chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Unable to contact patient's mother. Taken to ER 6/2/07 per ER report (Lesion anterior anterior leg 4cm in diameter). Area indurated, warm, and red at vaccination site. Possible cellulitis left thigh. Treatment: Cotrimaxazole 9mg divided BID x 10 days. Patient was to follow up with MD. Patient's mother did not RTC with patient for follow up.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Chills, Delirium, Dizziness, Myalgia, Paraesthesia
Clinical narrative: Received Gardasil, Menactra and Tdap 7/12/07 at 9am - patient felt dizzy in parking lot - was fine then the evening. Woke at 4am with chills, not able to speak a full sentence, fever 104, mom felt she was delirious, c/o tingling of her fingers and muscle aches. Patient later told mom she felt as of her throat was closing in the am. Patient was fine according to mom.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Pyrexia, Speech disorder, Throat tightness
Clinical narrative: Received Gardasil, Menactra and Tdap 7/12/07 at 9am - patient felt dizzy in parking lot - was fine then the evening. Woke at 4am with chills, not able to speak a full sentence, fever 104, mom felt she was delirious, c/o tingling of her fingers and muscle aches. Patient later told mom she felt as of her throat was closing in the am. Patient was fine according to mom.
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Catatonia, Loss of consciousness
Clinical narrative: Passed out, catatonic response, tonic response, Revived with ammonia inhalant sent to PCP office.
Age: 17.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Moderate severe pain at site and erythema 4" diameter resolved after 48 hours.
Age: 13.0
Sex: F
Vaccine: MNQ
Symptoms: Dizziness
Clinical narrative: Complains of dizziness same day vaccination was administered.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Hypokinesia, Musculoskeletal pain
Clinical narrative: After 9 days left shoulder a lot of pain. Hurts to move shoulder. Hard to put pull over shirts on. No fever. No redness reported can only move left arm up 10 inches from waist then very painful.
Age: 1.0
Sex: M
Vaccine: HBHEPB, MMRV, PNC
Symptoms: Erythema multiforme, Rash
Clinical narrative: Erythema multiforme rash started approximately 7/9/07 seen in my office 7/17/07 and diagnosed. No other viral symptoms, not on any medications, not blistering. Continuing to spread down legs; torso lesions or resolving.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Erythema, Swelling face
Clinical narrative: Erythema and swelling of face, trunk and extremities - woke with symptoms day after vaccine.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Injection site reaction
Clinical narrative: Local reaction to HAV. Seen by MD and confirmed.
Age: 10.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 7/13/07 Mother called states had Tdap and Varivax 2 days ago and patient's arm is swollen on a circular area around the site. At the present time child is c/o of pain to site is warm to touch. Child is afebrile. Daycare has started putting warm compresses, instructed mother if does not receive relief from compress and/or notices changes like red streaks on arm to go to PMD or ER for evaluation. Notified supervisor and MD director.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Blister, Neuroblastoma, Oedema peripheral, Skin warm
Clinical narrative: 1. Day after vaccine administration left arm red 2. 2 days after left upper arm swollen, red, hot with fluid filled blisters. Keflex 250 TID and Silvadene BID. 3. Day 3 - re-check swelling sown blisters open much improved.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Soreness at injection site x 2 weeks hurts to lift. Patient taking Advil and applying ice.
Age: 29.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Oedema, Thrombocytopenic purpura
Clinical narrative: + edema, no pitting, mild erythema, mild TTP, no warmth.
Age: 1.55
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Wrong drug administered
Clinical narrative: 18 Month old accidentally given Tdap (GSK - Boostrix) instead of Tripedia (DTaP) no side effects at all.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Redness (size of quarter to half dollar) Above area was a little warm and raised
Age: 43.0
Sex: U
Vaccine: TDAP, UNK
Symptoms: Asthenia, Cold sweat, Fatigue, Headache, Injection site erythema
Clinical narrative: Client reports gradual onset of HA, fatigue, afebrile, skin cold and clammy. Generalized weakness. Vaccination site red, swollen and hot to touch. Symptom duration 24-36 hours. Resolved at this time except left deltoid still red and swollen but subsiding.
Age: 43.0
Sex: U
Vaccine: TDAP, UNK
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Client reports gradual onset of HA, fatigue, afebrile, skin cold and clammy. Generalized weakness. Vaccination site red, swollen and hot to touch. Symptom duration 24-36 hours. Resolved at this time except left deltoid still red and swollen but subsiding.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Herpes zoster, Rash
Clinical narrative: On Thursday, June 28 , 2007 I received a call from patient, who had received Zostavax on June 22, 2007 at the Pickens County Health Department. She stated that on the day before (June 27th) she had noticed 6-7 "small bumps" mid-thorax beneath her bra lines as well as one on her left hip which appeared to be fluid-filled. She called to ask whether this might be a reaction to her immunization. She encouraged to have her physician examine the area. She had had no known recent exposure to chicken pox or shingles. Her husband had had shingles one year ago. I spoke to patient the following day, June 29th. She had seen a physician at an urgent care center who confirmed that the outbreak was definitely a shingles-like outbreak. The physician treated her with an anti-viral and a steroid dose-pack, and cautioned patient that the steroids would likely null any immunity she might have gotten from the vaccine. I spoke with patient that next week and was told that the outbreak had gone away. She had discontinued the steroids after the 2nd day due to the sleeplessness it caused. She stated that she currently has no symptoms.
Age: 0.4
Sex: F
Vaccine: DTAP, HEP, HIBV, PNC, RV5
Symptoms: Pyrexia, Respiratory arrest
Clinical narrative: fever of 103 deg-Pt stopped breathing
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Heat therapy, Induration
Clinical narrative: large area of erythema and hardness81/2" erythema and 3"X 41/2" induration.  treatment consisted of warm compressess, motrin massage and move arm. call prn
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Pyrexia
Clinical narrative: Mother called two days after vaccine; pt. had weakness and fever the day after the injection. Was well at the time I spoke with mother.
Age: 1.05
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Activated partial thromboplastin time prolonged, Alanine aminotransferase increased, Aspartate aminotransferase increased, Autoimmune hepatitis, Bilirubin conjugated increased
Clinical narrative: Acute hepatic failure. Patient became jaundiced within a few hours of administration of varivax/hepatitis A/prevnar/MMR vaccines on 07/09/07. Stools were white-colored for several days. Patient was taken to emergency room for jaundice on 07/15/07. At the time, liver enzymes were elevated (SGPT 6303, SGOT 4444), INR elevated (2.6), and bilirubin elevated (21.3). Patient was admitted to a hospital, and transferred for possible liver transplant on 07/17/07 to another hospital.  07/31/2007 MR received from transferring facility for DOS 7/15-17/2007.  Infant presented with 1 week hx of jaundice and intermittant acholic "white" stools which began the day of her vax.  PE (+) for jaundice and hepatomegaly, otherwise WNL. Assessment: Acute Liver Failure of unknown etiology.  Obstructive etiology r/o, most likely infection vs. autoimmune. Transfered to regional hospital further eval and possible placement on Liver Transplant list. 8/21/2007 MR received for DOS 7/17-8/04/2007 for admitting DX of Acute Liver Failure with elevated liver enzymes and coagulopathy. As above. Improvement noted on methylprednisolone Transfered back to original hospital for further management. Discharge DX:  Acute Liver Failure with elevated liver enzymes and coagulopathy. 1/11/2010 Diagnose with Autoimmune Hepatitis by doctor of Pediatrics Gastroenterology at hospital. Currently on Azuthioprine treatment.
Age: 1.05
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Blood alkaline phosphatase increased, Blood bilirubin increased, Blood calcium normal, Blood chloride normal, Blood creatinine decreased
Clinical narrative: Acute hepatic failure. Patient became jaundiced within a few hours of administration of varivax/hepatitis A/prevnar/MMR vaccines on 07/09/07. Stools were white-colored for several days. Patient was taken to emergency room for jaundice on 07/15/07. At the time, liver enzymes were elevated (SGPT 6303, SGOT 4444), INR elevated (2.6), and bilirubin elevated (21.3). Patient was admitted to a hospital, and transferred for possible liver transplant on 07/17/07 to another hospital.  07/31/2007 MR received from transferring facility for DOS 7/15-17/2007.  Infant presented with 1 week hx of jaundice and intermittant acholic "white" stools which began the day of her vax.  PE (+) for jaundice and hepatomegaly, otherwise WNL. Assessment: Acute Liver Failure of unknown etiology.  Obstructive etiology r/o, most likely infection vs. autoimmune. Transfered to regional hospital further eval and possible placement on Liver Transplant list. 8/21/2007 MR received for DOS 7/17-8/04/2007 for admitting DX of Acute Liver Failure with elevated liver enzymes and coagulopathy. As above. Improvement noted on methylprednisolone Transfered back to original hospital for further management. Discharge DX:  Acute Liver Failure with elevated liver enzymes and coagulopathy. 1/11/2010 Diagnose with Autoimmune Hepatitis by doctor of Pediatrics Gastroenterology at hospital. Currently on Azuthioprine treatment.
Age: 1.05
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Blood glucose normal, Blood potassium increased, Blood sodium decreased, Blood urea normal, Carbon dioxide decreased
Clinical narrative: Acute hepatic failure. Patient became jaundiced within a few hours of administration of varivax/hepatitis A/prevnar/MMR vaccines on 07/09/07. Stools were white-colored for several days. Patient was taken to emergency room for jaundice on 07/15/07. At the time, liver enzymes were elevated (SGPT 6303, SGOT 4444), INR elevated (2.6), and bilirubin elevated (21.3). Patient was admitted to a hospital, and transferred for possible liver transplant on 07/17/07 to another hospital.  07/31/2007 MR received from transferring facility for DOS 7/15-17/2007.  Infant presented with 1 week hx of jaundice and intermittant acholic "white" stools which began the day of her vax.  PE (+) for jaundice and hepatomegaly, otherwise WNL. Assessment: Acute Liver Failure of unknown etiology.  Obstructive etiology r/o, most likely infection vs. autoimmune. Transfered to regional hospital further eval and possible placement on Liver Transplant list. 8/21/2007 MR received for DOS 7/17-8/04/2007 for admitting DX of Acute Liver Failure with elevated liver enzymes and coagulopathy. As above. Improvement noted on methylprednisolone Transfered back to original hospital for further management. Discharge DX:  Acute Liver Failure with elevated liver enzymes and coagulopathy. 1/11/2010 Diagnose with Autoimmune Hepatitis by doctor of Pediatrics Gastroenterology at hospital. Currently on Azuthioprine treatment.
Age: 1.05
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Faeces pale, Haematocrit normal, Haemoglobin normal, Hepatic failure, International normalised ratio increased
Clinical narrative: Acute hepatic failure. Patient became jaundiced within a few hours of administration of varivax/hepatitis A/prevnar/MMR vaccines on 07/09/07. Stools were white-colored for several days. Patient was taken to emergency room for jaundice on 07/15/07. At the time, liver enzymes were elevated (SGPT 6303, SGOT 4444), INR elevated (2.6), and bilirubin elevated (21.3). Patient was admitted to a hospital, and transferred for possible liver transplant on 07/17/07 to another hospital.  07/31/2007 MR received from transferring facility for DOS 7/15-17/2007.  Infant presented with 1 week hx of jaundice and intermittant acholic "white" stools which began the day of her vax.  PE (+) for jaundice and hepatomegaly, otherwise WNL. Assessment: Acute Liver Failure of unknown etiology.  Obstructive etiology r/o, most likely infection vs. autoimmune. Transfered to regional hospital further eval and possible placement on Liver Transplant list. 8/21/2007 MR received for DOS 7/17-8/04/2007 for admitting DX of Acute Liver Failure with elevated liver enzymes and coagulopathy. As above. Improvement noted on methylprednisolone Transfered back to original hospital for further management. Discharge DX:  Acute Liver Failure with elevated liver enzymes and coagulopathy. 1/11/2010 Diagnose with Autoimmune Hepatitis by doctor of Pediatrics Gastroenterology at hospital. Currently on Azuthioprine treatment.
Age: 1.05
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Jaundice, Lymphocyte count increased, Neutrophil count decreased, Platelet count normal, Protein total increased
Clinical narrative: Acute hepatic failure. Patient became jaundiced within a few hours of administration of varivax/hepatitis A/prevnar/MMR vaccines on 07/09/07. Stools were white-colored for several days. Patient was taken to emergency room for jaundice on 07/15/07. At the time, liver enzymes were elevated (SGPT 6303, SGOT 4444), INR elevated (2.6), and bilirubin elevated (21.3). Patient was admitted to a hospital, and transferred for possible liver transplant on 07/17/07 to another hospital.  07/31/2007 MR received from transferring facility for DOS 7/15-17/2007.  Infant presented with 1 week hx of jaundice and intermittant acholic "white" stools which began the day of her vax.  PE (+) for jaundice and hepatomegaly, otherwise WNL. Assessment: Acute Liver Failure of unknown etiology.  Obstructive etiology r/o, most likely infection vs. autoimmune. Transfered to regional hospital further eval and possible placement on Liver Transplant list. 8/21/2007 MR received for DOS 7/17-8/04/2007 for admitting DX of Acute Liver Failure with elevated liver enzymes and coagulopathy. As above. Improvement noted on methylprednisolone Transfered back to original hospital for further management. Discharge DX:  Acute Liver Failure with elevated liver enzymes and coagulopathy. 1/11/2010 Diagnose with Autoimmune Hepatitis by doctor of Pediatrics Gastroenterology at hospital. Currently on Azuthioprine treatment.
Age: 1.05
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Protein total normal, Prothrombin time prolonged, White blood cell count increased
Clinical narrative: Acute hepatic failure. Patient became jaundiced within a few hours of administration of varivax/hepatitis A/prevnar/MMR vaccines on 07/09/07. Stools were white-colored for several days. Patient was taken to emergency room for jaundice on 07/15/07. At the time, liver enzymes were elevated (SGPT 6303, SGOT 4444), INR elevated (2.6), and bilirubin elevated (21.3). Patient was admitted to a hospital, and transferred for possible liver transplant on 07/17/07 to another hospital.  07/31/2007 MR received from transferring facility for DOS 7/15-17/2007.  Infant presented with 1 week hx of jaundice and intermittant acholic "white" stools which began the day of her vax.  PE (+) for jaundice and hepatomegaly, otherwise WNL. Assessment: Acute Liver Failure of unknown etiology.  Obstructive etiology r/o, most likely infection vs. autoimmune. Transfered to regional hospital further eval and possible placement on Liver Transplant list. 8/21/2007 MR received for DOS 7/17-8/04/2007 for admitting DX of Acute Liver Failure with elevated liver enzymes and coagulopathy. As above. Improvement noted on methylprednisolone Transfered back to original hospital for further management. Discharge DX:  Acute Liver Failure with elevated liver enzymes and coagulopathy. 1/11/2010 Diagnose with Autoimmune Hepatitis by doctor of Pediatrics Gastroenterology at hospital. Currently on Azuthioprine treatment.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Cold compress therapy, Injection site erythema, Injection site swelling
Clinical narrative: Noted swelling and redness to upper right arm.  DTAP shot given in right deltoid.  Encouraged mother to apply a cold compress to area for 15 minutes at a time and give tylenol or ibuprofen as needed. Also recommended benadryl. Mother reports site improving gradually.  Encouraged mother to contact physician if site gets worse.
Age: 60.0
Sex: M
Vaccine: HEPAB
Symptoms: Rash
Clinical narrative: within 8 hours of administration of Twinrix, pt developed rash in groin area and under arms, which persisted for 3 days.
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Balance disorder, Pyrexia
Clinical narrative: I received the first in the series with no affects, and after several years received the second with no affects. On schedule I received the third at 9am on a friday morning- by 6pm I had a fever of 100 degrees. Despite taking tylenol (and then aspirin when I had taken 8 tylenol in 24 hours) my fever lasted for two days, getting up to 101.5. After my fever finally broke, I was very weak and had little balance. I drank lots of carrot juice, which seemed to help a little bit (Vitamin A is good for the liver) On Monday morning I was still without very good balance and weak.
Age: 1.25
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash generalised, Rash papular
Clinical narrative: 3-4 days of high fevers reaching up to 104.5 and as low as 99.9    Rash appeared starting on head and is now working its way down to the feet.  Small red bumps.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema
Clinical narrative: Redness surrounding site of injection- 6 x 3.5 cm
Age: 1.08
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Erythema, Immediate post-injection reaction, Skin warm, Swelling
Clinical narrative: IMMEDIATE SWELLING AFTER VACCINE ADMINISTRATION, REDNESS, WARM TO TOUCH
Age: 23.0
Sex: F
Vaccine: ANTH
Symptoms: Coeliac disease
Clinical narrative: Received the anthrax vaccine on 28 Nov 02 and 5 May 03 that contained squalene.  Developed numerous symptoms, resulting in the eventual diagnosis of Celiac Disease and currently experiencing other symptoms that have not been diagnosed.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Pyrexia
Clinical narrative: pain at injection site. redness surrounding- 9 x 4cm. plus fever 100.3
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Autism, Encephalitis, Gastrointestinal disorder
Clinical narrative: This case was reported by the mother of a consumer and described the occurrence of encephalitis in a male subject aged between 0 and 9 years old who was vaccinated with Pediarix, GlaxoSmithKline), and Hib. A physician or other health care professional has not verified this report. On an unspecified date, 3 June 2004 and 23 January 2004 the subject received 3rd dose, 2nd dose and 1st dose of Pediarix at 0.5 ml. On an unspecified date the subject received unspecified dose of Hib (Merck) and was later diagnosed with autism. The reporter explained that after receiving almost all of his childhood vaccines, the subject developed gut issues and was reacting to wheat containing products. The subject additionally developed encephalitis (date not reported). This case was assessed as medically serious by GSK. At the time of reporting autism was unresolved and the outcome of the other events was not known.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Angioedema, Chest pain, Cough, Eye swelling, Nasal congestion
Clinical narrative: nasal congestion, puffy eyes, cough, chest pain, hives, angioedema < 1 hr.  08/13/2007 MR received for ER visit 7/23/2007 for c/o itching, swelling, and rash.  Pt received Varivax, immediately felt ill, vomited, and developed chest pain.  He developed a rash on the face. Txd with epi and benadryl at PCP office.  PE WNL by arrival at ED. DX: Allergic reaction.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Urticaria
Clinical narrative: nasal congestion, puffy eyes, cough, chest pain, hives, angioedema < 1 hr.  08/13/2007 MR received for ER visit 7/23/2007 for c/o itching, swelling, and rash.  Pt received Varivax, immediately felt ill, vomited, and developed chest pain.  He developed a rash on the face. Txd with epi and benadryl at PCP office.  PE WNL by arrival at ED. DX: Allergic reaction.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Herpes zoster
Clinical narrative: Mother states re-occurrence of "shingles" lesions below Rt eye 8 days after Gardasil #1 given. Child had not had outbreak in 2 yrs.
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Asthenia, Dizziness, Hypersensitivity, Hypotonia, Paraesthesia
Clinical narrative: Pt seen in am and describes what appeared like an allergic response after 1st inj. anyway. Pt was given Betamethasone 6 mg IM at approx 1000 this am, Pt returned at 1340 and was given Gardasil. 5 ml IM to (L) deltoid. Within one minute pt c/o tingling to bilat. arms and fingers and dizziness. Pt was laying down and became weak with decreased muscle tone. c/o visual disturbance. Maintained BP + O2 Sat  + Pulse all WNL. (1350) No improvement, Pt was given Benadryl 50 mg IM at 1410. Took 20 minutes for slight improvement. Approx 35 min after Benadryl, pt was improving. Pt. had bee recommended not to receive further doses and will take Benadryl 50mg P.O. daily x 2-3 days per Dr. Pt. d/c'd to home with boyfriend.
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Visual disturbance
Clinical narrative: Pt seen in am and describes what appeared like an allergic response after 1st inj. anyway. Pt was given Betamethasone 6 mg IM at approx 1000 this am, Pt returned at 1340 and was given Gardasil. 5 ml IM to (L) deltoid. Within one minute pt c/o tingling to bilat. arms and fingers and dizziness. Pt was laying down and became weak with decreased muscle tone. c/o visual disturbance. Maintained BP + O2 Sat  + Pulse all WNL. (1350) No improvement, Pt was given Benadryl 50 mg IM at 1410. Took 20 minutes for slight improvement. Approx 35 min after Benadryl, pt was improving. Pt. had bee recommended not to receive further doses and will take Benadryl 50mg P.O. daily x 2-3 days per Dr. Pt. d/c'd to home with boyfriend.
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dizziness, Paraesthesia
Clinical narrative: Pt seen in am and describes what appeared like an allergic response after 1st inj. anyway. Pt was given Betamethasone 6 mg IM at approx 1000 this am, Pt returned at 1340 and was given Gardasil. 5 ml IM to (L) deltoid. Within one minute pt c/o tingling to bilat. arms and fingers and dizziness. Pt was laying down and became weak with decreased muscle tone. c/o visual disturbance. Maintained BP + O2 Sat  + Pulse all WNL. (1350) No improvement, Pt was given Benadryl 50 mg IM at 1410. Took 20 minutes for slight improvement. Approx 35 min after Benadryl, pt was improving. Pt. had bee recommended not to receive further doses and will take Benadryl 50mg P.O. daily x 2-3 days per Dr. Pt. d/c'd to home with boyfriend.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Influenza like illness, Local reaction, Musculoskeletal pain, Neck pain
Clinical narrative: Local reaction spread to neck and shoulder-pain and flu-like illness with fevers and fatigue
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Local reaction spread to neck and shoulder-pain and flu-like illness with fevers and fatigue
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Erythema, Skin warm
Clinical narrative: Phone call 7/21/07. c/o red area sz of half dollar. Warm to touch. Advised Tylenol. Call if sx. persist condition resolved itself.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site discomfort, Pain
Clinical narrative: Mom called pt. had body aches and discomfort at site of vaccine
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Skin warm, Swelling, Tenderness
Clinical narrative: spreading localized redness swelling, warmth tenderness with raised margins left upper arm
Age: 17.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Tdap and Menactra were given to patient on 4-3-06. They were overlooked and accidently given again on 7-20-07. patient had no reaction to injections.
Age: 73.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Erythema, Polymerase chain reaction, Rash vesicular
Clinical narrative: <24 hr after admin. -vesicular rash and (R) red-unilateral site to vaccine administration
Age: 73.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster, Incorrect route of drug administration, Polymerase chain reaction, Pruritus, Rash vesicular
Clinical narrative: <24 hr after admin. -vesicular rash and (R) red-unilateral site to vaccine administration
Age: 73.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Varicella zoster virus serology positive
Clinical narrative: <24 hr after admin. -vesicular rash and (R) red-unilateral site to vaccine administration
Age: 2.0
Sex: M
Vaccine: MNQ
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 1.3
Sex: M
Vaccine: DTAP, HBHEPB, HEPA, MMRV
Symptoms: Varicella post vaccine
Clinical narrative: Patient developed Varicella disease on 7-23-07 after having received Proquad 6-16-06
Age: 50.0
Sex: M
Vaccine: HEP
Symptoms: Incorrect dose administered
Clinical narrative: Pt. was administered 1 pediatric dose of Hep. B vaccine 10 mcg/0.5 ml Engerix B on 6/18/07 instead of an adult dose. No adverse event noted.
Age: 43.0
Sex: F
Vaccine: HEP
Symptoms: Incorrect dose administered
Clinical narrative: Pediatric dose 10mcg/0.5 ml Hepatitis B vaccine (Engerix-B) administered on 4/30/07 and 6/1/07 instead of an adult dose No adverse events noted.
Age: 42.0
Sex: F
Vaccine: MMR
Symptoms: Chills, Pyrexia, Rash, Rash pruritic
Clinical narrative: Rash, low grade fever developed 7/22/07. Hot/cold chills. (Pruritic mildly). Tx-sx managed with Tylenol and Benadryl. Mild illness. Prognosis is good for full recovery.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema
Clinical narrative: Redness around injection 12 cm x 12.5 cm
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Incorrect dose administered
Clinical narrative: Pt was administered 2 pediatric doses of Hep. B Engerix B 10 mcg/0.5 ml. 1st dose 5/4/07. 2nd dose 5/29/07 instead of an adult dose. No adverse events noted
Age: 19.0
Sex: F
Vaccine: HEP
Symptoms: Incorrect dose administered
Clinical narrative: Pt. was administered a pediatric dose of Hep. B vaccine (Engerix-B) 10 mcg/0.5ml on 6/18/2007 instead of an adult dose No adverse events noted
Age: 19.0
Sex: F
Vaccine: HEP
Symptoms: Incorrect dose administered
Clinical narrative: Pt was administered a Hep B booster using a pediatric dose 10mcg/0.5ml Engerix-B on 7/9/2007 instead of an adult dose. No adverse event noted.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness, swollen to the site, was given Atarax prescription.
Age: 5.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: R thigh erythema and induration
Age: 1.0
Sex: F
Vaccine: HIBV, IPV, PNC, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Pt received polio #4 vaccine but she is only 12 months old, Polio #4 is normally due at 5 YO.
Age: 67.0
Sex: F
Vaccine: TD
Symptoms: Asthenia, Chills, Headache, Injection site erythema, Injection site induration
Clinical narrative: Woke up next day (7-4-07) feeling chills - aching - felt worse as day went on - c/o nausea, weakness, malaise, headache. Site of shot red (approx 6" dia) warm to touch and sl hard. Began to feel better is 7 days. Arm remains sl red (1" dia) and hard with sl warmth. Talked with Dr.
Age: 67.0
Sex: F
Vaccine: TD
Symptoms: Injection site warmth, Malaise, Nausea, Pain
Clinical narrative: Woke up next day (7-4-07) feeling chills - aching - felt worse as day went on - c/o nausea, weakness, malaise, headache. Site of shot red (approx 6" dia) warm to touch and sl hard. Began to feel better is 7 days. Arm remains sl red (1" dia) and hard with sl warmth. Talked with Dr.
Age: 32.0
Sex: F
Vaccine: ANTH
Symptoms: Erythema, Induration, Tenderness
Clinical narrative: 5cm over of induration, tenderness and hurt 12cm area of mild erythema
Sex: F
Vaccine: VARCEL
Symptoms: Crying, Erythema, Incorrect route of drug administration, Induration, Injected limb mobility decreased
Clinical narrative: Vaccine administered 7/13/07 at about 1PM administered IM R deltoid rather than SQ. Mom states at 8cm hard, red, tender swelling noted to R arm by 8am Sat 7/14/07. Couldn't really use R arm. Crying. By Sun am better much improved by today's visit 1:45 PM 7/16/07.
Sex: F
Vaccine: VARCEL
Symptoms: Swelling, Tenderness
Clinical narrative: Vaccine administered 7/13/07 at about 1PM administered IM R deltoid rather than SQ. Mom states at 8cm hard, red, tender swelling noted to R arm by 8am Sat 7/14/07. Couldn't really use R arm. Crying. By Sun am better much improved by today's visit 1:45 PM 7/16/07.
Sex: U
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site rash, Injection site vesicles, Local reaction
Clinical narrative: 10x11 cm erythematous macular area around site of shot with suggestion of central vesiculation starting 1 day after vaccine. Less severe local reaction 5/6
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Pain, Skin warm, Tenderness
Clinical narrative: local large (10 cm x 12 cm) erythematous, warm, tender patch. Pt complains of pain. (L) arm circumference 2mm > than (R) arm circumference.
Age: 3.0
Sex: M
Vaccine: HEPA, PNC
Symptoms: Erythema, Lymphadenopathy, Swelling
Clinical narrative: Redness, swelling, enlarged lymph nodes, treated with antibiotics as a precaution, site is on right thigh.
Age: 10.0
Sex: F
Vaccine: HEPA, IPV, VARCEL
Symptoms: Rash pruritic
Clinical narrative: Pruritic rash, Calamine lotion/ Benadryl.
Age: 6.0
Sex: F
Vaccine: DTAP
Symptoms: Movement disorder, Oedema peripheral, Pain, Pallor, Pruritus
Clinical narrative: C/O Itching began Friday 7-13-07 approximately 8am with child complaining of pain and trouble raising arm all the way. Approximately noon, mom looked at left arm noting extreme swelling (10 in. diameter) and very hard and discolored (black) - (opposite right arm 7 in. diameter). Child was anxious and frustrated", didn't want to play or eat much on Friday. She was "pale" in am. No fever, no wheezing or seizure. Left arm 9 1/4" on 7/16/07 at noon of Right arm 8 1/2" on 7/16/07 at noon.
Age: 6.0
Sex: F
Vaccine: DTAP
Symptoms: Skin discolouration
Clinical narrative: C/O Itching began Friday 7-13-07 approximately 8am with child complaining of pain and trouble raising arm all the way. Approximately noon, mom looked at left arm noting extreme swelling (10 in. diameter) and very hard and discolored (black) - (opposite right arm 7 in. diameter). Child was anxious and frustrated", didn't want to play or eat much on Friday. She was "pale" in am. No fever, no wheezing or seizure. Left arm 9 1/4" on 7/16/07 at noon of Right arm 8 1/2" on 7/16/07 at noon.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cold compress therapy, Erythema, Skin warm
Clinical narrative: 2cm x 2 cm, red, raised, warm to touch Treat with ice and Tylenol
Age: 4.0
Sex: F
Vaccine: MMR
Symptoms: Rash morbilliform
Clinical narrative: 4 days after MMR developed a measles like rash over legs, hand, arms
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister
Clinical narrative: Received #2 Varicella 6-27-07. Presents to clinic 7-12-07 c/o blisters under (R) arm/axilla x one week.
Age: 10.0
Sex: M
Vaccine: HEPA, IPV, VARCEL
Symptoms: Rash pruritic
Clinical narrative: Pruritic rash, Calamine lotion/Benadryl.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying, Screaming, Swelling, Tenderness
Clinical narrative: inconsolable high pitched screaming treatment-Tylenol, ibuprofen (R) thigh sl. swollen and tender
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Local reaction, Oedema
Clinical narrative: local reaction: erythema/edema mild TTP. approx 6 1/2 x 5 cm
Age: 0.7
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Heat rash, Inappropriate schedule of drug administration, Off label use, Rash, Rash papular
Clinical narrative: Seen in office 7/16, broke out in rash after immunes (that evening). Erythematous pinpoint papular rash on trunk palms soles, no itching afebrile, no hives, ?due to immunes ?viral/heat rash
Age: 9.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Dizziness, Dry skin, Pallor
Clinical narrative: Approximately 30 minutes after receiving 2 vaccines, pt brought in Rm #4 in mother's arms after reportedly feeling faint at front desk. Pt awake, alert, oriented x 3, skin dry and pale. v/s BP 100/70, pulse 78, resp 12, Placed in trendelenburg position on bed. Pt talkative, cool cloth to face and neck. Juice and sandwich provided and consumed by pt. Pt's mother and sister sick and pt walked out 4 client escort
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Diarrhoea, Rash, Urticaria, Wheezing
Clinical narrative: Infant given #1 series-Rotateq not given due to mom reports watery diarrhea stools x several days-saw Dr was told put cereal in bottle to help with diarrhea had 2 res EP SAT doctor. Injection given within 2 min developed hive like rash entire head no where else Resp-80 with wheezes Ephephrine 0.05 in right thigh, 10:32 am 911 called
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Body temperature increased, Erythema, Injected limb mobility decreased, Musculoskeletal pain, Skin warm
Clinical narrative: Pt has experienced elevated temp 99-102 deg off/on since midnight pt obtaining imm 060407; pt. c/o pain in L shoulder; favors the arm will not move; Redness and heat from L shoulder area present mom states have been giving Tylenol elixir every 4 hr ATC since also using ice packs on area. Mom stated went to ER (did not say where) and they told her to go where the pt rec'd imm.
Age: 1.1
Sex: M
Vaccine: DTAP, HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Erythema infectiosum, Rash
Clinical narrative: 11 days after shots he developed a rash of raised bumps which began on arms and legs and buttocks and the next day had bumps on torso. Cheeks, red, no bumps Dr in ER said it was from MMR vaccine. Referred to Dr today. T99.5-100 since 5/28/07.
Age: 4.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Convulsion, Unresponsive to stimuli, Upper respiratory tract infection
Clinical narrative: Mother states on 4/16/07 she went in to check on pt and he was having a seizure, she tried to awaken him but unsuccessful. Took to clinic then on to hospital by ambulance where URI was dx.
Age: 3.0
Sex: F
Vaccine: DTAPHEPBIP, HIBV, MMRV, PNC
Symptoms: Cold compress therapy, Erythema, Induration, Skin discolouration, Swelling
Clinical narrative: Area became for red and swollen. Mother states over the weekend pt had very large area bigger than the 3in x 4in area that was present today. Today the area is still reddish purple and swollen. The area is hard to the touch. Mother has administered Tylenol and applied ice to the area.
Age: 78.0
Sex: M
Vaccine: RAB
Symptoms: Blood pressure increased, Vertigo
Clinical narrative: Last dose of the Post Exposure Series of Rabies given 14 days ago, client continues to c/o vertigo. Onset was noted after 4th injection. Sx not better but not going away.
Age: 46.0
Sex: M
Vaccine: ANTH
Symptoms: Alopecia, Arthralgia, Headache, Insomnia, Joint swelling
Clinical narrative: ANKLES AND KNEES JOINTS ACHES AND SWOLLEN, MUSCLE PAIN, NERVOUSNESS, HEAD ACHES, DIFFICULTY SLEEPING, HAIR LOSS.  08/06/2007 MR received for multiple OVs between 3/2/2004 and 7/23/2007, including multiple psych evals for Depression and OCD. Primary care visit 9/9/2004 with c/o hip pain, myalgias, arthralgias, and chronic insomnia. PE WNL except (+) joint pain/swelling, myagias, and depression.  LE pulses 3+. Assessment:  Myalgias, Arthralgias, Hyperlipidemia. Next Primary Care visit for c/o persistant ankle pain with hx of gout w/ normal uric acid values (4.5).  Assessment:  Tendonitis vs Arthritis. Addendum- Spoke with pt.  Language barrier caused misunderstanding of "Life Threatening". Pt. feels condition threatens his life, however there was no event where he was at risk of death.
Age: 46.0
Sex: M
Vaccine: ANTH
Symptoms: Myalgia, Nervousness
Clinical narrative: ANKLES AND KNEES JOINTS ACHES AND SWOLLEN, MUSCLE PAIN, NERVOUSNESS, HEAD ACHES, DIFFICULTY SLEEPING, HAIR LOSS.  08/06/2007 MR received for multiple OVs between 3/2/2004 and 7/23/2007, including multiple psych evals for Depression and OCD. Primary care visit 9/9/2004 with c/o hip pain, myalgias, arthralgias, and chronic insomnia. PE WNL except (+) joint pain/swelling, myagias, and depression.  LE pulses 3+. Assessment:  Myalgias, Arthralgias, Hyperlipidemia. Next Primary Care visit for c/o persistant ankle pain with hx of gout w/ normal uric acid values (4.5).  Assessment:  Tendonitis vs Arthritis. Addendum- Spoke with pt.  Language barrier caused misunderstanding of "Life Threatening". Pt. feels condition threatens his life, however there was no event where he was at risk of death.
Age: 33.0
Sex: F
Vaccine: HEP, HEPA, IPV, TDAP
Symptoms: Pain, Pyrexia
Clinical narrative: "severe fever" (but patient did not check the actual temp), and generalized achiness that started about 30 minutes after the injections and lasted a couple of days
Age: 27.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Back pain, Blister, Erythema, Headache
Clinical narrative: I received the Gardasil/Gardisil vaccine 7/19.  7/20 I started experiencing itchiness in my scalp and felt the appearance of some hives on my scalp.  7/21 at night I started feeling itchiness all over my body but very few red marks appeared.  When I woke up 7/22 I had over 60 red spots (hives) all over my body, 6 on my face and neck, and the majority on my back, chest and legs.  Through out the course of that day abot 10 more appeared including a big, hard one on the back of my neck that is causing me severe headaches and back/neck pain.  7/23 I woke up with over 30 new marks (apparently the majority of the new marks come out at night).  The older marks grew in size to the approx size of a 5cent coin, and in the center small blisters have formed.  The area around the blister is very irritated (red).  A couple of them have popped, exposing a deep red dot underneath.  I went to the doctor and they have put me on benadryl for the moment, I might have to go back for a cortisone shot if the benadryl doesn't calm my symptoms.  I am experience rushes of itchiness through out, and pain in some areas (right side of my abdomen and back/neck).
Age: 27.0
Sex: F
Vaccine: HPV4
Symptoms: Neck pain, Off label use, Pruritus, Urticaria
Clinical narrative: I received the Gardasil/Gardisil vaccine 7/19.  7/20 I started experiencing itchiness in my scalp and felt the appearance of some hives on my scalp.  7/21 at night I started feeling itchiness all over my body but very few red marks appeared.  When I woke up 7/22 I had over 60 red spots (hives) all over my body, 6 on my face and neck, and the majority on my back, chest and legs.  Through out the course of that day abot 10 more appeared including a big, hard one on the back of my neck that is causing me severe headaches and back/neck pain.  7/23 I woke up with over 30 new marks (apparently the majority of the new marks come out at night).  The older marks grew in size to the approx size of a 5cent coin, and in the center small blisters have formed.  The area around the blister is very irritated (red).  A couple of them have popped, exposing a deep red dot underneath.  I went to the doctor and they have put me on benadryl for the moment, I might have to go back for a cortisone shot if the benadryl doesn't calm my symptoms.  I am experience rushes of itchiness through out, and pain in some areas (right side of my abdomen and back/neck).
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain, Injection site swelling
Clinical narrative: INFLAMATION-BRIGHT RED, SWELLING, SORENESS--AT INJECTION SITE 5 INCHES BY 6 INCHES AT 72 HOURS POST INJECTION.
Age: 6.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: 1 1/2 diameter red, swollen and tender back side of arm
Age: 27.0
Sex: F
Vaccine: MMR, TTOX, VARCEL
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Swelling, redness, pain in left arm. Hot to touch 70mm x 6 mm
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Local swelling
Clinical narrative: Local swelling and erythema. Recommend cold compresses and acetaminophen.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Nasopharyngitis, Pyrexia, Rash
Clinical narrative: Child developed rash to body on 6/28/2007, during the morning. Non itchy rash, low grade fever and cold, diagnosis. Benadryl and Ibuprofen ordered. Lab work done.
Age: 86.0
Sex: F
Vaccine: PPV
Symptoms: Injection site mass, Oedema, Pain in extremity, Pyrexia, Similar reaction on previous exposure to drug
Clinical narrative: Edema "blood beet red" arm from armpit to approximately 3" below elbow - edema whole arm area to within 2-3''' of wrist. Soreness and fever - whole  arm to within 2-3" of wrist. Soreness and fever- whole arm and knot at injection site. Benadryl 25mg at bedtime and ice packs during day. Began reaction afternoon after injection. Had similar but less. Reaction last Fall when she had same injection. MD - told he she needed another one.
Age: 86.0
Sex: F
Vaccine: PPV
Symptoms: Vaccine positive rechallenge
Clinical narrative: Edema "blood beet red" arm from armpit to approximately 3" below elbow - edema whole arm area to within 2-3''' of wrist. Soreness and fever - whole  arm to within 2-3" of wrist. Soreness and fever- whole arm and knot at injection site. Benadryl 25mg at bedtime and ice packs during day. Began reaction afternoon after injection. Had similar but less. Reaction last Fall when she had same injection. MD - told he she needed another one.
Age: 3.0
Sex: M
Vaccine: VARCEL
Symptoms: Varicella
Clinical narrative: Varicella infection after receiving Varivax at 1 year.
Age: 1.6
Sex: F
Vaccine: HEPA, HIBV
Symptoms: Erythema, Urticaria
Clinical narrative: Patient had red, hard whelps on bilateral calves.
Age: 6.0
Sex: M
Vaccine: IPV, PNC
Symptoms: Varicella
Clinical narrative: Chicken pox.
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Red, hot, swollen upper arm.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Left arm injection site became swollen, red, painful within 24 hours seen 48 hours later - given PO abx, Benadryl.
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Rash vesicular, Skin lesion
Clinical narrative: Received second Varivax 6/26 developed typical vesicular rash on 7/10,  new lesions 7/11 and 7/12.
Sex: M
Vaccine: VARCEL
Symptoms: Blister
Clinical narrative: Given Varivax 6/26 developed typical vesicles on 7/10, more on 7/11 and 7/12. Sibling had same course.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Urticaria
Clinical narrative: Within 15 minutes, patient right upper arm is broken out with hives, red, swollen 20mm in diameter. Benadryl 12.5mg PO given. Advised to see MD for evaluation.
Age: 1.5
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Erythema
Clinical narrative: Left arm erythematous non tender 1 3/4 x 2 in. area. Rx: Keflex, Benadryl, Tylenol PRN.
Age: 3.0
Sex: M
Vaccine: VARCEL
Symptoms: Angioedema
Clinical narrative: Patient received Varivax in office. Developed giant urticaria over (R) lateral trunk. No cough, wheeze, pallor, facial, lip, or tongue swelling.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Abscess drainage, Cyst, Injection site erythema, Injection site nodule, Injection site pain
Clinical narrative: LIPOMAS-After the anthrax vaccine received on 3/24/03, patient noted a new onset mass on his right inner thigh. He later noted a second mass on his right flank. He then noted a mass over his mid-sternum which tripled in size over a couple of weeks. This mass was biopsied and patient recalls a large amount of drainage as the mass was removed. The final diagnosis of the biopsy was reported as a lipoma. Patient is not aware of any cultures or lab studies that were performed on the drainage from the site. Since then, the patient has noted other masses appearing on his abdomen, around his knees and along his lower ribs. The most recent mass appeared about 30 days ago and is on his left flank area (40 x 20 mm). These masses persist and fluctuate in size. They are tender to deep palpitation and the tenderness seems to decrease after the area is massaged. Patient had no history of lipomas or masses prior to March 2003. He had a biopsy of a cyst near salivary gland around his left ear which was benign prior to receipt of his anthrax vaccines. Patient reports receiving an initial series of anthrax vaccine when he was a Marine in the first Gulf War, but has no documentation of any vaccinations between 1987 and 1992. (He is not sure how many anthrax vaccines he received at that time). He was then given 4 doses of a second dose of the anthrax vaccines on 3/7/03, 3/24/2003, 4/9/2003 and 1/29/2004. Patient reports burning type pain with each anthrax vaccine injection which resolved within minutes of the injections. He experienced minimal redness and swelling at his vaccines sites. He experienced persistent subcutaneous nodules at vaccine sites with associated tenderness to palpitation. The nodules varied in size from the diameter of golf ball to the diameter of a lime. The subcutaneous nodule at the site of the anthrax vaccine received on 3/24/2003 is still present (30 x 25 mm) and tender to deep palpitation. Patient denies persistent headaches, myalgias, arthralgias, fatigue or fever or chills following receipt of any of his anthrax vaccines.