very small red area. 3/25 presented w/redness. moderate heat induration at inject site 5 cm to 6.5 increased. No axillary nodes, no fever. Parent had applied Sweden Bitter (herb mixture) to arm overnight.
Age: 1.5
Sex: M
Vaccine: VARCEL
Symptoms: Rash papular, Rash pustular, Rash vesicular
Clinical narrative: Developed rash > 50 papules and pustules concentrated on torso, extending onto scalp, face and extremities.
Age: 59.0
Sex: F
Vaccine: HEPA
Symptoms: Erythema, Pruritus
Clinical narrative: 2 hrs post admin of vax, PT presented w/redness and itching, bilateral forearms. PT was advised to take Benadryl. Immediately after taking PT had relief of Sx's.
Age: 6.0
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Skin ulcer
Clinical narrative: 5 lesions on trunk and arm.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Screaming
Clinical narrative: Continuos crying, screaming x 3 1/2 hours.
Age: 11.0
Sex: M
Vaccine: HEP, MMR, PPV, TD
Symptoms: Headache, Neck pain, Photophobia, Pyrexia
Clinical narrative: Child c/o fever, headache, light sensitivity, and neck pain x 2 days mother reported. Called back and said pt symptoms went away and would not be seen.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Cellulitis
Clinical narrative: Treated in an urgent care facility-cellulitis-Dx 02/07/2003. Treated with Ceflexin, reaction resolving with ABX. Vaccines given 02/06/2003
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Dysphagia, Rash
Clinical narrative: 10 Minutes after injection, rash noted right side of head with difficulty swallowing noted. ED treatment of SQ epinephrine and oral antihistamine.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Area on right upper thigh red and swollen, area 5 1/2 cm x 7 cm in red round circle where band aid was.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site inflammation, Injection site swelling
Clinical narrative: Raised inflammed area on upper right thigh  12 cm x 9 cm
Age: 43.0
Sex: F
Vaccine: HEPA, PPV, HEPA, PPV
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site oedema, Pruritus
Clinical narrative: Noticed itching to site PPV given within 1 hour. Within 3 hours noticed red ring and local swelling approx. 4in in diameter. Erythema and swelling continued throughout  the day. Maximun swelling included erythema from lower deltoid down to elbow around diameter of right arm. Some improvement within 20 hours.
Age: 43.0
Sex: F
Vaccine: HEPA, PPV, HEPA, PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pain, Pruritus
Clinical narrative: Noticed itching to site PPV given within 1 hour. Within 3 hours noticed red ring and local swelling approx. 4in in diameter. Erythema and swelling continued throughout  the day. Maximun swelling included erythema from lower deltoid down to elbow around diameter of right arm. Some improvement within 20 hours.
Age: 32.0
Sex: F
Vaccine: HEP
Symptoms: Amnesia, Confusional state, Disorientation, Dizziness, Nausea
Clinical narrative: Was stopped at intersection, was disoriented and confused. Couldn't remember where she was ans was going After 5 minutes then nauseated, light headed, shaky, rapid breathing for 30 minutes. Went to store and home. Very tired. anted to sleep. Wore off.  Brought husband to drive today for Hep # 2.
Age: 32.0
Sex: F
Vaccine: HEP
Symptoms: Respiratory rate increased, Tremor
Clinical narrative: Was stopped at intersection, was disoriented and confused. Couldn't remember where she was ans was going After 5 minutes then nauseated, light headed, shaky, rapid breathing for 30 minutes. Went to store and home. Very tired. anted to sleep. Wore off.  Brought husband to drive today for Hep # 2.
Age: 1.25
Sex: M
Vaccine: PNC
Symptoms: Injection site swelling, Rash erythematous
Clinical narrative: 3in x 4in raised erythematous hard lesion treated with Benadryl.
Age: 1.2
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Left deltoid area indurated erythematous, apprx 4-6 hours after placement. No fever or demonstrate pain /disense of arm.
Age: 1.04
Sex: M
Vaccine: HBHEPB, PNC, VARCEL
Symptoms: Periorbital oedema, Urticaria
Clinical narrative: Shortly after vaccine developed hives and periorbital swelling and +/uninesa given Benadryl 12.5mg IM and Epi 1:1000 0.1 SQ.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Arthritis
Clinical narrative: Pt called on 3/24/03 to state she believes to have acquired arthritis as a result of receiving the flu vaccine.
Age: 13.0
Sex: F
Vaccine: DT, HEP
Symptoms: Heart rate increased, Paraesthesia, Respiratory disorder, Tremor
Clinical narrative: Mother of above phoned clinic stating that child was experiencing the "shakes," rapid pulse, "funny breathing" and c/o tingling all over. Encouraged mother of client at that time to phone physician ASAP to have child evaluated.
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Client stated has rash from shoulder to shoulder across the chest, rash described as raised red fluid filled bumps that itch, denies other symptoms no tx at this time. Referred to primary care doctor.
Age: 28.0
Sex: F
Vaccine: HEP, TD
Symptoms: Back pain, Muscle spasms, Muscle twitching, Myalgia, Upper respiratory tract infection
Clinical narrative: C/O backache 2 hrs after she received Td and hep B; c/o muscle ache that night-went to class and could not drive home; c/o twitching and spasms in back. Saw MD 2/7/03 dx UTI. Prescribed Tequin, Celebrex pain and muscle relaxer off work for 10 days and school. Back to work on muscle relaxer only feeling better.
Age: 1.0
Sex: F
Vaccine: DTAPH, MMR, VARCEL
Symptoms: Oedema peripheral, Pyrexia, Rash
Clinical narrative: Rash began Saturday 3/8/03 am on face continued to worsen on Sunday 3/9/03 and Monday 3/10/03-covering entire body with majority on arms, legs and face. Temp from 3/8 through 3/9 ranged from 100.7 to 101.5. Saw MD on Monday AM who felt it was an adverse reaction to vaccine and told her to call H-taking Benadryl now per MD. Also reports hands swollen.
Age: 15.0
Sex: F
Vaccine: HEP, TD, VARCEL
Symptoms: Headache, Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: Pt received three injections on 2/28/03. On 3/1/03 she developed headache and swelling in L arm with temp to 100.0 degrees on 3/3/03 swelling is still present from shoulder to hand. Paunful-no redness. Advised to call family Doctor-I will call mom back. On 3/5/03, pt saw MD who states swelling was normal and advised no rx. 3/12/03 I phoned mom and condition has resolved.
Age: 41.0
Sex: F
Vaccine: VARCEL
Symptoms: Pruritus, Rash
Clinical narrative: Rash, itching, bumps (elevated and raised). MD advised treatment with Benadryl all symptoms disappeared after medication taken.
Age: 60.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Insomnia
Clinical narrative: Pt states that she felt a hot sensation immediately-became very painful-she could not sleep. The following day her arm was red from her shoulder to elbow-all the way around she put Neosporin on her arm x 2 days. Redness and pain went away.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Herpes zoster, Infection
Clinical narrative: L4-L5 shingles-documented VZV vaccine on right leg by CDC.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site vesicles
Clinical narrative: Linear blisters dev approx 1 inch to left of injection site R thigh-resolving rapidly.
Age: 4.75
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Skin ulcer
Clinical narrative: L thigh 3cm x 5cm red warm lesion no blisters no pechiae skin site at injection clear and dry no discharge.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR, PNC
Symptoms: Febrile convulsion
Clinical narrative: The pt was given immunizations at approximately 10am. She was seen in the ED at approximately 8pm with a febrile seizure. Blood and urine cultures were obtained. She was given IM Rocephin and followed up in the office on 3/26/03.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site oedema, Injection site warmth, Pruritus
Clinical narrative: Received immunizations on 3/21/03 afternoon-on 3/21/03 pm-L arm itching, red, warm to touch, and swollen-MD aware-child encourage to use compress for swelling and Tylenol for discomfort.
Age: 12.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness on R deltoid 2" x 1 1/4" slightly raised.
Age: 0.5
Sex: F
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Agitation, Crying, Depressed level of consciousness, Musculoskeletal stiffness, Pallor
Clinical narrative: Received shots approx 2:30pm-given Tylenol .8cc prior to shots. 6:45pm playing ok-suddenly started to cry, scream, stiffen legs, eyes seemed glazed, unable to focus, pasty, pale, crying continued for 1/2 hr, went to sleep and could not wake up-paramedics called-ER; monitored and released after few hrs.
Age: 0.5
Sex: F
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Staring
Clinical narrative: Received shots approx 2:30pm-given Tylenol .8cc prior to shots. 6:45pm playing ok-suddenly started to cry, scream, stiffen legs, eyes seemed glazed, unable to focus, pasty, pale, crying continued for 1/2 hr, went to sleep and could not wake up-paramedics called-ER; monitored and released after few hrs.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Herpes zoster, Infection
Clinical narrative: Shingles along 12 dermatome on R leg-confirmed VZV vaccine per CDC.
Age: 1.75
Sex: M
Vaccine: DTAP, HEP, VARCEL
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Redness and swelling to R thigh.
Age: 1.0
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Pruritus, Rash
Clinical narrative: Child developed non-specific, non-generalized rash over back and abd on 1/29/03-8wks post most recent vaccinations. Some itching was (+), no fever. Rash resolved spont on 2/28/03. No crusting noted thru healing process; no lab work or treatment was needed.
Sex: F
Vaccine: PPV, TTOX
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Inj given 3/17/03 about 11:50a, by 5pm 3/17/03 arm red swollen. 3/20/03 site about 50 cent size, started Cehalen, 3/21 tx'd with Rocephin.
Sex: U
Vaccine: TTOX
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Injection 3/11/03. Area red, swollen; started about 3/15-3/16. 3/17 area about 3 inches across redness, warm to touch. Treatment with Ibuprofen, Keflex.
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Rash vesicular
Clinical narrative: Patient developed clinical varicella.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Tenderness
Clinical narrative: Arm red, swollen and tender around site of injection left leg. Treated with Keflex 250 TID --> Cellulitis.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth, Pruritus
Clinical narrative: Itching, reddness 6cmx8cm. Slight fever to right deltoid. Referred to private physician for evaluation. Benadryl for itching, warm cloth for circulation and comfort.
Age: 3.0
Sex: M
Vaccine: MMR
Symptoms: Erythema, Pyrexia, Swelling
Clinical narrative: Positive swelling of left parotid gland with erythema along left jaw line. Elevated fever (102-103), pain in left cheek 2 weeks after MMR immunization. Treatment with Tylenol #3, no citrus drinks, Ibuprofen every 6 hours, respiratory isolation for 3 days, meningitis, orchiitis precautions. Given follow up in office after 3 days.
Age: 4.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Client was given DTaP and IPV in LUA and LLA respectively (03/24/2003). This morning, mother noted large area of erythema left arm and shoulder area. Area warm to touch. Ibuprofen 2 times. No reaction today. Told follow up with PMD and see if he was having allergic reaction or possible severe abscess.
Age: 1.0
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Rash (mild) on back and lower abdomen. Scant rash on left mid chest. DTaP/HIB, MMR, and VZV given 3/24/03. No problems, but noticed rash this AM. Has given Tylenol for age for 24 hours. CT Benadryl for 24 hours for age and if no better or condition worsens, follow up with urgent care.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 2/6/03 - Mother phoned and noticed daughter's right thigh swelling under injection site the size of a dinner plate. Red and warm to touch. Denies general discomfort; only when pressing on it. Phoned physician at home last evening and advised Benadryl and ice. Mom states left thigh still swollen, but breaking up to small welts now. No fever; child playful and walking normal.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Cellulitis, Injection site erythema, Injection site reaction, Oedema, Tenderness
Clinical narrative: Cellulitis of the right thigh with erythema, edema with tenderness over an area of 8cmx10cm.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pallor, Vomiting
Clinical narrative: Soon after vaccine administered within 5 minutes, child turned pale, spit up the ? and ? back to normal a few seconds later.  Still having few pale spells.
Age: 0.3
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Convulsion
Clinical narrative: A nurse practitioner reported that a 4 month old female received her first dose of Prevnar vaccine on an unspecified date. concomitant vaccines included DTaP and IPOL. She subsequently developed a febrile seizure. An electroencephalogram was performed; the results were negative. This event was considered medically important (OMIC). No further information was available at the date of this report. MANUFACTURERS COMMENT: Information regarding this event has been forwarded to the manufacturer of IPOL.
Sex: U
Vaccine: PNC
Symptoms: Drug ineffective
Clinical narrative: An MD reported that a child receiving a complete series of Prevnar subsequently developed bacteremia. This event was considered medically important. No further info was available at the date of this report.
Age: 1.25
Sex: F
Vaccine: PNC
Symptoms: Bacterial infection, Drug ineffective, Meningism
Clinical narrative: An MD reported that a 15 mt old female received her 2nd dose of Prevnar on 3/19/01. Her medical history included polycystic kidney disease and epidermal nevus system. On 11/8/02, at 35 mts of age, she developed Pneumococcal meningitis. On 11/9/02, she was hospitalized. Blood and cerebrospinal fluid cultures were positive for Streptococcus pneumoniae. No further info was available at the date of this report.
Age: 1.9
Sex: M
Vaccine: PNC
Symptoms: Bacterial infection, Drug ineffective, Headache, Pain, Pyrexia
Clinical narrative: Additional information received on 1/6/03 for a physician provided a revised diagnosis, additional test results, and treatment medication. A physician reported that 4 year old male with a history of asplenia and Wiskott-Aldrich syndrome received his first dose of Prevnar on 9/21/00 at 23 months of age. On 9/23/02, he presented to the emergency room with a headache, leg ache, and a fever of 105 degrees F. on 9/24/02, he was admitted to the hospital with a diagnosis of pneumococcal sepsis, which was confirmed by a blood culture taken on 9/23/02. The blood culture was positive for Streptococcus pneumoniae serotype 9V. An IgG, IgM, and IgA were all normal. A complete blood count revealed increased bands. He was treated with vancomycin. He recovered.
Age: 1.9
Sex: M
Vaccine: PNC
Symptoms: Sepsis
Clinical narrative: Additional information received on 1/6/03 for a physician provided a revised diagnosis, additional test results, and treatment medication. A physician reported that 4 year old male with a history of asplenia and Wiskott-Aldrich syndrome received his first dose of Prevnar on 9/21/00 at 23 months of age. On 9/23/02, he presented to the emergency room with a headache, leg ache, and a fever of 105 degrees F. on 9/24/02, he was admitted to the hospital with a diagnosis of pneumococcal sepsis, which was confirmed by a blood culture taken on 9/23/02. The blood culture was positive for Streptococcus pneumoniae serotype 9V. An IgG, IgM, and IgA were all normal. A complete blood count revealed increased bands. He was treated with vancomycin. He recovered.
Age: 0.3
Sex: F
Vaccine: PNC
Symptoms: Unevaluable event
Clinical narrative: An MD reported that a 13 mt old female received her first dose of Prevnar on 1/18/02 at 4 mts of age. On 10/18/02, a blood culture was performed; pneumococci was isolated. A Dx of bacteremia (w/out focus) was made. Pneumococcal bacteremia was considered medically important. No further info was available at the date of this report.
Sex: U
Vaccine: PNC
Symptoms: Convulsion
Clinical narrative: Info has been received from a health care professional concerning a child who received an injection of Prevnar. W/in 4 hrs of administration, the child experienced a seizure. This event was considered medically important. No further info was available at the date of this report.
Age: 1.0
Sex: M
Vaccine: PNC
Symptoms: Drug ineffective, Pneumonia, Sepsis
Clinical narrative: Follow-up information received from the patient's physician on 2/14/03 contained additional patient information; vaccine administration details; information regarding medical history; treatment medications; and a hospital discharge date. A pediatrician reported via a company sales representative that a male child received his fourth dose of Prevnar on 1/10/02 at 12 months of age. The physician indicated that the child had no pre-existing medical conditions. On 10/23/02, at 21 months of age, the child developed pneumococcal sepsis and pneumococcal pneumonia. He was hospitalized. A culture was performed; Streptococcus pneumoniae seortype 19F was isolated. Results of unspecified immune system tests were normal. He was treated with IV fluids and IV Rocephin. On 10/29/02, he was discharged, and therapy with Omnicef was initiated. On 11/3/02, the pneumococcal pneumonia persisted, and he developed a pneumococcal abscess. He was readmitted for PICC line placement and was treated with a one month course of Rocephin. He recovered.
Age: 0.25
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Coma, Convulsion, Drug ineffective, Pyrexia, Tachycardia
Clinical narrative: Additional information received on 2/10/03 provided an update of the patient's clinical status and results CT scan. A physician reported that a 5 month old female received her second dose of Prevnar at 3 months of age on 12/2/02. The child had no known previous medical conditions. On 2/1/03, she presented to the emergency room with a fever of 101 degrees F, tachycardia, and had seizures. Blood pressure was reportedly difficult to obtain. She was intubated and observed for 2 hours. She was admitted to the pediatric intensive care unit and placed on a ventilator. The reporter stated the child was nonresponsive and her pupils were nonreactive, noting she was doing poor neurologically. A lumbar puncture revealed many organisms, a white blood cell count of 55, and glucose level of 1. Hemodynamics were fine and acid base balance was normal. A diagnosis of pneumococcal meningitis was made. Serotyping was pending as of 2/10/03. the organism was intermediately sensitive to penicillin and sensitive to ceftriaxone. As of 2/10/03, she had yet to open her eyes. Computerized tomography showed an infarct of the brain. Treatment continued with pheonobarbital, ceftriaxone, and penicillin. The reporter considered the child's condition life threatening. The reporter indicated that the child survived with disabilities, noting "the extent of which will be known in the future." Additional information received on 18Sep2003 provided serum antibody titers. Serotyping by the Centers for Disease Control and Prevention laboratory revealed serotype G35, subtype 35B. See laboratory results section.
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Aspiration, Bacterial infection, Drug ineffective, Pyrexia, Sepsis
Clinical narrative: Additional information received on 2/20/02 from a physician provided additional demographics and vaccination information. A physician reported that a 6 month old female received her third dose of Prevnar on 11/15/02. Concomitant vaccine therapy included ActHIB and Infanrix. On 1/25/03, at 8 months of age, she was hospitalized with a five day history of low grade fever, a two day history of painful left arm manipulation, and a one day history of left elbow swelling. On admission, she had a fever of 103.6 degrees F. An aspirate of the elbow joint was performed which yielded 4cc of pus. The child was treated with nafcillin. On 1/26/03, the aspirate culture grew Streptococcus pneumoniae and the antibiotic was changed to ceftriaxone. Upon receipt of the susceptibilities, the antibiotic therapy was changed to IV penicillin. The reporter indicated that isolates from the infection were taken for analysis; the results are pending. A diagnosis of Streptococcal pneumoniae septic arthritis of the elbow was made. An additional diagnosis of iron deficiency anemia was discovered during the course of this hospitalization. Laboratory studies were performed yielding the following results: WBC 14,100; neutrophils 57%; hemoglobin 9.5; and platelets 975,000. C-reactive protein tests were performed; the initial value was 9.1, peaking at 18.8, and less than 3 at discharge. Erythrocyte sedimentation rates were performed; the initial value was 14, peaking at 66, and 34 at discharge. Nuclear magnetic resonance imaging revealed possible bone involvement. A blood culture was performed; the result was negative. On 2/9/03, the child was discharged from the hospital. Discharge medications included high dose amoxicillin in order to complete the 28 days of antibiotic therapy. The reporter indicated that the child's condition is improving. Additional information received on 16Jan2004 from a physician provided laboratory results.
Age: 3.0
Sex: M
Vaccine: PNC
Symptoms: Bacterial infection, Coma, Depressed level of consciousness, Laboratory test abnormal, Pyrexia
Clinical narrative: A physician reported that a 3 year old male received a single dose of Prevnar in February 2001. In February 2003, at 5 years of age, the child developed fever. The child's mother stated that her son's fever had persisted for seven days before he was seen in an emergency room on 2/23/03. A diagnosis of ear infection was made and he was treated with ear drops. On 2/24/03, according to the reporter, the mother indicated that her son developed vomiting. He had a decreased level of consciousness. A workup was performed which yielded the following abnormal electrolyte results: glucose 203; sodium 138; potassium 2.9; chloride 93; CO2 28. WBC ranged from 50,000 to 52,000; platelet count 667; haemoglobin 12. It was determined that he was septic and might be meningitic. He was treated with IV Rocephin. A lumbar puncture attempt was unsuccessful due to the child's state of agitiation. He was then transported to another medical facility. Physical examination revealed a temperature of 103.2 degrees F, pulse 108, respirations 13 and blood pressure was 124/88. O2 saturation was performed, the results were 92% on room air (borderline hypoxic); and 100% with blow-by oxygen. The examining physician indicated that the child appears to have a nonfocal neurologic examination; he is not talking and does not open his eyes. He appears to be in an altered level of consciousness. He expresses local pain and thrash around when being probed; moves all extremities. The child sits right up when bending his neck, thus, demonstrating a stiff neck. A DIC panel was ordered; the results were not yet available. A spinal tap was performed, 3cc of purulent cloudy fluid was obtained. The cerebrospinal fluid results were grossly abnormal. Laboratory tests were performed which yielded the following results: CSF white cell count 7880; neutrophils 98% with intracellular bacteria present; CSF glucose 0 and CSF protein, exceedingly elevated 476. The CSF gram stain showed gram-positive cocci in chains. His blood pressure remained stable about 104 to 107 over 60 to 80. Respirations were in the high 20s, low 30s. Pulse remained between ranges of up to 130, and saturations with the blow-by oxygen remained at 100%. The child was subsequently admitted to the pediatric ICU. An impression of bacterial meningitis was made given the gram stain, probably (group A) streptococcal pneumonia, possibly originating from the otitis media. He was treated with 500cc of intravenous normal saline, Rocephin. Vancomycin, Decadron and oxygen therapy. The reporter indicated that the boy was slowly improving.
Age: 3.0
Sex: M
Vaccine: PNC
Symptoms: Vomiting
Clinical narrative: A physician reported that a 3 year old male received a single dose of Prevnar in February 2001. In February 2003, at 5 years of age, the child developed fever. The child's mother stated that her son's fever had persisted for seven days before he was seen in an emergency room on 2/23/03. A diagnosis of ear infection was made and he was treated with ear drops. On 2/24/03, according to the reporter, the mother indicated that her son developed vomiting. He had a decreased level of consciousness. A workup was performed which yielded the following abnormal electrolyte results: glucose 203; sodium 138; potassium 2.9; chloride 93; CO2 28. WBC ranged from 50,000 to 52,000; platelet count 667; haemoglobin 12. It was determined that he was septic and might be meningitic. He was treated with IV Rocephin. A lumbar puncture attempt was unsuccessful due to the child's state of agitiation. He was then transported to another medical facility. Physical examination revealed a temperature of 103.2 degrees F, pulse 108, respirations 13 and blood pressure was 124/88. O2 saturation was performed, the results were 92% on room air (borderline hypoxic); and 100% with blow-by oxygen. The examining physician indicated that the child appears to have a nonfocal neurologic examination; he is not talking and does not open his eyes. He appears to be in an altered level of consciousness. He expresses local pain and thrash around when being probed; moves all extremities. The child sits right up when bending his neck, thus, demonstrating a stiff neck. A DIC panel was ordered; the results were not yet available. A spinal tap was performed, 3cc of purulent cloudy fluid was obtained. The cerebrospinal fluid results were grossly abnormal. Laboratory tests were performed which yielded the following results: CSF white cell count 7880; neutrophils 98% with intracellular bacteria present; CSF glucose 0 and CSF protein, exceedingly elevated 476. The CSF gram stain showed gram-positive cocci in chains. His blood pressure remained stable about 104 to 107 over 60 to 80. Respirations were in the high 20s, low 30s. Pulse remained between ranges of up to 130, and saturations with the blow-by oxygen remained at 100%. The child was subsequently admitted to the pediatric ICU. An impression of bacterial meningitis was made given the gram stain, probably (group A) streptococcal pneumonia, possibly originating from the otitis media. He was treated with 500cc of intravenous normal saline, Rocephin. Vancomycin, Decadron and oxygen therapy. The reporter indicated that the boy was slowly improving.
Age: 1.5
Sex: F
Vaccine: DTAP, MMR, PNC
Symptoms: Injection site reaction
Clinical narrative: An MD reported that an 18 mt old female received her 4th injection of Prevnar on 11/20/02. The reporter indicated that the child experienced "some leakage of the vax from the inject site in the arm". Concomitant vax therapy included DTaP, and MMRII. On 11/22/02, the child developed a local reaction 4 cm in diameter at the Prevnar inject site. The child recovered.
Age: 22.0
Sex: F
Vaccine: PNC
Symptoms: Injection site oedema, Injection site pain, Medication error
Clinical narrative: Add'l info was received on 2/6/03 from a healthcare prof'l provided event outcome. A healthcare prof'l reported that on 1/2/03, a 22 y.o. female nurse inadvertently injected herself subcutaneously w/Prevnar. She was administering the Prevnar to a child when the child kicked her and she accidentally injected the Prevnar in her left hand. Subsequently, her hand became swollen and painful. She was treated with fexofenadine. She recovered.
Sex: F
Vaccine: PNC
Symptoms: Medication error, Unevaluable event
Clinical narrative: Follow-up info received from the MD on 2/3/03 indicated add'l event details. An MD reported that a female nurse broke a bottle of Prevnar in her hand while drawing a dose on 1/9/03. The nurse's hand was cut and bleeding. The MD noted that the Prevnar did not enter the wound.
Age: 0.75
Sex: F
Vaccine: PNC
Symptoms: Rash erythematous
Clinical narrative: An MD reported that a 9 mt old female received her 2nd dose of Prevnar on 2/24/03. Ibuprofen was administered on the day of immunization. On the following morning, 2/25/03, the child experienced a "red generalized rash on her chest, abdomen, and leg." No fever or fussiness was reported. Follow-up information received 15-Apr-2003 from the physician provided patient outcome (recovered). The child recovered.
Age: 0.75
Sex: F
Vaccine: PNC
Symptoms: Injection site reaction, Urticaria
Clinical narrative: A nurse reported that a 9 mt old female received her 1st dose of Prevnar in her left thigh on 2/24/03. On 2/25/03, the infant developed hives at the inject site. She was treated w/Motrin. No further info was available at the date of this report.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Rash papular, Skin ulcer
Clinical narrative: Robust reaction.  Mild tender axillary nodes.  Vesico-papular rash left upper extremity (approximately 10 lesions) with 3 lesions on back.  Present for two days.  No accompanying fever.  Temp today is 98.4 and otherwise well.
Age: 46.0
Sex: M
Vaccine: SMALL
Symptoms: Blood creatine phosphokinase increased, Chest pain
Clinical narrative: Patient has chest pain for three days prior to getting smallpox vaccine. The night after, he received smallpox injection, he suffered non ? and subsequently had injection of 3 stents.
Age: 32.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Chest pain, Enzyme abnormality, Myocarditis
Clinical narrative: Admitted to hospital 2/12 with chest pain and elevated cardiac enzymes. ECG changed; Cardiac Cath negative. Diagnosis: myocarditis secondary to smallpox vaccination. Other viral studies pending.
Age: 54.0
Sex: F
Vaccine: SMALL
Symptoms: Rash pruritic
Clinical narrative: Rash on skin of neck, chin, and near L ear, not on rest of body; onset not known; described as itchy; photographs seen by SHD show a non-descript, patchy red rash, slightly raised; treated with Benadryl.  Patient takes daily vitamins and hormone pills.
Age: 50.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth, Lymphadenopathy
Clinical narrative: On the evening on 3/24/03 the vaccinee noted an area of streaking from reddened area surrounding the vaccination site extending downward forward the inner elbow. By the AM of 3/25/03 the area was 3 1/2" long x 1 1/2" wide with redness, edema and hot to touch with pain. Pt also had swollen lymph nodes in same arm. Saw physician on 3/28 and was treated by anti inflam? and cold compresses. Involved area lymph nodes had resolved within 3 days.
Age: 50.0
Sex: F
Vaccine: SMALL
Symptoms: Skin striae
Clinical narrative: On the evening on 3/24/03 the vaccinee noted an area of streaking from reddened area surrounding the vaccination site extending downward forward the inner elbow. By the AM of 3/25/03 the area was 3 1/2" long x 1 1/2" wide with redness, edema and hot to touch with pain. Pt also had swollen lymph nodes in same arm. Saw physician on 3/28 and was treated by anti inflam? and cold compresses. Involved area lymph nodes had resolved within 3 days.
Age: 49.0
Sex: F
Vaccine: TD
Symptoms: Injection site pain
Clinical narrative: The patient's arm was sore.  No fever or other adverse reactions.
Age: 44.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Pruritus, Rash
Clinical narrative: 3 to 4 days after first and second anthrax vaccinations I had intense itching on thighs, back, stomach, forearms, and buttocks.  I had a red rash on stomach and patches of bumps on buttocks.  Symptoms were less severe after third anthrax vaccination.
Age: 20.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Erythema, Headache, Lymphadenopathy, Pyrexia, Rash papular
Clinical narrative: Generalized erythema, rashes, papules, fever, headache with lymphadenopathy, L arm pit 9 days post-vaccination.
Age: 34.0
Sex: M
Vaccine: SMALL
Symptoms: Chills, Headache, Nausea, Pyrexia
Clinical narrative: Fever, chills, nausea, headache x 8-12 hrs.
Age: 36.0
Sex: F
Vaccine: SMALL
Symptoms: Lip ulceration, Tongue ulceration
Clinical narrative: Developed three ulcerative lesions-one inside lip, two on tongue. Scab had separated two days earlier.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox
Clinical narrative: Generalized vaccinia.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Cow pox, Pyrexia, Rash
Clinical narrative: Rash consistent with generalized vaccinia (contagious rash, fever, rash on chest, trunk, and upper arms).
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site inflammation, Injection site oedema, Injection site pain, Injection site pustule
Clinical narrative: Inflammatory reaction at site of smallpox vaccination (swelling, redness, pustular, axilla pain).
Age: 33.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site inflammation, Injection site oedema, Injection site pain
Clinical narrative: Inflammatory reaction at site of smallpox vaccination (swelling, redness, itching, axilla tenderness).
Age: 33.0
Sex: F
Vaccine: SMALL
Symptoms: Pruritus
Clinical narrative: Inflammatory reaction at site of smallpox vaccination (swelling, redness, itching, axilla tenderness).
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site induration, Injection site inflammation, Lymphadenopathy
Clinical narrative: Inflammatory reaction (left deltoid) a site of smallpox vaccination (inflammation, induration, lymphadenopathy).
Age: 19.0
Sex: M
Vaccine: ANTH, FLUX, HEPAB, SMALL, TYP, YF
Symptoms: Dehydration, Orthostatic hypotension, Syncope vasovagal
Clinical narrative: VAsovagal syncope, orthostatic hypotension, dehydration.
Age: 38.0
Sex: F
Vaccine: ANTH, FLUX, MMR, SMALL, YF
Symptoms: Lymphadenitis, Pain, Sinusitis, Upper respiratory tract infection
Clinical narrative: Probable viral URI/sinusitis. Possible delayed reaction to immunizations. Follow up information received 04/21/2003 states: left axillary pain, lymphadenitis, etiology unknown.
Age: 38.0
Sex: F
Vaccine: ANTH, FLUX, MMR, SMALL, YF
Symptoms: Headache, Pyrexia, Sinusitis, Upper respiratory tract infection
Clinical narrative: Fever, headaches (most likely viral resp. infection/sinusitis).
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Hypoaesthesia, Injection site erythema, Injection site oedema, Injection site rash, Injection site reaction
Clinical narrative: Exaggerated local reaction (L arm) (rash, numbness, erythema, swelling).
Age: 32.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Pyrexia
Clinical narrative: Febrile illness-recent immunizations.
Age: 23.0
Sex: M
Vaccine: ANTH, MMR, SMALL
Symptoms: Cough, Injection site erythema, Injection site oedema, Pain, Pyrexia
Clinical narrative: Fever, body aches, cough (viral syndrome, possible rx to immunization) erythema/swelling around vaccination area.
Age: 23.0
Sex: M
Vaccine: ANTH, MMR, SMALL
Symptoms: Viral infection
Clinical narrative: Fever, body aches, cough (viral syndrome, possible rx to immunization) erythema/swelling around vaccination area.
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Dermatitis acneiform, Pain, Pruritus
Clinical narrative: Acneiform rash started 10 days after vaccine. Painful: pruritic. Treated with Allegraa nd Mytsin.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Asthenia, Dysphagia, Myalgia
Clinical narrative: Soreness, weakness, hard to swallow.
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Hypersensitivity, Rash papular
Clinical narrative: Member received smallpox vaccine and had an allergic reaction by breaking out with small pimple like rash.
Age: 21.0
Sex: F
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: Bumps on stomach.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus, Rash
Clinical narrative: Itchy rash on chest and arms.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Dermatitis bullous, Erythema, Skin ulcer, Urticaria
Clinical narrative: 22 y.o. male PT w/reaction to smallpox vax. Scattered erythema and urticaria lesions over chest and back. More erythema and more vesicles noted surrounding bandage to left arm.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Rash erythematous, Rash maculo-papular
Clinical narrative: Chest, abdomen, neck and proximal arms with erythematous 1-2 cm macule & papules complacent in some regions.
Age: 25.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema, Injection site hypersensitivity, Injection site pain
Clinical narrative: 25 y.o. female PT w/reaction to smallpox vax. Left arm 4 cm area erythema, tenderness extending from vax site. Meds: Dicloxacillin, Motrin.
Age: 35.0
Sex: M
Vaccine: SMALL
Symptoms: Bacterial infection
Clinical narrative: 35 y.o. male report w/secondary bacteria infection to smallpox vax site. Quarter sized, circular, puritis? drainage to site on left arm. Mild odor noted with bandage removal. Meds: Dicloxacillin 250 mg PO.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Rash erythematous
Clinical narrative: Body - multiple pinpoint erythemic points without vesicle filled.
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Rash, Rash erythematous, Rash pustular
Clinical narrative: 27 y.o. male w/reaction to smallpox vax. Bumps to left armpit, right great toe and chest and face. Abdomen, nasal fold erythematous pustules noted. Genome vaccinia. Med: Benadryl hydrocortisone ? cream.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Rash erythematous
Clinical narrative: Left deltoid: 1/2" wide 2.5" long erythematous rash with distinctive border non-raised.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Injection site oedema, Pruritus
Clinical narrative: 29 y.o. male w/possible reax to Smallpox vax. Erythema with itching noted to both left and right arms. Swelling at vax site. Meds: Benadryl.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus, Skin ulcer, Urticaria
Clinical narrative: 22 y.o. female w/reax to smallpox vax. Hyper-pigmented irregularly shaped patches to chest and cover back. Increased itching, slight scaling lesions to back / urticaria. Meds: Benadryl, hydrocortisone.
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Drug toxicity
Clinical narrative: Generalized vaccine toxic eruptions.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Eczema, Rash, Rash papular, Skin ulcer
Clinical narrative: 21 y.o. w/reaction to Smallpox vax. Rash to left FA with scattered papules noted. Follow up c/o extensive crusted and weeping lesions to left FA. Impetigo with eczema. Meds: Dicloxacillin, hyprosyn, Tylenol.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Face oedema
Clinical narrative: Mild facial swelling
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Dizziness, Fatigue, Rash, Rash papular, Rash vesicular
Clinical narrative: 25 y.o. male w/Reax to smallpox vax. Diffused papular rash w/vesicles to entire body. Dizziness, fatigue. No itchiness. Possible reaction to vaccinia, op site on amoxicillin v/s viral exanthema. MEDS: Ranitidine, Benadryl.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Fatigue, Lymphadenopathy, Myalgia, Rash macular
Clinical narrative: Scattered pustules / macules amongst posterior / anterior trunk, swollen axillary nodes, fatigue and general muscle aches. Dx: Generalized vaccinia infection.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Rash pustular
Clinical narrative: Scattered pustules / macules amongst posterior / anterior trunk, swollen axillary nodes, fatigue and general muscle aches. Dx: Generalized vaccinia infection.
Age: 57.0
Sex: F
Vaccine: SMALL
Symptoms: Hypertension, Tendonitis
Clinical narrative: High blood pressure starting on March 28 (day 7 of vaccination).  Blood pressure continues high despite conservative measures of rest, alternating rest and activity for three days, low sodium, turning the news off, etc.  Started on Atenolol on Monday, March 31 at 7 p.m.Blood pressure varied from 172-110-139/96, p 85-100
Age: 47.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain
Clinical narrative: Post smallpox vaccination  Chest pain of one day duration on day 6,  March 6, 2003  ECHO cardiogram and EKG negative when done day 16March 26, 2003
Age: 20.0
Sex: F
Vaccine: ANTH
Symptoms: Urticaria
Clinical narrative: Generalized urticaria
Age: 3.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site warmth, Rash
Clinical narrative: Common reactions..red, swollen, hard, and warm to the touch at area surrounding injection site lasting 3-4 days. Day after these symptoms started to go away she developed a red rash that encircled the first reaction.  nurse practioner felt this was an uncommon reaction as well as an other doctor in the practice who looked at her. No treatment.  Symptoms went away after 2 weeks of injection.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Left anterior upper thigh noted to have redness and edema surrounding the vaccination site.
Age: 32.0
Sex: F
Vaccine: HEP, HEPA, IPV, VARCEL
Symptoms: Chest discomfort, Eye irritation, Pruritus, Rash, Throat tightness
Clinical narrative: Within 10 minutes of injection throat swellin, chest tighting. 10 minutes to 10 hours of injection above symptoms plus hives, itching and rash. One week rask and itchy eyes.
Age: 32.0
Sex: F
Vaccine: HEP, HEPA, IPV, VARCEL
Symptoms: Urticaria
Clinical narrative: Within 10 minutes of injection throat swellin, chest tighting. 10 minutes to 10 hours of injection above symptoms plus hives, itching and rash. One week rask and itchy eyes.
Age: 45.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain
Clinical narrative: Non-cardiac chest pain 3/28/03 - resolved