chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Malaise, Parkinsonian gait, Pyrexia, Staring
Clinical narrative: Leg pain, fever, malaise. 4/28/06, 15:00, Pt attempted to get out of a chair and walk from the kitchen to the playroom but crumpled onto the floor, crying about how his legs hurt. He was unable to stand. I picked him up and sat down on the sofa and noticed that he was hot and flushed. His temperature was 102 degrees and his entire body was warm with red flushing. 14:00-He was about the same. I remained on the sofa with him while he was in a daze, staring and intermittently whimpering, crying and complaining of leg pain. 16:30-I called your office and spoke to the message service. 17:00-He was the same. He was given homeopathic remedy thuja IM. 17:30 Fever was gone. Pt's spirits came back although he was unable to walk and complained of pain in his legs. 18:00=He began walking unsteadily with stiff legs. 19:00-Did a little rough playing with his younger brother and even ran a few steps. 19:30-Went to bed and slept through the night. On 4/28-ate and played fairly normally although there was stiffness in his gaits, increased clumsiness and a general loss of agility. Stuttering, which had disappeared completely several months ago, reappeared. Although normally, he does not nap, at 14:30, he lay down and slept until 17:00. He woke from his nap with a 99 degree temperature. He complained about pain in his legs and had difficulty walking. He was given thuja remedy. 17:30-He began to perk up but would not walk. Participated and played from a chair. Some capsaicin cream was rubbed onto his legs. 18:00-He began walking and running a bit, but stiffly. His abilities came back, little by little. Seemed much better at bedtime, 19:30. 4/30-He was fairly recovered. For the first time, the DPT injection site in his right leg was red and swollen like a pimple. I also noticed leg stiffness, clumsiness and stuttering. Mostly, he attempts to mask his ailments and only admitted once during the day to any pain. 5/1-He got up complaining about the DPT injection site. It appeared that he had been scratching it. There was a bloody pus discharge. Bacitracin and a band aid were applied. His mental and physical well being seemed improved and he went to nursery school as usual. He received the thuja remedy. 5/2-The injection site had a scab. He received a thuja remedy and went to nursery school. In the future, due to his and my family's medical history, please do not administer more that one vaccine at a time to either he or to my other son.
Age: 67.0
Sex: F
Vaccine: PPV, TD
Symptoms: Injection site induration, Injection site inflammation, Injection site pain, Injection site warmth
Clinical narrative: Within 3 hours of vaccine administration she felt inflammation at site of injection. By the next morning, inflammation with heat and firmness in area covered an 18 X 15cm oval area of L upper outer arm with some tenderness at site of edema, slight tenderness.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Per mom, she states child awakened with swollen L thigh this AM. Assessed as 8 X 4cm red, slightly firm area, warm to tough. 4/24/06, per dad, recovered.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: On 4/24/06-IPV and DTAP were given to LD. Pt was uncooperative; parent had to hold him down. On 4/26/06, mother came in with child and LD was red, swelling and warm to touch. Red area was big but child had scratched area because of itchiness. On 04/26, Upper extremity contact dermatitis; early cellulitis. Treated with diphenhydramine prn itching. Keflex for possible cellulitis.
Age: 31.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Large local reaction on R arm with erythema, itching and swelling.
Age: 0.34
Sex: F
Vaccine: DTAPHEPBIP, PNC
Symptoms: Pyrexia, Rash papular, Skin ulcer
Clinical narrative: Received injection 5/8/06-Wed. On Thursday morning, mom noted a fine rash, infant had  101.4 temp., rash continued to spread across thigh denies redness  or excessive warmth of legs. 5/8/06 presented with papular lesion across bilateral thighs Rt and mild /// /// prescribed. F/u 1 wk. Mom will call of worsens.
Age: 1.19
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Pt with residual "knot" after shot which later swollen area and circumferential redness, tenderness. Tx'd with abx for ? cellulitis with improvement.
Age: 47.0
Sex: M
Vaccine: TTOX
Symptoms: Pain
Clinical narrative: Arms are extremely sore and symptoms started 5/3/06.
Age: 1.73
Sex: F
Vaccine: HEPA
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: Right anterior thigh swelling and redness.
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Influenza like illness
Clinical narrative: Flu Like symptoms with 4 inches in diameter red area.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Feeling hot, Injection site hypersensitivity, Injection site mass
Clinical narrative: SX began 05/03/06 pm after injection site a small bump, arm red from shoulder to elbow, warm to touch, not itching. At that point pts wife stated he had Pneumovax 1/05, Pt did not remember.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Feeling hot, Injection site hypersensitivity, Injection site oedema, Pruritus
Clinical narrative: Swollen, red area on upper left arm, warm to touch and itchy, instructed to take Ibuprofen and Claritin QD for a few days per Dr.
Age: 0.37
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Irritability, Pyrexia, Rash, Vomiting
Clinical narrative: Fever 103.5, vomiting, irritability, rash < 24 hours after DTaP.
Age: 0.18
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Crying, Injection site haemorrhage, Screaming
Clinical narrative: Pt was in our office for well check approx 9am. pt returned to office that afternoon mom said pt conjunctival screaming since 9am visit very difficult to console, hemorrhage, it was assessed that there was no S/S hematoma right infection bilat, thighs, treatment Tylenol 0.8ml Q4D.
Age: 68.0
Sex: F
Vaccine: MMR
Symptoms: Dizziness, Erythema, Feeling cold, Heart rate irregular, Pruritus
Clinical narrative: Swollen Salivary Glands, Runny Nose, Cold Like feeling W/O sore throat, itchy red rash on trunk (front and back) light headedness, dizziness, irregular heart beat on 4/27/06 given antihistamine.
Age: 68.0
Sex: F
Vaccine: MMR
Symptoms: Rash, Rhinorrhoea, Salivary gland enlargement
Clinical narrative: Swollen Salivary Glands, Runny Nose, Cold Like feeling W/O sore throat, itchy red rash on trunk (front and back) light headedness, dizziness, irregular heart beat on 4/27/06 given antihistamine.
Age: 1.01
Sex: F
Vaccine: HEP, MMRV, PNC
Symptoms: Injection site hypersensitivity, Injection site induration, Pyrexia, Tenderness
Clinical narrative: Fever on 5/4 and 5/5 101F, nickel size redness and lump at injection site tender to touch.
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Asthenia, Cognitive disorder, Fatigue, Headache
Clinical narrative: This case was reported by a lawyer and described the occurrence of joint pain and swelling in an adult male subject who was vaccinated with Lyme disease vaccine recombinant (Lymerix) for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of Lymerix (unknown). At an unspecified time after vaccination with Lymerix, the subject experienced joint pain and swelling, fatigue, muscle pain and weakness, neuropathy, burning and tingling pain, sweats, hot flashes, sleep disorder, sensitivity to cold, headaches, cognitive problems, cramping of arm and leg muscles, malaise, tendon pain, decreased activities of daily live, rheumatologic, neurologic and or cognitive impairment of an autoimmune, immune mediated, or other mechanism, all reportedly caused by vaccination with Lymerix. This case was assessed as medically serious by manufacturer (OMIC). At the time of reporting the outcome of the events were unspecified. This information was received via a statement of injuries.
Sex: M
Vaccine: LYME
Symptoms: Hot flush, Hyperhidrosis, Immune system disorder, Joint swelling, Malaise
Clinical narrative: This case was reported by a lawyer and described the occurrence of joint pain and swelling in an adult male subject who was vaccinated with Lyme disease vaccine recombinant (Lymerix) for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of Lymerix (unknown). At an unspecified time after vaccination with Lymerix, the subject experienced joint pain and swelling, fatigue, muscle pain and weakness, neuropathy, burning and tingling pain, sweats, hot flashes, sleep disorder, sensitivity to cold, headaches, cognitive problems, cramping of arm and leg muscles, malaise, tendon pain, decreased activities of daily live, rheumatologic, neurologic and or cognitive impairment of an autoimmune, immune mediated, or other mechanism, all reportedly caused by vaccination with Lymerix. This case was assessed as medically serious by manufacturer (OMIC). At the time of reporting the outcome of the events were unspecified. This information was received via a statement of injuries.
Sex: M
Vaccine: LYME
Symptoms: Muscle spasms, Myalgia, Nervous system disorder, Neuropathy, Oedema
Clinical narrative: This case was reported by a lawyer and described the occurrence of joint pain and swelling in an adult male subject who was vaccinated with Lyme disease vaccine recombinant (Lymerix) for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of Lymerix (unknown). At an unspecified time after vaccination with Lymerix, the subject experienced joint pain and swelling, fatigue, muscle pain and weakness, neuropathy, burning and tingling pain, sweats, hot flashes, sleep disorder, sensitivity to cold, headaches, cognitive problems, cramping of arm and leg muscles, malaise, tendon pain, decreased activities of daily live, rheumatologic, neurologic and or cognitive impairment of an autoimmune, immune mediated, or other mechanism, all reportedly caused by vaccination with Lymerix. This case was assessed as medically serious by manufacturer (OMIC). At the time of reporting the outcome of the events were unspecified. This information was received via a statement of injuries.
Sex: M
Vaccine: LYME
Symptoms: Pain, Paraesthesia, Rheumatoid factor, Sensory disturbance, Skin burning sensation
Clinical narrative: This case was reported by a lawyer and described the occurrence of joint pain and swelling in an adult male subject who was vaccinated with Lyme disease vaccine recombinant (Lymerix) for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of Lymerix (unknown). At an unspecified time after vaccination with Lymerix, the subject experienced joint pain and swelling, fatigue, muscle pain and weakness, neuropathy, burning and tingling pain, sweats, hot flashes, sleep disorder, sensitivity to cold, headaches, cognitive problems, cramping of arm and leg muscles, malaise, tendon pain, decreased activities of daily live, rheumatologic, neurologic and or cognitive impairment of an autoimmune, immune mediated, or other mechanism, all reportedly caused by vaccination with Lymerix. This case was assessed as medically serious by manufacturer (OMIC). At the time of reporting the outcome of the events were unspecified. This information was received via a statement of injuries.
Sex: M
Vaccine: LYME
Symptoms: Sleep disorder, Tendon disorder
Clinical narrative: This case was reported by a lawyer and described the occurrence of joint pain and swelling in an adult male subject who was vaccinated with Lyme disease vaccine recombinant (Lymerix) for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of Lymerix (unknown). At an unspecified time after vaccination with Lymerix, the subject experienced joint pain and swelling, fatigue, muscle pain and weakness, neuropathy, burning and tingling pain, sweats, hot flashes, sleep disorder, sensitivity to cold, headaches, cognitive problems, cramping of arm and leg muscles, malaise, tendon pain, decreased activities of daily live, rheumatologic, neurologic and or cognitive impairment of an autoimmune, immune mediated, or other mechanism, all reportedly caused by vaccination with Lymerix. This case was assessed as medically serious by manufacturer (OMIC). At the time of reporting the outcome of the events were unspecified. This information was received via a statement of injuries.
Age: 67.0
Sex: M
Vaccine: LYME
Symptoms: Amnesia, Arthralgia, Arthropathy, Cognitive disorder, Fatigue
Clinical narrative: Report number 20000181921 described the occurrence of possible degenerative joint disease in a 67 year old male receiving Lymerix for prevention of Lyme disease. The vaccinee has no known drug allergies. The vaccinee has no history of arthritis, Lyme disease, gout, psoriasis, or Crohn's disease. The vaccinee has no family members with rheumatoid arthritis or Lupus. Concurrent medical conditions include chronic obstructive pulmonary disease, polycythemia, cerebrovascular accident, hypertension, back surgery, and bilateral knee repair for meniscal tear. In May 1999 IM and June 1999 IM, the vaccinee received the first and second doses of Lymerix, respectively. Rheumatologist reports that subsequently, the vaccinee experienced pain in all his joints except the distal interphalangeal joints. The metacarpophalangeal joints were a little tender on exam. The exam was mostly unremarkable. There was no swelling. The vaccinee claimed he had intermittent swelling and pain but none were found. There were no warm joints on exam. Thee was a small effusion in the right knee, too small to tap. The rheumatologist stated that this effusion could be due to degenerative joint disease. The rheumatologist noted some loss of range of motion to the right knee. The vaccinee also complained of abnormal sensations in his legs. He reported that it started as pain but had progressed to a numbness. He could no identify when this had started. He was referred to a neurologist. No treatment was given. The rheumatologist saw no joint changes indication arthritis. There were no erosions and no inflammatory changes. The most recent information, received on 6/14/2000 reports the outcome of the event as unresolved. In a statement of injuries, the subjects attorney alleged that the subject suffers and has suffered form joint pain, swelling, cramping, headaches, flu like symptoms, fatigue, numbness, paralysis, possibly memory loss, decreased activities of daily life, rheumatologic, neurologic, and or cognitive impairment of an autoimmune, immune mediated, or other mechanism, all reportedly caused by vaccination with Lymerix.
Age: 67.0
Sex: M
Vaccine: LYME
Symptoms: Headache, Hypoaesthesia, Immune system disorder, Influenza like illness, Joint effusion
Clinical narrative: Report number 20000181921 described the occurrence of possible degenerative joint disease in a 67 year old male receiving Lymerix for prevention of Lyme disease. The vaccinee has no known drug allergies. The vaccinee has no history of arthritis, Lyme disease, gout, psoriasis, or Crohn's disease. The vaccinee has no family members with rheumatoid arthritis or Lupus. Concurrent medical conditions include chronic obstructive pulmonary disease, polycythemia, cerebrovascular accident, hypertension, back surgery, and bilateral knee repair for meniscal tear. In May 1999 IM and June 1999 IM, the vaccinee received the first and second doses of Lymerix, respectively. Rheumatologist reports that subsequently, the vaccinee experienced pain in all his joints except the distal interphalangeal joints. The metacarpophalangeal joints were a little tender on exam. The exam was mostly unremarkable. There was no swelling. The vaccinee claimed he had intermittent swelling and pain but none were found. There were no warm joints on exam. Thee was a small effusion in the right knee, too small to tap. The rheumatologist stated that this effusion could be due to degenerative joint disease. The rheumatologist noted some loss of range of motion to the right knee. The vaccinee also complained of abnormal sensations in his legs. He reported that it started as pain but had progressed to a numbness. He could no identify when this had started. He was referred to a neurologist. No treatment was given. The rheumatologist saw no joint changes indication arthritis. There were no erosions and no inflammatory changes. The most recent information, received on 6/14/2000 reports the outcome of the event as unresolved. In a statement of injuries, the subjects attorney alleged that the subject suffers and has suffered form joint pain, swelling, cramping, headaches, flu like symptoms, fatigue, numbness, paralysis, possibly memory loss, decreased activities of daily life, rheumatologic, neurologic, and or cognitive impairment of an autoimmune, immune mediated, or other mechanism, all reportedly caused by vaccination with Lymerix.
Age: 67.0
Sex: M
Vaccine: LYME
Symptoms: Joint range of motion decreased, Muscle spasms, Nervous system disorder, Oedema, Pain
Clinical narrative: Report number 20000181921 described the occurrence of possible degenerative joint disease in a 67 year old male receiving Lymerix for prevention of Lyme disease. The vaccinee has no known drug allergies. The vaccinee has no history of arthritis, Lyme disease, gout, psoriasis, or Crohn's disease. The vaccinee has no family members with rheumatoid arthritis or Lupus. Concurrent medical conditions include chronic obstructive pulmonary disease, polycythemia, cerebrovascular accident, hypertension, back surgery, and bilateral knee repair for meniscal tear. In May 1999 IM and June 1999 IM, the vaccinee received the first and second doses of Lymerix, respectively. Rheumatologist reports that subsequently, the vaccinee experienced pain in all his joints except the distal interphalangeal joints. The metacarpophalangeal joints were a little tender on exam. The exam was mostly unremarkable. There was no swelling. The vaccinee claimed he had intermittent swelling and pain but none were found. There were no warm joints on exam. Thee was a small effusion in the right knee, too small to tap. The rheumatologist stated that this effusion could be due to degenerative joint disease. The rheumatologist noted some loss of range of motion to the right knee. The vaccinee also complained of abnormal sensations in his legs. He reported that it started as pain but had progressed to a numbness. He could no identify when this had started. He was referred to a neurologist. No treatment was given. The rheumatologist saw no joint changes indication arthritis. There were no erosions and no inflammatory changes. The most recent information, received on 6/14/2000 reports the outcome of the event as unresolved. In a statement of injuries, the subjects attorney alleged that the subject suffers and has suffered form joint pain, swelling, cramping, headaches, flu like symptoms, fatigue, numbness, paralysis, possibly memory loss, decreased activities of daily life, rheumatologic, neurologic, and or cognitive impairment of an autoimmune, immune mediated, or other mechanism, all reportedly caused by vaccination with Lymerix.
Age: 67.0
Sex: M
Vaccine: LYME
Symptoms: Paralysis, Red blood cell sedimentation rate increased, Rheumatoid factor, Sensory disturbance, Tenderness
Clinical narrative: Report number 20000181921 described the occurrence of possible degenerative joint disease in a 67 year old male receiving Lymerix for prevention of Lyme disease. The vaccinee has no known drug allergies. The vaccinee has no history of arthritis, Lyme disease, gout, psoriasis, or Crohn's disease. The vaccinee has no family members with rheumatoid arthritis or Lupus. Concurrent medical conditions include chronic obstructive pulmonary disease, polycythemia, cerebrovascular accident, hypertension, back surgery, and bilateral knee repair for meniscal tear. In May 1999 IM and June 1999 IM, the vaccinee received the first and second doses of Lymerix, respectively. Rheumatologist reports that subsequently, the vaccinee experienced pain in all his joints except the distal interphalangeal joints. The metacarpophalangeal joints were a little tender on exam. The exam was mostly unremarkable. There was no swelling. The vaccinee claimed he had intermittent swelling and pain but none were found. There were no warm joints on exam. Thee was a small effusion in the right knee, too small to tap. The rheumatologist stated that this effusion could be due to degenerative joint disease. The rheumatologist noted some loss of range of motion to the right knee. The vaccinee also complained of abnormal sensations in his legs. He reported that it started as pain but had progressed to a numbness. He could no identify when this had started. He was referred to a neurologist. No treatment was given. The rheumatologist saw no joint changes indication arthritis. There were no erosions and no inflammatory changes. The most recent information, received on 6/14/2000 reports the outcome of the event as unresolved. In a statement of injuries, the subjects attorney alleged that the subject suffers and has suffered form joint pain, swelling, cramping, headaches, flu like symptoms, fatigue, numbness, paralysis, possibly memory loss, decreased activities of daily life, rheumatologic, neurologic, and or cognitive impairment of an autoimmune, immune mediated, or other mechanism, all reportedly caused by vaccination with Lymerix.
Age: 39.0
Sex: M
Vaccine: HEP
Symptoms: Diarrhoea, Dizziness, Nausea
Clinical narrative: Received Hep B #1 on 5-2-06.  Within 4 hours of the injection  had nausea, diarrhea, dizziness.  On 5-4-06 the employee was still feeling tired and drained since taking the vaccine.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Feeling hot, Injection site induration, Oedema, Pyrexia
Clinical narrative: large area of induration, warmth,erythema,swelling temp 99.3 oral. Augmentin 600mg bid x 10 days tylenol/motrin prn, warm compresses to site
Age: 1.01
Sex: M
Vaccine: MER, VARCEL
Symptoms: Erythema, Irritability, Pyrexia
Clinical narrative: Fever on 5/6/06, fussy. Red spots on trunk, face and neck.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever to 102.6F within ten hours of vaccine administration.
Age: 0.0
Sex: U
Vaccine: SMALL
Symptoms: Injection site vesicles
Clinical narrative: Pt got smallpox vaccination and 1.5mo later has pox crusting vesicles on arm going from elbow to shoulder around original site.  No other symptoms. Reporting done per doctor.
Age: 0.55
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, Drug abuser, Encephalopathy, Feeding disorder neonatal, Neurodevelopmental disorder
Clinical narrative: Pt expired during sleep 36 hrs after vaccine. 5/11/06 Received notes from PCP which revealed patient was 34 week preemie w/encephalopathy dx by EEG, intrauterine drug exposure (barbiturates, methadone & TCAs), seizure disorder, severe developmental delays, vascular ring, inguinal hernia & NG feeding tube.  PMH: apnea. Unclear whether pateint was deaf & blind.  Very poor suckle & continued on tube feeds.  Lived with foster parent & because of very poor prognosis was made DNR.  7/25/06 Received Death Certificate which stated COD as encephalopathy/ss
Age: 0.55
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Premature baby
Clinical narrative: Pt expired during sleep 36 hrs after vaccine. 5/11/06 Received notes from PCP which revealed patient was 34 week preemie w/encephalopathy dx by EEG, intrauterine drug exposure (barbiturates, methadone & TCAs), seizure disorder, severe developmental delays, vascular ring, inguinal hernia & NG feeding tube.  PMH: apnea. Unclear whether pateint was deaf & blind.  Very poor suckle & continued on tube feeds.  Lived with foster parent & because of very poor prognosis was made DNR.  7/25/06 Received Death Certificate which stated COD as encephalopathy/ss
Age: 18.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Pyrexia
Clinical narrative: Spiking fevers to 103.9, 6 inches of erythema at inoculation site photo available.
Age: 1.5
Sex: M
Vaccine: DTAP
Symptoms: Convulsion
Clinical narrative: General seizure 5/5/06 45 hrs after DTaP #4 Infanrix, Seizure 05/05/05 24 hours after DTaP #3 Pediarix.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Dizziness, Oedema
Clinical narrative: Dizziness and swelling for 2 weeks.
Age: 1.01
Sex: M
Vaccine: HBHEPB, HEPA, MMR, PNC, VARCEL
Symptoms: Abnormal behaviour, Irritability, Rash macular, Somnolence
Clinical narrative: 10th day generalized macular rash, napping for 3 hours never done before, cranky, clingy, PE molar teething.
Age: 40.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Arthritis, Arthropathy, Carpal tunnel syndrome, Cerebrovascular accident
Clinical narrative: Information hs been received from a lawyer regarding a case in litigation concerning a 40 year old female with a history of migraine, cold, pregnancy and delivery of three children (hospitalized), unilateral right carpal tunnel syndrome, joint pain (Jan 1998) and a family history of systemic lupus erythematous mother, who was vaccinated with a first and second dose of hepatitis B virus vaccine rHBsAg yeast manufacturer unknown, on 9/8/1989 and 10/12/1989. The patient did not experienced any adverse reactions after her first vaccination. on 10/13/1989 the patients joints felt stiff and by the evening her hands were frozen in a half open position. From that point on the patients pain worsened. She could not sleep through the night because of stiff joints and typically awoke every two hours. It was noted that the patients stiff joints affected her ability to work because her hands would freeze up and she could not use them. The patient complained of being so tired and in so much pain. On 3/6/1990, almost 5 months after her second vaccination, she visited her physician. During this visit she complained of swollen and painful joints. On 3/20/1990 the patient was seen for a follow up visit during which the physician noted a 6 week history of arthralgias. On 4/26/1990 the patient visited a rheumatologist with complaints of multiple joint discomfort that had existed for 14 months. The physician concluded that the patient had polyarthritis which was inflammatory in nature and her present picture looked most consistent with rheumatoid arthritis. It was noted that the patient refused a third dose of hepatitis B virus vaccine rHBsAg yeast (manufacturer unknown) due to increased arthritic activity. The patient felt that the hepatitis B virus vaccine rHBsAg yeast caused her rheumatoid arthritis. Information received on 4/25/2006 included the following adverse experienced, Stroke 10/07/1994 hospitalized, chest pain 1/25/1995 hospitalized, and carpal tunnel syndrome 6/20/1997. No further information is available.
Age: 40.0
Sex: F
Vaccine: HEP
Symptoms: Chest pain, Discomfort, Fatigue, Hypokinesia, Insomnia
Clinical narrative: Information hs been received from a lawyer regarding a case in litigation concerning a 40 year old female with a history of migraine, cold, pregnancy and delivery of three children (hospitalized), unilateral right carpal tunnel syndrome, joint pain (Jan 1998) and a family history of systemic lupus erythematous mother, who was vaccinated with a first and second dose of hepatitis B virus vaccine rHBsAg yeast manufacturer unknown, on 9/8/1989 and 10/12/1989. The patient did not experienced any adverse reactions after her first vaccination. on 10/13/1989 the patients joints felt stiff and by the evening her hands were frozen in a half open position. From that point on the patients pain worsened. She could not sleep through the night because of stiff joints and typically awoke every two hours. It was noted that the patients stiff joints affected her ability to work because her hands would freeze up and she could not use them. The patient complained of being so tired and in so much pain. On 3/6/1990, almost 5 months after her second vaccination, she visited her physician. During this visit she complained of swollen and painful joints. On 3/20/1990 the patient was seen for a follow up visit during which the physician noted a 6 week history of arthralgias. On 4/26/1990 the patient visited a rheumatologist with complaints of multiple joint discomfort that had existed for 14 months. The physician concluded that the patient had polyarthritis which was inflammatory in nature and her present picture looked most consistent with rheumatoid arthritis. It was noted that the patient refused a third dose of hepatitis B virus vaccine rHBsAg yeast (manufacturer unknown) due to increased arthritic activity. The patient felt that the hepatitis B virus vaccine rHBsAg yeast caused her rheumatoid arthritis. Information received on 4/25/2006 included the following adverse experienced, Stroke 10/07/1994 hospitalized, chest pain 1/25/1995 hospitalized, and carpal tunnel syndrome 6/20/1997. No further information is available.
Age: 40.0
Sex: F
Vaccine: HEP
Symptoms: Joint stiffness, Joint swelling, Pain, Polyarthritis, Rheumatoid arthritis
Clinical narrative: Information hs been received from a lawyer regarding a case in litigation concerning a 40 year old female with a history of migraine, cold, pregnancy and delivery of three children (hospitalized), unilateral right carpal tunnel syndrome, joint pain (Jan 1998) and a family history of systemic lupus erythematous mother, who was vaccinated with a first and second dose of hepatitis B virus vaccine rHBsAg yeast manufacturer unknown, on 9/8/1989 and 10/12/1989. The patient did not experienced any adverse reactions after her first vaccination. on 10/13/1989 the patients joints felt stiff and by the evening her hands were frozen in a half open position. From that point on the patients pain worsened. She could not sleep through the night because of stiff joints and typically awoke every two hours. It was noted that the patients stiff joints affected her ability to work because her hands would freeze up and she could not use them. The patient complained of being so tired and in so much pain. On 3/6/1990, almost 5 months after her second vaccination, she visited her physician. During this visit she complained of swollen and painful joints. On 3/20/1990 the patient was seen for a follow up visit during which the physician noted a 6 week history of arthralgias. On 4/26/1990 the patient visited a rheumatologist with complaints of multiple joint discomfort that had existed for 14 months. The physician concluded that the patient had polyarthritis which was inflammatory in nature and her present picture looked most consistent with rheumatoid arthritis. It was noted that the patient refused a third dose of hepatitis B virus vaccine rHBsAg yeast (manufacturer unknown) due to increased arthritic activity. The patient felt that the hepatitis B virus vaccine rHBsAg yeast caused her rheumatoid arthritis. Information received on 4/25/2006 included the following adverse experienced, Stroke 10/07/1994 hospitalized, chest pain 1/25/1995 hospitalized, and carpal tunnel syndrome 6/20/1997. No further information is available.
Age: 11.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Local reactions, red, warm, tender area about 3cm X 5cm. No wheezing, resp. distress or systemic symptoms. Onset within 1 day.
Age: 26.0
Sex: F
Vaccine: SMALL
Symptoms: Cellulitis, Feeling hot, Injection site erythema
Clinical narrative: Left leg redness/heat which grew 2" overnight from borders marked 1 day prior. Saw urgent care and dx with cellulitis of the leg. Was treated with a shot and PO medications.
Age: 18.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Pyrexia, Urticaria
Clinical narrative: Pt received Menactra with TDAP on 4/28/06. On 4/29/06 was sick with fever of 103 with hives. On 4/30/06, saw pt in office and fever was 100 and resolving.
Age: 10.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Rash pruritic
Clinical narrative: Approx 15 mins after flu vaccine administration pt started getting pruritic, erythematous lesions on face and torso. 2tsp Benadryl given and pt waited inside clinic 30 mins.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: L leg erythematous induration area 3" in diameter around, tender to touch. No /// or /// on palpation, no red streaks from induration.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: Hard, red, swollen 11 1/2 cm long, 12 3/4 cm width.
Age: 0.89
Sex: F
Vaccine: PNC
Symptoms: Crying, Pyrexia, Rash, Rash erythematous, Viral infection
Clinical narrative: Parent noticed high fever and crying on pm of date shot administered, about 3 hrs after shot given. The next day child had red dots all over her body and appeared to itch. Fever continued that day and red dots increased with itching. Child taken to hospital on 4/29/06. Fever there too but mom can't remember how much, also notes mom used at home only felt child for fever. Rx given for antibiotics, pred AF 12.5mg Hyoseyaneo 25mg, Bubbli pre 16.7mg. Mother stated child seems better. 5/2/06 no fever today.
Age: 48.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Fatigue, Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: Day after injection pt c/o fatigue, fever, chills, swelling at site of injection and pain. No redness. Pt states she felt much better next day. Never had reaction before to plain TD.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site reaction, Rash erythematous
Clinical narrative: Received DTaP on 5/1/06. Mom noticed redness and swelling at site on 5/2/06 before bedtime. Seen on 5/3/06 right thigh swollen with pinkish rash.
Age: 0.57
Sex: M
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Agitation, Crying, Injection site mass, Irritability
Clinical narrative: Crying, irritable on and off x 2 days small lump on right upper arm.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Contusion, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Swelling from shoulder to elbow with erythema on coral aspect of arm with small bruise at injection site. Mild calor, mild pain, full range of motion of arm. (right arm), Ibuprofen Ice Keflex started.
Age: 1.24
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Blister, Diarrhoea, Injection site erythema, Injection site induration, Pyrexia
Clinical narrative: Child's temperature went up to 105.8, outside of cheeks on face, blistered, child given alcohol bath, Tylenol/Motrin combined, fever dropped to 102. After fever went down, child slept. He awoke with vomiting and diarrhea. Temp stayed at 102 at this time. Next AM at 05:00, child taken to hospital per ambulance. Given IV tx. DX: Shot allergy. Also, R leg turned red at site and was hard. Clear pus lesion on R leg.
Age: 1.24
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Vomiting
Clinical narrative: Child's temperature went up to 105.8, outside of cheeks on face, blistered, child given alcohol bath, Tylenol/Motrin combined, fever dropped to 102. After fever went down, child slept. He awoke with vomiting and diarrhea. Temp stayed at 102 at this time. Next AM at 05:00, child taken to hospital per ambulance. Given IV tx. DX: Shot allergy. Also, R leg turned red at site and was hard. Clear pus lesion on R leg.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Pruritus
Clinical narrative: Red, hot, itchy 4 inches by 4 inches hard to touch.
Age: 36.0
Sex: F
Vaccine: HEP
Symptoms: Pain, Pruritus, Shoulder pain
Clinical narrative: Pain in lower right arm and shoulder blade followed by itching all over lasting > 12 hours. Treated with Medrol Dose Pak and self admin Benadryl.
Age: 1.16
Sex: M
Vaccine: IPV, MMR, RUB
Symptoms: Pyrexia, Rash, Rash maculo-papular, Rhinorrhoea
Clinical narrative: T 101.2, runny nose-blood tinged, rash around eyes, back, stomach macular-papular rash, trunk and neck blanches.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site warmth
Clinical narrative: Redness of right thigh warm to touch, swollen around leg.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Fluid retention, Injection site hypersensitivity
Clinical narrative: PT was given DTaP and IPV in left leg on 4/25/06 on 4/27/06 mother called said child's leg was red. She was told that was normal but to Put cool clothes on it about QID. On 4/28/06 mother called our office said child now had watery type blisters we told her to come in. Dr took pictures
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Rash papular
Clinical narrative: Patient had immunization on 4/17 and 4/20 3 days later had rash which was papular all over but not erythematous. No fever, IgE lever done was not present.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Moderate local erythema, swelling and pain 10x15 cm.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, HEPA, MMRV
Symptoms: Feeling hot, Injection site hypersensitivity, Injection site oedema, Injection site pain, Pruritus
Clinical narrative: Redness, swelling, pain, itching on injection site, left deltoid since pm of day of injection 5/2/06 left arm from shoulder to elbow, red appears swollen and warm to touch FNP prescribed Benadryl 12.5/5 cc 2tsp !6 for itching, redness, amoxicillin susp 250cc/5cc = 1 3/4 tsp BID x 10 days. RTC if s/s increase or ER.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Several days after DTAP injection, large local reaction 2" induration at site; 3" erythema (4/27/06)-no systemic reaction. 4/28/06, erythema 4"; induration 4"-no systemic, no pain.
Age: 1.02
Sex: F
Vaccine: HIBV, MMR, VARCEL, HIBV, MMR, VARCEL
Symptoms: Pyrexia, Restlessness, Rhinorrhoea
Clinical narrative: 103 fever, restlessness, and runny nose x 4 days.
Age: 1.02
Sex: F
Vaccine: HIBV, MMR, VARCEL, HIBV, MMR, VARCEL
Symptoms: Bowel sounds abnormal, Crying, Decreased appetite, Diarrhoea, Insomnia
Clinical narrative: 103 fever, restlessness, and runny nose x 4 days.
Age: 1.02
Sex: F
Vaccine: HIBV, MMR, VARCEL, HIBV, MMR, VARCEL
Symptoms: Irritability, Pyrexia, Restlessness, Rhinorrhoea, Screaming
Clinical narrative: 103 fever, restlessness, and runny nose x 4 days.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Redness at injection site; redness and swelling to ipsilateral shoulder. Next day felt warm, induration 12" X 12 ".
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Contusion, Injection site hypersensitivity, Pruritus
Clinical narrative: L upper arm where DTaP given Golf ball size bruised area with redness from shoulder to elbow lateral side, Itchy but not painful, no drainage, pt did fight with vaccination, also nickel size red areas to right arm where MMR, IPV given.
Age: 1.86
Sex: M
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site warmth
Clinical narrative: 05/01/06 immunizations given no problems 5/2/06 noticed red, warmth and swelling gave Tylenol and bath 5/3/06, came to PCP no fever, redness per mom increased, no fatigue, fussiness. Next office visit 5/5/06.
Age: 1.52
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Unevaluable event
Clinical narrative: >9 days thus far. PET surg delayed due to illness.
Age: 36.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Tenderness
Clinical narrative: Local area of afebrile erythema, induration and tenderness at the site.
Age: 60.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Localized area of afebrile erythema, induration and tenderness at the site.
Age: 2.0
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Urticaria
Clinical narrative: Diffuse urticaria 5 days after immunizations given.
Age: 5.0
Sex: M
Vaccine: HEPA
Symptoms: Blister, Erythema, Fluid retention
Clinical narrative: Localized fluid filled vesicles were 1.5 cm circulum erythematous patch no other lesions or reactions noted.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness, swelling at site of vaccine.
Age: 1.13
Sex: M
Vaccine: HEPA, IPV, MMR, VARCEL
Symptoms: Lymphadenopathy, Pyrexia, Rash
Clinical narrative: Went to Urgent Care over the weekend for temperature, swollen lymph nodes on back of head/neck. On 5/1/06, pt had a red rash (pin wheel dots) on trunk and spreading. No fever. Mom states it is a reaction to the MMR or Varicella vaccine that pt received on 4/18/06. (Went to Urgent Care not the ER).
Age: 1.04
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Pyrexia
Clinical narrative: 3/38/06, ax. temp 99.1; 3/29/06 at 02:30AM 105.8 Ax. Bathed and give infant Tylenol 8mg given. Temp. at 12:00 noon was 99.6. Thursday-no fever. Reported from mom, she did not seek medical treatment. Phone call from mom on 5/3/06. Reported above.
Age: 1.01
Sex: F
Vaccine: MMR
Symptoms: Pruritus, Rash
Clinical narrative: Itchy rash on body and face.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: DTAP, IPV and MMR given on 4/25/06. Mom called the next day with c/o R thigh "red, splotchy and hot to touch". Seen in office with R thigh warm and swollen, nontender to touch, baseball size area of patchy, pink blanching skin around injection site. Rx'd Keflex 250mg tid X 10 d.
Age: 1.02
Sex: F
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Herpes zoster, Infection
Clinical narrative: Pt came in 5/8/06 with rash which appeared on L thigh on 5/3/06. Dime-sized cluster of /// 4 blisters on a red base. Doesn't pick or scratch at it unless sees it. Varicella was given to L thigh 4/26. MD looked at it and said it has typical herpes virus appearance. Acyclovir /// cream; apply 5 x daily until reaction gone and to call us if it gets worse. We just saw pt on 5/8/06.
Age: 56.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Flushing, Injection site oedema
Clinical narrative: Mild swelling and skin flushing right upper arm soreness in right arm, shoulder, axilla.
Age: 56.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Arthralgia, Chills, Fatigue, Headache, Injection site erythema
Clinical narrative: Mild swelling and skin flushing right upper arm soreness in right arm, shoulder, axilla.
Age: 56.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Lymphadenopathy, Pyrexia
Clinical narrative: Mild swelling and skin flushing right upper arm soreness in right arm, shoulder, axilla.
Age: 56.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Rash
Clinical narrative: Mild swelling and skin flushing right upper arm soreness in right arm, shoulder, axilla.
Age: 77.0
Sex: F
Vaccine: PPV, TTOX
Symptoms: Injection site oedema
Clinical narrative: Right arm violous edema, sharply demarcated involving lateral arm, no ulcers, no deficits nerve sense or motor deficit.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Injection site erythema, Injection site oedema, Injection site pain, Myalgia
Clinical narrative: 3-4 hrs after injection, pt developed a lot of pain followed by redness and swelling that evening along with chills. c/o deep ache down her left arm to left hand the next morning. Will use ice, Tylenol, Benadryl.
Age: 0.29
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Temp 105 axillary x 1 at home < 24 hours after vaccines administered.
Age: 0.36
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Erythema, Rash, Vaccine positive rechallenge
Clinical narrative: 2 days after receiving vaccinations below mom noticed tiny bumps and redness both lower extremities. Pt had similar rxn after vaccinations at 2 mos of age.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site hypersensitivity, Injection site warmth
Clinical narrative: Following day patient reported red, hot arm with red streaks under arm. Notified local MD placed on antibiotics given cortisone shot.
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site rash, Pruritus
Clinical narrative: Rash on left deltoid and itching.
Age: 1.51
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Rash To face and arms spreading to trunk
Age: 37.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Pyrexia, Rash
Clinical narrative: Received MMR Shot on 2/24/06 7-10 days later I started with fevers, achey joints and also a rash on my upper body.  Went to the Care Center.  Was seen by Dr.  She prescribed Vistaril and put me off work for 5 days.
Age: 8.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pyrexia, Swelling
Clinical narrative: Pt. grandmother called at 9:30 am stated that left arm swelled to size of lemon, red streaks down arm.  Took to ER last night, gave Benadryl at ER.  States has fever 101 given Tylenol.  Instructed pt. to come in to the office for exam ASAP.  At 4:10 pt never showed. left message at pt home to contact office.
Age: 0.17
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Apnoea, Dry skin, Pallor, Tremor
Clinical narrative: Mom described to Dr that patient was pale looking and appeared very dry, small amount of shaking, temperature of 100.3, the mother took him to the emergency room.  He was followed up with our office on 2/3/06 where Dr. diaganosed the child with an apnea spell, shot reaction. Dr. wanted to wait until his 4mo set of vaccines before she made a decision to give or not to give the dtap again, she decided to hold it for the 4/7/06 visit for several weeks, he was seen again yesterday at which time Dr. decided that the child should not have another dtap, she is going to start him on the pediatric dt as of his 6 mo. well child visit.
Age: 31.0
Sex: M
Vaccine: DTAP
Symptoms: Pain, Pyrexia
Clinical narrative: patient originally seen in ER for "nail gun injury L Thumb. Given dTap on 5/5/06 Returned 5/6/06 with fever 102.3; generalized body aches; no rash
Age: 1.02
Sex: M
Vaccine: HIBV, MMRV
Symptoms: Injection site reaction, Irritability, Pyrexia
Clinical narrative: Large Local reaction with fever and fussiness for 2 days.  Fever of 101
Age: 44.0
Sex: M
Vaccine: PPV
Symptoms: Hypokinesia, Injection site erythema, Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: Pt administered pneumococcal vaccine in the morning on 4/27/06.  Several hours later, in the afternoon, pt noted redness, swelling and pain at injection site that was also spreading to axilla.  By evening pain had become so bad patient found it difficult to move affected arm. On 4/28/06 pain, redness and swelling continued to worsen and patient had low grade fever.  Patient took aspirin 325mg in the morning and evening with no symptom relief.  On 4/29/09 again took aspirin 325mg twice daily and began to have some symptom releif throughout the day.  On 4/30/06, symptoms had completely resolved.
Age: 1.26
Sex: F
Vaccine: DTAPH, HEPA, PNC
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: The child reported to walk-in clinic with mother on 5/6/06 with redness and pain at injection site. Treated with antibiotics 4 times a day for 7 days. Returned to see PCP on 5/8/06. Continue antibiotics. Returned to clinic
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Dermatitis bullous, Pneumonia
Clinical narrative: Varicella-like rash, with sequela of pneumonia.
Age: 0.16
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Screaming, Vomiting
Clinical narrative: Infant died 2 days post vaccination.  By report had been crying all day and night of 3/7/06. Started vomiting on 3/7/06 also.