chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 34.0
Sex: M
Vaccine: TD, VARCEL
Symptoms: Rash erythematous, Skin ulcer
Clinical narrative: Onset 07/03/2003 of body ache, fatigue, chills, perceived high temperature, "nerve endings felt super sensitive".  07/04: Rash "Like mosquito bites" 05/06 on right scalp.  Night of 4th.  High flulike symptoms.  Since then more "welts" on face, trunk "several dozen" each few on extremities.  Initial lesions on scalp scabbed on 07/06, but new ones arising.  Feels well in day with high flu-like symptoms in evening.  07/08 35-40 lesions on back, 30 in chest, raised, reddened with light center.  No frank vesicles, scabbed on scalp.
Age: 1.27
Sex: M
Vaccine: DTAPH, MMR
Symptoms: Pyrexia, Rash
Clinical narrative: Temperature 103.9, starting same day of vaccine, lasting 48 hours Morbilliform rash starting at hair line 48 hours after vaccine.  lasted 4-5 days, resolved x 48hours then began again at hair line, spread down trunk, arms to groin and upper thighs.
Age: 1.3
Sex: M
Vaccine: HBHEPB, PNC
Symptoms: Rash
Clinical narrative: Rash on chest, abdomen and back.
Age: 1.3
Sex: M
Vaccine: MMR
Symptoms: Rash
Clinical narrative: Start of rash to buttock and lower back 07/15 rash spread 07/08 to legs and chest.  07/09 covered in rash multiple red bumps seen in MD office.  Prescribed atarax.
Age: 1.7
Sex: F
Vaccine: PNC
Symptoms: Injection site erythema
Clinical narrative: 9x15cm erythematous right thigh around injection site.
Age: 4.5
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Injection site induration, Pain, Pruritus
Clinical narrative: Approximately 3cm induraction and erythema right deltoid, itching, pain.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Bursitis
Clinical narrative: Left shoulder bursitis 2 hours vaccine administered too high in arm.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Crying, Erythema, Petechiae
Clinical narrative: 12-18 hrs after 1mm-cried x 20 mins, legs "beet red" knees down x40.  Then petichiae on legs below knees, non elsewhere.
Age: 0.1
Sex: M
Vaccine: HEP, IPV
Symptoms: Wheezing
Clinical narrative: Developed wheezing 24 hours after the vaccination.  Wheezing subsided after 4-5 days with oral medication.  Proventol and Prelow (Prednisolone).
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Oedema, Pain
Clinical narrative: >24 hours after administration of DTaP entire anterior thigh and knee swelled up and felt painful.  No limping, fever, trouble breathing.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Red, swollen area at injection site (DTaP)
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cough, Eye oedema, Injection site erythema, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: 07/03/2003: Received immunizations at 09:00am, fever of 102.  Started at 11:00am.  Around 13:00 noticed redness at injection site of left leg.  That evening started coughing.  07/05/2003: Woke up with red, swollen eye left and sore throat.  Was seen by pediatrician-given treatment of Prednisone for diagnosis of allergic reaction to MMR.
Age: 1.5
Sex: M
Vaccine: MMR
Symptoms: Febrile convulsion
Clinical narrative: First febrile seizure (simple) occurred 02/13/2003-10 days following MMR vaccine.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site induration, Injection site swelling
Clinical narrative: 60x60mm reddened area to left arm. Onset 24 hours after vaccine. By 48-72 hours baseball sized, red, and indurated. Treated at home with warm compresses, resolved in 7 days.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: High-pitched crying
Clinical narrative: Excessive high pitched crying 2-3 hours.
Age: 32.0
Sex: F
Vaccine: MMR
Symptoms: Erythema, Musculoskeletal stiffness, Pyrexia, Rash, Rash maculo-papular
Clinical narrative: AM of 6/27/03 woke with stiff muscles, generalized soreness. Noticed red splotch under eye that PM. Woke Saturday 06/28/03--continued stiffness entire body. Noticed rash on face, chest, abdomen, trunk, arms and legs. Temperature 101.2-102 orally evening of 6/28/03.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: High-pitched crying, Irritability, Pyrexia
Clinical narrative: Fever to 105 axillary. Irritability, unconsolable; high pitched cry.
Age: 5.0
Sex: F
Vaccine: IPV, MMR
Symptoms: Eye swelling, Rash, Urticaria
Clinical narrative: Physical exam appointment at 11AM. 11:50am phone call from mom. Just arrived home. Eyes swollen and bug-like bites on face and into hairline. No respiratory symptoms. 1 tsp. Dimetap at home. Seen back in office 12:20; 25mg Benadryl. No wheezing, hive- like rash. 1 PM: hives resolved.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Urticaria
Clinical narrative: Right leg at injection site 4cm round, red, warm, slightly tender welts with hives. Treated with cool compresses/Motrin for discomfort.
Age: 1.25
Sex: M
Vaccine: HIBV, MMR
Symptoms: Coordination abnormal
Clinical narrative: Developed ataxia day 7 after MMR. Seen in office on day 8 and referred to ER. Was seen by neurologist next day.
Age: 5.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Child received vaccine on 7/7/03. Mother states child had small amount of redness/swelling on 7/7/03, however today 7/8/03 child has increased redness/swelling (redness 60mmx40mm left arm).
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Erythema, Pyrexia, Rash
Clinical narrative: 7/2/03 child broke out in fine, red rash from head to toe including hair and scalp. Parent reports fever of 103 when awoke this AM. 4PM, patient in health department, MD phoned, appointment made.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Erythema multiforme, Skin ulcer
Clinical narrative: Erythema multiforme with target lesions all over body, sparing mucous membrane.
Age: 73.0
Sex: M
Vaccine: UNK
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Patient had Td booster 7/6/03 at ER. Reports previous booster 13 years ago. Next day, awoke with painful erythema/induration.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Rash vesicular
Clinical narrative: 2 days after receiving Varivax had more than 40 smallpox-like bumps scattered on body some with small pustules.
Age: 50.0
Sex: F
Vaccine: TYP
Symptoms: Fatigue, Nausea, Somnolence, Vomiting
Clinical narrative: Nausea beginning 10-12 hours after taking 1st dose oral typhoid vaccine. Vomited, very fatigued. Completed all 4 doses but nauseated after each and slept > 18 hours after dose 2.
Age: 50.0
Sex: M
Vaccine: TYP
Symptoms: Nausea
Clinical narrative: Nausea beginning 10-12 hours after 1st dose of oral typhoid persisting about 18 hours. Nausea occurred after each dose.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HBHEPB, HIBV
Symptoms: Unevaluable event
Clinical narrative: I called and left 2 messages for mother to call back and never received a phone call. Although I did see the patient on 5/30/03 and appeared without symptoms.
Age: 2.0
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Rash
Clinical narrative: rash around eyes and on abdomen.
Age: 1.4
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Erythema, Pyrexia, Rash, Rash macular
Clinical narrative: Temperature 99, rash appeared on face and trunk approximately 45 minutes after vaccination. Flat, pink to red, macular on face, trunk and arms. Mucous membranes intact. Observe for any changes; child happy and playful.
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Swelling
Clinical narrative: Left thigh with redness and swelling.
Age: 1.5
Sex: M
Vaccine: DTAP
Symptoms: Flushing, Somnolence, Staring, Vomiting
Clinical narrative: 6/7/03 Severe vomiting 2 days after DTaP. Staring and somnolence; no fever. Flushing after vomiting. Taken to ER--suppository.
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR, PNC, VARCEL
Symptoms: Decreased appetite, Diarrhoea, Pyrexia, Rash maculo-papular
Clinical narrative: Fever on 7/8 and 7/9/03 associated with rash that started on abdomen, then face, then extremities. No fever since 7/9/03. Decreased appetite loose stools. Rash is maculopapular.
Age: 3.0
Sex: F
Vaccine: DTAP
Symptoms: Unevaluable event
Clinical narrative: A child came in for immunizations. The nurse that writes all the info on the immunization record thought she was 4 years old. I did not double check the child's age and gave a DTaP that was not due. No adverse effect.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: Patient had onset of fever to 103 approximately 6 hours after vaccinations administered.  Patient afebrile the next day.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Convulsion
Clinical narrative: Patient started having Tonic Clonic seizures within two hours of receiving these vaccines.  He continues to have between 1-8 seizures per day. He has been hospitalized twice, has had an MRI a Lumbar Puncture, numerous EEG's and blood testing to find the cause. He is now taking three different anti seizure medications. Klonopin, Phenobarbital, Lamictal
Age: 19.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Blister, Pruritus, Pyrexia, Secondary transmission
Clinical narrative: 06/26/03- Patient's boyfriend received primary smallpox and anthrax #1 vaccines- he did not cover his vaccinated site with a dressing- patient had a prolonged contact with the boyfriend during this time. 06/25/03- Patient noticed a "blister" on gum line under her left upper lip- patient's mother reported this event to the DoD Hotline. 07/03/03- 07/04/03- "Fever= 99.6" (max) 07/05/03- Went to ER- by the time of the visit, her fever had dissipated and her "blister" got "popped accidentally."- was examined and was told that her "ulcer" was benign. 07/09/03- Patient noticed a cluster of "five blisters" on her right shoulder- lesions were itchy but did not scratch- went to ER again for evaluation- seen by the hospital's "infectious disease team" and was told that those lesions could "possibly be smallpox vaccine related."- no instruction to cover the site was given and patient received no meds or treatments for those lesions. 07/16/03- Patient's "ulcer" in the mouth has now completely healed- "five blisters" on her right shoulder "almost gone."- patient has no complaints at this time.  Attachment: SUMMARY
Age: 44.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Urticaria
Clinical narrative: Member received anthrax#1 and smallpox vaccine on 11 July 2003 (had been previously vaccinated as child against smallpox).  Today developed diffuse urticarial rash on trunk/extremities which subsequently resolved without intervention.  Otherwise, denied any symptoms including f/c/s/cp/sob/ha/stiff neck/malaise/n/v/d.  Now asx.
Age: 31.0
Sex: F
Vaccine: SMALL
Symptoms: Chest X-ray, Echocardiogram, Electrocardiogram ambulatory, Injection site hypersensitivity, Injection site pain
Clinical narrative: Smallpox vaccination site scab still present 91 days after vaccination.  Patient had a major take and reported fever, body aches, soreness and itching at vaccination site and lymphadenopathy.  Scab is dry.  Patient is wearing tegaderm with gauze while at work and gauze alone when not a work. Follow up: Was vaccinated on April 15,2003. In July 2003, developed reduced exercise tolerance. At end Required Emergency Room/Doctor vist of January, she developed chest pain, shortness of breath, lightheadedness, and nausea. On February 23rd, she reported to work, but had to go to the ED 3 hours into her shift. She has been on sick leave ever since.
Age: 31.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site reaction, Lymphadenopathy, Pain, Pruritus, Pulmonary function test
Clinical narrative: Smallpox vaccination site scab still present 91 days after vaccination.  Patient had a major take and reported fever, body aches, soreness and itching at vaccination site and lymphadenopathy.  Scab is dry.  Patient is wearing tegaderm with gauze while at work and gauze alone when not a work. Follow up: Was vaccinated on April 15,2003. In July 2003, developed reduced exercise tolerance. At end Required Emergency Room/Doctor vist of January, she developed chest pain, shortness of breath, lightheadedness, and nausea. On February 23rd, she reported to work, but had to go to the ED 3 hours into her shift. She has been on sick leave ever since.
Age: 31.0
Sex: F
Vaccine: SMALL
Symptoms: Pyrexia
Clinical narrative: Smallpox vaccination site scab still present 91 days after vaccination.  Patient had a major take and reported fever, body aches, soreness and itching at vaccination site and lymphadenopathy.  Scab is dry.  Patient is wearing tegaderm with gauze while at work and gauze alone when not a work. Follow up: Was vaccinated on April 15,2003. In July 2003, developed reduced exercise tolerance. At end Required Emergency Room/Doctor vist of January, she developed chest pain, shortness of breath, lightheadedness, and nausea. On February 23rd, she reported to work, but had to go to the ED 3 hours into her shift. She has been on sick leave ever since.
Age: 33.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Feeling hot, Influenza like illness, Injection site mass, Myalgia
Clinical narrative: On 06/20/2003, pt. received a TD immunization for facial burns.  On June 25th, she presented to ED fpr a recheck of the burns, but also c/o flu-like symptoms (muscle aches).  Injection site with a 2 cm nodule, mild erythema and warmth.
Age: 33.0
Sex: F
Vaccine: TD
Symptoms: Skin burning sensation
Clinical narrative: On 06/20/2003, pt. received a TD immunization for facial burns.  On June 25th, she presented to ED fpr a recheck of the burns, but also c/o flu-like symptoms (muscle aches).  Injection site with a 2 cm nodule, mild erythema and warmth.
Age: 33.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site vesicles, Migraine
Clinical narrative: Approximately six weeks after vaccination, patient developed multiple small vesicles at her vaccination site that remained for two weeks.  She had no pruritus, induration, swelling, or drainage at this area.  No treatment was needed other than a dressing over the vesicles until they resolved. In the 8 weeks post-vaccination, patient experience five migraine headaches.  Normally she only has about one migraine per year. She self-treated the headaches and has not had any further.
Age: 56.0
Sex: F
Vaccine: SMALL, SMALL, SMALL
Symptoms: Blister, Injection site pustule, Pruritus
Clinical narrative: Itching and "bump" on 7/7/03.  Itching and blister night of 7/8/03.  7/9/03- experienced 2-3mm x 5 mm blister.  Itching continues.  7/11/03 - blister drying.  7/15/03 - no scab, everything dry
Age: 56.0
Sex: F
Vaccine: SMALL, SMALL, SMALL
Symptoms: Blister, Pruritus, Rash maculo-papular
Clinical narrative: Itching and "bump" on 7/7/03.  Itching and blister night of 7/8/03.  7/9/03- experienced 2-3mm x 5 mm blister.  Itching continues.  7/11/03 - blister drying.  7/15/03 - no scab, everything dry
Age: 56.0
Sex: F
Vaccine: SMALL, SMALL, SMALL
Symptoms: Injection site mass, Rash
Clinical narrative: Itching and "bump" on 7/7/03.  Itching and blister night of 7/8/03.  7/9/03- experienced 2-3mm x 5 mm blister.  Itching continues.  7/11/03 - blister drying.  7/15/03 - no scab, everything dry
Age: 98.0
Sex: F
Vaccine: FLU3
Symptoms: Cardiac failure congestive, Coronary artery disease, Lung disorder, Myocardial infarction, Oesophageal disorder
Clinical narrative: A 98 year old female received RSV vaccine or Placebo and Influenza Vaccine on 11/4/02 and 212 days later died. Records have been requested and will send follow-up when more information received. The Investigator assessed the event as unrelated to the study product. Follow up information received 7/11/02. Subject expired 5/6/03 at nurse home. Diagnosis: Respiratory failure, chronic obstructive pulmonary disease, congestive heart failure, myocardial infarction, pneumonia, acute coronary syndrome, esophageal stricture. Follow up on 08/22/2003: "Hospice Services RN Admission Assessment 05/06/03: DNR signed: Yes; Terminal Diagnosis: ES, CHF; Other Diagnosis: Acute Coronary Syndrome, Esophageal Stricture, Dyspnea, COPD; Radiation TX: None; Functional Limitations: Bowel/Bladder Incontinence, Ambulation, Speech; Activities permitted: Total bedrest; Mental Status: Unresponsive; Physical Assessment: Skin: Cool, Dry, Skin tugor: fair; Wound Care Record: Cleanse skin tear to R arm with NSS, apply triple antibiotic ointment, cover with dry dressing BID, D/C when healed; Sensor: hearing unknown, speech: nonverbal; Cardiovascular: Pulse-weak, Pedal Pulse-absent left and right.  Fingers and feet cyanotic; Respiration: shallow at rest, cough: non, non-smoker; Lung sounds: diminished, crackles.  Oxygen 4 L/min; Nutrition/Hydration: No intake; Gastrointestinal: Abdomen soft.  Bowel sounds: x4 Quadrants, Hypoactive, Bowel incontinence; Genito-urinary: Urine amber, clear, indwelling catheter; Abuse screen: no suspected abuse/neglect; Pain assessment: "no indication of pain"; Additional Assessment: no labwork scheduled; Activities of Daily Living: unable to ambulate, transfer, dressing, eating, toileting, bathing; Psycho social status: Caregiver understands illness is terminal: Yes; Care Needs: Symptom management; Caregiver's emotional response to current health status: continue with plan for symptom managment; Spiritual issues: last rights given 05/06/2003.  Interval History and Physican Exam: 06/01/2003.  History of Present Illness: 98 year old female treated for Resp. Failure, and DJD and now here for further managment.  Past Medical History: CHF, DJD, Pneumonia, Dysphagia, Dementia; We are unable to obtain a death certificate for subject.  Our site has made several phone calls to the son of the deceased subject referenced above and have received no response to our calls for a death certificate.  We have no other contact person and we are not aware that an autopsy was performed.  The only information that we have was received from the Health Center and was faxed to you on 07/11/2003.  The note written by the Dr. states that the subject expired in this facility on 05/06/2003.  You should already have this for your file.  If you need us to fax it again, please let us know.
Age: 98.0
Sex: F
Vaccine: FLU3
Symptoms: Pneumonia, Respiratory failure
Clinical narrative: A 98 year old female received RSV vaccine or Placebo and Influenza Vaccine on 11/4/02 and 212 days later died. Records have been requested and will send follow-up when more information received. The Investigator assessed the event as unrelated to the study product. Follow up information received 7/11/02. Subject expired 5/6/03 at nurse home. Diagnosis: Respiratory failure, chronic obstructive pulmonary disease, congestive heart failure, myocardial infarction, pneumonia, acute coronary syndrome, esophageal stricture. Follow up on 08/22/2003: "Hospice Services RN Admission Assessment 05/06/03: DNR signed: Yes; Terminal Diagnosis: ES, CHF; Other Diagnosis: Acute Coronary Syndrome, Esophageal Stricture, Dyspnea, COPD; Radiation TX: None; Functional Limitations: Bowel/Bladder Incontinence, Ambulation, Speech; Activities permitted: Total bedrest; Mental Status: Unresponsive; Physical Assessment: Skin: Cool, Dry, Skin tugor: fair; Wound Care Record: Cleanse skin tear to R arm with NSS, apply triple antibiotic ointment, cover with dry dressing BID, D/C when healed; Sensor: hearing unknown, speech: nonverbal; Cardiovascular: Pulse-weak, Pedal Pulse-absent left and right.  Fingers and feet cyanotic; Respiration: shallow at rest, cough: non, non-smoker; Lung sounds: diminished, crackles.  Oxygen 4 L/min; Nutrition/Hydration: No intake; Gastrointestinal: Abdomen soft.  Bowel sounds: x4 Quadrants, Hypoactive, Bowel incontinence; Genito-urinary: Urine amber, clear, indwelling catheter; Abuse screen: no suspected abuse/neglect; Pain assessment: "no indication of pain"; Additional Assessment: no labwork scheduled; Activities of Daily Living: unable to ambulate, transfer, dressing, eating, toileting, bathing; Psycho social status: Caregiver understands illness is terminal: Yes; Care Needs: Symptom management; Caregiver's emotional response to current health status: continue with plan for symptom managment; Spiritual issues: last rights given 05/06/2003.  Interval History and Physican Exam: 06/01/2003.  History of Present Illness: 98 year old female treated for Resp. Failure, and DJD and now here for further managment.  Past Medical History: CHF, DJD, Pneumonia, Dysphagia, Dementia; We are unable to obtain a death certificate for subject.  Our site has made several phone calls to the son of the deceased subject referenced above and have received no response to our calls for a death certificate.  We have no other contact person and we are not aware that an autopsy was performed.  The only information that we have was received from the Health Center and was faxed to you on 07/11/2003.  The note written by the Dr. states that the subject expired in this facility on 05/06/2003.  You should already have this for your file.  If you need us to fax it again, please let us know.
Age: 17.0
Sex: M
Vaccine: HEPA, TYP, HEPA, TYP
Symptoms: Leukocytosis, Lymphadenopathy, Malaise, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: 2 hrs after office/shots had sore throat, swollen lymph glands in throat, 6 hrs later started running fever up to 100 range up to 102.9 took to Dr on Thursday (7/10/03). Blood tests run, white blood cell count high, went home-cont. to feel ill-vomiting-back to Dr 7/11 blood tests for West Nile and Tyyphoid. Home-that night, Friday-went to ER-not admitted "they were busy." Home-back to ER Saturday 7/12/03-admitted to hosp. sores in mouth to throat erupted. Fever broke started IV's-antibiotics started on Monday. Still in hospital 7/15/03. A 60-day follow up report received 10/09/2003 adds: The pt was followed by his MD. We are a vaccinating clinic not a care center. I spoke to his mother a number of times. His final diagnosis and long term prognosis is not known to me.
Age: 17.0
Sex: M
Vaccine: HEPA, TYP, HEPA, TYP
Symptoms: Stomatitis, Vomiting, White blood cell count increased
Clinical narrative: 2 hrs after office/shots had sore throat, swollen lymph glands in throat, 6 hrs later started running fever up to 100 range up to 102.9 took to Dr on Thursday (7/10/03). Blood tests run, white blood cell count high, went home-cont. to feel ill-vomiting-back to Dr 7/11 blood tests for West Nile and Tyyphoid. Home-that night, Friday-went to ER-not admitted "they were busy." Home-back to ER Saturday 7/12/03-admitted to hosp. sores in mouth to throat erupted. Fever broke started IV's-antibiotics started on Monday. Still in hospital 7/15/03. A 60-day follow up report received 10/09/2003 adds: The pt was followed by his MD. We are a vaccinating clinic not a care center. I spoke to his mother a number of times. His final diagnosis and long term prognosis is not known to me.
Age: 17.0
Sex: M
Vaccine: HEPA, TYP, HEPA, TYP
Symptoms: Fatigue, Lethargy, Lymphadenopathy, Mouth ulceration, Pyrexia
Clinical narrative: 2 hrs after office/shots had sore throat, swollen lymph glands in throat, 6 hrs later started running fever up to 100 range up to 102.9 took to Dr on Thursday (7/10/03). Blood tests run, white blood cell count high, went home-cont. to feel ill-vomiting-back to Dr 7/11 blood tests for West Nile and Tyyphoid. Home-that night, Friday-went to ER-not admitted "they were busy." Home-back to ER Saturday 7/12/03-admitted to hosp. sores in mouth to throat erupted. Fever broke started IV's-antibiotics started on Monday. Still in hospital 7/15/03. A 60-day follow up report received 10/09/2003 adds: The pt was followed by his MD. We are a vaccinating clinic not a care center. I spoke to his mother a number of times. His final diagnosis and long term prognosis is not known to me.
Age: 17.0
Sex: M
Vaccine: HEPA, TYP, HEPA, TYP
Symptoms: Vomiting, White blood cell count increased
Clinical narrative: 2 hrs after office/shots had sore throat, swollen lymph glands in throat, 6 hrs later started running fever up to 100 range up to 102.9 took to Dr on Thursday (7/10/03). Blood tests run, white blood cell count high, went home-cont. to feel ill-vomiting-back to Dr 7/11 blood tests for West Nile and Tyyphoid. Home-that night, Friday-went to ER-not admitted "they were busy." Home-back to ER Saturday 7/12/03-admitted to hosp. sores in mouth to throat erupted. Fever broke started IV's-antibiotics started on Monday. Still in hospital 7/15/03. A 60-day follow up report received 10/09/2003 adds: The pt was followed by his MD. We are a vaccinating clinic not a care center. I spoke to his mother a number of times. His final diagnosis and long term prognosis is not known to me.
Age: 22.0
Sex: F
Vaccine: ANTH
Symptoms: Chills, Fatigue, Headache, Injection site erythema, Injection site oedema
Clinical narrative: Reports dose #1 nausea, swell/redness injection site 8-10cm approx, chills, cephalgia for 3 days, fatigued. Dose #3 reports same symptoms as listed for dose #1.
Age: 22.0
Sex: F
Vaccine: ANTH
Symptoms: Nausea
Clinical narrative: Reports dose #1 nausea, swell/redness injection site 8-10cm approx, chills, cephalgia for 3 days, fatigued. Dose #3 reports same symptoms as listed for dose #1.
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Pain
Clinical narrative: Pt had severe right arm pain from shoulder to hand with weakness about 2 hours after receiving vaccine in that arm.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: 8 x 8 reaction. Left thigh 5 cm bigger than right thigh. Red, swollen knot.
Age: 1.25
Sex: F
Vaccine: HIBV, MMR
Symptoms: Pyrexia
Clinical narrative: Fever from 103-104 degrees 16 days after MMR and Hib. No other symptoms noted. Physician stated probably from MMR. Fever lasted 3 days.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: Erythematous, warm area 7.0 x 6.5 cm 5 hours post vaccination of IPV and DTaP.
Age: 28.0
Sex: F
Vaccine: MMR
Symptoms: Lymphadenopathy, Rash macular
Clinical narrative: Regional lymphadenopathy and small macular rash
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site inflammation, Injection site oedema, Pruritus
Clinical narrative: Mom noted swelling/inflammation "greater than expected" approx 24 hours after vaccinations given. Mom phoned clinic and was advised by RN "to use ice packs and give Tylenol". Following day (6/11) says swelling was worse, child complained of itching, so brought in to clinic. Right upper arm reddened, swollen from elbow to shoulder. Advised to change to Ibuprofen every 6-8 hours and po Benadryl for itch and cold, moist packs. Improved considerably with 24 hours of this Tx, per Mom's phone report.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pain
Clinical narrative: Mom noticed right lateral arm: elbow to shoulder hot, red, swollen, painful on 7/9/03 at 7 PM. Applied ice, gave Tylenol throughout the night. Called this office 7/10/03 AM to report. On 7/10 arm still swollen but less painful, less red. Moves arm actively. No fever. Using ice prn for comfort. Tylenol prn.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: Started with fever 1 AM on 7/8/03 and noticed swelling and redness of left upper arm approx 2" x 3" in size.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Pyrexia, Rash maculo-papular
Clinical narrative: Left deltoid started to get red and splotchy the night after shot and ran a fever 102-103 for 2 nights.
Age: 1.57
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Coma, Dyskinesia, Eye movement disorder, Musculoskeletal stiffness
Clinical narrative: 12 hours after receiving immunizations, body had generalized jerking, stiffened, eyes rolled back and was briefly unresponsive. Scheduled EEG.
Age: 0.1
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Crying, Erythema, Feeling hot, Joint range of motion decreased, Oedema
Clinical narrative: about two hour after she was given the shots her leg got really red and hot and swollen. eveytime she moved it even just a little she would scream a high pitched cry like she was in extreme pain. I put a cold rag on her leg and gave her tylenol. The symptoms lasted about 3-4 hours then her leg went back to normal with a little sensittivity to it.
Age: 0.1
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Pain
Clinical narrative: about two hour after she was given the shots her leg got really red and hot and swollen. eveytime she moved it even just a little she would scream a high pitched cry like she was in extreme pain. I put a cold rag on her leg and gave her tylenol. The symptoms lasted about 3-4 hours then her leg went back to normal with a little sensittivity to it.
Age: 38.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Headache, Malaise, Pyrexia, Rash maculo-papular
Clinical narrative: MEMBER RECEIVED ANTHRAX#1 AND SMALLPOX VACCINE ON 11 JULY 2003 (HAD BEEN PREVIOUSLY VACCINATED AS A CHILD AGAINST SMALLPOX).  ON 15 JULY DEVELOPED SUBJECTIVE FEVERS/SLIGHT HEADACHE/MALAISE WITH A DIFFUSE FLAT, MACULO-PAPULAR RASH INVOLVING HIS ENTIRE TRUNK AND PORTIONS OF HIS EXTREMITIES.  THERE WAS NO OTHER MUCOUS MEMBRANE INVOLVEMENT (SPECIFICALLY OROPHARYNX/EYES).  DENIED BLURRED VISION/STIFF NECK/N/V/D/CP/SOB/PALPS/ABD PAIN/NEURO COMPLAINTS.  PICTURES OF THIS RASH WERE FORWARDED BY ME HOSPITAL.  THEY WERE SHOWN TO AN ALLERGIST AND THERE WAS CONCERN THAT THIS RASH MAY IN FACT, BE ERYTHEMA MULTIFORME (I NOTED ABSOLUTELY NO TARGET LESIONS AND THERE WAS NO MUCOUS MEMBRANE INVOLVEMENT).  THEY REQUESTED THAT THE MEMBER HAVE THE FOLLOWING LAB TESTS DRAWN: CRP, CBC, ESR, C3, C4, CH50, C1Q BINDING, RAJI CELLS.  THESE WERE DRAWN TODAY AND SENT TO MEDICAL CLINIC HERE.  OF NOTE, RASH HAS IMPROVED SIGNIFICANTLY SINCE YESTERDAY ALTHOUGH MEMBER IS STILL C/O SLIGHT HEADACHE.  HOWEVER, HE IS NONTOXIC AND HAS NO MENINGISMUS OR APPRECIABLE ADENOPATHY AT THIS TIME.
Age: 49.0
Sex: F
Vaccine: SMALL
Symptoms: Cardiac failure, Laboratory test abnormal, Pain
Clinical narrative: Left arm, shoulder pain shortly after receiving vaccine. Now diagnosed with abnormal echo poss, posterial cardiac wall dysfunction, left atrial dysfunction.
Age: 49.0
Sex: F
Vaccine: TD, TYP, YF
Symptoms: Erythema, Feeling hot, Injection site induration, Injection site urticaria, Oedema peripheral
Clinical narrative: Client called 7/14/03 approximately 8:15am and spoke with nurse. Stated she had travel vaccines on 7/10/03. Client received yellow fever, typhoid on right arm and Td on left arm. Client reported that her right posterior arm was swollen, redden, warm to touch, itchy and had a hive or harden area at the site of injection. Client reported that he redden, and hard area to be approximately 3 inches long by 1 inch in width. Client states she has taken Advil for discomfort. Nurse suggested to continue Advil and cool compress at site to help with discomfort. Client currently denies discomfort. Client advised to have primary MD further evaluate site if no improvement or if condition worsens.
Age: 49.0
Sex: F
Vaccine: TD, TYP, YF
Symptoms: Pruritus
Clinical narrative: Client called 7/14/03 approximately 8:15am and spoke with nurse. Stated she had travel vaccines on 7/10/03. Client received yellow fever, typhoid on right arm and Td on left arm. Client reported that her right posterior arm was swollen, redden, warm to touch, itchy and had a hive or harden area at the site of injection. Client reported that he redden, and hard area to be approximately 3 inches long by 1 inch in width. Client states she has taken Advil for discomfort. Nurse suggested to continue Advil and cool compress at site to help with discomfort. Client currently denies discomfort. Client advised to have primary MD further evaluate site if no improvement or if condition worsens.
Age: 0.3
Sex: F
Vaccine: HEP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever of 101F next day post-vaccination. Tylenol was given and Cefuroxime iv with observation.
Age: 53.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Urticaria
Clinical narrative: MEMBER RECEIVED ANTHRAX#1 AND SMALLPOX VACCINE ON 11 JULY 03.  YESTERDAY DEVELOPED DIFFUSE URTICARIA ON HIS TRUNK/UPPER EXTREMITIES WHICH RESPONDED TO BENADRYL.  ALL LESIONS COMPLETELY GONE APPROXIMATELY 2 HRS AFTER ONSET.  NO AIRWAY COMPROMISE/F/C/S/CP/SOB/N/V.  ASX TODAY.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Pt had rash starting from day after the immunization last week (7/11/03).  Pt was seen in ER and was given Benadryl.  Pt had slight fever. Pt's rash continued as pt was again seen yesterday in extended care and was given Prednisone Rx.
Age: 0.17
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV
Symptoms: Sudden infant death syndrome
Clinical narrative: Coroner ruled SIDS.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Electroencephalogram abnormal, Hyperexplexia, Infantile spasms, Muscle spasms
Clinical narrative: Patient was given shots at 4 months old. Two hours later, he developed startle response which became more pronounced over the next few days. Admitted to hospital on 7/7/03.
Age: 3.0
Sex: M
Vaccine: HIBV, PNC, VARCEL
Symptoms: Erythema, Pain, Rash, Swelling
Clinical narrative: Father noticed swelling, pain and redness of his left arm and rash on his chest about 6PM the day after he received the vaccine. Was treated in the ER and admitted to the hospital for three days. Received steroids, antibiotics and Benadryl.
Age: 43.0
Sex: M
Vaccine: ANTH
Symptoms: Hypoaesthesia
Clinical narrative: Numbness in fingers and arms for 5 days. Left arm, arm remains numb as of 7/9/03.
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Injection site erythema, Injection site induration, Injection site mass
Clinical narrative: 1 1/4" lump, hard with red area 3/4" around injection site.
Age: 0.2
Sex: M
Vaccine: HIBV
Symptoms: Urticaria
Clinical narrative: Child has hives all over body - onset 17 hours after vaccine. Per mom's report, no fever, seems well.
Age: 4.0
Sex: U
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: 36 hours after DTaP (LA), IPV (LA), MMR (RA) left arm swollen red from last night, worse today. Mom has been applying ice - no improvement. Suggest giving Tylenol or Motrin.
Age: 2.9
Sex: M
Vaccine: TYP
Symptoms: Rash
Clinical narrative: Following a typhoid injection, child developed a rash around both eyes, within about 2 minutes. No other rashes were found on body. Child remained happy and cooperative during 30 minutes wait following vaccine administration and had no other symptoms.
Age: 41.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Dysgeusia, Dyspnoea
Clinical narrative: Within 1/2 hour bad funny taste in mouth, felt difficult to breathe for several seconds, saw bright light in front of her and then it all went away.
Age: 47.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Pain, Tremor
Clinical narrative: Telephone call at 3:30 PM 6/17/03 stating since 8:00 AM on arising she has felt "real dizzy". Dizziness increases with turning her head. She is able to walk without losing balance, but walks slowly. Also complained of sore arm at site of injection. Complained of some shakiness.
Age: 57.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Arthralgia, Pyrexia, Rash
Clinical narrative: 6/13/03 Fever, arthralgia, rash, Temp 100.
Age: 1.9
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Right upper thigh swollen, red and hot around injection site about 10 cm x 7 cm. Seen in ER 7/30 treated with Keflex. Recheck 7/31 with reduced redness. Phone follow-up 8/1 - much improved.
Age: 1.0
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Injection site erythema, Pruritus, Urticaria
Clinical narrative: Phone call 7/31/02 - redness at injection site and hives up and down both legs. No fever, no illness. Itchy.
Age: 5.0
Sex: F
Vaccine: MMR
Symptoms: Urticaria
Clinical narrative: Onset wheal inferior to site of administration approx. circ. 1.5 cm - ice applied to area.
Age: 57.0
Sex: M
Vaccine: HEP
Symptoms: Arthralgia, Diarrhoea, Haematochezia, Headache, Listless
Clinical narrative: Bloody stools, diarrhea, jawache, headache, swollen testicle, achey joints, listlessness. Treated with IV, vitamins B and C. 8/27/02 much improved, testicle still swollen.
Age: 57.0
Sex: M
Vaccine: HEP
Symptoms: Pain in jaw, Testicular disorder
Clinical narrative: Bloody stools, diarrhea, jawache, headache, swollen testicle, achey joints, listlessness. Treated with IV, vitamins B and C. 8/27/02 much improved, testicle still swollen.
Age: 11.0
Sex: F
Vaccine: MMR
Symptoms: Syncope
Clinical narrative: Five to ten minutes after receiving vaccine, she fainted in lobby, hit back of head on tile floor. I ran out to lobby to see her on floor. She appeared to have a small reflexive arching of her body for 5-10 seconds. No history of seizures. She regained consciousness and responded to questions. We called the medics, came within 5 minutes, transported to ER. She had no breakfast.
Age: 73.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema, Pain
Clinical narrative: Left shoulder swelling, redness and pain.
Age: 80.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Feeling hot, Injection site erythema, Pain
Clinical narrative: Sx: left arm warm/tender/erythema. Dx: cellutitis left arm. Tx: PCN
Age: 5.0
Sex: M
Vaccine: IPV, VARCEL
Symptoms: Skin ulcer
Clinical narrative: Varicella lesions on trunk and extremities.
Age: 2.0
Sex: F
Vaccine: HIBV, VARCEL
Symptoms: Infection
Clinical narrative: Varicella like rash
Age: 12.0
Sex: F
Vaccine: HEP
Symptoms: Dyskinesia, Eye movement disorder
Clinical narrative: Pt was riding home in their car. Had arms crossed over chest, making strange noise, eyes rolled back, body jerking. Mother thinks seizure lasted 30 seconds.
Age: 42.0
Sex: F
Vaccine: SMALL
Symptoms: Asthenia, Blood pressure increased, Bronchitis, Chest pain, Cough
Clinical narrative: Day 3 after vaccine:  dry cough, fever 100F, mild tightness in chest, shortness of breath, extreme malaise and weakness for 7 days.  Off work.  Saw MD who diagnosed bronchitis and gave Zithromax for 5 days.  She reports she was too weak to get CXR and went home and was weak and tired for a week.  No lab work, no EKG, back at work by 04/04 full recovery.  Denies palpitations or cardiac symptoms.
Age: 42.0
Sex: F
Vaccine: SMALL
Symptoms: Dyspnoea, Fatigue, Malaise, Pyrexia
Clinical narrative: Day 3 after vaccine:  dry cough, fever 100F, mild tightness in chest, shortness of breath, extreme malaise and weakness for 7 days.  Off work.  Saw MD who diagnosed bronchitis and gave Zithromax for 5 days.  She reports she was too weak to get CXR and went home and was weak and tired for a week.  No lab work, no EKG, back at work by 04/04 full recovery.  Denies palpitations or cardiac symptoms.
Age: 56.0
Sex: F
Vaccine: SMALL
Symptoms: Pruritus, Rash papular, Skin ulcer
Clinical narrative: Developed papulovesicular lesions.  Did not seek care.  Itching.  Lesions disappearing after a few days.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Erythema, Irritability, Pyrexia, Rash
Clinical narrative: Had fever 4 days after 12 (up to 102.5) which lasted for 4 days.  Broke out with red rash "dots" with fever, cranky.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Irritability
Clinical narrative: Baby was given Pediarix and Prevnar - right thigh at 09:00.  Following which she was & HIB - left thigh.  Slightly fussy.  She took 5oz. of formula at 11:30 and finished at noon.  She had slept for about 20 minutes and woke up screaming at13:15.  With some fullness left thigh.  Advised giving Tylenol 0.4ml with cold compresses locally.
Age: 3.0
Sex: M
Vaccine: DTAP, HEPA, PNC
Symptoms: Injection site erythema, Injection site oedema, Nasal congestion
Clinical narrative: Left arm deltoid 3 cm area redness.  Slight swelling beginning 07/11/2003 AM. Slight respiratory congestion after injection.  07/09/2003.  History of asthma.
Age: 1.0
Sex: M
Vaccine: PNC
Symptoms: Urticaria
Clinical narrative: Hives at 72 hours after administration of Prevnar #3.  Seen in ER, sent home.
Age: 12.0
Sex: F
Vaccine: DT, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site pain
Clinical narrative: 24-48 hours after vaccine, patient develops redness, swelling at site, moderate induration, slightly tenter.  4 x 6 cm.  Ibuprofen and warm compress.
Age: 0.6
Sex: F
Vaccine: DTP, HEP, HIBV, IPV, PNC
Symptoms: Erythema, Rash macular, Skin ulcer
Clinical narrative: Generalized macular, erythematous rash.  More prominent on lower extremities.  Began one day after vaccine administration.  Mother first noticed single lesions at injection site.  Given Benadryl liquid 12.5 1/4 teaspoon every 4-6 hours.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Left deltoid area red, warm, swollen
Age: 18.0
Sex: M
Vaccine: MMR
Symptoms: Asthenia, Eye disorder, Fatigue, Lymphadenopathy, Malaise
Clinical narrative: Patient felt very ill after 3 days-weak, tired, swollen glands, fever.  Reported feeling as if he "couldn't move his eyes".  This lasted 4 days-treated on 06/27/2003.
Age: 18.0
Sex: M
Vaccine: MMR
Symptoms: Pyrexia
Clinical narrative: Patient felt very ill after 3 days-weak, tired, swollen glands, fever.  Reported feeling as if he "couldn't move his eyes".  This lasted 4 days-treated on 06/27/2003.
Age: 56.0
Sex: M
Vaccine: TD
Symptoms: Erythema, Pruritus
Clinical narrative: left deltoid (inject site): Erythema (4 1/4 x 4 3/4 in size).  Non tender, itch.
Age: 11.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema, Pyrexia, Rash
Clinical narrative: Fever to 102 degrees F within 24 hours.  Red spots around injection site on skin and swelling.  Rash gone 07/11/2003.  Some swelling continues.
Age: 32.0
Sex: F
Vaccine: HEP, TTOX
Symptoms: Rash erythematous
Clinical narrative: Patient reported on 07/10 at 16:00: Wanted to know if spot on right deltoid was related to Hepatitis B vaccine she received 06/19/2003.  She reported that the spot started out as a tiny point 4+ days prior.  15mm circular (smooth) blanched spot surrounded by some circularing of raised pink skin observed.
Age: 2.0
Sex: M
Vaccine: DTAPHEPBIP, MMR, VARCEL
Symptoms: Oedema
Clinical narrative: Localize right arm swelling.
Age: 1.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Swelling, redness, warmth to immunization sites on both legs (DTaP, Prevnar, and HIB).
Age: 1.3
Sex: M
Vaccine: HIBV, PNC
Symptoms: Asthenia, Lethargy, Pyrexia, Respiratory rate increased, Tachycardia
Clinical narrative: Rapid Breathing-respirations 50-60 min.  Fever: 102-103 F; Tachycarida-115-120/min (symptoms resolved with in 24 hours after onset); Lethargy/weakness.
Age: 5.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Feeling hot, Oedema, Pruritus, Pyrexia
Clinical narrative: Local swelling of right upper arm over deltoid, warm to touch, patient without fevers, also complains of itching.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Developed vesicular lesions under chin and on upper back and on right scapula.  Treated with Acyclovir suspension for 5 days.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia, Screaming
Clinical narrative: Inconsolable crying for 8 hours. Tactile fever. Decreased drinking.
Age: 5.0
Sex: M
Vaccine: TD
Symptoms: Pyrexia
Clinical narrative: fever to 105 following Td.  Resolved spontaneously
Age: 21.0
Sex: F
Vaccine: HEP
Symptoms: Fatigue, Nausea, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Patient called Health Department on 7/17/03.  Stated she had been having fatigue, nausea, temperature of 102.3 and a sore throat.  This occured several hours after vaccination was given.  Before vaccination was given, client denied allergies and complained of a sore throat. The client was referred to their primary medical provider for additional follow-up and to call the Health Department if symptoms persist or worsen.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Blister, Cough, Fatigue, Pain
Clinical narrative: Developed blisters on abdomen - one on 7/5/03 and 2 more on 7/6/03. Also reported complained of cough, fatigue and "achy" during same period. Dx with reaction to smallpox vaccine.
Age: 78.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 2nd day post vaccination with Pnuemovax in rt. Deltoid, patient developed erythyma,swelling,and pain in large area of upper Rt.arm. Symptoms began approximately 12 hours after vaccination. Pt. treated thus far with Allegra and Vioxx, comfort measures,warm pack and elevate arm
Age: 0.8
Sex: F
Vaccine: HIBV, PNC
Symptoms: Irritability, Rash
Clinical narrative: child developed a rash to trunk on friday afternoon as stated by mother. On Saturday it spread to face, trunk and extremities and she was irritable.No breathing problems reported or noted by parent, just the rash. Monday she was taken to her pediatrician where she was prescribed medication and an ontiment. Thursday she was seen at the clinic where a mild. old, rough rash was noted to trunk only. No redness with rash was noted.Parent stated that child was not irritable ,no fever noted, and behavior by child was normal to parent. Child was sound asleep when she came to the clinic.
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Blood pressure increased, Dizziness, Heart rate increased, Nausea
Clinical narrative: At 2 hours after vaccine was administered patient had dizziness, nausea and weakness that lasted for about 2 hours,vital signs temperature 98.0, respriations 20, pulse 93, blood pressure 149/70. Blood pressure recheck 199/81, pulse 90. She was perscribed Benadryl as needed and sent home and returned to work the next day.
Age: 32.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Electrocardiogram abnormal, Erythema multiforme, Folliculitis, Oedema, Rash
Clinical narrative: Rash right arm near axilla; biopsy confirmed eczema. Pt had previous, undisclosed history of eczema (pt does not think she has eczema). Pt describes edema of ankles and pain in legs.
Age: 32.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Vasculitis
Clinical narrative: Rash right arm near axilla; biopsy confirmed eczema. Pt had previous, undisclosed history of eczema (pt does not think she has eczema). Pt describes edema of ankles and pain in legs.
Age: 32.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Eczema, Oedema, Pain, Rash
Clinical narrative: Rash right arm near axilla; biopsy confirmed eczema. Pt had previous, undisclosed history of eczema (pt does not think she has eczema). Pt describes edema of ankles and pain in legs.
Age: 52.0
Sex: M
Vaccine: SMALL
Symptoms: Asthenia, Pain, Paraesthesia
Clinical narrative: Left shoulder (scapula) pain; left arm parathesia; left hand weakness.
Age: 35.0
Sex: F
Vaccine: SMALL
Symptoms: Urticaria
Clinical narrative: Described by dermatologist as classic, extensive hives. He discussed with CDC MD who advised that this reaction has been documented and that biopsy is not indicated at this time.
Age: 4.0
Sex: M
Vaccine: DT, IPV, PNC
Symptoms: Abdominal pain, Abdominal pain upper, Anorexia, Irritability, Pyrexia
Clinical narrative: within 24 hours of vaccines, my son had low grade fever and crankiness. within 48 hours of vaccines, my son complained on stomach pain/cramps loss of appetite vomited once persistent, high fever up to 104.9 began alternating tylenol/motrin every 3 hours and fever would not go below 103. High fever persistent for 24 hours. Took 24 hrs for fever to break, still administering meds.
Age: 4.0
Sex: M
Vaccine: DT, IPV, PNC
Symptoms: Vomiting
Clinical narrative: within 24 hours of vaccines, my son had low grade fever and crankiness. within 48 hours of vaccines, my son complained on stomach pain/cramps loss of appetite vomited once persistent, high fever up to 104.9 began alternating tylenol/motrin every 3 hours and fever would not go below 103. High fever persistent for 24 hours. Took 24 hrs for fever to break, still administering meds.