chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: M
Vaccine: PPV
Symptoms: Hypersensitivity
Clinical narrative: Information was received from a campus safety officer and an office manager concerning a male patient who, on  an unspecified date, was vaccinated with a dose of PPV.  On approximately 07 MAR 2005 the patient "broke out with a reaction" who was "not diagnosed".  Unspecified medical attention was sought.  At the time of this report, the patient had not recovered.  The office manager was requesting compensation for the PPV.  The records of testing prior to release of this lot have been checked by quality assurance and found to be satisfactory.  The lot complies with the standards of the center for biologics evaluation and research and was released.  Additional information is not expected.
Age: 50.0
Sex: F
Vaccine: PPV
Symptoms: Injection site oedema, Injection site pain
Clinical narrative: Initial and follow-up information has been received from a female pharmacist, also the pt, "in her 50s" who "in October or November 2004" was vaccinated with a dose of Pneumovax 23 (lot # unknown). Subsequently, the pt developed "swelling and pain at the injection site which subsided without treatment." The pt sought unspecified medical attention. The pt recovered on an unspecified date. There was no product quality complaint involved. Follow-up information from the pharmacist indicated that there was "no problem". Additional information is not expected.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain, Tenderness
Clinical narrative: Information was received from a registered nurse concerning a 72 year old female with penicillin and sulfonamide allergies who on 04 JAN 2005 was vaccinated in the left deltoid with a dose of PPV.  Concomitant therapy included influenza vaccine.  On 05 JAN 2005 the patient developed 2 red raised areas on the left upper arm extremity with complaint of pain and tenderness to touch.  The patient was treated with TYLENOL.  The redness continued through 07 JAN 2005.  Temperature range for 3 days was reported as 96.2 - 96.8.  Subsequently the patient recovered.  Additional information is not expected
Age: 95.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema, Pain
Clinical narrative: Information has been received from a RN concerning a 95 year old female at a skilled nursing facility with an allergy to PCN and a previous vaccination with an unspecified influenza virus vaccine on 16-DEC-2004 with no reported adverse effect. It was reported that the pt had lab work for albumin and pre-albumin levels ordered for hospice continued care (laboratory values were not provided). On 04-JAN-2005 the pt was vaccinated with Pneumovax 23. There were no illnesses reported at the time of vaccination. On 05-JAN-2005 at 9:20 AM the pt developed left arm pain. It was reported that the pt treated with Tylenol. On 06-JAN-2005 the pt developed arm redness and was swollen. It was reported that the pt's left arm continued to be red and was "painful to touch" thru 13-JAN-2005. It was reported that the pt remained afebrile the entire course. At the time of this report the outcome of the events were unknown. Additional information has been requested.
Age: 40.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling, Pain, Swelling
Clinical narrative: Initial and follow-up information was received from a pharmacist concerning a female patient "in her 40's" who in "October or November 2004" was vaccinated with a dose of PPV.  Subsequently the patient developed "swelling and pain from the injection site to the neck area which subsided with treatment".  It was reported that the patient sought unspecified medical attention.  The patient recovered on an unspecified date.  There was no product quality complaint involved.    Follow-up information from the pharmacist indicated that there was "no problem".    Additional iformaiton is not expected.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Information has been received from a licensed practical nurse concerning a 70 year old female patient with hypertension, oesophageal reflux, osteoporosis and allergies to acetaminophen with codeine and rofecoxib who on 4/19/05 was vaccinated IM with a 0.5ml dose of pneumococcal 23v polysaccharide vaccine (lot # 649695/0512P). Concomitant therapies included alendronate sodium, hydrochlorothiazide, cephalexin, pantoprazole sodium, metoprolol succinate, vitamin D, calcium carbonate and ibuprofen. Subsequently, (later), the patient developed cellulitis at injection site. It was unknown if treatment was required for cellulitis. The patient sought unspecified medical attention. The patient was reported to be recovering. It was also reported that at the time of the report, it was not known if the patient received a prior dose of pneumococcal 23v polysaccharide vaccine. There was no product quality complaint involved. Additional information has been requested.
Age: 30.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site reaction, Injection site swelling
Clinical narrative: Information has been received from a licensed practical nurse concerning a 29 year old female patient with asthma and a history of acute bronchitis and no allergies who on 4/25/05 was vaccinated IM with a 0.5ml dose of pneumococcal 23v polysaccharide vaccine (lot # 649695/0512P). Concomitant therapies included albuterol, fexofenadine hydrochloride, azelastine hydrochloride, docusate Na, fluticasone proprionate, ethinyl estradiol (+) norelgestromin, phentermine HCl, and montelukast sodium. Subsequently (date not reported), the patient developed redness and swelling at injection site. On 4/27/05, the patient was seen in the immediate care center and diagnosed with cellulitis. The patient was treated with ceftriaxone sodium and also levofloxacin for five days. The patient was reported to be recovering. It was also reported that at the time of the report, it was not known if the patient received a prior dose of pneumococcal 23v polysaccharide vaccine. There was no product quality complaint involved. Additional information is not expected.
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: Information has been received from a certified medical assistant concerning a 60 year old female patient who on 4/28/05 was vaccinated SC with a 0.5ml dose of pneumococcal 23v polysaccharide vaccine (649695/0512P). On 4/29/05, the next day, the patient developed an injection site reaction including swelling, redness, and pain. The patient was treated with ibuprofen and warm and cool compresses. At the time of the report, it was unknown if the patient recovered. The reporter indicated that it was unknown if the patient had received pneumococcal 23v polysaccharide vaccine in the past. There was no quality complaint involved. Additional information has been requested.
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: Information has been received from a certified medical assistant concerning a female patient (age not reported) who, on an unspecified date, was vaccinated SC with a 0.5ml dose of pneumococcal 23v polysaccharide vaccine (lot # 649695/0512P). Subsequently, on an unspecified date, the patient developed an injection site reaction including swelling, redness, and pain. The patient was treated with ibuprofen and warm and cool compresses. At the time of the report, it was unknown if the patient had recovered. The reporter indicated that it was unknown if the patient had received pneumococcal 23v polysaccharide vaccine in the past. There was no product quality complaint involved. Additional information has been requested.
Sex: F
Vaccine: PPV
Symptoms: Unevaluable event
Clinical narrative: Information has been received from a female consumer who expressed a concern regarding pneumococcal 23v polysaccharide vaccine (lot # 645646/0068N). Additional information has been requested.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Drug ineffective
Clinical narrative: Information has been received from a physician concerning a 72 year old female with gamma globulin deficiency and chronic infection who on 4/28/05 was vaccinated with pneumococcal 23v polysaccharide vaccine. The physician reported that he did not expect the patient to seroconvert as the patient had a gamma globulin deficiency and considered this a lack of response. The physician further reported that as the patient did not respond to the pneumococcal 23v polysaccharide vaccine, he did not consider this to be an adverse experience. The patient sought unspecified medical attention. On 5/5/05, the patient underwent an enzyme-linked immunosorbent assay which was negative. At the time of this report, the outcome of the event was unknown. No further information is available.
Sex: F
Vaccine: PPV
Symptoms: Injection site rash
Clinical narrative: Information has been received from an infection control technician concerning a female hospital employee who in March 2005, 2 months ago, was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine. Subsequently, in March 2005, the patient developed an injection site rash. Unspecified medical attention was sought. The patient's outcome was unknown. Additional information has been requested.
Age: 7.0
Sex: F
Vaccine: PPV
Symptoms: Body temperature increased, Cellulitis, Injection site erythema, Injection site induration, Injection site reaction
Clinical narrative: Information has been received from a registered nurse concerning a 7 year old female who on 5/20/05 was vaccinated IM with a 0.5ml dose of pneumococcal 23v polysaccharide vaccine (lot # 647724/0946N). It was noted that the nurse thought this was the patient's second dose. It was also noted that the patient's list of concomitant medication was unavailable. On 5/20/05, the patient developed cellulitis on the vaccinated arm. The patient was on her way to the doctor's office to be seen. Unspecified medical attention was sought. The patient's outcome was unknown. The nurse requested an investigation into this lot number. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report (s) previously submitted on 7/19/2005. Information has been received from a registered nurse concerning a 7 year old female with no medical history or allergies, who oon 20-MAY-2005 at 15:30, was vaccinated intramuscularly into the left leg with a 0.5 ml dose of PNEUMOVAX (lot# 647724/0946N). It was noted that the nurse thought this was the patient a second dose. There was no illness at the time of vaccination. It was also noted that the patient's list of concomitant medication was unavailable. On 21-MAY-2005, the patient's mother called and stated that the area became red and hot to touch where she received the vacciantion. On 22-MAY-2005, the patient's temperature was 101 degrees F. The area became increasingly hotter and bigger until 23-MAY-2005. On 21-MAY-2005 the patient was seen by her physician. It was noted that she had a large erythema, induration, and the area was hot to touch. She was diagnosed with cellulitis "resolving down to the size of a quarter." She was treated with AUGMENTIN 875 mg. BID x 10 days. On 30-MAY-2005, the patient recovered. The nurse requested an investigation into this lot number. No product quality complaint was involved. The records of testing prior to release of this lot have been checked by Quality Assurance and found to be satisfactory. The lot complies with the standards of the Agency and was released. No further information is expected.
Age: 7.0
Sex: F
Vaccine: PPV
Symptoms: Injection site warmth, Pyrexia
Clinical narrative: Information has been received from a registered nurse concerning a 7 year old female who on 5/20/05 was vaccinated IM with a 0.5ml dose of pneumococcal 23v polysaccharide vaccine (lot # 647724/0946N). It was noted that the nurse thought this was the patient's second dose. It was also noted that the patient's list of concomitant medication was unavailable. On 5/20/05, the patient developed cellulitis on the vaccinated arm. The patient was on her way to the doctor's office to be seen. Unspecified medical attention was sought. The patient's outcome was unknown. The nurse requested an investigation into this lot number. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report (s) previously submitted on 7/19/2005. Information has been received from a registered nurse concerning a 7 year old female with no medical history or allergies, who oon 20-MAY-2005 at 15:30, was vaccinated intramuscularly into the left leg with a 0.5 ml dose of PNEUMOVAX (lot# 647724/0946N). It was noted that the nurse thought this was the patient a second dose. There was no illness at the time of vaccination. It was also noted that the patient's list of concomitant medication was unavailable. On 21-MAY-2005, the patient's mother called and stated that the area became red and hot to touch where she received the vacciantion. On 22-MAY-2005, the patient's temperature was 101 degrees F. The area became increasingly hotter and bigger until 23-MAY-2005. On 21-MAY-2005 the patient was seen by her physician. It was noted that she had a large erythema, induration, and the area was hot to touch. She was diagnosed with cellulitis "resolving down to the size of a quarter." She was treated with AUGMENTIN 875 mg. BID x 10 days. On 30-MAY-2005, the patient recovered. The nurse requested an investigation into this lot number. No product quality complaint was involved. The records of testing prior to release of this lot have been checked by Quality Assurance and found to be satisfactory. The lot complies with the standards of the Agency and was released. No further information is expected.
Age: 8.0
Sex: U
Vaccine: PPV
Symptoms: Injection site reaction
Clinical narrative: Information has been received from a nurse practitioner concerning an 8 year old patient who was vaccinated IM with a 0.5ml dose of pneumococcal 23v polysaccharide vaccine. Subsequently, the patient developed a very severe local reaction to the vaccine. Unspecified medical attention was sought. The patient's outcome was unknown. No product quality complaint was involved. Additional information has been requested.
Age: 81.0
Sex: F
Vaccine: PPV
Symptoms: Injection site mass, Injection site swelling
Clinical narrative: Information has been received from a consumer concerning his 81 year old wife with high blood pressure and a history of heart failure who on 5/27/05 was vaccinated with a 0.5ml IM dose of pneumococcal 23v polysaccharide vaccine. Concomitant therapy included warfarin sodium, furosemide, irbesartan, digoxin, Penorim, and CATAB. On 5/28/05, the patient experienced swelling at the injection site, described as a bump. It was reported that the patient was groggy and sickly. The patient was told by the doctor to apply ice, which she did not do. At the time of the report, the patient was recovering. No product quality complaint was involved. No other information was provided. Additional information is not expected.
Sex: U
Vaccine: PPV
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Information has been received from a registered nurse concerning a patient who in approximately 4/05 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine (lot # 647724/0946N). Last month, the patient developed a similar reaction to cellulitis. Unspecified medical attention was sought. The patient's outcome was unknown. The nurse requested an investigation into this lot number. No product quality complaint was involved. Additional information has been requested.
Age: 9.0
Sex: U
Vaccine: PPV
Symptoms: Injection site reaction
Clinical narrative: Information has been received from a nurse practitioner concerning a 9-10 year old patient who was vaccinated IM with a 0.5ml dose of pneumococcal 23v polysaccharide vaccine. Subsequently, the patient developed a very severe local reaction to the vaccine. Unspecified medical attention was sought. The patient's outcome was unknown. No product quality complaint was involved. Additional information has been requested.
Age: 11.0
Sex: U
Vaccine: PPV
Symptoms: Injection site reaction
Clinical narrative: Information has been received from a nurse practitioner concerning an 11 year old patient who was vaccinated IM with a 0.5ml dose of pneumococcal 23v polysaccharide vaccine. Subsequently, the patient developed a very severe local reaction to the vaccine. Unspecified medical attention was sought. The patient's outcome was unknown. No product quality complaint was involved. Additional information has been requested.
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Back pain, Erythema, Neck pain, Swelling, Urticaria
Clinical narrative: Urticaria, back pain, neck pain, erythema, swelling    Information has been received from a nurse concerning a 58 year old female patient who on 10/08/2004 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine. Subsequently the patient developed hives, redness, swelling, back pain and neck pain. She was prescribed diphenhydramine hydrochloride (benadryl), cool compresses and diphenhydramine hydrochloride (benadryl) cream. According to the nurse the patient has returned to the doctor's office and her symptoms persisted but were improving. Additional information has been requested. The nurse reported an other patient's experience with pneumococcal 23v polysaccharide vaccine.
Age: 23.0
Sex: F
Vaccine: TD
Symptoms: Dizziness, Erythema, Injection site inflammation, Musculoskeletal stiffness
Clinical narrative: Patient experienced lightheadedness, sensation.  That skin was crawling 1-20 minutes after administration.  Followed by muscle tightness in arm, sore, inflammed, red.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Feeling hot, Pain, Pruritus
Clinical narrative: DTAP and IPV given 07/28/2005 PM.  Mom called the clinic 07/29/2005 6:00PM child complained of left thigh, itching and hurting, when she checked it, noted red circle area 2 x 3 inch - warm to touch - clinic notified - patient told to come to clinic.  Boctrin, Benadryl cream, warm packs prescribed.
Age: 52.0
Sex: M
Vaccine: HEP
Symptoms: Anorexia, Depression, Dizziness, Fatigue, Insomnia
Clinical narrative: This case was reported by a consumer and described the occurrence of multiple sclerosis like symptoms in a 52 year old male subject who was vaccinated with hepatitis B vaccine recombinant for prophylaxis. The reporter is the subject. A physician or other health care professional has not verified this report. The subject stated that he had no remarkable medical history and was healthy before receiving hepatitis B vaccine. Concurrent medication included Multivitamins + mineral supplement. On 12/12/01 and 1/16/02, the subject received the first and second doses of Engerix B. The consumer reported that he, "had no problems after receiving the first two doses." On 6/18/02, the subject received the third dose of Engerix B (lot ENG5294C6). On 6/19/02, 1 day after vaccination with the third dose of Engerix B, the subject experienced fatigue, blurred vision, insomnia, depression, and loss of appetite. The subject was seen at a physician's office and was treated with amitryptiline. The subject discontinued amitryptiline after an unspecified period of time and was subsequently treated with tryptophan for several months. The depression and loss of appetite resolved on an unspecified date on or before 8/2/02. At the time of initial reporting, 8/2/05, the subject reported that fatigue is not as severe and that he "still has occasional bouts of blurred vision." The insomnia improved. The subject reported also that, "after the initial symptoms resolved or improved on an unspecified date after 6/19/02 and on or before 8/2/05, he experienced dizziness and peripheral neuropathy primarily in the feet and lower legs. The subject was seen by a neurologist. The subject reported that a, "blood test ruled out diabetes." The subject reported that the physician described his symptoms as multiple sclerosis like and may be due to an auto-immune disorder." At the time of initial reporting, 8/2/05, the multiple sclerosis like and auto-immune symptoms, dizziness and peripheral neuropathy were ongoing. Comment: Multiple sclerosis like symptoms was assessed as medically serious (OMIC).
Age: 52.0
Sex: M
Vaccine: HEP
Symptoms: Multiple sclerosis, Neuropathy peripheral, Vision blurred
Clinical narrative: This case was reported by a consumer and described the occurrence of multiple sclerosis like symptoms in a 52 year old male subject who was vaccinated with hepatitis B vaccine recombinant for prophylaxis. The reporter is the subject. A physician or other health care professional has not verified this report. The subject stated that he had no remarkable medical history and was healthy before receiving hepatitis B vaccine. Concurrent medication included Multivitamins + mineral supplement. On 12/12/01 and 1/16/02, the subject received the first and second doses of Engerix B. The consumer reported that he, "had no problems after receiving the first two doses." On 6/18/02, the subject received the third dose of Engerix B (lot ENG5294C6). On 6/19/02, 1 day after vaccination with the third dose of Engerix B, the subject experienced fatigue, blurred vision, insomnia, depression, and loss of appetite. The subject was seen at a physician's office and was treated with amitryptiline. The subject discontinued amitryptiline after an unspecified period of time and was subsequently treated with tryptophan for several months. The depression and loss of appetite resolved on an unspecified date on or before 8/2/02. At the time of initial reporting, 8/2/05, the subject reported that fatigue is not as severe and that he "still has occasional bouts of blurred vision." The insomnia improved. The subject reported also that, "after the initial symptoms resolved or improved on an unspecified date after 6/19/02 and on or before 8/2/05, he experienced dizziness and peripheral neuropathy primarily in the feet and lower legs. The subject was seen by a neurologist. The subject reported that a, "blood test ruled out diabetes." The subject reported that the physician described his symptoms as multiple sclerosis like and may be due to an auto-immune disorder." At the time of initial reporting, 8/2/05, the multiple sclerosis like and auto-immune symptoms, dizziness and peripheral neuropathy were ongoing. Comment: Multiple sclerosis like symptoms was assessed as medically serious (OMIC).
Sex: U
Vaccine: PNC
Symptoms: Autism
Clinical narrative: This case was considered medically important (OMIC). Information regarding Prevnar (pneumococcal 7 valent conjugate vaccine (diphtheria crm 197 protein) injection) was received from a healthcare professional regarding a pt who developed autism. The pt received a dose on an unspecified date. Relevant medical history was not provided. Indication for Prevnar was immunization. Product was administered on an unspecified date. Dose regimen was not provided. Concomitant medications were not reported. It was reported that a pt developed autism on an unspecified dated. No additional information was available at the time of this report.
Age: 1.02
Sex: M
Vaccine: IPV, VARCEL
Symptoms: Condition aggravated, Febrile convulsion, Hypoxia, Status epilepticus
Clinical narrative: Febrile seizure - status epilepticus. Life flight to medical center. Intraosseous Ativan, Dilantin, intubated and transferred.
Age: 2.0
Sex: M
Vaccine: DTP
Symptoms: Autism, Gaze palsy, Sleep disorder, Social avoidant behaviour, Speech disorder
Clinical narrative: Noticed within days lost eye contact, lost all speech, withdrew socially, initiated self stimulating behaviors, sleep disturbed.
Age: 1.6
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, MMR, VARCEL
Symptoms: Herpes zoster
Clinical narrative: Severe herpes zoster of right thigh and calf. Systemic symptoms.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Gait disturbance, Guillain-Barre syndrome, Hyponatraemia, Lumbar puncture abnormal
Clinical narrative: Diagnosis: G.B. Syndrome. 5/11/05 Sore throat, fatigue. 5/14/05 Numbness and tingling to hands and fingers. 5/15/05 Numbness/tingling to feet. 5/15/05 Deep throbbing, pain in arms up to elbows, pain in shoulders, increased NBC. 5/18/05 Difficulty with gait. 5/19/05 Hospitalized. 5/23/05 Transferred to another hospital and placed in ICU; Condition critical for 4 days. 5/24/05 Lumbar puncture. 5/25/05 LP findings, Guillain Barre. 5/30/05 Step down from ICU. 6/3/05 Admitted to physical therapy rehab facility. 7/28/05 As of this date, discharged planned for 8/2/05.   Received hospital medical records for 5/19-6/3/2005.  FINAL DX: acute inflammatory demyelinating polyneuropathy Records reveal patient experienced bilat ext numbness & tingling w/progressige arm/neck pain x 10 days prior to admit.  Had sore throat & fatigue approx 3 wks prior to onset of s/s.  Transferred from outlying hospital.  On admit to ICU, had weakness of all extremities, urinary retention, constipation, respiratory insufficiency. Neuro consult done.  Tx w/IVIG x 4.  Slow improvement & transferred to inpt rehab.  Per follow up report-Continued muscle weakness, numbness, tingling and pain to lower extremities.  Muscle instability.  Unsteady array gait. Per annual report-Continues to have numbness and tingling to lower extremities (feet & toes), balance is offset by this (numbness and tingling). Physical stamina has not returned to pre-illness level. Has decreased muscle strength in thighs and those muscles fatigue more easily.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Muscular weakness, Muscular weakness, Pain, Pain in extremity, Paraesthesia
Clinical narrative: Diagnosis: G.B. Syndrome. 5/11/05 Sore throat, fatigue. 5/14/05 Numbness and tingling to hands and fingers. 5/15/05 Numbness/tingling to feet. 5/15/05 Deep throbbing, pain in arms up to elbows, pain in shoulders, increased NBC. 5/18/05 Difficulty with gait. 5/19/05 Hospitalized. 5/23/05 Transferred to another hospital and placed in ICU; Condition critical for 4 days. 5/24/05 Lumbar puncture. 5/25/05 LP findings, Guillain Barre. 5/30/05 Step down from ICU. 6/3/05 Admitted to physical therapy rehab facility. 7/28/05 As of this date, discharged planned for 8/2/05.   Received hospital medical records for 5/19-6/3/2005.  FINAL DX: acute inflammatory demyelinating polyneuropathy Records reveal patient experienced bilat ext numbness & tingling w/progressige arm/neck pain x 10 days prior to admit.  Had sore throat & fatigue approx 3 wks prior to onset of s/s.  Transferred from outlying hospital.  On admit to ICU, had weakness of all extremities, urinary retention, constipation, respiratory insufficiency. Neuro consult done.  Tx w/IVIG x 4.  Slow improvement & transferred to inpt rehab.  Per follow up report-Continued muscle weakness, numbness, tingling and pain to lower extremities.  Muscle instability.  Unsteady array gait. Per annual report-Continues to have numbness and tingling to lower extremities (feet & toes), balance is offset by this (numbness and tingling). Physical stamina has not returned to pre-illness level. Has decreased muscle strength in thighs and those muscles fatigue more easily.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Pharyngolaryngeal pain, Shoulder pain, White blood cell count increased
Clinical narrative: Diagnosis: G.B. Syndrome. 5/11/05 Sore throat, fatigue. 5/14/05 Numbness and tingling to hands and fingers. 5/15/05 Numbness/tingling to feet. 5/15/05 Deep throbbing, pain in arms up to elbows, pain in shoulders, increased NBC. 5/18/05 Difficulty with gait. 5/19/05 Hospitalized. 5/23/05 Transferred to another hospital and placed in ICU; Condition critical for 4 days. 5/24/05 Lumbar puncture. 5/25/05 LP findings, Guillain Barre. 5/30/05 Step down from ICU. 6/3/05 Admitted to physical therapy rehab facility. 7/28/05 As of this date, discharged planned for 8/2/05.   Received hospital medical records for 5/19-6/3/2005.  FINAL DX: acute inflammatory demyelinating polyneuropathy Records reveal patient experienced bilat ext numbness & tingling w/progressige arm/neck pain x 10 days prior to admit.  Had sore throat & fatigue approx 3 wks prior to onset of s/s.  Transferred from outlying hospital.  On admit to ICU, had weakness of all extremities, urinary retention, constipation, respiratory insufficiency. Neuro consult done.  Tx w/IVIG x 4.  Slow improvement & transferred to inpt rehab.  Per follow up report-Continued muscle weakness, numbness, tingling and pain to lower extremities.  Muscle instability.  Unsteady array gait. Per annual report-Continues to have numbness and tingling to lower extremities (feet & toes), balance is offset by this (numbness and tingling). Physical stamina has not returned to pre-illness level. Has decreased muscle strength in thighs and those muscles fatigue more easily.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Pain, Pyrexia
Clinical narrative: Seen in clinic on 07/21/2005 for axilla pain after immunization on 07/19/2005, temperature - 97.9 degrees oral.
Age: 14.0
Sex: F
Vaccine: HEP, MNQ
Symptoms: Erythema, Injection site induration, Swelling
Clinical narrative: Left deltoid area redness, swelling induration 4 inches.
Age: 27.0
Sex: M
Vaccine: HEP, SMALL, TYP
Symptoms: Cellulitis, Chills, Injection site erythema, Injection site mass, Oedema
Clinical narrative: Redness surrounding site, edema, lump at site approximately 6 inches in diameter, low grade fever, chills edema to lymph node of left arm for 5 days.  Diagnosis Cellulitis.
Age: 27.0
Sex: M
Vaccine: HEP, SMALL, TYP
Symptoms: Pyrexia
Clinical narrative: Redness surrounding site, edema, lump at site approximately 6 inches in diameter, low grade fever, chills edema to lymph node of left arm for 5 days.  Diagnosis Cellulitis.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Erythema, Lymphadenopathy, Pain
Clinical narrative: 07/27/2005 Received Menactra, arm became sore.  On 07/29/2005 large erythematous area on left arm.  Glands under left arm swollen.  No fever, no aching, no flu symptoms.  Treated with Benadryl, Tylenol.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site induration, Injection site pain
Clinical narrative: 2cm deep, painful induration at site of injection.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Crying, Pyrexia, Rash erythematous, Rash papular
Clinical narrative: Patient was crying and feverish all night.  In the morning after injections Mom notice a rash on right anterior thigh.  Erythematous and papular, some confluence, rest of exam normal.  Treated with Tylenol and Zyrtec syrup.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site inflammation
Clinical narrative: Left arm from top of shoulder to his elbow inflamed - hot to touch 7x5 total area, arm is dark red in color.  ER visit 07/14/2000, Benadryl - 1 tsp every 6 hours, 1 tsp motrin or tylenol.
Age: 55.0
Sex: F
Vaccine: LYME
Symptoms: Back pain, Disturbance in attention, Fatigue, Neck pain, Rash
Clinical narrative: Pain in arm at location of Lymerix vaccine persisted for weeks after these vaccines.  09/09/1999 and 10/06/1999 arthritic symptoms - spine, neck, aches and pains, loss of concentration persist currently, unexplained rash and constant fatigue.
Age: 1.28
Sex: F
Vaccine: HIBV, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Vaccine induced Varicella
Age: 1.05
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Irritability, Pain, Pyrexia
Clinical narrative: Temperature 103, extreme irritability; acted like he hurt allover, couldn't comfort him.  Reaction lasted 5 days.
Age: 16.0
Sex: F
Vaccine: VARCEL
Symptoms: Syncope
Clinical narrative: patient fainted after varicella vaccine.  Fell off chair and received a quarter sized abrasion.  BP 100/50 pulse 60.  After settled and up in a chair fainted again.  Sent to physician's office for observation.
Age: 43.0
Sex: F
Vaccine: HEPAB, TYP
Symptoms: Erythema, Rash, Swelling
Clinical narrative: Rash on cheek and dryness, redness, swollen - 20 minutes after injection.  Benadryl and some relief noted; at 22:00 tingling tongue, gums and swollen tongue, jaw tightness, small white rash on back at ER difficulty swallowing and blotchy red rash with swelling of arms.  Received Depo Medrol also Pepcid.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Feeling hot, Pruritus, Swelling
Clinical narrative: Right upper arm has palm-sized swelling, warm to the touch with itching.  Temperature - 99.3 - by mouth.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, MMR
Symptoms: Swelling
Clinical narrative: Very swollen leg, knee and buttock for several days - treatment: Prednisolone and antibiotic, Benadryl and Motrin.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site pain, Swelling
Clinical narrative: Development of severe redness, swelling, warmth and pain without fever on left upper arm at site of DTAP injection.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Erythema, Injection site swelling
Clinical narrative: Area of injection site swollen, erythematous, and hand, approximately 5 inch circular area to arm that DTAP given.  Injection given approximately 24 hours prior to exam, patient given single dose steroids and 24 hours follow up.
Age: 4.0
Sex: M
Vaccine: PNC
Symptoms: Feeling hot, Swelling
Clinical narrative: Swollen left thigh.  Hot to touch.  Keflex given.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Feeling hot, Pain
Clinical narrative: Evening of 07/25 - noted redness, soreness, very warm to touch - redness down to elbow, continues today (07/28).  Temperature 100.8.  Cellulitis questionable- treated with Cephalexin.
Age: 13.0
Sex: F
Vaccine: VARCEL
Symptoms: Cough, Fatigue, Injection site oedema, Injection site pain, Irritability
Clinical narrative: Achy, fatigued, nausea, low temp fever, sore arm, swollen. temp increased at night 100-101, irritable, tearful, tired, swelling increased. Tuesday 2am had hoarse hacking cough, no mucus/ no runny nose. Given fluids. On Wed pt was completely exhausted all day, Thursday called doctor office. Pt had on off headaches. Friday temps down, higher at night, still fatigued and nauseated, swelling down.
Age: 13.0
Sex: F
Vaccine: VARCEL
Symptoms: Lacrimation increased, Nausea, Pain, Pyrexia
Clinical narrative: Achy, fatigued, nausea, low temp fever, sore arm, swollen. temp increased at night 100-101, irritable, tearful, tired, swelling increased. Tuesday 2am had hoarse hacking cough, no mucus/ no runny nose. Given fluids. On Wed pt was completely exhausted all day, Thursday called doctor office. Pt had on off headaches. Friday temps down, higher at night, still fatigued and nauseated, swelling down.
Age: 65.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Dyspnoea, Feeling hot, Headache, Injection site hypersensitivity, Injection site mass
Clinical narrative: Itching, redness, lumpiness underneath skin, uneven swelling, (hills and valleys), bumps 3 inches below inject site. Hot to touch, soreness. Iced area but although redness decreased, area affected expanded. Also had nausea, headache and breathing problems, stuffy nose. After hours nurse recommended Tylenol, By midnight breathing problems had worsened and other doctor recommended Allegra which was helpful. ON 08/04 went to doctor, continued to ice area, was seen by OBGYN since a surgery was planned, allergist, and general practitioner who took pictures. On 8/05 continued on Allegra twice daily, breathing fine, swelling down but redness still present and increases.
Age: 65.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site oedema, Injection site rash, Nasal congestion, Nausea, Pruritus
Clinical narrative: Itching, redness, lumpiness underneath skin, uneven swelling, (hills and valleys), bumps 3 inches below inject site. Hot to touch, soreness. Iced area but although redness decreased, area affected expanded. Also had nausea, headache and breathing problems, stuffy nose. After hours nurse recommended Tylenol, By midnight breathing problems had worsened and other doctor recommended Allegra which was helpful. ON 08/04 went to doctor, continued to ice area, was seen by OBGYN since a surgery was planned, allergist, and general practitioner who took pictures. On 8/05 continued on Allegra twice daily, breathing fine, swelling down but redness still present and increases.
Age: 65.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Skin nodule
Clinical narrative: Itching, redness, lumpiness underneath skin, uneven swelling, (hills and valleys), bumps 3 inches below inject site. Hot to touch, soreness. Iced area but although redness decreased, area affected expanded. Also had nausea, headache and breathing problems, stuffy nose. After hours nurse recommended Tylenol, By midnight breathing problems had worsened and other doctor recommended Allegra which was helpful. ON 08/04 went to doctor, continued to ice area, was seen by OBGYN since a surgery was planned, allergist, and general practitioner who took pictures. On 8/05 continued on Allegra twice daily, breathing fine, swelling down but redness still present and increases.
Age: 65.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Erythema
Clinical narrative: Itching, redness, lumpiness underneath skin, uneven swelling, (hills and valleys), bumps 3 inches below inject site. Hot to touch, soreness. Iced area but although redness decreased, area affected expanded. Also had nausea, headache and breathing problems, stuffy nose. After hours nurse recommended Tylenol, By midnight breathing problems had worsened and other doctor recommended Allegra which was helpful. ON 08/04 went to doctor, continued to ice area, was seen by OBGYN since a surgery was planned, allergist, and general practitioner who took pictures. On 8/05 continued on Allegra twice daily, breathing fine, swelling down but redness still present and increases.
Age: 14.0
Sex: M
Vaccine: DT
Symptoms: Headache, Laboratory test abnormal, Nausea, Pyrexia, Vomiting
Clinical narrative: High fever 101-102, headache, nausea and vomiting for 48 hours
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site hypersensitivity, Injection site oedema, Pruritus
Clinical narrative: left deltoid red, swollen, itchy, warm to touch
Age: 0.8
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: 7/28/05 3am developed temp 104 went to ER sent back home. 7/28/05 10am had febrile seizure went to hospital by 911 and hours later discharged home.
Age: 5.8
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Face oedema, Injection site reaction, Pruritus, Rash, Urticaria
Clinical narrative: Hives, swelling on face, itching approximately 5 min after injection. Hives around MMR injection site. Rash on arms and back. Epinephrine .2cc administered to arm. BP 104/60. Symptoms began to subside within approximately 5 min. BP taken again 102/60. Patient released in care of parents at 5:00 pm with no symptoms.
Age: 19.0
Sex: F
Vaccine: MEN
Symptoms: Asthenia, Chest discomfort, Dyspnoea, Heart rate increased, Pain
Clinical narrative: Vaccine given at approx 10:30 am, about 6:30 Patient had difficulty breathing, tightness in chest, soreness in arm, weak, rapid heart rate. Mom called 911 patient transported to ER. Given Claritin symptoms lasted 6:30 to 10:30 Pt discharged.
Age: 30.0
Sex: F
Vaccine: HEPAB
Symptoms: Dizziness, Headache, Heart rate increased, Hyperhidrosis, Hypertension
Clinical narrative: Severe headache, rash, dizziness, severe swelling and muscle pain at injection site, breaking into sweats, increased heart rate and blood pressure.
Age: 30.0
Sex: F
Vaccine: HEPAB
Symptoms: Injection site pain, Myalgia, Oedema, Rash
Clinical narrative: Severe headache, rash, dizziness, severe swelling and muscle pain at injection site, breaking into sweats, increased heart rate and blood pressure.
Age: 1.01
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Asthenia, Balance disorder, Coordination abnormal, Crying, Difficulty in walking
Clinical narrative: Pt is a 14 month old male who woke up on the morning of 7/31/05 with weakness, ataxia, and irritability.  Pt was unable to grasp and hold eating utensils or bottle, could not walk, and was crying inconsolably.  He was brought to the hospital, where hip x-rays and head CT were normal.  MRI of the brain and spine demonstrated servical cord swelling associated with abnormal T2 prolongation in the entire cervical cord and patchy areas in the mid and lower thoracic cord.  No enhancement is appreciated.  Pt was given a diagnosis of transverse myelitis and treated with high-dose IV steroids and intravenous immunoglobulin. Per follow up report- Patient has recovered much function from inital presentation, but has rendered fine motor deficits and has not regained full balance yet. Discharge Summary received which stated patient experienced neuritis.
Age: 1.01
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Irritability, Myelitis transverse, Neuritis, Nuclear magnetic resonance imaging brain abnormal, Oedema
Clinical narrative: Pt is a 14 month old male who woke up on the morning of 7/31/05 with weakness, ataxia, and irritability.  Pt was unable to grasp and hold eating utensils or bottle, could not walk, and was crying inconsolably.  He was brought to the hospital, where hip x-rays and head CT were normal.  MRI of the brain and spine demonstrated servical cord swelling associated with abnormal T2 prolongation in the entire cervical cord and patchy areas in the mid and lower thoracic cord.  No enhancement is appreciated.  Pt was given a diagnosis of transverse myelitis and treated with high-dose IV steroids and intravenous immunoglobulin. Per follow up report- Patient has recovered much function from inital presentation, but has rendered fine motor deficits and has not regained full balance yet. Discharge Summary received which stated patient experienced neuritis.
Age: 1.01
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Screaming, Speech disorder, Thoracic vertebral fracture
Clinical narrative: Pt is a 14 month old male who woke up on the morning of 7/31/05 with weakness, ataxia, and irritability.  Pt was unable to grasp and hold eating utensils or bottle, could not walk, and was crying inconsolably.  He was brought to the hospital, where hip x-rays and head CT were normal.  MRI of the brain and spine demonstrated servical cord swelling associated with abnormal T2 prolongation in the entire cervical cord and patchy areas in the mid and lower thoracic cord.  No enhancement is appreciated.  Pt was given a diagnosis of transverse myelitis and treated with high-dose IV steroids and intravenous immunoglobulin. Per follow up report- Patient has recovered much function from inital presentation, but has rendered fine motor deficits and has not regained full balance yet. Discharge Summary received which stated patient experienced neuritis.
Age: 18.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Oedema
Clinical narrative: Mother states client complained of swelling of Rt knee on July 29 with continuing pain and swelling until seen by physician on August 3.  Client now taking Ibuprophen, wearing flexible brace, using ice and unble to work for one week.  Mother further states client has has swelling of this knee before, but never for this long (usually 1-2 days duration).  No elevated temperature.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: LEFT UPPER ARM / DELTOID AREA - RED, WARM, SWOLLEN, SLIGHTLY FIRM. ABLE TO MOVE ARM WITH MINIMAL DIFFICULTY.
Age: 24.0
Sex: F
Vaccine: HEPAB, MMR
Symptoms: Injection site induration, Injection site oedema, Myositis, Pain
Clinical narrative: 2-3 cm induration/swelling left deltoid area. No erythema/cellulitis.  Complaining of pain with abduction.
Age: 0.33
Sex: F
Vaccine: DTP, FLUX, IPV, PPV
Symptoms: Anorexia, Crying, Irritability, Malaise, Medication error
Clinical narrative: On 7/27/05 my granddaughter was given all of her 4 month shots at the Dr. office.  On 8/5/05 we were called at home stating that they gave her the adult vaccine PPV instead of PCV.  She was then given the correct vaccine on 8/5/05.  After she was given the first shot on the 7/27/05 she was more cranky and sick.  For 2 days she did run a fever of 101.6 and did not eat all that much.  All she did was cry.  She was given tylenol and was given warm bathes.  Did contact a public health nurse that is assinged to pt and also contacted the CDC on getting the information to make sure she is going to be all right.
Age: 0.33
Sex: F
Vaccine: DTP, FLUX, IPV, PPV
Symptoms: Pyrexia, Screaming
Clinical narrative: On 7/27/05 my granddaughter was given all of her 4 month shots at the Dr. office.  On 8/5/05 we were called at home stating that they gave her the adult vaccine PPV instead of PCV.  She was then given the correct vaccine on 8/5/05.  After she was given the first shot on the 7/27/05 she was more cranky and sick.  For 2 days she did run a fever of 101.6 and did not eat all that much.  All she did was cry.  She was given tylenol and was given warm bathes.  Did contact a public health nurse that is assinged to pt and also contacted the CDC on getting the information to make sure she is going to be all right.
Age: 40.0
Sex: F
Vaccine: HEP, MMR, TD
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Received tetanus/diptheria immunization on 8/1/05. Observed on 8/5/05 - reddened area from mid deltoid on RUE to 2" proximal to the elbow.  Warm to touch, no edema noted.
Age: 43.0
Sex: M
Vaccine: HEP, HEPAB
Symptoms: Medication error
Clinical narrative: Was offered the Twinrix shot ( Hep.A and Hep. B) during an HIV clinic.  The client spoke some english and needed an interpreter(which was in the room).  After the HIV counseling was almost done, he was asked if he wanted a Hep. A or Hep. B shot.  After he was counseled for it, he stated he wanted the combination shot.  Twinrix was given.  After client left, it was discovered client had recieved a Hep. B shot in STD clinic, prior to HIV counseling.
Age: 42.0
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Musculoskeletal stiffness, Pain, Pyrexia, Viral infection
Clinical narrative: Vaccinated = 20 July. Stiff neck = 1 Aug. Body aches/stiffness, fever (102.5) = 2 Aug. Had blisters on stomach, back and face = 5 Aug. Valtrex prescribed by civ dr. for chicken pox.
Age: 31.0
Sex: F
Vaccine: JEV
Symptoms: Abdominal pain, Chills, Headache, Pyrexia
Clinical narrative: On 28 Jul 05, at approximately 1500, pt received the JEV (Lot # ENJ214A) in the Left Mid 1/3 upper arm. Pt was monitored for 30 min after the injection. She reports today that "on the following Wednesday night (3 Aug.05) she experienced moderate chills, fever, abdominal aching pains, mild constant all over headache. The following morning Fever was 99.0. Body ache continued thru today at present. She medicated herself with 100mg of Imitrex. Medicine did not affect her condition.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Erythema, Pyrexia, Rash, Vaccination complication
Clinical narrative: She had a fever 9 days after vaccination 103 degrees rectally and the next day, day 10, she broke out in a red pimply rash all over her body.  It spread from one are to all over in a matter of 1 hour.  I took her to hospital and they said it was a reaction to the measles vaccination.  Give her benedryl and tylenol for fever.
Age: 0.0
Sex: U
Vaccine: DTAP
Symptoms: Convulsion, Pyrexia
Clinical narrative: Fever 6 hours later, then 20 minute seizure.
Sex: U
Vaccine: PPV
Symptoms: Hypersensitivity, Influenza like illness, Pain, Pyrexia
Clinical narrative: Information has been received from a pharmacist concerning a patient who was vaccinated with pneumococcal 23v polysaccharide vaccine. Subsequently the patient developed fever, body aches, flu-like symptoms and large local reactions. The patient sought unspecified medical attention. It was reported that the patient had recovered. No additional information was provided.
Sex: U
Vaccine: PPV
Symptoms: Hypersensitivity, Influenza like illness, Pain, Pyrexia
Clinical narrative: Information has been received from a pharmacist concerning a patient who was vaccinated with pneuumococcal 23v polysaccharide vaccine. Subsequently the patient developed  fever, body aches, flu-like symptoms and large local reaction described as a reaction from the injection site to the elbow. The patient sought unspecified medical attention. No additional information was  provided.