chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 6.0
Sex: M
Vaccine: DTAP, HEPA, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient came in for PPD check. Mother mentioned swelling with redness to bilateral deltoids.
Age: 1.5
Sex: M
Vaccine: HEPA
Symptoms: Crying, Pain, X-ray normal
Clinical narrative: Right leg problem started in afternoon of Friday (pm) 8/10/07 c/o pain with weight bearing. crying, no fever. Mono arthralgia - etiology unknown.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Local reaction, Oedema peripheral
Clinical narrative: Redness, swelling right arm - very pronounced local reaction
Sex: F
Vaccine: HEPA, PNC
Symptoms: Erythema
Clinical narrative: Red area right anterior thigh
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Feeling abnormal, Hypersensitivity, Injection site erythema, Nasopharyngitis, Pyrexia
Clinical narrative: Doctor office called to report child seem 1 day after Varicella vaccine received, s/s increase WBC, reddened area 2 x 2 at injection site. Mom states child not feeling right all the time, c/o fever, seen by doctor Friday, Saturday, Sunday, Monday. Received Keflex PO without results. Received Decadron and site cleared and now c/o runny nose, clear, cold like symptoms on day 5 and 6. Doctor x allergic/ adverse reaction to vaccine.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Rhinorrhoea, White blood cell count increased
Clinical narrative: Doctor office called to report child seem 1 day after Varicella vaccine received, s/s increase WBC, reddened area 2 x 2 at injection site. Mom states child not feeling right all the time, c/o fever, seen by doctor Friday, Saturday, Sunday, Monday. Received Keflex PO without results. Received Decadron and site cleared and now c/o runny nose, clear, cold like symptoms on day 5 and 6. Doctor x allergic/ adverse reaction to vaccine.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site rash, Pruritus, Rash
Clinical narrative: Parent c/o child having rash on day 9 following shots. Red raised circles nickel sized in a band around bilateral thighs where injection shots. C/O itching, lasted few days and disappeared with no left over signs.
Age: 1.4
Sex: F
Vaccine: HEPA, HIBV
Symptoms: Crying, Otitis media, Pyrexia
Clinical narrative: Had immunizations 8-7-07 started to develop a fever went to ER 8-8-07 temp 103, crying. Also mother stated baby was at a restaurant on Tuesday 8-7-07 syrup spills and went in right ear. ER Physician diagnosed patient with otitis media right - Amoxil. RTC 8-9-07 doing better continue Amoxil.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: DTaP #5 adm 073107. Telephone call from mom on 080207 reporting left upper arm swollen, hot to touch, et red. Instructed to use cold packs, et to call doctor 080207 pm - mom reports doctor started patient on prednisone, cold packs et Tylenol for age.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swollen, hard painful area at the injection site that is red noted by mother 3 days after vaccines given.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Large area approximately 10 cm on left leg with redness, warmth and swelling. Patient came in for doctor visit to check area. May be related to an arachnoid bite instead of vaccines most likely caused by site according to MD.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site discolouration, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Received 2nd varicella on 8/7/07. Within a few minutes of receiving the vaccine, vaccine site started swelling. Two nights after receiving the vaccine the injection site has started itching. Injection site is now really hot and the area is soft blue. Advised mother to have child arm evaluated by doctor today.
Age: 39.0
Sex: F
Vaccine: DTAP
Symptoms: Body temperature increased, Chills, Cough, Injection site erythema, Injection site pain
Clinical narrative: Patient developed pain, erythema and tenderness of r arm at site of vaccine injection. Patient also reported cough, temp of 100 F and chills.
Age: 39.0
Sex: F
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: Patient developed pain, erythema and tenderness of r arm at site of vaccine injection. Patient also reported cough, temp of 100 F and chills.
Age: 1.2
Sex: M
Vaccine: DTAP, MMR, OPV, VARCEL
Symptoms: Onychomadesis
Clinical narrative: Mother states all his toe nails fell off after chickenpox vaccine. This was within days. Also happened to daughter toe nails turned black and fell off.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC, VARCEL
Symptoms: Pyrexia, Skin warm, Swelling
Clinical narrative: Left arm 50 x 60mm (2 1/2" x 3") red, warm to touch. Noticed swelling today - fever 102 after Tylenol. Child able to play with sisters. Mom alternating Tylenol and Motrin. Used warm pack on arm. Used liquid Benadryl.
Age: 4.0
Sex: F
Vaccine: HEPA
Symptoms: Pyrexia, Wheezing
Clinical narrative: 6pm fever/wheezing motion, 9pm breathing tx with albuterol, 0230 to ER, SA02 93%, 101, chest x-ray, breathing tx, wheezing, saw doctor 02/24/07 was given Rodia-pred SAO2 in office 94%.
Age: 25.0
Sex: F
Vaccine: TD
Symptoms: Rash, Throat tightness
Clinical narrative: Client called and stated she was breaking out in a rash and felt her throat was feeding tight. Instructed to see family doctor.
Age: 15.0
Sex: M
Vaccine: HEP, HEPA, IPV, MMR, TD, VARCEL
Symptoms: Dyspnoea
Clinical narrative: Patient's mother in with client for next set of injections - states child had problem breathing after last visit. Had to go to ER treatment received. Doctor told her patient had received too many injections at one time.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Mom called - took child to patient to doctor and the doctor told her to call health department to report adverse reaction. Mom states child's right arm began to swell and get red after a bath about 20 hours after immunizations. Mom states it is the child's right arm - "the one with 2 vaccines." Our records indicate DTaP, IPV given on left arm. States it is swollen from shoulder to elbow doctor put her Cephalexin and told the mom it was an "allergic reaction". Mom is using ice pack, Tylenol, Ibuprofen. Denies fever or other s/s.
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Erythema
Clinical narrative: Ears got red - splotches noted on trunk
Age: 3.0
Sex: M
Vaccine: DTAPHEPBIP, HEPA, PNC
Symptoms: Injection site inflammation, Injection site swelling, Injection site warmth
Clinical narrative: 9/6/06 Patient's mom reported swollen arm and fever at site to health department at 12:00pm. States child is not complaining of pain at site states it is swollen from shoulder to elbow. Referred to PCP. Stated would bring to HD did not come doesn't answer phone. 9/7/06 Brought child to clinic right arm from shoulder to mid upper arm inflamed and swollen on Zithromax 100mg x 3 days.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Eyelid oedema, Swelling face
Clinical narrative: Patients mother called approximately 49 hours after immunizations and stated she noticed some swelling to eyelids and face about one hour after they left our office. Mom observed baby at home and denied any other problems. She did not feel reaction warranted follow up at this time.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia, Rash, Urticaria
Clinical narrative: Symptoms noticed at 630-700am on 6/27/06. Cheeks were red on lower cheek bone on left cheek, red whelps noticed. Gave child Motrin at 1030-1100pm. Fever went down but whelps cont. Rash is moving down from face to arms and trunk/chest area. No problems with respiratory process. Declined eating at times but having adequate wet diapers. Mother is BF but denies any diet change.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Rash
Clinical narrative: Patient received DTaP, HIB, IPV and PCV immunizations. Child had all of these before at 2 months without complications. Within 10 minutes of vaccination patient broke out in spotted rash from head to toe. Referred patient to PCP. Mom to notify HD of PCP evaluation.
Age: 5.0
Sex: M
Vaccine: DTAPHEPBIP, HEPA, MMR
Symptoms: Convulsion, Loss of consciousness
Clinical narrative: Father brought in for shots - then took back to school - had seizure and was unconscious about 40 minutes later - taken to ER. Father told me this today - came in for records to start school (7-14-06 400 pm)
Age: 3.0
Sex: F
Vaccine: DTAP, HEPA, PNC
Symptoms: Erythema
Clinical narrative: Mother states patient has red raised area the size of her palm on right arm.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Dyspnoea, Wheezing
Clinical narrative: Woke up at 230a wheezing, SOB, OTC cough med.
Age: 1.1
Sex: M
Vaccine: HEP, HIBV, MMR, VARCEL
Symptoms: Injection site urticaria
Clinical narrative: Within 2 minutes of injection left thigh developed 2cm wheal at site. No respiratory sxs. Treated patient with Zyrtec syrup. Patient left our office after approx 45 minutes - wheal almost completely resolved.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Skin lesion
Clinical narrative: Mom reports 1st lesions mon 1/16/06 pm few red bumps on neck extending to arms. Increase in # today.
Age: 3.0
Sex: M
Vaccine: DTAPH, MMR, VARCEL
Symptoms: Convulsion, Ear infection, Pyrexia
Clinical narrative: Mom called states patient has been having fever of 101 was taken to doctor 1-23-06 started on antibiotic for ear infection - last night fever of 101 and had a seizure was taken to hospital.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Induration, Oedema peripheral, Pain
Clinical narrative: Right arm red, hard, swollen. C/o pain with touch. ER 1/24/06. Doctor office 1/25/06 dx cellulitis given Keflex
Age: 54.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: States she woke up next day achy, with fever and swollen red arm at site where injection was given. Red sore area with streaks noted today.
Age: 4.0
Sex: M
Vaccine: IPV, MMR, PNC
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: When PCV vaccine was administered on 4-25-06 in RD IM, area immediately surrounding administration site became reddened. Within approx. 2 min later right arm with erythema and swelling right side of neck and face. Left arm with erythema quickly following. No resp problems, no pain. In 2 more min later erythema began to fade and it completely gone by 5 min following initial erythema episode.
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness and local tenderness swelling at the injection site
Age: 1.2
Sex: M
Vaccine: HEPA
Symptoms: Injection site rash, Rash
Clinical narrative: Mother reports red scattered rash occurring approximately 15-20 minutes after Hep A injection. Rash from site of injection up to left side of neck. No treatment. Call to PCP by mother no immediate action taken. Rash resolved about 2 hours later. No other s/s.
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Varicella
Clinical narrative: Approximately 14 days after receiving Varicella vaccine patient reports chicken pox outbreak on body.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Culture negative, Pyrexia, Salivary gland enlargement
Clinical narrative: Swollen salivary glands and fever 9 days after getting second MMR vaccine. Illness lasted 5-6 days.
Age: 1.3
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Skin warm
Clinical narrative: Reddened - 9 1/2 x 5 1/2cm, warm to touch.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site rash, Injection site swelling
Clinical narrative: Rash and swollen area to left arm vaccine site.
Age: 22.0
Sex: F
Vaccine: RAB
Symptoms: Rash papular, Rash vesicular
Clinical narrative: Papular vesicular rash left T5 T6 area - c/w zoster
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema
Clinical narrative: Red arm from shoulder to elbow, about 2" wide, not sore or itchy
Age: 60.0
Sex: F
Vaccine: PPV
Symptoms: Hypoaesthesia oral, Paraesthesia oral, Swelling
Clinical narrative: Approximately 48 after vaccine administered, patient felt numb and tingling and swelling right side of mouth. Vaccine pneumococcal, Merck and Co. S/S reviewed spontaneously 2 hour later. Lot 0486U. Benadryl 25mg with effect.
Age: 1.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Convulsion, Death, Pyrexia, Stevens-Johnson syndrome
Clinical narrative: Fever/seizure w/in 48 hours. Recurring fevers and seizures that required hospitalization. Died of TENS/Stevens Johnson Syndrome 3-2-05
Age: 56.0
Sex: M
Vaccine: HEP
Symptoms: Herpes zoster ophthalmic, Hypoaesthesia, Pain, Pruritus, Rash vesicular
Clinical narrative: This case was reported by a physician and described the occurrence of herpes zoster in a 56-year-old male subject who was vaccinated with Engerix B for prophylaxis. On 29 March 2007 the subject received 1st dose of Engerix B at 20 mcg in the left arm. On 22 April 2007, 24 days after vaccination with Engerix B, the subject developed herpes zoster over the right eye, up the forehead and to the scalp. Also reported was a herpetic rash, pain, itching, numbness and vision affected. The subject was prescribed an oral antiviral and eye drops with an antiviral and corticosteroid in it. The physician considered the events were disabling and clinically significant (or requiring intervention). At the time of reporting the only event that was resolved was the herpes zoster rash. The other events were unresolved. The physician considered the event of itching probably related to vaccination with Engerix B and all other events were considered to be possibly related.
Age: 56.0
Sex: M
Vaccine: HEP
Symptoms: Visual disturbance
Clinical narrative: This case was reported by a physician and described the occurrence of herpes zoster in a 56-year-old male subject who was vaccinated with Engerix B for prophylaxis. On 29 March 2007 the subject received 1st dose of Engerix B at 20 mcg in the left arm. On 22 April 2007, 24 days after vaccination with Engerix B, the subject developed herpes zoster over the right eye, up the forehead and to the scalp. Also reported was a herpetic rash, pain, itching, numbness and vision affected. The subject was prescribed an oral antiviral and eye drops with an antiviral and corticosteroid in it. The physician considered the events were disabling and clinically significant (or requiring intervention). At the time of reporting the only event that was resolved was the herpes zoster rash. The other events were unresolved. The physician considered the event of itching probably related to vaccination with Engerix B and all other events were considered to be possibly related.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Autopsy, Sudden infant death syndrome
Clinical narrative: Patient died 8/6/07 presumed SIDS, autopsy pending.  8/23/07 Received prelim autopsy report from coroner.  COD is pending.  Patient was 34 wk preemie twin.  Mother had been hospitalized x 1 mo prior to delivery for uterine rupture.  Patient was on home monitor.  Found lying on side co-sleeping w/twin in crib.  10/5/07 Reviewed autopsy report which states COD as SIDS with prone sleeping position; twin gestation & manner of death as natural.  Pathologic dx include: premature birth (34 wk), mild right ventricular dilatation and pulmonary edema.
Age: 35.0
Sex: M
Vaccine: SMALL
Symptoms: Rash pustular
Clinical narrative: Patient started to not wash bath towel daily at night about day #8 post vaccination.  On day #9, he started to get small pustules on his face.  This then spread to his neck, suprapubic area, and back of thighs.  By day #11 he also had lower lip mucoaal and back involvement.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Muscular weakness, Myelitis transverse, Paraesthesia
Clinical narrative: ved-Information has been received from a physician concerning a female who on 15-FEB-2007 was vaccinated IM with a 0.5 ml dose of Gardasil (lot # 653736/0868F). On 09-MAY-2007 the patient developed weakness and paresthesia of the upper and lower extremities. The patient was hospitalized from 09-MAY-2007 to 14-MAY-2007. The diagnosis was determined to be transverse myelitis. Details of the hospitalization and treatment were not available. The physician reported that the patient had required additional hospitalization but the details were not available. At the time of the report, the patient's transverse myelitis persisted. Additional information has been requested. 8/29/08-from CDC-19 y/o female who received the vaccine on 2/15/07, chart indicates she refused second dose because of symptoms after first dose (although not clear), on 5/17/07 she was admitted for leg weakness/numbness.  The working diagnosis was TM although occasional back spasms had them consider seizure disorder as well.  She experienced her nadir of no sensation to chest level and inability to walk.  At one point ONM was also considered though unclear.   After which she also developed seizure disorder. Final dx (thusfar): TM and MS*. She seemed to have improved in general.  10/3/08 Reviewed hospital medical records of 5/9-5/14/2007. FINAL DX: transverse myelitis w/left sided weakness (neuro suggested Devic's disease/neuromyelitis optica); back arching spasms; questionable seizure disorder Records reveal patient experienced left side weakness & paresthesias x 1 day.  Neuro consult done & exam abnormal.  Tx w/high dose steroids x 5 days w/o improvement.  Transferred to higher level of care.  10/15/08-records received for DOS 5/14-5/17/08-DC DX:transverse myelitis. One week of progressive left-sided weakness and numbness. Left sided weakness.
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Hypoaesthesia facial, Throat tightness
Clinical narrative: Information has been received from a registered nurse, concerning a 24 year old female patient, who on 22-MAY-2007 was vaccinated IM, with the first dose, 0.5ml, of Gardasil (Lot # 657621/0387U), and on 24-JUL-2007 was vaccinated IM, with the second dose, 0.5ml, of Gardasil (Lot # 658094/0524U). There was no concomitant medication. On 24-JUL-2007, about two hours after the vaccination, the patient experienced numbness in her left cheek and "slight tightening of her throat." She was instructed to take Benadryl, 50mg, and the symptoms resolved (duration not specified). The reporting nurse considered one or both of the events to be serious as an other important medical event, as intervention to prevent serious criteria was required. Additional information has been requested.
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Hypoaesthesia facial, Pain in extremity, Throat tightness
Clinical narrative: Information has been received from a registered nurse, concerning a 24 year old female patient, who on 22-MAY-2007 was vaccinated IM, with the first dose, 0.5ml, of Gardasil (Lot # 657621/0387U), and on 24-JUL-2007 was vaccinated IM, with the second dose, 0.5ml, of Gardasil (Lot # 658094/0524U). There was no concomitant medication. On 24-JUL-2007, about two hours after the vaccination, the patient experienced numbness in her left cheek and "slight tightening of her throat." She was instructed to take Benadryl, 50mg, and the symptoms resolved (duration not specified). The reporting nurse considered one or both of the events to be serious as an other important medical event, as intervention to prevent serious criteria was required. Additional information has been requested.
Age: 0.1
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abdominal pain, Abdominal pain upper, Crying, Feeding disorder of infancy or early childhood, Gastrooesophageal reflux disease
Clinical narrative: Information has been received from a physician concerning an 8 week old female with abdominal pain, crying and spitting up, suspected acid reflux and or/colic due to a belly ache who on 12-JUL-2007 was vaccinated with Rotateq PO first dose (LOT # 655685/1109F). Concomitant therapy included PREVNAR, PEDIARIX and HIB conj vaccine (unspecified carrier) (mfr. unknown). The physician reported that on 05-JUL-2007 the patient was seen because of concerns with feeding, spitting up crying, which was being treated with MYLACON which was not working. The patient was placed on therapy with ZANTAC for suspected acid reflux and or colic due to a "belly ache". The physician reported seeing the patient on 12-JUL-2007 at approximately 8 weeks of age and the patient was noted to be much better and AANTAC was helping alot". The patient received her two months vaccinations which included PREVNAR, PEDIARIX and Hib conj vaccine (unspecified carrier (mfr. unknown) administered that day. The patient was seen again on 01-AUG-2007 and was noted to be crying gagging and screaming intermittently. The symptoms appeared to improve when the baby was placed against the health care providers shoulder with belly against the shoulder. It was reported that the symptoms started to improve when a vibration pillow was used. The physician's examination noted normal bowel sounds, no diarrhea no fever, no vomiting. It was reported that ZANTAC was increased without improvement. The patient was to have an abdominal xray. Crying, gagging and screaming were considered to be a significant disability by the physician. Additional information has been requested.
Age: 0.1
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Infantile spitting up, Retching, Screaming
Clinical narrative: Information has been received from a physician concerning an 8 week old female with abdominal pain, crying and spitting up, suspected acid reflux and or/colic due to a belly ache who on 12-JUL-2007 was vaccinated with Rotateq PO first dose (LOT # 655685/1109F). Concomitant therapy included PREVNAR, PEDIARIX and HIB conj vaccine (unspecified carrier) (mfr. unknown). The physician reported that on 05-JUL-2007 the patient was seen because of concerns with feeding, spitting up crying, which was being treated with MYLACON which was not working. The patient was placed on therapy with ZANTAC for suspected acid reflux and or colic due to a "belly ache". The physician reported seeing the patient on 12-JUL-2007 at approximately 8 weeks of age and the patient was noted to be much better and AANTAC was helping alot". The patient received her two months vaccinations which included PREVNAR, PEDIARIX and Hib conj vaccine (unspecified carrier (mfr. unknown) administered that day. The patient was seen again on 01-AUG-2007 and was noted to be crying gagging and screaming intermittently. The symptoms appeared to improve when the baby was placed against the health care providers shoulder with belly against the shoulder. It was reported that the symptoms started to improve when a vibration pillow was used. The physician's examination noted normal bowel sounds, no diarrhea no fever, no vomiting. It was reported that ZANTAC was increased without improvement. The patient was to have an abdominal xray. Crying, gagging and screaming were considered to be a significant disability by the physician. Additional information has been requested.
Age: 17.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Chills, Fatigue, Pyrexia
Clinical narrative: Fever, chills, fatigue; pt taken to ER 8/5/07. Placed in ICU dept at hospital. Discharged 8/6/07. 9/10/07-records received DC DX:acute fever and rigors. abnormal liver function tests. acute leukopenia. C/O fever, nausea and vomiting ill since 8/1/07-Tired. Diarrhea. Dysuria. Temperature 105.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Adrenal disorder, Asthenia, Autoimmune disorder, Cyst, Dry eye
Clinical narrative: Previously physically fit and healthy patient experienced progressive autoimmune symptoms coincident with successive anthrax shots. First three shots from FAV034 administered on 08 Oct 98, 22 Oct 98, 05 Nov 98; followed by flaking/peeling skin on palms of hands and soles of feet, onset approximately two to three weeks after third shot. Has continued intermittently through 2007. Possibly unrelated: Followed EKC infection to left eye in December 98, stabbing pains, dryness, irritation, and persistent infiltrates on cornea. Treated with prednisone acetate drops for eight months, followed by fluorometholone for two years. Infiltrates reduced, symptoms of dryness, pain, eased by continuing through 2007, recurrences apparent with other autoimmune symptoms. Fourth shot lot FAV043 on 21Apr99, fifth shot FAV044 29 Nov 99. Sixth shot in series, lot 048B, given 06 Jun 00. 02 July 00, onset of burning on urination with discharge, 05 July 00 onset of severe joint swelling, leading to ER visit 07 Jul 00, discharge 08 Jul 00. No infection present. Diagnosed as Reiter's Syndrome. No history of infections associated with Reiters. Treated with sulphasalazine with some success. Symptoms recurring through 2007, to extent walking only possible with aid of crutches. General loss of energy and loss of adrenal function, onset 2001, persistent through 2007. Recurrent of painful urination Jan 2003, unresponsive to treatment, coincident with chronic epididymitis, and burning semen accompanied by skin inflammation after semen contact. Occasional hematospermia. Cyst development on site of pain on epididymis 2005. Multiple cyst development on skin 2003 to 2005. All symptoms persistent through 2007. Possibly unrelated: Tinnitus onset 2002, no associated hearing loss. Persistent 2007. 1/31/08-records received from reporter, Diagnosis of Reiter's Disease. Right knee swelling. Epidermal keratoconjunctivitis. Epididymitis.  Neck pain. Dysuria. Urethritis.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Dysuria, Epididymitis, Eye infection, Eye irritation, Eye pain
Clinical narrative: Previously physically fit and healthy patient experienced progressive autoimmune symptoms coincident with successive anthrax shots. First three shots from FAV034 administered on 08 Oct 98, 22 Oct 98, 05 Nov 98; followed by flaking/peeling skin on palms of hands and soles of feet, onset approximately two to three weeks after third shot. Has continued intermittently through 2007. Possibly unrelated: Followed EKC infection to left eye in December 98, stabbing pains, dryness, irritation, and persistent infiltrates on cornea. Treated with prednisone acetate drops for eight months, followed by fluorometholone for two years. Infiltrates reduced, symptoms of dryness, pain, eased by continuing through 2007, recurrences apparent with other autoimmune symptoms. Fourth shot lot FAV043 on 21Apr99, fifth shot FAV044 29 Nov 99. Sixth shot in series, lot 048B, given 06 Jun 00. 02 July 00, onset of burning on urination with discharge, 05 July 00 onset of severe joint swelling, leading to ER visit 07 Jul 00, discharge 08 Jul 00. No infection present. Diagnosed as Reiter's Syndrome. No history of infections associated with Reiters. Treated with sulphasalazine with some success. Symptoms recurring through 2007, to extent walking only possible with aid of crutches. General loss of energy and loss of adrenal function, onset 2001, persistent through 2007. Recurrent of painful urination Jan 2003, unresponsive to treatment, coincident with chronic epididymitis, and burning semen accompanied by skin inflammation after semen contact. Occasional hematospermia. Cyst development on site of pain on epididymis 2005. Multiple cyst development on skin 2003 to 2005. All symptoms persistent through 2007. Possibly unrelated: Tinnitus onset 2002, no associated hearing loss. Persistent 2007. 1/31/08-records received from reporter, Diagnosis of Reiter's Disease. Right knee swelling. Epidermal keratoconjunctivitis. Epididymitis.  Neck pain. Dysuria. Urethritis.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Gait disturbance, HLA marker study, Haematospermia, Joint swelling, Keratitis
Clinical narrative: Previously physically fit and healthy patient experienced progressive autoimmune symptoms coincident with successive anthrax shots. First three shots from FAV034 administered on 08 Oct 98, 22 Oct 98, 05 Nov 98; followed by flaking/peeling skin on palms of hands and soles of feet, onset approximately two to three weeks after third shot. Has continued intermittently through 2007. Possibly unrelated: Followed EKC infection to left eye in December 98, stabbing pains, dryness, irritation, and persistent infiltrates on cornea. Treated with prednisone acetate drops for eight months, followed by fluorometholone for two years. Infiltrates reduced, symptoms of dryness, pain, eased by continuing through 2007, recurrences apparent with other autoimmune symptoms. Fourth shot lot FAV043 on 21Apr99, fifth shot FAV044 29 Nov 99. Sixth shot in series, lot 048B, given 06 Jun 00. 02 July 00, onset of burning on urination with discharge, 05 July 00 onset of severe joint swelling, leading to ER visit 07 Jul 00, discharge 08 Jul 00. No infection present. Diagnosed as Reiter's Syndrome. No history of infections associated with Reiters. Treated with sulphasalazine with some success. Symptoms recurring through 2007, to extent walking only possible with aid of crutches. General loss of energy and loss of adrenal function, onset 2001, persistent through 2007. Recurrent of painful urination Jan 2003, unresponsive to treatment, coincident with chronic epididymitis, and burning semen accompanied by skin inflammation after semen contact. Occasional hematospermia. Cyst development on site of pain on epididymis 2005. Multiple cyst development on skin 2003 to 2005. All symptoms persistent through 2007. Possibly unrelated: Tinnitus onset 2002, no associated hearing loss. Persistent 2007. 1/31/08-records received from reporter, Diagnosis of Reiter's Disease. Right knee swelling. Epidermal keratoconjunctivitis. Epididymitis.  Neck pain. Dysuria. Urethritis.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Pain, Reiter's syndrome, Skin exfoliation, Tinnitus
Clinical narrative: Previously physically fit and healthy patient experienced progressive autoimmune symptoms coincident with successive anthrax shots. First three shots from FAV034 administered on 08 Oct 98, 22 Oct 98, 05 Nov 98; followed by flaking/peeling skin on palms of hands and soles of feet, onset approximately two to three weeks after third shot. Has continued intermittently through 2007. Possibly unrelated: Followed EKC infection to left eye in December 98, stabbing pains, dryness, irritation, and persistent infiltrates on cornea. Treated with prednisone acetate drops for eight months, followed by fluorometholone for two years. Infiltrates reduced, symptoms of dryness, pain, eased by continuing through 2007, recurrences apparent with other autoimmune symptoms. Fourth shot lot FAV043 on 21Apr99, fifth shot FAV044 29 Nov 99. Sixth shot in series, lot 048B, given 06 Jun 00. 02 July 00, onset of burning on urination with discharge, 05 July 00 onset of severe joint swelling, leading to ER visit 07 Jul 00, discharge 08 Jul 00. No infection present. Diagnosed as Reiter's Syndrome. No history of infections associated with Reiters. Treated with sulphasalazine with some success. Symptoms recurring through 2007, to extent walking only possible with aid of crutches. General loss of energy and loss of adrenal function, onset 2001, persistent through 2007. Recurrent of painful urination Jan 2003, unresponsive to treatment, coincident with chronic epididymitis, and burning semen accompanied by skin inflammation after semen contact. Occasional hematospermia. Cyst development on site of pain on epididymis 2005. Multiple cyst development on skin 2003 to 2005. All symptoms persistent through 2007. Possibly unrelated: Tinnitus onset 2002, no associated hearing loss. Persistent 2007. 1/31/08-records received from reporter, Diagnosis of Reiter's Disease. Right knee swelling. Epidermal keratoconjunctivitis. Epididymitis.  Neck pain. Dysuria. Urethritis.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Catheterisation cardiac, Chest X-ray, Chest pain, Chills, Computerised tomogram abnormal
Clinical narrative: 20 y/o male received primary SPV + AVA (2) 6/12/2007. Felt well before vaccinations. Had no atypical problems related to vaccine site; About a week later, 6/19/07, he noticed a slight headache associated with feeling 'feverish', chills, and fatigue. Two days after that, 6/21/07 (10 days post SPV), while sitting in truck, he noted his heart beating 'hard and fast' and had acute onset of midsternal chest chest pain, described as "like a screw-driver in my chest'. Pain intensity 9/10, intermittent in nature, with episodes lasting up to a minute, pain radiating into jaws, worse, with lying down or deep breathing, and slightly better with standing straight up. Pain present with activity or rest. Seen at ER - after labs, CXR, ECG, transferred to hospital. Hospitalized 6/23-6/28/2007. Fatigue, Malaise <60 Days: 06/19/2007. Fever:06/19/2007: subjective. Chills: 06/19/2007. Headache: 06/19/2007. Chest pain, sub-sternal: 06/21/2007 sharp, 9/10, worse lying, better standing, intermittent. Dyspnea: 06/21/2007. Palpitations: 06/21/2007 heart pounding hard and fast. 8/15/07-records received from receiving facility for DOS 6/23-6/28/07-DC DX: Persistent chest pain, Myocardial infarction ruled out. Admitted with chest pain. Substernal knife like soreness to touch, pleuritic and positional and constant. effusion Transferred to another facility for cardiac catheterization.  8/23/07-records received for DOS 08/08/07-6/12/07-received small pox vaccine. Admitted to hospital 6/21-6/28 for chest pain. Negative cardiac cath on 6/29. Small pox induced myocarditis. As of 8/8/07-continues to have chest pains that last approximately 3 mintues relieved with ibuprofen or mobic. Get SOB easily. Secondary problem: GERD. 1/1/10 - follow up - patient being followed by military cardiologist; he remains deployed;re-evaluate 6 months from event which will be dec-jan.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Dyspnoea, Echocardiogram normal, Electrocardiogram, Fatigue, Headache
Clinical narrative: 20 y/o male received primary SPV + AVA (2) 6/12/2007. Felt well before vaccinations. Had no atypical problems related to vaccine site; About a week later, 6/19/07, he noticed a slight headache associated with feeling 'feverish', chills, and fatigue. Two days after that, 6/21/07 (10 days post SPV), while sitting in truck, he noted his heart beating 'hard and fast' and had acute onset of midsternal chest chest pain, described as "like a screw-driver in my chest'. Pain intensity 9/10, intermittent in nature, with episodes lasting up to a minute, pain radiating into jaws, worse, with lying down or deep breathing, and slightly better with standing straight up. Pain present with activity or rest. Seen at ER - after labs, CXR, ECG, transferred to hospital. Hospitalized 6/23-6/28/2007. Fatigue, Malaise <60 Days: 06/19/2007. Fever:06/19/2007: subjective. Chills: 06/19/2007. Headache: 06/19/2007. Chest pain, sub-sternal: 06/21/2007 sharp, 9/10, worse lying, better standing, intermittent. Dyspnea: 06/21/2007. Palpitations: 06/21/2007 heart pounding hard and fast. 8/15/07-records received from receiving facility for DOS 6/23-6/28/07-DC DX: Persistent chest pain, Myocardial infarction ruled out. Admitted with chest pain. Substernal knife like soreness to touch, pleuritic and positional and constant. effusion Transferred to another facility for cardiac catheterization.  8/23/07-records received for DOS 08/08/07-6/12/07-received small pox vaccine. Admitted to hospital 6/21-6/28 for chest pain. Negative cardiac cath on 6/29. Small pox induced myocarditis. As of 8/8/07-continues to have chest pains that last approximately 3 mintues relieved with ibuprofen or mobic. Get SOB easily. Secondary problem: GERD. 1/1/10 - follow up - patient being followed by military cardiologist; he remains deployed;re-evaluate 6 months from event which will be dec-jan.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Heart rate increased, Malaise, Pain in jaw, Palpitations, Pleural effusion
Clinical narrative: 20 y/o male received primary SPV + AVA (2) 6/12/2007. Felt well before vaccinations. Had no atypical problems related to vaccine site; About a week later, 6/19/07, he noticed a slight headache associated with feeling 'feverish', chills, and fatigue. Two days after that, 6/21/07 (10 days post SPV), while sitting in truck, he noted his heart beating 'hard and fast' and had acute onset of midsternal chest chest pain, described as "like a screw-driver in my chest'. Pain intensity 9/10, intermittent in nature, with episodes lasting up to a minute, pain radiating into jaws, worse, with lying down or deep breathing, and slightly better with standing straight up. Pain present with activity or rest. Seen at ER - after labs, CXR, ECG, transferred to hospital. Hospitalized 6/23-6/28/2007. Fatigue, Malaise <60 Days: 06/19/2007. Fever:06/19/2007: subjective. Chills: 06/19/2007. Headache: 06/19/2007. Chest pain, sub-sternal: 06/21/2007 sharp, 9/10, worse lying, better standing, intermittent. Dyspnea: 06/21/2007. Palpitations: 06/21/2007 heart pounding hard and fast. 8/15/07-records received from receiving facility for DOS 6/23-6/28/07-DC DX: Persistent chest pain, Myocardial infarction ruled out. Admitted with chest pain. Substernal knife like soreness to touch, pleuritic and positional and constant. effusion Transferred to another facility for cardiac catheterization.  8/23/07-records received for DOS 08/08/07-6/12/07-received small pox vaccine. Admitted to hospital 6/21-6/28 for chest pain. Negative cardiac cath on 6/29. Small pox induced myocarditis. As of 8/8/07-continues to have chest pains that last approximately 3 mintues relieved with ibuprofen or mobic. Get SOB easily. Secondary problem: GERD. 1/1/10 - follow up - patient being followed by military cardiologist; he remains deployed;re-evaluate 6 months from event which will be dec-jan.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Pyrexia, Troponin I increased
Clinical narrative: 20 y/o male received primary SPV + AVA (2) 6/12/2007. Felt well before vaccinations. Had no atypical problems related to vaccine site; About a week later, 6/19/07, he noticed a slight headache associated with feeling 'feverish', chills, and fatigue. Two days after that, 6/21/07 (10 days post SPV), while sitting in truck, he noted his heart beating 'hard and fast' and had acute onset of midsternal chest chest pain, described as "like a screw-driver in my chest'. Pain intensity 9/10, intermittent in nature, with episodes lasting up to a minute, pain radiating into jaws, worse, with lying down or deep breathing, and slightly better with standing straight up. Pain present with activity or rest. Seen at ER - after labs, CXR, ECG, transferred to hospital. Hospitalized 6/23-6/28/2007. Fatigue, Malaise <60 Days: 06/19/2007. Fever:06/19/2007: subjective. Chills: 06/19/2007. Headache: 06/19/2007. Chest pain, sub-sternal: 06/21/2007 sharp, 9/10, worse lying, better standing, intermittent. Dyspnea: 06/21/2007. Palpitations: 06/21/2007 heart pounding hard and fast. 8/15/07-records received from receiving facility for DOS 6/23-6/28/07-DC DX: Persistent chest pain, Myocardial infarction ruled out. Admitted with chest pain. Substernal knife like soreness to touch, pleuritic and positional and constant. effusion Transferred to another facility for cardiac catheterization.  8/23/07-records received for DOS 08/08/07-6/12/07-received small pox vaccine. Admitted to hospital 6/21-6/28 for chest pain. Negative cardiac cath on 6/29. Small pox induced myocarditis. As of 8/8/07-continues to have chest pains that last approximately 3 mintues relieved with ibuprofen or mobic. Get SOB easily. Secondary problem: GERD. 1/1/10 - follow up - patient being followed by military cardiologist; he remains deployed;re-evaluate 6 months from event which will be dec-jan.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Gastrooesophageal reflux disease, Infantile apnoeic attack, Sleep apnoea syndrome, pH body fluid
Clinical narrative: Apneic episodes starting 12/2/6  --> admitted to medical center but transferred to another Hospital ---> diagnosed with GERD and central apnea.  08/27/2007 MR received for DOS 12/06-12/2006 for an admitting DX of Apnea, Bradycardia, probable Reflux after being transfered from another facility following several episodes apnea with desaturations.  In the ER infant had several episodes of apnea >20seconds with hypoxia  and bradycardia. Infant had resolution of symptoms on Prevacid and Reglan.  Placed on home apnea monitor after D/C. D/C DX:  Gastroesphageal Reflux Disease.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Barium enema, Intussusception, Surgery, X-ray
Clinical narrative: Intussusception.  8/21/2007 Vax record received and reviewed.  Initial hospital record also rec'd. Infant presented for c/o 1 week hx of intermittent vomiting and abdominal pain.  Initially seen 7/13 & 7/14 for same.  DXd with viral illness/gastroenteritis. Admitted for further w/u.  PE (+) for hypoactive BS, tenderness to palpation.  BE (+) for IS.  Unable to reduce x3.  Transfered to another facility for surgical reduction of intussusception.
Age: 39.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Dysphagia, Dyspnoea, Oxygen supplementation, Urticaria
Clinical narrative: C/O hives approximately 17 minutes after injection. Progressed to difficult breathing and difficult swallowing. EMS summoned, Epi pen used, O2, Benadryl.  10/22/2007 MR received for ER visit 8/8/2007 for DX allergic Reaction-drug. Within 15 of receiving Hep B vax pt had SOB, trouble swallowing, and swelling of arm.  Similar reaction to bee stings.  Pt used own epipen and was given po Benadryl.  Transported by EMS to ER.  Still feeling lump in throat and SOB upon arrival to ER.  PE (+) for distress and tachypnea.  Txd with solumedrol with improvement and short steroid burst with ranitidine for home.  Weaned to RA and d/cd home.
Age: 39.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Anaphylactic reaction, Dysphagia, Dyspnoea, Pruritus, Pyrexia
Clinical narrative: C/O hives approximately 17 minutes after injection. Progressed to difficult breathing and difficult swallowing. EMS summoned, Epi pen used, O2, Benadryl.  10/22/2007 MR received for ER visit 8/8/2007 for DX allergic Reaction-drug. Within 15 of receiving Hep B vax pt had SOB, trouble swallowing, and swelling of arm.  Similar reaction to bee stings.  Pt used own epipen and was given po Benadryl.  Transported by EMS to ER.  Still feeling lump in throat and SOB upon arrival to ER.  PE (+) for distress and tachypnea.  Txd with solumedrol with improvement and short steroid burst with ranitidine for home.  Weaned to RA and d/cd home.
Age: 39.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Urticaria
Clinical narrative: C/O hives approximately 17 minutes after injection. Progressed to difficult breathing and difficult swallowing. EMS summoned, Epi pen used, O2, Benadryl.  10/22/2007 MR received for ER visit 8/8/2007 for DX allergic Reaction-drug. Within 15 of receiving Hep B vax pt had SOB, trouble swallowing, and swelling of arm.  Similar reaction to bee stings.  Pt used own epipen and was given po Benadryl.  Transported by EMS to ER.  Still feeling lump in throat and SOB upon arrival to ER.  PE (+) for distress and tachypnea.  Txd with solumedrol with improvement and short steroid burst with ranitidine for home.  Weaned to RA and d/cd home.
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Hyperaesthesia, Pain, Pruritus, Skin warm
Clinical narrative: Left deltoid area of erythema 30mmx90mm warm, painful to touch, itchy around area. Benadryl. 3rd day placed on Zyrtec, Benadryl and Augmentin.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Induration, Swelling
Clinical narrative: Red, swollen - left thigh at 24 hours. 4 cm diam redness, 6 cm diam induration/swelling.
Age: 28.0
Sex: F
Vaccine: TD
Symptoms: Dizziness, Nausea, Peripheral coldness, Vomiting
Clinical narrative: Approximately 10 minutes after receiving a Tetanus injection , patient began to experience cold sensation in her abdomen, dizziness, nausea and vomiting. Patient received supportive care, to include fluid challenge, vital sign observation.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Haematoma, Injection site haemorrhage, Injection site pain, Subcutaneous nodule, Vaccine positive rechallenge
Clinical narrative: Tenderness to site lt arm 7x4cm ecchymosis superficial, 2.5x2.5cm subcutaneous nodule ? hematoma - no cellulitis. Office appt 8-14-07 for above.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Chest X-ray, Pyrexia
Clinical narrative: Fever 103.8 max. Went to ER, LD, CXR normal
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Chest X-ray normal, Pyrexia
Clinical narrative: Fever 102 max, went to hospital, CXR normal
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Affect lability, Lethargy, Pain, Pyrexia
Clinical narrative: 8 hours after administration patient complained of "severe" total body aches and lethargy, fever "over 102" and "uncontrollable emotional lability". Pt self administered Tylenol. Symptoms resolved completely by 8/11/07.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Lethargy, Oral intake reduced, Somnolence
Clinical narrative: Following vaccines the infant was reported to be "lethargic" - sleeping and "crying hysterically" when aroused. Refused  PO x 24 hours. Sent to ER.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Anxiety, Aphthous stomatitis, Crying, Feeling abnormal, Headache
Clinical narrative: 8-13-07 Comes in with a 4 day history of a fever up to 101. Had a Menactra vaccine 4 days previous. Mom states that that night started to have a headache. Felt that his arm was sore and also had a fever up to 101. She has been giving him Ibuprofen over the weekend which seems to take care of the fever and the arm soreness. Has complained of a little bit of hand numbness in both of his hands over the weekend as well. With Advil the symptoms wear off and then they come back. Has had no difficulties breathing. There has been no leg weakness. Does state that he has a little bit of a sore throat this morning. Went ahead and went to school today as it was the first day. Mom states that he started feeling bad around 6th period again. Temp. is 101.1. PE: HEENT: NC/AT; PEERL; TM's clear bilaterally; nares patent bilaterally; oropharynx is mildly erythematous. He does have a canker sore under his bottom lip. Neck: Supple without LAD. CV: RRR, no murmurs appreciated. Lungs: CTAB, no wheezes, rhonchi or crackles. Abd: soft, NT/ND; BS present; no HSM. Generally this is a very anxious child, crying here in the office about feeling poorly. Rapid strep screen is negative. A: Viral syndrome, possible vaccine reaction. We will go ahead and report this to the VAERS efforts as mom is pretty convinced that that is why this was occurring. I do want them to return in the next couple of days if he is not better. They can go ahead and give him some Ibuprofen. Encourage them to not go to school while he has a fever. Mom will call with questions or concerns.