chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 48.0
Sex: F
Vaccine: LYME
Symptoms: Dermatitis, Pain, Pruritus
Clinical narrative: The medical history included 2 episodes of kidney stones and urinary retract infection. There were no known allergies, however, it was reported that the vaccinee had "poor tolerance to anesthetics." The PT had no history of joint complaints, gout, psoriasis, Lyme disease, or Crohn's disease. There was no family history of rheumatoid arthritis or lupus. Concurrent medications included conjugated estrogens (Premarin). The PT's husband was diagnosed w/Lyme disease and since the PT had the same exposure as the husband, she chose to receive her first injection of LYMErix in 1999. 2 wks later, in June 99, she began to experience an aggravation of painful pruritic dermatitis. The allergist / immunologist reported that the PT has had episodes of painful pruritic dermatitis for the past 3 yrs. The dermatitis covered the entire body w/the exception of the face. At the time of this report, the PT has not been treated, since "the MD is trying to make a definite diagnosis first." The allergist / immunologist considered the event to be possibly related to LYMErix administration. Lab studies performed in Feb. 2000 revealed uric acid 5.5 mg/dL, hemoglobin 12.9 g/dL, white blood cell count 5,500/cumm w/a normal differential and negative antinuclear antibodies. Punch biopsy demonstrated "perivascular lynphocytic infiltrate with rare eosinophils." A nasal swab was positive for eosinophils. As of 12/16/02, the outcome of the dermatitis was unknown.
Age: 53.0
Sex: M
Vaccine: LYME
Symptoms: Rash, Urticaria
Clinical narrative: The medical history reportedly included rheumatoid arthritis since 1972 affecting all of the vaccinee's joints. His range of motion was particularly limited in his ankles and elbows and his wrists were fused. Additionally, the medical history reportedly included osteoporosis and hypertension. Reportedly the vaccinee has developed a rash when taking sulfa drugs. Reportedly, the vaccinee had no history of gout, psoriasis, Crohn's disease or Lyme disease. There were no family history of lupus. It was reported that his concurrent medications included etanercept (Enbrel), celecoxib (Celebrex), alendronate (Fosamax), amlodipine (Norvasc), and hydrochlorothiazide. In April 01 and May 01, the vaccinee reportedly received his first and second injections of LYMErix respectively w/out adverse event. The vaccinee stated that on 4/15/02, he received his 3rd injection of LYMErix. Reportedly, "w/in one week" of his third LYMErix injection, the vaccinee experienced a rash on his waist, groin, buttocks, and upper legs. The vaccinee stated that the rash started as pimples and became welts. Reportedly, he was seen by a dermatologist who did a scraping for a culture and determined that the rash was not fungal. The MD reportedly told the PT that some of the rash appeared to be "hot tub type rash" but that some appeared similar to Lyme disease rash. Reportedly, minocycline 100 mg twice daily was prescribed to treat the rash. As of 4/29/02, the event was reportedly ongoing.
Age: 49.0
Sex: M
Vaccine: LYME
Symptoms: Chest pain, Myalgia, Pruritus, Rash papular
Clinical narrative: Report A0367534A describes pain in the pectoralis muscles of a pt who rec'd Lyme disease vaccine recombinant OspA (LYMErix). In 5/99 and 6/99, the pt rec'd his first and second injections of LYMErix. Approx 7 months after receiving his second LYMErix injection, the pt began to experience pain in his pectoral muscles. He described the pain as being between his clavicle and his nipple. His pain was approximately 57% on the L side and 30 to 40% on the R side. The pt stated that the muscles were sensitive to cold air and pressure. Additionally, he had spasm of pain. The pain had worsened to the point he has had to miss work. He could not exercise or play sports without the pain recurring. Shortly after the onset of pectoral pain, the pt developed a rash on his chest at the site of his muscle pain. He was seen by a physician, who made a dx of Grover's disease. The rash was treated with hydrocortisone (Cortisone) cream. The pt underwent magnetic resonance imaging, bone scan, and unspecified laboratory blood analyses. Every test comes back within normal limits. The pt consulted with various healthcare professionals and no one has an explanation for the events that have taken place and continue to take place. The pt speculates that LYMErix may have played a role in these events. The pt states that the pain in the pectoralis muscles and the Grover's disease were probably related to LYMErix administration. As of 5/1/02, the muscle pain was worse and the Grover's disease was ongoing ("off and on").
Sex: F
Vaccine: DT
Symptoms: Arthritis
Clinical narrative: Report A0367702A describes arthritis in a pt of unspecified age who rec'd Lyme disease vaccine recombinant OspA (LYMErix). This report was rec'd from the pt and has not been verified by a physician or other healthcare professional. On an unspecified. On an unspecified date, the vaccine rec'd an injection of LYMErix; it was not known if she had rec'd previous injections of LYMErix. the reporter stated that subsequent to her LYMErix vaccination she had some arthritis. As of 5/3/02, the outcome of the event was unknown. Additional information will not be available. The adverse event "arthritis" does not meet ICH serious criteria, but is being submitted as an expedited report by special FDA request per the 6/28/00 letter.
Age: 54.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Cough, Influenza like illness, Laboratory test abnormal, Pain
Clinical narrative: Report A0371250A describes Lyme disease in a 54 year old male who received Lyme disease vaccine recombinant OspA (LYMErix). This report was received from the vaccinee's spouse and has not been verified by a physician or other healthcare professional. On 4/4/99, the vaccinee presented to his physician with fever and a bull's eye rash. A diagnosis of LYme disease was reportedly made. The physician administered the first injection of LYMErix and prescribed a 20 day course of unspecified antibiotics. On 5/6/99 and 6/3/99, the vaccinee reportedly received his second and third injections of LYMErix, respectively. The third injection was administered two months after the first injection, rather than the recommended interval of 12 months. The vaccinee's spouse stated that, on 12/1/01 the vaccinee began to experience flu-like aches, joint pain, and a cough which reportedly lingered for several weeks. The vaccinee was reportedly given unspecified test for Lyme disease that returned a positive result. As of 6/10/02, the vaccinee's flu-like aches and joint pains were reportedly worse. The outcome of the cough was reportedly unknown.
Age: 54.0
Sex: M
Vaccine: LYME
Symptoms: Pyrexia, Rash
Clinical narrative: Report A0371250A describes Lyme disease in a 54 year old male who received Lyme disease vaccine recombinant OspA (LYMErix). This report was received from the vaccinee's spouse and has not been verified by a physician or other healthcare professional. On 4/4/99, the vaccinee presented to his physician with fever and a bull's eye rash. A diagnosis of LYme disease was reportedly made. The physician administered the first injection of LYMErix and prescribed a 20 day course of unspecified antibiotics. On 5/6/99 and 6/3/99, the vaccinee reportedly received his second and third injections of LYMErix, respectively. The third injection was administered two months after the first injection, rather than the recommended interval of 12 months. The vaccinee's spouse stated that, on 12/1/01 the vaccinee began to experience flu-like aches, joint pain, and a cough which reportedly lingered for several weeks. The vaccinee was reportedly given unspecified test for Lyme disease that returned a positive result. As of 6/10/02, the vaccinee's flu-like aches and joint pains were reportedly worse. The outcome of the cough was reportedly unknown.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Lymphadenopathy, Pain
Clinical narrative: Small pox vaccine put on PT's right shoulder and lymph nodes on his right side have become inflamed from his right acute bone down to the main site has become painful and turned red.
Age: 51.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain, Cholelithiasis, Dyspnoea, Nausea
Clinical narrative: 2/13/03 Employee called in sick; complained of chest hurt at Xiphoid area, SOB, chest pain increasing and nauseous. Sent to medical center for evaluation. Diagnosed with gall stone in duct; gall bladder surgery and removal of stone recommended. Surgery 2/14/03. Discharged home 2/16/03.
Age: 51.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Malaise, Pyrexia, Visual disturbance
Clinical narrative: PT received smallpox vax 2/11/03. Noted temp of 99.9 deg F on 2/15/03 x 3 hrs only. Felt unwell on 2/20 - took BP (186/110) Vision "a little off" RI(?) Clarity. MD visit. No TX. Rev with MD 2/24/03. MD Happy with PT. No treatment.
Age: 51.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Blood pressure increased
Clinical narrative: PT received smallpox vax 2/11/03. Noted temp of 99.9 deg F on 2/15/03 x 3 hrs only. Felt unwell on 2/20 - took BP (186/110) Vision "a little off" RI(?) Clarity. MD visit. No TX. Rev with MD 2/24/03. MD Happy with PT. No treatment.
Age: 47.0
Sex: M
Vaccine: SMALL, UNK
Symptoms: Lacrimation increased, Vaccination complication
Clinical narrative: Ocular exposure to pustule fluid. PT seen by an othalmologist. Fluid from pustule splashed into eye during bandage change. Copious irrigation with H2O x 10 mins. Initial tearing. Follow up information received on 2/28/03 states: On 2/28/03 - no symptoms.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Erythema, Lymphoedema, Oedema, Pruritus
Clinical narrative: ERYTHEMA W/STREAKING, EDEMA, ITCHING, FEVER, LYMPODEMA. DX: Cellulitis TX: Keflex
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia, Skin striae
Clinical narrative: ERYTHEMA W/STREAKING, EDEMA, ITCHING, FEVER, LYMPODEMA. DX: Cellulitis TX: Keflex
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Rash morbilliform, Rash papular, Rash pruritic
Clinical narrative: Rash, morbilloform and over entire body--4-5mm papules become confluent, starting around 6 days post vaccination progressing to severe pruritic rash on day 8.  No other symptoms of note
Age: 29.0
Sex: F
Vaccine: SMALL
Symptoms: Fatigue, Rash macular
Clinical narrative: Day 9 post vacc - has macular rash over arms, lower legs and upper thighs.  Feels tired but no significant fevers or other constitutional symptoms.  Photos available.  diagnosis - probable non-specific rash post-vaccination.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site reaction, Pain, Rash erythematous, Rash papular
Clinical narrative: Painfull blemishes on lower extremities x 1wk and upper extremities x 3d. 1 cm diameter black eschar on deltoid surrounded 3-4 in. diameter erythematous patch and numerous papules on chest and back.  S/P Vaccina expected reaction.  (P) Clinical observation, follow-up 2-3 days and education.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Dermatitis, Hyperkeratosis, Rash maculo-papular
Clinical narrative: Diffuse Macular-papular Rash to trunk, extremities, face, and palms of hands. Pt remained afebrile and non-toxic. Time Course: 8 days from vaccination til onset of symptoms. RX: Supportive/observation.
Age: 45.0
Sex: F
Vaccine: SMALL
Symptoms: Rash, Rash erythematous
Clinical narrative: 2.27 at 1530 Pt complained of rash srated in the 26th.  Noted one red raised area on her left wrist 0.5mm in size.  Three same type on Left lower shin.  One on the left elbow.  Has been outside with her dogs so may be bug bites. 2.28.03 1030  right arm went away but has three more on Left shin.  To see Dr today. 1330 MD saw pt related non specific in nature no itching noted no treatment at this time.  Untetermined etiology
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Oedema, Rash
Clinical narrative: Smallpox blister was opened prematurely after 1 wk. Swelling began. Redness spread. 6 days later bumps swelled across chest and back.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Erythema multiforme, Rash papular
Clinical narrative: Developed erythematous papular lesions on hands, chest, back, feet and palms on day 15 after smallpox vax. Seen at a hospital day 17. Erythema multiforme not as of this writing.
Age: 26.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Rash vesicular
Clinical narrative: Vesicular eruption DB lateral epicanthal fold
Age: 26.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Conjunctivitis, Injection site pustule, Laboratory test abnormal, Rash pustular, Skin ulcer
Clinical narrative: Vesicular eruption DB lateral epicanthal fold
Age: 25.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Erythema, Feeling hot, Injection site pain, Oedema, Pain
Clinical narrative: Swelling and redness > 40 mm with tenderness in lymph nodes and injection area. Warm to touch.
Age: 26.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Erythema, Oedema, Pain, Pruritus
Clinical narrative: Large redness and swelling in left arm extending under arm to armpit, and itching and tenderness.
Age: 20.0
Sex: M
Vaccine: FLU3, SMALL, TYP, ANTH, FLUX, SMALL, TYP, SMALL
Symptoms: Chest pain, Myocarditis
Clinical narrative: Patient presented to emergency room with chief complaint of chest pain. MI ruled out diagnosis of myocarditis associated with smallpox vaccination 2/5/03. Patient was initially admitted to cardiac ICU, but then discharged to home in stable condition on 2/16/03. Echo normal. Patient will be followed up in 2 weeks by doctor.
Age: 20.0
Sex: M
Vaccine: FLU3, SMALL, TYP, ANTH, FLUX, SMALL, TYP, SMALL
Symptoms: Headache, Myocarditis
Clinical narrative: Patient presented to emergency room with chief complaint of chest pain. MI ruled out diagnosis of myocarditis associated with smallpox vaccination 2/5/03. Patient was initially admitted to cardiac ICU, but then discharged to home in stable condition on 2/16/03. Echo normal. Patient will be followed up in 2 weeks by doctor.
Age: 20.0
Sex: M
Vaccine: FLU3, SMALL, TYP, ANTH, FLUX, SMALL, TYP, SMALL
Symptoms: Laboratory test abnormal, Nonspecific reaction
Clinical narrative: Patient presented to emergency room with chief complaint of chest pain. MI ruled out diagnosis of myocarditis associated with smallpox vaccination 2/5/03. Patient was initially admitted to cardiac ICU, but then discharged to home in stable condition on 2/16/03. Echo normal. Patient will be followed up in 2 weeks by doctor.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Injection site pustule, Vaccination complication
Clinical narrative: Auto-inoculation left deltoid arm parallel to injection site. Redness with small pustule.
Age: 34.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Chest pain, Injection site reaction, Lymphangitis, Pyrexia
Clinical narrative: Large local reaction with lymphangitic spread to axilla (12 x 15 cm) and suspected secondary bacterial cellulitis with fever to 100 and chest wall pain (costochonditis) occurring 9-10 days post vax. Treated with NSAIDs, Keflex, Benadryl.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Erythema, Skin ulcer, Upper respiratory tract infection, Urticaria
Clinical narrative: PT was seen for nounal reaction to vax and viral URI and noticed approx 11 erythematous raised lesions like a wheal about 2-4 mm in site on abdomen - asympt.
Age: 47.3
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Arrhythmia, Cardiomegaly, Diarrhoea, Electrolyte imbalance, Myocardial fibrosis
Clinical narrative: Pt was immunized w/arm initial Anthrax vaccination at 7:30 am on 2/22/03.  he died late pm of 2/23/03.  Autopsy results pending from ME's office. The autopsy report states cardiac arrhythmia, cardiomegaly, myocardial fibrosis, electrolyte imbalance and diarrhea.
Age: 47.3
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Abdominal pain, Aspiration, Diarrhoea, Malaise, Vomiting
Clinical narrative: Pt was immunized w/arm initial Anthrax vaccination at 7:30 am on 2/22/03.  he died late pm of 2/23/03.  Autopsy results pending from ME's office. The autopsy report states cardiac arrhythmia, cardiomegaly, myocardial fibrosis, electrolyte imbalance and diarrhea.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Rash pustular, Rash vesicular
Clinical narrative: Vesicular and Pustular rash, on trunk both arms and genital region.  Face spared.  No fever or systemic illness.  Pustules and lesions in different regions exhibitting the same stages of lesions as the primary immunization site.
Age: 44.0
Sex: F
Vaccine: SMALL
Symptoms: Chest discomfort, Chest pain, Dizziness, Dyspnoea, Fatigue
Clinical narrative: Smallpox on 2/12/03. On 2/14/03, felt dizzy and lightheaded. BP of 90/45. Normal BP is 120/70. On 2/15/03, had muscle aches, fatigue, headache, and mild dizziness. Then on 2/16/03 PM, had difficulty breathing, tightness in chest, and chest pain. Was hospitalized and had an ECG. Results showed depressed ST waves suggesting possible ischemia. Went home. On and off chest pain. Went back to doctor on 2/26/03. Did more tests and ended in hospital overnight. Results showed a torturous heart artery. No other cardiovascular problems. No symptoms until got smallpox shot. Never got chest pain until smallpox shot.
Age: 44.0
Sex: F
Vaccine: SMALL
Symptoms: Headache, Myalgia
Clinical narrative: Smallpox on 2/12/03. On 2/14/03, felt dizzy and lightheaded. BP of 90/45. Normal BP is 120/70. On 2/15/03, had muscle aches, fatigue, headache, and mild dizziness. Then on 2/16/03 PM, had difficulty breathing, tightness in chest, and chest pain. Was hospitalized and had an ECG. Results showed depressed ST waves suggesting possible ischemia. Went home. On and off chest pain. Went back to doctor on 2/26/03. Did more tests and ended in hospital overnight. Results showed a torturous heart artery. No other cardiovascular problems. No symptoms until got smallpox shot. Never got chest pain until smallpox shot.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Fasciitis, Feeling hot, Injection site mass, Oedema, Pain
Clinical narrative: Pt initially with axillary swelling, then developed high fever and pain with movement of Right arm.  Presented to 86 CSH on 2/24.  Observed to have large axillary mass that was enlarging.  Ultrasound (only thing available) revealed 4 cm mass.  24 hours later found to have expanding area on right chest of fullness, warmth and painful movement with shoulder and arm.  Sent for eval of possible Necrotizing fasciitis.  Fever to 103.7, without any other rashes or dermal involvement.  No other recent illness or symptoms, except for severe pain and significant swelling of the right chest and supraclivicular/ axillary regions.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia
Clinical narrative: Pt initially with axillary swelling, then developed high fever and pain with movement of Right arm.  Presented to 86 CSH on 2/24.  Observed to have large axillary mass that was enlarging.  Ultrasound (only thing available) revealed 4 cm mass.  24 hours later found to have expanding area on right chest of fullness, warmth and painful movement with shoulder and arm.  Sent for eval of possible Necrotizing fasciitis.  Fever to 103.7, without any other rashes or dermal involvement.  No other recent illness or symptoms, except for severe pain and significant swelling of the right chest and supraclivicular/ axillary regions.
Age: 41.0
Sex: F
Vaccine: SMALL
Symptoms: Nausea, Pain, Pyrexia, Viral infection, Vomiting
Clinical narrative: Pt. was vaccinated 2-26-2003 she was not ill at the time. Thursday 2-27-2003 around lunch time she started having lunch and immediately felt nauseated and vomited. It was shocking to her how quickly she went from feeling well to feeling sick. She went home and laid down for awhile, around 7 pm that same evening she ate 2 slices of pizza she was again sick. No one in the family or that she was around has flu like or similiar symptoms. 2-28-2003 She stayed home from work "just felt crappy" her upper body joints hurt (shoulders, elbows, & wrist) lower body joints no symptoms. She had a headache. She called her hospital contact person to see if they thought it could be related to her vaccination. They told her to check her temp. it was 99.8 (usually she runs low)they suggested she come in to be seen by the hospital epidemiologist Dr.  She said that he thought medically it probably was a virus but that it would be a good idea to report it just in case. The Dr. adviced her to rest, take fluids check back in on monday. Today 2-28-2003 she still is tired, can't eat, is drinking fluids, her throat hurts but she thinks it is from throwing up, and her upper body joints still hurt.
Age: 45.0
Sex: M
Vaccine: DT, IPV, MMR, PPV
Symptoms: Chills, Erythema, Oedema, Pain, Pyrexia
Clinical narrative: Pt received 4 immunizations on 2/26/03, two on each deltoid. (MMR and Pneumovax on the right; he is right handed). Next day developed fever, chills and swelling of right posterior arm, and started taking motrin and tylenol regularly. Pain and swelling increased overnight, with raised confluent tender erythematous area but no striae or adenopathy (Dx: Cellulitis)
Age: 18.0
Sex: F
Vaccine: SMALL
Symptoms: Conjunctivitis, Infection, Infection transmission via personal contact, Laboratory test abnormal, Skin ulcer
Clinical narrative: On 2/14/03 pt exposed to military recruit recently vaccinated for smallpox. (Identity of recruit unknown). Noted lesions (2/14 and 2/19). Pt has three skin and locular lesion. Eval by opthalmologist 2/25 for conjunctivitis. Tx in local ER 2/26 for skin infection. Tx with Keflex CDC recommended topical antiviral for eye-d/c Rodtex (trifluridine opthalmico). Inadvertent inoculation. Peri-ocular/ocular vaccinia Follow up information states that the information is not availale , as the pt's contact is unknown (she does not know his name). The contact has since been deployed.
Age: 18.0
Sex: F
Vaccine: SMALL
Symptoms: Vaccination complication
Clinical narrative: On 2/14/03 pt exposed to military recruit recently vaccinated for smallpox. (Identity of recruit unknown). Noted lesions (2/14 and 2/19). Pt has three skin and locular lesion. Eval by opthalmologist 2/25 for conjunctivitis. Tx in local ER 2/26 for skin infection. Tx with Keflex CDC recommended topical antiviral for eye-d/c Rodtex (trifluridine opthalmico). Inadvertent inoculation. Peri-ocular/ocular vaccinia Follow up information states that the information is not availale , as the pt's contact is unknown (she does not know his name). The contact has since been deployed.
Age: 44.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Lymphangitis, Skin ulcer
Clinical narrative: patient revaccinated on 2/28/03; had original vaccination in childhood; reports within 24 hours of vaccination well-demarcated, raised lesion with erythema without fluctuance or serous fluid, appoximately 7cm distal to deltoid vaccination site of right arm; patient denies pain, fever or exudates and is without lymphadenopathy; suspect normal lymphangitis; patient sent for evaluation; will evaluate patient within 24 hours
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Diarrhoea, Malaise, Nausea, Vomiting
Clinical narrative: Nausea, diarrhea, vomiting, general malaise. Commenced within 12 hours following vaccination.  Treatment:  Saline Fluids (1l)Phenergan (25mg IV and Benadryl 50mg IV) Moderate resolution of signs and symptoms.
Age: 1.1
Sex: F
Vaccine: DTAP, HEP, HEP, MMR
Symptoms: Irritability, Oedema, Pruritus, Rash
Clinical narrative: The day after her MMR and Hep. B shot (very first MMR) she was itchy and pulled handfuls of hair out of her head.  Two days later she was very irritable and again seemed to be itchy and pulling at her clothes around her neck, and had very chapped lips.  By the fourth day after the injections, her cheeks were inflamed, swollen, and covered in a rash.  Her eyes were swollen and she had a pink dotted rash all over, mainly around her neck and mouth, and a very bad rash all over the diaper area.  By the fifth morning we took her to the Dr's office.  Her skin looks like it has been severly burned around her neck and mouth.  Her eyes are still swollen and face extremely chapped looking.  She is very irritable and itchy.  We have given her motrin for pain and benedryl for itching but have not seen any relief.  I am very worried and need to know if there have been other reports of this and if there are any permanent damage from this and when it might clear up.  Please help.
Age: 1.1
Sex: F
Vaccine: DTAP, HEP, HEP, MMR
Symptoms: Alopecia, Dry skin, Erythema, Eye oedema, Pruritus
Clinical narrative: The day after her MMR and Hep. B shot (very first MMR) she was itchy and pulled handfuls of hair out of her head.  Two days later she was very irritable and again seemed to be itchy and pulling at her clothes around her neck, and had very chapped lips.  By the fourth day after the injections, her cheeks were inflamed, swollen, and covered in a rash.  Her eyes were swollen and she had a pink dotted rash all over, mainly around her neck and mouth, and a very bad rash all over the diaper area.  By the fifth morning we took her to the Dr's office.  Her skin looks like it has been severly burned around her neck and mouth.  Her eyes are still swollen and face extremely chapped looking.  She is very irritable and itchy.  We have given her motrin for pain and benedryl for itching but have not seen any relief.  I am very worried and need to know if there have been other reports of this and if there are any permanent damage from this and when it might clear up.  Please help.
Age: 1.1
Sex: F
Vaccine: DTAP, HEP, HEP, MMR
Symptoms: Rash
Clinical narrative: The day after her MMR and Hep. B shot (very first MMR) she was itchy and pulled handfuls of hair out of her head.  Two days later she was very irritable and again seemed to be itchy and pulling at her clothes around her neck, and had very chapped lips.  By the fourth day after the injections, her cheeks were inflamed, swollen, and covered in a rash.  Her eyes were swollen and she had a pink dotted rash all over, mainly around her neck and mouth, and a very bad rash all over the diaper area.  By the fifth morning we took her to the Dr's office.  Her skin looks like it has been severly burned around her neck and mouth.  Her eyes are still swollen and face extremely chapped looking.  She is very irritable and itchy.  We have given her motrin for pain and benedryl for itching but have not seen any relief.  I am very worried and need to know if there have been other reports of this and if there are any permanent damage from this and when it might clear up.  Please help.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Lymphadenopathy, Oedema, Pain
Clinical narrative: Pt presented 24hrs after #3 anthrax vaccine c/o large area of redness, sore, swollen of left arm; extending from mid bicep, across elbow to proximal forearm >120cm; nearly circumfrential, but sparing ant-lat strip of bicep approx 2.5cm wide by 8 cm long. Mild axillary adenopathy.  No joint symptoms, no systemic symptoms
Age: 44.0
Sex: M
Vaccine: FLUX, FLU3
Symptoms: Optic neuritis, Vision blurred, Visual disturbance
Clinical narrative: 2 days after the flu shot, my vision in my right eye starting getting blurry. After various tests (MRI) (spinal tap) the doctors decided I have optic neuritis. My vision is still blurry.
Age: 44.0
Sex: M
Vaccine: FLUX, FLU3
Symptoms: Optic neuritis, Vision blurred
Clinical narrative: 2 days after the flu shot, my vision in my right eye starting getting blurry. After various tests (MRI) (spinal tap) the doctors decided I have optic neuritis. My vision is still blurry.
Age: 33.0
Sex: U
Vaccine: SMALL, SMALL
Symptoms: Anorexia, Headache, Pain, Photophobia, Pyrexia
Clinical narrative: Symptomatic headache with photophobia WBC inc 11.9, low grade fever 99.4, r/o aseptic meningitis.
Age: 33.0
Sex: U
Vaccine: SMALL, SMALL
Symptoms: Headache, Photophobia, Pyrexia, White blood cell count increased
Clinical narrative: Symptomatic headache with photophobia WBC inc 11.9, low grade fever 99.4, r/o aseptic meningitis.
Age: 28.0
Sex: F
Vaccine: VARCEL
Symptoms: Diabetes mellitus, Unintended pregnancy
Clinical narrative: Information has been received through the manufacturer pregnancy registry from a 28 year old female physician who on 1/24/02 was vaccinated with a dose of varicella virus vaccine live. There was no local reaction at the vaccination site. Neither varicella symptoms nor herpes zoster symptoms were noted post vaccination. On 3/18/02 the physician found out that she was 6 weeks pregnant. The patient is a G1P0. The approximate date of LMP is 1/27/02 (also reported as 2/3/02) and the EDD is 11/3/02 (also reported as 11/10/02). The patient had a routine ultrasound and AFP which were normal. The patient developed gestational diabetes during the pregnancy. The patient took folic acid 1mg daily during the pregnancy. On 10/25/02 the patient delivered via caesarean section for fetal distress. The infant was a live born normal male weighing 5 pounds 13 ounces. No congenital anomalies were noted. There was no feature of congenital varicella zoster syndrome. Additional information is not expected.
Age: 1.6
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Agitation, Anaemia, Convulsion, Crying, Decreased appetite
Clinical narrative: 8/2 fussiness, lack of sleep and eating, screaming. 8/3 same as above, but getting worse, and temp. 8/4 same as above, temp. goes real high 103 and up. 8/5 same as above, had seizure, went to the hospital. The follow up states staph aureus osteomylitis, pyomyositis, anemia, and leukopenia.
Age: 1.6
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Irritability, Leukopenia, Myositis, Osteomyelitis, Pyrexia
Clinical narrative: 8/2 fussiness, lack of sleep and eating, screaming. 8/3 same as above, but getting worse, and temp. 8/4 same as above, temp. goes real high 103 and up. 8/5 same as above, had seizure, went to the hospital. The follow up states staph aureus osteomylitis, pyomyositis, anemia, and leukopenia.
Age: 1.6
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Sleep disorder
Clinical narrative: 8/2 fussiness, lack of sleep and eating, screaming. 8/3 same as above, but getting worse, and temp. 8/4 same as above, temp. goes real high 103 and up. 8/5 same as above, had seizure, went to the hospital. The follow up states staph aureus osteomylitis, pyomyositis, anemia, and leukopenia.
Sex: M
Vaccine: DTAP, MMR, PNC
Symptoms: Abnormal behaviour, Autism, Speech disorder
Clinical narrative: A consumer reported that her 26 month old son received a 3rd dose of Prevnar vaccine on 2/13/02 when he was 15 months old. According to the mother, the child began to show symptoms of autism at 18 months of age. He has been seen by a physician and a specialist, but has not yet been diagnosed with autism. The mother states the child does not yet talk, slaps hands, attracted to spinning objects, will only eat 2 different food items, no imagination, and bites himself on his hand. Laboratory tests include nuclear magnetic resonance imaging (results unknown). This case was serious since this event was considered medically important for this case (OMIC). No additional information was available as of the date of this report. Follow up info received on 4/4/03 from physiican. Physician confirmed consumer report and reported additional concomitant vaccines were administered on 2/13/03. Physician reported that child was seen for 15 month well check on 2/2/03. According to the physician, at that visit the child was "noted to have delyaed expressive speech" and therefore showed "the earliest signs of autism at the time of vaccination with Prrevnar, 3rd dose." The physician also reported "these vaccinations also could not be rationally responsible for the child's developmental delays." A consumer reported that her 26 month old son received a 3rd dose of Prevnar vaccine, 1st dose of MMR II and diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed on 2/13/02, when he was 15 months old. According to the mother, the child began to show symptoms of autism at 18 months of age. He has been seen by a physician and a specialist, but has not yet been diagnosed with autism. The mother states the child "does not yet talk, slaps hands, attracted to spinning objects, will only eat 2 different food items, no imagination, and bites himself on his hand." Lab tests include MRI. This case was serious (OMIC) since these events were considered medically important for this case. No additional info was available as of the date of this report.
Age: 2.5
Sex: F
Vaccine: DTAP, HEP, IPV
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Vasodilation procedure
Clinical narrative: 1 day after IZ's were given, PT developed redness, swelling, warmth to right upper arm inject site. Symptoms worsened over the next 2-3 days until seen by a medical prof'l and treated with Keflex for cellulitis. Follow up states: Vaccines were administered at an unknown clinic. Child presented in another clinic 3 days later on 02/25/2003. Since they were not the administering agency, the above vaccine information is not known.
Age: 26.0
Sex: F
Vaccine: ANTH, TYP
Symptoms: Erythema
Clinical narrative: Left arm with 3" redness about 1" induration, on 2/23/03 at 5 p.m.
Age: 40.0
Sex: F
Vaccine: TD
Symptoms: Headache, Hot flush, Nausea, Rash
Clinical narrative: 2 hrs after injection c/o rash on both arms & chest. Headache, hot flashes & nausea. PT came back to office and was given 1 cc of Kenalog 40 and 1 cc of Dexameltasore (?) and Benadryl 50 mg. PT is doing well.
Age: 1.25
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: PT's mom states after PT received DTaP on 2/4/03 that afternoon PT had redness with swelling at inject site. Denies any other s/s. States gave PT Motrin and applied a cold wash cloth to area as directed by "After the shots. What to do if your child has discomfort" Advised PT's mom if redness or tenderness after treatment to f/u with pediatrician. 2/6/03 PT's mom advised PT's leg is "a lot better" no redness and "smaller knot."
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema, Pain, Pyrexia, Vasodilation procedure
Clinical narrative: DTaP and IPV given left deltoid 2/24/03 at 10:30 a.m. Child went to school and by 6 p.m. left deltoid was swollen 3x larger than normal. It was red, hot, and painful with temp 101 deg. Was taken to urgent care on 2/25 and was started on prednisone bid x 5 days.
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Amnesia, Dizziness, Dyspnoea, Fatigue, Headache
Clinical narrative: 1) Headaches - > 3 yrs. These have become daily occurrences that are of insidious onset, any time/location and can last several hrs. These headaches are occipital, 4/10, radiating slightly to neck, no provocative measures, palliated w/OTC Excedrin. No aura, no N/V, no photo/+phonophobia, no N/T/W. No previous H/A hx. 2) Dizziness - @ 4 yrs. These Sx are intermittent from once a month to twice per week. They can last seconds to 1.5 days. PT feels room spinning, disoriented, can't focus, +N/-V, no syncopal episodes. Sx Tx'd with Meclizine. 3) "Heart Murmur" - PT was told he had palpitations. A holter monitor was performed, which was apparently benign and PT was given reassurance. These Sx occur at once/month, last secs to mins. No CP, SOB, lightheaded, diaphoretic. 4) Fatigue x @ 3 yrs. This Sx has been increasing. They are intermittent, least weekly occurring any time throughout the day. PT sleeps well. He does admit to snoring, but not bad enough to wake himself. +cold intolerance which occurs when not wearing ear protection. 10 lbs wt gain last 1.5 yrs no constipation. Diet average, +exercise. 5) SOB - X ___. PT feels when going to sleep, either upright or lying feels winded and has to take 7-8 breaths to get back to normal breathing. No Sx w/exercise. No LE edema. No tobacco, no asthma, hx. Rash R>L eyelids X 1.5 yrs. Rash occurs just below eyelid. +pruritic. Uncertain of past Tx. PT has been a German OTC cream with so-so relief. No hx eczema/atopic dermatitis. 7) Short-term memory loss. PT states he has to write everything down - i.e. apts, conversations. No problems w/long-term memory. No previous prob's. 8) Chronic sinusitis since 98. PT states he is chronically stuffy, no ocular Sx, +post-nasal drainage, no sneezing, slight cough, no F/C. No hx AR. Tx'd w/Benadryl w/out significant relief. Complete. PE to include HEENT, neck, heart, lungs, abdomen, and neurologic exam notable only for slight nasal mucosa bogginess w/scant clear rhinorrhea. Current Tx: we are monitoring headaches as they seem to be tension-type headaches and at last visit improving. Monitoring vertigo as we work on his sinuses to see if related. Monitoring palpitations given already had w/u - consider beta blocker if persists and negative SOB w/u. For fatigue check labs, CBC, Met Panel, TSH, EBV, CMV, ANA improving diet and increasing regular cardiovascular exercise. SOB likely d/t sinuses and post-nasal drainage - further w/u pending results of Tx. Dermatitis consistent w/seb derm or eczematous - we are doing a trial of hydrocortisone 1% to AA BID/PRN. Subjective short-term memory loss - monitoring w/nl PE - may need neuro eval if persist/worsen. Chronic sinusitis - currently starting Allegra, Deconsal II, and Biaxin.
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Palpitations, Rash, Rash pruritic, Sinusitis
Clinical narrative: 1) Headaches - > 3 yrs. These have become daily occurrences that are of insidious onset, any time/location and can last several hrs. These headaches are occipital, 4/10, radiating slightly to neck, no provocative measures, palliated w/OTC Excedrin. No aura, no N/V, no photo/+phonophobia, no N/T/W. No previous H/A hx. 2) Dizziness - @ 4 yrs. These Sx are intermittent from once a month to twice per week. They can last seconds to 1.5 days. PT feels room spinning, disoriented, can't focus, +N/-V, no syncopal episodes. Sx Tx'd with Meclizine. 3) "Heart Murmur" - PT was told he had palpitations. A holter monitor was performed, which was apparently benign and PT was given reassurance. These Sx occur at once/month, last secs to mins. No CP, SOB, lightheaded, diaphoretic. 4) Fatigue x @ 3 yrs. This Sx has been increasing. They are intermittent, least weekly occurring any time throughout the day. PT sleeps well. He does admit to snoring, but not bad enough to wake himself. +cold intolerance which occurs when not wearing ear protection. 10 lbs wt gain last 1.5 yrs no constipation. Diet average, +exercise. 5) SOB - X ___. PT feels when going to sleep, either upright or lying feels winded and has to take 7-8 breaths to get back to normal breathing. No Sx w/exercise. No LE edema. No tobacco, no asthma, hx. Rash R>L eyelids X 1.5 yrs. Rash occurs just below eyelid. +pruritic. Uncertain of past Tx. PT has been a German OTC cream with so-so relief. No hx eczema/atopic dermatitis. 7) Short-term memory loss. PT states he has to write everything down - i.e. apts, conversations. No problems w/long-term memory. No previous prob's. 8) Chronic sinusitis since 98. PT states he is chronically stuffy, no ocular Sx, +post-nasal drainage, no sneezing, slight cough, no F/C. No hx AR. Tx'd w/Benadryl w/out significant relief. Complete. PE to include HEENT, neck, heart, lungs, abdomen, and neurologic exam notable only for slight nasal mucosa bogginess w/scant clear rhinorrhea. Current Tx: we are monitoring headaches as they seem to be tension-type headaches and at last visit improving. Monitoring vertigo as we work on his sinuses to see if related. Monitoring palpitations given already had w/u - consider beta blocker if persists and negative SOB w/u. For fatigue check labs, CBC, Met Panel, TSH, EBV, CMV, ANA improving diet and increasing regular cardiovascular exercise. SOB likely d/t sinuses and post-nasal drainage - further w/u pending results of Tx. Dermatitis consistent w/seb derm or eczematous - we are doing a trial of hydrocortisone 1% to AA BID/PRN. Subjective short-term memory loss - monitoring w/nl PE - may need neuro eval if persist/worsen. Chronic sinusitis - currently starting Allegra, Deconsal II, and Biaxin.
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Chills, Cough, Influenza like illness, Nausea, Rhinorrhoea
Clinical narrative: Pt seen in ER with flu like symptoms (cough, runny nose, chills, nausea, vomiting, hyperactive bowel sounds). Came to ER at 10:55am following previous day vaccine injection.
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Vomiting
Clinical narrative: Pt seen in ER with flu like symptoms (cough, runny nose, chills, nausea, vomiting, hyperactive bowel sounds). Came to ER at 10:55am following previous day vaccine injection.
Age: 7.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Dyskinesia, Pallor, Skin discolouration
Clinical narrative: 04:50 p. Here for PNU and Flu requested per M.D. PNU RD and Flu Ld. ppeared pale and both arms started jerking 10 minutes after imm. given. 5:00  BP 113/67 P 104 R20  5:05p all called. 05:08  BP 107/58 P 97 R 18 Skin warm and dry. Alert still pale but a little greenish in appearance. EMT's arrived 05:10p BP 113/64 P 100 R 20. Mother agreed to have EMT transport child to ER for evaluation. Child walked out with assistance. All info. sent with pt.
Age: 52.0
Sex: F
Vaccine: ANTH
Symptoms: Gait disturbance
Clinical narrative: Patient complained of gait imbalance (drifts to the right) since February 1999. Symptoms getting progressively worse. Received 3 anthrax injections; the 3rd 3 months before gait problems began.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site pain, Injection site warmth, Pruritus
Clinical narrative: 2"x2" swollen lump at vaccination site, hot to touch, very itchy, sore to touch. (Above symptoms started about 1.5-2 hours after vaccine administered). Lasted for 4 days.
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Hypoaesthesia, Pollakiuria
Clinical narrative: For the past 2-3 days, have been using the bathroom more than regularly and my hands feel like they are asleep.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site swelling, Pruritus
Clinical narrative: Patient states right arm got swollen and itchy on 1/5/03. He went to emergency room for treatment. Please see Gov. form, dated 1/6/03.
Age: 34.0
Sex: M
Vaccine: ANTH, CHOL, HEPA, IPV, MEN, SMALL, TTOX, TYP
Symptoms: Injection site erythema, Injection site pustule, Injection site reaction, Joint range of motion decreased, Pain
Clinical narrative: 34 year old male with reaction to smallpox vaccine which was administered 9 days previously in right deltoid. Also administered 6 other vaccines same day, including Anthrax vaccine in same arm. 2cmx3cm closed pustule, + erythema on deltoid approximately 12cmx10cm. - lymphadenopathy. Right anterior cervical chain, pain 10/10. Treated with Tylenol 3, Naprosen, cold compresses, limitation of right shoulder motion.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Chest discomfort, Chest pain, Discomfort, Dyspepsia, Muscle spasms
Clinical narrative: Relates that 1-2 weeks after receiving anthrax and for 6 months after last anthrax shot (on Jan 26, 2000) he experienced chest pain that would last for 4-5 minutes with discomfort level 6-7 on a pain scale of 1-10. Relates that he had to "lay down when chest pain episodes started " and states that he "experienced palpatations and felt like his heart was pounding hand" "like muscle spasms." He denies any shortness. Chest tightness or indigestion associated with the episodes.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Palpitations
Clinical narrative: Relates that 1-2 weeks after receiving anthrax and for 6 months after last anthrax shot (on Jan 26, 2000) he experienced chest pain that would last for 4-5 minutes with discomfort level 6-7 on a pain scale of 1-10. Relates that he had to "lay down when chest pain episodes started " and states that he "experienced palpatations and felt like his heart was pounding hand" "like muscle spasms." He denies any shortness. Chest tightness or indigestion associated with the episodes.
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Area of warmth and erythema around injection site. Keflex 500mg QID.
Age: 42.0
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia, Syncope, Vertigo
Clinical narrative: After receiving 3 Lyme vaccines, I started having Lyme symptoms including joint pain, vertigo and fainting.
Age: 32.0
Sex: M
Vaccine: UNK
Symptoms: Injection site pain
Clinical narrative: Mild soreness at injection location.
Age: 1.25
Sex: M
Vaccine: HIBV, MMR
Symptoms: Dyskinesia, Tremor
Clinical narrative: Arms to whole body trembling episode then same day: head and arm jerking (L>R) approximately 6-8 times during day (no loss of consciousness). Referral to pediatric neurology.
Age: 11.0
Sex: F
Vaccine: TD, VARCEL
Symptoms: Fall, Pallor, Vomiting
Clinical narrative: Father standing next to pt. Pt sitting in chair, and slid to floor with head laying in chair seat, pale skin. Laid her into floor flat and applied erol towels to face. Pt vomited rolled to R side. BP 90/50. Pulse 80. Responsive.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Agitation
Clinical narrative: Mother brought child to ER. States crying alot after immunizations. Given Benadryl (1/4 tsp) at 7:48pm-D/C from hospital with family.
Age: 4.5
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site oedema, Injection site reaction, Injection site warmth, Pyrexia
Clinical narrative: 1/18/03 to ER. Seen and dx cellulitis and needle injury. Rx for Diflucan 250mg x 7d bid. 1/19/03 to ER. Mom states temp was 99.8 left upper arm swollen and hot to touch, didn't see doctor at that time. Left hospital and went to medical center. Didn't remember doctor's name dx was same. 1/21/03 seen by Dr. Encouraged to continue medication given in ER. States child is getting better. Mom instructed to apply warm compresses q 4 hrs x 30 mins. No fever since 1/19/03. 1/21/03 child also seen in health dept to assess arm ? swelling seen upper arm down to approx 2 inches above elbow also slightly hot in area.
Age: 1.0
Sex: F
Vaccine: HIBV, IPV, MMR, VARCEL
Symptoms: Face oedema, Flushing
Clinical narrative: States pt awoke the morning of 1/29/03 with swollen face, flushed cheeks. Denies high temp. 1/30/03 grandmother states pt's face is no longer swollen. Client was not taken to MD.
Age: 1.3
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Bronchiolitis, Convulsion, Pharyngitis, Pyrexia, Rhinitis
Clinical narrative: Mother said on 1/21/03 around 6:00 PM, baby had a seizure; lasted about 3-4 minutes. Took baby to emergency room. States baby had a temperature of 102 when they reached the hospital. States doctor said temperature had gone down. Mother said child had not had a temperature over 99 since receiving the shots on 1/14/03. had given baby Tylenol pediatric. Mother said doctor told her the seizure was not caused by the shots. If the shot caused the seizure, it would have happened before today. The high temperature was caused by Bronchiolitis and cold. This information was reported on 1/28/03.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Complaints of redness and swelling at injection site that extended 5 inches up towards R shoulder. Also, complaint of fever at site. Denies hardness. Phone call with complaints two days after injection by client's mother. Mother states primary physician notified who advised to report to clinic where injection given. Mother denies private doctor seeing injection site.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Redness, swelling, hardening of tissue surrounding injection site.
Age: 4.6
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site inflammation, Injection site oedema, Injection site pain
Clinical narrative: 8:15 pt's mom called. She said "child left arm swollen twice size of normal." 2/20/03 8:20 mom with child came in. Left deltoid involving entire upper outer arm red, inflamed. Greatest severity around DTaP site. Inflame going distal from DTaP site. Mom has had child on acetaminophen last 24 hrs. Child not complaining of pain. Sensitive to touch. Child not use left arm and guarding. Mom says child without fever or other signs/synmptoms.
Age: 1.7
Sex: M
Vaccine: DTAP, IPV
Symptoms: Pyrexia, Vomiting
Clinical narrative: Post immunization fever > 102 deg F and 3 times vomiting x 1 day