chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: Report 20010210481 described hives in a female of unspecified age who received hep B vaccine recombinant (Engerix-B). The vaccinee's allergies and medical history were not specified. On an unspecified date, the vaccinee received her first dose of Engerix-B and a dose of purified protein derivative (PPD). Subsequently she experienced hives, which had lasted 24 hours at the time of this report. As of 08/31/2001, the outcome of the adverse event was unknown.
Age: 71.0
Sex: F
Vaccine: HEP
Symptoms: Convulsion
Clinical narrative: Report 20010212431 describe a seizure in a 71 year old female who received hep B vaccine recombinant (engerix-B). The vaccinee was allergic to sulfa. Her medical history included bipolar affective disorder. She was taking unspecified "long term medications." On 08/23/2001, the vaccinee received her first adult dose of engerix-b. Within 18 hours, she "experienced her first recorded seizure ever." She was then taken to the ER and admitted to the hospital on 08/24/2001. She underwent CT, MRI, and EEG. All tests were negative. She was discharged from the hospital on 08/27/2001. As of 08/31/2001, the vaccinee was taking two unspecified anti-epileptic medications. The outcome of the event was not reported. On 09/28/2001, the reporter stated, "I think it would be misleading to report this as a possible consequence of the vaccine." He stated that the vaccinee was learning to play the recorder and "It is much more likely that this results to playing the recorder" with resultant hyperventilation. He stated that the vaccinee had two seizures, both after playing the recorder. As of 09/28/2001, the outcome of the event was unknown.
Age: 19.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Fatigue, Nausea, Pruritus, Rash
Clinical narrative: Report 2001022088-1 describes dizziness in a pt who rec'd hepatitis B vaccine recombinant (Engerix-B). This report was rec'd from the pt and has not been verified by a physician or other HCP. The pt's allergies and medical history were not specified. She rec'd no concomitant vaccines. On an unspecified date, the pt rec'd her first dose of Engerix-B without adverse event. On 9/11/01, the pt rec'd two 10 mcg R arm injections of Engerix-B. Engerix-B was administered at the pt's home by her aunt. Subsequently, on 9/11/01, the pt experienced dizziness, itching, tiredness, nausea, and a rash all over her body. The nurse gave her diphenhydramine hydrochloride (Benadryl). As of 9/14/01, all side effects improved except for the rash.
Sex: U
Vaccine: HEP
Symptoms: Hypersensitivity
Clinical narrative: Report 2001022393-1 describes allergic reaction (NOS) in a pt of unspecified age and gender who rec'd hepatitis B vaccine (Engerix-B). The pt's allergies, medical history and concomitant medications were unspecified. On an unspecified date, the pt rec'd the first dose of Engerix-B. Subsequently, the reporter thought that the pt was having an allergic reaction (NOS). As of 9/17/01, the outcome of the event was unknown.
Age: 3.0
Sex: F
Vaccine: HEP
Symptoms: Alopecia, Fatigue, Headache
Clinical narrative: Report 2001022498-1 describes headache in a pt who rec'd hepatitis B vaccine (brand unknown). The pt's allergies, medical history, and concomitant medications were not specified. In 8/01, the pt rec'd her third intra-muscular dose of hepatitis B vaccine (brand unknown). Three weeks later, she experienced hair loss, fatigue, and headache. As of 9/14/01, the adverse events had not resolved.
Sex: F
Vaccine: HEP
Symptoms: Herpes zoster, Infection
Clinical narrative: Report 2001022515-1 describes shingles in a pt of unspecified age who rec'd hepatitis B vaccine recombinant (Engerix-B). The pt's allergies, medical history, and concomitant medications were not specified. On 8/20/01, the pt rec'd her first 1.0cc intra-muscular dose of Engerix-B. On 8/22/01, she was diagnosed with shingles. Engerix-B was discontinued. as of 9/19/01, the outcome of the shingles was unknown.
Age: 42.0
Sex: F
Vaccine: HEP
Symptoms: Cough, Diarrhoea, Influenza like illness, Nausea, Pyrexia
Clinical narrative: On 8/23/01, the pt received her 1st IM, left arm, 20mcg dose of Engerix-B. On 8/24/01, she "swelled under arms and behind knees, had nausea, vomiting and diarrhea and all flu symptoms". In addition, the pt experienced cough and fever. She was seen in the ER. She was found to have a viral infection (NOS) which resolved on 9/10/01. The reporter stated that the adverse events were moderate in intensity and were possibly related to Engerix-B. As of 10/9/01, the events had resolved.
Age: 42.0
Sex: F
Vaccine: HEP
Symptoms: Swelling, Viral infection, Vomiting
Clinical narrative: On 8/23/01, the pt received her 1st IM, left arm, 20mcg dose of Engerix-B. On 8/24/01, she "swelled under arms and behind knees, had nausea, vomiting and diarrhea and all flu symptoms". In addition, the pt experienced cough and fever. She was seen in the ER. She was found to have a viral infection (NOS) which resolved on 9/10/01. The reporter stated that the adverse events were moderate in intensity and were possibly related to Engerix-B. As of 10/9/01, the events had resolved.
Age: 73.0
Sex: F
Vaccine: HEP
Symptoms: Hepatitis
Clinical narrative: On 8/25/01, the pt received her 1st 40mcg IM dose of Engerix-B (lot ENG3203A4). The expiration date for that lot number was 4/23/01. On 9/17/01, the pt received her 2nd 40mcg IM dose of Engerix-B. On 9/26/01, she was found to be hepatitis B surface antigen positive. As of 9/26/01, the pt was feeling "fine". The pt's blood was re-tested and results are not yet available.
Age: 2.0
Sex: F
Vaccine: HEP
Symptoms: Pyrexia, Rash, Vomiting
Clinical narrative: In 10/92, the pt received her 1st dose of Engerix-B. Subsequently, she developed a rash, fever and vomiting. The reporter indicated that no additional doses of Engerix-B were "ever given". As of 10/4/01, the outcome of the events was unknown.
Age: 11.0
Sex: M
Vaccine: HEP
Symptoms: Agitation, Flushing, Headache, Loss of consciousness
Clinical narrative: On 10/10/01, the pt received his 2nd 10mcg, IM dose of Engerix-B. Ten minutes later, the pt experienced "agitation, severe headache, heat sensations, flushing" and 1 episode of "passing out". The pt received Benadryl immediately and ER observation later for a brief period. As of 10/10/01, the adverse events had resolved.
Age: 51.0
Sex: M
Vaccine: HEP
Symptoms: Pruritus
Clinical narrative: Reportedly, in 1996, the vaccinee received his first 20mcg intramuscular dose of Engerix-B. Reportedly, several days later, his feet started to itch. Reportedly, the itching resolved. Reportedly, one month after receiving his first dose of Engerix-B, the vaccinee received his second 20mcg intramuscular dose of Engerix-B. Reportedly several days later, his hands started to itch; then the itch moved to his scalp, and then to his feet. Reportedly, all his body parts did not itch at one time; The itch would just keep changing locations. Reportedly, he was taking Cetirizine hydrochloride (Zyrtec) 10mg every other day and, reportedly, that did help. Reportedly, he has not received the third dose in the series. As of 10 OCT 2001, reportedly, the outcome of the adverse event was unresolved.
Age: 22.0
Sex: F
Vaccine: HEP
Symptoms: Myalgia, Pain
Clinical narrative: Report 20010245201 describes muscle tenderness of the lower back in a 22 year old female who received an injection of hep B vaccine recombinant (Engerix-B). Medical history, concurrent conditions, and concurrent medications were not specified. On 08/09/2001, the pt received her first injection of Engerix-B in her left arm. Two hours post-immunization, the pt experienced muscle tenderness in the lower back that persisted for one week. She also experienced pain in her left elbow. The events resolved.
Sex: F
Vaccine: HEP
Symptoms: Lymphadenopathy, Swelling, Tenderness
Clinical narrative: Report 20010248321 describes swelling in the axillary area of a female age not specified who received hep B vaccine recombinant (Engerix-B). Medical history, concurrent conditions, and concurrent medications were not specified. The pt received her first and second injections of Engerix-B 07/06/2001 and 08/07/2001, respectively. "Weeks later" she developed swelling in the axillary area. On 08/27/2001, 20 days following the second injection of Engerix-B, she developed three swollen lymph nodes that were tender to the touch. The pt was seen by a physician and unspecified tests were performed; the results were not provided. Outcomes of the events were not specified.
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site oedema, Pruritus
Clinical narrative: On 11 October 2001, the patient received her third injection of Engerix-B in her left arm. On 12 October 2001, one day post-immunization, the patient developed a three inch red, swollen band approximately 2 inches below the injection site. The area was also itching. The patient was seen by a physician. The events were "improving" as of 15 October 2001.
Sex: M
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: On 6/11/99, the pt received an injection of Engerix-B; it was not known if he had received prior injections of Engerix-B. "Soon after the injection", the pt became immunosuppressed. The event persisted as of 10/16/01.
Age: 42.0
Sex: F
Vaccine: HEP
Symptoms: Swelling
Clinical narrative: On 10/24/01, the pt received an IM injection of Engerix-B. It was not known if she had received previous injections of Engerix-B. On 10/26/01, the pt called the nurse because she noticed swelling at her neck near the collar bone. The nurse stated the pt's neck was "a little puffy".
Age: 51.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Back pain, Hypoaesthesia, Neck pain, Pain
Clinical narrative: Report A0354386A describes the generalized discomfort in a 51 year old female who received her second injection of hepatitis B vaccine recombinant (Engerix B). Tehre was no relevant medical history, concurrent conditions, or concomitant medications specified. The subject had no adverse experiences following her first injection of Engerix B. On 10/15/01, the subject received her second injection of hepatitis B vaccine recombinant (Engerix B) in the right arm. Three days later, on 10/18/01, the subject experienced symptoms of generalized discomfort for five days and muscle ache on her neck and shoulders. Additionally, on 10/23/01, she reported experiencing symptoms of weakness for five days, mild numbness of her right arm, and especially of her right hand. The subject was subsequently treated with acetaminophen extra strength 500mg every 4 to 6 hours as needed by mouth for discomfort. it was indicated that on an unspecified date the subject returned to the clinic for her third injection of hepatitis B vaccine and experienced no adverse events. The events of generaleized discomfort and aching were reported to have resolved on an unspecified date. The reporting nurse considered the events to be possibly related to Engerix B administration.
Age: 2.0
Sex: F
Vaccine: HEP
Symptoms: Injection site mass, Injection site reaction, Pruritus
Clinical narrative: On 5/22/01, the pt received her 1st 0.5ml left leg injection of Engerix-B. Post vax, on 5/22/01, the reporter stated that the pt developed a local reaction characterized by a round lump on the left leg that was extremely itchy. The lump was 1.5" to 2" in diameter. The reaction lasted for "about" 3 weeks. As of 10/30/01, the local reaction had resolved.
Sex: M
Vaccine: FLUX
Symptoms: Diarrhoea, Myalgia, Pyrexia
Clinical narrative: It was reported that an adult male pt was administered an Influenza vaccine on 20-OCT-2001. On 21-OCT-2001 the pt experienced a temperature of 100-101F, diarrhea and myalgia that lasted 8 days. Myalgia in his back and both lower extremities persists. Pt was evaluated by both his internist and pulmonologist and given Percocet for the myalgia.
Age: 44.0
Sex: M
Vaccine: LYME
Symptoms: Eyelid ptosis, Eyelid retraction, Hepatic steatosis, Myasthenic syndrome, Neuropathy
Clinical narrative: This report describes myasthenia gravis in a 44 year old male who received Lymerix. Following the onset of myasthenia gravis, the pt developed plaques on his knees and elbows that were "suggestive of psoriasis". The pt was referred to a dermatologist. This was not reported as an adverse event due to vaccine administration, but was found during the course of review of the pt's medical records. Therefore, it is not listed as an adverse event. The pt received his 1st and 2nd injections of Lymerix in 4/99 and 5/99. An unspecified time, post vax, he awoke with left eye ptosis. He placed a patch over his right eye in an unsuccessful attempt to strengthen his left eyelid. The ptosis persisted when he received his 3rd Lymerix on 4/20/00. He was referred to aneuro-ophthalmologist. The pt was seen on 8/23/00 and the physician wrote that the pt "states that 1 year ago, he woke up and noted left eye ptosis. He notes that with fatigue the lid droop is accentuated. He did try to place a patch over the right eye in order to strengthen his left eyelid but this was to no avail. He has had no generalized fatigue. However, he has had occasional burning sensation down both legs with exercise. He has had no complaints of SOB, dysphagia or double vision. He noticed that the left eyelid twitches at times. He received a Lyme vaccination in 4/99 and 5/99, just before the onset of his ptosis." On physical exam, "he did demonstrate mild curtaining and a positive lid twitch sign. There was dermatochalsis noted bilaterally. An ice pack test was carried out and also showed improvement of the ptosis". The physician's impression was "At this time we need to exclude myasthenia gravis". The pt was seen by the neuro-ophthalmologist on 4/17/01 and he wrote "The vaccinee returns today for follow-up of his myasthenia gravis. He was lost to follow-up for several months. He has undergone a single fiber EMG which does suggest a presence of a neuromuscular defect. He had had no other new neurologic signs or symptoms including no dysarthria, dysphagia, weakness or SOB. He is currently asymptomatic from a myasthenic point of view." On exam, "He continues to have a mild left ptosis and slight eyelid retraction on the right. Motility was full". The physician recommended a CT of the chest to rule out thymoma and thyroid function testing.
Age: 44.0
Sex: M
Vaccine: LYME
Symptoms: Skin burning sensation
Clinical narrative: This report describes myasthenia gravis in a 44 year old male who received Lymerix. Following the onset of myasthenia gravis, the pt developed plaques on his knees and elbows that were "suggestive of psoriasis". The pt was referred to a dermatologist. This was not reported as an adverse event due to vaccine administration, but was found during the course of review of the pt's medical records. Therefore, it is not listed as an adverse event. The pt received his 1st and 2nd injections of Lymerix in 4/99 and 5/99. An unspecified time, post vax, he awoke with left eye ptosis. He placed a patch over his right eye in an unsuccessful attempt to strengthen his left eyelid. The ptosis persisted when he received his 3rd Lymerix on 4/20/00. He was referred to aneuro-ophthalmologist. The pt was seen on 8/23/00 and the physician wrote that the pt "states that 1 year ago, he woke up and noted left eye ptosis. He notes that with fatigue the lid droop is accentuated. He did try to place a patch over the right eye in order to strengthen his left eyelid but this was to no avail. He has had no generalized fatigue. However, he has had occasional burning sensation down both legs with exercise. He has had no complaints of SOB, dysphagia or double vision. He noticed that the left eyelid twitches at times. He received a Lyme vaccination in 4/99 and 5/99, just before the onset of his ptosis." On physical exam, "he did demonstrate mild curtaining and a positive lid twitch sign. There was dermatochalsis noted bilaterally. An ice pack test was carried out and also showed improvement of the ptosis". The physician's impression was "At this time we need to exclude myasthenia gravis". The pt was seen by the neuro-ophthalmologist on 4/17/01 and he wrote "The vaccinee returns today for follow-up of his myasthenia gravis. He was lost to follow-up for several months. He has undergone a single fiber EMG which does suggest a presence of a neuromuscular defect. He had had no other new neurologic signs or symptoms including no dysarthria, dysphagia, weakness or SOB. He is currently asymptomatic from a myasthenic point of view." On exam, "He continues to have a mild left ptosis and slight eyelid retraction on the right. Motility was full". The physician recommended a CT of the chest to rule out thymoma and thyroid function testing.
Age: 66.0
Sex: M
Vaccine: LYME
Symptoms: Antinuclear antibody positive, Arthralgia, Cutaneous lupus erythematosus, Laboratory test abnormal, Skin ulcer
Clinical narrative: On an unknown date, the vaccinee received his third injection of Lymerix. An unspecified time post immunization, he developed arthralgias, a positive ANA titer and a skin lesion "suggestive of lupus." Treatment and outcome of the events were not provided. Possible lupus is considered medically serious. The follow up describes discoid lupus in a 66 year old male who received Lyme disease vaccine recombinant OspA (LYMErix). The medical history included hyperlipidemia. There was no history of gout, psoriasis, Crohn's disease, or Lyme disease. There was no family history of rheumatoid arthritis or lupus. Concurrent medications included Zocor. The vaccinee received injections of LYMErix on 6/2/99 (lot 120F9), 7/1/99 (lot 123G9), and 8/4/00 (lot 146A9). On 9/18/00, approximately six weeks after receiving the third injecton of LYMErix, the vaccinee presented to the vaccine provider with arthralgias and myalgias of the hands, forearms, forefeet, and hindfeet. Simvastatin therapy was discontinued. In January 2001, the vaccinee developed a photosensitive rash on his face and upper extremity and was referred to a dermatologist. Antinuclear antibody titer was negative. The dermatologist performed a skin biopsy: the results were consistant wiht discoid lupus. In September 2001, the dermatologist prescribed Flaquenil 200mg once daily, then 200mg twice daily. The vaccinee was seen by the reporting rheumatologist on 11/7/01. No warm or swollen joints were noted on examination. No joint fluid was obtained for analysis. Lab analyses revealed erythrocyte sedimentation rate 32mm/hr, ANA titer 1:8 with a speckled pattern, and positive Sjogren's SSA and SSB antibodies. Rheumatoid factor on an unspecified date was normal. The rheumatologist stated that the clinical and serologic constellation now consistant with undifferentiated connective tissue disease. As of 3/26/02, the events were ongoing. The rheumatolgoist considered the events to be moderate in intensity. He considered LYMErix to be a possible trigger for the undifferentiated connective tissue disease.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC, DTAP, DTAP, HEP, HIBV, PNC
Symptoms: Anaemia, Apnoea, Atelectasis, Bradycardia, Convulsion
Clinical narrative: Pt was given vaccines in clinic according to hospital records. Approx 1/2 hour later mother was at home and noticed he became leghargic and apneic, was taken to ER by EMS, is currently in NICU on ventilater. (Mother did not have pink card and didn't know that baby had received immunization in the hospital -- thought we were giving 2mg shot.  Diagnosed with seizures, bradycardia, anemia gastroesopageal reflux, encephalopathy, respiratory failure, R upper lobe atelectasis
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC, DTAP, DTAP, HEP, HIBV, PNC
Symptoms: Encephalopathy, Lethargy
Clinical narrative: Pt was given vaccines in clinic according to hospital records. Approx 1/2 hour later mother was at home and noticed he became leghargic and apneic, was taken to ER by EMS, is currently in NICU on ventilater. (Mother did not have pink card and didn't know that baby had received immunization in the hospital -- thought we were giving 2mg shot.  Diagnosed with seizures, bradycardia, anemia gastroesopageal reflux, encephalopathy, respiratory failure, R upper lobe atelectasis
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC, DTAP, DTAP, HEP, HIBV, PNC
Symptoms: Apnoea, Convulsion, Lethargy, Respiratory failure, Sepsis
Clinical narrative: Pt was given vaccines in clinic according to hospital records. Approx 1/2 hour later mother was at home and noticed he became leghargic and apneic, was taken to ER by EMS, is currently in NICU on ventilater. (Mother did not have pink card and didn't know that baby had received immunization in the hospital -- thought we were giving 2mg shot.  Diagnosed with seizures, bradycardia, anemia gastroesopageal reflux, encephalopathy, respiratory failure, R upper lobe atelectasis
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC, DTAP, DTAP, HEP, HIBV, PNC
Symptoms: Apnoea, Convulsion, Lethargy, Viral infection
Clinical narrative: Pt was given vaccines in clinic according to hospital records. Approx 1/2 hour later mother was at home and noticed he became leghargic and apneic, was taken to ER by EMS, is currently in NICU on ventilater. (Mother did not have pink card and didn't know that baby had received immunization in the hospital -- thought we were giving 2mg shot.  Diagnosed with seizures, bradycardia, anemia gastroesopageal reflux, encephalopathy, respiratory failure, R upper lobe atelectasis
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Anxiety, Diarrhoea, Hyperglycaemia, Hyperkalaemia, Hypoproteinaemia
Clinical narrative: The pt developed diffuse interstitial disease of the lungs about 10 days, post vax, Pneumonia. Annual follow up states- I do not believe the pts pneumonia was caused or related to the flu vaccine. The discharge summary states diarrhea, anxiety, hypoglycemia, hyperkalemia and hypoalbuminemia.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Interstitial lung disease, Pneumonia
Clinical narrative: The pt developed diffuse interstitial disease of the lungs about 10 days, post vax, Pneumonia. Annual follow up states- I do not believe the pts pneumonia was caused or related to the flu vaccine. The discharge summary states diarrhea, anxiety, hypoglycemia, hyperkalemia and hypoalbuminemia.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Irritability, Meningitis, Pyrexia, Viral infection
Clinical narrative: Post vax, the pt became cranky and had a fever of 104F by evening. She was brought to the hospital and a lumbar tap was (+) for viral meningitis.
Age: 68.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site abscess, Injection site pain, Injection site swelling
Clinical narrative: The pt was admitted to the hospital on 1/9/02 with complaints of "sore shoulder", pain and swelling after vaccines on 12/11/01. "Left shoulder septic"; "possible abscess". It was aspirated and cultured. All tests were negative. MD discharged the pt to home on 1/11/02.
Age: 1.08
Sex: M
Vaccine: MMR
Symptoms: Cardio-respiratory arrest, Convulsion
Clinical narrative: New onset seizures with 2 episodes of cardiorespiratory arrest on the day of onset.  Follow up:  Status epilepticus, aspiration pneumonitis.
Age: 39.0
Sex: M
Vaccine: HEP
Symptoms: Arthralgia, Asthenia, Cardiac disorder, Myalgia, Nervous system disorder
Clinical narrative: On 12/8/01, states: complained of weakness and muscle pain as well as joint pain, immediately upon awakening. Signs and symptoms increased and he was admitted to the hospital ICU. Exhibiting signs and symptoms of cardiac and neurological involvement.
Age: 0.8
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Convulsion
Clinical narrative: Pt had a seizure, early AM, and was taken to ER. Admitted to ICU then transferred to Pediatrics.
Age: 61.0
Sex: F
Vaccine: FLUX
Symptoms: Dyspnoea, Heart rate increased, Pain
Clinical narrative: One to 1.5 hours after vaccine I developed rapid heartbeat, SOB, severe pain in chest radiating out to left arm. reported tp physician on call at hospital. Advised to seek medical attention.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Grand mal convulsion, Injection site pain
Clinical narrative: Pt had her first influenza injection December 5th. On January 7th the child was brought in for the second immunization and the mother reported that the site "got a little sore the last time." On 01/08/2002 the child was seen at the medical clinic and was admitted to the hospital with grand mal seizures and transferred to a different hospital a later that day.
Age: 78.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Oedema, Pain, Tenderness
Clinical narrative: Pneumonia vaccine given approximately 2 PM on 10/24/2001 in left deltoid. Arm was slightly tender. On morning of 10/26/2001, he noticed soreness and visible swelling on inner aspect above left elbow discomfort. Did not call doctor's office.
Age: 35.0
Sex: F
Vaccine: IPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: The pt developed swelling, redness, warmth, pain and itching on 10/24/01 that lasted about 4 days. The redness was about 4" in size. She was treated with Benadryl and Cortisone cream.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Pain
Clinical narrative: The client came back to the health dept on Monday, 11/5/01. She states that on Saturday, she felt achy and just "not right". Then she woke up on Monday morning and had a large red spot approx. 3-4" below the injection site. The client states that the same thing happened after her last pneumonia and tetanus shots. Instructed her to notify physician and to take Benadryl to see if that helps.
Age: 1.2
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Asthenia, Eye swelling, Gait disturbance, Irritability, Lethargy
Clinical narrative: 11/10/01, hives on back and continued through the date of the report. 11/13/01, axillary temperature of 102.7F; lack of appetite and lethargic. 11/14/01, Tylenol given; temperature normal. 11/15/01, red and swollen eyes; fussiness; pale; weakness and unsteady gait.
Age: 1.2
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Ocular hyperaemia, Oral intake reduced, Pallor, Pyrexia, Urticaria
Clinical narrative: 11/10/01, hives on back and continued through the date of the report. 11/13/01, axillary temperature of 102.7F; lack of appetite and lethargic. 11/14/01, Tylenol given; temperature normal. 11/15/01, red and swollen eyes; fussiness; pale; weakness and unsteady gait.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia
Clinical narrative: 15 minutes, post vax, the client's right palm became numb. It is still numb at 11:00. The vaccination was done off site. At 16:50, call to client and states the feeling has returned.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chills
Clinical narrative: Pt states she had flu shot on Monday, 11/19/01 and chills started on that evening and has persisted along with weakness from 11/19/01 to 11/23/01. No topical reaction. Informed pt that she was most likely exposed prior to vaccination. Recovery in process.
Age: 55.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Bursitis, Hypokinesia, Pain
Clinical narrative: The pt received injection at 10:30 on 11/19/01 in the left deltoid. By 14:30, the pt complained of symptoms of extreme pain and inability to lift arm. On 11/26/01, the pt is able to move arm and has no pain. Physician thinks vaccination caused acute bursitis.
Age: 0.4
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Agitation, Pyrexia
Clinical narrative: Post vax, the pt had constant crying with no consoling and increased temperature of 102.2F-103F.
Age: 1.9
Sex: M
Vaccine: PNC
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: The pt received Prevnar #2 (last of series) on 1/14/02 in the left thigh, IM. The office notified on 1/16/02, that the pt was experiencing swelling and erythema at the site of the injection of the left thigh. It was treated with Benadryl tid and Keflex X 10 days.
Age: 49.0
Sex: F
Vaccine: LYME
Symptoms: Gait disturbance, Hypokinesia, Pain
Clinical narrative: I was given the vaccine on a Friday night and by Sunday, I was unable to get out of bed without assistance. My husband helped me with his arms to get to the bathroom. I had severe pain in my body from the neck down. I had to walk by holding onto the walls. Continuous testing was initiated and continues on a monthly basis.
Age: 1.3
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: The pt developed a rash, 10 days post vax of MMR from head to toe. Temperature was 105F, 7 days post vax. Was on amoxicillin; last dose 12/10/01. Treated with Benadryl.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Sleep disorder
Clinical narrative: The pt states that after the injection, she couldn't sleep that night. Went to private MD on 1/15/02 because of "severe pain". She states the pain "comes and goes".
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Hypokinesia, Myalgia, Neuropathy
Clinical narrative: The flu shot was administered on 11/29/01 and was painful at the time of injection (RD). Immediately lost ROM and was unable to move arm towards back such as to hook bra or find seat belt. Can't reach opposite side. Can raise arm straight up. Pain in arm at night in the muscle between shoulders and elbow. The doctor thought that the injection hit a nerve. Using heat, exercises and Vioxx X 19 days. Shot given high in deltoid; 1 finger below bone. Above treatments made no difference.
Age: 64.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Contusion, Injection site haemorrhage, Injection site mass, Injection site pain
Clinical narrative: Injection given on 11/29/01 in left deltoid. Immediately, shot was painful and bled a lot. Was given high on shoulder about 1 finger below the bone and was bruised after 15 minutes. Arm ached all day and night and the next day. There was a knot at the site and is still dime-sized.
Age: 64.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Ecchymosis, Injection site mass, Pain
Clinical narrative: Injection given on 11/29/01 in left deltoid. Immediately, shot was painful and bled a lot. Was given high on shoulder about 1 finger below the bone and was bruised after 15 minutes. Arm ached all day and night and the next day. There was a knot at the site and is still dime-sized.
Age: 0.75
Sex: M
Vaccine: PNC
Symptoms: Rash morbilliform
Clinical narrative: Morbilliform rash that started about 12 hours, post vax of the 3rd dose of Prevnar. The child had preceding fever and pulling at ear X 2 days prior to vaccine. Child well with rash.
Age: 48.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Contusion, Hypokinesia, Injection site erythema, Muscular weakness, Pyrexia
Clinical narrative: 24 hours, post vax, had severe muscle weakness (lasted 48 hours), severe redness at injection site with bruising (lasting over 4 weeks), unable to lift arm (injection site) for 72 hours and fever for 48 hours.
Age: 51.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: Redness, swollen and painful at the injection site. Also, felt a knot. Client received flu and pneumovax in the same site. On 11/5/01, still had pin-size knot but no redness. On 1/17/02, resolved.
Age: 51.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Rash, Skin nodule
Clinical narrative: Redness, swollen and painful at the injection site. Also, felt a knot. Client received flu and pneumovax in the same site. On 11/5/01, still had pin-size knot but no redness. On 1/17/02, resolved.
Age: 51.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Bursitis, Hypokinesia, Injection site pain, Injection site warmth, Pain
Clinical narrative: Flu shot given in right deltoid on 11/29/01. Shoulder and arm sore and warm. Upper forearm hurts at night. Can't lift left arm straight out or to reach to back such as to hook bra or retrieve seat belt. Saw doctor and tried ibuprofen 800mg with heat on arm with no relief. Dx'd with bursitis and then given anti-inflammatory with no help. Saw Ortho doctor and was given cortisone. Dx'd with tendonitis and to do exercises X 1 week.
Age: 51.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Tendonitis
Clinical narrative: Flu shot given in right deltoid on 11/29/01. Shoulder and arm sore and warm. Upper forearm hurts at night. Can't lift left arm straight out or to reach to back such as to hook bra or retrieve seat belt. Saw doctor and tried ibuprofen 800mg with heat on arm with no relief. Dx'd with bursitis and then given anti-inflammatory with no help. Saw Ortho doctor and was given cortisone. Dx'd with tendonitis and to do exercises X 1 week.
Age: 51.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Feeling hot, Injection site reaction, Joint range of motion decreased, Tendonitis
Clinical narrative: Flu shot given in right deltoid on 11/29/01. Shoulder and arm sore and warm. Upper forearm hurts at night. Can't lift left arm straight out or to reach to back such as to hook bra or retrieve seat belt. Saw doctor and tried ibuprofen 800mg with heat on arm with no relief. Dx'd with bursitis and then given anti-inflammatory with no help. Saw Ortho doctor and was given cortisone. Dx'd with tendonitis and to do exercises X 1 week.
Age: 1.08
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Blister, Pallor, Pyrexia, Rash, Tremor
Clinical narrative: The morning after immunizations, he had a brief 5 second episode of pallor, shaking. Ok after 5 seconds. His temperature was 100F. He had a slight rash on legs increasing to his chest and all over on the same day. This lasted 5 days. Had pink spots with blisters.
Age: 0.5
Sex: M
Vaccine: DTPHIB, HEP, IPV, PNC
Symptoms: Erythema, Rash macular
Clinical narrative: The pt developed sparse but diffuse 3mm macules with surrounding erythema (sparing mucus membranes) on palms and soles. Otherwise, apparently without symptoms or findings.
Age: 1.0
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Cough, Decreased appetite, Lethargy, Otitis media, Pyrexia
Clinical narrative: The pt developed a fever of 102F X 5 days, lot of purulent sinus discharge, right otitis media, severe cough, lethargy and decreased appetite.
Age: 1.0
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Sinus congestion
Clinical narrative: The pt developed a fever of 102F X 5 days, lot of purulent sinus discharge, right otitis media, severe cough, lethargy and decreased appetite.
Age: 39.0
Sex: M
Vaccine: FLU3, MEN, TD, TYP
Symptoms: Lymphoedema
Clinical narrative: 4 day, post vax, I noticed a large lump in my left armpit. After taking Naprosyn, it died down, after 4 days.
Age: 1.4
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Blister, Injection site erythema, Injection site induration, Injection site warmth, Injury
Clinical narrative: Received shots on 1/9/02 in the afternoon for a dog bite (also delayed immunizations, got only 2 DTAP's at this visit). Grandmother noted a blister on his injection site on the night of 1/10/02, followed by development of a warm, red and indurated area around it, the following morning. (3" X 2 1/2"). The pt also received tetanus immunoglobulin (given on the same day but in the Urgent Care because of it's unavailability in this clinic).
Age: 44.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Insomnia, Myalgia
Clinical narrative: After 2nd shot of Lymerix, started experiencing muscle and joint pain and sleeplessness.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Rash
Clinical narrative: The pt developed a rash all over her body, a few seconds into the Prevnar being administered.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Injection site erythema, Listless, Pallor, Syncope vasovagal
Clinical narrative: The pt had a pale face, somewhat listless, bright red lower extremities, breathing is fine; it looks like a significant vasovagal rxn. Observation over a few minutes. Symptoms resolved. Monitor over 24 hours. No further symptoms.
Age: 40.0
Sex: F
Vaccine: FLU3, YF
Symptoms: Hypersensitivity, Urticaria
Clinical narrative: Hives developing in different areas; not all at the same time. It started with gluteal area, moved to elbows, arms and waist. It disappears and reappears in different areas. No redness or irritations around the injection sites. Allergic reaction.
Age: 20.0
Sex: F
Vaccine: ANTH
Symptoms: Rash
Clinical narrative: A poison-like rash on hands, feet and back of neck.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: On 09/10/2001 night right arm started getting red/hot and swollen without itch. Prednisone Taper for four days and Claritin for seven days.
Age: 49.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: On the same day, developed redness and tenderness at the site. Came to the doctor on 12/7/01. Localized reaction to left upper arm with radiation to shoulder. No chest pain or SOB. Mild induration and redness, non-tender to touch. Treated with Solu-Medrol 125mg and improved on 12/08/01. "Back to normal on 12/9/01".
Age: 1.25
Sex: M
Vaccine: MMR
Symptoms: Febrile convulsion, Hypokinesia, Laboratory test abnormal, Rash
Clinical narrative: Generalized tonic/clonic febrile seizure with fever on 11/21/01 and a 10-15 second seizure with 3 hours of decreased activity. Evaluated in ER. Had a rash develope late on 11/22/01 for 2 days. No residual effects noted to date.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Rash erythematous
Clinical narrative: Pt broke out with raised rash on both thighs, worse on R mostly resolved by 11/21. No fever.
Age: 49.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Pt reports R upper deltoid vaccine area, red, hot to touch. Size of a grapefruit 10x15cm area of erythema with central induration.
Age: 41.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Cellulitis, Injection site induration
Clinical narrative: Pt reports cellulitis of R arm 4"x3" induration. Pt was treated with Doxyccline.
Age: 11.0
Sex: M
Vaccine: HEP
Symptoms: Rash
Clinical narrative: Pt rec'd 1st dose of Hep B on 1/11/02. Pt went to beach for weekend and upon return on (1/13/02) he reported to mother that a rash on face, chest and back began to appear on (1/2/02). Mother took pt to Dr. on 1/14/02 and is having blood work done this afternoon.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Crying, Injection site erythema, Injection site swelling, Irritability, Restlessness
Clinical narrative: It was reported at 4:45pm pt started crying, restless, swilling of L thigh, redness, tenderness. Returned to clinic at 5pm crying al lot, irritable, swelling 1"x1" L thigh site of Hib injection. Pt was given 1/2 tsp of Benadryl po. Cold compress.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Tenderness
Clinical narrative: It was reported at 4:45pm pt started crying, restless, swilling of L thigh, redness, tenderness. Returned to clinic at 5pm crying al lot, irritable, swelling 1"x1" L thigh site of Hib injection. Pt was given 1/2 tsp of Benadryl po. Cold compress.
Age: 33.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: Pt called 2 days post vaccination to report redness, swelling, heat and pain at the injection site. Pt states feels systemic itching without rash, no swollen glands.
Age: 1.25
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: The pt had chickenpox on 12/27/01.
Age: 1.0
Sex: F
Vaccine: HIBV, VARCEL
Symptoms: Infection
Clinical narrative: Atypical varicella (mild) with a few skin lesions.
Age: 0.4
Sex: M
Vaccine: RAB, RAB
Symptoms: Convulsion
Clinical narrative: He started to have seizures on about 9/11/01. He is still testing. An EEG and MRI has to be taken. Dates of shots: 8/1/01, 8/4/01, 8/8/01, 8/15/01 and 8/29/01.
Age: 0.4
Sex: M
Vaccine: RAB, RAB
Symptoms: Convulsion, Musculoskeletal stiffness, Sleep disorder
Clinical narrative: He started to have seizures on about 9/11/01. He is still testing. An EEG and MRI has to be taken. Dates of shots: 8/1/01, 8/4/01, 8/8/01, 8/15/01 and 8/29/01.
Age: 2.0
Sex: F
Vaccine: VARCEL
Symptoms: Herpes zoster, Infection
Clinical narrative: Shingles on left arm.
Age: 49.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Blood glucose increased, Myalgia
Clinical narrative: Hurt in arms and legs muscles and had lumps come and go in arms and legs. Sugar test was twice as high as before shots. I'm a Diabetic. Shots were given on 8/1/01, 8/4/01, 8/8/01, 8/15/01 and 8/29/01.
Age: 49.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Contusion, Muscle rigidity, Pain
Clinical narrative: Hurt in arms and legs muscles and had lumps come and go in arms and legs. Sugar test was twice as high as before shots. I'm a Diabetic. Shots were given on 8/1/01, 8/4/01, 8/8/01, 8/15/01 and 8/29/01.
Age: 1.25
Sex: M
Vaccine: HIBV, MMR
Symptoms: Pyrexia, Rash macular
Clinical narrative: Fever of 103.2F, pinpoint macular rash on the chin, neck, upper chest and back.
Age: 1.47
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Erythema, Swelling
Clinical narrative: 1/8/02 seen with reaction locally; swelling and erythema left thigh 4cmx8cm. No fever. Completely resolved in 5 days.
Age: 10.0
Sex: M
Vaccine: HEPA
Symptoms: Headache, Malaise, Pyrexia
Clinical narrative: Fever greater than 103F, headache and malaise. Symptoms began 6 days, post vax, 2nd Hep-A, and lasted less than 24 hours.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR
Symptoms: Eye movement disorder, Pyrexia, Tremor
Clinical narrative: The pt developed a fever that evening followed by eyes rolling and shaking. In ER, fever was 104.8F.
Age: 1.0
Sex: M
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Erythema, Nasal congestion, Pyrexia, Rash maculo-papular
Clinical narrative: Broke out in a rash, 30 minutes, post vax. It worsened over 3 days. Seen in our office on the evening of 1/14/02 and had scattered maculopapular, erythematous rash on face, trunk and extremities; a few were hive-like. Temperature of 99.0F (R). Had Motrin. Parents reported T101.3F (R), no vomiting, no diarrhea. TM's clear with slight nasal congestion.
Age: 47.0
Sex: M
Vaccine: HEP
Symptoms: Asthenia, Bronchospasm, Decreased appetite, Dizziness, Fatigue
Clinical narrative: Pt experienced fatigue, weakness, headache, weight loss of 8 lbs, sensation of warmth, light headed, poor appetite, vertigo, neck pain, shoulder pain, stiffness, insomnia, bron spasms, palpitations and muscle weakness. Pt saw his MD on 1/17/2002. Pt will have blood work on 1/21/2002.
Age: 47.0
Sex: M
Vaccine: HEP
Symptoms: Feeling hot, Headache, Insomnia, Muscular weakness, Musculoskeletal stiffness
Clinical narrative: Pt experienced fatigue, weakness, headache, weight loss of 8 lbs, sensation of warmth, light headed, poor appetite, vertigo, neck pain, shoulder pain, stiffness, insomnia, bron spasms, palpitations and muscle weakness. Pt saw his MD on 1/17/2002. Pt will have blood work on 1/21/2002.
Age: 47.0
Sex: M
Vaccine: HEP
Symptoms: Pain, Palpitations, Vertigo, Weight decreased
Clinical narrative: Pt experienced fatigue, weakness, headache, weight loss of 8 lbs, sensation of warmth, light headed, poor appetite, vertigo, neck pain, shoulder pain, stiffness, insomnia, bron spasms, palpitations and muscle weakness. Pt saw his MD on 1/17/2002. Pt will have blood work on 1/21/2002.
Age: 50.0
Sex: F
Vaccine: HEP
Symptoms: Alopecia
Clinical narrative: Report 2001025938-1 describes hair loss in a pt who rec'd hepatitis B vaccine recombinant (Engerix-B). The medical history included hysterectomy. Concurrent medications included conjugated estrogens, levothyroxine sodium, atorvastatin calcium, hydrochlorothiazide, atenolol, calcium, vitamin E and vitamin C. The vaccinee stated that she had no problems with previous vaccines of any kind. She developed seasonal allergies post-immunization.. On 10/3/01, the vaccinee received her 1st injection of Engerix-B. Subsequently, she experienced diffuse hair loss. This hair loss was an increase in her daily hair loss. The hair loss got better just before the vaccinee received her second injection of Engerix-B. On 10/31/01, the vaccinee received her second injection of Engerix B. the vaccinee stated that her hair loss worsened two weeks after receiving her second injection of Engerix B. The hair loss worsened for approximately one wek and then improved. On 5/21/02, the vaccinee received her third Engerix B injection. The status of the patient's hair loss after her third injection was unknown. The reporter stated that the hair loss was possibly related to Engerix B administration.
Age: 48.0
Sex: F
Vaccine: HEP
Symptoms: Drug ineffective, Laboratory test abnormal
Clinical narrative: Report 2001026239-1 describes lack of efficacy in a pt who did not respond to the hepatitis B vaccine recombinant (Engerix-B). This report was rec'd from the pt and has not been verified by a physician or other hlth care professional. Medical history, concurrent conditions, and concurrent mediations were not specified. Reportedly, the pt may have had flu vaccine around time of one or more of the Engerix-B injections. she had no adverse events following prior immunizations. Reportedly in 1998, the pt rec'd her first and second L arm injection of Engerix-B. In 1999, the pt rec'd her third L arm injection of Engerix-B. Reportedly, her antibodies (NOS) were tested on 10/24/01 and were less than 2. As of 11/5/01, the outcome of the adverse event was unknown.
Age: 18.0
Sex: F
Vaccine: HEP
Symptoms: Chills, Confusional state, Headache
Clinical narrative: Report 2001026536-1 describes confusion in an 18 yr old female who received an injection of hepatitis B vaccine recombinant (Engerix-B). Medical history, concurrent conditions, and concurrent medications were not specified. On 9/12/01, the vaccinee received her first injection of Engerix B. On 9/12/01, at an unspecified time post vaccination, the vaccinee experienced confusion, a headache and chills. She was seen in the emergency department for the events. The reporter indicated the events resolved.
Age: 1.44
Sex: F
Vaccine: DTAP, HIBV, MMR
Symptoms: Convulsion
Clinical narrative: Febrile seizure of indeterminate duration.
Sex: F
Vaccine: HEP
Symptoms: Injection site reaction
Clinical narrative: On 29 October 2001, the vaccinee received an injection of Engerix-B. It was not known if she had received previous injections of Engerix-B. On a unspecified date, the vaccinee developed a local reaction at the injection site that was 4 inches in diameter. As of 31 October 2001, the outcome of the event was unknown.
Age: 57.0
Sex: F
Vaccine: HEP
Symptoms: Headache
Clinical narrative: This report describes headache in a 57 year old female who received Hep-B vaccine. This report was received from the vaccinee and has not been verified by a physician or other health care professional. Reportedly, on 10/16/01, the pt received her 1st RA injection of Engerix-B. Reportedly, post vax on 12/16/01, the pt experienced a headache that "lasted about a week". As of 11/01/01, the headache reportedly had resolved.
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Nausea, Oedema peripheral, Urticaria
Clinical narrative: On 31 August 2001, the vaccinee received her first 20mcg left arm injection of Engerix-B. The next day, on 01 Sept 2001, she experienced swelling of the palms, fingers and feet. Additionally, she experienced a hive-like rash on the dorsum of feet, ankles, and forearms. She had slight nausea. She was seen in the emergency room. As of 01 November 2001, the adverse events had resolved.
Sex: M
Vaccine: HEP
Symptoms: Facial palsy
Clinical narrative: Report 20010265341 describes Ramsay Hunt syndrome in an adult male of unspecified age who received an injection of hep B vaccine. This report was received from the vaccinee's coworker an dhas not been verified by a physician or other healthcare professional. Medical history, concurrent conditions and concurrent medications were not specified. In October 2001, the vaccinee reportedly developed facial paralysis following receipt of hep A inactivated and hep b recombinant vaccine. The vaccinee reportedly received an injection of hep b vaccine in 1990. It was not known if he had received prior injections of hep B vaccine. An unspecified time post immunization, he reportedly developed Ramsay Hunt syndrome. Outcome of the event was not specified.