chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 13.0
Sex: M
Vaccine: TD, TD
Symptoms: Depressed level of consciousness, Fatigue, Hypokinesia, Pain, Staring
Clinical narrative: Can't step down on left foot and doesn't use his left arm.  Not as alert.  Tired and spacy. 60 day follow up on 07/28/03 reports:  Vaccine was a TD manufacturer.  Was not Aventis.  No lot number was listed on the report.  The patient did not recover from adverse event.  Patient's personality is back to normal.  He is walking better on his left foot, but still does not put his heel down first.  He still continues to not use his left arm when needed.  Patient used to read constantly.  Four or five books a week was not unusual.  This reading has been constant since he learned to read.  Since April, patient has read one book.  Patient has seen a neurologist and a pediatrician.  He had an MRI.  He saw a physical therapist and an acupuncturist.  Now he is seeing a neuropsychologist.  Accupuncture and time seem to be healing slowly."
Age: 13.0
Sex: M
Vaccine: TD, TD
Symptoms: Fatigue, Hypokinesia, Lethargy, Staring
Clinical narrative: Can't step down on left foot and doesn't use his left arm.  Not as alert.  Tired and spacy. 60 day follow up on 07/28/03 reports:  Vaccine was a TD manufacturer.  Was not Aventis.  No lot number was listed on the report.  The patient did not recover from adverse event.  Patient's personality is back to normal.  He is walking better on his left foot, but still does not put his heel down first.  He still continues to not use his left arm when needed.  Patient used to read constantly.  Four or five books a week was not unusual.  This reading has been constant since he learned to read.  Since April, patient has read one book.  Patient has seen a neurologist and a pediatrician.  He had an MRI.  He saw a physical therapist and an acupuncturist.  Now he is seeing a neuropsychologist.  Accupuncture and time seem to be healing slowly."
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Abdominal discomfort, Arthralgia, Joint stiffness, Pain
Clinical narrative: Arthragia (joint pain) x>3mo.  Reproduced and worsened by shot #2. Member remains on active duty with a permanent exemption to the anthrax vacine. He continues to have joint pain and stiffness especially in the hips that is easily aggravated by exertional exercise. With atmospheric pressure changes, pain in the elbow and shoulder is exaccerbated. Membr reports that he also has been experiencing new symptoms of irritable bowel syndrome since Fall 03.
Age: 22.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site swelling, Pruritus
Clinical narrative: 04/15/2003 @ 2200 injection site became swollen and itchy.  04/16/2003 @ 0730 swelling spread to upper arm towards shoulder down to above the elbow.  Patient saw Dr. 04/17/2003, patient given Allegra and Dicloxacilin.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Pyrexia
Clinical narrative: Received DTAP on 04/30/2003.  Brought child in the next day and had warm, red area approx. 3 1/2 by 4 1/2 inches at injection site.  She had given for Tylenol.  No fever.  No difficult walking-suggested Ibuprofen instead of Tylenol.  Called on 05/02 and states it was hurting more this afternoon and yesterday, so she took child to Dr. and Prednesone was prescribed x7 days.  It much improved today.  Also had fever of 101 degrees yesterday afternoon, a febrite today.
Age: 1.6
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Cellulitis
Clinical narrative: 03/31/2003: Immunization given and cellulitis started 04/02/2003 5x10cm Left thigh at site of DTAP immunization.  Started on Augmentin.  04/04/2003 seen for recheck and cellulitis resolved.
Age: 11.0
Sex: F
Vaccine: HEP, HEPA, VARCEL
Symptoms: Pruritus, Rash, Skin ulcer
Clinical narrative: Per telephone call, uncle reports that on Sun. 04/20/2003-child complained of pimple itching.  On 04/22/2003 when uncle called states that "pimple-like lesions erupted mainly on torso."  States < 10 lesions on body.  Denies evaluated temp or malaise.
Age: 1.6
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Erythema, Pyrexia, Swelling
Clinical narrative: Redness and swelling of left upper arm 1 day after vaccine.  Tactile fever.  Prescribed Benadryl.
Age: 1.4
Sex: M
Vaccine: DTAP
Symptoms: Cellulitis, Erythema, Swelling
Clinical narrative: Redness and swelling around injection site 2 days after injection.  Presumed cellulitis, treatment with Keflex.
Age: 2.0
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Cellulitis, Erythema, Pruritus, Swelling
Clinical narrative: Redness, itching and swelling of Right upper arm.  No fever.  Treated for presumed cellulitis with Keflex.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Rash
Clinical narrative: 1-2 days after DTaP, Left arm eryth lacy, blanching rash, warm to touch on upper arm.  Reactive tissue at injection site.  No tenderness.  Area of eryth 12cm x 11cm.
Age: 4.0
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Cellulitis, Feeling hot, Injection site erythema, Injection site induration
Clinical narrative: Red, indurated warm area around injection site at Left upper arm.  Itanxkx, no fever.  Treated for presumed cellulitis with Augmentin.
Age: 12.0
Sex: M
Vaccine: HEPA
Symptoms: Dizziness, Headache, Loss of consciousness
Clinical narrative: Symptoms:  Approximately 5 min. after injection, patient complained of headache, dizziness, and loss of consciousness.   Signs:  Temporary loss of onscioiusness for a few seconds.  Headache. Treatment: O2 administered.  Time course approximately 10 mins.
Age: 4.0
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Erythema, Injection site induration, Injection site swelling
Clinical narrative: 12cm red raised indurated area.  Treat with ice and ibuprofen.  Left thigh.
Age: 39.0
Sex: F
Vaccine: HEP, TD
Symptoms: Arthralgia, Asthenia, Fatigue, Feeling hot, Injection site erythema
Clinical narrative: Left deltoid swollen, red, hot to touch. Left arm painful for 1 week, joint pain and constant body ache for 3 weeks. Weakness and fatigue.
Age: 39.0
Sex: F
Vaccine: HEP, TD
Symptoms: Injection site pain, Injection site swelling, Pain
Clinical narrative: Left deltoid swollen, red, hot to touch. Left arm painful for 1 week, joint pain and constant body ache for 3 weeks. Weakness and fatigue.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: Shots administered 4/28/03, redness, swelling, warmth of left deltoid approx. 2" diameter started 4/29/03. Phone call about symptoms 5/1/03 - symp tx - cool compress, Motrin to be done.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Rash papular
Clinical narrative: Possible varicella, erythematous, papular eruptions - majority to anterior trunk, arms and left thigh.
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Pyrexia, Tenderness
Clinical narrative: Swelling, redness, tenderness around injection site 1 day after injection. Fever, URI treated for presumed cellulitis with Keflex (DTaP given at this site).
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA, VARCEL
Symptoms: Upper respiratory tract infection
Clinical narrative: Swelling, redness, tenderness around injection site 1 day after injection. Fever, URI treated for presumed cellulitis with Keflex (DTaP given at this site).
Age: 1.4
Sex: M
Vaccine: DTAPH, PNC
Symptoms: Injection site induration, Injection site swelling
Clinical narrative: Significant swelling induration in thigh where vaccination given.
Age: 1.08
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Irritability, Otitis media, Pyrexia, Rash, Skin ulcer
Clinical narrative: 4/15/03 - Onset of fever, anorexia, rash on body. 4/18/03 - seen in office - febrile, cranky, confluent hive-type lesions on both arms/legs/face/buttocks. Bilateral otitis media. Rx Amoxicillin, Tylenol, Benadryl. 5/2/03 - all symptoms resolving.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Swelling
Clinical narrative: Received DTaP and IPV right deltoid 5/2/03. Returned 5/5/03. Father stated right arm red, swollen, over weekend - on exam 5/5 redness right arm, shoulder to elbow - 2/3 circumference of arm - warm to touch, able to use arm.
Age: 5.0
Sex: F
Vaccine: DTAP, HEP, IPV
Symptoms: Feeling hot, Injection site swelling, Pruritus
Clinical narrative: Patient experienced left thigh swelling, itching and warmth 1 day after vaccines were given.
Age: 5.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Blister, Viral infection
Clinical narrative: Had contracted chicken pox play-mate days ago. No fever. 50 lesions, stomach, back, legs.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Eye pain, Ocular hyperaemia, Urticaria
Clinical narrative: Complained of welts on arms, face, eyes red and burning on and off. No other problems. Sent the child to ER for further evaluation. Left message with Mom to call back with progress. Never received call back.
Age: 1.4
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Contusion, Feeling hot, Gait disturbance, Injection site erythema, Injection site mass
Clinical narrative: Received 4th DTaP and 4th HIB 3/25/03 in left leg (different sites). PM of vaccine admin day, child developed knot (tangerine size), erythema and brusing at injection site. Child limping, feverish, irritable per mom. 3/26 Mom took to MD who diagnosed infection and began Augmentin which child vomited. 3/27 returned to ED and changed to Keflex. 3/28 child with limp, able to squat/bender over with problems. Left outer aspect of leg with 2 nickel size areas of dark erythema. 60 cm area of dark pink surrounding nickel size dark red areas progressing to outer aspect/back of left leg. Area hot to touch. Areas of edema not palpated as uncomfortable for child.
Age: 1.4
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Irritability, Pyrexia
Clinical narrative: Received 4th DTaP and 4th HIB 3/25/03 in left leg (different sites). PM of vaccine admin day, child developed knot (tangerine size), erythema and brusing at injection site. Child limping, feverish, irritable per mom. 3/26 Mom took to MD who diagnosed infection and began Augmentin which child vomited. 3/27 returned to ED and changed to Keflex. 3/28 child with limp, able to squat/bender over with problems. Left outer aspect of leg with 2 nickel size areas of dark erythema. 60 cm area of dark pink surrounding nickel size dark red areas progressing to outer aspect/back of left leg. Area hot to touch. Areas of edema not palpated as uncomfortable for child.
Age: 55.0
Sex: F
Vaccine: HEP
Symptoms: Blood pressure increased, Dizziness, Pain
Clinical narrative: 4 days after immunization - severe pain in bones, back, hips, shoulders, neck, left wrist, knee and fluid in joints. No fever, no itching, no rash. Reports BP elevated and lightheadedness.
Age: 2.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: 10 cm x 10 cm area of cellulitis at right thigh. Treated with atrilemtine (?) and Zyrtec 2.5 mg.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Edema severe noted shoulder to mid-upper arm, left arm only. Declines pain. Redness noted and warm to touch.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site swelling, Tenderness
Clinical narrative: Left arm reddened, swelling, hot, tender elbow to shoulder. Augmentin 500 BID for 10 days.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema, Pain, Pyrexia
Clinical narrative: Left arm reddened, hot to touch, swollen, painful. T 98 degrees. Augmentin CS 600/5cc 2/12tsp BID 7 days.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site mass, Injection site reaction, Urticaria
Clinical narrative: Large inflamed wheal at site of administration measuring approximately 3-4 inches in length.  Knot under skin slightly smaller.
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site mass, Injection site reaction, Urticaria
Clinical narrative: Large inflamed wheal measuring approximately 2-3 inches in length at site of administration.  Large knot under skin slightly smaller than wheal.
Age: 23.0
Sex: F
Vaccine: SMALL
Symptoms: Back pain, Fatigue
Clinical narrative: Beginning 05/04/2003- complains of extreme fatigue. Sleeping 12-15 hours at bedtime and then having to nap during the day. Complains also of low back pain, mostly noticed when first getting up. The follow up received on 5/23/03 states pt has improved and is doing fine.
Age: 1.0
Sex: M
Vaccine: DTAP, HBHEPB, MMR, PNC
Symptoms: Abscess, Erythema, Oedema, Pain, Pyrexia
Clinical narrative: MGM called CCN on 5/5/03 and reported that the child's right leg was swollen due to shots received on 5/2/03.  Taken to IGH ER on 5/4/03 for swelling and fever.  Instructed by ER MD  to apply warm compresses and give motrin for fever.  MD diagnoesed abcess.  Instructed to bring to FCHD so nurse can assess.  Nurse assessed red swollen, and painful to touch where DTaP was administerd.  Nurse instructed mom to follow MD's instructions of compresses and motrin.
Age: 39.0
Sex: M
Vaccine: SMALL
Symptoms: Fatigue, Headache, Myalgia
Clinical narrative: 39 yo vaccinated on 4/21/03 who sought care at the health clinic on 5/7/03 with c/o myalgia, headache, and fatigue which began on 5/5/03.  He was examined by the health clinic MD and discharged.
Age: 36.0
Sex: F
Vaccine: ANTH
Symptoms: Eye haemorrhage, Injection site erythema, Injection site oedema, Upper respiratory tract infection
Clinical narrative: Swelling and reddness at injection site for 2 wks, motrin PRN.  5 days s/p immunization pt awoke with subconjunctival hemorage of L. eye.  1 month s/p vaccine pt had URI that cause "reactivation" of swelling and discomfort at injection site that lasted for 2 wks.
Age: 35.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Lymphadenopathy
Clinical narrative: 30 April 2003 at 1800, redness, pain, swelling, around injection site, and swollen lymph nodes under left arm. On morning of 01 May 2003 noticed increased swelling, redness, and pain. Pt was seen by MD on 01 May 2003. Was given Motrin, Tylenol, and Levofloxacin.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Headache, Injection site oedema, Injection site pain, Lymphadenopathy, Malaise
Clinical narrative: 10 April 2003, pain at site, fever, headache, malaise, and swelling. By the end of first day swelling spread down the left arm. 11 April 2003 noticed rash down left arm and swollen, and hardened lymph node under left arm. At 1300 on that day ,pt was given Keflex 500mg BID. By 2000, pt reports rash spread to both arms, back, chest, and legs. Pt reported to ER that evening. No additional meds were given.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia, Rash
Clinical narrative: 10 April 2003, pain at site, fever, headache, malaise, and swelling. By the end of first day swelling spread down the left arm. 11 April 2003 noticed rash down left arm and swollen, and hardened lymph node under left arm. At 1300 on that day ,pt was given Keflex 500mg BID. By 2000, pt reports rash spread to both arms, back, chest, and legs. Pt reported to ER that evening. No additional meds were given.
Age: 30.0
Sex: F
Vaccine: HEPAB, YF
Symptoms: Arthralgia, Chills, Myalgia, Pain, Paraesthesia
Clinical narrative: 05/02/2003 TC from pt who received yellow fever vaccine (and Hep B + Hep A- Twinrix) on 04/02/2003. C/O severe muscle and joint soreness. Feverish, chills, tingling in arms and hands for 1 week after injections and lasting 1 month. Better on and off for 1 month. But still sore and achy esp. rib area
Age: 30.0
Sex: F
Vaccine: HEPAB, YF
Symptoms: Pyrexia
Clinical narrative: 05/02/2003 TC from pt who received yellow fever vaccine (and Hep B + Hep A- Twinrix) on 04/02/2003. C/O severe muscle and joint soreness. Feverish, chills, tingling in arms and hands for 1 week after injections and lasting 1 month. Better on and off for 1 month. But still sore and achy esp. rib area
Age: 53.0
Sex: F
Vaccine: SMALL
Symptoms: Feeling abnormal, Hypokinesia
Clinical narrative: AT TIME OF SCAB FORMATION, PATIENT BEGAN TO NOTICE UNUSUAL FEELING IN LEFT DELTOID.  SENSATION PROGRESSED TO INABILITY TO LIFT LEFT ARM.  WAS REFERRED TO PRIVATE PHYSICIAN.  ORTHOPEDIC PROBLEM RULED OUT AND SHE WAS BEGUN ON ANTI-INFLAMMATORY AGENTS...PROGRESS TO BE MONITORED.
Age: 37.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Erythema, Headache, Pain, Pruritus, Pyrexia
Clinical narrative: Received Varicella shot on 4/22/03. On 4/24 developed fever 102, HA, Lt arm soreness,body aches and 2 areas of redness and itching on leg. Dr told employee to use benadryl,tylenol and ice to arm prn.
Age: 55.0
Sex: F
Vaccine: ANTH, YF
Symptoms: Contusion, Erythema, Feeling hot, Pain
Clinical narrative: Warm to touch, red, area bruised approx 20 CM in diameter.  Sore to touch, skin intact no lesions or open area.  Appreared 2 days post vaccination.
Age: 28.0
Sex: F
Vaccine: TYP
Symptoms: Myalgia, Nausea
Clinical narrative: Myalgia, Nausea without vomiting.  Treated with aspirin and cold pack.
Age: 34.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Asthenia, Chest discomfort, Chest pain, Dizziness, Dyspnoea
Clinical narrative: Previously healthy patient left country in 01/03. Developed retrosternal pressure with mild SOB on evening of 4/27/03. The episode lasted approx. 1 hour, and subsided wtihout treatment.  The next a.m. while he was walking to breakfast, the chest pain/pressure and SOB returned and radiated to his jaw and down his left arm.  He also c/o L) arm numbness, generalized weakness, and dizziness while walking.  He was seen on sick call and rated his pain as 8-9/10 on pain scale. No fever, URI or pleuritic pain.  He was treated with NTG, MSO4 with relief. During transfer to the hospital, the pain recurred. He then received thrombolytics for a presumed AMI. His CV exam was normal. Since receiving thrombolytics, there has been no recurrence of chest pain/pressure.  He was medi-evac'd to another country, then to Medical Center, where a cardiac cath was completed. CAD risk factors: 10 pack-year history, (+) Family history of CAD (father, brother with MIs before age 50). Discharged to 2 weeks conval. leave, on Diltiazem 240mg q day. Cardiology f/u on 5/22/03. Discharge diagnosis - Acute coronary syndrome, likely myopericarditis.
Age: 34.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Hypoaesthesia, Laboratory test abnormal, Myocarditis
Clinical narrative: Previously healthy patient left country in 01/03. Developed retrosternal pressure with mild SOB on evening of 4/27/03. The episode lasted approx. 1 hour, and subsided wtihout treatment.  The next a.m. while he was walking to breakfast, the chest pain/pressure and SOB returned and radiated to his jaw and down his left arm.  He also c/o L) arm numbness, generalized weakness, and dizziness while walking.  He was seen on sick call and rated his pain as 8-9/10 on pain scale. No fever, URI or pleuritic pain.  He was treated with NTG, MSO4 with relief. During transfer to the hospital, the pain recurred. He then received thrombolytics for a presumed AMI. His CV exam was normal. Since receiving thrombolytics, there has been no recurrence of chest pain/pressure.  He was medi-evac'd to another country, then to Medical Center, where a cardiac cath was completed. CAD risk factors: 10 pack-year history, (+) Family history of CAD (father, brother with MIs before age 50). Discharged to 2 weeks conval. leave, on Diltiazem 240mg q day. Cardiology f/u on 5/22/03. Discharge diagnosis - Acute coronary syndrome, likely myopericarditis.
Age: 34.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Chest discomfort, Dyspnoea, Laboratory test abnormal, Myocardial infarction
Clinical narrative: Previously healthy patient left country in 01/03. Developed retrosternal pressure with mild SOB on evening of 4/27/03. The episode lasted approx. 1 hour, and subsided wtihout treatment.  The next a.m. while he was walking to breakfast, the chest pain/pressure and SOB returned and radiated to his jaw and down his left arm.  He also c/o L) arm numbness, generalized weakness, and dizziness while walking.  He was seen on sick call and rated his pain as 8-9/10 on pain scale. No fever, URI or pleuritic pain.  He was treated with NTG, MSO4 with relief. During transfer to the hospital, the pain recurred. He then received thrombolytics for a presumed AMI. His CV exam was normal. Since receiving thrombolytics, there has been no recurrence of chest pain/pressure.  He was medi-evac'd to another country, then to Medical Center, where a cardiac cath was completed. CAD risk factors: 10 pack-year history, (+) Family history of CAD (father, brother with MIs before age 50). Discharged to 2 weeks conval. leave, on Diltiazem 240mg q day. Cardiology f/u on 5/22/03. Discharge diagnosis - Acute coronary syndrome, likely myopericarditis.
Age: 41.0
Sex: F
Vaccine: SMALL
Symptoms: Cough, Dyspnoea, Hot flush, Hypersensitivity, Hypoaesthesia
Clinical narrative: Experienced numbness and tingling in left arm on day of vaccination (day 0).  On April 26th (day 3), developed flushing.  Wen to ED on May 3rd (day 8) for axillary lympadenopathy, arm swelling, cough, stridor and shortness of breath.  Was diagnosed with acute allergic reaction and placed on oral prednisone.  On May 5th, reported ED visit to employee health nurse.  Another doctor took her off the prednison and saw her the next day for exam, including EKG and cardiac enzymes.  EKG was normal, enzyme results pending.
Age: 41.0
Sex: F
Vaccine: SMALL
Symptoms: Lymphadenopathy, Oedema, Paraesthesia, Stridor
Clinical narrative: Experienced numbness and tingling in left arm on day of vaccination (day 0).  On April 26th (day 3), developed flushing.  Wen to ED on May 3rd (day 8) for axillary lympadenopathy, arm swelling, cough, stridor and shortness of breath.  Was diagnosed with acute allergic reaction and placed on oral prednisone.  On May 5th, reported ED visit to employee health nurse.  Another doctor took her off the prednison and saw her the next day for exam, including EKG and cardiac enzymes.  EKG was normal, enzyme results pending.
Age: 52.0
Sex: M
Vaccine: SMALL
Symptoms: Heart rate increased
Clinical narrative: Rapid heart rate onset approximately 3:00 AM on 5/2/2003.  To ER via pvt. car/ambulatory.  Treated-symptoms subsided at approximately 6:00 AM.  In ER- received Cardizem, Rythmol.  DX=new onset A-fib, rate controlled.
Age: 3.0
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Injection site mass, Irritability, Oedema, Pyrexia
Clinical narrative: 5/2/03 Patients guardian called stating RAT has large round knot, red, baseball sized.  LAT knot silver dollar size.  Guardianstated temp 98.8 little whinny, but active and ambulatory.Monitor swelling, apply warm compresses.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Throat tightness, Urticaria
Clinical narrative: Generalized hives, tightness in throat.  No wheezing on auscultation.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Feeling hot, Injection site oedema, Injection site pain, Rash erythematous
Clinical narrative: Arm initially with local swelling, tenderness at site followed by erythemetous rash spreading out about 4-6 inches around site beginning day 3-4 after given. Day 7 in clinic with less tenderness, rash apparent, site slightly warm.
Age: 0.25
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Anorexia, Fontanelle bulging, Hydrocephalus, Otitis media, Pyrexia
Clinical narrative: A report received from manufact HQ4918829OCT2002 concerning a 3 month old female vaccinated with IPOL on 18 Oct 2002. The pt reportedly developed bulging fontanelle, fever, somnolence, and anorexia on 19 Oct 2002. The outcome is unknown. Information has been received from a physician and an other company phamaceutical representative concerning a 16 week old male(also reported as female) who had no adverse events following prior vaccinations who on 18 Oct 2002 was vaccinated with a dose of Haemophilus B conjugate vaccine and hepatitis B vaccine recombinant given IM. Concomitant therapy, on that same date, included an IM dose of palivizumab (Synagis), an IM dose of poliovirus vaccine (IPOL), a dose of diptheria toxoid/pertussis vaccine/ tetanus toxoid (Infanrix), and an IM dose of Streptococcus pneumoniae vaccine (Prevnar). On 18 Oct 2002, the pt developed fever, somnolence, anorexia, and a bulging fontanelle. It was noted that the pt was not hospitalized. The physician cannot determine the cause of these reactions. On 20 Oct 2002, an ultrasound of the brain was performed which revealed possible early hydrocephalus. The physician also provide information regarding another pt, the pt's twin, who experienced the same reactions but was hospitalized after being vaccinated with the same vaccines (WAES0210USA02707). The vaccine provider states that the events were possibly related to the vaccines administered. Fever, bulging fontanelle, somnolence, and anorexia were considered other important medical events (OMIC). Follow up information indicated that on 15 Oct 2002, the child was seen in the doctor's ofice and was diagnosed with an ear infection. The child was prescribed cefprozil (Cefzil). On 19 Oct 2002 the child was at the hospital visiting her twin brother (WAES0210USA020707) (F2002-02941). While the physician was making rounds on her brother, he noted that the child had slightly full fontanelles, and a fever. Blood cultures were obtained that were normal. The physician did not treat the child and she has since fully recovered.  Follow up on 06/27/2003: "This is an amended report.  The poliovirus vaccine lot number which was previously reported in the narrative as "(Lot # W0063)", has been changed to "(Lot # W0062-2)".  Additional information has been requested.  This is a corrected report, as amended."  The patient has been reported as being a male.  No additional information was provided at this time.  Other reference numbers are as follows:  HQ4918829OCT2002 and A0386151A."
Age: 0.25
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Somnolence
Clinical narrative: A report received from manufact HQ4918829OCT2002 concerning a 3 month old female vaccinated with IPOL on 18 Oct 2002. The pt reportedly developed bulging fontanelle, fever, somnolence, and anorexia on 19 Oct 2002. The outcome is unknown. Information has been received from a physician and an other company phamaceutical representative concerning a 16 week old male(also reported as female) who had no adverse events following prior vaccinations who on 18 Oct 2002 was vaccinated with a dose of Haemophilus B conjugate vaccine and hepatitis B vaccine recombinant given IM. Concomitant therapy, on that same date, included an IM dose of palivizumab (Synagis), an IM dose of poliovirus vaccine (IPOL), a dose of diptheria toxoid/pertussis vaccine/ tetanus toxoid (Infanrix), and an IM dose of Streptococcus pneumoniae vaccine (Prevnar). On 18 Oct 2002, the pt developed fever, somnolence, anorexia, and a bulging fontanelle. It was noted that the pt was not hospitalized. The physician cannot determine the cause of these reactions. On 20 Oct 2002, an ultrasound of the brain was performed which revealed possible early hydrocephalus. The physician also provide information regarding another pt, the pt's twin, who experienced the same reactions but was hospitalized after being vaccinated with the same vaccines (WAES0210USA02707). The vaccine provider states that the events were possibly related to the vaccines administered. Fever, bulging fontanelle, somnolence, and anorexia were considered other important medical events (OMIC). Follow up information indicated that on 15 Oct 2002, the child was seen in the doctor's ofice and was diagnosed with an ear infection. The child was prescribed cefprozil (Cefzil). On 19 Oct 2002 the child was at the hospital visiting her twin brother (WAES0210USA020707) (F2002-02941). While the physician was making rounds on her brother, he noted that the child had slightly full fontanelles, and a fever. Blood cultures were obtained that were normal. The physician did not treat the child and she has since fully recovered.  Follow up on 06/27/2003: "This is an amended report.  The poliovirus vaccine lot number which was previously reported in the narrative as "(Lot # W0063)", has been changed to "(Lot # W0062-2)".  Additional information has been requested.  This is a corrected report, as amended."  The patient has been reported as being a male.  No additional information was provided at this time.  Other reference numbers are as follows:  HQ4918829OCT2002 and A0386151A."
Age: 0.6
Sex: U
Vaccine: PNC, PNC
Symptoms: Hypokinesia, Injection site oedema, Injection site pain, Pain, Pyrexia
Clinical narrative: 104 fever.  Swelling site of injection - can't move leg...hospitalized.
Age: 0.6
Sex: U
Vaccine: PNC, PNC
Symptoms: Hypokinesia, Injection site swelling, Pyrexia
Clinical narrative: 104 fever.  Swelling site of injection - can't move leg...hospitalized.
Age: 42.0
Sex: M
Vaccine: HEP, HEPA, TTOX
Symptoms: Chills, Dehydration, Diarrhoea, Diverticulitis, Malaise
Clinical narrative: 5/5 ER-fever/chills-c/o general body aches-started last week and during injections for hepatitis-159/107-98.22-99.5. (Received Hep A/Hep B/ Tetanus) c/o diarrhea/general malaise (admit dx: post serum sickness, dehydration) WBC 8.1. 5/7 pt transferred to hospital. Diagnosis is diverticulitis with abscess.
Age: 42.0
Sex: M
Vaccine: HEP, HEPA, TTOX
Symptoms: Pain, Pyrexia, Serum sickness
Clinical narrative: 5/5 ER-fever/chills-c/o general body aches-started last week and during injections for hepatitis-159/107-98.22-99.5. (Received Hep A/Hep B/ Tetanus) c/o diarrhea/general malaise (admit dx: post serum sickness, dehydration) WBC 8.1. 5/7 pt transferred to hospital. Diagnosis is diverticulitis with abscess.
Age: 4.0
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Condition aggravated, Convulsion, Gastrointestinal disorder, Laboratory test abnormal, Neurodevelopmental disorder
Clinical narrative: Increase in seizures approx. 4 weeks after immunization with global regression in development. SZ now better controlled--Lamictal-development progressing-still sign. Approximately 4 week later pt had increased in her seizure activity and experienced global regression in her development that had been normal up to this point. Her seizures are currently controlled better and her development is again progressing, however she still has significant delays. Multiple therapies include OT, ST. Pt has been multiple specialists including four different neurologist, metabolic specialists, a gastroenterologist, and an allergist. She has also been under the care of a chiropractor and works with MD. Her seizure disorder was diagnosed at 14 month of age and was initially most consistent with and treated as infantile spasms (Sz, EEG, MRI head). Her neurologist recommended at 20 months that she could receive her immunizations as she had no previous adverse reactions and her seizure disorder was stable with normal developmental progress. Different medications have been used to control her seizures with variable effect, current treatment is lamictal. The ketogenic diet was not effective. She was diagnosed with Lennox Gastaut syndrome given the mixture of seizure types and developmental regression. Developmental regression is associated with myoclonic seizures. Pt's seizures and development appear sensitive to her diets content of gluten and diary. No metabolic or gastroentestinal disease have been identified in spite of extensive evaluation by her neurologist inlcuding the clinic, her gastroenterologist MD and MD at the university. Two MRI's of the head were normal except for a small and stable frontal cortical dysplasia. It has been debated whether her seizures are related to this dysplasia. After consulting the VAERS in Feb 2002 we were referred to MD at the emasles lab. A detailed evaluation of pt's CSF did not reveal evidence of CNS infection nor any serologic evidence of MMR injury to the brain (negative CSF measles/MMR ab, neg. 60 day follow up report states (08/20/03): Vaccine recipient did not recover from the adverse events that were reported for this vaccination.  We reported a possible association between his immunizations and the ensuing increase in her size-activity with developmental regression.  As discussed wit her neurologist and CDC, the workup does not indicate a causal relationship.  Her current diagnosis include: Sz-disorder and PPD-NOS.  She continues to progress in her development (OT/ST).  Please call me if you have further questions.
Age: 68.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Neuropathy peripheral
Clinical narrative: Peripheral neuropathy documented by EMG with symptomatic onset 7-14 days after 2000 flu vaccine and worsened 7-14 days after 2002 flu and pneumococcal vaccine (1 wk after urinary infection)>. The 60 day follow up received on 8/11/03 states mild length-dependent primarily axonal peripheral neuropathy.
Age: 26.0
Sex: F
Vaccine: MU, OPV, PPV, TTOX
Symptoms: Agitation, Alopecia, Amnesia, Bronchitis, Cough
Clinical narrative: Diagnosis corresponded most closely to the diagnostic and statistical manual of mental disorders-3rd edition category of major depressive disorder. A major depressive disorder, mood depressingly interferes with daily functioning, and agitation or retardation; slowed thinking. "I am unable to work as a result of my medical conditions. The mental status of speech, thought patterns, and memory has been affected. My damaged way of thinking, judgment because of mania, has caused serious problems consisting of social behavior, behavioral of withdrawal, especially amnesia. Of these behaviors and the lasting consequences. Respiratory system: frequent: cough increased, sinisitis, infrequent: epistaxis, bronchitis, asthma, pneumonia; rare: asphyxia, laryngitis, pneumothorax, hiccup. Skin and appendages: frequent: pruritus, rash; infrequent: acene, exfoliative dermatisis, dry skin, herpes simples, alopecia; rare: urticaria, herpes zoster, skin hypertrophy, seborrhea, skin ulcer. Special senses: infrequent: eye pain, abnormality of accomodation, conjunctivitis, deafness, keratoconjunctivitis, lacrimation disorder, glaucoma, hyperausis, ear pain; rare: blepharitis, partial transitory deafness, otitis media, taste loss, parosmia. Urogenital system: frequent: urinary tract infection; infrequent: kidney calculus, cystitis, dysuria, urinary incontinence, urinary retention, vaginitis, hematuria, breast pain, amenorrhea, dysmenorrhea, leukorrhea, impotence; rare: polyuria, urethritis, metrorrhagia, menorrhagia, abnormal ejaculation, breast engorgement, urinary urgency.
Age: 26.0
Sex: F
Vaccine: MU, OPV, PPV, TTOX
Symptoms: Depression, Dermatitis exfoliative, Drug withdrawal syndrome, Epistaxis, Eye pain
Clinical narrative: Diagnosis corresponded most closely to the diagnostic and statistical manual of mental disorders-3rd edition category of major depressive disorder. A major depressive disorder, mood depressingly interferes with daily functioning, and agitation or retardation; slowed thinking. "I am unable to work as a result of my medical conditions. The mental status of speech, thought patterns, and memory has been affected. My damaged way of thinking, judgment because of mania, has caused serious problems consisting of social behavior, behavioral of withdrawal, especially amnesia. Of these behaviors and the lasting consequences. Respiratory system: frequent: cough increased, sinisitis, infrequent: epistaxis, bronchitis, asthma, pneumonia; rare: asphyxia, laryngitis, pneumothorax, hiccup. Skin and appendages: frequent: pruritus, rash; infrequent: acene, exfoliative dermatisis, dry skin, herpes simples, alopecia; rare: urticaria, herpes zoster, skin hypertrophy, seborrhea, skin ulcer. Special senses: infrequent: eye pain, abnormality of accomodation, conjunctivitis, deafness, keratoconjunctivitis, lacrimation disorder, glaucoma, hyperausis, ear pain; rare: blepharitis, partial transitory deafness, otitis media, taste loss, parosmia. Urogenital system: frequent: urinary tract infection; infrequent: kidney calculus, cystitis, dysuria, urinary incontinence, urinary retention, vaginitis, hematuria, breast pain, amenorrhea, dysmenorrhea, leukorrhea, impotence; rare: polyuria, urethritis, metrorrhagia, menorrhagia, abnormal ejaculation, breast engorgement, urinary urgency.
Age: 26.0
Sex: F
Vaccine: MU, OPV, PPV, TTOX
Symptoms: Herpes simplex, Herpes zoster, Memory impairment, Mental retardation severity unspecified, Pneumonia
Clinical narrative: Diagnosis corresponded most closely to the diagnostic and statistical manual of mental disorders-3rd edition category of major depressive disorder. A major depressive disorder, mood depressingly interferes with daily functioning, and agitation or retardation; slowed thinking. "I am unable to work as a result of my medical conditions. The mental status of speech, thought patterns, and memory has been affected. My damaged way of thinking, judgment because of mania, has caused serious problems consisting of social behavior, behavioral of withdrawal, especially amnesia. Of these behaviors and the lasting consequences. Respiratory system: frequent: cough increased, sinisitis, infrequent: epistaxis, bronchitis, asthma, pneumonia; rare: asphyxia, laryngitis, pneumothorax, hiccup. Skin and appendages: frequent: pruritus, rash; infrequent: acene, exfoliative dermatisis, dry skin, herpes simples, alopecia; rare: urticaria, herpes zoster, skin hypertrophy, seborrhea, skin ulcer. Special senses: infrequent: eye pain, abnormality of accomodation, conjunctivitis, deafness, keratoconjunctivitis, lacrimation disorder, glaucoma, hyperausis, ear pain; rare: blepharitis, partial transitory deafness, otitis media, taste loss, parosmia. Urogenital system: frequent: urinary tract infection; infrequent: kidney calculus, cystitis, dysuria, urinary incontinence, urinary retention, vaginitis, hematuria, breast pain, amenorrhea, dysmenorrhea, leukorrhea, impotence; rare: polyuria, urethritis, metrorrhagia, menorrhagia, abnormal ejaculation, breast engorgement, urinary urgency.
Age: 26.0
Sex: F
Vaccine: MU, OPV, PPV, TTOX
Symptoms: Pruritus, Rash, Seborrhoea, Sinusitis, Urticaria
Clinical narrative: Diagnosis corresponded most closely to the diagnostic and statistical manual of mental disorders-3rd edition category of major depressive disorder. A major depressive disorder, mood depressingly interferes with daily functioning, and agitation or retardation; slowed thinking. "I am unable to work as a result of my medical conditions. The mental status of speech, thought patterns, and memory has been affected. My damaged way of thinking, judgment because of mania, has caused serious problems consisting of social behavior, behavioral of withdrawal, especially amnesia. Of these behaviors and the lasting consequences. Respiratory system: frequent: cough increased, sinisitis, infrequent: epistaxis, bronchitis, asthma, pneumonia; rare: asphyxia, laryngitis, pneumothorax, hiccup. Skin and appendages: frequent: pruritus, rash; infrequent: acene, exfoliative dermatisis, dry skin, herpes simples, alopecia; rare: urticaria, herpes zoster, skin hypertrophy, seborrhea, skin ulcer. Special senses: infrequent: eye pain, abnormality of accomodation, conjunctivitis, deafness, keratoconjunctivitis, lacrimation disorder, glaucoma, hyperausis, ear pain; rare: blepharitis, partial transitory deafness, otitis media, taste loss, parosmia. Urogenital system: frequent: urinary tract infection; infrequent: kidney calculus, cystitis, dysuria, urinary incontinence, urinary retention, vaginitis, hematuria, breast pain, amenorrhea, dysmenorrhea, leukorrhea, impotence; rare: polyuria, urethritis, metrorrhagia, menorrhagia, abnormal ejaculation, breast engorgement, urinary urgency.
Age: 18.0
Sex: M
Vaccine: ANTH
Symptoms: Swelling, Urticaria
Clinical narrative: Hives all over body. Swelling of wrists and ankles.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Cellulitis
Clinical narrative: Patient receive immunization in the left deltoid in the immunization clinic at 16:00. Patient presented to the ER the next day with cellulitis of left deltoid. Patient treated with Augmentin E.S. and released home.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site pain
Clinical narrative: 24 hours after injections, left deltoid area became red, warm and painful to 50 cent size. Mom told to monitor temp (see MD if increases to 103 degrees), offer TYLENOL or ADVIL (age-related dosing) and apply cool compresses. On 5-2 area pain and warmth area decreased in size.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Vomiting
Clinical narrative: Per MD's notes: Prior to vaccine had gastroenteritis that was resolving. No vomiting for 6 days but diarrhea persists. After administration of vaccines, emesis x 7 at home. No fever. No rash. To observe recovered within 48 hours of vaccine administration.
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Erythema, Oedema, Pruritus
Clinical narrative: Left deltoid erythema, edema, itching.
Age: 0.9
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Injection site erythema, Pyrexia, Rash papular
Clinical narrative: Rash started approximately 08:00 on 4/16/2003. Stated fever began during late evening/night. Rash primarily located on legs and trunk. Also few on the face and arms. Very red around injection/needle sites. Small papular rash. Was going to see physician. 4/22/03 PC to check status. Never sent to see PMD. Used OTC Benadryl ct rash subsided.
Age: 52.0
Sex: F
Vaccine: HEPA
Symptoms: Hypokinesia, Injection site pain, Pain
Clinical narrative: First pressure in area - 2 days later reports unable to lift or move arm - severe pain in area of left arm at injection site - we phone own PMD for following.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Eye movement disorder, Syncope, Tremor
Clinical narrative: Fainted all of a sudden, eyes rolled back and was shaking. No fever.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Oedema
Clinical narrative: The day after immunizations, right arm swelled from collarbone past elbow, was hot and tight. Given Tylenol and Benadryl. Pt received MMR and IPV on right arm.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Oedema
Clinical narrative: Pt developed massive swelling in left arm - it appeared to be somewhat edematous. It appeared in one day. The swelling extended from mid upper arm to mid forearm. Treated with Keflex, however I believe it was a local noninfectious reaction.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Convulsion, Musculoskeletal stiffness
Clinical narrative: Tonic-clonic seizure for one minute then post-ictal. Awake upon arriving at ED in ambulance. Mom said whole body stiffened and she turned blue.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: 5-6 varicella type vesicles noted (5/3/03) on body, had varicella vaccine on 4/16/03.
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Feeling hot, Fungal infection, Hyperhidrosis, Paraesthesia
Clinical narrative: 4/29/03: 1/2 hour after vaccine left arm sweaty, warm, tingling lasting until 2 PM (11:30 AM to 2:00 PM). 4/30/03: Upon arising started with yeast infection, mouth and groin area. Hx of yeast infection in patient. Seen by MD 5/1/03 and Tx given.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Listless, Pyrexia, Swelling
Clinical narrative: 24 hours after vaccination, patient developed temperature of 103 degrees F, listlessners, and swelling/redness/endoration.  Left upper left arm extending to elbow and past shoulder.  Sofe of DTAP on left upper arm.  Symptoms lasted ~48 hrs.  Tylenol and Benadryl given.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Left arm swelling, erythema started 24 hrs after shot.  Acetaminophen/Cool compresses.
Age: 4.3
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Rash, Skin ulcer
Clinical narrative: Almost 5-year-old on Clindemycin D7 for strep pharyngitis, received MMR/DTaP/IPV on 04/30/2003.  Rash on 05/01/2003 started neck-wide spread mamlopapular blanching.  Has arunete blanching lesions at all 3 injection sites.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot
Clinical narrative: Left thigh with large area of erythema-12mm.  Warm to touch.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Erythema and sl. swelling firm (~2in) site of DTAP.
Age: 17.0
Sex: F
Vaccine: TD
Symptoms: Arthralgia, Injection site erythema, Injection site pain, Injection site swelling, Nausea
Clinical narrative: 11/13/2002: Felt nauseous.  Localized pain at site of injection. 11/14/2002: Up pain, redness, swelling at the site (= 1/1/2-2in in diameter) nausea and joint pains.  No documented fever.  Student's parent will see PCR 10/14/2002 for follow up care.
Age: 1.8
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, VARCEL
Symptoms: Erythema, Rash papular
Clinical narrative: Erythematous, indurated area left thigh with few papules that extended internal and anterior aspect of thigh to knee area.  Mom noticed after picked patient up from nursery yesterday.  No fever, N/V/O reported.  Normal activity.  Treated with Benadryl last night with decrease erytheyma and induration in this AM (05/08/2003).
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: Left arm cellulitis ~3 days after vaccine.  Treatment with Amoxicillin, Benadryl/Motrin.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Cellulitis, Erythema, Swelling
Clinical narrative: Onset swelling and redness of Left thigh, day after vaccinees.  Worse on next day.  Diagnosis: Left thigh cellulitis.  Prescribed: Augmentin ES, Benadryl/Motrin, Elevation of Leg - 16 packs.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia
Clinical narrative: < 15 Trunik, mild fever (98 degrees F).
Age: 20.0
Sex: F
Vaccine: TD
Symptoms: Dizziness, Haematemesis, Memory impairment, Somnolence
Clinical narrative: Dizziness, loosing attention, vomiting with blood, falling asleep at all the times.  Treatment: Meclizine 25 to stop dizziness.
Age: 1.1
Sex: M
Vaccine: HEP, HIBV, MMR, PNC, VARCEL
Symptoms: Dyskinesia, Pyrexia
Clinical narrative: Jerking movement of extremities with fever of 104.1 rectal.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot
Clinical narrative: Left arm (deltoid area) red and warm.  Prescribed Benadryl and topical antibiotical cream.  On Augmentin for Otitis Media prescribtion.  05/05/2003.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Laboratory test abnormal, Lymphadenitis, Pyrexia, Rash
Clinical narrative: 10 days after shot-developed right inguinal lymphadenopating (snores)=measuring 0.5-1cm.  Non-tender, no erythema, mutable.  11 days after shot-had high fever 102.5 degrees F; and developed rashes the following day.  (<50 lesions).
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Pyrexia
Clinical narrative: Fever to 102 for 2-3 days after Hep A #1 - onset within hours after vaccination, no other signs/symptoms of illness.
Age: 0.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site mass, Injection site warmth
Clinical narrative: Child received Tripedia DTaP (Aventis Pasteur) on 6 May 03, mom brought child back in for a reaction on 8 May 03.  Sx's were a red hot knot at area of injestion, about the size of a golfball.  No fever.  I also wanted to let you guys know that we have had this same lot react in 2 other children (18 mos. old and 4-6 y/o)   Do not have the names anymore.   But I know it was the same lot number.  Prior to these three reactions, we really have not had any other reactions to the DTaP.
Age: 45.0
Sex: F
Vaccine: SMALL
Symptoms: Abdominal pain, Muscle spasms
Clinical narrative: Abdominal pain and cramping after eating. Seen per PMD-Surgeon on 12-2003. Started on Zantac 150mg po 2xdaily and simethicone as needed.
Age: 39.0
Sex: F
Vaccine: SMALL
Symptoms: Back pain, Headache, Hypoaesthesia, Muscle spasms, Pruritus
Clinical narrative: This form submitted upon the request of patient. Patient describes symptoms of right leg numbness, headache, back pain, light rash over entire body, generalized itching within 3 hours of vaccination. Rash resolved in one hour. Other symptoms have been intermittent for the last week. On 04/27 patient had wheezing. On 05/01 patient had cramps in both legs. These symptoms may represent a viral syndrome, but are not consistent with a known adverse event.