chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: F
Vaccine: RUB
Symptoms: Pyrexia, Rash
Clinical narrative: 8d p vaccine stiff neck, sore throat; 9d p vaccine hard to get up; swollen glands cervical and in mandibular area, hips hurt; 10d p rash to face, chest/trunk, fever, took Tylenol.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Injection site erythema, Injection site oedema
Clinical narrative: On left arm where client received Dtap 5 and polio 4, arm was red and swollen approx 7"x5". In the center of the redness was a large blister 1"x 1/2" with small blisters surrounding approx 3"x3".  Mother states he gets this reaction when he gets mosquito bites. Referred to physician.
Age: 1.02
Sex: F
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Face oedema
Clinical narrative: Facial swelling on right side after 1 yr immunizations, MMR 1/Varicella 1/Prevnar 3
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Left arm swollen and red, hurt if bumped 3"-4" diameter.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: Swelling (very hard), red upper arm around injection site (from elbow to shoulder) uncomfortable, but not painful or itchy, swelling and redness lasted at least 96 hrs.
Age: 1.45
Sex: M
Vaccine: BCG, DTAP, MMR
Symptoms: Feeling hot, Injection site oedema
Clinical narrative: Dtap 4, Prevnar 4 given left thigh at 12PM 6/22/05. No temp, no irritability. 8AM 6/23/05 left thigh swollen involves left knee warm to touch, no erythema and limp.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site reaction
Clinical narrative: Swelling, erythema left thigh x 3 days large area 11cm. (exam 6/17). Treated empirically with Keflex 250 Tid. Diagnosis local reaction vs cellulitis.
Age: 1.31
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Feeling hot, Injection site erythema, Injection site mass
Clinical narrative: 3cm x 3cm indurated red, warm at injection site.
Age: 4.0
Sex: F
Vaccine: IPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Left leg swollen, red, no tenderness, thigh and knee.
Age: 38.0
Sex: M
Vaccine: HEP, TTOX
Symptoms: Condition aggravated, Malaise, Systemic lupus erythematosus
Clinical narrative: This case was reported by a nurse and described the occurrence of exacerbation of lupus in a 38 year old male subject who was vaccinated with hepatitis B vaccine recombinant for prophylaxis. Medical history included lupus. On 4/18/05, the subject received the first dose of Engerix B. On 4/18/05, the subject received vaccination with tetanus toxoid. The reporter stated that the subject received the injections in separate arms. On 4/25/05, 7 days following receipt of the vaccinations, the subject experienced exacerbation of lupus and malaise and was seen at a physician's office. The subject reported to the nurse that this exacerbation was worse than normal. The symptoms were worst at two to three weeks post dose and resolved five weeks after the symptoms began. Comment: Exacerbation of lupus was assessed as medically serious (OMIC).
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Myalgia, Pyrexia
Clinical narrative: Achy all over, T 99, Rx: ibuprofen.
Age: 1.05
Sex: U
Vaccine: HBHEPB, MMR, PNC
Symptoms: Pyrexia, Rash
Clinical narrative: Developed a mild rash and fever
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Left deltoid warm to touch, red, swollen
Age: 54.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Myalgia
Clinical narrative: Frequent Aching of Trapazoid muscles after 5th Anthrax shot received Mar 2004 while deployed. Frequent knee joint pain in both knees  seemed to get worse after 5th and 6th anthrax shot. 6th received Sept 2004.
Age: 1.76
Sex: M
Vaccine: DT, PNC
Symptoms: Erythema, Feeling hot, Oedema, Pyrexia
Clinical narrative: Fever >102 in AM after receiving immunizations.  Also noted that there was redness, swelling, and area was warm to touch.
Age: 1.07
Sex: M
Vaccine: DTAP, MMR, PNC, VARCEL
Symptoms: Rash pruritic
Clinical narrative: After 10 days of administrating MMR vaccine there was a reactions, itchy rash all over body, given Benadryl for the itch.
Age: 1.27
Sex: F
Vaccine: MMR
Symptoms: Ecchymosis, Petechiae, Thrombocytopenia, Thrombocytopenic purpura
Clinical narrative: Thrombocytopenic Purpura.  Signs and symptoms revealed 15 days following injection of MMR at child's 15 month pediatrician visit.  Child noted with generalized petechiae and ecchymosis to face, limbs, trunk, and buttocks.  Platelet level on 6/13/05 was 1,000.  Platelet level on 6/15/05 was 2,000.  Platelet level on 6/20/05 was 42,000.  Visited pediatric hematologist. No treatment given, just close watch given over child to prevent any type of injury.  Platelet on 6/28/05 was 54,000.  Child was adopted and received one previous MMR vaccine prior to adoption and prior to one year of age.  Received Prevnar, MMR, and chickenpox vaccines on same day-5/26/2005.  Information received from medical records state thrombpcytopenia.
Age: 2.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Agitation, Crying, Grunting, Musculoskeletal stiffness, Pyrexia
Clinical narrative: About 5 hours after receiving vaccines child had fever 102.9 and unconsolable crying.  Child proceded to stiffening entire body for a few seconds and then slept for 30 min.  Upon awakening the child was fine.  There seemed to be grunting during and after the episode of stiffening.  Child was fine during the day but continued to run fever for the next two nights.  Child again had a similar event on Monday night and thus brought the child to the clinic today.
Sex: F
Vaccine: VARCEL
Symptoms: Skin ulcer, Viral infection
Clinical narrative: Chicken pox lesions on face, arms, neck, following varicella vaccination 2 wks earlier.
Age: 32.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Swollen and red, Left deltoid area, Benadryl, Motrin, cool compress.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Chills, Diarrhoea, Myalgia, Pyrexia, Vomiting
Clinical narrative: Fever to 103 within 24 hrs, chills, myalgias, diarrhea, 5x gradual improvements over next 48 hrs, then fever worsened with vomiting  St x 2 more days (6/25 and 6/26).
Age: 1.01
Sex: F
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Viral infection
Clinical narrative: Minor diagnosis of chicken pox 1CD 052.9.
Age: 1.01
Sex: F
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Viral infection
Clinical narrative: Minor diagnosis of chicken pox 1CD052.9
Age: 60.0
Sex: F
Vaccine: YF
Symptoms: Dizziness, Headache, Rash
Clinical narrative: Client stated that she had had light headache, dizziness, and rash (mostly on her chest and legs) the following day after vaccination. Dizziness and H/A all gone, but the rash is still there, even though it got better. Informed us on 06/20/2005.
Age: 53.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Hypoaesthesia, Laboratory test abnormal, Neuropathy peripheral
Clinical narrative: Sometime in July 2000, the subject noted numbness in his extremities. He went to his primary care physician and had blood work done. He was referred to a neurologist and had a EMG completed. He was diagnosed with a peripheral neuropathy. He has had and continues to have numbness, loss of strength, and tingling to hands and feet. He has foot drop noticeable when he walks (which he noticed approximately 2 years ago). From time to time he is tired, weak, and lethargic. He has noticed a decrease in his dexterity. He has also noted that things that are hot seem hotter than they used to feel. He also states that his ankles turn up easily when walking. The subject stated that since he had the vaccinations he gets areas around his wrists, hands, feet and lower leg, that will start to itch. When scratched he gets little skin burns where the skin begins to blister and then the top layers of the skin shred. Treatment drugs include: IV Solu Medrol once a month and IVIG. Subject states he was hospitalized for two days for a spinal tap and the administration of a treatment of IVIG. A follow-up report was submitted by BioPort Corp. on August 22, 2005. BioPort has no further information at this time.
Age: 53.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Demyelination, Polyneuropathy
Clinical narrative: Sometime in July 2000, the subject noted numbness in his extremities. He went to his primary care physician and had blood work done. He was referred to a neurologist and had a EMG completed. He was diagnosed with a peripheral neuropathy. He has had and continues to have numbness, loss of strength, and tingling to hands and feet. He has foot drop noticeable when he walks (which he noticed approximately 2 years ago). From time to time he is tired, weak, and lethargic. He has noticed a decrease in his dexterity. He has also noted that things that are hot seem hotter than they used to feel. He also states that his ankles turn up easily when walking. The subject stated that since he had the vaccinations he gets areas around his wrists, hands, feet and lower leg, that will start to itch. When scratched he gets little skin burns where the skin begins to blister and then the top layers of the skin shred. Treatment drugs include: IV Solu Medrol once a month and IVIG. Subject states he was hospitalized for two days for a spinal tap and the administration of a treatment of IVIG. A follow-up report was submitted by BioPort Corp. on August 22, 2005. BioPort has no further information at this time.
Age: 53.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Asthenia, Blister, Blood product transfusion, Blood test normal, Demyelination
Clinical narrative: Sometime in July 2000, the subject noted numbness in his extremities. He went to his primary care physician and had blood work done. He was referred to a neurologist and had a EMG completed. He was diagnosed with a peripheral neuropathy. He has had and continues to have numbness, loss of strength, and tingling to hands and feet. He has foot drop noticeable when he walks (which he noticed approximately 2 years ago). From time to time he is tired, weak, and lethargic. He has noticed a decrease in his dexterity. He has also noted that things that are hot seem hotter than they used to feel. He also states that his ankles turn up easily when walking. The subject stated that since he had the vaccinations he gets areas around his wrists, hands, feet and lower leg, that will start to itch. When scratched he gets little skin burns where the skin begins to blister and then the top layers of the skin shred. Treatment drugs include: IV Solu Medrol once a month and IVIG. Subject states he was hospitalized for two days for a spinal tap and the administration of a treatment of IVIG. A follow-up report was submitted by BioPort Corp. on August 22, 2005. BioPort has no further information at this time.
Age: 53.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Difficulty in walking, Electromyogram abnormal, Fatigue, HIV test negative, Hypersensitivity
Clinical narrative: Sometime in July 2000, the subject noted numbness in his extremities. He went to his primary care physician and had blood work done. He was referred to a neurologist and had a EMG completed. He was diagnosed with a peripheral neuropathy. He has had and continues to have numbness, loss of strength, and tingling to hands and feet. He has foot drop noticeable when he walks (which he noticed approximately 2 years ago). From time to time he is tired, weak, and lethargic. He has noticed a decrease in his dexterity. He has also noted that things that are hot seem hotter than they used to feel. He also states that his ankles turn up easily when walking. The subject stated that since he had the vaccinations he gets areas around his wrists, hands, feet and lower leg, that will start to itch. When scratched he gets little skin burns where the skin begins to blister and then the top layers of the skin shred. Treatment drugs include: IV Solu Medrol once a month and IVIG. Subject states he was hospitalized for two days for a spinal tap and the administration of a treatment of IVIG. A follow-up report was submitted by BioPort Corp. on August 22, 2005. BioPort has no further information at this time.
Age: 53.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Hypoaesthesia, Lethargy, Lumbar puncture, Motor dysfunction, Neuropathy
Clinical narrative: Sometime in July 2000, the subject noted numbness in his extremities. He went to his primary care physician and had blood work done. He was referred to a neurologist and had a EMG completed. He was diagnosed with a peripheral neuropathy. He has had and continues to have numbness, loss of strength, and tingling to hands and feet. He has foot drop noticeable when he walks (which he noticed approximately 2 years ago). From time to time he is tired, weak, and lethargic. He has noticed a decrease in his dexterity. He has also noted that things that are hot seem hotter than they used to feel. He also states that his ankles turn up easily when walking. The subject stated that since he had the vaccinations he gets areas around his wrists, hands, feet and lower leg, that will start to itch. When scratched he gets little skin burns where the skin begins to blister and then the top layers of the skin shred. Treatment drugs include: IV Solu Medrol once a month and IVIG. Subject states he was hospitalized for two days for a spinal tap and the administration of a treatment of IVIG. A follow-up report was submitted by BioPort Corp. on August 22, 2005. BioPort has no further information at this time.
Age: 53.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Neuropathy peripheral, Paraesthesia, Peroneal nerve palsy, Pruritus, Skin exfoliation
Clinical narrative: Sometime in July 2000, the subject noted numbness in his extremities. He went to his primary care physician and had blood work done. He was referred to a neurologist and had a EMG completed. He was diagnosed with a peripheral neuropathy. He has had and continues to have numbness, loss of strength, and tingling to hands and feet. He has foot drop noticeable when he walks (which he noticed approximately 2 years ago). From time to time he is tired, weak, and lethargic. He has noticed a decrease in his dexterity. He has also noted that things that are hot seem hotter than they used to feel. He also states that his ankles turn up easily when walking. The subject stated that since he had the vaccinations he gets areas around his wrists, hands, feet and lower leg, that will start to itch. When scratched he gets little skin burns where the skin begins to blister and then the top layers of the skin shred. Treatment drugs include: IV Solu Medrol once a month and IVIG. Subject states he was hospitalized for two days for a spinal tap and the administration of a treatment of IVIG. A follow-up report was submitted by BioPort Corp. on August 22, 2005. BioPort has no further information at this time.
Age: 53.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Urine analysis
Clinical narrative: Sometime in July 2000, the subject noted numbness in his extremities. He went to his primary care physician and had blood work done. He was referred to a neurologist and had a EMG completed. He was diagnosed with a peripheral neuropathy. He has had and continues to have numbness, loss of strength, and tingling to hands and feet. He has foot drop noticeable when he walks (which he noticed approximately 2 years ago). From time to time he is tired, weak, and lethargic. He has noticed a decrease in his dexterity. He has also noted that things that are hot seem hotter than they used to feel. He also states that his ankles turn up easily when walking. The subject stated that since he had the vaccinations he gets areas around his wrists, hands, feet and lower leg, that will start to itch. When scratched he gets little skin burns where the skin begins to blister and then the top layers of the skin shred. Treatment drugs include: IV Solu Medrol once a month and IVIG. Subject states he was hospitalized for two days for a spinal tap and the administration of a treatment of IVIG. A follow-up report was submitted by BioPort Corp. on August 22, 2005. BioPort has no further information at this time.
Age: 35.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Amnesia, Depression, Fatigue, Gastrointestinal disorder, Gastrooesophageal reflux disease
Clinical narrative: This patient was well until fall 1999, with no visits to any physician for back pain, gastrointestinal problems, joint pains, or depression.  In September 1999 he had the gradual onset of diarrhea after receipt of his AVA #3.  This was a drastic change in his bowel pattern. After multiple visits related to alternating diarrhea and constipation his primary care provider diagnosed him as having IBS in November 2000. He was evaluated by a gastroenterologist and confirmed diagnosis of IBS in January 2004.  He continues treatment with Levsin on an intermittent basis without resolution of his symptoms.  He has received no further anthrax immunizations.  In June 2002 while deployed he injured his back lifting an airplane part and developed low back pain and hematuria. Because he was close to departure he self-medicated to allow return with unit. On return he saw his PCP and was diagnosed with pinched sciatic nerve, pulled muscle, given Vioxx and Skelaxin, and sent to PT. Eventual evaluation by military rheumatologist concluded musculoskeletal cause, with no abnormality seen on MRI.  He complains of multiple arthralgias that have developed over the years since first receiving his AVA doses. He received AVA in fall 1999 and nor further immunizations until fu and meningitis in January 2003. There is no documentation of arthralgias in his medical record before October 2003 other than the low back pain. The low back pain was thought to be due to an on-duty injury sustained while lifting a 100-lb. aircraft part and twisting on June 3, 2002. His pain continued and in December 2003 he was referred to civilian rheumatologist for a second opinion. Doctor assessments included fibromyalgia or chronic fatigue syndrome, and suspected early rheumatoid disease due to sharply elevated rheumatoid factor and slightly abnormal ANA, although x-rays of his hands showed no changes. He continues to experience early morning stiffness lasting 1 ½ to 2 hours, and must pace himself with physical activity to avoid being totally unable to function due to his joint and muscle pain and fatigue. He has had to discontinue his lifelong work as an aircraft mechanic, and frequently finds it difficult to hold the tools needed to pursue his hobby of woodworking.  The patient also developed problems with chronic prostatitis upon return from deployment in June 2002.  Evaluation by urologist in 2003, included IVP, MRI of spine, PSA testing. Treatment included antibiotics, Flomax, prostatic massage, and finally prostate biopsy in May 2004 which showed few inflammatory cells and was nonspecific, and a repeat biopsy in August 2004, which showed high-grade prostatic intraepithelial neoplasia, flat type.
Age: 35.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Hyperplasia, Immune system disorder, Muscular weakness, Prostatic disorder, Rheumatoid arthritis
Clinical narrative: This patient was well until fall 1999, with no visits to any physician for back pain, gastrointestinal problems, joint pains, or depression.  In September 1999 he had the gradual onset of diarrhea after receipt of his AVA #3.  This was a drastic change in his bowel pattern. After multiple visits related to alternating diarrhea and constipation his primary care provider diagnosed him as having IBS in November 2000. He was evaluated by a gastroenterologist and confirmed diagnosis of IBS in January 2004.  He continues treatment with Levsin on an intermittent basis without resolution of his symptoms.  He has received no further anthrax immunizations.  In June 2002 while deployed he injured his back lifting an airplane part and developed low back pain and hematuria. Because he was close to departure he self-medicated to allow return with unit. On return he saw his PCP and was diagnosed with pinched sciatic nerve, pulled muscle, given Vioxx and Skelaxin, and sent to PT. Eventual evaluation by military rheumatologist concluded musculoskeletal cause, with no abnormality seen on MRI.  He complains of multiple arthralgias that have developed over the years since first receiving his AVA doses. He received AVA in fall 1999 and nor further immunizations until fu and meningitis in January 2003. There is no documentation of arthralgias in his medical record before October 2003 other than the low back pain. The low back pain was thought to be due to an on-duty injury sustained while lifting a 100-lb. aircraft part and twisting on June 3, 2002. His pain continued and in December 2003 he was referred to civilian rheumatologist for a second opinion. Doctor assessments included fibromyalgia or chronic fatigue syndrome, and suspected early rheumatoid disease due to sharply elevated rheumatoid factor and slightly abnormal ANA, although x-rays of his hands showed no changes. He continues to experience early morning stiffness lasting 1 ½ to 2 hours, and must pace himself with physical activity to avoid being totally unable to function due to his joint and muscle pain and fatigue. He has had to discontinue his lifelong work as an aircraft mechanic, and frequently finds it difficult to hold the tools needed to pursue his hobby of woodworking.  The patient also developed problems with chronic prostatitis upon return from deployment in June 2002.  Evaluation by urologist in 2003, included IVP, MRI of spine, PSA testing. Treatment included antibiotics, Flomax, prostatic massage, and finally prostate biopsy in May 2004 which showed few inflammatory cells and was nonspecific, and a repeat biopsy in August 2004, which showed high-grade prostatic intraepithelial neoplasia, flat type.
Age: 35.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Unevaluable event
Clinical narrative: This patient was well until fall 1999, with no visits to any physician for back pain, gastrointestinal problems, joint pains, or depression.  In September 1999 he had the gradual onset of diarrhea after receipt of his AVA #3.  This was a drastic change in his bowel pattern. After multiple visits related to alternating diarrhea and constipation his primary care provider diagnosed him as having IBS in November 2000. He was evaluated by a gastroenterologist and confirmed diagnosis of IBS in January 2004.  He continues treatment with Levsin on an intermittent basis without resolution of his symptoms.  He has received no further anthrax immunizations.  In June 2002 while deployed he injured his back lifting an airplane part and developed low back pain and hematuria. Because he was close to departure he self-medicated to allow return with unit. On return he saw his PCP and was diagnosed with pinched sciatic nerve, pulled muscle, given Vioxx and Skelaxin, and sent to PT. Eventual evaluation by military rheumatologist concluded musculoskeletal cause, with no abnormality seen on MRI.  He complains of multiple arthralgias that have developed over the years since first receiving his AVA doses. He received AVA in fall 1999 and nor further immunizations until fu and meningitis in January 2003. There is no documentation of arthralgias in his medical record before October 2003 other than the low back pain. The low back pain was thought to be due to an on-duty injury sustained while lifting a 100-lb. aircraft part and twisting on June 3, 2002. His pain continued and in December 2003 he was referred to civilian rheumatologist for a second opinion. Doctor assessments included fibromyalgia or chronic fatigue syndrome, and suspected early rheumatoid disease due to sharply elevated rheumatoid factor and slightly abnormal ANA, although x-rays of his hands showed no changes. He continues to experience early morning stiffness lasting 1 ½ to 2 hours, and must pace himself with physical activity to avoid being totally unable to function due to his joint and muscle pain and fatigue. He has had to discontinue his lifelong work as an aircraft mechanic, and frequently finds it difficult to hold the tools needed to pursue his hobby of woodworking.  The patient also developed problems with chronic prostatitis upon return from deployment in June 2002.  Evaluation by urologist in 2003, included IVP, MRI of spine, PSA testing. Treatment included antibiotics, Flomax, prostatic massage, and finally prostate biopsy in May 2004 which showed few inflammatory cells and was nonspecific, and a repeat biopsy in August 2004, which showed high-grade prostatic intraepithelial neoplasia, flat type.
Age: 35.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Arthralgia, Back pain, Constipation, Depression, Diarrhoea
Clinical narrative: This patient was well until fall 1999, with no visits to any physician for back pain, gastrointestinal problems, joint pains, or depression.  In September 1999 he had the gradual onset of diarrhea after receipt of his AVA #3.  This was a drastic change in his bowel pattern. After multiple visits related to alternating diarrhea and constipation his primary care provider diagnosed him as having IBS in November 2000. He was evaluated by a gastroenterologist and confirmed diagnosis of IBS in January 2004.  He continues treatment with Levsin on an intermittent basis without resolution of his symptoms.  He has received no further anthrax immunizations.  In June 2002 while deployed he injured his back lifting an airplane part and developed low back pain and hematuria. Because he was close to departure he self-medicated to allow return with unit. On return he saw his PCP and was diagnosed with pinched sciatic nerve, pulled muscle, given Vioxx and Skelaxin, and sent to PT. Eventual evaluation by military rheumatologist concluded musculoskeletal cause, with no abnormality seen on MRI.  He complains of multiple arthralgias that have developed over the years since first receiving his AVA doses. He received AVA in fall 1999 and nor further immunizations until fu and meningitis in January 2003. There is no documentation of arthralgias in his medical record before October 2003 other than the low back pain. The low back pain was thought to be due to an on-duty injury sustained while lifting a 100-lb. aircraft part and twisting on June 3, 2002. His pain continued and in December 2003 he was referred to civilian rheumatologist for a second opinion. Doctor assessments included fibromyalgia or chronic fatigue syndrome, and suspected early rheumatoid disease due to sharply elevated rheumatoid factor and slightly abnormal ANA, although x-rays of his hands showed no changes. He continues to experience early morning stiffness lasting 1 ½ to 2 hours, and must pace himself with physical activity to avoid being totally unable to function due to his joint and muscle pain and fatigue. He has had to discontinue his lifelong work as an aircraft mechanic, and frequently finds it difficult to hold the tools needed to pursue his hobby of woodworking.  The patient also developed problems with chronic prostatitis upon return from deployment in June 2002.  Evaluation by urologist in 2003, included IVP, MRI of spine, PSA testing. Treatment included antibiotics, Flomax, prostatic massage, and finally prostate biopsy in May 2004 which showed few inflammatory cells and was nonspecific, and a repeat biopsy in August 2004, which showed high-grade prostatic intraepithelial neoplasia, flat type.
Age: 35.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Fatigue, Gastrointestinal disorder, Haematuria, Laboratory test abnormal, Musculoskeletal stiffness
Clinical narrative: This patient was well until fall 1999, with no visits to any physician for back pain, gastrointestinal problems, joint pains, or depression.  In September 1999 he had the gradual onset of diarrhea after receipt of his AVA #3.  This was a drastic change in his bowel pattern. After multiple visits related to alternating diarrhea and constipation his primary care provider diagnosed him as having IBS in November 2000. He was evaluated by a gastroenterologist and confirmed diagnosis of IBS in January 2004.  He continues treatment with Levsin on an intermittent basis without resolution of his symptoms.  He has received no further anthrax immunizations.  In June 2002 while deployed he injured his back lifting an airplane part and developed low back pain and hematuria. Because he was close to departure he self-medicated to allow return with unit. On return he saw his PCP and was diagnosed with pinched sciatic nerve, pulled muscle, given Vioxx and Skelaxin, and sent to PT. Eventual evaluation by military rheumatologist concluded musculoskeletal cause, with no abnormality seen on MRI.  He complains of multiple arthralgias that have developed over the years since first receiving his AVA doses. He received AVA in fall 1999 and nor further immunizations until fu and meningitis in January 2003. There is no documentation of arthralgias in his medical record before October 2003 other than the low back pain. The low back pain was thought to be due to an on-duty injury sustained while lifting a 100-lb. aircraft part and twisting on June 3, 2002. His pain continued and in December 2003 he was referred to civilian rheumatologist for a second opinion. Doctor assessments included fibromyalgia or chronic fatigue syndrome, and suspected early rheumatoid disease due to sharply elevated rheumatoid factor and slightly abnormal ANA, although x-rays of his hands showed no changes. He continues to experience early morning stiffness lasting 1 ½ to 2 hours, and must pace himself with physical activity to avoid being totally unable to function due to his joint and muscle pain and fatigue. He has had to discontinue his lifelong work as an aircraft mechanic, and frequently finds it difficult to hold the tools needed to pursue his hobby of woodworking.  The patient also developed problems with chronic prostatitis upon return from deployment in June 2002.  Evaluation by urologist in 2003, included IVP, MRI of spine, PSA testing. Treatment included antibiotics, Flomax, prostatic massage, and finally prostate biopsy in May 2004 which showed few inflammatory cells and was nonspecific, and a repeat biopsy in August 2004, which showed high-grade prostatic intraepithelial neoplasia, flat type.
Age: 11.0
Sex: F
Vaccine: MNQ, MNQ, MNQ
Symptoms: Arthralgia, Dizziness, Infection parasitic, Injection site pain, Meningitis
Clinical narrative: This is a follow up to previous report. Patient has since been diagnosed with Lyme Meningits after Bell's Palsy developed on June 16. Lyme titer on June 6 was negative. repeat on on June 17 was positive. Pt had fever, headache, neck pain, knee pain, dizziness
Age: 11.0
Sex: F
Vaccine: MNQ, MNQ, MNQ
Symptoms: Neck pain, Pyrexia, Red blood cell sedimentation rate increased
Clinical narrative: This is a follow up to previous report. Patient has since been diagnosed with Lyme Meningits after Bell's Palsy developed on June 16. Lyme titer on June 6 was negative. repeat on on June 17 was positive. Pt had fever, headache, neck pain, knee pain, dizziness
Age: 11.0
Sex: F
Vaccine: MNQ, MNQ, MNQ
Symptoms: Arthralgia, Blood glucose increased, CSF test abnormal, Dizziness, Facial palsy
Clinical narrative: This is a follow up to previous report. Patient has since been diagnosed with Lyme Meningits after Bell's Palsy developed on June 16. Lyme titer on June 6 was negative. repeat on on June 17 was positive. Pt had fever, headache, neck pain, knee pain, dizziness
Age: 11.0
Sex: F
Vaccine: MNQ, MNQ, MNQ
Symptoms: Injection site pain, Meningitis, Neck pain, Pyrexia, Red blood cell sedimentation rate increased
Clinical narrative: This is a follow up to previous report. Patient has since been diagnosed with Lyme Meningits after Bell's Palsy developed on June 16. Lyme titer on June 6 was negative. repeat on on June 17 was positive. Pt had fever, headache, neck pain, knee pain, dizziness
Age: 11.0
Sex: F
Vaccine: MNQ, MNQ, MNQ
Symptoms: White blood cell disorder
Clinical narrative: This is a follow up to previous report. Patient has since been diagnosed with Lyme Meningits after Bell's Palsy developed on June 16. Lyme titer on June 6 was negative. repeat on on June 17 was positive. Pt had fever, headache, neck pain, knee pain, dizziness
Age: 11.0
Sex: F
Vaccine: MNQ, MNQ, MNQ
Symptoms: Dizziness, Facial palsy, Headache, Meningitis, Neck pain
Clinical narrative: This is a follow up to previous report. Patient has since been diagnosed with Lyme Meningits after Bell's Palsy developed on June 16. Lyme titer on June 6 was negative. repeat on on June 17 was positive. Pt had fever, headache, neck pain, knee pain, dizziness
Age: 11.0
Sex: F
Vaccine: MNQ, MNQ, MNQ
Symptoms: Pyrexia, Viral infection
Clinical narrative: This is a follow up to previous report. Patient has since been diagnosed with Lyme Meningits after Bell's Palsy developed on June 16. Lyme titer on June 6 was negative. repeat on on June 17 was positive. Pt had fever, headache, neck pain, knee pain, dizziness
Age: 0.36
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Apnoea, Respiratory disorder
Clinical narrative: From initial information received on 6/17/05 from a registered nurse, regarding an adverse event, it was reported that a four month old male patient received a dose of DAPTACEL, a dose of IPOL, a dose of PNEUMOCOCCAL VACCINE, and a dose of HIB VACCINE, administered on 6/7/05 at1:30 PM. The lot numbers as well as routes and sites of administration were not reported. Later that day, at 4:05 PM, the patient developed a red, hot and bumpy rash around the mouth extending to his cheeks. He subsequently developed a cardiac arrest and respiratory arrest. The patient was taken to the emergency room. Reportedly, the symptoms resolved and the patient recovered from the events.
Age: 0.36
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Cardiac arrest, Erythema, Feeling hot, Rash, Respiratory arrest
Clinical narrative: From initial information received on 6/17/05 from a registered nurse, regarding an adverse event, it was reported that a four month old male patient received a dose of DAPTACEL, a dose of IPOL, a dose of PNEUMOCOCCAL VACCINE, and a dose of HIB VACCINE, administered on 6/7/05 at1:30 PM. The lot numbers as well as routes and sites of administration were not reported. Later that day, at 4:05 PM, the patient developed a red, hot and bumpy rash around the mouth extending to his cheeks. He subsequently developed a cardiac arrest and respiratory arrest. The patient was taken to the emergency room. Reportedly, the symptoms resolved and the patient recovered from the events.
Age: 0.31
Sex: M
Vaccine: DTAP
Symptoms: Sensory disturbance, Similar reaction on previous exposure to drug
Clinical narrative: From initial information received on 6/23/05 from the patient's mother regarding an adverse event occurring in the USA, it was reported that a three month old male patient received his second dose of DAPTACEL, lot number not reported, administered on 2/23/05. The route and site of administration were not reported. An unspecified amount of time later, the patient was diagnosed with sensory problems. Per the patient's mother, the child did not recover from this event. The patient previously received his first dose of DAPTACEL, lot number C21DBAA (not a valid lot number) as well as a dose of IPOL, lot number X1240-2, a dose of COMVAX, lot number 0807P, and a dose of PREVNAR, lot number A67184F, administered on 1/4/05 and three to four hours later developed persistent crying and arching of the back. This information has been captured in case 200501214. (OMIC)
Age: 48.0
Sex: F
Vaccine: FLUX
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Started with numbness in left cheek, tingling in arms and legs. 10 months later had the same symptoms lasting for 2 weeks. I am currently having the same symptoms again. Also tingling around lips.
Age: 0.51
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Irritability, Pyrexia
Clinical narrative: Fever of 102.5 about 5 hrs after shots were given; irritable.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site swelling
Clinical narrative: Area swollen, red; hot to touch; rev 6/24/2005 - normal L leg and decreased swelling; no redness
Age: 1.08
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site reaction
Clinical narrative: Red bump at site of vaccination right thigh. Hard. another bump close by. and two more on chest. Localized vaccine associated rash due to vaccine with possibly  secondary bacterial infection. warm compresses and Duracef x 10 days.
Age: 1.06
Sex: M
Vaccine: VARCEL
Symptoms: Rash, Viral infection
Clinical narrative: Pink Red macular papular rash with a few tiny pustules. Abdomen- 30 lesions most likely modified, mild varicella. Benadryl and Aveeno Baths.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site oedema, Injection site warmth, Oedema peripheral
Clinical narrative: LA appears red, swollen and hot to touch. Advised to apply cool compress and give Motrin for discomfort.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Face oedema, Injection site discolouration, Rash erythematous, Rash macular
Clinical narrative: DTaP, MMR, IPV given 06/17/05, pt started with rash - red swollen left cheek on 06/22/05. Increased on 06/23/2005. Pt seen in clinic. Had red and swelling L cheek angle of jaw. Little around eye. Blotchy, red, blanchy rash on right side of face. no other rash elswhere.
Age: 43.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Migraine, Pyrexia, Rash, Swelling
Clinical narrative: Chills - fever - rash - swelling - migraines - vomiting
Age: 43.0
Sex: F
Vaccine: PPV
Symptoms: Vomiting
Clinical narrative: Chills - fever - rash - swelling - migraines - vomiting
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Red, hot, swollen left upper thigh
Age: 6.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Injection site oedema, Oedema peripheral, Pyrexia
Clinical narrative: 1 hour post immunizations pt developed temp of 104 F with shaking, chills. 48 hours after immuninzataion pt developed swelling of R deltoid ( site of inject)  4cm x 8cm
Age: 10.0
Sex: M
Vaccine: PPV
Symptoms: Injection site induration, Injection site reaction, Injection site warmth, Pyrexia
Clinical narrative: Temp 103 site red, swollen x 4 days site tender with hard nodule up to present. Given Rocephin x2 and Cefzil x 10 days
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Oedema peripheral
Clinical narrative: erythema, edema and warmth. 3 7/8 x 3 7/8" surrounding injection site. LLT. TX with Benadryl.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Rash
Clinical narrative: Vaccines given on 6/16/2005 as part of well exam. 6/22/2005 patient presented with rash to body. No fever present
Age: 16.0
Sex: M
Vaccine: HEP, HEPA, IPV, TD, TYP
Symptoms: Fatigue, Headache, Neck pain, Pain
Clinical narrative: 6 days post vaccine while at shopping mall had severe pain right arm, neck and head; seen in ER; had EKG and other tests - NAD; also seen by family Dr - NAD - has been tired and had headache since incident.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Rash, Rash erythematous
Clinical narrative: Pt's RA has rash in the shape of a square around the inject site. No complaints of pain or itching. The rash is red and raised.
Age: 22.0
Sex: F
Vaccine: HEPAB, IPV, TD
Symptoms: Cough, Pain, Pharyngolaryngeal pain, Pruritus, Pyrexia
Clinical narrative: Sore throat, felt feverish, 6/17/2005 right wrist pain 6/19-21 Cough and slight wheeze 6/17 somewhat feverish, itchy red areas beginning on 6/19/2005, more intense pm 6/19 more intense pm 6/20 and early am 6/21 rash (urticarial) on trunk and thighs forearms not petechial.  few patches on face no mucous membrane swelling
Age: 22.0
Sex: F
Vaccine: HEPAB, IPV, TD
Symptoms: Urticaria, Wheezing
Clinical narrative: Sore throat, felt feverish, 6/17/2005 right wrist pain 6/19-21 Cough and slight wheeze 6/17 somewhat feverish, itchy red areas beginning on 6/19/2005, more intense pm 6/19 more intense pm 6/20 and early am 6/21 rash (urticarial) on trunk and thighs forearms not petechial.  few patches on face no mucous membrane swelling
Age: 39.0
Sex: F
Vaccine: HEPA
Symptoms: Dry skin, Skin exfoliation
Clinical narrative: Very dry patches of palm of right and left hands.  Scaly and peals different size patch 1cm to 0.5cm size measured 3mm
Age: 70.0
Sex: F
Vaccine: PPV, TD
Symptoms: Erythema, Feeling hot, Rash macular
Clinical narrative: Red, macular geographic rash with heat.
Age: 40.0
Sex: F
Vaccine: ANTH
Symptoms: Dermatitis, Erythema, Pruritus, Pyrexia, Rash
Clinical narrative: Rash for 4-5 days  started 1 day after 4th dose of anthrax. Itching, fever. Fine erythematous papules on arms, legs, back, chest. Lower legs with flat papules. Dx Dermatitis. Rx Zyrtec 10mg qd PO x30days, Atarax 25mg PO TID PRN.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Left deltoid area local reaction redness, swelling denies pain or fever. Apply cool compresses, OTC tylenol PRN return if not better.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Swelling, redness, pain, tx is warm compresses prn, if worse call to schedule appt.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site mass, Injection site pain, Injection site warmth, Laboratory test abnormal, Osteomyelitis
Clinical narrative: History of Present Illness:  30 year old male who received four anthrax vaccines in his right arm where he subsequently developed osteomyelitis of the proximal humerus.  The pain he experienced after the 3rd dose on 18 Dec 03 did not resolve before he received the 4th dose 18 May 04.  He was deployed at the time he received the 3rd dose and was lifting weights in his spare time.  He thought he had torn a muscle in his right shoulder.  The shoulder intermittently ached and he had some weakness with certain movements.  He returned from deployment in March 2003.  He took leave and for approximately two months he did not do any exercise.  During this time, the pain in his right shoulder was intermittent, usually in the evenings, and would wake him up at night.  He rates the pain as a "5" on a 0-10 pain scale when it bothered him.  It would increase to "6" at times.  Motrin effectively relieved the pain.  He never lost function of the right arm or shoulder. He received anthrax #4 on 18 May 04 in the right deltoid.  On 9 Jun 04 he sought medical attention for the pain in his right shoulder.  A MRI revealed a lesion of the right humerus.  He underwent curettage of the right proximal humerus lesion on 17 Aug 04.  He currently has a constant dull ache at the operative site that he rates as 1-2 on the pain scale and escalates to a 3 or 4 with use.  He is not taking any medications for pain currently.  He is scheduled to follow-up with Orthopedics on 29 Aug 04.    IMMUNIZATION          DATE                                  SYMPTOMS Anthrax #1  Influenza 24 Oct 03 "Golf ball" size knot at anthrax injection site with tenderness and warmth and soreness.  Knot resolved within 2 weeks.  Anthrax #2 Smallpox 12 Nov 03 Immediate burning sensation at anthrax injection site with same size local reaction.  States pain with this injection was more intense and lasted longer than with first dose.  Unsure of exact duration of symptoms, but resolved before 3rd dose. Anthrax #3 18 Dec 03 Same as second dose with pain as described above.  Pain did not resolve before 4th dose. Anthrax #4 18 May 04 As above.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Pain, Shoulder pain
Clinical narrative: History of Present Illness:  30 year old male who received four anthrax vaccines in his right arm where he subsequently developed osteomyelitis of the proximal humerus.  The pain he experienced after the 3rd dose on 18 Dec 03 did not resolve before he received the 4th dose 18 May 04.  He was deployed at the time he received the 3rd dose and was lifting weights in his spare time.  He thought he had torn a muscle in his right shoulder.  The shoulder intermittently ached and he had some weakness with certain movements.  He returned from deployment in March 2003.  He took leave and for approximately two months he did not do any exercise.  During this time, the pain in his right shoulder was intermittent, usually in the evenings, and would wake him up at night.  He rates the pain as a "5" on a 0-10 pain scale when it bothered him.  It would increase to "6" at times.  Motrin effectively relieved the pain.  He never lost function of the right arm or shoulder. He received anthrax #4 on 18 May 04 in the right deltoid.  On 9 Jun 04 he sought medical attention for the pain in his right shoulder.  A MRI revealed a lesion of the right humerus.  He underwent curettage of the right proximal humerus lesion on 17 Aug 04.  He currently has a constant dull ache at the operative site that he rates as 1-2 on the pain scale and escalates to a 3 or 4 with use.  He is not taking any medications for pain currently.  He is scheduled to follow-up with Orthopedics on 29 Aug 04.    IMMUNIZATION          DATE                                  SYMPTOMS Anthrax #1  Influenza 24 Oct 03 "Golf ball" size knot at anthrax injection site with tenderness and warmth and soreness.  Knot resolved within 2 weeks.  Anthrax #2 Smallpox 12 Nov 03 Immediate burning sensation at anthrax injection site with same size local reaction.  States pain with this injection was more intense and lasted longer than with first dose.  Unsure of exact duration of symptoms, but resolved before 3rd dose. Anthrax #3 18 Dec 03 Same as second dose with pain as described above.  Pain did not resolve before 4th dose. Anthrax #4 18 May 04 As above.
Age: 0.16
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Abdominal distension, Abdominal operation, Anaemia, Bacterial infection, Bacterial infection
Clinical narrative: Former premature infant born at 28 weeks gestation & birthweight 697 gm received standard 2 month vaccinations (Pediarix, HIB, Prevnar) at 0550AM on 5/20/05.  Later that AM developed a fever to 102.1 and was given tylenol 15 mg/kg every 6 hr.  The patient continued to feed well and was clincally stable for the remainder of that day.  Pt had recurrent fever at 0600 5/21 & WBC 4.6 (2 bands, 16 seg). At 0900 5/21 pt developed abdominal distension and feedings were stopped & required oxygen.  Blood cultures were drawn & Vancomycin & gentamycin were started. Pt was intubated.  At 0015 5/22 pt had a seizure and fontanel became tense.  she received a loading dose of phenobarbital 20mg/kg and a blood transfusion.  Piperacillin/tazobactam IV given.  Pt transferred to hospital at 0300 5/22/05 for evaluation of ileus/surgical abdomen and Lumbar puncture to rule out meningitis.  Per annual follow up report: Pt had late onset group B Strep meningitis which resulted in static encephalopathy and neurodevelopmental delays.  Discharge summary states diabetes Insipidis, brain syndrome, chronic, cerebral infarct, bacterial infection, hypothyroid, bradicardia, thrombocytapenia, deaf. msv  This was a concurrent GBS meningitis case. Symptoms for the meningitis developed some time as the vaccination was given.  The polt vaccination fever may have raising appropieate concern when she  became febrile. She never recovered from the meningitis. The disease left her disabled developmentally delayed. She died close to a year of age when she received viral infection.