chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 43.0
Sex: M
Vaccine: ANTH
Symptoms: Diarrhoea, Migraine, Nausea
Clinical narrative: MIGRANE HEADACHES, NAUSEA, DIARRHEA
Age: 2.0
Sex: M
Vaccine: HEP, HEPA, MMRV
Symptoms: Cold sweat, Cough, Eating disorder, Nasopharyngitis, Pyrexia
Clinical narrative: Requested only MMR and TB test. Patient received dose of MMR-V, hep A hep B, TB test.Prior to this, we spaced out all vaccines and did only one at a time. Day of vaccination child was cold,clammy, sleepy--Doctor was called. Seven days later child coughing, nine days after a high fever and cough was reported to Doctor. No treatment. Doctor apologized for mix up with new vaccine process. Child did not eat or sleep well for about 12 days.
Age: 2.0
Sex: M
Vaccine: HEP, HEPA, MMRV
Symptoms: Sleep disorder, Somnolence, Wrong drug administered
Clinical narrative: Requested only MMR and TB test. Patient received dose of MMR-V, hep A hep B, TB test.Prior to this, we spaced out all vaccines and did only one at a time. Day of vaccination child was cold,clammy, sleepy--Doctor was called. Seven days later child coughing, nine days after a high fever and cough was reported to Doctor. No treatment. Doctor apologized for mix up with new vaccine process. Child did not eat or sleep well for about 12 days.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, VARCEL
Symptoms: Breath holding, Depressed level of consciousness, Mydriasis, Syncope
Clinical narrative: Syncopal episode 6 minutes after receiving 4 vaccines. Possible tonic due to breath holding-difficult to arouse verbally but responded to sternal rub. Pupils dilated 453; P.O. 99; HR 60; B/P 152/78; 5pm Pulse Ox 99, HR 78, 142/72
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Balance disorder, Dizziness, Headache, Syncope
Clinical narrative: Fainting, dizziness, H/A, balance changes, positive Rhomberg.  5/27/08 MR received for OV 5/21/08 with Assessment:  headache, low grade fever, unsteady gait.  Pt returned to office with fever, h/a, tiredness and balance problems. Pt fainted in shower that am.  PE significant for (+) Romberg.  Sx almost resolved by 5/23/08 per reporter.
Age: 18.0
Sex: F
Vaccine: HPV4, SMALL
Symptoms: Cardiac enzymes normal, Chest pain, Dyspnoea, Echocardiogram normal, Electrocardiogram normal
Clinical narrative: Patient in usual state of great health on leave from work for 2 wks decided to have her small pox vaccination and GARDASIL vaccine May 12, 2008 with a good take of small pox after 15 jabs and had no fever no chills no sweats no red or swelling around the site no sore lymphnodes but felt perhaps tight. She did not chest pain on May 16 (4 days post) sharp pain upper mid sternum lasting all night after beginning 2000 and going to the next day approx 12 hours nonradiating approx 9/10 causing some shortness of breath and difficulty sleeping worse with rolling over and deep breath but not worse with palpation or meals and made better by nothing except time neither sitting up nor eating anything made it better. She did not take anything for it no ASA no TYLENOL she did note some associated symptoms of breath with this hurting and is able to distinguish that this shortness of breath was more due to not wanting to cause pain rather than a suffocating sensation. She had no palpitations no dizziness no syncope no tachy or brady sensations. She has had CHF symptoms no PND no orthopnea no edema no nocuturia change from usual nightly no cough on wgt gain. Symptoms: Chest pain, sub-sternal.
Age: 18.0
Sex: F
Vaccine: HPV4, SMALL
Symptoms: Insomnia
Clinical narrative: Patient in usual state of great health on leave from work for 2 wks decided to have her small pox vaccination and GARDASIL vaccine May 12, 2008 with a good take of small pox after 15 jabs and had no fever no chills no sweats no red or swelling around the site no sore lymphnodes but felt perhaps tight. She did not chest pain on May 16 (4 days post) sharp pain upper mid sternum lasting all night after beginning 2000 and going to the next day approx 12 hours nonradiating approx 9/10 causing some shortness of breath and difficulty sleeping worse with rolling over and deep breath but not worse with palpation or meals and made better by nothing except time neither sitting up nor eating anything made it better. She did not take anything for it no ASA no TYLENOL she did note some associated symptoms of breath with this hurting and is able to distinguish that this shortness of breath was more due to not wanting to cause pain rather than a suffocating sensation. She had no palpitations no dizziness no syncope no tachy or brady sensations. She has had CHF symptoms no PND no orthopnea no edema no nocuturia change from usual nightly no cough on wgt gain. Symptoms: Chest pain, sub-sternal.
Age: 15.0
Sex: F
Vaccine: MNQ
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: 6cm x 3cm swelling with tenderness & redness.
Age: 54.0
Sex: F
Vaccine: TYP
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Patient noted red, raised rash on back of thigh on 5/21/08.  Went to work.  Nurses at work noted area to be 10 cm and was on back of both thighs.  Complained of itchy sensation both thighs and throat and her ears felt "funny."  Prior to going to work that AM took third dose of oral TYPHOID.  Seen by doctor.  Placed on Medrol dose pack.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis at vaccine site.  Treated with antibiotics.
Age: 23.0
Sex: M
Vaccine: TTOX
Symptoms: Injection site induration, Injection site pain, Rash macular
Clinical narrative: Pt received a tetanus injection on 4-29-08, he stated he developed pain and hard nodule in the same arm approx 4 days later then he developed a blotchy rash down both arms and across his chest no itching or irritation noted.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Pain, Skin warm, Swelling
Clinical narrative: 8cm x 8cm redness, swelling & heat present.  Painful to touch.  Pt seen by Dr. & rec'd Rx for KEFLEX & BENADRYL.  Ice packs applied.
Age: 1.5
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Pt presents 4 hours after vaccine with edema and erythema at injection site.  Area warm to touch.
Age: 41.0
Sex: F
Vaccine: VARCEL, VARZOS
Symptoms: Culture, Herpes zoster, Neuralgia, Pruritus, Scar
Clinical narrative: Information was received from a 41 year old female registered nurse with no pertinent medical history, seasonal allergies and hypersensitivity to acyclovir, valacyclovir hydrochloride (headache) and silver nitrate who reported that she had a negative VZV titer following multiple vaccinations with varicella virus vaccine live, and then developed zoster. The nurse reports she was exposed to chicken pox at work and tested negative for immunity to VZV ("this took place when varicella virus vaccine live first came out"). The nurse reported having received multiple doses of varicella virus vaccine live, and still had a negative VZV titer (date not specified.) The nurse developed shingles within two months of completion of the varicella virus vaccine live series (dates unspecified). The shingles were located on her right hip or right buttock. At the time of reporting the shingles clear and then reappear, at two to four month intervals, leaving scars (continuing this up to the present). The shingles are itchy and are preceded by nerve pain the before a shingles outbreak. The shingles are treated with "valacyclovir hydrochloride (VALTREX) and acyclovir" when they reoccur (patient reported to have a hypersensitivity to both medications). The patient reported the following concomitant therapy hydrochlorothiazide, lisinopril, gabapentin (NEURONTIN), omeprazole (PRILOSEC), escitalopram oxalate (LEXAPRO), loratadine (CLARITIN), aspirin, vitamins (unspecified), calcium (unspecified) and vitamin B (unspecified). It was also noted that "a couple years ago" in approximately 2006 (date unspecified), the patient had an episode of shingles, and then developed chickenpox with over 60 lesions at the same time. At the time of reporting the patient had not yet recovered from "recurring zoster". Unspecified medical attention was sought. There was no product quality complaint. Additional information has been requested.
Age: 41.0
Sex: F
Vaccine: VARCEL, VARZOS
Symptoms: Varicella zoster serology negative
Clinical narrative: Information was received from a 41 year old female registered nurse with no pertinent medical history, seasonal allergies and hypersensitivity to acyclovir, valacyclovir hydrochloride (headache) and silver nitrate who reported that she had a negative VZV titer following multiple vaccinations with varicella virus vaccine live, and then developed zoster. The nurse reports she was exposed to chicken pox at work and tested negative for immunity to VZV ("this took place when varicella virus vaccine live first came out"). The nurse reported having received multiple doses of varicella virus vaccine live, and still had a negative VZV titer (date not specified.) The nurse developed shingles within two months of completion of the varicella virus vaccine live series (dates unspecified). The shingles were located on her right hip or right buttock. At the time of reporting the shingles clear and then reappear, at two to four month intervals, leaving scars (continuing this up to the present). The shingles are itchy and are preceded by nerve pain the before a shingles outbreak. The shingles are treated with "valacyclovir hydrochloride (VALTREX) and acyclovir" when they reoccur (patient reported to have a hypersensitivity to both medications). The patient reported the following concomitant therapy hydrochlorothiazide, lisinopril, gabapentin (NEURONTIN), omeprazole (PRILOSEC), escitalopram oxalate (LEXAPRO), loratadine (CLARITIN), aspirin, vitamins (unspecified), calcium (unspecified) and vitamin B (unspecified). It was also noted that "a couple years ago" in approximately 2006 (date unspecified), the patient had an episode of shingles, and then developed chickenpox with over 60 lesions at the same time. At the time of reporting the patient had not yet recovered from "recurring zoster". Unspecified medical attention was sought. There was no product quality complaint. Additional information has been requested.
Age: 41.0
Sex: F
Vaccine: VARCEL, VARZOS
Symptoms: Herpes zoster, Varicella zoster serology negative
Clinical narrative: Information was received from a 41 year old female registered nurse with no pertinent medical history, seasonal allergies and hypersensitivity to acyclovir, valacyclovir hydrochloride (headache) and silver nitrate who reported that she had a negative VZV titer following multiple vaccinations with varicella virus vaccine live, and then developed zoster. The nurse reports she was exposed to chicken pox at work and tested negative for immunity to VZV ("this took place when varicella virus vaccine live first came out"). The nurse reported having received multiple doses of varicella virus vaccine live, and still had a negative VZV titer (date not specified.) The nurse developed shingles within two months of completion of the varicella virus vaccine live series (dates unspecified). The shingles were located on her right hip or right buttock. At the time of reporting the shingles clear and then reappear, at two to four month intervals, leaving scars (continuing this up to the present). The shingles are itchy and are preceded by nerve pain the before a shingles outbreak. The shingles are treated with "valacyclovir hydrochloride (VALTREX) and acyclovir" when they reoccur (patient reported to have a hypersensitivity to both medications). The patient reported the following concomitant therapy hydrochlorothiazide, lisinopril, gabapentin (NEURONTIN), omeprazole (PRILOSEC), escitalopram oxalate (LEXAPRO), loratadine (CLARITIN), aspirin, vitamins (unspecified), calcium (unspecified) and vitamin B (unspecified). It was also noted that "a couple years ago" in approximately 2006 (date unspecified), the patient had an episode of shingles, and then developed chickenpox with over 60 lesions at the same time. At the time of reporting the patient had not yet recovered from "recurring zoster". Unspecified medical attention was sought. There was no product quality complaint. Additional information has been requested.
Age: 48.0
Sex: F
Vaccine: VARCEL, VARZOS
Symptoms: Culture, Herpes zoster, Neuralgia, Pruritus, Scar
Clinical narrative: Information was received from a 41 year old female registered nurse with a history of negative VZV titer following multiple vaccinations with varicella virus vaccine live (WAES 082USA03753), "recurring zoster", chickenpox, seasonal allergies and hypersensitivity to acyclovir, valacyclovir hydrochloride (headache) and sliver nitrate. On 02 OCT 2007, the patient was vaccinated with zoster vaccine live (Oka/Merck) and within ten days developed "a zoster rash on her left shoulder and left arm, down to the hands". Her physician attempted to due a culture, but it was reported to be inconclusive. The left shoulder and left arm rash resolved within one week. Since the rash on the left side, a rash on her right hip has reoccurred about one month ago. The patient was not interested in VZV analysis by PCR (polymerase chain reaction). The patient reported the following concomitant therapy: hydrochlorothiazide, lisinopril, Neurontin, Prilosec, Lexapro, Claritin, aspirin, vitamins, calcium and vitamin B. Unspecified medical attention was sought. There was no product quality complaint. Additional information has been requested.
Age: 48.0
Sex: F
Vaccine: VARCEL, VARZOS
Symptoms: Varicella zoster serology negative
Clinical narrative: Information was received from a 41 year old female registered nurse with a history of negative VZV titer following multiple vaccinations with varicella virus vaccine live (WAES 082USA03753), "recurring zoster", chickenpox, seasonal allergies and hypersensitivity to acyclovir, valacyclovir hydrochloride (headache) and sliver nitrate. On 02 OCT 2007, the patient was vaccinated with zoster vaccine live (Oka/Merck) and within ten days developed "a zoster rash on her left shoulder and left arm, down to the hands". Her physician attempted to due a culture, but it was reported to be inconclusive. The left shoulder and left arm rash resolved within one week. Since the rash on the left side, a rash on her right hip has reoccurred about one month ago. The patient was not interested in VZV analysis by PCR (polymerase chain reaction). The patient reported the following concomitant therapy: hydrochlorothiazide, lisinopril, Neurontin, Prilosec, Lexapro, Claritin, aspirin, vitamins, calcium and vitamin B. Unspecified medical attention was sought. There was no product quality complaint. Additional information has been requested.
Age: 48.0
Sex: F
Vaccine: VARCEL, VARZOS
Symptoms: Herpes zoster, Varicella zoster serology negative
Clinical narrative: Information was received from a 41 year old female registered nurse with a history of negative VZV titer following multiple vaccinations with varicella virus vaccine live (WAES 082USA03753), "recurring zoster", chickenpox, seasonal allergies and hypersensitivity to acyclovir, valacyclovir hydrochloride (headache) and sliver nitrate. On 02 OCT 2007, the patient was vaccinated with zoster vaccine live (Oka/Merck) and within ten days developed "a zoster rash on her left shoulder and left arm, down to the hands". Her physician attempted to due a culture, but it was reported to be inconclusive. The left shoulder and left arm rash resolved within one week. Since the rash on the left side, a rash on her right hip has reoccurred about one month ago. The patient was not interested in VZV analysis by PCR (polymerase chain reaction). The patient reported the following concomitant therapy: hydrochlorothiazide, lisinopril, Neurontin, Prilosec, Lexapro, Claritin, aspirin, vitamins, calcium and vitamin B. Unspecified medical attention was sought. There was no product quality complaint. Additional information has been requested.
Age: 1.0
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Allergy test, Arthralgia, Erythema, Erythema multiforme, Joint swelling
Clinical narrative: Information has been received from a physician concerning a 12 month old white male with no pre-existing allergies or medical conditions (also reported as 3 or 4 ear infections treated with amoxicillin) who on 18-FEB-2003 was vaccinated subcutaneously into left leg with a first dose of varicella virus vaccine live (Oka/Merck) (lot # 643540/0604M), and a third dose of PREVNAR vaccine (CRM197) (Lederle) (Lot# 491179) intramuscularly into the right leg. There was no illness at the time of vaccination. On 22-FEB-2003 the patient presented with a respiratory infection and otitis media, which was treated with amoxicillin. On 25-FEB-2003 the patient presented with "a classical roseola rash", along with otitis. The patient continued on amoxicillin and was started on chlorpheniramine maleate (+) phenylephrine hydrochloride (+) scopolamine methonitrate (EXTENDRYL), and ibuprofen. On 02 MAR 2003 the patient presented to the emergency room (ER) with an urticarial rash over abdomen and lower chest, on both legs, especially in skin folds, over left eyelid and both ears, which the patient had been scratching. The patient also presented with bilateral knee swelling, redness and warmth. Manipulation and ROM of knees were painful. Ankles were similar, but with decreased redness and no pain with ROM. Patient was diagnosed with urticaria and treated with 10 mg/cc diphenhydramine HCl (BENADRYL), after which urticaria improved and 21 mg prednisolone (PREDNISOLON). A urine dipstick was negative for protein. It was the opinion of the attending physician that there was a strong possibility of serum sickness. On 03-MAR-2003 the patient presented for a doctor visit with a rash. The physician reported that the patients "joints wore now fine". He was diagnosed at that visit with erythema multiforme which in the opinion of the treating physician was not related to the amoxicillin or illness but related to the varicella vaccine. The patient remains on diphenhydramine HCl (BENADRYL) and prednisolone (PREDNISOLON). On 07 MAR 2003 the patient was seen by his doctor on follow up. He was considered as improving, but still experienced break outs with some urticaria when upset or overheated. The patient was off steroids but remained on, and was continued with diphenhydramine HCL (BENADRYL) until the rash completely cleared up. The patient did not experience any adverse events following prior vaccinations. Additional information has been requested.
Age: 1.0
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Joint warmth, Pruritus, Roseola, Serum sickness, Urine analysis normal
Clinical narrative: Information has been received from a physician concerning a 12 month old white male with no pre-existing allergies or medical conditions (also reported as 3 or 4 ear infections treated with amoxicillin) who on 18-FEB-2003 was vaccinated subcutaneously into left leg with a first dose of varicella virus vaccine live (Oka/Merck) (lot # 643540/0604M), and a third dose of PREVNAR vaccine (CRM197) (Lederle) (Lot# 491179) intramuscularly into the right leg. There was no illness at the time of vaccination. On 22-FEB-2003 the patient presented with a respiratory infection and otitis media, which was treated with amoxicillin. On 25-FEB-2003 the patient presented with "a classical roseola rash", along with otitis. The patient continued on amoxicillin and was started on chlorpheniramine maleate (+) phenylephrine hydrochloride (+) scopolamine methonitrate (EXTENDRYL), and ibuprofen. On 02 MAR 2003 the patient presented to the emergency room (ER) with an urticarial rash over abdomen and lower chest, on both legs, especially in skin folds, over left eyelid and both ears, which the patient had been scratching. The patient also presented with bilateral knee swelling, redness and warmth. Manipulation and ROM of knees were painful. Ankles were similar, but with decreased redness and no pain with ROM. Patient was diagnosed with urticaria and treated with 10 mg/cc diphenhydramine HCl (BENADRYL), after which urticaria improved and 21 mg prednisolone (PREDNISOLON). A urine dipstick was negative for protein. It was the opinion of the attending physician that there was a strong possibility of serum sickness. On 03-MAR-2003 the patient presented for a doctor visit with a rash. The physician reported that the patients "joints wore now fine". He was diagnosed at that visit with erythema multiforme which in the opinion of the treating physician was not related to the amoxicillin or illness but related to the varicella vaccine. The patient remains on diphenhydramine HCl (BENADRYL) and prednisolone (PREDNISOLON). On 07 MAR 2003 the patient was seen by his doctor on follow up. He was considered as improving, but still experienced break outs with some urticaria when upset or overheated. The patient was off steroids but remained on, and was continued with diphenhydramine HCL (BENADRYL) until the rash completely cleared up. The patient did not experience any adverse events following prior vaccinations. Additional information has been requested.
Age: 1.0
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Urticaria
Clinical narrative: Information has been received from a physician concerning a 12 month old white male with no pre-existing allergies or medical conditions (also reported as 3 or 4 ear infections treated with amoxicillin) who on 18-FEB-2003 was vaccinated subcutaneously into left leg with a first dose of varicella virus vaccine live (Oka/Merck) (lot # 643540/0604M), and a third dose of PREVNAR vaccine (CRM197) (Lederle) (Lot# 491179) intramuscularly into the right leg. There was no illness at the time of vaccination. On 22-FEB-2003 the patient presented with a respiratory infection and otitis media, which was treated with amoxicillin. On 25-FEB-2003 the patient presented with "a classical roseola rash", along with otitis. The patient continued on amoxicillin and was started on chlorpheniramine maleate (+) phenylephrine hydrochloride (+) scopolamine methonitrate (EXTENDRYL), and ibuprofen. On 02 MAR 2003 the patient presented to the emergency room (ER) with an urticarial rash over abdomen and lower chest, on both legs, especially in skin folds, over left eyelid and both ears, which the patient had been scratching. The patient also presented with bilateral knee swelling, redness and warmth. Manipulation and ROM of knees were painful. Ankles were similar, but with decreased redness and no pain with ROM. Patient was diagnosed with urticaria and treated with 10 mg/cc diphenhydramine HCl (BENADRYL), after which urticaria improved and 21 mg prednisolone (PREDNISOLON). A urine dipstick was negative for protein. It was the opinion of the attending physician that there was a strong possibility of serum sickness. On 03-MAR-2003 the patient presented for a doctor visit with a rash. The physician reported that the patients "joints wore now fine". He was diagnosed at that visit with erythema multiforme which in the opinion of the treating physician was not related to the amoxicillin or illness but related to the varicella vaccine. The patient remains on diphenhydramine HCl (BENADRYL) and prednisolone (PREDNISOLON). On 07 MAR 2003 the patient was seen by his doctor on follow up. He was considered as improving, but still experienced break outs with some urticaria when upset or overheated. The patient was off steroids but remained on, and was continued with diphenhydramine HCL (BENADRYL) until the rash completely cleared up. The patient did not experience any adverse events following prior vaccinations. Additional information has been requested.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Varicella
Clinical narrative: Information has been received from a county health nurse concerning a 5 year old male who on 03-MAY-2002 was vaccinated with varicella virus vaccine live(Oka/Merck). On 29-MAR-2007 the patient developed varicella < 50 lesions. The nurse reported that an outbreak of varicella had taken place in the local school district in April 2007, and this student was identified during the county health investigation. An immunization clinic was conducted in the school where students received a second dose of varicella virus vaccine live (Oka/Merck). This is one of 28 reports received from the same source. No further information is available.
Age: 48.0
Sex: F
Vaccine: MEN, PPV
Symptoms: Atelectasis, Blood pressure, Body temperature increased, Chest X-ray abnormal, Chills
Clinical narrative: This report was received on 12 May 2008 from the Yellow Fever Working Group of the Centers for Disease Control and Prevention, and pertains to VAERS number 255053. A 48-year-old female, with a history of hypercholesterolemia and mild inflammatory bowel disease, received the following vaccination on 01 May 2006: a left arm first dose of YF vaccine, a right arm injection of Hepatitis A vaccine, a left arm injection of IPV, and a left arm injection of Typhoid (lot numbers and manufacturers not provided). On 03 May 2006, she received a right arm injection of MENOMUNE, and a left arm injection of PNEUMOVAX. Within two hours of vaccination on 03 may 2008, the patient developed shaking chills and fever. She also complained of headache, generalized muscle aches, nausea, and left upper extremity pain at the site of the PNEUMOVAX injection. She presented to the emergency room, where blood pressure was noted to be 105/92, heart rate 97, temperature 102.8, and respiratory rate 31. She experienced one episode of hypotension (blood pressure 80/51), which responded to intravenous fluids. Physical exam revealed conjunctival erythema and mild swelling of right eyelid. The patient was noted to have severe swelling of the left upper extremity above the elbow, with some swelling below the elbow; mild weakness was noted in all extremities. A chest x-ray showed mild interstitial prominance, and CT scan revealed bibasilar atelectasis or infiltrate. White blood count on admission was 12.0, with neutrophils 87.3%. Treatment included TYLENOL, TORADOL, LORAZEPAM, MORHINE, and PHENERGAN. LEVOQUIN and VANCOMYCIN were started at midnight on 04 May 2006. The patient gradually improved over the course of her hospitalization, and by discharge she had only slight redness remaining on in the left arm. Discharge diagnosis were "Adverse reaction, probably arthus reaction, to pneumonia vaccination; possible cellulitis; dehydration; and conjunctivitis.
Age: 48.0
Sex: F
Vaccine: MEN, PPV
Symptoms: Computerised tomogram abnormal, Conjunctival hyperaemia, Conjunctivitis, Dehydration, Eyelid oedema
Clinical narrative: This report was received on 12 May 2008 from the Yellow Fever Working Group of the Centers for Disease Control and Prevention, and pertains to VAERS number 255053. A 48-year-old female, with a history of hypercholesterolemia and mild inflammatory bowel disease, received the following vaccination on 01 May 2006: a left arm first dose of YF vaccine, a right arm injection of Hepatitis A vaccine, a left arm injection of IPV, and a left arm injection of Typhoid (lot numbers and manufacturers not provided). On 03 May 2006, she received a right arm injection of MENOMUNE, and a left arm injection of PNEUMOVAX. Within two hours of vaccination on 03 may 2008, the patient developed shaking chills and fever. She also complained of headache, generalized muscle aches, nausea, and left upper extremity pain at the site of the PNEUMOVAX injection. She presented to the emergency room, where blood pressure was noted to be 105/92, heart rate 97, temperature 102.8, and respiratory rate 31. She experienced one episode of hypotension (blood pressure 80/51), which responded to intravenous fluids. Physical exam revealed conjunctival erythema and mild swelling of right eyelid. The patient was noted to have severe swelling of the left upper extremity above the elbow, with some swelling below the elbow; mild weakness was noted in all extremities. A chest x-ray showed mild interstitial prominance, and CT scan revealed bibasilar atelectasis or infiltrate. White blood count on admission was 12.0, with neutrophils 87.3%. Treatment included TYLENOL, TORADOL, LORAZEPAM, MORHINE, and PHENERGAN. LEVOQUIN and VANCOMYCIN were started at midnight on 04 May 2006. The patient gradually improved over the course of her hospitalization, and by discharge she had only slight redness remaining on in the left arm. Discharge diagnosis were "Adverse reaction, probably arthus reaction, to pneumonia vaccination; possible cellulitis; dehydration; and conjunctivitis.
Age: 48.0
Sex: F
Vaccine: MEN, PPV
Symptoms: Headache, Heart rate, Hypotension, Injection site pain, Lung infiltration
Clinical narrative: This report was received on 12 May 2008 from the Yellow Fever Working Group of the Centers for Disease Control and Prevention, and pertains to VAERS number 255053. A 48-year-old female, with a history of hypercholesterolemia and mild inflammatory bowel disease, received the following vaccination on 01 May 2006: a left arm first dose of YF vaccine, a right arm injection of Hepatitis A vaccine, a left arm injection of IPV, and a left arm injection of Typhoid (lot numbers and manufacturers not provided). On 03 May 2006, she received a right arm injection of MENOMUNE, and a left arm injection of PNEUMOVAX. Within two hours of vaccination on 03 may 2008, the patient developed shaking chills and fever. She also complained of headache, generalized muscle aches, nausea, and left upper extremity pain at the site of the PNEUMOVAX injection. She presented to the emergency room, where blood pressure was noted to be 105/92, heart rate 97, temperature 102.8, and respiratory rate 31. She experienced one episode of hypotension (blood pressure 80/51), which responded to intravenous fluids. Physical exam revealed conjunctival erythema and mild swelling of right eyelid. The patient was noted to have severe swelling of the left upper extremity above the elbow, with some swelling below the elbow; mild weakness was noted in all extremities. A chest x-ray showed mild interstitial prominance, and CT scan revealed bibasilar atelectasis or infiltrate. White blood count on admission was 12.0, with neutrophils 87.3%. Treatment included TYLENOL, TORADOL, LORAZEPAM, MORHINE, and PHENERGAN. LEVOQUIN and VANCOMYCIN were started at midnight on 04 May 2006. The patient gradually improved over the course of her hospitalization, and by discharge she had only slight redness remaining on in the left arm. Discharge diagnosis were "Adverse reaction, probably arthus reaction, to pneumonia vaccination; possible cellulitis; dehydration; and conjunctivitis.
Age: 48.0
Sex: F
Vaccine: MEN, PPV
Symptoms: Muscular weakness, Myalgia, Nausea, Neutrophil percentage increased, Oedema peripheral
Clinical narrative: This report was received on 12 May 2008 from the Yellow Fever Working Group of the Centers for Disease Control and Prevention, and pertains to VAERS number 255053. A 48-year-old female, with a history of hypercholesterolemia and mild inflammatory bowel disease, received the following vaccination on 01 May 2006: a left arm first dose of YF vaccine, a right arm injection of Hepatitis A vaccine, a left arm injection of IPV, and a left arm injection of Typhoid (lot numbers and manufacturers not provided). On 03 May 2006, she received a right arm injection of MENOMUNE, and a left arm injection of PNEUMOVAX. Within two hours of vaccination on 03 may 2008, the patient developed shaking chills and fever. She also complained of headache, generalized muscle aches, nausea, and left upper extremity pain at the site of the PNEUMOVAX injection. She presented to the emergency room, where blood pressure was noted to be 105/92, heart rate 97, temperature 102.8, and respiratory rate 31. She experienced one episode of hypotension (blood pressure 80/51), which responded to intravenous fluids. Physical exam revealed conjunctival erythema and mild swelling of right eyelid. The patient was noted to have severe swelling of the left upper extremity above the elbow, with some swelling below the elbow; mild weakness was noted in all extremities. A chest x-ray showed mild interstitial prominance, and CT scan revealed bibasilar atelectasis or infiltrate. White blood count on admission was 12.0, with neutrophils 87.3%. Treatment included TYLENOL, TORADOL, LORAZEPAM, MORHINE, and PHENERGAN. LEVOQUIN and VANCOMYCIN were started at midnight on 04 May 2006. The patient gradually improved over the course of her hospitalization, and by discharge she had only slight redness remaining on in the left arm. Discharge diagnosis were "Adverse reaction, probably arthus reaction, to pneumonia vaccination; possible cellulitis; dehydration; and conjunctivitis.
Age: 48.0
Sex: F
Vaccine: MEN, PPV
Symptoms: Pyrexia, Respiratory rate, Tremor, Type III immune complex mediated reaction, Vaccination complication
Clinical narrative: This report was received on 12 May 2008 from the Yellow Fever Working Group of the Centers for Disease Control and Prevention, and pertains to VAERS number 255053. A 48-year-old female, with a history of hypercholesterolemia and mild inflammatory bowel disease, received the following vaccination on 01 May 2006: a left arm first dose of YF vaccine, a right arm injection of Hepatitis A vaccine, a left arm injection of IPV, and a left arm injection of Typhoid (lot numbers and manufacturers not provided). On 03 May 2006, she received a right arm injection of MENOMUNE, and a left arm injection of PNEUMOVAX. Within two hours of vaccination on 03 may 2008, the patient developed shaking chills and fever. She also complained of headache, generalized muscle aches, nausea, and left upper extremity pain at the site of the PNEUMOVAX injection. She presented to the emergency room, where blood pressure was noted to be 105/92, heart rate 97, temperature 102.8, and respiratory rate 31. She experienced one episode of hypotension (blood pressure 80/51), which responded to intravenous fluids. Physical exam revealed conjunctival erythema and mild swelling of right eyelid. The patient was noted to have severe swelling of the left upper extremity above the elbow, with some swelling below the elbow; mild weakness was noted in all extremities. A chest x-ray showed mild interstitial prominance, and CT scan revealed bibasilar atelectasis or infiltrate. White blood count on admission was 12.0, with neutrophils 87.3%. Treatment included TYLENOL, TORADOL, LORAZEPAM, MORHINE, and PHENERGAN. LEVOQUIN and VANCOMYCIN were started at midnight on 04 May 2006. The patient gradually improved over the course of her hospitalization, and by discharge she had only slight redness remaining on in the left arm. Discharge diagnosis were "Adverse reaction, probably arthus reaction, to pneumonia vaccination; possible cellulitis; dehydration; and conjunctivitis.
Age: 48.0
Sex: F
Vaccine: MEN, PPV
Symptoms: White blood cell count increased
Clinical narrative: This report was received on 12 May 2008 from the Yellow Fever Working Group of the Centers for Disease Control and Prevention, and pertains to VAERS number 255053. A 48-year-old female, with a history of hypercholesterolemia and mild inflammatory bowel disease, received the following vaccination on 01 May 2006: a left arm first dose of YF vaccine, a right arm injection of Hepatitis A vaccine, a left arm injection of IPV, and a left arm injection of Typhoid (lot numbers and manufacturers not provided). On 03 May 2006, she received a right arm injection of MENOMUNE, and a left arm injection of PNEUMOVAX. Within two hours of vaccination on 03 may 2008, the patient developed shaking chills and fever. She also complained of headache, generalized muscle aches, nausea, and left upper extremity pain at the site of the PNEUMOVAX injection. She presented to the emergency room, where blood pressure was noted to be 105/92, heart rate 97, temperature 102.8, and respiratory rate 31. She experienced one episode of hypotension (blood pressure 80/51), which responded to intravenous fluids. Physical exam revealed conjunctival erythema and mild swelling of right eyelid. The patient was noted to have severe swelling of the left upper extremity above the elbow, with some swelling below the elbow; mild weakness was noted in all extremities. A chest x-ray showed mild interstitial prominance, and CT scan revealed bibasilar atelectasis or infiltrate. White blood count on admission was 12.0, with neutrophils 87.3%. Treatment included TYLENOL, TORADOL, LORAZEPAM, MORHINE, and PHENERGAN. LEVOQUIN and VANCOMYCIN were started at midnight on 04 May 2006. The patient gradually improved over the course of her hospitalization, and by discharge she had only slight redness remaining on in the left arm. Discharge diagnosis were "Adverse reaction, probably arthus reaction, to pneumonia vaccination; possible cellulitis; dehydration; and conjunctivitis.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Arthralgia, Bone scan, Gait disturbance, X-ray
Clinical narrative: Information has been received from a  nurse concerning a 12 month old female who on 24-MAR-2006 was vaccinated with varicella virus vaccine live (Oka/Merck) subcutaneous (Lot # 647524/0634R) and with measles-mumps-rubella vaccine (M-M-R II) (Lot # 649676/0194R). On 06-APR-2006 the patient experienced walking problem on the left leg (hip area). The patient was diagnosed with arthralgia. Therapy with varicella virus vaccine live was discontinued. The patient had an xray and bone scan on unspecified dates. Subsequently, the patient recovered from the walking problem on May 9, 2006. The patient sought unspecified medical attention. Additional information has been requested.
Age: 8.0
Sex: U
Vaccine: MMR, VARCEL
Symptoms: Varicella
Clinical narrative: Information has been received from a licensed practical nurse concerning an 8-year-old patient with no pre-existing allergies, birth defects, or medical conditions who on 24-SEP-1999 was vaccinated SC in the left arm with a first dose of varicella virus vaccine live (Oka/Merck) (Lot # 630678/0426J). There was no illness at the time of vaccination. Concomitant therapy that day included a first dose of measles-mumps-rubella vaccine (MSD) (Lot # "05475") administered SC in the right arm. On 21-FEB-2007 at bedtime, the patient experienced chicken pox, noted to be clinical varicella. There were no relevant diagnostic tests or laboratory data. Unspecified medical attention was sought. The status of the patient was unknown at the time of this report. There was no product quality complaint. No additional information is expected.
Age: 1.5
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Bruxism, Convulsion, Electroencephalogram normal, Musculoskeletal stiffness, Pallor
Clinical narrative: Information has been received from a licensed practical nurse concerning an 18 month old male who on 14-MAR-2007 at 10:15am was vaccinated with a 0.5 mL first dose of VARIVAX (lot # 656070/1492F). Suspect vaccination administered that day included a fourth IM dose in the left arm of DAPTACEL (lot # C2553AA) and third SC dose in the left arm of IPOL (lot #Z0324). There was no illness at the time of vaccination. On 18-MAR-2007 at 12:30 PM the patient experienced a seizure-like episode. The mother described the event as follows: the patient made a "noise", the mother looked at him and noted staring with his head slightly tilted to the right, he was slightly pale, his body was stiff, his teeth were clamped down and his eyes were glassy, the patient was unresponsive for 2-5 minutes. He was rushed to the ER. The patient was scheduled for an EEG and neurological testing. The EEG was normal. The patient recovered on 18-MAR-2007. It was noted that the patient left the office with a prescription for ZYRTEC. There was no product quality complaint involved. The patient's seizure like episode was considered to be an other important medical event as he was sent to the emergency room. Additional information is not expected.
Age: 1.5
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Staring, Unresponsive to stimuli
Clinical narrative: Information has been received from a licensed practical nurse concerning an 18 month old male who on 14-MAR-2007 at 10:15am was vaccinated with a 0.5 mL first dose of VARIVAX (lot # 656070/1492F). Suspect vaccination administered that day included a fourth IM dose in the left arm of DAPTACEL (lot # C2553AA) and third SC dose in the left arm of IPOL (lot #Z0324). There was no illness at the time of vaccination. On 18-MAR-2007 at 12:30 PM the patient experienced a seizure-like episode. The mother described the event as follows: the patient made a "noise", the mother looked at him and noted staring with his head slightly tilted to the right, he was slightly pale, his body was stiff, his teeth were clamped down and his eyes were glassy, the patient was unresponsive for 2-5 minutes. He was rushed to the ER. The patient was scheduled for an EEG and neurological testing. The EEG was normal. The patient recovered on 18-MAR-2007. It was noted that the patient left the office with a prescription for ZYRTEC. There was no product quality complaint involved. The patient's seizure like episode was considered to be an other important medical event as he was sent to the emergency room. Additional information is not expected.
Age: 13.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Blister, Body temperature increased, Cough, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Information has been received from a registered nurse concerning a 13 year old male with no medical history or allergies who on 11-MAR-2007,  was vaccinated with the a first dose of varicella vaccine live (Oka/Merck) (Lot# 652082/0943R). There was no illness at the time of vaccination. On 05-APR-2007, the patient developed a "full blown case" of chickenpox and also experienced fever. Symptomatic and supportive treatment was prescribed. No lab diagnostic tests were performed. On 10-APR-2007, the child was seen in the office and reported to be recovering. A product quality complaint was not involved. Additional information has been received from registered nurse who stated that the patient appeared in the office on 05-APR-2007, with rash from head to toe started at trunk with macular erythematous lesions with pinpoint vesicles. The patient also had fever, sore throat and cough. At the time of report the patient had recovered. No further information is expected.
Age: 13.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Rash erythematous, Rash generalised, Varicella
Clinical narrative: Information has been received from a registered nurse concerning a 13 year old male with no medical history or allergies who on 11-MAR-2007,  was vaccinated with the a first dose of varicella vaccine live (Oka/Merck) (Lot# 652082/0943R). There was no illness at the time of vaccination. On 05-APR-2007, the patient developed a "full blown case" of chickenpox and also experienced fever. Symptomatic and supportive treatment was prescribed. No lab diagnostic tests were performed. On 10-APR-2007, the child was seen in the office and reported to be recovering. A product quality complaint was not involved. Additional information has been received from registered nurse who stated that the patient appeared in the office on 05-APR-2007, with rash from head to toe started at trunk with macular erythematous lesions with pinpoint vesicles. The patient also had fever, sore throat and cough. At the time of report the patient had recovered. No further information is expected.
Age: 5.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Cellulitis
Clinical narrative: Information has been received from a physician concerning a 5 year old male who on 10-APR-2007 was vaccinated into the right arm with a second dose of varicella virus vaccine live (Oka/Merck) (Lot# 656287/1508F). There no illness at the time of vaccination. On 11-APR-2007 the patient developed cellulitis in the right upper arm, with an onset of one day after the vaccine was given. The patient was treated with sulfamethoxazole (+) trimethoprim (BACTRIM), and was considered recovered at the time of reporting. Medical attention was sought. There was no product quality complaint. There was no concomitant therapy. No further information is available.
Age: 5.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Cellulitis
Clinical narrative: Information has been received from a medical assistant concerning a healthy 5-year-old male who on 10-APR-2007 was vaccinated in the right arm with a second dose of varicella virus vaccine live (Oka/Merck) (lot# 656287/1508F). There was no concomitant medication. On 11-APR-2007 the patient developed cellulitis in the right upper arm. The patient was treated with sulfamethoxazole (+) trimethoprim (BACTRIM). Subsequently, on an unspecified date, the patient recovered. No more information is expected.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Information has been received from a physician concerning an 8 year old male, with a history of umbilical hernia, who on 10-APR-2007, was vaccinated into the right arm with varicella virus vaccine live (Oka/Merck) (Lot # 656287/1508F). There was no illness at the time of vaccination. On 11-APR-2007, the patient developed a red-hot, raised and sensitive to the touch sensation around the injection site. The patient was seen by the physician and advised to observe the mild vaccine reaction, with redness at the site, and return to the office for antibiotic if it worsened. There was no product quality complaint. At the time of reporting the outcome was unknown. No further information is available.
Age: 9.0
Sex: M
Vaccine: VARCEL, VARCEL, VARCEL
Symptoms: Blister, Rash papular, Rash pruritic, Vaccination failure, Varicella
Clinical narrative: Information has been received from a physician concerning a 9 year old male who on 26-OCT-1999 was vaccinated with his first dose of VARIVAX. A second dose of VARIVAX was administered, on approximately 05-APR-2007, the patient broke out in a chickenpox rash of  approximately 100 vesicles, papular, and very pruritic lesions. Unspecified medical attention was sought. There was no product quality complaint. This is one of several reports received from the same source. Additional information has  been requested.
Age: 9.0
Sex: M
Vaccine: VARCEL, VARCEL, VARCEL
Symptoms: Secondary transmission, Vaccination failure, Varicella
Clinical narrative: Information has been received from a physician concerning a 9 year old male who on 26-OCT-1999 was vaccinated with his first dose of VARIVAX. A second dose of VARIVAX was administered, on approximately 05-APR-2007, the patient broke out in a chickenpox rash of  approximately 100 vesicles, papular, and very pruritic lesions. Unspecified medical attention was sought. There was no product quality complaint. This is one of several reports received from the same source. Additional information has  been requested.
Age: 9.0
Sex: M
Vaccine: VARCEL, VARCEL, VARCEL
Symptoms: Rash pruritic, Rash vesicular
Clinical narrative: Information has been received from a physician concerning a 9 year old male who on 26-OCT-1999 was vaccinated with his first dose of VARIVAX. A second dose of VARIVAX was administered, on approximately 05-APR-2007, the patient broke out in a chickenpox rash of  approximately 100 vesicles, papular, and very pruritic lesions. Unspecified medical attention was sought. There was no product quality complaint. This is one of several reports received from the same source. Additional information has  been requested.
Sex: M
Vaccine: VARCEL, VARCEL, VARCEL
Symptoms: Blister, Rash papular, Rash pruritic, Vaccination failure, Varicella
Clinical narrative: Information has been received from a physician concerning a child who developed chickenpox subsequent to his sibling developing a chicken pox break through of 50-70 lesions after being vaccinated with a second dose of varicella virus vaccine live (Oka/Merck) (WAES#0704USA01871). Unspecified medical attention was sought. There was no product quality complaint. This one of several reports received from the same source. Additional information has been requested.