chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 7.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Pyrexia, Red blood cell sedimentation rate increased, Viral infection
Clinical narrative: Initial report received on 5/15/2006 and 5/17/2006 from a physician. A seven year old male patient with no significant past medical history had received an intramuscular dose of Fluzone SV 2005-2006USP, lot number U1753AA, in the deltoid muscle (exact site not reported) on 10/05/2005. Approximately 12 hours post immunization, the patient developed a fever of 101.0 to 103.0 degrees F. He was seen by the physician on 10/8/2005. A strep culture was negative, and the patient was subsequently diagnosed with viral pharyngitis. On 10/12/2005, the patient presented to the physicians office with erythema and swelling of the second through fifth M-P joints on both of his hands. The mother reported that the patient had been bitten by a tick a few days prior to the office visit. Blood work including serology testing was completed for possible lyme disease and all the results were negative. The patient was subsequently diagnosed with acute arthritis. The patients symptoms of fever, viral pharyngitis, erythema and swelling of the second through fifth M-P joints on both hands and acute arthritis were all reported as recovered with a few days of onset of symptoms. On 3/30/2006 the patient developed strep throat and was treated with Amoxil. He had strep throat again on 4/11/2006 and was seen by the physician and treated with Duricef. During the physical examination on 4/11/2006, it was noted the patient had a heart rate of 52. An EKG showed the patient to be in complete heart block. Bradycardia had not been noted on previous examinations and an EKG that was done at birth had shown normal sinus rhythm. The patient was admitted to the hospital from the physicians office and was subsequently transferred to another hospital for placement of a cardiac pacemaker. The patient was subsequently discharged from the hospital and was doing well with the pacemaker on 5/17/2006. His recovery status was reported as not recovered.
Age: 7.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Arthritis, Atrioventricular block, Bacterial infection, Bradycardia, Erythema
Clinical narrative: Initial report received on 5/15/2006 and 5/17/2006 from a physician. A seven year old male patient with no significant past medical history had received an intramuscular dose of Fluzone SV 2005-2006USP, lot number U1753AA, in the deltoid muscle (exact site not reported) on 10/05/2005. Approximately 12 hours post immunization, the patient developed a fever of 101.0 to 103.0 degrees F. He was seen by the physician on 10/8/2005. A strep culture was negative, and the patient was subsequently diagnosed with viral pharyngitis. On 10/12/2005, the patient presented to the physicians office with erythema and swelling of the second through fifth M-P joints on both of his hands. The mother reported that the patient had been bitten by a tick a few days prior to the office visit. Blood work including serology testing was completed for possible lyme disease and all the results were negative. The patient was subsequently diagnosed with acute arthritis. The patients symptoms of fever, viral pharyngitis, erythema and swelling of the second through fifth M-P joints on both hands and acute arthritis were all reported as recovered with a few days of onset of symptoms. On 3/30/2006 the patient developed strep throat and was treated with Amoxil. He had strep throat again on 4/11/2006 and was seen by the physician and treated with Duricef. During the physical examination on 4/11/2006, it was noted the patient had a heart rate of 52. An EKG showed the patient to be in complete heart block. Bradycardia had not been noted on previous examinations and an EKG that was done at birth had shown normal sinus rhythm. The patient was admitted to the hospital from the physicians office and was subsequently transferred to another hospital for placement of a cardiac pacemaker. The patient was subsequently discharged from the hospital and was doing well with the pacemaker on 5/17/2006. His recovery status was reported as not recovered.
Age: 7.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Joint swelling, Pharyngitis, Pharyngolaryngeal pain, Pyrexia, Viral infection
Clinical narrative: Initial report received on 5/15/2006 and 5/17/2006 from a physician. A seven year old male patient with no significant past medical history had received an intramuscular dose of Fluzone SV 2005-2006USP, lot number U1753AA, in the deltoid muscle (exact site not reported) on 10/05/2005. Approximately 12 hours post immunization, the patient developed a fever of 101.0 to 103.0 degrees F. He was seen by the physician on 10/8/2005. A strep culture was negative, and the patient was subsequently diagnosed with viral pharyngitis. On 10/12/2005, the patient presented to the physicians office with erythema and swelling of the second through fifth M-P joints on both of his hands. The mother reported that the patient had been bitten by a tick a few days prior to the office visit. Blood work including serology testing was completed for possible lyme disease and all the results were negative. The patient was subsequently diagnosed with acute arthritis. The patients symptoms of fever, viral pharyngitis, erythema and swelling of the second through fifth M-P joints on both hands and acute arthritis were all reported as recovered with a few days of onset of symptoms. On 3/30/2006 the patient developed strep throat and was treated with Amoxil. He had strep throat again on 4/11/2006 and was seen by the physician and treated with Duricef. During the physical examination on 4/11/2006, it was noted the patient had a heart rate of 52. An EKG showed the patient to be in complete heart block. Bradycardia had not been noted on previous examinations and an EKG that was done at birth had shown normal sinus rhythm. The patient was admitted to the hospital from the physicians office and was subsequently transferred to another hospital for placement of a cardiac pacemaker. The patient was subsequently discharged from the hospital and was doing well with the pacemaker on 5/17/2006. His recovery status was reported as not recovered.
Age: 10.0
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Erythema multiforme
Clinical narrative: CTS mother phoned in an stated that client had a strange reaction to Hepatitis A immunization given 5/9/06 stated that she had a rash all up arm, across chest and in arm pit on right arm and was itchy CT has had several allergies to Imms in the past was advised to give child Benadryl and to F/U with MD as needed.
Age: 10.0
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Rash pruritic
Clinical narrative: CTS mother phoned in an stated that client had a strange reaction to Hepatitis A immunization given 5/9/06 stated that she had a rash all up arm, across chest and in arm pit on right arm and was itchy CT has had several allergies to Imms in the past was advised to give child Benadryl and to F/U with MD as needed.
Age: 12.0
Sex: M
Vaccine: YF
Symptoms: Anaphylactic shock
Clinical narrative: Serious criteria other medically significant (OMIC). Initial report received from a healthcare professional on 5/18/2006. An 11 year old male patient had received a subcutaneous, left arm injection of YF Vax, lot number UE813AA, on 5/16/2006. On the same day, the patient developed anaphylactic shock. Per the reporter, the patients father is a pediatrician, and he treated the patient.  The type of treatment was not specified. Past medical history, other medications and illness at the time of vaccination were unknown. Per the reporter, the patient is ok and recovered from the event. Additional information was not provided.
Age: 0.33
Sex: M
Vaccine: DT, HIBV, IPV, PNC
Symptoms: Cyanosis, Pyrexia, Upper respiratory tract infection
Clinical narrative: Seriousness criteria other medically significant (OMIC). Initial report received on 5/17/2006 from a health care professional. A four month old male patient with a concurrent illness of diarrhea and a past medical history of gastroesophageal reflux treated with Zantac, had received his second intramuscular dose of ActHib, lot number UE844AA (manufacturer lot number Z0208-2), in the right anterior thigh, his second intramuscular dose of DT ADS ped USP, lot number U1577BA, in the right anterior thigh, his second intramuscular dose of Ipol, lot number Y1067, in the left anterior thigh, and his second intramuscular dose of Prevnar, in the left anterior thigh on the afternoon of 5/15/2006. Sometime that evening, the patient developed a fever that lasted through the next day. On 5/16/2006, it was reported to the physician that the patients hands and feet were blue all day. The physician evaluated him in the office that evening and no cyanosis was noted. The physician questioned whether the patient had an upper respiratory infection or a reaction to the vaccination received the day before. At the time of this report, the patient had recovered from these adverse events. The patient had previously reported fever, irritability and two episodes where he stopped breathing during the night after receiving his primary doses of ActHib, Prevnar, Daptacel, Ipol, and second dose of Hepatitis B on 3/13/2006. These event were considered as serious and are reported in case 200601188.
Age: 0.16
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Apnoea, Irritability, Pyrexia
Clinical narrative: Seriousness Criteria other medically significant (OMIC). Initial report received on 5/17/2006 from a health care professional. A two month old male patient with a history of gastroesophageal reflux and who was taking Zantac had received his first intramuscular dose of ActHib, lot number UE785AA (manufacturer lot number Z0074-2), in the left anterior thigh, his first intramuscular dose of Daptacel, lot number C2375AA, in the left anterior thigh, his first intramuscular dose of Ipol, lot number Y1049, in the left anterior thigh, his second intramuscular dose of Hepatitis B vaccine, in the right anterior thigh, and his first intramuscular dose of Prevnar, in the anterior thigh on the afternoon of 3/13/2006. On 5/15/2006, the mother reported to the physicians office that sometime during the evening of 3/13/2006. after receiving the above vaccinations the patient developed a fever of 103.0 degrees F that lasted thru the night. The patient was very irritable and on two different occasions during the night he stopped breathing. The mother was able to arouse the child and he was ok. She contacted the physicians office that evening and spoke with the physician on call. It was not reported if any treatment was provided or if the patient was seen by a physician. No diagnostic laboratory testing was completed. The patient had previously had an EKG done at birth that was within normal limits. At the time of this report, the patient had recovered from the adverse events. The patient subsequently experienced fever and episodes of his hands and feet turning blue. This case was considered as serious and is reported in case 200601187.
Age: 31.0
Sex: F
Vaccine: PPV
Symptoms: Bacterial infection
Clinical narrative: Information has been received from a health professional concerning a 30 year old female with asthma who on 5/12/2006 was vaccinated IM with a 0.5 ml dose of Pneumococcal 23v polysaccharide vaccine (lot 651320/1008P). On about 5/15/2006, the patient was seen in the office with an infected arm. She was admitted to the hospital that day for a possible staph infection. Laboratory diagnostic studies included blood and other test done in the hospital. At the time of this report, she was still in the hospital receiving intravenous antibiotics and had not recovered. It was noted that the patient received a dose of Pneumococcal 23v polysaccharide vaccine 5 years ago. No product quality complaint was involved. Infected arm was considered to be an other important medical event (OMIC). Additional information has been requested.
Age: 12.0
Sex: M
Vaccine: HEPA
Symptoms: Agitation, Apnoea, Crying, Cyanosis, Fall
Clinical narrative: Information has been received from a physician concerning an 11 year old male child who on 11/16/2005 was vaccianted with hepatitis A virus vaccine inactivated (lot 651151/0846R), 0.5 ml, IM, one time dose. Concomitant medication was reported as none. On 11/16/2005, the patient was vaccinated with hepatitis A virus vaccine inactivated. The CMA giving the vaccination turned around for a second and the child fainted and fell on his face, splitting his lip. The child stopped breathing and started to become cyanotic. Oxygen was administered to the patient and he awoke crying. The patient was sent to the ER for follow up. The ER diagnosis was vasovagal syncope. On an unspecified date, the patient recovered from the events. Vasovagal syncope, fell on his face, splitting his lip were considered to be immediately life threatening and other important medical event (OMIC). Additional information has been requested.
Age: 12.0
Sex: M
Vaccine: HEPA
Symptoms: Hypoxia, Injury, Syncope, Syncope vasovagal
Clinical narrative: Information has been received from a physician concerning an 11 year old male child who on 11/16/2005 was vaccianted with hepatitis A virus vaccine inactivated (lot 651151/0846R), 0.5 ml, IM, one time dose. Concomitant medication was reported as none. On 11/16/2005, the patient was vaccinated with hepatitis A virus vaccine inactivated. The CMA giving the vaccination turned around for a second and the child fainted and fell on his face, splitting his lip. The child stopped breathing and started to become cyanotic. Oxygen was administered to the patient and he awoke crying. The patient was sent to the ER for follow up. The ER diagnosis was vasovagal syncope. On an unspecified date, the patient recovered from the events. Vasovagal syncope, fell on his face, splitting his lip were considered to be immediately life threatening and other important medical event (OMIC). Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Dizziness, Dysphagia, Fatigue, Musculoskeletal stiffness, Pharyngolaryngeal pain
Clinical narrative: Evening of day Menactra and Varicella vaccine administered. Extreme fatigue, light headed x 4 day. Following day sore throat, difficulty swallowing x 4 days. Approx 5 days later c/o continued sore throat shoulder pain and stiffness. Afebrile throughout. No physician visit.
Age: 19.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Shoulder pain
Clinical narrative: Evening of day Menactra and Varicella vaccine administered. Extreme fatigue, light headed x 4 day. Following day sore throat, difficulty swallowing x 4 days. Approx 5 days later c/o continued sore throat shoulder pain and stiffness. Afebrile throughout. No physician visit.
Age: 19.0
Sex: M
Vaccine: HEP, JEV, SMALL
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Thrombotic thrombocytopenic purpura
Clinical narrative: Erythema, edema, TTP, warmth, streaking from immunization to left axillary.
Age: 28.0
Sex: F
Vaccine: VARCEL
Symptoms: Skin ulcer, Viral infection
Clinical narrative: Started noticing chicken pox lesions on Monday 5/22/06 arm chest, and back.
Age: 1.26
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Agitation, Crying
Clinical narrative: Pt screamed uncontrollably for 1 1/2 hours the morning after the vaccines.
Age: 3.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site hypersensitivity, Tenderness
Clinical narrative: Redness, erythema, slight tenderness 6-7 cm area LA.
Age: 84.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Pruritus
Clinical narrative: Induration, redness, and itching at site of injection, migrating down her skin.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Injection site oedema, Oedema
Clinical narrative: Pt received Pneumovax 23 left deltoid, 5/22/06 at 4pm, within 1 hour swelling in left shoulder radiating to neck and down to antic cubital Fossa of left elbow, advised NSAID with Rocephin
Age: 1.15
Sex: M
Vaccine: VARCEL
Symptoms: Rash papular
Clinical narrative: Immunizations given 5/18/06, seen by physician on 5/18/06. As woke up with "rash" on forehead and cheeks. Rash described as papular approx. 3cm diameter. Child quarantined. No fever, rash gone within 2 days. "Back to his self in 2 days" per mother.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Pt had whole limb swelling, erythema and pain of left arm 2 days after immunization. Swelling in lasted over 48 hours and then redness and swelling subsided over next several days. No antibiotics were given.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Blister, Erythema, Swelling, Tenderness
Clinical narrative: Pt had whole limb swelling, erythema and pain of left arm 2 days after immunization. Swelling in lasted over 48 hours and then redness and swelling subsided over next several days. No antibiotics were given.
Age: 53.0
Sex: F
Vaccine: PPV, TD
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Cellulitis to left upper arm.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Left arm swollen, redness, no temp per mother
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: Marked local reaction erythema, swelling shoulder to elbow. T99.2
Age: 45.0
Sex: F
Vaccine: TD
Symptoms: Chills, Dizziness, Fatigue, Hypotension, Influenza like illness
Clinical narrative: Developed left arm pain, flu like sx, the following day tired, aching all over, increased left arm pain, swelling and stiffness, chills and low grade fever 05/18/06, took Tylenol, 5/20/2006 developed dizziness, erythema raised area below injection site, BP decreased 9/55 with home machine 10mm below normal. Larger area redness and erythema on 5/21/06. presents today 5/22/06 for evaluation no fever, chills, left deltoid sore, erythema 5cm x 15cm.
Age: 45.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site oedema, Injection site pain, Injection site swelling
Clinical narrative: Developed left arm pain, flu like sx, the following day tired, aching all over, increased left arm pain, swelling and stiffness, chills and low grade fever 05/18/06, took Tylenol, 5/20/2006 developed dizziness, erythema raised area below injection site, BP decreased 9/55 with home machine 10mm below normal. Larger area redness and erythema on 5/21/06. presents today 5/22/06 for evaluation no fever, chills, left deltoid sore, erythema 5cm x 15cm.
Age: 45.0
Sex: F
Vaccine: TD
Symptoms: Musculoskeletal stiffness, Pain, Pyrexia
Clinical narrative: Developed left arm pain, flu like sx, the following day tired, aching all over, increased left arm pain, swelling and stiffness, chills and low grade fever 05/18/06, took Tylenol, 5/20/2006 developed dizziness, erythema raised area below injection site, BP decreased 9/55 with home machine 10mm below normal. Larger area redness and erythema on 5/21/06. presents today 5/22/06 for evaluation no fever, chills, left deltoid sore, erythema 5cm x 15cm.
Age: 26.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site hypersensitivity, Injection site oedema, Pruritus, Tenderness
Clinical narrative: Localized swelling and redness, 5" by 3" slightly tender, itchy.
Age: 5.0
Sex: F
Vaccine: HEPA
Symptoms: Bacterial infection, Chest pain, Decreased appetite, Diarrhoea, Erythema
Clinical narrative: 05/01/06 Rash all over body Mom reported welts on arm 4/29/06 headache steadily increasing. 4/30/06 decreased intake, Emesis x 1 5/01/06 and sore throat, chest pain, fever. also Diarrhea, tonsils 2x erythemic. ER reports fine papular rash. given PCN IM, Mom believes H/T Hep A.
Age: 5.0
Sex: F
Vaccine: HEPA
Symptoms: Headache, Pharyngolaryngeal pain, Pyrexia, Rash, Rash papular
Clinical narrative: 05/01/06 Rash all over body Mom reported welts on arm 4/29/06 headache steadily increasing. 4/30/06 decreased intake, Emesis x 1 5/01/06 and sore throat, chest pain, fever. also Diarrhea, tonsils 2x erythemic. ER reports fine papular rash. given PCN IM, Mom believes H/T Hep A.
Age: 5.0
Sex: F
Vaccine: HEPA
Symptoms: Tonsillitis, Urticaria, Vomiting
Clinical narrative: 05/01/06 Rash all over body Mom reported welts on arm 4/29/06 headache steadily increasing. 4/30/06 decreased intake, Emesis x 1 5/01/06 and sore throat, chest pain, fever. also Diarrhea, tonsils 2x erythemic. ER reports fine papular rash. given PCN IM, Mom believes H/T Hep A.
Age: 1.02
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Varicella vaccine breakthrough. Developed rash 5/17/06. No fever. Dx'd by doctor with vaccine modified varicella on 5/18/06. Had over 50 micro-vesicular lesions on trunk, arms and legs.
Age: 5.0
Sex: M
Vaccine: UNK
Symptoms: Injection site warmth, Pruritus
Clinical narrative: 13cm x 12cm 5/10/06 received DTap injection itches warm to touch reaction started 5/11/06 Elidel RX to help with itching and ice.
Age: 17.0
Sex: M
Vaccine: TD
Symptoms: Joint range of motion decreased, Myalgia, Shoulder pain
Clinical narrative: Deep muscle aches and pain in shoulder and arm spreading to back side. Limited mobility.
Age: 53.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Dizziness, Headache, Pain, Pyrexia
Clinical narrative: Vaccine Admin. 5/22 at 10:00 AM. 11:00 AM, reports weakness, lightheadedness, headache. 13:00 PM-headache-went home from work-Excedrin at 10:30 AM. 18:00 PM-fever 100.4, Motrin. 23:00 PM, fever 99.6-Bodyaches-Skelaxin 800mg. 5/23/06, fever 100.4 down to 98.2 with Motrin. 5/24/06=Persistent body aches, lightheadedness.
Age: 1.21
Sex: F
Vaccine: HEP, HIBV, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Pt developed chickenpox on 5/16/2006. Was vaccinated by another provider on 11/2/2000 with varicella vaccine.
Age: 1.27
Sex: F
Vaccine: HIBV, MMR
Symptoms: Febrile convulsion
Clinical narrative: Febrile convulsion on 5/15/06. She was seen at ER and released.
Age: 1.05
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Eye disorder, Facial palsy
Clinical narrative: Asymmetry on the face with the Rt side of the mouth more droopy; cannot close right eye well.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Dtap 0.5cc given IM to Left deltoid on 5/17/05. Left deltoid swollen and red measuring 7 1/2 cm x 9 cm area. Bactrim 40 mg 15ml prescribed 2 tsp BID x 10 days.
Age: 22.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: Rash noted on back and chest 5/20/06. Rash noted on wrist R 5/22/06. 11 days post vaccine.
Age: 38.0
Sex: F
Vaccine: PPV
Symptoms: Injection site mass, Injection site oedema, Injection site pain
Clinical narrative: Pt received pneumococcal vaccine, developed reaction, swelling at the site, pain and induration.
Age: 64.0
Sex: F
Vaccine: PPV
Symptoms: Injection site oedema, Injection site rash
Clinical narrative: Admitted 5/10/06 discharged 5/17/06. Received pneumococcal vaccine (routine). Developed L arm rash, swollen arm. Treated with Tylenol, Keflex PO, warm compresses.
Age: 78.0
Sex: M
Vaccine: FLU3, PPV, TD
Symptoms: Dyspnoea, Pyrexia
Clinical narrative: FOUR HOURS AFTER THE SHOT HAD SOB, FEVER OF 103 DEGREES. DID NOT GO TO THE ER DUE TO THE COST. BETTER THE NEXT DAY. fEVER WENT DOWN. ALL SYMPTOMS GONE BY THE FOLLOWING DAY.
Age: 17.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Asthenia, Hypoaesthesia, Leukopenia, Pain, White blood cell count decreased
Clinical narrative: Received MMR and Tdap on 05-02-06. First immunizations received in life time. On 05-12-06 C/O of aches and weakness then, on 5-14-06 c/o arms and legs going numbpain. Hospitalized with leukopenia per lab results. Mother reports that was only diagnosis from hospitalization.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Injection site erythema, Injection site induration, Pain, Pyrexia
Clinical narrative: Mother reports that about 12-24 hours after the shot of MMR, Hep A, DTP and Polio and mother reports that she was told that she received DTaP in that leg.  Patient complained of pain the next day -- within 24 hours.  By about 36 hours, she had swelling and redness and tenderness of the leg.  She had temp to 99 degrees when seen in ER last night.  She presents in clinic due to increased swelling and redness of the leg.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Swelling, Tenderness
Clinical narrative: Mother reports that about 12-24 hours after the shot of MMR, Hep A, DTP and Polio and mother reports that she was told that she received DTaP in that leg.  Patient complained of pain the next day -- within 24 hours.  By about 36 hours, she had swelling and redness and tenderness of the leg.  She had temp to 99 degrees when seen in ER last night.  She presents in clinic due to increased swelling and redness of the leg.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Depressed level of consciousness, Erythema, Lethargy, Ocular hyperaemia, Sneezing
Clinical narrative: After vaccines, immediately sneezed several times, vomited, became lethargic and hard to arouse, then developed red eyes and skin within 30  minutes.  Skin was beet red for 1-2 hours, eventually looking like hives.  Very itchy. Benadryl given, and symptoms resolved over 2 hours.  No shortness of breath or wheezing.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Urticaria, Vomiting
Clinical narrative: After vaccines, immediately sneezed several times, vomited, became lethargic and hard to arouse, then developed red eyes and skin within 30  minutes.  Skin was beet red for 1-2 hours, eventually looking like hives.  Very itchy. Benadryl given, and symptoms resolved over 2 hours.  No shortness of breath or wheezing.
Age: 1.26
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Rash vesicular, Viral infection
Clinical narrative: Pt had Varivax on 6/6/03, broke out with chickenpox on 5/24/06.
Age: 0.34
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Insomnia, Lethargy, Pyrexia, Screaming
Clinical narrative: Pt received below vaccines on 5/24/06. Mom states by the time she got home he was lethargic and cry sounded funny. Mom stated his tongue looked swollen and like it was in the way. She just watched him that night. He woke up screaming several times that night. Mom reports that he normally sleeps through the night. Around 4am mom states he woke up screaming and had a rectal temp of >102. Mom called pediatrician on call due to the tongue swelling and fever. She was told to take pt to the ER. Mom reports that fever was down and he was acting better when they got to the ER. Mom felt they were dismissing her claims. They sent her home and told her just to watch him. Mom called back today 5/26/06 stating his tongue is still swollen but he is afebrile. Mom states he is sleeping ok, breathing normally. Per Dr, mom advised ok to give Benadryl 1/4 tsp Q 6 hrs as needed if he is having breathing problems. Mom verbalized understanding. /21/06-4page ER report received from Provena Mercy Center-ER visit-exam at 0640 revealed normal ENT-DC Diagnois fever. RX Tylenol
Age: 0.34
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Tongue oedema
Clinical narrative: Pt received below vaccines on 5/24/06. Mom states by the time she got home he was lethargic and cry sounded funny. Mom stated his tongue looked swollen and like it was in the way. She just watched him that night. He woke up screaming several times that night. Mom reports that he normally sleeps through the night. Around 4am mom states he woke up screaming and had a rectal temp of >102. Mom called pediatrician on call due to the tongue swelling and fever. She was told to take pt to the ER. Mom reports that fever was down and he was acting better when they got to the ER. Mom felt they were dismissing her claims. They sent her home and told her just to watch him. Mom called back today 5/26/06 stating his tongue is still swollen but he is afebrile. Mom states he is sleeping ok, breathing normally. Per Dr, mom advised ok to give Benadryl 1/4 tsp Q 6 hrs as needed if he is having breathing problems. Mom verbalized understanding. /21/06-4page ER report received from Provena Mercy Center-ER visit-exam at 0640 revealed normal ENT-DC Diagnois fever. RX Tylenol
Age: 21.0
Sex: F
Vaccine: HEPA, IPV, TDAP
Symptoms: Abdominal pain, Chills, Diarrhoea, Dizziness, Headache
Clinical narrative: Took 1 capsule 10PM 5/11/06 at 1 AM woke up with slight HA. Woke up again 4AM with HA still and slight stomach ache. At 6AM woke up with chills, HA, dizzy. Like this all day. Temp taken later in day was 10.3.7. Went to ER 9:30PM given IV fluids and 2 meds for stomach. Released 1 AM 5/13/06. Had diarrhea 5/14 and 15. No symp 5/16/06.
Age: 21.0
Sex: F
Vaccine: HEPA, IPV, TDAP
Symptoms: Pyrexia
Clinical narrative: Took 1 capsule 10PM 5/11/06 at 1 AM woke up with slight HA. Woke up again 4AM with HA still and slight stomach ache. At 6AM woke up with chills, HA, dizzy. Like this all day. Temp taken later in day was 10.3.7. Went to ER 9:30PM given IV fluids and 2 meds for stomach. Released 1 AM 5/13/06. Had diarrhea 5/14 and 15. No symp 5/16/06.
Age: 59.0
Sex: F
Vaccine: HEP
Symptoms: Chills, Hypoaesthesia, Paraesthesia
Clinical narrative: Pt described having received 3rd HBV 5/25/06 at 4:30PM. Stated "I then worked hard for a few hrs mowing my lawn." At approx 8:00PM onset of Sx: tingling sensation in lips and fingertips with numbness in left fingertips, and chills. Pt did not seek medical care and did not take her temp.
Age: 19.0
Sex: F
Vaccine: HEPA
Symptoms: Cold sweat, Nausea, Vomiting
Clinical narrative: PT CAME IN FOR THE 1ST OF HEPATITIS A SHOT. IMMEDIATELY AFTER THE INJECTION, THE PT'S EXPRESSION CHANGED & FELT SHE HAD TO SIT DOWN. SHE WAS LEANING AGAINST A WALL & SLID DOWN TO THE FLOOR. SHE SAID SHE FELT NAUSEOUS. SHE ASKED FOR & RECEIVED SOME COLD WATER. SHE WAS THEN HELPED TO A CHAIR & HAD HER FEET ELEVATED. OCCASIONALLY SHE FELT SWEATY. MENTIONED THAT HISTORY OF PASSING OUT WHEN RECEIVING SHOTS WAS COMMON. AFTER 20 MINS OR SO SHE DECIDED THAT A RIDE HOME WAS NECESSARY. SHE CONTACTED HER FAMILY. RIGHT BEFORE HER PARENTS ARRIVED, SHE VOMITTED A LITTLE, MOSTLY LIQUID, SOME COLOR, BUT NO BLOOD. SHE WAS ABLE TO WALK OUT ON HER OWN & WAS IN THE PHARMACY AREA FOR ABOUT 45 MINS.
Age: 25.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Injection site swelling, Insomnia, Myalgia, Pain
Clinical narrative: 5 inch swelling around the site of injection, muscle and joint pain, restless sleep, hives, body aches. Lasted 4 days.
Age: 25.0
Sex: F
Vaccine: PPV
Symptoms: Urticaria
Clinical narrative: 5 inch swelling around the site of injection, muscle and joint pain, restless sleep, hives, body aches. Lasted 4 days.
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Feeling hot, Hypersensitivity, Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: Information has been received from a health professional concerning a 10 yr old male pt with no past medical history and NKDA who on 29Apr05 at 3:00PM was vaccinated IM into the left deltoid with a first dose of Hepatitis A virus vaccine inactivated (lot 646327/1142P). There was no concomitant medication. On 29Apr05 at 5:00PM the pt developed a rash that started above the injection site. It became worse over the next few days. As of 04May05, the pt's rash above the injection site persisted. The pt sought unspecified medical attention. In follow up information it was noted that the pt was seen in the physician's office on 02May05 for the rash on left deltoid. It was itchy, warm to touch, red, raised and was spreading. Upon exam the pt had dime sized, itchy, papules above the injection site which had quickly spread to the entire arm. The rash was described as a pruritic papular erythema with encrusted tops of papules on the left deltoid approximately 4x6cm. The physician noted that this was a questionable allergic local reaction to the injection. It was also noted that the pt had a normal respiratory effort with a wheeze. It was reported that the pt had recovered. Additional information is not expected.
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Pruritus, Rash papular, Wheezing
Clinical narrative: Information has been received from a health professional concerning a 10 yr old male pt with no past medical history and NKDA who on 29Apr05 at 3:00PM was vaccinated IM into the left deltoid with a first dose of Hepatitis A virus vaccine inactivated (lot 646327/1142P). There was no concomitant medication. On 29Apr05 at 5:00PM the pt developed a rash that started above the injection site. It became worse over the next few days. As of 04May05, the pt's rash above the injection site persisted. The pt sought unspecified medical attention. In follow up information it was noted that the pt was seen in the physician's office on 02May05 for the rash on left deltoid. It was itchy, warm to touch, red, raised and was spreading. Upon exam the pt had dime sized, itchy, papules above the injection site which had quickly spread to the entire arm. The rash was described as a pruritic papular erythema with encrusted tops of papules on the left deltoid approximately 4x6cm. The physician noted that this was a questionable allergic local reaction to the injection. It was also noted that the pt had a normal respiratory effort with a wheeze. It was reported that the pt had recovered. Additional information is not expected.
Age: 39.0
Sex: F
Vaccine: HEPA
Symptoms: Erythema, Feeling hot, Injection site erythema, Injection site oedema, Malaise
Clinical narrative: Information has been received from a health professional concerning a 39 year old white, female (weight 145 lbs, height 5'5") day care worker, with hay fever and lots of allergies including penicillin, who on 14-OCT-2005 (14:30) was vaccinated with the first dose of 0.5 ml, intramuscular dose in the right deltoid of hepatitis A virus vaccine inactivated (Lot# 651856/0813B). Concomitant vaccines administered on the same day and time included the first subcutaneous dose in the right arm of a yellow fever virus vaccine (Lot # UE639AA) and first dose intramuscular in the left deltoid of typhoid vaccine (Lot# X0464-2). It was reported that, the same night, the patient developed a rash on her abdomen, which lasted 3 days., hives, wheezing, redness, and a warm arm, which the patient attributed to the yellow fever virus vaccine. The patient self treated with acetaminophen (+) pseudoephedrine hydrochloride (TYLENOL SINUS). It was reported that the patient recovered. Unspecified medical attention was sought. No product quality complaint was involved. No other information was provided. Follow-up information was received by the health professional which indicated that the patient called on 17-OCT-2005 and stated that her right arm at the "YF" injection site was red, warm, and swollen to touch. That night after injections she had wheezing, difficulty breathing, began itching at midnight and broke out in hives on her abdomen. The patient did not go to a doctor. Illness at time of vaccination was reported as allergies unspecified. She took acetaminophen (+) chlorpheniramine maleate (+) pseudoephedrine hydrochloride (TYLENOL ALLERGY SINUS) because she felt bad the whole weekend. The patient's hives went away on Monday (17-OCT-2005) and her breathing was better. The patient stated she would not be able to complete Hep A series due to rash. The patient stated she felt fine 5 days after injections. No other information was provided.
Age: 39.0
Sex: F
Vaccine: HEPA
Symptoms: Pruritus, Rash, Urticaria, Wheezing
Clinical narrative: Information has been received from a health professional concerning a 39 year old white, female (weight 145 lbs, height 5'5") day care worker, with hay fever and lots of allergies including penicillin, who on 14-OCT-2005 (14:30) was vaccinated with the first dose of 0.5 ml, intramuscular dose in the right deltoid of hepatitis A virus vaccine inactivated (Lot# 651856/0813B). Concomitant vaccines administered on the same day and time included the first subcutaneous dose in the right arm of a yellow fever virus vaccine (Lot # UE639AA) and first dose intramuscular in the left deltoid of typhoid vaccine (Lot# X0464-2). It was reported that, the same night, the patient developed a rash on her abdomen, which lasted 3 days., hives, wheezing, redness, and a warm arm, which the patient attributed to the yellow fever virus vaccine. The patient self treated with acetaminophen (+) pseudoephedrine hydrochloride (TYLENOL SINUS). It was reported that the patient recovered. Unspecified medical attention was sought. No product quality complaint was involved. No other information was provided. Follow-up information was received by the health professional which indicated that the patient called on 17-OCT-2005 and stated that her right arm at the "YF" injection site was red, warm, and swollen to touch. That night after injections she had wheezing, difficulty breathing, began itching at midnight and broke out in hives on her abdomen. The patient did not go to a doctor. Illness at time of vaccination was reported as allergies unspecified. She took acetaminophen (+) chlorpheniramine maleate (+) pseudoephedrine hydrochloride (TYLENOL ALLERGY SINUS) because she felt bad the whole weekend. The patient's hives went away on Monday (17-OCT-2005) and her breathing was better. The patient stated she would not be able to complete Hep A series due to rash. The patient stated she felt fine 5 days after injections. No other information was provided.
Age: 5.0
Sex: M
Vaccine: HEPA, HEPA
Symptoms: Hypersensitivity, Pruritus, Pyrexia, Rash
Clinical narrative: Information has been received from a RN concerning a 5 yr old male with no known drug reactions/allergies who on 10Jan06 was vaccinated (for travel) with the first dose of hep A virus vaccine inactivated (lot648764/1090P), IM in the left arm. Concomitant therapy included prednisone. The nurse received a telephone call from the child's mother who stated the child developed a rash of unspecified description and location on 12Jan06. Medical attention was sought (unspecified). The outcome of the rash was unk. Follow up was received from the registered nurse concerning this 5 yr old Asian male who sees a nephrologist for nephrosis. Concomitant medication was reported as prednisolone sodium phosphate (Orapred). Low grade fever started on 10Jan06 for approx 3-4 days, never above 100 deg F. Late on 10Jan06 (previously reported as 12Jan), a red small rash on his chest, abdomen, and back of thighs appeared. On 12Jan06, the rash was more pronounced and itching. The family doctor diagnosed possible varicella. On 13Jan06 a kidney specialist diagnosed rash as a severe reaction to hep A vaccine. The nurse wrote: Saw child on 18Jan06. No fever, only a". The reaction was reported as recovered. No additional information is expected.
Age: 5.0
Sex: M
Vaccine: HEPA, HEPA
Symptoms: Injection site erythema, Pruritus, Pyrexia, Rash
Clinical narrative: Information has been received from a RN concerning a 5 yr old male with no known drug reactions/allergies who on 10Jan06 was vaccinated (for travel) with the first dose of hep A virus vaccine inactivated (lot648764/1090P), IM in the left arm. Concomitant therapy included prednisone. The nurse received a telephone call from the child's mother who stated the child developed a rash of unspecified description and location on 12Jan06. Medical attention was sought (unspecified). The outcome of the rash was unk. Follow up was received from the registered nurse concerning this 5 yr old Asian male who sees a nephrologist for nephrosis. Concomitant medication was reported as prednisolone sodium phosphate (Orapred). Low grade fever started on 10Jan06 for approx 3-4 days, never above 100 deg F. Late on 10Jan06 (previously reported as 12Jan), a red small rash on his chest, abdomen, and back of thighs appeared. On 12Jan06, the rash was more pronounced and itching. The family doctor diagnosed possible varicella. On 13Jan06 a kidney specialist diagnosed rash as a severe reaction to hep A vaccine. The nurse wrote: Saw child on 18Jan06. No fever, only a". The reaction was reported as recovered. No additional information is expected.
Age: 1.5
Sex: M
Vaccine: HEPA, HEPA
Symptoms: Decreased appetite, Pyrexia, Rash, Urticaria
Clinical narrative: Information has been received from a registered nurse concerning an 18 (also reported as 12) month old white male no pre existing allergies, birth defects, or medical conditions, no illnesses at the time of vaccination, and with a history of varicella rash following vaccination with varicella virus vaccine live at 12 months old (WAES0604USA00098) who on 3/14/2006 at 10:30 am was vaccinated with her first dose of hepatitis A virus vaccine inactivated (lot 652087/0937R), intramuscular left arm. She received no other vaccines within four week period. On 3/16/2006 at 5:00 am the patient had a high fever 102. On 3/17/2006, the fever broke. On 3/19/2006, the patient woke up with a hive like rash predominantly on the groin and lower torso area. The patient also presented with poor appetite. On 3/21/2006, the patient recovered. Additional information has been requested.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL, HBHEPB, MMR, PNC, VARCEL
Symptoms: Candidiasis, Cerebral haemorrhage, Chromosome abnormality, Coagulopathy, Dehydration
Clinical narrative: Developed disseminated varicella starting 4/9/06. Transferred for intensive care. Diagnosed w/ adenosine deaminase deficiency. Bronchoscopy showed presence of 4 vaccine strains: measles, mumps, rubella and varicella. Treated w/ numerous antivirals including IV ribavirin, immune globulins including VariZIG, irradiated T-cells, PEG-ADA. Later developed nosocomial adenovirus associated with acute respiratory distress syndrom. Was improving on ECMO when suffered catastrophic intracranial hemorrhage. Autopsy pending. Father (naive) acquired vaccine-strain varicella while child in ICU.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL, HBHEPB, MMR, PNC, VARCEL
Symptoms: Hypoxia, Immune system disorder, Laboratory test abnormal, Liver function test abnormal, Lung disorder
Clinical narrative: Developed disseminated varicella starting 4/9/06. Transferred for intensive care. Diagnosed w/ adenosine deaminase deficiency. Bronchoscopy showed presence of 4 vaccine strains: measles, mumps, rubella and varicella. Treated w/ numerous antivirals including IV ribavirin, immune globulins including VariZIG, irradiated T-cells, PEG-ADA. Later developed nosocomial adenovirus associated with acute respiratory distress syndrom. Was improving on ECMO when suffered catastrophic intracranial hemorrhage. Autopsy pending. Father (naive) acquired vaccine-strain varicella while child in ICU.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL, HBHEPB, MMR, PNC, VARCEL
Symptoms: Pneumonia, Pulmonary fibrosis, Rash vesicular, Respiratory distress, Sepsis
Clinical narrative: Developed disseminated varicella starting 4/9/06. Transferred for intensive care. Diagnosed w/ adenosine deaminase deficiency. Bronchoscopy showed presence of 4 vaccine strains: measles, mumps, rubella and varicella. Treated w/ numerous antivirals including IV ribavirin, immune globulins including VariZIG, irradiated T-cells, PEG-ADA. Later developed nosocomial adenovirus associated with acute respiratory distress syndrom. Was improving on ECMO when suffered catastrophic intracranial hemorrhage. Autopsy pending. Father (naive) acquired vaccine-strain varicella while child in ICU.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL, HBHEPB, MMR, PNC, VARCEL
Symptoms: Viral infection
Clinical narrative: Developed disseminated varicella starting 4/9/06. Transferred for intensive care. Diagnosed w/ adenosine deaminase deficiency. Bronchoscopy showed presence of 4 vaccine strains: measles, mumps, rubella and varicella. Treated w/ numerous antivirals including IV ribavirin, immune globulins including VariZIG, irradiated T-cells, PEG-ADA. Later developed nosocomial adenovirus associated with acute respiratory distress syndrom. Was improving on ECMO when suffered catastrophic intracranial hemorrhage. Autopsy pending. Father (naive) acquired vaccine-strain varicella while child in ICU.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL, HBHEPB, MMR, PNC, VARCEL
Symptoms: Coagulopathy, Hepatitis, Lymphopenia, Pneumonitis, Respiratory distress
Clinical narrative: Developed disseminated varicella starting 4/9/06. Transferred for intensive care. Diagnosed w/ adenosine deaminase deficiency. Bronchoscopy showed presence of 4 vaccine strains: measles, mumps, rubella and varicella. Treated w/ numerous antivirals including IV ribavirin, immune globulins including VariZIG, irradiated T-cells, PEG-ADA. Later developed nosocomial adenovirus associated with acute respiratory distress syndrom. Was improving on ECMO when suffered catastrophic intracranial hemorrhage. Autopsy pending. Father (naive) acquired vaccine-strain varicella while child in ICU.
Age: 0.16
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema multiforme, Rash, Skin ulcer
Clinical narrative: Patient recieved routine 2 month vaccinations on 24 May 2006 as listed below.  On morning of 27 May 06 patient developed rash, progressed to include central clearing/target lesions the following day. Dx erythema multiforme, minor (no mucouse membrane involvement). Now resolving and patient otherwise doing well. No evidence of co-existing viral syndrome nor ill contacts.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Pyrexia
Clinical narrative: Redness, fever, hot to touch. Pt put on course of antibiotics. Keflex antibiotic.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Abnormal behaviour, Feeling hot, Injection site erythema, Injection site oedema, Malaise
Clinical narrative: Mom noticed decreased activity yesterday 5/26/06 and redness and swelling in left deltoid area at bath time. Pt spontaneously requested to go to bed early after dinner. No fever, but general malaise.
Age: 4.0
Sex: M
Vaccine: DTAP, OPV, VARCEL
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Large red area at injection site and rash.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Injection site erythema, Injection site oedema
Clinical narrative: Redness, swelling, blisters. 5/22/06 mom called. Report child doing good no swelling, no blisters anymore, no problems.
Age: 17.0
Sex: F
Vaccine: HEPA, TYP, YF
Symptoms: Bladder pain, Dysuria, Flank pain, Headache, Nausea
Clinical narrative: Went to medical center on 5/14/06 reportedly with c/o nausea, fever, dysuria, headache, (in ER). Also had dysuria with fever. Was placed on antibiotic Cipro and Pyridium and dismissed. On 5/16/06 was admitted to Hospital without much improvement and continued fever, lab work obtained. Pt to be discharged on 5/18/06. 06/01/06-8 page ED report received for services provided on 5/14/06-seen for c/o sharp bladder pain, N/V-DC DX pylonephritis. Initial temp 100. Medicated in ED with Tylenol, Toradol, Cipro and Motrin. Urine culture positive for E.coli. DC RX Cipro and Motrin. Patient was also seen at Hospital on 5/16/06. 9 page medical record to include H&P and DC summary received from Hospital. DC summary did not include a DX. Dates fo service 5/16-5/17/06. Admitting DX acute UTI with recurrent fever. Admitted with c/o nausea, mild left flank pain, dysuria and fever, 3 day HX treatment with antibiotics with no resolution of fever but UTI symptoms had resolved.  Urine difficult to assess secondary to color staining with Pyridium. Stated symptoms began "not long after vaccinations".  Hospital course included RX with Levauin antibiotic therapy, aggressive hydration. On second day of hospital stay she had no recurrence of fever.