chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 36.0
Sex: M
Vaccine: ANTH, MEN
Symptoms: Tinnitus, Tremor
Clinical narrative: August 23 he woke up with ringing in his ears bilaterally and an "electrical feeling" as if he could not shut his body off.  He also experienced a burning sensation in his stomach. He reports that his eyes felt as though he had slept in contact lenses and felt raw. In addition, was not able to sleep. He describes a trembling throughout the upper part of his body from the hips up. This sensation felt like a vibration and at times it was visible to others. He believes that this was the cause of his inability to sleep. He was only able to get 2 hours of sleep per night.  On August 30, 2003, he reports that the right side of his face went numb from above the ear down to the jaw. This numbness lasted 24-48 hours. This was not painful and happened twice within the following one-week period.  He sought medical attention for the numbness. He started experiencing tinnitus in October and this continues. In addition, he now suffers short term memory deficits.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Pt presented with tenderness,redness,swelling, hardness about the size of a medium hand. Pt was evaluated by P.A. Early and was prescribed Antibiotics to treat what was called Cellulitis
Age: 4.0
Sex: F
Vaccine: FLU3, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Oedema, Skin ulcer
Clinical narrative: 2 days prior to patient presentation to the pediatric clinic recevied DTaP, IPV, MMR.  Left leg injection site developed swelling, pain, and redness 24 hours prior to clinic presentation.  No fevers, difficulty breathing or swallowing.  Vital signs stable.  On presentation patient with 3 cm erythematous and edematous well circumscibed lesion on left thigh with central clearing of 1 cm around injection site.  There was no entrance site discharge.  Diagnosis:  Local Injection Site Allergic Reaction.  Treatment:  Orapred 1 mg/kg bid for 3 days and benadryl 12.5 mg/tsp every 4-6 hours for itching.  To return to clinic or ER for difficulty breathing, swallowing, fever, or doubling of injection site reaction size.
Age: 47.0
Sex: U
Vaccine: LYME
Symptoms: Asthenia, Balance disorder, Dizziness, Fatigue, Gait disturbance
Clinical narrative: Initial symptons began Sunday(4/01). They were fatigue, lightheadedness,brain "fog",peripheral weakness,numbness across bridge of nose, walking gait disruption and loss of balance.Essetially all of these symptoms have persisted with varying degrees. No treatment was rendered.
Age: 47.0
Sex: U
Vaccine: LYME
Symptoms: Hypoaesthesia, Laboratory test abnormal, Memory impairment
Clinical narrative: Initial symptons began Sunday(4/01). They were fatigue, lightheadedness,brain "fog",peripheral weakness,numbness across bridge of nose, walking gait disruption and loss of balance.Essetially all of these symptoms have persisted with varying degrees. No treatment was rendered.
Age: 27.0
Sex: F
Vaccine: ANTH
Symptoms: Amnesia, Back pain, Difficulty in walking, Dizziness, Headache
Clinical narrative: Received anthrax #4 late July 2003 while deployed. Within 48 hrs developed severe headache associated with nausea, no emesis, + photophobia, + phonophobia. Never had a headache like this before. Pain over her entire head. No weakness, no altered sensation, no other visual problems reported. Went to the med clinic and was given Imitrex which made her feel worse. Was then given Toradol and Phenergan with 24 hrs of quarters. After sleeping for 12 hrs she felt better, but was not pain free. Was able to function but required 4000 mg/day of ibuprofen to do so.   After a couple of days, returned to clinic and was given a script for po Toradol and Phenergan and was scheduled for medivac on Aug 5 for further evaluation and MRI. Pt had a prior prolactonoma that medic was concerned about. While in transit, developed sharp stabbing pain, like a constant poking on the back rt side of head that radiates to the front. Also at around that time developed tremors involving upper body and noting problems holding things. Tremors not constant but would last hours at a time and would cease for about 30 minutes before resuming again. Only slept about 4-6 hrs/night and that the tremors did not wake her up. Stated she was so exhausted that nothing woke her up.  Also noted problems with dizziness and memory loss. Stated she had problems walking and was bumping into things. In regards to her memory stated that people would show up for appointments that she did not remember scheduling. She did not realize she had a problem but other people around her did.  Arrived on Aug 18, had her scan and was told all was ok. The neurologist told her that he could not find anything wrong and that this was due to PTSD. Gave her some meds to calm her down.  Currently, patient states she became pregnant in Aug. Headaches are constant and require 1 gm of Tylenol 4-5 times a day. Tremors are now rare and occur approx 2-3 times per wk. Stated that about 2 months ago that the rt side of her face would become numb when she gets the sharp stabbing pain in her head.
Age: 27.0
Sex: F
Vaccine: ANTH
Symptoms: Hypoaesthesia, Memory impairment, Nausea, Tremor
Clinical narrative: Received anthrax #4 late July 2003 while deployed. Within 48 hrs developed severe headache associated with nausea, no emesis, + photophobia, + phonophobia. Never had a headache like this before. Pain over her entire head. No weakness, no altered sensation, no other visual problems reported. Went to the med clinic and was given Imitrex which made her feel worse. Was then given Toradol and Phenergan with 24 hrs of quarters. After sleeping for 12 hrs she felt better, but was not pain free. Was able to function but required 4000 mg/day of ibuprofen to do so.   After a couple of days, returned to clinic and was given a script for po Toradol and Phenergan and was scheduled for medivac on Aug 5 for further evaluation and MRI. Pt had a prior prolactonoma that medic was concerned about. While in transit, developed sharp stabbing pain, like a constant poking on the back rt side of head that radiates to the front. Also at around that time developed tremors involving upper body and noting problems holding things. Tremors not constant but would last hours at a time and would cease for about 30 minutes before resuming again. Only slept about 4-6 hrs/night and that the tremors did not wake her up. Stated she was so exhausted that nothing woke her up.  Also noted problems with dizziness and memory loss. Stated she had problems walking and was bumping into things. In regards to her memory stated that people would show up for appointments that she did not remember scheduling. She did not realize she had a problem but other people around her did.  Arrived on Aug 18, had her scan and was told all was ok. The neurologist told her that he could not find anything wrong and that this was due to PTSD. Gave her some meds to calm her down.  Currently, patient states she became pregnant in Aug. Headaches are constant and require 1 gm of Tylenol 4-5 times a day. Tremors are now rare and occur approx 2-3 times per wk. Stated that about 2 months ago that the rt side of her face would become numb when she gets the sharp stabbing pain in her head.
Age: 35.0
Sex: F
Vaccine: MMR
Symptoms: Blood pressure increased, Dizziness
Clinical narrative: Patient was given MMR vaccination 1/21/04.  History of reaction to aspirin and unknown injection.  Fifteen minutes after vaccine was given, patient complained of dizziness.  BP 200/120.  Patient given Nitro and was then transported to ER by paramedics.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth, Laboratory test abnormal
Clinical narrative: This case was reported by a medical assistant and described the occurrence of cellulitis in a 4 year old male patient who received diphtheria and tetanus toxoids and acellular pertussis vaccine absorbed. On 1/15/04 the patient received the fifth dose of Infanrix (lot DTPA610A2) in his left arm. On the same day, at an unspecified amount of time following administration of Infanrix, the patient experienced swelling of the left arm from elbow to shoulder. The reporter also stated that the injection site and swollen arm were red and hot to touch. The patient was diagnosed with cellulitis that was 10 to 15 cm in diameter and was hospitalized. Diagnostic examination revealed elevated C-reactive protien vlue. Peripheral blood culture was negative for bacteria/yeast after six days. He was treated with IV antibiotics. The events were unresolved.Follow up: The events resolved on 23January 2004. In the reporter's opinion, the events were related to vaccination with Infanrix.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Oedema peripheral
Clinical narrative: This case was reported by a medical assistant and described the occurrence of cellulitis in a 4 year old male patient who received diphtheria and tetanus toxoids and acellular pertussis vaccine absorbed. On 1/15/04 the patient received the fifth dose of Infanrix (lot DTPA610A2) in his left arm. On the same day, at an unspecified amount of time following administration of Infanrix, the patient experienced swelling of the left arm from elbow to shoulder. The reporter also stated that the injection site and swollen arm were red and hot to touch. The patient was diagnosed with cellulitis that was 10 to 15 cm in diameter and was hospitalized. Diagnostic examination revealed elevated C-reactive protien vlue. Peripheral blood culture was negative for bacteria/yeast after six days. He was treated with IV antibiotics. The events were unresolved.Follow up: The events resolved on 23January 2004. In the reporter's opinion, the events were related to vaccination with Infanrix.
Age: 0.2
Sex: F
Vaccine: DTP, HIBV, IPV
Symptoms: Pyrexia, Rash, Urinary tract infection
Clinical narrative: Information has been received from a consumer concerning her 9 week old daughter who on 2/27/01, 5/1/01, and 1/9/02 was vaccinated with a first, second, and third dose of HIB conjugate vaccine (lot numbers 638138/1548K [also reported as 1548KO], 639437/0929L, and 639437/0929L respectively). Concomitant vaccination on 2/27/01 included a dose of diphtheria toxoid (+) pertussis vaccine (unspecified) (+) tetanus toxoid, a dose of poliovirus vaccine inactivated and an RV shot. The patient's vaccination history was noted to include a first, second, and third dose of hepatitis B virus vaccine on 8/14/01 (lot # 640323/0753L), 11/19/01 (lot # 640323/0753L), and 1/9/02 (lot # 641449/1230L) respectively, a dose of MMR on 4/1/02 (lot # 638706/0745L [also reported as 0745LO], and a dose of varicella virus vaccine live on 1/9/02 (lot # 638244/0466L). After vaccination on 2/27/01, the patient experienced a severe urinary infection. The patient was sent to the hospital and remained there for two days. The mother also reported that each time the patient had a shot (any shot), she experienced a rash around the diaper area and a fever. While in the hospital the patient was given antibiotics to treat the urinary infection. The mother was told to just wait through the fevers. The patient recovered from the urinary infection but will be given a series of tests to determine what vaccine or ingredient of the vaccine she is allergic to. It was noted that therapy with HIB conjugate vaccine was discontinued. A product quality complaint was not involved. Additional information has been requested. Follow up on 03/22/04 states: "Additional information was received from a physician which indicated that the Hib conj vaccine (OMPC) was not administered in his office. No further information is expected."
Age: 56.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: Urticaria
Clinical narrative: Patient developed hive type reaction after receiving the 2004 influenza vaccine. Seen in ER and treated with Solumedrol and Benadryl. No sequelae. Allergy updated. Dx allergic reaction possible reaction to flu vaccine.
Age: 56.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: Hypersensitivity, Rash
Clinical narrative: Patient developed hive type reaction after receiving the 2004 influenza vaccine. Seen in ER and treated with Solumedrol and Benadryl. No sequelae. Allergy updated. Dx allergic reaction possible reaction to flu vaccine.
Age: 0.3
Sex: M
Vaccine: HIBV, PNC
Symptoms: Convulsion
Clinical narrative: 1 seizure on Monday 12/15/03 and then one on Wednesday 12/17/03 at 10 AM. Hospitalized on 12/17/03 and was released 12/19/03.
Age: 69.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Cough, Headache, Nasal congestion, Pharyngolaryngeal pain
Clinical narrative: Headache next day adn for 4 days following shot.  Chills and fever for 3 days, congestion, sore throat and cough, now into week 2.  Taking cold tablets and cough syrup over the counter.
Age: 69.0
Sex: F
Vaccine: FLUX
Symptoms: Pyrexia
Clinical narrative: Headache next day adn for 4 days following shot.  Chills and fever for 3 days, congestion, sore throat and cough, now into week 2.  Taking cold tablets and cough syrup over the counter.
Age: 66.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Joint range of motion decreased, Musculoskeletal stiffness, Pain
Clinical narrative: A couple of days after the shot, pt noticed pain in the left deltoid area which progressed to the upper left arm and shoulder radiating to the left fingers like his tendons were stiffening up.  He said the pain worsened to a severe level and has continued since 10/25/03.  The pain is considered tolerable after he has taken over the counter pain relieving and worsens after use of left arm.  He states during sleep and after use of left arm.  He states his range of motion of left arm is decreased.  He saw a physician for the first time 3 weeks ago who did not do any tests, but according to pt, to continue OTC meds and increase range of motion of left arm.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Back pain, Pain, Shoulder pain
Clinical narrative: About 2 months after receiving flu vaccine, pt began having pain.  Pain started in left instep, moved to right knee, then ankles, knees, hip, back and right shoulder.  Pain felt like it was "moving around".  She was checked for lyme disease and gout.  Ruled out.  01/26/04, doing much better.
Age: 48.0
Sex: M
Vaccine: ANTH
Symptoms: Headache, Insomnia, Muscle spasms, Myalgia
Clinical narrative: Chronic headahces, myalgia, spasms and insomnia
Age: 1.0
Sex: M
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Pt developed induration and redness 11x8cm at site of injection of DTAP and MMR at about 48 hours after dosing.
Age: 1.6
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Swelling on right leg 24 hours approximately after administration DTAP.  Mom applied ice-now there is swelling of the area.  Non tenderness minimum  hardness and minimum erythema.
Age: 11.0
Sex: M
Vaccine: MMR
Symptoms: Skin ulcer, Viral infection
Clinical narrative: Viral illness on Friday, Sunday and Monday with new lesions extending at various areas from chest back and face and extremities.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Rash, Rash erythematous
Clinical narrative: Rash or red bumps on both hands and arms that started the day after 2nd hepatitis B vaccination lasting 11 days now.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Left deltoid mild erythema mild edema.  difference between arms.  Slight warm to touch.  Mother states symptoms improve from 01/08/04.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Injection site reaction, Lymphadenitis, Lymphadenopathy
Clinical narrative: 01/22/04: Cellulitis, smallpox vaccination site with lymphangitis and left axillary lymphademopathy.  Prescribed with Evalox 400mg for 5 days, symptoms resolved 01/26/04.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site warmth, Pruritus
Clinical narrative: Red, swollen, warm, itchy upper right arm also indurated on exam.  Treatment: Benadryl and incase this is cellulitis: cephalerim orally.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, Pyrexia
Clinical narrative: Fever (103.6) generalized clonic seizure (x10 seconds).  Full sepsis work up.  IV Ceftriaxione given.
Age: 39.0
Sex: F
Vaccine: VARCEL
Symptoms: Hypersensitivity, Injection site erythema
Clinical narrative: Local allergic reaction 3 inch reddened area.  Pt unsure if had disease as a child.
Age: 41.0
Sex: M
Vaccine: VARCEL
Symptoms: Hypersensitivity, Injection site erythema
Clinical narrative: Local allergic reaction, 3 inch reddened area.  PT unsure if had disease as a child.
Age: 4.0
Sex: F
Vaccine: DTAP, DTAP
Symptoms: Injection site erythema, Injection site mass, Injection site pain
Clinical narrative: Mother noted 1/2 dollar sized lump on 01/24/2004.  Sore when touched no fever.  Today red area size of orange, not sore to touch, no fever.  Prescribed Tylenol every 4 hours on 01/24-01/25, no today.
Age: 4.0
Sex: F
Vaccine: DTAP, DTAP
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Mother noted 1/2 dollar sized lump on 01/24/2004.  Sore when touched no fever.  Today red area size of orange, not sore to touch, no fever.  Prescribed Tylenol every 4 hours on 01/24-01/25, no today.
Age: 43.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site inflammation, Injection site oedema, Injection site pain, Pruritus
Clinical narrative: PPD and Varicella administered 01/27/04.  Left tricep area inflammed with slight swelling complained of itching/pain.
Age: 0.4
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Cough, Dyspnoea, Hypokinesia, Irritability, Pallor
Clinical narrative: Fever, irritability, cough, dyspnea, pallor, decreased motor activity.  Symptoms occurred within 2-3 hours of administration.  Lasted 30 min.
Age: 0.4
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever, irritability, cough, dyspnea, pallor, decreased motor activity.  Symptoms occurred within 2-3 hours of administration.  Lasted 30 min.
Age: 56.0
Sex: F
Vaccine: HEPA, PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, White blood cell disorder
Clinical narrative: Marked swelling, erythema and pain at injection site within 3-4 hours after injection.  About 20 cm wide.
Age: 38.0
Sex: M
Vaccine: ANTH, SMALL, ANTH
Symptoms: Deep vein thrombosis, Pain, Swelling, Vaccine positive rechallenge
Clinical narrative: HAD WHOLE BODY SWELLING ABOUT 1-2 DAYS BEFORE IT WAS NOTICED.   LEFT LEG SWELLED UP BY INCHES AND STAYED THAT WAY FOR SEVERAL MOS.   STARTED ASA AS PROCAUTION FOR DVT.   AFTER EACH SHOT I HAD SWELLING THAT WENT DOWN AFTER A DAY OR SO BUT MY LEFT LEG HAD SOME PAIN DURING THIS TIME BUT WENT AWAY WITH TIME. 60 day follow up 4/5/04: DVI has resolved itself with medication. I now have vascular deficiency in my left leg for life.
Age: 38.0
Sex: M
Vaccine: ANTH, SMALL, ANTH
Symptoms: Deep vein thrombosis, Dyspnoea, Laboratory test abnormal, Swelling, Thermal burn
Clinical narrative: HAD WHOLE BODY SWELLING ABOUT 1-2 DAYS BEFORE IT WAS NOTICED.   LEFT LEG SWELLED UP BY INCHES AND STAYED THAT WAY FOR SEVERAL MOS.   STARTED ASA AS PROCAUTION FOR DVT.   AFTER EACH SHOT I HAD SWELLING THAT WENT DOWN AFTER A DAY OR SO BUT MY LEFT LEG HAD SOME PAIN DURING THIS TIME BUT WENT AWAY WITH TIME. 60 day follow up 4/5/04: DVI has resolved itself with medication. I now have vascular deficiency in my left leg for life.
Age: 38.0
Sex: M
Vaccine: ANTH, SMALL, ANTH
Symptoms: Thrombosis, Vaccine positive rechallenge
Clinical narrative: HAD WHOLE BODY SWELLING ABOUT 1-2 DAYS BEFORE IT WAS NOTICED.   LEFT LEG SWELLED UP BY INCHES AND STAYED THAT WAY FOR SEVERAL MOS.   STARTED ASA AS PROCAUTION FOR DVT.   AFTER EACH SHOT I HAD SWELLING THAT WENT DOWN AFTER A DAY OR SO BUT MY LEFT LEG HAD SOME PAIN DURING THIS TIME BUT WENT AWAY WITH TIME. 60 day follow up 4/5/04: DVI has resolved itself with medication. I now have vascular deficiency in my left leg for life.
Age: 57.0
Sex: F
Vaccine: FLUX, YF
Symptoms: Injection site reaction
Clinical narrative: Large local reaction taking form of a large bulls eye.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Pruritus, Rash maculo-papular
Clinical narrative: Patient started with a rash on the dordum of the hands and the distal legs on 1/27/04.  By the morning of 1/28/04, the rashhad spread to the entire body sparing the plantar surfaces of the hands, feet and the face.  The rash is a macular papular rash on most of the body.  On the distal legs, the rash is a large erythematous, indurated placque.  The rash is pruritic.  The patient has been afebrile.  The expiration date of the yllow fever vaccine is 2/17/04.
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Hemiplegia, Hyperreflexia, Injection site inflammation, Laboratory test abnormal, Myelitis
Clinical narrative: C/O tingling "bugs crawling on my leg" prior to onset of left lower extremity (LLE) paralysis without continuing paresis. On exam showed hyper-reflectivity in LLE and inability to move LLE. Leg paralysis, central. Inflammatory appearing lesion in menigeal or extrameningeal tissue adjacent to leg cortex. Discharge summary states hemiplegia, pharyngitis. msv Medical records state myelitis, otitis, nervousness. msv
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Nervousness, Otitis media, Paraesthesia, Paralysis, Paresis
Clinical narrative: C/O tingling "bugs crawling on my leg" prior to onset of left lower extremity (LLE) paralysis without continuing paresis. On exam showed hyper-reflectivity in LLE and inability to move LLE. Leg paralysis, central. Inflammatory appearing lesion in menigeal or extrameningeal tissue adjacent to leg cortex. Discharge summary states hemiplegia, pharyngitis. msv Medical records state myelitis, otitis, nervousness. msv
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Pharyngitis, Skin ulcer
Clinical narrative: C/O tingling "bugs crawling on my leg" prior to onset of left lower extremity (LLE) paralysis without continuing paresis. On exam showed hyper-reflectivity in LLE and inability to move LLE. Leg paralysis, central. Inflammatory appearing lesion in menigeal or extrameningeal tissue adjacent to leg cortex. Discharge summary states hemiplegia, pharyngitis. msv Medical records state myelitis, otitis, nervousness. msv
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Feeling hot, Oedema peripheral
Clinical narrative: Mom called to report 2 days after child received vaccines that she noted child's left upper arm to be very swollen and warm to touch "from just above his elbow all the way up".  Child afebrile et denies any other problesm.  Denies any problems with previous vaccines.  Advised to consult child's Dr.  Subsequently, Dr. office called to report that child had cellulitis and INSISTED that VAERS be completed.  A report was completed on 6/20/03, but CDC states they do not have the report.
Age: 0.6
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Fontanelle bulging, Irritability, Laboratory test abnormal, Pyrexia
Clinical narrative: Pt had fever to 104 and bulging fontanelle.  Fever may have started 1/23 pm or 1/24, but went up to 104 on 1/25 and only on 1/25 did mom feel that fontanelle was bulging.  Pt went to ER, where blood, urine, and csf were obtained.  pt had cbc w/ wbc of 8.6, hgb 11.5, plts 182, w/ 34N 1B 50L 14M, and was sent home to f/u the next day.  She was still fussy for the next couple of days, but now (1/30/04) has returned to baseline, eating well, normal activity level and mood. of note, pt's blood and csf cultures remained negative.  urine grew 3000 c/hpf strep milleri on cath specimen, and pt was called and started on omnicef.  today, ID fellow contacted and recommended stopping omnicef, as believed to be a contaminant, and to repeat Urine cx 2/2/04.
Age: 19.0
Sex: F
Vaccine: ANTH, FLUX, HEPA, SMALL
Symptoms: Medication error, Unintended pregnancy
Clinical narrative: Patient inadvertantly received smallpox vaccination and anthrax vaccination while pregnant.  She has been enrolled in the DoD Smallpox Vaccine in Pregnancy Registry.  Her EDC is 22 Sep 04.   She will be followed closely by OB/GYN clinic with a level II ultrasound scheduled for 18-20 weeks.  No known adverse events.
Age: 1.35
Sex: M
Vaccine: DTAPH, FLUX, PNC, DTAP, FLU3, HIBV, PNC
Symptoms: Anorexia, Convulsion, Electroencephalogram abnormal, Irritability, Pyrexia
Clinical narrative: Had his flu vaccine, mmr polio and varricella vaccine in Nov with 3 seizures associated with 101 on the same day as vaccines.  Had further vaccines flu, DTp, prevnar and Hib on 11.29 with a seizure without fever within 2 hours of vaccine then irritable for 36 hours.  Admited on both occasions for observation overnight. Discharge summary states anorexia. msv
Age: 1.35
Sex: M
Vaccine: DTAPH, FLUX, PNC, DTAP, FLU3, HIBV, PNC
Symptoms: Convulsion, Irritability
Clinical narrative: Had his flu vaccine, mmr polio and varricella vaccine in Nov with 3 seizures associated with 101 on the same day as vaccines.  Had further vaccines flu, DTp, prevnar and Hib on 11.29 with a seizure without fever within 2 hours of vaccine then irritable for 36 hours.  Admited on both occasions for observation overnight. Discharge summary states anorexia. msv
Age: 39.0
Sex: F
Vaccine: FLUX
Symptoms: Diarrhoea, Fatigue, Pain
Clinical narrative: Diarhhea 4 hours after shot Vomiting starting 12 hours after shot both continued until 24 hours after shot fatigue and aches for 72 hours  note 22 weeks pregnant
Age: 66.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dizziness, Headache, Injection site induration, Injection site oedema, Pain
Clinical narrative: Client reports that she received her influenza shot in left arm on 10/28/03 at doctor's office. She had previous flu shots other years. States she got sick on 10/30/03 PM with vomiting, aching, dizziness, and swelling of left arm. She says thereis an induration about 4" below shoulder where it looks like flesh is out as if from surgery.  She says the area is still hard and swollen. She says she has been back to the doctor twice for the arm and he x-rays it on 12/9/03. She saw another doctor on 12/23/03 he reported it to health department. She gave this information per telephone on 1/5/04 and came to health department on 1/6/04 to show the arm to nurses. Says it is painful to raise the arm.
Age: 66.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Vomiting
Clinical narrative: Client reports that she received her influenza shot in left arm on 10/28/03 at doctor's office. She had previous flu shots other years. States she got sick on 10/30/03 PM with vomiting, aching, dizziness, and swelling of left arm. She says thereis an induration about 4" below shoulder where it looks like flesh is out as if from surgery.  She says the area is still hard and swollen. She says she has been back to the doctor twice for the arm and he x-rays it on 12/9/03. She saw another doctor on 12/23/03 he reported it to health department. She gave this information per telephone on 1/5/04 and came to health department on 1/6/04 to show the arm to nurses. Says it is painful to raise the arm.
Age: 66.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dizziness, Injection site induration, Joint range of motion decreased, Pain, Swelling
Clinical narrative: Client reports that she received her influenza shot in left arm on 10/28/03 at doctor's office. She had previous flu shots other years. States she got sick on 10/30/03 PM with vomiting, aching, dizziness, and swelling of left arm. She says thereis an induration about 4" below shoulder where it looks like flesh is out as if from surgery.  She says the area is still hard and swollen. She says she has been back to the doctor twice for the arm and he x-rays it on 12/9/03. She saw another doctor on 12/23/03 he reported it to health department. She gave this information per telephone on 1/5/04 and came to health department on 1/6/04 to show the arm to nurses. Says it is painful to raise the arm.
Age: 5.0
Sex: F
Vaccine: DTAP, DTAP
Symptoms: Injection site erythema, Injection site mass, Injection site pain
Clinical narrative: Mother noted 1/2 dollar sized lump on 4/24/04; sore when touched. No fever. Today, red area size of orange; not sore to touch. No fever. Rx Tylenol every 4 hours 1/24 and 1/25. None today.
Age: 5.0
Sex: F
Vaccine: DTAP, DTAP
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Mother noted 1/2 dollar sized lump on 4/24/04; sore when touched. No fever. Today, red area size of orange; not sore to touch. No fever. Rx Tylenol every 4 hours 1/24 and 1/25. None today.
Age: 36.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Muscle spasms, Oedema peripheral, Pyrexia, Tenderness
Clinical narrative: It was reported that a 36 year old female pt received TD ADS adult, lot number U1015AA, administered IM on 12/22/03. The next morning, the pt developed a fever, right arm swelling, redness, soreness and muscle spasms. On 12/30/03, the pt developed spasms and tremors of the right lower extremity, which progressed to the bilateral lower extremities and eventually the entire body. The pt was reportedly hospitalized for 20 days, which resulted in her being out of work. The pt's recovery status is currently unknown. Follow up on 03/22/04 states: "From additional information received on 03/05/04, the middle initial of the pt's identity was provided. She received Tetanus vaccine for a laceration involving her dog's leash.  No other information was reported."
Age: 36.0
Sex: F
Vaccine: TD
Symptoms: Tremor
Clinical narrative: It was reported that a 36 year old female pt received TD ADS adult, lot number U1015AA, administered IM on 12/22/03. The next morning, the pt developed a fever, right arm swelling, redness, soreness and muscle spasms. On 12/30/03, the pt developed spasms and tremors of the right lower extremity, which progressed to the bilateral lower extremities and eventually the entire body. The pt was reportedly hospitalized for 20 days, which resulted in her being out of work. The pt's recovery status is currently unknown. Follow up on 03/22/04 states: "From additional information received on 03/05/04, the middle initial of the pt's identity was provided. She received Tetanus vaccine for a laceration involving her dog's leash.  No other information was reported."
Age: 0.51
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Convulsion, Hypotonia, Immune system disorder, Myoclonus, Pyrexia
Clinical narrative: Fever of 103 deg the night of the shots. Days later started 1st respiratory problem-wheezing and very sick. One week to 10 days after respiratory onset-mother noticed seizures. EEG diagnosed as myoclonic seizures. Continued myoclonic seizures and respiratory problems for about 2 1/2 months. Treatment-Topamax; Diastat; Zonogram; Orapred. No known seizures since 5/27/03-still has respiratory problems and immune problems.  He has not had a recent seizure. However, he just withdrew his seizure medicine. Please see prior filings. Discharge Summary received on 2/25/2004 states hypotonia.
Age: 0.51
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Respiratory disorder, Wheezing
Clinical narrative: Fever of 103 deg the night of the shots. Days later started 1st respiratory problem-wheezing and very sick. One week to 10 days after respiratory onset-mother noticed seizures. EEG diagnosed as myoclonic seizures. Continued myoclonic seizures and respiratory problems for about 2 1/2 months. Treatment-Topamax; Diastat; Zonogram; Orapred. No known seizures since 5/27/03-still has respiratory problems and immune problems.  He has not had a recent seizure. However, he just withdrew his seizure medicine. Please see prior filings. Discharge Summary received on 2/25/2004 states hypotonia.
Age: 1.07
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Bacterial infection, Hypertension, Meningitis, Petechiae, Pyrexia
Clinical narrative: High temp, petechiae, neisseria meningitis. Still in hospital but doing better.   Nurse follow up on 05/25/04 states: " ADD: Tachycardia, Hypertension."
Age: 1.07
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Tachycardia
Clinical narrative: High temp, petechiae, neisseria meningitis. Still in hospital but doing better.   Nurse follow up on 05/25/04 states: " ADD: Tachycardia, Hypertension."
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Convulsion, Erythema, Hyperhidrosis, Pyrexia
Clinical narrative: Flu vaccine 8:45AM, 12/15/03.  Fever 101 C 12100 Acetaminophen 3:30.  Seizure 4:15.  Lasted 7 min. Took to MD.  Gave Motrin/Acetominophen.  Temperature 102.7 and 102.9 (whole body red, like sunburn).  Temperature 100.2 took home. Gave Motrin/Acetaminophen mix at 9:30.  Temperature 102.6, infant fine at 3:30am.  No fever, redness, fine since then.  Medical Record received on 4/7/2004 states sweating.
Age: 6.0
Sex: M
Vaccine: FLU3, HEP
Symptoms: Laboratory test abnormal, Nausea, Pyrexia, Vomiting
Clinical narrative: Flu vaccine administered 10/17/03.  Next day pt developed fever, nausea, vomiting.  Mom took to MD on 10/23/03.  MD did blood test and throat culture.  MD stated to mom that he thought symptoms were probably from flu shot.
Age: 86.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Vaccine positive rechallenge
Clinical narrative: Client reports dizziness that started about 2 days ago.  States dizziness is severe enough that she needs to hold onto something or someone to walk.  States this happened last year after flu vaccine also.  She saw MD then and he referred her to an allergist.  MD did some testing and told her the dizziness was caused by the flu vaccine.  He told her it was because a virus from the flu vaccine had "settled in her brain".  He told her this would eventually resolve which it did after 4-5 days.  She states MD did not tell her not to take the flu vaccine again.
Age: 0.58
Sex: M
Vaccine: JEV
Symptoms: Anorexia, Crying, Hypokinesia, Influenza, Otitis media
Clinical narrative: PMD out of flu vaccine. Came to HD for 1st (ever) flu vaccine on 12/9/03. Baby fine until 12/13/03, crying, slight runny nose, rectal temp 103. No swelling or redness of injection site. No cough. Baby taken to ER; blood work done. Doctor said at first fever down, talking. Then after blood work results, said baby had the flu. Ser. patient for Tammaflu given; to take BID for 4 days. Baby was fine by next morning 12/14/03, but mom game Tammaflu anyway. The medical record received on 2/11/04 states otitis media, decreased activity and decreased appetite.
Age: 0.58
Sex: M
Vaccine: JEV
Symptoms: Pyrexia, Rhinorrhoea
Clinical narrative: PMD out of flu vaccine. Came to HD for 1st (ever) flu vaccine on 12/9/03. Baby fine until 12/13/03, crying, slight runny nose, rectal temp 103. No swelling or redness of injection site. No cough. Baby taken to ER; blood work done. Doctor said at first fever down, talking. Then after blood work results, said baby had the flu. Ser. patient for Tammaflu given; to take BID for 4 days. Baby was fine by next morning 12/14/03, but mom game Tammaflu anyway. The medical record received on 2/11/04 states otitis media, decreased activity and decreased appetite.
Age: 9.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Erythema, Injection site pain, Pyrexia, Swelling
Clinical narrative: Swelling, redness, moderate/severe pain at injection site (right arm affected site). Fever and chills.
Age: 1.11
Sex: F
Vaccine: DTAP, MMR
Symptoms: Injection site induration
Clinical narrative: 7x4cm area of induration at injection site right.  Immediately following immunization 2 days later.  Ice, Tylenol, Benadryl.  No fevers, vomiting or systemic symptoms.  Vital signs WNL stable.  Stable and expected to recover.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Chest pain, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Red, swollen, hot, sore to touch left deltoid. Also complained of stiff neck and chest pain.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Musculoskeletal stiffness
Clinical narrative: Red, swollen, hot, sore to touch left deltoid. Also complained of stiff neck and chest pain.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Mother states child had redness, swelling and discomfort on upper right thigh x2 days after receiving DTAP.  Redness and warmth appeared within a few hours after receiving injection.  Reddened area eventually covered entire thigh above the knee.  Warm compress applied.  Benadryl liquid given by mouth.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site oedema, Injection site pain, Pruritus
Clinical narrative: Left deltoid area at injection swollen and red.  Pt complained of itching an hurting at site.  Swelling and itching started on 09/30/03.  No vesicles or cousate noted advised Benadryl cream to area for itching; cold compresses for swelling and comfort, and to see MD if no improvement.
Age: 17.0
Sex: F
Vaccine: HEP
Symptoms: Headache, Lethargy, Rash, Urticaria
Clinical narrative: 11/13/03 Mom brought daughter in for third hepatitis B for school certification. Mom said after last hepatitis B vaccine 10/26/01, her daughter was lethargic, had headache and broke out in welts on arms and chest. Mom said she stayed out of school the next day and she continued to give her Benadryl and the rash went away.
Age: 3.0
Sex: F
Vaccine: DTAPHEPBIP, HIBV, MMR
Symptoms: Anorexia, Pyrexia
Clinical narrative: 1/9/04 Telephone call from parent stating her daughter developed a fever 102 axillary at 8 PM monday1/8/04. Also lack of appetite. No other signs and symptoms. Mom things possibly a side effect from MMR. Advised to have child evaluated by PMG. 1/14/04 Returned telephone call to mother. States her fever lasted 24 hours and subsided. No other symptoms. Did not seek PMD evaluation.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema peripheral
Clinical narrative: Left arm swollen and reddened from left shoulder to elbow; noted dime sized blister that broke per mom. Now area is flushed with skin dark red in color, warm to touch. Mom took child to doctor's office. PCP reports adverse reaction to DTaP. On 1/9/04 treated with Augmentin 600mg BID and Motrin.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Erythema, Injection site induration, Swelling
Clinical narrative: Mother noticed bilateral redness, swelling on both thighs approximately 12 hours post vaccination. CT afebrile with no complaints. Mom used cold compresses with no relief. Increased swelling today; approximately 6-7 inches in circumference center of induration while planning to see doctor this afternoon. Advised to try warm compresses and Motrin and evaluate as scheduled.
Age: 15.0
Sex: M
Vaccine: HEP, TD, HEP, TD
Symptoms: Chest pain
Clinical narrative: Mom call to report her son was having squeezing type of chest pain approximately 10-15 minutes post injections on his way back to school where she dropped him off. School nurse was asked to evaluate him. Mom had not notified the school of his chest pain when she dropped him off. 11/4/03 Phone call to mom recommending she take him to family doctor.
Age: 37.0
Sex: F
Vaccine: ANTH
Symptoms: Erythema, Headache, Pruritus
Clinical narrative: 1/00 itching and redness. 2/12/00 occurring headaches.
Age: 2.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Herpes zoster
Clinical narrative: Left face at scalp broken out, started 1 week ago and started spreading. 3 or 4 days ago starting itching. Seen at clinic 1/2/04 and diagnosed with shingles and treated with acyclovir.
Age: 18.0
Sex: F
Vaccine: TD
Symptoms: Vomiting
Clinical narrative: Patient had vomiting one time the same evening she had the Td and PPD shots given. Also had unrestful sleep.
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Pruritus, Rash
Clinical narrative: 1/20/04 Presented with rash that started 48 hours ago which began on face and spread to back, abdomen and arms. Complaints of rash being itchy. No known varicella exposure but did start a day after attending a birthday party where she had been swimming and using the hot tub.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Erythema, Injection site induration, Injection site pain, Skin ulcer
Clinical narrative: Within 24 hours developed redness to right thigh, then increased. No fever. Did complain of soreness to site. Impressive red, indurated lesion to right thigh. No warm to touch. Lesion 16cm at longest point, 12 cm across. Pain on palpation - deep palpation. Localized reaction to DTaP immunization to cover for possible cellulitis. Started Cephalexin 500mg PO for 10 days.
Age: 50.0
Sex: F
Vaccine: TD
Symptoms: Headache, Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: 07/22/03: Temperature: 102, pain, erythema, swelling, increased axillary lymph nodes, warm to touch at site, headache.  07/25/03: Erythema 15x14cm, mild induration, tender axilla lymph nodes left arm.
Age: 50.0
Sex: F
Vaccine: TD
Symptoms: Lymphadenopathy, Pyrexia
Clinical narrative: 07/22/03: Temperature: 102, pain, erythema, swelling, increased axillary lymph nodes, warm to touch at site, headache.  07/25/03: Erythema 15x14cm, mild induration, tender axilla lymph nodes left arm.
Age: 0.08
Sex: F
Vaccine: HEP
Symptoms: Dyspnoea, Tachypnoea, Viral infection
Clinical narrative: Child had difficulty breathing slept for 12-18 hrs not drinking well. Baby was drowsy, tachypneic, not drinking well but lungs clear. Dx ? reaction to hep B? early viral infection.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Hypersensitivity, Tenderness
Clinical narrative: DTaP#5 given 1/21/04 pt seeen 1/23/04, a large oval, 10cm x 11cm, erythema/central induration and tenderness noted on left upper arm. Dx DTaP #5 rxn vs. cellulitis. Pt put on Benadryl and Cefzil. Rxn: DTaP #5 r/o cellulitis.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Bacterial infection, Rash maculo-papular, Skin ulcer
Clinical narrative: 50-249 maculo papular lesions that lasted 5 days assoc with strep infection.
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Laboratory test abnormal, Viral infection
Clinical narrative: C-zoster
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Urticaria
Clinical narrative: Pt developed urticarial rash throughout body and face approximately 12 hrs after vaccination. Treated with Benadryl. No respiratory component noted. No vomiting no fever.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, MMR
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Father states child had a silver dollar size red lump to injection site. Redness now gone lump still present.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Cough, Dyspnoea, Erythema, Face oedema, Pruritus
Clinical narrative: Pt began coughing, swelling of face, difficulty breathing, wheezing, hives, itching, redness to body began 10:20am immunization given at 10:15am.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Urticaria, Wheezing
Clinical narrative: Pt began coughing, swelling of face, difficulty breathing, wheezing, hives, itching, redness to body began 10:20am immunization given at 10:15am.
Age: 0.5
Sex: M
Vaccine: DTAP, HBPV, PNC
Symptoms: Dyskinesia, Irritability, Pyrexia
Clinical narrative: Immunizations 11:30am-3 hrs later cranky with low grade fever-8:30pm-fever 102 deg, some head jerking and head rolling back and forth. Tylenol given x 2. Spoke to doctor at 12:30am and s/s decreased. Today fever NL. Re eval if any neuro s/s persist.
Age: 22.0
Sex: M
Vaccine: HEP, RAB
Symptoms: Urticaria
Clinical narrative: Noticed red welts ("hives") on arms about 7:30-8:00pm 12/5-spread to trunk, hands, neck and scalp. Took Benadryl resolved am 12/6. Reoccurrence of "hives," about 7:30pm 12/6-took more Benadryl-resolved by 12/7 am-no reoccurrence.
Age: 1.5
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site induration, Injection site mass, Injection site warmth
Clinical narrative: C/O hard, warm knot on R leg quarter sized knot.
Age: 0.25
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Oral intake reduced, Pyrexia
Clinical narrative: Vaccines 1/22-evening started fever. Highest 101 deg but eating poorly and without Tylenol fever returns-Dr out of office sent to ER.
Age: 2.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Eczema, Pruritus, Rash erythematous, Skin ulcer
Clinical narrative: Erythematous itchy rash over chest, face and exacerbation of pre-existing eczematous lesions over the fumor aspects of elbow, wrists and knees and ankles. Treated with Benadryl.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: Urticaria within 2-3 hrs of shot. Given Benadryl Elixir and resolved within 1-2 hrs.
Age: 1.2
Sex: M
Vaccine: DTAPHEPBIP, VARCEL
Symptoms: Rash erythematous, Skin nodule
Clinical narrative: Erythematous indurated rash (nodular) over L thigh, no leg, R lower extremity L.
Age: 1.5
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site oedema, Injection site warmth, Pruritus
Clinical narrative: 01/29/04 R thigh red, hot to touch, swollen and itching.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Face oedema, Petechiae, Pruritus, Urticaria
Clinical narrative: Within after receiving DTaP, IPV and MMR pt developed red and itchy petechiae began itchcing all over body. Within five minutes lips became swollen and hives developed over face, neck and upper ant chest. Sx's improved with PO Benadryl. Pt observed 90 min with no resp distress noted.
Age: 13.0
Sex: M
Vaccine: IPV, VARCEL
Symptoms: Convulsion
Clinical narrative: Pt made three trips to Er with seizurre like behavior on 4 occasions and he fine: being within 1/2 hour after vaccine administeration. Pt is being evaluated by a neurologist pending CT. Dilantin 100mg 1 po CAM 2 poq pt will have EEG done.
Age: 35.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site reaction, Oedema peripheral
Clinical narrative: Large local reaction to the anthrax vaccine despite getting the IM injection.  Swelling from shoulder to elbow.  Previous injections with swelling to the wrist
Age: 0.4
Sex: F
Vaccine: DTP
Symptoms: Convulsion, Mental retardation severity unspecified
Clinical narrative: within 3 days she seizures and thereafter has had seizures and significant developmental delay that continue to this day. I was consulted as a geneticist to try to elicit a diagnosis for this young lady.  Mother told me this story, that I think deseves evaluating further. Severe mental retardation, intraitable seizures. How does mom apply for damage? Information from Annual Follow-up report states severely mentally retarded. How do I help mom receive compensation? How can I help in the evaluation of this patient?
Age: 54.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Coronary artery disease, Myocardial infarction
Clinical narrative: Patient recieved smallpox and anthrax vaccinations, had a heart attack that may be related to vaccination. Patient has previous history of heart problems. The hospital discharge summary states CAD.
Age: 18.0
Sex: F
Vaccine: HIBV, PNC
Symptoms: Angioneurotic oedema, Arthritis, Laboratory test abnormal
Clinical narrative: Reactive arthritis of hands and knees Angioedema of the hands/feet/eyes
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Hypoaesthesia, Pain, Swelling
Clinical narrative: Right arm became very swollen/sore and numb above the elbow by the evening of the administered vaccine and into the next day.  Swelling lasted several days. Numbness still remains to some extent now.
Age: 25.0
Sex: F
Vaccine: SMALL
Symptoms: Lymphadenopathy, Lymphangitis, Medication error, Rash, Skin ulcer
Clinical narrative: 1/6/04- Patient stated that although she told the vaccinator that she had a history of eczema, she was given smallpox vaccine- developed "hives" on left anticubital fossa- sx resolved within 1 ½ hour. 1/9/04- anthrax #2- no problems 1/14/04- developed a mild left cervical lymphadenopathy and left arm lymphangitis 1/16/04- noticed rashes (7 lesions) on her left shoulder and upper back area.  Rashes pruritic but non-tender.  Left cervical lymphadenopathy and left arm lymphangitis worsening. 1/20/04- Above sxs "better"- rashes resolving 1/23/04- feels well- no medical complaints