chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 2.0
Sex: M
Vaccine: DTP, MMR
Symptoms: Erythema, Injection site oedema, Rash
Clinical narrative: Beginning the evening after the injections, pt's left arm began to swell and broke out in severe erythematous rash from above shoulder down to forearm. Zyrtec given, resolved in about 2 days.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Left arm deltoid mild erythema and swelling. Normal use of arm.
Age: 3.0
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Pyrexia, Vaccine positive rechallenge, Vomiting
Clinical narrative: 1) 18 hours after vaccines given, Temperature 104 for 36 hours.  2)  24 hours after vaccines given, onset of vomiting for 24 hours. 3) 44 hours after vaccines, asymptomatic.
Age: 1.3
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Rash maculo-papular
Clinical narrative: Pt developed fever to 104, then Maculo-papular rash.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: 7.5x9.5 area of erythema, warmth and mild induration around IPV given the day before (right deltoid area).
Age: 13.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Pyrexia, Rash, Vaccine positive rechallenge
Clinical narrative: MMR vaccine given 08/26/04. Rash was noted to injection site 08/28/04 and was all over chest. Pt also developed a low grade fever of 100 degrees. Pt was seen in office on 08/30/04 to evaluate.
Age: 36.0
Sex: M
Vaccine: ANTH, HEPA, IPV, MMR, SMALL, TD, TYP
Symptoms: Erythema, Oedema, Rash
Clinical narrative: Smallpox vaccine administered 25 Aug 04.  On 1 Sep 04 pt developed a diffuse rash consisting of numerous erythematous plaques several of which are edematous.
Age: 39.0
Sex: F
Vaccine: YF
Symptoms: Injection site swelling, Injection site warmth, Urticaria
Clinical narrative: Pt had swelling and wheal at injection site. Reaction was measured 15mmx10mm.  Hot to the touch. Pt was instructed to notify treament facility of any problems.
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Feeling hot, Headache, Hyperhidrosis, Hypersensitivity, Pruritus
Clinical narrative: Dose#2 of Hepatitis B vaccine administered ~ 2PM on 8/31.  At 9PM 8/31 she c/o generalized itching and rash, headache, and feeling hot and sweaty.  Evaluated in ED.  Dx as acute allergic reaction. Rx with SoluMedrol, Benadryl, and Pepcid. Sent homewith Rx for 5 day course of Prednisone, Pepcid, and Benadryl.  Sx. resolved after ED tx. No sx except residual headache when seen in f/u on 9/1.
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Rash
Clinical narrative: Dose#2 of Hepatitis B vaccine administered ~ 2PM on 8/31.  At 9PM 8/31 she c/o generalized itching and rash, headache, and feeling hot and sweaty.  Evaluated in ED.  Dx as acute allergic reaction. Rx with SoluMedrol, Benadryl, and Pepcid. Sent homewith Rx for 5 day course of Prednisone, Pepcid, and Benadryl.  Sx. resolved after ED tx. No sx except residual headache when seen in f/u on 9/1.
Age: 24.0
Sex: F
Vaccine: HEP, TD
Symptoms: Cough, Influenza like illness, Injection site pain, Joint range of motion decreased, Lethargy
Clinical narrative: States she had hepatitis b vaccine at another facility and then came to health department for Td on 9/1/04. Within 3-4 hrs had flu like symptoms with aching, cough, runny nose and sore throat with lethargy. Right deltoid very tender to touch but no swelling or redness at this time. Unable to lift arm over head or behind back. Very stiff. States she did move arm alot yesterday to try to keep stiffness down but could not even move arm this morning when she woke up. Took Motrin with some relief of pain.
Age: 24.0
Sex: F
Vaccine: HEP, TD
Symptoms: Musculoskeletal stiffness, Pain, Pharyngolaryngeal pain, Rhinorrhoea
Clinical narrative: States she had hepatitis b vaccine at another facility and then came to health department for Td on 9/1/04. Within 3-4 hrs had flu like symptoms with aching, cough, runny nose and sore throat with lethargy. Right deltoid very tender to touch but no swelling or redness at this time. Unable to lift arm over head or behind back. Very stiff. States she did move arm alot yesterday to try to keep stiffness down but could not even move arm this morning when she woke up. Took Motrin with some relief of pain.
Age: 1.8
Sex: F
Vaccine: HIBV, VARCEL
Symptoms: Blister, Drug ineffective, Erythema, Fall, Viral infection
Clinical narrative: Developed Chickenpox like rash on 08/25/04, which became progressively worse. On 08/30/2004 father brought thte child to Health Department for evaluation. Areas on face and thighs appeared nearly ulcerated. On arms and trunk she had fluid filled vesicles.Referral was made to MD. MD said it was a bacterial infection caused by an abrasion to the face that had occurred when the child fell. He prescribed Augmentin 1 tsp. B.I.D. In a phone call to the mother on 09/02/04 she said that all areas were healing nicely with just a pink tinge to the skin.
Age: 0.5
Sex: M
Vaccine: DTAP, IPV
Symptoms: Rash maculo-papular
Clinical narrative: 4/7/04 saw PCP rash, given Zithromax 4/8/04 Emergency room visit- rash maculapapular on checks, neck, chest, abdomen and extremities, no urticaria, no petechiae, no purpura, was told stop Zithromax, given Benadryl, possible reaction to vaccines.
Age: 36.0
Sex: F
Vaccine: ANTH
Symptoms: Dyspnoea, Injection site swelling, Vaccine positive rechallenge, Wheezing
Clinical narrative: RECEIVED ANTHRAX SHOT #05 21AUG04 NOTED "PANCAKE" SIZE SWELLING AT IMMUNIZATION SITE RIGHT ARM ON 22AUG04 WHICH OCCURED ON PREVIOUS 4 ANTHRAX SHOTS.  ON 24AUG04 NOTED SHORTNESS OF BREATH AND WHEEZING.  RELATES SOB/WHEEZING HAPPENED AFTER ANTHRAX SHOTS #3/4.  HAD HIVES AFTER SHOT #3.  PT DIDN'T REPORT THIS INFO TO MED FACILITY UNTIL NOW.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema
Clinical narrative: 8 x 5 cm erythematous injection site reaction  ice pack applied 10 min periods x 2
Age: 4.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Feeling hot, Oedema peripheral, Pyrexia, Rash, Urticaria
Clinical narrative: 08/21/04-Severe swelling of entire left leg and foot and fever of 101-called emergent doc and she advised was normal reaction-give mortin and zyrtec. 08/22/04-Hives, red rash (hot to the touch), swelling and fever 08/23/04-Symtoms worsened:purple rash (hot to the touch),continual swelling and hives.Called clinic-advised that could be infection and needed to be seen ASAP. 08/23/04-Was seen in clinic by RN and the doctor. Both indicated that reaction was not common. Judged against tissue infection after reviewing the symptons again and again.Advised to increase dose of Zyrtec to 1 1/2 teaspoons nightly.  09/02/04-Purple rash is still visible. All other symptoms subsided.
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: On Sept 1st pt came to clinic c\o pain to R outer arm at the site of injection, also c\o swelling at site. Doctor saw pt and prescribed Zyrtec 10MG 1 tab PO QD, and Advil PRN pain. Pt came in Sept 3 also c\o pain and swelling at injection site. Doctor saw pt and diagnosed as improved, event being reported as adverse today Sept 3.
Age: 5.0
Sex: M
Vaccine: DT, IPV, MMR, DT, IPV, MMR, DTAP, IPV, MMR
Symptoms: Erythema, Injection site inflammation, Injection site mass, Injection site pain, Pyrexia
Clinical narrative: After the shot was given it he had a small red knot appx. the size of a quarter.  The 2nd day the red knot was the size of a mayonaise jar lid.  One the 3rd day the red spot measured 10cm x12cm (larger then the size of my palm.  It was red, inflamed, sore to the touch accompanied by a 100.2 fever.
Age: 5.0
Sex: M
Vaccine: DT, IPV, MMR, DT, IPV, MMR, DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site inflammation, Injection site mass, Pyrexia
Clinical narrative: After the shot was given it he had a small red knot appx. the size of a quarter.  The 2nd day the red knot was the size of a mayonaise jar lid.  One the 3rd day the red spot measured 10cm x12cm (larger then the size of my palm.  It was red, inflamed, sore to the touch accompanied by a 100.2 fever.
Age: 5.0
Sex: M
Vaccine: DT, IPV, MMR, DT, IPV, MMR, DTAP, IPV, MMR
Symptoms: Injection site reaction
Clinical narrative: After the shot was given it he had a small red knot appx. the size of a quarter.  The 2nd day the red knot was the size of a mayonaise jar lid.  One the 3rd day the red spot measured 10cm x12cm (larger then the size of my palm.  It was red, inflamed, sore to the touch accompanied by a 100.2 fever.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Blood glucose increased, Coma, Petit mal epilepsy, Somnolence, Staring
Clinical narrative: Approximately 5-8 days after her shots I noticed that she was, what I thought to be daydreaming. After several more "episodes" of this, I realized that I could not get her attention during these "staring spells". She had at least one a day, that I noticed, between 8/19-8/29. We took her to her pediatrician on 8/30/2004 and she said that it sounds like she is having "petit mal seizures". We have kept track of them since then.  She is in school from 8:00am to 2:00pm so we have a hard time telling when or if they happen then.  08/31/04 5:45pm duration 5-10secs.  09/01/04 5:30pm, 6:30pm, 7:00pm, 7:45pm 6-10 seconds each. 09/02/04 3:30pm, 4:00pm 6-8 seconds each. 09/03/04 2:15pm, 3:30pm 20 seconds, 5:30pm, 6:00pm,7:00pm lasting up to 20 seconds. Took her to ER. Had a CT scan normal, blood test normal. 09/04/04 9:00am, 9:30am
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Chills, Lymphangitis, Myalgia, Pruritus
Clinical narrative: PAPULAR RASH ON BILATERAL HANDS, PALMS, FEET, SOLES, ELBOW, BACK, FACE BEGINNING DAY 7 AFTER VACCINATION. AFEBRILE BUT MYALGIAS REPORTED. NO HEADACHE OR NEUROLOGIC SYMPTOMS. MAJOR TAKE AT VACCINATION SITE WITH LYMPHANGITIS AND CELLULITIS. TREATMENT: KEFLEX 250 MG PO QID FOR 7 DAYS, ZYRTEC 10 MG PO QDAY PRN FOR ITCHING, TYLENOL 650 MG PO Q4HRS PRN CHILLS/MYALGIAS.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Rash papular
Clinical narrative: PAPULAR RASH ON BILATERAL HANDS, PALMS, FEET, SOLES, ELBOW, BACK, FACE BEGINNING DAY 7 AFTER VACCINATION. AFEBRILE BUT MYALGIAS REPORTED. NO HEADACHE OR NEUROLOGIC SYMPTOMS. MAJOR TAKE AT VACCINATION SITE WITH LYMPHANGITIS AND CELLULITIS. TREATMENT: KEFLEX 250 MG PO QID FOR 7 DAYS, ZYRTEC 10 MG PO QDAY PRN FOR ITCHING, TYLENOL 650 MG PO Q4HRS PRN CHILLS/MYALGIAS.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Blood creatine phosphokinase increased, Leukocytosis, Medication error, Oedema peripheral, Skin discolouration
Clinical narrative: BILATERAL ANKLE SWELLING WITH PURPLISH DISCOLORATION AND TENDERNESS. EXTENDS MIDCALF TO MIDFOOT. SATELLITE PATCHES. 3+ PITTING EDEMA AND BOGGINESS. ELEVATED WBC. NO CALF TENDERNESS. NO HISTORY OF VASCULITIS, DVT, OTHER. OTHERWISE HEALTHY AND ATHLETIC.  MAJOR TAKE AT VACCINE SITE. HE REPORTS 7 JABS FOR PRIMARY VACCINATION: SHOULD HAVE BEEN 3, UNLESS HIS RECALL IS INCORRECT.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Skin necrosis, Tenderness, White blood cell count increased
Clinical narrative: BILATERAL ANKLE SWELLING WITH PURPLISH DISCOLORATION AND TENDERNESS. EXTENDS MIDCALF TO MIDFOOT. SATELLITE PATCHES. 3+ PITTING EDEMA AND BOGGINESS. ELEVATED WBC. NO CALF TENDERNESS. NO HISTORY OF VASCULITIS, DVT, OTHER. OTHERWISE HEALTHY AND ATHLETIC.  MAJOR TAKE AT VACCINE SITE. HE REPORTS 7 JABS FOR PRIMARY VACCINATION: SHOULD HAVE BEEN 3, UNLESS HIS RECALL IS INCORRECT.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Injection site reaction, Pain, Vaccination complication
Clinical narrative: LOCAL CELLULITIS WITH PUSTULES AND SATELLITE PUSTULES AT VACCINATION SITE. AFEBRILE.  TREATMENT: KEFLEX 250 MG PO QID FOR 10 DAYS MOTRIN 800 MG PO TID PRN PAIN LIGHT BREATHABLE BANDAGE, CHANGE DAILY. F/U IF WORSENING.
Age: 21.0
Sex: F
Vaccine: ANTH
Symptoms: Pruritus, Rash
Clinical narrative: Approximately 3 days after anthrax #2, developed approx 5 cm rash in local area; itch requiring benadryl.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Bacterial infection, Chest pain, Discomfort, Dyspepsia, Dyspnoea
Clinical narrative: Pt is a 22-year-old male who received the smallpox vaccine (smp) on 12 May. Stated he noticed nothing unusual. On Saturday 22 May he began to experience heartburn, described, as a mild burning feeling across his chest and nothing seem to make it better or worse. He denied chest pain, shoulder or neck pain, nausea, vomiting and shortness of breath. Stated this episode only lasted a couple of hours. He felt ok throughout the day on Sunday and woke up 3 am on Mon 24 May with "bad" chest pain but again though it was just heartburn. Pain lasted 4 hours. He denied neck and shoulder discomfort. No nausea, vomiting or shortness of breath. Stated the pain felt worse when he laid down. He stated he noticed slight discomfort throughout the day and reported no relief with Tums. Stated he had slight relief with Pepto-Bismol. At 1600 hrs he decided to go to the hospital. By the time he got there at 5 pm the pain was a # 8-9 on a scale of 1-10 with 10 being worse. He stated the pain was all across his chest and this time was associated with shortness of breath. He also reported that the pain increased with deep breathing but he noticed no change in pain with position change. He said the pain eased with the administration of medication in the hospital. o25 July 04: Cardiology confirmed smallpox associated myopericarditis, resolved Discharge summary states bacterial infection.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Electrocardiogram abnormal, Laboratory test abnormal, Myocarditis, Pericarditis
Clinical narrative: Pt is a 22-year-old male who received the smallpox vaccine (smp) on 12 May. Stated he noticed nothing unusual. On Saturday 22 May he began to experience heartburn, described, as a mild burning feeling across his chest and nothing seem to make it better or worse. He denied chest pain, shoulder or neck pain, nausea, vomiting and shortness of breath. Stated this episode only lasted a couple of hours. He felt ok throughout the day on Sunday and woke up 3 am on Mon 24 May with "bad" chest pain but again though it was just heartburn. Pain lasted 4 hours. He denied neck and shoulder discomfort. No nausea, vomiting or shortness of breath. Stated the pain felt worse when he laid down. He stated he noticed slight discomfort throughout the day and reported no relief with Tums. Stated he had slight relief with Pepto-Bismol. At 1600 hrs he decided to go to the hospital. By the time he got there at 5 pm the pain was a # 8-9 on a scale of 1-10 with 10 being worse. He stated the pain was all across his chest and this time was associated with shortness of breath. He also reported that the pain increased with deep breathing but he noticed no change in pain with position change. He said the pain eased with the administration of medication in the hospital. o25 July 04: Cardiology confirmed smallpox associated myopericarditis, resolved Discharge summary states bacterial infection.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Dyspnoea, Hypoaesthesia, Lymphadenopathy, Malaise
Clinical narrative: Patient is a 29 y/o male who recieved the vaccine on the 27 AUG 04 and began to develop adenopathy and fevers after one week.  On 05 Sept 04 he woke feeling ill and became very short of breath and began complaining of 10/10 chest pain that he described as a chest tightness that came in waves and was associated with arm numbness.  There were no EKG findings and his chemistry panel, CBC, CK level were all normal.  The patient was placed on O2, ASA, Nitro SL, Morphine, Lopressor, then Toradol.  The pain was well controlled for 36 hours with Toradol. When we attempted to spread out NSAID dose His returned and again he had an episode of 10/10 pain 8 hours after last Toradol dose. At that time he was give O2, Morphine and Toradol.  The pain is currently being controlled with IV Toradol.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Pain, Pyrexia
Clinical narrative: Patient is a 29 y/o male who recieved the vaccine on the 27 AUG 04 and began to develop adenopathy and fevers after one week.  On 05 Sept 04 he woke feeling ill and became very short of breath and began complaining of 10/10 chest pain that he described as a chest tightness that came in waves and was associated with arm numbness.  There were no EKG findings and his chemistry panel, CBC, CK level were all normal.  The patient was placed on O2, ASA, Nitro SL, Morphine, Lopressor, then Toradol.  The pain was well controlled for 36 hours with Toradol. When we attempted to spread out NSAID dose His returned and again he had an episode of 10/10 pain 8 hours after last Toradol dose. At that time he was give O2, Morphine and Toradol.  The pain is currently being controlled with IV Toradol.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Pyrexia, Rash papular, Skin ulcer, Tonsillitis
Clinical narrative: Patient presented for well care and received Hepatitis A vaccine.  That evening he developed fever to 104.  The fever persisited.  Around 0200 on 8/31/04 the patient went to the ED and was told he had tonsillitis and was given an Rx for Penicillin.  No throat culture was done.  Follow up exam on 9/1/04 showed papulovesicular lesions on the anterior pillars consistent with herpangina.
Age: 23.0
Sex: M
Vaccine: TYP, HEP, HEPA, TYP
Symptoms: Abnormal behaviour, Amnesia, Asthenia, Back pain, Confusional state
Clinical narrative: 8/2/04: Received Hep A and Hep B; first dose of oral typhoid. 8/3/04:  weakness, mood swings.  8/7/04: severe mood swings and insomnia.8/11/04: weakness continuing with memory loss.  8/13/04: took 2nd typhoid dose - mood swings more severe; insomnia. 8/14/04 able to nap. 8/15/04: headaches began; continued memory loss. Took 3rd dose of typhoid. 8/16/04: passed out on kitchen floor, neighbors took to ER where hospitalized for 2 and 1/2 days.  Underwent a battery of tests, X-rays done.  Diagnosis made was a "reaction to typhoid". 8/18/04: developed severe migraine headaches; nausea, delerium, insomnia, mood swings continued. 8/19/04: Discharged from hospital. 8/20/04: Friends returned patient to ER where he was placed on "caffeine drip" Still having headaches, nightmares - remained in ER for 24 hours. 8/21/04: severe headaches, terrible nightmares.  8/22/04: some improvement. 8/23 and 24/04: memory loss for both days.  8/25/04:  slight improvement; headaches improving. F/U: Not vaccine related. Medical records state anorexia. msv
Age: 23.0
Sex: M
Vaccine: TYP, HEP, HEPA, TYP
Symptoms: Cyst, Dehydration, Delusion, Diarrhoea, Dizziness
Clinical narrative: 8/2/04: Received Hep A and Hep B; first dose of oral typhoid. 8/3/04:  weakness, mood swings.  8/7/04: severe mood swings and insomnia.8/11/04: weakness continuing with memory loss.  8/13/04: took 2nd typhoid dose - mood swings more severe; insomnia. 8/14/04 able to nap. 8/15/04: headaches began; continued memory loss. Took 3rd dose of typhoid. 8/16/04: passed out on kitchen floor, neighbors took to ER where hospitalized for 2 and 1/2 days.  Underwent a battery of tests, X-rays done.  Diagnosis made was a "reaction to typhoid". 8/18/04: developed severe migraine headaches; nausea, delerium, insomnia, mood swings continued. 8/19/04: Discharged from hospital. 8/20/04: Friends returned patient to ER where he was placed on "caffeine drip" Still having headaches, nightmares - remained in ER for 24 hours. 8/21/04: severe headaches, terrible nightmares.  8/22/04: some improvement. 8/23 and 24/04: memory loss for both days.  8/25/04:  slight improvement; headaches improving. F/U: Not vaccine related. Medical records state anorexia. msv
Age: 23.0
Sex: M
Vaccine: TYP, HEP, HEPA, TYP
Symptoms: Gait disturbance, Headache, Hypersensitivity, Loss of consciousness, Malaise
Clinical narrative: 8/2/04: Received Hep A and Hep B; first dose of oral typhoid. 8/3/04:  weakness, mood swings.  8/7/04: severe mood swings and insomnia.8/11/04: weakness continuing with memory loss.  8/13/04: took 2nd typhoid dose - mood swings more severe; insomnia. 8/14/04 able to nap. 8/15/04: headaches began; continued memory loss. Took 3rd dose of typhoid. 8/16/04: passed out on kitchen floor, neighbors took to ER where hospitalized for 2 and 1/2 days.  Underwent a battery of tests, X-rays done.  Diagnosis made was a "reaction to typhoid". 8/18/04: developed severe migraine headaches; nausea, delerium, insomnia, mood swings continued. 8/19/04: Discharged from hospital. 8/20/04: Friends returned patient to ER where he was placed on "caffeine drip" Still having headaches, nightmares - remained in ER for 24 hours. 8/21/04: severe headaches, terrible nightmares.  8/22/04: some improvement. 8/23 and 24/04: memory loss for both days.  8/25/04:  slight improvement; headaches improving. F/U: Not vaccine related. Medical records state anorexia. msv
Age: 23.0
Sex: M
Vaccine: TYP, HEP, HEPA, TYP
Symptoms: Mood swings, Muscular weakness, Nausea, Nightmare, Rhinitis allergic
Clinical narrative: 8/2/04: Received Hep A and Hep B; first dose of oral typhoid. 8/3/04:  weakness, mood swings.  8/7/04: severe mood swings and insomnia.8/11/04: weakness continuing with memory loss.  8/13/04: took 2nd typhoid dose - mood swings more severe; insomnia. 8/14/04 able to nap. 8/15/04: headaches began; continued memory loss. Took 3rd dose of typhoid. 8/16/04: passed out on kitchen floor, neighbors took to ER where hospitalized for 2 and 1/2 days.  Underwent a battery of tests, X-rays done.  Diagnosis made was a "reaction to typhoid". 8/18/04: developed severe migraine headaches; nausea, delerium, insomnia, mood swings continued. 8/19/04: Discharged from hospital. 8/20/04: Friends returned patient to ER where he was placed on "caffeine drip" Still having headaches, nightmares - remained in ER for 24 hours. 8/21/04: severe headaches, terrible nightmares.  8/22/04: some improvement. 8/23 and 24/04: memory loss for both days.  8/25/04:  slight improvement; headaches improving. F/U: Not vaccine related. Medical records state anorexia. msv
Age: 23.0
Sex: M
Vaccine: TYP, HEP, HEPA, TYP
Symptoms: Sleep disorder, Thinking abnormal
Clinical narrative: 8/2/04: Received Hep A and Hep B; first dose of oral typhoid. 8/3/04:  weakness, mood swings.  8/7/04: severe mood swings and insomnia.8/11/04: weakness continuing with memory loss.  8/13/04: took 2nd typhoid dose - mood swings more severe; insomnia. 8/14/04 able to nap. 8/15/04: headaches began; continued memory loss. Took 3rd dose of typhoid. 8/16/04: passed out on kitchen floor, neighbors took to ER where hospitalized for 2 and 1/2 days.  Underwent a battery of tests, X-rays done.  Diagnosis made was a "reaction to typhoid". 8/18/04: developed severe migraine headaches; nausea, delerium, insomnia, mood swings continued. 8/19/04: Discharged from hospital. 8/20/04: Friends returned patient to ER where he was placed on "caffeine drip" Still having headaches, nightmares - remained in ER for 24 hours. 8/21/04: severe headaches, terrible nightmares.  8/22/04: some improvement. 8/23 and 24/04: memory loss for both days.  8/25/04:  slight improvement; headaches improving. F/U: Not vaccine related. Medical records state anorexia. msv
Age: 23.0
Sex: M
Vaccine: TYP, HEP, HEPA, TYP
Symptoms: Amnesia, Anorexia, Asthenia, Delirium, Headache
Clinical narrative: 8/2/04: Received Hep A and Hep B; first dose of oral typhoid. 8/3/04:  weakness, mood swings.  8/7/04: severe mood swings and insomnia.8/11/04: weakness continuing with memory loss.  8/13/04: took 2nd typhoid dose - mood swings more severe; insomnia. 8/14/04 able to nap. 8/15/04: headaches began; continued memory loss. Took 3rd dose of typhoid. 8/16/04: passed out on kitchen floor, neighbors took to ER where hospitalized for 2 and 1/2 days.  Underwent a battery of tests, X-rays done.  Diagnosis made was a "reaction to typhoid". 8/18/04: developed severe migraine headaches; nausea, delerium, insomnia, mood swings continued. 8/19/04: Discharged from hospital. 8/20/04: Friends returned patient to ER where he was placed on "caffeine drip" Still having headaches, nightmares - remained in ER for 24 hours. 8/21/04: severe headaches, terrible nightmares.  8/22/04: some improvement. 8/23 and 24/04: memory loss for both days.  8/25/04:  slight improvement; headaches improving. F/U: Not vaccine related. Medical records state anorexia. msv
Age: 23.0
Sex: M
Vaccine: TYP, HEP, HEPA, TYP
Symptoms: Insomnia, Migraine, Mood swings, Nausea, Nightmare
Clinical narrative: 8/2/04: Received Hep A and Hep B; first dose of oral typhoid. 8/3/04:  weakness, mood swings.  8/7/04: severe mood swings and insomnia.8/11/04: weakness continuing with memory loss.  8/13/04: took 2nd typhoid dose - mood swings more severe; insomnia. 8/14/04 able to nap. 8/15/04: headaches began; continued memory loss. Took 3rd dose of typhoid. 8/16/04: passed out on kitchen floor, neighbors took to ER where hospitalized for 2 and 1/2 days.  Underwent a battery of tests, X-rays done.  Diagnosis made was a "reaction to typhoid". 8/18/04: developed severe migraine headaches; nausea, delerium, insomnia, mood swings continued. 8/19/04: Discharged from hospital. 8/20/04: Friends returned patient to ER where he was placed on "caffeine drip" Still having headaches, nightmares - remained in ER for 24 hours. 8/21/04: severe headaches, terrible nightmares.  8/22/04: some improvement. 8/23 and 24/04: memory loss for both days.  8/25/04:  slight improvement; headaches improving. F/U: Not vaccine related. Medical records state anorexia. msv
Age: 5.0
Sex: M
Vaccine: DT, IPV, MMR, DT, IPV, MMR, DTAP, IPV, MMR
Symptoms: Erythema, Injection site inflammation, Injection site mass, Injection site pain, Pyrexia
Clinical narrative: After the third day a large red knot developed.  It measure 10cm by 12cm.  Was red, immflammed and hot to the touch.  He also had a low grade temp of 100.2 rectal reading.
Age: 5.0
Sex: M
Vaccine: DT, IPV, MMR, DT, IPV, MMR, DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site inflammation, Injection site mass, Pyrexia
Clinical narrative: After the third day a large red knot developed.  It measure 10cm by 12cm.  Was red, immflammed and hot to the touch.  He also had a low grade temp of 100.2 rectal reading.
Age: 5.0
Sex: M
Vaccine: DT, IPV, MMR, DT, IPV, MMR, DTAP, IPV, MMR
Symptoms: Injection site reaction
Clinical narrative: After the third day a large red knot developed.  It measure 10cm by 12cm.  Was red, immflammed and hot to the touch.  He also had a low grade temp of 100.2 rectal reading.
Age: 32.0
Sex: F
Vaccine: VARCEL
Symptoms: Abortion, Laboratory test abnormal, Medication error, Unintended pregnancy
Clinical narrative: Information has been received from a health professional through a pregnancy registry concerning a 32 year old healthy white female with a history of three prior miscarriages who on 6/21/04 was vaccinated with a dose of varicella virus vaccine live prior to a diagnosis of pregnancy. Concomitant medication included fluoxetine hydrochloride (PROZAC) (40mg daily) for depression and daily prenatal vitamins. On 7/12/04 the patient was diagnosed and was placed on progesterone (PROMETRIUM) (200mg TID vaginally) that day for previous SAB. On 7/15/04 a serum progesterone level was found to be 20.7 and the medication was discontinued. It was reported that the patient sought medical attention, but no treatment was required. No product quality complaint was involved. Follow up information has been received from a health professional who reported that the patient has had a total of 4 pregnancies including this one. She had 3 previous miscarriages; 1991 5-6 weeks, 2001 at 8 weeks and 2004 at 5-6 weeks. It was unknown when in 2004 the third miscarriage occurred. This pregnancy, her fourth, ended in a spontaneous abortion on 8/16/04. The patient has no living children. The LMP was 6/15/04 with an EDD of 3/22/05. The patient had a prenatal panel done on 7/27/04. Results were not reported. It was reported that there were no complications during the pregnancy. On 7/30/04 the patient had an ultrasound to confirm growth. It showed a small yolk, measured 5 weeks and 5 days and no flicker was seen. On 8/5/04 another ultrasound was done and revealed an abnormally shaped sac with no pulse seen. On 8/13/04 another ultrasound was done and there was still no fetal pulse seen. The nurse noted that there was gest sac but no viable fetal growth pole seen. The abortion date was 8/16/04, approximately 8 weeks from her LMP. No additional information was provided. Follow up 03/03/05: Patient has not recovered from the event.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion
Clinical narrative: 2 afebrile seizures 12 hours after vaccine administered
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Erythema, Feeling hot, Oedema, Pyrexia
Clinical narrative: Blisters at injection site, redness on upper arm, warm to touch, edema. Temp x 24 102-103 to ER night of vaccine.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Arm began to swell same day of shot, progressed to whole upper arm redness x swelling. Had similar reaction to Prevnar in leg 14 months ago.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Cellulitis, Erythema, Injection site induration, Injection site reaction
Clinical narrative: The area S/P HIB vaccine became cellulitic with 1/2 cm ^2 of redness and 1 cm^2 of induration: treated with Keflex.
Age: 64.0
Sex: M
Vaccine: HEPA, TD, TYP
Symptoms: Pruritus, Rash
Clinical narrative: Had itching rash on chest 2 days after injection.
Age: 1.03
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash maculo-papular
Clinical narrative: 8 days after receiving MMR/ Varicella/ pt developed maculopapular rash with fever Tm 100.1
Age: 15.0
Sex: F
Vaccine: HEP, TD
Symptoms: Dizziness, Hypoaesthesia, Lethargy, Pain, Staring
Clinical narrative: Returned to clinic reporting Left arm numb, lethargic, pain in left shoulder. Reports feels like will pass out. Looks like dazed. Responds appropriately to all questions. Grips equal and strong. BP 110/70 , blood sugar 105, pulse 80, Resp 29. Pt reports ate doughnuts and drank Dr. Pepper after shot. Negative medical history. 8/25/04: at 2:50 :spoke with mother. Reports pt doing much better. New area complaint is sore arm. 8/26/04: spoke with pt, doing well.
Age: 15.0
Sex: F
Vaccine: HEP, TD
Symptoms: Tenderness
Clinical narrative: Returned to clinic reporting Left arm numb, lethargic, pain in left shoulder. Reports feels like will pass out. Looks like dazed. Responds appropriately to all questions. Grips equal and strong. BP 110/70 , blood sugar 105, pulse 80, Resp 29. Pt reports ate doughnuts and drank Dr. Pepper after shot. Negative medical history. 8/25/04: at 2:50 :spoke with mother. Reports pt doing much better. New area complaint is sore arm. 8/26/04: spoke with pt, doing well.
Age: 1.0
Sex: M
Vaccine: HIBV, VARCEL
Symptoms: Erythema, Feeling hot, Injection site induration, Pyrexia, Upper respiratory tract infection
Clinical narrative: Right leg with 2.5x4 cm knot red/ hot / firm observed 8/30/04. Fever 103 onset. Friday 8/27/04 with URI onset 8/28/04.
Age: 1.5
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Hypersensitivity, Oedema
Clinical narrative: Edema/ erythema right upper arm. Treated with Benadryl PO cool compress. Resolved by 8/24
Age: 76.0
Sex: M
Vaccine: TD
Symptoms: Rash
Clinical narrative: All over body rash
Sex: U
Vaccine: HEP, HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Increased swelling, erythema at injection site on right.
Age: 36.0
Sex: M
Vaccine: HEPAB
Symptoms: Pruritus, Urticaria
Clinical narrative: Pt called on 8/30/04 reporting hives starting on 8/26/04 following combined hep A/B #3 (Twinrix). He received Japanese Encephalitis Vaccine #3 on 8/19/04: more like  (JE #1 given 8/5/04 and #2 given on 8/12/04 without problem).  Follow up on 09/08/04 states: "Pruritis 08/27 on ft hives, 08/28. He took Claritin 08/30 and starting improving 08/31.
Age: 3.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Swelling
Clinical narrative: 5x9 cm redness, swelling started AM outer left thigh
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Anorexia, Screaming
Clinical narrative: Former 30 week premie twin refused to eat for 18 hours: no fever, inconsolable crying for 18 hours. Sxs started two hours post injection.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Anorexia, Screaming
Clinical narrative: Former 30 week premie twin refused to eat x 18 hours, inconsolable crying for 18 hours. Started two hours after injection. No fever.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pain, Pruritus, Pyrexia, Swelling
Clinical narrative: Right upper arm: local redness, swelling , pain, itching, fever, treatment: Tylenol q 4 hours.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Large area of redness, swelling between shoulder and elbow on muscle per mom, noticed last night.
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Injection site oedema
Clinical narrative: Immediate localized edema. Benadryl po and ice pack to injection site. Physician examined pt immediately.
Age: 15.0
Sex: F
Vaccine: TD
Symptoms: Medication error
Clinical narrative: Ct. was to received PPD 0.1cc ID on 8/16/04 instead Ct. received Adult Td 0.5 cc ID to left forearm. CT has not been visually assessed by this staff.
Age: 18.0
Sex: M
Vaccine: TD
Symptoms: Medication error
Clinical narrative: Ct. was to receive a TB skin test on 8/16/04 instead Ct. received Adult Td ID in left forearm. Ct. seen by PA-C at school based health center.
Age: 16.0
Sex: F
Vaccine: TD
Symptoms: Medication error
Clinical narrative: Ct. was to receive PPD 0.1cc for TB skin test on 8/16/04, instead Ct. received Adult Td 0.5cc  ID in left forearm.  This nursing staff did not visually assess Ct. Mother reports Ct. seen at Pediatrics.
Age: 36.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain, Medication error
Clinical narrative: Ct. to receive PPD 0.1cc ID, Ct. received Td 0.5cc ID in left forearm, became inflamed, red with increase in discomfort over next several hours. On 8/17/04 area by client report red and approx size of 50 cent piece.
Sex: M
Vaccine: TD
Symptoms: Diarrhoea, Injection site erythema, Medication error, Oedema, Pruritus
Clinical narrative: Ct. received Adult Td 0.5cc ID in left forearm on 8/16/04 instead of 0.1cc PPD for TB skin test. Left arm began to swell, turn red and itch soon afterwards. On 8/19/04 Ct. experienced vomiting/diarrhea.
Sex: M
Vaccine: TD
Symptoms: Vomiting
Clinical narrative: Ct. received Adult Td 0.5cc ID in left forearm on 8/16/04 instead of 0.1cc PPD for TB skin test. Left arm began to swell, turn red and itch soon afterwards. On 8/19/04 Ct. experienced vomiting/diarrhea.
Age: 18.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema, Medication error
Clinical narrative: Ct was to receive 0.1cc PPD for TB skin test on 08/16/04 - instead Ct. received Adult Td 05.cc ID. Ct. was not visually assessed by this nurse but reported left arm red/swollen.
Age: 15.0
Sex: F
Vaccine: TD
Symptoms: Medication error
Clinical narrative: Ct was to receive PPD 0.1cc ID on 8/16/04, instead Ct. received Adult Td 05.cc ID in left forearm. Ct. Unable to reach parent for follow up.
Age: 14.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Ct to receive 0.1cc  PPD ID instead received Adult Td 05.cc ID in left forearm on 8/16/04. Father of Ct. reports edema, redness and pain at injection site. Tx with cool compresses, Benadryl/Tylenol for discomfort.
Age: 15.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Medication error
Clinical narrative: Ct to receive PPD 0.1cc ID on 8/16/04, instead Ct. received Adult Td 05.cc ID to left forearm. Area became red and sore per mother-injection site management-cool compresses, Benadryl/Tylenol.
Age: 17.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema, Medication error, Pruritus
Clinical narrative: Ct was to receive TB skin test on 08/16/04 instead Ct. received Adult Td 0.5cc ID to left forearm. On 8/17/04 Ct.  began to experience redness/swelling/itching- followed up at health center.
Age: 16.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Medication error
Clinical narrative: Ct was to receive 0.1cc PPD for TB skin test on 8/16/04 instead Ct. received Adult Td 0.5cc ID in left forearm. Mother of Ct. reports redness/swelling/pain in forearm-followed up with MD, now both arms painful, to continue MD follow up.
Age: 17.0
Sex: F
Vaccine: TD
Symptoms: Medication error
Clinical narrative: Ct was to receive PPD for TB skin test on 8/16/04, instead Ct. was administered Adult Td 05.cc ID in left forearm. Ct. not visually assessed by staff- unknown if local reactions.
Age: 17.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Medication error
Clinical narrative: Ct was to receive PPD 0.1cc ID on 8/16/04 instead Ct received Adult Td 0.5 cc ID to left forearm. Ct. experienced edema, redness and pain left forearm. Ct. was to follow up with MD.
Age: 16.0
Sex: F
Vaccine: TD
Symptoms: Medication error
Clinical narrative: Ct to receive PPD 0.1cc ID on 8/16/04, instead Ct. received Adult Td 0.5 cc ID to left forearm. Ct. has not been visually assessed by this staff.
Age: 15.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Medication error
Clinical narrative: Ct to receive PPD ID 0.1cc, instead received Adult Td 0.5 cc ID left forearm on 8/16/04. Mother of Ct. reports edema, redness and discomfort at site. Tx of cool compress, Benadryl/Tylenol for discomfort.
Age: 14.0
Sex: M
Vaccine: TD
Symptoms: Urticaria
Clinical narrative: 2PM- whelps over body. 3:30PM whelps increased.
Age: 77.0
Sex: F
Vaccine: TD
Symptoms: Headache, Hypertonia, Tinnitus, Vomiting
Clinical narrative: Td on 8/17/04 pt developed H/A, ringing of ears 8/18/04. 8/19/04 developed vomiting and muscle stiffness entire body.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Erythema and induration of 1"x1" over the injection sites.
Age: 5.0
Sex: F
Vaccine: UNK
Symptoms: Abdominal pain, Fatigue, Pyrexia
Clinical narrative: Fever 102F, abdominal pain, fatigue
Age: 23.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Cough, Injection site oedema, Injection site pain, Nasal congestion, Otitis media
Clinical narrative: Swelling at site, pain at site, respiratory issues, congestion, coughing, ear infection, sinus infection.
Age: 23.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Respiratory disorder, Sinusitis
Clinical narrative: Swelling at site, pain at site, respiratory issues, congestion, coughing, ear infection, sinus infection.
Age: 23.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Asthenia, Eye pain, Fatigue, Headache, Injection site hypersensitivity
Clinical narrative: Swelling at site, pain at site, respiratory issues, congestion, coughing, ear infection, sinus infection.
Age: 23.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Injection site induration, Injection site mass, Injection site swelling, Musculoskeletal stiffness, Nasal congestion
Clinical narrative: Swelling at site, pain at site, respiratory issues, congestion, coughing, ear infection, sinus infection.
Age: 23.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Nausea, Pruritus, Sleep disorder, Wheezing
Clinical narrative: Swelling at site, pain at site, respiratory issues, congestion, coughing, ear infection, sinus infection.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Diarrhoea, Hypotonia, Lethargy, Leukocytosis, Pyrexia
Clinical narrative: Mom states the day after imms, patient developed 102 fever, became lethargic and limp.  Mom took baby to hospital and spinal tap was completed.  NF and antibiotics (rocephin) was administered. CB from nurse reporter indicates that child had no known problems following her initial immunizations at 2 mos. of age. The health dept. staff is unaware of any post immunization complications for the child's four siblings. She was seen back at the public health dept. clinic post hospitalization and was doing well. Mom apparently stated that the hospital staff advised her that the child's symptoms were due to the pertussis component of the vaccinations given on 8/17/04.  ER record, H&P and discharge progress note are rec'd. The diagnosis for this event is fever, leukocytosis and diarrhea.  Child was treated w/ Rocephin, IV fluids and antipyretics. No source of infection was identified. Please refer to the scanned records.
Age: 19.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Erythema, Lymphadenopathy, Rash
Clinical narrative: Generalized varicella adverse reaction.  Smallpox vaccine 13 days ago L arm.  This am woke up with red bumps on L arm, upper back, lymph nodes in axilla swollen.
Age: 19.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Erythema, Lymphadenopathy, Oedema peripheral, Swelling
Clinical narrative: Generalized varicella adverse reaction.  Smallpox vaccine 13 days ago L arm.  This am woke up with red bumps on L arm, upper back, lymph nodes in axilla swollen.
Age: 46.0
Sex: M
Vaccine: HEP
Symptoms: Face oedema, Urticaria
Clinical narrative: When patient came back for second shot for hepatitis B immunization, he stated he experienced hives on arms and legs and facial swelling following initial shot for hepatitis B.  Pt almost went to the emergency room but did not go.  Second shot was not given.
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Chills, Dehydration, Dyspnoea, Fatigue
Clinical narrative: 22 year old male has experienced burning at the injection site and soreness in the affected arm with each anthrax vaccine.  Both of these symptoms have worsened with each successive dose.  Immediately after the 3rd dose he was observed by immunization personnel for 15  20 minutes because he looked pale. He denies any chest pain, difficulty swallowing or breathing at that time.  He does not recall any significant reaction to the 4th dose, other than the burning and arm pain mentioned above.  At some point after the 3rd or 4th dose, he began to experience bilateral knee pain that had not completely resolved before receipt of the 5th dose.  He reports a worsening of the knee pain since the 5th dose that is rated as 5/10 at its worst and is intermittent.  Approximately two hours after the 5th dose he began to ache all over and had sudden onset of fatigue.  He went home and went to bed.  The next morning he reported for drill even though he was not feeling well.  He felt so bad that he was unable to drive himself home.  He reports a fever of 102.0, chills, "couldn't breathe", and "everything felt far away".   He was given fluids at the NG unit and released to his father.  On the way home, he had his father stop the car and call 911.  He was transported to the Emergency Room via EMS.  In the ER, he states he received "a shot", and fluids with a diagnosis of dehydration.  He slept for the next two days.  He did not regain his previous energy level for 8 days post vaccination and reports having fever for 2  3 days post vaccination.  He saw a physician at the clinic a few days later, but no tests were run or examination performed.
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site pain, Laboratory test abnormal, Lymphopenia, Malaise, Monocytosis
Clinical narrative: 22 year old male has experienced burning at the injection site and soreness in the affected arm with each anthrax vaccine.  Both of these symptoms have worsened with each successive dose.  Immediately after the 3rd dose he was observed by immunization personnel for 15  20 minutes because he looked pale. He denies any chest pain, difficulty swallowing or breathing at that time.  He does not recall any significant reaction to the 4th dose, other than the burning and arm pain mentioned above.  At some point after the 3rd or 4th dose, he began to experience bilateral knee pain that had not completely resolved before receipt of the 5th dose.  He reports a worsening of the knee pain since the 5th dose that is rated as 5/10 at its worst and is intermittent.  Approximately two hours after the 5th dose he began to ache all over and had sudden onset of fatigue.  He went home and went to bed.  The next morning he reported for drill even though he was not feeling well.  He felt so bad that he was unable to drive himself home.  He reports a fever of 102.0, chills, "couldn't breathe", and "everything felt far away".   He was given fluids at the NG unit and released to his father.  On the way home, he had his father stop the car and call 911.  He was transported to the Emergency Room via EMS.  In the ER, he states he received "a shot", and fluids with a diagnosis of dehydration.  He slept for the next two days.  He did not regain his previous energy level for 8 days post vaccination and reports having fever for 2  3 days post vaccination.  He saw a physician at the clinic a few days later, but no tests were run or examination performed.
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Pain, Pallor, Pyrexia, Thermal burn
Clinical narrative: 22 year old male has experienced burning at the injection site and soreness in the affected arm with each anthrax vaccine.  Both of these symptoms have worsened with each successive dose.  Immediately after the 3rd dose he was observed by immunization personnel for 15  20 minutes because he looked pale. He denies any chest pain, difficulty swallowing or breathing at that time.  He does not recall any significant reaction to the 4th dose, other than the burning and arm pain mentioned above.  At some point after the 3rd or 4th dose, he began to experience bilateral knee pain that had not completely resolved before receipt of the 5th dose.  He reports a worsening of the knee pain since the 5th dose that is rated as 5/10 at its worst and is intermittent.  Approximately two hours after the 5th dose he began to ache all over and had sudden onset of fatigue.  He went home and went to bed.  The next morning he reported for drill even though he was not feeling well.  He felt so bad that he was unable to drive himself home.  He reports a fever of 102.0, chills, "couldn't breathe", and "everything felt far away".   He was given fluids at the NG unit and released to his father.  On the way home, he had his father stop the car and call 911.  He was transported to the Emergency Room via EMS.  In the ER, he states he received "a shot", and fluids with a diagnosis of dehydration.  He slept for the next two days.  He did not regain his previous energy level for 8 days post vaccination and reports having fever for 2  3 days post vaccination.  He saw a physician at the clinic a few days later, but no tests were run or examination performed.
Age: 37.0
Sex: F
Vaccine: TTOX
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Pt noted to have a localized reaction two days post receiving a TD immunization.
Age: 44.0
Sex: M
Vaccine: TYP
Symptoms: Diarrhoea, Nausea, Vomiting
Clinical narrative: The day after taking first dose of oral typhoid vaccine, developed severe nausea, vomiting, diarrhea.  He did not complete the vaccination, and later received the injectable form of the vaccine.
Age: 5.0
Sex: M
Vaccine: DT, IPV, MMR
Symptoms: Cellulitis, Dehydration, Erythema, Feeling hot, Pyrexia
Clinical narrative: On day of vx, child had low grade fever and l. arm larger than normal.  Fever of 103.2 next day, even after tx of alternating Motrin/Tylenol.  L. arm swollen, hot and red.  Child began vomiting, became dehydrated. Taken to ER 8/21, dx with cellulitis and possible strep.  Tx with Rocephin IV and Keflex for 10 days. Better by 8/23.
Age: 5.0
Sex: M
Vaccine: DT, IPV, MMR
Symptoms: Swelling, Vomiting
Clinical narrative: On day of vx, child had low grade fever and l. arm larger than normal.  Fever of 103.2 next day, even after tx of alternating Motrin/Tylenol.  L. arm swollen, hot and red.  Child began vomiting, became dehydrated. Taken to ER 8/21, dx with cellulitis and possible strep.  Tx with Rocephin IV and Keflex for 10 days. Better by 8/23.
Age: 26.0
Sex: M
Vaccine: TD
Symptoms: Headache, Musculoskeletal stiffness, Pain, Pyrexia, Vomiting
Clinical narrative: headaches, vomiting, body aches and headache, neck stiffness. sysmptoms started 7 hours after vaccination. T 101.5 day after vaccination. Felt better 9/3/04