chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Fatigue, Headache, Hypokinesia, Injection site erythema, Injection site hypersensitivity
Clinical narrative: Pt reported to clinic on 3/3/03 c/o HA x 6 days without relief. No LOC or Din mental status. Pain increased from 3/4/10 to 8/10 with movement. (+) lymphadenopathy L axilla. Also c/o fever, malaise, fatigue with myalgias. Pt referred to MD for further f/u. Local redness, whitish blister, local itching, headache, fever, muscle aches, feeling lousy, swollen lymph nodes. Tx Tylenol 325mg for 2 days off work due to tiredness 2/26/03 in PM.
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site vesicles, Lymphadenopathy, Malaise, Myalgia, Pain
Clinical narrative: Pt reported to clinic on 3/3/03 c/o HA x 6 days without relief. No LOC or Din mental status. Pain increased from 3/4/10 to 8/10 with movement. (+) lymphadenopathy L axilla. Also c/o fever, malaise, fatigue with myalgias. Pt referred to MD for further f/u. Local redness, whitish blister, local itching, headache, fever, muscle aches, feeling lousy, swollen lymph nodes. Tx Tylenol 325mg for 2 days off work due to tiredness 2/26/03 in PM.
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus, Pyrexia
Clinical narrative: Pt reported to clinic on 3/3/03 c/o HA x 6 days without relief. No LOC or Din mental status. Pain increased from 3/4/10 to 8/10 with movement. (+) lymphadenopathy L axilla. Also c/o fever, malaise, fatigue with myalgias. Pt referred to MD for further f/u. Local redness, whitish blister, local itching, headache, fever, muscle aches, feeling lousy, swollen lymph nodes. Tx Tylenol 325mg for 2 days off work due to tiredness 2/26/03 in PM.
Age: 49.0
Sex: M
Vaccine: SMALL
Symptoms: Cough, Dysphagia, Injection site pain, Neck pain, Oedema
Clinical narrative: Immunized L arm on 2/2/03. Pt states starting having s/s on 2/3/03-reported to MD via phone call on 2/5/03. Reported L field neck swelling with difficulty swallowing and severe pain in L arm, neck and throat. Denied SOB, (+) constant cough with slt fever. Seen at immunization specialist. Dx with mild upper resp. infection incidental to smallpox vaccination. Mild adenopathy. Missed two days of work-non narcotic meds given by ER MD.
Age: 49.0
Sex: M
Vaccine: SMALL
Symptoms: Pharyngolaryngeal pain, Pyrexia, Upper respiratory tract infection
Clinical narrative: Immunized L arm on 2/2/03. Pt states starting having s/s on 2/3/03-reported to MD via phone call on 2/5/03. Reported L field neck swelling with difficulty swallowing and severe pain in L arm, neck and throat. Denied SOB, (+) constant cough with slt fever. Seen at immunization specialist. Dx with mild upper resp. infection incidental to smallpox vaccination. Mild adenopathy. Missed two days of work-non narcotic meds given by ER MD.
Age: 43.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Dyspnoea, Face oedema, Injection site urticaria
Clinical narrative: Facial edema and local urticaria, slight shortness of breath-all resolved with Benadryl after two days.
Age: 43.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Injection site erythema, Injection site warmth, Periorbital oedema, Pruritus
Clinical narrative: Facial edema and local urticaria, slight shortness of breath-all resolved with Benadryl after two days.
Age: 26.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Chills, Cough, Headache, Lymphadenopathy, Pain
Clinical narrative: Received primary smallpox on 2/23/03-L arm. 3/4/03 began fever, chills, body aches worsening HA, mild photophobia, generalized vesicular rash, mild cough, generalized adenopathy in L hand site without s/s of infiltration. 20qTV NS 1000 ccs BP 115/60 P 16 HR 79 temp 98.6.
Age: 26.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Photophobia, Pyrexia, Rash vesicular
Clinical narrative: Received primary smallpox on 2/23/03-L arm. 3/4/03 began fever, chills, body aches worsening HA, mild photophobia, generalized vesicular rash, mild cough, generalized adenopathy in L hand site without s/s of infiltration. 20qTV NS 1000 ccs BP 115/60 P 16 HR 79 temp 98.6.
Age: 35.0
Sex: M
Vaccine: SMALL
Symptoms: Vaccination complication
Clinical narrative: Auto-innoculation of smallpox vaccination onto penis.
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Headache, Photophobia, Pyrexia
Clinical narrative: Headache, mild photophobia T=99.8 F, neurologically intact; day #6 of vaccine. Tx with Naproxen; quarters x 24 hrs-improved.
Age: 26.0
Sex: F
Vaccine: SMALL
Symptoms: Dizziness, Fatigue, Headache, Palpitations
Clinical narrative: The patient experienced heart palpitations 2/day for a duration of 1 week. Other symptoms included headache (onset 3/18/03; duration 1 day), fatigue (duration 1 week), and dizziness/light-headedness (duration 1 evening).  In September 2001 the patient experienced periodic heart palpitations that lasted 2-3 months.
Age: 30.0
Sex: F
Vaccine: SMALL
Symptoms: Face oedema, Hypoaesthesia, Pruritus, Rash, Urticaria
Clinical narrative: On 4/11/03, patient reported to Infection Control/Employee Health Dept. with c/o "whelps and itching" occurring on various parts of body.  Digital picture taken and sent to Dr., Rash was not vesicular.  Benadryl 25mg PO given for relief. On 4/14/03, Patient reported back to Infection Control with continued c/o itching whelps and left facial swelling and numbness.  Dr. notified of situation.  Patient referred to E.R. Seen by Dr. Digital pictures forwarded.  Patient treated with corticosteroids and sent home.
Age: 38.0
Sex: F
Vaccine: SMALL
Symptoms: Fatigue, Headache, Influenza like illness, Musculoskeletal stiffness, Myalgia
Clinical narrative: The patient experienced flu-like symptoms including fatigue, muscle aches, stiff neck, and headache.  Illness lasted until 3/29/03, and the patient missed 2 days of work.  This patient's vaccination site did not "take."
Age: 45.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema, Oedema, Urticaria
Clinical narrative: Broke out in full body hives from the neck to her feet 16 hours after receiving the vaccination.  Her hands swelled for 4 days and palms wer red for one day.  Took benadryl around the clock for four days.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Laboratory test abnormal, Pruritus, Rash papular
Clinical narrative: Pruritic papulo vesicular eruption concentrated on distal extremities, few on palms/soles, thighs no oral lesions. Started on day 14. Tx with Cyclocert ointment due to severe pruritis. Improved in 3 days-resolved in 7.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Chills, Coma, Eye movement disorder, Incoherent, Loss of consciousness
Clinical narrative: Patient with fever, malaise and rash immediately post immunization with rash down arm for 2 days. Seen by internal medicine with quarters for 24 hours. Felt better, till 8 days post immunization, when developed fever, chills, malaise and collapsed at dinner table. Wife reports patient unresponsive, with eyes rolled up for 1-2 minutes. Ambulance called, attendants report patient incoherent. On arrival, patient responsive to pain and loud stimuli, but confused. Patient assessed with labs, CT scan and LP, Transferred.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Malaise, Pyrexia, Rash
Clinical narrative: Patient with fever, malaise and rash immediately post immunization with rash down arm for 2 days. Seen by internal medicine with quarters for 24 hours. Felt better, till 8 days post immunization, when developed fever, chills, malaise and collapsed at dinner table. Wife reports patient unresponsive, with eyes rolled up for 1-2 minutes. Ambulance called, attendants report patient incoherent. On arrival, patient responsive to pain and loud stimuli, but confused. Patient assessed with labs, CT scan and LP, Transferred.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Arthralgia, Cow pox, Erythema, Myalgia, Nausea
Clinical narrative: Patient developed fever of 103F on 4/06/03, nausia myalgia & arthralgia & generalized vaccinia, red positive pusuleas, puritis.  seen in ER & admitted to hospital for observation and Benadryl, tylenol.  Patient received and released.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus, Pyrexia
Clinical narrative: Patient developed fever of 103F on 4/06/03, nausia myalgia & arthralgia & generalized vaccinia, red positive pusuleas, puritis.  seen in ER & admitted to hospital for observation and Benadryl, tylenol.  Patient received and released.
Age: 56.0
Sex: F
Vaccine: SMALL
Symptoms: Confusional state, Mental impairment, Speech disorder
Clinical narrative: Was working in garden and began having mental status changes.  ER report states "confused but alert" and "repetition of words"
Age: 39.0
Sex: F
Vaccine: SMALL
Symptoms: Cellulitis, Fatigue, Injection site infection, Lymphadenopathy, Pain
Clinical narrative: On 4-1 when I assessed take, the client had small red streaks beginning to form on her arm around the vaccination site.  She was afebrile but cx of her arm aching and "feeling tired".  I asked the clinic dr to look at her (he was vaccinated also), telling him I suspected she was getting an infection at the site. and he wrote her a prescription for abt.  I checked with the Infection Control Nurse a week later and she said the red streaks had gotten longer on her arm and her lymph nodes had swollen noticeably from shoulder to elbow.  However, she had begun to and was well into recovery with the antibiotics.  No other adverse events reported to me.  This client stated when questioned that she was not changing her tegaderm dressings daily as ordered.  I advised her in the presence of the ICP and dr that changing dressings daily is imperative.  The ICP agreed to check with her more closely each day.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Eye pain, Pruritus, Rash pustular, Vaccination complication
Clinical narrative: 4/14/03, 7 day take check revealed major take and one satellite lesion below primary vaccination and three other pinpoint lesions-mild generalize vvaccinia. The three other pinpoint lesions are located on one superior to Rt antecubital and two are in vicinity of L antecubital. Pt reports itching above R eyelid and below R eyebrow. Has developed small pustule inferior to medial R eyebrow. No conjunctivitis, d/c, visual change, eye pains.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Visual disturbance
Clinical narrative: 4/14/03, 7 day take check revealed major take and one satellite lesion below primary vaccination and three other pinpoint lesions-mild generalize vvaccinia. The three other pinpoint lesions are located on one superior to Rt antecubital and two are in vicinity of L antecubital. Pt reports itching above R eyelid and below R eyebrow. Has developed small pustule inferior to medial R eyebrow. No conjunctivitis, d/c, visual change, eye pains.
Age: 48.0
Sex: F
Vaccine: SMALL
Symptoms: Fatigue, Inflammation, Lymphadenopathy, Pain
Clinical narrative: Had vaccine on February 13, 2003 with a major take, had an enlarged lymph node under left arm and minor fatigue that is still noted.  On Saturday April 5, 2003 started having severe pain in tail bone, but no memory of injury or fall.  On Sunday April 6, 2003 went to ER  and a xray of the coccyx was done and showed no fractures but showed inflammation which was treated with an injection and 2 prescriptions, Bextra and Percocet.  Off from work on Monday April 7, 2003.  On Wednesday went to Family Dr. for routine 6 month blood work (has taken 20-40 mg. Zocor for about 2 years, Levoxil, and INH for Positive skin test since January 2003.)  Lab results showed Alk. P. 211, SGPT 874, and SGOT 666.  Family Dr. and TB clinic Dr. recommended to stop all meds except Levoxil for Thyroid problems (had Thyroid removed in 2001). Thyroid levels at blood work was within the normal range and Cholesterol level was 274. Due to return to Family Dr. for repete blood work on Wednesday April 16, 2003.
Age: 48.0
Sex: F
Vaccine: SMALL
Symptoms: Pain
Clinical narrative: All of the patient's teeth became extremely sensitive, and eating was painful.  Taking Tylenol made the condition tolerable.  The duration of symptoms was 3 days.
Age: 45.0
Sex: F
Vaccine: SMALL
Symptoms: Dysphonia, Flushing, Pharyngolaryngeal pain, Rash, Urticaria
Clinical narrative: Within one hour of vaccination skin became flushed, developing into rash with hives over torso, arms and face.  Then developed sore throat with hoarsness which lasted approximately four hours.  Treated with benadryl.
Age: 46.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema, Fatigue, Headache, Musculoskeletal stiffness, Pain
Clinical narrative: The patient developed a red rash on her right arm (about the size of a nickel) which spread and covered a portion of her abdomen and upper right chest.  In addition to being red, the rash was intensely pruritic and predominately flat, with some small, fluid-filled papules (similar in appearance to acne).  The patient also reported being achy and tired.  The patient self-medicated with alegra, clemastine, and topical benedryl.  Dr.  with the CDC was consulted, and it was determined that the illness was a non-specific rash requiring no additional treatment or management unless further symptoms developed.  By 4/8/03 the rash, fatigue, and aches had resolved, but the patient also developed persistant headaches and a stiff neck (onset 4/5/03), for which Tylenol (650mg) and Ibuprofen (600mg) were taken.  The patient also presented to her primary care physician. The physician administered a neurological examination to the patient and ruled out encephilitis.  Duration of headaches was ~5 days.
Age: 46.0
Sex: F
Vaccine: SMALL
Symptoms: Rash pruritic, Rash pustular
Clinical narrative: The patient developed a red rash on her right arm (about the size of a nickel) which spread and covered a portion of her abdomen and upper right chest.  In addition to being red, the rash was intensely pruritic and predominately flat, with some small, fluid-filled papules (similar in appearance to acne).  The patient also reported being achy and tired.  The patient self-medicated with alegra, clemastine, and topical benedryl.  Dr.  with the CDC was consulted, and it was determined that the illness was a non-specific rash requiring no additional treatment or management unless further symptoms developed.  By 4/8/03 the rash, fatigue, and aches had resolved, but the patient also developed persistant headaches and a stiff neck (onset 4/5/03), for which Tylenol (650mg) and Ibuprofen (600mg) were taken.  The patient also presented to her primary care physician. The physician administered a neurological examination to the patient and ruled out encephilitis.  Duration of headaches was ~5 days.
Age: 38.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Feeling hot, Injection site erythema, Oedema
Clinical narrative: On 4/10/2003 patient stated area of redness surrounding vaccination site but confined to size of semipermable dressing. On 4/11 area of redness and erythema increased, warm to touch, swollen, nodal involvement.  No fever, diagnosis: cellulitis dicloxicillin 500 mg po qid x 10 days prescribed.
Age: 50.0
Sex: F
Vaccine: SMALL
Symptoms: Cellulitis, Feeling hot, Injection site erythema
Clinical narrative: Pt vaccinated on 4/2/2003.  On 4/10/03 noted to have erythema surrounding vaccine site, approx 3" Site warm to touch, tender.  No fever. Nodes palpable. Diagnosis: cellulitis. prescribed dicloxicillin 500 mg po qid x 10 days.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Autism, Gastrointestinal disorder, Muscle twitching
Clinical narrative: From correspondence received from manufacturer, received date 2/26/03, it was reported: A nurse reported the occurrence of autistic symptoms in a 6 month old male who was vaccinated with diphtheria and tetanus toxoids and acellular pertussis vaccine absorbed (Infanrix) for prophylaxis. The subject had no relevant medical history. On an unspecified date in June 2001, the subject received his first injection of Infanrix (lot DTPA505A2). He received another injection of Infanrix (lot DTPA505A2) on an unspecified date in September 2001. In June 2001, he also received injections of Haemophilus influenzae type B conjugate vaccine, inactivated poliomyelitis virus vaccine, and 7-valent pneumococcal conjugate vaccine. Later in June 2001, an unspecified time post-immunization, he began experiencing autistic symptoms such as twitching and digestive problems. These symptoms have been displayed on and off. The events persisted as of 1/28/03. The autistic symptoms in this report are considered medically serious. From faxed correspondence received at manufacturer from another manufacturer on 3/24/03, it was reported that the ID number be added as WAES0303USA00634. No additional information was reported at this time.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Autism, Dyspepsia, Muscle twitching
Clinical narrative: From correspondence received from manufacturer, received date 2/26/03, it was reported: A nurse reported the occurrence of autistic symptoms in a 6 month old male who was vaccinated with diphtheria and tetanus toxoids and acellular pertussis vaccine absorbed (Infanrix) for prophylaxis. The subject had no relevant medical history. On an unspecified date in June 2001, the subject received his first injection of Infanrix (lot DTPA505A2). He received another injection of Infanrix (lot DTPA505A2) on an unspecified date in September 2001. In June 2001, he also received injections of Haemophilus influenzae type B conjugate vaccine, inactivated poliomyelitis virus vaccine, and 7-valent pneumococcal conjugate vaccine. Later in June 2001, an unspecified time post-immunization, he began experiencing autistic symptoms such as twitching and digestive problems. These symptoms have been displayed on and off. The events persisted as of 1/28/03. The autistic symptoms in this report are considered medically serious. From faxed correspondence received at manufacturer from another manufacturer on 3/24/03, it was reported that the ID number be added as WAES0303USA00634. No additional information was reported at this time.
Age: 1.4
Sex: F
Vaccine: DTAP, DTAP
Symptoms: Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Indurated right thigh with some superficial.
Age: 1.4
Sex: F
Vaccine: DTAP, DTAP
Symptoms: Injection site induration
Clinical narrative: Indurated right thigh with some superficial.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, DTAP, HIBV, IPV
Symptoms: Asthma, Autism, Colitis, Colonoscopy abnormal, Developmental delay
Clinical narrative: Mercury toxicity, autism, various heavy metal toxicity, asthma, eczema, colitis, immune dysfunction.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, DTAP, HIBV, IPV
Symptoms: Eczema, Hypersensitivity, Immune system disorder, Metal poisoning, Urine analysis abnormal
Clinical narrative: Mercury toxicity, autism, various heavy metal toxicity, asthma, eczema, colitis, immune dysfunction.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, DTAP, HIBV, IPV
Symptoms: Asthma, Autism, Colitis, Drug toxicity, Eczema
Clinical narrative: Mercury toxicity, autism, various heavy metal toxicity, asthma, eczema, colitis, immune dysfunction.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, DTAP, HIBV, IPV
Symptoms: Immune system disorder
Clinical narrative: Mercury toxicity, autism, various heavy metal toxicity, asthma, eczema, colitis, immune dysfunction.
Age: 19.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Erythema multiforme, Rash
Clinical narrative: Dull red rash-beginning on hands day 8. Day 10 rash on arms, legs, chest and back taking Benadryl 50mg q 4 hrs. Urticarial or nonspecific rash, erythema multiforme minor.
Age: 19.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Rash
Clinical narrative: Dull red rash-beginning on hands day 8. Day 10 rash on arms, legs, chest and back taking Benadryl 50mg q 4 hrs. Urticarial or nonspecific rash, erythema multiforme minor.
Age: 19.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Erythema multiforme, Rash
Clinical narrative: Dull red rash- beginning on hands on Day 8 following vaccination.  On day 10 proceeded to arms, legs, chest, and back.  Taking Benadryl 50mg Q 4 hours.
Age: 19.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Rash
Clinical narrative: Dull red rash- beginning on hands on Day 8 following vaccination.  On day 10 proceeded to arms, legs, chest, and back.  Taking Benadryl 50mg Q 4 hours.
Age: 16.0
Sex: M
Vaccine: RAB
Symptoms: Chest pain, Dysphagia, Dyspnoea, Muscle spasms, Nausea
Clinical narrative: Dysphagia, muscle spasm, severe pain over chest wall. 60 day follow up states it is unknown if pt has recovered. The medical record states nausea, vomiting, and short of breath. Follow up on 5/26/2004: states it is unknown if pt has recovered.
Age: 16.0
Sex: M
Vaccine: RAB
Symptoms: Vomiting
Clinical narrative: Dysphagia, muscle spasm, severe pain over chest wall. 60 day follow up states it is unknown if pt has recovered. The medical record states nausea, vomiting, and short of breath. Follow up on 5/26/2004: states it is unknown if pt has recovered.
Age: 49.0
Sex: M
Vaccine: FLU3
Symptoms: Coordination abnormal, Dysarthria
Clinical narrative: Within 24 hours of influenza virus vaccine, developed ataxia and slurred speech - progressive over 72 hours. Admitted 9 days local hospital and transferred to another hospital for 3 additional days. Numerous nl ct and MRI, head, numerous labs and procedures to include LP - grossly normal - improving with outpatient speech and physical therapy.
Age: 31.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Swelling at site of injection starting within 2 days, increasing with pain and redness to entire upper arm, extending past elbow at 5 days post vaccination. Treated with Hydroxyzine and Keflex and quarters. Clinic visit on day 2, ER visit on day 5.
Age: 21.0
Sex: F
Vaccine: ANTH, HEPA, TTOX
Symptoms: Myalgia
Clinical narrative: Muscle pain left upper arm (worse at night)
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Injection site oedema, Oedema
Clinical narrative: Pt was seen on 3/31/03 for problems received a day after 2nd anthrax. Pt's arm is swollen all throughout from upper arm to fingertips. Also covered with erythema then pts was seen here at 4/3/03 and his arm has gotten worse from first visit at another hospital. Still edema and erythema all throughout pt's arm.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Laboratory test abnormal, Rash erythematous, Urticaria
Clinical narrative: Received vaccination of anthrax on/about 1/26/03, 3rd shot. Rash developed 4 days later. C/O itching. Has diffuse erythematous, urticarial-like lesions on upper torso measuring at 2x3mm. Punch bx taken, sent in. Pt given Atarax 25mg tid, aveeno and Sarna lotion. Derm consult put in.
Age: 25.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: Swelling and erythema in arm around inject site of Anthrax, extending past elbow. Tx'd in a medical center in a.m. of 2/5/03 w/Triamcinolone cream, Keflex, and Motrin. Increasing swelling and erythema during night, PT presented to ER. Tx'd w/Solumedrol and given Atarax.
Age: 3.0
Sex: F
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Cough, Rash, Rash erythematous, Rash vesicular, Rhinitis
Clinical narrative: Developed rash on Friday - a couple of spots on chest, spread to back and then arms. Begin as vesicle, very small and then becomes red rash. Congestion noted on Friday - Nasal congestion and cough.
Age: 0.75
Sex: F
Vaccine: IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Tenderness, swelling, redness L deltoid 50mg Keflex tid x 7d.
Sex: U
Vaccine: TD
Symptoms: Diarrhoea, Influenza like illness
Clinical narrative: Flu like symptoms and diarrhea.
Age: 1.5
Sex: M
Vaccine: DTAP
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site reaction, Injection site warmth
Clinical narrative: Red, hot, swollen leg at injection site and surrounding 4 inch area of thigh. Dx: cellulitis. Tx: Augmentin 400mg bid x 10 days.
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site mass, Injection site pain, Injection site warmth
Clinical narrative: Lump size of golfball, warm to touch, sore.
Age: 1.5
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Mild redness, 2 1/2 inches across, pain. MD speaks to mom over phone and intsructs to use hot packs.
Age: 1.5
Sex: M
Vaccine: PNC
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: L thigh 2 1/2cm indurated (+) erythema.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site induration, Injection site oedema, Injection site warmth
Clinical narrative: On 3/27/03, morning after injection, had 10cm x 9cm reddened, warm area, somewhat hard and itching, had edema in L thigh. Saw Dr. 3/28/03, started on oral Benadryl, symptoms better in 2-3 days. On 4/7/03, still a little red in thigh.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Pruritus
Clinical narrative: On 3/27/03, morning after injection, had 10cm x 9cm reddened, warm area, somewhat hard and itching, had edema in L thigh. Saw Dr. 3/28/03, started on oral Benadryl, symptoms better in 2-3 days. On 4/7/03, still a little red in thigh.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Pruritus, Rash papular, Rash vesicular
Clinical narrative: Began with "spots" and itchy vesicles began 4/8/03. 4/9/03 multiple red papules, vesicles 40-50 on torso. 20 on extremities; some on palms, soles and oropharynx. Afebrile, no resp. sx.
Age: 17.0
Sex: F
Vaccine: HEP, TD
Symptoms: Back pain, Bone pain, Headache, Myalgia
Clinical narrative: Deep muscle and bone pain in extremity and back occurred in all extremities. Dr. felt the Td vaccine was the cause of the problem. Also c/o headache x 3 days. Now resolved as of 4/7/03 5pm.
Age: 0.7
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Agitation, Injection site induration, Injection site pain, Irritability, Pyrexia
Clinical narrative: At 1800 on 4/7/03, pt became very irritable and was unconsolable. He developed fever up to 104 deg F. He also developed a localized reaction (9.5cm x 8cm area of induration, tenderness) on left thigh site of injection.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site mass, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: 4/2 5:15pm hives-no medicine given-2hrs later better. 4/3 5pm Rt arm was red, swollen and hot. 4/4 all day same-checked with doctor-said give Motrin. 4/5 still red swollen sore and lump-but getting better. 4/6 much better.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Urticaria
Clinical narrative: 4/2 5:15pm hives-no medicine given-2hrs later better. 4/3 5pm Rt arm was red, swollen and hot. 4/4 all day same-checked with doctor-said give Motrin. 4/5 still red swollen sore and lump-but getting better. 4/6 much better.
Age: 1.7
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: (+) redness, swelling tenderness in L thigh measuring about 9.5 x 14cm.
Age: 0.6
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Muscle atrophy
Clinical narrative: Pt came in on 3/20/03 for immunizations. Mother had concern for area on pt's L thigh. Area was shown to MD. Appeared to be atrophy of the muscle. We are not certain that atrophy was caused by immunization. Mother stated area appeared after receiving shots on 1/15/03.
Age: 2.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Infection, Rash
Clinical narrative: Rash, varicella.
Age: 1.5
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Injection site oedema, Injection site warmth
Clinical narrative: Swelling left leg, area hot to the touch.
Age: 46.0
Sex: F
Vaccine: TD
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: Immediate redness, swelling at inject site.
Age: 39.0
Sex: F
Vaccine: MMR
Symptoms: Injection site haemorrhage, Injection site hypersensitivity, Injection site oedema, Oedema peripheral, Paraesthesia
Clinical narrative: 3/21/03 MMR given SQ left arm. That afternoon arm became red, swollen and bruised at site. Swelling in left hand, tingling in left hand. Red on lower arm, too. 3/25 Swelling and redness resolved. 4/4/03 Slight bruise left.
Age: 39.0
Sex: F
Vaccine: MMR
Symptoms: Vasodilation procedure
Clinical narrative: 3/21/03 MMR given SQ left arm. That afternoon arm became red, swollen and bruised at site. Swelling in left hand, tingling in left hand. Red on lower arm, too. 3/25 Swelling and redness resolved. 4/4/03 Slight bruise left.
Age: 26.0
Sex: F
Vaccine: MMR, TD
Symptoms: Headache, Injection site reaction, Myalgia, Pruritus
Clinical narrative: 3/29/03 Left arm sore & itching. 4/1 left arm no longer sore. 4/1 Neck (left side) jaw, glands behind ear became sore. Headache - difficulty in opening mouth. 4/4 - presented to medical dept. Referred to an MD to see PT today 4/4/03 at 10:30 a.m.
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Pyrexia
Clinical narrative: Elevated temperature of 103 deg F approx 18 hrs post immunization. Fever continued during day 2/19/03 but was relieved w/Tylenol. Private MD examined PT on 2/19 - found no earache, sore throat or any other signs of infections.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Cellulitis
Clinical narrative: Cellulitis at right thoid
Age: 53.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Eye pain, Oedema, Pyrexia, Rash
Clinical narrative: MMR given on 3/13/03, eye pain with fever (37.8) around 3/24. Noted on 3/25 start of rash on face, which spread to chest and back and thighs. Around 3/27 had severe joint pain in all joints with swelling in wrist. Was placed on prednisone by MD.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 14cm x 9 1/2cm erythemic area with 10 x 6cm  induration. Keflex 250mg po qid ordered. One tsp po qid ordered; tapering dose.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Localized erythema and induration at site of injection L deltoid approx 8cm diameter.
Age: 1.08
Sex: M
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Received varicella vacine 1/24/98 now presents with diagnosis of chickenpox.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Elevated temperature 104 degrees at 5AM 4/9/03.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Rash vesicular
Clinical narrative: Patient was seen 4/8/03 and rechecked in office 4/9/03 for a rash; was diagnosed with Chicken pox.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: DTaP #4 on leg; swelling, induration, redness to thigh about 8.5cmx10cm area.
Age: 50.0
Sex: F
Vaccine: HEP
Symptoms: Anxiety, Flushing, Pruritus, Tongue disorder
Clinical narrative: C/O severe itching, increase anxiety. C/O tongue itching, remained a & o x 3 no SOB lungs clear. Given Benadryl 50mg po x 1 with resolution of symptoms. 10:10 given vaccine. 10:20 c/o severe itching, anxious, no hives, lungs clear bilaterally BP 158/100 P 80 R 18 unlabored. Approx 10:22 contacted PCP. 10:28 50mg Benadryl po x 1. 10:35 itching severe, c/o tongue itching. No c/o SOB, midly anxious. No c/o tongue thickness a & o x 3. BP 140/86 P 76 RR 22. 10:50 c/o generalized itching tongue itching resolved. 10:55 lung sounds clear bilaterally no stridor noted 140/85 P 76 R 20 anxiety minimal, itching sensation partially relieved. 11:05 BP 140/90 R 20 P 72 lungs clear. Skin not as pink/ flushed, itching much less. 11:40 BP 132/78 P 78 R 16 breath sounds clear bilaterally calm no anxiety, states itching almost resolved. 12:15 allowed to leave clinic site.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Pain, swelling, erythema on left deltoid about 24 hours after immunization with DTaP. Positive low grade fever; 7cmx7cm swelling with induration.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Pyrexia
Clinical narrative: 9cmx6.5cm area of erythema left deltoid. Low grade fever 100.2.
Age: 37.0
Sex: F
Vaccine: MMR
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site mass, Injection site swelling, Pruritus
Clinical narrative: Approximately 8-9AM today (3/28/03) client developed 4" knot at site of varicella injection. Site has a large area of inoculation, is reddened, hot, itchy and swollen. Client also developed itchy, deep cracks at corners of her mouth that were slightly swollen. No other symptoms. Client will treat local reaction with Benadryl and dice. If symptoms worsen will seek medical attention.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Hypersensitivity, Injection site erythema, Injection site induration
Clinical narrative: 6cm of redness and induration; worst at 24 hours, improved at 48 hours. Treated as an allergic reaction with Benadryl on right arm (side of DTaP and IPV).
Age: 1.08
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site swelling, Pain
Clinical narrative: Physical exam and immunizations (MMR and DTaP) yesterday. Child woke up today and mom noticed swollen lateral part of left thigh at immunization sites and swollen to knee. Cool touch. No redness, minimal pain.
Age: 42.0
Sex: M
Vaccine: HEP
Symptoms: Asthenia, Cough, Nasal congestion, Rhinorrhoea
Clinical narrative: Runny nose, congestion, cough, weakness in lower extremities 3-4 days after Hepatitis B injection #2 given on 3/10/2003.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Rash vesicular
Clinical narrative: Varicella rash (about 20 lesions) developed on 4/4/03.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Yesterday morning, left leg was reddened and the size of quarter. Last night size of a golf ball and this morning her leg was red and size of a canned coke. Applied ice for 5 minutes by mother.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Dyspnoea, Rash
Clinical narrative: Patient's mother report child began complaints of rash and difficulty breathing at 2:00AM. She gave Benadryl and monitored status.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site discolouration, Injection site erythema, Injection site induration, Tenderness
Clinical narrative: Red area on left deltoid 4"x4" no fever. Tenderness, redness, hard to touch blanches.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Reddened, warm area to upper right arm approximately 4 inches across; not painful, no drainage. Tylenol, Advil, cold compresses.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Tenderness
Clinical narrative: Left upper arm red and tender.
Age: 5.0
Sex: M
Vaccine: DTAP, MEN, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Had vaccine 4/8/03. Swelling, redness and warm to touch around injection site 5.5"x6.5" in width/length.
Age: 36.0
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Nasal congestion, Pyrexia, Viral infection
Clinical narrative: Fever 105 04/04/2003. Congestion. No rash. An Amox 250mg/5cc 1.5 tsp bid po for LOM. Question if viral illness. Injectin site no redness or swelling at site. Questin viral or D MMR reaction.
Age: 24.0
Sex: F
Vaccine: SMALL
Symptoms: Cow pox, Pruritus, Secondary transmission, Skin ulcer, Vaccination complication
Clinical narrative: Phone call received from hospital states that patient came to ER with rash illness on Saturday 4/12/03. Today she was seen by doctor who feels strongly that this is generalized vaccinia. Phone call to client: she states she had close contact with a military policeman and was vaccinated approximately one month ago. She states his site was covered. on 4/7/03, she noted a lesion on her forehead. Thought it might be ringworm 2 hours to contact with kitten, but by 4/11/03 had developed multiple lesions that looked like ant bites but progressively worsened. Now states she had approximately 70 lesions to both legs and 30-40 on arms, more on left than right. She also has lesions to face and neck. Some are producing exudate; they are very itchy and she has taken Benadryl for relief. Advised her about prevention of spread of vaccinia: good hand washing, washing of clothing separately, no dry cleaning, proper denies any personal risk factors or household members with risk factor. She has been advised to seek medical attention for worsening of symptoms. As of now her symptoms include lesions and itching only. Health department has been notified as well as doctor and the military vaccine line. A VAERS form will be completed. Also discussed with patient prevention and follow up of inadvertent eye inoculation in case that should occur.
Age: 24.0
Sex: F
Vaccine: SMALL
Symptoms: Vaccinia virus infection
Clinical narrative: Phone call received from hospital states that patient came to ER with rash illness on Saturday 4/12/03. Today she was seen by doctor who feels strongly that this is generalized vaccinia. Phone call to client: she states she had close contact with a military policeman and was vaccinated approximately one month ago. She states his site was covered. on 4/7/03, she noted a lesion on her forehead. Thought it might be ringworm 2 hours to contact with kitten, but by 4/11/03 had developed multiple lesions that looked like ant bites but progressively worsened. Now states she had approximately 70 lesions to both legs and 30-40 on arms, more on left than right. She also has lesions to face and neck. Some are producing exudate; they are very itchy and she has taken Benadryl for relief. Advised her about prevention of spread of vaccinia: good hand washing, washing of clothing separately, no dry cleaning, proper denies any personal risk factors or household members with risk factor. She has been advised to seek medical attention for worsening of symptoms. As of now her symptoms include lesions and itching only. Health department has been notified as well as doctor and the military vaccine line. A VAERS form will be completed. Also discussed with patient prevention and follow up of inadvertent eye inoculation in case that should occur.
Age: 1.0
Sex: F
Vaccine: IPV, MMR, VARCEL
Symptoms: Blister, Injection site erythema
Clinical narrative: Patient developed area of erythema over site of injection and approximately 10 days after injection, vesicles formed on the erythematous area. Patient had 4 vesicles on an erythematous band approximately size of a quarter. (15cmx2cm).
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Patient developed red area with lump at site of tetanus vaccines.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site mass
Clinical narrative: Father states PT developed a red area with lump on left thigh (inject site) post receiving vax's. Resolved on its own. No other SXs.
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site mass
Clinical narrative: Mother states child developed a red area with lump in left thigh (inject site) post receiving vax's. No other SXs reported.
Age: 2.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash, Speech disorder
Clinical narrative: 20-30 spot on body no fever after overcoming language barrier had communication difficulties.
Age: 86.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Oedema, Pyrexia, Syncope, Vasodilation procedure
Clinical narrative: Fever, chills, arm red and swollen, fainted - taken to ER.
Age: 55.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain, Dyspnoea, Fatigue
Clinical narrative: On 3/25/03 (day 4), pt. experienced chest pain.  On 3/27/03 she woke up at 3:00 am to let her dog out. She experienced an episode of significant shortness of breath.  She denies any history of chest pain or shortness of breath or cardiac disease, however she has a strong family history of cardisc disease. She has been experiencing some fatigue since these two episodes.  Prior to receiving the vaccine, she was switched from Zocor to Lipitor by her personal physician. On 3/27/03 she was evaluated by Dr. for the chest pain and shortness of breath symptoms.  He ruled out any diagnosis of cardiac disease.  She has experienced no other episodes of shortness of breath but still complains of mild fatigue.
Age: 49.0
Sex: F
Vaccine: SMALL
Symptoms: Eye oedema, Sunburn
Clinical narrative: Pt. in intermittent sun for 2-3 hours on 4/7/03.Sunburn across checks and nose and sclera edema of Right eye noted.  Pt. normally wouldn't sunburn that easily, and denies any seasonal allergies to account for Right eye problem.Cheeks and eyes very puffy on 4/8/03.
Age: 22.0
Sex: F
Vaccine: SMALL
Symptoms: Acne, Influenza, Vaccination complication
Clinical narrative: 2 local satellite lesion. Systemic flu like Sx. Mild eruption consistent with foliculitis.
Age: 30.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Rash pruritic
Clinical narrative: Pruritic diffuse whole body rash
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Rash maculo-papular
Clinical narrative: PT had adverse reaction to smallpox vax. PT has numerous red papules on the anterior and posterior regions of torso, back, forearms, and legs.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Rash erythematous, Rash maculo-papular, Rash pruritic
Clinical narrative: Erythematous papular lesions on upper torso, back and a few on the scalp. 1 lesion on forehead. SPV on 3/14/03, lesions noted 2 days ago. Some are pruritic.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Acne, Cow pox, Rash maculo-papular
Clinical narrative: Diffuse papular rash 11 days post smallpox consistent with folliculitis
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Lymphadenopathy
Clinical narrative: Increased local erythema with axillary adenopathy generalized systemic c/o
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Acne, Cow pox, Rash maculo-papular, Rash pustular
Clinical narrative: 3 day Hx of multiple erythemic papulo - pustular lesions - majority ?? and trunk (ant / post). Findings consistent with with folliculitis. spreading legs / buttocks.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Acne, Rash papular, Rash pruritic
Clinical narrative: PT noticed papules on back of neck 3/22/03, over the next 3 days PT noticed papules on lower back, upper chest, and top of head. PT states papules are itchy on occasion. Findings consistent w/folliculitis.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Lymphadenitis, Vaccination complication
Clinical narrative: Self-inoculation with superficial skin infection to the chin and lymphadenitis.
Age: 30.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain, Dizziness, Dyspnoea, Laboratory test abnormal, Skin nodule
Clinical narrative: Dizziness, SOB, chest tightness, painful left nodule inflammation for 2 days, 7 days after vax. EKG monitor reflected PCV's - 6-7.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site induration, Rash erythematous, Rash pruritic, Viral infection
Clinical narrative: Dx'd with viral syndrome April 3rd at a medical center ER. On 4/7/03 at approx 12 p.m. PT's wife noticed red bumps on his left forearm. By 4/8/03 a.m. he noticed another area of red bumps on left forearm antecubital fosa, minimal itching and no ___ spread at time of visit.
Age: 18.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Anorexia, Injection site oedema, Injection site pain, Nausea
Clinical narrative: Nausea, poor appetite; Local site pain / swelling left arm - anthrax right arm vaccine. SXs began after anthrax vax. 3/27/03 of nausea.
Age: 58.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Chest pain, Palpitations
Clinical narrative: Vaccinee experienced "palpitations" without chest pain, starting 20 days post smallpox vaccination.  EKK normal at that time.  COntinues to experience these palpitations although states they are decreasing in frequency. No cardiac history.Parents are both in their 90's and well. Mildly elevated cholesterol being treated with Lipitor. Is scheduled for an echocardiogram and an exercise stress test over the next weeks
Age: 58.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Palpitations
Clinical narrative: Vaccinee experienced "palpitations" without chest pain, starting 20 days post smallpox vaccination.  EKK normal at that time.  COntinues to experience these palpitations although states they are decreasing in frequency. No cardiac history.Parents are both in their 90's and well. Mildly elevated cholesterol being treated with Lipitor. Is scheduled for an echocardiogram and an exercise stress test over the next weeks
Age: 58.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Chest pain, Palpitations
Clinical narrative: PT experienced "palpitations" w/out chest pain, starting 20 days post smallpox vax. EKK normal at that time. Continues to experience these palpitations although states they are decreasing in frequency. No cardiac history. Parents are both in their 90's and well. Mildly elevated cholesterol being treated w/Lipitor. Is scheduled for an echocardiogram and an exercise stress test over the next weeks.
Age: 58.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Palpitations
Clinical narrative: PT experienced "palpitations" w/out chest pain, starting 20 days post smallpox vax. EKK normal at that time. Continues to experience these palpitations although states they are decreasing in frequency. No cardiac history. Parents are both in their 90's and well. Mildly elevated cholesterol being treated w/Lipitor. Is scheduled for an echocardiogram and an exercise stress test over the next weeks.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Shortly after the vaccine, I noticed a darkening in gums.  I went to the dentist and a dental oral surgeon to have lichen planus diagnosed in the gum area.  This was I also have a rash on my stomach that has not been diagnosed.
Age: 38.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain, Dyspnoea, Palpitations
Clinical narrative: Chest pressure, shortness of breath started 10 days after vaccination. Intermittent and associated with palpitations, pain is centrally located, not radiating, not associated with diet but gets worse with exercise and wakes her up from sleep. Diagnosed with high blood pressure and elevated lipids a year ago, controlled by diet and exercise. Seen in ER on 4/8/03, normal BP, ECG and ABGs. Chest x-ray also normal. Plans to see her primary physician and get full cardiac evaluation.
Age: 25.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Post vaccination autoinoculation, Pruritus, Rash, Skin ulcer, Vaccination complication
Clinical narrative: 24 hour hx itching and rash, right proximal inner thigh; several small ulcerated lesions w/bacterial ? rash. Pt stated included area was chaffed from daily run. Tx: Anect, Keflex. Dx: vaccinia autoinoculation
Age: 41.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Dizziness, Ear pain, Tinnitus
Clinical narrative: Symptom Duration/Timing:  Since date: 03/31/2003 (11 days s/p Anthrax Vaccine #6);Approximate Time of onset 0430 hr : Symptom Location: Bil Ear Describe: Dizziness, tinnitus and bil ear pain Symptom Quality/Severity: Quality: dull ache  Severity: Pain 2/10; dizziness 9-10/10 Associated Signs and Symptoms: Bil ear pain, dizziness and tinnitus Modifying factors:   Exacerbating: None   Mitigating:  None  Prior Similar Symptoms: None
Age: 41.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Disturbance in attention, Tinnitus, Vertigo
Clinical narrative: Symptom Duration/Timing:  Since date: 03/31/2003 (11 days s/p Anthrax Vaccine #6);Approximate Time of onset 0430 hr : Symptom Location: Bil Ear Describe: Dizziness, tinnitus and bil ear pain Symptom Quality/Severity: Quality: dull ache  Severity: Pain 2/10; dizziness 9-10/10 Associated Signs and Symptoms: Bil ear pain, dizziness and tinnitus Modifying factors:   Exacerbating: None   Mitigating:  None  Prior Similar Symptoms: None
Age: 22.0
Sex: F
Vaccine: SMALL
Symptoms: Abortion, Unintended pregnancy
Clinical narrative: Patient was administered the smallpox vaccination two weeks before conception.  Patient had a SAB February 2000.