chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 81.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Swelling
Clinical narrative: 08/07/2003: Swelling and redness left upper arm.  Elbow to top of arm.  Keflex 250 tid x 5 days.
Age: 47.0
Sex: F
Vaccine: TD
Symptoms: Pain, Swelling
Clinical narrative: 04/18/2003: Client noted.........reaction site (day 9) 04/19/2003: Increase...............left upper arm 04/25/2003: Pain, swelling..........noted redness LUE. 04/21/2003: Saw............................antibiotic prescribed. 04/22/2003: Left message................call this nurse to follow up. 04/25/2003: Left message..................call this nurse to follow up.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Fine rash noted on back, abdomen and arms.
Age: 5.2
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Skin ulcer
Clinical narrative: L arm 3 in in diameter erythematous lesion.
Age: 3.0
Sex: M
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Erythema, Herpes zoster, Hypotonia, Infection, Pruritus
Clinical narrative: Generally healthy 3 yo male developed vesicular rash on L knee which spread rapidly up thigh, hip, buttocks. No fever but pain, itching and limp. Large 3-4cm clusters of vesicles with confluent erythema in the L2-L3 dermatome. Suspected varicella exposure at day care. This is the worst case of shingles I've seen in 13 yrs of pediatric practice.
Age: 3.0
Sex: M
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Generally healthy 3 yo male developed vesicular rash on L knee which spread rapidly up thigh, hip, buttocks. No fever but pain, itching and limp. Large 3-4cm clusters of vesicles with confluent erythema in the L2-L3 dermatome. Suspected varicella exposure at day care. This is the worst case of shingles I've seen in 13 yrs of pediatric practice.
Age: 4.9
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, PPV
Symptoms: Hypokinesia, Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Decreased ability to ambulate using left leg. Left thigh painful, warm, pink, swollen, extending to knee.
Age: 4.9
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, PPV
Symptoms: Pain
Clinical narrative: Decreased ability to ambulate using left leg. Left thigh painful, warm, pink, swollen, extending to knee.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Hypoaesthesia, Vision blurred
Clinical narrative: Lt arm became numb in evening of 4/30/03 and stayed numb until present. On 5/4/03 on awakening noted entire Lt side of body was numb and vision was blurred. Was seen in ER on 5/5/03 and began prednisone-if s/s don't improve to return to Dr. for MRI etc.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, DTAP, HIBV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: On 4/21/03 given Hib and DTaP in R thigh developed redness and warmth at injection site on 4/22/03. Treatment-Keflex 250/5 2.8ml PO q8h (tid) x 7-10 days.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, DTAP, HIBV
Symptoms: Feeling hot, Injection site erythema, Pruritus
Clinical narrative: On 4/21/03 given Hib and DTaP in R thigh developed redness and warmth at injection site on 4/22/03. Treatment-Keflex 250/5 2.8ml PO q8h (tid) x 7-10 days.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Red area 13x15cm. Area erythema, mild swelling.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: 8x9cm area of erythema and swelling at injection site.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: L arm swollen-11cm x 6cm-erythema and warmth.
Age: 40.0
Sex: F
Vaccine: HEP, TD
Symptoms: Injection site oedema, Lymphadenopathy
Clinical narrative: Delayed onset (approx. 36 hrs) of edema at injection site (approx 6cm diameter) and axillary lymphadenopathy.
Age: 33.0
Sex: F
Vaccine: VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site reaction, Rash papular
Clinical narrative: 2-4cm papules in R upper arm. Erythema, possible cellulitis. Prescribed dicloxicillin 250 6hr x 5d.
Age: 1.0
Sex: M
Vaccine: HEP, MMR, PNC, VARCEL
Symptoms: Drug ineffective, Rash vesicular
Clinical narrative: Chicken pox disease.
Age: 1.7
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Sx started within 12 hrs post receiving vaccines. 6x6cm red area on L thigh warm to touch.
Age: 5.0
Sex: F
Vaccine: DTP, IPV, MMR
Symptoms: Coma, Hypotonia, Injection site erythema, Injection site oedema, Loss of consciousness
Clinical narrative: Within about 3 min of shots she suddenly lost consciousness was pale, limp and unresponsive. She was being held by her 15 year old sister when she collapsed backward, head and arms dangling to the floor. She was carried to an examining table. We remained there for about an hour waiting for her to recover enough to go home. Large swelling and redness in arm for 2 weeks afterward.
Age: 5.0
Sex: F
Vaccine: DTP, IPV, MMR
Symptoms: Pallor
Clinical narrative: Within about 3 min of shots she suddenly lost consciousness was pale, limp and unresponsive. She was being held by her 15 year old sister when she collapsed backward, head and arms dangling to the floor. She was carried to an examining table. We remained there for about an hour waiting for her to recover enough to go home. Large swelling and redness in arm for 2 weeks afterward.
Age: 3.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Rash vesicular
Clinical narrative: Varicella infections even after vaccination 2/18/99.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Rash vesicular
Clinical narrative: Vaccine breakthrough. Dx: varicella 5/8/03.
Age: 1.25
Sex: F
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Injection site erythema, Injection site mass, Injection site warmth
Clinical narrative: Awakened 5/8/03 am with redness of large area to R upper leg into buttock area. Area hot with lump at injection site. saw MD at 1pm 4x7cm area of redness and firm to R outer thigh using Motrin prn for discomfort 5/9/03 follow up call-no increase in size. Motrin helpful.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Induration, erythema (4x5 1/2cm area) and tender local injection site noted 2 days after injection.
Age: 3.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Cellulitis, Injection site induration, Injection site pain, Injection site reaction, Injection site warmth
Clinical narrative: Cellulitis, erythema (9x16cm) induration warm and tender to touch.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site oedema, Pruritus
Clinical narrative: Local swelling, redness, itch at site of injection. Afebrile.
Age: 49.0
Sex: F
Vaccine: TD
Symptoms: Pruritus, Rash
Clinical narrative: Generalized itchy (rash on face) body.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Rash maculo-papular, Skin ulcer
Clinical narrative: 1 day after vaccines on 5/6, patient's mom noted erythematous macular-papular lesion on right arm which increased in size by 5/8 to a welt of 5.25"x4 7/8" on right upper arm which is warm to touch and swollen.
Age: 8.0
Sex: F
Vaccine: HEPA
Symptoms: Eye swelling, Face oedema, Tongue oedema
Clinical narrative: Immunization given about 4:00PM. At approximately 6:30PM, eyes began to swell; called triage. Instructed to given Benadryl. At 8:00 PM, face, eyes, and tongue were swollen. Went to ER.
Age: 1.5
Sex: M
Vaccine: DTAP
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Cellulitis covering area from shoulder to mid upper arm; red, swollen and warm to touch.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Irritability, Rash erythematous, Rash macular
Clinical narrative: 4/29 4PM, patient developed red, raised, rash; blotchy appearance and irritability 4/29/03. Spread over trunk, extremities over next 16-20 hours. Small raised areas in red blotches.
Age: 23.0
Sex: F
Vaccine: ANTH, HEP, HEPA, IPV, TD, TYP
Symptoms: Asthenia, Headache, Injection site pain, Myalgia, Nausea
Clinical narrative: On day 1 post vaccination, patient presented nausea, vomiting times 3, fever, muscle aches and pains, weakness and moderate pain on both vaccination sites. No erythema or swelling. On day 2 post vaccination, developed headache (migraine type) and vomiting times 1. IV fluid administered and bed rest.
Age: 23.0
Sex: F
Vaccine: ANTH, HEP, HEPA, IPV, TD, TYP
Symptoms: Pyrexia, Vomiting
Clinical narrative: On day 1 post vaccination, patient presented nausea, vomiting times 3, fever, muscle aches and pains, weakness and moderate pain on both vaccination sites. No erythema or swelling. On day 2 post vaccination, developed headache (migraine type) and vomiting times 1. IV fluid administered and bed rest.
Age: 63.0
Sex: F
Vaccine: PPV, TD
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: By evening of day of vaccination, left lateral upper arm swollen and red from axilla to elbow. This resolved by 4/26/03.
Age: 6.0
Sex: M
Vaccine: DTAP
Symptoms: Swelling
Clinical narrative: Swelling left arm about elbow to shoulder.
Age: 1.0
Sex: M
Vaccine: IPV, MMR
Symptoms: Pyrexia, Rash
Clinical narrative: 5/9/03 Fever for 24 hours. Slight rash on foot; otherwise no symptoms. Playful 5/10/03; no more fever.
Age: 76.0
Sex: M
Vaccine: TD
Symptoms: Injection site mass, Pain, Tenderness
Clinical narrative: Knot on right upper arm; extreme pain and soreness. Injection given 4/28/03; states was seen in ER 2 times; was seen in FPC 5/8/03. Knot approximately size of half dollar, palpable and very tender. MRI right arm ordered.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cough, Eyelid oedema, Urticaria
Clinical narrative: Coughing, swelling of eyelids, urticarial rash within 15-20 minutes of immunization. No wheezing, respiratory distress. Required epinephrine, Benadryl and steroids. Recovered very good.
Age: 48.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Injection site erythema, Injection site necrosis, Injection site reaction, Injection site swelling
Clinical narrative: 4/23 10:32 Adult Td given left deltoid. 4/26 20:15 Seen in ED; left deltoid area red, swollen, and painful. Cellulitis. Given Keflex 500mg times 2 to use and prescription for 30 take QID.
Age: 58.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Severe swelling and redness at arm injection site.
Age: 2.0
Sex: M
Vaccine: PNC
Symptoms: Injection site erythema
Clinical narrative: Right thigh 10.5cmx6cm erythema.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Face oedema, Flushing, Injection site erythema, Injection site swelling, Rash
Clinical narrative: 5-10 minutes after injections, mother questioned rash on upper arm with swelling, erythema, urticarial, facial swelling and redness. Given Benadryl IM at 10:15AM.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Urticaria
Clinical narrative: 5-10 minutes after injections, mother questioned rash on upper arm with swelling, erythema, urticarial, facial swelling and redness. Given Benadryl IM at 10:15AM.
Age: 7.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site haemorrhage, Injection site rash
Clinical narrative: Symptoms: ecchymosis at injection site, rash around injection site. Treatment: none.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient received DTaP on right arm; slightly swollen, red, occurred shortly after receiving immunization. By the next was resolving spontaneously. Ice, Tylenol.
Age: 3.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: Right upper arm became red and swollen on day of vaccine administration approximately 11 hour after. Became increasingly red, warm, itchy, and swollen the next day. Given antibiotics for reaction.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, IPV, PNC
Symptoms: Rash papular, Urticaria
Clinical narrative: Papular,urticaria, generalized. Onset this AM.
Age: 12.0
Sex: M
Vaccine: HEP, TD
Symptoms: Cellulitis, Injection site swelling, Tenderness
Clinical narrative: Left arm: localized cellulitis 6cmx5cm, mild swelling and tenderness.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: Pt presents to clinic with right arm redness 10cm x 10cm. Received DTaP in right arm on 05/05/2003. Diagnosed: Localized DTaP reaction. Tx Benadryl, ice pack
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Pt presents to clinic with right arm redness and swelling. Received DTaP in RUA and IPV in RLA on 05/05/2003. Diagnosed: localized DTaP reaction. Tx: Treat symptomatically
Age: 1.0
Sex: M
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Influenza like illness, Nausea, Pyrexia, Vomiting
Clinical narrative: Apprx. 12 hours after immunizations given, pt developed flu like syndrome with nausea, vomiting, fever - lasting up to 1 week. Seen in ER (occurred after Comvax # 2 and # 3)
Age: 4.0
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Cellulitis, Injection site oedema, Injection site reaction
Clinical narrative: Possible cellulitis and swelling right upper arm. Keflex po given qid x 10 days
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot
Clinical narrative: On 02/27/2003, pt returned to office with erythematous warm area, measuring 11 cm wide and 14 cm long and on 02/28/2003, pt returned with 20cm long and 16 cm wide. Was given Rx for antibiotic and told to use Benadryl.
Age: 41.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Unevaluable event
Clinical narrative: Pt received injection on 02/19/2003. On 02/20/2003, pt returned back to out office for reaction to DTaP.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cellulitis, Injection site erythema
Clinical narrative: Erythema noted in ring around at Varicella site 05/02/2003 am. Pt seen at office 05/02/2003 and treated with Amoxicilin 250TID for 4 days. Improvement noted within 1 day. Physician DX cellulitis 05/02/2003
Age: 34.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Asthenia, Oedema, Pain
Clinical narrative: Apprx. 05/02/2003, client noted pain in left fingers, hand and wrist progressed to right fingers, hand and wrist and to both elbows. Also had weakness in both legs. Pain was very bad in left and right hands, fingers, wrists 05/04/2003. Has had some swelling of fingers both hands. taking Ibuprphen. has less pain today 05/05/2003 than yesterday.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Tenderness
Clinical narrative: Pt was given injection on 02/25/2003. Returned to clinic on 02/26/2003 with reaction to shot in left upper arm 10cm wide and 11 cm long. Erythematous, mildly tender to touch ad warm. Pt had fever so we covered him with an antibiotic. Reaction lasted 7 days.
Age: 0.8
Sex: F
Vaccine: HEP, PNC
Symptoms: Rash erythematous, Rash macular
Clinical narrative: She got a erythematous, macular rash over her thighs and trunk that spread over the next 24 hours to cover her face and eyelids. She had no fever and the rash was non-pruritic. It was more prominent in areas of friction under arms and inner thighs. Rash improved by 05/12. Treated with Benadryl.
Age: 23.0
Sex: F
Vaccine: SMALL
Symptoms: Infection transmission via personal contact, Rash, Vaccination complication
Clinical narrative: This patient is the spouse of a patient who received smallpox immunization. She presented with lesion on her right elbow. This lesion was sent for viral culture/PCR and came back positive for vaccinia. She was given dx of accidental inoculation with vaccinia virus.
Age: 49.0
Sex: F
Vaccine: SMALL
Symptoms: Confusional state, Dyspnoea, Headache, Nausea, Pain
Clinical narrative: 03/28/03 at 9AM:  Patient reported headaches, body aches, difficulty catching breath.  Symptoms worsened throughout the day with patient having severe headache not relieved by ibuprofen by 2pm.  At 1800 hours, patient reported to ER at work with complaint of headache , body aches, moments of confusion, dyspnea, extreme SOB, nausea without vomiting, blurred vision.  CT of head normal; LP - CSF clear, viral load high.  Patient treated with phenergan, toraDOL, demerol, albuterol.  Patient released from ER and recovered over weekend. Returned to work Monday, 03/31/03.
Age: 49.0
Sex: F
Vaccine: SMALL
Symptoms: Vision blurred
Clinical narrative: 03/28/03 at 9AM:  Patient reported headaches, body aches, difficulty catching breath.  Symptoms worsened throughout the day with patient having severe headache not relieved by ibuprofen by 2pm.  At 1800 hours, patient reported to ER at work with complaint of headache , body aches, moments of confusion, dyspnea, extreme SOB, nausea without vomiting, blurred vision.  CT of head normal; LP - CSF clear, viral load high.  Patient treated with phenergan, toraDOL, demerol, albuterol.  Patient released from ER and recovered over weekend. Returned to work Monday, 03/31/03.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Erectile dysfunction, Sexual inhibition
Clinical narrative: LOST SEX DRIVE THE DAY VACCINE WAS ADMINISTERED ON 9 MAY 03. UNABLE TO KEEP ERECTION OR GET AN ERECTION. WHICH IS STILL PERSISTENT AT THIS TIME.
Age: 15.0
Sex: M
Vaccine: HEP, TD
Symptoms: Dizziness, Injury, Pallor, Syncope
Clinical narrative: Received immunizations at 10:15 am. 10:20 am:  passed out and fell out of chair in waiting room -alert after about 10 seconds - recumbent B/P=130/72;P=72; alert and oriented x3, pale, diaphoretic.  10:30 am:  sitting B/P=120/80; P=84;; color pink.  10:35 am: sitting B/P=110/70;P=84; pink color. 10:40am: dizzy while sitting; recumbent B/P=120/74; P=72 - Mom gave soft drink and candy bar.  10:50 am: B/P=  102/78; P=72. 11:05am: B/P=102/70; P=74; pink in color;  alert and oriented x3;PEERLA; superficial abrasion of right cheek;  11:10am: discharged home with Mom.  To return to Private MD if problems or ER if needed.
Age: 42.0
Sex: F
Vaccine: HEPA, IPV, MEN, MMR, TTOX
Symptoms: Pruritus, Rash, Skin reaction
Clinical narrative: Skin Reaction - bumps, redness, itching on face, neck, trunk and arms.  Swollen, primarily upper body.  Reaction began 1 day after receiving vaccines. Given Decadron 8mg IM, followed by Medrol Dose pak and Benadryl 50mg qid.  Patient was being deployed 2 days after reaction began.
Age: 47.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site swelling
Clinical narrative: Vaccination of right deltoid developed swelling in and around immunization site within 2 hours.
Age: 53.0
Sex: F
Vaccine: SMALL
Symptoms: Body temperature increased, Fatigue, Pain
Clinical narrative: Within 72 hours of immunization developed fatigue and achiness. Generally appears in good health. Temp increased and slowly returned to normal in about 1 hour's time, with return to normal activity.
Age: 43.0
Sex: M
Vaccine: SMALL
Symptoms: Headache, Lymphadenopathy, Myalgia, Photosensitivity reaction
Clinical narrative: Vaccinee's account: "I received the vaccine on March 27, 2003.  On March 29-30, I had a slight headache, no fever.  March 31, slight myalgia, and lymphadenopathy.  After those symptoms resolved, I had no noticeable symptoms.  On April 5, I had a severe headache with photohypersensitivity.  I sought treatment at the ER,I was given several meds IV, none worked until they tried Demerol.  The ER physician did not think the headache was associated with the vaccine.  During the next few days I had several headaches of about the same severity.  I made an appointment with my regular physician, who also didn't think there was a relationship with the headaches and the vaccine, but felt it should be reported.  I've still been having the headaches, so I don't think they're vaccine related either, but probably coincidental with the vaccination."
Age: 50.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain
Clinical narrative: C/O Chest pain on 3/22 and 3/23, pain went through chest area and then went away.  Did this Approx. 3 times in 30 minute time period.  No other c/o voiced at that time.
Age: 46.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain
Clinical narrative: On 4/3/2003 c/o chest hurting and heavy feeling.  On 3/15/03 was very stressed due to home situation.  Layed down and symptoms went away.  No other problems since that time.
Age: 32.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain
Clinical narrative: 4/8/03 C/O CHEST PAIN STARTING ON 4/2/03, STATES SHOOTING PAIN DURING THE DAY TIMES 2-3 TIMES A DAY.  EASES AT NIGHT.  LAST PAIN WAS 4/6/03.  REFERRED TO PMD FOR F/U AND EVALUATION PER PHN.
Age: 55.0
Sex: M
Vaccine: SMALL
Symptoms: Cardiac arrest, Cardiomegaly, Cerebral ischaemia, Coma, Coronary artery disease
Clinical narrative: Found unresponsive in vehicle, CPR initiated within 5 min. Resuscitated from cardiac arrest in ER at Medical Center. Suffered anoxic brain injury. As inpt had ventricular tachycardia, ventricular fib. Post-mortem exam revealed 3-vessel coronary artery disease, left ventricular hypertrophy, cardiomegaly, but no myocarditis. Full records provided to Dr.
Age: 55.0
Sex: M
Vaccine: SMALL
Symptoms: Hypertrophy, Ventricular fibrillation, Ventricular tachycardia
Clinical narrative: Found unresponsive in vehicle, CPR initiated within 5 min. Resuscitated from cardiac arrest in ER at Medical Center. Suffered anoxic brain injury. As inpt had ventricular tachycardia, ventricular fib. Post-mortem exam revealed 3-vessel coronary artery disease, left ventricular hypertrophy, cardiomegaly, but no myocarditis. Full records provided to Dr.
Age: 43.0
Sex: M
Vaccine: ANTH, FLUX, HEP, MEN
Symptoms: Angioneurotic oedema, Erythema, Urticaria
Clinical narrative: PERIORBITAL ANGIOEDEMA, HIVES, GENERALIZED URTICARIA.  REQUIRED HOSPITALIZATION.  TREATED WITH PREDNISONE, ALLEGRA 180 AND BENADRYL.  AS OF 9 APRIL 2003 (18 DAYS AFTER VACCINATION), PATIENT STILL HAS A PATCH OF ELEVATED ERYTHEMA.
Age: 28.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Chest pain, Laboratory test abnormal
Clinical narrative: Chest pains (squeezing), pain traveling down left arm. First symptoms lasted 15-20 minutes (symptoms began 11 days after vaccination). 2nd incident lasted 20 minutes. Pateint stated he had frequent chest pains during hospital stay.
Age: 0.2
Sex: F
Vaccine: SMALL
Symptoms: Drug ineffective
Clinical narrative: Pt diagnosed with EBV and suspicious lesion removed which was benign - no relation to vaccine.
Age: 35.0
Sex: F
Vaccine: SMALL
Symptoms: Dizziness, Erythema, Folliculitis, Headache, Injection site erythema
Clinical narrative: C/O arm pain, erythema, swelling, and low grade fever.  Had N/V, dizziness, Headache over the weekend with temp. up to 101.   Foliculitis around outer erythematus area at injection site. Rx. for Keflex, Phenergan, and Pain med on Saturday.
Age: 35.0
Sex: F
Vaccine: SMALL
Symptoms: Nausea, Oedema, Pain, Pyrexia, Vomiting
Clinical narrative: C/O arm pain, erythema, swelling, and low grade fever.  Had N/V, dizziness, Headache over the weekend with temp. up to 101.   Foliculitis around outer erythematus area at injection site. Rx. for Keflex, Phenergan, and Pain med on Saturday.
Age: 35.0
Sex: M
Vaccine: SMALL
Symptoms: Diarrhoea, Erythema, Malaise, Pain, Rash
Clinical narrative: C/O rash on forehead and forearm sonce small erythematous bumps, some with white serous fluid on top. State he feels lousy, bodyaches.  Also, hx of diarrhea.
Age: 62.0
Sex: F
Vaccine: SMALL
Symptoms: Chest discomfort
Clinical narrative: Chest heaviness/ tightness during working hours of 12 noon-12 midnight.  No treatment that night.  No treatment.  Follow-up as necessary.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Dyspnoea, Hypoaesthesia, Pain
Clinical narrative: 4/13/03 While on ridinf lawn-mower developed shortness of breath and chest pain, sub-sternal stabbing and bil. arm numbness and tingling on both hands.  With rest it improved that evening.  Next day cont. chest discomfort and sorness sub-sternally, with pain also in axilla area of both arms.  Went to ER was given Notrin for discomfort.  EKG done with Right Bundle Branch Blick.  F/U with PMD advised.
Age: 47.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema, Paraesthesia, Skin burning sensation, Skin ulcer
Clinical narrative: Distinct one inch long linear erythematous lesion associated with prodromal burning and tingling sensation appeared under opsite dressing, one inch posterior to fully scabbed vaccination site on day 36. Minimal serous exudate seen on dressing on day 36, insufficient to test.  No lab testing performed.  Lesion healed in 48 hours.  Famcyclovir TID X 5 days starting day 36.
Age: 65.0
Sex: F
Vaccine: ANTH
Symptoms: Asthenia, Chest discomfort, Cough, Dizziness, Dyspnoea
Clinical narrative: Vaccine administered at approximately 9 am. By 9:15, experienced dizziness, lightheaded, weakness.  Cold compresses administered, rested laying down for about 45 minutes.  Began to experience wheezing, difficulty breathing, tightness in chest, coughing.  Was brought to Clinic at approximately 10:15 am and was seen by M.D.  Was administered oxygen, vital signs taken.  Was transported via ambulance to  Hospital at approximately 10:30am.  Was treated at the emergency room by MD.  Was treated with 2 Albuterol inhalation treatments and Prednisone, 40mg a day for 5 days.  Was released at 2:19 p.m.
Age: 65.0
Sex: F
Vaccine: ANTH
Symptoms: Wheezing
Clinical narrative: Vaccine administered at approximately 9 am. By 9:15, experienced dizziness, lightheaded, weakness.  Cold compresses administered, rested laying down for about 45 minutes.  Began to experience wheezing, difficulty breathing, tightness in chest, coughing.  Was brought to Clinic at approximately 10:15 am and was seen by M.D.  Was administered oxygen, vital signs taken.  Was transported via ambulance to  Hospital at approximately 10:30am.  Was treated at the emergency room by MD.  Was treated with 2 Albuterol inhalation treatments and Prednisone, 40mg a day for 5 days.  Was released at 2:19 p.m.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Injection site induration
Clinical narrative: Erythema and Induration measured 2 and 3/4 inches x 1 and 3/4 inches for 5 days. No joint involment. No activity impairment. Easily tolerated.
Age: 22.0
Sex: M
Vaccine: ANTH, HEP, HEPA, IPV, MMR, SMALL, TD, ANTH
Symptoms: Coma, Hypertrophy
Clinical narrative: Toxicology reports confirmed the presence of methadone, diazepam, and nordiazepam in the subject's blood.  On analysis, the blood level for methadone is considered to be within toxic range for individuals who are not on methadone maintenance therapy. Since methadone and benzodiazepines are considered to be depressant agents, the mechanism of death, in this case, may be due to toxic levels of methadone, but more likely represent a combined effect of all medications indicated.
Age: 22.0
Sex: M
Vaccine: ANTH, HEP, HEPA, IPV, MMR, SMALL, TD, ANTH
Symptoms: Cardio-respiratory arrest, Drug toxicity, Hypertrophy, Overdose
Clinical narrative: Toxicology reports confirmed the presence of methadone, diazepam, and nordiazepam in the subject's blood.  On analysis, the blood level for methadone is considered to be within toxic range for individuals who are not on methadone maintenance therapy. Since methadone and benzodiazepines are considered to be depressant agents, the mechanism of death, in this case, may be due to toxic levels of methadone, but more likely represent a combined effect of all medications indicated.
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Hypoaesthesia, Paraesthesia, Sedation, Sensation of heaviness
Clinical narrative: Numbness and tingling in left hand, right hand fingertips. Numbness/tingling in left foot (toes and sole). Also noticed heaviness, "dullness" in left arm.
Age: 24.0
Sex: F
Vaccine: MMR
Symptoms: Headache, Malaise, Urticaria
Clinical narrative: Received MMR vaccine 5/6/03 and developed generalized urticaria about 6-8 hours later with headache and malaise.
Age: 50.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Pain, Pruritus
Clinical narrative: Pt was given Diphtheria/Tetanus Adult intradermally instead of the tuberculin Mantoux intended. The area became reddened up to 8 cm with 1 cm area dark red and hard. Pt complains of stinging and itching.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Right anterior thigh swollen, red and painful, site of DTaP.
Age: 1.0
Sex: M
Vaccine: IPV, MMR
Symptoms: Pyrexia
Clinical narrative: 5/9/03 fever for 24 hours, no other symptoms, playful. 5/10/03 no fever, no symptoms.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever (105.3) documented at ER visit.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Screaming
Clinical narrative: Screaming, animal sounds awakening in the night after shots, then 2 nights later nothing.
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Fatigue, Headache
Clinical narrative: June 12, 2002 received Hep B vaccine  #2. Severe fatigue, dizziness, headache for 2 weeks after. Continued dizziness in episodes with fatigue since shot to present day.
Age: 1.08
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Gait disturbance, Pyrexia
Clinical narrative: Mom states that on 05/03/2003 child wouldn't stand on legs in the morning, but by noon on 05/03/2003 he resumed standing. Temp on 05/02/2003 night 99.5 degrees. 05/03/2003 night 103 degrees 05/04/2003 normal.
Age: 1.5
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Pyrexia, Rash maculo-papular
Clinical narrative: Mild fever for 2-3 days. Mild spots on stomach about 40.
Age: 63.0
Sex: M
Vaccine: DT
Symptoms: Chills, Myalgia, Pain, Pyrexia
Clinical narrative: Fever 100 degrees, myalgia, ache, chills. Tylenol
Age: 5.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Pruritus
Clinical narrative: Local reaction - significant local erythema over left deltoid and to the elbow, itchy
Age: 4.0
Sex: F
Vaccine: IPV
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Severe swelling, erythema, induration right deltoid to below elbow. Reaction to IPV
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth, Pruritus
Clinical narrative: Upper anterior surface of right thigh reddened area 4 1/2 x 4 1/2 in , warm to touch. Child denies pain but states "its" itchy.
Age: 1.4
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Pruritus
Clinical narrative: 05/12/2003. Broke out in rash. Was seen in office 05/13/2002. Had about 15 lesions . Was diagnosed as chicken pox. Itchy, no fever. Had various temp.
Age: 44.0
Sex: M
Vaccine: MEN, TD, TYP
Symptoms: Injection site erythema, Pruritus, Rash, Urticaria
Clinical narrative: Red rash with whelts - arms bilateral, itching. Began 22 hours after injection - began resolving 72 hours. Tx topical Benadryl cream during day, Benadryl 25 mg po - evening at home.
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Ocular hyperaemia, Oedema
Clinical narrative: Pt received Small Pox vaccine on 5/4/2003 c/o R eye redness, and swelling (denies pain). Denied receiving any other vaccines 5/4/2003 or 4 weeks prior.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR
Symptoms: Contusion, Platelet count decreased, Rash
Clinical narrative: My daughter received the MMR on March 29th, 2003.  About 7 days later she started bruising.  For the next several weeks it got worse.  Bruising to the head, face, back, and legs.  A rash developed, but the pediatrician was not to concerned.  Took her in to she the pediatrician on April 21, 2003 and she sent me to hospital to have her blood checked.  She had acute ITP.  She received treatment (WhinRho) and goes to see the hemotologist every 2 weeks to get a platelet count.
Age: 39.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Cardiovascular disorder, Deep vein thrombosis, Muscle spasms, Pulmonary embolism, Thrombosis
Clinical narrative: Deep-vein thrombosis of L lower extremity, leading to multiple pulmonary thromboemboli with near complete occlusion of L pulmonary artery. Dilated, tortuous deep veins of both lower extremities. Hypertensive atherosclerotic cardiovascular disease. Preliminary Autopsy Report: Cause of death: Pulmonary Thromboembolism due to DVT. Manner: Natural. Autopsy performed 10 Apr 03. Reports will be faxed.  News article, dated 7 Apr 03, asserts "Three days ago, patient had complained of cramps behind his knee. Like most of us journalists "embedded" in the military, he had endured days and nights of working, eating, and sleeping in our vehicles as convoys snaked their way around. He consulted military doctors and described his symptoms over the phone to overseas physicians. They suspected DVT, or deep veinous thrombosis, and advised him to seek proper medical attention. He ignored their advice, swallowed some aspirins, and kept on working."
Age: 39.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Atherosclerosis, Mesenteric vein thrombosis, Respiratory arrest, Thrombosis
Clinical narrative: Deep-vein thrombosis of L lower extremity, leading to multiple pulmonary thromboemboli with near complete occlusion of L pulmonary artery. Dilated, tortuous deep veins of both lower extremities. Hypertensive atherosclerotic cardiovascular disease. Preliminary Autopsy Report: Cause of death: Pulmonary Thromboembolism due to DVT. Manner: Natural. Autopsy performed 10 Apr 03. Reports will be faxed.  News article, dated 7 Apr 03, asserts "Three days ago, patient had complained of cramps behind his knee. Like most of us journalists "embedded" in the military, he had endured days and nights of working, eating, and sleeping in our vehicles as convoys snaked their way around. He consulted military doctors and described his symptoms over the phone to overseas physicians. They suspected DVT, or deep veinous thrombosis, and advised him to seek proper medical attention. He ignored their advice, swallowed some aspirins, and kept on working."
Age: 39.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Lung disorder, Pain, Thrombosis
Clinical narrative: Deep-vein thrombosis of L lower extremity, leading to multiple pulmonary thromboemboli with near complete occlusion of L pulmonary artery. Dilated, tortuous deep veins of both lower extremities. Hypertensive atherosclerotic cardiovascular disease. Preliminary Autopsy Report: Cause of death: Pulmonary Thromboembolism due to DVT. Manner: Natural. Autopsy performed 10 Apr 03. Reports will be faxed.  News article, dated 7 Apr 03, asserts "Three days ago, patient had complained of cramps behind his knee. Like most of us journalists "embedded" in the military, he had endured days and nights of working, eating, and sleeping in our vehicles as convoys snaked their way around. He consulted military doctors and described his symptoms over the phone to overseas physicians. They suspected DVT, or deep veinous thrombosis, and advised him to seek proper medical attention. He ignored their advice, swallowed some aspirins, and kept on working."
Age: 27.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Skin burning sensation
Clinical narrative: On day 6 after vaccination (4/29/03) developed pain in L Axillary area. Also with moderate to severe tape burn from adhesive. Cleared with non-use of tegaderm and corisone ointment. Day 9 c/o burning pain at site and tenderness and swelling in axilla. Temp 98.6. 1.75 inches or erythema at site. Seen by county medical director who recommends ice and 2400mg/day of ibuprofen Day 11-redness streaking from site to L axilla. Burning pain intense. Significant nodes L.axilla. Seen by medical director and prescribed Lortab 7.5 mg hydrocorton and ice. Day 12-burning pain at site not controlled by narcotics. Tenderness and pain in axilla pain scale 8-9 without meds, 1-2 with meds. Redness at site and axilla subsided, temp 98.2 Day 15-17 slight tenderness in L axilla, swelling almost gone, burning subsiding.
Age: 50.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site rash
Clinical narrative: pt recieved his smallpox vaccination in the right arm and it was covered with an occlusive dressing. Approx. 48 hours later he noticed a vaccinia lesion on his left arm that then progressed through the same stages as the vaccination site. He stated he had never removed the originally applied dressing at the time he discovered the lesion on the left arm
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Discomfort, Erythema, Oedema
Clinical narrative: 18 X 18 cm area of swelling and erythema on posterior arm  Given Kenalog 0.1% topical and Ibuprofen 800mg Q8 hours prn w/ food for discomfort
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Myocarditis, Pericarditis
Clinical narrative: Day # 10 after vaccination, he suffered acute myocardial injury. Dx'ed then as perimyocardis
Age: 57.0
Sex: F
Vaccine: SMALL
Symptoms: Encephalitis, Headache, Lethargy, Pyrexia, Rash
Clinical narrative: On 5/1/03: I developed fever, severe headache non-responsive to ASA, lethargy and rash on neck and thirst. Symptoms increased, went to local hospital, had CT brain and LP - DX viral encephalitis. Rash increased 5/11 and 5/12 - symptoms resolved by 5/9/03. Temp 101 (when I took it on 5/10/03)
Age: 1.3
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Irritability, Rash
Clinical narrative: Child had Varicella and DTaP on 3/27/03.  On 4/10/03 mother noticed a fine rash behind ears on neck and trunk.  Child was irritable and rash lasted 4-5 days.  No fever present with this episode.
Age: 32.0
Sex: F
Vaccine: SMALL
Symptoms: Cow pox, Rash erythematous
Clinical narrative: Generalized vaccinia, raised reddened lesions-not pustule @ this point
Age: 55.0
Sex: F
Vaccine: SMALL
Symptoms: Ageusia, Erythema, Headache, Lymphadenopathy, Pharyngitis
Clinical narrative: 3/17-21:  fever & headache 3/27-30:  fever, pharyngitis with lymphadenopathy, Rx with Zpak 4/10-ongoing:erythematous mouth & pharynx (lost taste buds) and rash on face & extremities.  Rx with Zpak (no resolution) then Rx with Rocephin, no change; referred 4/30 to ENT (Kawasaki-like mouth) back to PCP 5/2
Age: 55.0
Sex: F
Vaccine: SMALL
Symptoms: Pyrexia, Rash, Stomatitis
Clinical narrative: 3/17-21:  fever & headache 3/27-30:  fever, pharyngitis with lymphadenopathy, Rx with Zpak 4/10-ongoing:erythematous mouth & pharynx (lost taste buds) and rash on face & extremities.  Rx with Zpak (no resolution) then Rx with Rocephin, no change; referred 4/30 to ENT (Kawasaki-like mouth) back to PCP 5/2
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Apnoea, Skin discolouration, Sudden infant death syndrome
Clinical narrative: History of mother finding infant blue and not breathing on morning of 5/11/03.  Transported code 300 by EMS, resutation unsuccessful.  State Medical Examiner, autopsy pending.
Age: 1.0
Sex: M
Vaccine: MMR, PPV, VARCEL
Symptoms: Dermatitis bullous, Fatigue, Irritability, Pruritus, Pyrexia
Clinical narrative: A couple hours after recieving the varicella vaccine my son started breaking out with the chicken pox. He had a fever,got really tired and fussy.He is currently taking tylenol for the fever, benedryl to help relieve ichiness,and oatmeal baths to help dry out the rash.
Age: 6.0
Sex: M
Vaccine: HEPA
Symptoms: Dyspnoea, Wheezing
Clinical narrative: Began wheezing and "hard time breathing" on way home from office after vaccine (seen for healthy checkup with no cough or SOB).  Still was wheezing when seen in office the next day; Dr. Rx albuterol via nebulizer (had nebulizer at home from one previous wheezing episode when had bronchitis.  No fever, no cough at second office visit.
Age: 4.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Infection
Clinical narrative: Diagnosed Chickenpox 04/29/2003. Sibling with Shingles. Acyclovir.
Age: 47.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Cellulitis, Erythema, Lymphadenopathy, Myalgia, Post vaccination autoinoculation
Clinical narrative: 15-16 days post-vaccination developed a raised red, itchy bump on her neck.  Thought it was a spider bite.  Saw ID doctor informally on 05/11/03.  Lesion opened and drained the following day.  Also developed a lesion on the bridge of her nose with surrounding erythema and induration.  Also had cervical lymphadenopathy and myalgisa.  A hospitalist at clinic place her on Zithromax thinking it was a secondary cellulitis.  Pt also saw another ID physician on 05/12/03 who thought it could be autoinoculation.  No specimens were obtained to test for vaccinia or other viruses.  Patient had been cleaning vaccination site on her left arm with alcohol wipes to try to dry-up the vaccination site as she was planning on visiting her grandson who had eczema.  She also began to clean the lesions on her face and neck with alcohol wipes.  Pt went to see her stepfather who had emergency surgery.  She developed at least one more lesion on her chin.  Pt contacted me. I contacted and then the pt directing her to go to the nearest large hospital ED and have the treating ED physician contact the CDC.  Dr.  from CDC contacted me to tell me about the patient.  He will continue to follow her.  The officer at the hospital will be the contact at the treating hospital. Hospital advised by Dr. to send digital pictures to the CDC and to obtain material for vaccinia PCR.  Disposition of the patient from  Hospital ED is pending at this time but she is expected to be released today on the day of presentation.  I will follow-up with the patient.
Age: 47.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Rash erythematous
Clinical narrative: 15-16 days post-vaccination developed a raised red, itchy bump on her neck.  Thought it was a spider bite.  Saw ID doctor informally on 05/11/03.  Lesion opened and drained the following day.  Also developed a lesion on the bridge of her nose with surrounding erythema and induration.  Also had cervical lymphadenopathy and myalgisa.  A hospitalist at clinic place her on Zithromax thinking it was a secondary cellulitis.  Pt also saw another ID physician on 05/12/03 who thought it could be autoinoculation.  No specimens were obtained to test for vaccinia or other viruses.  Patient had been cleaning vaccination site on her left arm with alcohol wipes to try to dry-up the vaccination site as she was planning on visiting her grandson who had eczema.  She also began to clean the lesions on her face and neck with alcohol wipes.  Pt went to see her stepfather who had emergency surgery.  She developed at least one more lesion on her chin.  Pt contacted me. I contacted and then the pt directing her to go to the nearest large hospital ED and have the treating ED physician contact the CDC.  Dr.  from CDC contacted me to tell me about the patient.  He will continue to follow her.  The officer at the hospital will be the contact at the treating hospital. Hospital advised by Dr. to send digital pictures to the CDC and to obtain material for vaccinia PCR.  Disposition of the patient from  Hospital ED is pending at this time but she is expected to be released today on the day of presentation.  I will follow-up with the patient.
Age: 47.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Lymphadenopathy, Post vaccination autoinoculation, Skin ulcer, Vaccination complication
Clinical narrative: 15-16 days post-vaccination developed a raised red, itchy bump on her neck.  Thought it was a spider bite.  Saw ID doctor informally on 05/11/03.  Lesion opened and drained the following day.  Also developed a lesion on the bridge of her nose with surrounding erythema and induration.  Also had cervical lymphadenopathy and myalgisa.  A hospitalist at clinic place her on Zithromax thinking it was a secondary cellulitis.  Pt also saw another ID physician on 05/12/03 who thought it could be autoinoculation.  No specimens were obtained to test for vaccinia or other viruses.  Patient had been cleaning vaccination site on her left arm with alcohol wipes to try to dry-up the vaccination site as she was planning on visiting her grandson who had eczema.  She also began to clean the lesions on her face and neck with alcohol wipes.  Pt went to see her stepfather who had emergency surgery.  She developed at least one more lesion on her chin.  Pt contacted me. I contacted and then the pt directing her to go to the nearest large hospital ED and have the treating ED physician contact the CDC.  Dr.  from CDC contacted me to tell me about the patient.  He will continue to follow her.  The officer at the hospital will be the contact at the treating hospital. Hospital advised by Dr. to send digital pictures to the CDC and to obtain material for vaccinia PCR.  Disposition of the patient from  Hospital ED is pending at this time but she is expected to be released today on the day of presentation.  I will follow-up with the patient.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site reaction, Injection site warmth
Clinical narrative: Large localized rxn L upper arm-entire lateral upper arm indurated, red, hot to touch 24 hrs after immunizations.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Large localized rxn L upper arm-entire lateral upper arm indurated, red, hot to touch 24 hrs after immunizations.
Age: 5.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Cerebral ischaemia, Cough, Headache, Laboratory test abnormal, Nausea
Clinical narrative: Saw mom at pt's kindergarten screening 4/10/03. She informed RN pt had a cerebellar stroke 3/25/03 3-4 days before this, he had "slight viral symptoms"- runny nose, cough, "little fever" - never measured but stated probably not over 100 degrees. Mom picked pt up from babysitter's house 3/25/03 and pt had acute vertigo, nausea and vomiting, and complaints of headache. According to babysitter, this was sudden onset, he had ate and played fine all day. Mom brought pt straight to primary care physician's office. Mom and MD questioned acute labyrhinitis. The next afternoon 3/26/03, pt complained terrible headache and mom brought him to emergency dept. CAT scan and MRI done-transferred by ambulance to hospital. Stayed on a "safe and sound" floor until next morning 3/27/03, then seen by neurosurgeon and repeat MRI done-revealed cerebellar stroke. Transferred to ICU floor and medically managed there until Mar. 30 when transferred to regular medical floor until discharge-April 1, 2003. Never ruled out cause-? congenital circulatory problems of circle of willis, vasculitis/arteritis, viral, ? etc. It was an ischemic stroe, no hemorrhagic.
Age: 5.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rhinorrhoea, Vertigo, Viral infection, Vomiting
Clinical narrative: Saw mom at pt's kindergarten screening 4/10/03. She informed RN pt had a cerebellar stroke 3/25/03 3-4 days before this, he had "slight viral symptoms"- runny nose, cough, "little fever" - never measured but stated probably not over 100 degrees. Mom picked pt up from babysitter's house 3/25/03 and pt had acute vertigo, nausea and vomiting, and complaints of headache. According to babysitter, this was sudden onset, he had ate and played fine all day. Mom brought pt straight to primary care physician's office. Mom and MD questioned acute labyrhinitis. The next afternoon 3/26/03, pt complained terrible headache and mom brought him to emergency dept. CAT scan and MRI done-transferred by ambulance to hospital. Stayed on a "safe and sound" floor until next morning 3/27/03, then seen by neurosurgeon and repeat MRI done-revealed cerebellar stroke. Transferred to ICU floor and medically managed there until Mar. 30 when transferred to regular medical floor until discharge-April 1, 2003. Never ruled out cause-? congenital circulatory problems of circle of willis, vasculitis/arteritis, viral, ? etc. It was an ischemic stroe, no hemorrhagic.
Age: 18.0
Sex: F
Vaccine: TD
Symptoms: Hypersensitivity, Pruritus, Syncope, Urticaria
Clinical narrative: As reported to us per pt. Developed high itching at 5pm, "collapsed" to ER via ambulance-given IV Benadryl, home 9 hrs later. 5hrs post home back to ER-epi.+IV Benadryl-admitted for 1 day, d/c home. The hospital record received on 3/5/04 states collapsed, urticaria and allergic reaction.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Patient received 2 vaccines in her left thigh 5/1/03. Developed erythema 5/2; begun on Keflex. Erythema and swelling increased. Hospitalized for 48 hours; IV antibiotics. Resolved with residual. The follow up states cellulitis.