chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 36.0
Sex: F
Vaccine: SMALL
Symptoms: Diarrhoea, Headache, Injection site vesicles, Nausea, Oedema
Clinical narrative: Pt. received smallpox vaccination on 2-24-2003. On 2-26-03 she had diarrhea, nausea, severe headache, blisters on arem at vaccination site, left arm deltoid swollen. She went to employee health as she had been instructed, no one was there so she went to the emergency room at the hospital. The ER gave her a shot of Tordol and sent her home. She slept but still doesn't feel better. She is unable to sleep because of severe headache and intense itching.She stated that 03-01-2003 was the worst day she woke up and both legs were swollen and red, she couldn't even get her shoes on. Her L arm was swollen from her shoulder to her hand. All her joints in her body hurt. Her knees, ankles and back were the worst.She laid around home and took tylenol every 4 hours.On 3-4-03 she still was experiencing a headache, now had photophobia. She still had leg swelling. She went to employee health they sent her to the ER. She said her entire body itched. She said the ER DR said she had a vascular headache and the other symptoms were side effects from vaccination. He gave her Reglin RX. I asked her to try to get a copy of the ER notes and fax to me.Today 3-5-03 is the first day she has not had a headache since she was vaccinated. She said her legs are still swollen, her upper L arm is swollen and her triceps is red. Her L hand is still swollen and red.She said she talked to other people who had been vaccinated and their arms only hurt a little, she said all along and still if she bumps her L arm she has stabbing pains all over the arm enough to make her cry.
Age: 36.0
Sex: F
Vaccine: SMALL
Symptoms: Photophobia, Pruritus
Clinical narrative: Pt. received smallpox vaccination on 2-24-2003. On 2-26-03 she had diarrhea, nausea, severe headache, blisters on arem at vaccination site, left arm deltoid swollen. She went to employee health as she had been instructed, no one was there so she went to the emergency room at the hospital. The ER gave her a shot of Tordol and sent her home. She slept but still doesn't feel better. She is unable to sleep because of severe headache and intense itching.She stated that 03-01-2003 was the worst day she woke up and both legs were swollen and red, she couldn't even get her shoes on. Her L arm was swollen from her shoulder to her hand. All her joints in her body hurt. Her knees, ankles and back were the worst.She laid around home and took tylenol every 4 hours.On 3-4-03 she still was experiencing a headache, now had photophobia. She still had leg swelling. She went to employee health they sent her to the ER. She said her entire body itched. She said the ER DR said she had a vascular headache and the other symptoms were side effects from vaccination. He gave her Reglin RX. I asked her to try to get a copy of the ER notes and fax to me.Today 3-5-03 is the first day she has not had a headache since she was vaccinated. She said her legs are still swollen, her upper L arm is swollen and her triceps is red. Her L hand is still swollen and red.She said she talked to other people who had been vaccinated and their arms only hurt a little, she said all along and still if she bumps her L arm she has stabbing pains all over the arm enough to make her cry.
Age: 35.0
Sex: M
Vaccine: SMALL
Symptoms: Infection
Clinical narrative: Infection to arm, considered local reaction by treating physician. patient treated with Dicloxicillin.
Age: 44.0
Sex: F
Vaccine: SMALL
Symptoms: Pain, Pruritus, Rash
Clinical narrative: Sporadic Rash type Left index fingure inner aspect has a Small ~2mm bumb that itches Laft On the arch between the thumb and index fingure dorsal side the is a 1.5  flat red itching spot  Left medial aspect of forarm 2mm  itching flat red spot. Right ring fingure itching bump Break through menses day 2 and 3 past vaccination with bilateral groin pain.
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Hypersensitivity
Clinical narrative: Allergy to smallpox vaccine vs viral syndrome
Age: 40.0
Sex: F
Vaccine: SMALL
Symptoms: Pyrexia, Rash papular, Rash vesicular, Tenderness
Clinical narrative: 7 days post vaccine: Pt. had 101.3 fever, and developed abdomenal LLQ 2-3mm papule, very tender to touch.  Also very tender rt inguinal node(about 2-3cm), left cervical and left axillary node.   8 days post vaccine: LLQ (abdomen) definite vesicle.  Nodes show no change.  Patient feels better.
Age: 25.0
Sex: F
Vaccine: ANTH, TYP
Symptoms: Erythema multiforme, Rash maculo-papular
Clinical narrative: Approx 9 days after vaccination patient developed a macular-papular rash on posterior aspect of her upper arms and most prominent on her hips and inner thighs.  Rash c/w erythema multiforme.
Age: 31.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Injection site erythema, Injection site induration, Injection site vesicles, Malaise, Pain
Clinical narrative: Fever (99.0) after ASA, body ache, malaise, red erythemic area, 3 cm x 3cm at vaccination site.  Induration area approx. 2cm around, 1 cm size blister.Positive lymph nodes palable to axilla and brachial.  Note: VAERS fax'd to State Epidemiology 3/5/03.  No PCN number as vaccination done by military.
Age: 31.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Pyrexia
Clinical narrative: Fever (99.0) after ASA, body ache, malaise, red erythemic area, 3 cm x 3cm at vaccination site.  Induration area approx. 2cm around, 1 cm size blister.Positive lymph nodes palable to axilla and brachial.  Note: VAERS fax'd to State Epidemiology 3/5/03.  No PCN number as vaccination done by military.
Age: 31.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Blister, Injection site erythema, Injection site induration, Malaise, Pain
Clinical narrative: Fever (99.0) after ASA, body ache, malaise, red erythemic area, 3 cm x 3cm at vaccination site.  Induration area approx. 2cm around, 1 cm size blister.Positive lymph nodes palable to axilla and brachial.  Note: VAERS fax'd to State Epidemiology 3/5/03.  No PCN number as vaccination done by military.
Age: 25.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Chills, Injection site erythema, Injection site induration, Injection site vesicles, Malaise
Clinical narrative: Chills, malaise, body aches, temp 99.5 after Tylenol, red erythemic blister, palpable lymph nodes to L axilla and L brachial.  Large induration of 2cm x 2 cm around vaccine site. 1 cm round blister.  Note:  VAERS fax'd to  State Epidemiology 3/5/03.  No PCN number as vaccination done by military.
Age: 25.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Pain, Pyrexia
Clinical narrative: Chills, malaise, body aches, temp 99.5 after Tylenol, red erythemic blister, palpable lymph nodes to L axilla and L brachial.  Large induration of 2cm x 2 cm around vaccine site. 1 cm round blister.  Note:  VAERS fax'd to  State Epidemiology 3/5/03.  No PCN number as vaccination done by military.
Age: 25.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Blister, Chills, Erythema, Injection site induration, Malaise
Clinical narrative: Chills, malaise, body aches, temp 99.5 after Tylenol, red erythemic blister, palpable lymph nodes to L axilla and L brachial.  Large induration of 2cm x 2 cm around vaccine site. 1 cm round blister.  Note:  VAERS fax'd to  State Epidemiology 3/5/03.  No PCN number as vaccination done by military.
Age: 34.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Laboratory test abnormal, Malaise, Pyrexia, Rash
Clinical narrative: Information has been received from a physician concerning a 34 year old female with depression, anxiety, iron deficiency, and environmental allergies who on 1/30/03 was vaccinated with a first dose of varicella virus vaccine live. It was reported that the patient told her physician that she was not pregnant. Concomitant therapy included hormonal contraceptives, lithium CO3, lamotrigine, norethindrone and iron. On 2/14/03 the patient developed a blister on her foot. By the next day, on 2/15/03, there were a few more lesions noted. On 2/19/03, the patient was seen in the physician's office with a generalized rash on her face, chest, and back, about 100 lesions overall, some lesions looking pretty angry. It was also reported by a second physician that the patient had some blisters and wide spread herpes lesions. The patient was also noted to have general malaise and a fever of 100.1F. She had no headache or cough. The patient was sent to a dermatologist who confirmed chicken pox. The patient was prescribed valacyclovir HCL 1 G tid which reportedly should have been started on 2/19/03. It was reported that the patient's depression and anxiety acted up considerably as a result of the chicken pox. On 2/21/03 it was reported by a physician that the patent had about 50 lesions with a fever. She reported that the patient was feeling better and that she would not be submitting a specimen for varicella zoster virus analysis. The reporter considered the adverse events to be disabling.  Reported on 04/21/2003: "The patient's chicken pox resolved in 10 to 14 days.  The reported noted that subsequently, a chest x-ray showed mediastinal lymph nodes and a biopsy of a lymph node revealed non-Hodgkin's lymphoma.  The reporter considered the adverse events of chicken pox, depression and anxiety to be disabling.  Non-Hodgkin's lympoma was considered to be an incidental finding.  Additional information has been requested.  Reported on 05/14/2003: "Follow up information from the physician indicated that the patient did not return two phone calls made by the physician, but the patient's oncologist reported that the patient "has been doing very well and seems upbeat".  The reporter considered the adverse events of chicken pox, depression and anxiety to be disabling.  Non-Hodgkin's lymphoma was considered to be an incidental finding.  Additional information is not expected.
Age: 34.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash vesicular, Skin ulcer
Clinical narrative: Information has been received from a physician concerning a 34 year old female with depression, anxiety, iron deficiency, and environmental allergies who on 1/30/03 was vaccinated with a first dose of varicella virus vaccine live. It was reported that the patient told her physician that she was not pregnant. Concomitant therapy included hormonal contraceptives, lithium CO3, lamotrigine, norethindrone and iron. On 2/14/03 the patient developed a blister on her foot. By the next day, on 2/15/03, there were a few more lesions noted. On 2/19/03, the patient was seen in the physician's office with a generalized rash on her face, chest, and back, about 100 lesions overall, some lesions looking pretty angry. It was also reported by a second physician that the patient had some blisters and wide spread herpes lesions. The patient was also noted to have general malaise and a fever of 100.1F. She had no headache or cough. The patient was sent to a dermatologist who confirmed chicken pox. The patient was prescribed valacyclovir HCL 1 G tid which reportedly should have been started on 2/19/03. It was reported that the patient's depression and anxiety acted up considerably as a result of the chicken pox. On 2/21/03 it was reported by a physician that the patent had about 50 lesions with a fever. She reported that the patient was feeling better and that she would not be submitting a specimen for varicella zoster virus analysis. The reporter considered the adverse events to be disabling.  Reported on 04/21/2003: "The patient's chicken pox resolved in 10 to 14 days.  The reported noted that subsequently, a chest x-ray showed mediastinal lymph nodes and a biopsy of a lymph node revealed non-Hodgkin's lymphoma.  The reporter considered the adverse events of chicken pox, depression and anxiety to be disabling.  Non-Hodgkin's lympoma was considered to be an incidental finding.  Additional information has been requested.  Reported on 05/14/2003: "Follow up information from the physician indicated that the patient did not return two phone calls made by the physician, but the patient's oncologist reported that the patient "has been doing very well and seems upbeat".  The reporter considered the adverse events of chicken pox, depression and anxiety to be disabling.  Non-Hodgkin's lymphoma was considered to be an incidental finding.  Additional information is not expected.
Age: 1.4
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Convulsion, Encephalitis, Neurodevelopmental disorder, Speech disorder, Staring
Clinical narrative: Had staring and jerking seizures. Had encephalitis from DTaP immunization. Doctors had a hard time controlling seizure. Had to undergo developmental therapy. The 60 day follow up states pt still has some residual inflammation of the brain (encephalitis). She is still on four anti-convulsants and ahs re-started taking steroids to help with the inflammation. The doctors were unable to identify and bacteria or viral DNA that would have caused the encephaltiis aside from the fact she had her shots five days prior to the onset. The discharge summary received on 3/23/04 states viral infection. My daughter is still on anti convalsats and experienced some developmental delays. She is not talking as much at her age appropriate level. I feel that the medical facility should have to report even suspected cases of adverse reactions and that they should face a stiff penalty for not doing so.
Age: 1.4
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Viral infection
Clinical narrative: Had staring and jerking seizures. Had encephalitis from DTaP immunization. Doctors had a hard time controlling seizure. Had to undergo developmental therapy. The 60 day follow up states pt still has some residual inflammation of the brain (encephalitis). She is still on four anti-convulsants and ahs re-started taking steroids to help with the inflammation. The doctors were unable to identify and bacteria or viral DNA that would have caused the encephaltiis aside from the fact she had her shots five days prior to the onset. The discharge summary received on 3/23/04 states viral infection. My daughter is still on anti convalsats and experienced some developmental delays. She is not talking as much at her age appropriate level. I feel that the medical facility should have to report even suspected cases of adverse reactions and that they should face a stiff penalty for not doing so.
Age: 50.0
Sex: M
Vaccine: TTOX
Symptoms: Herpes zoster, Infection, Nerve injury
Clinical narrative: Exactly two weeks after innoculation, a severe shingles infection which after treatment left nerve (1) from solar plexis around rib-cage to the spinal column dead. Doctors suspects distinct pathology (neurological reaction).
Age: 1.0
Sex: F
Vaccine: IPV, MMR, PNC
Symptoms: Pyrexia, Rash
Clinical narrative: Rash, fever
Age: 42.0
Sex: F
Vaccine: TTOX
Symptoms: Injection site pain, Injection site swelling, Joint range of motion decreased, Pyrexia
Clinical narrative: Pain in L deltoid, swelling, fever, limited range of motion.
Age: 2.0
Sex: M
Vaccine: VARCEL
Symptoms: Dyspnoea, Vomiting, Wheezing
Clinical narrative: 11:40am Physician was called to examine pt who was having difficulty breathing. Apprx 1-2 minutes after varicella vaccine. Child had wheezing with B/L retractions. Decrease air entry. Pt O2 SAT decrease to 87%. 5L O2 given via face mask. O2 SAT 99% -100%. 911/EMS called. 11:45am 0.15mg Epincephrine 1:1000 admin. SQ x 1. Pt improved rapidly. 11:50 am Good Air Entry O2 SAT 100%. 11:55am Deltoid swelling. Benadryl 25mg 1m admin. O2 99-100% room air. Pt vomitting Phigm. 11:58am EMS arrived. Pt transferred to ER.
Age: 22.0
Sex: F
Vaccine: ANTH
Symptoms: Abdominal pain, Arthralgia, Chills, Dysmenorrhoea, Myalgia
Clinical narrative: Shaky, abdominal pain, chills, myalgia, arthralgia, pelvic cramping, vaginal bleeding (menses).  Rx: Motrin, imodium
Age: 22.0
Sex: F
Vaccine: ANTH
Symptoms: Tremor, Vaginal haemorrhage
Clinical narrative: Shaky, abdominal pain, chills, myalgia, arthralgia, pelvic cramping, vaginal bleeding (menses).  Rx: Motrin, imodium
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Pruritus, Urticaria
Clinical narrative: Itching, urticaria. Rx: Benadryl
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Oedema, Pain
Clinical narrative: Left elbow redness and swelling, pain- 5 days duration. Rx Dicloxacillin
Age: 44.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site induration, Pruritus
Clinical narrative: Erythema, induration and pruritis at injection site 15 x 15cm. Rx Motrin, predisone, benadryl, ice pack
Age: 34.0
Sex: F
Vaccine: ANTH
Symptoms: Oedema
Clinical narrative: 10cm local reaction arm swelling  RX Motrin, Atarax
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Laryngotracheal oedema, Pain
Clinical narrative: Aches, swollen neck nodes, nausea
Age: 39.0
Sex: F
Vaccine: TTOX
Symptoms: Oedema, Pain
Clinical narrative: Got tetanus injection 2/20/03 behind triceps; now c/o pain and swelling.
Age: 25.0
Sex: M
Vaccine: RAB
Symptoms: Chills, Dizziness, Hyperhidrosis, Myalgia
Clinical narrative: Vax - 3rd dose Rabavert at 12:45 p.m. March 3. Chills, sweats, muscle pain, dizziness reported approx 5:00 p.m. on 3/3/03. Went to ER midnight. MD told PT believed PT experiencing side effects - nothing to do but wait for Sx to abate. Gave him Vicodin. Reported talked with PT at 5 p.m. on 3/4/03. Reports feeling much better.
Age: 61.0
Sex: F
Vaccine: JEV, RAB
Symptoms: Pruritus
Clinical narrative: Had itching of face and hands apprx. 7 days after receiving immunization. Pt states took Benadryl symptoms subsided in apprx. 30 minutes.
Age: 54.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Erythema, Insomnia, Myalgia, Oedema
Clinical narrative: 2/18/03 - fever 100.5 and took Tylenol and temp down to 99.5. Arm erythematous, edematous, very sore to palpation and unable to sleep on arm and did not sleep well since vax. 2/19/03 - continued fever, erythema and induration increasing in diameter, warm to palpation - call to PCP for c/o cellulitis. 2/20/03 Received antibiotics by PCP
Age: 54.0
Sex: F
Vaccine: TD
Symptoms: Pyrexia
Clinical narrative: 2/18/03 - fever 100.5 and took Tylenol and temp down to 99.5. Arm erythematous, edematous, very sore to palpation and unable to sleep on arm and did not sleep well since vax. 2/19/03 - continued fever, erythema and induration increasing in diameter, warm to palpation - call to PCP for c/o cellulitis. 2/20/03 Received antibiotics by PCP
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Cough, Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: 24 hours after vaccine DTaP. Left deltoid area red, swollen, warm to touch, moderate tender bnt, not C/O pain unless arm is bumped. Afebrile, sl cough, Tylenol, Robitussin DM. Red, swollen 2/28 6.5 x 8 cm
Age: 0.5
Sex: F
Vaccine: DTAP, PNC
Symptoms: Malaise, Pyrexia
Clinical narrative: Increased temp of 105.7 R twitching, jerky body movements, listless. Given Tylenol at home prior to bringing child to office. Motrin given stat, Tepid Sponge.
Sex: F
Vaccine: UNK
Symptoms: Face oedema, Pruritus
Clinical narrative: Facial swelling and itching.
Age: 41.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Injection site oedema, Injection site reaction, Pruritus
Clinical narrative: Local reaction including: moderate erythema, edema, pruritus in a 20 x 10 cm area surrounding injection site.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: From info received at manufacturer on 11/15/02, it was reported that a 4 y.o. male was administered Daptacel, Fluzone SV '02-'03 USP, IPOL, and MMR on 11/12/02. The child was seen in the ER later that night w/a fever of 104 deg F, and swelling and redness in both legs at the inject sites. He was diagnosed w/cellulitis. It was not reported whether the PT recovered.  Follow up on 12/03/2003: "From correspondence received on 04/14/2003 from the reporter, no further information was provided.  No further information is anticipated, this case is closed."  Follow up on 01/22/04: "No further information was provided. No further information is anticipated, this case is closed."
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Injection site oedema, Injection site pain, Pain, Vasodilation procedure
Clinical narrative: From faxed info received at manufacturer on 12/3/02, it was reported that a 5 y.o. male PT was vax'd with Daptacel, IM as dose #5, Ipol, SC as dose #4, MMR, SC as dose #2, and Varivax SC as dose #1 on 11/19/02 at 6 p.m. On the morning of 11/21/02, the PT experienced swelling at the inject site w/erythema, warmth, and pain going up to the elbow. PT is recovering.
Age: 1.5
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Feeling hot, Oedema, Pain
Clinical narrative: From faxed info received at manufacturer on 12/3/02, it was reported that an 18 mt old female PT was vax'd with Daptacel, IM on 11/19/02 at 2 p.m. On 11/20/02 at 6 p.m., the PT experienced swelling and erythema on her thigh up to her knee. The area was warm to touch and tender. Reportedly, the PT is recovering.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema, Vasodilation procedure
Clinical narrative: From initial info received at manufacturer on 1/23/03, it was reported that 4 y.o. male child was vax'd with 5th dose of Daptacel in the right deltoid, Ipol in the upper right arm, and MMR in the left arm on 1/20/03. On 1/21/03, the PT experienced swelling, redness and warm to the touch of the right arm from his shoulder to 2" below his elbow. The PT was seen in the ER / MD's office. The PT was not taking any medications or had any illnesses at time of vax. It was reported that the PT has no medical conditions or allergies. It is not reported whether the PT recovered from the event.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema multiforme, Injection site erythema, Rash
Clinical narrative: Rash, over body/trunk with erythema around site, approx 9-10 post-vaccination  a/p: erythema multiforme, given allegra with resolution in 4-5 days
Age: 21.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema multiforme, Pruritus, Rash follicular
Clinical narrative: + RASH, FOLLICULAR, MILDLY PRURITIC, 9 DAYS POST VACCINATION.  NO FEVER.  A/P: MILD ERYTHEMA MULTIFORME PLAN: GAVE ALLEGRA 180MG QD WITH COMPLETE RESOLUTION
Age: 52.0
Sex: F
Vaccine: SMALL
Symptoms: Conjunctivitis, Herpes simplex, Lymph node pain, Ocular hyperaemia, Pharyngolaryngeal pain
Clinical narrative: 52 yo WF presents for dressing change. She states that on 3/1/03 she woke up with an extremely sore throat and a red R eye and painful lymph nodes  under her jaw. She says she had cleaned her mother's garage  prior to this but was not near her mom. Her mother had had viral conjunctivitis last week. Pt also gave a hx of herpes simplex of her R eye that was work related in 1999. She has been on supression of 400mg tid but says she is  having trouble getting her meds through workman's comp and recently had to decrease the dose to BID. She was told to increase it for flair-ups to 5 times a day. She has had no fever. There have been no other lesions on her body. There has been no chills, nausea, itching elsewhere, or malaise.         She has kept her site covered. She washes her hands and uses gel and says she has been "meticulous" with these.  PMHX:No Hx chickenpox or Herpes Zoster Allergies: Erythromycin,zoloft, doxycycline, rifampin  Obj:WD,WN,WF no distress HEENT: PERRL,EOMI, R eye conjunctiva red irritated with small amount clear drainage. No lesions on lids. L eye WNL Tender in area of preauricular nodes and submandibular nodes Pharynx:no exudates masses or swelling, sl red Vaccination site:lesion scabbed over and dry. Dressing found in place and intact. Area redressed. Assmt:1)Probable conjunctivitis but need to R/O herpes as a source and much less likely vaccinia. Plan:Refer to Eye Clinic  Addendum:SEE EYE CLINIC NOTE Called the Clinician Information Line at CDC. Spoke with Dr. She took a report and suggested: 1)We should file a VAERS Report-As we do not have a digital certificate as yet this will have to be done on paper. Will down load the forms. 2)Slit lamp exam if not done today 3)Dacron swabs of eye ASAP to be sent to the state lab or to the CDC for PCR. I have obtained these from the lab and will obtain specimens tonight.  Dr. will call back tomorrow with info on where to send the samples.  4)Patient will be placed on leave for the required 5 days for viral conjunctivitis. At present, I doubt this is related to her vaccination, but the PCR may be of help if positive. At present, we are calling this a viral conjunctivitis and covering her work related herpetic eye infection with Trifluridine and acyclovir. 3/4/04 Phone contact - employee doing well. Eye no better but no worse. no more tender nodes under necck but right preauricular area still tender. Doxycycline allergy - it makes her irritable and agressive. Assmt: Viral Conjunctivitis vs. Herpetic Conjunctivitis vs. Vaccinia Conjunctivitis. Plan: 1) Continue therapy, 2) Swabs of the eye done last night sent to CDC, 3) Swab of eye sent to reference lab for viral culture, 4) Will email pictures of the eye to CDC, 5) Employee to return to Eye clinic in the AM for re-evaluation and slit lamp exam.
Age: 26.0
Sex: F
Vaccine: SMALL
Symptoms: Cough, Headache, Influenza like illness, Malaise, Myalgia
Clinical narrative: malaise, cough, headache, fever, muscle aches, without rash only 2 days after a primary vaccination (3 jabs)  clinical dx an unrelated flu like syndrome
Age: 26.0
Sex: F
Vaccine: SMALL
Symptoms: Pyrexia
Clinical narrative: malaise, cough, headache, fever, muscle aches, without rash only 2 days after a primary vaccination (3 jabs)  clinical dx an unrelated flu like syndrome
Age: 43.0
Sex: F
Vaccine: SMALL
Symptoms: Headache, Lymphadenopathy, Myalgia, Visual disturbance
Clinical narrative: 3-5-03-Received message that patient  who works and received smallpox vaccination was having some problems. Call made to residence. Patient who is a nurse reports that she was vaccinated on 2-25-03 . States she has had basic muscle pain and enlarged lymph nodes under her left arm. She does report that two of the lymph nodes were the size of eggs. She really thought nothing but ordinary reactions until Monday, March 3. She had a headache that morning before going to sleep. When she got up and went out to eat with her sister, she couldn't read a menu. After eating, she went shopping and noticed that her eyesight was distorted and she thought the cans were all dented. She called the CDC who instructed her to see her Physician. She saw Dr. at Clinic on 3-5-03 who referred her to an Ophthalmologist. That appt. is scheduled for 3-6-03. Patient does not wear contacts or prescription glasses. She is sure she has not cross contaminated her eyes. After speaking to patient at length , she stated that the colors in her left eye change from dark to green and pink. CDC line called by this AE Coordinator from SD to clarify that it was OK to wait until tomorrow morning to see the ophthalmologist. 3-way conference call with Dr. from CDC, AE Coordinator, and Patient was completed on Wednesday PM.  Patient did report in the conference call that she had lost the sight in this left eye back in 1997. Patient also reported that she was diagnosed with Lupus back in 1989, but DNA testing done in the Fall of 2002 stated that she does not have Lupus. She states that she has not taken Steroids since the early 1990's. The patient was to have her site checked yet Wednesday evening but reports that it will be a "take".The Ophthalmologist is to call Dr. on 3-6-03 re: visit with patient.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Blister, Dermatitis contact, Injection site erythema, Injection site induration, Malaise
Clinical narrative: In early Jan, he was seen in clinic and felt to have a mild contact dermatitis with rash restricted to lateral sides of chest and flanks. He was given some kenalog cream and 5 days of oral prednisone (10 mg per day) and he had complete resolution. He has not had a recurrence of this problem. He had no h/o atopic dermatitis or eczema in the past.  He received his primary smallpox vaccination on 30 January 2003 (3 jabs to right deltoid).  He did not develop any systemic symptoms and presented on 8 February for site check.  He reported no symptoms except for local itching and he had a major reaction manifest as some local redness, induration and a whitish blister.  He presented to clinic on 13 Feb for eval of rash in his groin. He stated onset of lesions was 3 days previous (10 Feb) but he denied pruritis, fevers, pain, or malaise. He has not been sexually active. Examination of his primary site revealed a nicely formed eschar. He had a significant macular-papular eruption of many lesions in his pubic area, some with early pustular formation.  There were a few scattered lesions over lower abd/supra-pubic area and at his proximal penis.  Because of extent of number of lesions, we thought this was more likely a regional vaccinia rather than an autoinoculation. However, we had seen about 10 cases of macular-papular rashes after vaccination, all resolved in a few days.  The patient returned for re-examination the next day (14 Feb), and lesions had already progressed to become more umbilicated and pustular.  Photos were taken. No treatment given since he was asymptomatic. He followed up in clinic on 23 Feb and lesions had formed scabs/eschars and it was apparent this was a regional vaccinia. On 26 Feb 03, he returned to clinic again. The initial pubic area lesions again revealed good scabs/eschars. In addition, there were a few newer lesions in the supra-pubic area and on proximal thighs. Patient reported intermittent b
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Pain, Pruritus, Pyrexia, Rash, Rash maculo-papular
Clinical narrative: In early Jan, he was seen in clinic and felt to have a mild contact dermatitis with rash restricted to lateral sides of chest and flanks. He was given some kenalog cream and 5 days of oral prednisone (10 mg per day) and he had complete resolution. He has not had a recurrence of this problem. He had no h/o atopic dermatitis or eczema in the past.  He received his primary smallpox vaccination on 30 January 2003 (3 jabs to right deltoid).  He did not develop any systemic symptoms and presented on 8 February for site check.  He reported no symptoms except for local itching and he had a major reaction manifest as some local redness, induration and a whitish blister.  He presented to clinic on 13 Feb for eval of rash in his groin. He stated onset of lesions was 3 days previous (10 Feb) but he denied pruritis, fevers, pain, or malaise. He has not been sexually active. Examination of his primary site revealed a nicely formed eschar. He had a significant macular-papular eruption of many lesions in his pubic area, some with early pustular formation.  There were a few scattered lesions over lower abd/supra-pubic area and at his proximal penis.  Because of extent of number of lesions, we thought this was more likely a regional vaccinia rather than an autoinoculation. However, we had seen about 10 cases of macular-papular rashes after vaccination, all resolved in a few days.  The patient returned for re-examination the next day (14 Feb), and lesions had already progressed to become more umbilicated and pustular.  Photos were taken. No treatment given since he was asymptomatic. He followed up in clinic on 23 Feb and lesions had formed scabs/eschars and it was apparent this was a regional vaccinia. On 26 Feb 03, he returned to clinic again. The initial pubic area lesions again revealed good scabs/eschars. In addition, there were a few newer lesions in the supra-pubic area and on proximal thighs. Patient reported intermittent b
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Vaccinia
Clinical narrative: In early Jan, he was seen in clinic and felt to have a mild contact dermatitis with rash restricted to lateral sides of chest and flanks. He was given some kenalog cream and 5 days of oral prednisone (10 mg per day) and he had complete resolution. He has not had a recurrence of this problem. He had no h/o atopic dermatitis or eczema in the past.  He received his primary smallpox vaccination on 30 January 2003 (3 jabs to right deltoid).  He did not develop any systemic symptoms and presented on 8 February for site check.  He reported no symptoms except for local itching and he had a major reaction manifest as some local redness, induration and a whitish blister.  He presented to clinic on 13 Feb for eval of rash in his groin. He stated onset of lesions was 3 days previous (10 Feb) but he denied pruritis, fevers, pain, or malaise. He has not been sexually active. Examination of his primary site revealed a nicely formed eschar. He had a significant macular-papular eruption of many lesions in his pubic area, some with early pustular formation.  There were a few scattered lesions over lower abd/supra-pubic area and at his proximal penis.  Because of extent of number of lesions, we thought this was more likely a regional vaccinia rather than an autoinoculation. However, we had seen about 10 cases of macular-papular rashes after vaccination, all resolved in a few days.  The patient returned for re-examination the next day (14 Feb), and lesions had already progressed to become more umbilicated and pustular.  Photos were taken. No treatment given since he was asymptomatic. He followed up in clinic on 23 Feb and lesions had formed scabs/eschars and it was apparent this was a regional vaccinia. On 26 Feb 03, he returned to clinic again. The initial pubic area lesions again revealed good scabs/eschars. In addition, there were a few newer lesions in the supra-pubic area and on proximal thighs. Patient reported intermittent b
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia
Clinical narrative: FEVER. PATIENT WAS TREATED WITH IBUPROFEN.
Age: 28.0
Sex: U
Vaccine: SMALL
Symptoms: Headache, Pharyngolaryngeal pain, Pruritus, Pyrexia
Clinical narrative: Low grade fever 100.3F, sore throat, chills, headache, and itching.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: Developed rash that covered body. Pt followed up by ID.
Age: 43.0
Sex: U
Vaccine: SMALL
Symptoms: Cough, Fatigue, Injection site erythema, Injection site induration
Clinical narrative: Pt developed hard bump size of a silver dollar @ injection site, as well as ? pink skin 2" diameter. Currently redness has gone, the size is half size of a dime. C/O fatigue and cough 15 wks after injection.
Age: 50.0
Sex: F
Vaccine: SMALL
Symptoms: Rash maculo-papular
Clinical narrative: Macular, papular rash starting on trunk and moving outwards. Pt seen by Infectious Disease Dept.
Age: 44.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Erythema, Paraesthesia, Swelling
Clinical narrative: Pt rec'd 2nd Anthrax with 1 day local redness and swelling 12" from site. swelling caused parathesia.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Fatigue, Lethargy, Somnolence
Clinical narrative: Post inoculation day 1, pt experienced extreme fatigue and lethargy. Pt sleep virtually the  entire day and subsequent night. This resolved by aboutj12:00 day 2.
Sex: F
Vaccine: SMALL
Symptoms: Heart rate irregular, Hot flush
Clinical narrative: Hot flashes, irregular heart beating.
Age: 43.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Dizziness, Heart rate irregular, Ventricular extrasystoles
Clinical narrative: Sudden onset of irregular heart beats while at rest. HR 20's with associated dizziness and chest pain with deep inspiration 2/1/03 at 1330.ER visit identified frequent unifocal  PVC's
Age: 41.0
Sex: F
Vaccine: SMALL
Symptoms: Dizziness
Clinical narrative: Dizzy spells since day after vaccination 15 - 20 times a day, with and without position changes.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site reaction
Clinical narrative: Auto-inoculation of L deltoid included redness 2-3" around vaccination site, along with papules (12).
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Injection site reaction
Clinical narrative: Multiple papules/pustules, erythematous, discrete spreading from right deltoid to upper back to left trapezius area. Also cervical and supcaclavicular and axillary LAD. Over 24 hr period resolving w/in 48 hrs.
Age: 30.0
Sex: M
Vaccine: FLU3, SMALL
Symptoms: Vaccination complication
Clinical narrative: Two spots on same shoulder auto-inoculated, likely caused by raw spots due to bandage change.
Age: 21.0
Sex: F
Vaccine: SMALL
Symptoms: Rash erythematous, Rash maculo-papular, Rash pruritic
Clinical narrative: 12 days after inoculation pt presented to sick call with pruritic rash to borsum of both hands.  Initially treated with hydrocortisone.  Two days later came back with erythematous maculopapular rash with some coalescing to hands, arms, and thighs.  Treated with Benadryl 50 mg PO Q6 for 4 days and released when RASH subsided.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia
Clinical narrative: FEVER AND CHILLS. NO TREATMENT GIVEN.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site rash, Urticaria
Clinical narrative: STARTED WITH HIVE/RASH ON LEFT ARM.NO CELLULITIS 03/06/03.HAD DTAP VACCINE 03/03/03.RASH AT SITE OF DTAP INJECTION. TREATMENT: BENADRYL ONE AND A HALF TEASPOON BY MOUTH EVERY 6 HOURS X 2-3 DAYS.RETURN IF WORSE OR NO CHANGE.
Age: 20.0
Sex: F
Vaccine: SMALL
Symptoms: Vaccination complication
Clinical narrative: SMALLPOX VACCINE IN EYES BILATERALLY. MILIA BILATERAL EYES. TREATED WITH TOPICAL HYDROCORTIZONE 1%. PATIENT REFERRED TO OPTHAMOLOGY FOR FURTHER EVALUATION.
Age: 23.0
Sex: F
Vaccine: ANTH, TYP
Symptoms: Feeling hot, Oedema, Pain
Clinical narrative: 6-8 cm. Of swelling. Burning pain lots of heat developed two days after injection and lasted for three days.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Dermatitis, Iritis, Lymphadenopathy, Lymphangitis, Rash papular
Clinical narrative: BRISK PRIMARY VACCINE RESPONSE WITH ADENOPATHY LYMPHANGITIS AND LEFT EYE IRITIS. DEVELOPED PAPULAR ERUPTION ON TRUNK AND EXTREMEITIES.  NO TREATMENT GIVEN.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Infection
Clinical narrative: SMALLPOX VACCINE INFECTION.NO TREATMENT GIVEN.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Dermatitis allergic
Clinical narrative: ALLERGIC DERMATITIS. TREATED WITH HYDROXAZINE 25 MG PO #90; PREDNISONE 20 MG #12
Age: 37.0
Sex: F
Vaccine: ANTH, SMALL, SMALL
Symptoms: Dizziness, Nausea, Pruritus, Rash, Vomiting
Clinical narrative: 10 MINS AFTER INJECTION OF ANTHRAX, SMALLPOX, AND TB, I WAS FEELING LIGHT HEADED, NAUSEOUS, AND ITCHY.  WITHIN 30 MINUTES I HAD VOMITED TWICE.  I WAS TREATED FOR RASH WITH BENADRYL AND FOR THE VOMITING I WAS GIVEN PHENERGAN.
Age: 37.0
Sex: F
Vaccine: ANTH, SMALL, SMALL
Symptoms: Diarrhoea, Pruritus, Rash
Clinical narrative: 10 MINS AFTER INJECTION OF ANTHRAX, SMALLPOX, AND TB, I WAS FEELING LIGHT HEADED, NAUSEOUS, AND ITCHY.  WITHIN 30 MINUTES I HAD VOMITED TWICE.  I WAS TREATED FOR RASH WITH BENADRYL AND FOR THE VOMITING I WAS GIVEN PHENERGAN.
Age: 37.0
Sex: F
Vaccine: ANTH, SMALL, SMALL
Symptoms: Dizziness, Nausea, Pruritus, Rash, Vomiting
Clinical narrative: 3:30PM I WAS RE GIVEN THE SMALLPOX VACCINE.  I NOTICED ITCHING AND A RASH ON MY WRIST APPROXIMATELY 10 MINUTES LATER. ABOUT 1 HOUR LATER I DEVELOPED DIARRHEA.
Age: 37.0
Sex: F
Vaccine: ANTH, SMALL, SMALL
Symptoms: Diarrhoea, Pruritus, Rash
Clinical narrative: 3:30PM I WAS RE GIVEN THE SMALLPOX VACCINE.  I NOTICED ITCHING AND A RASH ON MY WRIST APPROXIMATELY 10 MINUTES LATER. ABOUT 1 HOUR LATER I DEVELOPED DIARRHEA.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis
Clinical narrative: POXX CELLULITUS. TREATED WITH CEPHALEXIC 250 MG PO #40
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Dermatitis bullous
Clinical narrative: SMALLPOX LESIONS ON BACK. PATIENT WAS TREATED AS AN OUTPATIENT01/27/03 WITH AMOXICILLIAN PO 250 MG #30, DECONAMINE SR #20 AND TYLENOL 325MG.  PATIENT DID NOT RESPONDE TO TREATMENT. ON /2/21/03 PATIENT WAS TX'D AGAIN WITH CEPHALEXIN PO 500 MG #40 AND HYDROXYZINE HCL PO 25 MG #20. PT WAS ADMITTED TO NHCP ON 2/22/03 AND WAS TREATED WITH NAFACILLIN 2 GM IM AND WAS REFERRED TO DERMATOLOGY.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Blister, Dermatitis bullous, Dizziness, Erythema, Headache
Clinical narrative: SMALLPOX LESIONS ON BACK. ADVERSE REACTION TO SMALLPOX VACCINE. PATIENT REFERRED TO DERMATOLOGY. NO TREATMETN GIVEN. PT DEVELOPED TWO DISCRETE VISICLES WITH 1MM RIM OF ERYTHEMA ON BACK MEASURING 5MM IN DIAMETER WITH DIFFUSE BODYWIDE ERYTHEMA, MALAISE, DIZZINESS AND HA.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Malaise, Necrosis
Clinical narrative: SMALLPOX LESIONS ON BACK. ADVERSE REACTION TO SMALLPOX VACCINE. PATIENT REFERRED TO DERMATOLOGY. NO TREATMETN GIVEN. PT DEVELOPED TWO DISCRETE VISICLES WITH 1MM RIM OF ERYTHEMA ON BACK MEASURING 5MM IN DIAMETER WITH DIFFUSE BODYWIDE ERYTHEMA, MALAISE, DIZZINESS AND HA.
Age: 23.0
Sex: F
Vaccine: SMALL
Symptoms: Cellulitis
Clinical narrative: POSSIBLE CELLULITUS. PATIENT TREATED WITH KEFLEX 500 MG PO ON 02/23/03. UNABLE TO TOLERATE, THEN TREATED WITH DICLOXACILLIN 250 MG #80 AND DIPHENHYDRAMINE 50 MG ON 02/24/03.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Headache, Injection site erythema
Clinical narrative: CELLUSLITUS VS SMALLPOX VACCINE REACTION. PATIENT PRESENTED WITH HA AND LOCALIZED ERYTHEMA. PATIENT TREATED WITH HYDROXYZINE HCL 25 MG AND DICLOXACILLIN 250 MG #80.
Age: 20.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site swelling
Clinical narrative: PATIENT HAD SWEELING TO RIGHT ARM. PAITNET TREATED WITH DIPHENHYDRAMINE 25 MG PO.
Age: 59.0
Sex: F
Vaccine: SMALL
Symptoms: Chills, Decreased appetite, Pain, Pyrexia, White blood cell count increased
Clinical narrative: By day 3 reports of chills, fever, aches, decreased appetite-saw MD 3/3 off work 3/4-3/6, hospitalized 3/6? RO rash.
Age: 34.0
Sex: F
Vaccine: SMALL
Symptoms: Myalgia, Oedema, Pyrexia
Clinical narrative: Client reported S & S began in afternoon, Wed, 3/5/03, and reported to hospital contact at 11:30 a.m. on 3/6/03. C/o temperature at 99 deg F on 3/5/03 that increased to 100.4 deg F on 3/6/03. Client was advised by hospital contact to take pondri paretic c/o of swelling and muscle pain in arms and shoulders.  A 15-day follow up report received 05/20/2003 adds no new info.
Age: 40.0
Sex: F
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: Rash (bump 4 days) 3 los(?) bumps arm & face. 3/8 day 7 - 18 local and neck and arm (left)
Age: 57.0
Sex: F
Vaccine: SMALL
Symptoms: Angiopathy, Atherosclerosis, Circulatory collapse, Cough, Decreased appetite
Clinical narrative: Pt is a 57 year old white female who presents to the smallpox vaccination follow up dressing clinic status post vaccinia vaccine times six days. She states that, the day following her vaccination, she began to suffer from increasing body aches, fatigue, general malaise, and fever that maxed at 102.6. She complains of nausea without vomiting and inability to eat or drink since that time. She does complain of increasing shortness of breath and productive cough, which is productive in nature with a green sputum. She denies chest pain. She denies ? related complications other than mild itching/pruritis. She denies generalized rash or rash on other parts of her body. She does complain of orthostatic dizziness. She has only taken Tylenol with small sips of water for the preceding five days. Impression: acute exacerbation of chronic obstructive pulmonary disease, dehydration, rule out vaccinia reaction. Follow up letter states: The latest that I was able to gather from - working on AE's is the following: 57 yof nurse vaccinated 02/27/2003, seen in ER 03/04/2003 for nausea without vomiting, dizziness, shortness of breath. There was no evidence of rash, or fever and no report of diarrhea. Vital signs: 113/80, pulse 100, RR20, PE: Bilateral wheezing, scattered ronchi, no murmur, and normal heart sounds. The pt had a history of HTN, osteoporosis and TIA, no report of COPD. Was on antihypertensives and treatment for osteoporosis. This information comes from the report from the ER, it claims that she was going to be transferred but it is unclear if she was "admitted" or not (it appears to be an overnight ER admission, but this needs to be clarified). They had a requested CXR,ABG's and were going to treat her as an "acute exacerbation of COPD" with antibiotics, bronchodilators, expectorants, and oxygen. COPD is not determined in past medical history from ER however the pt is a smoker since age 14 (1 ppd x 43 ys).  On March 16 while with husband the pt collapsed and was down for 15-20 minutes. EMT's came, pt was resuscitated in. The autopsy report states arteriosclerotic cardio-vascular disease.
Age: 57.0
Sex: F
Vaccine: SMALL
Symptoms: Dehydration, Diarrhoea, Dizziness, Dyspnoea, Fatigue
Clinical narrative: Pt is a 57 year old white female who presents to the smallpox vaccination follow up dressing clinic status post vaccinia vaccine times six days. She states that, the day following her vaccination, she began to suffer from increasing body aches, fatigue, general malaise, and fever that maxed at 102.6. She complains of nausea without vomiting and inability to eat or drink since that time. She does complain of increasing shortness of breath and productive cough, which is productive in nature with a green sputum. She denies chest pain. She denies ? related complications other than mild itching/pruritis. She denies generalized rash or rash on other parts of her body. She does complain of orthostatic dizziness. She has only taken Tylenol with small sips of water for the preceding five days. Impression: acute exacerbation of chronic obstructive pulmonary disease, dehydration, rule out vaccinia reaction. Follow up letter states: The latest that I was able to gather from - working on AE's is the following: 57 yof nurse vaccinated 02/27/2003, seen in ER 03/04/2003 for nausea without vomiting, dizziness, shortness of breath. There was no evidence of rash, or fever and no report of diarrhea. Vital signs: 113/80, pulse 100, RR20, PE: Bilateral wheezing, scattered ronchi, no murmur, and normal heart sounds. The pt had a history of HTN, osteoporosis and TIA, no report of COPD. Was on antihypertensives and treatment for osteoporosis. This information comes from the report from the ER, it claims that she was going to be transferred but it is unclear if she was "admitted" or not (it appears to be an overnight ER admission, but this needs to be clarified). They had a requested CXR,ABG's and were going to treat her as an "acute exacerbation of COPD" with antibiotics, bronchodilators, expectorants, and oxygen. COPD is not determined in past medical history from ER however the pt is a smoker since age 14 (1 ppd x 43 ys).  On March 16 while with husband the pt collapsed and was down for 15-20 minutes. EMT's came, pt was resuscitated in. The autopsy report states arteriosclerotic cardio-vascular disease.