chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.4
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Convulsion, Cyanosis, Eye movement disorder, Musculoskeletal stiffness, Pyrexia
Clinical narrative: Patient became blue, eyes rolled back and baby tensed up. Mom gave mouth to mouth; baby became pink again and brought to ER. Admitted for work-up; all negative; Started on Phenobarb for seizure disorder 6/27/03-6/30/03. Presented to ER again with seizure; one seizure observed in ED. ER and hospital records state fever.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Back pain, Dyspnoea, Fatigue, Injection site pain
Clinical narrative: Extreme pain to site, back pain, breathing problems, fatigue. 60-day follow up on 01/06/04: "Shortness of breath, muscle pain, joint pain, ringing in ears, fatigue, mood changes, sleep apnea, periodic limb movement disorder, limb swelling, memory loss, muscle weakness." The medical records received on 1/12/04 confirms all the previously coded terms.
Age: 66.0
Sex: F
Vaccine: PPV, TD
Symptoms: Cellulitis, Laboratory test abnormal, Pyrexia, Syncope
Clinical narrative: Tetanus vaccine area; local left shoulder/deltoid cellulitis. Admitted and treated with antibiotics. The discharge summary states syncopal episode.
Age: 49.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Pain, Swelling
Clinical narrative: Given IM injection of Pneumo-23 in left deltoid. Developed immediate pain and swelling that radiated to trapezius and clavicle over next 24 hours. Required IV antibiotics. Per review of hospital d/c summary, diagnosis of cellulitis is confirmed.
Age: 13.0
Sex: M
Vaccine: HEPA
Symptoms: Hypotension, Infection, Pyelonephritis, Pyrexia, Sepsis
Clinical narrative: Seen 8/2/03 with hypotension and fever. Diagnosed with E. coli bacteremia and Pyeconephritis.
Age: 19.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Secondary transmission, Skin ulcer
Clinical narrative: 6cm ulcerated lesion to left shoulder. Lesion biopsied, sent to pathology. Pt was in contact with friend who had been vaccinated.
Age: 34.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pain, Pyrexia
Clinical narrative: Pt noted redness and swelling in left arm. Seen at urgent care. Culture done. On Sat 8/30/03 swelling increased. Increased fever, red, pain and hot to touch. Seen at ER and given IV antibiotics and now on oral antibiotics.
Age: 1.0
Sex: F
Vaccine: DTAP, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash papular
Clinical narrative: Papular skin rash with fever after immunized with MMR, Varivax, Hib for 1 year of age.
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Dysphagia, Lymphadenopathy
Clinical narrative: 8/2/03 Lymph nodes began to swell, pt experiences difficulty swallowing, was driven to hospital ER. Received Benadryl IM.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Flushing, Injection site erythema, Injection site oedema, Injection site warmth, Irritability
Clinical narrative: Mom said on the evening of vaccine date, the child had become flushed in the face and very irritated. The next day she noticed a large area, approx 2/3" in size, around injection site, it was red, swollen and hot to touch. Fever. She said very elevated, but she did not record it. She took the child to medical center for evaluation, given antibiotics. Today, her right is still red but less erythematous and hot.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia
Clinical narrative: Mom said on the evening of vaccine date, the child had become flushed in the face and very irritated. The next day she noticed a large area, approx 2/3" in size, around injection site, it was red, swollen and hot to touch. Fever. She said very elevated, but she did not record it. She took the child to medical center for evaluation, given antibiotics. Today, her right is still red but less erythematous and hot.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Pruritus
Clinical narrative: Redness, swelling, warm to touch to left deltoid area with itching. Treatment: Motrin, Benadryl, Keflex.
Sex: F
Vaccine: PPV
Symptoms: Chills, Injection site erythema, Injection site swelling, Injection site warmth, Pain
Clinical narrative: Patient's daughter calls stating patient had Pneumovax 1/16/03. Arm is swollen and slightly red from shot site to elbow. Has warm, burning feeling. Temperature 101 last night. Went to ER and given Tylenol 3. Apply ice and take OTC Benadryl. Patient given Keflex in ER. The discharge summary states pain and chills.
Sex: F
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: Patient's daughter calls stating patient had Pneumovax 1/16/03. Arm is swollen and slightly red from shot site to elbow. Has warm, burning feeling. Temperature 101 last night. Went to ER and given Tylenol 3. Apply ice and take OTC Benadryl. Patient given Keflex in ER. The discharge summary states pain and chills.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Pruritus
Clinical narrative: First complained of itching, swollen, redness, warm to touch. Took to Dr 8/17/03, was started on antibiotic. Leg looking fine as of 8/13/03.
Age: 4.0
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Rash
Clinical narrative: Pt broke out into a rash all over body.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site vesicles, Urticaria
Clinical narrative: Hives around immunization that was given with some blisters around area.
Age: 4.0
Sex: F
Vaccine: HIBV, IPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Redness 2" in diameter, some swelling.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site induration
Clinical narrative: Red-warm induration noted to left deltoid area. Ice compresses: left upper arm. Meds: Cephalexin 250 mg tsp TID for 5 days, Benadryl 1.5 tsp every 8 hours. Return for follow up in 24 hours if more symptoms. 8/18/03 10:00 called mom to see how pt is doing and states no more redness or swelling to site.
Age: 12.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Blood pressure decreased, Flushing, Malaise
Clinical narrative: Client given Hep B and MMR vaccines at approximately 15:15 on 08/18/2003; became pale and complained of "I don't feel very well." with in minutes of receiving shots, assisted to exam table and placed in supine position with legs flat.  Blood pressure monitored.  Clients color improved from very pale to normal within minutes of moving to supine position.  Blood pressure monitored in lying sitting and then standing positions.  Client released to mothers care without symptoms at 15:40.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Headache, Injection site mass, Irritability, Pyrexia
Clinical narrative: Fever, irritation, small red bumps to right arm began to appear the day after vaccination.  Mom describes rash as big, round and circular at first then got smaller.  Mom states patient started to complain of headaches days after vaccination.  Mom states was given VIS form on day of vaccination (07/18/2003).  Child alert, active, plan to start school next week.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Rash
Clinical narrative: Fever, irritation, small red bumps to right arm began to appear the day after vaccination.  Mom describes rash as big, round and circular at first then got smaller.  Mom states patient started to complain of headaches days after vaccination.  Mom states was given VIS form on day of vaccination (07/18/2003).  Child alert, active, plan to start school next week.
Age: 1.0
Sex: F
Vaccine: DTAP, HEP, HIBV, MMR, VARCEL
Symptoms: Infection
Clinical narrative: Broke out with varicella disease.
Age: 2.6
Sex: M
Vaccine: HEPA
Symptoms: Erythema, Rash
Clinical narrative: Hep A #2 administered to left arm at 9:30 08/20/2003.  Retured to clinic 10:10AM with red, generalized rash to both arms trunk and legs.  Child not scratching at self.  No rash noted to face.  Grandmother instructed to administer Benadryl liquid 1 tsp to take to ER if child developed any problems with breathing.
Age: 0.8
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever 08/01/2003 without any other symptoms.
Age: 17.0
Sex: F
Vaccine: HEP, HEPA, TTOX
Symptoms: Face oedema
Clinical narrative: Patient had swelling of bottom lip on 08/19/2003 AM, when patient woke up.  Mother gave patient Benadryl tablet and swelling to bottom lip resolved.  Patient also ate hamburger, doritos, drank fruitworks at 18:00 on 08/18/2003.  And chewed gum on 08/18/2003 @ 20:00 before going to bed.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: Cellulitis around injection site.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Irritability, Pyrexia, Rash
Clinical narrative: Extreme irritability low grade fever beginning about 7 days after MMR administered progressing to rash and worsening irritability and arthralgia.  ER visit 08/17 dose due to irritibilaty both ne.
Sex: M
Vaccine: IPV, MMR
Symptoms: Convulsion, Irritability, Pyrexia
Clinical narrative: Patient was given IPV and MMR on 12/20/2002 at 1-3:00 PM.  That evening he started with a slight fever and was given Tylenol.  No other symptoms maybe a little irritable.  12/21 - 12/22: Continued with fever and was given Tylenol and alternated with Motrin and bathing him. 12/23/2003: Patient was with birth mom when fever went to 104 and he had a seizure.  Was seen at medical center.  Legally adopted mom was told fever was from immunization-no other reason was found. Patient did continue with fever for a week while legally adopted mom continued to give him Tylenol alternating with Motrin.
Age: 49.0
Sex: F
Vaccine: TTOX
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 3 days after injection of Td noticed large red spot around injection site; hot red.  Patient states was as large as 11cm at one time.
Sex: U
Vaccine: HEP, MMR, TD
Symptoms: Face oedema, Hyperhidrosis, Pruritus
Clinical narrative: Hands itchy, swelling face, sweats 3 hours post vaccine.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, MMR
Symptoms: Erythema, Oedema, Pyrexia
Clinical narrative: Patient had fever, left deltoid intramuscular reaction: swollen, redness by DTaP vaccination.
Age: 13.0
Sex: F
Vaccine: HEP, TD
Symptoms: Hypoaesthesia, Oedema peripheral
Clinical narrative: Right arm has began numb from her right elbow down since she left the Health unit last friday after her shot on 07/31/2003.  Actual date.  The girl gets on the phone when requested to talk to her.  States her right arm has been numb from her elbow down since her injection and her left hand was swollen Saturday for one and one half days.  I told them to see their PCP they have recently moved here.  I told them they need to go to hospital to have the arm evaluated.  Lady wanted to know if it was normal for the arm to be numb.  08/08/2003. Patients mom did not go to hospital with client due to lack of transportation.  She said she may take her to another clinic.  I gave her the phone # and asked if she would call me with the results. 08/14/2003: Spoke with patients mom-states she called the clinic.  Explained situation.  She was told to go to hospital.  She took her daughter to ER.  Was told her reaction was normal she was given an injection in her hip for pain and was told to take Aleve for pain and guaranteed mom that her daughter would be better.  Mom said daughter only slightly better.  She plans to call hospital for an appointment tomorrow.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Left thigh red, swollen and hot to touch.  Red/swollen area approximately 10-12 cm.  Tender to touch with walking.  Noticed Saturday 08/16/2003 at DTaP site.  Redness and swelling improved by 08/17/2003 PM.  Not so tender or warm.  Not seen by physician or Dr.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR, VARCEL
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Size quarter red swollen and hot to touch-not painful.  Ice to site no swimming.  Left thigh.  Mom states it doesn't seem to be bothering much.
Age: 52.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site mass, Lymphadenopathy, Oedema
Clinical narrative: Swollen, red, baseball sized lump with white/gray center about 3/4 inch diameter at site of injection.  Swollen lymph nodes-cervical-same side.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Infection
Clinical narrative: Has varicella about 10 vesicles to each arm about 3 vesicles to face (rash began 7 days after receiving varivax).
Age: 19.0
Sex: F
Vaccine: MEN
Symptoms: Asthenia, Fatigue, Headache, Nasal congestion, Pharyngolaryngeal pain
Clinical narrative: At approximately 9AM on 08/20/2003, client woke up feeling groggy with sore throat.  By noon that day client felt weak with headache muscle aches, exhaustion, sore throat, chest congestion.  PHN took Tympanic temperature on 08/21/2003 and read 99F.  Client had been taking Vitamin C for symptoms.  PHN advised fever reducer, up in liquids and if not feeling better on 08/22 to see MD as client to flying on 08/23 for college.
Age: 19.0
Sex: F
Vaccine: MEN
Symptoms: Pyrexia
Clinical narrative: At approximately 9AM on 08/20/2003, client woke up feeling groggy with sore throat.  By noon that day client felt weak with headache muscle aches, exhaustion, sore throat, chest congestion.  PHN took Tympanic temperature on 08/21/2003 and read 99F.  Client had been taking Vitamin C for symptoms.  PHN advised fever reducer, up in liquids and if not feeling better on 08/22 to see MD as client to flying on 08/23 for college.
Age: 1.0
Sex: M
Vaccine: HIBV, IPV, MMR, VARCEL
Symptoms: Rash
Clinical narrative: The patient was vaccinated on 08/25/2003.  2 days after he presents rash on trunk and extremities.  He received Benadryl 08/27/2003 and hydrocortisione cream.
Age: 16.0
Sex: M
Vaccine: HEP
Symptoms: Chest pain, Erythema, Oedema, Pruritus, Skin ulcer
Clinical narrative: Patient stung by about 15 bees on 08/18.  Seen 08/11/2003 with chest pain and red macular lesions on left palm out site of a beesting.  Got hepatitis B vaccine 08/11/2003.  Pruritis of hands and feet and urticaria started 08/12/2003.  Developed pain and swelling of joints 08/13/2003.  No fever.  Received Advil and Benadryl.  Seen 08/16/2003 in ER.  Seen 08/19/2003 in office with no joint pain/swelling and a few left over urticaria.
Age: 16.0
Sex: M
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: Patient stung by about 15 bees on 08/18.  Seen 08/11/2003 with chest pain and red macular lesions on left palm out site of a beesting.  Got hepatitis B vaccine 08/11/2003.  Pruritis of hands and feet and urticaria started 08/12/2003.  Developed pain and swelling of joints 08/13/2003.  No fever.  Received Advil and Benadryl.  Seen 08/16/2003 in ER.  Seen 08/19/2003 in office with no joint pain/swelling and a few left over urticaria.
Age: 0.6
Sex: F
Vaccine: DTAP, IPV, PPV
Symptoms: Body temperature increased, Crying, Restlessness
Clinical narrative: Temperature 103 after shots.  Cries with movement/restless.  No redness/swelling at site.  (similar reaction after 4 month shots)
Age: 6.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Pruritus, Skin ulcer
Clinical narrative: Red, ringed, irregular lesion with fuictuane on tenderness left deltoid/posterior arm some itching, occurred today.
Age: 2.4
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema
Clinical narrative: Redness left deltoid.  Called parent, child is doing well.  No further problems.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Left deltoid redness/swollen about 1.5 inch diameter warm to touch.  Advised mother to apply cool compress, ok to give actaminophen for comfort measure.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site pain
Clinical narrative: Right upper arm warm, tender, erythema approximately 12 hours after administration.
Age: 5.0
Sex: F
Vaccine: DTAPH, HEPA, IPV
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Left arm with widespread edema from shoulder to wrist erythema spreading despite antihistamines and antibiotics.  Warm to touch, skin beginning to tighten.  Left arm 2 x size of right arm.
Age: 36.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Hemiparesis, Injection site mass, Pain
Clinical narrative: 06/16/2003: Had TD booster Left deltoid (0.5mL).  For few days after that she reports erythema and "bubble" at injection site (localized).  This resolved shortly after.  Since injection she has apparently had left deltoid pain described as deep aching and for past 2-3 weeks reports weakness.  Obj: Strength is appropriate.  Nontender left deltoid.  No infx or other problems noted to left upper extremity.  7 cm distal to right acromion the cirium was 3.5 cm left .
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pruritus, Urticaria
Clinical narrative: 1) Received MMR/IPV/DTAP at 12:30PM left office within 10 minutes of receiving vaccine. 2) returned to office approximately 30 minutes later with itchy hives-no wheezing or trouble breathing.  Benadryl 12.5mg per mouth with good response monitored for approximately 1 hour left office doing much better.
Age: 0.7
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Bronchitis, Dyspnoea, Encephalitis, Growth retardation, Hypotonia
Clinical narrative: Difficulty breathing, congestion, fussy, tachypnea, hypotonia, loss of milestones. The medical records state bronchitis, otitis media and sinusitis. The hospital discharge summary received on 3/30/04 states acute demyelinating encephalomyelitis (ADME).
Age: 0.7
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Nasal congestion, Neuropathy, Otitis media, Sinusitis, Tachypnoea
Clinical narrative: Difficulty breathing, congestion, fussy, tachypnea, hypotonia, loss of milestones. The medical records state bronchitis, otitis media and sinusitis. The hospital discharge summary received on 3/30/04 states acute demyelinating encephalomyelitis (ADME).
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Feeling hot, Irritability, Oedema
Clinical narrative: Per mom, approximately 12:15 on 07/12/2003, she noticed patients left arm.  States from shoulder to elbow, the area was red, hot to the touch, and swollen.  States patient was irritable, but it was late at night.  Denies fever, trouble breathing, or any other problems.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Oedema
Clinical narrative: Swelling, redness of entire upper left arm circumfrentially and extending onto anterior upper thorax.
Age: 1.2
Sex: M
Vaccine: VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Rash upper left thigh, fever.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Flushing, Lethargy, Vomiting
Clinical narrative: Multiple episodes of vomiting.  Started at 6:30PM.  Vomited 9:15-30 x 2 hours.  Was pale, lethargic, not crying.  After 2nd episode of vomiting, vomiting was only bile-colored liquid.
Age: 2.5
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Swelling of entire right arm mostly above elbow, warm and slightly red.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Pyrexia
Clinical narrative: 08/27/2003: Temperature 98F oral.  Left arm reddened and warm to the touch.  IPV and DTAP administered in left arm (deltoid).  Advised to take antipyritic if spike fever.  If symptoms don't imrpove by 08/29.  Patients mother will call.
Age: 5.0
Sex: M
Vaccine: UNK
Symptoms: Cellulitis, Injection site induration, Injection site oedema
Clinical narrative: Swollen, indurated site at cellulitis
Age: 1.0
Sex: M
Vaccine: DTAP, HBPV, IPV, MMR, VARCEL
Symptoms: Pruritus, Pyrexia, Rash
Clinical narrative: 1 1/2 hours after vaccine given he got a rash all over body, itching, fever.  Went to ER and was given liquid to drink and antibiotic to take at home. Once he received liquid, rash and fever went away gradually.  Then no problems.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Child into clinic for reactions to immunizations on 8/14/03. Immunizations given on 8/12/03. Mom noted on 8/13/03 swelling to right thigh where IPV and DTaP was given. Mom states right thigh swollen; decrease in swelling and redness on 8/14/03. Doctor noted right thigh swollen knee to hip; not red or tender at time of visit.
Age: 4.0
Sex: F
Vaccine: DTP, IPV
Symptoms: Erythema, Injection site warmth, Pruritus, Swelling
Clinical narrative: Patient returned 3 days after DPT and IPV were administered at right upper leg with a large hot, itchy patch that was erythematous and swollen.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Convulsion, Encephalitis, Meningitis aseptic, Mental impairment, Myasthenic syndrome
Clinical narrative: 3/28/03 10 itchy papules that scabbed, associated altered mental status and seizures, varicella encephalitits and questionnable myasthenia gravis syndrome. CSF picture consistent with aseptic meningitis.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Pruritus, Rash papular
Clinical narrative: 3/28/03 10 itchy papules that scabbed, associated altered mental status and seizures, varicella encephalitits and questionnable myasthenia gravis syndrome. CSF picture consistent with aseptic meningitis.
Age: 0.3
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Left thigh red on top to distal area, positive edema, positive warmth, and positive tenderness.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Severe local reaction: swelling, pain, redness and warmth. Fever 101 degrees, chills, nausea, vomiting, body aches. All started approximately 24 hours after injection. Total duration of symptoms less than 36 hours. Resolved with antiemetics, antihistamines and NSAID.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: Severe local reaction: swelling, pain, redness and warmth. Fever 101 degrees, chills, nausea, vomiting, body aches. All started approximately 24 hours after injection. Total duration of symptoms less than 36 hours. Resolved with antiemetics, antihistamines and NSAID.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Right upper arm had some faded redness as of 8/12/03. Mom stated area had been very red, warm, and swollen after the injection but had improved alot. No medications prescribed.
Age: 1.5
Sex: M
Vaccine: DTAP, HBHEPB
Symptoms: Cellulitis, Injection site induration, Injection site warmth
Clinical narrative: Left upper arm warm to touch with slight induration in center approximately 3cm wide. Diagnosed with cellulitis and prescribed Duricef 250/5 1 teaspoon BID for 7 days.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site pain, Swelling
Clinical narrative: Bright red, swollen right leg sore to touch, 5.5" length covered whole front leg spreading to back. Referred to hospital.
Age: 44.0
Sex: F
Vaccine: TD
Symptoms: Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Fever, swelling and pain on left arm. Self-medicating with aspirin.
Age: 1.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MMR, VARCEL
Symptoms: Jaundice, Pyrexia
Clinical narrative: On 8/26/03, patient received Pediarix, HIB, MMR, and Varicella at approximately 10 AM. The next morning he woke up with fever of 194 rectally. Had fever that day and was given Tylenol and Pedialyte. Fever broke that night. On 8/29/03 patient started turning yellow and is still jaundiced today.
Age: 38.0
Sex: F
Vaccine: HEP, HEPA, IPV, MMR, TD
Symptoms: Dyskinesia, Musculoskeletal stiffness, Salivary hypersecretion, Tremor
Clinical narrative: Immediately after receiving 5th immunization, body stiffened with jerking movements, hand shaking, and salivation for approximately one minute. Glucose gel given. Transported to hospital EC; 2.5 hour observation then discharged. Became reoriented 3 times while ine EC. No treatment or medication.
Age: 0.5
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Urticaria
Clinical narrative: Urticaria. Benadryl prescribed.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: 10cmx10cm erythema at site 8/7.
Age: 4.0
Sex: M
Vaccine: DTAP, HIBV, MMR
Symptoms: Injection site induration
Clinical narrative: Left arm had a small 1/2 dime size area that was hard. No redness, no swelling and no pain. Have mother continue to monitor.
Age: 0.4
Sex: M
Vaccine: DTAP, IPV
Symptoms: Decreased appetite
Clinical narrative: Continuous crying for 3 days as per parents post DTaP and IPV on 3/27/03 and ? 1/27/03 with poor appetite. History only given on 4/14/03 visit.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Dysphagia, Face oedema, Rash
Clinical narrative: Mom called clinic from home reporting child complained of difficulty swallowing, rash on face and face being swollen. Advised call EMS. Was seen in ER and treated with steroid and released.
Age: 36.0
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Drug ineffective, Laboratory test abnormal, Malaise, Pain
Clinical narrative: Employee felt aches and malaise on 7/17. On 7/18, he noticed a few fluid filled vesicles. On 7/19, he states he had many vesicles on face, neck and trunk. Was seen by private MD on 7/22 and was diagnosed with varicella.
Age: 36.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash vesicular
Clinical narrative: Employee felt aches and malaise on 7/17. On 7/18, he noticed a few fluid filled vesicles. On 7/19, he states he had many vesicles on face, neck and trunk. Was seen by private MD on 7/22 and was diagnosed with varicella.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling and redness at site of injection. No fever or infection.
Sex: F
Vaccine: HEP, TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Received Td on 8/5/03. Mother reports she had fever of 101 the next day. Left arm reddened and swollen around injection site only. On 8/7/03, fever subsided; site tender to touch with slight swelling and very little redness.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Immunization given 7/15/03. Patient in office to see doctor 7/18/03; injection site red and swollen, hot to touch. On follow-up letter from doctor dated 09/10/2003: "I am reviewing the info she (his nurse) sent you and realize that it was much too brief and this reaction requires further explanation. She reported that the injection site was red, swollen and hot to touch. It was severe enough to require 3 office visits. The injection was given on 7/15/03 along with IPV and MMR. On 7/18/03 mom came back to the office and indicated that the child limped on his leg for about a day but since that has had no problem walking and is essentially asymptomatic with exception of about a 6x6 in round indurated red tender area on the left anterior thigh. The shot puncture could still be seen in the upper part of the indurated area. The injection was given in an appropriate area. The hips and knees flex completely so there was no sign of compartment syndrome. This area was angry enough for me to be concerned about cellulitis and the child was placed on Duricef 500 mg BID plus heat. Recheck on 7/20/03 again, asymptomatic with normal gait with exception of manipulation of the left thigh area. The left thigh was still swollen, the area was slightly larger but the erythema had faded significantly and was no longer hot. Antiobiotics were continued as well as heat. Recheck again on 7/25/03, now 10 days post DTAP. The child is totally asymptomatic and running around without any difficulty. The left anterior thigh still had about an 8-inch faint pink area which was not tender, not indurated or hot. It is felt that this was all local DTAP reaction, probably was not infected even though he did get a course of antibiotics. There was never any adenopathy."
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Cellulitis on left arm-deltoid, about 3" area of redness, swelling and heat.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: On left arm-deltoid, about 3" area of redness, swelling and heat.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Cellulitis on left arm-deltoid, about 4" area of redness, swelling and heat.
Age: 1.5
Sex: M
Vaccine: PNC
Symptoms: Dysphagia, Face oedema, Rash
Clinical narrative: 2-3 hours after PCV 7 vaccine, pt had swelling of lips, rash on face, apparent difficulty swallowing. No respiratory compromise. This event was immediately preceded by eating peanut butter. Treated with prednisolane and Benadryl.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Left upper arm red and warm to touch near injection site. 2+ edema. Continue to monitor. Give Benadryl and Tylenol.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Lethargy, Pyrexia, Rash, Roseola
Clinical narrative: 1 week after MMR and Varicella pt got roseola rash covered entire body. Fever was 103 degrees. Mother reports child was better in 3-5 days. Did not appear to be in any discomfort from the rash. She was lethargic from fever.
Age: 3.0
Sex: M
Vaccine: DTAP, PPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Swollen and redness at site (left deltoid).
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pain
Clinical narrative: Right arm swollen and red in color 3" wide, 3.5" in length. Hot to the touch and painful to move, per pt. Expressed to use cool compress and childrens Advil for discomfort and swelling. Parents were to call if needed.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Oedema, Pyrexia
Clinical narrative: Swelling, redness, fever
Age: 38.0
Sex: M
Vaccine: TD
Symptoms: Injection site induration, Injection site warmth, Joint range of motion decreased, Myalgia, Pyrexia
Clinical narrative: Full body myalgias, esp. left deltoid (injection site), fever 100.1 degrees F., chills, shakes.  Limited left arm ROM. Induration and heat (about 10cm diameter) with central red point area of Td delivery. No rash, hives, SOB, dysphagia/phonia. CTA without adenopathy and ED report faxed to our office, unable to make out names or identify vaccine info. We placed him on Zurtec 10 mg. Recovery per wife occurred throughout 8/18/03, without sequelae or complications.
Age: 38.0
Sex: M
Vaccine: TD
Symptoms: Tremor
Clinical narrative: Full body myalgias, esp. left deltoid (injection site), fever 100.1 degrees F., chills, shakes.  Limited left arm ROM. Induration and heat (about 10cm diameter) with central red point area of Td delivery. No rash, hives, SOB, dysphagia/phonia. CTA without adenopathy and ED report faxed to our office, unable to make out names or identify vaccine info. We placed him on Zurtec 10 mg. Recovery per wife occurred throughout 8/18/03, without sequelae or complications.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site oedema, Pain, Pruritus, Pyrexia, Vomiting
Clinical narrative: 9 cm swollen area left deltoid, tender and itchy, started 24 hours after shots. 72 hours after shots, vomiting, temp 100 degrees.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Site of DTaP vaccine (right deltoid) became red, warm to touch and swollen approximately 2 days after vaccine was administered. Pt was started on Keflex 250 mg/5cc 2 tsp po BID on 8/27/03 at approx 8:30 PM. Redness and swelling have improved.
Age: 35.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Hot flush, Pyrexia, Tremor, Vomiting
Clinical narrative: Received Hep B injection about 8:15 AM. Pt called clinic about 11:45 AM same day with complaints of shakey, weak, having hot flashes and vomiting 7 times after eating something, slightly increased temp.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Contusion, Injection site erythema
Clinical narrative: DTaP: IM right deltoid 08/18.  Seen 08/20 5PM to read PPD.  Nurse noticed bruise at left deltoid and red area below injection site.  Given Benadryl.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Pt mother called 8/23/03 and states right leg swollen, red, size of hand. Dr was not in office. Sent to hospital.
Age: 1.4
Sex: M
Vaccine: DTAP, PNC, VARCEL
Symptoms: Muscle rigidity, Tremor
Clinical narrative: Shaking and had clenching, muscular rigidity of extremities, looking "out of it" for 30 min.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Oedema, Pain
Clinical narrative: Swelling and pain of right deltoid.
Age: 52.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Pain, Rash maculo-papular
Clinical narrative: Arm pain, red, raised "blotchy" 5" x 3" area. Benadryl/ice suggested.
Age: 9.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Feeling hot, Oedema, Urticaria
Clinical narrative: Td given to left deltoid-reaction <240 includes swelling to site, red, warm, hives to deltoid muscle.  Patient treated at home with cool compress over the counter ibuprofin.  (-) effects noted.  Also, Td given prior to 2nd dose on 05/24/2002, but chart not chartable to verify.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Injection site oedema, Injection site warmth, Pain
Clinical narrative: Pt was given 0.5 cc of pneumovax to right deltoid. Approx 5 hours later pt called with arm swelling, hot, painful. Told to put ice on it, take Benadryl. Call if any concerns.
Age: 1.5
Sex: F
Vaccine: HIBV, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Rash papular
Clinical narrative: 10 days from vaccine administration pt developed small papule with surrounding erythema at site of vaccine administration.  Papule is dark, ~7mm in diameter, raised ~ 3mm rough, non-tender, non-fluctuant, ? mildly vescicular (but no clear areas noted for de-roofing, etc.), surrounded by silver-dollar sized area of normal temperature erythema and induration mildly tender to touch and non-fluctuant.  I took pictures with a digital camera.
Age: 39.0
Sex: F
Vaccine: ANTH
Symptoms: Discomfort, Paraesthesia, Swelling
Clinical narrative: Individual had onset of ipsilateral hand/finger pain the day following the immunization which has persisted until now.  Discomfort is worse in the morning upon awakening.  No hyperemia or swelling other than some swelling over the distal ulna with some discomfort/paresthesias into the fifth digit.
Age: 31.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Soreness, swelling and erythema at vaccination site lasting for approximately one week.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site swelling, Rash erythematous, Swelling
Clinical narrative: Left upper thigh with diffuse swelling and erythematous, polymorphous rash that blanches with palpatation, progressing from awakening this morning to evaluation down the leg to the knee. This is associated with warmth to touch.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Feeling hot, Oedema, Palpitations, Rash erythematous
Clinical narrative: Left upper thigh with diffuse swelling and erythematous, polymorphous rash that blanches with palpatation, progressing from awakening this morning to evaluation down the leg to the knee. This is associated with warmth to touch.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia
Clinical narrative: Patient report persistent joint pain in left elbow radiating to left shoulder, neck and back following Anthrax vaccine #2 on 7/21/2003.  Denies numbness, tingling, headache, myalgia.  Recieved Antrax vaccine #3 on 8/4/2003 in the right arm,lolerated well
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Urticaria
Clinical narrative: Mother noted hives on trunk of body (chest, abd., back) when child awoke on August 9th.  A few hives were noted on the neck and face.  The doctor felt the child did not need an appt. for an examination.  Resolving hives noted by writer on August 11th.  Denies changes in food or laundry soaps or environment.
Age: 46.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Patient was given 0.5ml Adult Td IM in left upper arm for burn injury to groin area. Local reaction (redness & swelling) was noted at injection site 3 days later. Reaction was treated with Loratidine 10mg daily. The reaction subsided in about 5-6 days after the injection.
Age: 57.0
Sex: M
Vaccine: SMALL
Symptoms: Rash erythematous, Rash vesicular
Clinical narrative: Recurrence of pox lesions 3 mo. post-vax.  Multi-vesicular erythematous lesion about dime-size, 3 cm. from vax site.  Non-painful, no drainage, no systemic symptoms.  Resolving nicely by day 14.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Oedema
Clinical narrative: Left leg swollen and hot to touch for 2 days. Benadryl given by parent.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Rash, Swelling face
Clinical narrative: 2 days after MMR, DTaP, and IPV, patient developed rash over arms and back which responded to dephenhydramine.  One day later, she developed rash on her chest and face and significant facial swelling.  No difficulty breathing.  Was seen in ER, got 4 days of benadryl and prednisolone and fully recovered.
Age: 14.0
Sex: M
Vaccine: HEPA, TTOX, VARCEL, HEPA, TD, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Left deltoid red hot swollen, area sore, painful to touch. No fever. Received Varicella given on 6/25/03.
Age: 14.0
Sex: M
Vaccine: HEPA, TTOX, VARCEL, HEPA, TD, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pain
Clinical narrative: Left deltoid red hot swollen, area sore, painful to touch. No fever. Received Varicella given on 6/25/03.
Age: 0.7
Sex: F
Vaccine: DTAP, HEP, HIBV, PNC, DTAP, HEP, HIBV, PNC
Symptoms: Injection site erythema
Clinical narrative: Erythema bilateral thighs at injection site.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Erythema, Injection site mass
Clinical narrative: Left arm with knot 1-2 inches and small red area about 1/2 inch. Mom took child to Dr, no treatment required.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Left arm with knot 1-2 inches and small red area about 1/2 inch. Mom took child to Dr, no treatment required.
Age: 55.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Fatigue, Injection site induration, Pain, Swelling
Clinical narrative: Severe left arm pain, swelling. The medical record from MD's office state fatigue, induration at injection site, and hip flexor tendon pull.  60 day follow up on 11/18/2003: "Vaccine recipient did recover from the adverse events that were reported for this vaccination." The discharge summary received on 1/16/04 states diagnoses of adverse tetanus shot reaction and possible overlying cellulitis.
Age: 55.0
Sex: F
Vaccine: TD
Symptoms: Tendon disorder
Clinical narrative: Severe left arm pain, swelling. The medical record from MD's office state fatigue, induration at injection site, and hip flexor tendon pull.  60 day follow up on 11/18/2003: "Vaccine recipient did recover from the adverse events that were reported for this vaccination." The discharge summary received on 1/16/04 states diagnoses of adverse tetanus shot reaction and possible overlying cellulitis.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Abnormal behaviour, Antisocial behaviour, Anxiety, Cough, Insomnia
Clinical narrative: I believe my son developed PPD NOS after receiving vaccines earlier in his life. after he received his 5 year booster vaccines, he reverted within days to his old behavior and added more severe behavior to his personality. Symptoms changed: eye contact, down socialization, hands became flexed, extreme irritability and anxiety, sleeplessness, tantrums, self injury which was never present, kept telling me within two weeks of shots that his brain was going to get better, he got a cough, congestion, and a fever within 2 days of the shot. 60 day follow up on 11/20/2003: "Vaccine recipient did not recover from the adverse events.  My son is still on risperdal and does not sleep through the night.  The symptoms of autism are still prominent."
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Irritability, Nasal congestion, Pyrexia
Clinical narrative: I believe my son developed PPD NOS after receiving vaccines earlier in his life. after he received his 5 year booster vaccines, he reverted within days to his old behavior and added more severe behavior to his personality. Symptoms changed: eye contact, down socialization, hands became flexed, extreme irritability and anxiety, sleeplessness, tantrums, self injury which was never present, kept telling me within two weeks of shots that his brain was going to get better, he got a cough, congestion, and a fever within 2 days of the shot. 60 day follow up on 11/20/2003: "Vaccine recipient did not recover from the adverse events.  My son is still on risperdal and does not sleep through the night.  The symptoms of autism are still prominent."
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Erythema, Otitis media, Rash, Rhinorrhoea, Skin irritation
Clinical narrative: First developed wheezing with severe ear infection within one week of 12/22/1999 vaccinations. Then began developing red irritation around neck (doctors told me it was eczema and that he would have it every winter and probably eventually develop asthma) and hives all over body within one month of 12/22/99 vaccinations--patient would be up all night trying to itch neck area. Treated neck area with hydrocortisone cream--worked initially but as soon as stopped would return even worse. Eventually treated neck area with Homeopathy with success--neck irritation never returned. Wheezing and hives progressively  worsened over the years with hospitalization on 1/19/01 and 3/23/02 with oxygen levels between 80-85 and pneumonia on 1/19/01 hospitalization. Treated in hospital with antibiotics, oral Prednisone, Albuterol/Atrovent, and Pulmicort. At home, treatments were with a nebulizer using saline or Albuterol. After 3/23/02 hospitalization, patient was tested for allergies and found to be allergic to eggs, brewer's yeast, wheat, spelt, cane sugar, weeds, trees, dust, cats, molds. Doctors wanted me to treat him daily with steroids, inhalers, nebulizer, etc. Because of his symptoms were only getting worse with conventional treatments that were requiring more and more drugs to keep him breathing normally, I eventually took patient to Homeopathic doctor for treatment and have found the greatest relief of his symptoms through her treatments--since seeing her in August 2002, he has completely weaned off of all conventional treatments and has not wheezed in 8 months. He still gets some skin reactions and sneezing with runny nose, but it is progressively lessening with continued Homeopathic treatments. The medical records state otitis media and dermatitis.  60-day Follow up on 11/13/2003: "Vaccine recipient did not recover from adverse events.  Continued skin problems, allergies, difficulty breathing (wheezing).  His symptoms are not as frequent since I took him off all conventional treatments (steroids, nebulizer, etc) and started homeopathy under the care of a homeopathic physician about a year ago.  He was only getting worse with required hospitalizations with allopathic medicine.  So grateful we found homeopathy!"
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Sleep disorder, Urticaria, Wheezing
Clinical narrative: First developed wheezing with severe ear infection within one week of 12/22/1999 vaccinations. Then began developing red irritation around neck (doctors told me it was eczema and that he would have it every winter and probably eventually develop asthma) and hives all over body within one month of 12/22/99 vaccinations--patient would be up all night trying to itch neck area. Treated neck area with hydrocortisone cream--worked initially but as soon as stopped would return even worse. Eventually treated neck area with Homeopathy with success--neck irritation never returned. Wheezing and hives progressively  worsened over the years with hospitalization on 1/19/01 and 3/23/02 with oxygen levels between 80-85 and pneumonia on 1/19/01 hospitalization. Treated in hospital with antibiotics, oral Prednisone, Albuterol/Atrovent, and Pulmicort. At home, treatments were with a nebulizer using saline or Albuterol. After 3/23/02 hospitalization, patient was tested for allergies and found to be allergic to eggs, brewer's yeast, wheat, spelt, cane sugar, weeds, trees, dust, cats, molds. Doctors wanted me to treat him daily with steroids, inhalers, nebulizer, etc. Because of his symptoms were only getting worse with conventional treatments that were requiring more and more drugs to keep him breathing normally, I eventually took patient to Homeopathic doctor for treatment and have found the greatest relief of his symptoms through her treatments--since seeing her in August 2002, he has completely weaned off of all conventional treatments and has not wheezed in 8 months. He still gets some skin reactions and sneezing with runny nose, but it is progressively lessening with continued Homeopathic treatments. The medical records state otitis media and dermatitis.  60-day Follow up on 11/13/2003: "Vaccine recipient did not recover from adverse events.  Continued skin problems, allergies, difficulty breathing (wheezing).  His symptoms are not as frequent since I took him off all conventional treatments (steroids, nebulizer, etc) and started homeopathy under the care of a homeopathic physician about a year ago.  He was only getting worse with required hospitalizations with allopathic medicine.  So grateful we found homeopathy!"
Age: 1.25
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Convulsion, Laboratory test abnormal, Pyrexia
Clinical narrative: Brief seizures x 2 associated with fever on 08/23/2003. Observed overnight in hospital. No complications associated with febrile seizures.
Age: 36.0
Sex: M
Vaccine: SMALL
Symptoms: Anxiety, Chest pain, Sleep disorder
Clinical narrative: 4/3/03: Telephone call to county health department from pt voice concern regarding possible cardiac reaction post smallpox vaccination. Employee health nurse relayed pt's concerns and will follow up with pt. 4/4/03: Client seen in ED of hospital, had cardiac work up, no problems were discovered. Having trouble sleeping, he received anti anxiety medication. Pt voice concerns because his live in girlfriend had MI and by-pass surgery in the time since he had the smallpox vaccine. Pt to follow up with MD at hospital for any further concerns. 4/21/03: TC received from hospital stating nurse has heard rumor that pt is upset about the smallpox vaccination. TC placed to pt, message left to contact. 4/22/03: TC received from pt stating that he began having concerns about 1 1/2 weeks after receiving the vaccination. Explained that received a letter from the hospital on 4/1/2003, regarding the cardiac updates. He described the above info and added that he decided to make an appointment with a cardiologist. Had cardiac work up; put on Nitroglycerin for chest pain. Results expected 5/2/2003. He will call with results. TC to state health office advised VAERS is not appropriate unless the cardiologist's report indicated need. 8/3/03: TC received from hospital. Nurse stated she heard that pt had an appointment with infectious disease physician. 8/26/03: TC to state health office regarding pt's ongoing concerns, record faxed. 8/29/03: Received Email confirming receipt of record. State health office advised VAERS form appropriate given vaccine's complaints of symptoms.