chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 33.0
Sex: M
Vaccine: LYME
Symptoms: Amnesia, Arthralgia, Blindness, Difficulty in walking, Fatigue
Clinical narrative: This case was reported by a lawyer and described the occurrence of neurologic injuries in a 33 year old male patient who received Lyme disease vaccine recombinant injection for prophylaxis. A physician or other healthcare professional has not verified this report. On an unspecified date, the patient experienced neurological injuries resulting in vision loss, short term memory loss, inability to walk, severe joint pain, fatigue, and permanent disability. Time to onset, treatment, and outcome were not reported. Per follow up report received on 03/21/2005:  Legal case, follow up not available.
Age: 33.0
Sex: M
Vaccine: LYME
Symptoms: Neurological symptom
Clinical narrative: This case was reported by a lawyer and described the occurrence of neurologic injuries in a 33 year old male patient who received Lyme disease vaccine recombinant injection for prophylaxis. A physician or other healthcare professional has not verified this report. On an unspecified date, the patient experienced neurological injuries resulting in vision loss, short term memory loss, inability to walk, severe joint pain, fatigue, and permanent disability. Time to onset, treatment, and outcome were not reported. Per follow up report received on 03/21/2005:  Legal case, follow up not available.
Age: 54.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Balance disorder, Fatigue, Systemic lupus erythematosus
Clinical narrative: This case was reported by a lawyer and described the occurrence of balance problems in a 54 year old male patient who received Lyme disease vaccine recombinant injection for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date, the patient received LYMErix. At an unknown time after receiving LYMErix, the patient experienced balance problems, heat intolerance, migratory arthralgias, and fatigue with lupus like syndrome. Time to onset, treatment, and outcome were not reported. Comment: Lupus-like syndrome is considered medically serious. Legal case no follow-up available.
Age: 43.0
Sex: M
Vaccine: LYME
Symptoms: Demyelination, Hemiparesis
Clinical narrative: This case was reported by a lawyer and described the occurrence of left-sided weakness in a 43 year old male patinet who received Lyme disease vaccine recombinant injection for prophylaxis. A physician or other healthcare professional has not verified this report. On an unspecified date, the patient received LYMErix. At an unknown time after receiving LYMErix, the patient experienced left sided weakness of his legs and arms with dysesthesias and white matter lesions (demyelination) on his MRI scan. Time to onset, treatment, and outcome were not reported. Comment: Side weakness and demyelination are considered medically serious (OMIC). Per follow up report received on 03/21/2005:  Legal case, follow up unavailable.
Age: 42.0
Sex: F
Vaccine: LYME
Symptoms: Blindness, Demyelination, Dizziness, Hypersensitivity, Hypoaesthesia
Clinical narrative: This case was reported by a lawyer and described the occurrence of vision loss in a 42 year old female patient who received Lyme disease vaccine recombinant injection for prophylaxis. A physician or other healthcare professional has not verified this report. On an unspecified date, the patient received LYMErix. At an unknown time after receiving LYMErix, the patient experienced severe neurologic symptoms, vision loss, sensitivity to heat and noise, numbness, tingling, lightheadedness, and muscular symptoms: SPECT (single photon emission computerized tomography) scan shows moderate to severe global hypo-perfusion with heterogeneity (demyelination on brain SPECT scan). Time to onset, treatment, and outcome were not reported. Comment: Vision loss, hypo-perfusion, and demyelination were considered medically serious (OMIC). Per follow up report received on 03/21/2005:  Legal case, follow up unavailable. Missing data report from GlaxoSmithKline (October 1, 2004 to October 21, 2004). Legal case no follow-up available.
Age: 42.0
Sex: F
Vaccine: LYME
Symptoms: Neurological symptom, Paraesthesia
Clinical narrative: This case was reported by a lawyer and described the occurrence of vision loss in a 42 year old female patient who received Lyme disease vaccine recombinant injection for prophylaxis. A physician or other healthcare professional has not verified this report. On an unspecified date, the patient received LYMErix. At an unknown time after receiving LYMErix, the patient experienced severe neurologic symptoms, vision loss, sensitivity to heat and noise, numbness, tingling, lightheadedness, and muscular symptoms: SPECT (single photon emission computerized tomography) scan shows moderate to severe global hypo-perfusion with heterogeneity (demyelination on brain SPECT scan). Time to onset, treatment, and outcome were not reported. Comment: Vision loss, hypo-perfusion, and demyelination were considered medically serious (OMIC). Per follow up report received on 03/21/2005:  Legal case, follow up unavailable. Missing data report from GlaxoSmithKline (October 1, 2004 to October 21, 2004). Legal case no follow-up available.
Age: 48.0
Sex: F
Vaccine: LYME
Symptoms: Arthralgia, Inflammation, Polymyalgia rheumatica, Systemic lupus erythematosus
Clinical narrative: This case was reported by a lawyer and described the occurrence of lupus-like syndrome in a 48 year old female patient who received Lyme disease vaccine recombinant injection for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date, the patient received LYMErix. At an unknown time after receiving LYMErix, the patient experienced polymyalgias and polyarthralgias, lupus like disease and inflammatory arthritis with joint swelling consistent with mixed connective tissue disease. Time to onset, treatment, and outcome were not reported. Comment: Lupus-like syndrome was considered medically serious (OMIC). Per follow up recport received 03/21/2005:  Legal case, follow up unavailable.
Age: 51.0
Sex: F
Vaccine: LYME
Symptoms: Amnesia, Arthralgia, Demyelination, Disorientation, Disturbance in attention
Clinical narrative: This report describes the occurrence of joint pain in a 51 year old female who received Lyme disease vaccine recombinant injection for prophylaxis. This report was initially received from the vaccinee's husband and has not been verified by a physician or other healthcare professional. A legal complaint was subsequently received from an attorney. The following information was initially received from the patient's husband. No allergies were reported. The vaccinee had Lyme disease approximately two years ago. The vaccinee has hypothyroidism and takes Synthroid. In March 1999, April 1999, and April 2000, the vaccinee received her first, second, and third doses of LYMErix, respectively. Early in April 2000, she experienced high fever, flu-like symptoms, and severe joint pain. The vaccinee was seen by an orthopedist and a neurologist. Two MRI's have been done which reveal no degenerative changes or arthritis. The legal complaint received 9/15/04 stated that the patient (now age 55) experienced memory loss, poor concentration, joint pain, disorientation, fatigue, unsteady gait, encephalopathy, neuropathy, and demyelination on MRI treated with Avonex. Time to onset and outcome were not provided. Per follow up report received 04/13/2005:  This is a legal case, and additional follow up is unavailable.
Age: 51.0
Sex: F
Vaccine: LYME
Symptoms: Encephalopathy, Fatigue, Gait disturbance, Influenza like illness, Neuropathy
Clinical narrative: This report describes the occurrence of joint pain in a 51 year old female who received Lyme disease vaccine recombinant injection for prophylaxis. This report was initially received from the vaccinee's husband and has not been verified by a physician or other healthcare professional. A legal complaint was subsequently received from an attorney. The following information was initially received from the patient's husband. No allergies were reported. The vaccinee had Lyme disease approximately two years ago. The vaccinee has hypothyroidism and takes Synthroid. In March 1999, April 1999, and April 2000, the vaccinee received her first, second, and third doses of LYMErix, respectively. Early in April 2000, she experienced high fever, flu-like symptoms, and severe joint pain. The vaccinee was seen by an orthopedist and a neurologist. Two MRI's have been done which reveal no degenerative changes or arthritis. The legal complaint received 9/15/04 stated that the patient (now age 55) experienced memory loss, poor concentration, joint pain, disorientation, fatigue, unsteady gait, encephalopathy, neuropathy, and demyelination on MRI treated with Avonex. Time to onset and outcome were not provided. Per follow up report received 04/13/2005:  This is a legal case, and additional follow up is unavailable.
Age: 51.0
Sex: F
Vaccine: LYME
Symptoms: Pyrexia
Clinical narrative: This report describes the occurrence of joint pain in a 51 year old female who received Lyme disease vaccine recombinant injection for prophylaxis. This report was initially received from the vaccinee's husband and has not been verified by a physician or other healthcare professional. A legal complaint was subsequently received from an attorney. The following information was initially received from the patient's husband. No allergies were reported. The vaccinee had Lyme disease approximately two years ago. The vaccinee has hypothyroidism and takes Synthroid. In March 1999, April 1999, and April 2000, the vaccinee received her first, second, and third doses of LYMErix, respectively. Early in April 2000, she experienced high fever, flu-like symptoms, and severe joint pain. The vaccinee was seen by an orthopedist and a neurologist. Two MRI's have been done which reveal no degenerative changes or arthritis. The legal complaint received 9/15/04 stated that the patient (now age 55) experienced memory loss, poor concentration, joint pain, disorientation, fatigue, unsteady gait, encephalopathy, neuropathy, and demyelination on MRI treated with Avonex. Time to onset and outcome were not provided. Per follow up report received 04/13/2005:  This is a legal case, and additional follow up is unavailable.
Age: 26.0
Sex: F
Vaccine: RAB
Symptoms: Hypoaesthesia, Injection site pain, Lymphadenopathy, Medication error, Paraesthesia
Clinical narrative: A 26 year old female patient experienced medication error, swollen lymph nodes, injection site pain radiating to her shoulder neck and back and numbness of her hand and fingers after receiving her fourteenth RabAvert injection (lot number 309011, expiration date 10/5). The patient was being treated following a bat bite (right hand). Past medical history was unremarkable. Current medical history included breast feeding. Concomitant medication remained unspecified. On 6/5/04 and 6/8/04, the patient received IMOVAX from a recalled lot. The ER physician contacted the manufacturer and misunderstood re-vaccination instructions. The patient subsequently received seventeen RaBAvert injections between 6/8/04 and 9/15/04. After the first five doses of RabAvert, the patient experienced swollen lymph nodes (neck or arm pit) corresponding with the injection site side. This was treated with Advil, and resolved after ten days. On 8/16/04 she received her sixteenth RabAvert injection and subsequently experienced shooting pains from the injection site (left deltoid) up to her left shoulder, left neck and around to the left upper back. She also reported intermittent pins and needles sensation in her left hand and fingers that would occur for approximately five minutes then fade for several hours. The events were continuing at the time of this report. (OMIC)
Age: 1.92
Sex: F
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Contusion, Petechiae, Platelet count increased, Pyrexia, Retching
Clinical narrative: 6/16/04 Began bruising. 6/21/04 Bruising all over body; some with lumps, petechia noted. Appointment with physician. 6/22 Blood draws; appointment made for treatment at hospital. 6/30/04 Injection of WinRho at outpatient. This is about 3 yr old female whose history dates back about a week or so when they first noted that she was starting to have some excess bruising. They saw their family doctor and the lab there showed that the child had some degree of thrombocytopenia. Repeat clinic visit was done and there family physician spoke with hematologist. Repeat labs showed that the platelets had dropped down to 17,000. It was felt that this was ITP and may be due to the fact that the child had just recently received MMR and Varicella vaccines as well as contact with hand foot and mouth virus in a brother. The child was at the hematology clinic where she received an injection of WinRHO for treatment of her low platelets. They waited an hour to make sure there was not an immediate allergic reaction and were discharged from the clinic. The child did not appear to have any problems and in fact did eat a cheese sandwich during the period of observation. The parents were driving home and the child began having some vomiting and seemed to be in distress, so they pulled off here and stopped at the ER for further evaluation. She was noted to have a fever at triage but until that time, the pt were unaware that the child was having any problems with fever. The symptoms of vomiting again just started in the 30 minutes prior to them making it here to the hospital where she had several bouts of retching and vomiting. There was no diarrhea. She did not have any change in her level of mental status.  Nurse follow up on 10/06/04 states: "ITP, fever, vomiting."
Age: 1.92
Sex: F
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Skin nodule, Thrombocytopenic purpura, Vomiting
Clinical narrative: 6/16/04 Began bruising. 6/21/04 Bruising all over body; some with lumps, petechia noted. Appointment with physician. 6/22 Blood draws; appointment made for treatment at hospital. 6/30/04 Injection of WinRho at outpatient. This is about 3 yr old female whose history dates back about a week or so when they first noted that she was starting to have some excess bruising. They saw their family doctor and the lab there showed that the child had some degree of thrombocytopenia. Repeat clinic visit was done and there family physician spoke with hematologist. Repeat labs showed that the platelets had dropped down to 17,000. It was felt that this was ITP and may be due to the fact that the child had just recently received MMR and Varicella vaccines as well as contact with hand foot and mouth virus in a brother. The child was at the hematology clinic where she received an injection of WinRHO for treatment of her low platelets. They waited an hour to make sure there was not an immediate allergic reaction and were discharged from the clinic. The child did not appear to have any problems and in fact did eat a cheese sandwich during the period of observation. The parents were driving home and the child began having some vomiting and seemed to be in distress, so they pulled off here and stopped at the ER for further evaluation. She was noted to have a fever at triage but until that time, the pt were unaware that the child was having any problems with fever. The symptoms of vomiting again just started in the 30 minutes prior to them making it here to the hospital where she had several bouts of retching and vomiting. There was no diarrhea. She did not have any change in her level of mental status.  Nurse follow up on 10/06/04 states: "ITP, fever, vomiting."
Age: 0.83
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Apnoea, Coma, Convulsion, Gastrooesophageal reflux disease, Pyrexia
Clinical narrative: Patient began having tremors late evening of 9/13/04. On 9/15 she was seen by PMD with low grade fever and tremors. On 9/16 she had periods of apnea with unresponsiveness and seizure like activity and was taken to ER and admitted. The only rash noted was on the buttocks. On 9/17 she was transferred. On 9/20 she continued to experience seizure like activity with periods of apnea. Discharge summary received on 10/05/2004 pt experienced GERD. Follow up 01/18/05: Patient has recovered from adverse event.
Age: 0.83
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Rash, Tremor
Clinical narrative: Patient began having tremors late evening of 9/13/04. On 9/15 she was seen by PMD with low grade fever and tremors. On 9/16 she had periods of apnea with unresponsiveness and seizure like activity and was taken to ER and admitted. The only rash noted was on the buttocks. On 9/17 she was transferred. On 9/20 she continued to experience seizure like activity with periods of apnea. Discharge summary received on 10/05/2004 pt experienced GERD. Follow up 01/18/05: Patient has recovered from adverse event.
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Blister, Convulsion, Dehydration, Diarrhoea, Leukocytosis
Clinical narrative: Four hours after receiving immunizations, child had seizure. Admitted to hospital and transferred. Complaints of blisters on left leg, fever 103.7. EEG and MRI negative per mom. Child had 3 more seizures. No previous history of seizure. Discharge Summary received on 2/02/2005 states pt experienced diarrhea, sleepiness and dehydration.
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia, Somnolence
Clinical narrative: Four hours after receiving immunizations, child had seizure. Admitted to hospital and transferred. Complaints of blisters on left leg, fever 103.7. EEG and MRI negative per mom. Child had 3 more seizures. No previous history of seizure. Discharge Summary received on 2/02/2005 states pt experienced diarrhea, sleepiness and dehydration.
Sex: F
Vaccine: ANTH
Symptoms: Headache, Nausea, Vomiting
Clinical narrative: Nausea, vomiting, headache, loose stools
Sex: F
Vaccine: ANTH, ANTH
Symptoms: Nausea, Vomiting
Clinical narrative: Nausea, vomiting
Sex: F
Vaccine: ANTH, ANTH
Symptoms: Headache, Nausea, Vomiting
Clinical narrative: Nausea, vomiting
Sex: F
Vaccine: ANTH
Symptoms: Nausea, Vomiting
Clinical narrative: nausea, vomiting:onset around 2 hours after anthrax vaccination.
Age: 20.0
Sex: F
Vaccine: ANTH, ANTH
Symptoms: Asthenia, Dizziness, Nausea, Tenderness, Vomiting
Clinical narrative: Nausea, vomiting, dizziness, weakness, tender at injection site. Occurred after administration of 2nd Anthrax vaccine. Other roommates bad similar symptoms.
Age: 20.0
Sex: F
Vaccine: ANTH, ANTH
Symptoms: Asthenia, Dizziness, Headache, Nausea, Tremor
Clinical narrative: Nausea, vomiting, dizziness, weakness, tender at injection site. Occurred after administration of 2nd Anthrax vaccine. Other roommates bad similar symptoms.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia, Rash macular
Clinical narrative: Pt began with macular rash 9/20/04 with low grade fever around 100. Denies pruritis or "bothering" pt or sxs illness. Instructed to take Benadryl prn and tylenol or motrin prn. No meds required.
Age: 0.42
Sex: M
Vaccine: TD
Symptoms: Erythema, Injection site swelling
Clinical narrative: Raised red are in right axilla
Age: 17.0
Sex: M
Vaccine: HEP, TD
Symptoms: Contusion, Injury, Loss of consciousness
Clinical narrative: Approximately 20 minutes after receiving vaccines, pt and guardian building where he passed out hurting face on pavement. Contusions on upper lip bruised chin and hands. Blunt trauma to frontal dentition no signs of breakage follow up 10/6/04. Sent to ER. Left before being seen. BP 105/59 P63.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site mass, Injection site oedema, Injection site pain
Clinical narrative: Red swollen, left arm, edema, induration, pain at site (5cmx5cm).
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Musculoskeletal stiffness
Clinical narrative: Inability to lift arm evening of injection continuing for two days. Extreme redness and swelling locally began same evening. Redness increased and spread around arm extending down to mid-forearm. Client took Celebrex 9/15 and 9/16 and oral Benadryl on 9/16 when itching at site began. She was seen by Dr. on 9/17 and was given Cortisone injection. Reaction reported to this facility on 9/20.
Age: 13.0
Sex: F
Vaccine: HEP
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Localized redness and swelling of left upper arm after 2 dose of hep B vaccine. Skin warm to touch. Vaccine administered 09/22/04 with gradual increase in redness and edema over 48 hrs. Seen in local ER.
Age: 0.21
Sex: M
Vaccine: DTAPHEPBIP, HIBV, DTAPHEPBIP, HIBV
Symptoms: Agitation, Aphasia, Crying, Pyrexia
Clinical narrative: Mother states: "uncontrollable" rying x 2 hours, fever ?101. Pt apparently talked but doesn't anymore. His mouth doesn't work. This lasted at least a week.
Age: 0.21
Sex: M
Vaccine: DTAPHEPBIP, HIBV, DTAPHEPBIP, HIBV
Symptoms: Crying, Malaise, Pyrexia, Screaming, Speech disorder
Clinical narrative: Mother states: "uncontrollable" rying x 2 hours, fever ?101. Pt apparently talked but doesn't anymore. His mouth doesn't work. This lasted at least a week.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Lethargy, Pyrexia
Clinical narrative: Fever of 104.2 started within 3 hours of injection. Called ER who told her to give Tylenol. Tylenol brought fever down to 102.8. Next day gave Motrin and fever down. Highest it got afte starting Motron 100.1. Denies emesis. Was lethargic. Resolved in 32 hours. Denies crying. Mother called doctoro who stated this needed to be reported.
Age: 1.0
Sex: U
Vaccine: MMR, PNC, VARCEL
Symptoms: Febrile convulsion
Clinical narrative: Atypical febrile seizure temp to 104.3 (x 2)
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Irritability, Pyrexia, Screaming
Clinical narrative: 101 fever, fussy, irritable, crying x 5 hours. Motrin given : better after Motrin
Age: 1.26
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Erythema
Clinical narrative: 1.5 x 3.5 area of erythema on right deltoid.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Erythema, warmth, swelling at lower half of right upper arm appearing  around 24 hours after administration. ? if delivered into deltoid. Swelling 14x12cm.
Age: 0.18
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Agitation, Screaming
Clinical narrative: DTAP given at 10.30 am: complained of unconsolable screaming at 1pm. Brought to clinic at 2.50pm. Had fallen asleep in car seat . Woke abruptly. Screaming. Calmed after several minutes then started screaming again. Normal exam. Mom to continue to monitor follow up. Symptoms noted x 9 hours: resolved.
Age: 4.0
Sex: M
Vaccine: DT, IPV, MMR
Symptoms: Erythema, Pyrexia, Swelling
Clinical narrative: red, fever, swollen
Age: 0.34
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site mass
Clinical narrative: Quarter sized lump right leg
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema, Pruritus, Swelling, Tenderness
Clinical narrative: 9/22 pm per mother leg red, swollen and itchy. Some tenderness. Area of edema . left thigh one inch larger than right thigh around 2/3 upper thigh. Benadryl at5/5 1-1.5 tsp q8 hours prn.
Age: 1.16
Sex: F
Vaccine: VARCEL
Symptoms: Oedema, Urticaria
Clinical narrative: Scattered wheals on face, arms, sacral and legs. Subdermal edema noted. Benadryl 12.5mg/5ml- 1tsp PO q 6hours prn.
Age: 1.25
Sex: M
Vaccine: DTAPH, MMR, VARCEL
Symptoms: Pyrexia, Skin ulcer, Viral infection
Clinical narrative: Varicella, low grade temp, lesions, treatment-symptomatic
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Feeling hot, Injection site erythema, Injection site mass, Injection site oedema, Pruritus
Clinical narrative: Developed hard, red, swollen, warm, itchy left upper arm from deltoid to 2" above elbow. Treated with Benadryl and ibuprofen.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Agitation, Coma, Crying, Gaze palsy, Pain
Clinical narrative: Immediately after administering immunizations pt was observed to be sitting in chair, eyes were not focused and pt would not respond to his name or stimulation. Pt remained sitting in chair without assistance. Less than 15 sec later pt began to cry, held arms and said it hurts. Pt was not in any respiratory distress and talked to mother at that time. He did c/o throat hurting but not difficulty breathing. Pt and mother remained at site for 15 min without additional problems noted. When asked mother denied any previous reactions to vaccines, medications or seizures. Instructed mother to take pt to ER if any further problems. School nurse notified of incident on 9/22/04 9AM.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pharyngolaryngeal pain
Clinical narrative: Immediately after administering immunizations pt was observed to be sitting in chair, eyes were not focused and pt would not respond to his name or stimulation. Pt remained sitting in chair without assistance. Less than 15 sec later pt began to cry, held arms and said it hurts. Pt was not in any respiratory distress and talked to mother at that time. He did c/o throat hurting but not difficulty breathing. Pt and mother remained at site for 15 min without additional problems noted. When asked mother denied any previous reactions to vaccines, medications or seizures. Instructed mother to take pt to ER if any further problems. School nurse notified of incident on 9/22/04 9AM.
Age: 1.07
Sex: F
Vaccine: DTAPHEPBIP, HIBV, MMR, PNC, VARCEL
Symptoms: Irritability, Pyrexia, Rash
Clinical narrative: Pt presents to clinic with a rash, starting on the face and progressing down to trunk, very irritable. Mom reports fever 103 3 days prior. No treatment needed as of today.
Age: 16.0
Sex: F
Vaccine: HEP, TTOX
Symptoms: Contusion
Clinical narrative: Aunt came in stating child had bruised to the outer aspect of both hands between wrist and fingers. States it had to be caused by the shots. Child was not brought in. Denied any problems at site of injections.
Age: 42.0
Sex: F
Vaccine: PPV
Symptoms: Feeling hot, Injection site erythema, Injection site mass, Neck pain, Pain
Clinical narrative: Adverse Reaction-right deltoid 8x8cm area of erythema, warmth, induration and pain in right shoulder and neck area.
Age: 5.0
Sex: M
Vaccine: DT, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Redness and swelling where to infection was given with soreness to left arm. Edema extending down the entire injection site. Tylenol given by parent.
Age: 0.41
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Rash
Clinical narrative: After leaving from health clinic mother and daughter went to grocery store. When leaving mother noticed like a heat rash on child. It continued to cover body. She took child to health clinic where she was seen by the PA and Dr. They prescribed Benadryl and 1/8th tsp every 6 hrs.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site mass, Pyrexia
Clinical narrative: Temp 101.6, bump on arm x 1day right arm measures 12cmx13cm. F/u in 1 day, small trace Erythema on 9/10/04.
Sex: M
Vaccine: DTAP
Symptoms: Injection site oedema
Clinical narrative: Local swelling
Age: 28.0
Sex: F
Vaccine: PPV
Symptoms: Chest pain, Hyperhidrosis, Hypotension, Nausea, Pallor
Clinical narrative: Pale,diaphoretic, N/V, hypotensive, chest pain.
Age: 28.0
Sex: F
Vaccine: PPV
Symptoms: Vomiting
Clinical narrative: Pale,diaphoretic, N/V, hypotensive, chest pain.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Pruritus
Clinical narrative: Left thigh red and itchy from shots cellulitis, warm soaks, Cefzil, F/U in 2 days.
Age: 4.0
Sex: F
Vaccine: UNK
Symptoms: Dermatitis bullous, Feeling hot, Injection site inflammation
Clinical narrative: Inflammation 10x10cm area left upper arm; one large 3x11cm bulla and small bullae surrounding the large one. Warm to touch. Keflex 500mg TID x 10 days. RTC in 24 hours or sooner if worsening.
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Injection site oedema, Injection site pain, Pyrexia, Urinary retention
Clinical narrative: Pt c/o mild fever, chills, pain and swelling at the site of injection, also pt reported mild urinary retention. Pt had improvement in pain and fever after 24 hours.
Age: 67.0
Sex: M
Vaccine: HEPA, IPV, TYP, YF
Symptoms: Cardiomegaly, Cardiovascular disorder, Fall, Neoplasm
Clinical narrative: Patient fell down stairs on 7/7/04. Autopsy revealed enlarged heart. Echo in 01/04; heart normal size. No symptoms, no meds. Followup: cause of death: cardiomegaly with atherosclerotic cardiovascular disease. Natural death. Carcinoid tumor of Ileon
Age: 3.0
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Injection site erythema, Injection site reaction, Injection site warmth, Pruritus
Clinical narrative: Redness, warmth and mild pruritis from the vaccine site on skin overlying triceps to the elbow almost circumferentially, left arm affected. Reaction on left arm, at site of Hep A vaccination.
Age: 33.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Arthralgia, Back pain, Cough, Diarrhoea, Disturbance in attention
Clinical narrative: 6 MAY- softball size, itchy, textured skin patch on right arm 7 MAY- saw Flt Surgeon, pictures were taken, advised that reaction is "normal". 8 May- tired, scratchy throat 10-16 May- sore throat, very sore elbow/knee joints.  Feverish.  Metallic taste in mouth.  Sour stomach in the morning all week. 17-18 May- Headache.  Unable to concentrate. Back ache.  Sore joints.  Feverish. 19-21 May- Slightly better, still sore. 22-23 May- Constant sneezing and coughing, tired, sore joints, low-grade headache.  Diarrhea Sat night through Sun evening.  Patch has reduced to a small nodule, still itches. 24 May- Airway closes up as the day progresses, though itches up through ears.  Considered going to emergency room around 10pm b/c of extreme difficulty breathing.  Took Benadryl, breathing improved but not normal. 25 May- Went to Flt Surgeon, all symptoms still present.  Diagnosed symptoms as allergies and prescribed Claritin and Flo Nase.  Recommends hot compresses for nodule in arm.  Started medication, minimal relief.  Achy sinuses, knees, and neck.  Sore throat, generally tired. 26 May- General fatigue, feverish, unable to breathe deeply, coughing, sore knees and back. 27 May- Sore throat, knees, and lower legs. 28 May- Coughing continues, diarrhea in morning, sore back and knees, unable to breathe deeply. 29 May- Coughing, sore knees and back, congestion, fatigue, unable to breathe deeply. 30-31 May- No change. 1-2 Jun- Headache, fatigue, difficulty concentrating, nausea. 3-4 Jun- Very sore knees, other symptoms less obvious. 5 Jun 7 Jul- Most symptoms subside.  Joints, especially knees are still very sore. 8 Jul- Arm itches in spot where Anthrax Vaccine was administered.  Raised spot appears, approximately the size of a 1/2 dollar. 9 Jul- Arm itches, spot reduces to size of a quarter. 10 Jul- Arm itches, spot reduces to size of a dime.  Tried to see Reserve Flt Surgeon but was refused. 15 Jul- Spot recedes, nodule is still present. 21 Jul- Nodule is gone. 22 Jul - Present- I still have aching joints 3-4 times/week, especially in my knees.  I have been active in sports my entire life and have never had this type of pain, which started suddenly after Anthrax shot #6.
Age: 33.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Dyspnoea, Fatigue, Headache, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: 6 MAY- softball size, itchy, textured skin patch on right arm 7 MAY- saw Flt Surgeon, pictures were taken, advised that reaction is "normal". 8 May- tired, scratchy throat 10-16 May- sore throat, very sore elbow/knee joints.  Feverish.  Metallic taste in mouth.  Sour stomach in the morning all week. 17-18 May- Headache.  Unable to concentrate. Back ache.  Sore joints.  Feverish. 19-21 May- Slightly better, still sore. 22-23 May- Constant sneezing and coughing, tired, sore joints, low-grade headache.  Diarrhea Sat night through Sun evening.  Patch has reduced to a small nodule, still itches. 24 May- Airway closes up as the day progresses, though itches up through ears.  Considered going to emergency room around 10pm b/c of extreme difficulty breathing.  Took Benadryl, breathing improved but not normal. 25 May- Went to Flt Surgeon, all symptoms still present.  Diagnosed symptoms as allergies and prescribed Claritin and Flo Nase.  Recommends hot compresses for nodule in arm.  Started medication, minimal relief.  Achy sinuses, knees, and neck.  Sore throat, generally tired. 26 May- General fatigue, feverish, unable to breathe deeply, coughing, sore knees and back. 27 May- Sore throat, knees, and lower legs. 28 May- Coughing continues, diarrhea in morning, sore back and knees, unable to breathe deeply. 29 May- Coughing, sore knees and back, congestion, fatigue, unable to breathe deeply. 30-31 May- No change. 1-2 Jun- Headache, fatigue, difficulty concentrating, nausea. 3-4 Jun- Very sore knees, other symptoms less obvious. 5 Jun 7 Jul- Most symptoms subside.  Joints, especially knees are still very sore. 8 Jul- Arm itches in spot where Anthrax Vaccine was administered.  Raised spot appears, approximately the size of a 1/2 dollar. 9 Jul- Arm itches, spot reduces to size of a quarter. 10 Jul- Arm itches, spot reduces to size of a dime.  Tried to see Reserve Flt Surgeon but was refused. 15 Jul- Spot recedes, nodule is still present. 21 Jul- Nodule is gone. 22 Jul - Present- I still have aching joints 3-4 times/week, especially in my knees.  I have been active in sports my entire life and have never had this type of pain, which started suddenly after Anthrax shot #6.
Age: 33.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Skin nodule, Sneezing
Clinical narrative: 6 MAY- softball size, itchy, textured skin patch on right arm 7 MAY- saw Flt Surgeon, pictures were taken, advised that reaction is "normal". 8 May- tired, scratchy throat 10-16 May- sore throat, very sore elbow/knee joints.  Feverish.  Metallic taste in mouth.  Sour stomach in the morning all week. 17-18 May- Headache.  Unable to concentrate. Back ache.  Sore joints.  Feverish. 19-21 May- Slightly better, still sore. 22-23 May- Constant sneezing and coughing, tired, sore joints, low-grade headache.  Diarrhea Sat night through Sun evening.  Patch has reduced to a small nodule, still itches. 24 May- Airway closes up as the day progresses, though itches up through ears.  Considered going to emergency room around 10pm b/c of extreme difficulty breathing.  Took Benadryl, breathing improved but not normal. 25 May- Went to Flt Surgeon, all symptoms still present.  Diagnosed symptoms as allergies and prescribed Claritin and Flo Nase.  Recommends hot compresses for nodule in arm.  Started medication, minimal relief.  Achy sinuses, knees, and neck.  Sore throat, generally tired. 26 May- General fatigue, feverish, unable to breathe deeply, coughing, sore knees and back. 27 May- Sore throat, knees, and lower legs. 28 May- Coughing continues, diarrhea in morning, sore back and knees, unable to breathe deeply. 29 May- Coughing, sore knees and back, congestion, fatigue, unable to breathe deeply. 30-31 May- No change. 1-2 Jun- Headache, fatigue, difficulty concentrating, nausea. 3-4 Jun- Very sore knees, other symptoms less obvious. 5 Jun 7 Jul- Most symptoms subside.  Joints, especially knees are still very sore. 8 Jul- Arm itches in spot where Anthrax Vaccine was administered.  Raised spot appears, approximately the size of a 1/2 dollar. 9 Jul- Arm itches, spot reduces to size of a quarter. 10 Jul- Arm itches, spot reduces to size of a dime.  Tried to see Reserve Flt Surgeon but was refused. 15 Jul- Spot recedes, nodule is still present. 21 Jul- Nodule is gone. 22 Jul - Present- I still have aching joints 3-4 times/week, especially in my knees.  I have been active in sports my entire life and have never had this type of pain, which started suddenly after Anthrax shot #6.
Age: 39.0
Sex: F
Vaccine: MMR
Symptoms: Pruritus, Rash vesicular, Urticaria
Clinical narrative: By 48 hrs after MMR noticed "bumps" on both palms, progressing to vesicular rash covering palms, between fingers & finger pads.  Puritic.  Hives on L arm only.  States similar, milder rash age 5 after rubella vaccine.  Referred to PCP who rx'd w/clarinex & Kenalog 0.1% cream & felt it was a "severe reaction" to MMR.
Age: 55.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Headache, Myalgia, Pyrexia
Clinical narrative: Had flu shot and pneumonia shot 9/30/2004. On 10/1/04, headache, fever, muscle aches.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Erythema, swelling, induration and warmth in area of vaccine administration.
Age: 15.0
Sex: M
Vaccine: HEP
Symptoms: Feeling hot, Rash erythematous, Rash macular, Urticaria
Clinical narrative: Shot given on September 29, 2004 around 4:00 pm, taken home and 2 hours later left arm started breaking out in red raised bumps circled in white. They spread down left side to other arm both groin areas. Kept getting worse; bumps turned in to red raised welts. Took him to emergency room, Benadryl shot administered waited 30 minutes, rash and welts continued to worsen. Doctor administered a shot of Vistiril, and a shot of Epi. We waited 30 minutes, breaking out appeared to be somewhat better. We arrived home by 10:30p.m.; welts had started getting bigger, but by 7:30am the red raised welts were larger and more pronounced and more of them. So I took him to our regular physican. He orederd predisone packet and advised us not to try another hepatitis b shot that the next one could be worse, and I agree. Today Friday, the red raised welts are now huge red raise blotches and larger. I have taken pictures that I will be sending you.  Now at 9:00 pm Friday, some of the centers of the huge raised welts are going down but are leaving dark blotches in the center. People this scares the hell out of me. We are not out of the woods yet if I see no improvement by saturday at noon, I will take him back to the emergency room, the red raised welts are hot to touch, his face is red and hot to touch also but no temperature.
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Back pain, Neck pain, Vaccine positive rechallenge
Clinical narrative: Patient reports shoulder or elbow joint pain and immobilization after each Anthrax injection which would last anywhere from 2-3 weeks, with each injection on the following days 7 Nov 98, 20 Nov 98, 6 Dec 98, 15 May 99 12 NOV 99, and 11 May 2000.  Subsquently, has developed lower back pain, neck pain and generalized body arthralgias with exercise and with activities of daily living.  Pain has waxed and waned over time, somewhat relieved with NSAIDS (Vioxx).  Patient currently being followed by a Rheumatologist.
Age: 63.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Asthenia, Cellulitis, Chills
Clinical narrative: Pain in shoulder within one hour. Pain increased in intensity over the next 24 hours.  No sleep the night of the injection for no apparent reason.  Fever, extreme weakness, moderate to severe headache, uncontrolled, violent shivering, and severe shoulder pain by 1500 the afternoon after the injection. Per annual report- although both pneumo and influenza were included the original report, the adverse event was directly attributal to the pneumo injection.Medical record states cellulitis, sweat, myalgia. msv
Age: 63.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Headache, Hyperhidrosis, Hypokalaemia, Laboratory test abnormal, Myalgia
Clinical narrative: Pain in shoulder within one hour. Pain increased in intensity over the next 24 hours.  No sleep the night of the injection for no apparent reason.  Fever, extreme weakness, moderate to severe headache, uncontrolled, violent shivering, and severe shoulder pain by 1500 the afternoon after the injection. Per annual report- although both pneumo and influenza were included the original report, the adverse event was directly attributal to the pneumo injection.Medical record states cellulitis, sweat, myalgia. msv
Age: 63.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Pyrexia, Shoulder pain, Sleep disorder, Vaccination complication, White blood cell count increased
Clinical narrative: Pain in shoulder within one hour. Pain increased in intensity over the next 24 hours.  No sleep the night of the injection for no apparent reason.  Fever, extreme weakness, moderate to severe headache, uncontrolled, violent shivering, and severe shoulder pain by 1500 the afternoon after the injection. Per annual report- although both pneumo and influenza were included the original report, the adverse event was directly attributal to the pneumo injection.Medical record states cellulitis, sweat, myalgia. msv
Age: 40.0
Sex: M
Vaccine: ANTH
Symptoms: Lymphadenopathy
Clinical narrative: Mild isolated lymph node swelling in ipselat axilla, noticed 1 week after immunization.
Age: 0.34
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Agitation, Anorexia, Cardiac arrest, Cough, Insomnia
Clinical narrative: Received 4 month immunizations on 04/13/04.  Developed cold symptoms 09/14 and fever to 101.3.  Pt was seen in office 16:00 on 09/16/04.  Diagnosed with upper respiratory infection and otitis and treated with Tylenol and Amoxicillin.  Parents reported increased nasal congestion not latching to breast feed. Called advice nurse 5:00am 09/17/04 with questions regarding cold and fever (100.8). Then at 8:00am mom was holding baby; noticed no heartbeat.  911 called pt in asystole from initial paramedic contact until pronounced at hospital. PCP states patient's mother mentioned the baby was sleepy and quieter than usual after her immunizations.  Nurse follow up on 10/05/04 states: "Sleeping poorly, coughing, and fussy, gagging."  - 10/05/2004 Review of well-baby progress note from 9/13/04 indicates child essentially normal. The ill-baby progress note indicates fever, runny nose/worsening congestion, fussiness, difficulty eating, gagging, cough, and not sleeping well. There was no diarrhea or vomiting. Exam indicated erythematous and bulging right TM with normal left TM, clear rhinorrhea, and clear lungs. - 10/28/2004 ER report indicates discharge impression was cardiopulmonary arrest. Baby arrived to ER with CPR and ventilatory assistance in progress. At no time was there a spontaneous pulse or respiration. Several doses of epinephrine were administered. Baby's body was released to the morgue as a coroner's case.  - 03/15/2005 autopsy report states COD was acute bronchopneumonia.
Age: 0.34
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Nasal congestion, Otitis media, Pneumonia, Pyrexia, Respiratory arrest
Clinical narrative: Received 4 month immunizations on 04/13/04.  Developed cold symptoms 09/14 and fever to 101.3.  Pt was seen in office 16:00 on 09/16/04.  Diagnosed with upper respiratory infection and otitis and treated with Tylenol and Amoxicillin.  Parents reported increased nasal congestion not latching to breast feed. Called advice nurse 5:00am 09/17/04 with questions regarding cold and fever (100.8). Then at 8:00am mom was holding baby; noticed no heartbeat.  911 called pt in asystole from initial paramedic contact until pronounced at hospital. PCP states patient's mother mentioned the baby was sleepy and quieter than usual after her immunizations.  Nurse follow up on 10/05/04 states: "Sleeping poorly, coughing, and fussy, gagging."  - 10/05/2004 Review of well-baby progress note from 9/13/04 indicates child essentially normal. The ill-baby progress note indicates fever, runny nose/worsening congestion, fussiness, difficulty eating, gagging, cough, and not sleeping well. There was no diarrhea or vomiting. Exam indicated erythematous and bulging right TM with normal left TM, clear rhinorrhea, and clear lungs. - 10/28/2004 ER report indicates discharge impression was cardiopulmonary arrest. Baby arrived to ER with CPR and ventilatory assistance in progress. At no time was there a spontaneous pulse or respiration. Several doses of epinephrine were administered. Baby's body was released to the morgue as a coroner's case.  - 03/15/2005 autopsy report states COD was acute bronchopneumonia.
Age: 0.34
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Somnolence, Upper respiratory tract infection
Clinical narrative: Received 4 month immunizations on 04/13/04.  Developed cold symptoms 09/14 and fever to 101.3.  Pt was seen in office 16:00 on 09/16/04.  Diagnosed with upper respiratory infection and otitis and treated with Tylenol and Amoxicillin.  Parents reported increased nasal congestion not latching to breast feed. Called advice nurse 5:00am 09/17/04 with questions regarding cold and fever (100.8). Then at 8:00am mom was holding baby; noticed no heartbeat.  911 called pt in asystole from initial paramedic contact until pronounced at hospital. PCP states patient's mother mentioned the baby was sleepy and quieter than usual after her immunizations.  Nurse follow up on 10/05/04 states: "Sleeping poorly, coughing, and fussy, gagging."  - 10/05/2004 Review of well-baby progress note from 9/13/04 indicates child essentially normal. The ill-baby progress note indicates fever, runny nose/worsening congestion, fussiness, difficulty eating, gagging, cough, and not sleeping well. There was no diarrhea or vomiting. Exam indicated erythematous and bulging right TM with normal left TM, clear rhinorrhea, and clear lungs. - 10/28/2004 ER report indicates discharge impression was cardiopulmonary arrest. Baby arrived to ER with CPR and ventilatory assistance in progress. At no time was there a spontaneous pulse or respiration. Several doses of epinephrine were administered. Baby's body was released to the morgue as a coroner's case.  - 03/15/2005 autopsy report states COD was acute bronchopneumonia.
Age: 23.0
Sex: F
Vaccine: HEP
Symptoms: Back pain, Blood pressure decreased, Chest pain, Chills, Dysphagia
Clinical narrative: This case was reported by a nurse and described the occurrence of chest pain with radiation to the left arm in a 23 year old female patient who received hepatitis B vaccine recombinant (Engerix B). The patient's medical history included foreign travel in June 2004 and a blow to the head with a baseball (date not provided). On 9/23/03, the patient received the first dose of Engerix B in the left arm (lot ENG5447B6). On 11/4/03, the patient received the second dose of Engerix B in the right arm (lot ENG5338B6). Approximately nine months after the second dose, on 8/4/04, the patient received the third dose of Engerix B in the left arm (lot ENG5595B6). [The recommended interval between the second and third doses of Engerix B is five months.] Approximately three days after the administration of the third dose of Engerix B, on 8/7/04, the patient experienced numbness and tingling of herleft arm and left leg, numbness in her face, chest pain which radiated down her left arm and back, difficulty swallowing, chills, severe fatigue, and headache. The patient was seen by her physician. Examination by the physician on 8/7/04 revealed a decreased pulse from 80 beats per minute on 8/4/04 to 60 beats per minute on 8/7/04, and a decreased blood pressure from 120/80 on 8/4/04 to 100/60 on 8/7/04. On unspecified dates in either August or September 2004, the patient tested negative for unspecified tests for West Nile virus and Lyme disease. In addition, unspecified X-rays, a spinal tap, and MRI of brain, neck, and spine were reportedly inconclusive. The events were ongoing at the time of initial reporting. Comment: Chest pain with radiation to the left arm was assessed as medically serious (OMIC).