chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: M
Vaccine: LYME
Symptoms: Depression, Diarrhoea, Ear pain, Fatigue, Headache
Clinical narrative: IN JUNE OF 1999, GENERAL HEALTH STARTS DETERIORATING.  BACK PAIN, CHIROPRACTOR.  10/99 ACUTE SINUSITUS, ANTIOBIOTIC.  12/99 SINUSITUS, ANTIBIOTIC. HEADACHE, CHILLS, WEAK, TIRED.  4/00 FATIGUE, WASHED-OUT, DIARRHEA, LOSS OF APPETITE, NO ENERGY, SLEEPING ALOT.  11/00 SINUSITUS, BODY ACHES, FATIGUE, ANTIBIOTIC. 1/01 ACUTE SINUSITUS, ANITBIOTIC. FATIGUE, NO AMBITION, DOESN'T EXERCISE NOW.  5/01 STOMACH DISORDER, DIARREHEA. WORSENING DEPRESSION, INCREASISNG, CHANGING ANTI-DEPRESSANTS AND SLEEP MEDICATION.  6/01 INCREASING NAUSEA, DIET OFF, LOSING WEIGHT. COLONOSCOPY, UPPER G/I.  7/01 DIARRHEA NOW TWO MONTHS. CANNOT DO ANYTHING.   ASKS TO BE HOSPITALIZED.  BLOOD TESTS, PANCREAS ENZYMES, CT SCAN ABDOMEN, SMALL BOWEL SERIES. ELEVATED LIPASE, DEPRESSION .  3/02 PAIN UPPER BACK AND FLANK, LEFT SIDE, POSSIBLE STONE, FATIGUE, DEPRESSION, WEIGHT GAIN.  2 SMALL KIDNEY STONES.  2/03 FREQUENT DIARRHEA, CHILLS, CANNOT EAT.  7/03 INVOLUNTARY WEIGHT LOSS, FATIGUE, DEFICIENT TESTOSTERONE LEVELS.  2/04 RECURRENT HEADACHE, EARACHE, ANITBIOTIC, GENERAL STIFFNESS, FATIGUE.  6/04 STOMACH PROBLEMS, DIARRHEA I WEEK, INVOLUNTARY WEIGHT LOSS, ABDOMONAL TENDERNESS.  ALL COMMENTS TO THIS POINT ARE FROM PRIMARY CARE PHYSICIAN.  DURING SAME PERIOD, I HAD TWO SLEEP STUDIES, VISITED NUEROLOGIST, TWO BRAIN SCANS DUE TO SEVERE HEADACHES. ALSO TREATED BY PSYCHIATRIS WITH INCREASING AMOUNTS OF ANTI-DEPRESSANTS, STIMULANTS, EARLY-ONSET ALZHEIMER DRUG.  RECEIVED PSHYCHOLOGICAL TESTING BY ANOTHER PSYCHIATRIST. DIAGNOSED WITH AN ACQUIRED LEARNING DIABILITY. DETERIORATION IN MEMORY, COGNITION, SPATIAL ABILITIES.    CEASED WORKING AS OF 7/01/04 DUE TO COMPOUNDING AND CONFOUNDING ILLNESSES.  ALTHOUGH 1998 AND 2004  BLOOD TESTS FOR LYME DISEASE WERE NEGATIVE, MORE AND MORE PEOPLE AROUND ME SUGGEST I HAVE SIMILAR SYMPTOMS.  FRIEND REFERS ME TO INTERNIST THAT DIAGNOSED HER FRIEND WITH LYME AFTER MANY YEARS OF BEING TOLD SHE DID NOT HAVE IT.    ON 7/12/04 I VISITED THIS DOCTOR.  AS I EXPLAIN MY PROBLEMS AND MENTION THAT I HAD THE LYME VACCINE IN 1999, HE ASKS IF I WAS AWARE OF A LAWSUIT AGAINST THE MANUFACTURER.
Age: 47.0
Sex: M
Vaccine: LYME
Symptoms: Laboratory test abnormal, Nausea, Pain, Sinusitis, Somnolence
Clinical narrative: IN JUNE OF 1999, GENERAL HEALTH STARTS DETERIORATING.  BACK PAIN, CHIROPRACTOR.  10/99 ACUTE SINUSITUS, ANTIOBIOTIC.  12/99 SINUSITUS, ANTIBIOTIC. HEADACHE, CHILLS, WEAK, TIRED.  4/00 FATIGUE, WASHED-OUT, DIARRHEA, LOSS OF APPETITE, NO ENERGY, SLEEPING ALOT.  11/00 SINUSITUS, BODY ACHES, FATIGUE, ANTIBIOTIC. 1/01 ACUTE SINUSITUS, ANITBIOTIC. FATIGUE, NO AMBITION, DOESN'T EXERCISE NOW.  5/01 STOMACH DISORDER, DIARREHEA. WORSENING DEPRESSION, INCREASISNG, CHANGING ANTI-DEPRESSANTS AND SLEEP MEDICATION.  6/01 INCREASING NAUSEA, DIET OFF, LOSING WEIGHT. COLONOSCOPY, UPPER G/I.  7/01 DIARRHEA NOW TWO MONTHS. CANNOT DO ANYTHING.   ASKS TO BE HOSPITALIZED.  BLOOD TESTS, PANCREAS ENZYMES, CT SCAN ABDOMEN, SMALL BOWEL SERIES. ELEVATED LIPASE, DEPRESSION .  3/02 PAIN UPPER BACK AND FLANK, LEFT SIDE, POSSIBLE STONE, FATIGUE, DEPRESSION, WEIGHT GAIN.  2 SMALL KIDNEY STONES.  2/03 FREQUENT DIARRHEA, CHILLS, CANNOT EAT.  7/03 INVOLUNTARY WEIGHT LOSS, FATIGUE, DEFICIENT TESTOSTERONE LEVELS.  2/04 RECURRENT HEADACHE, EARACHE, ANITBIOTIC, GENERAL STIFFNESS, FATIGUE.  6/04 STOMACH PROBLEMS, DIARRHEA I WEEK, INVOLUNTARY WEIGHT LOSS, ABDOMONAL TENDERNESS.  ALL COMMENTS TO THIS POINT ARE FROM PRIMARY CARE PHYSICIAN.  DURING SAME PERIOD, I HAD TWO SLEEP STUDIES, VISITED NUEROLOGIST, TWO BRAIN SCANS DUE TO SEVERE HEADACHES. ALSO TREATED BY PSYCHIATRIS WITH INCREASING AMOUNTS OF ANTI-DEPRESSANTS, STIMULANTS, EARLY-ONSET ALZHEIMER DRUG.  RECEIVED PSHYCHOLOGICAL TESTING BY ANOTHER PSYCHIATRIST. DIAGNOSED WITH AN ACQUIRED LEARNING DIABILITY. DETERIORATION IN MEMORY, COGNITION, SPATIAL ABILITIES.    CEASED WORKING AS OF 7/01/04 DUE TO COMPOUNDING AND CONFOUNDING ILLNESSES.  ALTHOUGH 1998 AND 2004  BLOOD TESTS FOR LYME DISEASE WERE NEGATIVE, MORE AND MORE PEOPLE AROUND ME SUGGEST I HAVE SIMILAR SYMPTOMS.  FRIEND REFERS ME TO INTERNIST THAT DIAGNOSED HER FRIEND WITH LYME AFTER MANY YEARS OF BEING TOLD SHE DID NOT HAVE IT.    ON 7/12/04 I VISITED THIS DOCTOR.  AS I EXPLAIN MY PROBLEMS AND MENTION THAT I HAD THE LYME VACCINE IN 1999, HE ASKS IF I WAS AWARE OF A LAWSUIT AGAINST THE MANUFACTURER.
Age: 47.0
Sex: M
Vaccine: LYME
Symptoms: Weight decreased, Weight increased
Clinical narrative: IN JUNE OF 1999, GENERAL HEALTH STARTS DETERIORATING.  BACK PAIN, CHIROPRACTOR.  10/99 ACUTE SINUSITUS, ANTIOBIOTIC.  12/99 SINUSITUS, ANTIBIOTIC. HEADACHE, CHILLS, WEAK, TIRED.  4/00 FATIGUE, WASHED-OUT, DIARRHEA, LOSS OF APPETITE, NO ENERGY, SLEEPING ALOT.  11/00 SINUSITUS, BODY ACHES, FATIGUE, ANTIBIOTIC. 1/01 ACUTE SINUSITUS, ANITBIOTIC. FATIGUE, NO AMBITION, DOESN'T EXERCISE NOW.  5/01 STOMACH DISORDER, DIARREHEA. WORSENING DEPRESSION, INCREASISNG, CHANGING ANTI-DEPRESSANTS AND SLEEP MEDICATION.  6/01 INCREASING NAUSEA, DIET OFF, LOSING WEIGHT. COLONOSCOPY, UPPER G/I.  7/01 DIARRHEA NOW TWO MONTHS. CANNOT DO ANYTHING.   ASKS TO BE HOSPITALIZED.  BLOOD TESTS, PANCREAS ENZYMES, CT SCAN ABDOMEN, SMALL BOWEL SERIES. ELEVATED LIPASE, DEPRESSION .  3/02 PAIN UPPER BACK AND FLANK, LEFT SIDE, POSSIBLE STONE, FATIGUE, DEPRESSION, WEIGHT GAIN.  2 SMALL KIDNEY STONES.  2/03 FREQUENT DIARRHEA, CHILLS, CANNOT EAT.  7/03 INVOLUNTARY WEIGHT LOSS, FATIGUE, DEFICIENT TESTOSTERONE LEVELS.  2/04 RECURRENT HEADACHE, EARACHE, ANITBIOTIC, GENERAL STIFFNESS, FATIGUE.  6/04 STOMACH PROBLEMS, DIARRHEA I WEEK, INVOLUNTARY WEIGHT LOSS, ABDOMONAL TENDERNESS.  ALL COMMENTS TO THIS POINT ARE FROM PRIMARY CARE PHYSICIAN.  DURING SAME PERIOD, I HAD TWO SLEEP STUDIES, VISITED NUEROLOGIST, TWO BRAIN SCANS DUE TO SEVERE HEADACHES. ALSO TREATED BY PSYCHIATRIS WITH INCREASING AMOUNTS OF ANTI-DEPRESSANTS, STIMULANTS, EARLY-ONSET ALZHEIMER DRUG.  RECEIVED PSHYCHOLOGICAL TESTING BY ANOTHER PSYCHIATRIST. DIAGNOSED WITH AN ACQUIRED LEARNING DIABILITY. DETERIORATION IN MEMORY, COGNITION, SPATIAL ABILITIES.    CEASED WORKING AS OF 7/01/04 DUE TO COMPOUNDING AND CONFOUNDING ILLNESSES.  ALTHOUGH 1998 AND 2004  BLOOD TESTS FOR LYME DISEASE WERE NEGATIVE, MORE AND MORE PEOPLE AROUND ME SUGGEST I HAVE SIMILAR SYMPTOMS.  FRIEND REFERS ME TO INTERNIST THAT DIAGNOSED HER FRIEND WITH LYME AFTER MANY YEARS OF BEING TOLD SHE DID NOT HAVE IT.    ON 7/12/04 I VISITED THIS DOCTOR.  AS I EXPLAIN MY PROBLEMS AND MENTION THAT I HAD THE LYME VACCINE IN 1999, HE ASKS IF I WAS AWARE OF A LAWSUIT AGAINST THE MANUFACTURER.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site induration, Injection site oedema
Clinical narrative: Day after receiving DTaP mother presented at ED with child presenting with edema to injection site. 10 cm induration. Dr. treated with prednisolone and alternating hot / cold packs. 2nd day after receiving injection, mother notified health department of adverse event and stated that swelling was much better.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Pruritus, Rash
Clinical narrative: Area around injection site started to become red, swollen with accompanying rash. C/O severe itching and buring at site. Area of involvement is expanding. Currently extends from top of shoulder to elbow. Patient is a paramedic and was seen by doctor informally who told him it looked like cellulitis. Member told to see someone professionally but declined at this time but will see someone if condition worsens. Pt states he will take OTC Benadryl.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Thermal burn
Clinical narrative: Area around injection site started to become red, swollen with accompanying rash. C/O severe itching and buring at site. Area of involvement is expanding. Currently extends from top of shoulder to elbow. Patient is a paramedic and was seen by doctor informally who told him it looked like cellulitis. Member told to see someone professionally but declined at this time but will see someone if condition worsens. Pt states he will take OTC Benadryl.
Age: 3.0
Sex: M
Vaccine: PPV
Symptoms: Cough, Erythema, Myalgia, Pyrexia
Clinical narrative: fever av.104 F for 3 days, muscle aches, redness app. 4 ench where shot was given. Treated with Motrin for fever and Benadryl. Per annual report-He has cough very often.  We end up taking antibiotics.  I am very disappointed.
Age: 56.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Joint stiffness
Clinical narrative: Received 4th Anthrax (LOT #FAV075) 4OCt03 and began having multi joint pain and stiffness lasting 4 days on 5Oct03. Received 5th Anthrax 26Apr04 (LOT# FAV077) and on 27Apr04 again began multi joint pain and stiffness.  Joint pain continues however not as severe as initial.
Age: 46.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia
Clinical narrative: Pt recieved 5th Anthrax shot on 1MAy04 and on 3May04 begain experiencing multiple joint pain to shoulders, elbows, knee, ankles and hips.  Currently is still having L elbow joint pain, not as severe, but is limiting job capabilities
Age: 39.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Arthralgia, Dizziness, Headache, Muscle contractions involuntary, Pain
Clinical narrative: Recieved 1st Anthrax 29Nov03 and begain experiencing diarrhea, was given cipro, doxycycline.  Recieved 2nd Anthrax 16Jan2004 and began muscle fasciculations, H/A, dizziness, hip pain, joint pain, shoulder pain.  Sent home with Follow up with Neurologist.  Multiple tests to include Ct of Head, MRI, Spinal Tap, EEG, ECG, blood tests with no answers to symptomology.  Being sent for follow up with Regional Vaccine Healthcare center.
Age: 39.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Shoulder pain, Similar reaction on previous exposure to drug
Clinical narrative: Recieved 1st Anthrax 29Nov03 and begain experiencing diarrhea, was given cipro, doxycycline.  Recieved 2nd Anthrax 16Jan2004 and began muscle fasciculations, H/A, dizziness, hip pain, joint pain, shoulder pain.  Sent home with Follow up with Neurologist.  Multiple tests to include Ct of Head, MRI, Spinal Tap, EEG, ECG, blood tests with no answers to symptomology.  Being sent for follow up with Regional Vaccine Healthcare center.
Age: 39.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Migraine, Muscle contractions involuntary, Paraesthesia, Tinnitus
Clinical narrative: Recieved 1st Anthrax 29Nov03 and begain experiencing diarrhea, was given cipro, doxycycline.  Recieved 2nd Anthrax 16Jan2004 and began muscle fasciculations, H/A, dizziness, hip pain, joint pain, shoulder pain.  Sent home with Follow up with Neurologist.  Multiple tests to include Ct of Head, MRI, Spinal Tap, EEG, ECG, blood tests with no answers to symptomology.  Being sent for follow up with Regional Vaccine Healthcare center.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Amnesia, Diarrhoea, Fatigue, Fibromyalgia, Gastrooesophageal reflux disease
Clinical narrative: Diagnosed with OSA requiring CPAP, fibromyalgia, GERD, B12 deficiency, hyperthese, memory loss, eratic HTN.  Contact member to get copies of medical record.  Nurse follow up on 10/20/04 states: "Obstructive Sleep Apnea, exhaustion, diarrhea, and palpitations."
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Hypertension, Hypovitaminosis, Palpitations, Respiratory disorder
Clinical narrative: Diagnosed with OSA requiring CPAP, fibromyalgia, GERD, B12 deficiency, hyperthese, memory loss, eratic HTN.  Contact member to get copies of medical record.  Nurse follow up on 10/20/04 states: "Obstructive Sleep Apnea, exhaustion, diarrhea, and palpitations."
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PPV, VARCEL
Symptoms: Erythema, Pyrexia, Rash, Upper respiratory tract infection, Urticaria
Clinical narrative: High fever (104.3) for two days then went down considerably within the third day (101.) Within the following week and a half developed a rash, not like hives, that whelped the skin and was very red. It started on his legs and arms and moved to his face. The was seen on lower belly where it continued to his butt and over his chest then appeared on his back. He was only treated for the fever in the hospital and it was ruled he had an uper respiratory infection by a PA. Fever was treated with motrin and Tylenol. Started benadryl 7-20-04 because  it was suggested he was allergic to something (rash appearance.)
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, MMR
Symptoms: Injection site erythema, Skin irritation
Clinical narrative: Erythema irritation to injection site. Joint/shoulder with full range of motion.  No systemic symptoms.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Abnormal behaviour, Blood pressure increased, Dysphonia, Heart rate increased, Pain
Clinical narrative: unusual behavior; throat pain/tightening; excessive salivation; runny nose; change in pitch of voice; paleness; fast heart rate; elevated blood pressure.  Onset of symptoms approximately 10-15 minutes after administration of DTaP 5, IPV 4, and MMR 2 vaccines.  Immediate treatment with oral Benadryl and Epinephrine injection; follow up treatment of Prednisolone.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Pallor, Rhinorrhoea, Salivary hypersecretion, Throat tightness
Clinical narrative: unusual behavior; throat pain/tightening; excessive salivation; runny nose; change in pitch of voice; paleness; fast heart rate; elevated blood pressure.  Onset of symptoms approximately 10-15 minutes after administration of DTaP 5, IPV 4, and MMR 2 vaccines.  Immediate treatment with oral Benadryl and Epinephrine injection; follow up treatment of Prednisolone.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Dry throat, Sensory disturbance
Clinical narrative: unusual behavior; throat pain/tightening; excessive salivation; runny nose; change in pitch of voice; paleness; fast heart rate; elevated blood pressure.  Onset of symptoms approximately 10-15 minutes after administration of DTaP 5, IPV 4, and MMR 2 vaccines.  Immediate treatment with oral Benadryl and Epinephrine injection; follow up treatment of Prednisolone.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, DTAPHEPBIP
Symptoms: Convulsion, Epilepsy
Clinical narrative: Mom called 6/23/04 at 14:50. Tensed bilateral arms/legs twitching, hold breath about 10-15 seconds.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, DTAPHEPBIP
Symptoms: Breath holding, Convulsion, Muscle twitching
Clinical narrative: Mom called 6/23/04 at 14:50. Tensed bilateral arms/legs twitching, hold breath about 10-15 seconds.
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site mass, Injection site swelling
Clinical narrative: The vaccine was #3 in the series. FAV081 lot. Patient had swelling within 20 minutes after vaccination and intense erythema. The erythema and swelling took approximately 2 weeks to resolve. The patient had knot over the vaccination site for about 2 months thereafter. The patient returned to duty the day following the vaccine.  The patient did see health care provider administering the vaccine, but documentation of these episodes of care have been lost.   An exemption was added to the patient's medical file.
Age: 65.0
Sex: F
Vaccine: HEP
Symptoms: Cardiac failure congestive, Condition aggravated, Hypertension, Laboratory test abnormal, Pneumonia
Clinical narrative: Information has been received from a 65 year old registered female nurse with hypertension and CHF and a history of pneumonia who was vaccinated with in approximately 2002 with the first and second doses of hepatitis B virus vaccine. Concomitant therapy included antihypertensive medication and others. In approximately 2002, after vaccination with the first and second doses of hepatitis B virus vaccine, she developed pneumonia resulting in CHF and hospitalization. She stated it was life threatening and she almost required a ventilator. It was noted that the patient received the third dose of hepatitis B virus vaccine late, and a subsequent titer was negative. The patient's second series of hepatitis B virus vaccine was recently completed. Additional information has been requested. FOLLOW UP information received from a RN who stated that the Hepatitis B virus vaccine RHBsAg vaccination "had nothing to do with adverse events of pneumonia resulting in CHF and hospitalization. Additional follow up information received from the RN concerning her experience indicated that the adverse event onset was 29Sep00. It was noted that she did not feel the hospitalization was due to my hepatitis B vaccine. The events indlcued negative titer, as well as worsening CHF and pneumonia, which were both reported to be life threatening illnesses and required an 18 day hospitalization. No further information is expected.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Breath holding, Coma, Convulsion, Hepatic enzyme increased, Hyperventilation
Clinical narrative: This case was reported by a physician to a sales representative and described the occurrence of breath holding seizure in a 6 month old female patient who received diphtheria and tetanus toxoids and acellular pertussis absorbed, hepatitis B recombinant and inactivated poliovirus vaccine combined. On 7/6/04 the patient received a dose of Pediarix (dose number not specified). Approximately three days after the administration of Pediarix, on 7/9/04, the patient experienced what was initially reported as a breath-holding seizure. the reporter subsequently stated that it was not like a typical seizure but more like a hyperventilating cry. The patient was also pale and non-responsive. The patient was seen in an emergency room. Laboratory evaluation revealed elevated liver enzymes. The outcome of the events is unknown. The reporting physician considered the events to possibly be related to vaccination with Pediarix. Comment: Seizure, unresponsive, and elevated liver enzymes were assessed as medically serious (OMIC).
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Pallor
Clinical narrative: This case was reported by a physician to a sales representative and described the occurrence of breath holding seizure in a 6 month old female patient who received diphtheria and tetanus toxoids and acellular pertussis absorbed, hepatitis B recombinant and inactivated poliovirus vaccine combined. On 7/6/04 the patient received a dose of Pediarix (dose number not specified). Approximately three days after the administration of Pediarix, on 7/9/04, the patient experienced what was initially reported as a breath-holding seizure. the reporter subsequently stated that it was not like a typical seizure but more like a hyperventilating cry. The patient was also pale and non-responsive. The patient was seen in an emergency room. Laboratory evaluation revealed elevated liver enzymes. The outcome of the events is unknown. The reporting physician considered the events to possibly be related to vaccination with Pediarix. Comment: Seizure, unresponsive, and elevated liver enzymes were assessed as medically serious (OMIC).
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia, Urticaria
Clinical narrative: Urticarial rash within 10-15 minutes of vaccine administration. Epinephrine, Benadryl, Methylprednisone injection.  Nurse follow up on 09/10/04 states: "Fever."
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Contusion, Ephelides, Epistaxis, Platelet count decreased, Purpura
Clinical narrative: Within 7 days, freckles (purpura) below eyes on cheeks. 10 days, freckles/purpura spread all over body, bruising on legs and arms; nosebleed not clotting. ITP Low platelet counts since vaccine. Hemo low; RBC low, WBC high, bleeding, mood swings. 5/27/04 still to today.  Nurse follow up on 09/21/04 states: "No new information."
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Thrombocytopenic purpura
Clinical narrative: Within 7 days, freckles (purpura) below eyes on cheeks. 10 days, freckles/purpura spread all over body, bruising on legs and arms; nosebleed not clotting. ITP Low platelet counts since vaccine. Hemo low; RBC low, WBC high, bleeding, mood swings. 5/27/04 still to today.  Nurse follow up on 09/21/04 states: "No new information."
Age: 0.15
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Hypotonia, Loss of consciousness, Pallor, Pyrexia, Upper respiratory tract infection
Clinical narrative: Patient received Pediarix, HIB, Prevnar at 12 PM 7/9/04. At 4 AM, patient had fever 102 and gave Tylenol and fever came down to 100. Tylenol repeated 10 AM. At 12:30 the child became unconscious and became limp according to Mom. Child went pale but was never blue, eyes were closed, no tonic/clonic movement, no apnea. This lasted 10 minutes. Mom called paramedics and baby was hospitalized for two days.
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Skin nodule
Clinical narrative: Lump developing on left hand between fourth and fifth digit. Has appointment to see family Dr
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling and redness after DPTA right arm.
Age: 30.0
Sex: F
Vaccine: UNK
Symptoms: Hypoaesthesia
Clinical narrative: Left arm and hand numbness 15-30 minutes after receiving hepatitis B vaccine left deltoid. Numbness involved ulnar volar aspect of hand and fourth and fifth fingers. Seen by occupational health physician, given script for Celebrex 100mg, daily. Labs ordered were: CBC, metabolic panel, SED rate, thyroid studies (history of hypothyroid). Re-evaluated by physician 48 hours later; no further symptoms.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Tachycardia, Tachypnoea, Urticaria
Clinical narrative: Urticaria, tachycardia, tachypnea greater than 24 hours.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 7/14/04 Mother called to report patient's left upper arm is reddened extending towards the elbow. Arm is warm to touch at injection site. Does not cause patient any problems. Treatment: Nurse recommended cold compresses.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Decreased appetite, Injection site erythema, Injection site warmth, Somnolence, Vomiting
Clinical narrative: 3cmx3cm warmth and erythema. Febrile 99-101. Slept a lot. Decreased appetite. Emesis one time.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying, Screaming
Clinical narrative: Prolonged screaming and crying occurring 4 hours after vaccine administration. Seen in ER; temperature 99.8 No other physical findings. No redness or swelling at vaccine site.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Right deltoid: red area, swollen with pain.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: About 6/10 or 6/11 mother noted a hard, red area on left lateral proximal thigh which increased to several inches in diameter by 6/13/04. Patient refused to walk. Seen by me on 6/14/04. 3cm erythema and induration with 3 approximately 0.5cm darker, red areas centrally. Patient ambulatory and afebrile.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Injection site swelling, Swelling face, Urticaria
Clinical narrative: Mother noticed hives, swelling of extremities and lips at 1:00 PM.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left deltoid swollen, raised, red, and hot.
Age: 1.4
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Induration and erythema over site of vaccination.
Sex: M
Vaccine: MEN
Symptoms: Joint stiffness, Oedema peripheral
Clinical narrative: Day after receiving meningococcal vaccine, had swelling and stiffness in hands, knees, and feet.
Age: 3.0
Sex: M
Vaccine: DTAP, HEPA, VARCEL
Symptoms: Swelling
Clinical narrative: Right arm swollen since 6/24/04; first noticed in the afternoon.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: Child had MMR SC right thigh. 2 days later slight redness. Doctor checking injection site.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site vesicles
Clinical narrative: Immunizations given 7/8/04. Child developed red area to left thigh with large and sever smaller clear blisters surrounding injection site.
Age: 1.08
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Pyrexia, Rash papular
Clinical narrative: Mother of baby called reporting rash-papular appearing with circular reddened area surrounding (1cm). Rash is now over legs, arms, trunk and in clusters. Child is eating and drinking well. Temp 100. Advised mother to take child to doctor. She returned call to say it was probably a virus.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Erythema, Rash
Clinical narrative: MMR given 6/29/04. Developed rash on face 7/7/04, starting as erythematous papules on face, then spreading to trunk and extremities. No fevers or cold symptoms.
Age: 14.0
Sex: U
Vaccine: TD
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: LtD swollen, red and hot to the touch. Local reaction.
Age: 61.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Tetanus booster administered in left deltoid on 7/5/2004. Her most recent booster before this was said to be in the late 1980s per the patient. She called doctors office and came in to evaluated on 7/14/04. She exhibited a localized, reddened, painful, swollen area on the left deltoid, approximately 10cmx5cm. Patient denied fever or shortness of breath. Pt was given an injection of 80mg depomedrol in office on 7/14/04.
Age: 1.08
Sex: M
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Malaise, Rash
Clinical narrative: On Friday 4/16/04 pt developed a "quarter-sized" , reddened, hot, swollen area to injection site of varicella vaccine. ON 4/17/04 developed 6-12 1g spots on face and body. Mother reports no fever by thermometer but child "felt warm". Also child "ill appearing." By Tuesday, 4/20/04, the spots were gone and just had a faint red area at injection site. Required only TLC at home.
Age: 14.0
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Swelling, Tenderness
Clinical narrative: Got Td 7/6/04 in left arm, seen again in office on 7/10/04 with left arm swelling and warmth also with tenderness. 1.5 in diameter redness. Warmth= 1+. Tx: Keflex 500 mg BID
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Difficulty in walking, Gait disturbance, Muscular weakness
Clinical narrative: Event: pneumococcal and influenza vaccine. Limping while taking walks, extreme muscle weakness, especially in right arm and right leg above knee. Walking and climbing stairs has become more difficult. Lab results show no arthritis. Have used Vioxx.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Drug ineffective, Infection
Clinical narrative: Outbreak of chickenpox, light case, 20-30 lesions
Age: 12.0
Sex: F
Vaccine: MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Pt started with edema and erythema directly over MMR vaccine site 24 hours after injection. Slowly got worse, no pain, then receded within next 24 hours.
Age: 1.3
Sex: M
Vaccine: DTAP, MMR
Symptoms: Erythema, Feeling hot
Clinical narrative: Right arm redness and warmth. Treated with ice and Motrin.
Age: 1.25
Sex: M
Vaccine: DTAP, IPV
Symptoms: Blister, Erythema
Clinical narrative: On 7/1/04 at 8PM pt mother observed one red bumps on right leg and redness on inside of right calf. The bump burst after forming a blister ad has now burst. ON 7/2/04 , had same type of bump on left.
Age: 27.0
Sex: F
Vaccine: MMR
Symptoms: Contusion, Erythema, Feeling hot, Skin discolouration, Tenderness
Clinical narrative: Client reported a friend noticed a large bruise on the back of her left arm around one day after MMR shot received. Area became sore/ sensitive over the next 24 hours with increasing redness and warmth noted. Client presented to clinic on 7/8 at 1:45 to have PPD read and showed her left arm. Observed. 2.25 inch blackened bruise around 2" above elbow, surrounded by reddened area around 2.5 inches in diameter. No treatment. Patient advised to contact physician if continued discomfort or concerns.
Sex: M
Vaccine: DTAP, MMR, PNC
Symptoms: Dehydration, Pyrexia, Rash
Clinical narrative: 5 days after vaccine, had fever of 103-104. Pediatrician called. Mom instructed to alternate Infant Tylenol and Motrin and Increased fluid intake. Next day taken to ER. Fever continued to be high. Diagnosed with dehydration and mom reported child had rash on neck and chest.
Age: 29.0
Sex: M
Vaccine: ANTH, TD
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: Redness and swelling of shoulder. Tenderness of armpit.
Age: 25.0
Sex: M
Vaccine: HEP
Symptoms: Hypertonia, Hypokinesia, Pain
Clinical narrative: Symptoms started 7/13/04 AM. Complains of severe discomfort and stiffness in left upper arm radiating to elbow. Bending arm increases pain. No induration, erythema nor increased warmth noted, warm moist compress. TD symptoms improved after 1st compress in EHS.
Age: 14.0
Sex: M
Vaccine: TD
Symptoms: Hypoaesthesia
Clinical narrative: Numbness to left arm and across upper back starting AM after vaccination (7/8/04). Client called in with these complaints , mother unavailable to talk to.  Ibuprofen, rest and to return phone call to LHD on 7/9/04 with update. To seek PCP if worsens or no improvement. Attempted PC 7/9/04 to client x 2, line busy; attempted PC to client 7/13/04 x2 busy. Client has not called back to us for update.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, OPV, PNC
Symptoms: Malaise, Oral intake reduced, Petechiae, Thrombocytopenia, Weight decreased
Clinical narrative: Two weeks after 2 month shots (OPV, HIB, Hep B, DTaP, Pneumococcal), patient became ill, poor feeding, weight loss, and petechiae. Visited ER; referred to Hematology, had thrombocytopenia, platelets in 30's-40's for several weeks. No active bleeding. Platelet count recovering spontaneously. Currently 80,000.
Age: 0.8
Sex: M
Vaccine: HEP
Symptoms: Rash maculo-papular
Clinical narrative: Day after hepatitis B #2, patient developed maculopapular rash from face to trunk. Re-check is 7/14/04. On 7/14/04, rash about 85% better.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Irritability, Pyrexia, Rash
Clinical narrative: 10 days after MMR #1 was given, patient had temperature up to 105.1 degrees F. Irritable, fussy and rash on skin. Treatment: Observation.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: Erythema/edema of leg from thigh to knee about 24 hours after vaccine. Seen in ED and started on antibiotics.
Age: 14.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Swelling, warmth, redness to site of injection radiated up neck.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Erythema multiforme, Pyrexia
Clinical narrative: Vesicles, fever, erythema multiforme. Treatment with IV fluids, steroids. Hospitalized 7/9/04 to 7/11/04.  Nurse follow up on 08/24/04 states: "Complete."  Nurse follow up on 10/21/04 states: "Review of additional hospital records received on this already completed case confirms final diagnosis of erythema multiforme."
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site warmth, Oedema
Clinical narrative: Left upper thigh red with slight edema, 10cmx10cm circle area, warm to touch. Cool, wet cloth on area next 2-3 days.
Age: 58.0
Sex: F
Vaccine: HEPAB
Symptoms: Urticaria
Clinical narrative: Twinrix (#1) administered 7/16/04 approximately 9:00 AM. Client's husband reported on 7/19/04 that client broke out on 7/19/04 with hives on arms and legs.
Age: 55.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Blood pressure increased, Disorientation, Dizziness, Guillain-Barre syndrome
Clinical narrative: Evening following vaccine, developed temperature of 100, burning of feet and hips, nausea, headache, felt sluggish, itching on legs. Symptoms improved but did not resolve. On 7/16/04 became disoriented, weak, nausea, dizzy, increased BP. Numbness, pain generalized but increased leg/hip involvement; to ER. Diagnosis: Neuropathy, Guillain Barre and Neurotin. Continues under Rx at this time.
Age: 55.0
Sex: F
Vaccine: HEP
Symptoms: Headache, Hypoaesthesia, Injection site pruritus, Nausea, Neuropathy
Clinical narrative: Evening following vaccine, developed temperature of 100, burning of feet and hips, nausea, headache, felt sluggish, itching on legs. Symptoms improved but did not resolve. On 7/16/04 became disoriented, weak, nausea, dizzy, increased BP. Numbness, pain generalized but increased leg/hip involvement; to ER. Diagnosis: Neuropathy, Guillain Barre and Neurotin. Continues under Rx at this time.
Age: 55.0
Sex: F
Vaccine: HEP
Symptoms: Pyrexia, Sluggishness, Thermal burn
Clinical narrative: Evening following vaccine, developed temperature of 100, burning of feet and hips, nausea, headache, felt sluggish, itching on legs. Symptoms improved but did not resolve. On 7/16/04 became disoriented, weak, nausea, dizzy, increased BP. Numbness, pain generalized but increased leg/hip involvement; to ER. Diagnosis: Neuropathy, Guillain Barre and Neurotin. Continues under Rx at this time.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Erythema, Injection site swelling, Skin discolouration
Clinical narrative: ON TUESDAY, JULY 20, 2004, THE CLIENT'S MOTHER, NOTICED SMALL, RED AND SKIN COLORED, RAISED BUMPS AROUND EACH INJECTION SITE.  THERE WERE A TOTAL OF 4 INJECTION SITES.  SHE STATED THAT THE BUMPS WERE GREATEST IN QUANTITY ON THE LEFT LEG.  VACCINES THAT WERE ADMINISTERED IN THE LEFT LEG WERE COMVAX AND PREVNAR.  SHE STATED THAT SHE GAVE INFANT TYLENOL ALL DAY ON FRIDAY, JULY 16, 2004, WHICH WAS THE DATE THE VACCINES WERE ADMINISTERED.  SHE STATES THAT SHE DID NOT NOTICE ANY OTHER SYMPTOMS.  SHE CONTACTED HER DOCTOR ON TUESDAY, JULY 20, 2004 TO DESCRIBE THE SYMPTOMS, AND HER DOCTOR INFORMED HER THAT THE CONDITION DID NOT REQUIRE MEDICAL TREATMENT AND TO NOTIFY THE COUNTY HEALTH DEPARTMENT OF THE REACTION.
Age: 15.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Injection site rash
Clinical narrative: 7-6-04:  Patient receives varicella and HepB, dose #3 immunizations.  7-7-04:  rash develops at immunization site with no itching or pain.  Mother gives Benadryl on Wednesday evening 7-8-04:  Arm back to normal, per mother.  Did not take patient to private MD
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Mother called 6/29/04, states her son had a red, swollen, warm to touch, Lt arm, Mother states gave tylenol and applied cool cloth to arm.  Pt also was in swimming pool several times on 06/29/04 for coolness to arm, 6/30/04- patient went to clinic, recd Rx for Cefzil and told to use Ibuprofin, told by clinic - Allergic reaction to Vaccine.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Hypersensitivity, Swelling
Clinical narrative: Mother called 6/29/04, states her son had a red, swollen, warm to touch, Lt arm, Mother states gave tylenol and applied cool cloth to arm.  Pt also was in swimming pool several times on 06/29/04 for coolness to arm, 6/30/04- patient went to clinic, recd Rx for Cefzil and told to use Ibuprofin, told by clinic - Allergic reaction to Vaccine.
Age: 19.0
Sex: F
Vaccine: HEP, HEPA, IPV, YF
Symptoms: Abasia, Arthralgia, Condition aggravated, Pain in extremity, Swelling
Clinical narrative: This case was reported by a pharmacist and described the occurrence of arthralgia in a 19 year old female patient who received hepatitis B vaccine recombinant. The reporter is the parent of the patient. The patient's past medical history was notable for psoriatic arthritis and asthma. Concurrent medications included Dovonax, Ultravate, Salbutamol, and Sulphasalazine. On 4/21/04, the patient received the third dose of Engerix B (lot ENG5401A2). On the same day, the patient also received the third dose of hepatitis A vaccine inactivated (lot VHA776C6), and injections of poliomyelitis virus vaccine, and Yellow fever vaccine. Approximately six days post-immunization, on 4/27/04, the patient experienced arthralgia and swelling. The reporter stated that, the pain began in second toe of the left foot. After one week, the pain spread to the third and fourth toes of the right foot. The reporter stated that her daughter was unable to walk due to the excruciating pain. The reporter considered the events to be disabling and to require intervention. The patient was seen at a physician's office. On an unspecified date in May 2004, laboratory analyses revealed elevated white blood cells. The patient was treated with cephalexin, prednisone, sulfasalazine, ibuprofen, and naproxen. (She did not take naproxen and ibuprofen at the same time). The patient developed a dermatological reaction to Sufasalazine. Therapy with Sulphasalazine was discontinued. At time of reporting, the patient continued on non-steroidal anti-inflammatory drugs. The events were ongoing at the time of follow up. The toe pain was somewhat relieved with NSAIDS. The reporting pharmacist considered the events to probably be related to vaccination with Engerix B and Havrix.
Age: 19.0
Sex: F
Vaccine: HEP, HEPA, IPV, YF
Symptoms: White blood cell count increased
Clinical narrative: This case was reported by a pharmacist and described the occurrence of arthralgia in a 19 year old female patient who received hepatitis B vaccine recombinant. The reporter is the parent of the patient. The patient's past medical history was notable for psoriatic arthritis and asthma. Concurrent medications included Dovonax, Ultravate, Salbutamol, and Sulphasalazine. On 4/21/04, the patient received the third dose of Engerix B (lot ENG5401A2). On the same day, the patient also received the third dose of hepatitis A vaccine inactivated (lot VHA776C6), and injections of poliomyelitis virus vaccine, and Yellow fever vaccine. Approximately six days post-immunization, on 4/27/04, the patient experienced arthralgia and swelling. The reporter stated that, the pain began in second toe of the left foot. After one week, the pain spread to the third and fourth toes of the right foot. The reporter stated that her daughter was unable to walk due to the excruciating pain. The reporter considered the events to be disabling and to require intervention. The patient was seen at a physician's office. On an unspecified date in May 2004, laboratory analyses revealed elevated white blood cells. The patient was treated with cephalexin, prednisone, sulfasalazine, ibuprofen, and naproxen. (She did not take naproxen and ibuprofen at the same time). The patient developed a dermatological reaction to Sufasalazine. Therapy with Sulphasalazine was discontinued. At time of reporting, the patient continued on non-steroidal anti-inflammatory drugs. The events were ongoing at the time of follow up. The toe pain was somewhat relieved with NSAIDS. The reporting pharmacist considered the events to probably be related to vaccination with Engerix B and Havrix.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema
Clinical narrative: Redness of right arm measuring 60mmx85mm. Patient states redness gone the next day with no further problems.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Facial palsy, Gait disturbance, Muscle twitching, Speech disorder
Clinical narrative: Approximately 2-3 minutes after injections, patient's mouth started twitching causing it to be difficult for the patient to talk. Right side of mouth was droopy, and when asked to ambulate, wouldn't put much pressure on left foot.
Age: 5.0
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Blister, Insomnia, Listless, Malaise, Muscle spasms
Clinical narrative: Night after vaccines, started with 101 degree fever, treated with Tylenol, malaise, felt funny. 2/21 through approximately 2.25. Then eyes became glassy, was listless, fever worsened, especially h.s. by 2/27/04, developed blisters, cramps, insomnia. 2.24.04 called MD; went to see doctor then to another doctor on Monday. Monday 3/1, diagnosed staph and treated. Child required dress up changes, Atarax, Tylenol with codeine, Bactoban ointment. Child's suffering continued about 2 weeks. Finally improved with Silumarn gHs QID. Never has had such an exacerbation before or after.
Age: 5.0
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Pyrexia, Staring
Clinical narrative: Night after vaccines, started with 101 degree fever, treated with Tylenol, malaise, felt funny. 2/21 through approximately 2.25. Then eyes became glassy, was listless, fever worsened, especially h.s. by 2/27/04, developed blisters, cramps, insomnia. 2.24.04 called MD; went to see doctor then to another doctor on Monday. Monday 3/1, diagnosed staph and treated. Child required dress up changes, Atarax, Tylenol with codeine, Bactoban ointment. Child's suffering continued about 2 weeks. Finally improved with Silumarn gHs QID. Never has had such an exacerbation before or after.
Age: 3.0
Sex: M
Vaccine: HIBV
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Left deltoid induration/warmth, erythema 6cmx9cm.
Sex: F
Vaccine: DTAP, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Redness and swelling on left arm within 15 minutes after MMR injection. Given Benadryl syrup and observed 20 minutes. No hives, no angioedema.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pyrexia, Swelling
Clinical narrative: Swelling of entire right thigh and right knee. Redness of entire anterior right thigh. Fever to 100.5.
Age: 32.0
Sex: F
Vaccine: HEPAB, IPV, MMR, RAB, TYP, YF
Symptoms: Fatigue, Lymphadenopathy, Pharyngeal oedema, Pharyngolaryngeal pain
Clinical narrative: 5/21/04: throat felt swollen in evening. 5/22/04: no fever, but throat sore, noticed swollen gland under right ear: fatigue. 5/24/04 visit with PCP: seen by CNP: adenopathy assessed.
Age: 20.0
Sex: F
Vaccine: YF
Symptoms: Abdominal distension, Abdominal pain, Constipation, Diarrhoea, Nausea
Clinical narrative: On 7/19/04, experienced severe abdominal pain, nausea, vomitting.In ER-numerous tests and X-rays.Inconclusive results.7/20 - back to ER - scoped and removed 5 liters of liquid from stomach according to her mother. Had been constipated and then had diarrhea. Distention of stomach is pushing against pancreas. Has been home with IV therapy and is returning to hospital today for more tests.Had Tetanus shot several days AFTER Yellow Fever immunization.
Age: 20.0
Sex: F
Vaccine: YF
Symptoms: Vomiting
Clinical narrative: On 7/19/04, experienced severe abdominal pain, nausea, vomitting.In ER-numerous tests and X-rays.Inconclusive results.7/20 - back to ER - scoped and removed 5 liters of liquid from stomach according to her mother. Had been constipated and then had diarrhea. Distention of stomach is pushing against pancreas. Has been home with IV therapy and is returning to hospital today for more tests.Had Tetanus shot several days AFTER Yellow Fever immunization.
Age: 64.0
Sex: F
Vaccine: TD
Symptoms: Chills, Injection site reaction, Pain, Pyrexia, Swelling
Clinical narrative: Local reaction at injection, fever, chills, body aches, treated with ice on injection site.  Tylenol (500mg every 4hrs) Benedryl 25mgx1, edema under arm.
Age: 4.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Cough, Cyanosis, Nausea, Skin burning sensation
Clinical narrative: Within 5-10 minutes of administration, child began complaining of burning sensation in hands and feet, then ears.  progressed to circumoral cyanosis, coughing, nausea.  Administered:  0.3ml Benadryl IM and 0.15ml Epinephrine SQ.  EMS transported to ER where evaluated by MD.  Treated with Prednisone and given Prednisone to take at home
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Received Varicella vaccine at 12 months and 1 day of age on 3/29/2004.  Presented to the office on July 22, 2004 with Chicken Pox.  Confirmed by seconder provider.  Mild case, no fever.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Arrhythmia, Blood creatine phosphokinase increased, Chest pain, Dyspnoea, Electrocardiogram ST segment elevation
Clinical narrative: This is a 30-year-old male who received his smallpox vaccination on 17 May 2003. He was given the vaccination the day of deployment because his wife was pregnant. About 1-2 days later, he began to complain of midsternal pains in chest.  He describes this pain as a sharp, burning sensation directly over his heart that comes and goes and was mildly short of breath "as if just completing a marathon". He denied any fever, weakness, dizziness, nausea, vomiting, or radiating pain to neck, back, or arms. He thought he had indigestion and presented to the ships corpsman who administered some type of anti-acid and kept him under observation.  Later that afternoon, the pain got worse, but went away when he sat and relaxed.  That evening after going to bed, he awoke with severe chest pain, sweating, nausea, flushed feeling and difficulty breathing. He described the pain as if a "1000lbs weight was sitting in the center of my chest coming on and off".   The pain worsened when lying flat and got better leaning forward while sitting on a couch.  As his pain increased (10/10), he forced himself to walk and wake up the corpsman who began treating him for possible myocardial infarction.  He was transferred to the emergency room and later transferred to a civilian hospital for MI workup. Ambulance medics continued giving nitroglycerin enroute.  Approximately two days later he was transferred for further blood tests, EKG's, a stress test and cardiac sonogram.  He states his pain persisted for approximately 4 days. Upon his released he was asymptomatic and was placed on light duty for one week with a follow-up exam the next week where he was placed back on full duty. He states he felt weak the first week on full duty but was back to his normal health without complications or concerns to date. Discharge Summary received on 12/15/2004: Hospital Patient D/C note reviewed. Final diagnosis was pericarditis. Medical Records received on 1/27/2005 confirms final diagnosis of pericarditis.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Flushing, Hyperhidrosis, Laboratory test abnormal, Nausea, Pericarditis
Clinical narrative: This is a 30-year-old male who received his smallpox vaccination on 17 May 2003. He was given the vaccination the day of deployment because his wife was pregnant. About 1-2 days later, he began to complain of midsternal pains in chest.  He describes this pain as a sharp, burning sensation directly over his heart that comes and goes and was mildly short of breath "as if just completing a marathon". He denied any fever, weakness, dizziness, nausea, vomiting, or radiating pain to neck, back, or arms. He thought he had indigestion and presented to the ships corpsman who administered some type of anti-acid and kept him under observation.  Later that afternoon, the pain got worse, but went away when he sat and relaxed.  That evening after going to bed, he awoke with severe chest pain, sweating, nausea, flushed feeling and difficulty breathing. He described the pain as if a "1000lbs weight was sitting in the center of my chest coming on and off".   The pain worsened when lying flat and got better leaning forward while sitting on a couch.  As his pain increased (10/10), he forced himself to walk and wake up the corpsman who began treating him for possible myocardial infarction.  He was transferred to the emergency room and later transferred to a civilian hospital for MI workup. Ambulance medics continued giving nitroglycerin enroute.  Approximately two days later he was transferred for further blood tests, EKG's, a stress test and cardiac sonogram.  He states his pain persisted for approximately 4 days. Upon his released he was asymptomatic and was placed on light duty for one week with a follow-up exam the next week where he was placed back on full duty. He states he felt weak the first week on full duty but was back to his normal health without complications or concerns to date. Discharge Summary received on 12/15/2004: Hospital Patient D/C note reviewed. Final diagnosis was pericarditis. Medical Records received on 1/27/2005 confirms final diagnosis of pericarditis.
Age: 12.0
Sex: M
Vaccine: HEPA, TD
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: REDNESS NOTED YESTERDAY  AT INJECTION SITE AND IS SPREADING.AREA RAISED AND WARM TO TOUCH.