chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.08
Sex: F
Vaccine: HBHEPB, VARCEL
Symptoms: Skin exfoliation, Tenderness
Clinical narrative: Area started with redness 1.5 week after shots. Small head ruptured at injection site, never oozed but crusted over. Dark central crater like scale. Firmness in skin getting bigger, slightly tender, started on abx for presumed injection site infection.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Contusion, Feeling hot, Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: Swollen, lump on upper right arm ~50mm. Very hot, red, bruised looking. No c/o of pain but some itching. Noticed 8/17/04 in AM ~8AM. Remains the same until today 8/18/04. All at site of the DTaP injection in right upper arm.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Pruritus
Clinical narrative: Swollen, lump on upper right arm ~50mm. Very hot, red, bruised looking. No c/o of pain but some itching. Noticed 8/17/04 in AM ~8AM. Remains the same until today 8/18/04. All at site of the DTaP injection in right upper arm.
Age: 32.0
Sex: M
Vaccine: HEP, HEPA, MMR, YF
Symptoms: Angiopathy, Confusional state, Dizziness, Fatigue, Headache
Clinical narrative: Pt received multiple vaccines in preparation for deployment. He reports being in good health prior to August 2003 and has stated that he has never had an adverse reaction to any immunizations. On Aug02,2003 he recalls having a severe occipital headache with pains into his neck followed 3 hours later with the onset of a 20-30 min episode of tunnel vision. He denies any fever, chills, nausea, vomiting, dizziness, numbness or weakness. He was seen at the TMC where he felt groggy and confused and says he had loss consciousness for 2-3 hours. He was treated with IV fluids, pain medication and given quarters. All labs were normal. He reports feeling exhausted and sleeping for 16hrs-they woke me to eat and I went right back to sleep. The next day he recalls feeling foggy, with decreased comprehension and concentration- I was unable to complete sentences. The headache slowly improved to (2-3/10) and he was deployed on ASA and or Motrin where he continued to have mild headaches, dull, achy pain 3-4 x a week. He received an influenza vaccine on 14Oct03, and says his headaches became worse occurring daily and lasting 4-12 hrs. with only minimal relief with ASA or Motrin. He also started having tinnitus described as a high pitch, constant background sound bilaterally. In November he began experiencing daily episodes of sharp dagger like pains (8-9/10) localized in his right temporal area lasting 2-3 seconds at times, associated with nausea. He also states that he had 1 episode of photo phobia and dulled mental status associated with these headaches in December. About the middle of December he began having painless fluttering of his right eyelid and right sided facial twitching. A CT scan showed mild sinusitis and possible vascular malformation in the left occipital lobe. He was transferred. He had a normal MRI/MRA/MRV EEG and routine labs. He was treated with a prednisone taper and Neurontin 300mg HS with some improvement in the sharp, intermittent headache pains. While being air evacuated he had 2 episodes of uncontrollable stiffening of my entire body (extension of his arms and legs, stiffening of his tongue)- the first lasting 5 minutes and the second 20 minutes-associated with tachycardia. He denies loss of bowel or bladder control, LOC, nausea, vomiting, headache or blurred vision.
Age: 32.0
Sex: M
Vaccine: HEP, HEPA, MMR, YF
Symptoms: Hypertonia, Laboratory test abnormal, Loss of consciousness, Muscle twitching, Nausea
Clinical narrative: Pt received multiple vaccines in preparation for deployment. He reports being in good health prior to August 2003 and has stated that he has never had an adverse reaction to any immunizations. On Aug02,2003 he recalls having a severe occipital headache with pains into his neck followed 3 hours later with the onset of a 20-30 min episode of tunnel vision. He denies any fever, chills, nausea, vomiting, dizziness, numbness or weakness. He was seen at the TMC where he felt groggy and confused and says he had loss consciousness for 2-3 hours. He was treated with IV fluids, pain medication and given quarters. All labs were normal. He reports feeling exhausted and sleeping for 16hrs-they woke me to eat and I went right back to sleep. The next day he recalls feeling foggy, with decreased comprehension and concentration- I was unable to complete sentences. The headache slowly improved to (2-3/10) and he was deployed on ASA and or Motrin where he continued to have mild headaches, dull, achy pain 3-4 x a week. He received an influenza vaccine on 14Oct03, and says his headaches became worse occurring daily and lasting 4-12 hrs. with only minimal relief with ASA or Motrin. He also started having tinnitus described as a high pitch, constant background sound bilaterally. In November he began experiencing daily episodes of sharp dagger like pains (8-9/10) localized in his right temporal area lasting 2-3 seconds at times, associated with nausea. He also states that he had 1 episode of photo phobia and dulled mental status associated with these headaches in December. About the middle of December he began having painless fluttering of his right eyelid and right sided facial twitching. A CT scan showed mild sinusitis and possible vascular malformation in the left occipital lobe. He was transferred. He had a normal MRI/MRA/MRV EEG and routine labs. He was treated with a prednisone taper and Neurontin 300mg HS with some improvement in the sharp, intermittent headache pains. While being air evacuated he had 2 episodes of uncontrollable stiffening of my entire body (extension of his arms and legs, stiffening of his tongue)- the first lasting 5 minutes and the second 20 minutes-associated with tachycardia. He denies loss of bowel or bladder control, LOC, nausea, vomiting, headache or blurred vision.
Age: 32.0
Sex: M
Vaccine: HEP, HEPA, MMR, YF
Symptoms: Neck pain, Photophobia, Sinusitis, Tachycardia, Tinnitus
Clinical narrative: Pt received multiple vaccines in preparation for deployment. He reports being in good health prior to August 2003 and has stated that he has never had an adverse reaction to any immunizations. On Aug02,2003 he recalls having a severe occipital headache with pains into his neck followed 3 hours later with the onset of a 20-30 min episode of tunnel vision. He denies any fever, chills, nausea, vomiting, dizziness, numbness or weakness. He was seen at the TMC where he felt groggy and confused and says he had loss consciousness for 2-3 hours. He was treated with IV fluids, pain medication and given quarters. All labs were normal. He reports feeling exhausted and sleeping for 16hrs-they woke me to eat and I went right back to sleep. The next day he recalls feeling foggy, with decreased comprehension and concentration- I was unable to complete sentences. The headache slowly improved to (2-3/10) and he was deployed on ASA and or Motrin where he continued to have mild headaches, dull, achy pain 3-4 x a week. He received an influenza vaccine on 14Oct03, and says his headaches became worse occurring daily and lasting 4-12 hrs. with only minimal relief with ASA or Motrin. He also started having tinnitus described as a high pitch, constant background sound bilaterally. In November he began experiencing daily episodes of sharp dagger like pains (8-9/10) localized in his right temporal area lasting 2-3 seconds at times, associated with nausea. He also states that he had 1 episode of photo phobia and dulled mental status associated with these headaches in December. About the middle of December he began having painless fluttering of his right eyelid and right sided facial twitching. A CT scan showed mild sinusitis and possible vascular malformation in the left occipital lobe. He was transferred. He had a normal MRI/MRA/MRV EEG and routine labs. He was treated with a prednisone taper and Neurontin 300mg HS with some improvement in the sharp, intermittent headache pains. While being air evacuated he had 2 episodes of uncontrollable stiffening of my entire body (extension of his arms and legs, stiffening of his tongue)- the first lasting 5 minutes and the second 20 minutes-associated with tachycardia. He denies loss of bowel or bladder control, LOC, nausea, vomiting, headache or blurred vision.
Age: 32.0
Sex: M
Vaccine: HEP, HEPA, MMR, YF
Symptoms: Tunnel vision
Clinical narrative: Pt received multiple vaccines in preparation for deployment. He reports being in good health prior to August 2003 and has stated that he has never had an adverse reaction to any immunizations. On Aug02,2003 he recalls having a severe occipital headache with pains into his neck followed 3 hours later with the onset of a 20-30 min episode of tunnel vision. He denies any fever, chills, nausea, vomiting, dizziness, numbness or weakness. He was seen at the TMC where he felt groggy and confused and says he had loss consciousness for 2-3 hours. He was treated with IV fluids, pain medication and given quarters. All labs were normal. He reports feeling exhausted and sleeping for 16hrs-they woke me to eat and I went right back to sleep. The next day he recalls feeling foggy, with decreased comprehension and concentration- I was unable to complete sentences. The headache slowly improved to (2-3/10) and he was deployed on ASA and or Motrin where he continued to have mild headaches, dull, achy pain 3-4 x a week. He received an influenza vaccine on 14Oct03, and says his headaches became worse occurring daily and lasting 4-12 hrs. with only minimal relief with ASA or Motrin. He also started having tinnitus described as a high pitch, constant background sound bilaterally. In November he began experiencing daily episodes of sharp dagger like pains (8-9/10) localized in his right temporal area lasting 2-3 seconds at times, associated with nausea. He also states that he had 1 episode of photo phobia and dulled mental status associated with these headaches in December. About the middle of December he began having painless fluttering of his right eyelid and right sided facial twitching. A CT scan showed mild sinusitis and possible vascular malformation in the left occipital lobe. He was transferred. He had a normal MRI/MRA/MRV EEG and routine labs. He was treated with a prednisone taper and Neurontin 300mg HS with some improvement in the sharp, intermittent headache pains. While being air evacuated he had 2 episodes of uncontrollable stiffening of my entire body (extension of his arms and legs, stiffening of his tongue)- the first lasting 5 minutes and the second 20 minutes-associated with tachycardia. He denies loss of bowel or bladder control, LOC, nausea, vomiting, headache or blurred vision.
Age: 23.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Anorexia, Diarrhoea, Dizziness, Fatigue, Headache
Clinical narrative: Headaches, vomiting, dizziness, loss of appetite, temperature, diarrhea, fatigue, blurred vision.
Age: 23.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Pyrexia, Vision blurred, Vomiting
Clinical narrative: Headaches, vomiting, dizziness, loss of appetite, temperature, diarrhea, fatigue, blurred vision.
Age: 23.0
Sex: F
Vaccine: HEPA, TD, TYP
Symptoms: Blood pressure decreased, Coma, Dizziness, Nausea, Pallor
Clinical narrative: Patient was given Hepatitis A, Td and Typhim Vi vaccines at 4:30 p.m.  At approximately 4:35 p.m. she said she felt faint, and fainted, becoming pale and nonresponsive.  After about 1 minute she became responsive.  Her BP was 90/60 and pulse 60, but retaken shortly thereafter was 120/80 and 100.  She became very nauseated and had frequent emesis of small amounts of fluid for approximately 15 minutes.  Although she was stable, she was still nauseous and vomiting, so she was transported to the local ER for further evaluation and treatment.
Age: 23.0
Sex: F
Vaccine: HEPA, TD, TYP
Symptoms: Syncope, Vomiting
Clinical narrative: Patient was given Hepatitis A, Td and Typhim Vi vaccines at 4:30 p.m.  At approximately 4:35 p.m. she said she felt faint, and fainted, becoming pale and nonresponsive.  After about 1 minute she became responsive.  Her BP was 90/60 and pulse 60, but retaken shortly thereafter was 120/80 and 100.  She became very nauseated and had frequent emesis of small amounts of fluid for approximately 15 minutes.  Although she was stable, she was still nauseous and vomiting, so she was transported to the local ER for further evaluation and treatment.
Age: 5.0
Sex: F
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Erythema, Injection site warmth, Oedema peripheral, Swelling
Clinical narrative: Mother reported that child developed a red, hot, swollen,left arm extending from shoulder to elbow.  Immunization given 8/16/04 at approximately 1:30 p.m. Child was very uncooperative and required 2 adults to restrain for immunization. Mother reports onset began at 5 p.m. on 8/17/04.  Mother reported it pediatricians office 8/18/04, who instructed her to use Motrin, ice, Benadryl and cortisone cream and to notify them if no improvement later in day.  Mother felt there was no improvement and took child to physician later that day and felt reaction was related to immunization.  Mother and physician are requesting that the office visit be paid by Vaccine Injury Compensation Fund.
Age: 56.0
Sex: F
Vaccine: HEP
Symptoms: Chills, Fatigue, Headache, Malaise
Clinical narrative: PT COMPLAINED OF MALAISE, CHILLS, FATIGUE AND HEADACHE.  PT REPORTED SHE TOOK AN EXCEDRINE, WHICH GAVE HER SOME RELIEF FROM HER HEADACHE. PT ALSO RECEIVED A TB TEST ON THIS DAY.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: LOCAL SWELLING AND REDNESS TO RIGHT TRICEP. Given 50mg Benedryl with ice and compression
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Red, swollen erythema at immunization site; Left deltoid.
Age: 12.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site pain, Injection site swelling, Pruritus
Clinical narrative: Left deltoid immunization site red, swollen, painful and itching
Age: 32.0
Sex: M
Vaccine: ANTH, MEN, SMALL, TYP, ANTH, MEN, SMALL, TYP
Symptoms: Cow pox, Hypersensitivity, Rash macular
Clinical narrative: Pt was admitted to hospital for post smallpox vaccine, generalized vaccinia.  Had vaccine 9 days prior to symptoms of vaccinia.  Case analysis indicates pt experience macular rash and a hypersentivity reaction.
Age: 32.0
Sex: M
Vaccine: ANTH, MEN, SMALL, TYP, ANTH, MEN, SMALL, TYP
Symptoms: Hypersensitivity, Injection site erythema, Injection site pain, Injection site reaction, Rash erythematous
Clinical narrative: Pt was admitted to hospital for post smallpox vaccine, generalized vaccinia.  Had vaccine 9 days prior to symptoms of vaccinia.  Case analysis indicates pt experience macular rash and a hypersentivity reaction.
Sex: M
Vaccine: DTAP, HIBV, PNC, VARCEL, DTAP, IPV, VARCEL
Symptoms: Antisocial behaviour, Autism, Deafness, Speech disorder
Clinical narrative: This case was considered medically important (OMIC). Information regarding Prevnar was received from a consumer, the mother of a male child. Information was verified and clarified by a healthcare professional on a follow up call to the child's pediatric office. The child received a dose of Prevnar in 9.01. Additionally, the patient received other childhood vaccines from 6/27/00 to 9/01, including Acel-Imune and Hib-TITER, Varivax, Infanrix, Recombivax HB, MMR II, Pedvax-HIB, IPOL, Comvax, and Hepatitis B vaccine. The child was diagnosed with autism in December 2003. The patient has a past history of being a normal newborn (reported as full term normal newborn also having a 6 year old sister with no medical problems). Indication for all vaccines was immunization. Dose regimen was 1 dose. Prevnar was administered in August 2000, October 2000, January 2001, and September 2001. Acel-Imune was administered in August 2000, October 2000, and January 2001. Hib-TITER was administered in October 2000, and September 2001. Additional suspect vaccines administered between 6/27/00 and 9/01 included; Varivax, Infanrix, Pedvax-HIB, Comvax, MMR II, IPOL, Recombivax HB, and Hepatitis B vaccine. Concomitant medications were not reported. A consumer, the mother of a male child, reported that her son at the age of 3 was diagnosed with autism after receiving Prevnar and other vaccines. The mother stated that she first noticed her son's symptoms, described as no eye contact and too quiet, when he was approximately one year old. An auditory screening, given at one year of age, did not show any hearing problems. Over the next two years, the mother observed that her son became less interactive, had hearing and speech difficulties and did not play with other children. The child was evaluated in a clinic in December 2003 and was diagnosed with autism. As of 8/12/04, the mother indicated that all events were unresolved and the pediatrician was aware of all events. Her son was attending a special needs school and was receiving speech therapy.
Sex: M
Vaccine: DTAP, HIBV, PNC, VARCEL, DTAP, IPV, VARCEL
Symptoms: Autism
Clinical narrative: This case was considered medically important (OMIC). Information regarding Prevnar was received from a consumer, the mother of a male child. Information was verified and clarified by a healthcare professional on a follow up call to the child's pediatric office. The child received a dose of Prevnar in 9.01. Additionally, the patient received other childhood vaccines from 6/27/00 to 9/01, including Acel-Imune and Hib-TITER, Varivax, Infanrix, Recombivax HB, MMR II, Pedvax-HIB, IPOL, Comvax, and Hepatitis B vaccine. The child was diagnosed with autism in December 2003. The patient has a past history of being a normal newborn (reported as full term normal newborn also having a 6 year old sister with no medical problems). Indication for all vaccines was immunization. Dose regimen was 1 dose. Prevnar was administered in August 2000, October 2000, January 2001, and September 2001. Acel-Imune was administered in August 2000, October 2000, and January 2001. Hib-TITER was administered in October 2000, and September 2001. Additional suspect vaccines administered between 6/27/00 and 9/01 included; Varivax, Infanrix, Pedvax-HIB, Comvax, MMR II, IPOL, Recombivax HB, and Hepatitis B vaccine. Concomitant medications were not reported. A consumer, the mother of a male child, reported that her son at the age of 3 was diagnosed with autism after receiving Prevnar and other vaccines. The mother stated that she first noticed her son's symptoms, described as no eye contact and too quiet, when he was approximately one year old. An auditory screening, given at one year of age, did not show any hearing problems. Over the next two years, the mother observed that her son became less interactive, had hearing and speech difficulties and did not play with other children. The child was evaluated in a clinic in December 2003 and was diagnosed with autism. As of 8/12/04, the mother indicated that all events were unresolved and the pediatrician was aware of all events. Her son was attending a special needs school and was receiving speech therapy.
Sex: F
Vaccine: RAB
Symptoms: Arthralgia, Rash, Serum sickness
Clinical narrative: A female patient developed serum sickness, joint pain and rash after treatment with RabAvert. The patient was bitten by a cat and received RabAvert on day 0 and 3 (dates unknown). On day 0, she also received immune Globulin. She had no significant past medical history and was not taking any concomitant medications., Approximately 7 days after the initial RabAvert injection, she developed serum sickness, rash, and joint pain. The outcome of the events was unknown. The reporter stated the event may have been secondary to Immune Globulin as well.
Age: 0.31
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Blood bicarbonate decreased, Blood glucose increased, Coma, Dehydration, Heart rate increased
Clinical narrative: Immunizations given at 10:30 AM, 5/24/04. Tolerated well; Tylenol offered, mother refused. Per mom, baby felt hot 1-2 hours later; Tylenol given. At approximately 4:00 AM, 5/25/04, baby seemed less responsive, breathing rapidly. ER Visit at 5:00 AM, temp 98.4, pulse 160, respiratory rate 24, vomited twice, pale, nonresponsive, tachypnea 45-60. Admitted to hospital; treated for febrile episode, dehydration. Baby responded well; discharged 5/26/04. Medical Record received on 12/15/2004 states pt experienced an adverse vaccine reaction.
Age: 0.31
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Hypersensitivity, Pallor, Pyrexia, Respiratory rate increased, Tachypnoea
Clinical narrative: Immunizations given at 10:30 AM, 5/24/04. Tolerated well; Tylenol offered, mother refused. Per mom, baby felt hot 1-2 hours later; Tylenol given. At approximately 4:00 AM, 5/25/04, baby seemed less responsive, breathing rapidly. ER Visit at 5:00 AM, temp 98.4, pulse 160, respiratory rate 24, vomited twice, pale, nonresponsive, tachypnea 45-60. Admitted to hospital; treated for febrile episode, dehydration. Baby responded well; discharged 5/26/04. Medical Record received on 12/15/2004 states pt experienced an adverse vaccine reaction.
Age: 0.31
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Vomiting
Clinical narrative: Immunizations given at 10:30 AM, 5/24/04. Tolerated well; Tylenol offered, mother refused. Per mom, baby felt hot 1-2 hours later; Tylenol given. At approximately 4:00 AM, 5/25/04, baby seemed less responsive, breathing rapidly. ER Visit at 5:00 AM, temp 98.4, pulse 160, respiratory rate 24, vomited twice, pale, nonresponsive, tachypnea 45-60. Admitted to hospital; treated for febrile episode, dehydration. Baby responded well; discharged 5/26/04. Medical Record received on 12/15/2004 states pt experienced an adverse vaccine reaction.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site mass, Injection site pain, Pruritus, Rash maculo-papular
Clinical narrative: 34 y/o pt reports the occurrence of a red, raised slightly itchy rash that began within a day or two after receiving his first anthrax vaccination on 10May04. The rash occurred mostly on his torso-back, abdomen and chest with a few on his arms and legs. He denies any SOB, fatigue, HA, joint or muscles pains. He sought medical care on 27May04 and was treated with OTC cortisone preparation. He also reports having a somewhat sore knot the size of a quarter on his left arm @ injection site that lasted about a week. He received no other injections that day or during the previous month and has never had an adverse reaction to any vaccines received in the past.
Age: 41.0
Sex: F
Vaccine: TTOX, DT
Symptoms: Headache, Heart rate increased, Hypoaesthesia, Myalgia, Nausea
Clinical narrative: Severe whole body aches (18 days so far); fevers (102.0) for many days; headaches, severe pain in left arm (up and down) numbness, nausea, heart racing.
Age: 41.0
Sex: F
Vaccine: TTOX, DT
Symptoms: Pain, Pyrexia
Clinical narrative: Severe whole body aches (18 days so far); fevers (102.0) for many days; headaches, severe pain in left arm (up and down) numbness, nausea, heart racing.
Age: 41.0
Sex: F
Vaccine: TTOX, DT
Symptoms: Abdominal pain, Arthralgia, Difficulty in walking, Laboratory test abnormal, Pyrexia
Clinical narrative: Severe whole body aches (18 days so far); fevers (102.0) for many days; headaches, severe pain in left arm (up and down) numbness, nausea, heart racing.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Anorexia, Erythema, Injection site mass, Oral pain, Pyrexia
Clinical narrative: Sore mouth; fever 100.6 this afternoon; no appetite; hard, red area on right arm.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: Reddened area to right thigh IPV injection site approx 7x4 cm. Rx for Benadryl given by FNP.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Left Deltoid erythema swollen and warm 5cm x 5cm; Right deltoid erythema swollen and warm 4cm x 2.5 cm.
Sex: M
Vaccine: HEPAB
Symptoms: Speech disorder, Tremor
Clinical narrative: 2 wks after injection pt noticed slurring of speech and shakiness, 1st appt cancelled until pt checked 2 PMD for okay to receive vaccination.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Crying, Insomnia, Pyrexia, Rhinitis
Clinical narrative: Pediarix #3, Hib #3, PCV7 #3-given as directed on 8/03/04 child RTC on 8/06/04 c/o of  104-102 temp, fussy and crying, not sleeping x 3 days after receiving immunizations. 02 Sat 91% - has some nasal congestion
Age: 15.0
Sex: F
Vaccine: TD
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: Localized erythematous rash at inject site 1"Diam
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Oedema
Clinical narrative: Right upper arm swollen, red at the sight of vaccine injection DTaP and IPV
Age: 0.75
Sex: M
Vaccine: PNC
Symptoms: Injection site erythema, Injection site mass, Pharyngitis, Pruritus, Rhinitis
Clinical narrative: Mom noted this morning redness and induration at injection site. No other symptoms. Injection site left thigh slight pruritus and some induration quarter sized. No streaking or signs of infection. Vomited x 1 today. New cold symptoms today.
Age: 0.75
Sex: M
Vaccine: PNC
Symptoms: Vomiting
Clinical narrative: Mom noted this morning redness and induration at injection site. No other symptoms. Injection site left thigh slight pruritus and some induration quarter sized. No streaking or signs of infection. Vomited x 1 today. New cold symptoms today.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Petechiae, Sepsis
Clinical narrative: Petechial rash noted on both upper legs (thighs) after receiving Pediarix left leg, Hib and Prevnar in right leg. Child taken to ER , admitted for 3 day admission for R/O sepsis (child afebrile).
Age: 32.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Medication error, Unintended pregnancy
Clinical narrative: Per record, MMR administered at above name clinic 7/6/04. Pt 10 week pregnant at that time. Referral for perinatology consult.
Age: 32.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Injury
Clinical narrative: Per record, MMR administered at above name clinic 7/6/04. Pt 10 week pregnant at that time. Referral for perinatology consult.
Age: 4.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Contusion, Pyrexia, Swelling
Clinical narrative: Swollen and bruised, fever
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pyrexia, Swelling
Clinical narrative: Swollen and red, fever
Age: 1.6
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Injection site red, hot to touch, swollen: right leg around 8x8 cm.
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Injection site erythema, Injection site swelling, Injection site warmth, Swelling
Clinical narrative: Received Tripedia on 8/6/04: had redness and swelling of site right thigh that PM, which continued to increase in redness and swelling, warm to touch. Called office in AM on 8/19/04. Brought in to be evaluated by office NP. Approximately 4" lateral area  red, swollen.
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site reaction, Injection site warmth
Clinical narrative: Tripedia left thigh. Child develooped local reaction at site evening of vaccine. Red, warm to touch: redness increased to entire thigh per mom. Better next am 8/18/04, then seemed to get worse. Went to ER. Local reaction.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Oedema, Tenderness
Clinical narrative: Edema, erythema, tenderness at left deltoid x 1 day. No fevers/ fluctuation/ 0/C. Treated with warm compresses and Augmentin.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site induration, Swelling
Clinical narrative: Erythema and swelling around left deltoid with induration. Mild warmth and No fevers /chills. Suggested heat alternated with ice. No abx.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Pruritus, Swelling
Clinical narrative: Within 24 hours, left arm was red, swollen, hot and itchy. Measurements of left shoulder 24.5 cm diameter. Right shoulder: 22cm L mid arm 22.5 cm. Right mid-arm 18.5cm Left above elbow 15cm Right above elbow 16.5cm. Treatment: Keflex and Atarax with follow up in 10 days.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: Within 24 hours vaccine site red, hot , swollen and itch. Right shoulder 26cm diameter. Left shoulder 29.5 cm diameter. Right mid arm 21.5cm. Left mid-arm 20cm. Treatment: Keflex and Atarax with follow up in 2 weeks.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever 102 x 2 days following vaccines.
Age: 1.75
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Alopecia, Speech disorder
Clinical narrative: Mom stated that two weeks after receiving flu vaccine on 11/7/03, the child's hair started falling out.  Follow up on 09/01/04 states: "She also developed trouble with her language use 1-2 weeks post vaccine. The child could only speak the beginning syllable of a word and not finish it.  All MRI's were normal. Medical records state speech disorder. msv
Age: 1.0
Sex: U
Vaccine: MMR, VARCEL
Symptoms: Erythema, Rash papular
Clinical narrative: ERYTHEMA WITH PAPULES X'S 7
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Fatigue, Headache, Injection site mass, Pyrexia, Tremor
Clinical narrative: Headaches, tremors in the hand, fever of 103 the night of the vaccine, red bump at vaccine site (pt. describes not any worse bump then with other vaccines). Dulled vision and slight fatigue (more then normal).
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Visual acuity reduced
Clinical narrative: Headaches, tremors in the hand, fever of 103 the night of the vaccine, red bump at vaccine site (pt. describes not any worse bump then with other vaccines). Dulled vision and slight fatigue (more then normal).
Age: 28.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Colitis, Erythema, Oedema peripheral, Pyrexia
Clinical narrative: Rt arm swelling erythema tenderness from shoulder to just below elbow.  Subjective fever, no fever upon admission. Seen in ED 7/22/2004 within one day of vaccination. Admitted to hospital 7/23/2004 St Vincents Hospital; 7/24/04 Discharge summary states Rt upper extremity cellulitis and Clostridium difficile colitis as final diagnosis.  Confirms Dx that patient had previously been treated for GI S/S, was then vaccinated , treated in ER for focal cellulitis, pt returned with increased symptoms and was admitted.  Notes at discharge state that 'residual erythema remained in area of rt elbow and some swelling on the right forearm'
Age: 28.0
Sex: M
Vaccine: PPV
Symptoms: Swelling, Tenderness, White blood cell count increased
Clinical narrative: Rt arm swelling erythema tenderness from shoulder to just below elbow.  Subjective fever, no fever upon admission. Seen in ED 7/22/2004 within one day of vaccination. Admitted to hospital 7/23/2004 St Vincents Hospital; 7/24/04 Discharge summary states Rt upper extremity cellulitis and Clostridium difficile colitis as final diagnosis.  Confirms Dx that patient had previously been treated for GI S/S, was then vaccinated , treated in ER for focal cellulitis, pt returned with increased symptoms and was admitted.  Notes at discharge state that 'residual erythema remained in area of rt elbow and some swelling on the right forearm'
Age: 31.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling, Pyrexia, White blood cell count increased
Clinical narrative: Rt arm pain and swelling one day after injection admitted on second day after administration. Temp 99F, WBC 15.7 upon admission.  Case analysis indicates pt experienced cellulitis.  Nurse follow up on 09/03/04 states: "Complete."
Age: 1.3
Sex: M
Vaccine: DTAP
Symptoms: Injection site induration
Clinical narrative: Local extensive induration
Age: 0.9
Sex: M
Vaccine: FLU3
Symptoms: Asthma, Pyrexia, Rash, Urticaria
Clinical narrative: 103 degree fever within 24 hours of vaccination for 24 hours. Rash/Hives all over body began 7 days after vaccination. Hives/Rash continued sporadically for 2 months. Within 30 days of vaccination developed RAD which has now been linked to allergies to Dairy and Soy. No such allergies before vaccination. Emergency Room visit for RAD required on three separate occasions.
Age: 32.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Hypokinesia
Clinical narrative: Could not move right or left arms after shots.  After 2 shot of Hep B went to the doctor, meds for 3 months ok now.
Age: 5.0
Sex: M
Vaccine: BCG, DTAP, IPV
Symptoms: Discomfort, Injection site erythema, Injection site mass
Clinical narrative: 8/11/04 Client developed large reddened area (approximately 6cm)with a lump on the left upper outer arm. Area developed approximately 24-30 hrs after injection of DTaP. Grandparent gave child benedryl. Advised parent to apply cool packs and sent her to her physician for further evaluation.  8/16/04 Spoke with parent again no further problems with left arm. Reddness and lump are gone. Nothing done besides cool packs and tylenol for discomfort.
Age: 46.0
Sex: F
Vaccine: RAB
Symptoms: Discomfort, Injection site pain
Clinical narrative: Patient c/o soreness and pain in left hip area after receiving the HRIG (Human Rabies Immune Globulin Lot # X0084-4) and Rabies vaccine (RabAvert) for postexposure treatment.  The initial dose was administered on 7-21-04 and the pt. stated she was still having some discomfort on 8-18-04.
Age: 1.0
Sex: M
Vaccine: DTAP, HBHEPB
Symptoms: Asthenia, Clumsiness, Pyrexia, Somnolence
Clinical narrative: Patient had fever the day following vacination, he also was uncoordinated and weak. He had a temp of up to 104.1 - 104.4 on and off until 8-21-04. Tylenol was given per his body weight but temp didn't completely go away and spiked again 3 or so hours after administration. 8-20-04 patient was extremely weak and slept most of the day. He was moaning and very incomfortable. He was only comforted to sleep laying on my, his mother's, chest. I am very worried that long term neurological problems have begun here. He was given DTaP along with 3 others. According to the vaccination form, he was not supposed to receive the DTaP until 15- 18 months.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, IPV
Symptoms: Agitation, Crying, Irritability, Pyrexia, Swelling
Clinical narrative: Left leg swelling, warm to touch, fever 101.2. Tylenol every 4 hours.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, IPV
Symptoms: Feeling hot, Pyrexia, Similar reaction on previous exposure to drug, Swelling
Clinical narrative: Left leg swelling, warm to touch, fever 101.2. Tylenol every 4 hours.
Age: 0.95
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Apnoea, Infection, Pneumonia, Respiratory distress, Tachycardia
Clinical narrative: Developed respiratory distress with tachypnea and tachycardia. Evaluated in ER for respiratory status at about 03:00; received two neb treatments with albuterol. Admitted. On antibiotics clindamycin and Omnicef for possible pneumonia/infection. Respiratory status deteriorated and patient died. Discharge/Death Summary received on 11/23/2004 states pt experienced respiratory failure.
Age: 0.95
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Tachypnoea
Clinical narrative: Developed respiratory distress with tachypnea and tachycardia. Evaluated in ER for respiratory status at about 03:00; received two neb treatments with albuterol. Admitted. On antibiotics clindamycin and Omnicef for possible pneumonia/infection. Respiratory status deteriorated and patient died. Discharge/Death Summary received on 11/23/2004 states pt experienced respiratory failure.
Age: 13.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling cold, Hypersensitivity, Nausea, Tremor, Urticaria
Clinical narrative: 14:45 Patient returned to office after being discharged. Patient was shaking, cold, vomiting and getting hives. Benadryl given PO and on O2 for comfort. Hives progressed and another dose given PO. Medics called at 15:00 and patient was transported to hospital ER for evaluation. Medical records state vasodilateion, nausea, allergic reaction. msv
Age: 13.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Vasodilatation, Vomiting
Clinical narrative: 14:45 Patient returned to office after being discharged. Patient was shaking, cold, vomiting and getting hives. Benadryl given PO and on O2 for comfort. Hives progressed and another dose given PO. Medics called at 15:00 and patient was transported to hospital ER for evaluation. Medical records state vasodilateion, nausea, allergic reaction. msv
Age: 30.0
Sex: M
Vaccine: HEP
Symptoms: Blood bilirubin increased, Headache, Laboratory test abnormal, Liver function test abnormal, Monocyte count increased
Clinical narrative: This case was reported by a pharmacist and described the occurrence of raised liver function tests in a 30 year old male patient who received hepatitis B vaccine recombinant for prophylaxis. On an unspecified date, the subject received the second dose of Engerix B. On an unspecified date in 2004, the patient was exposed to Xylen, Formalin, and Acetone. The pharmacist reported that the exposure was primarily inhalation on repeated occasions, with limited skin exposure. At an unspecified time in 2004 following the second administration of Engerix B and following the exposure to xylen, formalin, and acetone, the patient experienced slightly elevated liver function tests, elevated bilirubin of 1.2 or 1.3, elevated monocytes (value not reported), and a headache. Concurrent medications and medical history were not reported. The outcome of the events was unknown at the time of initial reporting. Comment: Raised liver function tests and elevated bilirubin were assessed as medically serious (OMIC). 60 day follow-up report from GlaxoSmithKline (October 1, 2004 to October 21, 2004). As per third party events are unresolved symptoms continue.
Age: 49.0
Sex: M
Vaccine: TD, TD
Symptoms: Condition aggravated, Muscle atrophy, Muscle spasms, Muscular weakness, Musculoskeletal stiffness
Clinical narrative: Provisional diagnoses: Brachial neuritis or Complex regional pain syndrome. From initial information received on 8/17/04 from a physician regarding an adverse event occurring in the USA, it was reported that a 49 year old male patient received a dose of TD ADS ADULT, lot number U1025AA, administered IM in the left upper arm on 4/19/04 in the PM. The following day, on 4/20/04, the patient experienced pain in the left upper arm. 15 days later, the pain in his left arm became severe and worsened to involve neck stiffness and spasm to the left supraspinatus. He also had atrophy and weakness of the left upper arm. The patient has no history of neck or shoulder pain problems. He was sent for an MRI of the cervical spine and the left shoulder, however, no results were provided. Per the reporter, complex regional pain syndrome or brachial neuritis is suspected, probably due to the IM injection on 4/19/04. The patient did not recover from the events and may be permanently disabled. Follow up: from additional information received on 15OCT2004 from a physician, it was reported that the patient has had low neck pain for the past three to four years. He was told that he had a herniated disc while abroad and his symptoms resolved with excercise. Per the reporting physician, the pre-existing significant compromise to the region byt he disc possiblyi predisposed the patient to the adverse reactions he experienced after receiving TD ADS ADULT. The patient's weaknss and atropohy were reported as new conditions. The patient attended two sessions of physical therapy and his condition worsened. He was treated with Vicoden ES as needed for pain, as well as Xanax. Consultation with a pain clinic and a neurosurgeon were also recommended and he was to follow up with the reporting physician. From additional information received on 11/1/04 from a physician, it was reported that he has had no further contact with this patient. He stated that the patient's symptoms were likely due to complications from pre-existing reflex sympathetic dystrophy and were not related to the vaccine. The patients recovery status is unknown. No further information is anticipated, this case is considered closed. Per annual report- Dr. has not seen patient in over a year.
Age: 49.0
Sex: M
Vaccine: TD, TD
Symptoms: Pain, Radiculitis brachial
Clinical narrative: Provisional diagnoses: Brachial neuritis or Complex regional pain syndrome. From initial information received on 8/17/04 from a physician regarding an adverse event occurring in the USA, it was reported that a 49 year old male patient received a dose of TD ADS ADULT, lot number U1025AA, administered IM in the left upper arm on 4/19/04 in the PM. The following day, on 4/20/04, the patient experienced pain in the left upper arm. 15 days later, the pain in his left arm became severe and worsened to involve neck stiffness and spasm to the left supraspinatus. He also had atrophy and weakness of the left upper arm. The patient has no history of neck or shoulder pain problems. He was sent for an MRI of the cervical spine and the left shoulder, however, no results were provided. Per the reporter, complex regional pain syndrome or brachial neuritis is suspected, probably due to the IM injection on 4/19/04. The patient did not recover from the events and may be permanently disabled. Follow up: from additional information received on 15OCT2004 from a physician, it was reported that the patient has had low neck pain for the past three to four years. He was told that he had a herniated disc while abroad and his symptoms resolved with excercise. Per the reporting physician, the pre-existing significant compromise to the region byt he disc possiblyi predisposed the patient to the adverse reactions he experienced after receiving TD ADS ADULT. The patient's weaknss and atropohy were reported as new conditions. The patient attended two sessions of physical therapy and his condition worsened. He was treated with Vicoden ES as needed for pain, as well as Xanax. Consultation with a pain clinic and a neurosurgeon were also recommended and he was to follow up with the reporting physician. From additional information received on 11/1/04 from a physician, it was reported that he has had no further contact with this patient. He stated that the patient's symptoms were likely due to complications from pre-existing reflex sympathetic dystrophy and were not related to the vaccine. The patients recovery status is unknown. No further information is anticipated, this case is considered closed. Per annual report- Dr. has not seen patient in over a year.
Age: 49.0
Sex: M
Vaccine: TD, TD
Symptoms: Injection site atrophy, Injection site pain, Muscle spasms, Musculoskeletal stiffness, Myasthenic syndrome
Clinical narrative: Provisional diagnoses: Brachial neuritis or Complex regional pain syndrome. From initial information received on 8/17/04 from a physician regarding an adverse event occurring in the USA, it was reported that a 49 year old male patient received a dose of TD ADS ADULT, lot number U1025AA, administered IM in the left upper arm on 4/19/04 in the PM. The following day, on 4/20/04, the patient experienced pain in the left upper arm. 15 days later, the pain in his left arm became severe and worsened to involve neck stiffness and spasm to the left supraspinatus. He also had atrophy and weakness of the left upper arm. The patient has no history of neck or shoulder pain problems. He was sent for an MRI of the cervical spine and the left shoulder, however, no results were provided. Per the reporter, complex regional pain syndrome or brachial neuritis is suspected, probably due to the IM injection on 4/19/04. The patient did not recover from the events and may be permanently disabled. Follow up: from additional information received on 15OCT2004 from a physician, it was reported that the patient has had low neck pain for the past three to four years. He was told that he had a herniated disc while abroad and his symptoms resolved with excercise. Per the reporting physician, the pre-existing significant compromise to the region byt he disc possiblyi predisposed the patient to the adverse reactions he experienced after receiving TD ADS ADULT. The patient's weaknss and atropohy were reported as new conditions. The patient attended two sessions of physical therapy and his condition worsened. He was treated with Vicoden ES as needed for pain, as well as Xanax. Consultation with a pain clinic and a neurosurgeon were also recommended and he was to follow up with the reporting physician. From additional information received on 11/1/04 from a physician, it was reported that he has had no further contact with this patient. He stated that the patient's symptoms were likely due to complications from pre-existing reflex sympathetic dystrophy and were not related to the vaccine. The patients recovery status is unknown. No further information is anticipated, this case is considered closed. Per annual report- Dr. has not seen patient in over a year.
Age: 49.0
Sex: M
Vaccine: TD, TD
Symptoms: Neuritis
Clinical narrative: Provisional diagnoses: Brachial neuritis or Complex regional pain syndrome. From initial information received on 8/17/04 from a physician regarding an adverse event occurring in the USA, it was reported that a 49 year old male patient received a dose of TD ADS ADULT, lot number U1025AA, administered IM in the left upper arm on 4/19/04 in the PM. The following day, on 4/20/04, the patient experienced pain in the left upper arm. 15 days later, the pain in his left arm became severe and worsened to involve neck stiffness and spasm to the left supraspinatus. He also had atrophy and weakness of the left upper arm. The patient has no history of neck or shoulder pain problems. He was sent for an MRI of the cervical spine and the left shoulder, however, no results were provided. Per the reporter, complex regional pain syndrome or brachial neuritis is suspected, probably due to the IM injection on 4/19/04. The patient did not recover from the events and may be permanently disabled. Follow up: from additional information received on 15OCT2004 from a physician, it was reported that the patient has had low neck pain for the past three to four years. He was told that he had a herniated disc while abroad and his symptoms resolved with excercise. Per the reporting physician, the pre-existing significant compromise to the region byt he disc possiblyi predisposed the patient to the adverse reactions he experienced after receiving TD ADS ADULT. The patient's weaknss and atropohy were reported as new conditions. The patient attended two sessions of physical therapy and his condition worsened. He was treated with Vicoden ES as needed for pain, as well as Xanax. Consultation with a pain clinic and a neurosurgeon were also recommended and he was to follow up with the reporting physician. From additional information received on 11/1/04 from a physician, it was reported that he has had no further contact with this patient. He stated that the patient's symptoms were likely due to complications from pre-existing reflex sympathetic dystrophy and were not related to the vaccine. The patients recovery status is unknown. No further information is anticipated, this case is considered closed. Per annual report- Dr. has not seen patient in over a year.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Ageusia, Aptyalism, Blister, Dry mouth, Dysphagia
Clinical narrative: 11/19/03: 3.30p flu shot doctors office. sxs by 5pm. Bright red face and body, rash/hives.  Treatment Benadryl and advised to go to ER if conditions gets worse. 11/24/03: trunk of body, arms, legs, face, neck covered with sores/rash, felt sick, achy and tired. Shot of dexamechazone. Prescribed Allegra pills. 11/26/04: body covered with weepy sores, blisters which broke spontaneously oozing clear fluid. Entire skin on body felt burned; inside mouth and lips sore and swollen, trouble swallowing; nausea and muscle aches. Referred to dermatologist. 1/12/04: Annual visit. Rash appears to be fading, some rash remains on face and back, lips/ inside mouth still sore and swollen. Throat tender, hard to swallow and eat, little taste. Mouth dry, lack of saliva. Fatigue.