chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 30.0
Sex: M
Vaccine: SMALL
Symptoms: Arthralgia, Conjunctivitis, Injection site hypersensitivity, Liver function test abnormal, Malaise
Clinical narrative: Patient presented to vaccination clinic on 7-26-04 with concerns re:  possible satellite lesions near smallpox vaccination site.  Vaccination site assessed by an RN.  RN documented 1 (one) small (approximately 3mm) red spot with 2 very small raised white areas.  Additional small red, flat (approximately 3mm) area approximately 3cm from primary vaccination site.  Patient also had 4-5 inch "hive-like" reddened lesions on outer aspect of arm.  These additional lesions appeared 1 day post vaccination (July 24, 2004) per patient additional lesions were not assessed to be related to primary vaccination site.  Patient was instructed to call vaccination clinic if any of described lesions became pustular.  Patient returned to vaccination clinic on 7-30-04 for vaccination site reading.  Patient with major take.  No other problems noted.  Lesions assessed on 7/26/04 not visible on July 30th8-6-04:  Form forwarded to doctor for additional notes regarding patient's hospitalization related to onset of serum sickness.  Day 7 after vaccination:  Patient observed joint aching (wrists, knees, and other joints); hive-like rash on palms of hands, ventral aspect of fingers, and later on legs; fever to 104 degrees, general malaise, conjunctivitis.  Also sterile pyuria, 1+ proteinuria, elevated LFTs.  Admitted for 48 hours on 08/09/2004. Diagnosis:  serum sickness secondary to smallpox vaccination.  Nurse follow up on 08/19/04 states: "Complete."
Age: 30.0
Sex: M
Vaccine: SMALL
Symptoms: Proteinuria, Pyrexia, Pyuria, Rash maculo-papular, Rash pustular
Clinical narrative: Patient presented to vaccination clinic on 7-26-04 with concerns re:  possible satellite lesions near smallpox vaccination site.  Vaccination site assessed by an RN.  RN documented 1 (one) small (approximately 3mm) red spot with 2 very small raised white areas.  Additional small red, flat (approximately 3mm) area approximately 3cm from primary vaccination site.  Patient also had 4-5 inch "hive-like" reddened lesions on outer aspect of arm.  These additional lesions appeared 1 day post vaccination (July 24, 2004) per patient additional lesions were not assessed to be related to primary vaccination site.  Patient was instructed to call vaccination clinic if any of described lesions became pustular.  Patient returned to vaccination clinic on 7-30-04 for vaccination site reading.  Patient with major take.  No other problems noted.  Lesions assessed on 7/26/04 not visible on July 30th8-6-04:  Form forwarded to doctor for additional notes regarding patient's hospitalization related to onset of serum sickness.  Day 7 after vaccination:  Patient observed joint aching (wrists, knees, and other joints); hive-like rash on palms of hands, ventral aspect of fingers, and later on legs; fever to 104 degrees, general malaise, conjunctivitis.  Also sterile pyuria, 1+ proteinuria, elevated LFTs.  Admitted for 48 hours on 08/09/2004. Diagnosis:  serum sickness secondary to smallpox vaccination.  Nurse follow up on 08/19/04 states: "Complete."
Age: 30.0
Sex: M
Vaccine: SMALL
Symptoms: Serum sickness, Skin ulcer, Urticaria, Vaccination complication
Clinical narrative: Patient presented to vaccination clinic on 7-26-04 with concerns re:  possible satellite lesions near smallpox vaccination site.  Vaccination site assessed by an RN.  RN documented 1 (one) small (approximately 3mm) red spot with 2 very small raised white areas.  Additional small red, flat (approximately 3mm) area approximately 3cm from primary vaccination site.  Patient also had 4-5 inch "hive-like" reddened lesions on outer aspect of arm.  These additional lesions appeared 1 day post vaccination (July 24, 2004) per patient additional lesions were not assessed to be related to primary vaccination site.  Patient was instructed to call vaccination clinic if any of described lesions became pustular.  Patient returned to vaccination clinic on 7-30-04 for vaccination site reading.  Patient with major take.  No other problems noted.  Lesions assessed on 7/26/04 not visible on July 30th8-6-04:  Form forwarded to doctor for additional notes regarding patient's hospitalization related to onset of serum sickness.  Day 7 after vaccination:  Patient observed joint aching (wrists, knees, and other joints); hive-like rash on palms of hands, ventral aspect of fingers, and later on legs; fever to 104 degrees, general malaise, conjunctivitis.  Also sterile pyuria, 1+ proteinuria, elevated LFTs.  Admitted for 48 hours on 08/09/2004. Diagnosis:  serum sickness secondary to smallpox vaccination.  Nurse follow up on 08/19/04 states: "Complete."
Age: 1.2
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Convulsion, Infection, Pharyngitis, Pneumonia, Pyrexia
Clinical narrative: A week after my son had his MMR and Varicella vaccines he developed cold like symptoms and on the 8th day after the vaccination his tempeture went up to 104 F and he had a seizure.  911 had to be called and he was transported to the emergency room.
Age: 1.2
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rhinitis
Clinical narrative: A week after my son had his MMR and Varicella vaccines he developed cold like symptoms and on the 8th day after the vaccination his tempeture went up to 104 F and he had a seizure.  911 had to be called and he was transported to the emergency room.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Dysphagia, Pyrexia, Rash
Clinical narrative: Maternal aunt called on 07/30/2004 at 4 pm to report that client had a rash all over his body and had difficulty swallowing.  Gave history of fever.  Denied signs or symptoms of respiratory distress.
Age: 1.3
Sex: M
Vaccine: MMR
Symptoms: Pyrexia, Rash
Clinical narrative: After 7-10 days, slight rash started, then progressed to cover entire body by 15 days.  Still apparent.  Fever lasted only about 1 day - started on 11th day.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Pyrexia, Swelling
Clinical narrative: Swollen LT. deltoid, warm to touch. Fever 103F.
Age: 35.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain, Chills, Decreased appetite, Headache, Laboratory test abnormal
Clinical narrative: 7/27/04 5 days post inoculation w/ 3 pokes of vaccinia c/o headache, body aches, fever, decreased appetite, rhinits, sore throat, and midsternal pressure. 8/8/04 17 days post inoculation c/o severe headache, chills, nausea, emesis. Lumbar puncture was done. Meningitis was ruled out, pt. was sent home with pain medication for atypical headache. 8/11/04 20 days post inoculation saw private health care provider for persistent nausea, given prescription for phenergan.
Age: 35.0
Sex: F
Vaccine: SMALL
Symptoms: Nausea, Pain, Pharyngolaryngeal pain, Pyrexia, Rhinitis
Clinical narrative: 7/27/04 5 days post inoculation w/ 3 pokes of vaccinia c/o headache, body aches, fever, decreased appetite, rhinits, sore throat, and midsternal pressure. 8/8/04 17 days post inoculation c/o severe headache, chills, nausea, emesis. Lumbar puncture was done. Meningitis was ruled out, pt. was sent home with pain medication for atypical headache. 8/11/04 20 days post inoculation saw private health care provider for persistent nausea, given prescription for phenergan.
Age: 35.0
Sex: F
Vaccine: SMALL
Symptoms: Vomiting, White blood cell count increased
Clinical narrative: 7/27/04 5 days post inoculation w/ 3 pokes of vaccinia c/o headache, body aches, fever, decreased appetite, rhinits, sore throat, and midsternal pressure. 8/8/04 17 days post inoculation c/o severe headache, chills, nausea, emesis. Lumbar puncture was done. Meningitis was ruled out, pt. was sent home with pain medication for atypical headache. 8/11/04 20 days post inoculation saw private health care provider for persistent nausea, given prescription for phenergan.
Age: 51.0
Sex: F
Vaccine: DT, TD
Symptoms: Discomfort, Hypokinesia, Injection site inflammation, Muscular weakness, Myalgia
Clinical narrative: Deep muscular pain and limited range of motion in various muscles located in the upper right arm, which pain is experienced upon movement of the muscle.  Pain worsens during sleeping;  I try to avoid rolling onto right side as much as possible. Discomfort worsened significantly and became more generalized in upper arm area beginning approx. two days after shot. Pain/weakness is the worst in rotator cuff area at this time. Presently I am under the care of an orthopedic specialist and am in physicial therapy. It is presently unknown how long treatment will be necessary, what future tests/treatment will consist of, or what final outcome will be.
Age: 51.0
Sex: F
Vaccine: DT, TD
Symptoms: Pain
Clinical narrative: Deep muscular pain and limited range of motion in various muscles located in the upper right arm, which pain is experienced upon movement of the muscle.  Pain worsens during sleeping;  I try to avoid rolling onto right side as much as possible. Discomfort worsened significantly and became more generalized in upper arm area beginning approx. two days after shot. Pain/weakness is the worst in rotator cuff area at this time. Presently I am under the care of an orthopedic specialist and am in physicial therapy. It is presently unknown how long treatment will be necessary, what future tests/treatment will consist of, or what final outcome will be.
Age: 51.0
Sex: F
Vaccine: DT, TD
Symptoms: Joint range of motion decreased, Pain
Clinical narrative: Deep muscular pain and limited range of motion in various muscles located in the upper right arm, which pain is experienced upon movement of the muscle.  Pain worsens during sleeping;  I try to avoid rolling onto right side as much as possible. Discomfort worsened significantly and became more generalized in upper arm area beginning approx. two days after shot. Pain/weakness is the worst in rotator cuff area at this time. Presently I am under the care of an orthopedic specialist and am in physicial therapy. It is presently unknown how long treatment will be necessary, what future tests/treatment will consist of, or what final outcome will be.
Age: 51.0
Sex: F
Vaccine: DT, TD
Symptoms: Discomfort, Hypokinesia, Injection site inflammation, Muscular weakness, Myalgia
Clinical narrative: Pt reports her pain stems form the right shoulder down to the elbow area, depending on the muscle being used. Movement exacerbates symptoms. Presently, she is in physical therapy by another doctor with which she is being treated.
Age: 51.0
Sex: F
Vaccine: DT, TD
Symptoms: Pain
Clinical narrative: Pt reports her pain stems form the right shoulder down to the elbow area, depending on the muscle being used. Movement exacerbates symptoms. Presently, she is in physical therapy by another doctor with which she is being treated.
Age: 51.0
Sex: F
Vaccine: DT, TD
Symptoms: Joint range of motion decreased, Pain
Clinical narrative: Pt reports her pain stems form the right shoulder down to the elbow area, depending on the muscle being used. Movement exacerbates symptoms. Presently, she is in physical therapy by another doctor with which she is being treated.
Age: 16.0
Sex: F
Vaccine: DT, MMR
Symptoms: Pallor, Sensation of heaviness, Vomiting
Clinical narrative: arm heaviness, patient became pale and vomited 15 mins after vaccine was administered.
Sex: F
Vaccine: HEPA
Symptoms: Hyperbilirubinaemia, Laboratory test abnormal, Liver function test abnormal
Clinical narrative: Information has been received from a pharmacist concerning a female adolescent patient who was vaccinated several weeks ago with a dose of hepatitis A virus vaccine inactivated (lot # not reported). Subsequently, the patient experienced a bilirubin value of 3 and transaminase value in the 700 range. As of 7/30/04 the patient's symptoms had not improved. No further information was provided. Upon internal review, the patient's experiences were considered to be other important medical events (OMIC). Additional information has been requested.
Sex: M
Vaccine: MMR
Symptoms: Autism
Clinical narrative: Information has been received from a consumer concerning her friend's son who was vaccinated with a dose of MMR. Subsequently, the patient developed autism. Unspecified medical attention was sought. No product quality complaint was involved. Upon internal review, autism was determined to be an other important medical event (OMIC). No further information is available.
Age: 35.0
Sex: M
Vaccine: RAB
Symptoms: Cardiac valve disease, Chest pain, Syncope
Clinical narrative: From initial information received on 8/6/04 from a health care professional regarding an adverse event occurring in the USA, it was reported that a 35 year old male patient received a RABIES vaccine, administered at 8:30am on 3/31/04. The lot number, route, site, and dose number information was not provided for the product administered. Sometime after the administration of the Rabies product the patient experienced a pre-syncope episode, chest pain, and a ventricular ectopy. The patient's recovery status was reported as recovered.  Follow up on 09/28/04 states: "From additional information received through a telephone call on 09/22/04 from a physician, it was reported that the pt received IMOVAX RABIES on 03/31/04.  The physician did not have the lot #, but stated that she would call back with this information, as well as the route of administration. The pt received the vaccine as part of a post-exposure series.  He is a veterinarian, who was exposed to bull saliva during intubation. The bull was a suspected carrier of rabies.  The pt's last rabies vaccination was in 1999 with no prior reactions reported. His diagnosis of ventricular arrhythmia was based on cardiac monitor rhythm strips, as well as by pt's symptoms. He has since recovered from these events without sequelae." From additional information received on 29Sep04 from a healthcare professional, it was reported that the pt received the Imovax Rabies vaccine from a recalled lot, lot number W14192 administered IM. Reportedly the pt has fully recovered from the event.
Age: 16.0
Sex: F
Vaccine: PPV, TTOX
Symptoms: Injection site erythema, Oedema peripheral, Pyrexia
Clinical narrative: Pneumovax: swelling of arm from shoulder to elbow that lasted for less than 2 weeks, 102 fever, redness at site for less than one month. Tetanus booster had same localized reaction less than one week but no fever.
Age: 55.0
Sex: F
Vaccine: PPV
Symptoms: Hypokinesia, Pain, Vomiting
Clinical narrative: 4/19/04 15:00 Pneumovax administered to pt left deltoid. No swelling or erythema at injection site. Pt vomited in PM 4/20 c/o pain at left shoulder, worse with movement. Pain 8/10. Temperature 39 degrees C. Both shoulder x-ray. No significant findings, ortho consult suggested Toradol and PT. 4/21/04 Decreased pain in shoulder (4/10). Pt discharged with Motrin after 2 and gel pack for left shoulder.
Sex: F
Vaccine: HEP, TD
Symptoms: Convulsion, Lethargy, Pallor
Clinical narrative: Pallor and seizure like activity less than 2 min after shot was given recovery in about 1-2 min but lethargy for about 5 min plus.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Injection site oedema, Pyrexia
Clinical narrative: Mom phoned office in evening on 8/6/04 at 11:00PM c/o fever (as high as 103), redness, swelling in upper right arm of injection site.
Age: 4.0
Sex: F
Vaccine: IPV, PNC, VARCEL
Symptoms: Unevaluable event
Clinical narrative: Varivax
Age: 4.0
Sex: F
Vaccine: DTAP, HBHEPB, IPV, MMR
Symptoms: Viral infection
Clinical narrative: Varicella
Age: 19.0
Sex: F
Vaccine: MEN
Symptoms: Face oedema, Oedema peripheral, Pruritus
Clinical narrative: Received vaccine 12 noon 8/3/2004. At 10:30PM had generalized itching of body. In morning 8/4/04 noted swelling of lips and balls of feet. Did not surface. 8/6/2004 lips slightly swollen. Felt returned to normal.
Age: 7.0
Sex: M
Vaccine: UNK
Symptoms: Rash maculo-papular
Clinical narrative: Red raised rash, heaviest on chest, some on extremities.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash, Urticaria
Clinical narrative: 8/02/04 parents reported through an interpreter the following information; one week after child received MMR and Varicella vaccines child developed a rash which was generalized over the body. No fever was noted but child was very uncomfortable. This writer requested parents to bring child back to health dept for assessment. He was noted to have generalized reddened circular hives with majority to trunk. Child referred to pediatrician for Tx.
Age: 12.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Feeling hot, Oedema, Pain
Clinical narrative: Swelling, redness, warm to touch, pain
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Pain
Clinical narrative: IPV administered to Left thigh on 7/12/04 and on 7/14/04 left thigh red, hot, swollen, and painful to touch.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema, Irritability, Skin discolouration, Urticaria
Clinical narrative: Around 10:00AM received Pediarix vaccine to LAT. Upon leaving clinic parents noticed red spot at injection site. 1-2hr later area had grown to 8x5cm and pt was very fussy. No systemic sx. Left ant and lat thigh with area of violaceous lacey-almost urticarial spot. No mass, not hot. Docs blanche-not ecchymotic.  Pt has follow up 8/2/04
Age: 11.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Td given 30Jul04. Redness and pain occurred on site of injection. Time of reaction unknown. Treated with Benadryl 50mg IM.
Age: 4.0
Sex: M
Vaccine: DTP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site oedema
Clinical narrative: Swelling of injection site. Right arm with warmth and redness.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site inflammation
Clinical narrative: Inflamed area of skin starting at injection site and progressing downward to forearm. No fever. Use arm ok. No axillary lymph nodes. Will be followed.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema, Pyrexia
Clinical narrative: Left thigh red, swollen, and hot (approx 14 x 7cm) fever 101 x 24 hours inj given 7/15/04. Symptoms started 7/16/04. 7/21/04 all redness cleared.
Age: 6.0
Sex: F
Vaccine: RAB
Symptoms: Abdominal pain, Erythema, Eye oedema, Headache, Pyrexia
Clinical narrative: Temp (101.7), headache, abdominal pain, redness in face puffy eyes. Tx 2tsp of ibuprofen every six hours. Duration was about 24 hours.
Age: 1.17
Sex: F
Vaccine: MMR
Symptoms: Cough, Malaise, Pyrexia, Rash, Rhinitis
Clinical narrative: Received MMR vaccine 6/18/2004. Symptoms began 6/27/04 with cough, fever, coryza, malaise and rash. (Father said child has a little cough/fever 6/23 + 6/24 then subsided)
Age: 2.0
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Dyspnoea, Oedema, Pyrexia
Clinical narrative: Pt c/o shortness of breath over night. Noticed swelling on the left arm. No rxn, fever was noted and neg vomiting- vaccine was given 2 days before.
Age: 0.67
Sex: F
Vaccine: PNC
Symptoms: Hypersensitivity, Rash, Vomiting
Clinical narrative: Child's sister called and reported to the undersigned that her sister might have had an allergic reaction to the Prevnar vaccine. She also stated that pt had a cup of chicken soup (Nissin noodle soup called Better than soup), and observed rash around neck and mouth also vomited x2. Mom advised to take child to ER. According to sister, pt is playful.
Age: 19.0
Sex: F
Vaccine: HEP, MMR, TD
Symptoms: Eyelid oedema, Rash
Clinical narrative: Pt given MMR, Hep B and TD vaccines on 8/6 at 8AM. She developed a rash on both arms legs and lower back (with eyelid swelling) later that evening.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Irritability
Clinical narrative: Extreme irritability/ inconsolable for 5 hours. Tylenol: resolved later.
Age: 0.4
Sex: M
Vaccine: RAB
Symptoms: Erythema multiforme, Rash
Clinical narrative: Erythema multiforme: rash on neck, back, extremities, since 8/9/04. 1st Rabies vaccine given 8/6/04. Vaccine given at hospital.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Pruritus, Swelling
Clinical narrative: Per mom, evening 8/9/04: noted a little swelling; itched. On Wednesday 8/10/04 continued to get larger red areas and hot to touch. No fever. No nausea. No vomiting, acted fine- mom thought was topical reaction (DPAT given 8/9/04 in left thigh). mom called on 8/11/04: to notify red and swollen chest. PA evaluated pt and started on Augmentin ER because because swelling had decreased and redness larger, warm to touch.
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Pyrexia
Clinical narrative: Information has been received from a pharmacist concerning an adult female who was recently vaccinated with a dose of measles virus vaccine live (Moraten) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3). Subsequently, the pt developed joint pain and a low grade fever. Unspecified medical attention was sought. The pt was treated with acetaminophen (Tylenol).  The pharmacist reported that another pt developed joint pain and low grade fever post vaccination with measles virus vaccine live (Moraten) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3). Additional information has been requested.
Age: 33.0
Sex: F
Vaccine: YF
Symptoms: Arthropathy, Hypoaesthesia, Myalgia, Pruritus
Clinical narrative: Head to toe soreness of muscles and cracking of joints, all over itching, but no rash, c/o hands becoming numb in the middle of the night on 05/19/2004 (other sx began on 5/18/04). Denied any sx at site of injection, fever, rash, or diff. breathing.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: THE PATIENT NOW HAS VARICELLA DUE TO THE VACCINE.
Age: 31.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pain
Clinical narrative: This is a 31 year old who received her 6th anthrax vaccination on 08/05/2004. She states that she developed a large, red, warm swollen area approximately 15 cm, encompassing the majority of the circumference of her left arm, after receipt of this vaccination. She reports having developed a similar reaction following her 5th anthrax vaccination. In addition, she states that she has developed intermittent pain down the ulnar nerve pathway between her elbow and wrist of her left arm. She denies any numbness or tingling in the arm, or hand involvement.
Age: 1.5
Sex: F
Vaccine: DTAP
Symptoms: Face oedema, Irritability, Oedema peripheral, Pyrexia, Rash macular
Clinical narrative: Mother reports child received shot (DTaP) on 4/21/2004.  One day later (AM) face, arms, hands, and feet were swollen.  Fever of 102 degrees and was irritable.  Blotches over body.  No difficulty breathing.  Went to ER and released. Went to doctor - given Benadryl - was to continue to give as directed.  Advised to report event to Health Dept at child's next visit.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Left upper arm shows large area of redness and swelling from deltoid down to slightly above elbow on 8/4/04.  Instructed mother to apply ice to site.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site induration, Oedema peripheral, Pyrexia
Clinical narrative: Right arm red & swollen from elbow to shoulder. Elevated temp 101. F for 2 days. Mother stated right arm felt hard to touch.
Age: 0.3
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pruritus, Urticaria
Clinical narrative: ON 08-11-2004, IN THE EVENING THE PATIENTS MOTHER CALLED AND SPOKE WITH DOCTOR.  THE MOTHER STATED HER SON WAS BREAKING OUT WITH A LOT OF URTICARIAL RASH ALL OVER HIS BODY AND MOM THOUGHT IT WAS DUE TO HIS SHOTS GIVEN EARLIER THAT DAY.  MOM REMEMBERED THAT HE REACTED TO HIS SHOTS BEFORE.  PATIENT'S MOTHER STATED TO DOCTOR THAT HE WAS BREATHING OKAY AND THAT THE ONLY PROBLEM WAS THAT HE WAS ITCHING.  DOCTOR ADVISED MOM TO GIVE ALLEGRA TWICE A DAY AND TO CONTINUE WITH THE OTHER MEDICATION REGIMEN.  DOCTOR ALSO ADVISED MOM TO GO TO THE ER IF HIS SYMPTOMS WORSENED AND TO CALL THE OFFICE IN THE MORNING AND UPDATE HER OF WHAT WAS GOING ON.  ON 08-12-2004 DOCTOR'S OFFICE STAFF CALLED THE MOTHER TO CHECK ON HIS CONDITION AND THE MOTHER STATED THAT THE CHILD STILL HAD THE RASH BUT WAS FINE.
Age: 16.0
Sex: M
Vaccine: HEPA
Symptoms: Blood pressure decreased, Dizziness, Fall, Muscle twitching, Nausea
Clinical narrative: I took my son to the doctor's office for a routine checkup for school.  Doctor said my son should have the Hepatitis A vaccine series and he received his first shot during the same doctor's visit.  My son was calm during the administration of the shot.  He has taken many other shots and never had a psychological problem with needles.  He was not apprehensive at all.  He put his shoes on, we walked out of the consultation room and while waiting for the elevator, less than 3 minutes after receiving the vaccination, my son did not look well and I asked him.  He said he felt nauseous and dizzy.  I asked him if he wanted to sit down, he said yes, and as we were turning to take the first step towards a chair, he fell to the ground hitting his forehead, the right back side of his head, and his right shoulder against another chair and the floor.  I noticed while he was on the floor, that his body twitched (convulsed?) several times before he came to.  A code blue was called and the doctors and nurses rushed to where we were.  After my son recovered consciousness he was placed in a wheelchair and taken to the same consultation room we were in.  His blood pressure was taken several times and it was very low.  My son tried getting up and walking, but he started feeling ill again and had to sit down again.  After about 20 minutes, he was taken to a room that had a bed.  He laid there for approximately 25 more minutes until his blood pressure was 120/80.  I asked my son if he had been afraid of this particular shot and he said that he had felt calmer about it than at other times.  I asked him if he remembered he had fell to the ground and he said that all he remembered was turning to walk to a chair to sit down, and the next thing he's on the floor surrounded by the nurses telling him to breathe.  This is the first and only time my son has lost consciousness in his whole life.  I voiced my concern to the doctor that I felt his fainting was a side effect of the vaccination, but he kept saying that my son was scared of the needle from the vaccination and that even football players experience this reaction to shots in general.  Since this event happened, I have done some research through the web, and found that nausea and dizziness are common side effects, however, fainting is a rare side effect and should be of concern to the patient's health.  I am against my son receiving the second shot in the series, however, my son says that he would like to try in six months and just wait a while before leaving the doctor's office.  My question to you is this:  With this reaction to the Hepatitis A shot my son received on August 9th at the doctor's office, is it safe for him to receive the second shot?  The information I was given by the doctor's nurse regarding the shot is:  Hepatitis A, VHA816A2, expiration date of 4/14/06 made by GSK (Glaxo, Smith, Kline.  I look forward to hearing from you.  Thank you.
Age: 22.0
Sex: F
Vaccine: HEPA, JEV
Symptoms: Headache, Nausea, Pyrexia, Vomiting
Clinical narrative: Nausea and vomiting on Day 1 post vaccination.  Slight headache.  On Day 2, patient had fever.  No other family members were ill.  The patient baby sits for two children who were ill with N/V last week.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Infection transmission via personal contact, Laboratory test abnormal, Rash pustular
Clinical narrative: Primary vaccinee playing basketball with SPV site uncovered. Friend who was playing basketball with vaccinee developed a Jennerian pustule.  Reported through military overseas.  Limited details available.
Age: 0.0
Sex: M
Vaccine: SMALL
Symptoms: Infection transmission via personal contact, Laboratory test abnormal, Rash pustular
Clinical narrative: Secondary Transmission Nonvaccinee Primary SPV vaccinee had contact with friend who developed a circumscribed pustule on the inner aspect of her right upper arm approximately 14 days after his vaccination. Limited details known.  Contact's age is 21. Reported as the contact was hugging the vaccinee (contact of her right upper arm on his left upper inocculated arm). Unknown if vaccination site was covered.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Infection transmission via personal contact, Laboratory test abnormal, Oedema, Skin ulcer
Clinical narrative: Secondary Transmission Nonvaccinee Limited details - Primary vaccinee had been vaccinated in early February 2003 and had contact with his 23-y.o. spouse. Approximately 2 weeks after his vaccination, she developed a lesion that initially resembled a spider bite and was described as edematous, erythematous and not much exudate (not sure of location of lesion). Contact had history of acne.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Infection transmission via personal contact, Laboratory test abnormal, Skin ulcer
Clinical narrative: Secondary Transmission Nonvaccinee Limited information available. (Information obtained from lab that ran PCR and culture.) Vaccinee believed to be stationed overseas and contact was his wife. Lesion developed on her right elbow. No information on date of vaccination, when lesion appeared, or how transmission occurred.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Blister, Infection transmission via personal contact, Lymphadenopathy, Pruritus, Skin ulcer
Clinical narrative: Secondary Transmission Nonvaccinee Limited information available - Primary SPV vaccinee had vaccine on 2/22/03. Approximately 13 days later, his wife (age 23) noted a lesion on her lateral forearm near elbow; she had axillary lymphadenopathy. The lesion became a blister which was pruritic and oozed. (Left a scar.) Prior to transmission, they had been sleeping together, and his gauze bandage had fallen off and his vaccine site touched her arm. Week prior to appearance of lesion, they were spending an average of 5-8 hours/day together. She did assist with his dressing changes, but wore gloves and washed hands after disposing of soiled bandage. He covered site either just with a gauze bandage, or with a bandage and a short-sleeved shirt
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Infection transmission via personal contact, Laboratory test abnormal, Rash pustular
Clinical narrative: Secondary Transmission Nonvaccinee Limited information obtained. Primary SPV vaccinee had vaccine on 7 Feb. 2003. Approximately 20 days later, his wife developed a pustule-->eschar on her left forearm with erythema. No specific memory of exposure to vaccine site; vaccinee reports wearing a bandage.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Infection transmission via personal contact, Laboratory test abnormal, Skin ulcer
Clinical narrative: Secondary Transmission Nonvaccinee Limited information available. SPV vaccinee was wrestling with a male friend (another military service member). His friend developed lesions on his back. (friend had a remote history of atopic dermatitis). Occured in 2003 - no details as to date of vaccination, date of wrestling, or date lesions appeared.
Age: 0.0
Sex: M
Vaccine: SMALL
Symptoms: Discomfort, Infection transmission via personal contact, Insomnia, Laboratory test abnormal, Rash papular
Clinical narrative: Secondary Transmission Nonvaccinee (No information known about the vaccinee, other than he had his SPV around 4/24/04. He is thought to be deployed.) Contact was an 18-y.o. student who slept with vaccinee several nights (not sure if vaccine site was bandaged/covered). On 5/3/04, she sought evaluation for a perineal fissure which appeared "a little oozy". Wet mount was negative. HSV was sent and later determined to be negative. On 5/4/04, she noted several vulvular papules, which were painful. By the time she was evaluated that day, she had about 7-8 white, firm, slightly tender papules on lower vulva. Evaluated by Derm, and even though HSV culture was negative, was treated with Valtrex for 10 days and aquaphor.  On 5/5/04, because of discomfort and problems sleeping, was given Tylenol #3 and xylocaine jelly. By 5/10/04, lesions beginning to heal (outer lesions drying; mucus membrane lesions still painful and red); viral and bacterial cultures sent. On 5/12/04, Lesions drying, flat and dark pink.
Age: 0.0
Sex: M
Vaccine: SMALL
Symptoms: Skin ulcer
Clinical narrative: Secondary Transmission Nonvaccinee (No information known about the vaccinee, other than he had his SPV around 4/24/04. He is thought to be deployed.) Contact was an 18-y.o. student who slept with vaccinee several nights (not sure if vaccine site was bandaged/covered). On 5/3/04, she sought evaluation for a perineal fissure which appeared "a little oozy". Wet mount was negative. HSV was sent and later determined to be negative. On 5/4/04, she noted several vulvular papules, which were painful. By the time she was evaluated that day, she had about 7-8 white, firm, slightly tender papules on lower vulva. Evaluated by Derm, and even though HSV culture was negative, was treated with Valtrex for 10 days and aquaphor.  On 5/5/04, because of discomfort and problems sleeping, was given Tylenol #3 and xylocaine jelly. By 5/10/04, lesions beginning to heal (outer lesions drying; mucus membrane lesions still painful and red); viral and bacterial cultures sent. On 5/12/04, Lesions drying, flat and dark pink.
Age: 20.0
Sex: U
Vaccine: SMALL
Symptoms: Blister, Infection transmission via personal contact, Influenza like illness
Clinical narrative: Secondary Transmission Nonvaccinee Limited information available regarding vaccinee, date of vaccine, onset of symptoms, etc. Primary vaccinee is in the military and has since deployed. Reports from Health Dept. came in around October 2003. Had intimate contact with female who later devleoped flu-like symptoms, followed by the appearance of blisters on her uppper legs and genital area. Initially was told by her doctor that she had herpes, but culture came back negative. Contact changed vaccination site bandage a couple of times; admits to showering and sleeping together with site not covered.
Age: 28.0
Sex: M
Vaccine: ANTH, TYP, ANTH
Symptoms: Erythema, Injection site induration, Injection site swelling, Skin burning sensation
Clinical narrative: Pt is a 29 year old male who received AVA # 7 on 24 Apr 04 in lateral left upper arm area. Within 3 hours patient began to notice swelling and a knot. Area continued to swell to a "full reaction" within 3 hrs. The reaction included swelling from shoulder to elbow, with redness, itching and area was hot to touch. Patient denied fever or altered sensation. He saw his pcp on day 3 and he continued taking ibuprofen. He stated that the swellling lasted 7 days and the knot for about 4 weeks. He is currently doing well and reports no problems with his previous six injections.
Age: 28.0
Sex: M
Vaccine: ANTH, TYP, ANTH
Symptoms: Feeling hot, Injection site erythema, Injection site mass, Injection site swelling, Oedema peripheral
Clinical narrative: Pt is a 29 year old male who received AVA # 7 on 24 Apr 04 in lateral left upper arm area. Within 3 hours patient began to notice swelling and a knot. Area continued to swell to a "full reaction" within 3 hrs. The reaction included swelling from shoulder to elbow, with redness, itching and area was hot to touch. Patient denied fever or altered sensation. He saw his pcp on day 3 and he continued taking ibuprofen. He stated that the swellling lasted 7 days and the knot for about 4 weeks. He is currently doing well and reports no problems with his previous six injections.
Age: 28.0
Sex: M
Vaccine: ANTH, TYP, ANTH
Symptoms: Pruritus
Clinical narrative: Pt is a 29 year old male who received AVA # 7 on 24 Apr 04 in lateral left upper arm area. Within 3 hours patient began to notice swelling and a knot. Area continued to swell to a "full reaction" within 3 hrs. The reaction included swelling from shoulder to elbow, with redness, itching and area was hot to touch. Patient denied fever or altered sensation. He saw his pcp on day 3 and he continued taking ibuprofen. He stated that the swellling lasted 7 days and the knot for about 4 weeks. He is currently doing well and reports no problems with his previous six injections.
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Apnoea, Cardiac arrest, Cardiovascular disorder, Crying, Hypoxia
Clinical narrative: On 8/9/04, patient had received Pediarix, HIB, and Prevnar at doctor's visit. Baby turned pale and was told to wait before leaving. Child got worse and CPR started and fire/rescue called. They continued CPR and were unsuccessfully intubating. Transferred to hospital where baby expired. Nurse follow up on 09/02/04 states: "Pulseless, apnea." Autopsy report stated patient unresponsive and crying.
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pallor, Respiratory arrest, Stupor
Clinical narrative: On 8/9/04, patient had received Pediarix, HIB, and Prevnar at doctor's visit. Baby turned pale and was told to wait before leaving. Child got worse and CPR started and fire/rescue called. They continued CPR and were unsuccessfully intubating. Transferred to hospital where baby expired. Nurse follow up on 09/02/04 states: "Pulseless, apnea." Autopsy report stated patient unresponsive and crying.
Age: 0.51
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Brain oedema, Condition aggravated, Malaise, Pyrexia
Clinical narrative: This case was reported by a consumer and described the occurrence of brain swelling in a 6 month old male patient who received diphtheria and tetanus toxoids and acellular pertussis absorbed, hepatitis B recombinant and inactivated poliovirus vaccine combined (Pediarix). This case was reported by the mother of the patient and also by the aunt of the patient. A physician or other health care professional has not verified this report. On 8/3/04, the patient received a dose of Pediarix (dose number not specified). On the same date, the patient received an injection of Haemophilus influenzae type B conjugate vaccine. The reporter stated that, prior to the administrations of the vaccines, on 8/3/04, the patient had a fever of 99.8 degrees F and was sick. Approximately 45 minutes following the administration of Pediarix, after leaving the physician's office, on 8/3/04, the patient experienced an increased fever of 101.7 degrees F. The mother called the physician's office back and was told to return to the office. The patient was seen at a physician's office around 6 PM on 8/3/04, and was subsequently sent to the emergency room and admitted to the hospital (on 8/3/04). According to the patient's mother, the patient was treated with IV fluids and underwent a spinal tap. According to the patient's aunt, her nephew experienced brain swelling. The events resolved on an unspecified date. Comment: brain swelling is considered medically serious (OMIC).
Age: 0.51
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Encephalitis, Fontanelle bulging, Irritability, Malaise, Pyrexia
Clinical narrative: This case was reported by a consumer and described the occurrence of brain swelling in a 6 month old male patient who received diphtheria and tetanus toxoids and acellular pertussis absorbed, hepatitis B recombinant and inactivated poliovirus vaccine combined (Pediarix). This case was reported by the mother of the patient and also by the aunt of the patient. A physician or other health care professional has not verified this report. On 8/3/04, the patient received a dose of Pediarix (dose number not specified). On the same date, the patient received an injection of Haemophilus influenzae type B conjugate vaccine. The reporter stated that, prior to the administrations of the vaccines, on 8/3/04, the patient had a fever of 99.8 degrees F and was sick. Approximately 45 minutes following the administration of Pediarix, after leaving the physician's office, on 8/3/04, the patient experienced an increased fever of 101.7 degrees F. The mother called the physician's office back and was told to return to the office. The patient was seen at a physician's office around 6 PM on 8/3/04, and was subsequently sent to the emergency room and admitted to the hospital (on 8/3/04). According to the patient's mother, the patient was treated with IV fluids and underwent a spinal tap. According to the patient's aunt, her nephew experienced brain swelling. The events resolved on an unspecified date. Comment: brain swelling is considered medically serious (OMIC).
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Screaming
Clinical narrative: Crying, prolonged duration, 5 hours evening
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV
Symptoms: Oedema
Clinical narrative: Leg swelled to double in size, pelvis to knee, knee turned red around knee cap.
Sex: U
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Crying, Pyrexia, Screaming
Clinical narrative: Fever, cried all day and night, sometimes inconsolable. Further pertussis vaccination withheld.
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying, Cyanosis, Hyperhidrosis, Irritability, Screaming
Clinical narrative: Screaming, poor color, perfusion with same cyanosis very irritable, pulse ox 98/148 8 infants Tylenol 1:45AM until approx 2:30PM
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Skin discolouration
Clinical narrative: Screaming, poor color, perfusion with same cyanosis very irritable, pulse ox 98/148 8 infants Tylenol 1:45AM until approx 2:30PM
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Rash
Clinical narrative: Within 5 min of Pediarix #2 (21936A2), Hib #2 (Pasteur UE275AA), PCV7 #3 (Lederle 945928), IM Thigh. Blotchy rash at forehead and superior periorbital started clearing within 10 min of event and within 5 min of Benadryl. Resolved 15 in after event and 10 min after Benadryl.
Age: 1.08
Sex: F
Vaccine: HEP, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Urticarial rash, diffuse, starting 9 hours after immunizations
Age: 53.0
Sex: M
Vaccine: MMR, TD
Symptoms: Pruritus, Rash maculo-papular
Clinical narrative: Within 15 minutes raised red spots appeared primarily in torso (same on arms, neck and legs) severe itching. This lasted 3-4 hours.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Left upper arm red, swollen and warm to touch. Tx: Benadryl chewable tabs 1/2 tab every  hrs
Age: 47.0
Sex: M
Vaccine: MMR
Symptoms: Myalgia, Ocular hyperaemia, Pruritus, Pyrexia, Rash
Clinical narrative: 7/26/04: red, itchy, blood shot. 8/02/04 9:15AM P.C. from client. He received an MMR on 7/15/04. ON 7/26 he had a fever of 99 and felt achy. His eyes became blood shot, slightly itchy, no changes in vision. An MD thought it was viral, but could be due to a vaccine. Eyes are clear now. On 7/28/04 he developed red dots on upper back and neck, 90%gone on 8/1 all gone on 8/2/04. 7/29 and 7/30 his right knee became stiff and sore mid thigh to midcalf, limited range of motion, no swelling or heat. 8/2 its resolved. Additional comments: Client is 47 and does admit to history of arthritis in elbows and shoulder 2 sports in youth. Plan: Call if other symptoms appear. Addendum: Does have seasonal itchy eyes.
Age: 15.0
Sex: M
Vaccine: HEPA
Symptoms: Pruritus, Rash maculo-papular, Urticaria
Clinical narrative: Hep A vac given 2 youth at 0910. Youth c/o severe itching chest and back.  Began approx 1 hr after vaccine given. Nurse exam revealed red, raised, welts across chest, back, neck, upper arms.  No resp distress noted or repeated by youth. Benadryl given and Caladryl per protocol. F/U with rxn 7/19/04 4X3 7/20/04. Seen by MD 7/20/04. Rx'd Prednisone seen by MD 7/22/04.
Age: 12.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Dizziness, Gait disturbance, Headache, Hyperventilation, Nausea
Clinical narrative: Shortly after receiving shots had headache, neck pain, dizziness, paleness and nausea in car in parking lot. At home felt like his legs would not hold him up and seemed to hyperventilate per mom. continued to have symptoms until mid afternoon 07/24/04.
Age: 12.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Neck pain, Pallor
Clinical narrative: Shortly after receiving shots had headache, neck pain, dizziness, paleness and nausea in car in parking lot. At home felt like his legs would not hold him up and seemed to hyperventilate per mom. continued to have symptoms until mid afternoon 07/24/04.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site inflammation, Injection site oedema, Pruritus
Clinical narrative: Telephone call to undersigned today at 10am stating child had red, swollen, inflamed area at injection site left arm; area itchy, child scratching frequently.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site warmth, Pruritus
Clinical narrative: Vaccinated with DTaP in 08/03/04 left arm IM. Family reports "redness and itching" on child arm (left).  08/04/04: Family took child to ER instructed to follow up with PMD, give Tylenol and Benadryl, apply ice to left arm. Brought to health unit 08/05/04-cellulitis noted 70x62mm, red, hardened area warm to touch, child alert, behavior appropriate for age. Caretaker denies child feeling ill or having fever. Instructed to continue to observe area-apply warm moist compresses 203 times a day. Keep follow up with PMD. Return to ER/PMD if area progressively worsens (area marked with into to note margins) also instructed caretaker to take no more (DTaP). Received flagged for this. Pt caretaker verbalizes understanding. Instructed to call if any questions or concerns.
Age: 52.0
Sex: F
Vaccine: TD
Symptoms: Pharyngolaryngeal pain, Throat tightness, Wheezing
Clinical narrative: Closed passage to lungs-soreness and swelling in throat.  Gave Chloratrimeton. Wheezing, used inhaler. Pt used at home, took Chlortrimeton at home (with relief), reported to clinic. Told to call 911 if increased difficulty breathing. Talked with urgent care doctor at 14:00 at home today.
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Right leg: swollen and red 10x10cm.
Age: 0.12
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Agitation, Crying, Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Developed crying (persistent) and fussiness after immunizations-lasting 3-4 hours. Left thigh with 5x5cm area of erythema, warmth and swelling. No induration, no fever.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Left deltoid swollen, red and warm to touch.
Age: 0.6
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Red, raised blotches on both cheeks and right leg. No fever and not fussy. 0.2cc Benadryl IM.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Urticaria
Clinical narrative: Onset of pain, swelling and redness about 24 hours after immunization. Has erythema, urticarial lesion right exterior thigh about 5cm in diameter.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Inflammation, Oedema, Pruritus
Clinical narrative: Left red, swollen, inflamed warm, itchy. Rxn 10x8 15cm. Pt will f/u.
Age: 4.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Erythema, Feeling hot
Clinical narrative: Round, red area about 3" wide, warm to touch x 48 but worse during 2nd day.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Irritability, Pyrexia
Clinical narrative: Shots were given 8/11/04.  Two hours later, the baby began to be very fussy but consolable.  The next day (8/13/04) the baby was very fussy in periods of inconsolable crying.  Temp was 100.7 after a tylenol dose.  Baby only took 4 oz of formula when I saw baby.  Baby had a normal exam and was fussy and difficult to console.  I flouresceined her eyes and that was normal.  I gave the baby pedialyte and she took a couple ozs. Baby calmed down.  I sent the baby home and called later.  The baby had taken 8 oz of pedialyte and was doing better.  I called again on 8/16/04 and the baby was reported to have some fussy times on 8/14 and one spell on 8/15 but seemed better this morning.