chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 43.0
Sex: F
Vaccine: HEP
Symptoms: Headache
Clinical narrative: Information has been received from a health care professional concerning a 43 year old black female pt who on 8/3/98 was vaccinated with the 1st dose of Hep-B vaccine recombinant. That same day, she developed a headache "which lasted for 3 days". The pt sought unspecified medical attention. On 9/25/1998, the pt received the 2nd dose and "again developed another headache which lasted until the following day". On 2/5/99, the pt was vaccinated with the third dose and that same day she "developed a minor headache". On 2/7/99, she developed a "major headache". Subsequently, the pt recovered. No further information is available.
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: Information has been received from a RN concerning a female who was vaccinated with a 2nd dose of Hep-B vaccine recombinant. Subsequently, the pt experienced hives. No further information is available.
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Chest discomfort, Dyspnoea, Hypoaesthesia, Pain
Clinical narrative: Information has been received from a registered nurse concerning a 20 year old female who on 2/12/99 was vaccinated with the 1st dose of Hep-B vaccine recombinant. Two hours, post vax, the pt experienced arm pain and numbness, dyspnea and chest discomfort. The pt was taken to the ER. She was given diphenhydramine HC1 (Benadryl) and was released. The pt recovered on 2/13/99. No further information is available.
Age: 13.0
Sex: F
Vaccine: HEP
Symptoms: Hypoaesthesia, Skin discolouration
Clinical narrative: Information has been received from a health care professional concerning a 13 year old female who on 2/17/99, was vacinated with a 2nd dose of Hep-B vaccine recombinant and 15 minutes, post vax, her left arm turned purple down to her fingers and her wrist to fingertips felt numb. Subsequently, the pt recovered from the arm discoloration and the numbness is resolving. Additional information has been requested.
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Blood pressure increased, Rheumatoid arthritis, Systemic lupus erythematosus
Clinical narrative: Information has been received from a 29 year old white female who on 7/20/92 was vaccinated with Hep-B vaccine recombinant. On 7/20/93, the pt experienced lupus and rheumatoid arthritis. She also experienced a blood pressure increase. She was administered captopril, Relafen and Minocin. No further information is available.
Sex: F
Vaccine: HEP
Symptoms: Myalgia
Clinical narrative: Information has been received from a physician concerning a female who on 12/29/98 was vaccinated with a 2nd dose of Hep-B vaccine recombinant. On 2/14/99, the pt experienced pain in her left arm muscle (deltoid). Additional information has been requested.
Age: 41.0
Sex: F
Vaccine: HEP
Symptoms: Hepatitis
Clinical narrative: Information has been received from an approximately 41 year old female who on 6/10/93, 7/14/93 and 12/14/93 was vaccinated with the 1st, 2nd and 3rd doses of Hep-B vaccine recombinant. In approximately 1993, lab evaluation revealed a "positive test for Hep-B". No further information is available.
Age: 42.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Cardiac disorder, Cardiovascular disorder, Drug ineffective, Gastrointestinal disorder
Clinical narrative: Information has been received from a 42 year old female RN who was vaccinated with a 1st, 2nd, 3rd and booster dose of Hep-B vaccine recombnant in approximately 1987, 1990 and 1991 and sometime after the 3rd dose. A couple of weeks after the 1st dose, the pt developed a butterfly rash, stomach "problems" and joint pain. Following the 2nd dose, she developed heart problems and underwent a heart catherterization that revealed an irregular heart beat and heart murmur. Following the 3rd dose, the pt developed pneumonia. Subsequently, the pt's lab values indicated she did not seroconvert. Following the booster dose, she developed pneumonia. In 1996, "after having pneumonia 7 times, the pt broke her ankle and was dx'd with lupus." The pt reported that "seven other nurses at her hospital have been dx'd with either lupus, arthritis, chronic fatigue syndrome or fibromyalgia after receiving Hep-B vaccine recombinant. In addition, several others have experienced symptoms but not yet been dx'd". Additional information has been requested.
Age: 42.0
Sex: F
Vaccine: HEP
Symptoms: Injury, Pneumonia, Rash, Systemic lupus erythematosus
Clinical narrative: Information has been received from a 42 year old female RN who was vaccinated with a 1st, 2nd, 3rd and booster dose of Hep-B vaccine recombnant in approximately 1987, 1990 and 1991 and sometime after the 3rd dose. A couple of weeks after the 1st dose, the pt developed a butterfly rash, stomach "problems" and joint pain. Following the 2nd dose, she developed heart problems and underwent a heart catherterization that revealed an irregular heart beat and heart murmur. Following the 3rd dose, the pt developed pneumonia. Subsequently, the pt's lab values indicated she did not seroconvert. Following the booster dose, she developed pneumonia. In 1996, "after having pneumonia 7 times, the pt broke her ankle and was dx'd with lupus." The pt reported that "seven other nurses at her hospital have been dx'd with either lupus, arthritis, chronic fatigue syndrome or fibromyalgia after receiving Hep-B vaccine recombinant. In addition, several others have experienced symptoms but not yet been dx'd". Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HEP
Symptoms: Eye disorder, Muscular weakness
Clinical narrative: Information has been received from a physician concerning an 18 year old white female who on 1/15/99, was vaccinated with 1 dose of Hep-B vaccine recombinant. In January, 1999, several days, post vax, the pt experienced left upper extremity weakness and right upper eyelid droop. The pt sought unspecified medical treatment. The physician noted "EOM's intact, no facial paralysis, normal fundi, and no other cranial nerve deficits." The pt has recovered from upper extremity weakness "after 2 days" and eyelid droop "7 weeks after the injection." No further information is available.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Headache, Multiple sclerosis, Paraesthesia
Clinical narrative: In 1994, following the 3rd dose of Hep B, the pt subsequently reported symptoms of "tingling of hands and feet" in the beginning of 1994. The pt was seen by an OB/GYN in May, 1994 for headaches and the physician discontinued therapy with Ortho Novum. The headaches resolved. On 9/2/95, the pt was seen by a neurologist and was dx with multiple sclerosis. The reporter considered this experience disabling. Additional information has been requested.
Age: 42.0
Sex: F
Vaccine: HEP
Symptoms: Arthritis, Fatigue, Fibromyalgia, Systemic lupus erythematosus
Clinical narrative: Information has been received from a 42 year old female registered nurse, concerning "seven other nurses" and "several others" who were vaccinated with Hep B vaccine. Subsequently, post vaccination, the seven nurses were "diagnosed with either lupus, arthritis, chronic fatigue syndrome or fibromyalgia."  In addition, several others have experienced symptoms but not yet been diagnosed."  Additional information has been requested.
Sex: U
Vaccine: HEP
Symptoms: Arthralgia, Pain
Clinical narrative: Information has been received from a physician concerning a pt who was vaccinated with Hep B vaccine. Within 3 days of vaccine, the pt experienced joint pain and arm pain "not at the injection site." Additional information has been requested.
Age: 40.0
Sex: F
Vaccine: HEP
Symptoms: Anorexia, Dizziness, Heart rate increased, Nausea, Pyrexia
Clinical narrative: On 3/2/99, approximately 2 hours post vax, the pt experienced lightheadedness, loss of appetite, and light nausea, along with fever and chills. Eight hours post vax, the pt noticed a rash on both of her forearms. ON 3/3/99, she experienced accelerated heart rate and visited the MD. The MD ordered the pt not to continue with the rest of the Hep b vaccines series or any other vaccine. Also, the MD recommended that the pt should follow up with an allergist.
Age: 40.0
Sex: F
Vaccine: HEP
Symptoms: Rash, Thrombocytopenia
Clinical narrative: On 3/2/99, approximately 2 hours post vax, the pt experienced lightheadedness, loss of appetite, and light nausea, along with fever and chills. Eight hours post vax, the pt noticed a rash on both of her forearms. ON 3/3/99, she experienced accelerated heart rate and visited the MD. The MD ordered the pt not to continue with the rest of the Hep b vaccines series or any other vaccine. Also, the MD recommended that the pt should follow up with an allergist.
Age: 36.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Headache, Nausea
Clinical narrative: Information has been received from a registered nurse concerning a 36 year old female who on 2/17/99 was vaccinated with Hep b vaccine. Approximately 20 minutes post vax, the pt experienced nausea, dizziness, and headache. The pt recovered in 24 hours. It was also noted that the nurse used 2 5mcg doses instead of one 10 mcg dose. Follow up was received which indicated "not our patient".   No further information is available.
Age: 41.0
Sex: M
Vaccine: HEP
Symptoms: Chest pain, Dizziness, Hypoaesthesia, Malaise, Tinnitus
Clinical narrative: Information has been received from a licensed practical nurse concerning a 41 year old male. The pt was potential exposed to Hep B during surgery and was vaccinated with Hep B. The pt reported no adverse effects following the first vaccination. In August of 1998 shortly after the second vaccination, the pt telephoned the medical center and reported that he was feeling sick, he experienced dizziness, chest pain, numbness in his left arm and the left side of his face and terrible arm sensation. He was sent to the ER but was not admitted. The pt felt the symptoms were related to hep b vaccine. Follow up information received from a nurse on 4/5/99 noted that the pt telephoned the medical center and reported that his chest pain had persisted and also he experienced ringing in his ears. The pt indicated that the hospital believed there was an association between his symptoms and Hep b vaccine. As cited by the pt,
Age: 26.0
Sex: F
Vaccine: HEP
Symptoms: Anaphylactic reaction, Dyspnoea, Rash pruritic
Clinical narrative: On 3/3/99, the pt experienced anaphylaxis consisting of an itchy rash and difficulty breathing. The pt took diphenhydramine (Benadryl),  and her symptoms resolved. This experienced was considered an other medical event. There were no adverse experiences after the first and second doses.  No further information is available.
Sex: U
Vaccine: HEP
Symptoms: Influenza like illness
Clinical narrative: Information has been received from a registered pharmacist concerning a pt who was vaccinated with second dose of Hep B vaccine. Subsequently the pt experienced flu-like signs. the reporter noted that the pt possibly received the second dose late. the pt had not recovered from this symptom at the time of the report. No further information is available.
Age: 69.0
Sex: F
Vaccine: HEP
Symptoms: Feeling hot, Injection site reaction, Rash, Rash macular
Clinical narrative: Information has been received from a registered nurse concerning a 69 year old female pt with diabetes mellitis who on 3/8/99 was vaccinated with Hep B. On 3/10/99, the pt experienced an injection site reaction that consisted of a swollen warm to touch blotchy rash. Additional information has been requested.
Sex: U
Vaccine: HEP
Symptoms: Hypersensitivity, Rash
Clinical narrative: Information has been received from a physician concerning a pt with a hx of rashes and a possible thiomerosol allergy who was vaccinated with one dose of Hep B vaccine. A few weeks following vaccination, the pt presented with a rash. The pt sought unspecified medical attention. No further information is available.
Age: 31.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site pain, Muscle atrophy, Pruritus
Clinical narrative: On 2/13/99, two weeks post vax, with the third dose, the pt experienced soreness, redness, and slight itching near the injection site. Shortly thereafter, an indentation appeared approximately 2.5 inches below the injection site on her upper right arm. The indentation gradually manifested as muscular atrophy. The pt was seen by a dermatologist and a biopsy was performed. The was dx with morphea scarring of the tissue and therapy with doxycycline and calcipotreine topical ointment was initiated.The MD was not certain of the cause of the incident, and was not sure if the incident was vaccine related. At the time of the report, the pt had not recovered from the experience. No further information is available.
Age: 0.7
Sex: F
Vaccine: HEP
Symptoms: Injection site abscess, Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: On approximately 2/28/99, the pt developed an abscess on the arm of the injection characterized by redness, swelling and induration. (parents thought to be a bug bite). A visit to the MD was required and the physician felt there was an association between Hep B vaccine and the adverse events. According to the MD, the episode occurred on the location of the injection. At the time of this report, the symptoms persisted.  No further information is available.
Age: 55.0
Sex: F
Vaccine: HEP
Symptoms: Cellulitis, Dermatitis allergic, Pruritus, Skin exfoliation, Urticaria
Clinical narrative: Information has been received from a physician concerning a 55 year old black female pt with a hx of being "bit" by a pt and also a reaction to vaccination with Hep B vaccine. The pt experienced urticaria and itching with some sloughing of the skin in the antecubital area. The pt sought unspecified medical attention.  The pt was seen by a dermatologist and diagnosed with cellulitis and allergic dermatitis. On 3/19/99, the pt began therapy with clotrimazole with good results. On 5/5/99 the pt was re-evaluted and it was noted that "her rash was coming back, starting last week after she ran out of the cream." Additionally it was noted that the pt had a Hep B antibody titer of 34 at this time. The pt was to return to the office for follow-up exam.   Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Oedema peripheral, Peripheral coldness
Clinical narrative: Approximately one hour post vax, the pt experienced "some extremity swelling and her hand were cold to the touch and somewhat reddened. The pt sought unspecified medical attention. No further information is available.
Age: 44.0
Sex: F
Vaccine: HEP
Symptoms: Acne, Visual disturbance
Clinical narrative: On 11/30/98, the pt received the second dose of Hep B IM. On 12/1/98 she began to experience visual disturbances that "fluctuated and became very evident and severe."  The woman reported that she had previously had perfect vision. She also experienced "acne of the boil type." No further information is available.
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Fatigue
Clinical narrative: Following the first dose, the pt experienced fatigue. It was reported that "she now has good days and bad days related to fatigue." Additional information has been requested.
Age: 8.0
Sex: F
Vaccine: HEP
Symptoms: Diarrhoea, Gastrointestinal disorder
Clinical narrative: On 3/12/99 the pt experienced stomach problems and diarrhea. It was reported that the pt had these symptoms after both doses of Hep B, and the pt's mother was concerned about the pt receiving a third dose. The pt's diarrhea persisted. Additional information has been requested.
Age: 10.0
Sex: M
Vaccine: HEP
Symptoms: Injection site erythema, Rash erythematous, Urticaria
Clinical narrative: The same day of vaccination, the pt experienced a local reaction that consisted of a "quarter sized raised wheel and raised rash wit erythema halfway down the left arm. The local reaction lasted all day and into the evening." The following day, the pt recovered.
Sex: F
Vaccine: HEP
Symptoms: Pyrexia, Vomiting
Clinical narrative: Information has been received from a licenses practical nurse concerning a female pt who in 1998 was vaccinated with a first and second dose of Hep B. Subsequently, after each dose, the pt experienced a fever and vomiting that was described as severe. Additional information has been requested.
Age: 40.0
Sex: F
Vaccine: HEP
Symptoms: Drug ineffective, Hepatitis, Immunoglobulins increased, Infection, Laboratory test abnormal
Clinical narrative: Pt received 1st, 2nd, and 3rd dose of Hepatitis B. Subsequently, the pt was diagnosed with Hepatitis B. Lab tests were performed. Additional information has been requested.
Age: 53.0
Sex: F
Vaccine: FLUX, HEP
Symptoms: Asthenia, Fatigue, Myalgia, Sleep disorder
Clinical narrative: The pt received the influenza virus vax in 11/1998 and subsequently experienced muscle pain all over with weakness, total exhaustion and difficulty sleeping around 12/1998. The pt noted 'can't make it up a flight of stairs.' Additional information has been requested.
Age: 21.0
Sex: M
Vaccine: HEP
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased
Clinical narrative: This 21-year-old pt received vax 12/1998. Serum alanine and serum aspartate tests revealed elevated levels. The pt sought unspecified medical attention. Subsequently, the pt's levels returned to normal range. No further information is available.
Age: 40.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Arthritis, Hypokinesia, Musculoskeletal stiffness, Neck pain
Clinical narrative: Information received from a 40-year-old female dentist who was vaccinated with hepatitis b vaccine recombinant. In approximately 1996, the pt experienced arthritic joint pain that appears to be "fully disseminated." The pt also experienced neck pain and stiffness and noted "could not lift her head up." The pt also noted having a fever. The pt's symptoms continued at the time of reporting. Additional information has been requested.
Age: 40.0
Sex: F
Vaccine: HEP
Symptoms: Pain, Pyrexia
Clinical narrative: Information received from a 40-year-old female dentist who was vaccinated with hepatitis b vaccine recombinant. In approximately 1996, the pt experienced arthritic joint pain that appears to be "fully disseminated." The pt also experienced neck pain and stiffness and noted "could not lift her head up." The pt also noted having a fever. The pt's symptoms continued at the time of reporting. Additional information has been requested.
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Urticaria
Clinical narrative: This registered nurse, a 45-year-old female, received hepatitis b vaccine recombinant. One hour post vax, the pt developed hives and itching. It was reported that the hives were visible to the registered nurse. No concomitant medications were given. The hives have resolved but the itching persists. The pt was treated with oral and topical diphenhydramine HCl (Benadryl). Additional information has been requested.
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Hypokinesia, Injection site pain, Injection site swelling, Muscular weakness
Clinical narrative: Post first vax, this pt experienced 'a feeling of weakness in arm. The sensation progressed over the next 4-5 days to inability to lift arm. Swelling and tenderness around injection site. Involvement of shoulder. Pain severe enough to require analgesic on 03/23/99. The pt was seen by physician 03/26 and given ibuprofen (Motrin). On approximately 03/27, the pt recovered. It was noted that pt received 2nd dose on 04/26 and experienced no adverse reaction.
Age: 5.0
Sex: U
Vaccine: HEP
Symptoms: Condition aggravated, Eczema, Rash
Clinical narrative: This 5-year-old pt received 3rd dose in series. Subsequently, the pt developed rash over the entire body and increased eczema. The pt sought unspecified medical attention. No further information is available.
Sex: F
Vaccine: HEP
Symptoms: Dyspnoea, Urticaria
Clinical narrative: Female employee developed dyspnea and hives post first vax. Due to the episodes, the pt was instructed not to complete the vax series. As stated by the reporter, this case involved 'an historical documentation of an employee who had not completed the hepatitis b vaccine series and said it was because of a reaction of dyspnea and hives. She did not receive the vax from this institution.' Recently, the pt accidentally stuck herself with hepatitis b recombinant vax needle. It was uncertain if the needle was infected. The reporter indicated that it was decided not to give the pt (employee), hepatitis b immune globulin for this exposure due to the low risk nature, but save the hepatitis b immune globulin for a high risk exposure.' No further information is available.
Age: 18.0
Sex: M
Vaccine: HEP
Symptoms: Gastroenteritis
Clinical narrative: Information received regarding son who post 3rd vax (given 11/03/1997), experienced eosinophilic gastroenteritis with severe vomiting (in February 1998), and diagnosed with the eosinophilic gastroenteritis and H. pylori gastritis on 12/15/1998 which was post 4th vax (given 10/23/1998). The pt took steroids to alleviate the symptoms. Lab evaluation revealed a lack of response. The physician felt that the symptoms were related to hepatitis b vax recombinant. Follow-up was received from a physician. The pt partially recovered from the symptoms by January 1999. They physician noted "only questionable relationship to vax." Additional follow-up was received which indicated the physician had not seen the pt since March 1999. He reported information was "true as of last visit/report." No further information is available.
Age: 11.0
Sex: M
Vaccine: HEP
Symptoms: Musculoskeletal stiffness, Pyrexia
Clinical narrative: Same month post vax, this pt experienced fever and stiffness of the neck. There were no adverse events following the first vax. No further information is available.
Sex: U
Vaccine: HEP
Symptoms: Anaphylactic reaction
Clinical narrative: Subsequent to vax (received 1989), this pt experienced an anaphylactic reaction reaction. Upon medical review the pt's experience was determined to be an important medical event. No further information is available.
Age: 0.5
Sex: F
Vaccine: DTP, HEP, HIBV, OPV
Symptoms: Irritability, Pyrexia, Rash erythematous, Vasodilation procedure
Clinical narrative: On 08/24/98, immediately following vax, the pt's mother noted that the child felt warm and was fussy and irritable. Approximately 2 hours post vax, the child developed an erythematous bumpy red rash all over her body. The rash did not seem to irritate her or to be itchy and the bumps were more pinpoint rather than welt-like. At 9 PM that evening, the pt developed a temperature of 102.4 degrees F and was then referred to the ER for further evaluation. Upon arrival to the ER, the pt was hospitalized. A physical exam revealed 'impressive' diaper rash which consisted of an erythematous plaque in her groin with multiple excoriated regions and satellite lesions. A 68 hour regime of a septic work-up and cefotaxime treatment were initiated. The child's rash and fever subsequently resolved without sequelae. It was recommended that she not receive varicella virus vax at the age of one year because of the above experience. No further information is available.
Sex: U
Vaccine: HEP
Symptoms: Fatigue
Clinical narrative: Pt received vax and subsequently experienced chronic fatigue syndrome. No further information is available.
Age: 6.0
Sex: M
Vaccine: DTP, HEP, MMR, OPV
Symptoms: Alopecia
Clinical narrative: Two days post vax (10/31/98), this child presented to a physician with total body alopecia. On 11/19, tests and cultures were conducted with negative results. Within a couple of months of onset the pt had lost all body hair, including eyelashes and eyebrows. At the time of the report, the pt still had complete body alopecia. No further information is available.
Age: 56.0
Sex: M
Vaccine: HEP
Symptoms: Dysuria, Nausea, Pain, Pyrexia
Clinical narrative: One day post vax, this pt experienced a fever and nausea with painful respirations and urination. He presented to a physician on 04/08 with symptoms. It was reported that the pt is feeling much better. The physician expressed concern with the vax lot number. The pt's physician reported in follow-up that he recovered from symptoms. No further information is available.
Age: 50.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain, Diarrhoea, Ecchymosis, Eye disorder, Headache
Clinical narrative: The same day post vax, this pt experienced a severe headache, severe abdominal cramps and watery diarrhea. The pt sought unspecified medical treatment. The pt was treated with 800mg of ibuprofen and acetaminophen (Exdecrin). On the following day (04/02/99), the pt experienced two black eyes 'like some one punched." On an unspecified date, the pt recovered. No further information is available.
Age: 32.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain, Fatigue, Hyperhidrosis, Nausea, Pyrexia
Clinical narrative: Approximately, 4-5 hours post vax, this pt experienced nausea, vomiting four times, stomach cramps, sweating, and fever of 101 degrees F. The pt was also very tired. She took Pepto-Bismol, Tylenol, and used ice for her symptoms. She recovered on 04/10, two days post onset. The pt had no symptoms post first two doses. Another pt was reported with a similar experienced post vax with the hepatitis B vaccine recombinant. No further information is available.
Age: 32.0
Sex: F
Vaccine: HEP
Symptoms: Vomiting
Clinical narrative: Approximately, 4-5 hours post vax, this pt experienced nausea, vomiting four times, stomach cramps, sweating, and fever of 101 degrees F. The pt was also very tired. She took Pepto-Bismol, Tylenol, and used ice for her symptoms. She recovered on 04/10, two days post onset. The pt had no symptoms post first two doses. Another pt was reported with a similar experienced post vax with the hepatitis B vaccine recombinant. No further information is available.
Age: 37.0
Sex: F
Vaccine: HEP
Symptoms: Anorexia, Muscle spasms, Nausea, Vomiting
Clinical narrative: Approximately 4-5 hours post first dose of hepatitis B recombinant vax, this pt experienced loss of appetite, nausea, vomiting, and cramps. Another pt reported with a similar experience following vax. No further information is available.
Age: 13.0
Sex: M
Vaccine: HEP, TTOX
Symptoms: Abdominal pain upper, Dizziness, Headache, Pallor, Rash
Clinical narrative: On the same day following vax, the pt experienced dizziness and stomachache. The following day, the pt woke up with bumps on his rib cage and stomach. The bumps had spread to his thigh and armpit at the time of this report. While at school, on 04/09, the nurse observed that the pt was pale and noted that he had vomited three times. He also experienced a severe headache that same day and it was stated that he really gets headaches. It was reported that the pt has had chickenpox in the past. Additionally, he has had tetanus shots before and never developed any symptoms from the shots. Additional information has been requested.
Age: 13.0
Sex: M
Vaccine: HEP, TTOX
Symptoms: Vomiting
Clinical narrative: On the same day following vax, the pt experienced dizziness and stomachache. The following day, the pt woke up with bumps on his rib cage and stomach. The bumps had spread to his thigh and armpit at the time of this report. While at school, on 04/09, the nurse observed that the pt was pale and noted that he had vomited three times. He also experienced a severe headache that same day and it was stated that he really gets headaches. It was reported that the pt has had chickenpox in the past. Additionally, he has had tetanus shots before and never developed any symptoms from the shots. Additional information has been requested.
Sex: M
Vaccine: HEP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: In approximately September 1998, the pt experienced a local reaction with erythema and swelling up to the elbow.
Age: 38.0
Sex: M
Vaccine: HEP
Symptoms: Arthralgia, Asthenia, Joint stiffness
Clinical narrative: On 3/26/99, the pt experienced stiffness and joint pain in the fingers of his right hand. He progressed to having arthralgia, and decreased flexion, and grip strength in the right arm. It was noted that the discomfort worsened when he squeezed his fist. The pt sought unspecified medical attention.
Age: 0.5
Sex: M
Vaccine: HEP
Symptoms: Agitation, Rash maculo-papular
Clinical narrative: erythematous macules/papules 48hr p/vax;from scalp to soles of feet & palms of hands;rash blanches;child fussy no other illness;
Age: 48.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Laboratory test abnormal, Multiple sclerosis, Neck pain, Paraesthesia
Clinical narrative: 8AUG98 fatigue, neck pain;9AUG98 paresthesia rt side thigh, rt side calf & rt side flank;12AUG98 MRI spinal lesion @ C2;dx mult sclerosis; Per follow-up dated 9/11/00, the pt continues to have fatigue, numb hands-dx with MS but no new lesions since August of 1998
Age: 13.0
Sex: F
Vaccine: HEP
Symptoms: Injection site hypersensitivity, Pruritus, Rash
Clinical narrative: Next day post vax, the pt developed a fine rash on her right arm. The rash widely spread from her upper arm to elbow, her elbow crease, on both thighs and in crease of knees. The rash was red and prickly. the itching was controlled with a prescribed medication for her eczema. It was also noted that there was a scar at the injection site. The pt recovered within four days from the onset of episodes.
Age: 16.0
Sex: F
Vaccine: HEP
Symptoms: Affect lability, Amnesia, Asthenia, Condition aggravated, Deafness permanent
Clinical narrative: 3/31/98 partially deaf in lt ear;numbness in hands & feet;tingling shocking sensations down legs;unsteady gait;vertigo;bladder trouble;depression;memory loss;visual disturbances;labile mood;temp fluctuation;fatigue;dx multiple sclerosis;  Annual follow-up received on 10/4/00 states that the pt has ongoing symptoms of multiple sclerosis, numbness and tingling of hands and feet and in various parts of her body. Cognitive problems, visual problems, labile mood swings and weakness.
Age: 16.0
Sex: F
Vaccine: HEP
Symptoms: Depression, Dysmenorrhoea, Gait disturbance, Hyperhidrosis, Hypothermia
Clinical narrative: 3/31/98 partially deaf in lt ear;numbness in hands & feet;tingling shocking sensations down legs;unsteady gait;vertigo;bladder trouble;depression;memory loss;visual disturbances;labile mood;temp fluctuation;fatigue;dx multiple sclerosis;  Annual follow-up received on 10/4/00 states that the pt has ongoing symptoms of multiple sclerosis, numbness and tingling of hands and feet and in various parts of her body. Cognitive problems, visual problems, labile mood swings and weakness.
Age: 16.0
Sex: F
Vaccine: HEP
Symptoms: Menorrhagia, Migraine, Multiple sclerosis, Nervousness, Paraesthesia
Clinical narrative: 3/31/98 partially deaf in lt ear;numbness in hands & feet;tingling shocking sensations down legs;unsteady gait;vertigo;bladder trouble;depression;memory loss;visual disturbances;labile mood;temp fluctuation;fatigue;dx multiple sclerosis;  Annual follow-up received on 10/4/00 states that the pt has ongoing symptoms of multiple sclerosis, numbness and tingling of hands and feet and in various parts of her body. Cognitive problems, visual problems, labile mood swings and weakness.
Age: 16.0
Sex: F
Vaccine: HEP
Symptoms: Personality disorder, Pyrexia, Urinary tract disorder, Vertigo, Visual disturbance
Clinical narrative: 3/31/98 partially deaf in lt ear;numbness in hands & feet;tingling shocking sensations down legs;unsteady gait;vertigo;bladder trouble;depression;memory loss;visual disturbances;labile mood;temp fluctuation;fatigue;dx multiple sclerosis;  Annual follow-up received on 10/4/00 states that the pt has ongoing symptoms of multiple sclerosis, numbness and tingling of hands and feet and in various parts of her body. Cognitive problems, visual problems, labile mood swings and weakness.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Dysphagia, Pyrexia, Urticaria
Clinical narrative: Within 30 minutes of vax, the pt experienced itching hives on the neck, groin, and armpits. The pt was treated with Benadryl and cortisone cream. The itching hives resolved that evening for six hours, but the next morning she had to give it again. Subsequently, the hives returned. The hives became generalized on 5/6/99 to every part of the body except the face. The pt's temperature at that time was 97 degrees. The pt also experienced difficulty swallowing. The hives also increased during the course of the day.
Age: 22.0
Sex: F
Vaccine: HEP
Symptoms: Ear pain, Eye pain, Injury
Clinical narrative: Information has been received from a health care facility concerning a 22 year old female pt who was inadvertently splashed in the eye with Hep B vaccine, as he child was begin vaccination. The pt's eye was flushed and the physician noted that a "chemical burn" type of reaction persisted. Follow-up information home health care facility reported that the pt contacted a physician's office complaining of pain in her eye and ear. She was instructed to flush her eyes with water, but the burning persisted. She was instructed to go to the ER. Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HEP, TD, HEP, TD, HIBV, TD
Symptoms: Myalgia, Nausea, Pain
Clinical narrative: muscle pain in back, shoulders & knees constant;pain while walking;saw MD 4/20/99;MD believed d/t shot;tx w/pred & pain med;nausea 4/21/99 p/taking a shower in AM;pain started next morning p/shot given @ school;
Age: 15.0
Sex: F
Vaccine: HEP, TD, HEP, TD, HIBV, TD
Symptoms: Arthralgia, Back pain, Nausea
Clinical narrative: muscle pain in back, shoulders & knees constant;pain while walking;saw MD 4/20/99;MD believed d/t shot;tx w/pred & pain med;nausea 4/21/99 p/taking a shower in AM;pain started next morning p/shot given @ school;
Age: 11.0
Sex: F
Vaccine: HEP, TD, HEP, TTOX
Symptoms: Dizziness, Headache, Injection site pain, Myalgia, Nausea
Clinical narrative: The morning following the vaccine, the pt awoke with a temperature of 1 - 1 1/2 degrees above normal, dizziness, a headache, emesis, and muscle aches in her right arm that were eased with acetaminophen. The muscle aches persisted over three weeks and on 8/13/99 she was seen by a physician. There were no visible signs on her right arm. During the three weeks, the pt also had two additional episodes of nausea, headaches, and dizziness. By 8/23/99, the headaches and nausea had stopped, but the pain in her right arm persisted, most notable upon awakening in the morning. The pt's mother reported that last complaint of pain in arm, dizziness. nausea and vomiting was on 9/17/99. No further information is available.
Age: 11.0
Sex: F
Vaccine: HEP, TD, HEP, TTOX
Symptoms: Pyrexia
Clinical narrative: The morning following the vaccine, the pt awoke with a temperature of 1 - 1 1/2 degrees above normal, dizziness, a headache, emesis, and muscle aches in her right arm that were eased with acetaminophen. The muscle aches persisted over three weeks and on 8/13/99 she was seen by a physician. There were no visible signs on her right arm. During the three weeks, the pt also had two additional episodes of nausea, headaches, and dizziness. By 8/23/99, the headaches and nausea had stopped, but the pain in her right arm persisted, most notable upon awakening in the morning. The pt's mother reported that last complaint of pain in arm, dizziness. nausea and vomiting was on 9/17/99. No further information is available.
Age: 11.0
Sex: F
Vaccine: HEP, TD, HEP, TTOX
Symptoms: Dizziness, Headache, Myalgia, Pyrexia, Vomiting
Clinical narrative: The morning following the vaccine, the pt awoke with a temperature of 1 - 1 1/2 degrees above normal, dizziness, a headache, emesis, and muscle aches in her right arm that were eased with acetaminophen. The muscle aches persisted over three weeks and on 8/13/99 she was seen by a physician. There were no visible signs on her right arm. During the three weeks, the pt also had two additional episodes of nausea, headaches, and dizziness. By 8/23/99, the headaches and nausea had stopped, but the pain in her right arm persisted, most notable upon awakening in the morning. The pt's mother reported that last complaint of pain in arm, dizziness. nausea and vomiting was on 9/17/99. No further information is available.
Age: 13.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Dyspnoea, Nausea, Pallor, Tremor, Vomiting
Clinical narrative: One hour and forty-five minutes post vax, the pt became short of breath, pale, and nauseous. It was reported that the pt subsequently vomited and was shaking. There was not temperature elevation noted. It was reported that the pt's grandmother turned on the air conditioner and contacted the physician. The physician advised that the pt be taken to the ER if there was no improvement.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, RV
Symptoms: Diarrhoea, Pyrexia
Clinical narrative: p/vax pt devel fever of 102.5 & loose stools w/inc mucus content;pt hosp from 7/10/99 through 7/13/99 because of fever;7/16/99 stools still contained mucus;
Age: 7.0
Sex: M
Vaccine: HEP, HEP
Symptoms: Abdominal pain, Pyrexia, Vomiting
Clinical narrative: p/vax fever, nausea @ home treated w/APAP, slept;n/v of 10-15min w/cramping;felt better sx gone;no localized rxn;
Age: 49.0
Sex: M
Vaccine: TTOX, TD
Symptoms: Blood urea increased, Cellulitis, Depression, Diarrhoea, Erythema
Clinical narrative: The pt received the tetanus vax due to an injury. The pt experienced redness, swelling and pain to the DT arm. Pt was advised to use ice, Tylenol and keep moving. The following day, the pt called and reported the redness has improved but continues to feel nauseated and sleepy. The pt felt as if he has the flu. He experienced induration and redness extending over most of his upper left arm. The pt developed cellulitis. He has developed a hard knot at the site of injection, nausea and vomiting. There is diffuse skin thickening overlying the area of induration. No abscess is noted. Diagnosis was arthus reaction with serum sickness secondary to tetanus shot.
Age: 49.0
Sex: M
Vaccine: TTOX, TD
Symptoms: Fatigue, Influenza like illness, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: The pt received the tetanus vax due to an injury. The pt experienced redness, swelling and pain to the DT arm. Pt was advised to use ice, Tylenol and keep moving. The following day, the pt called and reported the redness has improved but continues to feel nauseated and sleepy. The pt felt as if he has the flu. He experienced induration and redness extending over most of his upper left arm. The pt developed cellulitis. He has developed a hard knot at the site of injection, nausea and vomiting. There is diffuse skin thickening overlying the area of induration. No abscess is noted. Diagnosis was arthus reaction with serum sickness secondary to tetanus shot.
Age: 49.0
Sex: M
Vaccine: TTOX, TD
Symptoms: Injection site swelling, Injury, Insomnia, Oral intake reduced, Palpitations
Clinical narrative: The pt received the tetanus vax due to an injury. The pt experienced redness, swelling and pain to the DT arm. Pt was advised to use ice, Tylenol and keep moving. The following day, the pt called and reported the redness has improved but continues to feel nauseated and sleepy. The pt felt as if he has the flu. He experienced induration and redness extending over most of his upper left arm. The pt developed cellulitis. He has developed a hard knot at the site of injection, nausea and vomiting. There is diffuse skin thickening overlying the area of induration. No abscess is noted. Diagnosis was arthus reaction with serum sickness secondary to tetanus shot.
Age: 49.0
Sex: M
Vaccine: TTOX, TD
Symptoms: Pollakiuria, Red blood cell sedimentation rate increased, Tremor, Type III immune complex mediated reaction, Urinary hesitation
Clinical narrative: The pt received the tetanus vax due to an injury. The pt experienced redness, swelling and pain to the DT arm. Pt was advised to use ice, Tylenol and keep moving. The following day, the pt called and reported the redness has improved but continues to feel nauseated and sleepy. The pt felt as if he has the flu. He experienced induration and redness extending over most of his upper left arm. The pt developed cellulitis. He has developed a hard knot at the site of injection, nausea and vomiting. There is diffuse skin thickening overlying the area of induration. No abscess is noted. Diagnosis was arthus reaction with serum sickness secondary to tetanus shot.
Age: 49.0
Sex: M
Vaccine: TTOX, TD
Symptoms: Weight decreased, White blood cell count decreased
Clinical narrative: The pt received the tetanus vax due to an injury. The pt experienced redness, swelling and pain to the DT arm. Pt was advised to use ice, Tylenol and keep moving. The following day, the pt called and reported the redness has improved but continues to feel nauseated and sleepy. The pt felt as if he has the flu. He experienced induration and redness extending over most of his upper left arm. The pt developed cellulitis. He has developed a hard knot at the site of injection, nausea and vomiting. There is diffuse skin thickening overlying the area of induration. No abscess is noted. Diagnosis was arthus reaction with serum sickness secondary to tetanus shot.
Age: 49.0
Sex: M
Vaccine: TTOX, TD
Symptoms: Influenza, Injection site erythema, Injection site mass, Injection site oedema, Injection site pain
Clinical narrative: The pt received the tetanus vax due to an injury. The pt experienced redness, swelling and pain to the DT arm. Pt was advised to use ice, Tylenol and keep moving. The following day, the pt called and reported the redness has improved but continues to feel nauseated and sleepy. The pt felt as if he has the flu. He experienced induration and redness extending over most of his upper left arm. The pt developed cellulitis. He has developed a hard knot at the site of injection, nausea and vomiting. There is diffuse skin thickening overlying the area of induration. No abscess is noted. Diagnosis was arthus reaction with serum sickness secondary to tetanus shot.
Age: 49.0
Sex: M
Vaccine: TTOX, TD
Symptoms: Leukopenia, Nausea, Somnolence, Vomiting
Clinical narrative: The pt received the tetanus vax due to an injury. The pt experienced redness, swelling and pain to the DT arm. Pt was advised to use ice, Tylenol and keep moving. The following day, the pt called and reported the redness has improved but continues to feel nauseated and sleepy. The pt felt as if he has the flu. He experienced induration and redness extending over most of his upper left arm. The pt developed cellulitis. He has developed a hard knot at the site of injection, nausea and vomiting. There is diffuse skin thickening overlying the area of induration. No abscess is noted. Diagnosis was arthus reaction with serum sickness secondary to tetanus shot.
Age: 62.0
Sex: M
Vaccine: LYME
Symptoms: Antinuclear antibody positive, Blood creatinine increased, Fatigue, Immunoglobulins increased, Malaise
Clinical narrative: On 03/30/99 pt received first vax. On 05/06/99 pt received second dose. Approximately 12 weeks post second vax, pt returned to the physician complaining of chronic malaise and fatigue. Blood work was performed which 'ruled out' Lyme disease, but 'Lupus' was 'questionable' and confirmed through additional blood work (nonspecific). The vaccinee was treated with anti-inflammatory medication (nonspecific). The pt was referred to a nephrologist. This case is considered to be medically serious. Additional information has been requested. On 11/5/99, pt received 2nd dose of Lymerix. The most recent information, received on 8/16/00, reports the outcome of the event as unknown.
Age: 62.0
Sex: M
Vaccine: LYME
Symptoms: Systemic lupus erythematosus
Clinical narrative: On 03/30/99 pt received first vax. On 05/06/99 pt received second dose. Approximately 12 weeks post second vax, pt returned to the physician complaining of chronic malaise and fatigue. Blood work was performed which 'ruled out' Lyme disease, but 'Lupus' was 'questionable' and confirmed through additional blood work (nonspecific). The vaccinee was treated with anti-inflammatory medication (nonspecific). The pt was referred to a nephrologist. This case is considered to be medically serious. Additional information has been requested. On 11/5/99, pt received 2nd dose of Lymerix. The most recent information, received on 8/16/00, reports the outcome of the event as unknown.
Age: 54.0
Sex: M
Vaccine: LYME
Symptoms: Arthritis, Blood creatine phosphokinase increased, Dehydration, Dysphagia, Fatigue
Clinical narrative: In May and June of 1999, pt received dose 1 and 2 of the Lyme vax. His health has steadily declined since then. He was taken to ER on 4/1/2000 for severe weakness, severe weight loss (down to 117.5 lbs from normal 140 lbs) in only 3 months time frame (Jan to Mar), unable to get out of bed w/o assistance. Admitted to hospital that evening. Numerous testing, including: a muscle bipsy, MRI's, CT scans, Blood work-CP/CPK=400, etc. lead doctors to suspect polymyocitis. After 1 week of testing, he was transferred to a rehab hospital for PT and prednisone treatment, still losing weight down to 114 lbs. Further testing reveals no cancer. After 3 weeks, he is transferred to another hospital on May 6. Another MD has taken on his case and she questions dx and believes this may all be connected to Lyme vaccines he received. In May/June 1999 when onset of first symptoms began; severe fatigue, muscular weakness and pain, severe postnasal drip, frequent urination, sleep deprivation, weight loss of over 42 lbs within last 4 months, loss of motor functions and is now completely incapacitated. Also, he is having difficulty swallowing and is on IV for prednisone and hydration. He is still hospitalized and condition is worsening every day, down to 75 lbs, no mobility, can't even feed himself now. 60 Day FU states he is now 113 lbs, weak, using a cane and scooter during the day. Continues to experience muscle discomfort and slight arthritic symptoms in his hands. Annual follow up states patient still has fatigue, general weakness, and weight loss attributed to faciitis.
Age: 54.0
Sex: M
Vaccine: LYME
Symptoms: Hypokinesia, Insomnia, Muscular weakness, Myalgia, Pollakiuria
Clinical narrative: In May and June of 1999, pt received dose 1 and 2 of the Lyme vax. His health has steadily declined since then. He was taken to ER on 4/1/2000 for severe weakness, severe weight loss (down to 117.5 lbs from normal 140 lbs) in only 3 months time frame (Jan to Mar), unable to get out of bed w/o assistance. Admitted to hospital that evening. Numerous testing, including: a muscle bipsy, MRI's, CT scans, Blood work-CP/CPK=400, etc. lead doctors to suspect polymyocitis. After 1 week of testing, he was transferred to a rehab hospital for PT and prednisone treatment, still losing weight down to 114 lbs. Further testing reveals no cancer. After 3 weeks, he is transferred to another hospital on May 6. Another MD has taken on his case and she questions dx and believes this may all be connected to Lyme vaccines he received. In May/June 1999 when onset of first symptoms began; severe fatigue, muscular weakness and pain, severe postnasal drip, frequent urination, sleep deprivation, weight loss of over 42 lbs within last 4 months, loss of motor functions and is now completely incapacitated. Also, he is having difficulty swallowing and is on IV for prednisone and hydration. He is still hospitalized and condition is worsening every day, down to 75 lbs, no mobility, can't even feed himself now. 60 Day FU states he is now 113 lbs, weak, using a cane and scooter during the day. Continues to experience muscle discomfort and slight arthritic symptoms in his hands. Annual follow up states patient still has fatigue, general weakness, and weight loss attributed to faciitis.