chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.5
Sex: U
Vaccine: DTP, HIBV
Symptoms: Convulsion, Otitis media, Pyrexia, Tachycardia, Vomiting
Clinical narrative: Well visit 4MAR91 rec'd DTP/HIB started vomiting & fever <24hrs later HR >240 beats/min; Seen 6MAR91 w/bilateral otitis media-fever, vomiting admitted 6MAR91 discharged 7MAR91; Readmitted 7MAR91 w/poss sz-discharged 9MAR91;
Age: 0.2
Sex: F
Vaccine: DTP, HIBV, OPV
Symptoms: Anorexia, Pyrexia, Somnolence, Vomiting
Clinical narrative: Prolonged sleep, had to be aroused by mom; Intake decreased, vomiting x 1; Temp 101(R); Admitted @ 630PM 11MAR91;
Age: 0.38
Sex: M
Vaccine: DTP, HIBV, OPV
Symptoms: Cardiac arrest, Cyanosis, Hypotonia
Clinical narrative: 10MAR91 child found by aunt cyanotic & "still" in crib rushed to ER Cardiac arrest-intubated & resuscitated-transferred to Hosp.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Pupillary disorder
Clinical narrative: Aides pupil diagnosed 13DEC90;
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Encephalitis
Clinical narrative: Three days p/flu shot was given, pt came down w/what was consistent w/Herpes encephalitis; Autopsy also consistent with Herpes; Does not think encephalitis was related to "flu shot";
Age: 0.4
Sex: F
Vaccine: DTP, HIBV, OPV
Symptoms: Agitation, Injection site hypersensitivity, Injection site mass
Clinical narrative: Rec'd vax on 13MAR91 as per mom child was irritable 24 hrs later & began developing redness & a lump @ inject site; Came in on 18MAR91 had a red hard lump 4 1/2 x 2 1/2cm
Age: 0.6
Sex: M
Vaccine: DTP
Symptoms: Hypotonia, Pyrexia, Stupor
Clinical narrative: Pt rec'd DTP #3 8MAR91; On 11MAR91 developed temp 103.8(R) in clinic w/hypotonic unresponsive; episode x 2. Sent to ER;
Age: 0.2
Sex: M
Vaccine: DTP, HIBV, OPV
Symptoms: Pallor, Somnolence
Clinical narrative: 5 min episode of loss of color, sl sleepiness, resolving spontaneously;
Age: 1.6
Sex: F
Vaccine: DTP, HIBV
Symptoms: Muscle twitching, Pyrexia, Tremor
Clinical narrative: Pt had a fever then started twitching & shaking; mom called ambulance & took child to ER where blood was drawn & gave ice bath temp @ ER 104.2(R);
Age: 4.0
Sex: M
Vaccine: DTP, OPV
Symptoms: Injection site hypersensitivity, Injection site oedema, Pyrexia, Rash, Vasodilatation
Clinical narrative: Rec'd DTP/OPV 30JAN91 developed temp 102 po, redness, swollen arm; hot, swollen, rash;
Age: 0.4
Sex: F
Vaccine: DTP, HIBV, OPV
Symptoms: Subcutaneous nodule, Vasodilatation
Clinical narrative: 2cm x 4cm fine mass underneath the skin w/1 x 1 cm redness; no tenderness;
Age: 46.0
Sex: F
Vaccine: MMR, TD
Symptoms: Cellulitis, Injection site oedema, Injection site pain
Clinical narrative: Pain, swelling of lt arm w/cellulitis 1 wk p/vax; Rx'd w/velosef Hydrocortisone cream, warm compresses 20MAR91;
Age: 6.0
Sex: F
Vaccine: DTP
Symptoms: Nausea, Personality disorder, Syncope
Clinical narrative: Rec'd DTP @ school, went home p/3hrs felt nauseated when to bathroom w/sister start to act different according to sister, hit herselt then fainted for 1-2min;
Age: 6.0
Sex: M
Vaccine: DT
Symptoms: Eye disorder, Muscle twitching
Clinical narrative: Head jerking; Eyelid movements; tic like in nature;
Age: 41.0
Sex: F
Vaccine: HEP
Symptoms: Chest pain, Dyspnoea, Headache, Pain, Pyrexia
Clinical narrative: Onset of rxn 1-4 days p/inject; sx included: arm sore & burning, SOB, chest pain, h/a & temp @ 104F; Referred to family MD for tx;
Age: 23.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Headache, Hypertonia, Nausea, Neck pain, Nuchal rigidity
Clinical narrative: Approx 2 hrs p/inject c/o severe nausea & vomiting & h/a-phenergan & tylenol; During night developed neck pain; Following 2 days cont w/stiff & sore neck & sl nausea w/occasional vomiting also soreness & stiffness rt arm;
Age: 23.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Pain, Vomiting
Clinical narrative: Approx 2 hrs p/inject c/o severe nausea & vomiting & h/a-phenergan & tylenol; During night developed neck pain; Following 2 days cont w/stiff & sore neck & sl nausea w/occasional vomiting also soreness & stiffness rt arm;
Age: 23.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Headache, Nausea, Nuchal rigidity, Pain, Vomiting
Clinical narrative: Approx 2 hrs p/inject c/o severe nausea & vomiting & h/a-phenergan & tylenol; During night developed neck pain; Following 2 days cont w/stiff & sore neck & sl nausea w/occasional vomiting also soreness & stiffness rt arm;
Age: 50.0
Sex: M
Vaccine: HEP, HEP
Symptoms: Myasthenic syndrome, Rash
Clinical narrative: Weakness in lt shoulder (deltoid muscle)where vax was injected & followed by skin sensitivity & bad body rash following 3rd inject; Recombivax 3 inject- 1st 7JUN or 9th; 2nd 13JUL90; 3rd 18DEC90;
Age: 50.0
Sex: M
Vaccine: HEP, HEP
Symptoms: Myasthenic syndrome, Pruritus, Rash
Clinical narrative: Weakness in lt shoulder (deltoid muscle)where vax was injected & followed by skin sensitivity & bad body rash following 3rd inject; Recombivax 3 inject- 1st 7JUN or 9th; 2nd 13JUL90; 3rd 18DEC90;
Age: 0.4
Sex: M
Vaccine: DTP
Symptoms: Skin nodule, Vasodilatation
Clinical narrative: Large erythematous (3cm x 3cm) knot on lt thigh;
Age: 25.0
Sex: F
Vaccine: MEA
Symptoms: Cellulitis, Hypersensitivity, Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: 10MAR developed swelling, soreness rt upper arm inject site; 12MAR developed fever >101; 18MAR temp down to 98.9 personal MD dx = cellulitis vs allergic reaction;
Age: 59.0
Sex: F
Vaccine: TD
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: Swelling & erythema of lt arm area totally resolved.
Age: 1.5
Sex: M
Vaccine: DTP
Symptoms: Cough, Pneumonia, Pyrexia, Rash maculo-papular, Vomiting
Clinical narrative: Fever 103+ w/in 3-5 days; severe maculo papular rash worse @ site of shot; vomiting, cough, pneumonitis 5JAN91;
Age: 0.3
Sex: F
Vaccine: DTP, HIBV, OPV
Symptoms: Pyrexia
Clinical narrative: Fever @ 9PM on day vax administered; Fever continues following day;
Age: 20.0
Sex: M
Vaccine: TYP, TYP
Symptoms: Dizziness, Orthostatic hypotension
Clinical narrative: Approx 2.5-2 hrs p/immun pt became extremely lighthead, dizzy when standing he was not hypotensive but was orthostatic by pulse & pressure changes;
Age: 20.0
Sex: M
Vaccine: TYP, TYP
Symptoms: Dizziness, Hypotension
Clinical narrative: Approx 2.5-2 hrs p/immun pt became extremely lighthead, dizzy when standing he was not hypotensive but was orthostatic by pulse & pressure changes;
Age: 36.0
Sex: M
Vaccine: TD
Symptoms: Asthenia, Diarrhoea, Injection site mass, Injection site pain, Insomnia
Clinical narrative: 18-24 hrs p/receiving vax-pt mod amt pain around inject site to finger tip, fever, shaking, weakness, diarrhea, numbness in fingertips & difficulty lifting arms; Area not inflammed movable nodule; Awake most of noc w/pain & discomfort;
Age: 36.0
Sex: M
Vaccine: TD
Symptoms: Movement disorder, Pain, Paraesthesia, Pyrexia, Tremor
Clinical narrative: 18-24 hrs p/receiving vax-pt mod amt pain around inject site to finger tip, fever, shaking, weakness, diarrhea, numbness in fingertips & difficulty lifting arms; Area not inflammed movable nodule; Awake most of noc w/pain & discomfort;
Age: 32.0
Sex: F
Vaccine: TD
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema
Clinical narrative: Hard-raised lump @ inject site; 2-3CM size noted 8FEB91 minimal reddness 18FEB91 less sore sm amt of swelling - 1cm
Age: 1.5
Sex: M
Vaccine: DTP, OPV
Symptoms: Convulsion, Pyrexia
Clinical narrative: Grandma reports tonic-clonic sz evening p/immun (denies fever); Had fever 104, morning p/immun;
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain, Chills, Headache, Pain, Pyrexia
Clinical narrative: 13MAR91 rt arm pain (severe); 12MAR91 pain lt leg; 13MAR91 fever progressed 101.7, chills, headache (severe); body aches; abd, cramping & pain; 14MAR91 temp 100, abd pain;
Sex: M
Vaccine: PPV
Symptoms: Chills, Injection site hypersensitivity, Injection site pain, Myalgia, Nausea
Clinical narrative: 1 of 2 pt rec'd the vax & w/in 48 hrs experienced fever, chills, nausea, vomiting, diffuse muscle aches, large local rxn consisting of redness & tenderness, pt hospitalized;
Sex: M
Vaccine: PPV
Symptoms: Pyrexia, Vomiting
Clinical narrative: 1 of 2 pt rec'd the vax & w/in 48 hrs experienced fever, chills, nausea, vomiting, diffuse muscle aches, large local rxn consisting of redness & tenderness, pt hospitalized;
Age: 34.0
Sex: M
Vaccine: HEP, HEP
Symptoms: Unevaluable event
Clinical narrative: pt recvd vax on 7aug90 & 7sep90;f/u info indicated,pt did not recvd 3rd dose as previously reported;the code MISUSE has been deleted;therefore, this report no longer meets the criteria for submission
Age: 0.3
Sex: F
Vaccine: DTP, HIBV, OPV
Symptoms: Agitation, Oedema, Tremor
Clinical narrative: Cried hard for 30 min /p shot.Took nap on way home& slept until 430,awoke crying attempted to eat& began screaming& jerking to lt side.No loss of conc.Taken to ER screaming& jerking(lasting 5 hrs)@ 6:pm.RX:Benedryl,T:98.6,P140, R:unable to
Age: 1.6
Sex: F
Vaccine: MMR
Symptoms: Face oedema
Clinical narrative: lower lip swelling occurred 1 hr approx /p admin-(lip subsided reported 4 hrs) /p swelling began.
Age: 0.5
Sex: F
Vaccine: DTP
Symptoms: Agitation
Clinical narrative: Crankiness for thre days after immun;
Age: 26.0
Sex: F
Vaccine: MMR
Symptoms: Headache, Pyrexia, Rash, Vomiting
Clinical narrative: 4FEB low grade fever - HR - vomiting, rash over stomach, chest & back; Seen by MD;
Age: 4.0
Sex: M
Vaccine: DTP
Symptoms: Oedema, Pain, Pyrexia, Vasodilatation
Clinical narrative: 2 days post vax developed redness, swelling, pain; Tx Duricef 125m BID/ice packs Advil for inflammation;
Age: 1.2
Sex: F
Vaccine: HIBV, MMR
Symptoms: Influenza, Pyrexia, Vomiting
Clinical narrative: Immunized 21FEB91 - vomiting began about 2AM on the 22nd & has persisted temp 101 - advised to call MD for poss visit;
Age: 3.0
Sex: M
Vaccine: DTP, HIBV, OPV
Symptoms: Pruritus, Pyrexia, Rash, Vomiting
Clinical narrative: Mom states child has welt-like rash, that itches-vomiting & temp elevation - no thermometer;
Age: 0.4
Sex: F
Vaccine: DTP, HIBV, OPV
Symptoms: Agitation, Pyrexia
Clinical narrative: Mom reports infant developed fever of 105 @ 3AM 1MAR91 & incessant crying; Fever lowered to 102 p/Tylenol q4h & tepid sponging;
Age: 0.7
Sex: F
Vaccine: DTP, HIBV
Symptoms: Dermatitis bullous, Pruritus
Clinical narrative: Child developed a pimp-like, itching,rash @ site of HIB conj inject which spread down to her rt knee & buttocks w/in 24 hrs of inject; 8MAR91 still has pale, itching rash on rt thigh from buttocks to rt knee;
Age: 3.0
Sex: M
Vaccine: DTP
Symptoms: Vomiting
Clinical narrative: Vomitting-started at 10PM on 20FEB; Child has vomitted 5-6x since 10PM on 20FEB; Hasn't been able to keep even liquids down otherwise isn't sick po temp 100.2; lt leg isn't sore;
Age: 3.0
Sex: M
Vaccine: DTP, OPV
Symptoms: Diarrhoea, Pyrexia, Vomiting
Clinical narrative: 27FEB91 6PM high fever 104.5 w/Tylenol, vomiting & diarrhea x 2 days; 28FEB91 continued temp 103 w/Tylenol; 29FEB91 seen by MD states no more DTP;
Age: 26.0
Sex: F
Vaccine: MMR, TD
Symptoms: Oedema, Pain, Paraesthesia
Clinical narrative: Several hrs p/inject was given, pt reported had some swelling & tenderness 24 hrs p/inject also inc inflammation & was having some numbness in the lt arm;
Age: 1.3
Sex: F
Vaccine: HIBV, MMR
Symptoms: Agitation, Confusional state, Gait disturbance, Hypertonia, Pallor
Clinical narrative: Crying 1-2 hrs periods; Pale, confused, stiff, unwilling to walk, no temp elevation; Parents called the state Hlth ctr & were referred to LMD; Saw child - referred child to Peds; Parents to monitor child next 48hrs; MD felt vax related;
Age: 1.26
Sex: F
Vaccine: HIBV, MMR
Symptoms: Convulsion, Infection, Pyrexia, Rash
Clinical narrative: 20DEC temp 101; rash, sz, to ER; 3JAN91 4 szs 24 hr temp 106 admitted, rash developed dx Roseola;
Age: 2.0
Sex: F
Vaccine: DTP, MMR, OPV
Symptoms: Pyrexia, Tremor
Clinical narrative: 12MAR91 in afternoon pt started having a fever; Mom unable to take temp but said child was hot & shakey; Put in tub of tepid water gave tylenol;
Age: 0.3
Sex: F
Vaccine: DTP, OPV
Symptoms: Dysphagia, Otitis media, Pharyngitis, Pyrexia
Clinical narrative: Low grade fever 25JAN-28JAN rx w/Tylenol; 27Jan choking spells when given formula; 27JAN to ER; no tx; poss otitis;28JAN to fam MD URI - antibiotics given;
Age: 0.5
Sex: M
Vaccine: DTP, HIBV
Symptoms: Agitation, Anorexia, Insomnia, Pyrexia
Clinical narrative: Developed temp of 104 (mom removed theomometer when it reached 104) baby was listless but would not sleep or eat; Temp remained 104 x 24 hrs; (This was w/Tylenol & tepid baths)
Age: 0.7
Sex: F
Vaccine: DTP, HIBV
Symptoms: Pyrexia, Rash, Rhinitis
Clinical narrative: Fever to 104 27FEB91 & 105 28FEB91; To ER 28FEB91; No apparent infect; Had red blotching on face 1MAR91 p/taking Augmentin  was discontinued due to poss allergy; continues to have low grade fever & has clear nasal discharge.
Age: 0.6
Sex: M
Vaccine: DTP, OPV
Symptoms: Agitation, Anorexia, Injection site pain, Oedema, Pyrexia
Clinical narrative: Screaming-fever 103, vomited, fever to 105 - MD called; Also loss of appetite; rt thigh sore sl swollen;
Age: 0.6
Sex: M
Vaccine: DTP, OPV
Symptoms: Vomiting
Clinical narrative: Screaming-fever 103, vomited, fever to 105 - MD called; Also loss of appetite; rt thigh sore sl swollen;
Age: 8.0
Sex: M
Vaccine: MER
Symptoms: Cough, Eye pain, Malaise, Pyrexia
Clinical narrative: Felt poor all over, temp 98.9, now 102, eye hurts when he closes it; dry cough, no coryza;
Age: 5.0
Sex: F
Vaccine: DTP, OPV
Symptoms: Diarrhoea, Pyrexia, Rash
Clinical narrative: Red area on deltoid that is 2" width & extends down the lt arm 3 1/2 in;  sl. temp not taken, had sl diarrhea;
Age: 0.5
Sex: M
Vaccine: DTP, OPV
Symptoms: Anorexia, Pyrexia, Somnolence
Clinical narrative: Approx 6PM unusually quiet, sleepy & difficult to awake, fever <102; Did not eat during this time - took only liquids;
Age: 11.0
Sex: M
Vaccine: MMR
Symptoms: Asthma, Infection, Injection site mass, Injection site pain, Lymphadenopathy
Clinical narrative: Running fever day p/inject; temp 102F, 2 days p/inject c/o sore throat, local rxn - lump & pain x 2 days; Rash in "hot spots" - inside elbows, neck; Wheeze, glands inside throat & parotid glands swelled; Seen by MD dx Strept throat;
Age: 11.0
Sex: M
Vaccine: MMR
Symptoms: Pharyngitis, Pyrexia, Rash
Clinical narrative: Running fever day p/inject; temp 102F, 2 days p/inject c/o sore throat, local rxn - lump & pain x 2 days; Rash in "hot spots" - inside elbows, neck; Wheeze, glands inside throat & parotid glands swelled; Seen by MD dx Strept throat;
Age: 0.2
Sex: M
Vaccine: DTP, HIBV, OPV
Symptoms: Unevaluable event
Clinical narrative: Found dead in bed;
Age: 0.2
Sex: M
Vaccine: HIBV
Symptoms: Agitation, Pyrexia
Clinical narrative: 7PM 21DEC90 temp 103; irritability; admitted to Hosp;
Age: 0.3
Sex: M
Vaccine: DTP, HIBV, OPV
Symptoms: Screaming
Clinical narrative: Prolonged inconsolable crying for >12 hrs on 4-MAR91;
Age: 20.0
Sex: F
Vaccine: MMR
Symptoms: Headache, Oedema, Pharyngitis, Pyrexia
Clinical narrative: Monday - headache; Tuesday - headache, temp 102F, swelling @ base of neck, occipital; MD dx URI; Given Erythromycin.
Sex: U
Vaccine: MMR
Symptoms: Injection site hypersensitivity, Injection site mass
Clinical narrative: 7 x 10cm red hard area around vax site;
Age: 1.5
Sex: F
Vaccine: DTP, OPV
Symptoms: Agitation, Crying, Pyrexia
Clinical narrative: temp 104.6 approx 14 hrs p/DTP,OPV; shrill cry - heard by MD over phone; irritability;                    ]
Age: 36.0
Sex: M
Vaccine: HEP
Symptoms: Drug ineffective, Hepatitis B surface antigen
Clinical narrative: Pt recvd 3 dose series of Hepatitis-B vax; 1st given 21DEC89 was w/Recombivax; 2nd & 3rd w/ENGERIX-B on 6FEB90  rt deltoid & 9OCT90 lt deltoid; 8MAY90 HBSAG testing done; 11MAY90 positive screen Hepatitis B Surface antigen;
Age: 36.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain, Back pain, Diarrhoea, Nausea, Neuralgia
Clinical narrative: Pt recvd 1st dose on vax 8MAY90; That day inject arm itching all day; Resolved 9MAY90; nausea, stomach cramps, watery diarrhea started 9MAY90 about 24 hrs post inject; t99 to 101.5 x 1 wk, achiness x 2 wks, rt sciatica, rt hip & leg pain;
Age: 36.0
Sex: F
Vaccine: HEP
Symptoms: Pain, Pruritus, Pyrexia
Clinical narrative: Pt recvd 1st dose on vax 8MAY90; That day inject arm itching all day; Resolved 9MAY90; nausea, stomach cramps, watery diarrhea started 9MAY90 about 24 hrs post inject; t99 to 101.5 x 1 wk, achiness x 2 wks, rt sciatica, rt hip & leg pain;
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Anorexia, Asthenia, Diarrhoea, Hepatic function abnormal, Nausea
Clinical narrative: Pt recvd vax on 4MAY90 & had onset of nausea, anorexia, loose stools alternating w/diarrhea (x 9 days as of 13MAY90); sx resolved w/out tx; Recovered; F/U 13JUL90 exp dec energy & fatigue, liver functin tests 8AUG90 showed SGOT level 83 U/L
Age: 72.0
Sex: M
Vaccine: HEP
Symptoms: Visual disturbance
Clinical narrative: Pt recvd 1st dose of vax 10APR90 & devel star burst effect on lt eye, seen by ophthalmologist w/vision improved a little;
Age: 26.0
Sex: F
Vaccine: HEP
Symptoms: Asthma, Chest pain, Drug ineffective, Rash, Urticaria
Clinical narrative: Pt exp rash, hives, tightness in chest, wheezing p/recvd 3rd dose on 16MAY90; Advised to discontinue Bactrim taking for UTI; 31JUL90 HBSAB level 2.3 RU; pt given 4th dose vax 8AUG90 uneventful; f/u not seroconverted as of 2OCT90;
Age: 44.0
Sex: M
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: Pt a non-responder following 4 doses of Recombivax; f/u indicated pt did not receive Engerix-B for 4th dose; All 4 doses were w/Recombivax;
Age: 44.0
Sex: M
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: Pt was a non-responder following 3 doses of Recombivax; P/4th dose of Hepatitis B vax pt seroconverted; f/u info confirms pt did not receive Engerix-B; Recvd 4 doses of Recombivax;
Age: 37.0
Sex: F
Vaccine: HEP
Symptoms: Asthma, Chest pain, Face oedema, Headache, Muscle twitching
Clinical narrative: Pt exp rash, h/a, swollen eyes, 20JUN felt like going to pass out, c/o being anxious seen in ER w/Resp rate elevated to 18, sinus tachycardia, wheezing, twitching, areas of light redness on legs&arms; Rpt did not feel events related to vax
Age: 37.0
Sex: F
Vaccine: HEP
Symptoms: Rash, Tachycardia
Clinical narrative: Pt exp rash, h/a, swollen eyes, 20JUN felt like going to pass out, c/o being anxious seen in ER w/Resp rate elevated to 18, sinus tachycardia, wheezing, twitching, areas of light redness on legs&arms; Rpt did not feel events related to vax
Age: 41.0
Sex: F
Vaccine: HEP
Symptoms: Headache, Nausea, Pain, Pyrexia
Clinical narrative: Pt recvd Engerix-B vax on 14MAY90; On the same day exp onset of h/a, nausea, fever 101-102, arm was stiff & sore; tx APAP, warm towel on arm, 7-UP; Recovered 16MAY90;
Age: 49.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Arthritis, Myalgia, Pyrexia
Clinical narrative: Day following vax pt had onset of athralgia, myalgia, temp 100; p/2nd immun developed polyarthritis; HBSAB was found to be negative; f/u done & now has a positive HBSAB
Sex: F
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: Initially, pt ID/initials were reported as A.W.R.; f/u indicates they are D.W.R.; Pt is no longer employed by facility; 3rd vax recvd w/out complaints;
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Arthritis, Oedema, Rash
Clinical narrative: Initial report indicated 1st dose of vax 15JUN90; 2nd dose of vax given 18JUL90 IM deltoid; pt exp swelling of lt ankle, joint swelling rt hand,rash on lt leg; f/u indicated exp arthritis in lt ankle & rt wrist;
Age: 60.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Arthritis, Myalgia, Pain
Clinical narrative: Pt recvd 1st dose of Engerix-B IM/deltoid 19DEC89; w/in 2 wk period p/1st dose exp flare up of arthritis & myalgia; f/u indicates shoulder & ankle pain dec ? 1989; post 2nd vax exp arthritis sx in shoulder, hands, & legs & arthralgia;
Age: 52.0
Sex: F
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: Recv 3 doses of hepta B & found to be non responder.
Age: 70.0
Sex: F
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: Recvd 3 doses Hep B & found to be non responder.
Age: 35.0
Sex: M
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: Recv 3 Hepta B doses & found to be non responder.
Age: 57.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain, Arthralgia, Conjunctivitis, Facial palsy, Hypertonia
Clinical narrative: 11Sep89 pt vax w/Recombivax, next Engerix B 17OCT89; later exp joint pains lasting 6 weeks, fever, rt upper quad pain. 03Jan90 devel Bell's Palsy. Recovered Apr90 but residual rt side facial numbness/paralysis, lid drooping & twitching.
Age: 57.0
Sex: F
Vaccine: HEP
Symptoms: Muscle twitching, Myasthenic syndrome, Paraesthesia
Clinical narrative: 11Sep89 pt vax w/Recombivax, next Engerix B 17OCT89; later exp joint pains lasting 6 weeks, fever, rt upper quad pain. 03Jan90 devel Bell's Palsy. Recovered Apr90 but residual rt side facial numbness/paralysis, lid drooping & twitching.
Sex: U
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: Eighty pts vaccinated w/Engerix-B @ a dialysis center were responders when tested p/the 1st or 2nd dose; Few pts failed to devel titers following 3rd dose; Hemodialysis center were on IM (0, 1, 2, 6) dosing schedule;
Age: 19.0
Sex: F
Vaccine: HEP
Symptoms: Dermatitis bullous, Rash
Clinical narrative: Pt recvd 1st dose on lt deltoid on 8JUN90; pt devel rash appeared ten days post vax; Rash started as blister but when seen by nurse 10JUL90 blisters dry & crusty
Age: 41.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Asthenia, Injection site pain, Multiple sclerosis, Neuropathy
Clinical narrative: 20Oct90 & 30Oct90 pt vax w/hep B; exp inject site & shoulder joint pain w/1st dose, shoulder joint, hip pain, malaise paralysis, fatigue, body pain, w/2nd dose.  Pt c/o of swollen wrist, tingling in fingers.  (peripheral neuropathy)
Age: 41.0
Sex: F
Vaccine: HEP
Symptoms: Osteoarthritis, Paraesthesia, Renal impairment
Clinical narrative: 20Oct90 & 30Oct90 pt vax w/hep B; exp inject site & shoulder joint pain w/1st dose, shoulder joint, hip pain, malaise paralysis, fatigue, body pain, w/2nd dose.  Pt c/o of swollen wrist, tingling in fingers.  (peripheral neuropathy)
Age: 38.0
Sex: M
Vaccine: HEP, HEP
Symptoms: Arthritis
Clinical narrative: Pt recvd 1st dose vax w/o problem.P/ 2nd vax 02JUL90 felt arthritis like sx in shoulders & knee.P/ 3rd vax no problem;later reported myalgia & weakness.
Age: 38.0
Sex: M
Vaccine: HEP, HEP
Symptoms: Arthritis, Myalgia, Myasthenic syndrome
Clinical narrative: Pt recvd 1st dose vax w/o problem.P/ 2nd vax 02JUL90 felt arthritis like sx in shoulders & knee.P/ 3rd vax no problem;later reported myalgia & weakness.
Sex: U
Vaccine: HEP, HEP
Symptoms: Drug ineffective
Clinical narrative: 6 pts did not seroconvert p/ 3 doses of hep B vax.
Age: 30.0
Sex: M
Vaccine: HEP, HEP
Symptoms: Tongue discolouration
Clinical narrative: On 24SEP90 pt exp yellow tongue following vax;
Age: 37.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Asthenia, Hepatic function abnormal
Clinical narrative: Pt exp inc liver enzymes 2 mo p/1st dose vax; repeat enzyme levels still high; also fatigue; no treatment.
Age: 37.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Asthenia
Clinical narrative: Pt exp inc liver enzymes 2 mo p/1st dose vax; repeat enzyme levels still high; also fatigue; no treatment.
Age: 21.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Pruritus, Rash
Clinical narrative: Pt recvd 1st dose of vax on 19SEP90 for prophylaxis; raised erythematous rash (w/pruritis) appeared on 22SEP90 on lt arm above lt elbow & below inject site;
Age: 50.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Arthralgia, Malaise, Pyrexia
Clinical narrative: Pt vax w/ hepta B; exp low grade fever, malaise, arthralgia on 18Jul90.
Age: 43.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Drug ineffective
Clinical narrative: Pt recv 3 hepta B & did not respond.
Sex: U
Vaccine: HEP, HEP
Symptoms: Palpitations, Pyrexia
Clinical narrative: p/1st vax pt exp cardiac palpitations; lasted 3 days; later ele temp; seen in ER 14SEP90; vax given on 26OCT90 & events did not reappear.
Age: 34.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Arthralgia, Injection site haemorrhage, Movement disorder, Oedema peripheral
Clinical narrative: Pt could not raise arm above head, swelling fingers & joint aches arm only; dime sized bruise; 3rd dose given 30NOV90 and exp sl tenderness @ inject site & joint achiness lt arm, fingers, writst, etc.
Age: 34.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Arthralgia, Ecchymosis, Injection site pain, Oedema, Pain
Clinical narrative: Pt could not raise arm above head, swelling fingers & joint aches arm only; dime sized bruise; 3rd dose given 30NOV90 and exp sl tenderness @ inject site & joint achiness lt arm, fingers, writst, etc.
Age: 54.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Pharyngitis, Pneumonia
Clinical narrative: Pt recvd a 2nd vax 19JUN90, dev pharyngitis (which led to pneumonia) and asthmatic bronchitis. Tx w/meds.
Age: 54.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Bronchitis, Pharyngitis, Pneumonia
Clinical narrative: Pt recvd a 2nd vax 19JUN90, dev pharyngitis (which led to pneumonia) and asthmatic bronchitis. Tx w/meds.
Age: 41.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Anaemia, Myelitis, Neuritis, Paraesthesia, Pyelonephritis
Clinical narrative: pt recvd 1st vax 24JUL90; next day exp cervical myelitis, inflam sp cord effected all extremities, neuritis; seen for ascend paresthesia w/myelopathy distribution; tx w/antiinflam meds.
Age: 41.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Myelitis, Neuritis, Paraesthesia
Clinical narrative: pt recvd 1st vax 24JUL90; next day exp cervical myelitis, inflam sp cord effected all extremities, neuritis; seen for ascend paresthesia w/myelopathy distribution; tx w/antiinflam meds.
Age: 30.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Arthralgia, Myalgia, Myositis, Neuropathy
Clinical narrative: Pt exp aching in shoulders, hands, hips & fingers 4 mo p/receiving 2nd dose vax; DX w/either polyneuropathy or polymyositis; bothered by arthralgias; MD considered condition as fibromyalgia.
Age: 30.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Arthralgia, Depression, Gait disturbance, Hypokinesia, Myalgia
Clinical narrative: Pt exp aching in shoulders, hands, hips & fingers 4 mo p/receiving 2nd dose vax; DX w/either polyneuropathy or polymyositis; bothered by arthralgias; MD considered condition as fibromyalgia.
Age: 30.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Myositis, Neuropathy, Pain
Clinical narrative: Pt exp aching in shoulders, hands, hips & fingers 4 mo p/receiving 2nd dose vax; DX w/either polyneuropathy or polymyositis; bothered by arthralgias; MD considered condition as fibromyalgia.
Sex: U
Vaccine: HEP, HEP
Symptoms: Asthenia, Injection site pain, Pain
Clinical narrative: Reporter stated "I have been making sure the vax is warmed by rolling between my hands" - 2 pts recvd 2nd dose in this manner and noted much less discomfort with 2nd inject.  p/1st dose exp pain on inject, arm soreness, heavy arms;
Sex: U
Vaccine: HEP, HEP
Symptoms: Asthenia, Injection site pain
Clinical narrative: Reporter stated "I have been making sure the vax is warmed by rolling between my hands" - 2 pts recvd 2nd dose in this manner and noted much less discomfort with 2nd inject.  p/1st dose exp pain on inject, arm soreness, heavy arms;
Sex: U
Vaccine: HEP, HEP
Symptoms: Injection site pain
Clinical narrative: Reporter indicated the 2nd inject of vax seems to be more painful to employees than 1st; have no statistics; only observation; have not had trouble w/vax
Sex: U
Vaccine: HEP, HEP
Symptoms: Pain
Clinical narrative: Reporter indicated the 2nd inject of vax seems to be more painful to employees than 1st; have no statistics; only observation; have not had trouble w/vax
Age: 43.0
Sex: M
Vaccine: HEP, HEP
Symptoms: Drug ineffective
Clinical narrative: Pt recvd series 3 vax; 3rd given 30Jul90; 13SEP90 HBSAB neg; booster given and test neg for HBSAB; 2nd booster given.
Age: 46.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Unevaluable event
Clinical narrative: Pt did not seroconvert after 3 doses.
Age: 46.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Drug ineffective
Clinical narrative: Pt did not seroconvert after 3 doses.
Age: 0.7
Sex: M
Vaccine: DTP, HIBV
Symptoms: Febrile convulsion
Clinical narrative: febrile convulsion 2 hrs /p immun
Age: 12.0
Sex: F
Vaccine: MMR, TD
Symptoms: Dysphagia, Dysphonia, Dyspnoea
Clinical narrative: Within 7-10 min following Td & MMR immun to pt complained of tighting in the throat/shortness of breath, difficulity in swollowing & horseness. Rxd: a) Adrenaline 0.2cc sc, 2) Benadryl 25 mg IM, 3) Oxygen
Age: 0.8
Sex: M
Vaccine: HIBV
Symptoms: Urticaria
Clinical narrative: Onset of hives, 5 days after immun. of Hibtiter
Age: 46.0
Sex: F
Vaccine: RUB
Symptoms: Influenza, Rash
Clinical narrative: reports flu-like symptoms & rash areas of trunk, neck & face
Age: 2.0
Sex: F
Vaccine: DTP, OPV
Symptoms: Rash
Clinical narrative: Broke out in rash day p/receiving vax;
Age: 45.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Embolism
Clinical narrative: Pt vax w/ hepta B on 19Jun90, 18Jul90, 19Dec90.  Vax seroconverted after 3 doses, but did not attain protective titers.  Titer labeled borderline.
Age: 45.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Drug ineffective
Clinical narrative: Pt vax w/ hepta B on 19Jun90, 18Jul90, 19Dec90.  Vax seroconverted after 3 doses, but did not attain protective titers.  Titer labeled borderline.
Age: 27.0
Sex: F
Vaccine: HEP
Symptoms: Lymphadenopathy
Clinical narrative: Pt recvd dose of Engerix-B on 16OCT90 & on 01NOV90 exp lymphadenopathy in right arm
Age: 39.0
Sex: M
Vaccine: HEP
Symptoms: Amblyopia, Dizziness
Clinical narrative: pt recvd 2nd dose of Energix-B vax 13NOV90 & exp visual problems,blurring episodes lasting 30 secs & recurring 2 times / day.
Age: 42.0
Sex: F
Vaccine: HEP
Symptoms: Amblyopia, Arthralgia, Asthenia, Dizziness, Malaise
Clinical narrative: Pt recvd 1st dose of vax 21MAY90 & exp weakness, blurred peripheral vision, postural hypotension, dizziness & aching joints. Pt recvd 2nd vax 21JUN90 & exp. same events, & pt. recvd. 3rd vax 27NOV90 & later exp. same events.
Sex: M
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: pt recvd 3 Hep B vax on 0,1,6 months schedule.1st & 2nd vax were "Recombivax". 3rd in series was Energix-B.On 08NOV90 tested for HBsAB p/ needle stick from pt. w/ positive HBsAG & results were negative.
Age: 37.0
Sex: F
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: Pt recvd 1st dose of Energix-B vax 23FEB90,2nd dose 20MAR90 & 3rd dose 21AUG90.P/ 3rd dose titer indicated non-responder;recvd booster vax from different lot & titer showed seroconversion.
Age: 36.0
Sex: M
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: Pt recvd 1st vax of Energix-B 15NOV89,2nd vax 13DEC89 & 3rd on 09MAY90. Titer indicated non-responder.P/ booster vax from same lot,pt seroconverted.
Age: 32.0
Sex: F
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: pt. recvd. 1st dose of Engerix-B 08NOV89,2nd vax 08DEC89 & 3rd on 08MAY90.Titer indicated pt. non-responder,p/ booster seroconverted.
Age: 59.0
Sex: F
Vaccine: HEP
Symptoms: Back pain, Drug ineffective, Hypertonia
Clinical narrative: Pt recvd 1st dose of Engerix-B 22NOV89,2nd vax 08JAN90,& 3rd on 23MAY90. Titer indicated pt. was non-responder.Booster vax was from same lot given & another titer indicated nonresponder.
Age: 39.0
Sex: F
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: Pt recvd series of 3 hep B vax  & titer indicated pt nonresponder.Pt recvd booster 31OCT90.
Age: 41.0
Sex: F
Vaccine: HEP
Symptoms: Cyst, Drug ineffective, Gingivitis, Tooth abscess
Clinical narrative: Pt recvd series of 3 hep B vax on 13NOV89,13DEC89 & 09MAY90. Titer 11-JUN-90 indicated pt non-responder.Pt recvd 1st booster 29JUN90 & 2nd 13AUG90 & titers p/ each indicater pt non-responder.
Age: 40.0
Sex: F
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: Pt recvd series of 3 hep B vax 16NOV89,19DEC89 & 22MAY90. 26JUL90,titer indicated pt non-responder. Pt recvd booster vax from same lot#;
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: Pt recvd series of 3 hep B vax 11DEC89,16JAN90 & 21JUN90. titer indicated pt nonresponder. Recvd booster vax from same lot #;
Age: 57.0
Sex: F
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: 14FEB90, 14MAR90, 07SEP90, pt vax w/hepta B; titers indicated non-responder.  Pt recd booster vax from different lot# 12NOV90.  Titer to be done Dec90.
Age: 57.0
Sex: F
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: 16Nov89, 14Dec89, 14May90 pt vax w/ hepta B;  titer indicated non responder.  Recv booster vax on 09Jul, 14Aug, 1990.  Titers indicated non responder.
Age: 32.0
Sex: F
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: 14Nov89, 12Dec89, 09May90 pt vax w/ hepta B; 18Jun90 titer indicated non responder.  27Jun, 14Aug, 1990 recv booster vax .  Titer indicated non responder.
Age: 40.0
Sex: F
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: 10Nov89, 13Dec90, 14May90, pt vax w/ hepta B.  21Jul90 titer indicated non repsonder.  10-Oct90 recv booster vax. titer to be done Nov90.
Age: 54.0
Sex: F
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: 21Dec89, 22Jan90, 26Jun90 pt vax w/ hepta B; titer indicated non responder.  recv booster vax on 06Aug90 & titer indicated pt seroconverted.
Age: 36.0
Sex: F
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: 14DEC89, 12JAN, 08JUN, 1990 pt vax w/hepta B; titer indicated non-responder.  13NOV90 recd booster vax. Titer to be done Dec90.
Sex: M
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: Oct90 pt vax w/ hepta B;  devel itchy hives w/in 1 day.  Tx w benadryl; hives resolved in 3 days.  No hypotension, laryngospasm.
Age: 56.0
Sex: F
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: 02May90 pt vax w/ 3rd hepta B; failed to produce adequate antibody titers.
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain, Hepatic function abnormal, Hepatitis, Infection, Nausea
Clinical narrative: 14Aug90 pt vax w/hep B; exp fever 100-103F. Tx w/ATB for viral synd.  Tests revealed elevated liver enzymes.  Exp n/v, dark urine noted.  Ele enzymes returned to normal.Sx resolved. AKP & SGPT remain normal. MD indicated Hep onset 28AUG90
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Pyrexia, Urine analysis abnormal, Vomiting
Clinical narrative: 14Aug90 pt vax w/hep B; exp fever 100-103F. Tx w/ATB for viral synd.  Tests revealed elevated liver enzymes.  Exp n/v, dark urine noted.  Ele enzymes returned to normal.Sx resolved. AKP & SGPT remain normal. MD indicated Hep onset 28AUG90
Age: 35.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Myalgia
Clinical narrative: Pt vax w/ hepta B; devel diffuse arthralgias & myalgias. Persisted for 1 month and are subsiding.
Age: 38.0
Sex: F
Vaccine: HEP
Symptoms: Conjunctivitis, Face oedema, Pruritus, Urticaria
Clinical narrative: W/in 2-5 min of recv 2nd hepta B pt exp periorbital swelling & gen hives.  Sx were self limiting & abated.  Exp red eyes, itchy & swollen.  Tx w/ benadryl.
Age: 32.0
Sex: F
Vaccine: HEP
Symptoms: Tachycardia, Urticaria, Vasodilatation
Clinical narrative: 14NOV90 pt vax w/2nd hep B; exp gen hives; Sx resolved.  Felt warm, had flushed skin on face & arms w/o wheezing, tachycardia, blood pressure of 130/90.  Tx w/ benadryl.  Sx resolved.
Age: 31.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Urticaria
Clinical narrative: 13Nov90 pt vax w/ 2nd hepta B; exp gen hives. Exp itching on neck, shoulders, arms & back, redness noted; small hives on neck.  Tx w benadryl.
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: Pt did not seroprotect after 3rd hepta B vax on 02May90.  Recv 4th dose 25Sep90 & titer indicated pt seroprotected.
Age: 46.0
Sex: F
Vaccine: HEP
Symptoms: Back pain, Headache, Infection, Injection site pain, Myalgia
Clinical narrative: Pt recvd Engerix-B IM deltoid rt arm on 2MAY90 & 4hrs of abd cramping followed; 2nd dose of vax given 11JUN90 had rt sided pain around 2-3 hrs p/2nd dose, & aching, extreme nausea & pain all day, malaise, h/a, tinnitus, aching joints,fever;
Age: 46.0
Sex: F
Vaccine: HEP
Symptoms: Pyrexia, Tinnitus, Vomiting
Clinical narrative: Pt recvd Engerix-B IM deltoid rt arm on 2MAY90 & 4hrs of abd cramping followed; 2nd dose of vax given 11JUN90 had rt sided pain around 2-3 hrs p/2nd dose, & aching, extreme nausea & pain all day, malaise, h/a, tinnitus, aching joints,fever;
Sex: F
Vaccine: HEP
Symptoms: Antinuclear antibody
Clinical narrative: Pt exp a dec in ANA titers p/(?) second dose of Engerix-B;
Age: 31.0
Sex: F
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: Pt showed no antibody to Engerix-B as of 5NOV90 (post series of 3 Engerix-B vaccinations); 3rd dose given 1May90;
Age: 50.0
Sex: F
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: Pt recvd series of 3 Engerix-B vax (0, 1, 6 months schedule) given Deltoid; Testing about 2mo p/3rd dose indicated titer borderline (low titer of HBsAb detected), 2 boosters given 1 mo apart.
Age: 62.0
Sex: F
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: Pt recvd 3rd dose of Engerix-B on 24JUL90 deltoid & on 21AUG90 HBsAb showed a titer of 0.9RU ratio unit;
Sex: U
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: Reporter states pt is 1 of 2 who did not respond;
Age: 36.0
Sex: F
Vaccine: HEP
Symptoms: Conjunctivitis, Dizziness, Headache, Hypersensitivity, Pyrexia
Clinical narrative: Pt recvd 1st dose of Engerix-B on 7JUN90 & 2nd dose on 9JUL90; 10JUL90 devel fever & h/a which cleared on 12JUL90; On 11JUL90 exp dizziness, visual disturbance; burning, itching & general discomfort of eyes & allergic type rxn in eyes;
Age: 36.0
Sex: F
Vaccine: HEP
Symptoms: Visual disturbance
Clinical narrative: Pt recvd 1st dose of Engerix-B on 7JUN90 & 2nd dose on 9JUL90; 10JUL90 devel fever & h/a which cleared on 12JUL90; On 11JUL90 exp dizziness, visual disturbance; burning, itching & general discomfort of eyes & allergic type rxn in eyes;
Age: 31.0
Sex: M
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: Pt recvd series of 3 Engerix-B vax (0, 1, 6 months schedule) given deltoid; Testing 2 months p/3rd dose indicated titer was borderline (low titer of Anti-Hbs detected); 2 boosters given 1 mo apart.
Age: 38.0
Sex: F
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: Pt recvd series of 3 Engerix-B vax deltoid; testing about 2 months p/3rd dose indicated titer was negative; 2 boosters given 1 mo apart.
Age: 32.0
Sex: F
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: Pt recv 2 doses of Recombivax & 1 dose of Engerix-B; also given booster Engerix-B and titer is still 3.9.
Age: 55.0
Sex: M
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: Pt vax w/ 3 hepta B; testing 2 months after 3rd dose indicated titer neg.   After 2 boosters titer still neg.
Age: 38.0
Sex: M
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: Pt vax w/ 3 hepta B; testing after 3rd indicated 3rd dose titer neg.  Given 2 boosters 1 month apart.
Age: 72.0
Sex: F
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: Pt vax w/ 3rd hepta B on 16Jul90.  HBsAB test showed titer of 3.0RU.
Age: 49.0
Sex: F
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: Pt vax 3rd hepta B on 18Jul90.  HBsAB showed titer 1.7RU.
Age: 65.0
Sex: F
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: 11Jul90 pt vax w/ hepta B;  20Sep90 HBsAB showed titer of 0.9RU.
Sex: M
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: Pt vax w/ 3 hepta B; did not respond.  Titer checked, non responder.
Age: 35.0
Sex: F
Vaccine: HEP
Symptoms: Bone pain, Diarrhoea, Headache, Influenza, Myalgia
Clinical narrative: Pt vax w/ hepta b; exp flu-like sx, n/v, myalgia, fever.  Tx for fever & aches.  Sx lasted 5 days.  Reporter noted that Sx were worse than for other pts.  Also exp6 h/a, bone pain & D.
Age: 35.0
Sex: F
Vaccine: HEP
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: Pt vax w/ hepta b; exp flu-like sx, n/v, myalgia, fever.  Tx for fever & aches.  Sx lasted 5 days.  Reporter noted that Sx were worse than for other pts.  Also exp6 h/a, bone pain & D.
Sex: F
Vaccine: HEP
Symptoms: Blood amylase increased
Clinical narrative: Pt exp elevated amylase after hepta b.
Age: 41.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Asthenia, Lymphadenopathy, Myalgia
Clinical narrative: Pt vax w/3rd hepta B; exp severe joint pain, fatigue, myalgia, still having problems, & inc lymphadenopathy on 20SEP90;
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Chest pain
Clinical narrative: Pt vax w/ 3rd hepta B; complained of chest pain.
Age: 46.0
Sex: M
Vaccine: HEP
Symptoms: Malaise, Nausea, Pain
Clinical narrative: Pt vax w/ 2nd hepta B; exp severe fatigue, aching, nausea.
Sex: U
Vaccine: HEP
Symptoms: Pain
Clinical narrative: Pt vax w/ hepta B; exp pain on entire rt side of body.  No tx.
Sex: U
Vaccine: HEP
Symptoms: Pain
Clinical narrative: Pt vax w/ 1st hepta B; exp pain on entire rt side of body.  No rx.
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Paraesthesia
Clinical narrative: 11Dec90 pt vax w/ hepta B; 12Dec90 exp rt arm going asleep for aprox. 2 sec, twice a day.  Continued until 18Dec90.  Rt side of face went to sleep for 1 sec.  No tx.
Age: 60.0
Sex: F
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: Pt did not respond following series of 3 vax.  An addit. dose was given 16Jan91.
Age: 42.0
Sex: F
Vaccine: HEP
Symptoms: Diarrhoea
Clinical narrative: JUL89 pt vax w/hepta B; devel severe diarrhea for 2 weeks. Ineffective tx w/Imodium & other pres. drug. Lab revealed normal CBC & liver function tests.  Stool culture for ova & parasites and hepta profile tests neg. See worm...
Sex: F
Vaccine: HEP
Symptoms: Injection site reaction
Clinical narrative: pt vax w/ hepta B on 08Aug89 + 05Sep89; exp localized allergic reactions.
Age: 35.0
Sex: F
Vaccine: HEP
Symptoms: Face oedema, Rash, Somnolence, Urticaria, Vasodilatation
Clinical narrative: 11Sep89 pt vax w/ hepta B; exp feeling of body warmth, facial swelling, tiredness, hives, + rash over body.  Tx w/ med.
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Blindness, Headache, Nausea, Visual disturbance
Clinical narrative: 29Aug89 pt vax w/ hepta B; over next 2 weeks exp vision difficulty as if looking through gas vapors, h/a, nausea.  16Sep89 lost vision in left eye.  Dx as macular edema + retinal pigment epithelialitis.
Age: 32.0
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: 17Apr89 pt vax w/ 3rd hepta B; devel large wheal at inject site, axillary + trunk hives accom. by urticaria that lasted 1 week. Tx w/ Topicort + Chlor-trimeton.
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Hyperhidrosis, Injection site pain, Nausea, Syncope, Tremor
Clinical narrative: 29Aug89 pt vax w/ hepta B; pt became hot, sweaty, + fainted w/ shaking noted in arms.  The syncope, w/ n/v persisted for 36 hrs, arm also sore.  Dx of seizure not made.  Reaction referred to as vasovagal reaction by MD.
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Vasodilatation, Vomiting
Clinical narrative: 29Aug89 pt vax w/ hepta B; pt became hot, sweaty, + fainted w/ shaking noted in arms.  The syncope, w/ n/v persisted for 36 hrs, arm also sore.  Dx of seizure not made.  Reaction referred to as vasovagal reaction by MD.
Age: 25.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain, Nausea, Vomiting
Clinical narrative: 04OCT89 pt vax 2nd hepta B; devel stomach cramps, queasiness, n/ & vomited 3x.  Tx w/pres. drug.
Age: 34.0
Sex: F
Vaccine: HEP
Symptoms: Diarrhoea, Dizziness, Injection site pain, Nausea, Vasodilatation
Clinical narrative: 22Feb89 pt vax w/ hepta B; devel n/v/d, dizziness, hot flashes, + sore arm.  3 days later sx resolved except for nausea which lasted 3 more days. 20Oct89 vax w/ 2nd hepta B; exp n/ + dizziness.  Tx w/ Rx drug.
Age: 34.0
Sex: F
Vaccine: HEP
Symptoms: Vomiting
Clinical narrative: 22Feb89 pt vax w/ hepta B; devel n/v/d, dizziness, hot flashes, + sore arm.  3 days later sx resolved except for nausea which lasted 3 more days. 20Oct89 vax w/ 2nd hepta B; exp n/ + dizziness.  Tx w/ Rx drug.
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Hypertension, Vasodilatation
Clinical narrative: 13Jul89 pt vax w/ hepta B;  exp hot, flushing attack w/o sweating.  BP rose to 160/110.
Age: 47.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Headache, Myalgia
Clinical narrative: 10Oct89 pt vax w/ double dose of hepta B; devel muscle aches, severe h/a, arthralgia. Missed 5 days of work.  Tx w/ Orudis.
Age: 49.0
Sex: F
Vaccine: HEP
Symptoms: Hypertonia, Oedema, Pain, Serum sickness
Clinical narrative: 08Sep89 pt vax w/ 2nd hepta B; 09Sep89 exp muscle cramps, pain + edema in left hand + foot, progressed to both hands on 15Sep89.  16Sep89 unable to walk due to pain. w/ to ER and tx w/ APAP. Dx as having serum sickness.
Age: 60.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain, Diarrhoea, Flatulence, Injection site pain
Clinical narrative: 30Sep89 pt vax w/ 2nd hepta B; 05Oct89 devel lower abdo cramps, D/, excessive flatulence + rectal mucorrhea. Tx w/ bland diet, Imodium, Pepto-Bismol. Exp inject site pain after 14 days.
Sex: F
Vaccine: HEP
Symptoms: Pharyngitis
Clinical narrative: pt vax w/ hepta B; exp upper respiratory tract infection immed. following Vax.
Age: 48.0
Sex: F
Vaccine: HEP
Symptoms: Amnesia, Asthenia, Dizziness, Gait disturbance, Hyperhidrosis
Clinical narrative: 25JUL89 pt vax w/hepta B; did not feel right.  10OCT89 pt vax w/2nd hepta B; neighbors reported that pt was incoherent for 8 hrs, amnesia, extreme weakness, nausea, sweats, lightheadedness. 4 days later devel unsteady gait.
Age: 48.0
Sex: F
Vaccine: HEP
Symptoms: Nausea, Thinking abnormal
Clinical narrative: 25JUL89 pt vax w/hepta B; did not feel right.  10OCT89 pt vax w/2nd hepta B; neighbors reported that pt was incoherent for 8 hrs, amnesia, extreme weakness, nausea, sweats, lightheadedness. 4 days later devel unsteady gait.
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Confusional state, Paraesthesia, Vertigo
Clinical narrative: 25Aug89 pt vax w/ hepta B; 29Aug89 exp vertigo + tingling in feet + hands. Disoriented in ER. MD attrib. exp to vax.
Age: 56.0
Sex: F
Vaccine: HEP
Symptoms: Alopecia, Arthritis, Bronchitis, Eczema, Pain
Clinical narrative: 15May89 pt vax w/ hepta B after needlestick. devel bumpy lesions over cheeks, right eyelid had red lesion and exp hair loss.  Several days after vax devel dermatitis on trunk, extremities, scalp, + nails.  Tx w/ Cortaid.   See worm...
Age: 56.0
Sex: F
Vaccine: HEP
Symptoms: Pneumonia, Rash, Urticaria
Clinical narrative: 15May89 pt vax w/ hepta B after needlestick. devel bumpy lesions over cheeks, right eyelid had red lesion and exp hair loss.  Several days after vax devel dermatitis on trunk, extremities, scalp, + nails.  Tx w/ Cortaid.   See worm...
Age: 32.0
Sex: F
Vaccine: HEP
Symptoms: Headache, Influenza, Urticaria
Clinical narrative: 24AUG89 pt vax w/hepta B; exp h/a, flu-like illness, general hives on back & legs w/welts & itching.  Hives resolved & reoccurred then resolved again.
Age: 43.0
Sex: F
Vaccine: HEP
Symptoms: Back pain, Diarrhoea, Haematuria, Headache, Injection site pain
Clinical narrative: 15Sep89 pt vax w/ hepta B; devel soreness at inject site + h/a. 18Oct89 vax 2nd hepta B; devel diarrhea, nausea, + adenitis.  22Oct89 devel large lymph gland in right groin + back back + hip pain. Pt seen in  ER.  See worm...
Age: 43.0
Sex: F
Vaccine: HEP
Symptoms: Lymphadenopathy, Nausea
Clinical narrative: 15Sep89 pt vax w/ hepta B; devel soreness at inject site + h/a. 18Oct89 vax 2nd hepta B; devel diarrhea, nausea, + adenitis.  22Oct89 devel large lymph gland in right groin + back back + hip pain. Pt seen in  ER.  See worm...
Age: 49.0
Sex: F
Vaccine: HEP
Symptoms: Neck pain
Clinical narrative: 22Aug89 tp vax w/ 2nd hepta B;  devel pain in posterior cervical area of neck.  Tx w/ APAP. Lab revealed neg titer.
Age: 50.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Leukocytosis, Myalgia, Rash
Clinical narrative: Oct89 pt vax w/ hepta B; 08Oct89 devel severe myalgia + fatigue + rash.  PT tx w/ steroids.  MD felt that reaction related to Tryptophan not hepta B.
Age: 34.0
Sex: F
Vaccine: HEP
Symptoms: Laboratory test abnormal, Myalgia
Clinical narrative: 09Jun89 pt given L-tryptophan a+ ex muscle aches.  04Aug89 pt vax w/ 3rd hepta B; sx worsened + was hospitalized w/ hypersensitivity reaction.  Eosinophils high + IgE high. Dx eosinophilia-myalgia synd secondary to tryptophan.