chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 2.5
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Apnoea, Convulsion, Cyanosis, Gastrooesophageal reflux disease
Clinical narrative: 1-2 days after 2 month old immunizations, patient had an episode of turning blue. required stimulation to return to normal. had increasing frequency and severity of events. Peds ICU admission. Reflux, seizure; no clear etiology. Now transferred to hosptial for further evaluation. Per 60 day follow up, pt still on seizure medicine but remains seizure free. The discharge summaries received on 4/5/04 state apnea. He has had events at times that are possible subtle seizures as we have tried to take him off his seizure medication. Seems to be developing well.
Age: 64.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Chest discomfort, Delirium, Lung disorder
Clinical narrative: Complained of sore and stiff lung and pressure on left side lung; hx of emphysema from smoking 2 packs a day. Called on 11/25/02; doing fine. Case closed. The discharge summary states COPD, and alcohol withdrawal.
Age: 1.08
Sex: F
Vaccine: VARCEL
Symptoms: Cardiac disorder, Dehydration, Pyrexia, Speech disorder
Clinical narrative: Spiked a fever of 104 degrees and it stayed there for 7 days; dehydrated and hospitalized for 3 days. Has had speech problems and is on heart medication for a condition that cardiologist admitted; could be caused by a live virus.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Anaemia, Cough, Dizziness, Dyspnoea, Laboratory test abnormal
Clinical narrative: Had achy muscles, cough and dizziness. Went to hospital; had pneumonia. Hospitalized 11/18 for 7 days. Discharge summary states short of breath, fever. msv
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia, Pneumonia, Pyrexia
Clinical narrative: Had achy muscles, cough and dizziness. Went to hospital; had pneumonia. Hospitalized 11/18 for 7 days. Discharge summary states short of breath, fever. msv
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Arthritis, Back pain, Hypertonia, Laboratory test abnormal, Malaise
Clinical narrative: Received vaccine 10/21/2002 and Dec 7 2002. Flu symptoms, aches, pains, swollen joints. On 12/08/2002 into 12/09/2002 awoke with generalized body pain admitted 12/09 -012/10 rheumotoid symptoms. W/U awful. Increase sedrate. Dx'd acute arthrytic inflammation. The 60 day report states she recovered from the acute event fro which she was hospitalized. She still had "arthritic" complaints. She continues with follow up care and does continue to (unknown) to work.  She was hospitalized in summer 03 in the midwest with fevers of unknown origin. I really don't believe that this has anything to do with vaccine but pt questioned it. Nurse follow up on 05/18/04 states: Malaise, aches, back pain, stiffness,
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pyrexia, Red blood cell sedimentation rate increased
Clinical narrative: Received vaccine 10/21/2002 and Dec 7 2002. Flu symptoms, aches, pains, swollen joints. On 12/08/2002 into 12/09/2002 awoke with generalized body pain admitted 12/09 -012/10 rheumotoid symptoms. W/U awful. Increase sedrate. Dx'd acute arthrytic inflammation. The 60 day report states she recovered from the acute event fro which she was hospitalized. She still had "arthritic" complaints. She continues with follow up care and does continue to (unknown) to work.  She was hospitalized in summer 03 in the midwest with fevers of unknown origin. I really don't believe that this has anything to do with vaccine but pt questioned it. Nurse follow up on 05/18/04 states: Malaise, aches, back pain, stiffness,
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Breast pain, Immune system disorder, Injection site mass, Nervous system disorder, Pain
Clinical narrative: Lump in left axillary. Sensitivity to cold. Pain radiating in left arm. Chronic pain in left breast and under left arm.  Per 60 day follw up: pain neurological symptoms including burning, tingling, sensations throughout body. Still have lump from flushot and presently under dis care for possible auto-immune damage and neurological damage. Thank you for your help and consideration : )
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia, Skin burning sensation
Clinical narrative: Lump in left axillary. Sensitivity to cold. Pain radiating in left arm. Chronic pain in left breast and under left arm.  Per 60 day follw up: pain neurological symptoms including burning, tingling, sensations throughout body. Still have lump from flushot and presently under dis care for possible auto-immune damage and neurological damage. Thank you for your help and consideration : )
Age: 42.0
Sex: M
Vaccine: ANTH
Symptoms: Cellulitis, Nausea, Neuritis, Oedema, Pain
Clinical narrative: PT noticed increased redness, edema, pain and paresthesias. Tx with IV Nafeillin and steroids for possible perineural involvement. Symptoms improved in 72 hrs. Was discharged from hospital. Additional symptoms - nausea, low-grade fever.
Age: 42.0
Sex: M
Vaccine: ANTH
Symptoms: Paraesthesia, Pyrexia, Vasodilation procedure
Clinical narrative: PT noticed increased redness, edema, pain and paresthesias. Tx with IV Nafeillin and steroids for possible perineural involvement. Symptoms improved in 72 hrs. Was discharged from hospital. Additional symptoms - nausea, low-grade fever.
Age: 31.0
Sex: M
Vaccine: FLU3
Symptoms: Headache, Laryngospasm
Clinical narrative: PT stated throat a little tight, and had a little headache. Reports improved throat in AM. Denies breathing difficulties, rash or fever at this time. Annual follow up on 04/14/04: "It is unknown if pt recovered from adverse events."
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, HIBV
Symptoms: Convulsion, Crying, Decreased appetite, Injury, Lethargy
Clinical narrative: PT first was very sensitive, screamed, loss of appetite, and then lethargic. Onset of sleeping and arm twitching (seizure) is what caused the referral of PT to the ER. Symptoms slowly occurred. Treated with subdural hematoma and retinal hemorraghes. Discharge summary on 05/05/04 states: Non-accidental injury, subdural hematoma
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, HIBV
Symptoms: Subdural haematoma
Clinical narrative: PT first was very sensitive, screamed, loss of appetite, and then lethargic. Onset of sleeping and arm twitching (seizure) is what caused the referral of PT to the ER. Symptoms slowly occurred. Treated with subdural hematoma and retinal hemorraghes. Discharge summary on 05/05/04 states: Non-accidental injury, subdural hematoma
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Child's grandmother called health unit 2 days after immunizations (11/21/02) reporting redness, swelling and warmth to right arm from elbow to shoulder. Grandma denies any breathing problems; encouraged to call or see MD if condition worsened. Local ER personnel called asking what shots were given and where. On 11/27/02, call was placed to ER and the physician on shift said the child was hospitalized for possible cellulitis and was released after a couple of days.
Age: 1.25
Sex: F
Vaccine: DTAP
Symptoms: Injection site induration, Vasodilation procedure
Clinical narrative: 5x7.5 cm area of redness and induration developed 2 days after shot. Treated w/warm compresses. The follow up states problem in Rt thigh-no reaction to flu.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Oedema, Pain, Pruritus
Clinical narrative: Triceps and deltoids itching. Burning with erythema (Redness) and edema. Pain and burning sensation over post upper arm from shoulder to elbow.
Sex: U
Vaccine: ANTH
Symptoms: Rash
Clinical narrative: 24 hrs later PT's face broke out. Dr prescribed medication.
Sex: M
Vaccine: ANTH
Symptoms: Asthenia, Fatigue, Myalgia, Paraesthesia
Clinical narrative: ?? Hand numbness, tingling & weakness, general fatigue and generalized myalgias.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Agitation, Cough, Nasal congestion, Pyrexia, Rash
Clinical narrative: PT came 2/6/03 for well child ck, had URI with cough, minimal congestion, no fever x 1 wk. Also had perineal rash. T 100 on 2/6/03. 2/18/03 mom brought PT in with bright red measle like rash with slight cough and runny nose x 2 days. T 97 deg and fussy night before.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Rhinitis, Upper respiratory tract infection
Clinical narrative: PT came 2/6/03 for well child ck, had URI with cough, minimal congestion, no fever x 1 wk. Also had perineal rash. T 100 on 2/6/03. 2/18/03 mom brought PT in with bright red measle like rash with slight cough and runny nose x 2 days. T 97 deg and fussy night before.
Age: 72.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain, Vasodilation procedure
Clinical narrative: Right arm tender and red, aching after receiving pneumonia shot. She called her MD, took Benadryl and Motrin, put ice pack on it - 11/1/02 called PT - redness resolved feeling fine. Case closed.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Blister, Urticaria
Clinical narrative: Had welt on flu shot site with small blisters. Blister and welts cleared up. Doing fine. Case closed. 11/25/2003
Age: 61.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site oedema, Syncope
Clinical narrative: Had swelling after pneumonia shot. Size of ? and felt faint, applied ice. Swelling resolved. Case closed.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Nausea, Vomiting
Clinical narrative: Had some nausea and vomiting x 1. Arm a little sore. Left arm size of quarter. Tenderness. 10/31/2002 Feeling better. Case closed.
Age: 38.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site oedema, Injection site pain, Injection site warmth, Joint range of motion decreased
Clinical narrative: 1/2 hour after receiving pneumonia shot, right arm swollen, hot, and hurt. Couldn't lift over head. Went to M.D. On antibiotics and had Cortisone shot 11/22/2002. Stated arm doing alot better. Case closed.
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Fatigue, Headache, Injection site erythema, Injection site oedema, Pain
Clinical narrative: Redness at sight, fever, fatigue, body aches, and increase swelling, and headaches.
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Pyrexia
Clinical narrative: Redness at sight, fever, fatigue, body aches, and increase swelling, and headaches.
Age: 40.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema
Clinical narrative: 2 Days post vaccination with localized erythema at injection site, no induration. 16 x 16 cm at widest points. Resolved in 48 hours.
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site mass, Injection site pain
Clinical narrative: R tricep pm post inadvertent vaccination to SQ over R tricep 1-2in had lump erythema (+) painful tricep from no last duty time.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling cold, Feeling hot, Headache, Rhinorrhoea
Clinical narrative: Felt warm and cold and had runny nose and headache, took Tylenol 11/11/02 client fine. Case closed.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness
Clinical narrative: Felt dizzy the evening of receiving flu shot. Took a day and a half for dizziness to go away. Doing fine. Case closed. 11/13/2002
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Pain
Clinical narrative: After receiving IM shot for flu c/o pain going up left side. Tenderness at site. Spoke with pt on 2/5/03 arm fine, no adverse relations. Case closed.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea
Clinical narrative: Had bad diarrhea 2-3 days. Went to Dr, gave her pills - stools back to normal 10/23/2002.  Case closed.
Age: 38.0
Sex: F
Vaccine: ANTH
Symptoms: Arthralgia, Hypokinesia, Injection site nodule, Pain, Skin burning sensation
Clinical narrative: I received the anthrax vaccination in Apr/May 2002. Every month I experience severe burning, aching and tenderness in my deltoids of both arms after receiving vaccinations. The pain is mostly in my Lt arm as that arm received 2 injections; the Rt arm received only 1. Every month like clockwork during my cycle, I would experience these pains and could feel nodules at the injection sites. In the last 2-3 months, these pains have been occurring weekly. The burning pain is very similar to the pain I experienced when I received the injections. The pain is so uncomfortable that I could not even lift heavy objects or lay on that side. In the last month, my left arm has had joint pain to the point that I could not even move my arm up and down or side to side. A simple task, such as ironing was very painful. This pain seems to be getting worse and becoming more persistent.
Age: 38.0
Sex: F
Vaccine: ANTH
Symptoms: Tenderness
Clinical narrative: I received the anthrax vaccination in Apr/May 2002. Every month I experience severe burning, aching and tenderness in my deltoids of both arms after receiving vaccinations. The pain is mostly in my Lt arm as that arm received 2 injections; the Rt arm received only 1. Every month like clockwork during my cycle, I would experience these pains and could feel nodules at the injection sites. In the last 2-3 months, these pains have been occurring weekly. The burning pain is very similar to the pain I experienced when I received the injections. The pain is so uncomfortable that I could not even lift heavy objects or lay on that side. In the last month, my left arm has had joint pain to the point that I could not even move my arm up and down or side to side. A simple task, such as ironing was very painful. This pain seems to be getting worse and becoming more persistent.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: Lt arm hot, red and swollen after flu shot. Took Motrin, applied moist compress - arm is fine on 10/31/2002
Age: 50.0
Sex: F
Vaccine: DT
Symptoms: Injection site pain
Clinical narrative: Td was given to pt on 11/4/2002. Since then pt complains of persistent arm pain in left arm. Pt was given NSAID.
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Pain, Pyrexia, Rash erythematous
Clinical narrative: 3d post 3rd anthrax vacc pt c/o arthralgias, fever and generalized erythematous corticoid-typd rash. Sent home on ?, increase fluid, NSAIDs, HIb and opopiocids for ? pain.
Age: 1.5
Sex: M
Vaccine: DTAP, IPV, DTAP, IPV
Symptoms: Cellulitis, Injection site erythema, Injection site mass, Injection site reaction, Injection site warmth
Clinical narrative: Parents noticed large, hot, red, lump at site of DTaP injection apprxoimately 36 hours after injection given. Seen by PCP approx 48 hrs post injection and started on Keflex 250/5 3/4 tsp. tid x 7 days for suspected cellulitis.
Age: 1.5
Sex: M
Vaccine: DTAP, IPV, DTAP, IPV
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site oedema, Injection site reaction
Clinical narrative: Parents noticed large, hot, red, lump at site of DTaP injection apprxoimately 36 hours after injection given. Seen by PCP approx 48 hrs post injection and started on Keflex 250/5 3/4 tsp. tid x 7 days for suspected cellulitis.
Age: 1.5
Sex: M
Vaccine: DTAP, IPV, DTAP, IPV
Symptoms: Injection site warmth, Irritability, Pyrexia
Clinical narrative: Parents noticed large, hot, red, lump at site of DTaP injection apprxoimately 36 hours after injection given. Seen by PCP approx 48 hrs post injection and started on Keflex 250/5 3/4 tsp. tid x 7 days for suspected cellulitis.
Age: 0.4
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Agitation, Crying, Irritability
Clinical narrative: On day of vaccine administration-"fussy all evening." 15-20 hours post inj. inconsolable crying with high pitch. Post 48 hours much better, smiling, playing normally, napping approximately.
Age: 1.25
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pyrexia
Clinical narrative: Patient received MMR 11/22/02 and 1/28/03; received varicella 11/22/02 and 1/28/03. Experienced high fever day after second set of shots.
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site mass, Injection site swelling
Clinical narrative: Redness in area, knot, swelling approximately 1 cm.
Age: 30.0
Sex: M
Vaccine: JEV, RAB
Symptoms: Erythema multiforme, Mouth ulceration, Skin ulcer
Clinical narrative: Erythema multiforme treated with Atarax and an oral rinse for the painful oral lesions. Same day, dermatology consult accomplished. Immunology referral pending. Also started on Tetracycline by Dermatologist.
Age: 36.0
Sex: M
Vaccine: TD
Symptoms: Cellulitis, Injection site erythema, Injection site inflammation, Injection site reaction, Injection site warmth
Clinical narrative: 3 days after Td, patient developed cellulitis at vaccine site; warm, red, inflamed. Treated with oral Cephalexin successfully. (F/U call on 2/19/03).
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Injection site reaction, Injection site swelling, Rash
Clinical narrative: Developed rash and swelling at the site. 11/13/02, she called back; swelling and rash going away. Applied ice and took Motrin for treatment.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling of right lateral thigh; noticed on Thursday morning (02/06/03). Mother applied alcohol compresses. Friday AM, decreased redness and swelling, but still with significant swelling.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Headache, Influenza like illness, Pyrexia, Skin striae, Swelling
Clinical narrative: Swelling, flu-like symptoms, fever, headache. Line extending from injection site to under armpit.
Age: 38.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Myalgia, Pain
Clinical narrative: Pain and redness in left distal arm with soreness. No SOB or trouble breathing.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Unevaluable event
Clinical narrative: No adverse event noted to date.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Significant erythema and induration left shoulder/deltoid.
Age: 1.6
Sex: M
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Rash erythematous
Clinical narrative: Developed erythematous papules x 3 on legs 14 days post varicella immunization. Seen 24 hours after onset and noted to have 10 lesions, some crusted on face/scalp/torso/arms/legs.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, PNC, VARCEL
Symptoms: Pyrexia
Clinical narrative: Fever 104 degrees. Tylenol/Motrin given
Age: 64.0
Sex: M
Vaccine: PPV
Symptoms: Rhinorrhoea
Clinical narrative: C/O runny nose. Continued after injection for a few days. 11/25/2002   Is doing fine. No more runny nose. Case closed.
Age: 1.5
Sex: F
Vaccine: DTAP
Symptoms: Injection site oedema
Clinical narrative: Significant upper arm swelling and induration around site of innoculation measuring 15cm x 8cm
Age: 24.0
Sex: F
Vaccine: TYP
Symptoms: Abdominal pain
Clinical narrative: Abdominal Pain
Age: 48.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Myalgia, Pyrexia, Rash macular
Clinical narrative: Pt c/o fever, muscle ache and red blotches rash at injection site. Pt is doing fine. Case closed.
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Urticaria
Clinical narrative: 02/02/2003 Woke up with hives covered fore arms, waist, and shoulder blades. Prescribed Zyrtec 10mg #20 on 02/03/2003. Hives had subsided by 02/04/2003 am
Age: 1.5
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Erythema and edema left leg 8cm x 3cm
Age: 24.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Pain, Skin striae
Clinical narrative: Later in the night had soreness to right arm. Woke up next am 02/18/2003, symptoms increased-red line down arm, pain up into right side neck. Pt called on 02/19/2003 to report the symptoms. Still with red line down right arm, redness, pain, knot to injection site. States has generalized aches to body. Advised pt to see M.D. or go to ER. Pt said will do so.
Age: 10.0
Sex: M
Vaccine: HEPA, TD
Symptoms: Dizziness, Eczema, Urticaria
Clinical narrative: Broke out in hives, dizziness, ecxema became severe.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: 9.5x12cm erythema and induration, hot to touch and she states it is painful. This reaction is in her R distal thigh.
Age: 20.0
Sex: M
Vaccine: HEPA
Symptoms: Dizziness, Dry throat, Dyspnoea, Vomiting
Clinical narrative: 30min post vaccination became dizzy, difficulty breathing, dry throat and vomited x1.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Anorexia, Injection site erythema, Injection site induration, Injection site mass, Injection site oedema
Clinical narrative: Lateral R thigh developed red swollen area 2/13 back evening. Thigh painful. On 2/14 child brought back to clinic. Nurse identifies two injection site of Hib and pneumococcal conjugate. Child has a 2x3cm palpable swelling close to the skin surface. Skin very reddened lump is lateral and about 2cm from injection site. 2/17/03 TC, R thigh lump may be smaller. Still tender and reddened. Didn't eat for two days, rejected formula nd Pedialyte. Last night took formula. Will continue warm pack. 2/18/03 TC no answer. 2/19/03 TC no answer. 2/20/03 HV with family-R thigh has hard ridged area 2cm x 0.5cm under skin, lateral to posterior area. Slight yellowish, redden color. Denies any fever. No longer tender.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site pain
Clinical narrative: Lateral R thigh developed red swollen area 2/13 back evening. Thigh painful. On 2/14 child brought back to clinic. Nurse identifies two injection site of Hib and pneumococcal conjugate. Child has a 2x3cm palpable swelling close to the skin surface. Skin very reddened lump is lateral and about 2cm from injection site. 2/17/03 TC, R thigh lump may be smaller. Still tender and reddened. Didn't eat for two days, rejected formula nd Pedialyte. Last night took formula. Will continue warm pack. 2/18/03 TC no answer. 2/19/03 TC no answer. 2/20/03 HV with family-R thigh has hard ridged area 2cm x 0.5cm under skin, lateral to posterior area. Slight yellowish, redden color. Denies any fever. No longer tender.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site oedema
Clinical narrative: Swollen arm-size of small orange.
Age: 0.2
Sex: U
Vaccine: DTAP
Symptoms: Heart rate increased, Insomnia
Clinical narrative: Didn't sleep well up all night rapid heart beat, flinging arms.
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Lt upper arm with swelling redness heat and pain from shoulder to elbow starting after DTaP inj on 2/18/03.
Age: 19.0
Sex: M
Vaccine: MEN
Symptoms: Urticaria
Clinical narrative: 3 months of recurrent urticaria. Tx with nonsedating antihistamines and histamine blockers.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Erythema, Pain, Pruritus
Clinical narrative: Generalized vaccinatum, pain, redness w/streaking, itching. Symptoms started 9days post vaccination. Pt Vaccinated 13Feb03 and symptoms began 22Feb03. Benadryl for itching. Tylenol for pain. Pt medevaced  for further evaluation/treatment.
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Delirium, Headache, Insomnia, Mania, Psychotic disorder
Clinical narrative: Patient seen at clinic less than 24 hours from vaccination for headache and sleep loss.  Seen at hospital, 22 Feb for altered mental status: delirium, mania and/or psychosis.  Hospitalized 1 night in hospital and chemically restrained, then hospitalized 3 nights at another hospital.  Not believed to not be related to vaccination, but cause for mental status change unknown at date of submission.  Patient not yet returned to baseline functioning. The follow up recieved on 6/2/03 states pt stil has diagnosis and symptoms of bipolar disorder. It is unlikely but not known whether this new diagnosis is related to his smallpox vaccine, but the diagnosis will never go away. Annual follow up on 04/06/04: "Pt has recovered from adverse events.  I believe this pt suffered from post-vaccine encephalitis and not bipolar-disease.  In an year, he has had no other evidence of mood disorder, off all meds-very atypical for Bipolar vaccinia encephalitis is a more likely diagnosis in my opinion. While he has, apparently, recovered, he has lost his career as a military pilot.
Age: 61.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema multiforme, Rash pruritic
Clinical narrative: Pruritic lesions on truck, became generalized between 14-17 days post-vaccination lesions consitant with erythema multiforme
Age: 32.0
Sex: F
Vaccine: SMALL
Symptoms: Hypersensitivity, Pruritus, Rash erythematous, Rash maculo-papular
Clinical narrative: Had itching with maculopapular erythematous rash.  In 1 1/2 hours rash progressed from trunk to thighs, to face no difficulity breathing or other signs or symptoms.  Took to ER for assessment of rash.  IV benadryal and tagamet given with relief of itching.  Vistar, IM given at d/c.  Tastnicted to d/c tegadim and only use guaze and paper tape to dress vaccine site. E.R. doctor diagnosed rash as a hypersensitivity reaction to the vaccine.  Followed-up with infectious disease physician.  He also advised d/c tegadim dressings.  Ct removed from direct patient care at work and utilizing gauze with paper tape to cover site.  Continues to have sesitivity to paper tape, and instructed to leave site open to air in evening at home until bedtime, then cover with gauze dressing again.  As of 2/24/03 generalized rash almost completely resolved, but site remains prurtic secondary to tape sensitivity.  Site also erythematoul, and scab begining to heal.  Digital photos emailed to Dr.
Age: 40.0
Sex: M
Vaccine: SMALL
Symptoms: Fatigue, Headache, Lymphadenopathy, Nausea, Pyrexia
Clinical narrative: Headache, slight fever (warm) 98.7, fatifue, nausea, swollen lymph nodes. 2/8/03 - 2/9/03 36 hours no treatment
Age: 39.0
Sex: F
Vaccine: SMALL
Symptoms: Lymphadenopathy, Oedema, Tenderness
Clinical narrative: 2-18-03-Swollen tender area noted at left neck area by the collar bone by RN. Clinic and health department notified. 2-25-03 Same area noted but more firmer than last week. DOH was informed and a recommendation was made for the patient to she her provider. Patient was examined at the clinic by PA on 2-25-03 and he said it was a swollen lymph node and if it doesn't resolve in 2 weeks to return to the clinic.
Age: 1.0
Sex: F
Vaccine: IPV, MMR, VARCEL
Symptoms: Skin ulcer
Clinical narrative: 7-8 varicella lesions appeared 3 weeks after vaivax immunization.
Age: 48.0
Sex: F
Vaccine: SMALL
Symptoms: Dermatitis
Clinical narrative: Painful burning dermattis around healing smallpox vaccine site starting one week after administration
Age: 46.0
Sex: M
Vaccine: SMALL
Symptoms: Arthralgia, Blood pressure increased, Chest discomfort, Fatigue, Hypertension
Clinical narrative: 46 y.o. male RN hospitalized with elevated BP, chest pressure and severe headache on 25 February following vaccination on 24 February, about 10:15 hours. Recipient states that about 45 minutes after vaccination he developed arthralgias/myalgias. By the evening he was felt fatigued as well, and had to lie down during his night work shift. He woke up at ~1300 hours on  2/25, post-vaccination day 1, with the worst headache of his life, which was somewhat remittent or intermittent over the next few hours. He went back to bed, and when he arose at 1500h he felt chest pressure. His BP was found to be 230/120's. He was transported by ambulance to the ER, and subsequently admitted. The headache was apparently attributed to the elevated BP, and he received IV beta blockers beginning in the ER after Nitroglycerine in the field. Chest pressure resolved, patient undergoing cardiology evaluation. Headache apparently persists, ? improved.  Recipient has a history of "borderline HTN" for which he intermittently takes Lasix and KCl, according to his BP monitoring. Runs 120's-150's systolic. Denies other cardiac risk factors.   Had been in usual state of good health. Was getting over a cold which started about a week before. No organ-system specific symptoms suggestive of incipient infection. Was seen by ID physician as well as cardiology because of history of recent vaccination (came in as "possible smallpox vaccine reaction".   Patient denies other medical problems. Allergy to Naprosyn. Reports fever and unusual arm pain after influenza vaccination last autumn. One previous smallpox vaccination, infancy or early childhood.  Patient in hospital and doing well.
Age: 46.0
Sex: M
Vaccine: SMALL
Symptoms: Laboratory test abnormal, Myalgia
Clinical narrative: 46 y.o. male RN hospitalized with elevated BP, chest pressure and severe headache on 25 February following vaccination on 24 February, about 10:15 hours. Recipient states that about 45 minutes after vaccination he developed arthralgias/myalgias. By the evening he was felt fatigued as well, and had to lie down during his night work shift. He woke up at ~1300 hours on  2/25, post-vaccination day 1, with the worst headache of his life, which was somewhat remittent or intermittent over the next few hours. He went back to bed, and when he arose at 1500h he felt chest pressure. His BP was found to be 230/120's. He was transported by ambulance to the ER, and subsequently admitted. The headache was apparently attributed to the elevated BP, and he received IV beta blockers beginning in the ER after Nitroglycerine in the field. Chest pressure resolved, patient undergoing cardiology evaluation. Headache apparently persists, ? improved.  Recipient has a history of "borderline HTN" for which he intermittently takes Lasix and KCl, according to his BP monitoring. Runs 120's-150's systolic. Denies other cardiac risk factors.   Had been in usual state of good health. Was getting over a cold which started about a week before. No organ-system specific symptoms suggestive of incipient infection. Was seen by ID physician as well as cardiology because of history of recent vaccination (came in as "possible smallpox vaccine reaction".   Patient denies other medical problems. Allergy to Naprosyn. Reports fever and unusual arm pain after influenza vaccination last autumn. One previous smallpox vaccination, infancy or early childhood.  Patient in hospital and doing well.
Age: 42.0
Sex: M
Vaccine: MEN, SMALL
Symptoms: Anorexia, Chest discomfort, Chills, Influenza like illness, Lymphadenopathy
Clinical narrative: Moderate fever 100.2 for approx 36 hours, chills, body aches, malaise, swollen lymph nodes, Flu like symptoms, loss of appetite, chest discomfort.
Age: 42.0
Sex: M
Vaccine: MEN, SMALL
Symptoms: Malaise, Pain, Pyrexia
Clinical narrative: Moderate fever 100.2 for approx 36 hours, chills, body aches, malaise, swollen lymph nodes, Flu like symptoms, loss of appetite, chest discomfort.
Age: 24.0
Sex: F
Vaccine: SMALL
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Received smallpox vaccination-had rash down her arm. Received vaccine at 10am, rash started about 2pm on 2/19/03, 4 hrs later. Saw doctor at about 2:30pm (rash, hives and itching on chest and back). Pt is fine.
Age: 44.0
Sex: F
Vaccine: SMALL
Symptoms: Cough, Dizziness, Dysgeusia, Ear disorder, Erythema
Clinical narrative: During day 7 interview for "read" for smallpox vaccine, c/o "migraine" since day 2 (or 3), visual changes, faint feeling, fever, now also has cough, URI symptoms. Says when vaccine administered immediately got metallic taste in mouth. Exam: T99.4 c/o myalgias, fatigue, ears popping, headache 9/10, opaque 2x3mm grayish plaque on L tonsilar bed, (+) erythema, neck tender, acc nodes grape sized. Assess: viral syndrome, pharyngeal plaque-uncertain etiol. by MD. Day 8 phone to pt and subsequent exam: feels about the same; L/a 7/10 with no sx feeling of fainting or eye problems. States cough is worse, throat not sore but voice is coming and going. No fever, taking ASA/Tylenol. Nose more congested. Exam: T99.0 no change except cough now breaking up, nose is running more. OP injected, but no plaque/membranes or exudate. Assess: viral URI by MD.
Age: 44.0
Sex: F
Vaccine: SMALL
Symptoms: Fatigue, Headache, Migraine, Mouth plaque, Pyrexia
Clinical narrative: During day 7 interview for "read" for smallpox vaccine, c/o "migraine" since day 2 (or 3), visual changes, faint feeling, fever, now also has cough, URI symptoms. Says when vaccine administered immediately got metallic taste in mouth. Exam: T99.4 c/o myalgias, fatigue, ears popping, headache 9/10, opaque 2x3mm grayish plaque on L tonsilar bed, (+) erythema, neck tender, acc nodes grape sized. Assess: viral syndrome, pharyngeal plaque-uncertain etiol. by MD. Day 8 phone to pt and subsequent exam: feels about the same; L/a 7/10 with no sx feeling of fainting or eye problems. States cough is worse, throat not sore but voice is coming and going. No fever, taking ASA/Tylenol. Nose more congested. Exam: T99.0 no change except cough now breaking up, nose is running more. OP injected, but no plaque/membranes or exudate. Assess: viral URI by MD.
Age: 44.0
Sex: F
Vaccine: SMALL
Symptoms: Rhinorrhoea, Upper respiratory tract infection, Visual disturbance
Clinical narrative: During day 7 interview for "read" for smallpox vaccine, c/o "migraine" since day 2 (or 3), visual changes, faint feeling, fever, now also has cough, URI symptoms. Says when vaccine administered immediately got metallic taste in mouth. Exam: T99.4 c/o myalgias, fatigue, ears popping, headache 9/10, opaque 2x3mm grayish plaque on L tonsilar bed, (+) erythema, neck tender, acc nodes grape sized. Assess: viral syndrome, pharyngeal plaque-uncertain etiol. by MD. Day 8 phone to pt and subsequent exam: feels about the same; L/a 7/10 with no sx feeling of fainting or eye problems. States cough is worse, throat not sore but voice is coming and going. No fever, taking ASA/Tylenol. Nose more congested. Exam: T99.0 no change except cough now breaking up, nose is running more. OP injected, but no plaque/membranes or exudate. Assess: viral URI by MD.
Age: 30.0
Sex: F
Vaccine: FLU3, HEP, HEPA, SMALL, TYP
Symptoms: Rash maculo-papular
Clinical narrative: Pt vaccinated with smallpox vaccine 1/29/03.  (Pt is vaccinee) developed macular-papular rash 5 days ago 2/5/03. Also immunized with several vaccine on same day. The progress note per description of rash. Rx Allegra 180mg and Moisturizer cream with stroid. Rash fading. Received Anthrax #3 2/3/03.
Age: 24.0
Sex: F
Vaccine: ANTH, FLUX, HEP, HEPA, MMR, SMALL, YF
Symptoms: Chest discomfort, Oedema, Paraesthesia, Pharyngeal oedema, Wheezing
Clinical narrative: Approximately 1 min post vaccination pt reported tingly all over for started to swell, chest became tight and throat swelling EMS contacted given Epi 0.3 and 25mg, Benadryl IM and throat swelling on around minimal wheezing Solu/Tosant/Benadryl monitoring x 4 no insult.
Age: 30.0
Sex: M
Vaccine: SMALL
Symptoms: Rash papular
Clinical narrative: 12 days after receiving vaccine he developed scattered papulovesicular rash over back and trunk. Total of 12-15 lesions. Afebrile and asymptomatic.
Age: 32.0
Sex: F
Vaccine: ANTH
Symptoms: Erythema, Flushing
Clinical narrative: Pt developed facial flushing and redness.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Pain, Pyrexia
Clinical narrative: Pt. presented two days post vaccination with left arm deltoid area red and warm to touch.  Mom reports using tylenol for pain and fever.  T-97.8 at time of evaluation.
Age: 50.0
Sex: F
Vaccine: SMALL
Symptoms: Arthralgia, Myalgia, Pyrexia, Rash erythematous, Rash maculo-papular
Clinical narrative: Patient developed myalgia, arthralgia, and low-grade fever (100.6 F) 5 days post-vaccination.  On the 6th day post-vaccination patient developed erythematous, macular papular confluent pruritic rash over her face and back.  The rash worsened in intensity and pruritis (though  it did not spread from the initial sites) on day #7.  No mucosal  involvement was noted.  Patient took diphenhydramine x 2 on day # 7 with subsequent improvement in symptoms.  Marked improvement in rash noted on day # 8 post-vaccination.  This was the patient's second vaccinia vaccination in the prior 2 weeks (first on 01/31/03 and revaccinated on 02/13/03 when it was determined there was no "take" on the first).  Patient had received her primary vaccinia vaccination as a child.
Age: 50.0
Sex: F
Vaccine: SMALL
Symptoms: Rash pruritic
Clinical narrative: Patient developed myalgia, arthralgia, and low-grade fever (100.6 F) 5 days post-vaccination.  On the 6th day post-vaccination patient developed erythematous, macular papular confluent pruritic rash over her face and back.  The rash worsened in intensity and pruritis (though  it did not spread from the initial sites) on day #7.  No mucosal  involvement was noted.  Patient took diphenhydramine x 2 on day # 7 with subsequent improvement in symptoms.  Marked improvement in rash noted on day # 8 post-vaccination.  This was the patient's second vaccinia vaccination in the prior 2 weeks (first on 01/31/03 and revaccinated on 02/13/03 when it was determined there was no "take" on the first).  Patient had received her primary vaccinia vaccination as a child.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Oedema
Clinical narrative: Patient received DTaP in left thigh. Within 24 hours the entire left thigh and knee were swollen, warm to touch and erythematous around the injection site. There was no induration. The patient was given atarax 10mg/5ml 1 teaspoon every six hours. There was decreased, but still significant, swelling the next day.
Age: 27.0
Sex: U
Vaccine: ANTH
Symptoms: Chills, Injection site hypersensitivity, Injection site oedema, Injection site pain, Pruritus
Clinical narrative: Anthrax vaccine-currently left arm swollen, tender, and itchy with fever and chills
Age: 27.0
Sex: U
Vaccine: ANTH
Symptoms: Pyrexia
Clinical narrative: Anthrax vaccine-currently left arm swollen, tender, and itchy with fever and chills
Age: 53.0
Sex: M
Vaccine: ANTH
Symptoms: Disturbance in attention, Dizziness, Headache, Hypoaesthesia
Clinical narrative: 5m developed HA, dizziness, decreased concentration within hours of receiving vaccine. 6days later developed numbness along backs of both hands. Seen by neurologist. To ? MRI. Medical temporary exception for immunizations until after neurological evaluation and recommendations.
Age: 20.0
Sex: F
Vaccine: ANTH
Symptoms: Aphthous stomatitis, Cough, Erythema, Nausea, Oedema
Clinical narrative: Developed amphnus stomatitis 2ds post. AVA #2. 15-20 mins after shot became nauseous. Symptoms relieved in 2 hrs. On 1/27/03 developed multiple ulcerations on the tongue, hard and soft palate and throat. Her throat had 4+ erythema and was very painful. She developed lesions on the corners of her mouth. Her cough worsened. She went to her PCP on 1/30/03 who did a throat culture and gave her mycelex. She reports that she had a swollen left tonsilar node and a very sore throat.
Age: 20.0
Sex: F
Vaccine: ANTH
Symptoms: Pain, Pharyngolaryngeal pain, Skin ulcer, Tongue ulceration
Clinical narrative: Developed amphnus stomatitis 2ds post. AVA #2. 15-20 mins after shot became nauseous. Symptoms relieved in 2 hrs. On 1/27/03 developed multiple ulcerations on the tongue, hard and soft palate and throat. Her throat had 4+ erythema and was very painful. She developed lesions on the corners of her mouth. Her cough worsened. She went to her PCP on 1/30/03 who did a throat culture and gave her mycelex. She reports that she had a swollen left tonsilar node and a very sore throat.
Age: 9.0
Sex: M
Vaccine: FLU3, VARCEL
Symptoms: Infection
Clinical narrative: Pt's family reports was diagnosed with chickepox 12/2002. Normal cause of disease.
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site hypersensitivity, Injection site induration, Pruritus
Clinical narrative: Area of induration (14x17cm) to L deltoid muscle region of arm (I+7); quarter sized induration (I+4); no reaction, date immunized (I). Mild pruritus at site.
Age: 14.0
Sex: F
Vaccine: TD, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: Sore, red, raised, hot reaction at site of injection placed 2/18/03. Began on dx for ? cellulitis on 2/21/02.
Age: 14.0
Sex: F
Vaccine: TD, VARCEL
Symptoms: Injection site warmth
Clinical narrative: Sore, red, raised, hot reaction at site of injection placed 2/18/03. Began on dx for ? cellulitis on 2/21/02.
Age: 0.5
Sex: U
Vaccine: DTP, HEP, HIBV, PNC
Symptoms: Dyspnoea, Irritability, Pyrexia, Rash
Clinical narrative: Rash all over body. Fever of 102.7. Fussiness. Breathing problems.
Age: 35.0
Sex: M
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: Developed hives/urticaria to Hep B vaccine. Record unavailable.
Age: 30.0
Sex: F
Vaccine: HEPAB
Symptoms: Anorexia, Chest pain, Dizziness, Fatigue, Nausea
Clinical narrative: Anerexia, dizziness, chest pain. Called ER on 12/02/2002. Evaluated on 12/10/2002 with complaints of having had nausea, tiredness, fatigue, sore throat, dizziness, left side pain.
Age: 30.0
Sex: F
Vaccine: HEPAB
Symptoms: Pain, Pharyngolaryngeal pain
Clinical narrative: Anerexia, dizziness, chest pain. Called ER on 12/02/2002. Evaluated on 12/10/2002 with complaints of having had nausea, tiredness, fatigue, sore throat, dizziness, left side pain.
Age: 4.5
Sex: M
Vaccine: MMR
Symptoms: Lethargy, Oedema, Urticaria
Clinical narrative: Hives all over and more lethargic. Swollen hands. Was given Benadryl and then Atarax was started.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site pain
Clinical narrative: On 02/19/2003 Pt showed signs of redness, pain, swelling and hardness at injection site on right arm. On 02/20/2003 these symptoms increased.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: Small red bumps on pelvic bone and one on neck, itchy. Aveeno baths, fluids.
Age: 1.6
Sex: M
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: 02/20/2003- Right red, swollen- cool washcloth. Rev on 02/21/2003- Area with same symptoms- V'ed by doctor. Pt started on Augmentin OS. No reaction on LT. To rev on 02/24/2003
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever to 104.5 degrees F. Seen at hospital. Motrin 25mm PO
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Chicken Pox
Age: 10.75
Sex: F
Vaccine: IPV, TD, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Pt with Varivax on 1/29/03 on 2/13/03 broke out with varicella on neck scalp upper chest and back.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Skin ulcer
Clinical narrative: 10-15 red, raised lesions on abdomen. Non-itching
Sex: F
Vaccine: TD
Symptoms: Erythema, Oedema, Pruritus
Clinical narrative: Reddened - swollen area of left deltoid appr. 3 cm x 4 cm. Slight itching. Beginning 1/24/03 w/in 1.5 hrs of administration.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Erythema, Injection site oedema, Irritability, Pain, Pyrexia
Clinical narrative: Fever 100 - 101, local edema left thigh measured 13" acute redness 15 cm x 14 cm. Tender to touch. PT very fussy, mom administering Tylenol infant gets 4 hrs and pushing PO fluids.
Age: 0.5
Sex: M
Vaccine: DTAP
Symptoms: Injection site mass, Injection site oedema
Clinical narrative: ?? swelling / induration, 2 cm tender at the inject site.
Age: 4.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR, VARCEL
Symptoms: Abnormal behaviour, Speech disorder
Clinical narrative: 10/23/02 Diagnosed with PDD NOS. On 8/20/02 spun in circles on 3 occasions. Speech became delayed. At 18 mts - 2 yrs Mom had noted hand flapping and repetitive behaviors.
Age: 2.75
Sex: F
Vaccine: VARCEL
Symptoms: Dysphemia, Injection site erythema, Injection site reaction, Pyrexia
Clinical narrative: Vax given 1/11 - 1/17 mild fever and cold. 1/20 to 1/22 inject site red. 1/26-1/27 starts stuttering while language precisely?? clear. 1/18 seen in office with pox over inject site and stuttering.
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Abdominal pain upper, Amblyopia, Chest pain, Chills, Convulsion
Clinical narrative: 2/8/03 2 hrs post Anthrax vax PT experienced headache accompanied by poor appetite, blurry vision. 2/9/03 PT couldn't get out of bed, temp, chills, and migraine. 2/10/03 Fever fluctuating, migraine dizziness. 2/11/03 Took Dayquil went to work condition worsened fever, stomach cramps, nausea, difficulty breathing, tightness in chest, no appetite, blacked out. Questionable convulsions. Called ER transferred to a hospital. Was in ER for 7.5 hrs. 2/12/03 stayed in bed poor appetite. 2/13/03 felt better, low grade fever, went back to work.
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Decreased appetite, Dizziness, Dyspnoea, Headache, Loss of consciousness
Clinical narrative: 2/8/03 2 hrs post Anthrax vax PT experienced headache accompanied by poor appetite, blurry vision. 2/9/03 PT couldn't get out of bed, temp, chills, and migraine. 2/10/03 Fever fluctuating, migraine dizziness. 2/11/03 Took Dayquil went to work condition worsened fever, stomach cramps, nausea, difficulty breathing, tightness in chest, no appetite, blacked out. Questionable convulsions. Called ER transferred to a hospital. Was in ER for 7.5 hrs. 2/12/03 stayed in bed poor appetite. 2/13/03 felt better, low grade fever, went back to work.
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Migraine, Nausea, Pyrexia
Clinical narrative: 2/8/03 2 hrs post Anthrax vax PT experienced headache accompanied by poor appetite, blurry vision. 2/9/03 PT couldn't get out of bed, temp, chills, and migraine. 2/10/03 Fever fluctuating, migraine dizziness. 2/11/03 Took Dayquil went to work condition worsened fever, stomach cramps, nausea, difficulty breathing, tightness in chest, no appetite, blacked out. Questionable convulsions. Called ER transferred to a hospital. Was in ER for 7.5 hrs. 2/12/03 stayed in bed poor appetite. 2/13/03 felt better, low grade fever, went back to work.
Age: 41.0
Sex: F
Vaccine: SMALL
Symptoms: Crying, Insomnia, Oedema, Pain, Pruritus
Clinical narrative: Day 13- pain in arms and hands. Itching sensation. No fever. No rash. Day 14- pain increased in hands and arms with swelling of hands. Pain in legs and feet. Day 15- pain intensified-pt unable to sleep, crying, swelling of hands increased- 11:00am Urticaria of right hand. No rash noted at this time Treated with Zyrtec and Vioxx.
Age: 41.0
Sex: F
Vaccine: SMALL
Symptoms: Urticaria
Clinical narrative: Day 13- pain in arms and hands. Itching sensation. No fever. No rash. Day 14- pain increased in hands and arms with swelling of hands. Pain in legs and feet. Day 15- pain intensified-pt unable to sleep, crying, swelling of hands increased- 11:00am Urticaria of right hand. No rash noted at this time Treated with Zyrtec and Vioxx.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Facial palsy
Clinical narrative: Developed symptoms consistent with Bells Palsy 2 days after receiving his second Anthrax vaccination.  Also Developed no specific musculo-skeletal pain which developed approximately 5-6 days after his second anthrax vaccination.
Age: 39.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site pain, Lymphadenopathy, Malaise, Oedema
Clinical narrative: On Day 6, patient reported axillary lymphadenopathy plus erythema and soreness at site.  On day 9, nurse noted extensive axillary lymphadenopathy as well as supraclavicular lymphadenopathy.  Erythema was present on the upper (vaccinated) arm and extended to the clavicle.  The patient reported soreness at the site and malaise.  The patient was referred to MD.  MD examined the patient that day, and believed the reaction to be vaccine-associated.  He prescribed Duricef and told the patient to start the medication the next day if there was no improvement.  The patient started the Duricef the next day (Sunday, February 23rd) since there was no improvement.  The Health Department learned of this on Monday, February 24th.  Since the patient was not at work (she wasn't scheduled to work), Employee Health asked the patient to report to the Health Department for digital photos.  The patient came to the Health Department and photos were made.  Consent was obtained to share this information with the state Health Department.  Minimal erythema was noted today.  The patient said the erythema began to subside late Sunday, and stated she is feeling better today.   Her left clavicular area appears slightly swollen when compared to her non-vaccinated side.