chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.5
Sex: M
Vaccine: DTAP, PNC
Symptoms: Cough, Diarrhoea, Injection site oedema, Irritability, Pyrexia
Clinical narrative: Woke 1 AM night of shots with high fever, vomiting, right leg swelling (at injection site), cough, diarrhea, fussy. Gave Tylenol (vomited some), cool baths. Seen about 11 AM in clinic - afebrile after Tylenol, hydrated, exam normal except for still very tender right leg. Left leg non-tender (TM's normal). Next night temp 102.9 rectal - checked, no sources untested. Observe, fluids, Tylenol, to ER if sicker.
Age: 0.5
Sex: M
Vaccine: DTAP, PNC
Symptoms: Tenderness, Vomiting
Clinical narrative: Woke 1 AM night of shots with high fever, vomiting, right leg swelling (at injection site), cough, diarrhea, fussy. Gave Tylenol (vomited some), cool baths. Seen about 11 AM in clinic - afebrile after Tylenol, hydrated, exam normal except for still very tender right leg. Left leg non-tender (TM's normal). Next night temp 102.9 rectal - checked, no sources untested. Observe, fluids, Tylenol, to ER if sicker.
Age: 46.0
Sex: M
Vaccine: TTOX
Symptoms: Dyskinesia, Loss of consciousness
Clinical narrative: Donor left Dr office after getting tetanus shot to return to reception area; he was in hallway and passed out approx 5 seconds. Pt experienced slight seizure-like movements for approx 3-5 seconds. Transported via wheelchair to Dr office and transported to bed - shock position. Recovered in less than 15 minutes.
Age: 1.4
Sex: F
Vaccine: DTAP
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Pt's upper arm, swollen and red. Felt warm to touch and firm. Able to move arm, with no signs of pain.
Age: 39.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Dyspnoea, Nausea, Paraesthesia
Clinical narrative: Pt received vaccine approx 9:10 AM, received called from health dept. 9:30 AM from human resource director stating pt having trouble breathing and dizzy, started approx 9:25 AM - instructed to call 911. (Pt states tingly all over, nausea, light headed, states "feels drunk".
Age: 2.0
Sex: M
Vaccine: DTAP, HBHEPB, MMR
Symptoms: Injection site oedema
Clinical narrative: Mother took child to the ER on 5/22/03 - entire left arm swollen. No treatment in ER - child sent home.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Received vaccine 7/2/98. Diagnosed with chickenpox 12/11/02.
Age: 1.3
Sex: M
Vaccine: HIBV, MMR, PNC
Symptoms: Injection site erythema, Injection site induration, Pyrexia, Tenderness
Clinical narrative: Area of tenderness, induration, redness about 15cm x 10cm developed 1 day after injection. Fever 101 degrees F.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Contusion, Injection site erythema, Injection site induration, Injection site oedema, Tenderness
Clinical narrative: Erythema, edema site of injection noticed around 10 AM 6/11/03. Seemed tender, slightly bruised evening of 6/10/03. On exam on 6/11/03, indurated, erythematous, oval shaped 5 x 6 cm area.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: 5 x 8 cm erythema, slightly warm area to upper left arm after immunization injection to deltoid area. Prescribed Duricef 250/5 4cc BID for 10 days.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Rash, Skin burning sensation
Clinical narrative: Child complained of burning after putting sunscreen on right arm. Mother noted fine rash extending from DTaP site and raised red (0.5mm) bump at IPV site. Over 2 days a fine bumpy, irregular shaped are with tiny scattered blisters appeared. Non-tender, no heat, no itching reported by child. Area spread to 70 x 40 mm down arm. Mother used Benadryl cream on 6/9/03. Looked better AM of 6/10/03. No other sites present over child. Unusual reaction if attributed to vaccine(s).
Age: 1.25
Sex: F
Vaccine: HIBV, MMR, PNC
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Patient seen 6/3/03 for check-up was given Prevnar #3 in left thigh. Came back to our office on 6/5/03 had 3 cm x 1 cm red area with nodule. Given 3/4 tsp of Benadryl.
Age: 11.0
Sex: M
Vaccine: MMR
Symptoms: Headache, Hypotonia, Nausea, Tremor
Clinical narrative: Approximately 3 minutes after MMR injection, pt went limp and back in the chair and his body was shaking for about 5 seconds. After sitting him up, he was alert and oriented complaining of headache and nausea. He only had coffee for breakfast. We gave him cookies and water. About 5 minutes later, pt had no complaints. Vital signs were stable. Pt was then seen by MD.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site erythema, Pain, Tenderness
Clinical narrative: Erythema of both legs, pain and tenderness 4 hours after shots. Left to right. Responded to Tylenol.
Age: 3.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Rash
Clinical narrative: Patient received DTaP #4 in left thigh, our office, on 5/29/03 as well as PPD test in left forearm. Parents contacted our after hours service to report body rash and redness on thigh at injection site on 6/5/03. Patient seen in our office 6/6/03 for treatment.
Age: 2.9
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema
Clinical narrative: On 6/2/03 Shania was given a shot (DTaP) in her right thigh (upper). Mom called 6/4/03 to inform us that her leg was red at site of shot. Was treated with Benadryl and Keflex (antibiotics).
Age: 4.0
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Feeling hot, Injection site induration, Injection site oedema, Pain, Urticaria
Clinical narrative: Had DTaP in left thigh 6/3/03. 6/5/03 - has swelling of left thigh at area of injection with firmness, warmth and urticaria (achy). Dx - local reaction with urticaria to DTaP.
Age: 48.0
Sex: F
Vaccine: TD
Symptoms: Dizziness, Fatigue, Headache, Hyperhidrosis, Pain
Clinical narrative: On 6/6/03, son poked wooden object into right ear, receiving abrasion to inferior aspect right canal. Placed on Tequin and Auralgan. Receive dT. Woke up 6/7/03 3:30 AM: freezing, T 101, shakiness, aching, diaphoretic, heart pounding, dizziness, headache. Lasted 3 hours. By 6/8 improved although still achy and tired. Left arm soreness.
Age: 48.0
Sex: F
Vaccine: TD
Symptoms: Palpitations, Pyrexia, Tremor
Clinical narrative: On 6/6/03, son poked wooden object into right ear, receiving abrasion to inferior aspect right canal. Placed on Tequin and Auralgan. Receive dT. Woke up 6/7/03 3:30 AM: freezing, T 101, shakiness, aching, diaphoretic, heart pounding, dizziness, headache. Lasted 3 hours. By 6/8 improved although still achy and tired. Left arm soreness.
Age: 5.0
Sex: M
Vaccine: MMR
Symptoms: Infection, Pyrexia, Rash
Clinical narrative: Developed fever, rash within 72 hours of injection. Taken to doctor, dx chicken pox. Had "bad case" previous illness of chicken pox in 1999.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pyrexia, Rash
Clinical narrative: Developed swollen, reddened, hot spot at injection shot at DTaP. Rash and fever, vomiting within 72 hours - saw doctor- dx chicken pox (had previous illness in 1999 - "bad case").
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Vomiting
Clinical narrative: Developed swollen, reddened, hot spot at injection shot at DTaP. Rash and fever, vomiting within 72 hours - saw doctor- dx chicken pox (had previous illness in 1999 - "bad case").
Age: 0.75
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site warmth
Clinical narrative: Injection site became swollen to 2x normal size, hot, red, hard. Took a long time to go away.
Age: 1.12
Sex: F
Vaccine: MMR
Symptoms: Rash
Clinical narrative: Immunization on 4/15/03. Developed rash 2 weeks later, continued to worsen. Now resolving but still present on legs faintly.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Aphthous stomatitis, Rash papular
Clinical narrative: Generalized papulo-pustular lesions at upper arms, left knee, upper back 3 weeks after small pox vaccination. Also, development of gingival ulcers at the 3rd week. No target lesions. No fever, myalgias, chills.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: Cellulitis to left upper arm.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Irritability, Pyrexia
Clinical narrative: Irritable, fever, crying
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Pruritus
Clinical narrative: Right shoulder itchy/patch
Age: 1.75
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Unevaluable event
Clinical narrative: Hep B #3 given but not ordered. Discovered this date 6/6/03. MD will repeat Hep B #3. No adverse event (injectin given 1/30/02). (Given too early at 4 months of age- Hep B #1 12/5/01). The follow up received on 7/2/03 states there was no adverse affect. On 6/6/03 it was discovered that MMR #1 had not been given or had been given but not charted correctly. It was also discovered that hep B #3 had been given too early. Repeat hep B #3 was then repeated.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site oedema, Injection site warmth
Clinical narrative: Left arm raised swollen, hot to touch (size of 2 inch circle).
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Redness and indurations 6/4/03 8PM. Redness increased rapidly, spread on 6/5/03 10AM. By 12 noon 5" x 4" erythema with indurations on left thigh.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Right deltoid area had red, puffy reaction 8.5 x 5 cm red patch.
Age: 6.0
Sex: M
Vaccine: DT
Symptoms: Injection site erythema, Injection site oedema, Pain, Skin irritation
Clinical narrative: Pain and irritation at injection site immediately. Large swollen red area proximate to injection site within 24 hours.
Age: 0.4
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Dehydration, Diarrhoea, Irritability, Otitis media, Pyrexia
Clinical narrative: Infant developed diarrhea 6/3/03 night, vomiting. 6/5/03 AM increased fever. 6/6/03 AM infant was irritable, mildly dehydrated, mild left otitis media. Temp was 104.9 on 6/6/03 4:25 PM. She was sent to ER where she was released with oral antibiotic. 6/9/03 phone follow up - infant is doing better.
Age: 0.4
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Vomiting
Clinical narrative: Infant developed diarrhea 6/3/03 night, vomiting. 6/5/03 AM increased fever. 6/6/03 AM infant was irritable, mildly dehydrated, mild left otitis media. Temp was 104.9 on 6/6/03 4:25 PM. She was sent to ER where she was released with oral antibiotic. 6/9/03 phone follow up - infant is doing better.
Age: 1.3
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: High fever >102 degrees. Rash.
Age: 18.0
Sex: F
Vaccine: PNC
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Left arm swollen, red and warm. Advised to apply warm moist heat, massage, Benadryl and Motrin. Call if worsens.
Age: 12.0
Sex: M
Vaccine: HEP, TD
Symptoms: Dizziness, Enuresis, Musculoskeletal stiffness
Clinical narrative: dT given first. Hep B given second. Immediately after second immunization stated he felt dizzy then had tonic stiffening of upper and lower extremities, both eye dilation and enuresis. Episode lasted about 60 seconds. Watched in office about 30 minutes after episode. Sent for labs. EEG arranged. None with Rx for diastat.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Arthralgia, Bone pain, Pyrexia
Clinical narrative: Temp of 103 degrees for approx 7 days. Required Tylenol and tepid baths. Has had chronic joint and bone pain since.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Urticaria
Clinical narrative: DTaP, IPV, Hib titer, Prevnar given 5/30/03. That night broke out with hives entire body.
Age: 35.0
Sex: F
Vaccine: FLU3, HEPAB, TD, TYP
Symptoms: Dry mouth, Pain, Pollakiuria
Clinical narrative: Generalized body aches Dry mouth Frequent urination
Age: 54.0
Sex: F
Vaccine: SMALL
Symptoms: Malaise
Clinical narrative: Fluttering, pass-out feeling, non-diapharetic, several times a day. Two weeks later subsided to happening ocassionally as prior to vaccination. A-fib, worsened 2 weeks after vaccination (can be induced by stress). Zotolol and Coumadin taken now and prior to vaccination.
Age: 34.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Pericarditis
Clinical narrative: Day 4 or 6 post vaccination, person states substernal chest pain. Did not report it until 3/13/03 during take check. Checked over by the doctor at that time. Later called the doctor and the lead person for the smallpox vaccination program. Patient went to his PCP and was informed he had a slight case of pericarditis.
Age: 52.0
Sex: F
Vaccine: SMALL
Symptoms: Headache, Nausea
Clinical narrative: Severe headache with nausea for 36 hours, happened 48 hours post vaccination.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Lymphadenopathy, Pain
Clinical narrative: Extensive spreading erethematous area surrounding vaccination site about 6 by 12 cm, along with generalized painful lymphadenopathy. We had 2 other patients vaccinated on the same day that had similar reactions that were much more severe than any of the prior 40 people that we vaccinated at the command. All recovered without any sequelae.
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Pericarditis
Clinical narrative: Patient developed chest pain on 13 June 2003 when he was recumbent.  Pain returned following night; on 15 June 2003, he contacted on-call physician, who directed patient to Emergency Department.  There, patient was diagnosed as having pericarditis.  Was discharged home on Motrin.  Symptoms have subsided.
Age: 61.0
Sex: F
Vaccine: SMALL, ANTH, SMALL
Symptoms: Cardiac failure congestive, Chest discomfort, Chills, Decreased appetite, Dyspnoea
Clinical narrative: Local: itching x 4-5 days; on day of vaccine, experienced swelling of arm from upper arm to elbow and experienced pain at elbow lasting several hours; swelling at site lasted about 3 days; usual progression to pustules-scab; determined to be a major reaction after approximately 1 week. Systemic: day after vaccine, experienced fever, chills, headache, poor appetite, muscle aches, and swollen glands in neck, which lasted x 4-6 hrs. On 2/26/03 noted palpitations, which lasted about a minute. Says she took a deep breath, and her heartbeat went back into a regular rhythm. Significant cardiac symptoms noted around 4/28/03. Pt was evaluated by a physician for a hip injury she experienced status-post a fall approximately 4 days prior. She was found to be "not fit for duty." She then took a few days to recover before flying to pick up her car. she said she didn't feel "normal." Again, she took a few days to rest before driving back. Once she returned, she saw a physician for evaluation for her hip pain. He ordered physical therapy, and prescribed ibuprofen and a Medrol dosage pack. She did not take the Ibuprofen, but did complete the 5-day course of steroids. She denies specific cardiac-related complaints until the last week in April, when she noted swelling of her feet. Three days later, on 5/1/03, she began experiencing continuous heart palpitations accompanied by mild dyspnea, weakness, and vague chest discomfort. She was seen in the ER, and then admitted to hospital. Her symptoms resolved the next day after treatment with medications. On 5/6/03, she was discharged with the diagnosis of atrial fibrillation and congestive heart failure. She will see her cardiologist in 1 week.  Current problem: new onset atrial fibrillation, temporally associated with 2nd smallpox vaccine. New onset congestive heart failure. Newly diagnosed HTN. Left hip injury status-post fall, recovering.
Age: 61.0
Sex: F
Vaccine: SMALL, ANTH, SMALL
Symptoms: Headache, Hypertension, Laboratory test abnormal, Lymphadenopathy, Myalgia
Clinical narrative: Local: itching x 4-5 days; on day of vaccine, experienced swelling of arm from upper arm to elbow and experienced pain at elbow lasting several hours; swelling at site lasted about 3 days; usual progression to pustules-scab; determined to be a major reaction after approximately 1 week. Systemic: day after vaccine, experienced fever, chills, headache, poor appetite, muscle aches, and swollen glands in neck, which lasted x 4-6 hrs. On 2/26/03 noted palpitations, which lasted about a minute. Says she took a deep breath, and her heartbeat went back into a regular rhythm. Significant cardiac symptoms noted around 4/28/03. Pt was evaluated by a physician for a hip injury she experienced status-post a fall approximately 4 days prior. She was found to be "not fit for duty." She then took a few days to recover before flying to pick up her car. she said she didn't feel "normal." Again, she took a few days to rest before driving back. Once she returned, she saw a physician for evaluation for her hip pain. He ordered physical therapy, and prescribed ibuprofen and a Medrol dosage pack. She did not take the Ibuprofen, but did complete the 5-day course of steroids. She denies specific cardiac-related complaints until the last week in April, when she noted swelling of her feet. Three days later, on 5/1/03, she began experiencing continuous heart palpitations accompanied by mild dyspnea, weakness, and vague chest discomfort. She was seen in the ER, and then admitted to hospital. Her symptoms resolved the next day after treatment with medications. On 5/6/03, she was discharged with the diagnosis of atrial fibrillation and congestive heart failure. She will see her cardiologist in 1 week.  Current problem: new onset atrial fibrillation, temporally associated with 2nd smallpox vaccine. New onset congestive heart failure. Newly diagnosed HTN. Left hip injury status-post fall, recovering.
Age: 61.0
Sex: F
Vaccine: SMALL, ANTH, SMALL
Symptoms: Oedema, Oedema peripheral, Pain, Palpitations, Pyrexia
Clinical narrative: Local: itching x 4-5 days; on day of vaccine, experienced swelling of arm from upper arm to elbow and experienced pain at elbow lasting several hours; swelling at site lasted about 3 days; usual progression to pustules-scab; determined to be a major reaction after approximately 1 week. Systemic: day after vaccine, experienced fever, chills, headache, poor appetite, muscle aches, and swollen glands in neck, which lasted x 4-6 hrs. On 2/26/03 noted palpitations, which lasted about a minute. Says she took a deep breath, and her heartbeat went back into a regular rhythm. Significant cardiac symptoms noted around 4/28/03. Pt was evaluated by a physician for a hip injury she experienced status-post a fall approximately 4 days prior. She was found to be "not fit for duty." She then took a few days to recover before flying to pick up her car. she said she didn't feel "normal." Again, she took a few days to rest before driving back. Once she returned, she saw a physician for evaluation for her hip pain. He ordered physical therapy, and prescribed ibuprofen and a Medrol dosage pack. She did not take the Ibuprofen, but did complete the 5-day course of steroids. She denies specific cardiac-related complaints until the last week in April, when she noted swelling of her feet. Three days later, on 5/1/03, she began experiencing continuous heart palpitations accompanied by mild dyspnea, weakness, and vague chest discomfort. She was seen in the ER, and then admitted to hospital. Her symptoms resolved the next day after treatment with medications. On 5/6/03, she was discharged with the diagnosis of atrial fibrillation and congestive heart failure. She will see her cardiologist in 1 week.  Current problem: new onset atrial fibrillation, temporally associated with 2nd smallpox vaccine. New onset congestive heart failure. Newly diagnosed HTN. Left hip injury status-post fall, recovering.
Age: 61.0
Sex: F
Vaccine: SMALL, ANTH, SMALL
Symptoms: Asthenia, Atrial fibrillation, Bradycardia, Cardiac failure congestive, Chest discomfort
Clinical narrative: Local: itching x 4-5 days; on day of vaccine, experienced swelling of arm from upper arm to elbow and experienced pain at elbow lasting several hours; swelling at site lasted about 3 days; usual progression to pustules-scab; determined to be a major reaction after approximately 1 week. Systemic: day after vaccine, experienced fever, chills, headache, poor appetite, muscle aches, and swollen glands in neck, which lasted x 4-6 hrs. On 2/26/03 noted palpitations, which lasted about a minute. Says she took a deep breath, and her heartbeat went back into a regular rhythm. Significant cardiac symptoms noted around 4/28/03. Pt was evaluated by a physician for a hip injury she experienced status-post a fall approximately 4 days prior. She was found to be "not fit for duty." She then took a few days to recover before flying to pick up her car. she said she didn't feel "normal." Again, she took a few days to rest before driving back. Once she returned, she saw a physician for evaluation for her hip pain. He ordered physical therapy, and prescribed ibuprofen and a Medrol dosage pack. She did not take the Ibuprofen, but did complete the 5-day course of steroids. She denies specific cardiac-related complaints until the last week in April, when she noted swelling of her feet. Three days later, on 5/1/03, she began experiencing continuous heart palpitations accompanied by mild dyspnea, weakness, and vague chest discomfort. She was seen in the ER, and then admitted to hospital. Her symptoms resolved the next day after treatment with medications. On 5/6/03, she was discharged with the diagnosis of atrial fibrillation and congestive heart failure. She will see her cardiologist in 1 week.  Current problem: new onset atrial fibrillation, temporally associated with 2nd smallpox vaccine. New onset congestive heart failure. Newly diagnosed HTN. Left hip injury status-post fall, recovering.
Age: 61.0
Sex: F
Vaccine: SMALL, ANTH, SMALL
Symptoms: Chills, Decreased appetite, Dyspnoea, Headache, Lymphadenopathy
Clinical narrative: Local: itching x 4-5 days; on day of vaccine, experienced swelling of arm from upper arm to elbow and experienced pain at elbow lasting several hours; swelling at site lasted about 3 days; usual progression to pustules-scab; determined to be a major reaction after approximately 1 week. Systemic: day after vaccine, experienced fever, chills, headache, poor appetite, muscle aches, and swollen glands in neck, which lasted x 4-6 hrs. On 2/26/03 noted palpitations, which lasted about a minute. Says she took a deep breath, and her heartbeat went back into a regular rhythm. Significant cardiac symptoms noted around 4/28/03. Pt was evaluated by a physician for a hip injury she experienced status-post a fall approximately 4 days prior. She was found to be "not fit for duty." She then took a few days to recover before flying to pick up her car. she said she didn't feel "normal." Again, she took a few days to rest before driving back. Once she returned, she saw a physician for evaluation for her hip pain. He ordered physical therapy, and prescribed ibuprofen and a Medrol dosage pack. She did not take the Ibuprofen, but did complete the 5-day course of steroids. She denies specific cardiac-related complaints until the last week in April, when she noted swelling of her feet. Three days later, on 5/1/03, she began experiencing continuous heart palpitations accompanied by mild dyspnea, weakness, and vague chest discomfort. She was seen in the ER, and then admitted to hospital. Her symptoms resolved the next day after treatment with medications. On 5/6/03, she was discharged with the diagnosis of atrial fibrillation and congestive heart failure. She will see her cardiologist in 1 week.  Current problem: new onset atrial fibrillation, temporally associated with 2nd smallpox vaccine. New onset congestive heart failure. Newly diagnosed HTN. Left hip injury status-post fall, recovering.
Age: 61.0
Sex: F
Vaccine: SMALL, ANTH, SMALL
Symptoms: Myalgia, Oedema peripheral, Pain, Palpitations, Pyrexia
Clinical narrative: Local: itching x 4-5 days; on day of vaccine, experienced swelling of arm from upper arm to elbow and experienced pain at elbow lasting several hours; swelling at site lasted about 3 days; usual progression to pustules-scab; determined to be a major reaction after approximately 1 week. Systemic: day after vaccine, experienced fever, chills, headache, poor appetite, muscle aches, and swollen glands in neck, which lasted x 4-6 hrs. On 2/26/03 noted palpitations, which lasted about a minute. Says she took a deep breath, and her heartbeat went back into a regular rhythm. Significant cardiac symptoms noted around 4/28/03. Pt was evaluated by a physician for a hip injury she experienced status-post a fall approximately 4 days prior. She was found to be "not fit for duty." She then took a few days to recover before flying to pick up her car. she said she didn't feel "normal." Again, she took a few days to rest before driving back. Once she returned, she saw a physician for evaluation for her hip pain. He ordered physical therapy, and prescribed ibuprofen and a Medrol dosage pack. She did not take the Ibuprofen, but did complete the 5-day course of steroids. She denies specific cardiac-related complaints until the last week in April, when she noted swelling of her feet. Three days later, on 5/1/03, she began experiencing continuous heart palpitations accompanied by mild dyspnea, weakness, and vague chest discomfort. She was seen in the ER, and then admitted to hospital. Her symptoms resolved the next day after treatment with medications. On 5/6/03, she was discharged with the diagnosis of atrial fibrillation and congestive heart failure. She will see her cardiologist in 1 week.  Current problem: new onset atrial fibrillation, temporally associated with 2nd smallpox vaccine. New onset congestive heart failure. Newly diagnosed HTN. Left hip injury status-post fall, recovering.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site mass, Injection site reaction, Pruritus
Clinical narrative: Pt presented to naval hospital while deployed here with complaint of lumps on left arm. Vax site - black scab - 8mm diameter with erythema border about 2 mm. Had lesions, nodules, erythematous (no skin eruptions) on left tricep, left elbow (brachialis) and left forearm. No lymphadenopathy, no fever, complained of pruritis mile. Patient failed to follow up for evaluation.
Age: 22.0
Sex: F
Vaccine: ANTH, HEP, SMALL
Symptoms: Unevaluable event
Clinical narrative: Patient determined to be pregnant May 17, 2003 with E date of conception April 3, 2003. <4 week after vaccine
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Rash maculo-papular
Clinical narrative: Maculopapular rash covering back and chest
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Rash maculo-papular
Clinical narrative: Maculopapular rash covering back and chest
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Rash maculo-papular
Clinical narrative: Maculopapular rash covering back and chest
Age: 24.0
Sex: F
Vaccine: SMALL
Symptoms: Unevaluable event
Clinical narrative: Took HCG test prior to SP vaccination, negative. Found out she had a +HCG March 31, 2003. Otherwise well, no complications with vaccination.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Diarrhoea, Pain, Pruritus, Pyrexia
Clinical narrative: Pt presented in clinic with approximately 30 rectal pustules all in the same stage of ulceration. He had experienced itching, pain, feverishness, and diarrhea. He was cultured and started on Acyclovir and Keflex at the direction of MD. Nasal lesions in the right nares with yellow crust appeared 2-3 days later, but were not cultured- presumed Herpes0 although he had no history of this and no recent oral or other intercourse. The culture of the rectal lesions returned as Vaccinia.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Rash pustular, Skin ulcer
Clinical narrative: Pt presented in clinic with approximately 30 rectal pustules all in the same stage of ulceration. He had experienced itching, pain, feverishness, and diarrhea. He was cultured and started on Acyclovir and Keflex at the direction of MD. Nasal lesions in the right nares with yellow crust appeared 2-3 days later, but were not cultured- presumed Herpes0 although he had no history of this and no recent oral or other intercourse. The culture of the rectal lesions returned as Vaccinia.
Age: 37.0
Sex: F
Vaccine: SMALL
Symptoms: Headache
Clinical narrative: Frontal headache starting day 7 post-vaccine and continuing until approximately day 14 post-vaccine. No neurological changes experienced. Tylenol and/or Ibuprofen ineffective.
Age: 1.2
Sex: F
Vaccine: MMR
Symptoms: Diarrhoea, Rash
Clinical narrative: The patient came into the office on 6-17-03 complaining of a rash all over the body and having slight diarrhea beginning on 6-16-03.  Doctor explained to mom the nature of the problem and prescribed Zyrtec syrup 1/2 tsp. by mouth this a.m., then 3/4 tsp by mouth tonight, then 1 tsp. by mouth every night as needed.  The mom was instructed to call if signs and symptoms were to change.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Malaise, Pyrexia, Syncope
Clinical narrative: My son receeived his first law required vaccine for hepatitis B on March 5. That day he had a reaction to the vaccine immediately following it, in the clinic office. He felt faint and lay down in the clinic waiting room for about 15 minutes before being sent to a room to recover. He had never had such a reaction to shots before. The health care professional staff said it was due to fear of shots, which my son has never had before. Later that day he came down with a fever and general malaise which we treated with ibuprofen and tylenol. He was fine the next day. For his second law required hepB vaccine we agian took him to the same clinic on May 17,2003. This tiem he had a mcuh more sever reaction several hours later.  We took him to the emergency room where they did a CAT scan. None of the health care professionals believe that his latest incindent is related to the vaccine. I do. It is much too coincidental. We will not be allowing him to have the third dose.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, DTAPHEPBIP, HIBV, DTAPHEPBIP, HIBV
Symptoms: Anaphylactic reaction, Asthenia, Diarrhoea, Gastroenteritis, Laboratory test abnormal
Clinical narrative: It was reported that a 60 day old pt received first dose of ActHib, lot number UA763AA/W0096-2, given IM in the left thigh and the first dose of Pediarix, lot number 21883B2, given IM in the left thigh at 6:45pm on 5/29/03. Immediately after the vaccination, the pt turned purple from the vaccination site all the way down to the leg and foot. The purple discoloration then spontaneously spread to other extremities, face and rest of the body. The pt also turned pale and had an expression of discomfort of the face. The pt was breathing and heart sounds were audible. The pt was immediately given epinephrine, SC in the right thigh. Emergency number 911 was also called immediately but the police came before the ambulance and took the infant to the emergency room. The pt was stabilized, vital signs were closely monitored and the pt was then admitted to the pediatric intensive care unit at the hospital. Lab work included blood gases, CBC with differential, CMP and BMP. The lab results are not available at the time of this report. The pt did not have any past medical history, but did have a stuffy nose at the time of vaccination. It was reported that the pt recovered from these events. From additional info received via telephone conversation with the reporting physician on 6/12/03, the infant's gender was specified as female. The physician confirmed the purple discoloration of the infant's skin, which was not mottling. The infant subsequently became cyanotic. Following administration of epinephrine, the pt became pale. Throughout the episode, heart rate and respirations were regular and the pt did not experience any respiratory distress. She was admitted to the pediatric intensive care unit and was discharged the following day.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, DTAPHEPBIP, HIBV, DTAPHEPBIP, HIBV
Symptoms: Pallor, Pyrexia, Skin discolouration, Somnolence, Urticaria
Clinical narrative: It was reported that a 60 day old pt received first dose of ActHib, lot number UA763AA/W0096-2, given IM in the left thigh and the first dose of Pediarix, lot number 21883B2, given IM in the left thigh at 6:45pm on 5/29/03. Immediately after the vaccination, the pt turned purple from the vaccination site all the way down to the leg and foot. The purple discoloration then spontaneously spread to other extremities, face and rest of the body. The pt also turned pale and had an expression of discomfort of the face. The pt was breathing and heart sounds were audible. The pt was immediately given epinephrine, SC in the right thigh. Emergency number 911 was also called immediately but the police came before the ambulance and took the infant to the emergency room. The pt was stabilized, vital signs were closely monitored and the pt was then admitted to the pediatric intensive care unit at the hospital. Lab work included blood gases, CBC with differential, CMP and BMP. The lab results are not available at the time of this report. The pt did not have any past medical history, but did have a stuffy nose at the time of vaccination. It was reported that the pt recovered from these events. From additional info received via telephone conversation with the reporting physician on 6/12/03, the infant's gender was specified as female. The physician confirmed the purple discoloration of the infant's skin, which was not mottling. The infant subsequently became cyanotic. Following administration of epinephrine, the pt became pale. Throughout the episode, heart rate and respirations were regular and the pt did not experience any respiratory distress. She was admitted to the pediatric intensive care unit and was discharged the following day.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, DTAPHEPBIP, HIBV, DTAPHEPBIP, HIBV
Symptoms: Vomiting
Clinical narrative: It was reported that a 60 day old pt received first dose of ActHib, lot number UA763AA/W0096-2, given IM in the left thigh and the first dose of Pediarix, lot number 21883B2, given IM in the left thigh at 6:45pm on 5/29/03. Immediately after the vaccination, the pt turned purple from the vaccination site all the way down to the leg and foot. The purple discoloration then spontaneously spread to other extremities, face and rest of the body. The pt also turned pale and had an expression of discomfort of the face. The pt was breathing and heart sounds were audible. The pt was immediately given epinephrine, SC in the right thigh. Emergency number 911 was also called immediately but the police came before the ambulance and took the infant to the emergency room. The pt was stabilized, vital signs were closely monitored and the pt was then admitted to the pediatric intensive care unit at the hospital. Lab work included blood gases, CBC with differential, CMP and BMP. The lab results are not available at the time of this report. The pt did not have any past medical history, but did have a stuffy nose at the time of vaccination. It was reported that the pt recovered from these events. From additional info received via telephone conversation with the reporting physician on 6/12/03, the infant's gender was specified as female. The physician confirmed the purple discoloration of the infant's skin, which was not mottling. The infant subsequently became cyanotic. Following administration of epinephrine, the pt became pale. Throughout the episode, heart rate and respirations were regular and the pt did not experience any respiratory distress. She was admitted to the pediatric intensive care unit and was discharged the following day.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, DTAPHEPBIP, HIBV, DTAPHEPBIP, HIBV
Symptoms: Blood gases, Cyanosis, Differential white blood cell count, Full blood count, Immediate post-injection reaction
Clinical narrative: It was reported that a 60 day old pt received first dose of ActHib, lot number UA763AA/W0096-2, given IM in the left thigh and the first dose of Pediarix, lot number 21883B2, given IM in the left thigh at 6:45pm on 5/29/03. Immediately after the vaccination, the pt turned purple from the vaccination site all the way down to the leg and foot. The purple discoloration then spontaneously spread to other extremities, face and rest of the body. The pt also turned pale and had an expression of discomfort of the face. The pt was breathing and heart sounds were audible. The pt was immediately given epinephrine, SC in the right thigh. Emergency number 911 was also called immediately but the police came before the ambulance and took the infant to the emergency room. The pt was stabilized, vital signs were closely monitored and the pt was then admitted to the pediatric intensive care unit at the hospital. Lab work included blood gases, CBC with differential, CMP and BMP. The lab results are not available at the time of this report. The pt did not have any past medical history, but did have a stuffy nose at the time of vaccination. It was reported that the pt recovered from these events. From additional info received via telephone conversation with the reporting physician on 6/12/03, the infant's gender was specified as female. The physician confirmed the purple discoloration of the infant's skin, which was not mottling. The infant subsequently became cyanotic. Following administration of epinephrine, the pt became pale. Throughout the episode, heart rate and respirations were regular and the pt did not experience any respiratory distress. She was admitted to the pediatric intensive care unit and was discharged the following day.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, DTAPHEPBIP, HIBV, DTAPHEPBIP, HIBV
Symptoms: Injection site discolouration, Intensive care, Metabolic function test, Pallor, Skin discolouration
Clinical narrative: It was reported that a 60 day old pt received first dose of ActHib, lot number UA763AA/W0096-2, given IM in the left thigh and the first dose of Pediarix, lot number 21883B2, given IM in the left thigh at 6:45pm on 5/29/03. Immediately after the vaccination, the pt turned purple from the vaccination site all the way down to the leg and foot. The purple discoloration then spontaneously spread to other extremities, face and rest of the body. The pt also turned pale and had an expression of discomfort of the face. The pt was breathing and heart sounds were audible. The pt was immediately given epinephrine, SC in the right thigh. Emergency number 911 was also called immediately but the police came before the ambulance and took the infant to the emergency room. The pt was stabilized, vital signs were closely monitored and the pt was then admitted to the pediatric intensive care unit at the hospital. Lab work included blood gases, CBC with differential, CMP and BMP. The lab results are not available at the time of this report. The pt did not have any past medical history, but did have a stuffy nose at the time of vaccination. It was reported that the pt recovered from these events. From additional info received via telephone conversation with the reporting physician on 6/12/03, the infant's gender was specified as female. The physician confirmed the purple discoloration of the infant's skin, which was not mottling. The infant subsequently became cyanotic. Following administration of epinephrine, the pt became pale. Throughout the episode, heart rate and respirations were regular and the pt did not experience any respiratory distress. She was admitted to the pediatric intensive care unit and was discharged the following day.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, DTAPHEPBIP, HIBV, DTAPHEPBIP, HIBV
Symptoms: Anaphylactic reaction
Clinical narrative: It was reported that a 60 day old pt received first dose of ActHib, lot number UA763AA/W0096-2, given IM in the left thigh and the first dose of Pediarix, lot number 21883B2, given IM in the left thigh at 6:45pm on 5/29/03. Immediately after the vaccination, the pt turned purple from the vaccination site all the way down to the leg and foot. The purple discoloration then spontaneously spread to other extremities, face and rest of the body. The pt also turned pale and had an expression of discomfort of the face. The pt was breathing and heart sounds were audible. The pt was immediately given epinephrine, SC in the right thigh. Emergency number 911 was also called immediately but the police came before the ambulance and took the infant to the emergency room. The pt was stabilized, vital signs were closely monitored and the pt was then admitted to the pediatric intensive care unit at the hospital. Lab work included blood gases, CBC with differential, CMP and BMP. The lab results are not available at the time of this report. The pt did not have any past medical history, but did have a stuffy nose at the time of vaccination. It was reported that the pt recovered from these events. From additional info received via telephone conversation with the reporting physician on 6/12/03, the infant's gender was specified as female. The physician confirmed the purple discoloration of the infant's skin, which was not mottling. The infant subsequently became cyanotic. Following administration of epinephrine, the pt became pale. Throughout the episode, heart rate and respirations were regular and the pt did not experience any respiratory distress. She was admitted to the pediatric intensive care unit and was discharged the following day.
Age: 2.4
Sex: M
Vaccine: DPP, MMR, VARCEL, MMR, VARCEL
Symptoms: Rash pustular
Clinical narrative: Rash onset 06/10/2003 at time >100 pox but not pustular. Mother called on 06/11/2003 stating pox pustular water filled
Sex: M
Vaccine: DTAP, HEP, HIBV
Symptoms: Autism, Drug toxicity, Nervous system disorder
Clinical narrative: This report describes the occurrence of autism in a male child of unspecified age who was vaccinated with hep B vaccine for prophylaxis. This report was received as part of litigation proceedings and has not been verified by a physician or other healthcare professional. The subject's medial history, concurrent conditions, and concurrent medications were not reported. The subject reportedly received an unspecified number of injections of Engerix B "in or about 1997." "In or about 1997 and 1998," the subject also reportedly received injections of Tripedia. "In or about 1997," he reportedly received injections of HibTiter. The subject's attorney alleged that "As a result of the mercury in the thimerosal-containing vaccinations received during these developmental years, the subject now suffers and in the future will continue to suffer, from the toxic neurological effects of his mercury poisoning, including but not limited to autism." The autism and mercury poisoning in this report are considered to be medically serious (OMIC).
Sex: M
Vaccine: DTAP, DTAP, HEP, HEP, HIBV
Symptoms: Autism, Drug toxicity, Nervous system disorder
Clinical narrative: This report describes the occurrence of autism in a male child of unspecified age who was vaccinated with hep B vaccine (Engerix B) for prophylaxis. This report was received as part of litigation proceedings and has not been verified by a physician or other healthcare professional. The subject's medical history, concurrent conditions, and concurrent medications were not reported. The subject reportedly received an injection of Engerix B "in or about 1998." "In or about 1998 and 1999, the subject also reportedly received injections of hep B vaccine (Recombivax HB, Acel-Imune, and HibTiter. The subject's attorney alleged that "As a result of the mercury in the thimerosal-containing vaccinations received during these developmental years, the subject now suffers and in the future will continue to suffer, from the toxic neurological effects of his mercury poisoning, including but not limited to autism." The autism and mercury poisoning in this report are considered to be medically serious (OMIC).
Age: 68.0
Sex: F
Vaccine: HEPAB
Symptoms: Demyelination, Polyneuropathy
Clinical narrative: This care was reported by a pharmacist and described the occurrence of chronic inflammatory demyelinating polyneuritis in a 68 year old female who was vaccinated with Twinrix for prophylaxis. The pt's medical history, concurrent conditions, and concurrent medications were not reported. On an unspecified date, the pt received an injection of Twinrix (234A6). At an unspecified time post-immunization, the pt experienced chronic inflammatory demyelinating polyneuritis. The event was unresolved as of 6/4/03. Chronic inflammatory demyelinating polyneuritis is considered medically serious (OMIC).
Age: 65.0
Sex: M
Vaccine: HEPAB
Symptoms: Demyelination, Polyneuropathy
Clinical narrative: This case was reported by a pharmacist and described the occurrence of chronic inflammatory demyelinating polyneuritis in a 65 year old male who was vaccinated with Twinrix for prophylaxis. The pt's medical history, concurrent conditions, and concurrent medications were not reported. On an unspecified date, the pt received an injection of Twinrix (234A6). Approximately six to eight months post-immunization, the pt experienced chronic inflammatory demyelinating polyneuritis. The event was unresolved as of 6/4/03. Chronic inflammatory demyelinating polyneuritis is considered medically serious (OMIC).
Age: 1.2
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Convulsion, Haematemesis
Clinical narrative: Vaccines given 6/9/03, that night had bloody emesis and was ? seen in ED with ? OM B. Given  Rocefin 6/9 and 6/10. 6/11 had L ? tonic clonic sz. Returned to clinic-afebrile complete recovery.
Age: 45.0
Sex: M
Vaccine: PPV
Symptoms: Asthenia, Asthma, Bronchitis, Cough, Dyspnoea
Clinical narrative: Weakness/headache 1 day (24hrs after injection). Temp: 98.2. Medication: Vicodin. Shortness of breath, wheezing, cough 1 week after injection. Medication: NyQuil. Asthma, bronchitis diagnosed on 3/3/02. 17 emergency room visits since injection. The ER record and discharge summary received on 1/6/04 confirms diagnosis of acute dyspnea, asthma and bronchitis. Other diagnoses were acute cephalgia and generalized weakness.
Age: 45.0
Sex: M
Vaccine: PPV
Symptoms: Headache, Wheezing
Clinical narrative: Weakness/headache 1 day (24hrs after injection). Temp: 98.2. Medication: Vicodin. Shortness of breath, wheezing, cough 1 week after injection. Medication: NyQuil. Asthma, bronchitis diagnosed on 3/3/02. 17 emergency room visits since injection. The ER record and discharge summary received on 1/6/04 confirms diagnosis of acute dyspnea, asthma and bronchitis. Other diagnoses were acute cephalgia and generalized weakness.
Age: 1.7
Sex: M
Vaccine: DTAP, HBHEPB
Symptoms: Agitation, Myoclonus, Screaming, Sinusitis, Tremor
Clinical narrative: Client developed Opsoclonus myoclonus syndrome 3 days after being vaccinated. The 60 day follow up received on 8/29/03 states pt is slowly regaining his abilities. He is not walking alone yet. Receiving IVIG monthly. Getting therapy and has improved. Speech slowly returning and muscles less "jerky" eyes less "dancing." The medical records state trembling. Information received from Discharge Summary states trembling, screaming, agitation, ataxic and sinusitis. msv