chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 43.0
Sex: F
Vaccine: ANTH
Symptoms: Asthma, Back pain, Carpal tunnel syndrome, Cough, Dysphagia
Clinical narrative: She received anthrax #1, hepatitis A/B #1, meningococcal, smallpox and typhoid vaccines concurrently on 3 Mar 03.  On 18 Mar 03, she received her second anthrax vaccine.   Patient is unsure of exact time frame, but is sure that her symptoms began after the second anthrax vaccine.  The first thing she noticed was numbness along the side of her left leg.  During the summer of 2003 she developed a foot drop on the same side.  In January of 2004, she started "falling a lot", developed dysphagia, urinary incontinence, and started "tripping a lot".  Since that time she has developed paresthesias in her left hand.  A Neurology appointment was scheduled, but all of her symptoms except the leg numbness had resolved.  In early March 2004 a MRI of the brain was normal.  In July 2004, an EMG revealed mild carpal tunnel.  At the same time, she developed fatigue and her left arm became "limp" and did not swing when she walked.  In May or June 2004, she had an asthma attack.  She was coughing uncontrollably and went to the emergency room.  Resulting PFTs were abnormal and she was diagnosed with moderate, intermittent asthma.  Per the physician, she does not have asthma.  She admits having difficulty breathing when exposed to cigarette smoke.  This difficulty is relieved with an inhaler.  She does not experience any exercise-induced asthma symptoms. In the last few weeks she has felt better, but still has difficulty with fine motor skills.  She continues to have numbness on the lateral aspect of her left leg.  This numbness sometimes radiates to the calf when she stands for an extended period of time.  She also has pain in her lower back, left buttock and left leg that is constant and rates it as "3" on 0-10 pain scale.  This pain worsens with activity.
Age: 43.0
Sex: F
Vaccine: ANTH
Symptoms: Dyspnoea, Fall, Fatigue, Hypoaesthesia, Hypotonia
Clinical narrative: She received anthrax #1, hepatitis A/B #1, meningococcal, smallpox and typhoid vaccines concurrently on 3 Mar 03.  On 18 Mar 03, she received her second anthrax vaccine.   Patient is unsure of exact time frame, but is sure that her symptoms began after the second anthrax vaccine.  The first thing she noticed was numbness along the side of her left leg.  During the summer of 2003 she developed a foot drop on the same side.  In January of 2004, she started "falling a lot", developed dysphagia, urinary incontinence, and started "tripping a lot".  Since that time she has developed paresthesias in her left hand.  A Neurology appointment was scheduled, but all of her symptoms except the leg numbness had resolved.  In early March 2004 a MRI of the brain was normal.  In July 2004, an EMG revealed mild carpal tunnel.  At the same time, she developed fatigue and her left arm became "limp" and did not swing when she walked.  In May or June 2004, she had an asthma attack.  She was coughing uncontrollably and went to the emergency room.  Resulting PFTs were abnormal and she was diagnosed with moderate, intermittent asthma.  Per the physician, she does not have asthma.  She admits having difficulty breathing when exposed to cigarette smoke.  This difficulty is relieved with an inhaler.  She does not experience any exercise-induced asthma symptoms. In the last few weeks she has felt better, but still has difficulty with fine motor skills.  She continues to have numbness on the lateral aspect of her left leg.  This numbness sometimes radiates to the calf when she stands for an extended period of time.  She also has pain in her lower back, left buttock and left leg that is constant and rates it as "3" on 0-10 pain scale.  This pain worsens with activity.
Age: 43.0
Sex: F
Vaccine: ANTH
Symptoms: Paraesthesia, Peroneal nerve palsy, Urinary incontinence
Clinical narrative: She received anthrax #1, hepatitis A/B #1, meningococcal, smallpox and typhoid vaccines concurrently on 3 Mar 03.  On 18 Mar 03, she received her second anthrax vaccine.   Patient is unsure of exact time frame, but is sure that her symptoms began after the second anthrax vaccine.  The first thing she noticed was numbness along the side of her left leg.  During the summer of 2003 she developed a foot drop on the same side.  In January of 2004, she started "falling a lot", developed dysphagia, urinary incontinence, and started "tripping a lot".  Since that time she has developed paresthesias in her left hand.  A Neurology appointment was scheduled, but all of her symptoms except the leg numbness had resolved.  In early March 2004 a MRI of the brain was normal.  In July 2004, an EMG revealed mild carpal tunnel.  At the same time, she developed fatigue and her left arm became "limp" and did not swing when she walked.  In May or June 2004, she had an asthma attack.  She was coughing uncontrollably and went to the emergency room.  Resulting PFTs were abnormal and she was diagnosed with moderate, intermittent asthma.  Per the physician, she does not have asthma.  She admits having difficulty breathing when exposed to cigarette smoke.  This difficulty is relieved with an inhaler.  She does not experience any exercise-induced asthma symptoms. In the last few weeks she has felt better, but still has difficulty with fine motor skills.  She continues to have numbness on the lateral aspect of her left leg.  This numbness sometimes radiates to the calf when she stands for an extended period of time.  She also has pain in her lower back, left buttock and left leg that is constant and rates it as "3" on 0-10 pain scale.  This pain worsens with activity.
Age: 1.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MMR, PNC
Symptoms: Agitation, Bacterial infection, Cellulitis, Cough, Injection site abscess
Clinical narrative: 1 week after administration of MMR and Pediarix in the left thigh a tender red lump developed.  Over the course of several days the size increased and had pustular drainage.  2 weeks after immunization fever to 103 developed with abscess and cellulitis in the area.  Nurse follow up on 11/12/04 states: "rash, cough."
Age: 1.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MMR, PNC
Symptoms: Injection site erythema, Injection site mass, Injection site reaction, Leukocytosis, Pain
Clinical narrative: 1 week after administration of MMR and Pediarix in the left thigh a tender red lump developed.  Over the course of several days the size increased and had pustular drainage.  2 weeks after immunization fever to 103 developed with abscess and cellulitis in the area.  Nurse follow up on 11/12/04 states: "rash, cough."
Age: 1.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MMR, PNC
Symptoms: Pyrexia, Rash
Clinical narrative: 1 week after administration of MMR and Pediarix in the left thigh a tender red lump developed.  Over the course of several days the size increased and had pustular drainage.  2 weeks after immunization fever to 103 developed with abscess and cellulitis in the area.  Nurse follow up on 11/12/04 states: "rash, cough."
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Irritability, Pyrexia, Rash maculo-papular
Clinical narrative: Fever greater than 101 less than 103 developed 7 days after vaccination. This was followed by a pink maculopapular rash 3 days later, intially started on face and spread to torso and then extremities.  Child is also more fussy than previously.
Age: 48.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Feeling hot, Headache, Hypoaesthesia, Muscle spasms
Clinical narrative: Anthrax dose #6 was administered on 11 Sep 04 in his right deltoid.  He immediately felt burning at the injection site.  Within twenty minutes, he was "warm all over", and had a recurrence of the headache with pressure behind the eyes, neck pain, left arm numbness, cramping sensation in the back muscles, and arthralgias.  That evening he began to experience the left hamstring cramping that was present after dose #4.  Today he rates his headache as 4-5/10, the arthralgias as 8-10/10.  The muscle spasms in his back are not related to any particular position or activity.
Age: 48.0
Sex: M
Vaccine: ANTH
Symptoms: Neck pain, Thermal burn, Vaccine positive rechallenge
Clinical narrative: Anthrax dose #6 was administered on 11 Sep 04 in his right deltoid.  He immediately felt burning at the injection site.  Within twenty minutes, he was "warm all over", and had a recurrence of the headache with pressure behind the eyes, neck pain, left arm numbness, cramping sensation in the back muscles, and arthralgias.  That evening he began to experience the left hamstring cramping that was present after dose #4.  Today he rates his headache as 4-5/10, the arthralgias as 8-10/10.  The muscle spasms in his back are not related to any particular position or activity.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: MOM NOTICED THE L THIGH WAS RED/SWOLLEN/HOT. NO PAIN TO TOUCH THE AREA FLAT AND WIDE ABOUT 7-8" WIDE. THE REDNESS IS TO HIS KNEE, DOESN'T GO ALL THE WAY AROUND THE LEG. DOES NOT SEEM TO BOTHER HIM
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Deep vein thrombosis, Gastrointestinal necrosis, Gastrointestinal neoplasm, Intestinal obstruction, Pulmonary embolism
Clinical narrative: This subject is a 67 year old male who was admitted to the hospital and died while enrolled in a study. The subject received two doses of RSV vaccine or Placebo and Influenza vaccine. The last dose prior to the event was given on 10/23/03. The subject was hospitalized for a stomach mass, date of hospitalization not reported. While in the hospital subject developed a blood clot and died 334 days post immunization on 9/21/04. The subject's death due to a blood clot was reported by the investigator as unknown in relationship to the study vaccine.  Follow up on 10/08/04 states: "There was no autopsy done for this decedent."  Nurse follow up on 10/14/04 states: "pulmonary embolism; deep vein thrombosis."  Nurse follow up on 10/19/04 states: "small bowel mass."  Nurse follow up on 11/11/04 states: "fat necrosis of the mesentery with partial small bowel obstruction."
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Thrombosis
Clinical narrative: This subject is a 67 year old male who was admitted to the hospital and died while enrolled in a study. The subject received two doses of RSV vaccine or Placebo and Influenza vaccine. The last dose prior to the event was given on 10/23/03. The subject was hospitalized for a stomach mass, date of hospitalization not reported. While in the hospital subject developed a blood clot and died 334 days post immunization on 9/21/04. The subject's death due to a blood clot was reported by the investigator as unknown in relationship to the study vaccine.  Follow up on 10/08/04 states: "There was no autopsy done for this decedent."  Nurse follow up on 10/14/04 states: "pulmonary embolism; deep vein thrombosis."  Nurse follow up on 10/19/04 states: "small bowel mass."  Nurse follow up on 11/11/04 states: "fat necrosis of the mesentery with partial small bowel obstruction."
Age: 0.15
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Sudden infant death syndrome
Clinical narrative: Mother reported no adverse reaction after immunization. Being investigated as a SIDS death.  Nurse follow up on 11/03/04 states: "No new information."  10/21/04 ER records received which revealed patient was in cardiac arrest on arrival & was unable to be resuscitated.  ER called coroner.
Age: 1.78
Sex: M
Vaccine: DTAP, DTAP, HEP, HIBV, IPV, MMR
Symptoms: Abnormal behaviour, Antisocial behaviour, Autism, Clumsiness, Hyperacusis
Clinical narrative: This case was considered medically important (OMIC). Information regarding Hib-TITER vaccine was received from a patient's mother regarding her 4 year old son who developed autism. At 19 months of age, the patient received the third dose on 2/15/02, the second dose on 9/25/01, and the first dose on 5/9/01. The child received other childhood vaccines on the dates of HIB-TITER administration. The patient has a past history of ear infection (12/02). He was treated with antibiotics (unknown). Per the reporter, the patient generally has been a healthy child. Indication for HIB-TITER vaccine was immunization. The third dose of the vaccine was administered on 2/15/02. Dose regimen was 1 dose. Additional suspect vaccines included Acel-Imune Vaccine, Prevnar, Infanrix, Engerix B, IPOL, MMR, and Varivax. Concomitant medications were not reported. A male child, now four years old developed autism on 5/1/02, when he was two years of age. The patient's mother indicated that her son was talking appropriately at 2 years of age; however, his speech then deteriorated. She reported that her son was bothered by noise, he became picky as to what he ate, he became clumsy with awkward movements - not transitioning well moving from one place to the next, and did not like to be in large groups of people. The patient's mother suspects the events are due to the preservative thimerosal. No addititional information was available at the time of this report.
Age: 1.78
Sex: M
Vaccine: DTAP, DTAP, HEP, HIBV, IPV, MMR
Symptoms: Speech disorder
Clinical narrative: This case was considered medically important (OMIC). Information regarding Hib-TITER vaccine was received from a patient's mother regarding her 4 year old son who developed autism. At 19 months of age, the patient received the third dose on 2/15/02, the second dose on 9/25/01, and the first dose on 5/9/01. The child received other childhood vaccines on the dates of HIB-TITER administration. The patient has a past history of ear infection (12/02). He was treated with antibiotics (unknown). Per the reporter, the patient generally has been a healthy child. Indication for HIB-TITER vaccine was immunization. The third dose of the vaccine was administered on 2/15/02. Dose regimen was 1 dose. Additional suspect vaccines included Acel-Imune Vaccine, Prevnar, Infanrix, Engerix B, IPOL, MMR, and Varivax. Concomitant medications were not reported. A male child, now four years old developed autism on 5/1/02, when he was two years of age. The patient's mother indicated that her son was talking appropriately at 2 years of age; however, his speech then deteriorated. She reported that her son was bothered by noise, he became picky as to what he ate, he became clumsy with awkward movements - not transitioning well moving from one place to the next, and did not like to be in large groups of people. The patient's mother suspects the events are due to the preservative thimerosal. No addititional information was available at the time of this report.
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Convulsion, Pallor, Pyrexia
Clinical narrative: Fever 104 and also seizures, very pale.
Age: 2.0
Sex: F
Vaccine: DTAP, FLU3, HIBV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Large (about 1.75" by 2") red area of redness and mild induration right thigh at the site of DTaP vaccine.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Hypokinesia, Injection site pain, Pain, Pyrexia
Clinical narrative: Child awakened from nap on 9/29/04; unable to move legs and difficulty moving arms, wincing in pain. Evaluation in ER revealed fever 101.7 with subsequent regression post Motrin of most of symptoms. 9/30/04 Pain linked to injection site.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Swelling, erythema, pain, fever. Right arm 9 inches at swelling area. Left arm 7 inches.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site inflammation, Injection site warmth
Clinical narrative: Left deltoid hardenend, infalmmation, redness and warm.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Flushing, Injection site hypersensitivity, Pruritus, Skin ulcer, Urticaria
Clinical narrative: Approximately 5-10 minutes after vaccines, skin lesions like hives. Child flushed, scratching at the site at which MMR had been administered. Resolved after 5-10 minutes. Given Benadryl; no respiratory distress.
Age: 33.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Developed 3.5"x4" redness, swelling and tenderness at injection site 72 hours post injection.
Age: 29.0
Sex: M
Vaccine: ANTH, TD, YF
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt has redness and swelling on the outer aspect of his left upper arm which is warm to the touch.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Headache, Heart rate increased, Hyperhidrosis, Hypoaesthesia
Clinical narrative: Extreme sweating, dizziness, temperature, left side arm, neck and fingers were numb, headache, and fast heart beat.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Extreme sweating, dizziness, temperature, left side arm, neck and fingers were numb, headache, and fast heart beat.
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Anxiety, Asthenia, Disturbance in attention, Fatigue, Feeling hot
Clinical narrative: Got shot at noon 10/05/04; Very tired early evening; woke up at 2:40 AM very HOT and damp. My bedroom is not heated, so is about 50degrees; all i could tolerate was a sheet up to my waist. I was that hot all night. I had nightmares; very vivid; caused anxiety; very shaky and weak this morning with lack of concentration; fingers don't seem to want to work.
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Hypokinesia, Nightmare, Tremor
Clinical narrative: Got shot at noon 10/05/04; Very tired early evening; woke up at 2:40 AM very HOT and damp. My bedroom is not heated, so is about 50degrees; all i could tolerate was a sheet up to my waist. I was that hot all night. I had nightmares; very vivid; caused anxiety; very shaky and weak this morning with lack of concentration; fingers don't seem to want to work.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Infection
Clinical narrative: Infection of L. tricep.
Age: 3.0
Sex: M
Vaccine: HBHEPB, IPV
Symptoms: Cellulitis
Clinical narrative: Cellulitis secondary to vaccine adminstration, left thigh.
Age: 1.04
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Cellulitis
Clinical narrative: 8x8 area of cellulitis
Age: 57.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Pruritus
Clinical narrative: The smallpox vaccine was administered to the patient on 4-21-03 in the left arm.  The take response was read on 4-28-03 with a major take.  The patient was seen in the clinic on 6-8-04 with c/o swelling, tenderness and itching at the vaccination site.  There was a 2 cm area of induration.  The patient was seen again on 10-1-04 and at the smallpox site there was erythema and a raised papule 10 mm in size.  She c/o of swelling, tenderness and itching at the site.  Stated this has occurred 2 other times - appears to flare up and then disappear.
Age: 33.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Arthralgia, Pyrexia
Clinical narrative: IMMUNIZATION DATE SYMPTOMS Anthrax #1 10 Nov 2003 Knot at immunization site with erythema and tenderness. Anthrax #2 23 Dec 2003 Day 4-6 developed mild fevers with body aches from waist to toes. Anthrax #3 27 Jan 2004 Mild Fevers with body aches from waist down. Small knot at immunization site. Anthrax #4  12 July 2004 Approximately July 16, 2004 began with fevers of 104.5, joint pain (lower back, hips, knees and ankles), headaches, runny nose, & nausea.   History of Present Illness:   The healthy 33-year-old received his anthrax #4.  Approximately 4-6 days later his temperature began to spike to 104.5 with increasing joint pain lasting for 2-3 days.  He specified his joint pain was located from the waist down, including hips, knees, ankles and lower back.  He describes the pain as a "deep seated pain with sharp throbs that radiates out, not muscular." He rates the worst pain at 6/10 on day 4-6 when his fever was present.  His joint pain persisted for 2-7 days and resolved on day eight after the fever was gone.  During this same time period, he complained of light sensitivity with a runny nose, nausea, dry heaves x2 and visual problems (nondescript) combined with a sharp throbbing headache that was centered behind his eyes.  He used Motrin for the pain without relief of his headache but it did help bring his fever down.  The headache resolved on its own after fever broke a few hours later.  He denies any vomiting, breathing difficulties, neck pain, dizziness, vertigo, chest or abdominal pain.  He states the vaccine site became sore and developed a small knot that resolved within a few hours; but there was no erythemia, swelling, lymphadenopathy at site, or upper arm or lower extremity neuropathy.  He reports no history of migraine headaches but had.  He reports less intense flu-like symptoms with his second and third anthrax vaccination but never required medication for any fevers or pain.
Age: 33.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Arthralgia, Headache, Influenza like illness, Injection site mass, Injection site pain
Clinical narrative: IMMUNIZATION DATE SYMPTOMS Anthrax #1 10 Nov 2003 Knot at immunization site with erythema and tenderness. Anthrax #2 23 Dec 2003 Day 4-6 developed mild fevers with body aches from waist to toes. Anthrax #3 27 Jan 2004 Mild Fevers with body aches from waist down. Small knot at immunization site. Anthrax #4  12 July 2004 Approximately July 16, 2004 began with fevers of 104.5, joint pain (lower back, hips, knees and ankles), headaches, runny nose, & nausea.   History of Present Illness:   The healthy 33-year-old received his anthrax #4.  Approximately 4-6 days later his temperature began to spike to 104.5 with increasing joint pain lasting for 2-3 days.  He specified his joint pain was located from the waist down, including hips, knees, ankles and lower back.  He describes the pain as a "deep seated pain with sharp throbs that radiates out, not muscular." He rates the worst pain at 6/10 on day 4-6 when his fever was present.  His joint pain persisted for 2-7 days and resolved on day eight after the fever was gone.  During this same time period, he complained of light sensitivity with a runny nose, nausea, dry heaves x2 and visual problems (nondescript) combined with a sharp throbbing headache that was centered behind his eyes.  He used Motrin for the pain without relief of his headache but it did help bring his fever down.  The headache resolved on its own after fever broke a few hours later.  He denies any vomiting, breathing difficulties, neck pain, dizziness, vertigo, chest or abdominal pain.  He states the vaccine site became sore and developed a small knot that resolved within a few hours; but there was no erythemia, swelling, lymphadenopathy at site, or upper arm or lower extremity neuropathy.  He reports no history of migraine headaches but had.  He reports less intense flu-like symptoms with his second and third anthrax vaccination but never required medication for any fevers or pain.
Age: 33.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Nausea, Photosensitivity reaction, Pyrexia, Retching, Rhinorrhoea
Clinical narrative: IMMUNIZATION DATE SYMPTOMS Anthrax #1 10 Nov 2003 Knot at immunization site with erythema and tenderness. Anthrax #2 23 Dec 2003 Day 4-6 developed mild fevers with body aches from waist to toes. Anthrax #3 27 Jan 2004 Mild Fevers with body aches from waist down. Small knot at immunization site. Anthrax #4  12 July 2004 Approximately July 16, 2004 began with fevers of 104.5, joint pain (lower back, hips, knees and ankles), headaches, runny nose, & nausea.   History of Present Illness:   The healthy 33-year-old received his anthrax #4.  Approximately 4-6 days later his temperature began to spike to 104.5 with increasing joint pain lasting for 2-3 days.  He specified his joint pain was located from the waist down, including hips, knees, ankles and lower back.  He describes the pain as a "deep seated pain with sharp throbs that radiates out, not muscular." He rates the worst pain at 6/10 on day 4-6 when his fever was present.  His joint pain persisted for 2-7 days and resolved on day eight after the fever was gone.  During this same time period, he complained of light sensitivity with a runny nose, nausea, dry heaves x2 and visual problems (nondescript) combined with a sharp throbbing headache that was centered behind his eyes.  He used Motrin for the pain without relief of his headache but it did help bring his fever down.  The headache resolved on its own after fever broke a few hours later.  He denies any vomiting, breathing difficulties, neck pain, dizziness, vertigo, chest or abdominal pain.  He states the vaccine site became sore and developed a small knot that resolved within a few hours; but there was no erythemia, swelling, lymphadenopathy at site, or upper arm or lower extremity neuropathy.  He reports no history of migraine headaches but had.  He reports less intense flu-like symptoms with his second and third anthrax vaccination but never required medication for any fevers or pain.
Age: 33.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Visual disturbance
Clinical narrative: IMMUNIZATION DATE SYMPTOMS Anthrax #1 10 Nov 2003 Knot at immunization site with erythema and tenderness. Anthrax #2 23 Dec 2003 Day 4-6 developed mild fevers with body aches from waist to toes. Anthrax #3 27 Jan 2004 Mild Fevers with body aches from waist down. Small knot at immunization site. Anthrax #4  12 July 2004 Approximately July 16, 2004 began with fevers of 104.5, joint pain (lower back, hips, knees and ankles), headaches, runny nose, & nausea.   History of Present Illness:   The healthy 33-year-old received his anthrax #4.  Approximately 4-6 days later his temperature began to spike to 104.5 with increasing joint pain lasting for 2-3 days.  He specified his joint pain was located from the waist down, including hips, knees, ankles and lower back.  He describes the pain as a "deep seated pain with sharp throbs that radiates out, not muscular." He rates the worst pain at 6/10 on day 4-6 when his fever was present.  His joint pain persisted for 2-7 days and resolved on day eight after the fever was gone.  During this same time period, he complained of light sensitivity with a runny nose, nausea, dry heaves x2 and visual problems (nondescript) combined with a sharp throbbing headache that was centered behind his eyes.  He used Motrin for the pain without relief of his headache but it did help bring his fever down.  The headache resolved on its own after fever broke a few hours later.  He denies any vomiting, breathing difficulties, neck pain, dizziness, vertigo, chest or abdominal pain.  He states the vaccine site became sore and developed a small knot that resolved within a few hours; but there was no erythemia, swelling, lymphadenopathy at site, or upper arm or lower extremity neuropathy.  He reports no history of migraine headaches but had.  He reports less intense flu-like symptoms with his second and third anthrax vaccination but never required medication for any fevers or pain.
Age: 0.17
Sex: M
Vaccine: DTAP, HIBV, PPV, DTP, HIBV, PNC
Symptoms: Abnormal sleep-related event, Agitation, Coma, Crying, Hypotonia
Clinical narrative: 3 hours after vaccination, found pale, limp and unresponsive, not breathing. Unable to wake after a minute or two. He was responding and has had no other episodes.
Age: 0.17
Sex: M
Vaccine: DTAP, HIBV, PPV, DTP, HIBV, PNC
Symptoms: Pallor
Clinical narrative: 3 hours after vaccination, found pale, limp and unresponsive, not breathing. Unable to wake after a minute or two. He was responding and has had no other episodes.
Age: 0.17
Sex: M
Vaccine: DTAP, HIBV, PPV, DTP, HIBV, PNC
Symptoms: Coma, Hypotonia, Pallor, Respiratory arrest
Clinical narrative: 3 hours after vaccination, found pale, limp and unresponsive, not breathing. Unable to wake after a minute or two. He was responding and has had no other episodes.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Abscess, Cellulitis, Erythema, Lymphangitis, Skin striae
Clinical narrative: Significant erythema, mild streaking. Diagnosis: cellulitis, abscess, lymphangitis.
Age: 15.0
Sex: F
Vaccine: HEP
Symptoms: Amnesia, Confusional state, Fatigue, Fibromyalgia, Headache
Clinical narrative: Extreme fatigue began approximately 1-3 days after vaccine. Never improved; doctors thought was mononucleosis. Within next several months, all of the chronic fatigue, fibromyalgia, and neuro-mediated hypotension sympotms appeared and still has all of them 3.5 years later. Can't go to work or school; applied for disability. Medical Records received on 1/7/2005 states pt experienced confusion, memory loss, difficulty sleeping, fainting and headache. Follow up 01/18/05:Patient has still not recovered from the adverse event. Still experiencing chronic fatigue Immune dificiency syndrome, fibromyalgia, nurally mediated hypotension. I only heard bout VAERS last year and report this then, which was 6 months past the 3 year deadline to claim any money for my daughter. She sure could have used it since she has been unable to attend school, drive or work for 4 years now. Every time I asked any of her doctors if the vaccine could have caused this, they said she became ill iwth all of her symptoms 1-2 days after her 3rd Hep vaccine and has only gotten worse for 4 years.
Age: 15.0
Sex: F
Vaccine: HEP
Symptoms: Hypotension, Insomnia, Lymphocytosis, Syncope
Clinical narrative: Extreme fatigue began approximately 1-3 days after vaccine. Never improved; doctors thought was mononucleosis. Within next several months, all of the chronic fatigue, fibromyalgia, and neuro-mediated hypotension sympotms appeared and still has all of them 3.5 years later. Can't go to work or school; applied for disability. Medical Records received on 1/7/2005 states pt experienced confusion, memory loss, difficulty sleeping, fainting and headache. Follow up 01/18/05:Patient has still not recovered from the adverse event. Still experiencing chronic fatigue Immune dificiency syndrome, fibromyalgia, nurally mediated hypotension. I only heard bout VAERS last year and report this then, which was 6 months past the 3 year deadline to claim any money for my daughter. She sure could have used it since she has been unable to attend school, drive or work for 4 years now. Every time I asked any of her doctors if the vaccine could have caused this, they said she became ill iwth all of her symptoms 1-2 days after her 3rd Hep vaccine and has only gotten worse for 4 years.
Age: 56.0
Sex: M
Vaccine: HEP
Symptoms: Dehydration, Diarrhoea, Dysuria, Hyperhidrosis, Hyponatraemia
Clinical narrative: Elevated temp day following shot of Hep B. Diarrhea and vomiting second day after shot. Taken to ER due to dehydration and elevated temperature. Was to be released that evening but was kept until Friday, at patient's request for flucuating temp. Medical record states dysuria, sweat, syncope. msv
Age: 56.0
Sex: M
Vaccine: HEP
Symptoms: Pyrexia, Syncope, Urine analysis abnormal, Vomiting
Clinical narrative: Elevated temp day following shot of Hep B. Diarrhea and vomiting second day after shot. Taken to ER due to dehydration and elevated temperature. Was to be released that evening but was kept until Friday, at patient's request for flucuating temp. Medical record states dysuria, sweat, syncope. msv
Age: 39.0
Sex: M
Vaccine: ANTH, MEN, SMALL, TYP
Symptoms: Cellulitis, Chills, Cough, Erythema, Malaise
Clinical narrative: Patient started with general malaise, cough, and sore throat 9/21/04. Saw nurse practitioner and received treatment. Then continued with chills, fever, and arm itching, redness on 9/23/04. Symptoms persisted and was taken to ER and admitted with cellulitis on 9/26/04. Receiving antibiotic IV (Unasyn).
Age: 39.0
Sex: M
Vaccine: ANTH, MEN, SMALL, TYP
Symptoms: Pharyngolaryngeal pain, Pruritus, Pyrexia
Clinical narrative: Patient started with general malaise, cough, and sore throat 9/21/04. Saw nurse practitioner and received treatment. Then continued with chills, fever, and arm itching, redness on 9/23/04. Symptoms persisted and was taken to ER and admitted with cellulitis on 9/26/04. Receiving antibiotic IV (Unasyn).
Age: 9.0
Sex: F
Vaccine: PPV
Symptoms: Back pain, Cellulitis, Injection site reaction, Oedema peripheral, Pain
Clinical narrative: Patient developed an infection (cellulitis) same thigh as injection. Was hospitalized, treated with IV antibiotics and then sent home on oral Keflex. Medical Record received on 12/15/2004 states symptoms include pain in right thigh from entire anterior aspect of thigh from top of knee to mid-thigh level, right back, fever, of 103.7. Ultrasound of thigh revealved subcutaneous edema.
Age: 9.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: Patient developed an infection (cellulitis) same thigh as injection. Was hospitalized, treated with IV antibiotics and then sent home on oral Keflex. Medical Record received on 12/15/2004 states symptoms include pain in right thigh from entire anterior aspect of thigh from top of knee to mid-thigh level, right back, fever, of 103.7. Ultrasound of thigh revealved subcutaneous edema.
Age: 52.0
Sex: F
Vaccine: TD, TD, TD
Symptoms: Pain, Pyrexia, White blood cell count increased
Clinical narrative: Patient admitted to hospital complaining of aching and severe pain to upper limbs and trunk. Elevated temperature and elevated WBC. Required treatment with IV Fluids and steroids.
Age: 52.0
Sex: F
Vaccine: TD, TD, TD
Symptoms: Arthritis, Chest pain, Chills, Discomfort, Pain
Clinical narrative: Patient admitted to hospital complaining of aching and severe pain to upper limbs and trunk. Elevated temperature and elevated WBC. Required treatment with IV Fluids and steroids.
Age: 52.0
Sex: F
Vaccine: TD, TD, TD
Symptoms: Pyrexia, Tenderness
Clinical narrative: Patient admitted to hospital complaining of aching and severe pain to upper limbs and trunk. Elevated temperature and elevated WBC. Required treatment with IV Fluids and steroids.
Age: 52.0
Sex: F
Vaccine: TD, TD, TD
Symptoms: Arthritis, Neck pain, Pain in jaw, Shoulder pain
Clinical narrative: Patient admitted to hospital complaining of aching and severe pain to upper limbs and trunk. Elevated temperature and elevated WBC. Required treatment with IV Fluids and steroids.
Age: 53.0
Sex: F
Vaccine: ANTH
Symptoms: Unevaluable event
Clinical narrative: Reaction Unevaluable
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Myalgia
Clinical narrative: Pt came in to be seen today because he showed up on a list being delinquent for an Anthrax vaccine. After restarting the Anthrax regime last year, pt states he has been having unknown pains in his arms, back and legs. After several visits and a referral to a board certified Rheumatoloist it has been determined that the Anthrax vaccne most likely has caused his unknown pains and is recommended pt be deferred from any additional Anthrax shots.
Age: 34.0
Sex: F
Vaccine: HEPAB, MMR, TD
Symptoms: Unintended pregnancy
Clinical narrative: 8/11/04 came for anual evaluation for birth control. LMP 7/13/04. Requested MMR, Hep A/Hep B and Td. No missed periods: used condoms every time (immunizaiton for school). 9/16/04: got second Hep A/Hep B. No menses in August. 9/22/04 came to start Depoproveral period started 9/18/04 . Pregnancy test postive. Received MMR 8/11/04
Age: 62.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: 3X5 inch red rash at Tetanus site.
Age: 1.03
Sex: M
Vaccine: MMR
Symptoms: Rash vesicular
Clinical narrative: Chicken pox lesions over trunk and back
Sex: M
Vaccine: HEPA
Symptoms: Pyrexia, Vomiting
Clinical narrative: Vomit x 1 24 hours vaccination. Temp measured 99.1. Axillary 24 hours after vaccination. Denied continued nausea and vomiting, diarrhea or temperature after this episode.
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot
Clinical narrative: Localized , reddened, warm to touch area 2.5c, right upper arm.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema
Clinical narrative: 3" x 4" area of erythema left thigh. Post immunization on 10/01/2004
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Decreased appetite, Screaming
Clinical narrative: Inconsolable crying starting shortly after vaccine and continuing into the night. Decreased po intake.
Age: 5.0
Sex: M
Vaccine: MMR
Symptoms: Unevaluable event
Clinical narrative: No present adverse events reported. Ct received #3 MMR 8/4/04. No 1 MMR given 2/27/04. No 2 MMR given 4/27/04
Age: 1.76
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Drug ineffective, Infection
Clinical narrative: Pt broke on rash (Varicella) after receiving vaccine.
Age: 75.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Feeling hot, Injection site pain, Lethargy, Pyrexia
Clinical narrative: Soreness at site of injection, erythema. Temperature 102. Now 98.5. Felt warm and lethargic. Staring day after injection. Erythema 7x6 cm left deltiod arm. BP 104/60. Acetomenophin advised.
Age: 75.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Tenderness
Clinical narrative: Soreness at site of injection, erythema. Temperature 102. Now 98.5. Felt warm and lethargic. Staring day after injection. Erythema 7x6 cm left deltiod arm. BP 104/60. Acetomenophin advised.
Age: 1.07
Sex: M
Vaccine: MMR
Symptoms: Decreased activity, Difficulty in walking, Somnolence
Clinical narrative: 10 days after received MMR and Varivax, child became less active, increased sleeping, unsteady or wobbly when trying to walk around furniture.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Swelling of left thigh with pain and redness.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Drug ineffective, Infection
Clinical narrative: Pt had breakthrough Varicella, approximately 100 pox. Expected to recover completely.
Age: 83.0
Sex: F
Vaccine: PPV, TTOX
Symptoms: Erythema, Swelling
Clinical narrative: Left deltoid red and swolen. Ice applied. Resolved within 24 hours.
Age: 5.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR, PPV
Symptoms: Erythema, Feeling hot, Swelling, Tenderness
Clinical narrative: LT showed redness, swelling, hot, tender to touch 2 days after setting DTAP and PPV 23 in same leg. (local reaction). Better with Benadryl, ibuprofen, Tylenol with Codeine.
Age: 1.47
Sex: M
Vaccine: VARCEL
Symptoms: Decreased appetite, Pyrexia, Rash, Vomiting
Clinical narrative: Increased fever. Next two days, after fever dropped child developed fine, red rash at neck, chest, back, diabper area, decreased appetite, 1 episode emesis. No sign of any reaction at injection site as reported by mother. Mother reports fever as high as 105.8
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Heart rate increased, Respiratory rate increased, Urticaria
Clinical narrative: Hives shortly after receiving DTaP, IPV, MMR. Increased pulse 160 and respiratory rate increased. Pulse oximetry 96%. Called ER; gave Epipen and transported to ER via ambulance.
Age: 51.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Pain
Clinical narrative: Local reaction associated with pain, throbbing, redness that spread to left upper arm; it felt warm. Increased for first 12 hours; since has been improving. Patient has been using ice, Tylenol, Claritin, etc.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Immediately after given DTaP in left upper thigh IM, patient's leg began to swell and became red and hot. Then placed an ice pack on patient and advised mom to wait 30 minutes in clinic. Area approximately 7cm in diameter. After 30 minutes, when checked, patient was improving and feeling fine.
Age: 0.27
Sex: M
Vaccine: DTAP, HEP, IPV
Symptoms: Agitation, Crying
Clinical narrative: Patient became unconsolable and crying excessively 4 hours after immunizations.
Age: 9.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Varicella diagnosed 9/27/04.
Age: 7.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site pain, Pyrexia, Somnolence
Clinical narrative: Started evening with soreness. Fevers began at night. On 9/20/04; taken to ER for fevers of 103. Arm swelled and very red. Patient very sore. On 9/23/04 mother contacted;health department contacted. Child very sleepy. 9/24/04 Patient arm looked at. Discharged home.
Age: 0.49
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Urticaria
Clinical narrative: Urticaria generalized.
Age: 49.0
Sex: F
Vaccine: PPV
Symptoms: Dizziness, Injection site erythema, Injection site induration, Injection site warmth, Nausea
Clinical narrative: Patient describes pain, swelling, nausea, and dizziness beginning about two hours after injection. Induration, warmth and erythema are noted on entire upper left arm.
Age: 49.0
Sex: F
Vaccine: PPV
Symptoms: Pain, Swelling
Clinical narrative: Patient describes pain, swelling, nausea, and dizziness beginning about two hours after injection. Induration, warmth and erythema are noted on entire upper left arm.
Age: 0.18
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Crying
Clinical narrative: Uncontrollable crying began approximately 1 hour after immunizations.
Age: 0.36
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Crying
Clinical narrative: Crying. Nothing said at well child check to provider about patient crying after 2 month immunizations. The mom called last week stating she wanted this noted. Also they have transferred to out of this practice.
Age: 62.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Localized redness and swelling upper left arm, low grade fever. Questionable early cellulitis. Will prescribed with Zithromax Tri-pack.
Age: 1.02
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Cellulitis, Drug ineffective, Rash, Viral infection
Clinical narrative: Rash of face; most likely chicken pox with mild cellulitis.
Age: 1.08
Sex: F
Vaccine: HBHEPB, MMR
Symptoms: Drug ineffective, Rash
Clinical narrative: Broke out with rubella rash 10 days after administration of MMR vaccine.
Age: 1.25
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Drug ineffective, Infection, Pyrexia, Skin ulcer
Clinical narrative: Fever of 103 on 9/6/04. Approximately 6-7 pox lesions 13 days after varicella vaccine.
Age: 46.0
Sex: F
Vaccine: HEPA
Symptoms: Dyspnoea, Hypoaesthesia, Musculoskeletal stiffness, Nausea, Tremor
Clinical narrative: Severe shaking, nausea, facial numbness, SOB. Went to ER and given Benadryl. Neck stiffness.
Age: 12.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Given Td 9/25/04. Developed redness and warmth at right deltoid area (injection site) noted 9/26/04. Seen 9/27/04. Right arm (site of injection) swollen, red, and warm to touch. Advised to take Tylenol and cold compresses.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Rash erythematous, Rash papular
Clinical narrative: At site of MMR vaccine, got scattered papular erythematous rash approximately 20 in total approximately 5cm in diameter around spot band aid. Happened about 5 minutes after vaccine administration. When evaluated about 10 minutes after vaccine given, noted to have five on right cheek. Resolved after 10-15 minutes. Resolved later in day.
Age: 0.51
Sex: F
Vaccine: DTAP, IPV
Symptoms: Convulsion
Clinical narrative: Doctor spoke with dad on phone. Several hours after shots, babysitter noted child's face was with unusual gesture (grimace). Dad thought explanation seemed like a convulsion. No LOC, no fever. Taken to ER.
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Dysgeusia
Clinical narrative: Employee states after receiving Hep B vaccine, each time would experience a metallic taste in mouth. Shortly after that would resolve 2-3 hours and joint pain that would resolve 2-3 days after starting.
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site warmth, Rash macular
Clinical narrative: 2 lot numbers of Daptacel vaccine (C1700AA and C1996AA). Redness, warm to touch around injection site. Redness, blotchy (large) lasting 4-5 days.
Age: 12.0
Sex: F
Vaccine: TD
Symptoms: Pruritus
Clinical narrative: In the same evening after she received Td, she developed generalized skin itching. She was taken to the ER. She was given Benadryl PO and observed for 45 min. She took another Benadryl dose the next day. She was ok after that. There were no rash.
Age: 13.0
Sex: M
Vaccine: HEP
Symptoms: Dermatitis bullous, Dyspnoea
Clinical narrative: 3 days after immunization client has increased difficulty with breathing and has chickenpox-like areas to skin without itching.
Age: 47.0
Sex: M
Vaccine: HEP
Symptoms: Facial palsy
Clinical narrative: Developed Bell's palsy, saw neurologist about 10 days after onset of symptoms treated with Prednisone and Valtrex. Currently recovering
Age: 24.0
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Hypokinesia, Injection site pain, Tenderness
Clinical narrative: Pt received a Td on Fri 9/24/04 at 1PM. Had no pain at first, but experienced pain in left deltoid area since. Does not feel she had a fever. Area feels warm to touch and is tender. Hurts when arm is raised. Pain continues on 9/27/04.
Sex: U
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Swelling and erythema at injection site
Age: 32.0
Sex: M
Vaccine: UNK
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Injection with typical sx then progressive swelling, pain, erythema past left elbow. Large local reaction, no systemic symptoms.
Age: 46.0
Sex: M
Vaccine: UNK
Symptoms: Asthenia, Chills, Feeling hot, Headache, Injection site erythema
Clinical narrative: Inflammation; erythema; pain; itching; warmth of area. General malaise; headache; nausea; weakness which started 10 days after vaccination. Pt seen at ER and treated with Antibiotics. (also fever and chills).
Age: 46.0
Sex: M
Vaccine: UNK
Symptoms: Injection site inflammation, Malaise, Nausea, Pain, Pruritus
Clinical narrative: Inflammation; erythema; pain; itching; warmth of area. General malaise; headache; nausea; weakness which started 10 days after vaccination. Pt seen at ER and treated with Antibiotics. (also fever and chills).
Age: 46.0
Sex: M
Vaccine: UNK
Symptoms: Pyrexia
Clinical narrative: Inflammation; erythema; pain; itching; warmth of area. General malaise; headache; nausea; weakness which started 10 days after vaccination. Pt seen at ER and treated with Antibiotics. (also fever and chills).
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Injection site erythema, Injection site mass, Skin discolouration
Clinical narrative: Right deltoid area of arm developed redness, induration and color (12x12cm) on 9/10/04.
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Injection site erythema, Injection site mass, Pruritus, Skin discolouration, Tenderness
Clinical narrative: The day after vaccine was given pt developed redness, color, induration, tenderness and itching.
Age: 1.28
Sex: M
Vaccine: DTAP, MMR, PNC
Symptoms: Erythema multiforme
Clinical narrative: 9 days after receiving Dtap, Prevnar and MMR, developed erythema multiforme minor
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Pruritus, Pyrexia, Rash, Skin ulcer, Urticaria
Clinical narrative: Immunization administered 9/14/04. 9/15/04 seen at clinic with complaints of itching, hives like skin lesion over multiple body area. Temp 99 degrees. Treatment: Atarax syrup, oatmeal baths, Topicort Cream
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Decreased appetite, Erythema, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 9/27 at 9:45am received DTaP, IPV vaccines, small amount redness immediately , fussiness, and decreased appetite all day. 9/28: woke with redness , warmth, swelling around injection site. Continued fussiness and decreased appetite. 9/29: increasing local reaction. 8cm in diameter. Started oral antihistamine q 6-8 hours.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Irritability
Clinical narrative: 9/27 at 9:45am received DTaP, IPV vaccines, small amount redness immediately , fussiness, and decreased appetite all day. 9/28: woke with redness , warmth, swelling around injection site. Continued fussiness and decreased appetite. 9/29: increasing local reaction. 8cm in diameter. Started oral antihistamine q 6-8 hours.
Age: 22.0
Sex: M
Vaccine: MMR
Symptoms: Erythema, Oedema
Clinical narrative: Adverse event onset after administration of MMR vaccine sq edema and redness. Pt was evaluated by doctor.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Unevaluable event
Clinical narrative: local reaction.