chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 30.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Muscle spasms, Myalgia, Pharyngolaryngeal pain
Clinical narrative: Presented to the Clinic on 8/4/06 with c/o HA, swollen lymph nodes under L arm, sore throat, and myalgia. Also experiencing cramping in legs when running. C/o Diarrhea this am as well. Labs done. L upper arm smallpox vaccination site with swelling and erythema. Diagnosed as Smallpox Vaccination Reaction. Quarters x 48 hours given. Push fluids. Ibuprofen 400mg po qid with food.
Age: 25.0
Sex: F
Vaccine: SMALL
Symptoms: Medication error, Unintended pregnancy
Clinical narrative: Patient had initial pregnancy test on 7/27/06 which was negative. Given smallpox vaccination on 8/4/06. Missed menstrual period on 8/4/06, took home pregnancy test and was positive. LMP 7/5/06. Pregnancy confirmed at clinic visit. 3-5 weeks gestation.
Age: 0.17
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Coma, Hypotonia, Oedema peripheral, Petit mal epilepsy, Pyrexia
Clinical narrative: Fever began within an hour, continued above 102.0 with tylenol for more than a day; peeked at 102.7 with medication (Tylenol) in the hospital. Hypnotic and  hypotonic shock like state began within 24 hours and lasted 2 days. Severe swelling in left leg lasted for 7-10 days. Baby was forced to remove leg braces due to swelling; this may have impacted the repair of his club feet. Possible absence /petit mal seizures, for several days after the shots; characterized by episodes of unresponsiveness, even when stimulated and then surprise when returned to reality. It is unnown at this time if these sezuires will continue.There were possible seuires both with and without fever in the days following the immunization. There is a history of febrial sezuires in my family, a medical history question the doctor failed to ask before having the vaccine administered. The doctor was also warned of a latex allergy, and administered a vaccine that contained latex. As a first time parent, I was unaware of the danger of sezuire as it relates to DTaP and the ingredients of the shots. Sezuires may or may not continue to be a problem. There is not enough information at this point to determine if the sezuires will become a permanent disability.
Age: 30.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Dermatitis, Rash, Rash pustular
Clinical narrative: Presented to the Clinic on 8/3/06 with c/o rash over entire body times 3 days. Pox like lesions scattered all about chest, neck, back, arms, legs times 2-3 days. Diagnosed as Pox dermatitis. RX: Feldene and Allegra, f/u in one week, sooner if rash worsens. Light duty restrictions given. F/U visit on 8/9/06 notes improvement in pustular rash with most areas having resolved without developing further except for 2 lesions on the ulnar wrist both 7mm in diameter with 2mm central excoriation or eschar. Diagnosed as probably mild disseminated vaccinia with no significant residuals.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Hyperhidrosis, Mydriasis, Pallor
Clinical narrative: Child was playing this am and child stated "I can't see".  Eyes appeared dialated, face pale, and lips were white.  S/S lasted aproximately 10-15 minutes.  Child also broke out into a "cold sweat".  8/17/06 PC to mother - had reported this event to child's neurologist and PCP.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Headache, Influenza like illness, Pain, Swelling
Clinical narrative: Presented to Clinic on 8/3/06 with c/o L neck and axilla swelling, achiness and HA. Diagnosed as smallpox reaction/flu like symptoms. Quarters x 48 hours, push fluids and f/u prn.
Age: 22.0
Sex: M
Vaccine: HEP, SMALL
Symptoms: Headache, Lethargy, Pain, Swelling
Clinical narrative: Presented to Clinic on 8/4/06 with c/o HA, L arm swelling, body aches and lethargy. MD diagnosed as normal smallpox vaccine reaction, orders given to keep site covered, Motrin 400mg qid, and return to duty.
Age: 26.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Headache, Injection site erythema, Injection site pustule, Injection site reaction, Injection site swelling
Clinical narrative: Presented to Clinic on 7/29/06 with c/o severe reaction to smallpox vaccination L arm with HA times 2 days. C/O significant pain and swelling around pustule. Headache and fever times 2 days. L upper arm has 6-8cm area of erythema and warmth around pustule. Diagnosed as Smallpox vaccination reaction.
Age: 26.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Injection site warmth, Pyrexia
Clinical narrative: Presented to Clinic on 7/29/06 with c/o severe reaction to smallpox vaccination L arm with HA times 2 days. C/O significant pain and swelling around pustule. Headache and fever times 2 days. L upper arm has 6-8cm area of erythema and warmth around pustule. Diagnosed as Smallpox vaccination reaction.
Age: 0.53
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, Pyrexia
Clinical narrative: Fever increasing over a couple of days-Topped out at 103. Took to ER. with fever of 103 on 3rd day post vacc.  Had seizure approx. 12 hours later  0n 2/12/2006.No tx. or meds.  Continues to have periodic seizure activity.per mother
Age: 50.0
Sex: M
Vaccine: MMR, MU
Symptoms: Audiogram, Blood immunoglobulin G, Blood immunoglobulin M, Deafness unilateral, Dizziness
Clinical narrative: Received MMR vaccine 6/21/06 as a result of "equivocal" mumps titer.  On 8/9/06 noted abrupt loss of hearing on right.  Has been evaluated by specialist with dx of sensorineural hearing loss. 8/29/06 Received medical records from ENT specialist which reveal patient received MMR vax (due to outbreak of mumps in Denver VA hospital where patient works as cardiologist) about 7 weeks prior to onset of sudden hearing loss of right ear.  Hearing loss started with tinnitus, dizziness, vertigo, N/V while on vacation.  Audiometry on 8/11 showed profound downsloping hearing loss in right ear & normal left ear.  Tympanogram was WNL.  Acoustic reflexes were absent in right ear by stimulation; present on contralateral responses.  Placed on steroids & improved as for dizziness & gait stability by following week.  Hearing was not improved.  Received 2 doses of intratympanic steroids to complete the labyrinthian perfusion & scheduled to have f/u audiometric testing in 6 weeks./ss. Annual followup 01/4/2010 Continued hearing loss-unilateral.
Age: 50.0
Sex: M
Vaccine: MMR, MU
Symptoms: Gait disturbance, Inner ear disorder, Laboratory test, Mumps antibody test, Nausea
Clinical narrative: Received MMR vaccine 6/21/06 as a result of "equivocal" mumps titer.  On 8/9/06 noted abrupt loss of hearing on right.  Has been evaluated by specialist with dx of sensorineural hearing loss. 8/29/06 Received medical records from ENT specialist which reveal patient received MMR vax (due to outbreak of mumps in Denver VA hospital where patient works as cardiologist) about 7 weeks prior to onset of sudden hearing loss of right ear.  Hearing loss started with tinnitus, dizziness, vertigo, N/V while on vacation.  Audiometry on 8/11 showed profound downsloping hearing loss in right ear & normal left ear.  Tympanogram was WNL.  Acoustic reflexes were absent in right ear by stimulation; present on contralateral responses.  Placed on steroids & improved as for dizziness & gait stability by following week.  Hearing was not improved.  Received 2 doses of intratympanic steroids to complete the labyrinthian perfusion & scheduled to have f/u audiometric testing in 6 weeks./ss. Annual followup 01/4/2010 Continued hearing loss-unilateral.
Age: 50.0
Sex: M
Vaccine: MMR, MU
Symptoms: Nuclear magnetic resonance imaging normal, Tinnitus, Vertigo, Vomiting
Clinical narrative: Received MMR vaccine 6/21/06 as a result of "equivocal" mumps titer.  On 8/9/06 noted abrupt loss of hearing on right.  Has been evaluated by specialist with dx of sensorineural hearing loss. 8/29/06 Received medical records from ENT specialist which reveal patient received MMR vax (due to outbreak of mumps in Denver VA hospital where patient works as cardiologist) about 7 weeks prior to onset of sudden hearing loss of right ear.  Hearing loss started with tinnitus, dizziness, vertigo, N/V while on vacation.  Audiometry on 8/11 showed profound downsloping hearing loss in right ear & normal left ear.  Tympanogram was WNL.  Acoustic reflexes were absent in right ear by stimulation; present on contralateral responses.  Placed on steroids & improved as for dizziness & gait stability by following week.  Hearing was not improved.  Received 2 doses of intratympanic steroids to complete the labyrinthian perfusion & scheduled to have f/u audiometric testing in 6 weeks./ss. Annual followup 01/4/2010 Continued hearing loss-unilateral.
Age: 50.0
Sex: M
Vaccine: MMR, MU
Symptoms: Deafness, Laboratory test abnormal, Tinnitus
Clinical narrative: Received MMR vaccine 6/21/06 as a result of "equivocal" mumps titer.  On 8/9/06 noted abrupt loss of hearing on right.  Has been evaluated by specialist with dx of sensorineural hearing loss. 8/29/06 Received medical records from ENT specialist which reveal patient received MMR vax (due to outbreak of mumps in Denver VA hospital where patient works as cardiologist) about 7 weeks prior to onset of sudden hearing loss of right ear.  Hearing loss started with tinnitus, dizziness, vertigo, N/V while on vacation.  Audiometry on 8/11 showed profound downsloping hearing loss in right ear & normal left ear.  Tympanogram was WNL.  Acoustic reflexes were absent in right ear by stimulation; present on contralateral responses.  Placed on steroids & improved as for dizziness & gait stability by following week.  Hearing was not improved.  Received 2 doses of intratympanic steroids to complete the labyrinthian perfusion & scheduled to have f/u audiometric testing in 6 weeks./ss. Annual followup 01/4/2010 Continued hearing loss-unilateral.
Age: 70.0
Sex: F
Vaccine: PPV, TD
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient received Tetanus and Pneumococcal vaccines IM on 8/14/06. On 8/16/06 patient comes to office with swollen and red right humeral area. Edema was moderate.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Convulsion, Pyrexia
Clinical narrative: Fever (102 F) followed by focal partial seizure.  Pt admitted to peds unit for observation. Received rocephin for 48 hrs. Blood cultures negative. CT scan negative.  No further seizure activity. 9/18/06 Received medical records from hospital which reveal patient experienced apparent seizure activity at home consisting of left sided head & eye deviation with rhythmic tongue movements lasting approx 2 min & accompanied by fever of 102 ax.  No activity while in ER but was admitted for overnight observation.  Neuro consult done.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Chills, Headache, Nausea, Pain
Clinical narrative: 7pm night of immunization (8/14/06)-fever 102, chills, nausea, upset stomach, joint pain. 8/15/06 intermittent fever, chills, body aches, vomitedx1. 8/16/06 same symptoms continued and hives on legs and buttocks.  Headache off and on x4 days.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia, Stomach discomfort, Urticaria, Vomiting
Clinical narrative: 7pm night of immunization (8/14/06)-fever 102, chills, nausea, upset stomach, joint pain. 8/15/06 intermittent fever, chills, body aches, vomitedx1. 8/16/06 same symptoms continued and hives on legs and buttocks.  Headache off and on x4 days.
Age: 13.0
Sex: M
Vaccine: TDAP
Symptoms: Hypersensitivity, Pruritus, Throat tightness, Urticaria
Clinical narrative: Allergic reaction including hives, pruritis,  throat tightening starting hours after injection. Patient received diphenhydramine at home & given an epinephrine injection (epi-pen when experienced throat tightening.  Seen in Clinic 36 hours later & given Diphenhydramine to take prn, routine cetirizine, epinephrine Pen for home use (prn respiratory distress) & a prednisone dose pack to start if urticaria worsening (this was not used).  Throat tightening improved after epinephrine and the hives persisted off and on for approximately 5 days. It is noted that the patient had received a Td booster on 7/20/2004
Age: 45.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Redness, Swelling, hardness to injection site.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Erythema, Hypersensitivity, Pyrexia, Somnolence, Swelling
Clinical narrative: MOTHER STATES RIGHT ARM EXTREMELY SWOLLEN AND RED FROM SHOULDER TO ELBOW WITH WHITE SPOTS.  CHILD HAD TEMP OF 103 AND WAS VERY SLEEPY. WAS TAKEN TO ER AND DIAGNOSED WITH AN ALLERGIC REACTION.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Fatigue, Injection site erythema, Injection site warmth, Malaise, Nausea
Clinical narrative: About 24 hours after injection, red, warm patch at injection site (oval 5.2 x 2.8 cm). Vomiting, malaise, fatigue,  nausea,  progressive pain/soreness in arm and upper shoulder/neck muscles. Rash on elbow(distal to shot) ?? related.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Pain, Rash, Vomiting
Clinical narrative: About 24 hours after injection, red, warm patch at injection site (oval 5.2 x 2.8 cm). Vomiting, malaise, fatigue,  nausea,  progressive pain/soreness in arm and upper shoulder/neck muscles. Rash on elbow(distal to shot) ?? related.
Age: 0.1
Sex: F
Vaccine: HEP
Symptoms: Abnormal sleep-related event, Laboratory test abnormal, Monocytosis, Platelet count increased, Sudden infant death syndrome
Clinical narrative: SIDS Category II, undetermined 8/29/06 Received autopsy report which stated COD as Category II SIDS & manner of death as undetermined.  Patient was cosleeping with parent in adult bed lying on belly & suffocation caused by overlay could not be excluded.
Age: 25.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Chills, Erythema, Feeling hot, Nausea, Pyrexia
Clinical narrative: Erythema and warmth spreading down left arm, nausea and fever, chills. Vaccine given 8/14/06, pain, nausea fever worsening erythema 8/17/06.
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Insomnia, Lymphadenopathy, Pain, Pyrexia, Tenderness
Clinical narrative: Achiness, fever, insomnia and tender lymph node swelling.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Abdominal pain upper, Nausea, Pyrexia, Vomiting
Clinical narrative: Nausea, vomiting, stomach, ache, fever.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site pain, Pyrexia, Rash, Swelling face
Clinical narrative: Rash, fever, puffy face, localized pain, IV fluids, Benadryl.
Age: 1.03
Sex: F
Vaccine: HEPA, HIBV, MMR, MNQ
Symptoms: Medication error
Clinical narrative: Meningococcal was mistakenly administered instead of Pneumococcal conjugate.
Age: 1.87
Sex: F
Vaccine: DTAPH, PNC
Symptoms: Erythema, Feeling hot
Clinical narrative: Red circle area 15cm warm to touch, cool compresses to area and Tylenol PCN.
Age: 5.0
Sex: M
Vaccine: DTAP, DTAP
Symptoms: Injection site induration, Injection site oedema, Injection site warmth, Tenderness
Clinical narrative: Left deltoid warm, swollen, tender from shoulder and elbow induration 1mm site.
Age: 5.0
Sex: M
Vaccine: DTAP, DTAP
Symptoms: Injection site induration, Injection site warmth, Swelling, Tenderness
Clinical narrative: Left deltoid warm, swollen, tender from shoulder and elbow induration 1mm site.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Some upper arm swelling yesterday 8/7/06 increased swelling, erythema almost completely around humerus today pain 8/8/06.
Age: 3.0
Sex: F
Vaccine: HEPA
Symptoms: Rash papular
Clinical narrative: Discreet papules minute at site of injection only.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Coma, Dyskinesia, Lethargy, Vomiting
Clinical narrative: 5 minutes after vaccine administration, pt had sudden onset of lethargy, decreased responsiveness, vomiting, ? jerking of limbs prior to lethargy witnessed by mom. Given Benadryl, subcutaneous EPI, NS Bolus.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Leg is red hard warm to touch and hurts, in right leg. Leg is swollen.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site induration, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Right leg swelled, warm and painful to touch very red and blotchy, hard.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Rash macular
Clinical narrative: Right leg swelled, warm and painful to touch very red and blotchy, hard.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site induration, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Pt leg swelled, very warm to touch, hard and red. Pain to touch, This is in right leg.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site induration, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Right leg was very swollen, red, hard, warm an painful touch.
Age: 1.34
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Injection site hypersensitivity, Injection site induration, Injection site oedema, Injection site warmth
Clinical narrative: Right leg was red, hard, swollen, and warm.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Hypokinesia, Injection site erythema, Injection site hypersensitivity, Injection site oedema, Injection site warmth
Clinical narrative: Erythema, doesn't move left arm T 100.0, increased redness, started one day after vaccination. Warm to touch, swelling and erythema extends upper arm to near elbow.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Pyrexia
Clinical narrative: Erythema, doesn't move left arm T 100.0, increased redness, started one day after vaccination. Warm to touch, swelling and erythema extends upper arm to near elbow.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Swollen left deltoid, erythema in area 13x14cm outer deltoid 2 1/2 x 2cm. Right deltoid 21cm, left deltoid 26 cm around.
Age: 48.0
Sex: M
Vaccine: ANTH
Symptoms: Acne, Cellulitis, Deafness, Face injury, Infection
Clinical narrative: Cellulitis, superficial injury face/scalp infected, Subcutaneous lipoma. Medical records include hearing loss & acne. Follow-up: Pt states recurrent Lipoma on back of scalp; swelling and pain.
Age: 48.0
Sex: M
Vaccine: ANTH
Symptoms: Lipoma, Pain, Swelling
Clinical narrative: Cellulitis, superficial injury face/scalp infected, Subcutaneous lipoma. Medical records include hearing loss & acne. Follow-up: Pt states recurrent Lipoma on back of scalp; swelling and pain.
Age: 31.0
Sex: F
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: Rash
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Amnesia, Arthralgia, Dyspnoea, Headache
Clinical narrative: Headache, no treatment, lost of memory, no treatment joint pain, no treatment. 1/11/2010 Unexplained headaches, difficult to breath and memory lost.
Age: 82.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Rash
Clinical narrative: Received Zostavax 7/31/06 developed rash along left T/O dermatome, entirely within 24 hours, seen 8/3/06 rash was starting to fade.
Age: 82.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Erythema, Rash vesicular
Clinical narrative: Received Zostavax 7/31/06 developed rash along left T/O dermatome, entirely within 24 hours, seen 8/3/06 rash was starting to fade.
Age: 1.19
Sex: F
Vaccine: DTAP, HIBV, MMRV
Symptoms: Rash papular, Rash pruritic
Clinical narrative: Pruritic rash times 1 day. Positive papules on head, buttocks and thighs. Varicella vaccine 23 days ago.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Abdominal pain upper, Arthralgia, Back pain, Disturbance in attention, Headache
Clinical narrative: Concentration: loss of; Ache: Joints; Headaches; Heart: palpitations; Pain: lower back; Pain: legs; Pain: stomach; Numbness and tingling in arms.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Hypoaesthesia, Palpitations, Paraesthesia
Clinical narrative: Concentration: loss of; Ache: Joints; Headaches; Heart: palpitations; Pain: lower back; Pain: legs; Pain: stomach; Numbness and tingling in arms.
Age: 6.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Lymphadenopathy, Myalgia, Pyrexia, Swelling
Clinical narrative: He developed fevers >102 degrees, swelling and redness of the injection area up to 3 inches x 3 inches. Swelling of axillary and inguinal lymph notes. Myalgias.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Pyrexia, Staring
Clinical narrative: Infant received shots 5/23/06-child's grandmother brought him in for 4  month shots and reported that child was seen in ER after his first shots due to "high fever and blank stare." Which started about 4:30-5:00PM, the evening vaccines were given.  According to ER records: Child came in around 8:30 PM day of shots.  His gm stated he choked on juice and didn't act right.  His temp 101.3 rectual.  He was given MOTRIN and PEDIALYTE and did not choke.  He was released around 10: PM with orders for TYLENOL/MOTRIN prn fever d/c F 100.9 rectual.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Tenderness
Clinical narrative: Tenderness day after shot, erythema, skin, local reaction 10x1cm. Treatment warm compresses TID.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Patient received DTaP 08/07/06 in Right deltoid. Presented 08/09/06 with acute swelling and erythema of entire right upper extremity extending into the axilla.
Age: 64.0
Sex: F
Vaccine: PPV
Symptoms: Chest wall pain, Erythema, Tenderness
Clinical narrative: IM injection to left deltoid (0.5ml) on 7/27/06. Had redness and tenderness to left deltoid extending to elbow and left chest wall. Returned to office on 8/10/06. Symptoms had resolved but still having some pain to arm. Stated duration of redness/swelling approximately 6 days.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Ecchymosis, Erythema, Feeling hot, Swelling
Clinical narrative: mom called HD 8/11/06 stating child's arm (left) red and swollen. Appointment made to see Dr. ASAP. Seen per Dr. 8/11/06. Left arm moderate ecchymosis 8cmx8cm left lateral deltoid. No hematoma, slightly warmer than surrounding skin.
Age: 1.79
Sex: M
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: Hives all over on the same day.
Age: 34.0
Sex: F
Vaccine: PPV
Symptoms: Erythema
Clinical narrative: Erythema skin
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness at injection site/area. swelling hot to touch follow up prn
Age: 18.0
Sex: F
Vaccine: HEP, MEN
Symptoms: Herpes zoster, Hypersensitivity
Clinical narrative: Patient seen on 7/19/06 - physical for college.  Given Hep B & meningococcal. Returned on 8/9/06 and diagnosed with shingles.  ? Reaction to immunizations
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, HIBV, MMR, PNC, VARCEL
Symptoms: Acne, Diarrhoea, Herpes zoster, Rash
Clinical narrative: Mother called to report child had "pimple" on left side and diarrhea 8/1/06.  8/2/06 had rash on abdomen, side and back.  ER diagnosed "chickenpox shingles".
Age: 0.19
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Convulsion, Postictal state
Clinical narrative: In minutes after injections infant had a 2 minute generalized tonic-clonic seizure followed by a post ictal period.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Irritability, Screaming
Clinical narrative: Excessive fussiness x 6 days after immunizations.  "Screaming like she's hurting.  Draws her limbs in and draws into a little ball."  Normal exam at office visit 8/14/06.  Signs and symptoms resolved by 8/15/06.
Age: 29.0
Sex: M
Vaccine: SMALL, TTOX
Symptoms: Chills, Headache, Injection site erythema, Injection site warmth, Lymphadenopathy
Clinical narrative: Presented to the Clinic on 8/4/06 with c/o HA, photosensitivity, nausea, fever, chills, stiff neck and swollen nodes on L axilla. Reports HA was much worse previous evening. Smallpox vaccination site L arm with 4x4 inch erythematous area around site, warm to touch. Diagnosed as smallpox vaccination reaction. Orders given for Motrin 800mg tid with food prn, Compazine 5mg 1 tab po q406 hours prn nausea, push fluids, avoid heavy meals times 2 days, quarters x 48 hours, follow up in 3 days or sooner if needed.
Age: 29.0
Sex: M
Vaccine: SMALL, TTOX
Symptoms: Musculoskeletal stiffness, Nausea, Photophobia, Pyrexia
Clinical narrative: Presented to the Clinic on 8/4/06 with c/o HA, photosensitivity, nausea, fever, chills, stiff neck and swollen nodes on L axilla. Reports HA was much worse previous evening. Smallpox vaccination site L arm with 4x4 inch erythematous area around site, warm to touch. Diagnosed as smallpox vaccination reaction. Orders given for Motrin 800mg tid with food prn, Compazine 5mg 1 tab po q406 hours prn nausea, push fluids, avoid heavy meals times 2 days, quarters x 48 hours, follow up in 3 days or sooner if needed.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Chest discomfort, Dyspnoea, Hyperhidrosis, Muscular weakness, Photophobia
Clinical narrative: Presented to the Clinic on 8/4/06 with c/o vertigo, photosensitivity, difficulty breathing with chest tightness, cold sweats, fever on and off, weakness in legs. Labs done. CBC and Chem Panel. Diagnosed as smallpox vaccination reaction and viral illness. Ordered to push fluids, Tylenol prn, RTC TMC prn.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia, Vertigo
Clinical narrative: Presented to the Clinic on 8/4/06 with c/o vertigo, photosensitivity, difficulty breathing with chest tightness, cold sweats, fever on and off, weakness in legs. Labs done. CBC and Chem Panel. Diagnosed as smallpox vaccination reaction and viral illness. Ordered to push fluids, Tylenol prn, RTC TMC prn.
Age: 37.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site swelling, Pain, Pruritus
Clinical narrative: 8/8/06 started itching, pink, swelling at site right deltoid, low grade temp. and pain.  Has taken ibuprofen and put ice on right deltoid.
Age: 37.0
Sex: F
Vaccine: TD
Symptoms: Pyrexia
Clinical narrative: 8/8/06 started itching, pink, swelling at site right deltoid, low grade temp. and pain.  Has taken ibuprofen and put ice on right deltoid.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Acne, Dermatitis, Fatigue, Folliculitis, Pain
Clinical narrative: Presented to the Clinic on 7/31/06 with c/o rash on back, fever and fatigue times 2 days. Rash is painful and itchy. Pustular inflammatory eruption on back. Diagnosed as cystic acne vs smallpox vaccine complication vs follucilitis dermatitis. Orders given for Keflex and recheck at SRC shot room in 24-48 hours.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus, Pyrexia, Rash
Clinical narrative: Presented to the Clinic on 7/31/06 with c/o rash on back, fever and fatigue times 2 days. Rash is painful and itchy. Pustular inflammatory eruption on back. Diagnosed as cystic acne vs smallpox vaccine complication vs follucilitis dermatitis. Orders given for Keflex and recheck at SRC shot room in 24-48 hours.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Mother call describing large red, raised area by injection site Left thigh 3 inches by 4 inches.  Mother was advised to call primary care physician for further instructions.
Age: 12.0
Sex: F
Vaccine: TTOX
Symptoms: Convulsion, Dizziness, Injection site pain, Loss of consciousness, Malaise
Clinical narrative: My daughter received a tetanus vaccination at approx. 10:20am on 8-14-06 and complained of severe pain at the shot site. At approx. 6:30am on 8-15-06, she woke feeling ill. She stated she felt sick, hot, and funny. She became dizzy and fell. Ten minutes later she saw "flashes and spots" passed out unconscious on the floor with her eyes open, having mild seizure like symptoms. She became conscious, laid down stating she felt better.
Age: 12.0
Sex: F
Vaccine: TTOX
Symptoms: Visual disturbance
Clinical narrative: My daughter received a tetanus vaccination at approx. 10:20am on 8-14-06 and complained of severe pain at the shot site. At approx. 6:30am on 8-15-06, she woke feeling ill. She stated she felt sick, hot, and funny. She became dizzy and fell. Ten minutes later she saw "flashes and spots" passed out unconscious on the floor with her eyes open, having mild seizure like symptoms. She became conscious, laid down stating she felt better.
Age: 44.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Erythema, Rash
Clinical narrative: Within 5 days of MMR vaccine, patient had "red bumps" everywhere. Then noticed lumps behind ears on back of neck (lasted 2 1/2 weeks).  Joint pain hands, knees 2 weeks after vaccine.  Never saw her MD - called X 3.  Private MD dismissed patient.  No treatment except Advil for joint pain for a few days.
Age: 13.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: 3" diameter area of induration, erythema and warm to the touch.
Age: 69.0
Sex: M
Vaccine: HEPAB, HEPAB
Symptoms: Hot flush, Nausea, Vertigo, Vomiting
Clinical narrative: Client reported nausea, vomiting, hot flashes, and vertigo on the day after receivine vaccine. Is using Antivert w/ some relief of symptoms.
Age: 69.0
Sex: M
Vaccine: HEPAB, HEPAB
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: Client reported nausea, vomiting, hot flashes, and vertigo on the day after receivine vaccine. Is using Antivert w/ some relief of symptoms.
Age: 5.0
Sex: M
Vaccine: DTAPHEPBIP, HEPA, MMR
Symptoms: Injection site erythema, Injection site induration, Pruritus
Clinical narrative: TEMP: 97.1 2 DAYS INCREASING ERYTHEMA; INDURATION SURROUNDING INJECTION SITE RIGHT ARM, DIFFUSE PRURITIS, NO RESPIRATORY COMPROMISE.  SMALL AREA INDURATION ALSO PRESENT ON R HIP. TREATED WITH PREDNISOLONE 15/5, 2/3 TSP BID X5 DAYS. ORAL BENADRYL. CEPHALEXIN 250/5, 1 TSP Q8H X 7 DAYS.
Age: 30.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Asthenia, Back pain, Blood glucose normal, CSF cell count, CSF oligoclonal band absent
Clinical narrative: Nine days after receiving Menactra patient developed tingling in feet and face as well as low back pain.  He presented to Hospital and was sent home.  His symptoms continued and he began to c/o weakness in his lower extrmities.  On August 10th he presented to Hospital ED and was admitted.  Subsequently he has developed dysphagia to solids, but has not had any respiratory compromise.  He remains hospitalized. Follow-up data received 12 September 2006 indicates a diagnosis of Guillain Barre Syndrome.  See attached discharge summary.
Age: 30.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Dysphagia, Electromyogram normal, Guillain-Barre syndrome, Nuclear magnetic resonance imaging, Paraesthesia
Clinical narrative: Nine days after receiving Menactra patient developed tingling in feet and face as well as low back pain.  He presented to Hospital and was sent home.  His symptoms continued and he began to c/o weakness in his lower extrmities.  On August 10th he presented to Hospital ED and was admitted.  Subsequently he has developed dysphagia to solids, but has not had any respiratory compromise.  He remains hospitalized. Follow-up data received 12 September 2006 indicates a diagnosis of Guillain Barre Syndrome.  See attached discharge summary.
Age: 30.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Protein total, Stool analysis, White blood cell count
Clinical narrative: Nine days after receiving Menactra patient developed tingling in feet and face as well as low back pain.  He presented to Hospital and was sent home.  His symptoms continued and he began to c/o weakness in his lower extrmities.  On August 10th he presented to Hospital ED and was admitted.  Subsequently he has developed dysphagia to solids, but has not had any respiratory compromise.  He remains hospitalized. Follow-up data received 12 September 2006 indicates a diagnosis of Guillain Barre Syndrome.  See attached discharge summary.
Age: 30.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Back pain, CSF protein increased, CSF test abnormal, Computerised tomogram normal, Demyelination
Clinical narrative: Nine days after receiving Menactra patient developed tingling in feet and face as well as low back pain.  He presented to Hospital and was sent home.  His symptoms continued and he began to c/o weakness in his lower extrmities.  On August 10th he presented to Hospital ED and was admitted.  Subsequently he has developed dysphagia to solids, but has not had any respiratory compromise.  He remains hospitalized. Follow-up data received 12 September 2006 indicates a diagnosis of Guillain Barre Syndrome.  See attached discharge summary.
Age: 30.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Dysphagia, Guillain-Barre syndrome, Intervertebral disc degeneration, Muscular weakness, Muscular weakness
Clinical narrative: Nine days after receiving Menactra patient developed tingling in feet and face as well as low back pain.  He presented to Hospital and was sent home.  His symptoms continued and he began to c/o weakness in his lower extrmities.  On August 10th he presented to Hospital ED and was admitted.  Subsequently he has developed dysphagia to solids, but has not had any respiratory compromise.  He remains hospitalized. Follow-up data received 12 September 2006 indicates a diagnosis of Guillain Barre Syndrome.  See attached discharge summary.
Age: 30.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Paraesthesia, Red blood cell sedimentation rate normal, Red blood cells CSF positive, Rehabilitation therapy
Clinical narrative: Nine days after receiving Menactra patient developed tingling in feet and face as well as low back pain.  He presented to Hospital and was sent home.  His symptoms continued and he began to c/o weakness in his lower extrmities.  On August 10th he presented to Hospital ED and was admitted.  Subsequently he has developed dysphagia to solids, but has not had any respiratory compromise.  He remains hospitalized. Follow-up data received 12 September 2006 indicates a diagnosis of Guillain Barre Syndrome.  See attached discharge summary.
Age: 1.09
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Erythema, Rash maculo-papular
Clinical narrative: Diffuse fine maculopapular pink rash no urticaria rash from head to toe.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Right upper arm is edematous-around 6x4 cm.  It is erythematous and hot to touch.  Pt was given Keflex BID for infection, and advised to use Benadryl elixir (12.5/5ml) 2 tsp.  every 6-8 hours as needed for swelling.
Age: 15.0
Sex: F
Vaccine: HEP, HEPA, TDAP
Symptoms: Headache, Tongue black hairy, Tongue oedema
Clinical narrative: Client called to report that tongue color is black on 2nd day post immunizations.  Denies pain and states no problem swallowing.  States she thinks that taste buds are swollen slightly at back of tongue.  Also c/o headache.  Talked to MD et was referred to PHD.
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Anaemia neonatal, Heart rate irregular, Hypokinesia, Irritability, Laboratory test abnormal
Clinical narrative: Patient is former 27 4/7 premie who was due for 2 month vaccines on DOL #60. At this time, she was stable in special care nursery at hospital. She was due to go home the following day. She was taking all PO, off catheter since 8/1. 2 month vaccines given on 8/10-by AM of 8/11 began having HR drops, irritability, feeding intolerance, and decreased activity. No fever....sepsis work up done along with CXR/KUB. Antibiotics were started (Vancomycin/Gentamycin) and continued for 48 hours until culture were complete negative. On the next day the irritability, vomiting, and multiple heart rate drops resolved. Patient returned to baseline, went home on 8/18 after 6 days of observation without repeated heart rate drops. 11/13/06 Received medical records from hospital which reveal patient had been hospitalized from birth.  Remained in NICU until 8/4/06 when transferred to special care nursery wt 1980 grams).  Was able to take oral feeding by 7/12/06.  Received 7 day course of antibiotics for suspected maternal chorioamnionitis.  Was scheduled for d/c on 8/11 & received 2 mo vax.  Became increasingly irritable, poor feeding & desat to 70s w/heart rate of 70s also & multiple emesis episodes.  Placed back on CPAP temporarily & w/u for sepsis done which was neg. Weight at D/C 2200 kg. D/C dx: preemie; RDS resolved; apnea of preemie resolved; right hip dysplasia resolved; retinopathy of preemie; anemia of preemie; ABO incompatibility; mild acute chorioamnionitis on placental path; and in utero marijuana exposure. Patient was to be followed by home health nursing, PT & OT.
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Neonatal apnoeic attack, Oral intake reduced, Premature baby, Retinopathy, Vomiting
Clinical narrative: Patient is former 27 4/7 premie who was due for 2 month vaccines on DOL #60. At this time, she was stable in special care nursery at hospital. She was due to go home the following day. She was taking all PO, off catheter since 8/1. 2 month vaccines given on 8/10-by AM of 8/11 began having HR drops, irritability, feeding intolerance, and decreased activity. No fever....sepsis work up done along with CXR/KUB. Antibiotics were started (Vancomycin/Gentamycin) and continued for 48 hours until culture were complete negative. On the next day the irritability, vomiting, and multiple heart rate drops resolved. Patient returned to baseline, went home on 8/18 after 6 days of observation without repeated heart rate drops. 11/13/06 Received medical records from hospital which reveal patient had been hospitalized from birth.  Remained in NICU until 8/4/06 when transferred to special care nursery wt 1980 grams).  Was able to take oral feeding by 7/12/06.  Received 7 day course of antibiotics for suspected maternal chorioamnionitis.  Was scheduled for d/c on 8/11 & received 2 mo vax.  Became increasingly irritable, poor feeding & desat to 70s w/heart rate of 70s also & multiple emesis episodes.  Placed back on CPAP temporarily & w/u for sepsis done which was neg. Weight at D/C 2200 kg. D/C dx: preemie; RDS resolved; apnea of preemie resolved; right hip dysplasia resolved; retinopathy of preemie; anemia of preemie; ABO incompatibility; mild acute chorioamnionitis on placental path; and in utero marijuana exposure. Patient was to be followed by home health nursing, PT & OT.
Age: 17.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Dizziness, Loss of consciousness, Syncope
Clinical narrative: 1-2 minutes after the shot.  She fainted and fell at the examining table. 20-30 seconds was unconscious, then she was ok. She felt dizzy, emergency medical services examined, blood sugar 113, blood pressure 86/68, pulse 78, took her to emergency room, observed 2 hours  then discharges.
Age: 17.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Asthenia, Blood glucose increased, Dizziness
Clinical narrative: 1-2 minutes after the shot.  She fainted and fell at the examining table. 20-30 seconds was unconscious, then she was ok. She felt dizzy, emergency medical services examined, blood sugar 113, blood pressure 86/68, pulse 78, took her to emergency room, observed 2 hours  then discharges.
Age: 0.34
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Decreased appetite, Diarrhoea, Injection site warmth, Screaming
Clinical narrative: Crying excessively greater than three hours, hot to touch, abdomen gurgling, loose mucous bowel movement, decreased appetite
Age: 78.0
Sex: F
Vaccine: PPV
Symptoms: Pain, Swelling
Clinical narrative: Right arm pain and swelling.  Patient seen emergency room 08/10/2006
Age: 0.54
Sex: M
Vaccine: DTPHEP, HIBV, PNC
Symptoms: Subcutaneous nodule
Clinical narrative: Large, local, reaction with subcutaneous, nontender nodule.  Left thigh 2 by 2 and a half centimeter nodule (Pediarix site).  Right thigh 3.5 by 4 centimeter nodule (questionable PCV-7 site). Expected to recover fully.
Age: 0.26
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Pyrexia, Swelling, Vomiting
Clinical narrative: Patient mother reports emesis 9:15 pm 08/08/2006, 10 pm note swelling on right thigh injection site with redness, temperature to 103 degrees, gave MOTRIN.  Called clinic in am, seen 1 pm 08/09/2006 temperature 101 degrees, redness, tenderness right leg.  Instructed mother ice to leg, Ibuprofen for fever and tenderness.
Age: 7.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Swelling
Clinical narrative: Redness and swelling, left arm
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Swelling
Clinical narrative: Redness and swelling, right arm
Age: 1.53
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Erythema, Pyrexia, Rash, Rash macular
Clinical narrative: Fever on 05-22-2006 after shot TYLENOL given.  Red blotchy rash started 6 hours after the shots given.  Rash started at immunization site, but spread to entire body within 24 hours.  Rash took 3 weeks to disappear.
Age: 0.34
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying, Pyrexia, Screaming
Clinical narrative: Continuous crying, inconsolably for 4-6 hours then fevers the next day.
Age: 0.38
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Accidental exposure, Crying, Underdose
Clinical narrative: Information has been received from a registered nurse concerning a 19 week old female patient with no known allergies or pertinent medical history who on 16-JUL-2008 was vaccinated with a second dose of ROTATEQ vaccine live (human-bovine) (lot # 659773/0020X). The patient received her first dose of ROTATEQ vaccine live (human-bovine) on 01-MAY-2008. Concomitant vaccinations on 16-JUL-2008 included PEDIARIX, PREVNAR and Hib conj vaccine (OMPC) (MSD). It was reported that the patient was given her second dose of ROTATEQ vaccine live (human-bovine) and spit it out. It was noted that some of the vaccine splashed into the patient's eyes, but there were no ocular symptoms reported. It was also noted that the patient was crying, but the nurse said it was because the patient had received several injections. Medical attention was sought in the office. There were no lab studies performed. At the time of the report, the patient's status was unknown. There was no product quality complaint involved. Additional information has been requested. 12/03/08 This is in follow-up to report(s) previously submitted on 8/14/2008. Follow-up information indicated no new information. Follow-up information has been received from a child health supervisor concerning this 19 week old female patient with no known allergies or pertinent medical history who on 16-JUL-2008 at 11:00 AM was vaccinated orally with a second dose of ROTATEQ (lot # 659773/0020X). Concomitant vaccinations on the same day at 11:00 AM included a second IM dose of PEDVAXHIB (OMPC) (MSD) (lot # 657701/0821U), a second IM dose of PEDIARIX (lot # AC21B13BA) and a second IM dose of PREVAR (lot # C65930). There was no illness at the time of vaccination and no adverse events following prior vaccinations. It was noted that the baby's eyes were immediately flushed with eye wash fluid. The mother reported there were no side effects noted. There was no redness or drainage at the time of the incident or afterwards. The baby was not taken to the clinic or the hospital. At the time of the report, the baby recovered. It was noted that the baby was well. Additional information is not expected.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia, Vomiting
Clinical narrative: Local erythema, Pain, edema "like a softball".  Fever reported up to 103.4.  Ibuprofen and warm pak.  Temp 102 next day and normal day after that.  One episode of emesis.  Wt down 2 pounds.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Weight decreased
Clinical narrative: Local erythema, Pain, edema "like a softball".  Fever reported up to 103.4.  Ibuprofen and warm pak.  Temp 102 next day and normal day after that.  One episode of emesis.  Wt down 2 pounds.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: EDEMA, WARMTH AND TENDERNESS.  WARM COMPRESS AND KEFLEX ANTIBIOTICS.  EDEMA ENTIRE UPPER ARM.
Age: 34.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Blood creatine phosphokinase increased, Cardiac enzymes, Catheterisation cardiac, Chest pain, Echocardiogram abnormal
Clinical narrative: This 34 year old received his primay Smallpox vaccine 02 June 2006.  Approximately 12 days later (14 June 2006) he reported onset of flu-like symptoms of fatigue, body aches, fevers with temperatures of 101 degree F by day 13. His symptoms resolved over the next 24 hours.  By day 15 (17 Jun 2006) he awoke about 0600 with severe substernal left chest pain with radiating pain to both shoulders and left arm with minimal diaphoresis to extremities (hands). He described his pain as a constant pressure, sharp and stabbing while lying flat 9/10, that eased to a 7.5/10 standing or leaning forward. He also c/o difficulty breathing stating it "hurt to breathe". He denied any recent exertion, trauma or illness, nausea, vomiting, back or jaw pain, or any syncope with positional changes. After 20 minutes without resolving, his wife took him to the base emergency room.   Diagnostic studies identified "myocarditis with dilated aortic root" (records pending). Prior to diagnosis he was given Dilaudid IV with resolution of pain but he continued to feel pressure at a 3-4/10 scale that was tolerable.  He was admitted for 3-4 days with resolution of all pain within 12-18 hours post admission (by Sat evening). He reported a normal cardiac catherization that Monday prior to discharge with a resulting groin hematoma one week later that required overnight admission; otherwise no reoccurrence of chest pain/pressure. He continued with limited profile for 2 weeks followed by light duties for 1 week. He currently performs all activities of daily living normally, completes assisgned physical activities noticing some shortness of breath with long distance running >1-2 miles not previously felt prior to illness.   His 6-12 week follow up with the doctor is scheduled in 3 weeks due to unit deployment for maneuvers this week (8/21/06). He again denies any reoccurrance of chest pain/pressure and is on no NSAIDs at this time. Small pox vaccination induced myocarditis resolving.  Assessment: myopericarditis in temporal association to the smallpox vaccine.
Age: 34.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Laboratory test abnormal, Troponin
Clinical narrative: This 34 year old received his primay Smallpox vaccine 02 June 2006.  Approximately 12 days later (14 June 2006) he reported onset of flu-like symptoms of fatigue, body aches, fevers with temperatures of 101 degree F by day 13. His symptoms resolved over the next 24 hours.  By day 15 (17 Jun 2006) he awoke about 0600 with severe substernal left chest pain with radiating pain to both shoulders and left arm with minimal diaphoresis to extremities (hands). He described his pain as a constant pressure, sharp and stabbing while lying flat 9/10, that eased to a 7.5/10 standing or leaning forward. He also c/o difficulty breathing stating it "hurt to breathe". He denied any recent exertion, trauma or illness, nausea, vomiting, back or jaw pain, or any syncope with positional changes. After 20 minutes without resolving, his wife took him to the base emergency room.   Diagnostic studies identified "myocarditis with dilated aortic root" (records pending). Prior to diagnosis he was given Dilaudid IV with resolution of pain but he continued to feel pressure at a 3-4/10 scale that was tolerable.  He was admitted for 3-4 days with resolution of all pain within 12-18 hours post admission (by Sat evening). He reported a normal cardiac catherization that Monday prior to discharge with a resulting groin hematoma one week later that required overnight admission; otherwise no reoccurrence of chest pain/pressure. He continued with limited profile for 2 weeks followed by light duties for 1 week. He currently performs all activities of daily living normally, completes assisgned physical activities noticing some shortness of breath with long distance running >1-2 miles not previously felt prior to illness.   His 6-12 week follow up with the doctor is scheduled in 3 weeks due to unit deployment for maneuvers this week (8/21/06). He again denies any reoccurrance of chest pain/pressure and is on no NSAIDs at this time. Small pox vaccination induced myocarditis resolving.  Assessment: myopericarditis in temporal association to the smallpox vaccine.