chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 18.0
Sex: M
Vaccine: MEN
Symptoms: Pruritus, Rash
Clinical narrative: Vaccine given 3 days ago - rash, itching around vaccination site - approximately 5" length/area from elbow up; "tight" feeling.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash vesicular
Clinical narrative: Fever up to 101 for 2 days. Vesicular rash on arms, trunk and legs.
Age: 39.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Pruritus
Clinical narrative: Next AM (6/20/03) redness at site, itchy all over. No rash, itching continued but less. No problem breathing.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Pain
Clinical narrative: Swelling, redness, pain right thigh 18 hours after DTaP vaccine at the site.
Age: 43.0
Sex: F
Vaccine: MMR, TD
Symptoms: Pyrexia, Rash maculo-papular
Clinical narrative: New pt to this clinic on 6/16/03 complained of rash and fever onset 6/15/03. Stated got MMR and DTaP on 6/2/03 at another clinic. Had had titers at hospital on 5/13/03 where she is a volunteer. Positive immune to measles and varicella but not rubella. Here pt was afebrile (98.7) VSS, no lymphadenopathy or HSM. Eryth maculopapular rash on trunk and prox exterior.
Age: 4.0
Sex: M
Vaccine: IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Left deltoid with swelling, redness, hard, no tenderness, no limitation of movement. Motrin/HC cream 1% BID/ warm compresses.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Anorexia, Staring
Clinical narrative: After shots pt had spells of starving and decreased response. He refused to eat for 14 hours after shots. Some of the above persisted for several days. Mother notes occasional staring spells at present.
Age: 44.0
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Pain, Rash macular
Clinical narrative: 4" diameter swelling, redness, warm, blotchy. Flu type body aches. Fever. Rx: Benadryl.
Age: 30.0
Sex: M
Vaccine: HEP
Symptoms: Asthenia, Dizziness, Dry throat, Dyspnoea
Clinical narrative: Approx 1 1/2 hours after injection, pt became dizzy, weak, had SOB and dry, swollen throat. This volunteer fireman did not report reaction until 3/24/03 when due for 2nd Hep B. To my knowledge he sought no medical care. He has not responded to 2 calls requesting more info.
Age: 1.25
Sex: M
Vaccine: DTAPH, MMR, PNC
Symptoms: Agitation, Irritability, Pyrexia
Clinical narrative: 3/30/03 4 PM Temp 102.5 rectal, very cranky, crying. No rash, no otitis.
Age: 1.3
Sex: F
Vaccine: DTAP, PNC
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Left deltoid injection site swollen, red and warm. Mother put alcohol on area, child also given Tylenol last night and 2 x today.
Age: 16.0
Sex: M
Vaccine: HEP
Symptoms: Ear disorder, Pyrexia
Clinical narrative: 5/30/03 6:30 PM 103 fever until 10:30 PM. 6/2/03 to PMD Dx ear infection on Augmentin.
Age: 14.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Pain
Clinical narrative: Severe pain from top of shoulder to upper left deltoid where IM shot given. No redness or swelling. Symptoms continued for 1 week. Full ROM to arm.
Age: 0.4
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Agitation, Dyspnoea, Pyrexia
Clinical narrative: Fever 101.0 for 36 hours. Tx with Tylenol 0.4ml (80mg/0.8ml). Crying. "Difficulty breathing" per mother.
Age: 1.25
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Large local reaction with erythema and swelling 18 hours after injection.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Diarrhoea, Screaming
Clinical narrative: 4/5/03 child uncontrollable for more than 3 hours. Family took to ER to see MD. Given Benadryl. 6/6/03 doing better today but having diarrhea.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema, Tenderness
Clinical narrative: Erythema, tenderness, swelling
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Rash erythematous
Clinical narrative: A warm, red, raised rash 4" x 4" on left thigh. Pt to take 2 tsp Zyrtec daily until rash gone. Also cold rags to rash.
Age: 0.7
Sex: M
Vaccine: DTAP
Symptoms: Convulsion, Cough, Diarrhoea, Grand mal convulsion, Hypotonia
Clinical narrative: Temp 100.8. Three days after receiving DTPA shot my child had 2 small petit mal seizures. I reported them to my doctor. A week later he again experienced seizures and passed out 2 times. An EEG or cardiac work up and CT was done - all normal. We were sent home. He had a petit mal seizure 6/7 and then 2 grand mal seizures 6/8. Started on Trileptal 6/10.  Medical recors state irritable, droopy, diarrhea, vomiting, cough.msv
Age: 0.7
Sex: M
Vaccine: DTAP
Symptoms: Irritability, Pyrexia, Vomiting
Clinical narrative: Temp 100.8. Three days after receiving DTPA shot my child had 2 small petit mal seizures. I reported them to my doctor. A week later he again experienced seizures and passed out 2 times. An EEG or cardiac work up and CT was done - all normal. We were sent home. He had a petit mal seizure 6/7 and then 2 grand mal seizures 6/8. Started on Trileptal 6/10.  Medical recors state irritable, droopy, diarrhea, vomiting, cough.msv
Age: 27.0
Sex: M
Vaccine: HEP
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Pain, Skin ulcer
Clinical narrative: Pt developed cluster of raised, hard, painful "pellet-like" lesions left forearm with surrounding erythema 2 days after immunization - not seen in office for follow up til 6/24. Still recovering on examination visible evidence of 6 healing papules with minimal erythema, no warmth. No lymphadenopathy.
Age: 0.5
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PPV
Symptoms: Crying, Screaming
Clinical narrative: Crying for more than 3 hours.
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Heart rate increased, Pallor, Syncope, Tremor, Vision blurred
Clinical narrative: 10 seconds after Hep B injection, client complained of blurry vision, fell faint, and upper extremities became rigid, tense and shaking, seizure-like activity less than 1 minute. Pt was pale, elevated heart rate. Responded 1 minute later.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Dyspnoea, Injection site erythema, Pruritus
Clinical narrative: Within 10 minutes of receiving flu vaccine, pt reported itching and redness at injection site. Redness 3" diameter around injection site. No systemic symptoms reported at that time. After cool pack applied, she stood up and unsteadily walked towards me, looking highly anxious. She stated "I feel terrible" and "I'm going to faint" after being assisted to lie down, she stated she had difficulty breathing 3 times. Stated "I cannot feel my arms." BP not heard on left arm. Continued to tell us she had a "hard time breathing". Never lost consciousness. Tx: Cool gel pack to injection site. Close observation. Assisted to floor in safe manner. BP attempted without success. 911 called as she was going down. Epinephrine .4cc subcu. of 1:1000 solution given in right arm. She stated "I can breathe easier now" about <1 minute after epinephrine injection - right deltoid. BP 110/88 right arm. Pulse, respirations attempted as paramedics arrived. (O2 by nasal canula, heart monitor, BP 110/58. revealed PVC's and HR = 46. Tx by emergency personnel) Transported to hospital at 9:45 AM.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Eye movement disorder, Feeling hot, Headache, Paraesthesia
Clinical narrative: Initially, she felt weak and warm. She complained of headache, tingling of fingers, "burning up". Then she broke out in reddened blotches on neck, chest and face. No difficult swallowing or respiratory distress noted. Did not lose consciousness, but eyes were rolling to top. Tx: Placed pt in Trendeleburg position after initial vital signs then vital signs repeated several times, as nurse continued to question and reassure pt until EMT's arrived. They took over from there. (Pt's mother works there too, so she was present throughout the incident). Pt called at home on 11/7/02. She said she developed a rash on her back that day and received Benadryl and MD suggested she have an allergy test done before a follow-up appointment.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Rash macular
Clinical narrative: Initially, she felt weak and warm. She complained of headache, tingling of fingers, "burning up". Then she broke out in reddened blotches on neck, chest and face. No difficult swallowing or respiratory distress noted. Did not lose consciousness, but eyes were rolling to top. Tx: Placed pt in Trendeleburg position after initial vital signs then vital signs repeated several times, as nurse continued to question and reassure pt until EMT's arrived. They took over from there. (Pt's mother works there too, so she was present throughout the incident). Pt called at home on 11/7/02. She said she developed a rash on her back that day and received Benadryl and MD suggested she have an allergy test done before a follow-up appointment.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Oedema, Pruritus
Clinical narrative: Patient did well until 11 days following vaccination when he started having swelling itching and redness, but no blisters at sites distant to the immunization site. These areas resolved with administration of antihistimines after a few days, but as soon as one resolved another would form. This lasted until 18 days after vaccination.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Contusion, Erythema
Clinical narrative: Patient's two shots on the right and one shot  on the left arm. the 3 shots were mmr and booster polio and dtap. Her left arm was bruised from the shot and her right arm noticed red mark at  5:30 p.m. When she took the bandaid off. The size of half dollar. On wed after noon 12:45p.m. took her to get her arm checked and they said she is fine.
Age: 21.0
Sex: F
Vaccine: PPV
Symptoms: Dizziness, Injection site reaction, Myalgia, Nausea, Pain
Clinical narrative: Approximately two hours after the vaccination, I began to experience dizziness and nausea.  Shortly after this, I noticed what appeared to be small scratches near the injection site.  I was also experiencing muscle soreness and pain all down the arm in which I received the injection during this time.  In order to treat the pain, I began taking acetaminophen every four hours.  While this helped, it did not fully correct the problem.  The day following the injection at around 3pm, I noticed that what had appeared to be scratches the previous day now seemed to have developed into a blotchy rash which has been growing steadily worse since that time.  I have been taking Benadryl to help combat these symptoms, but this rash now covers the area from the top of my shoulder half-way down to my elbow on that arm.  This is the situation as it now stands.
Age: 21.0
Sex: F
Vaccine: PPV
Symptoms: Rash
Clinical narrative: Approximately two hours after the vaccination, I began to experience dizziness and nausea.  Shortly after this, I noticed what appeared to be small scratches near the injection site.  I was also experiencing muscle soreness and pain all down the arm in which I received the injection during this time.  In order to treat the pain, I began taking acetaminophen every four hours.  While this helped, it did not fully correct the problem.  The day following the injection at around 3pm, I noticed that what had appeared to be scratches the previous day now seemed to have developed into a blotchy rash which has been growing steadily worse since that time.  I have been taking Benadryl to help combat these symptoms, but this rash now covers the area from the top of my shoulder half-way down to my elbow on that arm.  This is the situation as it now stands.
Age: 1.1
Sex: F
Vaccine: HBHEPB, MMR, PNC
Symptoms: Abscess
Clinical narrative: pt developed an abcess to left thigh which needed to be drained.  Comvax was the only vaccine given in that leg.  The pt recieved the vaccine on 05/15/03 and was seen by her physicain on 05/18/03.
Age: 38.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth, Pyrexia
Clinical narrative: 8-9 cm diameter area of induration, heat, erythema, and tenderness surrounding immunization site.  Pain in upper arm and shoulder. Temp 99.6.  Treatment: Cephalexin 500 mg qid X 10 days
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, CSF test abnormal, Guillain-Barre syndrome, Hypoaesthesia, Leukocytosis
Clinical narrative: Patient admitted for cc of progressive weakness and numbness for 1 week prior to admission.  She had hx of scleroderma, Raynaud's phenomenon, glaucoma, pulmonary fibrosis, hypothyroidism, and had received the influenza vaccine 2-3 weeks prior to admission.  Along with hx of progressive weakness and numbness, pt showed elevated protein in CSF consistent with Guillain-Barre Syndrome  Pt was treated with 5 days of intravenous immune globulin in addition to supportive care.  Her weakness slowly resolved with IVIG therapy and she was discharged to rehab hospital. Infoiration received from discharge summary states vision change. msv
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Visual disturbance
Clinical narrative: Patient admitted for cc of progressive weakness and numbness for 1 week prior to admission.  She had hx of scleroderma, Raynaud's phenomenon, glaucoma, pulmonary fibrosis, hypothyroidism, and had received the influenza vaccine 2-3 weeks prior to admission.  Along with hx of progressive weakness and numbness, pt showed elevated protein in CSF consistent with Guillain-Barre Syndrome  Pt was treated with 5 days of intravenous immune globulin in addition to supportive care.  Her weakness slowly resolved with IVIG therapy and she was discharged to rehab hospital. Infoiration received from discharge summary states vision change. msv
Age: 1.2
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Febrile convulsion, Irritability, Nasal congestion, Pyrexia, Rash erythematous
Clinical narrative: patient was vaccinated on June 10,2003.  Has had persistent fevers since receiving the vaccine.  The day after the immunizations she experienced high fevers 104-105 degrees F.  She also experienced a brief febrile seizure.  Since that time she has had fevers around 101 F usually occurring at nigh.  Otherwise fussy and some nasal congestion.  She had a 2 day history of erythematous papular rash on the trunk which occurred approximately 10 days after the immunizations. No treatment given.
Age: 1.2
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Rash papular
Clinical narrative: patient was vaccinated on June 10,2003.  Has had persistent fevers since receiving the vaccine.  The day after the immunizations she experienced high fevers 104-105 degrees F.  She also experienced a brief febrile seizure.  Since that time she has had fevers around 101 F usually occurring at nigh.  Otherwise fussy and some nasal congestion.  She had a 2 day history of erythematous papular rash on the trunk which occurred approximately 10 days after the immunizations. No treatment given.
Age: 37.0
Sex: F
Vaccine: MMR
Symptoms: Rash erythematous, Rash morbilliform, Serum sickness, Skin nodule
Clinical narrative: Noticed large lump on back for neck (right) 6/16/03 P.M., Noticed large purple spot in injection area 6/17/03 A.M. (thought it was just bruised). Started breaking out in spots 6/18/03 A.M. There was no real itching or pain just a prickly sensation and no fever. I went to clinic as instructed by my physician 6/18/03 P.M. No treatment given, instructed that it was Measles and told to quarantine myself and see primary physician if condition worsens. Also I was told to contact my newborn physician to find out what actions to take for my child. I telephoned physician and was told it was not the measles just a reaction, that it would look like measles but it would pass. The next day I noticed more spots and on the following day, I noticed they were growing in size to the point that they were connecting. These spots looked like bullseye targets, there was a spot in center and it had 2-3 rings circling around it, They were extremely red and raised from the skin. I then went to the Emergency Room 6/20/03 P.M. where it was diagnosed as Serum Sickness. I was given two injections of Antihistamine, and was then sent home with prescriptions for Hydroxyzine and Methylprednisolone.
Age: 48.0
Sex: M
Vaccine: FLUX
Symptoms: Facial palsy, Guillain-Barre syndrome, Headache, Nerve injury, Pain
Clinical narrative: 12/18/1998 Influencia Vaccination given at Kaiser 12/26/1998 Hospitalized at Kaiser Hospital with severe case of Guillain-Barre Syndrome (GBS).  I was given plasmapheresis (blood exchange) treatment at Kaiser Hospital.  Recovery took over 2 years.  Physical recovery after 2 years was about 90% of before GBS disease. The 60 day follow up received on 9/3/03 states after 2 years, pt was 90% recovered. Residual symptoms that remained were partial paralysis of face, toes and finger not working right, nerve damage, speech problems.   Nurse follow up on 08/31/04 states: "Headache, pain lower extremities, urinary retention,
Age: 48.0
Sex: M
Vaccine: FLUX
Symptoms: Speech disorder, Urinary retention
Clinical narrative: 12/18/1998 Influencia Vaccination given at Kaiser 12/26/1998 Hospitalized at Kaiser Hospital with severe case of Guillain-Barre Syndrome (GBS).  I was given plasmapheresis (blood exchange) treatment at Kaiser Hospital.  Recovery took over 2 years.  Physical recovery after 2 years was about 90% of before GBS disease. The 60 day follow up received on 9/3/03 states after 2 years, pt was 90% recovered. Residual symptoms that remained were partial paralysis of face, toes and finger not working right, nerve damage, speech problems.   Nurse follow up on 08/31/04 states: "Headache, pain lower extremities, urinary retention,
Sex: M
Vaccine: OPV
Symptoms: Dyspnoea, Lung neoplasm malignant, Pulmonary embolism, Respiratory failure
Clinical narrative: A legal complaint was received from an attorney regarding an adult white male. The decedent's history includes exposure to asbestos and asbestos-containing products. According to the legal complaint, sometime in the mid 1950's, the decedent was administered OPV or IPV. Sometime on or about 1/01, the decedent was reportedly diagnosed with metastatic mesothelioma of the right lung. The legal complaint stated that the decedent's exposure to asbestos, asbestos-containing products, and the SV40 virus caused severe and permanent injury to the decedent including, but not limited to breathing difficulties, asbestos is, lung and/or other cancer, mesothelioma, and/or lung damage. On 1/20/03, he died from respiratory failure. Pulmonary embolism was indicated as another significant condition contributing to the death.
Sex: M
Vaccine: OPV
Symptoms: Brain neoplasm, Neoplasm malignant
Clinical narrative: A legal complaint was received from an attorney alleging that a male plaintiff received 5 doses of Orimune vaccine during the time period of September 1973 through August 1976. The legal complaint states that the Orimune administered contained the contaminant/adulterant, SV40, and ultimately caused the development of a cancerous brain tumor in the plaintiff. Medical records indicate that the plaintiff presented in November 200 with the insidious onset of headaches associated with nausea and vomiting. He was seen in the emergency room and was noted to have papilledema. A computerized tomogram reveealed posterior fossa and a nuclear magnetic resonance imaging revealed a 4.5 x 4.0 x 4.6 cm posterior superior vermian intra-axial mass with tonsillar herniation and secondary hydrocephalus. He was hospitalized and diagnosed with medulloblastoma. On 27-Nov-2000, he underwent a suboccipital craniotomy with steriotactic volumetric resection of the large cerebral tumor. A pathology report stated taht the tumor was a meduloblastoma involving the leptomeninges extending down the Virchow-Robin space of the cerebral cortex. The plaintiff was to further undergo chemotherapy and cranial spinal radiation therapy.
Age: 13.0
Sex: M
Vaccine: HEP, TD, HEP, TD
Symptoms: Myelitis transverse
Clinical narrative: Called by hospital and informed that child hospitalized in ICU for transverse myelitis on 6/17/03 following immunization on 6/16/03. The 60 day follow up received on 9/17/03 states not completely but greatly improved. Walking with walker now. R hand still with decreased function, needs splint. Gets catheterization q 9 hrs for urination, wears diaper. Tracheostomy removed. Will be discharged this week.
Age: 13.0
Sex: M
Vaccine: HEP, TD, HEP, TD
Symptoms: Laboratory test abnormal, Muscular weakness, Myelitis transverse
Clinical narrative: Called by hospital and informed that child hospitalized in ICU for transverse myelitis on 6/17/03 following immunization on 6/16/03. The 60 day follow up received on 9/17/03 states not completely but greatly improved. Walking with walker now. R hand still with decreased function, needs splint. Gets catheterization q 9 hrs for urination, wears diaper. Tracheostomy removed. Will be discharged this week.
Age: 11.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Erythema, Eye oedema, Wheezing
Clinical narrative: 10 minutes after receiving Hep B #3/Varivax #1, left eye swollen and pt began wheezing, right eye red. Treatment included Epi SQ .3 cc (1:1000), Benadryl 25mg IM and Albuterol breathing tx (2.5mg). Ox never dropped below 96%. Prednisone po 60mg.
Age: 17.0
Sex: F
Vaccine: HEP, MEN
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Pain, Pruritus
Clinical narrative: Left arm sore, edematous 25 hours after immunization; then became red, warm to touch, itchy from elbow to shoulder. Referred to PCP if not better by tomorrow. Applied cortisone cream and dectin cream with some relief. (Sister had same vaccine last year with no ill effects).
Age: 13.0
Sex: M
Vaccine: HEP
Symptoms: Lymphadenopathy, Pharyngolaryngeal pain
Clinical narrative: Pt had extended period of swollen glands and tonsils and sore throat. Vitamin C, vitamins and natural antibiotics used (Echinecea and Golden seal). Gargled with salt water.
Sex: M
Vaccine: HEP
Symptoms: Disturbance in attention, Dysphagia, Memory impairment, Weight decreased
Clinical narrative: Pt complained of having a hard time swallowing his food following 3rd Hep B shot. It got worse over time and required 3-4 glasses of water to help food go down. Eventually he lost much weight because it became uncomfortable to have to drink so much water to swallow a meal and he didn't enjoy eating anymore like he used to. So he ate just the essentials and skipped hard foods like apples and carrots, salads, etc. Pt says his memory, concentration and sometimes his ability to organize what he wants to say is not as sharp as it was before Hep B series shots. (Neurologist will be seen). 8/15/02: MD recommends Nasal arenoscopy and ber. swallow. 8/26/02 Nasal scope: MD recommends seeing ENT. 8/29/02: MD-lymphoid hyperplasea on posterior pharyngeal wall mod. enlarged adenoidpad, tonsils enlarged etc. 8/29/02?: Another MD recommends having tonsils and adenoids out. 10/1/02: MD-2 plus tonsils, mod adenoid pad, bar swallow and endscopy  recommended, refers us to gastroenterlogist.  10/10/02: MD - endoscopy and barium swallow - suggested duct to swallowing problem. 10/14/02 Oupatient endoscopy barium swallow - recommends esophageal motililytes, refers us to pediatric gastroenterologist. 10/17/02: MD does blood work etc. Diagnosis: dysphagia. 10/21/02: Esophageal motility study. Upper GI endoscopy with bx Con. sedation. 11/4/02: PH probe - prolonged. 11/5/02: probe removed. 11/7/02: UGI endoscopy, esp dilation with balloon. 12/13/02: upper GI endoscopy with bx, X ray and barium swallow after. 2/14/02: Barium swallow. Endoscopy with balloon recommended again. 2/27/02: Endoscopy with dilation with balloon - balloon fried in sterilizer  so procedure needs to be redone. Barium swallow, X-ray after procedure. 4/24/02: Endoscopy dil with balloon. Dil had to be rescheduled as pt had flu recovery at that time. 7/3/02: Endoscopy dil with balloon 10AM. Barium swallow and/or X-ray following procedure. We will be seeing a neurologist after the dysphagia is taken care of as we don't want to overwhelm pt with everything at once. Due to memory, concentration etc. problems we will see a neurologist in the future.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Top of left leg swollen, red and hot to touch. The size of mom's palm.
Age: 4.0
Sex: M
Vaccine: DTAP, HEP, IPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pain
Clinical narrative: Significant swelling of left arm with erythema spreading 10 x 8 cm, hot to touch, transient pain.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Anorexia, Chest pain, Dyspnoea, Headache, Musculoskeletal discomfort
Clinical narrative: Headache, stiff neck, stiff back, fever (night sweats), nausea, loss of appetite, shortness of breath, chest pain.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Musculoskeletal stiffness, Pyrexia
Clinical narrative: Headache, stiff neck, stiff back, fever (night sweats), nausea, loss of appetite, shortness of breath, chest pain.
Age: 73.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Oedema, Pruritus, Tenderness
Clinical narrative: Patient called c/o redness of biceps with some swelling-tender to touch only- was itchy previous night. Area 3 in x 3 in warm. Treated with Medrol Dose Pack
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema, Tenderness
Clinical narrative: Redness, swelling approx 10 cm tender, given 6/3, reaction 6/5.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Rash
Clinical narrative: Right leg rash, red, warm, approx. 10cm.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Oedema
Clinical narrative: Developed mark swelling of right shoulder upper arm.
Age: 1.0
Sex: F
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Erythema
Clinical narrative: Minimal erythema no induration right deltoid. No treatment required.
Age: 1.25
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Blister, Pyrexia
Clinical narrative: Fever. Vesicles on scalp and face.
Age: 1.1
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema
Clinical narrative: Patient presented to clinic behind immunization schedule. DTaP, HIB given 48 hour later patient developed 3cm x 4cm erythema type area at injection site (right upper arm)
Age: 1.0
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Apnoea, Coma, Eye movement disorder, Hypotonia, Irritability
Clinical narrative: Drank 4oz of milk out of bottle. Became limp, unresponsive, eyes rolled. Stopped breathing 45 sce -60secs. Mom called 911. Did Heimlich and stimulated him. Began crying.
Age: 34.0
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Tenderness
Clinical narrative: TD was given SubQ. Approx. 36-48 hours after injection, patient developed an area apprx. 4-5 in long x 3-4 in wide of red, warm to touch, swollen , and very tender in back of arm where injected. Missing vaccine information was not available.
Sex: M
Vaccine: SMALL
Symptoms: Chills, Dysuria, Monocytosis, Night sweats, Prostatic disorder
Clinical narrative: On 6/16/03, 2 days after his scab fell off, pt experienced T 103.9, alternating fever and chills, night sweats and dysuria. He was dx with prostatitis and started Cipro. Two days later fever remained high/symptoms worse.
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia
Clinical narrative: On 6/16/03, 2 days after his scab fell off, pt experienced T 103.9, alternating fever and chills, night sweats and dysuria. He was dx with prostatitis and started Cipro. Two days later fever remained high/symptoms worse.
Age: 2.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Drug ineffective
Clinical narrative: Received vaccine on 09/20/2002. Has chicken Pox illness 06/26/2003
Age: 5.0
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Infection
Clinical narrative: Broke out with chicken pox today 06/26/2003: was exposed at daycare had vaccine 09/17/1999
Age: 5.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR, VARCEL
Symptoms: Feeling hot, Rash erythematous
Clinical narrative: Oval shape, hot, red 8cm x 5 1/2cm, hard raised (#mm) mass to right delt
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Convulsion
Clinical narrative: Seizure 06/25/2003
Age: 2.0
Sex: M
Vaccine: PNC
Symptoms: Irritability, Pyrexia
Clinical narrative: High fever, T 105 x 3 days. Associated extreme irritability
Age: 18.0
Sex: M
Vaccine: RAB
Symptoms: Asthenia, Headache, Laboratory test abnormal, Nausea, Nervous system disorder
Clinical narrative: After receiving the rabies vaccine on 6/16/03 patient experienced severe headaches and nausea.  He received the second dose on 6/21/03 and afterwards experienced the same symptoms as before only worse.  An MRI was performed which showed white spots in the brain.  There was also questionable arm weakness.  The patient was hospitalized and although his headaches never totally resolved he was discharged to home.
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Erythema multiforme, Rash pustular, Rash vesicular, Urticaria
Clinical narrative: Patient presents (6-26-03) with systemic vesicular rash temporal to anthrax vaccination site (6/24/03).  Vesicles are pustular and urticaric and are today invading the mucus membranes of the mouth.  Patient denies any N/V, or fever.  DX:  Erythema Multiforme with progression to Stevens-Johnson Syndrome.  Smallpox vaccination done on 6-8-03, site shows normal reaction with scabbing.
Age: 53.0
Sex: M
Vaccine: SMALL
Symptoms: Ecchymosis, Laboratory test abnormal, Pain
Clinical narrative: Patient states he has multiple painless ecchymotic areas on body for 3(three)days. Areas include axilla, groin, abdomen. Ares measure 1 cm x 1 cm. Large eccymotic area on left arm below immunization site. Denies vesicles or drainage from areas. Afebrile. Systemic pruritis present for past 48 hours, relieved by Benadryl.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Neck pain
Clinical narrative: Severe neck pain. LP performed 06/13/2003 neg infection.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Erythema, Feeling hot, Oedema
Clinical narrative: Bacterial cellulitis, warm spreading erythema + axillary LAD + circumferintial edema, no streaking. Dicloxilia 250mg PO QID x 10 days
Age: 18.0
Sex: F
Vaccine: YF
Symptoms: Face oedema, Palpitations
Clinical narrative: Swollen lips. Heart palpitations 2 hours after immunization. EPI 3 SQ and DepoMedrol 120mg IV Allergic reaction
Age: 2.0
Sex: F
Vaccine: IPV
Symptoms: Atrioventricular block, Coordination abnormal, Facial palsy, Myoclonus, Nystagmus
Clinical narrative: Parents report onset of extremity tremors within seconds of administration of the IPV vaccine.  Tremors waxed and waned.  Patient was seen in Emergency Room the same night.  Discharged home, and followed up in Urgent Care today with increasing ataxia and cranial nerve 3, 6, 7 palsy on right. The discharge summary received on 3/23/04 states lethargy, opsoclonus-myoclonus-ataxia, first degree heart block and staring spells. The medical record received on 3/23/04 states facial droop, nystagmus and myoclonus.
Age: 2.0
Sex: F
Vaccine: IPV
Symptoms: Paralysis, Somnolence, Stupor, Tremor
Clinical narrative: Parents report onset of extremity tremors within seconds of administration of the IPV vaccine.  Tremors waxed and waned.  Patient was seen in Emergency Room the same night.  Discharged home, and followed up in Urgent Care today with increasing ataxia and cranial nerve 3, 6, 7 palsy on right. The discharge summary received on 3/23/04 states lethargy, opsoclonus-myoclonus-ataxia, first degree heart block and staring spells. The medical record received on 3/23/04 states facial droop, nystagmus and myoclonus.
Age: 0.1
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: High-pitched crying, Irritability, Pyrexia, Vomiting
Clinical narrative: 18 hrs after Dtap, IPV, comvax, prevnar pt noted to have high pitched scream and vomiting with low grade vefer to 100ax.  Vomiting and fusiness lasted for approximately 12 hrs.  Seen in office, afebrile, easily consable, well hydrated.  Recommended progressing from pedialyte back to breast milk, tylenol for fever, call prn.
Age: 1.3
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Lymphadenitis, Pyrexia, Rash
Clinical narrative: High fever happened two times after shots. First time from 06/19/03 to 06/22/03 (up to 104 F) and rush on back,neck,chest,abdomen,ect.This time from 06/25/03 up to now and lymphadenectasis and high fever around 103F and medicine (tylenol and motrin) are no good help to relieve the fever at the this time.
Age: 23.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema, Laboratory test abnormal, Pain, Skin ulcer
Clinical narrative: 13 days post vaccination patient reported with new lesion. Appeared anterior portion of shoulder. Erythemic base. Dark red, crusted center. Very painful with uniform blouse being worn. Non febrile. Treated pain with Roxicett. Sent home for 2 days.
Age: 32.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Electrocardiogram abnormal, Erythema multiforme, Folliculitis, Oedema, Rash
Clinical narrative: Developed folliculitis on opposite axillary area - not an accidental inoculation. Developed 1+ pitting edema, rash (possible vasculitis or erythema multiforme) on both lower extremities. Flattening of T waves on EKG - new EKG 6/26/03, old EKG 2/27/03 - no other cardiac symptoms - no shortness of breath or chest pain.
Age: 32.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Vasculitis
Clinical narrative: Developed folliculitis on opposite axillary area - not an accidental inoculation. Developed 1+ pitting edema, rash (possible vasculitis or erythema multiforme) on both lower extremities. Flattening of T waves on EKG - new EKG 6/26/03, old EKG 2/27/03 - no other cardiac symptoms - no shortness of breath or chest pain.
Age: 32.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Eczema, Oedema, Pain, Rash
Clinical narrative: Developed folliculitis on opposite axillary area - not an accidental inoculation. Developed 1+ pitting edema, rash (possible vasculitis or erythema multiforme) on both lower extremities. Flattening of T waves on EKG - new EKG 6/26/03, old EKG 2/27/03 - no other cardiac symptoms - no shortness of breath or chest pain.
Age: 1.0
Sex: F
Vaccine: VARCEL, MMR, VARCEL
Symptoms: Convulsion, Cyanosis, Electroencephalogram abnormal, Infantile spasms, Vomiting
Clinical narrative: The day after her MMR shot she passed out and did three rhymic movements. Then 10 days later she began to turn blue around her fingers, lips and toes randomly throughout the day. Finally on the day she turned 15 months old she went into seizures. She has been diagnosed with Infantile Spasm Epilepsy. No medical reason for her to have this sickness. The medical record received on 2/18/04 states pt vomited.
Age: 1.0
Sex: F
Vaccine: VARCEL, MMR, VARCEL
Symptoms: Arrhythmia, Convulsion, Cyanosis, Infantile spasms, Loss of consciousness
Clinical narrative: The day after her MMR shot she passed out and did three rhymic movements. Then 10 days later she began to turn blue around her fingers, lips and toes randomly throughout the day. Finally on the day she turned 15 months old she went into seizures. She has been diagnosed with Infantile Spasm Epilepsy. No medical reason for her to have this sickness. The medical record received on 2/18/04 states pt vomited.
Age: 29.0
Sex: F
Vaccine: TD
Symptoms: Pruritus, Urticaria, Wheezing
Clinical narrative: First night, itching. Next night, itching and hives developed.  One morning I experienced wheezing, but only one time.  Itching and hives continues now as of 06/10/2003.  Went into Dr.'s office today, Prednisone 10mg was prescribed.
Age: 1.0
Sex: M
Vaccine: HEP, HIBV, PPV
Symptoms: Anorexia, Irritability, Pyrexia, Rash vesicular
Clinical narrative: approximately two weeks after the varicella vaccination, my son showed signs of irritability, fever, and loss of appetite.  A few days later he broke out in the chicken pox (about 20 lesions)
Age: 53.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain
Clinical narrative: The patient experienced 1 acute episode of chest pain lasting 5-10 minutes and described the pain as "crushing."  Afterward, the patient was hospitalized for 3 days.  A cardiologist diagnosed the pain as being due to stress.  The patient reported no prior history of heart problems or chest pain and consequently, experienced a very similar episode later on 6/4/03.  This case has already been reported.
Age: 0.53
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Acute leukaemia, Cellulitis, Pyrexia
Clinical narrative: Patient was given his 6 month vaccinations on November 19, 2001.  These included Dtap, Hib, IPV, and Prevnar.  That afternoon he developed a fever.  The fever did not go away in the next couple of days so I took him to see the doctor.  I was told he had a virus and he would recover in the next couple of days.  He did not and his fever reached 105.  We took him to the ER where he recieved an antibiotic injection.  We were then referred back to his pediatrician.  The pediatrician referred us to the pediatric oncologist.  After many tests and referral to another oncologist, patient was diagnosed with AML, acute mylogenous leukemia.  He recieved 6-7 months of chemotherapy treatment, having to stay in the hospital during that time. He has finished chemotherapy and is now in remission.  There is a 50% chance the cancer will return.
Age: 0.2
Sex: M
Vaccine: PNC, PNC, PNC
Symptoms: Petechiae, Platelet count decreased, Thrombocytopenia
Clinical narrative: A pharmacist reported that a patient received a dose of Prevnar and subsequently developed thrombocytopenia. Additional information was received from a consumer. A father reported that his 2 month old son received his first dose of Prevnar on 2/28/03. According to the father, the infant had no pre-existing medical conditions. On 2/13/03, the infant reportedly received 4 other vaccines (unspecified) and experienced no reactions. Soon after Prevnar administration, the infant started feeling down. Approximately 24-48 hours post-vaccination, the infant reportedly developed blood spots under the skin all over his body later described as a petechial rash/pinpoint red spots. He was seen by a pediatrician, who referred the infant to an emergency room. In the emergency room, the infant's platelet count was reportedly 4000. The infant was transferred to another facility and was hospitalized in the intensive care unit. On admission, his platelet count was 4000. He was reportedly treated with IgG. A third platelet count was 2000, and IgG was administered again. The infant also reportedly received a transfusion of platelets. According to the father, the physician attributed the reaction to early destruction of platelets as a result of drug-induced immune thrombocytopenia. After five days of hospitalization, the infant was discharged. He continues to have his platelet counts monitored. Follow up information received from the physician's office on 9/22/03 provided information on the vaccines received within four weeks. A pharmacist reported that a patient received a dose of Prevnar and subsequently developed thrombocytopenia. Additional information was received from a consumer. A father reported that his 2 year old son received his first dose of Prevnar on 2/28/03. The infant had no relevant medical history. On 2/13/03, the infant received DTaP, Hepatitis B, HIB, and IPOL vaccines and experienced no reactions. Soon after Prevnar administratin, the infant started feeling down. Approximately 24-48 hours post vaccination, the infant reportedly developed blood spots under the skin all over his body later described as a petechial rash/pinpoint red spots. He was seen by a pediatrician, who referred the infant to an emergency room. In the emergency room, the infant's platelet count was reportedlly 4000. The infant was transferred to another facility and was hospitalized in the intensive care unit. On admission, his platelet count was 4000. He was reported treated with IgG. A third platelet count was 2000, and IgG was administered again. The infant also reportedly received a transfusion of platelets as a result of drug-induced immune thrombocytopenia. After five days of hospitalization, the infant was discharged. He continued to have his platelet counts monitored. On 4/2/03, a platelet count was performed; the physician reported that the result of 173,000 was within normal limits. The physician indicated that the infant recovered. A 15-day follow up report received 10/15/2003 adds no new info.
Age: 0.2
Sex: M
Vaccine: PNC, PNC, PNC
Symptoms: Contusion, Petechiae, Platelet count decreased
Clinical narrative: A pharmacist reported that a patient received a dose of Prevnar and subsequently developed thrombocytopenia. Additional information was received from a consumer. A father reported that his 2 month old son received his first dose of Prevnar on 2/28/03. According to the father, the infant had no pre-existing medical conditions. On 2/13/03, the infant reportedly received 4 other vaccines (unspecified) and experienced no reactions. Soon after Prevnar administration, the infant started feeling down. Approximately 24-48 hours post-vaccination, the infant reportedly developed blood spots under the skin all over his body later described as a petechial rash/pinpoint red spots. He was seen by a pediatrician, who referred the infant to an emergency room. In the emergency room, the infant's platelet count was reportedly 4000. The infant was transferred to another facility and was hospitalized in the intensive care unit. On admission, his platelet count was 4000. He was reportedly treated with IgG. A third platelet count was 2000, and IgG was administered again. The infant also reportedly received a transfusion of platelets. According to the father, the physician attributed the reaction to early destruction of platelets as a result of drug-induced immune thrombocytopenia. After five days of hospitalization, the infant was discharged. He continues to have his platelet counts monitored. Follow up information received from the physician's office on 9/22/03 provided information on the vaccines received within four weeks. A pharmacist reported that a patient received a dose of Prevnar and subsequently developed thrombocytopenia. Additional information was received from a consumer. A father reported that his 2 year old son received his first dose of Prevnar on 2/28/03. The infant had no relevant medical history. On 2/13/03, the infant received DTaP, Hepatitis B, HIB, and IPOL vaccines and experienced no reactions. Soon after Prevnar administratin, the infant started feeling down. Approximately 24-48 hours post vaccination, the infant reportedly developed blood spots under the skin all over his body later described as a petechial rash/pinpoint red spots. He was seen by a pediatrician, who referred the infant to an emergency room. In the emergency room, the infant's platelet count was reportedlly 4000. The infant was transferred to another facility and was hospitalized in the intensive care unit. On admission, his platelet count was 4000. He was reported treated with IgG. A third platelet count was 2000, and IgG was administered again. The infant also reportedly received a transfusion of platelets as a result of drug-induced immune thrombocytopenia. After five days of hospitalization, the infant was discharged. He continued to have his platelet counts monitored. On 4/2/03, a platelet count was performed; the physician reported that the result of 173,000 was within normal limits. The physician indicated that the infant recovered. A 15-day follow up report received 10/15/2003 adds no new info.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site pain, Injection site reaction
Clinical narrative: Information has been received from a pharmacist concerning a 72 year old post menopausal female pt with essential hypertension, osteoarthritis and a history of migraine headaches NOS who on 10/7/02 was vaccinated in the left upper arm with pneumonoccal vaccine 23 polyvalent (642720/0172M). Subsequently the pt developed redness, soreness, and swelling at the injection site and was later diagnosed with "full-blown cellulitis of the elbow." At the time of this report the pt had not recovered. The reporter expressed a concern regarding the lot number. Follow up info received from the pt's physician stated that the pt developed redness, swelling, pain and paresthesia in her "whole left upper arm consistent with localized cellulitis." He also noted that the symptoms persisted for two days duration and that no systemic symptoms were present. The pt was treated with an unspecified prescription drug. At the time of this report the pt was no longer being treated for her experience; however, it was unknown if the pt had recovered. Cellulitis and paresthesia were considered to be other important medical events (OMIC). Additional info has been requested. The records of testing prior to release of this lot have been checked by Compliance and found to be satisfactory. The lot complies with the standards of the Center for Biologics Evaluation and Research and was released.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Paraesthesia
Clinical narrative: Information has been received from a pharmacist concerning a 72 year old post menopausal female pt with essential hypertension, osteoarthritis and a history of migraine headaches NOS who on 10/7/02 was vaccinated in the left upper arm with pneumonoccal vaccine 23 polyvalent (642720/0172M). Subsequently the pt developed redness, soreness, and swelling at the injection site and was later diagnosed with "full-blown cellulitis of the elbow." At the time of this report the pt had not recovered. The reporter expressed a concern regarding the lot number. Follow up info received from the pt's physician stated that the pt developed redness, swelling, pain and paresthesia in her "whole left upper arm consistent with localized cellulitis." He also noted that the symptoms persisted for two days duration and that no systemic symptoms were present. The pt was treated with an unspecified prescription drug. At the time of this report the pt was no longer being treated for her experience; however, it was unknown if the pt had recovered. Cellulitis and paresthesia were considered to be other important medical events (OMIC). Additional info has been requested. The records of testing prior to release of this lot have been checked by Compliance and found to be satisfactory. The lot complies with the standards of the Center for Biologics Evaluation and Research and was released.