chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.0
Sex: F
Vaccine: HIBV, VARCEL
Symptoms: Rash
Clinical narrative: 10/23/00, had fever of 102F, extreme fatigue, unhappy and fussy and diarrhea, lasting  5-6 days. On 10/27/00, had rash of red dots on face, bottom and torso. Recovering.
Age: 11.0
Sex: M
Vaccine: HEP
Symptoms: Injection site induration, Pigmentation disorder
Clinical narrative: Subsequent to receiving vax, the pt experienced a one inch loss of pigmentation at the injection site and brown induration at the site. No treatment was given. The most recent information received does not provide an outcome.
Age: 40.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain, Dizziness, Fatigue, Malaise, Nausea
Clinical narrative: On the day of vax, the pt experienced exhaustion, achiness and malaise. The next day the pt experienced nausea, abdominal pain and dizziness. No treatment was given. The most recent information received reports the symptoms are ongoing.
Age: 40.0
Sex: F
Vaccine: HEP
Symptoms: Pain
Clinical narrative: On the day of vax, the pt experienced exhaustion, achiness and malaise. The next day the pt experienced nausea, abdominal pain and dizziness. No treatment was given. The most recent information received reports the symptoms are ongoing.
Age: 45.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Cold sweat, Dizziness, Feeling hot, Pallor
Clinical narrative: Approximately 5 minutes post vax, the pt became pale, clammy and cold. She then felt hot and felt as if she were going to pass out. Sometime later, she recovered without treatment. The pt reports having the same reaction with ferrous sulfate. (Case number 19990233372 for Havrix)
Age: 40.0
Sex: M
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: On the day of vax, the pt developed hives. It was noted that the pt drank two beers that evening and he did not know if he developed the hives before or after drinking the beer. On 09/08/1999 the hives resolved.
Age: 0.1
Sex: U
Vaccine: DTAP, HIBV, IPV, RV
Symptoms: Pyrexia
Clinical narrative: On 5/19/99, the pt received the 1st injection of Engerix-B. On 6/14/99, the pt received the 1st Injections of Hib-Titer, Acel-Imune, IPV, and Rota Shield. On 6/18/99, the pt developed a fever of 99.6F, was seen by a physician and hospitalized with a dx of fever of unknown origin. During hospitalization, the maximum fever was 100.9F. The infant recovered and on 6/20/99, the infant was discharged.
Age: 8.0
Sex: F
Vaccine: HEP
Symptoms: Epistaxis, Nasal congestion, Rash, Rhinorrhoea
Clinical narrative: Five days post vax, the pts mother found blood all over the pts bed, soaked 1/4 of the sheets, through the mattress pad to the mattress. Mother found an open sore in the pts nose. Later that day the pt had a rash on her back. The following day the pt had a stuffy, runny nose. Subsequently the pt had more bleeding from her nose and found another open sore developing. A doctor visit was requires. The most recent information reports the condition of the pt is unknown.
Age: 13.0
Sex: M
Vaccine: HEP
Symptoms: Headache, Pyrexia, Rash
Clinical narrative: Approximately 20 - 30 hours following the second dose of Engerix B, the pt developed fever, headache and rash. The pt was treated with Advil and Tylenol. As of 09/14/1999 the fever had abated and the rash persisted.
Sex: U
Vaccine: HEP
Symptoms: Alopecia
Clinical narrative: Subsequent to receiving vax the pt developed alopecia. The outcome is unknown.
Age: 58.0
Sex: F
Vaccine: HEP
Symptoms: Angioneurotic oedema, Arthralgia, Diarrhoea, Dysphagia, Erythema
Clinical narrative: The evening subsequent to receiving vax, the pt developed diarrhea, and giant hives the size of silver dollars which started on her lower back, then spread to arms, legs, hands and bottoms of feet. Her face was red but had no hives. She was jittery and had a headache. The pt was seen by a physician who treated her with an injection of Donnatal and prednisone. She was also given liquid Benadryl. It was noted that there was no swelling at the injection site. After she finished the prednisone treatment, the rash resolved. Medications were stopped. The pt reported having esophageal spasms which consisted of difficulty swallowing in the muscular part of the throat, which resolved. She had no problems breathing. The pt was seen by a dermatologist. Her clothing causing her discomfort and caused break-out hives. The dermatologist prescribed prednisone5 mg X 7 daily to be tapered over 10 days. After the therapy was completed the pt noticed throbbing joint aches in hands, knees, feet and back. The pt believed that these joint aches had started shortly after vax but had been masked by steroid therapy. This symptom is ongoing. Additionally the pt feels tired and is sleeping more. On 10/04/1999 the pt felt itching at the bottom of her back. On 10/28/1999 she was seen by an allergist who found that the pt is allergic to Engerix B. The most recent information received reports the condition of the pt is not resolved.
Age: 58.0
Sex: F
Vaccine: HEP
Symptoms: Fatigue, Feeling jittery, Headache, Oesophageal spasm, Somnolence
Clinical narrative: The evening subsequent to receiving vax, the pt developed diarrhea, and giant hives the size of silver dollars which started on her lower back, then spread to arms, legs, hands and bottoms of feet. Her face was red but had no hives. She was jittery and had a headache. The pt was seen by a physician who treated her with an injection of Donnatal and prednisone. She was also given liquid Benadryl. It was noted that there was no swelling at the injection site. After she finished the prednisone treatment, the rash resolved. Medications were stopped. The pt reported having esophageal spasms which consisted of difficulty swallowing in the muscular part of the throat, which resolved. She had no problems breathing. The pt was seen by a dermatologist. Her clothing causing her discomfort and caused break-out hives. The dermatologist prescribed prednisone5 mg X 7 daily to be tapered over 10 days. After the therapy was completed the pt noticed throbbing joint aches in hands, knees, feet and back. The pt believed that these joint aches had started shortly after vax but had been masked by steroid therapy. This symptom is ongoing. Additionally the pt feels tired and is sleeping more. On 10/04/1999 the pt felt itching at the bottom of her back. On 10/28/1999 she was seen by an allergist who found that the pt is allergic to Engerix B. The most recent information received reports the condition of the pt is not resolved.
Age: 23.0
Sex: F
Vaccine: HEP
Symptoms: Rash
Clinical narrative: Two days post vax, the pt experienced a rash on her face, trunk and extremities. There were no hives. No treatment was given. The most recent information received reports the symptoms resolved after one week.
Age: 9.0
Sex: F
Vaccine: HEP
Symptoms: Rash, Vaccine positive rechallenge
Clinical narrative: Six days post vax the pt had an allergic reaction with rash. These symptoms resolved. 24 hours subsequent to receiving second dose of Engerix B the pt again experienced a rash. The rash is improved but skin is still bumpy. The pt was treated with steroid cream and Benadryl Engerix B was discontinued. The most recent information received, reports the condition of the pt is ongoing.
Age: 11.0
Sex: M
Vaccine: HEP
Symptoms: Nausea, Rash, Viral infection
Clinical narrative: Five days post vax the pt developed a rash which looked like viral exanthema and nausea. The pt was seen by a physician and no treatment was given. Some time later the pt recovered.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, RV
Symptoms: Abdominal pain, Pain
Clinical narrative: Subsequent to receiving vax, the pt developed colicky pain. It was noted that the pts mother changed the infant formula. The outcome is unknown. Please note case number 1999021841 for the pts twin sister.
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Muscle atrophy
Clinical narrative: After receiving one dose of Engerix B the pt developed upper deltoid muscle atrophy which if two fingerbreaths in length. Subsequently the pt received the second doe of Engerix B IM in the right deltoid. As of 09/22/1999 the pt had not yet recovered.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Anxiety, Bradyphrenia, Irritability
Clinical narrative: One to two days post vax the pt developed irritability, anxiety and slowed thinking. The pt experienced these symptoms occasionally in the past, but this time they lasted two weeks. The most recent information received reports the condition of the pt is recovered.
Age: 44.0
Sex: F
Vaccine: HEP
Symptoms: Flushing
Clinical narrative: 20 minutes post vax the pt experienced a flushing sensation on her chest and nostrils. The most recent information received, reports the condition of the pt is resolved.
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Anaphylactic reaction, Chest pain, Dizziness, Dyspnoea, Headache
Clinical narrative: Ten minutes post vax, the pt began to feel funny. Her upper left arm at the deltoid muscle for approximately 6 inches around the injection site was red, raised and appeared inflamed. Twenty minutes post vax, breathing felt tight and difficult. The pt received epinephrine IM in the right arm. About five minutes later BP was 184/110 with pulse of 64. Five minutes later breathing was back to normal, but the pt was having sharp chest and head pain and was trembling. Pt was transported to the ER where she spent less than two hours. She had experienced an anaphylactic reaction. The pt subsequently saw her physician who indicated that he does not wish her to have any more doses of Engerix B. A hepatitis B titer is planned in 2 months to check immunity. She has been advised to carry an Epi-Pen for any possible future medication reactions.
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Heart rate decreased, Hypertension, Injection site erythema, Injection site inflammation, Injection site swelling
Clinical narrative: Ten minutes post vax, the pt began to feel funny. Her upper left arm at the deltoid muscle for approximately 6 inches around the injection site was red, raised and appeared inflamed. Twenty minutes post vax, breathing felt tight and difficult. The pt received epinephrine IM in the right arm. About five minutes later BP was 184/110 with pulse of 64. Five minutes later breathing was back to normal, but the pt was having sharp chest and head pain and was trembling. Pt was transported to the ER where she spent less than two hours. She had experienced an anaphylactic reaction. The pt subsequently saw her physician who indicated that he does not wish her to have any more doses of Engerix B. A hepatitis B titer is planned in 2 months to check immunity. She has been advised to carry an Epi-Pen for any possible future medication reactions.
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Tremor
Clinical narrative: Ten minutes post vax, the pt began to feel funny. Her upper left arm at the deltoid muscle for approximately 6 inches around the injection site was red, raised and appeared inflamed. Twenty minutes post vax, breathing felt tight and difficult. The pt received epinephrine IM in the right arm. About five minutes later BP was 184/110 with pulse of 64. Five minutes later breathing was back to normal, but the pt was having sharp chest and head pain and was trembling. Pt was transported to the ER where she spent less than two hours. She had experienced an anaphylactic reaction. The pt subsequently saw her physician who indicated that he does not wish her to have any more doses of Engerix B. A hepatitis B titer is planned in 2 months to check immunity. She has been advised to carry an Epi-Pen for any possible future medication reactions.
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain upper, Asthenia, Chest pain, Dyspepsia, Dyspnoea
Clinical narrative: Two days post vax the pt experienced a rash on her arms, legs, trunk and neck lasting two hours. She also experienced some heartburn chest pain at base of sternum radiating to left and right. The chest pain had no accompanying shortness of breath, weakness or nausea. It did not increase with activity. Some pain did extend up into jaw. At office visit, pt had dull epigastric pain without other signs or symptoms. The rash was totally resolved. No sensation of throat closing. The decision was made to go ahead with the next immunization, when due. The most recent information received reports the condition of the pt is unknown.
Sex: F
Vaccine: HEP
Symptoms: Nausea, Pain in jaw, Rash
Clinical narrative: Two days post vax the pt experienced a rash on her arms, legs, trunk and neck lasting two hours. She also experienced some heartburn chest pain at base of sternum radiating to left and right. The chest pain had no accompanying shortness of breath, weakness or nausea. It did not increase with activity. Some pain did extend up into jaw. At office visit, pt had dull epigastric pain without other signs or symptoms. The rash was totally resolved. No sensation of throat closing. The decision was made to go ahead with the next immunization, when due. The most recent information received reports the condition of the pt is unknown.
Age: 17.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Fatigue, Nausea
Clinical narrative: One day post vax, the pt experienced tiredness, dizziness, and nausea. A doctor visit was required. No treatment was given. All lab tests which were done were negative. The most recent information received reports the condition of the pt is recovered.
Age: 28.0
Sex: M
Vaccine: HEP
Symptoms: Eyelid oedema, Injection site haemorrhage, Pruritus, Similar reaction on previous exposure to drug
Clinical narrative: 48 hours after receiving first dose of Engerix B, the pt developed swollen eyelids. The pt recovered. One month later the pt received the second dose of Engerix B. Subsequently, he experienced severe itching on the bottom of his feet. Additionally he had a hematoma at the injection site. He was treated with Benadryl on 09/27/1999. The most recent information received reports the condition of the pt is unknown.
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Ear discomfort, Headache, Hypoaesthesia, Migraine, Nasal congestion
Clinical narrative: 45 minutes post vax the pt experienced numbness and tingling around the mouth, she felt as if her head were about to explode, she saw sparkly lights, had a migraine-like headache and stuffy nose, and her ears plugged up. No treatment was given. The most recent information received reports that the pt recovered.
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Visual disturbance
Clinical narrative: 45 minutes post vax the pt experienced numbness and tingling around the mouth, she felt as if her head were about to explode, she saw sparkly lights, had a migraine-like headache and stuffy nose, and her ears plugged up. No treatment was given. The most recent information received reports that the pt recovered.
Age: 27.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Rash
Clinical narrative: 1-2 weeks post vax the pt experienced rash with itching which came and went. A doctor visit was required and she was treated with prednisone for 6 days and Atarax. The most recent information received reports the condition of the pt is ongoing.
Age: 12.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Urticaria
Clinical narrative: One hour post vax the pt experienced generalized urticaria, generalized pruritus and scratchy throat. These symptoms required a doctor visit and were treated with Benadryl. Symptoms resolved over two days. The most recent information received reported the condition of the pt is resolved.
Sex: U
Vaccine: HEP
Symptoms: Dizziness, Pyrexia
Clinical narrative: Subsequent to receiving one dose of Engerix B, the pt experienced high fever, dizziness and faintness. The most recent information received reports the condition of the pt is unknown.
Age: 13.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Dizziness, Headache, Nausea, Pyrexia
Clinical narrative: Subsequent to receiving one dose of Engerix B the pt experienced dizziness, nausea, fever of 99.8 degrees, weakness and a stuffy head. The most recent information received reports the condition of the pt as unknown.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Chills, Headache, Nausea
Clinical narrative: Approximately 10 hours post vax the pt experienced severe headache, nausea and chills. She took extra strength Tylenol and was then see in the ER. The pt thought she had a cranial bleed. CT-scan was normal. The most recent information received reports the condition of the pt is resolved.
Sex: U
Vaccine: HEP
Symptoms: Injection site rash
Clinical narrative: Subsequent to receiving vax, the pt experienced an injection site rash. The most recent information received reports the condition of the pt as unknown.
Age: 44.0
Sex: M
Vaccine: HEP
Symptoms: Chest pain, Headache, Injection site pain, Pain
Clinical narrative: Subsequent to receiving third dose of Engerix B the pt experienced injection site soreness, left chest soreness, left head soreness and achiness. The pt was treated with one dose of Advil 200mg. The pt started feeling better by noon and progressed to fine by the next day. The most recent information received, reports the condition of the pt is resolved.
Age: 16.0
Sex: F
Vaccine: HEP
Symptoms: Rash
Clinical narrative: Subsequent to receiving vax the pt experienced a diffuse rash over her entire body. The most recent information received, reports the symptoms as resolved.
Sex: F
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: In 1996 the pt was vaccinated with Engerix B. The pt now has a negative antibody titer. The most recent information received does not provide an outcome.
Age: 74.0
Sex: M
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: Subsequent to receiving vax, the pt developed hepatitis B surface antigenemia. Testing two days post vax indicated that the pt was core antigen and antibody negative as well as surface antibody negative. The most recent information received, reports the condition of the pt is ongoing.
Age: 56.0
Sex: M
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: Subsequent to receiving a fourth dose of Engerix B the pts hepatitis status was drawn and determined to be negative. Labs were drawn on the pt after both the first and second doses of Engerix B, with negative HBsAg and ALT/AST within normal limits Subsequent to third dose of Engerix B labs were drawn and a positive HBsAg was received. Pts blood was redrawn and sent to an independent lab where a second positive HBsAG was reported. The most recent information received, reports the condition of the pt as ongoing.
Age: 0.2
Sex: M
Vaccine: HEP
Symptoms: Ear disorder, Oedema, Pyrexia, Urticaria
Clinical narrative: One day post vax the pt developed hives on his hands, feet and body, and had swollen external ears. He had a fever overnight. A doctor of ER visit was necessary. Pt was treated with Benadryl. Engerix B was discontinued. The most recent information received reports the condition of the pt as starting.
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Hypoglycaemia, Syncope
Clinical narrative: 20 minutes post vax the pt had a weak, pale, syncopal episode which lasted two seconds. The pt recovered and Engerix B was discontinued. The physician felt that this episode was unrelated to Engerix B and the pt was probably hypoglycemic. The mother stated that the pt did not have breakfast. Physician does not feel comfortable re-vaccinating the pt to complete the series. The most recent information received reports the condition of the pt is recovered.
Age: 21.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site warmth, Rash
Clinical narrative: During the night after the vax was received, the pts arm became red and warm and she developed a rash. By three days post vax the pt had a generalized rash. The physician instructed the pt to take Benadryl. It is unknown whether or not the pt took the Benadryl. The most recent information received reports the condition of the pt is unknown.
Age: 14.0
Sex: F
Vaccine: HEP
Symptoms: Mydriasis, Vision blurred
Clinical narrative: Within 30 minutes post vax the pt noticed her vision was blurry. She looked in a mirror and saw that her pupil was dilated (no iris seen). She was referred to an ophthalmologist who found nothing wrong other than the pupil was dilated. By evening, the pupil was getting smaller, it was back to normal and her vision was ok. The most recent information received, reports the condition of the pt is resolved.
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Rash maculo-papular, Urticaria
Clinical narrative: Within two hours of receiving the second dose of Engerix B, the pt developed a generalized maculopapular eruption with hives. The most recent information received, reports the condition of the pt is unknown.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Rheumatoid arthritis
Clinical narrative: Two weeks subsequent to receiving the second dose of Engerix B, the pt developed rheumatoid arthritis. The most recent information received, reports the condition of the pt is ongoing.
Sex: M
Vaccine: HEP
Symptoms: Injection site erythema
Clinical narrative: The pt was given the first dose of Engerix B IM (left arm) in error. He should have been vaccinated with PPD. Subsequently, the pt experienced redness at the injection site. The most recent information received, reports that the condition of the pt is ongoing.
Age: 13.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Asthenia, Pain
Clinical narrative: Approximately one month post vax (09/20/1999) the pt experienced joint pain and underarm pain without fever or chills. The joint pain involved multiple joints including hands, wrists, knees, shoulders, etc. She also experienced a feeling of weakness. She was seen by a physician (10/11/1999) and all blood tests were negative, including Mono, blood count, Sed rate, and ANA. On her 11/09/1999 visit to the physician some improvement in her joint pain was noted. The most recent information received, reports the condition of the pt is improving.
Age: 1.25
Sex: F
Vaccine: HEP
Symptoms: Anaemia, Fatigue, Pyrexia, Respiratory tract infection
Clinical narrative: Two months post vax the pt experienced fatigue and developed a sinus infection which required a doctor or ER visit. She was treated with amoxicillin. Her symptoms including fever were self-limiting. The infection cleared up one week after the antibiotic finished. It then resumed and continued until mid-November. Fatigue was apparent for two months. Additionally, the pt developed anemia. The most recent information received reports the condition of the pt is unknown.
Age: 12.0
Sex: F
Vaccine: HEP
Symptoms: Vitreous floaters
Clinical narrative: Approximately 11 days subsequent to receiving dose 2 of Engerix B, the pt experienced floaters in her left eye. No treatment was given. The most recent information received, reports that the condition of the pt is resolving.
Age: 12.0
Sex: F
Vaccine: HEP, UNK
Symptoms: Asthenia, Blood pressure increased, Cyanosis, Dyspnoea, Malaise
Clinical narrative: Shortly after receiving vax, the pt stated she did not feel well and started talking funny. Her lips were blue and she was extremely pale and passed out. She was given ammonia, deep pain efforts, and two doses of epinephrine injections while trying to revive her. Her blood pressure and pulse were taken immediately after passing out.: BP 123/89, pulse 100; BP147/90, pulse 90; BP133/70, pulse 97. She was taken to the hospital and given Benadryl, and she started to revive after 30-45 minutes and was crying. Her potassium was 2.56 mEq/L. She told her parents she could hear everything and felt poking but could not respond. She was hurting all over and was weak. She especially had pain in her arm and throat.  She was having difficulty breathing. She was treated with a potassium bolus and given oxygen. She was transferred to another hospital and 1.5 - 2 hours post vax, she was alert but very achy and weak. A kidney ultrasound, chest x-ray, lupus and cancer tests, and blood tests were run and were normal. Her potassium was now 4.0 mEq/L. She was given potassium and magnesium tablets for 3 weeks which was stopped for observation for hypokalemic periodic paralysis, However, she never had another episode. The most recent information received reports the pt continues to have weakness and sever pain especially on her right side under rib above her breast into her back, described as a pinching feeling. Skelaxin is being taken with some relief. The pts mother stated the physician thought her daughter had a vasovagal event, but the clinic nurse thought differently.
Age: 12.0
Sex: F
Vaccine: HEP, UNK
Symptoms: Pain, Pallor, Pharyngolaryngeal pain
Clinical narrative: Shortly after receiving vax, the pt stated she did not feel well and started talking funny. Her lips were blue and she was extremely pale and passed out. She was given ammonia, deep pain efforts, and two doses of epinephrine injections while trying to revive her. Her blood pressure and pulse were taken immediately after passing out.: BP 123/89, pulse 100; BP147/90, pulse 90; BP133/70, pulse 97. She was taken to the hospital and given Benadryl, and she started to revive after 30-45 minutes and was crying. Her potassium was 2.56 mEq/L. She told her parents she could hear everything and felt poking but could not respond. She was hurting all over and was weak. She especially had pain in her arm and throat.  She was having difficulty breathing. She was treated with a potassium bolus and given oxygen. She was transferred to another hospital and 1.5 - 2 hours post vax, she was alert but very achy and weak. A kidney ultrasound, chest x-ray, lupus and cancer tests, and blood tests were run and were normal. Her potassium was now 4.0 mEq/L. She was given potassium and magnesium tablets for 3 weeks which was stopped for observation for hypokalemic periodic paralysis, However, she never had another episode. The most recent information received reports the pt continues to have weakness and sever pain especially on her right side under rib above her breast into her back, described as a pinching feeling. Skelaxin is being taken with some relief. The pts mother stated the physician thought her daughter had a vasovagal event, but the clinic nurse thought differently.
Sex: M
Vaccine: HEP
Symptoms: Eye pain, Optic neuritis
Clinical narrative: Within one hour post vax, the pt experienced ocular pain in his left eye which resolved within 24 hours. The physician stated that he believed the ocular pain was a symptom of ocular neuritis, but he was unable to confirm the diagnosis of ocular neuritis. this case is considered to be SmithKline Beecham medically serious. The most recent information, received, reports the condition of the pt is resolved.
Age: 6.0
Sex: F
Vaccine: HEP
Symptoms: Headache, Pyrexia
Clinical narrative: On the day of vax, the pt experienced a temperature of 101 and a headache. the symptoms were treated with Tylenol. The most recent information received reports the symptoms as resolved.
Age: 15.0
Sex: F
Vaccine: HEP
Symptoms: Back pain, Dyspnoea, Hypoaesthesia, Malaise, Pain
Clinical narrative: Approximately two days post vax the pt experienced pain and burning sensation in her whole left arm, which was sensitive to touch. Her left little finger and the next two fingers were numb. She had back and leg pain and generalized malaise. She had shortness of breath occasionally. She had blurred vision which resolved in November of 1999. The most recent information received reports the condition of the pt is ongoing.
Age: 15.0
Sex: F
Vaccine: HEP
Symptoms: Vision blurred
Clinical narrative: Approximately two days post vax the pt experienced pain and burning sensation in her whole left arm, which was sensitive to touch. Her left little finger and the next two fingers were numb. She had back and leg pain and generalized malaise. She had shortness of breath occasionally. She had blurred vision which resolved in November of 1999. The most recent information received reports the condition of the pt is ongoing.
Sex: M
Vaccine: HEP
Symptoms: Headache, Psychomotor hyperactivity, Somnolence
Clinical narrative: Subsequent to receiving vax the pt experienced hyperactivity, sleepiness  and headache. The latest information received reports the condition of the pt is unknown.
Age: 40.0
Sex: F
Vaccine: HEP
Symptoms: Rash
Clinical narrative: Three weeks post vax the pt developed a rash. The most recent information received reports the condition of the pt is unknown.
Age: 50.0
Sex: F
Vaccine: HEP
Symptoms: Injection site hypersensitivity, Injection site warmth, Pruritus
Clinical narrative: 2-3 days post vax the pt experienced an itchy, warm rash at the injection site. The rash spread to the entire deltoid area, according to the pt. The reporter saw the pt on 11/22/1999 and stated that the rash looked like ringworm (dry, round bumps). Treatment was no given. A doctor visit was required. The most recent information received reports the condition of the pt is recovering.
Age: 62.0
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: Sometime after receiving the vax, the pt broke out in hives over the entire body. The event resolved within24 hours.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Erythema, Feeling hot, Rash
Clinical narrative: The mother of the pt told the reporter that 16 days post vax the pt experienced red and hot face and a rash that spread from the face to chest, legs and arms. The reporter thought that the symptoms lasted for approximately 24 hours. The most recent information reports the condition of the pt is resolved.
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Hypoaesthesia, Nausea, Similar reaction on previous exposure to drug, Vaccine positive rechallenge
Clinical narrative: A few hours subsequent to receiving the first doe of Engerix B (10/21/1999) the pt experienced slight nausea, and numbness/tingling in her pinky finger. The outcome of the condition was resolved. The Pt received her second dose of Engerix B on 11/19/1999 and one day post vax the pt experienced numbness in pinky finger to thumb, lips and side of nose. The duration was five minutes. No treatment was given. The most recent information received reports the condition of the pt is resolved.
Age: 22.0
Sex: F
Vaccine: HEP
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Fatigue, Hyperhidrosis, Liver function test abnormal
Clinical narrative: On 11/02/1999, approximately one month subsequent to receiving the second dose of Engerix B, the pt was seen by physician complaining of a very sore throat, swollen gland in the neck, low grade fever and fatigue. A Mono test was negative. A routine evaluation revealed elevated liver enzymes. Symptoms lasted for approximately one month. Blood work in 01/2000 was normal. The pt was instructed by physician to have the third dose of Engerix B. The pt received the third dose of Engerix B in 03/2000. In 04/2000 the pt had an extremely swollen neck (her jaw was hard to open), low grade fever, diaphoresis at night, and her SGPT was 85 U/L. She was being treated with Augmentin 875 mg and Tylenol. A doctor visit was required. The most recent information received reports the condition of the pt is ongoing.
Age: 22.0
Sex: F
Vaccine: HEP
Symptoms: Lymphadenopathy, Pharyngolaryngeal pain, Pyrexia, Similar reaction on previous exposure to drug
Clinical narrative: On 11/02/1999, approximately one month subsequent to receiving the second dose of Engerix B, the pt was seen by physician complaining of a very sore throat, swollen gland in the neck, low grade fever and fatigue. A Mono test was negative. A routine evaluation revealed elevated liver enzymes. Symptoms lasted for approximately one month. Blood work in 01/2000 was normal. The pt was instructed by physician to have the third dose of Engerix B. The pt received the third dose of Engerix B in 03/2000. In 04/2000 the pt had an extremely swollen neck (her jaw was hard to open), low grade fever, diaphoresis at night, and her SGPT was 85 U/L. She was being treated with Augmentin 875 mg and Tylenol. A doctor visit was required. The most recent information received reports the condition of the pt is ongoing.
Age: 22.0
Sex: F
Vaccine: HEP
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: 10 minutes post vax the pt had an allergic reaction consisting of shortness of breath and chest tightness. She was sent to the ER for further evaluation per EMS. the latest information received reports the condition of the pt is unknown.
Sex: U
Vaccine: HEP
Symptoms: Injection site oedema, Rash
Clinical narrative: Shortly after receiving vax, the pt experienced a rash and a swollen arm. The most recent information received reports the condition of the pt is unknown.
Age: 10.0
Sex: F
Vaccine: HEP
Symptoms: Decreased appetite, Diarrhoea, Dizziness, Hypersensitivity, Injection site erythema
Clinical narrative: Two days subsequent to receiving one dose of Engerix B, (11/18/1999) the pt experienced injection site swelling, pain and blister. Additionally she developed a low grade fever, body aching, diarrhea, nausea, dizziness and decreased appetite. On 11/22/1999 the swollen area became red and inflamed and moved toward the axilla. The pt was treated with antihistamines, Tylenol with codeine, ice and moist heat. An infectious disease specialist stated that the pt had experiences a systemic reaction. As of 01/11/2000 the pt continues to have recurrent symptoms every two weeks. She was seen by an infectious disease specialist who had a culture and biopsy of the arm performed. There were no reports from the specialist as of yet. The mother reported that the biopsy showed only inflammation and allergic response. The pt has been treated with prednisone which has not helped much. The most recent information received reports the condition of the pt is ongoing.
Age: 10.0
Sex: F
Vaccine: HEP
Symptoms: Injection site oedema, Injection site pain, Injection site vesicles, Nausea, Pain
Clinical narrative: Two days subsequent to receiving one dose of Engerix B, (11/18/1999) the pt experienced injection site swelling, pain and blister. Additionally she developed a low grade fever, body aching, diarrhea, nausea, dizziness and decreased appetite. On 11/22/1999 the swollen area became red and inflamed and moved toward the axilla. The pt was treated with antihistamines, Tylenol with codeine, ice and moist heat. An infectious disease specialist stated that the pt had experiences a systemic reaction. As of 01/11/2000 the pt continues to have recurrent symptoms every two weeks. She was seen by an infectious disease specialist who had a culture and biopsy of the arm performed. There were no reports from the specialist as of yet. The mother reported that the biopsy showed only inflammation and allergic response. The pt has been treated with prednisone which has not helped much. The most recent information received reports the condition of the pt is ongoing.
Age: 10.0
Sex: F
Vaccine: HEP
Symptoms: Pyrexia
Clinical narrative: Two days subsequent to receiving one dose of Engerix B, (11/18/1999) the pt experienced injection site swelling, pain and blister. Additionally she developed a low grade fever, body aching, diarrhea, nausea, dizziness and decreased appetite. On 11/22/1999 the swollen area became red and inflamed and moved toward the axilla. The pt was treated with antihistamines, Tylenol with codeine, ice and moist heat. An infectious disease specialist stated that the pt had experiences a systemic reaction. As of 01/11/2000 the pt continues to have recurrent symptoms every two weeks. She was seen by an infectious disease specialist who had a culture and biopsy of the arm performed. There were no reports from the specialist as of yet. The mother reported that the biopsy showed only inflammation and allergic response. The pt has been treated with prednisone which has not helped much. The most recent information received reports the condition of the pt is ongoing.
Sex: F
Vaccine: HEP
Symptoms: Erythema, Hypersensitivity
Clinical narrative: Subsequent to receiving the second dose of Engerix B the pt experienced an allergic reaction consisting of ear redness without itching or pain. Engerix B was discontinued. The most recent information received reports the condition of the pt as resolved.
Age: 7.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Hypersensitivity
Clinical narrative: Subsequent to receiving the second dose of Engerix B the pt experienced an allergic reaction consisting of ear redness without itching or pain. Engerix B was discontinued. The most recent information received reported the condition of the pt as resolved.
Sex: U
Vaccine: HEP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Subsequent to receiving the third dose of Engerix B the pt experienced swelling and redness at the injection site. the most recent information received reports the condition of the pt is unknown.
Age: 38.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Neck pain
Clinical narrative: Subsequent to receiving vax, the pt experienced shoulder pain which progressed to her neck. No redness or swelling noted. the pt was given an ultrasound. The most recent information received reports the condition of the pt is ongoing.
Age: 27.0
Sex: M
Vaccine: HEP
Symptoms: Aspartate aminotransferase increased
Clinical narrative: Six days post vax, the pt was found to have SGOT=193 (0-42). No treatment was given. The most recent information received reports the condition of the pt is ongoing.
Sex: M
Vaccine: HEP
Symptoms: Malaise, Nausea
Clinical narrative: Subsequent to receiving the second dose of Engerix B, the pt experienced malaise and nausea which lasted for 24 hours. The most recent information received reports the condition of the pt is resolved.
Age: 48.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Pruritus, Purpura, Rash
Clinical narrative: Three days post vax on 09/02/1999 the pt developed a local reaction. One month later, on 10/05/1999, the pt was seen by a physician with an itchy red rash on lower forearm and legs. She was treated with Claritin, Axid and Atarax. Pt was seen by a dermatologist who diagnosed her as having Schamberg's purpura and recommended prednisone therapy which the pt declined. The rash continues but no longer itches. On 03/16/1999 the reporter stated that the pt has had resolution of the intermittent itching and rash that was diagnosed as Schamburg's purpura. These symptoms resolved approximately 1.5 months ago and she has had no further recurrence. The most recent information received reports the condition of the pt is resolved.
Age: 41.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Dyspnoea, Heart rate irregular, Malaise
Clinical narrative: 10 minutes post vax the pt experienced dizziness, shortness of breath, irregular pulse and malaise. The malaise lasted two days. The pt was treated with Benadryl. Engerix B was discontinued. The most recent information received reports the condition of the pt is resolved.
Sex: M
Vaccine: HEP
Symptoms: Myalgia, Rash
Clinical narrative: Subsequent to receiving third dose of Engerix B, the pt experienced myalgia and rash. The most recent information received reports the condition of the pt is unknown.
Sex: F
Vaccine: HEP
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Pruritus
Clinical narrative: One day subsequent to receiving the second dose of Engerix B the pt experienced erythema, induration and pruritis at the injection site. The pt was thought to have a possible cellulitis. She was seen by her physician and treated with an antibiotic. The physician does not recommend the third Dose of Engerix B. The most recent information received reports the symptoms fully resolved.
Age: 10.0
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: Subsequent to receiving vax, the pt experienced hives on her arms, legs and abdomen. The physician contacted the board of health and Engerix B was discontinued. The most recent information received reports the pt recovered after 5 days.
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Rash
Clinical narrative: 48 hours post vax the pt broke out in a rash all over her body. The pt was treated with Benadryl. The most recent information received reports the outcome of the event as resolved.
Sex: U
Vaccine: HEP
Symptoms: Injection site rash
Clinical narrative: Subsequent to receiving vax, the pt developed a rash at the injection site. The reporter noted that Engerix B was administered to six pts all of whom developed a rash. In some cases, the rash extended to include the arm only, or the arm face, and trunk or the whole body. The most recent information received reports the outcome of the rash as resolved after 1-2 weeks.
Sex: U
Vaccine: HEP
Symptoms: Injection site rash
Clinical narrative: Subsequent to receiving second dose of Engerix B, the pt developed a rash at the injection site. The reporter noted that Engerix B was administered to six pts, all of whom developed a rash.  In some cases, the rash extended to include the arm only, or the arm, face and trunk, or the whole body. The most recent information received reports the outcome of the event as resolved after one to two weeks.
Sex: U
Vaccine: HEP
Symptoms: Injection site rash
Clinical narrative: Subsequent to receiving the second dose of Engerix B, the pt experienced a rash at the injection site. The reporter noted that Engerix B was administered to six pts, all of whom developed a rash. In some cases the rash extended to include the arm only, the arm, face and trunk or the whole body. The most recent information received reports the outcome of the rash as resolved after one to two weeks.
Sex: U
Vaccine: HEP
Symptoms: Injection site rash
Clinical narrative: Subsequent to receiving vaccine, the pt developed a rash at the injection site. The reporter noted that Engerix B was administered to six pts, all of whom developed a rash. In some cases, the rash extended to include the arm only, or the arm, truck and face, or the whole body. The most recent information received reports the outcome of the event as resolved after one to two weeks.
Age: 49.0
Sex: F
Vaccine: FLU3, HEP
Symptoms: Injection site hypersensitivity, Pruritus, Rash
Clinical narrative: Subsequent to receiving vax, the pt experienced rash and itching at the injection site. Engerix B was discontinued. The most recent information received reports the condition of the pt is unknown.
Age: 18.0
Sex: F
Vaccine: HEP
Symptoms: Headache
Clinical narrative: Subsequent to receiving the third dose of Engerix B, the pt experienced a headache. A doctor visit was required and the pt was referred to a neurologist. The most recent information received reports the condition of the pt is ongoing.
Sex: U
Vaccine: HEP
Symptoms: Liver function test abnormal
Clinical narrative: Subsequent to receiving an unspecified dose of Engerix B the pt experienced transient elevated liver function tests.  The most recent information received reports the condition of the pt is unknown.
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain, Anorexia, Fatigue, Vomiting
Clinical narrative: Approximately 24 hours post vax, the pt began to experience emesis, anorexia, gastrointestinal cramps and fatigue. No treatment was given. The most recent information received reports the condition of the pt is unknown.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Pruritus, Rash, Skin burning sensation
Clinical narrative: Approximately 10 hours post vax the pt experienced a systemic rash with itching and burning. An ER or doctor visit was required and unspecified treatment was given. The most recent information received reports the condition of the pt is unknown.
Age: 5.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Asthma, Bacterial infection, Blister, Condition aggravated, Nausea
Clinical narrative: Three days post vax the pt developed a blister-like rash on torso which popped and scabbed over. He was treated for 10 days with Cortisone cream and the rash resolved. Then for 6 weeks the pt vomited with meals. Pt was seen by the physician and tested for strep and mono and was treated with an antibiotic for 10 days. Four weeks subsequent to receiving dose 2 of hepatitis B vaccine, the pt had an asthma attack followed by another asthma attack 10 days later, followed by another asthma attack 10 days after that. The pt is still nauseous and is taking Zantac tid. On 11/19/1999, x-rays showed large amount of stool in rectum and colon. Physician plans to start milk and molasses enemas qhs X 3 and then Enulose 2 tsp bid. The most recent information received reports the condition of the pt as ongoing.
Age: 5.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Rash, Vomiting
Clinical narrative: Three days post vax the pt developed a blister-like rash on torso which popped and scabbed over. He was treated for 10 days with Cortisone cream and the rash resolved. Then for 6 weeks the pt vomited with meals. Pt was seen by the physician and tested for strep and mono and was treated with an antibiotic for 10 days. Four weeks subsequent to receiving dose 2 of hepatitis B vaccine, the pt had an asthma attack followed by another asthma attack 10 days later, followed by another asthma attack 10 days after that. The pt is still nauseous and is taking Zantac tid. On 11/19/1999, x-rays showed large amount of stool in rectum and colon. Physician plans to start milk and molasses enemas qhs X 3 and then Enulose 2 tsp bid. The most recent information received reports the condition of the pt as ongoing.
Age: 50.0
Sex: F
Vaccine: HEP
Symptoms: Eyelid ptosis, Hypoaesthesia
Clinical narrative: Two days post vax the pt experienced numbness and tingling on her right side and a droopy right eyelid. The symptoms were treated with aspirin, and Engerix B was discontinued. The most recent information received reports the symptoms are resolving and there is some residual in her right finger.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Erythema, Loss of consciousness, Syncope vasovagal, Urticaria
Clinical narrative: Minutes after receiving vax, the pt passed out and broke out in bright, diffuse hives over his entire body. A school physician was present at the time and thought the pt had likely experienced a vasovagal reaction. A pediatrician later saw the pt. Hives resolved without treatment. The most recent information, reports the condition of the pt is resolved.
Age: 51.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Blood pressure increased, Fatigue, Hypersensitivity, Injection site pain
Clinical narrative: One week post vax, the pt experienced arm soreness, neuropathy, joint pain, stiffness, elevated blood pressure (150/80), fatigue, nausea, tingling toes, a sense of blood rushing in her right (injection) arm, and painful feet. EMG studies on 11/11/1999 were normal. Her IgM was 1111 for anti-hepatitis B. A different IgM was 711 mg/dl and polyclonal. ESR was 17 mm/hr. She was diagnosed with vasomotor instability and prescribed a beta blocker. However, she felt ill and discontinued this on her own. 11/29/1999 physician visit: Her reticulocyte count was slightly elevated. SPEP showed no monoclonal spike. IgA was 132, IgG was 1021, and IgM was elevated at 590 mg/dl. Immunofixation and test for cryoglobulins were pending. In summary, physician stated she had an elevated IgM which is slowly decreasing. In the past it was shown to be polyclonal and the physician saw no reason why that should change. Most likely this is a delayed hypersensitivity reaction to the hepatitis B vaccine. In the meantime, physician started the pt on Claritin for relief of her paresthesias. She still experienced fatigue, tingling toes, and painful feet. The most recent information received reports the condition of the pt as unknown.