chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Cough, Influenza like illness, Myalgia, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Patient developed fever and flu-like symptoms, including vomiting for two days, cough, rhinorrhea, muscle aches, and possible sore throat. Symptoms not yet resolved as of this report. Parents unsure if he received flu shot last year, and records not yet available from prior office.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Rhinorrhoea, Vomiting
Clinical narrative: Patient developed fever and flu-like symptoms, including vomiting for two days, cough, rhinorrhea, muscle aches, and possible sore throat. Symptoms not yet resolved as of this report. Parents unsure if he received flu shot last year, and records not yet available from prior office.
Age: 1.0
Sex: M
Vaccine: HIBV, PNC
Symptoms: Irritability, Pyrexia, Rash, Somnolence
Clinical narrative: Had a high fever that ranged at its lowest point of 102 degrees and its highest 104 degrees. It fluctuated between these numbers for 4 days never going below 102 - starting the night the shots were administered. Needless to say he was sleepy and out of it for those 4 days with the fever. He did not eat but nursed some. after his fever finally went down he had a horrible rash all over the main part of his body (not legs or lower arms). This was the worst rash I have ever seen. And i think it itched him because he was extra cranky and frustrated but couldnt itch. We called the doctor numerous times worried. he said it was fine, not to worry and this was ok. We ended up taking him to the doctor to look at the rash. he read the insert from the shots and said it could have been a reaction from the shots or just something else he caught at the same time.
Age: 78.0
Sex: M
Vaccine: PPV
Symptoms: Medication error
Clinical narrative: Pt stated recieved  pneumococcal shot three years ago and was accidently given another pneumococcal shot. No local reaction as of yet.
Age: 0.1
Sex: M
Vaccine: HEP, IPV, HEP, IPV
Symptoms: Sudden infant death syndrome
Clinical narrative: Pt was administered Hep B and IPV vaccine at 9AM and pt died of unrelated causes at 12 noon same day. Case is in hands of medical examiner and has ruled out vaccine reaction as cause or contribution to death. Term added from Autopsy report rec'd 12/21/2005: SIDS/sr
Age: 0.1
Sex: M
Vaccine: HEP, IPV, HEP, IPV
Symptoms: Apnoea, Choking, Cough, Cyanosis, Discomfort
Clinical narrative: Pt was administered Hep B and IPV vaccine at 9AM and pt died of unrelated causes at 12 noon same day. Case is in hands of medical examiner and has ruled out vaccine reaction as cause or contribution to death. Term added from Autopsy report rec'd 12/21/2005: SIDS/sr
Age: 0.1
Sex: M
Vaccine: HEP, IPV, HEP, IPV
Symptoms: Dyspnoea, Epistaxis, Loss of consciousness, Respiratory arrest
Clinical narrative: Pt was administered Hep B and IPV vaccine at 9AM and pt died of unrelated causes at 12 noon same day. Case is in hands of medical examiner and has ruled out vaccine reaction as cause or contribution to death. Term added from Autopsy report rec'd 12/21/2005: SIDS/sr
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Flushing, Loss of consciousness
Clinical narrative: Pt employee in CCU. Pt stated seeing stars, laid on floor, became flushed, vomited and lost consciousness. Rush to ER - 1000 cc normal saline, AQ adrenalin 0.3 SQ, Benadryl 25mg, Xopenex aerosol, Decadron 4 mg IV.  Pt called at 3:15 doing well.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Vomiting
Clinical narrative: Pt employee in CCU. Pt stated seeing stars, laid on floor, became flushed, vomited and lost consciousness. Rush to ER - 1000 cc normal saline, AQ adrenalin 0.3 SQ, Benadryl 25mg, Xopenex aerosol, Decadron 4 mg IV.  Pt called at 3:15 doing well.
Age: 37.0
Sex: M
Vaccine: FLU3
Symptoms: Hypersensitivity, Petechiae, Vasculitis
Clinical narrative: This case was reported by a pharmacist and described the occurrence of digital vasculitis in a 37 year old male subject who was vaccinated with influenza virus vaccine (Fluarix) for prophylaxis. This case was also reported by a physician. The pharmacist and physician reported that the subject is a physician. The subject had no pre-existing medical conditions. On 25Oct05 the subject received 1st dose of Fluarix in an unspecified arm (lot number not provided). Within 24 hrs after vaccination with Fluarix, on 26Oct05, the subject experienced bilateral digital vasculitis characterized as petechiae of the fingertips and fingertips that are very sensitive to touch, unable to type. At the time of initial reporting, 27Oct05, the events were worsening. The pharmacist considered the events to possibly be related to vaccination with Fluarix. Digital vasculitis was assessed as medically serious by manf (OMIC).
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Tremor
Clinical narrative: C/O fever of 103 degrees (temp taken with glass thermasat) and chills "shaking so bad I can't hardly function". Fever down by 10 am the following morning - she took antipyretic. Complete recovery in 24 hours.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Rash
Clinical narrative: Itchy rash around injection site and on legs, both "real red" (None on arms, face or anywhere else) Took Benadryl to help itching. She saw Dr. No additional treatment needed.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Pharyngeal oedema, Swelling face, Urticaria, Wheezing
Clinical narrative: Swollen lips, neck, throat. Hives face/neck. Wheeze
Age: 71.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema, Swelling
Clinical narrative: Severe upper arm swelling erytherma and edema
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Oedema, Swelling
Clinical narrative: Severe upper arm edema and swelling encompassing entire upper arm
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Blister, Erythema, Oedema, Pruritus
Clinical narrative: Severe upper arm edema, erythema, vessicles, itching
Age: 69.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Swelling, heat and erythema in arm distal to injection site, involved entire area
Age: 86.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Urinary tract infection
Clinical narrative: 10/19/05 high temperature 1 AM 103 degrees to 4 AM 99.2 AX 10/21/05 started on macrobid for UTI
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Received flu vaccine at 2pm on 10/24/05. On 10/25/05 woke up systemic hives. Treated by PMD- benadryl and prednisone 20 mg x 5 days.
Age: 77.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site hypersensitivity, Injection site pain
Clinical narrative: Pain and redness at injection right arm to elbow, redness progressive. Pain receding as of 10/22/2005. Pt tried ice, Benadryl, and Aleve
Age: 52.0
Sex: M
Vaccine: MEN
Symptoms: Dysphagia
Clinical narrative: Moderate difficulty swallowing reported at Health unit at  1:50pm. Contacted Dr, VS 97.6, BP 114/70, apical pulse 96, respiration 20. Benadryl capsule given PO, DR prescribing Medrol pack.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Pharyngolaryngeal pain, Urticaria, Wheezing
Clinical narrative: Developed wheezing, throat pain, urticaria.
Age: 14.0
Sex: F
Vaccine: IPV, TD, VARCEL
Symptoms: Dizziness, Nausea, Syncope
Clinical narrative: Pt c/o nausea and dizziness after the 3rd vaccine Varicella. Pt had syncopal episode lasting about 1 min. Placed in supine position. Respiratory status and V/S assessed and monitored.
Age: 62.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Pain
Clinical narrative: Pain, redness on the left deltoid arm, pain, redness are receding pt tried Benadryl, Neosporin and Aleve.
Sex: U
Vaccine: PPV
Symptoms: Erythema, Nausea, Oedema, Pain
Clinical narrative: Red, swelling, painful first day nausea.
Age: 29.0
Sex: F
Vaccine: TD
Symptoms: Anxiety, Chest discomfort, Dizziness, Hyperhidrosis, Nausea
Clinical narrative: Pt denied allergies. TD given in left deltoid with reaction approx 20 mins later RTC and stated felt dizzy and c/o sweating, tightness in chest with nausea, appeared anxious, Pt put in supine position on table. BP 120/80, P82, Ct still c/o nausea. but no tightness of chest, no SOB ever noted 2:45 pt left in wheelchair to car with fiance driving. Pt instructed to go to ER if needed.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Feeling hot, Injection site hypersensitivity, Injection site pain, Tenderness
Clinical narrative: Redness and soreness, tenderness around site of injection. Pink and warm to touch on 10/28/2005 but patient states the redness is going away. On the left side of right arm 7 1/2 inches pink at the posterior side and 3 inches pink to the anterior side still warm to touch. Less tender today than on Wednesday night.
Age: 34.0
Sex: M
Vaccine: TTOX
Symptoms: Hypoaesthesia, Injection site hypersensitivity, Injection site induration, Injection site pain, Pruritus
Clinical narrative: Moderate soreness at injection site 10/20/2005, lasted 24 hours, nodule formation at injection site 10/20/2005, lasted 24 hours, itching at injection site 10/20/2005, lasted 12 hours numbness right deltoid to wrist 10/20/2005, lasted 24 hours.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia, Vomiting
Clinical narrative: Temp 103 x 18 hours at time of appointment. When tem up, vomited at peak. No other symptoms noted. TX Infant acetaminophen 15 mg 1 x g Q 4-5 hours x 24 hours.
Age: 68.0
Sex: F
Vaccine: FLUX
Symptoms: Herpes zoster
Clinical narrative: A case of Shingles developed within two days of flu vaccination.  Still ongoing, 2 weeks after.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dyspnoea, Pain, Palpitations, Wheezing
Clinical narrative: Received the flu vaccine around 12 p.m., on Friday, Oct. 28, 2005.  Around 7:30 p.m., I started having trouble breathing.  Starting wheezing, felt weak all over, had heart palpitations.  This lasted until 2:15 a.m., Saturday morning, Oct. 26, 2005.  I never had an allergic reaction like this before when I took the flu shot.  I was almost at the point where I wanted to call 911, but when it subsided, I was able to sleep.  Woke up around 12:10 p.m. on Saturday afternoon, and have been feeling all right since the episode. I will call my doctor on Monday to report the incident of the reaction of the flu shot.  One more thing... when I was given the flu shot in my left upper arm, it hurt terribly. My arm was immediately sore. (it still is somewhat sore) This is an experience that never happened before either.  So can you explain why this happened to me with this flu vaccine?  I'm not sure what to enter in #13.  All I can tell you that it was the influenza vaccine shot in the arm.
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia, Pyrexia, Vomiting
Clinical narrative: Fever X 2days (101F) w/ joint aches, which was listed as possible reaction, but also severe vomiting x 1 days.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain
Clinical narrative: Pt. rec'd vacc. 10/28 within 2 hours after vacc. pt experienced chest pain L posterior chest wall. Comes into the clinic 10/30 EKG done, Chest x-ray done.
Age: 1.27
Sex: F
Vaccine: FLUX
Symptoms: Coma, Convulsion, Salivary hypersecretion
Clinical narrative: The child was found unresponsive in her crib.  The child was experiencing a seizure (tremors) which involved her right upper and lower extremity and right side of face.  The child was foaming at the mouth.  The seizure lasted approximately 15 minutes and paramedics were called.  Pediatrician was paged.  By the time paramedics arrived, the seizure had ended.  We were advised by pediatrician to take the child to the hospital emergency room.  After that first incident, the child had 11 seizures in the last 3 years.  The child is currently under the care of pediatric neurologist and several anti-seizure medications were tried.  The child is currently on her 3rd anti-seizure medication. Per follow up 01/03/2006 she now has a seizure disorder and is on anti-seizure medication. Follow up received 04/05/2007. Patient has been on seizure meds for over 3 yrs now.
Age: 49.0
Sex: M
Vaccine: FLUX
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives on right arm at the area of the elbow.  On the outer side of the elbow, not on the cease or heel of the elbow.  Covering an area 3 by 4 inches. Mild itching sensation.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Injection site pain, Loss of consciousness, Respiratory disorder
Clinical narrative: Normal prep and counseling for shot. At injection patient flinched and said it felt as needle inbed into arm. Immediately said feeling faint, with 5 seconds passes out in sitting position and head back and actually did not appear to be breathing as we began calling 911 and attempted to get pt to prone position. As we began to try to move her she came to and began to respond. In about 10 minutes paramedics came and she did not want to go to the hospital. They worked with her and in about 50 she was able to go home with a friend.
Age: 91.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Nausea, Pyrexia
Clinical narrative: Temp 101, chills, nausea, treatment Tylenol, Fluids.
Age: 83.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Feeling hot, Oedema, Pain
Clinical narrative: Around 4:30- 5:00 pm pt noticed pain in left arm with redness, swelling and heat. She contacted pharmacy where she was instructed to take Benadryl. Pain and swelling persisted she contacted doctor office who advised to use warm compresses. Follow up with pt indicates improvement with decreased swelling and pain with time. Redness persist and is moving down arm.
Age: 15.0
Sex: F
Vaccine: TDAP
Symptoms: Contusion, Feeling hot, Injection site hypersensitivity, Injection site induration, Injection site pain
Clinical narrative: 5mm bruise at injection site, one inch below injection site one cm lump, red increasing warmth with blister and pain.
Age: 15.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site vesicles
Clinical narrative: 5mm bruise at injection site, one inch below injection site one cm lump, red increasing warmth with blister and pain.
Age: 60.0
Sex: F
Vaccine: FLUX
Symptoms: Convulsion, Difficulty in walking, Gaze palsy, Hypokinesia
Clinical narrative: A 50 year old female with a medical history of epilepsy since age 13 and brain surgery in Feb 1999 received a .25ml injection of Influenza vaccine, lot number unk, on 19Oct05 at 1:30PM. The route and site of administration and number of previous doses were also unk. Ten hrs later at 11:15PM, the pt experienced a staring seizure (not grand mal) and could not walk. The duration of the seizure was 30 minutes. Illness at the time of vaccination and other medications were unk. The last documented seizures were 23Aug05, 03Aug05 and 23Mar05. The pt's next neurology visit is scheduled for 11Nov05. At the time of this report, the pt had recovered.
Age: 0.5
Sex: M
Vaccine: DTP, PNC
Symptoms: Convulsion, Pneumonia, Respiratory failure, Sepsis, Viral infection
Clinical narrative: Information regarding Prevnar (pneumococcal 7 valent conjugate vaccine (diphtheria crm197 protein) injection) was received from the mother of a 19 month old white male pt who experienced pneumonia and seizure. At 6 months of age, the pt received the third dose of Prevnar on 10Oct01. The pt also received the third dose of Diphtheria and tetanus toxoids and pertussis (manf unk) on 10Oct01. The pt has a past history of experiencing a seizure following receipt of his first and second dose of Prevnar, IPV, Comvax, and DTP (manf unk) vaccines. The child also experienced many episodes of seizures following receipt of his third doses of Prevnar and an unspecified DTP vaccine. The indication for Prevnar was immunization. Product was administered on 10Oct01. Dose regimen was 1 dose 1 time per day (IM). Concomitant medications were not reported. On an unk date in 2002, the child developed pneumonia. On 23Nov02, he experienced a seizure and died. The mother stated that the cause of death was pneumonia and a fatal seizure. No additional information was available at the time of this report.  See related serious cases: HQWYE203024OCT05, HQWYE227825OCT05, and HQWYE203124OCT05. Discharge Summary received which revealed dx: respiratory failure, sepsis syndrome & multi-system failure.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Heart rate increased, Hypersensitivity, Hypoxia, Pharyngitis, Pruritus
Clinical narrative: Tightness in throat, increased heart rate, decreased O2.  Information received from Discharge summary states pharyngitis. msv
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Throat tightness
Clinical narrative: Tightness in throat, increased heart rate, decreased O2.  Information received from Discharge summary states pharyngitis. msv
Age: 59.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Injection site erythema, Injection site oedema
Clinical narrative: Redness and edema right deltoid, resulting in cellulitis and edema right arm into right side of neck and face. Saw ER physician on Monday night 10/17/2005 and 10/18/2005, saw family MD on 10/19/2005, was put into hospital 10/19/2005 and released on 10/21/2005.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Pruritus
Clinical narrative: C/O red, swollen and painful at site started itching 1 hour after injection. C/O not feeling well such as joint aching and fatigue.
Age: 76.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Hypokinesia, Injection site pain, Injection site reaction
Clinical narrative: Arm that got the shot became extremely sore after several hours. Couldn't move arm at all w/o getting extreme pain. Unable to undress or dress, etc. lasted about one week, *Pneumococcal.
Age: 5.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Erythema, Listless, Urticaria, Vomiting
Clinical narrative: After 10 min pt turned red and listless and started with hives. Within 10 more minutes pt vomited. Pt was given Benadryl T2cc EPI 1:1000, Pt started with redness at 2:50 and given 2CC EPI 1:1000.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Oedema, Pain
Clinical narrative: Shoulder developed pain and swelling over course of a few days. MD gave patient prednisone tabs and pain and swelling are resolving.
Age: 66.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Chills, Cough, Injection site hypersensitivity, Paraesthesia, Pyrexia
Clinical narrative: Hives rash around neck, between and under breast. Slight elevation of temp. Big red ring slightly off center from injection point. Scalp crawled, some slight chills, cough. My opinion I have never reacted to a flu vac, so I think I reacted to the pneumonia one. It stung while being injected.
Age: 66.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Rash, Urticaria
Clinical narrative: Hives rash around neck, between and under breast. Slight elevation of temp. Big red ring slightly off center from injection point. Scalp crawled, some slight chills, cough. My opinion I have never reacted to a flu vac, so I think I reacted to the pneumonia one. It stung while being injected.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Feeling hot, Pruritus, Urticaria
Clinical narrative: Developed hives after Fluzone approx 15 minute with administration itchy and stated skin felt hot. Benadryl given in office. Hives resolved approx 8 hours later saw allergist next day.
Age: 64.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Cellulitis, Erythema, Oedema
Clinical narrative: Redness - swelling of upper arm shoulder to elbow. Right arm diagnosed as cellulitis.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Wheezing
Clinical narrative: Difficulty breathing, wheezing after vaccination. Given Epinephrine & Benadryl - responded with improved breathing. Sent to ER. Observed treated with steroids and released in stable condition.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Vomiting
Clinical narrative: Pt. reports had a firm area at injection site. By 9 pm on 10-25-05. Pt went to bed, awoke at 3 am vomited one time, returned to bed. Upon awakening noted red firm area at injection site. Examined pt at the office (1320) 10/26 area 6 cm x 5cm reddened, indurated.
Age: 77.0
Sex: U
Vaccine: FLU3, PPV
Symptoms: Chills, Erythema, Hyperhidrosis, Pyrexia, Rash
Clinical narrative: On 10-21-05 pm developed the following Sx fever, chills, sweating. From elbow to mid rt arm red and tender, denies swelling. Developed rash waist, under arms, breast, eyes and cheek. Denied any sob or wheeze at anytime. 10/26/05 Sx improving afebrile rash.
Age: 77.0
Sex: U
Vaccine: FLU3, PPV
Symptoms: Tenderness
Clinical narrative: On 10-21-05 pm developed the following Sx fever, chills, sweating. From elbow to mid rt arm red and tender, denies swelling. Developed rash waist, under arms, breast, eyes and cheek. Denied any sob or wheeze at anytime. 10/26/05 Sx improving afebrile rash.
Age: 9.0
Sex: F
Vaccine: FLU3
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: On Benadryl for sinus since 10/20/05. Itchy face red rash head to toe w/in 12 hrs. Worsened 10/22, began improving 10/23. Lactose intolerant. Allergy history -  slight allergy to raw eggs. 2000 eat food with eggs with no problem.
Age: 44.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Erythema, Feeling hot, Oedema, Urticaria
Clinical narrative: Arm swelled (welts), burning, hot to touch, ache under arm, redness & swelling traveled up & down arm. Emergency room visit, received cefuroxime Axetil.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site induration, Myalgia, Pain, Pyrexia
Clinical narrative: S/S soreness & tenderness in R arm, redness at injection site with red streak going around inner 1/2 of arm. Achiness, fever no degrees. Induration at injection site. TX: Benadryl Injection & Ice to injection site.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Tenderness
Clinical narrative: S/S soreness & tenderness in R arm, redness at injection site with red streak going around inner 1/2 of arm. Achiness, fever no degrees. Induration at injection site. TX: Benadryl Injection & Ice to injection site.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema, Pruritus
Clinical narrative: 30 minutes after injection felt itching all over. Injection site swelling & red.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus
Clinical narrative: 12 hours after immunization had itching all over.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Abnormal behaviour, Anxiety, Cough, Obsessive-compulsive disorder, Posture abnormal
Clinical narrative: A 9-year-old boy who is with a complex history today relating to a flu shot. Since receiving his flu shot, within 12 hours, mom has noticed him to be highly anxious and worried unnecessarily so. He has had tic-like behaviors, which have included mouthing at clothing, being excessively fidgety, as well as habitual coughing. He had an episode like this back almost two years ago, and mom stated it came right after a flu shot as well. Going back through the records I see that he had a flu vaccine on 11/12/03. This time, his mom said that within a week he was ill, and he had a viral-like syndrome where he took some prednisone. Shortly after this, within a month, he developed obsessive-compulsive disorder symptoms and high anxiety including tics with habitual coughing, head tilting, and a need to smell objects habitually. He was seen by doctor in play therapy which did not result in a tremendous amount of improvement. He was ultimately put on Zoloft to help with his high levels of anxiety and OCD symptoms in January of 2004, but this was apparently  "a disaster," according to mom and he became very naught and misbehaved. He was therefore taken off of the Zoloft and switched over to Prozac, which was helpful for him, and he took it until May or June of 2004. At which time, he had discontinued it, and he really had not had any return of any symptoms until  his recent flu shot. To complicate matters, he did come back in, in the middle of January, and he had a strep screen at that time which was positive. It was thought that he might have PANDAS syndrome, and he was treated for strep, although he continued to have residual symptoms for several months thereafter. He is in today with no sore throat, fever, cough, or other symptoms, although his strep screen actually comes back and is positive today as well. He has continued to exhibit OCD symptoms, anxiety, and tics since his flu shot was given on Friday, and there has been no general improvement up to today.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Psychomotor hyperactivity, Streptococcal serology positive, Tic, Viral infection
Clinical narrative: A 9-year-old boy who is with a complex history today relating to a flu shot. Since receiving his flu shot, within 12 hours, mom has noticed him to be highly anxious and worried unnecessarily so. He has had tic-like behaviors, which have included mouthing at clothing, being excessively fidgety, as well as habitual coughing. He had an episode like this back almost two years ago, and mom stated it came right after a flu shot as well. Going back through the records I see that he had a flu vaccine on 11/12/03. This time, his mom said that within a week he was ill, and he had a viral-like syndrome where he took some prednisone. Shortly after this, within a month, he developed obsessive-compulsive disorder symptoms and high anxiety including tics with habitual coughing, head tilting, and a need to smell objects habitually. He was seen by doctor in play therapy which did not result in a tremendous amount of improvement. He was ultimately put on Zoloft to help with his high levels of anxiety and OCD symptoms in January of 2004, but this was apparently  "a disaster," according to mom and he became very naught and misbehaved. He was therefore taken off of the Zoloft and switched over to Prozac, which was helpful for him, and he took it until May or June of 2004. At which time, he had discontinued it, and he really had not had any return of any symptoms until  his recent flu shot. To complicate matters, he did come back in, in the middle of January, and he had a strep screen at that time which was positive. It was thought that he might have PANDAS syndrome, and he was treated for strep, although he continued to have residual symptoms for several months thereafter. He is in today with no sore throat, fever, cough, or other symptoms, although his strep screen actually comes back and is positive today as well. He has continued to exhibit OCD symptoms, anxiety, and tics since his flu shot was given on Friday, and there has been no general improvement up to today.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dizziness, Dry throat, Dyspnoea, Heart rate increased
Clinical narrative: 10/20/2005 6pm reports tickle in throat. 6:45 pm reports dyspnea and tightness in chest, lightheadness, used albuterol MDI w/o relief. Went to Urgent care heart rate was 145 min. Was given an injectable steroid. Left urgent care 9:30 with HR of 112 minute.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Malaise, Pain, Rash pruritic
Clinical narrative: Patient called on 10/27/2005 saying after receiving flue shot on 10/26/2005 she was feeling dizzy, achy and ill when questioned, she reported itching and a rash she was advised to go to ER she refused. Called next day 10/28 she said rash was gone she was feeling better.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain lower, Back pain, Chills, Headache, Pyrexia
Clinical narrative: Chills, feverish, lower abdominal pain, headache and lower back pain symptoms.
Age: 19.0
Sex: F
Vaccine: MNQ
Symptoms: Diarrhoea, Headache, Nausea
Clinical narrative: Complained of nausea the morning follow vaccine administered and again at bedtime, headache and diarrhea x's 1
Age: 1.09
Sex: F
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 0.19
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Pyrexia, Screaming
Clinical narrative: Prolonged crying episodes overnight after vaccination consolable for 10 mints recurs off and on. Fever but < 105.
Sex: F
Vaccine: TD
Symptoms: Injection site reaction, Skin reaction
Clinical narrative: Localized cutaneous Reaction on left deltoid.
Age: 0.36
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site hypersensitivity, Injection site rash, Pruritus
Clinical narrative: Reddened areas follow by red, bumpy rash at injection sites. Itchy.
Age: 1.31
Sex: M
Vaccine: DTAP, HIBV, MMR
Symptoms: Pyrexia, Vomiting
Clinical narrative: 1 Week after MMR and DTaP , Hib fevers 100-103 vomited frequently. No local reaction or rash Day 8-9 fever 103.8, vomiting x 6.
Age: 17.0
Sex: F
Vaccine: HEP, HEPA, TD
Symptoms: Abdominal pain upper, Diarrhoea, Dyspepsia, Fatigue, Headache
Clinical narrative: nauseated shortly after receiving immunization. Vomited x 3 at home in evening a x2 this am. Headache, soft stools, fatigue, epigastric, tenderness and Right upper quadrant tender to deep palpation.
Age: 17.0
Sex: F
Vaccine: HEP, HEPA, TD
Symptoms: Nausea, Tenderness, Vomiting
Clinical narrative: nauseated shortly after receiving immunization. Vomited x 3 at home in evening a x2 this am. Headache, soft stools, fatigue, epigastric, tenderness and Right upper quadrant tender to deep palpation.
Age: 0.51
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying, Insomnia, Pyrexia, Screaming
Clinical narrative: Temp 103.1. Patient would scream and cry until he fell asleep. he slept 1-2 hours at most and then would awake screaming. Lasting day and night 3 days Motrin every 6 hours.
Age: 62.0
Sex: M
Vaccine: HEP
Symptoms: Asthenia, Chest pain, Dizziness, Headache
Clinical narrative: Patient complained of headache dizziness, chest pain, and weakness, symptoms were gone by next day.
Age: 9.0
Sex: M
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, PNC
Symptoms: Abdominal pain, Dyspnoea, Erythema, Eyelid oedema, Face oedema
Clinical narrative: Mom says on the night of 10/20/2005 he started gasping a few times breathing, complained of right leg pain, leg looked limp to mother, eyes bloodshot, and around eyes red with swelling, face swollen, she gave one dose of Tylenol, came to health dept the next am to report reaction.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, PNC
Symptoms: Hypotonia, Ocular hyperaemia
Clinical narrative: Mom says on the night of 10/20/2005 he started gasping a few times breathing, complained of right leg pain, leg looked limp to mother, eyes bloodshot, and around eyes red with swelling, face swollen, she gave one dose of Tylenol, came to health dept the next am to report reaction.
Age: 67.0
Sex: M
Vaccine: HEP, HEPA, PPV
Symptoms: Contusion, Discomfort, Injection site pain, Injection site reaction
Clinical narrative: Noted pain right deltoid area where Pneumovax vaccine injected on 10/14/2005am. Client states discomfort right deltoid is not relieved with ibuprofen or heat area. Reported to nurse on 10/25/2005 talked with client 10/26/2005 states pain persists with small bruised area at injection site approx 11 " in diameter.
Age: 0.53
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: had fever 102.9 the afternoon  he had the immunizations ER diagnosed due to immunizations still febrile 09/29/2005 but only 101 and was acting fine.
Age: 89.0
Sex: F
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Injection site oedema, Tenderness
Clinical narrative: Redness and swelling to arm of injection site. Tender to touch. No c/o fatigue or feeling ill. Reaction confined to left arm from deltoid to elbow.
Age: 1.07
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Viral infection
Clinical narrative: Chicken Pox illness
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Pyrexia, Screaming
Clinical narrative: Fever 102, crying, began 1 day later, 3 days after shots had 1 hour screaming episode.
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Coma
Clinical narrative: Unresponsive episode about 4 hours after immunizations lasted about 1 minute. Spontaneous recovery.
Age: 10.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: 14 cm x 5 cm erthy/swollen area L upper arm at site of vaccination. Fever 103-104
Age: 67.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Pneumovax given R deltoid on 10/25/05 pt. noted redness, swelling on 10/26/05 IM. Seen Dr. 10/27/05 advised Benadryl & cold pks. On 10/31/05 no symptoms
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash, Rash papular
Clinical narrative: Eruption of approximately 30 papules scattered over body, ver pruritic.
Age: 52.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Rash, Swelling
Clinical narrative: Pt states left arm hurt on injection 10/20/05 and noted swelling that night which lasted with rash until 10/23/05. Pt took Benadryl and ASA.  Reported to Health Department 10/25/2005. No s/s noted.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Periorbital oedema
Clinical narrative: Received flu shot at clinic on 10/26/05  Developed periorbital swelling about 6 hrs later  Went to personal MD, treated with Benadryl. No history of allergies, no known previous reaction to vaccines (has had several Flu shots in past).
Age: 33.0
Sex: M
Vaccine: FLUN3
Symptoms: Dyspnoea, Eye swelling, Oedema peripheral, Rash
Clinical narrative: Patient did not visit a healthcare professional until 10/28. He said a rash was noted the evening of the immunization(6 hrs. later). On 10/28 he presented to a clinic with a body rash, swollen eyes,swollen rt. hand and SOB. He was treated with Prednisone 20mg BID for 5 days and Allegra for 7 days.
Age: 40.0
Sex: F
Vaccine: FLUX
Symptoms: Dizziness, Fatigue, Hyperhidrosis, Rash, Vomiting
Clinical narrative: Rash appeared approx. 45 min. hr after shot. Called nurse who administered it and left message on her cell phone.  Never returned my call. Rash started on both arms then spread to neck and back and went away after an hour.  Next morning started dizziness, sweating and extreme fatigue with vomiting.  Had to use 2 1/2 days of my vacation/sick time till able to return to work.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Eye swelling, Pain, Pharyngeal oedema
Clinical narrative: Developed swelling of the throat, aches, chills, and swollen eyes.
Age: 1.05
Sex: F
Vaccine: FLU3, HIBV, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Mother states child started having what looked like flea bites on her legs appoximatly 2 weeks ago they progressed to back and head over this past weekend and sites on legs are now crusted over.  States child had fever several times over the weekend.
Age: 35.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Dyspnoea, Fatigue, Nausea
Clinical narrative: Nausea x 4 days. Fatigue, lightheadedness, dizziness persisting X 7 days. Shortness of breath when lying flat. Objectively normal orthostatic vitals, neuro exam, physical exam. Supportive care recommended.
Age: 54.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Received vaccine on afternoon of 10-25-05. By  8:00 PM that night, developed baseball-sized knot at site of injection. Over the next three days, the swelling increased in size and gradually migrated down my arm, accompanied by area of intense redness -- from the acromium process down to the antecubital space. Entire upper arm was very swollen, red, hot-to-touch,  and very tender -- preventing restful sleep for two nights.
Age: 80.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: AFTER ONE WEEK PATIENT AND HIS WIFE EXPERIENCED AT SITE OF INJECTION REDNESS AND SWELLING WITH BUMPS IN AREA OF INJECTION. NO OTHER SYMPTOMS, AND AREA IS GETTING BACK TO NORMAL
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Rash pruritic
Clinical narrative: Itchy red rash approximately 24 hours after vaccine administered. Benadryl given at night with kenalog cream applied during day.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Anxiety, Rash pruritic
Clinical narrative: Red, itchy rash, anxious feeling. Given Benadryl.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Rash
Clinical narrative: LOCALIZED REDNESS AND SWELLING AT SITE OF INJECTION WITH SMALL RED BUMPS. APPEARED A WEEK AFTER INJECTION. REACTION GETTING BETTER.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Chills, Dyspnoea, Headache, Malaise
Clinical narrative: Vaccine given at 4:30pm 10/17 at 8:30 pm felt short of breath, chest tightness and used inhaler. 10:30 to 11:00 pm began shivering Temp 101 oral and continued til 4am when temp broke. Had a severly debilitating headache. On 18th was ill all day with malaise, headache, and muscle aches which lasted 2 days.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia, Pyrexia
Clinical narrative: Vaccine given at 4:30pm 10/17 at 8:30 pm felt short of breath, chest tightness and used inhaler. 10:30 to 11:00 pm began shivering Temp 101 oral and continued til 4am when temp broke. Had a severly debilitating headache. On 18th was ill all day with malaise, headache, and muscle aches which lasted 2 days.
Age: 67.0
Sex: F
Vaccine: FLUX
Symptoms: Dyspnoea, Headache, Nasal congestion, Pain, Pharyngitis
Clinical narrative: Congestion, headache on one side, difficulty breathing through that side of nose, aches, cold symptoms.
Age: 67.0
Sex: F
Vaccine: FLUX
Symptoms: Rhinitis
Clinical narrative: Congestion, headache on one side, difficulty breathing through that side of nose, aches, cold symptoms.
Age: 16.0
Sex: M
Vaccine: FLU3, MNQ, PPV, TDAP
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site pain, Injection site reaction
Clinical narrative: Erythema, tenderness, induration, and warmth of upper right arm, including the injection site, and fever, consistent with cellulitis.
Age: 16.0
Sex: M
Vaccine: FLU3, MNQ, PPV, TDAP
Symptoms: Injection site warmth, Leukocytosis, Pyrexia
Clinical narrative: Erythema, tenderness, induration, and warmth of upper right arm, including the injection site, and fever, consistent with cellulitis.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Brain oedema, Convulsion, Electroencephalogram abnormal, Hyperthyroidism, Laboratory test abnormal
Clinical narrative: Patient had flu vaccine injection 10/12/05 between 1-2:00 p.m. at work.  Had no symptoms of current illness.  Experienced a seizure that evening approx. 6-7:00 p.m. while at the dinner table.  Body became rigid, LOC, and pt. bit her tongue.  No loss of urine.  No report available of extremity motions. Seen in Emergency department. In ICU for 24 hours then medical floor for another 24  hours.  CT -cranial was negative.  Lab work showed mild elevation of TSH Medical records state cerebral edema. msv
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Loss of consciousness, Musculoskeletal stiffness
Clinical narrative: Patient had flu vaccine injection 10/12/05 between 1-2:00 p.m. at work.  Had no symptoms of current illness.  Experienced a seizure that evening approx. 6-7:00 p.m. while at the dinner table.  Body became rigid, LOC, and pt. bit her tongue.  No loss of urine.  No report available of extremity motions. Seen in Emergency department. In ICU for 24 hours then medical floor for another 24  hours.  CT -cranial was negative.  Lab work showed mild elevation of TSH Medical records state cerebral edema. msv
Age: 73.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Oedema
Clinical narrative: Vaccine given at 0930 on 10/29.  On 10/30 noted left arm redness and edema especially on inner aspect from elbow to axilla.  MD notified, order received to elevate arm and apply heat.
Age: 13.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Asthenia, Diarrhoea, Headache, Heart rate increased, Meningism
Clinical narrative: WITHIN 2 HOURS, had symptoms of meningitis -- she had a 102 fever, severe headache, weakness, heart racing, diarrhea, throwing up & very sore (not stiff) neck and was very white. Went to pediatrician -- told she had viral infection.  Next day she was even worse, went back to pedicatrician -- told shot wasn't live and that she couldn't have meningitis.
Age: 13.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Musculoskeletal stiffness, Pallor, Pyrexia, Vomiting
Clinical narrative: WITHIN 2 HOURS, had symptoms of meningitis -- she had a 102 fever, severe headache, weakness, heart racing, diarrhea, throwing up & very sore (not stiff) neck and was very white. Went to pediatrician -- told she had viral infection.  Next day she was even worse, went back to pedicatrician -- told shot wasn't live and that she couldn't have meningitis.
Age: 13.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Abasia, Blindness, Blood pressure increased, Chromaturia, Decreased appetite
Clinical narrative: WITHIN 2 HOURS, had symptoms of meningitis -- she had a 102 fever, severe headache, weakness, heart racing, diarrhea, throwing up & very sore (not stiff) neck and was very white. Went to pediatrician -- told she had viral infection.  Next day she was even worse, went back to pedicatrician -- told shot wasn't live and that she couldn't have meningitis.
Age: 13.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Diarrhoea, Dizziness, Fall, Headache, Heart rate increased
Clinical narrative: WITHIN 2 HOURS, had symptoms of meningitis -- she had a 102 fever, severe headache, weakness, heart racing, diarrhea, throwing up & very sore (not stiff) neck and was very white. Went to pediatrician -- told she had viral infection.  Next day she was even worse, went back to pedicatrician -- told shot wasn't live and that she couldn't have meningitis.
Age: 13.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Hyperacusis, Muscular weakness, Neck pain, Pallor, Pyrexia
Clinical narrative: WITHIN 2 HOURS, had symptoms of meningitis -- she had a 102 fever, severe headache, weakness, heart racing, diarrhea, throwing up & very sore (not stiff) neck and was very white. Went to pediatrician -- told she had viral infection.  Next day she was even worse, went back to pedicatrician -- told shot wasn't live and that she couldn't have meningitis.
Age: 13.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Vertigo, Vomiting
Clinical narrative: WITHIN 2 HOURS, had symptoms of meningitis -- she had a 102 fever, severe headache, weakness, heart racing, diarrhea, throwing up & very sore (not stiff) neck and was very white. Went to pediatrician -- told she had viral infection.  Next day she was even worse, went back to pedicatrician -- told shot wasn't live and that she couldn't have meningitis.
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Flushing, Hepatocellular damage
Clinical narrative: Employee who is complaining of double vision since the morning after the vaccination. According to the employee symptoms are worsening. He also complains of "flushing" on raising in the a.m.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation
Clinical narrative: Inconsolable Crying after 22 month immunizations (pediarix, prevnar, hib).
Age: 69.0
Sex: F
Vaccine: HEPA
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: About two days after the vaccination she woke up and had itching on her chest.  She noticed a red rash, that looked like little bites. Over the next couple of days she continued to break out with the rash, which she concluded were hives. She had them all over her body, on her chest, back, abdomen and legs.  They were very itchy.  She had no fever and did not have any difficulty breathing.  Today which is three weeks out most of the rash has gone away, but she still has a few small patches.  She did not seek medical attention and did not use anything to relieve the symptoms.
Age: 1.21
Sex: F
Vaccine: FLU3
Symptoms: Agitation, Erythema, Face oedema, Rash
Clinical narrative: Large red confluent area on ant. abdomen & chest. Few raised red irregular areas on torso. No rash at site of injection. Gave Benadryl 1/2 tsp po. Swelling & redness lessened over 1 1/2 hours. Completely recovered by 10-31-05. Medical records state facial edema, agitation, rash. msv
Age: 53.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Chills, Nausea, Ocular hyperaemia, Oedema
Clinical narrative: Chills, body aches approx. 4 hrs after eyes bloodshot & felt swollen (did not take mpi) weak & nauseated - went to bed today to sleep it off. Still a little achy on 10/28 & 10/29
Age: 53.0
Sex: F
Vaccine: FLUX
Symptoms: Pain
Clinical narrative: Chills, body aches approx. 4 hrs after eyes bloodshot & felt swollen (did not take mpi) weak & nauseated - went to bed today to sleep it off. Still a little achy on 10/28 & 10/29
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Contusion, Hypersensitivity, Injection site erythema, Myalgia, Pruritus
Clinical narrative: 10-31-05 Pt presents to clinic small bruise noted at injection site L delt. Bruising noted below deltoid area. Pt report delt. was very "sore" on evening of injection. No problems at time of injection. Reports redness, swelling and itching of entire deltoid area when pt awoken 10/29/05 am. Began to reduce on 10/30/05. 10/3/05 MD ordered Benadryl.
Age: 10.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Asthenia, Headache, Hyperhidrosis
Clinical narrative: Severe headache/pale/diaphoretic weak but oriented. Oxygen give, after 15 min. color returned. Ambulate well.
Age: 10.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Asthenia, Headache, Hyperhidrosis, Hypoxia, Pallor
Clinical narrative: Severe headache/pale/diaphoretic weak but oriented. Oxygen give, after 15 min. color returned. Ambulate well.
Age: 0.12
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Tenderness
Clinical narrative: Both thighs were tender; prolonged, hard crying soon after receiving immunizations. Gave infant Tylenol concentrated gtts 0.6 ml every 4 hours. Pt improved, legs no longer tender, no more crying, resolved 10-13-05.
Age: 0.6
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever approximately 12 + hours post vaccination. Alternating Tylenol and Ibuprofen.
Age: 1.78
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Erythema, Injection site induration, Skin ulcer
Clinical narrative: Indurated inj. site, non-tender with irregular round eryth. blanchable lesions asymmetrically around indurated area.
Sex: U
Vaccine: PPV
Symptoms: Medication error, Nasal congestion, Pyrexia
Clinical narrative: Information has been received from a pharmacist concerning an adult patient who was vaccinated with an initial dose of pneumococcal 23v polysaccharide vaccine and five days later was inadvertently give a second dose of pneumococcal 23v polysaccharide vaccine. It was reported that the patient developed congestion and a high fever and was transferred to the hospital. No product quality complaint was involved. No other information was provided. Additional information has been requested.
Age: 1.5
Sex: F
Vaccine: VARCEL
Symptoms: Dehydration, Medication error, Pyrexia
Clinical narrative: Information has been received from a consumer concerning an 18 month old female with no allergies or medical history who in April 2005, was vaccinated SC with a 0.5ml dose of varicella virus vaccine live (lot #645051/0200N) that expired on Feb 19 2005. There was no concomitant therapy. It was reported that in May 2005, the patient developed a high fever and dehydration. Unspecified medical attention was sought and the patient was subsequently hospitalized for two nights and three days. After therapy (unspecified), the patient subsequently recovered from the high fever and dehydration.
Age: 5.0
Sex: F
Vaccine: HEPA
Symptoms: Atelectasis, Cough, Dysphasia, Eyelid ptosis, Guillain-Barre syndrome
Clinical narrative: Information has been received from a physician concerning a 5 yr old female who on 15Sep05 was vaccinated IM in the left arm with a second, pediatric dose of hep A virus vaccine inactivated (lot649459/0287R). On 26Sep05 the pt was hospitalized in the ICU and initially diagnosed with Guillain Barre syndrome. The symptoms included ptosis of the left eye, acute cough, respiratory failure, dysphasia, altered mental status, and an inability to control secretions. She was on a ventilator with left lower lobe atelectasis. Treatment included plasma phoresis. A pediatric intesivist overseeing the pt's care reported that the pt did not have Guillain Barre syndrome, but was diagnosed with polyneuropathy. Protein in her CSF fluid was negative. At the time of report, the pt remained hospitalized and was making some recovery, but it was very slow. No product quality complaint was involved.  Additional information has been requested.