chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: M
Vaccine: FLU3, TYP
Symptoms: Pharyngolaryngeal pain, Pyrexia, Tremor, Vision blurred
Clinical narrative: Patient (pt) is a 26 year old male who received both typhoid and flu vaccine on 23-10-03. He felt fine the first wk and then at the end of October he had a knot in his throat, bad taste in his mouth and throat pain. Went to the doctor and was given amoxicillin for Strept- throat. States that the amoxicillin helped his throat. One week after the amoxicillin he started to notice a problem with blurred vision, dizziness and problems with balance. States it was constant and not associated with activity. Because of the dizziness and problems with his balance he was having problems playing basketball. Also had a headache. Described as constant, "hurting bad" and located in the frontal area of his head. Never had headaches like this before. He returned to the medic and was given meclizine for the dizziness. He tried it for 1 wk without any improvement so he returned to clinic. The clinic arranged for him to go for a MRI and further evaluation. MRI  revealed a cerebellar lesion vs. demyelinating disease. He was then given steroids and pt noted improvement in dizziness and stated that his blurred vision cleared. States headaches went away when his vision improved. Pt arrived at hospital on Dec 23 and stated he was taken off his steroids. While at home on Jan 2, 2004 he had a seizure witnessed by his cousin. Pt reported that his cousin said that he started shaking and fell to the floor. Pt did bite his lip. No incontinence noted and pt has no recall of event.  Pt was transported where he was admitted for evaluation. Pt states he has no prior history of seizures.  Hospital records indicated that when he was admitted he had mental status changes with combative behavior and a fever of 102.8. Intubation was required to complete medical workup. Initially started on Rocephin, Vancomycin and Acyclovir for empiric treatment of meningitis. Because blood and CSF were negative, the antibiotics were discontinued. Pt was discharged on January 7, 2004 with a normal gait, strength and appropriate mental status. Follow up as out patient with repeat MRI and Cerebral Spinal Fluid Analysis. March 18, 2004: Pt states he is doing well and feels there is an improvement in his condition. Only problem now is that he has occasional spasms on his right side of his body lasting 5-10 seconds. Spasms do not interfere with activity and he is not falling. He also complains of brief periods of dizziness during spasms. He is now hoping to resume some form of physical activity. Nurse follow up on 05/18/04: Cerebellar lesion, nystagmus, ataxia.
Age: 39.0
Sex: F
Vaccine: PNC
Symptoms: Nausea, Salivary hypersecretion, Vomiting
Clinical narrative: Patient came into the doctor's office for a check-up.  Patient recieved the pneumococcal vaccine.  One hour later the patient started expirencing nausea and salivatory.  Patient then went to the emergency room and had one episode of emesis.  Patient did not have a temperature or a local reaction to the injection.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Drug ineffective, Infection
Clinical narrative: Vaccinated for varicella but developed chicken pox 030804. Mother reports less than 50 pox. Mostly in hair, few on legs/back, and pubic area. No fever. Mother reports was exposed at school.
Age: 42.0
Sex: M
Vaccine: ANTH
Symptoms: Cardiac arrest
Clinical narrative: 42 y/o male was brought into Aide Station in full cardiac arrest after physical training. Expired ~72 hours after receiving anthrax #3.  Nurse follow up on 05/27/04 states: "Complete."
Age: 4.0
Sex: M
Vaccine: DT
Symptoms: Swelling
Clinical narrative: Patient developed swelling in left arm day after shot was administered (3-17-04).  Mother called clinic late in day, and was advised to take child to ER secondary to mother's description of "very tight skin".  Mother took pt to ER.  Given Keflex and Benadryl in ER.  Mother brought pt to clinic 3-18-04 with left arm swelling resolving. Will follow up at clinic tomorrow PRN.  Mother given info re symptoms to report (increased swelling, fever, difficulty breathing).
Age: 1.25
Sex: F
Vaccine: PNC
Symptoms: Cough, Drug ineffective, Haemolytic uraemic syndrome, Pneumonia, Pyrexia
Clinical narrative: Information regarding Prevnar was received from a physician regarding a 15 month old female who received a dose of Prevnar and subsequently developed hemolytic-uremic syndrome and pneumococcal pneumonia. The patient's concurrent illness includes a history of mild asthma. Indication for Prevnar was immunization. Product was administered on an unspecified date. Dose regimen was 1 dose (IM). Concomitant medications were not reported. Four days before admission, a 15 month old infant was seen by her pediatrician for cough, fever, and wheezing. She was treated with inhaled steroids. The following day, she was again evaluated by the pediatrician who ordered a chest x-ray with the results of right lung pneumonia. She was then admitted. A chest computerized tomogram and ultrasound were performed and confirmed pneumonia. A urine latex AG was performed and the results indicated urine pneumococcal antigen positive. Day 2 of hospitalization, video-assisted thoracoscopic surgery was performed; results were not provided. The reporter indicated that there were no complications of surgery. Treatment consisted of cefuroxime, azithromycin, methylprednisolone and ampicillin sodium/sulbactam. Day 3 of hospitalization brought sudden death. Laboratory tests performed at resuscitation were: hemoglobin, 0.6 g/dL; platelet count, 20,000; white blood cell count 18,000. The autopsy reported cause of death was hemolytic-uremic syndrome. The reporter indicated that this was related to likely pneumococcal infection. No additional information was available at the time of this report.
Age: 1.25
Sex: F
Vaccine: PNC
Symptoms: Wheezing
Clinical narrative: Information regarding Prevnar was received from a physician regarding a 15 month old female who received a dose of Prevnar and subsequently developed hemolytic-uremic syndrome and pneumococcal pneumonia. The patient's concurrent illness includes a history of mild asthma. Indication for Prevnar was immunization. Product was administered on an unspecified date. Dose regimen was 1 dose (IM). Concomitant medications were not reported. Four days before admission, a 15 month old infant was seen by her pediatrician for cough, fever, and wheezing. She was treated with inhaled steroids. The following day, she was again evaluated by the pediatrician who ordered a chest x-ray with the results of right lung pneumonia. She was then admitted. A chest computerized tomogram and ultrasound were performed and confirmed pneumonia. A urine latex AG was performed and the results indicated urine pneumococcal antigen positive. Day 2 of hospitalization, video-assisted thoracoscopic surgery was performed; results were not provided. The reporter indicated that there were no complications of surgery. Treatment consisted of cefuroxime, azithromycin, methylprednisolone and ampicillin sodium/sulbactam. Day 3 of hospitalization brought sudden death. Laboratory tests performed at resuscitation were: hemoglobin, 0.6 g/dL; platelet count, 20,000; white blood cell count 18,000. The autopsy reported cause of death was hemolytic-uremic syndrome. The reporter indicated that this was related to likely pneumococcal infection. No additional information was available at the time of this report.
Age: 38.0
Sex: F
Vaccine: VARCEL
Symptoms: Foetal disorder, Haematoma, Laboratory test abnormal, Unintended pregnancy
Clinical narrative: Information has been received from a registered nurse through a pregnancy registry concerning an otherwise healthy 38 year old white female patient with insulin dependent diabetes, who on 5/5/03 was vaccinated with a dose of varicella virus vaccine live. Concomitant therapy included insulin lispro and prenatal vitamins for one year; also reported as from 4/03 until 1/04. The patient's last menstrual period was 4/30/03. It was noted the patient's beta human gonadoptropin chorionic level was 9998, and her HgbA1c was 7.1. Product quality complaint was not included. Follow up information indicated that the woman had no previous pregnancies. An ultrasound obtained on 1/26/03 indicated +FHA (normal). There as no local reaction at the vaccination site. There was no varicella symptoms post vaccination. There was no herpes zoster symptoms post vaccination. Additional follow up information received from a registered nurse on 2/27/04 indicated that the patient was referred to the office because of complications (type of complications was not specified). Additional follow up information received from a registered nurse on 3/2/04 indicated that it was unknown if there was a local reaction at the vaccination site, and it was unknown if the patient had varicella or herpes zoster symptoms post vaccination. The mother had no previous pregnancies, and no birth defects or stillbirth or miscarriage occurred in the previous pregnancy. The infant was born on 1/14/04, 37 weeks from the mother's LMP. The infant was a normal female weighing 6 pounds 6 ounces. Complications included a posterior cerebral bleed. During labor, the infant had CANx2 (cord around neck x2) and cephalohematoma. There were no infections or illnesses during pregnancy. During pregnancy, the mother used amoxicillin 250mg TID on 12/24/03 and metronidazole Q HS in 12/03. Upon internal review, posterior cerebral bleed was considered to be an other important medical event (OMIC). Unspecified medical attention was sought. No further information is expected.
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Abdominal pain, Autism, Fungal infection, Laboratory test abnormal, Malaise
Clinical narrative: At birth, received hepatitis vaccine. Child came down with case of yeast infection oral/intestinal for 6 weeks; was very sick and remained very colicky. Child taken off all dairy and wheat 1 year ago; colic better. Diagnosis: PPD NOS/ASD (autism). Received all routine vaccines to year 3.5. Diagnosed 03/03.
Age: 1.26
Sex: M
Vaccine: DTAP, HEP, HIBV, MMR, OPV
Symptoms: Abdominal pain, Antisocial behaviour, Autism, Gastrointestinal disorder, Hypersensitivity
Clinical narrative: Child was very healthy infant. Received many vaccines on 3/3 or 3/5/02 at 14 months. Within 4-5 weeks, he lost all speech, became distant, and unresponsive to environment as well as very colicky, vomiting and bowel problems within 2 weeks of vaccines. Diagnosed by many 12/02 through 3/03 as severely autistic. Was completely normal before shots. Also cannot eat wheat or dairy products.  Nurse follow up on 07/19/04 states: "None."    Per annual follow up report, Many allergies, severly delayed, communication and socialization. Is receiving Chelation, positive for mercury and other heavy metals. Many dietary issues.
Age: 1.26
Sex: M
Vaccine: DTAP, HEP, HIBV, MMR, OPV
Symptoms: Speech disorder, Vomiting
Clinical narrative: Child was very healthy infant. Received many vaccines on 3/3 or 3/5/02 at 14 months. Within 4-5 weeks, he lost all speech, became distant, and unresponsive to environment as well as very colicky, vomiting and bowel problems within 2 weeks of vaccines. Diagnosed by many 12/02 through 3/03 as severely autistic. Was completely normal before shots. Also cannot eat wheat or dairy products.  Nurse follow up on 07/19/04 states: "None."    Per annual follow up report, Many allergies, severly delayed, communication and socialization. Is receiving Chelation, positive for mercury and other heavy metals. Many dietary issues.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Psoriasis
Clinical narrative: had series of hepatitis vaccines 2 years ago through public middle school/ health dept. Then within 1-2 mnths came down with psoriasis after 1st dose.
Age: 0.21
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Cyanosis, Hypotonia, Laboratory test abnormal, Sluggishness
Clinical narrative: Infant was awoke from sleep, then while laying her down to change diaper, she became limp and cyanotic. Father stimulated her vigorously, then she awoke but remained sluggish. She was admitted for observation. Negative EEG/UGI series/Chemistry panel/CBC/DSV/CXR. No further event occurred in 48 hours, so she was discharged.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: Clients states she developed a small, red, raised rash on trunk, upper arms and upper legs about 24 hrs post taking an influenza vaccine. The rash persisted until mid Feb/04 and was very uncomfortable " severe itching". Client saw her private doctor, no treatment given "doctor didn't know what it was" per client.
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Joint range of motion decreased, Muscular weakness, Paraesthesia
Clinical narrative: Client received flu shot on 11/18/03 at health department at approximately 11:00 AM. Cient states that after receiving vaccine his arm was sore. Since 11/13/03. Client states that left arm is weaker than right arm and is unable to carry heavy objects with left arm. Limited range of motion of left arm. He also states that he experiences a tingling sensation down his left arm at times.
Age: 1.6
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Erythema, Injection site induration, Swelling
Clinical narrative: 3/17/04, Erythema & mild swelling right thigh 16cmX13cm. Induration in the middle 12X12cm vesicular eruption 4 cm X 3.5 cm. Non-tender or minimally tender. Walks without much difficulty & symptoms started within 24hours after shots.
Age: 1.6
Sex: M
Vaccine: DTAP, HBHEPB, MMR
Symptoms: Urticaria
Clinical narrative: Pt got vaccine in AM.  Dad called around 15:00, stated pt was covered in hives, lips pink, no respiratory distress.  Told to give Benadryl and go to local ER.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site inflammation, Injection site oedema, Injection site warmth
Clinical narrative: Left thigh swollen, red and hot to touch.  7x3 inches area of inflammation.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Erythema, Rash
Clinical narrative: Rash to arms and back.  Fine red, noted at 5:00 on 03/10/04.  Went to ER and given Predisone per mouth 6.7/5 millig - 1/4 tsp per mouth daily for 5 days.
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: 21:00: Right upper arm pain and swelling.  In ER.  No erythema.  Treatment: warm compresses, elevate, pain meds. 03/05/04: Indurated mildly erythematous circular lesion around injection site.  No lymph adenopathy.  No ecchymosis.  Treatment: Heat and gradual increased activity.
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Left arm red, warm and swollen.  Three fourths down arm.
Age: 23.0
Sex: F
Vaccine: VARCEL
Symptoms: Body temperature increased, Chills, Fatigue, Headache, Night sweats
Clinical narrative: 03/08 approximately 8 AM: severe headache progressed to fatigue, sweats at night and chills.  03/09 18:00: noticed first sign of red rash, itchy, flat or slightly raised.  On 03/10 there approximately 11 lesions abdomen, back left leg and arms.  Reports itching, temperature 99.  Recovering 03/12/04.
Age: 23.0
Sex: F
Vaccine: VARCEL
Symptoms: Pruritus, Rash erythematous, Skin ulcer
Clinical narrative: 03/08 approximately 8 AM: severe headache progressed to fatigue, sweats at night and chills.  03/09 18:00: noticed first sign of red rash, itchy, flat or slightly raised.  On 03/10 there approximately 11 lesions abdomen, back left leg and arms.  Reports itching, temperature 99.  Recovering 03/12/04.
Age: 1.1
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Pyrexia, Rash erythematous, Rash pruritic
Clinical narrative: Raised rash back, chest, legs (+) itchy.  Elevated temperature 99-102 degrees.  Mom used Calamine lotion.
Age: 1.6
Sex: M
Vaccine: IPV, MMR
Symptoms: Chills, Insomnia, Pyrexia, Tremor
Clinical narrative: No rash, shaking, chills, insomnia 4 days.  Pt received MMR/Polio vaccine Monday 02/23.  Pt developed intermittent fevers, on Motrin and Tylenol.  Monday 03/01 (8 days later), thursday 03/04: 104.9 as high as 105.7 rectally.  At which pt was taken to ER.  Nothing was found to be wrong.  Exam normal, U/A (-), blood work normal.  By Friday 03/05 pt was afebrile.
Age: 33.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema, Feeling hot, Malaise, Myalgia, Oedema
Clinical narrative: Small pox vaccine given 2/24/04 had 3/2/04 major response, on 3/3 developed warmth erythema swelling, malaise, myalgia, lymphad left supraclavicular & left groin, fever. Examined 3/4 prescibed with Tequin 400 mg every day for 5 days Advil pain by 3/6 feeling better still some mild swelling and redness no fever 3/12/04 still mild erythema around site- major therapy positive supraclavicular lympha, no fever, no scab formation over pustule.
Age: 33.0
Sex: F
Vaccine: SMALL
Symptoms: Pyrexia
Clinical narrative: Small pox vaccine given 2/24/04 had 3/2/04 major response, on 3/3 developed warmth erythema swelling, malaise, myalgia, lymphad left supraclavicular & left groin, fever. Examined 3/4 prescibed with Tequin 400 mg every day for 5 days Advil pain by 3/6 feeling better still some mild swelling and redness no fever 3/12/04 still mild erythema around site- major therapy positive supraclavicular lympha, no fever, no scab formation over pustule.
Sex: F
Vaccine: DTAP, HEPA, IPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Right deltoid red, swollen x2 inches.  No medications.
Age: 1.0
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Rash on arms, legs, face-onset 02/29/2004
Age: 48.0
Sex: F
Vaccine: HEP, TD
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: 03/10/04: Left deltoid red and hot to touch.  Pt states really sore arm in the nighttime.  Pt taking over the counter Aleve for pain.
Age: 0.4
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Diarrhoea, Pyrexia, Vomiting
Clinical narrative: Temp (rectal) to 104.3 within 12 hours of vaccines.  Vomit x1, diarrhea x3.  Resolved in 24 hours.  SCx (-), Rota (-), CBC: normal, BCx (-), UA/UCx (-)
Age: 54.0
Sex: F
Vaccine: TD
Symptoms: Abdominal discomfort, Cellulitis, Injection site erythema, Injection site induration, Injection site mass
Clinical narrative: Pt developed fever of 105 degrees, burning in chest and stomach, and swollen sore left arm and axilla 48 hours (approximately) after vaccine. Vaccine on Monday, Fever Wednesday.  Seen Thursday about 72 hours with no fever but markedly swollen, red, indurated deltoid area with central red spot at site of injection.  Tender axillary node palpated.  Lump clear, heart normal, abdomen soft and not significantly tender.  Pt being treated for cellulitis and recovery is probable.
Age: 54.0
Sex: F
Vaccine: TD
Symptoms: Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: Pt developed fever of 105 degrees, burning in chest and stomach, and swollen sore left arm and axilla 48 hours (approximately) after vaccine. Vaccine on Monday, Fever Wednesday.  Seen Thursday about 72 hours with no fever but markedly swollen, red, indurated deltoid area with central red spot at site of injection.  Tender axillary node palpated.  Lump clear, heart normal, abdomen soft and not significantly tender.  Pt being treated for cellulitis and recovery is probable.
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site erythema, Injection site oedema, Malaise
Clinical narrative: On 12/19/03 and 02/19/04, pt received DTAP, IPV, HIB and Prevnar vaccines.  By the evening after shot received, leg with DTAP was red and swollen, including foot.  No rash up body.  No fever.  Pt did have aom on 12/19 and cold symptoms 02/?/04.  Otherwise healthy.  Shots were changed to opposite legs in February.  Reaction still in leg with DTAP
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site erythema, Injection site oedema, Malaise
Clinical narrative: On 12/19/03 and 02/19/04, pt received DTAP, IPV HIB AND PREVNAR vaccines.  By the evening after shot received leg with DTAP was red and swollen, including foot.  No rash up body.  No fever.  Pt did have aom on 12/19 and cold symptoms 02/?/04.  Otherwise healthy.  Shots were changed to opposite legs in February.  Reaction still in leg with DTAP.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Crying
Clinical narrative: 12:40pm: Mother called stated child received vaccines at 9:00AM and she has cried unconsolably for more than 5 hours.  Informed mother to take child to clinic.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Left deltoid with redness, swelling to area.  No fever.  Area painful.  Treatment warm/cold compress, Tylenol or Motrin as needed.  If swelling increasing return to clinic.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Left arm (upper) became erythematous and swollen at site of DTAP #5 vaccine administration IM in left deltoid the previous dose.
Age: 1.6
Sex: M
Vaccine: DTAP, HBPV, MMR, PNC, VARCEL
Symptoms: Dermatitis bullous, Pyrexia
Clinical narrative: Rash with similar characteristics to Varicella within 2 days of vaccination.  Fever to 101 only.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Cough, Diarrhoea, Eye discharge, Pyrexia, Vomiting
Clinical narrative: Fever on 03/17 (rectal); vomit, diarrhea on 03/17, hoarse cough on 03/16.  eye discharge at injected 03/07-started on Tehytrim eye drops
Age: 2.5
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Left deltoid local reaction to DTAP (+) cellulitis.  Prescribed Keflex 250mg/5mL, 3/4 tsp per mouth 4 times a day for 7 days.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: 24 hours later, right arm red and swollen (last of immunizations until DT).  Warm to touch, skin taunt.  Advise Tylenol/Motrin and ice.
Age: 23.0
Sex: F
Vaccine: HEP, MMR, TTOX, VARCEL
Symptoms: Delayed delivery, Unintended pregnancy
Clinical narrative: Information has been received from a manufacturer pregnancy registry concerning a 23 year old immigrant female with no known past medical history who no 5/22/03 was vaccinated with a dose of varicella virus vaccine live. Concomitant therapy that day included a dose of MMR, a dose of hepatitis B vaccine, a dose of tetanus toxoid and prenatal vitamins. The patient's last menstrual period was on 4/4/03. Unspecified medical attention was sought. Follow up information received indicated that it was not known if the patient was tested for varicella antibodies before vaccination. An ultrasound on 9/4/03 was normal. An amniocentesis and MSAFP were declined. The patient had no previous pregnancies. There was no local reaction at the vaccination site. There were no symptoms of varicella or herpes zoster post vaccination. The live born infant was born on 1/16/04. The infant was a normal female and weighed 10 pounds and 4 ounces. The mother was 40.6 weeks from her LMP. There were no congenital abnormalities. There were no complications during pregnancy. During labor/delivery, there was a failure to progress and prolonged ruptured membranes. A Cesarean section was performed. There were no diagnostic test during pregnancy. There were no infections or illnesses during pregnancy. There were no concurrent medical conditions. During pregnancy the mother used 5 doses of 12.5 mg of promethazine hydrochloride on 1/15/03 for nausea. Upon internal review, failure to progress/prolonged rupture of membranes was considered to be an other important medical event (OMIC).
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Chest discomfort, Urticaria
Clinical narrative: Hives, Some tightness in chest  Given Benadryl, Prelone 20 mg/kg x 1 and Zantac
Age: 80.0
Sex: M
Vaccine: YF, YF
Symptoms: Constipation, Flatulence
Clinical narrative: Pt states 10 days following vaccination, he developed gas and constipation and lack of appetite.  Denied any fever, chills, diarrhea, vomiting, skin rash.  Wife had a little gas, but not to degree of pt.  He had one prior vaccine in 1965 denied any problems with same vaccine.
Age: 80.0
Sex: M
Vaccine: YF, YF
Symptoms: Anorexia, Constipation, Flatulence
Clinical narrative: Pt states 10 days following vaccination, he developed gas and constipation and lack of appetite.  Denied any fever, chills, diarrhea, vomiting, skin rash.  Wife had a little gas, but not to degree of pt.  He had one prior vaccine in 1965 denied any problems with same vaccine.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema peripheral, Pain
Clinical narrative: left arm swollen, hot, red & painful from shoulder to elbow
Age: 34.0
Sex: M
Vaccine: MEN, MEN
Symptoms: Dry eye, Eyelid retraction, Facial palsy, Injection site pain
Clinical narrative: Patient received his second meningococcal vaccination on December 6, 2003 in the triceps area of his left arm. Prior to, or at the time of receiving the vaccine he had not been ill. He states that there was nothing unusual about the immunization. He only experienced some slight soreness at the injection site. On December 9, 2003, he woke up at 4 am and was preparing for work when he noticed something had changed. He noticed that his left eye was wide open, dry, and the sclera was completely white without appearance of blood vessels. Also, while brushing his teeth, when he went to spit toothpaste out he noticed left side mouth did not move. At that time he also noticed that his left eye was wide open, dry, and the sclera was completely white without appearance of blood vessels. Immediately, he called in sick and went to the urgent care. He was seen by a MD and was diagnosed with Bell's palsy.
Age: 34.0
Sex: M
Vaccine: MEN, MEN
Symptoms: Facial palsy
Clinical narrative: Patient received his second meningococcal vaccination on December 6, 2003 in the triceps area of his left arm. Prior to, or at the time of receiving the vaccine he had not been ill. He states that there was nothing unusual about the immunization. He only experienced some slight soreness at the injection site. On December 9, 2003, he woke up at 4 am and was preparing for work when he noticed something had changed. He noticed that his left eye was wide open, dry, and the sclera was completely white without appearance of blood vessels. Also, while brushing his teeth, when he went to spit toothpaste out he noticed left side mouth did not move. At that time he also noticed that his left eye was wide open, dry, and the sclera was completely white without appearance of blood vessels. Immediately, he called in sick and went to the urgent care. He was seen by a MD and was diagnosed with Bell's palsy.
Age: 35.0
Sex: F
Vaccine: SMALL
Symptoms: Fibromyalgia, Pain
Clinical narrative: Recently diagnosed with Fibromyalgia.  Have been having pain since June, 2003.  Pain progressively getting worse.  Saw my primary physician in November and was referred to a Rheumatologist.  Took four and a half months to get the appointment.  I was seen on March 18, 2004 and was diagnosed with the fibromyalgia.
Age: 18.0
Sex: M
Vaccine: ANTH, PPV, TYP
Symptoms: Erythema, Fatigue, Laboratory test abnormal, Lymphadenopathy, Mononucleosis syndrome
Clinical narrative: This patient contacted the Vaccine Healthcare Center network after developing intense erythema that extended from his right deltoid area to his elbow.  He had received the Anthrax vaccination 2 days prior and Pneumovax 1 days prior in his right arm.  He was evaluated by a local physician and treated with Claritin.  Two days later, he developed a sore throat, pain with swallowing, fatigue, and progressive cervical lymphadenopathy.  He returned to his physician and was diagnosed with mononucleosis.  He now reports that the erythema and swelling in his right arm have resolved.
Age: 18.0
Sex: M
Vaccine: ANTH, PPV, TYP
Symptoms: Odynophagia, Pharyngolaryngeal pain
Clinical narrative: This patient contacted the Vaccine Healthcare Center network after developing intense erythema that extended from his right deltoid area to his elbow.  He had received the Anthrax vaccination 2 days prior and Pneumovax 1 days prior in his right arm.  He was evaluated by a local physician and treated with Claritin.  Two days later, he developed a sore throat, pain with swallowing, fatigue, and progressive cervical lymphadenopathy.  He returned to his physician and was diagnosed with mononucleosis.  He now reports that the erythema and swelling in his right arm have resolved.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Crying, Gastrooesophageal reflux disease, Laboratory test abnormal, Vomiting
Clinical narrative: Prolonged crying, some vomitting, unconsolable for ~24 hours following vaccination with Pediarix, Hib and Prevnar.  Hospitalized overnight for observation.  Discharge summary on 05/05/04 states: GERD.  Medical record on 05/05/04 states: Irritability 2° to immunizations.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Rec'd vaccines in our afternoon clinic on 03/16/04.  Mom noticed a small red area on right arm at 7PM 03/17/04 when getting child ready for bed.  The next morning, the right arm was swollen,red (with an area of dark red), and hard.  Child was unable to see his Dr. that day.  Mom talked with me at the Health Dept. I advised she go to the ER.  By that evening the arm had doubled in size, so she took him to the ER.  ER prescribed steriods and antibiotic and told her it was a local reaction to an immuniztion.  I talked with mom on 03/19/04 and she said the child was fine--the swelling is down a little bit, the redness and hardness is less.  She has also been applying warm moist pack for 15 minutes four times a day. She has a follow-up appointment with his primary care physician on Monday, 03/22/04.
Age: 0.0
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Antisocial behaviour, Gastrointestinal disorder, Hypokinesia, Speech disorder
Clinical narrative: Patient was diagnosed with Pervasive development disorder on 7/10/01. Call to parent to confirm that this is the onset date they wish to capture for this report.  He has chronic Gastro intestinal issues and has severly delayed motor, communication, speech and social skills.  The diagnosis and resulting symptoms were a result of continuous commulative exposure to toxins in vacines administered from 7/21/1999 through his 2nd birthday.  Total vaccine history below.  Not all fit into sections 13 and 14.  7/21/1999 Hep B MSD  0847J 3 oz  11/17/1999 DaPT 464-304 6/01    LT ( left thigh ) 11/17/1999 IPV P0658-2 5/01    RT ( right thigh) 11/17/1999 HIB  5203131A 4/01  RT ( right thigh) 9/23/1999                 DaPT 464-304 6/01     LT ( left thigh ) 9/23/1999                 IPV P0658-2 5/01     RT ( right thigh) 9/23/1999                 HIB  441003A 8/00    RT ( right thigh) 11/17/1999 DaPT 464-304 6/01     LT ( left thigh ) 11/17/1999 IPV P0658-2 5/01     RT ( right thigh) 11/17/1999 HIB  520313A 4/01    RT ( right thigh) 4/21/2000                 Hep B 0008k 11/02      L ( Left thigh) 7/17/2000                 MMR          0175K 1/03       RT ( right thigh) 7/17/2000                 TB             0148AA 9/01     LFA ( left fore arm) 7/17/2000                 Varivax 1866J 5/01         LT ( left thigh ) 10/19/2000 Hep B 0814k 5/03        ? 10/23/2000 HIB  470-139 10/1     LT ( left thigh ) 1/16/2001                 DaPT         473-443 5/01    1/16/2001                 IPV            T0187 2/03   1/16/2001                 Prevnar  472-050 6/01   7/30/2001                 Prevnar 481-802 8/02     LVL
Age: 1.3
Sex: F
Vaccine: VARCEL
Symptoms: Cardiac arrest, Convulsion, Hyperreflexia, Lethargy, Muscle spasticity
Clinical narrative: Exactly one week from the date of vaccination, my daughter developed a fever and cold symptoms,  and did not eat or drink well for about 24 hours.  Her symptoms began the morning of September 6, 2002.  By that afternoon, I decided to schedule her an appointment as she was somewhat lethargic and I couldn't get her fever to break.  Her fever at the doctor's office was documented at 102.7.  While waiting for the pediatrician to evaluate her, she developed a brief tonic-clonic seizure and went into respiratory arrest.  It's disputed whether or not she went into cardiac arrest as well.  One staff member says she did, one says she didn't.  CPR was administered and she was revived shortly thereafter.  She was sent to local ER, and upon arrival, her blood sugar levels are also disputed, as the glucometer reading read below 30, while the labwork showed a glucose of 90. She was given a chest x-ray, which showed no abnormalities.  She was then transferred by ambulance to the hospital for overnight observation, due to her possible cardiac arrest.  Upon arrival, I was advised by staff that if her fever didn't break by morning, she would have a spinal tap done to test for meningitis.  However, her fever broke sometime during the early morning hours of September 7, 2002, and no spinal tap was performed.  She did have an EKG done, which was normal.  She was discharged around 4 P.M. that day with a diagnosis of febrile seizures, and a strong suspicion of medium chain acyl-coA dehydrogenase deficiency (MCADD).    My daughter is now almost 3, and shows some neurological deficit as she has hyperreflexia in both legs, mild spasticity in her right ankle, and her right foot shows moderate intoeing.  She also had a speech delay, which has greatly improved with speech therapy to the point where she doesn't qualify for therapy any longer, according to the state requirements.  She had her genetics testing a week or two after her seizure, and all of the results came back normal. She was evaluated by a neurologist in August 2003, and had an EEG and a MRI of her spine, both of which were normal.  She goes back to be re-evaluated by both the geneticist and the neurologist in April, 2004. Discharge summary on 04/28/04 states nothing new to report. Follow up medical record on 05/14/04 states: completed.
Age: 1.3
Sex: F
Vaccine: VARCEL
Symptoms: Oral intake reduced, Pharyngitis, Pyrexia, Respiratory arrest, Rhinitis
Clinical narrative: Exactly one week from the date of vaccination, my daughter developed a fever and cold symptoms,  and did not eat or drink well for about 24 hours.  Her symptoms began the morning of September 6, 2002.  By that afternoon, I decided to schedule her an appointment as she was somewhat lethargic and I couldn't get her fever to break.  Her fever at the doctor's office was documented at 102.7.  While waiting for the pediatrician to evaluate her, she developed a brief tonic-clonic seizure and went into respiratory arrest.  It's disputed whether or not she went into cardiac arrest as well.  One staff member says she did, one says she didn't.  CPR was administered and she was revived shortly thereafter.  She was sent to local ER, and upon arrival, her blood sugar levels are also disputed, as the glucometer reading read below 30, while the labwork showed a glucose of 90. She was given a chest x-ray, which showed no abnormalities.  She was then transferred by ambulance to the hospital for overnight observation, due to her possible cardiac arrest.  Upon arrival, I was advised by staff that if her fever didn't break by morning, she would have a spinal tap done to test for meningitis.  However, her fever broke sometime during the early morning hours of September 7, 2002, and no spinal tap was performed.  She did have an EKG done, which was normal.  She was discharged around 4 P.M. that day with a diagnosis of febrile seizures, and a strong suspicion of medium chain acyl-coA dehydrogenase deficiency (MCADD).    My daughter is now almost 3, and shows some neurological deficit as she has hyperreflexia in both legs, mild spasticity in her right ankle, and her right foot shows moderate intoeing.  She also had a speech delay, which has greatly improved with speech therapy to the point where she doesn't qualify for therapy any longer, according to the state requirements.  She had her genetics testing a week or two after her seizure, and all of the results came back normal. She was evaluated by a neurologist in August 2003, and had an EEG and a MRI of her spine, both of which were normal.  She goes back to be re-evaluated by both the geneticist and the neurologist in April, 2004. Discharge summary on 04/28/04 states nothing new to report. Follow up medical record on 05/14/04 states: completed.
Age: 1.3
Sex: F
Vaccine: VARCEL
Symptoms: Speech disorder
Clinical narrative: Exactly one week from the date of vaccination, my daughter developed a fever and cold symptoms,  and did not eat or drink well for about 24 hours.  Her symptoms began the morning of September 6, 2002.  By that afternoon, I decided to schedule her an appointment as she was somewhat lethargic and I couldn't get her fever to break.  Her fever at the doctor's office was documented at 102.7.  While waiting for the pediatrician to evaluate her, she developed a brief tonic-clonic seizure and went into respiratory arrest.  It's disputed whether or not she went into cardiac arrest as well.  One staff member says she did, one says she didn't.  CPR was administered and she was revived shortly thereafter.  She was sent to local ER, and upon arrival, her blood sugar levels are also disputed, as the glucometer reading read below 30, while the labwork showed a glucose of 90. She was given a chest x-ray, which showed no abnormalities.  She was then transferred by ambulance to the hospital for overnight observation, due to her possible cardiac arrest.  Upon arrival, I was advised by staff that if her fever didn't break by morning, she would have a spinal tap done to test for meningitis.  However, her fever broke sometime during the early morning hours of September 7, 2002, and no spinal tap was performed.  She did have an EKG done, which was normal.  She was discharged around 4 P.M. that day with a diagnosis of febrile seizures, and a strong suspicion of medium chain acyl-coA dehydrogenase deficiency (MCADD).    My daughter is now almost 3, and shows some neurological deficit as she has hyperreflexia in both legs, mild spasticity in her right ankle, and her right foot shows moderate intoeing.  She also had a speech delay, which has greatly improved with speech therapy to the point where she doesn't qualify for therapy any longer, according to the state requirements.  She had her genetics testing a week or two after her seizure, and all of the results came back normal. She was evaluated by a neurologist in August 2003, and had an EEG and a MRI of her spine, both of which were normal.  She goes back to be re-evaluated by both the geneticist and the neurologist in April, 2004. Discharge summary on 04/28/04 states nothing new to report. Follow up medical record on 05/14/04 states: completed.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Child maltreatment syndrome, Coma, Convulsion, Dysphagia, Encephalitis
Clinical narrative: From initial information received on 3/12/04 from another manufacturer, regarding adverse events occurring in the USA, it was initially reported by a pharmacist that a 6 month old female patient received a dose of ActHIB; a dose of PEDIARIX (lot number 21913A9) and a dose of PREVNAR on 1/7/04. The sites and routes of administration were not reported. Approximately 8 days later, on 1/15/04, the patient presented to the emergency room and was subsequently hospitalized due to a subdural hematoma, a seizure due to encephalitis, retinal hemorrhage, difficulty swallowing, inability to open eyes, and unresponsiveness. A computed axial tomography scan confirmed the hemorrhage and encephalitis. The seizure, unresponsiveness and inability to open eyes resolved. The subdural hematoma and the difficulty swallowing improved. The patient was placed on a feeding tube while hospitalized. The pharmacist stated that shaken baby syndrome was suspected. The patient was discharged from the hospital on 2/18/04. At that time, the patient continued to experience visual problems. The retinal hemorrhage had resolved in one eye, but continued in the other eye. The patient also experienced inflammation in the non-hemorrhaging eye. At the time of discharge, the patient was able to consume formula with rice cereal, and her overall condition was assessed as improved. The pharmacist, who is the patient's aunt, reported that the patient's babysitter had been charged by the prosecuting attorney for shaken baby syndrome. At the time of this report, the patient had not recovered. From additional information received from another manufacturer 18/Mar/2004, the reporter's full name and address was provided. Hospital records were requested but unavailable at this time.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Eye disorder, Localised oedema, Nervous system disorder, Retinal haemorrhage, Speech disorder
Clinical narrative: From initial information received on 3/12/04 from another manufacturer, regarding adverse events occurring in the USA, it was initially reported by a pharmacist that a 6 month old female patient received a dose of ActHIB; a dose of PEDIARIX (lot number 21913A9) and a dose of PREVNAR on 1/7/04. The sites and routes of administration were not reported. Approximately 8 days later, on 1/15/04, the patient presented to the emergency room and was subsequently hospitalized due to a subdural hematoma, a seizure due to encephalitis, retinal hemorrhage, difficulty swallowing, inability to open eyes, and unresponsiveness. A computed axial tomography scan confirmed the hemorrhage and encephalitis. The seizure, unresponsiveness and inability to open eyes resolved. The subdural hematoma and the difficulty swallowing improved. The patient was placed on a feeding tube while hospitalized. The pharmacist stated that shaken baby syndrome was suspected. The patient was discharged from the hospital on 2/18/04. At that time, the patient continued to experience visual problems. The retinal hemorrhage had resolved in one eye, but continued in the other eye. The patient also experienced inflammation in the non-hemorrhaging eye. At the time of discharge, the patient was able to consume formula with rice cereal, and her overall condition was assessed as improved. The pharmacist, who is the patient's aunt, reported that the patient's babysitter had been charged by the prosecuting attorney for shaken baby syndrome. At the time of this report, the patient had not recovered. From additional information received from another manufacturer 18/Mar/2004, the reporter's full name and address was provided. Hospital records were requested but unavailable at this time.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Subdural haematoma
Clinical narrative: From initial information received on 3/12/04 from another manufacturer, regarding adverse events occurring in the USA, it was initially reported by a pharmacist that a 6 month old female patient received a dose of ActHIB; a dose of PEDIARIX (lot number 21913A9) and a dose of PREVNAR on 1/7/04. The sites and routes of administration were not reported. Approximately 8 days later, on 1/15/04, the patient presented to the emergency room and was subsequently hospitalized due to a subdural hematoma, a seizure due to encephalitis, retinal hemorrhage, difficulty swallowing, inability to open eyes, and unresponsiveness. A computed axial tomography scan confirmed the hemorrhage and encephalitis. The seizure, unresponsiveness and inability to open eyes resolved. The subdural hematoma and the difficulty swallowing improved. The patient was placed on a feeding tube while hospitalized. The pharmacist stated that shaken baby syndrome was suspected. The patient was discharged from the hospital on 2/18/04. At that time, the patient continued to experience visual problems. The retinal hemorrhage had resolved in one eye, but continued in the other eye. The patient also experienced inflammation in the non-hemorrhaging eye. At the time of discharge, the patient was able to consume formula with rice cereal, and her overall condition was assessed as improved. The pharmacist, who is the patient's aunt, reported that the patient's babysitter had been charged by the prosecuting attorney for shaken baby syndrome. At the time of this report, the patient had not recovered. From additional information received from another manufacturer 18/Mar/2004, the reporter's full name and address was provided. Hospital records were requested but unavailable at this time.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Eye inflammation, Haemorrhage, Ophthalmoplegia, Retinal haemorrhage, Subdural haematoma
Clinical narrative: From initial information received on 3/12/04 from another manufacturer, regarding adverse events occurring in the USA, it was initially reported by a pharmacist that a 6 month old female patient received a dose of ActHIB; a dose of PEDIARIX (lot number 21913A9) and a dose of PREVNAR on 1/7/04. The sites and routes of administration were not reported. Approximately 8 days later, on 1/15/04, the patient presented to the emergency room and was subsequently hospitalized due to a subdural hematoma, a seizure due to encephalitis, retinal hemorrhage, difficulty swallowing, inability to open eyes, and unresponsiveness. A computed axial tomography scan confirmed the hemorrhage and encephalitis. The seizure, unresponsiveness and inability to open eyes resolved. The subdural hematoma and the difficulty swallowing improved. The patient was placed on a feeding tube while hospitalized. The pharmacist stated that shaken baby syndrome was suspected. The patient was discharged from the hospital on 2/18/04. At that time, the patient continued to experience visual problems. The retinal hemorrhage had resolved in one eye, but continued in the other eye. The patient also experienced inflammation in the non-hemorrhaging eye. At the time of discharge, the patient was able to consume formula with rice cereal, and her overall condition was assessed as improved. The pharmacist, who is the patient's aunt, reported that the patient's babysitter had been charged by the prosecuting attorney for shaken baby syndrome. At the time of this report, the patient had not recovered. From additional information received from another manufacturer 18/Mar/2004, the reporter's full name and address was provided. Hospital records were requested but unavailable at this time.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Visual acuity reduced
Clinical narrative: From initial information received on 3/12/04 from another manufacturer, regarding adverse events occurring in the USA, it was initially reported by a pharmacist that a 6 month old female patient received a dose of ActHIB; a dose of PEDIARIX (lot number 21913A9) and a dose of PREVNAR on 1/7/04. The sites and routes of administration were not reported. Approximately 8 days later, on 1/15/04, the patient presented to the emergency room and was subsequently hospitalized due to a subdural hematoma, a seizure due to encephalitis, retinal hemorrhage, difficulty swallowing, inability to open eyes, and unresponsiveness. A computed axial tomography scan confirmed the hemorrhage and encephalitis. The seizure, unresponsiveness and inability to open eyes resolved. The subdural hematoma and the difficulty swallowing improved. The patient was placed on a feeding tube while hospitalized. The pharmacist stated that shaken baby syndrome was suspected. The patient was discharged from the hospital on 2/18/04. At that time, the patient continued to experience visual problems. The retinal hemorrhage had resolved in one eye, but continued in the other eye. The patient also experienced inflammation in the non-hemorrhaging eye. At the time of discharge, the patient was able to consume formula with rice cereal, and her overall condition was assessed as improved. The pharmacist, who is the patient's aunt, reported that the patient's babysitter had been charged by the prosecuting attorney for shaken baby syndrome. At the time of this report, the patient had not recovered. From additional information received from another manufacturer 18/Mar/2004, the reporter's full name and address was provided. Hospital records were requested but unavailable at this time.