chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: F
Vaccine: HEPA, TTOX
Symptoms: Apnoea, Convulsion, Disorientation, Tremor, Urticaria
Clinical narrative: The day she got the Hep A vaccin and a Tetanus shot, it shut down her system, she stop breathing and she broke out in hives all over. We took her to clinic. They gave her a shot and she come around was able to go home. The next night she did the same thing she stopped breathing was taken to clinic by ambulance that night. Was in hospital 4 days then. At first pt was having small seizures, like tremors and be disoriented. About 2 months after this pt has been having seizures full blown, Ever since June. We have Dr. He was not able to control them. So he sent us to Clinic, where she is under another MD, care now. She has been out of the hospital numerous times since she got the shots, and has lost her job. Right now she is on two diffrent seizure medicine, if this dont work in 3 months they might have to do a seizure surgery. She has not been able to go to school for over month now.
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Angiopathy, Aphasia, Confusional state, Coordination abnormal, Depressed level of consciousness
Clinical narrative: Confusion and vertigo beginning 22 hours after vaccination.  Evaluated in ER and admitted. Significantly impaired level of consciousness. Heparin bolus and IV followed by Coumadin.  Gradual recovery over 4 days. The discharge summary received on 2/24/04 states headache and venous thrombosis. The medical records received on 2/24/04 states sinusitis, aphsia, ataxia, and aberrant rt vertebral vessel.
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Headache, Laboratory test abnormal, Sinusitis, Thrombophlebitis, Vertigo
Clinical narrative: Confusion and vertigo beginning 22 hours after vaccination.  Evaluated in ER and admitted. Significantly impaired level of consciousness. Heparin bolus and IV followed by Coumadin.  Gradual recovery over 4 days. The discharge summary received on 2/24/04 states headache and venous thrombosis. The medical records received on 2/24/04 states sinusitis, aphsia, ataxia, and aberrant rt vertebral vessel.
Sex: F
Vaccine: FLUN3, FLUN3
Symptoms: Dyspnoea, Hypoaesthesia, Tracheal oedema
Clinical narrative: A health care professional reported that a female pt received a dose of Flumist (2003-2004 Formula) (influenza virus vaccine, live intranasal (2003-2004 formula) nasal solution (frozen)) on an unspecified date. The pt developed an anaphylactic reaction approximately 15 to 20 minutes after receiving a dose of FluMist. Treatment information was not provided. This case was considered medically important (OMIC). The reporter indicated that the event has been reported to VAERS.  No additional information was available at the time of this report. Follow-up information was received on 14-Jan-2004 from a physician which provided medical history, Immunization date and time, and additional adverse event information. On 05-Dec-2003, at 1:50 pm, a female patient received a dose of Flumist at her employer's health services office. She was observed for 10 minutes after receiving the vaccine. The reporter indicated that there was "no problems" and the patient returned to work. Approximately 15 to 20 minutes post-immunization, the patient developed an anaphylactic reaction characterized by numbness of her tongue, lips and throat with difficulty breathing. She returned to the health services office. Upon physical examnation her blood pressure was 106/66. pulse 76, respiration 16. Lung exam was negative for audible wheezing. A pulse oximetry was performed the results were 98 % on room ari. All serial blood pressures were reported to be " within normal limits". She was treated with epinephrine 1:1000 (0.3mL). The patient then "felt" chest pain and had a sensation that her throat was closing. Emergency medical services were contacted and the patient was transported to the emergency departemtn. She was treated with Benadryl and observed for 4 to 6 hours. On that sam day, the patient was discharged from the emergency room. The reporter indicated that this event has been reporterd to VAERS. This case was considered mecially important. (OMIC)
Sex: F
Vaccine: FLUN3, FLUN3
Symptoms: Anaphylactic reaction, Chest pain, Dyspnoea, Hypoaesthesia, Throat tightness
Clinical narrative: A health care professional reported that a female pt received a dose of Flumist (2003-2004 Formula) (influenza virus vaccine, live intranasal (2003-2004 formula) nasal solution (frozen)) on an unspecified date. The pt developed an anaphylactic reaction approximately 15 to 20 minutes after receiving a dose of FluMist. Treatment information was not provided. This case was considered medically important (OMIC). The reporter indicated that the event has been reported to VAERS.  No additional information was available at the time of this report. Follow-up information was received on 14-Jan-2004 from a physician which provided medical history, Immunization date and time, and additional adverse event information. On 05-Dec-2003, at 1:50 pm, a female patient received a dose of Flumist at her employer's health services office. She was observed for 10 minutes after receiving the vaccine. The reporter indicated that there was "no problems" and the patient returned to work. Approximately 15 to 20 minutes post-immunization, the patient developed an anaphylactic reaction characterized by numbness of her tongue, lips and throat with difficulty breathing. She returned to the health services office. Upon physical examnation her blood pressure was 106/66. pulse 76, respiration 16. Lung exam was negative for audible wheezing. A pulse oximetry was performed the results were 98 % on room ari. All serial blood pressures were reported to be " within normal limits". She was treated with epinephrine 1:1000 (0.3mL). The patient then "felt" chest pain and had a sensation that her throat was closing. Emergency medical services were contacted and the patient was transported to the emergency departemtn. She was treated with Benadryl and observed for 4 to 6 hours. On that sam day, the patient was discharged from the emergency room. The reporter indicated that this event has been reporterd to VAERS. This case was considered mecially important. (OMIC)
Age: 27.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Completed suicide
Clinical narrative: Suicide by hanging.
Age: 0.9
Sex: M
Vaccine: HIBV, HIBV
Symptoms: Conjunctivitis, Drug ineffective, Hypoxia, Laboratory test abnormal, Lung disorder
Clinical narrative: It was reported in a published article concerning a male pt who was vaccinated with a first, second and third dose at 3 and 5 months of age and 6 days before presentation with Hib disease of Hib conj vaccine. Subsequently, the pt presented with respiratory distress, a physical examination revealed a pulse of 217 beats/minute, temp was 39.7 C, oxygen sat was 73% while breathing room air, chest auscultation revealed wheezing, retractions were apparent, a chest radiography demonstrated bilateral parenchymal infiltrates with hyperinflation of the lung and a nasopharyngeal washing yielded repiratory syncytial virus atnigen by direct fluorescent antibody. The pt was admitted and empirically treated with ceftriaxone and azithromycin. The following day Hib, susceptible to ampicillin, was isolated from the blood. CSF obtained on the third hospital day was "normal." It was noted that the pt received three doses of a Hib conj vaccine, "which also should have been protective." It was also noted that the third dose was given 6 days before presentation with Hib disease and that this was "coincidental." The pt resided with his mother and a sibling who was attending a daycare center at the time of vaccination. He received a 10 day course of ceftriaxone and recovered without sequelae. No further info was provided.
Age: 0.9
Sex: M
Vaccine: HIBV, HIBV
Symptoms: Pyrexia, Respiratory distress, Sepsis, Tachycardia, Wheezing
Clinical narrative: It was reported in a published article concerning a male pt who was vaccinated with a first, second and third dose at 3 and 5 months of age and 6 days before presentation with Hib disease of Hib conj vaccine. Subsequently, the pt presented with respiratory distress, a physical examination revealed a pulse of 217 beats/minute, temp was 39.7 C, oxygen sat was 73% while breathing room air, chest auscultation revealed wheezing, retractions were apparent, a chest radiography demonstrated bilateral parenchymal infiltrates with hyperinflation of the lung and a nasopharyngeal washing yielded repiratory syncytial virus atnigen by direct fluorescent antibody. The pt was admitted and empirically treated with ceftriaxone and azithromycin. The following day Hib, susceptible to ampicillin, was isolated from the blood. CSF obtained on the third hospital day was "normal." It was noted that the pt received three doses of a Hib conj vaccine, "which also should have been protective." It was also noted that the third dose was given 6 days before presentation with Hib disease and that this was "coincidental." The pt resided with his mother and a sibling who was attending a daycare center at the time of vaccination. He received a 10 day course of ceftriaxone and recovered without sequelae. No further info was provided.
Age: 0.9
Sex: M
Vaccine: HIBV, HIBV
Symptoms: Drug ineffective, Laboratory test abnormal, Lung disorder, Pyrexia, Respiratory distress
Clinical narrative: It was reported in a published article concerning a male pt who was vaccinated with a first, second and third dose at 3 and 5 months of age and 6 days before presentation with Hib disease of Hib conj vaccine. Subsequently, the pt presented with respiratory distress, a physical examination revealed a pulse of 217 beats/minute, temp was 39.7 C, oxygen sat was 73% while breathing room air, chest auscultation revealed wheezing, retractions were apparent, a chest radiography demonstrated bilateral parenchymal infiltrates with hyperinflation of the lung and a nasopharyngeal washing yielded repiratory syncytial virus atnigen by direct fluorescent antibody. The pt was admitted and empirically treated with ceftriaxone and azithromycin. The following day Hib, susceptible to ampicillin, was isolated from the blood. CSF obtained on the third hospital day was "normal." It was noted that the pt received three doses of a Hib conj vaccine, "which also should have been protective." It was also noted that the third dose was given 6 days before presentation with Hib disease and that this was "coincidental." The pt resided with his mother and a sibling who was attending a daycare center at the time of vaccination. He received a 10 day course of ceftriaxone and recovered without sequelae. No further info was provided.
Age: 0.9
Sex: M
Vaccine: HIBV, HIBV
Symptoms: Sepsis, Tachycardia, Wheezing
Clinical narrative: It was reported in a published article concerning a male pt who was vaccinated with a first, second and third dose at 3 and 5 months of age and 6 days before presentation with Hib disease of Hib conj vaccine. Subsequently, the pt presented with respiratory distress, a physical examination revealed a pulse of 217 beats/minute, temp was 39.7 C, oxygen sat was 73% while breathing room air, chest auscultation revealed wheezing, retractions were apparent, a chest radiography demonstrated bilateral parenchymal infiltrates with hyperinflation of the lung and a nasopharyngeal washing yielded repiratory syncytial virus atnigen by direct fluorescent antibody. The pt was admitted and empirically treated with ceftriaxone and azithromycin. The following day Hib, susceptible to ampicillin, was isolated from the blood. CSF obtained on the third hospital day was "normal." It was noted that the pt received three doses of a Hib conj vaccine, "which also should have been protective." It was also noted that the third dose was given 6 days before presentation with Hib disease and that this was "coincidental." The pt resided with his mother and a sibling who was attending a daycare center at the time of vaccination. He received a 10 day course of ceftriaxone and recovered without sequelae. No further info was provided.
Age: 35.0
Sex: M
Vaccine: IPV, MMR, TYP, YF
Symptoms: Rash, Wheezing
Clinical narrative: 35-40 minutes after injections noticed some wheezing which lasted 30 minutes. Then he started breaking out in a rash. Returned to the clinic around 16:30 (shots given around 14:30). Given Benadryl elixir 25mg, waited 30 minutes in the clinic. Rash started to clear, sent home, instructed to take one more 25mg capsule when arrived, then every 4 hours. Seen in the clinic 12/19 - cleared.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Hypersensitivity, Injection site hypersensitivity, Injection site pain, Injection site reaction, Oedema peripheral
Clinical narrative: A 49 year old female consumer reported that she received an injection of influenza virus vaccine on an unspecified date sometime during 2002 and developed an "allergic reaction." The reporter indicated that she has experienced an allergic reaction to the "flu shot" for the past several years. She stated that she experienced a different reaction every year, and that the reactions became progressively worse. Initially, she developed an injection site reaction characterized by a red welt. In subsequent years, she developed swelling of the injected arm, a rash from the top to the bottom of her body, swelling of her body and an injection site reaction characterized by a painful, itchy, red welt. On an unspecified date during 2002, her physician administered an unspecified injection at the same time she received the "flu shot." The reporter indicated that the allergic reaction "cleared pretty quickly once the other shot was given." This event was considered medically important (OMIC). No additional info was available at the time of this report.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash, Urticaria, Vaccine positive rechallenge
Clinical narrative: A 49 year old female consumer reported that she received an injection of influenza virus vaccine on an unspecified date sometime during 2002 and developed an "allergic reaction." The reporter indicated that she has experienced an allergic reaction to the "flu shot" for the past several years. She stated that she experienced a different reaction every year, and that the reactions became progressively worse. Initially, she developed an injection site reaction characterized by a red welt. In subsequent years, she developed swelling of the injected arm, a rash from the top to the bottom of her body, swelling of her body and an injection site reaction characterized by a painful, itchy, red welt. On an unspecified date during 2002, her physician administered an unspecified injection at the same time she received the "flu shot." The reporter indicated that the allergic reaction "cleared pretty quickly once the other shot was given." This event was considered medically important (OMIC). No additional info was available at the time of this report.
Age: 3.0
Sex: M
Vaccine: HIBV
Symptoms: Chills, Drug ineffective, Laboratory test abnormal, Pyrexia, Sepsis
Clinical narrative: It was reported in a published article concerning a 3 year old male pt with no evidence of immunodeficiency who was vaccinated at 2, 4, 6 and 18 months of age with Hib conj vaccine. Subsequently, the pt presented with a 1-day history of fever and rigors. The temp was 39.2 deg C, and the leukocyte count was 8000 per mm3 with 88% neutrophils. He was discharged without antibiotic therapy. It was noted that the pt was "recalled" and hospitalized the next day because a blood culture yielded Gram-negative rods subsequently identified as Hib resistant to ampicillin and susceptible to ceftriaxone. A second blood culture performed on the day of admission was sterile. Examination of the cerebral spinal fluid, including latex agglutination for Hib capsular polysaccharide antigen (obtained after 2 doses of ceftriaxone) was normal. Immunologic studies revealed normal total serum immunoglobulins, subclasses and total hemolytic complement. The concentration of serum antibody to the sterotype b H influenzae capsule obtained during the second day of the hospitalization was 0.45 ug/mL by enzyme-linked immunosorbent assay and two months later, the level was 2.0 ug/mL. The serum anti-hep B surface antibody was "in the protective range." The child had detectable anticapsular antibody in his serum 3 days after the onset of bacteremia. The pt received 3 days of ceftriazone and was discharged to complete 7 days of cefpodoxime. It was noted that the child lived at home with his parents and did not attend day care. It was also noted that the child was probably exposed to Hib in pharyngeal secretions from close contact and developed bacteremia despite being immunized. No further info was provided.
Age: 6.0
Sex: F
Vaccine: HEPA
Symptoms: Diarrhoea, Fatigue, Malaise, Pneumonia, Pyrexia
Clinical narrative: Information has been received from a consumer concerning her 6 year old daughter who on approximately 11/26/03 was vaccinated with a dose of hep A virus vaccine inactivated. On approximately 12/12/03, the pt developed diarrhea, malaise, fatigue, stomach upset, a temp of 103 deg, mononucleosis and unilateral pneumonia. The pt was taken to the hospital and given two antibiotic injections and placed on asthma medication administered through a nebulizer. It was unknown if the pt was hospitalized. At the time of the report a few days later, the reporter stated that the pt was getting better, but was not fully recovered. The outcome was noted to be recovering with sequelaea. A product quality complaint was not involved. Upon internal review, unilateral pneumonia was considered to be an other important medical event (OMIC). Additional info is not expected.
Age: 6.0
Sex: F
Vaccine: HEPA
Symptoms: Stomach discomfort
Clinical narrative: Information has been received from a consumer concerning her 6 year old daughter who on approximately 11/26/03 was vaccinated with a dose of hep A virus vaccine inactivated. On approximately 12/12/03, the pt developed diarrhea, malaise, fatigue, stomach upset, a temp of 103 deg, mononucleosis and unilateral pneumonia. The pt was taken to the hospital and given two antibiotic injections and placed on asthma medication administered through a nebulizer. It was unknown if the pt was hospitalized. At the time of the report a few days later, the reporter stated that the pt was getting better, but was not fully recovered. The outcome was noted to be recovering with sequelaea. A product quality complaint was not involved. Upon internal review, unilateral pneumonia was considered to be an other important medical event (OMIC). Additional info is not expected.
Age: 36.0
Sex: M
Vaccine: FLUN3
Symptoms: Dizziness, Road traffic accident
Clinical narrative: A consumer reported that her 36 year old husband received a dose of FluMist on an unspecified date in 2003. On 12/13/03, he experienced dizziness and was subsequently involved in a car accident. The reporter indicated that the event was life-threatening. No additional information was available at the time of this report.
Age: 9.0
Sex: M
Vaccine: FLUN3
Symptoms: Retinal haemorrhage, Visual disturbance
Clinical narrative: This case was considered medically important (OMIC). Information regarding FluMist was received from the father of a 9 year old male who experienced retinal bleeding. AT 9 years of age, the child received a dose on 12/11/03. Upon awakening on 12/12/03, the child noticed "black spots" in the vision of his left eye. He was seen by an eye doctor who reported "bleeding in the retina but no detachment." The father indicated that his son's vision is improving but the spots persisted as of 12/12/03. The child's physician reported that he spoke with the mother of the patient and confirmed this event is accurate.No additional info was available at the time of this report. Follow-up information received from the physician provided confirmation of the event.
Age: 41.0
Sex: F
Vaccine: FLUN3
Symptoms: Chest pain, Dyspnoea, Electrocardiogram abnormal, Fibrin increased, Oedema
Clinical narrative: Information regarding Flumist (2003-2004 Formula) (influenza virus vaccine, live intranasal (2003-2004 formula) nasal solution (frozen)) was received from a healthcare professional regarding a 41 year old female pt who experienced pleurisy, inflammation, shortness of breath and chest pain.  At 41 years of age, the pt received a dose on 12/09/2003.  The pt who worked in the reporting physician's office, developed chest pain (chest pain) in the evening of 12/14/2003.  The next day, she was still complaining of chest pain and shortness of breath (dyspnoea).  An EKG was performed and it was abnormal.  The pt was given nitroglycerin every five minutes for three doses.  That same day, she was admitted to the hospital.  Her chest pain continued through the night.  She was diagnosed with pleurisy (pleurisy) and inflammation (inflammation).  On 12/16/2003, she was discharged from the hospital. Test Results: Electrocardiogram (results: abnormal) was done on 15-Dec-2003. Additionally, fibrin D dimer (results: increased) was done on an unspecified date. No additional information was available at the date of this report. Follow-up information received from the patient's physician provided event outcome and county where vaccine was administered. She recovered.
Age: 41.0
Sex: F
Vaccine: FLUN3
Symptoms: Pleurisy
Clinical narrative: Information regarding Flumist (2003-2004 Formula) (influenza virus vaccine, live intranasal (2003-2004 formula) nasal solution (frozen)) was received from a healthcare professional regarding a 41 year old female pt who experienced pleurisy, inflammation, shortness of breath and chest pain.  At 41 years of age, the pt received a dose on 12/09/2003.  The pt who worked in the reporting physician's office, developed chest pain (chest pain) in the evening of 12/14/2003.  The next day, she was still complaining of chest pain and shortness of breath (dyspnoea).  An EKG was performed and it was abnormal.  The pt was given nitroglycerin every five minutes for three doses.  That same day, she was admitted to the hospital.  Her chest pain continued through the night.  She was diagnosed with pleurisy (pleurisy) and inflammation (inflammation).  On 12/16/2003, she was discharged from the hospital. Test Results: Electrocardiogram (results: abnormal) was done on 15-Dec-2003. Additionally, fibrin D dimer (results: increased) was done on an unspecified date. No additional information was available at the date of this report. Follow-up information received from the patient's physician provided event outcome and county where vaccine was administered. She recovered.
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain, Headache, Laboratory test abnormal, Leukocytosis, Muscle spasms
Clinical narrative: Vomiting about 24 hours post vaccine.  Muscle spasms off hands and feet with pronounced tonic turning inward movements).  Hospitalized for 1 day. Mother with tingling sensation in hands post vaccination. Grandfather with rigors/extremity spasms also.  Nurse follow up on 08/04/04 states: "headache, upper abd pain/"
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: Vomiting about 24 hours post vaccine.  Muscle spasms off hands and feet with pronounced tonic turning inward movements).  Hospitalized for 1 day. Mother with tingling sensation in hands post vaccination. Grandfather with rigors/extremity spasms also.  Nurse follow up on 08/04/04 states: "headache, upper abd pain/"
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Angioneurotic oedema, Laboratory test abnormal, Malaise
Clinical narrative: Angioedema the day after vaccine but "feel sick" after vaccine.  Angioedema for the first time in my life-healed itself then returned again. Extensive allergist test followed allergist can't find the cause
Age: 77.0
Sex: M
Vaccine: TTOX
Symptoms: Laboratory test abnormal, Muscular weakness
Clinical narrative: Right upper muscle weakness, which goes to right hand. Reviewed medical record. Please add bilateral arm pain and shoulder stiffness
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus, Rash, Rash erythematous, Urticaria
Clinical narrative: Red itchy bumps on skin, predominantly on arms, started to develop 12/15/03 and progressed over the next 2 days. Pt evaluated by Dermatology 12/17/03. Dx urticarial exanthema. Rx'd Benadryl.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: Left deltoid red and warm two days after flu shot. Arm examined 12/11/03 and no longer red. Pt says redness lasted only 2-3 days and is fine now.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Flushing, Headache, Pruritus, Urticaria
Clinical narrative: Received shot 12/4/03 about 3:00 PM. No reaction at that time. 12/5/03 awoke in AM with headache and feeling "flush". Approx 9-9:30 noticed hives to arms (due to itching). Took Benadryl 50mg and went home. Called Infection Control and private MD.
Age: 1.33
Sex: F
Vaccine: FLUX
Symptoms: Anorexia, Insomnia, Pyrexia, Urticaria
Clinical narrative: Friday morning 2:00 AM fevers of 104.5 and higher for 3 full days. Hives, wouldn't eat or drink. Hardly slept. Took them 10 full days until December 12 to call me and tell me they accidentally gave her the adult flu shot.
Age: 41.0
Sex: M
Vaccine: FLU3
Symptoms: Dysgeusia, Hiccups
Clinical narrative: 1 hour after receiving this vaccine pt reported to Medical Squadron with c/o metallic taste in mouth and hiccups. Hiccups continued for 2 days. Was seen in ER given Phenergan 25mg IM. Reglan 10mg and viscous Lidocaine.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash
Clinical narrative: Had flu shot 12/16/2003. 3 days later, Friday, 12/19/2003 rash developed. Rash all over body. Some itching mostly today, Monday, 12/22/2003.
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Oedema peripheral, Pain, Skin disorder
Clinical narrative: 12/16/03 noted localized pain at 0500. At 1200 developed redness, tightness in the skin developed around around 1700 and swelling of the arms and itching. There has been progression of the swelling and erythema to below the elbow since 12/17/03. 12/18/03 has erythema measuring 25cm.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Pyrexia, Rash papular
Clinical narrative: 4 days after receiving Influenza shot, leg became red and developed temperature of 100 degrees. 7 days after receiving shot saw physician. Then had red papules, 1 on each leg which was firm, pale center, surrounding erythema. Given Zyrtec, Benadryl.
Age: 1.42
Sex: M
Vaccine: DTAPHEPBIP, FLU3, HIBV
Symptoms: Bronchitis
Clinical narrative: Mom stated child became ill and she took him to their PA on Wed December 3. He had bronchitis. PA did not feel there was any relationship of his illness to vaccines. He had seen PA on Nov 25, the day before immunizations were given and he was fine then.
Age: 75.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Coma, Eye movement disorder, Opisthotonus, Respiratory rate increased, Screaming
Clinical narrative: Pt shrieked while sitting in chair, arched back and neck, flailed her arms and legs. This lasted about 2 minutes. The pt was unresponsive with rapid breathing and eyes rolled back. By 6:30 AM, pt responsive to touch and speech. No injuries, no incontinence, breathing normal.
Age: 9.0
Sex: F
Vaccine: FLU3
Symptoms: Agitation, Crying, Dysphonia, Pain, Rash maculo-papular
Clinical narrative: Mother talked to PHN per phone 12/16. Stated shortly after vaccination administered to daughter (12/15), pt became hoarse and started "crying and screaming" about pain to right arm, site of flu vaccine. Denied shortness of breath. Mother referred to ER. Daughter was not crying then, stated she didn't want to cry in front of the nurses and doctors. They (ER?) will have her incident reported (I am assuming she was not seen by MD - that the mother telephoned and she was referred to ER then). Daughter was assessed, no procedures administered. Mother stated arm "looked fine" with exception of red splotchiness to entire arm "like spider veins - or the way your face does when you cry a lot".
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Redness and swelling and warmth inferior to injection site.  Unable to evaluate adverse reaction vs cellulitis; tx'd Keflex.
Age: 1.0
Sex: M
Vaccine: MMR, PNC
Symptoms: Rash
Clinical narrative: Rash after MMR-face, neck, trunk and extremities. Benadryl given.
Age: 1.0
Sex: M
Vaccine: MMR, PNC
Symptoms: Rash
Clinical narrative: Rash after MMR-face, neck trunk and extremities. Benadryl given within 5 minutes.
Age: 81.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site swelling
Clinical narrative: 2nd done: well delineated slightly raised, erythematous welt 5x6cm.  Resolved promptly!
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Warm, red, swollen area approximated 2x2 inches at injection site.
Age: 1.0
Sex: M
Vaccine: FLU3, MMR, VARCEL
Symptoms: Rash papular
Clinical narrative: Rash over face and trunk; diffuse papular starting on 12/20/03.  No fever or malaise.
Age: 1.0
Sex: M
Vaccine: MMR, PNC
Symptoms: Rash
Clinical narrative: Rash after MMR-face neck trunk and extremities.  Benadryl given within 5 minutes.
Age: 49.0
Sex: F
Vaccine: FLUX
Symptoms: Rash pruritic
Clinical narrative: Rash, severe itching since 10/24/03 until present have been to ER twice MD office on 12/16/03.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Tenderness
Clinical narrative: Pt received vaccine on 12/18/2003 @ 1600.  Reported to immunization clinic on 12/19/2003 @ 1330 with complained of red, tender, painful, swelling, at immunization site.  Pt seen by flight surgeon.
Age: 31.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Arthralgia, Ecchymosis, Injection site induration, Malaise, Myalgia
Clinical narrative: 10 cm of ecchymoses/induration associated malaise, myalgias, arthralgias and fever.
Age: 31.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Pyrexia
Clinical narrative: 10 cm of ecchymoses/induration associated malaise, myalgias, arthralgias and fever.
Age: 49.0
Sex: F
Vaccine: TYP
Symptoms: Nausea, Pain, Pyrexia
Clinical narrative: Nausea and slight temperature; left arm was so painful that client could not lift it.  Pain continued for 2.5 days.
Age: 1.3
Sex: F
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Red and swollen at injection site 10x10cm.
Age: 10.0
Sex: M
Vaccine: IPV, TD, VARCEL
Symptoms: Pruritus, Skin discolouration, Skin ulcer
Clinical narrative: 1 week after varicella pt developed itch with multiple lesions on trunk, arms and legs a few on face.  Lesions seen today are completely healed with multiple dark spots.
Sex: M
Vaccine: HEPA, TD
Symptoms: Rash
Clinical narrative: 3 days following receiving vaccines soldier developed generalized rash.  Over upper torso.  Prescribed cortisone cream from medical provider.
Age: 64.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Large local reaction redness, edema: of right upper arm.
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Feeling hot, Pruritus
Clinical narrative: 2 days after receiving anthrax vaccine, pt p/w significant itching of right arm where shot administered.  On exam, erythema measuring 9x12 inches in the area with (+) warmth to the touch.  Pt provided with education, reassurance.
Age: 26.0
Sex: F
Vaccine: ANTH
Symptoms: Skin ulcer, Urticaria
Clinical narrative: Approximately 24 hours after receiving anthrax vaccine, pt developed urticaria on her wrists, which subsequently spread to her arms, neck and trunk.  Symptoms/lesions completely resolved about 6 hours after pt treated with Benadryl 50mg IM x1.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Disorientation, Pruritus
Clinical narrative: About 30 minutes after receiving vaccine, pt noted facial itching and feeling of disorientation, "like things are moving in slow motion".  On exam, no rash no angioedema, no neurologic abnormalities.  Pt given Benadryl 50mg IM with subsequent resolution of symptoms.
Age: 39.0
Sex: F
Vaccine: VARCEL
Symptoms: Dyspnoea, Pharyngolaryngeal pain, Rash, Urticaria
Clinical narrative: Complained of sore throat and difficulty breathing 12/16/2003.  On 12/19 face and tongue swollen.  Hives (rash) on face and buttocks 12/22/2003 recovery "feels better".
Age: 0.6
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Cyanosis, Erythema, Feeling hot, Oedema
Clinical narrative: After administration of DTAP (to right thigh) and HIB & Prevnar (to left thigh)-both legs immediately turned red, warm and swelled.  About 10 minutes later, the feet began to turn blue and feel cool.  Child screaming whole time.  Child sent to local ER. One dose of Benadryl given.
Age: 4.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Contracted varicella 12/19/2003
Age: 1.4
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Bacterial infection, Pneumonia
Clinical narrative: Bacteremia; Pneumonia
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Pain, Rash pruritic, Urticaria
Clinical narrative: 12/17: States she felt itchy on abdomen when she looked like she had a rash, then rash extended to arms and legs on 12/18.  She noticed welts, today 12/19/2003.  Welts subsided and rash soreness improved but still itchy.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Face oedema, Urticaria
Clinical narrative: Hives developed all over about 10 pm, while at work.  Vaccine administered at 11:00am same day.  Lips swollen and difficulty breathing.  Pt went to clinic ER for tx.
Age: 29.0
Sex: F
Vaccine: UNK
Symptoms: Feeling hot, Injection site swelling, Tenderness
Clinical narrative: 6cm warm, raised, tender area at site of injection.
Age: 20.0
Sex: M
Vaccine: UNK
Symptoms: Contusion, Pain
Clinical narrative: 5 days after TB test, throbbing pain in left forearm, unable to lift due to increased pain. NO swelling or redness at injection site.  3 inch bruise noted on 11/09, went to provider on 11/10.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site oedema
Clinical narrative: Large local reaction to left upper arm with redness and swelling. Reaction vs cellulitis diagnosis.  Placed on antibiotic for 10 days.
Age: 1.3
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Pain, erythema and swelling at site where DTAP, Prevnar, HIB administered 11x7 area of erythema.
Age: 43.0
Sex: M
Vaccine: FLU3
Symptoms: Hypersensitivity, Urticaria
Clinical narrative: I received an influenza vaccination on October 27, 2003; I broke out in hives the following day.  I have been sporadically breaking out in hives during the past 2 months; specific reason for outbreak unknown.  I had no known allergies prior to the breakout.  Appears I may possibly be allergic to chocolate now, though not confirmed.  I saw a doctor and was prescribed prednisone and diphenhydramine.  Medication has had little effect.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 24 hrs after receiving PPV23 (pneumovax)0.5 ml vaccination in left posterioir upper arm sucutaneously, patient has reddened 10 cm by 6 cm warm, indurated, non-itching area on posterior left upper arm.  No hives, no itching, no dyspnea or other signs of reaction systemically.  This was the patient's SECOND PPV23, had first one approximately 13 years ago per patient statement. Denies histroy of any reaction to the first vaccination.  No treatment given for present reaction, observation only.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Diarrhoea, Irritability, Pyrexia, Rash
Clinical narrative: hAD A FEVER FOR THREE DAYS STARTING ON THE 25TH RASH STARTED ON THE 27TH-ON THE TRUNK SPREAD TO ARMS AND LEG VERY FUSSY HAND NOW GOING TO EAR DIARRHEA FOR PAST TWO DAYS
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Balance disorder, Dry skin, Erythema, Headache
Clinical narrative: On 1-6-03 received Anthrax #1. Couple of hrs later boarded plane to deploy and became nauseated. One week later noted problems with balance, emesis x5-6, and headache. Denied diarrhea, fever, sore throat or other symptoms. Stated no one else in unit became sick. Reported adequate fluid intake. Symptoms lasted approx one day. Felt fine for remainder of tour.   Returned to States and received anthrax #2 on 4-25-03. One hour later became nauseated with emesis 4-5 times. One wk later again reported problems with balance, nausea with emesis, and night sweats the night before. Reports no visual problems and is unable to associate symptoms with any activity. Symptoms start to ease throughout the day and by the next day he is back to normal. Symptoms reoccur approx 2-3 times every month since the anthrax vaccine. Last episode was on Nov 27/03. States symptoms are always the same. Pt sought medical attention once for these symptoms and was given I.V. fluids. Stated he had labs drawn, but no other diagnostic work up.   Also states that he has intermittent headaches, and joint pain from waist down. Had a previous fracture of rt ankle and now reports occasional swelling of that ankle. Pain is described as dull and achy. Is able to fit into boots and shoes. For the pain he has tried various medication including Ultracet, Bextra and Percocet. Has taken 4 Percocet without relief.  Within last 2 months has noted an area in center of chest just above umbilicus as being dry and slightly red. Denies any itching and change in lotions, soaps and detergents. Rash does not bother him and is nowhere else on body.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Nausea, Night sweats, Oedema peripheral, Pain, Rash
Clinical narrative: On 1-6-03 received Anthrax #1. Couple of hrs later boarded plane to deploy and became nauseated. One week later noted problems with balance, emesis x5-6, and headache. Denied diarrhea, fever, sore throat or other symptoms. Stated no one else in unit became sick. Reported adequate fluid intake. Symptoms lasted approx one day. Felt fine for remainder of tour.   Returned to States and received anthrax #2 on 4-25-03. One hour later became nauseated with emesis 4-5 times. One wk later again reported problems with balance, nausea with emesis, and night sweats the night before. Reports no visual problems and is unable to associate symptoms with any activity. Symptoms start to ease throughout the day and by the next day he is back to normal. Symptoms reoccur approx 2-3 times every month since the anthrax vaccine. Last episode was on Nov 27/03. States symptoms are always the same. Pt sought medical attention once for these symptoms and was given I.V. fluids. Stated he had labs drawn, but no other diagnostic work up.   Also states that he has intermittent headaches, and joint pain from waist down. Had a previous fracture of rt ankle and now reports occasional swelling of that ankle. Pain is described as dull and achy. Is able to fit into boots and shoes. For the pain he has tried various medication including Ultracet, Bextra and Percocet. Has taken 4 Percocet without relief.  Within last 2 months has noted an area in center of chest just above umbilicus as being dry and slightly red. Denies any itching and change in lotions, soaps and detergents. Rash does not bother him and is nowhere else on body.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Vomiting
Clinical narrative: On 1-6-03 received Anthrax #1. Couple of hrs later boarded plane to deploy and became nauseated. One week later noted problems with balance, emesis x5-6, and headache. Denied diarrhea, fever, sore throat or other symptoms. Stated no one else in unit became sick. Reported adequate fluid intake. Symptoms lasted approx one day. Felt fine for remainder of tour.   Returned to States and received anthrax #2 on 4-25-03. One hour later became nauseated with emesis 4-5 times. One wk later again reported problems with balance, nausea with emesis, and night sweats the night before. Reports no visual problems and is unable to associate symptoms with any activity. Symptoms start to ease throughout the day and by the next day he is back to normal. Symptoms reoccur approx 2-3 times every month since the anthrax vaccine. Last episode was on Nov 27/03. States symptoms are always the same. Pt sought medical attention once for these symptoms and was given I.V. fluids. Stated he had labs drawn, but no other diagnostic work up.   Also states that he has intermittent headaches, and joint pain from waist down. Had a previous fracture of rt ankle and now reports occasional swelling of that ankle. Pain is described as dull and achy. Is able to fit into boots and shoes. For the pain he has tried various medication including Ultracet, Bextra and Percocet. Has taken 4 Percocet without relief.  Within last 2 months has noted an area in center of chest just above umbilicus as being dry and slightly red. Denies any itching and change in lotions, soaps and detergents. Rash does not bother him and is nowhere else on body.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Skin discolouration, Skin reaction
Clinical narrative: Spot where injection given feels as if indented in skin, grey, feels wierd, like my muscle tissue is dying.
Age: 0.8
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain upper, Crying, Erythema, Eye oedema, Face oedema
Clinical narrative: Patient began crying and acting as if really bad stomach ache and passing lots of gas, then ears started swelling, trunk area turned red, then eyes and lips swoll and whole body turned red and a fast heart beat  Vaccine was the Aventis U1143AA type
Age: 0.8
Sex: F
Vaccine: FLU3
Symptoms: Flatulence, Heart rate increased, Oedema
Clinical narrative: Patient began crying and acting as if really bad stomach ache and passing lots of gas, then ears started swelling, trunk area turned red, then eyes and lips swoll and whole body turned red and a fast heart beat  Vaccine was the Aventis U1143AA type
Age: 43.0
Sex: M
Vaccine: HEPA, MMR, TYP, YF, HEPA, MMR, TYP, YF, HEPA
Symptoms: Eye discharge, Eye irritation, Facial palsy, Hypoaesthesia
Clinical narrative: Information has been received from a health authority through an advanced surveillance program, however the info was initially reported by a health professional concerning a 43 year old male pt with pre-existing medical conditions which included post-traumatic stress disorder, depression and he is a recovering alcoholic who on 9/23/03 at 18pm was vaccinated IM in the left arm with a first dose of hep A virus vaccine inactivated. Suspected therapy administered on 9/23/03 at 18:00 included a first dose of yellow fever virus vaccine administered SC in the right arm, a first dose of Typhim VI administered IM in the right arm, and a first dose of MMR administered SC in the left arm. Concomitant therapy at the time of vaccination included Paxil 20mg 1 daily. Ten days later, on 10/3/03 at 9am the pt experienced irritation to his right eye. The following day he had clear drainage from the right eye and numbness on right side of his lip. Two days later, on 10/6/03, the pt saw a physician and was diagnosed with Bell's Palsy. The symptoms were treated with prednisone and Valtrex. The physician prescribed prednisone 40 mg PO BID for three days, 30mg PO BID for three days, 20mg PO BID for three days and 10mg PO BID for three days, the discontinue; and Valtrex 500mg PO BID for seven days. A fluorescein dye examination of the right eye revealed negative corneal abrasion and was to be rechecked one month later. The pt fully recovered by 11/25/03. No other info was available at this time. Bell's palsy, irritation to his right eye, clear drainage from the right eye, and numbness on right side of his lip were considered to be other important medical events (OMIC). Additional info is expected.
Age: 43.0
Sex: M
Vaccine: HEPA, MMR, TYP, YF, HEPA, MMR, TYP, YF, HEPA
Symptoms: Eye discharge, Eye irritation, Facial palsy, Hypoaesthesia, Laboratory test abnormal
Clinical narrative: Information has been received from a health authority through an advanced surveillance program, however the info was initially reported by a health professional concerning a 43 year old male pt with pre-existing medical conditions which included post-traumatic stress disorder, depression and he is a recovering alcoholic who on 9/23/03 at 18pm was vaccinated IM in the left arm with a first dose of hep A virus vaccine inactivated. Suspected therapy administered on 9/23/03 at 18:00 included a first dose of yellow fever virus vaccine administered SC in the right arm, a first dose of Typhim VI administered IM in the right arm, and a first dose of MMR administered SC in the left arm. Concomitant therapy at the time of vaccination included Paxil 20mg 1 daily. Ten days later, on 10/3/03 at 9am the pt experienced irritation to his right eye. The following day he had clear drainage from the right eye and numbness on right side of his lip. Two days later, on 10/6/03, the pt saw a physician and was diagnosed with Bell's Palsy. The symptoms were treated with prednisone and Valtrex. The physician prescribed prednisone 40 mg PO BID for three days, 30mg PO BID for three days, 20mg PO BID for three days and 10mg PO BID for three days, the discontinue; and Valtrex 500mg PO BID for seven days. A fluorescein dye examination of the right eye revealed negative corneal abrasion and was to be rechecked one month later. The pt fully recovered by 11/25/03. No other info was available at this time. Bell's palsy, irritation to his right eye, clear drainage from the right eye, and numbness on right side of his lip were considered to be other important medical events (OMIC). Additional info is expected.
Sex: U
Vaccine: ANTH, MMR, YF, ANTH, MMR, YF, SMALL
Symptoms: Convulsion, Migraine, Oedema, Pain, Sleep disorder
Clinical narrative: This case was considered medically important (OMIC). Information was received from a published literature article against smallpox in an isolated primary care facility. The article describes the authors' experience implementing a smallpox vaccination program and its effect on routine operations in an isolated hospital and its nine satellite clinics. Their program included an extensive educational component provided to each person, whether or not they were to receive the vaccine. A child of one of the vaccinated health care workers developed skin lesions suggestive of secondary vaccinia. Relevant medical history was not provided. Indication for smallpox vaccination was immunization. Product was administered on an unspecified date. Dose regimen was not provided. Concomitant medications were not reported. A child developed skin lesions suggestive of secondary vaccinia following exposure to the parent, who was a healthcare worker who received the smallpox vaccination through the vaccination program. The child was kept isolated from a daycare center for five days. The authors noted that the healthcare worker did not miss any time from work, and insurance covered all diagnostic testing. The authors concluded that it is as important to address a potential recipient's perception of vaccination, as it is to inform them of scientific fact. They credit and aggressive preliminary education campaign for the compliance in their smallpox vaccination program. Polymerase chain reaction (results: testing for herpes and vaccinia virus was negative) was done on an unspecified date. This is one of three siblings who developed skin lesions suggestive of secondary vaccinia following exposure to a parent who had received the smallpox vaccination.No additional information was available at the date of this report.