chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: M
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: This case was reported by a physician and described a 74 year old male pt who received Engerix-B and subsequently tested positive for hepatitis B surface antigen. On 2/4/04, prior to immunization with Engerix-B, the pt tested negative for hepatitis B surface antibody. On 8/23/04, the pt received the 1st dose of Engerix-B (lot AHBVA077AB). Approximately 4 days later, on 8/27/04, the pt tested positive for hepatitis B surface antigen. The physician considered the event to be related to vaccination with Engerix-B.
Age: 76.0
Sex: F
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: This case was reported by a physician and described a 76 year old female pt who received Engerix-B and subsequently tested positive for hepatitis B surface antigen. On 1/7/04, prior to immunization with Engerix-B, the pt tested negative for hepatitis B surface antibody. On 8/23/04, the pt received the 1st dose of Engerix-B (lot AHBVA077AB). Approximately 4 days later, on 8/27/04, the pt tested positive for hepatitis B surface antigen. The physician considered the event to be related to vaccination with Engerix-B.
Age: 45.0
Sex: M
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: This case was reported by a physician and described a 45 year old male pt who received Engerix-B and subsequently tested positive for hepatitis B surface antigen. On 7/04, prior to immunization with Engerix-B, the pt tested negative for hepatitis B surface antibody. On 8/23/04, the pt received the 1st dose of Engerix-B (lot AHBVA077AB). Approximately 4 days later, on 8/27/04, the pt tested positive for hepatitis B surface antigen. The physician considered the event to be related to vaccination with Engerix-B.
Age: 69.0
Sex: M
Vaccine: HEP
Symptoms: Laboratory test abnormal
Clinical narrative: This case was reported by a physician and described a 68 year old male pt who received Engerix-B and subsequently tested positive for hepatitis B surface antigen. On 2/4/04, prior to immunization with Engerix-B, the pt tested negative for hepatitis B surface antibody. On 8/23/04, the pt  received the 1st dose of Engerix-B (lot AHBVA077AB). Approximately 4 days later, on 8/27/04, the pt tested positive for hepatitis B surface antigen. The physician considered the event to be related to vaccination with Engerix-B.
Age: 53.0
Sex: F
Vaccine: HEP
Symptoms: Laboratory test abnormal
Clinical narrative: This case was reported by a physician and described a 53 year old female pt who received Engerix-B and subsequently tested positive for hepatitis B surface antigen. On 1/8/04, prior to immunization with Engerix-B, the pt tested negative for hepatitis B surface antibody. On 8/24/04, the pt received the 1st dose of Engerix-B (lot AHBVA077AB). Approximately 2 days later, on 8/26/04, the pt tested positive for hepatitis B surface antigen. The pt received the 2nd dose of Engerix-B on 9/16/04 (lot AHBVA077AB). Approximately 2 weeks later, on 9/30/04, a repeat test for hepatitis B surface antigen was negative. The reporting physician considered the event to be related to vaccination with Engerix-B.
Age: 63.0
Sex: M
Vaccine: HEP
Symptoms: Laboratory test abnormal
Clinical narrative: This case was reported by a physician and described a 63 year old male pt who received Engerix-B and subsequently tested positive for hepatitis B surface antigen. On 2/5/04, prior to immunization with Engerix-B, the pt tested negative for hepatitis B surface antibody. On 8/24/04, the pt received the 1st dose of Engerix-B (lot AHBVA077AB). Approximately 4 days later, on 8/28/04, the pt tested positive for hepatitis B surface antigen. The physician considered the event to be related to vaccination with Engerix-B.
Age: 81.0
Sex: M
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: This case was reported by a physician and described an 81 year old male pt who received Engerix-B and subsequently tested positive for hepatitis B surface antigen. On 4/16/04, prior to immunization with Engerix-B, the pt tested negative for hepatitis B surface antibody. On 8/24/04, the pt received the 1st dose of Engerix-B (lot AHBVA077AB). Approximately 4 days later, on 8/28/04, the pt tested positive for hepatitis B surface antigen. The physician considered the event to be related to vaccination with Engerix-B.
Age: 82.0
Sex: M
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: This case was reported by a physician and described an 82 year old male pt who received Engerix-B and subsequently, test positive for hepatitis B surface antigen. On 3/30/04, prior to immunization with Engerix-B, the pt tested negative for hepatitis B surface antibody. On 8/24/04, the pt received the 1st dose of Engerix-B (lot AHBVA077AB). Approximately 4 days later, on 8/28/04, the pt tested positive for hepatitis B surface antigen. The physician considered the event to be related to vaccination with Engerix-B.
Age: 0.23
Sex: F
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: This case was reported by a nurse and described a 12 week old female pt who tested positive for hepatitis B surface antigen following receipt of Engerix-B. On 10/16/04, the pt received the 1st dose of Engerix-B. Approximately 4 days after administration of Engerix-B, on 10/20/04, the pt tested positive for hepatitis B surface antigen and negative for hepatitis B core antigen. The nurse considered the event to probably be related to vaccination with Engerix-B.
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: This case was reported by a health professional and described a 45 year old female pt who did not respond to Engerix-B immunization series. On unspecified dates in 2000, a hepatitis B surface antibody titer was "negative".
Age: 1.6
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Coma, Decreased appetite, Eye movement disorder, Opisthotonus, Pyrexia
Clinical narrative: Received a phone call from mother reports that patient received DTaP, HIB, and Prevnar at clinic on 3/10/2005.  On 3/11/2005 at approximately 11:15 am patient had seizure.  Child was taken to ER was noted to be 102.4 F.  There were no other symptoms.  There was no history of adverse reactions.  Blood work was done in ER
Age: 1.6
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Staring, Tremor
Clinical narrative: Received a phone call from mother reports that patient received DTaP, HIB, and Prevnar at clinic on 3/10/2005.  On 3/11/2005 at approximately 11:15 am patient had seizure.  Child was taken to ER was noted to be 102.4 F.  There were no other symptoms.  There was no history of adverse reactions.  Blood work was done in ER
Age: 1.6
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, Pyrexia
Clinical narrative: Received a phone call from mother reports that patient received DTaP, HIB, and Prevnar at clinic on 3/10/2005.  On 3/11/2005 at approximately 11:15 am patient had seizure.  Child was taken to ER was noted to be 102.4 F.  There were no other symptoms.  There was no history of adverse reactions.  Blood work was done in ER
Age: 0.16
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Increased axillary temperature 6 hours after vaccinations.  No antipyretic. Measured temperature in medical office 10AM (14 hours later and less than 24 hours after vaccination 1.2.8 rectal
Age: 14.0
Sex: M
Vaccine: MEN
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: right deltoid with 3-4 inch of redness swelling warm to touch, fever for 24 hours none after 24 hours
Age: 76.0
Sex: F
Vaccine: HEPAB, MEN, TD
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Six days post-vaccination on 6/18, client experienced numbness and tingling in lips, nose and lower extremities and a knot in back of throat.  Went to ED.  BP was 220/180.  Blood work was done and client was referred to cardiologist and neurologist.  Cardiology visit 6/22
Age: 0.5
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Bacterial infection, Dehydration, Feeling hot, Hyperhidrosis, Irritability
Clinical narrative: Fussy, irritable, hot to the touch and getting sweaty. Rectally 103.6 temperature. Note: Telephone call to mother 6/14/05; no illness, IBC was contaminated. Discharged to home. Medical records state dehydrated.
Age: 0.5
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Laboratory test abnormal, Pyrexia
Clinical narrative: Fussy, irritable, hot to the touch and getting sweaty. Rectally 103.6 temperature. Note: Telephone call to mother 6/14/05; no illness, IBC was contaminated. Discharged to home. Medical records state dehydrated.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Cardio-respiratory arrest
Clinical narrative: Patient deceased 6/18/05 3 AM (found dead in bed). 7/29/05 D/C summary from ER received which revealed child arrived in full arrest & unable to resuscitate. 9/20/05 Received Autopsy Report which revealed COD to aspiration of stomach contents.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth, Pain
Clinical narrative: Patient was vaccinated with DTaP on 05/24/2005 his arm becoming more and more red, swollen, hard and hot.  He complained that the arm was itchy.  The swelling was severe - his arm was hard and hot from swelling.  We went back to teh doctor because of the swelling. Within one week the redness and swelling extended almost to the elbow.  The arm did not hurt him when squeezed.  The swelling and redness began to go away and the color of the arm in certain places, though not swollen, became purple/brownish.  This area reduced in size to large patch which patient complain hurt when anything touched this area.  Our pediatrician referred us to dermatologist who recommended Benadryl before bed and Claritin in the morining in addition to Locoid ointment to the area.  After 1 week noticed some improvement in the brown patch -- the area became less raised.  The area is now more flat and improving
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pruritus, Skin discolouration
Clinical narrative: Patient was vaccinated with DTaP on 05/24/2005 his arm becoming more and more red, swollen, hard and hot.  He complained that the arm was itchy.  The swelling was severe - his arm was hard and hot from swelling.  We went back to teh doctor because of the swelling. Within one week the redness and swelling extended almost to the elbow.  The arm did not hurt him when squeezed.  The swelling and redness began to go away and the color of the arm in certain places, though not swollen, became purple/brownish.  This area reduced in size to large patch which patient complain hurt when anything touched this area.  Our pediatrician referred us to dermatologist who recommended Benadryl before bed and Claritin in the morining in addition to Locoid ointment to the area.  After 1 week noticed some improvement in the brown patch -- the area became less raised.  The area is now more flat and improving
Age: 5.5
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 24 hours later deltoid region red swollen 6 cm by 6 cm
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Decreased appetite, Pruritus, Pyrexia, Rash macular
Clinical narrative: Child developed fever and rash.  Fever began two hous after vaccinations and lasted two days.  Rash came and went. Child seemed to be scratching itchy rash areas.  CHild not eating well.  Dcotor noted child had pinpoint macular rash
Age: 1.6
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Infection, Pyrexia, Rash
Clinical narrative: Two hours after vaccination child had fevers up to 102.8.  Fever lasted a couple of days.  Red rash and lasted 3 to 4 days.  Rash came and went all over body and resulted in ER visit.  Child was started on 10 day course of amoxicillian for bilat ear infections.  No resp problems, no N/V/D.  Child is whinny
Age: 68.0
Sex: M
Vaccine: HEPA
Symptoms: Pruritus, Swelling
Clinical narrative: Patient noticed slight itching on body, slight swelling in through, no trouble breathing, resolved on own without treatment
Age: 53.0
Sex: F
Vaccine: TD
Symptoms: Pruritus, Urticaria
Clinical narrative: Patient with a hive like reaction to area of injection and itchy
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Pruritus, Rash erythematous
Clinical narrative: 10x14cm red raised, hot area to left deltoid, per Mom Benadryl given 2 1/2 hours prior, ice applied.  Patient scratching at site.  Per doctor, Augmentin 400mg chewable tabs 2 times a day for 7 days.
Age: 5.0
Sex: M
Vaccine: IPV, MMR
Symptoms: Cough, Erythema, Feeling hot, Swelling
Clinical narrative: Warm, red, swollen area on right thigh.  Given erythromycin.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Abasia, Decreased appetite, Skin discolouration, Swelling
Clinical narrative: 06/18/2005 call from Mom, shot site left thigh swollen hot has purplish blotches, unable to walk this am, when first got up decreased appetite.  Mom reluctant to be seen at this time.  He'd go out and was playing outside using leg.  06/20/2005 patient's Mom called states site was 6x6 square.  Now has gone down about 4x4.  Not as hard, but still tender.  06/21/2005, patient's Mom states looks much better today.  Swelling down.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Herpes zoster, Neuralgia, Rash
Clinical narrative: On 16 November 2004, approximately 1 month after receiving the second dose of the Anthrax Vaccine I was diagnosed with a severe case of shingles (herpes zoster) on the left side of my face and scalp.  I was in very good health at the time the second anthrax dose was administered and had no known immune system abnormalities.  The pain in my facial nerves began on 11 November 2004, and the severe rash began on 14 November 2004.  I was treated with two rounds of anti-viral medication, and pain medication.  The total course of treatment lasted from 15 November 2004 to 23 December 2004.  I was able to stop taking pain medication for the nerve damage and return to duty on 6 January 2005.  I still have permanent scarring on the left side of my face.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Abdominal pain, Erythema, Injection site vesicles, Pyrexia
Clinical narrative: At about 20 hrs complained of abdominal pain, unmeasured fever.  At about 44 hours had vesicles at deltoid injection site.  At 53 hours vesicles crusted, erythema 22cm long from elbow to medial end of clavicle.  Arm circumfrence increased 3cm.  Clearly vesicles at upper site of DTaP, not lower site of IPV.
Age: 1.08
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Pyrexia, Vomiting
Clinical narrative: 6-20-05 awoke with fever and vomiting.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Erythema, Injection site warmth, Joint swelling, Rash, Urticaria
Clinical narrative: Upper left arm and joint sollen to about twice the normal size. A red rash/welt about 5" inches in length and 31/2" in width. Hot to the touch. He favors the arm when playing even though it is normally his dominate hand. Below normal temp 98.3.  This the first day after the injection and symptom are growing worse as the day progress. Rash was the size of my child's fist at 6:30 AM (The rash had a redder ring around it). At 12 PM  it was the size of my fist (red ring fadding). At about 3 pm is was the size of my husbands fist (no red ring). 9:00 pm rash is still spreading and swelling is increasing. No response to the Diphenhydramine apparent after two doses.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Injection site erythema, Skin ulcer
Clinical narrative: Upper left arm and joint sollen to about twice the normal size. A red rash/welt about 5" inches in length and 31/2" in width. Hot to the touch. He favors the arm when playing even though it is normally his dominate hand. Below normal temp 98.3.  This the first day after the injection and symptom are growing worse as the day progress. Rash was the size of my child's fist at 6:30 AM (The rash had a redder ring around it). At 12 PM  it was the size of my fist (red ring fadding). At about 3 pm is was the size of my husbands fist (no red ring). 9:00 pm rash is still spreading and swelling is increasing. No response to the Diphenhydramine apparent after two doses.
Age: 1.4
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Crying, Febrile convulsion
Clinical narrative: Febrile seizure about 10 hours after vaccines. He was crying uncomfortably after a nap 3 hours after the office visit. He did eat and went back to sleep. During his sleep 5 hours later, his mom heard him cry out and checked hom and he was having a seizure. 911 was called. He was taken to the local hospital. The seizure was short lived, and when checked the next day, he was normal.
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Convulsion, Dehydration, Lethargy, Pyrexia
Clinical narrative: Mother sates child was hospitalized 7 days after mmr, varicella, ipv and hib vaccines. the child had high fever, dehydration and seizure activity. mother states md said it was okay to get further immunizations. mother called today, the child having high fever and lethargic. last vaccination 06-17-05 of 1/2 dose DTaP. mother states they have taken child to urgent care.
Age: 53.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Fatigue, Headache, Lymphadenopathy, Pruritus
Clinical narrative: 11 days after MMR vaccination complained of severe exhaustion, severe headache, both lasting in excess of 12 days. 16 days after MMR vaccination complained of swollen glands behind both ears, inside ear canal itchy.
Age: 53.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Arthralgia, Fatigue, Headache, Lymphadenopathy, Pyrexia
Clinical narrative: 11 days after MMR vaccination complained of severe exhaustion, severe headache, both lasting in excess of 12 days. 16 days after MMR vaccination complained of swollen glands behind both ears, inside ear canal itchy.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Hypersensitivity, Injection site erythema, Injection site hypersensitivity, Injection site warmth, Pruritus
Clinical narrative: Woke on 6/24/05 with red area around injection site on left arm.  Itches, hot to touch. 2:15 pm seen in office, DIAGNOSIS: Allergic Reaction and started on Zyrtec 10mg daily.
Age: 40.0
Sex: F
Vaccine: HEPA, MEN, YF
Symptoms: Back pain, Chills, Face oedema, Fatigue, Headache
Clinical narrative: 4-13 - body aches. 4-14-  red eyes during day, fever/chills all night. by 4-17 had nausea, headache, neck pain, fever, swollen face and arms so went to ER. Dx with virus - as flu, strep, WBC, lumbar puncture were negative. from 4-17 - 4-22 - viral pain plus spinal headaches - can't remember much but extreme head  pain/fever. 4-22 - blood patch to repair lumbar puncture - this is when back pain particularly in the lumbosacral region started, but it was also pain from head to sacrum. 4-30 last day of fever, back pain continued and had extreme exhaustion - whole body shaking, nausea continued. 5-18 - back pain is better, nausea is better, continue fatigue but not exhaustion. 6-24 - recovered from all but occasional unexplained fatigue.
Age: 40.0
Sex: F
Vaccine: HEPA, MEN, YF
Symptoms: Nausea, Neck pain, Ocular hyperaemia, Oedema peripheral, Pain
Clinical narrative: 4-13 - body aches. 4-14-  red eyes during day, fever/chills all night. by 4-17 had nausea, headache, neck pain, fever, swollen face and arms so went to ER. Dx with virus - as flu, strep, WBC, lumbar puncture were negative. from 4-17 - 4-22 - viral pain plus spinal headaches - can't remember much but extreme head  pain/fever. 4-22 - blood patch to repair lumbar puncture - this is when back pain particularly in the lumbosacral region started, but it was also pain from head to sacrum. 4-30 last day of fever, back pain continued and had extreme exhaustion - whole body shaking, nausea continued. 5-18 - back pain is better, nausea is better, continue fatigue but not exhaustion. 6-24 - recovered from all but occasional unexplained fatigue.
Age: 40.0
Sex: F
Vaccine: HEPA, MEN, YF
Symptoms: Pyrexia, Tremor, Viral infection
Clinical narrative: 4-13 - body aches. 4-14-  red eyes during day, fever/chills all night. by 4-17 had nausea, headache, neck pain, fever, swollen face and arms so went to ER. Dx with virus - as flu, strep, WBC, lumbar puncture were negative. from 4-17 - 4-22 - viral pain plus spinal headaches - can't remember much but extreme head  pain/fever. 4-22 - blood patch to repair lumbar puncture - this is when back pain particularly in the lumbosacral region started, but it was also pain from head to sacrum. 4-30 last day of fever, back pain continued and had extreme exhaustion - whole body shaking, nausea continued. 5-18 - back pain is better, nausea is better, continue fatigue but not exhaustion. 6-24 - recovered from all but occasional unexplained fatigue.
Age: 11.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Oedema, Pain, Pyrexia
Clinical narrative: Temperature, pain/edema from shoulder to elbow within 24 hours after vaccine.  Analgesic used.
Age: 11.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Erythema, Swelling
Clinical narrative: Temperature, pain/edema from shoulder to elbow within 24 hours after vaccine.  Analgesic used.
Age: 15.0
Sex: F
Vaccine: MNQ
Symptoms: Headache, Pharyngitis, Pyrexia, Vomiting
Clinical narrative: Pharyngitis, fever, headache, vomiting with 72 hours post vaccine.
Age: 33.0
Sex: F
Vaccine: DT
Symptoms: Erythema, Injection site mass, Oral mucosal blistering, Pain, Pyrexia
Clinical narrative: At 10PM area with redness, lump and pain.  Patient with complaint of fever.  Treated with ice and motrin by mouth.  Had fever blister on lip.  No seen but triaged by outside facility.
Age: 38.0
Sex: F
Vaccine: DT
Symptoms: Erythema, Influenza like illness, Injection site mass, Swelling
Clinical narrative: Flu like symptoms, redness and swelling Thursday.  Golf size lump and redness.  Seen in office again on Friday 06/24/2005.  Given Zyrtec for allergic type reaction.
Age: 0.9
Sex: M
Vaccine: PNC
Symptoms: Urticaria
Clinical narrative: Received prevnar 6/15/2005 developed urticaria following day resolved with benydryl with 24 hours
Age: 40.0
Sex: F
Vaccine: RAB
Symptoms: Chills, Influenza like illness, Nausea, Pyrexia, Tremor
Clinical narrative: After receiving first rabies vaccine with 1/2 hour she became hot, shaking, flu like symptoms, she went to bed and stayed in bed for three days.  Had chills, nausea and vomiting.  Did not check temperature.  She did not seek medical attention
Age: 40.0
Sex: F
Vaccine: RAB
Symptoms: Vomiting
Clinical narrative: After receiving first rabies vaccine with 1/2 hour she became hot, shaking, flu like symptoms, she went to bed and stayed in bed for three days.  Had chills, nausea and vomiting.  Did not check temperature.  She did not seek medical attention
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema
Clinical narrative: Local reaction erythema raised 3 inches by 4.5 inches
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site induration
Clinical narrative: Local reaction left anterior thigh red, molted induration 3-4 cm
Age: 0.3
Sex: U
Vaccine: PNC
Symptoms: Rash, Rash macular, Rash papular
Clinical narrative: Child had history of rash 48 hours, swelling of joints, after first set of vaccines.  Therefore vaccines given separately 5-10 minutes after Prevnar given macular paplar rash on right forearm, Given Benadryl and obseevred for additional 30 minutes. No wheexing or tachycardia
Age: 59.0
Sex: M
Vaccine: PPV, TD
Symptoms: Chills, Constipation, Headache, Injection site erythema, Injection site swelling
Clinical narrative: Swelling, redness, and very hot where Pneumococcal Polysaccharide injection given (right shoulder). Fever, chills, headache that will not respond to medication. Whole body aches. Nausea, constipation.
Age: 59.0
Sex: M
Vaccine: PPV, TD
Symptoms: Injection site warmth, Nausea, Pain, Pyrexia
Clinical narrative: Swelling, redness, and very hot where Pneumococcal Polysaccharide injection given (right shoulder). Fever, chills, headache that will not respond to medication. Whole body aches. Nausea, constipation.
Age: 53.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Fatigue, Headache, Lymphadenopathy, Pruritus
Clinical narrative: Severe headache - June 19, 2005 Severe fatigue  - beginning June 20, 2005 Severe joint pain - beginning June 20, 2005 soreness in neck, around ears and under jaw - beginning June 20, 2005 fever - June 19, 2005 Swollen glands in neck - June 23, 2005 symptoms continue as of this writing June 25, 2005 -treatment - Tylenol
Age: 53.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Arthralgia, Fatigue, Headache, Lymphadenopathy, Pyrexia
Clinical narrative: Severe headache - June 19, 2005 Severe fatigue  - beginning June 20, 2005 Severe joint pain - beginning June 20, 2005 soreness in neck, around ears and under jaw - beginning June 20, 2005 fever - June 19, 2005 Swollen glands in neck - June 23, 2005 symptoms continue as of this writing June 25, 2005 -treatment - Tylenol
Age: 11.0
Sex: F
Vaccine: MNQ
Symptoms: Asthenia, Dizziness, Dyskinesia, Heart rate decreased, Pallor
Clinical narrative: Pt felt dizzy after shot given but then felt better.  Went to pharmacy where her vision clouded, has brief clonic jerk of her arms, then started to crumple (was seated in chair).  On my arrive pt extremely pale, and pulse quite low.  Before could count HR, it accelerated to high 90's, BP systolic in mid-90's, and color came back.  Came back to pediatrics via wheelchair until felt back to baseline.  Orthostatic VS normal at discharge.
Age: 11.0
Sex: F
Vaccine: MNQ
Symptoms: Visual disturbance
Clinical narrative: Pt felt dizzy after shot given but then felt better.  Went to pharmacy where her vision clouded, has brief clonic jerk of her arms, then started to crumple (was seated in chair).  On my arrive pt extremely pale, and pulse quite low.  Before could count HR, it accelerated to high 90's, BP systolic in mid-90's, and color came back.  Came back to pediatrics via wheelchair until felt back to baseline.  Orthostatic VS normal at discharge.
Age: 27.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site mass, Injection site warmth, Nausea, Pain, Pyrexia
Clinical narrative: Nausea, body aches, fever, lump on arm warm to touch and the size of a slice of Spam.
Age: 50.0
Sex: M
Vaccine: FLU3, TYP, FLUX, TYP
Symptoms: Face oedema, Hypoaesthesia, Pain, Speech disorder
Clinical narrative: Immunization: Typhoid and Influenza Vaccination Vaccine Date: 16 April 2004 Onset date: 16 April 2004 Symptoms: woozy, lightheadedness, extreme fatigue-sleepiness, malaise, right arm/hand pain, tingling, slurred speech 30-60 minutes following vaccination. Worse 2 hours later requiring ER visit.  History of Present Illness:    This healthy 50 year-old was revaccinated with the Typhoid vaccination to his right arm and the Influenza vaccination to his left arm on 16 April 2005 at 1130 hours.  He reports the typhoid shot "really hurt and burned" with right hand/thumb pain.  Within 30-60 minutes post vaccination he began to "not feel well" as if he were drunk feeling woozy, lightheaded with slurred speech (he did not think his words were coherent), difficulty in word enunciation and with extreme fatigue-malaise. These symptoms began while sitting at his desk completing taxes. He was told by his friends his smile was asymmetrical; yet he attributed this to a "hap hearted effort due to feeling bad". He returned to the immunization clinic at 1430 hours and was seen MD.  She reported left side facial paralysis, lightheadedness and right arm pain without CNS deficits. He was transferred to Hospital for possible stroke. He describes his lightheadedness as the need to sit because he felt too uneasy on his feet.  There was no room spinning, blurry vision or headaches; however there was a sensation of falling when walking from transport stretcher to hospital bed. He described this sensation as a fullness as if he had water in his ears and being extremely tired and uneasy. He reports eating only a candy bar with a bottle of water that morning. He also reports his job keeps him walking with no change in his routine. The weather conditions were hot and muggy in the 80's. The ER physician treated him for "a reaction to typhoid vaccination" giving IV fluids and sent him home for 36 hours.  He was reseen by MD on Monday in the clinic. (NEED MEDICAL RECORDS).  Follow up care 20 April 2005 reported him feeling "normal", looking better, feeling stronger, and less fatigued as he resumed normal activities of daily living.
Age: 50.0
Sex: M
Vaccine: FLU3, TYP, FLUX, TYP
Symptoms: Coordination abnormal, Dizziness, Dysarthria, Fatigue, Injection site reaction
Clinical narrative: Immunization: Typhoid and Influenza Vaccination Vaccine Date: 16 April 2004 Onset date: 16 April 2004 Symptoms: woozy, lightheadedness, extreme fatigue-sleepiness, malaise, right arm/hand pain, tingling, slurred speech 30-60 minutes following vaccination. Worse 2 hours later requiring ER visit.  History of Present Illness:    This healthy 50 year-old was revaccinated with the Typhoid vaccination to his right arm and the Influenza vaccination to his left arm on 16 April 2005 at 1130 hours.  He reports the typhoid shot "really hurt and burned" with right hand/thumb pain.  Within 30-60 minutes post vaccination he began to "not feel well" as if he were drunk feeling woozy, lightheaded with slurred speech (he did not think his words were coherent), difficulty in word enunciation and with extreme fatigue-malaise. These symptoms began while sitting at his desk completing taxes. He was told by his friends his smile was asymmetrical; yet he attributed this to a "hap hearted effort due to feeling bad". He returned to the immunization clinic at 1430 hours and was seen MD.  She reported left side facial paralysis, lightheadedness and right arm pain without CNS deficits. He was transferred to Hospital for possible stroke. He describes his lightheadedness as the need to sit because he felt too uneasy on his feet.  There was no room spinning, blurry vision or headaches; however there was a sensation of falling when walking from transport stretcher to hospital bed. He described this sensation as a fullness as if he had water in his ears and being extremely tired and uneasy. He reports eating only a candy bar with a bottle of water that morning. He also reports his job keeps him walking with no change in his routine. The weather conditions were hot and muggy in the 80's. The ER physician treated him for "a reaction to typhoid vaccination" giving IV fluids and sent him home for 36 hours.  He was reseen by MD on Monday in the clinic. (NEED MEDICAL RECORDS).  Follow up care 20 April 2005 reported him feeling "normal", looking better, feeling stronger, and less fatigued as he resumed normal activities of daily living.
Age: 50.0
Sex: M
Vaccine: FLU3, TYP, FLUX, TYP
Symptoms: Malaise, Pain, Paraesthesia, Paralysis, Somnolence
Clinical narrative: Immunization: Typhoid and Influenza Vaccination Vaccine Date: 16 April 2004 Onset date: 16 April 2004 Symptoms: woozy, lightheadedness, extreme fatigue-sleepiness, malaise, right arm/hand pain, tingling, slurred speech 30-60 minutes following vaccination. Worse 2 hours later requiring ER visit.  History of Present Illness:    This healthy 50 year-old was revaccinated with the Typhoid vaccination to his right arm and the Influenza vaccination to his left arm on 16 April 2005 at 1130 hours.  He reports the typhoid shot "really hurt and burned" with right hand/thumb pain.  Within 30-60 minutes post vaccination he began to "not feel well" as if he were drunk feeling woozy, lightheaded with slurred speech (he did not think his words were coherent), difficulty in word enunciation and with extreme fatigue-malaise. These symptoms began while sitting at his desk completing taxes. He was told by his friends his smile was asymmetrical; yet he attributed this to a "hap hearted effort due to feeling bad". He returned to the immunization clinic at 1430 hours and was seen MD.  She reported left side facial paralysis, lightheadedness and right arm pain without CNS deficits. He was transferred to Hospital for possible stroke. He describes his lightheadedness as the need to sit because he felt too uneasy on his feet.  There was no room spinning, blurry vision or headaches; however there was a sensation of falling when walking from transport stretcher to hospital bed. He described this sensation as a fullness as if he had water in his ears and being extremely tired and uneasy. He reports eating only a candy bar with a bottle of water that morning. He also reports his job keeps him walking with no change in his routine. The weather conditions were hot and muggy in the 80's. The ER physician treated him for "a reaction to typhoid vaccination" giving IV fluids and sent him home for 36 hours.  He was reseen by MD on Monday in the clinic. (NEED MEDICAL RECORDS).  Follow up care 20 April 2005 reported him feeling "normal", looking better, feeling stronger, and less fatigued as he resumed normal activities of daily living.
Age: 2.0
Sex: M
Vaccine: HEPA, MMR
Symptoms: Unevaluable event
Clinical narrative: [NOTE no text provided]
Age: 0.16
Sex: M
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Crying
Clinical narrative: Inconsolable crying 2 days after having received vaccines. some crying on day after vaccines erythema exema on inj site L leg
Age: 1.12
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Crying, Pyrexia
Clinical narrative: persistent screaming x 24 insomnia high fever
Age: 42.0
Sex: M
Vaccine: OPV, PPV
Symptoms: Cellulitis, Injection site swelling
Clinical narrative: patient states left upper arm became swollen went to emergency room.  States ER staff told him he had cellulitis
Age: 57.0
Sex: F
Vaccine: YF
Symptoms: Abdominal pain, Fatigue, Headache, Migraine, Nausea
Clinical narrative: 6/3/05 7 hours post vaccine - nausea, achyness, fatigue, lasted 2 hours resolved without treatment 6/9/05 severe headache, paleness, while at dentist office lasted less than 10 minutes resolved with ereedine, history of similar headaches.  Later that evening abdominal cramps, with vomiting, mild headache, low grade fever, continued into time with provider
Age: 57.0
Sex: F
Vaccine: YF
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: 6/3/05 7 hours post vaccine - nausea, achyness, fatigue, lasted 2 hours resolved without treatment 6/9/05 severe headache, paleness, while at dentist office lasted less than 10 minutes resolved with ereedine, history of similar headaches.  Later that evening abdominal cramps, with vomiting, mild headache, low grade fever, continued into time with provider
Age: 42.0
Sex: M
Vaccine: HEP, HEP
Symptoms: Arthralgia, Dyspnoea, Haemoptysis, Myalgia, Vasculitis
Clinical narrative: Information has been received from a physician concerning a 44 year old male who on 24-SEP-2003 and 26-OCT-2003 was vaccinated with the first and second doses of hepatitis B virus vaccine rHBsAg (yeast) (lot# 642095/1536L and lot # 644246/0032M) respectively. In approximately 2004, the series was finished with a dose of Engerix B. There were no concomitant medications. "A week or so later", in approximate 2004, the pt developed vasculitis and was subsequently hospitalized for approximately 60 days. Other adverse experiences included: hemoptysis, arthralgia, myalgia and dyspnea. The physician reported that the pt said his experiences were, "caused by vaccine." It was reported that the pt had  recovered from the adverse experiences. Additional information has been requested.
Age: 42.0
Sex: M
Vaccine: HEP, HEP
Symptoms: Cardiovascular disorder, Lung disorder, Myasthenic syndrome, Necrosis, Nephrotic syndrome
Clinical narrative: Information has been received from a physician concerning a 44 year old male who on 24-SEP-2003 and 26-OCT-2003 was vaccinated with the first and second doses of hepatitis B virus vaccine rHBsAg (yeast) (lot# 642095/1536L and lot # 644246/0032M) respectively. In approximately 2004, the series was finished with a dose of Engerix B. There were no concomitant medications. "A week or so later", in approximate 2004, the pt developed vasculitis and was subsequently hospitalized for approximately 60 days. Other adverse experiences included: hemoptysis, arthralgia, myalgia and dyspnea. The physician reported that the pt said his experiences were, "caused by vaccine." It was reported that the pt had  recovered from the adverse experiences. Additional information has been requested.
Age: 42.0
Sex: M
Vaccine: HEP, HEP
Symptoms: Pyrexia, Renal tubular disorder, Renal tubular necrosis, Sepsis, Skin ulcer
Clinical narrative: Information has been received from a physician concerning a 44 year old male who on 24-SEP-2003 and 26-OCT-2003 was vaccinated with the first and second doses of hepatitis B virus vaccine rHBsAg (yeast) (lot# 642095/1536L and lot # 644246/0032M) respectively. In approximately 2004, the series was finished with a dose of Engerix B. There were no concomitant medications. "A week or so later", in approximate 2004, the pt developed vasculitis and was subsequently hospitalized for approximately 60 days. Other adverse experiences included: hemoptysis, arthralgia, myalgia and dyspnea. The physician reported that the pt said his experiences were, "caused by vaccine." It was reported that the pt had  recovered from the adverse experiences. Additional information has been requested.
Age: 42.0
Sex: M
Vaccine: HEP, HEP
Symptoms: Vasculitis
Clinical narrative: Information has been received from a physician concerning a 44 year old male who on 24-SEP-2003 and 26-OCT-2003 was vaccinated with the first and second doses of hepatitis B virus vaccine rHBsAg (yeast) (lot# 642095/1536L and lot # 644246/0032M) respectively. In approximately 2004, the series was finished with a dose of Engerix B. There were no concomitant medications. "A week or so later", in approximate 2004, the pt developed vasculitis and was subsequently hospitalized for approximately 60 days. Other adverse experiences included: hemoptysis, arthralgia, myalgia and dyspnea. The physician reported that the pt said his experiences were, "caused by vaccine." It was reported that the pt had  recovered from the adverse experiences. Additional information has been requested.
Age: 4.0
Sex: F
Vaccine: HEP
Symptoms: Autism
Clinical narrative: Information has been received from a consumer concerning her daughter a 4 year old female who was vaccinated with a dose of hepatitis B virus vaccine (lot # 0875N). In 2004, the patient developed autism. It was unknown if medical attention was sought. There was no product quality complaint involved. The patient's autism was considered to be an other important medical event (OMIC). No further information is available.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Headache, Myalgia, Petechiae, Thrombocytopenic purpura, Vomiting
Clinical narrative: From initial information received on 6/17/05 from a registered nurse, it was reported that a 17 year old male patient received a dose of Menactra, lot number U1574AA, administered IM in the left deltoid on 6/7/05. Seven days later, on 6/17/05, the patient developed a headache, vomiting, myalgia and a petechial rash over his entire body. The patient was diagnosed with ITP. At the time of this report, the patient had not recovered from these events. (OMIC)
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Febrile seizure, 2 weeks after injections admitted to hospital x 4 days. No other cause found for fever.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Dyspnoea
Clinical narrative: difficulty breathing sent to ER got epinephrim shot and recovererd
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site swelling
Clinical narrative: at site of smallpox injection skin flared into a solid red mass the size of a dime, protruding from the skin this was administered in 2004 FEB.
Age: 49.0
Sex: F
Vaccine: HEP
Symptoms: Medication error
Clinical narrative: client given pediatric dose of HEPB vaccine, client notified 020905; scheduled him in public health department Friday 021102; 2/10/05 medical advisor contacted CDC/ACIP recommendation will be followed.  Peds dose disregarded adult dose to be given on patient return 3-8-05
Age: 18.0
Sex: M
Vaccine: HEPA
Symptoms: Vaccination failure
Clinical narrative: 12/16/04- Manufacturer called for follow up info on inadvertent dosing . May have increased risk of side effects. Studies showed no increased raised of SE's - see attached. MD conctacted to report and concurred with manufacturer studies. T/c to mother, message left to return call to HD.
Age: 3.0
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Cellulitis, Injection site erythema, Injection site hypersensitivity
Clinical narrative: Apparent arthus reaction of RA swelling and redness from right elbow to shoulder area 48 hours post vaccination. Given Benadryl injection at MD office and continued Benadryl orally 3 days then resolved.
Age: 1.27
Sex: F
Vaccine: MMR
Symptoms: Erythema multiforme, Rash
Clinical narrative: 10 days post vaccine developed ? erythematous and than multiforme rash.
Age: 1.28
Sex: F
Vaccine: HIBV, MMR, PNC
Symptoms: Infection, Parotitis
Clinical narrative: Right Parotitis present x2 days. No fever, no anorexia. Unsure if 2 hours to MMR vs. bacterial / viral Parotits. Bactrim 40/200 1 1/4 BID x 10 days.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site hypersensitivity
Clinical narrative: 11cmx4cm area of erythema and swelling on thigh around injection site. Appearance most compatible with reaction to one vaccine componets. Tx with ice and Keflex. x 7 days.
Age: 0.78
Sex: F
Vaccine: PNC
Symptoms: Anorexia, Irritability, Pyrexia
Clinical narrative: Fever, fussiness, loss of appetitie
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site urticaria
Clinical narrative: 15x19cm urticarial lesion at injection site (right thigh) Central Clearing of lesion noted.
Age: 21.0
Sex: F
Vaccine: TYP
Symptoms: Abdominal pain, Diarrhoea
Clinical narrative: Pt stated developed "loose stools" on 06/15 Not watery. No fever or other problem. Stated abdomen now cramping. Told her to follow up with her MD. PT did not call me until today.
Age: 1.46
Sex: F
Vaccine: MMR
Symptoms: Viral infection
Clinical narrative: varcella skin rash/
Age: 26.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Anxiety, Dyspnoea, Wheezing
Clinical narrative: 06/13/05 @ 9:30 Pt received both vaccines noted below. Called clinic at approximately 12:00 and stated she was  having SOB and wheezing. Spoke with husband at 4:30 same day and he stated that pt was treated for an anxiety attack adn given cough medicine. No further up date at this time.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site induration, Injection site vesicles, Injection site warmth
Clinical narrative: approximately 2 hours after DTaP, Pt c/o redness, ithiness, from 3-6AM left arm became increasing red, warm to touch and hard. No fever noted. Tylenol given or ice applied. Saw PMD 06/07 for PE, noted rxn. This arm L has oversized area with multiple small blisters in center of redness. Advised Tylenol per age. Ice [ack to area. to consult with PMD re; blisters continues to be afebrile.
Age: 1.01
Sex: F
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: Swelling, Redness. Benadryl
Age: 29.0
Sex: M
Vaccine: TTOX
Symptoms: Contusion, Injection site haemorrhage
Clinical narrative: Hematoma/ bruise at injection site.
Age: 32.0
Sex: M
Vaccine: TD
Symptoms: Burning sensation mucosal, Dizziness, Urticaria
Clinical narrative: TB skin test and Td administered to LA according to protocol, 10 minutes later. client developed sx of dizziness, urticaria, of LA and burning and itching eyes. Vitals WNL. Lied client on Tx bed with knees up. Sx persisted. Administered Benadryl IM to LA, 1ml. Sx persisted with eyes, Itching at LA subsided. Called 911 when no relief was evident.
Age: 31.0
Sex: M
Vaccine: VARCEL
Symptoms: Lymphangitis, Periorbital oedema, Rash
Clinical narrative: Rash. Posterier aruiculear lymphaedema. slight periorbital edema
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Injection site oedema, Injection site warmth, Pyrexia, Tenderness
Clinical narrative: Temp of 101F, Edema, warmth at site. Tenderness to touch.
Sex: M
Vaccine: MMR
Symptoms: Injection site hypersensitivity
Clinical narrative: very brisk red rxn of the skin of most of thigh, (inject site)
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Abdominal discomfort, Headache, Lethargy, Pyrexia
Clinical narrative: Lethargy, Fever, HA, abdominal discomfort.
Age: 2.0
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Injection site mass, Injection site oedema, Oedema peripheral
Clinical narrative: right leg a little swollen and red, size of baseball. Warm. To appkly cool compresses and take Motrin PRN.
Age: 5.0
Sex: F
Vaccine: DTP, IPV, MEN, MMR
Symptoms: Injection site urticaria, Rash pruritic, Urticaria
Clinical narrative: urticaria at right deltoid injection site and multiple urticaria developing on chest and abdomen one week after shot. Mild pruritis no other symptoms
Age: 26.0
Sex: F
Vaccine: TTOX
Symptoms: Injection site erythema, Injection site swelling, Medication error
Clinical narrative: From initial information received on 20Sep04 from a health care professional regarding an adverse event occurring, it was reported that staff members at a nursing home in Michigan received tetanus vaccine mistakenly for a PPD vaccine. The tetanus vaccine was given ID instead of IM and the pt's developed papular lesions. Information regarding the manf, lot number or site or admin of the Tetanus vaccine were not reported. It was not specified how many staff members at the nursing home were administered the wrong product. Their  recovery status was unk at the time of the report. From additional information received via telephone communication with the reporter, on 29Sep04, the correct phone number for the nursing home was provided as well  as the name and address. From additional information received via telephone communication with the reporter, on 29Sep04, the correct phone number for the nursing home was provided as well as the name and address. From additional information received via telephone communication with the reporter, on 29Sep04, from the nursing home supervisor, it was reported that there were six staff members who received tetanus toxoid, lot number U1048CA, ID, instead of PPD (manf unk): two staff members on 16Aug04 and four other staff members on 15Sep04. All had local reactions varying in severity and duration. A complete mailing address and fax number were provided. A request was sent to provide initial, gender, age, and if possible, a date of birth for each pt. Also additional information such as the adverse event, allergies, concomitant medications and any previous illnesses for each of the six staff members. It was reported that all six staff members have recovered. From additional information received on 05Oct04 from a health care professional, it as reported that the pt was a 26 pt was a 26 yr old female who received the Tet Tox ADS USP vaccination on 15Sep04. Two days post vaccination, on 17Sep04, the pt developed a red raised area 0.5mm in diameter. Reportedly the pt recovered from this event. No further information is anticipated, this case is considered closed. The reporter of this case is the same reporter of cases 200403240, 200403241, 200403242, 200403243, and 200403244.
Age: 64.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Injection site erythema, Medication error
Clinical narrative: From initial info received on 9/29/04 and 8/16/04 from a health care professional regarding an adverse event occurring in the USA, it was reported that a 63 year old female pt received a dose of Tetanus Toxoid, lot U1048CA, administered ID in error instead of TUBERCULIN PPD on 8/16/04. The site of administration was not reported. Two days later, on 8/18/04, the pt developed a local reaction consisting of redness and papular lesions. She developed cellulitis from scratching and was treated with an unspecified antibiotic. Per the reporter, the pt recovered from these events. Further info is not anticipated, this case is closed.