chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 46.0
Sex: F
Vaccine: RAB
Symptoms: Dyspnoea, Injury, Skin ulcer, Throat tightness, Urticaria
Clinical narrative: A 46 year old female patient experienced an allergic reaction with associated symptoms of shortness of breath, an urticarial lesion and the sensation that her throat was closing, after receiving post exposure treatment with RabAvert following questionable exposure to a bat. The patient reported to a bat on 07/29/04 but it reportedly disintegrated before the brain could be studied. On 09/17/2004 she was started on post exposure therapy (PET) and received the first dose of RabAvert 1ml intramuscularly along with Rabies Immune Globulin. Approximately 10 minutes after receiving the first injection she complained of a slight sensation of shortness of breath (SOB) developed on urticarial lesion on her left shoulder, and the sensation that her throat was closing. She was driven to the local Emergency Room(ER) where thy physician administered Benadryl, Pepcid, and Prednisone. She was placed on Prednisone 60mg daily. The events resolved that same evening and she contacted her private physician who advised continuing the RabAvert series, However, due to the questionable bat exposure and the reaction following the first treatment, she will not receive continued treatment.
Sex: F
Vaccine: RAB
Symptoms: Chills
Clinical narrative: A female patient (age unspecified), experienced chills after her third dose of RabAvert following exposure to a rabid cat. The patient was exposed to a rabid cat(date unspecified). Eight hours after her third injection of RabAvert she developed chills. She wrapped up in blankets and went to bed. Within 7-8 hours, the chills completely resolved. No other symptoms were associated with the chills. The reporter assessed the event as possibly associated with the RabAvert. Follow up information Received on 09/27/2004: The patient reported another episode of chills following RabAvert dose number 4 received on 09/04/2004 (lot number335011 exp. Jan 2007) On 09/24/2004, approximately twelve hours after receiving the RabAvert injection, the patient developed chills which lasted four to six hours. Follow up information Received 10/11/2004: The subject received the first two RabAvert injections(lot# unspecified) and the following two RabAvert injections from lot# 335011 with an expiration of January 2007. The fifth rabies vaccine was Imovax HDCV and she did not experience a reaction to that vaccine. Follow up information Received: 10/19/2004, The subject received the first two doses of an unspecified rabies vaccine(lot number unknown) the third and fourth doses of the vaccine series with RabAvert and the fifth dose was Imovax(Aventis Pasteur). p
Age: 23.0
Sex: F
Vaccine: RAB
Symptoms: Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: A 23 year old female patient experienced flu like symptoms that included fever, chills, muscle aches, headaches, and fatigue while being treated with RabAvert prophylactically for travel to a high risk area. RabAvert was administered on 09/07/2004 and 09/14/2004. Past medical history was unspecified. Concomitant medications included a yellow fever vaccine and a polio vaccine. The patient experienced a fever lasting one day, chills, muscle aches, and a headache an unspecified time period following the first RabAvert vaccine on 09/07/2004. Yellow Fever and Polio vaccines were also administered on 09/07/2004. Reportedly,  some time following the second RabAvert vaccine on 09/14/2004 she experienced fever, chills, fatigue, headache, and body aches which necessitated her going to bed for 36 hours. The nurse did not administer the third dose of RabAvert due on 09/28/2004. The patient had completey recovered at the time of the report.
Age: 60.0
Sex: F
Vaccine: RAB
Symptoms: Injection site pain, Paraesthesia, Similar reaction on previous exposure to drug, Vertigo
Clinical narrative: A 60 year old female experienced transient vertigo and soreness in her arms after receiving her first and second doses of RabAvert and experienced tingling after her third dose. The pt received RabAvert for pre-exposure prophylaxis on 11May04, 18Mary04 and 18Jun04. The pt's medical history included fibromyalgia. Concomitant medication included Norvasc, Advair Diskus, Atenolol, HCTZ/Triam, Neurotin, ASA and Vitamins, which have not been changed in the last 2 years. Approx 9 to 10 days after her third dose the pt experienced tingling in her hands and feet. The tingling was continuous and over the next 5-7 days progressed to her left shoulder, right elbow and both calves. The sensation worsened to the point of waking her up at night. Around July 10th-15th her symptoms improved in her feet and legs and subsequently resolved. Although the tingling in her right arm resolved, the tingling in her left arm continued just above the elbow, especially when she moved or lifted objects.
Sex: F
Vaccine: RAB
Symptoms: Arthralgia, Fatigue, Injection site pain, Myalgia, Nausea
Clinical narrative: A female pt (age unspecified) experienced muscle pain, nausea, pain in the legs, tiredness, and injection site pain after receiving her second dose of RabAvert for post exposure treatment (exposure remained unspecified). RabAvert was received IM in 1ml doses on 08Oct04, 11Oct04 and 14Oct04. Medical history included hep C. Concomitant medication included human rabies immune globulin (HRIG), one injection in each buttock on 08Oct04. On 13Oct04 (two days after receiving her second RabAvert injection), the pt experienced muscle pain, nausea, pain in the legs, tiredness and a sore arm where the injection was received. No further details were available.
Age: 40.0
Sex: M
Vaccine: RAB
Symptoms: Dizziness
Clinical narrative: A 40 year old male pt who was bitten by a bat experienced dizziness after his third dose of RabAvert for post exposure treatment. The pt completed all five doses of RabAvert (dates unspecified). Medical history and concomitant medications were not reported. Following the third dose of RabAvert the pt complained of dizziness without other associated symptoms. At the time of the fifth dose the pt reported that the dizziness had persisted with the same intensity as when it first started but had not increased. Follow up received 19Nov04: The pt an approx 40 year old male, was initially treated at an alternate facility and received the first dose of RabAvert on 19Sep04. The subsequent four doses in the RabAvert series were on 22Sep04, 27Sep04, 04Oct04 and 18Oct04. He had not past medical history including no prior history of vertigo. The pt began the RabAvert series and developed several episodes of vertigo, described as the room spinning when he was lying down. The events resolved two days after his last injection of RabAvert.
Age: 39.0
Sex: M
Vaccine: RAB
Symptoms: Fatigue, Malaise, Myalgia, Pyrexia
Clinical narrative: A 39 year old male pt experienced fever, fatigue, malaise and body aches after receiving post exposure treatment with RabAvert. The pt's past medical history included hypertension and back pain. Concomitant medication included tramadol, Hytrin, clonidine, Klonopin, Trazodone, and Protonix. The pt received RabAvert 1ml IM on 25Jun04 and the last dose of the series on 09Jul04 (day 14). Body ache, fever, fatigue, and malaise began after his first dose and have continued through the course of treatment on day 14. Follow up received 20Jul04: Tylenol was used for treatment of symptoms. The reporter stated it was unk if the events had resolved.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: "Painful" arm. Denies redness, swelling.  Has tried warm/cold compresses-no help.
Age: 1.03
Sex: F
Vaccine: HIBV, PNC, VARCEL
Symptoms: Blister, Pyrexia, Rash
Clinical narrative: Chickenpox shot was given on 1/12/05.  She also received the HIB and PCV vaccine on this same day.  All were given in her legs. On the evening 1/21/05 I found a red bump on the back of my daughters neck.  When she woke up on 1/22/05, she had 2 more bumps, one on the front of her neck and one on her stomach but no temp. at this time.  I called the Dr. office and they paged a nurse to call me.  She felt it probably was not chickenpox because they had no blisters and suggested it may be contact dermatitis.  Around noon on 1/22/05, she started running a temp. ranging from 101 to 102 and the bump on the front of her neck began to get a small blister in the middle of it.  I began giving her tylenol for the fever.  Her temp remained around 101 to 102 the remainder of the day and throughout the night.  On 1/23/05, she still had a fever and it went up to 104.5 around 10 am at which point I called the Dr. office again and a nurse called back and then had a nurse practioner call me.  She said even if this was chickenpox the fever usually doesn't run that high and suggested that I take her to the ER or to the clinic.  I took my daughter to the clinic on 1/23/05 and her temp. was 103.5 at the Dr. office and was diagnosed with a mild case of chickenpox from receiveing the chickenpox vaccine.  She continued to run a temp. the rest of the day around 101 to 102 going up to 103.5 around 1:30 am on 1/24/05.  The fever finally broke about 4:30 am on 1/24/05 and she has not had a fever since.
Age: 25.0
Sex: F
Vaccine: MMR, PPV
Symptoms: Cellulitis, Erythema, Injection site hypersensitivity, Injection site swelling, Injection site warmth
Clinical narrative: Pneumo vaccine was given subcutaneously in left deltoid area and MMR was given subcutaneously in right deltoid area at noon, 1/21/05. Left deltoid area was very tender when she woke up on 1/22/05 and she found that area to be hot to touch, swollen with a red streak extending from injection site to unarm. She was seen in ED at 0800 on 1/22/2005. Doctor diagnosed left deltoid as reaction to pneumo vaccine with cellulitis at sit of injection. She was prescribed Prednisone 10 mg tabs to be taken in decreasing am'ts over 4 days; Hydrocodone/APAP 5/500 PRN pain; and Levaquin 500 mg tabs one a day for 6 days.
Age: 25.0
Sex: F
Vaccine: MMR, PPV
Symptoms: Skin striae
Clinical narrative: Pneumo vaccine was given subcutaneously in left deltoid area and MMR was given subcutaneously in right deltoid area at noon, 1/21/05. Left deltoid area was very tender when she woke up on 1/22/05 and she found that area to be hot to touch, swollen with a red streak extending from injection site to unarm. She was seen in ED at 0800 on 1/22/2005. Doctor diagnosed left deltoid as reaction to pneumo vaccine with cellulitis at sit of injection. She was prescribed Prednisone 10 mg tabs to be taken in decreasing am'ts over 4 days; Hydrocodone/APAP 5/500 PRN pain; and Levaquin 500 mg tabs one a day for 6 days.
Age: 1.27
Sex: M
Vaccine: FLU3, MMR, PNC
Symptoms: Apnoea, Candidiasis, Convulsion, Dehydration, Flushing
Clinical narrative: On 1/22/05, the patient suffered a witnessed, 45 minute seizure.  At medical center, he was found to have temperature 101.7, in status epilepticus.  He was treated with valium and phenobarbital.  He was intubated and transferred to another medical center.  LP and head CT were negative. Discharge summary states dehydration, thrush, hypoxia. msv Information received from medical records states apnea, vomiting, flushed as symptoms.msv
Age: 1.27
Sex: M
Vaccine: FLU3, MMR, PNC
Symptoms: Hypoxia, Laboratory test abnormal, Pyrexia, Status epilepticus, Vomiting
Clinical narrative: On 1/22/05, the patient suffered a witnessed, 45 minute seizure.  At medical center, he was found to have temperature 101.7, in status epilepticus.  He was treated with valium and phenobarbital.  He was intubated and transferred to another medical center.  LP and head CT were negative. Discharge summary states dehydration, thrush, hypoxia. msv Information received from medical records states apnea, vomiting, flushed as symptoms.msv
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Injection site pain, Neck pain, Nerve compression, Pain
Clinical narrative: Soreness at injection site 4 hours after shot given.  Moderate to severe pain in right arm with intermittant numbness and tingling to fingers right hand x 3 wks.  Also complain of pain right leg.  MD to rule out possible Guillain-Barre. Refer to neurologist who suspects pinched nerve. Information from medical records states cervical radiculopathy.msv
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia
Clinical narrative: Soreness at injection site 4 hours after shot given.  Moderate to severe pain in right arm with intermittant numbness and tingling to fingers right hand x 3 wks.  Also complain of pain right leg.  MD to rule out possible Guillain-Barre. Refer to neurologist who suspects pinched nerve. Information from medical records states cervical radiculopathy.msv
Age: 17.0
Sex: M
Vaccine: FLUX
Symptoms: Abdominal pain, Atrial fibrillation, Chest pain, Diarrhoea, Dizziness
Clinical narrative: 1.FEVER AND ABDOMINAL PAIN WITHIN 18 HOURS- MOTRIN, CHARCOAL CAPSULE 2.PAIN FROM RIGHT SHOULDER TO ELBOW AND ARMPIT AND BACK RADIATING FROM CHEST WITHIN 24 HOURS 3.WHEEZING, LIGHT HEADEDNESS, NAUSEA, LOOSE BOWELS WITHIN 24 HOURS- ALBUTEROL INHALER, REST 4. CHEST PAIN, IRREGULAR HEARTBEAT, ATRIAL FIBRILLATION-WITHIN 48 HOURS- WENT TO ER- TOLD TO REST
Age: 17.0
Sex: M
Vaccine: FLUX
Symptoms: Heart rate irregular, Nausea, Pyrexia, Shoulder pain, Wheezing
Clinical narrative: 1.FEVER AND ABDOMINAL PAIN WITHIN 18 HOURS- MOTRIN, CHARCOAL CAPSULE 2.PAIN FROM RIGHT SHOULDER TO ELBOW AND ARMPIT AND BACK RADIATING FROM CHEST WITHIN 24 HOURS 3.WHEEZING, LIGHT HEADEDNESS, NAUSEA, LOOSE BOWELS WITHIN 24 HOURS- ALBUTEROL INHALER, REST 4. CHEST PAIN, IRREGULAR HEARTBEAT, ATRIAL FIBRILLATION-WITHIN 48 HOURS- WENT TO ER- TOLD TO REST
Age: 45.0
Sex: M
Vaccine: FLUN3
Symptoms: Musculoskeletal stiffness, Myalgia, Neck pain
Clinical narrative: I received the the FluMist on 01,25,05 at 0800 in the morrning. That evening 9 hours later the back of my neck felt like some one hit it with a bat. Stiffness, muscle pain, glands in neck on fire, A # 8 on the pain level. Still sore the next day. Self treated with heat, 800ml Tylenol and 500ml Motrin.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Left leg redness and swelling.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Anaphylactic reaction, Angioneurotic oedema, Anxiety, Drooling, Dysphagia
Clinical narrative: At work on 12/31/04, raspy voice. Then tongue swelling then starting to go down. Could not breathe. Recurred in ER. ER doctor gave epinephrine. Started having hives over my entire body. Came home from hospital. 2 more ER visits. Doctoring with family doctor. I still have hives. I'm not working. Follow up 03/01/05: The patient had an acute reaction the day after vaccination; angioedema, shortness of breath, dysphagia and anxiety. She wa treated with Benadryl, Epinepherin, Tagament and Solumedrol. An allergist diagnosed as systemic anaphylaxis to an unknown substance. Patient had no known allergies prior to vaccination. Discharge summarty information states drooling. Medical Record received on 3/08/2005 states dysphagia.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphonia, Dyspnoea, Tongue oedema, Urticaria, White blood cell count increased
Clinical narrative: At work on 12/31/04, raspy voice. Then tongue swelling then starting to go down. Could not breathe. Recurred in ER. ER doctor gave epinephrine. Started having hives over my entire body. Came home from hospital. 2 more ER visits. Doctoring with family doctor. I still have hives. I'm not working. Follow up 03/01/05: The patient had an acute reaction the day after vaccination; angioedema, shortness of breath, dysphagia and anxiety. She wa treated with Benadryl, Epinepherin, Tagament and Solumedrol. An allergist diagnosed as systemic anaphylaxis to an unknown substance. Patient had no known allergies prior to vaccination. Discharge summarty information states drooling. Medical Record received on 3/08/2005 states dysphagia.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Feeling hot, Pruritus, Swelling
Clinical narrative: States today after receiving shot yesterday that her arm is red, hot to touch, and itches.  Notes some swelling on left side next to site.
Age: 39.0
Sex: F
Vaccine: MMR
Symptoms: Conjunctivitis, Cough, Discomfort, Pyrexia, Rash papular
Clinical narrative: 06/29/2004 - Pt received MMR vaccine. 07/09/2004 - Discomfort, fever. 07/10/2004 - Cough, Coryza, Conjunctivitis. 07/11/2004 - Generalized papular rash.  Tx - symptomatic tx.
Age: 39.0
Sex: F
Vaccine: MMR
Symptoms: Rhinitis
Clinical narrative: 06/29/2004 - Pt received MMR vaccine. 07/09/2004 - Discomfort, fever. 07/10/2004 - Cough, Coryza, Conjunctivitis. 07/11/2004 - Generalized papular rash.  Tx - symptomatic tx.
Age: 2.0
Sex: U
Vaccine: DTAP
Symptoms: Swelling
Clinical narrative: Swelling left thigh and erythema.  Tis Clinic reporting this didnot administer the vaccine childrens clinic of clarksdale administered it.  She came to us as sick visit.
Age: 22.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Lymphadenopathy, Migraine, Pyrexia, Sinusitis
Clinical narrative: LEFT ARM ENLARGED LYMPH NODES, MIGRAINE HA'S, SINUS INFECTION, LOW GRADE FEVER; ALL FOR APPROX 7-10 DAYS; ONSET OF SYMPTOMS IS APROX 10 DAYS AFTER VACCINATIONS.
Age: 20.0
Sex: M
Vaccine: HEPAB, IPV, TD, YF
Symptoms: Accidental overdose, Medication error
Clinical narrative: Patient inadvertently received an extra dose of yellow fever vaccine. Denies any adverse symptoms.
Age: 19.0
Sex: M
Vaccine: HEPAB, IPV, TD, YF
Symptoms: Accidental overdose, Medication error
Clinical narrative: Patient inadvertently received an extra dose of Twinrix. Denies any adverse symptoms.
Age: 18.0
Sex: M
Vaccine: HEPAB, IPV, TD, YF
Symptoms: Accidental overdose, Medication error
Clinical narrative: Patient inadvertently received an extra dose of IPV (polio vaccine). Denies any adverse symptoms.
Age: 18.0
Sex: M
Vaccine: HEPAB, IPV, TD, YF
Symptoms: Accidental overdose, Medication error
Clinical narrative: Recruit inadvertently received second shot of Yellow Fever vaccine. Denies any adverse symptoms.
Age: 19.0
Sex: M
Vaccine: HEPAB, IPV, TTOX, YF
Symptoms: Accidental overdose, Medication error
Clinical narrative: Patient inadvertently received an extra dose of Twinrix vaccine, Denies symptoms.
Age: 23.0
Sex: M
Vaccine: HEPA, IPV, MEN, TYP, YF
Symptoms: Pruritus, Urticaria
Clinical narrative: Itchiness and hives on lower body and lower extremities, starting 1 week after vaccines and lasting less than 24 hours.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, CSF test abnormal, Coordination abnormal, Guillain-Barre syndrome, Hypoaesthesia
Clinical narrative: Guillain Barre from flu shot. Per follow up report received on 07/19/2005:  Patient has numbness and tingling feet.  Let and arm muscle weakness, 90%. Information from medical records states ataxia, parethesis, low back pain.. Information from Discharge summary states decreased reflexes, msv Per follow up report-Still have no reflexes-fatigue, depression, spasms, numbness and patients feeling is not correct. Cannot wear flip flops they fall off.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Hyporeflexia, Laboratory test abnormal, Muscular weakness, Paraesthesia
Clinical narrative: Guillain Barre from flu shot. Per follow up report received on 07/19/2005:  Patient has numbness and tingling feet.  Let and arm muscle weakness, 90%. Information from medical records states ataxia, parethesis, low back pain.. Information from Discharge summary states decreased reflexes, msv Per follow up report-Still have no reflexes-fatigue, depression, spasms, numbness and patients feeling is not correct. Cannot wear flip flops they fall off.
Age: 25.0
Sex: F
Vaccine: RUB
Symptoms: Haemorrhage, Sepsis, Shock, Thrombosis, Unintended pregnancy
Clinical narrative: 2/8/94 date is not clear. 2/10/94 Shock (septic) threatened abortion. Immunization verified on immunization record book and lab 2/10/94. Progress notes states treatment for septic infection. Pregnant verified 6 weeks. Bleeding and blood clots. Sent to ER for hemorrhaging after Rubella immunization. Return to hospital 2/15/94 0100 Benadryl 50mg IM.
Age: 25.0
Sex: F
Vaccine: RUB
Symptoms: Vaginal haemorrhage
Clinical narrative: 2/8/94 date is not clear. 2/10/94 Shock (septic) threatened abortion. Immunization verified on immunization record book and lab 2/10/94. Progress notes states treatment for septic infection. Pregnant verified 6 weeks. Bleeding and blood clots. Sent to ER for hemorrhaging after Rubella immunization. Return to hospital 2/15/94 0100 Benadryl 50mg IM.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Nasal congestion, Nausea, Pharyngolaryngeal pain, Vomiting
Clinical narrative: Influenza vaccine given 01/14/05 without immediate symptoms. 5 days later, on 01/19/05 client started having symptoms. 01/19/05 and 01/20/05, had slight sore throat, headache and slight nasal congestion. No chest congestion or fever. This AM 1/21/05, client experienced nausea and vomiting, without fever.
Age: 48.0
Sex: F
Vaccine: FLUN3
Symptoms: Cough, Nasal congestion, Pain, Pyrexia
Clinical narrative: 12/29/04 Flu-Mist administer. On 12/31/04, patient had body aches and temperature of 101 degrees. On 01/03/05, patient  had cough, congestion, sore throat and fatigue. On 01/04/05, patients temperature was 101 degrees and on 01/06/05 it was down to 98.7 degrees.
Age: 1.11
Sex: M
Vaccine: FLU3, HIBV, MMR, VARCEL
Symptoms: Dermatitis bullous, Otitis media, Pyrexia, Rash papular, Upper respiratory tract infection
Clinical narrative: Patient with erythema papular scattered blanching rash, changing now with raised central small whitish papule on erythematous base. Mostly on trunk abdomen, face and scalp. Also with URI symptoms and bilateral otitis media. Appears like varicella rash, mild case. Follow up 02/04/05: Patient also has fever.
Age: 73.0
Sex: U
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Received vaccine at 13:30, went home and by 19:30 hives were present on the abdomen, extremities, back and neck. Saw physician on 12/21/04 at 13:30, had taken Benadryl until seen by MD. Hives reoccurred that evening, 12/21/04 and patient again started Benadryl and Tylenol. No further follow up recommended, hives resolved by 12/22/04.
Age: 19.0
Sex: M
Vaccine: HEPAB, IPV, TD, VARCEL
Symptoms: Medication error, Overdose
Clinical narrative: Patient inadvertently received a double dose of yellow fever vaccine.  Denies any symptoms.
Age: 70.0
Sex: F
Vaccine: TTOX
Symptoms: Feeling hot, Oedema, Pruritus
Clinical narrative: Arm swelled, felt real hot, itched. Dr recommended Benadryl. Took till 01/20/2005.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Feeling hot, Injection site erythema, Injection site infection, Injection site oedema, Rash macular
Clinical narrative: 12/10/2004 Pt reported reddened, blotchy, swollen, hot area at site vaccine placed and further down her arm. Seen by physician 12/10/04. Pt reports on 12/14/04 her physician told her it looked like an infection and gave her antibiotics. By 12/14/04, pt reports no redness or swelling or pain.
Age: 0.63
Sex: M
Vaccine: DTAP, FLU3, HBHEPB, PNC
Symptoms: Erythema, Injection site induration, Swelling
Clinical narrative: Mother complained of reaction after immunization given on 01/18/2005 with 35 x 34 induration, swelling, redness to right lateral thigh, mother states patient's reaction looks better since earlier AM.  Child playful with no symptoms of pain or discomfort, no fever no limitations of right leg mobility.  Instructions given to mother if reaction worsens to return or seek medical care.
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Feeling hot, Injection site erythema, Injection site oedema, Injection site swelling
Clinical narrative: 10-12cm red, hot, raised, tender Rxn to flu shot now down to 5cm bruised/ darkened area still slightly swollen and tender.
Sex: F
Vaccine: FLU3
Symptoms: Skin discolouration, Tenderness
Clinical narrative: 10-12cm red, hot, raised, tender Rxn to flu shot now down to 5cm bruised/ darkened area still slightly swollen and tender.
Age: 1.03
Sex: M
Vaccine: FLUX, MMR, VARCEL
Symptoms: Blister, Pyrexia, Viral infection
Clinical narrative: Vaccine caused chicken pox as diagnosed by Dr. Temp of 102.8, small blister like bumps all over body.
Age: 43.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Feeling hot, Hypoaesthesia
Clinical narrative: Left arm gets numbness and warm
Age: 0.21
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Gaze palsy, Retching, Somnolence, Vomiting
Clinical narrative: Approximately 2 hours after Pt was immunized mom noticed child spitting up alot, gagging on secretions, staring at mom. Lasted about 15 minutes. Child then breathing normally. No loss of consciousness. No jerking movements, No fever. Child seemed sleepy after this episode. No further symptoms over last 4 days. Child acting normally. At time of episode 911 called. Paramedics evaluated pt, no seizure, noted on exam vital signs were normal. Child not taken to Emergency Dept. Told no action needed by paramedics.
Age: 0.18
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Irritability, Pyrexia
Clinical narrative: Fever 101.8  18 inch after immunization, relieved with Tylenol.  Slight irritability, no other symptoms.
Age: 47.0
Sex: F
Vaccine: UNK
Symptoms: Dyspepsia, Hot flush, Pain
Clinical narrative: Only Tylenol dose 2 - patient experienced pain hot flashes and burning sensation in mouth and throat with heartburn.  Symptoms were more severe, awakened from sleep.
Age: 1.06
Sex: F
Vaccine: MMR
Symptoms: Viral infection
Clinical narrative: Patient diagnosed with varicella 01/17/2005. Received varivax 03/27/1997
Age: 1.03
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Herpes zoster
Clinical narrative: Zoster up left arm and upper back developed over several days - treated 01/20/2005 with Zovirax
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, MMR
Symptoms: Feeling hot, Oedema, Tenderness
Clinical narrative: DTAP administered to right upper arm 01/18/2005 with right arm edema, tenderness, warm to touch area approx 10 cm by 10 cm. Keflex 25 mg/kg 4.5 cc PO BID for 10 days started. Back in office 01/21/2005 with improvement.
Age: 1.32
Sex: F
Vaccine: HIBV, MMR
Symptoms: Crying, Pruritus, Rash
Clinical narrative: Received immunization at 14:00 on 01/07/2005 then at 16:00 developed screaming , blotchy rash on back of neck and chest. + scratching palms and soles lasted approx 6 hours. Treated with Tylenol and Benadryl. All symptoms resolved.
Age: 1.06
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash papular, Viral infection
Clinical narrative: Modified varicella multiple papular lesions 30 - 50 total
Age: 1.33
Sex: M
Vaccine: DTAPH
Symptoms: Injection site erythema, Injection site swelling, Rash
Clinical narrative: Redness and swelling over injection site with generalized rash per emergency room report did not see patient.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR, VARCEL, HBHEPB, MMR, VARCEL
Symptoms: Pruritus, Rash
Clinical narrative: Rash on Back, Legs, Stomach x6 days itchy
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR, VARCEL, HBHEPB, MMR, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Rash on Back, Legs, Stomach x6 days itchy
Age: 0.16
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Dyspnoea, Tremor
Clinical narrative: While Sleeping on Back, sounded as if she was struggling to breathe had white form in mouth, and arms were shaking.  Grandmother held her upright and patted back.  No color change.  Lasted 2-3 min. Squad amued within a few minutes and she was breathing without difficulty.  Seemed sleepy afterward.  At 10:30 am.  She was in my office and was alert and examination was normal.
Age: 1.53
Sex: M
Vaccine: DTAP, PNC
Symptoms: Rash
Clinical narrative: After immunization patient developed petedriael rash of face.  Patient screaming a lot during shots
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Erythema, Feeling hot, Oedema peripheral, Pyrexia
Clinical narrative: Threes days after shot the top of child's leg very swollen, red, hot and covered with small blisters. Some of the blisters burst and burned her. 2 days after, the child had a very high fever (104.7), that lasted for almost 2 days. She was put on Ceflexin for 7 days to clear up leg.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Skin burning sensation
Clinical narrative: Threes days after shot the top of child's leg very swollen, red, hot and covered with small blisters. Some of the blisters burst and burned her. 2 days after, the child had a very high fever (104.7), that lasted for almost 2 days. She was put on Ceflexin for 7 days to clear up leg.
Age: 1.02
Sex: F
Vaccine: DTAPHEPBIP, HIBV, MMR, PNC, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Vaccines given 01/13/05, patient seen on 01/17/05 for herpetic rash in left axilla and follow up on 01/19/05 for rash. Advised to keep clan and apply antibiotic ointment and keep away from toher children.
Age: 1.05
Sex: F
Vaccine: MMR
Symptoms: Urticaria
Clinical narrative: Urticaria started 2 days after vaccine was given.
Age: 58.0
Sex: F
Vaccine: TTOX
Symptoms: Hypokinesia, Insomnia, Pain
Clinical narrative: Pain from neck down to wrist, which extends to forearm. Difficulty moving arm. Lost sleep due to pain in left arm.
Age: 1.59
Sex: F
Vaccine: DTAP, IPV, PNC, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Had vaccine 01/05/05, on 01/17/05, mom called stated child broke out with generalized chicken pox.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Parent noted left arm redness between shoulder to elbow. Warm to touch. Seen him 4 days after vaccination, local reaction has subsided a lot according to mom. Can move arm fine.
Age: 1.0
Sex: F
Vaccine: IPV, MMR, VARCEL
Symptoms: Facial palsy, Pyrexia
Clinical narrative: Facial nerve palsy ( Bell's Palsy) began 09/29/04. Patient had fever for 48 hours, 09/27/04 and 9/28/04.
Age: 76.0
Sex: F
Vaccine: PPV, TD, DT, PPV
Symptoms: Erythema, Feeling hot, Oedema peripheral, Pain
Clinical narrative: Temperature of 98.8, right upper arm discomfort a few hours post injection. Patient took Ibuprofen and went to sleep. Reported to clinic 9:50 AM on 01/19/05, ice cap applied after reporting to doctor regarding right upper arm edematous, warm to touch and red, given Ibuprofen 600mg at 9:55 AM, Benadryl 25mg PRN. Just treated and discharged.
Age: 76.0
Sex: F
Vaccine: PPV, TD, DT, PPV
Symptoms: Nonspecific reaction
Clinical narrative: Temperature of 98.8, right upper arm discomfort a few hours post injection. Patient took Ibuprofen and went to sleep. Reported to clinic 9:50 AM on 01/19/05, ice cap applied after reporting to doctor regarding right upper arm edematous, warm to touch and red, given Ibuprofen 600mg at 9:55 AM, Benadryl 25mg PRN. Just treated and discharged.
Age: 75.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Patient complained of right upper arm discomfort, redness and swelling beginning approximately after vaccination. Area is at right upper arm moving laterally and is red, hard, tender to touch and edematous. Treated with Ibuprofen 600 mg & Benadryl 25mg IM and 25mg PO PRN and ice. Treated and discharged.
Age: 75.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Patient complained of right upper arm discomfort, redness and swelling beginning approximately after vaccination. Area is at right upper arm moving laterally and is red, hard, tender to touch and edematous. Treated with Ibuprofen 600 mg & Benadryl 25mg IM and 25mg PO PRN and ice. Treated and discharged.
Age: 6.0
Sex: F
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: Hives onset 24 to 48 hours after immunization. Temperature 97.3, no other changes in foods or soaps etc. Follow up 03/02/05: Manufacturer and lot number is unknown immunization was given at other facility.
Age: 0.16
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Irritability
Clinical narrative: Since receiving Pediarix, Hib and Prevnar this morning patient has been very fussy, crying constantly. No fever. No other symptoms. Mother has given her tylenol. On examination, color is good, well perfused, normally responsive and fussy when awake.
Age: 17.0
Sex: F
Vaccine: TD, TD
Symptoms: Headache, Injection site pain, Nausea
Clinical narrative: 12 hours after injection patient experienced severe shot site pain, temporal headache, backache and nausea. Non Focal PE: No lymphadenopathy
Age: 17.0
Sex: F
Vaccine: TD, TD
Symptoms: Injection site erythema, Injection site mass, Injection site pain
Clinical narrative: 12 hours after injection patient experienced severe shot site pain, temporal headache, backache and nausea. Non Focal PE: No lymphadenopathy
Age: 1.2
Sex: M
Vaccine: DTAP, FLU3, HBHEPB, MMR, VARCEL
Symptoms: Rash
Clinical narrative: MON CALLED NURSE ON CALL (1/25/05 @ 2119) AND STATED THAT CHILD HAD RASH ON BACK AND LEGS.  ADVISED TO GIVE 1/2 TSP BENADRYL. IF WORSENS, GO TO ER.  MOM TOOK CHILD TO ER AND CHILD WAS GIVEN A DOSE OF STEROID.  I SPOKE WITH MOM THIS AM, RASH IS NOW GONE AND CHILD IS DOING WELL.
Age: 35.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Pain, Pyrexia, Swelling
Clinical narrative: Fever 100 to 101.  Pain, redness, swelling in entire upper arm with pain radiating into chest wall.
Age: 0.38
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Anaemia, Coma, Cyanosis, Eye movement disorder
Clinical narrative: 4 hours after immunizations, patient began to cry inconsolably. After a brief break for a feeding and a nap, he began crying again. After being calm for several minutes, he went limp and quiet. His eyes rolled back and he went pale and possibly dusky. He was unresponsive for approximately 45 seconds. He was brought to the emergency room. His work-up was negative and he was admitted for observation over night. Medical Records received on 1/27/2005 states impression in ER was ALTE (Acute Life-Threatening Event). Discharge Summary received on 2/18/2005 states secondary diagnosis of mild anemia.
Age: 0.38
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Hypotonia, Pallor, Somnolence
Clinical narrative: 4 hours after immunizations, patient began to cry inconsolably. After a brief break for a feeding and a nap, he began crying again. After being calm for several minutes, he went limp and quiet. His eyes rolled back and he went pale and possibly dusky. He was unresponsive for approximately 45 seconds. He was brought to the emergency room. His work-up was negative and he was admitted for observation over night. Medical Records received on 1/27/2005 states impression in ER was ALTE (Acute Life-Threatening Event). Discharge Summary received on 2/18/2005 states secondary diagnosis of mild anemia.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Erythema, edema, and minimal tenderness of left deltoid at the site where DTaP was administered.  Whole-arm swelling not observed.
Age: 66.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Cellulitis
Clinical narrative: Right arm cellulitis.
Age: 1.75
Sex: F
Vaccine: FLU3, MEA
Symptoms: Abdominal distension, Fatigue, Lymphadenopathy, Pyrexia, Rash
Clinical narrative: Saturday 01/22/05, patient was taken to ER. She had a temp of 104.4, glands were swollen, rash on her neck and chest, and her groin area had some swelling. She had measles shot on 01/11/05. ER doctor performed a strep test, influenza and UA to rule out a bladder infection. All were negative. ER doctor also performed a white blood cell count. No treatment administered. Motrin and Tylenol was recommended to give for fever. 01/25/05, patient has a low grade fever and is fatigued.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Hypokinesia, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: After receiving her pneumonia vaccination on her right arm on 11/08, patient noted what she describes as a normal local reaction at the vaccine site. However, after 48 hours, patient noted a significant increase in swelling and erythema surrounding the site which extended from the shoulder to the elbow, and around almost the entire circumference of her upper arm; by the a.m. of 11/11, the swelling and redness had extended almost to the wrist. The patient called the clinic and was told to wait and watch and urged to take an OTC analgesic and anti-inflammatory. The redness and swelling gradually resolved over the next 7 days. The patient describes an aching pain at the vaccine site that started the night of vaccine receipt, which continues today when pressure applied at site. She also reports right upper arm and should pain that started the evening of vaccine receipt and continues today. The pain has decreased to some extent, but worsens with lifting and AROM. The first 2 weeks following vaccine receipt, patient was not able to lift her arm above her head. She denies any numbness or tingling in her upper extremity. She denies any previous trauma or injury to her RUE. ( She received her flu vaccine that same day in her left arm and denies any significant local reactions or pain in her left arm.) She denies problems going to sleep or awakening during the night.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Hypokinesia, Oedema peripheral, Pain
Clinical narrative: Arm got swollen twice it's normal size. Had a lot of pain, arm was red down to elbow. Couldn't raise arm. Became feverish and took benadryl then Atarax. Arm still red and sore.
Age: 43.0
Sex: M
Vaccine: HEPA, MMR, TYP, YF
Symptoms: Eye discharge, Eye irritation, Facial palsy, Hypoaesthesia
Clinical narrative: From initial information received on 12/8/03 through an enhanced surveillance program conducted by the CDC, it was reported that a 43 year old male patient received a dose of YELLOW FEVER VACCINE, a dose of HEPATITIS A VACCINE, a dose of MMF and a dose of TYPHOID VACCINE on 9/23/03. The lot numbers, routes and sites of administration were not reported. Ten days later, on 10/3/03, the patient experienced irritation to his right eye. The following day, he had clear drainage from the right eye and numbness on his lip. The patient was diagnosed with Bell's Palsy two days later. The symptoms were treated with prednisone and Valtrex and the patient fully recovered by 11/25/03. From additional information received on 12/15/03 from CDC initially reported by a health care professional, the vaccine administrator's information was provided and the facility address where the patient was vaccinated. The event occurred in the USA. Detailed vaccine information was provided. The patient received his first dose of YF-VAX, lot number UB361AA, administered SC in the right arm, his first dose of TYPHIM Vi, lot number W1366, administered IM in the right arm, his first dose of VAQTA, lot number 750A4, administered IM in the left arm, and his first dose of MMR, lot number 0273N, administered SC in the left arm. It was reported that the patient was vaccinated at 6:00 PM on 9/23/03 and the AE onset was 10/3/03 at 9:00 AM. It was also reported that the lip numbness was on the right side of the lip. The patient saw a physician on 10/6/03 and was prescribed Prednisone 40mg PO BID for three days, 30mg PO BID for three days, 20mg PO BID for three days, and 10mg PO BID for three days, then discontinued. He was also prescribed Valtrex 500mg PO BID for seven days. Fluorescing dye exam of right eye revealed negative corneal abrasion and was to be rechecked one month later. At the time of vaccination, the patient also took Paxil 20mg 1 daily. His pre-existing medical conditions include PTSD - depression and he is a recovering alcoholic. No other information was provided at this time. From additional information received on 1/2/04 from another manufacturer, the WAES number for this case is WAES0312USA02177. No additional relevant information was provided for the adverse experience. This follow up information is not submitted to the health authorities. (OMIC)
Age: 48.0
Sex: M
Vaccine: HEPAB, TYP, YF, HEPAB, TYP, YF
Symptoms: Abdominal discomfort, Diarrhoea, Headache, Hepatic enzyme abnormal, Malaise
Clinical narrative: This case was received. There were no serious criteria reported. Based upon appropriate medical judgement this case is considered non-serious. From initial information received on 10Jun04 through an enhanced surveillance program conducted, it was reported that a 48 year old male pt received a dose of Yellow Fever vaccine (manufacturer and lot number not reported), a dose of Typhoid vaccine (manufacturer and lot number not reported) and a dose of Twinrix, on 06Apr04. The lot numbers and routes and sites of administration were not reported. Three days later, the pt developed aches and malaise. Approx one week after immunization, he also developed fevers up to 102 degrees F. The pt saw his physician on 16Apr04 for evaluation of headaches, fever and diarrhea. Lab work was completed, but no results were provided at this time. His significant past medical history includes liver fibrosis and a liver biopsy done in the winter of 2004. He also had a history of ulcerative colitis prior to vaccination and a history of possible lupus three months prior to vaccination. the pt's recovery status was not reported. From additional information received on 17Jun04 it was reported through an enhanced surveillance program that this case occurred. Reportedly the pt received his first dose of YF-Vax, lot number UE128AA, administered SC in the right arm; a dose of Typhim Vi, lot number X0481, administered IM in the left deltoid; and his first dose of Twinrix, lot number AHABA016AA, administered IM in the right deltoid on 06Apr04 between one and four in the afternoon. Three days later, on 09Apr04, he developed generalized aches and malaise. Seven days after vaccination, he experienced a fever up to 102 degrees F. He was seen by a physician on 16Apr04 for a fever of 101.1 degrees F, headache, upset stomach and diarrhea. He was diagnosed with serum sickness. Reportedly, the pt recovered from this experience. Further information is not anticipated, this case is considered closed.
Age: 48.0
Sex: M
Vaccine: HEPAB, TYP, YF, HEPAB, TYP, YF
Symptoms: Myalgia, Pyrexia, Serum sickness
Clinical narrative: This case was received. There were no serious criteria reported. Based upon appropriate medical judgement this case is considered non-serious. From initial information received on 10Jun04 through an enhanced surveillance program conducted, it was reported that a 48 year old male pt received a dose of Yellow Fever vaccine (manufacturer and lot number not reported), a dose of Typhoid vaccine (manufacturer and lot number not reported) and a dose of Twinrix, on 06Apr04. The lot numbers and routes and sites of administration were not reported. Three days later, the pt developed aches and malaise. Approx one week after immunization, he also developed fevers up to 102 degrees F. The pt saw his physician on 16Apr04 for evaluation of headaches, fever and diarrhea. Lab work was completed, but no results were provided at this time. His significant past medical history includes liver fibrosis and a liver biopsy done in the winter of 2004. He also had a history of ulcerative colitis prior to vaccination and a history of possible lupus three months prior to vaccination. the pt's recovery status was not reported. From additional information received on 17Jun04 it was reported through an enhanced surveillance program that this case occurred. Reportedly the pt received his first dose of YF-Vax, lot number UE128AA, administered SC in the right arm; a dose of Typhim Vi, lot number X0481, administered IM in the left deltoid; and his first dose of Twinrix, lot number AHABA016AA, administered IM in the right deltoid on 06Apr04 between one and four in the afternoon. Three days later, on 09Apr04, he developed generalized aches and malaise. Seven days after vaccination, he experienced a fever up to 102 degrees F. He was seen by a physician on 16Apr04 for a fever of 101.1 degrees F, headache, upset stomach and diarrhea. He was diagnosed with serum sickness. Reportedly, the pt recovered from this experience. Further information is not anticipated, this case is considered closed.
Age: 48.0
Sex: M
Vaccine: HEPAB, TYP, YF, HEPAB, TYP, YF
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood chloride decreased, Blood sodium decreased, Diarrhoea
Clinical narrative: This case was received. There were no serious criteria reported. Based upon appropriate medical judgement this case is considered non-serious. From initial information received on 10Jun04 through an enhanced surveillance program conducted, it was reported that a 48 year old male pt received a dose of Yellow Fever vaccine (manufacturer and lot number not reported), a dose of Typhoid vaccine (manufacturer and lot number not reported) and a dose of Twinrix, on 06Apr04. The lot numbers and routes and sites of administration were not reported. Three days later, the pt developed aches and malaise. Approx one week after immunization, he also developed fevers up to 102 degrees F. The pt saw his physician on 16Apr04 for evaluation of headaches, fever and diarrhea. Lab work was completed, but no results were provided at this time. His significant past medical history includes liver fibrosis and a liver biopsy done in the winter of 2004. He also had a history of ulcerative colitis prior to vaccination and a history of possible lupus three months prior to vaccination. the pt's recovery status was not reported. From additional information received on 17Jun04 it was reported through an enhanced surveillance program that this case occurred. Reportedly the pt received his first dose of YF-Vax, lot number UE128AA, administered SC in the right arm; a dose of Typhim Vi, lot number X0481, administered IM in the left deltoid; and his first dose of Twinrix, lot number AHABA016AA, administered IM in the right deltoid on 06Apr04 between one and four in the afternoon. Three days later, on 09Apr04, he developed generalized aches and malaise. Seven days after vaccination, he experienced a fever up to 102 degrees F. He was seen by a physician on 16Apr04 for a fever of 101.1 degrees F, headache, upset stomach and diarrhea. He was diagnosed with serum sickness. Reportedly, the pt recovered from this experience. Further information is not anticipated, this case is considered closed.
Age: 48.0
Sex: M
Vaccine: HEPAB, TYP, YF, HEPAB, TYP, YF
Symptoms: Headache, Malaise, Neutropenia, Pain, Pyrexia
Clinical narrative: This case was received. There were no serious criteria reported. Based upon appropriate medical judgement this case is considered non-serious. From initial information received on 10Jun04 through an enhanced surveillance program conducted, it was reported that a 48 year old male pt received a dose of Yellow Fever vaccine (manufacturer and lot number not reported), a dose of Typhoid vaccine (manufacturer and lot number not reported) and a dose of Twinrix, on 06Apr04. The lot numbers and routes and sites of administration were not reported. Three days later, the pt developed aches and malaise. Approx one week after immunization, he also developed fevers up to 102 degrees F. The pt saw his physician on 16Apr04 for evaluation of headaches, fever and diarrhea. Lab work was completed, but no results were provided at this time. His significant past medical history includes liver fibrosis and a liver biopsy done in the winter of 2004. He also had a history of ulcerative colitis prior to vaccination and a history of possible lupus three months prior to vaccination. the pt's recovery status was not reported. From additional information received on 17Jun04 it was reported through an enhanced surveillance program that this case occurred. Reportedly the pt received his first dose of YF-Vax, lot number UE128AA, administered SC in the right arm; a dose of Typhim Vi, lot number X0481, administered IM in the left deltoid; and his first dose of Twinrix, lot number AHABA016AA, administered IM in the right deltoid on 06Apr04 between one and four in the afternoon. Three days later, on 09Apr04, he developed generalized aches and malaise. Seven days after vaccination, he experienced a fever up to 102 degrees F. He was seen by a physician on 16Apr04 for a fever of 101.1 degrees F, headache, upset stomach and diarrhea. He was diagnosed with serum sickness. Reportedly, the pt recovered from this experience. Further information is not anticipated, this case is considered closed.