chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 48.0
Sex: M
Vaccine: HEPA, YF
Symptoms: Pruritus, Urticaria
Clinical narrative: Given yellow fever and #1 Havrix around 15:00.  Between 8-9 pm, noticed itching all over.  10pm noticed hives on arms, trunk and legs.  Reported to Medical clinic 01/07/04 @ 13:30.  Hives disappearing and not as itchy.
Age: 4.0
Sex: M
Vaccine: FLUN3
Symptoms: Medication error, Rash pruritic
Clinical narrative: This report of itchy rash is being submitted in an expedited time frame as requested by the FDA. Information regarding Flumist nasal solution was received from a parent regarding her 4 year old son who received a dose on 12/12/03 and developed an itchy rash. Relevant medical history was not provided. Indication for Flumist was immunization. Product was administered on 12/12/03. Dose regimen was 1 dose 1 time per day (IN). Concomitant medications were not reported. On 12/15/03, the patient, a 4 year old (medication error), developed an itchy rash from neck down to extremities (rash) described as itchy (pruritus). He was treated with Benadryl and the rash disappeared in 6 days. On 1/6/04, the same rash broke out and he was again given Benadryl. No additional information was available at the time of this report. (OMIC)
Age: 12.0
Sex: F
Vaccine: FLUN3, FLUN3
Symptoms: Wheezing
Clinical narrative: This report of wheezing is being submitted in an expedited time frame as requested by the FDA. Information regarding Flumist live intranasal solution was received from a nurse regarding her 12 year old daughter who developed wheezing. At 12 years of age, the patient received a dose on 12/19/03. The patient had no relevant medical history. She had no history of asthma or wheezing. Indication for Flumist was immunization. Product was administered on 12/19/03. Dose regimen was 1 dose (IN). Patient was not taking concomitant therapy. On 12/19/03, the evening of vaccination, the patient began wheezing. She was treated with Ventolin nebulizations and an unspecified steroid inhaler. As of 1/16/03, her symptoms persisted and treatment continued. No additional information was available at the date of this report. (OMIC)
Age: 9.0
Sex: M
Vaccine: FLUN3
Symptoms: Rash, Rhinorrhoea
Clinical narrative: This report of rash is being submitted in an expedited time frame as requested by the FDA. Follow up information received from the physician provided recovery status (patient recovered). Information regarding Flumist nasal solution was received from a physician regarding a 9 year old male patient who experienced a runny nose and a rash described as red bumps like mosquito bites. The patient received a dose on 12/12/03. The patient had no medical history. Indication for Flumist was immunization. Product was administered on 12/12/03. Dose regimen was 0.5mL (IN). Patient was not taking concomitant therapy. On 12/13/03, 1 day post immunization, the child developed a runny nose and a rash described as red bumps like mosquito bites on his back. The bumps did not itch. The rash spread from his back to his chest within a day. On 12/14/03, the runny nose resolved spontaneously. The physician reported that the child had recovered. (OMIC)
Age: 10.0
Sex: M
Vaccine: FLUN3
Symptoms: Urticaria
Clinical narrative: This report of hives is being submitted in an expedited time frame as requested by the FDA. Follow up information from the pediatrician provided event outcome (patient recovered). Information regarding Flumist nasal solution was received from a pediatrician's office regarding a 10 year old male patient who developed hives all over his body. The patient received the first dose on 12/11/03. The patient had no relevant medical history. Indication for Flumist was immunization. Product was administered on 12/11/03. Dose regimen was 1 dose. Patient was not taking concomitant therapy. On 12/14/03, 3 days post immunization, the child developed hives all over his body. A nurse advised the parents to give Benadryl. The pediatrician reported that the patient recovered. (OMIC)
Age: 32.0
Sex: M
Vaccine: DTAP, HEP, HEPA, IPV, TYP, YF
Symptoms: Influenza like illness
Clinical narrative: Pt came in 01/28/04 with flu like symptoms.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Dyskinesia, Pyrexia, Staring, Urinary incontinence, Vomiting
Clinical narrative: Mom reported to us that her daughter woke with a fever of 101.5 axillary in the middle of the night.  Mom also noticed jerking of arms and legs of and on throughout the night.  She had an episode of staring also where she wouldn't respond.  She vomited once, and had an episode of urinary incontinence.  She does have history of nocturnal eneuresis.  By the next morning she was back to her normal self, except for a persistent fever.  Mom telephoned us, but she was not seen and evaluated.
Age: 30.0
Sex: M
Vaccine: HEP
Symptoms: Hepatitis, Laboratory test abnormal
Clinical narrative: Pt immunized with 3 doses Hep B vaccine and shows acute Hepatitis B
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Oedema peripheral, Pruritus, Thermal burn
Clinical narrative: He received his third anthrax vaccine on April 24, 2001. Immediately, he reports that he felt burning at the injection site, which he expected. Within 48 hours he reports that he had significant redness and swelling from his shoulder down to his elbow. He reports that he had itching which he rates 5/10 involving the area and also burning 5/10. He went to see a physician who said it was due to the anthrax vaccine and stated that she should not receive further anthrax vaccines. The physician gave him Benadryl 50MG that he found to be effective. However, his arm continued to swell and over the next two days he reports that the swelling extended down past the elbow to the mid forearm. The swelling did not affect his range of motion. He reports that the swelling and redness lasted approximately 10 to 12 days. Upon resolution of symptoms, he reports that he has had no residual effects. He is now due to be deployed and there is some concern as to whether he should receive the anthrax vaccine.
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Balance disorder, Dizziness, Feeling hot, Feeling jittery, Nausea
Clinical narrative: He received anthrax #1 on January 24, 2004 at approximately 1330 in the afternoon. He received no other vaccines on that day. He reports that within less than 5 minutes of receiving the vaccine he felt hot. This sensation increased and soon he felt like he was on fire. This feeling was within his body. He reports that he started stripping and sat down for a few minutes. At that time, he became nausea. He told how he felt and was told to report to his other appointment at the dental office. He walked to the dental office where he reports that he became lightheaded. He also felt unstable on his feet and jittery. He told the person at the desk and was helped to the back so he could lie down on an examination table. He reports that his throat became dry and tight feeling. Lying down increased the feeling of lightheadedness. A call was placed to 911 and he was transported by ambulance. At 1510 his vital signs were taken and found to be normal. While in the emergency room he was treated with Benadryl 25 mg IM and Solumedrol 125 mg IM. He denies any facial or oral swelling, excessive salivation or trouble breathing. He has no prior history of similar symptoms.
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Throat tightness
Clinical narrative: He received anthrax #1 on January 24, 2004 at approximately 1330 in the afternoon. He received no other vaccines on that day. He reports that within less than 5 minutes of receiving the vaccine he felt hot. This sensation increased and soon he felt like he was on fire. This feeling was within his body. He reports that he started stripping and sat down for a few minutes. At that time, he became nausea. He told how he felt and was told to report to his other appointment at the dental office. He walked to the dental office where he reports that he became lightheaded. He also felt unstable on his feet and jittery. He told the person at the desk and was helped to the back so he could lie down on an examination table. He reports that his throat became dry and tight feeling. Lying down increased the feeling of lightheadedness. A call was placed to 911 and he was transported by ambulance. At 1510 his vital signs were taken and found to be normal. While in the emergency room he was treated with Benadryl 25 mg IM and Solumedrol 125 mg IM. He denies any facial or oral swelling, excessive salivation or trouble breathing. He has no prior history of similar symptoms.
Age: 4.0
Sex: F
Vaccine: TD
Symptoms: Asthenia, Dyspnoea, Lymphadenopathy, Swelling
Clinical narrative: Pt c/o left deltoid swelling, radiating up neck,enlargened lymph nodes in neck,bilat. leg weakness, and sob x 3 days.
Age: 43.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Night sweats, Pruritus, Rash
Clinical narrative: WELL LINEATED RASH OBSERVED ON PATIENT'S WAIST. PATIENT STATED RASH WENT DOWN BOTH LEGS AND ON BUTTOCKS. C/O ITCHING. NO DRAINAGE NOTED. PATIENT C/O NIGHT SWEATS. STATES SIGNS AND SYMPTOMS STARTED 3 DAYS AFTER VACCINATION. PATIENT STATED HE HAS NOT BEEN TO A PHYSICIAN.
Age: 43.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Dermatitis contact, Pruritus, Rash, Skin ulcer
Clinical narrative: WELL LINEATED RASH OBSERVED ON PATIENT'S WAIST. PATIENT STATED RASH WENT DOWN BOTH LEGS AND ON BUTTOCKS. C/O ITCHING. NO DRAINAGE NOTED. PATIENT C/O NIGHT SWEATS. STATES SIGNS AND SYMPTOMS STARTED 3 DAYS AFTER VACCINATION. PATIENT STATED HE HAS NOT BEEN TO A PHYSICIAN.
Age: 0.34
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Antisocial behaviour, Autism, Encephalopathy, Hypokinesia, Mental retardation severity unspecified
Clinical narrative: On the day of these vaccines, patient stopped making all vocal sounds except crying for 2 months.  Also, she had decreased eye contact which was most severe for 2-3 months after her 4-month vaccinations, but which continues today.  Previously, she had been a normal, alert, babbling baby.  She currently has persistent motor and social difficulties and some ADHD symptoms consistent with PDD/high-level Autistic Spectrum Disorder.  Parents, unaware these symptoms indicated an adverse vaccine reaction, did not report reaction to physician immediately after it occurred. 60 day follow up 4/5/04: She has a variety of symptoms her doctors feel are related to this event which are causing difficulty for her at school--motor planning deficit, sensory integration deficit, social difficulties and trouble focusing on challenging tasks. She has poor eye contact and problems with listening. We, her parents, have a great difficulty finding the appropriate physician to study or treat her condition. One physician told us her symptoms most closely follow mercury poisoning, but we have been unable to confirm this. Because she does not have a clear diagnosis or recognized disability, we have been unable to get some therapy her doctors have recommended from her school or from private providers. We really wish there was more assistance providedfrom VAERS or the vaccine manufacturer to the families/physician caring for children like our daughter to help them diagnose, treat, study and prevent.
Age: 0.34
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Neuropathy, Speech disorder
Clinical narrative: On the day of these vaccines, patient stopped making all vocal sounds except crying for 2 months.  Also, she had decreased eye contact which was most severe for 2-3 months after her 4-month vaccinations, but which continues today.  Previously, she had been a normal, alert, babbling baby.  She currently has persistent motor and social difficulties and some ADHD symptoms consistent with PDD/high-level Autistic Spectrum Disorder.  Parents, unaware these symptoms indicated an adverse vaccine reaction, did not report reaction to physician immediately after it occurred. 60 day follow up 4/5/04: She has a variety of symptoms her doctors feel are related to this event which are causing difficulty for her at school--motor planning deficit, sensory integration deficit, social difficulties and trouble focusing on challenging tasks. She has poor eye contact and problems with listening. We, her parents, have a great difficulty finding the appropriate physician to study or treat her condition. One physician told us her symptoms most closely follow mercury poisoning, but we have been unable to confirm this. Because she does not have a clear diagnosis or recognized disability, we have been unable to get some therapy her doctors have recommended from her school or from private providers. We really wish there was more assistance providedfrom VAERS or the vaccine manufacturer to the families/physician caring for children like our daughter to help them diagnose, treat, study and prevent.
Age: 79.0
Sex: M
Vaccine: FLU3
Symptoms: Coma, Fall, Myocardial infarction
Clinical narrative: The subject is a 79 year old male who was found unresponsive by his wife while enrolled in a Comparative Randomized Study of Safety and Immunogenicity of a Non-Adjuvanted RSV Vaccine Versus An RSV Vaccine Adjuvanted Wtih Aluminum Phosphate When Administered Concomitantly With A Licensed Influenza Vaccine In High-Risk Adults > or = 65 Years Of Age, Protocol Number RSV11. The subject has received RSV vaccine or Placebo and Influenza vaccine twice with the last dose on 10/27/03. Date of first dose date was not reported. The subject was found unresponsive on 1/26/04 by his wife, 91 days post immunization. As per subject's wife, it appears that the subject went out to retrieve the mail, slipped on ice and fell. She found him unresponsive. Paramedics were unsuccessful in reviving him. He was transported to the hospital where treatment was continued but unsuccessful. Subject died on 1/26/04. The event was reported by the investigator as not related to the study vaccine. Myocardial infarction.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Diarrhoea
Clinical narrative: None. Had diarrhea 2 weeks before.
Sex: M
Vaccine: MEA
Symptoms: Convulsion, Pyrexia
Clinical narrative: Information has been received from a registered nurse concerning an approximately 20 year old male who as a child was vaccinated with measles virus vaccine live. Subsequently the pt developed high fevers and seizures. The nurse reported that "the pt needed to receive MMR II vaccine for INS status." Upon internal review seizures was considered an other important medical event (OMIC). No additional info is expected.
Age: 56.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Bacterial infection, Cellulitis, Erythema, Lethargy, Oedema peripheral
Clinical narrative: The night of vaccines, ran fever. 102 next day started getting red and very hot. By Friday evening 2 days after vaccines arm was swollen from shoulder to elbow and bright red hot. ER on 11/1 & 2-cellulitis bacterial family doctor 11/5/03. My arm was so swollen and red you could have fried a egg on it. I felt horrible. I thought it was the combination of both the flu and pneumonia vaccine at the same time in the same arm. It was not. Went to ER on 11/1/03-severe cellulitis bacterial. Poor administration and contamination by the LVN who administered vaccines. Had to have antibiotic injections and put on Keflex 500mg 4 x daily for 14 days and had to return to ER on 11/2/03 and my own personal physician on 11/5/03. Still not resolved. Still seeing my own physician. This is 11/11/03. My arm is still red and swollen, of course, better than it was. The medical record received on 2/17/04 states pain. Follow up 02/14/05: Arm is still red, like a rash, but  doing fine except for that. I don't think it had anything to do with the vaccinations. There was contamination during the administration of the vaccine,  I developed cellulitis. Medical record states lethergy. msv
Age: 56.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Pain, Pyrexia
Clinical narrative: The night of vaccines, ran fever. 102 next day started getting red and very hot. By Friday evening 2 days after vaccines arm was swollen from shoulder to elbow and bright red hot. ER on 11/1 & 2-cellulitis bacterial family doctor 11/5/03. My arm was so swollen and red you could have fried a egg on it. I felt horrible. I thought it was the combination of both the flu and pneumonia vaccine at the same time in the same arm. It was not. Went to ER on 11/1/03-severe cellulitis bacterial. Poor administration and contamination by the LVN who administered vaccines. Had to have antibiotic injections and put on Keflex 500mg 4 x daily for 14 days and had to return to ER on 11/2/03 and my own personal physician on 11/5/03. Still not resolved. Still seeing my own physician. This is 11/11/03. My arm is still red and swollen, of course, better than it was. The medical record received on 2/17/04 states pain. Follow up 02/14/05: Arm is still red, like a rash, but  doing fine except for that. I don't think it had anything to do with the vaccinations. There was contamination during the administration of the vaccine,  I developed cellulitis. Medical record states lethergy. msv
Age: 88.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Bundle branch block, Cellulitis, Chills, Confusional state
Clinical narrative: Local cellulitis and subsequently became septic requiring hospitalization. Discharge summary states fever, chills, hypotension, confusion, asthenia. msv
Age: 88.0
Sex: M
Vaccine: FLU3
Symptoms: Hypokalaemia, Hypotension, Injection site reaction, Pyrexia, Red blood cell count decreased
Clinical narrative: Local cellulitis and subsequently became septic requiring hospitalization. Discharge summary states fever, chills, hypotension, confusion, asthenia. msv
Age: 88.0
Sex: M
Vaccine: FLU3
Symptoms: Sepsis
Clinical narrative: Local cellulitis and subsequently became septic requiring hospitalization. Discharge summary states fever, chills, hypotension, confusion, asthenia. msv
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain upper, Arthritis, Back pain, Bone pain, Pain
Clinical narrative: I got flu vaccine 12/17. Bend of leg start hurting, back started hurting. Next day stomach started hurting, then but bones started hurting. Still hurting today 1/20/04. Hurts to sit, walk and stand.
Age: 42.0
Sex: M
Vaccine: ANTH, FLUX
Symptoms: Groin pain, Pain, Rash, Rash macular
Clinical narrative: 48 hours after vaccinations I developed blotchy rashes on and above head, chest, shoulders, neck and back.  Predominantly on the right side.  Rashes grew in size I was placed on Famvir and antibiotics rashes gave after 4 weeks.  Acute testicular pain also.
Age: 35.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Urticaria
Clinical narrative: 3 days after receiving vaccination, I developed hives all over my body.  I continue to have breakouts even now.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Influenza vaccine given IM/LA at 10:30am. Patient was instructed to wait 20 minutes in waiting room. The injection site was red and swollen when checked at 10:50am. The patient was brought back to exam room and provider notified.
Age: 6.5
Sex: M
Vaccine: FLU3, PPV
Symptoms: Diplopia, Heart rate decreased, Injection site erythema, Injection site swelling, Lethargy
Clinical narrative: Approximately 4 hours after shots, lethargy, double vision, pale, 100 degree fever, decreased pulse. Next day, redness and swelling at injection site, right deltoid, Pneumovax.
Age: 6.5
Sex: M
Vaccine: FLU3, PPV
Symptoms: Pallor, Pyrexia
Clinical narrative: Approximately 4 hours after shots, lethargy, double vision, pale, 100 degree fever, decreased pulse. Next day, redness and swelling at injection site, right deltoid, Pneumovax.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: 2.5 inch diameter redness, swelling, little pain appeared 1-2 days after receiving Anthrax vaccine.
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Chills, Influenza like illness, Injection site mass, Injection site oedema
Clinical narrative: 1/2 hour after shot; flu like symptoms along with aching joints that got worse as next 5 days went by. Glands in neck swelled up on day 6.  Left arm swelling up and knot appeared on day 8.  Chills and shakes when laying down on day 12.  Dose #2 scheduled for Jan. 26.
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Lymphadenopathy, Tremor
Clinical narrative: 1/2 hour after shot; flu like symptoms along with aching joints that got worse as next 5 days went by. Glands in neck swelled up on day 6.  Left arm swelling up and knot appeared on day 8.  Chills and shakes when laying down on day 12.  Dose #2 scheduled for Jan. 26.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Soreness, erythema with moderate edema from vaccination site distally to mid forearm limited to lateral aspect.  No other signs or symptoms.
Age: 0.6
Sex: F
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Crying, Irritability, Rash
Clinical narrative: Irritability; Crying; Rash;
Age: 16.0
Sex: F
Vaccine: MMR
Symptoms: Headache, Lymphadenopathy, Pain, Pyrexia
Clinical narrative: Along with fever, she has had associated body aches.  She has had a mild headache.  She denies any neck pain.  She has had no rash. She does report some lymphadenopathy of her neck. She denies any sore throat, upper respiratory infection symptoms or cough.  She received MMR, her first 1 about 10 days ago.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Agitation, Crying, High-pitched crying, Pyrexia, Somnolence
Clinical narrative: Pt seen at ER on 01/22/04 for fever, crying.  Uncertain whether it was "required" or not.  Mom called at 2 month old daughter who received 2 month immunizations on 01/21/04.  Yesterday pt had 102F greater then 3 hours of inconsolable crying, high pitched cry (+) vomiting.  Pt taken to ER and given Tylenol for fever.  Pt improved today appetite good, (-) vomiting, temperature 100F.  Sleeping increased but mom particularly concerned that pt clenching fists and holding them to sides of face.  RN suggested that was simply a return to fetal position d/t discomfort.  Recommendation Tylenol for fever and comfort, continue to watch closely call with any further questions.  Next time we can space out immunizations to try to prevent similar response.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Vomiting
Clinical narrative: Pt seen at ER on 01/22/04 for fever, crying.  Uncertain whether it was "required" or not.  Mom called at 2 month old daughter who received 2 month immunizations on 01/21/04.  Yesterday pt had 102F greater then 3 hours of inconsolable crying, high pitched cry (+) vomiting.  Pt taken to ER and given Tylenol for fever.  Pt improved today appetite good, (-) vomiting, temperature 100F.  Sleeping increased but mom particularly concerned that pt clenching fists and holding them to sides of face.  RN suggested that was simply a return to fetal position d/t discomfort.  Recommendation Tylenol for fever and comfort, continue to watch closely call with any further questions.  Next time we can space out immunizations to try to prevent similar response.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 8.5x8.5cm area of increased erythema and warmth left upper extremity.
Age: 1.6
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema
Clinical narrative: Mother brought child in complaining of local reaction on LVL.  Area red, approximately 4x6cm, no induration.  Cool compresses applied at home.
Age: 6.0
Sex: M
Vaccine: MMR
Symptoms: Skin ulcer
Clinical narrative: 6-8 lesions;
Age: 0.7
Sex: F
Vaccine: PNC, PNC
Symptoms: Unevaluable event, Vaccine positive rechallenge
Clinical narrative: Grunting, sighing, lasted 8-10 hours.
Age: 0.7
Sex: F
Vaccine: PNC, PNC
Symptoms: Cough, Injection site erythema, Injection site mass, Retching, Upper respiratory tract infection
Clinical narrative: Grunting, sighing, lasted 8-10 hours.
Age: 0.7
Sex: F
Vaccine: PNC, PNC
Symptoms: Wheezing
Clinical narrative: Grunting, sighing, lasted 8-10 hours.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Given DTAP/IPV at 5 year well visit on 01/28/2004 yesterday.  Noticed 3 inch red area raised hot at injection site on left arm.  Today a little less red.  No temperature.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Pain
Clinical narrative: 01/26/04: Pt reports after Pneumovax injection 01/21/04 leaving redness and swollen at left upper arm also reported body aches x 2-3 days 01/21/04 before injection given, pt explained possible side effects and was recommended to take Tylenol and put ice at injection site.  Pt signed after reading.
Age: 51.0
Sex: F
Vaccine: HEP, MMR, TD
Symptoms: Cough, Erythema, Nasal congestion, Rash, Rash macular
Clinical narrative: 01/23/2004: Office visit-cough, congestion, URI (viral).  01/29/04: Rash, erythematous, armsl egs, face, macular rash.  Symptomatic treatment; fluids, rest.
Age: 51.0
Sex: F
Vaccine: HEP, MMR, TD
Symptoms: Upper respiratory tract infection
Clinical narrative: 01/23/2004: Office visit-cough, congestion, URI (viral).  01/29/04: Rash, erythematous, armsl egs, face, macular rash.  Symptomatic treatment; fluids, rest.
Sex: U
Vaccine: DTAP, HBHEPB, MMR, PNC
Symptoms: Rash pustular
Clinical narrative: Pustulant rash to body.
Sex: M
Vaccine: DTAPHEPBIP, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth, Oedema peripheral
Clinical narrative: Began with redness around injection site on 01/26/04.  On 01/27/04, tricep area was reddened and swollen; tender, warm to touch.  Today, school nurse noticed swelling down to elbow.  Family provided no treatment.  Recommended call physician, cool compress and pain relief approved by PMD.
Age: 1.0
Sex: M
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Pyrexia, Rash maculo-papular
Clinical narrative: 01/15: Immunizations given (MMR, VZV, DTAP, PREVNAR, COMVAX).  01/23: Fever 104 and rash trunk, then face extremities.  Rash macular/papular.
Age: 1.4
Sex: F
Vaccine: DTAP, HBHEPB, VARCEL
Symptoms: Injection site mass, Injection site reaction, Pyrexia, Rash erythematous
Clinical narrative: Red, raised, nonvesicular rash appeared on left thigh at site of injection approximately 5-7 days after immunization administered. Rash was 3 hard bumps fixed under skin.  Rash cleared approximately 3 weeks after immunization administered. Pt developed fever up to 103 per rectum on 01/18/04.  Fever subsided by 01/19/04.
Age: 43.0
Sex: F
Vaccine: TD
Symptoms: Rash, Urticaria
Clinical narrative: Urticaria, rash left deltoid
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Anorexia, Pyrexia, Weight decreased
Clinical narrative: Slight temperature elevation on day of immunization.  For 3 days refusing to eat.  The child acts hungry, goes to the breast, then becomes fussy and pulls off.  Spitting up more than usual.  Taken Zantac for GER.  Weight loss of 1 oz over 3 days.  Wegith on 01/26: 10lbs, 11oz.  Weight on 01/29: 10lbs, 10 oz.
Age: 51.0
Sex: F
Vaccine: HEP
Symptoms: Oral mucosal blistering, Rash, Rash pruritic
Clinical narrative: 01/27/04: Pt received 1st Hep B vaccine-couple of hours later with facial rash, some itching.  Took Benadryl that night.  Next morning with blister tongue and lip.  (Facial rash, itching and mouth blisters)
Age: 1.0
Sex: F
Vaccine: HIBV, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 01/28/04: Came to office with a 3.0cm red, raised erythematous area on right upper thigh. Bactroban to area three times a day for 7-10 days, follow up as needed.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Swelling, redness over left deltoid started 1 day post vaccination.  Increased swelling next day.  1 time per day with liquid aclavil.
Age: 1.6
Sex: F
Vaccine: DTAP, HBHEPB, MMR, PNC
Symptoms: Pyrexia, Rash macular
Clinical narrative: Pt developed macular rash all over body 11 days after receiving MMR, low grade fever otherwise healthy.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pneumonia, Pyrexia, Vomiting
Clinical narrative: Elevated temperature (104.8), emesis x 2 on 01/21/04.  Right middle lobe pneumonia by chest x-ray on 01/22/04.  Treated outpatient with Roweshim IM and Omnicex by mouth.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema, Pruritus
Clinical narrative: Swollen, red, itchy, upper arm (approximately 5 inches diameter) down to elbow.
Age: 53.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site oedema, Injection site pain, Pruritus, Tremor
Clinical narrative: Had Hep A #2 09/04/2003 and immediately reported pain in left arm.  Swelling left arm began approximately 3 days later with some itching.  Saw MD 11/19/03 and told not to use arm or work. Vaccinated in Mexico and saw MD there and was given meds.  Saw MD in NV 12/19/03 and had x-rays taken.  Had MD visit in NV 01/09/04 and given meds Flexaril, Meloxi cam, aspercreme.  Told "no problem with x-rays. No diagnosis.  Pain and shaking in left arm continues.  Client states and indicated to nurse she received infection in shoulder joint. Client attributed administration to nurse not documented as administrator.
Age: 1.6
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Had DPT & PRP-T in left thigh 01/23.  01/24 mother states thigh is swollen, warm and red about size of grapefruit.  Will treat with cold compresses and Tylenol for discomfort.  If unimproved or fever pt will come to clinic tomorrow.
Age: 1.6
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Pyrexia, Rash papular
Clinical narrative: On 01/17/04 child had low grade fever (99) was covered with 100 or more papules.  The fever and these continued for 2 days and then faded.  Nothing since.
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site erythema, Injection site oedema, Pruritus
Clinical narrative: Pt returned to clinic 2 days post vaccination, with left arm reddened and swollen and itchy.  Left upper arm at immunization administration site.  Benadryl and ice to site ordered.
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Tremor
Clinical narrative: Hep B given around (10:15-10:30 AM) 1/7/03. Came home from school; right leg shaking. Afebrile in PM. Mother called 3:09 PM.
Age: 0.6
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Crying
Clinical narrative: Uncontrollable crying lasting 4-6 hours after injection.  No crying next day.
Age: 1.1
Sex: M
Vaccine: DTAPH
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Left thigh started swelling this AM with redness and hard area noted.  Pt to follow up with MD.
Age: 1.0
Sex: M
Vaccine: HBHEPB, MMR, PNC
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: 105 temperature 24 hours after vaccination.  Diagnosis made in ER of febrile seizure occurred. Fever lasted 24 hours.
Age: 1.0
Sex: M
Vaccine: DTAP
Symptoms: Urticaria
Clinical narrative: Urticaria
Sex: F
Vaccine: MEA
Symptoms: Immune system disorder
Clinical narrative: Information has been received from a female patient with an egg allergy-IgG (also reported as many allergies) who was vaccinated with the first booster dose of MMR live "when she was younger". It was reported that the patient missed the second dose. The reported indicates that she had labs done and her " immune levels for measles were low". It was reported that the patient did not want to provide any additional information. Unspecified medical attention was sought. Additional information is not expected.
Age: 8.0
Sex: F
Vaccine: MEA
Symptoms: Croup infectious, Haemolytic anaemia, Immunoglobulins decreased, Neutropenia, Pyrexia
Clinical narrative: Information has been received from a registered nurse and physicians concerning an 8 year old female with allergies to penicillin, amoxicillin (causes rash) and questionable allergy to azithromycin (Zithromax) (may have caused rash) with a history of being born at 36 weeks gestation, being on oxygen briefly immediately after birth, hospitalization 8 days after birth for jaundice, multiple ear infections during her first year of life and a geographic tongue noted on physical exam. The patient also developed croup, very high fever, Evan's syndrome, autoimmune neutropena, severe stomach virus, reticulocytosis, warts on knees, tetanus antibody level not in protective range, rubella antibody not in protective range, lower extremity pruritic rash and autoimmune hives following vaccinations with MMR live (second generation) on 15-Dec-1995 (WAES#0304USA02183). Due to the rubella antibody not being in the protective range the patient was vaccinated subcutaneously in the right arm on 01-Aug-2002 with a first dose of MMR live (lot #635740/1876K). Laboratory evaluation in December 2002 revealed that the patient still did not have a documentable measles antibody. The patient was seen by a physician who noted that the plan was to vaccinate the patient with a "third measles vaccine" and then recheck titers. At the time of this report it is unknown if the patient has received the 'third measles vaccine." Additional information has been requested.
Age: 8.0
Sex: F
Vaccine: MEA
Symptoms: Rash pruritic, Reticulocytosis, Skin papilloma, Thrombocytopenia, Urticaria
Clinical narrative: Information has been received from a registered nurse and physicians concerning an 8 year old female with allergies to penicillin, amoxicillin (causes rash) and questionable allergy to azithromycin (Zithromax) (may have caused rash) with a history of being born at 36 weeks gestation, being on oxygen briefly immediately after birth, hospitalization 8 days after birth for jaundice, multiple ear infections during her first year of life and a geographic tongue noted on physical exam. The patient also developed croup, very high fever, Evan's syndrome, autoimmune neutropena, severe stomach virus, reticulocytosis, warts on knees, tetanus antibody level not in protective range, rubella antibody not in protective range, lower extremity pruritic rash and autoimmune hives following vaccinations with MMR live (second generation) on 15-Dec-1995 (WAES#0304USA02183). Due to the rubella antibody not being in the protective range the patient was vaccinated subcutaneously in the right arm on 01-Aug-2002 with a first dose of MMR live (lot #635740/1876K). Laboratory evaluation in December 2002 revealed that the patient still did not have a documentable measles antibody. The patient was seen by a physician who noted that the plan was to vaccinate the patient with a "third measles vaccine" and then recheck titers. At the time of this report it is unknown if the patient has received the 'third measles vaccine." Additional information has been requested.
Age: 8.0
Sex: F
Vaccine: MEA
Symptoms: Viral infection
Clinical narrative: Information has been received from a registered nurse and physicians concerning an 8 year old female with allergies to penicillin, amoxicillin (causes rash) and questionable allergy to azithromycin (Zithromax) (may have caused rash) with a history of being born at 36 weeks gestation, being on oxygen briefly immediately after birth, hospitalization 8 days after birth for jaundice, multiple ear infections during her first year of life and a geographic tongue noted on physical exam. The patient also developed croup, very high fever, Evan's syndrome, autoimmune neutropena, severe stomach virus, reticulocytosis, warts on knees, tetanus antibody level not in protective range, rubella antibody not in protective range, lower extremity pruritic rash and autoimmune hives following vaccinations with MMR live (second generation) on 15-Dec-1995 (WAES#0304USA02183). Due to the rubella antibody not being in the protective range the patient was vaccinated subcutaneously in the right arm on 01-Aug-2002 with a first dose of MMR live (lot #635740/1876K). Laboratory evaluation in December 2002 revealed that the patient still did not have a documentable measles antibody. The patient was seen by a physician who noted that the plan was to vaccinate the patient with a "third measles vaccine" and then recheck titers. At the time of this report it is unknown if the patient has received the 'third measles vaccine." Additional information has been requested.
Sex: U
Vaccine: MEA
Symptoms: Drug ineffective
Clinical narrative: Information has been received from a nurse practitioner concerning a patient (age and gender not reported) who in 1989 was vaccinated with a dose of measles virus vaccine live (manufacturer unknown). It was reported on 06-Jun-2003 that the patient had "received a measles-containing vaccine (type or manufacturer unknown) in 1977 and 1989 and now has a negative titer." Unspecified medical attention was sought. Additional information has been requested.
Age: 11.0
Sex: F
Vaccine: MEA
Symptoms: Drug ineffective
Clinical narrative: Information has been received from the father of an 11 year old female who was vaccinated with a dose of measles virus vaccine live (Moraten), subcutaneous administration, 4 days before she turned 1-year-old (lot number not available). On a unspecified date, the patient received another dose of measles virus vaccine live (Moraten), receiving a total number of 2 doses. The father reported that after the second dose of vaccine, his daughter was "still showing up as not protected". Unspecified medical attention was sought. At the time of this report the patient's outcome was unknown. No further information is available.
Age: 3.0
Sex: F
Vaccine: DTAP, HBHEPB, HEPA
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: DTAP given 01/15/04.  Went to ER on 01/17/04 with complaint of left thigh with "large erythema, mild swelling (+) warmth". Recommended to give Aelone 1 tsp per mouth every day, ice, Benadryl as needed.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site oedema
Clinical narrative: Swelling of left upper arm.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site oedema
Clinical narrative: Swelling of left upper arm.  Thing appeared 01/11/04.   Then died spontaneously arm normal on 01/12/04.
Age: 16.0
Sex: F
Vaccine: HEP
Symptoms: Face oedema, Oedema peripheral, Rash pruritic
Clinical narrative: Approximately five hours after the shot was given my daughter broke out with tiny bumps all over her body. The bumps were itching and then she began to swell on her arms and face.  The doctor told me to give her some Benadryl. This lasted for 48 hours.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Fatigue, Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Right arm red, swollen, hot, very tired not acting normal.
Age: 50.0
Sex: F
Vaccine: RUB
Symptoms: Arthralgia, Joint swelling, Oedema, Pain, Rash
Clinical narrative: Wrist, elbow, knee, joint pain and swelling x 2 weeks. Abdominal rash resolved.  Ibuprofen 400mg every 4 hours with relief.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Left arm (deltoid) red, swollen, hot to touch.
Age: 3.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pruritus
Clinical narrative: Came to clinic with mom for sibling's TB test to be read.  Complained of reaction to shots left thigh. Received DTAP & IPV left thigh on 01/16/04.  Left thigh (+) redness, swelling, hot to touch, itching. Redness and swelling measure approximately 10x13cm.  Going from anterior thigh to inner thighs.  Not sure of onset because pt was with father.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Discomfort, Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Received DTAP in left deltoid on 01/16/04. Developed redness, swelling, discomfort and hot to touch.  Mom not sure of onset because they were with the father.  Redness measures approximately 5x6cm.  Mom reported reaction today 01/19/04 when she came for TB test reading.
Age: 0.4
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Anorexia, Crying, Depressed level of consciousness, Irritability, Lethargy
Clinical narrative: For 24 hours following vaccine, infant was lethargic, difficult to awaken, only fed 2 times in 29 hours, then 24 hours of irritability and crying.  NO fever.  Exam was normal.  After 48 hours, back to normal.
Age: 10.0
Sex: F
Vaccine: RAB
Symptoms: Injection site erythema, Injection site inflammation
Clinical narrative: Mother reported that child had severe red inflamed area at the site of the injection, however it was not present on 10/31/03 when the next dose was due.
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth, Pruritus
Clinical narrative: Swelling, heat, erythema, pain, itch 7.5cm.
Age: 0.4
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Choking, Crying, Encephalitis, Irritability, Oral intake reduced
Clinical narrative: Had fever became irritable that evening.  Next day started crying, crying continued for 5 days.  History of feeding problems and choking from birth worsen after vaccination, stopped eating and choking increased in frequency and severity and did not go back to normal until 3-4 weeks.  At 6 months check-up doctor diagnosed it as encephalitis related to Pertussis in DTAP.
Age: 0.4
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia, Screaming
Clinical narrative: Had fever became irritable that evening.  Next day started crying, crying continued for 5 days.  History of feeding problems and choking from birth worsen after vaccination, stopped eating and choking increased in frequency and severity and did not go back to normal until 3-4 weeks.  At 6 months check-up doctor diagnosed it as encephalitis related to Pertussis in DTAP.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Decreased appetite, Somnolence
Clinical narrative: Drowsiness slept for 11 hours straight.  Decreased appetitie, hypersomnolence for 2 days.
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Oedema
Clinical narrative: Noted swelling right arm. (+) warmth on area.  Keflex, 28 hours ever day, motrin liquid arm elevation.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Feeling hot, Infection, Oedema peripheral
Clinical narrative: pt received vaccinations on 21jan04, following day mother noticed left leg swollen, warm to the touch, no fever associated. s/b physician on 23jan04 as swelling not improved, admitted to local hospital on 24 Jan with possible infection and given iv antibiotic treatment, discharged 5 days later. Per medical record, patient experienced cellulitis.
Age: 13.0
Sex: F
Vaccine: HEP
Symptoms: Difficulty in walking, Headache, Pyrexia
Clinical narrative: Felt dizzy following immunization.  Needed support to walk (vaccine administered in arm, not leg).  Fever of 102 later in evening around 6:30pm.  Complained of headache.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Hepatic enzyme abnormal, Pain
Clinical narrative: Elevation of liver enzymes to ALT 630 AST 257 with decrease to ALT 87 AST 45 after 2 months. Then 13 days after next vaccination elevation back up to ALT 549 AST 109. Pt with only vague RUQ pain symptoms.
Age: 19.0
Sex: F
Vaccine: ANTH
Symptoms: Rash pustular
Clinical narrative: Developed large local reaction to vaccinated arm within 12 hours and lasted 2 weeks. Developed pustular rash 48 hours after vaccination
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus, Rash papular
Clinical narrative: Three days after scarification with Vaccinia, pt developed a pruritc, papular rash on chest, back, and neck.  Pt denied any history of atopic dermatitis, eczematous rashes, or any chronic dermatologic conditions.  No erythema, pustules, induration, headache, fever, myalgias, or other complaints.  Pt seen by provider one week after vaccination.  Pt reported increase in pruritis but no change in quality or extent of rash.  The rash similar to that seen with atopic dermatitis.  Pt was given diphenhydramine for symptomatic relief of pruritis.  Pt was monitored daily, the rash never progressed and resolved over 2 weeks.  No signs of disseminated vaccinia or even satellite lesions were observed.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Balance disorder, Chest discomfort, Chest pain, Disorientation
Clinical narrative: Had experienced joint pain and headaches, fever, fatigue, large lump at site of injection, sore lymph nodes in neck surrounding the #2 AVA immunization, "nothing debilitating".  Received AVA #3 on 2/21/2003, followed by initial dose of Larium(Mefloquine) on 3/2/2003.  On 3/7/2003, while sitting at desk, sudden onset of chest tightness with pain. Sudden jabbing sensation in chest. Deep breathing made the chest pain worse. Went to office next door for help, medics called. Sensations lasted > 4 hours before starting to taper. Felt dizzy, disoriented, off balance(about to fall on face). Medics noted low, then high B/P. To ER, on oxygen, tests done, observation for several hours, eventually d/c to home. Felt back to normal, not worried about going home. Similar symptoms have occurred off and on since that date, lasting several days at a time, with 1-3 weeks between episodes. Usual pattern is surprising, sudden onset of dizziness, severe headache with vision disturbances sometimes, shest tightness with sharp pain in anterior mid-sternal pain, cold sweats, feet and toes and hands numb, hands appear blanched. Has had to go to ER 5-6 times due to the severity of the symptoms.Tests have shown normal results, normal EKg.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Dizziness, Fatigue, Headache, Hyperhidrosis, Hypoaesthesia
Clinical narrative: Had experienced joint pain and headaches, fever, fatigue, large lump at site of injection, sore lymph nodes in neck surrounding the #2 AVA immunization, "nothing debilitating".  Received AVA #3 on 2/21/2003, followed by initial dose of Larium(Mefloquine) on 3/2/2003.  On 3/7/2003, while sitting at desk, sudden onset of chest tightness with pain. Sudden jabbing sensation in chest. Deep breathing made the chest pain worse. Went to office next door for help, medics called. Sensations lasted > 4 hours before starting to taper. Felt dizzy, disoriented, off balance(about to fall on face). Medics noted low, then high B/P. To ER, on oxygen, tests done, observation for several hours, eventually d/c to home. Felt back to normal, not worried about going home. Similar symptoms have occurred off and on since that date, lasting several days at a time, with 1-3 weeks between episodes. Usual pattern is surprising, sudden onset of dizziness, severe headache with vision disturbances sometimes, shest tightness with sharp pain in anterior mid-sternal pain, cold sweats, feet and toes and hands numb, hands appear blanched. Has had to go to ER 5-6 times due to the severity of the symptoms.Tests have shown normal results, normal EKg.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Laboratory test abnormal, Lymphadenopathy, Pyrexia, Visual disturbance
Clinical narrative: Had experienced joint pain and headaches, fever, fatigue, large lump at site of injection, sore lymph nodes in neck surrounding the #2 AVA immunization, "nothing debilitating".  Received AVA #3 on 2/21/2003, followed by initial dose of Larium(Mefloquine) on 3/2/2003.  On 3/7/2003, while sitting at desk, sudden onset of chest tightness with pain. Sudden jabbing sensation in chest. Deep breathing made the chest pain worse. Went to office next door for help, medics called. Sensations lasted > 4 hours before starting to taper. Felt dizzy, disoriented, off balance(about to fall on face). Medics noted low, then high B/P. To ER, on oxygen, tests done, observation for several hours, eventually d/c to home. Felt back to normal, not worried about going home. Similar symptoms have occurred off and on since that date, lasting several days at a time, with 1-3 weeks between episodes. Usual pattern is surprising, sudden onset of dizziness, severe headache with vision disturbances sometimes, shest tightness with sharp pain in anterior mid-sternal pain, cold sweats, feet and toes and hands numb, hands appear blanched. Has had to go to ER 5-6 times due to the severity of the symptoms.Tests have shown normal results, normal EKg.