chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 19.0
Sex: M
Vaccine: ANTH, ANTH, FLUX, HEP, HEPA, IPV, MMR, TYP, YF, ANTH, HEP, HEPA, MMR, VARCEL, YF
Symptoms: Hypoaesthesia, Laboratory test abnormal, Pharyngolaryngeal pain, Pyrexia, Urinary retention
Clinical narrative: From initial information received on 6/12/03, it was reported that a 19 year old male patient received yellow fever, anthrax (dose one), typhoid, IPV, influenza, hepatitis A (dose one), Hepatitis B (dose two), MMR (dose two) and possibly varicella vaccinations (lot numbers, route, sites, and manufacturers not reported), administered 2/2/03. The patient also received a second anthrax vaccination on 2/20/03. Two days later, the patient was hospitalized with complaints of fever of 100.4F, sore throat, headache for five days, numbness from the knees down, weakness and difficulty walking. He also had pressure on genitalia and urge to urinate. The patient was diagnosed with acute disseminated encephalomyelitis and urinary retention. He was treated with high dose steroids and physical therapy. The patient was discharged to another hospital on 3/1/03. His condition regressed to inability to walk, decrease in sensation, inability to void after being off steroids for days. The patient did improve. He was put on oral steroids for three weeks. He was discharged from the hospital on 3/19/03 with discharge diagnosis of unspecified infectious and parasitic diseases, retention of urine, and post-infectious encephalitis. On 3/21/03, the patient stated that he still had some numbness in his feet, but is otherwise greatly improved. He also stated that he had been ill with an upper respiratory infection about mid-February and was taking amoxicillin, Sudafed, Motrin and Tylenol at the time of the anthrax vaccination on 2/20/03. Within one to two days afterwards, the symptoms of encephalomyelitis were noted and he was admitted to a local hospital until being transferred to a second hospital on 3/1/03.  Follow up on 12/19/03: "From additional information received on 12/09/03 from the Yellow Fever vaccine meeting group it was reported that the pt had clinical, radiological and laboratory evidence of ADEM with IGM in CSF of 9.8.  This case was voted by the Yellow Fever Case Classification Group to be a probable yellow fever vaccine associated neurotropic disease with autoimmune involement.  No other information was provided."
Age: 78.0
Sex: M
Vaccine: YF, YF
Symptoms: Anorexia, Confusional state, Laboratory test abnormal, Pyrexia
Clinical narrative: From initial information received on 6/12/03, it was reported that a 78 year old male patient received yellow fever vaccination (first dose, lot number, route, site and manufacturer not reported), administered on 3/7/03. Nineteen days later the patient was hospitalized with fever, confusion, loss of appetite and aphasia. His diagnosis was altered mental status. The fever got up to 104.5 F and persisted for several days. The patient has a history of atrial fib and is on Coumadin for this. He is also a diabetic and is on an oral hypoglycemic agent. The patient was discharged from the hospital on 4/3/03. His wife states that he is about 90% back to normal and has resumed driving, but she states that he is still slow. The patient's hospital discharge summary was received. The patient's final diagnosis was nervous system infection of unknown origin, urinary tract infection and yellow fever encephalitis. From additional information received on 12/21/03 from the Centers for Disease Control and Prevention Yellow Fever Working Group Meeting, it was reported that the initial diagnoses were altered mental status and urinary tract infection. Per the initial reports, the patient's maximum temperature was 104.5 degrees F, persisting for several days, although the follow up medical record does not note that and the maximum admission temperature was reported as 101.9 degrees F. Additionally, the patient's mental status was not felt to be solely due to the urinary tract infection. A neurological work up was initiated, including a viral encephalitis work up. The final decision from the Yellow Fever Working Group was reported as definite yellow fever vaccine-associated neurotropic disease.
Age: 78.0
Sex: M
Vaccine: YF, YF
Symptoms: Anorexia, Aphasia, Confusional state, Encephalitis, Infection
Clinical narrative: From initial information received on 6/12/03, it was reported that a 78 year old male patient received yellow fever vaccination (first dose, lot number, route, site and manufacturer not reported), administered on 3/7/03. Nineteen days later the patient was hospitalized with fever, confusion, loss of appetite and aphasia. His diagnosis was altered mental status. The fever got up to 104.5 F and persisted for several days. The patient has a history of atrial fib and is on Coumadin for this. He is also a diabetic and is on an oral hypoglycemic agent. The patient was discharged from the hospital on 4/3/03. His wife states that he is about 90% back to normal and has resumed driving, but she states that he is still slow. The patient's hospital discharge summary was received. The patient's final diagnosis was nervous system infection of unknown origin, urinary tract infection and yellow fever encephalitis. From additional information received on 12/21/03 from the Centers for Disease Control and Prevention Yellow Fever Working Group Meeting, it was reported that the initial diagnoses were altered mental status and urinary tract infection. Per the initial reports, the patient's maximum temperature was 104.5 degrees F, persisting for several days, although the follow up medical record does not note that and the maximum admission temperature was reported as 101.9 degrees F. Additionally, the patient's mental status was not felt to be solely due to the urinary tract infection. A neurological work up was initiated, including a viral encephalitis work up. The final decision from the Yellow Fever Working Group was reported as definite yellow fever vaccine-associated neurotropic disease.
Age: 78.0
Sex: M
Vaccine: YF, YF
Symptoms: Laboratory test abnormal, Pyrexia, Urinary tract infection
Clinical narrative: From initial information received on 6/12/03, it was reported that a 78 year old male patient received yellow fever vaccination (first dose, lot number, route, site and manufacturer not reported), administered on 3/7/03. Nineteen days later the patient was hospitalized with fever, confusion, loss of appetite and aphasia. His diagnosis was altered mental status. The fever got up to 104.5 F and persisted for several days. The patient has a history of atrial fib and is on Coumadin for this. He is also a diabetic and is on an oral hypoglycemic agent. The patient was discharged from the hospital on 4/3/03. His wife states that he is about 90% back to normal and has resumed driving, but she states that he is still slow. The patient's hospital discharge summary was received. The patient's final diagnosis was nervous system infection of unknown origin, urinary tract infection and yellow fever encephalitis. From additional information received on 12/21/03 from the Centers for Disease Control and Prevention Yellow Fever Working Group Meeting, it was reported that the initial diagnoses were altered mental status and urinary tract infection. Per the initial reports, the patient's maximum temperature was 104.5 degrees F, persisting for several days, although the follow up medical record does not note that and the maximum admission temperature was reported as 101.9 degrees F. Additionally, the patient's mental status was not felt to be solely due to the urinary tract infection. A neurological work up was initiated, including a viral encephalitis work up. The final decision from the Yellow Fever Working Group was reported as definite yellow fever vaccine-associated neurotropic disease.
Age: 1.0
Sex: M
Vaccine: VARCEL, HIBV, MMR, VARCEL
Symptoms: Febrile convulsion, Pyrexia, Viral infection
Clinical narrative: From initial information received on 4/24/03, it was reported that a 1 year old male patient received ActHIB (lot #, route, and site of administration not reported). Nine days later the patient experienced a febrile seizure and viral infection. Phone call made on 4/25/03 to obtain reporter information. From telephone contact on 6/13/03, it was reported that this patient is enrolled in a study, therefore, this is not a spontaneous report and only limited to information is available. Source reporter will not be identified. MMR and Varivax were also given on 10/9/02. From telephone contact on 6/16/03, it was reported that the patient did recover from this event, but no additional information will be available. Case is closed. Follow up on 04/07/04 states: "No new information reported."
Age: 1.0
Sex: M
Vaccine: VARCEL, HIBV, MMR, VARCEL
Symptoms: Febrile convulsion, Viral infection
Clinical narrative: From initial information received on 4/24/03, it was reported that a 1 year old male patient received ActHIB (lot #, route, and site of administration not reported). Nine days later the patient experienced a febrile seizure and viral infection. Phone call made on 4/25/03 to obtain reporter information. From telephone contact on 6/13/03, it was reported that this patient is enrolled in a study, therefore, this is not a spontaneous report and only limited to information is available. Source reporter will not be identified. MMR and Varivax were also given on 10/9/02. From telephone contact on 6/16/03, it was reported that the patient did recover from this event, but no additional information will be available. Case is closed. Follow up on 04/07/04 states: "No new information reported."
Age: 22.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Chills, Headache, Malaise, Myalgia
Clinical narrative: This case was reported by a nurse and described the occurrence of weight loss in a 22 year old female pt who was vaccinated with hep B vaccine (Engerix B) for prophylaxis. The pt had no known drug allergies and no adverse experience following immunizations. There were no concurrent medications. The pt had been immunized against hep B as a child. Her employer required her to receive a second series of hep B vaccine although no titers had been measured. The reason for the second series of vaccine was unknown. On 6/6/03, the pt received the 5th dose of Engerix B, the second dose in the second immunization series. On 6/7/03, one day post-immunization, the pt began to experience headache, malaise, and shaking chills. Later in the day, she developed a fever as high as 102 degrees F, a rash on her chest and upper extremities, nausea, arthralgia, and myalgia. By 6/11/03, she had lost six pounds and was admitted to the hospital. The events persisted as of 6/13/03. The immunization series was discontinued. Comment: The reporter stated that the pt received Engerix B from 537A4; however, this is not a valid lot number.  Follow up on 07/11/2003: "Additional information was received from the treating infectious disease specialist on 07/09/2003.  The physician wrote, "it was initially thought that this patient had a reaction to Engerix B vaccine.  All serologies were negative and the symptoms were considered related to the vaccine.  Recently she was discharged from the hospital and was doing well and improving.  A several (sic) days later her husband came down with the same symptoms and rash and therefore her symptoms should not be from the Hepatitis B vaccine."  Comment: The reported stated that the patient received Engerix B from Lot # 537A4; however, this is not a valid lot number."
Age: 22.0
Sex: F
Vaccine: HEP
Symptoms: Nausea, Pyrexia, Rash, Tremor, Weight decreased
Clinical narrative: This case was reported by a nurse and described the occurrence of weight loss in a 22 year old female pt who was vaccinated with hep B vaccine (Engerix B) for prophylaxis. The pt had no known drug allergies and no adverse experience following immunizations. There were no concurrent medications. The pt had been immunized against hep B as a child. Her employer required her to receive a second series of hep B vaccine although no titers had been measured. The reason for the second series of vaccine was unknown. On 6/6/03, the pt received the 5th dose of Engerix B, the second dose in the second immunization series. On 6/7/03, one day post-immunization, the pt began to experience headache, malaise, and shaking chills. Later in the day, she developed a fever as high as 102 degrees F, a rash on her chest and upper extremities, nausea, arthralgia, and myalgia. By 6/11/03, she had lost six pounds and was admitted to the hospital. The events persisted as of 6/13/03. The immunization series was discontinued. Comment: The reporter stated that the pt received Engerix B from 537A4; however, this is not a valid lot number.  Follow up on 07/11/2003: "Additional information was received from the treating infectious disease specialist on 07/09/2003.  The physician wrote, "it was initially thought that this patient had a reaction to Engerix B vaccine.  All serologies were negative and the symptoms were considered related to the vaccine.  Recently she was discharged from the hospital and was doing well and improving.  A several (sic) days later her husband came down with the same symptoms and rash and therefore her symptoms should not be from the Hepatitis B vaccine."  Comment: The reported stated that the patient received Engerix B from Lot # 537A4; however, this is not a valid lot number."
Age: 1.4
Sex: M
Vaccine: DTAP
Symptoms: Abnormal behaviour, Autism, Cognitive disorder
Clinical narrative: This case was reported by a consumer and described the occurrence of autism-like symptoms in a 17 month old male who was vaccinated with diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed for prophylaxis. A physician or other health care professional has not verified this report. The pt's medical history, concurrent conditions, and concurrent medications were not reported. Reportedly, the pt's two brothers, "ages eight and six," are both autistic. On an unspecified date, at 18 months of age, the pt received an injection of diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed. The mother reported that the pt subsequently developed "autism-like symptoms"; he "started to lose eye contact and stopped talking." The outcomes of the events were unknown. The autism-like symptoms in this report are considered medically serious (OMIC).  A 15-day follow up report received 8/7/2003 adds: Additional info was received from the vaccine provider on 08/01/2003. He indicated that symptom onset was 12/04/2001; the pt was 17 months of age at symptom onset. The events persisted as of 07/28/2003. The vaccine provider considered the events to be unrelated to vaccine administration.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Balance disorder, Condition aggravated, Laboratory test abnormal, Speech disorder, Thinking abnormal
Clinical narrative: Information has been received from the mother of a 12 month old male child who in 2001 was vaccinated with a dose of MMR II. Concomitant therapy included a dose of varicella virus vaccine live. It was noted that "the family noticed he had delayed speech, balance issues and spatial issues that he may have had prior to receiving his vaccination and remain today." The mother noted that during a battery of tests to help determine the pt's condition it was discovered that some of his titers were "too high," with varicella IgG=126 (normal range reported as 0-100) and rubeola IgG=358 (normal range reported as 0-100). The mother also noted that "the doctors don't feel that he has autism or that his medical issues were caused by the high titers." Unspecified medical attention was sought. Follow up info was received from a physician who indicated that she did not  know what the pt's birth was like or if the pt was well at the time of vaccination, as she is an autism expert and not the pt's pediatrician. The physician reported that the pt did not have delayed speech, balance issues and spatial issues prior to vaccination with MMR II. It was also reported that the pt had not been diagnosed with autism but that "he had a lot of the medical markers." The physician reported that she believed that MMR II aggravated and brought out the pt's symptoms. Upon internal review, delayed speech, balance issues and spatial issues were determined to be other important medical events (OMIC). Additional info has been requested.
Age: 62.0
Sex: M
Vaccine: PPV
Symptoms: Atelectasis, Chills, Hyperhidrosis, Injection site erythema, Injection site oedema
Clinical narrative: Information has been received from a registered nurse concerning a 62 year old male pt with an allergy to penicillin who on 2/13/97 in the AM was vaccinated IV in the left deltoid with a second dose of pneumococcal vaccine 23 polyvalent. There was no illness at the time of vaccination. Concomitant medication included Norvasc. It was reported that "at least five years had passed between doses." On 12/13/02 at "6-7" PM the pt developed a local reaction described as chills, shakes, sweats, arm swollen and erythematous and a "high fever" of 102 and ended up in the ER. A chest x-ray revealed atelectasis of the right base. It was noted that the pt had recovered. Upon internal medical review it was determined that atelectasis was an other important medical event (OMIC). The nurse also reported that two other patients had local reactions, one of which developed a fever and aches (WAES0212USA01473 and WAES0212USA01989).  Follow up on 07/09/2003: "Follow up information recorded on 06/23/2003 stated that on 12/16/2002 the patient called the office and reported taht he "felt better" on levofloxacine.  There were "no residual effects" reported.  It was also noted that no follow up chest x-ray was done. The patient recovered without further incident.  There was no further treatment.  Upon internal medical review, it was determined that atelectasis was an other important medical event (OMIC).  The nurse also reported that two other patients had local reactions, one of which developed a fever and aches (WAES # 0212USA01473 & WAES # 0212USA01989)."
Age: 62.0
Sex: M
Vaccine: PPV
Symptoms: Pyrexia, Tremor
Clinical narrative: Information has been received from a registered nurse concerning a 62 year old male pt with an allergy to penicillin who on 2/13/97 in the AM was vaccinated IV in the left deltoid with a second dose of pneumococcal vaccine 23 polyvalent. There was no illness at the time of vaccination. Concomitant medication included Norvasc. It was reported that "at least five years had passed between doses." On 12/13/02 at "6-7" PM the pt developed a local reaction described as chills, shakes, sweats, arm swollen and erythematous and a "high fever" of 102 and ended up in the ER. A chest x-ray revealed atelectasis of the right base. It was noted that the pt had recovered. Upon internal medical review it was determined that atelectasis was an other important medical event (OMIC). The nurse also reported that two other patients had local reactions, one of which developed a fever and aches (WAES0212USA01473 and WAES0212USA01989).  Follow up on 07/09/2003: "Follow up information recorded on 06/23/2003 stated that on 12/16/2002 the patient called the office and reported taht he "felt better" on levofloxacine.  There were "no residual effects" reported.  It was also noted that no follow up chest x-ray was done. The patient recovered without further incident.  There was no further treatment.  Upon internal medical review, it was determined that atelectasis was an other important medical event (OMIC).  The nurse also reported that two other patients had local reactions, one of which developed a fever and aches (WAES # 0212USA01473 & WAES # 0212USA01989)."
Age: 1.0
Sex: M
Vaccine: HEP, MMR, VARCEL
Symptoms: Convulsion, Pyrexia, Rash papular
Clinical narrative: On 5/9/03 child received MMR left arm and Varivax and Hep B right arm. He developed rash/pupular on neck and axilla on 5/11/03. On 5/29/03 came with fever 104.2 CBC and UA, blood culture negative. On 6/1/03 he had repeated seizures, seen in ER. Head MRI normal, spinal tap was normal.
Age: 1.0
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Drug ineffective, Laboratory test abnormal
Clinical narrative: Patient completed immunizations on schedule. Was found positive for Bordetella Pertussis around 3/28/03. Had three DTaP doses prior to illness. DTaP vaccine failure.
Age: 33.0
Sex: F
Vaccine: ANTH
Symptoms: Oedema, Skin ulcer
Clinical narrative: Joint swelling, after shot along with hive-like lesions throughout leaving hyperpigmented areas. 1st 2 symptoms gone, 3rd improving. 1st shot about 4 years ago. Last about 3 weeks ago.
Age: 54.0
Sex: F
Vaccine: ANTH
Symptoms: Influenza like illness
Clinical narrative: Developed flu-like syndrome. Given Azithiamycam X-ray. Developed mild "walking pneumonia" which resolved. No SARS or Legionella evaluation done.
Age: 35.0
Sex: F
Vaccine: HEPAB, TD, TYP, YF
Symptoms: Dizziness
Clinical narrative: Pt states "feeling dizzy" for about 4 hours, 1-2 hours after immunizations. Pt laid down for a few hours and symptoms subsided. Husband monitored pt closely. Pt did not seek medical treatment (Attention: pt plans to still travel to Brazil 6/9 til 7/2/03.)
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Infection, Rash
Clinical narrative: Chicken pox exanthem over trunk, buttocks, micocutaneous junction of lip different stages of eruption started on 5/22/03.
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Pt received Hepatitis B vaccine #2 on 4/3/03. Pt had onset rash/hives in evening 4/5/03 - rash began left upper chest area - has now spread across entire torso and arms. Itching is a dominant feature. Pt had eaten a tuna sandwich and fries at a restaurant on 4/4/03. Pt referred to her physician.
Age: 1.6
Sex: M
Vaccine: DTAP, MMR
Symptoms: Pyrexia, Rash
Clinical narrative: Parent states head to toe rash, slight fever that she noticed around 9:00 PM, took him to ER, states to continue Tx with Benadryl, Tylenol and monitor him. Spoke with parent on 5/27/03 and she said pt's rash was gone by the next day and he was fine.
Sex: U
Vaccine: UNK
Symptoms: Musculoskeletal stiffness, Pyrexia, Screaming
Clinical narrative: Pt cried for 6 hours stiffening up. Then developed fever.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Contusion, Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Large local reaction right upper arm - red, firm, hot bruise present. Gave appointment to check/Mom later cancelled.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Discomfort, Injection site erythema, Injection site induration, Pain
Clinical narrative: The pt received immunizations around 4:00 PM on 4/10/03. By that evening the child was complaining of left leg discomfort. On 4/11 the discomfort, erythema and induration had increased. By 4/12/03 the pain was from the groin to below the knee and the child was not placing all weight on the left leg. He was seen at the local ER and dx with a cellulitis of the left thigh S/P immunizations. Keflex was prescribed. He was seen at our office 4/14/03 in follow-up and was improving. As of 4/15/03 the sx are vastly improved. At no time was a fever present.
Age: 39.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Headache, Rash
Clinical narrative: Rash to face and neck, mild headache. Benadryl 25 mg PO, PRN. Resolved 5/21/03.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Tenderness
Clinical narrative: Pt presented to clinic with his mother, left deltoid pink, warm and tender.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: Left arm, red, swollen and has lump
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Left arm swollen and red 3-4 inches.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Left arm injection site of DTaP. Large red area size 2.5" x 2.5". Swelling and hot to touch.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: Pt with swelling of right upper arm 10cm x 10cm reaction, red, warm. No pain. Pt also with fever of 101 degrees last 24 hours. Tx: Benadryl q6 hours prn, Tylenol prn, ice packs prn.
Age: 27.0
Sex: M
Vaccine: HEPA, MMR, TD
Symptoms: Rash
Clinical narrative: Rash - at forehead, chest and back for 2 days. Vaccinations were 13 days ago. No fever. Treatment: isolation, symptomatic treatment, advise.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Received immunizations - seen in MD office 24 hours later with redness and swelling at site (left arm) - instructed to take Advil every 8 hours for 1 week. Follow up - arm normal size- no redness.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: About 24 hours after vaccine pt developed erythema, induratino at left deltoid.
Age: 1.3
Sex: M
Vaccine: DTAP, HBPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Whole leg swollen, red, hot to touch, reaction to Hib.  Benadryl, cold compress.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Heart rate increased, Vision blurred, Vomiting
Clinical narrative: After giving first Hep B shot, pt states "my heart beat was going very fast, my vision became blurred, it was like a dream. Next thing I remember was my grandmother shouting at me. Then I threw up". This happened about 30 minutes after shot given. Grandmother had him checked in ER. Given something for nausea/vomiting. Went to school in AM; no redness on injection site.
Age: 1.0
Sex: M
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Blister, Decreased appetite, Pyrexia
Clinical narrative: Mom called on 5/29/03 stating child has had 103.6 degree temp since Monday 5/26/03. Is alternating Tylenol and Motrin with lowered fever for only 1 hour. Mom hasn't called MD. Appetite lowered, but continuing fluids. Has about 7 vesicles on chest. Instructed to see MD have checked for illness vs shot reaction. The follow up received on 7/25/03 states, called the pt's home for follow up regarding report of fever and vesicles pt was reported to have. Pt's mother stated that baby was seen by an MD on 5/29/03. She stated that baby was diagnosed to have had tonsilitis. Baby is better now. Fever and vesicles have resolved, mother reported. No further action taken.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Crying, Screaming
Clinical narrative: Pt had unconcolable high-pitched crying in afternoon same day of immunizations for 4 hours.
Age: 28.0
Sex: F
Vaccine: MMR
Symptoms: Oedema, Pain
Clinical narrative: Received MMR #2 on 5/15/03. Awoke this AM (6/6/03) with right neck swelling, extending from jaw to lower neck; tender to touch. Also pain while attempting to move her head from left to right. Pt advised to see MD.
Age: 1.3
Sex: F
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Agitation, Crying, Pyrexia, Vomiting
Clinical narrative: Pt developed fever 102 degrees and vomiting approx 6 hours after receiving vaccines. Pt developed high pitch, inconsolable crying lasting 1 1/2 hours approx 12 hours after vaccinated.
Age: 1.0
Sex: M
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Anorexia, Pyrexia, Rash
Clinical narrative: Mom called on 6/2/03 stating child was taken to clinic on 5/28 with elevated fever and not eating. Had lab tests and was told viral. Has had fever ranging 102-104 degrees. Developed rash from chin to waist - not on arms, hands or feet and legs. Was then taken to MD on 5/31/03. Was worse by afternoon and was taken to after-hours clinic. Child taking very few fluids and no solids. Only wetting 1 diaper per day. Was told had ulcerated throat and "possibly from shot". Child also cutting 4 teeth. Mom called reporting this at 11:30 AM. At 2:00 PM, she called back stating she'd talked to MD again and was told this might be roseola. Child is taking a few more fluids and urine output better. Instructed to keep up with intake and output and keep in contact with MD.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site oedema, Pruritus
Clinical narrative: Mother described injection site of DTaP - left deltoid red area about size of quarter, has center that looks as if it has pus in it. Had some drainage, itches and is warm to touch. Child has elevated temp. 6/11/03: Call PMD again; saw NP at MD's office. Was given Motrin and Benadryl. No infection, only local allergic reaction.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Cough, Dyspnoea, Erythema
Clinical narrative: Client and Mom left after immunization, a few minutes later came back to clinic. Mom stated pt started coughing and Mom noticed client had redness to throat and chest area. SOB noted. Oxygen per 6 liter per mask. Benadryl 25 mg IM to left thigh. Epinephrine 0.2 ml to left arm SQ. Tourniquet to left and right arm 5 minutes each then release. 911 called, taken to hospital.
Age: 4.08
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Oedema peripheral
Clinical narrative: 5/14/03 4pm imm given. 5/15/03 5pm upper arm swelling and redness reported by parent. Generic Tylenol given. 5/16/03 am to LMD. Tx with Zyrtec 1mg 1/2t. bid x 3 days.
Age: 41.0
Sex: F
Vaccine: TD
Symptoms: Injection site nodule, Injection site oedema, Injection site pain, Injection site reaction, Injection site warmth
Clinical narrative: Exaggerated local reaction. Pain and swelling to L deltoid area extending down to elbow. Nodule palpated at injection site. Site warm to touch.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: 25" x 30" red swollen and hot.
Age: 3.6
Sex: F
Vaccine: DTAP, HEPA, HIBV, IPV
Symptoms: Erythema, Feeling hot
Clinical narrative: 3 1/2" x 3" warm around and red.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Face oedema, Hypersensitivity, Rash pruritic
Clinical narrative: Mom complained child broke out with itchy rashes first after receiving shot. Then face became swollen. Both nurse and supervisor noted non erythema rash on the face/ though supervisor notified MD via phone. MD stated allergic reaction order Benadryl syrup 1tsp 4-6 hrs.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pharyngolaryngeal pain, Pyrexia, Rash erythematous
Clinical narrative: Red raised rash on L cheek, R side down to R buttock, on back. Pt afebrile at 97.7, pt c/o sore throat, mother states he has now "high fever," but states she never checked it with a thermometer. Medical director MD notified, recommended the mother give the child liquid Benadryl for children per directions on bottle and if no better in 1 hr. bring child to ER. On 6/3/03 mother stated after giving Benadryl, rash is gone today.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth, Pyrexia
Clinical narrative: Father states that some hours after vaccines were administered ( 2 in L deltoid, 2 in R deltoid), pt began to have fevers and L deltoid was red, hot, swollen and painful. Gave pt Tylenol throughout weekend and pt was seen in our office on 5/5/03 w/all of above complaints unresolved. Rrc'd Motrin and cool compresses.
Age: 1.7
Sex: F
Vaccine: DTAP
Symptoms: Skin discolouration
Clinical narrative: 4/3/03 discoloration and dimpling with scarring on Rt lateral thigh observed-follow up scheduled with surgeon. Follow up on 08/05/2002: "Exact adverse event onset date is unknown.  It's unclear when parents first noticed the scar at the injection site."
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: 6/19/03: pt presents with redness and sl. swelling noted around injection site of Lt arm. Area is warm to touch and tender. Mother explained the onset of symptoms as being "the next day" and "looks better today." Pt treated by MD and ordered Atarax 3x day and warm compresses.
Age: 1.7
Sex: M
Vaccine: DTAPH, IPV
Symptoms: Flushing, Laboratory test abnormal, Pruritus, Urticaria, Wheezing
Clinical narrative: Severe urticaria, itching (entire head, trunk, eyes, thighs, feet). Wheezing. Extremely flush over entire body; treated with Benadryl rebound reaction 3 hrs later.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Clinic calls varicella illness 6/9/03 after having been vaccinated (8/2/01).
Age: 2.5
Sex: M
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Varicella infection 6/17/03.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Petechiae, Skin discolouration
Clinical narrative: Pt has discoloration of area, where vaccine was administered in her thighs which progressed distally, 48 hrs after vaccines were given. Pt then developed petechiae on lower extremities only.
Age: 18.0
Sex: M
Vaccine: MEN
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site rash, Pruritus
Clinical narrative: Pt was given Menomune on 6/11/03 at 1:30pm by 2:15pm pt returned complaining of itch and redness at injection site. Denied SOB, or pain. Did not appear in acute distress. Site had rash and itched.
Age: 34.0
Sex: F
Vaccine: PPV, TD
Symptoms: Influenza like illness, Pain
Clinical narrative: Flu-like symptoms with severe body ache.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema peripheral
Clinical narrative: Left deltoid red swollen warm-measures 3"-4".
Age: 1.2
Sex: M
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Diarrhoea, Lethargy, Pyrexia, Rash, Wheezing
Clinical narrative: Immunization on 6/3/03. On 6/6/03 running fevers, lethargic-but still eating/drinking. 6/9/03 fever 103 degrees ax at home, wheeze, seen x 2 that day in clinic. Chest x-ray and UA done. 6/10/03 no fever. 6/12/03 ER visit, fever, lethargy. 6/13/03 rash. 6/16-rash and diarrhea. Much improved 6/18/03 but not completely recovered.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Infection, Pyrexia, Rash maculo-papular
Clinical narrative: 6/9/03 am rash onset, mac/papular and fluid filled vesicles over entire body. Fever-no temp taken seen by pediatrician and dx varicella.
Age: 6.0
Sex: F
Vaccine: HEPA
Symptoms: Cold sweat, Fall, Loss of consciousness, Nausea, Pallor
Clinical narrative: 15 mins after injection pt felt nauseated then falling to the ground struck the R frontotemporal area. Mom states-was pale and clammy and loss consciousness for 5 seconds. No tonic clonic reactions. Of note has had 3 previous vasovagal episodes and a single partial complex seizures.
Age: 4.0
Sex: M
Vaccine: MMR
Symptoms: Erythema, Feeling hot, Pruritus
Clinical narrative: 7cm x 10cm red itchy and warm to touch.
Age: 4.5
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site reaction, Injection site warmth
Clinical narrative: Significant local reaction R deltoid 11x13c, warm, nontender.
Age: 11.0
Sex: M
Vaccine: HEP, TD, VARCEL
Symptoms: Dermatitis bullous, Pyrexia
Clinical narrative: Three days post vaccine pt developed varicella rash which progressed to number of lesions, > 300. Had fever 102 x 2 days.
Age: 2.6
Sex: M
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Pt developed disease of varicella. Brother also immunized and has developed same.
Age: 4.75
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Feeling hot, Rash erythematous
Clinical narrative: Pt given DTaP in left deltoid on 6/18/03 24 hrs (6/19/03) pt returned with left upper arm rash measuring 17cm (length) x 10cm (width). Rash was erythematous, warm to touch. No evidence ? Treatment of Ibuprofen and compresses.
Age: 27.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Redness/swelling at injection site.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: On 6/17, pt developed redness and swelling of L thigh, worse on 6/18// approximately 20cm with central clearing.
Age: 1.7
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Pt presented in office today with 50+ chicken pox lesions.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Feeling hot
Clinical narrative: Induration, erythema, warmth left thigh.
Age: 2.0
Sex: F
Vaccine: PNC
Symptoms: Injection site erythema, Injection site hypersensitivity, Pruritus
Clinical narrative: Redness at injection site at 2" x 2 1/2" itching (-) pain.
Age: 23.0
Sex: M
Vaccine: JEV
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Fine red rash at base of back of neck-itchy-occurred 2 days post JE#2 Caladryl lotion applied.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site hypersensitivity, Pruritus
Clinical narrative: Ithchiness at injection site 7-5cm erythema. Advised using heat/Benadryl cream for symtoms
Age: 52.0
Sex: F
Vaccine: JEV
Symptoms: Angioneurotic oedema, Urticaria
Clinical narrative: Angio edema of face occurring 2 1/2 days after 2nd dose of Japenese Encephalitis vaccine with urticaria of hands at same time.
Sex: F
Vaccine: DTAP, IPV
Symptoms: Rash erythematous
Clinical narrative: Pt's mom called, notified us of golf ball size red raised area left deltoid where DPT & IPV were given.
Age: 31.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Feeling hot
Clinical narrative: 3.5 cm warm red area remains 72 hours after injection.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: Pt administered Varivax. On 03/28/2003 developed disease Dx on 06/10/2003
Age: 1.8
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Feeling hot, Oedema, Tenderness
Clinical narrative: Reaction on 06/18/2003 in AM. Patient presents with swollen thigh left (knee to thigh crease). 12 x 10 cm light red area, warm and tender to touch. May treat with ice for 10 min q 4 hours and Children's Motrin PO q 6 hours PRN.
Age: 0.3
Sex: U
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia, Upper respiratory tract infection
Clinical narrative: Patient had mild upper respiratory infection priori to vaccine approximately 2-3 hours after vaccination. T increased to 103.
Age: 2.5
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Irritability
Clinical narrative: Extreme irritability starting 2 hours after vaccination. Exam revealed induration, tenderness, and redness at left thigh injection site. Symptoms tapered that night and into next day.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Feeling hot, Oedema, Pain
Clinical narrative: On 06/12/2003 child brought to clinic by mom presenting with swollen left deltoid, warm to touch and somewhat painful. Mom given option of appt on 06/12/2003 and but she elected to wait and see if child would improve. If not improving, would make appt condition. Dr. asked RN to evaluate: suggestion make for use of ice packs, Tylenol, rt clinic PRN.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth, Oedema
Clinical narrative: 06/04/2003 Grandmother called and said right arm swollen shoulder to elbow. 06/05/2003 Patient seen in clinic by MD: Dx localized heat and swelling, redness at shoulder deltoid. . Lasted 3days- no fever
Age: 78.0
Sex: M
Vaccine: PPV
Symptoms: Feeling hot, Injection site hypersensitivity, Nausea, Oedema, Pruritus
Clinical narrative: Patient states immediate itching at site with after needle removed. then area hot to touch swollen and red for 3 days. reaction remained localized. Denies fever. Nausea, vomiting.
Age: 78.0
Sex: M
Vaccine: PPV
Symptoms: Vomiting
Clinical narrative: Patient states immediate itching at site with after needle removed. then area hot to touch swollen and red for 3 days. reaction remained localized. Denies fever. Nausea, vomiting.
Age: 0.5
Sex: F
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Pyrexia
Clinical narrative: Temp 102.4. not resolving with Motrin/Tylenol. No other s/s or known source of fever
Age: 4.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Cellulitis, Erythema, Feeling hot, Hypersensitivity
Clinical narrative: 06/12/2003 treated for cellulitis/allergic RXN with Benadryl and Keflex right arm erythematous, warm 5 x 5 area 06/13/2003 seen again increase size +gran cettriaxone given
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot
Clinical narrative: On 06/19/2003 patient RTC- left deltoid red, hot with 100 x 95 mm reaction. This observation noted by RN on duty at time and seen as well by MD per her note in chart.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Erythema multiforme, Urticaria
Clinical narrative: 48 hours after immunization developed a few hives at injection site- both sides mostly on left. Next day progressed to head to toe hives per mom. Next day  Dx erythema multiforme minor. Patient recovered over next few days.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Decreased appetite, Diarrhoea, Fatigue, Irritability, Pyrexia
Clinical narrative: Skin- maculopapular confluent rash all over body. MMR? side effect . Pt c/o increase fever not eating well. C/o diarrhea runny (differ odd colors) c/o tired cranky c/o rash on face spreading to back feet legs all over getting worse
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: Skin- maculopapular confluent rash all over body. MMR? side effect . Pt c/o increase fever not eating well. C/o diarrhea runny (differ odd colors) c/o tired cranky c/o rash on face spreading to back feet legs all over getting worse
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site oedema
Clinical narrative: Vaccinated 6/17/03 right arm: DTaP, MMR. Seen in office 6/20/03 with large localized swelling at site. Received warm compresses.
Age: 43.0
Sex: F
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: Developed rash with tegaderm. Per MD's instructions, used neosporin and rash started to clear within 3 days. A brown discoloration remains.
Age: 1.44
Sex: M
Vaccine: DTAPH
Symptoms: Autism, Colitis ulcerative, Gastrointestinal disorder
Clinical narrative: My son was diagnosed by a Child Psychiatrist as PDD-NOS on the autistic spectrum around 7/02.  He still retains that diagnosis.    He was diagnosed with ulderative colitis and other GI complication via colonscopy 5/03.  Started medicine Sulfasalazine 6/7/03.  Too early to see any change, medicine to be taken for at least 1 year.  Treatment - Complete DAN protocol of supplements, prescription meds, Auditory Integration Training, Neurofeedback, OT, speech, PT, ABA for almost a total of 40 hours a week.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Headache, Hypoaesthesia, Influenza like illness, Injection site erythema, Injection site inflammation
Clinical narrative: Recieved anthrax vaccine #2 on 6 April 03. On Day 1 he developed a  severe headache x 24 hour and flu-like symptoms, afebrile. On day 2 erythema and swelling noted at vaccine site.  On day 4,swelling and inflammation worsened, symptoms extending from the left shoulder to forearm and wrist.  Unable to bend or flex elbow due to amount of swelling,Mild numbness over tricep muscle, moderate itching noted.  On Day 9,presented to medical clinic for evaluation.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site oedema, Pruritus
Clinical narrative: Recieved anthrax vaccine #2 on 6 April 03. On Day 1 he developed a  severe headache x 24 hour and flu-like symptoms, afebrile. On day 2 erythema and swelling noted at vaccine site.  On day 4,swelling and inflammation worsened, symptoms extending from the left shoulder to forearm and wrist.  Unable to bend or flex elbow due to amount of swelling,Mild numbness over tricep muscle, moderate itching noted.  On Day 9,presented to medical clinic for evaluation.
Age: 25.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site reaction, Injection site vesicles, Pruritus
Clinical narrative: Patient is an orthopox virus lab worker vaccinated per IND.  Had major reaction to vaccine.  On post vaccination day 145 was exposed to cowpox-infected calf tissues.  On post exposure day 9 developed erythema and pruritis at vaccination site.  Two days later developed 2-3 vesicles at the site.  Appearance of vesicles concurrent with sunburn.
Age: 4.0
Sex: F
Vaccine: DT, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site infection, Lethargy, Oedema peripheral
Clinical narrative: Severe swollen left leg. Leg was extremely hot and reddened. It itched so much that I had to wrap towels around it to keep her from creating sores on her leg from scratching. She broke open her injection and it became infected. Low grade fever (100). She was legargic and felt achy for three days.  Her leg stayed swollen for two and one-half days.
Age: 4.0
Sex: F
Vaccine: DT, IPV, MMR
Symptoms: Pain, Pruritus, Pyrexia
Clinical narrative: Severe swollen left leg. Leg was extremely hot and reddened. It itched so much that I had to wrap towels around it to keep her from creating sores on her leg from scratching. She broke open her injection and it became infected. Low grade fever (100). She was legargic and felt achy for three days.  Her leg stayed swollen for two and one-half days.
Age: 2.0
Sex: F
Vaccine: PNC
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Mother reports pt has "large area of redness and swelling" in leg where vaccine was administered.  Mother states pt was taken to the ER on 6/24/03 and instructed to give pt Benadryl and see PCP next am.  Mother phoned the physicians office at 1015 on 06/25/03 and was instructed to bring pt to clinic for evaluation of site.  Pt was brought to clinic at 1100 hours and was evaluated by a nurse.  Site was noted to be 5 inches by 3 inches in diameter, red, and warm to touch.  Pt was active, playful, and happy.  No reports of fever, nausea or vomiting.  Objective information was reported to doctor and orders received for pt to have Benadryl 25mg p.o. every 4-6 hours as needed, apply ice pack to the area for 15 minutes 3-4 times a day.  Area was circled with a permanent marked and mother was instructed to return to clinic for any enlargement of area, fever greater than 101 degrees fahenheit, lethargy, nausea or vomiting.  Mother verbalized understanding of instructions.
Age: 15.0
Sex: F
Vaccine: HEP
Symptoms: Injection site oedema, Nausea, Pyrexia, Vomiting
Clinical narrative: Fever of 103F night and 1st day after injection.  Nausea/vomiting night & 1st day after injection, puffiness at site.
Age: 5.0
Sex: M
Vaccine: DTPHIB, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Pruritus, Rash
Clinical narrative: Swelling of the arm, puffy, red, looked like it was burned. Bumps all around it. Itched.
Age: 13.0
Sex: M
Vaccine: TD, TD
Symptoms: Depressed level of consciousness, Fatigue, Hypokinesia, Pain, Staring
Clinical narrative: Pt cannot walk, step down, onto left heel. He does not use his left hand. Physically his left side is strong, but neurologically his brain is telling him he cannot use his left arm or leg. MRI came out clear. For a month or so he was lethargic. He was tired, not alert and would blankly stare. This has improved.
Age: 13.0
Sex: M
Vaccine: TD, TD
Symptoms: Fatigue, Hypokinesia, Lethargy, Staring
Clinical narrative: Pt cannot walk, step down, onto left heel. He does not use his left hand. Physically his left side is strong, but neurologically his brain is telling him he cannot use his left arm or leg. MRI came out clear. For a month or so he was lethargic. He was tired, not alert and would blankly stare. This has improved.
Age: 0.25
Sex: M
Vaccine: PNC
Symptoms: Upper respiratory tract infection, Wheezing
Clinical narrative: Prevnar #1, 3/18/03 - 2 days later 3/20/03 developed URI and wheezing. Seen by PMD that day, felt at that time no correlation to Prevnar immunization. Prevnar #2 5/20/03 - 2 days later 5/22/03, once again developed URI and wheezing. Seen again by PMD. Parent advised not to complete series per MD.
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Contusion, Thrombocytopenia
Clinical narrative: Thrombocytepenia with multiple bruises. 1st MD visit 6/19/03. Varivax given 6/5/03.
Age: 5.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Feeling hot, Injection site erythema, Tenderness
Clinical narrative: 10cm x 12cm area of erythema surrounding injection site on left upper extremity onto left shoulder. Warmth, tenderness. (received doses 2, 4 and 4 of DTP in Belgium).