chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 42.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Laboratory test abnormal, Oedema peripheral, Pain, Pain in extremity, Palpitations
Clinical narrative: Peripheral neuropathy. R/O GBS. Also received the smallpox vaccine the same day. He reports he had no adverse events to the smallpox immunization. He describes the classic major reaction and scabbing over of the lesion without problems. He does not recall the date when the scab fell off. He denies symptoms until Sunday 3/16/03 when he experienced an episode of coldness, with teeth chattering that lasted from 6PM to about 4PM the following day. The next day he felt numbness in both legs, numbness in and between the toes and on the bottom of the feet. He also reports significant swelling and pain in the feet, lower abdomen and testicles. He had intermittent episodes of sharp pain felt as an electrical shock down both legs into the feet. These symptoms continued for a week and then he developed a pins and needles feeling in the bottoms of the feet and slightly on the top of each foot. The symptoms worsened as the week progressed and by day seven 3/19/03 he was barely able to walk and could not wear his boots due to swelling of the feet. He was in port and stayed in his stateroom for 10 days to rest. he was first seen for medical evaluation on 3/28/03 by an MD where labs and foot x-rays were done and he was diagnosed with gout. He was sent home; he could not perform his duties due to pain and inability to ambulate. He arrived home on 3/31/03. Patient was evaluated on 4/1/03 and admitted to hospital for the above symptoms and feeling of fullness in the back of the throat. He also presented with uvular edema and had a 3 day course of IV decadron after which the throat symptoms resolved. He underwent numerous diagnostic tests outlined below. Of note is a significant, unexplained increase in LFT's during his hospitalization, which spontaneously returned to normal within a few days. On 4/14/03 he was transferred to another hospital. He continued this diagnostic work up and was discharged home on 4/19/03. The follow up received on 11/4/03 states pt has not improved and he has developed other medical problems in the last 6 months including unidentified pneumonia with fevers to 105 deg and 2 pulmonary emboli. He is now on continuous O2 and Coumadin therapy. He still is unable to walk without assistance, has swollen ankles, and describes chest pain, palpitations, bloating, generalized arthralgias, weight loss, headaches, insomnia, depression and pain and numbness in lower extremities. Last neurological evaluation on 9/25/03 states "pt represents an unfortunate and complicated clinical picture. He represents an acquired demyelinating axonal neuropathy. If he does not have spontaneous remission, the prognosis remains very guarded. More likely than not, he will have life-long disability even with significant recovery." Diagnosis: Sensory motor polyneuropathy, most likely toxic in nature "more likely than not, this represents a autoimmune reaction to vaccination." Comprehensive medical workup is pending. Litigation is pending.
Age: 42.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Paraesthesia, Polyneuropathy, Pyrexia, Skin ulcer, Weight decreased
Clinical narrative: Peripheral neuropathy. R/O GBS. Also received the smallpox vaccine the same day. He reports he had no adverse events to the smallpox immunization. He describes the classic major reaction and scabbing over of the lesion without problems. He does not recall the date when the scab fell off. He denies symptoms until Sunday 3/16/03 when he experienced an episode of coldness, with teeth chattering that lasted from 6PM to about 4PM the following day. The next day he felt numbness in both legs, numbness in and between the toes and on the bottom of the feet. He also reports significant swelling and pain in the feet, lower abdomen and testicles. He had intermittent episodes of sharp pain felt as an electrical shock down both legs into the feet. These symptoms continued for a week and then he developed a pins and needles feeling in the bottoms of the feet and slightly on the top of each foot. The symptoms worsened as the week progressed and by day seven 3/19/03 he was barely able to walk and could not wear his boots due to swelling of the feet. He was in port and stayed in his stateroom for 10 days to rest. he was first seen for medical evaluation on 3/28/03 by an MD where labs and foot x-rays were done and he was diagnosed with gout. He was sent home; he could not perform his duties due to pain and inability to ambulate. He arrived home on 3/31/03. Patient was evaluated on 4/1/03 and admitted to hospital for the above symptoms and feeling of fullness in the back of the throat. He also presented with uvular edema and had a 3 day course of IV decadron after which the throat symptoms resolved. He underwent numerous diagnostic tests outlined below. Of note is a significant, unexplained increase in LFT's during his hospitalization, which spontaneously returned to normal within a few days. On 4/14/03 he was transferred to another hospital. He continued this diagnostic work up and was discharged home on 4/19/03. The follow up received on 11/4/03 states pt has not improved and he has developed other medical problems in the last 6 months including unidentified pneumonia with fevers to 105 deg and 2 pulmonary emboli. He is now on continuous O2 and Coumadin therapy. He still is unable to walk without assistance, has swollen ankles, and describes chest pain, palpitations, bloating, generalized arthralgias, weight loss, headaches, insomnia, depression and pain and numbness in lower extremities. Last neurological evaluation on 9/25/03 states "pt represents an unfortunate and complicated clinical picture. He represents an acquired demyelinating axonal neuropathy. If he does not have spontaneous remission, the prognosis remains very guarded. More likely than not, he will have life-long disability even with significant recovery." Diagnosis: Sensory motor polyneuropathy, most likely toxic in nature "more likely than not, this represents a autoimmune reaction to vaccination." Comprehensive medical workup is pending. Litigation is pending.
Age: 0.75
Sex: M
Vaccine: HEP, PNC
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Erythema and sli swelling at site of injection of prevnar; Tylenol as needed.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Left arm, Left deltoid area upper 2/3 4" x 3" area of redness, swelling and tenderness with induration and increased warmth with injection site and scratch mark 2mm x 1cm.
Age: 1.25
Sex: M
Vaccine: IPV, MMR, PNC, VARCEL
Symptoms: Otitis media, Rash, Rash erythematous, Urticaria
Clinical narrative: Mother states that rash noticed around 12:00 PM on 4/15/03. Red, raised areas on face, trunk, and extremities. Rash clearing and then reappearing on other areas of the body. While in office Urticaria rash on areas highlighted on body diagram. Patient also noted to have ear infection today. Atarax syrup given for allergic reaction. Zithromax given for Otitis Media.
Age: 15.0
Sex: F
Vaccine: TD
Symptoms: Pruritus, Rash
Clinical narrative: Approximately 5 minutes after receiving immunization developed rash and itching inside left elbow. Itching continued and 50 mg Benadryl po given. Itching continued. EMS called. Family notified to pick up child. Instructed mother to take child to physician if symptoms continue or get worse.
Age: 23.0
Sex: M
Vaccine: HEP, TD, VARCEL
Symptoms: Feeling hot, Headache, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Received TD #1, Hep B #1, chicken pox #1, Hep A #1 on 3/26/03 without immediate side effects. On 3/28/03 left arm chicken pox site erythema area 5cm x 5cm warm to the touch, raised, child complained of a headache, Tylenol tab PO given this AM per mom. Temp 97.8. Referred to CMC 3/28/03.
Age: 4.0
Sex: F
Vaccine: DT, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site vesicles
Clinical narrative: 4/3/03 4 PM: Dr's office called to report pt visited their office today. Pt presented with left arm swelling/redness, (blisters where bandaid was). 7 PM after several attempts, able to reach pt's mom, child is fine. Antiobiotic was prescribed, mom needs to fill Rx. 4/7/03: Pt recovering, swelling and redness down.
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Convulsion
Clinical narrative: Seizures occurred while patient was in school; went to emergency room.
Age: 4.0
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Erythema, Feeling hot
Clinical narrative: 2 inch x 3 inch area warm to touch, erythema, no induration, Tx: Augmentin Es
Age: 1.25
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Febrile convulsion, Otitis media, Pyrexia
Clinical narrative: On 3/31/03 developed high fever and had febrile seizure. Brought to hospital by ambulance. No further treatment required other than antipyretics and antibiotic for Otitis Media found by ER doctor.
Age: 1.08
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Herpes zoster, Infection
Clinical narrative: Zoster outbreak right C4-C5 dermatome. Clinical diagnosis 4/24/03.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Erythema, Rash
Clinical narrative: Red rash which started on the head and spread down to the feet.
Age: 1.0
Sex: M
Vaccine: HBHEPB, MMR
Symptoms: Pyrexia, Rash
Clinical narrative: Received MMR 4/14/03, fever 104.6 4/19/03 (at that time no rash, no respiratory distress. Diffuse rash 4/22/03. Fever txed Tylenol and monitor: resolved no sequele.
Age: 1.25
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Convulsion, Pyrexia
Clinical narrative: Father states he found patient face down, "blue" and having a seizure. Called EMS. Seen at ER, temp 102.9, R P176, R28, CXR negative. Dx fever. Treated with Motrin and released at 10:38 AM.
Age: 37.0
Sex: M
Vaccine: HEPA, IPV, MMR, TD
Symptoms: Erythema
Clinical narrative: Redness of arm 10.5 x 6.75 inches - from R UZ
Age: 1.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, MMR
Symptoms: Body temperature increased, Erythema, Rash
Clinical narrative: Pt's grandmother reported red fine rash over face and neck seven days after vaccine administration. Taken to private physician and diagnosed with measles-like rash, probable reaction to MMR given on 4/16/03. Pt also reported temperature of 102 degrees. Pt to return to physician if further problems.
Age: 66.0
Sex: F
Vaccine: PPV, TTOX
Symptoms: Body temperature increased, Injection site erythema, Injection site hypersensitivity, Injection site induration, Pruritus
Clinical narrative: Erythema and induration left deltoid with pruritis. Temp 99.6.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth, Pruritus
Clinical narrative: 2 days after DTaP shot, site of injection became red, itchy. No fever, pain, limp, shortness of breath, PE 14.5 x 11 cm red, hot, flat non-indurated. Not tender area left anterior thigh. Lung clear.
Age: 34.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Pain, Swelling
Clinical narrative: Pt received adult tetanus vaccine as requested on 4/22/03. Called on 4/23/03 with swelling and pain. Evaluated with no sign of infection at IM insertion site but erythema with induration 3.5 cm. Circumoral pattern.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Difficulty in walking, Eyelid oedema, Joint swelling, Laboratory test abnormal, Oedema peripheral
Clinical narrative: Information has been received from a physician concerning a 12 month old Caucasian female no past medical history and no immune problems who on 9/13/02 was vaccinated with a dose of varicella virus vaccine live, (lot # 643126/0547M). The patient had otitis media at time of vaccination. The physician noted that there was no immediate reaction to vaccine. Treatment of otitis media with amoxicillin clavulanic acid was initiated on 9/19/02 and discontinued on 9/24/02. The physician had been contacted by the patient's parent, who reported that the child developed a severe urticarial rash 8 to 10 days post vaccination on approximately 9/21/02 (also reported as 9/13/02). On 9/20/02 the patient had a low grade fever. On 9/24/02 the patient had diffuse urticaria and eyelids were puffy. The patient's feet, knees and hands were reportedly swollen, and the patient won't walk. The patient had skin testing and showed positive to pre-pen, RAST test was positive to pen G and pen V. The patient was diagnosed with serum sickness secondary to penicillin. The patient also had a low C4 level and IgE 243u/mL. The patient sought unspecified medical attention. It was reported that the patient recovered on 9/30/02. The reporter considered serum sickness to be an other medical event. No further information is expected. The follow up received on 4/30/03 states
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Serum sickness, Urticaria
Clinical narrative: Information has been received from a physician concerning a 12 month old Caucasian female no past medical history and no immune problems who on 9/13/02 was vaccinated with a dose of varicella virus vaccine live, (lot # 643126/0547M). The patient had otitis media at time of vaccination. The physician noted that there was no immediate reaction to vaccine. Treatment of otitis media with amoxicillin clavulanic acid was initiated on 9/19/02 and discontinued on 9/24/02. The physician had been contacted by the patient's parent, who reported that the child developed a severe urticarial rash 8 to 10 days post vaccination on approximately 9/21/02 (also reported as 9/13/02). On 9/20/02 the patient had a low grade fever. On 9/24/02 the patient had diffuse urticaria and eyelids were puffy. The patient's feet, knees and hands were reportedly swollen, and the patient won't walk. The patient had skin testing and showed positive to pre-pen, RAST test was positive to pen G and pen V. The patient was diagnosed with serum sickness secondary to penicillin. The patient also had a low C4 level and IgE 243u/mL. The patient sought unspecified medical attention. It was reported that the patient recovered on 9/30/02. The reporter considered serum sickness to be an other medical event. No further information is expected. The follow up received on 4/30/03 states
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Feeling hot, Injection site swelling
Clinical narrative: Apparent localized reaction at site of vaccine administration; swelling and warm to touch; reported to school nurse 24 hours after vaccination.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Feeling hot, Oedema, Pyrexia
Clinical narrative: LD-warm to touch, temp 99.3 with Tylenol, red area, edema-moderate.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Arthralgia, Oedema
Clinical narrative: Pt developed pain in right thigh/right knee about 3 hours after injection. Knee was painful to the point that pt would not bear weight by the following day. Had fever at home - not measured - thigh anteriorly and knee-very warm. Tender over knee. Edema of thigh and knee.
Age: 2.0
Sex: M
Vaccine: DTAPH, HEPA, PNC
Symptoms: Injection site swelling
Clinical narrative: Right thigh swollen, was red before visit. On Omnicef already for ear infection.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Injection site oedema, Injection site pain, Laboratory test abnormal
Clinical narrative: C/o immunization site hurting and swelling and c/o chest pain, adm to ICU on 4/25-4/27, echo on 4/28 normal. Labs CK 400T, CK-MB-4.2 increase, trop I 0.55 on 4/25/03 note did state he had shot on 16 2 days prior is prime position. EKG NSR at 68 hr, no STT WA.
Age: 16.0
Sex: F
Vaccine: DT
Symptoms: Injection site erythema, Oedema, Pain, Radiculitis brachial
Clinical narrative: 2 days after vaccination developed L arm swelling to hand with moderate to severe pain.  (Given L deltoid) some redness at inj site.  Started on a course of oral steroids without improvment.  Complains of sharp pains / tenderness still 8 days after vaccination.  Referred to Pediatric ID clinic for ?brachial neuritis.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Nausea, Pain, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Patient reported to ER complaining of fever to 105F times 6 days, sore throat, nausea, and axillary pain.
Age: 31.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Chest pain
Clinical narrative: Patient reported to ER on 4/27 with 6 hours of chest pain radiating to left arm.
Age: 31.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Chest discomfort, Chest pain, Dyspnoea
Clinical narrative: Patient reported to ER on 4/27 with 6 hours of chest pain radiating to left arm.
Age: 43.0
Sex: F
Vaccine: HEP
Symptoms: Cardiomegaly, Chest pain, Laboratory test abnormal, Pericarditis
Clinical narrative: chest x-ray, 1/29/92 showed mild cardiomegaly with biventricular enlargement, pleural changes left lung base occasional chest pain, progressing to daily moderate to severe chest pain chest x-ray 9/98 showed greatly enlarged heart shadow, dx of idiopathic pericarditis 10/98 by cardiologist, no relief with ibuprofen, steroids pericardial window surgery 10/98, greater than 300 cc fluid removed peristent daily chest pain continues,varying in intensity from moderate to severe, to the present time treated with Indocin 100-125 mg/d with only moderate relief of pain.  Nurse follow up on 11/01/04 states: "There is no new information."
Age: 37.0
Sex: M
Vaccine: SMALL
Symptoms: Decreased appetite, Fatigue, Feeling hot, Injection site erythema, Rash
Clinical narrative: Fatigue, Lack of Appitite, associated with skin rash and local immunization site redness, warmth, tenderness with 14 cm diameter
Age: 37.0
Sex: M
Vaccine: SMALL
Symptoms: Tenderness
Clinical narrative: Fatigue, Lack of Appitite, associated with skin rash and local immunization site redness, warmth, tenderness with 14 cm diameter
Age: 33.0
Sex: M
Vaccine: SMALL
Symptoms: Anorexia, Cellulitis, Chills, Injection site pain, Injection site reaction
Clinical narrative: Patient was weak, no/little appittite, chills, feverish, tenderness to surrounding immunization area. Tenderness and aching to left armpit. Treated for local cellalitis reacton and immunization site at civilian ER.
Age: 33.0
Sex: M
Vaccine: SMALL
Symptoms: Pain, Pyrexia
Clinical narrative: Patient was weak, no/little appittite, chills, feverish, tenderness to surrounding immunization area. Tenderness and aching to left armpit. Treated for local cellalitis reacton and immunization site at civilian ER.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Dizziness, Headache, Nausea, Pain
Clinical narrative: Nausea, dizziness, headache, body ache
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Abdominal pain, Arthralgia, Constipation, Dizziness, Headache
Clinical narrative: Pt received smallpox vaccination on 2/21/03, primary vaccination (3 jabs). Flu on 2/27/03, pt complained of headache, nausea, but nothing to keep him from missing work. 3/3/03 pt was seen for headache, dizziness, sore joints, fever, sore throat, constipation and rash. Was given Tylenol.  Pt was offered enema and glycerin suppository. Pt asked to wait on medication. Pt was to follow up next morning. During the night, pt went to the ER for increased abdominal pain and was diagnosed with constipation again. Pt was given enema and Golytly for constipation, along with quarters for 72 hours. Pt was seen in clinic on 3/6/03 for follow up. Pt's side effects from smallpox vaccine resolving as was his constipation. Pt was to return to work on 3/7/03.
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Nausea, Pharyngolaryngeal pain, Pyrexia, Rash
Clinical narrative: Pt received smallpox vaccination on 2/21/03, primary vaccination (3 jabs). Flu on 2/27/03, pt complained of headache, nausea, but nothing to keep him from missing work. 3/3/03 pt was seen for headache, dizziness, sore joints, fever, sore throat, constipation and rash. Was given Tylenol.  Pt was offered enema and glycerin suppository. Pt asked to wait on medication. Pt was to follow up next morning. During the night, pt went to the ER for increased abdominal pain and was diagnosed with constipation again. Pt was given enema and Golytly for constipation, along with quarters for 72 hours. Pt was seen in clinic on 3/6/03 for follow up. Pt's side effects from smallpox vaccine resolving as was his constipation. Pt was to return to work on 3/7/03.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Swelling
Clinical narrative: Swelling and redness back of arm on 04/24/03.
Age: 30.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Chills, Headache, Injection site reaction, Pyrexia
Clinical narrative: Began a fever of 103 on 4/10/03 with chills, headache which persisted on 4/11/03 and still 4/12/03.  Was seen in ER on 4/12/03 for cellulitis of vaccine site and given IV fluids.  Sent home on Keflex po.
Age: 1.6
Sex: F
Vaccine: DTAP
Symptoms: Injection site rash, Rash maculo-papular, Urticaria
Clinical narrative: The vaccine was given on April 24th 2001.  By April 26th (am),pt had a rash at the site of injection.  She also had small bumps on her nose and legs.  By the 27th she had a full body rash including red spots on the bottom of her feet, legs, back, legs, buttocks, arms and trunk.  She has hives on her face.  I called the doctor on Monday and she returned my call on Tuesday.  I started giving her Benedryl.  The rash has not cleared up to date.  (one week).  The rash has gotten better in the last 8 hours.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Chills, Diarrhoea, Erythema, Headache
Clinical narrative: 4/10/03 at 3am woke up with chills, fever, nausea, vomiting, diarrhea, lymphangitis from the site to regional nodes considerable local edema at the site with intense erythema, muscle spasms, chest pain.  Also had headache, neck, and back pain.  Treated with Demerol per BCA pump, vancomycin, and clinla.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site oedema, Lymphangitis, Muscle spasms, Nausea, Pain
Clinical narrative: 4/10/03 at 3am woke up with chills, fever, nausea, vomiting, diarrhea, lymphangitis from the site to regional nodes considerable local edema at the site with intense erythema, muscle spasms, chest pain.  Also had headache, neck, and back pain.  Treated with Demerol per BCA pump, vancomycin, and clinla.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia, Vomiting
Clinical narrative: 4/10/03 at 3am woke up with chills, fever, nausea, vomiting, diarrhea, lymphangitis from the site to regional nodes considerable local edema at the site with intense erythema, muscle spasms, chest pain.  Also had headache, neck, and back pain.  Treated with Demerol per BCA pump, vancomycin, and clinla.
Age: 43.0
Sex: F
Vaccine: SMALL
Symptoms: Anxiety, Chest pain, Dizziness, Palpitations
Clinical narrative: Went to hospital ER on 4-7-03 with complaints of lightheadedness and palpitations.  States palpitations began 4-5-03.  Was very anxious.  Heart rate was 95, regular, fast.  Did have some chest pain.  MD dx=viremia.
Age: 38.0
Sex: F
Vaccine: HEPA, TD, TYP, YF
Symptoms: Angioneurotic oedema, Tongue oedema
Clinical narrative: Approximately 1-2 days after receiving the vaccines listed in #13 and having a PPD test, patient developed delayed onset angioedema manifested by swelling of the tongue. She had no other symptoms. She was seen by her local civilian MD; no treatment was given, but patient was instructed not to take the yellow fever and typhoid vaccines together. Since then, she has received tetanus, Hep A, and had PPD without problems. She has not had the yellow fever vaccine. She will be having a controlled dose typhoid challenge on 5/5/03.
Age: 45.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Pain, Pruritus
Clinical narrative: Employee states that she completed bathing and was drying off when she began to experience severe itching and stinging on her back.  She states that it felt as though she were being stung by hundreds of bees.  The took 50 mg of Benedryl, po without relief. Her husband then applied Benedryl cream to the area with no relief, she applied ice packs with no relief.  She then began to experience chest pain with tightness and sob.  She took 50mg po more of Benedryl and went outside to see if she could breathe any easier.  She instructed her husband to bring her blood pressure cuff. She states that she could barely hear a systolic pressure of 50 mm HG or so.  She then instructed her husband to call 911.  By the time the EMS personnel arrived the pain and sob had started to subside.  Her BP at that time was 120/98.   She did not go to the ER.  She states that at the time she did feel tha she was going to die.  She had never experienced this type of reaction before.She went to see her private physician on Monday, (4-28-2003.  He reviewed all medications that the client is currently on and suspects that the reaction was due to the smallpox vaccine since that is the only new event in her lifestyle. He started her on Zertec 10mg qd.  The current meds include:Zetia 10mg qd, Lotrel 5/20 1 q day, Provachol 80mg qd, Loestrin with Fe 1 qd.  In reviewing her medical history she gives a history of hypertension, high blood cholesterol, and both parents have a history of heart disease prior to being 50 years of age. Discussed with CDC.
Age: 45.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Hypertension, Pruritus
Clinical narrative: Employee states that she completed bathing and was drying off when she began to experience severe itching and stinging on her back.  She states that it felt as though she were being stung by hundreds of bees.  The took 50 mg of Benedryl, po without relief. Her husband then applied Benedryl cream to the area with no relief, she applied ice packs with no relief.  She then began to experience chest pain with tightness and sob.  She took 50mg po more of Benedryl and went outside to see if she could breathe any easier.  She instructed her husband to bring her blood pressure cuff. She states that she could barely hear a systolic pressure of 50 mm HG or so.  She then instructed her husband to call 911.  By the time the EMS personnel arrived the pain and sob had started to subside.  Her BP at that time was 120/98.   She did not go to the ER.  She states that at the time she did feel tha she was going to die.  She had never experienced this type of reaction before.She went to see her private physician on Monday, (4-28-2003.  He reviewed all medications that the client is currently on and suspects that the reaction was due to the smallpox vaccine since that is the only new event in her lifestyle. He started her on Zertec 10mg qd.  The current meds include:Zetia 10mg qd, Lotrel 5/20 1 q day, Provachol 80mg qd, Loestrin with Fe 1 qd.  In reviewing her medical history she gives a history of hypertension, high blood cholesterol, and both parents have a history of heart disease prior to being 50 years of age. Discussed with CDC.
Age: 47.0
Sex: F
Vaccine: TD
Symptoms: Arthralgia, Discomfort, Injection site mass, Swelling
Clinical narrative: Client states next day after receiving shot, she developed a lump at injection site which became fist size. Also had swelling in axilla and discomfort of entire arm, later had pain in all joints. No fever, as of 4-23-03 states she is back to normal
Age: 61.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Fatigue, Headache, Joint swelling, Lymphadenopathy
Clinical narrative: Vaccination given:  04/14/2003  04/25/03 - patient felt body aches, headache, sore throat, nasal congestion, joint pain, fatique and slight rash.  05/01/03 - came to Employee Health to report symptoms.  Rash is red spots - not raised - no itching - on arms and legs - spots separated - no drainage. No fever - temp. 97.1- oral.  Knuckles on bilateral hands are quite noticably swollen and red.  Patient states; "It's hard to move them because they are so stiff."  Sore throat when swallowing - neck glands are tender to the touch.  Patient made appt. with PCP for today.
Age: 61.0
Sex: F
Vaccine: MMR
Symptoms: Nasal congestion, Pain, Pharyngolaryngeal pain, Rash
Clinical narrative: Vaccination given:  04/14/2003  04/25/03 - patient felt body aches, headache, sore throat, nasal congestion, joint pain, fatique and slight rash.  05/01/03 - came to Employee Health to report symptoms.  Rash is red spots - not raised - no itching - on arms and legs - spots separated - no drainage. No fever - temp. 97.1- oral.  Knuckles on bilateral hands are quite noticably swollen and red.  Patient states; "It's hard to move them because they are so stiff."  Sore throat when swallowing - neck glands are tender to the touch.  Patient made appt. with PCP for today.
Age: 5.0
Sex: M
Vaccine: DTAPH
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: 11 x 11 cm warm slightly swollen
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling, Pyrexia
Clinical narrative: High fever (102.5), Excess swelling and redness, strong reaction
Age: 3.0
Sex: F
Vaccine: DTAP
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Mother reports small round red area (nickle size) around injection site on left deltoid after the shot, the next morning when child woke up it was the size of a peach. Today, woke up and size of baseball. It was hot red, tender to touch. No fever. In my office, it was 11x12 cm red, hot indurated and tender area on left deltoid. No skin breaks or scabs or discharge noted. temp 97.5 degrees.
Age: 42.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain, Embolism, Thrombosis
Clinical narrative: Pt began to experience chest pain at work on 04-16-2003 and drove to the ER where she consulted her cardiac specialist.  She was hospitalized, an EKG and stress test were performed.  No heart inflammation or damage noted, diagnosis was blood clot that traveled to her heart.  She was put on blood thinners and kept for observation for two day.  She was homebound for 8 days after release.  No further complications noted.  Dr. stated that he did not believe smallpox vaccination was the cause nor had any adverse effect to cause this incident.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Lymphadenopathy
Clinical narrative: Administered a DTaP in R deltoid 4/14/03.  Patients mom called clinic 4/16/03 and stated R upper arm swollen, red, enlarged lymph node in auxillary.  Took to PMD on 4/16/03, Dx'd with local reaction to vaccines
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Lymphadenopathy
Clinical narrative: Administered a DTaP in R deltoid 4/14/03.  Patients mom called clinic 4/16/03 and stated R upper arm swollen, red, enlarged lymph node in auxillary.  Took to PMD on 4/16/03, Dx'd with local reaction to vaccines
Age: 4.0
Sex: F
Vaccine: MMR
Symptoms: Ear pain, Laboratory test abnormal, Oedema, Paralysis, Viral infection
Clinical narrative: Information has been received from a physician concerning a 4 year old female patient, with no known drug allergies and who was exposed to chicken pox as a neonate, who in approximately January 2000 (at one year of age) was vaccinated with a dose of MMR (second generation). There was no concomitant therapy. It was noted per family history that the patient was supposed to have received all her shots and that her brother had chicken pox when she was an infant, but she not contract chicken pox at that time nor has she had any recent exposure to chicken pox or shingles. Follow up information from the patient's physician, however, indicated that the patient was never vaccinated with varicella virus vaccine live. A physician reported that on approximately 3/4/03, the patient developed severe left ear pain, otitis herpeticus, swelling of the ear and canal, and left facial palsy. A possible case of breakthrough varicella was suspected. On 3/7/03, the patient was hospitalized. Subsequently the patient was diagnosed with Ramsey Hunt Syndrome. It was reported that the patient recovered from her experiences. Additional information is not expected. Follow up info revealed that PCR analysis from a vesicular specimen obtained on 3/6/03 was positive for wild-type varicella. Additional info is not expected.
Age: 0.3
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Diarrhoea, Dyspnoea, Mental retardation severity unspecified, Pyrexia, Screaming
Clinical narrative: Screamed, couldn't sleep, vomited, couldn't breath at times, diarrhea, fever.
Age: 0.3
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Sleep disorder, Vomiting
Clinical narrative: Screamed, couldn't sleep, vomited, couldn't breath at times, diarrhea, fever.
Age: 0.5
Sex: M
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Blister, Cellulitis, Injection site desquamation, Injection site erythema, Injection site reaction
Clinical narrative: 48 hours after vaccines, child developed redness, mild swelling and small area sloughed skin at injection sites on left thigh. Redness extended to lower leg and many pinpoint vesicles were present over entire leg. This was non-tender and patient was afebrile. Placed on Keflex PO then 12 hours later on IV Kefzol with significant resolution after 2 doses IV. The follow up states cellulitis of both legs.
Age: 0.5
Sex: M
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Injection site swelling
Clinical narrative: 48 hours after vaccines, child developed redness, mild swelling and small area sloughed skin at injection sites on left thigh. Redness extended to lower leg and many pinpoint vesicles were present over entire leg. This was non-tender and patient was afebrile. Placed on Keflex PO then 12 hours later on IV Kefzol with significant resolution after 2 doses IV. The follow up states cellulitis of both legs.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Apnoea, Coma, Cyanosis, Hypotonia, Hypoventilation
Clinical narrative: Symptoms began at 6:30pm on 4/16/03. Mom states baby was fussy and pale, mom picked baby up and he became pale, became limp and bluish, apnea x 10-15 sec. Mom called 911 baby cont to be non-responsive with shallow breathing. Ambulance arrived and administered O2 and baby responded.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Irritability, Pallor
Clinical narrative: Symptoms began at 6:30pm on 4/16/03. Mom states baby was fussy and pale, mom picked baby up and he became pale, became limp and bluish, apnea x 10-15 sec. Mom called 911 baby cont to be non-responsive with shallow breathing. Ambulance arrived and administered O2 and baby responded.
Sex: M
Vaccine: HEP
Symptoms: Epistaxis, Respiratory disorder
Clinical narrative: 5.5 weeks 3/5/01 my son spontaneously bled from his mouth and nose. Hospitalized for 8 days. Was prescribed Albuterol and Ipratropium bromide with a nebulizer. Mother took patient to another doctor who prescribed vitamin C. Son cleared up respiratory problems.
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever 102 rectal
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Headache, Injection site erythema, Pain, Pyrexia
Clinical narrative: Six hours post administration of vaccine patient complained of body aches, headache, arm where vaccine given was red and feverish. Fever of 100.7.
Age: 48.0
Sex: F
Vaccine: HEP
Symptoms: Swelling
Clinical narrative: Given 2nd dose of Hep B on Thursday 4/25/03. Employee was asymptomatic until 4/29/03 when she states hands, knees and ankles swelled. No associated pain, redness, etc.
Age: 21.0
Sex: F
Vaccine: ANTH, HEP
Symptoms: Injection site erythema, Pruritus, Rash macular, Skin ulcer
Clinical narrative: Appearacne of macular, erythematous lesion, approximately 2 weeks after anthrax #3 on wrist are of left arm. A few days later serveral lesions appeared in the same area, which were pruritic. Saw dermatologist on 03/20/03 and tried a number of trial treatments, which worsened rash. The placed on oral steroids starting with 80mg and tapering of 4 days. Lesions, resolving until dose decreased to prednisone, then rash worsened. Rash on other forearm, legs and neck.
Age: 54.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Rash
Clinical narrative: Pt had rash on both arms, upper torso and neck approx 6 hours post vaccination (#3). Rash resolved during night leaving approx 2-3 inches erythema around injection site.
Age: 12.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Dizziness, Vomiting
Clinical narrative: 4-4-03 @ 08:40:00:  12 year old hispanic male complained of dizziness with vomiting episode after receiving Hepatitis B, Hepatitis A.  Vital signs 96/80 - 88- 22.  MD: Notified at 09:45:00.  Patient left clinic in stable condition.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema
Clinical narrative: Right arm erythematous 24 hours after, warm to touch. No streaking, no welts.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Temp-102.2/rash on body
Age: 2.0
Sex: F
Vaccine: DTAP, HEP, IPV, PNC
Symptoms: Febrile convulsion, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Received immunization Thursday 04/10/2003.  Started with fever Thursday PM, along with rash on back, legs and right forearm.  Patient had febrile seizure Thursday PM.  Brought to ER-treated with Motrin.  Also had positive strep.  On Omnicef for OM.  Finished this all.
Age: 17.0
Sex: F
Vaccine: MEN
Symptoms: Abdominal pain, Chest pain, Injection site reaction, Tenderness
Clinical narrative: One hour after injection:  Left arm local reaction tenderness + 1.5x2.5cm erythac indurated accompanied by chest/abd pain-costochundral irritation by examination.  Pain with any rib cage mout.  No SUB, CXR: Normal limits, EKG: Normal limits.
Age: 1.03
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Erythema, Rash, Rash papular
Clinical narrative: Child received MMR/Varivax/PUNR on 04-24-2003.  Rash with erythematous base and central papules developed 04-25-2003.  Distribution on back and abdomen.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Swelling
Clinical narrative: Swelling, no redness, no fever.
Age: 23.0
Sex: F
Vaccine: RAB
Symptoms: Abdominal pain, Back pain, Chills, Dizziness, Faeces discoloured
Clinical narrative: Post rabies exposure (day 7), vaccine #3, Patient called office complained of headache, nausea, vomiting, abdominal pain, back pain, myalgia, malaise, chills, dizziness, numbness and timgling of extremities, tary stool.  Patient offer ESO visit and come to office.  Temp 101, Pulse 120-irregular BP 128/80, and restless legs.  Evaluated by MD.  Patient to emergency room for evaluation and treatment.  Note patient reported local swelling and rash to site of immunization, glaubin rash on 04/21/2003.
Age: 23.0
Sex: F
Vaccine: RAB
Symptoms: Headache, Hypoaesthesia, Malaise, Myalgia, Nausea
Clinical narrative: Post rabies exposure (day 7), vaccine #3, Patient called office complained of headache, nausea, vomiting, abdominal pain, back pain, myalgia, malaise, chills, dizziness, numbness and timgling of extremities, tary stool.  Patient offer ESO visit and come to office.  Temp 101, Pulse 120-irregular BP 128/80, and restless legs.  Evaluated by MD.  Patient to emergency room for evaluation and treatment.  Note patient reported local swelling and rash to site of immunization, glaubin rash on 04/21/2003.
Age: 23.0
Sex: F
Vaccine: RAB
Symptoms: Paraesthesia, Vomiting
Clinical narrative: Post rabies exposure (day 7), vaccine #3, Patient called office complained of headache, nausea, vomiting, abdominal pain, back pain, myalgia, malaise, chills, dizziness, numbness and timgling of extremities, tary stool.  Patient offer ESO visit and come to office.  Temp 101, Pulse 120-irregular BP 128/80, and restless legs.  Evaluated by MD.  Patient to emergency room for evaluation and treatment.  Note patient reported local swelling and rash to site of immunization, glaubin rash on 04/21/2003.
Sex: F
Vaccine: DTAP, IPV, PNC, UNK
Symptoms: Pyrexia
Clinical narrative: Fever 102 rectal
Age: 5.0
Sex: F
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site oedema, Pruritus
Clinical narrative: Pt c/o red/swollen area with itching to LMT where DTPA injection given 4 x 4 area
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Headache, Pyrexia, Tachycardia
Clinical narrative: pt with febrile illness. temp to 104 at home. temp 100.6 in clinic after tylenol x 3. no rashes. mental status nml, cranial nerves intact. + ha, -n/v/d, - cough. no other reason for fever found. appears non-toxic
Age: 47.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain, Fatigue, Heart rate increased, Psychomotor hyperactivity, Stomach discomfort
Clinical narrative: Fast heart beat. Hyper. Chest pain. Upset stomach. Fatigue.
Age: 31.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema, Eyelid oedema, Oedema, Rash vesicular
Clinical narrative: Significant redness, swelling, and fine vesicular formation over entire left side of face. No occular involvement but significant edema of eye lids. Minimal crossover to right side of face. Pt sent to infect disease center of rule out auto innoculation.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Erythema, Rash macular, Urticaria
Clinical narrative: Urticaria, erythematous, macular, wheals covering distal upper extremities behind right knee. Urticaria/ hives
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Large erythematous induration (~20cm) at site of DTaP (R Thigh)
Age: 1.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MMR, VARCEL, DTAP, HBHEPB, IPV, MMR, VARCEL
Symptoms: Injection site mass
Clinical narrative: Knot on right outer aspect of right thigh.
Age: 33.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain
Clinical narrative: Sudden onset of continuous sharp stabbing chest pain late evening of 4/20/03. (Vaccine given 10am of 4/16/03) lasting for 2 hours, then subsided.  Informed site monitor next day 4/21/03.  Taken to ER-EKG neg., no pain.  9am onset of some pain at 12:20pm and back to ER.  No treatment.  Cardiac evaluation done.  Pain subsided 1 hour.  Non-cardiac, atypical chest pain.  Pleuric.
Age: 66.0
Sex: F
Vaccine: SMALL
Symptoms: Cerebral ischaemia, Hypokinesia
Clinical narrative: Tansient Ischemic Attack--not able to move her arm returned to work the following day didn't visit physician or hospital
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Oedema, Rash pruritic
Clinical narrative: ITCHING, SWELLING, PATCHY PINK RASH. VACCINES GIVEN APRIL 30, 2003. NO TREATMENT GIVEN.
Age: 3.0
Sex: M
Vaccine: DT
Symptoms: Urticaria
Clinical narrative: hives near injection site 12 hours after injection
Age: 42.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Blister, Cellulitis, Contusion, Headache, Heart rate increased
Clinical narrative: Pt reports she noticed a "knot" at injection site 12 hours after MMR injection administered LA SC on 4-23-03.  5-1-03 she stated that she experienced flu like symptoms, swelling in the left axilla, 2 small clusters of "blisters", "no fever", and that the indurated area was "about half the size of a golf ball and hot on 4-30-03".  5-1-03 she stated that she developed a "head ache and fever of 100 degrees by noon", "felt even weaker" and that there was a "gray blue bruised looking area now surrounding the blisters".  "Nausea but no vomitting". Pt states she was seen at a clinic and that she was given "Levoquin 500mg po x 7 d, Phenergan Suppositories, and 50mg of Benadryl".  "Blood work and ECG were normal except for increased heart rate as I was anxious".  She states that the clinician instructed her to cover the site with a warm wash cloth and wrap saran wrap around the site.  Pt was seen by PCP on 5-2-03 who reportedly diagnosed MMR reaction and cellulitis.  Pt received injection of Rocephin 500mg.  She reported that the swelling of the left axilla was "a little better".
Age: 42.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Influenza like illness, Injection site mass, Nausea, Oedema, Pyrexia
Clinical narrative: Pt reports she noticed a "knot" at injection site 12 hours after MMR injection administered LA SC on 4-23-03.  5-1-03 she stated that she experienced flu like symptoms, swelling in the left axilla, 2 small clusters of "blisters", "no fever", and that the indurated area was "about half the size of a golf ball and hot on 4-30-03".  5-1-03 she stated that she developed a "head ache and fever of 100 degrees by noon", "felt even weaker" and that there was a "gray blue bruised looking area now surrounding the blisters".  "Nausea but no vomitting". Pt states she was seen at a clinic and that she was given "Levoquin 500mg po x 7 d, Phenergan Suppositories, and 50mg of Benadryl".  "Blood work and ECG were normal except for increased heart rate as I was anxious".  She states that the clinician instructed her to cover the site with a warm wash cloth and wrap saran wrap around the site.  Pt was seen by PCP on 5-2-03 who reportedly diagnosed MMR reaction and cellulitis.  Pt received injection of Rocephin 500mg.  She reported that the swelling of the left axilla was "a little better".
Age: 42.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Blister, Cellulitis, Erythema, Feeling hot, Injection site induration
Clinical narrative: Pt reports she noticed a "knot" at injection site 12 hours after MMR injection administered LA SC on 4-23-03.  5-1-03 she stated that she experienced flu like symptoms, swelling in the left axilla, 2 small clusters of "blisters", "no fever", and that the indurated area was "about half the size of a golf ball and hot on 4-30-03".  5-1-03 she stated that she developed a "head ache and fever of 100 degrees by noon", "felt even weaker" and that there was a "gray blue bruised looking area now surrounding the blisters".  "Nausea but no vomitting". Pt states she was seen at a clinic and that she was given "Levoquin 500mg po x 7 d, Phenergan Suppositories, and 50mg of Benadryl".  "Blood work and ECG were normal except for increased heart rate as I was anxious".  She states that the clinician instructed her to cover the site with a warm wash cloth and wrap saran wrap around the site.  Pt was seen by PCP on 5-2-03 who reportedly diagnosed MMR reaction and cellulitis.  Pt received injection of Rocephin 500mg.  She reported that the swelling of the left axilla was "a little better".
Age: 42.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Lymphadenitis, Pyrexia
Clinical narrative: Pt reports she noticed a "knot" at injection site 12 hours after MMR injection administered LA SC on 4-23-03.  5-1-03 she stated that she experienced flu like symptoms, swelling in the left axilla, 2 small clusters of "blisters", "no fever", and that the indurated area was "about half the size of a golf ball and hot on 4-30-03".  5-1-03 she stated that she developed a "head ache and fever of 100 degrees by noon", "felt even weaker" and that there was a "gray blue bruised looking area now surrounding the blisters".  "Nausea but no vomitting". Pt states she was seen at a clinic and that she was given "Levoquin 500mg po x 7 d, Phenergan Suppositories, and 50mg of Benadryl".  "Blood work and ECG were normal except for increased heart rate as I was anxious".  She states that the clinician instructed her to cover the site with a warm wash cloth and wrap saran wrap around the site.  Pt was seen by PCP on 5-2-03 who reportedly diagnosed MMR reaction and cellulitis.  Pt received injection of Rocephin 500mg.  She reported that the swelling of the left axilla was "a little better".
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Feeling hot, Injection site induration
Clinical narrative: HARD, HOT TO TOUCH