chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Encephalitis, Gait disturbance, Gastroenteritis, Hiccups, Hypokinesia
Clinical narrative: Patient was first seen on 1/14/03 while hospitalized in the ICU. He was unable to communicate verbally and therefore the following history was obtained from his spouse, mother and his medical records. Patient was healthy with no medical problems and taking no medication prior to 12/3/02. He has received 3 anthrax vaccinations in November and December 2002. The following is an account of their sequellae. Patient went to the emergency room on 1/4/03. His records indicate he was amb with assist secondary to unsteady gait.....and verbalized complaints of dizzy, blurred vision, cough, nausea, vomiting and diarrhea 4x/day....which started 1 week ago. Vital signs were 101.4--101--20--132/30. He received IV fluids, lab work, a CXR and was discharged from the ER with the diagnosis of atypical pneumonia and gastroenteritis. Medications included azithromycin and ibuprofen with directions to follow up on 1/6/03. Records from the remaining outpatient visit(s) and admission are not available. Patient was transferred on 1/10/03 and admitted to the ICU. Diagnosis included Probable viral vs. immune mediated encephalitis. On 1/15/03 neurology consultation reports meningoencephalitis most consistent with bickerstaff (brain stem) encephalitis. Findings included oculomotor paresis, dysarthric speech, hiccups , autonomic instability and R>L LE>UE quadriparesis. The remains the current diagnosis. Elevated amylase and lipase suggest pancreatitis with unknown ideology. He has received IVIG and antiviral therapy with little improvement. Currently is relieving IV steroid therapy with minimal improvements. He also is receiving respiratory, occupational and physical therapy. On 60-day follow up report received 04/24/2003, reporter states, "Currently in rehab unit of V.A. hospital. Has debilitating sx remaining, but is now able to talk." 9/9/2003 six months after contracting encephalomyelitis post anthrax vaccine, pt remains in the hospital. Family memebers states he has made light improvement. Cannot move his right extremities, and is not walking. Can speak words but not form sentences. He still has a T-tube in place but is eating some things by mouth and feeding self. Cognitively he appears to be in tact. Annual follow up on 02/24/04: "Pt has not recovered from adverse events.  In hospital, he is speaking clearly, eating well (although gipeg still in place), has full use of left side but right side non-functional in continuous tremor. Cannot walk. Severe myostatic constructual right wrist, right foot. Continuously in tact, memory 100%, depressed. Awaiting transfer to another rehab hospital.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: IIIrd nerve paresis, Laboratory test abnormal, Nausea, Pneumonia, Quadriplegia
Clinical narrative: Patient was first seen on 1/14/03 while hospitalized in the ICU. He was unable to communicate verbally and therefore the following history was obtained from his spouse, mother and his medical records. Patient was healthy with no medical problems and taking no medication prior to 12/3/02. He has received 3 anthrax vaccinations in November and December 2002. The following is an account of their sequellae. Patient went to the emergency room on 1/4/03. His records indicate he was amb with assist secondary to unsteady gait.....and verbalized complaints of dizzy, blurred vision, cough, nausea, vomiting and diarrhea 4x/day....which started 1 week ago. Vital signs were 101.4--101--20--132/30. He received IV fluids, lab work, a CXR and was discharged from the ER with the diagnosis of atypical pneumonia and gastroenteritis. Medications included azithromycin and ibuprofen with directions to follow up on 1/6/03. Records from the remaining outpatient visit(s) and admission are not available. Patient was transferred on 1/10/03 and admitted to the ICU. Diagnosis included Probable viral vs. immune mediated encephalitis. On 1/15/03 neurology consultation reports meningoencephalitis most consistent with bickerstaff (brain stem) encephalitis. Findings included oculomotor paresis, dysarthric speech, hiccups , autonomic instability and R>L LE>UE quadriparesis. The remains the current diagnosis. Elevated amylase and lipase suggest pancreatitis with unknown ideology. He has received IVIG and antiviral therapy with little improvement. Currently is relieving IV steroid therapy with minimal improvements. He also is receiving respiratory, occupational and physical therapy. On 60-day follow up report received 04/24/2003, reporter states, "Currently in rehab unit of V.A. hospital. Has debilitating sx remaining, but is now able to talk." 9/9/2003 six months after contracting encephalomyelitis post anthrax vaccine, pt remains in the hospital. Family memebers states he has made light improvement. Cannot move his right extremities, and is not walking. Can speak words but not form sentences. He still has a T-tube in place but is eating some things by mouth and feeding self. Cognitively he appears to be in tact. Annual follow up on 02/24/04: "Pt has not recovered from adverse events.  In hospital, he is speaking clearly, eating well (although gipeg still in place), has full use of left side but right side non-functional in continuous tremor. Cannot walk. Severe myostatic constructual right wrist, right foot. Continuously in tact, memory 100%, depressed. Awaiting transfer to another rehab hospital.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Vision blurred, Vomiting
Clinical narrative: Patient was first seen on 1/14/03 while hospitalized in the ICU. He was unable to communicate verbally and therefore the following history was obtained from his spouse, mother and his medical records. Patient was healthy with no medical problems and taking no medication prior to 12/3/02. He has received 3 anthrax vaccinations in November and December 2002. The following is an account of their sequellae. Patient went to the emergency room on 1/4/03. His records indicate he was amb with assist secondary to unsteady gait.....and verbalized complaints of dizzy, blurred vision, cough, nausea, vomiting and diarrhea 4x/day....which started 1 week ago. Vital signs were 101.4--101--20--132/30. He received IV fluids, lab work, a CXR and was discharged from the ER with the diagnosis of atypical pneumonia and gastroenteritis. Medications included azithromycin and ibuprofen with directions to follow up on 1/6/03. Records from the remaining outpatient visit(s) and admission are not available. Patient was transferred on 1/10/03 and admitted to the ICU. Diagnosis included Probable viral vs. immune mediated encephalitis. On 1/15/03 neurology consultation reports meningoencephalitis most consistent with bickerstaff (brain stem) encephalitis. Findings included oculomotor paresis, dysarthric speech, hiccups , autonomic instability and R>L LE>UE quadriparesis. The remains the current diagnosis. Elevated amylase and lipase suggest pancreatitis with unknown ideology. He has received IVIG and antiviral therapy with little improvement. Currently is relieving IV steroid therapy with minimal improvements. He also is receiving respiratory, occupational and physical therapy. On 60-day follow up report received 04/24/2003, reporter states, "Currently in rehab unit of V.A. hospital. Has debilitating sx remaining, but is now able to talk." 9/9/2003 six months after contracting encephalomyelitis post anthrax vaccine, pt remains in the hospital. Family memebers states he has made light improvement. Cannot move his right extremities, and is not walking. Can speak words but not form sentences. He still has a T-tube in place but is eating some things by mouth and feeding self. Cognitively he appears to be in tact. Annual follow up on 02/24/04: "Pt has not recovered from adverse events.  In hospital, he is speaking clearly, eating well (although gipeg still in place), has full use of left side but right side non-functional in continuous tremor. Cannot walk. Severe myostatic constructual right wrist, right foot. Continuously in tact, memory 100%, depressed. Awaiting transfer to another rehab hospital.
Age: 60.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Injection site induration, Pain, Pruritus
Clinical narrative: 7" area of erythema, skin hot to touch, itching, pain, and induration.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site mass
Clinical narrative: 25 y.o. male PT with local reaction to anthrax left arm approximately 11cm x 11 cm induration area at site of injection.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Blindness
Clinical narrative: Sudden vision loss right eye
Age: 48.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Chills, Hyperhidrosis, Myalgia, Oedema, Pain
Clinical narrative: Fever, chills, sweats, body aches, left arm red, swelling & pain.
Age: 48.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Pyrexia, Vasodilation procedure
Clinical narrative: Fever, chills, sweats, body aches, left arm red, swelling & pain.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Injection site pain, Malaise, Rash
Clinical narrative: Four hours later immediate: back pain, malaise, arm sore. 24 hrs later: rash on face and neck, arm sore. Took ibuprophen and Tylenol.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: C/O pain L arm post flu shot. Did not report for three months D/T she thought it would get better. Sending for neurology consult. Took Advil without relief. Thinks shot was given "too high."
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Subcutaneous nodule
Clinical narrative: C/O L arm pain post flu shot. Saw family MD D/T "knot" on side of neck L. Ordered Sulfa x 10 days. Refused neurology consult-took Medrol dose pack with relief. Thinks shot was given "too high."
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Joint range of motion decreased
Clinical narrative: C/O R arm pain post flu shot. C/O decreased ROM. Took Advil without relief. Saw family MD-given "stronger anti-inflammatory." Thinks show was given "too high."
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Joint range of motion decreased, Neck pain
Clinical narrative: C/O L arm pain post flu shot. C/O decreased ROM and pain into shoulder and neck. Took Advil without relief. Refused Medrol dose pack. Referred to neurologist. Ordered Mobic and MRI, labs. Never had MRI. Thinks shot was given "too high."
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site inflammation, Injection site pain
Clinical narrative: C/O severe pain during flu shot inj and immediately burning/throbbing down arm. Sent to MD-Rx for Pucocet. Referred to neurologist. Dx=axillary neuropaxic inj. Rx-pt and purcocet. Thinks show was given "too high."
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Myalgia
Clinical narrative: C/O L arm pain post flu shot. Took Motrin without relief. Referred to neurologist. Dx=myalgia. Ordered PT with relief. Thinks shot was given "too high."
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: C/O L arm pain post flu shot. Took Celebrex, Advil, Medrol dose pack without relief. Pt 2x weekly with Biofreeze at imtophoresis. Did not want to see neurologist. Thinks shot was given "too high."
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Joint range of motion decreased
Clinical narrative: C/O L arm pain post flu shot. C/O decreased ROM and "catch." Tried Motrin and Medrol dose pack without relief. Referred to neurologist. Ordered Vioxx, Neurontin, MRI and PT. Thinks shot was given "too high."
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Injection site pain, Joint range of motion decreased, Paraesthesia
Clinical narrative: C/O L arm pain post flu shot. C/O numbness/tingling and decreased ROM. Took Advil without relief. Medrol dose pack without relief. Referred to neurologist. Ordered Bextre, Neurontin and PT> Stopped taking Neurontin. Thinks shot was given "too high."
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Tendonitis
Clinical narrative: Complained of left arm pain after flu shot. Took Tylenol/Motrin/Aleve for relief. Saw MD. Rx for Naprosyn, PT, and x-ray. Told she has tendonitis. Thinks shot was given too high.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site inflammation, Injection site pain
Clinical narrative: Complained of left arm pain after flu shot. Took Advil for relief. Took Medrol dose pack for relief. Referred to neurologist. Diagnosed with Brachial Plexitis and ordered P. T. , Vioxx, Iontophoresis with Dexamethasone. Back to work 12/11/02 (full duty). Referred to orthopedist and scheduled EMG study. Thinks shot was given too high.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Arthropathy, Joint range of motion decreased, Shoulder pain
Clinical narrative: Complaints of shoulder pain after flu shot and couldn't sleep due to pain. Also complained of limited ROM. Rx for Medrol dose pack for relief. Rx for PT 2 times weekly and Bextra for relief. Referred to neurologist; ordered more PT and Prednisone. Thinks its frozen joint. Referred to orthopedist. Giving cortisone injections. Also getting iantophoresis in PT. Thinks shot was given too high.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Pain, Paraesthesia
Clinical narrative: Complaints of right arm pain, numbness and tingling after flu shot. Rx of Percocet and Ibuprofen and told to rest. Missed several days of work due to could not lift arm. Referred to neurologist. Dx of ? fascitis. Ordered PT with iontophoresis, Relafen, Protonix, Neurontin. Also scheduled EMG study. Patient now on Celexa. Thinks shot was given too high.
Age: 41.0
Sex: M
Vaccine: FLU3
Symptoms: Neck pain, Pain, Shoulder pain
Clinical narrative: Complaints of paint to right arm 2-3 days after flu shot. Also complaints of pain to right shoulder, under arm, and side of neck. Tx with Medrol dose pack with no improvement. Referred to neurologist. Tx with physical therapy for pain syndrome. Thinks shot was given too high.
Age: 40.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Headache, Hypersensitivity, Hypertension, Injection site erythema, Injection site hypersensitivity
Clinical narrative: Painful, swelling in left arm with itching, redness and burning, hot to touch 1/23 at night. Seen at emergency room on 1/26 and received a prescription for Prednisone 60mg a day and reduced by 10mg each day down to 10mg on day 6. Benadryl and Motrin PRN. Headache, elevated blood pressure and high heart rate; eyes were sensitive to light. Symptoms subsided after receiving Prednisone. Sight slightly tender/discolored below site.
Age: 40.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Injection site pain, Injection site warmth, Pruritus, Skin discolouration, Thermal burn
Clinical narrative: Painful, swelling in left arm with itching, redness and burning, hot to touch 1/23 at night. Seen at emergency room on 1/26 and received a prescription for Prednisone 60mg a day and reduced by 10mg each day down to 10mg on day 6. Benadryl and Motrin PRN. Headache, elevated blood pressure and high heart rate; eyes were sensitive to light. Symptoms subsided after receiving Prednisone. Sight slightly tender/discolored below site.
Age: 49.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Injection site pain, Joint stiffness, Malaise
Clinical narrative: Severe pain at injection site at time of vaccine. At present, joint pain and stiffness; general malaise.
Age: 1.25
Sex: M
Vaccine: DTAPH, IPV
Symptoms: Injection site swelling
Clinical narrative: Patient had swelling of left thigh as it was 25cm in circumference; 5cm above upper patella border while right thigh was 25cm at same spot.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Gait disturbance, Joint range of motion decreased, Pain
Clinical narrative: Began to limp; favor left leg several hours after shots given. Progressed to refusal to bear weight 3 days after shot was given. No fever, redness, warmth, swelling at site of vaccines. Normal exam and decreased range of motion at left leg hip/knee 2 inches to apparent pain.
Age: 4.0
Sex: F
Vaccine: DTP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Erythema, warmth, swelling about 20cmx10cm around site of injection. No fever.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site mass, Injection site oedema, Injection site pain
Clinical narrative: Large swelling around vaccination site, hot painful, hardened. Swelling started day after injection, increasing for two days. Mother stated swelling is reduced today (1-31-03). Took child to doctor who prescribed an antibiotic for another unrelated illness - asthma.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Erythema
Clinical narrative: Comvax (Hep B and Hib) and PCV given "IM" one inch apart R LT. Erythema of right leg and face occurred approximately five minutes after immunizations. Immediately taken to physician.
Age: 56.0
Sex: M
Vaccine: TD
Symptoms: Influenza
Clinical narrative: Flu like symptoms as exaggerated. Sever course of neurologic symptoms mimicking the course of the past seven years with neuro-sarcoinosis. Seem to be gradually going back to base line pile vaccination.
Age: 43.0
Sex: F
Vaccine: TD
Symptoms: Ecchymosis, Rash
Clinical narrative: Bruise on inner aspect of arm approximately four inches from injection site with red rash in area approximately three inches in diameter. Nothing at injection site.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: Cellulitis at site of DTAP. Antibiotics given.
Age: 11.0
Sex: M
Vaccine: HEP
Symptoms: Dizziness, Nausea, Pallor
Clinical narrative: Approximately one hour after injection patient became dizzy, nauseated and pale. Symptoms lasted approximately one hour then resolved no specific treatment was required.
Age: 5.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Cellulitis, Oedema
Clinical narrative: Cellulitis; arm is red and swollen measures 6x7cm
Age: 41.0
Sex: F
Vaccine: TD
Symptoms: Injection site hypersensitivity, Injection site oedema, Pyrexia
Clinical narrative: Patient had a temperature of 101F with tenderness, swelling and redness at the vaccination site. Fever lasted two days. Redness and swelling lasted about one week.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Urticaria
Clinical narrative: Five minutes after injection of MMR, developed local urticarial lesions. Given oral Benadryl.
Age: 13.0
Sex: M
Vaccine: HEP
Symptoms: Pruritus, Rash maculo-papular
Clinical narrative: All over body rash, red, bumpy and itchy
Age: 11.0
Sex: F
Vaccine: MMR, TD
Symptoms: Circulatory collapse, Hyperhidrosis, Hypoventilation, Loss of consciousness, Pallor
Clinical narrative: Had Td and MMR. Experienced a vasomotor collapse with loss of consciousness. Diaphoresis-lips blue, resp shallow, weak pulse. Assisted onto the bed in nurses' office. CH called. O2 started 10ml/mask, Epnephrine 0.3cc sub. Began responding within one minute. Remained pale-paramedics responded within 6 min. Within one hour walked to car with mother.
Age: 26.0
Sex: F
Vaccine: HEP
Symptoms: Dysphonia, Laryngitis
Clinical narrative: Pt called to say she became hoarse about 6 hours after receiving 2nd dose of hep B. Coughs when she exerts her voice. Saw her PAC who told her she had laryngitis. He did not feel the vaccine caused this reaction she said.
Age: 2.0
Sex: F
Vaccine: MEA
Symptoms: Agitation, Asthenia, Balance disorder, Crying, Decreased appetite
Clinical narrative: Overview of the five days after pt's measle injection: Pt slept approximately 18-22 hours a day. She nursed and threw-up most times after nursing. Pt did not eat or drink water except for a few drops here and there. Pt had a high fever for five days. Pt was in pain, unsteady, cried easily, and weak. 10/26/02 11am pt received the measles vaccine. 10pm pt threw up entire belly after nursing. 10/27/02 fever all day. 6am woke up with high fever 102D. 8:30-9:30am slept-9:45am nursed and threw-up. 10-11am slept. 3pm-6pm slept. 7-10pm woke up screaming. 10:30pm nursed and did not throw up. 11pm-9:30am slept with occasional wake ups. 10/28/02 fever all ay. 9:30am woke up pt cried and slept all day with occasional wake ups to nurse and throw up. I spoke with MD who said that a dose of Tylenol which would give her "false" thoughts of feeling better in order to drink and eat without throwing up. After the Tylenol wore off pt was worse than before with more crying and listlessness. 4-5pm nursed pt to a full belly which she threw up at 6pm. 6:30-put pt to bed. 10/29/02 6am nursed and little water. 6:30-11am slept. 11am nursed. 11:15 slept. Noon up read books. 1pm nursed. 1:10 nap. 3pm nursed. 4pm not eating fever is down. 6pm nursed and slept. 8:30 threw up green. 10/30/02 seems better but very weak from vaccine. 10/31/02 pt is in pain, unsteady, cries easily, weak and sleeps a lot.
Age: 2.0
Sex: F
Vaccine: MEA
Symptoms: Pain, Pyrexia, Sleep disorder, Somnolence, Vomiting
Clinical narrative: Overview of the five days after pt's measle injection: Pt slept approximately 18-22 hours a day. She nursed and threw-up most times after nursing. Pt did not eat or drink water except for a few drops here and there. Pt had a high fever for five days. Pt was in pain, unsteady, cried easily, and weak. 10/26/02 11am pt received the measles vaccine. 10pm pt threw up entire belly after nursing. 10/27/02 fever all day. 6am woke up with high fever 102D. 8:30-9:30am slept-9:45am nursed and threw-up. 10-11am slept. 3pm-6pm slept. 7-10pm woke up screaming. 10:30pm nursed and did not throw up. 11pm-9:30am slept with occasional wake ups. 10/28/02 fever all ay. 9:30am woke up pt cried and slept all day with occasional wake ups to nurse and throw up. I spoke with MD who said that a dose of Tylenol which would give her "false" thoughts of feeling better in order to drink and eat without throwing up. After the Tylenol wore off pt was worse than before with more crying and listlessness. 4-5pm nursed pt to a full belly which she threw up at 6pm. 6:30-put pt to bed. 10/29/02 6am nursed and little water. 6:30-11am slept. 11am nursed. 11:15 slept. Noon up read books. 1pm nursed. 1:10 nap. 3pm nursed. 4pm not eating fever is down. 6pm nursed and slept. 8:30 threw up green. 10/30/02 seems better but very weak from vaccine. 10/31/02 pt is in pain, unsteady, cries easily, weak and sleeps a lot.
Age: 4.2
Sex: F
Vaccine: DTAP, IPV
Symptoms: Rash
Clinical narrative: Pt's mother reported on 1/8/02 that pt had immunizations on 10/15/02 and in the evening of 10/16/02 a rash started on REA and spread to the trunk. Child was taken to ER and received epinephrine shot and liquid Benadryl. No follow up was done.
Age: 2.2
Sex: M
Vaccine: DTAP, HEP
Symptoms: Injection site oedema, Injection site pain
Clinical narrative: R upper arm swollen and tender, 5x3cm.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: RA deltoid area site DTaP. soft tissue swelling 7cm x 6.5cm non fluctuant, erythema, increased local temperature.
Age: 37.0
Sex: F
Vaccine: RAB, TD
Symptoms: Anxiety, Arthralgia, Joint stiffness, Myalgia
Clinical narrative: Rec'd Td IM three hours before R16 and Rabavert Tx begun. Pt was mildly sedated and went home and slept. Report noing increased joint pain, stiffness, joint throbbing and muscle soreness when woke in am along with anxiety and tension post initial Tx on 7/4/02. With each subsequent dose of PCEC pt reports throbbing pain at all bite sites but most concentrated on R hand and occas. up into neck. The joint pain, stiffness and throbbing with muscle soreness persisted x 2 wks post initial dose.
Age: 28.0
Sex: F
Vaccine: RAB
Symptoms: Hypoaesthesia, Inflammation, Pain
Clinical narrative: 10/29/02 pm client rec'd Td on 10/30/02 post bite to L thumb by wild racoon given by PMD. On 11/5/02 she presented to hospital ER with concerns re: rabies and was given dose #1 RabAvert in L deltoid. C/O stinging/burning sensation followed by 2 hrs later "arms like jello, numb, asleep." This lasted approx. 1 week. At time of 2nd dose on 11/8-L arm still hurting and the R arm experienced same problem with IZ #2 and perhaps "hurt worse" x one week.
Age: 17.0
Sex: M
Vaccine: HEP, TD
Symptoms: Eye disorder, Eye pain, Facial palsy, Malaise
Clinical narrative: 12/9/02 client phoned to state he felt ill after receiving shots on 12/6/02. No x/o nausea, vomiting, diarrhea. C/O L eyelid not closing. Stated eye L hurt. Denied redness or drainage. Told to have family take him to doctor today. 12/16/02 spoke with MD, he stated he had seen client twice in last week. Stated client is on steroids due to bell's palsy. MD stated bell's palsy was not due to shots client received on 12/6/02. MD stated he thought client would make a full recovery.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Injection site erythema, Injection site induration, Screaming
Clinical narrative: Inconsolable crying for about 5 hrs that started three hours after shots (5). L thigh was hard and red.
Age: 0.8
Sex: F
Vaccine: HEP
Symptoms: Injection site rash
Clinical narrative: Pt received Hep-B #3, IM, L thigh and developed a rash at administration site within 1 day. It lasted several days. Per pt's mom, had the same rash symptoms with 4 mo and 6 mo shots.
Age: 5.25
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 6cm X 6cm red and warm to touch area.
Age: 1.4
Sex: F
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Leg has a hard and reddened area (3" diameter) and hot to touch. No fever.
Age: 1.0
Sex: F
Vaccine: DTAP, MMR, PNC, VARCEL
Symptoms: Injection site rash, Rash vesicular
Clinical narrative: Rash at site of injection with vesicles, 10 days after injection.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Anorexia, Cough, Pyrexia, Rash
Clinical narrative: 2/5/03  @5:30pm developed rash from head to toe, fever of 102 degrees, loss of appetite and a little cough
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Fatigue, Injection site erythema, Injection site induration, Lymphangitis, Pain
Clinical narrative: Pt described lymphangitis, local eryth and induration onset Day 4-5. Fever, aches and fatigue onset Day 7. Macular-papular rash on trunk onset evening of Day 9.  Had improvement by Day 10, day of presentation.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia, Rash maculo-papular
Clinical narrative: Pt described lymphangitis, local eryth and induration onset Day 4-5. Fever, aches and fatigue onset Day 7. Macular-papular rash on trunk onset evening of Day 9.  Had improvement by Day 10, day of presentation.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Pruritus, Skin nodule
Clinical narrative: Pt with photosensitivity reaction, consisting of erythema, nodules and plaques in sun exposed area of the face and hands.  Itching of areas, no pain.
Age: 30.0
Sex: M
Vaccine: SMALL
Symptoms: Convulsion, Oedema, Pyrexia
Clinical narrative: FEVER 101F; SEIZURE
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Dermatitis
Clinical narrative: DERMATITIS- FOLLICULAR
Age: 41.0
Sex: F
Vaccine: ANTH
Symptoms: Chills, Injection site induration, Pyrexia, Sinus congestion, Tenderness
Clinical narrative: Tenderness at injection site and a hard spot about the size of a quarter; High Fever and chills within first twelve hours then sinus conjestion for about 1week.
Age: 2.0
Sex: U
Vaccine: HEPA, PPV
Symptoms: Asthma, Haematochezia, Hypoglycaemia, Psychomotor hyperactivity
Clinical narrative: Patient has displayed symptoms of hypoglycemia and hyperactivity since his shots, 11/2/2000. He has a lack of attention and is always out of control. He was diagnosed with asthma and has a sensitivity to any chemicals. Also, has had bloody stools.
Age: 23.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Pruritus, Rash papular
Clinical narrative: DIFFUSE ERYTHEMATOUS MACULAR, PAPULAR, VESICULAR, PUSTULAR RASH
Age: 23.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Rash erythematous, Rash maculo-papular, Rash pustular, Rash vesicular
Clinical narrative: DIFFUSE ERYTHEMATOUS MACULAR, PAPULAR, VESICULAR, PUSTULAR RASH
Age: 26.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Chest pain, Headache, Lymphadenopathy, Myocarditis
Clinical narrative: 1/25/03 received vaccine.  Flu like systoms one week post vaccination.  Saw physician at. Felt normal post vaccination symptoms.  Feb 4, developed chest pain, come to ER.  Adminision on on 2/5/03.  Cardiology & Infectious disease physician: vaccinia myocarditis, supportive care.  Patiant had stress test 2/7/03.  Patient to be discharged home 2/7/03 pending results of the 2/7 tests.  Patient to return to work on 2/17/03.  2/10/03 follow up info: revealed echo 2/5 no significant findings.  Is following up his doctor on 2/17/03.  Has followup with cardiology 8 weeks and repeat echo 6 weeks.  Discharged medications; aspirin 325 mg daily.
Age: 26.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Chest pain, Influenza like illness, Myocarditis
Clinical narrative: 1/25/03 received vaccine.  Flu like systoms one week post vaccination.  Saw physician at. Felt normal post vaccination symptoms.  Feb 4, developed chest pain, come to ER.  Adminision on on 2/5/03.  Cardiology & Infectious disease physician: vaccinia myocarditis, supportive care.  Patiant had stress test 2/7/03.  Patient to be discharged home 2/7/03 pending results of the 2/7 tests.  Patient to return to work on 2/17/03.  2/10/03 follow up info: revealed echo 2/5 no significant findings.  Is following up his doctor on 2/17/03.  Has followup with cardiology 8 weeks and repeat echo 6 weeks.  Discharged medications; aspirin 325 mg daily.
Age: 26.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Chest pain, Influenza like illness
Clinical narrative: 1/25/03 received vaccine.  Flu like systoms one week post vaccination.  Saw physician at. Felt normal post vaccination symptoms.  Feb 4, developed chest pain, come to ER.  Adminision on on 2/5/03.  Cardiology & Infectious disease physician: vaccinia myocarditis, supportive care.  Patiant had stress test 2/7/03.  Patient to be discharged home 2/7/03 pending results of the 2/7 tests.  Patient to return to work on 2/17/03.  2/10/03 follow up info: revealed echo 2/5 no significant findings.  Is following up his doctor on 2/17/03.  Has followup with cardiology 8 weeks and repeat echo 6 weeks.  Discharged medications; aspirin 325 mg daily.
Sex: F
Vaccine: MMR
Symptoms: Malabsorption
Clinical narrative: Information has been received from a female who in 1973 was vaccinated with MMR II. The pt reported that she subsequently developed celiac disease. It was unknown if medical attention was sought. At the time of this report, the outcome was unknown. Upon internal review, celiac disease was determined to be an other important medical event (OMIC). Additional info has been requested.
Sex: M
Vaccine: DTAP, HEP, HIBV
Symptoms: Autism, Drug toxicity, Nervous system disorder
Clinical narrative: Initial and follow up information has been received regarding a case in litigation concerning a male child who, for the first two years of his life was vaccinated with injections containing the dangerous and highly toxic mercury based preservative thimerosal. The alleged result of these vaccinations is that the patient now suffers from, and allegedly in the future will continue to suffer from, the toxic neurological effects of mercury poisoning. Immunization information indicated that the patient was vaccinated with hepatitis B vaccine recombinant on 6/2/98, 7/3/98, and 12/8/98. Concomitant therapy included haemophilus B conjugate vaccine on 7/29/98, 10/01/98, 12/8/98 and 12/7/99, poliovirus vaccine on 7/29/98, 10/1/98, and 12/7/99, MMR vaccine on 9/2/99; alum, potassium (+) diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid on 7/3/98, 10/1/98, 12/8/98 and 12/7/99; and varicella virus vaccine live on 9/2/99. This is a consolidation of two reports concerning the same patient. Upon internal review toxic neurological effect and mercury poisoning were determined to be other important medical events. No further information is available.  Reported on 05/14/2003: "Additional information received states the dates of injections of vaccines containing thimerosal include 06/02/1998, 07/03/1998, 07/29/1998, 10/01/1998, 12/08/1998, 09/02/1999, and 12/07/1999.  Upon internal review toxic neurological effect and mercury poisoning were determined to be other important medical events (OMIC).  No further information is available.
Age: 36.0
Sex: F
Vaccine: ANTH
Symptoms: Back pain, Headache, Injection site erythema, Injection site induration, Pyrexia
Clinical narrative: Shortly after administration of vaccine in left deltoid, she began to develop a severe headache which radiated down her back. Developed cold chills. No nausea. Injection site had dime-sized area of redness with minimal induration, 1 day after administration. Subjective fever.
Age: 34.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Headache, Muscle spasms, Pain
Clinical narrative: Right deltoid injection uneventful. Awoke from sleep at 02:00, the following day, with a moderately severe headache that has persisted for several hours. Also has body aches and leg cramp. No fever, nausea or vomiting. Injection site normal.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Dizziness, Headache, Myalgia, Nasal congestion, Pyrexia
Clinical narrative: Headache, myalgia, subjective fever and chills, nasal congestion and dizziness treated with OTC Tylenol Sinus, Dayquil. Seen in ER on 2/1/03 and treated with Motrin and nasal decongestant.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site reaction, Injection site swelling
Clinical narrative: Left arm swollen from shoulder to mid-forearm. Started within 24 hours of shot. TX: Told to take Motrin and keep arm elevated.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Rash maculo-papular
Clinical narrative: Macular, papular rash on torso and bilateral arms that appeared 2 hours after receiving Influenza vaccine and a PPD.
Age: 7.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: 3" wheal on right arm.
Age: 44.0
Sex: M
Vaccine: FLUX, FLU3
Symptoms: Optic neuritis, Vision blurred, Visual disturbance
Clinical narrative: Optic Neuritis Rt. Has seen opthomologist Neurology. Seen at clinic. IV Steroids. The 60 day follow up states optic neuritis in my right eye. My vision has not improved in 6 months. I still have optic neuritis in my right eye "optic nerve." It doesn't look like the vision will come back. My night vision is very poor. Always blurry and cloudy. I received a letter from VAERS that mentioned possible compensation. I had almost $8, 000 in medical bills because of that flu shot. Do I qualify for that? Please let me know. Thanks
Age: 44.0
Sex: M
Vaccine: FLUX, FLU3
Symptoms: Optic neuritis, Vision blurred
Clinical narrative: Optic Neuritis Rt. Has seen opthomologist Neurology. Seen at clinic. IV Steroids. The 60 day follow up states optic neuritis in my right eye. My vision has not improved in 6 months. I still have optic neuritis in my right eye "optic nerve." It doesn't look like the vision will come back. My night vision is very poor. Always blurry and cloudy. I received a letter from VAERS that mentioned possible compensation. I had almost $8, 000 in medical bills because of that flu shot. Do I qualify for that? Please let me know. Thanks
Age: 47.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Feeling hot, Injection site oedema, Injection site pain, Lymphadenopathy
Clinical narrative: Right deltoid extensive swelling, tender, warm, erythermatris, lymphoid streaking toward pictural region. Tx: Prednizone 40mg  tape 10mg no 3D, Augemntin 875 mg  BID x 7 days.
Sex: M
Vaccine: IPV, MMR
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Left arm redness, pain to injection site. Per MD apply cold compresses. Tylenol as needed
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, MMR
Symptoms: Parotitis, Tonsillitis
Clinical narrative: 01/26/2003 seen by physician in office. Tonsils mildly enlarged, pink, no exudate: are a between left post mandible amd mastoid t t swollen. Slight redness and heat. None over mandible. Started 01/25/2003, mother noticed while bathing him. Dx: Parotitis.
Age: 8.0
Sex: U
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Bad case of chicken pox.
Age: 26.0
Sex: F
Vaccine: MMR
Symptoms: Convulsion, Eye movement disorder, Haemorrhage, Swelling
Clinical narrative: First reaction - swelled up everywhere. Second reaction - happened at car wash. Eyes rolled up and hit the ground; had seizure. Back of head required stitches. Loss of blood. Had 2 more seizures. No previous history of seizure in patient. Annual follow up on 03/03: "Pt did not recover from adverse events. Just 3 months ago another seizure occurred at home.  An ambulance came to the scene. After the first 3 seizures she was placed on Dilantin for 6 months.  11 months after the first episode, 5 months after being off Dilantin the fourth seizure occurred. Pt tries to do well in her courses at the university but finds it hard to find transportation and lives in fear of when another will occur. She is 27 years old and until the seizure reported from the MMR shot-she had never before experienced anything like the adverse reaction before. Thank you!"
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Left arm was red and swollen from shoulder to just below elbow. No pain, tenderness or discomfort.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Oedema genital
Clinical narrative: Right testicle swollen
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site oedema
Clinical narrative: Swelling of left arm SC, cephalecin 125mg/5ml QD x 7 days was given by hospital. Pediapred 5mg/5ml 5ml po QD x 4 days # 20 mc NR Motrin PRN, ice site, RTO PRN
Age: 3.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR, VARCEL
Symptoms: Drooling, Dysphagia, Eyelid oedema, Flushing, Irritability
Clinical narrative: Client became flushed after receiving his vaccines, he had cried and had some sobbing and elevating of shoulders. Kept in clinic for 20+ minutes after injections and monitored for respiratory difficulty and given juice to drink. Left with mother in acute distress, breathing regularly and easy: talking and alert. Mother called after reaching home, about 15 minutes later, and reported drolling, some difficulty swallowing, swollen eye lids. Advised to call 911 and to have him evaluated at emergency dept. Called emergency dept. staff and notified them of his situation and vaccines given. Mother called 2 pm to report he is fine, given Benadryl observed, and discharged to home. RN 01/30/2003 14:02:37-  01/31/2003 mother reports that he is much better: Only slight swelling of eyelids. Advised by emergency dept staff to give Benadryl for 2 days. Hx of no problem eating eggs or jello. RN 01/31/2003 10:27:01
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Screaming
Clinical narrative: Incosolable crying x 3 hours. Gave Tylenol drops
Age: 33.0
Sex: F
Vaccine: SMALL
Symptoms: Fatigue, Headache, Lymphadenopathy, Pain, Photophobia
Clinical narrative: HEADACHE, PHOTOPHOBIA, BODY ACHES; FATIGUE; LEFT AXILLARY ADENOPATHY
Age: 25.0
Sex: F
Vaccine: SMALL
Symptoms: Headache, Musculoskeletal stiffness, Pain, Pyrexia
Clinical narrative: FEVER, HEADACHE, STIFF NECK, BODY ACHES
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Lymphadenopathy, Oedema, Tenderness
Clinical narrative: 1 Day post, patient experienced erythema, edema and tenderness with axillary lymphadenopathy to left post. upper extremity.
Age: 25.0
Sex: F
Vaccine: SMALL
Symptoms: Acne, Headache, Lymphadenopathy, Myalgia, Pyrexia
Clinical narrative: Eleven days after vaccination, having headache, fever, myalgias, swollen lymph nodes in left axilla and neck, bandage reaction and body rash.  Rash is consistent with generalized pustulosis on arms, neck and trunk.  Also with worsening facial acne.
Age: 25.0
Sex: F
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: Eleven days after vaccination, having headache, fever, myalgias, swollen lymph nodes in left axilla and neck, bandage reaction and body rash.  Rash is consistent with generalized pustulosis on arms, neck and trunk.  Also with worsening facial acne.
Age: 18.0
Sex: F
Vaccine: ANTH
Symptoms: Contusion, Erythema
Clinical narrative: are reddness and bruisuing at vaccine site . approx 3x3 cm
Age: 21.0
Sex: F
Vaccine: SMALL
Symptoms: Contusion, Skin ulcer, Urticaria
Clinical narrative: Onset of urticarus, generalized on day 13 after smallpox vaccination. Some bruising; vasculitive character to lesion on foot. Follow up states: Pt experienced urticaria day 13 after smallpox vaccination. Pt was evaluated and treated with antihistimines. Sx completely resolved. Would like to point out that the 3rd anthrax dose is recorded as being administered on 23 Jan 2003- just 3 days before the onset of urticaria. This cannot be ruled out as a possible cause of the urticaria. Pt is atopic with history of urticaria prior to vaccinations therefore this cannot be ruled our as a cause either.
Age: 34.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Oedema, Pain
Clinical narrative: 1 week after 2nd Anthrax shot: Severe swelling of left wrist, aches in right shoulder and lower back.  Nose swollen and painful to the touch.
Age: 25.0
Sex: F
Vaccine: SMALL
Symptoms: Heart rate increased, Hyperhidrosis, Migraine, Stomach discomfort
Clinical narrative: Onset Am of 2/2/03. Migraine headache, sweating, upset stomach, pulse racing. The follow up states pt was seen at MD following 2 days.
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Cellulitis
Clinical narrative: Cellulitis over smallpox vaccination site, approximately 5cm in diameter. Also with lymphatic streaking. Now on Keflex.
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling, Lymphadenopathy
Clinical narrative: Cellulitis over smallpox vaccination site, approximately 5cm in diameter. Also with lymphatic streaking. Now on Keflex.
Age: 23.0
Sex: F
Vaccine: SMALL
Symptoms: Dizziness, Headache, Pain, Pyrexia
Clinical narrative: Fever, body ache, headache, light-headed
Age: 22.0
Sex: F
Vaccine: SMALL
Symptoms: Breast tenderness, Lymphadenopathy, Pain, Pyrexia
Clinical narrative: Temp 99 degrees F. Complained of sharp pain down right arm to below elbow. Complained of swollen glands in right neck and right breast tenderness. Treatment 24 hours quarters and PRN Darvocet.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Bacterial infection, Cellulitis, Chills, Fatigue, Malaise
Clinical narrative: Mild Variola reaction with sparse, disseminated pustules.  Some malaise, fatigue, chills, fever unknown.  Vaccine administered 30 Jan, symptoms began 8 days after vaccination.  Also had possible secondary bacterial infection (cellulitis).  Patient treated with VIG, antibiotics, made full, rapid recovery.
Age: 46.0
Sex: F
Vaccine: SMALL
Symptoms: Blood pressure increased, Malaise
Clinical narrative: Patient was reported as being flushed prior to vaccine administration. Patient had history of HTN. Received vaccine about 10AM 2/10/03. Reproted not feeling well about 10:35AM. EMS on site checked BP at 10:50AM at 176-109 and at 10:55AM at 171-117. Patient transported to hosptial. Admitted to ER 11:45AM 2/10/03. Stable in ED at 1:45PM. Discharged about 3:15PM.
Age: 55.0
Sex: F
Vaccine: SMALL
Symptoms: Pruritus
Clinical narrative: Patient received Smallpox vaccine at 09:51, left arm. 15:10 patient complained of itching all over her body. Assessed by doctor and given Benadryl 50mg. At 15:18, 911 called; arrived at 15:27.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Child started having redness in 1 hr. of immunization, by bedtime upper arm the size of a softball. Mother was giving her tylenol as directed. On 01-26-03 she started giving her childrens benadryal as upper arm from shoulder to elbow was swollen saw DR. on 1-27-03 had fever of 101 and sore throat. DX'ed with strep-throat given antibiodics.
Age: 1.0
Sex: F
Vaccine: IPV, MM, PNC, VARCEL
Symptoms: Cough, Influenza like illness, Nasal congestion, Pyrexia, Rash
Clinical narrative: /child woke up with rash and fever on 1-24-03, temp went up to 104 came back down by giving tylenol. Rash was tiny red bumps on chest, auxillary areas, abdomen, and diaper area.  Child was better next day but started having cough, conjestion and flu like syptoms.
Age: 81.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Condition aggravated, Influenza, Radiation injury
Clinical narrative: Radiation "recall" from radiation I had from breast cancer (DCIS) on Oct. 23, 2000. Very rare said my doctor and an oncologist friend.....also had flu, chills for about 24 hrs.  The "Sunburn"  radiation lasted about 4/5 days....Mr. Dr. suggested I take antihistamine which I did.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Folliculitis, Rash erythematous
Clinical narrative: Multiple pustules with erythematous base over upper back that began 2 days prior to visit. No symptoms associated with presentation. No treatment given. Diagnosis: acute folliculitis vs vaccinia reaction.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Flushing, Injection site pustule, Lymphadenopathy, Rash erythematous
Clinical narrative: Vitals T-99.1; P-80; R-16; B/P-136/82.  Non toxic appearing A&O, Patient shows significant amount of erythematous pustular papules over upper torso, neck, extremities, with few similar lesions over lower extremities. + TTP; left axillary region with + lymphadenopathy. + adenopathy, supraclavicular nodes on left side. Inoculation site approx 1.5 cm pustular lesion with erythematous circle approx 6 cm in diameter. Flushed skin. Diagnosed with disseminated [generalized] vaccinia with viral syndrome s/s.  This is patient's primary vaccination.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Skin ulcer
Clinical narrative: Vitals T-99.1; P-80; R-16; B/P-136/82.  Non toxic appearing A&O, Patient shows significant amount of erythematous pustular papules over upper torso, neck, extremities, with few similar lesions over lower extremities. + TTP; left axillary region with + lymphadenopathy. + adenopathy, supraclavicular nodes on left side. Inoculation site approx 1.5 cm pustular lesion with erythematous circle approx 6 cm in diameter. Flushed skin. Diagnosed with disseminated [generalized] vaccinia with viral syndrome s/s.  This is patient's primary vaccination.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Erythema, Pruritus
Clinical narrative: Evaluation conducted on 25 Jan 2003. VS noted afebrile; T-98.3, P-60, R-18, BP-130/72.  Noted multiple red erythematous-based indurations noted in clusters over neck, back and abdomen. Pruritis noted, turgor of skin is good, head on lesions noted. No TTP of lesions.  Diagnosed with generalized vaccinia.  This is patient's primary vaccination. [not per DoD working definition, JDG]
Age: 30.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Injection site pustule, Lymphadenopathy, Rash erythematous
Clinical narrative: Vital noted, T-98.6, P-84, BP-128/78.  A&O, Generally appears well, non-toxic. Noted multiple erythematous papules (some with pustular center) over upper extremity.  Majority located over shoulder and neck area.  Area of immunization left arm approximately 1 cm pustular lesion.  + adenopathy on left axilla and post cervical chain.  No supra clavicular nodes, only discrete individual lesions <5 on lower extremety.  Diagnosis:  Generalized vaccinia.   This is patient's primary vaccination. [not GV per DoD working definition, JDG]Vital noted, T-98.6, P-84, BP-128/78.  A&O, Generally appears well, non-toxic. Noted multiple erythematous papules (some with pustular center) over upper extremity.  Majority located over shoulder and neck area.  Area of immunization left arm approximately 1 cm pustular lesion.  + adenopathy on left axilla and post cervical chain.  No supra clavicular nodes, only discrete individual lesions <5 on lower extremety.  Diagnosis:  Generalized vaccinia.   This is patient's primary vaccination. [not GV per DoD working definition, JDG]
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Haemangioma, Rash erythematous
Clinical narrative: Vital noted, T-99.6, P-68, R-16, BP-130/68.  A&O x 3, Noted multiple erythematous based indurations over head, neck, torso, abdomen, both arms, and upper back.  Lesions somewhat tender to palpations and a small percent have white fluid-filled heads. Diagnosis: Generalized vaccinia and cherry angioma on right flank.   This is patient's primary vaccination.
Age: 31.0
Sex: F
Vaccine: ANTH
Symptoms: Ecchymosis
Clinical narrative: Deep purple bruising approximately 25 mm and surrounding bruising approx. 50 mm