chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Swelling
Clinical narrative: On 8/7/00, the child received his 1st injection of Infanrix. On that date, he also received his 2nd injection of MMRII and his 1st injections of varicella and IPOL. On 8/10/00, the pt experienced left testicular swelling, mild erythema of the left scrotum with generalized tenderness and swelling. The pt walks with legs slightly abducted. The pt's dx was orchitis. The pt's mother stated that "we can only conclude that it was a reaction to the vaccine". He was seen by a pediatric urologist who reported "that there had not been a documented case of this type of reaction in a juvenile in over 17 years". The reporter considered the pt's experience to have resulted in a significant disability. Follow-up information from a nurse, stated "she vaguely recalled this child's experience and believed he had seen a pediatric urologist who was not the primary physician treating the pt for this experience". The nurse also stated "she thought it was the urologist who felt the child's orchitis was related to MMRII vaccination, though she was not certain of this". She also stated "that she believed the child walked with his legs abducted due to the testicular swelling and orchitis and this was not a separate experience but again she could not definitively state this without checking the pt's chart". Outcome of the orchitis was not provided.
Age: 1.3
Sex: M
Vaccine: UNK
Symptoms: Apathy, Aphasia, Autism, Hypokinesia
Clinical narrative: Autism Spectrum Disorder, post vax. Pt stopped talking, sitting up and seemed to not recognize daily items, like his spoon. Autistic.
Age: 57.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Blood pressure increased, Flushing, Heart rate increased, Hypothermia, Pruritus
Clinical narrative: On 10/8/01 at 18:15, pt went to ER with itching, facial flushing, throat tightness and stridor. At 18:20, she was given epinephrine 1:1000 0.2cc SC-IV and started Benadryl 25mg IV, Solu-Medrol 125mg IV and Zantac 50mg IVPB. At 18:35, Benadryl 25mg IV was repeated. At 20:20, she was discharged home. Her temperature was 97.3F (oral); HR 120; Respirations 22 and BP 168/96 on arrival.
Age: 57.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Respiratory rate increased, Stridor, Throat tightness
Clinical narrative: On 10/8/01 at 18:15, pt went to ER with itching, facial flushing, throat tightness and stridor. At 18:20, she was given epinephrine 1:1000 0.2cc SC-IV and started Benadryl 25mg IV, Solu-Medrol 125mg IV and Zantac 50mg IVPB. At 18:35, Benadryl 25mg IV was repeated. At 20:20, she was discharged home. Her temperature was 97.3F (oral); HR 120; Respirations 22 and BP 168/96 on arrival.
Age: 57.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Erythema, Laryngospasm, Pruritus, Urticaria
Clinical narrative: On 10/8/01 at 18:15, pt went to ER with itching, facial flushing, throat tightness and stridor. At 18:20, she was given epinephrine 1:1000 0.2cc SC-IV and started Benadryl 25mg IV, Solu-Medrol 125mg IV and Zantac 50mg IVPB. At 18:35, Benadryl 25mg IV was repeated. At 20:20, she was discharged home. Her temperature was 97.3F (oral); HR 120; Respirations 22 and BP 168/96 on arrival.
Age: 2.0
Sex: M
Vaccine: PNC
Symptoms: Dyspnoea
Clinical narrative: Post vax the patient experienced shortness of breath requiring an ER visit.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Otitis media, Pyrexia
Clinical narrative: Approximately 4 hours post vax, the patient developed a fever. The fever persisted and patient was taken to ER. Fever was 103F and patient was diagnosed with otitis media.
Age: 1.1
Sex: M
Vaccine: DTAP, HBHEPB, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Post vax the patient developed a red induration on the right arm at the deltoid muscle.
Age: 1.03
Sex: M
Vaccine: DTAP, PNC
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Post vax, the patient's left thigh developed redness, local reaction, and was warm to the touch.
Age: 1.1
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Urticaria
Clinical narrative: The patient experienced hives by the injection site, which lasted 1 hour. The patient was treated with Benadryl.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, PNC
Symptoms: Injection site erythema, Rash maculo-papular
Clinical narrative: Post vax the patient developed a 1 1/2" round red splotchy area on his right arm in the deltoid area.
Age: 0.4
Sex: F
Vaccine: HBHEPB, HEP, PNC
Symptoms: Agitation, Crying, Pyrexia, Screaming, Swelling
Clinical narrative: Two hours post vax the patient started crying and high pitched screaming. The patient cried for 10 straight hours and could not be consoled. The patients legs swelled for 9 days, she ran a fever of 99-101F for 5 days, and did not return to being "herself" for 1 month.
Age: 0.75
Sex: F
Vaccine: HEP, IPV, PNC
Symptoms: Rash erythematous, Rash maculo-papular
Clinical narrative: Pt developed erythematous maculopapular rashes mostly con fluent all over the body except face 10/14/2001, 4 days after 9 month old immunizations were given.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Swelling face, Urticaria
Clinical narrative: Post vax, the patient developed hives and swelling of the face. The patient was treated with steroids and benadryl.
Age: 53.0
Sex: F
Vaccine: LYME
Symptoms: Unevaluable event
Clinical narrative: See attached
Age: 1.5
Sex: M
Vaccine: FLU3
Symptoms: Irritability
Clinical narrative: Fussiness x 2 nights after vaccine given. Inappropriate dose given, 0.5 ml instead of 0.25 ml
Age: 46.0
Sex: F
Vaccine: FLU3, HEP, PPV
Symptoms: Discomfort, Headache, Injection site erythema, Injection site oedema, Pain
Clinical narrative: Within 4 hours, swelling, redness and discomfort noted left upper extremity. Also noted entire body ached plus headache. Bedridden on second day. Second day redness less, swelling into left breast. Third day swelling less, discomfort at left axilla, body ache only shoulders, neck and headache.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Chills, Disorientation, Dizziness, Dyspnoea, Headache
Clinical narrative: Post vax the patient complained of dizziness, disorientation, vomiting and headache. This was followed by difficulty breathing, hot and cold spells and wheezing. Patient was seen in the ER and treated with Benadryl, Zantac, Zyrtec, and Albuterol inhaler. Patient began to recover.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Vomiting, Wheezing
Clinical narrative: Post vax the patient complained of dizziness, disorientation, vomiting and headache. This was followed by difficulty breathing, hot and cold spells and wheezing. Patient was seen in the ER and treated with Benadryl, Zantac, Zyrtec, and Albuterol inhaler. Patient began to recover.
Age: 5.9
Sex: M
Vaccine: HEPA
Symptoms: Pruritus, Urticaria
Clinical narrative: Post vax the patient complained of itching skin and by evening the patient had an urticarial rash on his trunk and earlobes.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Post vax, the patient complained of erythema, induration, and warmth to the area of injection. Dx: Allergic reaction to Pneumovax.
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Post vax, the patient complained of erythema, induration and increased warmth at the injection site. This is the second reaction of this type from the same vial of Pneumovax vaccine. No history of reaction before. DX: Allergic reaction to Pneumovax vaccine.
Age: 47.0
Sex: F
Vaccine: MMR
Symptoms: Cough, Pyrexia, Rash
Clinical narrative: Post vax, the patient developed a nonproductive cough, rash and fever.
Age: 3.0
Sex: M
Vaccine: MMR
Symptoms: Rash vesicular
Clinical narrative: The patient developed atypical varicella on 10/12/2001.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Myalgia, Nausea, Pyrexia
Clinical narrative: Two weeks post vax, the patient presented with complaint of fever, myalgias, and nausea.
Age: 8.0
Sex: F
Vaccine: HEPA, IPV
Symptoms: Convulsion
Clinical narrative: Post vax, the patient had a tonic seizure lasting 20 seconds. No cyanosis, vital signs stable, no prior history of seizures. Neuro check-nml. Referred for seizure check up.
Age: 19.0
Sex: F
Vaccine: HEP, TD
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Post vax the patient developed swelling, induration and redness at the injection site.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, DTAP, HIBV
Symptoms: Apnoea, Feeling abnormal, Tremor
Clinical narrative: A few hours post vax the patient showed symptoms of apnea with periods of shaking of 15-30 seconds. The patient seemed "out of it".
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, DTAP, HIBV
Symptoms: Apnoea, Malaise, Pallor, Tremor
Clinical narrative: A few hours post vax the patient showed symptoms of apnea with periods of shaking of 15-30 seconds. The patient seemed "out of it".
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Injection site pain
Clinical narrative: Complaints of on the day after the vaccine her arm got very sore, red and feverish. Saturday it was worse, hot to touch and red. We reported three other patients with the same lot number with similar reactions.
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Pain
Clinical narrative: Post vax, the pt had extreme soreness in the arm, into the shoulder and down to her waist. No redness or hot to touch. Was better within 24 hours. We reported 3 other pts with the same vial with similar reactions.
Age: 1.03
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Febrile convulsion, Otitis media
Clinical narrative: Post vax, on 09/16/2001 the patient's temp was 103F and he had a seizure. The patient was treated at the ER for Otitis Media. On 09/27 the patient had another febrile seizure. The mother feels this is due to the MMR vax. Mother advised if any further problems go the the ER.
Age: 1.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site mass, Injection site reaction, Injection site swelling
Clinical narrative: Post vax, both injection sites bled, turned red and became swollen. Pressure was applied until the bleeding stopped. A small dime sized lump palpated at the DTAP site. The mother was instructed to observe the site and if later swelling, take the patient to her physician. She will see the patient's physician tomorrow.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Akinesia, Arthralgia, Balance disorder, Gastrointestinal disorder, Multiple sclerosis
Clinical narrative: Pt received 2nd dose of Anthrax vaccine on 4/25/00. The pt received the 1st dose on 1/5/00 with no adverse reaction. On 4/26/00, the pt experienced paresthesia. Four to five months later, he experienced joint symptoms. Twelve to thirteen months later, he experienced dysequilibrium and a numb sensation. Fourteen to fifteen months later, he experienced eye blurring and sleep disturbances. Relevant lab and dx tests were consistent with multiple sclerosis. An evaluation on 7/16/01, revealed the pt continues to have these symptoms. The pt was dx'd with multiple sclerosis on 7/20/01. F/U information received on 10/24/01: The pt states he had an unremarkable MRI, 2 months prior to his Anthrax vaccinations, but since his symptoms started, he had multiple MRI's which have shown lesions all over his spine and brain. He has been taking Avonex since August, but has still experienced paresthesia, allodynia, insomnia, bilateral arthralgias, numbness in right thumb, loss of use of right leg, arm and eye, reduced use of left leg, digestive problems and a problem with his left calf/hamstring.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Nuclear magnetic resonance imaging brain abnormal, Pain, Paraesthesia, Sleep disorder, Vision blurred
Clinical narrative: Pt received 2nd dose of Anthrax vaccine on 4/25/00. The pt received the 1st dose on 1/5/00 with no adverse reaction. On 4/26/00, the pt experienced paresthesia. Four to five months later, he experienced joint symptoms. Twelve to thirteen months later, he experienced dysequilibrium and a numb sensation. Fourteen to fifteen months later, he experienced eye blurring and sleep disturbances. Relevant lab and dx tests were consistent with multiple sclerosis. An evaluation on 7/16/01, revealed the pt continues to have these symptoms. The pt was dx'd with multiple sclerosis on 7/20/01. F/U information received on 10/24/01: The pt states he had an unremarkable MRI, 2 months prior to his Anthrax vaccinations, but since his symptoms started, he had multiple MRI's which have shown lesions all over his spine and brain. He has been taking Avonex since August, but has still experienced paresthesia, allodynia, insomnia, bilateral arthralgias, numbness in right thumb, loss of use of right leg, arm and eye, reduced use of left leg, digestive problems and a problem with his left calf/hamstring.
Age: 1.3
Sex: F
Vaccine: DTAP, MMR, PNC, VARCEL, DTAP, MMR, PNC, VARCEL
Symptoms: Eye oedema, Pyrexia, Rash
Clinical narrative: Post vax the patient developed a swollen left eye, rash, and a fever of 102F.
Age: 1.3
Sex: F
Vaccine: DTAP, MMR, PNC, VARCEL, DTAP, MMR, PNC, VARCEL
Symptoms: Eye swelling, Pyrexia, Rash
Clinical narrative: Post vax the patient developed a swollen left eye, rash, and a fever of 102F.
Age: 66.0
Sex: M
Vaccine: PPV, TD, PPV, TD
Symptoms: Asthenia, Cellulitis, Hyperhidrosis, Hypotension, Injection site reaction
Clinical narrative: On 6/14/01, at 07:30, BP was 60/40, profuse diaphoresis, syncope, left arm was swollen and red, pulse was regular but weak. At 07:40, BP was 76/39, lethargic, pale and diaphoretic. He Stated that he had collapsed 2 X going to the bathroom during the night. IV fluids, O2 and Rocephin IV was given. Gave warm compresses to arm. On 6/15/01 treated for cellulitis (axilla was hard). He continues to be tired.
Age: 66.0
Sex: M
Vaccine: PPV, TD, PPV, TD
Symptoms: Lethargy, Lymphoedema, Pallor, Syncope, White blood cell count increased
Clinical narrative: On 6/14/01, at 07:30, BP was 60/40, profuse diaphoresis, syncope, left arm was swollen and red, pulse was regular but weak. At 07:40, BP was 76/39, lethargic, pale and diaphoretic. He Stated that he had collapsed 2 X going to the bathroom during the night. IV fluids, O2 and Rocephin IV was given. Gave warm compresses to arm. On 6/15/01 treated for cellulitis (axilla was hard). He continues to be tired.
Age: 66.0
Sex: M
Vaccine: PPV, TD, PPV, TD
Symptoms: Blood pressure decreased, Cellulitis, Fatigue, Heart rate decreased, Hyperhidrosis
Clinical narrative: On 6/14/01, at 07:30, BP was 60/40, profuse diaphoresis, syncope, left arm was swollen and red, pulse was regular but weak. At 07:40, BP was 76/39, lethargic, pale and diaphoretic. He Stated that he had collapsed 2 X going to the bathroom during the night. IV fluids, O2 and Rocephin IV was given. Gave warm compresses to arm. On 6/15/01 treated for cellulitis (axilla was hard). He continues to be tired.
Age: 66.0
Sex: M
Vaccine: PPV, TD, PPV, TD
Symptoms: Injection site erythema, Injection site swelling, Lethargy, Lymphadenopathy, Pallor
Clinical narrative: On 6/14/01, at 07:30, BP was 60/40, profuse diaphoresis, syncope, left arm was swollen and red, pulse was regular but weak. At 07:40, BP was 76/39, lethargic, pale and diaphoretic. He Stated that he had collapsed 2 X going to the bathroom during the night. IV fluids, O2 and Rocephin IV was given. Gave warm compresses to arm. On 6/15/01 treated for cellulitis (axilla was hard). He continues to be tired.
Age: 66.0
Sex: M
Vaccine: PPV, TD, PPV, TD
Symptoms: Syncope, White blood cell count increased
Clinical narrative: On 6/14/01, at 07:30, BP was 60/40, profuse diaphoresis, syncope, left arm was swollen and red, pulse was regular but weak. At 07:40, BP was 76/39, lethargic, pale and diaphoretic. He Stated that he had collapsed 2 X going to the bathroom during the night. IV fluids, O2 and Rocephin IV was given. Gave warm compresses to arm. On 6/15/01 treated for cellulitis (axilla was hard). He continues to be tired.
Age: 13.0
Sex: M
Vaccine: HEP, HEP
Symptoms: Abasia, Back pain, Gait disturbance, Myelitis transverse, Paraesthesia
Clinical narrative: Per pt's mother, the pt's legs began tingling, he began staggering and couldn't walk. He was taken to ER and transferred to another upstate ER. He was hospitalized for transverse myelitis syndrome. The outcome is ongoing.
Age: 13.0
Sex: M
Vaccine: HEP, HEP
Symptoms: Abasia, Gait disturbance, Myelitis transverse, Paraesthesia
Clinical narrative: Per pt's mother, the pt's legs began tingling, he began staggering and couldn't walk. He was taken to ER and transferred to another upstate ER. He was hospitalized for transverse myelitis syndrome. The outcome is ongoing.
Age: 51.0
Sex: M
Vaccine: HEP, HEPA, HEP
Symptoms: Disturbance in attention, Dizziness, Fatigue, HIV infection, Lymphadenopathy
Clinical narrative: On an unspecified date, the pt received injections of Engerix-B and Havrix for "revaccination". The number of previous injections of Engerix-B and Havrix were not specified. On 9/28/01, the pt was seen in the physician's office and in the ER. He was hospitalized with a dx of second nerve bilateral optic papillitis. As of 10/3/01, the event was ongoing. F/U states the vaccine provider submitted this report directly to VAERS. The pt received Hep-A on 12/14/98 and 6/14/99. On 8/31/01, the pt received injections of Havrix and Engerix-B. On 9/28/01, the pt received his 2nd injection of Engerix-B. As he drove home from the MD's office, he noticed greyness of vision at the inferior field of the left eye when he covered his right eye. On 10/2/01, he was seen by an ophthalmologist, who made a dx of bilateral papillitis, left greater than right. The pt was sent to the ER for further evaluation and was hospitalized. On admission, the pt reported that he had noted transient dizziness, lightheadedness and blurry vision while exercising 1 week prior to admission; these events resolved after several minutes. He also reported "some ill-defined mild decrease in concentration skills and general fatigue up recently. The dizziness, lightheadedness, blurry vision, decreased concentration and fatigue were not reported by the MD as symptoms of papillitis; the physician recorded the onset of papillitis as 9/28/01 PM. The pt recorded that he had no fever, focal weakness, dysesthesias, urine or stool incontinence, headache, stiff neck, dysphagia, nausea, vomiting or seizure-like activity. The pt was treated with acyclovir, ceftriaxone and acetylsalicylic acid 325mg daily. He received levofloxacin (Levaquin) 500mg daily for an unspecified number of days; it was discontinued 4 days after discharge from the hospital when Bartonella henselea serologies were reported as negative. He also received 1 injection of benzathine penicillin 2.4 million units; this was "not re-administered given the negative peripheral syphilis serologies". During the hospitalization, the visual acuity in the left eye decreased from 20/20 to 20/60. "He had no fevers, no headaches and no other visual changes during his stay". The pt was discharged to home in stable condition on 10/6/01. Discharge dx was "Bilateral papillitis, left greater that right". In the submission to VAERS, the vaccine provider reported the dx as "Bilateral optic neuritis thought to be vaccine associated". The most recent information was received on 10/22/01. The physician reported that the pt was seen as an outpt on 10/12/01. At that time, the pt "noted some very minor improvement in visual acuity". The physician stated, "no further specific treatment or testing was warranted at that time". The pt remained under the care of an ophthalmologist and the PCP. There were no known adverse experiences following receipt of prior immunizations and no known illnesses at the time of immunizations.
Age: 51.0
Sex: M
Vaccine: HEP, HEPA, HEP
Symptoms: Optic neuritis, Red blood cell sedimentation rate increased, Scotoma, Vision blurred, Visual field defect
Clinical narrative: On an unspecified date, the pt received injections of Engerix-B and Havrix for "revaccination". The number of previous injections of Engerix-B and Havrix were not specified. On 9/28/01, the pt was seen in the physician's office and in the ER. He was hospitalized with a dx of second nerve bilateral optic papillitis. As of 10/3/01, the event was ongoing. F/U states the vaccine provider submitted this report directly to VAERS. The pt received Hep-A on 12/14/98 and 6/14/99. On 8/31/01, the pt received injections of Havrix and Engerix-B. On 9/28/01, the pt received his 2nd injection of Engerix-B. As he drove home from the MD's office, he noticed greyness of vision at the inferior field of the left eye when he covered his right eye. On 10/2/01, he was seen by an ophthalmologist, who made a dx of bilateral papillitis, left greater than right. The pt was sent to the ER for further evaluation and was hospitalized. On admission, the pt reported that he had noted transient dizziness, lightheadedness and blurry vision while exercising 1 week prior to admission; these events resolved after several minutes. He also reported "some ill-defined mild decrease in concentration skills and general fatigue up recently. The dizziness, lightheadedness, blurry vision, decreased concentration and fatigue were not reported by the MD as symptoms of papillitis; the physician recorded the onset of papillitis as 9/28/01 PM. The pt recorded that he had no fever, focal weakness, dysesthesias, urine or stool incontinence, headache, stiff neck, dysphagia, nausea, vomiting or seizure-like activity. The pt was treated with acyclovir, ceftriaxone and acetylsalicylic acid 325mg daily. He received levofloxacin (Levaquin) 500mg daily for an unspecified number of days; it was discontinued 4 days after discharge from the hospital when Bartonella henselea serologies were reported as negative. He also received 1 injection of benzathine penicillin 2.4 million units; this was "not re-administered given the negative peripheral syphilis serologies". During the hospitalization, the visual acuity in the left eye decreased from 20/20 to 20/60. "He had no fevers, no headaches and no other visual changes during his stay". The pt was discharged to home in stable condition on 10/6/01. Discharge dx was "Bilateral papillitis, left greater that right". In the submission to VAERS, the vaccine provider reported the dx as "Bilateral optic neuritis thought to be vaccine associated". The most recent information was received on 10/22/01. The physician reported that the pt was seen as an outpt on 10/12/01. At that time, the pt "noted some very minor improvement in visual acuity". The physician stated, "no further specific treatment or testing was warranted at that time". The pt remained under the care of an ophthalmologist and the PCP. There were no known adverse experiences following receipt of prior immunizations and no known illnesses at the time of immunizations.
Age: 51.0
Sex: M
Vaccine: HEP, HEPA, HEP
Symptoms: Disturbance in attention, Dizziness, Fatigue, Lymphadenopathy, Optic neuritis
Clinical narrative: On an unspecified date, the pt received injections of Engerix-B and Havrix for "revaccination". The number of previous injections of Engerix-B and Havrix were not specified. On 9/28/01, the pt was seen in the physician's office and in the ER. He was hospitalized with a dx of second nerve bilateral optic papillitis. As of 10/3/01, the event was ongoing. F/U states the vaccine provider submitted this report directly to VAERS. The pt received Hep-A on 12/14/98 and 6/14/99. On 8/31/01, the pt received injections of Havrix and Engerix-B. On 9/28/01, the pt received his 2nd injection of Engerix-B. As he drove home from the MD's office, he noticed greyness of vision at the inferior field of the left eye when he covered his right eye. On 10/2/01, he was seen by an ophthalmologist, who made a dx of bilateral papillitis, left greater than right. The pt was sent to the ER for further evaluation and was hospitalized. On admission, the pt reported that he had noted transient dizziness, lightheadedness and blurry vision while exercising 1 week prior to admission; these events resolved after several minutes. He also reported "some ill-defined mild decrease in concentration skills and general fatigue up recently. The dizziness, lightheadedness, blurry vision, decreased concentration and fatigue were not reported by the MD as symptoms of papillitis; the physician recorded the onset of papillitis as 9/28/01 PM. The pt recorded that he had no fever, focal weakness, dysesthesias, urine or stool incontinence, headache, stiff neck, dysphagia, nausea, vomiting or seizure-like activity. The pt was treated with acyclovir, ceftriaxone and acetylsalicylic acid 325mg daily. He received levofloxacin (Levaquin) 500mg daily for an unspecified number of days; it was discontinued 4 days after discharge from the hospital when Bartonella henselea serologies were reported as negative. He also received 1 injection of benzathine penicillin 2.4 million units; this was "not re-administered given the negative peripheral syphilis serologies". During the hospitalization, the visual acuity in the left eye decreased from 20/20 to 20/60. "He had no fevers, no headaches and no other visual changes during his stay". The pt was discharged to home in stable condition on 10/6/01. Discharge dx was "Bilateral papillitis, left greater that right". In the submission to VAERS, the vaccine provider reported the dx as "Bilateral optic neuritis thought to be vaccine associated". The most recent information was received on 10/22/01. The physician reported that the pt was seen as an outpt on 10/12/01. At that time, the pt "noted some very minor improvement in visual acuity". The physician stated, "no further specific treatment or testing was warranted at that time". The pt remained under the care of an ophthalmologist and the PCP. There were no known adverse experiences following receipt of prior immunizations and no known illnesses at the time of immunizations.
Age: 51.0
Sex: M
Vaccine: HEP, HEPA, HEP
Symptoms: Vision blurred, Visual disturbance
Clinical narrative: On an unspecified date, the pt received injections of Engerix-B and Havrix for "revaccination". The number of previous injections of Engerix-B and Havrix were not specified. On 9/28/01, the pt was seen in the physician's office and in the ER. He was hospitalized with a dx of second nerve bilateral optic papillitis. As of 10/3/01, the event was ongoing. F/U states the vaccine provider submitted this report directly to VAERS. The pt received Hep-A on 12/14/98 and 6/14/99. On 8/31/01, the pt received injections of Havrix and Engerix-B. On 9/28/01, the pt received his 2nd injection of Engerix-B. As he drove home from the MD's office, he noticed greyness of vision at the inferior field of the left eye when he covered his right eye. On 10/2/01, he was seen by an ophthalmologist, who made a dx of bilateral papillitis, left greater than right. The pt was sent to the ER for further evaluation and was hospitalized. On admission, the pt reported that he had noted transient dizziness, lightheadedness and blurry vision while exercising 1 week prior to admission; these events resolved after several minutes. He also reported "some ill-defined mild decrease in concentration skills and general fatigue up recently. The dizziness, lightheadedness, blurry vision, decreased concentration and fatigue were not reported by the MD as symptoms of papillitis; the physician recorded the onset of papillitis as 9/28/01 PM. The pt recorded that he had no fever, focal weakness, dysesthesias, urine or stool incontinence, headache, stiff neck, dysphagia, nausea, vomiting or seizure-like activity. The pt was treated with acyclovir, ceftriaxone and acetylsalicylic acid 325mg daily. He received levofloxacin (Levaquin) 500mg daily for an unspecified number of days; it was discontinued 4 days after discharge from the hospital when Bartonella henselea serologies were reported as negative. He also received 1 injection of benzathine penicillin 2.4 million units; this was "not re-administered given the negative peripheral syphilis serologies". During the hospitalization, the visual acuity in the left eye decreased from 20/20 to 20/60. "He had no fevers, no headaches and no other visual changes during his stay". The pt was discharged to home in stable condition on 10/6/01. Discharge dx was "Bilateral papillitis, left greater that right". In the submission to VAERS, the vaccine provider reported the dx as "Bilateral optic neuritis thought to be vaccine associated". The most recent information was received on 10/22/01. The physician reported that the pt was seen as an outpt on 10/12/01. At that time, the pt "noted some very minor improvement in visual acuity". The physician stated, "no further specific treatment or testing was warranted at that time". The pt remained under the care of an ophthalmologist and the PCP. There were no known adverse experiences following receipt of prior immunizations and no known illnesses at the time of immunizations.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Malaise, Musculoskeletal stiffness, Pyrexia, Vomiting
Clinical narrative: Pt developed malaise, vomiting and fever starting on 8/9/01. Had some neck stiffness.
Age: 37.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Dyspnoea, Fatigue, Nausea
Clinical narrative: On 7/17/01, 15 minutes, post vax, pt states she was nauseated and within 4 hours she was dizzy and fatigued. Seen at ER at 13:00. Pulse rate was 64 and she complained of dizziness. Did not return to work on 7/17/01 PM or 07/18/01. On 7/19/01 she went to work. Reports difficult breathing. EMS was called and she was admitted to the hospital.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Coma, Hypersensitivity, Hypoxia, Injection site erythema, Lethargy
Clinical narrative: Pt developed redness at injection sites on arms shortly after injections. Approx. 20:00, she became feverish, lethargic, unresponsive but not unconscious. She also became "stiff". Parent reports fever of 102F. EMS crew reported fever of 102.7F. ER recorded her fever at 100.2F to 100.5F. She had 89% O2 sats, retractions. She was taken to another hospital and seen. O2 per tent at 30%. Hydrocortisone 50mg was injected IV. She was given fluids and observed over night. Dismissed at 12:00 on 6/24/01. Diagnosed with allergic reaction to immunizations.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Musculoskeletal stiffness, Pyrexia
Clinical narrative: Pt developed redness at injection sites on arms shortly after injections. Approx. 20:00, she became feverish, lethargic, unresponsive but not unconscious. She also became "stiff". Parent reports fever of 102F. EMS crew reported fever of 102.7F. ER recorded her fever at 100.2F to 100.5F. She had 89% O2 sats, retractions. She was taken to another hospital and seen. O2 per tent at 30%. Hydrocortisone 50mg was injected IV. She was given fluids and observed over night. Dismissed at 12:00 on 6/24/01. Diagnosed with allergic reaction to immunizations.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Pyrexia
Clinical narrative: Patient received immunizations at approximately 10:00 am. The patient was given Tylenol several times. The babysitter called the mother to report a temperature of 103F. The mother took the patient to the ER where she was instructed to continue giving the Tylenol and keep and eye on her until her temperature comes down.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR, PNC, VARCEL
Symptoms: Urticaria
Clinical narrative: Evening of vaccination, the mother observed hives on the patient's face, abdomen and bilateral extremities. Mother took the patient back to the clinic and was advised by Dr to treat with Benadryl and report back after treatment.
Age: 1.4
Sex: F
Vaccine: PNC
Symptoms: Injection site rash, Irritability, Pyrexia
Clinical narrative: Mother states 3 hours post vax the patient developed a rash around the injection site. The patient developed a fever of 102.7F. The patient was treated with ice to the injection site and with Tylenol. Two days post vax the rash had resolved and the fever was gone. The patient remained fussy for two more days, but no other complaints.
Age: 0.16
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Convulsion, Pyrexia
Clinical narrative: Post vax that evening the patient had a temperature of 105F with no other symptoms. The patient was seen in the ER where he had a convulsion. The patient was treated with medicine to lower the fever and sent home. Dr will be giving the next set in her office.
Age: 0.1
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Erythema, Swelling, Swelling face
Clinical narrative: Approximately 45 minutes post vax, the mother states the patient's face became very red and swollen. There was also redness and swelling on the patient's arms and legs. The patient was seen at the ER and treated with Benadryl.
Age: 1.3
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Rash macular
Clinical narrative: Post vax the patient's right thigh became red, swollen, blotchy looking, and warm to the touch.
Age: 1.5
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying
Clinical narrative: Post vax the patient cried a lot. The patient was treated with Tylenol.
Age: 0.3
Sex: M
Vaccine: HBPV, PNC
Symptoms: Dehydration, Vomiting
Clinical narrative: The patient began vomiting 5 hours post vax and became dehydrated. The patient was seen in the ER and was given an IV to rehydrate.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Nausea
Clinical narrative: Patient began feeling dizzy approximately 1 minute after receiving 0.5cc influenza vaccine. She then felt nausea and light headed. Placed patient in more reclining position with legs up. Gave water, cool cloth and blanket. Patient remained alert and conscious. Fully recovered within 20 minutes. FU phone call 10/17/2001, patient reports no problems.
Age: 11.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: Pt had pain in right hip. Follow up 10/25/2001: "Reporter states child had onset of cold-like symptoms and then pain in the hip.  Physician has xrayed hip/negative.  Using tylenol, heat to area.  Flu shot given in the right deltoid, no other vaccine at time, not ill at time of vaccine, no history of adverse events in past."
Age: 1.3
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Injection site vesicles
Clinical narrative: Within the first 24 hours after vaccination the site was erythema, and swelling with blisters. The swelling continued for 3-4 days.
Age: 3.8
Sex: M
Vaccine: HEP
Symptoms: Erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Post vax, the patient developed erythema, induration, warmth and tenderness in an area 6x8cm at the injection site.
Age: 13.0
Sex: M
Vaccine: HEP
Symptoms: Asthenia, Chills, Dizziness, Dyspnoea, Pyrexia
Clinical narrative: School nurse reports that patient complains of wheezing, dizziness, chilling, difficulty breathing, weakness, and shaking. The patient's BP is 119/58; P-58, Temp 100.7. Patient's mother was called and states the patient did not have a reaction to previous HepB vaccination. Patient was seen at clinic and diagnosed with a sinus infection which is being treated with Zithromax.
Age: 13.0
Sex: M
Vaccine: HEP
Symptoms: Sinusitis, Tremor, Wheezing
Clinical narrative: School nurse reports that patient complains of wheezing, dizziness, chilling, difficulty breathing, weakness, and shaking. The patient's BP is 119/58; P-58, Temp 100.7. Patient's mother was called and states the patient did not have a reaction to previous HepB vaccination. Patient was seen at clinic and diagnosed with a sinus infection which is being treated with Zithromax.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Convulsion, Laboratory test abnormal, Pyrexia, Rash
Clinical narrative: Patient was seen on 06/22/2001 for a diaper rash. The patient had a fever. During the examination the patient had a seizure that lasted approximately 2 minutes. The fever was 103.1R. After the seizure the patient cried and then slept.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Convulsion, Laboratory test abnormal, Pyrexia
Clinical narrative: Patient was seen on 06/22/2001 for a diaper rash. The patient had a fever. During the examination the patient had a seizure that lasted approximately 2 minutes. The fever was 103.1R. After the seizure the patient cried and then slept.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Convulsion, Laboratory test abnormal, Pyrexia, Rash
Clinical narrative: Post vax the patient developed a fever of 103.1. While in the doctor's office the patient had a seizure which lasted approximately 2 minutes.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Convulsion, Laboratory test abnormal, Pyrexia
Clinical narrative: Post vax the patient developed a fever of 103.1. While in the doctor's office the patient had a seizure which lasted approximately 2 minutes.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Tremor, Vomiting
Clinical narrative: Approximately 12 hours post vax the patient was shaking and vomiting. Patient was seen at the ER later that morning, was treated with Amoxicillin for 10 days, a throat culture was done and blood was drawn.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia
Clinical narrative: Post vax the patient developed a fever of 102.6F on 08/15/2001. The patient still had the fever 08/17/2001. Patient's mother stated patient feels fine on 08/20/2001.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Post vax the patient's left arm was red and swollen at the injection site , approximately 3cm diameter.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Eye swelling, Pruritus
Clinical narrative: 45 minutes post vax, the patient complained of itching and swollen eyes. The patient's mother reported being able to see his glands. Motrin and Benadryl were given.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Rash erythematous
Clinical narrative: Post vax, 5" x 5" red rash was noted by the patient's mother. The rash feels warm to the touch. There are no other symptoms mentioned.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Swelling
Clinical narrative: Post vax, the patient leg showed redness in an intermittent pattern with some swelling in an area about 10".
Age: 44.0
Sex: F
Vaccine: HEPA
Symptoms: Arthralgia, Arthritis, Eye disorder, Laboratory test abnormal, Muscular weakness
Clinical narrative: About 4 days post vax, the patient attempted to dance and her legs gave out. The next morning the patient was unable to get out of bed. The patient complained of severe joint pain with inflammation. Saw Dr and was referred to a specialist. Diagnosed with rheumatoid arthritis. Patient states she has eye problems also.
Age: 44.0
Sex: F
Vaccine: HEPA
Symptoms: Rheumatoid arthritis
Clinical narrative: About 4 days post vax, the patient attempted to dance and her legs gave out. The next morning the patient was unable to get out of bed. The patient complained of severe joint pain with inflammation. Saw Dr and was referred to a specialist. Diagnosed with rheumatoid arthritis. Patient states she has eye problems also.
Age: 14.0
Sex: F
Vaccine: HEP
Symptoms: Dyspnoea, Hypoaesthesia, Oedema peripheral, Urticaria
Clinical narrative: The patient receieved the vaccination at approximately 11:30. At 5 p.m. the patient's feet felt numb and her feet and hands felt edematous. The patient had hives on her hands and lower arms and also on her feet and lower legs. The patient was treated with Benadryl. The patient was also treated with Pulmicort aerosol for breathing difficulties.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Swelling
Clinical narrative: Post vax the patient developed severe swelling and redness of the upper arm.
Age: 1.9
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Urticaria
Clinical narrative: The patient's mother reports a rash started 2 hrs after the vax. The patient was seen in the ER with an urticarial rash which was treated wtih DepoMedrol and Benadryl. On 10/10 at office visit, patient still covered with urticarial lesions. The patient was placed on Orapred, Benadryl and Calamine Lotion. On 10/11 the mother of the patient states the rash is improved.
Age: 18.0
Sex: F
Vaccine: MMR
Symptoms: Lymphadenopathy, Petechiae, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Post vax on 10/06/2001 the patient developed a fever, sore throat, and swollen glands. On 10/11/2001 the patient developed a petichael rash on her face and neck.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Eyelid oedema
Clinical narrative: Post vax the patient developed very swollen eyelids. The patient was treated with Benadryl and a cool compress and sent home.
Age: 27.0
Sex: M
Vaccine: HEPA, TYP
Symptoms: Rash
Clinical narrative: Post vax the patient developed a rash on the torso area only.
Age: 4.0
Sex: U
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Post vax the injection site has erythema, swelling and is tender. The site has remained swollen and tender for 3 days.
Age: 1.4
Sex: F
Vaccine: DTAP
Symptoms: Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Post vax, the patient's thigh became swollen, with a large area of induration, warmth and mild pain.
Age: 31.0
Sex: M
Vaccine: MMR
Symptoms: Injection site erythema, Skin reaction
Clinical narrative: Post vax the patient had a skin reaction with erythema at the injection site in an area 4x6cm.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Anorexia, Injection site erythema, Injection site induration, Nausea, Pyrexia
Clinical narrative: The day following vaccination the patient's mother took temperature and it was 102F. The patient's temperature was off and on during the day. The patient also complained of no appetite, nausea, and vomiting. The patient was treated with Benadryl. The mother noted there was redness and hardness at the injection site.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Vomiting
Clinical narrative: The day following vaccination the patient's mother took temperature and it was 102F. The patient's temperature was off and on during the day. The patient also complained of no appetite, nausea, and vomiting. The patient was treated with Benadryl. The mother noted there was redness and hardness at the injection site.
Age: 14.0
Sex: M
Vaccine: HEP
Symptoms: Loss of consciousness, Nausea, Pallor
Clinical narrative: After receiving vaccination, the patient turned pale and fainted within 30 seconds of shot. The patient recovered within 30 seconds and was alert, but noticed nausea.
Age: 4.8
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Rash
Clinical narrative: Approximately 8 minutes post vax, the patient's mother noted a rash on the upper part of the patient's face. The rash appeared as red pinpoint dots. There was no rash noted on any other body parts. The patient was advised to seek medical attention.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL, DTAP, IPV, MMR, VARCEL
Symptoms: Herpes zoster, Infection, Rash
Clinical narrative: The mother states the child is experiencing a "continued rash" since receiving vaccines. The pt was seen by a private physician and diagnosed with shingles.
Age: 1.5
Sex: F
Vaccine: MMR
Symptoms: Autism, Gastrointestinal disorder, Growth retardation, Neurodevelopmental disorder, Speech disorder
Clinical narrative: Information has been received from a consumer concerning her daughter who in approx. 4/95, at 18 months of age, was vaccinated with MMRII and subsequently, her daughter developed the "symptoms associated with autism". It is noted that she has speech problems, physical problems, only weighs 44 pounds and is in special education classes in school. It was reported that she cannot afford to have the testing done to officially confirm that she has autism. Unspecified medical attention was sought. It was noted that the pt is currently on therapy with loratadine (Claritin). Follow up information from a woman in a physician's office indicated that the child first visited the office in March 2000 for shingella when she was 6 years old. It was noted that she visited the office a second time, also for shingella. On 2/16/01 the child had a well visit with the physican and the question of autism was raised. The mother reported to the physician that the child was seen several times by a neurologist and, at that time, they had not diagnosed the child with autism. It was reported that the mother requested a referral to another neurologist, but that the child had never returned to his office since 2/16/01. It is unknown if the child was ever seen by another neurologist. Shingella was considered an incidental finding. Upon internal review, Autism was considered an "Other Important Medical Event". Additional information has been requested. F/U information from a woman in a physician's office indicated that the child 1st visited the office in 3/00 for shigella when she was 6 years old. It was noted that she visited the office a 2nd time, also for shigella. On 2/15/01, the child had a well visit with the physician and the question of autism was raised. The mother reported to the physician that the child was seen several times by a neurologist and, at that time, they had not dx'd the child with autism. It was reported that the mother requested a referral to another neurologist, but that the child had never returned to his office since 2/16/01. It is unknown if the child was ever seen by another neurologist. Shigella was considered an incidental finding. Upon internal review, Autism was considered an "Other Important Medical Event". Additional information has been requested.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Irritability, Lethargy, Pyrexia
Clinical narrative: Irritability developed and approximately 48 hours after vaccines. 4 days after vaccines developed fever, elevated irritability and lethargy. A complete sepsis evaluation done and admitted for IV antibiotics. All cultures negative. Fever resolved 48 hours later.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: High-pitched crying, Injection site erythema, Irritability, Oral intake reduced, Sepsis
Clinical narrative: Vaccines-DTaP, IPV, Comvax, (Hep/HIB), Prevnar given 10/10. Irritability began 10/11 AM, temp 99.6 - 99.8. Injection sites erythema. Decreased feeding and worsening irritability 10/12. Bouts of high pitched crying and refused to feed with decreased urine output. Hospitalized to r/o sepsis on 10/13- CBC, lytes, U/A - Nml, CT head - Neg. Baby did well and began feeding and sleeping.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Urine analysis abnormal
Clinical narrative: Vaccines-DTaP, IPV, Comvax, (Hep/HIB), Prevnar given 10/10. Irritability began 10/11 AM, temp 99.6 - 99.8. Injection sites erythema. Decreased feeding and worsening irritability 10/12. Bouts of high pitched crying and refused to feed with decreased urine output. Hospitalized to r/o sepsis on 10/13- CBC, lytes, U/A - Nml, CT head - Neg. Baby did well and began feeding and sleeping.
Age: 2.2
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Apathy, Aphasia, Autism, Eye movement disorder, Laboratory test abnormal
Clinical narrative: After his 12 month shots, he lost all language and all eye contact and could not respond to any noise or even waving in front of his face. He still has no language and no receptive response. He has some eye contact but does not respond or react to people but is getting a little better at times. Called 911 and EMS came. Called because he was very hot with temperature of 106F and then 104F after trying warm towel and bathing in small tub of water but didn't work out. At ER he arched his head all the way back, was stiff and eyes rolled and looked very bad. The dx in ER was viral syndrome (fever of unknown origin) and possible seizure.  Diagnosed with Global Developmental Delay.