chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 12.0
Sex: F
Vaccine: PPV
Symptoms: Bradycardia, Circulatory collapse, Pain, Sepsis
Clinical narrative: Information has been received from a physician concerning a pt with the SC form of sickle cell disease who was vaccinated with the first and second doses of pneumococcal vaccine 23 polyvalent. The child received the first dose at the age of 2 and the second dose at the age of 5 or 6. It was noted that the pt developed pneumococcal infection. In approximately October 2001, the child was admitted to the hospital due to pain. Within 30 minutes, the child collapsed and died. This case was reported while obtaining information from a lead author of a literature article titled "Streptococcus pneumoniae Sepsis and Meningitis During the Penicillin Era in Children with Sickle Cell Disease" (WAES0302USA02380, WAES0302USA02379, WAES0302USA02069). Additional info has been requested. The follow up received on 3/31/03 from a physician indicated that the child presented to the ER complaining of pain in her legs. She was afebrile. It was noted that she had slight desaturation and she was given oxygen by nasal prongs as well as pain medication. A chest x-ray was normal. Her symptoms did not resolve in the ER and so she was admitted to the 23 hour observation status. Approximately 2 hrs after arriving on the floor it was noted that she was becoming significantly desaturated and bradycardic. In very short order she arrested and was noted to be asystolic. CPR was instituted nearly immediately and the pt was intubated and given Narcan and cardiac drugs. Ventricular fibrillation was obtained but defibrillation was unsuccessful and after 25 minutes of resuscitation effort the resuscitation was called. According to the autopsy report, the date of death is reported at 11/1/01. The final anatomic diagnosis were Pneumococcal sepsis, adrenal hemorrhage, hepatic and splenic congestion, acute cerebral anoxic changes, thymic involution, and marrow with erythroid hyperplasia and myeloid left shift. Special studies indicated that toxicology studies showed opiates (morphine and codeine) at therapeutic levels and Streptococcus pneumonia was sensitive to penicillin. Additional info has been requested.  A 15-day follow up report received 04/11/2003 adds: This case was reported while obtaining info from a lead author of a literature article titled 'Streptococcus pneumoniae Sepsis and Meningitis During the Penicillin Era in Children with Sickle Cell Disease' (WAES #0302USA02380, WAES #0302USA02379, WAES #0302USA02069). Additional info has been requested. The follow up received on 5/21/03 received from a physician indicated that the source of the information regarding the penicillin-sensitive pneumococcus was a blood culture obtained in the emergency room at the time of admission approximately 2-3 hours before the pt's death.
Age: 0.2
Sex: M
Vaccine: HBHEPB
Symptoms: Encephalopathy
Clinical narrative: This report was received from manufacturer research for Haemophilus B conjugate vaccine (+) hep B vaccine recombinant and was assigned manufacturer's report number HQWYE869705MAR03. It was reported that in November 2002 an approximately two month old male was vaccinated with a dose of Haemophilus B conjugate vaccine (+) hep B vaccine recombinant. Subsequently, in 2002, the pt developed encephalopathy and required hospitalization. The outcome is unknown. This was originally reported by a registered pharmacist. Additional info has been requested.
Sex: F
Vaccine: RUB
Symptoms: Condition aggravated, Convulsion, Laboratory test abnormal
Clinical narrative: Information has been received from a physician concerning a female pt with a medical history of a previous meningioma that had been removed and a seizure problem following the craniotomy. It was reported that the pt had been doing fine and was off all of her anticonvulsant medications for one year. The pt became pregnant and had an uncomplicated course of pregnancy. She was hospitalized and was delivered by caesarean section for past history reasons. It was noted that the pt had not had a seizure during the entire pregnancy. Laboratory evaluation revealed that the pt was rubella non-immune and while she was hospitalized for the caesarean section she was vaccinated postpartum on an unspecified date with a dose of rubella virus vaccine live II (lot not reported).  The pt experienced a seizure three hours after receiving the vaccine and then experienced several more seizures. The treatment for the seizures was Depakote IV. On 3/11/03, the physician reported that the pt had been discharged from the hospital and had recovered. The physician reported that the pt was not breastfeeding. The physician reported that he did not think there was any relationship between the vaccine and the seizure and that he doubted a connection. Upon internal review, seizures was considered to be an other important medical event (OMIC). Additional info has been requested.
Age: 2.0
Sex: M
Vaccine: MMR
Symptoms: Growth retardation, Medication error
Clinical narrative: Information has been received from a consumer concerning a 24 month old male pt, with no known drug allergies, who was vaccinated IM with a dose of MMR II. There were no concomitant medications. The reporter indicated that the pt was being treated for failure to thrive. It was reported that the nurse administering the vaccine stated that "it was alright to administer it IM and that others in the office were doing the same thing. Unspecified medical attention was sought. Upon internal review, failure to thrive was considered to be an important medical event (OMIC). Additional info has been requested. The reporter indicated that another pt had a similar experience (WAES0303USA01675).
Age: 6.0
Sex: F
Vaccine: PPV
Symptoms: Drug ineffective, Laboratory test abnormal, Meningitis
Clinical narrative: It was reported that in a published abstract (2003), that a 6 y.o. female developed streptococcus pneumoniae meningitis and Specific Antibody Deficiency after being vax'd w/pneumococcal vax 23 polyvalent. The literature abstract is as follows: "We present a generally healthy 9 y.o. female who developed recurrent episodes of pneumococcal meningitis starting at age 5 9/12 yrs. In Nov. 98 she was hospitalized w/Streptococcus Pneumoniae meningitis. Past history revealed one episode of pneumonia at age 3 and moderately frequent otitis media infections. Labs included normal immunoglobulins and lymphocyte profile and negative sickle cell and HIV studies. After responding to antibiotics, she remained healthy for 10 mts but then developed Streptococcus viridans meningitis. Immunoglobulins, subclasses, and CH50 were normal. Despite having no documented history of trauma, a CSF leak was suspected and an occult fracture was confirmed by radiological imaging. Three attempts were made to repair the defect, but 5 add'l episodes of Streptococcus pneumoniae meningitis occurred over the next 2.5 yrs. "Pneumococcal vax 23 polyvalent" was given at age 6 7/12 after her 2nd meningitis episode. Pre-vax titers showed protection to only serotype 3. Post-vax titers were unchanged. A 2nd dose of "Pneumococcal vax 23 polyvalent" 3 mts later also failed to produce any response. Challenge w/"Streptococcus Pneumoniae vax" resulted in response to 4/6 serotypes. Titers to conjugated H. influenza and other protein antigens were normal. Specific Antibody Deficiency (SAD) is generally considered a maturational delay of the immune system and is an unusual isolated defect in an older child. Generally, response to conjugated vax would offer adequate protection, but the development of a CSF leak predisposed this otherwise minorly immunocompromised child to recurrent streptococcal meningitis. Currently, [a medical organization] is preventing further infections until a successful surgical repair can be accomplished." Upon internal review streptococcus pneumoniae meningitis and Specific Antibody Deficiency were determined to be other important medical events. (OMIC)
Age: 1.0
Sex: M
Vaccine: HIBV, IPV, MMR, VARCEL
Symptoms: Coma, Epilepsy, Eye movement disorder, Pyrexia
Clinical narrative: On 3/12/03, mom unable to awaken child, unresponsive and his eyes were rolled back in his head this AM. Pt transported to hospital by ambulance and admitted to PICU. Dx'd with epileptic seizures. Rx'd Phenobarbital 2 tsp po at bedtime. Hospital discharge summary states fever.
Age: 28.0
Sex: F
Vaccine: SMALL
Symptoms: Drug ineffective
Clinical narrative: Pt had a negative BHCG dated 1/27/03, prior to vaccination on 1/27/03. Pt received 3rd Anthrax vaccination on 2/25/03. On 2/28/03, pt had a positive BHCG.
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Urticaria
Clinical narrative: Rash, hives on forehead and arms and legs.
Age: 23.0
Sex: F
Vaccine: UNK
Symptoms: Injection site mass, Injection site reaction
Clinical narrative: Hard lump found at injection site.
Age: 49.0
Sex: F
Vaccine: ANTH
Symptoms: Blister, Injection site mass, Paraesthesia, Pruritus
Clinical narrative: Lump above injection site, right deltoid X 2 weeks; ice. Large area (2" X 3") of paresthesia on LUQ X 2 weeks. One vesicle in same area appeared 2 weeks after injection. Some itching in area of paresthesia X 2 weeks.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Local redness, swelling and heat around injection site. Approx. size-10cm X 10cm.
Age: 54.0
Sex: M
Vaccine: ANTH
Symptoms: Musculoskeletal stiffness
Clinical narrative: Stiff neck for 1 day.
Age: 24.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site mass, Injection site swelling, Pruritus
Clinical narrative: Quarter-sized hard lump with swelling, redness and itch.
Age: 57.0
Sex: M
Vaccine: ANTH
Symptoms: Blood glucose increased, Blood pressure decreased, Dizziness, Heart rate decreased, Heart rate increased
Clinical narrative: 5 minutes, post vax, pt stated "I am feeling very lightheaded. Pt was pale, diaphoretic over head and upper torso. BP was 80/40 and pulse rate was 100. He appeared to be having a near syncopal episode. Denied chest pain, SOB, difficulty breathing. could realize symptoms and did not lose consciousness. Pt was instructed to lower his head between his knees while in a sitting position. BP at 14:18 80/40, pulse now weak at 60; still perspiring. Alert and oriented x 3. Still pale. 911 called. At 14:23, reported to RN that he was feeling better. No chest pain, rash, hives or SOB. His BP-100/72 and pulse 78 and regular. EMS team arrived and assessed the pt. BS per finger stick 186; BP-124/78; color improved. EMT performed portable EKG and recommended that the pt be transported to MCU ER via ambulance. O2 by mask applied and pt was assisted X 3 and ambulated to stretcher. Exited venue alert and oriented without further complaint.
Age: 57.0
Sex: M
Vaccine: ANTH
Symptoms: Hyperhidrosis, Pallor, Syncope
Clinical narrative: 5 minutes, post vax, pt stated "I am feeling very lightheaded. Pt was pale, diaphoretic over head and upper torso. BP was 80/40 and pulse rate was 100. He appeared to be having a near syncopal episode. Denied chest pain, SOB, difficulty breathing. could realize symptoms and did not lose consciousness. Pt was instructed to lower his head between his knees while in a sitting position. BP at 14:18 80/40, pulse now weak at 60; still perspiring. Alert and oriented x 3. Still pale. 911 called. At 14:23, reported to RN that he was feeling better. No chest pain, rash, hives or SOB. His BP-100/72 and pulse 78 and regular. EMS team arrived and assessed the pt. BS per finger stick 186; BP-124/78; color improved. EMT performed portable EKG and recommended that the pt be transported to MCU ER via ambulance. O2 by mask applied and pt was assisted X 3 and ambulated to stretcher. Exited venue alert and oriented without further complaint.
Age: 43.0
Sex: F
Vaccine: UNK
Symptoms: Insomnia, Oedema, Pain
Clinical narrative: Have some swelling and pain under right arm towards PT's back. She's usually woken up from sleep at least once per night she she rolls on to the side. This has continued for at least 2 wks.
Age: 46.0
Sex: F
Vaccine: ANTH
Symptoms: Arthralgia, Asthenia, Dizziness, Headache, Myalgia
Clinical narrative: PT reports headache x 2 days, nausea, muscle & joint aches, dizziness & fatigue. Also reports sore arm and left leg. Felt like had a fever. Started w/in hrs after 1st dose of Anthrax vax.
Age: 46.0
Sex: F
Vaccine: ANTH
Symptoms: Nausea, Pyrexia
Clinical narrative: PT reports headache x 2 days, nausea, muscle & joint aches, dizziness & fatigue. Also reports sore arm and left leg. Felt like had a fever. Started w/in hrs after 1st dose of Anthrax vax.
Age: 50.0
Sex: F
Vaccine: ANTH
Symptoms: Hypokinesia, Injection site erythema, Pain
Clinical narrative: Pain in right shoulder and upper arm - Began after 3rd vaccine 7/29/2002. Have limited arm mobility. (Visited Chiropractor)  Severe local redness at site of injection 1/8/2003.
Age: 55.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Hypokinesia, Joint range of motion decreased
Clinical narrative: After 3rd vaccine, within one week, could not raise right arm higher than shoulder level or rotating movement left to right, without pain in upper shoulder joint. Pain still present.
Age: 47.0
Sex: F
Vaccine: ANTH
Symptoms: Arthralgia, Arthritis
Clinical narrative: Pain lt shoulder, lt elbow and lt forearm after 2nd injection on 7/11/2002. Saw MD at MEA Clinic and told I have arthritis in shoulder.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Anorexia, Fatigue, Myalgia, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Flu like symptoms (  myalgias, temp 103 F, sore throat, fatigue and anorexia) all since vaccine was given.
Age: 40.0
Sex: M
Vaccine: ANTH
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: Temp at vaccination site with local erythema.
Age: 20.0
Sex: F
Vaccine: ANTH
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: 20cm X 7cm reddened and hot area on left are. Ice for 15 min every hour X 6. Benadryl 25mg now and 1 every 6 hours while at work. May take 50mg Benadryl at bedtime. On 03/19/2003 reddened area decreased to 5cm X 5cm. Much improved.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: Large local redness / warmth after Anthrax #2. Vaccine administered to right arm. Member seen by physician and prescribed Keflex, Zyrtec and Motrin.
Age: 40.0
Sex: M
Vaccine: ANTH
Symptoms: Feeling hot, Injection site erythema, Injection site hypersensitivity, Injection site pain, Pruritus
Clinical narrative: Pt states injection site increased in soreness, itching and became warm and red within 24 hours of injection. Worsened  X another 24 hours. Peaked symptoms at 48 hours and getting better at 72 hours after injection. Presents today with noticeable warmth, reddened area and some swelling.  Getting better.
Age: 44.0
Sex: M
Vaccine: ANTH
Symptoms: Cough, Dyspnoea, Lymphadenopathy, Malaise, Neck pain
Clinical narrative: Generalized malaise,  neck pain, shortness of breath (mild), lymph nodes swollen in neck, non productive cough, no fever or chills.
Age: 42.0
Sex: F
Vaccine: ANTH
Symptoms: Ecchymosis
Clinical narrative: Massive bruising on legs morning post receiving vax. Bruises disappeared about 30 days after. No Tx.
Age: 66.0
Sex: M
Vaccine: TTOX
Symptoms: Injection site rash, Rash pruritic
Clinical narrative: Rash at administration site. Itching.
Sex: F
Vaccine: TTOX
Symptoms: Erythema, Oedema, Pain, Pruritus
Clinical narrative: Pain, redness, swelling, itching.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Oedema, Pain, Rash erythematous, Rash maculo-papular
Clinical narrative: IMMS 3/21/03 Returned with blotchy erythema of left anterior thigh, swollen, tender to touch. No temp
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site oedema, Rash erythematous, Vasodilation procedure
Clinical narrative: Right arm w/erythematous and slightly elevated patch. Warm to touch. Prescribed Benadryl every 6-8 hrs and Duricep 500/5 1/2 tsp BID x 10 days.
Age: 1.08
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Mom states he was seen by an [urgent care MD] and Dx'd with chicken pox. She claims that he has pox all over his body. Mom called the office 3/25/03 at 15:27.
Age: 31.0
Sex: F
Vaccine: HEP
Symptoms: Hypokinesia, Myalgia, Pain
Clinical narrative: Right arm very sore - hurts to raise arm, no redness or edema. *Missed 1.5 days of work. *Used 1" needle for administration. *Percocet 1-296 prn.
Age: 0.6
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Convulsion, Febrile convulsion, Vasodilation procedure
Clinical narrative: Received vax on 3/17/03. Mom reported child felt "warm" around 3:00 on 3/18 then witnessed to have generalized tonic ?? seizure lasting approx 2 mins. Brought to ED where work up (-) including CT brain. Thought to be febrile seizure.
Age: 64.0
Sex: F
Vaccine: FLUX
Symptoms: Arteritis, Myalgia
Clinical narrative: Polymyalgia rheumatica, temporal arthritis - approx 2 wks after influenza vax.
Age: 32.0
Sex: F
Vaccine: MMR
Symptoms: Face oedema, Pain, Pyrexia
Clinical narrative: PT had MMR vax on 1/13/03 and on 2/4/03 noticed swelling to left side of jaw-line to left cheek. Area involved was an ache without pain. No discoloration. Low grade fever of 99.2 deg F on 2/4/03. Saw MD that night, who confirmed mild reaction to MMR vax. On 12/02 titers for measles & mumps were negative for antibodies.
Age: 29.0
Sex: F
Vaccine: RAB
Symptoms: Abdominal pain, Arthralgia, Chills, Cholecystitis, Myalgia
Clinical narrative: After 9/3/02 Rab Avat #2 dose c/o gradually feeling sore. During night c/o abdominal pain, nausea and vomiting, joint pain w/chills. 9/4/02 a.m. c/o feeling "achy". 9/5/02 - evaluated at ER. Referred to gasteroenterologist to have GB evaluated - had Cholecystectomy.
Age: 29.0
Sex: F
Vaccine: RAB
Symptoms: Nausea, Vomiting
Clinical narrative: After 9/3/02 Rab Avat #2 dose c/o gradually feeling sore. During night c/o abdominal pain, nausea and vomiting, joint pain w/chills. 9/4/02 a.m. c/o feeling "achy". 9/5/02 - evaluated at ER. Referred to gasteroenterologist to have GB evaluated - had Cholecystectomy.
Age: 70.0
Sex: F
Vaccine: TTOX
Symptoms: Injection site reaction, Injection site swelling, Injection site warmth, Pain, Pruritus
Clinical narrative: Received a TD on 8/20/02. Initially, no swelling or soreness but 7 days later, on 8/27/02, noticed arm feeling warm with itching and also some swelling. Today, C/O pain in lower rib cage (Evaluated by NP on 8/27/02. NP recommended Benadryl 25mg po; warm wet compresses but no improvement or worsening to see per PMD).
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Hypokinesia, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Pain in left thigh and "wouldn't walk", starting the evening of the day immunizations administered. Area noted to be red, 2-3 days later. At the time of exam (6 days after immunizations) he had red, raised margin about 4" X 6"; central area clear and non-tender.
Age: 1.0
Sex: M
Vaccine: DTAP, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Swelling, redness and hot to the touch. Pt given Cephalexin 250mg/5m/3m BID (q12h) X 7 days.
Age: 0.6
Sex: F
Vaccine: DTAP, PNC
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt came in with right leg swollen, feeling warm and red. Pt was seen by doctor and given Cephalexin 250mg/5m/4ml q12h X 7 days.
Age: 2.25
Sex: F
Vaccine: HEPA
Symptoms: Diarrhoea, Lethargy, Pyrexia, Vomiting
Clinical narrative: Temperature 100F, vomiting, diarrhea and lethargy. Symptoms began 01:00 on the same day of vaccine. Symptoms lasted X 2-3 days. Pt now better.
Age: 1.25
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Injection site erythema, Injection site swelling
Clinical narrative: Red area on right leg, swollen with 3-4 small blisters around injection site, per mom. Applied cool wash cloth to area. No fever noted, per mom.
Sex: U
Vaccine: DTAP
Symptoms: Blister, Injection site erythema
Clinical narrative: Right thigh with 13cm X 7cm erythema with a central 2 1/2cm X 1 1/2cm area of small blisters. Child playful and walking normally.
Age: 1.9
Sex: M
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: By 3/20/03, left leg was red and swollen to an area 14" X 16" from hip to knee and extends to back of thigh and warm to touch. Treat with ice packs and Tylenol.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt came in with swelling and redness on right arm (deltoid) where vaccine was administered.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: Scattered red papules. Few with scabs - scattered over trunk, extremities, scalp, face, pubic area approx 40
Age: 19.0
Sex: F
Vaccine: TTOX
Symptoms: Injection site reaction, Rash maculo-papular, Vasodilation procedure
Clinical narrative: Warm, raised rash over right dorsal gluteal --> these Sx's signs absent after 1 hr following injection.
Age: 22.0
Sex: M
Vaccine: HEP
Symptoms: Lymphadenopathy, Oedema
Clinical narrative: PT c/o lymph nodes under on arm and neck swollen occurring 3-4 days post injection.
Age: 50.0
Sex: F
Vaccine: MMR
Symptoms: Gait disturbance, Oedema peripheral, Osteoarthritis, Pain, Pyrexia
Clinical narrative: Onset 1/30/03 "Lumps" posterior neck, above ear - "top of head hurt" - 2/1/03 Onset rash back, buttocks, anterior chest - little on arms & legs w/low grade fever. 2/2/03 - swelling of joints (wrist, knees, ankles) - "couldn't hardly walk" - Took Ibuprofen 499 mg Q 4-6 x 5 days - developed migraine - took Amerga(?). 2/7/03 - Onset discomfort in hands esp. left middle finger with swelling. Discomfort in ankles, knees - resolved.
Age: 50.0
Sex: F
Vaccine: MMR
Symptoms: Rash
Clinical narrative: Onset 1/30/03 "Lumps" posterior neck, above ear - "top of head hurt" - 2/1/03 Onset rash back, buttocks, anterior chest - little on arms & legs w/low grade fever. 2/2/03 - swelling of joints (wrist, knees, ankles) - "couldn't hardly walk" - Took Ibuprofen 499 mg Q 4-6 x 5 days - developed migraine - took Amerga(?). 2/7/03 - Onset discomfort in hands esp. left middle finger with swelling. Discomfort in ankles, knees - resolved.
Age: 77.0
Sex: M
Vaccine: PPV
Symptoms: Erythema
Clinical narrative: "Looks bad" per nurse. Hardened area. Red
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Vasodilation procedure
Clinical narrative: Significant swelling of left arm 9 x 12 cm warm with erythema. Started few hrs post injection.
Age: 2.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: At 24 hrs, erythema, edema, pain surrounding site. Temp 100.8 oral. Well-appearing child but markedly swollen arm/shoulder.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site oedema, Vasodilation procedure
Clinical narrative: Two days later the left arm got red swollen. Felt hot, non tender - went to urgent care. No treatment. Released. (inject site).
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain
Clinical narrative: W/in 24 hrs after vax, erythema and edema, approx 20 cm diameter around the inject site on left upper thigh with minimal tenderness.
Age: 25.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Oedema
Clinical narrative: Redness approx 5 x 5 cm swelling
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Oedema peripheral
Clinical narrative: Redness noted to left upper arm by nurse on 3/21/03. Mom states redness was seen after injection and left hand swelled up.
Age: 1.3
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Fever 105 deg 2 wks following injection and rash over entire body (about 20 spots).
Age: 47.0
Sex: M
Vaccine: LYME
Symptoms: Pain
Clinical narrative: Severe pain in right shoulders, had 2 shots and pain pills - not working, still painful.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: On 2/25/03 had fever 104.5; 2/26/03 No Sx's flu test negative, WBC 10.1. Had febrile seizure 2/26 at office. Blood culture negative Normal head CT.
Age: 14.0
Sex: F
Vaccine: TD
Symptoms: Ear pain, Pharyngitis, Rash erythematous, Urticaria
Clinical narrative: Friday night, 3/14/03 ear ache and sore throat. 3/15/03 broke out in a solid red rash w/hives. Rash located mostly on face & neck, also on trunk, arms, & lower body.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Pyrexia, Rash vesicular
Clinical narrative: Chicken pox onset 3/16/03 post Varivax. Fever control Benadryl
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever to 103 x 3 days.
Sex: F
Vaccine: DTAP, HEP
Symptoms: Injection site erythema, Injection site oedema, Vasodilation procedure
Clinical narrative: 6 x 6 cm red warm swollen area left bicep
Age: 1.5
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site mass, Rash maculo-papular
Clinical narrative: Left deltoid with 4.5 cm round pink/blotching elevated area with central induration.
Age: 1.0
Sex: M
Vaccine: HEP, IPV, PPV, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: 5 days post vax PT developed high fever 102.9 and lasted 5 days. 8 days post vax developed rash, which covered his entire body except for his hands & feet. Rash lasted 4 days. During fever and rash contacted MD office. No other information was made available for the vaccines.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Child complaining of left arm pain on 3/18/03 PM. Parents noted swelling, redness and firmness at site about 6cm X 6cm (very firm) and induration with surrounding redness and swelling involving much of left upper arm. Child was treated with an antibiotic starting 3/19/2003 - reactions resolved within 72 hours.
Age: 1.7
Sex: M
Vaccine: VARCEL
Symptoms: Infection, Infection transmission via personal contact
Clinical narrative: Pt developed varicella on 8/2/02 after being exposed to someone else. This person had received varicella vaccine on 7/3/02 and developed vaccine associated varicella on 7/22/02. The pt's condition improved after 1 week.
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site reaction, Pyrexia
Clinical narrative: Vaccine administered on 3/17/03. On 3/18/03, she reported injection site was sore and she had a temperature of 100F. She was advised by MD to apply cold pack to area and use Tylenol.
Age: 33.0
Sex: F
Vaccine: TTOX
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Injury, Joint range of motion decreased
Clinical narrative: Pt given TD on 2/12/03. Complains of migraine headache also on 2/13/03. Returns to clinic with nausea, warm and swollen at injection site; pain radiating to armpit and shoulder. Gave her a Depo-Medrol shot. On 2/14/03 she returned with vomiting, nausea and itching. Headache continues. Gave her Phenergan. On 3/3/03, pain still present in arm. On 3/5/03, arm still bad with decreased ROM.
Age: 33.0
Sex: F
Vaccine: TTOX
Symptoms: Migraine, Nausea, Pruritus, Vomiting
Clinical narrative: Pt given TD on 2/12/03. Complains of migraine headache also on 2/13/03. Returns to clinic with nausea, warm and swollen at injection site; pain radiating to armpit and shoulder. Gave her a Depo-Medrol shot. On 2/14/03 she returned with vomiting, nausea and itching. Headache continues. Gave her Phenergan. On 3/3/03, pain still present in arm. On 3/5/03, arm still bad with decreased ROM.
Age: 29.0
Sex: F
Vaccine: IPV, TTOX
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Lymphadenopathy
Clinical narrative: Pt noted right deltoid with redness, warmth and swelling and right cervical lymphadenopathy, 1 day after receiving TD, IM in right deltoid. Pt was advised to take Motrin or Tylenol and to ice the area. Pt returned to clinic on 3/13/03 for follow-up visit reporting symptoms had resolved.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Significant local reaction with swelling and redness of entire thigh.
Age: 28.0
Sex: F
Vaccine: HEPA, IPV, TTOX
Symptoms: Back pain, Headache, Injection site pain, Injection site reaction, Neck pain
Clinical narrative: Given vaccines by fellow med student. Complained of left arm pain, right after TD given, IM in left acromion area and "hit bone". Noted headache a few hours after vaccine. Felt feverish at 23:00 and went to bed and noted neck and back pain. Woke during the night with a temperature of 101F. Temperature at 07:30 was 103.8F. Seen by ARNP and was advised rest, fluids, Tylenol alternated with Motrin. Dx'd with fever and possible vaccine reaction. Advised to go to ER if symptoms worsen. On 3/13/03, temperature resolved but arm is still sore.
Age: 28.0
Sex: F
Vaccine: HEPA, IPV, TTOX
Symptoms: Pyrexia
Clinical narrative: Given vaccines by fellow med student. Complained of left arm pain, right after TD given, IM in left acromion area and "hit bone". Noted headache a few hours after vaccine. Felt feverish at 23:00 and went to bed and noted neck and back pain. Woke during the night with a temperature of 101F. Temperature at 07:30 was 103.8F. Seen by ARNP and was advised rest, fluids, Tylenol alternated with Motrin. Dx'd with fever and possible vaccine reaction. Advised to go to ER if symptoms worsen. On 3/13/03, temperature resolved but arm is still sore.
Age: 1.6
Sex: F
Vaccine: MMR, PNC
Symptoms: Pyrexia, Rash
Clinical narrative: MMRII administered on 3/4/03. Child broke out in diffuse rash on 3/14/03. Fever 100F. No other symptoms or complications. Child looked and acted well.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Received varicella vaccine on 1/8/01 and developed varicella disease on 3/19/03, over entire body.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Asthenia, Hypokinesia, Hypotonia, Oral intake reduced, Torticollis
Clinical narrative: Head pulled to the right, decreased use of right arm, limp, generalized strength loss, decreased appetite. Symptoms started the day after immunizations and lasted 3 days (3/14/03-3/17/03). Exam was negative on 3/18/03.
Age: 1.25
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Had seizure 3/13/03, temp 103F went to ER, febrile seizure.
Age: 5.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash
Clinical narrative: Sibling with chickenpox wks prior. Twin sibling with chickenpox also, simultaneously. Note: lesions appeared on both children after sib with chickenpox.
Age: 5.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Skin ulcer
Clinical narrative: Lesions appeared after sibling with (+) varicella.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, MMR
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Had MMR 3/7/03, had fever & febrile seizure on 3/17. (no other symptoms of illness, lab work benign)
Age: 72.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Injection site swelling, Myalgia
Clinical narrative: Redness, swelling, prolonged severe muscle pain.
Age: 1.09
Sex: M
Vaccine: HIBV
Symptoms: Agitation, Condition aggravated, Eczema, Injection site inflammation, Irritability
Clinical narrative: Parent reports child extremely fussy and agitated following HIB vaccine, she further reported that her child's eczema became more severe and inflamed after vaccine.
Age: 39.0
Sex: M
Vaccine: ANTH, FLUX, HEPA, MMR, SMALL, TD, TYP
Symptoms: Injection site erythema, Lymphadenopathy, Pyrexia
Clinical narrative: 8 days after immunization had erythema surrounding site with axillary adenopathy and fever 102F.
Age: 55.0
Sex: M
Vaccine: SMALL
Symptoms: Anxiety, Dizziness, Mental impairment, Nausea, Transient ischaemic attack
Clinical narrative: On 3/19 pt complained nausea, dizziness and sensation of string around top of head, symptoms continued on 3/21 pt became anxious and mentally slow. He went to primary MD was dx with poss inner ear problem and given medication. Symptoms continued and pt was referred to neurologist, pt continues to have same symptoms, is afebrile and to see neurologist on 4/8. Pt has history of TIA in 12/02.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: DTAP given in left thigh on 3/18/03. On 3/20/03, pt returns with about 12cm long X 8cm wide erythematous, tender, hot localized reaction just below injection site which just appeared today. No treatment at present.
Age: 38.0
Sex: M
Vaccine: SMALL
Symptoms: Ventricular extrasystoles
Clinical narrative: Vaccinee has h/o hyperthyroid and occ PVC. No recent PVC. He was vaccinated on 2/28. Three days later (3/3) he developed sustained PVCs (3 hours). He was seen in ED. No CP, SOB, diaphoresis, fevers. PVCs had stopped by the time seen in ED. EKG was normal; cardiac enzymes were normal; TFTs were normal. On 3/17, he developed intermittent PVCs. On 3/18, PVCs were sustained (5 hours). He was seen by PMD, got 24 hour urine and EKG. EKG showed PVCs but was otherwise normal. He was put on atenolol 25 mg bid. PVCs stopped within 30 minutes after taking the atenolol. He decreased the atenolol to qd and then stopped it on 3/23. He has had no PVCs since. He had a normal stress test on 3/25.
Age: 2.0
Sex: F
Vaccine: DTAP, HBHEPB, MMR
Symptoms: Erythema, Injection site swelling, Injection site warmth
Clinical narrative: Red raised area warm to touch, noted on (L) thigh measuring 15cmx7cm(wide)
Age: 29.0
Sex: F
Vaccine: HEPA, SMALL
Symptoms: Erythema, Pruritus, Rash papular, Skin ulcer
Clinical narrative: Day #14 following primary smallpox vaccination, pt noted red bumps with white halos on inner thighs spreading to entire lower extremity bilaterally, and associated itching; Seen at clinic and prescribed antipruritic; Seen by me on 25Mar03 (day #20)diffuse papular, nonblanching LE rash with some intralesion color variation from violacious to dark purple; seen by Dermatology 26Mar03 and prescribed steroids, medical illustration photographs pending.
Age: 30.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Rash
Clinical narrative: rash on chest and upper arm could b a reaction from smallpox vaccination. Seen by provider rash tochest, arm, and back.  Appreared 3/23. PMHx of Hodkins 5 years ago, also hx of ezema.as a child EM to chest, noted erathema to right shoulder.
Age: 46.0
Sex: F
Vaccine: SMALL
Symptoms: Blood pressure decreased, Dizziness, Dyspnoea, Heart rate increased
Clinical narrative: On early morning of March 7th began having shortness of breath, lightheadedness, heart rate 168, blood pressure 72/38. Heart rate and blood pressure returned to normal after approximately 1 hour.
Age: 46.0
Sex: F
Vaccine: SMALL
Symptoms: Hypersensitivity, Injection site swelling, Paraesthesia
Clinical narrative: Received Smallpox vaccine on 2/24/03. Second week had left arm swelling with "pins and needles" feeling on inside of arm from wrist to shoulder. No temperature or lymphedema. Continues to have pain in arm.
Age: 46.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site hypersensitivity, Rash macular
Clinical narrative: Pt developed a red, macular rash on both upper extremities and back on day 5 of Smallpox vaccination. No treatment was necessary.
Age: 52.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Hypersensitivity, Rash maculo-papular
Clinical narrative: Generalized maculopapular rash (hypersensitivity not disseminated vaccinia). Onset on day 10 after vaccination. No exanthem. No constitutional symptoms. Improving at time of exam.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Laboratory test abnormal, Myalgia, Oedema, Paronychia
Clinical narrative: On Day 8 after vaccination in the upper L arm, patient developed a red, swollen, tender area just below the nail of the L ring finger.  Patient was incised and drained for what was considered to be a paronychia.  This lesion was incised and drained, packed and stitched up.  Patient was put on antibiotics.  Paitent also reported some muscle aches, tender axillary nodes.  History of nail-biting which patient credits for other episodes of paronyhia.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Tenderness
Clinical narrative: On Day 8 after vaccination in the upper L arm, patient developed a red, swollen, tender area just below the nail of the L ring finger.  Patient was incised and drained for what was considered to be a paronychia.  This lesion was incised and drained, packed and stitched up.  Patient was put on antibiotics.  Paitent also reported some muscle aches, tender axillary nodes.  History of nail-biting which patient credits for other episodes of paronyhia.
Age: 47.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain, Laboratory test abnormal, Pain, Pyrexia
Clinical narrative: day 14 post vaccine: pt presents with low grade fever, feeling "achy". day 16 post vaccine: pt report feeling better. day 17 post vaccine: pt admitted to hospital with chest pain.  EKG normal. chest x-ray shows infiltrate.  day 18 post vaccine: pt released from hospital. clinician believes hospital admission unrelated to smallpox vaccine.
Age: 62.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site induration, Skin striae
Clinical narrative: Patient reported skin red under semi-permeable dressing on 3/19. Patient attributed this to tape sensitivity. On 3/20 redness increased with streaking and induration. Sought medical attention on 3/20 at 7pm. Given oral dicloxicillin. Patient seen again 3/21: erythema and induration decreased.
Age: 38.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain
Clinical narrative: Day 2 post vaccine: patient complains of chest pain.  Pt states: "feels like swelling inside" and has some relief if laying in prone position. Day 4 post vaccine: patient reports feeling better and has had no problems since.  Patient has history of mitrovalve prolapse.
Age: 17.0
Sex: F
Vaccine: SMALL
Symptoms: Rash macular, Rash papular
Clinical narrative: Rash was initially papular, rapidly evolved into large confluent macules over face, trunk, extremities began day after receiving smallpox vaccine.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Erythema and edema around injection site 12cm X 15cm. Possible cellulitis. Soldier did scratch site after vaccination. Anticipated recovery.
Age: 29.0
Sex: F
Vaccine: SMALL
Symptoms: Headache, Musculoskeletal stiffness, Myalgia, Night sweats, Pyrexia
Clinical narrative: 7 days, post vax, pt had fever of 103.4F, night sweats, muscle aches, severe headaches and neck stiffness. Seen by MD and Rx'd ibuprofen and pain meds. Improvement after 2 days without further problems.
Age: 43.0
Sex: F
Vaccine: SMALL
Symptoms: Fatigue, Headache, Pyrexia
Clinical narrative: 6 days, post vax, pt complained of fatigue, headache and day 7 pt had chills (didn't check temperature). Saturday, temperature 99.2F and continued with headaches. Sunday, temperature was 101F. Taking Tylenol #3 with some relief. Today still with severe headaches but refusing to go see MD; says will see MD if fever returns. (Temperature, 1 day post vax X 1 day. Feels not related to vaccine).
Age: 23.0
Sex: F
Vaccine: SMALL
Symptoms: Hypersensitivity, Injection site reaction, Rash erythematous
Clinical narrative: "Bump" (pimple looking) near left eye, less than 1mm round. There is not any drainage. No treatment. Visible since Tuesday, 3/18/03, started as a red sore spot. No itching noted. Tape reaction at inoculation site. Smallpox vaccination on right arm is a "take" with a scab forming. Pimple near eye is not progressing like her vaccination site. Vaccinee understands to keep site covered and good hand washing at length when touching or coming in contact with either sites. We did not get a dry dacron swab of the site because there was no drainage or discharge from the site. So far client is doing fine.
Age: 47.0
Sex: M
Vaccine: SMALL
Symptoms: Psoriasis
Clinical narrative: Client developed psoriaform plaques on neck, trunk, back, legs and arms approx 2-3 weeks post vaccination.  No other symptoms.
Age: 29.0
Sex: F
Vaccine: SMALL
Symptoms: Blister, Cow pox, Lymphangitis, Vaccination complication
Clinical narrative: 3/11/03 result confirmed as "take" 3/12-3/15 lymphangitis 3/15/03 small satellite lesion appeared 3/21/03 multiple vesicles noted over arms and front and back trunk. Dr. examined patient at approx. 3:30pm at Hospital and confirmed with Dr. that several of these had appeared since he examined earlier in am. Diagnosed as Generalized Vaccinia by Dr. Taken off duty until all lesions resolved.
Age: 39.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema, Injection site vesicles, Skin ulcer
Clinical narrative: Patient vaccinated on 3/13/2003. Take response read 3/20/2003. Patient reported to Hospital ER 3/26/2003 with approximately 18.5 cm X 12 cm reaction at vaccination site on day 13 post vaccination. Patient denied any symptoms related to inflammation. According to Dr., ER physician the site appeared to have superior margins, redish vesicular lesion and slight purplish lip. Center of lesion is black in color and approximately 8cm X 6cm. According to the patient,  the site developed within 24 hours and the size of the site is unchanged since her take evaluations on 3/20/2003. Telephone conference held today to discuss adverse event. Outcome of telephone conference is to perform antigery testing on the patient using candida and mumps to determine T-Cell response and to continue to observe the site to determine if regression is occuring. Photographs to be taken daily and reveiwed by physicians listed above to determine continued adverse reaction and/or regression.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Dizziness, Headache, Urticaria
Clinical narrative: 3/12/03(PM) Developed uticaria beginning near right eye and and becoming widespread progressing to trunk and extremities. Light headed with headache. Seen by physician and treated with Benadryl. 03/15/03 uticaria decreasing  03/16/03 Uticaria resolved.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, DTAP, HEP, HIBV, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC
Symptoms: Nasal congestion, Pharyngitis, Rhinitis, Sudden infant death syndrome
Clinical narrative: Information has been received from an investigator concerning a 2 month old male who received his first dose of Prevnar on 11/18/02 as part of the "Post Marketing Evaluation of Prevnar Pneumococcala 7-Valent Conjugate Vaccine: Safety of Prevnar Administered Concurrently With Routine Infant Vaccinations At 2, 4, 6, And 12 to 15 Months of Age." Concomitant therapy included Tripedia, IPOL, and Act-Hib vaccines. On the morning of 12/9/02, he was placed down for a nap. Approximately two hours later, he was observed to be unresponsive. He was transported to a medical center where he was pronounced dead. The results of an autopsy state the cause of death as sudden infant death syndrome. Both the investigator and the medical monitor agree that the sudden infant death syndrome was "not related" to vaccine administration. This report of a serious (OMIC), labeled event is being submitted in a 15-day time frame, as requested by FDA.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, DTAP, HEP, HIBV, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC
Symptoms: Coma, Sudden infant death syndrome
Clinical narrative: Information has been received from an investigator concerning a 2 month old male who received his first dose of Prevnar on 11/18/02 as part of the "Post Marketing Evaluation of Prevnar Pneumococcala 7-Valent Conjugate Vaccine: Safety of Prevnar Administered Concurrently With Routine Infant Vaccinations At 2, 4, 6, And 12 to 15 Months of Age." Concomitant therapy included Tripedia, IPOL, and Act-Hib vaccines. On the morning of 12/9/02, he was placed down for a nap. Approximately two hours later, he was observed to be unresponsive. He was transported to a medical center where he was pronounced dead. The results of an autopsy state the cause of death as sudden infant death syndrome. Both the investigator and the medical monitor agree that the sudden infant death syndrome was "not related" to vaccine administration. This report of a serious (OMIC), labeled event is being submitted in a 15-day time frame, as requested by FDA.
Age: 75.0
Sex: M
Vaccine: RAB
Symptoms: Cerebrovascular accident, Dehydration, Rash maculo-papular, Rhabdomyolysis, Urticaria
Clinical narrative: Rash varying from urticaria type to maculopapular per doctor's office nurse administering vaccine and pt's sister in-law respectively. Pt died due to CVA in brain stem. Dx of rhabdomyolysis given also. F/UP report on 3/28/03: Cause of death was complications of dehydration.
Age: 0.08
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Sudden infant death syndrome
Clinical narrative: An investigator reported that a 2 month old male received his 1st dose of Prevnar on 10/17/02, at 1 month of age, as part of the Prevnar Post-Marketing Safety Surveillance Trial, "Post-Marketing Evaluation of Prevnar-Pneumococcal 7 Valent Conjugate Vaccine: Safety of Prevnar Administerred Cconcurrently with Routine Infanr Vaccinations at 2, 4, 6, and 12 to 15 months of Age." On 10/17/02, the infant also received Tripedia, Polio Vaccine, ActHIB, and Engerix B vaccines. On 11/6/02, 20 days post-immunization, the pt expired due to SIDS. Autopsy findings confirmed the cause of death as SIDS. Post-mortem total body x-rays revealed "no recent or healing fractures, bony malformations or projectiles." Toxicology results from a sample of heart blood were negative for ethanol and acetone. Per the autopsy report: "The presence of lymphocytic inflammatory infiltrates in many of the organs, especially the lungs and CNS, and the lymphoid hypertrophy noted in the GI tract, suggest a viral syndrome, which is considered coincidental. The clinical history and scene investigation do not reveal evidence of an overwhelming infection. The decedent was asystolic and apneic when encountered by paramedics." Both the investigator and the medical monitor assessed the SIDS as "not related" to the study vaccine. This report of a serious (OMIC), labeled event is being submitted in a 15-day time frame, as requested by FDA.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Bacterial infection, Cellulitis, Injection site induration, Pyrexia, Swelling
Clinical narrative: Information has been received from a physician concerning a 67 year old male who on 3/8/03 was vaccinated with pneumococcal vaccine 23 polyvalent. This was the second dose. The first dose was administered 5 years ago, when patient had 62 years. On approximately 3/8/03 the patient experienced arthus-type reaction with the following symptoms: high fever, oedema on arms, local induration. It was reported that the patient presented fever only at the day of vaccination. The patient went to the hospital and the physician that attended diagnosed cellulitis streptococcal but the reporter physician did not agree. The patient was hospitalized for 3 days (hospitalization start and finish date are not clearly reported), during the hospitalization the patient did not have a fever. Additional information is not expected.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Type III immune complex mediated reaction
Clinical narrative: Information has been received from a physician concerning a 67 year old male who on 3/8/03 was vaccinated with pneumococcal vaccine 23 polyvalent. This was the second dose. The first dose was administered 5 years ago, when patient had 62 years. On approximately 3/8/03 the patient experienced arthus-type reaction with the following symptoms: high fever, oedema on arms, local induration. It was reported that the patient presented fever only at the day of vaccination. The patient went to the hospital and the physician that attended diagnosed cellulitis streptococcal but the reporter physician did not agree. The patient was hospitalized for 3 days (hospitalization start and finish date are not clearly reported), during the hospitalization the patient did not have a fever. Additional information is not expected.
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Joint effusion, Joint swelling
Clinical narrative: My left knee swelled up a lot larger than my right knee and it hurt quite a bit, especially when I bend it. It felt like it might have fluid in it. Symptoms around 3 days after I received my 1st Anthrax shot.