chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 35.0
Sex: F
Vaccine: MMR
Symptoms: Varicose vein
Clinical narrative: Lost MMR records (was previously vaccinated in 1967 and 1973) Required to complete series again.  MMR shot resulted in extreme swelling of the injection area (upper right arm) to the point that circumference of arm doubled.  Size of swelling area extended about 4" radius from injection site and began swelling within 2-3 hours.  Swelling lasted about 3-4 days.  Mild discomfort but not really feverish.  Arm area was very hot to the touch and very sore.  Swelling caused surrounding veins to burst, leaving permanant injury.  (I STILL have vericose veins at the site of the injection, 7 years later!)  At some times I suffer from deep muscle pain in that arm at the site of the injection.  It feels like I have been slugged in the arm very hard.  That's what it felt like after I got the injection too.  I reported the incident to the health department, however I do not believe they reported it to anyone.  I was suspended from having the 2nd injection until I moved and I was required to have the injection no matter what.  I advised them of my 1st reaction.  The health department people did not care about my previous condition and forced the injection on me.  I had no reaction to the second shot.  (Received 2 years later, 8/1999).  I was informed that most likely I was given a shot with a dirty needle and that is why I suffered the reaction.
Age: 3.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt with reddness and swelling at vaccine site to shoulder X 2 days.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: 10/08/03 9am noted 1/2 dollar size red swelling at injection site. This increased to a red hardened area the size of a baseball. Mother was advised by pediatrician to apply hot compresses and administer Tylenol. Size and reddness dissipated over the course of the following day. Mother denied fever. Observed unual fussiness.
Age: 26.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Erythema, Pain, Pruritus, Rash, Skin ulcer
Clinical narrative: Patient is 26-year-old male s/p Anthrax #5 and he reports shortly after getting the Anthrax and Typhoid vaccines (both given same visit) he reports having what appeared as two small mosiquito bites.  These reactions lasted for approximately one day and then resolved on their own.  He reports 1.5 weeks later he had another "bump" that was like a mosquito bite that was itchy.  This bump went away on its own and then 2 days ago patient reports having a red spot on his left arm that was consistent with the area of injection of the anthrax.  Patient reports that he is not sure which vaccine was given over the area that the redness came up.  No fevers, chills, nausea, or vomiting.  He did report recent URI and mild headache.  The pain is described as being in the back of neck and then radiates over the top of the head.  He feels mostly due to recent URI symptoms.  He reports satellite lesions to the best of his knowledge are new too.  Rash is not itchy.  He noticed rash mostly because he saw the rash but not because it bothered him.   He returns today with complaints of itchy rash that is noticed mostly in the morning and resolves on its own.  He reports this rash has been present for the last couple days.  He awakes in the morning with pruritic skin in joints with raised mosquito bites type lesions.  No fevers or chills
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient received flu vaccine on 10/14/03. She developed soreness at injection site on left arm. The next day she reports soreness and swelling of an area 2x2" around the injection site. There was still reddness at needle site. Patient allergic to Penicillin and Sulfa. 10/16/03 patient reports reduction in swelling.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Drug ineffective
Clinical narrative: Physician diagnosed chickenpox today 1/8/04 Rash onset 01/07/2004 Rash noted on trunk and some on extremities.  Vaccine Failure
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain upper, Asthenia, Dizziness, Hyperhidrosis, Pallor
Clinical narrative: Complained of stomach, became light headed, pale and diaphoretic,and weak.  Squad responded, child may or may not have passed out. Right arm site - no reddness or irritation.  Recovered without any intervention by squad. Advised to see pediatrician/appointment made for 3:15pm.
Age: 16.0
Sex: F
Vaccine: SMALL
Symptoms: Infection transmission via personal contact, Skin ulcer
Clinical narrative: Boyfriend received smallpox vaccination 12/03. He came home for Christmas when patient saw him. She denies direct contact with lesion and said it was covered with a shirt. On 01/06/04, she developed pimple on right face which is now about 6-8mm pustular lesion. Patient names boyfriend as vaccinee. Denies knowledge of branch of service, unit, etc. She did state she believes he is to be sent overseas. Denies ability to contact him.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Dysgeusia, Hypoaesthesia
Clinical narrative: 1/12/04, client called stating that since flu shot (12/3/03) and approximately 2 months before shot, she was experiening numbness of face and chemical taste in mouth that had gotten worse since flu shot. Client stated that she is allergic to formaldihyde - she did not tell nurse she was allergic to formaldihyde. Still having problems
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Constipation, High-pitched crying, Injection site erythema, Injection site warmth, Irritability
Clinical narrative: Mother states that one hour after shots given her son began crying high-pitched cry. No fever. Called doctor who told her to increase dose of Tylenol. Crying persisted for 8 hrs then baby fell asleep. Next day patient was "cranky" but ate and sleep normally. Injection site LT red, warm to touch X24 hrs then subsided. Denies fever, limpness, paleness, convulsion. Only other complaint was constipation for which he is on lactose. Mother does not give it as prescribed.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Drug ineffective
Clinical narrative: HAD MORE THAN 20 LESIONS OF VARICELLA AFTER VACCINE
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Pruritus, Pyrexia
Clinical narrative: 6-8 hours after vaccination heat, swelling, tenderness, arm/hand L. 24 hours increase at site. Generalized itching, temp 102 for 48 hours, rash and hives.  72 hours resolving - temp went normal and no itching.
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Rash, Urticaria
Clinical narrative: 6-8 hours after vaccination heat, swelling, tenderness, arm/hand L. 24 hours increase at site. Generalized itching, temp 102 for 48 hours, rash and hives.  72 hours resolving - temp went normal and no itching.
Age: 3.0
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MMR, PNC, VARCEL
Symptoms: Cough, Hypersensitivity, Nasal congestion, Oral intake reduced, Pyrexia
Clinical narrative: upon awakening in morning child had fever, congestion, cough & blisters on lip; mother states temp. ran between 38-40C took child to emergency room later that day-diagnosed as allergic reaction to varicella vaccine; follow-up with mom on 3/2/04 child still running fever, coughing, not eating much & vomiting
Age: 3.0
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MMR, PNC, VARCEL
Symptoms: Vomiting
Clinical narrative: upon awakening in morning child had fever, congestion, cough & blisters on lip; mother states temp. ran between 38-40C took child to emergency room later that day-diagnosed as allergic reaction to varicella vaccine; follow-up with mom on 3/2/04 child still running fever, coughing, not eating much & vomiting
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Oral intake reduced, Pain, Pyrexia, Somnolence, Vomiting
Clinical narrative: Aprox. 10 hrs after vax shots she vommited and was running a 102.7 fever.  The fever spiked at 103.1 and would drop to 101 w/ Tylenol.  The fever lasted 2 days dropping to 101.00 the second day and declined to normal body temp.  She whimpered in pain, wouldn't eat and slept most of the 2 days.
Age: 32.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Guillain-Barre syndrome, Muscular weakness, Paraesthesia, Paralysis
Clinical narrative: diagnosed with guillian-barre syndrome in January of 2002 after 6 months after completing the anthrax vaccination. Also received a flu shot 1 month prior to being diagnosed with guillian-barre. was on life support for 9 and a half weeks. completely paralyzed for 4 months. received extensive physical tharapy for 11 months. had 2 plasma transfusions, 2 bottles of IV-IG. Follow up information received 06/02/2004:Fingers still tingle. Have muscle fatigue and joint pain.
Age: 12.0
Sex: M
Vaccine: TTOX
Symptoms: Dizziness, Feeling abnormal, Headache, Hypoaesthesia, Hypokinesia
Clinical narrative: 11 hours after injection complained of severe headache, dizziness,tingling and numbness bilateral upper extremities. Patient took 500 mg of acetaminophen.   19 hours after injection, awoke with complaints of severe headache, dizziness, body aches, bilateral upper extremity numbness and difficulty with muscle control bilateral upper extemities. He noted the muscle weakness when he had difficulty grasping and holding a glass of water when taking 500 mg of acetaminophen. He stated that his whole body felt strange. He had a fever of 102 at this time.  24 hours after injection, continued to have a fever of 101.6 and complained of the same symptoms noted above. 1000 mg of acetaminophen dispensed. He was lethagic. No GI symptoms of complaints.  28 hours after injection, stated upper extremity symptoms of tingling and numbness subsided. Fever, headache, muscle aches and dizziness continued.  33 hours after injection, stated the upper extremity numbness returned but, not as severe. Fever of 100.6 with mild headache 500 mg of Ibuprophen dispensed.  48 hours after injection, stated he felt good except for soreness from shoulder to elbow in the arm that received the injection.  10 days after injection, developed hives covering bilateral lower and bilateral upper extremities.
Age: 12.0
Sex: M
Vaccine: TTOX
Symptoms: Lethargy, Muscular weakness, Pain, Paraesthesia, Pyrexia
Clinical narrative: 11 hours after injection complained of severe headache, dizziness,tingling and numbness bilateral upper extremities. Patient took 500 mg of acetaminophen.   19 hours after injection, awoke with complaints of severe headache, dizziness, body aches, bilateral upper extremity numbness and difficulty with muscle control bilateral upper extemities. He noted the muscle weakness when he had difficulty grasping and holding a glass of water when taking 500 mg of acetaminophen. He stated that his whole body felt strange. He had a fever of 102 at this time.  24 hours after injection, continued to have a fever of 101.6 and complained of the same symptoms noted above. 1000 mg of acetaminophen dispensed. He was lethagic. No GI symptoms of complaints.  28 hours after injection, stated upper extremity symptoms of tingling and numbness subsided. Fever, headache, muscle aches and dizziness continued.  33 hours after injection, stated the upper extremity numbness returned but, not as severe. Fever of 100.6 with mild headache 500 mg of Ibuprophen dispensed.  48 hours after injection, stated he felt good except for soreness from shoulder to elbow in the arm that received the injection.  10 days after injection, developed hives covering bilateral lower and bilateral upper extremities.
Age: 12.0
Sex: M
Vaccine: TTOX
Symptoms: Urticaria
Clinical narrative: 11 hours after injection complained of severe headache, dizziness,tingling and numbness bilateral upper extremities. Patient took 500 mg of acetaminophen.   19 hours after injection, awoke with complaints of severe headache, dizziness, body aches, bilateral upper extremity numbness and difficulty with muscle control bilateral upper extemities. He noted the muscle weakness when he had difficulty grasping and holding a glass of water when taking 500 mg of acetaminophen. He stated that his whole body felt strange. He had a fever of 102 at this time.  24 hours after injection, continued to have a fever of 101.6 and complained of the same symptoms noted above. 1000 mg of acetaminophen dispensed. He was lethagic. No GI symptoms of complaints.  28 hours after injection, stated upper extremity symptoms of tingling and numbness subsided. Fever, headache, muscle aches and dizziness continued.  33 hours after injection, stated the upper extremity numbness returned but, not as severe. Fever of 100.6 with mild headache 500 mg of Ibuprophen dispensed.  48 hours after injection, stated he felt good except for soreness from shoulder to elbow in the arm that received the injection.  10 days after injection, developed hives covering bilateral lower and bilateral upper extremities.
Age: 1.2
Sex: F
Vaccine: HIBV, IPV, MMR
Symptoms: Erythema, Otitis media, Rash, Urticaria
Clinical narrative: States developed rash 10/20/03 early am. No fever, but had rash that was welt-like with reddness. Ear infection last week on antibiotics Amoxicillin.
Age: 1.5
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Feeling hot, Gait disturbance, Oedema peripheral
Clinical narrative: Pt received DTap on 1 Mar 04 in left thigh. Pt started experiencing redness later that night. The following day pt had minimal redness. Pt woke up on 3 Mar 04 with redness, sweeling up to thigh and alomost to pt's knee. Very warm to touch. Pt is limping on leg. Pt was seen by doctor and started on Benadryl and Keflex 3ml PO QID x10 days.
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Chest discomfort, Cough, Laboratory test abnormal, Pyrexia
Clinical narrative: Received Hep B booster at approx. 2 p.m. on 2/25/03. By 12:00 p.m  she had cough. By evening of 2/26/03 she also spiked fever of 102. On a.m. of 2/27/03 fever gone but chest tight from cough. Sent to clinic and had 3 neb. treatments and rx for inhaler.  Symptoms resolved with no sequelae at time of this report.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Pallor
Clinical narrative: Approx 5 min after vaccine given pt became plae/ashen color.  Pt was responsive and alert, heart rate, breath sounds, both WNL.  Pt stimulated, she cried and color improved within 5-10 min.  Observed for 20 min. then refered to private physican for evaluation.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Infection, Swelling
Clinical narrative: According to mother they had taken the child to the ER due to arm being red, hot and swollen.  Mom stated the ER physician said it was infected. Requested that mom bring child into the health department for us to see the injection site.  She said she would but did not.
Age: 1.4
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Feeling hot, Infection, Subcutaneous nodule, Swelling
Clinical narrative: Mom stated she took the child to the ER on 2/28/04 due to leg being hot, swollen and red. Stated the ER physician said it was infected.  Requested that mom bring child into the health department so that we could see the injection site.  She stated she would but did not.  Called the home on 3/4/04 as mom had never brought the child in and dad said that the child had a knot in his leg that did not appear to be tender and that his brother was fine.
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Fatigue, Headache, Pyrexia, Tremor
Clinical narrative: 2/13/04 1300hrs Received Vaccine         1500hrs Extremely Exhausted         2200hrs Shaking, Fever 103 2/14/04 Fever continued during the day, "broke" in the evening 2/15/04 Headache all day, stopped by evening, then felt okay.  NO NAUSEA OR VOMITING
Age: 81.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Myalgia, Neck pain
Clinical narrative: Client received a flu shot on 10-08-03 at a Clinic held at a local grocery store.  No previous health complants before shot.  Approx. 2 days after shot complaint of Left side, posterior neck pain, along with muscle soreness to both arms, deltoid area. Complained of pain in both knee joints also. No fever noted, No swelling or reddness noted. Descrbes pain as "someone sticking a knife into arms, Pain is intense."  Rates pain as 10 on a 1-10 scale. On 10-23-03 blood tests were done to see if meds client was taking was causing pts problems.  On 10-28-03 visited doctor.  Reports blood tests were normal. Started pt on Vioxx,and other pain med Lortab?  Vioxx did not help so revisited doctor on 11-25-03, started on Prednisone 20 mg.  Med helped.  Referred pt to Rheumatoidologist on 12-08-03.  Prednisone was reduced, to 2.5 mg. with terrible pain returning.  Visited doctor again,2-12-04 increased Prednisome to 5mg and added Methatrextate.  Rates pain as 8 on 1-10 scale today 3-03-04. Scheduled for additional follow up appointments in March 04.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Persistent pain at injection site in right deltoid, began several hours after injection received and has been present since. Has lessened significantly but still present. Treatments include Tylenol (first few days only), warm moist heat to site, rest.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC, DTAP, HEP, IPV, IPV, HEP, IPV, DTAP
Symptoms: Sudden infant death syndrome
Clinical narrative: This case was reported by an other manufacturer and described the occurrence of sudden unexpected death in a 2 month old female patient who received diphtheria and tetanus toxoids and acellular pertussis vaccine absorbed for prophylaxis. The patient was participating in an unspecified clinical trial. On 11/28/00 the patient received Infanrix. Three days later, on 12/1/00, the patient experienced sudden unexpected death. It is unknown whether an autopsy was performed.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC, DTAP, HEP, IPV, IPV, HEP, IPV, DTAP
Symptoms: Unevaluable event
Clinical narrative: This case was reported by an other manufacturer and described the occurrence of sudden unexpected death in a 2 month old female patient who received diphtheria and tetanus toxoids and acellular pertussis vaccine absorbed for prophylaxis. The patient was participating in an unspecified clinical trial. On 11/28/00 the patient received Infanrix. Three days later, on 12/1/00, the patient experienced sudden unexpected death. It is unknown whether an autopsy was performed.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC, DTAP, HEP, IPV, IPV, HEP, IPV, DTAP
Symptoms: Pulmonary congestion, Pulmonary oedema, Sudden infant death syndrome
Clinical narrative: This case was reported by an other manufacturer and described the occurrence of sudden unexpected death in a 2 month old female patient who received diphtheria and tetanus toxoids and acellular pertussis vaccine absorbed for prophylaxis. The patient was participating in an unspecified clinical trial. On 11/28/00 the patient received Infanrix. Three days later, on 12/1/00, the patient experienced sudden unexpected death. It is unknown whether an autopsy was performed.
Age: 48.0
Sex: F
Vaccine: SMALL
Symptoms: Asthenia, Atrioventricular block complete, Dyspnoea
Clinical narrative: Third degree heart block-unknown etiology symptoms began Nov 03 with weakness and grew progressively worse to include SOB and significant weakness. Heart block diagnosed 1/21/04. Pacemaker (permanent) inserted 2/28/04.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Cough, Fatigue, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 28 year old male received 2nd dose BioThrax (lot FAV043) on 3/17/00. That night, the injection site became swollen, tender, and red. The patient also began to sneeze a lot and developed respiratory blockage. Patient reported injuring his lower back as a result of the coughing and sneezing. Treatment consisted of Valium and some anti-inflammatories. Scan of back revealed rupture of L4/L5 intervertebral disks. Patient reports that he has a permanent impairment which has curtailed his activities and life style very considerably. Additionally, he has suffered from chronic recurring viral infections, protracted malaise and lassitude.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Injury, Malaise, Respiratory disorder, Sneezing, Viral infection
Clinical narrative: 28 year old male received 2nd dose BioThrax (lot FAV043) on 3/17/00. That night, the injection site became swollen, tender, and red. The patient also began to sneeze a lot and developed respiratory blockage. Patient reported injuring his lower back as a result of the coughing and sneezing. Treatment consisted of Valium and some anti-inflammatories. Scan of back revealed rupture of L4/L5 intervertebral disks. Patient reports that he has a permanent impairment which has curtailed his activities and life style very considerably. Additionally, he has suffered from chronic recurring viral infections, protracted malaise and lassitude.
Age: 1.56
Sex: F
Vaccine: DTAP, HBPV, PNC
Symptoms: Antisocial behaviour, Autism, Drug toxicity, Gastrointestinal disorder, Hypersensitivity
Clinical narrative: MY daughter had no signs of autism until her 18 month vaccines were given. Soon after, she lost all speech, made no eye contact, withdrew into her own little world. Hair and urine tests have shown mercury toxicity. My daugher has multiple deviant mental delays. She is nonverbal, has many allergies, hyperactive, sensory integration dysfunction and is heavy metal toxic. We are using natural chelatton but progress is slow. Mercury is the last and the hardest metal to get out. I was 100% for vaccinating until I watched the vaccines at 18 months trigger autism. She had no autism symptoms prior to 1/5/01. the IOM can report all they want on how safe thimerosoal is but I know the truth from this unfortunate experiences. Per annual follow up report: my daughter is improving with chelation treatment using DMPS ( a superior mercury chelator). However, she remains non verbal, developmentally delayed and has immune and gastro intestinal problems.
Age: 1.56
Sex: F
Vaccine: DTAP, HBPV, PNC
Symptoms: Immune system disorder, Laboratory test abnormal, Psychomotor hyperactivity, Sensory disturbance, Social avoidant behaviour
Clinical narrative: MY daughter had no signs of autism until her 18 month vaccines were given. Soon after, she lost all speech, made no eye contact, withdrew into her own little world. Hair and urine tests have shown mercury toxicity. My daugher has multiple deviant mental delays. She is nonverbal, has many allergies, hyperactive, sensory integration dysfunction and is heavy metal toxic. We are using natural chelatton but progress is slow. Mercury is the last and the hardest metal to get out. I was 100% for vaccinating until I watched the vaccines at 18 months trigger autism. She had no autism symptoms prior to 1/5/01. the IOM can report all they want on how safe thimerosoal is but I know the truth from this unfortunate experiences. Per annual follow up report: my daughter is improving with chelation treatment using DMPS ( a superior mercury chelator). However, she remains non verbal, developmentally delayed and has immune and gastro intestinal problems.
Age: 1.56
Sex: F
Vaccine: DTAP, HBPV, PNC
Symptoms: Speech disorder
Clinical narrative: MY daughter had no signs of autism until her 18 month vaccines were given. Soon after, she lost all speech, made no eye contact, withdrew into her own little world. Hair and urine tests have shown mercury toxicity. My daugher has multiple deviant mental delays. She is nonverbal, has many allergies, hyperactive, sensory integration dysfunction and is heavy metal toxic. We are using natural chelatton but progress is slow. Mercury is the last and the hardest metal to get out. I was 100% for vaccinating until I watched the vaccines at 18 months trigger autism. She had no autism symptoms prior to 1/5/01. the IOM can report all they want on how safe thimerosoal is but I know the truth from this unfortunate experiences. Per annual follow up report: my daughter is improving with chelation treatment using DMPS ( a superior mercury chelator). However, she remains non verbal, developmentally delayed and has immune and gastro intestinal problems.
Age: 0.58
Sex: M
Vaccine: DTAPHEPBIP, PNC
Symptoms: Abscess, Cellulitis, Hypersensitivity, Injection site inflammation, Injection site oedema
Clinical narrative: On 10/7/03 Pediarix and Prevnar administered on R thigh under aseptic sterile condition. Reportedly that night got swollen inflammed in few days went to cardiologist following him and admitted for evaluation and monitoring. Sonogram was done. No pus/ infection but inflammation (=). Pt had similar reaction on 7/11/03 on L thigh when Hib and Prevnar was administered-reported previously to VAERS.  Nurse follow up on 07/21/04 states: "cellulitis, hypersensitivity." Medical record states abcess. msv
Age: 0.58
Sex: M
Vaccine: DTAPHEPBIP, PNC
Symptoms: Laboratory test abnormal, Vaccine positive rechallenge
Clinical narrative: On 10/7/03 Pediarix and Prevnar administered on R thigh under aseptic sterile condition. Reportedly that night got swollen inflammed in few days went to cardiologist following him and admitted for evaluation and monitoring. Sonogram was done. No pus/ infection but inflammation (=). Pt had similar reaction on 7/11/03 on L thigh when Hib and Prevnar was administered-reported previously to VAERS.  Nurse follow up on 07/21/04 states: "cellulitis, hypersensitivity." Medical record states abcess. msv
Age: 61.0
Sex: M
Vaccine: FLU3, FLUX
Symptoms: Asthenia, CSF test abnormal, Gait disturbance, Guillain-Barre syndrome, Headache
Clinical narrative: Patient received flu vaccine on 10/20/03. On 11/11/04 symptoms of head tingling, numbness in extremities. Diagnosed with GBS on 11/14/03 at hospital. Currently is wheelchair bound and receiving water therapy. The discharge summary received on 3/23/04 states spinal tap headache and hypertension. The medical record received on 3/23/04 states gait unsteady and weakness.
Age: 61.0
Sex: M
Vaccine: FLU3, FLUX
Symptoms: Hypertension, Hypoaesthesia, Paraesthesia
Clinical narrative: Patient received flu vaccine on 10/20/03. On 11/11/04 symptoms of head tingling, numbness in extremities. Diagnosed with GBS on 11/14/03 at hospital. Currently is wheelchair bound and receiving water therapy. The discharge summary received on 3/23/04 states spinal tap headache and hypertension. The medical record received on 3/23/04 states gait unsteady and weakness.
Age: 61.0
Sex: M
Vaccine: FLU3, FLUX
Symptoms: Guillain-Barre syndrome
Clinical narrative: Patient received flu vaccine on 10/20/03. On 11/11/04 symptoms of head tingling, numbness in extremities. Diagnosed with GBS on 11/14/03 at hospital. Currently is wheelchair bound and receiving water therapy. The discharge summary received on 3/23/04 states spinal tap headache and hypertension. The medical record received on 3/23/04 states gait unsteady and weakness.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Contusion, Laboratory test abnormal, Thrombocytopenia
Clinical narrative: Thrombocytopenia. Abrupt onset; resolved spontaneously. Nurse Follow up on 05/18/04 states: Bruises. Labs now normal: not sure if illness in future will make ITP flare up again. This patient has been discharged from our practice  so we will no longer be seeing him. You will need to contact family for any further follow up.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Aphasia, Asthenia, Laboratory test abnormal, Lethargy
Clinical narrative: Mother called 2/24/04 (AM) and reported child was lethargic and listless. Mother denies fever. Baby ate well. Mother doesn't have a doctor for baby. Has appointment scheduled in one week later. Advised mother to seek medical help today. Call placed to mother at 2 PM; reveal baby hospitalized for possible meningitis. Medical records state lymphoma, asthasia, asthenia. msv  Nurse follow up on 08/19/04 states: "Fever; irritable;
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Listless, Lymphoma, Pyrexia
Clinical narrative: Mother called 2/24/04 (AM) and reported child was lethargic and listless. Mother denies fever. Baby ate well. Mother doesn't have a doctor for baby. Has appointment scheduled in one week later. Advised mother to seek medical help today. Call placed to mother at 2 PM; reveal baby hospitalized for possible meningitis. Medical records state lymphoma, asthasia, asthenia. msv  Nurse follow up on 08/19/04 states: "Fever; irritable;
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Pharyngeal oedema
Clinical narrative: Vaccine administer IM to pt. per pt's requests. No problems with previous dose or allergy to egg products. Within 20-30 minutes pt experienced swelling of throat no difficulty breathing pt's signs and symptoms resolved within the hour. Administering nurse not informed of reaction until over and hour later. No treatment given.
Age: 44.0
Sex: F
Vaccine: ANTH
Symptoms: Face oedema, Headache, Pain
Clinical narrative: Pt. face swollen and complained of pain and pressure behind her eyes and rear of her head.
Age: 41.0
Sex: F
Vaccine: UNK
Symptoms: Pain
Clinical narrative: Mobility pain to left shoulder, only during use I have sharp pain in upper rear portion. Pain intensity less since initial discomfort in July of 03, but still noticeable.
Age: 59.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Paraesthesia
Clinical narrative: Paresthesia in fingers following AVA #1.
Age: 16.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Dyspnoea, Fatigue, Headache, Lymphadenopathy
Clinical narrative: Bat in house 2/3. Called 2/5-received rabies series. Received RIG + Rabavert on 2/5, then Rabavert alone 2/8, 2/12, 2/19. Day after last dose lymphadenopathy (resolving) with headache (gone) and fatigue persisting. I am aware all can occur after vaccine. However, has dyspnea on exertion too (stairs, singing) despite being very physically fit.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Pain
Clinical narrative: After injection, left arm injection site became swollen with erythema/heat. Area approx. 1 1/2" with slight pain. No fever. Treatment Motrin as needed, warm compresses to site as needed.  Increase in arm movement.
Age: 1.08
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Acne, Blister
Clinical narrative: Mom called on 2/20 stating pts had "pimples" started 3 days previous now like water blisters. Small amount less than 10 spots- scattered.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Irritability, Pyrexia
Clinical narrative: High fever spiked for a few days - up to 104 degrees F alternated acetaminophen and ibuprofen. Behavior- 5-6 days of "fussy", irritable behavior.
Age: 21.0
Sex: F
Vaccine: PPV, TD
Symptoms: Injection site oedema, Lymphadenopathy, Myalgia
Clinical narrative: Pt. received Pneumococcal and Td vaccines in left arm on 2-18-04. On 2-19-04 pt. developed large swelling at site of Pneumococcal vaccine with enlarged lymph nodes in left axilla and muscle soreness in left deltoid extending to left upper back. Temp 97.8, Blood pressure 120/70, P 72
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever 104.2
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Rash maculo-papular, Urticaria
Clinical narrative: Erythematous blanching wheal 11x7 cm with raised border central induration 3x3 cm central blanching 2x2 mm at injection site.
Age: 0.5
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Irritability, Lethargy, Pyrexia
Clinical narrative: Had a temperature of 104.9 (ax); lethargic; irritable starting 2 days after last DTaP given on 12/29/03. Symptoms lasted for 2-3 days.
Age: 1.25
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Irritability, Pyrexia, Rash maculo-papular
Clinical narrative: Several maculopapular spots on trunk and face started 2/26. Fever to 102 started 2/24/04. Crabby started 2/24/04.
Sex: U
Vaccine: SMALL
Symptoms: Cellulitis, Rash, Rash vesicular
Clinical narrative: Right forearm cellulitis, two vesicular eruptions. Rash occurred 10 days after receiving smallpox vaccine on same arm.
Age: 4.0
Sex: F
Vaccine: HBHEPB, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Had chicken pox.
Age: 43.0
Sex: F
Vaccine: MMR
Symptoms: Pharyngolaryngeal pain, Rash, Urticaria
Clinical narrative: 2/10/04 pt given MMR, 2/13/04 pt called with hives today on face and neck and sore throat. Pt. seen at health center on 2/23/04 rash on face/torso (back) (negative strep). 3/16/04 11:30 faxed back MRI.
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Erythema, Feeling hot, Infection, Swelling
Clinical narrative: The day after the vaccines his leg began to swell, and eventually became hugely swollen from his knee to his hip. It was also bright red and hot to the touch. He was given a shot of antibiotics and shot of Benadryl. He was released by doctor who gave me a prescription of Benadryl to administer every 3 hrs. Also, a week later he developed chicken pox and spread them to his brother.
Age: 1.25
Sex: F
Vaccine: HIBV, MMR
Symptoms: Pyrexia, Rash, Vomiting
Clinical narrative: She spiked a fever up to 102 with vomiting and rash on the face, upper chest and back on 2/23/04 at 4 pm.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: Erythema and edema right arm patient given Keflex and Ibuprofen.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Skin nodule, Tenderness
Clinical narrative: Erythema, warmth, induration and tenderness spreading from DTaP injection site/-2 days after vaccine approaches 4-41/2 in by 3 in.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site induration
Clinical narrative: Cellulitis upper right arm approximately 10cm down arm from high deltoid area-erythema, induration.  Saw local MD 02/25/04-who said it was an allergic reaction.
Age: 27.0
Sex: F
Vaccine: TD
Symptoms: Asthenia, Dizziness, Dysgeusia, Malaise, Paraesthesia
Clinical narrative: A couple of minutes after TD administration, pt had a metallic taste in mouth.  This had been preceeded by a nerve sensation from right upper arm to right side of face.  The taste eventually decreased.  During a period of 30 minutes after IM injection, pt felt weak, laid down, legs felt shaky, right arm felt heavy, didn't feel well.  Upon sitting up, pt felt dizzy and feet felt tingly.  BP and pulse steady 112/60 and 76 all during this time.  Escorted to clinic due to continuing symptoms.
Age: 27.0
Sex: F
Vaccine: TD
Symptoms: Sensation of heaviness, Tension, Tremor
Clinical narrative: A couple of minutes after TD administration, pt had a metallic taste in mouth.  This had been preceeded by a nerve sensation from right upper arm to right side of face.  The taste eventually decreased.  During a period of 30 minutes after IM injection, pt felt weak, laid down, legs felt shaky, right arm felt heavy, didn't feel well.  Upon sitting up, pt felt dizzy and feet felt tingly.  BP and pulse steady 112/60 and 76 all during this time.  Escorted to clinic due to continuing symptoms.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Pruritus
Clinical narrative: Developed 9x7cm area of redness/swelling on left upper arm about 29 hours after receiving below vaccines.  No associated fever or anaphylactic symptoms but did have mild pain and itching of area.  Redness/swelling/itching occurred rapidly over the course of 1 hour per mom.
Age: 1.5
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Irritability, Pain, Pyrexia
Clinical narrative: 12/24/03: Temperature 100, felt bad. 12/27/03: Temperature 103.6, achy, whiney.  ER: Put on antibiotic, Tylenol, Ibuprophen.  12/29/2003: Saw MD, breathing treatments.  Prednisone. 01/09/04: Recheck MD, much better.
Age: 1.0
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Dermatitis bullous, Drug ineffective, Skin ulcer
Clinical narrative: Pt developed 9 lesions over 1 week, 2 weeks after Varivax lesions on erythematous base with few having vesicles on top.  Lesions on trunk/extremities and neck.  Pt is doing fine otherwise (Varicella lesions).
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: Erythema to left deltoid region 12x10cm.
Age: 3.0
Sex: F
Vaccine: DTAP
Symptoms: Pyrexia, Vomiting
Clinical narrative: Vomiting, low grade fever.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Injection site erythema, Injection site pain, Pyrexia
Clinical narrative: 12-24 hours of inconsolable crying, fever to 101 for 24 hours.  Local reaction with redness/tenderness for 36 hours.
Age: 2.2
Sex: M
Vaccine: DTAP, HEP, HEPA
Symptoms: Injection site erythema
Clinical narrative: 2x2 inch erythematous over anterior right thigh.  No tenderness, no pruritis, a localized reaction.
Age: 1.6
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Convulsion, Erythema multiforme, Pneumonia, Pyrexia, Rash
Clinical narrative: Upon day #18, MMR, Varicella vaccine, 2 hours after vaccine given a strange rash on stomach and high fever (that was 12 months of age) has broke out every month with same rash and symptoms.  Had Pneumonia 2 months after vaccine along with a "black-out" seizure.  Rash kepts getting worse, erythema multiforme.  Medical charts have been requested to be forwarded to clinic.
Age: 5.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site oedema
Clinical narrative: Left arm swelling and erythema one day after DTAP given, possible cellulitis.
Age: 7.0
Sex: F
Vaccine: HBPV, MMR, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Child broke out with chicken pox.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Skin ulcer
Clinical narrative: Pt seen in office 10/25/04, 10cm erythema, raised lesion left thigh seen for follow up from ER.  Pt seen in ER 02/24/04 @ 8:49am.  Diagnosed with cellulitis, started on Keflex.
Age: 1.0
Sex: F
Vaccine: IPV, PNC, VARCEL
Symptoms: Lethargy, Petechiae, Pyrexia, Rash
Clinical narrative: Vaccine administered 02/23/04.  Same day Temperature 102-104, lethargic.  02/25/04: petichial rash on groin/axillae.  Pt was sent for CBCD, blood culture, started on Cefdinir 125mg per mouth every day for 12 days.Follow Up: Pt admitted to hospital secondary petichial rash, was eventually diagnosed with voseola.
Age: 1.6
Sex: F
Vaccine: DTAPH, MMR, PNC, VARCEL
Symptoms: Erythema, Oedema, Rash macular, Urticaria
Clinical narrative: After 1st injection which was MMR in left thigh-bilateral legs, hive-like become mottled and swelling was noted.  Red blotches started.  All status symptoms, instant after 1st injection, no wheezing, or difficulty breathing was noted.  Mottling and redness lasted for about 10 min.  Dexametha (7mg) some and Benadryl (18mg) was given IM.  BP of 86/50 after medications given IM.  Pt had full recovery.
Age: 1.11
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site oedema, Injection site pain
Clinical narrative: Redness and swelling and firm on left thigh at site of DTaP injection noticed; increased swelling by arm; pt able to jump around, pain on palpation only.  Mother stated slight hard bump with each vaccine, but not this big.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Unevaluable event
Clinical narrative: Leg at site of DTAP (#5) and Hep.
Age: 41.0
Sex: F
Vaccine: MMR, TTOX
Symptoms: Injection site discolouration, Injection site induration, Injection site warmth
Clinical narrative: 7x11cm warm, indurated, blanchable patch right deltoid.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site warmth
Clinical narrative: Shots given in AM, child left office with mom and fell asleep.  Child woke after 3 hours, mom then noticed 2x2 red, hard, warm swelling to area bilaterally and gave Tylenol and called us.  Came into office applied ice bilaterally, MD ordered Benadryl given and monitored for about 2 hours.  Swelling decreased, redness decreased, warmth decreased.  Follow up on 02/27/03: No redness, swelling-legs back to normal.
Age: 1.3
Sex: F
Vaccine: DTAPH, MMR, VARCEL
Symptoms: Convulsion, Rash, Staring
Clinical narrative: Seizure.  Had shots today, has had cold for past 2 weeks.  Was eating normal.  Became spacy, glassy eyed and started convulsing per mom.  Rash on face and chest, just coming on per mom.
Age: 12.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Urticaria
Clinical narrative: Given Hep B #3.  Half hour later pt returned to APRN office complaining of itching at injection site.  urticaria right upper arm noted.  No systemic symptoms or respiratory distress vs. stable.  Resolved after 1/2 hour after Benadryl 25mg per mouth and ice.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Rash pruritic, Urticaria
Clinical narrative: Approximately 1 hour after immunizations administered, pt began complaining of "itching all over".  Mom noted bright red wheals on chest, spreading rapidly over torso.  Contacted MD administered Benadryl per mouth, continue to have redness and swelling at site.
Age: 1.8
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Erythema, Lymphadenopathy, Pyrexia, Rash, Rash macular
Clinical narrative: Mom states that daughter had a fever on 03/28/04.  On 03/28/04 pt developed a rash.  Mom states the rash has red blotches and several circles with bruising in the center.  Mom stated that pt was taken to ER and told her daughter had chicken pox.  Mom took pt do MD.  She sated that MD did not feel the daughter's rash was Varicella, had a local reaction to vaccines.  Mom stated that MD gave pt a third injection in the office and a prescription of antibiotic "hydroxyz".  MD also gave mother a five day course of steroid pills.  Mom stated that pt had swollen lymph nodes in back of neck at MD office.  Mom stated that no pictures were taken of pt.  Rash in ER or in MD's office.  PT covered in red blotches now but mom stated that pt was improving.  Mom stated that pt had a reaction in past from something she was exposed to, but the source still has not been identified.  History of previous steroid taper 1.5 weeks before immunizations.
Age: 3.0
Sex: M
Vaccine: DTAPH, HEPA
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Injection (Trihibit) 02/24/2004, right thigh.  Hot, red, swollen approximately 4 inches from mid thigh to crotch.  02/25/04: cool pack.  02/26/04: Seen MD, steroids and antibiotics.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Hypersensitivity, Injection site erythema, Injection site oedema
Clinical narrative: Right thigh red and swollen half dollar size knot.
Age: 2.0
Sex: M
Vaccine: FLU3, HEPA, PNC
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Pyrexia, Rash papular
Clinical narrative: Overnight after immunizations developed fever, generalized papular rash over body, pain at right upper leg injection site with redness and swelling.  Hep A was given at that site.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Dermatitis bullous, Drug ineffective, Infection, Rash pruritic
Clinical narrative: Several days of itching, scattered red lesions on chest, neck and face.  Diagnosis: Chickenpox may return to school after crusting begins.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying, Irritability, Pyrexia
Clinical narrative: Temperature: About or greater than 40.5 Celcius within 8 hours of vaccine, treated with Tylenol.  Persisted, inconsolable crying greater than 3 hours, 12-24 hours after vaccine.  Fever continued for at least 72 hours; irritability/crying at least 48 hours.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site warmth, Oedema
Clinical narrative: 8-10cm erythema with mild warmth, non-tender, minimal swelling.  Treatment with Benadryl, cold compress, Tylenol.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Grapefruit-sized redness, swelling, tightness to skin left upper arm.  No tenderness, no discharge or evidence of infection.
Age: 7.0
Sex: M
Vaccine: FLUN3
Symptoms: Unevaluable event
Clinical narrative: Nose
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Anorexia, Depressed level of consciousness, Dyskinesia, Pyrexia, Tongue disorder
Clinical narrative: -Mom gave Tylenol before office visit -2 Hours after vaccines administered, baby was difficult to arouse from sleep -had difficulty feeding baby-took 2 ounces, slept, then projectile vomiting -rectal temp 105.3 -tongue 'flopping' in mouth, body jerking -called E.D. and was instructed to manage on own, they did not know what to tell her -used cooling baths and repeat doses of tylenol until fever decreased
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Vomiting
Clinical narrative: -Mom gave Tylenol before office visit -2 Hours after vaccines administered, baby was difficult to arouse from sleep -had difficulty feeding baby-took 2 ounces, slept, then projectile vomiting -rectal temp 105.3 -tongue 'flopping' in mouth, body jerking -called E.D. and was instructed to manage on own, they did not know what to tell her -used cooling baths and repeat doses of tylenol until fever decreased
Age: 35.0
Sex: F
Vaccine: HEP, TD
Symptoms: Erythema, Feeling hot, Oedema peripheral, Pain, Pruritus
Clinical narrative: Received Td booster on 2-23-04 in left deltoid.  Came to Employee Health office with c/o sore, red arm on 2-25-04.  Red area noted approx 1" x 4", warm to touch, slight swelling.  Denied itching or difficulty breathing.  Encouraged to use cold compresses and Benadryl and to return if worse.  Returned to office on 2-27-04 with c/o red, sore, itchy arm.  Sent to ED for evaluation.  Given Atarax and Prednisone in ED and script for Medrol dose pak and Atarax for home.  Symptoms were relieved.  No further difficulty.
Age: 22.0
Sex: F
Vaccine: SMALL
Symptoms: Nausea
Clinical narrative: This is a 22 year old who received her primary smallpox on 02/17/2004.  No pregnancy test was taken the date of vaccination. She states that she had a negative pregnancy test 02/01/2004. The urine HCG test was done in the Emergency Department to rule out pregnancy. She began to experience nausea on or about 23 February 2004. She had another urine HCG done on 03/03/04 which was positive. She reported to Special Immunization on 03/02/2004 because of her concern about fetal vaccinia or other adverse side effects to her fetus as a result of smallpox vaccination.
Age: 1.08
Sex: M
Vaccine: VARCEL
Symptoms: Herpes zoster, Viral infection
Clinical narrative: CHILD BROKE OUT WITH SHINGLES APPROXIMATELY 12-12-2003.  CHILD WAS SEEN IN OFFICE ON 2-17-2004 BECAUSE SHINGLES WERE NOT IMPROVING AND SPREADING. SPOKE WITH MOM ON 02-27-2003 STATES SHINGLES IMPROVING.  USING BENADRYL AND CALOMINE LOTION AS NEEDED. CHILD DOES HAVE DIAGNOSIS OF AUTISM.
Age: 55.0
Sex: F
Vaccine: SMALL
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Mitral valve incompetence, Pain
Clinical narrative: This is an e-mail that was sent from pt.  As we discussed previously, I have been having shortness of breath and some chest discomfort since about two months after I received the smallpox vaccination.  Of course, I did not at first think of the vaccination as cardiac complications were not mentioned prior to vaccination that I noted. I decided to stop smoking and did that by 8/03 but that did not help and by December 2003 I was more concerned. I mentioned the symptoms including shortness of breath, chest pressure, and pain radiating to my chin to Dr. Again, I did not think of the vaccination, however, the symptoms were significant enough to warrant a cardiac referral. Fortunately, the stress echo only showed mitral valve prolapse with mild mitral regurgitation. This is something very new for me and I then tried to figure out why this had suddenly happened.    When I called you earlier you advised that I let Dr. and the cardiologist know of my concern. Plans are for me to have a yearly repeat cardiac evaluation with stress echo. My symptoms continue and I want to be sure that I fill out any forms required to report what I feel is a side effect from the smallpox vaccination.  I am OK now but if symptoms get worse and it really was the vaccination, I want to be sure it is reported appropriately.