chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 57.0
Sex: F
Vaccine: SMALL
Symptoms: Infarction, Lung disorder, Malaise, Myocardial infarction, Nausea
Clinical narrative: Pt is a 57 year old white female who presents to the smallpox vaccination follow up dressing clinic status post vaccinia vaccine times six days. She states that, the day following her vaccination, she began to suffer from increasing body aches, fatigue, general malaise, and fever that maxed at 102.6. She complains of nausea without vomiting and inability to eat or drink since that time. She does complain of increasing shortness of breath and productive cough, which is productive in nature with a green sputum. She denies chest pain. She denies ? related complications other than mild itching/pruritis. She denies generalized rash or rash on other parts of her body. She does complain of orthostatic dizziness. She has only taken Tylenol with small sips of water for the preceding five days. Impression: acute exacerbation of chronic obstructive pulmonary disease, dehydration, rule out vaccinia reaction. Follow up letter states: The latest that I was able to gather from - working on AE's is the following: 57 yof nurse vaccinated 02/27/2003, seen in ER 03/04/2003 for nausea without vomiting, dizziness, shortness of breath. There was no evidence of rash, or fever and no report of diarrhea. Vital signs: 113/80, pulse 100, RR20, PE: Bilateral wheezing, scattered ronchi, no murmur, and normal heart sounds. The pt had a history of HTN, osteoporosis and TIA, no report of COPD. Was on antihypertensives and treatment for osteoporosis. This information comes from the report from the ER, it claims that she was going to be transferred but it is unclear if she was "admitted" or not (it appears to be an overnight ER admission, but this needs to be clarified). They had a requested CXR,ABG's and were going to treat her as an "acute exacerbation of COPD" with antibiotics, bronchodilators, expectorants, and oxygen. COPD is not determined in past medical history from ER however the pt is a smoker since age 14 (1 ppd x 43 ys).  On March 16 while with husband the pt collapsed and was down for 15-20 minutes. EMT's came, pt was resuscitated in. The autopsy report states arteriosclerotic cardio-vascular disease.
Age: 57.0
Sex: F
Vaccine: SMALL
Symptoms: Pain, Pruritus, Pyrexia
Clinical narrative: Pt is a 57 year old white female who presents to the smallpox vaccination follow up dressing clinic status post vaccinia vaccine times six days. She states that, the day following her vaccination, she began to suffer from increasing body aches, fatigue, general malaise, and fever that maxed at 102.6. She complains of nausea without vomiting and inability to eat or drink since that time. She does complain of increasing shortness of breath and productive cough, which is productive in nature with a green sputum. She denies chest pain. She denies ? related complications other than mild itching/pruritis. She denies generalized rash or rash on other parts of her body. She does complain of orthostatic dizziness. She has only taken Tylenol with small sips of water for the preceding five days. Impression: acute exacerbation of chronic obstructive pulmonary disease, dehydration, rule out vaccinia reaction. Follow up letter states: The latest that I was able to gather from - working on AE's is the following: 57 yof nurse vaccinated 02/27/2003, seen in ER 03/04/2003 for nausea without vomiting, dizziness, shortness of breath. There was no evidence of rash, or fever and no report of diarrhea. Vital signs: 113/80, pulse 100, RR20, PE: Bilateral wheezing, scattered ronchi, no murmur, and normal heart sounds. The pt had a history of HTN, osteoporosis and TIA, no report of COPD. Was on antihypertensives and treatment for osteoporosis. This information comes from the report from the ER, it claims that she was going to be transferred but it is unclear if she was "admitted" or not (it appears to be an overnight ER admission, but this needs to be clarified). They had a requested CXR,ABG's and were going to treat her as an "acute exacerbation of COPD" with antibiotics, bronchodilators, expectorants, and oxygen. COPD is not determined in past medical history from ER however the pt is a smoker since age 14 (1 ppd x 43 ys).  On March 16 while with husband the pt collapsed and was down for 15-20 minutes. EMT's came, pt was resuscitated in. The autopsy report states arteriosclerotic cardio-vascular disease.
Age: 38.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Chest pain, Facial palsy, Otitis media
Clinical narrative: Patient given first Anthrax vaccination 1 Feb 03, along with Smallpox vaccination.  On 16 Feb 03, developed typical symptoms of L sided Facial nerve palsy (Bell's Palsy).  Had a persistant L otitis media treated with antibiotics at the time.  On 1 Mar 03, developed substernal chest pain, similar to pain evaluated less than one year prior and diagnosed non-cardiac; this episode determined to be benign process.
Age: 37.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Infection, Injection site erythema, Injection site induration, Injection site vesicles
Clinical narrative: within 2 days of receiving vaccine, pt had erythema, induration, and multiple vessicles formed around immunization site.  Pt was treated with Keflex 500 mg po bid for secondary infection.
Age: 44.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain, Chills, Cough, Fatigue, Malaise
Clinical narrative: 2/12 sudden onset of high fever, chills, myalgia, malasie, cough and clear sputum (x 1 week). One more week of fatigue left with irritable tracheobronch tree.  Desire to wheeze, no dyspnea, trachea hurt some with cough. 2/26 Vaccinated - no symptoms for two days 2/28 bad stabbing shoulder pain not related to exertion. Thought it was the joint, better with Naprosyn. 3/1 Naprosyn, shoulder pain mostly gone but radiation persisted.  Chest pain increased to neck while walking 3/3 Had to work, increasing dyspnea and chest pain increased to neck and shoulders 3/4 Went to MD, EKG with T Wave and was admitted to hospital.  Follow up 11/04/2003: "Vaccine recipient did recover from adverse event."  Follow up on 07/28/04 states: "Pt has recovered from adverse events."
Age: 44.0
Sex: F
Vaccine: SMALL
Symptoms: Myalgia, Pain, Productive cough, Pyrexia, Tracheobronchitis
Clinical narrative: 2/12 sudden onset of high fever, chills, myalgia, malasie, cough and clear sputum (x 1 week). One more week of fatigue left with irritable tracheobronch tree.  Desire to wheeze, no dyspnea, trachea hurt some with cough. 2/26 Vaccinated - no symptoms for two days 2/28 bad stabbing shoulder pain not related to exertion. Thought it was the joint, better with Naprosyn. 3/1 Naprosyn, shoulder pain mostly gone but radiation persisted.  Chest pain increased to neck while walking 3/3 Had to work, increasing dyspnea and chest pain increased to neck and shoulders 3/4 Went to MD, EKG with T Wave and was admitted to hospital.  Follow up 11/04/2003: "Vaccine recipient did recover from adverse event."  Follow up on 07/28/04 states: "Pt has recovered from adverse events."
Age: 0.0
Sex: F
Vaccine: SMALL
Symptoms: Headache, Malaise, Rash, Rash erythematous, Rash macular
Clinical narrative: Female revaccinee with a non-specific generalized rash.  She was vaccinated on February 21.  On February 26, she started to develop a flat, macular, continuous, very erythematous rash in the creases of her axilla, neck, pubic area, and under her breasts.  The rash slowly extended in area throughout the following day when she visited her physician.  The rash was nonpruritic and nonpapular/nonvesicular, and the only other symptoms she had were a mild headache and mild malaise.  On physical examination, the physician also noted a singular small ?almost?-vesicle on the back of her soft-palate.  Her vaccination site showed a major reaction without complications.  Observation but no further treatment was recommended.
Age: 0.0
Sex: F
Vaccine: SMALL
Symptoms: Pruritus, Rash, Rash papular
Clinical narrative: Female revaccinee with a non-specific generalized rash.  She was vaccinated on February 25.  The following day, she presented to her local ER with an itchy, red, patchy rash over her wrists, hands, upper chest, upper back, neck and upper thighs. A few papular/vesicular lesions were observed on her trunk.  A few additional lesions were noted over the next few days. On March 2, some were unroofed and swabs were obtained for viral culture and PCR. PCR was negative for vaccinia and viral cultures are negative at day 1.  Antihistamines were prescribed with some relief of itching. Her vaccination site showed a major reaction without complications.
Age: 0.0
Sex: M
Vaccine: SMALL
Symptoms: Chills, Influenza like illness, Injection site erythema, Injection site induration, Myalgia
Clinical narrative: Male revaccinee with a non-specific generalized rash along with a robust take.  He was vaccinated on February 20, and began having flu-like symptoms (fever, chills, myalgia, mild nausea) on February 26.  He reported that his vaccination site also felt indurated, tense, and achy.  His flu-like symptoms peaked on March 2, and he concurrently noticed approximately 15-20 pruritic maculopapular lesions across his arms, right hand, upper chest and back.  He presented to his physician on March 3.  His vaccination site showed an approximately 15 cm ring of erythema and induration.  Some papular lesions were unroofed, and swabs sent for viral culture and PCR.  PCR for vaccinia from his papular lesions was negative.  PCR performed from exudate from his vaccination site was positive for vaccinia.  Antihistamines and antipyretics were recommended.
Age: 0.0
Sex: M
Vaccine: SMALL
Symptoms: Nausea, Pyrexia, Rash, Rash papular
Clinical narrative: Male revaccinee with a non-specific generalized rash along with a robust take.  He was vaccinated on February 20, and began having flu-like symptoms (fever, chills, myalgia, mild nausea) on February 26.  He reported that his vaccination site also felt indurated, tense, and achy.  His flu-like symptoms peaked on March 2, and he concurrently noticed approximately 15-20 pruritic maculopapular lesions across his arms, right hand, upper chest and back.  He presented to his physician on March 3.  His vaccination site showed an approximately 15 cm ring of erythema and induration.  Some papular lesions were unroofed, and swabs sent for viral culture and PCR.  PCR for vaccinia from his papular lesions was negative.  PCR performed from exudate from his vaccination site was positive for vaccinia.  Antihistamines and antipyretics were recommended.
Age: 37.0
Sex: F
Vaccine: TD
Symptoms: Eye pain, Hypoglycaemia, Injection site pain, Pain, Panic reaction
Clinical narrative: I received the Tetanus Vaccine and same day Dr. increased my paxil from 30 mg. to 40 mg. As soon as I received the shot I had a massive panic attack, that is why the Dr. increased my paxil.  I had panick attacks throughout the whole night.  Not long after, the next day or so, I noticed cuts on my tongue, I then noticed that my tounge when I was asleep was now shifting to the right and I would wake up biting my tongue causing continuous injury.  It has not subsided.  Also the site of the injection is still very painful and although I have had severe body pain for years, my therapy at the time, Celebrex, was giving me some relief, but since the injection, the pain is worse and the celebrex isn't helping much or not at all.  I also had a hypoglycemic attack this week and my eyesight has dimmed a little and there is a grayish hue since that visit.  My eyes also burn alot.
Age: 37.0
Sex: F
Vaccine: TD
Symptoms: Tongue disorder, Visual disturbance
Clinical narrative: I received the Tetanus Vaccine and same day Dr. increased my paxil from 30 mg. to 40 mg. As soon as I received the shot I had a massive panic attack, that is why the Dr. increased my paxil.  I had panick attacks throughout the whole night.  Not long after, the next day or so, I noticed cuts on my tongue, I then noticed that my tounge when I was asleep was now shifting to the right and I would wake up biting my tongue causing continuous injury.  It has not subsided.  Also the site of the injection is still very painful and although I have had severe body pain for years, my therapy at the time, Celebrex, was giving me some relief, but since the injection, the pain is worse and the celebrex isn't helping much or not at all.  I also had a hypoglycemic attack this week and my eyesight has dimmed a little and there is a grayish hue since that visit.  My eyes also burn alot.
Age: 3.0
Sex: F
Vaccine: HEPA
Symptoms: Convulsion, Electroencephalogram abnormal, Gaze palsy, Hypoxia, Laboratory test abnormal
Clinical narrative: HAV (VAQTA) on 2/20/03. Developed seizure afternoon on the same day. All lab tests (CSF, CT Scan) were negative. The follow up states HVA (VAQTA) on 2/20/03. Developed seizure afternoon on the same day. All lab test, CSF, CT scan were negative. Medical record states hypoxemia, vomiting, tremor. msv
Age: 3.0
Sex: F
Vaccine: HEPA
Symptoms: Leukocytosis, Somnolence, Stupor, Tremor, Vomiting
Clinical narrative: HAV (VAQTA) on 2/20/03. Developed seizure afternoon on the same day. All lab tests (CSF, CT Scan) were negative. The follow up states HVA (VAQTA) on 2/20/03. Developed seizure afternoon on the same day. All lab test, CSF, CT scan were negative. Medical record states hypoxemia, vomiting, tremor. msv
Age: 44.0
Sex: F
Vaccine: SMALL
Symptoms: Lethargy, Malaise, Oedema, Pyrexia, Vasodilation procedure
Clinical narrative: 2/26/03 - Left arm swollen and red x 18 hrs. Lymph node soreness x 48 hrs. Saw PCP - But Sx then resolved. Became lethargic 3/1/03/. Has missed 3 days of work - fever, full H/A, Malaise, lethargy. Urged to see HD for neuro eval - Done 3/5/03. Follow up information received on 04/25/2003 states: 4/11/03 - Pt is back at work.
Age: 6.0
Sex: F
Vaccine: HEP, HEPA, MMR
Symptoms: Cardiac arrest, Headache, Myocarditis, Nausea, Pyrexia
Clinical narrative: Pt initially seen for physical exam on 12/12/01. The physical was wnl except for dental caries, a referral was made to dentist, and a diagnosis of Scabies. The family was given scabies education. A Hct/Hgb, with 99.5 NAAC, urine/UC, vision screen, hearing screen and PPD (all negative results) MMR, HBV and HAV given on 1/4/02.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Abscess
Clinical narrative: Sterile abscess restriction at inject site. Left arm.
Age: 60.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Headache, Injection site mass, Myalgia, Pain
Clinical narrative: Redness, tenderness, pain, hardness, heat at the 'left deltoid', temp of 101. Headache, muscle ache and body ache. Treated as an out PT w/Keflex in progress.
Age: 60.0
Sex: F
Vaccine: TD
Symptoms: Pyrexia, Vasodilation procedure
Clinical narrative: Redness, tenderness, pain, hardness, heat at the 'left deltoid', temp of 101. Headache, muscle ache and body ache. Treated as an out PT w/Keflex in progress.
Age: 24.0
Sex: U
Vaccine: ANTH
Symptoms: Erythema, Injection site mass, Injection site oedema, Paraesthesia, Vasodilation procedure
Clinical narrative: PT received Anthrax #4 on 1/21/03. PPD in left arm. PT c/o dime size redness, warm to touch with knot and puscular area to site. Increased itching at inject site with numbness after shower. Motrin and warm compresses applied with siege and relief. 1/22/03 in arm increased red, warmth and decrease in size to approx 4 cm x 4 cm. PT state has less with itching w/out drainage. Seen in immunization at medical facility with units to use Motrin in warm compress and be seen in AM if worse. 6 cm by 6 cm with redness with warmth noted to site.
Age: 43.0
Sex: F
Vaccine: ANTH
Symptoms: Cellulitis, Vasodilation procedure
Clinical narrative: #6 day 2 noticed cellulitis within 7" of site descending to elbow tip with Motrin. W/in day 5 resolving site still warm and red.
Age: 24.0
Sex: F
Vaccine: ANTH
Symptoms: Erythema, Oedema, Paraesthesia
Clinical narrative: Redness, edema, numbness in hand. Follow up information received on 4/11/2003 states: treated arm with circumferential swelling from elbow to shoulder (left arm).
Sex: U
Vaccine: ANTH, TYP
Symptoms: Arthralgia, Back pain, Erythema, Injection site oedema, Injection site pain
Clinical narrative: 1/21/03 - PT received #6 Anthrax with 2.5 yr between dose 5 and 6. First 24 hrs had an ache, sting took Tylenol. 1/22 - increased aching site swelling began with increased left arm pain. Tx with naproxsy/Tylenol/ice. 1/23 - Woke with increased swelling redness, tried to get seen by sick call ?? Fill up report with T2, increased swelling down arm with joint pain, back pain. 1/24, Gone to vaccination clinic seen by an MD and sent to IL (?).
Sex: U
Vaccine: ANTH, TYP
Symptoms: Pain
Clinical narrative: 1/21/03 - PT received #6 Anthrax with 2.5 yr between dose 5 and 6. First 24 hrs had an ache, sting took Tylenol. 1/22 - increased aching site swelling began with increased left arm pain. Tx with naproxsy/Tylenol/ice. 1/23 - Woke with increased swelling redness, tried to get seen by sick call ?? Fill up report with T2, increased swelling down arm with joint pain, back pain. 1/24, Gone to vaccination clinic seen by an MD and sent to IL (?).
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Abdominal pain, Chills, Dizziness, Infection, Pallor
Clinical narrative: Dizziness, abdominal pains, chills when sleeping, paleness in skin, sore throat, ear infection. 2 days aster the show the Sx's showed up.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Pharyngitis
Clinical narrative: Dizziness, abdominal pains, chills when sleeping, paleness in skin, sore throat, ear infection. 2 days aster the show the Sx's showed up.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Rash pruritic, Vasodilation procedure
Clinical narrative: Red, itchy rash. Anthrax #3, 2 wks prior resolved with Benadryl / triamcnolone
Age: 42.0
Sex: F
Vaccine: HEPA
Symptoms: Eye oedema, Rash, Urticaria
Clinical narrative: PT described hive rash and swollen eyes started 2/20/03. Has stated had hives with vax in past, but did not inform nurse at the time. Could not recall which vax had caused past hives.
Age: 49.0
Sex: M
Vaccine: MMR
Symptoms: Arthralgia, Malaise, Rash
Clinical narrative: Received MMR 2/4/03. Noticed he did not feel well on 2/16/03, noticed rash 2/17. Currently with rash, joint aches.
Age: 1.0
Sex: F
Vaccine: DT
Symptoms: Injection site abscess, Lethargy, Nausea, Vomiting
Clinical narrative: Abscess formation at site. N/V, lethargy. Tx: Antibiotics PO
Age: 49.0
Sex: F
Vaccine: TD
Symptoms: Chills, Ecchymosis, Headache, Myalgia, Pain
Clinical narrative: About 9 p.m. both feet were very cold and cramped up, both hands cramped also. By 10 p.m. felt like "getting a cold" - headache, sore throat. 1/23 left arm sore and puffy. By 3 p.m. sleepy and couldn't use left arm to drink. Went to bed 7 p.m., 1/24 achy all over, headache, left arm bruised. Stayed in bed all day. 1/25 felt better. 1/27 returned to work - she felt fine.
Age: 49.0
Sex: F
Vaccine: TD
Symptoms: Pharyngitis, Somnolence
Clinical narrative: About 9 p.m. both feet were very cold and cramped up, both hands cramped also. By 10 p.m. felt like "getting a cold" - headache, sore throat. 1/23 left arm sore and puffy. By 3 p.m. sleepy and couldn't use left arm to drink. Went to bed 7 p.m., 1/24 achy all over, headache, left arm bruised. Stayed in bed all day. 1/25 felt better. 1/27 returned to work - she felt fine.
Age: 41.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Fatigue, Myalgia, Pain
Clinical narrative: Awakened with severe fatigue, then 2 days later achy all trigger points (of fibromyalgia) neck and back. Finally 1 wk later, feels fine(?) Plans to do Hep B in Feb 03.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Headache, Urticaria
Clinical narrative: Headache, redness, ? hives. Tx'd with Zyrtec 5 cc PO
Age: 15.0
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Erythema, Injection site induration, Urticaria
Clinical narrative: 3x4 inches diameter of redness with induration. 4 hives located in center area, measured 3-4 mm. No pain or palpitation. Benadryl 1 tsp PO Q6 PRN
Age: 1.0
Sex: M
Vaccine: HIBV, IPV, MMR, PNC
Symptoms: Urticaria
Clinical narrative: Severe urticarial rash developed 2 days after IZ's. Total duration rash about 3 days.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Erythema, Oedema, Upper respiratory tract infection
Clinical narrative: Per phone call from parent, immunized 1/22/03 at 12:30 p.m. with DTaP, IVV, HIB, and PCV. Fever started approx 3 p.m. 105.3, right leg very red, swollen, evaluated at ER that evening. Per phone call w/parent 1/24/03. Follow-up call with parent on 1/27/03 child had been irritable day of immunization and subsequently developed URI as did other family members. Worsened(?)
Age: 5.0
Sex: M
Vaccine: DT, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Right deltoid area reddened, swollen, and tender. Instructed mom to give Children's Tylenol Q 4hours PRN and warm packs to area. Call if not resolved in 24 hours. Called mom 24 hours later- redness decreased to golf ball size, no discomfort. Mom using ice and Motrin. Pt did not miss any school.
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Rash over trunk and arms. Fever of 104. Today 101.5  01/24/2003
Age: 21.0
Sex: M
Vaccine: HEPA, TD
Symptoms: Chills, Diarrhoea, Vomiting
Clinical narrative: When awoke 24 hours after injections, had hills, diarrhea, and vomiting x 5-6. Returned to school 01/05/2003 and felt fine.
Age: 69.0
Sex: F
Vaccine: HEPA
Symptoms: Dizziness, Sensation of heaviness
Clinical narrative: Right after injection of Hep A, client reported feeling heavy and dizziness for one hour. Client taken out on clinic in wheelchair to her car with her husband. Client reported swollen lips in the ear and husband drove to ER. Client stated she was given an injection of an unknown steroid. In the ER her BP was elevated and then given an IV with Benadryl. Client also reported taking 125mg Benadryl in car to ER. In ER for 2 hours.
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Skin papilloma
Clinical narrative: Induration, swelling, redness and warmth of the location of vaccine injection in left arm after the vaccination applied in 01/21/2003. Right now I show all of these symptom to supervisor.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Pyrexia, Vomiting
Clinical narrative: Child returned home from school with fever of 102 degrees. Tylenol did not help. Went to ER. temp was 103.5 degrees. Child was also vomiting. Discharged home early on 02/20/2003. Temp was still 102 at 1:30pm on 02/20/2003. No vomiting at that time.
Age: 1.15
Sex: F
Vaccine: VARCEL
Symptoms: Injection site rash, Injection site swelling
Clinical narrative: Small rash at injection site, 2 small bumps 1 week after injection.
Age: 3.0
Sex: M
Vaccine: HIBV
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Left leg swollen. Total thigh extending from knee and groin. Erythema, induration, extended out to posterior. ? at 48 hours from administration. He is recovering.
Age: 2.0
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Erythema, edema, tenderness left thigh site. The follow up states the onset time is uncertain, approx 12-24 hrs after initial injection.
Age: 1.2
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Infection, Rash
Clinical narrative: Developed varicella-like rash and generalized and near injection site.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: Cellulitis all over head, extremities apprx 1 - 1 1/2 hour post vaccines. 8cc Benadryl given with partial resolution within 30 minutes.
Sex: F
Vaccine: DTAP, OPV, VARCEL
Symptoms: Drug ineffective, Rash
Clinical narrative: Mom called 3/3/03. Stated in 3/1/03 child started breaking out w/chicken pox x 3 of the day that gradually went to 30 total in belly legs, some crusted over already.
Sex: F
Vaccine: DTAPH, MMR, PNC
Symptoms: Cellulitis, Injection site mass
Clinical narrative: 3" round lump left thigh. Cellulitis treated with Omnicet.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Oedema
Clinical narrative: No erythema or swelling at inject site. Decreased flexion of left leg by 30 deg. No tender, pink medial and swelling superior to knee right thigh 24.5 cm, left thigh 28.5 cm denies trauma. Dx cellulitis, Tx with Keflex 500 MG PO BLD x 7 days, Benadryl 1.5 TSP Q 4-5 PR
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Cough, Pyrexia, Rash maculo-papular, Rhinitis, Vasodilation procedure
Clinical narrative: 2 days post vax, child got big red blotch on lower thigh. Fever started 1 day post vax. Tylenol given for discomfort, child came back next day for 2/22/03 for 104 fever and redness of leg. Came back 2/24/03 for cough and congestion. Told child had viral syndrome and to drink lot of fluids and rest.
Age: 57.0
Sex: F
Vaccine: RUB
Symptoms: Discomfort, Lymphadenopathy, Oedema, Rash
Clinical narrative: Tender posterior cervical lymphadenopathy, rash day 15-18 faint, left wrist discomfort, mild soft tissue swelling.
Age: 13.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Injection site oedema, Pruritus
Clinical narrative: Swelling at inject site with itching. No specified (?) induration. Mild erythema. No limitation of movement.
Age: 25.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Chest pain, Laboratory test abnormal, Myocarditis
Clinical narrative: Acute myopericarditis c pleuritic chest pain, abnl EKG 24 Feb; transferred to hospital 26 Feb; elevated cardiac enzymes, Normal echocardiogram and cardiac catheterization; oropharyngeal and anal swab for PCRs-enteroviruses and vaccinia-negative. Rx'd methylprednisolone, indomethacin, made uneventful recovery, discharged 1 Mar.
Age: 25.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Chest pain, Pericarditis
Clinical narrative: Acute myopericarditis c pleuritic chest pain, abnl EKG 24 Feb; transferred to hospital 26 Feb; elevated cardiac enzymes, Normal echocardiogram and cardiac catheterization; oropharyngeal and anal swab for PCRs-enteroviruses and vaccinia-negative. Rx'd methylprednisolone, indomethacin, made uneventful recovery, discharged 1 Mar.
Age: 53.0
Sex: F
Vaccine: SMALL
Symptoms: Disorientation, Encephalitis, Headache, Oedema, Pruritus
Clinical narrative: within 24 hours of vaccination: swelling and itching of eyes, swelling of hand/feet. Patient had some relief with Benedryl previous to ER visit. Patient given Atarax and Zantac in ER.  Probable reaction to vaccine component.  Follow up information received on 04/16/2003 states:   3/23/03 - headache 3/24/03 - Disorientation, hospitalization, admission Dx encephalitis 3/27/03 - Discharge from hospital, final Dx encephalitis or bacterial meningitis.
Age: 28.0
Sex: F
Vaccine: SMALL
Symptoms: Rash maculo-papular
Clinical narrative: Both arms errupted with pinkish maculopapular rash vaccinated L arm > right arm.  Central clear area with mild scaling
Age: 35.0
Sex: F
Vaccine: SMALL
Symptoms: Pain, Pruritus, Vaccination complication
Clinical narrative: By the 14th day after vaccination, patient has a sty on the bottom lid of eye. It itches and is painful. Lymph nodes under the underarms ache.
Age: 53.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema
Clinical narrative: 3-4 cm circular area of redness at left axilla.
Age: 55.0
Sex: F
Vaccine: TD
Symptoms: Asthenia, Chills, Dyspnoea, Headache, Injection site mass
Clinical narrative: Patient states chills occurred few hours after injection on 2/19/03, continued through 2/20/03.  States "knott" appeared on Rt. shoulder.  Saw MD on 2/21/03 with headache, chills, weakenss, sore throat, placed on po ampicillin, admitted to hospital 2/24/03 for c/o shortness of breath, weakness, possible vaccine reaction.
Age: 55.0
Sex: F
Vaccine: TD
Symptoms: Pharyngolaryngeal pain
Clinical narrative: Patient states chills occurred few hours after injection on 2/19/03, continued through 2/20/03.  States "knott" appeared on Rt. shoulder.  Saw MD on 2/21/03 with headache, chills, weakenss, sore throat, placed on po ampicillin, admitted to hospital 2/24/03 for c/o shortness of breath, weakness, possible vaccine reaction.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Infection transmission via personal contact, Skin ulcer
Clinical narrative: PT went to parent's home w/questions about lesion on face and arm/chest. This was reported to a county health department. PT wrestled with vaccinated brother on 2/15/03. Noted red mark on arm 2/16. Has one add'l lesion under nose and one on chest beginning on 2/17.
Age: 17.0
Sex: F
Vaccine: SMALL
Symptoms: Infection transmission via personal contact, Rash vesicular
Clinical narrative: On 2/27/03 PT noted small dried spot above upper lip (Hx of "cold sores") Vesicular lesion on right forearm. Cultures done and sent to state lab. PT sleeps with vaccinee and puts her arm around his (vaccinated) arm during sleep.
Age: 28.0
Sex: M
Vaccine: MEN, SMALL, MEN, SMALL
Symptoms: Chills, Myalgia, Sinusitis, Vomiting
Clinical narrative: On evening of vax, PT had chills, vomiting, myalgia and went to Emergency dept. Given IVF, Reglan, and Benadryl. The medical center felt this was "normal vax reaction". Next day, PT's complaints were consistent w/acute sinusitis - 48 hrs post vax PT felt much improved.
Age: 25.0
Sex: F
Vaccine: SMALL
Symptoms: Infection transmission via personal contact, Rash, Rash vesicular
Clinical narrative: 25 y.o. female contact with military vaccinee (her boyfriend) shoulder from 2/14 - 2/17/03 Presented w/3 vesicular lesion proximal lateral aspect of right forearm. Assessment: 1) Probable Inadvertent inoculation (limited) in an unvax'd military contact. 2) Probable contact dermatitis to the right wrist.
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Blepharitis, Conjunctivitis
Clinical narrative: 2/28/03 Left eye palpebral inflammation, blepharitis presume 2ndary to smallpox vax. Rx'd with trifluridine opt 1 m/l sol aid by MD.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Acne
Clinical narrative: On chest and back. Right side face. ?? Hx. Benzerdzed Portobesis.
Age: 26.0
Sex: F
Vaccine: SMALL
Symptoms: Dermatitis bullous
Clinical narrative: 2nd blister on my right ankle.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Injection site pustule, Injection site reaction, Rash
Clinical narrative: 2/3/03 - PT presents c/o rash to arms. D: left bicep, L : R shoulders with 2 cm x 0.5 cm raised red papule, back forearms with scattered papular pustules. A/P generalized pustulitis, no treatment.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Rash erythematous, Rash maculo-papular, Skin ulcer
Clinical narrative: Chest/back/abdomen scattered maculopapular erythematous lesions x 50. Illness considered to be generalized vaccinia. Tx w/Zyrtec upon initial visit to MD. Upon follow-up exam, lesions were resolving well. Cause unknown - cannot relate specifically to vax.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Dizziness, Fatigue, Headache, Oedema, Oedema peripheral
Clinical narrative: 8 days post smallpox vax, PT experienced high fever, dizziness, and headache x 8 days. PT extremely fatigued x 2 days. Swollen tongue, hands, feet, joints, glands, went to ER but not admitted.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Pyrexia
Clinical narrative: 8 days post smallpox vax, PT experienced high fever, dizziness, and headache x 8 days. PT extremely fatigued x 2 days. Swollen tongue, hands, feet, joints, glands, went to ER but not admitted.
Age: 45.0
Sex: F
Vaccine: SMALL
Symptoms: Conjunctivitis, Eye pain, Lacrimation increased, Lymphadenopathy, Oedema peripheral
Clinical narrative: Fever 100.6 Bacterial culture linden at hospital. Pain left sensitive watering. Tearing left eye appeared inflamed. Seen by optomologist. Swab sent to state lab. Placed on steroid eye drops. Had left arm lymphadenopathy. Swollen left arm.
Age: 45.0
Sex: F
Vaccine: SMALL
Symptoms: Pyrexia
Clinical narrative: Fever 100.6 Bacterial culture linden at hospital. Pain left sensitive watering. Tearing left eye appeared inflamed. Seen by optomologist. Swab sent to state lab. Placed on steroid eye drops. Had left arm lymphadenopathy. Swollen left arm.
Age: 49.0
Sex: M
Vaccine: SMALL
Symptoms: Aphthous stomatitis
Clinical narrative: Pt. developed isolated, singular aphthous ulcer in rt. posterior of mouth.  Atending M.D. says pt has a hx of occurrence of this type ulcer.  Pt. examined by ID doc.  summary opinion:  Ulcer un related to vacination.
Age: 47.0
Sex: F
Vaccine: SMALL
Symptoms: Cellulitis, Lymphadenitis, Lymphadenopathy
Clinical narrative: Left supraclaviular adenopathy/lymphadenitis with cellulitis. Tmax 100.1, fatigue No treatment given except for anithistimines and acetominophen.  Still resolving
Age: 26.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Erythema, Rash papular
Clinical narrative: DIFFUSE ERYTHMATOUS PAPULES AND PLAQUES CONCENTRATED OVER THE CHEST WITH CONFLUENT ERYTHEMA AND BACK BUT INVOLVEMENT OF NECK AND LESS SO THE EXTREMITIES; FEW SCATTER PINPOINT PUSTULES BUT NO LESION HAVE THE APPEARANCE OF HIS PRIMARY SMALLPOX VACCINATION SITE (CURRENTLY SCABBED). STARTED ON DAY #9 POST-VAX, SEEN ON DAY #11 WITH ABOVE EXAM AND RE-EXAM TODAY WITH FADING OF ABOVE FINDINGS.  DIAGNOSIS CONSISTENT WITH ERYTHEMA MULTIFORME AND TREATED WITH ZYRTEC 10 MG QD-BID.  NO MUCOSAL INVOLVEMENT
Age: 54.0
Sex: F
Vaccine: HEP
Symptoms: Injection site pain, Joint range of motion decreased, Neuropathy
Clinical narrative: REPORTS SEVERE PAIN AT SITE AT THE TIME OF THE INJECTION.  DEVELOPED CONTINUOUS PAIN IN LEFT UPPER ARM WHICH BEGAN TWO DAYS AFTER THE INJECTION. ALSO REPORTS LIMITED RANGE OF MOTION. REPORTED AN INCREASE IN THE PAIN AFTER AN EMG TEST WAS DONE.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Dehydration, Diarrhoea, Dizziness, Nausea, Rash maculo-papular
Clinical narrative: Nausea,vomiting,diarrhea. Macular/papular rash to back present for 24 hours. Lightheadedness lead to ER visit. Discharge Dx:Viral syndrome, nausea/vomiting, diarrhea, dehydration, orthostasis
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Vomiting
Clinical narrative: Nausea,vomiting,diarrhea. Macular/papular rash to back present for 24 hours. Lightheadedness lead to ER visit. Discharge Dx:Viral syndrome, nausea/vomiting, diarrhea, dehydration, orthostasis
Age: 18.0
Sex: M
Vaccine: ANTH, FLUX, HEP, HEPA, SMALL, TTOX, ANTH, SMALL, TD
Symptoms: Dermatitis bullous, Erythema multiforme, Headache, Malaise, Myalgia
Clinical narrative: 2/26/2003 Painful bullous rash on skin and mucous membranes.  3/1/2003 Fevers, conjunctivitis, malaise, myalgias, central headache. Diagnosed with Steven's Johnson Syndrome. Annual follow up on 03/30/04: "Pt has recovered from adverse events."
Age: 18.0
Sex: M
Vaccine: ANTH, FLUX, HEP, HEPA, SMALL, TTOX, ANTH, SMALL, TD
Symptoms: Pyrexia, Stevens-Johnson syndrome
Clinical narrative: 2/26/2003 Painful bullous rash on skin and mucous membranes.  3/1/2003 Fevers, conjunctivitis, malaise, myalgias, central headache. Diagnosed with Steven's Johnson Syndrome. Annual follow up on 03/30/04: "Pt has recovered from adverse events."
Age: 18.0
Sex: M
Vaccine: ANTH, FLUX, HEP, HEPA, SMALL, TTOX, ANTH, SMALL, TD
Symptoms: Stevens-Johnson syndrome
Clinical narrative: 2/26/2003 Painful bullous rash on skin and mucous membranes.  3/1/2003 Fevers, conjunctivitis, malaise, myalgias, central headache. Diagnosed with Steven's Johnson Syndrome. Annual follow up on 03/30/04: "Pt has recovered from adverse events."
Age: 20.0
Sex: F
Vaccine: SMALL
Symptoms: Infection transmission via personal contact, Pain, Rash pruritic, Skin ulcer
Clinical narrative: husband in military vaccinated on Friday, February 28.  Patient slept with husband (hedid not have a dressing on), and developed nasal and ulcer, crusts, itching, pain on 3/5.  See by Dr.  (ID specialist) on 3/6.  treated symptomatically and is being followed daily.
Age: 45.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Headache, Neck pain, Pain
Clinical narrative: day 9 post vaccine: left arm, shoulder, and left side of neck pain and headache. Treated with Neurontin and continue darvocet prn.  Symptomatic treatment thru day 21 post vaccine.  Follow up on 12/09/03: "This civilian RN experienced a progressive polyneuropathy after receiving smallpox vaccine on 02/10/03.  EMG/NCV/MRI and physical exam are all w/in normal limits.  Although diminished from that initially experienced, she continues to have pain in the left arm and leg.  Pt has had to reduce work hrs and takes multiple daily medications to control symptoms.  Quality of life has been significantly altered.  Present medications: Celebrex, skelexin, pamelor, trileptal, zantac, prozac."
Age: 45.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Back pain, Chest pain, Headache, Joint range of motion decreased, Neck pain
Clinical narrative: day 9 post vaccine: left arm, shoulder, and left side of neck pain and headache. Treated with Neurontin and continue darvocet prn.  Symptomatic treatment thru day 21 post vaccine.  Follow up on 12/09/03: "This civilian RN experienced a progressive polyneuropathy after receiving smallpox vaccine on 02/10/03.  EMG/NCV/MRI and physical exam are all w/in normal limits.  Although diminished from that initially experienced, she continues to have pain in the left arm and leg.  Pt has had to reduce work hrs and takes multiple daily medications to control symptoms.  Quality of life has been significantly altered.  Present medications: Celebrex, skelexin, pamelor, trileptal, zantac, prozac."
Age: 45.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Neuralgia, Pain
Clinical narrative: day 9 post vaccine: left arm, shoulder, and left side of neck pain and headache. Treated with Neurontin and continue darvocet prn.  Symptomatic treatment thru day 21 post vaccine.  Follow up on 12/09/03: "This civilian RN experienced a progressive polyneuropathy after receiving smallpox vaccine on 02/10/03.  EMG/NCV/MRI and physical exam are all w/in normal limits.  Although diminished from that initially experienced, she continues to have pain in the left arm and leg.  Pt has had to reduce work hrs and takes multiple daily medications to control symptoms.  Quality of life has been significantly altered.  Present medications: Celebrex, skelexin, pamelor, trileptal, zantac, prozac."
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Injection site oedema, Injection site pain
Clinical narrative: Probable wrong site administration of Anthrax immunization.  Anthrax given in left forearm.  Pt reported burning at the site and arm pain immediately following injection.  After 24 hours, area was edematous, indurated and erythematous, warm to touch. Tx with Allegra and Keflex. After 1 wk the edema and tenderness was improved, pt still has a tender raised area.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Pain
Clinical narrative: Probable wrong site administration of Anthrax immunization.  Anthrax given in left forearm.  Pt reported burning at the site and arm pain immediately following injection.  After 24 hours, area was edematous, indurated and erythematous, warm to touch. Tx with Allegra and Keflex. After 1 wk the edema and tenderness was improved, pt still has a tender raised area.
Age: 35.0
Sex: F
Vaccine: SMALL
Symptoms: Chills, Hyperhidrosis, Myalgia, Neck pain, Syncope vasovagal
Clinical narrative: Smallpox vaccination at 0915 3 March. Onset of L sided neck discomfort, mild within 24 hrs. On 5 March, at awakening, developed myalgias, chills, and diaphoresis along with continuing neck pain and had a syncopal event following vasovagal reaction. Brief unobserved LOC, no further myalgias/chills after syncopal event, but continuing mild muscular neck pain on side of vaccination.
Age: 29.0
Sex: F
Vaccine: SMALL
Symptoms: Rash papular, Rash vesicular
Clinical narrative: Day 10 - papular rash on neck & chest. Day 11 - rash (vesicles) on chest, back and neck.
Age: 0.1
Sex: F
Vaccine: HEP
Symptoms: Autism
Clinical narrative: autism
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Decreased appetite, Lymphadenopathy, Pyrexia, Urticaria
Clinical narrative: Urticarial rash developed 3/3/2003, 12 days after vaccination, along with fever and decreased appetite that developed 2/28/2003, about nine days after vaccination on 2/29/03.  Examination on 3/3/2003 revealed diffuse urticaria and palpable lymphadenopathy, that was questionably enlarged.  Examination was otherwise unremarkable.  There was noticably abscence of any  URI symptoms or signs.  the urticaria cleared after two days with prn adminstration of benedryl, 1/2 tsp q8 hours, prn.  By 3/5/2003, he was free of urticaria and other symptoms, and is otherwise normal.
Age: 45.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Headache, Neck pain, Pain
Clinical narrative: On day 9 after smallpox vaccination began with pain in upper left shoulder which over next 36 hrs progressed to upper back and neck pain. Neck was restricted in movement and could not turn to the left. No headache fever or generalized muscle aches. All symptoms have been limited to the left which is the side of the vaccination. Limitation of neck movement improved but headache began on 2/23/03 and discomfort spread to anterior chest and down the inner side of left upper arm. On 3/3/03, I was seen by an MD, Infectious Disease physician (our HAP) and put on Neurontin.  The symptoms improved for several days but on 3/7/03 they began to return, mostly concentrated in my left upper arm and neck with headache. I spoke with MD by phone on Sat. 3/8 and we agreed to increase the Neurontin to tid and he will schedule me to see a neurologist on Monday, 3/10. I have taken Darvocet off and on for pain. It helps the headache but not the nerve pain.
Age: 45.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Back pain, Chest pain, Headache, Joint range of motion decreased, Neck pain
Clinical narrative: On day 9 after smallpox vaccination began with pain in upper left shoulder which over next 36 hrs progressed to upper back and neck pain. Neck was restricted in movement and could not turn to the left. No headache fever or generalized muscle aches. All symptoms have been limited to the left which is the side of the vaccination. Limitation of neck movement improved but headache began on 2/23/03 and discomfort spread to anterior chest and down the inner side of left upper arm. On 3/3/03, I was seen by an MD, Infectious Disease physician (our HAP) and put on Neurontin.  The symptoms improved for several days but on 3/7/03 they began to return, mostly concentrated in my left upper arm and neck with headache. I spoke with MD by phone on Sat. 3/8 and we agreed to increase the Neurontin to tid and he will schedule me to see a neurologist on Monday, 3/10. I have taken Darvocet off and on for pain. It helps the headache but not the nerve pain.
Age: 45.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Neuralgia, Pain
Clinical narrative: On day 9 after smallpox vaccination began with pain in upper left shoulder which over next 36 hrs progressed to upper back and neck pain. Neck was restricted in movement and could not turn to the left. No headache fever or generalized muscle aches. All symptoms have been limited to the left which is the side of the vaccination. Limitation of neck movement improved but headache began on 2/23/03 and discomfort spread to anterior chest and down the inner side of left upper arm. On 3/3/03, I was seen by an MD, Infectious Disease physician (our HAP) and put on Neurontin.  The symptoms improved for several days but on 3/7/03 they began to return, mostly concentrated in my left upper arm and neck with headache. I spoke with MD by phone on Sat. 3/8 and we agreed to increase the Neurontin to tid and he will schedule me to see a neurologist on Monday, 3/10. I have taken Darvocet off and on for pain. It helps the headache but not the nerve pain.
Age: 46.0
Sex: F
Vaccine: SMALL
Symptoms: Arthralgia, Headache, Pyrexia, Rash
Clinical narrative: Smallpox vaccine on 22 Feb 03, developed headaches & arthralgia on 25 Feb 03.  On 5 Mar 03 had low grade fever and small left facial rash.  Rash expanded and by 8 Mar 03 there is a confluent mild bullous erthematous facial rash in a butterfly distribution.
Age: 27.0
Sex: F
Vaccine: SMALL
Symptoms: Blister
Clinical narrative: Area where patient had a needle stick for blood stick became flared and had blisters around it.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Arthralgia, Cellulitis, Myalgia, Pain, Purpura
Clinical narrative: Patient c/o fevers, myalgias, arthralgias 9 days following smallpox vaccination.  On 10th day, pt developed purpuric macular rash on bilat lower ext (L>R).  Pt c/o painful burning sx where rash worst on left medial ankle.  Pt with robust take on left arm with viral cellulitis apparent and tender axillary lymph nodes on left side.  No mucosal lesions.  UA and CBC wnl.  Chemistries/LFTs wnl.  Pt will be followed closely for what appears to be L.E. vasculitis, r/o progression to HSP.  Pt started on Indocin and Atarax.  F/U in AM.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia, Rash macular, Vasculitis
Clinical narrative: Patient c/o fevers, myalgias, arthralgias 9 days following smallpox vaccination.  On 10th day, pt developed purpuric macular rash on bilat lower ext (L>R).  Pt c/o painful burning sx where rash worst on left medial ankle.  Pt with robust take on left arm with viral cellulitis apparent and tender axillary lymph nodes on left side.  No mucosal lesions.  UA and CBC wnl.  Chemistries/LFTs wnl.  Pt will be followed closely for what appears to be L.E. vasculitis, r/o progression to HSP.  Pt started on Indocin and Atarax.  F/U in AM.
Age: 35.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Fatigue, Injection site erythema, Injection site hypersensitivity, Injection site induration, Injection site oedema
Clinical narrative: Bilateral tinnitis.  Began 2/23/2003 (Day 13).  Accompanied by asymmetrical hearing deficit (left ear).  Treated with Valtrex 500mg PO BID X 10 days (2/27/2003 - 3/7/2003), then Prednisone 5mg PO BID X 5 days and Famvir 500mg PO BID X 5 days (3/8/03 - present).  Hearing deficit in left ear resolved 3/4/2003.  Bilateral tinnitis remains through 3/10/2003.  Two doctor's visits have been required, so far.
Age: 35.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Injection site pain, Injection site warmth, Lymphangitis, Malaise, Pruritus
Clinical narrative: Bilateral tinnitis.  Began 2/23/2003 (Day 13).  Accompanied by asymmetrical hearing deficit (left ear).  Treated with Valtrex 500mg PO BID X 10 days (2/27/2003 - 3/7/2003), then Prednisone 5mg PO BID X 5 days and Famvir 500mg PO BID X 5 days (3/8/03 - present).  Hearing deficit in left ear resolved 3/4/2003.  Bilateral tinnitis remains through 3/10/2003.  Two doctor's visits have been required, so far.
Age: 35.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Hearing impaired, Tinnitus
Clinical narrative: Bilateral tinnitis.  Began 2/23/2003 (Day 13).  Accompanied by asymmetrical hearing deficit (left ear).  Treated with Valtrex 500mg PO BID X 10 days (2/27/2003 - 3/7/2003), then Prednisone 5mg PO BID X 5 days and Famvir 500mg PO BID X 5 days (3/8/03 - present).  Hearing deficit in left ear resolved 3/4/2003.  Bilateral tinnitis remains through 3/10/2003.  Two doctor's visits have been required, so far.
Age: 28.0
Sex: M
Vaccine: MEN, SMALL, MEN, SMALL
Symptoms: Chills, Myalgia, Sinusitis, Vomiting
Clinical narrative: On the evening of receiving the vaccine, patient had chills, vomiting, myalgia and went to Emergency Room. Treated with IV fluids, Eglan and Benadryl. ER felt this was a normal reaction pt. seen the next day in the Group Aid station (GAS) and his symptoms were consisitent with acute sinusitus. 48 hours after vaccination, pt. felt much improved.
Age: 0.75
Sex: F
Vaccine: FLU3, HEP
Symptoms: Bronchitis acute, Cerebral ischaemia, Cough, Dyspnoea, Laryngitis
Clinical narrative: Admitted to hospital with difficulty breathing, fever, croupy cough, inspratory stridor, acute bronchitis.
Age: 0.75
Sex: F
Vaccine: FLU3, HEP
Symptoms: Pneumonia, Pyrexia, Stridor
Clinical narrative: Admitted to hospital with difficulty breathing, fever, croupy cough, inspratory stridor, acute bronchitis.
Age: 2.0
Sex: M
Vaccine: DTAPH
Symptoms: Hypersensitivity, Urticaria
Clinical narrative: Injection given at approx 1630 2/27/2003 at office.  See enclosed immunization record.  Parents called at approx 1800 - Child covered in hives.  Sent to ER.
Age: 31.0
Sex: F
Vaccine: ANTH
Symptoms: Face oedema, Oedema, Rash
Clinical narrative: Rash / red raised swollen on face then rash had moved to arms, and back.
Age: 42.0
Sex: M
Vaccine: ANTH
Symptoms: Oedema
Clinical narrative: Member noted differ. non-erythematous edema in area of right triceps and elbow.