chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 55.0
Sex: F
Vaccine: LYME
Symptoms: Vasculitis
Clinical narrative: This report describes the occurrence of polyarteritis nodosa in a 55 year old female who was vaccinated with Lyme disease vaccine recombinant OspA (LYMErix) for prophylaxis. This report was received from the subject and has not been verified by a physician. The subject's medical history and concurrent conditions were not reported. Concurrent medications included unspecified hormone replacement therapy which was discontinued in 2001 because of legs. The subject reportedly received LYMErix on 4/27/99, 6/1/99, and 4/21/00. She reported that in October 2000, during a vacation, her legs were aching more than usual. She thought this was due to work self-treated with ibuprofen (Motrin). She stated that in March 2001, she felt lousy and by the end of March had a temperature of 100 to 101 degrees F. At this time, she sought medical attention from her physician. He referred her to a rheumatologist. The rheumatologist reportedly made a diagnosis of poyarteritis nodosa. The subject was reportedly hospitalized for 10 days in April 2001. She states that currently her feet and the sides of her legs to the knees were numb. She stated that her right hand and two fingers were numb and tingling with pins and needles sensations. She stated that her feet feel as though she is walking on rocks. *F/UP report on l2/17/02: Add'l info was received from the rheumatologist on 12/2/02. The rheumatologist confirmed that the onset of polyarteritis nodose was March 01, 11 mts post-immunization. Sural? nerve and gastroenemius biopsy performed on 4/26/01 demonstrated necrotizing vasculitis. The rheumatologist stated that the subject developed neuropathy 2ndary to polyarteritis nodosa. The rheumatologist considered the polyartoritis nodosa to be life-threatening, and to polyarteritis nodosa. The rheumatologist considered the polyartoritis nodosa to be life-threatening, and to have resulted in severe or permanent disability. The relationship of the event to LYMErix was not spec'd. As of 11/15/02, the polyarteritis nodosa had improved, the neuropathy persisted.*
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Coma, Febrile convulsion, Hypotonia
Clinical narrative: 1 hour after eating breakfast, while crawling, seated on floor. Patient became suddenly unresponsive and hypotonic for 2-3 minutes. Mom started CPR. Ambulance called. Patient awake when ambulance arrived.  Nurse follow up on 06/16/04 states: "ADD: febrile seizure."
Age: 75.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Headache, Hypersensitivity, Pruritus, Rash, Rash erythematous
Clinical narrative: On 10/12/02 rash on abdomen. On 10/13/02 rash was covering her back , neck, buttocks, and both arms and stomach, not on legs. Raised sunburn in appearance. Itching. Diagnosis of "acute allergic reaction to Pneumovax or flu vaccine." Headache. Difficulty breathing; treatment with Benadryl, Prednisone and Oxygen. Patient instructed never to receive flu vaccine in the future.
Age: 75.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Rash
Clinical narrative: On 10/12/02 rash on abdomen. On 10/13/02 rash was covering her back , neck, buttocks, and both arms and stomach, not on legs. Raised sunburn in appearance. Itching. Diagnosis of "acute allergic reaction to Pneumovax or flu vaccine." Headache. Difficulty breathing; treatment with Benadryl, Prednisone and Oxygen. Patient instructed never to receive flu vaccine in the future.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Decreased appetite, Diarrhoea, Pyrexia, Sluggishness, Somnolence
Clinical narrative: Mom states infant got shots on 10/03/02 about 3 or 4 pm, Started Tylenol infant drops and gave every 4 hrs. About 9 pm last night infant appeared sluggish-no increased temp, This am temp was 99.5 at 9 am and 101.3 at 11:00 am, After Tylenol every 4 hrs, states infant won't take bottle sleepy and sluggish, Mom went to doctor's office and will see baby at 2:oo pm today. Mom states baby was well before receiving immunizatioins. Saw doctor 10/09/02, Highest temp 102.5 , Baby developed diarrhea over weekend, Now back on formula.
Age: 0.25
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Crying, Irritability
Clinical narrative: Unsettled,  day of vaccines, Day 3 piercing cry lasted approx 30 min
Age: 0.75
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Cough, Dysphonia, Eyelid oedema, Urticaria
Clinical narrative: Within 5 minutes of vaccine admin, child had hives on face; swelling around eyelids was given Benadryl po. Noticed to cough and hoarse voice, hence SC Epinephrine, O2 given, transported to ER via ambulance.
Age: 77.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Pyrexia, Vomiting
Clinical narrative: Forty-five minutes after receiving influenza shot, spouse of client phoned stating wife complained of chills, had vomited x T and had fever of 102.8. Fever abated after dose of Tylenol.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Continues to have pain L deltoid after flu shot on 10/4/02 at 1600. On scale 1-10, rates pain as "4" today 10/11/02.
Age: 7.0
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Fever to 104.8 (axil) x 24 hrs following vaccine. Temp normal by ~ 36 hrs.
Age: 48.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Musculoskeletal stiffness
Clinical narrative: Muscle stiffness, redness surrounding vaccine site 3 1/2" x 5" sl raised.
Age: 52.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Injection site pain, Sensation of heaviness
Clinical narrative: L arm red from deltoid to elbow on 10/16/02. Pain is reported for the L arm as well as a "heavy" feeling in the arm. Will see PMD for those complaints 10/16/02.
Age: 67.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Blood glucose increased, Injection site oedema, Malaise
Clinical narrative: Arm swelled up on the pneumococcal side. Was able to go to work the next day but went home early because got sicker and sicker. Still don't feel well. Blood suger is up over 200, diabetic.
Age: 55.0
Sex: F
Vaccine: FLUX
Symptoms: Back pain, Dyspnoea, Headache, Insomnia
Clinical narrative: Shortness of breath, back pain, stayed up all night, headache. Still has headache and shortness of breath.
Age: 31.0
Sex: F
Vaccine: MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Client noticed 2 1/2" x 1 1/2" red raised area with fever on left arm on 9/19/02. Shot administered on 9/17/02. No medications taken or ointments applied to area. 9/20/02 area silver dollar size now, warm to touch. No red streaks noted.
Age: 5.2
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Cough, Pyrexia, Rash
Clinical narrative: Fever cough rash.
Age: 8.0
Sex: F
Vaccine: DT, MMR
Symptoms: Muscular weakness
Clinical narrative: Pt c/o L arm weakness for 2 mth after shot.
Age: 78.0
Sex: F
Vaccine: TD
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Injection site warmth, Pruritus
Clinical narrative: R arm sore-hot to touch and swollen Friday, fan fever of 103 on Saturday, area swollen and puffy. Went to urgent care on Sun. Arm getting worse, saw MD was put on Zithromax and Paulor with codeine. Pt reported to nurse Monday feeling a little better. 10/8/02 pc to pt pt stable arm is still swollen and now itching.
Age: 78.0
Sex: F
Vaccine: TD
Symptoms: Pyrexia
Clinical narrative: R arm sore-hot to touch and swollen Friday, fan fever of 103 on Saturday, area swollen and puffy. Went to urgent care on Sun. Arm getting worse, saw MD was put on Zithromax and Paulor with codeine. Pt reported to nurse Monday feeling a little better. 10/8/02 pc to pt pt stable arm is still swollen and now itching.
Age: 50.0
Sex: M
Vaccine: TD
Symptoms: Injection site oedema, Pyrexia
Clinical narrative: Fever x 3 days, arm swelling-still present on day 5.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Vomiting, White blood cell count increased
Clinical narrative: Mother reports vomiting starting ~ 6 hrs after injection. Was taken to medical center x 2 in the evening and early am of 10/4/02 because of continued vomiting. Recovered completely after ~ 24 hours. No fever or diarrhea. Given injections to stop vomiting.
Age: 55.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: L delt-approx. 1 inch below injection site-baseball size area of tenderness, erythema, edema to site.
Age: 43.0
Sex: F
Vaccine: TTOX
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Localized rxn-4 x 6cm induration, erythema at L upper biceps area. Mildly tender to palp. no warmth.
Age: 21.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Headache, Neck pain, Pain, Pyrexia
Clinical narrative: Headache, neck pain, chills, inc 103, body aches.
Age: 47.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Abdominal pain upper, Back pain, Chills, Diarrhoea, Drug toxicity
Clinical narrative: Muscle contraction when needle was inserted w/ radial pain down to finger tips on left arm when med was injected. Within two hours-chills, sweats, headache, diarrhea w/ stomach cramps, neck muscles were stiff and later (3hrs) neck was painful and difficult to move. I took two Tylenol extra strength and went to bed at 8pm. I woke up at 2am w/ headache and took 2 Tylenol. Sleep was restless because of lower back pain. It took several minute to get out of bed because of the pain in my lower back. I took 2 Tylenol at 7am and continued getting ready for work. I looked in the mirror and saw that my face was swollen and my face looked reddish-orange w/ bags under my eyes. I never have bags under my eyes. I got to work at 8am and the symptoms increased. Headache, nausea, back lower pain and blurred vision. I left work to get ginger ale and saltines which did not help. I called my doctor who referred me to a market for a homeapathic-remedy for toxic reaction to the hep B injection. I purchased milk thistle and took 1 at 1:30 pm. Within one hour, blurred vision began to subside symptoms diminished over the next week. Upon examination by by MD on 10/4 at 8:55am, he mentioned there were definite signs of a toxic reaction.
Age: 47.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Face oedema, Headache, Hyperhidrosis, Nausea, Neck pain
Clinical narrative: Muscle contraction when needle was inserted w/ radial pain down to finger tips on left arm when med was injected. Within two hours-chills, sweats, headache, diarrhea w/ stomach cramps, neck muscles were stiff and later (3hrs) neck was painful and difficult to move. I took two Tylenol extra strength and went to bed at 8pm. I woke up at 2am w/ headache and took 2 Tylenol. Sleep was restless because of lower back pain. It took several minute to get out of bed because of the pain in my lower back. I took 2 Tylenol at 7am and continued getting ready for work. I looked in the mirror and saw that my face was swollen and my face looked reddish-orange w/ bags under my eyes. I never have bags under my eyes. I got to work at 8am and the symptoms increased. Headache, nausea, back lower pain and blurred vision. I left work to get ginger ale and saltines which did not help. I called my doctor who referred me to a market for a homeapathic-remedy for toxic reaction to the hep B injection. I purchased milk thistle and took 1 at 1:30 pm. Within one hour, blurred vision began to subside symptoms diminished over the next week. Upon examination by by MD on 10/4 at 8:55am, he mentioned there were definite signs of a toxic reaction.
Age: 47.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Pain, Vision blurred
Clinical narrative: Muscle contraction when needle was inserted w/ radial pain down to finger tips on left arm when med was injected. Within two hours-chills, sweats, headache, diarrhea w/ stomach cramps, neck muscles were stiff and later (3hrs) neck was painful and difficult to move. I took two Tylenol extra strength and went to bed at 8pm. I woke up at 2am w/ headache and took 2 Tylenol. Sleep was restless because of lower back pain. It took several minute to get out of bed because of the pain in my lower back. I took 2 Tylenol at 7am and continued getting ready for work. I looked in the mirror and saw that my face was swollen and my face looked reddish-orange w/ bags under my eyes. I never have bags under my eyes. I got to work at 8am and the symptoms increased. Headache, nausea, back lower pain and blurred vision. I left work to get ginger ale and saltines which did not help. I called my doctor who referred me to a market for a homeapathic-remedy for toxic reaction to the hep B injection. I purchased milk thistle and took 1 at 1:30 pm. Within one hour, blurred vision began to subside symptoms diminished over the next week. Upon examination by by MD on 10/4 at 8:55am, he mentioned there were definite signs of a toxic reaction.
Age: 42.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Contusion, Dizziness, Injection site oedema, Nausea
Clinical narrative: 18 hours after receiving injection pt developed weakness, nausea, dizziness, and two inches with of bruising/swelling at injection site. Seen in ER. Completely recovered within several days except for bruising, which lasted a week.
Age: 23.0
Sex: M
Vaccine: TD
Symptoms: Abdominal pain upper, Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: Fever 105 deg F 17 hours post injection x 2 days treated with Tylenol. Stomach cramps x 12 hrs, localized swelling and erythema x 2 days when pt reported to mother, mother stated "I forgot about you getting sick with shots-always got flu like symptoms."
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Injection site oedema, Irritability, Urticaria
Clinical narrative: Hives et edema left thigh, fussy x 2 days. Tx: Zyrtec, Benadryl.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site reaction
Clinical narrative: Mom reports entire L thigh red/swollen/tender on 10/15/02. Seen 10/16/02 for large local rxn 8x5" erryth and swell anterior L thigh min tenderness no limp no fever.
Age: 66.0
Sex: F
Vaccine: UNK
Symptoms: Dyspnoea, Hypersensitivity
Clinical narrative: Allergic reaction was affecting breathing. Still going on but a lesser reaction. Taking antibiotic to combat the allergy.
Age: 36.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Injection site mass, Injection site warmth
Clinical narrative: Member described "baseball size" lump with redness and warmth at injection site occurring 2 days post injection. Examined in clinic 10/15/02. 7cm x 4cm area of induration rt deltoid without erythema, tenderness or warmth at site.
Age: 41.0
Sex: F
Vaccine: HEP
Symptoms: Herpes zoster, Hypoaesthesia, Paraesthesia
Clinical narrative: Developed shingles on arm where administered.  Symptoms for shingles developed within 2 days after receiving the Hepatitis B vaccine.  Started with numbness and tingling.  Rash started on 10/9/02. Started on Veltrex on 10/9/02 for 7 days.
Age: 25.0
Sex: F
Vaccine: TD
Symptoms: Chills, Feeling hot, Flushing, Headache, Injection site oedema
Clinical narrative: Headache, Nausea, fever, chills, flusing of face and upper torso. Edema and warth at injection site
Age: 25.0
Sex: F
Vaccine: TD
Symptoms: Nausea, Pyrexia
Clinical narrative: Headache, Nausea, fever, chills, flusing of face and upper torso. Edema and warth at injection site
Age: 45.0
Sex: M
Vaccine: FLUX, PPV, FLUX, PPV
Symptoms: Chills, Coagulopathy, Erythema, Headache, Lung disorder
Clinical narrative: Recieved Pnuemonia and influenza injections on Thurs 10/17 at 3pm. My upper arm was mildly sore but not red upon awakening friday AM. By friday 10 PM it was extremely sore, to the point brushing it lightly was painful- however area was not red, at about 11:30 pm I suddenly developed severe chills, to the point where I crawled in my -20 f northface sleeping bag, despite the room temp being 72 f.  The chills continued until about 6AM, I was sore all over, and had a low grade headache.  After that, the chills abated, and I got up to examine my upper arm which is extremely sore.  At present the area of my right upper arm has 3 50cent sized red blotches surrounding the vaccination area, and a Temp of 100f, with a continued low grade headache and some stiffness.  I don't consider these symptoms serious, however, thought due to the fact the symptoms were appearing  a day and a half after the vaccination, or more it may be of some limited interest.  I recieved one vaccination in each shoulder, with the right being inflamed, and no reaction in the left....I appologize that I do not know which of the two vaccinations was given in the right, or the left..  I was given these injections, due to the fact that I am recently recovering from severe clotting in my lungs, with further complications of fluid building up several times in my lungs, after clotting was controlled. I am currently taking 12 mg of Coumadin, and 10 mg of adderall per day... I was recently on predlesone and Tequin to clear up the after effect lung infection/fluid problem, however that regimen ended several weeks ago.  I know its no big deal, I was just reading how these symptoms usually appear shortly after injection, and last a day or two...I really had almost no symptoms till well after 24 hrs...and several continue rather painfully 42 hours later.  The chills are gone.  muscle sorenss improved, but outer tricep still extremely sore over much of it's area, with the blotches I described.  I
Age: 45.0
Sex: M
Vaccine: FLUX, PPV, FLUX, PPV
Symptoms: Musculoskeletal stiffness, Pain, Pyrexia, Rash macular
Clinical narrative: Recieved Pnuemonia and influenza injections on Thurs 10/17 at 3pm. My upper arm was mildly sore but not red upon awakening friday AM. By friday 10 PM it was extremely sore, to the point brushing it lightly was painful- however area was not red, at about 11:30 pm I suddenly developed severe chills, to the point where I crawled in my -20 f northface sleeping bag, despite the room temp being 72 f.  The chills continued until about 6AM, I was sore all over, and had a low grade headache.  After that, the chills abated, and I got up to examine my upper arm which is extremely sore.  At present the area of my right upper arm has 3 50cent sized red blotches surrounding the vaccination area, and a Temp of 100f, with a continued low grade headache and some stiffness.  I don't consider these symptoms serious, however, thought due to the fact the symptoms were appearing  a day and a half after the vaccination, or more it may be of some limited interest.  I recieved one vaccination in each shoulder, with the right being inflamed, and no reaction in the left....I appologize that I do not know which of the two vaccinations was given in the right, or the left..  I was given these injections, due to the fact that I am recently recovering from severe clotting in my lungs, with further complications of fluid building up several times in my lungs, after clotting was controlled. I am currently taking 12 mg of Coumadin, and 10 mg of adderall per day... I was recently on predlesone and Tequin to clear up the after effect lung infection/fluid problem, however that regimen ended several weeks ago.  I know its no big deal, I was just reading how these symptoms usually appear shortly after injection, and last a day or two...I really had almost no symptoms till well after 24 hrs...and several continue rather painfully 42 hours later.  The chills are gone.  muscle sorenss improved, but outer tricep still extremely sore over much of it's area, with the blotches I described.  I
Age: 45.0
Sex: M
Vaccine: FLUX, PPV, FLUX, PPV
Symptoms: Body temperature increased, Chills, Erythema, Headache, Inflammation
Clinical narrative: Recieved Pnuemonia and influenza injections on Thurs 10/17 at 3pm. My upper arm was mildly sore but not red upon awakening friday AM. By friday 10 PM it was extremely sore, to the point brushing it lightly was painful- however area was not red, at about 11:30 pm I suddenly developed severe chills, to the point where I crawled in my -20 f northface sleeping bag, despite the room temp being 72 f.  The chills continued until about 6AM, I was sore all over, and had a low grade headache.  After that, the chills abated, and I got up to examine my upper arm which is extremely sore.  At present the area of my right upper arm has 3 50cent sized red blotches surrounding the vaccination area, and a Temp of 100f, with a continued low grade headache and some stiffness.  I don't consider these symptoms serious, however, thought due to the fact the symptoms were appearing  a day and a half after the vaccination, or more it may be of some limited interest.  I recieved one vaccination in each shoulder, with the right being inflamed, and no reaction in the left....I appologize that I do not know which of the two vaccinations was given in the right, or the left..  I was given these injections, due to the fact that I am recently recovering from severe clotting in my lungs, with further complications of fluid building up several times in my lungs, after clotting was controlled. I am currently taking 12 mg of Coumadin, and 10 mg of adderall per day... I was recently on predlesone and Tequin to clear up the after effect lung infection/fluid problem, however that regimen ended several weeks ago.  I know its no big deal, I was just reading how these symptoms usually appear shortly after injection, and last a day or two...I really had almost no symptoms till well after 24 hrs...and several continue rather painfully 42 hours later.  The chills are gone.  muscle sorenss improved, but outer tricep still extremely sore over much of it's area, with the blotches I described.  I
Age: 45.0
Sex: M
Vaccine: FLUX, PPV, FLUX, PPV
Symptoms: Musculoskeletal stiffness, Pain in extremity
Clinical narrative: Recieved Pnuemonia and influenza injections on Thurs 10/17 at 3pm. My upper arm was mildly sore but not red upon awakening friday AM. By friday 10 PM it was extremely sore, to the point brushing it lightly was painful- however area was not red, at about 11:30 pm I suddenly developed severe chills, to the point where I crawled in my -20 f northface sleeping bag, despite the room temp being 72 f.  The chills continued until about 6AM, I was sore all over, and had a low grade headache.  After that, the chills abated, and I got up to examine my upper arm which is extremely sore.  At present the area of my right upper arm has 3 50cent sized red blotches surrounding the vaccination area, and a Temp of 100f, with a continued low grade headache and some stiffness.  I don't consider these symptoms serious, however, thought due to the fact the symptoms were appearing  a day and a half after the vaccination, or more it may be of some limited interest.  I recieved one vaccination in each shoulder, with the right being inflamed, and no reaction in the left....I appologize that I do not know which of the two vaccinations was given in the right, or the left..  I was given these injections, due to the fact that I am recently recovering from severe clotting in my lungs, with further complications of fluid building up several times in my lungs, after clotting was controlled. I am currently taking 12 mg of Coumadin, and 10 mg of adderall per day... I was recently on predlesone and Tequin to clear up the after effect lung infection/fluid problem, however that regimen ended several weeks ago.  I know its no big deal, I was just reading how these symptoms usually appear shortly after injection, and last a day or two...I really had almost no symptoms till well after 24 hrs...and several continue rather painfully 42 hours later.  The chills are gone.  muscle sorenss improved, but outer tricep still extremely sore over much of it's area, with the blotches I described.  I
Age: 65.0
Sex: M
Vaccine: FLUX
Symptoms: Dizziness, Hypoacusis
Clinical narrative: As I was driving home after having my flu shot, I noticed I was having trouble hearing my car radio. I did not pay much attention to this.  After entering my house approximately 30-45 minutes after getting the shot, I had a severe dizzy spell. I had to sit down to keep from falling. After approximately five minutes, the dizziness went away.  I went outside and cut my lawn. About an hour later I came into the house, turned on the TV and had severe trouble hearing the sound.  This continued throughout the day. By evening all I could hear was squeaks and crackling sounds. It sounded like a cell phone breaking up. This remained the same at any volume. I could no longer distinguish words or music. When I woke up the next morning, conditions had not changed.  My wife made an appointment to see an ear, nose, throat doctor at Hospital. My ears were examined and tested. They could find no reason for my hearing loss and had no knowledge of this being a possible reaction to the flu shot. I contacted Dr.'s office and reported my problem.  He got back to us later in the day and left a message stating that he knew of nobody having this type of reaction from the shot, but if it was a reaction it would probably clear up within 24-48 hours. Condition did not change throughout the rest of the day and evening (Friday). On Saturday morning upon waking, my hearing was returning, but I had loud ringing in my ears. As the day wore on, my hearing continued to improve. As of now, Sunday evening, my hearing seems to have returned completely and may even have improved some.
Age: 68.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Skin discolouration
Clinical narrative: 68 year old male reported to have received two vaccines (flu and "pneumonia"). Ambulance was called. Pt was purple from neck up. Medical examiner declined autopsy.
Age: 11.0
Sex: F
Vaccine: RAB
Symptoms: Bronchitis, Pharyngeal oedema, Pneumonia, Skin ulcer
Clinical narrative: An eleven year old girl who was being treated with RabAvert for post-exposure therapy, experienced bronchitis, a swollen throat, lesions on her mouth and was hospitalized for pneumonia. A bat had landed on the girl and she had been advised to be treated for possible rabies.  The first dose of RabAvert was given in August 2002, and post-exposure therapy had been completed at the time of the events. Hepatitis B vaccine series was initiated 1 week after the last dose of RabAvert. Approximately 1 + 1/2 months after starting RabAvert, the patient developed bronchitis and was treated with oral medication (name unknown). However, her symptoms did not improve. She was hospitalized for pneumonia. At that time she had a swollen throat and lesions in her mouth. No further information was given. Additional information received on 10/15/02: The patient was hospitalized on 10/9/02. She was seen in her private physician's office for follow up on 10/14/02. A chest x-ray was done on that day, and all her symptoms had resolved. The physician determined that the events were not due to study medication.
Age: 2.0
Sex: M
Vaccine: FLU3, HBHEPB, IPV
Symptoms: Apnoea, Convulsion, Pyrexia
Clinical narrative: Onset of temperature low grade, after shots. Seizure 4 minutes with apnea, requiring 1 day hospitalization; after ER visit.
Age: 46.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Deltoid area of R arm has 2 very small red raised areas at injection site, larger red area about 1" below injection site and "an even larger" approximately 2 1/2 x 4cm/red area on anterior aspect of upper arm-all areas red/warm to touch, arm from elbow to shoulder sore.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dyspnoea, Vision blurred, Vomiting
Clinical narrative: 12 post vaccination-awoke from sound sleep "unable to breathe" progressed to coughing disorientation, blurred vision, vomiting.
Age: 78.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Asthenia, Injection site erythema, Injection site hypersensitivity, Injection site oedema, Pruritus
Clinical narrative: Pt c/o feeling feverish and weak on Saturday 10/12 R arm at site of vaccination and extending to elbow was red, swollen and itchy. She stated she did call the local ER for advice but was not seen by a physician. Saw personal physician 10/14/02.
Age: 78.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia
Clinical narrative: Pt c/o feeling feverish and weak on Saturday 10/12 R arm at site of vaccination and extending to elbow was red, swollen and itchy. She stated she did call the local ER for advice but was not seen by a physician. Saw personal physician 10/14/02.
Age: 55.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Oedema, Pain, Rash maculo-papular, Skin nodule
Clinical narrative: Swollen, raised lump-painful.
Age: 2.0
Sex: M
Vaccine: PNC
Symptoms: Decreased appetite, Pyrexia, Rhinorrhoea
Clinical narrative: The day following immunization mother states child developed a "runny nose." On 9/8/02 he developed diarrhea which persisted thru 9/12/02 when mother called our immunization clinic. Child was seen by a private MD on 9/9/02 because of diarrhea, decreased appetite and fever to 99 degrees. As of 9/12/02 child was stable experiencing diarrhea dx 5 daily. Mother advised to schedule another office visit with the private MD.
Age: 77.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Pt woke up 10/10/02 with pain, swelling, erythema and induration of lateral aspect of left upper arm.
Age: 61.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Erythema, tenderness at site. Patient states that the soreness involved his entire deltoid. He was treated with Keflex and states that the arm wsa back to normal by 10/8/02.
Age: 13.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Hypersensitivity, Injection site reaction, White blood cell count increased
Clinical narrative: L arm allergic reaction with cellulitis 10/6/02. Emycin 333 tid x 10d. Prednisone 10mg 2 x day until gone x 7 days.
Age: 21.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Pt reported injection site to be red, puffy, swollen, hot to touch 24 hours post injection. Advised Tylenol or Motrin, OTC Benadryl and cool compresses call if worsening. Symptoms reported by pt.
Age: 32.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Injection site pain, Injection site reaction, Malaise, Pyrexia
Clinical narrative: Pt felt bad and began running a fever. The next morning she called the pharmacy and stated she was feeling ill. Pt went to ER on Wednesday night and received IV antibiotics and a prescription for 5 days of oral antibiotics. Talked to pt on 10/9 and she is doing better. Arm is still sore and said the ER physician diagnosed "cellulitis."
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Hypoaesthesia, Injection site oedema, Injection site pain, Injection site rash, Joint range of motion decreased
Clinical narrative: Day one-approximately five hours after vaccination swelling-upper right arm from shoulder to elbow-approximately the size of a football-slight rash at site-severe pain and restricted movement of arm. Pt took 2 aspirin for pain prior to bedtime. No relief. Pt believes she ran high fever during night because in morning believed she had been hallucinating throughout night. Day two-pain, swelling, rash and restricted movement of arm persists. Nurse at physicians office advised (over phone) tylenol and icing swollen arm. Pain and rash subside, swelling does not. Day 3-AM pt pain free, has full movement of arm. Swelling remains. Pt stops tylenol and icing. Approximately 48 hours after vaccination pt feels severe restriction around right elbow. Swelling has now extended from right shoulder to a point midway between right elbow and right wrist. Pt also feel swelling in right ring finger and numbness in right little finger. Swelling and numbness also in right upper lip. Rash from right arm pit extending throughout swollen area. Pt visits doctor who states it is an allergic reaction to vaccine. Temperature 99.3. Prescribed #21 methylpredisolone dosepak, 4mg. and antihistamine (pt took Allegra D120mg) 2x per day. Day 4-all symptoms subside except for swelling which remains through day 6.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia
Clinical narrative: Day one-approximately five hours after vaccination swelling-upper right arm from shoulder to elbow-approximately the size of a football-slight rash at site-severe pain and restricted movement of arm. Pt took 2 aspirin for pain prior to bedtime. No relief. Pt believes she ran high fever during night because in morning believed she had been hallucinating throughout night. Day two-pain, swelling, rash and restricted movement of arm persists. Nurse at physicians office advised (over phone) tylenol and icing swollen arm. Pain and rash subside, swelling does not. Day 3-AM pt pain free, has full movement of arm. Swelling remains. Pt stops tylenol and icing. Approximately 48 hours after vaccination pt feels severe restriction around right elbow. Swelling has now extended from right shoulder to a point midway between right elbow and right wrist. Pt also feel swelling in right ring finger and numbness in right little finger. Swelling and numbness also in right upper lip. Rash from right arm pit extending throughout swollen area. Pt visits doctor who states it is an allergic reaction to vaccine. Temperature 99.3. Prescribed #21 methylpredisolone dosepak, 4mg. and antihistamine (pt took Allegra D120mg) 2x per day. Day 4-all symptoms subside except for swelling which remains through day 6.
Age: 1.25
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Redness and swelling ~ 5-6cmin size around DTaP shot site, no streaks, sl. tender to touch, noted w/in 48 hrs after shot was given. Advised -ice pack, NSAIDS per as needed for pain.
Age: 14.0
Sex: M
Vaccine: HEP
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Developed red bumpy rash and itching 3 days after vaccine was given at injection site and later spread over entire arm. On day 12 after vaccine, taken to dermatologist and started on Prednisone--symptoms better on day 14. Has appointment with allergy specialist on 10/21/02 for further testing.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Insomnia
Clinical narrative: Very sore red arm about 2x3inches in size on arm. Can't sleep on side of arm hurting.
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Rash, Urticaria
Clinical narrative: Got hep B # 1 on 9/4/02. On 9/12/02 presented in office with urticaria. Got hep B #2 on 10/4/02 presented in office 10/17/02 with urticaria (she has been broke out in rash x 5 days now).
Age: 3.0
Sex: F
Vaccine: DTAP, HBHEPB, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Erythema and induration approx 30 mm immediately post injection of Varivax vaccine. Observation and cool application-parent contacted later no problems. Slight erythema and inudration persists.
Age: 44.0
Sex: F
Vaccine: TD
Symptoms: Injection site mass, Injection site oedema, Injection site pain
Clinical narrative: Swollen red painful "quarter-sized" lump persisting x several days.
Age: 39.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Erythema, Injection site mass, Pain, Pruritus, Urticaria
Clinical narrative: Very painful, 50 cent piece-sized, red, itchy, raised welt. Gradually decreased in size; current non-tender pea sized hard lump.
Age: 59.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site inflammation, Injection site mass, Pain
Clinical narrative: Very sore, inflamed red lump. Persistent several days.
Age: 26.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site mass, Injection site oedema, Injection site pain
Clinical narrative: "Quarter-sized" red, swollen, lump; painful x 5d, beginning 2d after admin lump decreased in size, still persists about "pea-sized."
Age: 1.5
Sex: M
Vaccine: HEP
Symptoms: Rash
Clinical narrative: Total body rash no fever still present 6 days later.
Age: 44.0
Sex: M
Vaccine: HEPA, TYP
Symptoms: Back pain, Guillain-Barre syndrome, Hypoaesthesia, Muscular weakness, Neuropathy
Clinical narrative: 09/13/02 back pain (persistent). 9/2/02 numbness L thumb. Approximately 9/26/02 both hands and feet numb; face pain. Approximately 10/10/02 weakness both hands. 10/14/02 weakness? stable/no leg weakness. EMG/NCV=demyelinating neuropathy c/w Guillain-Barre syndrome
Age: 9.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 10x10cm area of erythema and induration at site of innoculation. Appeared within 6 hours of injection.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Crying
Clinical narrative: DTaP, IPV, HIB, Hepatitis B given on 9/17/02. Infant cried unconsolably for 4 hours 3PM to 7PM on 9/17/02. Acetaminophen was administered by mom but did not alter screaming/crying behavior.
Age: 1.3
Sex: F
Vaccine: DTAP, MMR
Symptoms: Injection site rash, Injection site swelling
Clinical narrative: Over right thigh in and about injection site are non-specific rashes and swelling.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Joint range of motion decreased, Shoulder pain, Tenderness
Clinical narrative: Swollen left shoulder down to elbow. No decreased range of motion. Tender to palpitations.
Age: 33.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Injection site pain, Oedema, Vomiting
Clinical narrative: Phone call from pt on 9/16/02 states that on 9/14 was vomiting, R arm sore but shoulder and collar bone area red and swollen up to neck.
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash vesicular
Clinical narrative: Papular vesicular rash on trunk, scalp in crops fashion way, 10 spots so far after exposure to varicella.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Erythema, Eyelid oedema, Pruritus, Urticaria
Clinical narrative: Hives on most body parts beginning about 4 hrs post-vaccine. Even eye lids were swollen. Red and itchy. Treated with Benadryl. Gone by morning.
Age: 34.0
Sex: F
Vaccine: MMR
Symptoms: Convulsion, Loss of consciousness
Clinical narrative: Seizure-like contractions of B upper extremities with loss of consciousness immediately after MMR. Lasted less than one minute. pt laid down and recovered.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Rash maculo-papular
Clinical narrative: Skin reaction to immunization diffuse maculopapular rash of trunk and extremities. maybe 10 small spots scattered over body per mother 10/7/02. No other symptoms.
Age: 13.0
Sex: M
Vaccine: HEP, TD
Symptoms: Lymphadenopathy
Clinical narrative: P.E.-L axillary lymphadenopathy no increase lymph R ax, no increase lymph, syroclavicular. Denies any other symtpoms.
Age: 1.5
Sex: M
Vaccine: DTAP, MMR, OPV, VARCEL
Symptoms: Infection, Rash
Clinical narrative: Daycare with chickenpox; rash.
Age: 6.2
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Pyrexia, Rash papular, Rash pruritic, Skin ulcer
Clinical narrative: Vaccinated 9/28/02. Day later with fever for 1-2 days. Fever went away on 10/13/02. Noted to have few scattered erythematous papules--pruritic by 10/14. Elevated lesions on neck, trunk, vesicular with clear clusters and some open lesions.
Age: 22.0
Sex: F
Vaccine: HEP, TD
Symptoms: Arthralgia, Injection site pain, Sleep disorder
Clinical narrative: Sx: sore at injection site on day of shot. Felt fine next day, then on third day, began sx deep, aching pain shoulder, arm down to elbow jt and wrist, disturbs sleep (worse at nite to am), good ROM. Pain relieved with 400mg Ibuprofen. Comes in waves, constant since onset to at least 10/3/02. Sings: no induration, abscess, tenderness on arm, no rash, no fever. Recovered. 10/4/02.
Age: 19.0
Sex: M
Vaccine: MEN
Symptoms: Erythema multiforme, Urticaria
Clinical narrative: Hives all over. Erythema multiforme.
Age: 12.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Injection site nodule
Clinical narrative: Patient received a Td 10/9/02, left deltoid with problems. Mom called today (10/14/02) and said the area was reddened with a bump; denied any warmth or pain at site.
Age: 22.0
Sex: F
Vaccine: JEV
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site oedema, Pruritus
Clinical narrative: Japanese encephalitis vaccine was administered on 10/8/02. The next day redness, swelling and itch wee noted at the injection site. No additional symptoms signs were reported. Itch and swelling has generally diminished.
Age: 1.08
Sex: M
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: R upper arm 4x6cm area erythema, edema, warmth, tender.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Erythema, Injection site induration, Pruritus, Rash
Clinical narrative: Hep B given at 08:30 a.m. at a school clinic.  On 10-18-02 the school nurse reported a 3 inch enduration at the site with small bumps & c/o itching.  Child saw Dr. 10/18 and Allegra was prescribed for assumed allergic response at the site.  Child was afebrile. On 10/21 Mother reports redness is resolving small bumps still present with some itchiness
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Blood pressure increased, Heart rate increased
Clinical narrative: RAPID  HEART  BEAT.........3:A.M.    B/P   UP SLIGHTLY..........3:A.M.
Age: 70.0
Sex: F
Vaccine: FLUX
Symptoms: Diarrhoea, Vertigo, Vomiting
Clinical narrative: Vaccine administered about 3PM.  About 11PM got out of bed and experienced vertigo which occurred several more times during the night.  Since I had experienced labryntitis in the late 1980's, I was cautious with my movements until Friday, the 11th when I sought help at the Health Center.  I received a prescription for MECLIZINE 25MGM TAB,(1/2) and DIAZEPAM 5MG TAB (1/4)for my trip home. When back in Reno 10/14, I experienced explosive diarrhea and vomiting for about 5 hours.  In a few days with no other symptoms I gradually returned to normal. On this day, 10/21 I have residual symptoms.
Age: 30.0
Sex: F
Vaccine: TD, TD
Symptoms: Anorexia, Headache, Injection site erythema, Injection site oedema, Malaise
Clinical narrative: Received vaccine on 08 08/21/2002 On 08/22/02,she developed, sore upper arm, which was throbbing, At 1700, experienced a tight painful neck, a headache & pressure in eyes & head. Decreased appetite, No nausea or vomiting. At 2:00, fever at 101 degrees f, Loose stools but no diarrhea,S mall amt of erythema & tenderness at injection site, Prescribed Keflex for puncture wound
Age: 30.0
Sex: F
Vaccine: TD, TD
Symptoms: Pyrexia, Throat tightness
Clinical narrative: Received vaccine on 08 08/21/2002 On 08/22/02,she developed, sore upper arm, which was throbbing, At 1700, experienced a tight painful neck, a headache & pressure in eyes & head. Decreased appetite, No nausea or vomiting. At 2:00, fever at 101 degrees f, Loose stools but no diarrhea,S mall amt of erythema & tenderness at injection site, Prescribed Keflex for puncture wound
Age: 30.0
Sex: F
Vaccine: TD, TD
Symptoms: Decreased appetite, Headache, Injection site erythema, Musculoskeletal stiffness, Pain
Clinical narrative: Received vaccine on 08 08/21/2002 On 08/22/02,she developed, sore upper arm, which was throbbing, At 1700, experienced a tight painful neck, a headache & pressure in eyes & head. Decreased appetite, No nausea or vomiting. At 2:00, fever at 101 degrees f, Loose stools but no diarrhea,S mall amt of erythema & tenderness at injection site, Prescribed Keflex for puncture wound
Age: 30.0
Sex: F
Vaccine: TD, TD
Symptoms: Pyrexia, Sensation of pressure
Clinical narrative: Received vaccine on 08 08/21/2002 On 08/22/02,she developed, sore upper arm, which was throbbing, At 1700, experienced a tight painful neck, a headache & pressure in eyes & head. Decreased appetite, No nausea or vomiting. At 2:00, fever at 101 degrees f, Loose stools but no diarrhea,S mall amt of erythema & tenderness at injection site, Prescribed Keflex for puncture wound
Age: 58.0
Sex: M
Vaccine: TD, TD
Symptoms: Joint range of motion decreased, Musculoskeletal stiffness, Myalgia
Clinical narrative: Immunization given on 08/12/2002, On 08/20/02, a follow up was done and patient experienced stiffness & swelling. He was unable to move arm and missed 1 day of work due to event. No prior history of reaction. As of 08/23/02, patient still experience soreness.
Age: 58.0
Sex: M
Vaccine: TD, TD
Symptoms: Injection site pain, Joint range of motion decreased, Joint stiffness, Musculoskeletal stiffness, Swelling
Clinical narrative: Immunization given on 08/12/2002, On 08/20/02, a follow up was done and patient experienced stiffness & swelling. He was unable to move arm and missed 1 day of work due to event. No prior history of reaction. As of 08/23/02, patient still experience soreness.
Age: 90.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Condition aggravated, Decreased appetite, Haemoptysis, Lethargy
Clinical narrative: Pneumonia worsened: lack of appetite, lethargy, coughing blood on 12/15/01 and adm. to hosp.
Age: 20.0
Sex: F
Vaccine: MEN
Symptoms: Cough, Swelling face, Throat tightness, Urticaria
Clinical narrative: Information has been received on 10/7/02 from a nurse concerning a 20 year old female patient that was vaccinated with Menomune A/C/Y/W-135 SC on 9/30/02. The lot number us UB229AA. Patient developed widespread hives, loose cough, lip swelling and throat tightness on 10/5/02. Patient was treated at the local urgent care with Benadryl, Prednisone dose pack, and Clarinex. Patient is recovering from the events. A 15-day follow up report received 9/30/2003 adds: From additional info received on 09/09/2003 from a health care professional, it was reported that the pt received Menomune A/C/Y/W-135 subcutaneously in the left upper arm. Treatment included Medrol dose pack, Benadryl and Clarinex. The pt was reported to be recovering from the events. AE coding was updated. From additional info received on 09/23/2003 from a registered nurse, it was reported that the pt had been seen on 10/06/2002 initially and "the only time" at the health facility. The pt was treated with Medrol dose pack, Benadryl and Clarinex and was released in stable condition. Reportedly, the pt returned later that same day with same complaints and was then treated with four milligrams of Decadron, given intra-muscular (1 x dose). The pt remained there for approximately 30 minutes for observation (facility policy after injections) and was then released. The nurse stated that she did not see any notations referencing the pt outcome, except that the pt did not have any reaction to the Decadron. Reportedly, the pt had a possible allergy to eggs in her childhood, concurrent medication is birth control pills. There has been no further contact or info regarding this pt. No further info is anticipated, this case is considered closed.
Age: 28.0
Sex: F
Vaccine: RAB
Symptoms: Blood creatinine increased, Renal failure
Clinical narrative: Information has been received from the parent of a 28 year old female with history of kidney transplant two years ago was administered with Immunoglobulin and Rabies vaccine after a minor exposure (no bites, just licking) to a pet dog. The dog died suddenly without a definite diagnosis (rabies was not strongly considered by the Vet, he was inclined to think it was Distemper). But since a tissue diagnosis was not done, patient underwent the Immunoglobulin and vaccination necessary. Approximately 3 weeks later, her creatinine rose to 3mg from rejection and 4 months after the anti-rabies shots. Patient is in renal failure and will be starting dialysis next week. Follow up #1 correspondence received on 10/23/02 from the pt's nephrologist. He reported that the pt was showing signs of kidney rejection prior to receiving rabies series. He didn't think the pt's kidney rejection was an adverse event, although the temporal and causal relationship was strong. The pt's exposure to possible rabies occurred in an Asian country. He also stated that the pt completed the entire rabies series but she never developed any detectable antibodies. This case is closed. This case is considered other important medical event.
Age: 58.0
Sex: F
Vaccine: TD, TD
Symptoms: Cellulitis
Clinical narrative: Information has been received on 10/14/02 from a nurse concerning a 58 year old female patient with a history of right mastectomy for breast cancer and cellulitis on the right mastectomy site who on 9/25/02, was vaccinated with a dose of TD ADS Adult in the right deltoid after a lacerated index finger. The lot number is U01520AA. Patient developed a recurrent cellulitis at the mastectomy site on 9/27/02. No injection site reaction was noted. The patient was hospitalized for 3 days on antibiotics.