chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Asthma, Chest pain, Wheezing
Clinical narrative: patient complained of chest pain 15 minutes after vaccine administration. Patient has new onset cough variant asthma. We administered a nebulizer treatment and the pain subsided, although patient never had any wheezing noted.
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, IPV, PNC, DTAP, HEP, IPV, PNC, DTAP, HEP, IPV, PNC
Symptoms: Autopsy, Sudden infant death syndrome
Clinical narrative: This report was received from manufacturer via a business partner for IPOL and was assigned manufacturer report number HQWYE172204FEB03. Information has been received concerning a 23 week old male pt who on 9/5/02 was vaccinated with a dose of hep B virus vaccine rHBsAg. Concomitant therapy included a dose of IPOL, an IM dose of Prevnar and a dose of diphtheria toxoid (+) pertussis vacine (+) tetanus toxoid. On 9/26/02 the pt died. Autopsy results reported sudden infant death syndrome as the cause of death. This was originally reported by a health professional.
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, IPV, PNC, DTAP, HEP, IPV, PNC, DTAP, HEP, IPV, PNC
Symptoms: Sudden infant death syndrome
Clinical narrative: This report was received from manufacturer via a business partner for IPOL and was assigned manufacturer report number HQWYE172204FEB03. Information has been received concerning a 23 week old male pt who on 9/5/02 was vaccinated with a dose of hep B virus vaccine rHBsAg. Concomitant therapy included a dose of IPOL, an IM dose of Prevnar and a dose of diphtheria toxoid (+) pertussis vacine (+) tetanus toxoid. On 9/26/02 the pt died. Autopsy results reported sudden infant death syndrome as the cause of death. This was originally reported by a health professional.
Age: 31.0
Sex: M
Vaccine: ANTH, SMALL, SMALL
Symptoms: Myocardial infarction
Clinical narrative: Muscle aches and elevated temp. Substernal chest pain radiating to R scapula. ST elevation. Small pericardial effusion w/mild inferior hypokinesis on echo.
Age: 31.0
Sex: M
Vaccine: ANTH, SMALL, SMALL
Symptoms: Chest pain, Hypokinesia, Myalgia, Pericardial effusion, Pyrexia
Clinical narrative: Muscle aches and elevated temp. Substernal chest pain radiating to R scapula. ST elevation. Small pericardial effusion w/mild inferior hypokinesis on echo.
Age: 45.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Pain, Pruritus
Clinical narrative: After bathing and drying off began to have severe itching and stinging on skin of back.  She took 50 mg p.o. of benedryl with no relief.  had Benadryl cream applied without relief.  Tried ice packs without relief.  Became short of breath and started experiencing chest pain and tightness in chest. Attempted to take her blood pressure.  States she could barely hear systolic pressure at 50 mm Hg.  Her husband called 911 at that time.  By the time EMS personnel arrived, her symptoms had begun to dissipate.  Blood pressure 120/98.  She did not go to the hospital.  On Monday morning she went to her private physician.  Physician reviewed her current meds.  Stated he thought reaction was due to the smallpox vaccine.  He started her on Zertec 10 mg qd.
Age: 45.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Hypertension, Pruritus
Clinical narrative: After bathing and drying off began to have severe itching and stinging on skin of back.  She took 50 mg p.o. of benedryl with no relief.  had Benadryl cream applied without relief.  Tried ice packs without relief.  Became short of breath and started experiencing chest pain and tightness in chest. Attempted to take her blood pressure.  States she could barely hear systolic pressure at 50 mm Hg.  Her husband called 911 at that time.  By the time EMS personnel arrived, her symptoms had begun to dissipate.  Blood pressure 120/98.  She did not go to the hospital.  On Monday morning she went to her private physician.  Physician reviewed her current meds.  Stated he thought reaction was due to the smallpox vaccine.  He started her on Zertec 10 mg qd.
Sex: M
Vaccine: OPV
Symptoms: Dyspnoea, Lung neoplasm malignant
Clinical narrative: A legal complaint was received from an attorney regarding an adult male. The plaintiff's history includes exposure to asbestos and asbestos-containing products. According to the legal complaint, "sometime between 1962 and 1963, plaintiff was administered OPV or IPV." In May 2000, the plaintiff was reportedly diagnosed with lung cancer. The legal complaint states that the "contaminated vaccine products were toxic and carcinogenic" and that the "plaintiff's exposure to asbestos, asbestos-containing products, and SV40 virus caused severe and permanent injury to the plaintiff, including, but not limited to breathing difficulties, asbestosis, lung and/or other cancer, mesothelioma, and/or other lung damage." On 8/26/02, he died from lung cancer.
Age: 55.0
Sex: F
Vaccine: RAB
Symptoms: Cardio-respiratory arrest, Loss of consciousness
Clinical narrative: A 55 year old woman was bitten by a stray dog. She was vaccinated with three doses of Rabipur IM, but rabies immune globulin was not administered. On 4/13/03 (11th day) the pt experienced a loss of consciousness and died due to cardio-respiratory arrest on 4/16/03. An autopsy was not performed.
Sex: U
Vaccine: HEP
Symptoms: Drug toxicity, Nervous system disorder
Clinical narrative: Information has been received from a legal firm regarding a case in litigation concerning a child (gender unknown) with no known allergies who, for the first two years of their life, was vaccinated with injections containing the dangerous and highly toxic mercury based preservative thimerosal. The alleged result of these vaccinations is that the patient now suffers from, and allegedly in the future will continue to suffer from, the toxic neurological effects of mercury poisoning. Follow up information received on 6/28/02 indicated that the patient received a first dose of hepatitis B virus vaccine on 6/22/97 and a second dose of hepatitis B virus vaccine on 1/6/98 in the right ALT. Other immunizations included diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid received on 8/7/97, diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid received on 10/20/97 in right ALT, diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid received on 1/6/98 in upper "O"ALT, diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid received on 1/22/99 in left ALT, haemophilus B conjugate vaccine received 10/20/97 in left ALT, haemophilus B conjugate vaccine received on 1/6/98 in lower "O" ALT, haemophilus B conjugate vaccine received on 9/25/98; poliovirus vaccine received on 8/7/97, poliovirus vaccine received on 10/20/97 in right ALT, poliovirus vaccine received on 1/22/99 PO; MMR received on 7/10/98, hepatitis B vaccine recombinant received on 7/18/97 in LTVL; varicella virus vaccine live received on 7/10/98 in left ALT. Follow up information received on 5/1/03 indicated that the patient received injections of vaccines allegedly containing thimerosal on the following dates: 6/22/97, 7/18/97, 8/7/97, 9/18/97, 10/20/97, 1/6/98, 7/10/98, 9/25/98, and 1/22/99. Upon internal review neurological disorders and poisoning were determined to be other important medical events (OMIC). No further information is available. A copy of the patient's complete medical records is available upon request.
Sex: M
Vaccine: HEP
Symptoms: Drug toxicity, Neurological symptom
Clinical narrative: Information has been received from a legal firm regarding a case in litigation concerning a male child who was injected with vaccinations containing the toxic mercury based preservative thimerosal. The alleged result of these vaccinations is that the patient suffers from and in the future will continue to suffer the toxic neurological effects of mercury poisoning. Follow up information was received on 6/28/02 in the form of immunization records. It was reported that the patient was vaccinated with a first dose of hepatitis B virus vaccine on 5/30/97; a second dose on 9/12/97; and a third dose on 12/29/97. Other immunizations included poliovirus vaccine on 5/30/97, 9/12/97, and 10/21/98l diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid on 5/30/97, 8/6/97, 10/14/97, and 10/21/98; haemophilus B conjugate vaccine on 5/30/97, 8/6/97, 10/14/97, and 6/16/98; MMR on 4/20/98 and varicella viru vaccine live on 4/20/98. The patient was also administered tuberculin purified protein derivative on 4/20/98 and 6/29/99, both with negative results. Follow up information received on 5/1/03 reported that the patient received injections that were alleged to contain thimerosal on the following dates: 5/30/97, 8/6/97, 9/12/97, 10/14/97, 12/29/97, 4/20/98, 7/16/98, and 10/21/98. Upon internal review, mercury poisoning and neurological disorders were considered to be other important medical events (OMIC). No further information is available.
Sex: M
Vaccine: DTPIHI, HEP, HIBV
Symptoms: Abnormal behaviour, Cognitive disorder, Drug toxicity, Drug withdrawal syndrome, Nervous system disorder
Clinical narrative: Information has been received from a legal firm regarding a case in litigation concerning a minor male child who was administered vaccines containing thimerosal and has suffered devastating injuries caused by mercury toxicity via IM injection of mercury. As a result of cumulative exposure to mercury contained in the vaccinations and the pt was caused to suffer mercury poisoning and has experienced devastating injuries, complications and sequelae and the aggravation of other conditions. The pt was neurologically devastated by the accumulation of mercury in his body, having been exposed via IM vaccinations, and suddenly regressed developmentally, losing milestones of neurological development previously achieved, specifically including, but not limited to becoming withdrawn, unable to speak, unresponsive to his environment, engaging in repetitive behavior; and the loss of language skill, motor skills and affect. He has suffered severe, devastating, permanent, neurological injuries and will sustain in the future a mental intellectual, developmental and neurological incapacity and associated learning disabilities, affect disorders and impairments. Other immunizations included: HIBTITER containing thimerosal and PENTAVAC containing thimerosal on 8/2/94, 10/8/94, 2/22/95, and 4/5/96. A dose of HIBTITER containing thimerosal was also given on 8/2/94. Upon internal review, the pt's intellectual, developmental, neurological incapacity, devastating injuries/complications, losing milestones of neurological development, mercury toxicity, and neurological injuries, impairments, delayed development were considered to be other important medical events (OMIC). No further info is available.
Sex: M
Vaccine: DTPIHI, HEP, HIBV
Symptoms: Neurodevelopmental disorder
Clinical narrative: Information has been received from a legal firm regarding a case in litigation concerning a minor male child who was administered vaccines containing thimerosal and has suffered devastating injuries caused by mercury toxicity via IM injection of mercury. As a result of cumulative exposure to mercury contained in the vaccinations and the pt was caused to suffer mercury poisoning and has experienced devastating injuries, complications and sequelae and the aggravation of other conditions. The pt was neurologically devastated by the accumulation of mercury in his body, having been exposed via IM vaccinations, and suddenly regressed developmentally, losing milestones of neurological development previously achieved, specifically including, but not limited to becoming withdrawn, unable to speak, unresponsive to his environment, engaging in repetitive behavior; and the loss of language skill, motor skills and affect. He has suffered severe, devastating, permanent, neurological injuries and will sustain in the future a mental intellectual, developmental and neurological incapacity and associated learning disabilities, affect disorders and impairments. Other immunizations included: HIBTITER containing thimerosal and PENTAVAC containing thimerosal on 8/2/94, 10/8/94, 2/22/95, and 4/5/96. A dose of HIBTITER containing thimerosal was also given on 8/2/94. Upon internal review, the pt's intellectual, developmental, neurological incapacity, devastating injuries/complications, losing milestones of neurological development, mercury toxicity, and neurological injuries, impairments, delayed development were considered to be other important medical events (OMIC). No further info is available.
Sex: M
Vaccine: HEP
Symptoms: Drug toxicity, Nervous system disorder
Clinical narrative: Information has been received regarding a case in litigation concerning a male child who was injected with vaccinations containing the toxic mercury-based preservative thimerosal during the period from January 1995 through December 1995. The alleged result of these vaccinations is that the patient was subjected to very high doses of mercury contained in thimerosal and as a result suffers from and in the future will continue to suffer the toxic neurological effects of mercury poisoning. Vaccination history: A first, second, and third dose of hepatitis B virus vaccine were given on 1/9/95, 3/24/95, and 8/28/95. A varicella virus vaccine live was given on 1/11/95. A first, second, third and fourth dose of diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid were given on 1/9/95, 3/24/95, 5/16/95, and on 7/15/96. A first, second,  and third dose of poliovirus vaccine were given on 1/9/95, 3/24/95, and 7/15/96. A first, second, third and fourth dose of Hib conjugate vaccine were given on 1/9/95, 3/24/95, 5/16/95, and 4/5/96. A tuberculin purified protein derivative test was performed on 12/23/95. Upon internal review, mercury poisoning and neurological effects were considered to be other important medical events. No further information is available.
Age: 1.3
Sex: F
Vaccine: MMR
Symptoms: Diabetes mellitus, Laboratory test abnormal
Clinical narrative: Information has been received from a consumer and follow up information from a physician concerning a 16 month old female patient. The consumer reported the patient had no allergies and had a history of ventricular septal defect at birth and ventricular septal defect repair two months later. Follow up information from the physician reported that the patient had no illness at the time of vaccination, no medical history and no adverse events following prior vaccinations. On 8/22/02 the patient was vaccinated SC in the right anterior thigh with a first dose of MMR vaccine live (second generation)(lot #642695/0490M). The physician reported that on 10/8/02 the patient presented with new onset insulin dependent diabetes mellitus and was transferred to a hospital for pediatric endocrine evaluation. The child was hospitalized for 3 days. Lab evaluation revealed serum glucose of 525 and moderate ketones and 2+ glucose in the urine. The physician reported on 4/29/03 that the patient had not recovered from the event of insulin dependent diabetes mellitus and the event had resulted in a persistent or significant disability/incapacity. The physician reported link unknown. No further information is expected.
Age: 1.5
Sex: F
Vaccine: VARCEL
Symptoms: Contusion, Laboratory test abnormal, Thrombocytopenic purpura
Clinical narrative: Information has been received from a physician concerning an 18 month old female patient, who on 10/07/2002 was vaccinated with a dose of varicella virus vaccine live (Lot #643529/0598M). On 10/22/2002 the pt presented to the doctor's office with bruising of the lower extremities, which the parent noticed the night before. The pt's blood platelet count in the office was 8,000. Idiopathihc thrombocytopenic purpura was diagnosed and the pt was hospitalized. Subsequently, the pt's blood platelet count in the hospital was 11,000 and 'steadily improving'. As of 10/23/2003 the pt had not been discharged from the hospital. Subsequently, the pt was discharged from the hospital and the idiopathic thrombocytopenic purpura completely resolved. Additional info has been requested.
Sex: M
Vaccine: PNC
Symptoms: Malaise
Clinical narrative: A consumer reported that her grandson received an injection of Prevnar on an unspecified date and subsequently became "deathly ill" with unspecified "symptoms from (the) shot."  He reportedly "ended up at" a hospital.  No further information was available at the date of this report.  This event was considered medically important (OMIC).
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Face oedema, Febrile convulsion, Rash
Clinical narrative: Information has been received from an investigator regarding a 12 month old male who received his fourth dose of study vaccine on 4/29/03 as part of the clinical trial, "A Phase III, Randomized, Double-Blind, Multicenter Study to Compare the Safety and Immunogenicity of a 9-Vlent Pneumococcal, Meningococcal Serogroup C Conjugate Combination Vaccine Buffered with Succinate to the Non-Buffered Formulation in Healthy Infants." Concomitant therapy included Hib-Titer, Varivax, and MMR vaccines On the morning of 5/3/02, he had a fever of 101.7 deg F and was given Tylenol. That afternoon, he experienced a febrile seizure and was taken to the emergency dept. An electrocardiogram, x-ray and other unspecified laboratory tests were performed with unknown results. He was discharged with instructions to take Motrin around the clock. On 5/5/03, he was seen by his primary medical doctor. His temperature was 100.8 deg F and had two red spots on his face. The physician noted that the red spots were not varicella. The event end date was reported as 5/6/03. This event was considered medically important (OMIC). The investigator considered the febrile seizure (not expected per the investigator brochure) to be "probably not" related to the study or concomitant vaccines. The medical monitor considered the event to be "possibly related" to the study vaccine as well as to the concomitant vaccines.  A 15-day follow up report received 6/14/2003 adds no new info. A 15-day follow up report received 7/31/2003 adds: (At ER on 05/03/2002): A chest X-ray revealed no segmental infiltrates or significant pleural effusions. Laboratory tests results revealed a white blood cell count of 5.4 K/uL. An electrocardiogram and a urine analysis were performed with unknown results.
Sex: U
Vaccine: PPV
Symptoms: Bacterial infection, Pneumonia
Clinical narrative: It was reported in a paper presented at a conference that a patient with HIV, AIDS-related virus, and history of ultrasound assisted liposuction of a buffalo hump who was vaccinated, twice in their lifetime, with pneumococcal vaccine 23 polyvalent developed pneumococcal pneumoni and pneumococcal bacteremia three months post the ultrasound assisted liposuction procedure. Concomitant therapy included antiviral therapy (unspecified). It was noted the patient was involved in a retrospective evaluation, which was done to evaluate the outcome of the treatment option, ultrasound assisted liposuction, used for treating fat maldistribution that leads to an enlargement of the dorsocervical fat pad, known as a buffalo hump. It was noted the patient tolerated the ultrasound assisted liposuction procedure well, and had initial partial reduction in buffalo hump size, but did not have full resolution of the buffalo hump. Follow up information received in a statement from the author reported, "These were not adverse events". Additional information was received via telephone correspondence from the author, a physician, who reported he did not know who was the manufacturer of the vaccine that had been administered to the patient, and that he would need to review the patient's chart to obtain more information. The physician reported that he was not implying the vaccine had anything to do with the patient's diagnosis of Pneumococcal Pneumonia or Bacteremia. Upon internal review pneumococcal pneumonia and pneumococcal bacteremia were determined to be an other important medical event (OMIC). The author of the paper also mentioned a second patient that had pneumococcal pneumonia and pneumococcal bacteremia following vaccination with pneumococcal vaccine 23 polyvalent. Follow-up info received in a statement from the author reported, "These were not adverse events."  A 15-day follow up report received 11/18/2003 adds: It was noted that the pt was involved in a retrospective evaluation, which was done to evaluate outcome of the treatment option, ultrasound assisted liposuction (UAL) used for treating fat maldistribution that leads to an enlargement of the dorsocervical fat pad, known as a "buffalo hump". It was noted the pt tolerated the ultrasound assisted liposuction procedure well, and had initial partial reduction in buffalo hump size, but did not have full resolution of the buffalo hump. Upon internal review pneumoccal pneumonia and pneumococcal bacteria were determined to be an other important medical event. The author of the paper also mentioned a second pt that had pneumococcal pnemonia and pneumococcal bacteremia following vacccination with pneumococcal 23 polyvalent (manufacture unknown) (WAES #0304USA02745).
Age: 1.6
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Diabetes mellitus, Increased appetite, Pollakiuria, Thirst
Clinical narrative: Information has been received from a RN and a consumer concerning an approximately 19 month old white female with a history of patent ductus arteriosus which closed with medications who, on the morning of 16-OCT-2001, was vaccinated in the right arm with the first dose of varicella virus vaccine live. There was no illness at the time of vaccination. In January 2002, three months after being vaccinated, the patient started urinating frequently, drinking "a ton", eating alot and breathing funny. A diagnosis of Type I diabetes was made. The patient was subsequently hospitalized for nine days. The patient's mother indicated that her daughter had never been sick or had any diabetes signs before being vaccinated. At the time of this report, the Type I diabetes persisted.  The Type I diabetes was also considered to be life threatening.  Additional information has been requested. A 15-day follow up report received 6/26/2003 adds no new info. A 15-day follow up report received 7/29/2003 adds: The pt was subsequently hospitalized for 9 days (Also reported that pt was discharged from the hospital on 01/17/2002). The pt's mother indicated that her daughter had never been sick or had any diabetes signs before being vaccinated. The RN indicated that the pt's parents were having difficulty regulating the child's blood glucose levels (blood glucose levels are "all over the place") as the child's HgbAlc showed poor control of her diabetes. The child was also noted to be frequently ill. The RN also reported that the parents noted regression and control issues with the child. The pt was also hospitalized in January 2003 for a stomach virus and was discharged on 01/28/2003. At the time of this report, the pt's Type I diabetes persisted and she was still being treated with insulin. The outcomes of the pt's other experiences were unknown. The Type I diabetes was also considered to be life-threatening. No further info is available.
Sex: U
Vaccine: PPV
Symptoms: Bacterial infection, Pneumonia
Clinical narrative: It was reported in a paper presented at a conference that a pt with HIV, AIDS-related virus, and hisotry of ultrasound assisted liposuction of a buffalo hump who was vaccinated, "twice in their lifetime" with pneumococcal vaccine 23 polyvalent developed pneumococcal pneumonia and pneumococcal bacteremia one month post the ultrasound assited liposuction procedure. Concomitant therapy included antiviral therapy. It was noted the pt was involved in a retrospective evaluation, which was done to evaluate the outcome of the treatment option, ultrasound assisted liposuction (UAL), used for treating fat maldistribution that leads to an enlargement of the dorsocervical fat pad, known as a "buffalo hump." It was noted the pt tolerated the ultrasound assisted liposuction procedure well, and had initial partial reduction in buffalo hump size, but did not have full resolution of the buffalo hump. Upon internal review pneumococcal pneumonia and pneumococcal bacteremia were determined to be an other important medical event (OMIC). The author of the paper also mentioned a second pt that had pneumococcal pneumonia and pneumococcal bacteremia following vaccination with pneumococcal vaccine 23 polyvalent (WAES0304USA02919). Follow-up info received in a statement from the author reported, "These were not adverse events." Additional information was received via telephone correspondence from the author, a physician, who reported he did not know who was the manufacturer of the vaccine that had been administered to the patient, and that he would need to review the patient's chart to obtain more information. The physician reported that he was not implying the vaccine had anything to do with the patient's diagnosis of Pneumococcal Pneumonia or Bacteremia. A 15-day follow up report received 11/18/2003 adds: Additional follow-up info was received from an author of the literature article via telephone correspondence which reported that the pt had 2 separate vaccinations with "Pneumonia vaccine". A first dose of pneumococcal 23v polysaccharide vaccine (manufacturer unknown) was administered on 06/04/1997 (lot number reported 438-673), the author was unsure if the vaccine was administered. The author reported the second dose administered was pneumococcal 23v polysaccharide vaccine (Lot #641114/1387L). Upon internal review pneumococcal pneumonia and pneumococcal bacteremia were determined to be other important medical events. The author of the paper also mentioned a second pt that had pneumococcal pneumonia and pneumococcal bacteremia following vaccination with pneumococcal vaccine 23 polyvalent (manufacturer unknown) (WAES #0304USA02919).
Age: 29.0
Sex: F
Vaccine: TD
Symptoms: Abasia, Asthenia, Back pain, Bacterial infection, Chills
Clinical narrative: Healthy 29 year old female presented to my office on 4/21/03 after sustaining a minor dog bite (her own dog, imm-UTD, accidental bite) to her left index finger on 4/20/03. The tiny lac was well-approximated, but because of some surrounding redness, I put her on Keflex. I also gave her tetanus toxoid since she had not had Td since childhood. She takes no regular medicines and has no health problems. On 4/22/03, she came back to the office stating she "felt like I got run over." She c/o diffuse myalgias, low back pain and cold chills. None of her symptoms was improved on Aleve. She was exquisitely tender throughout, even to light touch, and I appreciated some diffuse, subjective weakness. I prescribed Vicodin and gave her 2 days off work. That evening, her husband called me after hours to state that pt was no longer able to walk up the stairs and that he had to carry her. She was crying unconsolably in pain. I recommended going immediately to the ER. Apparently, she refused. I called her the next day and asked her to come back to the office. She was unable to walk without assistance. Her pain was unimproved. She was weak in her lower extremities and triceps. I spoke with MD who organized admitting this pt under the care of MD, senior resident. I do not yet have the discharge summary but in discussing this case with MD, everything was negative. The pt remained an inpatient from 4/23 through 4/27. Lumbar puncture and EMG were negative, essentially ruling out Guillain-Barre syndrome. Infectious disease was consulted and they apparently feel that pt's symptoms are consistent with an acute tetanus infection The temporal relationship of the onset of symptoms to the time of immunization makes them believe this is an ADR. Her working diagnosis is a tetanus-like syndrome from the tetanus toxoid. She was treated with tetanus immunoglobulin and Flagyl, was discharged home and she still requires a walker for ambulation, home health and intense physical therapy. The hospital discharge summary received on 1/6/03 states the final diagnosis was stated as reaction to tetanus vaccine.
Age: 29.0
Sex: F
Vaccine: TD
Symptoms: Hypertonia, Myalgia, Tenderness
Clinical narrative: Healthy 29 year old female presented to my office on 4/21/03 after sustaining a minor dog bite (her own dog, imm-UTD, accidental bite) to her left index finger on 4/20/03. The tiny lac was well-approximated, but because of some surrounding redness, I put her on Keflex. I also gave her tetanus toxoid since she had not had Td since childhood. She takes no regular medicines and has no health problems. On 4/22/03, she came back to the office stating she "felt like I got run over." She c/o diffuse myalgias, low back pain and cold chills. None of her symptoms was improved on Aleve. She was exquisitely tender throughout, even to light touch, and I appreciated some diffuse, subjective weakness. I prescribed Vicodin and gave her 2 days off work. That evening, her husband called me after hours to state that pt was no longer able to walk up the stairs and that he had to carry her. She was crying unconsolably in pain. I recommended going immediately to the ER. Apparently, she refused. I called her the next day and asked her to come back to the office. She was unable to walk without assistance. Her pain was unimproved. She was weak in her lower extremities and triceps. I spoke with MD who organized admitting this pt under the care of MD, senior resident. I do not yet have the discharge summary but in discussing this case with MD, everything was negative. The pt remained an inpatient from 4/23 through 4/27. Lumbar puncture and EMG were negative, essentially ruling out Guillain-Barre syndrome. Infectious disease was consulted and they apparently feel that pt's symptoms are consistent with an acute tetanus infection The temporal relationship of the onset of symptoms to the time of immunization makes them believe this is an ADR. Her working diagnosis is a tetanus-like syndrome from the tetanus toxoid. She was treated with tetanus immunoglobulin and Flagyl, was discharged home and she still requires a walker for ambulation, home health and intense physical therapy. The hospital discharge summary received on 1/6/03 states the final diagnosis was stated as reaction to tetanus vaccine.
Age: 37.0
Sex: F
Vaccine: TD
Symptoms: Blindness, Disorientation, Dizziness, Dyskinesia, Dysphagia
Clinical narrative: Muscle jerks in face. Pain in the ear. Muscle spasms. Tight jaw and difficulty swallowing.  The medical records state panic disorder, shoulder pain, flushing, and muscle twitching. The follow up received on 8/27/03 states sight of shot swollen/hurt-eye began to twitch, dizziness, blurred vision, night jerk, disorientation, bulding eye, loss of sight.
Age: 37.0
Sex: F
Vaccine: TD
Symptoms: Ear pain, Flushing, Joint stiffness, Muscle spasms, Muscle twitching
Clinical narrative: Muscle jerks in face. Pain in the ear. Muscle spasms. Tight jaw and difficulty swallowing.  The medical records state panic disorder, shoulder pain, flushing, and muscle twitching. The follow up received on 8/27/03 states sight of shot swollen/hurt-eye began to twitch, dizziness, blurred vision, night jerk, disorientation, bulding eye, loss of sight.
Age: 37.0
Sex: F
Vaccine: TD
Symptoms: Panic reaction, Shoulder pain, Vision blurred
Clinical narrative: Muscle jerks in face. Pain in the ear. Muscle spasms. Tight jaw and difficulty swallowing.  The medical records state panic disorder, shoulder pain, flushing, and muscle twitching. The follow up received on 8/27/03 states sight of shot swollen/hurt-eye began to twitch, dizziness, blurred vision, night jerk, disorientation, bulding eye, loss of sight.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Amnesia, Convulsion, Crying, Headache, Heat stroke
Clinical narrative: Less that a week after pt had the shots and she started having strokes and seizures. Has gotten worse. Due to severe milk allergy, pediatrician asked that we not get the MMR shot at the time pt was supposed to receive it. Finally at or around 18 months of age, MD directed us to go ahead and get the shot.   About 1-2 weeks after getting the MMR shot, pt started falling down when she tried to walk. Pt seemed to be almost paralyzed from the hips down through the thighs. The child would scream and cry with pain when parent would even try to change her diaper or dress her. Every time parent placed her on her feet to walk "since she was walking/running" she would fall to her face or backwards. She would cry. This went on for almost 2 months. Pt underwent so many horrible medical test ordered by pediatrician and also by hospital since we took pt there several times due to the extreme pain she had from this MMR shot and the affect it had on her body. Finally after many test which gave no answers we searched out another MD. We were referred to MD who examine pt and her medical records and came to me with a diagnoses.  MD told me(parent) that pt had an adverse reaction to the MMR shot. He did not ask us to report this to VAERS nor did he tell us there was any type of reporting system for adverse reactions with immunizations. Had I known, I would of reported this and I really don't think I would of allowed  pt to receive any more vaccinations. But MD's really played down the situation and told me and my mother who was present when the diagnosis was made "that this was a very common occurrence. That the MMR and this reaction my child had was just a common occurrence." I can't believe that at this point if it were so it would be published right? MD continued to treat pt as her pediatrician from the age of about 20 months to 7 in Oct 26, 2001. On Oct 26, 2001, MD administered 2 shots. 1. A flu shot. 2. A chicken pox shot. 3. Zithromax for ear infection. Pt used Zithromax a lot during her childhood since she had a lot of allerg. Discharge Summary received on 7/29/2003 states seizure. Medical Record received on 8/06/2003 states rash and cold symptoms.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Loss of consciousness, Nausea, Nervous system disorder, Pain, Paralysis
Clinical narrative: Less that a week after pt had the shots and she started having strokes and seizures. Has gotten worse. Due to severe milk allergy, pediatrician asked that we not get the MMR shot at the time pt was supposed to receive it. Finally at or around 18 months of age, MD directed us to go ahead and get the shot.   About 1-2 weeks after getting the MMR shot, pt started falling down when she tried to walk. Pt seemed to be almost paralyzed from the hips down through the thighs. The child would scream and cry with pain when parent would even try to change her diaper or dress her. Every time parent placed her on her feet to walk "since she was walking/running" she would fall to her face or backwards. She would cry. This went on for almost 2 months. Pt underwent so many horrible medical test ordered by pediatrician and also by hospital since we took pt there several times due to the extreme pain she had from this MMR shot and the affect it had on her body. Finally after many test which gave no answers we searched out another MD. We were referred to MD who examine pt and her medical records and came to me with a diagnoses.  MD told me(parent) that pt had an adverse reaction to the MMR shot. He did not ask us to report this to VAERS nor did he tell us there was any type of reporting system for adverse reactions with immunizations. Had I known, I would of reported this and I really don't think I would of allowed  pt to receive any more vaccinations. But MD's really played down the situation and told me and my mother who was present when the diagnosis was made "that this was a very common occurrence. That the MMR and this reaction my child had was just a common occurrence." I can't believe that at this point if it were so it would be published right? MD continued to treat pt as her pediatrician from the age of about 20 months to 7 in Oct 26, 2001. On Oct 26, 2001, MD administered 2 shots. 1. A flu shot. 2. A chicken pox shot. 3. Zithromax for ear infection. Pt used Zithromax a lot during her childhood since she had a lot of allerg. Discharge Summary received on 7/29/2003 states seizure. Medical Record received on 8/06/2003 states rash and cold symptoms.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Pharyngitis, Rash, Rhinitis
Clinical narrative: Less that a week after pt had the shots and she started having strokes and seizures. Has gotten worse. Due to severe milk allergy, pediatrician asked that we not get the MMR shot at the time pt was supposed to receive it. Finally at or around 18 months of age, MD directed us to go ahead and get the shot.   About 1-2 weeks after getting the MMR shot, pt started falling down when she tried to walk. Pt seemed to be almost paralyzed from the hips down through the thighs. The child would scream and cry with pain when parent would even try to change her diaper or dress her. Every time parent placed her on her feet to walk "since she was walking/running" she would fall to her face or backwards. She would cry. This went on for almost 2 months. Pt underwent so many horrible medical test ordered by pediatrician and also by hospital since we took pt there several times due to the extreme pain she had from this MMR shot and the affect it had on her body. Finally after many test which gave no answers we searched out another MD. We were referred to MD who examine pt and her medical records and came to me with a diagnoses.  MD told me(parent) that pt had an adverse reaction to the MMR shot. He did not ask us to report this to VAERS nor did he tell us there was any type of reporting system for adverse reactions with immunizations. Had I known, I would of reported this and I really don't think I would of allowed  pt to receive any more vaccinations. But MD's really played down the situation and told me and my mother who was present when the diagnosis was made "that this was a very common occurrence. That the MMR and this reaction my child had was just a common occurrence." I can't believe that at this point if it were so it would be published right? MD continued to treat pt as her pediatrician from the age of about 20 months to 7 in Oct 26, 2001. On Oct 26, 2001, MD administered 2 shots. 1. A flu shot. 2. A chicken pox shot. 3. Zithromax for ear infection. Pt used Zithromax a lot during her childhood since she had a lot of allerg. Discharge Summary received on 7/29/2003 states seizure. Medical Record received on 8/06/2003 states rash and cold symptoms.
Age: 29.0
Sex: F
Vaccine: LYME
Symptoms: Arthralgia, Bone pain, Cardiovascular disorder, Gastrointestinal disorder, Headache
Clinical narrative: Numbness, tingling, jint pain, cardio and gastro problems, eye sight problems, bone pain, headaches, rash, edema, etc, etc. Lot #'s were not recorded.
Age: 29.0
Sex: F
Vaccine: LYME
Symptoms: Hypoaesthesia, Oedema, Paraesthesia, Rash, Visual disturbance
Clinical narrative: Numbness, tingling, jint pain, cardio and gastro problems, eye sight problems, bone pain, headaches, rash, edema, etc, etc. Lot #'s were not recorded.
Age: 1.25
Sex: F
Vaccine: DTAP, HBHEPB, MMR, PNC, VARCEL
Symptoms: Pyrexia, Status epilepticus
Clinical narrative: PMD-reported child admitted to hospital with T 103.4 (Tylenol given by mom). Status epilepticus.
Age: 1.4
Sex: F
Vaccine: DTAP, HBHEPB, MMR, PNC, VARCEL
Symptoms: Pyrexia, Somnolence
Clinical narrative: Pt began running fever 4 hours post immunizations. Parent gave Tylenol, pt became lethargic and despite Tylenol, fever increased to 105 degrees. Parent took to ER the next day. Parent states all test -UA, CXR etc were neg. States kept re-dosing Tylenol, Motrin per orders x next 48 hours.
Age: 27.0
Sex: M
Vaccine: ANTH, HEP
Symptoms: Erythema, Fatigue, Malaise, Myalgia, Pain
Clinical narrative: Temperature: 99 F, muscle aches, "feeling lousy", lymphadema, local redness, bump at site, whitish blaster, local itching, malaise and fatigue worse than expected; pain right oxilla.  Benadryl; limited activity and duty
Age: 27.0
Sex: M
Vaccine: ANTH, HEP
Symptoms: Pruritus, Pyrexia
Clinical narrative: Temperature: 99 F, muscle aches, "feeling lousy", lymphadema, local redness, bump at site, whitish blaster, local itching, malaise and fatigue worse than expected; pain right oxilla.  Benadryl; limited activity and duty
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Crying
Clinical narrative: High pitched screaming, crying.  Very aggitated, unable to calm down.  Lasted for hours until late in evening.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Eye swelling, Rash
Clinical narrative: Rash all over within 15 minutes eyes swollen
Age: 1.28
Sex: M
Vaccine: HEP, MMR
Symptoms: Erythema multiforme
Clinical narrative: Dramatic erythema multi form on day #6-7 after MMR vaccine.
Age: 5.3
Sex: M
Vaccine: DTAP, HEP, MMR
Symptoms: Erythema, Feeling hot, Pruritus, Rash erythematous, Swelling
Clinical narrative: IM's (DTAP, HEP B in left thigh and MMR in right thigh) given 05/06/2003.  Mom noticed next evening-mult. raised areas on left thigh and itch.  Felt warm.  No history of hallucinations/confusion.  No difficulty talking or walking.  No difficulty breathing no wheezing.  On exam AM of 05/08/2003-no acute distress.  Alert factor rancuted.  No difficulty breathing.  No lympads espethy left groin.  (+) left upper thigh-4 1/2 x 6 1/2 in erythema.  warm, swollen, conf.  Skin tight.  Fades with pressure.  No abcess palpation.  No streaking.  Diagosed by PRININ - prescribed to "tetanus" of DTaP (local).  Treatment-warm comression ibuprofen, for itch-cold compress, benadryl if neccessary.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Patient called 05/10/2003 due to redness and swelling at DTaP site.  Progressing unchanged.  05/11/2003 given Keflex x10d for cellulitis
Age: 4.0
Sex: F
Vaccine: IPV
Symptoms: Anorexia, Injection site urticaria, Pallor
Clinical narrative: Hives at injection site.  Poor appetite. Pale.
Age: 4.5
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Erythema
Clinical narrative: 24 hrs after immunization, patient developed erythema induration on site of injection.  On exam 48 post injection there measure thema at 11.5cm and inplesation 11cm.  These were blisters/yellow fluid 3.5x2.5cm, 2.5x7.5cm
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site induration, Pain, Swelling
Clinical narrative: 05/09/2003-AM: right upper arm with redness, swelling noted.   05/09/2003-18:00: complained of pain in right upper arm-red and hard/hot to touch, 3/4 around arm.  Used in packs and motrin as needed to decrease pain and swelling
Age: 3.0
Sex: F
Vaccine: MMR
Symptoms: Rash papular
Clinical narrative: Complained of prustic papular rash day after vaccination to 2 different sites and immunization.  Patient with history skin sensitivity, eczemia reacts similar to other products in hygiene lotions.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema
Clinical narrative: Right deltoid presented with brightly erythema 8cm x 4cm macule with casor.  High ROM compartively, bleanching and non-tender and extended to upper arm.
Age: 23.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Pain, Swelling
Clinical narrative: 3 days post vaccine, patient noticed 4-5cm red band below injection site, which was red and swollen.  This procceded to extend upwards into the injection site, which already also was sore.  Today is the 8th day post vaccine and it is improved but not completely resolved.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pyrexia, Swelling
Clinical narrative: Erythema and high temperature, swelling 2/3 of upper arm.
Age: 18.0
Sex: F
Vaccine: HEPA
Symptoms: Fatigue, Pain
Clinical narrative: 5 days after receiving immunization arm began to ache.  Pain has worse-arm feels weak.  Sleeps with arm flexed to body for comfort.  1 week after vaccine bilat thigh pain/ach/fatigue thigh symptoms resolved in 3 days.
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Haematuria, Headache, Menstrual disorder, Nausea, Neck pain
Clinical narrative: Per ER record, admitted 04/18/2003 with c/o HA, nausea. Dx with fever, altered menstration and neck pains. Temp 102.5
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Platelet count decreased, Pyrexia, White blood cell count decreased
Clinical narrative: Per ER record, admitted 04/18/2003 with c/o HA, nausea. Dx with fever, altered menstration and neck pains. Temp 102.5
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Swelling
Clinical narrative: One hour after administration of DTAP-left deltoid swollen.  Ice pack applied per school nurse.  Not taken to doctor per parent.  04/30/2003 spoke to school nurse area improved.
Age: 13.0
Sex: F
Vaccine: HEP, HEPA, MMR
Symptoms: Lymphadenopathy, Nausea, Pyrexia, Rash, Vomiting
Clinical narrative: Mother stated nausea, vomiting, rash, fever swollen lymph nodes x2 days.
Age: 1.3
Sex: M
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 15 month with development of erythema and induration of all vaccine sites.  Patient received DTaP, comvax and prevnar.
Age: 42.0
Sex: F
Vaccine: HEP
Symptoms: Heart rate increased, Palpitations
Clinical narrative: Rapid, pounding heartbeat with in 1 hour of vaccine administration, lasting 7 or more hours.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Left thigh to knee swelling, induration, erythema
Age: 1.0
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Pyrexia
Clinical narrative: Fever 103.4 degrees
Sex: F
Vaccine: HEP
Symptoms: Headache, Nausea
Clinical narrative: Progressive headache. Nausea in evening. Decreased headache on 05/06/2003
Age: 1.5
Sex: M
Vaccine: DTAPH
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Redness and swelling apprx. 8 cm left thigh
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Urticaria
Clinical narrative: Redness and swelling at injection site left thigh. Generalized hives per report. Benadryl was given in ED
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: Redness, swelling of left arm 18 x 16 cm
Age: 1.7
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Feeling hot, Irritability, Rash erythematous
Clinical narrative: C/O feeling warm x few days, fussy, followed by red bumps apprx. 50-60 scattered over body and limbs.
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Decreased appetite, Insomnia, Irritability, Pyrexia, Rhinorrhoea
Clinical narrative: Fever as high as 103.6 started early AM. Late pm of 05/04 also not sleeping, poor appetite, runny nose. Clinging to mother. Crying when examined. Left TM dull-red.
Age: 4.9
Sex: F
Vaccine: DT, IPV, MMR
Symptoms: Diabetes mellitus, Laboratory test abnormal
Clinical narrative: 04/30/2003- immunizations. 05/02/2003- urine 4+ glucose- no symptoms. 05/05/2003- urine 4+ glucose, Glu 170 no symptoms. New onset diabetes
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Irritability
Clinical narrative: Cried for >/= 2 hours
Age: 4.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Discomfort, Erythema, Oedema
Clinical narrative: Extensive swelling erythema and discomfort 2 days after DTaP. Given Zyrtec, Keflex, and Zantac to Tx.
Age: 23.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Initially sure with small erythema 36-48 hours after. Later arm tender with 6cm swelling noted. This doubled in size by 72 hours. After 5 days pain resolved. Swelling remains, but seems to decreased.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Pt ran a fever 106.2 ax. Despite 9  4 hour apprx doses Tylenol.
Age: 4.0
Sex: F
Vaccine: DTAPH
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Left arm swollen and red about 24-36 hours after aDpt
Age: 2.9
Sex: M
Vaccine: HEPA, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Left arm swollen/red 4x3 1/2cm
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema, Pain
Clinical narrative: Swelling, erythema, warm, painful x 24 hours. Tx with ice packs and Motrin
Age: 37.0
Sex: F
Vaccine: TD
Symptoms: Chills, Hypersensitivity, Injection site pain, Pain, Pyrexia
Clinical narrative: I called pt about an unrelated matter. She reported an adverse reaction to her Td. Starting 05/01 at 10:33am  x 6 hours, she had chills, feverish, and had body aches. She treated herself at home with rest and Tylenol. She was also very sore at the site x 4 days.