chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Back pain
Clinical narrative: Low back pain in the coxxic area. Pain when walking, sit to stand, stand to sit, for 3 weeks. No Hx of any back pain or injury.
Age: 50.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Dizziness, Nausea
Clinical narrative: Nauseous, light headed, when I moved around, feel like I can't stand up.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Large area of erythema/induration over medial aspect of left arm extending about 3 inches below elbow.
Age: 54.0
Sex: F
Vaccine: SMALL
Symptoms: Pruritus, Rash erythematous, Skin ulcer
Clinical narrative: Persistent itching at site, 5mm firm, raised red bum (post-scab lesion).
Age: 1.0
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Left arm: 4x4cm red circle area, white 2x2 cm, whelped area in center. Right arm: 2cm red area at injection site.
Age: 1.0
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site mass, Injection site swelling
Clinical narrative: Left arm: 5x5cm red circle with whelp 2 cm x 4cm center.  Right arm 2x2cm red circle area with 1cm knot middle.
Age: 56.0
Sex: F
Vaccine: HEP
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Severe headache, body ache, fever, nausea, chills, vomiting.
Age: 56.0
Sex: F
Vaccine: HEP
Symptoms: Vomiting
Clinical narrative: Severe headache, body ache, fever, nausea, chills, vomiting.
Age: 10.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Injection site erythema
Clinical narrative: 9 x 7cm erythemous area around injection site. Cellulitis right upper arm. Rx'd Augmentin 875mg BID for 10 days.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Cellulitis, Injection site erythema, Injection site induration
Clinical narrative: 9x9cm erythemous indurated area circling immunization site, left thigh. Cellulitis. Rx'd with Cephalexin 250 mg/5ml 1.5 tsp TID for 7 days and OTC Benadryl.
Age: 11.0
Sex: F
Vaccine: MMR
Symptoms: Rash erythematous
Clinical narrative: Afternoon after immunizations complained of raised bumps on back. Lasted until next day. Did not report bumps until day 3 when returned for PPD reading.
Age: 1.0
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Agitation, Flushing, Heart rate increased, Respiratory rate increased, Urticaria
Clinical narrative: Approx 15 minutes after administration, pt returned to office. Child crying, flushed, urticaria all over body, increased heart rate and respiratory rate, no wheezing. Benadryl 0.4ml (20mg) administered deep IM. Urticaria then improved, child alert, not crying, playing. No SOB or wheezing. Symptoms to watch for discussed with mother.
Age: 12.0
Sex: F
Vaccine: TD
Symptoms: Dizziness, Fall
Clinical narrative: On way out of the office, pt felt dizzy and fell on floor, hitting the back of the head. Physical exam afterwards was normal with stable BP and vital signs. Pt continued to be dizzy and was transported to ER.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Crying, Injection site erythema, Injection site oedema, Injection site vesicles, Injection site warmth
Clinical narrative: Dx 8/27/03: "vaccine - local reaction with vesicles at DTaP site". Woke up this AM with red 2" area to right deltoid - hot to touch, swollen, temp 100, cried all night in pain. Benadryl 96 degrees, ice packs. Mom to observe, will call back prn.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Pain, Pyrexia, Screaming
Clinical narrative: Dx 8/27/03: "vaccine - local reaction with vesicles at DTaP site". Woke up this AM with red 2" area to right deltoid - hot to touch, swollen, temp 100, cried all night in pain. Benadryl 96 degrees, ice packs. Mom to observe, will call back prn.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Oedema peripheral, Pain, Pyrexia
Clinical narrative: Pt reported that same day she received Pneumovax she had chills, fever and generalized body aches and her right arm felt swollen. She stated she was in bed for 1 1/2 days following her shot. She noted no bruises or redness.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: 14:30 8/22/03 presents to office with 14cm of erythema from acromron process left shoulder to mid-humerus distally uncompassing anterior-latero 1/2 of humeral surface.
Age: 1.8
Sex: F
Vaccine: PNC
Symptoms: Erythema, Rash papular
Clinical narrative: Erythematous, blanching papular rash along dermatone left arm; non-pruritic.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Left deltoid with erythema and warmth 4cm; mild edema. No treatment prescribed.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cluster headache, Pain, Pyrexia
Clinical narrative: On 8/26/03, patient woke up with a headache and fever. Later in the day, did vomit and complained of achy legs. Fever got as high as 102. Into clinic on 8/27/03. Lab work normal.
Age: 1.49
Sex: F
Vaccine: DTAP, HIBV, MMR
Symptoms: Crying, Irritability, Pyrexia, Rash
Clinical narrative: 8/20/03 Mom noticed rash beginning on abdomen, fever 100.4 noted then and has continued. Rash spread to chest, neck, face and extremities. Mom given Tylenol every 4 hours. on 8/25 at 2AM, mom report baby crying out - irritable. Mom questioned ear infection.
Age: 46.0
Sex: F
Vaccine: HEP
Symptoms: Fatigue, Headache, Migraine, Nausea
Clinical narrative: 8/22 after injection, mild headache. 8/24 migraine. 8/25 headache. 8/26 at 12:00 PM migraine. 8/27 migraine, nausea and fatigue. 8/28 saw doctor and prescribed Ferenal for headache. Diagnosis was adverse reaction to Hepatitis B vaccine. Patient called immunization clinic who told her the components in the vaccine could cause reaction.
Age: 4.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Left thigh swollen, painful; 2" redness at injection site and warmth to site.
Age: 0.25
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: High-pitched crying, Pyrexia
Clinical narrative: High pitched screaming overnight 2 times beginning the night immediately after the immunizations were given. Also fever up to 102.
Age: 37.0
Sex: F
Vaccine: ANTH
Symptoms: Flushing, Headache, Pain, Swelling
Clinical narrative: Acute onset (within minutes) pain, swelling, headache, flush. Treated with Benadryl IM, Phenergan, Motrin.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Gait disturbance, Pyrexia, Skin discolouration, Swelling
Clinical narrative: Fever for 4 days, swelling discoloration of left thigh. Gait favoring left leg.
Age: 1.7
Sex: F
Vaccine: DTP, VARCEL
Symptoms: Drug ineffective, Rash papular
Clinical narrative: Varivax 8/20/03. 8/27/03 Presented with 3 papules on forehead and 2 on posterior right calf.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: Cellulitis of left arm. Cool compress and ibuprofen.
Age: 18.0
Sex: M
Vaccine: RAB
Symptoms: Diarrhoea, Myalgia, Pyrexia, Vomiting
Clinical narrative: Developed fever 102-104, vomiting, diarrhea, severe muscle aches and pains. 1 episode of chest pain. Treatment of symptoms with Tylenol and Ibuprofen. Private MD notified at 5 days post symptoms.
Age: 18.0
Sex: F
Vaccine: HEP, MEN, TD
Symptoms: Injection site hypersensitivity, Pruritus
Clinical narrative: Severe itching around injection site on right arm.
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Erythema, Swelling
Clinical narrative: Left deltoid red and swollen. Left upper arm hot.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Redness at site of immunization 2 days 8/27/03 after immunization given. 50 cent (size) 8/27/03, 8/28/03 size of small orange, 8/29/03 increased size and redness. Width 4.5", length 3 5/8" at office. Redness diminishing, slightly warm to touch. No fever, no pain.
Age: 1.5
Sex: M
Vaccine: HEP, PNC
Symptoms: Muscle atrophy
Clinical narrative: Lat atrophy at site of injection into right thigh expanding steadily 2 months post immunization.
Age: 16.0
Sex: F
Vaccine: MEN
Symptoms: Headache, Rash
Clinical narrative: Vaccine Friday PM, rash started Saturday PM. No previous allergic reaction to medication, insects, food. Had headache Sat/Sun, took aspirin but no other medication since. Moved into dorm room Saturday but everything same as previous. (Today is Wedsnesday, Day 5).
Age: 29.0
Sex: F
Vaccine: TTOX, TTOX
Symptoms: Dizziness, Dyspnoea, Nausea, Syncope, Vision blurred
Clinical narrative: Pt complained of dizziness, nausea, blurred vision, SOB. Fainted 3 times for 5-10 seconds at each time. EMS called for unresolved SOB. Oxygen by mask given during wait for EMS.
Age: 29.0
Sex: F
Vaccine: TTOX, TTOX
Symptoms: Asthenia, Dizziness, Dyspnoea, Hypoaesthesia, Loss of consciousness
Clinical narrative: Pt complained of dizziness, nausea, blurred vision, SOB. Fainted 3 times for 5-10 seconds at each time. EMS called for unresolved SOB. Oxygen by mask given during wait for EMS.
Age: 29.0
Sex: F
Vaccine: TTOX, TTOX
Symptoms: Nausea, Paraesthesia, Vision blurred, Vomiting
Clinical narrative: Pt complained of dizziness, nausea, blurred vision, SOB. Fainted 3 times for 5-10 seconds at each time. EMS called for unresolved SOB. Oxygen by mask given during wait for EMS.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia
Clinical narrative: Fever 105 tympanic.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Crying, Pallor, Peripheral coldness, Syncope
Clinical narrative: Last shot given was DTaP. Soon after that, baby had like syncopy, cold hands and feet, pale and crying weakly but was alert; normal breathing. Heart rate around 100. Received 0.2 adrenaline and oxygen. After 15 minutes was acting good, good color. BP in leg 90/50; temp was 97.5.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: Local redness and swelling; tenderness to touch.
Age: 2.0
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, MMR, VARCEL
Symptoms: Drug ineffective, Rash vesicular
Clinical narrative: Triage call to office. Patient with signs and symptoms of varicella. Triaged per office protocol. History by guardian.
Age: 1.08
Sex: M
Vaccine: MMR
Symptoms: Pyrexia
Clinical narrative: Fever
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site vesicles
Clinical narrative: Swelling, redness, vesicles tenderness over 8"x5" area right upper arm. Treated with cold compress and 2 pack pediapred.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site warmth
Clinical narrative: Positive left thigh erythema about 6cm. Warm to touch and no drainage.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site warmth, Swelling
Clinical narrative: Left leg/thigh redness 4"x2.5" area warm/edema.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Left thigh positive erythema, warm about 4cm, non-tender and no drainage.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Abnormal behaviour, High-pitched crying, Sleep disorder
Clinical narrative: At 2 months of age, patient received these immunizations. That evening he was groggy but woke several times with a high pitched cry. For 8-10 days he would periodically cry with an uncharacteristic cry and was not his normal smiling self.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cough, Rash macular
Clinical narrative: 8/26 15:20, patient received DTaP IM (LAT) #5, IPV 0.5cc SC (LL) #5 and MMR 0.5cc SC (RL). Patient tolerated well. 15:30 Mom returned to nurses station holding child; skin blotchy over face and trunk. Returned to exam room. Doctor notified; pulse box applied after reading of 97. Prednisone 30mg and Benadryl 12.5mg SQ LLT. Patient with slight cough; lungs clear per doctor. Patient discharged to home. At 16:30, no signs of distress.
Age: 14.0
Sex: M
Vaccine: TD
Symptoms: Erythema, Injection site abscess, Laboratory test abnormal, Pain
Clinical narrative: Local reaction with redness, pain followed by purulent drainage. Positive culture for CWG; neg staph. Responded to oral antibiotic.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, DTAP, IPV
Symptoms: Injection site swelling
Clinical narrative: Swelling at injection site immediately after injection. Increased to softball size over next 24 hours. Hematologist said it was immunization reaction not hematoma.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Swelling at injection site immediately after injection. Increased to softball size over next 24 hours. Hematologist said it was immunization reaction not hematoma.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Agitation, Crying
Clinical narrative: Persistent, inconsolable crying described as shrieking for longer than 3 hour duration.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Rash erythematous, Rash maculo-papular, Urticaria
Clinical narrative: Patient's mother described the appearance of welts on his back, chest, and legs within two hours of his vaccination. Evaluated him in my office approximately 8 hours after vaicination. He had discrete, fading erythematous macules on his trunk at the time. They had spontaneously resolved within 24 hours.
Age: 1.08
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Erythema and induration after MMR injection immediately. Relieved by Benadryl.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 11cm area of erythema and slight induration on left upper lateral thigh. Treatment with Benadryl PO qb PRN and ice to site PRN.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Swelling, redness and hot to touch.
Age: 0.25
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Rash
Clinical narrative: Rash around eyes, nose, and face. 2.5ml of Benadryl given with success. Ordered Benadryl to be given every 6 hours for 24 hours.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Child seen 38 hours following a well child care visit, in which he received his 5th DTaP vaccine. He developed swelling and redness to right upper arm within 24 hours of vaccine administration. Examination shows a 9.5 cm x 9.5 cm erythematous/warm/cellulitis right upper arm. Pt not requiring antibiotics. Tx: Benadryl and compresses, Tylenol PRN.
Age: 1.0
Sex: F
Vaccine: MMR, PNC
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Irritability
Clinical narrative: Erythema and induration left thigh, 3 x 3, minimal tenderness. Fussy, warm to touch. Tylenol and Motrin given. Started within 24 hours after shots (PCV and MMR). Still having symptoms as of 8/27/03.
Age: 4.0
Sex: M
Vaccine: UNK
Symptoms: Injection site erythema
Clinical narrative: Left shoulder redness to above elbow.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Large area of swelling and erythema with slight edema at site of DPaT injection. No significant fever. Rx: Motrin, Benadryl, cool compresses.
Age: 11.0
Sex: F
Vaccine: HEP, MMR, TD
Symptoms: Discomfort, Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: Pt received immunizations 8/19. Later in day of 8/20 pt presented with fever (101.6) and redness, swelling and discomfort to left arm. Area approx. 3" diameter. Saw physician, took Benadryl for 3 days. Pt recovered.
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Right upper thigh area about 4cm diameter edematous, red reaction warm to touch. Tx: Benadryl and ice and observe.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Diarrhoea, Pyrexia, Vomiting, White blood cell count increased
Clinical narrative: Varivax given 8/15/03. On 08/17/03 pt had fever of 103; vomiting and diarrhea. Went to ER on 8/17/03, elevated WBC's, given IV fluids. Followed up in office on 8/21/03.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Agitation, Crying, Screaming
Clinical narrative: Inconsolable, excessive crying started within 5 hours of vaccines. Persisted >3 hours (resolved next morning per Mom). No treatment except Tylenol.
Age: 67.0
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Injection site induration, Pain
Clinical narrative: Left deltoid. Area of induration (1.4 x 1.9 cm). Warm/tenderness.
Age: 16.0
Sex: F
Vaccine: HEP, IPV, MMR, TD
Symptoms: Coma, Dyskinesia, Eye movement disorder, Hypotonia
Clinical narrative: Almost immediately after administration of vaccines pt became unresponsive. Her eyes rolled back and her body became limp. She then experienced jerky motions throughout her body but more noticeable in the extremities. Pt was placed in an examination room and vital signs were monitored. The jerky motions and unresponsiveness discontinued about 1 1/2 minutes.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site vesicles
Clinical narrative: Blisters, redness left upper arm reported 2 days after vaccine administered. Pt went to ER. Dx with cellulitis left upper arm. Tx'd with antibiotics.
Age: 1.3
Sex: F
Vaccine: DTAP
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Localized redness, swelling and warmth around area where vaccine administered. One day after vaccine given.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Day 3 after receiving immunizations, presents with left deltoid area swollen, red and hot to touch. Mother states noted this reaction in AM of day 3 after receiving immunizations and swelling redness and erythema was gone by evening of same day.
Age: 47.0
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Pain, Pyrexia
Clinical narrative: Swelling, warmth and redness that has increased since injection. I applied cool compresses, took Ibuprofen and Tylenol. No itching at site and mild pain with palpation only. Has low grade temp and general achiness.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Red swollen left arm - to use ice and Tylenol.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Pain
Clinical narrative: Red shoulder on right side - painful. Will ice and use antiinflammatories as needed.
Age: 2.0
Sex: F
Vaccine: DTAPH, PNC
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Pain
Clinical narrative: 3cm area of induration on both deltoid with erythema, warmth and tenderness.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: Erythema around injection site, local reaction vs cellulitis.
Age: 2.0
Sex: M
Vaccine: DTAP, HBHEPB, MMR, PNC, VARCEL
Symptoms: Erythema, Injection site erythema, Skin ulcer, Urticaria
Clinical narrative: Pt has generalized urticaria - 50 red lesions erythema (may not be vaccine related).
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Pyrexia
Clinical narrative: DTaP given 8/28/2003 within 1 hour after shot pt had 102 temp. Motrin/fluids, follow up in office 9/2/03.
Age: 14.0
Sex: M
Vaccine: HEP, TD, VARCEL
Symptoms: Injection site erythema, Pruritus
Clinical narrative: Pt was given Hepatitis B vaccine #1 in right arm on 04/09/03. About 5 minutes after administration he developed redness and itchiness of right arm and forearm. Rx: Benadryl 25mg IM given 09:46.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site oedema
Clinical narrative: Severe swelling of right arm day after shot lasting 7-10 days.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Temp 101.2 for 2 days. Supportive care given.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Temp 101.2 for 2 days. Supportive care given.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Blood pressure increased, Chest pain, Headache, Influenza like illness, Palpitations
Clinical narrative: Received Smallpox on 01/31/03- received anthrax #1 on 02/05/03- 3 days later, pt. went to ER c/o flu-like sxs and a generalized rash (pt. does not remember when the rash initially appeared)- pt. was hospitalized r/o "generalized vaccinia"-later received the diagnosis of "non-viral pustulosis"- during his hospitalization, the pt. was noted to have a continued elevation of blood pressure (bp at admission= 154/88, bp max= 2055/102)- pt. denies previous h/o elevated bp- all labs WNL- EKG negative- pt placed on Lisinopril- after discharge, pt. took Lisinopril for 2 wks and dc'ed it on his own d/t side effects- received anthrax #2 on 08/05/03- few days later, pt. had "chest pain" ("cramp-like")- also c/o chronic ha and palpitations- pt. placed back on bp med- bp still elevated- pt. seen by Cardiologist- echo and EKG pending at this time.   #9- non-viral pustulosis- resolved     HTN- not resolved  Patient's clinical summary sent to VAERS via FedEx on 09/04/03
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: Received Smallpox on 01/31/03- received anthrax #1 on 02/05/03- 3 days later, pt. went to ER c/o flu-like sxs and a generalized rash (pt. does not remember when the rash initially appeared)- pt. was hospitalized r/o "generalized vaccinia"-later received the diagnosis of "non-viral pustulosis"- during his hospitalization, the pt. was noted to have a continued elevation of blood pressure (bp at admission= 154/88, bp max= 2055/102)- pt. denies previous h/o elevated bp- all labs WNL- EKG negative- pt placed on Lisinopril- after discharge, pt. took Lisinopril for 2 wks and dc'ed it on his own d/t side effects- received anthrax #2 on 08/05/03- few days later, pt. had "chest pain" ("cramp-like")- also c/o chronic ha and palpitations- pt. placed back on bp med- bp still elevated- pt. seen by Cardiologist- echo and EKG pending at this time.   #9- non-viral pustulosis- resolved     HTN- not resolved  Patient's clinical summary sent to VAERS via FedEx on 09/04/03
Age: 9.0
Sex: M
Vaccine: MEN, TYP, YF
Symptoms: Convulsion, Facial palsy
Clinical narrative: From initial information received on 8/28/03 from a physician, regarding an adverse event occurring in the USA, it was reported that a 9 year old male patient received MENOMUNE A/C/YW-135, lot number UB447AA, in the left arm, YF-VAX, lot number UB361AA, in the left arm and ORAL TYPHOID VACCINE, lot number 3000194 on 7/11/03, prior to a trip. Concomitant medications included Claritin for hay fever and Malarone for anti-malarial prophylaxis. 43 days post vaccination, the patient developed Bell's Palso and possible petit mal seizures. Telephone contact with the vaccine administrator on 8/29/03 confirmed that the patient had experienced a petit mal seizure on 8/23/03 and he is currently being followed by a neurologist. The recovery status was reported as unknown. (OMIC).  Follow up on 11/05/2003: "From additional information obtained on 10/28/2003 from a telephone contact with the reporting physician who stated, "LA County Health Department took over the case and PMD and neurologist confirmed that the administered vaccines were not the cause of the AE.  The patient is being followed by his neurologist."  This HCP requested no further contact regarding this case.  No further information is anticipated, this case is considered closed." Follow up 12/06/04: Patient's recovery status unknown.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Chest pain, Dyspnoea, Oedema, Pericardial effusion, Sarcoma
Clinical narrative: Received hepatitis A and typhoid vaccine on 8/22/03.  Received PPD and anthrax vacicne on 8/27/03.  On 8/27/03 was admitted for profound pericardial effusion requiring drainage and pericardial window. Patient currently still admitted and improving. Nurse follow up on 05/19/04 states: Per review of hospital d/c summary, diagnosis of cardiac sarcoma (cancer) again confirmed and has already been coded. (This was a case that resulted in the death of the patient and was followed by nurse as well. Case was complete, but this d/c summary from the patient's last hospitalization just arrived.) Discharge summary states dyspnea, edema, chest pain.
Age: 4.0
Sex: M
Vaccine: MMR
Symptoms: Oedema
Clinical narrative: Presented to ER the day of vaccination with a swollen right arm.  Was told to apply ice to area.  Patient was then seen 8/29/03 for flu with  Medical Doctor at another Medical clinic.  No problems
Age: 66.0
Sex: F
Vaccine: PPV, TTOX
Symptoms: Headache, Injection site oedema, Injection site swelling, Injection site warmth, Nausea
Clinical narrative: Received Td and Pneumococcal Poly. on 9-3-03. Developed baseball sized, localized bump at injection site of LEFT arm. By next am., entire arm was hot and swollen, had headache, nausea, and fever. Intructed by ER to take benadryl and advil. Now swelling is decreasing and client feels better, no fever, headache or nausea.
Age: 66.0
Sex: F
Vaccine: PPV, TTOX
Symptoms: Pyrexia
Clinical narrative: Received Td and Pneumococcal Poly. on 9-3-03. Developed baseball sized, localized bump at injection site of LEFT arm. By next am., entire arm was hot and swollen, had headache, nausea, and fever. Intructed by ER to take benadryl and advil. Now swelling is decreasing and client feels better, no fever, headache or nausea.
Age: 35.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site reaction
Clinical narrative: Large surrounding erthema and large eschar over vaccination site
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site swelling
Clinical narrative: Mother called and reported that the child was fine this morning and when the grandmother had lunch with patient at school, the teachers told her about the left arm being red and swollen.  She was asked to take the girl home.  Described the site as the arm with only one injection and has an approximate 2" red, raised, firm, local reaction approximately the size of a lime.  Denies any other signs or symptom other than discomfort at the site.  She appears fine other than not letting the site be touched. To consult physician if not improved with compresses, acetymenophen or ibuprophen and increase fluids, and report back to this office if medical follow-up is necessary. Also referred her back to the "After The Shots" handout for any other potential reaction and action to take.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Antisocial behaviour, Autism, Difficulty in walking, Speech disorder
Clinical narrative: Behavioral problems resembling Autism spectrum, namely repetitive activities, lack of social skills, speech delay, toe walking, hand flapping. Problems persisting despite speech & occupational therapies (some improvement in speech noticed). Currently, planning to treat through dietary intervention & chelation.
Age: 19.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Secondary transmission, Skin ulcer
Clinical narrative: Secondary transmission. Pt wrestling with vaccinated friend 2 days ago and developed lesion on back 1 day ago.
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site oedema, Joint range of motion decreased
Clinical narrative: 48 hours after vaccination developed large local reaction with edema, redness >150cm. Unable to fully flex arm from swelling.
Age: 39.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Tinnitus
Clinical narrative: Pt received MMR/Varicella complained of tinnitis right ear 15 minutes after shot (not left ear). No dizziness, no nausea. Lasted 5-10 minutes then gone.
Age: 58.0
Sex: F
Vaccine: RAB
Symptoms: Confusional state, Dizziness, Injection site erythema, Injection site oedema, Lethargy
Clinical narrative: Pain at injection site - immediate and increasing for about 48 hours. Swelling to size of large lemon (small orange) at site. Red color at site. 24 hours after injection: fever 101.6, dizziness, some confusion, lethargy, fever, responded to Motrin.
Age: 58.0
Sex: F
Vaccine: RAB
Symptoms: Pain, Pyrexia
Clinical narrative: Pain at injection site - immediate and increasing for about 48 hours. Swelling to size of large lemon (small orange) at site. Red color at site. 24 hours after injection: fever 101.6, dizziness, some confusion, lethargy, fever, responded to Motrin.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: Warm eryth swollen area 1-2 days after immunization. 10cm x 15cm over left deltoid.
Age: 37.0
Sex: M
Vaccine: HEP
Symptoms: Dry skin, Injection site erythema, Injection site vesicles, Pain, Rash
Clinical narrative: Received vac 8/5/03, developed rash, reported to employee health nurse 8/11/03, sent out to occupational health at hospital. Rash spread from shoulder to hand, treated for pain with acetaminophen hydrocodon. 8/15 rash and blisters complained of pain/aching in arm. 8/20 follow up Amitriplyline/pain meds, blisters often, weeping, has follow up 9/12. 8/28/03 blistered areas dry/red. No complaints at present.
Age: 1.5
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Feeling hot, Injection site erythema, Injection site haemorrhage, Injection site induration, Pain
Clinical narrative: Pt developed fever 100.7 at home (despite antipyretics) and about 8 x 7cm erythematous to ecchymotic warm, tender, indurated area around injection site.
Age: 1.5
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Pyrexia
Clinical narrative: Pt developed fever 100.7 at home (despite antipyretics) and about 8 x 7cm erythematous to ecchymotic warm, tender, indurated area around injection site.
Age: 33.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site warmth, Loss of consciousness, Pyrexia, Urinary tract infection
Clinical narrative: 08/29/03 Td given, pt noted redness at injection site. 8/30/03 Temp 101.2 T, redness at injection site at right arm spreading down right arm to midforearm area and hot to touch, "passed out" in AM of 8/30/03. To MD, Tx with antibiotic for UTI. 8/31/03 Applied ice and Benadryl cream and oral Benadryl. 09/02/03 to health dept. to report reaction, right shoulder hot to touch with redness to mid forearm. Diagnosed with UTI on 8/30/03.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Local reaction left deltoid area approx 4 inches diameter, red, warm, swollen. Denies discomfort.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: 5 x 9 cm right deltoid area red, warm, swollen. Denies discomfort.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Diarrhoea, Erythema, Hot flush, Nausea, Oedema
Clinical narrative: Wednesday 08/27 began with 103.9 fever.  Next AM, redness noted left upper arm-08/28 redness, swelling high at midnight.  Diarrhea, hot, nausea, fever 102F-gave Benadryl for swelling, did not pack and use Motrin.  Being seen in office today 08/24/2003.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia
Clinical narrative: Wednesday 08/27 began with 103.9 fever.  Next AM, redness noted left upper arm-08/28 redness, swelling high at midnight.  Diarrhea, hot, nausea, fever 102F-gave Benadryl for swelling, did not pack and use Motrin.  Being seen in office today 08/24/2003.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: Red, swollen-taut-20cm x 10cm for 5 days.
Age: 53.0
Sex: F
Vaccine: HEP, HEPA, IPV, TD
Symptoms: Fatigue, Influenza like illness, Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Evening she received vaccination, onset of flu-like symptoms (myalgia, fever, chills, fatigue) which lasted for 4 days.  Large local reaction started on Saturday 08/23-red, warm, swollen, pruritic which gradually increased.  Today, 08/28, left upper extremity with erythema and edema (7.5 x 5 inches), TTP, warm to touch.  No U/A, Temperature 98.9F.  Prednisone for 5 days.
Age: 53.0
Sex: F
Vaccine: HEP, HEPA, IPV, TD
Symptoms: Myalgia, Pruritus, Pyrexia
Clinical narrative: Evening she received vaccination, onset of flu-like symptoms (myalgia, fever, chills, fatigue) which lasted for 4 days.  Large local reaction started on Saturday 08/23-red, warm, swollen, pruritic which gradually increased.  Today, 08/28, left upper extremity with erythema and edema (7.5 x 5 inches), TTP, warm to touch.  No U/A, Temperature 98.9F.  Prednisone for 5 days.
Age: 22.0
Sex: F
Vaccine: MEN
Symptoms: Fatigue, Headache, Vision blurred
Clinical narrative: Patient received meningococcal vaccine on 08/12/2003 at physical for college.  On 08/13/2003 developed headache with sensitivity to sound/light sensitivity.  Headache has remained constant since that time.  On 08/23/2003 patient developed blurry vision with headache and fatigue.  (CAT scan of head negative).
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Red area 6 cm at site of DTaP only.  Deltoid area and erythema and slight tenderness, slight edema. Treatment: Augmentin 600mg ES, 1 teaspoon per mouth
Age: 44.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Blood pressure decreased, Dyspnoea, Headache, Nausea
Clinical narrative: Complained of nausea, weakness, headache, approximately 5 minutes after injection.  V/S-Temperature: 98.2, 100, B/P: 96/63, spo2: 97%.  Note: within 1 minute after injection complained of nausea, shortness of breath.  09/14/2003: feels weak today.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Application site reaction
Clinical narrative: Local reaction to injection sites with whelps 2-3 minutes after injection given.
Age: 4.5
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Feeling hot, Oedema, Pain
Clinical narrative: Swollen right arm, no fever, mild pain (redness to right deltoid area, non tender, warm to touch ) treatment: Keflex 250/5 three times a day for 5 days.  (DTAP/AVENTIS/C1526AA).
Age: 29.0
Sex: M
Vaccine: TD
Symptoms: Rash erythematous
Clinical narrative: Tetanus Toxoid given left deltoid 06/20. 06/23 7 x 10 cm red, raised area.
Sex: F
Vaccine: TD
Symptoms: Dizziness, Fall, Feeling hot, Tremor
Clinical narrative: Sitting in lobby after injection-begin to shake and fall to right side-found by staff to be riged and warm to touch.  Complained of feeling dizzy-put client in position with head lowered and feet raised-client alert and answering questions.  Given a "kool-aid" jammer to drink.  Client states she has not eaten all day.  B/P: 100/98-60-20.  Client feeling better and able to leave after about 20 minutes.
Age: 20.0
Sex: M
Vaccine: HEP
Symptoms: Arthralgia, Diarrhoea, Musculoskeletal stiffness, Myalgia, Nausea
Clinical narrative: Nausea, vomiting, diarrhea, muscle aches, joint pain, neck stiffness began 12 hours after HBV #3 injection.  Returned to clinic 24 hours after injection.  Referred for immediate assistance; treated in local ER with fluids and antiemetic IV.
Age: 20.0
Sex: M
Vaccine: HEP
Symptoms: Vomiting
Clinical narrative: Nausea, vomiting, diarrhea, muscle aches, joint pain, neck stiffness began 12 hours after HBV #3 injection.  Returned to clinic 24 hours after injection.  Referred for immediate assistance; treated in local ER with fluids and antiemetic IV.
Age: 4.0
Sex: U
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL, DTAP, HEPA, IPV, MMR
Symptoms: Cellulitis, Pruritus
Clinical narrative: Large area of inanustim 13x 8 cm left thigh.  Pruritic cellulitis vs local reaction day after shots.  Trustel with Benadryl 25 mg per mouth every 8 hours, Motrin every 6 hours, 3 thromal per mouth.
Age: 4.0
Sex: U
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL, DTAP, HEPA, IPV, MMR
Symptoms: Cellulitis, Injection site reaction, Pruritus
Clinical narrative: Large area of inanustim 13x 8 cm left thigh.  Pruritic cellulitis vs local reaction day after shots.  Trustel with Benadryl 25 mg per mouth every 8 hours, Motrin every 6 hours, 3 thromal per mouth.
Age: 4.0
Sex: U
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL, DTAP, HEPA, IPV, MMR
Symptoms: Cellulitis, Pruritus
Clinical narrative: Large ara of inomotion 13 x 8 cm left thigh, pruritic cellulitis vs local reaction day after shots.  Trustel with benadryl 25 mg per mouth every 3 hours, Motrin every 6 hours, 3 thromal per mouth.
Age: 4.0
Sex: U
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL, DTAP, HEPA, IPV, MMR
Symptoms: Cellulitis, Injection site reaction, Pruritus
Clinical narrative: Large ara of inomotion 13 x 8 cm left thigh, pruritic cellulitis vs local reaction day after shots.  Trustel with benadryl 25 mg per mouth every 3 hours, Motrin every 6 hours, 3 thromal per mouth.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Injection site erythema, Injection site swelling, Pain
Clinical narrative: One hour after vaccine was administered patient complained that her arm hurt.  She developed a red, raised area close to her wrist on the same arm.  Patient was taken to doctor.  Doctor couldn't explain, but didn't feel it was caused by the vaccine.  Patient given Motrin-an antibiotic.  Yes, after 3 weeks, bump disappeared.
Age: 1.6
Sex: M
Vaccine: DTAP, IPV
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Reddness, pain and swelling of left arm.  Elbow-shoulder hot to touch.  6-8 cm in diameter.  (I) (^) warm soaks, augmentin 600/5 1/2 tsp three times a day for 10 days.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Asthenia, Decreased appetite, Injection site erythema, Injection site oedema
Clinical narrative: Patient developed swelling and erythema over the right deltoid region within 1 day after receiving DTaP and IPV in the right deltoid.  (+) tenderness in this area as well.  Down energy, down appetite.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: 3 x 5 inch erythema area lateral and inferior to injection site.  Warm to touch.  Treated with Benadryl, Tylenol and Lidex 0.05% cream.  09/04 symptoms resolving.
Age: 2.0
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Infection
Clinical narrative: 20-25 chicken pox seen.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: Edema and erythema 9 inch diameter HIP
Age: 21.0
Sex: F
Vaccine: MEN
Symptoms: Rash erythematous, Rash papular
Clinical narrative: papular erythematous lesions of legs only
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: Area on inside of leg (fatty part) where shot was given swelled up and turned very red. Area was the size of and adult palm. Called doctor twice and they said it was normal.
Age: 1.5
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Oedema
Clinical narrative: left upper extremity with diffuse erythema and swelling (approximately 6x6 cm), no induration, non-tender, no vesicles/pustules/mass
Age: 33.0
Sex: M
Vaccine: ANTH, TD
Symptoms: Paraesthesia, Pyrexia
Clinical narrative: RECEIVED VACCINATION ON 2 SEPT 03 IN THE EARLY AFTERNOON. BY NIGHT, HE BEGAN TO RUN A LOW GRADE FEVER OF 100.3 AND C/O TINGLING ALL OVER HIS BACK.  NEXT MORNING HE WAS FINE. THE REASON I AM REPORTING THIS IS BECAUSE I HAD 2 ODD REACTIONS FROM THIS SAME LOT, SAME VIAL.
Age: 20.0
Sex: F
Vaccine: SMALL
Symptoms: Fatigue, Headache, Infection transmission via personal contact, Influenza like illness, Laboratory test abnormal
Clinical narrative: Patient's husband received his smallpox vaccination approximately 2 1/2 weeks ago.  He is now deployed.   8/29/03 Patient noted a bump on the left side of her face that she thought was a pimple.  No other lesions. 8/30-31/03 Lesion on side of face becoming larger.  Describes as slightly itchy and throbbing.  No drainage.  Also noted a tender spot on the top of her head.    9/1/03 Lesion on face enlarging.  Now noted a similar lesion on scalp.  Noticed that the lesions resembled the lesion at the site of her husband's SPV.  She was also now experiencing mild flu-like symptoms.  Reports feeling tired and began to develop a mild intermittent headache.  Noted tender swollen "knots" on neck.Reported to the ER and was diagnosed with SPV contact transmission.  She was prescribed Keflex and told to follow up with the health center. 9/3/03 Presented to health center.  Reports lesions have continued to enlarge and are now draining small amounts of "yellow fluid."  Describes as tender, throbbing, and itchy.  "Knots on neck are tender."  Continues to have slight headache and feels tired.  Denies dizziness or mental status changes.    Patient's husband deployed on 8/26/03.  She is unsure if he received briefing or trifold on smallpox vaccination but plans to ask him when she speaks with him next.  Neither patient nor her husband had any contraindications to SPV.  She reports he did keep the site covered at all times and frequently washed his hands.  They slept in the same bed, but he kept the site covered.  Patient states they did not keep their laundry and linen separated, and she did handle his laundry.  Patient currently resides with her mother and sister.  She reports they have no contraindications to SPV (ie.  No immunodeficiency, no history of atopic dermatitis/eczema, pregnancy, cardiac problems, and are not on steroids).    Meds prescribed:  Ibuprofen 800 mg po tid, Allegra 180 mg po qd
Age: 20.0
Sex: F
Vaccine: SMALL
Symptoms: Lymphadenopathy, Pain, Pruritus, Rash pustular, Skin ulcer
Clinical narrative: Patient's husband received his smallpox vaccination approximately 2 1/2 weeks ago.  He is now deployed.   8/29/03 Patient noted a bump on the left side of her face that she thought was a pimple.  No other lesions. 8/30-31/03 Lesion on side of face becoming larger.  Describes as slightly itchy and throbbing.  No drainage.  Also noted a tender spot on the top of her head.    9/1/03 Lesion on face enlarging.  Now noted a similar lesion on scalp.  Noticed that the lesions resembled the lesion at the site of her husband's SPV.  She was also now experiencing mild flu-like symptoms.  Reports feeling tired and began to develop a mild intermittent headache.  Noted tender swollen "knots" on neck.Reported to the ER and was diagnosed with SPV contact transmission.  She was prescribed Keflex and told to follow up with the health center. 9/3/03 Presented to health center.  Reports lesions have continued to enlarge and are now draining small amounts of "yellow fluid."  Describes as tender, throbbing, and itchy.  "Knots on neck are tender."  Continues to have slight headache and feels tired.  Denies dizziness or mental status changes.    Patient's husband deployed on 8/26/03.  She is unsure if he received briefing or trifold on smallpox vaccination but plans to ask him when she speaks with him next.  Neither patient nor her husband had any contraindications to SPV.  She reports he did keep the site covered at all times and frequently washed his hands.  They slept in the same bed, but he kept the site covered.  Patient states they did not keep their laundry and linen separated, and she did handle his laundry.  Patient currently resides with her mother and sister.  She reports they have no contraindications to SPV (ie.  No immunodeficiency, no history of atopic dermatitis/eczema, pregnancy, cardiac problems, and are not on steroids).    Meds prescribed:  Ibuprofen 800 mg po tid, Allegra 180 mg po qd
Age: 15.0
Sex: F
Vaccine: TD
Symptoms: Contusion, Pyrexia, Tenderness
Clinical narrative: APPROX. 10 HOURS AFTER VACCINATION, PT. DEVELOPED MOTTLED BRUISING AND TENDERNESS OVER BOTH FOREARMS AND A LOW GRADE FEVER.  BY MORNING, THE BRUISING HAD SPREAD, MOM BROUGHT PT. IN TO SEE DR. AND I AND IT WAS RULED A TD REACTION.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Anaphylactic reaction, Dyspnoea, Face oedema, Periorbital oedema, Pruritus
Clinical narrative: At 9:35am on 8/18/03 received varicella vaccine at health department.  Left with mother for school.  Brought back from school to health department at 10:22am with periorbital and lip edema, and difficulty breathing.  Child complained of generalized itching.  EMS called; 2 cc's of Epi (1:1000) given.  At 10:27, transferred to emergency room - Medical Center.  Was monitored in hospital overnight.  Assessment:  anaphylactic reaction to varicella vaccine
Age: 30.0
Sex: F
Vaccine: HEP, MER, TD
Symptoms: Migraine
Clinical narrative: Client received MMR, Td, HepB and PPD on 8/19/03.  On 8/21/03 returned to Health Department for PPD reading and reported to staff that she had "hemoplegic migraine" shortly after receiving vaccines on 8/19/03.  Client reports history of "hemoplegic migraine " after previous MMR approximately 3 years ago.  On 8/26/03 client reported that she had not informed nurse of hx of hemplegic migrains on 8/19/03 prior to receiving vaccines and only recalled the episode with the previous MMR when she had the "migraine" on 8/19/03.  Client reports does not have family MD.  She plans appointment with neurologist and awaiting client to notify Health Department with MD name so consent can be obtained to receive medical information if applicable in regards to vaccination.  Client reported signs and symptoms subsided gradually without medical attention on 8/19/03. Follow up on 12/10/03: "No action required for follow up."
Age: 42.0
Sex: F
Vaccine: SMALL
Symptoms: Cardiac flutter, Coronary artery disease
Clinical narrative: Client received the smallpox vaccine on 03/04/03.  Around the 1st of April, 2003, client developed "fluttering" sensations of the heart.  No previous heart problems prior to 4/03.  Had stress test and echo cardiogram on 4/14/03- Heart cath performed on 4/22/03.  Results of heart cath:  Blocked left ventricle 99.9% blockage of the coronary artery.  Stint was inserted during the heart cath on 4/22/03.   Client was hospitalized x 2 days.  Heart cath and stint was performed by Dr. -  Follow-up care is being done. Follow up on 12/09/03: "Pt underwent full cardiac work up and catherization revealed coronary blockage.  Pt was stented.  Any possible relationship to this pt's findings that the vaccine are unclear."
Age: 1.7
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema
Clinical narrative: 4 by 4 erythema on left upper thigh
Age: 15.0
Sex: F
Vaccine: HEP, TD
Symptoms: Erythema, Tenderness
Clinical narrative: mom states daughter had Hep B in Left arm on 7/23/03.  She developed redness in 1-2 days after vaccination which developed inot a sore.  She reported the incident 8/22/03.
Age: 1.6
Sex: F
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Skin ulcer
Clinical narrative: Seven days after patient received VZV, Comvax, and MMR vaccines, patient developed 20-30 lesions on the abdomen consistent with varicella lesions. Patient did not require hospitalization. She did require a doctor visit and supportive therapy.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Cellulitis
Clinical narrative: This case was reported by a nurse and described the occurrence of injection site cellulitis in a 4 year old male who received diphtheria and tetanus toxoids and acellular pertussis vaccine absorbed. On 7/9/03, the patient received the second injection of Infanrix (lot DTPA601A2). On 7/11/03, two days post immunization, the patient experienced injection site cellulitis. The affected area measured 7 inches by 5 inches. The patient was seen by the physician, who prescribed unspecified medications. the injection site cellulitis resolved after an unspecified period of time. The reporter considered the event to be medically serious (OMIC). Comment: the reporter indicated that another unidentified patient experienced an unspecified adverse event. No further information was available.
Sex: U
Vaccine: HEP
Symptoms: Jaundice, Liver function test abnormal
Clinical narrative: This case was reported by a pharmacist and described the occurrence of jaundice in a patient who received hepatitis B vaccine recombinant (Engerix-B) for prophylaxis. On an unspecified date, the patient received an injection of Engerix B. Approximately two to three days post-immunization, the patient experienced jaundice and increased liver function tests. The event resolved a few days later, without treatment. The reporting pharmacist considered the events were possibly related to vaccination with Engerix-B. The jaundice in this report is considered to be medically serious (OMIC).