chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 24.0
Sex: M
Vaccine: ANTH, TYP, YF, ANTH, TYP, YF
Symptoms: Chest discomfort, Chills, Dizziness, Ear pain, Headache
Clinical narrative: It was reported that a 24 year old male pt received typhoid, yellow fever and a third dose of anthrax vaccine administered on 1/25/03. The next day, the pt experienced a fever of 103.1F, chills, aching, nausea, headache, ear pain and lightheadedness. He was hospitalized on 1/26/03. His chest x-ray showed no significant abnormalities. His throat culture showed normal respiratory flora and no beta hemolytic strep group A was isolated. His WBC was low at 4.2 on 1/27/03 an there were some unspecified abnormalities in the differential blood counts. The pt was discharged from the hospital on 1/28/03 with a diagnosis of viral syndrome. The pt fully recovered from this event. The pt stated that he had a similar reaction to a vaccine in 2001. He had been vaccinated on 1/2/01 with hep A and subsequently was hospitalized on 1/22/01 with a sore throat, nausea, vomiting and fever. He was diagnosed with pharyngitis and was treated with antibiotics. He was discharged on 1/24/01. From additional information recevied on 12/8/03 from the Yellow Fever Case Classification Workgroup Meeting, it was reported that this is a 24 year old member of the military who received typhoid, first dose of yellow fever, and third dose of anthrax vaccine on 1/25/03. On 1/26/03, he had fever of 103.1, chills, tremors, nausea, wheezing and tightness in chest and ear pain. Was hospitalized. CXR was normal. Blood culture had no growth. Had a diagnosis of viral syndrome. He was treated with IV hydration and discharged on 1/28/03. No specimens were sent to CDC for testing. Also had a history of hospitalization on 10/22/01 for red throat, tonsillitis, fever of 102, nausea and vomiting. Treated with antibiotics at that time and recovered. No other information was provided. From additional information received on 12/21/03 for the Centers for Disease Control and Prevention's Yellow Fever Working Group Meeting, it was reported that the final decision was that the events were not related to the yellow fever vaccine. No other information was provided. From additional information received on 4/27/04 through internal e-mail, it was reported by a professional from the CDC that the adverse event occurred in the USA. Batch number UB345AA was provided. A search on the batch number revealed that UB345AA corresponds to the diluent of YF-VAX. No other information was provided at that time. Additional information is not anticipated, this case is considered closed.
Age: 24.0
Sex: M
Vaccine: ANTH, TYP, YF, ANTH, TYP, YF
Symptoms: Nausea, Pain, Pyrexia, Tremor, Wheezing
Clinical narrative: It was reported that a 24 year old male pt received typhoid, yellow fever and a third dose of anthrax vaccine administered on 1/25/03. The next day, the pt experienced a fever of 103.1F, chills, aching, nausea, headache, ear pain and lightheadedness. He was hospitalized on 1/26/03. His chest x-ray showed no significant abnormalities. His throat culture showed normal respiratory flora and no beta hemolytic strep group A was isolated. His WBC was low at 4.2 on 1/27/03 an there were some unspecified abnormalities in the differential blood counts. The pt was discharged from the hospital on 1/28/03 with a diagnosis of viral syndrome. The pt fully recovered from this event. The pt stated that he had a similar reaction to a vaccine in 2001. He had been vaccinated on 1/2/01 with hep A and subsequently was hospitalized on 1/22/01 with a sore throat, nausea, vomiting and fever. He was diagnosed with pharyngitis and was treated with antibiotics. He was discharged on 1/24/01. From additional information recevied on 12/8/03 from the Yellow Fever Case Classification Workgroup Meeting, it was reported that this is a 24 year old member of the military who received typhoid, first dose of yellow fever, and third dose of anthrax vaccine on 1/25/03. On 1/26/03, he had fever of 103.1, chills, tremors, nausea, wheezing and tightness in chest and ear pain. Was hospitalized. CXR was normal. Blood culture had no growth. Had a diagnosis of viral syndrome. He was treated with IV hydration and discharged on 1/28/03. No specimens were sent to CDC for testing. Also had a history of hospitalization on 10/22/01 for red throat, tonsillitis, fever of 102, nausea and vomiting. Treated with antibiotics at that time and recovered. No other information was provided. From additional information received on 12/21/03 for the Centers for Disease Control and Prevention's Yellow Fever Working Group Meeting, it was reported that the final decision was that the events were not related to the yellow fever vaccine. No other information was provided. From additional information received on 4/27/04 through internal e-mail, it was reported by a professional from the CDC that the adverse event occurred in the USA. Batch number UB345AA was provided. A search on the batch number revealed that UB345AA corresponds to the diluent of YF-VAX. No other information was provided at that time. Additional information is not anticipated, this case is considered closed.
Age: 24.0
Sex: M
Vaccine: ANTH, TYP, YF, ANTH, TYP, YF
Symptoms: White blood cell count decreased
Clinical narrative: It was reported that a 24 year old male pt received typhoid, yellow fever and a third dose of anthrax vaccine administered on 1/25/03. The next day, the pt experienced a fever of 103.1F, chills, aching, nausea, headache, ear pain and lightheadedness. He was hospitalized on 1/26/03. His chest x-ray showed no significant abnormalities. His throat culture showed normal respiratory flora and no beta hemolytic strep group A was isolated. His WBC was low at 4.2 on 1/27/03 an there were some unspecified abnormalities in the differential blood counts. The pt was discharged from the hospital on 1/28/03 with a diagnosis of viral syndrome. The pt fully recovered from this event. The pt stated that he had a similar reaction to a vaccine in 2001. He had been vaccinated on 1/2/01 with hep A and subsequently was hospitalized on 1/22/01 with a sore throat, nausea, vomiting and fever. He was diagnosed with pharyngitis and was treated with antibiotics. He was discharged on 1/24/01. From additional information recevied on 12/8/03 from the Yellow Fever Case Classification Workgroup Meeting, it was reported that this is a 24 year old member of the military who received typhoid, first dose of yellow fever, and third dose of anthrax vaccine on 1/25/03. On 1/26/03, he had fever of 103.1, chills, tremors, nausea, wheezing and tightness in chest and ear pain. Was hospitalized. CXR was normal. Blood culture had no growth. Had a diagnosis of viral syndrome. He was treated with IV hydration and discharged on 1/28/03. No specimens were sent to CDC for testing. Also had a history of hospitalization on 10/22/01 for red throat, tonsillitis, fever of 102, nausea and vomiting. Treated with antibiotics at that time and recovered. No other information was provided. From additional information received on 12/21/03 for the Centers for Disease Control and Prevention's Yellow Fever Working Group Meeting, it was reported that the final decision was that the events were not related to the yellow fever vaccine. No other information was provided. From additional information received on 4/27/04 through internal e-mail, it was reported by a professional from the CDC that the adverse event occurred in the USA. Batch number UB345AA was provided. A search on the batch number revealed that UB345AA corresponds to the diluent of YF-VAX. No other information was provided at that time. Additional information is not anticipated, this case is considered closed.
Age: 53.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Arthralgia, Back pain
Clinical narrative: Noted to have HT on routine PE on 4/16. EKG showed LBBB. Stress Test with Nucs (probably thallium) on 5/28. Also, with echo then. Rest has been sent to doctor. Chest pain on 5/30 yielded cardiac cath.
Age: 53.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Chest pain
Clinical narrative: Noted to have HT on routine PE on 4/16. EKG showed LBBB. Stress Test with Nucs (probably thallium) on 5/28. Also, with echo then. Rest has been sent to doctor. Chest pain on 5/30 yielded cardiac cath.
Age: 12.0
Sex: M
Vaccine: HEP, HEP
Symptoms: Abdominal pain, Diarrhoea, Liver tenderness, Nausea, Pyrexia
Clinical narrative: Fever - lethargic, right abdominal pain, diarrhea, WBC 13,300
Age: 12.0
Sex: M
Vaccine: HEP, HEP
Symptoms: Abdominal pain, Diarrhoea, Lethargy, Pyrexia
Clinical narrative: Fever - lethargic, right abdominal pain, diarrhea, WBC 13,300
Sex: M
Vaccine: HIBV
Symptoms: Autism, Drug toxicity, Nervous system disorder
Clinical narrative: A legal complaint was received from an attorney concerning a male child who reportedly received HibTiter, Acel-Imune, Tripedia, Engerix B and Recombivax HB vaccines during the time frame from 1998 through 1999. The legal complaint states, "as a result of the mercury in the thimerosal-containing vaccinations," the child "suffers, and in the future will continue to suffer, from the toxic neurological effects of mercury poisoning, including but not limited to autism." Mercury poisoning and autism were considered medically important (OMIC).
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Sudden infant death syndrome, Unevaluable event
Clinical narrative: Report from coroner is that child deceased on 5/29/03.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Febrile convulsion, Leukocytosis, White blood cell count increased
Clinical narrative: Febrile seizure 6/13/03. Admitted to hospital. Increase WBC 33,000. Rx: Rocephin. THe hospital record received on 2/26/04 states leukocytosis.
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Dizziness, Rash maculo-papular
Clinical narrative: Pt has developed maculopapular rash on chest/back and dizziness.
Age: 18.0
Sex: F
Vaccine: ANTH
Symptoms: Urticaria
Clinical narrative: Evening after vaccine administration, began to have urticarial-type rash - intermittent - spontaneously resolves - no other precipitating factors.
Age: 52.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Oedema, Rash
Clinical narrative: Employee presented to Employee Health nurse with complaint of a fine non-raised rash to upper body. Complained of edema to both knees. Blister to inner thigh.
Age: 39.0
Sex: F
Vaccine: MMR
Symptoms: Fatigue, Lymphadenopathy, Pyrexia
Clinical narrative: Employee complained of fatigue, elevated temperature, and swollen glands with large raised areas near back of ears. Pt seen by MD. Tylenol prescribed and blood drawn for CBC.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Tenderness
Clinical narrative: 4 x 6" induration right deltoid. Tenderness and redness.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Induration and redness right deltoid.
Age: 4.0
Sex: F
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Swollen, indurated, warm, erythematous left upper shoulder
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site induration, Tenderness
Clinical narrative: 4 x 6" induration and tenderness left deltoid.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Pain
Clinical narrative: 4 x 6" induration and redness/soreness left deltoid.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Tenderness
Clinical narrative: 4 x 6" red, indurated and tender area left deltoid.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Tenderness
Clinical narrative: 3 x 3 induration left deltoid. Tender, reddened for 5 days.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site induration, Injection site swelling, Pruritus, Tenderness
Clinical narrative: Reports itching and redness with tenderness that PM of vaccinations. In AM of next day child complained of itching at site and mother noted small, raised bumps (blister-like). Today bumps noted about 15mm long and 5mm wide across injection site. Bumps appear and feel like poison ivy bumps but mother denies any exposure to such. Red, indurated area around injection site about 8cm in size.
Age: 1.08
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Blister
Clinical narrative: Had large, blistered area from right buttocks and up right side. MD contacted me today and states area seems to be varicella zoster. Viral and bacterial culture were obtained.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site inflammation, Injection site oedema, Pain
Clinical narrative: Pt developed swelling, inflammation and pain at left deltoid. DTaP injection (3" x 3.5") day after injection. Continued redness and swelling today. PHN instructed pt to apply warm compress to edematous  area and give pt Tylenol pcn q 4 hours. Take to MD if symptoms increase.
Age: 1.9
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Received DTaP 12/31/02 noticed reaction evening of 12/31 - called ER. On 1/1/03 was told it was a normal reaction. Child's arm red, hot from shoulder to elbow. Called MD 1/2/03, advised to have area checked by PCP. PCP office called and vaccine adverse event report filled out.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pruritus
Clinical narrative: DTaP in right deltoid 1/13/03. On 1/15/03 grandmother called me re area red, swollen, itching. Brought child in. Area red, hot, puffy. No loss of ROM. No acute distress. Referred to PCP, PCP Dx'd as local reaction. Grandmother stated she is allergic to tetanus.
Age: 1.3
Sex: M
Vaccine: DTAP, HBHEPB
Symptoms: Erythema, Oedema
Clinical narrative: Right leg red and swollen down leg, warm to touch.  Seen Dr.  Take Tylenol and apply ice packs.  Mother called office on morning of 06/11/2003.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema, Pain
Clinical narrative: Patient's right leg became red and sore to the touch.  Area about size of silver dollar on 06/17/2003.  Area began to swell more and (^) redness.  2x size of baseball.  Patient advised to apply ice and Motrin for pain.
Age: 59.0
Sex: F
Vaccine: LYME
Symptoms: Arthralgia, Fatigue, Hypoaesthesia, Paraesthesia, Skin burning sensation
Clinical narrative: Joint pain-Daily; Burning sensations-Frequently; Tingling and numbness-Frequently; Blurry vision-Daily; Fatigue-Daily;
Age: 59.0
Sex: F
Vaccine: LYME
Symptoms: Vision blurred
Clinical narrative: Joint pain-Daily; Burning sensations-Frequently; Tingling and numbness-Frequently; Blurry vision-Daily; Fatigue-Daily;
Age: 66.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Fatigue, Hypoaesthesia, Paraesthesia, Skin burning sensation
Clinical narrative: Joint pain-Daily; Burning sensations-Frequently; Tingling and numbness-Frequently; Blurry vision-Daily; Fatigue-Daily;
Age: 66.0
Sex: M
Vaccine: LYME
Symptoms: Vision blurred
Clinical narrative: Joint pain-Daily; Burning sensations-Frequently; Tingling and numbness-Frequently; Blurry vision-Daily; Fatigue-Daily;
Age: 0.4
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Erythema, Feeling hot, Injection site mass, Oedema
Clinical narrative: Red, swollen, knot.  Right thigh.  child warm to touch. Hasn't checked temperature.  Injection site looks like a spider bite.
Age: 1.3
Sex: F
Vaccine: DTAP, MMR, PPV
Symptoms: Pyrexia, Rash
Clinical narrative: Fever, rash began 06/13/2003 (10 days after immunization)
Age: 1.0
Sex: F
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Rash macular, Rash papular
Clinical narrative: Broke out in maculopapular rash over entire cutaneous area.  No prior history of adverse reaction to vaccine.  No egg allergy.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Difficulty in walking, Erythema, Feeling hot, Oedema
Clinical narrative: 2nd day after vaccine leg became red, swollen, warm.  Leg was painful and child had difficult walking.  child had fever >102.  Diagnosis: Cellulitis.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Pain
Clinical narrative: 2nd day after vaccine leg became red, swollen, warm.  Leg was painful and child had difficult walking.  child had fever >102.  Diagnosis: Cellulitis.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Rash maculo-papular
Clinical narrative: Starting 06/02/2003, developed red spots.  Then next AM 06/03/2003, several more spots.
Sex: M
Vaccine: VARCEL
Symptoms: Headache, Pruritus, Pyrexia, Skin ulcer
Clinical narrative: Fever, headache, lesions, very itchy.
Age: 2.6
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Oedema
Clinical narrative: Mother calls stating child's arm is red and swollen from shoulder to elbow and states MD informed her immunization has administrated inaccurately.  Resulting in infection to area for which he prescribed antibiotics.
Age: 6.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Oedema
Clinical narrative: Patient reported swelling and redness after hours after vaccine.  Seen at clinic 24 hours after vaccine with significant swelling in deltoid, redness.  No fever, chills.  Patient did not appear ill.
Age: 1.8
Sex: M
Vaccine: BCG
Symptoms: Mucosal inflammation, Rash papular
Clinical narrative: (+) Red papules, some excouated, some with dry white heads.  Mostly on trunk and on extremities.  Some on head and blue and mucosa.
Age: 1.0
Sex: F
Vaccine: HBHEPB, IPV, VARCEL
Symptoms: Eye swelling, Ocular hyperaemia, Rash, Urticaria
Clinical narrative: Phone call from mom, reported rash on torso and neck.  Instructed see physician for assessment.  Mom reports child developed "whelts" over most of body and eyes very red and swollen.  Mom took child to ER and areas treated with Benadryl and steriod.  Will 1/4 see MD.
Age: 4.6
Sex: M
Vaccine: DTAP, IPV
Symptoms: Blister, Erythema, Feeling hot, Injection site abscess, Oedema
Clinical narrative: Redness, swelling x 2 of arm size.  Warm to touch.  Blistered with drainage.  Was given antibiotic injection and received an oral antibiotic to start on 06/12/2003.
Age: 1.0
Sex: M
Vaccine: DT
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Cellulitis, Erythema, Injection site reaction, Injection site warmth, Oedema
Clinical narrative: Local cellulitis (redness, swelling, heat) left thigh.
Age: 1.7
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Noted approximate 5cm reddened area along with edema, warm to touch on left (^) thigh were DTaP was administered.
Age: 3.0
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Erythema, Injection site induration, Oedema
Clinical narrative: 24 hours after immunizations mother noted child's arm (left) was swollen from elbow to shoulder was warm and reddened and hard.  She was instructed to use ice therapy for swelling.  NO fever noted.  Child continue to play without complaints.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: Maculopapular rash chin and arm and several entire body at one point.
Age: 1.25
Sex: U
Vaccine: HIBV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Per mom, pt had "baseball" size raised, red area on Lt leg. "This went away in three days."
Age: 1.75
Sex: F
Vaccine: PNC
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site warmth
Clinical narrative: Hard, red, swollen and warm to touch at site of injection.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Child vaccinated for varicella 4/7/98 confirmed case of varicella on 6/17/03.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema peripheral
Clinical narrative: Had immunization yesterday in La arm and woke today with red, warm, swollen area approximately 4x4inches which increased to 16cm x 13cm by afternoon when I examined her.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Dizziness, Ecchymosis, Injury, Petechiae, Pharyngitis
Clinical narrative: Petechial rash, thrombocytopenia platelet 13,000 at madir. Hospital discharge summary state unsteady on her feet (dizziness), minor head injury with ecchymosis (injury accid, echymosis) and URI (pharngitis.).
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Thrombocytopenia
Clinical narrative: Petechial rash, thrombocytopenia platelet 13,000 at madir. Hospital discharge summary state unsteady on her feet (dizziness), minor head injury with ecchymosis (injury accid, echymosis) and URI (pharngitis.).
Age: 42.0
Sex: F
Vaccine: LYME
Symptoms: Arthralgia, Fatigue
Clinical narrative: Persistent fatigue, arthralgia.
Age: 18.0
Sex: F
Vaccine: LYME
Symptoms: Arthralgia, Fatigue
Clinical narrative: Fatigue, arthralgia.
Age: 1.0
Sex: F
Vaccine: HBHEPB, PNC, VARCEL
Symptoms: Agitation, Erythema, Irritability, Urticaria
Clinical narrative: Approximately 1633 after varicella given at 1630 red area over lateral R thigh with 3cm welt in middle developed. Treated ice. Pt very fussy. 1655 alert crying off and on. Decreased redness and decreased welt. Pt dc'd home in good condition. Dr spoke with pt's mom in evening and no sign of red area or welt.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Cough, Wheezing
Clinical narrative: Coughing and wheezing. Breathing treatment at home and in doctor's office.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site reaction
Clinical narrative: + Left upper anterior thigh-erythema local reaction inj site.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Arthralgia, Oedema, Tenderness
Clinical narrative: Left thigh swollen, with tenderness. No erythemia. Left knee painful- increased pain with weight bearing. Left side of face swollen todya. No fever 98.6.
Age: 2.0
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Abasia, Erythema, Feeling hot, Oedema peripheral
Clinical narrative: Shot given in R upper thigh. Red and hot to the touch-very swollen leg/foot and pt refuses to walk on. Was told to apply cool packs and use Tylenol and call with worsening. Called back and was given Benadryl and started on Keflex.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Irritability, Screaming
Clinical narrative: Child became extremely irritable and was inconsolable for 8-10 hrs. Pt was given Tylenol as needed.
Age: 8.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Broke out in chicken pox.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site reaction
Clinical narrative: L leg redness, swelling to approximately 23cm diameter dx cellulitis.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, UNK
Symptoms: Erythema, Inflammation, Oedema peripheral
Clinical narrative: 6/13/03 approx. 6 hrs after DTaP, Rt deltoid became inflamed (red area hot to touch) and swollen-mom's statement. 6/17/03 pt's RD swollen and sl. pink when pt came to the clinic. No Tx given.
Age: 25.0
Sex: M
Vaccine: JEV
Symptoms: Influenza like illness, Rash
Clinical narrative: Pt experienced flu symptoms and developed rash all over his body.
Age: 0.5
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Drug administration error
Clinical narrative: No adverse symptoms occurred no treatment required. On 6/23/03 at 12pm it was discovered during follow-up exam that child had inappropriate dose.
Age: 26.0
Sex: F
Vaccine: HEP
Symptoms: Lethargy, Oedema peripheral, Somnolence
Clinical narrative: Initial reaction within 1 hr lethargy, drowsiness, which passed. Reports arm swelling approximately 10-12 hrs post receiving. Took Benadryl. Next day still swollen. Took more Benadryl. Third day more swollen, treated at hospital she works at.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia
Clinical narrative: Arthralgias beginning day after anthrax #2 Persistant symptom/but variable joint/primary-elbow/, greater trochanter and SI
Sex: U
Vaccine: SMALL
Symptoms: Conjunctivitis, Eyelid oedema, Skin ulcer
Clinical narrative: Day 4 post vaccination (pt also gave vaccinations) she developed 3 lesions on the right upper eyelid with crusting and trace conjunctive infection. Lesions resolved in 3 days with Bacitracin. Few lesions were vaccinia related. Eyelid swelling on right began day after vaccination.
Age: 35.0
Sex: F
Vaccine: SMALL
Symptoms: Fatigue, Lymphadenopathy, Malaise, Pyrexia
Clinical narrative: Fever, malaise, fatigue, left axillary adenopathy. Rx: acetomengsten, ibuprofen, 2 days off work
Age: 20.0
Sex: F
Vaccine: SMALL
Symptoms: Fatigue, Folliculitis, Malaise, Pharyngeal oedema, Rash macular
Clinical narrative: Sensation of throat swelling, diffuse macular rash sparing palmon/planter surfaces, small follicular pustules on face, malaise, fatigue approximately 27-30 hours post vaccination. Rx'd with Predinisone 60mg po x 1, Benadryl acetomeophen. Hospitalized for observation and social (self-care support) considerations.
Age: 20.0
Sex: F
Vaccine: SMALL
Symptoms: Rash pustular
Clinical narrative: Sensation of throat swelling, diffuse macular rash sparing palmon/planter surfaces, small follicular pustules on face, malaise, fatigue approximately 27-30 hours post vaccination. Rx'd with Predinisone 60mg po x 1, Benadryl acetomeophen. Hospitalized for observation and social (self-care support) considerations.
Age: 60.0
Sex: F
Vaccine: SMALL
Symptoms: Blister, Herpes zoster, Pain, Pyrexia, Viral infection
Clinical narrative: 5/19/03 Dx shingles. Onset 1 blister, round, red rim with dark center after blister broke. Other lesions, blisters, red then scabs looking like shingles. Only 1 "pox like sore" located on inner aspect left breast at sternum, size 3/8", no drainage. Low grade fever only. Sever pain from spine to sternum left side.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Chest discomfort, Chest pain, Dyspnoea, Fatigue
Clinical narrative: 36 y/o Male developed chest tightness and SOB approx. 45 min. after recieving Anthrax vaccine #1. Symptoms progressed throughout the day, described as "flu-like symptom", H/A,Myalgia, afebrile. Approx. 24 hrs later developed diffuse rash torso,arms&legs.  Evaluated and admitted to hospital.  Elevated immune complexes and absent reflexes noted on clinical exam.  Evaluated by neurologist, DX. with mild Guillian-Barre. The 60 day follow up received on 9/17/03 states pt still c/o persistent symptoms of muscle weakness, joint pain, fatigue and migraine headaches. He was admitted on 9/3/03 for severe migraine headaches and chest pain x 1 day. He is currently followed by rheumatology and neurology.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Guillain-Barre syndrome, Headache, Influenza like illness, Muscular weakness, Myalgia
Clinical narrative: 36 y/o Male developed chest tightness and SOB approx. 45 min. after recieving Anthrax vaccine #1. Symptoms progressed throughout the day, described as "flu-like symptom", H/A,Myalgia, afebrile. Approx. 24 hrs later developed diffuse rash torso,arms&legs.  Evaluated and admitted to hospital.  Elevated immune complexes and absent reflexes noted on clinical exam.  Evaluated by neurologist, DX. with mild Guillian-Barre. The 60 day follow up received on 9/17/03 states pt still c/o persistent symptoms of muscle weakness, joint pain, fatigue and migraine headaches. He was admitted on 9/3/03 for severe migraine headaches and chest pain x 1 day. He is currently followed by rheumatology and neurology.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Rash
Clinical narrative: 36 y/o Male developed chest tightness and SOB approx. 45 min. after recieving Anthrax vaccine #1. Symptoms progressed throughout the day, described as "flu-like symptom", H/A,Myalgia, afebrile. Approx. 24 hrs later developed diffuse rash torso,arms&legs.  Evaluated and admitted to hospital.  Elevated immune complexes and absent reflexes noted on clinical exam.  Evaluated by neurologist, DX. with mild Guillian-Barre. The 60 day follow up received on 9/17/03 states pt still c/o persistent symptoms of muscle weakness, joint pain, fatigue and migraine headaches. He was admitted on 9/3/03 for severe migraine headaches and chest pain x 1 day. He is currently followed by rheumatology and neurology.
Age: 1.4
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site induration
Clinical narrative: At 8 AM, Parents noted large red area about 50 cent size that is hard to the touch and warm.  On the upper Right thigh  and is 1/2 the size of a baseball. No elevated temp.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Hypokinesia, Muscle twitching
Clinical narrative: 2mo male with episode of lips and tongue twitching. "White" while breast feeding (after finishing one side) with eyes looking sleepy. Eyes not rolling. No shaking or limpness, followed by 30-45 min of not moving his body; able to follow mother with his eyes.
Age: 33.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Erythema, Headache, Hypoaesthesia, Injection site oedema, Paraesthesia
Clinical narrative: 24 y/o male recieved Antrhax vaccine #3.  On day 2 developed pruritis, erythema and swelling extending from site of injection to elbow.  Mild H/A x 1 day, experienced mild numbness tingling in the tricep muscle.  Afebrile, denies myalgia, arthralgia.
Age: 33.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Pruritus
Clinical narrative: 24 y/o male recieved Antrhax vaccine #3.  On day 2 developed pruritis, erythema and swelling extending from site of injection to elbow.  Mild H/A x 1 day, experienced mild numbness tingling in the tricep muscle.  Afebrile, denies myalgia, arthralgia.
Age: 33.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Injection site swelling
Clinical narrative: 24 y/o male recieved Antrhax vaccine #3.  On day 2 developed pruritis, erythema and swelling extending from site of injection to elbow.  Mild H/A x 1 day, experienced mild numbness tingling in the tricep muscle.  Afebrile, denies myalgia, arthralgia.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Chest pain, Cough, Haemoptysis, Myocarditis, Pneumonia
Clinical narrative: Patient had chest pain; chest xray showed infiltrate. He was given Zithromax for URI.Two days later he presented to ER with complaint of chest pain and hemoptysis. He had an elevated Troponin level and EKG changes (ST elevation). He was transferred to another treatment facility. His echocardiogram showed normal ejection fraction and no wall abnormalities. A follow up report received 6/27/2003 adds: Pneumnoia, myocarditis, hemoptysis, cough.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Erythema, Oedema, Screaming, Staring
Clinical narrative: Day of: infant had silver dollar sized swelling & redness at site of Hib&IPV injections. Hard scream-crying began 30 mins after vax and continued screaming for 6 hrs with only minimal 5 minute exhaustion breaks. Patient taken to after-hours Dr. for exam. 24 Hrs Later: swelling and crying stopped. Longer Term Effect: infant ceased making eye contact and ceased cooing at diaper changes and throughout day. Had done this consistently prior to vax. Verbal coos did not return for 3-4 weeks; eye contact resumed after about 1-1/2 weeks.  Had beautiful expressive eye contact before vax.  Treatment: tylenol and ice.
Age: 23.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Pruritus
Clinical narrative: Redness, itching, tenderness at injection site.
Age: 21.0
Sex: F
Vaccine: MER
Symptoms: Abortion spontaneous, Dyspepsia, Tongue disorder, Vomiting
Clinical narrative: Day of: No noticeable adverse events recalled. Possible long term adverse effects: development of acquired condition of antiphospholipid antibodies due to fetal phospholipids possibly contained in the RA27/3 rubella vaccine that was administered.  The antiphospholipid antibodies have caused symptoms in patient during pregnancy only.  Symptoms have included: recurring miscarriages, clots in placenta during pregnancy which resulted in near fatal HELLP syndrome condition in pregnancy.  HELLP went unnoticed because patient did not have high BP and did not have protein in urine even on day of emergency c-section.  Patient possibly developed auto-antibodies to other fetal proteins contained in RA27/3 vaccine which produced additional symptoms during pregnancy as follows: 8-10 vomit sessions per day in 1st trimester of HELLP pregnancy; 5-6 vomit sessions per day in 2nd trimester; 1-2 vomit sessions per day up to 34 weeks; throughout entire pregnancy, every day there was extreme flu-like symptoms with inability to eat, drink, keep any food down, work or perform normal functions; foaming at mouth during all waking hours began at 12 weeks and continued to 22 weeks, the consistency of the mouth foam was that of egg whites whipped to medium peaks, white spots covered inside of mouth and tongue, extreme indigestion despite minimal food intake.  Patient is extremely healthy, physically active and a productive working citizen in a non-pregnant state.  At least 1 miscarriage post HELLP pregnancy and 2-3 prior. No, patient has long-term and permanent immune-mediated reproductive problems, as evidenced by amnastic immune effect whereby pregnancy 1 produced near death HELLP Syndrome and emergency C-section at 34 wks, pregnancy 2 miscarried at 8.5 weeks and pregnancy 3 miscarried at 6 weeks. One early miscarriage occurred before HELLP pregnancy. Patient believes her CD4 memory T-cells are reacting to a pregnancy specific/ fetal-specific/ placental or amniotic specific peptide as a result of this vaccine which used multiple products of the female reproductive tract in attenuating, amplificatio of the live viruses contained. The CD4 memory T-cells are getting faster and more efficient at eliminating the pregnancies which are interpreted as antigenic.
Age: 19.0
Sex: M
Vaccine: ANTH, ANTH, FLUX, HEP, HEPA, IPV, MMR, TYP, YF, ANTH, HEP, HEPA, MMR, VARCEL, YF
Symptoms: Asthenia, Dizziness, Encephalitis, Headache, Hypoaesthesia
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: 19.0
Sex: M
Vaccine: ANTH, ANTH, FLUX, HEP, HEPA, IPV, MMR, TYP, YF, ANTH, HEP, HEPA, MMR, VARCEL, YF
Symptoms: Laboratory test abnormal, Neck pain, Pyrexia, Syncope, 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: 19.0
Sex: M
Vaccine: ANTH, ANTH, FLUX, HEP, HEPA, IPV, MMR, TYP, YF, ANTH, HEP, HEPA, MMR, VARCEL, YF
Symptoms: Difficulty in walking, Encephalitis, Headache, Hypoaesthesia, Infection parasitic
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: 19.0
Sex: M
Vaccine: ANTH, ANTH, FLUX, HEP, HEPA, IPV, MMR, TYP, YF, ANTH, HEP, HEPA, MMR, VARCEL, YF
Symptoms: Laboratory test abnormal, Micturition urgency, Pharyngolaryngeal pain, Pyrexia, Sensory disturbance
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: 19.0
Sex: M
Vaccine: ANTH, ANTH, FLUX, HEP, HEPA, IPV, MMR, TYP, YF, ANTH, HEP, HEPA, MMR, VARCEL, YF
Symptoms: 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: 19.0
Sex: M
Vaccine: ANTH, ANTH, FLUX, HEP, HEPA, IPV, MMR, TYP, YF, ANTH, HEP, HEPA, MMR, VARCEL, YF
Symptoms: Asthenia, Depressed level of consciousness, Difficulty in walking, Encephalitis, Headache
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."