chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 25.0
Sex: F
Vaccine: SMALL
Symptoms: Urticaria
Clinical narrative: 1/6/04- Patient stated that although she told the vaccinator that she had a history of eczema, she was given smallpox vaccine- developed "hives" on left anticubital fossa- sx resolved within 1 ½ hour. 1/9/04- anthrax #2- no problems 1/14/04- developed a mild left cervical lymphadenopathy and left arm lymphangitis 1/16/04- noticed rashes (7 lesions) on her left shoulder and upper back area.  Rashes pruritic but non-tender.  Left cervical lymphadenopathy and left arm lymphangitis worsening. 1/20/04- Above sxs "better"- rashes resolving 1/23/04- feels well- no medical complaints
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cough, Eye oedema, Rhinorrhoea, Wheezing
Clinical narrative: Approx 5 min after vaccine given, patient developed coughing clear rhinorrhea, progressed to facial swelling of eyes and wheezing, Benadryl 0.5mg given and patient improved within 5 minutes, continued to cough, color, swelling improved, wheeze cleared within 10 min, B/P 86/58, p-96, R-24,, to Dr's clinic for assessment.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Vomiting
Clinical narrative: vomiting after each feeding, started 1 hour after vaccines given
Age: 1.3
Sex: F
Vaccine: DTAP, MMR
Symptoms: Erythema, Eye irritation, Oedema peripheral, Pyrexia, Rash
Clinical narrative: Mother states the morning after vaccines given 1-16-04, temp 101F, deep red/swollen arm-arm enlarged elbow to shoulder, rash on arm/shoulder/neck and back and chest, deep red and thick runny nose and itchy eyes.  Mother called ER and tld to give Benadryl, which she did and symptoms decreased within 30 minutes, arm stayed swollen and less red another day or two, saw MD 1/20/04 for check up.
Age: 1.3
Sex: F
Vaccine: DTAP, MMR
Symptoms: Rhinorrhoea
Clinical narrative: Mother states the morning after vaccines given 1-16-04, temp 101F, deep red/swollen arm-arm enlarged elbow to shoulder, rash on arm/shoulder/neck and back and chest, deep red and thick runny nose and itchy eyes.  Mother called ER and tld to give Benadryl, which she did and symptoms decreased within 30 minutes, arm stayed swollen and less red another day or two, saw MD 1/20/04 for check up.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: Vomiting began two hours after vaccine administration and continued for 12 hours.
Age: 4.0
Sex: F
Vaccine: PNC
Symptoms: Asthenia, Blood gases abnormal, Blood glucose increased, Blood sodium decreased, Dehydration
Clinical narrative: Patient was vaccinated with Prevnar on 4/25/2001 and approximately 6 months later was diagnosed with type 1 diabetes.  Diabetes does not run in our family. 60-day follow up on 04/14/04: "Pt has not recovered from adverse events.  She is a type I (insulin dependant) diabetic." Medical records states weak, lethargic, polyuria, dehydration.
Age: 4.0
Sex: F
Vaccine: PNC
Symptoms: Diabetes mellitus, Ketoacidosis, Lethargy, Polyuria
Clinical narrative: Patient was vaccinated with Prevnar on 4/25/2001 and approximately 6 months later was diagnosed with type 1 diabetes.  Diabetes does not run in our family. 60-day follow up on 04/14/04: "Pt has not recovered from adverse events.  She is a type I (insulin dependant) diabetic." Medical records states weak, lethargic, polyuria, dehydration.
Age: 25.0
Sex: F
Vaccine: TTOX
Symptoms: Arthritis, Erythema, Feeling hot, Laboratory test abnormal, Pain
Clinical narrative: 3 months after I received the Td vaccine I noticed swelling, warmth, and readness to my left deltoid muscle.  This progressively got worse until 5 months later when it was very tender and painful.  It woke me from sleep and I went to the ER and was diagnosed with cellulitis.  I took Keflex 500mg BIDX10 days and the swelling resolved a little.  I had an MRI later that week and it revealed 'infiltrate' in my whole deltoid muscle.  I then had a muscle biopsy.  I then developed a reactive arthritis in most of my joints, diagnosed by my newly aquired rhuematologist to be due to the inflammatory process in my left deltoid.  The arthritis is slowly resolving, I was taking 12 advil a day and am now down to three a day.
Age: 25.0
Sex: F
Vaccine: TTOX
Symptoms: Swelling, Tenderness
Clinical narrative: 3 months after I received the Td vaccine I noticed swelling, warmth, and readness to my left deltoid muscle.  This progressively got worse until 5 months later when it was very tender and painful.  It woke me from sleep and I went to the ER and was diagnosed with cellulitis.  I took Keflex 500mg BIDX10 days and the swelling resolved a little.  I had an MRI later that week and it revealed 'infiltrate' in my whole deltoid muscle.  I then had a muscle biopsy.  I then developed a reactive arthritis in most of my joints, diagnosed by my newly aquired rhuematologist to be due to the inflammatory process in my left deltoid.  The arthritis is slowly resolving, I was taking 12 advil a day and am now down to three a day.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Asthenia, Flushing, Vomiting
Clinical narrative: flushing-2hrs vomiting-3hrs weakness-3hrs
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Disorientation, Flushing, Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: This 28 year-old, who had been in his usual health, reported for administration of his primary anthrax vaccination on 05 Dec 2003. The client stated that he had not previously had any adverse events related to any vaccination that he had received. On 05 Dec 2003, approximately 15 minutes after receiving his anthrax vaccination he reports feeling like he was "disoriented" "like things were going in slow motion" and "itching all over, especially in face". He stated that he did not experience any visible rashes or erythema. His face reportedly became slightly red. He denies any shortness of breath or sensation of swelling of his throat or tongue. The client stated that his injection site became "immediately red and puffy". All of his symptoms began within 15 minutes of receiving his vaccination. He reported to sick call and was given Benadryl 50mg intramuscularly (IM) which relieved his symptoms within "a few minutes"
Age: 60.0
Sex: M
Vaccine: HEPAB
Symptoms: Chills, Fatigue, Hyperhidrosis, Liver function test abnormal, Neck pain
Clinical narrative: This case was reported by a physician and described the occurrence of increased liver function tests in a 60 year old male pt with hep C who received hep A inactivated and hep B recombinant vaccine (Twinrix). The pt's past medical history included hepatitis C and "liver function tests" (NOS) that were "twice the upper limit of normal" at baseline. Concurrent medications included pirbuterol and methylcellulose. On 11/19/03, the pt received the first dose of Twinrix. Approximately 10 days later, on 11/29/03, the pt developed increased liver function tests, a fever of 102 deg F, chills, sweating, fatigue, tingling in his toes, weight loss and chronic neck pain. On an unspecified date, the pt also developed an elevated erythrocyte sedimentation rate. On 12/18/2003, the pt received the second dose of Twinrix. Approximately two hours after the second administration, the pt's fever "went up." At the time of reporting, the pt's liver function tests were "four times upper limit of normal," and he had experienced a weight loss of thirty pounds over an unspecified time interval. The events were unresolved at the time of reporting. The physician considered the events to possibly be related to vaccination with Twinrix. A weight loss of thirty pounds was considered to be medically serious (OMIC) by manufacturer.
Age: 60.0
Sex: M
Vaccine: HEPAB
Symptoms: Paraesthesia, Pyrexia, Red blood cell sedimentation rate increased, Vaccine positive rechallenge, Weight decreased
Clinical narrative: This case was reported by a physician and described the occurrence of increased liver function tests in a 60 year old male pt with hep C who received hep A inactivated and hep B recombinant vaccine (Twinrix). The pt's past medical history included hepatitis C and "liver function tests" (NOS) that were "twice the upper limit of normal" at baseline. Concurrent medications included pirbuterol and methylcellulose. On 11/19/03, the pt received the first dose of Twinrix. Approximately 10 days later, on 11/29/03, the pt developed increased liver function tests, a fever of 102 deg F, chills, sweating, fatigue, tingling in his toes, weight loss and chronic neck pain. On an unspecified date, the pt also developed an elevated erythrocyte sedimentation rate. On 12/18/2003, the pt received the second dose of Twinrix. Approximately two hours after the second administration, the pt's fever "went up." At the time of reporting, the pt's liver function tests were "four times upper limit of normal," and he had experienced a weight loss of thirty pounds over an unspecified time interval. The events were unresolved at the time of reporting. The physician considered the events to possibly be related to vaccination with Twinrix. A weight loss of thirty pounds was considered to be medically serious (OMIC) by manufacturer.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Haemoglobin decreased, Infection, Laboratory test abnormal, Platelet count increased, Pyrexia
Clinical narrative: 10 days after immunization on 9/16/03, began with fevers and arthritis and diagnosed with systemic Juvenile Rheumatoid Arthritis. Kawasaki disease. Juevenile rheumatoid arthritis, systemic manifestation. Follow-up: Continues to have JRA but doing well on medications. Per annual follow up report still rash on stomach 12/4, M says he is occasionally stiff. Intercurrent infection with toxoplasmos is last spring has clouded the picture.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Rash, Rheumatoid arthritis, Toxoplasmosis
Clinical narrative: 10 days after immunization on 9/16/03, began with fevers and arthritis and diagnosed with systemic Juvenile Rheumatoid Arthritis. Kawasaki disease. Juevenile rheumatoid arthritis, systemic manifestation. Follow-up: Continues to have JRA but doing well on medications. Per annual follow up report still rash on stomach 12/4, M says he is occasionally stiff. Intercurrent infection with toxoplasmos is last spring has clouded the picture.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Coma, Cough, Cyanosis, Dyspnoea
Clinical narrative: A 22 year old received her flu shot between 0600 and 0800 hrs on Friday, 1/9/04. Pt worked 4 hrs following the shot then, because she wasn't feeling well and had a fever, went home. She saw her to the doctor on Monday, 1/12/04, as she wasn't feeling well. Pt died on Wednesday, 1/21/04. The pt's husband, relayed that his wife was being treated for hypertension and diabetes. He added that when she saw her doctor on 1/12, that he was concerned about her blood pressure. The husband also said that she was coughing and had a hard time breathing when she was laying down. The ER record received on 3/8/04 states cyanosis and pale.  Chills, sweats, fatigue, unresponsive.  Nurse follow up on 06/18/04 states: "Add: Acute Bronchial Pneumonia."
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Hyperhidrosis, Malaise, Pallor, Pneumonia
Clinical narrative: A 22 year old received her flu shot between 0600 and 0800 hrs on Friday, 1/9/04. Pt worked 4 hrs following the shot then, because she wasn't feeling well and had a fever, went home. She saw her to the doctor on Monday, 1/12/04, as she wasn't feeling well. Pt died on Wednesday, 1/21/04. The pt's husband, relayed that his wife was being treated for hypertension and diabetes. He added that when she saw her doctor on 1/12, that he was concerned about her blood pressure. The husband also said that she was coughing and had a hard time breathing when she was laying down. The ER record received on 3/8/04 states cyanosis and pale.  Chills, sweats, fatigue, unresponsive.  Nurse follow up on 06/18/04 states: "Add: Acute Bronchial Pneumonia."
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: A 22 year old received her flu shot between 0600 and 0800 hrs on Friday, 1/9/04. Pt worked 4 hrs following the shot then, because she wasn't feeling well and had a fever, went home. She saw her to the doctor on Monday, 1/12/04, as she wasn't feeling well. Pt died on Wednesday, 1/21/04. The pt's husband, relayed that his wife was being treated for hypertension and diabetes. He added that when she saw her doctor on 1/12, that he was concerned about her blood pressure. The husband also said that she was coughing and had a hard time breathing when she was laying down. The ER record received on 3/8/04 states cyanosis and pale.  Chills, sweats, fatigue, unresponsive.  Nurse follow up on 06/18/04 states: "Add: Acute Bronchial Pneumonia."
Age: 0.1
Sex: M
Vaccine: HEP
Symptoms: Agitation, Anaemia, Atelectasis, Breath holding, Choking
Clinical narrative: Pt received hep B, cried; nursed; approximately 20 min later, while being strapped into infant car seat, began to cry. Stopped suddenly, was noted to be pale, labored respiration. No L.O.C. No specific intervention. Resolved post approximately 2-3 minutes. Admitted to eval. D/C dx: ? choking episode ? breath holding.
Age: 0.1
Sex: M
Vaccine: HEP
Symptoms: Dyspnoea, Pallor
Clinical narrative: Pt received hep B, cried; nursed; approximately 20 min later, while being strapped into infant car seat, began to cry. Stopped suddenly, was noted to be pale, labored respiration. No L.O.C. No specific intervention. Resolved post approximately 2-3 minutes. Admitted to eval. D/C dx: ? choking episode ? breath holding.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Anaphylactic reaction, Asthenia, Back pain, Chest discomfort, Chest pain
Clinical narrative: One hour after administration-itching, difficulty breathing, diaphoretic, flushed. Hospital/ physicians felt recipient reacted to protein in serum. Nurse follow up on 05/26/04: "Hives, chest tightness, pain in back, Weak, chest pain, Dizzy. Medical records state anaphylaxis, tachycardia. msv
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Dyspnoea, Flushing, Hyperhidrosis, Pruritus
Clinical narrative: One hour after administration-itching, difficulty breathing, diaphoretic, flushed. Hospital/ physicians felt recipient reacted to protein in serum. Nurse follow up on 05/26/04: "Hives, chest tightness, pain in back, Weak, chest pain, Dizzy. Medical records state anaphylaxis, tachycardia. msv
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Tachycardia, Urticaria
Clinical narrative: One hour after administration-itching, difficulty breathing, diaphoretic, flushed. Hospital/ physicians felt recipient reacted to protein in serum. Nurse follow up on 05/26/04: "Hives, chest tightness, pain in back, Weak, chest pain, Dizzy. Medical records state anaphylaxis, tachycardia. msv
Age: 1.0
Sex: M
Vaccine: FLU3, MMR, VARCEL
Symptoms: Erythema, Petechiae, Purpura, Rash maculo-papular, Skin ulcer
Clinical narrative: Pt was vaccinated on 1/15/04. On 1/23/04 mother noticed rash (maculo papular on trunk) that extended to face and extremities. On 1/26/04 a maculo papular rash with petechia and small purpuric lesion that blanch to pressure is evidenced during office visit, also conjunctival erythema is present. No adenopathies.
Age: 55.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Chills, Erythema, Oedema, Pain, Pyrexia
Clinical narrative: Fever, chills, painful and swelling like a golf ball but redness bigger than a baseball.
Sex: F
Vaccine: FLU3
Symptoms: Anorexia, Blood pressure increased, Dizziness, Hypoventilation, Tremor
Clinical narrative: Reported feeling lightheaded within 5 min of receiving flu shot. BP 120/80 P 82, breathing shallow, began shaking BP 130/90 P 96. 911 called. Pt reported had dental work yesterday-didn't feel well. Pt stated had not eaten in > 12 hrs. Transported to hospital ER.
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Musculoskeletal stiffness, Oedema
Clinical narrative: Within one min of receiving flu shot, pt reported burning in muscle and arm feeling stiff. BP 120/80 pt warm to touch ice pack applied to site. No redness at site. Not hot to touch. Swelling approximately 1 inch in diameter. Returned to work. No problems when called 7:30 pm.
Age: 2.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Pain, Pyrexia
Clinical narrative: Pt was given pneumovax 23 in right arm. Pt called day after to report arm is red, swollen, pain and fever of 107. Told to apply lukewarm compresses and given Tylenol for pain.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL, HIBV, MMR, PNC, VARCEL
Symptoms: Rash, Rash maculo-papular
Clinical narrative: Mother called to 1/7/04 to notify of brother's rash (triplets) note fine macular papular areas B thighs only at this time. No pruritis no vesicles noted. Advised mother to observe and treat prn for fever and pruritis and consider MD appt. No ASA. 1/9/04 was seen by MD
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL, HIBV, MMR, PNC, VARCEL
Symptoms: Nasal congestion, Rash vesicular, Viral infection
Clinical narrative: Mother called to 1/7/04 to notify of brother's rash (triplets) note fine macular papular areas B thighs only at this time. No pruritis no vesicles noted. Advised mother to observe and treat prn for fever and pruritis and consider MD appt. No ASA. 1/9/04 was seen by MD
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL, HIBV, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash macular, Rash pruritic
Clinical narrative: Mother called to report brother had generalized rash 01/07/04.  Note this infant had (20-30) macular areas on back and abdomen.  Advised mother to treat as needed for fever and pruritis and consider MD appointment.  No ASA.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL, HIBV, MMR, PNC, VARCEL
Symptoms: Rash vesicular, Viral infection
Clinical narrative: Mother called to report brother had generalized rash 01/07/04.  Note this infant had (20-30) macular areas on back and abdomen.  Advised mother to treat as needed for fever and pruritis and consider MD appointment.  No ASA.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL, HIBV, MMR, PNC, VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: Mother called 01/07/2004 noting >1000 generalized rash.  8 days post MMR and Varicella.  Saw infant and noted macular-papular rash.  No pruritis, no vesicles noted.  Advised mother to observe and treat as needed for fever and pruritis and consider MD appointment.  No ASA.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL, HIBV, MMR, PNC, VARCEL
Symptoms: Nasal congestion, Rash generalised, Viral infection
Clinical narrative: Mother called 01/07/2004 noting >1000 generalized rash.  8 days post MMR and Varicella.  Saw infant and noted macular-papular rash.  No pruritis, no vesicles noted.  Advised mother to observe and treat as needed for fever and pruritis and consider MD appointment.  No ASA.
Age: 1.1
Sex: F
Vaccine: FLU3
Symptoms: Rash erythematous
Clinical narrative: Rash on thighs abdomen, back and hips.  Stated looked like a raised, red birthmark.  No individual bumps.  Resolved 24 hours later.  Stated by mother of child, no fever.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Arthralgia, Cough, Diarrhoea, Injection site erythema, Injection site swelling
Clinical narrative: Pt is a 22 year old.  He reports awakening with "a severe sore throat, swollen tonsils and coughing up yellow mucus" the night after receiving his first anthrax and smallpox vaccinations.  He lists a history of "an allergy to eggs as a child", but has since been able to eat eggs without problems.  He also reports "allergy to trees, pollen, molds and cats".  He has received "many other shots" without problems.  His symptoms following his anthrax and smallpox immunizations are listed below. ANTHRAX: RA: Localized swelling, redness and tenderness at site.  Swollen throat and tonsils and glands in my neck the evening following his immunizations.  Also "felt like my tongue was swollen."  He denies chest pains, shortness of breath, fever, chills, nausea or vomiting.  He was seen at medical clinic 10/02/03 with diagnosis of strep throat and treated with an antibiotic, decongestant, Tylenol and saline gargles.  2 days later he had swelling in both his hands with "loss of feeling" in his right hand; an itchy generalized rash "little red dots on my arms, hands, chest, back and legs", diarrhea (times 2 days), joint pains (left foot and big toe) and fatigue "feeling tired and wanting to sleep all the time".  Strep and Mono cultures were negative.  The antibiotic was stopped 10/06 and he was treated with atarax with good results (rash completely resolved 10/15/03).  SMALLPOX:  LA: Swollen, warm to touch.  Swollen glands, in my neck and under my left arm.  Denies shortness of breath, fever or chest pains.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Laboratory test abnormal, Lymphadenopathy, Oedema peripheral, Pharyngeal oedema, Pharyngolaryngeal pain
Clinical narrative: Pt is a 22 year old.  He reports awakening with "a severe sore throat, swollen tonsils and coughing up yellow mucus" the night after receiving his first anthrax and smallpox vaccinations.  He lists a history of "an allergy to eggs as a child", but has since been able to eat eggs without problems.  He also reports "allergy to trees, pollen, molds and cats".  He has received "many other shots" without problems.  His symptoms following his anthrax and smallpox immunizations are listed below. ANTHRAX: RA: Localized swelling, redness and tenderness at site.  Swollen throat and tonsils and glands in my neck the evening following his immunizations.  Also "felt like my tongue was swollen."  He denies chest pains, shortness of breath, fever, chills, nausea or vomiting.  He was seen at medical clinic 10/02/03 with diagnosis of strep throat and treated with an antibiotic, decongestant, Tylenol and saline gargles.  2 days later he had swelling in both his hands with "loss of feeling" in his right hand; an itchy generalized rash "little red dots on my arms, hands, chest, back and legs", diarrhea (times 2 days), joint pains (left foot and big toe) and fatigue "feeling tired and wanting to sleep all the time".  Strep and Mono cultures were negative.  The antibiotic was stopped 10/06 and he was treated with atarax with good results (rash completely resolved 10/15/03).  SMALLPOX:  LA: Swollen, warm to touch.  Swollen glands, in my neck and under my left arm.  Denies shortness of breath, fever or chest pains.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Pruritus, Rash, Somnolence, Tenderness, Tongue oedema
Clinical narrative: Pt is a 22 year old.  He reports awakening with "a severe sore throat, swollen tonsils and coughing up yellow mucus" the night after receiving his first anthrax and smallpox vaccinations.  He lists a history of "an allergy to eggs as a child", but has since been able to eat eggs without problems.  He also reports "allergy to trees, pollen, molds and cats".  He has received "many other shots" without problems.  His symptoms following his anthrax and smallpox immunizations are listed below. ANTHRAX: RA: Localized swelling, redness and tenderness at site.  Swollen throat and tonsils and glands in my neck the evening following his immunizations.  Also "felt like my tongue was swollen."  He denies chest pains, shortness of breath, fever, chills, nausea or vomiting.  He was seen at medical clinic 10/02/03 with diagnosis of strep throat and treated with an antibiotic, decongestant, Tylenol and saline gargles.  2 days later he had swelling in both his hands with "loss of feeling" in his right hand; an itchy generalized rash "little red dots on my arms, hands, chest, back and legs", diarrhea (times 2 days), joint pains (left foot and big toe) and fatigue "feeling tired and wanting to sleep all the time".  Strep and Mono cultures were negative.  The antibiotic was stopped 10/06 and he was treated with atarax with good results (rash completely resolved 10/15/03).  SMALLPOX:  LA: Swollen, warm to touch.  Swollen glands, in my neck and under my left arm.  Denies shortness of breath, fever or chest pains.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Tonsillitis, Viral infection
Clinical narrative: Pt is a 22 year old.  He reports awakening with "a severe sore throat, swollen tonsils and coughing up yellow mucus" the night after receiving his first anthrax and smallpox vaccinations.  He lists a history of "an allergy to eggs as a child", but has since been able to eat eggs without problems.  He also reports "allergy to trees, pollen, molds and cats".  He has received "many other shots" without problems.  His symptoms following his anthrax and smallpox immunizations are listed below. ANTHRAX: RA: Localized swelling, redness and tenderness at site.  Swollen throat and tonsils and glands in my neck the evening following his immunizations.  Also "felt like my tongue was swollen."  He denies chest pains, shortness of breath, fever, chills, nausea or vomiting.  He was seen at medical clinic 10/02/03 with diagnosis of strep throat and treated with an antibiotic, decongestant, Tylenol and saline gargles.  2 days later he had swelling in both his hands with "loss of feeling" in his right hand; an itchy generalized rash "little red dots on my arms, hands, chest, back and legs", diarrhea (times 2 days), joint pains (left foot and big toe) and fatigue "feeling tired and wanting to sleep all the time".  Strep and Mono cultures were negative.  The antibiotic was stopped 10/06 and he was treated with atarax with good results (rash completely resolved 10/15/03).  SMALLPOX:  LA: Swollen, warm to touch.  Swollen glands, in my neck and under my left arm.  Denies shortness of breath, fever or chest pains.
Age: 29.0
Sex: F
Vaccine: ANTH
Symptoms: Fatigue, Headache, Injection site mass, Nausea, Somnolence
Clinical narrative: She reports being in good health until receiving her ANA injections.  "I had problems after every shot".  Her symptoms following each injection are listed below.  Small nickel size tender nodule at site of injection.  It resolved in 2 days.  Developed generalized, dull headache approximately 4/10 on pain scale that began within 1/2 hour of receiving the vaccine without photophobia or Paresthesia, that persisted "off and on" for a period of 4 days.  She self medicated with ASA and Excedrin with some easing of the pain, but not complete resolution. Also complained of upset stomach, drowsiness and feeling fatigue "like I needed a nap-but I'd wake up still feeling tired".  Her fatigue however did not affect her ability to perform her duties. ANA #2, same adverse events as #1 Nausea and vomiting x 2 during the next 24 hours.
Age: 29.0
Sex: F
Vaccine: ANTH
Symptoms: Vaccine positive rechallenge, Vomiting
Clinical narrative: She reports being in good health until receiving her ANA injections.  "I had problems after every shot".  Her symptoms following each injection are listed below.  Small nickel size tender nodule at site of injection.  It resolved in 2 days.  Developed generalized, dull headache approximately 4/10 on pain scale that began within 1/2 hour of receiving the vaccine without photophobia or Paresthesia, that persisted "off and on" for a period of 4 days.  She self medicated with ASA and Excedrin with some easing of the pain, but not complete resolution. Also complained of upset stomach, drowsiness and feeling fatigue "like I needed a nap-but I'd wake up still feeling tired".  Her fatigue however did not affect her ability to perform her duties. ANA #2, same adverse events as #1 Nausea and vomiting x 2 during the next 24 hours.
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Blood testosterone decreased, Depression, Fatigue, Injection site erythema, Injection site oedema
Clinical narrative: Low testosterone level with associated decreased libido, depression and fatigue.  Redness, swelling, itching, soreness and small knot under the skin at vaccination site.  In December 1998, pt's wife voiced concern regarding a change in their sex life.  At the time, pt contributed the decrease in sexual activity to trying cautiousness during his wife's pregnancy.  After their son was born, the pt realized there was a change in his sex drive and in Oct 1999, he sought medical evaluation.  Other than a low-normal testosterone level (3.6, with normal range 1.74-8.43) his evaluation was normal, and he was told there was no physical cause for his change in sex drive.  Counseling, variety in sexual encounters to stimulate interest and an exercise program were recommended.  Over the next two years, pt continued to think nothing was physically wrong with him, but continued to experience decreased libido.  His marriage deteriorated.  In Nov 2002, he sought medical evaluation again and again was told there was no physical cause for his symptoms.  On 11/04/02 his testosterone level was low-normal at 299 ml (NL 270-1730).  In December 2002, he was referred to a psychiatrist for evaluation of his lack of energy, and evaluation of possible depression.  His first visit was on 01/29/03.  Wellbutrin was initiated to help both with smoking cessation and depression.  The wellbutrin was discontinued after his second visit with his psychiatrist on 02/11/03 at which time he was referred to Urology.  On 02/11/03 his testosterone level was 287 ng (NL 270-1730).   Pt saw the urologist on 03/18/03.  He was diagnosed with hypogonadism and testosterone supplemenation was recommended.  Since on medication, he has increased energy which has helped contribute to weight loss and overall well-being.  His sexual relationship with his wife is stronger than before.  From 1998 to present, pt denies testicular pain or swelling, decreased body hair, or testicular atrophy.  He denies problems or pain with urination.  He denies difficulty attaining or maintaining erections and denies problems with ejaculation.  No history of testicular trauma. Denies genitourinary surgeries or infections.  No history of steroid use.  Evaluated prior to 1998 for infertility, with normal sperm count and testosterone level.  After attempting to get pregnant for 2 years, his first child was conceived through insemination.  In Oct 03, he fathered a second child while on testosterone supplementation.
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site pain, Libido decreased, Pruritus
Clinical narrative: Low testosterone level with associated decreased libido, depression and fatigue.  Redness, swelling, itching, soreness and small knot under the skin at vaccination site.  In December 1998, pt's wife voiced concern regarding a change in their sex life.  At the time, pt contributed the decrease in sexual activity to trying cautiousness during his wife's pregnancy.  After their son was born, the pt realized there was a change in his sex drive and in Oct 1999, he sought medical evaluation.  Other than a low-normal testosterone level (3.6, with normal range 1.74-8.43) his evaluation was normal, and he was told there was no physical cause for his change in sex drive.  Counseling, variety in sexual encounters to stimulate interest and an exercise program were recommended.  Over the next two years, pt continued to think nothing was physically wrong with him, but continued to experience decreased libido.  His marriage deteriorated.  In Nov 2002, he sought medical evaluation again and again was told there was no physical cause for his symptoms.  On 11/04/02 his testosterone level was low-normal at 299 ml (NL 270-1730).  In December 2002, he was referred to a psychiatrist for evaluation of his lack of energy, and evaluation of possible depression.  His first visit was on 01/29/03.  Wellbutrin was initiated to help both with smoking cessation and depression.  The wellbutrin was discontinued after his second visit with his psychiatrist on 02/11/03 at which time he was referred to Urology.  On 02/11/03 his testosterone level was 287 ng (NL 270-1730).   Pt saw the urologist on 03/18/03.  He was diagnosed with hypogonadism and testosterone supplemenation was recommended.  Since on medication, he has increased energy which has helped contribute to weight loss and overall well-being.  His sexual relationship with his wife is stronger than before.  From 1998 to present, pt denies testicular pain or swelling, decreased body hair, or testicular atrophy.  He denies problems or pain with urination.  He denies difficulty attaining or maintaining erections and denies problems with ejaculation.  No history of testicular trauma. Denies genitourinary surgeries or infections.  No history of steroid use.  Evaluated prior to 1998 for infertility, with normal sperm count and testosterone level.  After attempting to get pregnant for 2 years, his first child was conceived through insemination.  In Oct 03, he fathered a second child while on testosterone supplementation.
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Ageusia, Hypoaesthesia, Muscular weakness
Clinical narrative: Left sided facial numbness, right sided facial weakness, lip numbness and loss of taste x 1/5 months.  Treated with oral prednisone.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Decreased appetite, Insomnia, Irritability, Pyrexia, Screaming
Clinical narrative: Uncontrollable screaming and crying.  Fussy. Decreased appetite, refusing to sleep.  Temperature 99.9F. Seen at office 4 days after vaccine administration.  Soon at or 8-9 days after vaccine administration with persistent unconsolable crying.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Agitation, Crying, Irritability, Pyrexia
Clinical narrative: Uncontrollable crying, fussy. Seen at office 4 days after vaccine administration. Seen at ER 8-9 days after vaccine administration with persistent, unconsolable crying.
Age: 9.0
Sex: M
Vaccine: HBPV, MMR
Symptoms: Chest discomfort, Cough, Rash, Wheezing
Clinical narrative: Patient complained of rash mainly on back/abdomen and small amounts all over; complaints of ST, wheezing, chest feeling tight, coughing.
Age: 1.2
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR, PNC
Symptoms: Dermatitis bullous, Skin ulcer
Clinical narrative: Patient developed varicella lesions on abdomen, neck, and face.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Redness and swelling right deltoid.
Age: 1.5
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Localized erythema that was firm and warm developed on right anterior thigh. 9 days after vaccination, but located at injection site. No fever. Treated the next day (10 days after vaccine) with Keflex.
Age: 5.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Diagnosed with varicella 1/12/04
Age: 1.6
Sex: F
Vaccine: DTAP
Symptoms: Injection site oedema, Injection site warmth
Clinical narrative: Swollen right leg, increased temperature on area.  No fever, no tenderness.
Age: 5.0
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Herpes zoster eruption on arm confirmed by PCR for varicella zoster virus.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Pruritus, Rash
Clinical narrative: Began 1/17/04 with bumps on torso and extremities; pruritic.
Age: 8.0
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Developed varicella rash 1/21/04. Received Varivax 1/9/04.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Pyrexia
Clinical narrative: Patient developed fever (101-103.5) after receiving immunizations. Also developed redness around injection site.
Age: 4.0
Sex: M
Vaccine: DTAPH, IPV, MMR, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: 1/10/04 developed chicken pox after being exposed to older sibling. Had approximately 3 dozen lesions. No fever or other symptoms.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Infection transmission via personal contact
Clinical narrative: 1/5/04 Developed chicken pox after being exposed at school. Approximately 2-3 dozen pox. No fever or other symptoms.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Crying, Pyrexia, White blood cell disorder
Clinical narrative: Fever, unconsolable crying for 3 hours.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site mass
Clinical narrative: Vaccines given to pt in our office 01/12/04.  Pediarix right thigh, HIB and Prevnar Left thigh.  Pt reported a SC nodule on right thigh 3/4cm x 1.5cm today 01/28/04 and was evaluated in our office same day.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Erythema
Clinical narrative: 20cmx14cm area of erythema upper left arm.
Age: 9.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site induration
Clinical narrative: 9cmx6.5cm firm induration
Age: 27.0
Sex: F
Vaccine: TD
Symptoms: Facial palsy, Paraesthesia
Clinical narrative: Patient developed Bell's Palsy within 48 hours after administration of DT injection. 1st day with tingling sensation of tongue; progressed over 48 hours = facial symptoms. Still with symptoms 1/21/04. Recovering (very little symptoms on 1/28/04).
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site oedema
Clinical narrative: Pt came in complaining of knot on left leg at injection site, hard, red and swollen.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Contusion, Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Bruising at site of injection.  Increased redness, edema, induration upper arm.
Age: 15.0
Sex: M
Vaccine: HEPA, TYP
Symptoms: Abdominal pain, Flatulence
Clinical narrative: Severe abdominal cramping/gas for three days.
Sex: M
Vaccine: DTAP, HEPA, PNC
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: 2 days after immunizations given, mother noted redness and swelling of left upper arm, approximately 4x4inches.  No fever, pt's complaint.  Recommended Tylenol every 6 hours as needed.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Diarrhoea
Clinical narrative: Diarrhea 1 day after vaccine (7-8 stools per day) this persisted for 14 days.  Mother discussed with pmd by phone and told was a side effect of Pediarix.
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Agitation, Crying, Eye disorder, Rash, Urticaria
Clinical narrative: Immun at 11:30. At 3:00 he woke up from nap screaming with "wild eyes" and crying. Hives broken out and then slight rash until next day. Benadryl given child was fine when got to doctor that day.
Age: 17.0
Sex: M
Vaccine: HEP
Symptoms: Pain, Pharyngolaryngeal pain, Pyrexia, Shoulder pain
Clinical narrative: Approximately 24 hrs post adm, began having sore throat, fever (102 deg), body aches, R shoulder pain and sharp pains in lower spine.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Agitation, Irritability
Clinical narrative: Crying spells, excessive fussiness for 2-3 weeks after immunizations.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site pain, Injection site warmth
Clinical narrative: Immunizations (below) given on 01/05 at 16:00.  On 01/06 at 21:00, mom noted nickel sized bump described as red, warm, raised and painful to touch.  Red area grow in size gradually.  Pt seen on 01/07/04.  Wheal on left deltoid 9x4in, red, raised, warm and hard and painful to palp.  Area continued with inc.  Mom has placed heat on site 3-4 times since 01/05 at 16:00, taking Motrin every 6 hours.  No fever.  Pt otherwise well.  Pt is recovering now.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Rash erythematous, Urticaria
Clinical narrative: Immunizations (below) given on 01/05 at 16:00.  On 01/06 at 21:00, mom noted nickel sized bump described as red, warm, raised and painful to touch.  Red area grow in size gradually.  Pt seen on 01/07/04.  Wheal on left deltoid 9x4in, red, raised, warm and hard and painful to palp.  Area continued with inc.  Mom has placed heat on site 3-4 times since 01/05 at 16:00, taking Motrin every 6 hours.  No fever.  Pt otherwise well.  Pt is recovering now.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Face oedema, Herpes simplex
Clinical narrative: Client reports she had 1 small cold sore along corner of upper lip starting 1/11 evening 1/12 morning time, then rec'd flu vaccine 1/12/04 around 2:40 pm. Went home after work around 3pm and noticed her cold sore was "rapidly worsening and lip started to swell." 1/13 8 am exam by PHN upper lip swollen, cold sore lesion 4- along upper lip. received prescription for anti-viral per MD specified, prn with relief by 1st day of talking med.
Age: 0.42
Sex: F
Vaccine: IPV, PNC
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site reaction, Injection site warmth
Clinical narrative: This case was considered medically important (OMIC). Information regarding Prevnar was received from a physician regarding a 5 month old female who developed a fever and cellulitis around the injection site. At 5 months of age, the pt received the second dose on 1/23/04. The infant was reported as healthy. Indication for Prevnar was immunization. Product was administered on 1/23/04. Dose regimen was 0.5ml (IM). Concomitant medications were not reported. The infant received a dose of diphtheria, tetanus and acellular pertussis vaccine on 12/19/03. On 1/23/04, the infant developed a fever. The next day, redness was noted around the injection site. On 1/26/04, the infant was seen by the physician, who noted that the skin around the injection site was reddened, tender, and warm to the touch. The physician prescribed Augmentin and warm compresses for the cellulitis at the injection site.  The physician reported that the infant recovered.
Age: 0.42
Sex: F
Vaccine: IPV, PNC
Symptoms: Pyrexia
Clinical narrative: This case was considered medically important (OMIC). Information regarding Prevnar was received from a physician regarding a 5 month old female who developed a fever and cellulitis around the injection site. At 5 months of age, the pt received the second dose on 1/23/04. The infant was reported as healthy. Indication for Prevnar was immunization. Product was administered on 1/23/04. Dose regimen was 0.5ml (IM). Concomitant medications were not reported. The infant received a dose of diphtheria, tetanus and acellular pertussis vaccine on 12/19/03. On 1/23/04, the infant developed a fever. The next day, redness was noted around the injection site. On 1/26/04, the infant was seen by the physician, who noted that the skin around the injection site was reddened, tender, and warm to the touch. The physician prescribed Augmentin and warm compresses for the cellulitis at the injection site.  The physician reported that the infant recovered.
Age: 48.0
Sex: M
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: Arm that shot was given in was sore for a few days, now arm is sore from elbow to wrist
Age: 1.4
Sex: M
Vaccine: DTAP, FLU3, HIBV, PNC
Symptoms: Otitis media, Pyrexia
Clinical narrative: Approximately 36 hours after vaccinations child had unrelieved temp of 102F, took child to ER, when temp reached 106F, was diagnosed with otitis media and treated with Motrin, Tylenol and amoxicillin.
Age: 6.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Left deltoid redness and swelling, warm to touch.  Symptoms developed 2 days after the injection.  Had no treatment such as cool compress or tylenol, saw MD on 12/10/03, diagnosed with local reaction, treated with Benadryl, tylenol.  Temp 98.4F
Age: 42.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: Anaphylactic reaction, Dizziness, Dyspnoea, Flushing, Injection site rash
Clinical narrative: This is a 42 year-old who received her annual influenza vaccination on 01/09/04. She had been in her usual health prior to receipt of the vaccination. She states that she received the vaccination and waited approximately 10 minutes in the Immunization Department.  She returned to her workspace and in route she relates feeling flush, dizzy and having tightness in her throat. Within minutes, the symptoms seemed to be subsiding; however she suddenly experienced a worsening of symptoms. She states that she felt like she was going to "pass out" and had difficulty breathing. Co-workers came to assist her and stated that the client's face was "lobster red".  She did not seek additional medical care, except from her fellow co-workers. She states all the symptoms seemed to subside with relaxation and deep breathing, lasting a total of about 45 minutes. Approximately 36 hours after the initial onset, the client developed cutaneous symptoms. She relates developing a large "burning" whelp and rash at the injection site. This subsided without intervention. Additionally, the client relates that she has developed multiple allergies in the last 6 months. She had an Allergy and Immunology work-up approximately 4 years ago. She states at that time she was only allergic to one type of pine tree. Medical record states anaphylaxis.
Age: 42.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: Syncope, Throat tightness, Urticaria
Clinical narrative: This is a 42 year-old who received her annual influenza vaccination on 01/09/04. She had been in her usual health prior to receipt of the vaccination. She states that she received the vaccination and waited approximately 10 minutes in the Immunization Department.  She returned to her workspace and in route she relates feeling flush, dizzy and having tightness in her throat. Within minutes, the symptoms seemed to be subsiding; however she suddenly experienced a worsening of symptoms. She states that she felt like she was going to "pass out" and had difficulty breathing. Co-workers came to assist her and stated that the client's face was "lobster red".  She did not seek additional medical care, except from her fellow co-workers. She states all the symptoms seemed to subside with relaxation and deep breathing, lasting a total of about 45 minutes. Approximately 36 hours after the initial onset, the client developed cutaneous symptoms. She relates developing a large "burning" whelp and rash at the injection site. This subsided without intervention. Additionally, the client relates that she has developed multiple allergies in the last 6 months. She had an Allergy and Immunology work-up approximately 4 years ago. She states at that time she was only allergic to one type of pine tree. Medical record states anaphylaxis.
Age: 42.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: Dyspnoea, Flushing, Hypersensitivity, Pruritus, Throat tightness
Clinical narrative: This is a 42 year-old who received her annual influenza vaccination on 01/09/04. She had been in her usual health prior to receipt of the vaccination. She states that she received the vaccination and waited approximately 10 minutes in the Immunization Department.  She returned to her workspace and in route she relates feeling flush, dizzy and having tightness in her throat. Within minutes, the symptoms seemed to be subsiding; however she suddenly experienced a worsening of symptoms. She states that she felt like she was going to "pass out" and had difficulty breathing. Co-workers came to assist her and stated that the client's face was "lobster red".  She did not seek additional medical care, except from her fellow co-workers. She states all the symptoms seemed to subside with relaxation and deep breathing, lasting a total of about 45 minutes. Approximately 36 hours after the initial onset, the client developed cutaneous symptoms. She relates developing a large "burning" whelp and rash at the injection site. This subsided without intervention. Additionally, the client relates that she has developed multiple allergies in the last 6 months. She had an Allergy and Immunology work-up approximately 4 years ago. She states at that time she was only allergic to one type of pine tree. Medical record states anaphylaxis.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Pyrexia
Clinical narrative: Local reaction, 1-2cm errhythema with fever up to 101F, according to mom, advised continue tylenol every 4-6 hours, warm compress to site, f/u with MD for injury to arm from kerosene heater
Age: 26.0
Sex: F
Vaccine: TD
Symptoms: Injection site swelling, Injection site warmth, Pain
Clinical narrative: 12/8/03 Recieved Td 12/5/03, client states arm has been aching, warm to touch and swollen since night of 12/5/03.  States using comfort measures without relief.  Encourage to see PMD and RTC in 2-3 days.  12/11/03 attempted PC to client, phone disconnected, 12/11/03 MD called pt, did not come to office