chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Cough, Injury, Insomnia, Irritability, Psychomotor hyperactivity
Clinical narrative: Within 24 hours of receiving vaccine during the evening of 10/05/04. Child was irritable, wetting pants (was potty trained) began throwing temper tantrums (e.g. hitting, kicking, screaming) although he had no loss of verbalization skills noted instead of asking for things, he pointed or motioned and when not understood he screamed. Generally this child is very active, verbal, pleasant, sleeps through the night and had been potty trained for over 2 months. The evening of 10/6/04 he slept poorly and for the next 14 days he slept sporadically but for no longer than 23 hours at a time. Other family members noted the sudden change in his behavior; aunts, uncles, grandmother, in addition to his parents. It was thought to be just another phase in this 34 month olds development. Although he has asthma, he is only treated with albuterol when ill. He was healthy on 10/10/04 with no signs/symptoms of URI, but was so hyperactive he choked, coughed and progressed to having an asthma attack requiring 2 nebulizer Rx. The parents didn't know exactly what to think until their other 2 children's teachers called wondering if something was amiss at home since their response in school was unusual during that 2 weeks. At that time, the parents spoke with child's pediatrician and then today called about the vaccine. There are trace amounts of thimerosal in this vaccine. They wondered if it was vaccine related. Today, child is beginning to calm, has begun sleeping through the night approximately 1 week ago, has begun using the toilet again for approximately 1 week, speech is clearer, calmer, no tantrums for approximately 1 week. He had pink peeling skin on the palms of his hands and soles of his feet for approximately 3-4 days between 10/15/04 and 10/25/04; bad enough the parents told a friend.  (Child had hand/foot/mouth disease 5/04. This redness and peeling was not like that.). Child also began tripping and falling during the period of 10/10/04 until 10/25/04 which the parents attributed to new shoes, but this clumsiness persisted when he was barefoot. As of 10/31/04, his pink peeling skin has resolved, his excessive clumsiness has resolved. Overall, he seems to be improving to pre-vaccine status. Note: Some of his temper tantrums during this period lasted for up to 45 minutes and stopped only when the child was exhausted.) Looking back, the child stopped his language progression for 4 weeks after each of his 2 flu vaccines in 2003
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Skin exfoliation, Speech disorder, Urinary incontinence, Vasodilatation
Clinical narrative: Within 24 hours of receiving vaccine during the evening of 10/05/04. Child was irritable, wetting pants (was potty trained) began throwing temper tantrums (e.g. hitting, kicking, screaming) although he had no loss of verbalization skills noted instead of asking for things, he pointed or motioned and when not understood he screamed. Generally this child is very active, verbal, pleasant, sleeps through the night and had been potty trained for over 2 months. The evening of 10/6/04 he slept poorly and for the next 14 days he slept sporadically but for no longer than 23 hours at a time. Other family members noted the sudden change in his behavior; aunts, uncles, grandmother, in addition to his parents. It was thought to be just another phase in this 34 month olds development. Although he has asthma, he is only treated with albuterol when ill. He was healthy on 10/10/04 with no signs/symptoms of URI, but was so hyperactive he choked, coughed and progressed to having an asthma attack requiring 2 nebulizer Rx. The parents didn't know exactly what to think until their other 2 children's teachers called wondering if something was amiss at home since their response in school was unusual during that 2 weeks. At that time, the parents spoke with child's pediatrician and then today called about the vaccine. There are trace amounts of thimerosal in this vaccine. They wondered if it was vaccine related. Today, child is beginning to calm, has begun sleeping through the night approximately 1 week ago, has begun using the toilet again for approximately 1 week, speech is clearer, calmer, no tantrums for approximately 1 week. He had pink peeling skin on the palms of his hands and soles of his feet for approximately 3-4 days between 10/15/04 and 10/25/04; bad enough the parents told a friend.  (Child had hand/foot/mouth disease 5/04. This redness and peeling was not like that.). Child also began tripping and falling during the period of 10/10/04 until 10/25/04 which the parents attributed to new shoes, but this clumsiness persisted when he was barefoot. As of 10/31/04, his pink peeling skin has resolved, his excessive clumsiness has resolved. Overall, he seems to be improving to pre-vaccine status. Note: Some of his temper tantrums during this period lasted for up to 45 minutes and stopped only when the child was exhausted.) Looking back, the child stopped his language progression for 4 weeks after each of his 2 flu vaccines in 2003
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Right thigh with 3 inch diameter erythema with non tender swollen area; itching.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Swelling
Clinical narrative: Localized left deltoid pain 11/3/04 AM. Slightly red, swollen extending to posterior shoulder. Also noted small red area at adhesive band aid site.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Hypokinesia, Injection site pain, Pain
Clinical narrative: Patient states that the evening of 11/17 or morning of 11/18, she began experiencing pain at the injection site. Pain is described as worse upon arising. She has pain with movement according to the patient (pulling her shirt over the head or fixing the bra). States pain is excruciating. Never had redness, lump or discoloration at injection site. Has not taken any pain medications. Now used ice compress. Advised to call doctor. OTC analgesic, warm compress.
Age: 1.5
Sex: M
Vaccine: DTAP, FLU3, PNC
Symptoms: Crying, Injection site erythema, Injection site swelling, Irritability
Clinical narrative: Right deltoid IM injection. Crying, fussy, immediate 2" diameter redness with swelling around injection site. 4 drops of blood wiped away.
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema multiforme, Skin ulcer
Clinical narrative: Erythema multiforme rash on cheeks, neck, ear lobes, elbows, fingers, abdomen; symmetrical. Questionable target lesion.
Age: 1.01
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Cough, Erythema, Pyrexia, Somnolence, Tachycardia
Clinical narrative: The patient comes in with a two-day history of fever, sleeping more, and ear pulling. Associated deep cough. No one else ill. He is not in daycare. No smokers. Past history is unremarkable for any chronic issues. He did have his one-year physical one week ago, which included an MMR and Varivax. Physical reveals an alert, apprehensive toddler in no distress. HEENT: Mucous membranes are moist. Eyes not inflamed. TMs gray and transparent with normal anatomy. Approximately a half dozen 2-mm sized reddish blanching papules are noted on the trunk. No adenopathy. Throat slightly reddened with no exudates. CHEST: Clear. HEART: Sinus tachycardia with no murmur. ABDOMEN: Soft and non-tender. ASSESSMENT: Viral syndrome with exanthem. This certainly could be part of an MMR reaction. PLAN: Tylenol or ibuprofen. Diet as tolerated. Recheck PRN.
Age: 1.18
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Decreased appetite, Pyrexia
Clinical narrative: Chief complaint: Fever. Patient is here because of a fever for the past 3-4 days. He has had no cough or cold symptoms. His appetite has been diminished, especially for solids. He has been drinking his milk. He has had no vomiting, no diarrhea. No known exposure. There is no rash noted. He has been otherwise healthy. He did have his usual immunizations just about 8 days ago. He had PedVax, Prevnar, MMR, and Varicella vaccine. Allergies: He has no known drug allergies. Objective: General: Alert, non-toxic, in no acute distress. He felt warm to touch. His temperature is 103.3. Respirations are normal at 24 per minute. HEENT: TMs are within normal limits. Eyes are not injected. No discharge. Oropharynx is within normal limits. Tongue is moist. Mouth and lips have no excoriation or micocutaneous peeling. Neck: No adenopathy. Chest and Lungs: Clear, with no rales, rhonchi, or wheezing. Heart: Regular rate and rhythm, with no murmur. Abdomen: Soft and non tender, with no hepatosplenomegaly. Extremities: Hand and feet are not swollen. Skin: No rashes. Assessment: Fever, most likely a viral syndrome, or related to his MMR. He currently does not have any rash, and is otherwise nontoxic.
Sex: M
Vaccine: DTAP, FLU3, MMR, VARCEL
Symptoms: Decreased appetite, Diarrhoea, Pharyngitis, Pyrexia, Rash erythematous
Clinical narrative: Chief Complaint: Fever. Subjective: Patient has had a fever for the past one and a half days now, and mom also noticed a rash that seems to be spreading; this started last night. His temperature has maxed to 104. Parents have also noticed that his appetite has been decreased. He has been sleeping a lot more than usual and is less active than usual. He has had no vomiting and no diarrhea recently, although last week he did have diarrhea. He has had a cough and cold for the past two weeks. His runny nose actually has been worse and is thicker and greenish. He has been tugging his left ear and has been fussy. He just got over an ear infection during the first week of November. He had his immunizations 10 days ago. He received MMR, Varivax, and DTaP. The rash is blanching but does not appear to cause any discomfort or itching. Allergies: He has no known drug allergies. Objective: General: On exam, he is alert, in no acute distress. His temperature today is 98.4. Comfortable, playful. Skin: He has a maculopapular erythematous blanching rash scattered over his trunk and upper extremities. None on the palms or soles. HEENT: The right TM is mildly erythematous, otherwise normal light reflex and mobility. The left is bulging and opaque with absent landmarks. Eyes are not injected. No discharge. Nares with thick rhinorrhea. Oropharynx normal. No oral lesions. Neck: Supple. No Mass. Chest/Lungs: Clear to auscultation bilaterally. Heart: Regular rate and rhythm. No murmur. Abdomen: Soft and nontender. No hepatosplenomegaly. Assessment: Fever and rash, most likely secondary to MMR. He also has a concomitant prolonged upper respiratory infection, which could be sinusitis given the current fever. He also had a left otitis media.
Sex: M
Vaccine: DTAP, FLU3, MMR, VARCEL
Symptoms: Rash maculo-papular, Rhinitis, Rhinorrhoea, Somnolence
Clinical narrative: Chief Complaint: Fever. Subjective: Patient has had a fever for the past one and a half days now, and mom also noticed a rash that seems to be spreading; this started last night. His temperature has maxed to 104. Parents have also noticed that his appetite has been decreased. He has been sleeping a lot more than usual and is less active than usual. He has had no vomiting and no diarrhea recently, although last week he did have diarrhea. He has had a cough and cold for the past two weeks. His runny nose actually has been worse and is thicker and greenish. He has been tugging his left ear and has been fussy. He just got over an ear infection during the first week of November. He had his immunizations 10 days ago. He received MMR, Varivax, and DTaP. The rash is blanching but does not appear to cause any discomfort or itching. Allergies: He has no known drug allergies. Objective: General: On exam, he is alert, in no acute distress. His temperature today is 98.4. Comfortable, playful. Skin: He has a maculopapular erythematous blanching rash scattered over his trunk and upper extremities. None on the palms or soles. HEENT: The right TM is mildly erythematous, otherwise normal light reflex and mobility. The left is bulging and opaque with absent landmarks. Eyes are not injected. No discharge. Nares with thick rhinorrhea. Oropharynx normal. No oral lesions. Neck: Supple. No Mass. Chest/Lungs: Clear to auscultation bilaterally. Heart: Regular rate and rhythm. No murmur. Abdomen: Soft and nontender. No hepatosplenomegaly. Assessment: Fever and rash, most likely secondary to MMR. He also has a concomitant prolonged upper respiratory infection, which could be sinusitis given the current fever. He also had a left otitis media.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Swelling
Clinical narrative: Swollen left leg; crying for 3 hours.
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Oedema peripheral, Pain, Wheezing
Clinical narrative: On 11/2/04 I received my second pneumococcal vaccination. I had received this vaccination 9 years prior with no reaction. My physician felt it necessary that I receive the vaccination related to my asthma. I take a steroid preparation inhaler BID for my asthma and I am 56 years old and work in a nursing home. Within 24 hours my left deltoid area and the entire upper arm was so grossly edematous, that it was difficult to put my arm in my scrub top. My arm was red, hot, and extremely painful. I applied ice frequently, took Motrin and Tylenol for 24 hours. I did have some wheezing and was able to resolve that with my nebulization treatment. I took Benadryl ever 4 hours. On 11/04/04, I went to my private physician since the reaction was still evident and I was becoming very concerned. My physician agreed that this was a very bad reaction, and stated that there are two schools of thought, and he does not recommend the second shot until after 65 years of age. However, he felt it would improve and encouraged me to keep caring for my arm as I had been doing. On Saturday, 11/6/04, the edema/swelling had subsided. Once the swelling was gone, I have had constant radiating pain from the deltoid down into my fingers and thumb, and up into my neck on rotation of my head which has not gone away. It is a burning pain, agonizing in nature. It is so painful it stops me from working. I have been taking Tylenol and Motrin and will return to my physician if this does not subside. I contacted the supplier of our vaccines and was told to inform you of this information. I have the vial of serum that was used. This vial had just been opened. Another nurse also received an injection from this vial, and also had a reaction (this was his second injection). One administrative employee also had an injection from this vial with no reaction (this was her first pneumonia injection). I will encourage the other nurse to write to you and describe his reactions if you feel this is necessary. The company was called by the pharmacy, and they replied that they do not recommend a second dose. This seems to be left up to the individual physicians whether they recommend the second dose or not.
Age: 74.0
Sex: M
Vaccine: PPV
Symptoms: Erythema
Clinical narrative: Erythema.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Patient reportedly received Varicella vaccine at previous provider/physician. No records available currently. Patient now has Varicella.
Age: 12.0
Sex: M
Vaccine: HEPA, TD
Symptoms: Blood pressure decreased, Cold sweat, Convulsion, Dyskinesia, Eye movement disorder
Clinical narrative: Child developed a brief seizure, 10-15 seconds (upward rolling of eyeballs with tonic/clonic contractions of extremities) immediately after receiving Hepatitis A and Td vaccines. He did not require oxygen inhalation; BP 81/43, HR 58/min. He was pale and clammy. He recovered after 10 minutes.
Age: 12.0
Sex: M
Vaccine: HEPA, TD
Symptoms: Pallor
Clinical narrative: Child developed a brief seizure, 10-15 seconds (upward rolling of eyeballs with tonic/clonic contractions of extremities) immediately after receiving Hepatitis A and Td vaccines. He did not require oxygen inhalation; BP 81/43, HR 58/min. He was pale and clammy. He recovered after 10 minutes.
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Ocular hyperaemia, Pruritus, Rash
Clinical narrative: 10/04/04 itching face, broke out like little bumble bee stings all over, eyes red, some areas noted on bilateral left extremity.
Age: 57.0
Sex: M
Vaccine: HEP
Symptoms: Abasia, Joint swelling, Rheumatoid arthritis
Clinical narrative: received shot on 11/2/04 at 9:30 AM. That afternoon, he noticed that his knee was sore and swollen; by that night, it was more swollen and his other joints hurts. Friday morning his other knee swelle3d and he couldn't walk. He saw his doctor and was diagnosed with a flash of rheumatoid arthritis. By Sunday, all symptoms had resolved.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying
Clinical narrative: Incessant crying not relieved by standard dose of Tylenol; resolved with Ibuprofen.
Age: 1.07
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Rash, Viral infection
Clinical narrative: Patient was out of town when rash appeared. Discreet crusting observed in our office. Diagnosis: varicella.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Edema and erythema of arm where injection given started within 24 hours of injection. Treatment: Keflex, Benadryl and Motrin.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Injection site reaction
Clinical narrative: Local reaction at injection site.
Age: 49.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Pain
Clinical narrative: Started with soreness in arm during the first 12 hours.  Resulted in Cellulitis below the injection site, and caused extreme pain in the whole arm at about the 24 hour period.  Pt was seen in the ER, and received antibiotics such as Levaquin 750 mg.
Age: 48.0
Sex: F
Vaccine: FLUN3
Symptoms: Ear pain, Feeling hot, Myalgia, Nasal congestion, Pyrexia
Clinical narrative: Symptoms developed the morning of 11/20/04 and lasted until 11/23/04.  Pt c/o congestion, earache, muscle aches and low grade fever.  Pt developed hives on Saturday afternoon.  Pt reports taking Benadryl and the hives subsided 1 hour later.  Pt reports hives reoccurred on Sunday am 11/21/04 and again subsided after taking Benadryl.  Pt reports feeling "heat" behind knees and on elbows which lasted approx. 2 hours.  Pt reports that symptoms
Age: 48.0
Sex: F
Vaccine: FLUN3
Symptoms: Urticaria
Clinical narrative: Symptoms developed the morning of 11/20/04 and lasted until 11/23/04.  Pt c/o congestion, earache, muscle aches and low grade fever.  Pt developed hives on Saturday afternoon.  Pt reports taking Benadryl and the hives subsided 1 hour later.  Pt reports hives reoccurred on Sunday am 11/21/04 and again subsided after taking Benadryl.  Pt reports feeling "heat" behind knees and on elbows which lasted approx. 2 hours.  Pt reports that symptoms
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Hypokinesia, Neck pain, Pain, Shoulder pain
Clinical narrative: 6 days following flu shot had onset of pain beginning at top of shoulders & extending to both arms & up back of neck - great difficulty lifting arms & head, as well as difficulty coughing.  Interfered with sleeping.  Denied wheezing, SOB, hives or reddness. Self medicated with Tylenol Q2-3 hours.  Started resolving in 2 days, completely resolved after 4 days. Did not contact MD or seek other medical treatment.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Sleep disorder
Clinical narrative: 6 days following flu shot had onset of pain beginning at top of shoulders & extending to both arms & up back of neck - great difficulty lifting arms & head, as well as difficulty coughing.  Interfered with sleeping.  Denied wheezing, SOB, hives or reddness. Self medicated with Tylenol Q2-3 hours.  Started resolving in 2 days, completely resolved after 4 days. Did not contact MD or seek other medical treatment.
Age: 54.0
Sex: F
Vaccine: HEPA
Symptoms: Dysgeusia
Clinical narrative: Shortly after giving immunization patient c/o metallic taste in mouth.  No other symptom.  Concern is if this reaction would prevent her from receiving her second dose.
Age: 33.0
Sex: F
Vaccine: ANTH, HEP
Symptoms: Rash, Skin hyperpigmentation, Skin ulcer, Stomatitis
Clinical narrative: Target like rash/lesions on hands, palms, abdomen.  Some transient oral lesions/ulcers noted 1 week later. Hyperpigmented macular lesions on neck 1-2 weeks after onset of initial rash.  Lesions persist despite treatment with hydrocortisone ointment.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Diarrhoea, Difficulty in walking, Dizziness, Hypokinesia, Influenza like illness
Clinical narrative: About several hours the patient received a flu vaccine, he felt dizzy. He then felt like he couldn't control his hands or feet and had trouble walking. Over the next week he felt like he had a flu like illness with nausea and diarrhea. It gradually improved, though he still felt like his balance was off when I saw him today. I wonder whether he had a Guillain-Barre like reaction.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Laboratory test abnormal, Nausea
Clinical narrative: About several hours the patient received a flu vaccine, he felt dizzy. He then felt like he couldn't control his hands or feet and had trouble walking. Over the next week he felt like he had a flu like illness with nausea and diarrhea. It gradually improved, though he still felt like his balance was off when I saw him today. I wonder whether he had a Guillain-Barre like reaction.
Age: 77.0
Sex: M
Vaccine: FLU3
Symptoms: Bronchitis, Cardiac failure congestive, Condition aggravated
Clinical narrative: Patient died within 48 hours of being given flu vaccine. Cause of death CHF and bronchitis. Patient sick with chest congestion prior to vaccine per niece. Hospitalized 11/18/04. Previous history of CHF.
Age: 1.4
Sex: F
Vaccine: FLU3
Symptoms: Convulsion
Clinical narrative: Seizure lasting seconds in parking lot, witnessed by grandparents.
Age: 48.0
Sex: M
Vaccine: FLUN3
Symptoms: Asthenia, Cough, Nasal congestion, Nasal dryness, Somnolence
Clinical narrative: This is a non-serious case from a consumer in the USA who developed chest congestion after receiving FLUMIST. The reporter did not provide causality between events and FLUMIST administration. Approximately 30 minutes after receiving FLUMIST on 11/11/04, a 48 year old male developed chest congestion and started coughing. The patient reports sleeping all day and stay awake only 6-8 hours a day. The patient also experienced wheezing, weakness, and a dry nasal cavity. He has not gone to the doctor as of yet. All events are ongoing but at the time of the report, he says he is feeling better. The patient's medical history is unremarkable.
Age: 48.0
Sex: M
Vaccine: FLUN3
Symptoms: Wheezing
Clinical narrative: This is a non-serious case from a consumer in the USA who developed chest congestion after receiving FLUMIST. The reporter did not provide causality between events and FLUMIST administration. Approximately 30 minutes after receiving FLUMIST on 11/11/04, a 48 year old male developed chest congestion and started coughing. The patient reports sleeping all day and stay awake only 6-8 hours a day. The patient also experienced wheezing, weakness, and a dry nasal cavity. He has not gone to the doctor as of yet. All events are ongoing but at the time of the report, he says he is feeling better. The patient's medical history is unremarkable.
Age: 40.0
Sex: F
Vaccine: FLUN3
Symptoms: Asthenia, Cough, Fatigue, Insomnia, Pharyngolaryngeal pain
Clinical narrative: This is a non serious case from a nurse in the USA of involving cough. The reporter causality is not reported to FluMist. The case qualifies for accelerated reporting. This patient is a 40 year old female who received a dose of FluMist on 11/10/04. On the first evening after receiving FluMist, she reports developing a severe sore throat that kept her up all night. On 11/11/04, she reports developed a cough. On 11/12/04, she says she is feeling better but continued with cough, weakness, and fatigue and states she feels tired and completely wiped out. We have no medical history on this patient and no concomitant medications were reported. The patient reported feeling completely recovered as of 11/19/04. The patient also states that her daughter has some of the same symptoms and we are awaiting clarification as to whether the child received FluMist or if this would qualify as a case of accidental exposure.
Sex: U
Vaccine: FLUX
Symptoms: Erythema, Feeling hot, Injection site induration, Injection site swelling, Lacrimation increased
Clinical narrative: Right arm erythema/induration 4x4 cm: warm to touch/ raised and malaise and watery eyes and rhinitis.
Sex: U
Vaccine: FLUX
Symptoms: Malaise, Rhinitis
Clinical narrative: Right arm erythema/induration 4x4 cm: warm to touch/ raised and malaise and watery eyes and rhinitis.
Age: 40.0
Sex: F
Vaccine: FLUX
Symptoms: Eye swelling, Swelling, Swelling face, Tongue oedema
Clinical narrative: 10/8/04: tongue swelled 10/9 swelling mouth/lips. 10/13: lip jaw right side. 10/15: upper lip jaw. 10/22: right finger 10/28: bottom lip. 11/11: eye. 11/17:lip. 11/18 tongue. 11/27:lip jaw. 11/29: left eye. Still under care
Age: 3.0
Sex: F
Vaccine: PNC
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Pneumococcal conjugate was administered on left deltoid on11/22/04. Today 11/24/04 AM, mother noticed daughter's arm was slightly swollen and bad erythema. 65mm in width x 68mm in length. Call of mother states it was warm to touch, denies pain or itchiness. T96.7, P108, R26 BP85/50
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash
Clinical narrative: 11/22/04: approximate time 18:00 pm Fluzone 0.5IM given deltoid; employee reported 12 hours later, she developed rash and itching starting with her feet. She also reported this incident 12/2/04. Self medicated Benadryl and Medral dose
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Erythema, Feeling hot, Injection site induration, Injection site swelling
Clinical narrative: 101 degree temp 24 hours after vaccination. 48 hours after vaccination, red, warm, induration and swelling. 4"x5"with raised vesicles along border of band aide.
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia, Swelling
Clinical narrative: 101 degree temp 24 hours after vaccination. 48 hours after vaccination, red, warm, induration and swelling. 4"x5"with raised vesicles along border of band aide.
Sex: M
Vaccine: PPV
Symptoms: Joint swelling, Swelling, Tenderness
Clinical narrative: Swelling (from shoulder to elbow) tenderness.
Age: 39.0
Sex: F
Vaccine: PPV
Symptoms: Difficulty in walking, Dizziness, Erythema, Injection site induration, Joint range of motion decreased
Clinical narrative: Fever, malaise, erythema and induration of 6 x 4 cm at site of injection, reports hands and feet so painful could not walk or use fingers, nausea, dizziness.
Age: 39.0
Sex: F
Vaccine: PPV
Symptoms: Malaise, Nausea, Pain, Pyrexia
Clinical narrative: Fever, malaise, erythema and induration of 6 x 4 cm at site of injection, reports hands and feet so painful could not walk or use fingers, nausea, dizziness.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Tenderness
Clinical narrative: Local redness and swelling at injection site, somewhat sensitive. No fever.
Age: 66.0
Sex: M
Vaccine: TD
Symptoms: Joint range of motion decreased, Myalgia
Clinical narrative: I called patient today to talk to him about his. Patient told me that he thought he was having a reaction to his Td booster yesterday. Patient stated that he was having B/L leg pain #8 on pain scale and that he could not straighten out his right let. I paged doctors: no call back. I talked to another doctor and she said that she did not think any symptoms were related to Td booster. I told doctor that I was going to sent Pt to ER because the patient did not have these symptoms yesterday. I called patient and told him to go to ER. I gave him patient info about his doctors and told him to bring his list of medication with him. I told patient I would call him later in afternoon.
Age: 3.0
Sex: M
Vaccine: PNC
Symptoms: Erythema, Similar reaction on previous exposure to drug, Swelling
Clinical narrative: 12/2: Prevnar inj right thigh 11/30/04 right thigh 7x9cm, red swelling 12/2/04. 12/3: area greatly reduced. Treatment with Benadryl
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Dry mouth, Fatigue, Skin reaction
Clinical narrative: Fatigue, dry mouth; skin sensitivity. diagnosed: smallpox reaction/ fatigue.
Age: 35.0
Sex: M
Vaccine: SMALL
Symptoms: Chills, Cough, Cow pox, Lethargy, Pain
Clinical narrative: Chills, body ache, cough, lethargy. Diagnosis: Questionable vaccinia or viral infection
Age: 35.0
Sex: M
Vaccine: SMALL
Symptoms: Viral infection
Clinical narrative: Chills, body ache, cough, lethargy. Diagnosis: Questionable vaccinia or viral infection
Age: 35.0
Sex: M
Vaccine: SMALL
Symptoms: Chills, Cow pox, Dizziness, Fatigue, Nausea
Clinical narrative: Nausea, dizziness, fatigue, fever, chills. Diagnosis: Generalized vaccinia vs. viral infection
Age: 35.0
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia, Viral infection
Clinical narrative: Nausea, dizziness, fatigue, fever, chills. Diagnosis: Generalized vaccinia vs. viral infection
Age: 1.02
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Nasal congestion, Pyrexia, Rash
Clinical narrative: Fever 105: 9 days after vaccine.  Flat spots trunk: five days after fever and cough. Nasal congestion x 2 days. MMR reaction.
Age: 15.0
Sex: M
Vaccine: HEP, HEPA, VARCEL
Symptoms: Injection site induration, Pain
Clinical narrative: Left forearm with pain. Mother noticed 11/11/04 at morning time. Induration 80x55 mm arm circumference 260mm.
Age: 1.67
Sex: F
Vaccine: VARCEL
Symptoms: Rash papular
Clinical narrative: 4 papules erupted on right lateral thigh 20 days after injection of varicella vaccine.
Age: 0.19
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: High-pitched crying, Irritability, Nasal congestion
Clinical narrative: High pitched scream that lasted continuously for 3-4 hours following immunizations. Temperature not taken by mom. Cranky 11/30/04 and stuffy nose. Office appointment offered and declined on 11/30/2004.
Age: 33.0
Sex: F
Vaccine: RUB
Symptoms: Rash
Clinical narrative: Information has been received from a consumer concerning her 33 year old daughter with epilepsy who on 11/18/03 was vaccinated with Rubella virus vaccine (lot # not provided). Concomitant therapy included lamotrigine. On 12/1/03, the patient developed a rash on chest and back after being immunized with Meruvax II. On 12/2/03, the reporter's mother called to report that the patient had gotten the rash on her chest again. The patient's rash on chest and back persisted. Unspecified medical attention was sought. Additional information has been requested. Follow up 03/03/05: Patient date of birth and lot number for vaccine number 1 was not provided.
Age: 27.0
Sex: F
Vaccine: RUB
Symptoms: Coordination abnormal, Guillain-Barre syndrome, Laboratory test abnormal, Muscular weakness
Clinical narrative: Information has been received from a physician concerning a 27 year old postpartum female who in May 2001, was vaccinated with a dose of rubella virus vaccine live (lot number not reported). The patient had delivered 3 days prior and was vaccinated due to a negative rubella titer. The patient was also administered Rho-gam. On 6/4/01, the patient developed symptoms of Guillain-Barre syndrome, ataxia, weakness in the lower extremities and face. The patient was subsequently hospitalized and underwent unspecified medical attention. The patient underwent an extensive r/o process including tests for campylobacter, HIV, and hepatitis. On 6/5/01, the patient was started on therapy with IVIG. At the time of this report, the patient had recovered fairly well but was noted to have some residual symptoms. Follow up 03/03/05: Per reporter lot number for vaccine not provided.
Sex: F
Vaccine: RUB
Symptoms: Drug ineffective, Laboratory test abnormal
Clinical narrative: Information has been received from a pharmacist concerning a female consumer who was vaccinated with a dose of rubella virus vaccine live for a total of 3 doses, over a period of years with each dose given after delivery of a child. Subsequently, a titer is negative for seroconversion with equivocal results. The outcome of the seroconversion test negative was unknown. Unspecified medical attention was sought. Additional information has been requested. Follow up 03/03/05: Patient date of birth, Patient age at time of vaccination, adverse event onset information, lot number for vaccine number 1 and date/time of vaccine adminstration not provided.
Age: 31.0
Sex: F
Vaccine: RUB
Symptoms: Drug ineffective, Laboratory test abnormal
Clinical narrative: Information has been received from a physician concerning a 31 year old female who on 12/12/03 was vaccinated SC with a first dose of rubella virus vaccine live (lot number not available). In approximately 12/03, the patient's titer came back negative. At the end of February 2004, the patient was vaccinated SC with a second dose of rubella virus vaccine live (lot number not available), and subsequently, in approximately February 2004, the patient still showed no immunity. The physician reported that immunity to rubella is a requirement for in vitro fertilization to take place. The outcome was unknown. Additional information has been requested. Follow up 03/03/05: Patient date of birth and lot number for vaccine 1 not provided. Adverse event onset was approximately 2003.
Age: 18.0
Sex: F
Vaccine: RUB
Symptoms: Dyspnoea, Face oedema, Loss of consciousness
Clinical narrative: Information has been received from a RN concerning a female who in approx 1984 was vaccinated with a dose of rubella virus vaccine live (Wistar RA 27/3) (lot number not available). After the vaccination, the pt developed swelling of the face and throat, shortness of breath, and subsequently passed out. It was reported that the pt was treated in the office only and recovered completely. The pt did not remember what treatment was given or who the doctor was who administered the vaccination. Follow up information has been received from the nurse who indicated that the pt had the reaction as a child. The nurse stated that she had no information relating to the pt's experience. No additional information is expected. Follow up 03/03/05: Patient age at tiem of vaccination was approximately 18 years. Adverse event onset was approximately 1984. Lot number of vaccine number 1 was not provided. Vaccine administration date/time was approximatley 1984.
Age: 32.0
Sex: F
Vaccine: RUB
Symptoms: Arthralgia, Fatigue, Headache, Injection site erythema, Injection site oedema
Clinical narrative: Information has been received from a nurse practitioner concerning a 31 year old female with an allergy to codeine and no illness at the time of vaccination who on 15Jun04 was vaccinated SC in the left tricep with a dose of rubella virus vaccine live (Wistar RA 27/3) (lot 6470370796N). Concomitant therapy included rofecoxib (MSD). Immediately post vaccination on 15Jun04, the pt complained of a headache. On 16Jun04, the pt developed redness and swelling at the injection site, fatigue, and nausea. On 25Jun04, the pt developed joint pain and fever. On 26Jun04, the pt developed a generalized rash. The pt sought unspecified medical attention. The pt subsequently recovered. No additional information is expected.
Age: 32.0
Sex: F
Vaccine: RUB
Symptoms: Nausea, Pyrexia, Rash
Clinical narrative: Information has been received from a nurse practitioner concerning a 31 year old female with an allergy to codeine and no illness at the time of vaccination who on 15Jun04 was vaccinated SC in the left tricep with a dose of rubella virus vaccine live (Wistar RA 27/3) (lot 6470370796N). Concomitant therapy included rofecoxib (MSD). Immediately post vaccination on 15Jun04, the pt complained of a headache. On 16Jun04, the pt developed redness and swelling at the injection site, fatigue, and nausea. On 25Jun04, the pt developed joint pain and fever. On 26Jun04, the pt developed a generalized rash. The pt sought unspecified medical attention. The pt subsequently recovered. No additional information is expected.
Age: 52.0
Sex: M
Vaccine: ANTH, FLUX, SMALL, TYP
Symptoms: Amnesia, Arthralgia, Blood pressure increased, Condition aggravated, Hypoaesthesia
Clinical narrative: MUSCLE AND JOINTS SWELLING, STIFFNESS AND ACHING, ELEVATED BLOOD PRESSURE, SLEEP DEPREVATION, IRRITABILITY, ARTHRITIC TYPE JOINT PAINS TO SPINAL REGION-SHOULDER-KNEES AND ANKLES, NUMBNESS TO RIGHT FRONTAL FOOT AND GREAT TOE, ATTENTION DEFICIT DISORDER, LOSS OF MEMORY, AND NIGHT SWEATS, STRESS ISSUES, INCREASE IN HIGH PITCHED TINNITUS.
Age: 52.0
Sex: M
Vaccine: ANTH, FLUX, SMALL, TYP
Symptoms: Insomnia, Irritability, Joint stiffness, Joint swelling, Myalgia
Clinical narrative: MUSCLE AND JOINTS SWELLING, STIFFNESS AND ACHING, ELEVATED BLOOD PRESSURE, SLEEP DEPREVATION, IRRITABILITY, ARTHRITIC TYPE JOINT PAINS TO SPINAL REGION-SHOULDER-KNEES AND ANKLES, NUMBNESS TO RIGHT FRONTAL FOOT AND GREAT TOE, ATTENTION DEFICIT DISORDER, LOSS OF MEMORY, AND NIGHT SWEATS, STRESS ISSUES, INCREASE IN HIGH PITCHED TINNITUS.
Age: 52.0
Sex: M
Vaccine: ANTH, FLUX, SMALL, TYP
Symptoms: Night sweats, Thinking abnormal, Tinnitus
Clinical narrative: MUSCLE AND JOINTS SWELLING, STIFFNESS AND ACHING, ELEVATED BLOOD PRESSURE, SLEEP DEPREVATION, IRRITABILITY, ARTHRITIC TYPE JOINT PAINS TO SPINAL REGION-SHOULDER-KNEES AND ANKLES, NUMBNESS TO RIGHT FRONTAL FOOT AND GREAT TOE, ATTENTION DEFICIT DISORDER, LOSS OF MEMORY, AND NIGHT SWEATS, STRESS ISSUES, INCREASE IN HIGH PITCHED TINNITUS.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Eye swelling, Pruritus, Rash
Clinical narrative: Swollen, red, inflamed area around right eye. Quarter to sand dollar sized rash patches on stomach, breasts, back and legs. Extremely itchy. Hands are extremely itchy, but no rash visible.
Age: 23.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Cough, Laboratory test abnormal, Lethargy, Lobar pneumonia
Clinical narrative: Several hours after administration, pt became lethargic and febrile experiencing myalgias and arthralgias. He was given antipyretic, anti-inflammatories and sent home from work.  After no improvement in symptoms and development of productive cough, he reported again 48 hours later where CXR revealed a right lower lobe air space process.  He was uneventfully treated for pneumonia and recovered completely.
Age: 23.0
Sex: M
Vaccine: FLU3
Symptoms: Myalgia, Pyrexia
Clinical narrative: Several hours after administration, pt became lethargic and febrile experiencing myalgias and arthralgias. He was given antipyretic, anti-inflammatories and sent home from work.  After no improvement in symptoms and development of productive cough, he reported again 48 hours later where CXR revealed a right lower lobe air space process.  He was uneventfully treated for pneumonia and recovered completely.
Age: 40.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Arthralgia, Dizziness, Headache, Muscle contractions involuntary, Pain
Clinical narrative: Fasciculations, paresthesias, new onset migraine headaches post AVA. Also tinnitus.
Age: 40.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Shoulder pain, Similar reaction on previous exposure to drug
Clinical narrative: Fasciculations, paresthesias, new onset migraine headaches post AVA. Also tinnitus.
Age: 40.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Migraine, Muscle contractions involuntary, Paraesthesia, Tinnitus
Clinical narrative: Fasciculations, paresthesias, new onset migraine headaches post AVA. Also tinnitus.
Age: 27.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Chest pain, Dyspnoea, Laboratory test abnormal, Pericarditis
Clinical narrative: Awoke with chest pain which was sharp and stabbing, then burning at a level of 9/10, no radiation, no sweating, no NV. Deemed suspected pericarditis by cardiology working group. Continued with chest pain in spite of negative cardiac findings. Diagnosed with brachial neuritis which extended to the chest wall and responded partially to Neurontin.
Age: 27.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Chest pain, Pericarditis, Radiculitis brachial
Clinical narrative: Awoke with chest pain which was sharp and stabbing, then burning at a level of 9/10, no radiation, no sweating, no NV. Deemed suspected pericarditis by cardiology working group. Continued with chest pain in spite of negative cardiac findings. Diagnosed with brachial neuritis which extended to the chest wall and responded partially to Neurontin.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Discomfort, Erythema, Injection site swelling, Muscle spasms, Muscle twitching
Clinical narrative: Patient is 34-year-old male with complaints of the site of injection swelling.  His last injection was on the 26th of July 2004 and since that time he has had 3 episodes of swelling at the site of the injections.  He reports his most recent injection in July of this year was "normal anthrax swelling".  The swelling lasted for the next few hours but then went away on its own.   The first episode of swelling after this was noticed in September or October of this year.  He reports the swelling lasted for approximately one hours or more.  He reports no known trauma to the area.  No denies any fever or chills.  He brushed up against the door and noticed discomfort and when he looked it was red and swollen.  He reports muscles spasms at the site of injection as well during the time of the redness and swelling.  The spasms lasted for about one hour.  It was kind of like the "little eye twitches but it was in my arm"  It looked similar to how it looks when he gets his anthrax injections.  This episode lasted approximately one hour.   The second episode was in October and he again denies any fevers or chills or any other problems at the time.  This time he reports noticing it when showering.  No illness prior to event.  No trauma to area that he knows of.   The most recent event was four days ago.  He reports feeling something on his shoulder that was approximately the size of a 50 cent piece.   He reports the swelling lasted for 40 minutes and then totally disappeared.  During the time it was red, swollen, and tender and itchy.   No fevers or chills.  "I feel perfectly fine".  Has not been sick
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Pruritus, Tenderness
Clinical narrative: Patient is 34-year-old male with complaints of the site of injection swelling.  His last injection was on the 26th of July 2004 and since that time he has had 3 episodes of swelling at the site of the injections.  He reports his most recent injection in July of this year was "normal anthrax swelling".  The swelling lasted for the next few hours but then went away on its own.   The first episode of swelling after this was noticed in September or October of this year.  He reports the swelling lasted for approximately one hours or more.  He reports no known trauma to the area.  No denies any fever or chills.  He brushed up against the door and noticed discomfort and when he looked it was red and swollen.  He reports muscles spasms at the site of injection as well during the time of the redness and swelling.  The spasms lasted for about one hour.  It was kind of like the "little eye twitches but it was in my arm"  It looked similar to how it looks when he gets his anthrax injections.  This episode lasted approximately one hour.   The second episode was in October and he again denies any fevers or chills or any other problems at the time.  This time he reports noticing it when showering.  No illness prior to event.  No trauma to area that he knows of.   The most recent event was four days ago.  He reports feeling something on his shoulder that was approximately the size of a 50 cent piece.   He reports the swelling lasted for 40 minutes and then totally disappeared.  During the time it was red, swollen, and tender and itchy.   No fevers or chills.  "I feel perfectly fine".  Has not been sick
Age: 12.0
Sex: M
Vaccine: TTOX
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Redness and induration of left upper arm.
Age: 0.35
Sex: M
Vaccine: DTAPHEPBIP, PNC
Symptoms: Apnoea, Cyanosis, Hypoxia, Pallor
Clinical narrative: At 1830 child exhibiting ashen color, circumoral cyanosis and stopped breathing for 10-15 seconds, per mother. Child transported to hospital via ambulance with O2. In hospital overnite for observation.
Age: 1.26
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Blister, Pyrexia, Rash
Clinical narrative: She received the varicella vaccine on 11/23. She encountered a fever of 103.3, 104.2 two nights in a row, 12/1 and 12/2/04. On 12/3, she broke out in a rash of red pimple-like blisters all over her face, body, chest, back, arms, legs. It appears to BE the chicken pox. This vaccine gave her the actual virus. We are now trying to treat the outbreak.
Age: 63.0
Sex: M
Vaccine: PPV
Symptoms: Bacterial infection, Erythema, Pain, Swelling
Clinical narrative: Client reports left arm swelling up, getting red and a lot of pain.  Went to urgent care two days after getting the shot, they told him he had staph infection and gave him amoxicillin.  Came in five days after shot to let health department know about reaction, no signs of redness or swelling noted at this time. Client only reported sore elbow.
Age: 35.0
Sex: F
Vaccine: FLUN3
Symptoms: Arthralgia, Chest pain, Cough, Dizziness, Headache
Clinical narrative: Approximately two days after flu mist received, I had flu symptoms of sneezing, runny nose, headache, sore throat.  Symptoms worsened to include chest and ear pain, joint pain, and dizziness over the next few days, and then a cough.  All symptoms liveable with over the counter medications.  Biggest problem is that flu mist was recommended since I have a 4 month old daughter who could not be vaccinated, but now I am very contagious and coughing and sneezing.  I don't understand why it was recommended for me to get the flu mist to protect my daughter when it is creating a problem that otherwise might not have existed.    I'm still sick so I don't know how this will end, but it feels very much like I just have an ordinary miserable case of the flu, so I expect it to run its course.
Age: 35.0
Sex: F
Vaccine: FLUN3
Symptoms: Influenza like illness, Pharyngolaryngeal pain, Rhinorrhoea
Clinical narrative: Approximately two days after flu mist received, I had flu symptoms of sneezing, runny nose, headache, sore throat.  Symptoms worsened to include chest and ear pain, joint pain, and dizziness over the next few days, and then a cough.  All symptoms liveable with over the counter medications.  Biggest problem is that flu mist was recommended since I have a 4 month old daughter who could not be vaccinated, but now I am very contagious and coughing and sneezing.  I don't understand why it was recommended for me to get the flu mist to protect my daughter when it is creating a problem that otherwise might not have existed.    I'm still sick so I don't know how this will end, but it feels very much like I just have an ordinary miserable case of the flu, so I expect it to run its course.
Age: 0.0
Sex: F
Vaccine: SMALL
Symptoms: Blister, Erythema, Infection transmission via personal contact, Vaccination complication
Clinical narrative: Helped fiance (military) change bandage from a dripping smallpox vaccine without using gloves.  Onset of 2 small blisters 11-17-04 on collar bone area.  11-18-04 onset of 1 small red raised bump on forearm and 1 on stomach.  Probable inadvertent inoculation of contact.
Age: 0.33
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Screaming
Clinical narrative: prolonged screaming