chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Agitation, Crying
Clinical narrative: Cried unconsolably from 2PM-6PM after shots. Then was fine. No treatment.
Age: 54.0
Sex: F
Vaccine: TTOX
Symptoms: Hypokinesia, Pain
Clinical narrative: Late Sept. had deep pain in arm and shoulder early Oct. saw chiropractor for treatment of pain could not use left arm for over two months. Use still limited due to pain and unintential reflexes. Did not connect pain with vaccine until late December.
Age: 4.75
Sex: U
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: R lateral anterior thigh site of injection noted some swelling/redness and warm/tender to touch. No ? Treated 1/8/03. Motrin 1 tsp 2-3x/day ? 40mg BID x 5 days.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema
Clinical narrative: Diffuse erythema to L upper arm non-tender, not well demarcated, local reaction-no treatment.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Blister
Clinical narrative: 5-6 pustules.
Age: 47.0
Sex: F
Vaccine: HEP
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Vomiting. Diarrhea. No fever. Endurated x 4 days. Reported no contact with anyone with similar symptoms. No new foods or no outside.
Age: 4.7
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Swelling and redness of L arm post immunization.
Age: 44.0
Sex: M
Vaccine: UNK
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Injection site warmth, Pruritus
Clinical narrative: L arm swelling, itching, severe pain, hot.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site reaction
Clinical narrative: Cellulitis right thigh from DTaP site-warm 6x5cm erythematous even R Thigh for two days following injection. Slightly tender.
Age: 4.0
Sex: F
Vaccine: HBHEPB, IPV, MMR, VARCEL
Symptoms: Infection
Clinical narrative: 11/19/02 varicella illness, mild.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Cellulitis, Feeling hot, Injection site reaction
Clinical narrative: Cellulitis left thigh from DTAP site warm 7x6 cm erythematous over left thigh x 2days following injections. Probable local reaction.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Convulsion, Pyrexia, Rash
Clinical narrative: Skin eruption, fever 103, seizures reported by mom. Treated by another physician in another town.
Age: 41.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site warmth, Myalgia
Clinical narrative: Muscle soreness 4 days following. Heat, anti-inflammatories. 11/18/2002, Muscle relaxant 10/26
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site pain, Oedema, Pruritus
Clinical narrative: Severe swelling and redness of entire arm from shoulder to wrist with extreme pain and tenderness. Began to subside in three days and eventually went away in 8 days. Still some itching and sensitivity.
Age: 1.8
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Very red, tender to touch, swollen within 4-5 hours symptoms started. Dimensions 1 1/2 x 2 3/8  on right leg.
Sex: F
Vaccine: PPV
Symptoms: Dyspnoea, Feeling hot, Injection site erythema, Injection site pain, Joint range of motion decreased
Clinical narrative: Left deltoid redness, warmth, tenderness around injection site: no itching, difficulty breathing or swallowing or in ROM. Tx Zithromax 250mg 2po qd (d1-5) Celebrex 200mg po BID Warm compress 3-5 x day`
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Pain
Clinical narrative: Swelling, redness at site of injection day of vaccination in left arm. Next day the reaction spread from shoulder to elbow. Continues to be painful, hot and skin is tight as of 01/15/2003 at 09:20 MD saw the pt at the medical center-s/s indicate celllitis. MD advised further diagnosis. Too soon for cellulitis reaction.
Age: 1.0
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Area of erythema with small mobile nodules. Area measures 2 1/2cm x 1 1/2cm. Area was at site of immunization injection.
Age: 1.0
Sex: F
Vaccine: IPV, MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Area of erythema with 3 small nodules. The area measures 1 1/2cm x 2cm. Area at site of immunization injection.
Age: 4.0
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site warmth
Clinical narrative: Marked swelling, induration, heat, erythema at site of Prevnar Vaccine.
Age: 1.25
Sex: F
Vaccine: DTAP, MMR, PNC
Symptoms: Pyrexia, Rash
Clinical narrative: Got MMR injection, came into office on 1/9/03 ? measles. Increased temperature on 1/7/03 up to 102. Next day 1/8/03 got spots(rash) all over.
Age: 16.0
Sex: M
Vaccine: TTOX
Symptoms: Chills, Hypertonia, Injection site hypersensitivity, Injection site oedema, Injection site pain
Clinical narrative: Swelling at injection site with pain and redness (diameter 3") On day following injection. Two days after injection the following symptoms occurred: intense pain at site, axillary area and chest, large swelling beneath axilla and over chest, mild fever, nausea, chills. The swelling under the axilla radiating over the chest involved about an 8" diameter. The swelling seemed to very fluid like. The pain mostly occurred deep in the axillary area. Three days after injection, the swelling and pain persisted in all areas. From the second day after, the patient was medicated with 600mg of Advil three times a day, which gave some relief. On the evening of the third day, taken to the ER where he was diagnosed with a severe reaction to the tetanus booster. The physician who examined him prescribed Benadryl for that evening (50mg) and Allegra (180mg) for the next four days. Days five and six showed a decrease in swelling but pain still persists deep in the axilla and now radiates over the left anterior deltoid area and over the left latissimus dorsi. The patient is a competitive swimmer and during practice and competition, he experiences muscle spasms and pain.
Age: 16.0
Sex: M
Vaccine: TTOX
Symptoms: Nausea, Pyrexia
Clinical narrative: Swelling at injection site with pain and redness (diameter 3") On day following injection. Two days after injection the following symptoms occurred: intense pain at site, axillary area and chest, large swelling beneath axilla and over chest, mild fever, nausea, chills. The swelling under the axilla radiating over the chest involved about an 8" diameter. The swelling seemed to very fluid like. The pain mostly occurred deep in the axillary area. Three days after injection, the swelling and pain persisted in all areas. From the second day after, the patient was medicated with 600mg of Advil three times a day, which gave some relief. On the evening of the third day, taken to the ER where he was diagnosed with a severe reaction to the tetanus booster. The physician who examined him prescribed Benadryl for that evening (50mg) and Allegra (180mg) for the next four days. Days five and six showed a decrease in swelling but pain still persists deep in the axilla and now radiates over the left anterior deltoid area and over the left latissimus dorsi. The patient is a competitive swimmer and during practice and competition, he experiences muscle spasms and pain.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Dizziness, Nausea, Pyrexia
Clinical narrative: Dizziness and nausea within five minutes after injections. Fever 103.7
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site mass, Oedema, Pyrexia
Clinical narrative: Fever and significant upper arm edema shoulder to elbow with erythema and induration. Starting about 24 hours after fifth dose of DTAP.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Left upper arm swelling (moderate) and slight redness with pain, starting 6-10 hours after vaccines given (IPV #4, DTAP #5 to left deltoid). No difficulty breathing. No vomiting and no swelling to lip, face or tongue.
Age: 3.5
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Broke out with chickenpox.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Hypokinesia, Pain
Clinical narrative: The pt called on 11/1/02, complaining of a sore arm. Call returned by RN and she states her arm still sore and having difficulty raising arm to comb her hair. States she was at MD's office yesterday and the nurse looked at her arm and states it looked normal. The pt stated she did not want to go to MD and would call if arm not improved. Pt states arm still hurts but relieved with Tylenol.
Age: 1.3
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Urticaria
Clinical narrative: Pt woke up the day after vaccination with hives all over body but especially a large red area to the left leg, where she had received the vaccination.
Age: 1.25
Sex: F
Vaccine: HBHEPB, IPV, MMR, VARCEL
Symptoms: Pyrexia, Rash morbilliform
Clinical narrative: MD, who is father of pt, reported that she had fever up to 102F on 12/14/02 and 12/15/02 and a rash on her entire body, resembling measles. She does no have a fever today, 12/16/02, but the rash is continuing.
Age: 10.0
Sex: F
Vaccine: DT, MMR
Symptoms: Abdominal pain upper, Hyperhidrosis, Musculoskeletal stiffness, Pallor, Syncope
Clinical narrative: Pt fainted after injection of MMR (TD was administered after MMR). Pt became pale, body rigid, diaphoretic. Pt unconscious only for a very short time and then came to complaining of ringing in 1 ear and stomachache. Had pt stay in office for approx. 1/2 hour, until feeling well enough to leave.
Age: 10.0
Sex: F
Vaccine: DT, MMR
Symptoms: Tinnitus
Clinical narrative: Pt fainted after injection of MMR (TD was administered after MMR). Pt became pale, body rigid, diaphoretic. Pt unconscious only for a very short time and then came to complaining of ringing in 1 ear and stomachache. Had pt stay in office for approx. 1/2 hour, until feeling well enough to leave.
Age: 15.0
Sex: F
Vaccine: TD, TD
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: On 1/8/03, in the afternoon, injection site was red and swelling. On 1/9/03 at 13:20, had 4cm erythema, warm, induration and tender to touch. RX: Zyrtec po now and in the AM. On 1/13/03, pt reports that redness and heat went away "a little swelling and some tenderness. On 1/22/03, N/C. Derm reaction to TD injection.
Age: 15.0
Sex: F
Vaccine: TD, TD
Symptoms: Flushing, Headache, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: On 1/8/03, in the afternoon, injection site was red and swelling. On 1/9/03 at 13:20, had 4cm erythema, warm, induration and tender to touch. RX: Zyrtec po now and in the AM. On 1/13/03, pt reports that redness and heat went away "a little swelling and some tenderness. On 1/22/03, N/C. Derm reaction to TD injection.
Age: 15.0
Sex: F
Vaccine: TD, TD
Symptoms: Muscular weakness, Nausea, Pyrexia
Clinical narrative: On 1/8/03, in the afternoon, injection site was red and swelling. On 1/9/03 at 13:20, had 4cm erythema, warm, induration and tender to touch. RX: Zyrtec po now and in the AM. On 1/13/03, pt reports that redness and heat went away "a little swelling and some tenderness. On 1/22/03, N/C. Derm reaction to TD injection.
Age: 0.5
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Hypersensitivity, Rash
Clinical narrative: Child received immunizations on 12/2/02. On 12/3/02, child broke out with rash on entire body. On 12/5/02, was taken to MD and told it was an allergic reaction and to give Benadryl and to report it to Health Dept. Still has rash.
Age: 15.0
Sex: M
Vaccine: DT
Symptoms: Eye movement disorder, Hypertension, Posturing, Syncope
Clinical narrative: After receiving TD and returning to checkout counter, pt fainted and fell to the floor and hit his head on floor. Eyes rolled to back of head and posturing. BP-160/60, responding in a matter of seconds. Conscious. Ambulance called and client was conscious when EMS arrived and declined being transported to the hospital. He was taken by private car to be examined. Mom took by private car.
Age: 1.6
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Diarrhoea, Pyrexia, Rash
Clinical narrative: Had small, red bumps all over stomach and face. Bumps didn't blister. Diarrhea and high fever of 102F.
Sex: M
Vaccine: MMR
Symptoms: Pyrexia, Rash
Clinical narrative: "A little feverish", rash, multi head to thighs on Monday.
Age: 39.0
Sex: M
Vaccine: HEPA, MEN, MMR, YF
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: On 1/16/03, felt he had a fever plus headache and body aches. Saw his MD and was told temperature was over 100F and to take Tylenol. On 1/17/03, felt better but had a slight headache. Felt fine on 1/17/03.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Fever to 105, generalized febrile seizure within 24 hours of vaccine administration.
Age: 40.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Pruritus, Rash papular, Urticaria
Clinical narrative: Nine days s/p vaccination: Patient awoke with severe pruritus on the palms and soles.  Progressive erythema and palpable papulo-pustular rash ensued, while traveling. Returned and admitted to Hospital. Initial pictures Jan 11-3, 6, 7, 8 are from the morning of Jan. 12th.  The other pictures are dated correctly from Jan 13th, early morning. His rash improved somewhat with Benadryl, related or not, and certainly not worsened by noon the 13th.  MD felt the rash was not a generalized vaccinia reaction, because EM on palms blanched and eruptions were on dependent portions of the leg.  Felt hydrostatic forces contributed to the eruption.  The patient felt fine otherwise, no arthralgias, no lymphadenopathy, no fever, nor chills. The rash was confined to feet, ankles, and hands to the wrist.  The arm where the vaccination was placed looked fine without any significant adverse reaction.  Discharged on 13 Jan 03, with lesions resolving with Benadryl therapy. Discharge diagnosis: Urticaria, NOS. Digital photos will be forwarded via mail once VAERS E-Report number assigned.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Bacterial infection, Bronchitis, Pneumonia, Pyrexia, Rash
Clinical narrative: 1/15/03 Spiked fever of 103; 1/16/03 Fever of 103 continued. 1/17/03 Fever 101. 1/18/03 Broke out in rash on face; blotchy by 6PM. Most of trunk covered in tiny bumps and blotchy by 8PM, whole body covered and face; began to well. Taken to ER 10PM and started with hives. Given Prelone and Benadryl. Found to also have strep, pneumonia, and bronchitis per chest x-ray and exam by ER doctor (rash; heat rash like).
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Rash macular, Tonsillitis
Clinical narrative: 1/15/03 Spiked fever of 103; 1/16/03 Fever of 103 continued. 1/17/03 Fever 101. 1/18/03 Broke out in rash on face; blotchy by 6PM. Most of trunk covered in tiny bumps and blotchy by 8PM, whole body covered and face; began to well. Taken to ER 10PM and started with hives. Given Prelone and Benadryl. Found to also have strep, pneumonia, and bronchitis per chest x-ray and exam by ER doctor (rash; heat rash like).
Age: 26.0
Sex: F
Vaccine: ANTH
Symptoms: Rash
Clinical narrative: Has a rash on bend of elbow, both arms on right shoulder, on neck and inside of thigh on the right leg.
Age: 32.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pt experienced red, hot and painful bump at site of injection, the evening of vaccination. The following day, her arm swelled up to her elbow and around her arm, (did not pass the elbow). After the 4th day, the pt noticed a pus filled pimple-like bump on her arm at the injection site, which popped later on the 4th day. Pt also experienced itching at the site and nausea, the first few days after receiving the vaccination. Pt was seen in the ER on 1/11/03 and received naproxen, acetaminophen and prednisone.
Age: 32.0
Sex: F
Vaccine: ANTH
Symptoms: Nausea, Pruritus
Clinical narrative: Pt experienced red, hot and painful bump at site of injection, the evening of vaccination. The following day, her arm swelled up to her elbow and around her arm, (did not pass the elbow). After the 4th day, the pt noticed a pus filled pimple-like bump on her arm at the injection site, which popped later on the 4th day. Pt also experienced itching at the site and nausea, the first few days after receiving the vaccination. Pt was seen in the ER on 1/11/03 and received naproxen, acetaminophen and prednisone.
Age: 1.9
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Otitis media, Pyrexia, Rash
Clinical narrative: Slight rash on abdomen and back. Went to ER on 1/11/03 with a temperature at 10:00 of 102F. Pt had an inner ear infection. Started on Trimox on 1/11/03. Rash began on 1/13/03.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration, Pruritus
Clinical narrative: Erythema and induration started 24 hours, post vax, increasing to 3" X 3" by 72 hours. Plus itching which was relieved with ice and Benadryl.
Age: 0.75
Sex: F
Vaccine: HIBV, PNC
Symptoms: Pyrexia, Swelling face, Urticaria
Clinical narrative: Within 24 hours, had a temperature of 103F, hives and swollen lips. Taken to ER and received Benadryl and antipyretics.
Age: 1.0
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Local erythema, swelling and febrile.
Age: 1.7
Sex: M
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling and fever at site. TX: Warm compress X 24 hours, Motrin q6 and cold compress after 24 hours.
Age: 0.8
Sex: M
Vaccine: DTAP, HEP, HIBV
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt was given DTAP and HIB in the left thigh on 1/13/03. Pt returned the following day with hot, erythema and slight swelling on left anterior thigh, 11cm across and 6cm top to bottom. No fever. Placed of Keflex with DX of cellulitis. Full resolution, 1/17/03.
Age: 27.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Approx. 8 hours, post vax, pt developed some raised, dusky, mottled, reddish cobblestone area 2.5cm distal to injection site forming 5cm X 8cm. Treated with corticoid ointment, topically with good results. Some redness then on 1/13/03.
Sex: F
Vaccine: DTAP, HEP
Symptoms: Drug toxicity, Nervous system disorder
Clinical narrative: A lawyer reported the occurrence of mercury poisoning in a female child of unspecified age who was vaccinated with hep B vaccine recombinant (manuf unk) and diphtheria and tetanus toxoids and acellular pertussis vaccine (manuf unk) at approximately 2 weeks of age. She also received injections of hep B vaccine 2/14/95 and 8/9/95; combination diphtheria and tetanus toxoids and pertussis/Haemophilus influenzae type B conjugate vaccine (DTP+ActHIB 2/14/95, 4/10/95, 8/9/95); diphtheria and tetanus toxoids and acelluar pertussis vaccine (manuf unk; 3/31/96); Orimune 2/14/95, 4/10/95, 8/9/95; and MMR II 3/5/97. She also received a tuberculin tine test 8/9/95. The subject's attorney alleged that "as a result of mercury in thimerosal-adulterated infant injection that the subject received as an infant, she now suffers, and in the future will continue to suffer from the toxic neurological effects of mercury poisoning." The mercury poisoning in this report is consider medically serious (OMIC).
Sex: M
Vaccine: DTAP, MMR, OPV
Symptoms: Drug toxicity, Nervous system disorder
Clinical narrative: This report describes the occurrence of mercury poisoning in a male child of unspecified age who was vaccinated with diphtheria and tetanus toxoids and acellular pertussis vaccine (manuf unk) for prophylxis. This report was received as part of litigation proceedings, and has not been verified by a physician or other health care professional. The subject's medical history, concurrent conditions, and concurrent medications were not reported. The subject received an injection of diphtheria and tetanus toxoids and acellular pertussis vaccine (manuf unk) on 9/22/99. He also received hep B vaccine 10/10/95, 11/17/95 and 6/10/96; combination diphtheria and tetanus toxoids and pertussis/Haemophilus influenzae type B conjugate vaccine (DTP+ActHIB 11/17/95, 1/22/96, 3/18/96 and 3/20/97; Orimune 11/17/95, 1/22/96, 3/20/97 and 9/22/99; and MMR II 12/19/96 and 9/22/99. The subject's attorney alleged that "as a result of mercury in thimerosal-adultcreated infant that the subject received as an infant, he now suffers and in the future will continue to suffer, from the toxic neurological effects of mercury poisoning." The mercury poisoning in this report is considered medically serious (OMIC).
Sex: M
Vaccine: HEP
Symptoms: Drug toxicity, Nervous system disorder
Clinical narrative: This report describes the occurrence of mercury poisoning in a male child of unspecified age who was vaccinated with hep B vaccine recombinant (Engerix B) for prophylaxis. This report was received as part of litigation proceedings, and has not been verified by a physician or other health care professional. The subject's medical history, concurrent conditions, and concurrent medications were not reported. The subject received an injection of Engerix B on 11/29/95 (651B2). He also received hep B vaccine (manuf unk; 3/3/95 and 4/19/95), combination DTP+ActHIB 4/19/95, 6/28/95, 8/23/95, and 6/26/96; Orimune 4/19/95, 6/28/95, 8/23/96 and 6/26/96; and MMR II 2/28/96. The subject's attorney alleged that "As a result of mercury in thimerosal-adulterated infant injections that the subject received as an infant, he now suffers, and in the future will continue to suffer, from the toxic neurological effects of mercury poisoning. The mercury poisoning in this report is considered medically serious (OMIC).
Age: 15.0
Sex: F
Vaccine: HEP, IPV, MMR, TD
Symptoms: Ear pain, Neck pain, Pruritus, Pyrexia, Rash
Clinical narrative: Received MMR 1/10/03, LA, SC. Returned to clinic on 1/21/03 with complaint of pain in back of both ears and neck. Temperature was 101F. On 1/23/03, complained of rash on face, back and chest that was itchy. She had swelling behind ears with bumps. TX: Benadryl 25mg prn itch.
Age: 15.0
Sex: F
Vaccine: HEP, IPV, MMR, TD
Symptoms: Swelling
Clinical narrative: Received MMR 1/10/03, LA, SC. Returned to clinic on 1/21/03 with complaint of pain in back of both ears and neck. Temperature was 101F. On 1/23/03, complained of rash on face, back and chest that was itchy. She had swelling behind ears with bumps. TX: Benadryl 25mg prn itch.
Age: 63.0
Sex: M
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: After vaccination, went home and laid on couch and slept for a few hours. When I awoke, I found myself on the floor. Tried to get up off the floor but could not. I crawled on the floor to the bathroom and took care of business. I managed to contact my neighbor with phone. Called MD for an appointment and saw another MD.
Age: 20.0
Sex: F
Vaccine: ANTH
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: redness and swelling in left arm medical side extending past the elbow. increase warmth no fever
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Rash pruritic, Throat tightness
Clinical narrative: Patient recieved the vaccine at 11:30 am on 1/21/02 in our clinic setting. She stayed about 15 minutes with no reaction. This was her first flu shot. At 5:00 pm she developed a solid, pink, itchy rash beginning at the navel spreading to her back and then to her shoulders. She went to a local walk-in center and received p.o. benadryl, IM Steriod and methylprednisolone p.o. to take at home. At 11:00 pm she felt her throat was closing up. She went to the E.R. and was treated with two benadryls and watched for 1 1/2 hours. Symptoms subsided. She was discharged from the E.R. and was to take benadryl q 6 hours for 48 hours. She was fine until 1/22/03 in the evening and her feet broke out into a rash and were itchy. She took a benadryl and it subsided. 1/23 and 1/24 she has been fine. Please let me know any thoughts you have. I told the patient I would get back to her with any feedback you have. Would you suggest any precautions with future vaccinations? I am very interested in your thoughts. Thank you.
Age: 51.0
Sex: F
Vaccine: HEP, HEPA, TD, TYP, YF, HEP, HEPA, TD, TYP, YF, HEP, HEPA, TD, TYP, YF
Symptoms: Pharyngitis, Tongue oedema
Clinical narrative: This report was originally reported by a RN concerning a 51 year old female patient who on 5/23/02 was vaccinated intramuscularly with a first does of hepatitis B recombinant (yeast).  Concomitatn therapy included an intramuscular first dose of hepatitis A vaccine (Havrix), (lot# VHA720A4); an intramuscular dose of typhoid vi polysaccharide vaccine (TYPHIM VI); a subcutaneous dose of yellow fever virus vaccine live (YF-VAX), and an intramuscular dose of diphtheria toxoid/tetanus toxoid. Additional concomitant medication included chlophoniramine, conjugated estrogens/modproxyprgesterone (Prempro), vitamin E, vitamin C, folic acid, calcium plus vitamin D, and vitamin B-12. On 5/23/02, two hours post vaccination the patient developed a swollen tongue, "mild" swollen of the throat and itching. The patient was seen in the local emergency room, where a physician made a diagnosis of "allergic reaction suspected to vaccines." The patient was treated with steroid (NOS) and antihistamines (NOS). The events resolved on 5/28/02. The patient received her second injection of hepatitis A vaccine (Havrix) (lotVHA720A4) on 11/20/02. She was premedicated with two unspecified medications for two days prior to receiving the second injection of hepatitis A vaccine. No adverse event occurred. "The reporting nurse considered the allergic reaction to be possibly related to each of the vaccine administered on 5/23/02. The nurse stated that the tongue swelling was life-threatening. Additional information has been requested." Reported on 02/27/2003: "Follow-up #1 correspondence received 02/12/2001 from Merck:  The patient's initial is A.S. not A.T. as previously reported.  It was also confirmed that case WAE60212USA02398 is a duplicate of WAES030IUSA02787.  No additional information was provided.  This case is closed.
Age: 51.0
Sex: F
Vaccine: HEP, HEPA, TD, TYP, YF, HEP, HEPA, TD, TYP, YF, HEP, HEPA, TD, TYP, YF
Symptoms: Hypersensitivity, Pharyngeal oedema, Pruritus, Tongue oedema
Clinical narrative: This report was originally reported by a RN concerning a 51 year old female patient who on 5/23/02 was vaccinated intramuscularly with a first does of hepatitis B recombinant (yeast).  Concomitatn therapy included an intramuscular first dose of hepatitis A vaccine (Havrix), (lot# VHA720A4); an intramuscular dose of typhoid vi polysaccharide vaccine (TYPHIM VI); a subcutaneous dose of yellow fever virus vaccine live (YF-VAX), and an intramuscular dose of diphtheria toxoid/tetanus toxoid. Additional concomitant medication included chlophoniramine, conjugated estrogens/modproxyprgesterone (Prempro), vitamin E, vitamin C, folic acid, calcium plus vitamin D, and vitamin B-12. On 5/23/02, two hours post vaccination the patient developed a swollen tongue, "mild" swollen of the throat and itching. The patient was seen in the local emergency room, where a physician made a diagnosis of "allergic reaction suspected to vaccines." The patient was treated with steroid (NOS) and antihistamines (NOS). The events resolved on 5/28/02. The patient received her second injection of hepatitis A vaccine (Havrix) (lotVHA720A4) on 11/20/02. She was premedicated with two unspecified medications for two days prior to receiving the second injection of hepatitis A vaccine. No adverse event occurred. "The reporting nurse considered the allergic reaction to be possibly related to each of the vaccine administered on 5/23/02. The nurse stated that the tongue swelling was life-threatening. Additional information has been requested." Reported on 02/27/2003: "Follow-up #1 correspondence received 02/12/2001 from Merck:  The patient's initial is A.S. not A.T. as previously reported.  It was also confirmed that case WAE60212USA02398 is a duplicate of WAES030IUSA02787.  No additional information was provided.  This case is closed.
Age: 51.0
Sex: F
Vaccine: HEP, HEPA, TD, TYP, YF, HEP, HEPA, TD, TYP, YF, HEP, HEPA, TD, TYP, YF
Symptoms: Paraesthesia
Clinical narrative: This report was originally reported by a RN concerning a 51 year old female patient who on 5/23/02 was vaccinated intramuscularly with a first does of hepatitis B recombinant (yeast).  Concomitatn therapy included an intramuscular first dose of hepatitis A vaccine (Havrix), (lot# VHA720A4); an intramuscular dose of typhoid vi polysaccharide vaccine (TYPHIM VI); a subcutaneous dose of yellow fever virus vaccine live (YF-VAX), and an intramuscular dose of diphtheria toxoid/tetanus toxoid. Additional concomitant medication included chlophoniramine, conjugated estrogens/modproxyprgesterone (Prempro), vitamin E, vitamin C, folic acid, calcium plus vitamin D, and vitamin B-12. On 5/23/02, two hours post vaccination the patient developed a swollen tongue, "mild" swollen of the throat and itching. The patient was seen in the local emergency room, where a physician made a diagnosis of "allergic reaction suspected to vaccines." The patient was treated with steroid (NOS) and antihistamines (NOS). The events resolved on 5/28/02. The patient received her second injection of hepatitis A vaccine (Havrix) (lotVHA720A4) on 11/20/02. She was premedicated with two unspecified medications for two days prior to receiving the second injection of hepatitis A vaccine. No adverse event occurred. "The reporting nurse considered the allergic reaction to be possibly related to each of the vaccine administered on 5/23/02. The nurse stated that the tongue swelling was life-threatening. Additional information has been requested." Reported on 02/27/2003: "Follow-up #1 correspondence received 02/12/2001 from Merck:  The patient's initial is A.S. not A.T. as previously reported.  It was also confirmed that case WAE60212USA02398 is a duplicate of WAES030IUSA02787.  No additional information was provided.  This case is closed.
Age: 26.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site hypersensitivity, Pain, Tenderness
Clinical narrative: The location of the shot is red, very itchy and the skin is at a slightly higher level where it is red then the surrounding area. The redness coveres approximately 4 square inches. The sight is very tender and painful to the touch.
Age: 9.0
Sex: M
Vaccine: HEP
Symptoms: Agitation, Electroencephalogram abnormal, Epilepsy, Pyrexia, Tourette's disorder
Clinical narrative: Patient ran a low grade fever right after his Hep B vaccination, He was taken to emergency room for seizures, he was treated and released, Patient is seeing a neurologist and is being treated for epilepsy and Tourettes Syndrome, and is currently taking Trileptal for control of his seizures and tics, tics started occuring same time as his seizures, which consist of clearing of throat, uncontrollable body movement, cursing, out of control behavior, rolling of eyes, repetitive movement of muscles. Started noticing changes in patient's behavior, and physical well being less than two weeks after his Hep B vaccination.
Age: 1.25
Sex: M
Vaccine: HIBV, MMR
Symptoms: Convulsion, Infection, Pyrexia
Clinical narrative: Reaction lasted about a week from 9/8/97 to 9/17/97 with fever of 103.5F and convulsion. Had full-blown measles for a week.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Apnoea, Cardiac arrest, Central nervous system neoplasm, Crying
Clinical narrative: After administration of shots on 8/29/01, pt experienced high fever, diarrhea, high-pitched screaming. 9/15/01-stopped breathing, cardiac arrest. 9/25/01-life support terminated. Pt died.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Diarrhoea, Injury, Pyrexia
Clinical narrative: After administration of shots on 8/29/01, pt experienced high fever, diarrhea, high-pitched screaming. 9/15/01-stopped breathing, cardiac arrest. 9/25/01-life support terminated. Pt died.
Age: 0.2
Sex: M
Vaccine: DTAP, IPV
Symptoms: Hernia
Clinical narrative: From faxed info received at manufacturer on 1/13/03 from (WAES97121476), it was reported: "A Comparative Study of the Safety, Tolerability, and Immunogenicity of Comvax Given Concomitantly Versus Nonconcomitantly With a Primary Series of DTaP and IPV." Information has been received concerning an 11 week old male who entered a study, title as stated above. On 9/26/97, the pt was vaccinated with the first dose of Tripedia, IM and the first dose of IPOL, SC. On 10/9/97 the pt was hospitalized and underwent a right inguinal hernia repair from which he subsequently recovered. The pt did not receive haemophilus B congugate vaccine+hep B vaccine recombinant, prior to the events. The pt was withdrawn from the study on 12/1/97 for reasons not yet determined. The reporting physician felt that this experience was not related to study therapy. No further info is available. Reported on 02/27/2003: "The manufacturer for Tripedia, which is an Aventis Pasteur product, was listed as Merck, Sharp & Dohme.  Further clarification is needed.  From email correspondence received at Aventis Pasteur Inc. on 02/10/2003, it was decided that this case should have not been submitted to the FDA because it is part of a study and would have been submitted under an IND.  Case is closed.
Age: 33.0
Sex: F
Vaccine: VARCEL
Symptoms: Cough, Pneumonia, Pyrexia
Clinical narrative: Information has been received from a physician through a pregnancy registry concerning a 33 year old caucasian female with a repaired cleft palate/lip and no previous pregnancies who on 10/1/01 tested negative for varicella antibodies. On 10/10/01, the pt was vaccinated with a dose of varicella virus vaccine live (638902/0468L). Concomitant therapy included azithromycin, erythromycin, albuterol, and fluticasone propionate. The physician reported that the pt was three weeks pregnant at the time of vaccination and did not know. The pt's date of last menstrual period was reported by the physician to be 8/30/01. The pt's estimated delivery date was determined to be 6/24/02 according to her 9 week ultrasound on 11/20/01. On 1/9/02, serum alpha-feto protein screening was normal. On 1/22/02, an ultrasound was normal. On an unspecified date the pt had a fever and cough. On 3/12/02, a chest x-ray reveled pneumonia, and the pt was hospitalized for pneumonia. On 6/6/02, 37 weeks from LMP, the pt delivered a normal baby girl weighing 7 lbs. 4oz. Complications during labor and delivery included inadequate pelvis and signs and symptoms of pregnancy induced hypertension. The pt did not have any varicella or herpes zoster symptoms or local reaction post vaccination with varicella vaccine live. The infant had no symptoms of congenital varicella zoster syndrome. Additional info received via medical records indicate that the infant had congenital ptosis. The pt had mild palpebral fissure asymmetry (the right was a bit smaller than the left). The physician did not see any signs of anisocoria or EOM problems to suggest a neuro-ophthalmic lesion. Funduscopic exam was normal. The physician recommended reassurance. A review of the medical records indicated no other adverse symptoms were noted. No additional info is expected.
Age: 18.0
Sex: M
Vaccine: DT, HEP, MMR, HEP, MMR, TD
Symptoms: Dehydration, Diarrhoea
Clinical narrative: This report was received from manufacturer for Engerix B and was assigned manufacturer report number A0375941A. It concerns an 18 year old male pt with allergies to chocolate and nuts and celiac sprue who on 7/22/02 was vaccinated with MMR II (637985/0154L) SC into the right deltoid. The pt experienced no adverse events following previous immunizations. No concurrent medications were noted. Concomitant therapy included his first injection of hep B vaccine recombinant (Engerix 5272A2) IM into the right deltoid and diphtheria toxoid/tetanus toxoid IM. Later that evening, the pt developed diarrhea. The pt's mother called the doctor's office and reported that he was also dehydrated and that she was giving him fluids. It was noted that additional info indicated that on 7/29/02 the pt was evaluated by an unspecified specialist and was treated with steroids. As of 8/6/02, the mother reported that the pt was "doing much better." The reporting nurse stated that there were no complications. The nurse reported that the diarrhea and dehydration were possibly related to hep B vaccine recombinant (Engerix B) and celiac disease. Therefore the hep B vaccine recombinant (Engerix B) is secondary suspect. The hep B vaccine recombinant (Engerix B) immunization series was discontinued. As of 12/17/02, the events had resolved. It was noted that the reporting nurse indicated the pt's experience to be important medical events (OMIC). This was originally reported by a registered nurse. Additional info has been requested.  A 15-day follow up report received 03/24/2003 added no new info.
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Headache, Nausea, Rash
Clinical narrative: Pt received annual Anthrax booster on 1/14/03 at approx. 13:00 and developed rash about 6 hours later 19:00. Pt also had headache and nausea. Pt was treated in ER on 1/19/03 for nausea. No other treatment. Is ongoing.
Age: 25.0
Sex: F
Vaccine: ANTH
Symptoms: Laboratory test abnormal
Clinical narrative: Pt had LMP on 11/27/02 with EDC on 9/03/03 and HCG 1/8/03. Pt had Anthrax IZ on 12/01/02 and 2nd on 12/14/02. Pt states screening was very clear. She did not believe she could be pregnant. Not on OCP.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Bursitis, Pain, Radiculitis brachial
Clinical narrative: Employee reports with c/o excruciating pain on left should/arm after 10 days, post vax, with the Flu vaccine. Went on vacation and reports having pain during all that time. Denies tingling/numbing in upper extremities, redness, swelling, hematoma or rash on left deltoid or arm. Was taking Motrin with no relief. Denies trauma or injury to left arm. Called PHP with left arm pain. MD told her it was probably bursitis. Neurology referral by PMD. DX: Brachial neuritis. Pain control with Neurontin, Trileptal and Lamictal.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Dyspnoea, Injection site reaction, Injection site swelling
Clinical narrative: The pt received both pneumonia and flu immunizations in the AM. Later that day, her daughter brought her to see PHN because she was refusing to go to ER and NP's office was closed. Her left arm was marked swollen from shoulder to past her elbow and she was somewhat dyspneic. Encouraged pt to follow her daughter's suggestion of taking a Benadryl and to go to ER because of her shortness of breath. TC to her daughter and also to pt, 2 days later; she had consented to use Benadryl, continued to refuse going to the ER and symptoms subsided within 24 hours. Swelling of arm went down after "a few days".
Age: 1.75
Sex: M
Vaccine: DTP, HIBV, IPV, MMR
Symptoms: Pyrexia
Clinical narrative: High fever of 104.2F and could not get it down.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: On 1/8/03, small blister appeared at injection site. Parent reports that another "chickenpox" blister also on one ankle. On 1/17/03, injection site appeared red, hot to the touch and hard with a blister at the injection site that appeared to have a "head" on it. On 1/17/03, RN suggested comfort measures and to contact MD. On 1/24/03, per call to mother, MD gave ABT and site is "almost healed". No further concerns expressed by parent.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection, Infection transmission via personal contact
Clinical narrative: Pt developed mild case of chickenpox after exposure at school, after previous vaccination.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Diarrhoea, Erythema, Pyrexia, Vomiting
Clinical narrative: On 1/17/03, vomiting and diarrhea X 24 hours. On 1/18/03, 102.5F-103F fever X 2 days. On 1/19/03, rash-erythema ?
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Left arm was red and swollen from shoulder to elbow. Entire area was so swollen due to fluid accumulation.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling and erythema from shoulder to wrist.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Approx. 24 hours after immunization administered, a red, swollen rash appeared at site on left upper thigh. Zyrtec given.
Age: 67.0
Sex: F
Vaccine: HEPA
Symptoms: Headache, Malaise, Nausea, Pyrexia, Rash
Clinical narrative: After vaccine, developed subjective fever, malaise, headache, nausea and a rash over chest and neck. Symptoms mostly resolved after 48-72 hours, except for nausea which persisted longer. No specific treatment.
Age: 78.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Entire left upper arm, red and swollen.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site induration, Injection site swelling, Injection site vesicles
Clinical narrative: 8cm X 8cm swelling with induration, central scab with yellow discharge from site. Treated with Keflex X 10 days and ibuprofen for 4-5 days.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Irritability, Oral intake reduced, Pyrexia, White blood cell count increased
Clinical narrative: Fever to 101F-102F X 24 hours, fussy, decreased po intake and restless while nursing. Treatment: supportive with Tylenol.
Age: 2.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Febrile convulsion, White blood cell count increased
Clinical narrative: Febrile seizure; temperature 104F by mom at home.
Age: 59.0
Sex: F
Vaccine: LYME
Symptoms: Haemoglobin decreased, Oedema peripheral, Polyarthritis, Red blood cell abnormality
Clinical narrative: Swollen ankles. Went to MD and received phone call from office saying I was to report to ER. Red blood count was 6.2 at ER. Found HGB to be 5.9. Received 4 pints of blood and severe arthritis on right thumb and left elbow.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Entire left upper arm red and swollen.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Hypothermia, Injection site erythema, Injection site induration
Clinical narrative: Erythema, cellulitis secondary to immunization in right arm; right deltoid region inflammed and indurated, no tenderness to palpation. Induration 10X6cm; full ROM. Shoulder at 48 hours, post vax, erythema 18X13cm. RX: Keflex and clindamycin X 7 days. Resolved by 12/02/02.
Age: 4.75
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site swelling, Pruritus
Clinical narrative: Received T/C from mom at 18:07 on 1/15/03, stating that right child's right arm was very red and swollen, from his elbow up. Advised care and to call in AM if worse. Appt. made for 1/16/03 for above symptoms. On 1/16/03, seen by MD. Pt had erythema and swelling of right entire upper arm with induration. Likely a large local reaction vs. cellulitis. No fever, but did have itching. TX: included Augmentin and Orapred.
Age: 6.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Rash onset 1/20/03. DX: Chickenpox.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Pruritus
Clinical narrative: Swollen left thigh, pruritic, erythemic and induration.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Dermatitis bullous, Pyrexia
Clinical narrative: Less than 10 isolated papules and vesicles. Temperature 102.5F.
Age: 12.0
Sex: F
Vaccine: DTAP, OPV, VARCEL
Symptoms: Infection, Infection transmission via personal contact
Clinical narrative: Over 50 vesiculopapular rash in varying stages over face, trunk and extremities. Afebrile and no itching. Exposed to Chickenpox, 2 weeks ago, while babysitting a child who came down with Chickenpox.
Age: 3.0
Sex: F
Vaccine: DTAPH, HEP, MMR, VARCEL, DTAPH, HEP, MMR, VARCEL
Symptoms: Injection site reaction, Injection site swelling
Clinical narrative: On 1/16/03, child had swelling "the size of a baseball", at the distal injection site on her right thigh. The DTAP/HIB was given at that site on 1/14/03. She was seen by her PMD for treatment.
Age: 3.0
Sex: F
Vaccine: DTAPH, HEP, MMR, VARCEL, DTAPH, HEP, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: On 1/16/03, child had swelling "the size of a baseball", at the distal injection site on her right thigh. The DTAP/HIB was given at that site on 1/14/03. She was seen by her PMD for treatment.
Age: 11.0
Sex: M
Vaccine: DT
Symptoms: Syncope
Clinical narrative: Pt fainted and recovered without sequelae or injury.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Pyrexia
Clinical narrative: Low-grade fever started on 1/6/03. Trunk and face had 50-100 crusting. Is doing well.
Age: 8.5
Sex: F
Vaccine: FLU3
Symptoms: Injection site rash
Clinical narrative: Pt developed a rash that started with red bumps at injection site and then traveled down arm and then to whole body. Total time of rash, lasted 1 week. No treatment.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Redness, swelling and induration 3cm X 3cm on left upper thigh (we don't know whether DTAP or IPV site). At 4 days, post vax, not recovered.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia, Screaming
Clinical narrative: Fever up to 101.8F X 24-36 hours with inconsolable crying X 3 hours.
Age: 23.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Depressed level of consciousness, Encephalitis, Pyrexia
Clinical narrative: Became obtunded, intubated, febrile
Age: 23.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Depressed level of consciousness, Encephalitis, Headache, Myalgia, Pleocytosis
Clinical narrative: Became obtunded, intubated, febrile
Age: 23.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Pyrexia
Clinical narrative: Became obtunded, intubated, febrile
Age: 23.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Depressed level of consciousness, Encephalitis, Headache
Clinical narrative: Became obtunded, intubated, febrile
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Dysphonia
Clinical narrative: Pt received Anthrax Vaccinations on 7 Jan 03 and 21 Jan 03.  Pt complained of Hoarseness approximately 3-4 days after vaccination after the first dose and 5 days after the second dose. Pt is being treated conservatively without any time lost.
Age: 44.0
Sex: F
Vaccine: ANTH
Symptoms: Anaemia, Cough, Erythema, Eye irritation, Headache
Clinical narrative: Received first Anthrax @ 13:30 hours on 17 December 2002.  At approximately 16:30 hours had relatively sudden onset of HA, fever, myalgias and burning eyes.  Came to clinic on 20 December as symptoms had persisted.  Over the three day period had also had sweats (? fever), nausea with one episode of vomiting, postnasal drainage and mild cough (without chest pain or shortness of breath).  At time of visit, patient was not in distress and was afebrile.  HEENT exam were normal except for mild clear nasal drainage and mild erythema of the oropharynx.  Neck supple with nontender tonsillar and cervical nodes.  Chest was clear.  Abdomen was benign.  Skin was clear.  Husband reported similar symptoms.  Treatment was symptomatic (phenergan for nausea and naprosyn for headache).