chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 50.0
Sex: F
Vaccine: HEP
Symptoms: Bacterial infection, Cellulitis, Erythema, Hypersensitivity, Leukocytosis
Clinical narrative: Developed raised purpuric lesions on lower extremities 3-4 days after receiving Hep B #1 and PPD placement through another provider. Lesions spread to trunk and upper extremities. Biopsy confirmed HSP/hypersensitivity vasculitis. No other meds/exposure prior to onset.  Medical Record received on 12/15/2004 states pt experienced cellulitis, open leg wounds, bacterial infection, leukocytosis, leg edema and erythema legs. Follow up 02/07/05: Extensive vasculitis lesions (Hypersensitvity vasculitis of the adult) in lower extremities. In differnt stages of recovery. One of the lesions in the posterior thigh got infected with an abcess, that required surgical drainage. As per annual follow up report Patient moved no longer her provider.
Age: 50.0
Sex: F
Vaccine: HEP
Symptoms: Oedema peripheral, Purpura, Skin ulcer, Vasculitis
Clinical narrative: Developed raised purpuric lesions on lower extremities 3-4 days after receiving Hep B #1 and PPD placement through another provider. Lesions spread to trunk and upper extremities. Biopsy confirmed HSP/hypersensitivity vasculitis. No other meds/exposure prior to onset.  Medical Record received on 12/15/2004 states pt experienced cellulitis, open leg wounds, bacterial infection, leukocytosis, leg edema and erythema legs. Follow up 02/07/05: Extensive vasculitis lesions (Hypersensitvity vasculitis of the adult) in lower extremities. In differnt stages of recovery. One of the lesions in the posterior thigh got infected with an abcess, that required surgical drainage. As per annual follow up report Patient moved no longer her provider.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Dehydration, Headache, Nausea, Vomiting
Clinical narrative: Severe headaches w/ nausea and vomiting, dehydration etc x 8 days
Age: 70.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Arthralgia, Hypokinesia, Injection site erythema, Injection site reaction, Oedema
Clinical narrative: After four hours developed red ring about vaccine injection site then entire arm became swollen to wrist. Client reports swelling was severe enough she could not raise her arm. 72 hours after inj mild swelling persists in arm and elbow area with c/o joint pain. Benadryl helped a little. Dr advised using Motrin 2 BID and call if symptoms persist. Follow Up: Reaction at Pneumovax site.
Age: 46.0
Sex: F
Vaccine: FLUN3
Symptoms: Nausea, Paraesthesia
Clinical narrative: Immediately after administration of Flumist, Pt felt nauseous. Within 15 minutes she noticed tingling in her hands and feet which lasted for a couple hours. Pt noticed intermittent tingling the next morning.
Age: 9.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: Pt had flat area of erythema, slightly warm to touch 2x3cm with irregular boarder, 4cm below injection site negative protein stain, injection site with erythema given Keflex PO.
Age: 15.0
Sex: F
Vaccine: FLU3, HEP, TD
Symptoms: Dyspnoea, Throat tightness
Clinical narrative: Mother called office on 10/1/04 to report seen at pt first evening of immunizations for difficulty breathing and throat constriction. Reports given IM Benadryl w/resolution of symptoms.
Age: 43.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Chills, Headache, Hyperhidrosis, Hypertonia
Clinical narrative: On 10/27/04, pt noted burning sensation when given anthrax vaccine booster SC over left deltoid. Within 1-2 hrs pt experienced the onset of a frontal, dull aching headache, generalized body aches and chills. By 1400 he felt so bad he left work. When he awoke on 10/18/04 he continued to experience a dull aching headache, as well as chills, sweats, generalized body aches and stiffness and knee pain (r-l). Pt was able to carry out daily duties but noted symptoms on and off throughout the day. Also on AM of 10/28/04, pt noted local reaction. There was localized swelling, redness, pruritus and tenderness approx 80mm x 40mm surrounding the vaccine site. He presented on AM of 10/29/04 with above complaints. Treated with TID Motrin 800 mg and topical corticosteroid cream.
Age: 43.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site oedema, Myalgia, Pruritus, Skin burning sensation
Clinical narrative: On 10/27/04, pt noted burning sensation when given anthrax vaccine booster SC over left deltoid. Within 1-2 hrs pt experienced the onset of a frontal, dull aching headache, generalized body aches and chills. By 1400 he felt so bad he left work. When he awoke on 10/18/04 he continued to experience a dull aching headache, as well as chills, sweats, generalized body aches and stiffness and knee pain (r-l). Pt was able to carry out daily duties but noted symptoms on and off throughout the day. Also on AM of 10/28/04, pt noted local reaction. There was localized swelling, redness, pruritus and tenderness approx 80mm x 40mm surrounding the vaccine site. He presented on AM of 10/29/04 with above complaints. Treated with TID Motrin 800 mg and topical corticosteroid cream.
Age: 43.0
Sex: M
Vaccine: ANTH
Symptoms: Tenderness
Clinical narrative: On 10/27/04, pt noted burning sensation when given anthrax vaccine booster SC over left deltoid. Within 1-2 hrs pt experienced the onset of a frontal, dull aching headache, generalized body aches and chills. By 1400 he felt so bad he left work. When he awoke on 10/18/04 he continued to experience a dull aching headache, as well as chills, sweats, generalized body aches and stiffness and knee pain (r-l). Pt was able to carry out daily duties but noted symptoms on and off throughout the day. Also on AM of 10/28/04, pt noted local reaction. There was localized swelling, redness, pruritus and tenderness approx 80mm x 40mm surrounding the vaccine site. He presented on AM of 10/29/04 with above complaints. Treated with TID Motrin 800 mg and topical corticosteroid cream.
Age: 43.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site oedema, Pruritus, Tenderness
Clinical narrative: Pt received Anthrax vaccine #6 SC over the right deltoid area on 10/7/04. The evening after vaccine receipt she noted some local swelling, tenderness, pruritis and redness surrounding site. The reaction was worse this AM when she awoke and has become more tender following her PT test this afternoon. She denies significant systemic symptoms. She has never had a significant local reaction with previous anthrax vaccines. Treated wit Allegra, Diprolene cream and Motrin.
Age: 24.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site oedema, Insomnia, Pruritus, Tenderness
Clinical narrative: Received AVA #6 on 19Oct in left deltoid area. Pt noted that the vaccine site was red, swollen, pruritic and tender that evening and symptoms were worse upon awakening on 10/20/04. Increased tenderness with active ROM. Experienced difficulty sleeping last night due to pruritus and tenderness.
Age: 24.0
Sex: F
Vaccine: ANTH
Symptoms: Vaccine positive rechallenge
Clinical narrative: Received AVA #6 on 19Oct in left deltoid area. Pt noted that the vaccine site was red, swollen, pruritic and tender that evening and symptoms were worse upon awakening on 10/20/04. Increased tenderness with active ROM. Experienced difficulty sleeping last night due to pruritus and tenderness.
Age: 57.0
Sex: F
Vaccine: ANTH, HEP
Symptoms: Injection site erythema, Injection site oedema, Pruritus, Rash papular, Tenderness
Clinical narrative: On Oct 26th, 2004, pt received anthrax vaccine #6 SC along with Hep B IM in her left deltoid region. On Oct27th, 2004 pt noted redness, tenderness, pruritus and swelling surrounding vaccine site(s). Area increased in size by AM of 10/28/04, has had similar reactions with previous anthrax vaccines. Also on 10/28/04 noted small, round area of individual pruritic papules; has never experienced similar lesions and has not noted papules anywhere else on her body.
Age: 57.0
Sex: F
Vaccine: ANTH, HEP
Symptoms: Vaccine positive rechallenge
Clinical narrative: On Oct 26th, 2004, pt received anthrax vaccine #6 SC along with Hep B IM in her left deltoid region. On Oct27th, 2004 pt noted redness, tenderness, pruritus and swelling surrounding vaccine site(s). Area increased in size by AM of 10/28/04, has had similar reactions with previous anthrax vaccines. Also on 10/28/04 noted small, round area of individual pruritic papules; has never experienced similar lesions and has not noted papules anywhere else on her body.
Age: 60.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Fatigue, Headache, Influenza like illness, Injection site oedema, Myalgia
Clinical narrative: In January 2003, pt was due to be deployed. He was screened for his first anthrax vaccine and SPV (revaccine). He informed the physician that he was taking medications for DM and HTN and was told that he should do fine. He received both vaccines on 4Feb03 in separate arms. Within 24 hours he developed flu like symptoms (body aches, headaches, fatigue), that lasted approximately 4-5 days. The vaccination site of the anthrax vaccine was slightly swollen and tneder to palpation (2 inches surrounding) with a small nodule at the site. The smallpox vaccination site was determined to be a major reaction around day 7. Approx 7-10 days following the vaccines, pt got up early to get ready for work. While in the shower he began seeing 2 big yellow spots; he could not see his hand directly in front of his eyes; if he closed one eye he saw 1 yellow spot; could see a little in the extreme peripheral fields. He stood still for a few minutes and the spots gradually started to diminish and totally disappeared within 5-8 minutes from onset. After he got off the ship (a couple weeks later), he went to see an ophthalmologist and was told his exam was normal. He was also seen by the union doctor and was told nothing was wrong. He has had not recurrence of similar visual changes. He has no history of eye disease.
Age: 60.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Tenderness, Visual disturbance
Clinical narrative: In January 2003, pt was due to be deployed. He was screened for his first anthrax vaccine and SPV (revaccine). He informed the physician that he was taking medications for DM and HTN and was told that he should do fine. He received both vaccines on 4Feb03 in separate arms. Within 24 hours he developed flu like symptoms (body aches, headaches, fatigue), that lasted approximately 4-5 days. The vaccination site of the anthrax vaccine was slightly swollen and tneder to palpation (2 inches surrounding) with a small nodule at the site. The smallpox vaccination site was determined to be a major reaction around day 7. Approx 7-10 days following the vaccines, pt got up early to get ready for work. While in the shower he began seeing 2 big yellow spots; he could not see his hand directly in front of his eyes; if he closed one eye he saw 1 yellow spot; could see a little in the extreme peripheral fields. He stood still for a few minutes and the spots gradually started to diminish and totally disappeared within 5-8 minutes from onset. After he got off the ship (a couple weeks later), he went to see an ophthalmologist and was told his exam was normal. He was also seen by the union doctor and was told nothing was wrong. He has had not recurrence of similar visual changes. He has no history of eye disease.
Age: 50.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Oedema, Similar reaction on previous exposure to drug, Skin exfoliation
Clinical narrative: Pt received Pneumovax 23 injection on 08/04/04 and reported to emergency dept on 08/08/04 reporting redness and peeling associated with the minimal swelling. Involves most of his cheeks and forehead. No difficulty swallowing, seeing, breathing, eating, He states that he has had a reaction to a vaccine in the past.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Feeling hot, Pain, Rash erythematous
Clinical narrative: Red rash above elbow, all the way around arm. Very hot to the touch and sore.
Age: 50.0
Sex: F
Vaccine: UNK
Symptoms: Feeling hot, Hot flush, Injection site erythema, Pruritus
Clinical narrative: I felt a flush of heat and itching travel up my left forearm and when I looked at my arm it was red and hot.
Age: 0.62
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Rash maculo-papular, Vomiting
Clinical narrative: Vomiting 8 times a day for 2 days, rash thigh vaccine site, macules and papules, Both resolved with suppertive care
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Difficulty in walking, Injection site pain
Clinical narrative: Pain in left leg at site of admin and refusal to walk, persisted from day 4 to day 8 after vaccination.
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Screaming
Clinical narrative: Inconsolable crying for 5 hrs beginning 1 hour after 2 mo set immunizations.
Age: 0.12
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Convulsion, Crying, Myoclonus, Pyrexia, Screaming
Clinical narrative: Inconsolable crying and jaw clenching with myoclonic jerks beginning 5 hrs post vaccination, lasting for 6 hrs. Temp 100.2 in ER.
Age: 1.09
Sex: M
Vaccine: DTAPHEPBIP, PNC, UNK
Symptoms: Abscess, Pharyngitis, Rhinitis
Clinical narrative: 09/03/04 received Pediarix in RT,  Pedivax in LT, PCV 7 in LT, at time of Vax reaction. 9/10/04 returned to clinic with c/o cold symptoms and cold abscess on side of leg (not specific) No treatment for abscess.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Rec'd Dtap #5 10/26/04 woke up 10/28/04 with red and swollen arm. Area 15cmx14cm warm, red, swollen, Tx with Benadryl.
Age: 0.51
Sex: M
Vaccine: BCG, DTAP, HEP, HIBV
Symptoms: Pyrexia
Clinical narrative: On 10/27/04 Mother stated baby had fever 103-104 with last shots (last 2 sets).
Age: 1.53
Sex: M
Vaccine: DTAP
Symptoms: Blister, Contusion, Erythema, Injection site induration, Injection site swelling
Clinical narrative: Large extremely swollen area on arm around injection site, black and blue discoloration in middle; area at 4"x3". Very hot to touch. Red and blotchy around perimeter. Very hard and skin stretched and leathery, started to split and weep clear liquid. Next morning area covered with blisters; black gone. Vaccine given 10/26 and peaked 10/27 night. Next 3 days fever and fussiness. Told by doctor on 10/27 that this happened to 3 or 4 other children the last 2 weeks. No sleep for 5 nights. He refused to eat for 4 days; fever returned on fifth and sixth day.
Age: 1.53
Sex: M
Vaccine: DTAP
Symptoms: Injection site warmth, Irritability, Pyrexia, Rash macular, Skin exfoliation
Clinical narrative: Large extremely swollen area on arm around injection site, black and blue discoloration in middle; area at 4"x3". Very hot to touch. Red and blotchy around perimeter. Very hard and skin stretched and leathery, started to split and weep clear liquid. Next morning area covered with blisters; black gone. Vaccine given 10/26 and peaked 10/27 night. Next 3 days fever and fussiness. Told by doctor on 10/27 that this happened to 3 or 4 other children the last 2 weeks. No sleep for 5 nights. He refused to eat for 4 days; fever returned on fifth and sixth day.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site warmth, Swelling
Clinical narrative: Spoke with mom 10/28/04 9:00 AM. Stated daughter received shots on 10/26/04. Was fine on 10/26/04 and 10/27/04 AM. However, on 10/27/04 7:30 PM, mother noticed right upper arm swollen to tennis ball size and redness to golf ball size. Hot to touch, no streaks, no fever, no decreased range of motion. Giving Tylenol and cool compresses to arm. Told mom to call 10/29 with progress report. Mom called 10/29. Redness and swelling are subsiding. Call placed to mom on 11/2/04...arm back to normal on 10/31/04. No residual problems.
Sex: M
Vaccine: VARCEL
Symptoms: Abdominal pain upper, Pyrexia, Rash, Viral infection
Clinical narrative: Rash on arms, back and stomach. Temp 102, stomach ache. Diagnosed with varicella. (Received Varivax 7/11/96).
Age: 41.0
Sex: F
Vaccine: HEP
Symptoms: Decreased appetite, Dizziness, Flushing, Hyperhidrosis, Laboratory test abnormal
Clinical narrative: This is a 40 year old female who received a hepatitis B vaccine at 10 yesterday morning and then at 6 PM yesterday evening she began having sweats and a temperature of 102.0. Flushing, pruritus with no rash, and a heavy achy sensation in her arms and legs. She had some nausea last night and decreased appetite and has been thirsty. No vomiting. She has felt light headed. Rhinorrhea yesterday.
Age: 41.0
Sex: F
Vaccine: HEP
Symptoms: Nausea, Pruritus, Pyrexia, Sensation of heaviness, Thirst
Clinical narrative: This is a 40 year old female who received a hepatitis B vaccine at 10 yesterday morning and then at 6 PM yesterday evening she began having sweats and a temperature of 102.0. Flushing, pruritus with no rash, and a heavy achy sensation in her arms and legs. She had some nausea last night and decreased appetite and has been thirsty. No vomiting. She has felt light headed. Rhinorrhea yesterday.
Age: 87.0
Sex: F
Vaccine: FLUX
Symptoms: Myocardial infarction
Clinical narrative: This case concerns an 87 year old female pt.  The pt received a 0.5ml dose of influenza vaccine, manufacturer unknown, batch # not reported, given IM on 09/30/04.  On 10/1/04 the pt died at home during sleep. A post mortem was carried out, the cause of death was established as acute myocardial infarction. The pt was taking the following concomitant medications: Omeprazole, 20mg per mouth for gastritis since 01/17/00; Bendroflumethiazide, 2.5mg per mouth for essential hypertension since 03/18/03; Enalapril, 2.5mg per mouth for essential hypertension since 03/11/03; Salbutamol, 100mcg inhaler for acute bronchitis NOS between 04/22/03 and 08/11/04 and paracetamol 500mcg per mouth for localized osteoarthritis since 03/17/97.  No further information is expected, case is closed.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Agitation, Dehydration, Haematochezia
Clinical narrative: Information has been received from a mother concerning her 12 month old son who in May 2003 was vaccinated with a dose of MMRII, SC.  Subsequently, "8-9 days after administration," the pt had blood in his stool, was dehydrated and was inconsolable.  The pt was hospitalized. X-ray and blood test were reportedly performed, however results were not reported. No product quality complaint was performed. The reporter considered blood in stool, dehydrated and inconsolable to be immediately life-threatening. Additional information has been requested.
Age: 30.0
Sex: F
Vaccine: VARCEL
Symptoms: Abortion, Laboratory test abnormal, Unintended pregnancy
Clinical narrative: Information has been received through a manufacturer pregnancy registry from a consumer concerning his 30 year old girlfriend with no allergies who on 20Sep04 was vaccinated with a dose of varicella virus vaccine live. There was no concomitant medication. It was noted that she was 4 weeks pregnant when she was vaccinated. No medical attention was sought. Follow up information from the pt indicated that the her LMP was 23Aug04 and she received varicella virus vaccine live on 23Sep04. She was pregnant up until 20Oct04 when she had a termination. She reported that she had only one other pregancy and had also terminated that one in the past (year not reported). The pt stated that she did not have an OB/GYN and she sought additional information. she reported that she did not really want to terminate her pregnancy but thought that was the only thing she could do. No further details were provided. Follow up 03/03/05: Information received indicated patient died and lot number for vaccine not provided.
Age: 25.0
Sex: F
Vaccine: IPV, YF
Symptoms: Dysphagia, Wheezing
Clinical narrative: 1 hour after receiving vaccinations (for travel). The client experienced wheezing, difficulty swallowing. She did not take any medication. She has an epi pen for other allergies.
Age: 40.0
Sex: F
Vaccine: FLU3, HEPAB
Symptoms: Erythema, Hypersensitivity, Pruritus, Rash
Clinical narrative: Flu shot given approximately 11:00am. Client had indicated she had no allergies. 11:45 client returned complained of itching and red rash on neck. No wheezing or SOB. Denies dizziness, lightheadedness. Given Chlorpheniramine 90 mg tab PO. Observed x 30 min symptoms resolving by 12:20. After reaction client remembered previous allergic reaction to thimerosal in contact solution. Client counseled to only vaccine thimerosal free vaccine in future.
Age: 1.28
Sex: M
Vaccine: DTAP, FLU3
Symptoms: Urticaria
Clinical narrative: DTaP no. 4/ Influenza given at 10:45 am. Hives noted on face then diffuse on chest and back. Benadryl 50mg 1/4cc IM given 10:42am 028A5 98%. HR 130-140s.  RR40s. Transferred to hospital ER department. Check paramedic/ fire department left in stable condition requiring no treatment at 11AM.
Sex: U
Vaccine: FLUX
Symptoms: Discomfort, Dysuria, Vaginal haemorrhage
Clinical narrative: Consumer was administered with the influenza vaccine on 9/15/04. She started to feel discomfort at the time to urinate. Next Monday she was bleeding large blood clots. She went to the VA Emergency Room and doctor prescribed her with antibiotics.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Pain
Clinical narrative: Pain left deltoid to midsternal down to below left breast: down to finger tip. Achy pain.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site haemorrhage, Injection site warmth, Pain
Clinical narrative: Pain at right deltoid, right shoulder, right neck. Ecchymosis at site, hot to touch, increased bleeding at site. No anticoagulant meds or bleeding disorders.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Lymphangitis, Pyrexia
Clinical narrative: Lymphangitis secondary to smallpox vaccine. Fever probably related to viral syndrome.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Lymphangitis
Clinical narrative: Lymphangitis secondary to smallpox vaccination.
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Headache, Oedema, Pain, Pruritus
Clinical narrative: 40 year old received anthrax vaccine #5 in his right triceps area on 04AUG04. Within 24 hours he had progressive right arm edema, erythema and pain approximately >120 cm, but not below his elbow. He also reports having some localized "itching" and a "mild headache" that began the following day. He denies SOB, chest pains, fever, lymphedema, generalized rashes, arthralgias or myalgias.
Age: 0.76
Sex: M
Vaccine: DTAP, PNC
Symptoms: Petechiae
Clinical narrative: Child developed all over body rash within 1 hour of vaccine. Has been inconsolable for over 3 hours. Petechial rash. Given Advil 1.875 and .62 and Benadryl IM 10 mg.
Age: 1.53
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Pyrexia, Urticaria
Clinical narrative: Hives, fever within 12 hours of immunizations.
Age: 1.51
Sex: F
Vaccine: IPV
Symptoms: Pyrexia
Clinical narrative: Fever 102.5
Age: 22.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Stomach discomfort, Swelling, Tenderness
Clinical narrative: Following day my arm was swollen, red and sensitive to the touch. Felt sick to my stomach.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site reaction, Tenderness
Clinical narrative: 8 cm round, red, warm, tender area around shot site. Left deltoid.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Pyrexia
Clinical narrative: Fever began 8/5/04 up to 103.5 degrees. No other symptoms.
Age: 0.16
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia, Rash
Clinical narrative: Fever greater than 102. Non specific facial rash x 4 days.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: Swelling, redness and tenderness to left arm. 6x6cm area where MMR and IPV were given.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Swelling
Clinical narrative: Vaccines given 9/7/04. Patient presented for care 9/10/04. Left thigh warm to touch, slightly swollen. Afebrile.
Age: 35.0
Sex: M
Vaccine: HEPA, IPV, MMR, TYP
Symptoms: Nausea, Pruritus, Pyrexia, Rash pustular, Skin ulcer
Clinical narrative: Patient began taking oral typhoid 10/12/2004. Felt nauseated on 10/13 and noticed one lesion 10/14 which quickly spread over body. Describes as pustular lesions with itch. Has 100 fever. 10/18/2004 telephone call to patient: no answer. Pt may have gone to India against my advice
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV, MMR
Symptoms: Erythema multiforme, Rash erythematous
Clinical narrative: Erythema multiforme rash. Started 10/12/2004. No treatment indicated.
Age: 67.0
Sex: F
Vaccine: HEP, TYP
Symptoms: Injection site erythema, Injection site mass, Injection site oedema, Pruritus
Clinical narrative: 24 hours s/p Hep B vaccine developed local redness and itching and swelling at injection site. Pt reports redness 3 inches. Also reported full body aches but no fever. Had HA. At 48 hours itching and swelling began to subside but red remaining about 3 inches at site of shot. Hard lump at site of shot. 72 hours redness "still there" "lump" resolving.
Age: 60.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Rash maculo-papular
Clinical narrative: Red, raised rash, bilat. forearm, shins, shoulder started 1 week after immunization. Cleared with HC 1% cream.
Age: 1.44
Sex: F
Vaccine: DTAP, HIBV, MMR
Symptoms: Injection site reaction, Rash macular
Clinical narrative: Macular rash starting 1 1/2 wks after MMR. No other symptoms. No treatment.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Local erythema and swelling ~ 4"
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia
Clinical narrative: Fever greater than 103 during night after shots, went to MD. MD reported fever down when at office but probably was shot related.
Age: 88.0
Sex: U
Vaccine: UNK
Symptoms: Dizziness, Nausea
Clinical narrative: Nausea, dizziness (extreme), felt better following PM.
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Pyrexia, Tenderness
Clinical narrative: 10/28 client stated few hours after shot had fever, redness, tenderness and emesis. Client called clinic with c/o redness and swelling, spoke with RN, advised a compress. 10/29 client called clinic at 4:27 c/o right arm red, swollen, and tender to touch, advised client to come in. Client arrived at 4:45 with a right arm tender to touch, redness below deltoid to anteriorbital, T 99.6, advise to go to ER
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site oedema, Injection site reaction
Clinical narrative: 24 hrs after shot in upper left deltoid pt had swelling of elbow and a cellulitis develop in a band around that elbow. Pt came in 2 days later (11/3/04) and was given antibiotics at a doctor's appt. Has resolved.
Age: 70.0
Sex: M
Vaccine: RAB
Symptoms: Headache, Pharyngolaryngeal pain, Pyrexia, Rash, Vaccine positive rechallenge
Clinical narrative: Rash, primarily on chest and stomach. Headaches, low grade fever, throat irritation began after first shot but didn't suspect any problems until the last shot when it became a full blown rash. Burning and itching sore throat.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Abdominal pain, Back pain, Dizziness, Hypertension
Clinical narrative: About 2 min after injection transient dizziness, abdominal pain, which shifted to low back spastic pain. These symptoms subsided in about 15 min. But noted BP elevation to 198/86 without any  other reaction of s/s. No Tachycardia or dyspnea. HR in 70's. O2 sat 97-48% in air, BP 17% to one hour after the onset of dizziness.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Pt was seen on 10/30/04 with swelling and erythema of the al. aspect of right thigh with no tenderness. Area ~10cm in diameter. Pt did not show up for follow up
Age: 0.35
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Face oedema, Tongue oedema, Urticaria
Clinical narrative: Lip, tongue swelling, face edema (+/- hives), starting 3 hrs after vaccination of Pediarix, Hib and Prevnar. Lasted around x3days.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Feeling hot, Injection site erythema, Injection site pain, Pruritus
Clinical narrative: Pt came in with Grandmother on 11/3/04. States having pain at injection site with redness and warmth. Stated having some itching to site as well. Talked to grandmother via phone. Stated that no redness, still sore at site. Applying cold packs to site and taking Claritin.
Age: 0.18
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Insomnia, Movement disorder, Tremor
Clinical narrative: Shaking legs, moving head, moving face, trouble sleeping
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site oedema, Injection site pain
Clinical narrative: Left deltoid muscle became swollen and sore
Age: 71.0
Sex: M
Vaccine: UNK
Symptoms: Urticaria
Clinical narrative: Total body urticaria rash required Prednisone
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Rash maculo-papular
Clinical narrative: Shots were given around 9:50AM. Mom called around 12:10PM and said pt had red splotches on abdomen and now moving to face. Reported no difficulty breathing. Was at store and bought Benadryl, gave 1 tsp. Dr instructed to go to ER, went to ER, spoke with mom at ER at 2:48PM. Rash was fading after just one dose of Benadryl and no other treatment. Discharged home to take Benadryl 2x day. Called mom 10/25 no answer, 10/27 dad said he was fine.
Age: 48.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: Diarrhoea, Injection site pain, Nausea, Vomiting
Clinical narrative: Nausea, vomiting, diarrhea approximately 40 hours after vaccine administration. Mild soreness at vaccine site.
Age: 48.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: Diarrhoea, Dizziness, Hyperhidrosis, Vomiting
Clinical narrative: Nausea, vomiting, diarrhea approximately 40 hours after vaccine administration. Mild soreness at vaccine site.
Age: 16.0
Sex: M
Vaccine: VARCEL
Symptoms: Headache
Clinical narrative: VARICELLA VACCINE GIVEN 10/25/04- PATIENT COMPLAINS OF HEADACHE X 6 DAYS POST INJECTION. DAY 2 PT. COMPLAINED HEADACHE SEVERE, MOTHER GAVE MOTRIN, TOOK TO ER.
Age: 3.0
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema, Pyrexia, Tenderness
Clinical narrative: Patient began running a low grade fever the first two days after immunizations given which resolved. Patient began having swelling and redness of the upper left arm the evening of 11/04/2004. Immunizations had also been given in the right arm on the same day with no reaction. Swelling and redness increased and patient was seen in the office 0n 11/05/2004.  Area effected was a 7cmX5cm area with warmth and tenderness. Swollen area was circled to monitor progression and treatment instruction given to apply ice to effected area. Patient grandmother instructed to call back if patient becomes febrile or effected area increases in size or severity.
Age: 1.76
Sex: M
Vaccine: FLU3
Symptoms: Crying, Dyskinesia, Eye disorder, Hyperhidrosis, Listless
Clinical narrative: Pt brought back into clinic approx 1 hour after receiving vaccination. Child was listless, crying and unable to open eyes or hold head up. Childs legs and arms jerking. Pt was sweating.  911 was called and EMS arrived shortly thereafter.  Pt was transported to Hospital where it was discovered he had Rotovirus.
Age: 1.76
Sex: M
Vaccine: FLU3
Symptoms: Viral infection
Clinical narrative: Pt brought back into clinic approx 1 hour after receiving vaccination. Child was listless, crying and unable to open eyes or hold head up. Childs legs and arms jerking. Pt was sweating.  911 was called and EMS arrived shortly thereafter.  Pt was transported to Hospital where it was discovered he had Rotovirus.
Age: 1.03
Sex: M
Vaccine: FLUX, HIBV, MMR, PPV, VARCEL
Symptoms: Apnoea, Convulsion, Eye movement disorder, Hypotonia, Skin discolouration
Clinical narrative: Patient with seizure activity around 1000am on the day following the administered the following vaccinations:  Hib, MMR, varicella, PVC, flu. Episode lasted approx 5 minutes per parents report and involved patients eyes rolling back, cessation of breathing, color change and limp.
Age: 49.0
Sex: F
Vaccine: FLUN3
Symptoms: Anorexia, Insomnia, Nausea
Clinical narrative: flu mist administered at 11:30am and 3 1/2 hours later, became nauseaus.  Progressively got worse throughout the evening.  No appetite, difficulty falling asleep.  *I called 1-800-822-7967 yesterday as was listed on the information.  I spoke to a representative and she was not willing to take this information.  She said she was on a cell phone and there was too much static and she was having difficulty hearing me.  I was startled that there was no one available to take this information.  This indicates to me that many other potential adverse health events are not being reported and I would appreciate a response.  I plan on reporting this to the FDA and CDC along with the media.  Someone is getting paid a lot of money and not performing their job.  Your data must not be reliable.
Age: 64.0
Sex: M
Vaccine: HEPA, TYP, YF
Symptoms: Alanine aminotransferase increased, Anaemia, Aspartate aminotransferase increased, Blood bilirubin increased, Confusional state
Clinical narrative: According to hospital records, patient became ill ~48 hours after vaccination with nausea, vomiting, diarrhea which lasted for one week. He went fishing and traveled to another state. On returning home he bacame confused and hypotensive. He was admitted to the hospital on 10/29/04 with septic shock. All cultures are negative. No etiology for his illness have been determined. He has evidence of CNS, renal,liver involvement. He is currently hospitalized. No longer requiring artificial support.
Age: 64.0
Sex: M
Vaccine: HEPA, TYP, YF
Symptoms: Diarrhoea, Hypotension, Nausea, Renal failure, Thrombocytopenia
Clinical narrative: According to hospital records, patient became ill ~48 hours after vaccination with nausea, vomiting, diarrhea which lasted for one week. He went fishing and traveled to another state. On returning home he bacame confused and hypotensive. He was admitted to the hospital on 10/29/04 with septic shock. All cultures are negative. No etiology for his illness have been determined. He has evidence of CNS, renal,liver involvement. He is currently hospitalized. No longer requiring artificial support.
Age: 64.0
Sex: M
Vaccine: HEPA, TYP, YF
Symptoms: Vomiting
Clinical narrative: According to hospital records, patient became ill ~48 hours after vaccination with nausea, vomiting, diarrhea which lasted for one week. He went fishing and traveled to another state. On returning home he bacame confused and hypotensive. He was admitted to the hospital on 10/29/04 with septic shock. All cultures are negative. No etiology for his illness have been determined. He has evidence of CNS, renal,liver involvement. He is currently hospitalized. No longer requiring artificial support.
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Rash
Clinical narrative: Pt is a 33 year old male who received anthrax (AVA) # 2 on 24 Oct 03. He stated that 18 hours later he noticed a rash on arms and chest that looked like little red spots that were close together. He said that there were mounds of them. He did not notice any fluid and said that they were itchy. He denied scabbing and was treated with Atarax and prednisone. He stated that the rash lasted 1 month and that it gradually decreased with the medication. He stated he took the steroids for 1 week and was also given some antibiotics. He has been doing extensive traveling at this time. No other traveling companions developed this rash. 10 Nov 03 he received AVA # 3 and he did not develop any new skin lesions. He said that he had residual dry spots from the previous outbreak and that everything had cleared except for a small area on his left palmer surface of his forearm. This area would have intermittent breakouts not associated with anything in particular and he would sometimes treat with an anti-fungal. 12 Apr 04 he received AVA # 4 with no outbreak noted.  In regards to patch on his arm, he reports intermittent itching and occasionally uses Lidex cream on his arm only. He reported that the area on his arm would ease but would never clear completely. He stated that his torso cleared completely and he did not have any increase in the rash after AVA # 3& 4.  He reports that approximately 6 weeks ago he noticed that the rash on his left arm began to flare again and it spread to his both the inside and outside of his elbow. He stated that both of his elbows were affected. In mid June he noticed an area on his right nipple area. Stated the area was dry, red, raised and scaling. During the past 2 wks he has noticed orange watery discharge with nipple area turning white with some squishiness. Went to MD in on July 21 and was given Keflex with slight improvement.  Pt presented to Allergy Immunology today for evaluation. 30 Sep 04: pt reports that the rash may have been a reaction to ibuprofen. Rash has now cleared and he had a follow-up last week. He said now it is " just wait and see".
Age: 0.67
Sex: F
Vaccine: FLU3
Symptoms: Cold sweat, Cough, Crying, Cyanosis, Feeling cold
Clinical narrative: 11-4-04 at 1415 0.25ml of influenza vaccine administered Left VL IM as per CDC guidelines for 6months to 23 months of age. At 1435 after waiting 20 minutes, two hives were noted above injection site. Child less active than prior to vaccine administration.  Child taken into exam room and all clothes removed.  Hives noted on arms, trunk, back, neck, and behind Right ear.  Health officer notified per phone.  Orders received to administer epinephrine Sq per emergency protocols.  1446 Epi administered Sq left arm. Apical HR 128 beats/min. Resp. 44 breaths/min.  Resp. non-labored. Skin W/D and pink.  Child remaines alert and moving all extremeties.  Child wrapped in blanket.  1451 HR 144 beats/min. mouth/lips dusky and pale. Child placed in supine position on exam table. Some coughing and sneezing begining.  Began to administer PO Benadryl per pharmacist dosing advisement of 3/4 to one teaspoon. 1455 1ml benadryl given PO.  1459 1ml benadryl given PO. 1501 Had mother hold child to comfort.  Child crying.  Skin W/D.  Mouth pale. 1ml benadryl PO given. 1504 1ml benadryl given PO.  Color improved.  No paleness noted.  Lips pink. Hives remain.  No new hives noted. A total of 10mg benadryl PO given.  Advised mother that child should be taken to ER to be examined by a physician. 1510 called ER. Spoke with RN and updated.  1515 went with mother and child to ER.  Seen by ER physician.  Liquid baby prednisone given PO.  Instructed to see FMD 11-5-04.  Released from ER around 1615.  1700 mother returned child to ER D/T child becoming moist and clammy and skin temp. cold. Axillary temp 97 and 96.  Child observed in ER for one hour and then released home.  11-5-04 Child acting normal per mom. Seen by FMD on call.  Prescription for prednisone decreasing dosing schedule given.  Instructed to have child seen by FMD in one week.
Age: 0.67
Sex: F
Vaccine: FLU3
Symptoms: Pallor, Skin discolouration, Sneezing, Urticaria
Clinical narrative: 11-4-04 at 1415 0.25ml of influenza vaccine administered Left VL IM as per CDC guidelines for 6months to 23 months of age. At 1435 after waiting 20 minutes, two hives were noted above injection site. Child less active than prior to vaccine administration.  Child taken into exam room and all clothes removed.  Hives noted on arms, trunk, back, neck, and behind Right ear.  Health officer notified per phone.  Orders received to administer epinephrine Sq per emergency protocols.  1446 Epi administered Sq left arm. Apical HR 128 beats/min. Resp. 44 breaths/min.  Resp. non-labored. Skin W/D and pink.  Child remaines alert and moving all extremeties.  Child wrapped in blanket.  1451 HR 144 beats/min. mouth/lips dusky and pale. Child placed in supine position on exam table. Some coughing and sneezing begining.  Began to administer PO Benadryl per pharmacist dosing advisement of 3/4 to one teaspoon. 1455 1ml benadryl given PO.  1459 1ml benadryl given PO. 1501 Had mother hold child to comfort.  Child crying.  Skin W/D.  Mouth pale. 1ml benadryl PO given. 1504 1ml benadryl given PO.  Color improved.  No paleness noted.  Lips pink. Hives remain.  No new hives noted. A total of 10mg benadryl PO given.  Advised mother that child should be taken to ER to be examined by a physician. 1510 called ER. Spoke with RN and updated.  1515 went with mother and child to ER.  Seen by ER physician.  Liquid baby prednisone given PO.  Instructed to see FMD 11-5-04.  Released from ER around 1615.  1700 mother returned child to ER D/T child becoming moist and clammy and skin temp. cold. Axillary temp 97 and 96.  Child observed in ER for one hour and then released home.  11-5-04 Child acting normal per mom. Seen by FMD on call.  Prescription for prednisone decreasing dosing schedule given.  Instructed to have child seen by FMD in one week.
Age: 1.49
Sex: M
Vaccine: DTAP, HIBV, PNC, TYP
Symptoms: Medication error
Clinical narrative: Should have gotten polio not Typhoid injection.
Age: 1.03
Sex: M
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Abnormal behaviour, Bacterial infection, Candidiasis, Crying, Drug tolerance increased
Clinical narrative: Fever, crying, diaper rashes, edema at site of vaccination. Yeast infection including oral thrush, speech delay and regression. Decreased muscle tone, delayed motor skills, repetitive behavoirs, sensory issues including high pain tolerance. Diagnosed with PDD.
Age: 1.03
Sex: M
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Hypokinesia, Hypotonia, Injection site oedema, Pyrexia, Rash
Clinical narrative: Fever, crying, diaper rashes, edema at site of vaccination. Yeast infection including oral thrush, speech delay and regression. Decreased muscle tone, delayed motor skills, repetitive behavoirs, sensory issues including high pain tolerance. Diagnosed with PDD.
Age: 1.03
Sex: M
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Sensory disturbance, Speech disorder
Clinical narrative: Fever, crying, diaper rashes, edema at site of vaccination. Yeast infection including oral thrush, speech delay and regression. Decreased muscle tone, delayed motor skills, repetitive behavoirs, sensory issues including high pain tolerance. Diagnosed with PDD.
Age: 35.0
Sex: M
Vaccine: PPV
Symptoms: Injection site reaction, Pruritus
Clinical narrative: Severe localized reaction to SC injection. Itching, induration traveling up the arm from the injection site by several inches.
Age: 9.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Injection site erythema, Injection site mass, Tenderness
Clinical narrative: Left arm 2x2.5" redness, induration, mild tenderness
Age: 49.0
Sex: F
Vaccine: FLUN3
Symptoms: Epistaxis
Clinical narrative: PT BLEW HER NOSE IMMEDIATELY FOLLOWING ADMINISTRATION AND HAD BLOOD IN TISSUE.  NOSE DID NOT BLEED DURING REGULAR ACTIVITY, ONLY WHEN NOSE WAS BLOWN.
Age: 50.0
Sex: F
Vaccine: FLUX
Symptoms: Anorexia, Asthenia, Nausea, Pain, Pyrexia
Clinical narrative: Two days after vaccine developed body aches "like bugs gnawing at muscles", low grade fever, weak could not get out of bed. Nausea and weight loss. Not eating.
Age: 50.0
Sex: F
Vaccine: FLUX
Symptoms: Weight decreased
Clinical narrative: Two days after vaccine developed body aches "like bugs gnawing at muscles", low grade fever, weak could not get out of bed. Nausea and weight loss. Not eating.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Decreased appetite, Fatigue, Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: Slight fever; redness, swelling and tenderness where shot was given, tiredness and poor appetite.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Tenderness
Clinical narrative: Slight fever; redness, swelling and tenderness where shot was given, tiredness and poor appetite.
Age: 39.0
Sex: F
Vaccine: DTP, PPV
Symptoms: Back pain, Dyspnoea, Fatigue, Hypokinesia, Insomnia
Clinical narrative: Approx. 1-2 hrs post injection, the arm became very painful.  About 6hrs later it was impossible to lift, and the pain extended to the shoulder and chest and back muscles.  It became harder to breath due to the pain with the back muscles.  I then took ibuprofen approx 800mg without any reaction and was not able to sleep and still having difficulty with breathing and not being able to move the left arm well with muscle twitching to the fingers on that arm.. The next day the neck muscles and leg muscle on the left became week with contractions noted.  I phoned the doctors office and received a prescription for vicodin.  I did have intermittent sleep that night and my spoused stayed up to make sure that I was able to breath.  I continued to have pain, and was now applying heat to the areas that could not be touched due to pain.  When I did have to report to work 6 days later on Monday, after about 30min of being on my feet became exhausted.  After working about 10 hrs I began to cry due to pain and exhaustion and the left arm hurt to badly to move.  I went to sleep as soon as I got home.  I continued to return to work the next day, because I do not get paid for sick time and had to take off already the rest of the week before due to the shot.  That day also I became so exhausted and was having problems breathing.  The left arm and shoulder felt about 50lbs. and continued to hurt.  The next day I called in anyway due to the inability to work.  Thursday I was outside and after trying to plant some flowers could not breath due to exhaustion and now was having neck muscle spasms, I then called the doctors office back to see them on Friday.  Friday I went in to see the Nurse Practitioner at which time she tried to contact many different avenues. (infectious disease and the CDC) To no avail.  That day I was given decodran and toradol IM and was written a script for prednisone and torodal po.  Today is Saturday and the lower extremity pain is nearly gone.  The left inner arm continues to hurt and feel heavy, after doing some work outside with my son for about an hour, I am exhausted, my neck hurts, as does my back and the left arm.
Age: 39.0
Sex: F
Vaccine: DTP, PPV
Symptoms: Muscle spasms, Pain, Shoulder pain
Clinical narrative: Approx. 1-2 hrs post injection, the arm became very painful.  About 6hrs later it was impossible to lift, and the pain extended to the shoulder and chest and back muscles.  It became harder to breath due to the pain with the back muscles.  I then took ibuprofen approx 800mg without any reaction and was not able to sleep and still having difficulty with breathing and not being able to move the left arm well with muscle twitching to the fingers on that arm.. The next day the neck muscles and leg muscle on the left became week with contractions noted.  I phoned the doctors office and received a prescription for vicodin.  I did have intermittent sleep that night and my spoused stayed up to make sure that I was able to breath.  I continued to have pain, and was now applying heat to the areas that could not be touched due to pain.  When I did have to report to work 6 days later on Monday, after about 30min of being on my feet became exhausted.  After working about 10 hrs I began to cry due to pain and exhaustion and the left arm hurt to badly to move.  I went to sleep as soon as I got home.  I continued to return to work the next day, because I do not get paid for sick time and had to take off already the rest of the week before due to the shot.  That day also I became so exhausted and was having problems breathing.  The left arm and shoulder felt about 50lbs. and continued to hurt.  The next day I called in anyway due to the inability to work.  Thursday I was outside and after trying to plant some flowers could not breath due to exhaustion and now was having neck muscle spasms, I then called the doctors office back to see them on Friday.  Friday I went in to see the Nurse Practitioner at which time she tried to contact many different avenues. (infectious disease and the CDC) To no avail.  That day I was given decodran and toradol IM and was written a script for prednisone and torodal po.  Today is Saturday and the lower extremity pain is nearly gone.  The left inner arm continues to hurt and feel heavy, after doing some work outside with my son for about an hour, I am exhausted, my neck hurts, as does my back and the left arm.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Drug ineffective, Infection
Clinical narrative: Varicella rash on face. Confirmed by doctor.