chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: M
Vaccine: DTAP, HEP, HIBV
Symptoms: Drug toxicity, Nervous system disorder, Neurodevelopmental disorder
Clinical narrative: Information has been received from a legal firm regarding a case in litigation concerning a male who on 4/19/99 and 9/16/99 was vaccinated with hep B vaccine recombinant (not batch reported). Concomitant therapy included Acel-Imune and HibTITER given on 5/19/99, 7/15/99, 9/16/99 and 7/11/00. It is alleged that the pt developed mercury poisoning by the cumulative doses of mercury in thimerosal and now suffers, and in the future will continue to suffer, from the toxic neurological effects of mercury poisoning. The pt reportedly was exposed to thimerosal-containing vaccinations administered from approximately April 1999 to July 2000. Upon internal review, mercury poisoning and toxic neurological effects of mercury poisoning were considered other important medical events (OMIC). No further info is available.
Age: 9.0
Sex: F
Vaccine: FLU3
Symptoms: Acidosis, Hyperglycaemia, Ketoacidosis
Clinical narrative: Within 2-3 days of flu shot, developed symptoms of diabetic which progressed over 3 weeks to diabetic ketoacidosis.
Age: 0.36
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Coma, Grunting, Vomiting
Clinical narrative: Approximately 10 hours after vaccination, child in bed with blanket vomiting on blanket, grunting and  ?, non-responsive and lasted approximately 20 minutes.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Approximately 5 inch red spot that looked burned. Complained of pain upon touch, slight swelling on lower arm below elbow and moderate swelling of upper arm. Onset started at 18:00 on 12/15/02. Patient does not feel he has a temperature.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Blood pressure decreased, Chills, Dehydration, Headache
Clinical narrative: After injection, left arm very sore. 8:30PM, stomach upset; took Pepcid AC. 11:30PM, woke up fever, severe chills, shaking violently. Tried to call for help but no one heard her. 3"00AM woke up; fever broke, was soaking wet, stopped shaking. The next day (Thursday) very weak, dehydrated, headache, nausea. Went to doctor. BP 60/40; given Phenergan and Tordel. had to drink Gatoraide; was disoriented. Sent home on clear liquids. Saturday 11/23/02, started feeling better.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Hyperhidrosis, Nausea, Pyrexia, Stomach discomfort, Tremor
Clinical narrative: After injection, left arm very sore. 8:30PM, stomach upset; took Pepcid AC. 11:30PM, woke up fever, severe chills, shaking violently. Tried to call for help but no one heard her. 3"00AM woke up; fever broke, was soaking wet, stopped shaking. The next day (Thursday) very weak, dehydrated, headache, nausea. Went to doctor. BP 60/40; given Phenergan and Tordel. had to drink Gatoraide; was disoriented. Sent home on clear liquids. Saturday 11/23/02, started feeling better.
Sex: F
Vaccine: DTAP, FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Viral infection
Clinical narrative: Patient seen 12/4/02 for routine physical. Office administered DTaP (right thigh IM) and flu vaccine (left thigh, IM). Patient presented to office 12/6/02 with redness, swelling and heat at site on right thigh at DTaP site.
Age: 58.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Asthenia, Injection site erythema, Injection site oedema, Joint range of motion decreased
Clinical narrative: Patient complained of 4 inch diameter of redness, edema encircling entire upper arm and it includes axilla, weakness, and states, "couldn't move arm for 2 days." Patient currently taking Ibuprofen and is seeing some slight daily improvements.
Age: 58.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Cellulitic type reaction in right arm 6cm proximal to 8cm distal to injection site. Neatly circumferential.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: 11/16/02 Complained of edema and redness at site; slight yellow discharge from site where vaccine given; describes as if pimple burst. Applied warm compresses. Notified physician and seen on 11/18/02. Was told area was slightly infected. No antibiotics given. Rx warm compresses and observe.
Age: 32.0
Sex: M
Vaccine: FLU3, PPV, TD
Symptoms: Chills, Nausea, Pain, Vomiting
Clinical narrative: Developed chills, nausea, severe body ache day after receiving Pneumovax, flu and Td booster. Vomited once. Improving the following day. Felt febrile but did not check temperature. No further vomiting. Tylenol i-ii q 6h. Patient did not got o work on 12/11/02.
Age: 37.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Feeling hot, Hyperhidrosis, Injection site erythema, Injection site swelling
Clinical narrative: On Saturday evening, began feeling achy, had chills and sweats, felt feverish. Did not take temperature. Right arm was sore soon after injection. However on Saturday, right arm at injection site was red, swollen and hot to the touch.
Age: 37.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain, Pyrexia
Clinical narrative: On Saturday evening, began feeling achy, had chills and sweats, felt feverish. Did not take temperature. Right arm was sore soon after injection. However on Saturday, right arm at injection site was red, swollen and hot to the touch.
Age: 76.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site erythema, Injection site hypersensitivity, Injection site reaction, Pruritus
Clinical narrative: Noted redness, itching at site of Pneumovax injection after 1 week. Seen by nurse practitioner in office. Diagnosed local allergic reaction. Prescribed Medrol dose pack and to pick up Cortaid. Erythema had increased the following day. Zyrtec added.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Ecchymosis, Pain
Clinical narrative: Complained of increased pain in left arm with muscle and nerve involvement. Area ecchymotic, patient a nurse (increased upset) state "I'm giving at "wrong area" to PMD if no better.
Age: 51.0
Sex: M
Vaccine: FLU3
Symptoms: Rash maculo-papular
Clinical narrative: Evening after flu vaccine bump on arm itchy; faded away, then rash on chest pinhead size pustules, then now around neck. No fever, no swelling, redness arm, no malaise.
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Oedema
Clinical narrative: Complained of joint aches and swelling. Worsened arthritis sx.
Age: 6.0
Sex: M
Vaccine: HEP, HEPA, MMR, VARCEL
Symptoms: Pallor, Syncope vasovagal, Vomiting
Clinical narrative: Patient became pale and limp after shots. No loc. Patient vomiting. After assisted patient to lie down. Patient better after lying down, VS stable, no trouble breathing. Dx with vasovagal reacation
Age: 1.9
Sex: M
Vaccine: DTAP
Symptoms: Agitation, Erythema, Injection site mass, Insomnia, Vasodilation procedure
Clinical narrative: DTaP #5 given right thigh 11/27/02. Seen in clinic 11/29/02 10cm erythematous, warm to touch, 3cm induration around injection site. Very fussy with N/V x 5 on arm of 11/29/02, low PO, poor sleep. Using hot compress, motrin
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Diarrhoea, Injection site hypersensitivity, Pruritus
Clinical narrative: Patient received shots 11/27/02 DTAP (RD) Right arm itchy and red. Local DTAP reaction. Hx diarrhea for 15 days. Rx Given for Motrin and Benadryl
Sex: U
Vaccine: LYME
Symptoms: Arthritis, Pain
Clinical narrative: I still have pain in my neck, wrists, groin and hands from arthritis brought on by LYMERIX vaccine.
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Myalgia, Oedema, Pain, Vasodilation procedure
Clinical narrative: Pneumo immunization given 12/2/02 and client complained of soreness all day. Red, swollen, painful medial aspect of upper left arm noticed on 12/3/02 in evening. Reported to health dept 12/4/02 in morning. Arm still red, swollen and painful. Client states pain has resolved somewhat.
Age: 2.0
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MMR
Symptoms: Oedema, Vasodilation procedure
Clinical narrative: Left deltoid area swollen, red, firm and warm to touch.
Age: 1.3
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Injection site mass
Clinical narrative: Moderate local reaction at injection. Erythematous, indurated area on left anterior thigh. No systemic symptoms.
Age: 1.4
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Injection site mass, Vasodilation procedure
Clinical narrative: Child received DTap injection 11/18/02. Seen 11/19/02 with erythematous warm and hard right thigh 9cm diameter.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Broke out with chickenpox
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Broke out with chickenpox on 11/25/02
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Myalgia, Pyrexia
Clinical narrative: 11/27/02 client called and stated that on 11/26/02 about one hour after receiving #1 hepatits B vaccine she began having dizziness, muscle aches, and fever of 100 which lasted through the night. Symptoms were resolved by this morning.
Age: 11.0
Sex: M
Vaccine: HEP, IPV, TD
Symptoms: Infection, Rash
Clinical narrative: Td, IPV and Hep B given on 11-20-02. On 11-21-02 Ct awoke with rash t/o body. Ct went to ER on 11-21-02 pm. Ct tested for strep on 11-21-02. Ct also had fever 102-103. Mother notified on 11-22-02 Ct was (+) for strep. Mother states ER told her reaction was combination of having immunization and coming down with strep infection. Ct. was treated with Benadryl and Amoxicillin.
Age: 44.0
Sex: M
Vaccine: PPV
Symptoms: Arthralgia, Diarrhoea, Hypokinesia, Injection site pain, Injection site warmth
Clinical narrative: Pt woke up midnight with left arm pain could not move arm above shoulder due to pain. Developed malaise pain down the arm. Diarrhea X 1 stool, Left deltoid warm to touch, Coldness in hand, Bilateral ankle joint pain
Age: 44.0
Sex: M
Vaccine: PPV
Symptoms: Malaise, Pain, Peripheral coldness
Clinical narrative: Pt woke up midnight with left arm pain could not move arm above shoulder due to pain. Developed malaise pain down the arm. Diarrhea X 1 stool, Left deltoid warm to touch, Coldness in hand, Bilateral ankle joint pain
Age: 25.0
Sex: F
Vaccine: TD
Symptoms: Facial palsy, Headache, Hypersensitivity, Muscular weakness, Neck pain
Clinical narrative: 24 hours after TD injection, Pt developed facial weakness left side, Severe HA, Left side neck pain, Seen Clinic ER, told Hypersensitive reaction to Tetanus, Cont to have symptoms-able to swallow difficult to chew, Pregnant EDC 12/17/2002
Age: 14.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt right upper arm red, swollen and painful
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth, Oedema peripheral
Clinical narrative: Left increase thigh, red, warm to touch
Age: 15.0
Sex: F
Vaccine: HEP, TD
Symptoms: Injection site hypersensitivity, Pruritus
Clinical narrative: TD Left deltoid 13:35, Hep B Right 13;35, Approx 5 min post shot, c/o itchiness left deltoid above shot site, Returned 14;20 itchy  + 2 hives right arm
Age: 1.3
Sex: F
Vaccine: HBHEPB
Symptoms: Breath holding, Cyanosis, Eye movement disorder, Loss of consciousness, Pallor
Clinical narrative: Pt held breath as imjection was given, Held breath until passed out, Gasped for a breath then went still again, Eyes rolled back, Went pallor, Lips blue, Whimpered + started with breath again.
Age: 43.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling, Pyrexia, Toothache
Clinical narrative: NextAm, slight swelling (2nd day), arm red, aching like toothache:. possible low grade temp (3rd day (same, (4th + 5th days) sl: better Good ROM: :at HD 4x6 redness, upper arm at shot site, 12/03/02 12 days after, pt says she is fine-no redness
Age: 12.0
Sex: F
Vaccine: HEP
Symptoms: Myalgia
Clinical narrative: Myalgia leg pain with 48 hours post receiving 2nd hepatitis vax
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Irritability, Lethargy, Pyrexia
Clinical narrative: Fever 102, Irritable, Lethargic, Tylenol decreased temp to 100 degreefor 24- 36 hours.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: One day following DTaP injection left lateral upper arm with positive edema,  2+ erythema, pain, warm to touch, cellulitis, 4" x 5.5" area of involvement; Treated: with Augmentin
Age: 1.5
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 24 hours after administration of DTaP c/o right arm erythema and swelling at the site of vaccine's application.
Age: 66.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site induration, Injection site warmth, Myalgia
Clinical narrative: Shot given 12/02/02 to right upper arm secondary left mastectomy (1993), Began itching 12/08/02, Seen 12/09/02 with red, warm, indurated right upper arm, Muscle tenderness
Age: 66.0
Sex: F
Vaccine: TD
Symptoms: Pruritus
Clinical narrative: Shot given 12/02/02 to right upper arm secondary left mastectomy (1993), Began itching 12/08/02, Seen 12/09/02 with red, warm, indurated right upper arm, Muscle tenderness
Age: 3.0
Sex: F
Vaccine: DTAP, HBHEPB, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: right arm -  red, swelling
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Dx of chickenpox post receiving vaccine
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Screaming
Clinical narrative: Crying for 3 hours. 10/17/2002 cried all afternoon/evening
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Patient received vaccine on November 18, 2002 and developed chickenpox on December 2, 2002. No known community exposure.
Age: 6.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Infection
Clinical narrative: Broke out in mild chickenpox rash on trunk, scalp, inner thighs, on lesion in throat.
Age: 1.3
Sex: F
Vaccine: DTAP, MMR
Symptoms: Pyrexia
Clinical narrative: High fever 103.7 (axillary) within 12 hours of vaccine. No other symptoms such as rash, vomiting, etc.
Age: 1.4
Sex: M
Vaccine: DTAP, HEP, IPV, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Generalized rash and fever per parents 8 days after immunization.
Age: 20.0
Sex: F
Vaccine: TD
Symptoms: Pain
Clinical narrative: Patient developed pain in left deltoid of moderate level x 15 days. Responded to Ibuprofen, but continues to have tenderness and occasional soreness.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Oedema, Pain, Somnolence, Vasodilation procedure
Clinical narrative: Patient vaccinated at 9:45am c/o "sleepy" baby all day, fed at 2pm, slept again. Then c/o extreme inconsolable irritability > 1 hour at 4pm afeb temperature 98.4. Left left swollen groin to knee, red and hot to touch, painful.
Age: 58.0
Sex: M
Vaccine: HEPAB
Symptoms: Unevaluable event
Clinical narrative: UNK
Age: 10.0
Sex: F
Vaccine: HEP, HEPA, MMR
Symptoms: Nasal congestion, Rash pruritic
Clinical narrative: Pruritic rash - macular raised and nasal congestion within 24 hours after receiving immunizations worsening of symptoms over weekend. Given 25mg Benadryl IM on 12/9/02. To continue 25mg Benadryl po BID x 5d.
Age: 78.0
Sex: F
Vaccine: TD
Symptoms: Blister, Injection site hypersensitivity, Oedema, Pruritus, Swelling
Clinical narrative: Swollen, edema, intense pruritus,  App 24 hours post immunization, Dev vesicles, Resolving when seen on 12/08/02, (vaccine given 12/05/02)
Age: 0.5
Sex: M
Vaccine: DTAP, PNC
Symptoms: Crying
Clinical narrative: Child cried for approx 10 hrs
Age: 0.08
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Injection site induration, Injection site mass, Injection site vesicles, Injection site warmth, Urticaria
Clinical narrative: Have report from remote community - Did not see child, After receiving PCV-& IM w/ Binjection in upper right thigh, he developed hard, welted "blister" area, warm to touch like a scab but scab prevent no pus or drainage. "Lump' on muscle under the affected area. No reacting  at any other immunization site. Treated with compresses for comfort & Tylenol. Resolved in 1.5 weeks
Age: 71.0
Sex: F
Vaccine: TTOX
Symptoms: Asthenia, Hyperhidrosis, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Fever, pain, swelling left deltoid & arm, sweats. weakness, Resolving.
Age: 1.6
Sex: M
Vaccine: PNC
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling, redness + pain to upper left thigh
Age: 34.0
Sex: F
Vaccine: TTOX
Symptoms: Discomfort, Injection site erythema, Injection site induration, Injection site warmth, Lymphadenopathy
Clinical narrative: Tetanus shot was given on 12/03/02. Over the weekend, employee started toexperience discomfort and redness @ site to left deltoid. Pt returned to clinic on 12/09/02. Her left upper arm @ injection site was reddened and hardened  (7 x 4.5 cm) and warm to the touch. Pt has seen by doctor. Pt also has enlarged lymph nodes the 7th of December, Pt improving.
Age: 1.0
Sex: M
Vaccine: MMR, PNC
Symptoms: Convulsion, Heart rate increased, Joint range of motion decreased, Pyrexia
Clinical narrative: Temperature 102.2. Pulse 156, Respiratory rate 36. Seizures with postitial period/post-apneic. Decreased range of motion to RU/LE. (Clarifications) Pt experienced decrease range of motion to right upper and lower extremities after the seizures and this resolved by the following day.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Hypokinesia, Injection site pain, Pain
Clinical narrative: 2 weeks, persistent, Left deltoid, pain + painful, range of motion since the vaccine on 11/14/02.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Feeling abnormal, Heart rate increased
Clinical narrative: Rapid HR 92, in 4-6 hours after injection. That nite or the next nite, dizziness with turning side to,  Head fells fuzzy, Worse after yoga (last nite-not better today.
Age: 1.25
Sex: F
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Oedema peripheral
Clinical narrative: Mom called to say the next day- the child's left leg swelled a lot, Lasted 3 days, Child had #4 DTaP and child never ran a fever or acted like it hurt her. Mom states acted same, just swollen.
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: ERYTHEMA, EDEMA, WARMTH RADIATING TO FOREARM FOR 3 DAYS AFTER SHOT. PT NOTED TO HAVE IMPROVEMENT AT THE INJECTION SITE, BUT CONTINUED TO HAVE EDEMA, ERYTHEMA, WARMTH DISTALLY. HAD FULLNESS FEELING IN ELBOW
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Diarrhoea, Nausea, Pyrexia, Thirst, Vomiting
Clinical narrative: FEVER, EXCESSIVE THRIST, EMESIS X 1, DIARRHEA, NAUSEA FOR 48 HRS
Age: 28.0
Sex: M
Vaccine: TD, YF
Symptoms: Anorexia, Chills, Fatigue, Pyrexia, Vision blurred
Clinical narrative: Administered 12/05/02, That evening, fatigue, fever @ midnight 101.5, loss of appetite, chills, blurry vision. Went to sick case next morning, Sick in quarters for 24 hours.
Age: 43.0
Sex: M
Vaccine: OPV, IPV
Symptoms: Dyspnoea, Lung neoplasm malignant
Clinical narrative: Information has been received from a lawyer concerning a 43 year old male pt who was vaccinated with a dose of poliovirus vaccine (manuf unk) sometime between 1965 and 1967. It was reported that the pt was administered "OPV or IPV" which believed to have contained the SV-40 virus. The pt was diagnosed with mesothelioma in approximately June 2001. It was reported that the pt was exposed to asbestos, asbestos-containing products and the SV-40 virus which caused severe and permanent injury, including but not limited to breathing difficulties, asbestosis, lung and/or other cancer, mesothelioma and or other lung damage. The pt was employed by the armed services from December 1976 until March 1986 where he was exposed to asbestos and asbestos-containing products at several locations. The pt suffered and subsequently died from mesothelioma. No further info is available.
Age: 43.0
Sex: M
Vaccine: OPV, IPV
Symptoms: Dyspnoea, Lung disorder, Neoplasm malignant, Pleural mesothelioma
Clinical narrative: Information has been received from a lawyer concerning a 43 year old male pt who was vaccinated with a dose of poliovirus vaccine (manuf unk) sometime between 1965 and 1967. It was reported that the pt was administered "OPV or IPV" which believed to have contained the SV-40 virus. The pt was diagnosed with mesothelioma in approximately June 2001. It was reported that the pt was exposed to asbestos, asbestos-containing products and the SV-40 virus which caused severe and permanent injury, including but not limited to breathing difficulties, asbestosis, lung and/or other cancer, mesothelioma and or other lung damage. The pt was employed by the armed services from December 1976 until March 1986 where he was exposed to asbestos and asbestos-containing products at several locations. The pt suffered and subsequently died from mesothelioma. No further info is available.
Age: 85.0
Sex: F
Vaccine: FLU3
Symptoms: Confusional state, Sleep disorder
Clinical narrative: A consumer reported that her 85 year old mother received Flu Shield on 11/8/02. Concomitant medication included triamterene/hydrochlorothiazide (manuf unk), Inderal, calcium and vitamin E. Medical history includes rheumatoid arthritis, hypertension, "heart problems" and "broken hip" 4 years ago. On the evening of 11/9/02, her mother "did not sleep well, had dreams all night and didn't look right in her eyes." On 11/12/02 she seemed confused and has been confused since. On 11/22/02, a MRI "of the head" was performed with negative results. The pt was living independently prior to the immunization but is now in senior facility. This case was serious since the event of confusion was considered medically important in this case (OMIC).
Age: 56.0
Sex: F
Vaccine: HEPAB, MEN, HEPAB, MEN
Symptoms: Cough, Dysphonia, Dyspnoea, Pruritus, Throat tightness
Clinical narrative: It was reported that a 56 year old female pt was vaccinated with Menomune lot number UB244AA, SC in the left arm as dose #2 and Twinrix, lot number 234B6, IM in the left deltoid as dose #3 on 11/26/02 at 3:30pm. Pt started itching at approximately 6pm, on same day as vaccination. She developed hives soon after. Pt also experienced difficulty breathing, coughing, wheezing, hoarseness and tightness in her throat. Pt took 25mg of Benadryl at 11pm, that night and then took 50mg of Benadryl at 3pm on 11/27/02. Pt was seen in doctor's office at county health dept on 11/27/02 at 2:30pm. The pt no longer had hives and her lungs were clear. Reportedly, the pt recovered. The case is closed.
Age: 56.0
Sex: F
Vaccine: HEPAB, MEN, HEPAB, MEN
Symptoms: Urticaria, Wheezing
Clinical narrative: It was reported that a 56 year old female pt was vaccinated with Menomune lot number UB244AA, SC in the left arm as dose #2 and Twinrix, lot number 234B6, IM in the left deltoid as dose #3 on 11/26/02 at 3:30pm. Pt started itching at approximately 6pm, on same day as vaccination. She developed hives soon after. Pt also experienced difficulty breathing, coughing, wheezing, hoarseness and tightness in her throat. Pt took 25mg of Benadryl at 11pm, that night and then took 50mg of Benadryl at 3pm on 11/27/02. Pt was seen in doctor's office at county health dept on 11/27/02 at 2:30pm. The pt no longer had hives and her lungs were clear. Reportedly, the pt recovered. The case is closed.
Age: 0.6
Sex: M
Vaccine: HIBV
Symptoms: Drug toxicity, Nervous system disorder, Neurodevelopmental disorder
Clinical narrative: A mother reported that her son received injections of Hib-Titer and DTaP vaccines from 5/5/00 through 10/25/00. She began to notice developmental delays at approximately 8 to 12 months of age. She stated that he has since been diagnosed with multi-system developmental disorder which she believes is due to mercury poisoning from his childhood vaccines. She reported that he has been seen by various specialists including speech and developmental specialists. These events were considered medically important (OMIC). No further information was available at the date of this report. Follow up info received from the physician on 1/7/03 provided his assessment. A mother initially reported that her son received injections of Hib-titer and DTaP (manuf unk) vaccines from 5/5/00 through 10/25/00. She began to notice developmental delays at approximately 8 to 12 months of age. She stated that he has since been diagnosed with "multi-system developmental disorder" which she believes is due to mercury poisoning from his childhood vaccines.She rported that he has been seen by various specialists including speech and developmental specialists. The physician reported the child "has always been developmentally on track with his fine and gross motor skills." On 4/24/02, the child underwent a developmental assessment. The evaluator concluded that the child is delayed in expressive and receptive speech. The physician feels that the child's only delay at this time is his language. These events were considered medically important.
Age: 82.0
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia, Injection site pain, Joint range of motion decreased, Pain
Clinical narrative: Joints in arm became really painful. Couldn't move arm. Still has soreness where shot was given. *Follow-up report on 3/3/03: Still have pain in arm, especially where punctuated on the upper arm. Barely recovered. Still have some pain in shoulder. Same as when I received the shot last November. Received a flu shot now at doctor's office and have had no pain whatsoever.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Pruritus, Rash
Clinical narrative: Patient states irritation started at 22:00 November 12, 2002. Patient went to bed and was awaken by itching sensation at 2:30, November 13, 200. Unable to get back to a sound sleep. Rash noted at 2:30. Patient reported to clinic at 8:00 November 13, 2002. Benadryl 50mg q 6 hours, 60mg once a day x 5 days. RTC November 14, 2002 for FU.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Oedema, Pain, Vasodilation procedure
Clinical narrative: Swelling in arm where shot was administered, pain and warmth where swollen.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Nonspecific reaction
Clinical narrative: One hour minor itching on hands. 12 hrs some hives on body. 24 hrs hives all over, swollen lip, tongue and eye lids. Emergency room. Found no pulse. Anaphylaxic shock. 2 days in ICU, 3rd day-reoccurrence of reaction-ER.   60 day follow up states pt has recovered. It took a good 2-3 months to fully recover. An annual follow up report received 01/14/2004 adds: (from pt): Thank you for your recent inquiry into my health - and since you asked - I would like to report some very uncommon medical problems I've experienced this last year. Prior to my adverse reaction to the flu shot I have been healthy as a horse and never hospitalized. In March 2003 I was diagnosed with an abscess on my liver - cause unknown. It was drained and all was well. Then in June I had a twisted bowel or something - they didn't know exactly what it was, but that was drained too. I was just released from the hospital for premature atrial contractions...further testing to follow because the cause is unknown. I am reporting this because the cause of all my conditions seem to be unknown and curious if there could be any connection to the flu shot complications...my husband thinks I've taken out a time-share at the hospital...Thank you for any light you can shed on this.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Dyspnoea, Eyelid oedema, Face oedema
Clinical narrative: Within one hour of administration began with shortness of breath. Progressed to swelling of eyelids, lips. Due to history of asthma, admitted to ICU for monitoring. Given steroids and nebulizer treatments.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Tongue discolouration
Clinical narrative: Injection at 6pm 11/23/02. Next morning noticed tongue black in color and teeth stained but teeth brushed clean. Tongue could not be cleaned. no pain or swelling. By 11pm tongue back to normal.
Age: 6.0
Sex: F
Vaccine: FLU3
Symptoms: Oedema, Urticaria
Clinical narrative: Periorbital swelling (bilateral) Hives. Diphenydramine Hcl 25mg given in office; rx given for home administration. Assessed by physician.
Age: 79.0
Sex: M
Vaccine: FLU3
Symptoms: Tongue disorder
Clinical narrative: 10/30/02 woke up at 6 AM with "thick tongue". By 12 noon 10/30/02, symptom of thick tongue was gone. Did not see MD or take any treatment. Had same symptoms previously after an insect bite, but never from flu shot.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Hyperhidrosis, Nausea, Syncope
Clinical narrative: Immediately became syncopal at time of injection. No c/o SOB, itching only state faint feeling. Became diaphoretic, nauseated, BP 90/0, pale. Amonia cap helped relieved symp. Layed client flat BP up 145/84, cool cloth applied, rested, BP 126/78 after 10 minutes.
Sex: F
Vaccine: FLU3
Symptoms: Hypokinesia, Oedema
Clinical narrative: Arm got swollen and very painful with range of motion.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Patient broke out with hives.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Pain
Clinical narrative: All joints in fingers, wrists, elbows, shoulders, neck; shot given in left shoulder hurt bad, blood ran down arm. Very exhausted rest of day. Unbelievable pain on arising. Went to "internist" regular doctor couldn't explain. Been 7 weeks and still suffering, never had this kind of pain before shot.
Sex: F
Vaccine: PPV, TD
Symptoms: Cellulitis, Chills, Headache, Injection site reaction, Vasodilation procedure
Clinical narrative: Possible cellulitis around injection site, redness, chills, HA 4 hours after injection and 24 after. Keflex 500 BID x 10.
Age: 79.0
Sex: F
Vaccine: PPV, TD
Symptoms: Pruritus, Vasodilation procedure
Clinical narrative: Left upper outer arm red with irregular shape on outer upper arm hot to touch, itches. No SOB, No rash.
Age: 10.0
Sex: M
Vaccine: MMR, PPV
Symptoms: Myalgia, Oedema, Pyrexia
Clinical narrative: Myalgia right deltoid, arm up to shoulder, swelling, temperature 101. Treat symptomatically Motrin/Ibuprofen for pain, inflammation, fever prn. 12-11-02 patient afebrile but still c/o pain in limb.
Age: 56.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Oedema, Pain, Vasodilation procedure
Clinical narrative: Right arm warm to touch, some swelling, painful to move, pain goes from shoulder joint down to fingers.
Sex: F
Vaccine: FLU3
Symptoms: Oedema, Rash, Vasodilation procedure
Clinical narrative: Reddened, swollen and hot to the touch. With rash look around the edge for 1" next day and better today.
Age: 1.0
Sex: M
Vaccine: FLU3, MMR, VARCEL
Symptoms: Agitation, Diarrhoea, Injection site mass, Myalgia, Pyrexia
Clinical narrative: 11/18 onset of fever (103 or greater) 8 hours after vaccination, diarrhea, and some vomiting for 72 hours, achiness, crying, change in temperament, fussier and irritable, night waking. Red bump at injection site on right leg.
Age: 1.0
Sex: M
Vaccine: FLU3, MMR, VARCEL
Symptoms: Vomiting
Clinical narrative: 11/18 onset of fever (103 or greater) 8 hours after vaccination, diarrhea, and some vomiting for 72 hours, achiness, crying, change in temperament, fussier and irritable, night waking. Red bump at injection site on right leg.
Age: 39.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pain
Clinical narrative: Mon 12/09/02 -Right increased arm, sore & achy, Tues 12/10/02 right increased arm, sore,red, warm and swollen, white patches (hives) Called dr, Benadryl taken, Arm red, rashy on 12/11/02 has dr appt 12/11/02
Age: 39.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Rash, Urticaria
Clinical narrative: Mon 12/09/02 -Right increased arm, sore & achy, Tues 12/10/02 right increased arm, sore,red, warm and swollen, white patches (hives) Called dr, Benadryl taken, Arm red, rashy on 12/11/02 has dr appt 12/11/02
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Urticaria
Clinical narrative: Mother called 12/12/02 stating child had right deltoid (site of flu shot) swollen  1.5 in to 2 in wheal, red + raised. Area raised-size small apple. Mother gave Benadryl at hs 12/11/02 applied cool compresses to area, giving Tylenol prn for pain.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Sensation of heaviness
Clinical narrative: On 11/10/02, pt woke to find right arm red from the elbow to the shoulder. Arm was swollen and felt heavy-at date of inspection on11/21/02. Arm was swollen (Severely bruised between shoulder and elbow.)
Age: 1.08
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Injection site erythema, Injection site warmth, Swelling
Clinical narrative: Noticed nickel-sized redness in am of 12/01/02. By pm, 12/10/02, swelling of redness increased. Site.(L thigh) warm to touch. Treated with Augmentin.
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site hypersensitivity, Pruritus
Clinical narrative: 10 hours after vaccination, client noticed itching at injection site (left upper arm (deltoid)) and noticed severe redness "itchy". Was 6-7"x4". Experienced slight dysfunction for 1-2 days.
Age: 18.0
Sex: M
Vaccine: HEP, TD
Symptoms: Joint range of motion decreased, Muscular weakness
Clinical narrative: Pt woke up the morning following the vaccine and was unable to bear weight on either leg and had incomplete range of motion in left arm. Movement gradually returned to legs that day + ROM returned to arm in 2 days.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Crying, Injection site mass, Insomnia, Irritability
Clinical narrative: Lump left leg. Immunization 10/4/02. Mom states cranky on Sunday, fight sleep, crying after bottle.
Age: 21.0
Sex: F
Vaccine: HEPA, RAB, TYP
Symptoms: Crying, Disturbance in attention, Psychomotor hyperactivity, Speech disorder
Clinical narrative: 12 hours after 1st dose of Rabavert, became very emotional and was crying hysterically for about 10 minutes. 2 hours after 2nd dose of Rabavert had difficulty communicating and concentrating and was hyperactive. She reports: Felt hot, temp not taken. Symptoms lasted about 2 hours.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Tenderness
Clinical narrative: Right thigh with increased redness, warmth, tenderness. Circular 15cm in diameter. Started right after injection given. Started on Biaxin with cool compresses.
Age: 0.5
Sex: F
Vaccine: DTAP, IPV
Symptoms: Rash erythematous, Rash maculo-papular, Skin discolouration
Clinical narrative: The night after patient received her 6 month IPV and DTaP she developed a splotchy, erythematous rash on the abdomen, left arm, back and legs that turned into raised bumps some of which are now resolving 4 days after the vaccine and leaving a pale pigment change on the skin.
Age: 52.0
Sex: M
Vaccine: HEPA
Symptoms: Arthralgia
Clinical narrative: Seen 9/3/02 had had 6-8 weeks of joint pain. He believes is related to Hep A vaccine and myalgias. Now waxs and wanes.
Age: 38.0
Sex: M
Vaccine: LYME
Symptoms: Amnesia, Arthralgia, Asthenia, Hostility, Influenza like illness
Clinical narrative: Neck pain, joint pain, flu-like symptoms, forgetfulness, memory loss, irritability, fatigue, rage. Undergoing antibiotic treatment for 1 yr.
Age: 38.0
Sex: M
Vaccine: LYME
Symptoms: Nervousness
Clinical narrative: Neck pain, joint pain, flu-like symptoms, forgetfulness, memory loss, irritability, fatigue, rage. Undergoing antibiotic treatment for 1 yr.
Age: 12.0
Sex: F
Vaccine: HEP
Symptoms: Rash
Clinical narrative: C/o red rash all over her body. Mother stated it look like "welts". Mother called 12/9/02 and reported rash. Examined rash on student 12/9/02. Student stated "rash fading", no fever or other symptoms noted.
Age: 1.0
Sex: M
Vaccine: HBPV, MMR, PNC, VARCEL
Symptoms: Vomiting
Clinical narrative: Six to eight hours after vaccines, MMR, Varicella, he started vomiting every half hour for five hours. Gradually kept down gatorade and by the next day he was acting fine.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Ear pain, Face oedema
Clinical narrative: Child presented to ER 12-9-02 with left sided facial swelling and ear pain due to parotitis  - possibly secondary to MMR. Child was better the next day when she saw ENT for follow-up check. Treatment was pain medication and warm compresses.
Age: 40.0
Sex: F
Vaccine: HEPA, MEN
Symptoms: Calculus urinary, Haematuria, Lymphadenopathy, Urinary tract infection
Clinical narrative: Patient developed gross hematuria with signs of symptoms of UTI, stones after 1st and 2nd doses of Rabies. Urinalysis revealed no bacteria, WBC in each instance. After 2nd dose patient also developed tender lymphadenopathy in the superclavicular area; most likely lower aspect of anterior cervical chain. From acknowledgement letter: The reaction she had was to the Rabies vaccine, not Hep A or Menomune.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Urticaria
Clinical narrative: 4 month shots - 1 day after hives develped. Given Atarax. Enfamil lilpil 3 months. At 12pm was feeding, tried enfamil with iron. Broke out again.
Age: 2.0
Sex: M
Vaccine: UNK
Symptoms: Infection
Clinical narrative: Got chickenpox.
Age: 6.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR, VARCEL
Symptoms: Infection
Clinical narrative: Got chickenpox.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Cellulitis, Rash
Clinical narrative: Cellulitis on right forearm about 5cm diameter one day after shot. Seen in ED and Tx with Benadryl. Rash persist and increasing after 2 days.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Has papular vesicles, rash. 12-20 lesions on trunk and face.
Age: 1.0
Sex: M
Vaccine: HIBV, IPV, MMR, PNC, VARCEL
Symptoms: Erythema, Rash
Clinical narrative: 12-4-02 Seen in clinic - Dx probably contact dermeratitis. 12-7-02 returned to clinic rash (dense population of erythematous papular lesions) Dx of atypical measles secondary to MMR vaccination
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Injection site mass, Oedema, Vasodilation procedure
Clinical narrative: Right leg, upper thigh is red, swollen, warm to touch in an area of bout 4-6". Hard to the touch over 3-4". Referred to HC for further eval.
Age: 15.0
Sex: F
Vaccine: HEP
Symptoms: Mastitis
Clinical narrative: Mastitis, diagnosed by an ER physician, two weeks after the vaccination. Antibiotics were given for treatment. The follow up states the onset date as 8/5/02 upon awakening.
Age: 1.0
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Urticaria, Vasodilation procedure
Clinical narrative: After injection MMR and varivax vaccines. Redness and slight wheals were noted around injection sties - Benadryl 10mg po given at clinic, and Rx given to mom for home.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Convulsion
Clinical narrative: Tonic-clonic generalized seizure duration 1 minute around 6-7 hours after 2 month immunizations. Report episode 2 days later, identical to first, No previous history of seizure or other abnormality, Positive family history of seizure
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Total body rash, Fever
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Left deltoid area with local pain, redness + swelling
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Malaise
Clinical narrative: Child c/o pain in his right arm the evening after he had the injection. Mother reports he had a low grade fever & c/o general malaise. Then on the morning of 12/11/02, she noticed right arm -red, swollen, warm to touch.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia
Clinical narrative: Child c/o pain in his right arm the evening after he had the injection. Mother reports he had a low grade fever & c/o general malaise. Then on the morning of 12/11/02, she noticed right arm -red, swollen, warm to touch.
Age: 58.0
Sex: M
Vaccine: UNK
Symptoms: Azotaemia, Bacterial infection, Balance disorder, Hypertension, Myalgia
Clinical narrative: Blurred vision, muscle soreness, off balance.
Age: 58.0
Sex: M
Vaccine: UNK
Symptoms: Vision blurred
Clinical narrative: Blurred vision, muscle soreness, off balance.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Anorexia, Pyrexia, Vomiting
Clinical narrative: Child has fever to 105 with vomiting & anorexia. Treated for fever, Resolved in 24 hours.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Laboratory test abnormal, Platelet count increased, Skin ulcer, Thrombocytopenia
Clinical narrative: A report was received from a regulatory authority on 12/6/02 concerning a 74 year old female vaccinee who experienced thrombocytopenic purpura which lead to hospitalization, 21 days after receiving the Fluvirine vaccine on 10/9/02.  The vaccinee had a history of hypertension, hypertrophic cardiomyopathy, hypercholesterolemia and asthma. The vaccinee was receiving spironelactose, verapamil, formeterol fumerate, pravastatin, beclometasone and naftidrofuryl oxalate concomitantly. During October 2002, the vaccinee took arthrotec 2 or 3 times for arthritic knee pain and on 10/16/02, fluoxetine was commenced for depression. On 10/30/02, the vaccinee experienced general purpuric lesions on all 4 limbs, complicated with oral hemorrhagic lesions and epistaxis. The vaccinee was hospitalized on 11/1/02. The vaccinee had a platelet count of 2000/mm^3 which led to the diagnosis of thrombocytopenic purpura. All drugs were discontinued. Treatment with IV corticotherapy and normal human immunoglobulins was given for 5 days. Platelets were transfused. A myelogram seemed to show a peripheric thrombocytopenia (rich spina; no malignant cells; normal and heavy megakaryocytes). On 11/6/02, the IV corticotherapy was replaced by prednisone. The purpura decreased and the platelet count increased (64,000/mm^3 on 11/6/02; 212,000 mm^3 on 11/7/02. On 11/8/02 verapamil and formoterol fumarate were restarted. On 11/15/02 the platelets were 616,000/mm^3. The anti-nuclear antibody, HIV, Hepatitis B and C tests were all negative and the direct Coomb's tests was positive. The vaccinee had a positive serology for Parvovirus B19. The vaccinee was considered to have recovered on 11/15/02. The reporter has assessed the relationship of the vaccine to the event as possible.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Thrombocytopenic purpura
Clinical narrative: A report was received from a regulatory authority on 12/6/02 concerning a 74 year old female vaccinee who experienced thrombocytopenic purpura which lead to hospitalization, 21 days after receiving the Fluvirine vaccine on 10/9/02.  The vaccinee had a history of hypertension, hypertrophic cardiomyopathy, hypercholesterolemia and asthma. The vaccinee was receiving spironelactose, verapamil, formeterol fumerate, pravastatin, beclometasone and naftidrofuryl oxalate concomitantly. During October 2002, the vaccinee took arthrotec 2 or 3 times for arthritic knee pain and on 10/16/02, fluoxetine was commenced for depression. On 10/30/02, the vaccinee experienced general purpuric lesions on all 4 limbs, complicated with oral hemorrhagic lesions and epistaxis. The vaccinee was hospitalized on 11/1/02. The vaccinee had a platelet count of 2000/mm^3 which led to the diagnosis of thrombocytopenic purpura. All drugs were discontinued. Treatment with IV corticotherapy and normal human immunoglobulins was given for 5 days. Platelets were transfused. A myelogram seemed to show a peripheric thrombocytopenia (rich spina; no malignant cells; normal and heavy megakaryocytes). On 11/6/02, the IV corticotherapy was replaced by prednisone. The purpura decreased and the platelet count increased (64,000/mm^3 on 11/6/02; 212,000 mm^3 on 11/7/02. On 11/8/02 verapamil and formoterol fumarate were restarted. On 11/15/02 the platelets were 616,000/mm^3. The anti-nuclear antibody, HIV, Hepatitis B and C tests were all negative and the direct Coomb's tests was positive. The vaccinee had a positive serology for Parvovirus B19. The vaccinee was considered to have recovered on 11/15/02. The reporter has assessed the relationship of the vaccine to the event as possible.
Age: 1.6
Sex: M
Vaccine: DTAP
Symptoms: Feeling hot, Injection site erythema, Pruritus
Clinical narrative: Within 24 hours, patient developed an area of erythema on left thigh 16cmx9.5cm. Warm, pruritic. No fevers, Gail WNL.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pharyngitis, Pyrexia, Rhinitis
Clinical narrative: Temperature 101 and cold symptoms.
Age: 4.0
Sex: M
Vaccine: DTP, IPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Tenderness
Clinical narrative: Status post shot - right thigh with large redness, and tender, swollen and painful.
Age: 6.0
Sex: F
Vaccine: YF
Symptoms: Rash
Clinical narrative: Generalized rash on 11/12/02. Given Benadryl by private doctor.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, PNC
Symptoms: Irritability, Rash
Clinical narrative: On 11/15/2002 patient was brought in for exam. On 11/14/2002 she seemed to become more fussy and broke out in a brillant rash, likey atypical measles reaction to the first MMR vaccine. Follow up in next couple of days if not improving, otherwise supportive care and observation and administer Tylenol prn.
Age: 24.0
Sex: M
Vaccine: HEP
Symptoms: Bone disorder, Cellulitis, Contusion, Petechiae, Platelet count decreased
Clinical narrative: Patient received #1 hepatitis B vaccine on 2/1/96 and #2 on 3/1/96, with no reported reactions to either dose.  After 3rd hepatitis B vaccine administration on 11/4/02, client had no obvious symptoms during the first 24 - 48 hours.  He did notice a red circle around the shot site.  One week after the vaccine was administered, on 11/12/02, he noticed bruising and poor healing of minor cuts and scratches, as well as petechiae.  He went to Hospital ED and was sent to another Hospital.  His platelet count was between 3,000 and 4,000.  He was admitted to then another hospital, and was a patient there for 2 weeks.  He has received 5 platelet transfusions to date, the last transfusion being on 12/12/02.  His platelet count as of 12/17/02 was 21,000. 60 DAY FOLLOW UP STATES: Pt has not recovered. Vaccine recipient will be undergoing a bone marrow transplnt on 03/03/2003 following the failure of medical treatment for a plastic anemia.  Follow up on 12/11/03: "No additional info available." Patient had bone marrow transplant and returned to work.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: On 11/20/02 Mom noticed that his L deltoid was swollen, red and warm to touch.  Redness and swelling continued to increase.  Mom contacted ER on evening of 11/20/02 by telephone (not seen) and was told to ice the area. Attempted to contact Mom for follow-up, left messages but was unable to reach.
Age: 0.35
Sex: F
Vaccine: DTAP, HEP, IPV, PNC
Symptoms: Injection site rash, Rash papular
Clinical narrative: On 17 Dec 02 pt was seen by Dr. for c/o bilateral rash at injection area x 2 days. As per MD, pt was in no apparent distress and no fever. Noted red papular rash on bilateral thighs (more on the R thigh), red papule with pustule x 1 on LUE. No rash elsewhere. Instructed pt to return to clinic if rash progresses. No meds.
Age: 49.0
Sex: F
Vaccine: UNK, FLU3
Symptoms: Back pain, Injection site pain
Clinical narrative: Shot was given at the top of the left shoulder; painful when administered. Soreness began within minutes, very painful, went to doctor 3 weeks later and told it was Tendonitis. Prescribed Celebrex and ice pack.
Age: 49.0
Sex: F
Vaccine: UNK, FLU3
Symptoms: Injection site pain, Shoulder pain, Tendonitis
Clinical narrative: Shot was given at the top of the left shoulder; painful when administered. Soreness began within minutes, very painful, went to doctor 3 weeks later and told it was Tendonitis. Prescribed Celebrex and ice pack.