chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Pt was seen in clinic on 9/11/03 for swelling, redness, tenderness at injection site following immunization. On 8/25/03 L upper arm was affected. Dr saw pt and prescribed Keflex 250/5, one tsp BID x 10 days.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Heart rate increased, Hyperhidrosis, Nausea, Pallor
Clinical narrative: Client LOC x 5 sec became diaphoretic and pale. Pulse rapid, nauseated no vomiting for x 1 hr, taken to ER by ambulance. Client became less diaphoretic and less pale after approximately 20 minutes during event.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Oedema peripheral, Pain
Clinical narrative: R upper arm erythema, heat, edema and severe pain began hurting several hours post injection.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Skin striae
Clinical narrative: Pt reported area below injection site swollen, red and a red line down to elbow. Seen on 8/20 no redness or swelling present.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Oedema peripheral, Tenderness
Clinical narrative: R thigh swollen, red, tender.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Mild swelling and erythema L deltoid area.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR
Symptoms: Pyrexia
Clinical narrative: Fever to 102.8 24 hrs after MMR, hib. Thus far fever has lasted 2 days no other site of infection found.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Local reaction to L upper arm. Redness to area and patch with induration about 5x4in erythema. No tx. necessary only observation and apply or take Benadryl.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: Local reaction to R upper arm. Redness to area and patch about 4in x 3in erythema. No tx. necessary only observation and apply or take Benadryl.
Age: 0.5
Sex: M
Vaccine: DTAP, PNC
Symptoms: Rash
Clinical narrative: Mother states patient had rash entire body (not itchy), 1 day after vaccines lasting 1 day, no other symptoms.
Age: 0.58
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Injection site erythema, Irritability, Pyrexia
Clinical narrative: Received shots on 9/15/03 at well baby visit. Back her 9/16/03 for irritability, fever 104.2 R. Injection site was red. Pt given Motrin(?) while here, looking better before leaving.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Mild swelling and erythema left deltoid area 24 hours after vaccine given. Benadryl recommended.
Age: 23.0
Sex: F
Vaccine: HEP, HEPA, IPV, TD, TYP
Symptoms: Chest pain
Clinical narrative: Vaccines given at 2 PM 9/15/03. Awoke day after vaccine with severe pain left posterior chest, auscultation left posterior chest some inspiratory pleural rubs. None on right, no N/V dyspnea, skin W&D, color good. T 98.4. B/P 100/70. P 80. R 16. Advised Ibuprofen 400mg q 4 hours. Return if needed.
Age: 0.75
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Crying, Lethargy, Tremor
Clinical narrative: 09/17/03: mother said child was lethargic. Weird cry. Legs shaky. No fever. Told to go to ER. 9/18/03: mother stated he is fine. Didn't go to ER. Gave Tylenol then he was fine.
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Dyspnoea
Clinical narrative: Moderate shortness of breath within 20 minutes after immunization. Pt was also participating outside in PE. Within 35 minutes BP and pulse WNL. Full recovery within 45 minutes. Pt sent home in care of mother with emergency contact number.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 10 x 10cm of induration. 8 x 6cm erythema on right shoulder and arm. No treatment needed.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: 07/10/03: Left upper arm swollen and red at DTaP site administered on 07/09/03. Pt states pain to site. Left arm=8.5 inches. Right arm=6.75 inches. Benadryl, Tylenol or Motrin and Keflex (for 2 days) were ordered.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site discolouration, Injection site erythema, Injection site oedema
Clinical narrative: Right arm redness, swelling, blanching, warm to touch. No tenderness. Redness from deltoid to elbow 20cm down arm to 16.5cm around arm. DTaP and IPV given in arm on 9/2/03. (9/4/03 seen in office).
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever to 104 within 12 hours of immunizations. No other symptoms. WBC 20.5 on 9/13. Blood cultures drawn. Rocephin 350mg given IM. On 9/15/03 WBC 9.5, afebrile, BC negative. No further treatment.
Age: 0.75
Sex: M
Vaccine: PNC
Symptoms: Pyrexia
Clinical narrative: Within 12 hours he ran a fever of 102.5, within 24 hours was running a fever of 104.5. Went to doctor's office again on 7/31/03 and then to hospital on 8/1/03 where they took a strep culture and prescribed antibiotics. Within 24 hours of taking meds his fever was down to 101 then gone next day.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Crying, Injection site oedema
Clinical narrative: Screamed for longer than 2 hours after receiving immunization on 7/14/03. Some swelling.
Age: 1.0
Sex: F
Vaccine: IPV, MMR, VARCEL
Symptoms: Erythema multiforme, Rash erythematous
Clinical narrative: MMR, Varivax, IPV and PPD (TB test) given on 8/16/03. Raised, red patches noticed on torso from 8/27. On 8/30/03, rash worsened, clearly erythema multiforme. Confirmed by dermatologist.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Encephalitis, Encephalopathy, Hypotonia, Insomnia, Irritability
Clinical narrative: Given DTAP, IPV, HIB, Hep B, Prevnar on 09/05/2003.  First night had leg pain irritability, which resolved.  Since 09/08, unable to sleep at night, irritability, intermittent vomiting, legs weak.  Mom reported one episode of sudden closing eyes and going limp.  Suspect encephalitis/encephalopathy.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Muscular weakness, Pain, Vomiting
Clinical narrative: Given DTAP, IPV, HIB, Hep B, Prevnar on 09/05/2003.  First night had leg pain irritability, which resolved.  Since 09/08, unable to sleep at night, irritability, intermittent vomiting, legs weak.  Mom reported one episode of sudden closing eyes and going limp.  Suspect encephalitis/encephalopathy.
Age: 3.5
Sex: M
Vaccine: DTAP
Symptoms: Pyrexia
Clinical narrative: High fever (104.8), given Tylenol and fluids.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site oedema, Pruritus
Clinical narrative: Edema, pruritis on upper arm one day following immunization. No loss of motion. No fevers.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site oedema, Injection site warmth, Skin reaction
Clinical narrative: Skin reactions with heat/pain swelling>12 cm on left arm on day 3 after immunization.
Age: 40.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Arthritis, Joint stiffness
Clinical narrative: 12 days after receiving MMR vaccination on 7/1/03 had left knee and hip pain and stiffness. Her doctor said it was an arthritis from the MMR shot. Pain lasted for 3 weeks then resolved.
Age: 22.0
Sex: F
Vaccine: TD
Symptoms: Erythema multiforme, Pruritus, Rash
Clinical narrative: The day after receiving TD vaccine pt developed a very itchy generalized rash (erythema multiforme eruption entire body).
Age: 5.0
Sex: M
Vaccine: MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Redness, swelling, 10cm diameter at vaccine injection site.
Age: 0.92
Sex: M
Vaccine: IPV
Symptoms: Irritability, Pyrexia, Rash, Urticaria
Clinical narrative: 9/12/03 received IPV #3 (Friday). Monday 9:15 AM phone call from Mom "bad rash head-toe". Low grade fever, then developed rash. Cranky. "Welt like" for 48 hours. Now resolving 9/15 AM.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: MMR given 0.5 cc SQ right thigh area with large spontaneous local RXN 10x10cm red, warm area at injection site with raised area. Pt given Benadryl per physician and watched with no further complication after 20 minutes.
Age: 49.0
Sex: M
Vaccine: UNK
Symptoms: Neck pain, Shoulder pain
Clinical narrative: Pt made appointment with MD on 8/18/03 for increased pain in shoulder with radiation to neck.
Age: 12.0
Sex: F
Vaccine: HEP, TD
Symptoms: Convulsion, Dizziness, Eye movement disorder, Headache
Clinical narrative: Less than 5 minutes after vaccine, child had generalized tonic clonic seizure lasting about 30 seconds, eyes rolled back, lips cyanotic. Movements stopped within about 2 minutes. Pt alert, slightly dazed, able to communicate, follow commands. Dizziness and headache. Normal neuro exam.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Pain
Clinical narrative: Red, swollen and painful on 9/22 eve. Better today. Less erythema today, no pain, no swelling. No Tx.
Age: 41.0
Sex: F
Vaccine: HEP, MMR, TD
Symptoms: Erythema, Pain, Rash
Clinical narrative: Message left on machine - red spots, ache
Age: 5.0
Sex: M
Vaccine: DTAP, MMR, OPV, VARCEL
Symptoms: Infection, Rash papular, Skin ulcer
Clinical narrative: Chickenpox illness despite vaccination, papular and vesicular lesions - face, trunk, upper arm.
Age: 15.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Convulsion, Loss of consciousness, Pallor
Clinical narrative: Passed out immediately after giving MMR, HBV, PPD. Had one tonic-clonic seizure, pale, urinated. Lasted less than 1 minute and recovered spontaneously. Sent to ER for evaluation.
Age: 46.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Erythema, Fatigue, Pruritus, Rash
Clinical narrative: Pt reports onset of flat, pink rash on trunk, front and back. 1st noticed on 9/17/03, rash is occasionally itchy. Pt states she feels fine, but is concerned and questions if contagious. Phone call 9/17/03 to CDC for verification of non-communicable status after MMR vaccine. Also felt exhausted on 9/18 and 9/19/03. 9/23/03-feels fine.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Pyrexia, Restlessness
Clinical narrative: Hi fever (102.9 R), very restless within 8 hrs of shots.
Age: 1.3
Sex: M
Vaccine: PNC
Symptoms: Erythema, Pyrexia, Rash
Clinical narrative: Low grade-fever 99 degrees and red rash - ring like border 5 cm x 8 cm anterior thigh.
Age: 65.0
Sex: M
Vaccine: YF
Symptoms: Gastrointestinal disorder, Vertigo
Clinical narrative: Client reported to the health dept on 9/23/03 that he had begun to experience vertigo within 24hrs after recieving theYellow fever vaccineon 9/15/03. Client reported that he had not experienced fever,but had experienced gastrointestional problems on Wednesday 9/17/03 and on 9/21 and 9/22/2003.
Age: 1.6
Sex: M
Vaccine: DTAP
Symptoms: Condition aggravated, Febrile convulsion
Clinical narrative: FEBRILE SEIZURES < 24 HRS AFTER RECEIVING DTAP
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, IPV, PNC
Symptoms: Rash
Clinical narrative: Mom reports badly developed rash 9/17/03 after injection.  rash started on facial rear and moved down the body.   Brought to health clinic on 4:30 9/19 with rash on face, arm , legs, refered to PMD
Age: 1.3
Sex: M
Vaccine: DTAPH, MMR, PNC, VARCEL
Symptoms: Drug ineffective, Laboratory test abnormal
Clinical narrative: Varicell vaccine failure from vaccination on 4/24/03 dose.  On 7/03/03, varicella titer done and had negative results.  Hence, the child was re-vaccinated on 9/12/2003 with a second dose of Varicella.
Age: 1.8
Sex: M
Vaccine: DTAP, FLU3, HIBV
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Rash
Clinical narrative: RASH, WARM, INDURATED, REDNESS. KEFLEX WAS USED AS TREATMENT.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site infection, Injection site pain, Injection site swelling
Clinical narrative: Local erythema-induration 7.5 inches and increase in limb circumference greater than 20% started 24 hours and 45 after vaccination. Infection at site could not be ruled out. Given 10 day course of Cephalexin. Cool compresses to site. No joint involvement or activity impairment. Mild pain at site. Temperature 99.9-100.4 degrees F x 1 day. Day 30  Erythema, induration and swelling over at day 7 after vaccination. Day 30 skin around injection site blotchy from stretching of skin due to swelling of limb.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Oedema peripheral, Pyrexia, Rash macular
Clinical narrative: Local erythema-induration 7.5 inches and increase in limb circumference greater than 20% started 24 hours and 45 after vaccination. Infection at site could not be ruled out. Given 10 day course of Cephalexin. Cool compresses to site. No joint involvement or activity impairment. Mild pain at site. Temperature 99.9-100.4 degrees F x 1 day. Day 30  Erythema, induration and swelling over at day 7 after vaccination. Day 30 skin around injection site blotchy from stretching of skin due to swelling of limb.
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Cellulitis, Drug administration error, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Received ?? vaccine to L arm on 9/13/03.  Provider ordered Pneumovax & Flu vaccine, however, it was documented on my immunization card that I received a Flu vaccine & Varivax on 9/13/03 @ approximately 10:20am.  When I returned to the doctor's office on 9/15/03, no one could tell me what I had actually received. On 9/13/03 in the afternoon, I experienced soreness to my L arm.  By nightfall, the soreness turned to pain.  On 9/14/04, I experienced redness, warmth, swelling to my L deltoid area & excruciating pain to my L arm, L shoulder & L breast area.  When I looked at my immunization card to see what I had received, I noticed that Varivax was documented.  On 9/15/03 @ 8:35am I returned to the doctor's office for an eval & to confirm what Immunization had been given.  The MD could not tell me what had been administered, as there was "no documentation-just initials by what the pac ordered". I was given an RX for Prednisone & instructed to follow up on 9/19/03.  On follow up on 9/19/03, the cellulitis to my L arm had resolved.
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site warmth
Clinical narrative: Received ?? vaccine to L arm on 9/13/03.  Provider ordered Pneumovax & Flu vaccine, however, it was documented on my immunization card that I received a Flu vaccine & Varivax on 9/13/03 @ approximately 10:20am.  When I returned to the doctor's office on 9/15/03, no one could tell me what I had actually received. On 9/13/03 in the afternoon, I experienced soreness to my L arm.  By nightfall, the soreness turned to pain.  On 9/14/04, I experienced redness, warmth, swelling to my L deltoid area & excruciating pain to my L arm, L shoulder & L breast area.  When I looked at my immunization card to see what I had received, I noticed that Varivax was documented.  On 9/15/03 @ 8:35am I returned to the doctor's office for an eval & to confirm what Immunization had been given.  The MD could not tell me what had been administered, as there was "no documentation-just initials by what the pac ordered". I was given an RX for Prednisone & instructed to follow up on 9/19/03.  On follow up on 9/19/03, the cellulitis to my L arm had resolved.
Age: 40.0
Sex: F
Vaccine: ANTH
Symptoms: Arthralgia, Asthenia, Hepatomegaly, Injection site mass, Injection site oedema
Clinical narrative: Generalized joint pain (especially hands and right knee), generalized malaise with fatigue, enlarged liver (according to physician).  All symptoms begin with 1st shot 04/09/1999 and worsened with shots (#2, 04/23/, #3, 05).  Localized was worse for each shot-erythematous 3 cm -10 cm, swollen, hot site with 4-6 cm knot, localized symptoms disappeared with in 3 weeks but knot lasted up to 6 weeks.  No fever received script for anti-inflammatory for joint pain.
Age: 40.0
Sex: F
Vaccine: ANTH
Symptoms: Malaise, Rash, Vasodilatation
Clinical narrative: Generalized joint pain (especially hands and right knee), generalized malaise with fatigue, enlarged liver (according to physician).  All symptoms begin with 1st shot 04/09/1999 and worsened with shots (#2, 04/23/, #3, 05).  Localized was worse for each shot-erythematous 3 cm -10 cm, swollen, hot site with 4-6 cm knot, localized symptoms disappeared with in 3 weeks but knot lasted up to 6 weeks.  No fever received script for anti-inflammatory for joint pain.
Age: 34.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Asthenia, Enzyme abnormality, Laboratory test abnormal, Pyrexia
Clinical narrative: 04/04/03- "felt bad"- lethargy and mild fever 04/05/03- temp (max)= 102 04/06/03- noticed "discomfort" in his chest without any sob, palpitations, dyspnea, or diaphoresis- sx worsened 04/07/03- went to ER- about 45 mins after he arrived at the ER, cp resolved on its own- EKG, CXR, Echo all WNL- but troponin and MB positive- pt. admitted 04/08/03- seen by Cardiologist- he was diagnosed of having a "myopericarditis secondary to smallpox vaccine- cannot totally rule out MI."  04/09/03- cardiac cath done- "normal coronary arteries with normal EF"  04/10/03- patient d/c home in stable condition 05/05/03- repeat EKG, repeat Echo, and the stress test all WNL As of 09/16/03, patient stated that his chest pain had not returned since.
Age: 34.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Chest pain, Chills, Headache, Laboratory test abnormal, Malaise
Clinical narrative: 04/04/03- "felt bad"- lethargy and mild fever 04/05/03- temp (max)= 102 04/06/03- noticed "discomfort" in his chest without any sob, palpitations, dyspnea, or diaphoresis- sx worsened 04/07/03- went to ER- about 45 mins after he arrived at the ER, cp resolved on its own- EKG, CXR, Echo all WNL- but troponin and MB positive- pt. admitted 04/08/03- seen by Cardiologist- he was diagnosed of having a "myopericarditis secondary to smallpox vaccine- cannot totally rule out MI."  04/09/03- cardiac cath done- "normal coronary arteries with normal EF"  04/10/03- patient d/c home in stable condition 05/05/03- repeat EKG, repeat Echo, and the stress test all WNL As of 09/16/03, patient stated that his chest pain had not returned since.
Age: 34.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Myocarditis, Pericarditis, Pyrexia
Clinical narrative: 04/04/03- "felt bad"- lethargy and mild fever 04/05/03- temp (max)= 102 04/06/03- noticed "discomfort" in his chest without any sob, palpitations, dyspnea, or diaphoresis- sx worsened 04/07/03- went to ER- about 45 mins after he arrived at the ER, cp resolved on its own- EKG, CXR, Echo all WNL- but troponin and MB positive- pt. admitted 04/08/03- seen by Cardiologist- he was diagnosed of having a "myopericarditis secondary to smallpox vaccine- cannot totally rule out MI."  04/09/03- cardiac cath done- "normal coronary arteries with normal EF"  04/10/03- patient d/c home in stable condition 05/05/03- repeat EKG, repeat Echo, and the stress test all WNL As of 09/16/03, patient stated that his chest pain had not returned since.
Age: 34.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Chest discomfort, Feeling abnormal, Laboratory test abnormal, Lethargy, Pericarditis
Clinical narrative: 04/04/03- "felt bad"- lethargy and mild fever 04/05/03- temp (max)= 102 04/06/03- noticed "discomfort" in his chest without any sob, palpitations, dyspnea, or diaphoresis- sx worsened 04/07/03- went to ER- about 45 mins after he arrived at the ER, cp resolved on its own- EKG, CXR, Echo all WNL- but troponin and MB positive- pt. admitted 04/08/03- seen by Cardiologist- he was diagnosed of having a "myopericarditis secondary to smallpox vaccine- cannot totally rule out MI."  04/09/03- cardiac cath done- "normal coronary arteries with normal EF"  04/10/03- patient d/c home in stable condition 05/05/03- repeat EKG, repeat Echo, and the stress test all WNL As of 09/16/03, patient stated that his chest pain had not returned since.
Age: 34.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Pyrexia
Clinical narrative: 04/04/03- "felt bad"- lethargy and mild fever 04/05/03- temp (max)= 102 04/06/03- noticed "discomfort" in his chest without any sob, palpitations, dyspnea, or diaphoresis- sx worsened 04/07/03- went to ER- about 45 mins after he arrived at the ER, cp resolved on its own- EKG, CXR, Echo all WNL- but troponin and MB positive- pt. admitted 04/08/03- seen by Cardiologist- he was diagnosed of having a "myopericarditis secondary to smallpox vaccine- cannot totally rule out MI."  04/09/03- cardiac cath done- "normal coronary arteries with normal EF"  04/10/03- patient d/c home in stable condition 05/05/03- repeat EKG, repeat Echo, and the stress test all WNL As of 09/16/03, patient stated that his chest pain had not returned since.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Atrioventricular block, Chest pain, Laboratory test abnormal
Clinical narrative: This case was considered medically important (OMIC). Information regarding Dryvax was received from a healthcare professional regarding a 28 year old male pt who experienced chest pain and first degree heart block. At 28 years of age, the pt received a dose either on 7/27/03 or 7/29/03. The pt received Anthrax vaccine "several days" prior to immunization with Dryvax. Approximately 3.5 weeks post-immunization, the pt experienced chest pain and first degree heart block (atrioventricular block first degree). No additional info was available at the time of this report.  Follow up on 10/01/2003: "This case was considered medically important.  Follow up information provided a change in patient age and primary provider name.  Information regarding Dryvax (smallpox vaccine, dried calf lymph type injection) was received from a healthcare professional regarding a 29-year-old male patient who experienced chest pain and first degree heart block.  At 29 years of age, the patient received a dose either of 07/27/2003 or 07/29/2003.  MEDICAL HISTORY:  Relevant medical history was not provided.  PRODUCT DETAILS:  Indication for Dryvax was immunization. Product was administered either on 07/27/2003 or 07/29/2003.  Dose regimen was 1 dose.   CONCOMITANT THERAPY:  The patient received Anthrax vaccine (manufacturer unknown) "several days" prior to immunization with Dryvax.  EVENT DETAILS:  Approximately 3.5 weeks post-immunization, the patient experienced chest pain (chest pain) and first degree heart block (atrioventricular block first degree).  TEST RESULTS:  Blood immunoglobulin M (results: Positive for Lyme disease) and blood immunoglobulin G (results: Positive for Lyme disease) were donw on an unspecified date.  No additional information was available at the time of this report."
Age: 0.6
Sex: M
Vaccine: DTAP, HBHEPB
Symptoms: Cellulitis, Injection site erythema, Injection site induration
Clinical narrative: This case was reported by a nurse and described the occurrence of injection site cellulitis in a 7 month old male who received Infanrix for prophylaxis. On an unspecified date in June 2003, the pt received the third injection of Infanrix (590B9) packaged in a prefilled syringe. The injection was made into the right thigh. The pt also received an injection of Comvax into the left thigh. On 6/18/03, "within a couple of days" post-immunization, the pt developed an injection site reaction on the right thigh. The pt was seen by the physician, who noted a 4-cm by 2.5-cm area of erythema and induration on the right thigh. The physician made a diagnosis of injection site cellulitis and prescribed Duricef. The event resolved on 6/25/03. The nurse considered the event to be serious (OMIC) because it jeopardized the pt or required intervention. The nurse considered the event was possibly related to vaccination with Infanrix.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: This case was reported by a nurse and described the occurrence of injection site cellulitis in a 5 year old male who received Infanrix for prophylaxis. On an unspecified date in July 2003, the pt received the fifth injection of Infanrix (590B9) packaged in a prefilled syringe. The injection was made IM into the right deltoid. On 7/15/03, "within a couple of days" post-immunization, the pt developed an injection site reaction. The pt was seen by the physician, who noted an area of erythema and induration measuring 2.25 inches by 2.75 inches on the right deltoid; the area was tender to palpation. The physician made a diagnosis of injection site cellulitis and prescribed a 7-day course of Omnicef. The event resolved on 7/25/03. The nurse considered the event to be serious (OMIC) because it jeopardized the pt or required intervention. The nurse considered the event was possibly related to vaccination with Infanrix.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR, DTAP, MMR
Symptoms: Cellulitis, Injection site erythema
Clinical narrative: This case was reported by a nurse and described the occurrence of injection site cellulitis in a 5 year old male who received Infanrix for prophylaxis. On an unspecified date in July 2003, the pt received the fifth injection of Infanrix (583A2) packaged in a prefilled syringe. The injection was made IM into the right deltoid. The pt also received an injection of MMR II into the right deltoid. On 7/30/03, "within a couple of days" post-immunization, the pt developed redness at the injection site. The pt was seen by the physician, who noted 3-ich by 4-inch area of erythema on the right deltoid. The physician made a diagnosis of injection site cellultiis and prescribed a 10-day course of Omnicef. The event resolved on 8/10/03. The nurse considered the event to be serious (OMIC) because it jeopardized the pt or required intervention. The nurse considered the event was possibly related to vaccination with Infanrix.
Age: 1.25
Sex: F
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: This case was reported by a nurse and described the occurrence of injection site cellulitis in a 15 month old female who received Infanrix for prophylaxis. On an unspecified date in April 2003, the pt received the fourth injection of Infanrix (589A9) packaged in a prefilled syringe. The injection was made into the left thigh. The pt was also received an injection of IPOL in the right thigh. On 4/23/03, "within a couple of days" post-immunization, the pt developed an injection site reaction on the left thigh. The pt was seen by the physician, who noted an area of erythema, swelling, and inudration measuring three to four centimeters in diameter. The physician made a diagnosis of injection site cellulitis and prescribed a 7-day course of Duricef. The event resolved on 4/30/03. The nurse considered the event to be serious (OMIC) because it jeopardized the pt or required intervention. The nurse considered the event was possibly related to vaccination with Infanrix.
Age: 5.0
Sex: M
Vaccine: DTAP, VARCEL, DTAP, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site reaction
Clinical narrative: This case was reported by a nurse and described the occurrence of injection site cellulitis in a 5 year old male who received diphtheria and tetanus toxoids and acellular pertussis vaccine absorbed for prophylaxis. On an unspecified date in August 2003, the patient received an injection of Infanrix (lot DTPA556B9) packaged in a prefilled syringe for the 5th dose in the immunization series. The injection was made IM into the left deltoid. The patient also received an injection of varicella virus vaccine SC into the right arm. On 8/17/03, within a couple of days post immunization, the patient developed erythema on the left deltoid. The patient was seen by the physician, who noted a 7 inch by 4 inch area of erythema. The physician made a diagnosis of injection site cellulitis and prescribed a 10 day course of cefdinir. The event resolved on 8/28/03. The nurse considered the event to be serious because it jeopardized the patient or required intervention. The nurse considered the event was probably related to vaccination with Infanrix.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: This case was reported by a nurse and described the occurrence of injection site cellulitis in a 4 year old female who received diphtheria and tetanus toxoids and acellular pertussis vaccine absorbed for prophylaxis. On 5/30/03, the patient received the 5th injection of Infanrix packaged in a prefilled syringe. The injection was made IM into the left deltoid. The patient also received an injection of inactivated poliomyelitis virus vaccine IM into the right deltoid. On 6/1/03, two days post-immunization, the patient developed an injection site reaction and was taken to the local ER. The ER physician made a diagnosis of injection site cellulitis; however, no medication was prescribed. The event resolved after an unspecified period of time. The nurse considered the event to be serious because it jeopardized the patient or required intervention. The nurse considered the event was possibly related to vaccination with Infanrix.
Age: 52.0
Sex: M
Vaccine: SMALL
Symptoms: Blister, Erythema, Injection site reaction, Pruritus, Rash
Clinical narrative: Smallpox vaccination on 02/08/2003.  By 02/20/2003, red, blister, itch, scab.  States tender "cold" Took DayQuil x 4 days.  No further complaining of problems.  On 03/13/2003-dry put in the min on blister.  Called clinic to give cream.  On 06/07/2003 complained of dry rash, no blisters.  Referred to MD on 06/08/2003.  MD stated not related to SP vaccine.
Age: 41.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Hypoaesthesia, Pain, Paraesthesia
Clinical narrative: Patient received smallpox vaccine 03/05/2003 and went overseas.  On 08/18 patient started to have pain/tingle in left upper arm.  Scheduled appointment 09/20/2003 with follow up MD.  Surgeon told patient probably pulled/strained arm washing car, not smallpox vaccine related.  Patient then stated has had numb/tingles in right arm-prominentely local related in carpal tunnel.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site oedema
Clinical narrative: Exaggerated swelling immunization site left.  Ice/ib.
Age: 62.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site mass, Pruritus
Clinical narrative: Left arm tD given 08/28/2003, symptoms with severe redness noted, itching.  Had knot 1-2 days after Td shot then began having redness.  The arm itches.  Feels poorly in general. 09/05/2003: Spoke to the patient, the redness is a little better although she only took 1 of the steroid pills yesterday and the rest of the 1st days steroid pills today.  Will go to the ER if symptoms perist/worsen.
Age: 22.0
Sex: F
Vaccine: HEP
Symptoms: Nonspecific reaction
Clinical narrative: Patient received annual PPD on 04/16/2003.  12 mm read by MD on 04/08/2003.  Sent to immunization clinic/risk assessment.  Retest on 04/21/2003-read by MD on 04/23/2003, 0 mm.  No further symptoms.
Age: 22.0
Sex: M
Vaccine: TYP
Symptoms: Infection
Clinical narrative: patient had annual PPd on 05/03/2003.  Read by MD at 8 x 9 cm on 05/05/2003.  Patient gone.  Follow up with his MD.  Retested on 07/12/2003.  His MD refused to read PPD.  Patient reported to clinic at 15mm.  Notified AFB. Coordinated with public health.  No symptoms of respiratory illness.  Patient taking vitamins.
Age: 43.0
Sex: M
Vaccine: HEPA
Symptoms: Rash
Clinical narrative: Patient had annual PPD.  Rash by a civilian at 9 cmm (PPD follow up note), seen later in June 2003.  patient had no symptoms of respiratory infection and would not reach individual throughout for a retest.  Notified public health.  Found out in August patient had already transferred to another city.  Public Health 9 mm PPD need for retest/follow up.
Age: 45.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: Fever of 100.6 F; local erythema, swelling 1 cm diameter at injection site.
Age: 15.0
Sex: F
Vaccine: TD
Symptoms: Convulsion
Clinical narrative: Fell out of her chair at school and had a "seizure" according to the ER physician.  Patient states she had no warning and had no symptoms or "unusual feeling".  Patient is home today with no symptoms and feeling fine.
Age: 3.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: Patient was seen at a clinic over the weekend and stepped on a fish hook and received DTAP.  Mom came in 2 days later because patient had a large knot of mild swelling and redness around the site of injection.
Age: 2.0
Sex: F
Vaccine: DT, HEP, PPV
Symptoms: Crying, Injection site erythema, Injection site mass, Irritability, Pain
Clinical narrative: Patient complaining leg hurt on spot of one shot out of three.  Would not let me each take off bandaid or touch thigh around area.  Next night took off bandaid, injection site red around it and when I touch it there was a huge lump about the size of a dime.  Touching site caused screaming and crying for patient for approximately 2 minutes.  Lump there for 6 days and hurt patient for 5 days and patient was just all around fussy.
Age: 44.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site inflammation, Oedema, Pain
Clinical narrative: 09/24/2003 7:00AM: 20 mm injection site right arm inflammation and pain-no edema; 09/24/2003 14:00: 46mm inflammation and edema high pain.  Site was measured by MD. A follow up report received 10/9/2003 adds: Area 100 x 95mm wide.
Age: 44.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Flushing, Injection site erythema
Clinical narrative: 09/24/2003 7:00AM: 20 mm injection site right arm inflammation and pain-no edema; 09/24/2003 14:00: 46mm inflammation and edema high pain.  Site was measured by MD. A follow up report received 10/9/2003 adds: Area 100 x 95mm wide.
Age: 1.5
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Erythema, Injection site induration, Rash papular, Urticaria
Clinical narrative: Scattered confluent erythemic papules, wheals, 1 cm x 7 cm indurated erythemic plaque left anterolateral thigh.  Per MD.
Age: 1.4
Sex: M
Vaccine: DTAP, PNC
Symptoms: Injection site erythema, Injection site mass, Pruritus
Clinical narrative: Patient received immunizations yesterday-mom called today with complaints of redness/bump at site, itching at site.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Feeling hot, Injection site erythema, Injection site pain, Pruritus, Pyrexia
Clinical narrative: 1) Slight fever; 2) Left arm red, itchy, sore, warm to touch; 3) Tylenol, ice to site; 4) Benadryl;
Age: 31.0
Sex: M
Vaccine: HEPAB
Symptoms: Dyspnoea, Tongue oedema, Urticaria
Clinical narrative: I got my shot on the 19. on the 23 i got swollen 2 little hives in the right side bottom of my tongue. Today 24. I felt difficult on breathing and bother me when i eat. I got some more in the top of my throath closser to my throat area.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Drug ineffective, Malaise, Pyrexia, Rash
Clinical narrative: 9/9/03 HAD LESS THAN 10 RASHY AREAS,SEEN BY PHYSICIAN NO FEVER (HAD FEVER THE WEEK OF 8/25/03) GIVEN BENADRYL FOR ALLERGIES BY PHYSICIAN 9/23 AWAKENED THAT TIME WITH HUNDREDS OF BLISTER LESIONS IN VARIOUS STAGES OF DEVELOPMENT-SEEN BY PHYSICIAN AND DIAGNOSED WITH CHICKENPOX, AT THAT TIME CHILD HAD TEMP OF 100.4 AND WAS FEELING ILL. FEELING ILL
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash vesicular, Skin ulcer
Clinical narrative: 9/9/03 HAD LESS THAN 10 RASHY AREAS,SEEN BY PHYSICIAN NO FEVER (HAD FEVER THE WEEK OF 8/25/03) GIVEN BENADRYL FOR ALLERGIES BY PHYSICIAN 9/23 AWAKENED THAT TIME WITH HUNDREDS OF BLISTER LESIONS IN VARIOUS STAGES OF DEVELOPMENT-SEEN BY PHYSICIAN AND DIAGNOSED WITH CHICKENPOX, AT THAT TIME CHILD HAD TEMP OF 100.4 AND WAS FEELING ILL. FEELING ILL
Age: 1.5
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Erythema, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: 4-5 cm erythema, enduration on left thigh, noticed redness abd swelling left thigh 9-24-03 better today
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Cold sweat, Hyperhidrosis, Musculoskeletal stiffness, Screaming
Clinical narrative: Several episodes of screaming, sweating, followed by rigidly extending arms then being drenched, cold and clammy.  Episodes lasted from 1-2 minutes, longest being 10 minutes.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cold sweat, Depressed level of consciousness, Difficulty in walking, Pain, Pallor
Clinical narrative: Patient received the MMR, DTaP and IPV vaccinations at 10:30am.  He was dropped off at school at 11:00am.  At 3:30pm, when he was picked up from school by his mother, he asked to be carried because his legs hurt too bad to walk.  His mother gave him Advil at 4:00pm.  He fell asleep at 5:00pm.  At 7:00pm, mother attmepted to wake him.  He aroused briefly and returned to sleep.  His skin was ashen and he felt cold to the touch.  At 9:00pm, 4 hours into his nap, he was still sleeping.  Mother attempted to wake him and moved him to his bed due to cold skin temperature.  He remained difficult to arouse.  Called 911 at 9:15 at the advice of clinic phone call nurse.  Paramedics were able to wake him but advised transport to  Hospital ER due to low heart rate (55) and low body temp (95 F).  The paramedics monitored heart rhythm in transit to ER and reported irregular heart beat, rate 58.  Level of consciousness reported by paramedics was 'responsive to voice'.
Age: 12.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Chest pain, Rash
Clinical narrative: Had Vaccine on 9-20-03Developed. Chest pain on 9-22-03 - sharp in nature. Went to ER. Found to have rash over ant chest wall. Diagnosed As Shingles. Rxed with antiviral ? Acyclovir. Today I added Elavil 10mg qhs for pain.
Age: 5.0
Sex: F
Vaccine: DPP, MMR
Symptoms: Unevaluable event
Clinical narrative: Since my daughter had received this twice before. State law says she has to have the shots MMR and DTP at a later date.  This was the third time my daughter has received those shots.  She has been exhibiting signs of adhd since.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Arthralgia, Fatigue, Headache, Injection site erythema, Myalgia
Clinical narrative: About one week after vaccination patient experienced headache, arthralgia, myalgia, fatigue, some erythema around innoculation site.
Age: 44.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site inflammation, Oedema, Pain
Clinical narrative: 9/25/03 10 AM right arm injection site with 80 x 85mm erythema. Generalized flushing.
Age: 44.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Flushing, Injection site erythema
Clinical narrative: 9/25/03 10 AM right arm injection site with 80 x 85mm erythema. Generalized flushing.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Febrile convulsion, Hypotonia, Hypoxia, Pyrexia, Stupor
Clinical narrative: 2 days s/p + year vaccinations (see below), pt developed fever 104 and had complex febrile seizure required intubation and PICU stay. Discharge summary states complex febrile seizure, limp, shaking, postictal, stridor, hypoxia. msv
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Tremor
Clinical narrative: 2 days s/p + year vaccinations (see below), pt developed fever 104 and had complex febrile seizure required intubation and PICU stay. Discharge summary states complex febrile seizure, limp, shaking, postictal, stridor, hypoxia. msv
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Pyrexia, Swelling
Clinical narrative: Swelling, redness, heat from above elbow to above shoulder. Fever developed. Sent from urgent care to hospital. Admitted and treated with Ancef for 2 days. Discharged on Augmentin. Discharge diagnosis: vaccination reaction with possible.
Age: 56.0
Sex: M
Vaccine: PPV
Symptoms: Tongue oedema
Clinical narrative: Pt called on 9/22/03 and told us that on 9/18/03 his tongue swelled up and he could hardly talk. It resolved without him seeking medical attention.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Swelling and redness of left thigh around injection site and down thigh.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Hyperhidrosis, Pyrexia, Tremor
Clinical narrative: Increased temp, shaking and sweating
Age: 18.0
Sex: M
Vaccine: MEN
Symptoms: Headache, Nausea, Neck pain, Pyrexia, Vomiting
Clinical narrative: Pt's father called me (doctor on call) to report symptoms of headache, neck pain, fever, nausea, and vomiting approximately 72 hours after receiving Menomune vaccine. Pt was advised to go to local ER.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: Child had swelling erythema next day right thigh where DTaP given. Fever 103+ over next 2 days.
Age: 36.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Arthralgia, Asthenia
Clinical narrative: Multiple joint pain and weakness after 2nd Anthrax shot in June.
Age: 46.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Feeling hot, Injection site erythema, Pruritus
Clinical narrative: Erythema, warmth, itch. 11cm wide x 22cm long. Tx Hydrocortisone 1% cream top tid. Allegra 180 mg daily for itching.
Age: 15.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot
Clinical narrative: Exaggerated local reaction with warmth, redness 3 days after vaccine.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Lipodystrophy acquired, Skin disorder
Clinical narrative: Pt returned to office on 9/24/03 to have arm rechecked. Mom reports that arm has developed skin-muscle deformity at site of injection, within 2 weeks of injection. Right arm has developed a mild lipodystrophy at site of subcutaneous Varivax administration.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Upper right arm swollen, warm and very hard. Red from top of arm to mid upper arm and around back of arm to just above elbow.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Upper right arm red, swollen, warm to touch
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema
Clinical narrative: Redness at site progressing to shoulder and upper back. No fever or pain. Treated in ER as possible cellulitis. Sx completely resolved within 3 days of Tx, 5 days after injection.
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Injection site erythema, Pyrexia
Clinical narrative: Temp 103.4 <24 hours. Red area <(a dime) in size.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Pruritus, Urticaria
Clinical narrative: Pt received IPV, DTaP, MMR and Prevnar in late AM. Mom called at 4:00 PM stating pt with urticarial rash to trunk and LE (blanches to touch). Benadryl 25mg IM given to pt once pt returned to clinic 4:30 PM. No respiratory distress, itchy. Hives disappearing.
Age: 32.0
Sex: F
Vaccine: VARCEL
Symptoms: Lymphadenopathy, Rash vesicular
Clinical narrative: Mild disseminated Varicella rash, posterior cervical adenopathy.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site swelling
Clinical narrative: Erythema, edema around injection site about 3cm raised ring. Diffuse edema, induration right upper arm, shoulder to elbow.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Ocular hyperaemia, Rash
Clinical narrative: Developed bumps and was red all over face, neck, chest and arms. Eyes also reddened, few spots in stomach. Went to nurse practitioner next for scheduled PE, thought was from allergies again. Zyrtec didn't help so went to PA Sat. and was thought from immunization. Still had rash so went to Dr, started on steroids, bumps went away, but redness lasted 1-2 weeks.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Cough, Influenza like illness, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Pt had a flu-like syndrome with sore throat, cough, subjective fever, back pains.
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Infection
Clinical narrative: Mom states 2 weeks ago child broke out with generalized chicken pox.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Infection
Clinical narrative: Mom called 9/19/03 stated child broke out with about 10 chicken pox on back, stomach.
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Mom called 8/18/03 and stated child broke out with chicken pox.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Chills, Erythema, Injection site mass, Myalgia
Clinical narrative: Fever 101; chills; aching muscles and joints; local reaction, redness, knots, sore to touch. Warm, moist compresses.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Pain, Pyrexia
Clinical narrative: Fever 101; chills; aching muscles and joints; local reaction, redness, knots, sore to touch. Warm, moist compresses.
Age: 1.08
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Convulsion, Pyrexia
Clinical narrative: On 3rd day after receiving immunizations, child had febrile seizure at 4:00 PM. Mom witnessed. Child had been sleeping alot on this day. Temp 101.8 in office 9/18/03 at 5:13 PM.
Age: 1.83
Sex: F
Vaccine: DTAP, PNC
Symptoms: Agitation, Crying, Ear disorder, Pyrexia
Clinical narrative: 8/7/03: Non stop crying one hour. 8/9: 102.5 temp, ear infection-possible onset from troubled immune system from immunizations; 8/10: 105.8 temp, ER visit, antibiotic (no help). 8/11: 105.2 temp, ER visit, antibiotic-Bactrim.
Age: 18.0
Sex: F
Vaccine: HEPA
Symptoms: Chest pain, Chills, Dyspnoea, Myalgia, Palpitations
Clinical narrative: 3 days after vaccine, developed fever 102 degrees, chills, palpitations, severe myalgias on right side and right shoulder (injection site), right hip and knee, chest pain and dyspnea.
Age: 18.0
Sex: F
Vaccine: HEPA
Symptoms: Pyrexia
Clinical narrative: 3 days after vaccine, developed fever 102 degrees, chills, palpitations, severe myalgias on right side and right shoulder (injection site), right hip and knee, chest pain and dyspnea.
Age: 1.25
Sex: M
Vaccine: FLUX, MMR
Symptoms: Breath odour, Insomnia, Irritability, Pyrexia, Rash
Clinical narrative: 1/7/97: fever and vomit, crabby, congestion, not sleeping. 1/13/97: crabby, fever, congestion, not sleeping. 1/21/97: ear-fluid. 1/30/97: fever, not sleeping, bad breath. 2/3/97: rash on abdomen-red dots spread to the rest of the body over the week.
Age: 1.25
Sex: M
Vaccine: FLUX, MMR
Symptoms: Vomiting
Clinical narrative: 1/7/97: fever and vomit, crabby, congestion, not sleeping. 1/13/97: crabby, fever, congestion, not sleeping. 1/21/97: ear-fluid. 1/30/97: fever, not sleeping, bad breath. 2/3/97: rash on abdomen-red dots spread to the rest of the body over the week.
Age: 1.25
Sex: F
Vaccine: DTAP
Symptoms: Pruritus, Rash
Clinical narrative: Child developed itching and rash of legs and genital area after DTaP #4 administration left leg. Followed up 9/18/03 Benadryl (1 tsp every 4 to 6 hours). X-ray followed up 9/19/03. Continued Benadryl, cream, Prednisolone 5mg BID for 4 days. Return 1 week.
Age: 36.0
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Injection site mass, Pain
Clinical narrative: Got Td injection in left deltoid. C/o warmth at site, and knot at site, tenderness to touch. Has been rubbing with alcohol and taking Tylenol. Instructed to apply warm compresses, take Advil as directed on bottle, d/c using alcohol and F/U with her MD next week if not better.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, MMR
Symptoms: Cellulitis
Clinical narrative: Cellulitis at shot site (MMR vaccine) left thigh.
Age: 1.0
Sex: M
Vaccine: IPV, VARCEL
Symptoms: Infection, Rash vesicular
Clinical narrative: Developed mild varicella rash 13 1/2 months following administration of Varivax.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Pain, Pruritus
Clinical narrative: 48 hours post vaccination, 12 cm erythema, itching and pain. 9/19/03 erythema totally resolved, no sequelae.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Feeling hot
Clinical narrative: Cellulitis left arm 14cm x 11cm. Warm.
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA, HIBV, IPV, MMR, PNC
Symptoms: Injection site erythema, Injection site oedema, Tremor
Clinical narrative: Redness, swelling in left leg. Mild shaking.