chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 35.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Paraesthesia, Rash maculo-papular
Clinical narrative: Information has been received from a nurse practitioner concerning a 35 year old Caucasian female with no known drug allergies and a history of endometrial ablation who on 20-Nov-2000 was vaccinated IM in the left deltoid with a second dose of Hepatitis b vaccine recombinant (yeast) (lot #635523/0635K). There was no illness at the time of vaccination. Concomitant medications include acetaminophen + propoxyphene napsylate (Darvocet) It was noted that on 17-Oct-2000, the patient received a first dose of Hepatitis b vaccine recombinant (yeast) (lot # 636198/0678k) On 22-NOV-2000, the patient experienced finite macular papular rash on her arms and legs and joint pain that "incapacitated her for a week". The patient experienced occasional "tingling of skin of arms and legs" but no itching. a titer was drawn in October 2000 and the patient was positive for measles and rubella. The attending physician ordered acetaminophen (Tylenol) or aspirin for her condition. The patient's condition has subsided. It was reported that the patient has recovered  No further information is expected.
Sex: M
Vaccine: HEP
Symptoms: Asthenia, Chest discomfort, Disorientation, Dizziness, Hyperhidrosis
Clinical narrative: Information has been received from a registered nurse concerning a male who an approximately 01/03/2001, was vaccinated with a first dose of hep B vaccine recombinant. Immediately after vaccination, the pt complained of feeling unfocused, dizzy, hot, sweaty, like something in the chest-tightness that lasted only seconds. The pt also reported weakenss and tinnitus. The nurse stated she would like the lot checked. Unspecified medical attention was sought. Another pt had a similar experience after vaccination with the same  lot. The records of testing prior to release of this lot have been checked by Biological Quality Assurance and found to be satisfactory. The lot complies with the standards of the Center for Biologics Evaluation and Research and was released. Additional info has been requested.
Sex: M
Vaccine: HEP
Symptoms: Pyrexia, Tinnitus
Clinical narrative: Information has been received from a registered nurse concerning a male who an approximately 01/03/2001, was vaccinated with a first dose of hep B vaccine recombinant. Immediately after vaccination, the pt complained of feeling unfocused, dizzy, hot, sweaty, like something in the chest-tightness that lasted only seconds. The pt also reported weakenss and tinnitus. The nurse stated she would like the lot checked. Unspecified medical attention was sought. Another pt had a similar experience after vaccination with the same  lot. The records of testing prior to release of this lot have been checked by Biological Quality Assurance and found to be satisfactory. The lot complies with the standards of the Center for Biologics Evaluation and Research and was released. Additional info has been requested.
Age: 51.0
Sex: F
Vaccine: HEP
Symptoms: Myalgia, Purpura
Clinical narrative: Information has been received from a pharmacist and a registered nurse concerning a 51 year old female who on 08/03/2000 was vaccinated with a third dose of hep B vaccine recombinant IM. On 01/03/2001 the pt was presented to Employee Health with a skin rash which the pt had since August 2000. In August 2000 the pt developed an intermittent pruritic rash on her trunk and abdomen. The pt was seen and treated by family medical doctor and dermatologist. On 02/23/2001 the family medical doctor reported that the pt has been experiencing multiple myalgias for the past two months. It was noted that the pt is under the care of a rheumotologist. Additional info has been requested.
Age: 0.7
Sex: F
Vaccine: HEP, RV
Symptoms: Diarrhoea, Pyrexia, Rash
Clinical narrative: Information has been received concerning an 8 month old female with a history of diarrhea following previous immunizations with rotavirus vaccine, and poliovirus vaccine. On an unspecified date, the pt's mother reported that her daughter had received the second dose of rotavirus vaccine on 07/03/1999 and had subsequently experienced a generalized rash and fever. On 07/06/1999, the pediatric pt was vaccinated with hep B vaccine recombinant and her second oral dose of rotavirus vaccine. On 07/13/1999, the child had developed conjunctivitis and was seen by her physician. At that time, the pt was placed on therapy with amoxicillin. On 07/14/1999, the pediatric pt experienced a generalized rash and fever (103.8 deg. F). It was noted by the reporting physician that the pt's fever and rash began the day after amoxicillin therapy was initiated. The fever resolved after 5 days. The rash resolved after approx. 1 week. Follow-up info on 08/15/1999 from the reporting physician revealed that the infant was vaccinated on 07/06/1999 with the above cited vaccines. The pt experienced diarrhea following vaccination with haemophilus B conjugate vaccine. This was originally reported by a physician. No further info is expected.
Sex: M
Vaccine: HEP
Symptoms: Asthenia, Chest discomfort, Disturbance in attention, Dizziness, Feeling hot
Clinical narrative: Information has been received from a registered nurse concerning a male, who on 10Jan2001 was vaccinated with a first dose of Hepatitis B vaccine recombinant (yeast) (6307005/1566K). Immediately after vaccination on 10JAN2001, the patient complained of feeling, "unfocused, dizzy, hot, sweaty, like something in the chest- a tightness that lasted only seconds". The patient also reported "weakness and tinnitus". The nurse stated she would like the lot checked. Unspecified medical attention was sought. Another patient (WAES01011045) had a similar experience after vaccination with the same lot.  The records of testing prior to the release of this lot has been checked by Biological Quality Assurances and found to be satisfactory. The lot complies with the standards of the Center for Biologics Evaluation and Research and was released.  Additonal information has been reported.
Sex: M
Vaccine: HEP
Symptoms: Hyperhidrosis, Tinnitus
Clinical narrative: Information has been received from a registered nurse concerning a male, who on 10Jan2001 was vaccinated with a first dose of Hepatitis B vaccine recombinant (yeast) (6307005/1566K). Immediately after vaccination on 10JAN2001, the patient complained of feeling, "unfocused, dizzy, hot, sweaty, like something in the chest- a tightness that lasted only seconds". The patient also reported "weakness and tinnitus". The nurse stated she would like the lot checked. Unspecified medical attention was sought. Another patient (WAES01011045) had a similar experience after vaccination with the same lot.  The records of testing prior to the release of this lot has been checked by Biological Quality Assurances and found to be satisfactory. The lot complies with the standards of the Center for Biologics Evaluation and Research and was released.  Additonal information has been reported.
Age: 35.0
Sex: F
Vaccine: HEP
Symptoms: Chromaturia, Fatigue, Jaundice
Clinical narrative: Information has been received from a nurse concerning a 35 year old female who on 13-DEC-2000 was vaccinated with Hepatitis B vaccine recombinant (yeast) in her right deltoid  (lot number not in patient's chart). There were no illness at the time of vaccination. Approximately three weeks after her second dose, in December 2000, the patient developed mild jaundice, orange urine and fatigue. The patient visited her physician. Lab work (unspecified) and an ultrasound were performed. The ultrasound did not show any significant findings. As of 12-Mar-2001, the patient was undergoing tests to determine if her condition was related to her gallbladder. The reporting nurse also stated that the physician did not believe the patient symptoms were related to the Hepatitis B vaccine recombinant (yeast). Additional information is not expected.
Sex: F
Vaccine: HEP
Symptoms: Agitation, Chest discomfort, Dyspnoea, Erythema, Rash macular
Clinical narrative: Information has been received from a nurse concerning a female patient who was vaccinated with Hepatitis B vaccine recombinant (yeast) (manufacturer unknown). Fifteen minutes post administration, the patient developed hives, shortness of breath, became red and blotchy, agitated and experienced chest of tightness. Unspecified medical attention was sought.  Additional information has been requested.
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: Information has been received from a nurse concerning a female patient who was vaccinated with Hepatitis B vaccine recombinant (yeast) (manufacturer unknown). Fifteen minutes post administration, the patient developed hives, shortness of breath, became red and blotchy, agitated and experienced chest of tightness. Unspecified medical attention was sought.  Additional information has been requested.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Candidiasis, Diarrhoea, Mucous membrane disorder
Clinical narrative: Information has been received from a consumer concerning a 12 day old male with drug allergy (decongestants) who on 25NOV1996 was vaccinated with Hepatitis B vaccine recombinant (yeast) and "completed schedule" On 25NOV1996, the patient developed persistent  thrush of mouth and yeast diarrhea. The patient was treated with fluconazole (Diflucan) and the symptoms subsided. Unspecified medical attention was sought. The patient subsequently experienced chronic mucosol candidiasis and stopped talking for months following vaccination with measles virus vaccine live (+) and mumps virus vaccine (+) rubella virus vaccine live (second generation) (MSD) WAES#01011263 and product misuse following vaccination with Varicella virus vaccine (MSD) WAES#01011264.  The consumer reported another child who had an experience following vaccination with measles virus vaccine live (+) mumps virus vaccine live (+) rubella virus vaccine live (second generation) WAES01011080
Age: 44.0
Sex: F
Vaccine: HEP
Symptoms: Diarrhoea, Dizziness, Fatigue, Headache, Mental impairment
Clinical narrative: Information has been received from a health professional concerning a 44 year old Caucasian female with no known drug allergies and with asthma and migraines. On 10-JUL-2000, 11-Aug-2000 and 11-JAN-2001, the patient was vaccinated with a first (632392/1378J), second 1632392/1378J) and third (635178/0473K) dose of hepatitis vaccine recombinant (yeast), respectively, in the left deltoid intramuscularly. Concomitant medications include atorvastatin calcium (Lipitor), conjugated estrogens (Premarin), budesonide (Pulmicort), salmetrol xinafoate (Serevent), and gemfibrozil. On 11-Aug-2000, after the second dose was administered, the patient experienced body aches and headaches, but felt better the next day. On 11-Jan-2001 after the third dose, the patient developed a headache, bodyache, dizziness and fatigue in the evening and went to bed. The following day 12-Jan-2001, the patient still felt sick and had nausea with diarrhea that lasted  for one day. The third day after vaccination the patient still felt sick. The reporter stated on 17-JAN-2001 that it is now five days later, and symptoms persist. On 20-Jan-2001, the patient stated that she felt "nauseated and dizzy, but the body aches have gone and the headaches are no longer with me". On 26-Jan-2001, the patient described symptoms as: "my head feels as if it is going to explode. I am dizzy, nauseated , and tried to remember my phone number, but had look it up" On 31-JAN-2001, the patient was "feeling much better" and felt that the symptoms were a "combination of Hep shot, the flu and migraine. The patient sought unspecified medical attention.  No further information is expected
Age: 44.0
Sex: F
Vaccine: HEP
Symptoms: Migraine, Nausea, Pain
Clinical narrative: Information has been received from a health professional concerning a 44 year old Caucasian female with no known drug allergies and with asthma and migraines. On 10-JUL-2000, 11-Aug-2000 and 11-JAN-2001, the patient was vaccinated with a first (632392/1378J), second 1632392/1378J) and third (635178/0473K) dose of hepatitis vaccine recombinant (yeast), respectively, in the left deltoid intramuscularly. Concomitant medications include atorvastatin calcium (Lipitor), conjugated estrogens (Premarin), budesonide (Pulmicort), salmetrol xinafoate (Serevent), and gemfibrozil. On 11-Aug-2000, after the second dose was administered, the patient experienced body aches and headaches, but felt better the next day. On 11-Jan-2001 after the third dose, the patient developed a headache, bodyache, dizziness and fatigue in the evening and went to bed. The following day 12-Jan-2001, the patient still felt sick and had nausea with diarrhea that lasted  for one day. The third day after vaccination the patient still felt sick. The reporter stated on 17-JAN-2001 that it is now five days later, and symptoms persist. On 20-Jan-2001, the patient stated that she felt "nauseated and dizzy, but the body aches have gone and the headaches are no longer with me". On 26-Jan-2001, the patient described symptoms as: "my head feels as if it is going to explode. I am dizzy, nauseated , and tried to remember my phone number, but had look it up" On 31-JAN-2001, the patient was "feeling much better" and felt that the symptoms were a "combination of Hep shot, the flu and migraine. The patient sought unspecified medical attention.  No further information is expected
Sex: U
Vaccine: HEP
Symptoms: Injection site erythema, Injection site inflammation, Skin nodule
Clinical narrative: Information has been received from a physician concerning patients who were vaccinated with hep B vaccine recombinant. Subsequently the patients experienced burning feeling at injection site, nodule formations and redness. Unspecified medical attention was sought. Additional info has been requested.
Age: 18.0
Sex: F
Vaccine: HEP
Symptoms: Muscle twitching
Clinical narrative: Information has been received from a registered nurse concerning an 18 year old female with no past medical history who on 07/06/2000 was vaccinated with a first dose of hep B vaccine recombinant IM in the left deltoid. There was no illness at the time of vaccination. On 07/08/2000, the pt experienced facial twitching right side of face. Upon exam no facial movement was observed by the registered nurse. No medical intervention was ordered by the physician and no laboratory tests were done. The pt was informed to report to the ER if symptoms worsened. Subsequently on 07/09/2000, the pt's facial twitching resolved. It was reported that the pt refused to complete the rest of the series. No further info is available.
Age: 48.0
Sex: F
Vaccine: HEP
Symptoms: Injection site induration, Injection site nodule, Pruritus, Swelling, Tongue oedema
Clinical narrative: Information has been received from a nurse practitioner concerning a 48 year old female pt with no known allergies who on 05/12/2000 was vaccinated with a first dose of hep B vaccine recombinant. On 06/12/2000 and 11/14/2000 the pt was vaccinated with the second and third dose respectively of hep B vaccine recombinant. There were no concomitant medications. On approximately 05/13/2000, the pt experienced vomiting, swelling of the lips, and swelling of the tongue. On aprox. 06/13/2000, the pt experienced vomiting, swelling of the lips, and swelling of the tongue. On approx. 11/15/2000 the pt again experienced swelling of the lips, swelling of the tongue, and vomiting. The nurse reorted that the pt's experience started about 24 hours after each vaccination and lasted about 24 hours. On approximately 11/15/2000, after the third vaccination, the pt also developed area specified "puritis," an injection site induration (12x20mm), and 2 small nodules at the injection site. The pt sought unspecified medical attention. It was reported in follow-up that as of 03/16/2001 the pt was experiencing "persistent puritis" of a nodule, 12x7mm, on her right deltoid. Additional info is not expected.
Age: 48.0
Sex: F
Vaccine: HEP
Symptoms: Vomiting
Clinical narrative: Information has been received from a nurse practitioner concerning a 48 year old female pt with no known allergies who on 05/12/2000 was vaccinated with a first dose of hep B vaccine recombinant. On 06/12/2000 and 11/14/2000 the pt was vaccinated with the second and third dose respectively of hep B vaccine recombinant. There were no concomitant medications. On approximately 05/13/2000, the pt experienced vomiting, swelling of the lips, and swelling of the tongue. On aprox. 06/13/2000, the pt experienced vomiting, swelling of the lips, and swelling of the tongue. On approx. 11/15/2000 the pt again experienced swelling of the lips, swelling of the tongue, and vomiting. The nurse reorted that the pt's experience started about 24 hours after each vaccination and lasted about 24 hours. On approximately 11/15/2000, after the third vaccination, the pt also developed area specified "puritis," an injection site induration (12x20mm), and 2 small nodules at the injection site. The pt sought unspecified medical attention. It was reported in follow-up that as of 03/16/2001 the pt was experiencing "persistent puritis" of a nodule, 12x7mm, on her right deltoid. Additional info is not expected.
Age: 17.0
Sex: M
Vaccine: HEP
Symptoms: Abdominal pain, Chills, Diarrhoea
Clinical narrative: Information has been received from a nurse practitioner concerning a 17 year old male with a mold allergy who on the afternoon of 01/29/2001 was vaccianted IM with a dose of hep B vaccine recombinant. There was no concomitant medication. At approx. 3am on 01/30/2001 the pt experienced abdominal cramping, diarrhea and chills. He did not have an elevated temp. The pt stayed home from school that day and experienced chills all day. It was reported that the symptoms lasted for 24 hours. He felt well the next day and returned to school. Unspecified medical attention was sought. Additional info is not expected.
Age: 41.0
Sex: F
Vaccine: HEP
Symptoms: Hepatic enzyme abnormal
Clinical narrative: Information has been received from a registered nurse concerning a 41 year old female with a pcn allergy and ALP 46, AST 18.7 on 05/19/2000, who on 11/09/2000 was vaccinated with hep B vaccine recombinant IM in the left deltoid. On 12/05/2000 the pt was vaccinated again (second dose) with hep B vaccine recombinant IM in the left deltoid. On 01/03/2001 the pt donated blood and was told that her liver enzymes were elevated. In follow-up the physician reported that the liver enzymes on 05/19/2000 were normal. Follow-up info received from the pt revealed the blood donation lab results from 01/03/2001. Follow-up info from the same nurse indicated that on 05/31/2000 the pt had an abnormal mammogram. On 04/05/2001 the pt's GGT-37.1; ALT-41.1; bilirubin-.4, bilirubin total-.7; Alk phos-63.3; AST-31.1; and albumin-4.3. The reporter inquired as to whether the full hep B immunization series should be completed in this pt. Additional info is not expected.
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Rash
Clinical narrative: Information has been received from a health professional concerning a female who on 01/19/2001 was vaccinated with a second dose of hep B vaccine recombinant. On 01/29/2001, one week after her vaccination, the pt experienced itching and rash. It was noted that the pt had sought medical attention. The healthcare professional also reported two additional female patients who had a similar experience. Additional info has been requested.
Sex: F
Vaccine: HEP
Symptoms: Injection site pain
Clinical narrative: Information has been received from a health professional concerning an adult female who was vaccinated with a pediatric dose of hep B vaccine recombinant. Subsequently the pt experienced pain at the site of vaccination during administration. Unspecified medical attention was sought. Additional info has been requested.
Sex: U
Vaccine: HEP
Symptoms: Leukopenia, Pyrexia
Clinical narrative: Information has been received from a physician concerning a pt who was vaccinated with hep B vaccine recombinant. Subsequently the pt developed fever and leukopenia. Unspecified medical attention was sought. Additional info has been requested.
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Urticaria
Clinical narrative: Followup information has been received from a health professional concerning one of two female pts. This identified pt was a black female medical technician who on 12/19/2000 was vaccinated IM ith her 3rd dose in a series of 3 of hep B vaccine recombinant. On 12/19/2000, the pt experienced an immediate reaction with symptoms of hives and itching which lasted 30 minutes. The pt noted in follow-up was treated with Benadryl. It was noted that this pt recovered. The healthcare professional also reported another female pt who had a similar experience. It was noted that both female pts had no reaction to the 2 previous doses. At that time, the female pts had sought medical attention. No further information was provided.
Age: 48.0
Sex: F
Vaccine: HEP
Symptoms: Rash
Clinical narrative: Information has been received from a woman in a physician's office concening a 48 year old female who on approx. 01/26/2001 was vaccinated with hep B vaccine recombinant. On approx. 01/28/2001 the pt developed a rash on her left arm. The rash did not itch and was not raised. Additional info is not expected.
Sex: F
Vaccine: HEP
Symptoms: Discomfort, Injection site reaction
Clinical narrative: Information has been received from a registered nurse concerning a female employee with no known medical history or allergies who was vaccinated with hep B vaccine recombinant in the left arm. There was no illness at the time of vaccination. Subsequently the pt experienced an injection site reaction-sore left arm. The nurse reported on follow-up that the pt had recovered from the arm discomfort within approx 2 weeks of receiving the vaccine. No further info is available.
Sex: F
Vaccine: HEP
Symptoms: Dermatitis acneiform
Clinical narrative: Information has been received from a female registered nurse with no known drug allergies who was vaccinated with a first and second dose of hep b vaccine recombinant. There was no concomitant medication. Subsequently, approx. one week after the first dose, the pt developed an acne-like rash on her face. Unspecified medical attention was sought. No further details were provided. Additional info has been requested.
Age: 31.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Pain, Pyrexia
Clinical narrative: Information has been received from a 31 year old white female with rheumatoid arthritis and codein allergy who on 01/31/2001 was vaccinated IM with a first dose of heb b vaccine recombinant. Concomitant medications included hydroxychloroquine sulfate, and hydrochlorothiazide. On 01/31/2001 the pt experienced fever, started to feel weak and body aches. The pt stated that the symptoms continued "on and off for a couple of weeks." The pt did not get second vaccine because of the experience she had. Follow-up info from a registered nurse indicated that several hours after receiving hep b vaccine recombinant, the pt had severe body aches, low grade fever and weakness. The pt's rheumatoid arthritis symptoms increased dramtically. Subsequently her rheumatoid arthritis had stabilized. No further info is available.
Age: 60.0
Sex: M
Vaccine: HEP, HEPA, IPV, PPV, TYP
Symptoms: Hypoaesthesia
Clinical narrative: Information has been received from a physician concerning a 60 year old male who on 03/06/2001 was vaccinated with a dose of hep b vaccine recombinant. Coccomitant vaccination included a dose of hep a virus vaccine, pneumococcal vaccine 23 polyvalent, typhoid vaccine and poliovirus vaccine all given in the left deltoid. Subsequently the pt experienced numbness of his left ulnar and left hand. Unspecified medical attention was sought. Additional info has been requested.
Sex: U
Vaccine: HEP
Symptoms: Abdominal pain upper, Fatigue, Headache, Pyrexia
Clinical narrative: Information has been received from a registered nurse concerning a pt who in 1994 was vaccinated with the second dose of hep b vaccine recombinant. One day after the vaccination the pt experienced fatigue, 103 F fever, headache and stomach ache. The pt sought unspecified medical attention. Additional information has been requested.
Age: 27.0
Sex: F
Vaccine: HEP
Symptoms: Rash
Clinical narrative: Information has been received from a nurse practitioner concerning a 27 year old white female who in 1999 was vaccinated with hep b vaccine recombinant. Twenty four hours post vaccination she experienced a non-itchy rash. Subsequently, the nurse practitioner stated that she had not administered the "original dose" of the vaccination. When the pt received subsequent hep b vaccine recombinant vaccination upon being hired, the pt had no reaction while she was monitored. This series was started on 03/12/2001. The nurse practitioner believed that the pt was either mistaken about the rash or the rash was coincidental to the vaccination. No additional info is expected.
Sex: U
Vaccine: HEP
Symptoms: Paraesthesia
Clinical narrative: Information has been received from a health professional concerning a pt who was vaccinated with ehp b vaccine recombinant. It was reported that 21 days post vaccination the pt experienced tingling in bilateral extremities. Unspecified medical attention was sought. No other information was available. Additional info has been requested.
Age: 2.0
Sex: F
Vaccine: HEP
Symptoms: Rheumatoid arthritis
Clinical narrative: Information has been received from a pt's mother concerning an approximately 24 month old female with no past medical history and no known allergies who on 04/23/1997, was vaccianted with the first dose of hep b vaccine recombinant. About 6-9 months later, the pt received the second dose of hep b vaccine recombinant. By the time the pt was 15 months old in approximately July of 1998, the pt received the third dose of hep b vaccine. Concomitant therapy included etanercept. In approximately April 1999, about 9 months after the last dose, the pt was diagnosed with juvenile rheumatoid arthritis. the pt's mother felt that the hep b vaccine recombinant is the cause of the rheumatoid arthritis because there is a history of it in the family and she thinks that there is something in the hep b vaccine recombinant that triggered it in her daughter. Additional info has been requested.
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Ecchymosis, Henoch-Schonlein purpura, Purpura
Clinical narrative: Information has been received from a physician concerning a 11 year old female on 02/19/2001 was vaccinated with a first dose of hep b vaccine recombinant in the left arm. On approximately on 03/07/2001 the pt experienced ecchymotic or purpuric rash on her legs only. The physician felt that the rash may be associated with some sort of vasculitis. The rash was later diagnosed as Henoch-Schonlein purpura. The pt recovered. No further info is expected.
Age: 66.0
Sex: F
Vaccine: HEP
Symptoms: Chills, Neuropathy peripheral, Urticaria
Clinical narrative: Information has been received from a health professional concerning an approximately 66 year old female who on unspecified dates was vaccinated with a first, second and third dose of hep b vaccine recombinant. Subsequently, after the third dose, the pt experienced extreme urticaria, chilla, and possible peripheral neuropathy. The pt feels that the symptoms may have been present after te first and second dose, but to a lesser extent. It was reported on 03/21/2001, that the pt was still experiencing the symptoms. The pt sought unspecified medical attention. Additional info has been requested.
Age: 51.0
Sex: F
Vaccine: HEP
Symptoms: Red blood cell sedimentation rate increased
Clinical narrative: Information has been received from a pharmacist concerning a 51 year old female with hypertension and asthma who on 02/14/2001 was vaccinated with a first dose of hep b vaccine recombinant. On 03/23/2001 the pt was vaccinated with a second dose of hep b vaccine recombinant. Concomitant therapy included numerous other medications. It was reported that shortly before the second dose of hep b vaccine recombinant the pt sought unspecified medical attention and was found to have an increased erythrocyte sedimentation rate. Additional info has been requested.
Sex: F
Vaccine: HEP, HEP
Symptoms: Pain
Clinical narrative: Information has been received from a female consumer who is a registered nurse who a few years ago when it first came out was vaccinated with a dose of hep b vaccine recombinant. Subsequently a few weeks later, she started experiencing shooting pains to the temporal area. A few days later that pt was administered a dose of hep b vaccine recombinant. It was reported that the pains continued and a CT scan was done with negative results. The pt was treated wtih Dilantin for 1 to 1 1/2 yers until the symptoms resolved. It was reported that the pt had no further symptoms. Additional info has been requested.
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Blister, Chills, Hepatic function abnormal, Pyrexia
Clinical narrative: Information has been received from a physician concerning a 11 year old female pt with no known allergies who on 03/09/2001 was vaccinated with the second dose of hep b vaccine recombinant. On 03/25/2001 the pt developed a pruritic red rash, plaque like blisters that were diffused. The rash was on her face, arms, and trunk. She developed fevers of 101-102F, chills, and joint aches/pains. On 03/26/2001, the pt presented to the physician's office with a rash that was blotchy, raised, urticarial, with a few vesicles, that had no target lesions, and no mucosal lesions. There were some small lesions on the hands and feet. On 03/26/2001, laboratory values were as follows: PT normal, platelets normal, AST 216, ALT 268, alkaline phosphatase 513, and total bilirubin of 1.8. The pt did not have a coagulatiion disorder. It was initially thought since the pt had a subconjunctival hemorrhage from coughing and a large hematoma after blood was drawn, but the PT and platelets were normal. The pt was not hospitalized. Since the pt tested negative for hep a,b, and c, the physician felt the pt could have had an atypical viral syndrome. The pt was treated with prednisone and was improving. The pt will not be receiving the third dose of hep b vaccine recombinant. The pt's liver enzymes will be followed until normal. Additional info is not expected.
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Rash, Rash maculo-papular, Urticaria, Viral infection
Clinical narrative: Information has been received from a physician concerning a 11 year old female pt with no known allergies who on 03/09/2001 was vaccinated with the second dose of hep b vaccine recombinant. On 03/25/2001 the pt developed a pruritic red rash, plaque like blisters that were diffused. The rash was on her face, arms, and trunk. She developed fevers of 101-102F, chills, and joint aches/pains. On 03/26/2001, the pt presented to the physician's office with a rash that was blotchy, raised, urticarial, with a few vesicles, that had no target lesions, and no mucosal lesions. There were some small lesions on the hands and feet. On 03/26/2001, laboratory values were as follows: PT normal, platelets normal, AST 216, ALT 268, alkaline phosphatase 513, and total bilirubin of 1.8. The pt did not have a coagulatiion disorder. It was initially thought since the pt had a subconjunctival hemorrhage from coughing and a large hematoma after blood was drawn, but the PT and platelets were normal. The pt was not hospitalized. Since the pt tested negative for hep a,b, and c, the physician felt the pt could have had an atypical viral syndrome. The pt was treated with prednisone and was improving. The pt will not be receiving the third dose of hep b vaccine recombinant. The pt's liver enzymes will be followed until normal. Additional info is not expected.
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Blood pressure increased, Dizziness, Heart rate increased, Nausea, Pyrexia
Clinical narrative: Information has been received from a medical assistant concerning a 20 year old female employee who on 03/29/2001 was vaccinated with hep b vaccine recombinant. Concomitant therapy included hormonal contraceptives. On 03/29/2001 the pt experienced nausea, vomiting, lightheadedness, temperature of 99 F and pulse 100-120, 1.5 2 hours after receiving the injection. The reporter added that a virus was going around the office. Additional info has been requested.
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Vomiting
Clinical narrative: Information has been received from a medical assistant concerning a 20 year old female employee who on 03/29/2001 was vaccinated with hep b vaccine recombinant. Concomitant therapy included hormonal contraceptives. On 03/29/2001 the pt experienced nausea, vomiting, lightheadedness, temperature of 99 F and pulse 100-120, 1.5 2 hours after receiving the injection. The reporter added that a virus was going around the office. Additional info has been requested.
Sex: M
Vaccine: HEP
Symptoms: Nonspecific reaction
Clinical narrative: Information has been received from a male consumer who was vaccinated with hep b vaccine recombinant. Subsequently the pt experienced a severe reaction to the vaccine, the pt believes it was an autoimune response. Additional info has been requested.
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Rash papular
Clinical narrative: Information has been received from a 24 year old female with no known drug allergies who on 03/28/2001 was vaccinated with one dose of hep b vaccine recombinant. On 03/29/2001 the pt broke out in small bumps all over her body. The caller states the symptoms have continued to the present. The pt sought unspecified medical attention. Additional info has been requested.
Age: 8.0
Sex: M
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: Information has been received from a physician concerning an 8 year old male pt who in approx. October 2000, was vaccinated with hep b vaccine recombinant. In approximately October 2000, the pt developed hives. Subsequently, the pt recovered from hives. Additional info has been requested.
Sex: F
Vaccine: HEP
Symptoms: Hypersensitivity
Clinical narrative: Information has been received from a nurse practitioner concerning a female with pcn allergy who was vaccinated with hep b vaccine recombinant. Subsequently, the pt experienced an allergic reaction. Unspecified medical attention was sought. No further info is available.
Age: 49.0
Sex: F
Vaccine: HEP
Symptoms: Injection site hypersensitivity, Injection site reaction
Clinical narrative: Information has been received concerning a 49 year old female who on 12/01/2000 was vaccinated with a second dose of hep b vaccine recombinant at the edge of the deltoid. Concomitant therapy included triamcinolone acetonide. On 02/01/2001, the pt received three injections of triamcinolone acetonide at another office. On 04/02/2001 the pt experienced soreness at the injection site on arm and in denture the size of a quarter at the injection site. Additional info has been requested.
Age: 0.75
Sex: F
Vaccine: HEP
Symptoms: Somnolence, Urticaria
Clinical narrative: Information has been received from a consumer concerning a 9 month old female, with an allergy to dairy, eggs and soy, who in approximately September 2000, was vaccinated with ehp b vaccine recombinant in the am. That same day she slept 8 hours and was difficult to arouse and she had huge red welts all over her body. Unspecified medical attention was sought. Additional information has been requested.
Age: 35.0
Sex: F
Vaccine: HEP
Symptoms: Discomfort, Lymphadenopathy, Myalgia
Clinical narrative: Information has been received from a registered nurse concerning a 35 year old female with atropine, tetracycline, phenergan and aspirin sensitivity and a history of seizure who on 02/09/2001 was vaccnanted with a first dose of hep b vaccine recombinant IM in the right upper arm. There was no illness at the time of vaccination. The registered nurse reported that the pt presented on 04/12/2001 for her second hep b vaccine recombinant; however, prior to receiving the injection, reported that as a child, she wasn't able to complete her series of any childhood immunizations due to convulsions after the second or third doses. The pt reported that approx. 27 hrs after receiving the vaccine on 02/09/2001, she experienced soreness and discomfort across the shoulders and neck. This soreness was accompanied with enlarged cervical glands. The registered nurse reported that the pt reported that the most intense discomfort lasted 10 days with vague discomfort lasting approx. one month. She also reported that there was no reaction at the site of injection. In follow-up the pt reported to the registered nurse on 04/12/2001 that she is experiencing no symptoms at present time. No further info is available.
Age: 25.0
Sex: F
Vaccine: HEP
Symptoms: Injection site pain
Clinical narrative: Information has been received from a registered nurse concerning a 25 year old female who on 03/14/2001 was vaccinated with hep b vaccine recombinant. On 03/14/2001 the pt experienced sharp pain at the injection site in her left arm which radiated down to the palm on her hand. The pain lasted for 20 mins. The pain continued to hurt on and off for about one week. The pt did not have nay neurodeficits and her grip was good. The pt sought medical attention. Additional info has been requested.
Age: 11.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Alopecia
Clinical narrative: Information has been received from a licensed practical nurse concerning an 11 year old female with asthma, a strawberry allergy and cat allergy who on 04/13/2001 was vaccinated with a first dose of hep b vaccine IM in the right arm. Concomitant vaccination included a dose of MMR received on 04/13/2001, SC in the left arm. Concomitant therapy included montelukast sodium, fluticasone propionate, and albuterol. There was no illness at the time of vaccination. The licensed practical nurse reported that 24 hrs after the pt received the vaccinations she experienced alopecia. The licensed practical nurse reported that the client presented on 04/16/2001 with alopecia in the center of her head. The nurse reported that this was the client's first injection of hep b vaccine recombinant and MMR. In follow-up the licensed practical nurse reported that 24 hrs after vaccines, there was an abrupt onset of hair loss centrally, in a line along the sagittal suture. She report that the roots came out too and the area was 2-3cm wide and 5-6 cm long, total alopecia in that area. The licensed practical reported that as of 05/09/2001, the hair is starting to regrow. In follow-up the physician's office reported that as of 09/26/2001, the hair has regrown. No further info is available
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Malaise, Myalgia, Pyrexia
Clinical narrative: Information has been received from a physician concerning a female pt who was vaccinated with hep b vaccine recombinant. Subsequently the pt experienced mild fever, myalgia, arthralgia and malaise which lasted several days and cleared without complication. Unspecified medical attention was sought. Additional info has been requested.
Age: 49.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain, Hepatic function abnormal, Liver function test abnormal
Clinical narrative: Information has been received from a physician concerning a 49 year old female with no known drug allergies who on 01/23/2001 was vaccinated with hep b vaccine recombinant and who on 02/19/2001 was vaccinated with hep b vaccine recombinant. The pt was started on Bizxin on 03/03/001. On 03/17/2001, the pt had experienced acute abdominal pain and had developed a chemical hep with elevated liver function tests. On 03/11/2001, the pt was seen by her physician for complaints of acute abdominal pain which had started on 03/17/2001. At that time, blood laboratory tests were performed which revealed a serum alanine aminotransferase of 1250, a serum alkaline phosphate of 371, a serum aspartate aminotransferase of 978, and a total serum bilirubinof 1.9 on 04/26/2001, blood laboratory tests were performed which revealed that her hepatic function tests had returned to normal limits. The reporting physician felt that the pt event may have been achemical hepatitis. On an unspecified date, therapy with Biaxin had been discontinued. Additional info has been requested.
Age: 13.0
Sex: M
Vaccine: HEP
Symptoms: Dizziness, Headache, Nausea, Pain
Clinical narrative: Information has been received from a consumer concerning her 13 year old son with an unspecified allergy, who on 04/19/2001 was vaccinated with a first dose of hep b vaccine recombinant. There was no concomitant medication. On 04/26/2001 the pt experienced pain on one side of his head when he moved it. The reporter also noted that the pt also experienced nausea and dizziness when he reads. As of 05/03/2001 the pt had been out of school his adverse experience. Unspecified medical attention was sought. Additional info has been requested.
Age: 36.0
Sex: F
Vaccine: HEP, TD
Symptoms: Eye pain, Pain in jaw, Polyneuropathy, Tongue oedema
Clinical narrative: Information has been received from a registered nursing concerning a 36 year old female who in December 2000 was vaccinated with her first dose of hep b vaccine recombinant. Three weeks alter, the pt experienced jaw and eye pain and her tongue felt as if it was swollen. She was seen by a few doctors including a neurologist. By that time, her symptoms had resolved. She was diagnosed with polyneuritis which was "related to virus." On 04/04/2001, she received her second dose of hep b vaccine recombinant. Three weeks later, on approximately 04/25/2001, the symptoms resumed. The pt was scheduled to see a neurologist on 05/04/2001. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site induration, Myalgia
Clinical narrative: Information has been received from a health care facility concerning a 13 year old female with no known medical history or allergies who was vaccinated with her second dose of hep b vaccine recombinant. There was no concomitant medication. Subsequently, the pt experienced a red, sore, hard knot at injection site. The pt had no reaction with the first dose of hep b vaccine recombinant. Unspecified medical attention was sought and the pt's outcome was unknown. Additional info has been requested.
Age: 47.0
Sex: M
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: Information has been received from a physician concerning a 47 year old male who on approximately 03/15/2001 was vaccinated with hep b vaccine recombinant. Two weeks post vaccination, on approximately 03/30/2001, the pt experienced chronic urticaria. The physician stated that no other symptoms were noted. Unspecified medical attention was sought and the pt's outcome was unknown. Additional info has been requested.
Age: 36.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Cough, Influenza like illness, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Information has been received from a 36 year old female consumer with an allergy to compazine and a history of chicken pox who in approx. November 2000 was vaccinated with a first dose of hep b vaccine recombinant. Concomitant therapy included Ziac and Zoloft. Subsequently, the pt started to experience flu-like symptoms. She reported that she developed achy joints, cough, fever and sour throat. It was reported that this lasted for one week. On 05/10/2001 she received a second dose of hep b vaccine recombinant and experienced all the effects again. No further info is available.
Age: 35.0
Sex: F
Vaccine: HEP
Symptoms: Pain, Swelling
Clinical narrative: Information has been received from a registered pharmacist concerning a 35 year old female who on approx. 05/14/2001 was vaccinated with the third dose of hep b vaccine recombinant. On 05/16/2001 the pt experienced quiet bit of achiness and swelling of her hand s and subsequently sought medical attention. It was reported that the pt did not experience these symptoms with the administration of the first or second dose of the vaccine. No other info is available.
Age: 35.0
Sex: F
Vaccine: HEP
Symptoms: Feeling hot, Injection site erythema, Injection site hypersensitivity, Injection site pain, Pruritus
Clinical narrative: Information has been received from a registered nurse concerning a 35 year old female pt with no past medical history who on 04/20/2001 and 05/24/2001 at 5pm was vaccinated with the first and second dose of hep b vaccine recombinant, respectively, both IM in the right deltoid. There were no concomitant medications and no known illness at the time of vaccination. Within a few hours of vaccination, the pt developed a slight pain followed by intense itching at the injection site. The area was two by three inches and continued to itch for 72 hours. The area was reddened and warm to tough. The pt was treated with topical applications and the symptoms subsided. On 05/24/2001 the second injection resulted in less itching and lasted only for several hours. The pt did have pain in her arm from the injection site to elbow for nearly 24 hrs. It was reported that the pt recovered. No further info is expected.
Age: 32.0
Sex: M
Vaccine: HEP
Symptoms: Erythema, Feeling hot, Rash, Swelling, Urticaria
Clinical narrative: Information has been received from a 32 year old male who on 05/01/2001 was vaccinated with a third dose of hep b vaccine recombinant. Concomitant therapy included minocycline hcl. On 05/08/2001 the pt experienced swelling under his armpits and in his glands in his neck. He also have hives, swelling of his lips and mouth, redness of ears, chest, face and other parts of his body a warm feeling all over  his body and a slight rash. It was noted that the pt was seen a few times by his physician and on 05/17/2001 was started on prednisone. It was reported that the prednisone helped relieve the symptoms and that as of 05/21/2001 all symptoms were gone.
Age: 11.0
Sex: M
Vaccine: HEP
Symptoms: Chest pain, Headache, Injection site pain, Swelling
Clinical narrative: Information has been received from a health care professional concerning an 11 year old male pt who on 05/01/2001 was vaccinated with a second 10 mcg dose of hep b vaccine recombinant. There was no concomitant medication. On 05/03/2001 two days after vaccination, the pt presented to the clinic complaining of headache, pain at the injection site, chest pain and his right hand and arm were swollen. Subsequently, the pt recovered. Additional info has been requested.
Age: 30.0
Sex: M
Vaccine: HEP
Symptoms: Headache, Pain
Clinical narrative: Information has been received from a health professional concerning a 30 year old male with no past medical history who on 05/09/2001 was vaccinated IM with hep b vaccine recombinant. There was no concomitant therapy. On 05/10/2001 the pt experienced headache and generalized aches. This was severe enough that the pt did not work for one day. Subsequently, the pt recovered from headache and generalized aches. No other info is available.
Age: 25.0
Sex: F
Vaccine: HEP
Symptoms: Pyrexia
Clinical narrative: Information has been received from a physician concerning a 25 year old female who on 05/07/2001 was vaccinated one dose of hep b vaccine recombinant. On 05/09/2001 the pt experienced feelings of fever and chills at 1700 hours daily since then. Unspecified medical attention was sought. Additional info has been requested.
Sex: U
Vaccine: HEP
Symptoms: Upper respiratory tract infection
Clinical narrative: Information has been received from a physician concerning an adult who was vaccinated with hep b vaccine recombinant. It was reported that the pt experienced an upper respiratory infection. Additional info has been requested.