chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 36.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema, Joint range of motion decreased
Clinical narrative: Swelling, redness for one week then decreased ROM and pulling sensation in arm for two weeks.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Infection
Clinical narrative: Varicella disease
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Infection, Rash
Clinical narrative: Pt was seen in office 1/27/03 for rash, was diagnosed at this time with chickenpox. He had the varicella immunization on 1/6/03.
Age: 37.0
Sex: M
Vaccine: SMALL
Symptoms: Chills, Cough, Nasal congestion, Pain, Pruritus
Clinical narrative: DAY 5 HAD GENEREALIZED ERYTHEMATOUS RASH AND PRURITIS; MACULAR RASH OVER THIGHS, BACK, CHEST, ARMS, FACE. ACHES AND COUGH/CONGESTION AND CHILLS DAYS FOR 4 DAYS. RASH LASTED APROX 4 DAYS. SEEN BY DERMATOLOGY AND GIVEN TOPICAL TREATMENT (PT WAS LAREADY ON ALLEGRA AND MOTRIN SINCE IMMUNIZATION
Age: 37.0
Sex: M
Vaccine: SMALL
Symptoms: Rash erythematous, Rash macular
Clinical narrative: DAY 5 HAD GENEREALIZED ERYTHEMATOUS RASH AND PRURITIS; MACULAR RASH OVER THIGHS, BACK, CHEST, ARMS, FACE. ACHES AND COUGH/CONGESTION AND CHILLS DAYS FOR 4 DAYS. RASH LASTED APROX 4 DAYS. SEEN BY DERMATOLOGY AND GIVEN TOPICAL TREATMENT (PT WAS LAREADY ON ALLEGRA AND MOTRIN SINCE IMMUNIZATION
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Alopecia, Cellulitis, Erythema, Rash, Skin irritation
Clinical narrative: I developed a form of dissecting cellulitus, after recieving the anthrax vaccination i got large bumps on the back of my head, and it was very irritated and red in color. Doctor tried numerous antibiotics, and ended up giving me the strongest one, Accutane. The bumps have somewhat gotten better, however my hair has not grown back.
Age: 38.0
Sex: M
Vaccine: ANTH, MEN
Symptoms: Arthritis
Clinical narrative: LEFT KNEE ARTHRITIS
Age: 30.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Furuncle, Pain, Pyrexia, Rash papular
Clinical narrative: On am 1/25/03 noted elevated temp (did not measure), body aches. Also noted papular rash on chest, neck, scalp. Increased severity of body aches 2/26/03 body aches have mostly resolved by today. Now has papules, pustules (one with scab) on anterior neck, upper back, scalp, tongue. Generalized vaccinia.
Age: 43.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Pyrexia, Rash vesicular
Clinical narrative: I (the patient) received the Varicella vaccine on 01/08/03 and have now come down with a full blown case of Chicken Pox.  I keep being told by doctors that this is unheard of, that most reactions are minimal (2-5 lesions at most).  I (the patient) currently have about 500 lesions (after having a fever of just under 102 degrees for 3 days).    I have been told that there is no data available on adults receiving this vaccine and that my reaction to it should be reported.  I am not sure if the doctor who gave me the vaccination will report it or not, so I am doing it myself. Please feel free to call me with any questions.
Age: 0.8
Sex: F
Vaccine: DT, HEP
Symptoms: Eye disorder, Jaundice
Clinical narrative: Vaccine given on 1-8-03.  Child seen on 10-29-03 and noted jaundice of skin and slight jaundice of sclera.  Mother denied having noticed anything different about child.  No changes in stool or urine.  Child in diapers.  Referred to physician as soon as possible.
Age: 1.1
Sex: M
Vaccine: MMR, PNC, VARCEL, MMR, PNC, VARCEL
Symptoms: Strabismus
Clinical narrative: parents report R inturned eye, resolved over 2 week period
Age: 1.1
Sex: M
Vaccine: MMR, PNC, VARCEL, MMR, PNC, VARCEL
Symptoms: Agitation, Pyrexia, Rash, Restlessness, Strabismus
Clinical narrative: parents report R inturned eye, resolved over 2 week period
Age: 3.0
Sex: F
Vaccine: MMR
Symptoms: Coma, Convulsion, Pyrexia, Rash, Staring
Clinical narrative: High fever of 104.6 degrees,  siezure which consisted of staring straight ahead without blinking or making any recognition of any activity going on around her or persons speaking to her for at least 2 minutes.  Rash covering body.  Symptoms began on 1-23-03, nine days after the MMR vaccine was administered.  Fever continued for three days, rash continuted for seven days, seizure occurred once on the first day of onset of fever.
Age: 37.0
Sex: M
Vaccine: SMALL
Symptoms: Chills, Flushing, Headache, Malaise, Pruritus
Clinical narrative: BEGINNING ON DAY 5 HAD INTENSE PRURITIS OVER ENTIRE BODY, HEADACHE 5/9, GENERALIZED MALAISE AND CHILLS WITH FINE PAPULAR RASH OVER BODY, PRIMARILY NECK, ARMS, BACK WITH FACIAL FLUSHING; RESOLVED IN 4 DAYS
Age: 37.0
Sex: M
Vaccine: SMALL
Symptoms: Rash papular
Clinical narrative: BEGINNING ON DAY 5 HAD INTENSE PRURITIS OVER ENTIRE BODY, HEADACHE 5/9, GENERALIZED MALAISE AND CHILLS WITH FINE PAPULAR RASH OVER BODY, PRIMARILY NECK, ARMS, BACK WITH FACIAL FLUSHING; RESOLVED IN 4 DAYS
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Sudden infant death syndrome
Clinical narrative: SIDS; Autopsy report received on 3/5/2003 indicates that the cause of death was undetermined.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Pyrexia, White blood cell count increased
Clinical narrative: Information has been received from a physician concerning a 69 year old female pt, who was well at the time of vaccination, with no history of allergies and with diabetes who on 1/13/03 was vaccinated IM in the left deltoid with a first dose of pneumococcal vaccine 23 polyvalent (644219/1079M). Concomitant medications are medications for diabetes, but the names of the medications were not reported. On 1/13/03, within 10-12 hrs following the vaccination, the pt developed erythema distal to the injection site on the left deltoid. The pt had also developed a sore arm. Medical attention was sought. Subsequently the pt was hospitalized and on admission to the hospital it was noted that the pt had a fever and a white blood cell count of 12.2 (units and normal values not reported). The physician noted that the pt had an elevated white blood cell count. Blood cultures were done, but results are unknown. The pt was treated with IV Unasyn and the pt had recovered by 1/21/03. The physician would like an investigation into this particular lot. The physician also reported that a male pt was vaccinated with a dose of pneumococcal vaccine 23 polyvalent (644219/1079M) and had a very sore arm (WAES0301USA01695). Additional info has been requested.
Age: 52.0
Sex: M
Vaccine: FLU3
Symptoms: Myelitis transverse
Clinical narrative: From information received via fax at manufacturer on 1/20/03, it was reported that a 52 year old male received FLUZONE UNSP on an unspecified date. Reportedly, the patient developed transverse myelitis (unknown date of onset) and was hospitalized. An MRI and lumbar puncture were performed, but no results were available at the time of this report. The patient's recovery status was reported as not recovered. Additional information was received at manufacturer on 1/23/03 from the reporting physician. He reported that the patient received Fluzone, but he did not administer the product and does not know when the patient was vaccinated. The physician saw when he was admitted to the hospital on 1/17/03. At that time the patient had been having symptoms for approximately 2.5 months. The reporter does not have access to the patient's medical records at this time. No further information was provided.  Follow up on 07/07/2003: "From additional information received on 06/25/2003 and 06/30/2003, it was reported that the patient was treated by the reporting physician in the emergency room.  The physician does not have access to the patient's medical records.  The patient experienced transverse myelitis following the administration of Fluzone on an unspecified date.  It was previously reported that the patient also had transverse myelitis at the time of vaccination, however this was reported as being incorrect by the physician's office nurse.  No further information is anticipated, this case is considered closed."
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Dyspnoea, Hypersensitivity, Injection site erythema, Injection site mass
Clinical narrative: Joint aches, shortness of breath, 4" redness at injection site, 1 1/2" knot. Generalized malaise. Eval. by MD-Dx as "allergic rxn." TxZ: Atarax pan. No hospitalization req'd.
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Malaise
Clinical narrative: Joint aches, shortness of breath, 4" redness at injection site, 1 1/2" knot. Generalized malaise. Eval. by MD-Dx as "allergic rxn." TxZ: Atarax pan. No hospitalization req'd.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Asthma, Cough, Dyspnoea, Influenza like illness, Nasal congestion
Clinical narrative: Pt is ad marine who had anthra #1 12/12/02 and on 12/14/02 developed acute onset flu-like symptoms, SOB, coughing, nasal congestion, fever and sought medical attention at family care center while pt was on leave. MD dx with asthmatic bronchitis. Pt treated with qualifenisin, levoquin, robitussin with codeine and albuterol nebulizer for home use. Pt still with coughing and use of robitussin with codeine. Seen and pending allertist apointment tomorrow.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Pyrexia
Clinical narrative: Pt is ad marine who had anthra #1 12/12/02 and on 12/14/02 developed acute onset flu-like symptoms, SOB, coughing, nasal congestion, fever and sought medical attention at family care center while pt was on leave. MD dx with asthmatic bronchitis. Pt treated with qualifenisin, levoquin, robitussin with codeine and albuterol nebulizer for home use. Pt still with coughing and use of robitussin with codeine. Seen and pending allertist apointment tomorrow.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: Pneumonia RA-Redness from RA to R elbow, felt hot, minimal amount of swelling. At 17:00, it got hotter and took Benadryl and applied ice pack and it felt better but area remained hot and about the same amount of swelling. The next day, it started itching. Took Benadryl before bed, the night before and took Benadryl and Tylenol about 2 days. Mid-day, the heat was less but redness remained. The swelling took about 4 days to go down. Redness stayed until the 5th day. By the 5th day, stopped Benadryl and Tylenol and then it gradually went away.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Cellulitis, Infection, Injection site reaction
Clinical narrative: Break through varicella with less than 50 lesions, 13 papules and 2 vesicles complicated by cellulitis. Rx'd Augmentin.
Age: 2.0
Sex: M
Vaccine: VARCEL
Symptoms: Herpes zoster, Laboratory test abnormal, Viral infection
Clinical narrative: L1 Zoster, vesicular, lasted 10 days.PCR (+) for vaccine strain
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site reaction, Injection site swelling, Pyrexia
Clinical narrative: Temperature 104.7F last night, 104.3F last night and 103.2F this morning (1/28/03). Local right arm swelling without abscess.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Contusion, Injection site rash
Clinical narrative: Left leg with bruising following DTAP and superficial rash. (Mom had a peculiar reaction locally to DT in her arm).
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Convulsion, Neurodevelopmental disorder
Clinical narrative: Seizures with onset within 72 hours of administration of DTAP. 60 Day follow up states: it is unknown if pt has recovered. Delay in gross motor skills, unclear if this is related to the vaccinations. Annual follow up on 02/12/04: "It is unknown if pt recovered from adverse events. Pt still with occasional seizures.  She also has slight developmental delay.
Age: 4.5
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Reaction to DTAPacel with swelling and redness at site of injection, reaction about 2 1/2" in diameter with no signs of fluctuations. Treated with Motrin prn 190mg q 6, ice to area and monitor for signs of infection.
Sex: U
Vaccine: HEPAB, PPV
Symptoms: Erythema, Pruritus
Clinical narrative: Received Pneumonia approx. 09:55 in right deltoid and approx. 10:00, HEP-A/B in left arm. Developed redness of face and upper chest and complained of itching of arms.
Age: 2.5
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Cellulitis on left thigh which resolved spontaneously, d 4.
Age: 28.0
Sex: F
Vaccine: ANTH, FLU3, MEN, RAB
Symptoms: Lymphadenopathy, Rash papular, Rhinitis allergic
Clinical narrative: Pt with rash located between breasts, some diffusely inferior lymphadenopathy, papular rash associated. Pt was treated with ? dose pack and Benadryl and Allegra for seasonal allergic rhinitis. Symptoms X 5 day progression.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Haemorrhage, Oedema
Clinical narrative: Approximately 12 hours post vaccination of pneumovax 23, patient developed swelling left arm were pneumovax was given. Swelling extended into underarm and that night developed bloody discharge from left nipple which last a few days and seeking medical advice on 10/23.
Age: 56.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Chills, Oedema, Pruritus, Pyrexia, Rash
Clinical narrative: Two days of chills and fever. Arm swelled a little, itched and had a rash for about 5 days on the arm.
Age: 2.4
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia, Vomiting
Clinical narrative: 24 hours post vaccination with 1/2 dose of fluzone, child developed fever of 103F. Could not keep Tylenol down. Required visit to ER. Parents refused remaining booster dose of vaccine.
Age: 28.0
Sex: M
Vaccine: ANTH, FLU3, HEP, HEPA, RAB
Symptoms: Headache, Injection site hypersensitivity, Rash
Clinical narrative: Generalized rash began four days ago. Redness at site <5mm, frontal sinus HA after getting shots. Rash progressively getting worse-diffuse scartina form rash.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site reaction, Injection site swelling
Clinical narrative: Mother noticed swelling on the morning of 1/26/03. Child did not complain but parents took him to ER because the swelling involved his entire left arm. ER MD prescribed antihistamine (Atarax) and gave Rx for Keflex if child began fever. MD did not think it was cellulitis but just a reaction to the shot. On 1/27/03, mother reported that child is fine but still has swelling of left arm. No other symptoms.
Age: 16.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site hypersensitivity, Injection site mass
Clinical narrative: 3cm area of erythema and induration at site of injection in right deltoid. Treated with Vistaril and Ultracet. Patient improving greatly on 12/2/02.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site mass
Clinical narrative: 10 cm induration at injection site 24 hours after injection in right thigh.
Age: 1.0
Sex: F
Vaccine: IPV, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Erythematous rash on trunk, face and limb. Benadryl p.o. and calamine lotion.
Age: 68.0
Sex: M
Vaccine: TD, TD
Symptoms: Arthralgia, Injury, Myalgia
Clinical narrative: Patient had injury. Was seen as walking due to no PMo. Received Td booster 12/22/02. States approximately one week later developed joint pain-worse in shoulders but some pain in knees, ankles also muscle pain in groin. No improvement by 1/27/03. Due to new medication ? wanted to see a doctor on that list - gave copy of vaccine at his request to show what doctor he see. To call back with diagnosis - treatment etc.
Age: 68.0
Sex: M
Vaccine: TD, TD
Symptoms: Injection site pain, Joint range of motion decreased
Clinical narrative: Patient had injury. Was seen as walking due to no PMo. Received Td booster 12/22/02. States approximately one week later developed joint pain-worse in shoulders but some pain in knees, ankles also muscle pain in groin. No improvement by 1/27/03. Due to new medication ? wanted to see a doctor on that list - gave copy of vaccine at his request to show what doctor he see. To call back with diagnosis - treatment etc.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Abdominal pain upper, Headache, Pharyngolaryngeal pain, Rash erythematous
Clinical narrative: Rash, red spots, raised, itchy; chest area. Headache, stomach age and sore throat for 2 days. Treatment with Benadryl, Aveeno bath and calomine lotion.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Agitation
Clinical narrative: Mom states baby with unconsolable crying for 3 hours. Started 33 hours after vaccine given. Mom did not report until in for 4 month series.
Age: 1.2
Sex: M
Vaccine: MEA
Symptoms: Rash
Clinical narrative: Information has been received from a registered nurse concerning a 14 month old male who on 11/30/01 was vaccinated with a dose of measles virus vaccine live. On 12/1/01 the patient developed a systemic rash described as "rash red pin prick, dry scaley." The rash started on the back and moved to the trunk. On 12/3/01 it was reported that the patient continues to have a rash. It was noted that the patient was afebrile. The patient sought unspecified medical attention. There was no other information available. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: MEA
Symptoms: Drug ineffective
Clinical narrative: Information has been received from the parent of an 18 year old female who was vaccinated as a child (date unknown) against measles. There was no concomitant medication and the patient was never re-vaccinated against the measles. At approximately the age of 5 or 6 years old, the female patient developed measles. It was also reported that recently the patient was told that she needed to be vaccinated again since blood work showed that the "vaccine did not take the first time". Medical attention was sought. Additional information has been requested.
Sex: F
Vaccine: MEA
Symptoms: Drug ineffective
Clinical narrative: Information has been received from a registered nurse concerning a female who in September 2000 and in February 2001, was vaccinated with measles virus vaccine live. In 1979 and 1989, she was vaccinated with MMR II. The nurse reported that serology tests performed a few months after each measles virus vaccine live administration were equivocal. Additional information has been requested.
Age: 33.0
Sex: F
Vaccine: MEA
Symptoms: Headache, Pyrexia, Rash maculo-papular
Clinical narrative: Information has been received on 2/18/02 from a physician concerning a 33-year-old female who was vaccinated with a dose of measles virus vaccine live. Concomitant therapy included propranolol, which the patient had been taking "for about 6 months." On 2/16/02 the patient developed a headache, that reportedly on 2/18/02 "seems to be getting better now." On 2/18/02, the patient reported to the physician because she had a papular rash on her face, trunk and arms and also had a fever. The patient was instructed by the physician to discontinue the propranolol. The physician had no explanation for the rash other than the measles virus vaccine live. It was noted on 2/18/02 that "no new medications were introduced recently."  Additional information has been requested.
Age: 24.0
Sex: M
Vaccine: MEA
Symptoms: Syncope
Clinical narrative: Information has been received from a registered nurse concerning a 24 year old male who on 3/6/02 at 5:10pm was vaccinated with the first does of measles virus vaccine live (#638832/0531L), intramuscularly in the right deltoid. There was no concomitant medication or illness at the time of vaccination. After being vaccinated, the patient was instructed to sit quietly for ten minutes. The patient was found by the reporting nurse "unconscious" on floor of room at 5:15pm. The patient was aroused within 30 seconds "when called." A physician had attended. The patient stated that he "went blank" and denied hitting head. The patient was released at 7:00pm from the doctor's office. The patient's vital signs were reported to be stable. On 3/7/02 there was no word from the patient since regarding other possible symptoms. The nurse felt that "the rest of the box of (measles virus vaccine live) should not be used and will discard it." It was also noted that the patient denied history of fainting spells, allergies etc. No further information is expected.
Age: 40.0
Sex: M
Vaccine: MEA
Symptoms: Drug ineffective
Clinical narrative: Information has been received from a health professional concerning a 40-45 year old male who was vaccinated with a first, second and third dose of measles virus vaccine live. It was reported that the patient was vaccinated as a child and twice as an adult. On 5/31/02 it was reported that the patient "recently" had a titer drawn that was negative. Additional information has been requested.
Age: 1.5
Sex: F
Vaccine: MEA
Symptoms: Convulsion
Clinical narrative: Info. has been received from a physical therapist concerning a 1.5 y.o. female who in 2001 was vaccinated with measles virus vaccine live. The physical therapist reported that a co-corker of his stated that her child had received measles virus vaccine live in 2001 and had 2 seizures w/in 7 days of receiving the vaccine. Upon internal review, seizure was considered to be an other important medical event. No further info. is available.
Age: 23.0
Sex: F
Vaccine: ANTH, TYP
Symptoms: Injection site hypersensitivity, Injection site reaction, Injection site warmth, Pruritus
Clinical narrative: Patient recieved both Typhoid Vi and Anthrax #6 shots in left arm. Now presents with large local reaction (about 18cm x 18 cm)from Deltoid to elbow. Tense, hot, itchy arm. Topical Steriods applied, patient given Motrin, and encouraged to use ice on site and RTC for no improvement or worsening of reaction. Patient does not report any concurrent illness. Also states no directions were given to her about follow-up for possible reactions. She reports large local reactions to most of the previous doses Also no lot number is present on the immunization form.
Age: 29.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Anorexia, Cellulitis, Injection site abscess, Injection site erythema, Injection site swelling
Clinical narrative: REDNESS TO AREA OF SHOT OF MMR .5U ON 21 JAN 03 AT THE 7th DAY, SWELLING AND PUSS POCKET FORMED 9th DAY, TEMPERATURE OF 101.1 ON THE 7th DAY, LOSS OF APPETITE ON 7th DAY. WENT TO IMMUNIZATION CLINIC AT 200H (SAME NURSE THAT GAVE SHOT TOLD ME TO GO TO PRIMARY CARE PHYSICIAN).  NO AVAILABLE OPENINGS SO I WENT TO THE EMERGENCY ROOM AT 200H.  ONCE AT THE EMERGENCY ROOM THEY TOOK A CULTURE OF PUSS AND DETERMINED THAT THE SHOT AREA WAS INFECTED WITH CELLULITISE.  THEY ADMINISTERED AN IV WITH ANTIBIOTICS AND PRESCRIBED VICADIN AS NEEDED FOR PAIN AND DICLOXACILLIN 2000 MG A DAY.
Age: 29.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Pyrexia
Clinical narrative: REDNESS TO AREA OF SHOT OF MMR .5U ON 21 JAN 03 AT THE 7th DAY, SWELLING AND PUSS POCKET FORMED 9th DAY, TEMPERATURE OF 101.1 ON THE 7th DAY, LOSS OF APPETITE ON 7th DAY. WENT TO IMMUNIZATION CLINIC AT 200H (SAME NURSE THAT GAVE SHOT TOLD ME TO GO TO PRIMARY CARE PHYSICIAN).  NO AVAILABLE OPENINGS SO I WENT TO THE EMERGENCY ROOM AT 200H.  ONCE AT THE EMERGENCY ROOM THEY TOOK A CULTURE OF PUSS AND DETERMINED THAT THE SHOT AREA WAS INFECTED WITH CELLULITISE.  THEY ADMINISTERED AN IV WITH ANTIBIOTICS AND PRESCRIBED VICADIN AS NEEDED FOR PAIN AND DICLOXACILLIN 2000 MG A DAY.
Age: 29.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Anorexia, Cellulitis, Hypertonia, Injection site erythema, Injection site pain
Clinical narrative: REDNESS TO AREA OF SHOT OF MMR .5U ON 21 JAN 03 AT THE 7th DAY, SWELLING AND PUSS POCKET FORMED 9th DAY, TEMPERATURE OF 101.1 ON THE 7th DAY, LOSS OF APPETITE ON 7th DAY. WENT TO IMMUNIZATION CLINIC AT 200H (SAME NURSE THAT GAVE SHOT TOLD ME TO GO TO PRIMARY CARE PHYSICIAN).  NO AVAILABLE OPENINGS SO I WENT TO THE EMERGENCY ROOM AT 200H.  ONCE AT THE EMERGENCY ROOM THEY TOOK A CULTURE OF PUSS AND DETERMINED THAT THE SHOT AREA WAS INFECTED WITH CELLULITISE.  THEY ADMINISTERED AN IV WITH ANTIBIOTICS AND PRESCRIBED VICADIN AS NEEDED FOR PAIN AND DICLOXACILLIN 2000 MG A DAY.
Age: 29.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Oedema, Pyrexia
Clinical narrative: REDNESS TO AREA OF SHOT OF MMR .5U ON 21 JAN 03 AT THE 7th DAY, SWELLING AND PUSS POCKET FORMED 9th DAY, TEMPERATURE OF 101.1 ON THE 7th DAY, LOSS OF APPETITE ON 7th DAY. WENT TO IMMUNIZATION CLINIC AT 200H (SAME NURSE THAT GAVE SHOT TOLD ME TO GO TO PRIMARY CARE PHYSICIAN).  NO AVAILABLE OPENINGS SO I WENT TO THE EMERGENCY ROOM AT 200H.  ONCE AT THE EMERGENCY ROOM THEY TOOK A CULTURE OF PUSS AND DETERMINED THAT THE SHOT AREA WAS INFECTED WITH CELLULITISE.  THEY ADMINISTERED AN IV WITH ANTIBIOTICS AND PRESCRIBED VICADIN AS NEEDED FOR PAIN AND DICLOXACILLIN 2000 MG A DAY.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site reaction, Injection site vesicles, Skin ulcer, Vaccination complication
Clinical narrative: Vaccinia lesion on left wrist, radial side.  Noticed red papule 25 Jan, has progressed to white lesion without discharge.  Because he is a healthcare worker, required provider evaluation and removal from patient care. Annual follow up on 03/17/04: "Pt has recovered from adverse events."
Age: 47.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Approximately an eight inch red band and swelling on the left arm 72 hours after the vaccine was adminstered.  This is the fourth of the series with no previous reactions.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Vaccination complication
Clinical narrative: Autoincoluction with smallpox
Age: 42.0
Sex: M
Vaccine: FLUX
Symptoms: Neuralgia, Pain
Clinical narrative: 3 week h/o left arm pain  beginning as radial nerve pain and generalizing.  Onset few days after flu  shot. MRI pos bilat brachial plexitis L>R (verbal report). Unable to sleep at night yesterday started vicodin No evidence of paralysis. Clinic deferred recommendation re: steroids and recommended
Age: 29.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site hypersensitivity, Oedema, Pruritus
Clinical narrative: Left Tricep with localized area of 4X4Cm of redness and mild swelling. No pain some itching per patient.
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Nausea, Vertigo, Vomiting
Clinical narrative: S/P #1 and #3 Anthrax vaccination. Each time progressive vertigo, nausea, vomiting for 2 days after shots. Treatment with IV fluids and antibiotics.
Sex: F
Vaccine: ANTH
Symptoms: Erythema, Injection site mass, Injection site swelling, Tenderness
Clinical narrative: Swelling, redness, tenderness and lump formed at injection site. Redness approximately 1.5" in diameter. Per patient, swellling and redness has decreased since injection on 1/22/03.
Age: 25.0
Sex: M
Vaccine: ANTH, MEN
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Redness, slight swelling and itching to posterior right upper arm.
Age: 22.0
Sex: F
Vaccine: ANTH, HEP, HEPA
Symptoms: Injection site reaction
Clinical narrative: Greater than 120mm reaction.
Age: 0.5
Sex: M
Vaccine: DTAP, FLU3
Symptoms: Erythema, Mouth haemorrhage, Ocular hyperaemia, Oedema peripheral, Pruritus
Clinical narrative: Parent called clinic on 1/3/03 to report ongoing symptoms for child that began on 12/26/02 around 22:00. Child developed blotches-red on both thighs that spread to arms, feet, neck, chest and back. Child had an axillary temperature of 101.4F. Parent reports both eyes and lips were bright red. On the 27th, the rash on feet became "bumpy". Extremities were swollen, itchy and hard. Physician recommended Tylenol and Benadryl. On the 28th, child was taken to the ER when child's eyes were bloodshot and lips were red and bleeding. Child was given drops for eyes to prevent infection. Temperature decreased but redness and swelling in extremities continued throughout 1/3/03. T/C to mom on 1/6/3; child doing much better. Swelling and redness down but fingertips are peeling.
Age: 0.5
Sex: M
Vaccine: DTAP, FLU3
Symptoms: Pyrexia, Rash macular, Skin exfoliation
Clinical narrative: Parent called clinic on 1/3/03 to report ongoing symptoms for child that began on 12/26/02 around 22:00. Child developed blotches-red on both thighs that spread to arms, feet, neck, chest and back. Child had an axillary temperature of 101.4F. Parent reports both eyes and lips were bright red. On the 27th, the rash on feet became "bumpy". Extremities were swollen, itchy and hard. Physician recommended Tylenol and Benadryl. On the 28th, child was taken to the ER when child's eyes were bloodshot and lips were red and bleeding. Child was given drops for eyes to prevent infection. Temperature decreased but redness and swelling in extremities continued throughout 1/3/03. T/C to mom on 1/6/3; child doing much better. Swelling and redness down but fingertips are peeling.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus
Clinical narrative: Flu shot given at approx. 11:10. At 11:50, noticed nose, then eyes and then mouth began to itch. Notified pt's MD. Benadryl 50mg, IM, given at 12:45. Mouth still itched at 13:30. Taker to ER for evaluation and discharged. On 11/7/02, client back to work on 11/6/02.
Age: 0.8
Sex: M
Vaccine: FLU3, HEP, HIBV
Symptoms: Urticaria
Clinical narrative: Had IZ's about 09:00. Developed hives about 18:00. No respiratory symptoms or oral lesions. Most of the hives were on left leg, increasingly spread on to whole body. On examination: erythematous wheals on extremities/trunk; CTA (B)-all clear.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Ear pain, Neck pain, Throat tightness
Clinical narrative: Flu shot given on 11/12/02 at 11:15. Pt returned at 11:25 complaining of throat being tight, a burning feeling in ears and neck and dizzy. Chlorpheniramine 8mg was given. Vital signs were stable. Pt states "I feel better" and returned to work in this bldg at 11:37.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Urticaria
Clinical narrative: After injection with influenza vaccine, noticed erythema around site of injection. Shortly thereafter, noticed hive across upper back. Resolved on it's own.
Age: 13.0
Sex: F
Vaccine: HEPA, TD
Symptoms: Dizziness, Dyskinesia, Hypertension, Loss of consciousness, Musculoskeletal stiffness
Clinical narrative: TD given in LD 1st, then 5 minutes later, ped Hep-A given in RD. In 5 more minutes, client stated "I fell dizzy", got pale, head went back, legs straight out, body shook X 5-10 seconds and client lost consciousness briefly then sat straight up and asked "what's going on"? She was given O2 at 2 liters per minute per NM.
Age: 13.0
Sex: F
Vaccine: HEPA, TD
Symptoms: Pallor, Respiratory rate increased
Clinical narrative: TD given in LD 1st, then 5 minutes later, ped Hep-A given in RD. In 5 more minutes, client stated "I fell dizzy", got pale, head went back, legs straight out, body shook X 5-10 seconds and client lost consciousness briefly then sat straight up and asked "what's going on"? She was given O2 at 2 liters per minute per NM.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Pyrexia
Clinical narrative: First noticed on 12/10/02. Reddened left arm on 12/11/02. Applied cold compress. Have been using. Fever noted on 12/10/02 of 101F-101.2F. Moving the arm but has a welt approx. 2" wide. Called on 12/13/02, no answer, but at 16:05; no temperature and redness decreased on arm per mother.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Headache, Pruritus, Urticaria, Vomiting
Clinical narrative: Parent phoned PHN and was immediately referred to the ER or doctor for complaint of hives that began on the evening of the IZ's, followed by vomiting and headache incidents; medical care was delayed initially to rule out allergic reaction. On 11/18/02, parent reports that the pt initially received oral Benadryl and a Claritin RX at the ER. She delayed filling it for 1 day, then PHN left a phone message on 11/19/02, as no one was home PM. On 11/20/02, the mother reported the intention to immediately visit the ER for worsened hives. On 11/21/02, she reports that she did not wish to wait in line at the ER and went to the pediatrician's office. She reports that the pt is ok, and that she continues on Claritin and Aveeno bath for itching. She was told to take her shot record to the pediatrician, as there are enough doses for immunity and that the doctor may decide to do allergy testing. No further shots of DTAP or IPV unless the doctor gives or approves 5-10 years. She had been on an accelerated schedule with the last DTP-IPV doses given 9/02.
Age: 2.0
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Oral intake reduced, Pyrexia, Somnolence
Clinical narrative: Fever, decreased appetite and activity. Treated with Amoxicillin 125mg/5 ml tid. Child was given infant Tylenol for fever.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash erythematous
Clinical narrative: Nine red spots on ankle, back of leg, thigh and diaper area.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Patient's right arm is red, swollen with decreased draining. Dx'd with cellulitis.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 2 days after vaccinations, child developed a 10cm X 10cm area of erythema and induration.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left deltoid red, swollen and hot to touch. Given Benadryl 1 po AM and PM; Advil q 6 hours to 8 hours and ice packs to arm.
Age: 15.0
Sex: F
Vaccine: TTOX
Symptoms: Pyrexia, Rhinorrhoea
Clinical narrative: On 1/11/03, mom reports a thick mucous in mouth and nose and a temperature of 103F. While not usual side effect, mom, who is an RN, is adamant that the pt had not been exposed to any illness. Mom was advised to take pt to a medical clinic. On 1/22/03, mom "did not take her to clinic and is feeling fine now".
Age: 2.3
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: Swollen, red right thigh and painful X 72-96 hours. No treatment except warm soaks.
Age: 0.5
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: On 1/23/03, pt accompanied by mom and dad, walked in and parents were concerned about his leg that was swollen on upper left thigh with redness and warm to touch. He was given an appt. with MD. Pt had no fever but was started on Keflex.
Age: 1.7
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt's left shoulder became hot, red and swollen approx. 20 hours after receiving vaccine. Pt's mother instructed per MD, to apply warm compress, elevate arm and give Tylenol.
Age: 46.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Injection site warmth, Muscular weakness, Pruritus, Rash pustular
Clinical narrative: Approx. 3 days, after injection, pt complained of muscle weakness, joint pain in right arm and area around injection was approx. 5cm with multiple pustules, itchy and hot to the touch, lasting 3 days.
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Hypokinesia, Pyrexia, Tremor
Clinical narrative: Pt reports that the day after receiving Hep-B in LD, she started having fever, tremors in extremities and loss of ability to extend/adduct her left arm. She still had feeling in arm but was not able to move it without manually moving it with her other hand. She reported that she had spasms in her neck muscles prior to vaccinations.
Age: 41.0
Sex: F
Vaccine: ANTH
Symptoms: Balance disorder, Erythema, Insomnia, Joint stiffness, Oedema peripheral
Clinical narrative: Stiffness in joints, knees, ankles, wrists swelling especially right wrist. Back swelling and insomnia. Migratory swelling, redness. Pt also experience loss of balance. Annual follow up on 03/08/04: "Pt has not recovered from adverse events.  Pain and swelling both knees, right wrist surgery, pain migratory swelling and redness, fingers, toes, ankles.  Insomnia left hip pain, trocurtric bursitis, stomach ulcers, skin rashes, migraines.  My whole life has been turned upside down.  I'm going through a medical board to be discharged from my work I need to be compensated for my pain and suffering. 4/19/03: I just had an episode here is the report. I sent 5 envelopes of documented medical problems stemming from the shot.
Age: 41.0
Sex: F
Vaccine: ANTH
Symptoms: Swelling
Clinical narrative: Stiffness in joints, knees, ankles, wrists swelling especially right wrist. Back swelling and insomnia. Migratory swelling, redness. Pt also experience loss of balance. Annual follow up on 03/08/04: "Pt has not recovered from adverse events.  Pain and swelling both knees, right wrist surgery, pain migratory swelling and redness, fingers, toes, ankles.  Insomnia left hip pain, trocurtric bursitis, stomach ulcers, skin rashes, migraines.  My whole life has been turned upside down.  I'm going through a medical board to be discharged from my work I need to be compensated for my pain and suffering. 4/19/03: I just had an episode here is the report. I sent 5 envelopes of documented medical problems stemming from the shot.
Age: 44.0
Sex: F
Vaccine: ANTH, HEPA
Symptoms: Erythema, Insomnia, Joint stiffness, Joint swelling, Surgery
Clinical narrative: Stiffness in joints (knees especially) back, swollen wrist, R knee swelling, Insomnia , migratory swelling, redness, Medical board pending. Sugery L knee 2001, R knee 2002, R wrist 2002
Age: 34.0
Sex: F
Vaccine: HEP, TTOX
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pt had hot, red and painful swelling (4" X 5") at injection site, lasting 3-4 days duration. No fever (98.5F).
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Asthenia, Back pain, Chest pain, Cough
Clinical narrative: Pain and swelling, malaise, dizziness, weakness, insomnia, headache, tingling, sharp chest pain, shortness of breath, arm feeling cold, cough, myalgias and arthralgias. Numbness and weakness of left hand, flu-like symptoms, palpitation, back pain, "though coming slowly".
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Dyspnoea, Headache, Influenza like illness, Insomnia
Clinical narrative: Pain and swelling, malaise, dizziness, weakness, insomnia, headache, tingling, sharp chest pain, shortness of breath, arm feeling cold, cough, myalgias and arthralgias. Numbness and weakness of left hand, flu-like symptoms, palpitation, back pain, "though coming slowly".
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Malaise, Myalgia, Pain, Palpitations, Paraesthesia
Clinical narrative: Pain and swelling, malaise, dizziness, weakness, insomnia, headache, tingling, sharp chest pain, shortness of breath, arm feeling cold, cough, myalgias and arthralgias. Numbness and weakness of left hand, flu-like symptoms, palpitation, back pain, "though coming slowly".
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Peripheral coldness, Swelling
Clinical narrative: Pain and swelling, malaise, dizziness, weakness, insomnia, headache, tingling, sharp chest pain, shortness of breath, arm feeling cold, cough, myalgias and arthralgias. Numbness and weakness of left hand, flu-like symptoms, palpitation, back pain, "though coming slowly".
Age: 1.5
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Lymphadenopathy
Clinical narrative: Large local reaction with erythema. Small local axillary node, non-tender. Considered probably vaccine reaction but treated with Augmentin, in case of cellulitis. We felt this simply a local reaction. Mother felt (dirty needles; MA).
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Oedema, Pain, Pruritus
Clinical narrative: 3rd shot received tuesday, 28jan03, 2nd shot received friday 10jan03.  On wed 29jan noted swelling, redness, pain, itching below elbow.  Extent of redness now 15".  No LAD, no loss of use of arm.  No systemic symptoms.,
Age: 23.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Pruritus, Rash papular
Clinical narrative: Diffuse papular rash throughout body and pruritic. No additional symptoms. Rx'd Atarax 25mg po tid prn for pruritus. Will follow.
Age: 23.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Rash erythematous, Rash maculo-papular, Rash pustular, Rash vesicular
Clinical narrative: Diffuse papular rash throughout body and pruritic. No additional symptoms. Rx'd Atarax 25mg po tid prn for pruritus. Will follow.
Age: 0.5
Sex: F
Vaccine: DTAPH, HEP
Symptoms: Abdominal pain, Flatulence, Pyrexia, Stomach discomfort, Vomiting
Clinical narrative: Upset stomach.  Spitting up (to the point of vomitting on the first shot, severe spit up on second, and extra spit up on third) as well as general stomach upset (pain, gas).  A slight fever as well.  Tylenol was given for the fever as needed, with a reduction in fever.  Gas drops given to help stomach pain, no effect.
Age: 40.0
Sex: F
Vaccine: ANTH
Symptoms: Dyspnoea, Urticaria
Clinical narrative: Patient received 2nd Shot of Anthrax and had a Generalized Urticaria w/ breathing difficulty. The patient was administered Epinepherine and Benadryl Injection to control symptoms.  She was placed on 48 hour work limitations (quarters). She followed up 2 days later and continued to have generalized urticaria w/o breathing compromise.
Age: 36.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema
Clinical narrative: Employee received vaccine at work on 10/28/02. Employee came to work 10/30/02 with complaint of edema and pain rt arm a few hours after pnuemococcal vaccine. On inspection sig. edema with sl increase pinkness noted from just below elbow rt arm up to neck/shoulder area. Saw PMD 10/30/02 and put on Medro-dose pack. On 11/1/02 spoke with employee and observed sig decrease in edema in the arm in general but elbow remains edematous but is improving. 11/4/02 spoke with employee and asymptomatic except mild tenderness.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Rash pruritic, Skin reaction, Skin ulcer, Urticaria
Clinical narrative: Pt received both smallpox and anthrax vaccines on 28Jan03 in AM.  The next evening (29Jan03), pt developed a pruritic, urticarial rash on arms and legs.  Presented to sick call 30Jan03 for treatment.  No SOB.  Wound site clean and intact except for skin reaction to adhesive tape.  Pt diagnosed with urticaria, given Zantac and Benadryl and epi-pen and released.  Pt presented to sick call again on 31Jan03 with c/o worsenng rash.  No SOB or other symptoms.  Increased # of lesions on upper arms and legs.  Photos taken.  Dose of Benadryl increased and Zantac was continued.  Pt instructed to proceed to ER if sx worsened over weekend.  Dx-  erythema multiform vs hives.
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Headache, Nausea
Clinical narrative: Pt. reports about 20 min after recieving her 2nd Hep B shout developed a headache involving the top of her head.  No visual disturbances.  On pain scale of 1-10 with 1=lowest & 10=highest, rate of H/A a 7.  Was pale B/P 130/90.  She consulted by phone with Hopsital, thought R/T Hep B shot.  No more Hep B shots.  2 hrs after took tylonal, H/A gon.  Felt fine.  C/O Nausea after H/A subsided.
Age: 25.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Insomnia, Pain, Swelling
Clinical narrative: Right arm soreness, swelling, difficulty sleeping secondary to arm pain.  No relief of symptoms despite Motrin 800 mg qid.  Symptoms for 7 days.
Age: 1.3
Sex: M
Vaccine: DTAP, HBHEPB
Symptoms: Cough, Crying, Irritability, Pyrexia, Rhinorrhoea
Clinical narrative: Temp 103.5 at 6am-motrin given, Temp 103.8 at 7am, tylenol given; crying more this AM-irritable, examined @ clinic- no source for increase temp found, 1/17/03 temp normal, now has runny nose/cough.
Age: 21.0
Sex: F
Vaccine: SMALL
Symptoms: Chills, Headache, Hyperhidrosis, Pain, Pyrexia
Clinical narrative: Fever to 101.4 F, bodyaches, chills, sweats, headache.  Symptoms for 2 days.
Age: 26.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain, Chills, Cough, Headache, Injection site hypersensitivity
Clinical narrative: Fever, cough, itching, rash around vaccination site and around face, runny nose, chest pain associated with cough, sore throat, headache, chills
Age: 26.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site rash, Pharyngolaryngeal pain, Pruritus, Pyrexia, Rhinorrhoea
Clinical narrative: Fever, cough, itching, rash around vaccination site and around face, runny nose, chest pain associated with cough, sore throat, headache, chills
Age: 60.0
Sex: F
Vaccine: HEP
Symptoms: Chills, Face oedema, Fungal infection, Injection site hypersensitivity, Petechiae
Clinical narrative: 1/4/03- Awoke 5AM with itching of left shoulder above injection site, no rash. Later that AM noted petechaie-like rash on left shoulder and both leg calves with increased itching. Also, noticed "ringworm-looking," nickel-sized spot on right calf.  1/4 - 1/26- Itching and rash continued in those areas. Applied vitamin/body lotions, oils, OTC cortisone cream and took Benadryl--short-term, temporary relief with those. Had occas. chills and ran low grade fever entire three weeks.  1/27- Awoke to lower half of face swelling that resolved by afternoon. Large, thick, pink whelps appeared on calves, stomach, chest, on back and under both arms. Intense itching, chills and low-grade fever persisted. Took Benadryl that night and whelps, chills and fever resolved. 1/28- Went to free-standing clinic. Saw M.D. Diagnosed with ringworm on right calf and histamine reaction to third Hepatitis B vaccine. Tx: Lamisil AT 3-4 weeks on fungal lesion     Clarinex 5mg daily x 20 days for rash 1/31- Rash almost all gone, few petechaie remain on calves, some occas. itching of legs, fungal lesion resolving. No fever or chills.
Age: 60.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Pyrexia, Urticaria
Clinical narrative: 1/4/03- Awoke 5AM with itching of left shoulder above injection site, no rash. Later that AM noted petechaie-like rash on left shoulder and both leg calves with increased itching. Also, noticed "ringworm-looking," nickel-sized spot on right calf.  1/4 - 1/26- Itching and rash continued in those areas. Applied vitamin/body lotions, oils, OTC cortisone cream and took Benadryl--short-term, temporary relief with those. Had occas. chills and ran low grade fever entire three weeks.  1/27- Awoke to lower half of face swelling that resolved by afternoon. Large, thick, pink whelps appeared on calves, stomach, chest, on back and under both arms. Intense itching, chills and low-grade fever persisted. Took Benadryl that night and whelps, chills and fever resolved. 1/28- Went to free-standing clinic. Saw M.D. Diagnosed with ringworm on right calf and histamine reaction to third Hepatitis B vaccine. Tx: Lamisil AT 3-4 weeks on fungal lesion     Clarinex 5mg daily x 20 days for rash 1/31- Rash almost all gone, few petechaie remain on calves, some occas. itching of legs, fungal lesion resolving. No fever or chills.
Age: 33.0
Sex: M
Vaccine: SMALL
Symptoms: Rash maculo-papular, Rash pruritic, Skin ulcer
Clinical narrative: Day 11 after smallpox immunization.  Developed generalized maculopapular rash on trunk, upper extremities.  Pruritic target lesions.  Was seen and treated symptomatically with Atarax, Eucerin Cream.
Age: 33.0
Sex: M
Vaccine: SMALL
Symptoms: Face oedema, Hypersensitivity, Hypoaesthesia oral, Rash erythematous
Clinical narrative: Numbness to Lips. Raised bumps (pinwheel) to head, neck,back and anticubital spaces.  Swelling to facial region.  Pt given epi 1:1000 1cc IM R deltoid.  Pt continued and still continues to have adverse reactions with above symptoms, dispite current treatment of Singular, Allegria, Pepcid and Prednisone.
Age: 30.0
Sex: M
Vaccine: FLUX, TYP
Symptoms: Injection site erythema, Injection site rash, Lethargy, Pyrexia
Clinical narrative: Within 12 hours of vaccination, noticed lathargy, increased fever, and development of a red rash surrounding the injection site.  Rash increased bilaterally to include posterior scapular, humeral, radio-ulnar regions along with rash at the dorsal digital region of the hand extending between the fingers.