chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.08
Sex: M
Vaccine: VARCEL
Symptoms: Cellulitis, Drug ineffective, Heart rate increased, Infection, Pneumonia
Clinical narrative: Information has been received from the CDC concerning a 15 month old male who at 10 months old, developed failure to thrive with his growth and development going from 90th percentile down to 10th percentile. A work-up at that time was unremarkable. On 2/23/01, the pt was vaccinated with 1 dose of Varicella virus vaccine live. It is unknown whether concomitant vaccinations were administered. On 4/13/01, the pt was hospitalized for a varicella-type rash. He received 3 days of acyclovir therapy and also 3 days of IV antibiotics because of possible infective lesions. He was discharged to home on erythromycin; however, on 5/2/01, he was readmitted to the hospital with approx. 1,000 varicella-type lesions throughout his body. It was reported that new crops were developing and there were bullous lesions on his hands and feet. A chest X-ray showed a defuse nodular pattern which the physician felt was compatible with varicella pneumonia. His heart rate and respirations were increased but he had not been placed on the respirator. A DFA staining of a skin lesion was positive for VZV virus. A CSF processed in an outside lab was positive for varicella zoster virus using PCR technology. The CDC has received a skin lesion crust but has not identified any varicella zoster virus. It was noted that the pt has a negative family history of immunocompromised disorders and he is HIV negative. Additional information has been requested.
Age: 1.08
Sex: M
Vaccine: VARCEL
Symptoms: Respiratory rate increased
Clinical narrative: Information has been received from the CDC concerning a 15 month old male who at 10 months old, developed failure to thrive with his growth and development going from 90th percentile down to 10th percentile. A work-up at that time was unremarkable. On 2/23/01, the pt was vaccinated with 1 dose of Varicella virus vaccine live. It is unknown whether concomitant vaccinations were administered. On 4/13/01, the pt was hospitalized for a varicella-type rash. He received 3 days of acyclovir therapy and also 3 days of IV antibiotics because of possible infective lesions. He was discharged to home on erythromycin; however, on 5/2/01, he was readmitted to the hospital with approx. 1,000 varicella-type lesions throughout his body. It was reported that new crops were developing and there were bullous lesions on his hands and feet. A chest X-ray showed a defuse nodular pattern which the physician felt was compatible with varicella pneumonia. His heart rate and respirations were increased but he had not been placed on the respirator. A DFA staining of a skin lesion was positive for VZV virus. A CSF processed in an outside lab was positive for varicella zoster virus using PCR technology. The CDC has received a skin lesion crust but has not identified any varicella zoster virus. It was noted that the pt has a negative family history of immunocompromised disorders and he is HIV negative. Additional information has been requested.
Age: 0.3
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Unevaluable event
Clinical narrative: No data provided.
Age: 0.8
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: The pt experienced a fever of 100.7 at 10:00 PM on 5/25/01. The pt was taken to the ER. All blood work was normal. The pt returned home on 5/29/01. No problems are evident now.
Age: 0.5
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Convulsion, Pyrexia
Clinical narrative: Tonic-clonic seizure-like activity which occurred once an hour period (6 or 7 times), lasting only 5-10 seconds. Occurred during a fever of at least 102F (R).
Age: 0.8
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Injection site oedema
Clinical narrative: The pt experienced swelling in the right thigh. Treated with warm compresses.
Age: 0.6
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Erythema, Injection site mass, Pyrexia, Rash
Clinical narrative: Developed "knots in both legs where you gave the shots". Over the next 2 weeks, she had a fever, "off and on". The highest temperature was 102F. She then developed "little bumps" on her face and it spread to her legs and arms. The "rash" developed and turned red in the last couple of days. Hasn't been seen by a doctor yet. Referred to clinic and has appt at 14:15 on 5/14/01. On 5/17/01, telephone call to mother reports seen by physician and rash was believed to be related to heat. "knots" should go down.
Age: 0.3
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Convulsion, Eye movement disorder, Musculoskeletal stiffness, Pyrexia, Somnolence
Clinical narrative: Vaccines administered on 5/22/01. That evening she started running a fever >101F (ax). Mom gave Tylenol q 4 hours, until afternoon of 5/23/01. Afebrile afterwards. Had 1st seizure at 07:30 AM on 5/24/01; was nursing, stopped and "body shook" then went stiff and eyes rolled. Lasted about 1 minute. 2 other similar episodes prior to 09:00AM. Went to ER. I saw pt on 5/29/01 and her exam is entirely normal. Her mother said that on 5/24/01, she was quite sleepy and inactive. By the next day, she was back to normal. Her mother denied extensive crying, irritability or bulging fontanel at the time. ER found her afebrile and no focal signs nor signs of meningeal irritation. (I talked to ER physician on 5/24/01). I don't have lab values from ER visit. Perhaps her family physician will have these.
Age: 0.3
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Tremor
Clinical narrative: Vaccines administered on 5/22/01. That evening she started running a fever >101F (ax). Mom gave Tylenol q 4 hours, until afternoon of 5/23/01. Afebrile afterwards. Had 1st seizure at 07:30 AM on 5/24/01; was nursing, stopped and "body shook" then went stiff and eyes rolled. Lasted about 1 minute. 2 other similar episodes prior to 09:00AM. Went to ER. I saw pt on 5/29/01 and her exam is entirely normal. Her mother said that on 5/24/01, she was quite sleepy and inactive. By the next day, she was back to normal. Her mother denied extensive crying, irritability or bulging fontanel at the time. ER found her afebrile and no focal signs nor signs of meningeal irritation. (I talked to ER physician on 5/24/01). I don't have lab values from ER visit. Perhaps her family physician will have these.
Age: 2.0
Sex: F
Vaccine: PNC
Symptoms: Crying, Injection site mass, Injection site pain, Sleep disorder, Vaccine positive rechallenge
Clinical narrative: Immediately upon being injected, pt cried frantically. She continued for >45 minutes, despite ice and po acetaminophen. Left office awake. After about 1 hour, post vax, sleeping fitfully with slightly tender knot of 2cm on the left anterolateral thigh,  previous identical reaction, lasted 2 days, then pt recovered.
Age: 0.6
Sex: F
Vaccine: DTAP, PNC
Symptoms: Convulsion
Clinical narrative: Routine immunizations administered on 5/29/01. Seizure activity on 5/30/01, cared for by EMS. Rechecked in office on 5/30/01. Treatment: observation, Tylenol every 4 hours, fluids and rest.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Screaming
Clinical narrative: DTAP, Comvax, Prevnar and IPV administered in Immunization Clinic at 09:00 on 5/15/01. Pt cried inconsolably for 6 hours afterward. Normal exam. Treated with 2 doses of Tylenol and didn't help. Finally fell asleep at 15:00.
Age: 1.4
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling to left thigh. No fever. No systemic reaction.
Age: 40.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Joint swelling
Clinical narrative: Noted intense arthralgia at hips, knees, elbows, shoulders and thoracic spine with swelling of right shoulder joint and left knee. Onset within 24 hours of injection. Currently using Motrin for symptoms. Evaluated pt 1 week, post vax, and is still with symptoms.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Balance disorder, Nausea, Vertigo
Clinical narrative: 11/2/00, sudden onset of severe vertigo and nausea, lasting 6 hours and lingering for several days. On 11/6/00, sudden onset severe vertigo and nausea, lasting 10 hours and lingering several days. Saw ENT MD on 11/7/00 and was prescribed valium and rest. I had follow-up with MD ENT on 11/17/00. I continue to have frequent periods of mild motion sickness and periods of feeling off balance.
Age: 76.0
Sex: F
Vaccine: FLUX
Symptoms: Abdominal pain upper, Dry mouth, Headache, Hyperhidrosis, Myalgia
Clinical narrative: I am listing all of the doctors we have been to and I will start with our family doctor who is an Internal Medicine doctor where I had the worst symptoms. He had a neck X-ray and an MRI of the head and brains to rule out that area of real concern. Then I went to a Gastroenterologist and had a gastroscopy and Endoscopy. Then I went to an Infectious Disease doctor and then I went to a Rheumatologist. After all of the doctors and all the tests were completed; all were negative. This all started on 12/01/00, when my wife and I went to MD for our Flu shot at 08:30 AM and at 18:00PM, that night, I started and the next day my wife started with the same symptoms I had. At that time we were both eating roast duck which we bought at a public store. These ducks came pre-cooked and frozen (you just cook them for 45 minutes). We had been eating them for some time. When we went to buy more they stated the store had a recall on them. After a time of being sick, I asked the store manager what the recall was for. He checked and could not find what the cause was, for the recall. We tried to think what we both done and the only thing was the Flu shot and the duck where there was a recall on them. I wonder if you and your associates could please help us if possible to get to the bottom of this nightmare. It has been hell on earth with all the symptoms of violent headaches (both front and rear), sore muscles, raw stomach, dry mouth, metallic test in the mouth and we feel like we are dehydrating with all the water we are drinking, runny nose, perfuse sweating and neck pains. I thank you people for anything you can do for us and will do whatever it takes.
Age: 76.0
Sex: F
Vaccine: FLUX
Symptoms: Neck pain, Rhinorrhoea
Clinical narrative: I am listing all of the doctors we have been to and I will start with our family doctor who is an Internal Medicine doctor where I had the worst symptoms. He had a neck X-ray and an MRI of the head and brains to rule out that area of real concern. Then I went to a Gastroenterologist and had a gastroscopy and Endoscopy. Then I went to an Infectious Disease doctor and then I went to a Rheumatologist. After all of the doctors and all the tests were completed; all were negative. This all started on 12/01/00, when my wife and I went to MD for our Flu shot at 08:30 AM and at 18:00PM, that night, I started and the next day my wife started with the same symptoms I had. At that time we were both eating roast duck which we bought at a public store. These ducks came pre-cooked and frozen (you just cook them for 45 minutes). We had been eating them for some time. When we went to buy more they stated the store had a recall on them. After a time of being sick, I asked the store manager what the recall was for. He checked and could not find what the cause was, for the recall. We tried to think what we both done and the only thing was the Flu shot and the duck where there was a recall on them. I wonder if you and your associates could please help us if possible to get to the bottom of this nightmare. It has been hell on earth with all the symptoms of violent headaches (both front and rear), sore muscles, raw stomach, dry mouth, metallic test in the mouth and we feel like we are dehydrating with all the water we are drinking, runny nose, perfuse sweating and neck pains. I thank you people for anything you can do for us and will do whatever it takes.
Age: 76.0
Sex: M
Vaccine: FLUX
Symptoms: Dry mouth, Dysgeusia, Headache, Hyperhidrosis, Pain
Clinical narrative: Generalized aches and pain, headache, profuse sweating, dry mouth, increased thirst, metallic taste, beginning on the evening of shot. He had eat some roast duck that had a recall and a flu shot as well as his wife, and they both had the same symptoms and he wants to know if there is a connection with the food or the flu shot that is still causing them both to be sick. Follow up on 08/08/2001: "Patient believes to have a reaction to a flu shot that he received this past December.  Since his shot, he has experienced headaches, "sweating", and "burning" in his stomach.  He apparently has been extensively worked up by another MD, ID, and rheumatology without determining any cause for his symptoms.  This includes dry mouth, sore gums.  He has myalgias.  He states that his eyes feel swollen.  He is fatigued and he also has trouble with "songs running through the mind."  His weight has been stable.  He has been afebrile.  There has been no skin rash and workup thus far has been unremarkable. Simple blood tests and an MRI scan of the brain have been normal.  He has not tried any specifiec therapy and he only takes symptomatic therapy for his headaches.  This does not at all seems like a reaction to a vaccine, although he seems to date the onset to that time.  This is not typical for a vaccine reaction and it in fact is not typical for anything that I can think of.  Nevertheless, it seems persistent and the patient claims that he was doing well prior to it.  At this point, initial evaluation has been unremarkable to establish a diagnosis.  Perhaps it is possible for a vaccine to trigger an autoimmune of other type of reaction, although that does not seem to be the case here either.  In any case, the patient does not seem to be deteriorating since his weight is stable and his laboratory studies have been okay.  At this point we will pursue the evaluation to make sure we are not over looking anything more serious.
Age: 76.0
Sex: M
Vaccine: FLUX
Symptoms: Thirst
Clinical narrative: Generalized aches and pain, headache, profuse sweating, dry mouth, increased thirst, metallic taste, beginning on the evening of shot. He had eat some roast duck that had a recall and a flu shot as well as his wife, and they both had the same symptoms and he wants to know if there is a connection with the food or the flu shot that is still causing them both to be sick. Follow up on 08/08/2001: "Patient believes to have a reaction to a flu shot that he received this past December.  Since his shot, he has experienced headaches, "sweating", and "burning" in his stomach.  He apparently has been extensively worked up by another MD, ID, and rheumatology without determining any cause for his symptoms.  This includes dry mouth, sore gums.  He has myalgias.  He states that his eyes feel swollen.  He is fatigued and he also has trouble with "songs running through the mind."  His weight has been stable.  He has been afebrile.  There has been no skin rash and workup thus far has been unremarkable. Simple blood tests and an MRI scan of the brain have been normal.  He has not tried any specifiec therapy and he only takes symptomatic therapy for his headaches.  This does not at all seems like a reaction to a vaccine, although he seems to date the onset to that time.  This is not typical for a vaccine reaction and it in fact is not typical for anything that I can think of.  Nevertheless, it seems persistent and the patient claims that he was doing well prior to it.  At this point, initial evaluation has been unremarkable to establish a diagnosis.  Perhaps it is possible for a vaccine to trigger an autoimmune of other type of reaction, although that does not seem to be the case here either.  In any case, the patient does not seem to be deteriorating since his weight is stable and his laboratory studies have been okay.  At this point we will pursue the evaluation to make sure we are not over looking anything more serious.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Headache, Vertigo
Clinical narrative: Vertigo-8 days; dizziness with headache-30 days.
Age: 31.0
Sex: M
Vaccine: FLUX
Symptoms: Cough, Heart rate increased, Hyperhidrosis, Hypoaesthesia oral
Clinical narrative: Approx. 5 minutes, post vax, pt developed cough, profuse diaphoresis, pulse increased to 100, numbness and tingling in jaw/teeth. Given 0.3cc of epinephrine on right thigh, 911 ambulance/EMT's took pt to hospital. Rx'd IV Benadryl and some other medication. Pt cannot remember none of the other medications that he was given at the hospital. Pt had complete and uneventful recovery.
Age: 13.0
Sex: M
Vaccine: HEP
Symptoms: Dizziness, Dyspnoea, Headache, Vomiting
Clinical narrative: Mother of pt called into MD's office on 5/30/01 to report pt had reaction to injection. Had injection at 16:00 and at approx. 19:30, had difficulty to breathe, hard time to take breath in. (Pt has history of allergy, but stated it wasn't that). Was light-headed. On 5/30/01, in the AM, pt vomited and had a headache. When parent reported it, it was 15:00 on 5/30/01. Per parent, pt is now better. No local reaction at injection site. Tolerated 2 other Hep-B vaccines, well.
Age: 2.0
Sex: F
Vaccine: IPV, MMR, VARCEL
Symptoms: Skin ulcer
Clinical narrative: Facial spots; greater than 10 lesions.
Age: 3.0
Sex: M
Vaccine: VARCEL
Symptoms: Pruritus, Urticaria
Clinical narrative: Pt is a 3 1/2 year old male who presents today for symptoms of urticaria. He received a varicella vaccination during a visit to the office on 5/15/01. He broke out in urticarial rash later that afternoon and this has become gradually worse over time. Mother has not given him anything yet for this. He has not been exposed to any other medications. He is not on any OTC or RX medications. He is on no alternative medication. Pt has had no previous immunization reactions. He is not allergic to medications. Has not had any hospitalizations. Pt had the injection administered in the right anterior thigh. Exam: NAD. He said that his rash "tickles". Urticaria reaction with wheal and flare response over the extremities and buttocks. Very little involvement of the trunk or the face. Lungs are clear. No crackles or wheezes. Pharynx is nml. Neck supple. Lungs and heart are clear. Abdomen is soft without tenderness. Dx: acute Urticarial reaction. Suspect reaction to varicella vaccine. Will use Benadryl and/or Atarax as needed for urticarial reaction. I have advised mom to try and keep him cool. Use Tylenol for minor itching. If he should become worse a follow-up visit is indicated. Otherwise, careful exposure to eggs and egg based vaccines in the future.
Age: 2.0
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Rash
Clinical narrative: Rash under left arm, 2 weeks, post vax.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Erythema multiforme
Clinical narrative: Erythema Multiforme; onset 13 days, post varicella vax. Initial lesion over vaccine site.
Age: 45.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Blood pressure increased, Dysgeusia, Headache, Pain, Pyrexia
Clinical narrative: Low-grade fever of 100F, body ache, headache and taste change.
Age: 45.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Wheezing
Clinical narrative: Low-grade fever of 100F, body ache, headache and taste change.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site haemorrhage, Injection site swelling
Clinical narrative: Pt received 4 year vaccines; DTAP in upper left deltoid; Polio injection, SC, and MMR in right arm. Pt had redness and swelling at site of DTAP, measures 2" X 3" and a dime-sized bruise.
Age: 15.0
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, mild swelling 3" in diameter on right mid-thigh, minimal warmth without fluctuance, 48 hours, post vax of Trihibit. RX: Augmentin but doubt cellulitis.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 12cm by 10cm area of erythema and warmth on left biceps area.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Gait disturbance, Injection site erythema, Injection site swelling
Clinical narrative: Swelling at the site of injection with redness and swelling of the area causing limping when walking. No temperature.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Asthenia, Eye pain, Pyrexia, Tremor
Clinical narrative: Routine immunizations administered 5/29/01. Onset of elevated temperature (>104F), weakness, shaking and complaint of eyes hurting on 5/30/01.
Sex: F
Vaccine: HEPA, TD
Symptoms: Rash papular
Clinical narrative: Rash developed on legs and body several hours after shots given. No other Symptoms. Rash described as red, papular without itching, no fever. Otherwise feeling well. No specific therapy
Age: 2.0
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Cellulitis, Hypersensitivity
Clinical narrative: Pt seen in ER 5/27/01 per mom for ? vaccine/allergic reaction or cellulitis R elbow to shoulder- per vaccine administrator DPAT and Varivax were given R arm- Has been on Keflex times 2 days. Much less red and swollen today. Dr aware. Follow up on 10/25/02: "From mailed correspondence received on 08/27/01 it was reported, "Reviewed no additional information at this time.  This case is closed."
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site swelling, Swelling
Clinical narrative: Swelling to L upper arm noted 24 hrs post shots, extended from elbow to shoulder on exam by MD 5/26/01, resolved slowly over 1 week.
Age: 1.0
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Infection, Skin ulcer
Clinical narrative: Child started breaking out with lesions on 5/29/01, came into office on 6/1/01 for verification of varicella breakout.
Age: 16.0
Sex: F
Vaccine: TD
Symptoms: Injection site pain, Swelling
Clinical narrative: 1-2 hrs after receiving # 3 TD, pt developed pain and swelling L arm, moving arm with difficulty. Ice applied - Temp 98, acetaminophen 2 tab given. Relatives notified.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema
Clinical narrative: Immediately after administration of vaccine site became erythematous, 6cm in diameter. There were no reported late effects.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Injection site erythema, Injection site induration, Pyrexia
Clinical narrative: On 2/26/01 Mom reported immunization site was red and baby had a fever. Was seen on 2/28/01, and dime size red area on skin under IPV site with area of induration 1x2cm beneath. No tenderness, baby happy. Temp not taken.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site mass, Pruritus
Clinical narrative: Mom describes golf ball size lump L deltoid noted 4 days post Dapt IM and IPV sc given L arm on 5/24/01. No streaks, hives or airway problems. Used caladryl for itching. Lump decreased to flat by 5/29/01.
Age: 1.5
Sex: M
Vaccine: HIBV, IPV, MMR, VARCEL, HIBV, IPV, MMR, VARCEL
Symptoms: Injection site swelling, Swelling
Clinical narrative: Pt's Mom noticed area to Rt upper leg swollen. When awaking on 5/25/01 in AM. Pt check at hlth dept at 2pm. Rt leg swollen from knee to hip area- no redness or heat to area.
Age: 1.5
Sex: M
Vaccine: HIBV, IPV, MMR, VARCEL, HIBV, IPV, MMR, VARCEL
Symptoms: Injection site swelling
Clinical narrative: Pt's Mom noticed area to Rt upper leg swollen. When awaking on 5/25/01 in AM. Pt check at hlth dept at 2pm. Rt leg swollen from knee to hip area- no redness or heat to area.
Age: 17.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Dizziness, Dysarthria, Dyspnoea, Epistaxis
Clinical narrative: Difficulty breathing, wheezing, paleness, weakness, dizziness, fainted, slurred speech, nose bleed and fever.
Age: 17.0
Sex: F
Vaccine: HEP
Symptoms: Pallor, Pyrexia, Syncope, Wheezing
Clinical narrative: Difficulty breathing, wheezing, paleness, weakness, dizziness, fainted, slurred speech, nose bleed and fever.
Age: 25.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Red, swollen and painful 2cm X 3cm.
Age: 9.0
Sex: M
Vaccine: HEP
Symptoms: Erythema, Urticaria
Clinical narrative: Mom called to the clinic and stated pt had red rash/hives for 2-3 days, post vax. Denies pain and no fever.
Age: 5.0
Sex: F
Vaccine: DTP, IPV, MMR
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: The arm at site of injection, swelled up severely and was burning, red-hot. The ER administered Benadryl and topically with triamcinolone cream.
Age: 1.7
Sex: M
Vaccine: VARCEL
Symptoms: Cough, Eye disorder, Infection, Pyrexia, Rash
Clinical narrative: 5/10/01; increased fever of 105F, not reduced by Tylenol until the next day. (Cough, eye infection the following week). Went to ER at 20:00. 5/11/01; rash on upper left thigh in the afternoon and rash on right leg and left foot in the evening.
Age: 1.5
Sex: M
Vaccine: HEP, IPV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 9cm X 7cm area of erythema and induration <24 hours, post vax, at site of DTAP.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth, Urticaria
Clinical narrative: 9cm X 16cm red, warm area. Onset on 5/15/01 PM, quarter-sized. On 5/16/01, it was egg-sized and an area of hives. On 5/17/01, it was orange-sized. Placed on antibiotic therapy.
Sex: U
Vaccine: DTAP, MMR, OPV, VARCEL
Symptoms: Herpes zoster, Infection
Clinical narrative: Shingles 4/01. Typical dermatitis type rash on right chest wall.
Age: 51.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Vaccinated 5/17/01 with TD adult in right deltoid. Developed increased redness and swelling and was placed on Medrol dose pack on 5/24/01.
Age: 34.0
Sex: F
Vaccine: TD
Symptoms: Migraine, Neck pain, Shoulder pain
Clinical narrative: The pt experienced a migraine due to neck and shoulder pain, temp of 38.5-39.8 Celcius in the (Ear), shivers, pain in whole body, sharp pain within left side of rib cage. Received cortisone shot.
Age: 1.25
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Injection site erythema, Injection site reaction
Clinical narrative: 12 hours post vax, the pt developed areas of local irritation, redness at the vax site which occurred on both upper thighs. The left thigh was 3 x 2 inches, and the right thigh was 1 inch. No cellulitis was noted.
Age: 45.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Arthralgia, Erythema, Lacrimation increased, Pyrexia, Rash maculo-papular
Clinical narrative: Information has been received from a health professional concerning a 45 year old female with no known allergies, no illness at the time of vaccination and a history of joint pain who on 04/11/01 was vaccinated with the first dose of MMR. There was no concomitant medication. On 04/21/01, the patient developed a fever ranging from 99-102 degrees. On 04/25/01, the patient developed a full body red maculopapular rash. In April 2001, the patient experienced some joint and muscle pain, olive size nodules behind the ears, watery eyes, and nasal discharge. As of 04/27/01, the patient's rash and fever were better. The patient treated her fever with acetaminophen (Tylenol) and rested at home. She delayed starting a new job due to her symptoms. The patient recovered on 05/04/01. The reporting health professional considered the patient's fever, red maculopapular rash, joint pain, olive-sized nodules behind ears, watery eyes, and nose to be disabling. No further info is available.
Age: 45.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Rhinorrhoea, Skin nodule
Clinical narrative: Information has been received from a health professional concerning a 45 year old female with no known allergies, no illness at the time of vaccination and a history of joint pain who on 04/11/01 was vaccinated with the first dose of MMR. There was no concomitant medication. On 04/21/01, the patient developed a fever ranging from 99-102 degrees. On 04/25/01, the patient developed a full body red maculopapular rash. In April 2001, the patient experienced some joint and muscle pain, olive size nodules behind the ears, watery eyes, and nasal discharge. As of 04/27/01, the patient's rash and fever were better. The patient treated her fever with acetaminophen (Tylenol) and rested at home. She delayed starting a new job due to her symptoms. The patient recovered on 05/04/01. The reporting health professional considered the patient's fever, red maculopapular rash, joint pain, olive-sized nodules behind ears, watery eyes, and nose to be disabling. No further info is available.
Age: 45.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Arthralgia, Lacrimation increased, Myalgia, Pyrexia, Rash maculo-papular
Clinical narrative: Information has been received from a health professional concerning a 45 year old female with no known allergies, no illness at the time of vaccination and a history of joint pain who on 04/11/01 was vaccinated with the first dose of MMR. There was no concomitant medication. On 04/21/01, the patient developed a fever ranging from 99-102 degrees. On 04/25/01, the patient developed a full body red maculopapular rash. In April 2001, the patient experienced some joint and muscle pain, olive size nodules behind the ears, watery eyes, and nasal discharge. As of 04/27/01, the patient's rash and fever were better. The patient treated her fever with acetaminophen (Tylenol) and rested at home. She delayed starting a new job due to her symptoms. The patient recovered on 05/04/01. The reporting health professional considered the patient's fever, red maculopapular rash, joint pain, olive-sized nodules behind ears, watery eyes, and nose to be disabling. No further info is available.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Apnoea
Clinical narrative: Information has been received from an LPN concerning a 2 month old male with no known drug allergies and a history of premature birth at 29 weeks, pulmonary valve stenosis and eye vision problem who on 5/11/01 was vaccinated with 1 dose of haemophilus b conjugate vaccine + Hep-B vaccine recombinant (yeast). There were no concomitant medications or concurrent diseases. On 5/12/01, the pt had an apneic episode and was hospitalized. The pt recovered from the episode and was discharged from the hospital. It was indicated that the reporter was not sure if the haemophilus b conjugate vaccine + Hep-B vaccine recombinant (yeast) was the cause of the apnea. No further information was provided. Additional information has been requested.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Thrombocytopenia, Thrombocytopenic purpura
Clinical narrative: Information has been received on 5/30/01 concerning a 4 month old male received his second dose of DTAP, HIB and IPV. One week, post vax, he developed thrombocytopenia. A dx of thrombocytopenic purpura was made. Platelet count was 11,000 cells/mm3. He recovered. This event was considered "Medically Important".
Sex: M
Vaccine: DTP
Symptoms: Neurological symptom
Clinical narrative: An attorney alleged that a male child received 9 doses of vaccines containing thimerosal from 10/96 to 10/98. It is alleged that, as a result of the cumulative toxicity of the thimerosal contained in those vaccines, the child suffered and "in the future will continue, to suffer, from the toxic neurological effects of mercury poisoning."
Age: 5.0
Sex: F
Vaccine: DTAP, MMR, OPV
Symptoms: Paralysis
Clinical narrative: This child had paralysis of the left arm after OPV. The annual follow up states that the vaccine recipient continues to have the same symptoms from the condition previously reported-dense weakness of left arm, no change or no increase in symptoms.
Age: 1.4
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Injection site erythema, Injection site oedema, Irritability, Pyrexia
Clinical narrative: 24 hours post vax, the pt experienced a large area of redness and swelling which spread across the thigh approximately 11 1/2 x 6 cm. Pt was very irritable and ran a fever. Swelling starting to decrease.
Age: 1.7
Sex: F
Vaccine: PNC
Symptoms: Irritability, Pyrexia
Clinical narrative: The pt developed a fever of 99.8, was irritable for 5 days.
Age: 4.0
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site reaction
Clinical narrative: Mother called to report that the pt had a reaction to the vax. She noticed swelling of the left thigh injection area. There was a large red area that was hard and the size of a grapefruit. She called the ER and was instructed to apply ice. There was no decrease in the swelling. Ther was no fever. The MD thought the swelling was cellulitis related to the DTAP vax
Age: 1.25
Sex: F
Vaccine: VARCEL
Symptoms: Injection site rash, Pyrexia, Urinary tract infection
Clinical narrative: The pt experienced a rash at the injection site than spread over both legs, abdomen, developed urinary infection. Not sure if UTI was related to vaccine. Fever was 103.
Age: 35.0
Sex: F
Vaccine: VARCEL
Symptoms: Arthralgia, Injection site erythema, Pruritus
Clinical narrative: The pt experienced a 4x5 cm area of erythema at the vax site. Elbow and shoulder joint pain with localized pruritus.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site reaction, Injection site warmth, Rash erythematous
Clinical narrative: Mother states the pt woke up one day post vax with red raised area on top of the leg around the vax site, was also red, hot to the touch. Pt was given Atarax in ER on 5/26/01.
Age: 37.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth, Oedema
Clinical narrative: The pt complained of extreme redness approximately 4 inches in diameter around the injection site with edema from site to wrist area. Pain at the site and down arm to wrist. Still has pain in right arm 8 days later. Pt complained of site hot to the touch. No drainage from site.
Age: 37.0
Sex: F
Vaccine: TD
Symptoms: Pain
Clinical narrative: The pt complained of extreme redness approximately 4 inches in diameter around the injection site with edema from site to wrist area. Pain at the site and down arm to wrist. Still has pain in right arm 8 days later. Pt complained of site hot to the touch. No drainage from site.
Age: 17.0
Sex: F
Vaccine: MEN
Symptoms: Coma, Dizziness, Dyskinesia, Eye disorder, Eye movement disorder
Clinical narrative: 15 minutes post vax, the pt "didn't feel well" and was dizzy. She collapsed to the floor, was unresponsive, but respirations and pulse were ok. Face was pale but cyanotic. She experienced eye twitching with eyes rolling and then bilateral upper extremity stiffening and jerking. She then became alert.
Age: 17.0
Sex: F
Vaccine: MEN
Symptoms: Malaise, Muscle twitching, Musculoskeletal stiffness, Pallor
Clinical narrative: 15 minutes post vax, the pt "didn't feel well" and was dizzy. She collapsed to the floor, was unresponsive, but respirations and pulse were ok. Face was pale but cyanotic. She experienced eye twitching with eyes rolling and then bilateral upper extremity stiffening and jerking. She then became alert.
Age: 72.0
Sex: F
Vaccine: TTOX
Symptoms: Headache, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: 24 hours post vax, the pt experienced a progressive local erythema, tenderness, induration and heat with headaches which lasted 3 days.
Age: 45.0
Sex: F
Vaccine: LYME, LYME
Symptoms: Headache, Myalgia, Pyrexia
Clinical narrative: The pt experienced extreme fatigue, achiness, cold and then extreme intracranial pressure. rushed to the hospital by ambulance. Given shot of epinephrine, Benadryl. Held for 6 hours for observation.
Age: 45.0
Sex: F
Vaccine: LYME, LYME
Symptoms: Fatigue, Feeling cold, Intracranial pressure increased, Pain
Clinical narrative: The pt experienced extreme fatigue, achiness, cold and then extreme intracranial pressure. rushed to the hospital by ambulance. Given shot of epinephrine, Benadryl. Held for 6 hours for observation.
Age: 3.0
Sex: M
Vaccine: HEPA, PNC, HEPA, PNC
Symptoms: Abasia, Arthropathy, Fluid retention
Clinical narrative: An MA reported that a 3 year old male with NKDA and no past medical history who on 05/17/01 was vaccinated in the upper thigh with a first dose of hepatitis A virus vaccine inactivated. The concomitant vaccine was Prevnar, which the pt received in the opposite upper thigh. It is not known which vaccine was given in which thigh. The pt had no illnesses at the time of the vaccinations. On 05/25/01, the pt. was unable to walk and was seen by a physician. The physician did a right hip x-ray that yielded a negative result. On 05/25/01, the pt. was sent to an orthopedic clinic and evaluated by an orthopedic surgeon. The orthopedic surgeon ordered a right hip ultrasound. The ulrasound reported a right hip effusion. On 05/25/01 an arthocentesis was performed. The physician did not think that the right hip effusion was related to vaccinations, but the orthopedic surgeon thought the effussion was the result of the vaccine, not necessarily the injection or technique of administration. It was noted that the child was treated and released from the hospital on 05/25/01. During a phone followup with the mother of the child, it was reported that the child recovered from his inability to walk. It was unknown if medication was ordered after the procedure. Upon internal review hip effusionn was determined to be an other important medical event. FOLLOW-UP information has been received from a HCP which indicated that she was unaware of any changes regarding the patient's status. FOLLOW-UP information recived on 11/13/2001 from a physician indicated that no further information was available concerning the patient. No further infornmation is available.
Age: 3.0
Sex: M
Vaccine: HEPA, PNC, HEPA, PNC
Symptoms: Abasia, Joint effusion
Clinical narrative: An MA reported that a 3 year old male with NKDA and no past medical history who on 05/17/01 was vaccinated in the upper thigh with a first dose of hepatitis A virus vaccine inactivated. The concomitant vaccine was Prevnar, which the pt received in the opposite upper thigh. It is not known which vaccine was given in which thigh. The pt had no illnesses at the time of the vaccinations. On 05/25/01, the pt. was unable to walk and was seen by a physician. The physician did a right hip x-ray that yielded a negative result. On 05/25/01, the pt. was sent to an orthopedic clinic and evaluated by an orthopedic surgeon. The orthopedic surgeon ordered a right hip ultrasound. The ulrasound reported a right hip effusion. On 05/25/01 an arthocentesis was performed. The physician did not think that the right hip effusion was related to vaccinations, but the orthopedic surgeon thought the effussion was the result of the vaccine, not necessarily the injection or technique of administration. It was noted that the child was treated and released from the hospital on 05/25/01. During a phone followup with the mother of the child, it was reported that the child recovered from his inability to walk. It was unknown if medication was ordered after the procedure. Upon internal review hip effusionn was determined to be an other important medical event. FOLLOW-UP information has been received from a HCP which indicated that she was unaware of any changes regarding the patient's status. FOLLOW-UP information recived on 11/13/2001 from a physician indicated that no further information was available concerning the patient. No further infornmation is available.
Age: 0.13
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Coma, Pallor, Shock, Syncope
Clinical narrative: Within 24 hours, the patient collapsed and was in a shock-like state, paramedics called and the child was improving. He was monitored over night at the hospital, no treatment, CPR and pulse ox used to monitor; the patient described as white colored and non responsive for 3-4 minutes.
Age: 2.0
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Injection site reaction, Urticaria
Clinical narrative: Child broke out in hives around injection site, this happened immediately. Dr gave Claritin, Pt monitored for 1 hr sent home and told to give Benadryl Q4.
Age: 0.49
Sex: M
Vaccine: PNC
Symptoms: Pyrexia, Tachycardia
Clinical narrative: On 4/27/01 mother called with information on child reaction, child slept all afternoon of vaccine (2/28/01) had rapid heart rate, Temperature of 104 for approximately 30 minutes, Tylenol given and fever reduced child ok next day after vaccine given. Mother said she had written note from Dr that child should not receive any more Prevnar.
Age: 0.72
Sex: F
Vaccine: PNC
Symptoms: Urticaria
Clinical narrative: Vaccine administered and mother left with the pt, approximately 45 minutes later the mother called and stated pt had hives all over. Dr ordered Benadryl PO q6hr.
Age: 5.0
Sex: M
Vaccine: HEPA, PNC
Symptoms: Injection site erythema, Neurodevelopmental disorder, Tenderness
Clinical narrative: Redness and tender from hip to knee around shot site. The follow up states child has developmental delays.
Age: 3.0
Sex: M
Vaccine: HEPA, PNC
Symptoms: Hypotonia, Swelling
Clinical narrative: Localized swelling entire thigh including knee, limp.
Age: 4.0
Sex: F
Vaccine: PNC
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 12cm x 7cm localized erythematous, induration patch.
Age: 1.6
Sex: M
Vaccine: DTAP, HEP, IPV, PNC
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Severe local reaction with redness, warmth, swelling of entire upper leg. Stiff in AM - hesitient to bear wt.
Age: 1.08
Sex: F
Vaccine: DTAP, HBHEPB, MMR, PNC
Symptoms: Pyrexia, Screaming
Clinical narrative: Woke up @ 3am and was given tylenol for fever 103F, at 8am cried & screamed inconsolably until afternoon, about 6 hours according to mom. Had low grade fever on 5/20/01 and on 5/21/01 no fever. No history of redness or swelling of extremities or rashes.
Age: 65.0
Sex: M
Vaccine: HEP
Symptoms: Angioneurotic oedema
Clinical narrative: Seen in office 5/30/01 with angioedema of lips, treated with Benadryl and Medrol dose pack
Age: 3.0
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Erythema, Injection site induration, Rash macular, Swelling
Clinical narrative: Red swollen hard leg with red blotches throughout the upper leg. IPV & Hepatitis B vaccines given on (L) upper thigh on 5/2/01.
Age: 4.0
Sex: F
Vaccine: DTAP, HEP, IPV
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: 7cm in length and width of redness painful to palpatation. Site left thigh. Claritin 10mg 3/4cc daily, Diprolene AF cream apply thin layer 2 x a day. Amoxil 200mg 1tsp. bid
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Urticaria
Clinical narrative: Urticarial rash secondary to DTAP preservative? L leg cool compresses, Benadryl.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Gastrointestinal disorder, Hallucination, Headache, Nausea, Pyrexia
Clinical narrative: 2 hrs after shots, spiked fever 103, nausea, emesis every 1 hr and hallucinations. Mom took child to doctors office - she was told it was the stomach flu, also C/O headaches
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Vomiting
Clinical narrative: 2 hrs after shots, spiked fever 103, nausea, emesis every 1 hr and hallucinations. Mom took child to doctors office - she was told it was the stomach flu, also C/O headaches
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Asthenia, Vomiting
Clinical narrative: Vomiting times 2 times today, weak
Age: 36.0
Sex: M
Vaccine: UNK
Symptoms: Chest pain, Cough decreased, Dyspnoea, Fatigue, Headache
Clinical narrative: Sudden onset of flu-like symptoms, to include high fever, severe cough, headache, muscle pains and extreme exhaustion. Doctor's visit on day three recorded fever still at 100. Severe cough and and chest pain/discomfort through day six including difficult breathing on day 1.
Age: 36.0
Sex: M
Vaccine: UNK
Symptoms: Influenza like illness, Myalgia, Pyrexia
Clinical narrative: Sudden onset of flu-like symptoms, to include high fever, severe cough, headache, muscle pains and extreme exhaustion. Doctor's visit on day three recorded fever still at 100. Severe cough and and chest pain/discomfort through day six including difficult breathing on day 1.
Age: 1.5
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: The pt experienced a localized reaction to the right deltoid with 5-7cm erythema, and non-tender swelling. The child received vaccines on 5/23/01. Mother noticed the area this morning. Advised warm compresses.
Age: 18.0
Sex: U
Vaccine: MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Vaccines administered @ 12:00, after checking out and going home pt returned and reported hives on both upper and lower extremities @ 12:45 (no swelling of lips, tongue, throat) administered benadryl 25mg IM, PO benadryl 25mg Q6 x 2 days. No further problem.
Age: 18.0
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Rash, Tenderness
Clinical narrative: 5/19/01 rash developed on Rt leg - extended from ankle to mid calf. rash sore to touch had  elevated temp of 102.7, the increased temp lasted until 5am. Continue to have rash on Rt leg.
Age: 20.0
Sex: M
Vaccine: TD
Symptoms: Chills, Myalgia, Somnolence
Clinical narrative: The pt experienced drowsiness, chills, and myalgia.
Age: 36.0
Sex: F
Vaccine: VARCEL
Symptoms: Arthralgia, Injection site rash, Myalgia, Neck pain
Clinical narrative: The pt was seen in the Dr's office for left shoulder, neck and arm pain affecting th trapezius. She was prescribed Flexeril, Ultram, and Baclofen. On 10/24/2000 she was seen again for a rash that had developed at the injection site. It was noted that the Dr feels the pain in the shoulder and trapezius is related to the injection of the vaccine.
Age: 19.0
Sex: F
Vaccine: MEN
Symptoms: Bacterial infection, Meningitis
Clinical narrative: On 05/31/2001 this patient's mother called to report that this patient came down with bacterial meningitis on 05/27/01.
Sex: U
Vaccine: DTAP, HIBV
Symptoms: Drug toxicity, Neurodevelopmental disorder
Clinical narrative: Information has been received on May 15, 2001, from a consumer concerning her child (age and gender unspecified). Medical history was not provided. The patient experienced developmental delay (developmental delay NOS) due to mercury toxicity (metal poisoning) following immunization with Acel-Imune and Hib-Titer vaccines. The mercury toxicity was considered medically important. No further information was available at the time of this report.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: The child received vax on 3/20/01. Developed a fever that night to 103. Was taken to ER and rests were done to rule out sepsis.
Age: 1.0
Sex: M
Vaccine: HIBV, VARCEL
Symptoms: Platelet count decreased, Thrombocytopenic purpura
Clinical narrative: The pt experienced idiopathic thrombocytopenia purpura which was diagnosed on 2/5/01.
Age: 2.0
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site reaction, Injection site swelling
Clinical narrative: The pt experienced localized erythema and swelling. Treated with antibiotics. diagnosis-- cellulitis
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Pyrexia, Sepsis, Tremor
Clinical narrative: The pt received vaccines on 5/8/01 and on 5/8/01 PM the pt developed fever, shaking episode and brought to the ER. The pt was admitted to rule out sepsis.  Diagnosis was fever only.
Age: 1.25
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Drug ineffective, Infection, Skin disorder
Clinical narrative: The pt developed minor case of chicken pox with impetigo which was secondary.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Irritability, Pyrexia, Screaming, Vomiting
Clinical narrative: The pt experienced a fever of 102, fussiness, high pitch screeching cry, vomiting, crying lasted for 3 hours.
Age: 0.75
Sex: M
Vaccine: IPV, PNC
Symptoms: Irritability, Pyrexia
Clinical narrative: On 5/24/01 the pt was fussy in the PM with a fever of 104. The following AM seen in the office.
Age: 1.25
Sex: M
Vaccine: MMR
Symptoms: Condition aggravated, Diarrhoea, Rash papular, Skin burning sensation
Clinical narrative: Within 48 hours, the pt experienced a rash on his chest. He experienced 4 days of skin burning, diarrhea, an increase in eczema to cover all of body. He then experienced a spotted rash all over his face from day 8-14 post vax. No measles were determined. Doctor stated he was reacting to the vaccine and building antibodies.