chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.4
Sex: F
Vaccine: HEP, MMR, VARCEL
Symptoms: Diarrhoea, Electroencephalogram normal, Gait disturbance, Gastroenteritis, Gaze palsy
Clinical narrative: Fever and illness following vaccines.  Grand mal seizure requiring paramedic recessutation. More seizures in emergency room. LOSS of SPEECH and autistic like behavior. 8/3/06-DC Summary 4/18-4/19/02 DC DX: Seizure             Gastroenteritis HX Present Illness: emesis and diarrhea for approximately 5 days and fever up to 103 at home prior to admission. On day of admission she had 2 generalized tonic/clonic type seizures with her eyes rolling back. 1st seizure at home followed by 30 second seizure in ER. Per parent patient had been wobbling and had an unsteady gait over last 3 days prior to admission. PE: Temp 98 pulse 126, alert, playful and in no distress. Neuro exam showed a slightly unsteady gain but was nonfocal. HX of gastroenteritis bacterial enteritis that is Shigella. Follow up neuro office visit 5/20/02: 2 brief unprovoked seizures in close proximity. This as a first time seizure since her seizures were back to back. Her ataxia is most consistent with parainfectious cerebellar ataxia.  Neuro office vitis 4/21/03: One episode prior to this appointment, appeared to be overstimulated or overtired, her eyes appeared dilated and glassy and she had a dazed look, mother left room to get her a drink and upon return she was sleeping on floor and continued to remain limp and slept for several hours. Possible additional episode at her speech pathologist. DX with aphasia with delays of both expressive and receptive language.  Review of symptoms negative.  Per inforrmation received from the 60 day follow up: She suffered from aphasia and required 3 years of speech therapy, OT and tow years of Early Childhood Special Education. She still has some sensory issues but her brain has recovered and she is in a regular kindergarten class. I believe that subjecting babies & toddlers to multiple vaccinations is harmful to many. I've lived in fear and gave her everything possible to heal her from this damage. My opinion after years of personal research and talking with parents of Autistic children is that some children are suscepitable to Autism & a threshold is broken when imunated with multiple vaccines. I wish there were a blood test to identify children at risk and I wish that parents wouldn't be pressued to vaccinate on such a trict schedule. I have vaccinated my youngest son 1 at a time and made sure he was very healthy with each shot. Doctors do not want to get involved so there must be many unreported cases. Our lives were affected by this more that I could ever say and look at the fact that she is just now becoming a statistic. Please research!
Age: 1.4
Sex: F
Vaccine: HEP, MMR, VARCEL
Symptoms: Grand mal convulsion, Hypotonia, Lumbar puncture normal, Malaise, Mixed receptive-expressive language disorder
Clinical narrative: Fever and illness following vaccines.  Grand mal seizure requiring paramedic recessutation. More seizures in emergency room. LOSS of SPEECH and autistic like behavior. 8/3/06-DC Summary 4/18-4/19/02 DC DX: Seizure             Gastroenteritis HX Present Illness: emesis and diarrhea for approximately 5 days and fever up to 103 at home prior to admission. On day of admission she had 2 generalized tonic/clonic type seizures with her eyes rolling back. 1st seizure at home followed by 30 second seizure in ER. Per parent patient had been wobbling and had an unsteady gait over last 3 days prior to admission. PE: Temp 98 pulse 126, alert, playful and in no distress. Neuro exam showed a slightly unsteady gain but was nonfocal. HX of gastroenteritis bacterial enteritis that is Shigella. Follow up neuro office visit 5/20/02: 2 brief unprovoked seizures in close proximity. This as a first time seizure since her seizures were back to back. Her ataxia is most consistent with parainfectious cerebellar ataxia.  Neuro office vitis 4/21/03: One episode prior to this appointment, appeared to be overstimulated or overtired, her eyes appeared dilated and glassy and she had a dazed look, mother left room to get her a drink and upon return she was sleeping on floor and continued to remain limp and slept for several hours. Possible additional episode at her speech pathologist. DX with aphasia with delays of both expressive and receptive language.  Review of symptoms negative.  Per inforrmation received from the 60 day follow up: She suffered from aphasia and required 3 years of speech therapy, OT and tow years of Early Childhood Special Education. She still has some sensory issues but her brain has recovered and she is in a regular kindergarten class. I believe that subjecting babies & toddlers to multiple vaccinations is harmful to many. I've lived in fear and gave her everything possible to heal her from this damage. My opinion after years of personal research and talking with parents of Autistic children is that some children are suscepitable to Autism & a threshold is broken when imunated with multiple vaccines. I wish there were a blood test to identify children at risk and I wish that parents wouldn't be pressued to vaccinate on such a trict schedule. I have vaccinated my youngest son 1 at a time and made sure he was very healthy with each shot. Doctors do not want to get involved so there must be many unreported cases. Our lives were affected by this more that I could ever say and look at the fact that she is just now becoming a statistic. Please research!
Age: 1.4
Sex: F
Vaccine: HEP, MMR, VARCEL
Symptoms: Neutrophil count decreased, Nuclear magnetic resonance imaging normal, Pyrexia, Resuscitation, Sensory disturbance
Clinical narrative: Fever and illness following vaccines.  Grand mal seizure requiring paramedic recessutation. More seizures in emergency room. LOSS of SPEECH and autistic like behavior. 8/3/06-DC Summary 4/18-4/19/02 DC DX: Seizure             Gastroenteritis HX Present Illness: emesis and diarrhea for approximately 5 days and fever up to 103 at home prior to admission. On day of admission she had 2 generalized tonic/clonic type seizures with her eyes rolling back. 1st seizure at home followed by 30 second seizure in ER. Per parent patient had been wobbling and had an unsteady gait over last 3 days prior to admission. PE: Temp 98 pulse 126, alert, playful and in no distress. Neuro exam showed a slightly unsteady gain but was nonfocal. HX of gastroenteritis bacterial enteritis that is Shigella. Follow up neuro office visit 5/20/02: 2 brief unprovoked seizures in close proximity. This as a first time seizure since her seizures were back to back. Her ataxia is most consistent with parainfectious cerebellar ataxia.  Neuro office vitis 4/21/03: One episode prior to this appointment, appeared to be overstimulated or overtired, her eyes appeared dilated and glassy and she had a dazed look, mother left room to get her a drink and upon return she was sleeping on floor and continued to remain limp and slept for several hours. Possible additional episode at her speech pathologist. DX with aphasia with delays of both expressive and receptive language.  Review of symptoms negative.  Per inforrmation received from the 60 day follow up: She suffered from aphasia and required 3 years of speech therapy, OT and tow years of Early Childhood Special Education. She still has some sensory issues but her brain has recovered and she is in a regular kindergarten class. I believe that subjecting babies & toddlers to multiple vaccinations is harmful to many. I've lived in fear and gave her everything possible to heal her from this damage. My opinion after years of personal research and talking with parents of Autistic children is that some children are suscepitable to Autism & a threshold is broken when imunated with multiple vaccines. I wish there were a blood test to identify children at risk and I wish that parents wouldn't be pressued to vaccinate on such a trict schedule. I have vaccinated my youngest son 1 at a time and made sure he was very healthy with each shot. Doctors do not want to get involved so there must be many unreported cases. Our lives were affected by this more that I could ever say and look at the fact that she is just now becoming a statistic. Please research!
Age: 1.4
Sex: F
Vaccine: HEP, MMR, VARCEL
Symptoms: Somnolence, Urine analysis normal, Vomiting, White blood cell count normal
Clinical narrative: Fever and illness following vaccines.  Grand mal seizure requiring paramedic recessutation. More seizures in emergency room. LOSS of SPEECH and autistic like behavior. 8/3/06-DC Summary 4/18-4/19/02 DC DX: Seizure             Gastroenteritis HX Present Illness: emesis and diarrhea for approximately 5 days and fever up to 103 at home prior to admission. On day of admission she had 2 generalized tonic/clonic type seizures with her eyes rolling back. 1st seizure at home followed by 30 second seizure in ER. Per parent patient had been wobbling and had an unsteady gait over last 3 days prior to admission. PE: Temp 98 pulse 126, alert, playful and in no distress. Neuro exam showed a slightly unsteady gain but was nonfocal. HX of gastroenteritis bacterial enteritis that is Shigella. Follow up neuro office visit 5/20/02: 2 brief unprovoked seizures in close proximity. This as a first time seizure since her seizures were back to back. Her ataxia is most consistent with parainfectious cerebellar ataxia.  Neuro office vitis 4/21/03: One episode prior to this appointment, appeared to be overstimulated or overtired, her eyes appeared dilated and glassy and she had a dazed look, mother left room to get her a drink and upon return she was sleeping on floor and continued to remain limp and slept for several hours. Possible additional episode at her speech pathologist. DX with aphasia with delays of both expressive and receptive language.  Review of symptoms negative.  Per inforrmation received from the 60 day follow up: She suffered from aphasia and required 3 years of speech therapy, OT and tow years of Early Childhood Special Education. She still has some sensory issues but her brain has recovered and she is in a regular kindergarten class. I believe that subjecting babies & toddlers to multiple vaccinations is harmful to many. I've lived in fear and gave her everything possible to heal her from this damage. My opinion after years of personal research and talking with parents of Autistic children is that some children are suscepitable to Autism & a threshold is broken when imunated with multiple vaccines. I wish there were a blood test to identify children at risk and I wish that parents wouldn't be pressued to vaccinate on such a trict schedule. I have vaccinated my youngest son 1 at a time and made sure he was very healthy with each shot. Doctors do not want to get involved so there must be many unreported cases. Our lives were affected by this more that I could ever say and look at the fact that she is just now becoming a statistic. Please research!
Age: 0.55
Sex: F
Vaccine: DTAPH, PNC
Symptoms: Alopecia, Lethargy, Pyrexia
Clinical narrative: Following her 6 mo. round of shots fever and lethargic.  Doctor sent her to emergency room.  Soft spot was full.  Overnight stay to observe.    Large patches of  HAIR fell out following illness.
Age: 62.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Feeling hot
Clinical narrative: Retuned with an area of redness and warmth which just started today. Vaccine given 7 days prior in the deltoid, area of redness approx 15cm x 30 cm.
Age: 2.0
Sex: F
Vaccine: DTAP, HEP
Symptoms: Erythema, Swelling
Clinical narrative: Redness, swelling.
Age: 57.0
Sex: M
Vaccine: HEPAB, YF
Symptoms: Diarrhoea, Headache, Malaise, Pyrexia
Clinical narrative: Wife reports that he has felt ill since receiving vax - headache, fevers - yesterday 100.8, diarrhea.  Dr. visit scheduled 6/20/06 - blood work 6/19/06.  Returned from 8 day overseas trip on June 3rd, 2006.
Age: 1.5
Sex: M
Vaccine: HIBV, PNC
Symptoms: Urticaria
Clinical narrative: Hives
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Right arm redness, swelling pain for 5 days.
Age: 1.49
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Pruritus, Rash maculo-papular
Clinical narrative: Fine maculopapular rash over head, trunk, extremities, itching.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site rash, Injection site swelling
Clinical narrative: Received vaccines 6/16/06. Rash area noted by family member on left arm at injection site 3"x2.5"x1/4" raised. No itching. Lasted 2 days - better today (6/20). Treated with Tylenol, Benadryl, cold cloth.
Age: 47.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Arthralgia, Asthenia, Fatigue, Hypoaesthesia, Sexual dysfunction
Clinical narrative: Joint pain in both knees and hips,weakness/fatigue, sexual dysfunction, numbness in both hands and both feet.
Age: 47.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Arthralgia, Laboratory test abnormal, Paraesthesia
Clinical narrative: Joint pain in both knees and hips,weakness/fatigue, sexual dysfunction, numbness in both hands and both feet.
Age: 1.35
Sex: M
Vaccine: DTAP, HIBV, PNC, DTAP, HIBV, PNC
Symptoms: Haematoma, Injection site mass, Injection site pain, Injection site swelling, Muscle atrophy
Clinical narrative: This case was considered medically important (OMIC) for events of injection site swelling, gait disturbance, injection site discoloration and injection site induration. Information regarding Prevnar (pneumococcal 7 valent conjugate vaccine (diphtheria crm197 protein) syringe pre-filled) was received from a healthcare professional regarding a 16 month old male pt who experienced a large swelling at the injection site on his right anterior thigh. There was injection site pain, tenderness, and linear induration up to his pubic ramus which was described as well circ induration, blue/pink in color. The child additionally developed a limp with walking. At 16 months of age, the pt received the fourth dose on 24Apr06. The pt also received a dose of Pedvax Hib (Haemophilus influenzae type b polysaccharide) and a dose of Infanrix (diphtheria/tetanus toxoids/acellular pertussis vaccine) on 24Apr06. The pt had no known allergies. Indication for Prevnar was immunization. Product was administered on 24Apr06. Dose regimen was 1 dose 1 time per day (IM). The pt was not taking any concomitant medications. On 24Apr06, the pt experienced a large swelling at the injection site on his right anterior thigh for which he was not treated. There was pain, tenderness and a linear induration up to his pubic ramus which was described as a well circ induration, blue/pink in color. The child also developed a limp with walking. The pt recovered from the injection site swelling and pain; the induration and discoloration continues. His limp is improving. No additional information was available at the time of this report.
Age: 1.35
Sex: M
Vaccine: DTAP, HIBV, PNC, DTAP, HIBV, PNC
Symptoms: Skin discolouration, Tenderness
Clinical narrative: This case was considered medically important (OMIC) for events of injection site swelling, gait disturbance, injection site discoloration and injection site induration. Information regarding Prevnar (pneumococcal 7 valent conjugate vaccine (diphtheria crm197 protein) syringe pre-filled) was received from a healthcare professional regarding a 16 month old male pt who experienced a large swelling at the injection site on his right anterior thigh. There was injection site pain, tenderness, and linear induration up to his pubic ramus which was described as well circ induration, blue/pink in color. The child additionally developed a limp with walking. At 16 months of age, the pt received the fourth dose on 24Apr06. The pt also received a dose of Pedvax Hib (Haemophilus influenzae type b polysaccharide) and a dose of Infanrix (diphtheria/tetanus toxoids/acellular pertussis vaccine) on 24Apr06. The pt had no known allergies. Indication for Prevnar was immunization. Product was administered on 24Apr06. Dose regimen was 1 dose 1 time per day (IM). The pt was not taking any concomitant medications. On 24Apr06, the pt experienced a large swelling at the injection site on his right anterior thigh for which he was not treated. There was pain, tenderness and a linear induration up to his pubic ramus which was described as a well circ induration, blue/pink in color. The child also developed a limp with walking. The pt recovered from the injection site swelling and pain; the induration and discoloration continues. His limp is improving. No additional information was available at the time of this report.
Age: 1.35
Sex: M
Vaccine: DTAP, HIBV, PNC, DTAP, HIBV, PNC
Symptoms: Gait disturbance, Injection site mass, Injection site oedema, Injection site pain, Skin discolouration
Clinical narrative: This case was considered medically important (OMIC) for events of injection site swelling, gait disturbance, injection site discoloration and injection site induration. Information regarding Prevnar (pneumococcal 7 valent conjugate vaccine (diphtheria crm197 protein) syringe pre-filled) was received from a healthcare professional regarding a 16 month old male pt who experienced a large swelling at the injection site on his right anterior thigh. There was injection site pain, tenderness, and linear induration up to his pubic ramus which was described as well circ induration, blue/pink in color. The child additionally developed a limp with walking. At 16 months of age, the pt received the fourth dose on 24Apr06. The pt also received a dose of Pedvax Hib (Haemophilus influenzae type b polysaccharide) and a dose of Infanrix (diphtheria/tetanus toxoids/acellular pertussis vaccine) on 24Apr06. The pt had no known allergies. Indication for Prevnar was immunization. Product was administered on 24Apr06. Dose regimen was 1 dose 1 time per day (IM). The pt was not taking any concomitant medications. On 24Apr06, the pt experienced a large swelling at the injection site on his right anterior thigh for which he was not treated. There was pain, tenderness and a linear induration up to his pubic ramus which was described as a well circ induration, blue/pink in color. The child also developed a limp with walking. The pt recovered from the injection site swelling and pain; the induration and discoloration continues. His limp is improving. No additional information was available at the time of this report.
Age: 1.35
Sex: M
Vaccine: DTAP, HIBV, PNC, DTAP, HIBV, PNC
Symptoms: Tenderness
Clinical narrative: This case was considered medically important (OMIC) for events of injection site swelling, gait disturbance, injection site discoloration and injection site induration. Information regarding Prevnar (pneumococcal 7 valent conjugate vaccine (diphtheria crm197 protein) syringe pre-filled) was received from a healthcare professional regarding a 16 month old male pt who experienced a large swelling at the injection site on his right anterior thigh. There was injection site pain, tenderness, and linear induration up to his pubic ramus which was described as well circ induration, blue/pink in color. The child additionally developed a limp with walking. At 16 months of age, the pt received the fourth dose on 24Apr06. The pt also received a dose of Pedvax Hib (Haemophilus influenzae type b polysaccharide) and a dose of Infanrix (diphtheria/tetanus toxoids/acellular pertussis vaccine) on 24Apr06. The pt had no known allergies. Indication for Prevnar was immunization. Product was administered on 24Apr06. Dose regimen was 1 dose 1 time per day (IM). The pt was not taking any concomitant medications. On 24Apr06, the pt experienced a large swelling at the injection site on his right anterior thigh for which he was not treated. There was pain, tenderness and a linear induration up to his pubic ramus which was described as a well circ induration, blue/pink in color. The child also developed a limp with walking. The pt recovered from the injection site swelling and pain; the induration and discoloration continues. His limp is improving. No additional information was available at the time of this report.
Age: 65.0
Sex: M
Vaccine: HEPA, TYP, YF
Symptoms: Pyrexia
Clinical narrative: 6/9/06 Vaccines. 6/13/06 Fever 101. 6/14 MD treated with Ibuprofen and Tylenol. 6/19/06 To ER, BP 50/34. Admitted. Fever as high as 102. Multiple MD's. Infectious control MD. Not sure of diagnosis or progression of illness. Treated with fluids, antibiotics. Fever down to 99 degrees 6/19/06.
Age: 2.0
Sex: M
Vaccine: DTAP, PNC
Symptoms: Erythema, Injection site mass, Pruritus
Clinical narrative: Erythema/induration and itching left thigh.
Age: 1.55
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: Localized swelling, erythema.
Age: 1.28
Sex: F
Vaccine: HEPA
Symptoms: Medication error
Clinical narrative: Hep A #1 given on 4/5/06. Hep A  #2 given on 6/20/06. Patient has not exhibited any adverse reactions to date. No treatment was given.
Age: 51.0
Sex: F
Vaccine: RAB
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Very mild swelling and redness at injection sites.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Right arm red, swollen, hot.
Age: 1.26
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Right leg red, hot, swollen.
Age: 13.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site reaction, Tenderness
Clinical narrative: Local reaction - 6cm plaque of erythema/tenderness.
Age: 19.0
Sex: F
Vaccine: MNQ
Symptoms: Pruritus, Rash
Clinical narrative: Rash to extremities, itched. Gets in sun makes worse.
Age: 17.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Rash
Clinical narrative: Rash on abdomen and extremities - itched. Gets in sun makes worse.
Age: 0.34
Sex: M
Vaccine: DTAP, HIBV, IPV, MNQ
Symptoms: Medication error
Clinical narrative: Menactra was given instead of Prevnar. Mother informed; child slept after getting vaccine. No reaction. Mother spoke with doctor.
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Cellulitis - large area of local reaction - arm. Seen in ER 3 times. She saw me on 12/27 when it was resolving.
Sex: M
Vaccine: TD
Symptoms: Anorexia, Dizziness, Rash
Clinical narrative: Complaining of rash on arms and legs. No fever. Lack of appetite, light headedness. Doctor today put into a prednisone taper.
Age: 1.1
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 1.03
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Skin ulcer
Clinical narrative: PRESENTED IN OFFICE WITH LESIONS ONSET 06/19/2006
Age: 1.05
Sex: M
Vaccine: HBHEPB, VARCEL
Symptoms: Viral infection
Clinical narrative: Patient was seen byMD on 06/21/2006 with a diagnosis of Chicken Pox.
Age: 19.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Chills, Hypoaesthesia, Injection site pain, Malaise, Myalgia
Clinical narrative: Client reported malaise, chills, pain at injection sites, numbness in both legs and muscle aches with temp. of 103.6F, 12 hours after receiving vaccines. Mom treated with Advil and Benadryl. Temp. decreased to normal within 8 hours but 4 hours later, increased to 100F. Mom will call physician this morning.
Age: 19.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Pyrexia
Clinical narrative: Client reported malaise, chills, pain at injection sites, numbness in both legs and muscle aches with temp. of 103.6F, 12 hours after receiving vaccines. Mom treated with Advil and Benadryl. Temp. decreased to normal within 8 hours but 4 hours later, increased to 100F. Mom will call physician this morning.
Age: 1.26
Sex: M
Vaccine: DT, HEPA, PNC
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: MOTHER CALLED AND STATED THAT CHILD'S LEFT UPPER THIGH WAS RED AND SWOLLEN. STARTED ON 06/20/2006 APPROX AT 8:15PM.  MOTHER DENIED OTHER SYMPTOMS. STATES,"CHILD ACTING NORMAL."  MOTHER DID GIVE CHILD 1/2TSP. CHILDREN'S BENEDRYL AND APPLIED ICE TO SITE.
Age: 25.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: 6 days post vaccination, noticed slight redness to site of injection, by the next day, the area became more of a red patch, 35 x 40mm, slightly indurated and mildly tender to touch
Age: 14.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Fatigue, Nausea, Pallor, Syncope
Clinical narrative: pt stood up to leave after waiting about 15 minutes after vaccine given once she stood up see complained of dizzyness, the patient fainted immideatly, was noted very pale within sec pt was alert but tired and nausea, very pale it took a total of 1 hour before pt was ok to leave when pt left still felt a little dizzy.
Age: 45.0
Sex: M
Vaccine: VARCEL
Symptoms: Nausea
Clinical narrative: C/O just feeling "queasy for 2 days" is not vomiting, no diarrhea, no rash, headache, no fever.
Sex: F
Vaccine: HEP, HIBV, IPV, TDAP, HEP, HIBV, IPV, TDAP
Symptoms: Hypoxia, Medication error, Tachycardia
Clinical narrative: Initial report received on 28 March 2006, from a health care provider. A two moth old female patient, with a medical history of premature birth at 26 weeks gestation and bronchopulmonary dysplasia, had received on 25 February 2006, dose one, in the left thigh an injection of Adacel (lot number C2340A); dose one injection of IPOL (site and lot number unknown; dose one injection in the right thigh of HIB vaccine (lot number 0717R); and dose one injection in the right of Hepatitis B vaccine (lot number 0143R). The patient has been hospitalized since birth (birth weight 580 grams) in the Neonatal Intensive Care Unit. Per the reporter, the patient was administered Adacel in error. At an unspecified amount of time post immunization, the patient experienced an episode of tachycardia and decreased oxygen saturations. At the time of the event, the patient was already receiving oxygen and secondary to the event, her oxygen administration was increased. There was no separate hospitalization for this event. The patient subsequently recovered from the event. Medical assessment: This patient is a premature born infant hospitalized for more than 2 months in Neonatal Intensive Care Since birth. Adacel was administered to this patient in error. The patient was already on oxygen at the time of vaccination. It is not clear the degree of decreased oxygen saturation. Both tachycardia and decreased oxygen saturation are unlisted events following Tdap and IPOL. (OMIC)
Sex: F
Vaccine: HEP, HIBV, IPV, TDAP, HEP, HIBV, IPV, TDAP
Symptoms: Hypoxia, Tachycardia
Clinical narrative: Initial report received on 28 March 2006, from a health care provider. A two moth old female patient, with a medical history of premature birth at 26 weeks gestation and bronchopulmonary dysplasia, had received on 25 February 2006, dose one, in the left thigh an injection of Adacel (lot number C2340A); dose one injection of IPOL (site and lot number unknown; dose one injection in the right thigh of HIB vaccine (lot number 0717R); and dose one injection in the right of Hepatitis B vaccine (lot number 0143R). The patient has been hospitalized since birth (birth weight 580 grams) in the Neonatal Intensive Care Unit. Per the reporter, the patient was administered Adacel in error. At an unspecified amount of time post immunization, the patient experienced an episode of tachycardia and decreased oxygen saturations. At the time of the event, the patient was already receiving oxygen and secondary to the event, her oxygen administration was increased. There was no separate hospitalization for this event. The patient subsequently recovered from the event. Medical assessment: This patient is a premature born infant hospitalized for more than 2 months in Neonatal Intensive Care Since birth. Adacel was administered to this patient in error. The patient was already on oxygen at the time of vaccination. It is not clear the degree of decreased oxygen saturation. Both tachycardia and decreased oxygen saturation are unlisted events following Tdap and IPOL. (OMIC)
Age: 27.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Arrhythmia, Chest pain, Electrocardiogram abnormal, Laboratory test abnormal, Nausea
Clinical narrative: Chest pain 11 days post smallpox with POS Troponin 4.75. Chest pain, sub-sternal start: 4/19/06. Dyspnea (shortness of breath) start: 4/19/06. Patient enrolled in myocarditis registry.
Age: 27.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Myocarditis
Clinical narrative: Chest pain 11 days post smallpox with POS Troponin 4.75. Chest pain, sub-sternal start: 4/19/06. Dyspnea (shortness of breath) start: 4/19/06. Patient enrolled in myocarditis registry.
Age: 27.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Chest pain, Dyspnoea, Hypokinesia, Pericardial effusion
Clinical narrative: Chest pain 11 days post smallpox with POS Troponin 4.75. Chest pain, sub-sternal start: 4/19/06. Dyspnea (shortness of breath) start: 4/19/06. Patient enrolled in myocarditis registry.
Age: 74.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Deep vein thrombosis
Clinical narrative: Information has been received from a physician concerning a female patient (age not reported) who on 4/28/06 was vaccinated with a booster dose of pneumococcal 23v polysaccharide vaccine (lot # 651859/0877R). On 4/30/06, it was reported that the patient's arm began to swell with increased pain. The patient presented to the hospital with an internal jugular deep vein thrombosis. The patient was treated with heparin and was now on warfarin sodium. The patient underwent a venous duplex test which revealed positive DT and internal jugular vein. The patient required a 3 day hospitalization. At the time of this report, the outcome of the events were unknown. In follow up, it was reported from medical assistant who works for the physician, that the patient was now home, remains on warfarin sodium and continues to have her PT/INR checked. The patient had been into the physician's office for a visit. The physician considered the events to be immediately life threatening. Additional information ahs been requested.
Age: 74.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Deep vein thrombosis, Injection site pain, Injection site swelling
Clinical narrative: Information has been received from a physician concerning a female patient (age not reported) who on 4/28/06 was vaccinated with a booster dose of pneumococcal 23v polysaccharide vaccine (lot # 651859/0877R). On 4/30/06, it was reported that the patient's arm began to swell with increased pain. The patient presented to the hospital with an internal jugular deep vein thrombosis. The patient was treated with heparin and was now on warfarin sodium. The patient underwent a venous duplex test which revealed positive DT and internal jugular vein. The patient required a 3 day hospitalization. At the time of this report, the outcome of the events were unknown. In follow up, it was reported from medical assistant who works for the physician, that the patient was now home, remains on warfarin sodium and continues to have her PT/INR checked. The patient had been into the physician's office for a visit. The physician considered the events to be immediately life threatening. Additional information ahs been requested.
Age: 30.0
Sex: M
Vaccine: YF
Symptoms: Dyspnoea, Nausea, Pharyngeal oedema, Rash macular, Retching
Clinical narrative: Initial report received on 6/9/06 from a health care professional. A 29 year old male patient with an allergy to chickens, but who is able to eat eggs had received a dose of YF-Vax, lot number UE804AA, in the right arm on 6/9/06 at 12:30 PM. The route of administration was not provided. 120 minutes later, at 14:30 PM, the patient developed mild shortness of breath, swelling in his throat, pink blotchy areas on his skin (unsure if this was normal skin coloration or from the vaccine), nausea with vomiting five times, and retching dry heaves. His vital signs were within normal limits. Per the reporter, the patient required medical evaluation. At the time of this report, the patient had not recovered from these adverse events. (OMIC)
Age: 30.0
Sex: M
Vaccine: YF
Symptoms: Vomiting
Clinical narrative: Initial report received on 6/9/06 from a health care professional. A 29 year old male patient with an allergy to chickens, but who is able to eat eggs had received a dose of YF-Vax, lot number UE804AA, in the right arm on 6/9/06 at 12:30 PM. The route of administration was not provided. 120 minutes later, at 14:30 PM, the patient developed mild shortness of breath, swelling in his throat, pink blotchy areas on his skin (unsure if this was normal skin coloration or from the vaccine), nausea with vomiting five times, and retching dry heaves. His vital signs were within normal limits. Per the reporter, the patient required medical evaluation. At the time of this report, the patient had not recovered from these adverse events. (OMIC)
Age: 0.16
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Depressed level of consciousness, Pallor, Pyrexia, Vomiting
Clinical narrative: Per mother of infant was reported to medical resident: On 3/21/05 between 8:00 and 9:00 PM: Infant looked pale and did not respond to her attempts to arouse and awaken him for one to three minutes. He did not spot breathing at any time. Temperature was 100.6 F. Mother of infant brought him to emergency room approximately four hours after she had difficulty arousing him. On arrival to hospital, early 3/22/05 AM, infant was alert, active and seemed to be fine. Temp was 38 C. Infant was placed on apnea monitor and admitted for observation and further evaluation. Today, 3/23/05, infant is doing well and may be discharged. He has not had any apnea events. He does have a low grade fever. This information was reported to be my a medical resident. Medical record states vomiting. msv
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Dyskinesia, Irritability, Pyrexia
Clinical narrative: Fever, fussiness; jerking move, on and off for 3.5 to 4 hours. Received Tylenol for fever and then hospitalized on 6/15/06; discharged on 6/16/06.
Age: 19.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Pain
Clinical narrative: Has a 6.5cmx4cm reddened area on left deltoid area with 1.5cmx3.5cm area of induration within reddened area. Area warm and painful.
Age: 1.02
Sex: M
Vaccine: FLU3, VARCEL
Symptoms: Cough, Nasal congestion, Pyrexia, Rash, Viral infection
Clinical narrative: Varicella vaccine breakthrough. Developed fever, cough, nasal congestion on 6/9/06. Temp 100. Rash started 6/14/06. Had about 20 scattered pustules on trunk. Diagnosed with varicella in our office by doctor on 6/14/06.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site abscess, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: 4-5cm circumferential erythema, warm, painful to touch at vaccine site. Moderate drainage. Treat with Levaquin 750mg PO daily for 5 days.
Age: 0.17
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Crying
Clinical narrative: Excessive crying for 6 hours after 1st DTaP.
Age: 22.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 8 days post smallpox vaccine administration, patient developed increasing redness, pain, swelling around site. Treat with Levaquin 750mg PO daily for 5 days.
Age: 30.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site reaction, Injection site warmth, Rash papular
Clinical narrative: Local reaction at vaccine site. Area 2.25"x1" erythema, heat, 3 papules; no vesicles.
Age: 6.0
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Medication error
Clinical narrative: Subcutaneous administration of 25 units TU left tricep on 8/1/01. Call information center and was advised that no adverse reaction will be expected. Call CDC to speak to a professional about consultation issues, contacted the duty officer. Was told that the administration of the purified protein derivative will not sensitize a person if not already sensitive. There are no harmful effects to the child by the administration of PPD. The recommendation is to if the child needs to be tested, wait the 4-6 weeks after the MMR to minimize the risk of a false-negative response to the PPD. There are two issues. The units of PPD might increase the risk of false positive and the MMR might increase the risk for false negative. The time interval for PPD is the 4-6 week after as is recommended for the MMR. The consultant also stated if the client comes back with a positive, there may be uncertainty. The consultant recommends action, if the client tests positive to take action as if it was a true positive. Call other sources as noted. Spoke with nurse consultant reported no harmful effects to child by administration of PPD solution but to wait for PPD testing for 6-8 weeks as recommended for PPD testing after MMR vaccination.
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Agitation, Pyrexia
Clinical narrative: Child with fever above 102.0 and inconsolability, unresponsive to Tylenol.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Febrile convulsion, Gaze palsy, Hypotonia
Clinical narrative: Fever with seizure (febrile seizure), 15-30 secs. Rolling up of the eyes, limp of the body (decreased tone). No sphincters, relaxation, no frothing of the mouth, soon in ER and release w/o complications. Follow up next day with provider. Pt doing fine.
Age: 15.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Rash papular
Clinical narrative: 2 days after TD, developed rash, multiple single round or oval papules, 0.25ml, 1 cm diameter, erythematous, mildly raised borders with scaly centers. Greatest cluster L axilla and medial upper arm. 2cm lesion noted left lateral thigh. Not itchy or painful. Given Claritin.
Age: 1.53
Sex: M
Vaccine: DTAP, OPV
Symptoms: Rash vesicular, Viral infection
Clinical narrative: Developed chickenpox even though vaccinated 7/11/97.
Age: 24.0
Sex: M
Vaccine: HEP, MEN, SMALL
Symptoms: Lymphadenopathy, Pain, Pyrexia
Clinical narrative: Patient presented to Medical Treatment Facility on 20June06 with elevated temp of 102.5, body aches and swollen lymph node to L arm pit. Received smallpox vaccination on 9June06. IV fluids NaCl .9% administered. Tylenol 650mg given. Quarters times 24 hours. Temperature decreased to 98.6 one hour after IV administration/Tylenol.
Age: 25.0
Sex: M
Vaccine: HEP, MEN, SMALL, TYP
Symptoms: Chills, Headache, Lymphadenopathy, Nausea, Pharyngolaryngeal pain
Clinical narrative: Presented to Medical Treatment Facility on 20June06 with c/o HA, Chills, Nausea, sore throat x 24 hours. Temp 99.1. L shoulder vaccination site within normal limits. Slightly swollen lymph nodes neck. Diagnosed as viremia. Strept culture negative. Tylenol and quarters x 24 hours.
Age: 25.0
Sex: M
Vaccine: HEP, MEN, SMALL, TYP
Symptoms: Pyrexia, Viral infection
Clinical narrative: Presented to Medical Treatment Facility on 20June06 with c/o HA, Chills, Nausea, sore throat x 24 hours. Temp 99.1. L shoulder vaccination site within normal limits. Slightly swollen lymph nodes neck. Diagnosed as viremia. Strept culture negative. Tylenol and quarters x 24 hours.
Age: 40.0
Sex: M
Vaccine: ANTH, SMALL, TYP, UNK
Symptoms: Chills, Petechiae, Pruritus, Purpura, Pyrexia
Clinical narrative: Patient developed petechial/purpuric rash on both lower extremities, bilateral, symmetrical, mid-calf extending to knees, non-blanching, with mild pruritis. Also had temp 99.5 with chills for 3 days;  Suspected diagnosis was vasculitis; No evidence of coagulopathy; Rash resolved within 1 week and no complications.
Age: 40.0
Sex: M
Vaccine: ANTH, SMALL, TYP, UNK
Symptoms: Vasculitis
Clinical narrative: Patient developed petechial/purpuric rash on both lower extremities, bilateral, symmetrical, mid-calf extending to knees, non-blanching, with mild pruritis. Also had temp 99.5 with chills for 3 days;  Suspected diagnosis was vasculitis; No evidence of coagulopathy; Rash resolved within 1 week and no complications.
Age: 31.0
Sex: M
Vaccine: ANTH, HEP, SMALL, TYP
Symptoms: Chills, Ear pain, Erythema, Feeling hot, Hypertrophy
Clinical narrative: Patient presented to Medical Treatment Facility on 20June06 with c/o bilateral ear pain, sore throat, chills times 4 days. Temp 101.2. TM's not inflammed, slight tonsillar hypertrophy, white spot R tonsil, no lymphadenopathy. L shoulder with swelling, erythema, and warm. Open lesion 1cm diameter surrounded by 21/2 inches swelling/erythema. Smallpox vaccination on 09June06.
Age: 31.0
Sex: M
Vaccine: ANTH, HEP, SMALL, TYP
Symptoms: Pharyngolaryngeal pain, Swelling
Clinical narrative: Patient presented to Medical Treatment Facility on 20June06 with c/o bilateral ear pain, sore throat, chills times 4 days. Temp 101.2. TM's not inflammed, slight tonsillar hypertrophy, white spot R tonsil, no lymphadenopathy. L shoulder with swelling, erythema, and warm. Open lesion 1cm diameter surrounded by 21/2 inches swelling/erythema. Smallpox vaccination on 09June06.
Age: 1.49
Sex: M
Vaccine: FLU3
Symptoms: Abnormal behaviour, Nervous system disorder, Neurodevelopmental disorder
Clinical narrative: Complete permanent change of behavior and facial expression.  Brain damage (diagnosed with developmental delays).
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site swelling
Clinical narrative: Patient received vaccine on 6/19/06 and presented to clinic on 6/21/06 with swollen right arm where DtaP was administered. Patient was prescribed Atarax, Tylenol and cold compress.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Gait disturbance, Oedema peripheral
Clinical narrative: right thigh swelling from hip to knee starting about 12 hrs after DTap given in that thigh.  No redness, tenderness, rash, fever.  FROM at hip and knee.  Slight limp when walking but pt able to jump up and down. No treatment given/needed.
Age: 0.51
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Irritability, Oral intake reduced
Clinical narrative: Father reports that child was fussy the night of the injections.  He awoke at 9:00 am and had a temperature of 102 degrees rectal.  Previous immunizations at 2 and 4 months produced fevers of 100 degrees.  Child also vomited his formula and refused all food.  They were able to give him Pedialyte in the afternoon. Parents took him to his pediatrician for evaluation June 21 at 2:00 pm. They felt that his symptoms were related to the vaccines he received rather than any other cause.  He experienced some dime sized redness and hardness at one injection site on upper right thigh, otherwise sites were swollen and puffy. Today June 22 at 9:30am his temp was 100.2 degrees F rectal.  He has had four doses of ibuprofen in the past 24 hours.
Age: 0.51
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia, Vomiting
Clinical narrative: Father reports that child was fussy the night of the injections.  He awoke at 9:00 am and had a temperature of 102 degrees rectal.  Previous immunizations at 2 and 4 months produced fevers of 100 degrees.  Child also vomited his formula and refused all food.  They were able to give him Pedialyte in the afternoon. Parents took him to his pediatrician for evaluation June 21 at 2:00 pm. They felt that his symptoms were related to the vaccines he received rather than any other cause.  He experienced some dime sized redness and hardness at one injection site on upper right thigh, otherwise sites were swollen and puffy. Today June 22 at 9:30am his temp was 100.2 degrees F rectal.  He has had four doses of ibuprofen in the past 24 hours.
Age: 21.0
Sex: M
Vaccine: HEPAB
Symptoms: Joint range of motion decreased
Clinical narrative: Patient in for routine vaccination per military guidelines on 19JUN06 and presented to clinic on 22JUN06 c/o limited range of motion and inability to lift arm to shoulder length and overhead.
Age: 34.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Blood creatine phosphokinase increased, Cardiac enzymes, Catheterisation cardiac, Chest pain, Echocardiogram abnormal
Clinical narrative: Awoke from sleep 5 am 6/17/06 with severe substernal chest pain 11 days post-smallpox vaccine.  cardiac enzymes + CPK-MB peak @ 46.6 with index of 11.1.  Cardiac cath 6/19:  clean coronary arteries. Follow-up: Patient is military and has been "lost to civilian follow-up". Military may be able to provide additional information.
Age: 34.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Laboratory test abnormal, Troponin
Clinical narrative: Awoke from sleep 5 am 6/17/06 with severe substernal chest pain 11 days post-smallpox vaccine.  cardiac enzymes + CPK-MB peak @ 46.6 with index of 11.1.  Cardiac cath 6/19:  clean coronary arteries. Follow-up: Patient is military and has been "lost to civilian follow-up". Military may be able to provide additional information.
Age: 34.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Blood creatine phosphokinase increased, Chest pain, Hyperhidrosis, Laboratory test abnormal, Myocarditis
Clinical narrative: Awoke from sleep 5 am 6/17/06 with severe substernal chest pain 11 days post-smallpox vaccine.  cardiac enzymes + CPK-MB peak @ 46.6 with index of 11.1.  Cardiac cath 6/19:  clean coronary arteries. Follow-up: Patient is military and has been "lost to civilian follow-up". Military may be able to provide additional information.
Age: 34.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Cerebral haematoma, Chest pain, Dyspnoea, Fatigue, Hyperhidrosis
Clinical narrative: Awoke from sleep 5 am 6/17/06 with severe substernal chest pain 11 days post-smallpox vaccine.  cardiac enzymes + CPK-MB peak @ 46.6 with index of 11.1.  Cardiac cath 6/19:  clean coronary arteries. Follow-up: Patient is military and has been "lost to civilian follow-up". Military may be able to provide additional information.
Age: 34.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Influenza like illness, Laboratory test abnormal, Myocarditis, Pain
Clinical narrative: Awoke from sleep 5 am 6/17/06 with severe substernal chest pain 11 days post-smallpox vaccine.  cardiac enzymes + CPK-MB peak @ 46.6 with index of 11.1.  Cardiac cath 6/19:  clean coronary arteries. Follow-up: Patient is military and has been "lost to civilian follow-up". Military may be able to provide additional information.
Age: 0.35
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Coma, Hypotonia, Pallor
Clinical narrative: RECEIVED IMMU @ 10 A M. ACCORDING TO MOM, APPROX 10 P.M.  BECAME LIMP AND UNRESPONSIVE; ENTIRE BODY TURNED WHITE; TOOOK INFANT TO HOSPITAL; EPISODE LASTED ABOUT 30 MINUTES;THEN SLOWLY RETURNED NORMAL; MOM STATED ER DOCTOR ATTRIBUTED S/S TO IMMUNIZATION.   NO TESTING, LAB, ETC DONE.
Age: 31.0
Sex: F
Vaccine: SMALL
Symptoms: Chills, Headache, Lymphadenopathy, Malaise, Myalgia
Clinical narrative: PAINFUL LT. AXILLARY ADENOPATHY ON 5/9/2006 THEN, PROGRESSIVE SMALL PUSTULAR LESIONS FROM LT. DELTOID AREA c/w VACCINIA. MYALGIAS, HA, MALAISE, NAUSEA, SUBJECTIVE FEVER & CHILLS, MILD TO MODERATE PHOTOPHOBIA, INCREASED DROWSINESS. RASH PROGRESSED TO BOTH UPPER ARMS, NECK AND UPPER BACK. PT EVALUATED BY ID PHYSICIAN IN ED. NOT ADMITTED. VIG NOT ADMINISTERED. SYMPTOMATIC THERAPY.
Age: 31.0
Sex: F
Vaccine: SMALL
Symptoms: Nausea, Photophobia, Pyrexia, Rash, Somnolence
Clinical narrative: PAINFUL LT. AXILLARY ADENOPATHY ON 5/9/2006 THEN, PROGRESSIVE SMALL PUSTULAR LESIONS FROM LT. DELTOID AREA c/w VACCINIA. MYALGIAS, HA, MALAISE, NAUSEA, SUBJECTIVE FEVER & CHILLS, MILD TO MODERATE PHOTOPHOBIA, INCREASED DROWSINESS. RASH PROGRESSED TO BOTH UPPER ARMS, NECK AND UPPER BACK. PT EVALUATED BY ID PHYSICIAN IN ED. NOT ADMITTED. VIG NOT ADMINISTERED. SYMPTOMATIC THERAPY.
Age: 27.0
Sex: M
Vaccine: HEP
Symptoms: Erythema, Neuropathy peripheral, Rash macular, Vasculitis
Clinical narrative: This case was reported by a physician and described the occurrence of vasculitis in a 27 year old male subject who was vaccinated with hepatitis B vaccine for prophylaxis. On unspecified dates in 2002, the subject received hepatitis B vaccine (dose number and lot number not provided). On an unspecified date in 2002, less than one year after vaccination with hepatitis B vaccine, the subject experienced vasculitis or skin eruptions like red blotches on the trunk and arms, and peripheral neuropathy. The subject was seen at a physician's office. The subject was treated with steroid and colchicine. At the time of initial reporting, 6/19/06, the events were ongoing. Comment: Vasculitis was assessed as medically serious (OMIC).