chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia
Clinical narrative: Confused, fever > 103F, hallucinations. CSF normal protein, normal glucose, WBC < 5. CT normal. ID consult: encephalopathy. Possible encephalitis. Possible delirium with fever.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Oedema
Clinical narrative: Cellulitis with brawny edema down left arm. Admitted to administer IV cefazolin, converted to oral cephalexin. Returned to duty.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Conjunctival ulcer, Conjunctivitis, Eye inflammation, Laboratory test abnormal
Clinical narrative: Inflamed red eye, evaluated as conjunctivitis, ulcer formed in and below limbus of conjunctiva, no keratitis. Evaluated for possible use of VIG; VIG not administered because patient responded to trifluridine eye drops (Viroptic) nine times per day.
Age: 33.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site swelling, Rash erythematous, Rash pruritic
Clinical narrative: 33 y/o male with new onset erythematous rash 3 days s/p smallpox vaccine administration.  Rash is erythematous, blanching rash with slightly raised scale on bilateral arms and right cheek.  Rash is quite pruritic.  Pt is afebrile, and in otherwise good health.  NO history of skin disorders other than dry skin in winter.
Age: 30.0
Sex: F
Vaccine: SMALL
Symptoms: Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Erythematous, pruritic papular rash on head, arms, face starting on day #10 post vaccination
Age: 29.0
Sex: F
Vaccine: SMALL
Symptoms: Rash erythematous, Rash macular, Rash papular, Rash pruritic
Clinical narrative: Macular, papular, erythematous, pruritic rash on arms, legs and chest starting on day #16 post vaccination. No fever or other symptoms.
Age: 27.0
Sex: F
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: Information has been received through the pregnancy registry from a certified nurse midwife concerning a white female with no medical history who tested negative for varicella antibodies before vaccination was vaccinated on 2/11/02 and 3/6/02 with a first and second dose of varicella virus vaccine live (639682/0576L). There were no local reactions at the vaccination site, varicella symptoms nor herpes zoster symptoms post vaccination. The pt reported that she was injected with the vaccine two days into her pregnancy. She had no adverse events but was concerned about the effect on the fetus. Her LMP was 1/19/02. On 3/19/02 a dating ultrasound was done and was 6 4/7 weeks. On 5/28/02 a MSAFP showed "costrun" normal limits. On 6/7/02 the results of an anatomy screen ultrasound were normal with no anomalies seen. Medications used during this pregnancy included prenatal vitamins 1 tablet every day from March to November and Celexa 20mg during the first trimester for PMS. On 11/11/02 the pt delivered a normal live born 9lb. 8oz. female. There were no congenital anomalies, complications or abnormalities. There were no complications during pregnancy. The pt had a primary c-section for cephlo-pelvic disproportion and arrest of descent and it was also noted that there was meconium in the amniotic fluid. There was no feature of congenital varicella zoster syndrome noted. Additional info is not expected.
Age: 0.75
Sex: F
Vaccine: DTAP, HEP, HEP
Symptoms: Drug toxicity
Clinical narrative: Information has been received from a legal firm regarding a case in litigation concerning a female who on 4/29/99 was vaccinated, at the age of 9 months, with a dose of hep B vaccine that reportedly contained 12.5 micrograms of toxic mercury in the prreservative thimerosal. Other immunizations reported included the first and second doses of hep B vaccine, recomb (Engerix B) received on 7/29/98, and 10/1/98 that each contained 12.5 micrograms of toxic mercury; the first, second, third and fourth doses of Tripedia received on 10/1/98, 12/3/98, 1/22/99, and 2/10/00 that each contained 25 micrograms of toxic mercury; and the first, second, third and fourth doses of haemophilus B conjugate vaccine (Act-HIB) received on 10/1/98, 12/3/98, 1/22/99 and 7/29/99 that each contained 25 micrograms of toxic mercury. Subsequently, the pt experienced mercury poisoning allegedly as eleven doses or  total of 237.5 micrograms of toxic mercury that were administered to the pt between 7/29/98 and 2/10/00. To date, the pt had received the neurological, social and developmental milestones anticipated for a child of her age. The pt's mercury poisoning persisted. Upon internal review, mercury poisoning was considered an other important medical event (OMIC). No further info is available. The case is closed. Upon review of info, it is necessary to indicate that manufacturer product, Act-Hib, does  not contain thimerosay (mercury). Case is closed.
Age: 1.5
Sex: M
Vaccine: DTAP
Symptoms: Cellulitis, Injection site oedema, Injection site reaction, Vasodilation procedure
Clinical narrative: This report describes the occurrence of cellulitis in an 18 month old male who was vaccinated with diphtheria and tetanus toxoids and acellular pertussis vaccine absorbed (Infanrix) for prophylaxis. This report was received from the subject's mother and has not been verified by an MD or other healthcare prof'l. Reportedly, this subject had no relevant medical history, concurrent conditions, or concurrent medications. On 1/31/03, the subject reportedly received an injection of Infanrix (lot #DTPA573F9). The mother stated that one day later, on 2/1/03, the subject developed a "severe" reaction at the inject site characterized by swelling and redness that extended from the hip to the knee. The subject was seen by an MD who reportedly made a diagnosis of cellulitis. The subject was hospitalized and treated with 2 IM injection of vancomycin and oral amoxicillin clavulanate (Augmentin). The mother stated that by 2/2/03, the subject's log "was normal again." The subject was discharged from the hospital after an unspecified period of time. The mother considered the cellulitis to be probably related to Infanrix administration. The follow up received on 5/13/03 states the injection site cellulitis required intervention (IM ceftriaxone) in order to prevent hospitalization. Therefore, the event is considered to be serious (OMIC).
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Abnormal behaviour, Drug withdrawal syndrome
Clinical narrative: Started going into own little world-spaced out, flapped like autistic kids. Developmental ? in every area.
Age: 50.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site inflammation, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Swelling, redness, hot, pain symptoms 2/4/03-2/8/03. 2/8 on swelling down pain subsiding. IV treatments of steroids, antibiotics, and Demoral. I was told it was muscle inflammation.
Age: 35.0
Sex: F
Vaccine: YF
Symptoms: Injection site mass, Injection site oedema, Vasodilation procedure
Clinical narrative: Large lump on back of arm, circled by a dark redness. Swelling of injection area with burning sensation. Lump existent for five days following injection.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Unevaluable event
Clinical narrative: Varicella Zoster. Left arm, and forearm, hand
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Tremor
Clinical narrative: 2/20/03 mother stated baby had shaking and "bubbles" from the mouth during night one time. Now bubbles from mouth second time. Child responsive, no shaking second time. Referred to ER, left ER without being seen. Mother felt baby sick from shots. 2/21/03 mother states baby ok now. No tremors or fussiness.
Age: 1.5
Sex: F
Vaccine: ANTH
Symptoms: Unevaluable event
Clinical narrative: PT has proximal femoral focal deficiency (PFFD). One femur is shorter than the other. Her hip is deformed and has to go thru 10-12 yrs of surgery. She was born with this.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Convulsion, Screaming
Clinical narrative: Cried unconsolably 2-3 hrs straight in evening of DAPT, IPV, HIB vaccines. Hap A seizure like episode 1 mt after vaccines (1/16/03) and 1.5 months after vaccines (1/29/03). Hospitalized 3 days and 4 days.
Age: 1.75
Sex: M
Vaccine: DTAP
Symptoms: Convulsion, Dyskinesia, Fall, Pharyngitis, Pyrexia
Clinical narrative: Pt developed fever, and 48 hrs after seizure like episodes with falling to floor. Admitted x 4 days. EEG abnormal. Lab work-up. Discharge Dx-viral illness, suspected post reaction. He is a 21 month old previously health male that received DTaP vaccination on 1/18/03 and on 1/19/03 developed fever of 104 degrees. On 1/20 he had three episodes of tonic extension of all four extremities and falling to the floor, without loss of consciousness or eyes rolled back and continuing with intermittent fever. He was evaluated at hospital where he received a dose of Rocephin IM for pharyngitis and was discharged home. On 1/21 he had another tonic extension of all four extremities and was again seen at hospital where CT scan of the head was negative. He continued having intermittent fever with tnic clonic movement of all four extremities, without loss of consciousness and on day of admission 911 was called and he was transferred to hospital for further management. We assisted one of the episodes that was a focal seizure of the right upper extremity lasting around 15-20 seconds then generalized, but at the time he had no loss of consciousness. Upon physician exam he had no focal symptoms, clear lungs, with no throat swelling, lymphadenopathy, hepatosplenomegaly or jaundice. Cardiovascular exam RR, no murmurs. Skin exam showed three café au lait spots. The second day of admission he developed an erythematous, papular rash on the face and trunk. He was evaluated by MD ID, Gneetics and Neurology. EEG was performed. He started to improve without further medication or management. at the moment of discharge he was in stable condition, with no further seizure episodes in 72 hrs, acting as usual and with a normal physical exam. Spinal tab for bacterial antigens were negative with normal protein and glucose. CSF C/S was negative. Viral C/S is pending. MRI of the brain was normal. Neogen was obtained and pending results. Lactic acid was 2.7 and repeated at discharge was 2.3. Ammonia was normal. Herpes simplex, EBV and Mycoplasma titers were negative.
Age: 1.75
Sex: M
Vaccine: DTAP
Symptoms: Rash erythematous, Rash papular
Clinical narrative: Pt developed fever, and 48 hrs after seizure like episodes with falling to floor. Admitted x 4 days. EEG abnormal. Lab work-up. Discharge Dx-viral illness, suspected post reaction. He is a 21 month old previously health male that received DTaP vaccination on 1/18/03 and on 1/19/03 developed fever of 104 degrees. On 1/20 he had three episodes of tonic extension of all four extremities and falling to the floor, without loss of consciousness or eyes rolled back and continuing with intermittent fever. He was evaluated at hospital where he received a dose of Rocephin IM for pharyngitis and was discharged home. On 1/21 he had another tonic extension of all four extremities and was again seen at hospital where CT scan of the head was negative. He continued having intermittent fever with tnic clonic movement of all four extremities, without loss of consciousness and on day of admission 911 was called and he was transferred to hospital for further management. We assisted one of the episodes that was a focal seizure of the right upper extremity lasting around 15-20 seconds then generalized, but at the time he had no loss of consciousness. Upon physician exam he had no focal symptoms, clear lungs, with no throat swelling, lymphadenopathy, hepatosplenomegaly or jaundice. Cardiovascular exam RR, no murmurs. Skin exam showed three café au lait spots. The second day of admission he developed an erythematous, papular rash on the face and trunk. He was evaluated by MD ID, Gneetics and Neurology. EEG was performed. He started to improve without further medication or management. at the moment of discharge he was in stable condition, with no further seizure episodes in 72 hrs, acting as usual and with a normal physical exam. Spinal tab for bacterial antigens were negative with normal protein and glucose. CSF C/S was negative. Viral C/S is pending. MRI of the brain was normal. Neogen was obtained and pending results. Lactic acid was 2.7 and repeated at discharge was 2.3. Ammonia was normal. Herpes simplex, EBV and Mycoplasma titers were negative.
Age: 48.0
Sex: M
Vaccine: ANTH
Symptoms: Diarrhoea, Pain, Pyrexia, Vomiting
Clinical narrative: Sever aches and pain, diarrhea, vomiting, low grade temp.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Injection site reaction, Pruritus
Clinical narrative: C/o itch, erythema, itching starting 2 days after anthrax #2. A: local reaction. P: Tylenol, Benadryl - 7/U PRN
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Diarrhoea, Dry mouth, Myalgia, Pain
Clinical narrative: Received immunization on 2/9/03 8am. At 7pm on 2/9/03 complained of tenderness in arm, achy feeling all over. Took Tylenol. Presents on 2/10/03 15x10mm local redness. Complained of diarrhea today, dry mouth. Temp 98F, BP 110/78, P 60.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site oedema, Injection site pain, Vasodilation procedure
Clinical narrative: Site began to swell on 1/26/03. Arrived at medical center after localized redness and edema 160 x 110 cm. Advised to ice site zo?? 3 x days and take Motrin. PT c/o of warm and tenderness at site. No other c/o's.
Age: 49.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site hypersensitivity, Oedema, Rash
Clinical narrative: Post 24 hours with noted swelling and redness and itching to upper right arm. Warm to touch and pink colored rash on inner aspect of arm. Purple discolored 4x3 inch size area noted at injection site.
Age: 1.0
Sex: F
Vaccine: DTAP, HBHEPB, IPV, MMR, PNC
Symptoms: Convulsion
Clinical narrative: Seizure the night of 2/17/03.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pruritus, Rash
Clinical narrative: Mother states rash all over body including soles and palms after itching onset night of 1/10.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Oedema, Vasodilation procedure
Clinical narrative: Redness, hot, swollen area right deltoid 3.5x4.25 inches.
Age: 2.5
Sex: F
Vaccine: PNC
Symptoms: Lethargy, Pyrexia
Clinical narrative: Temp of 103 deg F next day. Controlled with Tylenol and Motrin for 3 days. Lethargic and sleeping 3 days.
Age: 5.0
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Infection, Skin ulcer
Clinical narrative: Lesions on skin confluent with varicella.
Age: 2.5
Sex: F
Vaccine: DTAP, HEP, IPV, VARCEL
Symptoms: Erythema, Oedema, Pain, Respiratory distress
Clinical narrative: Left thigh is swollen from diaper line to 2" above knee after a raised area the size of a lemon. Redness in entire area. Tender to touch warm to touch. PT resists touch to area. Does not want clothes to touch area. Is active and alert. Running and playing and respiratory distress.
Age: 1.4
Sex: F
Vaccine: HIBV
Symptoms: Dyskinesia, Eye movement disorder, Lethargy, Opisthotonus
Clinical narrative: Head fell backwards, arched back, eyes rolled back in head, right hand clenched and arms jerked several times. Then appeared somewhat lethargic (arousable).
Age: 14.0
Sex: F
Vaccine: TD
Symptoms: Cough, Fatigue, Headache, Nausea, Pharyngolaryngeal pain
Clinical narrative: Pt with onset of vague sx 3d after vaccine administration. Headache, sore throat, cough, fatigue, nausea. Not responsive to Tx of sinusitis Ds'd via CT. Pt still with sx's.
Age: 14.0
Sex: F
Vaccine: TD
Symptoms: Sinusitis
Clinical narrative: Pt with onset of vague sx 3d after vaccine administration. Headache, sore throat, cough, fatigue, nausea. Not responsive to Tx of sinusitis Ds'd via CT. Pt still with sx's.
Age: 1.5
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Cough, Rhinorrhoea, Urticaria
Clinical narrative: I administered MMR and ActHib, and Varivax. Pt immediately had copious rhinorrhea, cough, and hives all over his body. I administered Benadryl 50mg/ml 0.25 ml IM L deltoid and Dexamethrasane 10mg/ml 0.5ml Im L buttock, 0.6ml IM R buttock.
Age: 1.5
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site rash
Clinical narrative: 3cm x 4cm are of localized redness and edema at site of injection, small pustule at injection site-developed 10-12 days after injection.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Left upper/outer arm (overlying deltoid) began having redness, heat and mild swelling within 24 hrs of receiving DTaP 5th dose, IPV fourth dose at that site. No fever or systemic symptoms. Zone of erythema approximately 8cm x 5cm. No further progression. Examined approximately 48 hrs after vaccination. Local care only, ibuprofen po.
Age: 1.4
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site rash, Injection site warmth, Pyrexia
Clinical narrative: Redness and warm to touch at site of injection with fever on 2/12/03. Pt presented red blotchy rash on upper thigh where injection give with swelling of entire upper thigh-warm to touch-afebrile was weight bearing.
Age: 1.4
Sex: M
Vaccine: DTAP, MMR
Symptoms: Rash macular
Clinical narrative: Redness and warm to touch at site of injection with fever on 2/12/03. Pt presented red blotchy rash on upper thigh where injection give with swelling of entire upper thigh-warm to touch-afebrile was weight bearing.
Age: 62.0
Sex: F
Vaccine: LYME
Symptoms: Arthralgia, Eye disorder, Headache, Vasculitis
Clinical narrative: Small blood vessels in arms and legs broke-severe joint pains all over my body. Headaches. Eye problems. Treated with high dosage of prednisone and methotrexate for one full year. Chronic reoccurrence to this day. Has left me at constant joint pain. Tests indicated vasculitis RA (never had any symptoms before vaccine).
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Fatigue, Injection site hypersensitivity, Injection site oedema, Injection site pain, Pruritus
Clinical narrative: 24 hrs post injection pain, itchiness, swelling, fatigue, redness noted L arm.
Age: 40.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site oedema, Urticaria
Clinical narrative: Large local swelling of R arm from upper bicep to elbow. Transient urticarial-like lesion on inner of R arm. All resolved with in 10 days after vaccination.
Age: 0.5
Sex: M
Vaccine: DTAP, PNC
Symptoms: Pyrexia
Clinical narrative: Fever to 103 degrees.
Age: 5.08
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site induration, Injection site oedema, Injection site reaction, Injection site warmth
Clinical narrative: Large local reaction with diffuse swelling of L deltoid region, noticed next morning after DTaP/IPV given in the same arm. No pain P/G induration 2x2", warmth (+); normal ROM L upper arm/shoulder.
Age: 10.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site warmth
Clinical narrative: Hep B v #1 R deltoid on 2/14/03. Started swelling and redness at inj area on next day progressed to 3 1/2" x 3 1/2", erythema with induration/warmth. No systemic effects.
Age: 4.9
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site induration, Injection site warmth, Urticaria
Clinical narrative: Received MMR, Varivax on 2/11/03 over R thigh. Developed urticaria skin rash-target lesions with central pallor, circular raised edges 1-2cm x 4-5 indurated, warm over R thigh at injection site.
Age: 1.0
Sex: F
Vaccine: HBHEPB
Symptoms: Chills, Pyrexia, Vomiting
Clinical narrative: 24 hrs post vaccination-vomited, chills, fever, seen at ER. Had CBC and chest film was started on Augmentin by pulmologist. Pt has primary pulmonary hypertension.
Age: 64.0
Sex: M
Vaccine: TD
Symptoms: Injection site pain, Pyrexia
Clinical narrative: Night of injection temp 102 and arm where injection was given very sore. Next day temp 101. 3rd day temp 96 and arm less painful.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Large red raised reaction approximately the size of two half dollars on right side.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: L arm with warm red area. Approximately 7 x 6cm. Warm compress applied x 1 day. No fever.
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site induration, Pruritus
Clinical narrative: Erythema greater than 120mm 3 days to date; enduration 3 days to date; constant itching 2 days to date
Age: 34.0
Sex: M
Vaccine: SMALL
Symptoms: Rash papular, Rash pustular
Clinical narrative: 2-5mm papules and pustules on Right side of nose, head, chin, and occiputal x 2-3 days.  Pt. treated with Motrin 800mg, T3's, Azithromax, and Predisone cream.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Vaccination complication
Clinical narrative: Probasle Ocular Vaccinia
Age: 39.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site induration, Rash maculo-papular, Rash papular, Rash vesicular
Clinical narrative: 2/21/03 5cm border of redness and induration around innoculation site0indurated vesiculated lesion lateral to the site. Multiple maculopapular lesions on post ant chest, neck, legs, no fevers. 2/24/03 papular rash progressing to extremities and face.
Age: 44.0
Sex: F
Vaccine: SMALL
Symptoms: Lymphadenopathy, Vaccination complication
Clinical narrative: Possible inadvertent inoculation of smallpox vaccine to L interal neck area. Pt has area covered and has only minimal lymph node swelling. Pt is well and wroking. Pt has h/o acne. Handwashing emplasized.
Age: 55.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus, Rash macular, Rash maculo-papular, Rash pustular
Clinical narrative: On am of 2/21 pt complained of itching from B/L plantar surfaces (mid-arch in midline). Initial presentation was itching macular-papular rash. Progressed to pustule on evening of 2/21. As of submission, L puustule intact, R ruptured. Transient macular rash to B/L palms 2/21 with itch. Afebrile, no other s/s.
Age: 34.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site induration, Skin ulcer
Clinical narrative: pt with abscess type lesion on mid abdomen and right axilla.+ yellow exudate, erythema and induration.
Age: 19.0
Sex: M
Vaccine: SMALL, YF
Symptoms: Hypersensitivity, Pruritus, Rash erythematous, Rash vesicular
Clinical narrative: erythematous , vesicular rash on left bicep, elbow and wrist, began 2-3 days after vaccines, + pruritis, improving though possible allergy
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Rash papular, Skin ulcer
Clinical narrative: Rash/probable disseminated vaccinia.  Multiple papular lesions on an erythematous base located primarily on patient's back.  Lesions manifested on day 11 post vaccination.  No documented fever.
Age: 29.0
Sex: F
Vaccine: SMALL
Symptoms: Pruritus, Rash papular
Clinical narrative: day 7 at take check patient was identified with a small itchy papule on left forearm.  day 8 no change in papule.  photo of papule on day 8 is available.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Diarrhoea, Infection, Pyrexia, Rash, Vomiting
Clinical narrative: Temp. 102 next day. Had diarrhea and vomiting 2 weeks later broke out in a red-purple rash.  Required benadryal and cortisone cream (prescribed by family doctor) Now has bilateral ear infection and still has rash.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: generalized red, bumpy, pruritic rash. sparce, but on every limb and on back, thorax, and abdomen. no vessicles, pustules, bullae, scaling, or excoriation.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Hypersensitivity, Vaccination complication
Clinical narrative: Autoinnoculation. Close to vaccination site - likely secondary to tape-related disruption of skin.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site induration, Injection site reaction
Clinical narrative: Developed Large local reaction at vaccine site. Induration from shoulder to below elbow, almost circumferential around upper arm. Induration resolved within two days of treatment with prednisone. No systemic symptoms. pt recovered uneventfully.
Age: 33.0
Sex: M
Vaccine: TD, YF
Symptoms: Fatigue, Influenza like illness, Myalgia, Pyrexia
Clinical narrative: Flu like symptoms: fatigue, muscle aches, low temp. Duration of attack two wks from time of vaccination.
Age: 31.0
Sex: F
Vaccine: SMALL
Symptoms: Fatigue, Malaise, Myalgia
Clinical narrative: Generalized malaise, myalgia, tiredness.
Age: 24.0
Sex: F
Vaccine: SMALL
Symptoms: Pruritus, Rash papular
Clinical narrative: Mult. 2 mm papules and 1-2 pustules noted on trunk and extremities and buttocks. Complained of itch, PT "felt fine." Scabbed over w/in 4-5 days.
Age: 36.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site reaction, Pruritus, Skin ulcer
Clinical narrative: 4 (3mm x 3mm) dried scabs under left breast, very itchy. Occurred on day 15 (2/6/03). 2/14/03 Mult more lesions ~ 9 total in same localized area under left breast only. Scabbing.
Age: 30.0
Sex: F
Vaccine: SMALL
Symptoms: Rash pustular, Rash vesicular
Clinical narrative: Vesicular rash in shoulder and trunk (body). Trunk and the shoulder are pustular. Pt states "rash started yesterday (2/22/03)" PT was seen in evening 2/23/03. No other complaints. Afebrile & non-toxic.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Arthralgia, Chest pain, Dyspnoea, Myalgia, Myocarditis
Clinical narrative: Vaccine given 13 feb per pt.  one week later developed severe joint and muscle aches as well as pleuritic chest pains and fever.  By 23 Feb - sx's intolerable and pt presented for evaluation at local emergency room.  Per pt, eval consisted of blood work and CXR.  Treated for systemic rxn to vaccine with vicodin. The 60 day follow up states dyspnea on exertion and chest painf rom slowly resolving peri/myocarditis.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia
Clinical narrative: Vaccine given 13 feb per pt.  one week later developed severe joint and muscle aches as well as pleuritic chest pains and fever.  By 23 Feb - sx's intolerable and pt presented for evaluation at local emergency room.  Per pt, eval consisted of blood work and CXR.  Treated for systemic rxn to vaccine with vicodin. The 60 day follow up states dyspnea on exertion and chest painf rom slowly resolving peri/myocarditis.
Age: 44.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Cow pox
Clinical narrative: Pt developed generalized vaccinia approximately 8 days after smallpox vaccination.
Age: 43.0
Sex: F
Vaccine: SMALL
Symptoms: Chromaturia, Difficulty in walking, Injection site hypersensitivity, Muscular weakness, Pain
Clinical narrative: 43 year old female physician who had onset of intense pain and weakness in her bilateral quadriceps after two hours of moderately strenuous cross country skiing on 2/16/03. She had not been hydrating herself during the skiing. The evening of 2/16/03 she noted continued thigh discomfort and also darkened urine which she dipsticked and found 3+  positive heme. She increased her oral fluids and came into the medical center on 2/17/03 for labwork and was found to have a CPK of 29, 826 (nl   0-160), normal electrolytes and normal BUN and Creat. She discussed with nephrologist who advised to continue oral hydration as treatment for rhabdomyolysis given normal renal function. She continued to have pain in her thighs and weakness with limited standing and walking tolerancee. She was seen by her Primary care physician on 2/19/03 and was noted to have slt edema to the left calf and thigh and doppler ultrasound was done to r/o DVT. This was negative. Repeat labs showed reduction of CPK to 15, 000, normal CBC, and continued normal renal function. A urinalysis was normal. No other physical findings aside from tenderness to palpation of the bilateral quads. No skin changes, bruising or rash. PMH: unremarkable. She is an active individual that in the past has had no problem tolerating bursts of increased physical activity. She had participated in a one hour spinning class the day before the skiing and was sore after that. She had not been doing spinning on a regular basis. She had the smallpox vaccination on 2/3/2003 and had a documented 'take". She had experienced some itching at the site but no other significant side effects. She denied any constitutional symptoms during the days preceding or the days of her physical activities. She had children that had been ill with a flu like illness the week prior to these symptoms but she had not had any symptoms. She had received the influenza vaccine last Fall. Her current status as off today (2/24/03)is that her thigh pain and weakness is slowly improving. She has a new CPK test pending.
Age: 43.0
Sex: F
Vaccine: SMALL
Symptoms: Pruritus
Clinical narrative: 43 year old female physician who had onset of intense pain and weakness in her bilateral quadriceps after two hours of moderately strenuous cross country skiing on 2/16/03. She had not been hydrating herself during the skiing. The evening of 2/16/03 she noted continued thigh discomfort and also darkened urine which she dipsticked and found 3+  positive heme. She increased her oral fluids and came into the medical center on 2/17/03 for labwork and was found to have a CPK of 29, 826 (nl   0-160), normal electrolytes and normal BUN and Creat. She discussed with nephrologist who advised to continue oral hydration as treatment for rhabdomyolysis given normal renal function. She continued to have pain in her thighs and weakness with limited standing and walking tolerancee. She was seen by her Primary care physician on 2/19/03 and was noted to have slt edema to the left calf and thigh and doppler ultrasound was done to r/o DVT. This was negative. Repeat labs showed reduction of CPK to 15, 000, normal CBC, and continued normal renal function. A urinalysis was normal. No other physical findings aside from tenderness to palpation of the bilateral quads. No skin changes, bruising or rash. PMH: unremarkable. She is an active individual that in the past has had no problem tolerating bursts of increased physical activity. She had participated in a one hour spinning class the day before the skiing and was sore after that. She had not been doing spinning on a regular basis. She had the smallpox vaccination on 2/3/2003 and had a documented 'take". She had experienced some itching at the site but no other significant side effects. She denied any constitutional symptoms during the days preceding or the days of her physical activities. She had children that had been ill with a flu like illness the week prior to these symptoms but she had not had any symptoms. She had received the influenza vaccine last Fall. Her current status as off today (2/24/03)is that her thigh pain and weakness is slowly improving. She has a new CPK test pending.
Age: 33.0
Sex: F
Vaccine: SMALL
Symptoms: Blister, Injection site erythema, Injection site vesicles, Pruritus
Clinical narrative: 7 feb: vaccine given 13 feb: eval for take; + take; small red vessicular area several days later developed large red area of deltoid, upper arm... did not seek care 24 feb seen for multiple small vessicles itching in various areas of neck, arms, legs, abdomen.  There were only 1-2 2-3mm red vessicles in each area, with no central necrosis or umbilication, clear vessicular fluid. None looked like the vaccine site
Age: 27.0
Sex: F
Vaccine: HEP, MMR, TD
Symptoms: Unevaluable event
Clinical narrative: Recieved the mmr vaccination during the first trimester of pregnancy unknowingly
Sex: F
Vaccine: HIBV
Symptoms: Diarrhoea, Pyrexia, Vomiting
Clinical narrative: This report received from a manufacturer, concerns a female who on 10/15/01 was vax'd with one dose of haemophilus b conjugate vax. On 10/15/01 the PT experienced fever, diarrhea and vomiting. There was no serious criteria. This report was originally reported by an MD. Follow-up info noted that the PT was not given a wrong dose of [haemophilus b conjugate vaccine]", the wrong dose was of another injection from a diff't unspecified manufacturer. No further info. is available.
Age: 1.4
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Hypersensitivity, Irritability, Pyrexia, Urticaria
Clinical narrative: Info. has been received from a registered nurse concerning a 17 wk old male w/a history at birth of meconium aspiration requiring a neonatal intensive care unit admission, 3 pneumothoraxes and 9 days of extracorporeal membrane oxygenation who had "pulled through" all of this was reported as doing fine. On 1/3/02 at 9 a.m. the PT was vax'd with the first dose of haemophilus B conjugate vax in the left leg. There was no illness at the time of vax. Concomitant therapy on 12/3/01 and 12/31/01 included the 2nd and 3rd dose of palivizumab (SYNAGIS). Other concomitant therapy on 1/3/02 included the 2nd dose of diphtheria toxoid/pertussis vaccine/teta (INFANRIX) in the right leg, the 2nd dose of poliovirus vaccine (IPOL) right leg, the 2nd dose of streptococcus pneumoniae vax (Prevnar) in the left leg. On 1/3/02, 8 hrs later, the PT developed irritability, at 6:30 p.m. the PT developed urticaria-diffuse (hives) and at 3 a.m. the PT developed a temp of 102 (also reported as a temp to 103 deg F) (onset time for the events also reported as 6 hrs and 8 to 9 hrs post vax). The PT was treated w/diphenhydramine (BENADRYL) every 4 hrs. The PT recovered w/in 36 hrs and reportedly was doing well. It was noted that the PT had seen a pediatric allergist since this event and the allergist had considered that the child had developed a latex sensitivity or a pertussis problem. The PT was also referred to another pediatric allergist for further allergy testing. Info. received on 2/27/02 noted that "next month" the PT will have vax titers drawn and will be checked for latex allergy. It was also noted that on 1/29/02, the PT received the 4th dose of palivizumab (SYNAGIS) IM in the left and right leg. It was also noted that the PT was previously vax'd with Haemophilus B conjugate vax (+) Hep B vaccine recombinant (yeast) (MSD) on 10/31/01 and experienced a viral exanthema, viral syndrome, chemical sensitivity and vax reaction and was hospitalized at that time. Follow-up info from a healthcare prof'l noted that the current plan for the PT was to administer each vax at a separate date and monitor him closely. He was noted to be doing well developmentally and was growing beautifully. On 3/12/02 the PT was allergy tested for each of the vax components. He experienced no reaction to any of them. The reporter noted that she would send info. as to his status post his next vaccines. No further info. is available.
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Unevaluable event
Clinical narrative: See attached summary. F/U to original VAERS  and  17 Oct VAERS
Age: 15.0
Sex: F
Vaccine: JEV
Symptoms: Pruritus, Urticaria
Clinical narrative: It was reported by a health care professional that a 15 year old female received 3rd dose of JE-VAX on July 10, 2002, lot number ENJ205B. Pt developed hives on torso, legs, arms, and buttocks 6 hours after vaccination. Pt received 2 tablets of Benadryl from her mother on July 10, 2002 to counteract the hives and itching. Pt recovered on July 11, 2002.
Sex: M
Vaccine: HIBV
Symptoms: Drug toxicity, Nervous system disorder
Clinical narrative: A legal complaint was received on 2/12/02 from an attorney concerning a male child who received injections of Hib-titer, Tri-Immunol, Recombivax HB, and DTP vaccines during the time frame from December 1996 through February 1998. The legal complaint stated that "as a result of the mercury in the timerosal containing vaccines, he subsequently experienced toxic neurological effects of mercury poisoning, including but not limited to autism." These events were considered medically important (OMIC).
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain, Back pain, Chest pain, Cough, Dyspnoea
Clinical narrative: Fever and cough 24 hrs post flu vaccine. Took Sudafed and had headaches and numbness of legs and hands. Also had chest, abdominal pain and thoracic back pain. Started to have right facial numbness on 11/22/02 which progressed to the whole face. (See note on neurological consult/possible Guillain Barre). "I was called by MD to see this pt for emergency neurology consultation of bilateral hand, state numbness, nausea and vomiting and facial weakness. The pt developed some fever and coughing within 24 hrs after the flu shot injection. She presented to the ER on 11/22/02. ER workup including head CT, chest x-ray, thoracic spine x-ray which was unremarkable except chest CT showed minor bilateral atelectasis/infiltrate.  The pt deny urine and bowel incontinence but do complain of some shortness of breath.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Facial palsy, Guillain-Barre syndrome, Headache, Hypoaesthesia, Laboratory test abnormal
Clinical narrative: Fever and cough 24 hrs post flu vaccine. Took Sudafed and had headaches and numbness of legs and hands. Also had chest, abdominal pain and thoracic back pain. Started to have right facial numbness on 11/22/02 which progressed to the whole face. (See note on neurological consult/possible Guillain Barre). "I was called by MD to see this pt for emergency neurology consultation of bilateral hand, state numbness, nausea and vomiting and facial weakness. The pt developed some fever and coughing within 24 hrs after the flu shot injection. She presented to the ER on 11/22/02. ER workup including head CT, chest x-ray, thoracic spine x-ray which was unremarkable except chest CT showed minor bilateral atelectasis/infiltrate.  The pt deny urine and bowel incontinence but do complain of some shortness of breath.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Fever and cough 24 hrs post flu vaccine. Took Sudafed and had headaches and numbness of legs and hands. Also had chest, abdominal pain and thoracic back pain. Started to have right facial numbness on 11/22/02 which progressed to the whole face. (See note on neurological consult/possible Guillain Barre). "I was called by MD to see this pt for emergency neurology consultation of bilateral hand, state numbness, nausea and vomiting and facial weakness. The pt developed some fever and coughing within 24 hrs after the flu shot injection. She presented to the ER on 11/22/02. ER workup including head CT, chest x-ray, thoracic spine x-ray which was unremarkable except chest CT showed minor bilateral atelectasis/infiltrate.  The pt deny urine and bowel incontinence but do complain of some shortness of breath.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Hyperkalaemia, Pneumonia, Sinus tachycardia, Thrombocythaemia, Tremor
Clinical narrative: Administered at 12/31/02. Patient developed right upper lung lobe pneumonia with sinus tachycardia and right upper extremity tremors. Patient hospitalized. The discharge summary states hyperkalemia and elevated platelets.
Age: 55.0
Sex: M
Vaccine: FLU3
Symptoms: Headache, Infection, Laboratory test abnormal, Lactic acidosis, Musculoskeletal stiffness
Clinical narrative: Symptoms similar to meningitis; severe headache, stiff neck, aching. No evidence.
Age: 55.0
Sex: M
Vaccine: FLU3
Symptoms: Myalgia, Pain, Viral infection
Clinical narrative: Symptoms similar to meningitis; severe headache, stiff neck, aching. No evidence.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site swelling, Tenderness
Clinical narrative: Present complaints of redness, swelling and tenderness to vaccination site.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: Approximately 24 hours after receiving immunizations (DTaP, IPV in right leg), patient developed marked swelling, redness and increased warmth involving right thigh from proximal thigh down to and involving right knee. She did not have fever and was ambulating without difficulty. Secondary to physical exam findings consistent with cellulitis, she was admitted to the pediatric ward for IV antibiotic therapy. She responded well to IV therapy and was discharged after 24 hours. She was treated with Benadryl also during hospitalization.
Age: 19.0
Sex: M
Vaccine: ANTH
Symptoms: Dyspnoea, Rash erythematous
Clinical narrative: Pt started having difficulty breathing about 5/10 minutes after Anthrax shot # 2 was given. The corpsman laid pt down in the shock position. We then monitored pt. We then noticed a red rash with small bumps around his chest. Pt's breathing became more labored so we gave the pt a 25 mg injection of Benadryl. Pt was ok after that.
Age: 32.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 2 1/2" X 2 1/4" - redness, swelling and area is much hotter than skin around this area.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site reaction
Clinical narrative: Moderate to large local reaction extending to elbow.
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Cellulitis
Clinical narrative: Site of injection, signs of cellulitis. Treated: dicloxacillin; Motrin; Atarax
Age: 43.0
Sex: M
Vaccine: ANTH
Symptoms: Malaise, Swelling, Tenderness
Clinical narrative: Pt noticed slight swelling and tenderness under rt arm axillary area on Monday following immunization given 12/07/2002. General malaise throughout day.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Pain, Pyrexia, Respiratory tract infection, Tooth disorder
Clinical narrative: Nov - chest cold, achy, fever, extremely tired, felt like someone hit her in back. Dr treated for respiratory infection. Took Rx and felt good off and on until Jan 03; saw Dr in Jan because teeth hurt so much - treated for infection with Zithromax. Took meds and continued mouth pain with low grade fever; saw Dr Feb 12.
Age: 59.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Contusion, Oedema, Pain
Clinical narrative: PT received flu and Td vaccines on 11/6/02. Had pain x 6 days. Return to HD on 11/12/02. Swelling and bruising noted on left arm (had Td in left arm, flu in right arm) and pain. To MD on 1/6/03, light swelling and bruising gone but still having pain. To be treated with anti inflammatory x 2 wks and return to PMD in 2 wks.
Age: 62.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: 10/14/2002 recv'd Td and Flu Vaccine in left deltoid. two days latter arm sore from shoulder to elbow and was swollen and hot from shoulder to elbow. Saw private MD 1/27/2003 and advised her to use hot compresses and to see MD again 4/28/2003.
Age: 0.9
Sex: F
Vaccine: FLU3
Symptoms: Insomnia, Irritability, Pharyngitis, Rhinitis
Clinical narrative: Symptoms started the night she got the shot. Had sleepless nights and was very fussy for one week. No cough, no fever, no site redness. Mom refused to given child the second shot. Mom states child got better for a couple of days and then got sick again with cold symptoms. Has not taken child to MD. Did have a call into him today to have him call her back about symptoms.
Age: 51.0
Sex: M
Vaccine: FLU3
Symptoms: Bronchitis, Cough, Dyspnoea, Head discomfort, Throat tightness
Clinical narrative: Ill-scratchy throat, stuffy head, tired, cough settled in chest. Green phlegm and called MD. Zithromax ordered and completed. 12/17/02 states twk 2nd antibiotic and new bronchitis subsiding. Some SOB and cough yet hx of bronchitis.
Age: 49.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Feeling abnormal, Headache, Heart rate increased, Injection site erythema, Injection site swelling
Clinical narrative: Received pneumonia vaccine R deltoid. Few cm below injection site-red raised hot to touch 25 cent size now but approximately 50 cents on Mon 11/18. Area sore has gradually ? H/A all over head, photophobia, occ. blurred vision, heart racing 1 1/2 hr felt weird.
Age: 49.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site warmth, Photophobia, Vision blurred
Clinical narrative: Received pneumonia vaccine R deltoid. Few cm below injection site-red raised hot to touch 25 cent size now but approximately 50 cents on Mon 11/18. Area sore has gradually ? H/A all over head, photophobia, occ. blurred vision, heart racing 1 1/2 hr felt weird.
Age: 60.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Flu shot L/ pneumonia R-became red and swollen, tender to touch, hot to touch. had gotten pneumonia maybe two year ago. No SOB. Tx with Medrol dose pack/Cephalexin 500 bid. Pt called 11/20/02 re: adverse reaction. Add: when pt asked Re: notifying clinic re: adverse reaction. She stated "I thought it would pass."
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site pain, Injection site warmth, Malaise
Clinical narrative: Received flu shot L deltoid (bandaid applied) became red and warm to touch, itchy and stung, later that day (4"x3" area) used ice and hydrocortisone cream to area and Benadryl one cups-full recovery next day reported some malaise next day.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus
Clinical narrative: Received flu shot L deltoid (bandaid applied) became red and warm to touch, itchy and stung, later that day (4"x3" area) used ice and hydrocortisone cream to area and Benadryl one cups-full recovery next day reported some malaise next day.
Age: 48.0
Sex: F
Vaccine: SMALL
Symptoms: Eye discharge, Injection site hypersensitivity, Pruritus
Clinical narrative: On day six post vaccination, pt awoke with conjunctival injection, itchiness and creamy yellow discharge from left eye. No ill contacts. No fever or any systemic symptoms. No allergies. denies touching vaccine site and eye. obtained optho consult and reported to MD and CDC.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Hypoaesthesia, Injection site pain, Injection site swelling
Clinical narrative: Pt reports a pimple over injection site one week after shot - went away one month later. Pain at injection site one day post shot. Never relieved - now pain with movement of shoulder in all directions, numbness in lt arm, pain awakened pt at night.
Age: 51.0
Sex: M
Vaccine: FLU3, MMR, TD
Symptoms: Injection site pain, Skin ulcer
Clinical narrative: Initially noted soreness in R arm within 48-72 hrs. On around 11/5 noticed a red "crusty" area on R arm and then on chest/stomach area. To this date 1/10/03 noted 12 round lesions on both arms and chest/abdominal area.
Age: 44.0
Sex: F
Vaccine: FLU3, MMR, TD
Symptoms: Dizziness, Influenza like illness, Pruritus, Urticaria
Clinical narrative: Approximately three weeks after immunizations had dizziness, itchiness, flu like symptoms 2/6/03 mild urticaria noted in both upper arms abdomen and both inner thigh area.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Cough, Pyrexia, Rash papular, Rhinorrhoea
Clinical narrative: Cough, runny nose, fever 103, multiple discrete diffuse papular rash head to toe. No seizure. The rash remains 02/19/2003