chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: YF
Symptoms: Unevaluable event
Clinical narrative: Reaction Un-evaluable.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Abnormal behaviour, Obsessive-compulsive disorder, Thinking abnormal
Clinical narrative: The day before his 5 year check-up, he was a little concerned about getting his immunizations.  Mom yelled at him for picking his nose.  In the office, he tolerated having the immunizations and didn't seem upset when he got them.  2 days after receiving MMR, DTaP, and IPV he developed severe obsessive thoughts about killing dad, hurting mom, and getting dirty.  He was afraid to use a knife or fork because he might hurt someone with it. He could not watch cartoons because they were too violent and made him have bad thoughts.  He felt compulsions to call people names and stick his tongue out at them.  He cried a lot.  He knew the thoughts were wrong, but he couldn't get them out of his head and was very disturbed by them.  No auditory or visual hallucinations.  Excessive nose wiping because he was afraid that there was a booger on it.  Wiping hands constantly.  Had a baseline of being a worrier but nothing like this.  Father has anxiety disorder.  Patient started on celexa.  Symptoms slowly improved after 2 weeks on celexa.  Gone by a month.  Weaned off celexa in 6/04.  No symtoms or relapse.  Attempted to get patient to see psychiatrist given family history of anxiety.  Could not get a psychiatrist to see patient. Mom and dad feel it was immunization reaction rather than underlying anxiety disorder exacerbation.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Rcv'd DTap and IPV to L delt 7/13/04. No reaction 7/13/04 or on 7/14/04. Mom called 7/15/04, AM to advise pt. was having a local reaction; redness, warmth, slightly swollen 3-4 inches long on L delt. No fever, pain, nausea, vomiting, otherwise normal.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt received Anthrax vaccine and within two days had a local reaction at the site that consisted of redness swelling with mild heat. Pt wanted  (but was not required) to see his Primary Care Manager
Age: 36.0
Sex: M
Vaccine: VARCEL
Symptoms: Arthralgia, Diarrhoea, Dizziness, Myalgia, Nausea
Clinical narrative: Vaccine received at approx. 1130. Onset of signs & symptoms approx. 6 hours later, at 1730: nausea; diarrhea; muscle pain (general body ache); joint pain; mild to moderate edema in distal limbs; vertigo/dizziness. Nausea and diarrhea cleared up after about 36 hours, with muscle/joint pain and vertigo lasting almost 48 hours. Treated with OTC Tylenol, fluids, and rest.
Age: 36.0
Sex: M
Vaccine: VARCEL
Symptoms: Oedema peripheral, Pain, Vertigo
Clinical narrative: Vaccine received at approx. 1130. Onset of signs & symptoms approx. 6 hours later, at 1730: nausea; diarrhea; muscle pain (general body ache); joint pain; mild to moderate edema in distal limbs; vertigo/dizziness. Nausea and diarrhea cleared up after about 36 hours, with muscle/joint pain and vertigo lasting almost 48 hours. Treated with OTC Tylenol, fluids, and rest.
Age: 0.16
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Unevaluable event
Clinical narrative: From initial information received on 7/8/04 from a registered nurse regarding an adverse event occurring in the USA, it was reported that a two month old male patient received his first dose of DAPTACEL, lot number C1696AA, administered IM in the left thigh, a first dose of IPOL, lot number X0711, administered SC in the right lower thigh, a first dose of COMVAX, lot number 1154N, administered IM in the left lower thigh and a first dose of PREVNAR, lot number494779, administered IM in the right thigh on 6/28/04 at 10:00 AM. The patient was given the vaccinations when seen for a two month check up. On 6/29/04, the patient died while asleep at his babysitter's. The office was notified of the patient's death on 6/30/04.
Age: 12.0
Sex: F
Vaccine: TD, TD
Symptoms: Asthenia, Malaise, Somnolence, Urticaria
Clinical narrative: From initial information received on 7/12/04 from the patient's mother regarding an adverse event occurring in the USA, it was reported that a 12 year old female patient received a routine booster dose of TET TOX ADS USP, lot number not reported, administered in the right deltoid on 6/24/04. Route of administration was not reported. Two days later, the patient experienced muscle weakness in her arms and legs, increased sleep and nausea. Symptoms progressed to near paralysis as by 7/6/04 the patient was unable to walk or move her hands unassisted. On that day, the patient also developed generalized rash and hives. She was hospitalized from 7/9/04 until 7/11/04. Guillain-Barre Syndrome is suspected, but no diagnosis has been made as of yet. The patient has a pre-existing history of multiple allergies, which include drug allergies to Sulfa, Augmentin and Ceftin and also to Latex. Family doctor to follow up. From additional information received on 7/13/04 through a telephone call to the family physician's office, it was reported by a nurse that the office does not have the patient's record of her tetanus booster and was therefore unable to provide the lot number. However, the nurse did report that the child was seen in the office on 7/9/04 and from there, admitted to the hospital where she remained until 7/11/04. No other information or test results were available. From additional information received on 7/13/04 through a telephone call to the vaccine provider, the lot number was provided. The patient was administered a dose of TD ADS ADULT, lot number U1014AA, prior to going to a camp. Reportedly, the patient did go to camp for a week. The reporter, who is a nurse, stated that the patient has a history of anaphylaxis to Sulfa. In addition, the patient has a history of latex allergy, but the reporter was unsure if their syringes were latex free. The patient received childhood vaccines without any reactions. The reporter also stated that the patient was seen by a doctor on 7/7/04 and treated with Benadryl and Prednisone. She returned to the doctor's office on 7/9/04 and was then admitted to the hospital for further treatment. The patient has improved, but it is unknown if she has fully recovered. From addtional information received from a health care professional on 30SEP2004 it was reported that the pt received the TD ADS ADULT vaccination at 3pm on 24JUN2004 and the product was administered IM in the right deltoid. The pt was reprotedly seen by a physician on 7JUL2004. This patient has recovered from this exprience.  Follow up on 11/03/04 states: "From additional information received on 10/21/04 from the initial reporter, it was reported that the pt required an ER/doctor visit on 07/07/04.  She was on no concomitant medications at the time of vaccination. Per the reporter, there is no additional information. Case is closed."
Age: 12.0
Sex: F
Vaccine: TD, TD
Symptoms: Abasia, Guillain-Barre syndrome, Muscular weakness, Nausea, Paralysis
Clinical narrative: From initial information received on 7/12/04 from the patient's mother regarding an adverse event occurring in the USA, it was reported that a 12 year old female patient received a routine booster dose of TET TOX ADS USP, lot number not reported, administered in the right deltoid on 6/24/04. Route of administration was not reported. Two days later, the patient experienced muscle weakness in her arms and legs, increased sleep and nausea. Symptoms progressed to near paralysis as by 7/6/04 the patient was unable to walk or move her hands unassisted. On that day, the patient also developed generalized rash and hives. She was hospitalized from 7/9/04 until 7/11/04. Guillain-Barre Syndrome is suspected, but no diagnosis has been made as of yet. The patient has a pre-existing history of multiple allergies, which include drug allergies to Sulfa, Augmentin and Ceftin and also to Latex. Family doctor to follow up. From additional information received on 7/13/04 through a telephone call to the family physician's office, it was reported by a nurse that the office does not have the patient's record of her tetanus booster and was therefore unable to provide the lot number. However, the nurse did report that the child was seen in the office on 7/9/04 and from there, admitted to the hospital where she remained until 7/11/04. No other information or test results were available. From additional information received on 7/13/04 through a telephone call to the vaccine provider, the lot number was provided. The patient was administered a dose of TD ADS ADULT, lot number U1014AA, prior to going to a camp. Reportedly, the patient did go to camp for a week. The reporter, who is a nurse, stated that the patient has a history of anaphylaxis to Sulfa. In addition, the patient has a history of latex allergy, but the reporter was unsure if their syringes were latex free. The patient received childhood vaccines without any reactions. The reporter also stated that the patient was seen by a doctor on 7/7/04 and treated with Benadryl and Prednisone. She returned to the doctor's office on 7/9/04 and was then admitted to the hospital for further treatment. The patient has improved, but it is unknown if she has fully recovered. From addtional information received from a health care professional on 30SEP2004 it was reported that the pt received the TD ADS ADULT vaccination at 3pm on 24JUN2004 and the product was administered IM in the right deltoid. The pt was reprotedly seen by a physician on 7JUL2004. This patient has recovered from this exprience.  Follow up on 11/03/04 states: "From additional information received on 10/21/04 from the initial reporter, it was reported that the pt required an ER/doctor visit on 07/07/04.  She was on no concomitant medications at the time of vaccination. Per the reporter, there is no additional information. Case is closed."
Age: 12.0
Sex: F
Vaccine: TD, TD
Symptoms: Rash, Somnolence, Urticaria
Clinical narrative: From initial information received on 7/12/04 from the patient's mother regarding an adverse event occurring in the USA, it was reported that a 12 year old female patient received a routine booster dose of TET TOX ADS USP, lot number not reported, administered in the right deltoid on 6/24/04. Route of administration was not reported. Two days later, the patient experienced muscle weakness in her arms and legs, increased sleep and nausea. Symptoms progressed to near paralysis as by 7/6/04 the patient was unable to walk or move her hands unassisted. On that day, the patient also developed generalized rash and hives. She was hospitalized from 7/9/04 until 7/11/04. Guillain-Barre Syndrome is suspected, but no diagnosis has been made as of yet. The patient has a pre-existing history of multiple allergies, which include drug allergies to Sulfa, Augmentin and Ceftin and also to Latex. Family doctor to follow up. From additional information received on 7/13/04 through a telephone call to the family physician's office, it was reported by a nurse that the office does not have the patient's record of her tetanus booster and was therefore unable to provide the lot number. However, the nurse did report that the child was seen in the office on 7/9/04 and from there, admitted to the hospital where she remained until 7/11/04. No other information or test results were available. From additional information received on 7/13/04 through a telephone call to the vaccine provider, the lot number was provided. The patient was administered a dose of TD ADS ADULT, lot number U1014AA, prior to going to a camp. Reportedly, the patient did go to camp for a week. The reporter, who is a nurse, stated that the patient has a history of anaphylaxis to Sulfa. In addition, the patient has a history of latex allergy, but the reporter was unsure if their syringes were latex free. The patient received childhood vaccines without any reactions. The reporter also stated that the patient was seen by a doctor on 7/7/04 and treated with Benadryl and Prednisone. She returned to the doctor's office on 7/9/04 and was then admitted to the hospital for further treatment. The patient has improved, but it is unknown if she has fully recovered. From addtional information received from a health care professional on 30SEP2004 it was reported that the pt received the TD ADS ADULT vaccination at 3pm on 24JUN2004 and the product was administered IM in the right deltoid. The pt was reprotedly seen by a physician on 7JUL2004. This patient has recovered from this exprience.  Follow up on 11/03/04 states: "From additional information received on 10/21/04 from the initial reporter, it was reported that the pt required an ER/doctor visit on 07/07/04.  She was on no concomitant medications at the time of vaccination. Per the reporter, there is no additional information. Case is closed."
Age: 53.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Arthritis, Arthropathy, Laboratory test abnormal, Osteoarthritis
Clinical narrative: 11/00, I was severely crippled with arthritis like symptoms and pain. I saw many doctors who prescribed several drugs. Prednisone worked the best after a month.  Nurse follow up on 07/23/04 states: "joint pain, stiffness of joints, joint effusion, and numbness of hands."
Age: 53.0
Sex: M
Vaccine: LYME
Symptoms: Pain, Paraesthesia, Red blood cell sedimentation rate increased
Clinical narrative: 11/00, I was severely crippled with arthritis like symptoms and pain. I saw many doctors who prescribed several drugs. Prednisone worked the best after a month.  Nurse follow up on 07/23/04 states: "joint pain, stiffness of joints, joint effusion, and numbness of hands."
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Abscess, Bacterial infection, Cellulitis, Colitis, Dehydration
Clinical narrative: Within one day, hospitalized with high fever, swollen face (her right side) with oozing sore, dehydration (all for four days). Non-reactive to antibiotics. Then diarrhea, colitis, rashes, yeast infections, unable to eat. Suffers recurrent staph-like infections that require pain meds, and sometimes antibiotics.  Nurse follow up on 07/28/04 states: "facial cellulitis; MRSA."  Nurse follow up on 08/05/04 states: "no new information."
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Diarrhoea, Face oedema, Fungal infection, Oral intake reduced, Pyrexia
Clinical narrative: Within one day, hospitalized with high fever, swollen face (her right side) with oozing sore, dehydration (all for four days). Non-reactive to antibiotics. Then diarrhea, colitis, rashes, yeast infections, unable to eat. Suffers recurrent staph-like infections that require pain meds, and sometimes antibiotics.  Nurse follow up on 07/28/04 states: "facial cellulitis; MRSA."  Nurse follow up on 08/05/04 states: "no new information."
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Rash
Clinical narrative: Within one day, hospitalized with high fever, swollen face (her right side) with oozing sore, dehydration (all for four days). Non-reactive to antibiotics. Then diarrhea, colitis, rashes, yeast infections, unable to eat. Suffers recurrent staph-like infections that require pain meds, and sometimes antibiotics.  Nurse follow up on 07/28/04 states: "facial cellulitis; MRSA."  Nurse follow up on 08/05/04 states: "no new information."
Age: 19.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Infection, Laboratory test abnormal, Secondary transmission
Clinical narrative: Contact transmission to fiance (info on fiance attached. Vaccinee had normal progression of small pox site. Fiance required emergency room / doctor visit.
Age: 42.0
Sex: M
Vaccine: ANTH
Symptoms: Joint range of motion decreased, Pain
Clinical narrative: Left arm and shoulder pain day after inoculation. Resting pain subsided approximately 30 days ago: now painful with lifting and range of motion.
Age: 25.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Cow pox, Infection, Rash papular, Rash pustular
Clinical narrative: Generalized vaccinia. Multiple papuals/ pustulas distributed on lower back, legs and arms.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: Area left thigh encompassing shot site: area about 6x6 inches. Warm, red, swollen but not tender.
Age: 21.0
Sex: M
Vaccine: TD
Symptoms: Chills, Erythema, Influenza like illness, Injection site pain, Pyrexia
Clinical narrative: Flu-like symptoms ; fever, chills, injection site pain and redness. 8 hours after administration of vaccines.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Livedo reticularis
Clinical narrative: Large local reaction over right upper thigh from DTaP given on 7/7/04. Reaction started afternoon of 7/8/04 at daycare--progressively got worse until Dad brought patient in to doctor's office on 7/9/04 at 1:40pm. Reaction red, mottled at edges, warm to touch. 200 mg Clindamycin given.  To call back if worsens.
Age: 29.0
Sex: M
Vaccine: MMR
Symptoms: Pharyngolaryngeal pain, Tonsillitis
Clinical narrative: Sore throat, exudative tonsils, generalized malaise
Age: 3.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site warmth, Rash erythematous
Clinical narrative: Site is warm, red raised with red bumps all the way down the leg and on his trunk
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: 12x10 cm area of erythema, warmth and edema to left deltoid.
Age: 69.0
Sex: F
Vaccine: HIBV, IPV, TD
Symptoms: Arthralgia, Hypokinesia
Clinical narrative: Complained of pain in left arm then pain developed in all the joints. States hand hurt to point could not turn a door knob. Pain began 2 days after HIB vaccine given in left deltoid.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Contusion, Erythema, Feeling hot, Injection site induration, Oedema
Clinical narrative: 7/7/04: mom called complained of left arm swollen from shoulder to elbow with redness and warmth per RN. 7/13/04: mom called, took child to see doctor on Friday 7/9/04 wt increased edema down to the wrist and was bluish-red. Mom states doctor said the arm was hard and felt the arm would have bruising and he felt when the shot was given it hit a vein. It arm not better by 7/12/04 , they were to return. Mom states child never complained of pain, no fever per RN. Pt recovered quickly.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Skin discolouration, Swelling
Clinical narrative: 7/7/04: mom called complained of left arm swollen from shoulder to elbow with redness and warmth per RN. 7/13/04: mom called, took child to see doctor on Friday 7/9/04 wt increased edema down to the wrist and was bluish-red. Mom states doctor said the arm was hard and felt the arm would have bruising and he felt when the shot was given it hit a vein. It arm not better by 7/12/04 , they were to return. Mom states child never complained of pain, no fever per RN. Pt recovered quickly.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema multiforme, Hypersensitivity
Clinical narrative: Allergic reaction in the form of erythema multiforme rash at time most likely related to IPV injection
Age: 5.0
Sex: F
Vaccine: DT
Symptoms: Erythema, Feeling hot, Oedema, Similar reaction on previous exposure to drug, Tenderness
Clinical narrative: Used needle 36hrs later right deltoid- red + edematous, warm to touch, tender 2/3rd of upper arm similar to prior rxn with DTaP at 15 months age 9/12/00. Not febrile.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: 4 cm cellulitis at site
Age: 59.0
Sex: F
Vaccine: DT
Symptoms: Hypokinesia, Pain
Clinical narrative: 1 wk after DT injection pt experienced pain. No inability to fully open the jaw. Tx in progress. Benadryl, medial dos pack
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Agitation, Crying, Decreased appetite, Insomnia, Irritability
Clinical narrative: 1 year old female with Sturge-Weber syndrome. History obtained from grandmother-care-giver: Large local reaction receiving Varicella, MMR and Hib 3 on 5/25/04. Systemic symptoms include fever (101ax.) "Off and on", poor appetite, irritability and crying with restless sleep x 4 days (until 5/29/2004). Caregiver also describes scattered "small, pinkish bumps- like Roseola on her legs and arms; "a few larger lesions on her chest- one or two with scabs". None on her face. Treated with Tylenol, tepid baths and offered "lots of juice". Appetite and disposition improving. Appetite "better today". Drinking liquids, "eating small amounts of yogurt, happier and playing"
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Pyrexia, Roseola, Skin ulcer
Clinical narrative: 1 year old female with Sturge-Weber syndrome. History obtained from grandmother-care-giver: Large local reaction receiving Varicella, MMR and Hib 3 on 5/25/04. Systemic symptoms include fever (101ax.) "Off and on", poor appetite, irritability and crying with restless sleep x 4 days (until 5/29/2004). Caregiver also describes scattered "small, pinkish bumps- like Roseola on her legs and arms; "a few larger lesions on her chest- one or two with scabs". None on her face. Treated with Tylenol, tepid baths and offered "lots of juice". Appetite and disposition improving. Appetite "better today". Drinking liquids, "eating small amounts of yogurt, happier and playing"
Age: 28.0
Sex: F
Vaccine: HEP, TD
Symptoms: Chills, Myalgia, Swelling, Tenderness
Clinical narrative: Pt developed shaking chills and body aches evening of vaccine. Left deltoid swollen and tender. Symptoms resolved within 48 hours.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cellulitis, Erythema, Feeling hot, Injection site oedema
Clinical narrative: Mom called on 04/26/04. States child's left arm swollen at shot site and was "red and hot". Put cool clothes on arm. On Sat 4/24/04. Then on Sunday 4/25/04 swelling with redness and heat went from shoulder down to elbow on left arm. Took child to ER, was given IV steroids, sent home with Rx for Keflex 250mg 42tsp QUID and Prednisone 15mg 1 1/2 tsp QD x 4 days. To begin today was told to get follow up appointment with Pediatrician. Hasn't gotten appt yet. Diagnosis was allergic drug reaction with cellulitis. Mom states child is much better today. Inst to continue meds as inst get follow up appt with MD. If not continuing to improve, refer to pediatrician or back to ER. Mom states understanding.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Injection site oedema, Pain
Clinical narrative: Pain, erythema, swelling to injection site, redness.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Pain, erythema, swelling,redness.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Pain
Clinical narrative: Moderate swelling and redness (approx 1/3 thigh) surrounding injection site on right thigh. Advised mother to monitor pt for worsening symptoms. Benadryl as needed and cold compresses for pain/discomfort.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Febrile convulsion
Clinical narrative: Pt had febrile seizure day after receiving DTaP, IPV, MMR.
Age: 32.0
Sex: U
Vaccine: DT, HEP
Symptoms: Erythema, Tenderness
Clinical narrative: Localized redness and tenderness at injection site
Age: 40.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Infection transmission via personal contact
Clinical narrative: Two children contracted vaccinia from my small pox vaccination. Ages 6 (girl) and 9 (boy). First sign of it was noticed on 2Jul04. I was vaccinated on 13Jun04.
Age: 26.0
Sex: F
Vaccine: SMALL
Symptoms: Unintended pregnancy
Clinical narrative: Pregnancy. Individual became pregnant immediately following smallpox administration. Will be entered into registry for monitoring.
Age: 0.5
Sex: M
Vaccine: DTAP
Symptoms: Unevaluable event
Clinical narrative: 1x 0.5mm
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Contusion, Erythema, Feeling hot, Oedema
Clinical narrative: Left thigh edematous, red and hot to touch. Injection site skin, purple in color.
Age: 71.0
Sex: M
Vaccine: TD
Symptoms: Bacterial infection, Pain
Clinical narrative: 1-2 days after receiving Td developed deep inside muscle. Pain right deltoid. This extended into right forearm. Continued to have this on 7/9/04. Saw nurse pract. She called office on 7/9/04 to report. No temp-no other symptoms.
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Lethargy, Pyrexia
Clinical narrative: Fever to 103, lethargy x 3 days
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema
Clinical narrative: Large 20cm x 16 1/2 cm, erythematous confluent area on left thigh. No warmth, no vesicles
Age: 3.0
Sex: M
Vaccine: DTAP, HEPA, VARCEL
Symptoms: Erythema, Rash macular
Clinical narrative: 2 days after vaccination, 4cmx7cm red macular area at vaccination site. Tylenol, cool compresses.
Sex: M
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: Macula papular rash all over. No fever, no conjunctivitis.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Feeling hot, Oedema, Rash
Clinical narrative: Edema, erythema, warmth at vaccination site, decrease range of rash on left arm/shoulder at clinic 7/14 <24 hours after vaccination. Concern cellulitis- Rocephin 500 mg IM, dexamethasone 4 mg, erythromycin 150 mg QD X 4 days, Advil and cold compresses.
Sex: M
Vaccine: MEN
Symptoms: Heart rate increased, Malaise, Pallor, Paraesthesia, Swelling face
Clinical narrative: Lips swelling and tingling, pale, malaise, rapid heartbeat. No local reaction. PC Plardev Rx with Steroids, Zyrtec.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Convulsion, Pyrexia
Clinical narrative: Mother states the night following the vaccines she spiked 105 degrees fever and started seizing-went to ER.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Oedema
Clinical narrative: Received immunization Dtap 7/13/04 seen in office 7/15/04 with Left UE red/swollen 12cmx16cm with arm circ 20.3 cm.
Age: 0.75
Sex: F
Vaccine: PNC
Symptoms: Hyperpyrexia, Pyrexia
Clinical narrative: Hyperpyrexia T-max 105F responded to PO antipyretics.
Age: 39.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Hypoaesthesia, Oedema, Pain
Clinical narrative: Red Td at 9:12AM, took APAP 30 min later- left arm began hurting with numbness and slight edema left hand. Reported back to Health Dept 1:45 sent to MD office for evaluation.
Age: 1.42
Sex: F
Vaccine: DTAPHEPBIP, HIBV, MMR, VARCEL
Symptoms: Pyrexia, Rash erythematous
Clinical narrative: Pt had a erythematous rash bilaterally on pt's thighs 2 hour to MMR, DPT, Polio, Hib vaccine on Monday. 2 days later left leg 5 cm concentrate erythema, Non-painful rash on right thigh 3 cm erythematous rash non-painful rash. Pt was sent home and told to give Motrin for fever. Pt is to return to clinic if fever exceeds 101.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Viral infection
Clinical narrative: Vaccine failure, pt Dx with chicken pox.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: High-pitched crying, Lethargy, Oral intake reduced, Pyrexia
Clinical narrative: Child presented with high fever, high-pitched cry, lethargy, and not eating well.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Hypoaesthesia, Laboratory test abnormal, Musculoskeletal stiffness, Pain, Sleep disorder
Clinical narrative: This is a 35-year-old male who received his first anthrax vaccination on March 8, 2003. On that day, he also received smallpox, influenza, and had a PPD placed. He reports that approximately one-and-one-half weeks later he developed left sided body pain from his shoulder to his left leg. He remembers his left leg being stiff, numb, and painful. He reports that symptoms in his arm improved after awhile; he estimates the improvement was around April 28th when he deployed. The leg symptoms continued. He reports that the leg pain and numbness was felt mostly in the posterior thigh and the lateral part of the thigh and calf. This pain is some times sharp, however, at times has been dull. The pain also increases with an increase in activity. At this time, he reports that the leg pain occurs several times a day. This pain also awakens him from sleep at times. He returned from deployment on August 12, 2003 and was seen for evaluation. He is currently on Vioxx 25MG every day.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Fatigue, Sleep disorder
Clinical narrative: This is a 30-year-old male who had been in his usual health until he returned from overseas. In 2002, he reports feeling exhausted all the time regardless of the amount of sleep that he received. He contributed this to being older. It did not affect his job performance or activities of daily living. However, during his most recent deployment 02/2003 he noted a marked increased in his level of fatigue. He reported this to his corpsman. It was attributed to his lack of sleep and the extreme heat.  He now sleeps about 8-15 hours of sleep and still feels exhausted. He is often late to work. He hires someone to do lawn work and has a maid's service twice a month.  In addition he has joint pain in his knees (4-6/10), elbows bilaterally (3-4/10) and left shoulder (4-6/10). The knee pain started in 2002 and the elbow and left shoulder pain began with deployment in 2003. The pain does not limit his work or activities of daily living.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Arrhythmia, Chest pain, Dehydration, Dizziness, Dyspnoea
Clinical narrative: This is a 21-year-old male who was in his usual health when he received his primary smallpox vaccination on 03/12/2003.  Approximately 2 weeks after receiving vaccination notice swelling in bilateral ankle with no change in respect to duty or posture.  He noticed that the swelling was progressing to his knees bilateral approximately 1 month of vaccination. He had difficulty getting in to his rack on board , which was underway at this time. He reported to medical at approximately 1 month after receiving the vaccination, after developing chest pain (8/10) with out associated shortness of breath. He states he had a sore throat and fever at this time as well. He was told to drink plenty of water, given Motrin®, and returned to work.  Approximately 1-2 days after initial onset of chest pain (10/10), again reported to medical. He was again sent back to work. When he attempted to climb 3 flights of ladders, became short of breath (5/5) and he became dizzy. He was again sent to medical, where he was given intravenous hydration. He was told that his heartbeat was irregular at that time. He was given a diuretic and Motrin® and was again released.   After 3 months had lapsed and his symptoms he was flown from the ship to a hospital. At the hospital, was given medication, had a chest xray and an echocardiogram completed. He was hospitalized for 1 week. He was transferred home via MAC flight. During the flight developed chest pain (10+/10) but did not become short of breath.  He was transferred to medical center via bus.   At hospital he continued to have chest pain and shortness of breath. He was placed on oxygen and placed on bed rest. He was there for 24 hours and then was sent to another hospital via commercial flight. He was admitted for 24 hours and then placed on medical hold from late June to Early September 2003. He then transferred to his current duty station. He states that he has not experienced any further chest pains or shortness of breath since his discharge.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Hypoxia, Laboratory test abnormal, Oedema peripheral, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: This is a 21-year-old male who was in his usual health when he received his primary smallpox vaccination on 03/12/2003.  Approximately 2 weeks after receiving vaccination notice swelling in bilateral ankle with no change in respect to duty or posture.  He noticed that the swelling was progressing to his knees bilateral approximately 1 month of vaccination. He had difficulty getting in to his rack on board , which was underway at this time. He reported to medical at approximately 1 month after receiving the vaccination, after developing chest pain (8/10) with out associated shortness of breath. He states he had a sore throat and fever at this time as well. He was told to drink plenty of water, given Motrin®, and returned to work.  Approximately 1-2 days after initial onset of chest pain (10/10), again reported to medical. He was again sent back to work. When he attempted to climb 3 flights of ladders, became short of breath (5/5) and he became dizzy. He was again sent to medical, where he was given intravenous hydration. He was told that his heartbeat was irregular at that time. He was given a diuretic and Motrin® and was again released.   After 3 months had lapsed and his symptoms he was flown from the ship to a hospital. At the hospital, was given medication, had a chest xray and an echocardiogram completed. He was hospitalized for 1 week. He was transferred home via MAC flight. During the flight developed chest pain (10+/10) but did not become short of breath.  He was transferred to medical center via bus.   At hospital he continued to have chest pain and shortness of breath. He was placed on oxygen and placed on bed rest. He was there for 24 hours and then was sent to another hospital via commercial flight. He was admitted for 24 hours and then placed on medical hold from late June to Early September 2003. He then transferred to his current duty station. He states that he has not experienced any further chest pains or shortness of breath since his discharge.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Injection site pustule, Injection site warmth, Vaccination complication
Clinical narrative: This is a 31 year-old male who experienced an inadvertent inoculation with smallpox (vaccinia) virus.  He reports noticing a red area, approximately ¾ inch in diameter with a small pustule in the center, which was first noted at approximately 1700 hours. By 2200 hours he states the area was "hot" with increased redness and "skin crawling" sensation.  This morning the red area had increased to approximately 1.5 inches and the pustule was 2-3 times larger than the day before. He reported to physical training this AM, the pustule was rubbed by his clothing and opened. He completed his PT, running approximately 1.5 miles without further incident. He presented for evaluation and was referred to the VHC for further evaluation and treatment.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Dyspnoea, Pericarditis
Clinical narrative: This is a 31 year-old male who had been in his usual health until 04 July 2004. He had received his primary smallpox vaccination on 06/22/2004.  He denies any prodrome of fever, chills, nausea, vomiting, diarrhea and shortness of breath. He went on leave on 02 July 2004. On July 4th while swimming he noticed a pain in his left chest 4/10 with deep breathing. He stopped swimming the pain subsided. At approximately 0200 on the 5th of July 2004 he was awakened by chest pain (8-9/10) and shortness of breath. He tried to get up out of bed and had difficulty getting out of bed secondary to the pain and shortness of breath. His parents called EMS and he was transported to the local civilian hospital. He was evaluated in the Emergency Department. He underwent an ECG, Echocardiogram, IV fluid hydration and  IV morphine sulfate. He was then admitted to cardiology/telemetry floor.  He was monitored and treated until his discharge on 09 July 2004. He was placed on sick in quarters until 13 July 2004. He returned to on Motrin, colchine and no pain medication. On the 13th the pain returned to his left chest area (5/10) and was short of breath with exertion. On 14th of July his chest pain increased to 7/10 and shortness of breath due to increased pain. He stated that chest pain decreases when he leans forward and increases in supine position. He was seen by a cardiologist and diagnosed with on-going pericarditis in temporal association with receipt of primary smallpox vaccination.
Age: 3.0
Sex: M
Vaccine: DT, HBHEPB, IPV, MMR
Symptoms: Gait disturbance, Injection site erythema, Injection site inflammation, Injection site warmth
Clinical narrative: Pt returned to clinic approx 48 hours after injection with large red inflamed hot area measuring approx. 3" x 4" around site of DTaP injection. Pt did show a slight limp.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Chills, Erythema, Pyrexia, Swelling
Clinical narrative: Right arm red and sallowing from arm pit to 2 inch below elbow, fever, chill, joint pain for a weeks time.
Age: 5.0
Sex: F
Vaccine: JEV
Symptoms: Condition aggravated, Urticaria
Clinical narrative: Pt had h/o sulfa allergy (hives).  She was premedicated for 1 week with Zyrtec and Pepcid prior to first JEV vaccine.  The day after the vaccine she developed a few hives on her torso which spontaneously resolved.  The JEV series was stopped.  No further problems.
Age: 18.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Abdominal pain, Arthralgia, Dyspepsia, Gastritis, Headache
Clinical narrative: Patient had severe reactions during all vaccine series. She experienced burning, aching muscle and joint pain over her whole body. Severe headaches, abdominal pain, stomach sickness and severe heart burn. On her 3rd shot, Her tongue swelled up and she could not control her saliva in her mouth. We went to the ER and the doctor did not know what was going on but diagnosed as an unknown virus. We are proceeding to investigate her abdominal pain and Gastritis, as it has not subsided and it's been a year to date.The doctors here are at a loss and diagnose it all has an unknown virus. Patient has been a very healthy girl since birth but this past year has been long and she's been feeling unwell ever since the vaccines.
Age: 18.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Malaise, Myalgia, Salivary hypersecretion, Tongue oedema
Clinical narrative: Patient had severe reactions during all vaccine series. She experienced burning, aching muscle and joint pain over her whole body. Severe headaches, abdominal pain, stomach sickness and severe heart burn. On her 3rd shot, Her tongue swelled up and she could not control her saliva in her mouth. We went to the ER and the doctor did not know what was going on but diagnosed as an unknown virus. We are proceeding to investigate her abdominal pain and Gastritis, as it has not subsided and it's been a year to date.The doctors here are at a loss and diagnose it all has an unknown virus. Patient has been a very healthy girl since birth but this past year has been long and she's been feeling unwell ever since the vaccines.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Asthenia, Condition aggravated
Clinical narrative: Patient with myasthenia gravis (33yr history) received Pneumo-Vac.  8 days later began to  experience exacerbation of symptoms with increased weakness and decrease of oropharyngeal strength.  Eventually required plasmapheresis and increase in pyridostigmine.  Nurse follow up on 08/19/04 states: "Complete." Per annual report-Partial recovery with residual increased requirement for pyridostigmine.
Age: 22.0
Sex: F
Vaccine: ANTH
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Cellulitis of left arm where patient recieved vaccination.  Stated immediatly after vaccination given.  ABX started (17jul04)-Azithromycin.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV, PPV
Symptoms: Abdominal pain, Blood pressure increased, Flushing, Neck pain
Clinical narrative: Information has been received from a physician concerning a 68 year old female with a history of swelling in her arm after vaccination with a pneumococcal vaccine (manufacturer unknown)(WAES 0407USA00678) who on 10/31/03 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine (Lot # 647797/0987N). Concomitant therapy included influenza virus split virion 3v vaccine inactivated (Fluzone). On 10/31/03, approximately one minute after vaccination with the pneumococcal 23v polysaccharide vaccine, the pt developed anaphylactic shock. The pt initially developed cramping in her abdomen, then a squeezing of her thorax. The pt experienced stiffness of her neck, shortness of breath, an increase in pulse and turned the color of scarlet. The pt was advised to lie down while still at the clinic and the event slowly passed after approximately 5 or 10 minutes. Subsequently, the pt was recovered from the anaphylactic shock after half an hour. Additional information has been requested. Upon internal review, the pt's anaphylactic shock was considered to be an other important medical event (OMIC). Follow UP: Conflicting information has been received from an office nurse. The nurse reported that the patient was not seen in the office on 31OCT2003. The nurse reported that the patient had an allergy to influenza virus split virion 3v vaccine inactivated (FLUZONE) therapy, and subsequently, was not a concomitant therapy. The patient had been seen in the physician's office since 1993, and there was no record of the patient actually receiving a vaccination with influenza virus split virion 3v vaccine inactivated (FLUZONE).
Age: 68.0
Sex: F
Vaccine: FLU3, PPV, PPV
Symptoms: Abdominal pain, Anaphylactic shock, Chest pain, Dyspnoea, Erythema
Clinical narrative: Information has been received from a physician concerning a 68 year old female with a history of swelling in her arm after vaccination with a pneumococcal vaccine (manufacturer unknown)(WAES 0407USA00678) who on 10/31/03 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine (Lot # 647797/0987N). Concomitant therapy included influenza virus split virion 3v vaccine inactivated (Fluzone). On 10/31/03, approximately one minute after vaccination with the pneumococcal 23v polysaccharide vaccine, the pt developed anaphylactic shock. The pt initially developed cramping in her abdomen, then a squeezing of her thorax. The pt experienced stiffness of her neck, shortness of breath, an increase in pulse and turned the color of scarlet. The pt was advised to lie down while still at the clinic and the event slowly passed after approximately 5 or 10 minutes. Subsequently, the pt was recovered from the anaphylactic shock after half an hour. Additional information has been requested. Upon internal review, the pt's anaphylactic shock was considered to be an other important medical event (OMIC). Follow UP: Conflicting information has been received from an office nurse. The nurse reported that the patient was not seen in the office on 31OCT2003. The nurse reported that the patient had an allergy to influenza virus split virion 3v vaccine inactivated (FLUZONE) therapy, and subsequently, was not a concomitant therapy. The patient had been seen in the physician's office since 1993, and there was no record of the patient actually receiving a vaccination with influenza virus split virion 3v vaccine inactivated (FLUZONE).
Age: 68.0
Sex: F
Vaccine: FLU3, PPV, PPV
Symptoms: Heart rate increased, Musculoskeletal stiffness
Clinical narrative: Information has been received from a physician concerning a 68 year old female with a history of swelling in her arm after vaccination with a pneumococcal vaccine (manufacturer unknown)(WAES 0407USA00678) who on 10/31/03 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine (Lot # 647797/0987N). Concomitant therapy included influenza virus split virion 3v vaccine inactivated (Fluzone). On 10/31/03, approximately one minute after vaccination with the pneumococcal 23v polysaccharide vaccine, the pt developed anaphylactic shock. The pt initially developed cramping in her abdomen, then a squeezing of her thorax. The pt experienced stiffness of her neck, shortness of breath, an increase in pulse and turned the color of scarlet. The pt was advised to lie down while still at the clinic and the event slowly passed after approximately 5 or 10 minutes. Subsequently, the pt was recovered from the anaphylactic shock after half an hour. Additional information has been requested. Upon internal review, the pt's anaphylactic shock was considered to be an other important medical event (OMIC). Follow UP: Conflicting information has been received from an office nurse. The nurse reported that the patient was not seen in the office on 31OCT2003. The nurse reported that the patient had an allergy to influenza virus split virion 3v vaccine inactivated (FLUZONE) therapy, and subsequently, was not a concomitant therapy. The patient had been seen in the physician's office since 1993, and there was no record of the patient actually receiving a vaccination with influenza virus split virion 3v vaccine inactivated (FLUZONE).
Age: 18.0
Sex: F
Vaccine: RAB, RAB, RAB
Symptoms: Blindness, Dizziness, Facial palsy, Hallucination, Nausea
Clinical narrative: High fever, partial paralysis, neck and body pain. Possible Bell's Palsy, Guillan Barre (as reported by pt's mother) - approximately 3 days after injection.
Age: 18.0
Sex: F
Vaccine: RAB, RAB, RAB
Symptoms: Pyrexia, Speech disorder
Clinical narrative: High fever, partial paralysis, neck and body pain. Possible Bell's Palsy, Guillan Barre (as reported by pt's mother) - approximately 3 days after injection.
Age: 18.0
Sex: F
Vaccine: RAB, RAB, RAB
Symptoms: Facial palsy, Guillain-Barre syndrome, Paralysis, Pyrexia
Clinical narrative: High fever, partial paralysis, neck and body pain. Possible Bell's Palsy, Guillan Barre (as reported by pt's mother) - approximately 3 days after injection.
Age: 43.0
Sex: F
Vaccine: MMR
Symptoms: Abdominal pain, Asthenia, Feeling hot, Hyperhidrosis, Hypokalaemia
Clinical narrative: 05/04/04: Rapid pounding heart at times. 05/08/04: Stomach cramping, not feeling well like the flu. 05/09/04: Weak will in bed all day. 05/15/04: To weak to make it to her daughter work-arms and legs. Went to ER. Clinic found K+ low 3.1 give fluids and KCI. Spent night in ER drove home. 05/18/04: PMD visit, palpitations, weakness, sweating, feeling hot. Admitted to clinic to look up heart. Continue having episodes through 05/20. On 05/20-ER and clinic for weakness. Sent home on Prednisone helped out. Presently has 1 day left. PMD to do Cortical test 06/01 to check adrenal glands.
Age: 43.0
Sex: F
Vaccine: MMR
Symptoms: Influenza like illness, Palpitations, Similar reaction on previous exposure to drug
Clinical narrative: 05/04/04: Rapid pounding heart at times. 05/08/04: Stomach cramping, not feeling well like the flu. 05/09/04: Weak will in bed all day. 05/15/04: To weak to make it to her daughter work-arms and legs. Went to ER. Clinic found K+ low 3.1 give fluids and KCI. Spent night in ER drove home. 05/18/04: PMD visit, palpitations, weakness, sweating, feeling hot. Admitted to clinic to look up heart. Continue having episodes through 05/20. On 05/20-ER and clinic for weakness. Sent home on Prednisone helped out. Presently has 1 day left. PMD to do Cortical test 06/01 to check adrenal glands.
Age: 39.0
Sex: F
Vaccine: MMR
Symptoms: Hypoaesthesia, Oedema, Paraesthesia
Clinical narrative: 10 to 15 days experienced "pins and needles" running from shoulder to fingertips- slight swelling lower arm/hand. At 7/7/04 numbness nearly disappeared; no swelling. No fever, no rash, no redness.
Age: 15.0
Sex: F
Vaccine: HEPA
Symptoms: Muscular weakness, Skin burning sensation
Clinical narrative: 24 hours after Hep A number 2 pt had muscle weakness in lower extremities. C/o legs burning and feeling like rubber. No Temp, went to children's medical center. Had lab work- all normal.
Age: 3.0
Sex: F
Vaccine: DTAP, HBHEPB
Symptoms: Erythema, Injection site mass, Oedema, Pain
Clinical narrative: Redness, swelling and lump at the site of shot on left arm, swelling spreading from shoulder to elbow of left arm a/w pain only
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Feeling hot, Oedema, Tenderness
Clinical narrative: Left upper arm from shoulder to elbow with erythema, swelling and warmth, tender to touch.
Age: 16.0
Sex: F
Vaccine: TD
Symptoms: Pain
Clinical narrative: Td administered 04/08/04 called parent 7/13/04. Mother stated no adverse reaction other than initial soreness at injection site. Mother denied hardness, fever or other problems. Mother stated client didn't even take Tylenol for discomfort. No unusual findings occurred, only expected soreness at site.
Age: 69.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Erythema, Headache, Nausea, Oedema
Clinical narrative: Several hours after receiving vaccine, he developed pain, swelling and redness around site on upper right arm. This continued into next day along with nausea, headache, chills and worse swelling. Examined 7/15 and still had tenderness with mild erythema and swelling of UE. Improving as of 7/15/04.