chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 71.0
Sex: M
Vaccine: FLUX
Symptoms: Dyspnoea, Pneumonia, Pyrexia, Viral infection, Weight decreased
Clinical narrative: Was vaccinated 10/11/03. 36 hours later had fever of 101.01; called ER at hospital and nurse said spit not colored; he has virus and to give Tylenol every 4 hours. Called nurse 2 times daily. Pulmonary doctor Monday, Tuesday, and Wednesday and they all said the same (virus). Wednesday night, fever 103.1, lost 10 pounds, weak and could not get out of bed. Had pneumonia and in hospital for 8 days. The hospital discharge summary received on 1/13/04 states dyspnea. 60-day follow up on 01/29/04: "Pt has recovered from adverse events."
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Rash, Urticaria
Clinical narrative: Redden, hive like rash upper arm. Ice and ibuprofen.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Hot flush, Tremor
Clinical narrative: Shot administered at 1:40 PM. RN approached patient about 15 minutes later to inquire about how she was feeling. At that time patient stated she felt shaky and that immediately following the shot, she felt a warm flash in her chest. Patient was given 8mg of Chlorpheniramine at 1:58 PM and a sucker. 1:50 PM, BP 132/90, 2:30 120/84. Patient stated she felt better and would be able to drive herself home. Patient released about 2:40 to return home.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus
Clinical narrative: Patient received flu shot for 1st time. Answered no to all screening questions. 10 minutes after vaccine, she was itching on face, legs, arms and chest. Redness on left eyebrow, chin and chest. Stated no respiratory symptoms. She was given 2 tabs (4mg each) of chlorpheniramine.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Contusion, Erythema, Injection site rash
Clinical narrative: Immediate bruise at injection; rash/redness around area within 15 minutes. Patient complaining of joint aching.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Discomfort, Hypokinesia, Injection site swelling, Joint range of motion decreased, Pain
Clinical narrative: Patient experienced pain at the time of injection. Increasing discomfort and decreasing mobility everyday since. Some swelling in the area; no redness. Unable to lift arm against gravity.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying
Clinical narrative: Approximately 4 hours after the vaccine, patient began to cry uncontrollably and could not be soothed. He kept this up for 2.5 hours. No major local reactions.
Age: 13.0
Sex: F
Vaccine: FLU3
Symptoms: Facial palsy, Speech disorder
Clinical narrative: Received Fluzone 11/4/03. On 11/6/03 developed Bell's Palsy with right facial droop. The medical records received on 1/12/04 states talking funny, droop of mouth, and rt sided facial paralysis.
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Injection site rash, Injection site warmth
Clinical narrative: Raised rash upper left arm with lots of pain; warm and tender to touch.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Blister, Injection site erythema
Clinical narrative: Per parents, soon after vaccine administration, patient had blisters (3) around injection site and approximately 3-4cm2 area of redness for several days.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Feeling hot, Pain, Swelling
Clinical narrative: Patient reports that arm had red patch of erythema that evening from shoulder to elbow. Today (day 2) arm is swollen, red, warm to touch and painful.
Age: 60.0
Sex: M
Vaccine: PPV
Symptoms: Injection site rash, Pain, Pyrexia
Clinical narrative: C/O Patient stated felt like he got hit in the arm with a baseball bat. Pain moved into bones, hip, knees,. Brief rash at injection site for 1 day; temperature 103.8 (highest). 10 days later, entire body ache with temperature. Plan - Ibuprofen 800mg for 10 days. Follow up PRN.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Nasal congestion, Pallor, Wheezing
Clinical narrative: Wheezing, very congested in chest area, hard to take a full breath. Pale in color approximately 4.5 hours following the vaccine.
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Developed generalized hives 6-7 hours after the influenza vaccine. Had to see nurse practitioner; given Kenalog shot and Prednisone and Benedryl. Studies done by nurse practitioner.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Fatigue, Pyrexia
Clinical narrative: In 24 to 48 hours, temperature 103, weakness, fatigue. Used Tylenol; temp to 101.5 after Tylenol.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Vaccine given 10/30/03. Mom noticed hives on 11/1/03 and 11/2/03. Hives were gone by 11/3/03. Mom states may have had hives on Friday 10/31; doesn't know since was with dad that day.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Discomfort, Injection site erythema, Injection site induration
Clinical narrative: Received flu vaccine on 10/21/03 2PM. Noted some discomfort 10/22/03 about 5:30PM to injection site. Noted to be red and indurated at site and was swollen.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Tenderness
Clinical narrative: 5x7cm area of redness which is tender to touch-no treatment done.
Age: 42.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Feeling cold, Hyperhidrosis, Panic reaction
Clinical narrative: Pt exhibited signs of a panic attack, sweating, dizziness, coldness. Pt has history of panic attacks symptoms subsided after 20 minutes.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Dizziness, Nausea
Clinical narrative: C/O nausea, light headedness approx. 20 min after flu shot. 2:30p BP 128/88, 2:50p BP 124/84-given cookies and juice. 3:25p feeling much better.
Age: 36.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site reaction, Injection site warmth
Clinical narrative: Pt experienced local reaction post pneumonia shot to R arm redness et induration approx 6cm by 20cm increased warmth, temp increased 101 deg, increased soreness to touch.
Age: 36.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia
Clinical narrative: Pt experienced local reaction post pneumonia shot to R arm redness et induration approx 6cm by 20cm increased warmth, temp increased 101 deg, increased soreness to touch.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: 5x7cm-reddened area (+) deltoid with induration < .5cm increased warmth et tenderness at site. Advised to apply warm compresses et report to MD of worsened.
Age: 63.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Back pain, Balance disorder, Chills, Headache, Pain
Clinical narrative: Chills, fever, pain in back and both legs, headache, loss of balance, it lasted 24 hrs.
Age: 63.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Pyrexia
Clinical narrative: Chills, fever, pain in back and both legs, headache, loss of balance, it lasted 24 hrs.
Age: 65.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: Site of injection began itching rather intensely within 10 min of administration. A six-inch oval real of raised, redness developed within 24 hrs. Hot to the touch. Remained reddened from 10/24/02 until approx 11/19/02. Never had a fever nor any respiratory symptom.  Follow up on 12/03/03: nothing answered.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Vomiting
Clinical narrative: Nausea and vomiting within 1 hr of shot-went home from work slept and nurse called next day-pt stated she was fine.
Age: 24.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Flushing
Clinical narrative: C/O's feeling flushed, dizzy 20 minutes after receiving flu shot. (+) face, neck flushing four hrs later. Dizziness four hrs later. V.S.S. no SOB. Tx: Benadryl 50mg po q 6 hrs s/s lasted 24 hrs.
Age: 1.06
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Coordination abnormal, Cough, Fall, Gait disturbance
Clinical narrative: Ataxia starting within 30 minutes of vaccine administration. Difficulty standing up unsteady gait, frequent falling down. Pt improving. Cough developed after vaccine.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema, Rash macular, Skin exfoliation, Urticaria
Clinical narrative: Received flu shot 10/22/03. 10/23/03 I broke out in hives all over my body. ARm swollen and red at the site of injection size of orange. Continued to get worse. 10/24/03 soon Dr put me on Viotaril. 10/28/03 clinic Prednisone and Zyrtec. No new spots 10/31/03. 11/11/03 still blotchy and peeling. Follow up on 12/10/2003: "
Age: 15.0
Sex: M
Vaccine: FLU3
Symptoms: Diplopia, Eye oedema, Ocular hyperaemia
Clinical narrative: On 10/14/03 pt began having acute "double vision." The morning after receiving injection awakened with eye, slightly swollen and red which resolved post 12 hrs. Did not report double vision to parents until 10/22/03. At this time they made appt with opthamalogist who comfirmed dx of diplopia. Continue to have "double vision" and has follow up appt 12/10/03 with neuro opthamalogist. The medical record received on 2/3/04 states double vision.
Age: 64.0
Sex: M
Vaccine: FLUX
Symptoms: Cough, Pyrexia
Clinical narrative: Flu shot 10/24/03 flu symptom 10/27 fever, cough, etc. FEver 1 day cough 1 wk. Flu shot in 2002-no r/u but cough/cold followed. Flu shot in 2001-no r/u but cough/cold followed. Follow up on 12/03/03: "you will have to get this info from the pharmacist wher ethe vaccine was administered."
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 5cm x 3.5cm erythematous non pruritic, slightly raised slightly tender and warm to touch, dry rreaction over vaccination site. Appeared within 24 hrs post injection. No systemic signs or symptoms found/noted. Other vaccinations from same vial without incident.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Hyperaemia, Urticaria
Clinical narrative: Generalized hives beginning about 12 hrs after injection. Injection site slightly hyperemic but no swelling. Lasted 4 days.
Age: 2.7
Sex: M
Vaccine: FLU3
Symptoms: Convulsion, Glossitis, Laboratory test abnormal, Lethargy
Clinical narrative: Pt had a grand mal seizure, lasting 4-5 mins, according to mother. Was taken to ER had CBC and CT scan of head (both wnl)-then saw neurologist on 10/23/03 and EEG done (also wnl). No further work-up or follow-up recommended unless pt has another seizure. The medical records received on 1/21/04 states lethargy, and bite tongue.
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Anorexia, Chills, Dizziness, Nausea, Pyrexia
Clinical narrative: Nausea, loss of appetite, fever, chills, dizziness.
Age: 32.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Condition aggravated, Fatigue, Infection, Injection site erythema, Injection site warmth
Clinical narrative: Pt reports she had symptoms of congestion, sneezing and fatigue on 10/19/03 prior to vaccination. Vaccinated with flu and Pneumovax on left deltoid at 3pm on 10/20/03. Continued to have more fatigue, arm pain and cold symptoms 10/21/03 she was in bed, not feeling well, fever of 102 deg F with Tylenol. 10/22/03 fatigue and myalgia and red warm arm at vaccination site. 10/23/03 pt seen and treated with antibiotics for infection. Resolved by 10/29/03.
Age: 32.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Malaise, Myalgia, Pain, Pharyngitis, Pyrexia
Clinical narrative: Pt reports she had symptoms of congestion, sneezing and fatigue on 10/19/03 prior to vaccination. Vaccinated with flu and Pneumovax on left deltoid at 3pm on 10/20/03. Continued to have more fatigue, arm pain and cold symptoms 10/21/03 she was in bed, not feeling well, fever of 102 deg F with Tylenol. 10/22/03 fatigue and myalgia and red warm arm at vaccination site. 10/23/03 pt seen and treated with antibiotics for infection. Resolved by 10/29/03.
Age: 32.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Rhinitis
Clinical narrative: Pt reports she had symptoms of congestion, sneezing and fatigue on 10/19/03 prior to vaccination. Vaccinated with flu and Pneumovax on left deltoid at 3pm on 10/20/03. Continued to have more fatigue, arm pain and cold symptoms 10/21/03 she was in bed, not feeling well, fever of 102 deg F with Tylenol. 10/22/03 fatigue and myalgia and red warm arm at vaccination site. 10/23/03 pt seen and treated with antibiotics for infection. Resolved by 10/29/03.
Age: 6.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Feeling hot, Oedema peripheral, Pyrexia
Clinical narrative: Red, warm, swollen R deltoid, measuring 2" in diameter. Temp of 99 deg with Tylenol. Swelling in axilla. AH symptoms began 10/22/03j am and ended by 10/24/03 am.
Age: 36.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chest pain, Neck pain, Skin burning sensation
Clinical narrative: Pt noticed burning left arm following vaccination with pneumonia. This increased by the next day to burning in chest and neck to left ear. She was advised to contact MD and subsequently went to ER Tx'd with Epinephrine, steroids x1 week. Noted difficulty breathing when weaned off, steroids restarted and continued Tx until 11/6/03.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia, Pruritus, Rash
Clinical narrative: Approx 30 minutes after receiving injection had tingling from "top of her head to bottom of her feet", and broke out in a rash and became itchy. 8mg chlorpheniramine PO given and v/s taken. Within 10-15 minutes symptoms decreased, only tingling remained in head.
Age: 23.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Rash pruritic
Clinical narrative: Received 2nd dose Varivax and influenza vaccine in left arm on 11/6/03. On 11/11/03 developed mild pruritic rash on neck. Today is diffuse pruritic allergic fine rash on arms, neck, chest and back. Tx: Allegra and Zyrtec.
Age: 77.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Joint range of motion decreased, Pain
Clinical narrative: Received flu shot 10/15/03 left arm, started hurting by lunch, with small amount of bruising at injection site. By 10/16/03 left arm down to elbow was blue and purple, with pain upon movement. Went to ER Sat AM 10/18/03. ER MD advised her to lift arm and apply heat or ice. She said that heat made it hurt worse so she would apply ice and raise arm. Gave her percocet for pain. Went to NP 10/20/03. Advised to lift and apply ice.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Skin irritation, Urticaria
Clinical narrative: Noticed hives - neck/arm/legs about 30 minutes after vaccination. Benadryl OTC 50mg 6PM, resolves 24 hours later, no trouble breathing. Irritation, left arm ache - resolved.
Age: 38.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site warmth, Pyrexia, Rash erythematous, Skin ulcer, Urticaria
Clinical narrative: 36-48 hours after dose given, T up to 100.4, 4" raised red/hot to touch lesion, hives on upper torso. Resolved with Benadryl. Occurred on 11/7/03. Did not seek medical attention. Flu vaccine received.
Age: 78.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema
Clinical narrative: Cellulitis left arm with redness. Pt seen at hospital 10/22/03. Seen at physician office 10/24/03. Given Rocephin 1 gram intramuscular right gluteal. Pt given Rx Cephalexin 500mg from hospital.
Age: 72.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site oedema, Injection site warmth, Pain, Rash erythematous
Clinical narrative: 6 x 6 red raised area, hot, hurts to touch right deltoid.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Reddened, swollen, warm upper arm. Ice, Ibuprofen.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Pyrexia
Clinical narrative: Fever to 103 degrees F day of vaccine after shot given.
Age: 5.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash
Clinical narrative: Pt had rash for 7-14 days per mother. She insisted that we report this, despite it being on the list of possible side effects.
Age: 86.0
Sex: U
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Pain
Clinical narrative: Redness and tenderness distally to elbow and proximally to shoulder. Cellulitis.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash vesicular
Clinical narrative: 9 days post vaccination had varicella like rash.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Syncope
Clinical narrative: 3 hours after the vaccination I thought the room looked strange and started fainting over and over. This was real bad. Went to hospital, sat in waiting room. Went to my Dr next day and heart Dr in day or 2. (Fainted for 4 days). BS 120, BP 120/70, P 68. Started Icmeclizine 25 mg 1 at 3 a day the next day, manager told me not to take it that day.
Age: 1.17
Sex: M
Vaccine: MMR
Symptoms: Pyrexia, Skin ulcer
Clinical narrative: Fever 99.7 F, lesions primary on abdomen, few on face and neck and genital area.
Age: 49.0
Sex: M
Vaccine: HEP
Symptoms: Injection site oedema, Pain, Pruritus
Clinical narrative: Muscle swelling and tenderness, itching, reduced to a lump and disappearing after 4 days. 1 reactin after 1st Hep B vaccine (8/21/03) (next day) on right leg. 3 reactions (on right arm) after 2nd Hep B shot (9/19/03).
Age: 1.67
Sex: M
Vaccine: DTPHIB, HEP
Symptoms: Cellulitis, Injection site induration, Injection site oedema
Clinical narrative: Swelling and induration at site of vaccines; development of cellulitis.
Age: 0.33
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Agitation, Crying, Pyrexia
Clinical narrative: Temp of 103.0 degrees F. Persistent crying for 2-3 hours.
Age: 1.08
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Rash pustular
Clinical narrative: Pusulent rash on body.
Age: 1.0
Sex: F
Vaccine: IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Left thigh - swelling and redness approx 2" in diameter around injection site. Child has no pain when are touched. 5:05 PM Benadryl 3/4 tsp po. 5:10 PM redness decreased, sq.
Age: 0.5
Sex: F
Vaccine: DTAP, HEP, PNC
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Rash macular
Clinical narrative: 3cm erythematous macula/indurated and warm. Prevnar is the one that has reacted.
Age: 20.0
Sex: M
Vaccine: TD
Symptoms: Lymphadenopathy, Pain
Clinical narrative: Afebrile. Seen 11/7/03 for left finger puncture wound; since last tetanus-Dip booster was in 1993, booster dose given left deltoid. Left deltoid sore since but 11/9 left axillary lymphadenopathy (3cm x 3cm) developed. Tender, not supporative. Given antibiotic Augmentin x2 for 7 days.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Influenza like illness, Rash papular, Skin ulcer
Clinical narrative: 2 weeks post-vaccination, pt developed flu-like symptoms. In addition on left thigh he developed multiple papules, some similar lesions on the back and chest.
Age: 1.0
Sex: M
Vaccine: DTAP
Symptoms: Irritability
Clinical narrative: Very violent and irritable onset few hours after DTaP given. Lasted several days until treated for a vaccine reaction.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Developed varicella.
Age: 0.17
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Breath holding, Crying, Cyanosis, Pallor, Screaming
Clinical narrative: Breath holding spell with lips turning blue and skin pale following a crying spell about 4 hours following immunization. Baby gradually regained normal color but cyanotic episode was very brief. Subsequently had a normal exam in office.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Infection, Rash papular, Skin ulcer
Clinical narrative: Presented to office with c/c bumps all over body, sent home from school. S/S papular lesion with clear exuate on abdomen and face. Dx: Varicella.
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Rash
Clinical narrative: Blistery rash abdomen, neck, legs.
Age: 0.4
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Lethargy, Pyrexia, Respiratory disorder, Retching
Clinical narrative: Fever, lethargy, grunting, gagging, irregular breathing-lasted less than 1 hour.
Age: 1.5
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MMR, PNC, VARCEL
Symptoms: Dyskinesia, Febrile convulsion, Pyrexia
Clinical narrative: Family was eating dinner and he got very quiet then started jerking around.  Reports seizure lasted only 30 seconds at the most.  To ER via ambulance where temperature was 104 "something".  ER diagnosed it as febrile seizure and said both ear drums red and gave amoxicillin and urged Tylenol and Motrin to keep temperature down.  No rash visible.
Age: 12.0
Sex: F
Vaccine: IPV, TD
Symptoms: Tremor
Clinical narrative: Received Td 10/29/2003.  No fever, normal tenderness next day.  1 week post injection developed tremor left arm - more noticeable in hand.  Saw PMD with diagnosis of bilateral muscle reaction.  Had one dose and low dose Valium.  Tremor ceased 11/11/2003.
Age: 6.0
Sex: M
Vaccine: HEP
Symptoms: Injection site oedema
Clinical narrative: Diffuse swelling from shoulder to elbow.
Age: 1.0
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Febrile convulsion, Injection site erythema, Injection site induration, Injection site mass, Injection site oedema
Clinical narrative: Left leg red, swollen and hard knot after immunization on Wednesday.  Friday evening running fever of 103.7 taken to ER for febrile seizure.  Placed on meds at ER.  Today 11/12/2003 left leg knot decreasing in size, no redness.
Age: 12.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Blood pressure decreased, Nervousness, Syncope
Clinical narrative: Patient fainted about 1 minute after 2 injections were given.  She slumped to floor, hit head on rug and awoke spontaneously.  She remained nervous and fearful for 20 more minutes.  Blood Pressure 94/62.  Mother was with child and she was transported to home.  Patient walked to car.
Age: 0.9
Sex: F
Vaccine: DTAP
Symptoms: Pyrexia, Screaming, Urticaria
Clinical narrative: Patient received her shot 09/17/2002 at approximately 14:00.  By 11:00 09/18/2002, she ran a steady temperature between 101 and 102 degrees.  She had a hive shown on her face then the other side, back of her arm and then on the back of her right calf.  The temperature ran for 5 days.  She was screaming and crying on and off for 5 days.
Age: 0.6
Sex: F
Vaccine: DTAP, HBHEPB
Symptoms: Feeling hot, Injection site erythema, Irritability, Oedema
Clinical narrative: Right thigh edema, red, warm, irritability
Age: 4.5
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pruritus, Rash, Rash macular
Clinical narrative: Patient received DTAP, IPV and MMR in this office.  15 minutes later, he developed a rash-blotchy, itchy gave Benadryl 25mg per mouth.  No systemic symptoms.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site induration
Clinical narrative: Right arm with large erythematous area 8cm. Decreased with 2 puncture sites, non-tender-slightly warm and firm.
Age: 53.0
Sex: F
Vaccine: TD
Symptoms: Diarrhoea, Fatigue, Injection site erythema, Injection site mass
Clinical narrative: Diarrhea day after injection and fatigue and sore lump right arm.  Ice packs on area for 4 days.  Pruritic more today, however redness localized around "lump".
Age: 60.0
Sex: M
Vaccine: RAB
Symptoms: Urticaria
Clinical narrative: Patient feeds racoons daily off his back deck and has for years.  Initial 3 shot rabies series here 5-6 years ago.  In 2001 had animal contact while feeding racoons and took 2 dose follow up rabies vaccine.  Then 11/03/2003 presented to health department with another encounter-racoon bit his big toe.  Referred to PCP for evaluation and treatment.  Rabies Imovax administered on 11/03/2003 and 11/06/2003 as preventative.  11/12/2003 phone call from client.  He states broke out in hives 11/11/2003.  Referred to PCP for evaluation. Discussed possible hypersensitivity to Imovax.  Instructed to discontinue all contact with wild animals.
Age: 2.8
Sex: M
Vaccine: DTAP, PNC
Symptoms: Pruritus, Rash, Rash papular
Clinical narrative: Received DTAP and Prevnar on 11/11/2003 about 16:30.  Parent states broke out in rash about 20:00 that evening.  Had papules over whole body and itching.  Prescribed Benadryl 12.5 mg/5cc.  4cc hD prn and take Aveeno Baths, per MD.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Decreased appetite, Pyrexia, Rash
Clinical narrative: Eleven days after MMR child had severe rash to body-covering all body.  Child had fever 100-101 for 2 days.  Poor appetite.
Age: 36.0
Sex: F
Vaccine: HEPA
Symptoms: Abdominal discomfort, Chest pain, Headache, Hypersensitivity, Musculoskeletal stiffness
Clinical narrative: 20 minutes after infection, stiff neck and headache began 14:00.  Throat "felt like it was starting to swell up." with aching feeling.  Took Tylenol 16:00 and slept.  Headache continued until 11/12.  Face became itchy and 11/12 accompanied by chest pain.  Went to quick care 11/12 AM.  Diagnosed with probably allergic reaction to vaccine and GI irritation from Tylenol.
Age: 36.0
Sex: F
Vaccine: HEPA
Symptoms: Pruritus, Throat tightness
Clinical narrative: 20 minutes after infection, stiff neck and headache began 14:00.  Throat "felt like it was starting to swell up." with aching feeling.  Took Tylenol 16:00 and slept.  Headache continued until 11/12.  Face became itchy and 11/12 accompanied by chest pain.  Went to quick care 11/12 AM.  Diagnosed with probably allergic reaction to vaccine and GI irritation from Tylenol.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Tenderness
Clinical narrative: Red, warm, swollen, tender area in left deltoid 1 day after shots.  Placed on antibiotics and antihistamine.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, MMR
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: Erythema, warmth enlarging around area of injection left deltoid since given 11/11.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Erythema, Rash macular
Clinical narrative: Following 2 month shots, developed erythematous macular rash over neck, chest and fae.  Unstable to face in 10 weeks.
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Diarrhoea, Headache, Muscle spasms, Musculoskeletal stiffness
Clinical narrative: Employee had headache, cramps in legs, stiffness in entire body, diarrhea and vomiting about 6 hrs after shot given.
Age: 2.3
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Feeling hot, Oedema peripheral
Clinical narrative: 3x3 area of induration R thigh swollen, slightly warm to touch.
Age: 68.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Injection site nodule, Injection site pain, Injection site warmth
Clinical narrative: Right deltoid muscle-pain at injection site extending down arm to wrist-painful nodule 3x3cm at site with warmth-pt developed symptoms later that day after injection.
Age: 1.3
Sex: F
Vaccine: DTAP, HBHEPB, MMR
Symptoms: Cyanosis, Lethargy, Peripheral vascular disorder, Pyrexia, Rash
Clinical narrative: 1 wk post vaccine child had an episode of shaking: starring off, red blotchy skin all over her body and arms and hand turned blue, episode lasted 15 minutes with temp of 104.2 followed by 45 mins of lethargy. Cont. to have temp of 104 post episode, tx ER notified when episode happened. Client saw Dr 11/12/03 with labs completed, temp broke 11/15/03. Red rash all over body 11/16/03 and lasted 24-36 hrs.
Age: 1.3
Sex: F
Vaccine: DTAP, HBHEPB, MMR
Symptoms: Rash macular, Staring, Tremor
Clinical narrative: 1 wk post vaccine child had an episode of shaking: starring off, red blotchy skin all over her body and arms and hand turned blue, episode lasted 15 minutes with temp of 104.2 followed by 45 mins of lethargy. Cont. to have temp of 104 post episode, tx ER notified when episode happened. Client saw Dr 11/12/03 with labs completed, temp broke 11/15/03. Red rash all over body 11/16/03 and lasted 24-36 hrs.
Age: 48.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal discomfort, Fatigue, Insomnia, Irritability, Paraesthesia
Clinical narrative: Tingling started at injection site left shoulder, then spread to left side, then whole body (still active after 6 days). Irritation of stomach lining, irritability, extreme fatigue, difficult sleeping due to tingling.
Age: 55.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Pt received Pneumovax vaccine, lot 0664N exp: 8/5/05, on 11/14/03 (L) deltoid. After the injection upper arm came red, swollen, painful. Pt did not seek medical care until today 11/18/03. When she came to the clinic x PPD reading.
Age: 1.4
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness/swelling/sl. tenderness at R thigh approx 5-6"
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Myelitis, Paraesthesia
Clinical narrative: A report was received from a health care professional on 11/7/03 concerning a female vaccinee in her early 20's who experienced pins and needles in her arm, followed by total arm numbness 13 days after vaccination, and was hospitalized an unspecified length of time after receiving Flurvirin on 10/14/03. On 10/27/03, the vaccinee began to experience pins and needles in her arm, followed by total arm numbness. Soon thereafter the vaccinee was hospitazlized on an unspecified date and diagnosed with myelitis. The reporter did not have a personal medical history for the vaccinee. The vaccinee had not recovered at the time of the report and remains hospitalized. There was insufficient information to determine the reporter's causality assessment. Follow up pending.
Age: 3.0
Sex: F
Vaccine: FLUX
Symptoms: Anorexia, Delirium, Fatigue, Heart rate increased, Pain
Clinical narrative: High fever of 102.5 occured seven hours after shot was given. Fever of 100-102.5 occured over next 24 hours. Body aches, paleness and fast heart beat.  Child had no appetite and very little thirst. Child was extremely fatigued and seemed delirious at times.  Tylenol was given at times throughout the day to reduce fever.
Age: 3.0
Sex: F
Vaccine: FLUX
Symptoms: Pallor, Pyrexia
Clinical narrative: High fever of 102.5 occured seven hours after shot was given. Fever of 100-102.5 occured over next 24 hours. Body aches, paleness and fast heart beat.  Child had no appetite and very little thirst. Child was extremely fatigued and seemed delirious at times.  Tylenol was given at times throughout the day to reduce fever.
Age: 43.0
Sex: M
Vaccine: FLUN3
Symptoms: Chills, Influenza like illness, Lethargy, Pyrexia
Clinical narrative: Flu like symptoms, fever, chills, lethargy. Still sick.
Age: 67.0
Sex: M
Vaccine: FLUX
Symptoms: Syncope
Clinical narrative: Flu vaccination: Nov 3, 4 p.m. Symptom: Fainted and fell from chair to the right side on Nov 5, 10 a.m.
Age: 53.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pain
Clinical narrative: 4PM. CLIENT CAME TO NURSE OFFICE WITH QUESTIONS ON RIGHT ARM AT PNEUMONA INJECTION SITE.CLIENT FEELING VERY SORE.NO SWELLING REDDNESS ITCHING OR SCRATCHING NOTED.ENCOURAGED TO APY ICE 20 MNUTES AND OFF 20 MINUTES IF PAIN OR SWELLING CALL DR.
Age: 55.0
Sex: F
Vaccine: PPV
Symptoms: Rash
Clinical narrative: RECEIVED PNEUMONIA VACCINE IN RIGHT ARM I.M. NO BRUSING PAIN OR ITCHING.DOESN'T WANT TO GO TO DR.. WS INFORMED TO GO TO DR.. 5MM. PATCH RASH ON UNDERSIDE AND LATERAL INSIDE FOREARM. HAD VACCINE 5 YEARS AGO AND WAS INSTRUCTED PER DR TO GET ANOTHER.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pruritus, Pyrexia, Rash, Skin burning sensation
Clinical narrative: GUARDIAN CALLED 1:15 TO OFFICE. NURSE REPORTED CALL TO ME, AND I CALLED GUARDIAN.  GUARDIAN STATES CHILD WOKE UP WITH RASH  ON STOMACH AND BACK.  COMPLAINS OF ITCHING, BURNING AND FEVER OF 99.1 AT 11;00 AM.  GAVE MOTRIN 2 TSP TOOK TEMP AT 1;00 AND IS 97.8 PER DIGITAL ORAL THERMOMETER.  GUARDIAN WANTS TO KNOW IF RASH IS FROM DTAP, IPV, OR MMR.
Age: 1.6
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Rt leg started with swelling, redness, "hard", from diaper area to knee.  Started nest day after receiving DTaP.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Dyspnoea
Clinical narrative: This is a 19y/o who was in his usual health until 11/15/03. He received his primary Smallpox vaccination on 11/04/03. He received appropriate briefings and screening prior to the administration of his vaccination. On 11/15/03 at ~ 0900 was awakened by chest pain (3-4/10). Pain progressed to 6/10 over the next hour and he went to the Emergency Room (ER).  At ER, he was given EC ASA, had cardiac monitoring and had blood drawn at this time. His pain progressed to 9/10 and he became extremely short of breath. Approximately one hour after taking the ASA his pain began to resolved and subsided. He subsequently was released to follow-up with cardiologist on 11/17/03.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Hypokinesia, Shoulder pain
Clinical narrative: Patient c/o excessive soreness in left shoulder joint beginning 1 week after injection and persisting to date. Most painful with forward mvmt vs. lateral lifting. Patient states she has impaired muscle movement.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Dizziness, Dyspnoea, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Received the flu (left arm)and pneumonia immunication (right arm)injection around 11 A.M. on 11/14/03.  Later, around 3 PM., after working out, did not feel well.  Took a nap.  Up and fixed dinner for husband & I.  About 8 P.M., just finishing eating, felt faint.  Husband helped me back to bedroom.  Very short of breath.  Noticed right arm very swollen, red, warm.  Very weak.  This lasted about 20-30 minutes.  Then gradually began to feel better.  The next 3 days, drank lots of water, took long afternoon naps, and used cold compresses to arm. Right arm about 1" larger than left.  No residual effects noted.  On Nordic track yesterday for 20 minutes and plan to workout today as well as go to Yoga class tonight.  Will be teaching classes in AM. I seem to be fine, but just think this needs to be reported for the record. I have taken the flu shots annually, but this is the first time I took the pneumonia shot, so I think that is the one that caused the problem.
Age: 79.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Pruritus, Rash
Clinical narrative: Pt developed rash, puritis, redness, swelling in left deltoid (injection site) five days after injection
Age: 24.0
Sex: M
Vaccine: ANTH, FLUX, HEP, HEPA, IPV, MMR, SMALL, TD
Symptoms: Blood pressure increased, Chest pain, Depression, Dizziness, Dyspnoea
Clinical narrative: 10/07/03- received smallpox vaccine along with 8 other vaccines 10/20/03 (02:00)- developed chest pain and shortness of breath 10/20/03 (06:00)- was taken to ER- EKG (? result not available at this time)-elevated cardiac enzyme studies- normal CXR- blood pressure elevated 10/22/03- discharged in stable condition- given prescription for antihypertensive meds 10/24/03- chest pain reappeared- 6-7x/d and each episode lasted 1-1 ½ hours- occurs suddenly without any aggravating factors- alleviated by resting- also c/o sob on mild exertion 11/12/03- went to ER for insomnia- also c/o fatigue and lack of energy (d/t insomnia), mild transient dizziness and mild depression- no change in intensity/frequency of cp- bp still elevated- EKG "ST changes but improving"- cardiac enzyme studies and CXR normal- bp med dosage increased- given ambien- scheduled for weekly assessment at a clinic for bp check and continued evaluation of sx- f/u with Cardiology in 2 wks scheduled. A copy of the patient's clinical summary sent to VAERS via FedEx on 11/19/03. Clinical summary states myo-pericarditis.
Age: 24.0
Sex: M
Vaccine: ANTH, FLUX, HEP, HEPA, IPV, MMR, SMALL, TD
Symptoms: Fatigue, Insomnia, Laboratory test abnormal, Myocarditis, Pericarditis
Clinical narrative: 10/07/03- received smallpox vaccine along with 8 other vaccines 10/20/03 (02:00)- developed chest pain and shortness of breath 10/20/03 (06:00)- was taken to ER- EKG (? result not available at this time)-elevated cardiac enzyme studies- normal CXR- blood pressure elevated 10/22/03- discharged in stable condition- given prescription for antihypertensive meds 10/24/03- chest pain reappeared- 6-7x/d and each episode lasted 1-1 ½ hours- occurs suddenly without any aggravating factors- alleviated by resting- also c/o sob on mild exertion 11/12/03- went to ER for insomnia- also c/o fatigue and lack of energy (d/t insomnia), mild transient dizziness and mild depression- no change in intensity/frequency of cp- bp still elevated- EKG "ST changes but improving"- cardiac enzyme studies and CXR normal- bp med dosage increased- given ambien- scheduled for weekly assessment at a clinic for bp check and continued evaluation of sx- f/u with Cardiology in 2 wks scheduled. A copy of the patient's clinical summary sent to VAERS via FedEx on 11/19/03. Clinical summary states myo-pericarditis.
Age: 24.0
Sex: F
Vaccine: SMALL
Symptoms: Cellulitis
Clinical narrative: cellulitis around Smallpox vaccination.Seen in ER.4/19,20,21 Given Rocephin 2 gm IV X 3 days, then prescription for Keflex 2 gms X 10 days
Age: 64.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Erythema, Fatigue, Headache, Injection site pain
Clinical narrative: Fever, pain at injection site (left arm) Dull headache, Throat raw and swollen, fatigue, erythema, edema, limited ROM. Dx:  Cellulitis Left Upper arm, Prob allergy to Pnuemonia Vaccine.  Tx:  Decadron 8mg IM,  Rocephin 500 IM, Augmentation XR 1000 BIDX10 days,  Mederol Dose pak.
Age: 64.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Joint range of motion decreased, Oedema, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Fever, pain at injection site (left arm) Dull headache, Throat raw and swollen, fatigue, erythema, edema, limited ROM. Dx:  Cellulitis Left Upper arm, Prob allergy to Pnuemonia Vaccine.  Tx:  Decadron 8mg IM,  Rocephin 500 IM, Augmentation XR 1000 BIDX10 days,  Mederol Dose pak.
Age: 39.0
Sex: M
Vaccine: FLUX
Symptoms: Dizziness, Hypoaesthesia, Migraine, Nausea, Paraesthesia
Clinical narrative: Began with numbness in lower left arm, tingly left side of face, dizziness with blurred vision.  I had severe migrane headaches that evening at the hospital.  I was completely fine before the shot.  I have never had migrane headaches before.  I underwent several tests to find a reason and none of the findings could explain why I was having these symptoms. The medical record received on 12/23/03 states lightheadedness. The medical record received on 3/23/04 states photophobia and nausea.
Age: 39.0
Sex: M
Vaccine: FLUX
Symptoms: Photophobia, Vision blurred
Clinical narrative: Began with numbness in lower left arm, tingly left side of face, dizziness with blurred vision.  I had severe migrane headaches that evening at the hospital.  I was completely fine before the shot.  I have never had migrane headaches before.  I underwent several tests to find a reason and none of the findings could explain why I was having these symptoms. The medical record received on 12/23/03 states lightheadedness. The medical record received on 3/23/04 states photophobia and nausea.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Anxiety, Dysphagia, Dyspnoea, Oedema, Pharyngitis
Clinical narrative: Pt awoke approximately 13 hours after administration with difficulty beathing.  Felt as if something was blocking her airway. After taking po Benedryl, patient drove herself to the ER, . O2 SAT =90.  Pt was given "steroid" injection and steroid nebulizer.  Pt states that the diagnosis was Pharangitis and edema of the uvula.  Pt was d/c'd home and recovered within 3 days. The ER summary received on 1/12/04 states difficulty swallowing, sore throat, edema of uvula and anxiety.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Pharyngolaryngeal pain
Clinical narrative: Pt awoke approximately 13 hours after administration with difficulty beathing.  Felt as if something was blocking her airway. After taking po Benedryl, patient drove herself to the ER, . O2 SAT =90.  Pt was given "steroid" injection and steroid nebulizer.  Pt states that the diagnosis was Pharangitis and edema of the uvula.  Pt was d/c'd home and recovered within 3 days. The ER summary received on 1/12/04 states difficulty swallowing, sore throat, edema of uvula and anxiety.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Angry, Red, raised area, hot to touch 2.5 inches by 1.5 inches, painful  treated with ice, tyenol, benedryl if needed
Age: 52.0
Sex: F
Vaccine: FLUX
Symptoms: Dyspnoea, Emphysema, Lung disorder
Clinical narrative: Flu shot administered on 11/13/03, woke up on 11/14/03 approx. 7 a.m. could not get any air into lungs. gasping for air. Husband call 911, went to hospital in ambulance.  ER administered shot, and breathing treatments. Gave me two prescriptions: Prednisone 20mg 1,3x's a day (Q-15) and Doxycycl 100 mg 1, 2x's a day (Q-20).  If symptons persist follow up with Dr.
Age: 5.0
Sex: F
Vaccine: FLUX
Symptoms: Erythema, Hypersensitivity, Rash
Clinical narrative: After a flu shot, I develope a alergic reaction (skin rash)on my right arm (shot was given on this arm)around my abdomen and my back, also some in my legs.The flu shot was given to me at 10:45 am and the alergic reaction start around 3:00pm when my body start to itch, by 6:00pm I took 2 capsule of Benadryl and also apply Benadryl cream on my skin.After an hour and a half the redness on my skin starting to go away.I will check with my doctor tomorrow.
Age: 75.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Cold sweat, Coma, Depressed level of consciousness, Mydriasis, Vomiting
Clinical narrative: From initial information received on 11/13/03 from a health care professional regarding an adverse event occurring in the USA, it was reported that a 75 year old female patient received a dose of FLUZONE SV 2003-2004 USP, lot number U1253AA, administered IM in the left deltoid on 11/4/03 at 11:05 AM. Approximately 15 minutes later, the patient's husband stated that he could not wake her up. The patient was not verbally responsive and her skin was cold and clammy. Her pupils dilated. The patient's blood pressure was 80/50. She was given 0.3cc of Epinephrine, after which she vomited approximately 1500cc coffee ground emesis. The patient was placed on a stretcher and a cool cloth was applied to her head. Her blood pressure was now 90/70 and pulse at 88. The pupils returned to normal state and the patient became verbally responsive. Emergency health services were present at 11:30. The patient recovered from these events. From additional information received on 19/Feb/2004 from a health care professional, it was reported that no additional information is available at this time. No further information is anticipated, this case is considered closed. The reporter of this case is the same reporter of case 2003-02987. Follow up 01/06/05:Medical Assessment: IN the absence of another atiology the hypothesis of either an allergic like reaction or a vasovagal syncope could be evoked. However, there were no allerty tests reported and the heart rate, or pulse, at the time of the event is unknown.
Age: 75.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Blood pressure decreased, Cold sweat, Coma, Depressed level of consciousness, Mydriasis
Clinical narrative: From initial information received on 11/13/03 from a health care professional regarding an adverse event occurring in the USA, it was reported that a 75 year old female patient received a dose of FLUZONE SV 2003-2004 USP, lot number U1253AA, administered IM in the left deltoid on 11/4/03 at 11:05 AM. Approximately 15 minutes later, the patient's husband stated that he could not wake her up. The patient was not verbally responsive and her skin was cold and clammy. Her pupils dilated. The patient's blood pressure was 80/50. She was given 0.3cc of Epinephrine, after which she vomited approximately 1500cc coffee ground emesis. The patient was placed on a stretcher and a cool cloth was applied to her head. Her blood pressure was now 90/70 and pulse at 88. The pupils returned to normal state and the patient became verbally responsive. Emergency health services were present at 11:30. The patient recovered from these events. From additional information received on 19/Feb/2004 from a health care professional, it was reported that no additional information is available at this time. No further information is anticipated, this case is considered closed. The reporter of this case is the same reporter of case 2003-02987. Follow up 01/06/05:Medical Assessment: IN the absence of another atiology the hypothesis of either an allergic like reaction or a vasovagal syncope could be evoked. However, there were no allerty tests reported and the heart rate, or pulse, at the time of the event is unknown.
Age: 75.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Vomiting
Clinical narrative: From initial information received on 11/13/03 from a health care professional regarding an adverse event occurring in the USA, it was reported that a 75 year old female patient received a dose of FLUZONE SV 2003-2004 USP, lot number U1253AA, administered IM in the left deltoid on 11/4/03 at 11:05 AM. Approximately 15 minutes later, the patient's husband stated that he could not wake her up. The patient was not verbally responsive and her skin was cold and clammy. Her pupils dilated. The patient's blood pressure was 80/50. She was given 0.3cc of Epinephrine, after which she vomited approximately 1500cc coffee ground emesis. The patient was placed on a stretcher and a cool cloth was applied to her head. Her blood pressure was now 90/70 and pulse at 88. The pupils returned to normal state and the patient became verbally responsive. Emergency health services were present at 11:30. The patient recovered from these events. From additional information received on 19/Feb/2004 from a health care professional, it was reported that no additional information is available at this time. No further information is anticipated, this case is considered closed. The reporter of this case is the same reporter of case 2003-02987. Follow up 01/06/05:Medical Assessment: IN the absence of another atiology the hypothesis of either an allergic like reaction or a vasovagal syncope could be evoked. However, there were no allerty tests reported and the heart rate, or pulse, at the time of the event is unknown.
Age: 1.08
Sex: F
Vaccine: VARCEL
Symptoms: Condition aggravated, Drug ineffective, Pneumonia, Rash vesicular
Clinical narrative: Information has been received from a physician concerning a 13 month old female patient with a history of reactive airway disease who in approximately late September 2003 or early October 2003, was vaccinated SC with a dose of varicella virus vaccine live. It was noted that the patient was healthy at the time of vaccination. Additional information regarding concomitant medications/other medical history was not provided. Shortly after vaccination (exact timeframe unknown), the patient developed signs/symptoms of a respiratory infection, and was hospitalized as a precaution due to her underlying reactive airway disease. The patient was subsequently diagnosed with adenovirus pneumonia. The physician indicated that neither the patient's hospitalization nor the pneumonia were related to vaccination with varicella virus vaccine live. While hospitalized, the patient was treated with high dose steroids, and approximately 3 weeks after admission, began to break out, in what the physician described as typical varicella lesions. The physician reported that the child had very mild varicella, with no other complications. It was noted that the adverse event of varicella was not considered to be a serious adverse event. The physician described the lesions as typical varicella-like lesions. At the time of this report, the patient was almost completely recovered from the varicella. The physician indicated that the high dose steroids the child received during the hospitalization may have played a role in precipitating the patient's breakthrough varicella. She also indicated that they had at least 1 lesion specimen which was DFA positive for varicella but has not grown anything. Additional information has been requested.