chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 2.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Erythema, Oedema, Tenderness
Clinical narrative: 4 days after immunization pt presented in office for follow up after ER visit. 6x6 cm area of redness/edema and tenderness to RT. Dx: cellulitis
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site warmth
Clinical narrative: Right thigh redness, hot to touch, swollen . No pain. DTaP was given 2 days prior.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR
Symptoms: Convulsion, Postictal state
Clinical narrative: Patient received MMR on 3/24/04. At day care 3/25/04, had a brief generalized seizure lasting <1minute, seemed post-ictal around 1 hour. Full recovery.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Pruritus, Rash
Clinical narrative: Itchy rash on arms, trunk and upper legs.  Symptoms started one day (16 May 04).  No other symptoms reported.  Member denied, fever, dyspnea or any other S&S.  Denied any problems with first anthrax dose.  On exam several small bumps that looked similar to heat rash were on forearm.  Vaccination site slightly pink.  Member first noticed rash after running on 16 May.  Member worked in yard on same day as vaccine given, but was wearing long sleeve shirt.  No treatment given.  Member told if symptoms got worse or didn't resolve to see his PCP.  Symptoms resolved in 2 weeks.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Dyspnoea, Pharyngitis, Rhinitis
Clinical narrative: MEMBER RECEIVED IMMUNIZATION ON 5 JUNE 04.  ON 7 JUNE 04 HE STARTED TO EXPERIENCE SHORTNESS OF BREATH LIKE FEELINGS.  CONDITION WAS CONSTANT DURING REST AND EXERTION.  ON 8 JUNE 04 MEMBER STARTED TO EXHIBIT CHEST COLD LIKE SYMPTOMS.  MEMBER CONTACTED ME ON 9 JUNE 04 @1430.  WILL GET FOLLOWUP TREATMENT ON 10 JUNE 04.
Age: 44.0
Sex: M
Vaccine: TD
Symptoms: Rash, Urticaria
Clinical narrative: Vaccine given on 6/1/04, began with rash and mild hives later that day at vaccine site and back of neck.  6/3/04: Hives on abdomen. 6/8/04, rash on groin area.  Took own prescription of Allegra.
Age: 0.21
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema, Screaming, Swelling
Clinical narrative: Infant napped 4 hrs. post vax, then awoke screaming for 1.5 hrs. Red swollen areas on both legs, cold compresses applied, tx w/tylenol.  Infant would only breastfeed one side.  Two hrs. later, infant quit crying and both legs were clear of redness.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Condition aggravated, Rash papular, Rash pruritic
Clinical narrative: 1) 5/21/04 Received primary smallpox vaccination - 3 jabs 2) 5/28/04 Restarted on Accutane for acne flare up 3) 6/6/04 developed papular extremely puritic rash on trunk->arms > thighs  4) 6/7/04 presented for health care on arrival since then has been isolated, RXN for extreme puritis. Without fever, liver, cardiac or CNS involvement. On medical hold (but not inpatient)
Age: 68.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Pruritus
Clinical narrative: Td given on 5/18/04.  Td site became reddened, itchy, and hard.  Benedryl and Hdro. creme to site
Age: 15.0
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Convulsion
Clinical narrative: Patient had 5 minute seizure.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site mass
Clinical narrative: Lumps in legs (thighs) at injection sites
Age: 24.0
Sex: M
Vaccine: RAB
Symptoms: Urticaria, Wheezing
Clinical narrative: Hives all over body; slight wheezing
Age: 42.0
Sex: F
Vaccine: ANTH, IPV
Symptoms: Oedema peripheral, Pain
Clinical narrative: SWELLING TO RIGHT ARM, FROM NEAR SHOULDER DOWN TO ELBOW, PAIN UNDER ARMPIT, PERSONAL PHYSICIAN PRESCRIBED DURICEF 500MG AND PREDNISONE 20 MG
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Cough, Diarrhoea, Dyspnoea, Fatigue, Influenza like illness
Clinical narrative: AVA # 1 01 Feb 03 Does not recall anything significant. AVA # 2 14 Feb 03 No problems reported AVA # 3 03 Mar 03 The next day he experienced diarrhea for a couple of days. It resolved without any problems. He was told he had contaminated water. Approx 15 out of 125 people in his unit also experienced diarrhea. He denied fever and blood. AVA # 4 01 Nov 03 The next day he noticed mild flu like symptoms with chest and nasal congestion, body aches, and a dry cough with wheezing and shortness of breath. He denied fever. Symptoms lasted approx 5 days and stated it felt like the common cold. He also experienced another episode of diarrhea that lasted 2 days. No blood was noted. He stated that he recovered fully.   AVA # 5 15 May 04 Pt states that within 24 hrs he developed chest and nasal congestion that started as mild and mild diarrhea that lasted 2 days. Again he experienced wheezing and shortness of breath. He reports that the cold did not clear and that on day 4 he felt a little better. He reports that on day 5 & 6 he got "hit hard and wiped out". He had a low grade fever on day 3, it decreased on day 4 before returning on day 5 & 6. States his T-max was 101. He saw his MD on 24 May and was still running a fever of 99.8. Cough now productive with deep yellow sputum. He was started on antibiotics. He reports that no one else around him is sick.  Follow up:  Spoke to patient on 10 June. States his symptoms have cleared since 03 June. When questioned regarding the wheezing and shortness of breath he stated that it only happened around the time of his immunizations. He states he does not have a problem otherwise.
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Nasal congestion, Pain, Pyrexia, Wheezing
Clinical narrative: AVA # 1 01 Feb 03 Does not recall anything significant. AVA # 2 14 Feb 03 No problems reported AVA # 3 03 Mar 03 The next day he experienced diarrhea for a couple of days. It resolved without any problems. He was told he had contaminated water. Approx 15 out of 125 people in his unit also experienced diarrhea. He denied fever and blood. AVA # 4 01 Nov 03 The next day he noticed mild flu like symptoms with chest and nasal congestion, body aches, and a dry cough with wheezing and shortness of breath. He denied fever. Symptoms lasted approx 5 days and stated it felt like the common cold. He also experienced another episode of diarrhea that lasted 2 days. No blood was noted. He stated that he recovered fully.   AVA # 5 15 May 04 Pt states that within 24 hrs he developed chest and nasal congestion that started as mild and mild diarrhea that lasted 2 days. Again he experienced wheezing and shortness of breath. He reports that the cold did not clear and that on day 4 he felt a little better. He reports that on day 5 & 6 he got "hit hard and wiped out". He had a low grade fever on day 3, it decreased on day 4 before returning on day 5 & 6. States his T-max was 101. He saw his MD on 24 May and was still running a fever of 99.8. Cough now productive with deep yellow sputum. He was started on antibiotics. He reports that no one else around him is sick.  Follow up:  Spoke to patient on 10 June. States his symptoms have cleared since 03 June. When questioned regarding the wheezing and shortness of breath he stated that it only happened around the time of his immunizations. He states he does not have a problem otherwise.
Age: 27.0
Sex: F
Vaccine: HEP
Symptoms: Abortion spontaneous, Unintended pregnancy
Clinical narrative: Pt. called and wanted to file a VAERS report.  Pt. stated that one month after vx, she had a miscarriage.  Pt. denies knowledge of pregnancy at time of vx.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Headache, Laboratory test abnormal, Medication error, Pain
Clinical narrative: varicella outbreak after immunization given. Pt admitted for IV acyclovir x 4 days.  Continued out pt acyclovir x 3 more days.   See pt summary.  Pt starting school in Aug 2004  Nurse follow up on 06/18/04 states: "Add: headache, pain."
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Viral infection
Clinical narrative: varicella outbreak after immunization given. Pt admitted for IV acyclovir x 4 days.  Continued out pt acyclovir x 3 more days.   See pt summary.  Pt starting school in Aug 2004  Nurse follow up on 06/18/04 states: "Add: headache, pain."
Age: 1.3
Sex: M
Vaccine: DTAP, HBHEPB
Symptoms: Hypersensitivity, Urticaria
Clinical narrative: 2.5 inch hive on inner aspect of left thigh.  Lungs clear. No respiratory distress.  Apical pulse 124 and regular.  Transferred to personal physician who described this as a severe local allergic reaction to the DTaP.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Meningitis, Viral infection
Clinical narrative: Reaction to P from DTaP. Reaction versus viral illness. Reaction versus meningitis.  Nurse follow up on 07/20/04 states: "Complete."
Age: 83.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Feeling hot, Injection site induration, Pain, Pruritus
Clinical narrative: 130mm Induration, wheal on right arm-appeared several hours after injection- as of 6/4/04 it is still there, warm, red, itchy, painful.
Age: 83.0
Sex: F
Vaccine: TD
Symptoms: Urticaria
Clinical narrative: 130mm Induration, wheal on right arm-appeared several hours after injection- as of 6/4/04 it is still there, warm, red, itchy, painful.
Age: 1.0
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling
Clinical narrative: Had local reaction (redness and swelling) to right arm and left arm at injection sites. Tylenol 120mg PO, Benadryl 5mg PO given with instruction to alternate Tylenol and Motrin. Also to place ice pack on swelling. Also instructed to monitor breathing and temp and redness. Instructed to take pt to local ER in case has any trouble. Redness subsided prior to leaving.
Age: 1.25
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site mass, Injection site reaction, Injection site swelling
Clinical narrative: Localized reaction at injection site with mild to moderate swelling, erythema, knot
Age: 0.08
Sex: M
Vaccine: HEP
Symptoms: Erythema, Hypersensitivity, Oedema peripheral, Rash
Clinical narrative: hypersensitivity reaction with rash with diffuse erythema, swelling of hands and feet
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Rash papular
Clinical narrative: Papular Rash
Age: 7.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Infection
Clinical narrative: Chix Pox-rx Zovirax
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site induration, Rash papular
Clinical narrative: Fine papular rash and induration at the injection site
Age: 6.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash papular
Clinical narrative: Papular rash covering trunk, legs, arms
Age: 9.0
Sex: F
Vaccine: UNK
Symptoms: Infection
Clinical narrative: Pt was seen in office on 06/10/2004 and diagnosed with C-pox. Pt was vaccinated on 1/13/1997.
Age: 1.25
Sex: F
Vaccine: DTAP, MMR
Symptoms: Infection, Pyrexia, Rash, Rhinitis
Clinical narrative: Has fever, Coryza rash, diagnosis for measles infection
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pain, Pyrexia, Rash, Swelling
Clinical narrative: Immunizations on 06/07/2004 Right arm and had fever up to 102 F x4days. Mod. Swelling and erythema right arm with pain and rash.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Pharyngeal oedema, Rash
Clinical narrative: Pt had systemic allergic reaction requiring epinephrine, solvmedrel and IV fluids. Pt experienced facial rash, airway swelling, approximately 45min after immunization. Pt in ER for 3 hours.
Age: 3.0
Sex: F
Vaccine: DTAP, HBHEPB, IPV, MMR, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: redness, swelling left upper arm 12-13cmx6cm Tylenol, warm compresses.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, MMR, VARCEL
Symptoms: Anorexia, Dehydration, Dermatitis, Fatigue, Headache
Clinical narrative: Headache, no appetite, runny nose, dark circles around eyes, extremely dilated pupils, unusually tired, forgetful and mentally unclear, legs hurt and were unstable, erratic body temp, dehydrated, burning light sensitive eyes, rash, dermatitis, hyperactive.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, MMR, VARCEL
Symptoms: Memory impairment, Mydriasis, Photophobia, Psychomotor hyperactivity, Pyrexia
Clinical narrative: Headache, no appetite, runny nose, dark circles around eyes, extremely dilated pupils, unusually tired, forgetful and mentally unclear, legs hurt and were unstable, erratic body temp, dehydrated, burning light sensitive eyes, rash, dermatitis, hyperactive.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, MMR, VARCEL
Symptoms: Rash, Rhinorrhoea
Clinical narrative: Headache, no appetite, runny nose, dark circles around eyes, extremely dilated pupils, unusually tired, forgetful and mentally unclear, legs hurt and were unstable, erratic body temp, dehydrated, burning light sensitive eyes, rash, dermatitis, hyperactive.
Age: 6.0
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, MMR, VARCEL
Symptoms: Decreased appetite, Dehydration, Eye pain, Fatigue, Nausea
Clinical narrative: dehydrated, unusually tired, legs hurt, extreme sore throat, nausea, eyes hurt, reduced appetite.
Age: 6.0
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, MMR, VARCEL
Symptoms: Pain, Pharyngolaryngeal pain
Clinical narrative: dehydrated, unusually tired, legs hurt, extreme sore throat, nausea, eyes hurt, reduced appetite.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Urticaria
Clinical narrative: Vaccines given at 10am 6/2/04. Hives noted on buttocks at 6PM
Age: 0.33
Sex: F
Vaccine: HIBV, PNC, UNK
Symptoms: Crying, Irritability, Pyrexia, Screaming
Clinical narrative: Pt had increased crankiness and inconsolable crying lasting 24 hrs with low grade fever up to 100.7 F symptoms started approx 8PM 06/09/2004 until today. Pt well today. 6/10/04 mother reports no symptoms.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Fluid retention, Injection site vesicles, Swelling, Tenderness
Clinical narrative: Dramatic swelling and redness shoulder to elbow-mild tenderness- no joint/movement limitation-plus small blisters around site, amber fluid.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Received DTaP#5, IPV#4 in Left deltoid (IM) 5/28/04 reported some swelling of arm beginning 5/29/04. 5/30/04 seen by on call MD- +swelling, redness-heat down to elbow (no Fever) full REM swelling to mid lower arm. Destal pulges +. Adverse rxn?/vs cellulitis? Presc. Augmentin CS
Age: 15.0
Sex: F
Vaccine: IPV, TD
Symptoms: Arthralgia, Difficulty in walking, Hypoaesthesia
Clinical narrative: Below knees, both legs, pain when walking/standing- difficulty to walk some numbness on sides-not in joints of lower legs.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site oedema, Pyrexia, Skin nodule
Clinical narrative: Fever 102 onset Tues swelling at site noted local at injection site. No fever 3rd day but swelling; hardness and redness persist.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Hypotonia, Oedema
Clinical narrative: Right upper arm swelling, red, flaccid, violasis upper arm to elbow.  Treated with Motrin/Tylenol.
Age: 34.0
Sex: F
Vaccine: HEP, IPV, TD, TYP
Symptoms: Cold sweat, Dry skin, Malaise
Clinical narrative: Foreign travel overseas. Requested HepB series to begin due to job tasks.  Administered Typhim Vi to Right deltoid, IPV to R arm, HepB#1 to left deltoid and Td to left deltoid.  Complained of "feeling funny" after HepB.  B/P 88/50, pulse 60, clammy skin resolved in 10 minutes.  Bp  110/68, pulse 72, skin dry.
Age: 0.0
Sex: M
Vaccine: HEP
Symptoms: Arrhythmia, Cardio-respiratory arrest, Cardiomegaly, Dyspnoea, Grunting
Clinical narrative: shot give 1600 06/10/2004 06/10/04 2020 infant grunting, color grey, mottled hr 120, no murmur noted 06/10/04 unable to get temp , extremities cold (infant in warmer)  pupils dialted no HR - on strip shows skipping heart beat CXR:cardiomegaly 6/10/04 22:10 newborn died  Nurse follow up on 06/18/04 states: "unresponsive, tachycardia, respiratory distress, regurgitation."  Nurse follow up on 08/02/04 states: "Hypoplastic left heart complex."
Age: 0.0
Sex: M
Vaccine: HEP
Symptoms: Heart disease congenital, Livedo reticularis, Mydriasis, Pallor, Peripheral coldness
Clinical narrative: shot give 1600 06/10/2004 06/10/04 2020 infant grunting, color grey, mottled hr 120, no murmur noted 06/10/04 unable to get temp , extremities cold (infant in warmer)  pupils dialted no HR - on strip shows skipping heart beat CXR:cardiomegaly 6/10/04 22:10 newborn died  Nurse follow up on 06/18/04 states: "unresponsive, tachycardia, respiratory distress, regurgitation."  Nurse follow up on 08/02/04 states: "Hypoplastic left heart complex."
Age: 0.0
Sex: M
Vaccine: HEP
Symptoms: Pulse absent, Vomiting
Clinical narrative: shot give 1600 06/10/2004 06/10/04 2020 infant grunting, color grey, mottled hr 120, no murmur noted 06/10/04 unable to get temp , extremities cold (infant in warmer)  pupils dialted no HR - on strip shows skipping heart beat CXR:cardiomegaly 6/10/04 22:10 newborn died  Nurse follow up on 06/18/04 states: "unresponsive, tachycardia, respiratory distress, regurgitation."  Nurse follow up on 08/02/04 states: "Hypoplastic left heart complex."
Age: 28.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection, Pain, Pyrexia, Rash
Clinical narrative: Employee was provided with 1st VZV after stating no history of chicken pox.  Employee received vaccine and 9 days later came down with body aches, fever and rash.  Went to physician on day 12th and was diagnosed with chicken pox virus.
Age: 0.2
Sex: F
Vaccine: DTAPH, HEP, OPV
Symptoms: Antisocial behaviour, Autism, Hypokinesia, Rash, Speech disorder
Clinical narrative: At 2mo visit patient smiled, followed 180 degrees, head was not steady, did not bring hands together. At the 6 month visit raked a raisin, followed dropped yarn sitting with support not without no head lag passed a cube hand to hand, did not bear weight on legs, gross motor delay noted at 12 mo 12/15/96, rolled to get to things did not crawl said hi and bye, stood at 15 mo did not walk at 15 mo, by report used 3 words at 12 mo. Not seen for 18 mo visit, at 2 12/16/97 speech noted as a problem "spanish speaking nanny".  On 4/23/98 seen for rash lack of interactive facial contact, no interactive play, no role playing with dolls or toys, hearing referal passed, social withdrawal problem and expressive language disorder diagnosed refered to developmental pediatrician. Patient has an autistic disorder.  The exact onset of this disorder cannot be ascertained. Her mother requests that I submit this report.  The patient received the full course of vaccines. 4th DTP-HIB 2/13/97, 3rd OPV 5/17/96, MMR MSD 0890D, 11/15/1996, 3rd HBV 5/17/1996 SKB 1991A2, Varicella 11/15/1996 MSD 1076D.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Injection site erythema, Injection site pain
Clinical narrative: DTaP/Infanrix given 4/12/04. Patient returned 4/14/04 with swelling, redness to injection site and painful. Started on Keflex/Motrin. Followed up on 5/5/04; erythema.
Age: 40.0
Sex: F
Vaccine: TD
Symptoms: Pain
Clinical narrative: Complaints of sharp shooting pain noted the day after DT; occurred from deltoid to hand.
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Pain
Clinical narrative: Presented moderate to severe edema of left arm site of injection with erythema, induration with mild pain without any fever.
Age: 9.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Erythema, Injection site discolouration
Clinical narrative: Approximately 10-15 minutes after receiving MMR and Hepatitis B vaccine, a 1.5cm erythematous, papule, blanching with surrounding erythema appeared on the patient's right upper arm near injection site. Vital signs stable; given diphenhydramine 3 teaspoon of concentration. Observed for 1 hour in office.
Age: 9.0
Sex: M
Vaccine: HEPA
Symptoms: Cold sweat, Hyperhidrosis, Hyperventilation, Vomiting
Clinical narrative: Within 5 minutes of receiving vaccine, child vomited. Observable S/S included profuse perspiration, skin clammy/cold to tough. Semi-conscious state with hyperventilation initially. Benadryl 2.5 teaspoon given orally and vitals monitored. Child released in stable condition at 11:00 AM.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection, Rash
Clinical narrative: Patient was seen on 6/10/04 and diagnosed with chicken pox. Rash started on 6/9/04. Patient had Varivax on 9/17/99.
Age: 44.0
Sex: M
Vaccine: HEPA, YF
Symptoms: Chills, Headache, Insomnia, Pain, Pyrexia
Clinical narrative: B/P 110/40. Temperature 98.8 (O)- One week after receiving vaccination, started chills, fever, headache, insomnia, generalized body aches.
Age: 1.3
Sex: F
Vaccine: HIBV, MMR
Symptoms: Convulsion, Pyrexia, Rhinorrhoea, Vomiting
Clinical narrative: Patient came in for a check up and immunizations.  She had a fever of 100.7 and had vomited once the day before.  She also had a runny nose for one day.  Approx 8 hours later, baby had a fever to 103.5 and had febrile seizure lasting under 5 minutes.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Malaise, Pyrexia, Rash maculo-papular, Rash pustular, Skin ulcer
Clinical narrative: Varicella symptoms - occuring 5-28-04, general malaise, 5-29-04 low grade temp. 05-30-04 temp 101, macule, paule, vesicular, pustular lesions, upper torso and face and legs 725 lesions - dry lesions in 5-6 days.
Age: 1.0
Sex: F
Vaccine: HIBV, VARCEL
Symptoms: Nasal congestion, Rash maculo-papular, Rhinorrhoea
Clinical narrative: maculopapular rash on trunk, extremities.  Spares palms and soles.  None in oral cavity.  runny nose and cogestion one week prior.  Rash occurred 10 days post MMR vaccine
Age: 0.75
Sex: M
Vaccine: HEP
Symptoms: Hyperthermia, Otitis media
Clinical narrative: Learned of child's death from mother. It was 10 days after Hepatitis B immunization. Death certificate: otitis media and hyperthermia.  Nurse follow up on 06/18/04 states: "complete."
Sex: M
Vaccine: HEP
Symptoms: Drug toxicity, Nervous system disorder
Clinical narrative: Information has been received regarding a case in litigation concerning a male patient who was vaccinated sometime during the period from June 1998 through December 1999 with a dose of hepatitis B virus vaccine. Reportedly the patient was subjected to very high doses of mercury contained in thimerosal-containing vaccines administered during the first 2 years of life and was therefore poisoned by the cumulative doses of thimerosal. Subsequently, it has been alleged that as a result of mercury in the thimerosal-containing vaccines that the patient received as an infant, he now suffers and in the future will continue to suffer from the toxic neurological effects of mercury poisoning. Upon internal review, the toxic neurological effects of mercury poisoning were considered to be other important medical events (OMIC). Additional information is expected.
Age: 1.01
Sex: M
Vaccine: MMR
Symptoms: Antisocial behaviour, Autism, Balance disorder, Hypotonia, Speech disorder
Clinical narrative: Information has been received from a nurse concerning a male who on 8/10/01 was vaccinated with a dose of MMR (lot # 638514/0375L) at the age of 12 months. The nurse reported that the patient was later diagnosed with autism. Unspecified medical attention was sought. Additional information received from a registered nurse indicated that the patient had a history of an unspecified reaction to his first DTP vaccination, otherwise he had no medical history of any problems. At approximately 18 months of age, the patient became non-verbal, asocial, and displayed hypotonia and decreased balance. The patient was seen by a geneticist, and all tests performed were normal. The patient had recently been diagnosed with autism. The parents were using equine therapy for the patient. Upon internal review, the patient's autism was considered an Other Medical Event (OMIC). Additional information has been requested.
Age: 3.0
Sex: M
Vaccine: MMR
Symptoms: Autism, Condition aggravated, Drug toxicity, Laboratory test abnormal, Neurodevelopmental disorder
Clinical narrative: Information has been received from a dentist (D.M.D.) concerning a 3 year old male patient, a twin, who was autistic and whose mother was vaccinated with Rhogham during pregnancy. On an unspecified date, the patient was vaccinated with a dose of MMR (lot # unknown). The doctor reported that the patient was diagnosed autistic at birth. However, following MMR vaccination things became worse. Unspecified medical attention was sought. Diagnostic studies were performed and results were high level mercury count. It was noted that the patient had more developmental delays than his twin. It was also reported that the patient was involved in a study (not specific). The doctor reported Rhogham used to have mercury in it. Upon internal review, autistic was determined to be an other important medical event (OMIC). Additional information has been requested. The dentist reported the patient's twin brother had a similar experience following vaccination with MMR.
Age: 3.0
Sex: M
Vaccine: MMR
Symptoms: Autism, Condition aggravated, Drug toxicity, Laboratory test abnormal
Clinical narrative: Information has been received from a dentist (D.M.D.) concerning a 3 year old male patient, a twin, who was autistic and whose mother was vaccinated with Rhogham during pregnancy. On an unspecified date, the patient was vaccinated with a dose of MMR (lot number unknown). The doctor reported that the patient was diagnosed autistic at birth. However, following MMR vaccination things became worse. Unspecified medical attention was sought. Diagnostic studies were performed and results were high level mercury count. It was also reported that the patient was involved in a study (not specified). The doctor reported Rhogam use to have mercury in it. Upon internal review, autistic was determined to be an other important medical event (OMIC). Additional information has been requested. The dentist reported the patient's twin brother had a similar experience following vaccination with MMR.
Age: 49.0
Sex: F
Vaccine: ANTH
Symptoms: Abscess, Injection site erythema, Palpitations, Ventricular extrasystoles, Vertigo
Clinical narrative: Vertigo, palpitations, frequent PVCs. Referred to ER for cardiology evaluation. Large localized erythema following vaccine at site. Murmur II/II (new). Dental abscess. Reporter confirmed that pt was not admitted to hospital but was observed in ER 4-5 hrs. Pt found to be hypokalemic and this was thought to be the cause of her PVC's. She improved significantly after treatment and treatment and is doing well but with occassional PVC's. The murmur and dental abscess were noted in early May 4-5 wks s/p onset of AE.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Arthralgia, Chills, Headache, Heart rate increased, Myalgia
Clinical narrative: Pain and swelling of shoulder; could not lift arm. Chills then high temperature; fast heart beat. Joint pain, muscle pain, and headache.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Pain, Pyrexia, Swelling
Clinical narrative: Pain and swelling of shoulder; could not lift arm. Chills then high temperature; fast heart beat. Joint pain, muscle pain, and headache.
Age: 1.74
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Antisocial behaviour, Autism, Croup infectious, Crying, Ear infection
Clinical narrative: 2 weeks: high fever, croup, bilateral ear infection. 1 month: no fever, pneumonia. 2 months: no fever pneumonia. 4 months: crying, poor eye contact, ear infections, colds. 6 months: poor eye contact, no speech, self stimulates. Diagnosis: autism. 1/27/2010 Autism Nurse follow up on 06/17/04 states: "ADD: Otitis Media, Upper Respiratory Infection. Delete: Infection, Personality Disorder."
Age: 1.74
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Pharyngitis, Pneumonia, Pyrexia, Speech disorder
Clinical narrative: 2 weeks: high fever, croup, bilateral ear infection. 1 month: no fever, pneumonia. 2 months: no fever pneumonia. 4 months: crying, poor eye contact, ear infections, colds. 6 months: poor eye contact, no speech, self stimulates. Diagnosis: autism. 1/27/2010 Autism Nurse follow up on 06/17/04 states: "ADD: Otitis Media, Upper Respiratory Infection. Delete: Infection, Personality Disorder."
Age: 1.35
Sex: M
Vaccine: HIBV, MMR
Symptoms: CSF test abnormal, Guillain-Barre syndrome, Muscular weakness, Otitis media
Clinical narrative: Guillain-Barre Syndrome with motor weakness.  Nurse follow up on 07/27/04 states: "otitis media
Age: 55.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Blood pressure increased, Condition aggravated, Dizziness, Dyspnoea
Clinical narrative: 4/30/04 Site tender, hot, welt forming. Fever onset 6:00 PM (102 degrees). 5/1/04 Welt enlarging, swelling of arm to the elbow, fever, continuing. Use of ice packs and Ibuprofen. Welt enlarging. Call ER and was told to use 20mg of Prednisone for 3 days. 5/2/04 Welt enlarged to 11.5cm, fever continues. 5/3/04 Fever was down, swelling continues but I went to work. Became weak, dizzy, short of breath. Was seen by doctor and given steroids by IV. No improvement so was put in extended observation for 24 hours. Treated with IV steroids every 4 hours. Welt was going down as was swelling. BP elevated and severe headaches. 5/4/04 Released from hospital; improving by the hour. 5/5/04 Returned to work.  Nurse follow up on 06/21/04 states: "Review of discharge summary indicates allergic reaction to vaccine  systemic and serum sickness-like reaction."
Age: 55.0
Sex: F
Vaccine: PPV
Symptoms: Headache, Hypersensitivity, Injection site pain, Injection site warmth, Oedema peripheral
Clinical narrative: 4/30/04 Site tender, hot, welt forming. Fever onset 6:00 PM (102 degrees). 5/1/04 Welt enlarging, swelling of arm to the elbow, fever, continuing. Use of ice packs and Ibuprofen. Welt enlarging. Call ER and was told to use 20mg of Prednisone for 3 days. 5/2/04 Welt enlarged to 11.5cm, fever continues. 5/3/04 Fever was down, swelling continues but I went to work. Became weak, dizzy, short of breath. Was seen by doctor and given steroids by IV. No improvement so was put in extended observation for 24 hours. Treated with IV steroids every 4 hours. Welt was going down as was swelling. BP elevated and severe headaches. 5/4/04 Released from hospital; improving by the hour. 5/5/04 Returned to work.  Nurse follow up on 06/21/04 states: "Review of discharge summary indicates allergic reaction to vaccine  systemic and serum sickness-like reaction."
Age: 55.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia, Serum sickness, Urticaria
Clinical narrative: 4/30/04 Site tender, hot, welt forming. Fever onset 6:00 PM (102 degrees). 5/1/04 Welt enlarging, swelling of arm to the elbow, fever, continuing. Use of ice packs and Ibuprofen. Welt enlarging. Call ER and was told to use 20mg of Prednisone for 3 days. 5/2/04 Welt enlarged to 11.5cm, fever continues. 5/3/04 Fever was down, swelling continues but I went to work. Became weak, dizzy, short of breath. Was seen by doctor and given steroids by IV. No improvement so was put in extended observation for 24 hours. Treated with IV steroids every 4 hours. Welt was going down as was swelling. BP elevated and severe headaches. 5/4/04 Released from hospital; improving by the hour. 5/5/04 Returned to work.  Nurse follow up on 06/21/04 states: "Review of discharge summary indicates allergic reaction to vaccine  systemic and serum sickness-like reaction."
Age: 29.0
Sex: M
Vaccine: FLUX
Symptoms: Anaphylactic reaction, Dyspnoea, Face oedema, Flushing, Oedema peripheral
Clinical narrative: Anaphylactic reaction: SOB, swelling over face, extremities, hives, flushing. Treated with Epinephrine and Benadryl CO2. Transported to hospital for further treatment.  Nurse follow up on 06/28/04 states: "ADD: urticaria."
Age: 29.0
Sex: M
Vaccine: FLUX
Symptoms: Urticaria
Clinical narrative: Anaphylactic reaction: SOB, swelling over face, extremities, hives, flushing. Treated with Epinephrine and Benadryl CO2. Transported to hospital for further treatment.  Nurse follow up on 06/28/04 states: "ADD: urticaria."
Sex: F
Vaccine: ANTH
Symptoms: Pruritus, Urticaria
Clinical narrative: 3rd anthrax vaccination at 0945 today welts and itching onset 1145 hrs. Spread over 30 min extending soles & palms to neck. No swelling, erythema or airway difficulty. Treatment IM Benadryl, transported to hospital.
Age: 6.0
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR, VARCEL
Symptoms: Fatigue, Pyrexia, Rash, Rash vesicular
Clinical narrative: 24 hour history of vesicular eruptions, fever, fatigue.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema, Injection site reaction, Irritability, Oedema genital, Pyrexia
Clinical narrative: Elevated temp up to 104 degrees. Red rash beneath skin beginning 5-22-04 am. Spread head to toe by pm. Scrotum swollen. Very irritable with redness and tenderness at injection site. ER visit 5-23-04 pm. ER physician said treatment: Alternate Tylenol & Motrin every 4 hours.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Rash, Tenderness
Clinical narrative: Elevated temp up to 104 degrees. Red rash beneath skin beginning 5-22-04 am. Spread head to toe by pm. Scrotum swollen. Very irritable with redness and tenderness at injection site. ER visit 5-23-04 pm. ER physician said treatment: Alternate Tylenol & Motrin every 4 hours.
Age: 41.0
Sex: F
Vaccine: MMR, TD
Symptoms: Dizziness, Dry mouth, Headache, Hot flush, Muscle spasms
Clinical narrative: Runny nose, sneezing. Headaches, body aches, stomach cramps. Woke up with large bumps on back of neck, extreme body aches, hot flashes, dry mouth. Stopped by hospital at 1 pm, seen nurse. She gained bumps. Said swelling in back of neck was unusual. If not better by Wednesday, see doctor. I ask if I was contagious if I could get my HBV shot that was scheduled that day. She said if I wasn't running fever I wasn't contagious and that it would be ok to get shot.  Went to work. Received HBV shot at 1:30 pm. Starting at around 4 pm: Dizziness, nausea, hot flashes, blurred vision, fever. Told nurse on duty. Wasn't better by 5 pm. Requested to go home. Went home. 6:30 pm at home: Fever all night. 5-4-04 no fever, called work, stated problems, went in. Dry mouth hot flashes. 5-5-05 woke up with rash. Called in work. Seen doctor at 3 pm. Itching also, dry mouth.
Age: 41.0
Sex: F
Vaccine: MMR, TD
Symptoms: Nausea, Pain, Pruritus, Pyrexia, Rash
Clinical narrative: Runny nose, sneezing. Headaches, body aches, stomach cramps. Woke up with large bumps on back of neck, extreme body aches, hot flashes, dry mouth. Stopped by hospital at 1 pm, seen nurse. She gained bumps. Said swelling in back of neck was unusual. If not better by Wednesday, see doctor. I ask if I was contagious if I could get my HBV shot that was scheduled that day. She said if I wasn't running fever I wasn't contagious and that it would be ok to get shot.  Went to work. Received HBV shot at 1:30 pm. Starting at around 4 pm: Dizziness, nausea, hot flashes, blurred vision, fever. Told nurse on duty. Wasn't better by 5 pm. Requested to go home. Went home. 6:30 pm at home: Fever all night. 5-4-04 no fever, called work, stated problems, went in. Dry mouth hot flashes. 5-5-05 woke up with rash. Called in work. Seen doctor at 3 pm. Itching also, dry mouth.
Age: 41.0
Sex: F
Vaccine: MMR, TD
Symptoms: Rhinorrhoea, Skin nodule, Sneezing, Vision blurred
Clinical narrative: Runny nose, sneezing. Headaches, body aches, stomach cramps. Woke up with large bumps on back of neck, extreme body aches, hot flashes, dry mouth. Stopped by hospital at 1 pm, seen nurse. She gained bumps. Said swelling in back of neck was unusual. If not better by Wednesday, see doctor. I ask if I was contagious if I could get my HBV shot that was scheduled that day. She said if I wasn't running fever I wasn't contagious and that it would be ok to get shot.  Went to work. Received HBV shot at 1:30 pm. Starting at around 4 pm: Dizziness, nausea, hot flashes, blurred vision, fever. Told nurse on duty. Wasn't better by 5 pm. Requested to go home. Went home. 6:30 pm at home: Fever all night. 5-4-04 no fever, called work, stated problems, went in. Dry mouth hot flashes. 5-5-05 woke up with rash. Called in work. Seen doctor at 3 pm. Itching also, dry mouth.
Age: 1.5
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Injection site swelling, Pyrexia
Clinical narrative: Red, raised, feverish area around injection site, non painful.
Age: 2.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Right arm increase injection site redness swelling.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Oedema
Clinical narrative: DTaP #5 given 6/1/04- left upper arm 24 hrs. Arm swollen & reddened from top to upper arm to elbow- Seen 6/7/04- swelling & redness decreased- Still approximately 1/2 way down upper arm. No treatment. On Zyrtec for allergies.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site oedema
Clinical narrative: Swelling, left upper arm- site of DTaP immunization 6/7/04.
Age: 2.5
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Erythema, Rash erythematous, Skin papilloma
Clinical narrative: On 5-24-04 pm: Mother brought child into clinic for assessment of right leg. Large red area of right thigh noted with heat, noted; slightly raised from surrounding skin. No induration noted. Mother was instructed to call private MD. She called back on 5/25/04 saying she had taken child to ER. Treatment given there. Went to ER for treatment.
Age: 90.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema, Injection site reaction, Pruritus
Clinical narrative: Redness, itching, swelling below injection site. TD local reaction.
Age: 4.75
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: Left arm warm swelling, red from shoulder to 1 inch above elbow. Seen by doctor. Cool compresses, Tylenol. Return if not better.
Age: 1.17
Sex: F
Vaccine: VARCEL
Symptoms: Cough, Erythema, Otitis media, Pyrexia, Rash papular
Clinical narrative: Seen in office 6-3-04 1 week history of cough, clear nasal discharge, red bumps on face. Temp 102 degrees 2 days previous. In office had non itchy 3-4 mm papules on arm, hand, face, one was crusted (approximately 15 lesions total). Signs prescription was advised with 5 day isolation. Seen again in office 6-5-4 lesion spread had temp cough diagnosis OM put on Amox for 10 days. Spoke with MD 6-8-04 still with some lesions.
Age: 1.17
Sex: F
Vaccine: VARCEL
Symptoms: Rhinorrhoea, Skin nodule, Skin ulcer
Clinical narrative: Seen in office 6-3-04 1 week history of cough, clear nasal discharge, red bumps on face. Temp 102 degrees 2 days previous. In office had non itchy 3-4 mm papules on arm, hand, face, one was crusted (approximately 15 lesions total). Signs prescription was advised with 5 day isolation. Seen again in office 6-5-4 lesion spread had temp cough diagnosis OM put on Amox for 10 days. Spoke with MD 6-8-04 still with some lesions.
Age: 17.0
Sex: M
Vaccine: MEN
Symptoms: Chest discomfort, Dizziness, Feeling cold, Nausea, Throat tightness
Clinical narrative: 15-20 min after vaccination pt complained of nausea; taken into private clinic room; then felt dizzy and chilly. VS 128/100 P90 radial. Lay flat for dizziness on right side. Pt alert, talking; began to complain of tightness in chest, then moving to throat. Nurse administered epinephrine; Called director of pt services when stable.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site reaction, Tenderness
Clinical narrative: Red reaction 5 X 6 cm slight tender. No systemic sign onset 2 days after immunization.
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Feeling hot, Injection site oedema, Injection site reaction, Pain
Clinical narrative: 2 year old male vaccinated 2 days ago and today pt comes to be seen because left arm is swollen at the place of vaccination, erythematous and painful to touch. No temperature. Physical examination: Left upper arm with localized reaction but significant goes around the arm but not all the way. Warm. No streaks.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Right deltoid noted to be swollen, red, hot. Full ROM to shoulder & elbow- immunization given 6/7/04 after son played well through 6/8/04. Woke am 6/9 with swelling, redness, heat, afebrile, deltoid to elbow.
Age: 1.42
Sex: F
Vaccine: IPV, VARCEL
Symptoms: Convulsion, Pyrexia, Spermatozoa abnormal
Clinical narrative: 8 days after Varivax given- pt developed fever and had 2-5 minute generalized tonic-clonic seizure. Lost verbal milestones.
Age: 31.0
Sex: F
Vaccine: MMR
Symptoms: Hypersensitivity, Pruritus, Rash
Clinical narrative: March 30th MMR vaccine. April 10th rash & severe itching. Ongoing with itching.
Age: 39.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Feeling hot, Injection site induration, Injection site reaction, Tenderness
Clinical narrative: Approximately 1 day post injection right upper arm developed local injection reaction with induration approximately 5.5 X 8 cm, erythema, tender, increased warmth, 1st seen here 6/4/05, follow up evaluation 6/7/04 with minimal improvement approximately 5 X 7 cm with same signs. No shortness of breath/throat swelling/ respiratory signs. None known prior injection reactions.
Age: 1.08
Sex: M
Vaccine: MMR
Symptoms: Infection, Pyrexia, Rash
Clinical narrative: 6/9 Fever. 6/10 Ear infection/ rash over body- 4th day after vaccination. Prescription Tylenol- Motrin 2 pack- started Friday.
Age: 1.17
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Injection site became swollen & red left arm.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Contusion, Erythema, Feeling hot, Livedo reticularis, Oedema
Clinical narrative: 6-4-04 no treatment needed by physician. Upper arm warm, pink & mottled with swelling. Use Tylenol, cool pack, Benadryl. 6-7-04 Per mom- pt. arm looks bruised, scaly, is itchy. No redness, swelling or warmth.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Pruritus
Clinical narrative: 6-4-04 no treatment needed by physician. Upper arm warm, pink & mottled with swelling. Use Tylenol, cool pack, Benadryl. 6-7-04 Per mom- pt. arm looks bruised, scaly, is itchy. No redness, swelling or warmth.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Skin nodule
Clinical narrative: Mom called to report pt has red area around injection area at 2 1/2 inches around, size of egg, not swollen, no fever.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Headache, Nausea, Pyrexia
Clinical narrative: Fever, headache, nausea for 2 days. Given Bextra and placed on quarters 2 days.
Sex: F
Vaccine: PNC
Symptoms: Erythema, Oedema, Skin nodule
Clinical narrative: Pt. was given Prevnar vaccine in right deltoid on 6/7/04. Pt present on 6/9/04 complains of right arm redness & swelling 4 X 6 area of erythema and induration.
Age: 39.0
Sex: M
Vaccine: SMALL
Symptoms: Blister, Erythema, Eye irritation, Eye swelling, Oedema
Clinical narrative: Patient received Smallpox vaccination.  6/5/04. Started noticing left eye itching, swelling.  Went to ER.  6/12/04.  Today feels like sand in eye.  Only using one RX now.  Dx: Ocular vaccinia left upper lid.
Age: 39.0
Sex: M
Vaccine: SMALL
Symptoms: Vaccination complication
Clinical narrative: Patient received Smallpox vaccination.  6/5/04. Started noticing left eye itching, swelling.  Went to ER.  6/12/04.  Today feels like sand in eye.  Only using one RX now.  Dx: Ocular vaccinia left upper lid.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Discomfort, Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Member with c/o L arm discomfort since vaccination off and on.  Very itchy at times with localized swelling and erythema.  Follow up with patient provider if worsens.
Age: 22.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: c/o L arm tenderness with slight erythema and tenderness to touch.  Increase fluids.  Motrin and benedryl prn.  F/u with patient provider prn.
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt with c/o increase pain to injection site (+)erythema and swelling at injection site.  Increase fluids, motrin, and benadryl prn.  F/u with patient provider prn.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Eye swelling, Influenza like illness, Pruritus, Rash
Clinical narrative: 5/21/04- received primary spv- "flu-like symptoms" for the next few days. 5/28/04- noticed "redness" on the left side of his face, corner of his left eye, and around the groin area- redness had gotten worse throughout the day. 5/30/04- notice a rash on his chest down to his waist, both ears ("inside and out"), chin, neck and around his left eye- "scattered and itchy"-"looked like poison ivy"- his left eye started to "get swollen". 5/31/04- rashes have now spread to his right arm- pruritus worsened and his left eye became more swollen- went to the ER- given Benadryl. 6/1/04- sxs worsening- the patient was told by his Case Manager to go to the ER immediately and to obtain an emergent ophthalmology consult for his left eye.  He was also instructed to contact his Case Manager from the ER and notify his CM of the name/contact number of the healthcare practitioners who were participating in his care- in the following few hours, no calls received from the patient- multiple attempts were made to contact this patient but no calls were returned- according to the healthcare practitioner who was present during the patient visit, the patient mentioned to the physician about his hiking trip on 5/28/04 and the patient also stated that he may have been exposed to poison ivy during hiking- the Medical Director of the HC has spoken with the physician who managed this patient- according to the Medical Director, the physician stated that he (the physician) "was comfortable that this patient had no ocular involvement."  On that basis, it maybe safe to assume that this is not a case of ocular vaccinia and that the patient's symptoms are not temporally associated with the receipt of the smallpox vaccine.
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Swelling, Tenderness, Vomiting
Clinical narrative: Client reported vomiting x2 last night.  RT arm red, tender. Swelling rt side of neck and shoulder. Encouraged to see DR.
Age: 27.0
Sex: M
Vaccine: ANTH, TD
Symptoms: Lymphadenopathy, Malaise
Clinical narrative: Member complains of malaise and lymphinopathy in the armpit region of the arm that the member received the immunizations.
Age: 0.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Feeling hot, Hypoaesthesia, Paraesthesia, Swelling
Clinical narrative: Pt had redness and swelling to posterior aspect of L arm radiating down to elbow.  Positive warm to touch.  Readness measures 210mm.  Pt c/o tingling and numbness to 4th and 5th didget l Hand.  Pt seen by Dr 6/15/04.  Redness started Monday and has continued to spread
Age: 46.0
Sex: F
Vaccine: MMR, TTOX
Symptoms: Influenza like illness, Injection site erythema, Injection site pain, Injection site warmth, Muscle spasms
Clinical narrative: Friday night(10pm) began to have left arm pain/spasms at Td site. Saturday, progressive general body ache, flu-like achiness. Sunday, whole body ached, swelling of left shoulder, up to neck/face, unable to get out of bed. Monday, decreased achiness, left arm 6" erythema, tender to touch, swollen, warm to touch at Td site
Age: 46.0
Sex: F
Vaccine: MMR, TTOX
Symptoms: Pain, Swelling
Clinical narrative: Friday night(10pm) began to have left arm pain/spasms at Td site. Saturday, progressive general body ache, flu-like achiness. Sunday, whole body ached, swelling of left shoulder, up to neck/face, unable to get out of bed. Monday, decreased achiness, left arm 6" erythema, tender to touch, swollen, warm to touch at Td site
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: left arm red and swollen and warm to touch on 5/19/04. Child not fussy, no temp, mother noticed gradual swelling and redness starting on 5/18/04. F/u call on 5/21/04 - mother states swelling is almost gone and redness is gone, child's activities not impaired.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Urticaria
Clinical narrative: welt appeared 1 1/2 - 2" below injection site within 1 minute of injection - MD notified. Benadryl 25 mg given po 5 minutes after event. Observed x 1 hour - no other problems noted, discharged to home - welt still present