chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 20.0
Sex: F
Vaccine: MNQ
Symptoms: Urticaria
Clinical narrative: Initial report received from a health care professional on Aug 29 2005. A 20 year old female patient received an injection of Menactra, lot number U1750AA, in the left deltoid on Aug 28 2005. That same evening, she developed swollen eyes and a hive under one eye. She also had lip swelling. 24 hours post vaccination she developed swollen eyes and a hive under one eye. She also had lip swelling.  24 hours post vaccination she developed a fever of 103 degrees F and severe headache. She was treated with Benadryl.  At the time of this report the patient had not recovered from these events.  Follow up information received on Sept 23, 2005. The patient did not have any other vaccinations within the 4 weeks of the administration of the Menactra. The patient also did not have any adverse reaction prior to previous vaccinations.
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Pruritus, Urticaria
Clinical narrative: Initial report received from a health care professional in the USA on Aug 31 2005. A 16 year old male patient developed bilateral itchy hives in the groin area, behind the ears and in the right axillary 24 hours after receiving the injection of Menactra, lot number U1767AA in the left deltoid on Aug 19 2005. No treatment was reported and symptoms resolved. No further information expected.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Hyperhidrosis, Pyrexia
Clinical narrative: An initial report was received in the USA from a health care provider on Jul 20 2005. An 18 year old male patient felt feverish but no temperature was taken after he had received his first dose of Menactra, lot # U1657AA intra muscularly in the left deltoid. He also experienced profuse sweating. The date of vaccination and onset of reaction was not reported. He took ibuprofen and the symptoms resolved. Follow up information received on Aug 10 2005. The patient had received Menactra on the left deltoid on Jul 18 2005 at 11:30 am and the onset of reaction was on Jul 19 2005 at around 8:30am. It was unknown if the patient received any other medications. No further information is awaited. The case is closed.
Age: 39.0
Sex: F
Vaccine: HEP, TD
Symptoms: Asthenia, Dizziness, Hyperhidrosis, Pain, Paraesthesia
Clinical narrative: 9/7/2005 Evening of immunization felt weak.  When arose in AM was getting worse, cold sweat, dizziness, no energy, achiness, tingling in shoulders and neck. 9/8/2005 Left work. Presented to ER after vomiting and fever.  102 degree temp. at 3:30 PM at ER. 9/9/2005 Presented to our clinic with note of dx of hepatitis vaccination effect.  No further Hepatitis B vaccine to be given.
Age: 39.0
Sex: F
Vaccine: HEP, TD
Symptoms: Pyrexia, Vaccination complication, Vomiting
Clinical narrative: 9/7/2005 Evening of immunization felt weak.  When arose in AM was getting worse, cold sweat, dizziness, no energy, achiness, tingling in shoulders and neck. 9/8/2005 Left work. Presented to ER after vomiting and fever.  102 degree temp. at 3:30 PM at ER. 9/9/2005 Presented to our clinic with note of dx of hepatitis vaccination effect.  No further Hepatitis B vaccine to be given.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site induration, Pruritus
Clinical narrative: Local reaction to DTaP characterized by redness (3 by 4 cm), induration (2.5 by 2.5 cm) and itching.  There were no systemic reaction or sx or sn.
Age: 31.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site warmth, Pruritus
Clinical narrative: 90 minutes after recieving 2nd Hep B pt. c/o itching around injection site.  Site warm to touch with redness surrounding site.  Dr examined pt. and pt. was given 25mg of Benadryl.  No c/o SOB, chest tightness, or pain.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Bacterial infection, Injection site erythema, Injection site swelling
Clinical narrative: Dad states child's leg started swelling approx. 2 hours after vaccine administered. It was red and swollen.  I instructed dad to put cold compress on leg and give IB Profin.  Instructed to take to dr if it gets worse.  Mom called back the next day and said leg had swollen to 2x it's normal size, they had taken her to ER.  ER dr said it was bacterial infection from shot given.  Ordered antibiotics and warm compresses.  Followed up with child's dr. the next day. This dr said it was a reaction to dtap.  2 days lated mom states leg is back to normal size.
Age: 0.25
Sex: F
Vaccine: HIBV
Symptoms: Erythema, Injection site warmth
Clinical narrative: Baby received #1 Hib in R thigh, (mother previously requested separating shots and baby received Pediarix #1 1 week prior without incident) Mother called 3 1/2 hours later to say baby just woke up from nap and she noticed the baby's R thigh was red from knee to upper thigh.  I requested her to bring baby to the Health Dept which she did and arrived at 12;30pm.  Right leg on infant was red from mid thigh and encompassing the knee, mildly warm and more red than edematous, baby was afebrile.  Recommended baby be seen by family physician and mother went to physician's office, waited an hour and was seen by an associate.  By then leg redness was greatly reduced, doctor noted minimal warmth, no obvious swelling and would not hesitate to repeat vaccinations.  She recommended a VAERS report be completed.   Attempted to contact the mother the next day without success.  I spoke with mother 9/9 (2 days after episode) at 11:00 am and she reported baby was fine, leg was fine and no other problems
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient came into clinic on 9/8/05 to be assessed by  aprovider, one day after receiving DTap dose #5 on 9/7/05. Left arm, deltoid site had localized redness and swelling that was ~ 2 cm in diameter.  Doctor prescribed icepack to site and Ibuprofen (children's Motrin) to reduce inflammation. There were no systemic symptoms and the child  was afebrile and did not complain of pain or discomfort at the injection site.
Age: 4.0
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Coma, Convulsion, Depressed level of consciousness, Electroencephalogram abnormal, Hypotonia
Clinical narrative: Patient received routine vaccinations of DTaP and Varicella at his 4 year old well child check on 8/15/05. On 8/22/05, he had gone to school during the day and then soccer in the evening. No trauma or injuries. He was his normal self with no signs of illness. About 7 PM he had a snack and then at 7:30 he went to bed. About 8 PM, mom checked on him; he was awake but seemed glazed over. Later in the evening, at about 8:40 PM, dad went in to check on him, and still his eyes were open, but he had no response. This time, they tried to rouse him, and he was limp. They were very concerned and picked him up, put him in the car to take him to the Emergency Room. In the car, he vomited twice. They pulled into an Urgent Care clinic and called 911. He was given an anti-epileptic medication and eventually his seizure stopped. Mother reports that during the event he would occasionally seem to respond, but most of the time his eyes were deviated to one side. The suspected length of his seizure was about 45 minutes to an hour. He was admitted to hospital and underwent a complete work up, excluding a lumbar puncture. Head CT and MRI were both normal. His EEG was noted to have some focal abnormalities. He was discharged from the hospital after 2 days. Discharge medication includes Keppra and Diastat, as needed for any further seizures. Since discharge he had not had any further seizures and has been in good health. Mom reports that after the vaccinations he had a small, localized reaction on his right thigh (where the DTaP was given). She describes it as a dime sized area of redness with a small blister on top. It was also slightly tender. He had no fever, no entire limb swelling, and no significant behavior changes. His growth and development has always been normal. He has had no recent illnesses, no rashes, bug or tick bites. He has no recent complaints of headache, abdominal pain, vomiting, diarrhea. No known ill contact. Information from 60 day follow-up report states no further seizures but is on antiseizure meds.
Age: 4.0
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Injection site erythema, Injection site reaction, Injection site vesicles, Staring, Strabismus
Clinical narrative: Patient received routine vaccinations of DTaP and Varicella at his 4 year old well child check on 8/15/05. On 8/22/05, he had gone to school during the day and then soccer in the evening. No trauma or injuries. He was his normal self with no signs of illness. About 7 PM he had a snack and then at 7:30 he went to bed. About 8 PM, mom checked on him; he was awake but seemed glazed over. Later in the evening, at about 8:40 PM, dad went in to check on him, and still his eyes were open, but he had no response. This time, they tried to rouse him, and he was limp. They were very concerned and picked him up, put him in the car to take him to the Emergency Room. In the car, he vomited twice. They pulled into an Urgent Care clinic and called 911. He was given an anti-epileptic medication and eventually his seizure stopped. Mother reports that during the event he would occasionally seem to respond, but most of the time his eyes were deviated to one side. The suspected length of his seizure was about 45 minutes to an hour. He was admitted to hospital and underwent a complete work up, excluding a lumbar puncture. Head CT and MRI were both normal. His EEG was noted to have some focal abnormalities. He was discharged from the hospital after 2 days. Discharge medication includes Keppra and Diastat, as needed for any further seizures. Since discharge he had not had any further seizures and has been in good health. Mom reports that after the vaccinations he had a small, localized reaction on his right thigh (where the DTaP was given). She describes it as a dime sized area of redness with a small blister on top. It was also slightly tender. He had no fever, no entire limb swelling, and no significant behavior changes. His growth and development has always been normal. He has had no recent illnesses, no rashes, bug or tick bites. He has no recent complaints of headache, abdominal pain, vomiting, diarrhea. No known ill contact. Information from 60 day follow-up report states no further seizures but is on antiseizure meds.
Age: 4.0
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Vomiting
Clinical narrative: Patient received routine vaccinations of DTaP and Varicella at his 4 year old well child check on 8/15/05. On 8/22/05, he had gone to school during the day and then soccer in the evening. No trauma or injuries. He was his normal self with no signs of illness. About 7 PM he had a snack and then at 7:30 he went to bed. About 8 PM, mom checked on him; he was awake but seemed glazed over. Later in the evening, at about 8:40 PM, dad went in to check on him, and still his eyes were open, but he had no response. This time, they tried to rouse him, and he was limp. They were very concerned and picked him up, put him in the car to take him to the Emergency Room. In the car, he vomited twice. They pulled into an Urgent Care clinic and called 911. He was given an anti-epileptic medication and eventually his seizure stopped. Mother reports that during the event he would occasionally seem to respond, but most of the time his eyes were deviated to one side. The suspected length of his seizure was about 45 minutes to an hour. He was admitted to hospital and underwent a complete work up, excluding a lumbar puncture. Head CT and MRI were both normal. His EEG was noted to have some focal abnormalities. He was discharged from the hospital after 2 days. Discharge medication includes Keppra and Diastat, as needed for any further seizures. Since discharge he had not had any further seizures and has been in good health. Mom reports that after the vaccinations he had a small, localized reaction on his right thigh (where the DTaP was given). She describes it as a dime sized area of redness with a small blister on top. It was also slightly tender. He had no fever, no entire limb swelling, and no significant behavior changes. His growth and development has always been normal. He has had no recent illnesses, no rashes, bug or tick bites. He has no recent complaints of headache, abdominal pain, vomiting, diarrhea. No known ill contact. Information from 60 day follow-up report states no further seizures but is on antiseizure meds.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Left leg red, swollen, hot within 4 hours of her injection, 8x4cm initially.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Local redness and swelling and itching, left upper arm.
Age: 2.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Breakthrough varicella diagnosed 09/08/2005.
Age: 1.4
Sex: F
Vaccine: DTAPH, MMR, PNC, VARCEL
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Mother reports dtr had seizure 8/30 7:30AM, it lasted 1-2min then had another seizure at 5:30AM 8/30 Then they took child to ER at hospital. Temp at ER was AM 102.4 (axillary). Parent had used Motrin after shots on 8/29/05. ER diagnosis febrile seizures.
Age: 1.3
Sex: M
Vaccine: DTAP, MMR, VARCEL, DTAP, MMR, VARCEL
Symptoms: Unevaluable event
Clinical narrative: Varicella injection given IM in R deltoid.
Age: 3.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Pruritus, Rash erythematous, Urticaria
Clinical narrative: Information has been received from a health professional concerning a 45 month old male who on 8/26/05 was vaccinated with a 0.5ml SC dose of varicella virus vaccine live (lot # 651178/0427R). It was reported that about 20 minutes after the vaccination, on 8/26/05, the patient developed a red, non-vesicular rash, over 80% of his body. The child was treated with epinephrine, dexamethasone, and diphenhydramine hydrochloride. It was reported that the patient was recovering. The patient had follow up with the nurse practitioner. No product quality complaint was involved. No other information was provided. The reporter considered the red, non-vesicular rash to be an other important medical event (OMIC). Additional information has been requested.
Age: 3.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Erythema, Rash
Clinical narrative: Information has been received from a health professional concerning a 45 month old male who on 8/26/05 was vaccinated with a 0.5ml SC dose of varicella virus vaccine live (lot # 651178/0427R). It was reported that about 20 minutes after the vaccination, on 8/26/05, the patient developed a red, non-vesicular rash, over 80% of his body. The child was treated with epinephrine, dexamethasone, and diphenhydramine hydrochloride. It was reported that the patient was recovering. The patient had follow up with the nurse practitioner. No product quality complaint was involved. No other information was provided. The reporter considered the red, non-vesicular rash to be an other important medical event (OMIC). Additional information has been requested.
Age: 1.2
Sex: M
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Dehydration, Drug ineffective, Infection, Pyrexia
Clinical narrative: Information has been received from a physician concerning a 17 month old male, with no medical history or allergies, who was vaccinated with a first SC dose of varicella virus vaccine live (lot # 0533n) and on 8/23/04 a second SC dose of varicella virus vaccine live (lot # 648310/0278P). Concomitant vaccine, also administered on 8/23/04, included a first SC dose of MMR. There was no illness at the time of vaccination. On 11/24/04 the patient experienced varicella, fever, and dehydration and was hospitalized. Subsequently, the patient recovered. Additional information is not expected.
Age: 1.2
Sex: M
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Dehydration, Drug ineffective, Pyrexia, Viral infection
Clinical narrative: Information has been received from a physician concerning a 17 month old male, with no medical history or allergies, who was vaccinated with a first SC dose of varicella virus vaccine live (lot # 0533n) and on 8/23/04 a second SC dose of varicella virus vaccine live (lot # 648310/0278P). Concomitant vaccine, also administered on 8/23/04, included a first SC dose of MMR. There was no illness at the time of vaccination. On 11/24/04 the patient experienced varicella, fever, and dehydration and was hospitalized. Subsequently, the patient recovered. Additional information is not expected.
Age: 71.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Medication error
Clinical narrative: Pt is 71 yrs of age and given Adacel package insert is for ages 11-64.
Age: 0.43
Sex: F
Vaccine: PNC
Symptoms: Lethargy, Similar reaction on previous exposure to drug, Sleep disorder, Somnolence
Clinical narrative: Lethargic 1 day after vaccine administered would wake up to feed 1 hr 15 min then fall back asleep, easy awaken when asleep.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: 8cm area to right upper arm with redness and swelling. Treated with Atarax 1 1/2 tsp every 6-8 hrs.
Sex: U
Vaccine: PNC
Symptoms: Lung disorder
Clinical narrative: This case was considered medically important (OMIC). Information regarding Prevnar was received from a company representative regarding six patients who experienced cysts in their lungs. The patient received a dose on an unspecified date. Relevant medical history was not provided. The indication for Prevnar was immunization. Product was administered on an unspecified date. Dose regimen was 1 dose. Concomitant medications were not reported. The physician reported that six patients developed cysts in their lungs following administration of Prevnar. No additional information was available at the time of this report.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Facial palsy, Pain
Clinical narrative: Initial report received from a patient's parent on 9/2/05. An 18 year old male patient with no significant past medical history, had received an IM injection of Menactra, lot number U1656AC, on 8/4/05. 28 days later the patient woke up and was unable to move the left side of his face or close his left eyelid. He also had pain behind his left ear. The patient was seen by a neurologist and was diagnosed with Bell's Palsy. At the time of this report, he had not recovered from these events. (OMIC)
Age: 21.0
Sex: U
Vaccine: PPV
Symptoms: Hypokinesia, Injection site swelling, Injection site warmth, Pain, Pyrexia
Clinical narrative: Information has been received from a medical assistant concerning a patient who was vaccinated with a dose of PNEUMOVAX 23 (lot # 650084/0605P). Subsequently, the patient developed a fever, heat and swelling at the injection site and had difficulty moving arm. The patient was treated with an unspecified antibiotic. Subsequently, the patient recovered. Heat and swelling at the injection site, difficulty moving arm and fever were considered to be other important medical events. Additional information has been requested.
Age: 26.0
Sex: F
Vaccine: HEP
Symptoms: Injection site abscess, Injection site erythema, Injection site mass, Injection site warmth
Clinical narrative: Information has been received from a registered nurse concerning a 26 year old overweight female with no allergies to yeast or steroids who on 8/16/05 was vaccinated IM in her right arm with a 1.0ml first dose of RECOMBIVAX HB  (lot # 647974/0181R). Post-vaccination (between approximately 8/17/05 and 8/20/05) the patient developed a lump in the right arm at the injection site, which tripled in size by 8/21/05. The patient's arm was also red and hot to touch. On 8/21/05, the patient was seen at a walk in clinic and was prescribed cefdinir, 300mg BID for 7 days for abscess of right arm. The patient told the nurse that she feels better now, only knot size lump remained. There was no product quality complaint involved. The patient's adverse experiences were considered to be other important medical events. Additional information has been requested.
Age: 80.0
Sex: U
Vaccine: PPV
Symptoms: Injection site haemorrhage
Clinical narrative: Information has been received from a medical assistant concerning a patient who was vaccinated with a dose of PNEUMOVAX 23 (lot # 647661/0055R). Subsequently, the patient developed an injection site hematoma. The patient was treated with an unspecified antibiotic. The patient recovered from the injection site hematoma. The injection site hematoma was considered to be an other important medical event. Additional information has been requested.
Sex: U
Vaccine: MMR
Symptoms: Autism
Clinical narrative: Information has been received from a RN concerning a pt who on 28Jun01 was vaccinated with a dose measles virus vaccine live  (+) mumps virus vaccine live (+) rubella virus vaccine live. Subsequently, it was reported that the pt developed autism. Unspecified medical attention was sought. At the time of this report the pt had not recovered and there was no further information provided. No product quality complaint was involved. Upon internal review, autism was determined to be an other important medical event (OMIC). No further information is available.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: Left deltoid cellulitis, pt completed 3 days of IV antibiotics.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Erythema multiforme, Pruritus, Rash macular, Skin ulcer, Urticaria
Clinical narrative: Pt. Received Adacel and Menactra vaccine on 08/25/2005. Patient returned to Clinic on 09/01/2005 with multiple pink macules and wheals with some target lesions. Lesions concentrated on legs and groin area, but also appear on arms and back of hands. CRNP diagnosed pt with erythema multiforme, recommended Zyrtec or Benadryl for itching.
Age: 1.01
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Erythema multiforme, Pyrexia
Clinical narrative: developed fever on Day 7 and 8 following administration of MMR and Varivax. On the 10th day following administration , he developed a full body reaction known as erythema Multiforme.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Cellulitis
Clinical narrative: Left leg cellulitis, Recommended Keflex TCD x 7 days.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site rash, Injection site urticaria
Clinical narrative: Urticaria and rash around injection site, site also warm to touch.
Age: 1.54
Sex: F
Vaccine: DTAP, PNC
Symptoms: Rash macular, Rash papular, Rash vesicular, Skin ulcer
Clinical narrative: Pt had generalized rash, maculopapular than vesicular less than 50 lesions.
Age: 1.01
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: On 09/05/2005 had tactile fever, on 09/06/2005 had fever 100.2 and rash starting on face, rest of body.
Age: 0.82
Sex: F
Vaccine: IPV, UNK
Symptoms: Injection site induration, Oedema
Clinical narrative: Whole leg swollen and is still swollen as of 09/07/2005. Also at 8 months lump formed. So leg is swollen and lump is still felt underneath.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: Left Arm upper by deltoid with 3 x 2 1/2 inch red swollen area.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Urticaria
Clinical narrative: Redness entire left arm around injection site had progressed to hives on trunk and extremities.
Age: 38.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Facial palsy, Lacrimation increased, Paraesthesia, Tongue disorder
Clinical narrative: Patient presented to ER on Aug 14 2005 with right side facial weakness. Also history of tongue tingling and watering eyes for 2-3 days. treated with acyclovir and Prednisone.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cough, Decreased appetite, Fatigue, Pharyngitis, Rhinitis
Clinical narrative: DTaP vaccine received on last Friday.  My son started getting a "cold" on Saturday with runny nose, cough. I have had to give him over the counter cough syrup each night for the last 8 days so he can sleep.  The cough has gotten worse and the medicine doesn't seem to help prevent the cough, just lessen it.  As of yesterday my son has a decrease in appetite, increase in fatigue and the cough remains.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Rhinorrhoea
Clinical narrative: DTaP vaccine received on last Friday.  My son started getting a "cold" on Saturday with runny nose, cough. I have had to give him over the counter cough syrup each night for the last 8 days so he can sleep.  The cough has gotten worse and the medicine doesn't seem to help prevent the cough, just lessen it.  As of yesterday my son has a decrease in appetite, increase in fatigue and the cough remains.
Age: 0.16
Sex: F
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Bacterial infection, Hypotonia, Oral intake reduced, Pyrexia, White blood cell count increased
Clinical narrative: Vaccinations given approximately 3pm, pt's mother paged at 11:30pm reporting axillary temp of 101 F, lack of muscle tone, not breastfeeding. Pt evaluated at ED, admitted on 9/8/2005 for a septic workup, treated with IV fluids, antibiotics and tylenol.  Discharged 09/11/2005. 1/3/06 -Review of 2-page d/c summary. Final diagnosis as possible bacteremia with secondary diagnoses of fever and poor feeding. Treated with ampicillin and cefotaxime. Blood cultures initially showed gram + cocci in chains and gram + rods. Second culture was negative. 20-page medical record indicated child was more sleepy and was not breastfeeding well after immunizations. Temp of 101.4 axillary was noted. Mom gave Tylenol and took baby to ER
Age: 8.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Swelling
Clinical narrative: Developed swelling and redness in arms/hands two days after vaccine administered.
Age: 1.58
Sex: M
Vaccine: IPV, MMR, PNC, VARCEL
Symptoms: Blister
Clinical narrative: 3 vesicles on back and three on face, one on eyelid.
Age: 48.0
Sex: F
Vaccine: YF
Symptoms: Injection site warmth, Urticaria
Clinical narrative: Received a yellow fever vaccine on 9/7/2005 and called me 9/9/2005. She said she had what sounded like an urticarial reaction with some warmth at the site of the injection without any systemic symptoms. She did not wish to return to the office for examination.
Age: 28.0
Sex: M
Vaccine: DT, HEPA, PPV
Symptoms: Anorexia, Cellulitis, Injection site erythema, Malaise, Myalgia
Clinical narrative: 2 days post Dt and menactra, pt developed high fever, malaise, myalgias, redness at injection site and severe arm pain, as well as anorexia; pt had to be hydrated in office and was treated for possible injection cellulitis, but I believe this was all vaccine related and not infectious.
Age: 28.0
Sex: M
Vaccine: DT, HEPA, PPV
Symptoms: Pain, Pyrexia
Clinical narrative: 2 days post Dt and menactra, pt developed high fever, malaise, myalgias, redness at injection site and severe arm pain, as well as anorexia; pt had to be hydrated in office and was treated for possible injection cellulitis, but I believe this was all vaccine related and not infectious.
Age: 1.02
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Blister, Rash maculo-papular, Rash pruritic
Clinical narrative: Rash started w/one lesion on back 9/9/05.  Now pruritic rash on scalp, face, trunk, few spots on extremeties: pink mac-pap, discrete 0.5-1cm lesions, few w/vesicles.
Age: 13.0
Sex: F
Vaccine: DTAP, HEP, MMR
Symptoms: Medication error
Clinical narrative: Vaccine administration not in accordance with VFC recommended childhood and adolescent immunization Schedule 2005. Administration of vaccine not licensed for Adolescents.
Age: 10.0
Sex: F
Vaccine: DTAP, HEP, MMR
Symptoms: Medication error
Clinical narrative: Vaccine administration not in accordance with VFC recommended childhood and Adolescent immunization schedule 2005, Administration of vaccine not licensed for adolescents.
Age: 15.0
Sex: M
Vaccine: DTAP, HEP, MMR
Symptoms: Medication error
Clinical narrative: Vaccine administration not in accordance with VFC recommended childhood and adolescent immunization schedule 2005, Administration of vaccine not licensed for adolescents.
Sex: M
Vaccine: TYP
Symptoms: Abdominal pain, Diarrhoea, Nausea
Clinical narrative: Nausea, diarrhea, abdominal cramping H/A 24-48 hours.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site induration, Injection site warmth
Clinical narrative: Day after immunization 6cm no lesion notes at site of injection, induration, redness and heat (left arm).
Age: 1.26
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Arthralgia, Oedema, Pyrexia, Rash vesicular, Viral infection
Clinical narrative: On day 8 patient developed fever 102 and fever lasted 14 days. On day 14 after vaccines patient developed swelling and pain left knee. On day 22 after vaccine patient developed vesicular rash typical of varicella.
Age: 18.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Back pain, Chills, Dizziness, Headache, Hot flush
Clinical narrative: From initial information received from a registered nurse on June 07 2005 regarding an adverse event, it was reported that an 18 year old female patient received her first dose of Menactra, lot number U1575AA, administered intra muscularly in the left deltoid at 10:30am on June 06 2005. Nine and a half hours later, at 8:00pm, the patient developed a headache, dizziness, nausea, back and neck achiness, general malaise, chills and a felling of hot an cold. No fever was reported. The patient was up all night and was unable to sleep. 12 hours later, she still had no relief from her symptoms. The patient was seen in an ER. At the time of this report, she had recovered from symptoms.
Age: 18.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Malaise, Nausea, Neck pain, Sleep disorder
Clinical narrative: From initial information received from a registered nurse on June 07 2005 regarding an adverse event, it was reported that an 18 year old female patient received her first dose of Menactra, lot number U1575AA, administered intra muscularly in the left deltoid at 10:30am on June 06 2005. Nine and a half hours later, at 8:00pm, the patient developed a headache, dizziness, nausea, back and neck achiness, general malaise, chills and a felling of hot an cold. No fever was reported. The patient was up all night and was unable to sleep. 12 hours later, she still had no relief from her symptoms. The patient was seen in an ER. At the time of this report, she had recovered from symptoms.
Age: 18.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Back pain, Chills, Dizziness, Feeling cold, Feeling hot
Clinical narrative: From initial information received from a registered nurse on June 07 2005 regarding an adverse event, it was reported that an 18 year old female patient received her first dose of Menactra, lot number U1575AA, administered intra muscularly in the left deltoid at 10:30am on June 06 2005. Nine and a half hours later, at 8:00pm, the patient developed a headache, dizziness, nausea, back and neck achiness, general malaise, chills and a felling of hot an cold. No fever was reported. The patient was up all night and was unable to sleep. 12 hours later, she still had no relief from her symptoms. The patient was seen in an ER. At the time of this report, she had recovered from symptoms.
Age: 18.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Headache, Insomnia, Malaise, Nausea, Neck pain
Clinical narrative: From initial information received from a registered nurse on June 07 2005 regarding an adverse event, it was reported that an 18 year old female patient received her first dose of Menactra, lot number U1575AA, administered intra muscularly in the left deltoid at 10:30am on June 06 2005. Nine and a half hours later, at 8:00pm, the patient developed a headache, dizziness, nausea, back and neck achiness, general malaise, chills and a felling of hot an cold. No fever was reported. The patient was up all night and was unable to sleep. 12 hours later, she still had no relief from her symptoms. The patient was seen in an ER. At the time of this report, she had recovered from symptoms.
Age: 11.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Rash, Urticaria
Clinical narrative: From initial information received on June 17 2005 from a registered nurse regarding an adverse event, it was reported that an 11 year old male patient received his first dose of Menactra vaccine, lot number U1640AA, administered in the left deltoid on June 13 2005. Reportedly two days later on June 15 2005 the patient developed a rash on his face and hands, Two days later on June 17 2005 the rash progressed to welts on his torso. He had no complaints of fever or itching. The symptoms were treated with Benadryl, The patients recovery status was reported as not recovered. Follow-up information received Sept 2, 2005. The patient received Menactra intra-muscularly. He did not have any laboratory or diagnostic test performed. He is allergic to Cefzil. The patient recovered from the adverse event.
Age: 63.0
Sex: F
Vaccine: HEPAB, TYP, YF, HEPAB, TYP, YF
Symptoms: Chest X-ray abnormal, Haematemesis, Influenza like illness, Pleurisy
Clinical narrative: 6 days after YF vac. Flu like symptoms, fever 102.2. Dx pt with pneumonia on 7/26/05 has had pneumonia several times. Was also spitting up blood. Pulmonologist talked with pt today. States she got back from foreign country Saturday. She is much better now but was very sick with high altitude sickness. Had Diamox to take but her doctor only wanted her to take half strength. When she got back down to sea level she was ok, not taking Rx. And will follow up with pulmonologist in six mos. Will report this This will complete report.
Age: 63.0
Sex: F
Vaccine: HEPAB, TYP, YF, HEPAB, TYP, YF
Symptoms: Haematemesis, Influenza like illness, Pleurisy, Pneumonia, Pyrexia
Clinical narrative: 6 days after YF vac. Flu like symptoms, fever 102.2. Dx pt with pneumonia on 7/26/05 has had pneumonia several times. Was also spitting up blood. Pulmonologist talked with pt today. States she got back from foreign country Saturday. She is much better now but was very sick with high altitude sickness. Had Diamox to take but her doctor only wanted her to take half strength. When she got back down to sea level she was ok, not taking Rx. And will follow up with pulmonologist in six mos. Will report this This will complete report.
Age: 63.0
Sex: F
Vaccine: HEPAB, TYP, YF, HEPAB, TYP, YF
Symptoms: Viral infection
Clinical narrative: 6 days after YF vac. Flu like symptoms, fever 102.2. Dx pt with pneumonia on 7/26/05 has had pneumonia several times. Was also spitting up blood. Pulmonologist talked with pt today. States she got back from foreign country Saturday. She is much better now but was very sick with high altitude sickness. Had Diamox to take but her doctor only wanted her to take half strength. When she got back down to sea level she was ok, not taking Rx. And will follow up with pulmonologist in six mos. Will report this This will complete report.
Age: 14.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Injection site induration, Injection site reaction, Oedema peripheral, Pruritus
Clinical narrative: Received Menactra 09/16/2005, arm became red, hard swollen 12 hours after shot.  Area swelling 6 inches from deltoid to elbow - area painful - no fever.  Child given Tylenol initially 09/07/2005 - seen by doctor on 09/08/2005- started on Benadryl.  On 09/10/2005 area no longer red and hard but still swollen.  Advised to continue Benadryl and Tylenol as needed.  Call if not better in 2 days.
Age: 14.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Injection site induration, Oedema peripheral
Clinical narrative: Received Menactra 09/16/2005, arm became red, hard swollen 12 hours after shot.  Area swelling 6 inches from deltoid to elbow - area painful - no fever.  Child given Tylenol initially 09/07/2005 - seen by doctor on 09/08/2005- started on Benadryl.  On 09/10/2005 area no longer red and hard but still swollen.  Advised to continue Benadryl and Tylenol as needed.  Call if not better in 2 days.
Age: 11.0
Sex: M
Vaccine: IPV, TD
Symptoms: Eyelid oedema, Face oedema, Nausea, Pruritus, Pyrexia
Clinical narrative: Initial report received from a health care professional on 31Aug05. An 11 year old male pt with a medical history of cephalosporin allergy, had received an injection of Decavac, lot number U1211BA, in the left arm and a dose of IPOL, lot number Y0298-2 in the right arm on 29Aug05 at 2:00PM. Twenty hrs later, he developed a facial rash and pruritus. The facial rash gradually spread to include the upper arms to the elbow area bilaterally. The pt also experienced nausea and vomiting. By 31Aug05, two days post immunization, the pt had generalized facial edema with more prominent eye lid edema. His mother also reported a fever of 100.5F. The pt was treated with steroids (40mg) and Allegra was prescribed. At the time of this report the pt had not recovered from these events.
Age: 11.0
Sex: M
Vaccine: IPV, TD
Symptoms: Rash, Vomiting
Clinical narrative: Initial report received from a health care professional on 31Aug05. An 11 year old male pt with a medical history of cephalosporin allergy, had received an injection of Decavac, lot number U1211BA, in the left arm and a dose of IPOL, lot number Y0298-2 in the right arm on 29Aug05 at 2:00PM. Twenty hrs later, he developed a facial rash and pruritus. The facial rash gradually spread to include the upper arms to the elbow area bilaterally. The pt also experienced nausea and vomiting. By 31Aug05, two days post immunization, the pt had generalized facial edema with more prominent eye lid edema. His mother also reported a fever of 100.5F. The pt was treated with steroids (40mg) and Allegra was prescribed. At the time of this report the pt had not recovered from these events.
Age: 51.0
Sex: F
Vaccine: LYME
Symptoms: Back pain, Neuropathy
Clinical narrative: Headaches from 07/01/2003-07/05/2003.  Was bitten by a tick on 07/05/2003 and was not diagnosed with Lyme until 02/04.  Tests were inconclusive with Lymerix in the results.  Since I have the HLADR4 Gene I am still resistant to treatment for Lyme after 1 1/2 years of treatment.  I have neuropathic symptoms in my feet and face, and severe back pain (scoliosis, kyphosis, and face arthropathy aggrevated by Lyme) prior to vaccine.
Age: 1.15
Sex: F
Vaccine: HEP, HEPA, HIBV, MMR, PNC
Symptoms: Rash vesicular
Clinical narrative: Onset was gradual over 3 days.  Vesicular eruption noted on left buttock occurring in 2 patches; the color is mainly red.  Rash is located at injection site.
Age: 44.0
Sex: U
Vaccine: TD
Symptoms: Cellulitis, Pruritus
Clinical narrative: Acute Cellulitis involving upper left arm with redness spreading from elbow to shoulder.  Patient given Bicillin CR 900/300 units.  Advised to take Tylenol for pain and Benadryl 25mg for itching.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Red swollen area around injection site, given Keflex for Cellulitis.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Redness, swelling to left arm.
Age: 1.07
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Vaccine administered 09/01/2005, for the next 3 days child ran fever up to 101.5 degrees without other symptoms.  On 09/05 developed rash - starting on chest, neck progressed over body ; itchy.
Age: 16.0
Sex: M
Vaccine: HEP, IPV, MMR, TD, VARCEL
Symptoms: Pyrexia, Rash vesicular
Clinical narrative: Fever a few hours after varicella, mmr, hep, td, ipv next day client states he broke out in what is seen as fluid filled vesicles on neck, trunk, and back.  Nurse examined, they are yellowish papules, size of acne, all over trunk, back, and neck.
Age: 69.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Fatigue, Myalgia, Pyrexia, Swelling
Clinical narrative: Diffuse myalgias, fever, fatigue for 3 days, swelling, erythema, tenderness to left upper arm.
Age: 69.0
Sex: M
Vaccine: PPV
Symptoms: Tenderness
Clinical narrative: Diffuse myalgias, fever, fatigue for 3 days, swelling, erythema, tenderness to left upper arm.
Age: 6.0
Sex: M
Vaccine: DT
Symptoms: Abdominal pain upper, Fatigue, Headache, Malaise, Pyrexia
Clinical narrative: Extreme fatigue, malaise, low grade temperature, headaches, stomach aches.
Age: 6.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Cellulitis, Pyrexia, Rash, Swelling
Clinical narrative: 08/08/2005 Mother called advised that child had swollen rash, fever, advised to see doctor.  Mother states had put ice and Tylenol.  On 08/11/2005 called Mother states child was seen at the doctor on 08/08/2005, treated , diagnosed with Cellulitis, on Keflex, doing much better. 09/07/2005 no problems.
Age: 0.34
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Hypotonia, Lethargy, Pallor, Pyrexia
Clinical narrative: Mom observed fever after 4 month HMV immunizations were given the child exhibited severe pallor, lethargy and hypotonia.  This resolved in several hours .  Doctor spoke with associates who had counseled er evaluation, by the time Mom considered this patient was becoming more alert.  No know past allergies.
Age: 0.58
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Injection site erythema
Clinical narrative: Within one minute after having vaccines redness to injection sites, except IPV site.  Dime size, baby was easily consoled by Mom, after initial crying.  No respiratory distress.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site induration, Oedema peripheral
Clinical narrative: DTAP given 08/31/2005 left deltoid.  09/02/2005 arm from shoulder to elbow swollen, red, hard, hot.  Rx:  Keflex 250mg, 4 times per day for 5 days.  09/07/2005 happy, active, using arm without problem, arm looks normal, per Dad.
Age: 78.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pneumovax given in left arm, 09/02/2005.  The patient had a 3 inch long, red, swollen area around injection site, was painful.  Symptoms cleared up 09/07/2005.  The patient called with this information 09/08/2005.
Age: 27.0
Sex: F
Vaccine: TTOX
Symptoms: Chills, Headache, Injection site erythema, Nausea, Pain
Clinical narrative: The day after receiving a tetanus vaccination, I acquired a headache that lasted for 2 days.  I was also nauseous, chilled, achy, and sleepy.  The site of injection became streaked and red, and also itched.  This happened a few days after the shot was administered and lasted for several days more.
Age: 27.0
Sex: F
Vaccine: TTOX
Symptoms: Pruritus, Somnolence
Clinical narrative: The day after receiving a tetanus vaccination, I acquired a headache that lasted for 2 days.  I was also nauseous, chilled, achy, and sleepy.  The site of injection became streaked and red, and also itched.  This happened a few days after the shot was administered and lasted for several days more.
Age: 6.0
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Headache, Pyrexia, Rhinitis
Clinical narrative: Coryza and headaches, high gauge fever 102 degrees.
Age: 25.0
Sex: F
Vaccine: VARCEL
Symptoms: Headache, Injection site erythema, Injection site induration
Clinical narrative: Complaint of headache, 32 mm induration and erythema at injection site.
Age: 47.0
Sex: F
Vaccine: PPV
Symptoms: Diarrhoea, Feeling hot, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Injection site red hot swollen and tender.  Size is about 1/2 of a softball.  Otherwise feels tingly in legs, nervous, doesn't feel swelling anywhere.  Had been having diarrhea recently increase in nausea.  Not presyncopal.  Phone assessment:  Exagerrated local reaction.  Advised code packs and trial Benadryl which may help.  if helpful continue, if not stop Benadryl.  After 3 days switch to warm packs.  Call again or to ER as needed.
Age: 47.0
Sex: F
Vaccine: PPV
Symptoms: Nausea, Nervousness, Paraesthesia
Clinical narrative: Injection site red hot swollen and tender.  Size is about 1/2 of a softball.  Otherwise feels tingly in legs, nervous, doesn't feel swelling anywhere.  Had been having diarrhea recently increase in nausea.  Not presyncopal.  Phone assessment:  Exagerrated local reaction.  Advised code packs and trial Benadryl which may help.  if helpful continue, if not stop Benadryl.  After 3 days switch to warm packs.  Call again or to ER as needed.
Age: 1.72
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: Received vaccines on 08/12/2005 Friday.  Developed big red rash and swollen leg around injection site.  Mom gave Benadryl and rash went away - rash came back Sunday - gave Benadryl again and rash resolved.  No fever, eating and drinking okay.
Age: 1.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Tenderness
Clinical narrative: Local erythema, edema and mild tenderness.
Age: 6.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Injection site discolouration, Injection site erythema, Injection site rash, Rash maculo-papular
Clinical narrative: Rash beginning 10 days after vaccination. Large patch of erythema at site of vaccination (left arm), blanchable pink maculopapular rash on face and extremities.
Age: 1.03
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: Maculo papular rash starting from lower extremities appeared 5 days post vaccine.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 0.19
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Apnoea, Bradycardia, Cyanosis, Hypoxia, Tachypnoea
Clinical narrative: Severe apnea, bradycardia, desaturation requiring bag/mask ventilation to recover (so far he has had 5 apnea episodes). 1/13/06 -  Review of 15-page record confirms apnea, bradycardia, & desaturations. Additional symptoms include cyanosis, tachypnea with subcostal retractions, decreased heart rate as low as 40 at times. Treated with IV fluids, caffeine, and antibiotics.
Age: 0.19
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Bacterial infection, Cough, Laboratory test abnormal
Clinical narrative: Patient developed cough 2 weeks after immunization. Per mother multiple visits at other facilities. Prior to our visit positive pertussis culture.
Age: 0.21
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema multiforme, Laboratory test abnormal, Rash
Clinical narrative: Pt received Pediarix #1, Hib #1, PCV 7 #1 on 09/07/2005. He began the rash of erythema multiforme on 09/10/2005. No fever, URI sxs, vomiting, diarrhea. Rash still present.
Age: 16.0
Sex: M
Vaccine: DTAP
Symptoms: Unevaluable event
Clinical narrative: No adverse events 15 yr old given pediatric dose Dtap, state health informed, no further update necessary. Pt asymptomatic, was ordered Td 0.5ml.
Age: 11.0
Sex: M
Vaccine: DTAP
Symptoms: Headache, Injection site erythema, Injection site oedema, Pyrexia, Tenderness
Clinical narrative: Local reaction, erythema, edema, tenderness (mild), fever headache within 24 hrs of administration.
Age: 0.25
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Convulsion, Dyskinesia, Pyrexia
Clinical narrative: Seizures, fever, jerk like movements both arms and legs.
Age: 47.0
Sex: F
Vaccine: MMR
Symptoms: Oedema, Pruritus, Urticaria
Clinical narrative: 8/20/05 developed hives on face, shoulders, abdomen and buttocks with orbital edema and pruritus. Pt took 2 Benadryl capsules and had no hives the next day. On 8/23/05 Hives returned on abdomen only. No hives on 8/24/05 pt discontinued minocycline on 8/20/05.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Injection site swelling, Myalgia, Nausea
Clinical narrative: Nausea, dizziness, generalized myalgia, 24 hr after Adacel. Per follow-up: Mother complained of 'swelling' at injection site. Pt had FB (needle) removed from foot in ER - date/time not noted.
Age: 14.0
Sex: F
Vaccine: HEPA, TD
Symptoms: Injection site oedema, Pruritus
Clinical narrative: Swelling/itching right arm.
Age: 2.0
Sex: M
Vaccine: DTAP, PNC
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: Pt received immunizations yesterday, Prevnar and Dtap, he had fever at touch yesterday and Mom realized this afternoon that his left arm from shoulder to elbow was red, hot and swollen (10 1/2 x 11cm), no fever today. Pt is not on distress, good ROM.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Vomiting
Clinical narrative: Crying, vomiting Tuesday morning, site clear no redness or swelling noted.