chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Feeling hot, Infection, Pyrexia, Swelling
Clinical narrative: Temp 104 degrees. Left thigh slightly warm and layer (swollen) then right thigh treated.  Pharynx infected. (Rapid strep/ throat cultrue done).
Age: 0.53
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia, Rash
Clinical narrative: Pt received Peadiarix #2 Hib #2 and Prevnar #2 on 9/20/02 then fever that NOC 103, then rash 48 hours lateer.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Erythema, Feeling hot, Joint range of motion decreased, Swelling
Clinical narrative: Mother states in AM Thursday 9/29/04, she noticed moderate swelling and erythema of left deltoid area. States child did not complain of pain and no fever. States she gave child Tylenol and cool pack to site. States child had no difficulty with movement of arm. Today 10/01/04 moderate swelling, erythema noticeable. Hot to touch. Child does no complaint of pain, able to move arm with diffculty, advised to continue with Tylenol cool pack. Mother states sx of arm improved, swelling, redness down since 9/29.
Age: 1.02
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash maculo-papular
Clinical narrative: 5 days fever to 103 degrees. Maculopapular rash chest/ back/ face irritability
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, IPV
Symptoms: Erythema, Injection site induration
Clinical narrative: 11 cm diameter area of erythema and induration. Problem area on left thigh.
Age: 12.0
Sex: F
Vaccine: MMR, TD
Symptoms: Erythema
Clinical narrative: Local reaction. 2 inches of surrounding erythema. Left shoulder.
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site induration
Clinical narrative: Right thigh induration 2.5" x 2". Treat with Tylenol , cold compress
Age: 1.43
Sex: F
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: 10/04/04: rash right chest, right arm , left arm, right lateral lower side, calf, 25-34 in number. 10/05/2004: family reports 54 in number
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site induration
Clinical narrative: Induration and redness left upper arm 12cm high 18 cm wide.
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site swelling, Irritability, Skin irritation
Clinical narrative: Pt was very irritable. Injection sites were irritated and swollen.
Age: 22.0
Sex: M
Vaccine: RAB
Symptoms: Nausea, Pain
Clinical narrative: Body aches evening after vaccine. Nausea starting 8 am next day , all day.
Age: 25.0
Sex: F
Vaccine: RAB
Symptoms: Fatigue, Heart rate irregular
Clinical narrative: Fatigued, pulse 100 next day.
Age: 24.0
Sex: F
Vaccine: RAB
Symptoms: Influenza like illness, Nausea, Pain
Clinical narrative: Body aches, "flu-like", but no fever from 11:00 pm to AM. Nausea from 9/16/04 AM until 9 PM.
Age: 20.0
Sex: F
Vaccine: RAB
Symptoms: Aphthous stomatitis, Pain
Clinical narrative: Day of second dose : achiness in arm, chest and leg of side of body where vaccine administered. Several days later: developed several aphthous ulcers. Treated with ibuprofen. Pain x 2 days.
Age: 23.0
Sex: F
Vaccine: RAB
Symptoms: Lymphadenopathy, Nausea, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Approximately 8 hours after vaccination felt feverish, nauseous, slight sore throat. Next day noted "golf-ball sized" cervical lymph node. Feverish and nauseated x 1-2 days, node decreased over week.
Age: 1.33
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Dermatitis bullous, Drug ineffective, Infection
Clinical narrative: Got chickenpox: had vaccine (sibling has chickenpox)
Age: 0.17
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever: admitted into hospital.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Erythema, Injection site oedema, Pyrexia, Rash maculo-papular
Clinical narrative: Pt with increased temperature, redness, edema at shot sites with generalized macular papular rash.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Petechiae, Purpura
Clinical narrative: Around 24 hours after Trihibit vaccine given , he developed purpuric/ petechial rash
Age: 5.0
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, MMR
Symptoms: Abdominal pain
Clinical narrative: Mother reported rash appearing 10/7/04 took child to ER doctor there instructed giving Benadryl which mom did give. Today 10/8/04 child c/o stomach pain. Mother denies any nausea, vomiting, diarrhea or fever. Mother will take child to see private physician.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Injection site oedema
Clinical narrative: Subcutaneous cellulitis, erythema, edematous around injected area, no fever. Tx w/ warm pads and Clindamycin.
Age: 28.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Headache, Lethargy, Pain
Clinical narrative: Lethargy slept 8 hrs out of 24 the day of and after getting the shots. Slept 16 today. Has general achiness with HA 8 (on scale of 1-10) the first day 2 hours after the shots.
Age: 4.0
Sex: M
Vaccine: DTAP, HBHEPB
Symptoms: Erythema, Injection site mass, Oedema, Pain, Pruritus
Clinical narrative: Mother reported excessive itching at site of vaccine admin on left upper arm 2 days later. Arm became swollen to level of mid lower left arm and very reddened with child c/o pain in arm 2 days later also.
Age: 43.0
Sex: F
Vaccine: RUB
Symptoms: Arthralgia, Mouth ulceration, Oedema, Rash
Clinical narrative: Diffuse rash upper extremities, trunk and abdomen. Mouth sores/ulcers, joint swelling and pain.
Age: 30.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Cow pox, Rash maculo-papular
Clinical narrative: Maculopapular rash in patches over trunk/extremities--approx. 5 mm patches--some w/crusted center.   Diagnosis:  generalized vaccinia. Treatment:  Allegra, Pepcid.
Age: 41.0
Sex: M
Vaccine: FLU3
Symptoms: Abnormal behaviour, Anger, Asthenia, Back pain, Dizziness
Clinical narrative: Low Grade Fever, Weakness, Fast Heart Rate, Dizziness, Behavior Change(anger/short temper), Low Back Pain, Sharp Head Ache at left eye and forehead.
Age: 41.0
Sex: M
Vaccine: FLU3
Symptoms: Headache, Heart rate increased, Pyrexia
Clinical narrative: Low Grade Fever, Weakness, Fast Heart Rate, Dizziness, Behavior Change(anger/short temper), Low Back Pain, Sharp Head Ache at left eye and forehead.
Age: 34.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Injection site mass, Injection site rash, Pyrexia
Clinical narrative: High Fever, Red Rash & Lump AT INJECTION SITE, LUMP AND RASH SPREAD UP TO SHOULDER AND DOWN ARM.
Age: 18.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Headache, Muscular weakness, Neck pain
Clinical narrative: Severe aching of head, neck and back followed by weakness of arms and legs.  This started 24 hours after the shot and has continued for 5 days.  Physical exam and neurologic examination is completely normal.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Feeling hot, Pain, Swelling
Clinical narrative: swollen, red, sore, felt hot Pt taking ibuprofen and applying ice when felt hot
Age: 0.42
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Cardiac arrest, Retinal haemorrhage, Sudden infant death syndrome
Clinical narrative: Unknown after vaccine administered on 10/5/2004. Medical Records received on 12/07/2004 states asystole and bilateral retinal hemorrhages. Autopsy Report received on 1/12/2005 states SIDS.
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Coordination abnormal, Demyelination, Fatigue, Gait disturbance
Clinical narrative: Experienced numbness, tingling in left upper extremity after first two injections, but prior to third injection.  This was followed by Lhermitte's sign a month or so after third injection.  MRI 1 year later revealed two small areas of periventricular demyelination, and finally, full blown MS diagnosed in 11-03. Follow up 02/02/05: Patient has not recovered from the adverse events related to this vaccination. MRI proven multiple deep white matter lesions. Progressive worsening of neurological symptoms including gait ataxia, muscualr spasticity, inability to walk mor than 100 feet without assistance. The individual has realized small improvments with self directed chelation therapy for thimerosal poisning, yet remains totally disabled and unable to work.   Treatment after diagnosis consisted of Zanaflex prn, intravenous and oral steroids twice, and Betaseron injections for a few months until the development of an injection site necrosis.  Currently no active treatment.  Nurse follow up on 10/30/04 states: "Weakness; Fatigue."
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Hypoaesthesia, Hypokinesia, Laboratory test abnormal, Multiple sclerosis, Nervous system disorder
Clinical narrative: Experienced numbness, tingling in left upper extremity after first two injections, but prior to third injection.  This was followed by Lhermitte's sign a month or so after third injection.  MRI 1 year later revealed two small areas of periventricular demyelination, and finally, full blown MS diagnosed in 11-03. Follow up 02/02/05: Patient has not recovered from the adverse events related to this vaccination. MRI proven multiple deep white matter lesions. Progressive worsening of neurological symptoms including gait ataxia, muscualr spasticity, inability to walk mor than 100 feet without assistance. The individual has realized small improvments with self directed chelation therapy for thimerosal poisning, yet remains totally disabled and unable to work.   Treatment after diagnosis consisted of Zanaflex prn, intravenous and oral steroids twice, and Betaseron injections for a few months until the development of an injection site necrosis.  Currently no active treatment.  Nurse follow up on 10/30/04 states: "Weakness; Fatigue."
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Paraesthesia
Clinical narrative: Experienced numbness, tingling in left upper extremity after first two injections, but prior to third injection.  This was followed by Lhermitte's sign a month or so after third injection.  MRI 1 year later revealed two small areas of periventricular demyelination, and finally, full blown MS diagnosed in 11-03. Follow up 02/02/05: Patient has not recovered from the adverse events related to this vaccination. MRI proven multiple deep white matter lesions. Progressive worsening of neurological symptoms including gait ataxia, muscualr spasticity, inability to walk mor than 100 feet without assistance. The individual has realized small improvments with self directed chelation therapy for thimerosal poisning, yet remains totally disabled and unable to work.   Treatment after diagnosis consisted of Zanaflex prn, intravenous and oral steroids twice, and Betaseron injections for a few months until the development of an injection site necrosis.  Currently no active treatment.  Nurse follow up on 10/30/04 states: "Weakness; Fatigue."
Age: 1.03
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site induration, Rash papular
Clinical narrative: 1 cm round area of induration and redness with scattered papules, present 12 days after immunizations.
Age: 6.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: Left thigh redness/itching, slightly warm, raised 10cm area.
Age: 1.29
Sex: M
Vaccine: DTAPH
Symptoms: Petechiae, Purpura
Clinical narrative: About 24 hours after Trihibit vaccine given, he developed purpuric/petechial rash.
Age: 6.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swollen and red area at injection site (4.5"x5.75"). Benadryl for swelling; Motrin for discomfort.
Age: 43.0
Sex: F
Vaccine: DT
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Swelling, redness to site with pain, fever. Well 48 hours later after shot.
Age: 0.9
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Pyrexia, Viral infection
Clinical narrative: Chicken pox like rash; fever of 101.
Age: 3.0
Sex: M
Vaccine: PNC
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Red and bump around the area were vaccine was given.
Age: 62.0
Sex: M
Vaccine: FLUX
Symptoms: Aphthous stomatitis, Diarrhoea, Dysphagia, Fatigue, Lethargy
Clinical narrative: Severe sore throat ~24 hr. post IM flu vaccination.  Difficult swallowing and esophageal burning sensation with anything swallowed, including cool purified H2O.  Fatigue.  Lethargy.  No nausea, dizziness, vomiting or syncope.  Mild photophobia.  No fever or chills.  Single night sweat.  Vaccinated 6pm Pacific time Oct. 4, 2004.  Now, after 7 symptomatic days, throat shows only slightest improvement while pain seems to move down oesophagus and out eustachian tubes.
Age: 62.0
Sex: M
Vaccine: FLUX
Symptoms: Night sweats, Oesophageal pain, Pharyngolaryngeal pain, Photophobia
Clinical narrative: Severe sore throat ~24 hr. post IM flu vaccination.  Difficult swallowing and esophageal burning sensation with anything swallowed, including cool purified H2O.  Fatigue.  Lethargy.  No nausea, dizziness, vomiting or syncope.  Mild photophobia.  No fever or chills.  Single night sweat.  Vaccinated 6pm Pacific time Oct. 4, 2004.  Now, after 7 symptomatic days, throat shows only slightest improvement while pain seems to move down oesophagus and out eustachian tubes.
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Rash, pin point and red, began in antecubital space of left arm. Then spread body wide; itchy soles of feet. No wheezing.
Age: 22.0
Sex: M
Vaccine: HEPAB, TD
Symptoms: Dizziness, Fatigue, Nausea, Pallor
Clinical narrative: Patient is 22-year-old male with complaints of feeling dizzy and lightheaded after getting the vaccine.  He reports feeling very tired.  He reports within 10 minutes of getting the vaccination he became very light headed, and dizzy.  He felt sick but did not feel like he was going to vomit.  Denies pruritus.  No hives.   He subsequently went to get his blood drawn and it didn't get worse.  It seemed to be the same.  He was reportedly pale.  He went to sleep for 1.5 hours and then he felt a little better.  He subsequently went to sleep for 2 more hours and then he felt much better.   At 1 years of age, he was vaccinated with DTP  "convulsions".  Sister reports he had "fits" every hour for the night. At 10 years of age, he had tetanus and polio --- felt fine after these vaccines.
Age: 49.0
Sex: F
Vaccine: MMR
Symptoms: Difficulty in walking, Joint swelling, Pyrexia, Rash
Clinical narrative: 10/04/04 woke up with rash and swollen right knee front and back.10/05/04 Both knees swollen and had a fever. Saw the Dr. prescribed ice packs and 600mg ibuprofen.  10/06/04 left elbow,wrist, and fingers swollen. 10/12/04 right wrist, and fingers swollen.  Knees got better with treatment after 3 days each.  Rash lasted 3 days.  Both hands and wrist have not yet recovered. I could not walk well for 4 days and missed 4 days of work.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site warmth, Pyrexia, Urinary tract infection
Clinical narrative: redness and warmth at injection site/ fever of 103. Received Omnicif.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Paraesthesia, Rash, Thermal burn
Clinical narrative: Received influenza vaccine in a.m. After lunch, noticed slight burning/tingling sensation to skin. Didn't notice any rash. No itching. Arrived home about 5 p.m., changed clothes and noticed rash on chest & shoulders (like "red lace"). Took Benadryl 50mg and was less red in a few hours. This has never happened after a flu shot before.
Age: 1.05
Sex: F
Vaccine: VARCEL
Symptoms: Irritability, Pyrexia, Rash, Rash erythematous, Sleep disorder
Clinical narrative: On 10/7/04 observed rash over body "round spots, raised somewhat", non pruritic,very irritable, awkened earlier than normal, fever present (?101) on 10/7 only, irritability lasted for 3 days, rash gone today,it had gradually faded, treated with Tylenol.
Age: 1.03
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: On 9/18 returned to clinic, erupted with rash from head to toe, (date of rash onsest not specified). Had fever a few days prior to rash. On 9/20 rash, head to toe. Small raised bumps, not blisters. Still had low grade fever. Treated with Bactriban and Zyrtec and improved.
Age: 56.0
Sex: M
Vaccine: FLUX
Symptoms: Hypoaesthesia, Muscle atrophy, Pain, Radiculitis brachial
Clinical narrative: TERRIBLE PAIN IN LEFT ARM FIRST DIAGNOSED AS CERVICAL DISC, LEFT HAND NUMBNESS WITH M.  Nurse follow up on 11/01/04 states: "There is no new information."
Age: 36.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Abdominal pain, Anxiety, Arthralgia, Chills, Constipation
Clinical narrative: 37 year old male vaccinated for deployment in February 2003.  In January 2003 he received MMR, anthrax, and yellow fever vaccines.  On 8 February, he received MMR again even though he had his medical records with him, and anthrax vaccine.  He developed a low grade fever, generalized aches and pains immediately after receipt of the immunization.  On the fifth day he developed "severe" pain for which he took aspirin and ibuprofen with some relief.  He also developed constipation alternating with diarrhea, hematuria and dysuria for the next two weeks.  On the evening of 24 February he could not sleep due to severe abdominal pain and cramping.  The pain started on the right side and then spread to the entire abdomen.  He went to the emergency room and was admitted for observation.  He was transferred to the hospital where he underwent an exploratory laparoscopy.  His appendix was removed, but was not inflamed.  He continued to have abdominal pain that was similar to the pain experienced before surgery.  He was told that this was a direct result of the gas used for the laparoscopic procedure.  He continued to have chills, low grade fever and aches.  He was transferred back.  He deployed, but was sent back to deal with family issues.  His abdominal pain was 6-7 on a 0-10 pain scale for the October 2003 to January 2004 time period.  During this time, he also noted muscle spasms and twitching that progress until he has pain in the affected muscles (upper and lower extremities). He had increased fatigue until January or February 2004 when he started running 1 1 ½ miles a day.  He was able to continue this activity until April 2004 when he developed dizziness, nausea, shortness of breath and "spotty" vision with exercise.  From April to August 2004 he started to feel achy, run down, and short of breath, "like I had the flu".  During this time, his abdominal pain was sporadic, only occurring once or twice a month.  He had a sigmoidoscopy in April or June 2004 that identified mild diverticulosis.  In August 2004 he received his second anthrax vaccine.  Shortly afterwards, he developed a recurrence of the abdominal pain.  He was also treated for anxiety and depression.  Headaches also developed after the second anthrax vaccine.  These headaches are accompanied by lightheadedness, dizziness, and a low grade fever.  He has not been able to identify a trigger for the headaches or anything that will relieve them.  He continues to have intermittent, migrating, needle-like sensation in his shoulders, thighs and forearms. He has also noted swelling of the knee, ankle, arm, and finger joints bilaterally.  He now uses a cane to walk secondary to disequilibrium, "spongy" leg muscles, and arthralgias in his knees and ankles.
Age: 36.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Depression, Diarrhoea, Dizziness, Dyspnoea, Dysuria
Clinical narrative: 37 year old male vaccinated for deployment in February 2003.  In January 2003 he received MMR, anthrax, and yellow fever vaccines.  On 8 February, he received MMR again even though he had his medical records with him, and anthrax vaccine.  He developed a low grade fever, generalized aches and pains immediately after receipt of the immunization.  On the fifth day he developed "severe" pain for which he took aspirin and ibuprofen with some relief.  He also developed constipation alternating with diarrhea, hematuria and dysuria for the next two weeks.  On the evening of 24 February he could not sleep due to severe abdominal pain and cramping.  The pain started on the right side and then spread to the entire abdomen.  He went to the emergency room and was admitted for observation.  He was transferred to the hospital where he underwent an exploratory laparoscopy.  His appendix was removed, but was not inflamed.  He continued to have abdominal pain that was similar to the pain experienced before surgery.  He was told that this was a direct result of the gas used for the laparoscopic procedure.  He continued to have chills, low grade fever and aches.  He was transferred back.  He deployed, but was sent back to deal with family issues.  His abdominal pain was 6-7 on a 0-10 pain scale for the October 2003 to January 2004 time period.  During this time, he also noted muscle spasms and twitching that progress until he has pain in the affected muscles (upper and lower extremities). He had increased fatigue until January or February 2004 when he started running 1 1 ½ miles a day.  He was able to continue this activity until April 2004 when he developed dizziness, nausea, shortness of breath and "spotty" vision with exercise.  From April to August 2004 he started to feel achy, run down, and short of breath, "like I had the flu".  During this time, his abdominal pain was sporadic, only occurring once or twice a month.  He had a sigmoidoscopy in April or June 2004 that identified mild diverticulosis.  In August 2004 he received his second anthrax vaccine.  Shortly afterwards, he developed a recurrence of the abdominal pain.  He was also treated for anxiety and depression.  Headaches also developed after the second anthrax vaccine.  These headaches are accompanied by lightheadedness, dizziness, and a low grade fever.  He has not been able to identify a trigger for the headaches or anything that will relieve them.  He continues to have intermittent, migrating, needle-like sensation in his shoulders, thighs and forearms. He has also noted swelling of the knee, ankle, arm, and finger joints bilaterally.  He now uses a cane to walk secondary to disequilibrium, "spongy" leg muscles, and arthralgias in his knees and ankles.
Age: 36.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Fatigue, Haematuria, Joint swelling, Muscle spasms, Muscle twitching
Clinical narrative: 37 year old male vaccinated for deployment in February 2003.  In January 2003 he received MMR, anthrax, and yellow fever vaccines.  On 8 February, he received MMR again even though he had his medical records with him, and anthrax vaccine.  He developed a low grade fever, generalized aches and pains immediately after receipt of the immunization.  On the fifth day he developed "severe" pain for which he took aspirin and ibuprofen with some relief.  He also developed constipation alternating with diarrhea, hematuria and dysuria for the next two weeks.  On the evening of 24 February he could not sleep due to severe abdominal pain and cramping.  The pain started on the right side and then spread to the entire abdomen.  He went to the emergency room and was admitted for observation.  He was transferred to the hospital where he underwent an exploratory laparoscopy.  His appendix was removed, but was not inflamed.  He continued to have abdominal pain that was similar to the pain experienced before surgery.  He was told that this was a direct result of the gas used for the laparoscopic procedure.  He continued to have chills, low grade fever and aches.  He was transferred back.  He deployed, but was sent back to deal with family issues.  His abdominal pain was 6-7 on a 0-10 pain scale for the October 2003 to January 2004 time period.  During this time, he also noted muscle spasms and twitching that progress until he has pain in the affected muscles (upper and lower extremities). He had increased fatigue until January or February 2004 when he started running 1 1 ½ miles a day.  He was able to continue this activity until April 2004 when he developed dizziness, nausea, shortness of breath and "spotty" vision with exercise.  From April to August 2004 he started to feel achy, run down, and short of breath, "like I had the flu".  During this time, his abdominal pain was sporadic, only occurring once or twice a month.  He had a sigmoidoscopy in April or June 2004 that identified mild diverticulosis.  In August 2004 he received his second anthrax vaccine.  Shortly afterwards, he developed a recurrence of the abdominal pain.  He was also treated for anxiety and depression.  Headaches also developed after the second anthrax vaccine.  These headaches are accompanied by lightheadedness, dizziness, and a low grade fever.  He has not been able to identify a trigger for the headaches or anything that will relieve them.  He continues to have intermittent, migrating, needle-like sensation in his shoulders, thighs and forearms. He has also noted swelling of the knee, ankle, arm, and finger joints bilaterally.  He now uses a cane to walk secondary to disequilibrium, "spongy" leg muscles, and arthralgias in his knees and ankles.
Age: 36.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Nausea, Pain, Pyrexia, Sleep disorder, Visual disturbance
Clinical narrative: 37 year old male vaccinated for deployment in February 2003.  In January 2003 he received MMR, anthrax, and yellow fever vaccines.  On 8 February, he received MMR again even though he had his medical records with him, and anthrax vaccine.  He developed a low grade fever, generalized aches and pains immediately after receipt of the immunization.  On the fifth day he developed "severe" pain for which he took aspirin and ibuprofen with some relief.  He also developed constipation alternating with diarrhea, hematuria and dysuria for the next two weeks.  On the evening of 24 February he could not sleep due to severe abdominal pain and cramping.  The pain started on the right side and then spread to the entire abdomen.  He went to the emergency room and was admitted for observation.  He was transferred to the hospital where he underwent an exploratory laparoscopy.  His appendix was removed, but was not inflamed.  He continued to have abdominal pain that was similar to the pain experienced before surgery.  He was told that this was a direct result of the gas used for the laparoscopic procedure.  He continued to have chills, low grade fever and aches.  He was transferred back.  He deployed, but was sent back to deal with family issues.  His abdominal pain was 6-7 on a 0-10 pain scale for the October 2003 to January 2004 time period.  During this time, he also noted muscle spasms and twitching that progress until he has pain in the affected muscles (upper and lower extremities). He had increased fatigue until January or February 2004 when he started running 1 1 ½ miles a day.  He was able to continue this activity until April 2004 when he developed dizziness, nausea, shortness of breath and "spotty" vision with exercise.  From April to August 2004 he started to feel achy, run down, and short of breath, "like I had the flu".  During this time, his abdominal pain was sporadic, only occurring once or twice a month.  He had a sigmoidoscopy in April or June 2004 that identified mild diverticulosis.  In August 2004 he received his second anthrax vaccine.  Shortly afterwards, he developed a recurrence of the abdominal pain.  He was also treated for anxiety and depression.  Headaches also developed after the second anthrax vaccine.  These headaches are accompanied by lightheadedness, dizziness, and a low grade fever.  He has not been able to identify a trigger for the headaches or anything that will relieve them.  He continues to have intermittent, migrating, needle-like sensation in his shoulders, thighs and forearms. He has also noted swelling of the knee, ankle, arm, and finger joints bilaterally.  He now uses a cane to walk secondary to disequilibrium, "spongy" leg muscles, and arthralgias in his knees and ankles.
Age: 10.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth, Similar reaction on previous exposure to drug
Clinical narrative: Received injection at 3:30 pm on October 11, 2004.  Apx 3 hours later injection site was red, very swollen, very hard and hot.  Same thing happened last year.  Doctors office told us to give Benadryl every 6 hours.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness
Clinical narrative: Dizziness in the evening for about an hour.....took Tylenol.
Age: 58.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Fatigue, Feeling hot, Injection site hypersensitivity, Injection site swelling
Clinical narrative: Vaccine given appx. 11 a.m. 10/08/04. Arm very sore, unable to raise it by 1:30 p.m.; large red area of swelling where injection was given. By 7:00 p.m. tiredness set in with fever and severe swelling of entire upper arm with heat eminating from area. Patient wanted to sleep and rest, but  the wife wouldn't let him and finally convinced him he needed medical attention by appx. 9:00 p.m. Emergency walk-in med. center (EMO) diagnosed edema and cellulitis at site of injection, with temp. of appx. 101. Injection given of Rocephin and antibiotic; 2 Motrins; 2 antihistamines. Instructions to return the next day for re-check. At this time on 10/09/04, swelling and redness still present,still unable to raise arm, but no fever. Prescriptions given for 10 days of Prednisone and 10 days of oral antibiotics. EMO requested 3 day follow-up on 10/12/04; swelling is reduced, temp. is normal,and patient has full use of arm.  Follow up on 10/18/04 states: "Right deltoid problem site."
Age: 58.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Joint range of motion decreased, Oedema peripheral, Pain, Pyrexia
Clinical narrative: Vaccine given appx. 11 a.m. 10/08/04. Arm very sore, unable to raise it by 1:30 p.m.; large red area of swelling where injection was given. By 7:00 p.m. tiredness set in with fever and severe swelling of entire upper arm with heat eminating from area. Patient wanted to sleep and rest, but  the wife wouldn't let him and finally convinced him he needed medical attention by appx. 9:00 p.m. Emergency walk-in med. center (EMO) diagnosed edema and cellulitis at site of injection, with temp. of appx. 101. Injection given of Rocephin and antibiotic; 2 Motrins; 2 antihistamines. Instructions to return the next day for re-check. At this time on 10/09/04, swelling and redness still present,still unable to raise arm, but no fever. Prescriptions given for 10 days of Prednisone and 10 days of oral antibiotics. EMO requested 3 day follow-up on 10/12/04; swelling is reduced, temp. is normal,and patient has full use of arm.  Follow up on 10/18/04 states: "Right deltoid problem site."
Age: 1.08
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Child recieved Varicella vaccine and came down with severe case of Chicken Pox all over her body. There is a possibility she may have been exposed just before she got the vaccine.
Age: 1.42
Sex: M
Vaccine: DTAP, MMR
Symptoms: Abnormal behaviour, Aggression, Autism, Speech disorder
Clinical narrative: Information has been received from a consumer concerning her 5 year old son who was vaccinated with a dose of MMR. Concomitant therapy given around the time of vaccination included diphtheria toxoid (+) pertussis vaccine (unspecified) (+) tetanus toxoid and poliovirus vaccine. Subsequently he developed autism. Unspecified medical attention was sought and no further information was given. There was no product quality complaint involved. Follow up information from a nurse indicated that the patient was first seen in that physician's office on 4/27/01 with complaints of not speaking well, becoming demanding and needy, and liked to be alone. A well visit on 7/5/01 indicated that the patient was uncooperative for the exam, the physical exam was normal and the patient displayed normal warm behavior toward parent and other children. The patient's mother reported that the patient was using made up words, which was difficult to assess, as the patient spoke Indian. No developmental issues were reported at that time. In February 2002, the patient was unable to use two word phrases and could no longer point to objects upon request. The patient was referred for further evaluation and testing. In March 2002, it was reported that the patient was diagnosed with autistic disorder. In May 2004, the patient was referred to occupational therapy, a developmental preschool, and was enrolled in an educational program. Upon internal review, autism was determined to be an other important medical event (OMIC). Additional information has been requested. Follow up 03/03/05: Patient has not recovered from the adverse event(s).
Age: 1.3
Sex: M
Vaccine: FLU3, PNC
Symptoms: Febrile convulsion, Lethargy, Pyrexia, Viral infection
Clinical narrative: Complex febrile seizure; fever. Discharge Summary received on 1/3/2005 states lethargy. Medical Record received on 1/3/2005 states viral inflammatory process.
Age: 0.18
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Abdominal distension, Agitation, Crying, Hyperkalaemia, Oral intake reduced
Clinical narrative: This is a 10 week old infant who received her first set of immunizations, all four shots, as of 10/1/04 around noon and then went home and was completely well for a little over 24 hours. The next day around 5:00 PM, she started having inconsolable crying and cried nonstop until about 2:00 AM this morning and was brought to the emergency room and admitted for observation. There is no history of any fever. She was unable to feed well and vomited once during this period of crying. Stools are normal once daily. In the emergency room, the child had abdominal x-ray done, which revealed significant gaseous distention. CBC was normal and heel stick electrolytes were normal except for elevated potassium. Medical Record received on 1/7/2005 states pt experienced a low grade fever.
Age: 0.18
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia, Vomiting
Clinical narrative: This is a 10 week old infant who received her first set of immunizations, all four shots, as of 10/1/04 around noon and then went home and was completely well for a little over 24 hours. The next day around 5:00 PM, she started having inconsolable crying and cried nonstop until about 2:00 AM this morning and was brought to the emergency room and admitted for observation. There is no history of any fever. She was unable to feed well and vomited once during this period of crying. Stools are normal once daily. In the emergency room, the child had abdominal x-ray done, which revealed significant gaseous distention. CBC was normal and heel stick electrolytes were normal except for elevated potassium. Medical Record received on 1/7/2005 states pt experienced a low grade fever.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Gait disturbance, Oedema
Clinical narrative: 09/20/04: Mom says that she put ice on immunization the PM of vaccine 09/07/04.  She did not notice any excessive swelling until date of doctor's appointment on 09/09/04.  MD appointment was to actually see about rash. MD hospitalized with knees. The pt is a 4 year old male who presents for direct admission from office secondary to extremely swollen, red, feverish, right leg status post vaccinations at the health department two days ago. Mom reports she had not noticed this was this swollen until this morning. The child has complained that his leg hurt since he got his vaccines two days ago and has been "limping around the house".  Mother did not note any fever or chills and in fact, actually brought him in for complaint of rash on his face and in the left groin area. She reports that she did not actually notice his swelling of his leg until he got to the office today.
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Pt developed hives generalized all over body, but no anaphylaxis, no allergy, no difficulty breathing. Pt still active, alert, responsive.
Age: 14.0
Sex: M
Vaccine: FLU3
Symptoms: Hypoaesthesia, Injection site erythema, Injection site mass, Injection site pain, Oedema
Clinical narrative: Injection site-Erythematous-indurated 3x4 inches and painful. Ipsilateral axilla swollen and tender, with anterior axillary fold swollen. Pt describes numbness and tingling in axilla and right anterior chest wall.
Age: 14.0
Sex: M
Vaccine: FLU3
Symptoms: Paraesthesia, Tenderness
Clinical narrative: Injection site-Erythematous-indurated 3x4 inches and painful. Ipsilateral axilla swollen and tender, with anterior axillary fold swollen. Pt describes numbness and tingling in axilla and right anterior chest wall.
Age: 1.52
Sex: F
Vaccine: DTAP, FLU3, IPV, PPV
Symptoms: Urticaria
Clinical narrative: 18 hours after injection of vaccines developed hives over entire body.
Age: 17.0
Sex: M
Vaccine: HEP, IPV, MMR, TD, VARCEL
Symptoms: Dizziness, Hypotension, Pallor
Clinical narrative: OV 10/8/04 for school vaccines. No record of previous vaccination. Immediately after last vaccine pt became lightheaded and pallor. Pt's condition continued to get progressively worse on observation. Attempted to obtain blood pressure and couldn't. 911 was called and Benadryl 50mg IM was administered along with Epinephrine 0.5ml IM at 10:52AM per agency standing order by RN. EMS arrived and pt was taken by ambulance to ER.
Age: 0.08
Sex: F
Vaccine: DTAP, HEP, IPV, PNC
Symptoms: Unevaluable event
Clinical narrative: None bad, but PCV vial had superimposed HIB label, see enclosed.
Age: 9.0
Sex: F
Vaccine: PPV
Symptoms: Injection site oedema
Clinical narrative: c/o swelling of arm, axilla, shoulder (LA) 24 hours after injection no c/o fever or pain.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: Father called 10/1/04 re: s/s swelling, redness, no c/o pain. Mother called 10/04/04 re: s/s cont swelling from RA (deltoid to elbow area). No previous hx of adverse vaccine reaction. Child in good health.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: On 9/14/2004 client received Dtap #5, IPV #4 in right arm and MMR #2, HEP A #1 in left arm. On 9/15/04, mom states child's right arm was red and hot. On 9/16/04, mom states child's right arm was red and hot down to her elbow. Mom took child to ER, ER doctor prescribed Keflex and Benadryl. Child was afebrile.
Age: 23.0
Sex: F
Vaccine: HEPAB
Symptoms: Injection site rash, Pruritus
Clinical narrative: Client developed rash and pruritus on arms and legs there days after 2nd Twinrix administered. Client given Prednisone 1 pill x 5 days (dose UNK)
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site mass, Injection site oedema, Pyrexia
Clinical narrative: Low grade fever, right arm swelling at site of injection, hard, by hospital had cellulitis.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Feeling hot, Injection site erythema, Injection site mass
Clinical narrative: Right arm very red, hot, hard
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV
Symptoms: Feeling hot, Injection site erythema, Injection site mass, Pyrexia
Clinical narrative: 08/26/2004 red, indurated skin over left deltoid area. Warm to touch, no fever. 8/26/04 5P increased redness and hotness left deltoid, temp 99.8PO.
Age: 11.0
Sex: F
Vaccine: MMR, TD
Symptoms: Bacterial infection, Pyrexia, Urticaria, Vomiting
Clinical narrative: Tues 9/7/04 had MMR and TD vaccines. At 2AM on 9/8 awoke with fever and vomiting. Later same day still fever 103.5 and hives to right side of face in clusters. Took to MD. Sibling also has flu sx with vomiting. Also sore throat. MD Dx hives r/T fever. Rx Benadryl and Motrin. Cultured for Strep. Hives resolved by Sat 9/11 after travelling down right arm.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Right arm swelling, redness, hot to touch
Age: 0.38
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: Pt received DTaP, IPV, Comvax, and Prevnar at approx 10:30AM and within 2 hrs right leg was red and swollen and infant had fever of 107 degrees F (rectal). Mother  gave infant Tylenol, which did not control the fever. She took pt to ER at Hospital at 1:30PM where fever was 107F (Rectal). Children's Motrin was given and within 1 hr fever was down to 100F. Fever controlled by Motrin after that was given for 4-5 days.
Age: 1.06
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Erythema, Rash, Rash macular
Clinical narrative: Rash, blotchy, red on face, scalp, back, stomach and diaper area.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Fontanelle bulging, Screaming
Clinical narrative: Child received immunizations at 9:30AM today 9/21/04. Infant's mom called at 2:50PM state child had been  crying almost 30 min could not do anything to console child. You could hear child crying in background, I instructed mother to stop by clinic. She stated she was close by. She arrived at the clinic about 3PM. Child arrived at clinic crying inconsolably with high pitched cry. APRN summoned to check infant. Temp checked. Temp 98.1 on exam, found lungs clear, heart RRR, fontanels WNL with bulging noted. Child observed to cry more when she moved her legs. There was also over response to stimuli. APRN talked with DR who instructed her to have mom swaddle infant, offer Tylenol 0.4cc ever 4-6 hrs prn, offer fluids/formula ever 1-2 hrs, to decrease stimulation x 6hrs she also instructed mom to take child to hospital if temp increases to more than 104 with Tylenol, if child becomes listless, unresponsive or fontanel begins to bulge.  APRN also conveyed Dr's instructions to mother. Mother voiced understanding of instructions. APRN swaddled child and child calmed down somewhat after pressure taken off legs which occurred if child held against mom. Order for no more pertussis written per APRN. Also mom had administered 0.6cc Genavar gtts before coming to clinic at 2:40PM. Follow up call to mom she states she took child home and applied ice to legs. She states child slept x 1 hr. She said child awoke and cried off and on for a little while but settled down with application of ice to legs. She states child went to sleep again at 8PM and had a good night. Instructed mom to call clinic if she encountered any further problems.
Age: 1.35
Sex: F
Vaccine: DTAP
Symptoms: Contusion, Feeling hot, Injection site mass, Injection site oedema
Clinical narrative: Pt's mother informed her aunt (a RN) of reaction 9/29/04. Arm swelling around site, hot, knot to area. 10/1/04 Arm swollen to hand and hot. Talked with mother 10/4/04. Pt arm not swollen, no temp, still knotted and bruised.
Age: 0.15
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Chills, Crying, Screaming
Clinical narrative: 3-4 hours of chills, high pitched crying, inconsolable.
Age: 10.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Face oedema, Rash, Urticaria
Clinical narrative: Within 30 min of immunization child had swelling of face and eyes, hives on face and rash over entire body. No respiratory problems, received Benadryl 37.5mg PO, Epipen Jr x 1 IM, Decadron 2.5mg IM also Orapred orally tapering dose.
Age: 3.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Unevaluable event
Clinical narrative: UNK
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Swelling
Clinical narrative: At 9pm on 9/17/04, pt's mother noted redness, swelling and streaking on patient's right arm. She notified doctor.
Age: 0.32
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema, Injection site induration, Screaming
Clinical narrative: Screaming ongoing since receiving vaccine bilateral thigh areas reddened, induration. Right thigh around 2" area erythema induration. Left thigh minimal redness, induration.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Tenderness
Clinical narrative: Knot 4 cm on left upper thigh, tender to touch: mom noticed one day after 12 months shots was given. Treated: Benadryl tid, cool compresses prn.
Age: 0.16
Sex: M
Vaccine: DTAP, HIBV, PNC, UNK
Symptoms: Abdominal distension, Agitation, Decreased appetite, Irritability
Clinical narrative: Inconsolable; very fussy, swollen abdomen, decreased appetite. Onset x 1-2 days.
Age: 2.0
Sex: M
Vaccine: UNK
Symptoms: Herpes zoster
Clinical narrative: Herpes Zoster 10/01/2004 forehead.
Age: 0.34
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Screaming
Clinical narrative: Excessive crying after immunization x 4 hours.
Age: 54.0
Sex: F
Vaccine: UNK
Symptoms: Dyspnoea, Pruritus
Clinical narrative: General itching, shortness of breath
Age: 46.0
Sex: F
Vaccine: MMR, TD
Symptoms: Arthralgia
Clinical narrative: Has had joint pain in the right arm and left knee starting approximately one day after injection. Status had been to MD and he could find nothing abnormal and related pain back to injection.
Age: 40.0
Sex: F
Vaccine: MMR, TD
Symptoms: Arthralgia, Erythema, Feeling hot, Tenderness
Clinical narrative: Reported joint pain in right arm, tenderness, in right arm, redness and hot to touch at approximately 3 weeks after injection.
Age: 12.0
Sex: M
Vaccine: HEP, TD
Symptoms: Blister, Body temperature increased, Erythema, Feeling hot, Infection
Clinical narrative: Patient's arm became red, warm to touch and tender shortly after shot was given. After a few days it developed blisters, pt had slightly increased temperature, Welts, redness and swelling at site. Also very tender. Seen by PMD 9/17 and placed on antibiotics for "infection".
Age: 12.0
Sex: M
Vaccine: HEP, TD
Symptoms: Injection site erythema, Injection site swelling, Tenderness, Urticaria
Clinical narrative: Patient's arm became red, warm to touch and tender shortly after shot was given. After a few days it developed blisters, pt had slightly increased temperature, Welts, redness and swelling at site. Also very tender. Seen by PMD 9/17 and placed on antibiotics for "infection".
Age: 0.17
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Anorexia, Irritability
Clinical narrative: Excessive irritability for 10-12 hours, not eating that started 3rd to 4th day after vaccine. Mom reports pt did well after office visit.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pain
Clinical narrative: Pain and redness on right thigh approximately 8cm x 7cm. Pt brought to clinic 48 hours after Immunization.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Feeling hot, Swelling
Clinical narrative: Swelling of the deltoid about 5" x 5.5" area is warm. Saw primary care physician day after vaccination when noticed reaction physician prescribed antibiotic and antihistamine.
Age: 1.57
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR, PNC, VARCEL
Symptoms: Pyrexia
Clinical narrative: Mother called health department at 1:15p. 10/05/04. Had taken child to the ER: temp. Reported 103. No rash. To relieve symptoms with Tylenol or Motrin.
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Tenderness
Clinical narrative: Redness and tenderness to injection site. Onset day of injection within 4 hours. Antibiotics given.
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Erythema, Pyrexia, Swelling
Clinical narrative: Fever 103 degrees due NOC of 10/01/2004. Red, slightly swollen 1 x 3 cm area left thigh while received Varivax injection on 9/23/04. Parents gave Tylenol and Ibuprofen.
Age: 10.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Tenderness
Clinical narrative: Cellulitis. Left deltoid. 6x7 cm red, swollen, tenderness at injection site. Rx: Keflex 250/5 10ml tid, Benadryl 1.5tsp q  hours. Follow up: one week
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR, VARCEL
Symptoms: Heart rate increased, Swelling face, Urticaria
Clinical narrative: 5 years old male came for vaccination. DTaP-IPV, HEP B Varicella. No previous medical history, no known allergies. Vaccines given. Few minutes later baby developed severe urticaria with swelling of face/lips. Heart rate 140-160. Immediate epinephrine given x 1 reaction observed . Vital signs became stable. Was sent to ER for further observation.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Asthenia, Dyspnoea, Heart rate increased, Pallor, Wheezing
Clinical narrative: Difficulty breathing, wheezing, paleness, weakness ad fast heart beat. Took him to the ER. They administered 3 breathing treatments. He has been at the doctors' numerous times since shot date as he continues to have trouble breathing. No problems prior to shots.