chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Pruritus, Rash
Clinical narrative: Pruritus and rash; onset the day after administration and was treated with prelone syrup.
Age: 43.0
Sex: M
Vaccine: IPV
Symptoms: Asthenia, Bronchitis, Cough, Decreased appetite, Dizziness
Clinical narrative: Pt began experiencing dizziness within 24 hours, post vax. Pt had flu-like symptoms to include productive cough of green sputum and nasal drainage and severe weakness. Over the next 4 days, he began to develop flu-like symptoms including fever, diaphoresis, a pounding headache in the back of his head, a ringing in the right ear and generalized weakness and tinnitus. He does experience occasional blurred vision and has had a decrease in appetite. Following the removal of the cerumen impaction of the right ear, the pt began to feel some relief of his dizziness and complete relief of his headache. He does continue to experience a productive cough and nasal drainage. He was advised that these symptoms would resolve as his bronchitis resolves. He continues to take the Zithromax and Duratuss. He was also advised that if these symptoms do not resolve, to contact the VHC for further evaluation. The pt has completed his required immunizations against polio. There is not a strong enough association between his symptoms and IPV to prohibit him from receiving future vaccinations. It is safe for him to receive other immunizations such as influenza and TD. VHC will contact him in a few days to follow-up on his symptoms. Add 3 more days of Duratuss (total 6 tablets) for cough; begin nasal saline spray (2 sprays each nostril QID to help with nasal drainage) and begin Afrin nasal spray (2 sprays each nostril TID to help with nasal drainage). On 9/19/01, repeat tilt test was positive, therefore 1 liter of NS was given IV. Continue to hydrate orally.
Age: 43.0
Sex: M
Vaccine: IPV
Symptoms: Headache, Hyperhidrosis, Hypoacusis, Influenza like illness, Productive cough
Clinical narrative: Pt began experiencing dizziness within 24 hours, post vax. Pt had flu-like symptoms to include productive cough of green sputum and nasal drainage and severe weakness. Over the next 4 days, he began to develop flu-like symptoms including fever, diaphoresis, a pounding headache in the back of his head, a ringing in the right ear and generalized weakness and tinnitus. He does experience occasional blurred vision and has had a decrease in appetite. Following the removal of the cerumen impaction of the right ear, the pt began to feel some relief of his dizziness and complete relief of his headache. He does continue to experience a productive cough and nasal drainage. He was advised that these symptoms would resolve as his bronchitis resolves. He continues to take the Zithromax and Duratuss. He was also advised that if these symptoms do not resolve, to contact the VHC for further evaluation. The pt has completed his required immunizations against polio. There is not a strong enough association between his symptoms and IPV to prohibit him from receiving future vaccinations. It is safe for him to receive other immunizations such as influenza and TD. VHC will contact him in a few days to follow-up on his symptoms. Add 3 more days of Duratuss (total 6 tablets) for cough; begin nasal saline spray (2 sprays each nostril QID to help with nasal drainage) and begin Afrin nasal spray (2 sprays each nostril TID to help with nasal drainage). On 9/19/01, repeat tilt test was positive, therefore 1 liter of NS was given IV. Continue to hydrate orally.
Age: 43.0
Sex: M
Vaccine: IPV
Symptoms: Pyrexia, Red blood cell sedimentation rate increased, Rhinorrhoea, Tinnitus, Vision blurred
Clinical narrative: Pt began experiencing dizziness within 24 hours, post vax. Pt had flu-like symptoms to include productive cough of green sputum and nasal drainage and severe weakness. Over the next 4 days, he began to develop flu-like symptoms including fever, diaphoresis, a pounding headache in the back of his head, a ringing in the right ear and generalized weakness and tinnitus. He does experience occasional blurred vision and has had a decrease in appetite. Following the removal of the cerumen impaction of the right ear, the pt began to feel some relief of his dizziness and complete relief of his headache. He does continue to experience a productive cough and nasal drainage. He was advised that these symptoms would resolve as his bronchitis resolves. He continues to take the Zithromax and Duratuss. He was also advised that if these symptoms do not resolve, to contact the VHC for further evaluation. The pt has completed his required immunizations against polio. There is not a strong enough association between his symptoms and IPV to prohibit him from receiving future vaccinations. It is safe for him to receive other immunizations such as influenza and TD. VHC will contact him in a few days to follow-up on his symptoms. Add 3 more days of Duratuss (total 6 tablets) for cough; begin nasal saline spray (2 sprays each nostril QID to help with nasal drainage) and begin Afrin nasal spray (2 sprays each nostril TID to help with nasal drainage). On 9/19/01, repeat tilt test was positive, therefore 1 liter of NS was given IV. Continue to hydrate orally.
Age: 51.0
Sex: M
Vaccine: LYME
Symptoms: Abasia, Arthralgia, Feeling hot, Joint swelling
Clinical narrative: Pt developed very sore, swollen and hot joints after Lymerix vaccination. I couldn't walk for quite some time. (Pt had 3 Lymerix injections over a 1 year period).
Age: 0.75
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Skin disorder
Clinical narrative: The pt experienced a atrophic scar of right deltoid about 4 cm in diameter.
Age: 58.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: The pt experienced swelling of the left arm from the shoulder to elbow, with redness, hot to the touch, tenderness and unknown if pt had a fever.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: The pt experienced swelling and redness, some itching and not much pain to the injection site. Saw MD and was considered a severe reaction. Treated with Benadryl and Prednisone, epinephrine.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Pruritus
Clinical narrative: The pt experienced a 7 1/2 cm circle of induration with extended region of erythema past that. The pt also experienced itching and pain to the right deltoid region.
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Lethargy, Pyrexia, Vomiting
Clinical narrative: The pt experienced a fever, was lethargic, experienced vomiting and then recovered over a 4 day period beginning the day of the vax.
Age: 37.0
Sex: M
Vaccine: TYP
Symptoms: Headache, Night sweats, Pyrexia
Clinical narrative: The pt experienced a fever of 101, chills, night sweats, headache occurring 2 days post vax.  Follow up on 12/11/2001: "Please not vaccination administered at different location."
Age: 10.0
Sex: M
Vaccine: MMR
Symptoms: Dizziness, Hearing impaired, Hyperhidrosis, Nausea, Vomiting
Clinical narrative: The pt had a sudden onset of diaphoresis, dizziness, nausea and a hissing noise in his head. The pt complained of intermittent symptoms since.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Injection site erythema, Rash macular
Clinical narrative: Pt developed a small, red, blotchy rash on her face and a 1cm to 2cm local reaction at the injection site (LL).
Age: 58.0
Sex: F
Vaccine: TTOX
Symptoms: Movement disorder, Myalgia, Neck pain
Clinical narrative: Extreme muscle pain started in neck and back by late Wednesday Evening. The pt could hardly lift arms over head. The pt experienced hip and buttock pain and then the legs were affected.
Age: 29.0
Sex: M
Vaccine: HEP, HEPA, TYP
Symptoms: Abdominal pain, Anorexia, Arthralgia, Fatigue, Pyrexia
Clinical narrative: The symptoms started on the day following the vax and persisted for two days. Abdominal cramping, loss of appetite, low grade fever of 99-100 degrees, aching joints, tiredness, soreness of injection site. Symptoms began 3 hours post vax.
Age: 10.0
Sex: F
Vaccine: DTAP, IPV, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Pt had varicella vaccine on 8/12/96 and developed clinical varicella on 9/11/01. This is not an adverse event but a vaccine failure.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Injection site erythema
Clinical narrative: Pt developed redness on right leg about 3" to 4" around the injection site.
Age: 4.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Herpes zoster, Infection, Pain
Clinical narrative: On 9/17/01, complained of burning in left leg. On 9/18/01, awoke with eruption. On 9/20/01, rash was seen and evaluated. Eruption in dermatome pattern. In treatment and anticipate recovery.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Pt started with pox of scalp, then to back, arms and legs about 7-10 a day.
Age: 21.0
Sex: F
Vaccine: VARCEL
Symptoms: Convulsion, Foetal disorder, Urinary tract infection, Vulvovaginitis trichomonal
Clinical narrative: A 21 year old black female with urinary tract infections, a history of possible migraines and a history of 2 pregnancies and 2 live births who in 08/00, was vaccinated with varicella virus vaccine live. Subsequently, the patient learned she was pregnant with a last menstrual period of 06/23/00, and an estimated delivery date of 03/13/01. On 12/15/00, an ultrasound revealed an anatomy within normal limits. Subsequently, the patient experienced complex partial seizures, vaginal candidiasis, trichomoniasis, bacterial vaginosis and possible migraines. On 03/16/01, the patient delivered a normal male baby weighing 3656 grams. Upon internal review, complex partial seizures was determined to be an Other Medical Event.  F/U states: Subsequently, the pt learned she was pregnant with a last menstrual period of 6/23/00 and an estimated delivery date of 3/14/01. It was noted that the pt conceived while on oral contraceptives. It was noted that the pt saw neurology during pregnancy and was dx'd with complex partial seizures with secondary generalization. It was also noted that during pregnancy, the pt was dx'd with trichomoniasis, bacterial vaginosis and vaginal candidiasis. Treatment for these dx's included metronidazole (500mg PO on 12/14/01 for trichomoniasis), metronidazole (500mg 1 PO for 7 days starting 2/6/01 for bacterial vaginosis) and metronidazole (12/14/01 for 7 days for vaginal candidiasis). As of 12/14/01, the pt was taking prenatal vitamins. On 3/16/01, the pt delivered a normal, healthy male baby weighing 3656 grams, measuring 47.5cm long and having a head circumference of 37cm. He was delivered using vacuum extraction and had Apgars of 8 and 9 at 1 and 5 minutes respectively. It was noted that the child had macrocephaly. A head ultrasound was done and was normal. There were no observed abnormalities at the newborn exam or at discharge. Circumcision was done with no complications. Screening tests were all done and were normal except a hemoglobinopathy showed "FA + Hemoglobin Barts (trait)". Upon internal review, complex partial seizures with secondary generalization was determined to be an "Other Important Medical Event".
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Injection site mass, Injection site pain, Mouth ulceration, Myalgia
Clinical narrative: Pt's left arm was sore and with a walnut-sized lump X 10-13 days and disappeared. Pt had a rash on body, sores in mouth, joint and muscle pain. She was seen at Urgent Care X 2 then saw a dermatologist X 3 months. Vasculitis due to influenza was medical Dx. Pt's left and right ankles were tender, scarred and stinging. Buspar was taken.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Rash, Scar, Vasculitis
Clinical narrative: Pt's left arm was sore and with a walnut-sized lump X 10-13 days and disappeared. Pt had a rash on body, sores in mouth, joint and muscle pain. She was seen at Urgent Care X 2 then saw a dermatologist X 3 months. Vasculitis due to influenza was medical Dx. Pt's left and right ankles were tender, scarred and stinging. Buspar was taken.
Age: 0.25
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Agitation, Crying, Decreased appetite, Insomnia, Meningitis
Clinical narrative: Day 1, 09/17/01, at approximately 11:40 spiked fever of 102 - 103 at 1 pm a little fussy, decreased appetite; sites fine. Day 2, 09/18/01 - Still temp 102 - 103 for 24 hours fussy, decreased appetite. Day 3, 09/19/01, temp 102 - 103, crying non-stop, Not eating, not sleeping. Admitted to the hospital for a septic work-up. Labs normal. Crying ceased 09/20/01. Fever ceased 09/19/01 in the AM. Appetite returned 09/21/01. Discharged on 09/21/01 at 8 am. Discharge Summary Diagnosis is Fever resolved, irritability resolved, above most likely due to immunization reaction.
Age: 0.25
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Day 1, 09/17/01, at approximately 11:40 spiked fever of 102 - 103 at 1 pm a little fussy, decreased appetite; sites fine. Day 2, 09/18/01 - Still temp 102 - 103 for 24 hours fussy, decreased appetite. Day 3, 09/19/01, temp 102 - 103, crying non-stop, Not eating, not sleeping. Admitted to the hospital for a septic work-up. Labs normal. Crying ceased 09/20/01. Fever ceased 09/19/01 in the AM. Appetite returned 09/21/01. Discharged on 09/21/01 at 8 am. Discharge Summary Diagnosis is Fever resolved, irritability resolved, above most likely due to immunization reaction.
Age: 2.0
Sex: F
Vaccine: PNC
Symptoms: Fatigue, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Pt complained of 101.5F fever yesterday (9/20/01), half dollar-sized at localized area almost a golf ball-sized reaction per mom. Pt had redness and swelling, painful area, and was tired and quiet.
Age: 2.0
Sex: F
Vaccine: PNC
Symptoms: Pyrexia, Somnolence
Clinical narrative: Pt complained of 101.5F fever yesterday (9/20/01), half dollar-sized at localized area almost a golf ball-sized reaction per mom. Pt had redness and swelling, painful area, and was tired and quiet.
Age: 56.0
Sex: F
Vaccine: HEP, HEPA, TYP
Symptoms: Fatigue, Loss of consciousness, Tremor
Clinical narrative: Pt received vaccines on 8/10/01 and 8/16/01. On 8/24/01, the pt stated she had experienced a 30 second LOC with "shaking leg and "gurgling" as described by her husband, who witnessed the event. This was preceded only by "extreme fatigue", which the pt said lasted for 1 hour, before event. She had no headache or dizziness or other signs or symptoms and stated she felt "terrific" after the event. She did not seek medical attention elsewhere. (Pt alerted me on 9/18/01 of the event which occurred on 8/24/01).
Age: 72.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Pt's right arm with swelling and pain, less than 24 hours, post vax. No fever or rash. Treated with Benadryl and ice prescribed.
Age: 39.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Dizziness, Hypoxia, Pharyngeal oedema
Clinical narrative: Pt's "windpipe" swelled, 2 days post vax. He went to ER and received Benadryl and epinephrine. Pt had dizziness and pulse OX was 85%. Repeat pulse OX was 92% on room air. Swelling reoccurred the next morning. Pt administered more epinephrine.
Age: 13.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Pt's mother contacted office stating that the site is bright red, warm and raised. It is also, very tender.
Age: 8.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Headache, Malaise, Rash vesicular
Clinical narrative: Pt developed a rash; onset 3 days ago. Also had malaise and headache. Seen on 9/23/01 and had 5 vesicles and 20 spots.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Pyrexia, Rash vesicular
Clinical narrative: Pt developed a fever and rash on 9/21/01. He was seen on 9/23/01 with over 30 spots and some vesicles.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Fatigue, Headache, Nausea, Pyrexia, Vomiting
Clinical narrative: On 8/10/01 at 19:00, pt vomited until 8/11/01 in the AM and then she had an onset of a headache, nausea, fever and fatigue. Symptoms continued on an intermittent basis. On 8/23/01, pt seen by PMD and put on Inderal and Vioxx for 1 month. Pt is to see PMD on 9/7/01 for evaluation. On 9/5/01, mother reports that headaches continue. Other symptoms have resolved.
Age: 15.0
Sex: F
Vaccine: RAB, RAB, TTOX
Symptoms: Eye oedema, Pruritus, Rash
Clinical narrative: Rabavert given on 9/14/01. Telephone call on 9/17/01, reporting itching and rash. Pt seen on 9/17/01. Rash was over face and neck and itching had started on 9/16/01. No difficulty in swallowing or breathing. Left eye swollen. Medrol dose-pack ordered and Benadryl cream for itching.
Age: 15.0
Sex: F
Vaccine: RAB, RAB, TTOX
Symptoms: Pruritus, Rash
Clinical narrative: Rabavert given on 9/14/01. Telephone call on 9/17/01, reporting itching and rash. Pt seen on 9/17/01. Rash was over face and neck and itching had started on 9/16/01. No difficulty in swallowing or breathing. Left eye swollen. Medrol dose-pack ordered and Benadryl cream for itching.
Age: 4.0
Sex: U
Vaccine: DTAP, IPV
Symptoms: Injection site erythema
Clinical narrative: The pt experienced right upper arm erythema that was 5 x 6 inches in size.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Herpes zoster, Infection, Rash
Clinical narrative: The pt experienced a painful rash on left side of face. A cluster of vesicles just in front of ear with a few vesicles scattered. Diagnosed with Shingles.
Age: 13.0
Sex: F
Vaccine: HEP
Symptoms: Headache, Nausea, Vomiting
Clinical narrative: A short time after leaving the health center, the pt became ill, complained of nausea with a headache. She complained of a sever headache all night, experienced nausea and vomiting, called ER in the night was told to give Tylenol. Mother called the health center to report symptoms.
Age: 1.08
Sex: M
Vaccine: DTAP, HEP, IPV, MMR, VARCEL
Symptoms: Injection site swelling, Pruritus, Pyrexia, Rash
Clinical narrative: The pt developed a fever of 101; 24 hours post vax. The pt broke out in a rash 10 days post vax. The rash was raised and itchy.
Age: 4.0
Sex: M
Vaccine: MMR
Symptoms: Arthralgia, Joint effusion, Oedema peripheral
Clinical narrative: Pain and swelling of elbow on the same arm as the shot was given. Started 3 weeks, post vax, and lasted about 1 week.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Pyrexia
Clinical narrative: Pt developed a temperature of 103F within 24 hours, post vax. No other symptoms developed. Resolved within 24 hours.
Age: 1.08
Sex: M
Vaccine: IPV, PNC, VARCEL, IPV, PNC, VARCEL, IPV, PNC, VARCEL
Symptoms: Abscess bacterial, Bacterial infection, Cellulitis, Drug ineffective, Infection
Clinical narrative: A 13 month old male received his 1st injection of Prevnar (Lederle) and Varivax (MSD), and his 3rd injection of IPV vaccines on 01/22/01. Seventeen days later, the child developed Varicella infection complicated by cellulitis and abscess. Wound drainage culture yielded the presence of Staphylococcal aureus resistant to penicillin but otherwise pan sensitive. The child was hospitalized and received IV antibiotics following incision and drainage. From follow up correspondence received from Merck on 09/21/01 it was reported. Follow up info has bee received from a health professional that reports that patient developed varicella infection post-vaccination that resulted in a " super infected chicken pox lesion" on the patient's left leg. The patient was admitted to the hospital on 02/10/01, with a 4 cm red indurated area on the left thigh. The patient was place on maintenance fluids and given IV Cefazolin. On 02/10/01, the abscess was incised, drained, cultures and packed by surgeons. There were no complications with the procedure. The culture grew "staph aureus" and the gram stain showed gram (+) cocci. It was noted that the patient was placed on contact IV antibiotics and discharged on 02/12/01. It was noted that at the time of discharge the area of redness and induration was approximately half the size as on admission. The patient was given Cephalexin at the time of discharge. It was reported that the patient is "doing better". Follow up info has been received from a health professional who reported that the admitting diagnosis was cellulitis and abscess of the left thigh with a secondary diagnosis of post-vaccine varicella. The patient is scheduled to follow up with the surgery and the primary care physician. Follow up info received from a a physician's office reported that the patient recovered on 02/19/01.
Age: 1.08
Sex: M
Vaccine: IPV, PNC, VARCEL, IPV, PNC, VARCEL, IPV, PNC, VARCEL
Symptoms: Abscess, Bacterial infection, Cellulitis, Injection site erythema, Injection site induration
Clinical narrative: A 13 month old male received his 1st injection of Prevnar (Lederle) and Varivax (MSD), and his 3rd injection of IPV vaccines on 01/22/01. Seventeen days later, the child developed Varicella infection complicated by cellulitis and abscess. Wound drainage culture yielded the presence of Staphylococcal aureus resistant to penicillin but otherwise pan sensitive. The child was hospitalized and received IV antibiotics following incision and drainage. From follow up correspondence received from Merck on 09/21/01 it was reported. Follow up info has bee received from a health professional that reports that patient developed varicella infection post-vaccination that resulted in a " super infected chicken pox lesion" on the patient's left leg. The patient was admitted to the hospital on 02/10/01, with a 4 cm red indurated area on the left thigh. The patient was place on maintenance fluids and given IV Cefazolin. On 02/10/01, the abscess was incised, drained, cultures and packed by surgeons. There were no complications with the procedure. The culture grew "staph aureus" and the gram stain showed gram (+) cocci. It was noted that the patient was placed on contact IV antibiotics and discharged on 02/12/01. It was noted that at the time of discharge the area of redness and induration was approximately half the size as on admission. The patient was given Cephalexin at the time of discharge. It was reported that the patient is "doing better". Follow up info has been received from a health professional who reported that the admitting diagnosis was cellulitis and abscess of the left thigh with a secondary diagnosis of post-vaccine varicella. The patient is scheduled to follow up with the surgery and the primary care physician. Follow up info received from a a physician's office reported that the patient recovered on 02/19/01.
Age: 1.08
Sex: M
Vaccine: IPV, PNC, VARCEL, IPV, PNC, VARCEL, IPV, PNC, VARCEL
Symptoms: Bacterial infection, Cellulitis, Injection site abscess
Clinical narrative: A 13 month old male received his 1st injection of Prevnar (Lederle) and Varivax (MSD), and his 3rd injection of IPV vaccines on 01/22/01. Seventeen days later, the child developed Varicella infection complicated by cellulitis and abscess. Wound drainage culture yielded the presence of Staphylococcal aureus resistant to penicillin but otherwise pan sensitive. The child was hospitalized and received IV antibiotics following incision and drainage. From follow up correspondence received from Merck on 09/21/01 it was reported. Follow up info has bee received from a health professional that reports that patient developed varicella infection post-vaccination that resulted in a " super infected chicken pox lesion" on the patient's left leg. The patient was admitted to the hospital on 02/10/01, with a 4 cm red indurated area on the left thigh. The patient was place on maintenance fluids and given IV Cefazolin. On 02/10/01, the abscess was incised, drained, cultures and packed by surgeons. There were no complications with the procedure. The culture grew "staph aureus" and the gram stain showed gram (+) cocci. It was noted that the patient was placed on contact IV antibiotics and discharged on 02/12/01. It was noted that at the time of discharge the area of redness and induration was approximately half the size as on admission. The patient was given Cephalexin at the time of discharge. It was reported that the patient is "doing better". Follow up info has been received from a health professional who reported that the admitting diagnosis was cellulitis and abscess of the left thigh with a secondary diagnosis of post-vaccine varicella. The patient is scheduled to follow up with the surgery and the primary care physician. Follow up info received from a a physician's office reported that the patient recovered on 02/19/01.
Age: 19.0
Sex: U
Vaccine: MEN, MEN
Symptoms: Diarrhoea, Ear pain, Meningitis, Vomiting
Clinical narrative: A 19 year old female patient received a Menomune A/C/Y/W-135 vaccination on 10/15/99 at 6:02 pm as a part of a mass campaign, 17,000 students were immunized with the same lot. This patient became ill in December with an earache, diarrhea, and vomiting. An ear culture was performed on ear drainage. The patient went home for Christmas break; she died on 12/18/00. Health Dept listed cause of death on autopsy as toxic shock. CDC subsequently revised autopsy report on original student as death due to "fulminant meningococcus". The doctor was recently notified of the revised autopsy and provided Aventis Pasteur, Inc with a copy of the VAERS form she had just completed. F/U information was received from telephone contact with the MD on 9/25/01 and with another MD on 9/26/01. Post-mortem results on CSF and a blood culture were negative; culture from ear drainage tested positive for type C Meningitis. It was reported that a lab worker died after handling the specimens of the deceased, was "identified as Type C strain". CDC performed Immunohistochemistry and DNA fingerprinting was done. The MD has attempted to get additional information from Dept of Health, but has not been successful. From follow-up correspondence received on 11/5/01, it was reported: "Onset of ear ache 12/16/00. Pt did not become seriously ill until 12/18/00, according to history obtained from mother. Medical Examiner amended autopsy report. Although MD has spoken to CDC and been given verbal confirmation of IHC strain confirming meningococcus as cause of death, I have not seen these reports.
Age: 19.0
Sex: U
Vaccine: MEN, MEN
Symptoms: Diarrhoea, Ear pain, Malaise, Meningitis, Vomiting
Clinical narrative: A 19 year old female patient received a Menomune A/C/Y/W-135 vaccination on 10/15/99 at 6:02 pm as a part of a mass campaign, 17,000 students were immunized with the same lot. This patient became ill in December with an earache, diarrhea, and vomiting. An ear culture was performed on ear drainage. The patient went home for Christmas break; she died on 12/18/00. Health Dept listed cause of death on autopsy as toxic shock. CDC subsequently revised autopsy report on original student as death due to "fulminant meningococcus". The doctor was recently notified of the revised autopsy and provided Aventis Pasteur, Inc with a copy of the VAERS form she had just completed. F/U information was received from telephone contact with the MD on 9/25/01 and with another MD on 9/26/01. Post-mortem results on CSF and a blood culture were negative; culture from ear drainage tested positive for type C Meningitis. It was reported that a lab worker died after handling the specimens of the deceased, was "identified as Type C strain". CDC performed Immunohistochemistry and DNA fingerprinting was done. The MD has attempted to get additional information from Dept of Health, but has not been successful. From follow-up correspondence received on 11/5/01, it was reported: "Onset of ear ache 12/16/00. Pt did not become seriously ill until 12/18/00, according to history obtained from mother. Medical Examiner amended autopsy report. Although MD has spoken to CDC and been given verbal confirmation of IHC strain confirming meningococcus as cause of death, I have not seen these reports.
Age: 0.2
Sex: F
Vaccine: DTAP, DTAP, HBHEPB, IPV, PNC
Symptoms: Convulsion
Clinical narrative: 24 hours, post vax, pt had a seizure with subsequent seizures on the following 2 days; described as tonic/clonic. Pt was taken to local ER when phenobarbital was given.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Irritability, Pyrexia, Serum sickness, Urticaria
Clinical narrative: Pt developed fever, spiking onset, 7 days, post vax. He had urticaria, 8 days, post vax, with irritability, 7 days, post vax. Pt also had the 4th Prevnar vaccination on 9/10/01.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, RV
Symptoms: Apathy, Aphasia, Autism, Grand mal convulsion, Neurodevelopmental disorder
Clinical narrative: 6 days, post vax, pt had 2 similar 'grand mal' seizures. Over the course of 6-8 months, he lost speech and became unrelated. Now has been dx'd with PDD/ASD.
Age: 21.0
Sex: M
Vaccine: TD
Symptoms: Demyelination, Vaccination complication
Clinical narrative: Total disability due to demyelination following reaction to tetanus toxoid injection in the US Army.
Age: 39.0
Sex: M
Vaccine: HEPA, TD, TYP
Symptoms: Cerebrovascular accident, Dysphagia, Headache, Hemiparesis, Hypersensitivity
Clinical narrative: This 39 year old pt who 3 days prior to admission had 3 vaccines and shortly thereafter, he had a headache. The headache persisted until the day of admission. On the evening prior to admission, he noticed the insidious onset of left-sided weakness involving his upper and lower extremity as well as difficulty swallowing and a left facial droop. He was treated empirically for an acute CVA based on his symptoms, but after discussing the case at length with neurology, we decided to stop his heparin and treat him for an allergic response to his vaccines. He was started on prednisone and will be discharged on a Medrol Dosepak. He had improvement, albeit minimal, with regard to his presenting symptoms. I have recommended that he not travel for 2 weeks and that he follow-up with a neurologist in 4 weeks. Discharge medications besides Medrol Dosepak include Enteric-coated aspirin 81mg #1 po qd and Synthroid 0.12mg po qd.
Age: 12.0
Sex: F
Vaccine: HEP
Symptoms: Chills, Cough, Dehydration, Erythema nodosum, Haematocrit decreased
Clinical narrative: She had chills and started with 2 bumps on face and then a high fever of 104F for 2 weeks. She had 2 spots on her body. She started to have a nonproductive cough and was not sleeping well. Then was put in the hospital, given IV fluid hydration secondary to poor oral intake and the doctor did all kinds of test and then I was told it was an allergic reaction to Hep-B shot and was given Tylenol and Advil every 3 hours (alternately). Not completely recovered yet. Had erythema nodosum caused by the fever of 104F. She also had shoddy adenopathy of less than .5cm in size to 3.5cm in size. These are palpable subcutaneous appearing nodules. She had also been pale and lethargic before hospitalization.     Per doc 205739, still has not been dismissed.
Age: 12.0
Sex: F
Vaccine: HEP
Symptoms: Haemoglobin decreased, Lethargy, Lymphadenopathy, Pallor, Pyrexia
Clinical narrative: She had chills and started with 2 bumps on face and then a high fever of 104F for 2 weeks. She had 2 spots on her body. She started to have a nonproductive cough and was not sleeping well. Then was put in the hospital, given IV fluid hydration secondary to poor oral intake and the doctor did all kinds of test and then I was told it was an allergic reaction to Hep-B shot and was given Tylenol and Advil every 3 hours (alternately). Not completely recovered yet. Had erythema nodosum caused by the fever of 104F. She also had shoddy adenopathy of less than .5cm in size to 3.5cm in size. These are palpable subcutaneous appearing nodules. She had also been pale and lethargic before hospitalization.     Per doc 205739, still has not been dismissed.
Age: 12.0
Sex: F
Vaccine: HEP
Symptoms: Red blood cell sedimentation rate increased, Sleep disorder, Subcutaneous nodule, White blood cell count decreased
Clinical narrative: She had chills and started with 2 bumps on face and then a high fever of 104F for 2 weeks. She had 2 spots on her body. She started to have a nonproductive cough and was not sleeping well. Then was put in the hospital, given IV fluid hydration secondary to poor oral intake and the doctor did all kinds of test and then I was told it was an allergic reaction to Hep-B shot and was given Tylenol and Advil every 3 hours (alternately). Not completely recovered yet. Had erythema nodosum caused by the fever of 104F. She also had shoddy adenopathy of less than .5cm in size to 3.5cm in size. These are palpable subcutaneous appearing nodules. She had also been pale and lethargic before hospitalization.     Per doc 205739, still has not been dismissed.
Age: 0.5
Sex: F
Vaccine: DTAP, PNC
Symptoms: Irritability, Rash macular
Clinical narrative: Within a couple of minutes, post vax, the pt broke out with generalized red, flat blotches all over her body and was fussy. Benadryl was given.
Age: 0.5
Sex: M
Vaccine: DTAP, PNC
Symptoms: Irritability, Rash macular
Clinical narrative: Within a couple of minutes, post vax, the pt broke out with generalized red, flat blotches all over his body and was fussy. Benadryl was given.
Age: 1.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Hypotonia, Pallor, Syncope vasovagal
Clinical narrative: Vasovagal response; pale and limp, post vax. Tactile stimulation and ice to baby's feet and has responded to stimulation.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia, Vomiting
Clinical narrative: The next day, post vax, the pt began vomiting after eating. Around mid-afternoon on 5/26/01, he also had a low-grade fever of 100F. Symptoms subsided the next day, on 5/27/01.
Age: 10.0
Sex: M
Vaccine: HEP
Symptoms: Chest pain, Dysphonia, Heart rate increased, Hyperhidrosis, Respiratory rate increased
Clinical narrative: Post vax, at 13:20, the pt's class went outside to run on track. Afterwards, he became diaphoretic, had increased heart rate (136); audible wheezing; hoarseness; rapid breathing and chest pains. Lungs were clear despite audible wheeze. He drank coke and blew into a paper bag. His heart rate eventually came down to 128, 104 and then to 82 after 20 minutes.
Age: 10.0
Sex: M
Vaccine: HEP
Symptoms: Wheezing
Clinical narrative: Post vax, at 13:20, the pt's class went outside to run on track. Afterwards, he became diaphoretic, had increased heart rate (136); audible wheezing; hoarseness; rapid breathing and chest pains. Lungs were clear despite audible wheeze. He drank coke and blew into a paper bag. His heart rate eventually came down to 128, 104 and then to 82 after 20 minutes.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: The pt experienced redness, swelling and pain at the site of DTAP injection on the left deltoid. Resolved with Benadryl and Advil.
Age: 3.0
Sex: M
Vaccine: DTAP
Symptoms: Convulsion, Pyrexia
Clinical narrative: Same day following vax, the pt napped then had lunch and then napped again at the daycare. Later that afternoon, the pt experienced a seizure. An ambulance was called and the pt experienced a temp of 104. The pt was taken to the ER and was treated with Tylenol and the temperature reduced. The child was sent home 6 hours later.
Age: 5.0
Sex: F
Vaccine: DTAP, HEP, MMR
Symptoms: Fatigue, Nausea, Pyrexia, Vomiting
Clinical narrative: Pt developed a fever, nausea and vomiting and fatigue.
Age: 17.0
Sex: F
Vaccine: PPV
Symptoms: Injection site induration, Injection site swelling
Clinical narrative: Pt calls and says that the injection site is 3"-4" long and wide on arm of swelling and raised area.
Age: 12.0
Sex: F
Vaccine: MMR
Symptoms: Urticaria
Clinical narrative: A couple of hours post vax, the pt broke out in hives all over and this lasted for 1 week.
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Joint swelling, Musculoskeletal stiffness, Neck pain, Oedema peripheral
Clinical narrative: Pt complained of swelling of feet and hands; pain in right arm and down right leg; stiffness and pain in neck. Later in the evening, she took Aleve and noticed swelling in hands and ankles and feet right after taking Aleve. She used ice-packs on feet and ankles and swelling went down a little. The next day, it increased. She noticed swelling in joints of wrists, knees, ankles, hands and feet; also ached. Lasted until 8/26/01 and slowly went away. Received 1st and 2nd dose of Hep-B with no side effects.
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Pain
Clinical narrative: Pt complained of swelling of feet and hands; pain in right arm and down right leg; stiffness and pain in neck. Later in the evening, she took Aleve and noticed swelling in hands and ankles and feet right after taking Aleve. She used ice-packs on feet and ankles and swelling went down a little. The next day, it increased. She noticed swelling in joints of wrists, knees, ankles, hands and feet; also ached. Lasted until 8/26/01 and slowly went away. Received 1st and 2nd dose of Hep-B with no side effects.
Age: 2.0
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, MMR
Symptoms: Pyrexia, Urticaria
Clinical narrative: Elevated temperature by mom's report. Wheals to abdomen, legs and arms which was observed by this nurse.
Age: 5.0
Sex: F
Vaccine: MMR
Symptoms: Arrhythmia, Cyanosis, Pharyngeal oedema
Clinical narrative: Approximately 40 minutes post vax, the pt complained of something in her throat. she became cyanotic and heart rate was irregular. She was treated with epinephrine, Benadryl and nebulizer/albuterol. The pt recovered.
Age: 1.5
Sex: M
Vaccine: DTAP, IPV
Symptoms: Dermatitis bullous, Rash erythematous
Clinical narrative: The pt experienced a raised red rash with warmth and tenderness at the central area of fine clustered bullae.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: The pt was exposed to other children who had the vaccine and developed small chicken pox like spots on trunk and extremities.
Age: 1.5
Sex: F
Vaccine: DTAP, IPV
Symptoms: Dermatitis bullous, Erythema, Feeling hot, Oedema
Clinical narrative: The pt experienced palm-sized swelling, erythema, warmth  with fine clustered bullae.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: The pt experienced localized redness, swelling to the left arm and was treated with analgesics and warm compresses.
Age: 0.4
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Tremor
Clinical narrative: About 1-1 1/2 hours, post vax, mother was feeding the infant and his head and his left arm began to tremble. It was over quickly. Temperature was 99.1F. This has happened about 6 times since 5/2/01, usually when infant is falling asleep or waking up. Saw MD and is getting an appointment with a neurologist for further tests.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB
Symptoms: Erythema multiforme, Vaccination complication
Clinical narrative: DTAP and Comvax given 9/17/01. Rash appeared on legs, arms and face on 9/23/01. Tylenol was given. Brought to office on 9/24/01 with pink, flat macules, wheal and target shaped lesions on both legs and arms; 2-3 also on face. Spoke with Infectious Disease Expert and the impression was erythema multiforme secondary to Comvax. Rx'd Tylenol and to keep a close watch. Expected to be fine.
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Chest pain, Dyspnoea, Injection site swelling, Paraesthesia, Throat tightness
Clinical narrative: 20 minutes post vax the pt developed swelling at the site, shortness of breath, tingling of arm, hand, fingers, tightness in throat and chest felt heavy. Was immediately brought to ER. Possible medicine reaction.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Eye oedema, Respiratory disorder, Screaming, Vomiting
Clinical narrative: The pt arrived at the ER complaining of vomiting, screaming, swelling of eyes and was respiratory compromised which started approximately 40 minutes after receiving vax.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema, Injection site induration, Urticaria
Clinical narrative: On 9/25/01, the pt experienced erythema around injection site with hives at site. On 9/26/01 the pt experienced a 9 x 5 inch of erythema, indurated around site. No hives around site erythematous below injection site.
Sex: U
Vaccine: PNC, PNC
Symptoms: Diabetes mellitus, Hyperglycaemia, Injection site erythema
Clinical narrative: Two months after receiving the first dose of Prevnar, pt developed diabetes. No further info is available at the date of this report. A follow up report received 10/1/2002 adds no new info.
Sex: U
Vaccine: PNC, PNC
Symptoms: Diabetes mellitus
Clinical narrative: Two months after receiving the first dose of Prevnar, pt developed diabetes. No further info is available at the date of this report. A follow up report received 10/1/2002 adds no new info.
Age: 3.0
Sex: F
Vaccine: PNC, PNC, PNC
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: A nurse reported that a 3 year old female received her 1st dose of Prevnar on 6/7/01. On 6/9/01, she developed a fever and an injection site reaction characterized by a 6cm X 9cm area of erythematous rash, swelling and pain. She was seen by the physician and treated with acetaminophen and warm compresses. She recovered by 6/10/01.
Age: 3.0
Sex: F
Vaccine: PNC, PNC, PNC
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: A nurse reported that a 3 year old female received her 1st dose of Prevnar on 6/7/01. On 6/9/01, she developed a fever and an injection site reaction characterized by a 6cm X 9cm area of erythematous rash, swelling and pain. She was seen by the physician and treated with acetaminophen and warm compresses. She recovered by 6/10/01.
Age: 1.25
Sex: M
Vaccine: DTAP, PNC, DTAP, PNC
Symptoms: Blister, Infection, Rash erythematous, Skin disorder
Clinical narrative: A nurse reported that a 15 month old male received Prevnar and Infanrix vaccines on 5/31/01. The child's mother called the clinic 2 or 3 days, post vax, to report that her child had developed a rash. The rash was described as initially 2 to 3 red, raised spots with yellow firm centers, appearing on the child's legs. By 6/8/01, he had approx. 30 over his chest, extremities, behind his ear and on his back. No fever or itching were reported. His mother reported that the child does not want to be touched; however, he was eating and playing as usual. On 6/13/01, his father reported that the rash was now looking like blisters and that some of the blisters had ruptured and scabbed over. He was seen on 6/13/01. The physician ruled out varicella and impetigo. The left lower leg has around 2 or 3 papules, 3mm to 5mm, his chest and arms showed approx. 8 to 15 red papules, 1mm to 2mm. No vesicles were noted. His legs had several scabbed pinpoint lesions. He was continuing to break out with new blister areas as of 6/14/01. No other family members have the rash. The reporter noted that the child received a varicella vaccine on 2/15/01 and had no known exposure to chicken pox. Follow-up information received on 7/27/01, indicated that the child's mother called the office on 6/19/01. She reported that her child continued to break out with blisters until 6/15/01 and had no new eruptions since then. At that time, the blisters were scabbing and clearing up. She also reported that there were no new environmental exposures at that time.
Age: 1.25
Sex: M
Vaccine: DTAP, PNC, DTAP, PNC
Symptoms: Blister, Rash erythematous, Skin ulcer
Clinical narrative: A nurse reported that a 15 month old male received Prevnar and Infanrix vaccines on 5/31/01. The child's mother called the clinic 2 or 3 days, post vax, to report that her child had developed a rash. The rash was described as initially 2 to 3 red, raised spots with yellow firm centers, appearing on the child's legs. By 6/8/01, he had approx. 30 over his chest, extremities, behind his ear and on his back. No fever or itching were reported. His mother reported that the child does not want to be touched; however, he was eating and playing as usual. On 6/13/01, his father reported that the rash was now looking like blisters and that some of the blisters had ruptured and scabbed over. He was seen on 6/13/01. The physician ruled out varicella and impetigo. The left lower leg has around 2 or 3 papules, 3mm to 5mm, his chest and arms showed approx. 8 to 15 red papules, 1mm to 2mm. No vesicles were noted. His legs had several scabbed pinpoint lesions. He was continuing to break out with new blister areas as of 6/14/01. No other family members have the rash. The reporter noted that the child received a varicella vaccine on 2/15/01 and had no known exposure to chicken pox. Follow-up information received on 7/27/01, indicated that the child's mother called the office on 6/19/01. She reported that her child continued to break out with blisters until 6/15/01 and had no new eruptions since then. At that time, the blisters were scabbing and clearing up. She also reported that there were no new environmental exposures at that time.
Age: 0.7
Sex: M
Vaccine: HEP, PNC, HEP, PNC
Symptoms: Cold sweat, Hypertension, Lethargy, Pallor, Vomiting
Clinical narrative: A medical assistant reported that an 8 month old male received his third dose of Prevnar and Engerix-B (SKB) vaccines at 1:00 PM on 06/06/01. Approximately 1 hour post-vaccination, the infant became lethargic, pale and developed "severe" vomiting. Later the same day, the child was seen by the physician who kept the child at his office until 8:00 PM. The vomiting resolved 6 hours post-vaccination.
Age: 0.7
Sex: M
Vaccine: HEP, PNC, HEP, PNC
Symptoms: Lethargy, Pallor, Vomiting
Clinical narrative: A medical assistant reported that an 8 month old male received his third dose of Prevnar and Engerix-B (SKB) vaccines at 1:00 PM on 06/06/01. Approximately 1 hour post-vaccination, the infant became lethargic, pale and developed "severe" vomiting. Later the same day, the child was seen by the physician who kept the child at his office until 8:00 PM. The vomiting resolved 6 hours post-vaccination.
Age: 0.5
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, HEP, IPV
Symptoms: Agitation, Lethargy
Clinical narrative: A mother, who is also a nurse, reported that her 6 month old son received Prevnar on 6/11/01. On 6/11/01, he also received DTAP, Hep-B and Poliomyelitis vaccines. Several hours, post vax, the infant began moaning which increased in intensity and then he began crying which lasted about an hour. No additional information was available as of the date of this report. Follow up infor received on 09/05/2001 stated that child cried for one hour. Also contained manuf. name and lot numbers for all vaccines given.
Age: 0.5
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, HEP, IPV
Symptoms: Agitation, Crying
Clinical narrative: A mother, who is also a nurse, reported that her 6 month old son received Prevnar on 6/11/01. On 6/11/01, he also received DTAP, Hep-B and Poliomyelitis vaccines. Several hours, post vax, the infant began moaning which increased in intensity and then he began crying which lasted about an hour. No additional information was available as of the date of this report. Follow up infor received on 09/05/2001 stated that child cried for one hour. Also contained manuf. name and lot numbers for all vaccines given.