chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus, Vaccination complication
Clinical narrative: The patient is a 23 year old active duty male who presented to the medical center and clinic for follow up. He was previously seen in the ER on 12/28/02 for a routine bandage check and was noted to have viral lymphangitis. He received the smallpox immunization on 12/18/02. The patient has no history of previous smallpox immunization. 12/18/02 3 jabs given, slight petechiae at site, no symptoms. 12/19/02 dressing dry, no symptoms. 12/20/02 dressing change C/D/I, no symptoms. 12/21/02 dressing change C/D/I, no symptoms. 12/22/02 dressing change C/D/I, no symptoms. 12/23/02 dressing change C/D/I, no symptoms, 5mmx10mm erythema, 3mmx5mm vesicle. 12/24/02 dressing change in ER--mild exudate on dressing, approximately 20x20mm erythema, 10x9mm vesicle, no symptoms. 12/25/02 dressing change in ER, dressing dry, 5x5mm vesicle, no symptoms. 12/26/02 dressing change--mild exudates on dressing, 10x10mm erythema, 7x6mm vesicle, diffuse, global, dull, achy headache 5/10, local pruritis 5/10. 12/27/02 dressing change--dry, diffuse, dull, achy headache 5/10, local pruritis 5/10. 12/28/02 dressing change in ER--C/D/I, 200x150mm erythema, 10x10mm vesicle, erythema extended contiguously from his elbow to proximal humerus, satellite urticarial lesion 3x3cm medial to the large erythematous area near axilla, warmth, swelling, slight tenderness at site, fatigue 8/10, slept 14 hours, local pruritis 5/10, diffuse, dull, achy headache 5/10, sent home to quarters x24 hours, decreased mobility of arm secondary to swelling. 12/29/02 dressing change in ER--C/D/I, decreased erythema and swelling at site, no tenderness, FROM, area of erythema increased, fatigue 6/10, dull, diffuse, achy headache 3/10. 12/30/02 dull, diffuse headache 2/10, dressing change--C/D/I, 140x220mm mild erythema, blanching, minimal erythema near inoculation site with increased erythema distal to site, no warmth, tenderness, edema, 9x9mm ulcer with 7x7mm eschar, dry, no cervical, axillary lymphadenopathy.
Age: 1.07
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Grand mal convulsion, Pyrexia, Urinary tract infection
Clinical narrative: Fever, grand mal seizures and was started on dilantin during hospitalization. Dr's nurse reports that he diagnosed the child with febrile seizure and urinary tract infection. He did not recommend any changes in future immunization scheduling for the patient. Patient has experienced additional seizures since this hospitalization. She did not experience seizures prior to the seizures one day after the repoorted immunizations.
Age: 82.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus
Clinical narrative: PATIENT'S WHOLE BODY STARTED ITCHING THE MORNING AFTER RECEIVING HER FLU SHOT
Age: 1.3
Sex: F
Vaccine: DTAPH
Symptoms: Hypersensitivity
Clinical narrative: 12/03/2002 - "Darkened reddened raised area, warm to touch from knee to groin area." - Per phone call from grandmother
Age: 23.0
Sex: F
Vaccine: ANTH
Symptoms: Unevaluable event
Clinical narrative: Patient received fourth Anthrax vaccine 2 weeks after third and patient was pregnant at the time.  Patient had pragnancy test done afternoon of shot.  Screening for was not completed.
Age: 14.0
Sex: F
Vaccine: RAB
Symptoms: Pain
Clinical narrative: It was reported that a 14-year-old female patient received a Rabies Imovax and an Imogam vaccination on 19-Oct-2000 at 4:00pm. The patient reportedly complained of "burning up inside three hours after injection, disappeared after 6 hours". Was most extreme after first injection. Reportedly the patient recovered from this experience. From additional correspondence received on 27-Feb-2001, it was reported, "Client was given Benadryl 25mg and Ibuprofen 400mg at time of injection and to decrease symptoms as described above. She recovered from the therapy effects. " No further information is anticipated. This case is closed.
Age: 25.0
Sex: F
Vaccine: RAB
Symptoms: Anorexia, Injection site erythema, Injection site pain, Injection site warmth, Lethargy
Clinical narrative: It was reported that a 25 year old female pt received an Imovax Rabies vaccination on 5/4/01. Reportedly, the pt developed a fever within 3 to 4 hours after receipt of Imovax. She developed nausea, lethargy, general aching, lack of appetite, shaking (tremors) 24 hours later and continued for 4 days. Minor injection site redness, pain and warmth at the injection site. No hives, no edema, no shortness of breath. The pt saw her PCP on day 4. Benadryl, IM, was administered and improvement was noted within hours. She had occasional sporadic jerking on day 5. On day 6, she returned to normal-no tremors. The pt reportedly recovered from this experience.
Age: 25.0
Sex: F
Vaccine: RAB
Symptoms: Nausea, Pain, Pyrexia, Tremor
Clinical narrative: It was reported that a 25 year old female pt received an Imovax Rabies vaccination on 5/4/01. Reportedly, the pt developed a fever within 3 to 4 hours after receipt of Imovax. She developed nausea, lethargy, general aching, lack of appetite, shaking (tremors) 24 hours later and continued for 4 days. Minor injection site redness, pain and warmth at the injection site. No hives, no edema, no shortness of breath. The pt saw her PCP on day 4. Benadryl, IM, was administered and improvement was noted within hours. She had occasional sporadic jerking on day 5. On day 6, she returned to normal-no tremors. The pt reportedly recovered from this experience.
Age: 0.0
Sex: F
Vaccine: YF
Symptoms: Cough, Dyspnoea, Oedema peripheral, Tongue oedema
Clinical narrative: 30 min after 1st YF vaccine SOB, cough, wheeze, swollen tongue and hands. Seen in Medical Department Rx epinephrine, IV, Benadryl. Eats eggs, chicken and gelatin without reaction.
Age: 5.0
Sex: M
Vaccine: DTP, IPV, MMR
Symptoms: Autism, Neurodevelopmental disorder
Clinical narrative: Information has been received from a registered nurse concerning a 5 year old male pt who was vaccinated with a first dose of MMR II. The date of vaccination and the lot number are unknown. The pt was concomitantly vaccinated with poliovirus and diptheria toxoid+pertussis+tetanus toxoid vaccines. The nurse reported that the pt developed "autism." According to the nurse, the pt's family "feels it is due to" MMR II. The parents felt the child became "developmentally delayed" post vaccination. Medical attention was sought. It was also reported that the parents believe in holistic medicine and did not want to fully immunize the child. The pt was undergoing "holistic treatment." Upon internal review "autism" was considered an other important medical event (OMIC). Additional info has been requested.
Sex: U
Vaccine: MMR
Symptoms: Autism
Clinical narrative: Information has been received from a health care professional concerning a child patient who was vaccinated with a dose of MMR (second generation). It was reported that the patient has autism and the parents feel that it was due to the vaccine. Unspecified medical attention was sought. Upon internal review, autism was considered to be an other important medical event (OMIC). Additional information has been requested.
Age: 0.4
Sex: M
Vaccine: HIBV
Symptoms: Bacterial infection, Meningitis
Clinical narrative: Information has been received from a registered nurse concerning a 20 week old black male patient with one, 3 year old sibling that had been adequately immunized with Haemophilus B conjugate vaccine and did not require any prophylaxis medication. On 9/11/02 the patient was vaccinated with a first dose of Haemophilus B conjugate vaccine (lot number 643453/0645M). The patient was suppose to receive the second dose on or about November 11th, however, he became ill between 11/11/02 to 11/22/02 and was hospitalized on 11/27/02 for haemophilus influenza meningitis. On 11/27/02, a cerebral fluid culture was positive for haemophilus influenza. It was reported that the patient was currently hospitalized with haemophilus influenza and had survived. The nurse was contacted through a telephone conference and is not directly caring for the patient but he reported that to his knowledge the patient had recovered and was discharged from the hospital. The nurse will notify us if he discovers any other follow up information. No further information has been requested.
Age: 52.0
Sex: M
Vaccine: IPV
Symptoms: Dyspnoea, Lung disorder, Lung neoplasm malignant, Neoplasm malignant
Clinical narrative: Information has been received regarding a case in litigation concerning a 52 year old male who in approximately 1950-1960 was vaccinated with a dose of poliovirus vaccine (manufacturer unknown) believed to contain the SV-40 virus. In approximately October 2001, the patient was diagnosed with mesothelioma, a condition related to exposure to asbestos and asbestos-containing products and the SV-40 virus. It was reported that the patient's exposure to asbestos, asbestos-containing products and the SV-40 virus caused severe and permanent injury, including, but not limited to breathing difficulties, asbestosis, lung cancer, other cancers and lung damage. The patient had to stop working in November 2001 due to the mesothelioma. The patient's conditions were considered to be other important medical events (OMIC). No further information is available.
Age: 2.0
Sex: M
Vaccine: DTAP, HEP, HIBV, MMR, OPV, PNC, VARCEL
Symptoms: Autism
Clinical narrative: A consumer reported that her 2 year old son received his fourth dose of Prevnar on 5/15/02 at 24 months of age. Additional suspect vaccines consisted of DTaP, HIB, oral polio vaccine, MMR, Hepatitis B, and Varivax. Subsequent to vaccination, the child was diagnosed with autism. The patient's experience was considered medically important (OMIC). No additional information was availabe on the date of this report.
Age: 35.0
Sex: M
Vaccine: OPV, IPV
Symptoms: Laboratory test abnormal, Lung neoplasm malignant, Pleural mesothelioma
Clinical narrative: A legal complaint was received from an attorney alleging that a 78 year old male pt received Orimune vaccine (poliovirus vaccine live oral trivalent) in 1960, when he was approximately 35 years old, that was contaminated with SV40. According to the legal complaint the pt was diagnosed with "mesothelioma in which SV40 was a substantial factor and therefore one of the causes of his mesothelioma." The pt died as a reuslt of the adverse event. Reported on 04/03/2003: "Additional information received 03/19/2003 contained laboratory tests performed and indicated that patient was not deceased.  A legal complaint was received from an attorney alleging that a 78-year-old male patient received Orimune vaccine (poliovirus vaccine live oral trivalent) in 1960, that was contaminated with SV40.  Medical history included a hernia repair, prostate surgery, cigarette smoking, pipe smoking and occupational exposure to asbestos.  According to the legal complaint the patient was diagnosed with "mesothelioma in which SV40 was a substantial factor and therefore one of the causes of his mesothelioma".  Laboratory tests performed in August 2001 included a chest x-ray that showed fluid in the lungs and pulmonary function tests for shortness of breath.  In August 2001, a bronchoscopy, mediastinoscopy and biopsy were also performed that revealed mesothelioma.  This case was considered medically important.
Age: 35.0
Sex: M
Vaccine: OPV, IPV
Symptoms: Dyspnoea, Lung neoplasm malignant, Neoplasm malignant, Pleural mesothelioma
Clinical narrative: A legal complaint was received from an attorney alleging that a 78 year old male pt received Orimune vaccine (poliovirus vaccine live oral trivalent) in 1960, when he was approximately 35 years old, that was contaminated with SV40. According to the legal complaint the pt was diagnosed with "mesothelioma in which SV40 was a substantial factor and therefore one of the causes of his mesothelioma." The pt died as a reuslt of the adverse event. Reported on 04/03/2003: "Additional information received 03/19/2003 contained laboratory tests performed and indicated that patient was not deceased.  A legal complaint was received from an attorney alleging that a 78-year-old male patient received Orimune vaccine (poliovirus vaccine live oral trivalent) in 1960, that was contaminated with SV40.  Medical history included a hernia repair, prostate surgery, cigarette smoking, pipe smoking and occupational exposure to asbestos.  According to the legal complaint the patient was diagnosed with "mesothelioma in which SV40 was a substantial factor and therefore one of the causes of his mesothelioma".  Laboratory tests performed in August 2001 included a chest x-ray that showed fluid in the lungs and pulmonary function tests for shortness of breath.  In August 2001, a bronchoscopy, mediastinoscopy and biopsy were also performed that revealed mesothelioma.  This case was considered medically important.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Chills, Dyspnoea, Headache
Clinical narrative: Pt states she awakened morning after getting flu shot with tightness in chest, severe headache and chills for 2 days. Breathing difficulties persisted over the next 30 days. Hospitalized 12/14.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Convulsion, Drug toxicity, Hypotonia, Stupor, Viral infection
Clinical narrative: Pt had seizures which increased with frequency and severity. She also was tested for metal poisoning which showed elevated levels of mercury. 11/22/00-11/25/00 possibly related breathing problems. Will be tested for autism in January. Doctors did not give a diagnosis. Nurse follow up on 05/14/04: hypotonia, hyporesponsive, viral illness.
Sex: M
Vaccine: MMR
Symptoms: Autism
Clinical narrative: Autism/Pervasive developmental disorder
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain, Chills, Dyspnoea, Headache, Herpes zoster
Clinical narrative: 3 days after vaccine administered, patient had severe flu like illness with severe headache; 3 days (72 hours) after vaccination. Patient developed herpes zoster of right forehead and scalp.  Reported on 04/03/2003 (Discharge Summary): "Preorbital cellulitis until recently herpes zoster on her right forehead.  Final Diagnosis: Pre-orbital cellulitis and herpez zoster with balour SLE.  Medications: Atovea: 25mg prn; Predmisor 30mg; Lennar 500mg; Pralain 40mg; Bactraboul 2% oint.  Patient had fever, chills, mild headache, shortness of breath, abdominal pain, nausea, vomiting.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Influenza like illness, Nausea, Vomiting
Clinical narrative: 3 days after vaccine administered, patient had severe flu like illness with severe headache; 3 days (72 hours) after vaccination. Patient developed herpes zoster of right forehead and scalp.  Reported on 04/03/2003 (Discharge Summary): "Preorbital cellulitis until recently herpes zoster on her right forehead.  Final Diagnosis: Pre-orbital cellulitis and herpez zoster with balour SLE.  Medications: Atovea: 25mg prn; Predmisor 30mg; Lennar 500mg; Pralain 40mg; Bactraboul 2% oint.  Patient had fever, chills, mild headache, shortness of breath, abdominal pain, nausea, vomiting.
Age: 0.89
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Feeling hot, Injection site erythema, Irritability, Pyrexia, Rash papular
Clinical narrative: HIB and Prevnar injection to right thigh 12/27/02. Low grade temperature, warm, red 3-4cm area on thigh. Also with red/confluent papular/urticarial rash all over red hands/feet; a bit puffy. Irritable child.
Age: 0.89
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Urticaria
Clinical narrative: HIB and Prevnar injection to right thigh 12/27/02. Low grade temperature, warm, red 3-4cm area on thigh. Also with red/confluent papular/urticarial rash all over red hands/feet; a bit puffy. Irritable child.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Diarrhoea, Feeling hot, Injection site erythema, Injection site hypersensitivity, Pruritus
Clinical narrative: 12/16/02 Mom called stating site very red and hot to touch; approximately 3 inches in diameter. No fever. 12/21/02 Large, erythematous area at right injection site. Mom states was warm and itchy (now resolved); has had some diarrhea.
Age: 28.0
Sex: F
Vaccine: FLU3, MMR
Symptoms: Flushing, Pruritus, Rash
Clinical narrative: Rash--both arms, chest, both legs, red face. Neck and face felt like it was on fire; itchy. Taking Benadryl.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Rash macular
Clinical narrative: Rash on right arm above wrist; 2.5 inch area, blotchy.
Age: 31.0
Sex: M
Vaccine: MMR
Symptoms: Immune system disorder, Nonspecific reaction, Pharyngitis, Rash, Rhinitis
Clinical narrative: 1-2 weeks after receiving MMR, began having rashes on legs which spread to entire body. Frequently sick with colds. Has been under treatment since. Tested for syphilis, AIDS, etc--all negative. Doctor told him "non-specific" disorder, related to vaccine. Caused immune system breakdown.
Age: 1.08
Sex: M
Vaccine: HEP, MMR, VARCEL
Symptoms: Irritability, Mouth ulceration, Pyrexia
Clinical narrative: Patient presented to physician with 102 degree fever, oral ulcers, and irritability. Patient had symptoms for 3 days prior to physician visit.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Injection site hypersensitivity, Injection site swelling, Pain, Pruritus
Clinical narrative: Yesterday 12/28/02 some local pain. Today, 12/29/02 itchy, redness, swelling noted. Vaccinated for MMR, DTaP, IPV, Hep A on 12/27/02.
Age: 51.0
Sex: M
Vaccine: FLUX
Symptoms: Asthenia, Chills, Heart rate increased, Stomach discomfort
Clinical narrative: Heart rate increase, chills, upset stomach, weak.
Age: 54.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling, Injection site vesicles
Clinical narrative: Patient came to clinic 12/20/02. Right deltoid area red and swollen looking, painful to touch and pain on movement. Patient feels achy and warm. On 12/21/02 symptoms seen by clinic provider and at area of injection was seen a small vesicle, edematous and erythematous of area. Given antibiotic Rx and to continue Advil and warm compresses.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia, Rash
Clinical narrative: Fever, rash for 4 days. ER visit.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Injection site infection, Pain, Urticaria
Clinical narrative: I received a flu shot. When I got the shot, my arm bled. I received a bump and a bruise. Soon after my shot, I received a large dark bruise and a welt. My arm hurt. 12/16/02 Patient saw both her school nurse and a physician. The physician saw the injury 3 days after the shot. His diagnosis was that her arm was infected, but that the antibiotics she was already taking probably helped with the arm infection.
Age: 4.0
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, MMR, VARCEL
Symptoms: Pruritus, Rash papular
Clinical narrative: Rash, itching. 7-8 papulo-vesicular lesions on trunk and legs.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Ear discomfort, Heart rate increased, Paraesthesia
Clinical narrative: 09:45 Patient complained of left side of face feeling tingly, ear felt clogged; stated she didn't have this before; BP 128/80, Pulse 88. 10:45 No change; BP 130/78 and P 74. 11:30 Patient stabilized. I feel better; referred to family doctor. 11:45 I feel like it is resolving; only arms have a little tingling.
Age: 62.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Blister, Nausea, Pyrexia, Rash erythematous
Clinical narrative: Within 30 minutes developed firm red rash, chest, neck. By afternoon, rash became raised with vesicles. Temp 102.4, joint aches and nausea. Saw MD late that afternoon who Dx'd adverse reaction to immunization. Rx'd medrol dose pack and Benadryl. Rash markedly improved after treatment, fever, aches improved 11/19/02. Pt developed urinary retention, thought by family physician to be related to Benadryl.
Age: 62.0
Sex: M
Vaccine: FLU3
Symptoms: Urinary retention
Clinical narrative: Within 30 minutes developed firm red rash, chest, neck. By afternoon, rash became raised with vesicles. Temp 102.4, joint aches and nausea. Saw MD late that afternoon who Dx'd adverse reaction to immunization. Rx'd medrol dose pack and Benadryl. Rash markedly improved after treatment, fever, aches improved 11/19/02. Pt developed urinary retention, thought by family physician to be related to Benadryl.
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Diarrhoea, Fluid retention, Sensation of heaviness, Vomiting
Clinical narrative: Complained of vomiting on 11/20/02 several times for 12 hours. No temperature with diarrhea. Complained of pain in arm (left). Went to doctor on 11/25/02. Heaviness in arm and shoulder from time of shot to present. No redness or feeling hot; states doctor thought problems with shot but wants to have 3rd shot. Before 1st shot, 10/15/02, was diagnosed with irregular heart rate with fluid retention. Denies numbness or pain.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pyrexia
Clinical narrative: Left upper arm dark red in color extending to lower 1/3 of upper arm; noted at clinic appointment 9/12/02. Seen in ER 9/11/02; Rx written Keflex PO through ER. 9/11/02 fever 103 previous to ER visit. To follow up PCN and finish course of antibiotics.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling
Clinical narrative: Localized swelling at injection site. Cool to touch. Client denies any SOB, itchy or pain.
Age: 1.3
Sex: F
Vaccine: DTAP, FLU3, HIBV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: DTaP-HIB and Flu shot #2 (booster) in left thigh 12/30/02. Awoke 12/31/02 with red, swollen thigh; erythema 5"x6" and swelling. Circumference of left thigh 2" larger than right thigh. Walking well and afebrile. Not acting ill.
Age: 18.0
Sex: M
Vaccine: HEP, IPV, MMR, TD, HEP, IPV, MMR, TD
Symptoms: Blood pressure decreased, Dizziness, Dry skin, Hyperhidrosis, Pallor
Clinical narrative: After receiving shorts below, became pale, diaphoretic, dizzy; required H2O. To exam table, Trendelenberg BP 102/70, P 56 at 3:55PM. 4:05 BP 110/72, P 56, BP 108/78, P60. 4:10 color pink, skin warm and dry. States fine. Discharged home with parent and return PRC/to ED if further.
Age: 18.0
Sex: M
Vaccine: HEP, IPV, MMR, TD, HEP, IPV, MMR, TD
Symptoms: Skin warm
Clinical narrative: After receiving shorts below, became pale, diaphoretic, dizzy; required H2O. To exam table, Trendelenberg BP 102/70, P 56 at 3:55PM. 4:05 BP 110/72, P 56, BP 108/78, P60. 4:10 color pink, skin warm and dry. States fine. Discharged home with parent and return PRC/to ED if further.
Age: 18.0
Sex: M
Vaccine: HEP, IPV, MMR, TD, HEP, IPV, MMR, TD
Symptoms: Dizziness, Urticaria
Clinical narrative: After receiving shorts below, became pale, diaphoretic, dizzy; required H2O. To exam table, Trendelenberg BP 102/70, P 56 at 3:55PM. 4:05 BP 110/72, P 56, BP 108/78, P60. 4:10 color pink, skin warm and dry. States fine. Discharged home with parent and return PRC/to ED if further.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Crying, Pyrexia
Clinical narrative: Temperature of 103; crying for 3 hours.
Age: 3.0
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Cellulitis, Drug ineffective, Infection, Injection site hypersensitivity, Injection site oedema
Clinical narrative: Varicella injection given on 12-17-02 in upper right thigh. On 12-31-02 mom noticed swelling and redness at site and also chicken pox lesions appeared on face, head , neck and back with itching. Area of swelling measured 4cm x 4cm at time of office visit.
Age: 3.0
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Pruritus
Clinical narrative: Varicella injection given on 12-17-02 in upper right thigh. On 12-31-02 mom noticed swelling and redness at site and also chicken pox lesions appeared on face, head , neck and back with itching. Area of swelling measured 4cm x 4cm at time of office visit.
Age: 1.0
Sex: M
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Localized rash to both legs where shot were administered.
Age: 15.0
Sex: F
Vaccine: RAB
Symptoms: Arthralgia, Headache, Influenza, Nausea
Clinical narrative: It was reported that a 15-year-old female patient received a Rabies Imovax IM series starting in July 200. Reportedly after the second dose on Day 3, the patient developed systemic immune-complex like side effects such as headache, nausea, flu-like symptoms with joint discomfort in back and shoulders. It is now 6-months since the series and she still has nausea and fatigue and problems with her back and joints. This event was classified as medically significant by the manufacturer on April 25, 2001. OMIC
Age: 10.0
Sex: F
Vaccine: RAB
Symptoms: Headache, Nausea, Paraesthesia, Vomiting
Clinical narrative: From telephone contact with reporter it was stated that a 10-year-old female patient received third does of  an Imovax Rabies vaccination intramuscularly on May 22, 2001. Within hours of the injection, the patient developed one hour of numbness in her legs, was unable to walk. This was accompanied with a headache. Further information is requested. From telephone call on 6/1/01 it was stated that a 10 year old female patient received her fourth dose of Imovax Rabies IM, lot # R0985, on 5/29/01. The patient experienced headache, nausea and vomiting on 5/30/01. Further information requested. From follow up #1 correspondence received on 9/4/01 it was reported that the patient recovered from this experience. Additional patient, vaccine, vaccine administrator and responsible physician information was also provided. This case is closed.
Age: 30.0
Sex: M
Vaccine: RAB
Symptoms: Fatigue, Flushing, Nausea, Pain
Clinical narrative: It was reported that a 30 year old male received a Rabies Imovax IM vaccination on 6/15/00. Reportedly that same day the patient developed nausea, fatigue, general body aches. His face became red, resembling sunburn but not determined as a rash. The patient is to be evaluated by physician. Further information requested. From correspondence received on 8/8/00, it was reported, We requested the patient be seen by the doctor before we continue with the rabies series. The doctor was satisfied with us continuing, the rest were given with no adverse reaction. Reportedly the patient recovered from this experience. Additional patient, vaccine and responsible physician information were also provided. From correspondence received on 11/15/00, it was reported, Reviewd, no additional information. No further information is expected. This case is closed.
Sex: F
Vaccine: RAB
Symptoms: Headache, Pyrexia
Clinical narrative: It was reported that a female patient (1 of 2) received a Rabies Imovax IM vaccination (actual date not specified). Sometime after the vaccination, the patient developed a temperature of 99F and a headache. Further information requested.
Sex: F
Vaccine: RAB
Symptoms: Headache, Pyrexia
Clinical narrative: It was reported that a female patient (2 of 2) received a Rabies Imovax IM vaccination (actual date not specified). Sometime after the vaccination the patient developed a temperature of 99F and a headache. Further information requested.
Age: 48.0
Sex: F
Vaccine: RAB
Symptoms: Headache, Musculoskeletal stiffness, Nausea
Clinical narrative: It was reported that a 48 year old female patient received a Rabies Imovax IM and a Bayrab on 7/02/00. Reportedly that same day the patient developed a headache, neck stiffness and nausea. The patient was treated with Augmentin for bite. Further information requested.
Age: 14.0
Sex: F
Vaccine: RAB
Symptoms: Fatigue, Hypoaesthesia
Clinical narrative: It was reported that a 14 year old female patient received a Rabies Imovax vaccination on 7/31/00. Reportedly the next day the patient complained of being tired and numb. These symptoms disappeared within 24 hours. From additional correspondence received on 9/22/00, it was reported that the patient received 5 doses of Rabies Imovax 9dates not specified). Reportedly the patient experienced a repeated pattern with each vaccination. No further information is anticipated for this report. Case is closed.
Age: 41.0
Sex: M
Vaccine: RAB
Symptoms: Headache, Paraesthesia, Pharyngitis
Clinical narrative: It was reported that a 41-year-old male patient received a Rabies Imovax vaccination on 15-Aug-2000. Reportedly 2 hours after the vaccination the patient developed tingling of the tongue, raspy throat and headache. Further information requested.
Sex: F
Vaccine: RAB
Symptoms: Dizziness, Malaise
Clinical narrative: It was reported that a female pt received a Rabies Imovax IM vaccination and a RIG injection on 8/23/00. Reportedly, on 8/25/00, the pt developed dizziness and general malaise. Further information requested.
Age: 18.0
Sex: F
Vaccine: RAB
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood alkaline phosphatase increased, Lymphadenopathy, Malaise
Clinical narrative: It was reported that a female pt received a Rabies Imovax vaccination on 8/28/00. Reportedly, on 8/29/00, the pt complained of lymphadenopathy, a temperature of 102-103F, muscle aches and malaise. On 9/2/00, the pt developed facial swelling. Further information requested. From additional information received on 12/12/00, additional pt, responsible physician and lab data were received.
Age: 18.0
Sex: F
Vaccine: RAB
Symptoms: Myalgia, Pyrexia, Red blood cell sedimentation rate increased, Swelling face
Clinical narrative: It was reported that a female pt received a Rabies Imovax vaccination on 8/28/00. Reportedly, on 8/29/00, the pt complained of lymphadenopathy, a temperature of 102-103F, muscle aches and malaise. On 9/2/00, the pt developed facial swelling. Further information requested. From additional information received on 12/12/00, additional pt, responsible physician and lab data were received.
Sex: F
Vaccine: RAB
Symptoms: Affect lability, Amnesia, Back pain, Chest pain, Diarrhoea
Clinical narrative: It was reported that a female patient received a Rabies Imovax IM vaccination. Reportedly 24-36 hours post vaccination the patient developed a burning sensation in all mucous membranes of her body, ringing in her ears with hearing deficit, increased urinary output, mood swings and memory impairment, fever. Patient also developed numbness and tingling of her extremities resulting in muscle spasms and low back pain, nausea, diarrhea, chest pain and palpitations. Patient stated "most these resolved in 3 days". No indication of physician evaluation.
Sex: F
Vaccine: RAB
Symptoms: Hypertonia, Nausea, Palpitations, Paraesthesia, Pollakiuria
Clinical narrative: It was reported that a female patient received a Rabies Imovax IM vaccination. Reportedly 24-36 hours post vaccination the patient developed a burning sensation in all mucous membranes of her body, ringing in her ears with hearing deficit, increased urinary output, mood swings and memory impairment, fever. Patient also developed numbness and tingling of her extremities resulting in muscle spasms and low back pain, nausea, diarrhea, chest pain and palpitations. Patient stated "most these resolved in 3 days". No indication of physician evaluation.
Sex: F
Vaccine: RAB
Symptoms: Pyrexia, Tinnitus
Clinical narrative: It was reported that a female patient received a Rabies Imovax IM vaccination. Reportedly 24-36 hours post vaccination the patient developed a burning sensation in all mucous membranes of her body, ringing in her ears with hearing deficit, increased urinary output, mood swings and memory impairment, fever. Patient also developed numbness and tingling of her extremities resulting in muscle spasms and low back pain, nausea, diarrhea, chest pain and palpitations. Patient stated "most these resolved in 3 days". No indication of physician evaluation.
Sex: F
Vaccine: RAB
Symptoms: Dyspnoea, Rash maculo-papular
Clinical narrative: it was reported that a female patient received an Imovax vaccination on 25-Aug-2000. Reportedly that same day the patient developed difficulty breathing and red blotches on her body about 6-8 hours after receiving the vaccine. The patient was treated in the emergency room with Benadryl and steroids, symptoms resolved. Patient was evaluated by allergist.
Sex: M
Vaccine: RAB
Symptoms: Nausea, Vomiting
Clinical narrative: It was reported that a male patient received a Rabies Imovax IM vaccination on 11-Sept-2000. Approximately 14 hours after the vaccination the patient developed nausea and vomiting. Patient was seen in emergency room.
Age: 50.0
Sex: F
Vaccine: RAB
Symptoms: Paraesthesia
Clinical narrative: It was reported that a 50-year-old female patient received an Imovax IM Rabies vaccination on 24-Aug-2000 at 12:00pm. Reportedly the patient called Health Dept. late morning 12-Sep-2000 to report that about 8pm the evening before she noticed that her left deltoid "felt like the day I go the shot" and left lateral arm from deltoid distally including back of left hand felt like it was "asleep". This continues today and has not changed in response to Ibuprofen by mouth. From additional information received 9-Jan-201, patient information was updated and reportedly the patient received 9 doses of Rabies vaccine ID in the period of 1982 to 1999. Patient is scheduled to call the reporter in one to 2 days to report status.
Age: 42.0
Sex: M
Vaccine: RAB
Symptoms: Pain
Clinical narrative: It was reported that a 42-year-old male patient received an Imovax Rabies vaccination on 22-Aug-2000, 26-Aug-200 and 2-Sep-2000. Reportedly after 26-Aug-2000 dose, within 1-2 hours the patient developed a stiff neck. After 2-Sep-2000 dose the patient developed pain in neck and upper back, shoulders and right deltoid muscles. These symptoms subsided after 24 hours. From additional information received on 4-Dec-2000, the vaccine administrator and responsible physician information were provided. Also the product lot number and times of administration were provided. No "other medications" were reported. Reportedly the patient recovered from this experience.
Sex: F
Vaccine: RAB
Symptoms: Vaginal haemorrhage
Clinical narrative: The patient reported that she received an Imovax Rabies and an Imogam vaccination on 24-Oct-2000. Reportedly 2 days later she experienced heavy vaginal bleeding. Patient was told by emergency room doctor "he never heard of this and it was not vaccine related". Patient refused to be evaluated by a physician or examined by a gynecologist.
Sex: F
Vaccine: RAB
Symptoms: Headache
Clinical narrative: It was reported that a female patient received an Imovax Rabies vaccination on Aug. 8th, 11, 15th and Sept. 5, 2000. The patient reportedly developed headache after each dose. Patient still experiencing headache, at least three times per week.
Age: 37.0
Sex: F
Vaccine: RAB, TTOX
Symptoms: Paraesthesia
Clinical narrative: It was reported a female patient was given Imovax Rabies vaccine on 14-Dec-2000. Reportedly, sometime after receiving vaccination, the patient experienced "numbness in right arm occurring mostly in right hand". From additional information received on 20-Feb-2001, it was reported, "7-Dec-2000 patient noticed a 'burning sensation' on first injection with Rabies. Did not mention to RN. That night experienced numbness and tingling in right hand. Problem reoccurred intermittently, only at night. Approximately 5-Jan-2001 became 'severe', lost ability to grip, had problem day and night for approximately 2 days. Informed supervisor 6-Jan-2001. 9-Jan-2001 numbness subsided somewhat. Client reports has been lessening. 14-Dec-2000. Patient received second rabies pre-exposure immunization. Patient was directly asked prior to vaccine administration if she had experienced any problems or reactions with the first vaccination. Client denied any problems or reactions at this time. She did not inform the nurse administering the second vaccine of any problem with numbness and/or tingling in right arm. Patient was referred to a local infectious disease expert who agreed that it was not a reaction to the vaccine material itself, but probably due to inadvertent injections of the material into the fascial resulting in pain and subsequent local neuralgia. The third dose was not given and is being deferred pending the results of rabies titer is ascertained.
Age: 33.0
Sex: F
Vaccine: RAB
Symptoms: Hemiparesis
Clinical narrative: It was reported that a female pt was given a post exposure series of Imovax Rabies for bat exposure. Pt experienced "flu-like" symptoms after the 2nd and 3rd doses. On 2/18/01, the pt developed numbness in left side of face, ear, arm and calf, no sensory perception in left side, now in right side. Was seen in ER on 2/18/01. She was referred to a Neurologist and ENT doctor. All reports were sent to PCP. Unresolved, getting worse. Per the Medical Safety Officer's conversation with PCP on 2/28/01, it was stated that the neurologist evaluated the pt and made a dx of hemianesthesia. From additional correspondence received on 5/7/01, additional lab data was provided.
Age: 25.0
Sex: F
Vaccine: RAB
Symptoms: Feeling hot, Swelling face
Clinical narrative: It was reported that a 25 year old female pt received an Imovax Rabies vaccination on 3/15/01. Approx. 1 hour, after the injection, the pt developed a swollen face and "hot" in her neck. Seen by a physician the next day. No treatment given; is resolving. From additional correspondence received on 4/11/01, it was reported that the pt recovered from this experience. Additional pt, vaccine administrator and responsible physician information were also provided. This case is closed.
Age: 71.0
Sex: F
Vaccine: RAB
Symptoms: Dry eye, Influenza like illness, Skin burning sensation
Clinical narrative: It was reported that a female pt received an Imovax Rabies vaccination on 9/28/00 (last in series). Reportedly, sometime after the vaccination (date not specified), the pt developed "flu-like" symptoms, burning down both legs and dryness of eyes.
Age: 20.0
Sex: F
Vaccine: RAB
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: It was reported that a 20 year old female pt received an Imovax vaccination on 4/4/01, 4/11/01 and 4/25/01. Reportedly, the pt developed cellulitis (redness and pain with swelling progressing edema and induration) in her left arm, after the 3rd shot. Pt also experienced some mild nausea and a mild fever of 99.5F. The injection site reaction was very warm to the touch and red in the center. Pt was given DURICEF as treatment. All 3 injections were given in the same deltoid.
Age: 20.0
Sex: F
Vaccine: RAB
Symptoms: Injection site warmth, Nausea, Pyrexia
Clinical narrative: It was reported that a 20 year old female pt received an Imovax vaccination on 4/4/01, 4/11/01 and 4/25/01. Reportedly, the pt developed cellulitis (redness and pain with swelling progressing edema and induration) in her left arm, after the 3rd shot. Pt also experienced some mild nausea and a mild fever of 99.5F. The injection site reaction was very warm to the touch and red in the center. Pt was given DURICEF as treatment. All 3 injections were given in the same deltoid.
Sex: F
Vaccine: RAB
Symptoms: Injection site reaction, Malaise, Skin discolouration
Clinical narrative: It was reported that a female pt received a Rabies Imovax vaccination on 4/24/01. Reportedly, that same day, the pt developed general malaise and purple discoloration of the lower back part of her arm where the vaccine was administered. The pt was evaluated by a physician and was told the reactions were not vaccine related.
Sex: F
Vaccine: RAB
Symptoms: Urticaria
Clinical narrative: It was reported that a female pt received a Rabies Imovax vaccination on 4/27/01. Reportedly, on 5/4/01, the pt developed generalized hives. Physician evaluated the pt in the ER. Treatment of steroids and Benadryl was given. Per the pt, the symptoms are unresolved.
Age: 45.0
Sex: M
Vaccine: RAB
Symptoms: Oedema peripheral, Swelling, Urticaria
Clinical narrative: It was reported that a male pt received an IMOVAX, IM, vaccination on 5/12/01. Reportedly, 10 days after injection, the pt developed swelling in both hands followed by generalized swelling. Ten to twelve hours later, the pt developed angioedema and urticaria. Treated with BENADRYL and is resolving. From additional correspondence received on 5/30/01, it was reported that these symptoms resolved with BENADRYL and forced fluids.
Age: 29.0
Sex: F
Vaccine: RAB
Symptoms: Angioneurotic oedema, Blood creatine phosphokinase increased, Joint swelling, Serum sickness, Urticaria
Clinical narrative: From fax correspondence received from reporting physician, it was reported that a 29 year old female received her 1st dose of Imovax Rabies on 5/7/01 and her 2nd dose on 5/10/01. One week after receiving the 2nd dose, the pt developed urticaria, angioedema and swelling of MCP (metacarpophalangeal), PIP (proximal interphalangeal) and DIP (distal interphalangeal) joints. Treatment of antihistamines and steroids were given for serum sickness. The pt recovered from these events.
Age: 10.0
Sex: F
Vaccine: RAB
Symptoms: Headache, Nausea, Vomiting
Clinical narrative: From telephone call on 6/1/01, it was stated that a 10 year old female pt received her 4th dose of Imovax Rabies, IM, lot #R0958, on 5/29/01. The pt experienced headache, nausea and vomiting on 5/30/01. Further information requested.
Age: 4.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Presented 1/4/03 with 5-8 varicella vesicles. Rx: symptomatic - Tylenol, Calomine lotion.
Age: 2.0
Sex: M
Vaccine: PNC
Symptoms: Injection site oedema
Clinical narrative: Swelling at shot site - area red bruised. Seen in off hours clinic - "infection" Rx for Augmentin. Improving
Age: 6.0
Sex: M
Vaccine: DTAP, HEP, IPV
Symptoms: Injection site hypersensitivity, Pyrexia
Clinical narrative: Local redness to injection site with fever.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Oedema
Clinical narrative: Left arm swollen
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Chills, Irritability, Nausea, Pain, Rash
Clinical narrative: LARGE RED RASH FROM SHOULDER TO ALMOST ELBOW. PAIN TO POINT OF PARTIAL IMMOBILITY OF LEFT ARM. NAUSIOUSNESS (DID NOT VOMIT) CHILLS SEVERE IRRITABILITY
Age: 21.0
Sex: M
Vaccine: DT, HEPA, OPV, YF
Symptoms: Dyspnoea, Eye swelling, Rash pruritic, Wheezing
Clinical narrative: 15 min after ist YF vaccine SOB, wheeze, eyes swelled shut, itchy red rash all over. Seen in Medical Department Rx epinephrine and Benadryl. Had also gotten PCN, OPV, Td, Hep A.
Age: 24.0
Sex: F
Vaccine: ANTH
Symptoms: Cellulitis, Injection site hypersensitivity, Oedema
Clinical narrative: PATIENT'S INJECTION SITE WAS TENDER TO THE TOUCH, SWOLLEN AND HAS BEEN DIAGNOSED AS CELLULITIS.  PATIENT WAS PRESCRIBED ANTIBIOTICS AND BENADRYL
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Folliculitis, Pain
Clinical narrative: body aches, no temp  pt was also concerned about "bumps" on posterior neck. pt had haircut approx 4 days ago and appear to be a folliculitis. treated for follicultis with heat and abx
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: From telephone contact at manufact. on 19Jun2002, it was reported by a nurse that apprx. 11-12 pts with large local reactions after receipt of 4th and 5th doses of Tripedia vaccine series. Four different lot numbers were involved. She stated that all of these reports were reported to VAERS, some local reactions included entire limb. Additional information received from follow up correspondence on 21Jun2002 regarding each pt. Pt # 6  A 5year old male received 5th dose of DTAP(Tripedia), 4th dose of IPV(IPOL), and 2nd dose of MMR vaccines on 19Apr2002. Pt developed a large local reaction with redness and swelling to right deltoid on 20Apr2002. Pt recovered. See reports U2002-00546 to U2002-00549, and U2002-00551 to U2002-00555, from same facility.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site reaction
Clinical narrative: It was reported by a nurse that approximately 11-12 patients with large local reactions after receipt of fourth and fifth doses of Tripedia vaccine series. Four different lot numbers were involved. She stated that all of these reports were reported to VAERS, some local reactions included the entire limb. Additional information received from follow-up correspondence on 6/21/02 regarding each patient. Patient #10: A 5 year-old male received fifth dose of DTAP (Tripedia), fourth dose of IPV (IPOL), and second dose of MMR vaccines on 4/12/02. Patient developed a large local reaction with redness extending under left arm. Patient recovered.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: From telephone contact at manufact. on 19Jun2002, it was reported by a nurse that apprx. 11-12 pts with large local reactions after receipt of 4th and 5th doses of Tripedia vaccine series. Four different lot numbers were involved. She stated that all of these reports were reported to VAERS, some local reactions included entire limb. Additional information received from follow up correspondence on 21Jun2002 regarding each pt. Pt # 3 A 5 year old female received 5th dose of DTAP9Tripedia), 4th dose of IPV(IPOL), and 2nd dose of MMR vaccines on 15Apr2002. Pt developed a large local reaction of redness extending beneath the left arm. Pt recovered. Case closed. See reports U2002-00454, U2002-00546, and U2002-00548 to U2002-00555, from same facility.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: From telephone contact at manufact. on 19Jun2002, it was reported by a nurse that apprx. 11-12 pts with large local reactions after receipt of 4th and 5th doses of Tripedia vaccine series. Four different lot numbers were involved. She stated that all of these reports were reported to VAERS, some local reactions included entire limb. Additional information received from follow up correspondence on 21Jun2002 regarding each pt. Pt # 5  A 5 year old female received 5th dose of DTAP9Tripedia), 4th dose of IPV9IPOL), and 2nd dose of MMR vaccines on 18Apr2002. Pt developed a large local reaction with redness and swelling to left arm on 19Apr2002. Pt recovered. See reports U2002-00454, U2002-00546 to U2002-00548 and U2002-00550 to U2002-00555, from same facility.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: From telephone contact at manufact. on 19Jun2002, it was reported by a nurse that apprx. 11-12 pts with large local reactions after receipt of 4th and 5th doses of Tripedia vaccine series. Four different lot numbers were involved. She stated that all of these reports were reported to VAERS, some local reactions included entire limb. Additional information received from follow up correspondence on 21Jun2002 regarding each pt. Pt # 7 A 5 year old female received 5th dose of DTAP(Tripedia), 4th dose of IPV(IPOL), and 2nd Dose of MMR vaccines on 15Apr2002. Pt developed a large local reaction with redness and swelling to right deltoid on 17Apr2002. Pt recovered. See reports U2002-00454, U2002-00546 to U2002-00550, and U2002-00552 to U2002-00555, from same facility.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity
Clinical narrative: It was reported by a nurse that approximately 11-12 patients with large local reaction after receipt of fourth and fifth doses of Tripedia vaccine series. Four different lot numbers were involved. She stated that all of these reports were reported to VAERS, some local reactions included the entire limb. Additional information received from follow-up correspondence on 6/21/02 regarding each patient. Patient #9:  A 4 year-old female received fifth dose of DTAP (Tripedia), fourth dose of IPV(IPOL), and second dose of MMR vaccines on 5/13/02. Patient developed a large red, swollen and warm to touch local reaction extending beneath arm on 5/14/02. Patient recovered. Follow up correspondence received on 12/9/02, it was reported that the patient was seen by a physician. No lab/diagnostic tests were taken at time of vaccination. No illnesses or pre-existing diagnosis were present at the time of vaccination. The patient was not taking any other mediaction at time of vaccination. No other vaccines were given within 4 weeks of vaccination date. The case is closed.