chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 27.0
Sex: M
Vaccine: ANTH, FLUX, MEN, MMR, SMALL
Symptoms: Injection site papule, Injection site pustule, Injection site reaction, Injection site vesicles, Keloid scar
Clinical narrative: This case was received on 15 April 2014 via a third party query tool search on the VAERS database, under reference number 518868. A 27 year old male patient had received the following vaccinations on 28 October 2013: ACAM2000 (SP Biologics Co. lot number VV04003A) in the left arm, Meningococcal vaccine into the right arm, manufacturer, route and lot number unknown, Influenza seasonal vaccine intramuscularly, manufacturer, site and lot number unknown, MMR vaccine dose 1 subcutaneously, manufacturer, site and lot number unknown and Anthrax vaccine dose 2, manufacturer, site, route and lot number unknown. On 06 January 2014, the patient experienced a papule on Smallpox site, then a blister, then a pustule, as expected. He was not aware of a scab forming or falling off. He kept the area covered and dry and removed the Band-Aid while in the shower. Patted dry and covered with clean Band-Aid. Has kept area covered with Band-Aid until present. Skin at smallpox site injection site is completely healed with keloid about size of dime at injection site. Other medication, current illnesses and  history were reported as none. The patient outcome was recovered. Documents held by sender: None.
Age: 27.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Local reaction, Pain
Clinical narrative: This case was received on 15 April 2014 via a third party query tool search on the VAERS database, under reference number 520429. A 27 year old female patient, with no reported medical history and no illness at the time of vaccination, received a left arm injection of ACAM2000 (lot number VV04003A) on January 2014. On 19 January 2014, i.e. 7 days post-vaccination, she was seen by a physician who noted that the vaccination site was hot to the touch, red, and had swelling 2-3 inches in diameter around the site. Complaints included pain, itching and "mostly swelling". The patient was diagnosed with "most likely a local reaction to the vaccine". Outcome was unknown. Documents held by sender: None
Age: 27.0
Sex: F
Vaccine: SMALL
Symptoms: Pruritus, Swelling, Vaccination complication
Clinical narrative: This case was received on 15 April 2014 via a third party query tool search on the VAERS database, under reference number 520429. A 27 year old female patient, with no reported medical history and no illness at the time of vaccination, received a left arm injection of ACAM2000 (lot number VV04003A) on January 2014. On 19 January 2014, i.e. 7 days post-vaccination, she was seen by a physician who noted that the vaccination site was hot to the touch, red, and had swelling 2-3 inches in diameter around the site. Complaints included pain, itching and "mostly swelling". The patient was diagnosed with "most likely a local reaction to the vaccine". Outcome was unknown. Documents held by sender: None
Age: 37.0
Sex: F
Vaccine: SMALL
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: This case was received on 15 April 2014 via a third party query tool search on the VAERS database, under reference number 520628. A 37 year old female patient, with no medical history and no illness at time of vaccination, received a left arm injection of ACAM2000 (lot number VV04003A) on 17 January 2014. On 24 January 2014, i.e. 7 days post-vaccination, she was seen in the clinic for her post-vaccination check and was noted to have tingling and numbness of the vaccinated arm to the wrist. The following day it also extended to her left hand; the patient subsequently recovered. Documents held by sender: None
Age: 34.0
Sex: M
Vaccine: SMALL
Symptoms: Rash macular, Skin hyperpigmentation
Clinical narrative: Initial case received on 12 May 2014 via a third party query tool search on the VAERS database, under reference number 521948. A 34-year-old male patient, with a medical history of shingles, had received a percutaneous injection od ACAM2000 (lot number, route and site of administration not reported). he was not taking any other medication. Current illness was reported as none. It was not reported whether the patient had received prior vaccinations. On 01 February, approximately 19 days post vaccination, he developed diffuse hyperpigmented macular rash in anterior abdomen without systemic symptoms. The patient was evaluated on 06 February 2014 and was recommended for observation. No complementary investigations were reported. Outcome was not reported. Documents held by sender: none
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site rash
Clinical narrative: This case was received on 12 may 2014 via a third party query tool search on the VAERS database, under reference number 522028. A 21 year-old male patient with no medical history, current illness or other medications had received on 27 January 2014 a left arm injection of ACAM2000 (lot number not reported) and 10 days later on 06 February 2014, experienced a rash from small pox vaccination (left upper arm) across front of his shoulder and up to the base of the left side neck. The patient has an emergency visit. lab data and prior vaccinations were unknown. Treatments were not reported. Outcome was unknown. Although the manufacturer was reported as unknown in this case, ACAM2000 was the only licensed smallpox vaccine at the time of the patient's vaccination. Documents held by sender: none
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Blister
Clinical narrative: This case was received on 12 May 2014 via a third party query tool search on the VAERS database, under reference number 522174. A 19 year-old male patient with no reported history had received on 28 January 2014 a left arm injection of ACAM2000 (lot number VV04003A), and 9 days later on 06 February 2014, developed a blister on his face. Current illnesses were none reported. Lab data and prior vaccinations were unknown. Other medications were none. Outcome was unknown. There may be a discrepancy between the event date field and the onset date information in the free text narrative field in the data reported. Latency has been calculated using the event date. Documents held by sender: none
Age: 25.0
Sex: F
Vaccine: SMALL
Symptoms: Exposure during pregnancy, No adverse event, Pregnancy test positive
Clinical narrative: This case was received on 12 May 2014 via a third party query tool search on the VAERS database, under reference number 522434, and is a case of vaccine exposure during pregnancy. A 25-year-old female patient received the following vaccination on 27 January 2014: ACAM2000 (lot number VV04003A). The patient had no medical history or illness at time of vaccination. On 10 February 2014  she underwent a pregnancy test which was positive; per the reporter, estimated gestation at vaccination was one day. The patient had no reported adverse events. Outcome was unknown. Documents held by sender: None.
Age: 28.0
Sex: M
Vaccine: FLU3, MMR, SMALL
Symptoms: Discomfort, Erythema multiforme, Macule, Papule, Pruritus
Clinical narrative: Initial case received on 12 May 2014 via a third party query tool search on the VAERS database, under reference number 523045. A 28-year-old male patient, with no medical history and no current illness, had received a percutaneous injection of ACAM2000 (lot number V04003A), concomitantly with a subcutaneous injection of MMR vaccine (other manufacturer, lot number J006955) and an intramuscular dose of FLUVIRIN (other manufacturer, lot number 13421P) on 07 February 2014. It was not reported whether the patient received any other medication or prior vaccination. On 01 February, approximately 10 days post vaccination, he developed rash on hands, dorsal and palmar surfaces, bil elbows and knees. Concentric targetoid macules and papules associated with itching and discomfort were also reported. No other symptom was described. It was reported that rash was consistent with erythema multiforme minor. No complementary investigations were reported. The patient required an emergency visit. Outcome was reported as recovery unknown. Documents held by sender: none.
Age: 28.0
Sex: M
Vaccine: FLU3, MMR, SMALL
Symptoms: Rash
Clinical narrative: Initial case received on 12 May 2014 via a third party query tool search on the VAERS database, under reference number 523045. A 28-year-old male patient, with no medical history and no current illness, had received a percutaneous injection of ACAM2000 (lot number V04003A), concomitantly with a subcutaneous injection of MMR vaccine (other manufacturer, lot number J006955) and an intramuscular dose of FLUVIRIN (other manufacturer, lot number 13421P) on 07 February 2014. It was not reported whether the patient received any other medication or prior vaccination. On 01 February, approximately 10 days post vaccination, he developed rash on hands, dorsal and palmar surfaces, bil elbows and knees. Concentric targetoid macules and papules associated with itching and discomfort were also reported. No other symptom was described. It was reported that rash was consistent with erythema multiforme minor. No complementary investigations were reported. The patient required an emergency visit. Outcome was reported as recovery unknown. Documents held by sender: none.
Age: 32.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Dizziness, Pruritus, Rash
Clinical narrative: This case was received on 12 May 2014 via a third party query tool search on the VAERS database, under reference number 523173. A 32 year-old female with a history that includes allergic to seasonal pollen and PCN had received the following vaccines on 15 February 2014: dose 1 left arm injection of ACAM2000 (lot number VV04003A) and a left arm injection of ANTHRAX vaccine (other manufacturer lot number FAV349, route of administration not reported) and the next day on 16 February 2014, felt itchy and light headad before she developed a rash on her arms, legs and face. The patient took BENADRYL to relieve the itching but the symptoms just progressed. The patient was given CLARITIN to relieve symptoms. Current illnesses were reported as none. Other medications and prior vaccinations were not reported. Outcome was recovered. Documents held by sender: none.
Age: 23.0
Sex: F
Vaccine: ANTH, MMR, SMALL
Symptoms: Fatigue, Headache, Oral herpes
Clinical narrative: This case was received on 12 may 2014 via a third party query tool search on the VAERS database, under reference number 523845. A 23 year old female patient was vaccinated on 08 February 2014 with the following vaccines: ACAM2000 (lot number not reported), Anthrax vaccine route reported as needle and syringe (not specified further) (manufacturer unknown, lot number not reported) and MMR dose 1.0, route reported as needle and syringe (not specified further) (manufacturer unknown, lot number not reported). On 17 February 2014, nine days following vaccination, the patient experienced fatigue, headache and oral herpes. The patient's medical history was not reported. The patient's concomitant medications were reported as: BUSPAR; CYMBALTA; MINIPRESS and VALTREX. Laboratory tests were not reported. The patient outcome was reported as unknown. Documents held by sender: None. Although the manufacturer was reported as unknown in this case, ACAM2000 was the only licensed smallpox vaccine at the time of the patient's vaccination.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Rash macular, Rash pruritic, Skin plaque
Clinical narrative: Initial case received on 16 June 2014 via a third party query tool search on the VAERS database, under reference number 525416. A 23-year-old male patient, with reported history of nonspecific rash and no current illness, had received a percutaneous injection of ACAM2000 on 29 December 2013 (lot number, site of administration not reported). It was not reported whether the patient had received other medication or prior vaccination. On 29 December 2013, same day as the vaccination with smallpox, the patient developed multiple pruritic erythematous "macule vs plaques (? hives)". He experienced macular and pruritic rash as well as skin plaque. The events resolved with topical steroids. Patient was evaluated on 03 February 2014 where he was asymptomatic except for multiple hyperpigmented macules presumably at site of prior potential hives. Lab data were reported as none. The patient went for an emergency visit. Outcome was reported as recovered. Note: Although the manufacturer was reported as unknown in this case, ACAM2000 was the only licensed smallpox vaccine at the time of patient's vaccination. Documents held by sender: none.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Blister, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Initial case received on 16 June 2014 via a third party query tool search on the VAERS database, under reference number 525946. A 19-year-old male patient, with no reported medical history and no current illness, had received a percutaneous injection of ACAM2000, (lot number VV04003A) in the left arm on had received other medication or prior vaccination. On 14 February 2014, 17 days post vaccination, the patient developed blister, mild pruritic rash of erythematous papules mostly on hands and feet, papular rash with some central vesicles. lab data were reported as none. Outcome was reported as recovery unknown. Note: Although the manufacturer was reported as unknown in this case, ACAM2000 was the only licensed smallpox vaccine at the time of patient's vaccination. Documents held by sender: none
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus, Rash erythematous
Clinical narrative: This case was received on 16 June 2014 via a third party query tool search on the VAERS database, under reference number 526182. A 20 year-old male patient with an allergy to penicillin and no history of skin disease had received on 24 February 2014 a dose 0 left arm ACAM2000 (lot number VV04003A) and 16 days later on 12 March 2014, experienced red itchy bumps to his toes, lower arms and lower legs. Patient was evaluated in an urgent care and an emergency room. Treatment included a Medrol pack, clobetasol cream and hydroxyzine. According to the patient, "the itching has greatly reduced since starting the MEDROL as well as the overall scope of the outbreak." The patient does live in the dorms, shares a bathroom with someone else but has been going to work. Patient denies any fever, chills, nausea or vomiting. lab data and prior vaccinations were unknown. Current illnesses and other medications were none. Outcome was not reported. Documents held by sender: none
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Rash, Skin lesion, Vaccination complication, Vaccinia virus infection
Clinical narrative: This case was received on 16 June 2014 via a third party query tool search on the VAERS database, under reference number 526194. A 32-year-old male patient had received the following vaccination on 13 March 2014: ACAM2000 (SP Biologics Co. lot number not reported) in the left arm. Five days later on 18 March 2014, the patient experienced a diffuse abdominal and flank rash, lesions less than 1 mm in size and a vaccination complication. There was no lymph node involvement. It was reported that vaccinia reaction was likely. The patient's other medications were reported as Doxycycline for malaria prophylaxis. Current illnesses and history were reported as none. Outcome was unknown. Although the manufacturer was reported as unknown in this case, ACAM2000 was the only licensed smallpox vaccine at the time of the patient's vaccination. The vents of rash, skin lesion and vaccination complication were included in the coding from the VAERS database and coded for the case: however only the event of vaccinia reaction had been mentioned in the narrative. Documents held by sender: none
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Macule, Skin reaction
Clinical narrative: This case was received on 16 June 2014 via a third party query tool search on the VAERS database, under reference number 526919. A 20 year-old male patient with no reported past medical history had received on 19 March 2014 a dose 0 left arm injection of ACAM2000 (lot number VV04003A) and 4 days later on 23 March 2014, developed a localized skin reaction: erythematous macule. Lab data, other medications, current illnesses and history were none. Prior vaccinations were not reported. Outcome was unknown. Documents held by sender: none.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Axillary pain, Inflammation, Injection site erythema, Pain, Rash erythematous
Clinical narrative: This case was received on 31 July 2014 via a third party query tool search on the VAERS database, under reference number 527606.  A 21-year-old male patient with a history of seasonal allergies received ACAM2000 (lot number VV04003A) on 26 March 2014. Concomitant medications included a multivitamin. On 31 March 2014, i.e. five days post-vaccination, he began experiencing moderate pain to the left armpit, which later increased to sharp pain with movement. A red linear elevated/inflammation rash was noted from the vaccination site and wrapping around to his left armpit. The temperature of his skin was also noted to be warm around his bicep. Event onset date was reported as 03 April 2014. Outcome was not reported. Documents held by sender: None. There may be a discrepancy between the event date field and the onset date information in the free text narrative fields in the data reported. Latency has been calculated using the event date.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Skin warm, Vaccination site inflammation, Vaccination site rash
Clinical narrative: This case was received on 31 July 2014 via a third party query tool search on the VAERS database, under reference number 527606.  A 21-year-old male patient with a history of seasonal allergies received ACAM2000 (lot number VV04003A) on 26 March 2014. Concomitant medications included a multivitamin. On 31 March 2014, i.e. five days post-vaccination, he began experiencing moderate pain to the left armpit, which later increased to sharp pain with movement. A red linear elevated/inflammation rash was noted from the vaccination site and wrapping around to his left armpit. The temperature of his skin was also noted to be warm around his bicep. Event onset date was reported as 03 April 2014. Outcome was not reported. Documents held by sender: None. There may be a discrepancy between the event date field and the onset date information in the free text narrative fields in the data reported. Latency has been calculated using the event date.
Age: 33.0
Sex: M
Vaccine: SMALL
Symptoms: Acne, Erythema, Pain, Rash papular, Skin lesion
Clinical narrative: This case was received on 31 July 2014 via a third party query tool search on the VAERS database, under reference number 527609.A 33 year-old male patient had received the following vaccines on 21 march 2014: an upper left arm injection of ACAM2000 (lot number VV04003A). The patient was recovering from a cold at the time and has a history of seasonal allergies. He denied chest pain, neck pain, malaise or painful lymph nodes. On the 31 March 2014, 10 days post vaccination he noted a painful lesion on his left wrist. It was "round, raised" with a surrounding area of erythema of about 4 cm. The lesion was seen on 01 April 2014 at the clinic just prior to the patient transferring. The patient was told that it looked like a staph infection and he was prescribed PCN Penicillin. Also on 01 April 2014, the patient noted a popular-vesicular rash on his chest and back which is not painful or pruritic. On 02 April 2014, the patient noted a "pimple" on the right side of his neck "which he popped" but it has returned. The patient's lab data was reported as none and other medications are unknown. No further information was available at the time of the report. The patient's outcome was unknown. Although the manufacturer was reported as unknown in this case, ACAM2000 was the only licensed smallpox vaccine at the time of the patient's vaccination. Documents held by sender: none
Age: 33.0
Sex: M
Vaccine: SMALL
Symptoms: Staphylococcal infection
Clinical narrative: This case was received on 31 July 2014 via a third party query tool search on the VAERS database, under reference number 527609.A 33 year-old male patient had received the following vaccines on 21 march 2014: an upper left arm injection of ACAM2000 (lot number VV04003A). The patient was recovering from a cold at the time and has a history of seasonal allergies. He denied chest pain, neck pain, malaise or painful lymph nodes. On the 31 March 2014, 10 days post vaccination he noted a painful lesion on his left wrist. It was "round, raised" with a surrounding area of erythema of about 4 cm. The lesion was seen on 01 April 2014 at the clinic just prior to the patient transferring. The patient was told that it looked like a staph infection and he was prescribed PCN Penicillin. Also on 01 April 2014, the patient noted a popular-vesicular rash on his chest and back which is not painful or pruritic. On 02 April 2014, the patient noted a "pimple" on the right side of his neck "which he popped" but it has returned. The patient's lab data was reported as none and other medications are unknown. No further information was available at the time of the report. The patient's outcome was unknown. Although the manufacturer was reported as unknown in this case, ACAM2000 was the only licensed smallpox vaccine at the time of the patient's vaccination. Documents held by sender: none
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Vaccination site pain, Vaccination site pruritus, Vaccination site swelling
Clinical narrative: This case was received on 31 July 2014 via a third party query tool search on the VAERS database. VAERS ID number was provided of 528226. A 23 year-old male patient had received on 03 April 2014 a dose of ACAM2000 (lot number not reported) and 9 days later, developed redness, swelling, pruritus, pain at site of vaccination. No system symptoms were reported. The patient normal vital signs, no fever. The patient had an emergency visit. Current illnesses was reported as no History and other medications were none. Prior vaccinations were not reported. Outcome was unknown. Although the manufacturer was reported as unknown in this case, ACAM2000 was the only licensed smallpox vaccine at the time of the patient's vaccination. Documents held by sender: none.
Age: 45.0
Sex: F
Vaccine: MMR, SMALL
Symptoms: Mass, Pain, Rash, Rash pruritic
Clinical narrative: This case was received on 31 July 204 via third party query tool search on the VAERS database, under reference number 528309. A 45 year-old female patient had received the following vaccines on 25 March 2014: a left arm injection of ACAM2000 (lot number VV04003A) and a right arm injection of MMR II (Merck lot number J0006955). The patient's other medications and lab data were unknown and her current illness and history were none. On 05 April 2014, eleven days following vaccination the patient experienced painful lumps at the base of her head and behind her ears with an itchy rash on her face. The patient had emergency visit. Treatment details were not reported. The patient outcome is recovered on an unreported date. Documents held by sender: None.
Age: 69.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema, Pruritus
Clinical narrative: This case was received on 31 July 2014 via a third party query tool search on the VAERS database. VAERS ID number provided of 528312. A 69-year-old female patient had received on 13 March 2014 a right arm smallpox (vaccinia) vaccine (lot number 011546)  and a day later, developed a circular red spot the second day the size of a quarter. By the next day it had doubled in size and then continued down the arm. On 03 April 2014, it had diminished to a faint outline. The patient complained of itching through all of this. History was reported as "Yes: eggs, numerous food pollens etc". Concomitant medications included PREMARIN; blood pressure med; decongestants and vitamins. Outcome was recovered. Although the manufacturer was reported as unknown in this case, ACAM2000 was the only licensed smallpox vaccine at the time of the patient's vaccination. The reported lot number is not a valid Sanofi Pasteur lot number. Documents held by sender: none.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Chest X-ray normal, Fall, Injection site erythema, Rhonchi, Upper respiratory tract infection
Clinical narrative: This case was received on 31 July 2014 via a third party query tool search on the VAERS database. VAERS ID number was provided of 528610. A 19 year-old male patient with a history of keloids (prior shrapnel injuries) left shoulder and left forearm had received on 31 March 2014 a dose 0 left arm injection of ACAM2000 (lot number VV04003A) and on 08 April 2014, developed a rash with redness and pustules surrounding vaccinia vaccination site after falling onto left shoulder while playing football. The patient had an emergency visit. The patient had normal chest (PA/lateral) x-ray which was ordered for an URI with the symptom of ronchi on exam. The no current illnesses. Other medications and prior vaccinations were not reported. Outcome was recovered. Documents held by sender: none.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Vaccination site pustule, Vaccination site rash
Clinical narrative: This case was received on 31 July 2014 via a third party query tool search on the VAERS database. VAERS ID number was provided of 528610. A 19 year-old male patient with a history of keloids (prior shrapnel injuries) left shoulder and left forearm had received on 31 March 2014 a dose 0 left arm injection of ACAM2000 (lot number VV04003A) and on 08 April 2014, developed a rash with redness and pustules surrounding vaccinia vaccination site after falling onto left shoulder while playing football. The patient had an emergency visit. The patient had normal chest (PA/lateral) x-ray which was ordered for an URI with the symptom of ronchi on exam. The no current illnesses. Other medications and prior vaccinations were not reported. Outcome was recovered. Documents held by sender: none.
Age: 39.0
Sex: M
Vaccine: SMALL
Symptoms: Rash maculo-papular, Rash pruritic
Clinical narrative: This case was received on 31 July 2014 via a third party query tool search on the VAERS database, under reference number 528630. A 39 year-old male patient had received the following vaccine on 05 April 2014: a right arm injection of ACAM2000 (lot number not reported). On 15 April 2014, ten days following vacciantion, the patient developed pruritic maculo/papular rash on his torso and extremities, including palms of hands and soles of feet. The patient's current illnesses were none and lab data and other medications were not reported. The patient had an emergency visit, but treatment details were not reported. The patient outcome is unknown. Althought the manufacturer was reported as unknown in this case, ACAM2000 was the only licensed smallpox vaccine at the time of the patient's vaccination. Documents held by sender: none
Age: 29.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Excoriation, Macule, Papule, Pruritus, Rash
Clinical narrative: Initial case received on 31 July 2014 via a third party query tool search on the VAERS database, under reference number 528764. A 29-year-old male patient, with no medical history and no medical history and no current illness, had received an injection of ACAM2000 (lot number V04003A), concomitantly with a dose of BIOTHRAX (batch number FAV341A) on 21 March 2014. The patient did not receive any other medications. It was not reported whether the patient had received prior vaccination. On 31 March 2014, 10 days post vaccination, he developed rash on his hands, and tops of feet. Rash initially started on wrists, spread to fingers and feet. He had a lesion on his left elbow. The patient stated that lesions were itchy. He denied pain, but noted a "tight feeling" along his fingers. he denied lesions in his mouth/lips and other part of his body. He also denied headache, fever, N/V, chest pain, shortness of breath, problems with his vaccination site. Other than rash, he reported that he was doing well. Multiple macules and papules were noted on palmar, dorsal surfaces of hands, between fingers, and one lesion on elbows for total of 10-15 lesions. No pustules or vesicles. Slight excoriation of wrist lesion was also noted. No complementary investigations were reported. Outcome was reported as recovery unknown. Documents held by sender: none
Age: 29.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Skin lesion, Skin tightness
Clinical narrative: Initial case received on 31 July 2014 via a third party query tool search on the VAERS database, under reference number 528764. A 29-year-old male patient, with no medical history and no medical history and no current illness, had received an injection of ACAM2000 (lot number V04003A), concomitantly with a dose of BIOTHRAX (batch number FAV341A) on 21 March 2014. The patient did not receive any other medications. It was not reported whether the patient had received prior vaccination. On 31 March 2014, 10 days post vaccination, he developed rash on his hands, and tops of feet. Rash initially started on wrists, spread to fingers and feet. He had a lesion on his left elbow. The patient stated that lesions were itchy. He denied pain, but noted a "tight feeling" along his fingers. he denied lesions in his mouth/lips and other part of his body. He also denied headache, fever, N/V, chest pain, shortness of breath, problems with his vaccination site. Other than rash, he reported that he was doing well. Multiple macules and papules were noted on palmar, dorsal surfaces of hands, between fingers, and one lesion on elbows for total of 10-15 lesions. No pustules or vesicles. Slight excoriation of wrist lesion was also noted. No complementary investigations were reported. Outcome was reported as recovery unknown. Documents held by sender: none
Age: 29.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Injection site irritation, Vaccination complication
Clinical narrative: This case was received on 31 July 2014 via a third party query tool search on the VAERS database. VAERS ID number was provided of 529105. A 29 year-old male patient with a history of allergic rhinitis and HTN (hypertension) had received the following vaccines on 08 April 2014: a dose of 0 right arm injection of ACAM2000 (lot number VV04003A) and a dose 0 left arm intramuscular injection of BIOTHRAX (Emergent lot number FAV309) and 13 days later on 21 April 2014, developed a local irritation at site of occlusive dressing, satellite lesions appears consistent with the vaccine site. Concomitant medications included HCTZ 12.5 mg and fluticasone nasal spray. Current illnesses were no. Prior vaccination were not reported. Documents held by sender: none.
Age: 37.0
Sex: M
Vaccine: MMR, SMALL
Symptoms: Erythema, Joint range of motion decreased, Pain in extremity, Pruritus, Swelling
Clinical narrative: This case was received on 31 July 2014 via a third party query tool search on the VAERS database, under reference number 529340. A 37 year-old male patient had received the following vaccine on 21 April 2012: a left arm injection of ACAM2000 (lot number VV04063A) and a left arm injection of MMR II (Merck lot number J009706). He was also vaccinated with ANTHRAX VACCINE, manufacturer, route, data and site of administration were not reported. The patient was taking Naproxin for knee pain and the patient has no identified illnesses, known allergies or medication conditions at the time of vaccination. On 23 April 2014, two years following vaccination of SMALLPOX AND MMR, the Anthrax vaccination (booster) developed redness, itch and pain in the right upper arm spreading distally. He reported a limitation in ROM range of movement. The symptoms started after taking a hot shower the night of vaccine administration (not specified). Upon physical examination, he was afebrile, had erythema, swelling and tenderness below the site of vaccination. He did not experience lymphadenopathy. He was assessed as having a reaction consistent with subcutaneous administration of vaccination. He was prescribed NSAID's and antihistamines with elevation of the arm. He was to remain in his quarters for 24 hours and have a return assessment in 2 days. Anthrax vaccine was not coded by the authorities, but was mentioned in the narrative and therefore was coded. Additionally, event onset was reported as 23 April 2014 (i.e. 2 years after vaccination on 21 April 2012), but also reported as "the night of vaccine administered". Although the manufacturer was reported as unknown in this case, ACAM2000 was the only licensed smallpox vaccine at the time of the patient's vaccination. The patient outcome is unknown. Documents held by sender: None.
Age: 37.0
Sex: M
Vaccine: MMR, SMALL
Symptoms: Tenderness
Clinical narrative: This case was received on 31 July 2014 via a third party query tool search on the VAERS database, under reference number 529340. A 37 year-old male patient had received the following vaccine on 21 April 2012: a left arm injection of ACAM2000 (lot number VV04063A) and a left arm injection of MMR II (Merck lot number J009706). He was also vaccinated with ANTHRAX VACCINE, manufacturer, route, data and site of administration were not reported. The patient was taking Naproxin for knee pain and the patient has no identified illnesses, known allergies or medication conditions at the time of vaccination. On 23 April 2014, two years following vaccination of SMALLPOX AND MMR, the Anthrax vaccination (booster) developed redness, itch and pain in the right upper arm spreading distally. He reported a limitation in ROM range of movement. The symptoms started after taking a hot shower the night of vaccine administration (not specified). Upon physical examination, he was afebrile, had erythema, swelling and tenderness below the site of vaccination. He did not experience lymphadenopathy. He was assessed as having a reaction consistent with subcutaneous administration of vaccination. He was prescribed NSAID's and antihistamines with elevation of the arm. He was to remain in his quarters for 24 hours and have a return assessment in 2 days. Anthrax vaccine was not coded by the authorities, but was mentioned in the narrative and therefore was coded. Additionally, event onset was reported as 23 April 2014 (i.e. 2 years after vaccination on 21 April 2012), but also reported as "the night of vaccine administered". Although the manufacturer was reported as unknown in this case, ACAM2000 was the only licensed smallpox vaccine at the time of the patient's vaccination. The patient outcome is unknown. Documents held by sender: None.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Cough, Eye pruritus, Fatigue, Lymph node pain, Nasopharyngitis
Clinical narrative: This case was received on 27 August 2014 via a third party query tool search on the VAERS database, under reference number 529886. A 23-year-old male patient received a left arm injection of ACAM2000 (lot not reported) on 14 April 2014. On 23 April 2014, reported as eight days post-vaccination, the patient reported painful lymph nodes in the neck and left armpit. Two days after inoculation he noted a rash described as "red pronounced" rings on the chest, abdomen and arms, and cold symptoms including a runny nose, sore itchy throat, and cough which lasted five days. He reported tenderness of the lymph nodes on his neck and left armpit for two days after immunization, in addition to fatigue, and itching of the eyes. The patient noted "when I washed or showered I used my hand and soap rubbing over the immunization and over my whole body". Past medical history included seasonal allergies and a latex allergy, and concomitant medications included CLARITIN and nasal spray. The event was treated with ATARAX 25mf four times daily as needed. Outcome was reported as "not recovered". There may be a discrepancy between the event date field and the onset date information in the free text narrative field in the data reported. Latency has been calculated using the event date. Documents held by sender: None.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Oropharyngeal pain, Rash erythematous, Rhinorrhoea, Throat irritation
Clinical narrative: This case was received on 27 August 2014 via a third party query tool search on the VAERS database, under reference number 529886. A 23-year-old male patient received a left arm injection of ACAM2000 (lot not reported) on 14 April 2014. On 23 April 2014, reported as eight days post-vaccination, the patient reported painful lymph nodes in the neck and left armpit. Two days after inoculation he noted a rash described as "red pronounced" rings on the chest, abdomen and arms, and cold symptoms including a runny nose, sore itchy throat, and cough which lasted five days. He reported tenderness of the lymph nodes on his neck and left armpit for two days after immunization, in addition to fatigue, and itching of the eyes. The patient noted "when I washed or showered I used my hand and soap rubbing over the immunization and over my whole body". Past medical history included seasonal allergies and a latex allergy, and concomitant medications included CLARITIN and nasal spray. The event was treated with ATARAX 25mf four times daily as needed. Outcome was reported as "not recovered". There may be a discrepancy between the event date field and the onset date information in the free text narrative field in the data reported. Latency has been calculated using the event date. Documents held by sender: None.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site vesicles
Clinical narrative: This case was received on 27 August 2014 via a third party query tool search on the VAERS database, under reference number 529920. A 25-year-old female military member, with no reported history, received a right arm injection of ACAM2000 (lot number V04003A) on 24 April 2014. Seven days post-vaccination, on 01 May 2014, the patient returned to clinic for a "smallpox check", at which time she stated that the site was swollen and sore to touch. Her bandage was removed to expose a quarter sized round blister "similar in appearance to a 2nd degree burn blister". The site around the blister also had moderate redness and swelling. The patient was escorted to the clinic for further evaluation by a physician, and the event subsequently resolved on an unspecified date. Documents held by sender: None.
Age: 34.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema, Joint range of motion decreased, Swelling
Clinical narrative: This case was received on 27 August 2014 via a third party query tool search on the VAERS database, under reference number 530059. A 34 year-old female patient had received on 16 April 2014 a dose 0 left arm injection of ACAM2000 (lot number not reported) and on the same date experienced extreme swelling, redness and limited ROM of arm. The patient was evaluated in the emergency room. Lab data, other medications, current illnesses, history and prior vaccinations were not reported. Outcome was unknown. Although the manufacturer was reported as unknown in this case, ACAM2000 was the only licensed smallpox vaccine at th e time of the patient's vaccination. Documents held by sender: none.
Age: 27.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Rash pruritic
Clinical narrative: This case was received on 27 August 2014 via a third party query tool search on the VAERS database, under reference number 530549. A 27-year-old male, with no reported history, received the following vaccines on 22 April 2014: a left arm injection of ACAM2000 (lot number VV04003A); TYPHYOID VI VACCINE, lot number J16311); and anthrax vaccine (Emergent, lot number FAV370A). On 07 May 2014, i.e. 15 days post-vaccination, the patient developed a pruritic rash on both elbows. He was seen by a physician's assistant on 09 May 2014 and prescribed topical steroids and oral antibiotics. Outcome was not reported. Documents held by sender: None.
Age: 29.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Fatigue, Injection site reaction, Pyrexia
Clinical narrative: This case was received on 27 August 2014 via a third party query tool search on the VAERS database, under reference number 531008. A 29 year-old male had received the following vaccines on 06 May 2014: ACAM2000 (lot number VV04003A, site of administration not reported) and dose 1 of Anthrax vaccine (other manufacturer lot number FAV370A, route and site of administration not reported) and an unspecified amount of time later, experienced low grade fever, fatigue and the smallpox vaccine "spread around site of admission". Lab data, other medications, current illnesses and prior vaccinations were not reported. Outcome was not reported. Documents held by sender: none.
Age: 21.0
Sex: F
Vaccine: ANTH, SMALL, TYP
Symptoms: Rash generalised
Clinical narrative: This case was received on 27 May 2014 via a third party query tool search on the VAERS database, under reference number 531066. A 21 year-old female had received the following vaccines on 07 May 2014: dose 0 left arm injection of ACAM2000 (lot number VV04003A), a dose of 0 intramuscular right arm injection of TYPHOID VI, lot number J1629 and a dose 0 intramuscular right arm injection of ANTHRAX vaccine (other manufacturer lot number FAV349A) and 11 days later on 16 May 2014, experienced a rash all over body. Lab data was n/a. Other medications, current illnesses, history and prior vaccinations were not reported. Outcome was unknown. Documents held by sender: none.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Rash pruritic
Clinical narrative: This case was received on 27 August 2014 via a third party query tool search on the VAERS database, under reference number 531376. A 20-year-old male, with no reported history, received the following vaccines on 06 May 2014: a left arm injection of ACAM2000 (lot number VV04003A); and an intramuscular right arm injection of EMERGENT (lot number FAV349A). On 16 May 2014, i.e. 10 days post-vaccination, the patient developed local, itchy, non-pustular rash. He was seen in the emergency room and treated with BENADRYL, ZOFRAN, and ZANTAC, and discharged home. Outcome was unknown. Documents held by sender: None.
Age: 24.0
Sex: F
Vaccine: ANTH, SMALL, TYP
Symptoms: Arthralgia, Myalgia
Clinical narrative: This case was received on 27 August 2014 via a third party query tool search on the VAERS database, under reference number 531457. A 24 year-old female with no history had received the following vaccines on 01 May 2014: dose 0 of ACAM2000 (lot number VV04003A, site of administration not reported), Typhoid VI (lot number J1629, route and site of administration not reported) and Anthrax vaccine (other manufacturer lot number FAV349A, route and site of administration not reported) and 13 days later on 14 May 2014, experienced pain in elbows and knees. Treated herself with 800 mg of ibuprofen three times that day and woke the following day with even worse pain that was "diffuse through knees, hips, elbows and shoulders." The patient also had myalgias in her upper arms and thighs. The symptoms persisted for almost a week with no improvement before she was seen in the clinic. Treatment included prednisone. Current illnesses were reported as no. Lab data, other medications and prior vaccinations were not reported. Outcome was unknown. Documents held by sender: none.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: This case was received on 27 August 2014 via a third party query tool search on the VAERS database, under reference number 531786. A 20-year-old male, with no reported history, received a left arm injection of ACAM200 (lot number, reported as U40240, not a valid lot number) on 05 May 2014. On 22 May 2014, i.e. 17 days post-vaccination, the patient developed a rash which was "not itchy but bumpy". He was seen in the emergency room, no treatment was administered. Outcome was unknown. Although the lot number ACAM2000 was reported as U40240. to date, the only ACAM2000 lot number released to the SNS from bulk lot VV04003 was VV04003A. Documents held by sender: None.
Age: 31.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Drug administered at inappropriate site, Immediate post-injection reaction, Impaired work ability, Injected limb mobility decreased, Injection site injury
Clinical narrative: Patient states onset of immediate severe pain to right shoulder with tetanus injection.  Did not say anything - thought it was normal.  Comes to Urgent Care 1/21/2015 due to ongoing severe pain and severe limitation of motion in her right shoulder.  Cannot work.
Age: 31.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Injection site pain, Insomnia
Clinical narrative: Patient states onset of immediate severe pain to right shoulder with tetanus injection.  Did not say anything - thought it was normal.  Comes to Urgent Care 1/21/2015 due to ongoing severe pain and severe limitation of motion in her right shoulder.  Cannot work.
Age: 31.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Immediate post-injection reaction, Impaired work ability, Joint range of motion decreased, Musculoskeletal pain
Clinical narrative: Patient states onset of immediate severe pain to right shoulder with tetanus injection.  Did not say anything - thought it was normal.  Comes to Urgent Care 1/21/2015 due to ongoing severe pain and severe limitation of motion in her right shoulder.  Cannot work.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC13, VARCEL, HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: DEVELOPED MACULOPAPULAR RASH ON ABDOMEN - SPREAD TO NECK AND BACK
Age: 0.32
Sex: F
Vaccine: DTAP
Symptoms: Crying, Injection site erythema, Injection site reaction, Lethargy, Urticaria
Clinical narrative: Inconsolable crying, red welt at injection spot, lethargy.
Age: 11.0
Sex: M
Vaccine: FLUN4
Symptoms: Headache, Vomiting
Clinical narrative: Oct21 9pm symptomatic; Oct22 noon severe headache and vomiting; Oct23 severe headache; Oct24 headache.
Age: 2.0
Sex: M
Vaccine: VARCEL
Symptoms: Pyrexia, Rash, Varicella post vaccine
Clinical narrative: Chicken pox rash on all torso and small fever (100-101). Fever began on Saturday 01/31 and rush on all torso begun on 02/03/2015 afternoon.
Age: 2.0
Sex: F
Vaccine: FLUX
Symptoms: Convulsion, Influenza like illness, Pain, Screaming
Clinical narrative: Started with flu like symptoms, then waking in the night screaming out in pain and refusing to be touched, then had a seizure on 10/17/2013.
Age: 23.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Autoimmune thyroiditis, Cellulitis, Fatigue, Immediate post-injection reaction, Pain
Clinical narrative: Immediately after vaccine I started feeling pain, it got so bad I went into ER. I was diagnosed with cellulitis from the vaccine. I was no longer able to stay awake. I constantly fell asleep, nothing could keep me awake. I was then diagnosed with adrenal fatigue and Hashimotos disease.
Age: 23.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Somnolence, Vaccination complication
Clinical narrative: Immediately after vaccine I started feeling pain, it got so bad I went into ER. I was diagnosed with cellulitis from the vaccine. I was no longer able to stay awake. I constantly fell asleep, nothing could keep me awake. I was then diagnosed with adrenal fatigue and Hashimotos disease.
Age: 0.5
Sex: F
Vaccine: DTAP, HEP, HIBV, RV5
Symptoms: Erythema, Keratosis pilaris, Rash
Clinical narrative: Rash over face, nothing worked to treat. Progressed to arms, legs. Face became red at almost all times. Has never gone away.