chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: F
Vaccine: HEP, TD
Symptoms: Urticaria
Clinical narrative: Urticaria. Sub cut - epinephrine .03 cm. Benadryl 25 tid.
Age: 51.0
Sex: F
Vaccine: TD
Symptoms: Asthenia, Muscle spasms, Oedema, Pain, Serum sickness
Clinical narrative: 4 days after vaccine right top of foot swollen/painful. Next day in AM - pain entire right leg and into body. Marked pain and weakness - muscle spasms - could not get out of bed. Went to ED. Lab work (increase sed rate). Diagnosis - severe serum sickness reaction (steroids, pain Rx)
Age: 1.5
Sex: F
Vaccine: PNC
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Left thigh, no tenderness, only redness and swollen, some scratch marks. Hc .25% cream apply BID for 10 days.
Age: 0.75
Sex: F
Vaccine: PNC
Symptoms: Irritability, Pyrexia, Rash
Clinical narrative: Small rash, irritable. Temperature 104 degrees, has since subsided.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Swelling
Clinical narrative: PT F/U X 24HRS FROM ADMINISTRATION OF ANTHRAX VACCINE 02 JUL 03 WITH A C/O OF SWELLING AND REDNESS TO LEFT WRIST.  PT SURGERY HX OF LEFT WRIST F/X REPAIR 10 FEB 03.  PT GIVEN MEDROL DOSE PACK 03 JUL 03.  PT F/U CONTACT VIA PHONE WITH "NO PAIN, REDNESS AND DECREASED SWELLING" 07 JUL 03.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Convulsion, Pyrexia
Clinical narrative: Sharp rise in temperature, followed by a seizure.
Age: 46.0
Sex: F
Vaccine: SMALL
Symptoms: Gastrointestinal disorder
Clinical narrative: Crohn's Disease, requiring both inpatient and outpatient care.
Age: 16.0
Sex: F
Vaccine: MEN
Symptoms: Dizziness, Dyspnoea, Malaise, Pyrexia, Urticaria
Clinical narrative: generalized not feeling well that afternoon following immunization.  Began to run a fever - Tylenol taken.  by 6:00pm, hives emerged on her chest, arms, back. Face very red.  Then dizziness and difficulty breathing by 9:00pm.  Taken to Urgent Care and was examined by nurse practitioner.  Benedryl 50 mg given po
Age: 48.0
Sex: F
Vaccine: SMALL
Symptoms: Arthralgia, Diarrhoea, Headache, Hyperhidrosis, Injection site reaction
Clinical narrative: Persistent cyclical scabbing at site of major reaction. Experienced 3 episodes of fever/diaphoras + diarrhea/nausea. Within 24 hours of vaccinia 03/26/2003 (5x for 3 days); about 04/04/2003 (5x for 3 days); about 04/19/2003 (5x for 2 days). Also experienced headaches (severe) that wakened her in night along with diaphores x 4  in same time frame as above March-May. Self-treated headaches with Ibuprofen. Most symptoms resolved except persisting, worsening knee joint pain (bilat)
Age: 48.0
Sex: F
Vaccine: SMALL
Symptoms: Nausea, Pyrexia
Clinical narrative: Persistent cyclical scabbing at site of major reaction. Experienced 3 episodes of fever/diaphoras + diarrhea/nausea. Within 24 hours of vaccinia 03/26/2003 (5x for 3 days); about 04/04/2003 (5x for 3 days); about 04/19/2003 (5x for 2 days). Also experienced headaches (severe) that wakened her in night along with diaphores x 4  in same time frame as above March-May. Self-treated headaches with Ibuprofen. Most symptoms resolved except persisting, worsening knee joint pain (bilat)
Age: 22.0
Sex: M
Vaccine: HEP, IPV, MU, TTOX
Symptoms: Chills, Hyperhidrosis, Pyrexia, Rash
Clinical narrative: Ten days after vaccines given started sweating profusely with chills, fever (not taken) fine rash to face, chest, arms.  Took Benedryl 50 mg po
Age: 43.0
Sex: F
Vaccine: YF
Symptoms: Erythema, Headache, Rash
Clinical narrative: YF Vax given 6/16/03, no others. Hx previous vaccine 1970's, current age 43 - complained of onset of headache 13 days post vaccine 6/29. Morning of 6/30 AM awoke with red bumpy rash face, forearms, slightly pruritic, "didn't feel normal", able to work. 7/2/03 feels more normal, rash less red and bumpy.
Age: 36.0
Sex: M
Vaccine: SMALL
Symptoms: Headache
Clinical narrative: He received his primary smallpox on 06/25/2003. Approximately nine (9) days after receiving the vaccine he developed a rather severe headache, rated 8/10, that last for approximately 4 days.
Age: 12.0
Sex: M
Vaccine: HEP, MMR, TTOX
Symptoms: Fatigue, Headache, Nausea, Pain
Clinical narrative: Phone call from mother states son is "achy all over, tired, and has headache;" denies rash and fever, states son has some "nausea;" mother treated son with Ibuprofen
Age: 0.8
Sex: M
Vaccine: 6VAX-F
Symptoms: Convulsion, Pyrexia
Clinical narrative: Patient was very sick, running a high fever, so i took him to the doctors, and they wanted to give him his 9 months Vaccine. he had a temp. of 101.8. they gave him his shots and a few hours later his temp went up to 102.9. i called the doctor and she said to give him some medicine. i did. about 5 mins later he had a seziure. he went in to the hospital and had x-rays done and then we had to go back to the doctor with in 3days to follow up.
Age: 59.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Pruritus, Rash
Clinical narrative: Local reaction at site and non-specific rash
Age: 59.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Rash
Clinical narrative: Local reaction at site and non-specific rash
Age: 42.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Blister, Cellulitis, Contusion, Headache, Heart rate increased
Clinical narrative: 8 days after receiving the MMR vacine, I developed a knot in my arm and low grade fever. It got worse in the next 24 hours, requiring medical attention and massive doses of antibiotics. I had severe cellulitis. Symptoms included 5 X 5 cm induration; overlying blisters, warmth and redness, lymph node infection.
Age: 42.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Influenza like illness, Injection site mass, Nausea, Oedema, Pyrexia
Clinical narrative: 8 days after receiving the MMR vacine, I developed a knot in my arm and low grade fever. It got worse in the next 24 hours, requiring medical attention and massive doses of antibiotics. I had severe cellulitis. Symptoms included 5 X 5 cm induration; overlying blisters, warmth and redness, lymph node infection.
Age: 42.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Blister, Cellulitis, Erythema, Feeling hot, Injection site induration
Clinical narrative: 8 days after receiving the MMR vacine, I developed a knot in my arm and low grade fever. It got worse in the next 24 hours, requiring medical attention and massive doses of antibiotics. I had severe cellulitis. Symptoms included 5 X 5 cm induration; overlying blisters, warmth and redness, lymph node infection.
Age: 42.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Lymphadenitis, Pyrexia
Clinical narrative: 8 days after receiving the MMR vacine, I developed a knot in my arm and low grade fever. It got worse in the next 24 hours, requiring medical attention and massive doses of antibiotics. I had severe cellulitis. Symptoms included 5 X 5 cm induration; overlying blisters, warmth and redness, lymph node infection.
Age: 0.25
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Coma, Sudden infant death syndrome
Clinical narrative: Pt was found unresponsive at 4am 6/13/03.  Autopsy report received on 8/21/2003 states COD was SIDS.
Age: 50.0
Sex: M
Vaccine: RAB
Symptoms: Unevaluable event
Clinical narrative: We received from our license partner the information that in a local newspaper the following case was reported: A 50 year old male patient was admitted to a hospital in October 2002 and was administered Rabipur following exposure. Afterwards he was discharged from hospital. Following rabies symptoms he was readmitted to the same hospital. Following deterioration of his condition, he was moved to another hospital on 12/4/02, where he died on 12/8/02. We are awaiting further information.
Age: 0.46
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Angiopathy, Cerebral infarction, Cerebrovascular accident, Convulsion, Hypercoagulation
Clinical narrative: DTaP #2 and HIB #2 injected 3/5/03. 3/8/03 Stroke and seizure; initially prescribed Dilatin. MRI and coagulation work up, neurology consultation. Medicine changed to Tegretol. Diagnosis: hypercoagulation, elevated antiphospholipids, secondary stroke, vascular anomaly. The discharge summary received on 1/29/04 states (R) middle cerebrral artery infarct.
Age: 0.46
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Laboratory test abnormal
Clinical narrative: DTaP #2 and HIB #2 injected 3/5/03. 3/8/03 Stroke and seizure; initially prescribed Dilatin. MRI and coagulation work up, neurology consultation. Medicine changed to Tegretol. Diagnosis: hypercoagulation, elevated antiphospholipids, secondary stroke, vascular anomaly. The discharge summary received on 1/29/04 states (R) middle cerebrral artery infarct.
Age: 0.75
Sex: F
Vaccine: DTAP, HEP, IPV
Symptoms: Necrosis, Paralysis, Pyrexia, Respiratory failure
Clinical narrative: Patient developed an acute ascending paralysis requiring intubation after respiratory failure. MRI reveals central necrosis of the brainstem. Infant now requires tracheostomy and possible life long ventilatory support secondary to paralyzation of respiratory muscle. A follow up report received 9/17/2003 adds: Still has limited use of extremities. Required tracheostomy, can be maintained off ventilator during day but not at night. Condition remains essentially unchanged. No additional theories have been advanced to explain this illness. Physician staff continues to consider the hep B vaccination as a possible cause.
Age: 25.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site oedema, Musculoskeletal stiffness
Clinical narrative: Shortly after injection, started to have swelling. Within 72 hours, swelling was below right elbow. Arm stiffness. Pt placed on restricted duty for 10 days, missed 2 days of work.
Age: 31.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site oedema, Pain, Pruritus
Clinical narrative: Swollen, red, sore and itchy (bad). Shot given Monday morning and site started swelling at night.
Age: 5.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Left arm red and hot to elbow 6/19/03 in AM.
Age: 1.05
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Nasal congestion, Pyrexia, Rash
Clinical narrative: Woke with fever - 103 - runny nose, cough, fine rash on bottom, belly, back and face.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: About 24 hours after vaccination developed redness at injection site. No fever, no warmth, no induration, no lymphadenopathy.
Age: 0.08
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Crying, Screaming
Clinical narrative: Pt cried for 4 hours with stopping, after immunizations given 3/3/03. Grandmother stated "head got swollen too". Reported to me 6/20/03. Went to ER but left before seen due to pt stopping crying.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Pyrexia, Vomiting
Clinical narrative: Pt seen for well visit 6/17/03, AM. Asymptomatic. Vaccines given. In afternoon developed fever and vomiting. One dose Tylenol given and fever resolved. Continued vomiting all day, that night, and still vomiting at follow-up 6/20/03. No diarrhea.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Tenderness
Clinical narrative: Swelling, redness, tenderness within 24 hours post dose, 5" inch induration. Tx - Tylenol 1 1/2 tsp every 4-6 hours, cold compresses.
Age: 1.25
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Blister, Pyrexia
Clinical narrative: 13 days after vaccine pt developed fever up to 102 degrees. The next day he developed vesicles on neck and back (total lesions - 10) and continued to have fever. On day 3, pt feeling better.
Age: 1.0
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Unevaluable event
Clinical narrative: Pt came in clinic on 6/25/2003 for her one year check and to receive her year old shots. On 7/7/03 the pt's Mom brought her back in clinic and said that the MMR gave her measles.
Age: 0.8
Sex: M
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Injection site mass
Clinical narrative: Lump on left and right anterior leg. The lump on right leg already nearly gone. On the left leg lump no redness or sign of infection.
Age: 1.5
Sex: F
Vaccine: DTAP, PNC
Symptoms: Injection site erythema, Injection site induration, Injection site mass
Clinical narrative: 65 x 70mm redness and induration at site of injections with small lump under top injection (DTaP) site. Mother noticed afternoon of following day past injection. No fever. No problems walking. Warm compresses.
Age: 1.9
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pruritus
Clinical narrative: Left leg at site of injection red/hot/swollen area 4-5" in diameter, area itches at times.
Age: 22.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash macular
Clinical narrative: Pt has macular rash, >50, no crusting, no vesicles, started about 2 weeks after vaccine dose #1, worsening, reported 6/23/03.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Decreased appetite, Irritability, Pyrexia
Clinical narrative: Within 48 hours of vaccines, pt developed fever to 103 degrees, irritability and decreased PO intake. No other symptoms. These symptoms lasted 3 days. Resolved.
Age: 1.7
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Local redness, swelling near DPaT shot injection site.
Age: 32.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Arthritis, Difficulty in walking
Clinical narrative: Arthralgia, arthritis, joint pain in arms, knees, ankles. Difficulty walking. Continual duration of symptoms with progressive deterioration over time.
Age: 31.0
Sex: F
Vaccine: TD
Symptoms: Injection site oedema, Pain
Clinical narrative: Injection date: 6/13/2003 Pain at injection site: 6/13-30/03, 7/2/03-present. Swelling at injection site: 6/16-23/2003.
Age: 15.0
Sex: M
Vaccine: HEPA, TTOX, VARCEL
Symptoms: Headache, Skin ulcer
Clinical narrative: Pt had outbreak of varicella 12 days after receiving vaccine. Reports mild case, 5 day duration with no fever, only headaches. Was seen by emergency care unit and diagnosed. Lesions were on back, chest, arms and legs.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Large area of swelling, pink-red with central red streaks left thigh about 5 cm medially and inferiorly to injection site. Rx given for Augmentin for possible cellulitis.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Oedema, Pain
Clinical narrative: Pain and swelling of extremity the day of vaccination. No fever.
Age: 0.75
Sex: M
Vaccine: PNC
Symptoms: Decreased appetite, Irritability, Pyrexia
Clinical narrative: Within 48 hours of Prevnar, pt developed fever (105 R), irritability and poor PO. No other symptoms. Was admitted to hospital and diagnosed with probable viral syndrome.
Age: 11.0
Sex: M
Vaccine: DT
Symptoms: Unevaluable event
Clinical narrative: Gave pediatric dose instead of adult dose.
Age: 12.0
Sex: M
Vaccine: DT
Symptoms: Unevaluable event
Clinical narrative: Gave pediatric dose instead of adult dose.
Age: 13.0
Sex: M
Vaccine: DT
Symptoms: Unevaluable event
Clinical narrative: Pediatric dose instead of adult dose.
Age: 1.0
Sex: F
Vaccine: HBHEPB, VARCEL
Symptoms: Skin ulcer
Clinical narrative: Develop lesions left groin 3 weeks after Varivax.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Rash maculo-papular, Skin ulcer
Clinical narrative: 8 days after vaccination developed redness at site and 6 maculo-papular lesions, slightly pruritic.
Age: 2.0
Sex: F
Vaccine: DTAP, HIBV, IPV, VARCEL
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Redness and swelling on upper left thigh morning after vaccine administration of DTaP.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia, Screaming
Clinical narrative: Screaming for 20 minutes "hi pitched", burped then better (about 36 hours after vaccines). T 100.8 R 1 hour after acet. but unsure how much of dose spit out.
Age: 1.6
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Cellulitis, Injection site erythema, Injection site oedema
Clinical narrative: Left leg swelling and redness at site of injection. Dx as cellulitis.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: 5 x 6 cm itching, erythemic, slightly raised localized reaction at injection site.
Age: 4.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR, VARCEL
Symptoms: Pruritus, Rash papular
Clinical narrative: 2 hours after administration of DTaP, Hib, MMR, Varivax and IPV, child developed itching and rash on head. Brought to clinic. Very small papules observed forehead and posterior neck, eventually cheeks and anterior neck (next 15"). Benadryl 25 mg po given. Itching resolved and papules faded some but not completely in next 15". No respiratory problems.
Age: 44.0
Sex: F
Vaccine: TTOX
Symptoms: Injection site erythema, Injection site mass, Injection site oedema, Injection site warmth, Pain
Clinical narrative: Day following shot, injection site got hot and swollen. There was and still is a lump in my arm. Although the size has gone down, there still is a lump. I had a large red ring around injection site. Very painful. ER said to treat with warm compresses.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: 3" x 3" warm raised area with erythema.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Pain, Pyrexia
Clinical narrative: Pt with temp up to 102, swelling of leg to below knee - red, warm to touch, painful. Instructed to continue use of Tylenol/Motrin and ice pack to help with discomfort. Give pt Benadryl or Atarax every 6 hours, call in AM with report on how pt is.
Age: 12.0
Sex: F
Vaccine: DT
Symptoms: Unevaluable event
Clinical narrative: Gave pediatric dose instead of adult dose
Age: 1.25
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Infection
Clinical narrative: Varicella disease, mild case.
Age: 60.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Pruritus
Clinical narrative: Swollen, red, cool left upper arm 6 x 15 cm, pale in center, itchy to pt. Given Benadryl 25 mg 6 prn #24.
Age: 44.0
Sex: F
Vaccine: HEP
Symptoms: Joint swelling, Purpura, Rash, Serum sickness, Vasculitis
Clinical narrative: Clinical syndrome c/w serum sickness. Developed rash within 30" of injection. Progressed to swelling, tenderness knees, ankles and feet. Rash is palpable purpura c/w hypersensitivity vasculitis.
Age: 0.9
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Diarrhoea, Febrile convulsion, Pyrexia, Vomiting
Clinical narrative: Infant developed fever and vomiting 6/16/03 PM, diarrhea 6/20/03. Febrile seizures x2 6/22, x1 6/23. Her physical exam was benign on 6/23/03. Infant recovered without any specific treatments.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Pyrexia
Clinical narrative: Injection site red, hard and hot. Fever 100.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Unevaluable event
Clinical narrative: Pt seen 06/28/03 and received DTaP #5 and Hep A. DTaP #5 to right thigh and Hep A to left thigh. Went to ER 6/30/03 for reaction and received antibiotics.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Urticaria
Clinical narrative: Urticaria - treated with Benadryl.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site inflammation, Injection site warmth
Clinical narrative: 24 hours after vaccination child had a red, hot inflammation at IM site, increased in size to 3 cm x 7 cm. Began using hot compresses and Benadryl. Resolved without ABX.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: 24 hours after vaccine left arm swollen, red, hot. Dx cellulitis. Rx'd with antibiotics after 48 hours. Hot compress failed.
Age: 1.5
Sex: F
Vaccine: PNC
Symptoms: Irritability, Pyrexia, Urticaria
Clinical narrative: Urticarial rash, fussiness, low-grade fever.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site warmth, Oedema
Clinical narrative: Swelling, redness, heat 2 days post immune. Difficult immune.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site erythema, Injection site oedema, Rash macular
Clinical narrative: Immunizations given 7/2/03 at 3:45 PM - reaction within 15 minutes. Both thighs red, swelling with blotching. Infant was crying hard before immunizations were given. Observed in office and rechecked by physician. Benadryl given, redness declining after 20 minutes.
Age: 2.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash vesicular
Clinical narrative: Vesicular rash compatible with chicken pox 11 days after receiving Varicella vaccine.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Convulsion, Upper respiratory tract infection
Clinical narrative: 6/12/03 at 8:30 PM Tonic/clonic seizure lasting about 2-3 minutes. In ER, MD prescribed antibiotic for URI.
Age: 1.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Urticaria
Clinical narrative: Generalized urticaria - starting from both injection sites bilaterally. Given injection 10mg Depomedial in ER.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Pt developed a red, swollen and hot area at vaccine site post 48 hours approx 10 cm x 7 cm. Applied hot compress and oral Benadryl. Resolved in 24 hours.
Age: 42.0
Sex: F
Vaccine: TD
Symptoms: Rash erythematous
Clinical narrative: Erythematous rash mid right deltoid to elbow.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Pallor, Somnolence
Clinical narrative: Pt became pale, somnolent after DTaP/Hib/IPV administration. Had pulse of 99%, HR 120, R 36-40. Received epinephrine and Dexameshone.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: 6 x 6 raised, warm red area left upper arm. Keflex 2500 1-step tid for 7-10 days.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Hypotonia, Lethargy, Pallor
Clinical narrative: Parents describe episode of lethargy/pale/limp 3-4 hours after immunizations. Had bowel movement after episode. Returned for reassessment 4-5 hours after immunizations, 1 hour per episode. Rexam WNL. Only Tx was Tylenol after immunizations and every 4 hours after.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Coma, Crying, Hypotonia, Lethargy, Pallor
Clinical narrative: Parents describe episode of lethargy/pale/limp 3-4 hours after immunizations. Had bowel movement after episode. Returned for reassessment 4-5 hours after immunizations, 1 hour per episode. Rexam WNL. Only Tx was Tylenol after immunizations and every 4 hours after.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Screaming, Shock, Staring, Syncope, Vomiting projectile
Clinical narrative: Parents describe episode of lethargy/pale/limp 3-4 hours after immunizations. Had bowel movement after episode. Returned for reassessment 4-5 hours after immunizations, 1 hour per episode. Rexam WNL. Only Tx was Tylenol after immunizations and every 4 hours after.
Age: 0.0
Sex: M
Vaccine: SMALL
Symptoms: Chills, Headache, Influenza like illness, Myalgia, Nausea
Clinical narrative: 23 year old patient identified in transit to have had reaction to smallpox vaccine  physician evaluation required.  Vaccinated with Dryvax (WAL 4020071) on 26 June 2003, left deltoid region.  Patient noted onset of flu-like symptoms on 3 July 2003.  Patient noted symptoms worsened on 4 July to include fever (undocumented max temp), chills, myalgias, headache and nausea.  AM of 5 July, noted onset of left-sided acne-like reaction across chest, upper back and under his arm.  Denies significant lymphadenopathy or vaccine site swelling or pain.  Seen by a civilian provider who diagnosed disseminated vaccinia, prescribed ibuprofen for constitutional symptoms and limiting exposure to immunocompromised persons.  Patient notes since 6 July, the pustular rash has improved, the lesions are diminishing and his constitutional symptoms have resolved.   He notes having kept his primary vaccination site covered (Op-Site and gauze).  Notes having worn shirt during transit; denies direct contact of "rash" or primary vaccination site and other persons.
Age: 0.0
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia, Rash pustular
Clinical narrative: 23 year old patient identified in transit to have had reaction to smallpox vaccine  physician evaluation required.  Vaccinated with Dryvax (WAL 4020071) on 26 June 2003, left deltoid region.  Patient noted onset of flu-like symptoms on 3 July 2003.  Patient noted symptoms worsened on 4 July to include fever (undocumented max temp), chills, myalgias, headache and nausea.  AM of 5 July, noted onset of left-sided acne-like reaction across chest, upper back and under his arm.  Denies significant lymphadenopathy or vaccine site swelling or pain.  Seen by a civilian provider who diagnosed disseminated vaccinia, prescribed ibuprofen for constitutional symptoms and limiting exposure to immunocompromised persons.  Patient notes since 6 July, the pustular rash has improved, the lesions are diminishing and his constitutional symptoms have resolved.   He notes having kept his primary vaccination site covered (Op-Site and gauze).  Notes having worn shirt during transit; denies direct contact of "rash" or primary vaccination site and other persons.
Age: 47.0
Sex: F
Vaccine: SMALL
Symptoms: Migraine
Clinical narrative: Migraine Headache requireing visit to outpatient facility
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Injection site pustule, Skin ulcer
Clinical narrative: Pt states he developed pustule about 1 week post vaccination. Did not keep area covered to contain drainage. Scratched area. Now has lesion on back of neck, right side of forehead, possible lesions (early) on lower face and chin. No treatment required.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Fatigue, Lethargy, Lymphadenopathy, Musculoskeletal stiffness, Pain
Clinical narrative: Pt states he developed pustule about 1 week post vaccination. Did not keep area covered to contain drainage. Scratched area. Now has lesion on back of neck, right side of forehead, possible lesions (early) on lower face and chin. No treatment required.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Pyrexia, Rash maculo-papular, Rash vesicular
Clinical narrative: Pt states he developed pustule about 1 week post vaccination. Did not keep area covered to contain drainage. Scratched area. Now has lesion on back of neck, right side of forehead, possible lesions (early) on lower face and chin. No treatment required.
Age: 38.0
Sex: M
Vaccine: SMALL
Symptoms: Vaccination complication
Clinical narrative: Possible auto-inoculation. Before bed, on night of 07/07, patient noted redness and swelling under left eye, and 2 small red lesions under lateral canthus of right eye. Suspects that while he was playing tennis the prior 1-2 weeks, he wiped face with shirtsleeve covering vaccine site. Kept site covered with dressing and semipermeable dressing during sports activity, but with perspiration and humidity, outer dressing adhesive loosened. No visual symptoms or pain. Seen at Clinic on 7/8/03, and no abnormalities on eye exam, except as noted above; area under left eye approx. 2cm x 1 cm; no drainage; nonpruritic (conjunctiva pink; no lesions on eyelids; ophthal. exam normal); no other lesions noted on face or in nares. Patient to follow-up at Clinic in 1 week. No treatment initiated at this time. Reviewed precautions, and will take benadryl if itching occurs.
Age: 0.6
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: 1 day after shot, temp rose to 104.8.  Took to PMD for evaluation. Using motrin and tylenol
Age: 27.0
Sex: F
Vaccine: MMR, TD
Symptoms: Injection site oedema, Injection site pain
Clinical narrative: Patient came 6/11/03 with severe swelling, pain at injection site. referred to PMD for evaluation and treatment
Age: 40.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Oedema
Clinical narrative: Patients left arm swollen from elbow to mid Tricep area. Patients states the swelling began 5 hours after the injection of the Anthrax.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: DTaP given 6/18 11 am.  6/20/03 site of injection red swollen and warm to touch, hyper acting
Age: 18.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Injection site oedema, Injection site warmth, Pain, Pruritus
Clinical narrative: Client in today with soreness , itching, and swelling from upper arm  Clients states complaints started on 6/17.  Injection site noted with swelling and warm to touch.
Age: 1.7
Sex: F
Vaccine: DTAP, HBHEPB, MM, VARCEL
Symptoms: Erythema, Injection site mass
Clinical narrative: Red knot, no fever, no fussy ness
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Hypotonia, Lethargy, Pallor
Clinical narrative: On 06-26-03 at 10:45am my son had his 4 month immunizations.  Within 4 hours after receiving 4 month shots my son had the following reactions: High pitched uncontrollable cry that lasted for a couple of minutes. Immediatelly followed by a limp collapse/shock episode,  he was very pale in skin color, unresponsive and staring off in the distance (possible seizure?).  He did not seem to lose consciosness. However this "shock like" condition continued for 10 to 15 minutes. He had a massive bowel movement and projectile vomited within the next few minutes.   He seemed to come back around as we started to head back to the doctor. By the time we got back to the Pediatrician (10 to 15 minutes),  some of his color returned, the nurse took his blood pressure & pulse - they were "normal". Over the next 30 hours so: he remains somewhat pale, and "laid back"/lethargic (not playing with as much enthusiasm).  At 48 hours after, he seems to be a little more like his old self - playing better and interacting more.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Coma, Crying, Hypotonia, Lethargy, Pallor
Clinical narrative: On 06-26-03 at 10:45am my son had his 4 month immunizations.  Within 4 hours after receiving 4 month shots my son had the following reactions: High pitched uncontrollable cry that lasted for a couple of minutes. Immediatelly followed by a limp collapse/shock episode,  he was very pale in skin color, unresponsive and staring off in the distance (possible seizure?).  He did not seem to lose consciosness. However this "shock like" condition continued for 10 to 15 minutes. He had a massive bowel movement and projectile vomited within the next few minutes.   He seemed to come back around as we started to head back to the doctor. By the time we got back to the Pediatrician (10 to 15 minutes),  some of his color returned, the nurse took his blood pressure & pulse - they were "normal". Over the next 30 hours so: he remains somewhat pale, and "laid back"/lethargic (not playing with as much enthusiasm).  At 48 hours after, he seems to be a little more like his old self - playing better and interacting more.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Screaming, Shock, Staring, Syncope, Vomiting projectile
Clinical narrative: On 06-26-03 at 10:45am my son had his 4 month immunizations.  Within 4 hours after receiving 4 month shots my son had the following reactions: High pitched uncontrollable cry that lasted for a couple of minutes. Immediatelly followed by a limp collapse/shock episode,  he was very pale in skin color, unresponsive and staring off in the distance (possible seizure?).  He did not seem to lose consciosness. However this "shock like" condition continued for 10 to 15 minutes. He had a massive bowel movement and projectile vomited within the next few minutes.   He seemed to come back around as we started to head back to the doctor. By the time we got back to the Pediatrician (10 to 15 minutes),  some of his color returned, the nurse took his blood pressure & pulse - they were "normal". Over the next 30 hours so: he remains somewhat pale, and "laid back"/lethargic (not playing with as much enthusiasm).  At 48 hours after, he seems to be a little more like his old self - playing better and interacting more.
Sex: M
Vaccine: HIBV
Symptoms: Autism, Drug toxicity, Nervous system disorder
Clinical narrative: A legal complaint was received from an attorney concerning a male child who reportedly received his second dose of Hib-Titer vaccine on 3/19/98. The child received his first dose of Hib-Titer on 1/15/98. The legal complaint states that the child sustained neurological injuries as a result of exposure to thimerosal in the vaccines. The legal complaint states that as a result of those injuries, the child has been diagnosed with autism spectrum disorder. Mercury poisoning and autism were considered medically important (OMIC).
Sex: U
Vaccine: FLU3
Symptoms: Lower motor neurone lesion, Nerve injury
Clinical narrative: A psychologist reported that one of his parents received an injection of Flu Shield (2001-2002 formula) in 2001. Approximately 10 days post-immunization, the patient became very ill. The reporter stated that his patient "lost nerves in the left leg and has lost complete use of the left leg". The reporter indicated that his patient has recovered to some degree. The reporter declined to provide additional information. This event was considered medically important (OMIC).
Age: 1.4
Sex: F
Vaccine: DT
Symptoms: Abscess
Clinical narrative: Large abscess (3/4 of thigh) 2 days after vaccine.
Age: 83.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Red, raised, hot area 4" x 2", distal left upper arm with another red, raised, hot area, 1 3/4" x 1 3/4" around injection site.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pain
Clinical narrative: 2 7/8" x 2 1/2" red, raised, hot area on left arm. Very painful.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Decreased appetite, Pruritus, Rash erythematous
Clinical narrative: Bumpy, red, itchy rash head to toe started 8 PM. Plays and sleeps, but eats poorly. Rash less now on abdomen, still on extremities. Using Tylenol for fever, Benadryl for itch and rash.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Pain, Urticaria
Clinical narrative: 2 large hives and pain to touch near site of MMR injection. No fever, no wheezing or respiratory problems. No mouth swelling.
Age: 48.0
Sex: F
Vaccine: TYP
Symptoms: Abdominal pain upper, Burn oesophageal, Chills, Lethargy, Muscle spasms
Clinical narrative: Had travel assess done. Received oral typhoid Rx from downtown pharmacy and started on 2/8/03. On 2/9/03 developed symptoms of gastric distress - burning in esophagus - developed rectal bleeding "from internal hemorrhoid" on 2/13. From 2/15 to 2/19 developed muscle cramps right side up back to neck, localizing in lower back. On 2/20 developed URI with lethargy. 2/26 shaky chills with fever. Seen by PCP on 2/27/03. Watch and wait approach. Symptoms resolved on 3/3/03 without recurrence.
Age: 48.0
Sex: F
Vaccine: TYP
Symptoms: Pyrexia, Rectal haemorrhage, Tremor, Upper respiratory tract infection
Clinical narrative: Had travel assess done. Received oral typhoid Rx from downtown pharmacy and started on 2/8/03. On 2/9/03 developed symptoms of gastric distress - burning in esophagus - developed rectal bleeding "from internal hemorrhoid" on 2/13. From 2/15 to 2/19 developed muscle cramps right side up back to neck, localizing in lower back. On 2/20 developed URI with lethargy. 2/26 shaky chills with fever. Seen by PCP on 2/27/03. Watch and wait approach. Symptoms resolved on 3/3/03 without recurrence.
Age: 56.0
Sex: F
Vaccine: UNK
Symptoms: Pruritus, Rash
Clinical narrative: Generalized rash developed on evening of day that test was administered. Some moderate itching.
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Dermatitis contact, Erythema, Rash
Clinical narrative: 5/14/03: pt developed a red rash on his scalp and came into clinic with dad. Diagnosed with contact dermatitis, treated with prelone 10 mg po qid for 5 days and triamcinolone ointment 0.025% bid for 7 days.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Pruritus
Clinical narrative: 5/8/03 Pt return to clinic with mother with complaints of itchiness and erythema all over left shoulder around where had DPT shot on 5/6/03; no fever, no pain. Poorly demarcated erythema over about 7 cm x 10cm area. No tenderness, no excoriation, adverse reaction to pertussis component of DPT.
Age: 4.0
Sex: M
Vaccine: DT, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 12 cm x 12 cm area of erythema/induration at injection site (left thigh extending to buttocks).
Age: 35.0
Sex: M
Vaccine: HEPAB
Symptoms: Influenza like illness, Sleep disorder
Clinical narrative: Flu-like symptoms developing the same evening that vaccine given (1:00 PM). Fitful sleep, felt bad enough that he was unable to work the next day. No documented fever.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site oedema, Injection site warmth
Clinical narrative: Swelling and heat about 3" x 3" right deltoid area. Pt came to clinic to have PPD skin test read; dad pointed out swollen, hot area on pt arm.
Age: 17.0
Sex: F
Vaccine: MEN
Symptoms: Injection site erythema, Injection site oedema, Musculoskeletal discomfort, Pain
Clinical narrative: Vaccine (Menomune) given SC 7/1/03. 7/2/03 began to notice swelling of arm which occurred 24 hours later. Tender and painful with flexion, slight erythema. Arm girth 10" left compared to 8" on right side. No temp. WBC 5.6. Follow up orthopedist - muscle inflammation.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Localized reaction at injection site. 2 1/2 cm x 3 cm red, swollen and hot.
Age: 7.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Localized reaction at injection site. 5 cm x 4 cm red, swollen and hot.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: 6 cm raised erythema and induration over right arm. Advised to take 1 1/2 tsp Benadry every 6 hours prn pruritis. On Amoxicillin 400 mg bid for other medication.
Age: 33.0
Sex: M
Vaccine: TD, TYP
Symptoms: Chills, Myalgia, Pyrexia
Clinical narrative: Myalgias, low grade temp, chills. Advil and Tylenol as of 6/27.
Age: 3.0
Sex: M
Vaccine: PNC
Symptoms: Rash
Clinical narrative: Per Mom pt developed rash under eye on 7/2/03. Ate mushrooms on 7/5/03 and developed hive-like rash to face, both upper arms, back and abdomen on 7/7/03.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Erythema, Irritability, Oedema
Clinical narrative: Edema both hands and feet, redness on chest and knees, feet, fussy attitude.
Age: 19.0
Sex: F
Vaccine: MMR
Symptoms: Pruritus, Pyrexia, Rash
Clinical narrative: Rash with itching, low graade fever, (99).  Rash started on 6/25/03 on stomach, spread all over today.
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Oedema
Clinical narrative: Diffuse bilat arthralgias in extremities, beginning in wrists, fingers and eventually involving ankles and knees. Also c/o subjectively of swelling in joints.   Symptoms began within 7-10 days of first Anthrax vaccination and worsened significantly within 2-3 days of second vaccination of Anthrax.  Now that patient is 3 months after his second anthrax, symptoms are gradually improving.
Age: 23.0
Sex: F
Vaccine: SMALL
Symptoms: Eczema, Rash
Clinical narrative: vaccinated on 2/20/03.  Rash started on 3/14/03, resolved after 7 days.   Rash returned late in June, again lasting approximately a week.  Rash consists of target lesions on arms trunk and upper legs....about 12 total.  Patient has no other PMH, was on no other medications.  No allergies.    She went to  a dermatologist, was seen by his PA, who told her she had eczema, and put her on allegra and "a cream".    In the opinion of the health department physician, "I KNOW it wasn't eczema".
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Dizziness, Injury, Loss of consciousness, Tonic clonic movements
Clinical narrative: 18 year old, female previously health received a Menomune A/C/Y/W-135, lot# UB154AA, expires 10/19/03,0.5ml administered sub Q at Left post arm for meningitis prophylaxis prior to college. Injection was ineventful within 2-3 minutes. Our office staff heard a thump when we entered the room pt was lying prone, head slightly dorisiflexed, arms on the side of the body, having tonic-clonic movements. Pt suffered laceration of the edge of the tounge, abrasion on right upper lip below nostril, and abrasion or right jaw and left distal leg. Witness episode lasted within 10 seconds. After pt came to she did not remember how she got to the floor she just remembers getting the injection feeling dizzy then waking up on the floor with us over her.
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Rash, Rash pruritic
Clinical narrative: rash over trunk & neck with sparing of face hands & feet; rash prusitic with onset 6/30/03 temp 98.8 F on 7/2/03.
Age: 0.8
Sex: F
Vaccine: PNC
Symptoms: Erythema, Irritability, Rash
Clinical narrative: Fussiness was noted later in the afternoon, approximately 3 hours after vaccine.  The next day mom noticed redness in the face and a rash on the face and back.
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Abdominal discomfort, Abdominal pain, Diarrhoea
Clinical narrative: Several days after flu shot, experienced severe abdominal pain, diarrhea, extended abdomen.  After 3 days of progressively worse symptoms changed into emergency room.  Had abdominal surgery.  Spent 8 days in hospital.  Had intestinal blockage.
Age: 0.0
Sex: F
Vaccine: SMALL, SMALL, SMALL
Symptoms: Cardiac disorder, Fatigue, Malaise, Pain, Pyrexia
Clinical narrative: Moderately incapacitating systemic symptoms DAY 11-12 evaluated by a cardiac team. Has had prolonged symptoms of pain at vaccination site worsened by sun exposures. Now (14 weeks after vaccination) has recurrent pustules and erythema.  Being followed as outpatient by ID physician. Full interview, chart review, and photographs of lesion pending. Initial recommendations: basic workup for immunological deficiencies (may have already been done); swab of lesion for culture and vaccinia, and punch biopsy for histology and vaccinia.
Age: 0.0
Sex: F
Vaccine: SMALL, SMALL, SMALL
Symptoms: Fatigue, Heart rate irregular, Malaise, Pain, Pyrexia
Clinical narrative: Moderately incapacitating systemic symptoms DAY 11-12 evaluated by a cardiac team. Has had prolonged symptoms of pain at vaccination site worsened by sun exposures. Now (14 weeks after vaccination) has recurrent pustules and erythema.  Being followed as outpatient by ID physician. Full interview, chart review, and photographs of lesion pending. Initial recommendations: basic workup for immunological deficiencies (may have already been done); swab of lesion for culture and vaccinia, and punch biopsy for histology and vaccinia.
Age: 0.0
Sex: F
Vaccine: SMALL, SMALL, SMALL
Symptoms: Erythema, Injection site pain, Skin ulcer
Clinical narrative: Moderately incapacitating systemic symptoms DAY 11-12 evaluated by a cardiac team. Has had prolonged symptoms of pain at vaccination site worsened by sun exposures. Now (14 weeks after vaccination) has recurrent pustules and erythema.  Being followed as outpatient by ID physician. Full interview, chart review, and photographs of lesion pending. Initial recommendations: basic workup for immunological deficiencies (may have already been done); swab of lesion for culture and vaccinia, and punch biopsy for histology and vaccinia.
Age: 55.0
Sex: M
Vaccine: PPV
Symptoms: Chest pain, Cough, Electrocardiogram abnormal, Pneumonia
Clinical narrative: Information has been received from a registered nurse and a dialysis technician concerning a 55 year old male dialysis patient with nephrosclerosis who on 6/17/03 was vaccinated with the first dose of pneumococcal vaccine 23 polyvalent (lot #644219/1079M). There was no illness at the time of vaccination. Concomitant therapy included paroxetine HCl, Ca acetate, ascorbic acid (+) folic acid (+) vitamin B complex and Rena gel. On the night of 6/18/03, the patient started to experience severe chest pain and had a bad cough. On 6/19/03, at his dialysis appointment, the patient still complained of the chest pain and continued to have a bad cough. The patient received dialysis treatment and was sent to the ER. Later that same day, the patient was hospitalized as a diagnosis of pneumonia was made. While hospitalized, the patient was treated with levofloxacin and a electrocardiogram was abnormal. In June 2003, the patient was discharged from the hospital as his pneumonia resolved. The dialysis technician requested that a lot check be performed. The dialysis technician also considered the pneumonia to be disabling. The dialysis technician also reported that another patient developed pneumonia after being vaccinated with penumococcal vaccine 23 polyvalent. The records of testing prior to release of this lot have been checked and found to be satisfactory. The lot complies with the standards and was released.
Age: 40.0
Sex: F
Vaccine: PPV
Symptoms: Cough, Pneumonia
Clinical narrative: Information has been received from a registered nurse and a dialysis technician concerning a 40 year old female dialysis patient with Parkinson's disease and glomerulonephritis who on 6/18/03 was vaccinated with the first dose of pneumococcal vaccine 23 polyvalent (lot #644129/1079M). There was no illness at the time of vaccination. Concomitant therapy included mirtazapine, trazodone HCl, ascorbic acid (+) folic acid (+) vitamin B complex, metolazone, furosemide, insulin human, isophane, levothyroxine Na, baby aspirin, amiodarone HCl, and Rena gel. On 6/21/03, the patient developed a cough. On 6/22/03, the patient was hospitalized as a diagnosis of pneumonia was made. Treatment and diagnostic tests while hospitalized were unknown. In June 2003, the patient was discharged from the hospital as her pneumonia resolved. The dialysis technician requested that a lot check be performed. The dialysis technician also considered the pneumonia to be disabling. The dialysis technician also reported that another patient developed pneumonia after being vaccinated with pneumococcal vaccine 23 polyvalent. The records of testing prior to release of this lot have been checked and found to be satisfactory. The lot complies with the standards and was released.
Age: 4.0
Sex: F
Vaccine: DTAP, UNK
Symptoms: Bacterial infection, Cough, Decreased appetite, Diarrhoea, Dyspnoea
Clinical narrative: Coughing, trouble breathing, runny nose, fever, diarrhea, nasal congestion, decreased appetite. Diagnosed with pertussis. Discharge Summary received on 9/10/2003 states pertussis and GERD.
Age: 4.0
Sex: F
Vaccine: DTAP, UNK
Symptoms: Gastrooesophageal reflux disease, Nasal congestion, Pyrexia, Rhinorrhoea
Clinical narrative: Coughing, trouble breathing, runny nose, fever, diarrhea, nasal congestion, decreased appetite. Diagnosed with pertussis. Discharge Summary received on 9/10/2003 states pertussis and GERD.
Age: 0.25
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Bronchiolitis, Cough, Decreased appetite, Dyspnoea, Vomiting
Clinical narrative: Hospital discharge summary states bronchiolitis.
Age: 0.25
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Wheezing
Clinical narrative: Hospital discharge summary states bronchiolitis.
Age: 45.0
Sex: M
Vaccine: SMALL
Symptoms: Fatigue, Myalgia, Neck pain, Pyrexia, Rash papular
Clinical narrative: Myalgia, fatigue, neck pain, headache, small pauplo-vesicular rash (5-7 lesions). Temperature elevation 101.5.
Age: 45.0
Sex: F
Vaccine: SMALL
Symptoms: Fatigue, Heart rate irregular, Oedema, Pericarditis, Thyroiditis
Clinical narrative: May 2003: Irregular heartbeat, edema of lower extremities, tired easily. Dx with Hashimotos thyroiditis. Rx 6/10/03 Synthroid .025/day. 8/1/03 Diagnosed with pericarditis. Admitted to hospital.