chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: M
Vaccine: FLUX, SMALL, FLUX, SMALL
Symptoms: Cardiac disorder, Eosinophilia, Medication error, Pericarditis, Viral infection
Clinical narrative: RECEIVED BOTH SMALLPOX AND INACTIVATED INFLUENZA VACCINES ON 11/18/2005.  HE PRESENTED TO THE VACCINE HEALTHCARE CENTER ON 12/01/05 FOR EVALUATION OF FATIGUE, FEVERS, POOR SLEEP, LEFT SHOULDER PERSISTENT PAIN, AND CONCERNS REGARDING HIS INOCULATION SITE.  THE PATIENT WAS EXAMINED AND FOUND TO HAVE AN ORAL TEMPERATURE OF 99.2F.  HE DID APPEAR FATIGUED.  HE WAS DIAGNOSED AS HAVING A ROBUST REACTION AND SENT HOME ON CLARITIN, MOTRIN, AND LIDEX CREME. THE PATIENT CONTINUED WITH FATIGUE ON THE FOLLOWING TWO DAYS BUT NEVER COMPLAINED OF CHEST PAIN OR SHORTNESS OF BREATH. THE PATIENT WAS FOUND DECEASED IN HIS BARRACKS BED ON THE MORNING OF 12/04/05. ACLS PROTOCOL WAS INITIATED IN THE FIELD AND CONTINUED IN THE HOSPITAL EMERGENCY ROOM TO NO AVAIL.   THE PATIENT WAS PRONOUNCED DEAD AT 0933 HOURS. THE PATIENT'S INITIAL AUTOPSY WAS NEGATIVE FOR ANY SIGNS OF FOUL PLAY, FRACTURE, ACUTE INJURY, TRAUMA, ALCOHOL OR ILLICIT DRUG INTOXICATION OR OVERDOSE. 8/3/06 Received medical records & autopsy report which stated COD as hypersensitivity myocarditis.  Final autopsy diagnoses also include sudden death in apparent healthy 26 year old; history of recent smallpox & flu vax; lymphocytic eosinophilic myocarditis, pulmonary edema.
Age: 53.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Back pain, Erythema, Feeling hot, Laboratory test abnormal
Clinical narrative: On 1/20/2006 MMR vaccine dose #1 adminstered  for negative mump titer (0.52). No adverse events occured after vaccination. On 3/7/2006 MMR vaccine dose #2 adminstered. Approx 10 minutes after giving vaccination Patient c/o feeling hot & itchy on the inside. Denies feeling itchy on the outside. Noted redness on the upper chest and palms of hands. Forearms were slightly mottled in appearance and a non-raised area of redness was noted on R hand(approx 5mm). Patient took benadryl 50mg PO approx 20 minutes after the onset of symptoms. VS 128/86, Pulse 72, Resp 20. No respiratory distress, no swelling, no hives, and no skin rashes. Approx 30 minutes after taking Benadryl the symptoms resolved. Patient states she had a rebound of her symptoms later that evening at 8:00pm: c/o redness around the trunk of her body, hands, & neck along with feeling itchy on the inside. Took another 50mg of Benadryl PO and symptoms resolved approx 30minutes after taking.   Today patient reported that she has been experiencing joint discomfort/ aching pain in knees and lower backs since the evening of 3/8/06. Taking OTC Motrin with relief.
Age: 53.0
Sex: F
Vaccine: MMR
Symptoms: Livedo reticularis, Pruritus
Clinical narrative: On 1/20/2006 MMR vaccine dose #1 adminstered  for negative mump titer (0.52). No adverse events occured after vaccination. On 3/7/2006 MMR vaccine dose #2 adminstered. Approx 10 minutes after giving vaccination Patient c/o feeling hot & itchy on the inside. Denies feeling itchy on the outside. Noted redness on the upper chest and palms of hands. Forearms were slightly mottled in appearance and a non-raised area of redness was noted on R hand(approx 5mm). Patient took benadryl 50mg PO approx 20 minutes after the onset of symptoms. VS 128/86, Pulse 72, Resp 20. No respiratory distress, no swelling, no hives, and no skin rashes. Approx 30 minutes after taking Benadryl the symptoms resolved. Patient states she had a rebound of her symptoms later that evening at 8:00pm: c/o redness around the trunk of her body, hands, & neck along with feeling itchy on the inside. Took another 50mg of Benadryl PO and symptoms resolved approx 30minutes after taking.   Today patient reported that she has been experiencing joint discomfort/ aching pain in knees and lower backs since the evening of 3/8/06. Taking OTC Motrin with relief.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Injection site warmth, Swelling
Clinical narrative: On March 1, 2006, patient presented to ER with complaints of redness and swelling to Left upper leg.  ER physician noted on 'left lateral thigh, there is an area of cellulitis appearing patch roughly 12-cm in diameter with spreading erythematous margin.  Slightly raised and textured.  Hot to touch.  No fluctuance or pointing is noted.'  Treatment:  Augmentin 400 mg per 5 ml one teaspoonful PO b.i.d. for ten days.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: CELLULITIS LT UPPER THIGH 18 CM X 3 CM  PRESCRIBED KEFLEX 250/5 1 1/2 TSP BID X 10 DAY ON 3-10-06, IN EVENING OF 3-10 CELLULITIS INCREASED SEEN ER AND REC'D ROCEPHIN   RECK ON 3-13-06 AREA NOW RESOLVING. PT REC'D DTAP LT ANT THIGH ON 3-8-06
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: CELLULITIS LT UPPER ARM 2ND DEGREE STARTED ON 3-12-06 REC'D IMMUN ON 3-10-06. ROCEPHIN 1 GRAM GIVEN IM TODAY AND THEN KEFLEX STARTED WILL RECK 3-14-06.
Age: 42.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Coronary artery disease, Dehydration, Hyperhidrosis, Laboratory test abnormal
Clinical narrative: Donor received a vaccinia vaccination 10 Feb 06.  Donated plasma (on VIG program)3 times - the last time being 06 March 2006.  Answered "no" to all cardiac screening questions on every donation, including 06 March. Donor called the center later that day stating he had some chest pain - but it went away quickly and he thought it was indigestion. He was encouraged to call the center back and let them know if the pain persisted. Donor called center 09 March and said that he had had a heart attack - and had been admitted to the hospital with the diagnosis of acute myocardial infarction and received an angiogram/PTCA/Stent. Discharge summary states hemiconcentration, cardiac stenosis, nausea, vomiting, diaphoresis. msv
Age: 42.0
Sex: M
Vaccine: SMALL
Symptoms: Myocardial infarction, Nausea, Vomiting
Clinical narrative: Donor received a vaccinia vaccination 10 Feb 06.  Donated plasma (on VIG program)3 times - the last time being 06 March 2006.  Answered "no" to all cardiac screening questions on every donation, including 06 March. Donor called the center later that day stating he had some chest pain - but it went away quickly and he thought it was indigestion. He was encouraged to call the center back and let them know if the pain persisted. Donor called center 09 March and said that he had had a heart attack - and had been admitted to the hospital with the diagnosis of acute myocardial infarction and received an angiogram/PTCA/Stent. Discharge summary states hemiconcentration, cardiac stenosis, nausea, vomiting, diaphoresis. msv
Age: 54.0
Sex: F
Vaccine: YF
Symptoms: Pruritus
Clinical narrative: Two days after receiving the yellow fever vaccine, the patient experienced severe generalized pruritus. There was no rash or swelling. The same symptoms recured 2 days later. She reported to the ER and was given benadryl. Symptoms subsequently resolved.
Age: 43.0
Sex: F
Vaccine: RAB
Symptoms: Chills, Dry mouth, Headache, Heart rate increased, Myalgia
Clinical narrative: ~4 hours post-dosage administration, mild muscle aches and mild headache.  Awoke ~11 hours post-dosage administration with severe muscle aches, continuous chills, elevated heart rate, dry mouth and mucose membranes lasting 5 hours, after which symptoms subsided.  ~24 hours post-dosage administration all symptoms had resolved.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema multiforme, Injection site pustule
Clinical narrative: non-viral pustulosis and erythema multiforme with smallpox vaccine.
Age: 1.56
Sex: M
Vaccine: DTAPH, PNC
Symptoms: Erythema, Feeling hot
Clinical narrative: 5 cm x 4 cm with erythema and warmth, no drainage.  Treated with Prednisolone once at home.  Prescribed Qrapred.
Age: 1.01
Sex: M
Vaccine: MMR, PNC
Symptoms: Pyrexia, Rash macular
Clinical narrative: 03/07/2006 Fever lasted for 3 days. 03/10/2006 Rash large vascular macular blanchable trunk on extremities and palms.
Age: 1.53
Sex: M
Vaccine: DTAP, IPV
Symptoms: Febrile convulsion
Clinical narrative: Temperature 103.2 degrees rectally on 03/09/2006.  Febrile seizure.
Age: 67.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Pain, Pruritus, Swelling
Clinical narrative: Symptoms progressively worsening since vaccine on 03/07 itching, aching, red, swollen, and sore.  Patient seen in office on 03/13/2006. 17 cm redness measured.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Pain, Swelling face
Clinical narrative: Vaccines received in the am.  Mom reports at 1PM patient complaining of being achy and lips being swollen.  No breathing difficulties - cheeks a little red.
Age: 6.0
Sex: F
Vaccine: TD
Symptoms: Pain
Clinical narrative: Severe pain in left deltoid, onset 3 days after injection.
Age: 1.08
Sex: M
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: None stated. Follow-up Information 26-MAR-2006: Patient got the chicken pox on 1/23/06. Vaccine was given by a different doctor office.
Age: 0.41
Sex: F
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: Patient was 3 month when she got chickenpox. Have not receive varicella shot.
Age: 1.25
Sex: F
Vaccine: VARCEL
Symptoms: Viral infection
Clinical narrative: Child had the chicken pox shot on 1/3/02 from previous Dr. Child had reaction on chickenpox.
Age: 56.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Albumin globulin ratio abnormal, Arthralgia, Blood albumin decreased, Blood alkaline phosphatase increased, Blood chloride decreased
Clinical narrative: Patient developed myalgia, severe joint pain, fever and exaggerated immunologic response.  ESR increased to 70, anemia
Age: 56.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Blood chloride increased, Blood cholesterol decreased, Blood creatinine increased, Blood glucose increased, Blood sodium decreased
Clinical narrative: Patient developed myalgia, severe joint pain, fever and exaggerated immunologic response.  ESR increased to 70, anemia
Age: 56.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Blood urea increased, Discomfort, Haematocrit decreased, Haemoglobin decreased, Laboratory test abnormal
Clinical narrative: Patient developed myalgia, severe joint pain, fever and exaggerated immunologic response.  ESR increased to 70, anemia
Age: 56.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Lymphopenia, Monocytosis, Myalgia, Pain, Platelet count increased
Clinical narrative: Patient developed myalgia, severe joint pain, fever and exaggerated immunologic response.  ESR increased to 70, anemia
Age: 56.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Pyrexia, Red blood cell count decreased, Red blood cell sedimentation rate increased, White blood cell count increased
Clinical narrative: Patient developed myalgia, severe joint pain, fever and exaggerated immunologic response.  ESR increased to 70, anemia
Age: 56.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Arthralgia, Immune system disorder, Laboratory test abnormal, Myalgia, Pyrexia
Clinical narrative: Patient developed myalgia, severe joint pain, fever and exaggerated immunologic response.  ESR increased to 70, anemia
Age: 56.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Red blood cell sedimentation rate increased
Clinical narrative: Patient developed myalgia, severe joint pain, fever and exaggerated immunologic response.  ESR increased to 70, anemia
Age: 54.0
Sex: M
Vaccine: PPV
Symptoms: Pyrexia, White blood cell count increased
Clinical narrative: Patient admitted 2/6-2/13 for coronary bypass surgery. On 2/10 patient received pneumovax vaccine. On 2/11 the patient developed fevers of unknown origin. Fevers treaded downward and patient discharged 2/13. Patient re-hospitalzied 2/15 for fevers of unknown origin up to 102. Infectious disease consult obtained and it was felt that most probable cause of fevers was pneumovax - no other suspected source. All cultures negative. Fever resolved and patient discharge home on 2/17/06.
Age: 30.0
Sex: F
Vaccine: TYP
Symptoms: Abdominal pain, Dyspnoea, Heart rate increased, Muscle twitching, Nausea
Clinical narrative: About 24 hours after first dose of Vivotif, heart rate accelerated, nausea set in, and stomach cramped.   Symptoms worsened over next 4 hours.  Took one Ambien pill as sleep aid, 20 minutes later sensual perception became mildly distorted.  Experienced shortness of breath and vomited once, then fell asleep and had muscular twitches for 15 minutes, every 3 minutes.
Age: 30.0
Sex: F
Vaccine: TYP
Symptoms: Vomiting
Clinical narrative: About 24 hours after first dose of Vivotif, heart rate accelerated, nausea set in, and stomach cramped.   Symptoms worsened over next 4 hours.  Took one Ambien pill as sleep aid, 20 minutes later sensual perception became mildly distorted.  Experienced shortness of breath and vomited once, then fell asleep and had muscular twitches for 15 minutes, every 3 minutes.
Age: 1.22
Sex: F
Vaccine: MMR, PNC
Symptoms: Coagulopathy, Incorrect route of drug administration, Petechiae
Clinical narrative: Incorrect route of drug administration (LLT: IM formulation administered by other route). This case was considered medically important (OMIC) for event of petechiae. Information regarding Prevnar (pneumococcal 7-valent conjugate vaccine (diphtheria crm197 protein) injection) was received from a consumer regarding a 14 month old female pt who developed petechiae all over her body. At 14 months of age, the pt received the second dose of Prevnar (administered via the subcutaneous route) along with the first dose of MMR (measles mumps and rubella vaccine) in Feb 2006. The pt's concurrent illnesses include von Willebrand's disease, adoption and hepatic enzyme increased (developed after first Prevnar vaccination (November 2005), with a past history of petechiae (developed after first Prevnar vaccination (Nov 2005). No known allergies and no blood transfusions. Indication for Prevnar was immunization. Product was administration in Feb 2006. Dose regimen was 1 dose 1 time per day (SC). Concomitant medications were not reported. The pt's mother reported that her daughter developed petechiae all over her body after receiving a second dose of Prevnar in Feb06. The vaccine was administered subcutaneously (incorrect route of drug administration) because of child's coagulation disorder. The petechiae reportedly increased until  they covered every inch of her body.  The child was taken to the emergency room 2.5 weeks post immunization for increasing petechiae. Blood work revealed platelets within normal limits; there was no cranial bleeding. Treatment was not given. Recovery is unk. Platelet count (results: revealed platelets wnl) was done in Feb06. Additionally, blood test (results: prior to adoption- no abnormal blood work) was done on an unspecified date.
Age: 22.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Cellulitis, Injection site pain, Lymphadenopathy, Synovitis, Thrombosis
Clinical narrative: Rx axillary lymph node swelling and rt arm discomfort. Cellulitis requiring hospitalization and IV-ABX sent home with picc line and IV-ABX developed clots hospitalized again. Dc'd with PO ABX and Coumadin. DVT's L arm Discharge summary states synovitis. msv
Age: 22.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Cellulitis, Injection site abscess, Injection site reaction
Clinical narrative: Rx axillary lymph node swelling and rt arm discomfort. Cellulitis requiring hospitalization and IV-ABX sent home with picc line and IV-ABX developed clots hospitalized again. Dc'd with PO ABX and Coumadin. DVT's L arm Discharge summary states synovitis. msv
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Coagulopathy, Injection site discolouration, Injection site infection, Injection site oedema
Clinical narrative: Hib (Pedvax) #1 given 2/10/06. Pt returned to clinic, swollen right anterior thigh. Dx. Infection to site. Local reaction due to vaccine. Rx with Augmentin for 10 days. Returned again 2/17/06. No improvement after 2 days of Augmentin. Admitted to Pediatrics for vaccine injection site reaction. Discharge Diagnosis: Hemophilia B, Blanching.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash vesicular, Visual acuity reduced
Clinical narrative: It was reported in a published article, title as stated above that an otherwise healthy, 8 year old male, who was active with no history, signs, or symptoms of any immunological problems that would place him at risk for development of herpes zoster opthalmicus at a young age, who, at 1 year of age, was vaccinated with a dose of varicella virus vaccine live. It was reported that the patient was seen by an optometrist for pain and subconjunctival hemorrhage in the right eye. The reporter speculated that the subconjunctival hemorrhage may have been caused by increased vascular fragility in the boys disease state. He was referred to a general ophthalmologist and diagnosed with allergic conjunctivitis and staphylococcal marginal keratitis in his right eye. He was given neomycin polymyxin dexamethasone eye drops, 4 times daily, and referred to a pediatric opthalomologist. On examination, the visual acuity was 20/20 in each eye. His pupils were equal and motility was normal. There was a diffuse subconjunctival hemorrhage and inferior punctate corneal staining in the right eye. The child and his mother were asked if there had been any recent peri ocular trauma that might explain the subconjunctival hemorrhage, but none was reported. The next day he was lethargic and nauseous. A characteristic vesicular rash erupted on the forehead above his right eye and on the tip of his nose, which lead to the diagnosis of herpes zoster opthalmicus. The patient was hospitalized for intravenous acyclovir. His ophthalmic regimen included ciprofloxacin ointment, 4 times daily, and cyclopentolate, 1%, three times a day. After 4 days, he was discharged home with instruction to take oral acyclovir, 400 mg, 3 times daily, for 1 week. The day after discharge he noted diminished vision in the right eye. Visual acuity was 20/80 and there were 3+ cells in the anterior chamber. The right optic disk showed modest edema. Hourly prednisolone acetate 1% and atropine, twice daily, were administered topically. It was noted that cultures taken during hospitalization were negative. Over the subsequent 2 months, the corticosteroid was tapered. Visual acuity in the right eye returned to 20/20, and both iritis and optic disk swelling resolved. Three months after the initial presentation of herpes zoster opthalmicus, the child experienced pain and photophobia in the right eye. He was found to have keratitis, which consisted of several discrete mid stromal opacities that rapidly resolved with topical corticosteroids. The boy remained asymptomatic at 7 months after initial presentation. It was reported that the only lingering effect was a slight mydriasis of the right pupil which was improving. It was reported that incidences of both wild type varicella and vaccine associated varicella, leading to herpes zoster outbreaks after vaccination, had been reported, which made either source a possible origin of herpes zoster opthalmicus in this case. Additional information has been requested. A copy of the published article is attached as further documentation of the patients experience.
Sex: M
Vaccine: VARCEL
Symptoms: Dyspnoea, Hypoxia, Rash
Clinical narrative: Information has been received from a physician concerning an adult male with a history of chickenpox as a child who subsequently developed a rash over his anterior and posterior trunk and acute shortness of breath after daily exposure to patients who received a dose of varicella virus vaccine live. No treatment was given for the rash. EMS was called due to the patient's acute shortness of breath, for which he was treated with diphenhydramine HC1 (Benadryl) and oxygen. The patient was not hospitalized and was noted to be recovering. It was also noted the patient was not a recipient of the vaccine and did not directly administer the vaccine. The reporting physician considered the rash over anterior and posteriori trunk and acute shortness of breath to be immediately life-threatening. Additional information has been requested.
Sex: F
Vaccine: MMR
Symptoms: Abortion spontaneous, Injury, Unintended pregnancy
Clinical narrative: Information has been received regarding a case in litigation concerning a female who on 07-Jan-1994 was vaccinated with a dose of measles virus vaccine live (+) mumps virus vaccine live (+) rubella virus vaccine live. On an unspecified date, the woman became pregnant. It was not reported if the patient was pregnant on the date of vaccination. It was reported that the patient suffered injuries (not specified) and her "fetus suffered death." Intra-uterine death was considered to be an other important medical event (OMIC). No further information was provided.
Sex: F
Vaccine: PPV
Symptoms: Autoimmune disorder, Bronchiectasis, Complement factor abnormal, Globulins increased, Lung disorder
Clinical narrative: Hypergammaglobulinemia IgG-2 Subclass Deficiency and Recurrent Infections in Adults. Journal of Allergy Clinical Immunology 2006. Information has been reported in a published abstract article, title as stated above, concerning four patients in a study (three female, one male (WAES#0603USA00735) between the ages of 51-71 years who were vaccinated with pneumococcal 23v polysaccharide vaccine. All four patients had abnormal responses to pneumococcal 23v polysaccharide vaccine; one failed to respond to pneumococcal conjugate vaccine as well. There were four patients with hypergammaglobulinemia, IgG 2 subclass deficiency and a history of and/or frequent severe sinopulmonary infections. All four patients had normal responses to tetanus and diphtheria toxoids. Sinusitis was present in all; sinus surgery was required in two out of four patients. Bronchiectasis was present in two out of four patients. There was C4 hypocomplementemia in three out of four patients and autoimmune disease was present in three out of four patients. One patient had chronic lymphocytic leukemia. Two of three patients treated with IGIV had excellent responses. It was reported that the information provided was from the inpatient and outpatient consultation records of a single immunologist over a five year period (2000-2004). Upon internal review sinusitis was considered to be other medical event (OMIC). A copy of the published abstract is attached as further documentation of the patient's experience. No further information is available.
Sex: F
Vaccine: PPV
Symptoms: Lymphocytic leukaemia, Sinusitis
Clinical narrative: Hypergammaglobulinemia IgG-2 Subclass Deficiency and Recurrent Infections in Adults. Journal of Allergy Clinical Immunology 2006. Information has been reported in a published abstract article, title as stated above, concerning four patients in a study (three female, one male (WAES#0603USA00735) between the ages of 51-71 years who were vaccinated with pneumococcal 23v polysaccharide vaccine. All four patients had abnormal responses to pneumococcal 23v polysaccharide vaccine; one failed to respond to pneumococcal conjugate vaccine as well. There were four patients with hypergammaglobulinemia, IgG 2 subclass deficiency and a history of and/or frequent severe sinopulmonary infections. All four patients had normal responses to tetanus and diphtheria toxoids. Sinusitis was present in all; sinus surgery was required in two out of four patients. Bronchiectasis was present in two out of four patients. There was C4 hypocomplementemia in three out of four patients and autoimmune disease was present in three out of four patients. One patient had chronic lymphocytic leukemia. Two of three patients treated with IGIV had excellent responses. It was reported that the information provided was from the inpatient and outpatient consultation records of a single immunologist over a five year period (2000-2004). Upon internal review sinusitis was considered to be other medical event (OMIC). A copy of the published abstract is attached as further documentation of the patient's experience. No further information is available.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Hypokinesia, Injection site discolouration, Injection site erythema, Injection site oedema
Clinical narrative: Information has been received from a physician concerning a 67 year old male with osteoarthritis, rheumatoid arthritis, hypertension and hyperlipidemia and no known drug reactions/allergies, who on 28-Feb-2006 was vaccinated intramuscularly in the right deltoid with a 0.5 mL dose of PNEUMOVAX 23 (Lot #651320/1008P). Concomitant therapy included LOTREL, LIPITOR, aspirin, METAMUCIL, cod liver oil a multivitamin (unspecified). On 28-Feb-2006 the patient developed redness, swelling, and pain in right arm after receiving the injection there. The patient had decreased range of motion in right arm and unable to fully grip with right hand. It was reported that no fever was present. On the evening of 01-Mar-2006, the patient experienced shaking chills and red blanching rash over his right anterior chest & abdomen. The physician is treating the patient with oral tapering prednisone. The patient's present status was reported as recovering. No product quality complaint was involved. Redness in right arm, swelling in right arm, pain in right arm, decreased range of motion in right arm, unable to fully grip with right hand, shaking chills in the evening and red blanching rash over his right anterior chest & abdomen were considered to be disabling. Additional information has been requested.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pain, Rash, Tremor
Clinical narrative: Information has been received from a physician concerning a 67 year old male with osteoarthritis, rheumatoid arthritis, hypertension and hyperlipidemia and no known drug reactions/allergies, who on 28-Feb-2006 was vaccinated intramuscularly in the right deltoid with a 0.5 mL dose of PNEUMOVAX 23 (Lot #651320/1008P). Concomitant therapy included LOTREL, LIPITOR, aspirin, METAMUCIL, cod liver oil a multivitamin (unspecified). On 28-Feb-2006 the patient developed redness, swelling, and pain in right arm after receiving the injection there. The patient had decreased range of motion in right arm and unable to fully grip with right hand. It was reported that no fever was present. On the evening of 01-Mar-2006, the patient experienced shaking chills and red blanching rash over his right anterior chest & abdomen. The physician is treating the patient with oral tapering prednisone. The patient's present status was reported as recovering. No product quality complaint was involved. Redness in right arm, swelling in right arm, pain in right arm, decreased range of motion in right arm, unable to fully grip with right hand, shaking chills in the evening and red blanching rash over his right anterior chest & abdomen were considered to be disabling. Additional information has been requested.
Sex: M
Vaccine: PPV
Symptoms: Autoimmune disorder, Bronchiectasis, Drug ineffective, Immunoglobulins decreased, Leukaemia
Clinical narrative: Hypergammaglobulinemia IgG-2 Subclass Deficiency and Recurrent Infections in Adults. Journal of Allergy Clinical Immunology 2006.Information has been reported in a published abstract, title as stated above concerning four patients in a study (three female (WAES#0602USA05966), one male) between the ages of 51-71 years who were vaccinated with pneumococcal 23v polysaccharide vaccine. All four patients had abnormal responses to pneumococcal 23v polysaccharide vaccine vaccine; one failed to respond to pneumococcal 23v polysaccharide vaccine; one failed to respond to pneumococcal conjugate vaccine as well. There were four patients with hypergammaglobulinemia, IgG 2 subclass deficiency and a history of and/or frequent severe sinopulmonary infections. All four patients had normal responses to tetanus and diphtheria toxoids. Sinusitis was present in all; sinus surgery was required in two out of four patients. There was C4 hypocomplementemia in three out of four patients and autoimmune disease was present in three out of four patients. One patient had chronic lymphocytic leukemia. Two of three patients treated with IGIV had excellent responses. It was reported that the information provided was from the inpatient and outpatient consultation records of a single immunologist over a five year period (2000-2004). Upon review sinusitis was considered to be other medical event (OMIC). No further information is available. A copy of the abstract is attached as further documentation of the patient's experience.
Sex: M
Vaccine: PPV
Symptoms: Sinusitis
Clinical narrative: Hypergammaglobulinemia IgG-2 Subclass Deficiency and Recurrent Infections in Adults. Journal of Allergy Clinical Immunology 2006.Information has been reported in a published abstract, title as stated above concerning four patients in a study (three female (WAES#0602USA05966), one male) between the ages of 51-71 years who were vaccinated with pneumococcal 23v polysaccharide vaccine. All four patients had abnormal responses to pneumococcal 23v polysaccharide vaccine vaccine; one failed to respond to pneumococcal 23v polysaccharide vaccine; one failed to respond to pneumococcal conjugate vaccine as well. There were four patients with hypergammaglobulinemia, IgG 2 subclass deficiency and a history of and/or frequent severe sinopulmonary infections. All four patients had normal responses to tetanus and diphtheria toxoids. Sinusitis was present in all; sinus surgery was required in two out of four patients. There was C4 hypocomplementemia in three out of four patients and autoimmune disease was present in three out of four patients. One patient had chronic lymphocytic leukemia. Two of three patients treated with IGIV had excellent responses. It was reported that the information provided was from the inpatient and outpatient consultation records of a single immunologist over a five year period (2000-2004). Upon review sinusitis was considered to be other medical event (OMIC). No further information is available. A copy of the abstract is attached as further documentation of the patient's experience.
Age: 3.0
Sex: F
Vaccine: DTP, MMR, PNC
Symptoms: Injection site abscess, Swelling
Clinical narrative: Swelling of R thigh purulent drainage from wound.
Age: 38.0
Sex: M
Vaccine: FLUN3
Symptoms: Dehydration, Hypocalcaemia, Hypokalaemia, Hyponatraemia, Hypoxia
Clinical narrative: Pneumonia - Admitted to hospital 2/21/05 with hypoxemia and LLL pneumonia. Tx with tequin, rocephin, azithromycin, augmentin. Discharged 2/23/05. Influenza A & B - symptoms started > 5 days prior to hospitalization, so no antiviral rx. started. Discharge summary states hypokalemia dehydration. msv
Age: 38.0
Sex: M
Vaccine: FLUN3
Symptoms: Influenza like illness, Leukocytosis, Pneumonia
Clinical narrative: Pneumonia - Admitted to hospital 2/21/05 with hypoxemia and LLL pneumonia. Tx with tequin, rocephin, azithromycin, augmentin. Discharged 2/23/05. Influenza A & B - symptoms started > 5 days prior to hospitalization, so no antiviral rx. started. Discharge summary states hypokalemia dehydration. msv
Age: 27.0
Sex: M
Vaccine: HEPAB, JEV, RAB, TDAP
Symptoms: Asthenia, Dehydration, Encephalitis, Lethargy, Mental impairment
Clinical narrative: Generalized weakness, lethargy, syncopal episode-hospitalized 2/20/06 and 2/23/06. Treated with Medrol, Klonopin, Protonix, Zithromax. 3/16/06-Reviewed 4-page d/c summary and neuro consult. Discharge diagnoses were listed as encephalitis most likely secondary to vaccination reaction, altered mental status, and volume depletion. Patient was hydrated and treated with Medrol, Protonix (with Medrol), Klonopin HS x 1mo., and Zithromax TID for 4 days for possible URI. Symptoms initially noted by the patient that were not listed on the VAERS report include fatigue, dysesthesia of LUE and LLE, and intermittent blurred vision.
Age: 27.0
Sex: M
Vaccine: HEPAB, JEV, RAB, TDAP
Symptoms: Syncope
Clinical narrative: Generalized weakness, lethargy, syncopal episode-hospitalized 2/20/06 and 2/23/06. Treated with Medrol, Klonopin, Protonix, Zithromax. 3/16/06-Reviewed 4-page d/c summary and neuro consult. Discharge diagnoses were listed as encephalitis most likely secondary to vaccination reaction, altered mental status, and volume depletion. Patient was hydrated and treated with Medrol, Protonix (with Medrol), Klonopin HS x 1mo., and Zithromax TID for 4 days for possible URI. Symptoms initially noted by the patient that were not listed on the VAERS report include fatigue, dysesthesia of LUE and LLE, and intermittent blurred vision.
Age: 5.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: Large area of erythema at site of immunization L upper arm.
Age: 15.0
Sex: M
Vaccine: FLU3, HEPA, MNQ, TDAP, VARCEL
Symptoms: Chills, Dizziness, Eye swelling, Headache, Pyrexia
Clinical narrative: 2/16 11:30 a.m. shots received. 2/17 2 a.m. fever, chills, vomiting. Today with both eye swelling, HA, dizziness, decrease po. Pt arrived from out of the country 2 days ago. Pt temp 100.9, B/P 107/76, Pulse 127 done by MD.
Age: 15.0
Sex: M
Vaccine: FLU3, HEPA, MNQ, TDAP, VARCEL
Symptoms: Vomiting
Clinical narrative: 2/16 11:30 a.m. shots received. 2/17 2 a.m. fever, chills, vomiting. Today with both eye swelling, HA, dizziness, decrease po. Pt arrived from out of the country 2 days ago. Pt temp 100.9, B/P 107/76, Pulse 127 done by MD.
Age: 11.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Anaphylactic reaction, Lethargy, Pallor, Throat tightness
Clinical narrative: Anaphylactic reaction. BP 98-70, P 92. Pale, clammy, lethargic, throat constriction. Epi-Jr. 0.15mg given. 911 called. Taken to Hosp via rural metro ambulance.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash
Clinical narrative: Fluzone vaccine administered 1-25-06 a.m. 2:00 p.m. child started to itch from her head, chest, back and ears, Mother described it as a "slightly raised pink rash." Child is playing eating and sleeping but continues to scratch next day.
Age: 53.0
Sex: M
Vaccine: ANTH
Symptoms: Abdominal pain upper, Arthralgia, Depression, Disturbance in attention, Dizziness
Clinical narrative: Constant headache. feel pain in stomach, ache on joints and muscle, dizzy spell. Blood pressure - high, blood count - low white, concentration trouble, depression, digestive gastric ulcer, digestive problems. Fatigue and pain. Gastritis.
Age: 53.0
Sex: M
Vaccine: ANTH
Symptoms: Dyspepsia, Fatigue, Gastric ulcer, Gastritis, Headache
Clinical narrative: Constant headache. feel pain in stomach, ache on joints and muscle, dizzy spell. Blood pressure - high, blood count - low white, concentration trouble, depression, digestive gastric ulcer, digestive problems. Fatigue and pain. Gastritis.
Age: 53.0
Sex: M
Vaccine: ANTH
Symptoms: Hypertension, Myalgia, Pain, White blood cell count decreased
Clinical narrative: Constant headache. feel pain in stomach, ache on joints and muscle, dizzy spell. Blood pressure - high, blood count - low white, concentration trouble, depression, digestive gastric ulcer, digestive problems. Fatigue and pain. Gastritis.
Age: 23.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Amnesia, Arthralgia, Arthritis, Arthropathy, Fatigue
Clinical narrative: Suffers memory loss, to include short and long term, chronic fatigue, joint brittleness and pain, chronic arthritis.
Age: 61.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Arthralgia, Difficulty in walking, Eye pain, Influenza like illness, Rhinorrhoea
Clinical narrative: Caused "horrible pain" in knee joints affecting her gait. Had to have knee sockets drained. Also "aching pain" in eyes and eye sockets (flu like feeling) and sinuses have been affected with an increase in mucous and drainage.
Age: 20.0
Sex: F
Vaccine: SMALL
Symptoms: Skin depigmentation
Clinical narrative: Depigmented area on left arm post Smallpox vaccination on 06/04/2005.
Age: 47.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Chills, Face oedema, Headache, Lymphadenopathy
Clinical narrative: Swollen facial and neck glands, chills, headache, slight fever off and on, joint pain, scattered itching since Wednesday March 8th - resolving.
Age: 47.0
Sex: F
Vaccine: MMR
Symptoms: Pruritus, Pyrexia
Clinical narrative: Swollen facial and neck glands, chills, headache, slight fever off and on, joint pain, scattered itching since Wednesday March 8th - resolving.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Crying, Dyskinesia, Myalgia
Clinical narrative: Received shot and that night about 2 am woke up with extreme joint and muscle pain everywhere unable to stop the pain, it was so  extreme I was on the floor crying, My husband had to help me out of bed. This pain traveled throughout my body and I was unable to raise my arms from my side as well as my legs didn't work either all with lots of pain. My muscles jerk and some times have no energy to even stand up. My doctor ran every test there was to rule out Lupus, RA, Tumors and other stuff, all negative, he did say that he thought it to be Serum Poisoning. From the Perservative in the flu shot, Thimerosal. I have been so sick ever since. I have not worked, unable to clean my house or cook, watch my grand child, my life stopped, and I had to take drugs around the clock even writing every dose down so I would not over dose. Had to take Zoloft ( never took this before) Pain killer Ultram, IB 800mg. Plus many vitamins and detox, Chiropractors, accupucture, Lotions. I've spent alot of money to get this out of my body and get my life back, but they said it would take about 6 months and it has been 5 and I can finally think enough to write this down. I walked the floor at nights to just ease the pain so not much sleep I thought I was losing my mind. I'm still on the drugs but better then before. My mind forgets lots of things that happened I have to ask my family. This is something I will never do again, I will just have to die from the flu if thats the case, it would be quicker.
Age: 32.0
Sex: F
Vaccine: VARCEL
Symptoms: Fatigue, Malaise, Myalgia, Pruritus, Rash maculo-papular
Clinical narrative: Maculopapular lesions noted on:  right arm (vaccine given on left side), one lesion at injection site, 3 small lesions on back, 2 on neck.  Maliase, fatigue, muscle aches. Occasional itch from lesions.
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Anxiety, Chest pain, Feeling abnormal, Headache, Hypoaesthesia
Clinical narrative: Spoke with mother of client.  Client has had many problems after getting Menactra vaccine.  Mother believes all the problems her son has had are due to vaccine.  Son got shot on 8/9/05.  He had a mild HA on Dec 05.  1/1/06 he had another HA x3 days and very severe. He went to ER. 2 weeks later, he stated he felt strange. Like all the blood was rushing to his head and his head was going to explode. Back to ER for IV Toradol.  He had some mild to severe chest pain. Mid to late January.  He then had nodules on his lower inner lip.   Went to ER agian, 2/21/06, had severe chest pain and HA's. About 1 1/2 weeks ago, experienced needle like pins up and down his spine.  He has been to 3 neurologists and all tell parents it is anxiety.  He had had several EEGs, EKG, Stress Test. Cat Scans Blood work. and all come back within normal range.
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Skin nodule
Clinical narrative: Spoke with mother of client.  Client has had many problems after getting Menactra vaccine.  Mother believes all the problems her son has had are due to vaccine.  Son got shot on 8/9/05.  He had a mild HA on Dec 05.  1/1/06 he had another HA x3 days and very severe. He went to ER. 2 weeks later, he stated he felt strange. Like all the blood was rushing to his head and his head was going to explode. Back to ER for IV Toradol.  He had some mild to severe chest pain. Mid to late January.  He then had nodules on his lower inner lip.   Went to ER agian, 2/21/06, had severe chest pain and HA's. About 1 1/2 weeks ago, experienced needle like pins up and down his spine.  He has been to 3 neurologists and all tell parents it is anxiety.  He had had several EEGs, EKG, Stress Test. Cat Scans Blood work. and all come back within normal range.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion
Clinical narrative: REPORT FROM MOTHER STATES CHILD HAD CLONIC TYPE SEIZURES WHICH LASTED A REW SECONDS.  DUE TO OTHER MEDICAL PROBLEMS, MD REFERRED CHILD TO NEUROLOGIST.  MD CALLED DISTRICT OFFICE.
Age: 24.0
Sex: M
Vaccine: ANTH, FLUX, HEP, SMALL, TYP
Symptoms: Chest pain, Dehydration, Electrocardiogram abnormal, Enzyme abnormality, Hyperhidrosis
Clinical narrative: DEVELOPED ACUTE LEFT SIDED CHEST PAIN ON THE MORNING OF FEBRUARY 28, 2006. THE PATIENT WAS ASLEEP AT THE TIME THE PAIN DEVELOPED.  THE PAIN WAS ASSOCIATED WITH NAUSEA AND DIAPHORESIS BUT NO VOMITING. THE PATIENT WAS TAKEN TO SICK CALL BY THE SICK CALL VAN AND SEEN BY THE PHYSICIAN'S ASSISTANT.  THE PA REFERRED THE PATIENT IMMEDIATELY TO THE EMERGENCY ROOM FOR EVALUATION.  THE PATIENT WAS SEEN ON 2/27/06 FOR TONSILLITIS AND DEHYDRATION.  HE WAS TREATED IN THE THE CLINIC WITH A FEW LITERS OF IV FLUIDS AND IV BICILLIN WITH GOOD RESULTS.  THE PATIENT WAS FOUND TO HAVE AN ABNORMAL EKG WITH WIDESPREAD ST ELEVATION, RIGHT AXIS DEVIATION, CONSIDER PERICARDITIS.  HIS PAIN RESOLVED AFTER ONE SPRAY OF NITROGLYCERIN.  HIS OTHER LABS REVEALED ELEVATED CARDIAC ENZYMES AND TROPONIN. HE WAS ADMITTED TO THE TELEMETRY WARD FOR TREATMENT AND OBSERVATION.  THE PATIENT MADE GOOD PROGRESS AND WAS FOUND SUITABLE FOR DISCHARGE ON MARCH 2, 2006. 05/08/06--8 page medical record received. In addition, a completed VAERS form included as 2 page correspondence. LOS 2/28-3/2-DC DX-acute myopericarditis-with abnormal EKG (non specific ST depression, right axis deviation, widespread ST elevation, elevated cardiac enzymes (positive CPK and troponin and chest pain. HX of asthma. patient will receive permanent exemption status from future smallpox vaccination.
Age: 24.0
Sex: M
Vaccine: ANTH, FLUX, HEP, SMALL, TYP
Symptoms: Nausea, Pericarditis, Tonsillitis
Clinical narrative: DEVELOPED ACUTE LEFT SIDED CHEST PAIN ON THE MORNING OF FEBRUARY 28, 2006. THE PATIENT WAS ASLEEP AT THE TIME THE PAIN DEVELOPED.  THE PAIN WAS ASSOCIATED WITH NAUSEA AND DIAPHORESIS BUT NO VOMITING. THE PATIENT WAS TAKEN TO SICK CALL BY THE SICK CALL VAN AND SEEN BY THE PHYSICIAN'S ASSISTANT.  THE PA REFERRED THE PATIENT IMMEDIATELY TO THE EMERGENCY ROOM FOR EVALUATION.  THE PATIENT WAS SEEN ON 2/27/06 FOR TONSILLITIS AND DEHYDRATION.  HE WAS TREATED IN THE THE CLINIC WITH A FEW LITERS OF IV FLUIDS AND IV BICILLIN WITH GOOD RESULTS.  THE PATIENT WAS FOUND TO HAVE AN ABNORMAL EKG WITH WIDESPREAD ST ELEVATION, RIGHT AXIS DEVIATION, CONSIDER PERICARDITIS.  HIS PAIN RESOLVED AFTER ONE SPRAY OF NITROGLYCERIN.  HIS OTHER LABS REVEALED ELEVATED CARDIAC ENZYMES AND TROPONIN. HE WAS ADMITTED TO THE TELEMETRY WARD FOR TREATMENT AND OBSERVATION.  THE PATIENT MADE GOOD PROGRESS AND WAS FOUND SUITABLE FOR DISCHARGE ON MARCH 2, 2006. 05/08/06--8 page medical record received. In addition, a completed VAERS form included as 2 page correspondence. LOS 2/28-3/2-DC DX-acute myopericarditis-with abnormal EKG (non specific ST depression, right axis deviation, widespread ST elevation, elevated cardiac enzymes (positive CPK and troponin and chest pain. HX of asthma. patient will receive permanent exemption status from future smallpox vaccination.
Age: 78.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Headache, Nausea, Neck pain, Tachycardia
Clinical narrative: Tachycardia, weakness, Pain in arm vaccine administered radiating into head and neck, nausea.
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Chest pain, Pain
Clinical narrative: Received Tdap vaccine 2/10/06, 10-12 hours later had shooting pain in left arm.  Felt better next day.  Then Tuesday 2-14-06 had severe pain in fromt left armpit and chest. Has treated with ibuprofen and lidocaine patch. Call to doctor and told to continue as doing 2/21/06.
Age: 45.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Cough, Dyspnoea, Ear pain, Face oedema, Flushing
Clinical narrative: Aprox. 6 hrs after immunization, face, neck, throat were swollen - at 6pm face red, felt hot, coughed with difficulty breathing and lethargy.  Took excedrin or ibuprofen (can't recall) slept sitting up.  This lasted until 2/13/06 - had TB skin test read and discussed those evnts with nurse - continued with coughing, mucous, throat, ear pain and reconnected on 2/24/06 with nurse who submitted report.
Age: 45.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Lethargy, Pharyngeal oedema, Rhinorrhoea
Clinical narrative: Aprox. 6 hrs after immunization, face, neck, throat were swollen - at 6pm face red, felt hot, coughed with difficulty breathing and lethargy.  Took excedrin or ibuprofen (can't recall) slept sitting up.  This lasted until 2/13/06 - had TB skin test read and discussed those evnts with nurse - continued with coughing, mucous, throat, ear pain and reconnected on 2/24/06 with nurse who submitted report.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Rash, Swelling, Urticaria
Clinical narrative: Approx 2 min after vaccine pt became red-hives, sl swelling in area rash. No resp distress, no drooling.
Age: 51.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives upper body, under arms and back of her wrist. Very itchy.
Age: 0.73
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Eye disorder, Facial palsy, Hypokinesia
Clinical narrative: Left eye not fully open, left side face was droopy, left arm decreased use, left hand had less motion.
Age: 25.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Injection site induration, Myalgia, Rash, Swelling
Clinical narrative: Received shot on Fri left arm started to swell on Sat and turned red. Started out as small bump/big as thumb, now the size of baby's fist, sore and hard. Can't lay on arm.
Age: 1.01
Sex: F
Vaccine: MMR, PPV, VARCEL
Symptoms: Pyrexia, Rash papular, Skin ulcer
Clinical narrative: Papule pustule lesions on skin. Fever 101 for less than 24 hours. Duration at time of report.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Pain, Pruritus, Rash erythematous
Clinical narrative: Raised, red, itchy, hot area, on left deltoid beginning 03/01/2006, but resolving now to scattered redness, flat warm itching and pain.  No treatment.
Age: 1.02
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Rash papular
Clinical narrative: Varicella vaccine breakthrough.  Seen in office on 03/03/2006 and 03/06/2006 and diagnosed with Varicella.  Had 20 lesions- erythematous with no vesicles.  Rash dry with papules.  No fever.
Age: 30.0
Sex: M
Vaccine: MMR, TD
Symptoms: Pruritus
Clinical narrative: Generalized pruritus onset 24 hours after immunization persisting for 2 weeks.  Treated with Zyrtec for 7 days.
Age: 1.28
Sex: F
Vaccine: DTAP, HBHEPB, IPV, MMR, PNC, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Pt diagnosed with chickenpox 1 hour office on 3-8-2006. Pt received varicella vaccine through Public Health Dept on 4-11-2001. Started breaking out one week ago-too late to prescribe antiviral.
Age: 1.01
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Pt received varivax vaccine 5-17-04 has now been diagnosed with Chicken pox.
Age: 1.63
Sex: M
Vaccine: DTAP
Symptoms: Injection site hypersensitivity, Injection site induration
Clinical narrative: 5 in local redness and induration, no pain w/in 24 hrs.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Feeling hot, Injection site hypersensitivity, Injection site induration, Pruritus, Swelling
Clinical narrative: 18 cm area of redness and induration on L thigh w/swelling of L knee, itchy, warm, no pain. Ambulating okay.
Age: 1.95
Sex: M
Vaccine: HIBV
Symptoms: Urticaria
Clinical narrative: Hives that covered most of body.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC
Symptoms: Coordination abnormal, Fall, Irritability, Nystagmus
Clinical narrative: Sudden onset of Ataxia and episode of Nystagmus with irritability.  Nystagmus = horizontal + multivertical, lasting a few seconds.  Patient stopped cruising and starting falling on face when crawling.  Patient seemed more wobbly when standing supporting himself with his hands.  Irritability resolved after 10 approximately 10 days and Ataxia seems to be improving after 3 weeks.  Nystagmus is the same or worse 3 weeks later.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Anorexia, Crying, Insomnia, Irritability
Clinical narrative: After 4 months and 6 months vaccination, developed excessive crying, irritability, no sleep and appetite at 48 hours.  Lasted 5 days after 4 month vaccine and now 2 days after 6 month vaccine.  No fever, no vomiting, no seizure, no labor or PE evidence of infection.