chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt came into office today (8/5/04) re: lt upper arm being sl. swollen, hot to touch with reddness measuring about the size of a lemon.  The onset of the site were after immunizations given o (8/3/04).  Doctor prescribed Atarax 10mg TIDx1week with warm compresses TID and f/up if site worsen or persist
Age: 30.0
Sex: F
Vaccine: MMR, YF
Symptoms: Abdominal pain, Asthenia, Back pain, Diarrhoea, Dyskinesia
Clinical narrative: On 07/29/04 Pt received MMR vaccine, Yellow Fever vaccine for travel. Pt reported she was on Birth Control Pills. Pt reported a h/o allergy to Paxil, Zithromax, Erythromycin. Allergy to eggs was denied. Pt had received and tolerated vaccines wihtin 1-2 weeks prior without difficulty:Td, Hep A, Rabies #1 & #2, Typhoid. Pt reports within 24 h. injection site of L deltoid swelling, itching, reddeness to quarter size described as a "welt"; within 48 h. size progressed to half dollar size, was hot to touch and red/blue in color. Pt reported headache, ears "stinging", difficulty swallowing, an "itchy" throat, mouth, lips which she recognized as a similar to a previous anaphylaxis episode to Paxil. She tx with 50 mg Bendryl, and repeated after 6 h. X 1. On 7/31/04, nausea without emesis began and continued for 4 days. Pt had menses during this time. On 08/03/04 Pt had watery diarrhea several times and cramping pain to abd and R kidney area. These symptoms were not consistent with her usual menses. Pt self tx with homeopathic meds, "Cold & Flu" & "Flu Solution Plus', and Advil for ha and for dental crown placed on 08/03/04. On 08/04/04 Pt reported extreme "jolts" to entire body which woke her during noc. Pt reports she was afebrile and without generlized rash throughout. On 08/04/04 she was unable to go to work due to progressing weakness. On 08/05/04, pt was seen at clinic and YF injection site was still slightly red and swollen. Pt stated she would seek eval if symptoms persisted. Attempts to contact pt on 8/9/04 were unsuccessful. Pt is scheduled to RTC 8/12/04 for Rabies vaccine #3. Follow up 8/12/04: 10:00 AM Client in for #3 RabAvert. Discussed any new symptoms related to reaction to Yellow Fever vaccine; reports that 2 days ago she awoke with lower abdominal pain and cramping; felt like there was a rock between rectum and uterus. Symptoms allieved with Tylenol PM. Relates that she had had menstrual spotting 3 days ago (between periods). Relates that these symptoms have not occurred with her menstrual cycles before receiving the Yellow Fever vaccine. She relates that she has 2 children, ages 6 and 9 years old. Client also relates that her future husband says she has an attitude which is a change in her usual personality. Also they are planning their wedding for this September after traveling overseas. Today client appears relaxed and friendly talking about their plans with enthusiasm. Denies any episodes of dizziness, blacking out or forgetfulness. Plan: Client to have check up with OB/GYN physician. Client also relates that her mother told her that client always experienced increased temp after childhood immunizations and had been covered with lesions when she had chicken pox disease as a child.
Age: 30.0
Sex: F
Vaccine: MMR, YF
Symptoms: Dysphagia, Ear pain, Headache, Injection site erythema, Injection site swelling
Clinical narrative: On 07/29/04 Pt received MMR vaccine, Yellow Fever vaccine for travel. Pt reported she was on Birth Control Pills. Pt reported a h/o allergy to Paxil, Zithromax, Erythromycin. Allergy to eggs was denied. Pt had received and tolerated vaccines wihtin 1-2 weeks prior without difficulty:Td, Hep A, Rabies #1 & #2, Typhoid. Pt reports within 24 h. injection site of L deltoid swelling, itching, reddeness to quarter size described as a "welt"; within 48 h. size progressed to half dollar size, was hot to touch and red/blue in color. Pt reported headache, ears "stinging", difficulty swallowing, an "itchy" throat, mouth, lips which she recognized as a similar to a previous anaphylaxis episode to Paxil. She tx with 50 mg Bendryl, and repeated after 6 h. X 1. On 7/31/04, nausea without emesis began and continued for 4 days. Pt had menses during this time. On 08/03/04 Pt had watery diarrhea several times and cramping pain to abd and R kidney area. These symptoms were not consistent with her usual menses. Pt self tx with homeopathic meds, "Cold & Flu" & "Flu Solution Plus', and Advil for ha and for dental crown placed on 08/03/04. On 08/04/04 Pt reported extreme "jolts" to entire body which woke her during noc. Pt reports she was afebrile and without generlized rash throughout. On 08/04/04 she was unable to go to work due to progressing weakness. On 08/05/04, pt was seen at clinic and YF injection site was still slightly red and swollen. Pt stated she would seek eval if symptoms persisted. Attempts to contact pt on 8/9/04 were unsuccessful. Pt is scheduled to RTC 8/12/04 for Rabies vaccine #3. Follow up 8/12/04: 10:00 AM Client in for #3 RabAvert. Discussed any new symptoms related to reaction to Yellow Fever vaccine; reports that 2 days ago she awoke with lower abdominal pain and cramping; felt like there was a rock between rectum and uterus. Symptoms allieved with Tylenol PM. Relates that she had had menstrual spotting 3 days ago (between periods). Relates that these symptoms have not occurred with her menstrual cycles before receiving the Yellow Fever vaccine. She relates that she has 2 children, ages 6 and 9 years old. Client also relates that her future husband says she has an attitude which is a change in her usual personality. Also they are planning their wedding for this September after traveling overseas. Today client appears relaxed and friendly talking about their plans with enthusiasm. Denies any episodes of dizziness, blacking out or forgetfulness. Plan: Client to have check up with OB/GYN physician. Client also relates that her mother told her that client always experienced increased temp after childhood immunizations and had been covered with lesions when she had chicken pox disease as a child.
Age: 30.0
Sex: F
Vaccine: MMR, YF
Symptoms: Injection site warmth, Nausea, Pruritus, Skin discolouration
Clinical narrative: On 07/29/04 Pt received MMR vaccine, Yellow Fever vaccine for travel. Pt reported she was on Birth Control Pills. Pt reported a h/o allergy to Paxil, Zithromax, Erythromycin. Allergy to eggs was denied. Pt had received and tolerated vaccines wihtin 1-2 weeks prior without difficulty:Td, Hep A, Rabies #1 & #2, Typhoid. Pt reports within 24 h. injection site of L deltoid swelling, itching, reddeness to quarter size described as a "welt"; within 48 h. size progressed to half dollar size, was hot to touch and red/blue in color. Pt reported headache, ears "stinging", difficulty swallowing, an "itchy" throat, mouth, lips which she recognized as a similar to a previous anaphylaxis episode to Paxil. She tx with 50 mg Bendryl, and repeated after 6 h. X 1. On 7/31/04, nausea without emesis began and continued for 4 days. Pt had menses during this time. On 08/03/04 Pt had watery diarrhea several times and cramping pain to abd and R kidney area. These symptoms were not consistent with her usual menses. Pt self tx with homeopathic meds, "Cold & Flu" & "Flu Solution Plus', and Advil for ha and for dental crown placed on 08/03/04. On 08/04/04 Pt reported extreme "jolts" to entire body which woke her during noc. Pt reports she was afebrile and without generlized rash throughout. On 08/04/04 she was unable to go to work due to progressing weakness. On 08/05/04, pt was seen at clinic and YF injection site was still slightly red and swollen. Pt stated she would seek eval if symptoms persisted. Attempts to contact pt on 8/9/04 were unsuccessful. Pt is scheduled to RTC 8/12/04 for Rabies vaccine #3. Follow up 8/12/04: 10:00 AM Client in for #3 RabAvert. Discussed any new symptoms related to reaction to Yellow Fever vaccine; reports that 2 days ago she awoke with lower abdominal pain and cramping; felt like there was a rock between rectum and uterus. Symptoms allieved with Tylenol PM. Relates that she had had menstrual spotting 3 days ago (between periods). Relates that these symptoms have not occurred with her menstrual cycles before receiving the Yellow Fever vaccine. She relates that she has 2 children, ages 6 and 9 years old. Client also relates that her future husband says she has an attitude which is a change in her usual personality. Also they are planning their wedding for this September after traveling overseas. Today client appears relaxed and friendly talking about their plans with enthusiasm. Denies any episodes of dizziness, blacking out or forgetfulness. Plan: Client to have check up with OB/GYN physician. Client also relates that her mother told her that client always experienced increased temp after childhood immunizations and had been covered with lesions when she had chicken pox disease as a child.
Age: 4.0
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Crying, Pyrexia
Clinical narrative: MOTHER REPORTS THAT AFTER IMMUNIZATIONS GIVEN ON LAST VISIT, THE INFANT EXPERIENCED "TEMP TO 103ax, AND UNCONTROLLABLE CRYING X>2 DAYS." SHE DID NOT CALL US, JUST ASSUMED IT WAS THE DTaP.
Age: 12.0
Sex: M
Vaccine: RAB
Symptoms: Bacterial infection, Delirium, Paralysis, Pyrexia
Clinical narrative: A 12 year old male boy was bitten by a stray dog on 6/9/04. Wound toilet was done and vaccination with 4 doses of Rabipur started on 6/9/04. The other three doses he received on 12th, 16th, and on 23rd of June 2004. No information on RIG application available. The patient complained about fever on 22 and on 6/25/04. Delirium started on 6/26/04, lasting for one day. Patient was admitted with paralysis of left lower limb on 6/27/04. Suspecting typhoid, patient was given Monocef and Decandran. Delirium subsided. The patient died on 7/9/04. We are awaiting further information. Preliminary assessment. Seriousness criteria: hospitalization, life-threatening, death. Causality: not related. Addendum 8/13/04: We received information that the patient was not administered any immunoglobulins. Assessment: unchanged.
Sex: M
Vaccine: RAB
Symptoms: Encephalitis, Paralysis
Clinical narrative: A boy was vaccinated with Rabipur and developed neuroparalytic reaction. He was admitted to hospital for the last six days (before report on 6/3/04). We are awaiting further information. Addendum 7/13/04: A 10-12 year old boy was bitten by a dog at the neck. He was given Rabipur as per doctor's advice and after the 4th dose the boy developed encephalitis (paralytic rabies?). The patient left the hospital without notice on 7/7/04. The same dog bit another 6 persons and they neither sought any medical advice nor did they develop any sickness until 7/7/04. Assessment: unchanged.
Age: 8.0
Sex: F
Vaccine: DTP, HEP, HIBV, IPV, MMR
Symptoms: Arrhythmia, Bradycardia, Cardiac valve disease, Headache, Viral infection
Clinical narrative: 5 outbreaks of chicken pox, heart arrhythmia, heart valve problem.  Nurse follow up on 08/19/04 states: "Headaches; Bradycardia."
Age: 0.5
Sex: F
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Abscess, Cellulitis, Injection site mass
Clinical narrative: Mass on left thigh presented on 6/25/04 as a clinic visit.
Age: 0.26
Sex: M
Vaccine: PNC
Symptoms: Agitation, Apnoea, Cardiac arrest, Cerebral infarction, Convulsion
Clinical narrative: Cardiorespiratory arrest/apnea 5/18/04. Ventricular tachycardia/cerebral infarct. Gastrostomy tube/hydrocephalus. Do not resuscitate. Possible seizures; positive VSD.  Nurse follow up on 08/23/04 states: "irritable; induration of L forearm; decreased muscle tone."  Nurse follow up on 08/30/04 states: "Complete."   Per the follow up report-We have not seen this patient since the event. Thank you!
Age: 0.26
Sex: M
Vaccine: PNC
Symptoms: Hydrocephalus, Hypotonia, Injection site induration, Respiratory arrest, Ventricular septal defect
Clinical narrative: Cardiorespiratory arrest/apnea 5/18/04. Ventricular tachycardia/cerebral infarct. Gastrostomy tube/hydrocephalus. Do not resuscitate. Possible seizures; positive VSD.  Nurse follow up on 08/23/04 states: "irritable; induration of L forearm; decreased muscle tone."  Nurse follow up on 08/30/04 states: "Complete."   Per the follow up report-We have not seen this patient since the event. Thank you!
Age: 0.26
Sex: M
Vaccine: PNC
Symptoms: Ventricular tachycardia
Clinical narrative: Cardiorespiratory arrest/apnea 5/18/04. Ventricular tachycardia/cerebral infarct. Gastrostomy tube/hydrocephalus. Do not resuscitate. Possible seizures; positive VSD.  Nurse follow up on 08/23/04 states: "irritable; induration of L forearm; decreased muscle tone."  Nurse follow up on 08/30/04 states: "Complete."   Per the follow up report-We have not seen this patient since the event. Thank you!
Age: 41.0
Sex: M
Vaccine: HEPA
Symptoms: Aspartate aminotransferase increased, Asthma, Bronchospasm, Chest pain, Condition aggravated
Clinical narrative: Patient came to office with severe SOB, HA, dizziness, non-productive cough with chest pain upon coughing. Patient appeared very lethargic. Upon exam with doctor, patient was experiencing acute bronchospasms and a decrease O2 saturation of 92% dropping to 89% with ambulation. Medical records from physican's office included hospital records were reviewed. Final diagnosis with bilateral pneumonia. MD felt that the pt also had an allergic reaction to the Hep A vaccine. Follow up on 09/01/04: "Per telephone follow up with pt and vaccine provider. Vaccine was given at pt's employers location." Discharge Summary received on 12/07/2004 states final diagnoses were pneumonia vs allergic pneumonitis and asthma.
Age: 41.0
Sex: M
Vaccine: HEPA
Symptoms: Cough, Dizziness, Dyspnoea, Headache, Hypoxia
Clinical narrative: Patient came to office with severe SOB, HA, dizziness, non-productive cough with chest pain upon coughing. Patient appeared very lethargic. Upon exam with doctor, patient was experiencing acute bronchospasms and a decrease O2 saturation of 92% dropping to 89% with ambulation. Medical records from physican's office included hospital records were reviewed. Final diagnosis with bilateral pneumonia. MD felt that the pt also had an allergic reaction to the Hep A vaccine. Follow up on 09/01/04: "Per telephone follow up with pt and vaccine provider. Vaccine was given at pt's employers location." Discharge Summary received on 12/07/2004 states final diagnoses were pneumonia vs allergic pneumonitis and asthma.
Age: 41.0
Sex: M
Vaccine: HEPA
Symptoms: Lethargy, Pneumonia, White blood cell count increased
Clinical narrative: Patient came to office with severe SOB, HA, dizziness, non-productive cough with chest pain upon coughing. Patient appeared very lethargic. Upon exam with doctor, patient was experiencing acute bronchospasms and a decrease O2 saturation of 92% dropping to 89% with ambulation. Medical records from physican's office included hospital records were reviewed. Final diagnosis with bilateral pneumonia. MD felt that the pt also had an allergic reaction to the Hep A vaccine. Follow up on 09/01/04: "Per telephone follow up with pt and vaccine provider. Vaccine was given at pt's employers location." Discharge Summary received on 12/07/2004 states final diagnoses were pneumonia vs allergic pneumonitis and asthma.
Age: 1.27
Sex: M
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Febrile convulsion
Clinical narrative: Approximately 3-5 hours after vaccines administered, generalized tonic clonic seizure lasting 40 minutes, with fever. Resolved in hospital after Ativan given. Kept in PICU 3 days.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site reaction
Clinical narrative: Localized reaction, left upper arm, 24x19 cm area. No anaphylaxis. Treatment: Keflex, Motrin, Atarax.
Age: 33.0
Sex: U
Vaccine: ANTH
Symptoms: Dry skin, Injury, Pruritus
Clinical narrative: Dry patches of skin in several places which constantly itch. Even after scratching, the itch continues. Have scratched to a point where there is a hole in arm and itching sensation is still there.
Age: 26.0
Sex: M
Vaccine: ANTH, UNK
Symptoms: Erythema, Feeling hot, Injection site mass, Myalgia, Pruritus
Clinical narrative: Within 24 hours significant pain  in triceps muscle with swollen knot at vaccination site. At 48 hours swelling greatly increased and spread down to elbow. Accompanied by heat, itching and redness throughout entire dorsal, upper arm.
Age: 26.0
Sex: M
Vaccine: ANTH, UNK
Symptoms: Swelling
Clinical narrative: Within 24 hours significant pain  in triceps muscle with swollen knot at vaccination site. At 48 hours swelling greatly increased and spread down to elbow. Accompanied by heat, itching and redness throughout entire dorsal, upper arm.
Age: 51.0
Sex: F
Vaccine: ANTH
Symptoms: Erythema, Feeling hot, Oedema, Swelling
Clinical narrative: pt had edema in left arm with slight warm to touch and erythema from elbow joint (10x5cm) to upper shoulder. Pt is stable today 06JUL04. Left arm swollen larger than right arm.
Age: 57.0
Sex: M
Vaccine: ANTH
Symptoms: Paraesthesia
Clinical narrative: Pt states he felt tingling in left index and middle fingers upon receiving vaccine. Symptoms corrected in middle finger but feels the same in index finger.
Age: 29.0
Sex: F
Vaccine: ANTH
Symptoms: Arthralgia, Fatigue, Infection, Visual disturbance
Clinical narrative: Chronic fatigue, joint pain, recurring vision problems/ eye infections.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Skin reaction, Swelling, Tension
Clinical narrative: Swollen, tense red left arm below vaccine site. All the way to the elbow onset 24 hours after vaccination. Lasted 3 days.
Age: 4.0
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Erythema, Swelling, Tension
Clinical narrative: Swollen tense, red left upper arm below injection site to elbow. Started 24 hours after vaccine. Resolved in 3 days.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling, Tension
Clinical narrative: Swollen, red, tense left arm below vaccine site all the way to elbow. Occurred 24 hours after vaccine and resolved in 3 days.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling, Tension
Clinical narrative: Swollen, red tense left arm below vaccine site all the way to the elbow. Onset 24 hours after vaccine resolved in 3 days.
Age: 4.5
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling, Tension
Clinical narrative: Swollen, red, tense right arm below vaccine site all the way to elbow and onset 24 hours of vaccine. Lasted 3 days.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling, Tension
Clinical narrative: Swollen, tense red left arm below injection site of DTaP all the way to the elbow. Onset 24 hours after vaccines. Lasted 3 days.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling, Tension
Clinical narrative: Local rxn below site of injection of DTaP on both arms all the way to elbow. Swollen, tense, redness. Lasted 3 days. Onset 24 hours after vaccine.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Erythema, Injection site induration, Swelling
Clinical narrative: Redness, swelling, induration of 50x45 mm explained to pt's parent to ice area.
Age: 3.9
Sex: M
Vaccine: DTAP, HIBV, MMR
Symptoms: Abdominal pain upper, Anorexia, Cardiac disorder, Crying, Drug ineffective
Clinical narrative: 7/19/04: Late evening started with fever. Mother did not take the child's temperature but said the child felt warm and the child stated that he did not feel good. 7/20/04: Tuesday morning, child woke up with a temp of 103 and a terrible headache and was tired. Child cried. Mother gave child Tylenol. The fever stayed at 103 until the afternoon. Then the mother started Motrin and the temp dropped to 101. Mother also put the child in a bathtub of cool water to drop the temp. 7/21/04: Wednesday no improvement, child cried off and on all day, temp was 101, and he was very tired. Not enough energy to sit up. States he had no appetite or nourishment other than apple juice and other liquids for three days. Headaches continued. 7/22/04: Thursday, child was up a couple of times during the night. She gave him Motrin a couple of times. In the morning he woke up with a temp of 103. She called the clinic and they said to bring him right in . A midlevel practitioner examined the child. Child was still tired and complained of a stomachache. Mother states practitioner said this was due to the MMR shot. Exam revealed nothing unusual. No blood or lab work was performed. Practitioner advised the mother to give Motrin every 8 hours and give Tylenol every four hours between the Motrin, and soak him in a tub of cool water and return in 1-2 days if he was not better. 7/23/04. Friday, child had a pretty good night. However when mom got home form work on Friday evening, he was still sick and running a temp. She called the clinic and they were closing. About 8pm child started crying and cried until 10.30pm and she felt his fever was going back up so she took him to the ER. Temp in the ER was 102. Lab and x-ray were negative. There was no bacterial infection. Doctor's diagnosis was it was an acute viral infection. Mother was also told he had a heart murmur and she was never told that before. The left the ER at 4am. 7/24/04: Saturday, child slept until 11:00 am. Temp was up and down. Mother gave child Motrin 2-3 times during the day. He complained about being tired and had no appetite. 7/25/04: Sunday, mother states he was okay but had no appetite but was drinking fluids. 7/27/04. Tuesday: mother took child to doctor b/c one of his ears was starting to hurt. He was diagnosed with an ear infection and is now on antibiotics. Mother states doctor also feel the episode was due to the MMR vaccine.
Age: 3.9
Sex: M
Vaccine: DTAP, HIBV, MMR
Symptoms: Fatigue, Headache, Infection, Insomnia, Malaise
Clinical narrative: 7/19/04: Late evening started with fever. Mother did not take the child's temperature but said the child felt warm and the child stated that he did not feel good. 7/20/04: Tuesday morning, child woke up with a temp of 103 and a terrible headache and was tired. Child cried. Mother gave child Tylenol. The fever stayed at 103 until the afternoon. Then the mother started Motrin and the temp dropped to 101. Mother also put the child in a bathtub of cool water to drop the temp. 7/21/04: Wednesday no improvement, child cried off and on all day, temp was 101, and he was very tired. Not enough energy to sit up. States he had no appetite or nourishment other than apple juice and other liquids for three days. Headaches continued. 7/22/04: Thursday, child was up a couple of times during the night. She gave him Motrin a couple of times. In the morning he woke up with a temp of 103. She called the clinic and they said to bring him right in . A midlevel practitioner examined the child. Child was still tired and complained of a stomachache. Mother states practitioner said this was due to the MMR shot. Exam revealed nothing unusual. No blood or lab work was performed. Practitioner advised the mother to give Motrin every 8 hours and give Tylenol every four hours between the Motrin, and soak him in a tub of cool water and return in 1-2 days if he was not better. 7/23/04. Friday, child had a pretty good night. However when mom got home form work on Friday evening, he was still sick and running a temp. She called the clinic and they were closing. About 8pm child started crying and cried until 10.30pm and she felt his fever was going back up so she took him to the ER. Temp in the ER was 102. Lab and x-ray were negative. There was no bacterial infection. Doctor's diagnosis was it was an acute viral infection. Mother was also told he had a heart murmur and she was never told that before. The left the ER at 4am. 7/24/04: Saturday, child slept until 11:00 am. Temp was up and down. Mother gave child Motrin 2-3 times during the day. He complained about being tired and had no appetite. 7/25/04: Sunday, mother states he was okay but had no appetite but was drinking fluids. 7/27/04. Tuesday: mother took child to doctor b/c one of his ears was starting to hurt. He was diagnosed with an ear infection and is now on antibiotics. Mother states doctor also feel the episode was due to the MMR vaccine.
Age: 3.9
Sex: M
Vaccine: DTAP, HIBV, MMR
Symptoms: Otitis media, Pyrexia
Clinical narrative: 7/19/04: Late evening started with fever. Mother did not take the child's temperature but said the child felt warm and the child stated that he did not feel good. 7/20/04: Tuesday morning, child woke up with a temp of 103 and a terrible headache and was tired. Child cried. Mother gave child Tylenol. The fever stayed at 103 until the afternoon. Then the mother started Motrin and the temp dropped to 101. Mother also put the child in a bathtub of cool water to drop the temp. 7/21/04: Wednesday no improvement, child cried off and on all day, temp was 101, and he was very tired. Not enough energy to sit up. States he had no appetite or nourishment other than apple juice and other liquids for three days. Headaches continued. 7/22/04: Thursday, child was up a couple of times during the night. She gave him Motrin a couple of times. In the morning he woke up with a temp of 103. She called the clinic and they said to bring him right in . A midlevel practitioner examined the child. Child was still tired and complained of a stomachache. Mother states practitioner said this was due to the MMR shot. Exam revealed nothing unusual. No blood or lab work was performed. Practitioner advised the mother to give Motrin every 8 hours and give Tylenol every four hours between the Motrin, and soak him in a tub of cool water and return in 1-2 days if he was not better. 7/23/04. Friday, child had a pretty good night. However when mom got home form work on Friday evening, he was still sick and running a temp. She called the clinic and they were closing. About 8pm child started crying and cried until 10.30pm and she felt his fever was going back up so she took him to the ER. Temp in the ER was 102. Lab and x-ray were negative. There was no bacterial infection. Doctor's diagnosis was it was an acute viral infection. Mother was also told he had a heart murmur and she was never told that before. The left the ER at 4am. 7/24/04: Saturday, child slept until 11:00 am. Temp was up and down. Mother gave child Motrin 2-3 times during the day. He complained about being tired and had no appetite. 7/25/04: Sunday, mother states he was okay but had no appetite but was drinking fluids. 7/27/04. Tuesday: mother took child to doctor b/c one of his ears was starting to hurt. He was diagnosed with an ear infection and is now on antibiotics. Mother states doctor also feel the episode was due to the MMR vaccine.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Oedema peripheral, Pyrexia, Type III immune complex mediated reaction, Urticaria, Vomiting
Clinical narrative: July 23rd pm: client started hives around waist only. July 24th: Client developed hives over entire body. July 25th: Along with hives to entire body, client's feet and hands began to swell. Also developed temperature with emesis. July 25th: Client was transported to ER per mother where ER physician diagnosed client with Arthus Rxn. Client then had follow up appnt with doctor (pediatrician) and then diagnosed with urticaria hives and according to mother was not related to immunizations. Client did have urinalysis as weekly ordered by ER MD. Was to have 4-6 weeks following episode, but mother reported that no mention was made to continue to weekly urinalysis by pediatrician.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Infection
Clinical narrative: Spread of infection to chin and left eye near eyebrow.
Age: 23.0
Sex: F
Vaccine: TD
Symptoms: Dermatitis acneiform, Urticaria
Clinical narrative: Pt developed parasitic rash, urticaria within 30 minutes of shot. 4 days after, pt seen for followup and treated with Zyrtec. (antihistamine)
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Bone pain, Injection site erythema, Injection site mass, Injection site pain
Clinical narrative: Large, red spot 4 inches diameter at site. Golf ball size lump with pain at site. Bone/ joint pain, lethargy for 2 days.
Sex: F
Vaccine: UNK
Symptoms: Lethargy
Clinical narrative: Large, red spot 4 inches diameter at site. Golf ball size lump with pain at site. Bone/ joint pain, lethargy for 2 days.
Age: 0.9
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Eye disorder, Hyperexplexia, Limb malformation, Myoclonus, Staring
Clinical narrative: 9/3/03: pt had immunizations (DTaP, Hib, IPV, Prevnar). 9/10/03: mom states "startling easily". Legs drawn up, arms, out, eyes wide open. 9/16/03: same sxs. Neuro consult. 9/19/03:  EEG and neuro evaluation: see note. 10/13/03 normal EEG. 11/3/03: DTaP, Hib, IPC, Prevnar. 11/4/03: same sxs recurred. 12/18/03: neuro re-evaluation. Diagnosed Beurg myoclonic size of infancy. 3/30/04 Hib: sxs began again that evening only for a few hours.
Age: 5.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site swelling, Injection site vesicles, Injection site warmth
Clinical narrative: 1) MMR site pink, raised with several small vesicles about 2x2.5cm right arm. 2) DTaP site red and raised, warm to touch, about 2x2cm left arm. (Seen 07/31/04). Prescribed: Ice, Tylenol. Phone call: Mom 08/02/04 both sites and red and swelling.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site warmth, Pruritus
Clinical narrative: Red, warm, itchy area left thigh. Treated with Benadryl/Augmentin.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia, Screaming
Clinical narrative: 07/19: Vaccines given. 07/20: LGF, screaming. 07/21: "Terrible", screaming. 07/22: Office visit (enclosed). 07/23: Daytime-better; Nighttime-fever began (102-102 rectally). 07/25: No fever, slept thru night. 07/26: Fever returns. 07/27: Office visit (enclosed). 07/28: Symptoms resolved. 08/12: Doing fine!
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site oedema
Clinical narrative: Immunizations on 07/22/04: Was seen in ER 07/23 for swelling from elbow to shoulder. Diagnosed cellulitis and treated with Augmentin.
Age: 67.0
Sex: M
Vaccine: PPV, TD
Symptoms: Joint range of motion decreased, Oedema, Pain
Clinical narrative: After shot given he began to have severe shoulder pain (both). As days passed it became worse radiating down below elbows. After a couple of weeks it was still in shoulders, elbows and then continued into wrist and fingers. It continues to this day with swelling. 08/04/04: 5 months later!!Follow up: Bilateral pian. Shoulders to finger tips jints. Not consistant, follows no pattern. Use of arms severely diminished. Scale 1-10 runs 6-10. Arm activity can cause pain. Life style completely changed as of 3/4/04. 9.5 months later!!!
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Unevaluable event
Clinical narrative: Referral from MD.
Age: 37.0
Sex: F
Vaccine: MMR, TD
Symptoms: Anxiety, Convulsion, Eye movement disorder, Fatigue, Hyperhidrosis
Clinical narrative: 07/30/04: Pt here for college immunizations, needs to restart DT and MMR series because has no records from home country. Pt received TD in left deltoid and then waited for 1-1.5 minutes between shots while chatting with the nurse within 15 seconds of receiving MMR in left arm pt stated "Whoa, I don't feel well." Eyes became glassy, sweat broke out and pt's head started swaying from side to side.  Pt was immediately laid down on exam table and feet elevated as nurse called for help. Pt's eyes rolled up and became unfocused, pt started grunting, all muscles became tonic with arms positioned bent at elbow's with fists at shoulders. Entire episode lasted 30 seconds. Pt's eyes refocused and pt states "I didn't know where I was". Felt like she was "soft and moving away and then I don't remember anything until I saw you ladies", but did not feel like when she had fainted in the past, 20 minutes later but states "feel tired and shaky". Pt stated she had only taken one Advil and one 100mg tablet of Doxycycline, denies any other drugs or alcohol today. No family history of seizures or nervous disorders.  07/30/04: Pt denies any history of reactions to immunizations in the past.  07/30/04: As above-called to assist nurse. Pt was having seizure-like activity. (unable to comprehend handwriting) a few seconds she started talking and re-orienting herself. US: 72-20; 118/70. A: Adverse reaction to MMR versus vasovagal episode. P: Call placed to consultant with state immunization branch. Stated that despite the listing of the MMR result made "Adverse reaction": afebrile convulsion as seizures, that it is unusual for an adult to have such an adverse reaction particularly so quickly after the injection was given. However, it did seem like an unusual vasovagal episode. She suggested that we witnessed the reaction (unable to comprehend handwriting) it to the CDC via the VAERS form. Pt re-evaluated color pink, skin dry, oriented x3 but still feeling a little anxious. Advised home for end drive her home. Called her employer at her request to inform that pt could not be at work today. Advised to go to ER if any recurrent symptoms. Advised consider MMR as allergy for future reference-do not get any further MMR shots. Left in stable condition with friend.
Age: 37.0
Sex: F
Vaccine: MMR, TD
Symptoms: Muscle contractions involuntary, Staring, Tremor
Clinical narrative: 07/30/04: Pt here for college immunizations, needs to restart DT and MMR series because has no records from home country. Pt received TD in left deltoid and then waited for 1-1.5 minutes between shots while chatting with the nurse within 15 seconds of receiving MMR in left arm pt stated "Whoa, I don't feel well." Eyes became glassy, sweat broke out and pt's head started swaying from side to side.  Pt was immediately laid down on exam table and feet elevated as nurse called for help. Pt's eyes rolled up and became unfocused, pt started grunting, all muscles became tonic with arms positioned bent at elbow's with fists at shoulders. Entire episode lasted 30 seconds. Pt's eyes refocused and pt states "I didn't know where I was". Felt like she was "soft and moving away and then I don't remember anything until I saw you ladies", but did not feel like when she had fainted in the past, 20 minutes later but states "feel tired and shaky". Pt stated she had only taken one Advil and one 100mg tablet of Doxycycline, denies any other drugs or alcohol today. No family history of seizures or nervous disorders.  07/30/04: Pt denies any history of reactions to immunizations in the past.  07/30/04: As above-called to assist nurse. Pt was having seizure-like activity. (unable to comprehend handwriting) a few seconds she started talking and re-orienting herself. US: 72-20; 118/70. A: Adverse reaction to MMR versus vasovagal episode. P: Call placed to consultant with state immunization branch. Stated that despite the listing of the MMR result made "Adverse reaction": afebrile convulsion as seizures, that it is unusual for an adult to have such an adverse reaction particularly so quickly after the injection was given. However, it did seem like an unusual vasovagal episode. She suggested that we witnessed the reaction (unable to comprehend handwriting) it to the CDC via the VAERS form. Pt re-evaluated color pink, skin dry, oriented x3 but still feeling a little anxious. Advised home for end drive her home. Called her employer at her request to inform that pt could not be at work today. Advised to go to ER if any recurrent symptoms. Advised consider MMR as allergy for future reference-do not get any further MMR shots. Left in stable condition with friend.
Age: 33.0
Sex: F
Vaccine: HEP, TD
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Tenderness
Clinical narrative: Left deltoid red, swollen and tender. Area warm to touch. Area of redness and swelling 50mm in size. Still has knot on the arm.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Urticaria
Clinical narrative: Generalized hives within 12 hours. Given Benadryl and Prelone.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Swelling, redness, warm to touch right deltoid; spreading and painful.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Red/swollen right arm 3x4 inches around injection site.  Now recovering.
Age: 3.0
Sex: M
Vaccine: HEPA
Symptoms: Aggression, Cyanosis, Pruritus
Clinical narrative: Pruritus upon aggressive behavior and the blue dry post vaccine.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Softball size reddened, swollen area x1 week-compresses right hip.
Age: 1.0
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MMR, VARCEL
Symptoms: Dyskinesia, Gait disturbance, Injection site erythema, Injection site oedema, Otitis media
Clinical narrative: 05/05/04: Had shots today and he is jerking, starring off, eyes jumping.  05/06/04 @ 9:45am: Spoke with mom. Mom called by myself as she had called answering service last night at 11:00pm to report that child was jerking, starring off and eyes jumping. Stated she was getting ready to put child to bed, when this episode occurred, she couldn't get his attention. She spoke to MD who advised taking him to the hospital ER which she did. She said his behavior was normal en route and at the hospital where his temperature was at 102. She stated that his balance was unsteady prior to the original episode and MD thought he may be dizzy, etc. Mom also states the left thigh continues to be swollen and red area not tight. I told her to continue giving Motrin and Tylenol and use ice as tolerated. Appointment made for 05/07/04 at 10:45am. 07/13/04: Paperwork for adverse reaction to immunizations not sent to VAERS as pt no show for follow up appointment after episode. Pt not seen in office until over 2 months later for sick visit. Temperature 104; vomiting today all day. Came here at 13:00, temperature now 102.2-Motrin 1 tsp given now.  Attends daycare. Ears: red, skin: hot, throat: spots by vulva. Diagnosis: Viral pharyngitis, otitis media. Treatment: Motrin given now 1 tsp, Ibuprofen 1/2 tsp every 6 hours. Ice pops, Oral rehyd soln, amoxicillin 250/5, herpangina handout given. 08/03/04: Talked over with MD about sending VAERS. Agreed should be sent even though mom didn't follow up. Child has had fever over 102 on 07/13/04 and didn't have febrile seizure.
Age: 1.0
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MMR, VARCEL
Symptoms: Pharyngitis, Pyrexia, Staring, Viral infection, Vomiting
Clinical narrative: 05/05/04: Had shots today and he is jerking, starring off, eyes jumping.  05/06/04 @ 9:45am: Spoke with mom. Mom called by myself as she had called answering service last night at 11:00pm to report that child was jerking, starring off and eyes jumping. Stated she was getting ready to put child to bed, when this episode occurred, she couldn't get his attention. She spoke to MD who advised taking him to the hospital ER which she did. She said his behavior was normal en route and at the hospital where his temperature was at 102. She stated that his balance was unsteady prior to the original episode and MD thought he may be dizzy, etc. Mom also states the left thigh continues to be swollen and red area not tight. I told her to continue giving Motrin and Tylenol and use ice as tolerated. Appointment made for 05/07/04 at 10:45am. 07/13/04: Paperwork for adverse reaction to immunizations not sent to VAERS as pt no show for follow up appointment after episode. Pt not seen in office until over 2 months later for sick visit. Temperature 104; vomiting today all day. Came here at 13:00, temperature now 102.2-Motrin 1 tsp given now.  Attends daycare. Ears: red, skin: hot, throat: spots by vulva. Diagnosis: Viral pharyngitis, otitis media. Treatment: Motrin given now 1 tsp, Ibuprofen 1/2 tsp every 6 hours. Ice pops, Oral rehyd soln, amoxicillin 250/5, herpangina handout given. 08/03/04: Talked over with MD about sending VAERS. Agreed should be sent even though mom didn't follow up. Child has had fever over 102 on 07/13/04 and didn't have febrile seizure.
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP, MMR
Symptoms: Injection site warmth, Pyrexia, Vomiting
Clinical narrative: Fever, vomited once. Large local reaction this AM, warm to touch.
Age: 3.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Pyrexia, Tonsillitis, Type III immune complex mediated reaction
Clinical narrative: 2 days post DTaP #4, temperature 103F, severe erythema and swelling of left upper arm. Arthus-type hypersensitivity reaction. Examined by ARNP 07/30/04. 08/03/04: Follow up swelling resolved. Child with tonsillitis. Treated with Rocephin 250mg IM.
Age: 20.0
Sex: F
Vaccine: JEV
Symptoms: Eyelid oedema, Pruritus, Urticaria
Clinical narrative: On 07/27/04, pt woke up in AM with swollen right eyelid and one large hive on site of Japanese Encephalitis injection. Stated she "felt funny" going to bed on 07/26. Pt had a history of allergic reactions and has taken Claritin-hives medication with effective results. She did not want to take Benadryl. Advised pt to take Claritin-hives medication and if symptoms worsen to contact MD or if any respiratory involvement to go to the ER ASAP.  Pt agreed sent pt fact sheet on Japanese Encephalitis vaccine. Per pt applied topical cortisone to site of injection to relieve itching.
Age: 1.3
Sex: M
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Rash, Urticaria
Clinical narrative: Hives approximately 16 hours after vaccine administration. Treatment: Benadryl injection x1, then oral Benadryl as needed, rashes.
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Pallor
Clinical narrative: Seen 2 days after shot-right arm swelling from shoulder to wrist, redness on upper arm-tight swelling with central area on upper arm pale "waxy" looking around shot site abut 3x3 inch area.
Age: 8.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Bacterial infection
Clinical narrative: Varivax given on 08/13/02. Chicken pox on 07/23/04.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: Red, raised, feverish area around injection site. Approximately 8cm in diameter
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Chest pain, Chills, Eye pain, Fatigue, Headache
Clinical narrative: 7/27/04 2 hrs post immunization developed local soreness. 7/28/04 awakened with chills, tightness in throat, feeling feverish, exhausted, body aching, stinging eyes, headache later in day possible fever. 7/29/04 Tightness, pain in throat, headache. 7/30/04 chest pain on respiration.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Hypersensitivity, Pain, Pharyngolaryngeal pain, Pyrexia, Throat tightness
Clinical narrative: 7/27/04 2 hrs post immunization developed local soreness. 7/28/04 awakened with chills, tightness in throat, feeling feverish, exhausted, body aching, stinging eyes, headache later in day possible fever. 7/29/04 Tightness, pain in throat, headache. 7/30/04 chest pain on respiration.
Age: 1.58
Sex: M
Vaccine: HIBV, MMR
Symptoms: Pyrexia, Rash macular
Clinical narrative: 19 month old boy with 103 that started on 07/27/04. Has red pinpoint macular rash on trunk and arms. No vesicles. No petechiae.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema, Rash
Clinical narrative: Received following vaccines: Dtap, MMR, IPV- immediately after given vaccines, tiny pimple rash appeared. Yesterday AM she complained of redness, heat and swelling, left arm only. Tx with cold cloth. 07/19/04 Follow up call, mother says she's fine.
Age: 46.0
Sex: M
Vaccine: HEP, TYP
Symptoms: Pruritus, Rash, Respiratory disorder, Swelling face
Clinical narrative: 7/23 5:30PM Noticed swelling upper lip, rash and mild itching posterior trunk. No medication taken. 7/24 AM noticed rash anterior trunk, some swelling lower lip. Took Benadryl 25mg twice that day. 7/25 Rash lip swelling cleared; took 2 more doses Benadryl denies fever, respiratory problems.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Injury, Oedema
Clinical narrative: According to Dad, noticed swelling on left deltoid and redness, not very clear on time states started to notice it yesterday morning. Pt played yesterday evening and had cut along inner arm left. Will start Tylenol and samples of Zyrtec per PAC.
Age: 4.0
Sex: M
Vaccine: DTAP, HEP, HEPA, MMR
Symptoms: Erythema, Feeling hot
Clinical narrative: red, slightly warm upper left deltoid arm, 4x4, 48 hours post injection
Age: 54.0
Sex: F
Vaccine: SMALL
Symptoms: Abdominal pain, Depression, Diarrhoea, Gastrointestinal disorder, Weight increased
Clinical narrative: Fall of 2003 began gaining weight,some depression. Jan04 abdominal pain and diarrhea. Tx with Cipro and Metronidazole diarrhea continued colonoscopy found inflammation. Tx with Cortizone enemas q day. Weight gain continued, swelling decreased extra.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site oedema, Lethargy, Pyrexia
Clinical narrative: Redness and swelling x 10cm at site of injection on left thigh. Mild lethargy and low grade fever. Onset within several hours after injection given.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Secondary transmission, Skin ulcer
Clinical narrative: Pt was wrestling with person that had received the smallpox vaccine. Pt has 7 open lesions on his face. C order phalanx, pt was picking his lesions. Pt says he has had them for about a week.
Age: 67.0
Sex: F
Vaccine: TD
Symptoms: Oedema, Pain, Pruritus
Clinical narrative: Pt given vaccine on Monday. That Saturday arm began to hurt badly and began to swell. Monday AM pt called clinic with arm still swelling and itching. Pt has been taking Benadryl for itching. Pt advised to seek medical attention if swelling continues or respiratory problems. Pt given info on Td and that ibuprofen/Tylenol ok to take and Benadryl.
Age: 21.0
Sex: M
Vaccine: HEP
Symptoms: Hyperhidrosis, Injection site erythema, Pruritus
Clinical narrative: Received HBV #3 on 2/5/04. No reaction until 2/6/04 when he noticed redness around injection site, on 2/8/04 became diaphoretic and experienced perfuse itching which lasted about 1 hour. No treatment reported to clinic on 8/9/04 9AM.
Age: 5.0
Sex: M
Vaccine: MMR
Symptoms: Viral infection
Clinical narrative: Pt broke out with chicken pox after exposure to cousins. No fever. ~50 lesions over entire body-more concentrated groin area. Itchy and red lesions, have crusted over. No wheezing.
Age: 3.0
Sex: M
Vaccine: DTAP, HEPA, VARCEL
Symptoms: Cellulitis
Clinical narrative: Left upper arm given vaccinations a day later returned with s/s of cellulitis, no other s/s of allergy reaction; treat cellulitis +helping
Age: 12.0
Sex: M
Vaccine: TD
Symptoms: Injection site vesicles
Clinical narrative: Child reported to County Health Dept. where vaccine administered with clear watery looking blisters at site of injection given 8/4/04. Area on RUA was perhaps an inch in circumference.  Client denied burning, itching, pain, fever.  Surrounding area was unremarkeable. First noted by clt. yesterday. Advised use of neosporin BID topically, keep clean and apply ice pack if desired.  To return if no improvement.
Age: 43.0
Sex: M
Vaccine: ANTH, HEP
Symptoms: Headache, Injection site erythema, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: After receipt of Anthrax vaccine (5) and Hep B (3) in left arm, experienced systemic symptoms (lethargy, headaches, nausea) between 7/24 and 7/26. On 7/24/04, also experienced a large local reaction - lump the size of a golf ball and area of redness, swelling and tenderness approximately 4" in diameter. Local reaction evaluated on 7/28 and resolved by 8/1/4. [On 8/5/04, c/o left shoulder and upper arm pain; currently undergoing evaluation - separate VAERS to be filed once evaluation is complete.]
Age: 43.0
Sex: M
Vaccine: ANTH, HEP
Symptoms: Lethargy, Nausea, Pain
Clinical narrative: After receipt of Anthrax vaccine (5) and Hep B (3) in left arm, experienced systemic symptoms (lethargy, headaches, nausea) between 7/24 and 7/26. On 7/24/04, also experienced a large local reaction - lump the size of a golf ball and area of redness, swelling and tenderness approximately 4" in diameter. Local reaction evaluated on 7/28 and resolved by 8/1/4. [On 8/5/04, c/o left shoulder and upper arm pain; currently undergoing evaluation - separate VAERS to be filed once evaluation is complete.]