chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 11.0
Sex: M
Vaccine: HEPA, TD, VARCEL, HEPA, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Information has been received from a health professional concerning an 11 year old male, with no medical history and no allergies, who on 4/20/05 was vaccinated with a SC dose in the right arm of varicella virus vaccine live (lot # 648307/0582P). Concomitant vaccine administered on the same day included an IM dose in the right arm of hepatitis A vaccine (inactive) (lot # 648456/0889P). It was reported that the patient's mother called the physician's office on 5/2/05 reporting that the site was swollen, red to touch, and the area was the size of her fist. The physician saw the patient on the same day and determined that the right upper outer arm had a 1x1 inch patch of erythema and induration, that was warm and tender to palpitation. The patient was ordered to use ice or heat as needed and oral analgesia as needed. There were no laboratory or diagnostic tests performed. It was noted that the parents did not call the office back but this patient was seen on 8/17/05 and had no complaints regarding his arm. No product quality complaint was involved. The reporter felt that the patient's experiences were other important medical events (OMIC). Additional information is not expected.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Oedema peripheral
Clinical narrative: Left deltoid area, redness and swelling, can move his arm - per doctor's note dated 08/22/2005.
Age: 17.0
Sex: F
Vaccine: VARCEL
Symptoms: Unintended pregnancy
Clinical narrative: Child came for well child exam and stated school nurse stated she needed varivax.  Varivax administered that afternoon, school nurse called to inform MD.  She just found out child is pregnant.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Large localized reaction with swelling, redness, warmth over entire, right upper outer arm.  Small localized reaction, quarter sized of redness.
Age: 18.0
Sex: M
Vaccine: MEN
Symptoms: Meningitis, Pyrexia, Viral infection
Clinical narrative: An 18 year old male received from healthcare professional on 8/22/05. An 18 year old male patient was diagnosed with viral meningitis 11 days after receiving the SC injection of Menomune, lot number U1656AC on 8/1/05. Site of administration was not reported. The patient was seen at a clinic for a fever of 103 F 8 days post immunization and was sent home. Treatment received was not reported. The patient returned to the hospital 3 days later and was admitted with a diagnosis of viral meningitis. The patient was discharged 2 days later. Recovery status was reported as not recovered.
Age: 0.53
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Convulsion, Electroencephalogram abnormal, Febrile convulsion, Gastrooesophageal reflux disease, Infantile spasms
Clinical narrative: Patient exhibited seizures 2 days after shot (DTaP, HIB, and Pneumococcal). Patient diagnosed with idiopathic infantile spasms and is being treated with 6 weeks ACTH therapy. Per follow up report-Patient is currently taking 250mg of Sabril and will need to continue taking the medication for 1 year.  The medication is currently stopping her seizures.  However, it gives her significant reflux and may cause loss of peripheral vision.  We are unsure of her outcome once she tapers off of the medication in 11 months.  Her condition is still termed as idiopathic.  No genetic or other cause (other than the vaccination) has been linked to her condition. 1/13/06 Review of D/C summary confirms admission diagnosis of febrile convulsions and discharge diagnosis of infantile spasms.  Treatment with ACTH was documented. D/C on ACTH & Zantac. Review of ER admission note (medical record) states diagnosis as seizures. Increased fussiness noted. Abnormal EEG with hypsarrythmia noted. Head CT & brain MRI WNL. Platelets were 520 (150-400 norm). In spite of an elevated Taurine level of 240.2, there was no evidence of a disorder of amino acid metabolism. 12/31/09 Patient is currently tapering off the medication she has been taking for 11 months. She has been seizure-free since 10/05. Her long term seizure activity is unclear. SHe has no evidence of a cause for her sizure activity CT scan and MRI show no cause for infantile spasms. EEG has now normalized. Vaccination is our only suspect thus far.
Age: 0.53
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Irritability, Laboratory test abnormal, Platelet count increased
Clinical narrative: Patient exhibited seizures 2 days after shot (DTaP, HIB, and Pneumococcal). Patient diagnosed with idiopathic infantile spasms and is being treated with 6 weeks ACTH therapy. Per follow up report-Patient is currently taking 250mg of Sabril and will need to continue taking the medication for 1 year.  The medication is currently stopping her seizures.  However, it gives her significant reflux and may cause loss of peripheral vision.  We are unsure of her outcome once she tapers off of the medication in 11 months.  Her condition is still termed as idiopathic.  No genetic or other cause (other than the vaccination) has been linked to her condition. 1/13/06 Review of D/C summary confirms admission diagnosis of febrile convulsions and discharge diagnosis of infantile spasms.  Treatment with ACTH was documented. D/C on ACTH & Zantac. Review of ER admission note (medical record) states diagnosis as seizures. Increased fussiness noted. Abnormal EEG with hypsarrythmia noted. Head CT & brain MRI WNL. Platelets were 520 (150-400 norm). In spite of an elevated Taurine level of 240.2, there was no evidence of a disorder of amino acid metabolism. 12/31/09 Patient is currently tapering off the medication she has been taking for 11 months. She has been seizure-free since 10/05. Her long term seizure activity is unclear. SHe has no evidence of a cause for her sizure activity CT scan and MRI show no cause for infantile spasms. EEG has now normalized. Vaccination is our only suspect thus far.
Age: 56.0
Sex: F
Vaccine: HEP
Symptoms: Hypokinesia, Joint range of motion decreased, Joint swelling, Pain, Paraesthesia
Clinical narrative: Last Hep B administered 2/10/05. On 3/15/05, patient woke up and right arm was bent at elbow. She could not raise arm; could not straighten out. Saw MD at that time. Elbow was swollen, fingers tingle. Has pain in upper arm when trying to raise arm. Pain in upper arm at night in bed. Per follow up report-Have not seen this person since she initially reported this to us. Had been seeing orthopedic doctor.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Face oedema, Periorbital oedema, Urticaria
Clinical narrative: Facial edema with urticarial to face, chest, lower abdomen. Right periorbital edema worse than left.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Arthralgia, Malaise, Pyrexia
Clinical narrative: Fever, chills, arthralgias, malaise - feels horrible, 1 day following Menactra immunization.  Did have nausea the day before vaccination.  When seen in office temperature 98.3, blood pressure 105/68, pulse 55.  No symptoms on 08/01/2005. Information from Annual Follow-up report states pt was recovered by 8/6/05.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Blister, Erythema
Clinical narrative: Patient received smallpox vaccination on 08/05/2005 and reported to clinic on 08/17/2005 after developing blisters and redness around the site of innoculation.  The doctor has diagnosed the patient with self innoculation.
Age: 52.0
Sex: F
Vaccine: PPV
Symptoms: Blood pressure increased, Dizziness, Injection site erythema, Oedema
Clinical narrative: Trace edema at forearm area, blood pressure increased for 2 days, dizziness, redness at site.
Sex: M
Vaccine: DTAP, MMR
Symptoms: Feeling hot, Injection site induration, Swelling
Clinical narrative: Patient given shots yesterday at 4 year old check up visit.  This am Mom noticed left thigh swollen, warm to touch and hard at shot site.  Evaluated by doctor, left thigh 12 1/2 diameter, right thigh 10 1/2 diameter.  Rocephin 500mg im today, Keflex 250mg.
Age: 0.04
Sex: M
Vaccine: HEP
Symptoms: Apnoea, High-pitched crying, Opisthotonus
Clinical narrative: High pitched crying, apnea, arching. Per follow up report-This is not a patient of this doctor.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Pyrexia, Vomiting
Clinical narrative: Patient had a temperature of 102.3 to 100.9 on 07/24/2005.  Dad said the patient did vomit a couple of times.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site hypersensitivity, Injection site induration
Clinical narrative: local reaction left deltoid, redness, warm, induration immune deltoid down to elbow.
Age: 1.57
Sex: F
Vaccine: DTAP, HBHEPB, IPV, MMR, PNC, VARCEL
Symptoms: Contusion, Hypersensitivity, Injection site swelling, Oedema, Pain
Clinical narrative: mom stated she noticed a quarter size, red, raised, bruised area on her upper left thigh on 08/24/2005 in the am. She gave the toddler Motrin in the afternoon before shots. she repeated dose 2x the next day. Now mom stated the size of swollen area is the size of a small pancake, toddler is still complaining about pain, area is still swollen and re. Mom gave her Tylenol this am. Encouraged mom to call doctor.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Hypersensitivity, Oedema, Pyrexia
Clinical narrative: Fever, right arm swollen, red
Age: 20.0
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Hypersensitivity, Pain, Pruritus
Clinical narrative: itching, red, hot, pain, body aches 10 mins after medication administered.
Sex: F
Vaccine: RAB
Symptoms: Lymphadenopathy, Malaise, Pain
Clinical narrative: 08/12 Swollen nevicule lymph gland. Felling yucky, pain at lymph site, left side.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site induration
Clinical narrative: Induration and erythema large on left leg, treated with Keflex
Age: 39.0
Sex: F
Vaccine: MMR, TD
Symptoms: Feeling hot, Hypersensitivity, Injection site induration, Oedema, Pain
Clinical narrative: Received TD,MMR and TD skin test on 08/22/2005 on 08/23/2005 arm started swelling, got red, hot and fever on 08/24/2005 stayed home, left arm painful, stated still had knot but was much better today 08/25/2005 used ibuprofen, warm packs and cold packs.
Age: 39.0
Sex: F
Vaccine: MMR, TD
Symptoms: Pyrexia
Clinical narrative: Received TD,MMR and TD skin test on 08/22/2005 on 08/23/2005 arm started swelling, got red, hot and fever on 08/24/2005 stayed home, left arm painful, stated still had knot but was much better today 08/25/2005 used ibuprofen, warm packs and cold packs.
Age: 49.0
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Hypersensitivity, Injection site warmth, Oedema, Pyrexia
Clinical narrative: Received Td and TB skin test on 08/22/2005, on 08/23/2005 awoke with left arm red, hot and swollen and was running fever. Seen by health dept doctor, Continued warm soaks and Tylenol on 08/24/2005, arm still red hot and swollen, 08/25/2005 symptoms continued including fever.
Age: 27.0
Sex: F
Vaccine: MMR, TD
Symptoms: Pain, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Received Td, MMR and Tb skin test on 08/22/2005. After shots started getting sore throat, running fever, arm left got sore but no redness or swelling was off work for 2 days then started feeling better.
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Herpes zoster, Viral infection
Clinical narrative: He developed shingles on left arm in c6 dermatome despite Varivax 04/04 mom not immune to varicella and she is pregnant so she had to get VZIG
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Urticaria
Clinical narrative: Immunizations given this am. This afternoon mother called office stated he was breaking out with hives everywhere except legs. Benadryl order by Doctor.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Hypersensitivity, Oedema, Pruritus
Clinical narrative: Left thigh, reddened, swollen, itching. 2" x 2".
Age: 5.0
Sex: M
Vaccine: DTAPHEPBIP, IPV, MMR
Symptoms: Medication error, Pain
Clinical narrative: A4 office visit for pre kindergarten assessed catch up needs DTaP, IPV, MMR. Medication error given Pediarix (DTap,IPV,HEP B), IPV, MMR instead of Tripedia (DTap) IPV and MMR. Mother notified at time of visit, information provided. Re:immunization follow up. 07/28/2008 Telephone call to mother. Reports child had sore leg last night. Walking around fine today. 08/02/2005 tc to mother, child doing fine.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Headache, Pyrexia, Vomiting
Clinical narrative: He had a fever the night he received the shots and was vomiting the next morning, he also had a little headache, That afternoon he felt fine and has had no other problems.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Hypersensitivity, Oedema
Clinical narrative: Arm Swollen, red, and hot started 08/24/2005 6" area Omnicef and Benadryl
Age: 1.1
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Erythema, Rash, Rash maculo-papular, Wheezing
Clinical narrative: Pt in office 08/08/2005 for well exam and MMR, varicella, Prevnar given. Developed rash about 4" later with some wheezing and was taken to ER. No wheezing heard by the time of ER. Had erythematous, slightly raised rash over most of body. Benadryl 5ml 1m and breathing Treatment given. Improved after 1 hour of monitoring. Started on Prelone and discontinue home. In process of referring to Allergist.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Feeling hot, Hypersensitivity, Injection site haemorrhage, Injection site reaction
Clinical narrative: Mom brought child in for immunization at 12 noon on 08/22/2005 child received DTap, IPV, MMR. DTap was given right leg IM. On 08/23 in am mom noticed leg was swollen, red, warm. She called Dr. whose nurse stated that, that was a common reaction. Child went outside to play all day, In evening mom noticed that right leg injection site was bleeding along with redness, swelling and warm. Her sister was visiting and encouraged her to take child to ER. ER did blood test and started an IV right Rocephin then stated child had cellulitis. He was sent home and told to return for another dose IV Rocephin on 08/24/2005. Child also had apt with Dr. 08/24/2005. Child denies any pain in right leg and runs and plays normally. Follow up dated 09/06/2005 states, on 9/12/05 recalled mom to check on pt. Mom now states that doctor informed her the cultures were negative and the leg swelling was a local reaction.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Local reaction, Oedema
Clinical narrative: Mom brought child in for immunization at 12 noon on 08/22/2005 child received DTap, IPV, MMR. DTap was given right leg IM. On 08/23 in am mom noticed leg was swollen, red, warm. She called Dr. whose nurse stated that, that was a common reaction. Child went outside to play all day, In evening mom noticed that right leg injection site was bleeding along with redness, swelling and warm. Her sister was visiting and encouraged her to take child to ER. ER did blood test and started an IV right Rocephin then stated child had cellulitis. He was sent home and told to return for another dose IV Rocephin on 08/24/2005. Child also had apt with Dr. 08/24/2005. Child denies any pain in right leg and runs and plays normally. Follow up dated 09/06/2005 states, on 9/12/05 recalled mom to check on pt. Mom now states that doctor informed her the cultures were negative and the leg swelling was a local reaction.
Age: 4.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Urticaria
Clinical narrative: 6 x 7 cm square area on right thigh 1 day after DTAP and IPV. Urticaria, treated with cool compresses and Benadryl
Age: 15.0
Sex: M
Vaccine: TD
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Injection site pain, Malaise
Clinical narrative: 3-6 hrs right arm red, warm, swollen and limp. 24 hrs headaches, malaise, throbbing pain right arm. 8/22/05 had increased temp for 72. So much improved. Site continues to be "tender".
Age: 15.0
Sex: M
Vaccine: TD
Symptoms: Pyrexia, Tenderness
Clinical narrative: 3-6 hrs right arm red, warm, swollen and limp. 24 hrs headaches, malaise, throbbing pain right arm. 8/22/05 had increased temp for 72. So much improved. Site continues to be "tender".
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pruritus, Rash maculo-papular
Clinical narrative: Vaccines given at 8:30AM. Mother reports child developed rash 10:30AM. Mother gave PO Benadryl 11:00. Pt returned to clinic, child has red, raised rash and itching all over, no resp distress.
Age: 1.2
Sex: M
Vaccine: HIBV, PNC
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Mother states child ran fever nightly since imm on 6/20/05 until 6/25/05 PM he had a febrile seizure. Was taken to the ER. Illness was ruled out. Mother states doctor said it could have been caused by the imm. No further problems. Had history of febrile seizures.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site oedema, Pyrexia
Clinical narrative: 8/3/05 per LPN at health coop, saw MD for left arm swollen and fever. 8/11/05 child is now well, no adverse effects noted.
Age: 18.0
Sex: F
Vaccine: DT, MEN
Symptoms: Abdominal pain, Rash
Clinical narrative: Pt had intestinal cramping rash to face shoulders back and neck, weak and tired after receiving vaccine same day.
Age: 26.0
Sex: F
Vaccine: TD
Symptoms: Arthralgia, Cellulitis, Chills, Fatigue, Headache
Clinical narrative: 8/24/05 at 3:15PM body aches all over, very tired, fever 99.4. Spine and hips holt, cold chills. 8/25/05 continued with fever highest 100.2 bodyaches, hips and legs hurt. Feeling horrible 8/26 Still having temp 99.1 arm hurts. Quarter size knot with fever and redness. Now baseball size w a hard knot red with fever, temp 100.0. 8/26 at 4:32 with headache. At 5:10PM Dr seen and dx'd with reaction to tetanus/cellulitis at injection site given an antibiotic Keflex.
Age: 26.0
Sex: F
Vaccine: TD
Symptoms: Injection site mass, Injection site reaction, Myalgia, Pyrexia
Clinical narrative: 8/24/05 at 3:15PM body aches all over, very tired, fever 99.4. Spine and hips holt, cold chills. 8/25/05 continued with fever highest 100.2 bodyaches, hips and legs hurt. Feeling horrible 8/26 Still having temp 99.1 arm hurts. Quarter size knot with fever and redness. Now baseball size w a hard knot red with fever, temp 100.0. 8/26 at 4:32 with headache. At 5:10PM Dr seen and dx'd with reaction to tetanus/cellulitis at injection site given an antibiotic Keflex.
Age: 15.0
Sex: M
Vaccine: HEP, IPV, MMR, TD
Symptoms: Loss of consciousness, Tremor, Vomiting
Clinical narrative: Mother states she and patient were in car and less than 1 mile from Health Department when patient slumped in seat. When she attempted to awaken patient, patient started to "shake" all over.  When shaking stopped, patient vomited, then blacked out with shaking again.  Mom turned car around and went to ER.  Mom states tests were done including "halo" x-ray and ER doctors do not believe immunizations caused seizures.  Patient recently moved to area and had no immunization records.  Has appointment for 8/30/05 for physical exam. Follow up - Name of Td vaccine manufacturer provided.
Age: 23.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Patient returned two days after vaccine given for TB test read. Reported fever (101) for last two days - redness to left deltoid - soreness, swelling 4x5 inch area.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: REDNESS AND SWELLING AROUND 4CM CIRCUMFRENCE AROUND INJECTION SITE ON LEFT DELTOID.  WARM TO TOUCH.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MER
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: 6/25/05 T/C BY MOC, LEFT UPPER ARM SWOLLEN, RED, HOT TO TOUCH, AREA APPROXIMATELY 3" DIAMETER, ITCHES.  MOC HAD BEEN WARNED THAT ON 4TH OR 5TH DTaP MIGHT SEE THIS REACTION AND TO PLEASE CALL AND LET US KNOW.  MOC STILL ALARMED.
Age: 9.0
Sex: F
Vaccine: HEP, HEPA, IPV, MMR
Symptoms: Syncope
Clinical narrative: 1045AM- Patient started to slide down his mother's leg, got up and held onto the back of mother's chair, where he started to faint. I caught the patient and laid him on the floor. Patient awake immediately. Called for doctor. Patient was given crackers and apple juice. MD discharged patient to parents.
Age: 52.0
Sex: F
Vaccine: HEP, MNQ, TD
Symptoms: Dizziness, Face oedema, Palpitations, Urticaria
Clinical narrative: Client reports while driving home from the HD she had heart palpitations and dizziness that lasted several minutes. She then reported she continued to have heart palpitations and dizziness every time she ate any food over the next 48 hours. She also reported she currently has swollen lips and hives on her back, but she is allergic to chocolate and she ate chocolate yesterday evening. Client stated she has not seen a physician for her symptoms and when advised to follow up with her physician she refused, stating she knows her body and she no longer has any symptoms.
Age: 1.25
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Erythema multiforme
Clinical narrative: Patient developed erythema multiforme 10 days after varicella and MMR immunizations.
Age: 43.0
Sex: F
Vaccine: TD
Symptoms: Discomfort, Injection site erythema, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: TD give on 8-26-05. Given in the R Delt muscle in the R upper arm. Came to Employee Health today, 8-29-05 with a conplaint of discomfort at vaccine site. Area red, swollen and warm to touch. Recommended ice to area and to take one Benadryl capsule 25mg PO every 6 hrs as needed for swelling and itching. May take 2 capsules if one doesn't relieve the symptoms. Instructed not to drive a car or operate machinery while take this medication because it can cause sleepiness. Instructed to return to be rechecked in the morning if vaccine site has not improved.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Pruritus, Rash, Rash papular
Clinical narrative: Papular exanthem at injection site with pruritis.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Musculoskeletal stiffness, Pyrexia
Clinical narrative: Pt received meningitis vaccine on Mon 8/22/05 in the ballroom of the student center and by 8/23/05 had a fever (102.1) and a stiff neck with normal BP and P. By 8/24/05 he better
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Pruritus, Pyrexia
Clinical narrative: 3" diameter round area on left area where vaccine given red, slightly swollen, oral temp 101.0 on 8/24/05 but returned to normal 8/25/05; itching resolved 8/25/05; redness resolved 8/25/05; sxs treated with Tylenol, Benadryl, cool packs, comfort measures; denied need to see MD.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema, Injection site rash
Clinical narrative: Redness rash swollen on left leg x 3 days
Age: 3.0
Sex: M
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 56.0
Sex: F
Vaccine: TTOX
Symptoms: Arthralgia, Neck pain
Clinical narrative: Severe left shoulder pain neck pain (severe)
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Urticaria
Clinical narrative: Hives started appearing on child's upper trunk, chest, stomach.
Age: 34.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Influenza like illness, Injection site swelling, Injection site warmth
Clinical narrative: Seen by PMD 1 day after smallpox and told he might have staph infection. Complained of headache, fever, redness at site. Seen at clinic 2 days later and given 3 days sick leave. Symptoms resolving.
Age: 34.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Bacterial infection, Headache, Injection site erythema, Pyrexia
Clinical narrative: Seen by PMD 1 day after smallpox and told he might have staph infection. Complained of headache, fever, redness at site. Seen at clinic 2 days later and given 3 days sick leave. Symptoms resolving.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus, Rash
Clinical narrative: "One week after I received the smallpox shot, I broke out with little itchy bumps on my arm.  Two weeks later, it spread to my chest and the bumps dried up in a few days.  The itch is much better but can get very irritated after I take a shower."
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site haemorrhage
Clinical narrative: 6x5 cm hematoma to left upper arm. No redness noted, not warm to touch, recommended Benadryl.
Sex: F
Vaccine: DTAP, HBHEPB, VARCEL
Symptoms: Haematoma, Injection site erythema, Injection site oedema
Clinical narrative: Redness and edema with hematoma noted to left upper arm. No treatment.
Age: 24.0
Sex: M
Vaccine: TTOX
Symptoms: Pharyngeal oedema, Pharyngolaryngeal pain
Clinical narrative: States that he experienced a sore swollen throat approx forty-five minutes after receiving the tetanus injection on 8/19/05. He took Tylenol PM which relieved his symptoms. His symptoms lasted from 8/19/05 through 8/22/05.
Age: 1.01
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Convulsion, Hypotension, Hypoxia, Respiratory depression, Sepsis
Clinical narrative: Patient had seizure with eye deviation; taken to hospital ED. Treated with Ativan. Had respiratory depression requiring intubation and ICU stay. She also required Presiois for hypotension. Evaluated for septic shock in ICU also.
Age: 1.01
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Strabismus
Clinical narrative: Patient had seizure with eye deviation; taken to hospital ED. Treated with Ativan. Had respiratory depression requiring intubation and ICU stay. She also required Presiois for hypotension. Evaluated for septic shock in ICU also.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site nodule
Clinical narrative: Lump located on left arm, small redden lump, no pain at site or soreness, seen in PC advised to return if not well in 2 wks. Pt did not return.
Age: 19.0
Sex: F
Vaccine: HEP, MNQ, TD
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Client c/o of pain and redness at injection site. Rt arm received Menactra vaccine 6/16/05 also hep B note quarter size reddened area, no fever, advised client to use cold pk on arm, take pain med, call back if she get worse. 9/1/05 Per telephone f/u with reporter, please add to Box 7 that injection site R arm appeared "puffy".
Age: 12.0
Sex: M
Vaccine: MNQ, TD
Symptoms: Chest discomfort, Dysphagia, Dyspnoea, Hypertrophy, Pharyngolaryngeal pain
Clinical narrative: Td and Menactra administered simultaneously 3:30PM. Pt attended football practice 5:30-7:00PM. About 9:00PM experienced tingling in throat, difficulty swallowing chest tightness with shortness of breath, went to ER.
Age: 20.0
Sex: F
Vaccine: HEP, MNQ
Symptoms: Feeling hot, Injection site oedema, Injection site pain, Lymphadenopathy, Myalgia
Clinical narrative: Pt received vaccinations on Friday on Sat AM. Pt noted swelling and pain on left side of neck, collar bone area, also reported achiness. On Sunday am reported to provider. Provider noted swelling in lymph nodes on left side of neck and clavicle area. Also noted warmth in area.
Age: 24.0
Sex: F
Vaccine: ANTH, TYP
Symptoms: Back pain, Headache, Shoulder pain, Swelling
Clinical narrative: Patient received #5 Anthrax left arm on 08/16/2005.  Patient complained of swelling, shoulder/back pain, headache, radiating pain down left arm, and throbbing sensation, as of 08/17/2005.
Age: 34.0
Sex: F
Vaccine: TD
Symptoms: Injection site swelling
Clinical narrative: Client here from 06/27/2005 left arm upper swollen at site of injection with inflammed area, measures 2 1/2 across and 2 3/4 down hot to touch.
Age: 17.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Heart rate increased, Urticaria
Clinical narrative: Vaccine Hepatitis B given on 06/15/2005, that PM developed hives, treated and improved 06/16/2005 PM - severe hives, ER visit, treated with steroid injection and Medrol dose pack.  06/21/2005 - Saw doctor - history included hives, paleness, increased heart rate, weakness.
Age: 3.0
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Bacterial infection, Injection site erythema, Injection site nodule
Clinical narrative: 05/16/2005 Received Pediarix left anterior thigh, child resisted injection.  05/25/2005 Mother brought child to doctor - small knot on left anterior thigh, red, recommended to Mother, check with Pediatrician and phone called immunizations nurse with results.  05/26/2005 ER visit - bacterial infection - treated with anti-bacterial cream, continue warm compress.
Age: 55.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Feeling hot
Clinical narrative: Client called Monday 05/23/2005 to report reaction.  Instructed to come to health department to complete adverse vaccine forms- right deltoid with redness, hot to touch.  Recommended Benadryl and Ibuprofen, states had taken Benadryl and had heating pad on arm.  Recommended cold pack to area and see doctor if worsens.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site induration
Clinical narrative: Redness to left arm with 12 cm area of firm induration, 4cm central area bulging but no open areas or skin breakdown.  Started 08/16/2005 PM - 08/19/2005 per Mother.  Temperature 98.4.  Treated with Keflex 250mg, 3 times a day for 7 days/ Benadryl as needed.
Age: 30.0
Sex: F
Vaccine: SMALL
Symptoms: Fatigue, Nausea, Somnolence
Clinical narrative: Fatigue, nausea, starting 6 hours after vaccination.  Slept 18 hours, temperature 97, blood pressure 118/70, pulse 72, rate 16. site- normal.
Age: 0.16
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Muscular weakness
Clinical narrative: Normal exam at 2 months of age, given 2 months shots 05/09/2005.  Family noticed baby developed poor muscles over the next 2 weeks.
Age: 0.34
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Round, red rash at injection site, left leg.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Gait disturbance, Injection site erythema, Injection site pain
Clinical narrative: Redness, pain thigh at injection site.  Able to walk, run and climb, but limping yesterday.
Age: 1.67
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Blister
Clinical narrative: 10-12 vessicles noted on body and legs, 12 days post vaccination.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Swelling
Clinical narrative: Patient got shots on 08/23/2005.  DTAP right upper thigh, IPV left lower thigh, MMR # 2 left lower thigh.  Right upper thigh with swelling and redness. Given Benadryl by mouth.
Age: 6.0
Sex: M
Vaccine: DTAPHEPBIP, MMR, VARCEL
Symptoms: Pain, Skin nodule, Swelling
Clinical narrative: Had immunization 08/15/2005 , DTAP, IPV, HIB, Varivax, HBV, and MMR.  The following day Mom called that child developed swelling and pain in left axilla.  Brought to clinic the next day and examined with swelling and pain, tenderness left axilla with nodes.
Age: 3.0
Sex: M
Vaccine: DTAPH, IPV
Symptoms: Erythema, Swelling
Clinical narrative: Left thigh swelling with mild erythema and warmth symptoms began day of vaccine administered treatment:  Benadryl, Ibuprofen as needed.
Age: 0.19
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Abnormal sleep-related event, Accident, Cardio-respiratory arrest, Sudden infant death syndrome, Vomiting
Clinical narrative: Well child care including immunizations given 08/19/2005 between 11AM and 12 Noon.  The infant was sleeping on Mother in parent's bed on 08/21/2005 - Infant brest fed - Mother woke at 2 AM to find baby face down in pool of vomit on her chest.  EMS to ER- resuscitation attempted, pronounced dead 08/21/2005 04:45. Received medical records from ER which reveal patient in full arrest on arrival & unable to be resuscitated.  Received Autopsy Report which reveals COD as suffocation & manner of death as accidental.
Age: 6.0
Sex: F
Vaccine: DTAPHEPBIP, MMR
Symptoms: Cellulitis, Erythema, Injection site reaction, Oedema, Pain
Clinical narrative: Temp 99.7 left arm edematous, erythema, a slight raised wheal around site of injection left arm pain. Cellulitis was noted. 3 days after injection. Treated with Augmentin Susp 400mg / 5ml, 1 tsp BID x 10 days. symptoms resolved after treatment for 2 days.
Age: 6.0
Sex: F
Vaccine: DTAPHEPBIP, MMR
Symptoms: Pyrexia, Urticaria
Clinical narrative: Temp 99.7 left arm edematous, erythema, a slight raised wheal around site of injection left arm pain. Cellulitis was noted. 3 days after injection. Treated with Augmentin Susp 400mg / 5ml, 1 tsp BID x 10 days. symptoms resolved after treatment for 2 days.
Age: 19.0
Sex: F
Vaccine: TD
Symptoms: Antinuclear antibody, Arthralgia, Hypersensitivity, Pain, Rash
Clinical narrative: Received TD 08/24/2005 approx. 12 noon. On 08/25/2005 7:30am awoke with confluent red rash flexor surface bilateral forearms, low abdomen and entire legs, thighs to ankles, with out itching, resolved with Benadryl x1 24 hrs. Later onset  bil wrist pain 24 hours after wrist pain, onset bil. knee pan and left shoulder pain. Describes as severe, worsened by moving and flexing affected joints, some improvement with use of Aleve arthritis.
Age: 19.0
Sex: F
Vaccine: TD
Symptoms: Rheumatoid arthritis
Clinical narrative: Received TD 08/24/2005 approx. 12 noon. On 08/25/2005 7:30am awoke with confluent red rash flexor surface bilateral forearms, low abdomen and entire legs, thighs to ankles, with out itching, resolved with Benadryl x1 24 hrs. Later onset  bil wrist pain 24 hours after wrist pain, onset bil. knee pan and left shoulder pain. Describes as severe, worsened by moving and flexing affected joints, some improvement with use of Aleve arthritis.
Age: 0.15
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Crying, Screaming
Clinical narrative: 08/19/2005 started crying at 10:30 the previous night non stop crying for 4 hrs. Took to ER. ER physician diagnosis with constipation. Back for recheck in office today. No further problems.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Hypersensitivity, Oedema, Tenderness
Clinical narrative: Redness, swelling, tender, warmth 2 x 2
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: Mother reports orange size redness and swelling on right arm where vaccine was administered.
Age: 33.0
Sex: F
Vaccine: ANTH
Symptoms: Back pain, Muscle spasms
Clinical narrative: Within an hour of my shot, my back began spasming and which resulted in a strain to my back.  On the second day, my back has completely cramped up.
Age: 1.02
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Furuncle, Rash
Clinical narrative: 12 days after she received her Varicella and MMR she got a mild, non raised rash all over her body. Then, approximately 12 days after that rash, she had 3 boils that formed on her leg, trunk and face. All three boils eventually opened up and are now in the healing process. She is still recovering.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Dizziness, Dry mouth, Gait disturbance, Headache, Nausea
Clinical narrative: severe painful headache, very bad fever, pain in left leg (was limping on it if forced to walk), nausea, unable to eat, dry mouth. i felt light headed almost immediately after given the shot..but did not feel the other symptoms until the day progressed (id say an onset of 5:00 of when they began). My brother is experiencing the same symptoms (who is 20 years and 5 months).
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Oral intake reduced, Pain, Pyrexia
Clinical narrative: severe painful headache, very bad fever, pain in left leg (was limping on it if forced to walk), nausea, unable to eat, dry mouth. i felt light headed almost immediately after given the shot..but did not feel the other symptoms until the day progressed (id say an onset of 5:00 of when they began). My brother is experiencing the same symptoms (who is 20 years and 5 months).
Age: 1.5
Sex: F
Vaccine: VARCEL
Symptoms: Rash, Viral infection
Clinical narrative: Client had mild out break of disease on 08/17/2005 with 40-50 pox.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness, swelling around injection site.
Age: 0.51
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling, and warmth at site of injection of Prevnar vaccine.  Sites were carefully recorded at time of injection with 3 vaccines yesterday.
Age: 0.17
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MNQ
Symptoms: Crying, Medication error
Clinical narrative: Prolonged crying day of vaccine, accidental admin of Menactra to a 2 month old (was supposed to be Prevnar).
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: swelling, redness at site of injection
Age: 15.0
Sex: F
Vaccine: MNQ
Symptoms: Headache, Neck pain, Pallor, Posturing, Stupor
Clinical narrative: Slumped over while sitting about 2 hours after receiving injection. Difficult to rouse, complained of head and neck pain. Became very pale and shaky. Was feeling somewhat better by evening.
Age: 15.0
Sex: F
Vaccine: MNQ
Symptoms: Tremor
Clinical narrative: Slumped over while sitting about 2 hours after receiving injection. Difficult to rouse, complained of head and neck pain. Became very pale and shaky. Was feeling somewhat better by evening.
Age: 1.26
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Left thigh cellulitis, Rocephin 750 mg.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: Left arm erythema and swelling
Age: 64.0
Sex: F
Vaccine: PPV
Symptoms: Oedema, Pain
Clinical narrative: Right arm swelling with pain felt like sunburn, took 3-4 days to resolve.
Age: 1.11
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Agitation, Crying, Irritability, Oedema, Pruritus
Clinical narrative: Fussy, crying after vaccination, fever, thought related to teething, on 11 day rash appeared, 12 day woke up with full hives taken to doctor who recommended Zyrtec for a week and mother also gave child Benadryl for itchiness. On 13th day, hives on stomach blended together so in hives from privates to head. Today pt only has some bumps on head that swell when crying or mad. However Pt having problems being still while nursing.
Age: 1.11
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash, Urticaria
Clinical narrative: Fussy, crying after vaccination, fever, thought related to teething, on 11 day rash appeared, 12 day woke up with full hives taken to doctor who recommended Zyrtec for a week and mother also gave child Benadryl for itchiness. On 13th day, hives on stomach blended together so in hives from privates to head. Today pt only has some bumps on head that swell when crying or mad. However Pt having problems being still while nursing.
Age: 0.17
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Crying, Decreased appetite, Irritability, Screaming, Somnolence
Clinical narrative: Screaming, crying from 3pm - 7:30, not feeding well (breast/bottle), increased sleeping, and still fussy today despite appropriate Acetaminophen dosing every 4 hours
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Hypersensitivity, Injection site reaction, Oedema, Urticaria
Clinical narrative: 24 Hours after admin, Pt developed arm swelling, diffuse hives. Seen in ER, diagnosed with cellulitis and allergic reaction. Treated with Rocephin, Benadryl I saw 12 hours after that, no signs of Cellulitis left, still with some hives increased slight swelling left UE.
Age: 0.53
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Crying, Pyrexia, Screaming
Clinical narrative: Fever 106, unconsolable screaming for 24 hours.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Hypersensitivity, Oedema
Clinical narrative: mom states patient arm red and swollen. Advised to apply ice and can give Tylenol.
Age: 23.0
Sex: F
Vaccine: TTOX
Symptoms: Abdominal pain upper, Asthenia, Dizziness, Dyspnoea, Nausea
Clinical narrative: Donor states she had nausea, stomach pain, shortness of breath, weakness, dizziness. All symptoms lasted approx 10 min. No treatment.
Age: 3.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Oedema, Pain
Clinical narrative: Swelling, pain and warmth upper left arm.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Contusion, Injection site hypersensitivity, Oedema, Tenderness
Clinical narrative: Received DTap #4 and Polio in Left Deltoid and left arm on 08/15. By 08/17/2005 the shot area is red and has abrasion. Left deltoid is swollen, red, firm and tender. Mom says it has gotten better over the last day.
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, Pyrexia
Clinical narrative: fever 101, Seizure
Age: 1.02
Sex: F
Vaccine: MMR, OPV, VARCEL
Symptoms: Herpes zoster
Clinical narrative: Herpes zoster started 8/27/05 rx'ed with acyclovir, vaccine failure.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Cough, Eye oedema, Hypersensitivity, Ocular hyperaemia, Similar reaction on previous exposure to drug
Clinical narrative: See copy of progress sheet dated 8/25/05 and 8/26/05. Emergency room reports with discharge. 8/25/05 allergic reaction to vaccine 14:30 pt coughing, red swelling eyes, no wheeze with increased cough, administered 2 tsp Benadryl PO 14:40, 14:50 called ambulance, administered albuterol neb. Pt alert, oriented, stable, transported to hosp (with mother) by ambulance.
Age: 8.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Dyskinesia, Epilepsy, Epistaxis
Clinical narrative: Emilie developed a tick, she abruptly moves her head to the right or left, This developed 5 days after receiving her #3 Hep B vaccine. She states she does not like that her head keeps doing this. Does not occur during sleep.
Age: 8.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Tic
Clinical narrative: Emilie developed a tick, she abruptly moves her head to the right or left, This developed 5 days after receiving her #3 Hep B vaccine. She states she does not like that her head keeps doing this. Does not occur during sleep.
Age: 15.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Pyrexia, Rash maculo-papular
Clinical narrative: Rash (maculo/papular) on right shoulder and upper arm area also high fever 101.2.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site mass
Clinical narrative: Received vaccine 8/11/05. 8/12/05 pt awoke with 12.5x14cm induration around injection site.
Age: 14.0
Sex: M
Vaccine: HEP
Symptoms: Erythema, Rash maculo-papular
Clinical narrative: Pt presented and clinic with red maculo papular rash over body with some involvement and face. No dyspnea or airway involvement treated with prednisone, 20mg bid x 4d and OTC Benadryl. Child had no previous allergies but had also eaten peanuts on 7/26/05.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site mass, Tenderness
Clinical narrative: Erythematous, tender, indurated localized reaction on left thigh at injection site.
Age: 0.38
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Irritability, Screaming
Clinical narrative: 1-1 1/2 day after vaccine child irritable, inconsolable cry. Today is day 4 of this. No sick contacts.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site oedema, Pyrexia, Vomiting
Clinical narrative: Per mom's report via telephone: left arm swollen from mid forearm to shoulder. Fever of 101 started 8/17/05 in afternoon lasting until 8/18/05. Vomiting started 8/17/05 in evening lasting until 8/18/05. 8/22/05 instructed mom to take child to doctor, she did and they told her to give Tylenol or Motrin, no RX given. Arm with some swelling but improving.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Left superior anterior thigh with 20 1/2 cm x 13cm erythematous, edematous, warm reaction patch.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: Child received Dtap and MMR in RA on 6/10/05 on 6/11/05 child's arm become swollen from shoulder to elbow, area was swollen, red, hard and hot. Child was treated at Hospital where child received Benedryl. Child recovered 8/14/05.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Hypersensitivity, Injection site induration, Oedema, Pain, Pruritus
Clinical narrative: On 08/23/2005 father brought his daughter age 4 into clinic for IMM. On 08/25/2005 mother brought daughter back for PPD reading and to report clients reaction to vaccine, redness, pain, swelling. On left upper arm which client mention on the 08/24/2005 complains of hardness, itching in left arm. 08/26/2005 mother reports itching on left arm, redness almost gone. Child OK.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site hypersensitivity
Clinical narrative: Local reaction, red and warm left anterial thigh 8cm x 10cm in size.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site hypersensitivity
Clinical narrative: Area of redness. Approximately 4x6 area of redness was warm to the touch. Denies any pain.
Age: 23.0
Sex: F
Vaccine: HEP
Symptoms: Injection site hypersensitivity, Injection site nodule, Injection site oedema
Clinical narrative: Patient has a solid nodule formed at site of injection. Redness and edema to site. Patient denies pain. Hard nodule size of a pen cap around in size. Pt noticed this the day of the immunization and brought it to my attention on 08/22/2005.
Age: 53.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Asthenia, Back pain, Headache, Hyperhidrosis, Influenza like illness
Clinical narrative: Developed diaphoresis, weakness, headache, muscle soreness and back pain.Could be described as flu-like symptoms. Was febrile(100). Symptoms worsened with 2nd injection on 8/22/05 of Imovax Rabies Vaccine
Age: 53.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Myalgia, Pyrexia
Clinical narrative: Developed diaphoresis, weakness, headache, muscle soreness and back pain.Could be described as flu-like symptoms. Was febrile(100). Symptoms worsened with 2nd injection on 8/22/05 of Imovax Rabies Vaccine
Age: 29.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Alanine aminotransferase increased, Blood culture negative, Borrelia burgdorferi serology negative, CSF virus no organisms observed, Computerised tomogram head
Clinical narrative: Patient presented to ER on 8/29/05 with a 5 day hx. of neck pain, malaise, photophobia and nausea and vomiting. Had been seen 5 days prior with what the patient thought was a possible reaction to the smallpox vaccination he received on 8/19/05. He was ordered Z-pak at that time and was confined to quarters. He thought that he was feeling better so he returned to field duty. He represented again the morning of 8/29/05 and he was then referred to the ER, at which time he was evaluated and consultation with another campus was sought. He was transferred to the Hospital where he was admitted for questionable meningitis. He was given IV therapy and was given Zofran for his nausea and Toradal for pain. Diagnoses at time of discharge: viral syndrome with meningismus. He was discharged from the hospital on 8/30/05 with orders for strict bed rest and follow up in am of 8/31/05. On 8/31/05 he returned with an increase in his sx. Uncontrollable emesis and photophobia. He was then transferred back to the hospital where he was then readmitted. He is currently hospitalized. 01/09/2006 Review of discharge summaries. Admission of 8/29/05-8/30/05 was for viral syndrome with meningismus. Symptoms included 5-day history of HA, neck pain, photophobia, persistent vomiting, myalgias, and ever. Head CT was normal. He was treated with Zofran and Toradol. LP was WNL. Admission of 8/31/05-9/05/2005 was for HA with meningismus and photophobia s/p recent smallpox vaccine. Additional symptoms include persistent nausea and vomiting. Treated for HA with Toradol IV.  Follow-up: An initial VAERS was filed on this patient in August 2005. A VAERS update was then filed in November 2005. The patient's headaches have significantly decreased in frequency-now only having one severe headache every 3 months.