chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 63.0
Sex: F
Vaccine: TD, TD
Symptoms: Injury, Muscle twitching, Pyrexia, Similar reaction on previous exposure to drug
Clinical narrative: On 7/23/05 client attended a reception and was cut by an aluminum picnic table on the back of her right leg. Presented to this health dept on 7/25/05 for Td Booster. Client states she had called her doctor's office and nurse told her she should get a Td booster as it had been about 9 years since the last injection of Td. Client stated she told physician's nurse the last time she received Td she had a slight reaction, had experienced a feeling of warmth throughout her body, that went away a short while after the injection. Client stated that physician's nurse told her as long as she did not have a severe reaction to last  Td, she should be okay in getting another booster. Client was instructed to wait 15 to 20 minutes after receiving injection before leaving health dept. Client asked for a drink of water after receiving injection and stated she was experiencing a metallic taste in her mouth. After approx 5 minutes client stated metallic taste was going away. On 7/29/05 client reported on voice mail, reaction she experienced later the evening of 7/25/05. 8/1/05 Phone call to client, who stated, on 7/25/05 around 3:00PM her left arm became very sore and she was unable to raise her arm. She put warm moist heat on injection site and elevated her arm, which relieved discomfort somewhat. On 7/26/05 client reports fever of 102, chills, twitching of eyelids. Fever relieved with Tylenol. Client stated that symptom of eyelid twitching gradually wore off over a period of 4 days. Client reported her symptoms to her physician's office and was told to not have any more Td boosters.
Age: 63.0
Sex: F
Vaccine: TD, TD
Symptoms: Chills, Dysgeusia, Feeling hot, Hypokinesia, Injection site reaction
Clinical narrative: On 7/23/05 client attended a reception and was cut by an aluminum picnic table on the back of her right leg. Presented to this health dept on 7/25/05 for Td Booster. Client states she had called her doctor's office and nurse told her she should get a Td booster as it had been about 9 years since the last injection of Td. Client stated she told physician's nurse the last time she received Td she had a slight reaction, had experienced a feeling of warmth throughout her body, that went away a short while after the injection. Client stated that physician's nurse told her as long as she did not have a severe reaction to last  Td, she should be okay in getting another booster. Client was instructed to wait 15 to 20 minutes after receiving injection before leaving health dept. Client asked for a drink of water after receiving injection and stated she was experiencing a metallic taste in her mouth. After approx 5 minutes client stated metallic taste was going away. On 7/29/05 client reported on voice mail, reaction she experienced later the evening of 7/25/05. 8/1/05 Phone call to client, who stated, on 7/25/05 around 3:00PM her left arm became very sore and she was unable to raise her arm. She put warm moist heat on injection site and elevated her arm, which relieved discomfort somewhat. On 7/26/05 client reports fever of 102, chills, twitching of eyelids. Fever relieved with Tylenol. Client stated that symptom of eyelid twitching gradually wore off over a period of 4 days. Client reported her symptoms to her physician's office and was told to not have any more Td boosters.
Age: 63.0
Sex: F
Vaccine: TD, TD
Symptoms: Injury, Muscle twitching, Pain, Pyrexia
Clinical narrative: On 7/23/05 client attended a reception and was cut by an aluminum picnic table on the back of her right leg. Presented to this health dept on 7/25/05 for Td Booster. Client states she had called her doctor's office and nurse told her she should get a Td booster as it had been about 9 years since the last injection of Td. Client stated she told physician's nurse the last time she received Td she had a slight reaction, had experienced a feeling of warmth throughout her body, that went away a short while after the injection. Client stated that physician's nurse told her as long as she did not have a severe reaction to last  Td, she should be okay in getting another booster. Client was instructed to wait 15 to 20 minutes after receiving injection before leaving health dept. Client asked for a drink of water after receiving injection and stated she was experiencing a metallic taste in her mouth. After approx 5 minutes client stated metallic taste was going away. On 7/29/05 client reported on voice mail, reaction she experienced later the evening of 7/25/05. 8/1/05 Phone call to client, who stated, on 7/25/05 around 3:00PM her left arm became very sore and she was unable to raise her arm. She put warm moist heat on injection site and elevated her arm, which relieved discomfort somewhat. On 7/26/05 client reports fever of 102, chills, twitching of eyelids. Fever relieved with Tylenol. Client stated that symptom of eyelid twitching gradually wore off over a period of 4 days. Client reported her symptoms to her physician's office and was told to not have any more Td boosters.
Age: 63.0
Sex: F
Vaccine: TD, TD
Symptoms: Chills, Dysgeusia, Eye disorder, Hypokinesia, Injection site pain
Clinical narrative: On 07-23-2005, client attended a reception and was cut on the back of her right leg by an alumin picnic table.  Presented to this health department on 07-25-2005 for Td booster. Client stated she had called her doctor's office and nurse told her she should get a Td booster as it had been about 9 years since the last injection of Td.  Client stated she told physician's nurse the last time she received Td she had a slight reaction, had experienced a feeling of warmth throughout her body, that went away a short while after the injection.  Client stated that physician's nurse told her as long as she did not have a severe reaction to last Td, she should be okay in getting another booster.  Client was instructed to wait 15 to 20 minutes after receiving injection begore leaving health department.  Client asked for a drink of water after receiving injection and stated she was experiencing a metallic taste in her mouth.  After approx. 5 minutes client stated metallic test was going away.  On 07-29-2005 client reported on this writer's voice mail, reaction she experienced later the evening of 07-25-2005.  On 08-01-2005 phone called placed to client, who stated on 07-25-2005 around 3:00 P.M. her left arm became very sore and she was unable to raise her arm.  She put warm moist heat on injection site and elevated her arm, which relieved discomfort somewhat.  On 07-26-2005 client reports fever of 102 degrees, chills, twitching of eyelids.  Fever relieved with Tylenol.  Client stated that symptom of eyelid twitching gradually wore off over a period of 4 days.  Client reported her symptoms to her physician's office and was told to not have any more Td boosters.
Age: 63.0
Sex: F
Vaccine: TD, TD
Symptoms: Injury, Muscle twitching, Pyrexia, Similar reaction on previous exposure to drug
Clinical narrative: On 07-23-2005, client attended a reception and was cut on the back of her right leg by an alumin picnic table.  Presented to this health department on 07-25-2005 for Td booster. Client stated she had called her doctor's office and nurse told her she should get a Td booster as it had been about 9 years since the last injection of Td.  Client stated she told physician's nurse the last time she received Td she had a slight reaction, had experienced a feeling of warmth throughout her body, that went away a short while after the injection.  Client stated that physician's nurse told her as long as she did not have a severe reaction to last Td, she should be okay in getting another booster.  Client was instructed to wait 15 to 20 minutes after receiving injection begore leaving health department.  Client asked for a drink of water after receiving injection and stated she was experiencing a metallic taste in her mouth.  After approx. 5 minutes client stated metallic test was going away.  On 07-29-2005 client reported on this writer's voice mail, reaction she experienced later the evening of 07-25-2005.  On 08-01-2005 phone called placed to client, who stated on 07-25-2005 around 3:00 P.M. her left arm became very sore and she was unable to raise her arm.  She put warm moist heat on injection site and elevated her arm, which relieved discomfort somewhat.  On 07-26-2005 client reports fever of 102 degrees, chills, twitching of eyelids.  Fever relieved with Tylenol.  Client stated that symptom of eyelid twitching gradually wore off over a period of 4 days.  Client reported her symptoms to her physician's office and was told to not have any more Td boosters.
Age: 63.0
Sex: F
Vaccine: TD, TD
Symptoms: Chills, Dysgeusia, Feeling hot, Hypokinesia, Injection site reaction
Clinical narrative: On 07-23-2005, client attended a reception and was cut on the back of her right leg by an alumin picnic table.  Presented to this health department on 07-25-2005 for Td booster. Client stated she had called her doctor's office and nurse told her she should get a Td booster as it had been about 9 years since the last injection of Td.  Client stated she told physician's nurse the last time she received Td she had a slight reaction, had experienced a feeling of warmth throughout her body, that went away a short while after the injection.  Client stated that physician's nurse told her as long as she did not have a severe reaction to last Td, she should be okay in getting another booster.  Client was instructed to wait 15 to 20 minutes after receiving injection begore leaving health department.  Client asked for a drink of water after receiving injection and stated she was experiencing a metallic taste in her mouth.  After approx. 5 minutes client stated metallic test was going away.  On 07-29-2005 client reported on this writer's voice mail, reaction she experienced later the evening of 07-25-2005.  On 08-01-2005 phone called placed to client, who stated on 07-25-2005 around 3:00 P.M. her left arm became very sore and she was unable to raise her arm.  She put warm moist heat on injection site and elevated her arm, which relieved discomfort somewhat.  On 07-26-2005 client reports fever of 102 degrees, chills, twitching of eyelids.  Fever relieved with Tylenol.  Client stated that symptom of eyelid twitching gradually wore off over a period of 4 days.  Client reported her symptoms to her physician's office and was told to not have any more Td boosters.
Age: 63.0
Sex: F
Vaccine: TD, TD
Symptoms: Injury, Muscle twitching, Pain, Pyrexia
Clinical narrative: On 07-23-2005, client attended a reception and was cut on the back of her right leg by an alumin picnic table.  Presented to this health department on 07-25-2005 for Td booster. Client stated she had called her doctor's office and nurse told her she should get a Td booster as it had been about 9 years since the last injection of Td.  Client stated she told physician's nurse the last time she received Td she had a slight reaction, had experienced a feeling of warmth throughout her body, that went away a short while after the injection.  Client stated that physician's nurse told her as long as she did not have a severe reaction to last Td, she should be okay in getting another booster.  Client was instructed to wait 15 to 20 minutes after receiving injection begore leaving health department.  Client asked for a drink of water after receiving injection and stated she was experiencing a metallic taste in her mouth.  After approx. 5 minutes client stated metallic test was going away.  On 07-29-2005 client reported on this writer's voice mail, reaction she experienced later the evening of 07-25-2005.  On 08-01-2005 phone called placed to client, who stated on 07-25-2005 around 3:00 P.M. her left arm became very sore and she was unable to raise her arm.  She put warm moist heat on injection site and elevated her arm, which relieved discomfort somewhat.  On 07-26-2005 client reports fever of 102 degrees, chills, twitching of eyelids.  Fever relieved with Tylenol.  Client stated that symptom of eyelid twitching gradually wore off over a period of 4 days.  Client reported her symptoms to her physician's office and was told to not have any more Td boosters.
Age: 14.0
Sex: F
Vaccine: TD
Symptoms: Dizziness, Musculoskeletal stiffness, Syncope
Clinical narrative: Pt complained of feeling dizzy after vaccine was administered, approx. 11:10, while pt seemed to be fainting (falling over while sitting in chair), her extremities became ver stiff. Pt responded to verbal stimulation after 1 minute.
Age: 44.0
Sex: F
Vaccine: ANTH
Symptoms: Bronchitis, Fatigue, Immune system disorder, Influenza like illness
Clinical narrative: Immediate severe flu-like symptoms (about 8 days). Went to personal doctor 3 days following - fear and bronchitis (3X), eye prob, other illnesses. Continued chronic fatigue. Compromised immunity.
Age: 5.0
Sex: F
Vaccine: UNK, DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: Mother states child developed redness to leg (left thigh), took to ER - on antibiotics for local reaction/infection.  Duracef 250mg, twice per day.
Age: 5.0
Sex: F
Vaccine: UNK, DTAP, IPV, MMR
Symptoms: Erythema
Clinical narrative: Mother states child developed redness to leg (left thigh), took to ER - on antibiotics for local reaction/infection.  Duracef 250mg, twice per day.
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Chills, Dehydration, Encephalitis, Headache, Laboratory test abnormal
Clinical narrative: Twenty-seven year old without significant medical history ten days post smallpox vaccination complained of global headache (pain 6/10), myalgias and chills.  Physical revealed a well appearing afebrile male with mild dehydration and normal HEENT, cardiopulmonary, abdominal and neurologic examinations.  Patient managed conservatively with IV fluid hydration, NSAIDS, ascorbic acid and limited activity.  On post vaccine day eleven members headache intensified to 8/10 with worsening chills and fever of 100.6.  Patient was nauseated but denied emesis.  Pertinent negatives included normal fundi, no focal neurologic deficits or meningeal signs.  Laboratory analysis showed elevated WBC count of 14 and CRP of 14.  Member was sent home on bed rest with close follow up the next day.  On post vaccine day twelve headache characterized as 10/10 with positional component, photophobia, neck stiffness, fever, chills, nausea and myalgias.  Exam revealed ill appearing male febrile to 101.5.  HEENT within normal limits.  Fundi without papilledema or venous pulsations.  Neck was supple.  Cardiopulmonary and abdominal exams unremarkable.  Neurologic exam revealed intact CN function and no focal deficits.  Deep tendon reflexes were 2+ throughout.  Kernig and Brudzinsky signs absent.  Given the temporal relation of symptom onset/progression with vaccine administration, the decision was made to transport patient from military clinic setting to host nation ED for neuroimaging, lumbar puncture and Neurology specialty evaluation with presumptive diagnosis of post vaccine encephalitis.  Non-contrast CT revealed no evidence of intracranial hemorrhage or increased pressure.  Neurology staff decided against lumbar puncture to rule out other etiology.  Presumptive diagnosis was made: post vaccine encephalitis.  Patient was discharged from ED with close observation by medical treatment facility.  On post vaccine day fourteen member experienced marked improvement of symptoms.  Headache now 4/10 without positional component, no photophobia, neck stiffness or fever.  Member still complained of myalgias.  Exam normal.  On post vaccine day fifteen headache resolved.  No further symptoms.  Member was back to flying status post vaccine day twenty-three.
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Musculoskeletal stiffness, Myalgia, Nausea, Photophobia, Pyrexia
Clinical narrative: Twenty-seven year old without significant medical history ten days post smallpox vaccination complained of global headache (pain 6/10), myalgias and chills.  Physical revealed a well appearing afebrile male with mild dehydration and normal HEENT, cardiopulmonary, abdominal and neurologic examinations.  Patient managed conservatively with IV fluid hydration, NSAIDS, ascorbic acid and limited activity.  On post vaccine day eleven members headache intensified to 8/10 with worsening chills and fever of 100.6.  Patient was nauseated but denied emesis.  Pertinent negatives included normal fundi, no focal neurologic deficits or meningeal signs.  Laboratory analysis showed elevated WBC count of 14 and CRP of 14.  Member was sent home on bed rest with close follow up the next day.  On post vaccine day twelve headache characterized as 10/10 with positional component, photophobia, neck stiffness, fever, chills, nausea and myalgias.  Exam revealed ill appearing male febrile to 101.5.  HEENT within normal limits.  Fundi without papilledema or venous pulsations.  Neck was supple.  Cardiopulmonary and abdominal exams unremarkable.  Neurologic exam revealed intact CN function and no focal deficits.  Deep tendon reflexes were 2+ throughout.  Kernig and Brudzinsky signs absent.  Given the temporal relation of symptom onset/progression with vaccine administration, the decision was made to transport patient from military clinic setting to host nation ED for neuroimaging, lumbar puncture and Neurology specialty evaluation with presumptive diagnosis of post vaccine encephalitis.  Non-contrast CT revealed no evidence of intracranial hemorrhage or increased pressure.  Neurology staff decided against lumbar puncture to rule out other etiology.  Presumptive diagnosis was made: post vaccine encephalitis.  Patient was discharged from ED with close observation by medical treatment facility.  On post vaccine day fourteen member experienced marked improvement of symptoms.  Headache now 4/10 without positional component, no photophobia, neck stiffness or fever.  Member still complained of myalgias.  Exam normal.  On post vaccine day fifteen headache resolved.  No further symptoms.  Member was back to flying status post vaccine day twenty-three.
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: White blood cell count increased
Clinical narrative: Twenty-seven year old without significant medical history ten days post smallpox vaccination complained of global headache (pain 6/10), myalgias and chills.  Physical revealed a well appearing afebrile male with mild dehydration and normal HEENT, cardiopulmonary, abdominal and neurologic examinations.  Patient managed conservatively with IV fluid hydration, NSAIDS, ascorbic acid and limited activity.  On post vaccine day eleven members headache intensified to 8/10 with worsening chills and fever of 100.6.  Patient was nauseated but denied emesis.  Pertinent negatives included normal fundi, no focal neurologic deficits or meningeal signs.  Laboratory analysis showed elevated WBC count of 14 and CRP of 14.  Member was sent home on bed rest with close follow up the next day.  On post vaccine day twelve headache characterized as 10/10 with positional component, photophobia, neck stiffness, fever, chills, nausea and myalgias.  Exam revealed ill appearing male febrile to 101.5.  HEENT within normal limits.  Fundi without papilledema or venous pulsations.  Neck was supple.  Cardiopulmonary and abdominal exams unremarkable.  Neurologic exam revealed intact CN function and no focal deficits.  Deep tendon reflexes were 2+ throughout.  Kernig and Brudzinsky signs absent.  Given the temporal relation of symptom onset/progression with vaccine administration, the decision was made to transport patient from military clinic setting to host nation ED for neuroimaging, lumbar puncture and Neurology specialty evaluation with presumptive diagnosis of post vaccine encephalitis.  Non-contrast CT revealed no evidence of intracranial hemorrhage or increased pressure.  Neurology staff decided against lumbar puncture to rule out other etiology.  Presumptive diagnosis was made: post vaccine encephalitis.  Patient was discharged from ED with close observation by medical treatment facility.  On post vaccine day fourteen member experienced marked improvement of symptoms.  Headache now 4/10 without positional component, no photophobia, neck stiffness or fever.  Member still complained of myalgias.  Exam normal.  On post vaccine day fifteen headache resolved.  No further symptoms.  Member was back to flying status post vaccine day twenty-three.
Age: 56.0
Sex: M
Vaccine: ANTH
Symptoms: Cerebrovascular accident, Facial palsy, Laboratory test abnormal
Clinical narrative: Submitted to Docket No. 1980N-0208; 69 FR 78281, December 29, 2004 - Bacterial Vaccines & Toxoids Efficacy Review Proposal. The following is current information regarding the possible adverse reaction to the Anthrax vaccine. A military reservist  who was a orthopedic nurse (10 years). He received the Anthrax vaccine (2 doses) while overseas, approximately 30 days between doses. Approximately one month following the last dose, paralysis develops in facial area, left arm and left leg. Transferred to a hospital for evaluation of possible cerebral vascular accident. Stabilized and transferred again to another hospital. Currently being evaluated by a neurologist. I will forward any further information I receive. Please advise on your assessments and/or opinions of the possibility of this event being related to the vaccine for our records. Follow up on 4/22/91 regarding Anthrax Vaccine possible adverse reaction.  Angiogram was performed on 4/15/91. Results are as follows: From radiology, three vessel cerebral angiogram via right femoral artery performed with 60cc of dye. Both intracranial arteries and vertebral artery branches seen. No complications from procedure. Preliminary results - normal. From medical records pre-discharge, patient regaining strength.
Age: 53.0
Sex: M
Vaccine: ANTH
Symptoms: Abdominal distension, Difficulty in walking, Tremor
Clinical narrative: Submitted to Docket No. 1980N-0208; 69 FR 78281, December 29, 2004 - Bacterial Vaccines & Toxoids Efficacy Review Proposal. I have under my care a 53 year old airplane navigator who was vaccinated for anthrax in late 1990. In January 1991, he developed a chronic recurring movement disorder first manifested by abdominal tightening for 5-10 seconds. In July-August 1991, he developed right hand tremor and a left foot drag. The tremor which has frequency of 4-5 cycles per second, involves his entire arm at rest and recurs for about an hour most days. MRI of the head shows no visible brain abnormalities and EEG indicates that these are not seizures. No treatment has successfully abated the symptoms.
Age: 1.51
Sex: M
Vaccine: MMR
Symptoms: Juvenile arthritis, Pyrexia, Rash generalised, Red blood cell sedimentation rate increased
Clinical narrative: Fever began 15 days after vaccination and ran 103 degrees for 3 days. Rash appeared 30 days after shot; first on back of thighs then spreading to arms, torso, and face. Fever returned with rash ranging from 101-105 degrees F and continued from day 30 to day 40 when child was admitted to hospital. Treatment given was Motrin. Diagnosis: Juvenile rheumatoid arthritis. No family history of any auto-immune issues. Per follow up report- While joint pain has resolved itself, from time to time vaccine recipient still gets rash on thighs.  This is where the rash first appeared and is sometimes accompanied by low grade fevers (less than 102F). Patient will continue to be seen by a pediatric rheumatologist every 3 months for evaluation. 12/31/09 At the present time, patient is symptom free in his joints. He is still being seen by a pediatric rheumatologist and has not yet been declared in "remission" from his systemic JRA.
Age: 10.0
Sex: M
Vaccine: HEPA
Symptoms: Convulsion
Clinical narrative: Generalized tonic clinic seizure 24 hours after shot. No history of seizures.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Chills, Malaise, Pyrexia
Clinical narrative: Mother called, said patient woke up not feeling well.  Developed chills maybe a fever.  Father decided to take him to ER, fever 103 degrees, kept patient overnight.  Discharged with diagnoses of immune response to vaccine.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Diarrhoea, Headache, Injection site pain, Myalgia, Nausea
Clinical narrative: Pt developed arm soreness 7/12 PM. On 7/13, nausea, mus aches and headache 10/10 which lasted 48 hrs, diarrhea, fever 7/13.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Pyrexia
Clinical narrative: Pt developed arm soreness 7/12 PM. On 7/13, nausea, mus aches and headache 10/10 which lasted 48 hrs, diarrhea, fever 7/13.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Headache, Musculoskeletal stiffness, Pain
Clinical narrative: Approximately 12 hours after vaccine, developed stiff neck.  Following day: achy all over.  Within 48 hours, headache which has persisted through 07/19/2005.  No fever, no rash.  Positive for aseptic meningitis currently in community; illness consistent with those symptoms.
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Muscle twitching, Paraesthesia
Clinical narrative: Pt reports awakening on the AM of 01/08/05 with paresthesia at right arm and right leg. Noticed right foot flopping during his exercise walk that AM. Continues to have intermittent right UE and LE paresthesia until present time. Approx 04/01/2005 developed generalized twitching of muscle in all 4 extremities.
Age: 32.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Back pain, Depression, Fatigue, Hypoaesthesia
Clinical narrative: Numb arms when sleeping.  Bad short-term memory, aches in hips and lower back.  Fatigue, depression.
Age: 32.0
Sex: M
Vaccine: LYME
Symptoms: Memory impairment
Clinical narrative: Numb arms when sleeping.  Bad short-term memory, aches in hips and lower back.  Fatigue, depression.
Age: 60.0
Sex: F
Vaccine: MMR
Symptoms: Asthenia, Hypoaesthesia, Joint swelling, Neuropathy, Pain
Clinical narrative: Received MMR vaccination on developed swollen joints of wrists bilateral and numbness, tingling, and pain in both arm and hands on 7/5/05. Symptoms persist today all blood work received by PCP WNL's. Neuropathic pain disruptive to sleep and disabling. Weakness in both hands.
Age: 60.0
Sex: F
Vaccine: MMR
Symptoms: Paraesthesia
Clinical narrative: Received MMR vaccination on developed swollen joints of wrists bilateral and numbness, tingling, and pain in both arm and hands on 7/5/05. Symptoms persist today all blood work received by PCP WNL's. Neuropathic pain disruptive to sleep and disabling. Weakness in both hands.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Cellulitis, Erythema, Feeling hot, Injection site discolouration, Injection site induration
Clinical narrative: 4x5.5 area on right thigh.  Induration around site, erythema, warm to touch, nontender, blanching, patient diagnosed with Cellulitis of right lower extremity/thigh.  Child complaint of itching.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Pruritus
Clinical narrative: 4x5.5 area on right thigh.  Induration around site, erythema, warm to touch, nontender, blanching, patient diagnosed with Cellulitis of right lower extremity/thigh.  Child complaint of itching.
Age: 70.0
Sex: M
Vaccine: TTOX
Symptoms: Apnoea, Pruritus
Clinical narrative: Apnea, itching, watering eyes
Sex: M
Vaccine: PPV, PPV
Symptoms: Hypertension
Clinical narrative: Severe soft tissue reaction to pneumococcal vaccine 5 yrs after primary dose in a hypertensive 71 yr old male.
Sex: M
Vaccine: PPV, PPV
Symptoms: Hypersensitivity
Clinical narrative: Severe soft tissue reaction to pneumococcal vaccine 5 yrs after primary dose in a hypertensive 71 yr old male.
Age: 1.07
Sex: F
Vaccine: HIBV, MMR
Symptoms: Urticaria
Clinical narrative: Urticarial rash all extremities with few on face and upper chest, sleeping a lot. Last 3 days Zyrtec liquid 1/2 tsp. 1-2 x day, did not give. Rash disappear after 3 days.
Age: 3.0
Sex: F
Vaccine: HEPA
Symptoms: Rash erythematous
Clinical narrative: Pt woke up the next day with a red rash on arms and trunk. Mother put A + D ointment on rash. Upon presentation to HCP same day, only 1 tiny pink bump scan on L wrist.
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Red swollen left upper arm CPNC injection site given 7/14/05. 7cm x 5cm size.
Age: 4.0
Sex: M
Vaccine: MMR
Symptoms: Cyst, Injection site erythema, Urticaria
Clinical narrative: Local reaction MMR injection, 5cm area of erythema with central urticarial area of 1cm.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Fatigue, Pyrexia, Restlessness, Vomiting
Clinical narrative: Woke up next morning with no energy gave Ibuprofen. That evening he was running a high fever and vomiting. Restless all night until next day. Then he started to recover. Almost went to hospital.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: Localized red raised rash (multiple) near injection site. No systemic reaction. Rash on the right thigh.
Age: 1.34
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Swelling, redness 2"x2" noted on right shoulder 24 hrs post immunization. Ice/Motrin recommended.
Age: 1.26
Sex: M
Vaccine: DTAP, MMR
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: 7.5cm x 6cm area of erythema/warmth in right deltoid area. Ice, Motrin.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Convulsion, Otitis media, Pyrexia
Clinical narrative: Seizure with fever, had one febrile seizure in past, got Zithromax in ER after had seizure (otitis).
Age: 1.11
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Had breakthrough case of chickenpox despite varivax vaccination.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site reaction
Clinical narrative: Pt seen in ER day after vaccine given for local rxn at site of vaccine. Tx was ice and Tylenol.
Age: 1.0
Sex: M
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Agitation, Irritability, Nervousness, Psychomotor hyperactivity, Pyrexia
Clinical narrative: Day of vaccination, pt was fussy, irritable and mildly agitated. The next day, he was extremely, agitated. By nighttime, he was literally bouncing and jumping. He jumped/bounced until 3AM (7/27/05). This is a child who normally lays down at 7:30PM and goes straight to sleep. He slept 3hrs and was overactive the next day as well. Follow up 8/9/05: On Jul 29, 2005 left developed a low fever (101.4) that lasted x 6 days. Aug 04,2005 was his first fever free day.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Erythema, Pyrexia, Rash maculo-papular
Clinical narrative: 7/21/2005 Pt came to office with c/o rash 4-5 days post MMR and VAR. Getting better. Low grade temp, more erythematous after bath. Classic macular papular rash on torso/face no involvement of palms or soles of feet.
Age: 1.84
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MMR, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Varivax vaccine given on 10/11/2001, chickenpox on 07/15/2005.
Age: 1.3
Sex: F
Vaccine: HBHEPB, MMR
Symptoms: Diarrhoea, Pyrexia, Rash
Clinical narrative: Fever 103, rash, diarrhea
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Shot given Monday, AM, swelling and redness developed Tuesday night.  Noted on Wednesday, AM by family, patient afebrile, ambulating well.
Sex: U
Vaccine: DTAP, HIBV, PNC
Symptoms: Erythema, Pain, Pyrexia, Swelling
Clinical narrative: Vaccine hib 4, given in right thigh on 07/25/2005, complaint of fever, swelling, redness in right thigh; 2cm swelling with redness and pain with touch.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Facial palsy
Clinical narrative: Bells Palsy, 2 days after immunizations.  No other obvious etiology.
Age: 1.05
Sex: M
Vaccine: HIBV, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Classic varicella type rash 9 days after vaccine.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Induration and redness around the site of injection on left thigh.
Age: 1.15
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Erythema, Rash
Clinical narrative: Noted spots but all kids had mosquito bites- but patient had red spots with scabs - 07/19/2005.  Red like a zit on face when picked up from sitter at 3PM.  This AM 100 little dots over chest.
Age: 36.0
Sex: M
Vaccine: TTOX
Symptoms: Pruritus, Swelling
Clinical narrative: Itching, swelling right arm.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Febrile convulsion
Clinical narrative: Febrile seizure on the day of immunization.
Age: 42.0
Sex: F
Vaccine: TTOX
Symptoms: Erythema, Swelling
Clinical narrative: Left deltoid redness, mild swelling, local reaction irritant.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Cellulitis, Erythema, Pyrexia, Swelling
Clinical narrative: Vaccine given 07/20/2005.  Mother called with redness, swelling, fever on 07/21/2005.  Recommended basic measure to decrease fever and swelling, and if doesn't respond to go see physician.  Mother took to hospital after clinic treated with Antibiotics (Amoxicillin) for Cellulitis.
Age: 17.0
Sex: M
Vaccine: DTAP
Symptoms: Medication error, No adverse drug effect
Clinical narrative: In for Decavac (DT) and received DTAP,  CDC called for information, watch for local reaction, do not revaccinate.  Reported information to parent. Follow up information dated 8/6/05 states site assessed at 1400 on 7/26/05 no reaction at injection site.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site induration
Clinical narrative: Mom reports the day following the DTAP injection, patient developed a glowing erythema, warmth and hardness around site of injection, left deltoid.
Age: 5.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Drug ineffective
Clinical narrative: Serum (varicella) exposed to low temps not meeting requirement, making serum invalid for use.  Difficulty to track family after moving from state but was able to finally encourage father to revaccinate child.
Age: 2.0
Sex: M
Vaccine: DTAP, HEP
Symptoms: Injection site erythema, Injection site induration, Pain, Swelling
Clinical narrative: Arm swelled became hard and painful.  Erythema tender left upper arm around vaccine site and some swelling 9 1/2 x 8cm.  Doctor visit for evaluation on 07/23/2005.
Age: 12.0
Sex: M
Vaccine: TD, VARCEL
Symptoms: Dizziness, Flushing, Injection site erythema, Injection site swelling, Pain
Clinical narrative: 07/19/2005 Complaints of pain/tenderness, paleness, dizziness, fever 99 - 100.  Continue Tylenol and cool cloth to site, swelling and redness noted also at the varicella site.  TD site fine.
Age: 12.0
Sex: M
Vaccine: TD, VARCEL
Symptoms: Pyrexia
Clinical narrative: 07/19/2005 Complaints of pain/tenderness, paleness, dizziness, fever 99 - 100.  Continue Tylenol and cool cloth to site, swelling and redness noted also at the varicella site.  TD site fine.
Age: 0.31
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia, Urticaria
Clinical narrative: Broke out in hives, really bad fever (the next day  - 05/07/2005).  Not reported to this office until 07/21/2005.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Hypokinesia, Nausea, Pain, Paraesthesia
Clinical narrative: About 7 hours after vaccine, arm began getting very painful, nausea 9 hours after administration.  Could not move arm and hand and hand tingling.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: 07/26/2005 Mother called PHN saying child had extensive swelling in left upper arm to shoulder.  Area was red and very warm to touch.  No fever.  This was 24 hours after shot was given.  Patient was seen by md and treated for infection with antibiotic - Keflex.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Feeling hot, Hypokinesia, Swelling
Clinical narrative: DTPA reaction, left upperarm, unable to move shoulder.  warm, swelling.  Treated with Keflex, possibly Cellulitis.
Age: 32.0
Sex: M
Vaccine: TYP, YF
Symptoms: Flushing, Wheezing
Clinical narrative: Wheezing, skin flushing within 15 minutes of vaccine.  Treated with Epi, Benadryl, Prednisone.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Oedema, Urticaria
Clinical narrative: Child had swelling of left arm and hives.  No respiratory problems  vital signs same as before shot.  Pulse oximetry good.  Was given Benadryl. Oberved until 2:30 in the office. Had no respiratory symptoms
Age: 21.0
Sex: M
Vaccine: RAB
Symptoms: Blood pressure decreased, Dizziness, Pallor
Clinical narrative: Five minutes after receiving RabAvert vaccine, pt. felt light-headed and was pale. EMTs at the fire station checked the pt. BP was 88/50. Blood sugar was 103. Pt. had eaten breakfast about 4 hours before injection, and had been working outside in the very warm weather without drinking any water. After approximately a half hour, BP was normal and pt. was able to walk out of the building. He stated that he was feeling better.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site swelling, Pruritus
Clinical narrative: Mother phoned on 7/26/05 to report child never ran fever or complained.  Slight redness over right deltoid Friday AM (7/22/05.  Saturday morning had swelling over entire deltoid with redness and itching.  Child never complained.  Father insisted child go to MD - was seen on Saturday, 7/23/05. Per Mother, child right arm was improving by Saturday afternoon.
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Condition aggravated, Herpes zoster, Systemic lupus erythematosus
Clinical narrative: Patient presented to clinic after receiving pneumococcal vaccine from primary care physician at other location.  Patient c/o arthralgias in left lower leg and had exacerbation of lupus and herpes zoster 2 days after receiving the pneumococcal vaccine.  MD ordered Penciclovir and Famciclovir for symptoms.
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Injection site erythema, Injection site hypersensitivity, Injection site rash, Injection site swelling
Clinical narrative: -Deep dark pox, measuring 2cm across in Left Upper Arm. Circumfrential erythema measured 3-4cm around pox. -Papules/Pustules noted at edges of latex bandage -Separate, 4x5cm area of red, raised,"itchy" rash, mid-upperarm, below vaccination site.
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Pruritus
Clinical narrative: -Deep dark pox, measuring 2cm across in Left Upper Arm. Circumfrential erythema measured 3-4cm around pox. -Papules/Pustules noted at edges of latex bandage -Separate, 4x5cm area of red, raised,"itchy" rash, mid-upperarm, below vaccination site.
Age: 43.0
Sex: F
Vaccine: HEP, TD
Symptoms: Face oedema, Odynophagia, Oedema peripheral, Throat tightness, Tongue oedema
Clinical narrative: SWELLING OF HANDS, TONGUE & LIPS, GENERALIZED URTICARIA, PAINFUL SWALLOWING, TIGHTENING THROAT.
Age: 43.0
Sex: F
Vaccine: HEP, TD
Symptoms: Urticaria
Clinical narrative: SWELLING OF HANDS, TONGUE & LIPS, GENERALIZED URTICARIA, PAINFUL SWALLOWING, TIGHTENING THROAT.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: ON 08/03/05 MOTHER AND FOUR YEAR OLD PATIENT SHOWED UP TO THE CLINIC, COMPLAINING  THAT CHILD HAD SWOLLEN  LEFT DELTOID.  WHERE CHILD RECEIVED DTAP.  ON ASSESMENT CHILD HAD SWOLLEN UPPER ARM TENDERNESS, WARM TO TOUCH, NO REDNESS, NO COMPLAIN OF FEVER OR OTHER COMPLAIN.
Age: 5.0
Sex: M
Vaccine: DTP, MMR, OPV
Symptoms: Asthma, Cough, Rhinorrhoea, Urticaria
Clinical narrative: Asthmatic coughing Nose filled with excess mucuous Hives
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Back pain, Pyrexia
Clinical narrative: Fever to 103 degrees, serum sickness type symptoms with back pain, onset 4-6 hours after vaccine.
Age: 1.62
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Swelling
Clinical narrative: Left leg swollen 35cm, right leg swollen 30cm, whole top part of thigh is red, hot and hard to touch.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: Left arm swollen, red, tender
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site induration
Clinical narrative: Left arm, red - hot - tight, 3 inch circle at injection.
Age: 12.0
Sex: F
Vaccine: TD
Symptoms: Convulsion, Loss of consciousness
Clinical narrative: Father called on 07/28/2005, stated on 07/22/2005, outside washing car in heat for 1 hour went inside, after 20 minutes was standing then blacked out, convulsed at 4-5 seconds, then woke up like nothing happened.  This was 6 hours after TD given.
Age: 24.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Feeling hot, Injection site swelling
Clinical narrative: On 07/19/2005 began swelling at site and becoming warm.  07/20/2005 swelled to 3 x 2 3/4 inches red and warm.
Age: 3.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Feeling hot
Clinical narrative: Localized erythema that is warm to touch x 1.5cm.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site swelling
Clinical narrative: Left leg at vaccine site swollen.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site induration, Injection site swelling
Clinical narrative: Left leg reported swollen and hard at vaccine site.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Dyspnoea, Erythema, Oedema
Clinical narrative: Information has been received from a medical office concerning a 56 year old white female patient who on Apr 15 2004 was vaccinated in the left deltoid with a dose of pneumococcal 23v polysaccharide vaccine (lot 647271/1138N). There was no illness at the time of vaccination. On Apr 15 2004, the patient developed erythema and swelling of the left forearm, and shortness of breath, Unspecified medical attention was sought. ON Apr 14 2004, the patient recovered. No further information is expected.
Age: 23.0
Sex: M
Vaccine: PPV
Symptoms: Face oedema, Hypokinesia, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Information has been received from a nursing supervisor concerning a 42 yr old male with Eustachian tube dysfunction and a history of migraine like pain headache, non allergic rhinitis, bronchial hyperactivity, chronic sinus disease, and PAR who on 10Apr04 at 10:45AM was vaccinated IM in the right deltoid with a first 0.5cc dose pneumococcal 23v polysaccharide vaccine (lot 647271/1138N). Concomitant therapy included fluticasone propionate (Flonase) (2 sprays per nostril BID), fexofenadine hydrochloride (Allegra) (180mg QD), montelukast sodium (10mg), azelastine hydrochloride (Astelin) (2 sprays per nostril BID), albuterol (Ventolin) (not used noted), and atorvastatin calcium (Lipitor). There were no other concomitant vaccines. Illness at the time of vaccination included facial edema, chronic sinus disease, and mixed rhinitis. On 10Apr04 at 18:30PM the pt experienced softball size swelling and pain and redness at the site of vaccination. He was treated with nonsteroidal anti inflammatory drugs and elevation of the extremity. On 22Apr04 at 14:30PM, the pt reported that his arm had gotten black and blue. It hurt for one week and he could hardly lift the arm for two days. He was ok now. It was noted that the pt recovered. No diagnostic lab tests were performed. A product quality complaint was not involved. Additional information is not expected. The nurse reported another pt that had a similar experience after therapy with pneumococcal 23v polysaccharide vaccine (WAES0406USA02225).
Age: 23.0
Sex: M
Vaccine: PPV
Symptoms: Rhinitis, Sinusitis, Skin discolouration
Clinical narrative: Information has been received from a nursing supervisor concerning a 42 yr old male with Eustachian tube dysfunction and a history of migraine like pain headache, non allergic rhinitis, bronchial hyperactivity, chronic sinus disease, and PAR who on 10Apr04 at 10:45AM was vaccinated IM in the right deltoid with a first 0.5cc dose pneumococcal 23v polysaccharide vaccine (lot 647271/1138N). Concomitant therapy included fluticasone propionate (Flonase) (2 sprays per nostril BID), fexofenadine hydrochloride (Allegra) (180mg QD), montelukast sodium (10mg), azelastine hydrochloride (Astelin) (2 sprays per nostril BID), albuterol (Ventolin) (not used noted), and atorvastatin calcium (Lipitor). There were no other concomitant vaccines. Illness at the time of vaccination included facial edema, chronic sinus disease, and mixed rhinitis. On 10Apr04 at 18:30PM the pt experienced softball size swelling and pain and redness at the site of vaccination. He was treated with nonsteroidal anti inflammatory drugs and elevation of the extremity. On 22Apr04 at 14:30PM, the pt reported that his arm had gotten black and blue. It hurt for one week and he could hardly lift the arm for two days. He was ok now. It was noted that the pt recovered. No diagnostic lab tests were performed. A product quality complaint was not involved. Additional information is not expected. The nurse reported another pt that had a similar experience after therapy with pneumococcal 23v polysaccharide vaccine (WAES0406USA02225).
Sex: F
Vaccine: PPV
Symptoms: Anaphylactic shock, Oedema
Clinical narrative: Information has been received from a physician concerning a female who was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine (manufacturer unknown) a few years ago. Subsequently the patient developed swelling in her arm. Subsequently, the patient recovered from the swelling in her arm. Additional information has been requested. The physician also reported that the patient developed anaphylactic shock after vaccination with pneumococcal 23v polysaccharide vaccine (Waes0407USA00667).
Age: 43.0
Sex: F
Vaccine: PPV
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Information has been received from a RN concerning a 43 year old female pt who on 09Aug04 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine (lot number 647797/0987N) and developed redness, swelling and warmth at the injection site. Unspecified medical attention was sought. There was no product quality complaint involved. Additional information has been requested.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site pain
Clinical narrative: Information has been received from a 74 year old female nurse with a history of hip replacement who on 14Sep04 was vaccinated with pneumococcal 23v polysaccharide vaccine. Concomitant therapy included celecoxib (Celebrex), diphenhydramine HC1 (Benadryl) and polypharmacy. On approx 14Sep04, after receiving the pneumococcal 23v polysaccharide vaccine, the pt noted that her upper arm became beet red with pain that was very severe. She reported that as time went on she couldn't move her arm and the redness progressed down to the forearm. After a physician office visit she was diagnosed with cellulitis and treated with a steroid injection. She reported that this was her second dose of pneumococcal vaccine with her first having been administered in 1998 or 1999. She reported that since she received the steroid injection in her arm she has been feeling better. Additional information has been requested.
Age: 55.0
Sex: F
Vaccine: PPV
Symptoms: Feeling hot, Hypersensitivity, Pain, Rash
Clinical narrative: Information has been received from a 54 year old female with a penicillin allergy who on Oct 11 2004 was vaccinated IM with a .05 ml dose of pneumococcal 23v polysaccharide vaccine (lot # Unknown). There was no concomitant medication . On Oct 11 2004 the patient developed a painful rash that was hot and red on her shoulder and underarm after being vaccinated. The patient sought unspecified medical attention and has reported that she is recovering. There was no product quality complaint involved. Additional information has been requested.