chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 39.0
Sex: F
Vaccine: SMALL
Symptoms: Rash, Wheezing
Clinical narrative: This form submitted upon the request of patient. Patient describes symptoms of right leg numbness, headache, back pain, light rash over entire body, generalized itching within 3 hours of vaccination. Rash resolved in one hour. Other symptoms have been intermittent for the last week. On 04/27 patient had wheezing. On 05/01 patient had cramps in both legs. These symptoms may represent a viral syndrome, but are not consistent with a known adverse event.
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema multiforme, Pruritus
Clinical narrative: Erythema mulliform after small pox vaccine, pruritic, hx of eczema. Referred to dermatologist.
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Rash pustular
Clinical narrative: Received SP vaccine 2 weeks ago. 7-8 days after, pt developed a SP pustule on anterior neck, neck lesion scab fell off 04/23/2003
Age: 25.0
Sex: F
Vaccine: SMALL
Symptoms: Guillain-Barre syndrome
Clinical narrative: Guillain Barré syndrome.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Difficulty in walking, Injection site erythema, Injection site rash, Injection site warmth, Pain
Clinical narrative: Left thigh has softball size red warm rash (papules) around injection site. Parent c/o that child would "barely" walk on that leg, denies all other c/o. Dis say area painful
Age: 50.0
Sex: M
Vaccine: SMALL
Symptoms: Arthralgia, Chest pain, Lethargy, Nausea
Clinical narrative: Lethargy; sore, achy joints; chest pain; nausea
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Hallucination, Pyrexia, Upper respiratory tract infection
Clinical narrative: Patient received his 4 month immunizations on 5/6/03. On 5/7/03 he reported to the office with a fever of 38.1 C and behavior consistant with hallucinations. He was admitted to the hospital on 5/7/03 and discharged on 5/8/03 after the fever and hallucinations resolved. At a recheck on 5/9/03 the fever and hallucinations were resolved but he was diagnosed with a URI. The physician suspects the DTaP immunization for the fever which lead to the hallucinations.
Age: 50.0
Sex: F
Vaccine: SMALL
Symptoms: Urticaria
Clinical narrative: Patient developed hives on her face approximately 10 minutes after inoculation. Patient was monitored and no other symptoms were noted.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Abnormal behaviour, Agitation, Antisocial behaviour, Decreased appetite, Irritability
Clinical narrative: She slept most of the day and ate less than normal, she would not putting a lot of effort into eating.  She got very fussy at 4:30 and that lasted the rest of the night.  Very loud crying.  She was not focusing well, she was not "happy" or smiling as much, she's just not herself.  Her face looked puffier than normal.  At night she would breath normally then stop for up to 5 seconds then gasp.  She also stopped mimicking her mother. the following day she was still very fussy and not easily consoled when awake, still sleeping more than normal and not putting effort into eating, again nibbling on the nipple.   She showed a distinct change in behavior following this shot.  She is now going through therapy, of which, my medical insurance does not cover any of it.  After that shot, she refused to let people hold her, which has now become a detatchment toward all people and an inability to make friends.  She doesn't make eye contact with people, even her parents.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Oedema, Respiratory disorder
Clinical narrative: She slept most of the day and ate less than normal, she would not putting a lot of effort into eating.  She got very fussy at 4:30 and that lasted the rest of the night.  Very loud crying.  She was not focusing well, she was not "happy" or smiling as much, she's just not herself.  Her face looked puffier than normal.  At night she would breath normally then stop for up to 5 seconds then gasp.  She also stopped mimicking her mother. the following day she was still very fussy and not easily consoled when awake, still sleeping more than normal and not putting effort into eating, again nibbling on the nipple.   She showed a distinct change in behavior following this shot.  She is now going through therapy, of which, my medical insurance does not cover any of it.  After that shot, she refused to let people hold her, which has now become a detatchment toward all people and an inability to make friends.  She doesn't make eye contact with people, even her parents.
Age: 47.0
Sex: F
Vaccine: SMALL
Symptoms: Chest discomfort, Fatigue, Headache, Nausea, Palpitations
Clinical narrative: 3/27/03 Received primary vaccination (6 pricks) 4/10/03 No take- no problems.  Revaccinated 4/10/03 (15 pricks).  4/12/03 Developed headache and severe fatigue.  Fever 101 on 4/12 & 4/13, along with nausea.  Missed work on 4/14/03 due to extreme fatigue and nausea.  4/15/03 Returned to work- still very fatigued.  Developed chest tightness with 'palpitations', no radiating.  EKG-WNL.  BP 112/70, P 72. Nausea resolved.  No further chest tightness on 4/16/03.  All other symptoms also resolved on 4/16/03.  4/17/03: take read- small but major.
Age: 47.0
Sex: F
Vaccine: SMALL
Symptoms: Pyrexia
Clinical narrative: 3/27/03 Received primary vaccination (6 pricks) 4/10/03 No take- no problems.  Revaccinated 4/10/03 (15 pricks).  4/12/03 Developed headache and severe fatigue.  Fever 101 on 4/12 & 4/13, along with nausea.  Missed work on 4/14/03 due to extreme fatigue and nausea.  4/15/03 Returned to work- still very fatigued.  Developed chest tightness with 'palpitations', no radiating.  EKG-WNL.  BP 112/70, P 72. Nausea resolved.  No further chest tightness on 4/16/03.  All other symptoms also resolved on 4/16/03.  4/17/03: take read- small but major.
Age: 6.0
Sex: F
Vaccine: HEPA
Symptoms: Dizziness, Headache, Pyrexia
Clinical narrative: Developed fever 102.6 with H/A and dizziness 45 hours after injection.  No other symptoms.  Fever down to 99.6 within 48 hours of onset of symptoms.  Not see at PCP...though they were notified.  Merck was the manufacturer.
Age: 43.0
Sex: F
Vaccine: TD, TD
Symptoms: Anorexia, Arthralgia, Chills, Dizziness, Fatigue
Clinical narrative: Severe burning pain in left tricep surrounding shot site began within 3 hours after receiving shot.  Pain intensified over three days.  Day four brought numbness and tingling in the left arm primarily from the elbow to fingertips, a deepening intense ache in the upper arm and shoulder muscles, mild swelling of the upperarm and elbow area, extreme weakness in the left arm, painful muscle spasms in the left tricep, sensations of both burning heat and chills in the upper arm, lightheadedness, pressure headaches (like my head was in a vice grip), all over muscle aches, mild sporadic muscle spasms, severe fatigue, occasional rapid heartbeat, loss of appetite, and drenching night sweats.  Treatment prescribed was to take Alleve - it did not help.  These symptoms continued through the second week.  By the third week all symptoms had eased somewhat except for the burning pain in the left arm, left tricep muscle spasms, left arm weakness, mild numbness and swelling.  Elbow joint pain became more pronounced.  A six day dose of Prednisolone was prescribed.  This improved the arm pain by @30% in the first 48 hours, and then had no more improvement.  In this fourth week fatigue decreased, appetite improved, night sweats lessened, headaches stopped.  As of the fifth week there remains a deep burning ache in the left tricep, milder burning ache in the left shoulder and underarm, pain in the left elbow joint, mild numbness in the left arm primarily from elbow to finger tips, arm weakness in which any attempts to use the arm result in severe muscle spasms which last for an hour or two afterwards, mild swelling primarily around the elbow area, fatigue, mild night sweats, and occasional episodes of rapid heartbeat (when fatigue brings on lightheadedness).  No other treatment has been prescribed.
Age: 43.0
Sex: F
Vaccine: TD, TD
Symptoms: Headache, Heart rate increased, Hypoaesthesia, Injection site inflammation, Injection site oedema
Clinical narrative: Severe burning pain in left tricep surrounding shot site began within 3 hours after receiving shot.  Pain intensified over three days.  Day four brought numbness and tingling in the left arm primarily from the elbow to fingertips, a deepening intense ache in the upper arm and shoulder muscles, mild swelling of the upperarm and elbow area, extreme weakness in the left arm, painful muscle spasms in the left tricep, sensations of both burning heat and chills in the upper arm, lightheadedness, pressure headaches (like my head was in a vice grip), all over muscle aches, mild sporadic muscle spasms, severe fatigue, occasional rapid heartbeat, loss of appetite, and drenching night sweats.  Treatment prescribed was to take Alleve - it did not help.  These symptoms continued through the second week.  By the third week all symptoms had eased somewhat except for the burning pain in the left arm, left tricep muscle spasms, left arm weakness, mild numbness and swelling.  Elbow joint pain became more pronounced.  A six day dose of Prednisolone was prescribed.  This improved the arm pain by @30% in the first 48 hours, and then had no more improvement.  In this fourth week fatigue decreased, appetite improved, night sweats lessened, headaches stopped.  As of the fifth week there remains a deep burning ache in the left tricep, milder burning ache in the left shoulder and underarm, pain in the left elbow joint, mild numbness in the left arm primarily from elbow to finger tips, arm weakness in which any attempts to use the arm result in severe muscle spasms which last for an hour or two afterwards, mild swelling primarily around the elbow area, fatigue, mild night sweats, and occasional episodes of rapid heartbeat (when fatigue brings on lightheadedness).  No other treatment has been prescribed.
Age: 43.0
Sex: F
Vaccine: TD, TD
Symptoms: Injection site pain, Muscle spasms, Muscular weakness, Myalgia, Night sweats
Clinical narrative: Severe burning pain in left tricep surrounding shot site began within 3 hours after receiving shot.  Pain intensified over three days.  Day four brought numbness and tingling in the left arm primarily from the elbow to fingertips, a deepening intense ache in the upper arm and shoulder muscles, mild swelling of the upperarm and elbow area, extreme weakness in the left arm, painful muscle spasms in the left tricep, sensations of both burning heat and chills in the upper arm, lightheadedness, pressure headaches (like my head was in a vice grip), all over muscle aches, mild sporadic muscle spasms, severe fatigue, occasional rapid heartbeat, loss of appetite, and drenching night sweats.  Treatment prescribed was to take Alleve - it did not help.  These symptoms continued through the second week.  By the third week all symptoms had eased somewhat except for the burning pain in the left arm, left tricep muscle spasms, left arm weakness, mild numbness and swelling.  Elbow joint pain became more pronounced.  A six day dose of Prednisolone was prescribed.  This improved the arm pain by @30% in the first 48 hours, and then had no more improvement.  In this fourth week fatigue decreased, appetite improved, night sweats lessened, headaches stopped.  As of the fifth week there remains a deep burning ache in the left tricep, milder burning ache in the left shoulder and underarm, pain in the left elbow joint, mild numbness in the left arm primarily from elbow to finger tips, arm weakness in which any attempts to use the arm result in severe muscle spasms which last for an hour or two afterwards, mild swelling primarily around the elbow area, fatigue, mild night sweats, and occasional episodes of rapid heartbeat (when fatigue brings on lightheadedness).  No other treatment has been prescribed.
Age: 43.0
Sex: F
Vaccine: TD, TD
Symptoms: Paraesthesia
Clinical narrative: Severe burning pain in left tricep surrounding shot site began within 3 hours after receiving shot.  Pain intensified over three days.  Day four brought numbness and tingling in the left arm primarily from the elbow to fingertips, a deepening intense ache in the upper arm and shoulder muscles, mild swelling of the upperarm and elbow area, extreme weakness in the left arm, painful muscle spasms in the left tricep, sensations of both burning heat and chills in the upper arm, lightheadedness, pressure headaches (like my head was in a vice grip), all over muscle aches, mild sporadic muscle spasms, severe fatigue, occasional rapid heartbeat, loss of appetite, and drenching night sweats.  Treatment prescribed was to take Alleve - it did not help.  These symptoms continued through the second week.  By the third week all symptoms had eased somewhat except for the burning pain in the left arm, left tricep muscle spasms, left arm weakness, mild numbness and swelling.  Elbow joint pain became more pronounced.  A six day dose of Prednisolone was prescribed.  This improved the arm pain by @30% in the first 48 hours, and then had no more improvement.  In this fourth week fatigue decreased, appetite improved, night sweats lessened, headaches stopped.  As of the fifth week there remains a deep burning ache in the left tricep, milder burning ache in the left shoulder and underarm, pain in the left elbow joint, mild numbness in the left arm primarily from elbow to finger tips, arm weakness in which any attempts to use the arm result in severe muscle spasms which last for an hour or two afterwards, mild swelling primarily around the elbow area, fatigue, mild night sweats, and occasional episodes of rapid heartbeat (when fatigue brings on lightheadedness).  No other treatment has been prescribed.
Age: 43.0
Sex: F
Vaccine: TD, TD
Symptoms: Fatigue, Headache, Hyperhidrosis, Hypokinesia, Injection site oedema
Clinical narrative: Severe burning pain in left tricep surrounding shot site began within 3 hours after receiving shot.  Pain intensified over three days.  Day four brought numbness and tingling in the left arm primarily from the elbow to fingertips, a deepening intense ache in the upper arm and shoulder muscles, mild swelling of the upperarm and elbow area, extreme weakness in the left arm, painful muscle spasms in the left tricep, sensations of both burning heat and chills in the upper arm, lightheadedness, pressure headaches (like my head was in a vice grip), all over muscle aches, mild sporadic muscle spasms, severe fatigue, occasional rapid heartbeat, loss of appetite, and drenching night sweats.  Treatment prescribed was to take Alleve - it did not help.  These symptoms continued through the second week.  By the third week all symptoms had eased somewhat except for the burning pain in the left arm, left tricep muscle spasms, left arm weakness, mild numbness and swelling.  Elbow joint pain became more pronounced.  A six day dose of Prednisolone was prescribed.  This improved the arm pain by @30% in the first 48 hours, and then had no more improvement.  In this fourth week fatigue decreased, appetite improved, night sweats lessened, headaches stopped.  As of the fifth week there remains a deep burning ache in the left tricep, milder burning ache in the left shoulder and underarm, pain in the left elbow joint, mild numbness in the left arm primarily from elbow to finger tips, arm weakness in which any attempts to use the arm result in severe muscle spasms which last for an hour or two afterwards, mild swelling primarily around the elbow area, fatigue, mild night sweats, and occasional episodes of rapid heartbeat (when fatigue brings on lightheadedness).  No other treatment has been prescribed.
Age: 43.0
Sex: F
Vaccine: TD, TD
Symptoms: Muscle spasms, Pain
Clinical narrative: Severe burning pain in left tricep surrounding shot site began within 3 hours after receiving shot.  Pain intensified over three days.  Day four brought numbness and tingling in the left arm primarily from the elbow to fingertips, a deepening intense ache in the upper arm and shoulder muscles, mild swelling of the upperarm and elbow area, extreme weakness in the left arm, painful muscle spasms in the left tricep, sensations of both burning heat and chills in the upper arm, lightheadedness, pressure headaches (like my head was in a vice grip), all over muscle aches, mild sporadic muscle spasms, severe fatigue, occasional rapid heartbeat, loss of appetite, and drenching night sweats.  Treatment prescribed was to take Alleve - it did not help.  These symptoms continued through the second week.  By the third week all symptoms had eased somewhat except for the burning pain in the left arm, left tricep muscle spasms, left arm weakness, mild numbness and swelling.  Elbow joint pain became more pronounced.  A six day dose of Prednisolone was prescribed.  This improved the arm pain by @30% in the first 48 hours, and then had no more improvement.  In this fourth week fatigue decreased, appetite improved, night sweats lessened, headaches stopped.  As of the fifth week there remains a deep burning ache in the left tricep, milder burning ache in the left shoulder and underarm, pain in the left elbow joint, mild numbness in the left arm primarily from elbow to finger tips, arm weakness in which any attempts to use the arm result in severe muscle spasms which last for an hour or two afterwards, mild swelling primarily around the elbow area, fatigue, mild night sweats, and occasional episodes of rapid heartbeat (when fatigue brings on lightheadedness).  No other treatment has been prescribed.
Age: 33.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Erythema, Headache, Hypoaesthesia, Injection site oedema, Paraesthesia
Clinical narrative: Local swelling from injection site to elbow
Age: 33.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Pruritus
Clinical narrative: Local swelling from injection site to elbow
Age: 33.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Injection site swelling
Clinical narrative: Local swelling from injection site to elbow
Age: 48.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain, Hypoaesthesia, Pain
Clinical narrative: 3/31/03 woke with R sided chest pain and R arm pain with numbness. Went to ER for work up. Dx: non-cardiac R sided chest pain, etiology to be determined. Given Vicadin, Motrin, Decadron and Flexeril and discharged. 4/4/03 relieved temporarily and transferred to hospital. Continues to have pain with numbness of ring finger and pinkie. Symptoms continue. The medical record received on 5/27/03 states R sided chest pain, and R arm pain with numbness.
Age: 25.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Chest pain, Dyspnoea, Hyperhidrosis, Pyrexia, Tremor
Clinical narrative: Mid-chest CP/Pressure, Dyspnea, Shaking Chills, Sweating X 3 days S/P SMPX Vaccination; Symptom Duration/Timing:  Since date: 04/05/2003 Approximate Time of onset : 0000 AM   Symptom Location:   Mid-chest        Describe: Chest tightness   Symptom Quality/Severity: Quality: tight pressure feeling  Severity: 7-8/10 Associated Signs and Symptoms:  dyspnea, Orthopnea (mild), shaking chills, and sweating Modifying factors:   Exacerbating:  bending over made breathing a lot harder Mitigating:  Ibuprofen and Indocin Prior Similar Symptoms:  Denies any previous history
Age: 25.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Chest discomfort, Chest pain, Chills, Dyspnoea, Hyperhidrosis
Clinical narrative: Mid-chest CP/Pressure, Dyspnea, Shaking Chills, Sweating X 3 days S/P SMPX Vaccination; Symptom Duration/Timing:  Since date: 04/05/2003 Approximate Time of onset : 0000 AM   Symptom Location:   Mid-chest        Describe: Chest tightness   Symptom Quality/Severity: Quality: tight pressure feeling  Severity: 7-8/10 Associated Signs and Symptoms:  dyspnea, Orthopnea (mild), shaking chills, and sweating Modifying factors:   Exacerbating:  bending over made breathing a lot harder Mitigating:  Ibuprofen and Indocin Prior Similar Symptoms:  Denies any previous history
Age: 25.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Orthopnoea, Pericarditis, Tremor
Clinical narrative: Mid-chest CP/Pressure, Dyspnea, Shaking Chills, Sweating X 3 days S/P SMPX Vaccination; Symptom Duration/Timing:  Since date: 04/05/2003 Approximate Time of onset : 0000 AM   Symptom Location:   Mid-chest        Describe: Chest tightness   Symptom Quality/Severity: Quality: tight pressure feeling  Severity: 7-8/10 Associated Signs and Symptoms:  dyspnea, Orthopnea (mild), shaking chills, and sweating Modifying factors:   Exacerbating:  bending over made breathing a lot harder Mitigating:  Ibuprofen and Indocin Prior Similar Symptoms:  Denies any previous history
Age: 25.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Headache, Laboratory test abnormal
Clinical narrative: Mid-chest CP/Pressure, Dyspnea, Shaking Chills, Sweating X 3 days S/P SMPX Vaccination; Symptom Duration/Timing:  Since date: 04/05/2003 Approximate Time of onset : 0000 AM   Symptom Location:   Mid-chest        Describe: Chest tightness   Symptom Quality/Severity: Quality: tight pressure feeling  Severity: 7-8/10 Associated Signs and Symptoms:  dyspnea, Orthopnea (mild), shaking chills, and sweating Modifying factors:   Exacerbating:  bending over made breathing a lot harder Mitigating:  Ibuprofen and Indocin Prior Similar Symptoms:  Denies any previous history
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Cardiac failure, Cardiomyopathy, Cough decreased, Lactic acidosis, Nausea
Clinical narrative: 03/21/2003 Grandmother states client was admitted to hospital with heart problems.  60 day follow up on 11/03/2003: "It is unknown if the vaccine recipient recovered from the adverse event.  For additional information, contact her physician." Discharge summary states Short of breath, cough, cardiomyopathy, heart transplant. msv Medical records state nausea, vomiting. msv  Follow up on 09/09/04 states: "Vaccine receipient has recovered from the adverse events that were reported for this vaccination.  Spoke with health department on 09/03/04.  Pt had a history of heart disease when she received the Hep B vaccine. She ended up having a heart transplant and has recovered from that."
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Vomiting
Clinical narrative: 03/21/2003 Grandmother states client was admitted to hospital with heart problems.  60 day follow up on 11/03/2003: "It is unknown if the vaccine recipient recovered from the adverse event.  For additional information, contact her physician." Discharge summary states Short of breath, cough, cardiomyopathy, heart transplant. msv Medical records state nausea, vomiting. msv  Follow up on 09/09/04 states: "Vaccine receipient has recovered from the adverse events that were reported for this vaccination.  Spoke with health department on 09/03/04.  Pt had a history of heart disease when she received the Hep B vaccine. She ended up having a heart transplant and has recovered from that."
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Convulsion, Hyperexplexia, Laboratory test abnormal
Clinical narrative: Received DTaP/ Prevnar and HIB 02/22. Starting within 24 hours series of startle episodes lasting 10+ seconds. Episodes progressing more prolonged. Dx as seizure disorder early March. Currently on meds: Phenobas and Topanes. The 60 day follow up received on 7/24/03 states, "this baby has an ongoing seizure disorder-having 0-5 seizures daily, comprehensive w/u so far (-)."
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: CSF test abnormal, Guillain-Barre syndrome, Hypoaesthesia, Laboratory test abnormal
Clinical narrative: Pt was admitted to hospital on or about 01/04/2003 and was Dx'd with Guilliam Barre Syndrome on or about 01/06/2003 (Confirmed by spinal tap) Discharge summary states numbness. msv
Sex: F
Vaccine: PNC
Symptoms: Dehydration, Dyspnoea, Pneumonia, Pyrexia, Sepsis
Clinical narrative: Necrotizing pneumonia, Bacteremi - bl cult pos Pneumoncoccus. Treated with Resphin IV and Clndamyan Discharge summary states fever, shortness of breath, dehydration. msv
Age: 4.5
Sex: M
Vaccine: DTAP, IPV
Symptoms: Irritability, Joint range of motion decreased, Laboratory test abnormal, Lethargy, Myelitis
Clinical narrative: Starting on Tuesday, 05/16/2000, pt became irritable and developed a low grade fever. This continued until Friday, 05/18/2000 when he became increasingly lethargic and eventually lost all sensation and motor abilities in his lower limbs. 05/20/2000 MRI revealed swelling of spinal cord CS-T1 and conus medularis. Diagnosed with transverse myelitis. The 60 day follow up received on 7/24/03 states, "pt has permanent disabilities from this event. He continues to have partial paralysis in all four limbs, bowel and bladder issues, kefosis of the spine, and struggles with spasticity." The medical record received on 1/6/04 confirms the diagnosis of transverse myelitis.
Age: 4.5
Sex: M
Vaccine: DTAP, IPV
Symptoms: Paralysis, Pyrexia, Spine malformation
Clinical narrative: Starting on Tuesday, 05/16/2000, pt became irritable and developed a low grade fever. This continued until Friday, 05/18/2000 when he became increasingly lethargic and eventually lost all sensation and motor abilities in his lower limbs. 05/20/2000 MRI revealed swelling of spinal cord CS-T1 and conus medularis. Diagnosed with transverse myelitis. The 60 day follow up received on 7/24/03 states, "pt has permanent disabilities from this event. He continues to have partial paralysis in all four limbs, bowel and bladder issues, kefosis of the spine, and struggles with spasticity." The medical record received on 1/6/04 confirms the diagnosis of transverse myelitis.
Age: 1.7
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Apnoea, Convulsion, Pyrexia
Clinical narrative: Immunization was at 10:00am. At approximately 6:15 he had a seizure with a temperature prior to this. During seizure he stopped breathing.
Age: 1.05
Sex: M
Vaccine: MMR, PNC
Symptoms: Nasal congestion, Pyrexia
Clinical narrative: One week after immunization, had a very high fever and congestion.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Asthenia, Hypoaesthesia, Injection site inflammation, Pain
Clinical narrative: Standard inflammatory reaction at site was covering entire triceps area. This lead to compression of elbow and elbow pain, numbness of hand and significant loss of grip strength in the immunized arm.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Feeling hot, Injection site erythema, Injection site hypersensitivity, Injection site oedema, Paraesthesia
Clinical narrative: Apprx. 125mm height x 150mm length are and swelling, redness, increased warmth, itching and intermittant tingling, just distal to mid tricep injection site. Started day 1 post injection, resolved day 7 w/o treatment. No other systemic or local reaction.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Pruritus
Clinical narrative: Apprx. 125mm height x 150mm length are and swelling, redness, increased warmth, itching and intermittant tingling, just distal to mid tricep injection site. Started day 1 post injection, resolved day 7 w/o treatment. No other systemic or local reaction.
Age: 46.0
Sex: F
Vaccine: TD
Symptoms: Chills, Injection site pain, Injection site swelling, Malaise, Rash erythematous
Clinical narrative: 46 year old female given routine Td on 4/18/03 as couldn't even recall last Td. Led to onset of chills/significant malaise, pain and swelling at injection site 4/19/03. Pt seen in office 4/21/03. Right deltoid 8.5cm x 9.5cm, red raised, tender swollen region, markedly + TTP, - fluctuant. (Required narcotics for pain control). (Pt reports this size was an improvement, had been larger).
Age: 46.0
Sex: F
Vaccine: TD
Symptoms: Tenderness
Clinical narrative: 46 year old female given routine Td on 4/18/03 as couldn't even recall last Td. Led to onset of chills/significant malaise, pain and swelling at injection site 4/19/03. Pt seen in office 4/21/03. Right deltoid 8.5cm x 9.5cm, red raised, tender swollen region, markedly + TTP, - fluctuant. (Required narcotics for pain control). (Pt reports this size was an improvement, had been larger).
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Pain, Pyrexia
Clinical narrative: 70 year old female had pneumovax 5/2/03. Developing redness and swelling at site extending to elbow. Low grade fever and pain.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Contusion, Injection site erythema, Injection site swelling, Pain
Clinical narrative: Pt's Mom called, said pt's left arm noted some swelling around area shot was given, about quarter size, but stated arm was red, top part of arm, bruising at area. Mom was told to give Tylenol, for pain give Benadryl over the counter. Told Mom I would call back to check on pt. Told Mom to bring him in if she was concerned or to her MD. Pain started back 4/11/03. Pt didn't return call.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Mother called and stated left arm started with redness and swelling Weds. after vaccination and on Friday she was taking her son out and would get him shoes (?). After MD visit he stated give Benadryl. 4/7/03 Pt OK , better now.
Age: 5.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Erythema
Clinical narrative: 4/21/03: 2 hours reddened area, small amount erythema. Tx'd with po Benadryl. Continued with Tylenol every 6 hours. Return if Sx worsen. 4/23/03: completely recovered.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Myalgia, Oedema, Pyrexia
Clinical narrative: Fever, sore edematous arm on 4/16/2003. To PMD on 4/17/03, received 2 "antibiotic" injections, continue Motrin every 6 hours, moist heat. 4/23/03: completely recovered.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema, Pyrexia
Clinical narrative: Per mother - redness, swelling to right upper arm. Also has fever 102-103 degrees F.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling abnormal, Oedema
Clinical narrative: 4/15/03 Woke up at 4:30 AM "feeling bad" - temp not taken - Tylenol given - child went back to sleep. 8:00 AM mother notice right arm red and swollen and is getting worse. Advised to apply cold compresses today and warm compresses tomorrow - if no better, see MD.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Oedema
Clinical narrative: 1/10/03: Right deltoid red, swollen, approx. 10cm in size. No drainage - advised supportive measures - cold and warm compresses, Advil and Tylenol. 1/14/03 - spoke with mother via phone, symptoms decreased, child much improved, swelling down.
Age: 72.0
Sex: F
Vaccine: PPV, TD
Symptoms: Headache, Hypersensitivity, Injection site erythema, Injection site swelling, Malaise
Clinical narrative: Extreme swelling, redness below shot from injection point to elbow. General malaise, headache, fever, pain in arm. Allergic reaction - tetanus shot - 4 days duration, aspirin taken to relieve pain.
Age: 72.0
Sex: F
Vaccine: PPV, TD
Symptoms: Pain, Pyrexia
Clinical narrative: Extreme swelling, redness below shot from injection point to elbow. General malaise, headache, fever, pain in arm. Allergic reaction - tetanus shot - 4 days duration, aspirin taken to relieve pain.
Age: 0.5
Sex: M
Vaccine: DTAP, HBHEPB, PPV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Erythematous induration (walnut size) at site of injection, slowly resolving.
Age: 0.4
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Crying
Clinical narrative: Mom states that shortly after returning home with pt after 1st series of immunizations he cried for close to 2 hours. Calming down. No symptoms of convulsions, high fever, listlessness noted. MD notified 4/30/03.
Age: 4.11
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cough, Pruritus, Salivary hypersecretion, Wheezing
Clinical narrative: Patient developed cough-mucous in mouth.  Wheezing and generalized itching with no rash.  He was treated with 0.2cc without SVA cut and albuterol inhaloation x1.  He was also given oral steroid 15mg BiD x2 days 15mg OD x 2 days.
Age: 50.0
Sex: M
Vaccine: PPV
Symptoms: Asthenia, Influenza like illness, Pyrexia
Clinical narrative: Low grade temperature of 101 degrees F.  Flu like symptoms.  In bed all weekend.  Very weak.  (It's been so long-all the details are not clear.) The follow up received on 5/23/03 states "the doctor's office told me that they did not have the manufacturer or lot #. If you need need that info, you will have to call Dr."
Age: 11.9
Sex: F
Vaccine: HEP
Symptoms: Eyelid oedema, Nausea, Urticaria
Clinical narrative: Approximately 1 1/2 post #3HB, client complained of nausea.  Hives began on chest, then neck and face.  Eyes swelled shut.  Eventually total body hives.  To family MD, given Zyrtec and Benadryl PO.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Dermatitis bullous, Rash papular
Clinical narrative: DTaP administered 04/26/2003 and patient exposed to chickenpox a week before DTaP administered.  Patient developed chickenpox rash with patients right buttock having large papular rash were shot administered.
Age: 1.0
Sex: F
Vaccine: IPV, MMR, VARCEL
Symptoms: Conjunctivitis, Pyrexia, Rash papular, Upper respiratory tract infection
Clinical narrative: 3 days after vaccine child developed conjunctivitis and URI symptoms.  8 days after vaccine developed fever 103-104 degrees F and went to ER.  9-11 days after vaccine developed maculopapular red rash.  Recovered without complications.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Temperature 104 degrees F and rash to entire body 2 days after vaccine administered.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Feeling hot, Pain, Swelling
Clinical narrative: Patient awakened on 04/25/2003 with erythema, swelling, pain of right arm from shoulder to elbow.  Skin felt hot-to-touch.  Treatment :  Benadryl, Elixen ice to area.  Had received immunizations the previous day.  Unable to reach patient by phone to follow up and see how his doing.
Age: 6.0
Sex: M
Vaccine: MMR
Symptoms: Pruritus, Pyrexia, Rash, Vomiting
Clinical narrative: MMR given 04/23/2003 on 04/27/2003 child developed fever, vomiting, seen at clinic 04/28/2003.  Symptoms resolved; on 04/29/2003, rash appeared on abdomen and spread to extremities.  Seen in clinic 05/02/2003-rash still there, somewhat itchy.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient received immunization 04/25/2003 developed redness and swelling on left leg at injection site.  No fever.  Is able to bear fall weight on left leg.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Pruritus, Swelling
Clinical narrative: Patient given DTPa on 04/29.  Right upper arm MMR given Right Arm Subcutaneously.  Upper right arm became very swollen, red and warm to touch on 04/30/2003.  States right upper arm also itchy.  No welts or open area noted.  No blisters.
Age: 5.3
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Dermatitis bullous, Infection
Clinical narrative: Varicella Vaccine was given 01/28/1999.  Mom reported child had about 30 chicken pox lesions on 04/25/2003.  Disc. usual chicken pox guidelines-cpox confirmed by Dr.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, IPV
Symptoms: Anorexia, Lethargy, Pain, Pyrexia, Swelling
Clinical narrative: Father calls to report that patient has been feverish since yesterday evening; he has sore, swollen upper arms, feels lethargic and is not hungry.  Encouraged fluids, acetaminophen or ibuprofen and observation of patients condition.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pruritus, Rash
Clinical narrative: Rash with itching on face, neck, forearm and itching on back.
Age: 1.5
Sex: M
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Local erythma, swelling in left thigh.
Age: 1.6
Sex: F
Vaccine: PNC
Symptoms: Erythema, Injection site reaction, Swelling
Clinical narrative: Patient presents to clinic with left leg redness and swelling.  (8.5cm x 5.8cm area).  Received PrevNar vaccine on 04/29/2003.  No fever noted.  Diagnosis: Localized PrevNar reaction.  Treatment: Benadryl liquid as occasion requires.
Age: 0.42
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Erythema, Rash
Clinical narrative: Received vaccines 4/22/03 PM - on 4/23/03 when got up noticed baby had flat red, fine spots on stomach, nothing throughout day. Then on 4/24/03 AM woke up with same spots on stomach, back, arms and legs. Spots are not raised at all. No change in activity level. On 4/25/03 child cleared totally. Had been in hospital 2-3 weeks ago - no meds in past 2-3 weeks.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: Vaccine given 4/28/03 - developed redness, warmth on right upper arm at site of DTaP injection. Advised OTC pain reliever and cold compresses. 5/5/03 called mom - states took her to MD. MD prescribed steroid ointment. Better.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pruritus, Rash, Rash papular
Clinical narrative: Pruritic rash developed on trunk and arms 4/30. Spreading over trunk and buttocks with more diffuse papules. Left deltoid area with cluster of papules less than 1mm each. Taking Benadryl prn.
Age: 0.3
Sex: M
Vaccine: DTAP, PNC
Symptoms: Tongue disorder
Clinical narrative: 2 days after receiving the 2 immunizations, pt developed behavior of thrusting tongue to left 2-4 times an hour; disappears during sleep. Symptoms less frequent as of today.
Age: 1.3
Sex: M
Vaccine: DTAP, PNC
Symptoms: Erythema, Feeling hot, Myalgia, Swelling
Clinical narrative: Pt with 4th dose DTaP - swelling on entire leg - sore, red - warm to touch. Instructed to use Benadryl, cool compresses and report progress on leg - swelling gone by 5/5/03. No other symptoms. Pt no problems at this time. Family hx of reaction to DTaP. Mom with severe reaction. Pt's chart flagged with allergy to avoid problems in the future.
Age: 16.0
Sex: F
Vaccine: HEP, MMR, TTOX
Symptoms: Erythema, Lymphadenopathy, Oedema
Clinical narrative: Left deltoid red and swollen with small lump, swollen lymph nodes under left arm, which started 5/1/03. Seen 5/2/03. Dx'd with arthus reaction - advised symptomatic care. Return to clinic if symptoms worsen.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema, Pain
Clinical narrative: Redness and swelling of left upper arm. Increased warmth and pain - no fever. Zyrtec - cool compress.
Age: 1.5
Sex: F
Vaccine: DTAP
Symptoms: Cellulitis, Feeling hot, Injection site erythema, Injection site pain, Injection site reaction
Clinical narrative: About 6 x 6cm raised, red, tender warm lesion at site of injection. Afebrile. Tx'd with Keflex for presumptive cellulitis.
Age: 1.5
Sex: F
Vaccine: DTAP
Symptoms: Injection site swelling
Clinical narrative: About 6 x 6cm raised, red, tender warm lesion at site of injection. Afebrile. Tx'd with Keflex for presumptive cellulitis.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Feeling hot, Oedema, Pain
Clinical narrative: Onset 2 hours prior to clinic appt: red, hot, swollen upper arm. Complained of pain. Able to move arm. 10cm firm moderately swollen erythamatous hot area left deltoid to shoulder. Some movement of arm. Dr Tx: cold packs, given Tylenol, Rx Benadryl.
Age: 28.0
Sex: F
Vaccine: DTP
Symptoms: Erythema, Feeling hot, Lymphadenopathy, Pain
Clinical narrative: Right after administration, right deltoid became very warm, and red in color. Next day large hard knot developed with pain and increased warmth. Pt seen in office and tx with antibiotic and prednisone- due to 1 enlarged lymph node.
Age: 0.25
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Screaming
Clinical narrative: Mom reported excessive crying 4 hours straight after vaccines given.
Age: 0.5
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Irritability, Pyrexia, Somnolence
Clinical narrative: Fever up to 102.7 degrees rectally within 24 hours after immunization at 6 months. Fussy, sleeping more, seen at urgent care.
Age: 3.0
Sex: M
Vaccine: PNC
Symptoms: Injection site erythema, Injection site inflammation, Injection site swelling
Clinical narrative: Pt received PCV -7 (1st dose) on right leg on 5/7/03. Per mom, pt's injection site became red, swollen and inflamed 5/9/03 11 AM.  No other complications. Advised Mom to place warm compress to site for 5 minutes every hour, continue Tylenol PRN. Pt to return to clinic if condition worsens.
Age: 23.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Unintended pregnancy
Clinical narrative: Patient was vaccinated with smallpox vaccinia just prior to or during early pregnancy.
Age: 0.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Chest pain, Erythema, Rash pustular
Clinical narrative: Reporter is physician. SMA vaccination last week of Jan 03 with significant pustule and erythema. Symptoms within 2 weeks later. Intensity of first episode of chest pain dropped me to my knees and caused me to sit on floor. No radiation of pain. Have never experienced esophageal spasms or UGI symptoms, but have treated it effectively with NTG spray, so treated myself in this way with complete pain relief within several minutes. Had I been a layperson, I would have gone to ER. Had I treated this patient, I would have admitted due to medicolegal concerns. Because of extreme exercise tolerance (60-90 min on cross trainer at highest resistance, 9-13 miles on meter, 160-170 bpm x 50-80 min without chest pain), low risk factors, I did not believe ischemic in origin.  Subsequent episode [date not provided] after awaking, but still lying supine. During subsequent 3 months, less than 7 days without chest pain. Pain pattern consistent with angina--associated with activity, carrying heavy items, walking after eating. Lasting < 5-6 min, the retrosternal ache frequently radiates down L arm, occasionally with greater intensity down both arms with paresthesias and numbness. With intense or prolonged pain, I take a second and rarely a third nitro spray. Mylanta does not abate symptoms. Possible ischemic preconditioning: acceleration intervals of 300 yards: pain only during walking phase after the first acceleration run of a series of 6-10 runs. No pain during or after subsequent runs. Happened each workout.
Age: 0.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Angina pectoris, Anxiety, Blood cholesterol decreased, Depression, Laboratory test abnormal
Clinical narrative: Reporter is physician. SMA vaccination last week of Jan 03 with significant pustule and erythema. Symptoms within 2 weeks later. Intensity of first episode of chest pain dropped me to my knees and caused me to sit on floor. No radiation of pain. Have never experienced esophageal spasms or UGI symptoms, but have treated it effectively with NTG spray, so treated myself in this way with complete pain relief within several minutes. Had I been a layperson, I would have gone to ER. Had I treated this patient, I would have admitted due to medicolegal concerns. Because of extreme exercise tolerance (60-90 min on cross trainer at highest resistance, 9-13 miles on meter, 160-170 bpm x 50-80 min without chest pain), low risk factors, I did not believe ischemic in origin.  Subsequent episode [date not provided] after awaking, but still lying supine. During subsequent 3 months, less than 7 days without chest pain. Pain pattern consistent with angina--associated with activity, carrying heavy items, walking after eating. Lasting < 5-6 min, the retrosternal ache frequently radiates down L arm, occasionally with greater intensity down both arms with paresthesias and numbness. With intense or prolonged pain, I take a second and rarely a third nitro spray. Mylanta does not abate symptoms. Possible ischemic preconditioning: acceleration intervals of 300 yards: pain only during walking phase after the first acceleration run of a series of 6-10 runs. No pain during or after subsequent runs. Happened each workout.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Cerebral palsy, Palpitations
Clinical narrative: 32 year old developed CP and palpitations after smallpox (1 week) vaccination. Reported this after cardiac events reported. W/U - ECG, CXR, Eifro - WNL, LOL-144, increased triglycerides, positive hx HTN, increased lipids, ETT-clinically negative, EKG positive. Cath-clean, arteries and good liver function. Cleared by cardiology.
Age: 46.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain, Lymphadenopathy
Clinical narrative: About 4 days after receiving the vaccine I had pain in substernal/parasternal area. I had never had this pain before and felt it was related to the painful lympadenopathy. The pain lasted 7-10 days and improved. Only mild occasional discomfort now.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Gingival pain, Malaise, Pruritus, Pyrexia
Clinical narrative: Pt complained of malaise and swollen red gums at time of visit. Pt states fever got up to 104 degrees but at time of visit on 04/19 temp 96.4 degrees F. Pt also experienced slight itching - treated with Benadryl. Also given xylocaine mixed with water to gargle for gum pain.
Age: 30.0
Sex: F
Vaccine: SMALL
Symptoms: Malaise, Pyrexia
Clinical narrative: Vulvar ulcer right in labia coincided with sx elevated fever, malaise 2-4 weeks after smallpox vaccination and resolved with no tx.
Age: 16.0
Sex: M
Vaccine: MEN, TYP, YF
Symptoms: Dyspnoea, Erythema, Loss of consciousness
Clinical narrative: Approximately 1 hour or so after vaccination, pt experienced shortness of breath and turned red all over; father reports pt may have briefly "blacked out". Consulted a physician who was a friend of the family; gave pt 2 Benadryl; pt recovered shortly after with no further complications.
Age: 27.0
Sex: F
Vaccine: MEN, YF
Symptoms: Rash, Urticaria
Clinical narrative: Student called Health Service stating "received meningitis vaccine 4/28/03. On 5/2/03 developed rash and hives all over body with large wheal at injection site." She also received Yellow Fever on 4/28/03 - no reaction at that site. Rx with Benadryl.
Age: 22.0
Sex: M
Vaccine: YF
Symptoms: Injection site erythema, Pruritus
Clinical narrative: Patient awake with itching half dollar sized red area at site of injection.  Advised to see provider if progressed itching or hives, or shortness of breath.  04/23/2003.
Age: 50.0
Sex: F
Vaccine: SMALL
Symptoms: Arthralgia, Arthritis, Nail discolouration, Oedema
Clinical narrative: Patient called the CDC Clinician Information Line on 5-9-03 to ask about some symptoms since receiving the Smallpox vaccination. They told her to fill out a VAERS report. Patient states that she has been recently diagnosed with degenerative arthritis. It has been affecting her first digit of her little finger on her right hand. She began having some minor discomfort in it about a month after getting the smallpox vaccination. States she has very little cartilage left. A couple of weeks ago she noticed that the nail bed was white. States she has good circulation to the finger but that the joint is swollen and painful with movement. Patient states that this is the only joint affected at this time. Patient is a diabetic but has no history of cardiac problems. Patient states that her arm still aches at times where her vaccination was given.
Age: 47.0
Sex: F
Vaccine: SMALL
Symptoms: Asthenia, Eyelid ptosis, Headache
Clinical narrative: ptosis,facial weakness, cephalgia
Age: 33.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain, Dyspnoea, Hyperventilation
Clinical narrative: 5 days post vaccinia vaccination on 04/19/2003 awoke at 04:30 with "severe" mid sternal chest pain which lasted approximately 10 min.  Said had episodes of pain off and on throughout the day also some short of breath with activity and high in pain with deep breathing.  To hospital ER 04/19/2003 approximately 22:00 EKG, Labs, and CKR- all normal states diagnosed with dostochondritis and start anti inflammatory meds.
Age: 47.0
Sex: M
Vaccine: ANTH, HEP, MEN, TYP
Symptoms: Arthralgia, Back pain, Fatigue, Malaise, Night sweats
Clinical narrative: 08May2003 symptoms: fatigue, malaise, night sweats, 101.5 F fever, joint and back pain.  09May2003 symptoms: night sweats, fatigue  10May2003 symptoms: night sweats, fatigue
Age: 47.0
Sex: M
Vaccine: ANTH, HEP, MEN, TYP
Symptoms: Pyrexia
Clinical narrative: 08May2003 symptoms: fatigue, malaise, night sweats, 101.5 F fever, joint and back pain.  09May2003 symptoms: night sweats, fatigue  10May2003 symptoms: night sweats, fatigue
Age: 26.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Dyspnoea, Feeling hot, Hyperhidrosis, Hypertension, Vision blurred
Clinical narrative: PT RECIEVED TWO IMMUNIZATIONS THIS DATE. ANTHRAX#5 SC IN RIGHT DELTIOD AND TYPHOID SC IN RIGHT TRICEP. PT HAD NO PRIOR HX OF ADVERSE REACTION TO ANTHRAX. PT STATES SIMILAR EVENT OCCURED AFTER LAST FLU AND TYPHOID ADMINISTRATION. PT STATES HE HAD SOB, BLURRED VISION AND "A PRICKLY FEELING ALL OVER". PT GOT REALLY HOT AND BEGIN TO SWEAT.