chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: U
Vaccine: MMR
Symptoms: Neurodevelopmental disorder
Clinical narrative: Information has been received from a physician, who saw news on a website, concerning a 5 year old pt, with a genetic defect that made him susceptible to thimerosal, who was vaccinated with a dose of MMR II. Subsequently, the pt developed a developmental problem. No lot number or further info available. Unspecified medical attention was sought. No further info is available. Upon internal review, developmental problem was considered to be an other important medical event (OMIC). In follow up informaiton it was reported that the physician has no personal experience with any patients who have been or who have claimed to have been harmed by measles virus vaccine live (Moraten) (+) mumps virus vaccine live (+) rubella virus vaccine live or any other vaccine. The physician reportedly saw a story broadcast on the news that linked measles virus vaccine live (+) mumps virus vaccine live (+) rubella virus vaccine lvive with thimerosal and developmental delay. No further information is available. Upon internal review, developmental problem was considered to be an other important medical event. Measles virus vaccine live (+) mumps virus vaccine live (+) rubella virus vaccine live does not contain thimerosal.
Age: 89.0
Sex: M
Vaccine: FLUX
Symptoms: Anxiety, Chills, Depression, Pyrexia
Clinical narrative: Was given a flu shot have chills and fever ever since. Medical record states anxiety, depression. msv
Age: 55.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Balance disorder, Diplopia, Dizziness, Dyspepsia
Clinical narrative: Client had eye exam on 10/13/03 and received new glasses with 20/20 vision. However sometime shortly (1 month) after pt experienced double vision-shortly thereafter physician ordered a MRI (1/20/04) of head,results negative. To primary physician (1/20/04) did blood work-negative. Then to neurologist (1/23/04) who diagnosed myasthenia gravis. She then saw a physician also confirmed (EMG)-confirming the diagnosis. Presently takes Prednisone 10mg QOD, Pyridostigmine 60mg TID, Zantac 150ng BID, benicar 20mg QD. Per this client-she will need to continue on these medications for life time. The medical record received on 3/23/04 fatigue, dizziness, balance difficulty, joint pain, joint stiffness and heartburn.
Age: 55.0
Sex: F
Vaccine: HEP
Symptoms: Fatigue, Joint stiffness, Myasthenic syndrome
Clinical narrative: Client had eye exam on 10/13/03 and received new glasses with 20/20 vision. However sometime shortly (1 month) after pt experienced double vision-shortly thereafter physician ordered a MRI (1/20/04) of head,results negative. To primary physician (1/20/04) did blood work-negative. Then to neurologist (1/23/04) who diagnosed myasthenia gravis. She then saw a physician also confirmed (EMG)-confirming the diagnosis. Presently takes Prednisone 10mg QOD, Pyridostigmine 60mg TID, Zantac 150ng BID, benicar 20mg QD. Per this client-she will need to continue on these medications for life time. The medical record received on 3/23/04 fatigue, dizziness, balance difficulty, joint pain, joint stiffness and heartburn.
Age: 26.0
Sex: M
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Developed severe rash all over body.  First noticed 2 days after vaccine.  Saw MD who felt it was a reaction to the vaccine and prescribed Claritin.  Within 2 weeks the rash was gone.
Age: 4.0
Sex: M
Vaccine: FLU3, IPV, MMR
Symptoms: Confusional state, Electroencephalogram abnormal, Headache
Clinical narrative: Pt had one spell of some confusion in middle of night with no clear tonic or clonic activity, has rare headaches.
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Pruritus, Rash macular
Clinical narrative: Noticed itching and blotchy skin afternoon following day of injection. Prescribed with Benadryl 10/30/03. 10/31/03 spoke with pt, redness much better itching nearly gone.  Area of rash 6 inches in diameter at worst point.
Age: 1.5
Sex: M
Vaccine: DTAP, FLU3, VARCEL
Symptoms: Blister, Rash vesicular
Clinical narrative: 2/13/04 Mom called our office-Had 2-3 small raised bumps on his back. No fever. 2/16/04 seen in office approximately 50 bumps abdomen, (sides and axilla on the Left). Playful. Afebril. 2/18/04 no new vesicles. Old vesicles scabbed over.
Age: 50.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Arm with slight pain at inject site. Increased in severity on 5th day to point at which arm from shoulder to elbow throbbing. Treated with heating pad- Has decreased significantly since (arm hurt for 2 weeks following flu vaccine).
Age: 40.0
Sex: M
Vaccine: FLU3
Symptoms: Neck pain, Pain, Shoulder pain
Clinical narrative: Right arm began to hurt "more than from a typical flu shot" several days after injection. Increased constant ache in upper arm/neck/shoulder. Activity increased discomfort. Treated with Acetaminophen and 1 dose of Ibuprofen/hot-cold applications. 11/19 arm somewhat better saw doctor who advised to watch it. 11/26/03 continue to ache and in not as strong as he would like-will continue to observe.
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Pruritus
Clinical narrative: Itching, patient did not get a reaction until 24 hours later, no meds, no fever, no headache, no chills. Patient Atoxy. Patient states no further symptoms. Release without complications. Site 50x60 mm.
Age: 30.0
Sex: F
Vaccine: ANTH
Symptoms: Subcutaneous nodule
Clinical narrative: Subcutaneous nodules both arms still present 2 & 4 weeks after injection. No signs of infection, nodules not painful.
Age: 23.0
Sex: F
Vaccine: ANTH, TYP
Symptoms: Dizziness, Fatigue, Headache, Nausea, Rash
Clinical narrative: I started getting little red bumps 3 days after the shot. Approximately 7 days after the shot it turned into hives. Immediately after the shot I got a really bad headache. I was also nauseated and dizzy. I have also been very tired.
Age: 23.0
Sex: F
Vaccine: ANTH, TYP
Symptoms: Urticaria
Clinical narrative: I started getting little red bumps 3 days after the shot. Approximately 7 days after the shot it turned into hives. Immediately after the shot I got a really bad headache. I was also nauseated and dizzy. I have also been very tired.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Contusion, Hypoaesthesia, Swelling
Clinical narrative: Swelling in right tricep down to the elbow. Black and blue. First four days after I had the shot, my right arm was numb down to my fingers.
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Myalgia, Swelling
Clinical narrative: Noticed day later (9 Feb), redness, sore. Took aspirin and iced. Redness covers area approximately 6-8 inches from elbow up to shoulder, some swelling.
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Hyperaesthesia, Pruritus, Swelling
Clinical narrative: Left arm red and swollen. Sore to touch and scratchy. Red from armpit to wrist. Ice on it made itching go away. Received Anthrax #6 8Feb04.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site swelling, Pruritus
Clinical narrative: Swelling, redness, itching at injection site for 3 days after administering.
Age: 2.0
Sex: F
Vaccine: PNC
Symptoms: Erythema, Rash maculo-papular
Clinical narrative: 2 red flat non tender coal non-indurated areas on right thigh noticed 2/17/04. Symptomatic treatment with Tylenol or Motrin and Benadryl.
Age: 1.0
Sex: M
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Erythema
Clinical narrative: 8.5 cm x 7 cm Erythema with 5.5 cm x 5 cm induration to the right thigh.
Age: 2.0
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Erythema, Swelling
Clinical narrative: On 2/17 mother reported that the left arm had become red and swollen after vaccination. She called Hospital ER, bud did not report this to me until 2/17 when she was in for a flu visit for another problem and this was mentioned as an after thought at the the end of the visit. On 2/17 child still had some induration of approximately 2 cm diameter but no redness and no obvious tenderness. No treatment given. I will recheck this on 2/27 when she returns.
Age: 1.83
Sex: F
Vaccine: HIBV, IPV
Symptoms: Crying, Gait disturbance, Irritability, Pyrexia, Rash
Clinical narrative: High pitched wailing. Dragging leg (right). General crankiness. Rash (lasted 2 1/2 days). Fever 102 degrees F.
Age: 49.0
Sex: F
Vaccine: TD
Symptoms: Rash erythematous
Clinical narrative: Right forearm noted with quarter size redness with pea size raised area. Denies any discomfort at this time.
Age: 32.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness larger than half dollar with center raised similar to boil.  Measured 4x4mm by MD to left forearm.  This was described to me by client.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site warmth, Oedema
Clinical narrative: 02/18/04: Admitted to ER due to erythema, heat and swelling of right thigh.  Likely immunization reaction but could not be certain it was not a cellulitis.  Child had IPV and MMR in righ tleg- per MD notes.
Age: 1.42
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Vomiting
Clinical narrative: Vomiting occurred about 4 hours later, lasted for 4 hours.  I am not all that convinced that it was vaccine, yet I thought it would be wise to report.  No rash from vaccine.
Age: 6.0
Sex: F
Vaccine: UNK
Symptoms: Dermatitis bullous
Clinical narrative: Chicken pox rash over most of body.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Right leg swelling with redness and warmth from hip to lower calf.
Age: 10.0
Sex: F
Vaccine: HEP
Symptoms: Crying, Dysphagia, Musculoskeletal stiffness, Pharyngolaryngeal pain, Vaccine positive rechallenge
Clinical narrative: 15 minutes after initial Hep B complained of throat hurting and this cleared rapidly 2nd dose - 10 minutes after administration began crying hysterical complained of throat hurting, stated it felt like she could not swallow "nothing in my neck will move".  Mother did attempt ER care but symptoms subsided. Before 3rd dose Hep B consulted their MD who advised not to receive any further injections.
Age: 4.6
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Left deltoid region: red, swollen and warm to the touch.  Mother giving tylenol and applied ice last night.  Denied temperature.
Age: 6.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Round circle 3 inches in diameter at vaccine site.  "Beet red"; hard and hot; no fever in child as described by mother of child.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Swelling of lower left thigh with erythema.  Resolved with treatment.
Age: 4.6
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: 02/17/04 at 12PM: Mom phoned stating possible reaction to immunizations.  Left arm red from left shoulder to left elbow swollen, tender to the touch.  Seen MD 02/17/04 at 4:10pm, 16cm erythema, slight induration, left shoulder-will not need another DPAT and unlikely the DT will be a problem when he gets that in 10 years (per MD notes).  Temperature 97.2 axillary.
Age: 1.3
Sex: F
Vaccine: HIBV, MMR
Symptoms: Nasal congestion, Pyrexia
Clinical narrative: Fever temperature 103 within 8 hours of immunization.  Tylenol given, responded nicely.  Today temperature 105, did start with very slight nasal congestion today.  No family ill, no daycare.
Age: 4.5
Sex: F
Vaccine: TD, VARCEL
Symptoms: Erythema, Malaise, Pyrexia, Rash papular, Rash pruritic
Clinical narrative: 02/19/04 8-9AM: Rash for 2 days, fever 100.4, cold symptoms for 3 days.  Seen in MD office, scattered red papules on trunk and extremities. Various sizes.  No actual vesicles.  Itchy, fever began 02/18.  Diagnosis: rash (presumed), possible varicella (atypical).
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Erythema, Infection, Pyrexia, Rash papular
Clinical narrative: 02/19/04: Office visit, rash started 3 days ago, itchy, fever 100.7 02/18/04, scattered red, papular rash 1-2 crusted.  (+) mom with Zoster.  Diagnosis: Varicella.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash pruritic
Clinical narrative: 02/19/04: Office visit, rash started 3 days ago, itchy, fever 100.7 02/18/04, scattered red, papular rash 1-2 crusted.  (+) mom with Zoster.  Diagnosis: Varicella.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Screaming
Clinical narrative: Parents report high-pitched cry for 1.5 days.
Age: 2.25
Sex: M
Vaccine: PNC
Symptoms: Erythema, Feeling hot, Inflammation
Clinical narrative: Prevnar caused inflammation, warmth and redness to upper thigh from knee up-advised cool compress and Benadryl as needed.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: 2 hours after immunization swelling and redness observed with without pain. Seen in office 24 hours later. Using Motrin and Benadryl. Arm circumference right 5 cm 7 left.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Prevnar site swollen and red- was given 2 days ago. Advised cool compress and Benadryl.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Cellulitis, Contusion, Erythema, Skin nodule, Tenderness
Clinical narrative: Complained of "hard lump" to right arm - creatinine treated 8 cm with some redness tenderness and slight bruising. Child able to move right arm/fingers. Grandma states right arm looks worse today than yesterday. Referral to clinic. Diagnosed cellulitis right arm. Rocephin 75 mg intramuscularly given; discontinue with Keflex 250 7/4 four times a day; warm compress three times daily; Advil a teaspoon every 6 hours as needed; RTC for 1 day.
Age: 1.08
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash macular
Clinical narrative: 10 day status post vaccine equal to macular rash on trunk and extremities, sparing diaper area no vesicules/pustules.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Skin nodule, Swelling
Clinical narrative: Received MMR in L arm (SC) on 2/11/04. Called 2/13/04 to state arm on left "swollen and hard". Seen 2/13/04 in office- site reddened and swollen. Non-tender, no wheezing. Given Benadryl orally. Returned on 2/14/04 site with decreased redness and swelling. Told to continue Benadryl pm and to call for increased problems or complaints.
Age: 1.0
Sex: M
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Rash
Clinical narrative: Rash all over body that looks like chickenpox.
Age: 0.67
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Convulsion, Pain, Pyrexia
Clinical narrative: Few hours after shots evening time/bedtime woke with with severe pain and some fever and had seizure like sykptoms and had to call 9-1-1.
Age: 0.67
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Convulsion, Pain, Pyrexia
Clinical narrative: Few hours after shots evening time/bedtime work up with severe pain and some fever and had seizure-like symptoms had to call 9-1-1.
Age: 33.0
Sex: F
Vaccine: MMR, TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt. c/o redness, swelling, soreness at injection site.
Age: 43.0
Sex: F
Vaccine: TD
Symptoms: Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: Soreness and pain at the injection site advanced to swelling and a knot on right arm.  Knot developed to a quarter in size with in 24 hours.  Pain when lifting right arm.  No treatment required.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Red, swollen upper arm. Advised parent to give advil for pain
Age: 38.0
Sex: F
Vaccine: HEP, HEPA, TYP
Symptoms: Flushing, Tremor
Clinical narrative: five minutes after receiving Typhin Vi, client c/o tongue feeling "itchy, like when I get a bee sting." Chest flushed and she began to shake. B/P and respirations normal. Stated "tickling getting worse". Given one ml Epinephrine in rt. thigh and called 911.Taken to ER.Tx with solu-medrol,epi and Benadryl. D/C at 4pm. 2/23/04
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus, Rash maculo-papular, Rash pustular, Skin burning sensation
Clinical narrative: Developed a Maculopapular rash with some areas of pustules that have a burning more than itching feeling 11 days s/p smallpox vaccination
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Coma, Crying, Erythema, Feeling hot, Hyperhidrosis
Clinical narrative: Child received separate doses of DTaP, IPV, Hib, Prevnar and HBV. Child cried vigorously and then described as "very quiet." Became pale and diaphoretic within 2 minutes after injections. I examined the infant approximately five minutes after the symptoms began. The infant had mild pallor and diaphoresis. Held in mother's arms and appeared to be staring, not responsive. Infant began to cry and move spontaneously immediately upon being placed on exam table. Heart rate 110, respiratory rate not recorded. Was breathing without distress. BP 92/36. Extremities were warm and pink with brisk capillary refill. Infant's pallor resolved within minutes. Began breastfeeding without difficulty within approximately 15 minutes after event began. Vital signs remained stable and WNL. Infant was discharged from the office after observation time of approximately 30 minutes. Follow-up phone call to mother was made approximately six hours after event. Baby described as "a little sleepy" but otherwise appeared well, back to usual activity and normal feeding.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Pallor, Staring
Clinical narrative: Child received separate doses of DTaP, IPV, Hib, Prevnar and HBV. Child cried vigorously and then described as "very quiet." Became pale and diaphoretic within 2 minutes after injections. I examined the infant approximately five minutes after the symptoms began. The infant had mild pallor and diaphoresis. Held in mother's arms and appeared to be staring, not responsive. Infant began to cry and move spontaneously immediately upon being placed on exam table. Heart rate 110, respiratory rate not recorded. Was breathing without distress. BP 92/36. Extremities were warm and pink with brisk capillary refill. Infant's pallor resolved within minutes. Began breastfeeding without difficulty within approximately 15 minutes after event began. Vital signs remained stable and WNL. Infant was discharged from the office after observation time of approximately 30 minutes. Follow-up phone call to mother was made approximately six hours after event. Baby described as "a little sleepy" but otherwise appeared well, back to usual activity and normal feeding.
Age: 31.0
Sex: F
Vaccine: HEPAB, TD
Symptoms: Pruritus, Rash
Clinical narrative: Rash to Left arm, itching. Soumedrol 125mg IM Benedryl 50mg IM
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Asthenia, Pain
Clinical narrative: Received shot and that night my left arm from neck to finger tips hurts really bad.  Was given Rofecoxib.  Couldn't even lift a 20lb dumbell.
Age: 12.0
Sex: F
Vaccine: HEP, TD
Symptoms: Injection site erythema, Injection site rash, Injection site warmth, Pyrexia, Vomiting
Clinical narrative: Injection site red, warm to touch, rash. Had difficulty moving right arm. Temperature was 101.0 F, and patient had vomiting. Patient was seen at emergency room, given tylenol and something for vomiting.
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Chest pain, Chills, Hypoaesthesia, Peripheral coldness, Pyrexia
Clinical narrative: Approx 2115 - started with a shooting pain in the chest (only lasted a second), followed by extreme chills.  So extreme, teeth chattered together and finger tips were numb and cold.  Temperature was normal at this time. 2223 - Chills continued, temperature 102.3 2243 - Chills continued, temperature 101.9 2310 - Chills subsided, temperature 103 2339 - temperature 102.8 0121 - temperature 102.2 0158 - temperature 101.2 0231 - temperature 100.9 0316 - temperature 99.7 0801 - temperature 97.1 (strength returned)
Sex: U
Vaccine: FLUN3
Symptoms: Asthenia, Dizziness, Dry throat, Dysphonia, Dyspnoea
Clinical narrative: Pt was vaccinated on Friday. She immediately felt lightheadedness, hoarse voice.  The next morning she felt a mild difficulty breathing that lasted for 4 days.  One week after vaccination she felt very weak, and had scratchy throat, itching in back, fever, and was diagnosed with bilateral pneumonia.  All 3 other family members (husband and two children) received FluMist on the same day but had no adverse events to report.  She is reportedly healthy, and has no history of allergies or asthma.
Sex: U
Vaccine: FLUN3
Symptoms: Pneumonia, Pruritus, Pyrexia
Clinical narrative: Pt was vaccinated on Friday. She immediately felt lightheadedness, hoarse voice.  The next morning she felt a mild difficulty breathing that lasted for 4 days.  One week after vaccination she felt very weak, and had scratchy throat, itching in back, fever, and was diagnosed with bilateral pneumonia.  All 3 other family members (husband and two children) received FluMist on the same day but had no adverse events to report.  She is reportedly healthy, and has no history of allergies or asthma.
Sex: U
Vaccine: VARCEL
Symptoms: Cough, Croup infectious, Erythema, Stridor, Swelling face
Clinical narrative: Information has been received from a physician concerning a patient with no known history who was vaccinated with a dose of varicella virus vaccine live. There was no illness at the time of vaccination. On 2/25/03 the patient experienced stridor, a croupy cough, facial erythema and mild swelling. The patient's lungs were clear. The patient was given epinephrine 1:1000, 0.1ml SC followed by a racemic epinephrine nebulizer treatment. The patient was also given diphenhydramine hcl and prednisolone sodium phosphate 22.5mg po. It was reported that these symptoms resolved in 15-20 minutes. She was observed in the office over the following 30 minutes and was then allowed to leave. Later that day, the patient developed wheezing requiring an ER visit for bronchodilator nebulizers. No other information was provided. Upon internal review, the patient's experienced was considered to be an other important medical event (OMIC). Additional information has been requested.
Sex: U
Vaccine: VARCEL
Symptoms: Wheezing
Clinical narrative: Information has been received from a physician concerning a patient with no known history who was vaccinated with a dose of varicella virus vaccine live. There was no illness at the time of vaccination. On 2/25/03 the patient experienced stridor, a croupy cough, facial erythema and mild swelling. The patient's lungs were clear. The patient was given epinephrine 1:1000, 0.1ml SC followed by a racemic epinephrine nebulizer treatment. The patient was also given diphenhydramine hcl and prednisolone sodium phosphate 22.5mg po. It was reported that these symptoms resolved in 15-20 minutes. She was observed in the office over the following 30 minutes and was then allowed to leave. Later that day, the patient developed wheezing requiring an ER visit for bronchodilator nebulizers. No other information was provided. Upon internal review, the patient's experienced was considered to be an other important medical event (OMIC). Additional information has been requested.
Age: 0.25
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Cyanosis, Decreased appetite, Hypotonia, Irritability, Laboratory test abnormal
Clinical narrative: Premature infant (26 wk) rec'd 2 month vaccinations that evening-decreased appetite, vomited, fussy, episodes of turning pale/ cyanotic, limp-fairly brief but recurred. total of 4-5 x. Observed in physician's office by MD. Admitted to ICU.
Age: 0.25
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pallor, Vomiting
Clinical narrative: Premature infant (26 wk) rec'd 2 month vaccinations that evening-decreased appetite, vomited, fussy, episodes of turning pale/ cyanotic, limp-fairly brief but recurred. total of 4-5 x. Observed in physician's office by MD. Admitted to ICU.
Age: 49.0
Sex: M
Vaccine: FLU3
Symptoms: Facial palsy, Headache, Laboratory test abnormal, Muscle twitching, Viral infection
Clinical narrative: Patient received Fluzone 11/10/03. Presented to health unit 11/12/03 with left facial paralyses temperature 98.4 Refresh eye drops for lubrication. THe medical record received on 4/5/04 states headaches, and twitching of left eye.
Age: 18.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dysarthria, Face oedema, Facial palsy, Headache, Lacrimation increased
Clinical narrative: Patient received Fluvirin 0.5 ml in left dorsotransverse /intramuscularly on 1/23/04. On approx. 1/29/04 pt. noticed runny nose, runny eyes, maybe a slight temp but it was not checked also complained of "bad headache" a day or 2 later. On 2/1/04 pt. stated tongue was numb in AM. By the evening her left side of face was swollen and her speech was slurred. Went to ER that evening, cat scan done and referred to a neurologist. Put on Prednisone and Acyclovir. Still unresolved as of 2/20/04. medical records state facial paralysis. msv
Age: 18.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Rhinorrhoea, Tongue paralysis
Clinical narrative: Patient received Fluvirin 0.5 ml in left dorsotransverse /intramuscularly on 1/23/04. On approx. 1/29/04 pt. noticed runny nose, runny eyes, maybe a slight temp but it was not checked also complained of "bad headache" a day or 2 later. On 2/1/04 pt. stated tongue was numb in AM. By the evening her left side of face was swollen and her speech was slurred. Went to ER that evening, cat scan done and referred to a neurologist. Put on Prednisone and Acyclovir. Still unresolved as of 2/20/04. medical records state facial paralysis. msv
Age: 18.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dysarthria, Facial palsy, Upper respiratory tract infection
Clinical narrative: Patient received Fluvirin 0.5 ml in left dorsotransverse /intramuscularly on 1/23/04. On approx. 1/29/04 pt. noticed runny nose, runny eyes, maybe a slight temp but it was not checked also complained of "bad headache" a day or 2 later. On 2/1/04 pt. stated tongue was numb in AM. By the evening her left side of face was swollen and her speech was slurred. Went to ER that evening, cat scan done and referred to a neurologist. Put on Prednisone and Acyclovir. Still unresolved as of 2/20/04. medical records state facial paralysis. msv
Age: 0.17
Sex: M
Vaccine: DTP, HIBV, IPV, PNC
Symptoms: Agitation, Crying, Irritability
Clinical narrative: 2 month old given PCV/HIB (right thigh) DTaP #1/ IPV left thigh. Patient began to be irritable from 7 pm (2-19-04) till morning of 2-20-04 with excessive crying and irritability.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection, Pyrexia, Rash
Clinical narrative: Positive Varicella. Rash, fever level2/24/04. Had immunization in 98.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash vesicular
Clinical narrative: Vaccinated 2/9/04. Developed rash consistent with varicella 2/23/04. Documented in physician office 2/25/04. No treatment necessary.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Inflammation
Clinical narrative: 9.5 x 6.5 cm erythema with inflammation.
Age: 36.0
Sex: M
Vaccine: RAB
Symptoms: Asthenia, Coma, Dizziness, Eye movement disorder, Hyperhidrosis
Clinical narrative: 02-13-04, 11:10, Pre-Rabies vaccine (AV-X0581) given in left deltoid IM. No known allergy. No past medical history except elevated cholesterol and cholesterol lowering medication. States he does get dizzy at times when he has blood drawn. 11:20 pt. alert and talking and states "I don't feel so well, I think I better sit down." Assisted pt. to cot and he fell back onto the cot with eyes rolled back in his head and unresponsive. Color pale ashey and diaphoretic. Patient unresponsive for approx. 90 seconds. Nail beds white but not dusky. Patient responded after 90 seconds and was very diaphoretic, color pale yellow now, lips white Blood Pressure 100/64, Heart Rate 50, Respiratory 12. Pt. alert and oricated X 3. Papils equal. No Shortness of Breath. 11:25 Blood pressure 100/70, Heart rated 60, Respiratory 16. Remains diaphoretic, denies pain. Color the same. 11:30 Blood pressure 80/60, Heart rate 56, Respiratory 12. Drank a glass of soda. At Ox3 cool and clammy now. Lips now pale pink. Nail beds pink with cap refill with in 1-2 sec. Feet elevated. No hives, rash or SOB. L/S clear. 11:45 Blood pressure 96/64, Heart rate 60, Respiratory 16. Taking sips of soda. Cool and dry now. Color remains the same. Wife notified and will come. 11:50 Blood pressure 98/66, Heart rate 58, Respiratory 16 complained of feeling nauseated but no vomiting. No SOB. 12:00 Blood pressure 110/70, Heart Rate 56, Respiratory 16. Wife here. Warm and dry now. Color slightly improved with pink lips now. At dx3. Taking soda and ate a few cracker. 12:15 B/P 94/68, HR 54, Resp. 16 complained of dizziness and feeling weak when he sits up. Nursing supervisor notified. 12:30 B/P 94/68, HR 64, Resp. 16. Lips now red and color more pink. 12:45 B/P 108/78, HR 60, Resp. 20. Doctor notified and returned call. Notified of his reaction and vitals. Advised if pt. did not feel better after resting a while then he needed to be taken to the ER to have a l of IV fluids. 13:15 B/P 112/80, HR 68, Resp. 20. At Ox3 skin warm and dry Pt. now sitting up and "feeling better" Color and lips pink. Denies dizziness or shortness or breath or nausea/vomiting. No rash or hives noted. 13:30 Patient states he feels well enough to go home now with wife. Pt. stood up and tol well. Taken to wife's car via wheelchair. Color pink v.s. stable skin warm and dry. At 0x3. Advised of doctor advise to go to ER if any further problems or signs and symptoms. 14:00 follow-up call made to pt. at home states "I'm feeling a lot better now, I'm working at the computer." Denies dizziness, n/v hives/rash or SOB. Notified of any s/s return or development to report to ER immediately
Age: 36.0
Sex: M
Vaccine: RAB
Symptoms: Malaise, Nail discolouration, Nausea, Pallor
Clinical narrative: 02-13-04, 11:10, Pre-Rabies vaccine (AV-X0581) given in left deltoid IM. No known allergy. No past medical history except elevated cholesterol and cholesterol lowering medication. States he does get dizzy at times when he has blood drawn. 11:20 pt. alert and talking and states "I don't feel so well, I think I better sit down." Assisted pt. to cot and he fell back onto the cot with eyes rolled back in his head and unresponsive. Color pale ashey and diaphoretic. Patient unresponsive for approx. 90 seconds. Nail beds white but not dusky. Patient responded after 90 seconds and was very diaphoretic, color pale yellow now, lips white Blood Pressure 100/64, Heart Rate 50, Respiratory 12. Pt. alert and oricated X 3. Papils equal. No Shortness of Breath. 11:25 Blood pressure 100/70, Heart rated 60, Respiratory 16. Remains diaphoretic, denies pain. Color the same. 11:30 Blood pressure 80/60, Heart rate 56, Respiratory 12. Drank a glass of soda. At Ox3 cool and clammy now. Lips now pale pink. Nail beds pink with cap refill with in 1-2 sec. Feet elevated. No hives, rash or SOB. L/S clear. 11:45 Blood pressure 96/64, Heart rate 60, Respiratory 16. Taking sips of soda. Cool and dry now. Color remains the same. Wife notified and will come. 11:50 Blood pressure 98/66, Heart rate 58, Respiratory 16 complained of feeling nauseated but no vomiting. No SOB. 12:00 Blood pressure 110/70, Heart Rate 56, Respiratory 16. Wife here. Warm and dry now. Color slightly improved with pink lips now. At dx3. Taking soda and ate a few cracker. 12:15 B/P 94/68, HR 54, Resp. 16 complained of dizziness and feeling weak when he sits up. Nursing supervisor notified. 12:30 B/P 94/68, HR 64, Resp. 16. Lips now red and color more pink. 12:45 B/P 108/78, HR 60, Resp. 20. Doctor notified and returned call. Notified of his reaction and vitals. Advised if pt. did not feel better after resting a while then he needed to be taken to the ER to have a l of IV fluids. 13:15 B/P 112/80, HR 68, Resp. 20. At Ox3 skin warm and dry Pt. now sitting up and "feeling better" Color and lips pink. Denies dizziness or shortness or breath or nausea/vomiting. No rash or hives noted. 13:30 Patient states he feels well enough to go home now with wife. Pt. stood up and tol well. Taken to wife's car via wheelchair. Color pink v.s. stable skin warm and dry. At 0x3. Advised of doctor advise to go to ER if any further problems or signs and symptoms. 14:00 follow-up call made to pt. at home states "I'm feeling a lot better now, I'm working at the computer." Denies dizziness, n/v hives/rash or SOB. Notified of any s/s return or development to report to ER immediately
Age: 1.0
Sex: M
Vaccine: IPV, PNC, VARCEL
Symptoms: Apnoea, Balance disorder, Dizziness, Febrile convulsion, Gastroenteritis
Clinical narrative: 2/9/04 Temp 102.8- mom states child became limp and stopped breathing-Mothers grandfather blew air into child's mouth-Emergency medical services called but did not transport-mother and maternal grandparents took child to Peds. seen by doctor for febrile seizure with gastroenteritis- 2/12/04 seen by doctor with dizziness and poor balance-Developed rash 2/13/04 for 3 days.
Age: 1.0
Sex: M
Vaccine: IPV, PNC, VARCEL
Symptoms: Hypotonia, Pyrexia, Rash
Clinical narrative: 2/9/04 Temp 102.8- mom states child became limp and stopped breathing-Mothers grandfather blew air into child's mouth-Emergency medical services called but did not transport-mother and maternal grandparents took child to Peds. seen by doctor for febrile seizure with gastroenteritis- 2/12/04 seen by doctor with dizziness and poor balance-Developed rash 2/13/04 for 3 days.
Age: 4.5
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema, Skin nodule
Clinical narrative: 4 inch by 4 inch area of increased erythema with increased warmth, mild induration and mild edema. Area was located on upper left thigh.
Age: 52.0
Sex: M
Vaccine: LYME
Symptoms: Arthritis, Pain
Clinical narrative: A physician reported the occurrence of arthritis in a 52 year old male who was vaccinated with Lyme disease vaccine recombinant OsaP (Lymerix) for prophylaxis.  The subject's medical history, concurrent conditions and concurrent medications were not specified.  The subject received his second injection of Lymerix on an unspecified date in 1999.  The subject presented to the reporting physician in April 2000.  The physician made a diagnosis of arthritis.  He prescribed ibuprofen (Advil) and celecoxib (Celebrex), which did not provide the subject with pain relief.  The subject reported pain relief following the administration of unspecified steroids.  The arthritis persisted as of 01/07/03.  The reporting physician considered the arthritis to be possibly related to Lymerix administration.
Age: 39.0
Sex: M
Vaccine: LYME
Symptoms: Polyarthritis
Clinical narrative: A physician reported the occurrence of polyarthritis in a 39 year old male who was vaccinated with Lyme disease vaccine recombinant OsaP (Lymerix) for prophylaxis.  The subject's medical history, concurrent conditions, and concurrent medications were not reported.  On 06/07/1999, the subject received his first injection of Lymerix (Lot # 063364621).  In July 1999, the subject developed polyarthritis.  In October 1999, the subject received his second injection of Lymerix (Lot # 10652838).  On unspecified dates, the polyarthritis worsened and was treated with "high-dose" antibiotics.  As of 02/21/03, the polyarthritis persisted, but seemed to be improving "a little".  The subject believe that Lymerix administration was "the cause" of the event.  The Lymerix immunization series was discontinued.  Comment: The reporting physician stated that the lot numbers for the Lymerix injections were 063364621 and 10652838, respectively.  However, these are not valid lot numbers.
Age: 50.0
Sex: F
Vaccine: LYME
Symptoms: Hypokinesia, Pain
Clinical narrative: This report describes the occurrence of arm pain in a 50 year old female who was vaccinated with Lyme disease vaccine recombinant OsaP (Lymerix) for prophylaxis.  This report was received from the subject and has not been verified by a physician or other health care professional.  Reportedly, the subject's medical history included glaucoma.  The subject stated that she experienced no adverse events following previous immunizations.  The subject reported that her concurrent medications included bimatoprost (Lumigan) eyedrops and alendronate sodium (Fosamax).  The subject stated that from 1998 to 1999 she received three injections of Lymerix.  Reportedly, beginning in November 2002, she noticed that her arms were aching and that it was difficult to lift them.  She stated that the pain started in her left arm and she now had discomfort in both arms.  It was typically worse in the morning, improved throughout the day, but did not completely resolve.  As of 02/26/03, the events were reportedly "worse".  The subject had not sought medical attention.
Age: 17.0
Sex: M
Vaccine: LYME
Symptoms: Laboratory test abnormal, Oedema
Clinical narrative: A physician reported the occurrence of bilateral knee swelling in a 17 year old male who was vaccinated with Lyme disease vaccine recombinant OsaP (Lymerix) for prophylaxis.  The subject's medical history, concurrent conditions and concurrent medications were unknown.  In early 2002, the subject received two injections of Lymerix.  In approximately May 2002, the subject experienced a "transient" episode of knee swelling, which resolved.  "Recently", on an unspecified date, the subject presented to the physician with swelling of the other knee.  Synovial fluid was aspirated; it showed "lots of positive IgG bands".  As of 03/03/03, the event persisted.
Age: 30.0
Sex: F
Vaccine: LYME
Symptoms: Arthralgia, Headache, Red blood cell sedimentation rate increased
Clinical narrative: This report describes the occurrence of joint pain in an approximately 30 year old female who was vaccinated with Lyme disease recombinant OsaP (Lymerix) for prophylaxis.  This report was originally received from the pt and was partially verified by a physician.  The subject reportedly received no concurrent medications or vaccines.  The pt's medical history included post-traumatic headache and ovarian cysts.  The pt does not have a history of gout, psoriasis, Crohn's disease or Lyme disease.  No family history or rheumatoid arthritis or Lupus.  The pt reportedly experienced no adverse events following previous immunizations.  The pt stated that she received her second injection of Lymerix on 08/27/01.  In 2002, she began to experienced joint pain and headache.  These events were treated with acupuncture.  As of 03/20/03, the joint pain and headache reportedly persisted.  Follow-up was received from the vaccine provider on 10/17/03.  The physician reported that he had not evaluated the pt for any joint complaints.  The physician also reported that joint disorders were never documented on physical examination and that a head CT scan in July 2001 was normal, and erythrocyte sedimentation rate (ESR) was 1mm/hr on 07/02/01.  The physician considered the events to be unrelated to vaccination with Lymerix and possibly related to the pt's medical history.  As of 10/08/03, the outcomes of the reported events were unknown.
Age: 52.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Laboratory test abnormal
Clinical narrative: A physician reported the occurrence of arthralgia in a 52 year old male who was vaccinated with Lyme disease vaccine recombinant OsaA (Lymerix) for prophylaxis.  The subject's medical history, concurrent conditions, and concurrent medications were not reported.  The subject received injections of Lymerix on 05/03/00, 06/08/00 and 10/03/00.  The third injection was administered five months after the first injection, rather than the recommended interval of 12 months.  In approximately March 2002, he began to experience arthralgia of the knees and ankels.  He was seen  by the physician.  Testing for the HLA-DR4 gene was positive.  The physician considered the arthralgia to be possibly related to Lymerix administration.  As of 03/28/03, the arthralgia persisted.
Age: 71.0
Sex: M
Vaccine: LYME
Symptoms: Erythema, Laboratory test abnormal
Clinical narrative: A physician reported the occurrence of Lyme disease in a 71 year old male who was vaccinated with Lyme disease vaccine recombinant OspA (Lymerix) for prophylaxis as part of a clinical trial. The reporting physician submitted this report directly to VAERS.  The subject's medical history, concurrent conditions, and concurrent medications were not reported.  In approximately 1997, the subject received his first and second injections of Lymerix during a clinical trial.  on 04/03/03, the subject was exposed to ticks and developed erythema at the site of a tick bite.  There were no systemic symptoms.  A Lyme IgG Western Blot performed on 04/07/03 was positive.  The reporting physician stated that Lymerix "did not confer immunity"; however, the subject had not received the recommended booster dose.  The subject was treated for Lyme disease.  As of 06/03/03, the outcome of the Lyme disease was unknown.
Age: 69.0
Sex: M
Vaccine: FLUX, LYME
Symptoms: Arthritis
Clinical narrative: This report describes the occurrence of arthritis in a 69 year old male who was vaccinated with Lyme disease vaccine recombinant OspA (Lymerix) for prophylaxis.  This report was received from the subject and has not been verified by a physician or other healthcare professional.  Reportedly, the subject had no relevant medical history, concurrent conditions, or concurrent medications. Reportedly, the subject experienced no adverse events following previous immunizations.  The subject stated that he received injections of Lymerix in approximately "January/February 2000", one month after the first injection, and "November/December 2000".  The third injection was administered nine to eleven months after the first injection, rather than the recommended interval of twelve months. At the time of administration of the third Lymerix injection, the subject reportedly received an injection of influenza virus vaccine (manufacturer unknown).  The subject stated that "during the course of" the year 2001, he developed arthritis in both hands.  He was reportedly referred by his physician to a specialist, who recommended corticosteroid injections into his hands.  The subject reported that the corticosteroid injections were "very painful and offered  very little relief from the arthritis symptoms".  As of 04/30/03, the arthritis persisted.
Age: 67.0
Sex: M
Vaccine: LYME
Symptoms: Arthritis
Clinical narrative: This report describes the occurrence of arthritis in a 67 year old male who was vaccinated with Lyme disease vaccine recombinant OspA (Lymerix) for prophylaxis. This report was received from the subject and has not been verified by a physician or other healthcare professional.  The subject's medical history and concurrent conditions were not reported.  The subject's concurrent medications reportedly included unspecified vitamins.  The subject reported that he received injections of Lymerix on 04/24/1999, 05/24/1999 and 04/24/00.  He stated, "within a relatively short time thereafter, I was stricken with, what was diagnosed as 'Arthritis'."  The  subject was reportedly seen by a "specialist", who prescribed celecoxib (Celebrex).  The "specialist" reportedly wanted to perform hip replacement surgery.  The subject stated that, after two weeks of celecoxib therapy, "my condition did improve somewhat (I could walk without dragging my foot)." The subject also reported that he began taking "the maximum daily amount" of glucosamine and chondroitin (Osteo Biflex), which "seemed to help".  The subject stated, "Despite all of that, I have, nevertheless, not been able to play tennis or do other things that I enjoy.  Now, (4) years later [sic], I am finding the helpful effects of Glucosamine Chondroitin diminishing and the Arthritis re-asserting itself."
Age: 40.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Dizziness, Drug ineffective, Headache, Hypersensitivity
Clinical narrative: A nurse reported the occurrence of possible Lyme disease in a 40-year-old male who was vaccinated with Lyme disease vaccine recombinant OspA (LYMErix) for prophylaxis. Additional information was received from the subject. The subject's medical history included anaphylaxis following bee stings, "mild" allergic rhinitis, asthma, and allergy to amoxicillin. Concurrent medications included triamcinolone inhaler (Azmacort), another unspecified inhaler, albuterol, epinephrine (EpiPen), a multivitamin, and calcium. The subject received his first two injections of LYMErix on 09 June 1999 and 08 July 1999, respectively. He reported "feeling slightly lightheaded" following the second injection. The lightheadedness resolved after an unspecified period of time. The subject received his third injection of LYMErix on 28 April 200. At an unspecified time post-immunization the subject began to experience joint pain and neck pain. Lyme IgG and IgM Western blots were positive on 15 April 2003, and a diagnosis of possible Lyme disease was made. The nurse practitioner prescribed cefuroxime (Ceftin). On day nine of the treatment course, the subject "broke out in severe hives". As of 21 May 2003, the subject was "becoming progressively worse." On 12 June 2003, the subject reported that he developed achy knees and shoulders, "severe" headaches, dizziness, and a food allergy after the third injection of LYMErix. he reported that all these events persisted as of 12 June 2003, and were "worse". The subject stated that the symptoms were "resistant to antibiotic therapy".
Age: 40.0
Sex: M
Vaccine: LYME
Symptoms: Laboratory test abnormal, Neck pain, Pain, Urticaria
Clinical narrative: A nurse reported the occurrence of possible Lyme disease in a 40-year-old male who was vaccinated with Lyme disease vaccine recombinant OspA (LYMErix) for prophylaxis. Additional information was received from the subject. The subject's medical history included anaphylaxis following bee stings, "mild" allergic rhinitis, asthma, and allergy to amoxicillin. Concurrent medications included triamcinolone inhaler (Azmacort), another unspecified inhaler, albuterol, epinephrine (EpiPen), a multivitamin, and calcium. The subject received his first two injections of LYMErix on 09 June 1999 and 08 July 1999, respectively. He reported "feeling slightly lightheaded" following the second injection. The lightheadedness resolved after an unspecified period of time. The subject received his third injection of LYMErix on 28 April 200. At an unspecified time post-immunization the subject began to experience joint pain and neck pain. Lyme IgG and IgM Western blots were positive on 15 April 2003, and a diagnosis of possible Lyme disease was made. The nurse practitioner prescribed cefuroxime (Ceftin). On day nine of the treatment course, the subject "broke out in severe hives". As of 21 May 2003, the subject was "becoming progressively worse." On 12 June 2003, the subject reported that he developed achy knees and shoulders, "severe" headaches, dizziness, and a food allergy after the third injection of LYMErix. he reported that all these events persisted as of 12 June 2003, and were "worse". The subject stated that the symptoms were "resistant to antibiotic therapy".
Sex: M
Vaccine: LYME
Symptoms: Bursitis, Fatigue
Clinical narrative: This case was reported by a physician and described the occurrence of bursitis in a male patient who received Lyme disease vaccine recombinant OspA (LYMErix) for prophylaxis. On a unspecified date, the patient received the 1st dose of LYMErix. Approximately 6 months post-immunization, the patient experienced bursitis and chronic fatigue. The outcome of the events is unknown.
Sex: F
Vaccine: LYME
Symptoms: Arthritis
Clinical narrative: This case described the occurrence of "arthritis feelings" in the fingers of an adult female patient who received Lyme disease vaccine recombinant OspA (LYMErix) for prophylaxis. This report was received from a patient, who is a pharmacist. On a unspecified date, the patient received her 3rd dose of LYMErix. "A few months" later, the patient began to experience "arthritis feelings" in her fingers. As of 25 June 2003, the event persisted.