chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: M
Vaccine: HEP
Symptoms: Loss of consciousness, Skin warm, Tremor
Clinical narrative: Immediately upon receiving vaccine, pt became unconscious for about 5 seconds. Then responded verbally to nurse. Then student exhibited upper extremity tremors, lasting about 3 seconds. Then able to respond verbally to this nurse. Skin very warm and moist to touch. P 80 R 40 became more following tests. BP 50/40, P 37/9:05; BP 105/80 P 54/9:20; BP 110/84 P 70. Student picked up by mother who stated she would be taking him to doctor's office for evaluation. School nurse stated that student appeared to have recovered well from incident when sent home with mother.
Age: 39.0
Sex: F
Vaccine: HEP, TD
Symptoms: Erythema, Face oedema, Flushing, Oedema peripheral
Clinical narrative: 01-28-04 OV for #2 HB. Reports evening of 12-24-03 patient received HB #1 and Td booster.  Had facial redness.  On 12-25-03 used wet cloth to face for comfort. Complained of face red, swollen, puffy and hot.  Also complained of ankle swelling.  Did call ER but no visit she was told she had to be seen, says resolved by next day.
Age: 1.3
Sex: F
Vaccine: IPV, MMR, PNC
Symptoms: Pyrexia, Rash, Vomiting
Clinical narrative: 48 hours temp range 98.2 - 104 decreasing with tylenol-ibuprofen.  Rash presents neck and ear area. 1-29-04 2:30 pm flat to macular-red-spreading to trunk by 5 pm - 1-30-04 3 am emesis x1-rash to face-by 10am 1-30-04 rash fading-to Dr. -1-29-04 lungs CTA-fluid on ears rx zithromax.
Age: 42.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site hypersensitivity, Injection site vesicles, Pruritus
Clinical narrative: Itching at vaccine site, small vesicle noted.  Area covered with semipermeable dressing.  Pt. had taken Prednisone 4 days prior to this reaction.
Age: 40.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Injection site mass, Injection site pain
Clinical narrative: 1.5 inch knot or bump on left arm in area that shot was given. Arm was not red but had pain in area of knot.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Fatigue, Heart rate increased, Joint range of motion decreased, Muscle spasms
Clinical narrative: The night of 12/19/04 after the injection experience of cramps in legs. With in 24 hours sudden extreme weakness in arms and legs, rapid pulse, extreme fatigue, strange sensations in legs of weakness and vibration, unable to lift a tea cup without fatiguing arms, chew without fatiguing jaw, had to lean on wall in shower, or walk up stairs. Crushing fatigue for two weeks. Still symptomatic in episodes after 8 weeks, varying by the day.
Age: 40.0
Sex: M
Vaccine: RAB, TD
Symptoms: Anaemia, Arthralgia, Asthenia, Bleeding time prolonged, Dehydration
Clinical narrative: On 12/22/03, patient was bitten at the base of the right fourth finger(palmar side) by racoon who had been fighting with the patient's dogs.  Patient seen in ER on 12/22/03.  Rigorous wound scrubbing with H2O2 followed by tetanus shot(left deltoid)and initiation of day 1 rabies post exposure prophylaxis: rabies immunoglobulin 20 units per kg IM(4 cc RIG at wound site and 15 cc IM divided into 3 injections (right and left gluteals and right deltoid)and rabies vaccine (first of 5 doses).  Also medicated with Keflex 500 mg po.  Patient completed the course of post exposure prophylaxis on the 3rd, 7th, 14th, and 28th days. Last rabies vaccine given on 01/22/04. On 02/04/04, patient admitted to hospital by Dr. for evaluation of neurological symptoms.  Patient presented with muscle pain at the injection sites, followed by joint pains and some weakness, mainly limited to hands and feet, with numbness.  Also has continuing diarrhea.  Patient also complaining of heart palpitations.  Transferred on Feb. 5th for continued evaluation.   Labs detailed in block 12 and all ER notes and documentation, consultation faxed. Discharge summary states serum sickness, nausea, vomiting, dehydration, dizziness. msv
Age: 40.0
Sex: M
Vaccine: RAB, TD
Symptoms: Diarrhoea, Dizziness, Hypoaesthesia, Hypocalcaemia, Injection site pain
Clinical narrative: On 12/22/03, patient was bitten at the base of the right fourth finger(palmar side) by racoon who had been fighting with the patient's dogs.  Patient seen in ER on 12/22/03.  Rigorous wound scrubbing with H2O2 followed by tetanus shot(left deltoid)and initiation of day 1 rabies post exposure prophylaxis: rabies immunoglobulin 20 units per kg IM(4 cc RIG at wound site and 15 cc IM divided into 3 injections (right and left gluteals and right deltoid)and rabies vaccine (first of 5 doses).  Also medicated with Keflex 500 mg po.  Patient completed the course of post exposure prophylaxis on the 3rd, 7th, 14th, and 28th days. Last rabies vaccine given on 01/22/04. On 02/04/04, patient admitted to hospital by Dr. for evaluation of neurological symptoms.  Patient presented with muscle pain at the injection sites, followed by joint pains and some weakness, mainly limited to hands and feet, with numbness.  Also has continuing diarrhea.  Patient also complaining of heart palpitations.  Transferred on Feb. 5th for continued evaluation.   Labs detailed in block 12 and all ER notes and documentation, consultation faxed. Discharge summary states serum sickness, nausea, vomiting, dehydration, dizziness. msv
Age: 40.0
Sex: M
Vaccine: RAB, TD
Symptoms: Laboratory test abnormal, Myalgia, Nausea, Neurological symptom, Palpitations
Clinical narrative: On 12/22/03, patient was bitten at the base of the right fourth finger(palmar side) by racoon who had been fighting with the patient's dogs.  Patient seen in ER on 12/22/03.  Rigorous wound scrubbing with H2O2 followed by tetanus shot(left deltoid)and initiation of day 1 rabies post exposure prophylaxis: rabies immunoglobulin 20 units per kg IM(4 cc RIG at wound site and 15 cc IM divided into 3 injections (right and left gluteals and right deltoid)and rabies vaccine (first of 5 doses).  Also medicated with Keflex 500 mg po.  Patient completed the course of post exposure prophylaxis on the 3rd, 7th, 14th, and 28th days. Last rabies vaccine given on 01/22/04. On 02/04/04, patient admitted to hospital by Dr. for evaluation of neurological symptoms.  Patient presented with muscle pain at the injection sites, followed by joint pains and some weakness, mainly limited to hands and feet, with numbness.  Also has continuing diarrhea.  Patient also complaining of heart palpitations.  Transferred on Feb. 5th for continued evaluation.   Labs detailed in block 12 and all ER notes and documentation, consultation faxed. Discharge summary states serum sickness, nausea, vomiting, dehydration, dizziness. msv
Age: 40.0
Sex: M
Vaccine: RAB, TD
Symptoms: Serum sickness, Vomiting
Clinical narrative: On 12/22/03, patient was bitten at the base of the right fourth finger(palmar side) by racoon who had been fighting with the patient's dogs.  Patient seen in ER on 12/22/03.  Rigorous wound scrubbing with H2O2 followed by tetanus shot(left deltoid)and initiation of day 1 rabies post exposure prophylaxis: rabies immunoglobulin 20 units per kg IM(4 cc RIG at wound site and 15 cc IM divided into 3 injections (right and left gluteals and right deltoid)and rabies vaccine (first of 5 doses).  Also medicated with Keflex 500 mg po.  Patient completed the course of post exposure prophylaxis on the 3rd, 7th, 14th, and 28th days. Last rabies vaccine given on 01/22/04. On 02/04/04, patient admitted to hospital by Dr. for evaluation of neurological symptoms.  Patient presented with muscle pain at the injection sites, followed by joint pains and some weakness, mainly limited to hands and feet, with numbness.  Also has continuing diarrhea.  Patient also complaining of heart palpitations.  Transferred on Feb. 5th for continued evaluation.   Labs detailed in block 12 and all ER notes and documentation, consultation faxed. Discharge summary states serum sickness, nausea, vomiting, dehydration, dizziness. msv
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash papular
Clinical narrative: Blanching pink papular rash on torso only.  Started on 2/8/04.
Age: 1.0
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Infection transmission via personal contact
Clinical narrative: Approximately 10 days after my infant daughter was immunized with the chicken pox vaccine, I, her mother, developed the chicken pox.
Age: 33.0
Sex: M
Vaccine: SMALL
Symptoms: Dyspnoea, Fatigue, Laboratory test abnormal, Libido decreased, Pollakiuria
Clinical narrative: This VAERS is a follow-up.  Initial report was filed 08/27/2003.  Since this time, the patient has complained of chronic fatigue, shortness of breath with exertion, frequent urination, and decreased libido.    Continuing fatigue had been attributed to mononucleosis but patient has seen no improvement after 6 months.  He is being scheduled for a complete evaluation in March 2004 (to include Allergy/Immunology, Infectious Disease, Cardiology).
Age: 33.0
Sex: M
Vaccine: SMALL
Symptoms: Viral infection
Clinical narrative: This VAERS is a follow-up.  Initial report was filed 08/27/2003.  Since this time, the patient has complained of chronic fatigue, shortness of breath with exertion, frequent urination, and decreased libido.    Continuing fatigue had been attributed to mononucleosis but patient has seen no improvement after 6 months.  He is being scheduled for a complete evaluation in March 2004 (to include Allergy/Immunology, Infectious Disease, Cardiology).
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Acidosis, Brain oedema, Cough, Dehydration, Fracture
Clinical narrative: Head size increased from 5% to 90%, coughing spells, brain swelling, hematomas, multiple fractures of (TBBD). Vitamin C. The ER record received on 3/3/04 states fever, viral illness and dehydration. Hospital record for 12/30/03 states vomiting and mild acidosis.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Haematoma, Hydrocephalus, Pyrexia, Viral infection, Vomiting
Clinical narrative: Head size increased from 5% to 90%, coughing spells, brain swelling, hematomas, multiple fractures of (TBBD). Vitamin C. The ER record received on 3/3/04 states fever, viral illness and dehydration. Hospital record for 12/30/03 states vomiting and mild acidosis.
Age: 47.0
Sex: F
Vaccine: PPV
Symptoms: Anaemia, Chest pain, Dyspnoea, Hypertension, Laboratory test abnormal
Clinical narrative: Three days later, she called complaining of ankle swelling without pain, shortness of breath, chest pain. Was advised to limit salt intake and return if without improvement. 11/1/02, she had 2++ pedal and ankle edema; no other abnormalities. Cardiovascular exam normal; BP was normal. She has developed rapid change of her renal function with edema and increased creatinine.  Medical record received on 4/14/2004 states anemia, hypertenstion, and acute kidney failure. Follow up received on 6/1/04: Severe nephrotic syndrome secondary to minimal change nephropathy. Acute renal failure. 6/6/03 Started to into remission the nephropathy. As of 12/8/03 she relapsed of her minimal change glomerulonephritis. As of 4/5/04 she is in remission.
Age: 47.0
Sex: F
Vaccine: PPV
Symptoms: Oedema peripheral, Renal failure acute, Renal impairment
Clinical narrative: Three days later, she called complaining of ankle swelling without pain, shortness of breath, chest pain. Was advised to limit salt intake and return if without improvement. 11/1/02, she had 2++ pedal and ankle edema; no other abnormalities. Cardiovascular exam normal; BP was normal. She has developed rapid change of her renal function with edema and increased creatinine.  Medical record received on 4/14/2004 states anemia, hypertenstion, and acute kidney failure. Follow up received on 6/1/04: Severe nephrotic syndrome secondary to minimal change nephropathy. Acute renal failure. 6/6/03 Started to into remission the nephropathy. As of 12/8/03 she relapsed of her minimal change glomerulonephritis. As of 4/5/04 she is in remission.
Age: 4.0
Sex: F
Vaccine: DTAP, HBHEPB, IPV, MMR, PNC, VARCEL
Symptoms: Abnormal behaviour, Autism, Speech disorder
Clinical narrative: She never clapped as a baby or said Bye Bye. At 2 years old, she started going into a circle and stacking things or lining them up. Then she lost her speech. The medical record received on 2/24/04 states pervasive developmental delay (autism).
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Pruritus, Skin burning sensation
Clinical narrative: Pt with local reaction 3 inch area of induration, erythema, edema that is pruritis/burning at the vaccination site.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Laboratory test abnormal, Nerve injury
Clinical narrative: 11 days after receiving initial Anthrax (Bioport FAV078) vaccination, pt developed decreased facial nerve activity which resulted in full facial nerve palsy within 24 hours.  Pt admitted to local hospital with negative head CT of Acyclovir treatment 2 grams per day.
Age: 35.0
Sex: F
Vaccine: ANTH
Symptoms: Erythema, Oedema peripheral
Clinical narrative: PT with right arm circumferential edema and erythema with deperolent swelling into wrist and hand. Seen in ER 02/08/04. Started on Benadryl and Motrin. Symptoms improved but not 100% resolved as of 02/09/04 @ 09:00.  Pt consulted to Allergy clinic.
Sex: M
Vaccine: FLU3
Symptoms: Blood pressure increased, Cold sweat, Hyperhidrosis, Lethargy, Respiratory rate decreased
Clinical narrative: Pt got flu at 8:30am, then about 10:30, report from staff stating pt fainting in halls.  PT had asked for Tylenol prior to shot.  Pt seem lethargic, sweaty, clamming, somewhat hesitant to respond.  BP 180/100, temperature: 97.4, pulse: 72, respiratory: 24.  BS/2T.  PT sent to health care for evaluation.  Later sent to ER for high blood pressure, then discharged home about 15:00.
Sex: M
Vaccine: FLU3
Symptoms: Syncope, Vaccine positive rechallenge
Clinical narrative: Pt got flu at 8:30am, then about 10:30, report from staff stating pt fainting in halls.  PT had asked for Tylenol prior to shot.  Pt seem lethargic, sweaty, clamming, somewhat hesitant to respond.  BP 180/100, temperature: 97.4, pulse: 72, respiratory: 24.  BS/2T.  PT sent to health care for evaluation.  Later sent to ER for high blood pressure, then discharged home about 15:00.
Age: 1.8
Sex: M
Vaccine: FLU3
Symptoms: Cyanosis, Respiratory distress, Wheezing
Clinical narrative: Fluzone free 0.25ml in left thigh at 11:35.  12:00: Parents brought child back to clinic in respiratory distress auditory wheeze circumoral cyanosis lips cyanotic tongue cyanotic O2 SAT: 67%.  12:15: Cardiac monitors applied HR 23:04.  12:20: Benadryl 25mg in right thigh IM, O2 SAT: 97% R/A HR.  13:30: Discharge to home with care instructed.
Age: 0.9
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Injection site abscess, Injection site mass
Clinical narrative: Abscess blister to right thigh, we are culturing drainage had lump since injection but 01/05/04 when drainage started.
Age: 1.8
Sex: F
Vaccine: DTAP, FLU3, HBHEPB
Symptoms: Pyrexia
Clinical narrative: High fever (104.9) on Sunday morning, following vaccination on thursday morning.  Continues to have fever, although lower, on monday morning.
Age: 35.0
Sex: F
Vaccine: ANTH
Symptoms: Erythema, Oedema, Pruritus
Clinical narrative: On 01/28/04, I received Anthrax shot #5 to right arm.  Within 6-8 hours while at home I noticed itching and swelling.  I returned to the clinic on 01/29/04 with no changes and then again on 01/30/04 with increased itching, swelling and redness.
Age: 43.0
Sex: M
Vaccine: ANTH
Symptoms: Decreased appetite, Fatigue, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Left arm (tricep region) intense pain, redness, swelling, decreased use, diffuse myalgias, fatigue, suppressed appetite.
Age: 43.0
Sex: M
Vaccine: ANTH
Symptoms: Myalgia
Clinical narrative: Left arm (tricep region) intense pain, redness, swelling, decreased use, diffuse myalgias, fatigue, suppressed appetite.
Age: 1.1
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Received Varicella 01/06/04-appointment 01/22/04, 16 days after Varicella. Area quarter to half dollar sized indurated, red, with dot like lacey red-pinch eruptions-not well defined.  Recheck 01/21/04.  Redness gone 1/2-1cm area of induration remains.
Age: 14.0
Sex: F
Vaccine: HEP, HEPA, TD
Symptoms: Cellulitis, Injection site abscess, Injection site oedema
Clinical narrative: Pt developed swelling and abscess and cellulitis on left deltoid.  Was seen at ER 02/07/04 and was treated with Keflex presently recovering.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Pyrexia
Clinical narrative: Swelling and redness at injection site right leg, firm to touch.  Fever of 101 F x2 days when redness appeared. Seen by MD on 01/20/04.  Put on Augmenting three times a day for 7 days.
Age: 54.0
Sex: M
Vaccine: HEPAB
Symptoms: Skin ulcer, Urticaria
Clinical narrative: Developed urticarial lesions on left shoulder 10-12 hours after the vaccine was delivered into left deltoid.  The next morning had more lesions on right shoulder and back of neck.
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Pt received Pneumovax on 09/22/03 called 09/24/03 with redness, swelling and tenderness at site of injection.  Pt came into clinic and evaluated by MD diagnosed with cellulitis and treated with ABX, Ice and Tylenol.
Age: 1.08
Sex: M
Vaccine: VARCEL
Symptoms: Diarrhoea, Otitis media, Pyrexia, Rash
Clinical narrative: 1/7/04 mom phoned and stated that child had rash on diaper areas, no other symptoms. 1/8/04 mom phoned and stated that child broke out more on stomach, chest, back, upper arms, face, balla of ears finger and diaper areas. 102 deg temp at 8 pm. Mom took child to ER. ER MD told mom that has adverse reaction to varicella vaccine. Child also had ear infection. Amoxicillin prescribed. Mom also gave child Tylenol for fever. Mom also stated that child had a little bit of diarrhea since 1/7/04.
Age: 1.08
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Oedema peripheral, Pain, Pyrexia
Clinical narrative: On 1/5/04 pt recv'd DTaP, IPV, PCV and Comvax. That night mom states pt had pain and swelling in both legs. Fever 103 deg. Mom treated with Advil and alt with Tylenol.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Feeling hot, Pain, Pruritus
Clinical narrative: Lg induration covering upper rt arm hot to touch, painful, w/ some itching. No fever present.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Apnoea, Urinary tract infection
Clinical narrative: The night of pt's 2 month vaccines he had an apneic spell, lasting first a few seconds. He had slight cough and runny nose the day of his shots. He was found to have a urinary tract infection in the hospital. Apneic spell was witnessed in deg ER and lasted 40-45 seconds.
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Cellulitis, Injection site erythema, Injection site pain
Clinical narrative: Redness and tenderness around site of injection 2cm. Local reaction vs. cellulitis.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Blister, Erythema, Pruritus, Rash, Swelling
Clinical narrative: Rashes, itching, redness, swelling, blister. Pt took off the bandage (because pt is allergic to the bandage) at night and left it open without cover up.
Age: 52.0
Sex: M
Vaccine: MMR
Symptoms: Deafness, Tinnitus
Clinical narrative: Ten days after vaccination emp c/o tinnitus. Two weeks later he realized deafness in R ear. Sent for audiometry and work up for autoimmune and allergy disorder. Treatment with prednisone. Deafness resolved.
Age: 50.0
Sex: M
Vaccine: MMR
Symptoms: Back pain, Headache, Joint stiffness, Lymphadenopathy, Pain in extremity
Clinical narrative: One week after MMR injection emp reported bilateral occipital lymph node enlargement, now resolved yesterday, 2 wks post vaccination emp reports that R index finger, R knee are stiff, top of R foot and lower back are painful. He also reports headache.
Age: 1.6
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Abnormal behaviour, Asthenia, Drooling, Heart rate increased, Lethargy
Clinical narrative: Fever ranging 101.5-105 for six days. Behavioral changes. Red dotted rash then turned into red raised bumps on body. Sores on throat and mouth. Behavior changes. Drooling. Paleness. Weakness. Lethargic. Rapid breathing. Rapid pulse.
Age: 1.6
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Mouth ulceration, Pallor, Pyrexia, Rash, Rash erythematous
Clinical narrative: Fever ranging 101.5-105 for six days. Behavioral changes. Red dotted rash then turned into red raised bumps on body. Sores on throat and mouth. Behavior changes. Drooling. Paleness. Weakness. Lethargic. Rapid breathing. Rapid pulse.
Age: 7.0
Sex: F
Vaccine: HEP, HEPA, MMR, VARCEL
Symptoms: Ecchymosis, Skin nodule
Clinical narrative: Pt came to our office on 2/2/04 complaining of a hard eccymotic nodule tender to the touch on her L mid-outer arm measuring approx 10mm. No redness, swelling or fever. Full range of motion with L arm. I referred her to see the doctor at clinic.
Age: 0.7
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Hypersensitivity, Rash, Urticaria
Clinical narrative: Hive rash over entire body consistent with allergic reaction.
Age: 31.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Headache, Injection site hypersensitivity, Pruritus, Rash
Clinical narrative: On 2/1/04 noticed red rash with intense itching that began on left arm/ shoulder at site of injection and progressed to chest, both breasts, and nipples. Since vaccination, only other s/s was a "normal headache" for a couple of days.
Age: 2.0
Sex: F
Vaccine: HEP, HEPA, VARCEL
Symptoms: Convulsion, Pyrexia
Clinical narrative: Temperature to 101 deg, seizures.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Chills, Dyskinesia, Pyrexia, Staring, Stupor
Clinical narrative: 15 minute period of staring, decreased responsiveness, and shivering and jerking movements, with fever to 102, occurring 3 hrs after vaccines given. Recovered abruptly, except for fever.
Age: 2.75
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Onset of redness and swelling around injection site < 24 hrs after vaccine. No fever treated with Benadryl, ice pack.
Age: 38.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and edema at injection sight.
Age: 38.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Erythema, Feeling hot, Injection site mass, Oedema
Clinical narrative: Redness and edema at injection sight.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Contusion, Haematemesis, Haematochezia, Petechiae, Platelet count decreased
Clinical narrative: Vaccines given on 1/26/04. By history, pt developed a petechial rash on 2/1/04. He was also noted to have bloody "spit up," blood in his stool and a bruise on the R arm. Pt was brought to medical attention on 2/5/04 and was noted to have a diffuse petechial rash and bruise as noted above. He was admitted through a local ER.
Age: 35.0
Sex: M
Vaccine: YF
Symptoms: Cellulitis, Erythema, Fasciitis, Feeling hot, Myofascitis
Clinical narrative: The evening following day of vaccination, pt noted pain, swelling and redness to upper arm triceps. He presented to our clinic on 2/2/04. He had increased warmth and erythema to almost entire arm, with swelling of triceps and TTP, decreased sensation to touch. Diagnosed with cellulitis. Necrotizing fasciitis. Resolved 100% 2/6/04 at f/u post Keflex 500mg po TID.
Age: 35.0
Sex: M
Vaccine: YF
Symptoms: Necrosis, Oedema peripheral, Pain
Clinical narrative: The evening following day of vaccination, pt noted pain, swelling and redness to upper arm triceps. He presented to our clinic on 2/2/04. He had increased warmth and erythema to almost entire arm, with swelling of triceps and TTP, decreased sensation to touch. Diagnosed with cellulitis. Necrotizing fasciitis. Resolved 100% 2/6/04 at f/u post Keflex 500mg po TID.
Age: 39.0
Sex: M
Vaccine: MMR, TYP, YF
Symptoms: Dizziness, Dyspnoea, Rash, Vision blurred, Wheezing
Clinical narrative: 1. Received yellow fever, Typhoid, MMR vaccines at 10:30 am 1/28/04; within 1 hr experienced dizziness, blurred vision, wheezing, difficulty breathing, rash on torso, arms. 2. At 11:45 am went to ER of local hospital; given Benadryl, Prednisone, Pepcid. Recovered within 15 min of tx.
Age: 51.0
Sex: F
Vaccine: IPV, MEN, RAB, TD, TYP, YF
Symptoms: Erythema, Rash maculo-papular, Tenderness
Clinical narrative: L upper arm 3 1/2 x 3 1/2 cm round, raised, red, tenderness.
Age: 9.0
Sex: M
Vaccine: FLUN3
Symptoms: Chills, Cough, Influenza, Pain, Pneumonia
Clinical narrative: This case was considered medically important (OMIC). Information regarding FluMist was received from a consumer regarding a 9 year old male pt who developed pneumonia, the "flu," and hives. The pt received a dose on 12/31/2003. A consumer reported that her son "got the flu" on 1/3/04, three days post-immunization; he developed a fever of 103.3 deg F, severe coughing and vomiting and experienced chills and aches. He was treated with Tylenol. On 1/11/04, he developed "hives all over" and was diagnosed with pneumonia. He was treated with Biaxin, Benadryl, and an unspecified decongestant. He recovered. As of 1/26/04, no additional info was available.
Age: 9.0
Sex: M
Vaccine: FLUN3
Symptoms: Pyrexia, Urticaria, Vomiting
Clinical narrative: This case was considered medically important (OMIC). Information regarding FluMist was received from a consumer regarding a 9 year old male pt who developed pneumonia, the "flu," and hives. The pt received a dose on 12/31/2003. A consumer reported that her son "got the flu" on 1/3/04, three days post-immunization; he developed a fever of 103.3 deg F, severe coughing and vomiting and experienced chills and aches. He was treated with Tylenol. On 1/11/04, he developed "hives all over" and was diagnosed with pneumonia. He was treated with Biaxin, Benadryl, and an unspecified decongestant. He recovered. As of 1/26/04, no additional info was available.
Age: 35.0
Sex: F
Vaccine: HEP, TTOX, TYP, YF, HEP, TTOX, TYP, YF, HEP, HEPA, IPV, TD, TTOX, YF
Symptoms: Influenza like illness, Laboratory test abnormal, Pain, Pyrexia, Rash maculo-papular
Clinical narrative: On 1/30/04 had body aches, low grade fever, flu like symptoms. On 2/2/04 had jaundice. On 2/3/04 had diffuse macular papular body rash. On 2/7/04 was hospitalized. Still in hospital on 2/10/04.
Age: 35.0
Sex: F
Vaccine: HEP, TTOX, TYP, YF, HEP, TTOX, TYP, YF, HEP, HEPA, IPV, TD, TTOX, YF
Symptoms: Influenza like illness, Jaundice, Laboratory test abnormal, Liver function test abnormal, Pain
Clinical narrative: On 1/30/04 had body aches, low grade fever, flu like symptoms. On 2/2/04 had jaundice. On 2/3/04 had diffuse macular papular body rash. On 2/7/04 was hospitalized. Still in hospital on 2/10/04.
Age: 35.0
Sex: F
Vaccine: HEP, TTOX, TYP, YF, HEP, TTOX, TYP, YF, HEP, HEPA, IPV, TD, TTOX, YF
Symptoms: Pneumonia, Pyrexia, Rash maculo-papular, Uveitis
Clinical narrative: On 1/30/04 had body aches, low grade fever, flu like symptoms. On 2/2/04 had jaundice. On 2/3/04 had diffuse macular papular body rash. On 2/7/04 was hospitalized. Still in hospital on 2/10/04.
Age: 35.0
Sex: F
Vaccine: HEP, TTOX, TYP, YF, HEP, TTOX, TYP, YF, HEP, HEPA, IPV, TD, TTOX, YF
Symptoms: Arthralgia, Influenza like illness, Jaundice, Liver function test abnormal, Pain
Clinical narrative: On 1/30/04 had body aches, low grade fever, flu like symptoms. On 2/2/04 had jaundice. On 2/3/04 had diffuse macular papular body rash. On 2/7/04 was hospitalized. Still in hospital on 2/10/04.
Age: 35.0
Sex: F
Vaccine: HEP, TTOX, TYP, YF, HEP, TTOX, TYP, YF, HEP, HEPA, IPV, TD, TTOX, YF
Symptoms: Pneumonia, Pyrexia, Rash, Rash maculo-papular
Clinical narrative: On 1/30/04 had body aches, low grade fever, flu like symptoms. On 2/2/04 had jaundice. On 2/3/04 had diffuse macular papular body rash. On 2/7/04 was hospitalized. Still in hospital on 2/10/04.
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Asthma, Condition aggravated, Dizziness, Headache, Loss of consciousness
Clinical narrative: Severe headaches, and also problems with dizziness to the point where i fall over and pass out.  my body aches to the point where i cant move anymore.  my asthma came back out of the blue after i got the shots.  i also have a rash on my arms now.  the pain has grown worse and worse.
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Pain, Rash
Clinical narrative: Severe headaches, and also problems with dizziness to the point where i fall over and pass out.  my body aches to the point where i cant move anymore.  my asthma came back out of the blue after i got the shots.  i also have a rash on my arms now.  the pain has grown worse and worse.
Age: 26.0
Sex: F
Vaccine: ANTH
Symptoms: Dyspnoea, Pruritus, Urticaria
Clinical narrative: This is a 26 year-old who received her primary anthrax vaccination on 24 December 2003. Approximately 48 hours after receiving her vaccination, reported to sick call with complaints of itching that had started approximately 6-8 hours after receipt of the vaccine. The client stated that the itching started in both wrists and proceeded to spread to her neck, lower face, chest and back over a 24-hour period.  She presented with wheals on her trunk and neck and excoriation on her neck and bilateral arms. She was given Benadryl® 50 mg intramuscularly (IM) and assigned to sick in quarters (SIQ) status for 24 hours. The client also relates some difficulty breathing, but denies wheezing or swelling of the tongue or lips. She states that she had not eaten anything unusual for breakfast or lunch. She was instructed to return to clinic in 24 hours.   On 06 December 2003, the client presented to sick call. Medical record notes stated that the service member was feeling much better and the urticaria was gone. She was provided with reassurance and instructed to return to clinic for any reoccurrence of symptoms. The client relates that the Benadryl® would last approximately 6 hours and she would start itching again. The symptoms subsided completely approximately 1 week after onset. She states that she has never had any type of allergic reaction prior to this.
Age: 23.0
Sex: M
Vaccine: HEPAB
Symptoms: Rash, Urticaria
Clinical narrative: On 12/31/03 Approx. 8 hous after receiving Twinrix Hep A and Hep B vaccine lot YK-BF, patient states he broke out with a rash and hives on his chest, neck, behind his ears.  He went to the ER on 01/01/2004 and received "some little green pills."  Patient had returned today for 2nd Hep A and Hep B vaccination and reported this . Second injection not given.
Age: 23.0
Sex: M
Vaccine: MMR
Symptoms: Dizziness, Pallor, Syncope
Clinical narrative: Student presented for MMR and PPD.  MMR was given first and patient tolerated it well.  PPD was administered and patient became pale, lightheaded and started to slump forward.  Patient assisted to floor by administering and other nurses.  Doctor came and assessed patient.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Rash erythematous, Rash papular, Rash pustular
Clinical narrative: Scattered rash that consists of erythematous based papules and pustules that are located on his arms and trunk.  No fever, chills, nausea, or vomiting.
Age: 0.3
Sex: M
Vaccine: DT, HIBV, PNC
Symptoms: Agitation, Crying, Irritability, Screaming, Sleep disorder
Clinical narrative: Pt received 4 month set of shots (see below) on Monday 02/09/04.  Parents report that pt did not have any adverse Sx until 11pm of same day, when he woke up and was very fussy and inconsolable.  Pt had minimal sleep and the following day (02/10/2004) in AM he began to cry/scream and could not be comforted.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration, Periorbital oedema
Clinical narrative: Localized area of induration and redness around sites of vaccination (DTaP and IPV) on left upper extremity (Deltoid). Next day developed periorbital swelling. No dysphagia; no SOB.
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Pharyngolaryngeal pain, Rash erythematous, Rash vesicular
Clinical narrative: Reported 01/09/04 about 30 days after influenza #1.  Mother claims child had complained of sore throat and cough 102 days after injection.  5 days after, red, multiple raised, scattered vesicular-blister like rash developed beginning on abdomen then moving to left arm.  3.5 weeks later, rash remains worse on left arm.  Mother claims she went to MD whom was unsure of rash or origin.  No complaints of itching, scratching, fever or pain, no swollen glands.
Age: 1.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site induration, Injection site oedema, Injection site rash, Rash erythematous
Clinical narrative: Per mother, 1 day after vaccination; reddened, swelling at site to induration of 80x45mm (noted 30 days after injection); small red, raised "pimpley" rash over site.  Mother showed MD.  Brought to RN attention when pt brough in for 2nd flu shot.  Mother claims no temperature, cough or apparent discomfort at site, but redness apparent 30 days later, site measured.  No Benadryl per mother at time of initial reaction.  #1 dose preserv add multidose vial.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Client contacted agency in PM of 01/29/2004 and reported urticaria developing at 16:30.  Took Benadryl spoke with MD, no other s/s.  Seen by MD 01/30/04 and diagnosed probable allergy to antibiotic Avelox (started AM 01/29/04).
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema, Oedema peripheral
Clinical narrative: Mom reported redness and swelling at injection site extending to shoulder and elbow.
Age: 11.0
Sex: F
Vaccine: FLU3
Symptoms: Cold sweat, Dizziness, Heart rate increased, Nausea, Syncope
Clinical narrative: Approximately 1.5 hours after vaccine administration, pt felt nauseated, clammy, racing heart, and dizzy/faint.  She was treated by parent-laying her down to rest, cool clothes on face.
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema
Clinical narrative: 2 days vaccination with localized erythema at injection site.  25x13cm, resolved in 72 hours.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Large welts noted behind both ears and back of neck. Reddened in color, itchiness present.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Urticaria
Clinical narrative: Patient developed generalized urticaria three days after receiving DTaP #3, HiB#3, Prevnar #3. Given Benadryl with resolution.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Skin exfoliation
Clinical narrative: After small pox vaccine, erythema, scaly, fissuring of palms/soles of feet for 11 months not resolving.
Age: 3.5
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Erythema, Skin warm, Tenderness
Clinical narrative: Left Leg with erythema, warm, tender area.
Age: 7.0
Sex: F
Vaccine: DTAP, OPV
Symptoms: Rash maculo-papular, Rash pruritic
Clinical narrative: Diffuse macular, papular itchy rash.
Age: 1.5
Sex: F
Vaccine: DTAP, IPV
Symptoms: Gait disturbance
Clinical narrative: Limp developed eight days after vaccine, Motrin given. Gradual improvement over 4-5 days.
Age: 1.25
Sex: M
Vaccine: DTAP, MMR
Symptoms: Erythema multiforme, Joint swelling, Pyrexia, Serum sickness
Clinical narrative: Patient received DTaP, MMR on 1/22/04. Developed erythema multiforme rash beginning at site of DTaP injection, on 1/23/04 developed fever/swollen joints/ serum sickness like reaction.
Age: 1.92
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pyrexia, Swelling
Clinical narrative: Swelling of the left thigh, erythema  6 1/2" x 4" reported after injection. Temperature 100.5 per mom.
Age: 11.0
Sex: M
Vaccine: TD
Symptoms: Cellulitis, Erythema, Feeling hot, Oedema, Pain
Clinical narrative: Given Td on 1/29/2004 in left deltoid area. On 1/31/2004 noted by mom to have swollen, red, hot to touch upper left arm. Went to ER, diagnosed with cellulitis put on Kefzol. Area very sore/itchy.
Age: 11.0
Sex: M
Vaccine: TD
Symptoms: Pruritus
Clinical narrative: Given Td on 1/29/2004 in left deltoid area. On 1/31/2004 noted by mom to have swollen, red, hot to touch upper left arm. Went to ER, diagnosed with cellulitis put on Kefzol. Area very sore/itchy.
Age: 43.0
Sex: F
Vaccine: HEP
Symptoms: Anorexia, Asthenia, Fatigue, Malaise, Skin burning sensation
Clinical narrative: Malaise, fatigue, burning and weakness in extremities, anorexia, weight loss started approximately 8 hours after first dose Hep B vaccine given by previous doctor. She presents here two weeks later with symptoms unresolved.
Age: 43.0
Sex: F
Vaccine: HEP
Symptoms: Weight decreased
Clinical narrative: Malaise, fatigue, burning and weakness in extremities, anorexia, weight loss started approximately 8 hours after first dose Hep B vaccine given by previous doctor. She presents here two weeks later with symptoms unresolved.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: DTaP site, Large red swelling from injection site down arm- warm to touch- given 2/3/04, seen 2/5/04 - diagnosed with cellulitis, placed on Augmentin for ten days.
Age: 0.4
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Diarrhoea, Pyrexia, Vomiting
Clinical narrative: Elevated temperature (103.5) approximately 14 hours after immunizations.  Tylenol per ER, diarrhea/vomiting started a few hours after that.  (2-6ok) checked on pt, decreased temperature down, baby doing better.
Age: 40.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Headache, Hypokinesia, Myalgia, Nausea
Clinical narrative: Headache, nausea, joint, muscle pain.  Low grade temperature of 99.8-100.8.  Oral and tympanic. Tender to palp along base of skull, spine and ribs.  Decreased range of motion of neck due to pain.
Age: 40.0
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Tenderness
Clinical narrative: Headache, nausea, joint, muscle pain.  Low grade temperature of 99.8-100.8.  Oral and tympanic. Tender to palp along base of skull, spine and ribs.  Decreased range of motion of neck due to pain.
Age: 49.0
Sex: F
Vaccine: TTOX
Symptoms: Chest discomfort, Headache, Influenza like illness, Neck pain, Pain
Clinical narrative: Started with headaches, then tightness in chest (on left side) with extreme soreness on left side of neck, shoulder and arm.  That night felt "flu like" symptoms. Symptoms lasted for 36 hours. Today only symptoms is left arm is sensitive to touch. 01/30
Age: 49.0
Sex: F
Vaccine: TTOX
Symptoms: Shoulder pain
Clinical narrative: Started with headaches, then tightness in chest (on left side) with extreme soreness on left side of neck, shoulder and arm.  That night felt "flu like" symptoms. Symptoms lasted for 36 hours. Today only symptoms is left arm is sensitive to touch. 01/30
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Injection site erythema, Injection site oedema, Pyrexia, Screaming
Clinical narrative: Cried at time of injection and continued for 4 hours.  Napped for 1 hour then continued to cry.  Injection site with swelling or redness, no fever with recheck.
Age: 1.5
Sex: F
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Urticaria
Clinical narrative: Hives on trunk and extremities. Treated with Benadryl Elixir
Age: 1.3
Sex: M
Vaccine: DTAP, HBHEPB
Symptoms: Depressed level of consciousness, Loss of consciousness, Somnolence
Clinical narrative: 15 month pt was seen here 01/15/04.  Had DTAP and HIB/HEP B immunizations.  Per father, approximately 20 minutes after leaving our office, while he was holding pt, he suddenly passed out.  He awoke after a few seconds of shaking.  He passed out, fell asleep suddenly awoke about a half hour later in moms arms.  He was sleepy and difficult to wake.  No jerking, no vomiting.  No further problems, no crying before episode.  Riding with parents in car both times.
Age: 15.0
Sex: M
Vaccine: HEP, TTOX
Symptoms: Injection site erythema, Injection site induration, Injection site mass
Clinical narrative: Red, hard knot measuring 5x6cm.
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Dermatitis bullous, Drug ineffective
Clinical narrative: Presented at clinic with presumed vaccine failure.  Diagnosis: Varicella on 01/24/04.
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Feeling hot, Oedema
Clinical narrative: Warmth and swelling right leg (significant) 1 day after injection.
Age: 0.32
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Cellulitis, Dry skin, Eczema, Injection site abscess, Injection site erythema
Clinical narrative: Lump on right upper thigh noted 1 week after 4 month immunizations. Seen 12/22/03 in office with pustule with erythematous base palpable fluctuant pea size mass with scab on roof.  Dry skin on chest and legs.  Diagnosed with cellulitis and eczema. Treated with Augmentin per mouth, Bactroban and warm soaks.  On 12/23/03 mom observed thick brown discharge erupting from pustule site.  Rechecked 12/26/03 diagnosed as resolving cellulitis.
Age: 0.32
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site mass, Rash pustular
Clinical narrative: Lump on right upper thigh noted 1 week after 4 month immunizations. Seen 12/22/03 in office with pustule with erythematous base palpable fluctuant pea size mass with scab on roof.  Dry skin on chest and legs.  Diagnosed with cellulitis and eczema. Treated with Augmentin per mouth, Bactroban and warm soaks.  On 12/23/03 mom observed thick brown discharge erupting from pustule site.  Rechecked 12/26/03 diagnosed as resolving cellulitis.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Swelling, redness, tenderness with heat at vaccine site, left thigh.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Injection site oedema, Pain
Clinical narrative: Soft tissue swelling of upper arm to elbow left side with pain on abduction.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: 01/22/04: Vaccines, swelling and erythema on left thigh.  24 hours seen in office on 01/24, given Keflex, Locoid cream and Benadryl.  1-30 seen again with resolution of symptoms.
Age: 3.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 8cm induration, non-tender with erythema, no itching on left thigh.
Age: 9.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Dermatitis bullous, Drug ineffective, Skin ulcer
Clinical narrative: Classic chicken pox lesions face, arms, mostly on back. Treatment (systematic)-watch.
Age: 6.0
Sex: F
Vaccine: UNK
Symptoms: Urticaria
Clinical narrative: Hives across entire back that spread to cover small area of chest.  MD prescribed 1 teaspoon of Zyrtec syrup daily for 7 days.
Age: 11.0
Sex: M
Vaccine: TD
Symptoms: Injection site induration, Injection site pain, Pyrexia
Clinical narrative: 24 hours after shot, fever with extremely tender indurated right deltoid.
Age: 34.0
Sex: F
Vaccine: TD
Symptoms: Arthralgia
Clinical narrative: Severe arthralgia involving all joints. Symptoms began approximately 3 hours after administration of vaccine with progressive increase in symptoms over 3 days.  Continued symptoms for 2 days. Began resolving after put on Medrol Dose Pak.
Age: 6.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site pain
Clinical narrative: 7cm redness, swelling, induration color and mild pain to touch to left upper arm; but 7 range of motion.
Age: 1.3
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Right leg: red, swollen, 3x5cm.  Treatment: Benadryl, Tylenol, cool compress
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Feeling hot, Injection site induration, Injection site oedema
Clinical narrative: 4.5 inch indurated, with slight swelling and warm to touch on left deltoid area. Child did not complain of pain.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: Right upper thigh lateral central injection site, red, raised 7x3cm, warm, non-tender, itchy.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Redness and swelling of upper arm.
Age: 0.6
Sex: F
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Had immunizations for 6 months on 01/13/04.  Seen in office on 02/02/04 for 5x6cm tender, indurated area on left anterior thigh.  Upper 1.8x1.5cm area of erythema, lower 2.0x2.5cm area of erythema: at sites of injection.  Diagnosis: delayed immunization reaction.  Prescribed: Augmentin and warm soaks to recheck in 7 days.
Age: 29.0
Sex: F
Vaccine: ANTH
Symptoms: Arthralgia, Headache, Hypersensitivity
Clinical narrative: Patient was pre-treated with zyrtec and triamcinalone cream and given her fourth dose IM for large local reactions.  She now has arthralgias and headaches that caused to miss work and go to emergency room
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema
Clinical narrative: 2-3-4 TC from mother stating child has dime size red area on left thigh and a spot where you can see where the needle went in-denies other reactions or symptoms.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Cow pox, Discomfort, Lymphadenopathy, Pain
Clinical narrative: 5 Feb 04 pt describes body aches, generalized pustular, and maculopapular rash on his torso, groin and arm.  He has a red streak from the vaccination site on his l upper arm and painful swollen lymph nodes in the l axilla. The rash was evaluated in ER, 7 and 8 Feb 04 and was thought to have generalized vaccinia.  The rash has improved over time.  The discomfort has decreased and the rash is macular in nature.  The largest area is 1 cm in diameter.  The lesions don't join each other. Pt states he is feeling much better today and has gone back to work.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Rash maculo-papular, Rash pustular, Skin ulcer
Clinical narrative: 5 Feb 04 pt describes body aches, generalized pustular, and maculopapular rash on his torso, groin and arm.  He has a red streak from the vaccination site on his l upper arm and painful swollen lymph nodes in the l axilla. The rash was evaluated in ER, 7 and 8 Feb 04 and was thought to have generalized vaccinia.  The rash has improved over time.  The discomfort has decreased and the rash is macular in nature.  The largest area is 1 cm in diameter.  The lesions don't join each other. Pt states he is feeling much better today and has gone back to work.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site abscess, Injection site erythema, Injection site swelling, Pain, Skin exfoliation
Clinical narrative: Received immunizations as listed in block 13 on 2/6/04, early pm and about 10:00pm, family noticed swelling, erythema, peeling of skin at injection site and site was oozing clea fluid. Child was taken to ER.  Parents were instructed to administer ibuprofen for pain.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: CSF test abnormal, Demyelination, Difficulty in walking, Joint range of motion decreased, Laboratory test abnormal
Clinical narrative: Previously healthy patient was admitted to hospital 10/22-10/23/03 and diagnosed with asthma and viral respiratory illness. Prior to discharge, influenza vaccine 0.5 mL was administered IM in left upper arm. Two days later family members noticed patient limping and c/o left lower extremity pain. Pain/inability to move LLE continued at home. Patient was readmitted 10/28/03 with diagnosis "transverse myelitis vs. atypical Guillan-Barre."  MRI showed demyelinating lesion in lumbar spine. While hospitalized 10/28/03 to 12/3/03, patient received intravenous immune globulin, intravenous steroids, azithromycin and multiple other medications. During hospitalization family expressed concern about a possible speech/hearing problem but audiology consult revealed normal hearing in one hear, unable to assess other ear due to patient not cooperative. Patient required physicial therapy and brace to assist walking. Discharged to home 12/3/03 with plans to continue physical therapy.  Nurse follow up on 08/04/04 states: "spasm." Discharge summary states fever. msv