chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 44.0
Sex: F
Vaccine: HEP
Symptoms: Rhinorrhoea, Vomiting
Clinical narrative: Information has been received from a physician concerning a 44 year old white female RN with depression, periorbital darkening, "hereditary" tremor, "bursitis" of the left knee and allergies to morphine, droperidol and butorphanol (Stadol) and a history of asthma "that occurred mostly during childhood", hysterectomy, oophorectomy and vaccination with an unspecified hepatitis vaccine, who on 8/24/01 was vaccinated with a 4th dose of Hep-B vaccine recombinant (yeast) in the left deltoid (lot 639853/0672L). The physician reported that the pt was a new employee to the hospital who indicated that she received an "unknown" hepatitis vaccine when it first came out approx. "10-15 years ago". The pt had antibody titers drawn which were "negative". She was then advised to received the Hep-B vaccine series. On 8/24/01, within 5-10 minutes of receiving the vaccine, she began experiencing multiple organ symptoms. On 8/24/01, the pt experienced general sense of warmth, sweating, pain and swelling at the site of injection, diaphoresis and numbness of the affected arm. She complained of difficulty swallowing but not of difficulty breathing. She felt dizzy and nauseous but did not vomit. She was treated with Benadryl and IV steroids in the ER. She had no respiratory symptoms. Most of her symptoms were subjective and not objective. She received a 1 week course of prednisone. On 8/27/01, the pt felt drowsy and fatigued like she was coming down with the flu and "felt mentally not connected". On 9/4/01, the pt developed diarrhea, vomited once, felt tired, felt like her "thyroid zone" was swollen and her throat felt scratchy. She became out of breath when climbing up stairs. The physician reported that the rheumatoid factor was elevated to 10 times the normal level. The pt was referred to a rheumatologist. On 10/4/01, the pt had a constant global headache and crampy abdominal pain with watery diarrhea. The pt was fatigued and dyspneic with a non-productive cough, watery nasal discharge and sore throat. The injection site was still tender and swollen but not red. The pt had general myalgias, arthralgias, sweating, neurasthenia and a poor appetite. The physician confirmed that the pt's symptoms went on for at least several weeks and she was out of work for a while. The pt had returned to work on "light duty". The physician reported that as of 12/6/01, the pt had no improvement on extended course of prednisone in high dose and she had not recovered. The physician felt her symptoms were not vaccine related. The pt's positive rheumatoid factor, abdominal pain, decreased appetite, headache, diarrhea, diaphoresis, dysphagia, increased erythrocyte sed rate, dyspnea, influenza-like disease, injection site reaction, decreased mental acuity, vomiting, swelling, nausea, neurosis and hypesthesia were disabling. No additional information is expected.
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Dyspnoea, Oedema
Clinical narrative: Information has been received from a RN concerning a pt who on 03-DEC-2001 was vaccinated with a dose of pneumococcal vaccine 23 polyvalent. Subsequently, the pt was seen in the ER on 03-DEC-2001 because her left arm was swollen and she had some SOB. She was treated with Benadryl and an unspecified inhaler. On 05-DEC-2001, the pt was seen in the office and was diagnosed with cellulitis. She was admitted to the hospital on 05-DEC-2001. The pt was treated with IV antibiotics and was discharged on 08-DEC-2001 with PO antibiotics. The pt's outcome was unknown. The RN was concerned and would like to obtain a lot check. No further information is expected.
Age: 57.0
Sex: F
Vaccine: LYME
Symptoms: Arthritis, Pain
Clinical narrative: Severe knee pain in December 2000, given Vioxx. Wrist pain, hip pain, shoulder pain to date. Per 1 year follow up: Pt did not recover. Osteoarthritis (knees, back, and hip)
Age: 56.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Splenomegaly
Clinical narrative: Developed cellulitis left upper extremity 1 day following Pneumovax. No organism identified. Pt treated with Clindamycin, Zocin. Pt is asplenic from trauma.
Age: 1.3
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Pyrexia, White blood cell count increased
Clinical narrative: The pt's mother states that she called the doctor on 11/28/01 to report concerns of redness and swelling in right arm and received instructions to apply warm heat and to call back with any problems. The signs and symptoms increased and the child was taken to see an MD at 14:00 on 11/28/01 with increased swelling and redness. He was dx'd with infection at the vaccine site. He was rx'd with antibiotics (1st dose given at 16:00). Mom took child to ER at 22:00. She states the swelling had spread to his shoulder, chest and neck. He was admitted to the hospital X 2 days and dx'd with cellulitis of the right upper extremity. Phone call on 12/3/01 to mom states the child had a fever of 101.8F-102.8F on 12/2/01. PMD is aware. Temperature on 12/3/01 was 99F.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Hypoglycaemia
Clinical narrative: The pts were administered the flu vaccine and the pneumococcal vaccine after obtaining informed consent, between 08:30-09:00. Later that day, the ER physician called stating that 2 pts were being admitted into the hospital with hypoglycemia. It was reported that both pts blood sugars were in the 40's with signs and symptoms of hypoglycemia. The ER/hospital progress notes were unavailable at the time of this report. There was no history of diabetes in either pt.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Lethargy, Sexual dysfunction
Clinical narrative: Fatigue and sexual dysfunction. Fatigue started in January,2001, sexual problems also.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Amnesia, Arthritis, Chest pain, Disturbance in attention, Haematochezia
Clinical narrative: severe hair loss, numbness in legs/muscle/ joint pains, constant chest pains; severe headaches, "knots" on head; eye sensitivity; sores in mouth, sick with "flu" more often than usual; blood in stool; itchy skins, rashes, difficulty concentrating, memory loss; chronic fatigue; severe mood swings arthritis in fingers, fungal growth on neck.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Headache, Hypoaesthesia, Lethargy, Mood swings, Pruritus
Clinical narrative: severe hair loss, numbness in legs/muscle/ joint pains, constant chest pains; severe headaches, "knots" on head; eye sensitivity; sores in mouth, sick with "flu" more often than usual; blood in stool; itchy skins, rashes, difficulty concentrating, memory loss; chronic fatigue; severe mood swings arthritis in fingers, fungal growth on neck.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Rash, Stomatitis, Visual disturbance
Clinical narrative: severe hair loss, numbness in legs/muscle/ joint pains, constant chest pains; severe headaches, "knots" on head; eye sensitivity; sores in mouth, sick with "flu" more often than usual; blood in stool; itchy skins, rashes, difficulty concentrating, memory loss; chronic fatigue; severe mood swings arthritis in fingers, fungal growth on neck.
Age: 26.0
Sex: F
Vaccine: SMALL
Symptoms: Lymphadenopathy, Myalgia, Rash pustular
Clinical narrative: Received Smallpox vaccine on 12/07/2001. On 12/14/2001, Read 12/14/2001 positive  lymphadenopathy. Returned 12/18/2001, increase in size of pustules, extreme axillary tenderness, red straking from site to ant. axillary area. Levaquin 500mg 1 po qd #5
Age: 22.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: Smallpox vaccine given 12/05/2001. Checked in office day 7. Adverse reaction on days 8-9, increased swelling, increase erthema approx. 2-5 inches in diameter. Fever 102 , no lymph, no streaking. treated with Levaquin 500 mg 1 po qd #5
Age: 25.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema, Lymphadenopathy, Oedema, Pyrexia
Clinical narrative: Pt. returned on day 7 with reddened swollen arm, pain axillary lymphadenpathy, fever 102, Limited rom arm.Deltoid area, warm to touch, malaise, Treated with Levaquin 500 mg 1 po qd #5
Age: 45.0
Sex: M
Vaccine: HEP, HEPA, TYP, YF
Symptoms: Facial palsy
Clinical narrative: Bell's Palsy -12/03/2001-date of onset.
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Injection site pain, Musculoskeletal stiffness
Clinical narrative: pain and stiffness in the area where the shot was given
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Bradycardia, Chills, Dizziness, Hypotension, Tremor
Clinical narrative: Pt with 2 month history of intermittent shaking chills on multiple meds status post liver transplant 6 years ago. Ten minutes after shot developed lightheadedness, shaking chills similar to prior episodes associated with moderate hypotension and bradycardia, supine position, observation, self-medication with valium, resolved in one hour.
Age: 11.0
Sex: M
Vaccine: FLU3
Symptoms: Carpal tunnel syndrome, Neuropathy, Paraesthesia
Clinical narrative: half hour after receiving vaccine, the patient complained of their right thumb and index finger tingly. patient is right handed. Examined 11/21/2001. positive Tinel's sign, positive FH of Carpel Tunnel. Plays hockey and shoots left handed. also does a little computer work.
Sex: U
Vaccine: FLUX, PPV
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: Right arm swelled in evening 2 times normal, fever. Went to bed. Late 2nd day felt normal. It moved from arm inside chest to back and up. 11/08/2001 3 PM Local drug store had flu and pneumonia vaccines.
Age: 42.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Dyspnoea, Erythema, Joint range of motion decreased, Nausea, Oedema
Clinical narrative: Pain immediately upon injection. Severe tenderness, achy pain, swelling from shoulder to elbow within 2 hours. By 3 hours, unable to lift arm. Severe nausea difficulty breathing. Arm red, feverish to fingers. As of 12/16/2001, persistent joint pain/ache, but swelling better.
Age: 42.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain, Pyrexia, Tenderness
Clinical narrative: Pain immediately upon injection. Severe tenderness, achy pain, swelling from shoulder to elbow within 2 hours. By 3 hours, unable to lift arm. Severe nausea difficulty breathing. Arm red, feverish to fingers. As of 12/16/2001, persistent joint pain/ache, but swelling better.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Stomach discomfort
Clinical narrative: On 10/29/2001 at 10:30 AM administered vaccine (flu). By 10:55 AM pt became sick to stomach, weak, diarrhea, no vomiting. By 11 AM weak, warm, diaphoretic, quite pink all over. Unable to hear BP. No respiratory distress, no hives, no localized reaction at site. Poorly responsive. Sent to ER via ambulance.
Age: 42.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Hyperhidrosis, Malaise, Myalgia, Pyrexia
Clinical narrative: Temp spikes to 103.5 for 24 hours. Sweats, myalgias and malaise.
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Cough, Headache, Pharyngitis, Pyrexia
Clinical narrative: Day one joint pain, sore throat, hard to breathe. Day two congestion and fever. Day three headache and cough. Symptoms continued for 20 days.
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Rhinitis
Clinical narrative: Day one joint pain, sore throat, hard to breathe. Day two congestion and fever. Day three headache and cough. Symptoms continued for 20 days.
Age: 79.0
Sex: M
Vaccine: FLU3
Symptoms: Oedema, Vision blurred
Clinical narrative: Pt was seen by eye doctor 3 days after receiving flu shot with complaint of blurry vision. Eye doctor diagnosed pt with a swollen optic nerve. Pt treated with steroids.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Lymphadenopathy, Oedema, Pain
Clinical narrative: Ten minutes after the Flu shot, I had sever pain in my entire left arm. The next morning, I had swollen lymph nodes and a lot of swelling in my neck. Left side pain continued for 5-7 days. Swelling 6 weeks. Still swelling in neck.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Injection site hypersensitivity, Pain
Clinical narrative: Redness local irritation soreness at site. Onset at 3:05 PM. Gave pt cold pack to applyat site for local soreness. Informed pt to notify physician.
Age: 32.0
Sex: M
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Pt presented with rash present on neck and anterior chest at approximately 3:55 PM. Called MD. Physician instructed to give pt the chleranin tablets in Epi kit. At 4 PM save pt tabs to take. Explained to pt that it was antihistamine could present drowsiness. Call if respiratory problems occur.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Injection site hypersensitivity, Injection site induration, Pruritus, Urticaria
Clinical narrative: Two hours after site became red, hot, swollen and itching. Hives developed on left arm and chest. She had URI 2 weeks prior. Has chronic smokers cough. Wheezing returned after flu shot. Advised her to see her physician, use cold packs, ibuprofen for pain, hydrocortisone for itching. By 11/29/2001 had 5 inch indurated area, had not called or seen doctor.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Wheezing
Clinical narrative: Two hours after site became red, hot, swollen and itching. Hives developed on left arm and chest. She had URI 2 weeks prior. Has chronic smokers cough. Wheezing returned after flu shot. Advised her to see her physician, use cold packs, ibuprofen for pain, hydrocortisone for itching. By 11/29/2001 had 5 inch indurated area, had not called or seen doctor.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Cough, Dysphonia, Pyrexia, Wheezing
Clinical narrative: Pt called 12/10/2001 in the morning stated after few hours of flu shot pt was very sick over the weekend like hoarseness voice, fever, moderately wheezing on her lungs, coughing and body weakness for three days. Pt stated never felt like thi before with previous flu shot. Pt stated felt very sick until today 12/20/2001.
Age: 47.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Oedema, Pain, Rash maculo-papular
Clinical narrative: 12/08/2001 Left deltoid swollen and sore. Left ear and left side of neck swollen, painful and reddened. red, raised rash on left, neck and into hair, still apparent on 12/11/2001. No swelling on deltoid area or shoulder. Afebrile. Referred to physician.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Erythema, Musculoskeletal stiffness, Tremor
Clinical narrative: Per child's mother (Gillian Ritscher), the event lasted fifteen-twenty sec. Arms flew over head, face become bright red, some body shaking and stiffening. Eyes watered and some drooling from mouth. No fever.
Age: 1.25
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Irritability, Oedema, Pyrexia
Clinical narrative: Patient complained of exaggerated local reaction vs. cellulitis noted within 48 hours at shot site . Also a fever, which went as high as 102 and increased fussiness. Patient was treated with oral reflex and motrin.
Age: 1.3
Sex: M
Vaccine: DTAP, PNC
Symptoms: Oedema, Pruritus, Rash erythematous
Clinical narrative: red, swollen & itchy
Age: 0.4
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Anorexia
Clinical narrative: norexia-refused bottles for twenty-four to forty-eight.
Age: 0.6
Sex: F
Vaccine: PNC
Symptoms: Rash papular
Clinical narrative: rash, erthematious papulars
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Pyrexia
Clinical narrative: high fever of 104
Age: 0.9
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Injection site erythema, Urticaria
Clinical narrative: 12/18/2001-took child to E. R. He had lumps/redness @injection site then lumps/bumps to his chest (Hives) per Mother. E. R. instructed to give Benadryl as directed on package. Also to watch for s/s resp. distress and return to E. R. prn.
Age: 0.3
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Eye movement disorder, Tremor
Clinical narrative: Given first dose of Prevnar on 12/11/2001. Had two episodes of tremors with eyes rolling back for a few minutes on the forth and fifth day after receiving the Prevnar.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Diarrhoea, Influenza like illness, Pyrexia, Rash, Stomatitis
Clinical narrative: 12/07/01 shots, 12/14/01 rash fever, 12/15/01 diarrhea, rash in mouth & allo over body. Fever 101-fine pinpoint rash Mom got gastrointestinal flu 12/15/01
Age: 4.0
Sex: M
Vaccine: PNC
Symptoms: Injection site erythema
Clinical narrative: 12/19/2001 Vaccine Adminstered 12/20/2001 Mom noticed while bathing the patient, areddish/purple area- 5-6" x2-3' around the  injection site on his left arm. no fever or tenderness. 12/21/2001 Mom reports reaction
Age: 0.5
Sex: M
Vaccine: DTAP, PNC
Symptoms: Brain oedema
Clinical narrative: bulging fontanelle 48 hours  after receiving DTaP and Prevnar
Age: 2.0
Sex: M
Vaccine: DTAP, HBPV, PNC
Symptoms: Erythema, Feeling hot, Injection site vesicles
Clinical narrative: Left thigh with 23 cm X 14 cm area of redness, warth induration, 3 large bullae and numerous surrounding vesicles.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Screaming
Clinical narrative: The pt developed a screaming episode that lasted 3 hours.
Age: 1.08
Sex: F
Vaccine: IPV, MMR, PNC, VARCEL
Symptoms: Irritability, Lethargy, Oral intake reduced, Pyrexia
Clinical narrative: A physical exam was done on 12/11/01. The child was healthy. About 2 hours, post vax, the pt began with fever, fussiness, poor appetite and was less active. Maximum temperature was 103.8F. Still having fever today and was given Tylenol. Temperature decreased to 101.7F in the clinic today. No signs of infection on exam today. No local reactions on legs. Treated with Rocephin, IM, 500mg.
Age: 0.5
Sex: M
Vaccine: DTAP, PNC
Symptoms: Dyskinesia, Lethargy, Staring
Clinical narrative: The pt developed a total body jerking for 2-3 minutes followed by a staring spell for about 1 minute. The baby then was lethargic/sleepy for about 1 hours. He was taken to ER after the event with a temperature of 99.1F. No antipyretics were given.
Age: 0.6
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia, Rash
Clinical narrative: The pt developed a rash and fever X 1 wk. In the past at 2 and 4 months, the pt had the same prolonged rash X 2 weeks at the site of vaccination. Every vaccine caused a rash that lasted 2 weeks.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: The pt's left arm became hot with edema over injection site.
Age: 1.0
Sex: U
Vaccine: MMR, VARCEL
Symptoms: Febrile convulsion, Rash vesicular
Clinical narrative: Ten days, post vax, the pt developed a notable generalized red measles rash with fever. Febrile seizure X 1.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Pyrexia, Viral infection
Clinical narrative: The pt presented on 12/15/01 with a temperature of 103F (rectal). No source of temperature. Dx'd with viral illness vs reaction to immunizations.
Age: 1.3
Sex: F
Vaccine: UNK
Symptoms: Bacterial infection, Ocular hyperaemia, Pharyngitis, Rash vesicular
Clinical narrative: A rash appeared on 12/18/01 and also possible conjunctivitis as per pt's mother. Rash seems to be spreading. On 12/19/01, the pt presented to office with generalized varicella lesions, red in each eye and a red pharynx at the time of the exam.
Age: 0.3
Sex: F
Vaccine: DTAP, IPV
Symptoms: Crying, Hypokinesia, Injection site erythema, Injection site mass
Clinical narrative: The pt developed a red lump on left leg bigger than mom's fist. Had inconsolable crying on 12/17 and was given ibuprofen. On 12/19/01, she guards to walk. Is recovering.
Age: 0.3
Sex: F
Vaccine: DTAP
Symptoms: Insomnia, Irritability, Muscle twitching
Clinical narrative: This pt's 2 month vaccinations resulted in about 4 days of unusual twitching and irritability. Her 4 month immunizations given individually. The DTAP caused "batting at air, like on speed". She had less slept for the next 24 hours. Happy throughout the reaction. Afebril. Resolved after about 24 hours.
Age: 3.0
Sex: F
Vaccine: HEPA
Symptoms: Pyrexia
Clinical narrative: The pt developed a high fever to 105.5F, the evening following immunization. Seen at MD's office the next day, still febrile that morning temperature of 103F. Lab work ordered.
Age: 44.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: The pt's left shoulder (deltoid) had redness, swelling, tenderness and induration in an area 4cm X 5cm in diameter.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: On 12/19/01 at 13:30 the pt received vaccines. On 12/20/01, left arm was sore. On 12/21/01, AM, mom noticed a 3" X 4" area that was red, warm, swollen and hard on his left upper arm.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site swelling
Clinical narrative: The pt developed swelling at the site of the injection, including elbow and shoulder. No pain or redness in left arm.
Age: 43.0
Sex: F
Vaccine: MMR
Symptoms: Rash vesicular
Clinical narrative: The pt broke out in measles-type rash on 10/26/01.
Age: 1.25
Sex: M
Vaccine: DTAP
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: The child presented for DTAP which was given without incident. The mother phoned me on 12/12/01 to state the the pt's leg swelled to double in size, became red and hot to touch. The mother states she took the pt to MD who examined the child, gave IM Rocephin and place child on oral Augmentin. The doctor told the foster mother that the child should not receive any more pertussis vaccine. I phoned the doctor and spoke with the doctor's nurse who stated that the doctor treated the pt for a cellulitis of the leg. I inquired if the doctor felt this was from technique and she stated "no, it was from the vaccine". I phoned the foster mother to see how the pt was doing today and she stated he was much better today, that the swelling was diminished and the redness and the hot to the touch, was better.
Age: 6.0
Sex: F
Vaccine: DTAP, MMR, OPV, VARCEL
Symptoms: Infection
Clinical narrative: The pt received the chickenpox vaccine (Varivax) on 1/11/99. She was dx'd with chickenpox rash on 12/19/01.
Age: 0.3
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Significant (extensive) erythema and edema at injection site on right thigh, covering the middle third anterolateral and medial aspects. The reaction was immediate (within 5 minutes).
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Irritability, Malaise, Pyrexia, Rash maculo-papular
Clinical narrative: The pt received MMR on 12/10/01 (SC) and on 12/18/01, the pt reported to office with a maculopapular, non-vesicular rash to entire trunk, extremities, face and scalp areas. On 12/18/01, the pt apparently was feverish at home. In the office on 12/18/01, the pt exhibited malaise and irritability. Mother reports the pt is "feeling better today".
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: The pt developed an area approx. 4.5cm X 3/5cm of induration and erythema with very slight pain at the right thigh site which occurred at 48 hours, post vax. Treated with cold pack and clinical monitoring. The pt's parents applied a warm towel. In the morning, as erythema had spread, the pt was brought to the clinic. No other symptoms. Came to clinic on 12/15/01. Patient's induration/erythema resolved when called patient back on 12/19/2001.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: The pt's left deltoid became red, swollen and warm to touch.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: The pt developed an area 18cm X 21cm of redness and induration on left upper arm.
Age: 43.0
Sex: F
Vaccine: HEP
Symptoms: Diarrhoea, Nausea, Viral infection
Clinical narrative: The pt developed diarrhea which lasted 4 days. She had nausea but no vomiting. No fever. Supportive care only. I suspect viral syndrome but the pt is convinced that this is an adverse reaction.
Sex: F
Vaccine: DTAP, IPV
Symptoms: Pyrexia
Clinical narrative: Pt developed a fever of 104F-105F X 96 hours.
Age: 3.2
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: The pt developed chickenpox and was rx'd Atarax and Calamine.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Dyskinesia, Headache, Pyrexia, Vomiting
Clinical narrative: The pt vomited X 1 the following morning, post vax. He possibly had a fever (mom does not know) and was given a fever reducer. She was better in the afternoon. By 19:00, she had jerky movements but awake. Also had a headache. By 22:00 went to ER and had no symptoms.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Chickenpox; body covered with pox and ill.
Age: 47.0
Sex: F
Vaccine: HEP
Symptoms: Paraesthesia, Pruritus
Clinical narrative: The pt developed tingling of her tongue, face and neck 1/2 hour later. She states that it is itchy around her mouth and face. Rx'd Benadryl and Claritin and it improved within a few hours.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: The pt received Varivax in 4/98. He presented today with mild to moderate chickenpox lesions when seen by MD on 12/6/01.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Broke out in chickenpox.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: The pt's right arm was swollen and red and she was given Keflex antibiotics.
Age: 4.0
Sex: M
Vaccine: DTAP, HEP
Symptoms: Feeling hot, Injection site hypersensitivity, Oedema, Tenderness
Clinical narrative: Complained of progressive swelling at both injection sites approximately 1.5 cm, red, warm, firm, slightly tender. Treated with ice packs and acetaminophen. Had full ROM of extremity.
Sex: F
Vaccine: VARCEL
Symptoms: Rash vesicular
Clinical narrative: Varicelliform rash noted 11/29/2001 (approximately 20-100 lesions).
Age: 1.4
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Febrile convulsion
Clinical narrative: Febrile seizure
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Rash papular
Clinical narrative: Approximately 30 papulo-vesicular lesions scattered over entire body.
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Varicelliform rash after VZV vaccine.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Discomfort, Erythema, Oedema, Pruritus
Clinical narrative: Pt given DTaP and IPV in left upper arm. Twenty-four hours later complained of itching and discomfort. Forty-eight hours later noted to have redness, firm swelling, itching in area of immunizations. There is no fever or tenderness. No axillary node swelling.
Age: 0.5
Sex: M
Vaccine: DTAP, IPV
Symptoms: Irritability, Rash
Clinical narrative: Mom reports infant irritable for 2 days after immunization on 11/07/2001 lasting 2 days. Rash appeared on 11/12/2001. Rash blotchy, head to toe. Denies any raised areas or swelling. No other symptoms. Irritability increased. ER visit on 11/12/2001. Was told rash was reaction immunization. Told to give Benadryl. States Benadryl given every 4 hours for 2 days. Noticed improvement after first day given. States ER MD advised continue with routine immunizations.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Varivax given 08/15/1996. Varicella diagnosed 12/20/2001.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Mucous membrane disorder, Oedema, Pruritus, Rash
Clinical narrative: Mother returned with child approximately 1/2 hr after he received immunizations. Generalized rash on all extremities bilaterally. No rash noted on trunk. Mucous membranes pink. Rash over cheeks. Eyes swollen. Child itching. Ambulance called. Child transported to ER.
Sex: F
Vaccine: FLU3
Symptoms: Injection site hypersensitivity, Pruritus, Skin irritation
Clinical narrative: Twenty-five minutes after vaccination pt complained of redness at site, slight itching. Examine sight, no local swelling. Local irritation. Gave pt ice pack, re-examined pt before I left pt was fine.
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Erythema, Injection site induration
Clinical narrative: Two days later developed hard induration and 3-4 palm area of redness with warmth. No pain, fever or limit of motion.
Age: 45.0
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Injection site hypersensitivity, Oedema, Pruritus
Clinical narrative: Pt reported 12/07/2001 a day after receiving the TD vaccine she notice itching at the injection site with redness and swelling. On 12/20/2001 she reported it was warm to touch. She plans to go to ER.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Pain
Clinical narrative: Twenty-four to forty-eight hours following vaccination with DTaP, left upper arm became painful, red, swollen and no septenic symptoms. Pt given pediopred and Benadryl (5 day course).
Age: 16.0
Sex: M
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: Pt was given 1st dose of Hepatitis B on 11/20/2001. Mother reported that he started having hives on 11/21/2001. Hives migrated and appeared off 1 cm for the next 6 days.
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site hypersensitivity, Oedema, Pain, Pyrexia
Clinical narrative: On 10/29/2001 pt received pneumococcal and flu vaccines. Developed swelling, redness, pain and fever at pneumococcal injection site. Flu vaccine was given in opposite arm without problem. Medical record flagged for no future doses of pneumococcal vaccine. Report filed with FDA.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Oedema
Clinical narrative: Injection given on 12/06/2001 in right deltoid IM. On Saturday 12/08/2001 arm was very swollen no pain. Went to Med Center and received IV and medication Keflex 500 mg QID. Returned on 12/09/2001 to ER due to swelling down to elbow and received another IV.
Age: 1.08
Sex: F
Vaccine: DTAP, HBHEPB, IPV, MMR, VARCEL
Symptoms: Dehydration, Listless
Clinical narrative: Two week after receiving DTaP, IPV, Comvax, MMR, CPX child was seen in ER because of listlessness. She (mother said) PMD said child was dehydrated and ordered Pedialyte (nothing else). Mom said ER report said "Viral Immunization Sequallae". Symptoms lasted 3-4 days?
Age: 30.0
Sex: F
Vaccine: MMR
Symptoms: Malaise, Oedema, Pain, Pyrexia
Clinical narrative: On 11/07/2001 pt woke up 4 AM with temp 104.6, took antipyretic, stayed in bed all day, felt bad and ached all over. Face swollen, no difficulty breathing, stayed in bed. Thursday temp of 100 F. Still had joint pain with movement. No seizure activity.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: Seen on 12/16/01 after hours with increased swelling (5cm X 8cm) and redness with itching over the past 24 hours. Left arm is swollen from the shoulder to the elbow and hot to touch. Dx'd with a large local reaction and questionable cellulitis. The area was marked and parents were instructed to call if there is an increase in swelling or any fever.
Age: 38.0
Sex: M
Vaccine: TD
Symptoms: Erythema, Injection site mass, Injection site swelling, Pain
Clinical narrative: Soreness, knot (local) slightly red size of 50 cent piece, pinkish and raised.
Age: 12.0
Sex: F
Vaccine: HEP
Symptoms: Chills, Lymphoedema, Pharyngeal oedema, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: The pt had her 1st HBV, 1 month ago at school. The next day she had a fever over 100F, swollen and sore throat, lymph glands swollen and chills. The 2nd HBV was given on 12/13/01. Mom states she had the same symptoms. Has had similar symptoms with strept infection but no fever in the past. Seen by a new doctor today.
Age: 12.0
Sex: F
Vaccine: HEP
Symptoms: Vaccine positive rechallenge
Clinical narrative: The pt had her 1st HBV, 1 month ago at school. The next day she had a fever over 100F, swollen and sore throat, lymph glands swollen and chills. The 2nd HBV was given on 12/13/01. Mom states she had the same symptoms. Has had similar symptoms with strept infection but no fever in the past. Seen by a new doctor today.
Age: 14.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Pain, Urticaria
Clinical narrative: Client developed a welt on left deltoid the night of the injection 10/16/2001. On 10/17/2001 the welt wrapped around arm and was hot to touch. By 10/19/2001 the welt was about an inch in size. Client continues to complain of achiness in left arm. Mom took her in to se MD on 12/06/2001 for continued achiness. MD encouraged her to call in and make appointment. No treatment. Continues to complain of pain.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: 24 hours, post vax, the pt developed local swelling about the size of a silver dollar and a rapid increase in size over the next 24 hours requiring ED visit where pt was thought to have possible cellulitis. An office visit, 3 days post vax, showed an area of non-tender erythema (5cm X 8cm) of the thigh at the site of the DTAP or MMR.
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Herpes zoster, Rash vesicular
Clinical narrative: The pt presented to the physician's office with clusters of vesicles and erythematous patches over her right arm and hand. Dx'd with herpes zoster by MD. Pt has not had chickenpox. Mother did not have chickenpox during pregnancy.
Age: 2.0
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: The pt received Varivax on 4/20/99 and on 11/30/01 the child broke out with a full blown case of chickenpox. Mom wanted your to be aware that the shot was not effective.
Age: 1.1
Sex: M
Vaccine: DT, HBHEPB, IPV
Symptoms: Unevaluable event
Clinical narrative: On 6/11/01, DTAP #3 was ordered; DT pediatric given instead (lot 470641 Lederle). Discovered when the pt was here for #4 DTAP on 12/17/01. Vaccine DTAP was given. Called vaccines for Children and Health Dept for instructions. To give DTAP in 6 months (in 6/02), then next shot will be due prior to starting school at age of 4-6 years. Advised that there should be no adverse effects if booster given in June, 2002.
Age: 81.0
Sex: M
Vaccine: PPV
Symptoms: Contusion
Clinical narrative: The pt's skin in the area around the shot is turning yellow. No pain or inflammation in shot area.
Age: 51.0
Sex: M
Vaccine: PPV
Symptoms: Feeling hot, Injection site pain, Pyrexia
Clinical narrative: At 15:00, the pt had a sore left arm associated with hot and cold chills, headache and nausea. At 17:00, he was seen in the ER with a temperature of 100.3F.
Age: 52.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: The pt developed redness, heat and tenderness the day after the shot on 12/13/01. The doctor gave cefadroxil 500mg BID.
Age: 1.3
Sex: M
Vaccine: UNK
Symptoms: Rash vesicular
Clinical narrative: The child presented with vesicular rash on face and extremities on 12/11/01. Mom stated that the rash had appeared the day before and was not itching. The pt was not in any distress and was afebrile. He had no respiratory signs or symptoms upon exam.
Age: 45.0
Sex: M
Vaccine: LYME, LYME
Symptoms: Arthritis
Clinical narrative: Joint pain and swelling 05/28/1999. Pain off and on since 05/28/1999. Flu like symptoms duration 1-2 days.
Age: 45.0
Sex: M
Vaccine: LYME, LYME
Symptoms: Arthralgia, Influenza like illness, Oedema
Clinical narrative: Joint pain and swelling 05/28/1999. Pain off and on since 05/28/1999. Flu like symptoms duration 1-2 days.
Age: 42.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Nausea, Pyrexia
Clinical narrative: A 42-year old female patient experienced fever, nausea, chills, sweats and erythema on 03/22/2001 following vaccination with RabAvert for postexposure prophylaxis. The patient was scratched by a raccoon, and the raccoon was not caught.   On 03/21/2001, the patient received her first dose of RabAvert (lot#261011) and human rabies immune globulin. On 03/22/2001, she called her physician to report a fever of 100.4 and 101.2 degrees F, nausea, sweats and chills. The patient also stated there was very minimal erythema in a few blotches on the right deltoid in the area of the injection and on the anterior chest wall. In addition, the patient stated that she had been around people who were sick with colds and flus.  The registered nurse did not notice any cracks in the RabAvert vial, and the hospital had not received any notification from the wholesaler regarding the recalled RabAvert batch number.
Age: 42.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Hyperhidrosis, Injection site erythema, Nausea, Pyrexia
Clinical narrative: A 42-year old female patient experienced fever, nausea, chills, sweats and erythema on 03/22/2001 following vaccination with RabAvert for postexposure prophylaxis. The patient was scratched by a raccoon, and the raccoon was not caught.   On 03/21/2001, the patient received her first dose of RabAvert (lot#261011) and human rabies immune globulin. On 03/22/2001, she called her physician to report a fever of 100.4 and 101.2 degrees F, nausea, sweats and chills. The patient also stated there was very minimal erythema in a few blotches on the right deltoid in the area of the injection and on the anterior chest wall. In addition, the patient stated that she had been around people who were sick with colds and flus.  The registered nurse did not notice any cracks in the RabAvert vial, and the hospital had not received any notification from the wholesaler regarding the recalled RabAvert batch number.
Age: 14.0
Sex: F
Vaccine: RAB
Symptoms: Dyspnoea, Erythema, Laryngospasm, Oedema, Pruritus
Clinical narrative: A nurse reported that a 14 year old female pt experienced itching, redness, swelling, difficulty breathing and throat swelling during treatment with RabAvert therapy. The pt's medical history included allergies to PCN and bee stings. She began her post exposure vaccination series of RabAvert 1 ml IM on day 0, 07-SEP-2001. The pt received her first and second shots without any reported problems. She received her third shot on 14-SEP-2001. On 16-SEP-2001 the pt developed severe itching and redness around the face and neck area as well as some swelling around the eyes. On 17-SEP-2001 the pt was hospitalized for difficulty breathing and throat swelling. She was treated with epinephrine and adrenaline and the symptoms subsided. She was discharged on 19-SEP-2001. the pt was scheduled to receive her fourth dose of RabAvert on 21-SEP-2001, instead she received HDCV on 22-SEP-2001. The pt again experienced throat swelling and difficulty breathing and was treated with epinephrine and adrenaline. As of 26-SEP-2001 the subject had discontinued RAbAvert and the symptoms had resolved. The pt is scheduled to visit and allergist and a dermatologist. the physician assesed this event as possibly related to RabAvert.
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Demyelination
Clinical narrative: See hospital records and Neurologist report. (none attached)
Age: 68.0
Sex: M
Vaccine: LYME
Symptoms: Back pain, Blindness, Infection, Pain in extremity
Clinical narrative: Pt developed pain in back and foot with partial loss of sight in left eye.
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Blindness, Headache
Clinical narrative: Pt developed severe headache 6 days after receiving flu vaccine (11/15). On 11/16 began to notice decreased vision in right eye. Went to ER. Over next several days, lost vision both eyes. Headache continued until 11/29. Hospitalized on 11/27. Treated with steroids. now beginning to regain some vision.
Age: 1.5
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Received injection listed and the very next morning demonstrated temp of 105and febrile seizure. Hospitalized for one day. physician unable to associate symptoms with illness.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Dyspnoea, Oedema, Pain, Pyrexia
Clinical narrative: Swelling of right arm, tightness in chest, Couldn't hardly breathe, every bone in body ached, fever off and on for three days. Treatment by MD, put ice on arm and take Tylenol.
Age: 56.0
Sex: M
Vaccine: FLU3
Symptoms: Cough, Dyspnoea, Fatigue, Nausea, Pain
Clinical narrative: Became ill 1 hour after receiving injection has missed 10 days of work from 11/21/2001-12/16/2001 complained of fatigue, nausea, SOB and cough. Cough causes and diminishes and breathlessness and vomiting. Still having SOB and fatigue. Body aches.
Age: 56.0
Sex: M
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: Became ill 1 hour after receiving injection has missed 10 days of work from 11/21/2001-12/16/2001 complained of fatigue, nausea, SOB and cough. Cough causes and diminishes and breathlessness and vomiting. Still having SOB and fatigue. Body aches.
Age: 64.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Pyrexia, Tremor
Clinical narrative: Flu shot was given on 11/09/2001. Thirty-six hours later I had a temperature and the chills and shakes so bad that I had to hold my jaw shut to keep my teeth from breaking. Entire body was shaking violently for 2 hrs. Same thing happened 60 hrs later after shot given.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Oedema, Pain
Clinical narrative: 12/4/2001 Immunized. 12/10/2001 Pain in deltoid area with swelling, redness 7 cm in area. 12/11/2001 Pain returned to shoulder, elbow, clavicle and shoulder blade. 12/13/2001 Saw MD.
Age: 26.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site hypersensitivity, Oedema, Pain
Clinical narrative: Localized reaction, red, hot swollen, pain in triceps with internal rotation of arm morning of 12/13/2001. Friday 12/14/2001 saw personal physician, gave him Zyrtec, drew circle around reddened area, told pt to return if swelling extended beyond circle. Revisit to MD, put him on 3 days of antibiotic, doesn't remember name.
Age: 63.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema, Pruritus, Pyrexia, Urticaria
Clinical narrative: Day received 11/07/2001 Evening achy arm, itch, red, slight swelling. 11/08/2001 Same as above but with welts from inside elbow to injection site, slight fever 100. 11/09/2001 Same as abve but less so. Right arm pneumonia.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Iritis
Clinical narrative: 11/16/2001 pt had flu hot  and within 24 hours developed Iritis. diagnosed and treated by a Opthamologist.
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Pain, Pollakiuria, Pyrexia, Rhinitis
Clinical narrative: Aches all over body, fevers, pain urinating, runny nose, frequent urination.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Twenty-four hours after receiving shot experienced hives.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Crying, Irritability, Pyrexia
Clinical narrative: Fussiness, inconsolable and temperature.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia, Screaming
Clinical narrative: Screaming episode for 3 hours during nite. Temp 101.3 okay 12/19/2001.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Oedema
Clinical narrative: Large swelling and redness, gradually increased over 3 days. Today site is 15cm by 8 cm. Treated with 1 tsp Benadryl PO.
Age: 1.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Blister, Injection site reaction
Clinical narrative: 11 by 20 mm area of vesicles developed 5 days after immunization with Varivax around injection site on left leg.
Age: 5.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Chicken pox diagnosed 12/17/2001. Treated with Zovirax 400 mg QID for 5-7 days.
Age: 1.5
Sex: F
Vaccine: MMR
Symptoms: Abdominal pain upper, Constipation, Diarrhoea, Hypersensitivity, Insomnia
Clinical narrative: Allergic reaction to Egg in shot, severe constipation, stomach ache, lack of sleep and pain spasms for 2 days and nights, then vomiting and diarrhea and rash all over body. Treated with Benadryl.
Age: 1.5
Sex: F
Vaccine: MMR
Symptoms: Muscle spasms, Rash, Vomiting
Clinical narrative: Allergic reaction to Egg in shot, severe constipation, stomach ache, lack of sleep and pain spasms for 2 days and nights, then vomiting and diarrhea and rash all over body. Treated with Benadryl.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Myalgia, Pyrexia, Tenderness
Clinical narrative: Diffuse myalgia, anthralgia, fever, localized redness, warmth and tender.
Age: 1.0
Sex: M
Vaccine: DTAP, HBHEPB, MMR
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Pt was administered DTaP in right thigh, Comvax in left thigh and MMR in left deltoid on 12/13/2001 at 4:30 PM, further reports right thigh and below swelled and turned red during night, warm to touch.
Age: 6.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Received varicella at age 1 year ant 12/18/2001 developed varicella. His mother called and described, the doctor did not diagnose.
Age: 44.0
Sex: M
Vaccine: HEPAB
Symptoms: Diarrhoea, Haematochezia
Clinical narrative: Pt received Twinrix A/B IM vaccine 12/14/2001 and state next day later in evening had liquid stool with possible blood in it.
Age: 3.0
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: Child developed fever 102.6, vomited 12/06/2001 presents with sore arm.
Age: 47.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Fever, chills, right hip pain. Started immediately after; so severe almost went to ER. Lasted approximately 24 hours. Rest and ibuprofen.
Age: 0.4
Sex: M
Vaccine: DTAP
Symptoms: Urticaria
Clinical narrative: Hives on trunk within 2 minutes of injection 3 ml of Benadryl given PO. Hives had subsided by the time the pt left over 1 hour.
Age: 56.0
Sex: M
Vaccine: RAB
Symptoms: Chills, Disturbance in attention, Encephalitis, Encephalopathy, Meningism
Clinical narrative: A 54 year old male pt experienced encephalopathy following treatment with RabAvert for post exposure prophylaxis. the pt was bitten and scratched by a stray cat. He had previously received two full courses of human rabies immune globulin and 5 injections of post exposure rabies vaccine in the US about 9 to 10 years ago. He had not received any rabies booster shots since that time. The pt received one dose of post exposure RabAvert without human rabies immune globulin on 30-JAN-01 after stray cat bite. He did not receive his second dose because he experienced "encephalopathy" after the first RabAvert dose and the pt was hesitant to obtain either RabAvert or Imovax for the second dose. No titer was taken prior to the first dose and at the time of this report, it had been 7 days since the first dose. Follow up information is pending. ADDITIONAL INFORMATION: Follow up information was received on 27-FEB-01. The pt was 56 years of age (correction). Twenty-four hours after his last dose of RabAvert on 30-JAN-01 at 1600, he experienced tachycardia, a fever 100 degrees F, and chills which lasted 24 hours; menigismus which lasted 2 to 3 days; and difficulty concentrating which lasted 5 days. His diagnosis was mild encephalitis and he recovered on 21-FEB-01.