chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.43
Sex: F
Vaccine: DTAPHEPBIP, DTAPHEPBIP
Symptoms: Pruritus, Urticaria
Clinical narrative: Urticaria (total body) erupted within 24 hours without other allergic manifestations. No other referable cause identified.
Age: 41.0
Sex: F
Vaccine: TD
Symptoms: Contusion, Injection site hypersensitivity, Pain
Clinical narrative: Site red and bruised with bump. Pt directed to use cool and warm compresses to the site. Also instructed to take Tylenol for pain. Follow up in office.
Age: 0.07
Sex: F
Vaccine: HEP, HEP
Symptoms: Decreased appetite, Lethargy
Clinical narrative: Very lethargic for week after hep B and Hypotonic - decreased feeding.
Age: 0.07
Sex: F
Vaccine: HEP, HEP
Symptoms: Congenital anomaly, Lethargy, Stridor
Clinical narrative: Very lethargic for week after hep B and Hypotonic - decreased feeding.
Age: 57.0
Sex: M
Vaccine: PPV
Symptoms: Injection site oedema, Injection site pain
Clinical narrative: Patient is a 57 year man admitted to the NHCU on 21/21/06 with bilateral stump wounds for antibiotics. He has past medical history of amputation, GERD, HTN, and ETOH dependence. While he was in the nursing home, he received pneumococcal vaccine on FEb.27,2006. And the very next day his deltoid muscle got swollen and was painful to touch. Few days later the symptom improved. Pt denied of having same reaction in the past. Pt never received any antihistamine for the swelling.
Age: 12.0
Sex: F
Vaccine: MNQ
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: L upper arm developed 17 cm x 12 cm area of swelling erythema and warmth. No treatment.
Age: 16.0
Sex: F
Vaccine: TDAP
Symptoms: Urticaria
Clinical narrative: Hives - Urticaria after 30 mins to be given.
Age: 53.0
Sex: F
Vaccine: TD
Symptoms: Headache, Myalgia, Pyrexia, Tenderness
Clinical narrative: Fever 101 degrees local soreness, headache, overall myalgias (No f/u /Temp Sxs). Still had tenderness @ site n 3/20/06.
Age: 0.36
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Pyrexia, Vomiting
Clinical narrative: 2 hours after vaccine - high fever, fever continues with vomiting. 7 hours after inconsolable, continues. Seen again 24 hours after vaccine, no treatment.
Age: 0.25
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Crying
Clinical narrative: Within 24 hrs uncontrollable cry overnight and was witness at the office. Tylenol 0.4 ml P.O given at the office.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Mom noticed adverse events on 3/16/06 at approximately 8 am. Left arm was warm to touch, red and swollen from shoulder to elbow. Mom called pediatrician and per pediatrician, Mom gave son Tylenol and an ice pack to put on his arm. At noon on 3/16/06 redness and swelling have decreased. Arm still warm to touch.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Tension
Clinical narrative: Left arm (whole) tense, red 1 day after DTAP.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: R arm with cellulitis at injection site.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: 24 hours post vaccination, infant developed fever of 103 degrees/Ax that lasted 12-24 hours. No other Sx.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site induration, Pruritus
Clinical narrative: Patient with increasing erythema (now 2 days post vaccine), itching, and warmth on R thigh. Per patient's mom area of redness has increased markedly since yesterday. 13 cm x 14cm Erythema plus induration at R thigh.
Age: 1.61
Sex: M
Vaccine: MMR
Symptoms: Pyrexia, Rash
Clinical narrative: 7 days post vaccination developed fever 1 day max 103 degrees/dx that lasted 36 hours and rash that lasted 3-4 days. Tx with Tylenol - All other children have the same reaction after MMR vaccination.
Age: 1.52
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Erythema, Oedema
Clinical narrative: L thigh redness, edema, red streaks minimal (per Mom). No fever, weakness. Local rxn only.
Age: 5.0
Sex: M
Vaccine: DTAPHEPBIP, MMR, PNC
Symptoms: Injection site hypersensitivity, Injection site warmth, Pyrexia
Clinical narrative: About 9 x 10 cm area of redness and warmth around injection site and fever to about 104 degrees F.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site discolouration, Sensation of pressure
Clinical narrative: L deltoid area with red 8 x 9 cm tear drop shaped; blanches with pressures; cutaneous.
Age: 1.42
Sex: M
Vaccine: DTAP, MMR, PNC
Symptoms: Unevaluable event
Clinical narrative: NONE STATED.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Tenderness
Clinical narrative: Upper arm red, warm, taut, tender 2 days after DTAP in L arm.  Omnicef 128 mg bid x 10d. Ibuprofen - warm moist soaks; sterile abscess. Recheck.
Age: 24.0
Sex: F
Vaccine: MMR
Symptoms: Pain, Pruritus, Rash, Rash papular, Skin burning sensation
Clinical narrative: Rash outbreak w/in 10 min of injection. No problems breathing at that time. Went to ER next day and c/o tightness in throat and itching all over body. Treated with Medrol and Decadron. Back to ER on 5-6-05 with only slight tightness in throat, but rash spread to palms and soles-papular rash with stinging, burning and sensitive skin to touch. Treated with EPO x2, Celestone and Zyrtec.
Age: 24.0
Sex: F
Vaccine: MMR
Symptoms: Throat tightness
Clinical narrative: Rash outbreak w/in 10 min of injection. No problems breathing at that time. Went to ER next day and c/o tightness in throat and itching all over body. Treated with Medrol and Decadron. Back to ER on 5-6-05 with only slight tightness in throat, but rash spread to palms and soles-papular rash with stinging, burning and sensitive skin to touch. Treated with EPO x2, Celestone and Zyrtec.
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Syncope
Clinical narrative: Pt receiving varicella vaccine. Seated through injection and felt fine. Walked up to front desk for follow up appt - sudden syncope - fell without injury. Woke, and steady heart rate and resp in 230 seconds. Fine to go home in 10 min.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Discomfort, Erythema, Feeling hot, Swelling
Clinical narrative: Pt presented for reading of TB skin test on Wed 3/13/06. Mother states she noticed redness and swelling rt deltoid area 3/13/06 at 9:00 am. States she thought child was bitten by ants and cleaned area with antimicrobial hand gel. Redness and swelling 34 mm X 31 mm rt deltoid. Site hot to touch. No difficulty with movement of arm. No c/o by child. Instructed mother to administer Benedryl oral and/or topical and tylenol for discomfort. Also instructed may apply cool compress. Advise if swelling worsens or child has any s/s wheezing or difficulty breathing take child to ER.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Discomfort, Erythema, Swelling
Clinical narrative: Pt presented for TB skin test reading Wed 3/15/06. Mother states she noticed swelling and rt deltoid redness 8:00 am 3/15/06 and thought child was bitten by ants. States cleaned arm with antimicrobial hand gel. Redness and swelling noted rt deltoid 50 mm + X 50 mm +. Hot to touch. Child able to use arm with no problem. Child running and playing. No c/o by child. Instructed mother to administer Benedryl oral topical and give tylenol prn for discomfort. Also instructed may apply cool compress. Advised if swelling worsens or child has any s/s of swelling or difficulty breathing take child to ER stat.
Age: 1.2
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Skin ulcer
Clinical narrative: Dx 3/4/06 with chickenpox with lesions on face, upper trunk and lower back. Tx tylenol 320 mg PO 4 hr PRN T > 101.0 benadryl 12.5 mg PO TID PRN calamine lotion
Age: 1.02
Sex: M
Vaccine: VARCEL
Symptoms: Pruritus, Rash, Skin ulcer
Clinical narrative: Rash, itching crusted lesions
Sex: M
Vaccine: VARCEL
Symptoms: Cough, Pyrexia, Rash
Clinical narrative: Patient seen for "pimply" rash, cough, and fevers in office.
Sex: F
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: Patient seen in office for rash spreading X 5 days. Rash starts ant pinpoint like, then grows to look like a sore
Age: 53.0
Sex: F
Vaccine: HEPA
Symptoms: Arthralgia, Malaise, Myalgia, Neuralgia, Pyrexia
Clinical narrative: Generalized malaise with fever (102.1 - 102.2 with Ibuprophen) Severe joint and nerve pain with muscle soreness.
Age: 28.0
Sex: F
Vaccine: TD
Symptoms: Chills, Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Swelling, erythema, induration of 40-50 mm; 36 hrs later was nauseated, chills, migraine; 48-72 hrs later "didn't feel good" area was hot, red, swollen with induration.  Reaction improved by 4th & 5th day when student returned to the clinic for other tests and asked about her arm. Physician evaluated and advised not to take further TD injections. Allergies include sulfa & Zithromax.
Age: 28.0
Sex: F
Vaccine: TD
Symptoms: Malaise, Migraine, Nausea
Clinical narrative: Swelling, erythema, induration of 40-50 mm; 36 hrs later was nauseated, chills, migraine; 48-72 hrs later "didn't feel good" area was hot, red, swollen with induration.  Reaction improved by 4th & 5th day when student returned to the clinic for other tests and asked about her arm. Physician evaluated and advised not to take further TD injections. Allergies include sulfa & Zithromax.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Vaccine given 3/17/06. Child returned to office 3/19/06 with 3-4 inch area of redness surrounding injection site. Area warm to touch per triage RN report.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Pt reported to office 3 days after vaccines given. Approx 4 X 6 area of redness, warmth, and tenderness at site of DTaP and IPV.
Age: 66.0
Sex: F
Vaccine: RAB, YF
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Three days post vaccination of yellow fever patient had very redness, heat, and tenderness at the site of vaccination. Symptoms lasted for 3-4 days.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site induration, Pain
Clinical narrative: Vaccine administered 3/14/06.  On 3/15/06 morning parents report that she had redness and pain in her Left arm.  By the following day redness had spread from shoulder to elbow in Right arm.  Arm was hot and hard to touch.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Mom contacted office stating that her daugher had a local reaction from her vaccinations on 3/20/2006. She states that her right deltoid was red and swollen. Mom states child has no fever at present. Mom stated that she noticed the child's arm this morning. Child does not complain of severe pain at this time. The child's mother was encouoraged to give her Motrin for the swelling. Will follow-up with patient in 3 days.
Age: 35.0
Sex: F
Vaccine: HEP, HEPA, IPV, TD, TYP
Symptoms: Asthenia, CSF test abnormal, Chills, Clumsiness, Encephalopathy
Clinical narrative: On Feb 22nd patient received the vaccines listed below prior to travel overseas. She experienced some fever/chills and on the evening of the 25th developed numbness in her tongue. She awoke on the 26th with pain and numbness in her distal fingertips (bilaterally) and developed numbness on her cheek. She was seen by her primary MD due to numbness in her R arm. She was referred to ER and later admitted on the 27th. She recieved and MRI/MRA of brain. Her MRI showed small areas of focal ischemic changes (>20). MRA was normal. She was seen by Neurology and Rheumatology. She had an apparently extensive Rheum evaluation which was significant for several findings - most notable an elevated SSA (>1500) with some concern for Sjogren's Syndrome raised - evaluation in progress at time of report. Differential includes vaccine associated Acute Disseminated Encephalomyelitis (ADEM). Current treatment includes a tapering course of steroids and the patients symptoms appear to be resolving. Discharge summary states ADEM, dis-co-ordination. msv Medical records states asthenia. msv
Age: 35.0
Sex: F
Vaccine: HEP, HEPA, IPV, TD, TYP
Symptoms: Eosinophilia, Hypoaesthesia, Hypoaesthesia oral, Laboratory test abnormal, Pain
Clinical narrative: On Feb 22nd patient received the vaccines listed below prior to travel overseas. She experienced some fever/chills and on the evening of the 25th developed numbness in her tongue. She awoke on the 26th with pain and numbness in her distal fingertips (bilaterally) and developed numbness on her cheek. She was seen by her primary MD due to numbness in her R arm. She was referred to ER and later admitted on the 27th. She recieved and MRI/MRA of brain. Her MRI showed small areas of focal ischemic changes (>20). MRA was normal. She was seen by Neurology and Rheumatology. She had an apparently extensive Rheum evaluation which was significant for several findings - most notable an elevated SSA (>1500) with some concern for Sjogren's Syndrome raised - evaluation in progress at time of report. Differential includes vaccine associated Acute Disseminated Encephalomyelitis (ADEM). Current treatment includes a tapering course of steroids and the patients symptoms appear to be resolving. Discharge summary states ADEM, dis-co-ordination. msv Medical records states asthenia. msv
Age: 35.0
Sex: F
Vaccine: HEP, HEPA, IPV, TD, TYP
Symptoms: Pyrexia
Clinical narrative: On Feb 22nd patient received the vaccines listed below prior to travel overseas. She experienced some fever/chills and on the evening of the 25th developed numbness in her tongue. She awoke on the 26th with pain and numbness in her distal fingertips (bilaterally) and developed numbness on her cheek. She was seen by her primary MD due to numbness in her R arm. She was referred to ER and later admitted on the 27th. She recieved and MRI/MRA of brain. Her MRI showed small areas of focal ischemic changes (>20). MRA was normal. She was seen by Neurology and Rheumatology. She had an apparently extensive Rheum evaluation which was significant for several findings - most notable an elevated SSA (>1500) with some concern for Sjogren's Syndrome raised - evaluation in progress at time of report. Differential includes vaccine associated Acute Disseminated Encephalomyelitis (ADEM). Current treatment includes a tapering course of steroids and the patients symptoms appear to be resolving. Discharge summary states ADEM, dis-co-ordination. msv Medical records states asthenia. msv
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Medication error
Clinical narrative: This case was reported by a nurse and described a 55 year old female subject who was inadvertently vaccinated with influenza virus vaccine (Fluarix) for prophylaxis. Medical history included diabetes and "one-half pack a day" smoker. On an unspecified date in November 2005, the subject received an injection of influenza virus vaccine (unknown manufacturer). On 06 February 2006 the subject inadvertently received a dose of Fluarix (lot AFLUA132EA). This represents 2 separate immunizations for influenza in the same flu season. It is recommended to administer one dose of Fluarix annually. On 07 February 2006, the subject experience arm pain and arm redness. The events resolved on 27 February 2006. The nurse consider the events to require intervention or to jeopardize the subject. The nurse consider the arm pain and redness to not be related to vaccination with Fluarix.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site reaction, Medication error
Clinical narrative: This case was reported by a nurse and described the occurrence of cellulitis of leg in a 4 yr old female subject who was vaccinated with diphtheria and tetanus toxoids and acellular pertussis adsorbed, hep B recombinant and inactivated poliovirus vaccine combined (Pediarix) for prophylaxis. There were no concurrent medications. On 23Feb06 at 2:08PM, the subject received a dose of Pediarix in the left thigh (lot AC21B051AA). The nurse reported that this was the 1st dose of Pediarix, but this was the 5th dose in the diphtheria and tetanus toxoids and acellular pertussis vaccination series. Pediarix is only recommended for the first three doses in the diphtheria and tetanus toxoids and acellular pertussis vaccination series. On 24Feb06, in the morning, approx 1 day after vaccination with Pediarix, the subject experienced cellulitis of the leg, large wheal and erythema of leg, and swelling of the leg. The subject was seen at a physician's office and was treated with antibiotics. The events resolved on 25Feb06. The nurse considered the events to possibly be related to vaccination with Pediarix.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Urticaria
Clinical narrative: This case was reported by a nurse and described the occurrence of cellulitis of leg in a 4 yr old female subject who was vaccinated with diphtheria and tetanus toxoids and acellular pertussis adsorbed, hep B recombinant and inactivated poliovirus vaccine combined (Pediarix) for prophylaxis. There were no concurrent medications. On 23Feb06 at 2:08PM, the subject received a dose of Pediarix in the left thigh (lot AC21B051AA). The nurse reported that this was the 1st dose of Pediarix, but this was the 5th dose in the diphtheria and tetanus toxoids and acellular pertussis vaccination series. Pediarix is only recommended for the first three doses in the diphtheria and tetanus toxoids and acellular pertussis vaccination series. On 24Feb06, in the morning, approx 1 day after vaccination with Pediarix, the subject experienced cellulitis of the leg, large wheal and erythema of leg, and swelling of the leg. The subject was seen at a physician's office and was treated with antibiotics. The events resolved on 25Feb06. The nurse considered the events to possibly be related to vaccination with Pediarix.
Age: 1.4
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Coordination abnormal, Encephalitis, Encephalopathy, Hypokinesia, Irritability
Clinical narrative: Received MMR vaccine and Varivax vaccine on 3/4/06. Seen in the office 3/16/06 with fever and falling to one side. Has lost motor skills. Admitted to Hospital and transferred to another Hospital for tertiary care. Dx: Disseminated encephalomyelitis. 4/5/06 Other Correspondence  Add "very irritable" since hospital d/c. 4/28/06 Review of 16-page medical record (ER record) from intial facility. Final diagnosis was ataxia. Transferred to another hospital. Also reviewed d/c summary and confirmed ADEM by MRI on 3/17/06.
Age: 1.4
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Loss of consciousness, Pyrexia
Clinical narrative: Received MMR vaccine and Varivax vaccine on 3/4/06. Seen in the office 3/16/06 with fever and falling to one side. Has lost motor skills. Admitted to Hospital and transferred to another Hospital for tertiary care. Dx: Disseminated encephalomyelitis. 4/5/06 Other Correspondence  Add "very irritable" since hospital d/c. 4/28/06 Review of 16-page medical record (ER record) from intial facility. Final diagnosis was ataxia. Transferred to another hospital. Also reviewed d/c summary and confirmed ADEM by MRI on 3/17/06.
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Feeling hot, Inflammation, Injection site reaction, Pruritus, Rash erythematous
Clinical narrative: Hive like reaction, inflammation, red, warm to touch, raised bumps, itchy. RA inner hive circle 1 1/2" length and width, outer circle 3" width 6" length. LA 3 3/4" length, 4" width. Treatment Prednisone 5mg or 10mg x 4 days.
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Urticaria
Clinical narrative: Hive like reaction, inflammation, red, warm to touch, raised bumps, itchy. RA inner hive circle 1 1/2" length and width, outer circle 3" width 6" length. LA 3 3/4" length, 4" width. Treatment Prednisone 5mg or 10mg x 4 days.
Age: 0.36
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Injection site hypersensitivity, Injection site induration, Injection site oedema
Clinical narrative: Local reaction occurred as soon as vaccine given redness, swelling. Pt has a 1cm knotted area on left thigh outer according to mom better was bigger before. Prev vaccines no site charted so can't identify what vaccine given on that thigh. Script of Benadryl given.
Age: 1.34
Sex: M
Vaccine: DTAPHEPBIP, HEP, PNC
Symptoms: Medication error
Clinical narrative: Misadministration of hepatitis B vaccine child received two doses on same day. No symptoms reported.
Age: 1.5
Sex: M
Vaccine: HEPA, HEPA
Symptoms: Decreased appetite, Pyrexia, Rash, Urticaria
Clinical narrative: 03/16/06-03/17/06 with high fever 102 Sunday pt woke up with hive like rash predominately in groin and lower torso area. Fever broke Friday. Pt also presented with poor appetite.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, HEPA, HIBV, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site induration, Injection site reaction, Injection site vesicles, Injection site warmth
Clinical narrative: Child received IPV vaccine in lower left arm, developed redness, warmth, induration the next day, developed blistering on the 3rd day. Mom treated with Keflex, Motrin reduced in 1 week.
Age: 58.0
Sex: F
Vaccine: TD
Symptoms: Amnesia, Asthenia, Influenza like illness, Injection site reaction, Nervous system disorder
Clinical narrative: Pt received DT booster and had local reaction. Followed by flu like illness. Later had multiple neurological symptoms. Per 60 day follow up: Recipeint has not recovered, has decreased memory, mentation, generalized weakness consistent with encephalopathy. Patient is to be referred to immunologist by her neurologist.
Age: 58.0
Sex: F
Vaccine: TD
Symptoms: Nuclear magnetic resonance imaging brain abnormal
Clinical narrative: Pt received DT booster and had local reaction. Followed by flu like illness. Later had multiple neurological symptoms. Per 60 day follow up: Recipeint has not recovered, has decreased memory, mentation, generalized weakness consistent with encephalopathy. Patient is to be referred to immunologist by her neurologist.
Age: 3.0
Sex: M
Vaccine: DTPHIB, HIBV, IPV, MMR
Symptoms: Abnormal behaviour, Agitation, Anxiety, Crying, Restlessness
Clinical narrative: After shots, symptoms was fear, restlessness, crying, staying to himself, staring at his hands as though he was in another world, had no sense of danger, he stop speaking in sentences and stared to stay one word than he started repeating what he heard. Also he had problem speaking ETC.
Age: 3.0
Sex: M
Vaccine: DTPHIB, HIBV, IPV, MMR
Symptoms: Social avoidant behaviour, Speech disorder, Staring
Clinical narrative: After shots, symptoms was fear, restlessness, crying, staying to himself, staring at his hands as though he was in another world, had no sense of danger, he stop speaking in sentences and stared to stay one word than he started repeating what he heard. Also he had problem speaking ETC.
Age: 8.0
Sex: U
Vaccine: TDAP
Symptoms: Balance disorder, Cold sweat, Hearing impaired, Pallor, Syncope
Clinical narrative: A 17 year old (gender not reported) had the first IM injection of Adacel, lot number C2152AA, in the right deltoid on 24Jan06. Five to ten minutes later, the pt experienced a possible syncopal episode. The pt was pale and clammy but was fully responsive with no loss of consciousness during the episode. Per the reporter, the pt also has neurosensory hearing loss and possible disturbance in equilibrium. An EKG and blood work was completed (date and results not reported. The pt had recovered from these events at the time of this vaccination.
Age: 14.0
Sex: M
Vaccine: TDAP
Symptoms: Dizziness, Feeling hot, Nausea
Clinical narrative: A 13 yr old male pt was hot, dizzy, nauseated and his hands and legs were stiff immediately after receiving the injection of Adacel and Tubersol on 23Nov05. Lot numbers, route and site of administration not reported. The reporter is the pt's parent. The pt had no illness at the time of vaccination. Treatment received not reported. Per the parent, the pt recovered.
Age: 14.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Asthenia, Sensation of heaviness
Clinical narrative: A 14 yr old female pt had received an administration (route and site not reported) of Menactra (lot number not reported) and administration (route and site not reported) of Adacel (lot number not reported) on an unspecified date. Approx one week later she experienced weakness and heaviness in her arms. Per the reporter, the pt had recovered from this event at the time of this report.
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Drug toxicity
Clinical narrative: This case was considered medically important (OMIC). Information regarding Hib-Titer Vaccine (haemophilus B conjugate vaccine (diphtheria crm197 protein conjugate) injection) was received from a consumer regarding a male patient who experienced high mercury reading in blood. The patient received the third dose on unspecified date. Relevant medical history was not provided. Indication for Hib-Titer Vaccine was immunization. Product was administered on an unspecified date. Dose regimen was not provided. Additional suspect medication included Diphtheria/Tetanus Toxoids/Acellular Pertussis Vaccine (diphtheria/tetanus toxoid/acellular pertussis vaccine) (Acel Immune) 3 doses. Concomitant medications were not reported. The patient experienced high mercury reading in blood (metal poisoning). No additional information was available at the time of this report. The reporter decline to grant permission for follow-up investigation.
Age: 1.02
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Coma, Convulsion, Eye movement disorder, Pyrexia, Torticollis
Clinical narrative: Pt was with family, room/ambient air was uncomfortably warm for all. Approx 8pm, pt noted to be shaking all over, eyes rolled back in head, moving head back and forth unresponsive. Called 911, temp 104. Seizure lasted about 30 seconds, pt in a daze x 10 minutes afterward. Taken to hospital ED for evaluation. No specific source identified for this simple febrile seizure. Pt recovered in ED w/o incident.
Age: 1.02
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Tremor
Clinical narrative: Pt was with family, room/ambient air was uncomfortably warm for all. Approx 8pm, pt noted to be shaking all over, eyes rolled back in head, moving head back and forth unresponsive. Called 911, temp 104. Seizure lasted about 30 seconds, pt in a daze x 10 minutes afterward. Taken to hospital ED for evaluation. No specific source identified for this simple febrile seizure. Pt recovered in ED w/o incident.
Age: 57.0
Sex: F
Vaccine: MMR
Symptoms: Lymphadenopathy, Rash
Clinical narrative: 3/14/2006 Rash upper trunk, occipital adenopathy.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Dyspnoea, Eye oedema, Oedema, Urticaria
Clinical narrative: Received DTaP 07/16/2002, hives occurred next day. Swelling noted on 2nd day post immunization eyes swollen, difficulty with breathing, taken to ER MD stated to give Benadryl. GND gave him shot.
Age: 49.0
Sex: F
Vaccine: MMR, TD
Symptoms: Headache, Injection site oedema, Oedema, Skin burning sensation, Skin nodule
Clinical narrative: Headache Started about 6pm 03/10/2006 after receiving MMR and Adult TD vaccine at 10:30am. Felt burning sensation left neck. Woke 3/11/06 with edema, nodule left neck, noted edema at injection site.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site induration, Injection site oedema, Muscle haemorrhage
Clinical narrative: Right Thigh with Significant swelling, induration, measuring 1.5cm larger than left thigh in circumference from upper thigh to supra patella area. Suspect muscular hematoma developed about 24 hour post injection.
Age: 59.0
Sex: M
Vaccine: RAB
Symptoms: Face oedema, Paraesthesia, Pyrexia
Clinical narrative: Patient came in for rabies injection #3, had injection #2 on 3/10/2006 lips swollen, states he ran low grade, fever after 3/10/06 and developed swollen lips and fingers tingling on 3/13/06 pm.
Age: 16.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site oedema, Injection site pain, Nausea, Pyrexia
Clinical narrative: Nausea, arm swollen and sore. Temp 100.7 in physicians office. TX Compazine 10 mg, ice to arm.
Age: 1.01
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Injection site hypersensitivity, Injection site induration, Injection site oedema, Injection site swelling, Rash papular
Clinical narrative: Right leg 3 raised blanched papules appeared with 1 cm below MMR injection sight 4 minutes (1556) after injection, cold pack applied, 1610 blanched papules merged to form one, 3x4 cm red induration encompassing MMR and Varicella sights, Left legs redness or induration. Plan continue cold pack to right thigh hr x 15 until bedtime, f/u call at 1710. 1720 RN called, Mom reported hardly any redness, swelling remain after 2nd ice pack. 3/14/06 RN called mom. Mom stated no redness, no swelling, no firmness at right or left leg injection sites, only the little specks where the needles entered legs.
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Malaise, Nausea
Clinical narrative: Noted malaise, fever 101, nausea and vomit x 1, 12 hours after vaccine. Also red quarter sized swelling over injection site that progressively grew to 12cm at 72 hours at injection. Persistent fever 100-102.1 with Tylenol. Painful left upper arm injection site.
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Vomiting
Clinical narrative: Noted malaise, fever 101, nausea and vomit x 1, 12 hours after vaccine. Also red quarter sized swelling over injection site that progressively grew to 12cm at 72 hours at injection. Persistent fever 100-102.1 with Tylenol. Painful left upper arm injection site.
Age: 1.17
Sex: F
Vaccine: DTAP, HBHEPB, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Fever of 103 - onset 3/16/06 low grade - 3/17/06 fever 102-103- Seen CMHS - Rash 3/18 and 3/19 fever continue > 102 - Rash onset 3/18-
Age: 26.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Injection site urticaria, Pruritus, Rash
Clinical narrative: PT WAS ADMINISTERED ANTHRAX #4 VACCINATION ON 20 MARCH 06. APPX. 24 HRS LATER HE PRESENTED TO THE CLINIC STATING THAT HIS ARM WAS ITCHING SO HE TOOK HIS SHIRT OFF TO LOOK AT HIS ARM AND NOTICED A RASH. THE PATIENT DID HAVE VISIBLE URTICARIA FROM THE VACCINATION SITE (R ARM) TO ABOUT 2" BELOW THE ELBOW MEASURING ABOUT 12X28 CM. HE ALSO HAD A SMALL RASH ON THE LEFT ELBOW. PT WAS TREATED WITH ATARAX AND PREDISONE AND WAS ASKED TO RETURN TO THE CLINIC ON 22 MAR 06 AT 0630 FOR RE-EVALUATION. PT PRESENTED TO THE CLINIC ON 22 MARCH 06 WITH RASH COMPLETELY GONE. PT STATED THAT AFTER HE GOT HOME FROM THE CLINIC ON 21 MAR 06 THAT THE RASH HAD SPREAD TO HIS LEGS AS WELL.
Age: 27.0
Sex: F
Vaccine: ANTH
Symptoms: Oedema peripheral, Pruritus
Clinical narrative: Approximately 24 hours after receiving AVA dose #2 patient developed swelling of right arm from elbow to shoulder with itching.  Denies pain.  Full range of motion present.  Patient advised to take Benadryl and/or NSAIDS for relief.
Age: 15.0
Sex: M
Vaccine: HEP, HEPA, IPV, MMR
Symptoms: Cold sweat, Loss of consciousness, Musculoskeletal stiffness, Nausea, Pallor
Clinical narrative: As I was administering the last immunization of 4 immunizations, the client closed his eyes and lowered his head and slumped in the chair. His body stiffened and he straightened in the chair and started sliding to the floor. His mother and I helped him gently to the floor in a sitting postion holding him upright as he had lost consciousness. His mother and I told him to breathe deeply, and I was lightly tapping his cheeks to stimulate him to wake up. He started to regain consciousness and we helped him back into the chair. He started to breath deeply as instructed, and said he felt better and started to get up to walk away. He was told to sit in the chair and I got his blood pressure and checked his pulse. His pulse was weak and irreglar at 45. Skin was cold and clammy and his face lost color and was pale. His BP=85/45 at 09:45. I asked his mother if she would like me to call EMS and she said no she would take him to hiw own doctor to be checked. The client stated that he "lost it", "everything went black" and he didn't remember anything. At present he just felt nauseated. The client stated feeling bad when he got the third shot which was the polio shot. He said he felt allright until the 3rd shot. The client said it never happened to him before and his mother said he never had this reaction before. At 0950 his BP=89/75 and pulse=62. At 10:00 his BP=92/62 and pulse=62. He told me he was feeling much better. Client was answering questions appropriately and acting appropriately. He denied being nauseated. I encouraged fluids and asked the mother again if she would like me to call EMS and have him transported to the hospital. The mother told me she was going to take him to his doctor to have him checked out. He got up and was walking normally and color returned to his face and he left the clinic without any problems or complaints.
Age: 70.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Unevaluable event
Clinical narrative: No adverse events &/or treatment necessary.
Age: 70.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Medication error
Clinical narrative: No adverse events &/or treatment necessary.
Age: 70.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Unevaluable event
Clinical narrative: Vaccination given in error pt age 70.  No adverse events and/or treatment necessary.
Age: 70.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Medication error
Clinical narrative: Vaccination given in error pt age 70.  No adverse events and/or treatment necessary.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Folliculitis, Lymphadenopathy
Clinical narrative: Vigorous take with axillary adenopathy and numerous follicular based pustular lesions mainly present on neck and trunk 12 days post smallpox vaccination.  Patient afebrile and not systemically ill.
Age: 34.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Hypokinesia, Injection site pain, Pain, Pyrexia
Clinical narrative: Sore arm around injection site shortly after shot. Soreness continued but diminished through 3/22/2006. Limited movement of arm from 3/16/2006 to 3/20/2006.  Redness of the bicep area.  103 degree fever 3/17 - 3/19/2006,  101 degree  3/19 - 3/20/2006.
Age: 33.0
Sex: F
Vaccine: TD
Symptoms: Injection site pain
Clinical narrative: Patient reports severe pain in left arm originating at the site of injection and shooting pains traveling down left arm from original site of injection.  Denies redness or swelling.  This started at about 2:00 a.m. on this date.  Patient is taking ibuprofen every 4-6 hours.  Mild relief obtained from this.  Patient told to apply cold compresses to arm and to contact her physician if no relief is felt by tomorrow morning.
Age: 4.0
Sex: F
Vaccine: IPV, MMR
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling
Clinical narrative: RECEIVED DTAP IN LEFT DELTOID ON 3/20/06.  ON 3/22/06 DEVELOPED SEVERE LOCAL REACTION-4"X4.5" AREA OF REDNESS AND EDEMA AT SITE. TREATED WITH LOCOID LIPOCREAM.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Angioneurotic oedema, Face oedema
Clinical narrative: Pt developed acute angioedema, facial and perioral with 2 hours of receiving vaccines listed below; given oral Benadryl at home, seen by me in the ER and given prescription for Prednisone, took Benadryl for the next 24 hours and one dose of the Prednisone.  Motrin was taken right after the immunizations and is the possible culprit
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Swelling
Clinical narrative: Patient had swelling of left knee per MD, notified by MD to put warm compress for swelling.
Age: 5.0
Sex: F
Vaccine: DTAPH, PNC, VARCEL
Symptoms: Rash, Viral infection
Clinical narrative: Patient developed varicella 5 days after vaccination. Treated with Acyclovir.
Age: 24.0
Sex: M
Vaccine: HEP, JEV
Symptoms: Anxiety, Dysgeusia, Dysphagia, Hyperhidrosis
Clinical narrative: Pt. came into Immunization Clinic on Mon., 13 Mar 06 at 1340 to continue immunizations for himself and his family in preparation for their move in May 2006.  Patient had been given VIS handouts on Hepatitis B and Japanese Encephalitis. He denied any allergies to foods, drugs, latex or environment, denied being ill or running a fever of 100.4F for the last 5 days, denied taking any medications prescribed or over the counter on a daily basis, denied any reactions of any type to any previous immunizations, denied any surgical procedure within the last 4 weeks, denied being given any blood products in the last 90 days.  Pt denied any discomfort.  Pt. instructed on our local protocol of waiting a minimum of 30 min. and reporting any signs of dyspnea, itching, difficulty swallowing, "feeling funny", nausea or abd. pain after JEV was given.  Pt. given Hep B #2 and JEV #1 at 1344.  At 1408 complained of feeling anxious, "funny taste" in his mouth and difficulty swallowing.  Pt ambulated with assistance to Immunization treatment room-stable on feet-Alert Oriented X3, color pink, skin warm, moist, perspiring.  Anaphylaxis protocal started.  Dr called--VS BP 142/88 AP 110 reg. Resp 28 clear @ bases, equal no wheezing, rales or rhonchi noted SAo2 99% Temp 97.1F via ear probe  Epinepherine 1:1000 0.3 mgm given via epi-pen in rt. lateral thigh at 1409 by R.N. Oxygen via mask @ 8L/min. started. Pt head of bed elevated 45 degrees.  1410 Dr. here and examined patient. Benadryl 50 mgm IM in RIC per M.D. order by R.N.  Pt vital signs monitored every 5 min. X30 min, then every 15 min X 60 min.,then every 30 min x2. Vital Signs remained stable-SAo2 remained between 97% and 99%. Pt stated swallowing much better at 1430.  Color pink -skin warm and dry VS B.P. 140/76 AP 80 reg. Resp 24 clear at bases equal--no wheezing rales or rhonchi noted. Swallowing sips of water without difficulty SAo2 98% O2 discontinued. Solu-Medrol 125 mgm IM in LIC at 1440 per M.D. order by R.N.  1500--Pt stated he felt great but a little sleepy--Denied any dyspnea or dysphagia SAo2 remain at 97% to 98% on room air.  Pt playing game boy- Alert orient X3-Color pink- Skin warm and dry.  Pt monitored and observed until 1600.  Dr again examined patient at 1515 and gave patient and his wife discharge instructions on medications Benadryl 25 mgm by os every 6 hours x 11 days, Prednisone 20 mgm by mouth every 8 hours x 5 days.  Epi Pen 1:1000 0.3 mgm to be administered by patient if he has any dysphagia, dyspnea, rash hives and to get to hospital E.R. if these symptoms should occur.  Pt instructed on use of Epi-Pen with return demo. by patient by R.N.  Pt up to B.R. with assistance at 1555 steady gait-voided quantity sufficient without apparent difficulty VS T. 97.2F-B.P. 124/72, A.P. 64 reg., Resp 20 clear to ausculatation SAo2 98%.  Pt taking fluids without difficulty.  Pt has follow up appointment with M.D. Fri. 17 Mar 2006. Pt instucted on the importance of not taking JEV again. Talked with patient via phone on Wed. 15 Mar. 2006 and he stated he was feeling great-no problems.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Chills, Convulsion, Tremor
Clinical narrative: About 2 weeks after the vaccination  [DTaP, Polio, Hep B, HiB, Pneumococcal], he developed a sudden shivering / shaking / convulsion of his almost whole body, [head, limbs etc] for a few seconds [less than 10seconds], once or twice a day for about 7 days now. [Dont know if he has this convulsion more often when we are not noticing]
Age: 43.0
Sex: F
Vaccine: HEPAB, PPV
Symptoms: Injection site swelling
Clinical narrative: Arm swollen at injection site X 4 days. Resolved without medical treatment.
Age: 33.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Skin irritation
Clinical narrative: Injection site irritated day following injection. On exam (3/17/06). Erythema from elbow to mid-bicep. Treated with cephalexin 500 mg qid 7-10d.
Age: 0.16
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Hypokinesia, Pallor, Somnolence
Clinical narrative: After given shots, patient became pale and not moving or crying in 2-5 mins. Color came back after 5 mins but very sleepy and no crying still. After 10-15 mins was more alert but still moving slowly. When left was a bit more alert and ok.  EG
Age: 18.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Rash, Urticaria
Clinical narrative: Received Hepatitis A vaccine 2/23/06. Started oral typhoid vaccine on 2/24/06. Afternoon of  2/26/06 developed slightly tender hive like rash on face. No other symptoms. Called to clinic (telephone help line) 2/26/06. Told to hold oral typhoid vaccine, increase fluids, benadryl or claritan over the counter as needed.
Age: 1.01
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Skin ulcer
Clinical narrative: Fever 100.2 Discrete erythematous vesicular papular lesions Dx: varicella Tx:: Atarax
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash macular, Rash papular
Clinical narrative: Widespread >50 papules/macules, vesicles. Dx: varicella Tx: acyclovir, atarax
Age: 1.02
Sex: F
Vaccine: MMR, PPV, VARCEL
Symptoms: Blister, Rash macular, Rash papular
Clinical narrative: Widespread >30 papules/macules, vesicles. Dx: Varicella Tx: Symptomatic
Age: 1.09
Sex: M
Vaccine: HEP, MMR, VARCEL
Symptoms: Rash macular, Rash papular
Clinical narrative: widespread >30 papules/macules DX: Varicella TX: Symptomatic
Age: 1.03
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Blister, Viral infection
Clinical narrative: Widespread vesicles DX: Varicella TX: Acyclovir
Age: 1.01
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash vesicular, Viral infection
Clinical narrative: Widespread vesicles. Dx: varicella. Tx: Acyclovir.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pruritus, Rash erythematous, Rash vesicular, Viral infection
Clinical narrative: Itchy, red rash, widespread >50 erythema vesicles. Dx: varicella. Tx: symptomatic.
Age: 1.06
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Rash maculo-papular, Rash pruritic, Rash vesicular, Viral infection
Clinical narrative: Itchy rash, widespread papules/macules, vesicles. Dx: varicella Tx: symptomatic.
Age: 1.26
Sex: M
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Rash maculo-papular, Rash pruritic, Viral infection
Clinical narrative: Itchy rash, widespread >9 papules/macules. Dx: varicella. Tx: Acyclovir.
Age: 1.04
Sex: F
Vaccine: HBHEPB, MMR, PPV, VARCEL
Symptoms: Rash maculo-papular, Rash vesicular, Viral infection
Clinical narrative: Rash, widespread>60 papules/macules vesicles, Dx:varicella, Tx: Acyclovir.
Age: 1.0
Sex: F
Vaccine: MMRV, PNC
Symptoms: Injection site erythema, Injection site papule, Injection site swelling, Injection site urticaria, Rash papular
Clinical narrative: Swollen, erythemic wheal >2 in. injection site with papular, blanching erythemic all over-body rash.
Age: 48.0
Sex: M
Vaccine: RAB
Symptoms: Angioneurotic oedema, Chest pain, Dyspnoea, Erythema, Injection site mass
Clinical narrative: 24 hrs after receiving rabies vaccine on 3/5/06 developed generalized muscle aching. Denies any associated fever, shortness of breath, chest pain, angio edema, urticaria or localized erythema, induration or tenderness. Donor drank extra Gatorade within complete resolution of symptoms within 1 hour.
Age: 48.0
Sex: M
Vaccine: RAB
Symptoms: Myalgia, Pyrexia, Tenderness, Urticaria
Clinical narrative: 24 hrs after receiving rabies vaccine on 3/5/06 developed generalized muscle aching. Denies any associated fever, shortness of breath, chest pain, angio edema, urticaria or localized erythema, induration or tenderness. Donor drank extra Gatorade within complete resolution of symptoms within 1 hour.
Age: 4.9
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Marked upper arm swelling, erythema (entire upper arm deltoid)
Age: 49.0
Sex: F
Vaccine: PPV
Symptoms: Unevaluable event
Clinical narrative: See attached page
Age: 1.96
Sex: M
Vaccine: HEPA
Symptoms: Oedema, Urticaria, Wheezing
Clinical narrative: Pts hands developed severe swelling. Pt got hives and began wheezing approx 30 min following vaccine. Sent to ED. Received Benadryl and Albuterol nebulizer and d/c home.
Age: 3.0
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Rash papular
Clinical narrative: Multiple papules and vesicles
Age: 1.22
Sex: F
Vaccine: HEPA, HIBV, MMR
Symptoms: Pyrexia, Rash, Vaccination complication
Clinical narrative: Phone call from mother stating child had a measles like rash beginning 3/18/06 in the evening. Occasional low grade temp of 99-100 degrees. Took to primary care physician, told rash was a reaction to the MMRV vaccine.
Age: 70.0
Sex: M
Vaccine: PPV
Symptoms: Injection site abscess, Injection site hypersensitivity, Injection site inflammation
Clinical narrative: Initial and follow up information has been received from a registered nurse, via a company representative (initial information), concerning a 69 year old male patient, with no known medical allergies, who on 10/06/2005 was vaccinated intramuscularly with a dose of Pneumococcal 23v polysaccharide vaccine (lot 649989/0579P)> it was reported that at the time of vaccination, the patient had acute bronchitis. It was previously reported that on 10/06/2005 the patient developed severe inflammation at his injection site. On 11/1/2005 the patient returned to the clinic complaining of an abscess at the injection site. It was approximately a half dollar size and redness surrounding it. The patient was treated with an intervenous antibiotic, ceftriaxone sodium (Rocephin), one gram daily three times, and cephalexin (Keflex), 500 every 8 hours, #20. Subsequently, on 11/17/2005, the patient recovered. The patients experiences were considered an other important medical event (OMIC). Additional information is not expected.
Age: 22.0
Sex: F
Vaccine: TYP
Symptoms: Asthenia, Fall, Malaise, Movement disorder
Clinical narrative: 20 minutes after injection fell to floor unable to move, feeling very weak and funny. RX O2/ EPI x 3, Benadryl IV solution, observe hospital all night.
Age: 31.0
Sex: U
Vaccine: SMALL
Symptoms: Dysarthria, Headache, Malaise, Myalgia, Pyrexia
Clinical narrative: Developed severe headache, fever to 103 degrees and slurred speech. Seen in local ER. Abnormal lumbar puncture, no bacterial infection. Above consistent with post vaccinal encephalitis. 5/30/06 Received medical records which reveal patient experienced fever, malaise & muscle aches.  All labs & diagnostic studies were neg.  Patient was hydrated w/2L of IV fluid & d/c with no further reaction.  ER dx:  ?? vaccine reaction/ss
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Chest X-ray abnormal, Electrocardiogram abnormal, Laboratory test abnormal, Medication error, Palpitations
Clinical narrative: Palpations. Sinus tachycardia. Systemic reaction to flu shot.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Sinus tachycardia
Clinical narrative: Palpations. Sinus tachycardia. Systemic reaction to flu shot.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: Patient called today (3/13/06) and complained that right arm was sore. He had flu shot on 11/03/05. Said it started several weeks after vaccination.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Blister, Blood cholesterol increased, Dyspepsia, Gastritis
Clinical narrative: Burning sensation, pain joints, allergies sleep disorder, vision problem / blister on side of mouth. blood pressure: high / high cholesterol, sinus depression, indigestion, gastritis, hemmaroids.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Haemorrhoids, Hypersensitivity, Hypertension, Skin burning sensation, Sleep disorder
Clinical narrative: Burning sensation, pain joints, allergies sleep disorder, vision problem / blister on side of mouth. blood pressure: high / high cholesterol, sinus depression, indigestion, gastritis, hemmaroids.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Visual disturbance
Clinical narrative: Burning sensation, pain joints, allergies sleep disorder, vision problem / blister on side of mouth. blood pressure: high / high cholesterol, sinus depression, indigestion, gastritis, hemmaroids.
Age: 26.0
Sex: M
Vaccine: VARCEL
Symptoms: Lymph node pain, Lymphangitis
Clinical narrative: 12 cm induration with lymphangites and tender axillary LN and left arm site of his 1st vaccinia  vaccination cellulitis treated with 5 days of levaquin