chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 43.0
Sex: M
Vaccine: FLUX
Symptoms: Myalgia, Pharyngitis, Pyrexia
Clinical narrative: About 6 days after receiving flu shot, PT developed body aches, sore throat, low grade temp. Details unknown. This pt had flu vaccine in an area where they live. Information of vaccine are unavailable. Possible reaction/viral illness. Treated in MD office 11/21/2002
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: More pain than usual at inject site. Persistent pain 3.5 mts later. Site looks ok. No abnormality palpable.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Injection site oedema
Clinical narrative: Intense erythema/edema of skin overlying inject site. Extended to involved entire lateral arm. No fever, no tenderness.
Age: 6.0
Sex: F
Vaccine: LYME
Symptoms: Anxiety, Depression, Thinking abnormal
Clinical narrative: Major problems after "booster" (5/00). Ankle prob's, cognitive prob's, anxiety, depression. Constantly at orthopedist and physical therapy. The follow up states URI refused to give lot # on all three of my children.
Age: 1.25
Sex: M
Vaccine: HIBV, MMR, PNC
Symptoms: Erythema, Face oedema, Oedema, Urticaria
Clinical narrative: Developed urticarial rash, erythema & swelling of face & ear lobes. No respiratory distress. Given epinephrine 1:1000 0.1 ML s/c Rash and swelling cleared - promptly.
Age: 1.3
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Rash
Clinical narrative: Mother reports child developed rash on chest and abdomen w/in 24 hrs of receiving DTaP and Varicella. No fever or urticaria. Rash fully resolved w/out incident.
Age: 16.0
Sex: M
Vaccine: IPV, TD
Symptoms: Asthenia, Dyspnoea, Pyrexia, Vasodilation procedure
Clinical narrative: At 10:30 p.m. 1/23/03, temp 102.7 deg. Flushed, some difficulty breathing at night. Did not use inhaler. Had weakness & fever. AM hour temperature 1/24 102.1 deg. 1/24/03 MD appt. valley family practice 98.6 temp no infectious cause for fever formed.
Age: 2.0
Sex: F
Vaccine: DTAPH, IPV, MMR, VARCEL
Symptoms: Drug ineffective
Clinical narrative: PT received varicella shot and has not gotten chicken pox.
Age: 1.0
Sex: M
Vaccine: DTAPH, IPV, MMR, VARCEL
Symptoms: Coordination abnormal, Personality disorder
Clinical narrative: "Putting things to throat" (pacifier, spoon, hand), fretful, unbalanced ("falling more than usual")
Age: 3.25
Sex: M
Vaccine: DTAP, HEPA, PNC
Symptoms: Injection site erythema, Injection site oedema, Vomiting
Clinical narrative: Left arm swollen erythematous shoulder to elbow. 08/08/2002 2 day flu with PCP, Tylenol, swelling increased to forearm and left upper chest, capula area, emesis prious
Age: 1.6
Sex: F
Vaccine: IPV, PNC
Symptoms: Febrile convulsion
Clinical narrative: 24 hours after immunization, pt had a febrile seizure. No known temp between time of immunization and seizure. No temp elev. at visit.
Age: 1.25
Sex: F
Vaccine: DTAP
Symptoms: Injection site induration, Injection site oedema, Injection site pain
Clinical narrative: 2 days after 4th dose of DTaP injection, a roundish firm swelling over anterior lateral portion of the left thigh (3-4cm) appeared with associated tenderness. Motrin 100g-5ml  1/2 tsp: 6 hours x 48 hours was prescribed. 5 days post vaccination swelling had resided.
Age: 2.5
Sex: M
Vaccine: HEPA
Symptoms: Headache, Laryngitis, Pyrexia, Rhinitis, Rhinorrhoea
Clinical narrative: Temp of 100.3 noted 02/03/2003. Was given Advil. Headaches. No problems at injection site. Temp was actually 103 degrees: reduced with Advil to 101. No fever this morning. Runny nose like a cold today (02/04/2003) As pt developed temp 4 days post vaccination and has developed rhinitis/cold symptoms, temp may not be related to vaccination.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: Child received vaccine on 01/30/2003. Parent called 01/31, area reported .25 reddened area size. Advised cool compress and Tylenol for discomfort. Call 02/03 from parent states area became size of fist on right thigh, slight temp on 01/30. was not talking just felt worser than normal. Taken to urgent care on Sun 02/02. Cephaleprin ordered. Parent states area is swollen 02/03, no eevated temp. Plan to provide DT next 4-5 year shots. Child diagnosed with Fifth disease on Sun 02/03/03 per parent. Had DTP x 3 not DTaP
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Urticaria
Clinical narrative: Hives up left and right leg after immunization given today.
Age: 1.2
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR, PNC
Symptoms: Rash
Clinical narrative: Child came to clinic with rash. Benadryl by mouth. Changed Amoxicillin to Zythromax
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Irritability, Pruritus
Clinical narrative: Child was crying and states he itches- had hives. Given Benadryl 7.5cc PO
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Erythema, Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: Prominient erythema, edema at injection site also fever and tenderness.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Injection site reaction
Clinical narrative: Client's mom states that 3-4 weeks after receiving vaccinations on 7/11/02, she noticed that clients right thigh was sinking in where he had received one of his shots. She had his physician look at it at his next doctors appointment. The doctor told her that he thought that his fat cells had died around the injection site and that it was probably caused by one of his vaccinations. Patients mom came into office on 1/9/03 and showed thigh. Client's upper right thigh has an area where the tissue underneath looks atrophied. The are is about 2"x2" wide and about .5" deep. It has not caused any problems other than appearance.
Age: 17.0
Sex: F
Vaccine: TYP
Symptoms: Abdominal pain, Headache
Clinical narrative: Mother called 1/7/03 stated that client was having severe abdominal cramping and headaches. Client had taken 3 caps of typhoid in 6 days - (T qod) The rest of the family had minor side effects but felt that client was reacting severely.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Cough, Urticaria
Clinical narrative: Mom states that child started having hives a few hours after Hepatitis A vaccine received. Mom gave child Benadryl. Mom stats that child still have a few on his back and his ears the next day. Mom also states that child starting coughing too.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Oedema, Vasodilation procedure
Clinical narrative: Left arm 2x4cm reddened area with swelling. Placed on Keflex 250mg BID X 10 days.
Age: 3.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Bronchitis, Hallucination, Pyrexia
Clinical narrative: Fever 105-106F on 2/1/03. High fevers concurrently with hallucination. Symptoms resolved with ? of fever. Fever for 24 hours only. Also with cough and viral bronchitis. No inflammation at injection site.
Age: 1.4
Sex: F
Vaccine: DTAP, HEP, HIBV, MMR, PNC
Symptoms: Convulsion
Clinical narrative: Immunizations 1/21/03: DTP #4, Hib #2, Prevnar #4, OPV #3, MMR #1, HBV #3. 1/29/03 Seizure with babysitter. Second witnessed 1/29 at ER. By 1/31/03 returned to clinic.
Age: 1.2
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR, VARCEL
Symptoms: Hypokinesia, Pyrexia
Clinical narrative: Mother reports child had fever for one week post immunization. Pediatrician stated no necessarily from shot. Fever subsided and subsequently mom noted child not moving right arm.
Age: 4.0
Sex: M
Vaccine: IPV, MMR
Symptoms: Speech disorder
Clinical narrative: Problems with word retrieval since 1-2 days post MMR. Slower motor skills initially after MMR. Now they are good. Slower speech, less impulsive, not able to tell stories, less imagination.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Oedema, Vasodilation procedure
Clinical narrative: Swollen and reddness of left arm for three days post DTaP  vaccination. Advised can try Benadryl topical cream to site 2/10/03
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Oedema, Vasodilation procedure
Clinical narrative: Swelling, redness on left arm. Shot on 2/6.
Age: 0.2
Sex: F
Vaccine: PNC, PNC
Symptoms: Rash, Rash erythematous
Clinical narrative: Started 12/19/02 (time unknown) with rash. Seen by my coleague 12/20/02-"multiple erythematous lesions with central duskiness, some confluent, concentrated on LE, buttock, some on arms and face, slightly palpable." Given ovepud 15mg/5ml 3/4 tsp po qd x 5d (2mg/day).
Age: 0.2
Sex: F
Vaccine: PNC, PNC
Symptoms: Erythema multiforme
Clinical narrative: Started 12/19/02 (time unknown) with rash. Seen by my coleague 12/20/02-"multiple erythematous lesions with central duskiness, some confluent, concentrated on LE, buttock, some on arms and face, slightly palpable." Given ovepud 15mg/5ml 3/4 tsp po qd x 5d (2mg/day).
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pruritus, Rash, Rash erythematous, Urticaria
Clinical narrative: Pt developed itchiness of skin 5-10 mins after the vaccination. Developed rash on arrival to home. Pt has brought back to the clinic. He has intense itchiness all over trunk, extremities. Erythematous rash and scattered urticaria on abdomen and lips. Responded immediately with epinephrine s/c no respiratory symptoms. V-S are work.
Age: 55.0
Sex: M
Vaccine: FLUX
Symptoms: Nasal congestion
Clinical narrative: Got flu shot 11/12/02. Had subsequent tremendous nasal congestion to point of creating inability to breathe through nose started Prednisone taper.
Age: 1.25
Sex: F
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Rash papular
Clinical narrative: Five papular rash face and peripherally trunk.
Age: 1.0
Sex: M
Vaccine: IPV, MMR
Symptoms: Petechiae
Clinical narrative: Petechial rash 2 wks following MMR.
Age: 12.0
Sex: M
Vaccine: UNK
Symptoms: Asthenia, Headache, Hypersensitivity, Pallor, Pharyngolaryngeal pain
Clinical narrative: Within a couple of hours he had a headache and a rash. The next day he had paleness, weak, throat hurt, and hives from head to toe. This was Christmas and Christmas eve on the 26th took him to MD said definite allergic reaction. Gave him a shot in his butt. It took two weeks for hives to finally go away. They got him on steroids also. Awful experience.
Age: 12.0
Sex: M
Vaccine: UNK
Symptoms: Rash, Urticaria
Clinical narrative: Within a couple of hours he had a headache and a rash. The next day he had paleness, weak, throat hurt, and hives from head to toe. This was Christmas and Christmas eve on the 26th took him to MD said definite allergic reaction. Gave him a shot in his butt. It took two weeks for hives to finally go away. They got him on steroids also. Awful experience.
Age: 75.0
Sex: F
Vaccine: UNK
Symptoms: Injection site pain, Joint range of motion decreased
Clinical narrative: Pain in L deltoid with decreased mobility of L arm/shoulder > two months.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash
Clinical narrative: Began one week ago with red bumps on face spreading to torso-most with scabs at this app't.
Age: 55.0
Sex: M
Vaccine: PPV
Symptoms: Chest pain, Injection site erythema, Injection site pain, Nausea
Clinical narrative: Pt developed severe pain around injection area (left deltoid) and anterior chest had red spots at vaccination site and chest. Given injection of Kenalog and Benadryl. While waiting for treatment pt became nauseous. Lungs were clear.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash
Clinical narrative: Rash head to toe-bright. No fever, not toxic. Tx Benadryl.
Age: 34.0
Sex: F
Vaccine: RAB
Symptoms: Dizziness, Throat tightness, Tremor
Clinical narrative: 10 minutes after RIG vaccine, patient reported mild tremors and lightheadedness. 5 minutes later she had increased shaking and sensation; her throat was closing. Was given .3ccs epinephrine by means of EPIand nebulizer treatment. 911 called; patient was transported to ER.
Age: 24.0
Sex: F
Vaccine: SMALL
Symptoms: Blister, Injection site swelling, Injection site vesicles, Pain
Clinical narrative: Smallpox vaccination site swollen with pus filled exudate and there are 8-70 blisters/vesicles filled with clear fluid and exudate under the vaccine site. Also, axillary swelling and pain.
Age: 45.0
Sex: M
Vaccine: SMALL
Symptoms: Diarrhoea, Myalgia, Pain, Pyrexia, Tremor
Clinical narrative: PT developed body aches at 36 hrs, gout? pain after 48 hrs, slightly febrile and diarrhea on 2/13 resolved on 2/15. Shaking eyes? and 2/15 at 3:00 for 30 mins. PT has new info that primary vax took 6 wks to lose acid?
Age: 30.0
Sex: F
Vaccine: TYP, YF
Symptoms: Flushing, Lacrimation increased, Oedema, Pruritus, Urticaria
Clinical narrative: Approximately 30 minutes after vaccination broke out in hives, flushing of face, mildly swelling in face/hands, itchy, and tearing of the eyes.  Started on right arm.    Givne prednisone 60 mg, tagament 400mg, and atarax 25 g and symptoms resolved within 3 hours
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis
Clinical narrative: Cellulitis of left deltoid area. The follow up states that the pt received the "smallpox" vaccine on 2/8/03. More info about the vaccine provider is unknown. Pt was in ER for three hours and wa not hospitalized. He was treated with Ancef and discharged home on Keflex. There is no contact info on record for the pt other than the APO address on the VAERS report. Per 60 day follow up: It is unknown if pt has recovered. Pt was to F/U with his primary physician. The 60 day follow up states pt was to f/u with his doctor. I am an ER doctor and only saw him that night.
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Encephalitis
Clinical narrative: Encephalitis.  A 60-day follow up report received 6/10/2003 adds no new info.  Annual follow up on 03/17/04: "It is unknown if pt recovered from adverse events."
Age: 53.0
Sex: F
Vaccine: FLUX
Symptoms: Encephalitis
Clinical narrative: Encephalitis.  A 60-day follow up report received 6/10/2003 adds no new info. Annual follow up on 03/17/04: "It is unknown if pt recovered from adverse events."
Age: 57.0
Sex: F
Vaccine: FLUX
Symptoms: Encephalitis
Clinical narrative: Encephalitis. Annual follow up 03/17/04: "It is unknown if pt recovered from adverse events."
Age: 66.0
Sex: M
Vaccine: FLUX
Symptoms: Convulsion, Encephalitis, Lethargy, Musculoskeletal stiffness, Pharyngolaryngeal pain
Clinical narrative: Encephalitis. Fever, elthargy, alt. conscious, personality, stiff neck, somnolence, seizures, sore throat.  A 60-day follow up report received 6/10/2003 adds no new info. Annual follow up on 03/17/04: "It is unknown if pt recovered from adverse events."
Age: 66.0
Sex: M
Vaccine: FLUX
Symptoms: Pyrexia, Somnolence
Clinical narrative: Encephalitis. Fever, elthargy, alt. conscious, personality, stiff neck, somnolence, seizures, sore throat.  A 60-day follow up report received 6/10/2003 adds no new info. Annual follow up on 03/17/04: "It is unknown if pt recovered from adverse events."
Age: 68.0
Sex: F
Vaccine: FLUX
Symptoms: Encephalitis, Injury, Irritability, Lethargy, Musculoskeletal stiffness
Clinical narrative: Encephalitis. Fever, lethargy, extreme irritability, stiff neck, somnolence. The discharge summary states contusion of skull, thrombophlebitis, altered level of consciousness, bacteruria, and meningoencephalitis.  A 60-day follow up report received 6/10/2003 adds no new info. Annual follow up on 03/17/04: "It is unknown of the pt recovered from the adverse events."
Age: 68.0
Sex: F
Vaccine: FLUX
Symptoms: Pyrexia, Somnolence, Stupor, Thrombophlebitis, Urinary tract infection
Clinical narrative: Encephalitis. Fever, lethargy, extreme irritability, stiff neck, somnolence. The discharge summary states contusion of skull, thrombophlebitis, altered level of consciousness, bacteruria, and meningoencephalitis.  A 60-day follow up report received 6/10/2003 adds no new info. Annual follow up on 03/17/04: "It is unknown of the pt recovered from the adverse events."
Age: 72.0
Sex: M
Vaccine: FLUX
Symptoms: Cerebrovascular disorder, Convulsion, Encephalitis, Irritability, Lethargy
Clinical narrative: Encephalitis. Lethargy, alt. conscious, personality, extreme irritability, somnolence, seizures. A 60-day follow up report received 6/10/2003 adds no new info. The discharge summary states CVA.  Annual follow up on 03/17/04: "It is unknown if the pt recovered from the adverse events."
Age: 72.0
Sex: M
Vaccine: FLUX
Symptoms: Somnolence
Clinical narrative: Encephalitis. Lethargy, alt. conscious, personality, extreme irritability, somnolence, seizures. A 60-day follow up report received 6/10/2003 adds no new info. The discharge summary states CVA.  Annual follow up on 03/17/04: "It is unknown if the pt recovered from the adverse events."
Age: 79.0
Sex: M
Vaccine: FLU3
Symptoms: Coordination abnormal, Encephalitis, Hallucination, Irritability, Lethargy
Clinical narrative: Encephalitis. Lethargy, alt. conscious, personality, extreme irritability, hallucinations, stiff neck, ataxia, somnolence, focal neuro, URI, CV, rash.  A 60-day follow up report received 6/10/2003 adds no new info. Annual follow up on 03/17/04: "It is unknown if the pt recovered from the adverse events."
Age: 79.0
Sex: M
Vaccine: FLU3
Symptoms: Musculoskeletal stiffness, Rash, Upper respiratory tract infection
Clinical narrative: Encephalitis. Lethargy, alt. conscious, personality, extreme irritability, hallucinations, stiff neck, ataxia, somnolence, focal neuro, URI, CV, rash.  A 60-day follow up report received 6/10/2003 adds no new info. Annual follow up on 03/17/04: "It is unknown if the pt recovered from the adverse events."
Age: 1.5
Sex: F
Vaccine: HBPV, MMR, PNC
Symptoms: Convulsion, Pyrexia
Clinical narrative: Five hours after vaccines high fever and convulsion about 5 minutes; lethargic. But not enough to be discharged from ER.
Age: 1.3
Sex: U
Vaccine: MMR, PNC
Symptoms: Convulsion, Pyrexia
Clinical narrative: Presented in ER s/d seizure and fever 2/11/03 morning. Immunization 2/10/03, Tylenol in evening.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Asthma, Confusional state, Encephalitis, Meningitis, Thinking abnormal
Clinical narrative: Encephalitis
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Urinary retention
Clinical narrative: Encephalitis
Age: 1.3
Sex: M
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Cellulitis
Clinical narrative: On 2/14/03 at 8:45am Mother brought patient into our office to look at his reaction to the shots on his right thigh. Approximately one inch later to each injection puncture a pea size on upper and a dime size area of redness with warmth noted on lower injection site lateral to the puncture site. Doctor evaluated right thigh 2/17/03. Dx: mild cellulitis right thigh. Prescribed Ceclor 250/5cc  tsp bid for 10 days given.
Age: 6.0
Sex: M
Vaccine: MMR
Symptoms: Herpes zoster, Infection
Clinical narrative: Herpes zoster lesions right arm. The follow up states info unknown vaccine was not administered by our office.
Age: 0.5
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Injection site hypersensitivity, Injection site mass
Clinical narrative: Left thigh with 2cm induration; 1.3x1.5cm erythema, warm, non-tender at site of immunization injection, warm compress applied.
Age: 1.0
Sex: M
Vaccine: HBHEPB, VARCEL
Symptoms: Pain, Screaming
Clinical narrative: Within 8 hours after vaccine would not bear weight on left leg, screamed almost incessantly from 10pm to 3:30am, and subsequently, whenever the affected leg was moved ?.
Age: 1.5
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Rash
Clinical narrative: MMR #1 given 1/31/03. S/S of fever 103, NC, clear rhinorrhea, cough, rash on face developed 2/12/03, spread to chest 2/12/03, spread to extremities 2/14/03.
Age: 1.5
Sex: M
Vaccine: DTAP
Symptoms: Oedema, Vasodilation procedure
Clinical narrative: 4.5"x3" right thigh redness, warmth and swelling.
Age: 1.0
Sex: M
Vaccine: HBPV, MMR, VARCEL
Symptoms: Angioneurotic oedema, Asthma, Urticaria
Clinical narrative: Within 15 minutes of vaccines (MMR and VZV) patient developed clear rhinorhea, wheezing, angioedema. Given oral Benadryl Nebulizer with Xopenex and ?. Had ? episode with urticaria. Later in evening also resolving ? Benadryl. No further problems.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Oedema, Vasodilation procedure
Clinical narrative: Swollen and redness of the right arm. No tender, not infected. No medication.
Age: 1.08
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Agitation, Oedema, Pharyngitis, Pyrexia, Rash
Clinical narrative: Began with urticarial rash including swelling, began to become irritable and rash got worse 1/23-1/27. Went to ER and Dx with allergic reaction. Saw allergist, Dx with viral infection. Seen in office 1/27 dx with pharyngitis- given zithromax. 1/29 seen in ER dx with ? given Amox (? with rash) - to see 10 but rash disappeared along with fever.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Arthralgia, Chills, Hyperhidrosis, Lymphadenopathy, Myalgia
Clinical narrative: 2-3 day history of myalgias, arthralgias, in right knees, hips, HA occipital, neck pain, tender lymph node under left arm in axillary area, right submardibular area, increased temp (no documented fever), chills, sweats.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Neck pain, Pyrexia
Clinical narrative: 2-3 day history of myalgias, arthralgias, in right knees, hips, HA occipital, neck pain, tender lymph node under left arm in axillary area, right submardibular area, increased temp (no documented fever), chills, sweats.
Age: 40.0
Sex: M
Vaccine: SMALL
Symptoms: Chills, Confusional state, Hyperhidrosis, Pain, Pyrexia
Clinical narrative: Slight chills, increasing chills & hot flashes, severe chills, high fever, loss of orientation, obscure(?) cramps, 14 hrs later fever, less chills, woke every 30-45 mins. Heavy sweating.
Age: 40.0
Sex: M
Vaccine: SMALL
Symptoms: Vasodilation procedure
Clinical narrative: Slight chills, increasing chills & hot flashes, severe chills, high fever, loss of orientation, obscure(?) cramps, 14 hrs later fever, less chills, woke every 30-45 mins. Heavy sweating.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site swelling, Nervousness, Vasodilation procedure
Clinical narrative: Redness, sickness, irritation, burning. Palm-size swelling, small red raised bumps surrounding inject site.
Age: 32.0
Sex: F
Vaccine: SMALL
Symptoms: Oedema, Pruritus
Clinical narrative: Vax'd 2/7 w/smallpox. Left foot started itching and swelling 2/8 evening. Swelling decreased 2/9 evening. Right hand had similar Rx w/itching and swelling on 2/10, went away that evening. Lower back swelled late that same night, 2/11 morning went away. 2/11 afternoon left hand itching and swelling, and present 'til that evening.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Influenza, Injection site reaction, Pain
Clinical narrative: Flu like symptoms, soreness at site. Lymph node pain. Lasted over a 24 hr period. Dx was unable to work.
Age: 60.0
Sex: M
Vaccine: SMALL
Symptoms: Angina pectoris, Chest pain, Laboratory test abnormal
Clinical narrative: Pt presented to local ER with chest pain. Relieved with sublingual nitroglycine. Found to have high lipidemia and family hx significant for heart disease. Cardiologist confirmed ? right circumflex artery contributions to angina but still hospitalized.
Age: 16.0
Sex: F
Vaccine: HEP, TD
Symptoms: Asthenia, Musculoskeletal stiffness, Syncope
Clinical narrative: Approximately 10 minutes after the vaccines were given, pt stated she felt "hot" and like she was going to "faint". Pt then fainted which included loss of conciousness for several seconds but less than one minute.  Pt also experienced stiffening of her body during this episoed for several seconds but no "tonic/clonic" motions were noted. Pt was then placed on the floor with her knees elevated. Pt was then given an ammonia inhalant which was placed under her nostrils. Pt returned to conciousness immediately after ammonia inhalant was administered. She was then given fluids to drink and cool rags were placed to neck and forehead area.  BP=80/50 approx. 5 min after episode occured.  Pt rested approx. 10 min in exam room and was then escorted to vehicle for transport home. Pt stated she felt "weak" but was otherwise oriented to person, place and time upon departure.  Pt also evaluated by Dr. at clinic today (2/19/03).
Age: 51.0
Sex: F
Vaccine: SMALL
Symptoms: Cellulitis, Erythema, Infection transmission via personal contact, Malaise, Pyrexia
Clinical narrative: Patient's husband had Smallpox vaccination. Patient and her husband followed post-vaccination contact exposure precautions but she did wear a shirt he had worn while the left deltoid vaccine lesion was active.  She then developed a mild febrile prodrome (low grade fever and malaise) followed by development of a erythematous vesicular lesion over her left deltoid which eventually ulcerated.  She treated the lesion with topical antibiotics then sought care when the lesion failed to heal thinking the lesion was an "infected bug bite."  At the time of presentation to our office (12 Feb 03) she had a 1 cm slightly ulcerated lesion with mild surrounding erythema without drainage over her left deltoid without other systemic features.  She was treated conservatively with local care and received a course of dicloxacillin for possible secondary cellulitis.  No titers or other laboratory studies were drawn.  At telephone followup 19 Feb 03 patient reported that the lesion had nearly completely healed and she had no further symptoms or sequelae.  She has no other household contacts.
Age: 51.0
Sex: F
Vaccine: SMALL
Symptoms: Skin ulcer
Clinical narrative: Patient's husband had Smallpox vaccination. Patient and her husband followed post-vaccination contact exposure precautions but she did wear a shirt he had worn while the left deltoid vaccine lesion was active.  She then developed a mild febrile prodrome (low grade fever and malaise) followed by development of a erythematous vesicular lesion over her left deltoid which eventually ulcerated.  She treated the lesion with topical antibiotics then sought care when the lesion failed to heal thinking the lesion was an "infected bug bite."  At the time of presentation to our office (12 Feb 03) she had a 1 cm slightly ulcerated lesion with mild surrounding erythema without drainage over her left deltoid without other systemic features.  She was treated conservatively with local care and received a course of dicloxacillin for possible secondary cellulitis.  No titers or other laboratory studies were drawn.  At telephone followup 19 Feb 03 patient reported that the lesion had nearly completely healed and she had no further symptoms or sequelae.  She has no other household contacts.
Age: 38.0
Sex: F
Vaccine: SMALL
Symptoms: Fatigue, Headache, Influenza like illness, Lymphadenopathy, Pain
Clinical narrative: VACCINATED 02/10/03 2/16/03"CALLED WITH C/O FEVER <101,AXILLARY LYMPHADENOPATHY AND FLU-LIKE SYMPTOMS-ACHY, HEADACHE AND FEVERISH" HOME VISIT BY MD ON 2/17/03- FLU-LIKE FATIGUE AND FEVER AND HEADACHE. LYMPH NODES NOT PALPABLE. OUT OR WORK AGAIN SAME SYMPTOMS 2/18/03 2/19/03 CAME TO WORK, FELT SICK, ASSESSED BY MD'S, ALSO SAW WORKMENS COMP PHYSICIAN.
Age: 38.0
Sex: F
Vaccine: SMALL
Symptoms: Pyrexia
Clinical narrative: VACCINATED 02/10/03 2/16/03"CALLED WITH C/O FEVER <101,AXILLARY LYMPHADENOPATHY AND FLU-LIKE SYMPTOMS-ACHY, HEADACHE AND FEVERISH" HOME VISIT BY MD ON 2/17/03- FLU-LIKE FATIGUE AND FEVER AND HEADACHE. LYMPH NODES NOT PALPABLE. OUT OR WORK AGAIN SAME SYMPTOMS 2/18/03 2/19/03 CAME TO WORK, FELT SICK, ASSESSED BY MD'S, ALSO SAW WORKMENS COMP PHYSICIAN.
Age: 1.3
Sex: M
Vaccine: MMR
Symptoms: Convulsion, Febrile convulsion, Glycosuria, Hyperglycaemia, Injury
Clinical narrative: He head a rash, fever of over 102 for 3 days and he had a seizure at 4:00 pm that lasted almost 10 minutes. We call 911 and an ambulance came and took him to the ER. After he was checked he was hospitalized for 2 days for some tests that were done by the doctors. He was sent home after 2 days but he still had some fevers that ended on the next day after giving him several doses of Tylenol for infants. Per review of hospital discharge summary the discharge diagnoses were febrile seizure, glucosuria, hyperglucosemia and head trauma.
Age: 1.3
Sex: M
Vaccine: MMR
Symptoms: Pyrexia, Rash
Clinical narrative: He head a rash, fever of over 102 for 3 days and he had a seizure at 4:00 pm that lasted almost 10 minutes. We call 911 and an ambulance came and took him to the ER. After he was checked he was hospitalized for 2 days for some tests that were done by the doctors. He was sent home after 2 days but he still had some fevers that ended on the next day after giving him several doses of Tylenol for infants. Per review of hospital discharge summary the discharge diagnoses were febrile seizure, glucosuria, hyperglucosemia and head trauma.
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Chest discomfort, Headache, Lymphadenopathy, Muscular weakness, Pharyngolaryngeal pain
Clinical narrative: Fever,headache, chest pressure, low back weakness, sore throat, lymphadenopathy left armpit, vesicular rash starting 8 days after vaccination.  Treated with motrin.
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia, Rash vesicular
Clinical narrative: Fever,headache, chest pressure, low back weakness, sore throat, lymphadenopathy left armpit, vesicular rash starting 8 days after vaccination.  Treated with motrin.
Age: 21.0
Sex: M
Vaccine: HEPAB, TYP
Symptoms: Pruritus, Urticaria
Clinical narrative: This 21 y.o. male who dispensed Vivotif 4 capsules on 9/18/02 for self-administration. He began the series that date. He took the 3rd capsule on 9/22/02 in the morning and noted in the afternoon itching and then hives. He was treated w/Kenalog and hydroxyzine and was advised not to take the 4th capsule. The PT was simultaneously vaccinated w/Twinrix (Hep A/B) in the left deltoid m.; exact data not mentioned. The PT is a Norwegian exchange student, he denies any specific health prob's, concerns or allergies. He is travelling to India.
Age: 36.0
Sex: F
Vaccine: TYP
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: This 36 year old female started an oral typhoid vaccination in the morning of the 10/10/02. In the following night she developed a rash with small red itchy bumps on trunk, arms and legs. By the time of reporting (10/21/02) she had recovered. Two days before on 10/8/02 she was vaccinated with Twinrix IM in the right deltoid and with DiTe IM in the left deltoid. The reported adverse event is  expected. The company assessed this case as non-serious and the causality as probable as there are no allergies known from the pt's history.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Hypersensitivity, Respiratory disorder
Clinical narrative: 24 hrs later had less respiratory function than previously - lasted 2 wks. No rash. Did not report event to her PMD. Received allergy injection on 10/7/02. Saw an MD at a clinic for allergic reaction. Did not report difficulty breathing to that MD. Has subsequently seen three other MD's. Has not reported event.
Age: 46.0
Sex: F
Vaccine: TYP
Symptoms: Diarrhoea, Dizziness, Loss of consciousness, Nausea
Clinical narrative: This 46 year old female started Vivotif immunization on 11/24/02. After intake of the first capsule at 9:30am she experienced nausea, dizziness and diarrhea (she felt "drugged"). 9  hrs later at 6:30pm she passed out and was seen in the ER where they sent her back to health dept for follow up immunizations.
Age: 27.0
Sex: M
Vaccine: ANTH, ANTH, MEN
Symptoms: Pruritus, Rash papular
Clinical narrative: Skin rash.
Age: 27.0
Sex: M
Vaccine: ANTH, ANTH, MEN
Symptoms: Rash
Clinical narrative: Skin rash.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Autism, Gastrointestinal disorder, Muscle twitching
Clinical narrative: A nurse reported that a 6 month old male pt received a dose of Prevnar on an unspecified date in June 2001. Concomitant vaccines included Infanrix, haemophilus b conjugate vaccine, and IPOL. Medical history was not provided. Later in June 2001, on an unspecified date post-immunization, the child began "experiencing autistic symptoms such as twitching and digestive problems." These symptoms "have been displaying on and off." As of 1/28/03, the events have persisted. This event is considered medically important (OMIC).  A 15-day follow up report received 03/20/2003 adds: On 03/10/2003, the reporter indicated that the child "has turned around" and from a medical standpoint, all of the symptoms had cleared up." This event is considered medically important. This report was received from GlaxoSmithKlinen (Ref. No. A0394451A).
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Autism, Dyspepsia, Muscle twitching
Clinical narrative: A nurse reported that a 6 month old male pt received a dose of Prevnar on an unspecified date in June 2001. Concomitant vaccines included Infanrix, haemophilus b conjugate vaccine, and IPOL. Medical history was not provided. Later in June 2001, on an unspecified date post-immunization, the child began "experiencing autistic symptoms such as twitching and digestive problems." These symptoms "have been displaying on and off." As of 1/28/03, the events have persisted. This event is considered medically important (OMIC).  A 15-day follow up report received 03/20/2003 adds: On 03/10/2003, the reporter indicated that the child "has turned around" and from a medical standpoint, all of the symptoms had cleared up." This event is considered medically important. This report was received from GlaxoSmithKlinen (Ref. No. A0394451A).
Age: 53.0
Sex: F
Vaccine: SMALL
Symptoms: Pyrexia, Vasodilation procedure
Clinical narrative: Vaccinated at 9:45; At 11:30 flushed; 12:10 reported to RN vitals 184/108, 99F > 6-18; 12:20 arms red, shoulders warm left greater than right warm. 12:40 Benadryl 75mg po MD notify. 12:50 symptoms subsiding. 14:14 to ER for evaluation.
Age: 19.0
Sex: F
Vaccine: RAB
Symptoms: Diarrhoea, Myalgia, Nausea
Clinical narrative: It was reported that a 19 year old female received Imovax Rabies vaccine on 6/26/02, 6/29/02, 7/3/02, 7/10/02 and 7/30/02 due to rabid raccoon exposure. Two weeks after started post exposure, on 7/10/02, the pt developed muscle aches in her extremities, nausea and diarrhea. Events are unresolved. Follow up on 08/20/2003: "Administrative case closure (no additional information anticipated)."
Age: 71.0
Sex: F
Vaccine: UNK
Symptoms: Hypoaesthesia, Muscular weakness, Neuropathy, Pericardial effusion
Clinical narrative: Neuropathy. Numb-burning. Pericardial effusion. Muscle weakness.
Age: 0.08
Sex: M
Vaccine: HEP, HEP
Symptoms: Apnoea, Hypotonia, Laboratory test abnormal, Lethargy, Meningitis
Clinical narrative: Lethargy 4-5 hours post shot; hypotonic and pale. Group B streptococcus meningitis and septicemia. The 60 day follow up received on 5/29/03 states pt was admitted for sepsis, meningitis, had Grp Bstep. Treated with IV antibiotics. Discharge summary received on 3/30/04 states acute respiratory failure and respiratory arrest.
Age: 0.08
Sex: M
Vaccine: HEP, HEP
Symptoms: Pallor, Sepsis
Clinical narrative: Lethargy 4-5 hours post shot; hypotonic and pale. Group B streptococcus meningitis and septicemia. The 60 day follow up received on 5/29/03 states pt was admitted for sepsis, meningitis, had Grp Bstep. Treated with IV antibiotics. Discharge summary received on 3/30/04 states acute respiratory failure and respiratory arrest.
Age: 0.08
Sex: M
Vaccine: HEP, HEP
Symptoms: Apnoea, Bacterial infection, Meningitis
Clinical narrative: Lethargy 4-5 hours post shot; hypotonic and pale. Group B streptococcus meningitis and septicemia. The 60 day follow up received on 5/29/03 states pt was admitted for sepsis, meningitis, had Grp Bstep. Treated with IV antibiotics. Discharge summary received on 3/30/04 states acute respiratory failure and respiratory arrest.
Age: 56.0
Sex: F
Vaccine: LYME
Symptoms: Arthritis, Arthropathy, Joint swelling, Pain
Clinical narrative: Rapid and continuing arthritic symptoms. Swollen joints, fingers curving at knuckles. Severe pain on top of feet (arthritis). Total right knee replacement 4/16/01.  A follow up report received 6/27/2003 adds: Arthritis continues to worsen. January 2003 had injection of cortizone in left shoulder. May 2003 had cortizone injections in the top of both feet. These were to help ease the pain. I had a total right knee replacement in April 2001. My leftknee is showing signs of needing replacement within the next year. I'm very happy this product has been taken off the market.
Age: 1.7
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Asthenia, Coordination abnormal, Vomiting
Clinical narrative: Next morning child developed vomiting, weakness and ataxia.
Age: 42.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Headache, Malaise, Myalgia, Rash
Clinical narrative: Muscle aches, malaise, joint aches, rash, headache
Age: 28.0
Sex: F
Vaccine: ANTH
Symptoms: Abortion spontaneous
Clinical narrative: Miscarriage
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site oedema, Urticaria
Clinical narrative: Vaccine site had extreme swelling (grapefruit size). Rash bumps got larger and had hives. Received antibiotics. Patient also had respiratory symptoms.
Age: 24.0
Sex: F
Vaccine: ANTH, MEN, ANTH, MEN
Symptoms: Pruritus, Rash
Clinical narrative: Member has a fine, faint, red scattered rash on both arms and faint patch on both legs. Member states rash included slightly larger "bumps" size of pencil lead on Monday. Member sate rash itches and tender.
Age: 24.0
Sex: F
Vaccine: ANTH, MEN, ANTH, MEN
Symptoms: Pruritus, Rash
Clinical narrative: Has a fine, faint, scattered rash on both arms and faint patch on both legs; patient states rash included slightly larger "bumps" the size of a pencil lead on 10 Feb 03; member states that present rash itches and is tender
Age: 32.0
Sex: M
Vaccine: ANTH, DT, IPV, MEN, MMR, TYP
Symptoms: Back pain, Dizziness
Clinical narrative: Patient feels "light headed", paint in back. Sent home with ice bags to arm and Motrin. Returned to work on 2/11/03. Denies any discomfort.
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Confusional state, Dizziness, Nausea, Vasodilation procedure
Clinical narrative: Lightheaded, hot, nauseated, disoriented, pale, pulse 60, resp 18. Administered Clavitin ready tab. Patient states after first Anthrax dose had lapses in memory.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Urticaria
Clinical narrative: Generalized hives, especially on trunk. The follow up states, "I treated him in the ER. When I called I was told that the lot number was not available."
Age: 41.0
Sex: F
Vaccine: ANTH
Symptoms: Asthenia, Nausea, Vomiting
Clinical narrative: Nausea two weeks after inoculation. Also fatigue and vomiting.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Cyst, Oedema, Pruritus
Clinical narrative: Pt received 2nd series of anthrax vaccine on 2/10/03. Noticed some "itching" yesterday afternoon and that he increased swelling last night. Went to immunication  and vaccine measure at approx 77mm x 87mm area. Has mild ? with subcutaneous cyst, high ?
Age: 31.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site mass, Injection site pain
Clinical narrative: Painful mass in area of injection starting one wk post injection of anthrax vaccine.
Age: 26.0
Sex: M
Vaccine: ANTH, FLUX
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Over three days developed moderate Rx of redness, warm, induration approx 8x12cm area.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Chills, Diarrhoea, Nausea
Clinical narrative: Chills, nausea, frequent watery stools.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Condition aggravated
Clinical narrative: Onset asthma symptoms without usual stimuli-(dust/cats). Persistent x 4 days at time of report. Not controlled with prn inhaler. Using nebulizer with some relief. Still symptomatic. Sx persisted through 1/1/03.
Age: 46.0
Sex: M
Vaccine: FLU3, TD
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Pt reports last night noticing redness, swelling to L upper arm today 12/22/02 L deltoid is very swollen, red and warm 4x4 area of swelling and redness present-administered Benadryl 50mg po apply heat and f/u this week.
Age: 72.0
Sex: F
Vaccine: FLU3, PPV, TD
Symptoms: Injection site erythema, Injection site infection, Injection site oedema, Injection site warmth
Clinical narrative: 12/12/02 three vaccines administered. Pneumococcal subq. 12/14/02, red, hot, swollen, "infected" in subq area seen in Er. Given 10 days Keflex and better in 24 hours. Seen her PMD this week.
Sex: M
Vaccine: FLU3, PPV
Symptoms: Asthenia, Dizziness
Clinical narrative: Pt was given influenza vaccine and Pneumovax on 11/20/02. Pt c/o dizziness, 2 days later did not contact this office until 11/29/02 sx resolved. Decreased energy level until 11/25/02 when felt fully recovered.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Agitation, Dyspnoea, Pruritus, Urticaria
Clinical narrative: Anaphylaxis with widespread urticarial rash, difficulty breathing, agitation, itching all over body. Given Epinephrine 0.3mg SC Claritin 10mg po. Solumedrol 80mg IV, HCT ringer's 1 liter IV, Ibuprofen 800mg po.
Age: 5.0
Sex: F
Vaccine: DTAP, FLU3, IPV
Symptoms: Oedema, Pain, Pruritus, Vasodilation procedure
Clinical narrative: 1 and 2 days after DTaP vax, left upper arm red, swollen, painful, and itchy.
Age: 13.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Oedema, Pain, Vasodilation procedure
Clinical narrative: Swelling redness very painful down to elbow
Age: 9.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Oedema, Pain, Vasodilation procedure
Clinical narrative: Down to elbow redness & streaks painful & swollen.
Age: 8.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Asthma, Oedema, Pain, Vasodilation procedure, Vomiting
Clinical narrative: Left arm upper swelling redness & pain down to wrist. Extremely painful x 4-5 days. Slight wheezing whole arm swollen, vomiting x2 days.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia, Pain
Clinical narrative: Received Influenza vaccine on 11/15/02. W/in 2 days developed sore arm. Left from shoulder to elbow - continued to have pain / soreness 3 months later.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Gastrointestinal disorder, Nausea
Clinical narrative: Have had upper and lower gastrointestinal distress, nausea, persistent diarrhea since Nov. 2002. All Dx studies WNL. Neg. upper GI, Abd. Ct., EGD, Colonoscopy, Blood work normal diarrhea loose stools continue daily.
Age: 21.0
Sex: M
Vaccine: FLU3
Symptoms: Hyperhidrosis, Nausea, Pallor
Clinical narrative: Pt felt diaphoretic, pale and nauseated 10 mins after receiving the shot.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: 11/14/02 - Left arm painful to lift after receiving shot, spoke w/PT on 2/6/03. Arm is fine - took a couple of wks to get better - case closed.
Age: 33.0
Sex: M
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome
Clinical narrative: PT experienced mild case of Guillain Barr syndrome.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Nervousness, Pyrexia, Viral infection
Clinical narrative: W/in 24 hrs of receiving vaccines, PT became very irritable, jittery, febrile (temp 102) and viral intake.
Age: 0.5
Sex: F
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Crying, Pyrexia, Rash macular
Clinical narrative: Infant received vaccine at approximately 1400. She began running fever up to 103 deg w/in the next 12 hrs and continued to have fever for 47 hrs as well as periods of crying. She developed a rash on 2/10/03 - macular over trunk, extremities.
Age: 1.05
Sex: M
Vaccine: VARCEL
Symptoms: Bronchitis, Injection site rash, Pyrexia
Clinical narrative: Developed bronchitis (2/4/03) Varivax 1/21/03. 2/8/03 Fever rash very ill inject site with ????? with yellow area? PVS resolved with augmentation.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Ecchymosis, Oedema, Pyrexia, Vasodilation procedure
Clinical narrative: Swelling, fever, bruised, hot to touch, warm compress per ER MD per mom on Saturday.
Age: 1.5
Sex: F
Vaccine: HEP, PNC
Symptoms: Agitation, Injection site oedema, Urticaria, Vasodilation procedure
Clinical narrative: W/in 1 hr of receiving immunizations, PT developed fussiness, mild facial urticaria and local redness and swelling of her right deltoid area. She was seen in the office and given Benadryl.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Deafness, Headache, Social avoidant behaviour, Speech disorder
Clinical narrative: After administering vaccines, we noticed regression and skills and he became increasingly despondent. The follow up states, "diagnosed with PDD."  60 month follow up: "Vaccine recipient did not recover from adverse events.  He is autistic and lost skills he is beginning to regain inconsistently.  He continues to struggle with absent thinking.  Concepts and communication.  Very little verbal language.  Hard to focus."  Follow up on 12/03/03: "Immunization record received." The medical record received on 2/12/04 states hearing loss, speech delay and headaches. Annual follow up on 03/05/04: "Pt has not recovered from adverse events.  Autism, communication, learning problems and complex behavrious exhibited."
Age: 37.0
Sex: M
Vaccine: HEPAB
Symptoms: Dizziness, Injection site oedema, Injection site reaction, Pain, Vasodilation procedure
Clinical narrative: PT needed travel shots. Reported cold: temp - 97.8. Given Twinrix #1 at 11 a.m. Called at 11:50 to report that 5-10 mins post injection, he felt dizzy, as if he had been punched in the jaw and his arm burned and felt swollen. This lasted approximately 1 min. Only residual was swelling and soreness at site.
Age: 64.0
Sex: F
Vaccine: TD
Symptoms: Injection site pain, Vasodilation procedure
Clinical narrative: Significant redness, pain at inject site still 1 wk later. PT came in for recheck. Told to monitor. No evidence of infection or other trauma.
Age: 13.9
Sex: F
Vaccine: HEP, TD
Symptoms: Pain, Urticaria, Viral infection
Clinical narrative: Mother states child began c/o tenderness under left arm in axilla area approximately on 2/6/03. Has now noted "hives" x 20 to axilla area and to side x 1 day (2/7/03). Child is afebrile. Advised mother that s/s probably not related to vaccine since it was given 7 days ago, but instructed mother to call pediatrician and describe symptoms. Instructed mother to call clinic back after MD advise. Child recovered. Doctor stated probaly viral illness.
Age: 6.0
Sex: F
Vaccine: PPV
Symptoms: Convulsion, Pyrexia
Clinical narrative: PT was given Pneumovax this morning and several hrs later had convulsions (short-lived) and mother bought her back to MD's office where she had fever of 103.4 deg (rectally) and was appearing to be back at baseline.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Pruritus, Rash
Clinical narrative: Generalized rash, pruritus
Age: 36.0
Sex: M
Vaccine: TD
Symptoms: Erythema, Feeling hot, Oedema, Pain, Pyrexia
Clinical narrative: Tuesday, Feb. 11th 2003, pt noticed soreness in the right deltoid (Tues. AM). Tuesday PM, pt's arm became reddened, swollen, hot to touch, low grade temp, and body aches were present. Symptoms persisted following day with redness/swelling remaining. Pt reports extreme soreness. The follow up states pt reports being fully recovered by 2/18/03.
Age: 12.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Red and swollen 60-65mm x 45mm starting night of administration, measured 48 hrs after injection site on L deltoid.
Age: 75.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Four hours after injection side effects of redness, edema at site for two days. Also soreness.
Age: 1.08
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Pyrexia
Clinical narrative: Fever 102 x 2d one week after immunization tx symptomatic treatment.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema, Injection site rash, Injection site warmth
Clinical narrative: Woke with silver dollar size area around imm. site that was red and hot to touch by 6:30pm. Leg swollen down to and around knee rash that looks like hives on leg. Reaction increased to 16cm x 12cm oval lesion in 24 hrs (2/12/03).
Age: 30.0
Sex: M
Vaccine: RAB
Symptoms: Arthralgia, Dizziness, Myalgia, Nausea, Pyrexia
Clinical narrative: 2/3/03 nausea, dizzines (mild): noon-3pm. Muscle aches, joint pain: 6pm 2/3/03. Fever late PM of 2/3 thru 4am of 2/4-2/6/03.
Age: 1.25
Sex: M
Vaccine: DTAP, HBHEPB, MMR
Symptoms: Cellulitis, Injection site pain, Injection site reaction, Injection site warmth
Clinical narrative: Two days after immunziation had 6x9cm warm red tender area R shoulder (cellulitis),  no fever.