chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 55.0
Sex: F
Vaccine: SMALL, SMALL, SMALL
Symptoms: Fatigue, Heart rate irregular, Malaise, Pain, Pyrexia
Clinical narrative: 3/22/03 client had malaise post vaccine on 3/18/03, 3/23/03- client improved, 3/30/03- felt like comming down with cold,temp 100.F,  3/31/03-improvement noted in AM-later progressively got worse with increased fatigue, aches, temp 4/1/03-client is a registered nurse and felt intermittence pain (L) side of neck and back under (L) scapula- heard odd heart sound, temp 100.F- aches, SOA, fatigue- called place of work and was told to come in.
Age: 55.0
Sex: F
Vaccine: SMALL, SMALL, SMALL
Symptoms: Erythema, Injection site pain, Skin ulcer
Clinical narrative: 3/22/03 client had malaise post vaccine on 3/18/03, 3/23/03- client improved, 3/30/03- felt like comming down with cold,temp 100.F,  3/31/03-improvement noted in AM-later progressively got worse with increased fatigue, aches, temp 4/1/03-client is a registered nurse and felt intermittence pain (L) side of neck and back under (L) scapula- heard odd heart sound, temp 100.F- aches, SOA, fatigue- called place of work and was told to come in.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: Received vaccine on 3-25-03. March 29th dime size reaction. 24 hours later 50x70 mm. Patient went to hospital 3-30-03, was treated with Benadryal liquid, client states had no symptoms other than reddness at the injection site.
Age: 49.0
Sex: F
Vaccine: SMALL
Symptoms: Blister, Rash
Clinical narrative: On 3/27/03 Client reported rash on abdomen 20 small pimple-like bumps.  Just one or two were blister-like  treatment:  Benadryl 25 mg HS.  Had headache for 24 hours (3/27/03 to 3/28/03) took tylenol two for relief.  On 4/02/03 "rash improved alot, said client, fading, flat, dry and 0 drainage, and 0 itching.
Age: 36.0
Sex: F
Vaccine: SMALL
Symptoms: Dizziness, Palpitations
Clinical narrative: PT c/o palpitations, lightheadedness, dizziness.  No Chest pain or SOB.  No cardiac hx.   EKG, CK and troponins normal.
Age: 59.0
Sex: M
Vaccine: SMALL
Symptoms: Bradycardia, Chest discomfort
Clinical narrative: PT has a known cardiac history on Lopressor and Imdur.  He was vaccinated on 3/24/03 did fine until 4/2 when he developed "twinges" of chest discomfort.  He saw his cardiologist who did an EKG, showed bradycardia, lopressor was d/ced.  On 4/3 had further "twinges", seen in the ER and admitted overnight for observation.  EKG, CK and troponins were normal.  He was d/ced on Imdur, Lotensin, and aspirin.  He is to have a stress test as an outpatient.
Age: 48.0
Sex: F
Vaccine: SMALL
Symptoms: Body temperature increased, Fatigue, Injection site erythema, Injection site induration
Clinical narrative: Robust local reaction, 3 inches of erythema and induration.  Low grade temp 100.6.  Fatigue.
Age: 47.0
Sex: F
Vaccine: SMALL
Symptoms: Cow pox, Injection site inflammation, Injection site reaction, Vaccination complication
Clinical narrative: One secondary scab by primary and satellite lesion imitation of mosquito bites on vax arm. Inflamed, some wheeping. Reaction to bites vs mild generalized vaccinia.
Age: 46.0
Sex: F
Vaccine: SMALL
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: 47 yo nurse.  Vaccinated 3/24.  On 3/26-27 started feeling "winded", progressed over next few days, felt a chest heaviness.  Came to hospital ER 3/31, admitted overnight for observation.  No medical problems, previous smoker, no HTN, no DM.  EKG normal, all CK and trops normal.   ECHO was normal except for trace tricuspid regurgitation.  They elicited a history of DVT with PE in 1982.  Pulse ox during exertion was 84%.  VQ scan was negative.  Pt stated was a smoker previously, but quit 23 years ago.  CXR shows some changes consistent with COPD.  She was discharged, PFTs are scheduled and she is to follow up with a pulmonologist Dr.
Age: 0.0
Sex: F
Vaccine: SMALL
Symptoms: Eye irritation, Infection transmission via personal contact
Clinical narrative: Pt complained of one week of foreign body sensation in her left eye (starting 3/26, presented to md on 4/2).  Her boyfriend was vaccinated 3 weeks prior to 4/2.  Her optho exam was completely normal.  She is a CONTACT.  Only boyfriend was vaccinated.
Age: 55.0
Sex: F
Vaccine: SMALL
Symptoms: Bacterial infection, Pain, Pyoderma, Vaccination complication
Clinical narrative: Pt developed vesicle between nose and upper lip on the left side on 3/27 (vaccinated 2/26, scab fell off around 3/12).  Lesion broke, drained yellow fluid, was painful, about 1 cm.  No h/o HSV.  Seen by derm, likely pyoderma.  Vaccinia PCR NEGATIVE
Age: 42.0
Sex: F
Vaccine: SMALL
Symptoms: Dyspnoea, Palpitations
Clinical narrative: client with mitral valve prolapse dx in "20's" has been asymptomatic X 2years. 6 mos ago dx with left ventricular hypertrophy ("mild") with echocardiogram.  Reports experiencing palpitations for approximately the past two weeks (vaccination date 2/25/03). Reports some SOB with the palpitations. Significant family hx: father died at age 45yo from MI. 48yo brother has had "triple bypass with 6 subsequent stent placements."
Age: 29.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain, Dyspnoea
Clinical narrative: client with mitral valve prolapse diagnosis since age 13 or 14yo. Reports has not had chest pain or shortness of breath X 4yrs.  Reports began experiencing intermittent periods of chest pain with SOB since seven days following vaccination.  She was seen in the ER on 3/31/03, was not having symptoms at that time and was cleared for discharge.
Age: 55.0
Sex: F
Vaccine: SMALL
Symptoms: Alanine aminotransferase increased, Influenza like illness, Laboratory test abnormal, Liver function test abnormal, Monocytosis
Clinical narrative: 3/14/03 c/o n&v, flu-like illness. Out of work 3/17/03, work half a day on 18th, out on 19th, worked half day on 20th and out since then. 3/19/03 had elevated liver enzymes, elevated monocytes and AlT tests. 3/24/03 SGPT enzymes elevated above the 3/19/03 levels. C-reactive protein also elevated. 3/22 & 23/03 had problems with left leg. 3/24/03 diagnosed with superficial phlebitis of upper and lower left leg. 3/25/03 CT scans done of head and abdomen due to continued headaches and elevated liver enzymes. No abnormalities on the scan. No history of heart disease. Lab tests for Hep B&C were negative. Had Hep B and Hep A vaccines previously. Lab tests for Epstein Barr and some other tests not back yet.Has referral to a gastroenterologists on 4/7/03 due to continued fever,nausea and weight loss. No treatment other than for the fever and nausea.
Age: 55.0
Sex: F
Vaccine: SMALL
Symptoms: Nausea, Phlebitis superficial, Pyrexia, Vomiting, Weight decreased
Clinical narrative: 3/14/03 c/o n&v, flu-like illness. Out of work 3/17/03, work half a day on 18th, out on 19th, worked half day on 20th and out since then. 3/19/03 had elevated liver enzymes, elevated monocytes and AlT tests. 3/24/03 SGPT enzymes elevated above the 3/19/03 levels. C-reactive protein also elevated. 3/22 & 23/03 had problems with left leg. 3/24/03 diagnosed with superficial phlebitis of upper and lower left leg. 3/25/03 CT scans done of head and abdomen due to continued headaches and elevated liver enzymes. No abnormalities on the scan. No history of heart disease. Lab tests for Hep B&C were negative. Had Hep B and Hep A vaccines previously. Lab tests for Epstein Barr and some other tests not back yet.Has referral to a gastroenterologists on 4/7/03 due to continued fever,nausea and weight loss. No treatment other than for the fever and nausea.
Age: 43.0
Sex: F
Vaccine: SMALL
Symptoms: Back pain, Chest pain, Fatigue, Myocardial ischaemia, Myocarditis
Clinical narrative: Extreme exhaustion with episodes of chest pain radiating to jaw, back between scapulae, not responding to nitroglycerin or toradol.  Chest pain episodes since onset on 4/2/03 (there have been six of them) come and go; subside on their own after about an hour; not related to exertion or rest.  No h/o heart disease or of cardiac risk factors.  Admitted to Hospital.  Being evaluated for r/o ischemic heart disease, r/o myocarditis.
Age: 43.0
Sex: F
Vaccine: SMALL
Symptoms: Pain in jaw
Clinical narrative: Extreme exhaustion with episodes of chest pain radiating to jaw, back between scapulae, not responding to nitroglycerin or toradol.  Chest pain episodes since onset on 4/2/03 (there have been six of them) come and go; subside on their own after about an hour; not related to exertion or rest.  No h/o heart disease or of cardiac risk factors.  Admitted to Hospital.  Being evaluated for r/o ischemic heart disease, r/o myocarditis.
Age: 44.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Ear pain, Headache, Tinnitus
Clinical narrative: Ears started ringing a few days after my second anthrax shot (Mar 28, 03) and have continued to.  I've also had a dull ache in the ears and the lower back portion of my head.
Age: 44.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Ear pain, Neck pain, Tinnitus
Clinical narrative: Ears started ringing a few days after my second anthrax shot (Mar 28, 03) and have continued to.  I've also had a dull ache in the ears and the lower back portion of my head.
Age: 1.6
Sex: F
Vaccine: DTAP, DTPIPV
Symptoms: Anorexia, Erythema, Feeling hot, Injection site mass, Pruritus
Clinical narrative: The first two days she ran a fever(100.2), was extremely sleepy, lost appetite. At the sight of the injection on her left arm she had a hard knot that was warm to the touch. At 10 days she developed a blotchy rash/hives aroung the injection sight that by day 14 had spread to her enitre body from the bottoms of her feet, all over her trunk, legs, arms, and cheeks.  She looks like she has roseacia, the rash is warm and she has been scratching.  This is day 17 and she is progressively getting redder, not better.
Age: 1.6
Sex: F
Vaccine: DTAP, DTPIPV
Symptoms: Pyrexia, Rash, Somnolence, Urticaria
Clinical narrative: The first two days she ran a fever(100.2), was extremely sleepy, lost appetite. At the sight of the injection on her left arm she had a hard knot that was warm to the touch. At 10 days she developed a blotchy rash/hives aroung the injection sight that by day 14 had spread to her enitre body from the bottoms of her feet, all over her trunk, legs, arms, and cheeks.  She looks like she has roseacia, the rash is warm and she has been scratching.  This is day 17 and she is progressively getting redder, not better.
Age: 55.0
Sex: F
Vaccine: SMALL, SMALL, SMALL
Symptoms: Cardiac disorder, Fatigue, Malaise, Pain, Pyrexia
Clinical narrative: 3/18-22/03 - malaise; 3/30/03 - felt"like coming down with a cold" w.Temp 100F. 3/31/03 - increased fatigue, aches, temp.;  4/1/03 - c/o intermittent pain L side of neck and under L scapula.  "odd heart sound" (pt. is a nurse and listened to own heart), T. 100F, aches, SOA, fatigue. Seen at place of work
Age: 55.0
Sex: F
Vaccine: SMALL, SMALL, SMALL
Symptoms: Fatigue, Heart rate irregular, Malaise, Pain, Pyrexia
Clinical narrative: 3/18-22/03 - malaise; 3/30/03 - felt"like coming down with a cold" w.Temp 100F. 3/31/03 - increased fatigue, aches, temp.;  4/1/03 - c/o intermittent pain L side of neck and under L scapula.  "odd heart sound" (pt. is a nurse and listened to own heart), T. 100F, aches, SOA, fatigue. Seen at place of work
Age: 55.0
Sex: F
Vaccine: SMALL, SMALL, SMALL
Symptoms: Erythema, Injection site pain, Skin ulcer
Clinical narrative: 3/18-22/03 - malaise; 3/30/03 - felt"like coming down with a cold" w.Temp 100F. 3/31/03 - increased fatigue, aches, temp.;  4/1/03 - c/o intermittent pain L side of neck and under L scapula.  "odd heart sound" (pt. is a nurse and listened to own heart), T. 100F, aches, SOA, fatigue. Seen at place of work
Age: 12.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Blood alkaline phosphatase increased, Convulsion
Clinical narrative: Had 3 hepatitis B shots. First one 8/14/02, second one 10/22/02, third 2/20/03. Had first seizure 11/14/02. Had second seizure 3/21/03. No history of any health problems ever in family.
Age: 12.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Convulsion
Clinical narrative: Had 3 hepatitis B shots. First one 8/14/02, second one 10/22/02, third 2/20/03. Had first seizure 11/14/02. Had second seizure 3/21/03. No history of any health problems ever in family.
Age: 0.75
Sex: M
Vaccine: HEP
Symptoms: Febrile convulsion, Status epilepticus
Clinical narrative: Had complex febrile seizure < 24 hrs after vaccination-required intubation in ER due to status epileptices. He was hospitalized for three days.
Sex: F
Vaccine: HEP
Symptoms: Bradycardia
Clinical narrative: Poor temperature control; episodes of bradycardia.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cellulitis
Clinical narrative: Cellulitis right leg.
Age: 16.0
Sex: M
Vaccine: HEP
Symptoms: Asthenia, Dizziness, Dyspnoea, Hypersensitivity, Rash
Clinical narrative: Loss breath, rash, weak dizzy-onset 2 hrs post inj. 30min later took to ER. Admit to overnight stay. Allergic reaction to hep B vaccine. No further hep B vaccine are in?ed.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Localized skin reaction to around injection site.
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site pain
Clinical narrative: EDGM and pain (approx 10in x 5in) extending from anthrax site to below elbow. Tx: Cipro 500mg x five days bid.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Cellulitis, Injection site erythema, Injection site inflammation, Injection site oedema, Injection site reaction
Clinical narrative: Day s/p anthrax #6 injection-red/hot/swelling 2x normal size upper deltoid region-cellulitis versus abnormal inflammatory reaction-antibiotics, NSAIDS.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site warmth
Clinical narrative: Day s/p anthrax #6 injection-red/hot/swelling 2x normal size upper deltoid region-cellulitis versus abnormal inflammatory reaction-antibiotics, NSAIDS.
Age: 39.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Erythema and increase warmth, at upper arm extending 6.5cm past the elbow.
Age: 4.08
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Upper arm red, swollen, warm non tender.
Age: 4.75
Sex: F
Vaccine: DTAP, HEPA, IPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Lt arm deltoid red/swllen 9x10cm DTaP IM Lt delt. 3/26/03 noticed 3/28/03 red/swollen. Benadryl/ Tylenol.
Age: 4.7
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: DTaP given 3/24/03-mom noticed Rt arm red/swollen 10x11cm 3/26/03. Benadryl/Tylenol/cool compress.
Age: 5.08
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Rt arm red/swollen/ 1 1/2 x 2" Zyrtec/Tylenol.
Age: 4.5
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Rt deltoid red/swollen 9 x 7cm Tx: Tylenol/Benadryl/ cool compress.
Age: 0.5
Sex: F
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Erythema, Rash
Clinical narrative: Red rash on stomach and chest. Also developed rash at 4 mo shots (not reported, same provider).
Age: 3.0
Sex: M
Vaccine: DTAP, HIBV, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: 12 x 9.5 cm area of swelling and redness at inject site.
Age: 1.3
Sex: M
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Rash, Rash papular
Clinical narrative: To ETC 3/23 with measles rash from vax. Confluent erythema papules on face. Small papules on back, arms and legs.
Age: 1.25
Sex: M
Vaccine: MMR
Symptoms: Injection site hypersensitivity, Rash, Rash erythematous, Urticaria
Clinical narrative: Approx 6 hrs after injection mother noticed rash on chest and abdomen. PT seen in clinic approx 24 hrs after injection. Rash flat, red small patches, not simply. Inject site red approx quarter size and adjacent to inject site one nickel size hive.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site oedema, Injection site vesicles
Clinical narrative: Pt came to office 3/28/03 w/ what looked like blisters (2) underneath vaccine site. Slight swelling no pain or fever. (Left arm) Dr prescribed Benadryl and Prelone cream Rtn 3/31/03.
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Infection, Pyrexia, Rash
Clinical narrative: Mom phoned ofc. 3/26/03 with c/o low grade temp and rash all over. Seen by MD that day w/ diagnosis of chicken pox, given Zovirax. Mom called the next day 3/27/03 w/ increased rash, spoke w/ MD.
Age: 32.0
Sex: M
Vaccine: HEPA, TD
Symptoms: Back pain, Coordination abnormal, Diplopia, Fatigue, Headache
Clinical narrative: Began one hour after immunization, felt ill with fatigue, leg weakness, back ache, headache, double vision dys coordination for four days.
Age: 32.0
Sex: M
Vaccine: HEPA, TD
Symptoms: Muscular weakness
Clinical narrative: Began one hour after immunization, felt ill with fatigue, leg weakness, back ache, headache, double vision dys coordination for four days.
Age: 11.0
Sex: M
Vaccine: HEPA
Symptoms: Cough, Dysgeusia, Dyspnoea, Hyperventilation, Urticaria
Clinical narrative: Pt developed hives, hyperventilation, SOB, funny taste in mouth, cough approx. 1 1/2 hours after vaccine admin.
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Skin ulcer
Clinical narrative: Numerous crusted lesions on face + L ax. area.
Age: 0.9
Sex: M
Vaccine: IPV, VARCEL
Symptoms: Dermatitis bullous, Pruritus
Clinical narrative: Pox found by nurse, itchy.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Dermatitis bullous, Pyrexia
Clinical narrative: Varicella vaccine given 12 mos of age (10/95). Now 8 yo severe onset of chicken pox high fevers over 200 chicken pox 1st night in ears-genitals around mouth all over face all over body as well over 40. Tx with Benadryl and Acyclovir. Day #4 pt still fever but lower. Acyclovir seems to hep was given within 24 hrs of onset.
Age: 1.0
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Pyrexia, Rash, Rash morbilliform
Clinical narrative: Fever 102.5 to 103.7 R. Rash lower torso area. Fever broke 3/27/03 3pm, 3/28/03 measles all gone except 2 or three little red dots.
Age: 18.0
Sex: F
Vaccine: TD, VARCEL
Symptoms: Injection site induration, Injection site pain
Clinical narrative: L tricep-localized indurated reaction, mild pain-no 2/L, sl. TFP, OTC Tyl/ice.
Age: 0.5
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Agitation, Crying, Injection site erythema, Injection site oedema
Clinical narrative: 20 min after immunization had a solid four hour episode of shrill crying and swelling, redness in 4cm area around injection site. Resolved spontaneously and no problems since.
Age: 11.0
Sex: M
Vaccine: MMR
Symptoms: Parotitis
Clinical narrative: 11 y with two doses of MMR 1/8/93 and 8/16/96. Seen in office on 3/31/03 with parotitis. Possible vaccine failure suspected, probable mumps suspected. F/U in three days.
Age: 1.3
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Injection site oedema, Rash erythematous
Clinical narrative: R upper arm swollen erythematous rash on 4/2/03 and started on po Keflex and Pomdmin cold compress by Dr. Reviewed by me 4/8/03 same as above continueal with warm compresses. Swelling and by 25% as per RN.
Age: 3.0
Sex: M
Vaccine: DTAPH, PNC
Symptoms: Injection site oedema, Vasodilation procedure
Clinical narrative: Received Prevnar IM right deltoid 3/25/03. Mother noticed right arm swollen (from shoulder to wrist). Brought child into clinic 3/27/03 - Right arm swollen, warm to touch - no redness, no loss of ROM. No soreness. Advised to have n.o. check. Mom did not do this and arm resolved to normal by 3/30/03.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: 10cmx11cm red, raised, hard warm area about immunization right thigh. Treated for cellulitis.
Age: 1.6
Sex: M
Vaccine: DTPHIB, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Child developed rash on chest, face, thighs, back upper arms. Non-pruritic. No kaplicks spots, petechia, no fever.
Sex: F
Vaccine: PPV
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: PT received injection of Pneumovax 0.5 3/22/03. PT noticed rash/itching on 3/25/03. Oral flat pink - red lesion over body. PT Dx'd with pneumonia 3/21/03. Received Rocephine 3/21/03. Received Pneumovax 3/22/03. PT started 2 pak 3/22/03.
Age: 11.0
Sex: M
Vaccine: HEPA
Symptoms: Abdominal pain, Diarrhoea, Nausea, Pyrexia, Vomiting
Clinical narrative: Per mom, client work up at 4AM on 3/19 with stomach cramps, nausea/vomiting, diarrhea and fever of 102.1 F. Client also developed a flat red spot on left temple. Site of injection looks fine, no redness, pain or swelling. Mom to treat with fever reducer, increased fluids and monitor symptoms. If no improvement will seek medical attention.
Age: 12.0
Sex: M
Vaccine: HEPA
Symptoms: Erythema, Rash, Rash maculo-papular
Clinical narrative: Per mom, client woke up this morning with a flat, red, splotchy rash on upper arms, chest and stomach. Rash not itchy or causing any discomfort. Denies fever and no other symptoms. No soreness or swelling at site of injection. Mom to monitor rash and if no improvement or symptoms worsen, will seek medical attention.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Injection site erythema, Injection site reaction
Clinical narrative: Local reaction, erythema to DTaP injection site.
Age: 37.0
Sex: F
Vaccine: MMR
Symptoms: Coordination abnormal, Injection site pain, Myalgia
Clinical narrative: Received Td booster 1/29/03. Experienced mild tenderness at site. Started feeling "off balances". 2/2/03 sensation of "falling backward". Feeling abated. Received MMR on 2/3/03. 1 wk later on 2/10/03 dizziness returned "like a freight trash". Went to an immediate care facility and put on Meclizine Beserred to ENT for evaluation. All tests negative. Primary MD ran other blood tests - all negative for mono, lupus, Lyme disease. Currently experiencing extreme muscle fatigue in both legs and left arm.
Age: 1.9
Sex: F
Vaccine: DTAP
Symptoms: Urticaria
Clinical narrative: Had immunization on 2/11/03. Broke out in hives on Thursday. Did not seek medical care. Mother giving Benadryl.
Age: 1.25
Sex: M
Vaccine: MMR
Symptoms: Diarrhoea, Hypersensitivity, Rhinitis, Urticaria
Clinical narrative: On 1/8/03 child broke out w/small whelps that developed into large whelps over a 2-day period. They spread from his flap to trunk then areas and a few small places on his face. Large whelps ?? dark in center. No fever, but did have a runny nose and diarrhea. Saw MD on 1/10/03 and was treated w/a 5 day course of Pediapred for allergic reaction. Whelps improved by 1/11/03 and completely resolved by 1/13/03.
Age: 13.0
Sex: M
Vaccine: HEP
Symptoms: Rash erythematous
Clinical narrative: Rash erythema on face, left clavicle, abdomen around 4-5 days after hepatitis B injection. Saw doctor on 3/20/03; prescribed methylprednisoline 4mg dose pack.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Screaming
Clinical narrative: High pitched constant crying > 3 hrs (all night)
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Convulsion, Epilepsy, Muscle twitching
Clinical narrative: Partial seizure evening after DTaP #5. Sat up in bed; side of face twitching.
Age: 4.9
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: On 3/28/03 care was provided by MD w/the Dx's of cellulitis of right arm. Cephalexin 250 mg / 5 cc given w/discharge instructions and to see MD for appmt in 2-3 days.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Agitation, Pyrexia, Tremor
Clinical narrative: Fever of 103 deg, increased irritability, tremulous
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Rash papular
Clinical narrative: Scattered papules, some with vesicles
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Agitation, Pyrexia, Rash erythematous, Rash macular
Clinical narrative: Trunk - anterior and posterior red macular rash. Increase in temperature, irritability 24 hrs later rash extended to all 4 extremities.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Rash papular
Clinical narrative: Rash (papules & vesicles) noted on dorsum (left greater than right) of both feet 3 days post SmPx vax (primary). Tx'd symptomatically (no meds) rash diminished over 72 hrs.
Age: 2.0
Sex: F
Vaccine: SMALL
Symptoms: Influenza, Pyrexia, Rash
Clinical narrative: Dependent child of military personnel came in contact with towel used by parent to dry vaccine site after shower. Child presented to ED with fever and red blanching, flat lacy rash. No vesicles. Discharged home with flu by pediatrician.
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA, HIBV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling, redness left deltoid.
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Erythema, swelling and soreness at site as seen on 4/4/03. Rx for Motrin and advised cool soaks.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site reaction
Clinical narrative: Gradual increased redness with ? at injection site involving entire extremity over 3-4 days removed.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema
Clinical narrative: Gradual increased redness ? nearly entire extremity.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Was brought in by mom; noted that left deltoid area has been swelling, hot to touch and with redness noted 12 hours post vaccination.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Mom reported that Thursday early evening, noted left arm began swelling, firm, very red color. Area marked per mom was 65mmx70mm; applied cold pack. Brought for check up on 4/4/03. Area looks better; a very faint pink color still little firm. Observe and call PRN.
Age: 1.5
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Large area of erythema (5cm) and induration (3cm) left thigh following DTaP 4.
Age: 33.0
Sex: F
Vaccine: FLUX, HEP
Symptoms: Agitation, Headache, Malaise, Mental impairment, Musculoskeletal stiffness
Clinical narrative: One hour after receiving hepatitis B vaccine and flu vaccine, patient became agitation, with mental status changes with no clear cause, headache with a stiff neck, overall malaise, myalgia and a fever. Patient admitted for observation. Given acetaminophen and tests were performed to rule out an infectious process.
Age: 33.0
Sex: F
Vaccine: FLUX, HEP
Symptoms: Myalgia, Pyrexia
Clinical narrative: One hour after receiving hepatitis B vaccine and flu vaccine, patient became agitation, with mental status changes with no clear cause, headache with a stiff neck, overall malaise, myalgia and a fever. Patient admitted for observation. Given acetaminophen and tests were performed to rule out an infectious process.
Age: 39.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Hemiparesis, Speech disorder
Clinical narrative: Chest pain, inability to speak, left-sided weakness.  We were also asked by military (DOD) not to discuss specific cases involving military personnel.
Age: 23.0
Sex: F
Vaccine: ANTH, SMALL, ANTH, HEP, MEA, MU, RUB, SMALL, ANTH, HEP, MMR, SMALL, TYP
Symptoms: Accident, Anaemia, Back pain, Blood lactate dehydrogenase increased, Blood pressure decreased
Clinical narrative: Initially admitted with extreme shortness of breath/pneumonitis and pleural effusions noted after 2-3 week history of illness. Admit 3/27/03. On 4/6/03 Patient had mental status changes, partial complex seizure. Shortly thereafter decreased BP, required ventilation. Transferred to another hospital; later expired. Information received from transfer summary states fever, pain in chest, cough increased, supraventricular tachycardia.   Discharge final summary states accident injury, collegen disorder, sepsis, nausea, vomiting and back pain. msv
Age: 23.0
Sex: F
Vaccine: ANTH, SMALL, ANTH, HEP, MEA, MU, RUB, SMALL, ANTH, HEP, MMR, SMALL, TYP
Symptoms: Chest pain, Collagen disorder, Convulsion, Cough, Dyspnoea
Clinical narrative: Initially admitted with extreme shortness of breath/pneumonitis and pleural effusions noted after 2-3 week history of illness. Admit 3/27/03. On 4/6/03 Patient had mental status changes, partial complex seizure. Shortly thereafter decreased BP, required ventilation. Transferred to another hospital; later expired. Information received from transfer summary states fever, pain in chest, cough increased, supraventricular tachycardia.   Discharge final summary states accident injury, collegen disorder, sepsis, nausea, vomiting and back pain. msv
Age: 23.0
Sex: F
Vaccine: ANTH, SMALL, ANTH, HEP, MEA, MU, RUB, SMALL, ANTH, HEP, MMR, SMALL, TYP
Symptoms: Electrocardiogram abnormal, Laboratory test abnormal, Mental impairment, Nausea, Pleural effusion
Clinical narrative: Initially admitted with extreme shortness of breath/pneumonitis and pleural effusions noted after 2-3 week history of illness. Admit 3/27/03. On 4/6/03 Patient had mental status changes, partial complex seizure. Shortly thereafter decreased BP, required ventilation. Transferred to another hospital; later expired. Information received from transfer summary states fever, pain in chest, cough increased, supraventricular tachycardia.   Discharge final summary states accident injury, collegen disorder, sepsis, nausea, vomiting and back pain. msv
Age: 23.0
Sex: F
Vaccine: ANTH, SMALL, ANTH, HEP, MEA, MU, RUB, SMALL, ANTH, HEP, MMR, SMALL, TYP
Symptoms: Pneumonitis, Pyrexia, Sepsis, Supraventricular tachycardia, Vomiting
Clinical narrative: Initially admitted with extreme shortness of breath/pneumonitis and pleural effusions noted after 2-3 week history of illness. Admit 3/27/03. On 4/6/03 Patient had mental status changes, partial complex seizure. Shortly thereafter decreased BP, required ventilation. Transferred to another hospital; later expired. Information received from transfer summary states fever, pain in chest, cough increased, supraventricular tachycardia.   Discharge final summary states accident injury, collegen disorder, sepsis, nausea, vomiting and back pain. msv
Age: 23.0
Sex: F
Vaccine: ANTH, SMALL, ANTH, HEP, MEA, MU, RUB, SMALL, ANTH, HEP, MMR, SMALL, TYP
Symptoms: Systemic lupus erythematosus
Clinical narrative: Initially admitted with extreme shortness of breath/pneumonitis and pleural effusions noted after 2-3 week history of illness. Admit 3/27/03. On 4/6/03 Patient had mental status changes, partial complex seizure. Shortly thereafter decreased BP, required ventilation. Transferred to another hospital; later expired. Information received from transfer summary states fever, pain in chest, cough increased, supraventricular tachycardia.   Discharge final summary states accident injury, collegen disorder, sepsis, nausea, vomiting and back pain. msv
Age: 23.0
Sex: F
Vaccine: ANTH, SMALL, ANTH, HEP, MEA, MU, RUB, SMALL, ANTH, HEP, MMR, SMALL, TYP
Symptoms: Pain, Pyrexia, Systemic lupus erythematosus
Clinical narrative: Initially admitted with extreme shortness of breath/pneumonitis and pleural effusions noted after 2-3 week history of illness. Admit 3/27/03. On 4/6/03 Patient had mental status changes, partial complex seizure. Shortly thereafter decreased BP, required ventilation. Transferred to another hospital; later expired. Information received from transfer summary states fever, pain in chest, cough increased, supraventricular tachycardia.   Discharge final summary states accident injury, collegen disorder, sepsis, nausea, vomiting and back pain. msv
Age: 36.0
Sex: F
Vaccine: SMALL
Symptoms: Feeling jittery, Injection site erythema, Injection site swelling, Pruritus, Rash
Clinical narrative: Vaccinated on 3/13/03. 4 days after vaccination noted pruritis. Took benadryl. 6 days after vaccination was found to be a "no take", but had red raised area at vac site (no pustule). Also noted to have blotchy mottled rash over backs of arms, hands, knees and legs. Took benadryl at 4:40P. Awoke at 2AM the next morning feeling "jittery", unable to sleep. Rash still present. Seen by MD. Given clonipine. Rash resolved over next 2-3d.
Age: 36.0
Sex: F
Vaccine: SMALL
Symptoms: Rash macular, Sleep disorder
Clinical narrative: Vaccinated on 3/13/03. 4 days after vaccination noted pruritis. Took benadryl. 6 days after vaccination was found to be a "no take", but had red raised area at vac site (no pustule). Also noted to have blotchy mottled rash over backs of arms, hands, knees and legs. Took benadryl at 4:40P. Awoke at 2AM the next morning feeling "jittery", unable to sleep. Rash still present. Seen by MD. Given clonipine. Rash resolved over next 2-3d.
Age: 38.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site reaction
Clinical narrative: Only adverse event is that scab is extremely small -- 5 mm. Previously vaccinated with good take.
Age: 36.0
Sex: F
Vaccine: SMALL
Symptoms: Rash, Skin discolouration
Clinical narrative: Vaccinated on 3/13/03. Had rash assoc with this vaccination, but no take. Revaccinated on 3/24/03. 7 days post vac, developed mottling of skin distant from vac site. Good take noted. 8 days post vac, still with mottling. Resolved over unknown number of days.
Age: 48.0
Sex: F
Vaccine: SMALL
Symptoms: Rash, Urticaria
Clinical narrative: Received vaccination on 3/28/03. Four days post vac developed non-pruritic, plaques and patches on arms, back, chest, abd, legs. Spares face, palms and soles. Blanching. Would evolve and resolve at several different sites. Seen by dermatologist on 4/3. Diagnosed as urticaria. Treated with antihistamines and prn steroid cream.
Age: 1.3
Sex: M
Vaccine: DTAPHEPBIP, HBHEPB
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Left thigh noted to be red & warm to touch.  Red area measuring 15cmX8cm.
Age: 10.0
Sex: F
Vaccine: HEP
Symptoms: Dyspnoea, Headache, Pyrexia, Vomiting
Clinical narrative: Fever x five days, dyspena, headach, vomiting. To PMD on 3/14/03- dx with strep throat, gave med exemption to further HBV
Age: 32.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema multiforme, Urticaria
Clinical narrative: Erythema Multiforme Began Friday, April 4, 2003 in A.M. Head to toe hives, different sizes.   Tx: Benadryl
Age: 40.0
Sex: M
Vaccine: SMALL
Symptoms: Rash papular
Clinical narrative: papular rash on back of both hands (3 - 4 papules each hand).  First noticed morning of 3/30/03.  2 additional papules noticed 4/4/03.  No systemic symptoms
Age: 53.0
Sex: M
Vaccine: SMALL
Symptoms: Laboratory test abnormal, Pain
Clinical narrative: Three days post vaccination has C5-6 radicular pain syndrome (pain in R shoulder muscles). He has past history on c5-6 radiculitis first in 1994 and again in 1998. 14 days post vaccination pt is worse. Current problem.
Age: 57.0
Sex: F
Vaccine: SMALL
Symptoms: Dyspnoea, Tachycardia
Clinical narrative: more shortness of breath walking on site visit out of doors 4-1-03 than expected at "take" evaluation 4-2-03 c/o feeling "tachycardic, PVS-ish".  Stated pulse 80-90 when checked.  no chest pain.  no heaviness in chest.  (Pt is emergency medicine physician)
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Face oedema, Urticaria
Clinical narrative: No adverse reactions at time of vaccine. Pt awoke next am at 0600 with swelling to face. Hives to neck, trunk, and arms were also present.
Age: 56.0
Sex: F
Vaccine: SMALL
Symptoms: Extrasystoles, Palpitations
Clinical narrative: heart palpitations - 8 days post - lasted all weekend.  Felt like heart was skipping beats.  arm was swollen.  ended 3/17/03  every now and then will have a palpitation if too much coffee or tired (previous & post-vaccination) pre-existing high cholesterol - on Lipitor
Age: 44.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Asthma, Pneumonia, Rash, Vaccination complication
Clinical narrative: pneu,monia - steroids possible satellite lesion generalized rash Follow up information: Pt states that he received "asthma" after being vaccinated for smallpox.
Age: 45.0
Sex: F
Vaccine: SMALL
Symptoms: Dermatitis bullous, Infection transmission via personal contact
Clinical narrative: HEALTHCARE WORKER IN PROXIMITY OF TWO-THREE OTHER INDIVIDUALS WHO WERE GIVEN THE SMALL POX VACCINE.  ABOVE PERSON DID NOT TOUCH VAIL, CHANGE DRESSING, OR COME INTO ANY KNOWN DIRECT CONTACT WITH VACCINE.  PRESENTED TO LOCAL ER SUNDAY 4/6/03 WITH POX-LIKE RASH DISTRIBUTED MAINLY ON TRUNK--OTHERWISE TOTALLY ASYMPTOMATIC--NO FEVER, NO MALAISE, NO PAIN, NO ITCHING.  INSTRUCTED TO KEEP "RASH" COVERED AND BE CAUTIOUS.  PRIMARY CARE PROVIDER WILL BE SEEING CLIENT SOMETIME TODAY TO EVALUATE.
Age: 39.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Acne, Cow pox, Rash
Clinical narrative: Rash to back and trunk. Generalized vaccinia vs acne.
Age: 29.0
Sex: M
Vaccine: ANTH, MEN, PPV, SMALL, SMALL
Symptoms: Pericardial effusion, Pericarditis, Viral infection
Clinical narrative: Myopericarditis, pericardial effusion presumed hours to smallpox, but pssible coincidental to viral, mycoplasmal or other infection.
Age: 29.0
Sex: M
Vaccine: ANTH, MEN, PPV, SMALL, SMALL
Symptoms: Anorexia, Chest pain, Chills, Cough, Dyspnoea
Clinical narrative: Myopericarditis, pericardial effusion presumed hours to smallpox, but pssible coincidental to viral, mycoplasmal or other infection.
Age: 29.0
Sex: M
Vaccine: ANTH, MEN, PPV, SMALL, SMALL
Symptoms: Fatigue, Headache, Hyperhidrosis, Influenza like illness, Myocarditis
Clinical narrative: Myopericarditis, pericardial effusion presumed hours to smallpox, but pssible coincidental to viral, mycoplasmal or other infection.
Age: 29.0
Sex: M
Vaccine: ANTH, MEN, PPV, SMALL, SMALL
Symptoms: Nausea, Pericardial effusion, Vomiting
Clinical narrative: Myopericarditis, pericardial effusion presumed hours to smallpox, but pssible coincidental to viral, mycoplasmal or other infection.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Pain, Vaccination complication
Clinical narrative: PT in 2nd week of smallpox vax when bandage fell off in left axilla region. Increased pain increased vesicles (3) increased erythema. Pain 2/10 no fever. PT feels fine. Auto inoculation? (reporter put question mark)
Age: 35.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Rash maculo-papular, Rash pruritic
Clinical narrative: PT with 3-5 mm annular macular along trunk and both arms. Macular blanch and one pruritic. Maculi with some fine scale. No pustules seen, no fluid or exudati seen.
Age: 34.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Asthenia, Enzyme abnormality, Laboratory test abnormal, Pyrexia
Clinical narrative: Patient called and complained of weakness and fever 101.5. Patient told to take Tylenol for fever and seek medical care if condition worsened or continued > 3 days. Patient went to hospital. Currently on ICU in stable condition.
Age: 34.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Chest pain, Chills, Headache, Laboratory test abnormal, Malaise
Clinical narrative: Patient called and complained of weakness and fever 101.5. Patient told to take Tylenol for fever and seek medical care if condition worsened or continued > 3 days. Patient went to hospital. Currently on ICU in stable condition.
Age: 34.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Myocarditis, Pericarditis, Pyrexia
Clinical narrative: Patient called and complained of weakness and fever 101.5. Patient told to take Tylenol for fever and seek medical care if condition worsened or continued > 3 days. Patient went to hospital. Currently on ICU in stable condition.
Age: 34.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Chest discomfort, Feeling abnormal, Laboratory test abnormal, Lethargy, Pericarditis
Clinical narrative: Patient called and complained of weakness and fever 101.5. Patient told to take Tylenol for fever and seek medical care if condition worsened or continued > 3 days. Patient went to hospital. Currently on ICU in stable condition.
Age: 34.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Pyrexia
Clinical narrative: Patient called and complained of weakness and fever 101.5. Patient told to take Tylenol for fever and seek medical care if condition worsened or continued > 3 days. Patient went to hospital. Currently on ICU in stable condition.
Age: 34.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Asthenia, Enzyme abnormality, Laboratory test abnormal, Pyrexia
Clinical narrative: 8 days after started with chills, malaise, fever of 101, headache. Then 2 days later, chest pains. Feels better today 4/7/03. Questionable rash.
Age: 34.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Chest pain, Chills, Headache, Laboratory test abnormal, Malaise
Clinical narrative: 8 days after started with chills, malaise, fever of 101, headache. Then 2 days later, chest pains. Feels better today 4/7/03. Questionable rash.
Age: 34.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Myocarditis, Pericarditis, Pyrexia
Clinical narrative: 8 days after started with chills, malaise, fever of 101, headache. Then 2 days later, chest pains. Feels better today 4/7/03. Questionable rash.
Age: 34.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Chest discomfort, Feeling abnormal, Laboratory test abnormal, Lethargy, Pericarditis
Clinical narrative: 8 days after started with chills, malaise, fever of 101, headache. Then 2 days later, chest pains. Feels better today 4/7/03. Questionable rash.
Age: 34.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Pyrexia
Clinical narrative: 8 days after started with chills, malaise, fever of 101, headache. Then 2 days later, chest pains. Feels better today 4/7/03. Questionable rash.
Age: 30.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Fatigue, Headache, Malaise, Pericarditis, Rash
Clinical narrative: Symptoms began on day of vaccination with headache, felt run-down, fatigued. On 3/24, rash developed around vaccine site. Lymph nodes, tonsils were sore. Spread of rash beyond bandage. On 3/27, chest pressure. Sent to hospital. Cath on 3/31/03 normal. Diagnosed with vaccinia related pericarditis.
Age: 30.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Tonsillitis
Clinical narrative: Symptoms began on day of vaccination with headache, felt run-down, fatigued. On 3/24, rash developed around vaccine site. Lymph nodes, tonsils were sore. Spread of rash beyond bandage. On 3/27, chest pressure. Sent to hospital. Cath on 3/31/03 normal. Diagnosed with vaccinia related pericarditis.
Age: 30.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Myocardial infarction, Pericarditis
Clinical narrative: Symptoms began on day of vaccination with headache, felt run-down, fatigued. On 3/24, rash developed around vaccine site. Lymph nodes, tonsils were sore. Spread of rash beyond bandage. On 3/27, chest pressure. Sent to hospital. Cath on 3/31/03 normal. Diagnosed with vaccinia related pericarditis.
Age: 30.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Chest pain, Laboratory test abnormal, Pericarditis
Clinical narrative: Symptoms began on day of vaccination with headache, felt run-down, fatigued. On 3/24, rash developed around vaccine site. Lymph nodes, tonsils were sore. Spread of rash beyond bandage. On 3/27, chest pressure. Sent to hospital. Cath on 3/31/03 normal. Diagnosed with vaccinia related pericarditis.
Age: 30.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Fatigue, Headache, Malaise, Pericarditis, Rash
Clinical narrative: Myocardial infarction. Tx: Heparn, Asacrw, nitroglycerin, metoprolol, agarastat, merstiwe. ER doctor not working. Took message requesting he CB tomorrow will dial to your extension. Advised then there was a vacancy on her report after # had in service.
Age: 30.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Tonsillitis
Clinical narrative: Myocardial infarction. Tx: Heparn, Asacrw, nitroglycerin, metoprolol, agarastat, merstiwe. ER doctor not working. Took message requesting he CB tomorrow will dial to your extension. Advised then there was a vacancy on her report after # had in service.
Age: 30.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Myocardial infarction, Pericarditis
Clinical narrative: Myocardial infarction. Tx: Heparn, Asacrw, nitroglycerin, metoprolol, agarastat, merstiwe. ER doctor not working. Took message requesting he CB tomorrow will dial to your extension. Advised then there was a vacancy on her report after # had in service.
Age: 30.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Chest pain, Laboratory test abnormal, Pericarditis
Clinical narrative: Myocardial infarction. Tx: Heparn, Asacrw, nitroglycerin, metoprolol, agarastat, merstiwe. ER doctor not working. Took message requesting he CB tomorrow will dial to your extension. Advised then there was a vacancy on her report after # had in service.
Age: 44.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Breast pain, Chills, Discomfort, Pyrexia
Clinical narrative: 44 yo female who was vaccinated against smallpox as a child and has no known cardiac disease, vaccinated first on 3/27/2003.  One week later was determined to be a no-take and was re-vaccinated on 4/03/2003.  Developed fever on 4/3 and tender axillary lymph nodes the following day.  Lymph node tenderness progressed and spread to her left breast.  She denies any SOB, nausea or diaphoresis.  Tenderness in axilla and breast were worse with palpation and improved somewhat with aspirin.  She reported her symptoms to an MD colleague who performed an EKG (since pain was in left breast) on 4/6, which was normal per patient.  She called the clinic today to report her continuing axillary lymph node and breast tenderness.  She denies redness or warmth over lymph nodes.  Temp reached a max of 99.8 on 4/2 but she has been afebrile since.  She does c/o some chills.  She missed work today because of the discomfort.  Has been taking aspirin q6 hours.
Age: 44.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Fibrocystic breast disease, Pain, Palpitations, Pyrexia, Tenderness
Clinical narrative: 44 yo female who was vaccinated against smallpox as a child and has no known cardiac disease, vaccinated first on 3/27/2003.  One week later was determined to be a no-take and was re-vaccinated on 4/03/2003.  Developed fever on 4/3 and tender axillary lymph nodes the following day.  Lymph node tenderness progressed and spread to her left breast.  She denies any SOB, nausea or diaphoresis.  Tenderness in axilla and breast were worse with palpation and improved somewhat with aspirin.  She reported her symptoms to an MD colleague who performed an EKG (since pain was in left breast) on 4/6, which was normal per patient.  She called the clinic today to report her continuing axillary lymph node and breast tenderness.  She denies redness or warmth over lymph nodes.  Temp reached a max of 99.8 on 4/2 but she has been afebrile since.  She does c/o some chills.  She missed work today because of the discomfort.  Has been taking aspirin q6 hours.
Age: 0.0
Sex: F
Vaccine: SMALL
Symptoms: Infection transmission via personal contact, Rash pruritic
Clinical narrative: Patient is 26 year old exposed to her boyfriend who was recently vaccinated for smallpox.  Patient has developed vesicular pruritic rash on arms and back.  No other significant symptoms of systemic infection.
Age: 30.0
Sex: F
Vaccine: SMALL
Symptoms: Headache, Injection site oedema, Injection site swelling, Lymphadenitis, Lymphangitis
Clinical narrative: Symptoms include headaches, localized swelling at vaccine site, lymphangitis, lymphadenitis, edema, redness, fever at vaccine and lymphangitis sites. Lymph node involvement includes the axillary, subclavian and submandibular nodes. Time course of symptoms is currently at 5 days. Treatment includes 400-600 mg Naproxen sodium with 50mg Benadryl every 6 hours as needed. Additional events included the appearance of a reddish color maculopapular rash over both arms, neck, face and chest that only lasted a few hours.
Age: 30.0
Sex: F
Vaccine: SMALL
Symptoms: Pyrexia, Rash maculo-papular
Clinical narrative: Symptoms include headaches, localized swelling at vaccine site, lymphangitis, lymphadenitis, edema, redness, fever at vaccine and lymphangitis sites. Lymph node involvement includes the axillary, subclavian and submandibular nodes. Time course of symptoms is currently at 5 days. Treatment includes 400-600 mg Naproxen sodium with 50mg Benadryl every 6 hours as needed. Additional events included the appearance of a reddish color maculopapular rash over both arms, neck, face and chest that only lasted a few hours.