chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: R arm warm and swollen 6cm X 6 1/2cm.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Abasia, Cellulitis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 3 vaccines administered to thighs about 12;00 noon on 5/23/06. Pt c/o R leg pain about 19:00 PM. Mom noted swelling and redness. Developed fever by 05:00 AM 5/24/06. Temperature max 103.1 (ax). Unable to ambulate due to increased pain by 07:00 AM. Re-evaluated, diagnosed cellulitis and instructed cool compresses (no massaging), oral antibiotics; office follow-up 2 days, area around injection sites warm, indurated, tender and erythematous without discharge.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site warmth, Pyrexia
Clinical narrative: 3 vaccines administered to thighs about 12;00 noon on 5/23/06. Pt c/o R leg pain about 19:00 PM. Mom noted swelling and redness. Developed fever by 05:00 AM 5/24/06. Temperature max 103.1 (ax). Unable to ambulate due to increased pain by 07:00 AM. Re-evaluated, diagnosed cellulitis and instructed cool compresses (no massaging), oral antibiotics; office follow-up 2 days, area around injection sites warm, indurated, tender and erythematous without discharge.
Age: 1.26
Sex: M
Vaccine: DTAP, HIBV, MMR
Symptoms: Rash
Clinical narrative: Rash behind ears and neck
Age: 79.0
Sex: F
Vaccine: PPV
Symptoms: Injection site oedema, Injection site pain
Clinical narrative: Swelling pain right arm
Age: 59.0
Sex: M
Vaccine: PPV
Symptoms: Contusion, Dyspnoea, Hypokinesia, Injection site pain, Injury
Clinical narrative: Intense pain in arm, could not move arm, difficulty breathing. Morphine for Pain, Medrol.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Rash vesicular, Skin ulcer, Viral infection
Clinical narrative: Chicken pox after vaccine, rash red lesions whitish center, chest and legs.
Age: 1.01
Sex: M
Vaccine: IPV, MMR
Symptoms: Rash vesicular, Viral infection
Clinical narrative: C pox after vaccine.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: R Arm swollen (dia 18.5cm) with vaccine left arm 15.5cm. Erythema 17cm x 13cm. Hot around both vaccines.
Age: 6.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Feeling hot, Injection site oedema, Rash erythematous
Clinical narrative: Generalized red rash over scalp and body. Arm red, warm and swollen at injection site. Given Orapred and Benadryl.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site mass, Injection site oedema, Pruritus
Clinical narrative: Mild swelling/redness around injection site. Dtap allergic reaction in appearance. Red, nontender, itchy, indurated at 2" from site.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: 12cm x 10cm redness and warmth pt received 1mm. 5/17/06 at 3:30PM sm redness that PM. In AM 5/18 redness with lump and increased swelling 5/19 appt.
Age: 0.17
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Irritability
Clinical narrative: Child was slightly fussy x
Age: 1.6
Sex: M
Vaccine: HEPA, MMR
Symptoms: Pyrexia
Clinical narrative: Fever 104
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Feeling hot, Injection site oedema, Injection site vesicles
Clinical narrative: Evening after 1z given, pt developed warmth and swelling at injection site. 1 1/2 days after 1Z given pt developed 4-6 vesicles at injection site, +swelling, + warmth, no fever.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site oedema, Pyrexia
Clinical narrative: Pt received 5th Dtap on 5/22/06 walked into office 5/23 AM with c/o swelling and fever in leg able to walk without difficulty. No redness noted.
Age: 4.0
Sex: M
Vaccine: DTAPH, IPV, MMR, PNC
Symptoms: Feeling hot, Injection site erythema, Injection site mass, Skin ulcer, Tenderness
Clinical narrative: Presented 1 day after shots with large red, nontender induration at site of vaccines. By the following day (2 days after vaccine) the lesions had progressed with red streaking, encrusting of skin, were red, warm and tender. Pt was treated with Augmentin and Benadryl.
Age: 1.5
Sex: M
Vaccine: DTAP, PNC, VARCEL
Symptoms: Crying, Erythema, Irritability, Oedema
Clinical narrative: 3:45PM was given vaccinations. 4:20PM irritability, crying and swollen, redness to face, ears. 4:50PM went to ER whole body red. Epi x2, liquid Prednisone ER physician could not find any other cause for reaction.
Age: 0.16
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Screaming
Clinical narrative: Screamed for 5 hrs straight
Age: 1.39
Sex: M
Vaccine: MMR
Symptoms: Rash
Clinical narrative: Rash on hip and back started 5/19/06
Age: 15.0
Sex: M
Vaccine: HEP
Symptoms: Cyanosis, Dizziness, Injection site pain, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Mother called a couple of days after vaccine given states pt c/o sore arm with hand turning blue, fever, sore throat and dizziness. Symptoms lasted one day.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site oedema
Clinical narrative: Entire left upper arm down to elbow is swollen with imm reaction.
Age: 6.0
Sex: F
Vaccine: DTAP
Symptoms: Contusion, Injection site erythema, Injection site oedema
Clinical narrative: Left upper leg with 4 x 3.5cm area erythema and moderate edema to injection site. Sm amt of bruising at injection site.
Age: 0.37
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying
Clinical narrative: Screaming episodes, inconsolable crying.
Age: 38.0
Sex: F
Vaccine: RAB
Symptoms: Anxiety, Chills, Headache, Pain, Palpitations
Clinical narrative: Second dose of Rabies vaccine administered 5/31/06 at 10 am, at 11am felt anxiety, and palpatations, then achy all over. At 5 pm felt feverish(did not take temperature)and generalized aches even bottom of feet, some chills, at 6 pm took tylenol, awoke at 3 am with headache and took more tylenol, at 10 am today 6/1/06 have slight headache, but much improved.
Age: 38.0
Sex: F
Vaccine: RAB
Symptoms: Pyrexia
Clinical narrative: Second dose of Rabies vaccine administered 5/31/06 at 10 am, at 11am felt anxiety, and palpatations, then achy all over. At 5 pm felt feverish(did not take temperature)and generalized aches even bottom of feet, some chills, at 6 pm took tylenol, awoke at 3 am with headache and took more tylenol, at 10 am today 6/1/06 have slight headache, but much improved.
Age: 38.0
Sex: F
Vaccine: FLU3, HEPA, IPV, TTOX, TYP
Symptoms: Dizziness, Injection site swelling
Clinical narrative: PT. DEVELOPED SWELLING AT SITE OF INJ. SOON AFTER ADM. AND STATED FEELING DIZZY. PT. PLACED IN SUPINE POSITION WITH LEGS ELEV. ICE PACK APPLIED TO SITE AND VS TAKEN. B/P 104/68, HR 64, 0XYGEN SATS 100%. AFTER 12 MIN. PT. STATED FEELING BETTER AND WANTING TO SIT UP. ASSISTED TO SITTING POSITION AND VS MONITORED WHILE SITTING BEFORE BEING ALLOWED TO STAND. B/P 113/70, HR 68, 02 100%. NO DIZZINESS STATED, NO SOB NOTED, NO RASH PRESENT. SN AND DR. PRESENT WITH INSTR. TO CALL 911 OR GO TO ER IF SOB, SWELLING OF LIPS, OR WORSENING OF S/S,AND TO CONT. TO USE ICE PACK TO AREA Q 20 MIN ON AND Q20 MIN OFF AS NEEDED.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Cellulitis, Hypokinesia, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: C/O arm being sore the day of injection.  The morning after injections, left arm was red, swollen, hot to touch from elbow to shoulder and was hard to move.  Parents took to ER.  Dr. treating for cellulitis with cephaloxin.  5/29/06 per Mom improving, much better.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Pain
Clinical narrative: C/O arm being sore the day of injection.  The morning after injections, left arm was red, swollen, hot to touch from elbow to shoulder and was hard to move.  Parents took to ER.  Dr. treating for cellulitis with cephaloxin.  5/29/06 per Mom improving, much better.
Age: 3.0
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Erythema, Oedema, Skin discolouration
Clinical narrative: Mother reports redness in left arm that begins at deltoid & extends to approx one inch above elbow.  Arm is edematous.  Edema begins at shoulder & extends to approx 2 inches above elbow.  white spot at injection site of left deltoid.  Denies fever.  Denies malaise.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Discomfort, Erythema, Pain, Pruritus, Urticaria
Clinical narrative: Urticaria noted from face to lower extremities, to include trunk. Erythema with confluent paplable erythema, areas of central clearing, marked itching. Spares scalp, palms, and soles. All other areas of extremities and trunk are affected with no areas larger than a silver dollar unaffected. In general, he is in discomfort, crying, itching, and states that it itches and hurts. No respiratory distress. No involvement of oral mucosa. Given STAT injection of Benadryl 20mg and observed for one hour. Dismissed to home with oral Benadryl to be given every 6 hours for the next 48 hours then as needed.
Age: 0.33
Sex: F
Vaccine: MMR, PNC
Symptoms: Cough, Pruritus, Pyrexia, Rash morbilliform, Rhinorrhoea
Clinical narrative: Developed fever with measle like rash (red dots, itching) and coughing, runny nose 8 days after vaccination.  Child still has rash and cough.  Fever subsided approximately 2 days later.
Age: 14.0
Sex: M
Vaccine: HEP, MNQ, TDAP
Symptoms: Convulsion, Hypotonia, Loss of consciousness, Pallor, Syncope vasovagal
Clinical narrative: Approximately 5-10 seconds post immunization, pt became pale, limp, lost consciouness, and appeared to be convulsing. Pt. was grabbed by nurse to prevent him from falling from the exam table.  He reponded immediately, asking "What Happened?"  He denied remembering anything after the immunizations.  The clinic physian examined the patient and determined that the episode was a vasovagal response to the Immunizations, instead of an allergy.  Patient's mother reports that his father has experienced the same symptoms several times following injections, injury, etc.  Patient recovered fully from the incident without pharmacologic intervention.  Blood Pressure post incident:  110/60 supine,  120/70 sitting, 120/80 standing.
Age: 18.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Blood pressure decreased, Hypotension, Syncope
Clinical narrative: Patient was leaving the health center after receiving his shots and fainted.  aroused when shook.  BP low.  Left in recumbant position until BP stabilized.  Had Orthostatic hypotension when attempting to sit up.  Took 45 minutes to regain normal BP and vision.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site discolouration, Injection site erythema, Injection site swelling, Urticaria
Clinical narrative: Urticarial rash at site, red, poorly circumscribed, raised and blanching.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, MNQ, TDAP, MNQ, TDAP
Symptoms: Convulsion
Clinical narrative: This case was reported by a nurse an described the occurrence of generalized tonic clonic seizure in a 11 year old female subject who was vaccianted with tetanus toxoid, reduced diphtheria toxoid and acellular pertussis vaccine, absorbed (Boostrix) for prophylaxis. Previous and or concurrent vaccination included meningococcal Group A C Y and W 135, polysaccharide diphtheria toxoid conjugate vaccine Menactra given on 5/26/2006. On 5/26/2006, the subject received the 1st dose of Boostrix (unknown, right arm). On 5/26/2006, at an unspecified time after vaccination with Boostrix, the subject experienced a generalized tonic clonic seizure after going to sleep. The subject was hospitalized overnight and is currently doing fine. At the time of reporting, the event was resolved.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, MNQ, TDAP, MNQ, TDAP
Symptoms: Unevaluable event
Clinical narrative: This case was reported by a nurse an described the occurrence of generalized tonic clonic seizure in a 11 year old female subject who was vaccianted with tetanus toxoid, reduced diphtheria toxoid and acellular pertussis vaccine, absorbed (Boostrix) for prophylaxis. Previous and or concurrent vaccination included meningococcal Group A C Y and W 135, polysaccharide diphtheria toxoid conjugate vaccine Menactra given on 5/26/2006. On 5/26/2006, the subject received the 1st dose of Boostrix (unknown, right arm). On 5/26/2006, at an unspecified time after vaccination with Boostrix, the subject experienced a generalized tonic clonic seizure after going to sleep. The subject was hospitalized overnight and is currently doing fine. At the time of reporting, the event was resolved.
Sex: M
Vaccine: BCG, HBHEPB, PNC, HBHEPB, PNC
Symptoms: Gastrooesophageal reflux disease, Lethargy, Pallor, Vomiting
Clinical narrative: Bilious vomiting X 5 in 1 1/2 hours after vaccination. Lethargy, paleness that lasted a few hours.
Sex: M
Vaccine: BCG, HBHEPB, PNC, HBHEPB, PNC
Symptoms: Erythema, Lethargy, Pallor, Vomiting projectile
Clinical narrative: Bilious vomiting X 5 in 1 1/2 hours after vaccination. Lethargy, paleness that lasted a few hours.
Age: 26.0
Sex: F
Vaccine: HEP, TYP
Symptoms: Chills, Dyspnoea, Pyrexia
Clinical narrative: Approx. 1 1/2 hrs after injections, had chills and difficulty breathing "throat closed up". All vital signs stable at visit. Lungs clear, O2 100% SAT, B/P 100/80, HR 86, Temperature 99F. Given Benadryl 50mg, IM. Temperature recheck after 30 minutes at 101.6 and down to 100.3 after 1 hour, discharged on Tylenol q 4-6 hrs.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Urticaria
Clinical narrative: Urticaria, total body and no other symptoms at 24 hours after immunizations. Treated with Benadryl. No sequela.
Age: 1.28
Sex: M
Vaccine: MMR
Symptoms: Convulsion, Pyrexia
Clinical narrative: Fever of 104.9 5 days after vaccination.  When taken to the doctors office, patient had a seizure in office.  He was colled w/ damp cloths and fan, seizure continued at 15 minutes and he was administered Valium IM but seziure continued.  He was rushed to the ER where seizure continued for over 47 minutes before controlled.  He spent 5 days in the hospital.
Age: 5.0
Sex: F
Vaccine: DTAP, HEP, IPV, MMR, VARCEL, DTAP, HEP, IPV, MMR, VARCEL
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: Information was received from another company (ref number WAES0605USA02730) on 24MAY06 from a report initially submitted by a healthcare professional. A five yr old female pt with no pertinent medical history and no drug reactions or allergies, received the following vaccines on 19Apr06: Ipol, lot number unk; Infanrix lot 649233/0996P; Recombivax HB, lot number 649802/0946P; and Varivax lot number 652557/1024R. The dose numbers, routes and sites of admin were not reported. 13 days post vaccination, the pt developed a fine, red, itchy rash on her trunk, arms and legs. She was afebrile. No treatment was recommended at that time. The rash subsequently increased in size and changed in appearance and increased in itchiness. On 05May06, the rash extended to her face and became a red consolidated rash with itching. That same day, the pt presented to the health dept. At that time she was not acutely ill. She did have a rash that was fine, mild and contained to her trunk. The health dept felt that the rash was caused by a change in fabric softener. Since the health dept did not have a medical team, she was sent to the ER where she was treated with Prednisone and released. It was noted by the ER physician that the rash was not vaccine related. On 10May06, the rash was disappearing and the pt was noted to be recovering at that time. Both the reporter and the ER physician felt that the experience was not vaccine related. The event was considered to be an other important medical event by the reporter and the other company (OMIC).
Age: 5.0
Sex: F
Vaccine: DTAP, HEP, IPV, MMR, VARCEL, DTAP, HEP, IPV, MMR, VARCEL
Symptoms: Hypersensitivity, Rash erythematous, Rash pruritic
Clinical narrative: Information was received from another company (ref number WAES0605USA02730) on 24MAY06 from a report initially submitted by a healthcare professional. A five yr old female pt with no pertinent medical history and no drug reactions or allergies, received the following vaccines on 19Apr06: Ipol, lot number unk; Infanrix lot 649233/0996P; Recombivax HB, lot number 649802/0946P; and Varivax lot number 652557/1024R. The dose numbers, routes and sites of admin were not reported. 13 days post vaccination, the pt developed a fine, red, itchy rash on her trunk, arms and legs. She was afebrile. No treatment was recommended at that time. The rash subsequently increased in size and changed in appearance and increased in itchiness. On 05May06, the rash extended to her face and became a red consolidated rash with itching. That same day, the pt presented to the health dept. At that time she was not acutely ill. She did have a rash that was fine, mild and contained to her trunk. The health dept felt that the rash was caused by a change in fabric softener. Since the health dept did not have a medical team, she was sent to the ER where she was treated with Prednisone and released. It was noted by the ER physician that the rash was not vaccine related. On 10May06, the rash was disappearing and the pt was noted to be recovering at that time. Both the reporter and the ER physician felt that the experience was not vaccine related. The event was considered to be an other important medical event by the reporter and the other company (OMIC).
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Abnormal behaviour, Anorexia, Arrhythmia, Heart rate increased, Pyrexia
Clinical narrative: My son was great all day after his doctors visit, the next morrning he was running a fever of 101.3 trembling and had no appetite or energy he continued to lay upon myself and my fiance' fell back asleep around 1:00pm for about 30 min and I looked at him because I noticed his head was shaking in his sleep, so I woke him up and he procceeded to "lay around" we called the pediatric office and was told that a fever wasn't even a side affect of the hepatitis-A vaccine, I informed him that in the more serious section of the flyer I recieved it did indicate fever, fast heart beat and behavioral changes, he still said it's most likey some other bug "flu or cold" later his fever rose to 103 so my fiance' took him to the pediatric center where a doctor checked him out. He noticed a murmer that he said was normal with a fever and also noticed one of his tonsils were swolllen and had a couple white specks on it, he is still running a fever, and severely tired as of 6/1/06 11:53pm , we are continuing to monitor him and report to the doctor if conditions worsen, this is simply to inform you as "I belive" it is directly connected to receiving the Hepatitis A vaccine.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Tonsillitis, Tremor
Clinical narrative: My son was great all day after his doctors visit, the next morrning he was running a fever of 101.3 trembling and had no appetite or energy he continued to lay upon myself and my fiance' fell back asleep around 1:00pm for about 30 min and I looked at him because I noticed his head was shaking in his sleep, so I woke him up and he procceeded to "lay around" we called the pediatric office and was told that a fever wasn't even a side affect of the hepatitis-A vaccine, I informed him that in the more serious section of the flyer I recieved it did indicate fever, fast heart beat and behavioral changes, he still said it's most likey some other bug "flu or cold" later his fever rose to 103 so my fiance' took him to the pediatric center where a doctor checked him out. He noticed a murmer that he said was normal with a fever and also noticed one of his tonsils were swolllen and had a couple white specks on it, he is still running a fever, and severely tired as of 6/1/06 11:53pm , we are continuing to monitor him and report to the doctor if conditions worsen, this is simply to inform you as "I belive" it is directly connected to receiving the Hepatitis A vaccine.
Age: 51.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Headache, Hypertension
Clinical narrative: 4 days, post/vax, severe headache and sudden on-set high blood pressure. Duration continues.
Age: 51.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Anxiety, Headache, Hypertension, Malaise
Clinical narrative: 4 days, post/vax, severe headache and sudden on-set high blood pressure. Duration continues.
Age: 51.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Headache, Hypertension
Clinical narrative: Headache, high blood pressure, malaise, anxiety, began 4 days after vaccination and persisted through 5/29.
Age: 51.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Anxiety, Headache, Hypertension, Malaise
Clinical narrative: Headache, high blood pressure, malaise, anxiety, began 4 days after vaccination and persisted through 5/29.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Headache, Swelling
Clinical narrative: Severe headaches as reported by mom 12-14 hrs after shot. 50 X 55 warm swelling.
Age: 23.0
Sex: F
Vaccine: HEPAB, MNQ, YF
Symptoms: Syncope
Clinical narrative: Syncope X 2, after all 3 shots given. Tx: oxygen, apple juice
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Headache, Oral intake reduced, Pain, Rash
Clinical narrative: 2 days after vaccination, client became ill with s/sx of "upset stomach, headache, achy, reddening of skin with a flat rash that appeared to be hives". Symptoms were relieved by Benadryl. Client could not eat for 2 days.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Stomach discomfort
Clinical narrative: 2 days after vaccination, client became ill with s/sx of "upset stomach, headache, achy, reddening of skin with a flat rash that appeared to be hives". Symptoms were relieved by Benadryl. Client could not eat for 2 days.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Chest pain, Chills, Dyspnoea, Headache
Clinical narrative: Client did not feel "well" 1 hour after vaccination, by 21:00 PM. Signs and symptoms included headache, backache, fever 102 F, chills, chest pain and SOB. Client went to ER at 22:30 PM. Received IV fluids and Toradol injection. Client discharged home after about 3 hours. Dx'd at ER-adverse reaction to flu vaccine.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Hypersensitivity, Malaise, Pyrexia
Clinical narrative: Client did not feel "well" 1 hour after vaccination, by 21:00 PM. Signs and symptoms included headache, backache, fever 102 F, chills, chest pain and SOB. Client went to ER at 22:30 PM. Received IV fluids and Toradol injection. Client discharged home after about 3 hours. Dx'd at ER-adverse reaction to flu vaccine.
Age: 15.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Contusion, Headache, Injection site induration, Injection site swelling, Pyrexia
Clinical narrative: Bruising/swelling, indurated area approx. 1 1/2" (circular) R deltoid. C/0 headache X 4 days, fever 100.8 to 102 (oral) X 3 days.
Age: 28.0
Sex: F
Vaccine: DTAP
Symptoms: Chest discomfort, Injection site erythema, Injection site induration, Injection site warmth, Wheezing
Clinical narrative: Redness, warmth, induration around site of injection at time of employee reporting incident which was 2 days after administration. Reaction began morning after vaccine given but has been worsening since. Had chest tightness and wheezing AM of 5/24, lasting several hours, none at present time. Has multiple environmental and animal allergies. She states she woke this AM and her cat was sleeping with her.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Dyspnoea, Heart rate increased, Hypokinesia, Injection site erythema
Clinical narrative: (This history was obtained during a telephone interview with the service member on 1/28/06). Service member describes his health prior to 1/06 as "very good". He received a smallpox vaccine (primary) on 1/17/06-15 jabs in his left arm. On 1/24/06, he noted left axillary lymphadenopathy and redness and tenderness around his vaccine site. That evening, he also began experiencing left shoulder and neck pain ("round collar bone"). During that evening, he could not move his head due to the constant pain made worse with movement. Initially, he thought he had a pulled muscle. After dinner, he began experiencing substernal chest pain and sought evaluation in the ER. At that time, the pain was both substernal and in the area of the left clavicle. The pain was constant, but the intensity varied between a level 4-5/10 (at onset) and 8-9 (at time he went to ER). The pain was described as aching. He denied any accompanying symptoms that day or evening such as fever, chills, shortness of breath, palpitations, cough, headache, fatigue or body aches. The pain was made worse with movement and coughing and sitting up made the pain feel better. In the ER, the service member had x-rays and Cr scans completed and was treated with Morphine. There was concern regarding abscesses, as the pt had a history of neck abscesses X 3. After evaluation, he was told the pain was probably musculoskeletal. Upon discharge from the ER (morning of 1/25/06), the pain had decreased sufficiently to allow him to sleep. He was resting at home on 1/25/06 when he received a call saying that there was an abnormality on his CT scan requiring further evaluation. He had a Chest CT completed on 1/25/06, which showed a small pericardia effusion. By this time, pt reports continued substernal chest pain and neck/shoulder pain, but was also short of breath ("winded") and noted a "racing heart" with minimal exertion. On Friday, 1/27/06, he was evaluated by Internist and had ECG and ECG completed. He was placed on restricted duty for 3 months and started on Indocin and a medication to "protect his stomach". At time of interview, chest pain and shortness of breath could be elicited at 3 METS (walking slowly for 1 or 2 blocks). He describes his current health as "Fair". He has a follow-up appointment with the MD on 2/21/06 and has a pending Cardiology evaluation. Lymphadenopathy, axillary. Comment: left axilla; chest pain; sub-sternal; dyspnea (shortness of breath); tachycardia sensation of heart racing and pounding hard with minimal exertion. Findings suspicious for smallpox myopericarditis. He has been taking Motrin PRN, instructed pt on keeping anti-inflammatory doses of NSAID's at all times. Rx'd naproxen bid with Prilosec for GI prophylaxis. He was later prescribed Percocet for the pain.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site pain, Lymphadenopathy, Neck pain, Pericarditis, Shoulder pain
Clinical narrative: (This history was obtained during a telephone interview with the service member on 1/28/06). Service member describes his health prior to 1/06 as "very good". He received a smallpox vaccine (primary) on 1/17/06-15 jabs in his left arm. On 1/24/06, he noted left axillary lymphadenopathy and redness and tenderness around his vaccine site. That evening, he also began experiencing left shoulder and neck pain ("round collar bone"). During that evening, he could not move his head due to the constant pain made worse with movement. Initially, he thought he had a pulled muscle. After dinner, he began experiencing substernal chest pain and sought evaluation in the ER. At that time, the pain was both substernal and in the area of the left clavicle. The pain was constant, but the intensity varied between a level 4-5/10 (at onset) and 8-9 (at time he went to ER). The pain was described as aching. He denied any accompanying symptoms that day or evening such as fever, chills, shortness of breath, palpitations, cough, headache, fatigue or body aches. The pain was made worse with movement and coughing and sitting up made the pain feel better. In the ER, the service member had x-rays and Cr scans completed and was treated with Morphine. There was concern regarding abscesses, as the pt had a history of neck abscesses X 3. After evaluation, he was told the pain was probably musculoskeletal. Upon discharge from the ER (morning of 1/25/06), the pain had decreased sufficiently to allow him to sleep. He was resting at home on 1/25/06 when he received a call saying that there was an abnormality on his CT scan requiring further evaluation. He had a Chest CT completed on 1/25/06, which showed a small pericardia effusion. By this time, pt reports continued substernal chest pain and neck/shoulder pain, but was also short of breath ("winded") and noted a "racing heart" with minimal exertion. On Friday, 1/27/06, he was evaluated by Internist and had ECG and ECG completed. He was placed on restricted duty for 3 months and started on Indocin and a medication to "protect his stomach". At time of interview, chest pain and shortness of breath could be elicited at 3 METS (walking slowly for 1 or 2 blocks). He describes his current health as "Fair". He has a follow-up appointment with the MD on 2/21/06 and has a pending Cardiology evaluation. Lymphadenopathy, axillary. Comment: left axilla; chest pain; sub-sternal; dyspnea (shortness of breath); tachycardia sensation of heart racing and pounding hard with minimal exertion. Findings suspicious for smallpox myopericarditis. He has been taking Motrin PRN, instructed pt on keeping anti-inflammatory doses of NSAID's at all times. Rx'd naproxen bid with Prilosec for GI prophylaxis. He was later prescribed Percocet for the pain.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, PNC
Symptoms: Pyrexia, Urinary tract infection
Clinical narrative: Started having fever Thursday morning around 100 degrees. Continued with Tylenol q 6 hrs. By 17:00 PM, temperature 101.3 F. Seen by PA. No other signs or symptoms of vaccine. reaction. Pt has caries but according to mom, no fever with cavities before. Was dx'd with UTI
Age: 24.0
Sex: F
Vaccine: TD
Symptoms: Rash
Clinical narrative: Rash appeared 10 days after MMR vaccine on body.
Age: 7.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Had shots on 5/5/06, Pediarix and MMR in left arm. On 5/7/06 parents noticed left arm swollen, hot to touch and red. Took her to ER. She was given a double dose of antibiotics.
Age: 47.0
Sex: F
Vaccine: TD
Symptoms: Chills, Injection site pain, Injection site swelling, Pruritus, Pyrexia
Clinical narrative: Pt states early morning 4/27, had pain, some swelling, elevated temp (not taken) and chills next 3 days, the L upper arm began itching with more swelling and moderate to severe pain. The site continued. (over)
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Mother of child called stated son had reaction after giving vaccination of IPV, DTAP, MMR and PCV7. Child had temp of 102F, left arm swelling, redness and warm to tough. Mother said gave son Tylenol and Motrin and temp went down after 3 hrs. Advised mother to continue Tylenol if still with high temp and /// swelling and abnormal swelling and .///.
Age: 7.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site warmth
Clinical narrative: RT deltoid area red, warm to touch and swollen.
Age: 0.19
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Crying, Dyspnoea, Erythema, Face oedema
Clinical narrative: 5/23 difficulty breathing episodes, red face, swollen face, could not move, then cries loud x 2. Took ER call 2200. 5/24 about 1900 episodes x 2, 5/25 about 1900 episodes x 5.
Age: 1.12
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: High fever 3 days, rash entire body. Vax on 5/26, reaction started on 5/28/06 evening with light fever. Onset was on 5/29 PM.
Age: 1.03
Sex: F
Vaccine: HEPA, IPV, MMR, PNC
Symptoms: Dyskinesia, Eye movement disorder, Pyrexia
Clinical narrative: One hour after shots, eyes rolled up and she had clinic jerks for about 40 seconds. In ER fever of 38.7C noted.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Right thigh injection site became red, swollen and hot to touch, one day after receiving vaccines.
Age: 2.0
Sex: M
Vaccine: DTAP, HEP, HEPA
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Right thigh injection site became red, swollen and hot to touch, one day after receiving vaccines.
Age: 46.0
Sex: F
Vaccine: MMR
Symptoms: Chills, Disorientation, Pruritus, Urticaria
Clinical narrative: 5/23/06 "felt fuzzy-headed and chilled" in the morning. By the afternoon, developed itching. 5/23/06 Early evening, hives (neck area). 5/23/06 19:00, hives progressed from thighs and ankles. Called MD and Prednisone 40mg po given. Now tapering Prednisone. Rash almost resolved 5/26/06.
Age: 16.0
Sex: M
Vaccine: MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Left upper arm redness and hurting at site of varicella vaccine along with swelling.
Age: 1.02
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Blister, Erythema, Rash
Clinical narrative: Small red bumps with blisters in center now redness spread with more blisters.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, MMR
Symptoms: Erythema, Feeling hot, Oedema, Pain, Pruritus
Clinical narrative: 5/26/06 PM left arm swelling shoulder to elbow, positive itch, warm to touch, positive redness, painful to touch, cap refill, no fever, TX cephalexin 250 mg/5ml susp 5 ml PO Q 60 x 10 days, per ER physician, 5/30/06 swelling and no redness.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, MMR
Symptoms: Pyrexia
Clinical narrative: 5/26/06 PM left arm swelling shoulder to elbow, positive itch, warm to touch, positive redness, painful to touch, cap refill, no fever, TX cephalexin 250 mg/5ml susp 5 ml PO Q 60 x 10 days, per ER physician, 5/30/06 swelling and no redness.
Age: 1.29
Sex: F
Vaccine: DTAP, HBHEPB, MMR, PNC
Symptoms: Face oedema, Pain
Clinical narrative: Swollen face, sore cheek.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Rash, Viral infection
Clinical narrative: Left lat thigh swelling with faint erythema around injection site after immunizations also developed rash like fifths disease shortly after shots.
Age: 21.0
Sex: F
Vaccine: RAB
Symptoms: Gastrointestinal disorder, Injection site pain, Urticaria
Clinical narrative: Pt reports soreness at injection site lasting about 24 hours. 5/29/06 hives noted on front of neck and chest, denies fever GI sxs, 5/30/2006 hives spread to include back no itching associated with hives. Seen by PMD today who recommended stopping vaccine series. Will assess job at med center VS risk of disease.
Age: 14.0
Sex: M
Vaccine: HEP
Symptoms: Injection site haemorrhage, Injection site induration
Clinical narrative: After receiving 3rd Hep B injection on 1/31/06 pt's mom reported that a small hardened area to site was noted. The hardened area has remained up to this day without complaint (no redness, soreness, pain or fever. After pt showered this am the site began to bleed. Mom applied pressure for 10 minutes along with pressure bandage. School nurse will check site today. Mom states if worsens will see family physician today. Mom verbally agreed to update health dept with any changes.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site oedema, Injection site reaction, Injection site vesicles
Clinical narrative: Pt given MMR SQ in R thigh 5/31/06. Guardian noticed redness on 6/1/06. Pt brought in to see DR on 6/2/06 at 10:00am with SX of right leg swelling, redness and quarter sized blister at injection site of MMR. DR diagnosis with local hypersensitivity to MMR and treated with Benadryl, Prednisone and Augmentin, and F/U if SX persist.
Age: 37.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Alopecia, Anxiety, Asthenia, Fatigue, Mental impairment
Clinical narrative: Severe hair loss starting a month or so after receiving the Hepatitis B and A vaccinations. Hair loss lasted for a fun 6 weeks.  Mental discombobulation, anxiety, and panic- tingling in head, hands, and arms. - four day fever.   The Epstein Barr viris also surfaced after the vaccine complete with extreme tiredness and  weakness.  The mainstream western doctors did not believe me until I went to a homeopath.  She gave me homeopathic remedies to releve the panic and worked at detoxing me to rid me of the adverse affects of the vaccine -- it took a month or so but now I'm finally doing better -- I also am juicing all organic fruits and vegetables in order to clease out the toxic effects of the vacinations.   The juicing seem to help the best.
Age: 37.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Panic reaction, Paraesthesia, Viral infection
Clinical narrative: Severe hair loss starting a month or so after receiving the Hepatitis B and A vaccinations. Hair loss lasted for a fun 6 weeks.  Mental discombobulation, anxiety, and panic- tingling in head, hands, and arms. - four day fever.   The Epstein Barr viris also surfaced after the vaccine complete with extreme tiredness and  weakness.  The mainstream western doctors did not believe me until I went to a homeopath.  She gave me homeopathic remedies to releve the panic and worked at detoxing me to rid me of the adverse affects of the vaccine -- it took a month or so but now I'm finally doing better -- I also am juicing all organic fruits and vegetables in order to clease out the toxic effects of the vacinations.   The juicing seem to help the best.
Age: 1.33
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR, PNC, VARCEL
Symptoms: Apnoea, Cardio-respiratory arrest, Circulatory collapse, Dehydration, Hypoxia
Clinical narrative: Received immunizations in this office on 5/31/06. She was noted to have an otitis media withoutfever. Mother called the office on 6/1/06 and talked to the nurse because she was running a fever and not acting quite right. She was given standard instruction for post immunization. During the night she became febrile and started having respiratory difficulties with her pulse ox dropping into the 80's. Mother drove her to the emergency room. In route the child became apneic. By the time she arrived she was asytolic. Rescussitation was unsuccessful. She had a temperature of 107 when she arrived in the ER.This patient had fever and cardiovascular colapse within 48 hours of immunization. I feel this was a major immunization reaction. 7/18/06 Received medical records from ER which reveal patient developed respiratory distress & failure.  PMH: tracheomalacia, developmental delay, chronic respiratory deficitis & congenital heart defects.  Had trach & PEG in place & was on home O2. Developed decreased LOC prior to hospitalization with cyanosis despite O2.  Found to be febrile at 107, apneic & asystolic in ER & resuscitation was unsuccessful. 7/31/06 Received medical records from PCP which did not add new info. 8/9/06 Received Death Certificate which stated COD as pneumonia with dehydration with tracheomalacia as underlying cause./ss
Age: 1.33
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR, PNC, VARCEL
Symptoms: Neurodevelopmental disorder, Pneumonia, Pyrexia, Respiratory distress
Clinical narrative: Received immunizations in this office on 5/31/06. She was noted to have an otitis media withoutfever. Mother called the office on 6/1/06 and talked to the nurse because she was running a fever and not acting quite right. She was given standard instruction for post immunization. During the night she became febrile and started having respiratory difficulties with her pulse ox dropping into the 80's. Mother drove her to the emergency room. In route the child became apneic. By the time she arrived she was asytolic. Rescussitation was unsuccessful. She had a temperature of 107 when she arrived in the ER.This patient had fever and cardiovascular colapse within 48 hours of immunization. I feel this was a major immunization reaction. 7/18/06 Received medical records from ER which reveal patient developed respiratory distress & failure.  PMH: tracheomalacia, developmental delay, chronic respiratory deficitis & congenital heart defects.  Had trach & PEG in place & was on home O2. Developed decreased LOC prior to hospitalization with cyanosis despite O2.  Found to be febrile at 107, apneic & asystolic in ER & resuscitation was unsuccessful. 7/31/06 Received medical records from PCP which did not add new info. 8/9/06 Received Death Certificate which stated COD as pneumonia with dehydration with tracheomalacia as underlying cause./ss
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Neck pain, Pain, Palpitations, Pyrexia
Clinical narrative: On 5/18/06 patient was administered her third Hep B in her second series of injections.  On 5/19/06 she started with pain in hre arm, collar bone, and neck with fever of 99-100 degrees.  The fever continued off and on up to 103.7 at the highest with heart palpitations and body aches.  She has been evaluated by the MD with a complete work-up being done including an ultrasound of the heart with a 24 hour holter monitor, EKG, chest x-ray, and blood work.  No results have returned to Employee Health to be able to report.
Age: 1.09
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Dyspnoea, Erythema, Pyrexia, Rash
Clinical narrative: Rash noted for 2 dyas. Fever last night. No cough or difficulty breathing. No known exposure to varicella. No vomiting or diarrhea. Lives at home with parents. Lesions in crops with erythematous base with vesicles. Single lesion with perulent vescile. Pt placed on Keflex 250mg/5ml 1 tsp  TID.
Age: 1.09
Sex: F
Vaccine: VARCEL
Symptoms: Skin ulcer, Viral infection
Clinical narrative: Rash noted for 2 dyas. Fever last night. No cough or difficulty breathing. No known exposure to varicella. No vomiting or diarrhea. Lives at home with parents. Lesions in crops with erythematous base with vesicles. Single lesion with perulent vescile. Pt placed on Keflex 250mg/5ml 1 tsp  TID.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling below injection site, redness, all developed within 24 hours of shots.  No streaking.  Treatment by warm soaks, did require office visit.
Age: 54.0
Sex: F
Vaccine: HEPA
Symptoms: Diarrhoea, Headache, Nausea, Vomiting
Clinical narrative: moderate headache severe nausea and vomiting severe diarrhea
Age: 1.13
Sex: F
Vaccine: HIBV, MUR, VARCEL
Symptoms: Anorexia, Blister, Fatigue, Pyrexia
Clinical narrative: Symptoms began approximately 14 days after vaccines were administered. We first noticed a small vesicle on her right outer thigh approx 12 days after vaccination. Two days later she developed a fever 102.5, anorexia, and fatigue. Other vesicular lesions developed on her left thigh (1) and her lower torso. We have been managing her symptoms at home.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Feeling jittery, High-pitched crying, Injection site erythema, Injection site induration, Irritability
Clinical narrative: On 5/30/06 the infany received Pediarix, HiB and Prevnar veccines at her regular health screening exam.  At the time of the vaccinations the infant was in good health with no problems noted on her physical examination.  About 2 hours after the vaccines were given the infant began screaming and developed a red indurated area on both thighs where the injections were done.  The mother applied warm compresses to the areas with resolution of both the redness and the crying.  The following day (5/31/06) the infant became more irritable and was noted to be "jittery" and breastfeeding less than normal.  No fevers were noted.  The jitteriness continued for the next 48 hours.  By the time the infant returned to my clinic for evaluation on 6/2/06 most of the jitteriness had resolved and she was breastfeeding "almost normally."
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Oral intake reduced
Clinical narrative: On 5/30/06 the infany received Pediarix, HiB and Prevnar veccines at her regular health screening exam.  At the time of the vaccinations the infant was in good health with no problems noted on her physical examination.  About 2 hours after the vaccines were given the infant began screaming and developed a red indurated area on both thighs where the injections were done.  The mother applied warm compresses to the areas with resolution of both the redness and the crying.  The following day (5/31/06) the infant became more irritable and was noted to be "jittery" and breastfeeding less than normal.  No fevers were noted.  The jitteriness continued for the next 48 hours.  By the time the infant returned to my clinic for evaluation on 6/2/06 most of the jitteriness had resolved and she was breastfeeding "almost normally."
Age: 42.0
Sex: F
Vaccine: MMR
Symptoms: Hypersensitivity, Rash maculo-papular, Rash pruritic
Clinical narrative: Rash 4 hours after shot raised itchy rash itches from toes to nose. SX persist taking Benadryl. Had called ER, looking for recommendation for Med. Recommended to go to walk in clinic for evaluation. 5/8/00 PC F/L didn't see only called made to walk in clinic doctor at the Clinic and was told that it is a allergic reaction to the vaccine. Rash is getting better only took Benadryl.
Age: 0.54
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, White blood cell count increased
Clinical narrative: Seizure, New onset focal, one sided, still seizing after rectal valium, resolved after IV valium transferred.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Hypokinesia, Injection site erythema, Injection site oedema, Injection site warmth, Pain
Clinical narrative: Patient with swelling, red and warm. Pt complained of not being able to move arm. Hurt to move arm.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: /// Left upper arm from deltoid injection site ( redness with 30mm X 15mm ///).
Age: 15.0
Sex: M
Vaccine: RAB
Symptoms: Dyspnoea, Pain, Urticaria
Clinical narrative: Reported by the ER physician in generalized urticaria and sore shortness of breath.
Age: 14.0
Sex: M
Vaccine: DTAP, HEPA, IPV, TDAP
Symptoms: Medication error
Clinical narrative: I requested child be given his DTaP immunization. Later I updated to a Tdap w/o crossing out the written order for DTap.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Cellulitis Left thigh, red warm left thigh of almost all of anterior aspect with swelling.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Arthritis, Arthropathy, Asthenia, Musculoskeletal stiffness, Oedema peripheral
Clinical narrative: One week after vaccination patient had severe polyarticular arthritis, and generalized weakness, was unable to get out of bed for several days.  Had hand swelling, pain and stiffness lasting several weeks.  All symptoms resolved after a short course of systemic steroids.  Rheumotlogic workup yielded only mild DJD.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Pain
Clinical narrative: One week after vaccination patient had severe polyarticular arthritis, and generalized weakness, was unable to get out of bed for several days.  Had hand swelling, pain and stiffness lasting several weeks.  All symptoms resolved after a short course of systemic steroids.  Rheumotlogic workup yielded only mild DJD.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Swelling
Clinical narrative: A 4 year old female patient was given a DTAP and IPV to the left deltoid on 11/21/05. The patient had redness and swelling to the left deltoid and was seen in the clinic on 11/23/05.
Age: 1.38
Sex: U
Vaccine: MMR
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Febrile seizures, high fevers.
Age: 1.43
Sex: F
Vaccine: MUR
Symptoms: Rash, Viral infection
Clinical narrative: My daughter is polluted with full blown chicken pox diagnosed by her pediatrician as being the result of the vaccination.