chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 49.0
Sex: F
Vaccine: TD
Symptoms: Injection site oedema, Pain, Pruritus
Clinical narrative: (+) Pain in while area, arm swelling "fist size" at injection site, hot to touch, redness, itching symptoms started 09/07/03.
Age: 31.0
Sex: F
Vaccine: TD
Symptoms: Injection site mass, Pain
Clinical narrative: Lump below shoulder, pain to touch.
Age: 43.0
Sex: F
Vaccine: UNK
Symptoms: Diarrhoea, Injection site erythema, Injection site mass, Nausea, Pain
Clinical narrative: Pt complained of diarrhea, fever to 101, soreness, quarter size lump, redness 5x5inch, nausea 1 day after all other symptoms 4 days after shot.
Age: 43.0
Sex: F
Vaccine: UNK
Symptoms: Pyrexia
Clinical narrative: Pt complained of diarrhea, fever to 101, soreness, quarter size lump, redness 5x5inch, nausea 1 day after all other symptoms 4 days after shot.
Age: 30.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Arthralgia, Myalgia, Pain
Clinical narrative: Achiness, myalgias, arthralgias, since the MMR and Hep B vaccines.
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Unevaluable event
Clinical narrative: This report describes the occurrence of death in child of unspecified age who received hepatitis B vaccine recombinant (Engerix-B) injection.  The report was received as part of litigation proceedings and has not been verified by a physician or other health care professional.  The pt received the first injection of Engerix-B vaccine (Lot # ENG3329A2) on 03/27/2001.  He also received injections of DTAP (Tripedia, AP); inactivated IPV (IPOL, AP); and HIB (Hib-Titer, Lederle Labs) on 03/27/2001.  On 12/10/03, the pt's attorney alleged that "the thimerosal contained in the vaccine administered to the children (child) contributed to and/or caused their deaths."  No further information regarding the specifics of their claims is available at this time.  It is unknown whether an autopsy was performed.
Sex: U
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: This report describes the occurrence of death in child of unspecified age who received hepatitis B vaccine recombinant (Engerix-B) injection.  The report was received as part of litigation proceedings and has not been verified by a physician or other health care professional.  On 12/10/03, the pt's attorney alleged that "the thimerosal contained in the vaccine administered to the children (child) contributed to and/or caused their deaths."  No further information regarding the specifics of their claims is available at this time.  It is unknown whether an autopsy was performed.
Sex: U
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: This report describes the occurrence of death in child of unspecified age who received hepatitis B vaccine recombinant (Engerix-B) injection.  The report was received as part of litigation proceedings and has not been verified by a physician or other health care professional.  On an unspecified date, the pt received either Engerix-B vaccine (lot number unknown) or Infanrix vaccien (Lot # DTPA958A2 or lot # DTPA524A2). On 12/10/03, the pt's attorney alleged that "the thimerosal contained in the vaccine administered to the children (child) contributed to and/or caused their deaths."  No further information regarding the specifics of their claims is available at this time.  It is unknown whether an autopsy was performed.
Sex: U
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: This report describes the occurrence of death in child of unspecified age who received hepatitis B vaccine recombinant (Engerix-B) injection.  The report was received as part of litigation proceedings and has not been verified by a physician or other health care professional.  On an unspecified date, the pt received either Engerix-B vaccine (lot number unknown) or Infanrix vaccine (Lot # DTPA958A2 or lot # DTPA524A2). On 12/10/03, the pt's attorney alleged that "the thimerosal contained in the vaccine administered to the children (child) contributed to and/or caused their deaths."  No further information regarding the specifics of their claims is available at this time.  It is unknown whether an autopsy was performed.
Sex: M
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: This report describes the occurrence of death in child of unspecified age who received hepatitis B vaccine recombinant (Engerix-B) injection.  The report was received as part of litigation proceedings and has not been verified by a physician or other health care professional.  On an unspecified date, the pt received either Engerix-B vaccine (lot number unknown) or Infanrix vaccine (Lot # DTPA958A2 or lot # DTPA524A2). On 12/10/03, the pt's attorney alleged that "the thimerosal contained in the vaccine administered to the children (child) contributed to and/or caused their deaths."  No further information regarding the specifics of their claims is available at this time.  It is unknown whether an autopsy was performed.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Heart rate increased
Clinical narrative: Knelt down approximately 8hours after receiving vaccine to pet my dog, felt dizzy and strange, stood up and heart was beating fast. Episode passed.
Age: 1.4
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: 09:25: Toddler developed hives starting around injection site, progressing to shoulder and back.  To ER, hives developed on legs.  No breathing difficulties in clinic or ER. Given Benadryl and steroid shot states mom. Recommended Benadryl Elixir for 2 days if needed follow up with ER physician.  Telephone call 12/15/03, no further hives.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Feeling hot, Pruritus
Clinical narrative: 10 x 10 cm area of erythema, warmth, pruritis.  Treated with Motrin, non-sedating antihistamines.
Age: 0.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Erythema multiforme, Rash macular, Rash papular
Clinical narrative: Erythema Multiforme Minor by macular papular rash over entire body developing 5-6 days after vaccination
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain, Asthenia, Constipation, Coordination abnormal, Difficulty in walking
Clinical narrative: She was RER. She did not receive cranial XRT. Our working diagnosis is diffuse, patchy neuritis with ascending myelitis probably due to intrathecal MTX vs. vincristine peripheral neuropathy vs. Guillian-Barre secondary to the influenza vaccine vs. CNS relapse. We can send viral titerswhich ones would you recommend? CMV, EBV?   We have an adverse event in a 4 year old Hispanic female with high risk ALL (secondary to initial WBC of 50.2 /ul at diagnosis)  being treated in the maintenance phase of CCG 1961.  On 12/1/03, JP received IT MTX and VCR IVP (bili 0.3 that day) without problem. She was also given an influenza vaccine IM.  On 12/8/03, she presented to clinic with complaints of irritability, dysuria, constipation, and a low grade fevercultures were obtained and patient was given empiric therapy with Ceftriaxone. UA/UC and blood culture were negative.  Father called again on 12/11/03 to say that patient was not walking well and she had been incontinent of urinethese symptoms started 12/10/03. She was seen in the office the day the father called and her gait was very ataxic with foot drop. DTR in LE were +1-+2 and symmetric. There was no clonus. Father reported that she had been incontinent of urine and stool. He believed that she was incontinent of loose stool due to the Miralax given 12/8/03. We questioned whether this was due to a vincristine peripheral neuropathy vs. Guillian-Barre. JP was referred to Neurology who saw her that afternoon and requested a CK and MRI of the spine with and without Gadolinium. The CK was drawn on 12/12/03 and was normal. Neurology scheduled her MRI for 12/17/03. The father did not call to report any worsening of symptoms until 2 am today (12/17/03) when he called to say that her abdomen was distended and she was compalining of abdominal pain. He also reported that she was not walking at all and that he had been carrying her everywhere since 12/14/03. She came to the emergency room and her PE was remarkable for paraplegia, inability to sit up, and decreased strength in her upper extremities. She has no respiratory issues. JP was catheterized for 500cc of urine. Her MRI shows no compression and she has diffuse, but patchy neuritis with ascending myelitis. She is in the PICU for observation of her respiratory status and was started on Decadron 4 mg IV q 6 hrs after a BMA and LP were performed. Her CSF shows 4 WBC, 14 RBC and gram stain is negative. CSF glucose is 56 mg/dl. Right now all of her chemotherapy is on hold. Do you have any further suggestions regarding her management at this point? Are there any medications that could be used as a "rescue?" We really appreciate your input.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Faecal incontinence, Gait disturbance, Guillain-Barre syndrome, Laboratory test abnormal, Myelitis
Clinical narrative: She was RER. She did not receive cranial XRT. Our working diagnosis is diffuse, patchy neuritis with ascending myelitis probably due to intrathecal MTX vs. vincristine peripheral neuropathy vs. Guillian-Barre secondary to the influenza vaccine vs. CNS relapse. We can send viral titerswhich ones would you recommend? CMV, EBV?   We have an adverse event in a 4 year old Hispanic female with high risk ALL (secondary to initial WBC of 50.2 /ul at diagnosis)  being treated in the maintenance phase of CCG 1961.  On 12/1/03, JP received IT MTX and VCR IVP (bili 0.3 that day) without problem. She was also given an influenza vaccine IM.  On 12/8/03, she presented to clinic with complaints of irritability, dysuria, constipation, and a low grade fevercultures were obtained and patient was given empiric therapy with Ceftriaxone. UA/UC and blood culture were negative.  Father called again on 12/11/03 to say that patient was not walking well and she had been incontinent of urinethese symptoms started 12/10/03. She was seen in the office the day the father called and her gait was very ataxic with foot drop. DTR in LE were +1-+2 and symmetric. There was no clonus. Father reported that she had been incontinent of urine and stool. He believed that she was incontinent of loose stool due to the Miralax given 12/8/03. We questioned whether this was due to a vincristine peripheral neuropathy vs. Guillian-Barre. JP was referred to Neurology who saw her that afternoon and requested a CK and MRI of the spine with and without Gadolinium. The CK was drawn on 12/12/03 and was normal. Neurology scheduled her MRI for 12/17/03. The father did not call to report any worsening of symptoms until 2 am today (12/17/03) when he called to say that her abdomen was distended and she was compalining of abdominal pain. He also reported that she was not walking at all and that he had been carrying her everywhere since 12/14/03. She came to the emergency room and her PE was remarkable for paraplegia, inability to sit up, and decreased strength in her upper extremities. She has no respiratory issues. JP was catheterized for 500cc of urine. Her MRI shows no compression and she has diffuse, but patchy neuritis with ascending myelitis. She is in the PICU for observation of her respiratory status and was started on Decadron 4 mg IV q 6 hrs after a BMA and LP were performed. Her CSF shows 4 WBC, 14 RBC and gram stain is negative. CSF glucose is 56 mg/dl. Right now all of her chemotherapy is on hold. Do you have any further suggestions regarding her management at this point? Are there any medications that could be used as a "rescue?" We really appreciate your input.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Neuritis, Neuropathy peripheral, Paraplegia, Peroneal nerve palsy, Pyrexia
Clinical narrative: She was RER. She did not receive cranial XRT. Our working diagnosis is diffuse, patchy neuritis with ascending myelitis probably due to intrathecal MTX vs. vincristine peripheral neuropathy vs. Guillian-Barre secondary to the influenza vaccine vs. CNS relapse. We can send viral titerswhich ones would you recommend? CMV, EBV?   We have an adverse event in a 4 year old Hispanic female with high risk ALL (secondary to initial WBC of 50.2 /ul at diagnosis)  being treated in the maintenance phase of CCG 1961.  On 12/1/03, JP received IT MTX and VCR IVP (bili 0.3 that day) without problem. She was also given an influenza vaccine IM.  On 12/8/03, she presented to clinic with complaints of irritability, dysuria, constipation, and a low grade fevercultures were obtained and patient was given empiric therapy with Ceftriaxone. UA/UC and blood culture were negative.  Father called again on 12/11/03 to say that patient was not walking well and she had been incontinent of urinethese symptoms started 12/10/03. She was seen in the office the day the father called and her gait was very ataxic with foot drop. DTR in LE were +1-+2 and symmetric. There was no clonus. Father reported that she had been incontinent of urine and stool. He believed that she was incontinent of loose stool due to the Miralax given 12/8/03. We questioned whether this was due to a vincristine peripheral neuropathy vs. Guillian-Barre. JP was referred to Neurology who saw her that afternoon and requested a CK and MRI of the spine with and without Gadolinium. The CK was drawn on 12/12/03 and was normal. Neurology scheduled her MRI for 12/17/03. The father did not call to report any worsening of symptoms until 2 am today (12/17/03) when he called to say that her abdomen was distended and she was compalining of abdominal pain. He also reported that she was not walking at all and that he had been carrying her everywhere since 12/14/03. She came to the emergency room and her PE was remarkable for paraplegia, inability to sit up, and decreased strength in her upper extremities. She has no respiratory issues. JP was catheterized for 500cc of urine. Her MRI shows no compression and she has diffuse, but patchy neuritis with ascending myelitis. She is in the PICU for observation of her respiratory status and was started on Decadron 4 mg IV q 6 hrs after a BMA and LP were performed. Her CSF shows 4 WBC, 14 RBC and gram stain is negative. CSF glucose is 56 mg/dl. Right now all of her chemotherapy is on hold. Do you have any further suggestions regarding her management at this point? Are there any medications that could be used as a "rescue?" We really appreciate your input.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Urinary incontinence
Clinical narrative: She was RER. She did not receive cranial XRT. Our working diagnosis is diffuse, patchy neuritis with ascending myelitis probably due to intrathecal MTX vs. vincristine peripheral neuropathy vs. Guillian-Barre secondary to the influenza vaccine vs. CNS relapse. We can send viral titerswhich ones would you recommend? CMV, EBV?   We have an adverse event in a 4 year old Hispanic female with high risk ALL (secondary to initial WBC of 50.2 /ul at diagnosis)  being treated in the maintenance phase of CCG 1961.  On 12/1/03, JP received IT MTX and VCR IVP (bili 0.3 that day) without problem. She was also given an influenza vaccine IM.  On 12/8/03, she presented to clinic with complaints of irritability, dysuria, constipation, and a low grade fevercultures were obtained and patient was given empiric therapy with Ceftriaxone. UA/UC and blood culture were negative.  Father called again on 12/11/03 to say that patient was not walking well and she had been incontinent of urinethese symptoms started 12/10/03. She was seen in the office the day the father called and her gait was very ataxic with foot drop. DTR in LE were +1-+2 and symmetric. There was no clonus. Father reported that she had been incontinent of urine and stool. He believed that she was incontinent of loose stool due to the Miralax given 12/8/03. We questioned whether this was due to a vincristine peripheral neuropathy vs. Guillian-Barre. JP was referred to Neurology who saw her that afternoon and requested a CK and MRI of the spine with and without Gadolinium. The CK was drawn on 12/12/03 and was normal. Neurology scheduled her MRI for 12/17/03. The father did not call to report any worsening of symptoms until 2 am today (12/17/03) when he called to say that her abdomen was distended and she was compalining of abdominal pain. He also reported that she was not walking at all and that he had been carrying her everywhere since 12/14/03. She came to the emergency room and her PE was remarkable for paraplegia, inability to sit up, and decreased strength in her upper extremities. She has no respiratory issues. JP was catheterized for 500cc of urine. Her MRI shows no compression and she has diffuse, but patchy neuritis with ascending myelitis. She is in the PICU for observation of her respiratory status and was started on Decadron 4 mg IV q 6 hrs after a BMA and LP were performed. Her CSF shows 4 WBC, 14 RBC and gram stain is negative. CSF glucose is 56 mg/dl. Right now all of her chemotherapy is on hold. Do you have any further suggestions regarding her management at this point? Are there any medications that could be used as a "rescue?" We really appreciate your input.
Age: 40.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site mass, Injection site oedema, Pain, Pruritus, Rash
Clinical narrative: CONSIDERABLE SWELLING AT INJECTION SITE, WELTS, ITCHING, PAIN, KNOT, RASH ON LEGS & BACK.
Age: 40.0
Sex: F
Vaccine: ANTH
Symptoms: Urticaria
Clinical narrative: CONSIDERABLE SWELLING AT INJECTION SITE, WELTS, ITCHING, PAIN, KNOT, RASH ON LEGS & BACK.
Age: 33.0
Sex: F
Vaccine: DT, FLU3, HEP, HEPA, IPV, MEN, YF
Symptoms: Headache, Musculoskeletal stiffness, Pyrexia
Clinical narrative: One week after vaccinations, patient had very severe headache, stiff neck, and low grade fever (less than 100F).
Age: 9.0
Sex: M
Vaccine: FLUN3
Symptoms: Cough
Clinical narrative: Mother called to report child developed "cruddy sounding cough" for 2-3 days after administration.  Child told mother he wanted to cough right after administration but couldn't cough and throat felt "funny".
Age: 6.0
Sex: M
Vaccine: FLUN3
Symptoms: Chest discomfort, Cough, Ear pain, Epistaxis, Pyrexia
Clinical narrative: Healthy and asymptomatic prior to vaccination.  Vaccinated with Flu-Mist On 12/19/03.  On 12/20/03 developed couph,  & chest "tightness' On 12/21/03 Cough worsened (croupy) and Fever to 103F reported. Temp. reported to have reached 105.5 on 12/22/03 ( report by mother). Seen by Dr. and put on Antibiotic 12/22/03. Temp. coming down today and child somewhat better today per mother. Medical records state rhinitis, epistaxis and ear pain. msv
Age: 6.0
Sex: M
Vaccine: FLUN3
Symptoms: Rhinitis
Clinical narrative: Healthy and asymptomatic prior to vaccination.  Vaccinated with Flu-Mist On 12/19/03.  On 12/20/03 developed couph,  & chest "tightness' On 12/21/03 Cough worsened (croupy) and Fever to 103F reported. Temp. reported to have reached 105.5 on 12/22/03 ( report by mother). Seen by Dr. and put on Antibiotic 12/22/03. Temp. coming down today and child somewhat better today per mother. Medical records state rhinitis, epistaxis and ear pain. msv
Age: 18.0
Sex: F
Vaccine: FLU3, HEP
Symptoms: Chills, Congenital brain damage, Encephalitis, Headache, Hemiparesis
Clinical narrative: The patient presented at the clinic on 12/19 with complaints of headache, nausea, neck ache, mild left arm numbness and fever.  Was diagnosed with a viral syndrome and sent home with symptomatic management.  She then presented to the ER on 12/20 with a left-sided hemiparesis and mental status changes.  She was admitted and started on antibiotics as well as acyclovir.  She was subsequently started on steroids after an MRI showed findings that suggested acute disseminated encephalomyelitis (ADEM).  During the course of the day on 12/20, the patient's status deteriorated as she developed unequal pupils and later required intubation for compromised respiratory status.  She then was put on an esmolol drip for tachycardia, but that was stopped when pt became hypotensive on the morning of 12/21.  She was then started on dopamine.  During this time course, her neurologic status also declined, and on the morning of 12/21, her pupils were fixed and dilated, and patient presented evidence of brain death with no spontaneous respirations and negative cold calorics. Brain death was pronounced on 12/22 after repeat evaluation, and life support was withdrawn. Medical Record received on 1/08/2004 states chills.
Age: 18.0
Sex: F
Vaccine: FLU3, HEP
Symptoms: Hypoaesthesia, Hypotension, Laboratory test abnormal, Mental impairment, Mydriasis
Clinical narrative: The patient presented at the clinic on 12/19 with complaints of headache, nausea, neck ache, mild left arm numbness and fever.  Was diagnosed with a viral syndrome and sent home with symptomatic management.  She then presented to the ER on 12/20 with a left-sided hemiparesis and mental status changes.  She was admitted and started on antibiotics as well as acyclovir.  She was subsequently started on steroids after an MRI showed findings that suggested acute disseminated encephalomyelitis (ADEM).  During the course of the day on 12/20, the patient's status deteriorated as she developed unequal pupils and later required intubation for compromised respiratory status.  She then was put on an esmolol drip for tachycardia, but that was stopped when pt became hypotensive on the morning of 12/21.  She was then started on dopamine.  During this time course, her neurologic status also declined, and on the morning of 12/21, her pupils were fixed and dilated, and patient presented evidence of brain death with no spontaneous respirations and negative cold calorics. Brain death was pronounced on 12/22 after repeat evaluation, and life support was withdrawn. Medical Record received on 1/08/2004 states chills.
Age: 18.0
Sex: F
Vaccine: FLU3, HEP
Symptoms: Nausea, Pain, Paralysis, Pyrexia, Tachycardia
Clinical narrative: The patient presented at the clinic on 12/19 with complaints of headache, nausea, neck ache, mild left arm numbness and fever.  Was diagnosed with a viral syndrome and sent home with symptomatic management.  She then presented to the ER on 12/20 with a left-sided hemiparesis and mental status changes.  She was admitted and started on antibiotics as well as acyclovir.  She was subsequently started on steroids after an MRI showed findings that suggested acute disseminated encephalomyelitis (ADEM).  During the course of the day on 12/20, the patient's status deteriorated as she developed unequal pupils and later required intubation for compromised respiratory status.  She then was put on an esmolol drip for tachycardia, but that was stopped when pt became hypotensive on the morning of 12/21.  She was then started on dopamine.  During this time course, her neurologic status also declined, and on the morning of 12/21, her pupils were fixed and dilated, and patient presented evidence of brain death with no spontaneous respirations and negative cold calorics. Brain death was pronounced on 12/22 after repeat evaluation, and life support was withdrawn. Medical Record received on 1/08/2004 states chills.
Age: 18.0
Sex: F
Vaccine: FLU3, HEP
Symptoms: Viral infection
Clinical narrative: The patient presented at the clinic on 12/19 with complaints of headache, nausea, neck ache, mild left arm numbness and fever.  Was diagnosed with a viral syndrome and sent home with symptomatic management.  She then presented to the ER on 12/20 with a left-sided hemiparesis and mental status changes.  She was admitted and started on antibiotics as well as acyclovir.  She was subsequently started on steroids after an MRI showed findings that suggested acute disseminated encephalomyelitis (ADEM).  During the course of the day on 12/20, the patient's status deteriorated as she developed unequal pupils and later required intubation for compromised respiratory status.  She then was put on an esmolol drip for tachycardia, but that was stopped when pt became hypotensive on the morning of 12/21.  She was then started on dopamine.  During this time course, her neurologic status also declined, and on the morning of 12/21, her pupils were fixed and dilated, and patient presented evidence of brain death with no spontaneous respirations and negative cold calorics. Brain death was pronounced on 12/22 after repeat evaluation, and life support was withdrawn. Medical Record received on 1/08/2004 states chills.
Age: 40.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Lymphadenopathy
Clinical narrative: PATIENT REPORTS THAT HE DEVELOPED CERVICAL ADENOPATHY WITHIN 24-48 HOURS FOLLOWING RECEIVING ANTHRAX#1. LYMPHADENOPATHY CONTINUED FOR SEVERAL MONTHS.
Age: 43.0
Sex: M
Vaccine: FLUN3
Symptoms: Myocardial infarction
Clinical narrative: MI-required stent
Age: 18.0
Sex: F
Vaccine: VARCEL
Symptoms: Bradycardia, Bronchitis, Cardiac arrest, Hypotension, Meningitis
Clinical narrative: Information has been received from a physician concerning a 18 year old female with cystic fibrosis who, in 2003, developed extensive disseminated varicella zoster virus (VZV) infection while immunosupressed post-lung transplantation (time frame not known) and eventually died from the VZV infection. The physician also reported that the pt had also developed meningitis and pneumonia. The pt was noted ot be on high dose prednisone and had not been vaccinated with varicella virus vaccine live. The physician did not know how the pt could have been exposed since she had been in the hospital. The physician noted that the hospital did have an isolate that had grown VZV. The physician was interested in confirming the strain of VZV in case of pt had been exposed to someone who was vaccinated with varicella virus vaccine live. Upon internal review, meningitis was considered to be an other important medical event (OMIC). Additional info has been requested. The autopsy report received on 2/18/04 states hypotension, bradycardia, cardiac arrest, pulmonary edema and bronchitis. Results of PCR testing revealed that the patient had wild-type VZV infection. The physician also reported that another patient developed herpes zoster after being vaccinated with varicella virus vaccine live (WAES #0312USA01103). Additional information has been requested.  No further information is available.
Age: 18.0
Sex: F
Vaccine: VARCEL
Symptoms: Pneumonia, Pulmonary oedema, Viral infection
Clinical narrative: Information has been received from a physician concerning a 18 year old female with cystic fibrosis who, in 2003, developed extensive disseminated varicella zoster virus (VZV) infection while immunosupressed post-lung transplantation (time frame not known) and eventually died from the VZV infection. The physician also reported that the pt had also developed meningitis and pneumonia. The pt was noted ot be on high dose prednisone and had not been vaccinated with varicella virus vaccine live. The physician did not know how the pt could have been exposed since she had been in the hospital. The physician noted that the hospital did have an isolate that had grown VZV. The physician was interested in confirming the strain of VZV in case of pt had been exposed to someone who was vaccinated with varicella virus vaccine live. Upon internal review, meningitis was considered to be an other important medical event (OMIC). Additional info has been requested. The autopsy report received on 2/18/04 states hypotension, bradycardia, cardiac arrest, pulmonary edema and bronchitis. Results of PCR testing revealed that the patient had wild-type VZV infection. The physician also reported that another patient developed herpes zoster after being vaccinated with varicella virus vaccine live (WAES #0312USA01103). Additional information has been requested.  No further information is available.
Age: 0.9
Sex: M
Vaccine: FLU3
Symptoms: Agitation, Convulsion, Dyskinesia, Hypotonia, Pyrexia
Clinical narrative: Child received 1/2 dose of flu shot on 12/11/03. On 12/12/03 he was brought to hospital ED in status epilepticus. This child has no history of seizure disorder or febrile seizure. The morning of SZ, child had a fever of 101 deg. The ER records received on 1/28/04 states crying, jerking, and vomiting. The discharge summary received on 1/28/04 states limp and right sided shaking. Nurse follow up on 05/18/04 states: "Seizure:Convulsion."
Age: 0.9
Sex: M
Vaccine: FLU3
Symptoms: Status epilepticus, Tremor, Vomiting
Clinical narrative: Child received 1/2 dose of flu shot on 12/11/03. On 12/12/03 he was brought to hospital ED in status epilepticus. This child has no history of seizure disorder or febrile seizure. The morning of SZ, child had a fever of 101 deg. The ER records received on 1/28/04 states crying, jerking, and vomiting. The discharge summary received on 1/28/04 states limp and right sided shaking. Nurse follow up on 05/18/04 states: "Seizure:Convulsion."
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Anxiety, Bronchitis, Condition aggravated, Dyspnoea, Influenza like illness
Clinical narrative: Flu symptoms within hours of of vaccine. Two days in bed. 10/30 ER-couldn't breathe. Sent home. ER again 11/1. Admitted. Discharged 11/7. I was sick. Discharge Summary received on 12/31/2003 states anxiety, bronchitis and exacerbation of COPD.
Age: 20.0
Sex: M
Vaccine: FLU3
Symptoms: CSF test abnormal, Guillain-Barre syndrome, Hyporeflexia, Injury, Laboratory test abnormal
Clinical narrative: Guillain Barre syndrome. Hospitalized at hospital. Still no reflexes in ankles and knees bilaterally. Discharge summary states paresthesia, pain. msv Medical records state myasthenia, accidental injury. msv
Age: 20.0
Sex: M
Vaccine: FLU3
Symptoms: Myasthenic syndrome, Pain, Paraesthesia
Clinical narrative: Guillain Barre syndrome. Hospitalized at hospital. Still no reflexes in ankles and knees bilaterally. Discharge summary states paresthesia, pain. msv Medical records state myasthenia, accidental injury. msv
Age: 19.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Chest pain, Cough, Headache, Injection site reaction
Clinical narrative: Right arm cellulitis at injection site with fever, tachycardia, nausea and vomiting. The hospital discharge summary received on 1/28/04 states wheezing, headache, malaise, tachycardia, rhinitis, chest pain and cough.
Age: 19.0
Sex: F
Vaccine: PPV
Symptoms: Malaise, Nausea, Pyrexia, Rhinitis, Tachycardia
Clinical narrative: Right arm cellulitis at injection site with fever, tachycardia, nausea and vomiting. The hospital discharge summary received on 1/28/04 states wheezing, headache, malaise, tachycardia, rhinitis, chest pain and cough.
Age: 19.0
Sex: F
Vaccine: PPV
Symptoms: Vomiting, Wheezing
Clinical narrative: Right arm cellulitis at injection site with fever, tachycardia, nausea and vomiting. The hospital discharge summary received on 1/28/04 states wheezing, headache, malaise, tachycardia, rhinitis, chest pain and cough.
Age: 66.0
Sex: M
Vaccine: FLU3, TD
Symptoms: Asthenia, Fatigue, Injection site reaction
Clinical narrative: Today client complained of feeling of tiredness on left arm and lack of strength to life objects, minimal weight.  Client states only mild local reaction following injection.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Dysgeusia, Eyelid ptosis, Facial palsy, Headache
Clinical narrative: Pt had flu shot. About 1 week later (11/08/03) pt noticed excessive tearing left eye, assymmetrical facial weakness, change in sense of taste when chewing.  Pt was seen by MD on 11/10/03. MD noted peripheral weakness of CNVII, weakness left upper eyelid, facial asymmetry. A neurologist was consulted and diagnosed Bells'Palsy prescribed Acyclovir 500mg 5 times a day for 10 days and Prednisone taper.  On 11/11, pt noticed blurred vision, headache, blackspot in left visual field.  On 11/19/2003 pt reported vertigo x2 and dizziness. Medical record states ptosis. msv
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Lacrimal disorder, Vertigo, Vision blurred, Visual disturbance
Clinical narrative: Pt had flu shot. About 1 week later (11/08/03) pt noticed excessive tearing left eye, assymmetrical facial weakness, change in sense of taste when chewing.  Pt was seen by MD on 11/10/03. MD noted peripheral weakness of CNVII, weakness left upper eyelid, facial asymmetry. A neurologist was consulted and diagnosed Bells'Palsy prescribed Acyclovir 500mg 5 times a day for 10 days and Prednisone taper.  On 11/11, pt noticed blurred vision, headache, blackspot in left visual field.  On 11/19/2003 pt reported vertigo x2 and dizziness. Medical record states ptosis. msv
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dyspnoea, Hyperhidrosis
Clinical narrative: Approximately 5-6 hrs after receiving flu vaccine,  consumer reports that she was very diaphoric general weakness and strained breathing.  Individual states self-improsed bedrest for two hours.  symptoms relieved after 2 hours.
Age: 1.5
Sex: M
Vaccine: FLU3
Symptoms: Irritability
Clinical narrative: Pt had 2-3 weeks of extreme fussiness after receiving his influenza vaccine.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Erythema and swelling of left thigh injection site.
Age: 71.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Unevaluable event
Clinical narrative: (See attached Medwatch form)  [not attached]
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Headache, Nausea, Pain, Shoulder pain
Clinical narrative: Arm and shoulder pain, nausea x 2 days. Dizziness and severe headache third evening and day after. Missed work 3rd day.
Age: 19.0
Sex: M
Vaccine: FLU3
Symptoms: Headache, Nasal congestion, Pain, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Day #3 post vaccine 12/2/03: headache/sore throat. Day #4 post vaccine 12/3/03: body aches/fever. Day #5 post vaccine 12/4/03: Nasal discharge/chest congestion.
Age: 19.0
Sex: M
Vaccine: FLU3
Symptoms: Rhinorrhoea
Clinical narrative: Day #3 post vaccine 12/2/03: headache/sore throat. Day #4 post vaccine 12/3/03: body aches/fever. Day #5 post vaccine 12/4/03: Nasal discharge/chest congestion.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Neck pain, Pain, Pyrexia, Shoulder pain
Clinical narrative: Arm, neck, shoulder pain. Fever and chills for 3 days.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Nasal congestion, Pain, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Day #3 post vaccine 12/2/03: headache/sore throat. Day #4 post vaccine 12/3/03: body aches and fever. Day #5 nasal discharge/chest congestion.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Rhinorrhoea
Clinical narrative: Day #3 post vaccine 12/2/03: headache/sore throat. Day #4 post vaccine 12/3/03: body aches and fever. Day #5 nasal discharge/chest congestion.
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Headache, Nasal congestion, Pain, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Day #3 post vaccine 12/2/03: headache/sore throat. Day #4 12/3/03: body aches/fever (102 degrees). Day #5 nasal discharge/chest congestion.
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Rhinorrhoea
Clinical narrative: Day #3 post vaccine 12/2/03: headache/sore throat. Day #4 12/3/03: body aches/fever (102 degrees). Day #5 nasal discharge/chest congestion.
Age: 38.0
Sex: M
Vaccine: FLU3
Symptoms: Headache
Clinical narrative: C/o severe headache after receiving flu vaccine.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site oedema, Rash
Clinical narrative: Pt developed 13cm x 15cm area of swelling and mottled rash on left anterior thigh within 24 hours after receiving DTaP and IPV in that thigh, just above area of swelling.
Sex: F
Vaccine: FLU3
Symptoms: Cold sweat, Injection site rash, Loss of consciousness, Syncope, Throat tightness
Clinical narrative: Reported to this writer that 20 minutes after flu shot, pt "passed out", felt tightness in throat, was cold and clammy. Given orange juice after which finger stick glucose was 79. O2 sat decreased to 83% at one point. Transferred with EMT via ambulance to hospital. Returned to work next day 11/6/03. The hospital discharge summary received on 1/13/04 states syncope, and rash at inj. site.
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Infection, Injection site induration, Injection site warmth, Rash erythematous
Clinical narrative: Area raised and reddened and warm to touch 8:30 PM 12/11/03. Grandmother concerned 12/12/03 and called as induration approx 2 1/4" to 2 1/2". On 12/13/03 took child to ER. Seen by MD, CBC done. Stated infection and MD treated with antibiotic. Rocephin IM and Augmentin tsp every 8 hours.
Age: 62.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Headache, Nausea
Clinical narrative: Starting about 36 hours after injections, severe headache and nausea lasting about 24 hours. No fever or vomiting. It is possible that this was due to other stress and unrelated to shots, but felt it should be reported. Symptoms gone at 72 hours after shots.
Age: 0.59
Sex: M
Vaccine: DTAPHEPBIP, FLU3
Symptoms: Influenza like illness, Pyrexia, Urticaria
Clinical narrative: Hives all over body. temperature (fever), flu-like symptoms.
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Ear disorder, Laboratory test abnormal, Pharyngitis, Pyrexia, Rhinitis
Clinical narrative: Patient developed fever T max 106 degrees F 48-52 hours post vaccination. Cold, runny nose. Seen at the ER and diagnosed with ear infection. Treated with antibiotics.
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Rhinorrhoea
Clinical narrative: Patient developed fever T max 106 degrees F 48-52 hours post vaccination. Cold, runny nose. Seen at the ER and diagnosed with ear infection. Treated with antibiotics.
Age: 61.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site erythema, Oedema, Pruritus, Rash
Clinical narrative: 24 hours after injection, rash appeared on outer right arm 3" below Pneumovax site. Grew over next 24 hours to 4" diameter semi-disk, swollen, reddened and itchy, especially at lower margins. Applied 2% topical diphenhydramine. At 72 hours after injection, was mostly resolved, still red.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pain, Pruritus
Clinical narrative: Pain left deltoid. Redness and feverish at site. Itching - systemic. Swelling - size of man's fist.
Age: 1.8
Sex: F
Vaccine: FLU3
Symptoms: Convulsion, Cough, Irritability, Pyrexia
Clinical narrative: Seizure arrival at ER temp-102 deg. cough. The ER summary received on 1/29/04 states fussy.
Age: 12.0
Sex: M
Vaccine: FLU3
Symptoms: Neck pain
Clinical narrative: Hours after vaccine administration pt developed severe neck pain. This lasted for 14 days before history was connected. Spinal tap was negative. Immediate relief a/6 tap.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site mass, Injection site pain
Clinical narrative: Golf ball size knot on arm under injection site, tenderness, redness the size of a half dollar at injection site. No fever or other symptoms. Lasted for approx. 2-3 days. Pt recalled sensitivity to eggs in childhood-stated no allergy.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Musculoskeletal stiffness, Pruritus, Rash, Skin warm
Clinical narrative: Itchy rash, tight muscles, skin felt warm, some tightness in chest.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Father reports acute onset diffuse urticaria on approx. 7 hrs post receiving 1st dose of inactivated flu vaccine 1400 today. REcommended appropriate dose antihistamine product available at home, close observation resp. changes (EMS/ER if occur). Avoid subsequent dosage.
Age: 42.0
Sex: M
Vaccine: ANTH, FLU3, HEP
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Pt returned to clinic with large area of erythema at the injection site with 86x80mm measurement with warmth to touch. Also a satellite area of erythema with measurements of 50x45mm. These were located at the injection site of Anthrax #4. Pt was given topical steroid, Motrin, no RTC if 5x5 increase.
Age: 2.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site warmth
Clinical narrative: Morning after vaccination, L thigh appeared reddened. It worsened over course of the day. The tissue also became indurated and warm and swollen when I examined her on 10/10/03. Child had no fever, appeared in no sickness. Called mom 12/22/03-symptoms resolved.
Age: 1.25
Sex: F
Vaccine: DTAP, HBPV, MMR, VARCEL
Symptoms: Herpes zoster, Infection
Clinical narrative: Shingles post varicella vaccine (Varivax).
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site induration
Clinical narrative: L upper arm induration 14 x 10 1/2 cm on 12/20/03.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site urticaria, Injection site warmth
Clinical narrative: Ring of erythema, warmth, swelling, hives 2-3 around injection site (MMR) Lt thigh immediately after shot administration. Resolved after 30 mins w/ Benadryl 10mg orally.
Age: 1.2
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Injection site vesicles, Urticaria
Clinical narrative: Hives developed as well as vesicels at site of Varivax injection.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Urticaria
Clinical narrative: Hives-gave Benadryl orally. 6 hrs after immunizations-resolved.
Age: 26.0
Sex: F
Vaccine: HEPA
Symptoms: Blood pressure increased, Dizziness, Headache
Clinical narrative: 11:02am headaches and dizziness when sitting. Bedrest BP 140/90 P 60 R 14. 11:30am headache still dizziness gone Tylenol 325mg two tabs. 11:45 headache decreased BP 110/80 P 60 R 12. Returned to work and lunch.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Injection site induration
Clinical narrative: Redness, induration to R thigh (18x26cm).
Age: 1.3
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Bronchitis, Chills, Dyspnoea, Pyrexia
Clinical narrative: Had a fever for 8 days, highest temp 105 deg. He almost went into shock, we rushed him to the ER. His airway passages were inflamed he had chills, severe SOB. ER said he had bronchitis and fever.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Erythema, Feeling hot
Clinical narrative: 1cm x 3cm erythematous area red warm to touch 10 days post vaccine.
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Local reaction site red with some induration warm to touch.
Age: 1.5
Sex: M
Vaccine: DTAP, OPV, VARCEL
Symptoms: Skin ulcer
Clinical narrative: 50-60 lesions.
Age: 33.0
Sex: M
Vaccine: TD
Symptoms: Myalgia, Oedema
Clinical narrative: Vaccine given 12/12/03. States on 12/14/03 started with edema under armpit. No redness at site or fever. Edema was 2 inches high and 5 inches long. On 12/16/03, swelling is 1/2 inch high and 2-3 inches long. Muscle is sore.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, PNC
Symptoms: Diarrhoea, Injection site erythema, Irritability, Pyrexia, Skin warm
Clinical narrative: High temp (above 103), extremely fussy (looked like in pain), legs felt feverish with "carpet burn" like areas above injection site, diarrhea.
Age: 1.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Reaction left thigh red and swollen, no fever.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema peripheral, Pain
Clinical narrative: 12/16/03 pt c/o L arm sore when going to bed-L arm swollen and slightly red. Tonight (12/17/03) L arm more swollen and bright red-1/2 way to elbow. No fever. Arm is sore. Ibuprofen for soreness. Cold compresses.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash papular, Skin ulcer
Clinical narrative: Papules with lesions.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Cough, Eye discharge, Pharyngitis, Pyrexia, Rash
Clinical narrative: Cold x one week: yellow nasal d/c, cough, eye drainage, temp up to 103 deg (tympanic) x 24 hrs, rred bumps on RA. Red bumps on trunk and neck.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rhinitis, Rhinorrhoea
Clinical narrative: Cold x one week: yellow nasal d/c, cough, eye drainage, temp up to 103 deg (tympanic) x 24 hrs, rred bumps on RA. Red bumps on trunk and neck.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site oedema
Clinical narrative: Moderate swelling at site of injection and surrounding area.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Blister, Drug ineffective, Infection transmission via personal contact, Rash papular, Viral infection
Clinical narrative: Vaccine failure: pt exposed to mother with shingles and developed varicella approximately 3 weeks later. Temp 97.3. Multiple vesicles, healing excoriated papules on head/trunk/extremities.
Age: 21.0
Sex: F
Vaccine: RAB
Symptoms: Urticaria
Clinical narrative: Per pt's manager-pt developed hives 2 days post injection-self tx with Prednisone did not seek tx at Ed. Recovered per manager.
Age: 14.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Myalgia, Pyrexia
Clinical narrative: Pt developed fever (102.7 deg F), local tenderness, diffuse myalgias. No other symptoms.
Age: 60.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site inflammation, Injection site oedema
Clinical narrative: Swelling at injection site-red and inflamed. Cool compress. Pt went to ER after hrs given Cipro and Benadryl.
Age: 2.0
Sex: F
Vaccine: IPV, MMR, PNC, VARCEL
Symptoms: Dermatitis bullous, Drug ineffective
Clinical narrative: Pt developed chicken pox rash on 12/5/03.
Age: 1.2
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Erythema, Feeling hot, Oedema, Pain
Clinical narrative: Swelling, redness, warmth, mild pain developing per parent 8 days after administration.
Age: 1.25
Sex: M
Vaccine: HIBV, MMR
Symptoms: Erythema
Clinical narrative: Rt thigh with approx. 5 size pink/elevated/blanching nodule.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR, UNK
Symptoms: Erythema, Feeling hot, Oedema peripheral, Rash
Clinical narrative: Pt has red rash on L arm and feels warm. 4/5cm erythema L upper arm with mod swelling.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR, OPV, VARCEL, UNK
Symptoms: Dermatitis bullous, Drug ineffective
Clinical narrative: Pt received Varivax in 1996. Presented to office on 12/22/03 with chickenpox vesicles.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR, OPV, VARCEL, UNK
Symptoms: Viral infection
Clinical narrative: Pt received Varivax in 1996. Presented to office on 12/22/03 with chickenpox vesicles.
Age: 22.0
Sex: F
Vaccine: TD
Symptoms: Pruritus, Rash macular
Clinical narrative: Developed giant macular rashes on both upper limbs associated with itchiness, no fever, no difficult with breathing.
Age: 32.0
Sex: F
Vaccine: MMR
Symptoms: Asthenia, Injection site erythema, Injection site oedema, Injection site pain, Pallor
Clinical narrative: Painful, red edematous injection site soon after injection that lasted "few days." Also, pallor and weakness soon after receiving injection.
Age: 38.0
Sex: F
Vaccine: MMR, TD
Symptoms: Arthralgia, Injection site erythema, Injection site pain, Pyrexia
Clinical narrative: Fever. Generalized arthralgia duration one week. Then resolved. Also, redness and tenderness at injection site.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Abortion spontaneous, Drug administration error
Clinical narrative: A report was received from a health care professional on 10/27/03, concerning a 30 year old female vaccinee who was thought to have been pregnant at the time of receiving the Fluvirin vaccine on 10/7/03. On 10/7/03, the vaccinee received Fluvirin but is now thought to have been pregnant, this has yet to be confirmed. There was insufficient info to determine the reporter's causality. Follow up info received from a health care professional indicated that the vaccinee miscarried on 11/10/03. She had a positive pregnantcy test on 10/29/03. Follow-up pending. Upon review of this report was found to be medically significant (OMIC).
Age: 5.0
Sex: F
Vaccine: FLUX
Symptoms: Cough, Influenza like illness, Pyrexia, Rhinorrhoea
Clinical narrative: On November 27, at approximately 2:30 in the afternoon, the patients body temperature/ fever went up to 104. 5. We gave her a cool bath, then some tylenol.   It came down. The following evening it shot back up, and ibuprfen was given. The evening of 11/27 I contacted the hospital where the vaccine was administered and asked them to fill this form out, they told me I could do it on line. She also developed flu like symptoms. A cough and runny nose.
Age: 24.0
Sex: M
Vaccine: ANTH, HEP, SMALL
Symptoms: Injection site erythema, Rash, Rash pruritic, Urticaria
Clinical narrative: smallpox vaccine administered 09dec03 x3 jabs to left arm, anthrax #1 administered to right arm. 10 days later awoke with skin rash over majority of body, itching, erythema, intense redness around anthrax injection site, less severe around small pox site.