chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: M
Vaccine: DTAP, HEP, HIBV, HIBV
Symptoms: Autism, Drug toxicity, Nervous system disorder
Clinical narrative: This is in follow up to reports previously submitted on 4/4/03. Information has been received from a lawyer regarding a case in litigation concerning a male minor child who in 1994 and 1996 was vaccinated with hep B vaccine recombinant. Concomitant therapy included HIB conjugate vaccine (HIBTITER) in 1994; TRIPEDIA and HIB conjugate vaccine Haemophilus B conjugate vaccine (ACTHIB) in 1994 and 1995; and ACEL-IMUNE in 1999. It has been alleged that through these vaccinations administered to the pt during the first several years of his life, he received very high doses of mercury contained in thimerosal, a highly toxic preservative. It has been further alleged that as a result of the mercury in the thimerosal containing vaccinations received during these developmental years, the pt suffered and in the future will continue to suffer from the toxic neurological effects of mercury poisoning, including but not limited to autism. Upon internal review, toxic neurological effects, mercury poisoning, and autism were considered other important medical events (OMIC). Follow up on 12/03/03: "Additional information was received on 11/24/03 through a telephone call from Merck.  The reporter stated that the pt's age was nine-years old.  The time frame of the vaccinations was 1994 through 1999.  It was reported that the pt received ACTHIB in 1994 and 1996, TRIPEDIA in 1994 and 1995, HibTITER in 1999, and RECOMBIVAX HB in 1994.  The reporter also stated that the information received regarding this case came from the legal department and company policy only allows very little information to be released.  He stated that he had no further information at this time and did not expect an update.  No further information is anticipated, this case is considered closed.  Upon internal medical review, this case was assessed as "not medically confirmed".  Follow up on 04/07/04 states: "Additional information was received on 11/24/03 through a telephone call from manufacturer.  The reporter stated that the pt's age was 9 years old. The time frame of the vaccinations was 1994 through 1999. It was reported that the pt received ActHib in 1994 and 1996, Tripedia in 1994 and 1995. HibTiter in 1999, and Recombivax HB in 1994.  The reporter also stated that the information received regarding this case came from the legal dept and company policy only allows very little information to be released. He stated that he had no further information at this time and did not expect an update. No further information is anticipated, this case is considered closed. Upon internal medical review, this case was assessed as "not medically confirmed."
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Guillain-Barre syndrome, Pharyngolaryngeal pain
Clinical narrative: From initial information received on 5/16/03 from the patient's relative, regarding an adverse event, it was reported that a 74 year old female patient received FLUZONE SV 2002-2003, lot number U0930FA, given on 10/23/02. About one week later, the patient developed a sore throat and weakness in her legs, was seen by a health care professional. On 11/27/02, the patient was admitted to the hospital for three months and was diagnosed with GBS. Reportedly, it is unknown if the patient recovered. The patient had triple bypass surgery in 200 and has allergies to Penicillin and Protamine. The reporter will send additional information.  Follow up on 07/08/2003:.  Follow up on 01/21/04: "No additional information is anticipated. Case is closed."
Age: 1.0
Sex: F
Vaccine: HBHEPB
Symptoms: Bacterial infection, Drug ineffective
Clinical narrative: Information has been received from a health professional concerning a 12 month old female who in approximately 2/03 at the age of 12 months, was vaccinated with a second dose of Haemophilus B conjugate vaccine (+) hepatitis B vaccine recombinant (yeast) (lot # 642826/0250M). ON 4/15/02 at the age of two months, the patient was vaccinated with the first dose of Haemophilus B conjugate vaccine (+) hepatitis B vaccine recombinant (yeast) (lot # 638838/1759K). In approximately 6/02 at the age of four months, the patient was vaccinated with a dose of Haemophilus B conjugate vaccine (lot # 636470/0707K). The reporter indicated that the patient has since had HIB with the date of onset reported as 2/21/03, at which time the patient went to the emergency room. The patient had a blood culture that was positive for Haemophilus influenza type B. It was noted that treatment was required for the event and that the patient recovered. Upon internal review, Haemophilus influenza type B was determined to be an other important medical event (OMIC). Additional information has been requested.  Follow up on 06/30/2003: "Information has been received from a registered nurse concerning a 12 month old female who on 09/18/2002 was vaccinated with a second dose of Haemophilus B conjugate vaccine (+) hepatitis B vaccine recombinant (yeast)(Lot # 642826/0250M).  On 04/15/2002, at the age of two months, the patient was vaccinated with a first dose of Haemophilus B conjugate vaccine (+) hepatitis B vaccine recombinant (yeast)(Lot # 638838/1759K) at a health department.  On 06/18/2002, at the age of four months, the patient was vaccinated with a dose of Haemophilus B conjugate vaccine (lot # 636470/0707K) at a health department.  The reporter indicated that the patient "has since had Hib" with the date of onset reported as 02/21/2003, at which time the patient went to the emergency room.  On 02/24/2003 the patient had a blood culture that was positive for Haemophilus influenza type b.  It was noted that treatment and a prescription drug were required for the event and that the patient recovered.  A product quality complaint was not involved.  Follow up information was received from an epidemiologist which indicated that on 02/21/2003 the patient developed lung congestion and was hospitalized.  Haemophilus influenza was isolated from a blood culture.  The patient subsequently recovered.  Upon internal review, Haemophilus influenza type B was determined to be an other important medical event. (OMIC)  No further information is expected."
Age: 37.0
Sex: F
Vaccine: MMR
Symptoms: Malaise, Palpitations, Tachycardia, Tremor, Weight increased
Clinical narrative: Information has been received from a nurse practitioner concerning a 37 year old female patient, with no past medical history and no concomitant medications, who on 4/15/03 was vaccinated with a dose of MMR (second generation) (lot # 643715/0838M). It was noted that the patient was not ill at the time of vaccination. It was reported that the patient received tuberculin purified protein derivative (reported as a tuberculin skin test) on 3/31/03 (results not provided). On 4/17/03 the patient presented to employee health with a complaint of just not feeling right and whole body shakes. The patient was referred to her primary care physician. It was reported that the patient did not have insurance or a primary care physician so she had not been seen. The patient returned to employee health on 4/30/03 stating that the shakes (also reported as intermittent tremors) were continuing in the legs and hands to the point where she can not work and had to sit down and she also complained of tachycardia, palpitations, and weight gain. The reporter indicated that as far as she knew the patient was not treated with anything nor was she diagnosed with anything. It was unknown if the patient recovered. The patient had not been seen in employee health since 4/30/03. it was noted that no work up was done except for the physical exam. Upon internal review, body shakes to the point where she can not work was considered to be an important medical event (OMIC). Additional information has been requested. It was noted that the reporter had two other patient's had experiences after receiving a dose of MMR (second generation). This is a consolidation of two reports concerning the same patient.
Age: 58.0
Sex: F
Vaccine: PPV
Symptoms: Pneumonia, Pyrexia
Clinical narrative: Information has been received from a physician concerning a 58 year old healthy adult female with allergies who on 4/30/03 was vaccinated with a first dose of pneumococcal vaccine 23 polyvalent. There was no illness at the time of vaccination. Subsequently the pt developed a high fever of 103 and pneumonia. The physician indicated that the pt was sick for 3 to 5 days. No other information is available. Unspecified medical attention was sought. There was no product quality complaint. Follow up info from a physician indicated that the pt was seen in the local emergency room and was treated with antibiotics and steroids. It was noted that the pt has recovered. The physician also indicated that the pt does have allergies, "but they would have nothing to do with the vaccination." Upon internal review, a high fever of 103 and pneumonia were considered to be other important medical events (OMIC). Additional info has been requested.  Follow up on 07/17/2003: "Follow up information from a physician indicate that the patient was seen in the local emergency room and was treated with antibiotics and steroids (unspecified).  It was note that the patient was recovered.  The physician also indicated that the patient does have allergies, "bt they would have nothing to do with the vaccination".  On 06/17/2003, it was reported that "no additional information is available at this time."  Upon internal review, a high fever of 103 and pneumonia were considered to be other important medical events (OMIC)." A 15-day follow up report received 9/5/2003 adds: Follow up info on 08/25/2003 indicated that the physician has "not heard from the pt any more". No further info is expected.
Sex: M
Vaccine: HEP
Symptoms: Drug toxicity, Nervous system disorder
Clinical narrative: Information has been received from a legal firm regarding a case in litigation concerning a male minor child who was injected with vaccinations containing the toxic mercury-based preservative thimerosal during the period from January 1995 through July 1996. The alleged result of these vaccinations is that the pt suffers from and in the future will continue to suffer the toxic neurological effects of mercury poisoning. Follow up info was received on 4/30/03 in the form of an immunization history. It was reported that the pt was vaccinated with a first dose of hep B virus vaccine (612914/1150A) on 1/18/95, a second dose (612508/0957A) on 3/24/95, and a third dose (613926/0516B) on 8/23/95. Other immunizations includes Tetramune on 1/95 (384977), 3/24/95 (396963), and 5/16/95 (426149); diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid (435909) on 7/15/96; Haemophilus B conjugate vaccine (M230NA) on 4/5/96; Orimune on 1/9/95 (386938), 3/24/95 (390927) and 7/15/96 (433516); MMR II (616439/0887B) and varicella virus vaccine live (610251/0747B) on 12/11/95. Upon internal review, mercury poisoning and neurological disorder were considered to be other important medical events (OMIC). No further info is available. A copy of the pt's complete medical record is available upon request.
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Feeling hot, Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: 1st shot: hard knot in arm, sight redness. 2nd shot: bigger, hard knot, redness and swelling, about 1/2 area of bicep. 3rd shot: knot about size of silver dollar. Redness and swelling covered whole upper arm, very hot to the touch.
Age: 2.5
Sex: M
Vaccine: HEPA
Symptoms: Irritable bowel syndrome, Pyrexia
Clinical narrative: Elevated temp 101 degrees F abut 6 hours after vaccination and irritable. At 240 after vaccination temp 103 - irritable.
Age: 3.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Large red area swelling and inflammation thigh (local) about 3 cm x 5 cm.
Age: 1.08
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Rash
Clinical narrative: Mom reports that she and husband observed rash that looked like hives on baby around 5:30 PM (head, trunk, arms, legs). Baby had no fever. Had bottle x2 on the same day, and also exposure to cat. Went to ER. By 9:30 PM rash was mostly gone. And is gone today.
Age: 13.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Oedema
Clinical narrative: Red arm, swollen, started on 5/15/03.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site erythema, Injection site induration, Pain, Pruritus
Clinical narrative: Left arm with redness and induration from DTaP injection site from prox deltoid towards elbow 3 cm x 4 cm. Other injection site is not red or involved in area erythema, moderate itching, mild pain.
Age: 1.5
Sex: F
Vaccine: DTAP, HBHEPB
Symptoms: Erythema, Oedema
Clinical narrative: Swelling and redness right leg.
Age: 0.4
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Agitation
Clinical narrative: Received immunization at approx 15:00 on 03/04/03. Around 19:30 began screaming and could not be consoled. This lasted at least 2 hours when she finally fell asleep. Had called the doctor who said to give Tylenol which the mother was already doing. Denied limpness, paleness, fever, convulsion or irritation of injection site. When awoke the next AM was back to normal.
Age: 8.0
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Pruritus, Rash
Clinical narrative: Rash, itching
Age: 4.0
Sex: M
Vaccine: MMR
Symptoms: Pyrexia, Urticaria
Clinical narrative: Fever within hours of shot. Fever (last) 4-5 days. Severe, multiple hives day 3.
Age: 15.0
Sex: F
Vaccine: MEN
Symptoms: Arthralgia, Dizziness, Headache, Myalgia, Pyrexia
Clinical narrative: Fever, myalgias, arthralgias, tinnitus, headache, dizziness
Age: 15.0
Sex: F
Vaccine: MEN
Symptoms: Tinnitus
Clinical narrative: Fever, myalgias, arthralgias, tinnitus, headache, dizziness
Age: 15.0
Sex: F
Vaccine: MEN
Symptoms: Arthralgia, Dizziness, Headache, Myalgia, Pyrexia
Clinical narrative: Fever, myalgias, arthralgias, tinnitus, headache, dizziness.
Age: 15.0
Sex: F
Vaccine: MEN
Symptoms: Tinnitus
Clinical narrative: Fever, myalgias, arthralgias, tinnitus, headache, dizziness.
Age: 1.13
Sex: M
Vaccine: VARCEL
Symptoms: Laboratory test abnormal, Meningitis, Rash vesicular, Viral infection
Clinical narrative: Patient developed zoster rash of left arm; admitted to hospital. Meningitis (viral).
Age: 31.0
Sex: F
Vaccine: DTAP
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: 1.5" radius swollen hot red area around vax site.
Age: 24.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Purpura
Clinical narrative: Heroch Schonlein Purpura
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Diarrhoea, Nausea, Pyrexia
Clinical narrative: Within 22 hours of vaccination, developed fever to 102.7 with subsequent diarrhea and nausea. Resolved by Saturday, 5/17.
Age: 0.6
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Eye movement disorder, Hypotonia, Vomiting
Clinical narrative: Infant ate 1/2 jar baby food finishing around 7:00 PM. He vomited, his eyes rolled back, his body went limp and his lips turned bluish in color. Parents rushed him to ER. After waiting 20 minutes his color improved and he was smiling. Parents left with him to Immediate Care clinic rather than wait any longer to be seen at ER. Dr at Immediate Care found him to be OK. Suggested he not get so many shots at once next time. Currently without problems. Looking for doctor. New to area.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Pruritus
Clinical narrative: Redness and edema left arm from elbow to shoulder appeared on 5/15. On 5/16 edema gone, blotchy redness remained, warm to touch, child complained of itching. Child seen in clinic, evaluated by MD, who prescribed Benadryl prn and Keflex QID.
Age: 1.3
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Unevaluable event
Clinical narrative: Pt received vaccine two days ago on left thigh, now with reaction.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Right upper arm with redness, swelling and warmth.  Size of area 9cm x 7cm.  Immunizations administered 2 days ago.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Erythema, Swelling
Clinical narrative: Patient received Hep A vaccine and DTaP in Left deltoid on 04/18/2003.  Mother called health center and claims patient's left arm has been red and swollen for 4 days.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Patient received DTaP and MMR vaccines in Left deltoid and arm.  Patient also received IPV in Right deltoid.  Patient's left arm was very red and swollen from the elbow to the shoulder.  Patient was given Tylenol regularly and is starting to improve.
Age: 4.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: 7 x 8cm area on left deltoid of erythema, swelling and tenderness.  Encircled area with pen marking.  Recommend doctor visit if area of redness increases; recommend cold compress and pain reliever.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Oedema
Clinical narrative: Parent described large area of redness/edema.  Left deltoid area extending above the shoulder and into neck region.  Took child to ED on 05/15/2003 where Dr diagnosed cellulitis and placed child on Trimox for same.  Mother stated she could not get child to take any Tylenol or Advil after vaccination as advised.
Age: 1.1
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Erythema, Feeling hot, Gait disturbance, Swelling, Tenderness
Clinical narrative: 10 x 7 cm swelling, redness, tender to touch.  Warm to touch, limping.  Effusion left knee present no limitation of movement of joint.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Pruritus, Rash erythematous
Clinical narrative: Left deltoid area erthematous, raised, warm to touch.  Complained of itching at site.  Parent treated with Motrin for pain, topical corticosteroid to site to relieve complaint of itching.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Dyskinesia, Irritability, Laboratory test abnormal
Clinical narrative: Several hours after vaccines, had sudden onset head jerking and extreme irritability. Irritability x 2-3 hours. Admitted for observation. Head jerking resolved spontaneously.
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Agitation, Cough, Nasal congestion, Pyrexia
Clinical narrative: 15 month well baby exam 05/07/2003-slight nasal congestion.  Received DTAP #3, Hib #3, Prevnar #1 at 15:00.  05/07/2003: Evening temp to 102.3, irritable and up all night.  05/08/2003: Temp 100-101 F, slight high congestion/cough.  05/09/2003 AM: Temp 99 F, woke from PM nap with 103 F-To clinic at 14:00.  Temp: 105.6 (tym) 105 (R); Chest X-ray- Pneumonia, given rocephin IM.  Follow up 05/10/2003.  Temp: 100.3.
Age: 4.0
Sex: M
Vaccine: MMR
Symptoms: Urticaria
Clinical narrative: Patient developed hives on chest, shoulder, and back about 15 minutes after receiving MMR vaccine on arm.
Age: 33.0
Sex: M
Vaccine: TD
Symptoms: Feeling hot, Hypersensitivity, Injection site oedema
Clinical narrative: Swollen, tender, red, hot area at injection site.  Keflex started 500mg RO BID x 7 days.  Follow up on Monday-to urgent care of worse.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, HIBV, IPV
Symptoms: Decreased appetite, Eye pain, Feeling hot, Injection site oedema, Pyrexia
Clinical narrative: Fevers x2 days, poor appetite, eyes burning.  Patient received IPV & DTAP on Left Deltoid.  Site of injection is swollen, hot to touch, area not hard; is reddened.  Patient not acting same, less active 05/16/2003.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: 14:00: Vaccines administered.  05/15/2003-05/16/2003 @ 09:30: Left arm red, swollen, hot to touch.  Redness over entire deltoid left arm.  Reports Tylenol given.
Age: 34.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site oedema, Injection site pustule, Lymphadenopathy
Clinical narrative: On 05/05/2003: enlarged lymph nodes left cillia.  On the left forearm, just above the left elbow, there is a pustule with surrounding edema.  There are pustular lesions on his neck, shoulder blade and chest.  The lesions continued to appear through the time of the last check with was 05/15/2003.
Age: 0.4
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Urticaria
Clinical narrative: 4 month old immunizations given were DTAP, Comvax, IPOL and Prevnar on 05/13/2003.  ON 05/14/2003, patient had hives on.
Age: 0.6
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Urticaria
Clinical narrative: Developed red spotchy hives in forehead, scalp and face 15 minutes after vaccines administered.  Oral Benadryl given 1 tsp. at 16:50.
Age: 12.0
Sex: F
Vaccine: HEP, TD
Symptoms: Pain, Pyrexia
Clinical narrative: Fever, arm sore. The follow up states reaction occurred on 5/19/03. 5/20/03 came in to doc office. Pt was given Td and Hep B #2 on 5/19/03. Td was given in Rd that is where reaction occurred.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Swelling and redness of upper arm noted morning after immunization given.
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site oedema, Tenderness
Clinical narrative: 11cm x 7cm, red, hot, swollen, tender to touch at immunization site.
Age: 54.0
Sex: F
Vaccine: SMALL
Symptoms: Unevaluable event
Clinical narrative: 54 YO VA F REVACCINEE 10 WEEKS POST VACCINATION PERSISTENT SCAB, 2-3MM; MAJOR REACTION WITH NORMAL PROGRESSION, CLINICALLY STABLE; NO HISTORY OF WOUND HEALING PROBLEMS, IMMUNODEFICIENCY; WORKING DX: PERSISTENT SCAB UNDER INVESTIGATION
Age: 0.5
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Febrile convulsion, Pyrexia, Rash
Clinical narrative: elevated fever for approx 24h, rash. possible febrile seizure.
Age: 1.8
Sex: F
Vaccine: PNC
Symptoms: Anorexia, Confusional state, Diarrhoea, Heart rate increased, Irritability
Clinical narrative: Reactions day the vaccination was give: -fever 105 -vomiting -confusion -screaming and crying for long periods of time -irritable -fast heart beat -difficulty breathing -paleness -blank stare -shaking Treatment: She was taken to the emergency room that night, but was not helped.  Since that day: -fever of 102 to 105 for eight days -stopped eating and drinking -diarrhea for two days -rash -extremely irritable -hasn't slept through the night -screaming bouts -complains of her knees hurting Treatment: A number of doctors appointments, and still seaking treatment.
Age: 1.8
Sex: F
Vaccine: PNC
Symptoms: Pain, Pallor, Pyrexia, Rash, Screaming
Clinical narrative: Reactions day the vaccination was give: -fever 105 -vomiting -confusion -screaming and crying for long periods of time -irritable -fast heart beat -difficulty breathing -paleness -blank stare -shaking Treatment: She was taken to the emergency room that night, but was not helped.  Since that day: -fever of 102 to 105 for eight days -stopped eating and drinking -diarrhea for two days -rash -extremely irritable -hasn't slept through the night -screaming bouts -complains of her knees hurting Treatment: A number of doctors appointments, and still seaking treatment.
Age: 1.8
Sex: F
Vaccine: PNC
Symptoms: Staring, Vomiting
Clinical narrative: Reactions day the vaccination was give: -fever 105 -vomiting -confusion -screaming and crying for long periods of time -irritable -fast heart beat -difficulty breathing -paleness -blank stare -shaking Treatment: She was taken to the emergency room that night, but was not helped.  Since that day: -fever of 102 to 105 for eight days -stopped eating and drinking -diarrhea for two days -rash -extremely irritable -hasn't slept through the night -screaming bouts -complains of her knees hurting Treatment: A number of doctors appointments, and still seaking treatment.
Age: 38.0
Sex: F
Vaccine: TTOX
Symptoms: Headache, Injection site erythema, Injection site oedema, Pain, Pyrexia
Clinical narrative: Patient recieved vaccine 5/21. Today, he reported by phone developing fever of 102 approx. 24 hrs after injection, c/o headache and generalized body aches.  Reports swelling and redness approx. 4" in diameter around site of injection. Tx patient with 800mgs Ibuprofen TID and ice applied to the site.  Instructed to see doctor if fever did not respond to Ibuprofen.
Age: 64.0
Sex: F
Vaccine: SMALL
Symptoms: Arthritis, Condition aggravated
Clinical narrative: Severe incapacitating flare up of pre-existing osteoarthritis (hips, thumbs and both shoulder joints), on day 60 after vaccination. No fever.  Was treated with Vioxx and improved.
Age: 33.0
Sex: F
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: 33 YO F NOT VACCINATED; NON-ITCHY RASH; NO HISTORY OF CONTACT WITH VACINEES; FINAL DX: RASH NOT ASSOCIATED WITH VACCINIA.
Sex: M
Vaccine: SMALL
Symptoms: Abdominal pain, Back pain, Neck pain
Clinical narrative: A female consumer reported that a male person (birthdate not identified) received smallpox vaccine (manufacturer unknown) in 1950 (exact date of immunization not specified). Subsequent to immunization, he experienced abdominal pain, neck pain and back pain. The consumer also reported that this person experienced adverse events following receipt of an influenza vaccine in 1995. See related case HQ5595503DEC2002. This information was received from manufacturer research laboratories. No additional info was available as of the date of this report.
Age: 55.0
Sex: M
Vaccine: SMALL
Symptoms: Chest discomfort, Dyspnoea, Hyperhidrosis, Pain
Clinical narrative: Experienced chest discomfort with diaphoresis approximately 5-6 days after immunization. Pain increased with deep breathing with some relief from B-? inhaler. Pt eventually evaluated at the ER-CABG x2. No history or symptoms of cardiac Dz.
Age: 46.0
Sex: F
Vaccine: SMALL
Symptoms: Chest discomfort, Fatigue, Weight increased, Wheezing
Clinical narrative: Mild "gurgling" in chest and wheezing when "jogging on Mar 24-27 and then again April 1 thru April 6 with discomfort. Has pacemaker which was decreased to rate 50 (resting) day before vaccine. Consulted cardiologist, had occup hltn and ER visits but no specific findings. Smallpox vaccine was given to pt on 3/18/03. Pt has had a pacemaker for > 5 years. On 3/17 (the day before the vaccine was given) she had an appt with her cardiologist and had cardiac ECHO and other tests and all was reported to her as okay. Pacemaker resting rate was decreased from 60 to 50. On the 7th day after the vaccine, 3/24, she expereinced a mild gurgling sound in her chest and throat upon awakening, and some wheezing and chest tightness when jogging. Those symptoms continued for three days. She also had fatigue and a weight gain of a few pounds but with no change in eating habits. On 3/27, she reported the symptoms to the vaccine site monitor nurse who, upon consultation with the health physician, advised pt to see her cardiologist and gave pt couples of the CDC info on smallpox and cardiac warning to present to her doctor. Pt phoned her Dr's office on March 28th but was not able to get an appt and her doctor's office advised ehr to go to urgent care if she got worse. Pt was seen on 4/1 by the registered nurse at her cardiologist's office. No action was taken and advice was to call in if symptoms increased. Pt reports that the nurse speculated that her symptoms may have been due to the vaccine and were not related to the decreased rate of her pacemaker. The symptoms did increase and she also experienced more chest "discomfort" so on 4/3 the health physician transported her to occupational health who were doing any smpox vacc follow-up. Occup health referred her to the ER and told pt they would fax the info there. Pt reports that the ER blood was drawn, a rectal eam was done, an EKG and chest x-ray were done. Several doctors saw her and each doctor asked her why she was there, and denied having seen the fax. Pt reports that she was discharged after several hours, was told that everything was okay but that she should call her cardiologist to get a "nuclear medicine stress test." No written referral or results were given to her. She was given a preprinted handout about chest pains. She reports that hse had night sweats on 4/3 through 4/6. The chest tightness and other symptoms went away and pt does not plan follow up unless she has severe symptoms. Pt has not had any chest pressure or wheezing since her 4/3 emergency room visit.
Age: 53.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site reaction, Rash
Clinical narrative: Primary scab came off 3/23/03. Second scab formed 3/25 (small amount drainage). Noted flat, red rash on neck and face first on 3/28, all over body by 3/30. Feels feverish and hot but temp 98 degrees F. Denies exposure to anyone with rash illness. Pt still has symptoms.
Age: 1.9
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Infection transmission via personal contact, Pruritus, Skin ulcer
Clinical narrative: NOTE: Vaccine listed was given to patient's father(Says he kept site covered with bandage or long sleeves)*Suspected inadvertant inoculation in son. On 5/12/03, parents noted a small pimple-like lesion on son's L) cheek, which later had a 2-3cm area of erythematous plaque around it. Took to the doctor a few days later, when there were several facial lesions on R)cheek, around R)ear, nose, and chin. No vessicles or pustules. Over week-end of 5/17 and 5/18, many of lesions resolved, but some new lesions appeared. Asymptomatic except for mild pruritis.
Age: 0.1
Sex: F
Vaccine: HEP
Symptoms: Musculoskeletal stiffness, Staring
Clinical narrative: Started to be very stiff and stare daily.
Age: 0.2
Sex: F
Vaccine: DTAP, HBPV, IPV, PPV
Symptoms: Diarrhoea, Musculoskeletal stiffness, Staring
Clinical narrative: stiffness, staring and runny stool.
Age: 1.0
Sex: F
Vaccine: PNC, VARCEL, PNC, VARCEL
Symptoms: Erythema multiforme, Urticaria
Clinical narrative: Pt had hive like rash Hives vs. Erethyma Multiforme
Age: 1.0
Sex: F
Vaccine: PNC, VARCEL, PNC, VARCEL
Symptoms: Urticaria
Clinical narrative: Pt had hive like rash Hives vs. Erethyma Multiforme
Age: 1.7
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Feeling hot
Clinical narrative: Large, 11.5 x 13.5 area of erythema left thigh. Slightly warm to touch.
Age: 21.0
Sex: F
Vaccine: HEPAB
Symptoms: Urticaria
Clinical narrative: Hives under armpits
Age: 45.0
Sex: M
Vaccine: TTOX
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site warmth, Myalgia
Clinical narrative: Muscle oreness, redening and swelling of upper right arm around the area of injection.  The affected area also felt "hot" to the touch and muscle felt "hard" .    Treatment: Avelox 400mg.  Once a day for ten days.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: RIGHT LEG RED, SWOLLEN, HOT TO TOUCH. AUGMENTIN ES 600MG WAS THE TREATMENT.
Age: 1.3
Sex: M
Vaccine: MMR, PNC
Symptoms: Dysphagia, Erythema, Urticaria
Clinical narrative: Within 5 minutes of recieving the vaccine, patient broke out in severe hives on his scalp, face, neck and arms and seemed to be progressing toward difficulty swallowing.  His face became beet red.  Doctor administered Benadryl immediately and withing 15 minutes, the reaction subsided.
Age: 28.0
Sex: F
Vaccine: ANTH
Symptoms: Asthenia, Eye pain, Fatigue, Headache, Insomnia
Clinical narrative: After my first vaccination, I head headaches off and on for about four days , but they did go away.  Approximately 3 hours after the second vaccination was given, I started experiencing blurred vision in my right eye.  Approximately 10 minutes later I started having shooting pain from my left eye, down the side of my head, and down my neck.  The intense pain remained for about 24 hours.  Regular headache medicine did nothing for the pain, but stronger headache medicine dulled the pain a little.  I am still having head pain in a less severe intensity four days later with accompanied decline in energy.  I am extremely tired, and then I have trouble sleeping when I try to sleep.
Age: 28.0
Sex: F
Vaccine: ANTH
Symptoms: Neck pain, Vision blurred
Clinical narrative: After my first vaccination, I head headaches off and on for about four days , but they did go away.  Approximately 3 hours after the second vaccination was given, I started experiencing blurred vision in my right eye.  Approximately 10 minutes later I started having shooting pain from my left eye, down the side of my head, and down my neck.  The intense pain remained for about 24 hours.  Regular headache medicine did nothing for the pain, but stronger headache medicine dulled the pain a little.  I am still having head pain in a less severe intensity four days later with accompanied decline in energy.  I am extremely tired, and then I have trouble sleeping when I try to sleep.
Age: 29.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Dermatitis contact, Rash
Clinical narrative: pt. a paramedic on post vaccination day 20 developed a rash on cheekbone, 2 macules, progressed to papules on an erythematous base.  Pt had history of contact dermatitis to poison ivy and had recently handled poison ivy and touched face. Began taking systemic steroids on post vaccination day 22 after the site scab had fallen off.  Rash resolved by post vaccination day 27.
Age: 29.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Rash maculo-papular
Clinical narrative: pt. a paramedic on post vaccination day 20 developed a rash on cheekbone, 2 macules, progressed to papules on an erythematous base.  Pt had history of contact dermatitis to poison ivy and had recently handled poison ivy and touched face. Began taking systemic steroids on post vaccination day 22 after the site scab had fallen off.  Rash resolved by post vaccination day 27.
Age: 42.0
Sex: M
Vaccine: SMALL
Symptoms: Unevaluable event
Clinical narrative: Smallpox vaccination administered 5/16/03.
Age: 1.5
Sex: F
Vaccine: DTAP, IPV
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: Pt got a DTaP #4 shot on 5/14/03 in right thigh IM. Reaction started the morning of 5/16/03 with a 17.5 x 9.5cm diffuse pink, warm swollen area. Was given Benadryl for symptoms.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site induration
Clinical narrative: Skin reaction to right thigh 4" induration. Tx Motrin. No fever. No pain.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Swelling, erythema, redness.
Age: 0.6
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Convulsion
Clinical narrative: 4/18/03: mother took infant to ER due to seizure activity. Infant was afebrile, saw neurologist, who prescribed phenobarbital. The mother states MD told her it was an allergic reaction to a vaccine but not sure which one. Also 4/19 infant taken back to ER for more seizure activity. Has appointment May 5 for followup. 4/28/03: attempted to contact mother to follow up, phone is disconnected. 5/7/03: letter mailed to mother requesting her to contact me to update on how infant is doing. Also phone call was made to MD prior to letter being mailed. Receptionist states the office can't give any information to me. I explained I was following up the mother reporting on reaction to a vaccine and the infant seeing MD for seizures. Also tagged WIC green card with note for mom to sign request for records of MD and see the nurse while here to update. 5/14/03: tried to call MD's office, I explained I have not heard from the mother despite mailing letters, etc. I told her please have the mother sign the Release of Information in her office of if I see her first I have one for her to sign. Discussed above with Imm Coordinator for area.
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Convulsion, Pyrexia
Clinical narrative: Immunization 3/19/03 approx 4 PM, developed fever to 101 that evening (had a cough and R/N for 24 hours prior to vaccine administration), temp up to 103 AM of 3/20/03 and had seizure activity as reported by mother - went to ER via ambulance.
Age: 1.25
Sex: F
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Developed redness, warmth, swelling right anterior thigh less than 24 hours after immunization.
Age: 21.0
Sex: M
Vaccine: RAB
Symptoms: Body temperature increased, Vomiting
Clinical narrative: Donor received rabies shot on 5/12/03 and had an elevated temp of 100.2 degrees F on 5/13/03. He stated not feeling well on the day after he received the shot. Temp on 5/14/03 was 102.5 degrees F and 203.2 degrees F on 5/15/03. In addition, donor reported that he vomited on 5/15/03 evening and felt better afterward.
Age: 47.0
Sex: F
Vaccine: HEP
Symptoms: Musculoskeletal stiffness, Myalgia
Clinical narrative: About 3-4 days after 3rd Hepatitis B injection (given on 3/21/03) pt reports she experienced sore, red hands and wrists. She also complained her ankles and neck were sore. It cleared after 3-4 days.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Pyrexia, Rash, Urticaria
Clinical narrative: Rash with hives over entire body. Fever 7 days after MMR #1.
Age: 2.0
Sex: M
Vaccine: DTAP, HBPV, MMR
Symptoms: Erythema, Pyrexia, Rash
Clinical narrative: Fever started exactly one week after shot. Fever lasted 3 days, on third day rash started on face 3 PM, by 7 PM rash all over body (9/27/02). Rash lasted seven days (10/3/03). Still present for few more days but fading. Rash was red and deep purple.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Agitation, Dermatitis bullous, Erythema, Infection, Oedema
Clinical narrative: About 5 182 hrs after immunization, pt had welts (hives) all over her face and it was very red and swollen, she was very fussy. On May 9th she developed (as diagnosed by her Dr) a few chicken pox, fever of 103.4 (axillary) lasting for 3 days. On May 11th she formed a rash on her back, face and arms that looked like measles or rubella.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Pyrexia, Urticaria
Clinical narrative: About 5 182 hrs after immunization, pt had welts (hives) all over her face and it was very red and swollen, she was very fussy. On May 9th she developed (as diagnosed by her Dr) a few chicken pox, fever of 103.4 (axillary) lasting for 3 days. On May 11th she formed a rash on her back, face and arms that looked like measles or rubella.
Age: 4.5
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Oedema, Pain, Urticaria
Clinical narrative: Swelling of left upper arm, painful and warm to the touch. Parents noticed swelling on next day 5/15 around 6pm. Mom also noticed hives on 5/15/, around 6pm.
Age: 4.9
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot
Clinical narrative: R upper arm red 3 1/2x 4, warm to touch, sl. firm 5/16/03. Mom used ice and Benadryl.
Age: 4.75
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Contusion, Injection site erythema, Injection site warmth
Clinical narrative: Warm, red, swollen and bruised at injection site and around sit eon Rt upper arm. Tx: give Benadryl, Motrin and place cool wash cloth on site. Pt doing well after 12/24 hrs. No further problems noted per mom.
Age: 0.5
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema
Clinical narrative: Redness around injection site-then on 5/17 redness increased and diameter of redness increased-per MD Tylenol and ice.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Apnoea, Pyrexia, Rash
Clinical narrative: Fever same day administration and apneic spells-taken to emergency room rash appeared 24 hrs post appeared on arm, then progressed to trunk and extremities. Admitted to hospital on 5/19/03.
Age: 1.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia, Rash
Clinical narrative: Pt had a fever one week following her vaccines of 103 degrees (with Advil). For 3 days - rash followed 4th and 5th day went to MD on 5th day. Also her right foot turned in - she stumbled into walls and fell down for 4 days.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Urticaria
Clinical narrative: Urticaria, half hour following administration of vaccines, .2 cc epinephrine, sq., left arm given by MD. Then 1.5 tsp Benedryl, to be followed every 6 hours.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Screaming
Clinical narrative: Infant given Imm approx 11:00 AM (1/24/03). "Fussed" after shots were given. Mom gave Tylenol po. Baby ate and then slept for one hour (12:00-1:00). Screamed from 1-7. Fell asleep at 8:00 PM, slept all night. Gave appropriate dosing Tylenol. Baby fine after next day. No fever, no redness at site, no swelling at site, "crying only problem" per mom. Mom did no follow up.
Age: 44.0
Sex: F
Vaccine: MMR, TD
Symptoms: Arthralgia, Oedema, Pain, Pyrexia, Rash
Clinical narrative: Low grade temp and ache on 5/4/03. Rash started on 5/4/03 over entire body, swollen-painful right knee.
Age: 31.0
Sex: M
Vaccine: TD
Symptoms: Contusion, Injection site erythema, Injection site induration
Clinical narrative: Pt administered tetanus at local hospital not in deltoid - erythema 17 cm x 15.5 cm, bruising center about 4 cm x 5.5 cm, induration present.
Age: 2.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Local redness/swelling 3" diameter. Tx cold compresses.
Age: 12.0
Sex: F
Vaccine: TD
Symptoms: Hypoaesthesia, Peripheral coldness, Rash, Tremor
Clinical narrative: Vaccine administered at approx 9 AM. By 1:30 PM she reported feeling ill, hands cold and fingers numb bilaterally, general shakiness, some deep breathing. Was sent to her physician and developed a rash by the time she got there on arm and neck. Treated and released.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Pain
Clinical narrative: About 7AM noted left deltoid area erythema/swollen when child complained of pain. States has doubled in size since first seen. Area on arm was very firm. 18 cm from top of shoulder and arm and 15 cm around deltoid.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Urticaria
Clinical narrative: Mild urticarial lesions on face, head, neck, abdomen, chest, arms and upper legs. Physical exam otherwise normal. Given Benadryl and hives resolved.
Sex: M
Vaccine: OPV
Symptoms: Dyspnoea, Lung disorder, Lung neoplasm malignant, Respiratory arrest
Clinical narrative: A legal complaint was received from an attorney regarding an adult male. The decedent's history includes exposure to asbestos and asbestos-containing products. According to the legal complaint, sometime in the 1960's or 1970's, decedent was administered OPV or IPV. On or about 2002, the decedent was reportedly diagnosed with mesothelioma. The legal complaint states that the decedent's exposure to asbestos, asbestos-containing products, and the SV40 virus caused severe and permanent injury to the plaintiff, including, but not limited to breathing difficulties, asbestosis, lung and/or other cancer, mesothelioma, and/or other lung damage. On 10/11/02, he died. The death certificate lists the immediate cause of death as respiratory arrest due to mesothelioma.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site mass, Pruritus
Clinical narrative: Pruritis at vax site 6 bumps, raised area, in quarter-sized.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Feeling hot
Clinical narrative: RIGHT THIGH 30 CM WARM/ERYTHEMATOUS.  LEFT THIGH 28 CM WARM/ERYTHEMATOUS.
Age: 0.5
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Agitation, Condition aggravated, Convulsion, Emotional disorder, Emotional distress
Clinical narrative: Patient was given 3 rounds of immunizations and subsequently following each set of shots she exhibited emotional, physical, and mental distress.  After the first set, she exhibited "twitching" in both hands.  After the second set, she exhibited additional "twitching" of her head and neck.  On the final set of shots, the low-grade fever brought on by the immunizations triggered seizures that had earlier been treated and found to be gone.  Patient was treated for two weeks in NICU following birth because of birthing brain injury causing seizures.  She was placed on Phenobarbital and eventually out-grew the seizures at the age of 4 months.  It wasn't until the last set that we experienced uncontrollable crying, inability to comfort, puffy and sore leg muscles, low grade fever in the 99's, restless sleep, and finally a reoccurrence of seizure activity.  These symptoms and signs lasted for nearly 2 weeks before patient was put back on Phenobarbital and resumed normal activity.  Patient exhibited no warning signs for seizure activity until final round of immunizations.  Two months prior to Phenobarbital being reintroduced an EEG was performed and no seizure activity was present.  Last EEG was given the day of an especially rough 24 hours of seizure activity and overall physical, emotional, and mental distress.    Addendum to #21:  October 22, 2002 patient received DTaP(infanrix), Hib + Hep B(Comvax), Polio virus Inact., and Pneumo 7-valent(Prevnar).  January 9, 2003 patient received DTaP(infanrix), Hib + Hep B(Comvax), and Polio virus Inact.
Age: 0.5
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Muscle twitching, Myalgia, Pyrexia, Restlessness, Screaming
Clinical narrative: Patient was given 3 rounds of immunizations and subsequently following each set of shots she exhibited emotional, physical, and mental distress.  After the first set, she exhibited "twitching" in both hands.  After the second set, she exhibited additional "twitching" of her head and neck.  On the final set of shots, the low-grade fever brought on by the immunizations triggered seizures that had earlier been treated and found to be gone.  Patient was treated for two weeks in NICU following birth because of birthing brain injury causing seizures.  She was placed on Phenobarbital and eventually out-grew the seizures at the age of 4 months.  It wasn't until the last set that we experienced uncontrollable crying, inability to comfort, puffy and sore leg muscles, low grade fever in the 99's, restless sleep, and finally a reoccurrence of seizure activity.  These symptoms and signs lasted for nearly 2 weeks before patient was put back on Phenobarbital and resumed normal activity.  Patient exhibited no warning signs for seizure activity until final round of immunizations.  Two months prior to Phenobarbital being reintroduced an EEG was performed and no seizure activity was present.  Last EEG was given the day of an especially rough 24 hours of seizure activity and overall physical, emotional, and mental distress.    Addendum to #21:  October 22, 2002 patient received DTaP(infanrix), Hib + Hep B(Comvax), Polio virus Inact., and Pneumo 7-valent(Prevnar).  January 9, 2003 patient received DTaP(infanrix), Hib + Hep B(Comvax), and Polio virus Inact.
Age: 0.5
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Swelling
Clinical narrative: Patient was given 3 rounds of immunizations and subsequently following each set of shots she exhibited emotional, physical, and mental distress.  After the first set, she exhibited "twitching" in both hands.  After the second set, she exhibited additional "twitching" of her head and neck.  On the final set of shots, the low-grade fever brought on by the immunizations triggered seizures that had earlier been treated and found to be gone.  Patient was treated for two weeks in NICU following birth because of birthing brain injury causing seizures.  She was placed on Phenobarbital and eventually out-grew the seizures at the age of 4 months.  It wasn't until the last set that we experienced uncontrollable crying, inability to comfort, puffy and sore leg muscles, low grade fever in the 99's, restless sleep, and finally a reoccurrence of seizure activity.  These symptoms and signs lasted for nearly 2 weeks before patient was put back on Phenobarbital and resumed normal activity.  Patient exhibited no warning signs for seizure activity until final round of immunizations.  Two months prior to Phenobarbital being reintroduced an EEG was performed and no seizure activity was present.  Last EEG was given the day of an especially rough 24 hours of seizure activity and overall physical, emotional, and mental distress.    Addendum to #21:  October 22, 2002 patient received DTaP(infanrix), Hib + Hep B(Comvax), Polio virus Inact., and Pneumo 7-valent(Prevnar).  January 9, 2003 patient received DTaP(infanrix), Hib + Hep B(Comvax), and Polio virus Inact.