chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 15.0
Sex: M
Vaccine: HEP
Symptoms: Dizziness, Hyperreflexia, Hypokinesia, Pyrexia, Wheezing
Clinical narrative: On 1/28/03, school doctor gave HBV to pt. Pt immediately felt faint, dizzy and couldn't stand up. After 40 mins, pt began to wheeze as a result of asthma condition. Pt was taken to ER where physician's diagnosis was adverse drug reaction and pt is hospitalized. This case was received on 1/25/03. This case was reported by school health on 1/24/03. The index is a 15 year old male who had an adverse reaction to HBV. T/C to mother of index 1/25/03 3:30pm. As per mother, index had taken HBV on 1/23/03 at school. As per mother, she was not aware that index would be given HBV. Index had refused the vaccine, but doctor forced him to take it. Index had no adverse reaction to a vaccine prior. Pre-existing condition is asthma. Given asthma medication and nebulizer. On 1/23/03, index was taken to the ER. As per school health, the ER physician's working diagnosis was adverse drug reaction. The child had an altered mental status, rigidity and a slightly elevated temp. Index was hyperreflexic and had a flat affect. He had been shaking, but this had improved. He was unable to move freely. As of 1/24/03 in the evening, index was still in ER. Index had improved some and was able to speak slightly with his family (some words, no complex sentences or thoughts) and index was more alert and coherent, his tone had improved some, and he had some agitation. School health spoke with the resident on the floor, who reported that index had regressed somewhat-index was non-verbal, index's tone had some rigidity and index was more agitated/combative. Index's head CT was normal (preliminary reading), electrolytes and LFT's normal and urine tox (-). Psych is not seeing child. 1/27/03 T/C to school nurse 9AM. Index took previous dose of HBV on 7/31/01. Stated that index's mother signed a consent form for the HBV on 12/30/03 and index brought his immunization card to school on 1/16/03. Stated that after index received HBV, index felt faint, dizzy and couldn't stand up. Index's BP, which was normal, then took BP again in 20 mins, and it was normal. 60 Day follow up states pt has not recovered. As of 07/01/2003, vaccine recipient is under the care of a psychiatrist. Father states that vaccine recipient is doing better, but that he is nervous and shakes. Mother stated that vaccine recipient will see psychiatrist in another two weeks. As of 5/25/2004, according to father, vaccine recipient is under the continuous care of a psychiatrist. Father states that vaccine recipient is taking medication for asthma and other symptoms of vaers. Father says that when vaccine recipient does not take medication, he can't talk and gets angry with memories of having taken vaccine. Mother stated that vaccine recipient is seeing a physician on a regular basis and is doing a little better but is still experiencing some problems.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Convulsion, Crying
Clinical narrative: Approximately 2 hours after vaccines, mom called.  Baby was screaming/crying and was having a seizure (per mom). Advised to call 911. Baby taken to ER for evaluation.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Dermatitis bullous, Pruritus, Urticaria
Clinical narrative: Received DTaP, MMR, IPV vaccines on 3/18/03. Mother first noticed circular rash (described as hives) around vaccination sites of DTaP and IPV (left upper arm). Rash and itching decreased markedly with use of Benadryl next day.
Age: 4.0
Sex: F
Vaccine: IPV, MMR, VARCEL
Symptoms: Infection
Clinical narrative: Has chicken pox disease.
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Has chicken pox illness. More than 100 pox.
Age: 3.6
Sex: M
Vaccine: DTAP
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: Pt's right thigh was red and hot to touch - over entire thigh.  Apply warm compress to area per MD. Pt temp 98.6 degrees.
Age: 8.0
Sex: M
Vaccine: TD
Symptoms: Arthralgia, Injection site erythema, Injection site swelling
Clinical narrative: Father and mother report that child's arm was sore after vaccine on 15th - remained sore on 4/16/03 to 4/18/03.  On 4/18/03 redness (baseball-sized) and swelling developed.
Age: 6.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: 10-12 pap. lesions.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: 20-25 pap. var. lesions.
Age: 1.6
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Vomiting projectile
Clinical narrative: Projectile vomiting one hour after vaccine given, lasting 12 hours.
Age: 2.9
Sex: F
Vaccine: DTAP
Symptoms: Vomiting projectile
Clinical narrative: Projectile vomiting started 1 hour after vaccine administration and continued for 12 hours.
Age: 4.5
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site mass
Clinical narrative: O.V. Left upper arm deltoid area reddish, warm to touch, with knot about size of small marble. Reddish area about size of 2 fifty cent pieces. Advised warm compresses 4x daily for 20 minutes. Childrens Ibuprofen or Tylenol per package directions. Will take time for knot to go away, area may bruise. If no improvement or reason to call.  4/10/03 improving.
Age: 45.0
Sex: F
Vaccine: TD
Symptoms: Arthralgia, Injection site erythema, Injection site swelling, Urticaria
Clinical narrative: Soreness, redness, swelling and large hives, 13 x 9 cm and other evidence of hives in area of site of tetanus-diptheria injection.  Hives developed 5 days after shot.
Age: 24.0
Sex: M
Vaccine: VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: 2/27/03: TD, Hep B, MMR vaccines for INS 3/27/03: Hep B, Varivax 4/10/03: Tetanus booster for needle stick 4/8 4/12/03: Rash - seen 4/14 - Dx chicken pox. Not ill, no fever, more than 20 lesions.
Age: 27.0
Sex: F
Vaccine: MMR
Symptoms: Vaccination complication
Clinical narrative: Vaccine failure
Sex: M
Vaccine: HEPA
Symptoms: Arthralgia, Pyrexia, Serum sickness, Urticaria
Clinical narrative: Serum sickness, urticaria, fevers, arthralgias
Age: 25.0
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Drug ineffective, Infection, Infection transmission via personal contact
Clinical narrative: Severe case of chicken pox developed in this patient, the father of a one-year-old who received VZV vaccination about 1 1/2 weeks prior to onset of illness.  Patient without other known exposure.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Pyrexia, Skin ulcer
Clinical narrative: Low grade fever. Less than 30 lesions. 3rd day.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Stomach pretty covered. Low grade fever. Some on arms. Few on legs, quite pronounced. 5 or 6 days total.
Age: 1.6
Sex: F
Vaccine: DTAPH, HEP
Symptoms: Feeling hot, Injection site erythema, Injection site mass, Injection site swelling
Clinical narrative: Site reaction to DTaP/Hib #3 given right thigh IM, 25 hours later, red, swollen, warm, firm knot. Cefzil 250/5mg tsp  BID Benadryl 3/4 tsp q 6 hours.
Age: 44.0
Sex: M
Vaccine: HEP
Symptoms: Erythema, Oedema, Pain
Clinical narrative: Given Hep B #1 10:45 AM, To Medical 12:45 PM with increased edema, increased erythema right side of face - ear/jaw down to chin. Tight/firm, no SOB, no localized reaction, no hives or itch. Painful.
Age: 33.0
Sex: F
Vaccine: SMALL, SMALL, SMALL
Symptoms: Cardiac disorder, Dyspnoea
Clinical narrative: Tremors began in shoulders/upper extremities 4/19/03.  Tremors began in hips/lower extremities on 4/23/03.  Examined by doctor at ER on 4/23/03.  Dr. spoke to CDC, patient to be evaluated by a neurologist 4/24/03
Age: 33.0
Sex: F
Vaccine: SMALL, SMALL, SMALL
Symptoms: Tremor
Clinical narrative: Tremors began in shoulders/upper extremities 4/19/03.  Tremors began in hips/lower extremities on 4/23/03.  Examined by doctor at ER on 4/23/03.  Dr. spoke to CDC, patient to be evaluated by a neurologist 4/24/03
Age: 33.0
Sex: F
Vaccine: SMALL, SMALL, SMALL
Symptoms: Cardiac disorder, Dyspnoea
Clinical narrative: Pt with tremors, 38 days following smallpox vaccine. Likely unrelated. Under investigation.
Age: 33.0
Sex: F
Vaccine: SMALL, SMALL, SMALL
Symptoms: Tremor
Clinical narrative: Pt with tremors, 38 days following smallpox vaccine. Likely unrelated. Under investigation.
Age: 38.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Fatigue
Clinical narrative: Chest pain/fatigue
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Dyspnoea, Pruritus, Rash
Clinical narrative: Rash all over body, itching, difficulty breathing, Atarax 25 mg PO x 1
Age: 45.0
Sex: F
Vaccine: SMALL
Symptoms: Bronchitis, Dermatitis, Erythema, Pruritus
Clinical narrative: Bronchitis onset day 5, 3/30/03 of vaccination, saw PMD on day 7, 4/1/03 and placed on Augmentin, Clarinex and Albuterol inhaler, missed work until 4/7/03 and continues to improve. Contact dermatitis started about 4/7/03 with itching and reddness on right hand/wrist and left hand, using hydrocortisone cream and is improving but not gone
Age: 3.0
Sex: M
Vaccine: ANTH
Symptoms: Cough, Dehydration, Dyspnoea
Clinical narrative: 33 WM   Received smallpox on 13 February 2003 (Revaccinee?) and Anthrax #2 on 03 March 03.  Client presented to the Emergency Room with 2-3 day history of non-productive cough on 03/05/03. Denied chest pain, nausea, vomiting or diarrhea. Had been seen previous day for dehydration. Physical exam reports RLL decreased breath sounds; RML rales ascultated; CTA; LLL CTA. His SaO2 was 95%. He received two liters of intravenous fluid, dismissed and  referred to cardiology.  His dyspnea worsened overnight.  The repeat CXR was suggestive of CHF.  He was given 40 mg Lasix and improved. ECG had sinus tachycardia (heart rate of 115 bpm). He was never admitted to in-patient status.
Age: 48.0
Sex: F
Vaccine: SMALL
Symptoms: Headache
Clinical narrative: 6th day-mild headache; 7th-11th day-severe headache. MD prescribed Ultracet on day 7 and she continued with taking pills (3 times daily) until day 16.  12th-14th day-moderate headache. 15th-17th day-milder headache (18th day resolved).
Age: 55.0
Sex: F
Vaccine: SMALL
Symptoms: Dizziness, Pain
Clinical narrative: Severe dizziness and pain left arm - started on 4/1/03 and lasted 3 days.
Age: 22.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Unevaluable event
Clinical narrative: NONE:  PATIENT IS 9.6 WEEKS PREGNANT AS CONFIRMED BY SONOGRAM.  PREGNANCY DX ON 18 MARCH, DATE OF LMP WAS 15 FEB 2003.
Age: 51.0
Sex: F
Vaccine: SMALL
Symptoms: Chest discomfort, Throat tightness
Clinical narrative: Within first month after vaccination began to experience feeling of intermittent tightness in upper chest and throat - had been taking Rx Aciphex with no relief - was changed to Nexxium on 4/16/03
Age: 57.0
Sex: F
Vaccine: SMALL
Symptoms: Discomfort, Myalgia, Paraesthesia
Clinical narrative: Patient had smallpox vaccination on 03/10/03.  It was a take. She had been vaccinated as a child.  That also was a take.  The week of 03/31/03 began with symptoms of myalgia in the large muscles of both legs, in the shin area, the calf area and the gluteus.  Week of 04/06/03 discomfort reached a peak where it kept her awake at night.  She began using Darvocet.  This was keeping her comfortable. She was due for her yearly checkup with internist.  She had her routine lab work on 04/14/03.  All labs were normal except the CPK 693, LDH 308.  This caused her some concern.  Labs were repeated on 04/16/03.  The CPK was 418 and the LDH 209.  Her symptoms continue along with some tingling of both hands. She saw her MD on 04/21/03.  he repeated her lab work. CPK 270.  he was not sure if smallpox related, advised to report to consultants.  He would continue follow up.  Her symptoms have not subsided, but have not gotten worse. She has had arthritic studies and they were normal.  In Dec. 2002 had episode of chest pain.  Heart catherization done and was normal.  Was diagnosed having GERD.
Age: 32.0
Sex: F
Vaccine: ANTH, DT, FLUX, MEN, SMALL, TYP
Symptoms: Coma, Convulsion, Eye movement disorder, Musculoskeletal stiffness, Pain
Clinical narrative: Denies unusual local or systemic reaction between 3/19 and 3/30/03. On 3/31/03, patient had new onset seizure-like activity lasting approximately 3 minutes. Witness described patient becoming unresponsive, with legs extended out and stiffened, and arms flexed, upright and shaking. Eyes rolled straight back in head, not deviated. No neck deviation. On 4/17/03 (10 days after 2nd Anthrax), patient had 2nd similar episode of witnessed seizure like activity, only L) leg was bent and both arms were flexed with fists above head, shaking. Pt. evaluated by Neuro on 4/18/03 - Impression: Seizure, likely GTC/recent vaccination may play a role. No suggestion of encephalitis. MRI and EEG ordered (pending). Started on Carbamazepine 200mg BID and given 6 month profile limiting duties. Follow up: Pt has not received additional anthrax vaccines. She has experienced two additional seizures episodes since her last VAERS was reported; both episodes had precipitating factors.  Current problem list: Seizure disorder, left shoulder pain.
Age: 32.0
Sex: F
Vaccine: ANTH, DT, FLUX, MEN, SMALL, TYP
Symptoms: Tremor
Clinical narrative: Denies unusual local or systemic reaction between 3/19 and 3/30/03. On 3/31/03, patient had new onset seizure-like activity lasting approximately 3 minutes. Witness described patient becoming unresponsive, with legs extended out and stiffened, and arms flexed, upright and shaking. Eyes rolled straight back in head, not deviated. No neck deviation. On 4/17/03 (10 days after 2nd Anthrax), patient had 2nd similar episode of witnessed seizure like activity, only L) leg was bent and both arms were flexed with fists above head, shaking. Pt. evaluated by Neuro on 4/18/03 - Impression: Seizure, likely GTC/recent vaccination may play a role. No suggestion of encephalitis. MRI and EEG ordered (pending). Started on Carbamazepine 200mg BID and given 6 month profile limiting duties. Follow up: Pt has not received additional anthrax vaccines. She has experienced two additional seizures episodes since her last VAERS was reported; both episodes had precipitating factors.  Current problem list: Seizure disorder, left shoulder pain.
Age: 19.0
Sex: F
Vaccine: ANTH
Symptoms: Unevaluable event
Clinical narrative: Patient received vaccination of anthrax on 19 Dec 02 during first trimester of pregnancy. LMP 7 Nov 02, EDC 14 Aug 03, later changed to 25 Aug 03.
Age: 0.7
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Convulsion, Irritability, Pyrexia
Clinical narrative: Fever and irritability, starting about 4 hours after vaccination.  Temp to 103.7 (ax).  Generalized clonic seizure 16 hours after onset of fever, lasting 1 1/2 minutes.  Back to her normal self by 24 hours.
Age: 26.0
Sex: M
Vaccine: ANTH, JEV, SMALL
Symptoms: Chest pain, Headache, Hyperhidrosis, Lymphadenopathy, Malaise
Clinical narrative: axillary adenopathy several days after vaccination, resolved; received JEV #2 on 4/18; that afternoon, developed malaise, severe headaches and sweats; on 4/19 developed diffuse myalgias, and then chest pain, headaches, sweats; chest pain worse lying down than upright; took acetaminophen; on 4/21 prescribed toradol; admitted 4/22 with myocarditis after recurrent episodes of positional chest pain, abnormal ECG and elevated troponins obtained in ED. The follow up received on 4/25/03 states per telephone f/u reporter stated pt also received smallpox vaccine on 4/11/03. Currently he is fine clinically and may be discharged from hospital today (4/25/03) after on MRI is completed.
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Irritability, Pyrexia
Clinical narrative: 24 hrs after receiving vaccination, patient ran a low-grade fever and was extremely fussy.  At times patient cried uncontrollably for 2-3 hours.  Emergency room was called and we were told it was not due to the vaccination and that it was normal.  The fever subsided after an additional 12 hours but patient remained fussy/irritable for 5 more days.  Ice applied to injection site.  One dose of tylenol given for discomfort.
Age: 22.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Back pain, Neuralgia, Neuritis, Neuropathy, Optic neuritis
Clinical narrative: blurry vision began hours after shot-worsened over days-seen by several physicians over several days and transferred to military base for evaluation and treatment of optic neuritis.
Age: 22.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Stupor
Clinical narrative: blurry vision began hours after shot-worsened over days-seen by several physicians over several days and transferred to military base for evaluation and treatment of optic neuritis.
Age: 22.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Amblyopia, Headache, Myalgia, Nausea, Optic neuritis
Clinical narrative: blurry vision began hours after shot-worsened over days-seen by several physicians over several days and transferred to military base for evaluation and treatment of optic neuritis.
Age: 22.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Rash, Visual field defect
Clinical narrative: blurry vision began hours after shot-worsened over days-seen by several physicians over several days and transferred to military base for evaluation and treatment of optic neuritis.
Age: 22.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Optic neuritis, Vision blurred
Clinical narrative: blurry vision began hours after shot-worsened over days-seen by several physicians over several days and transferred to military base for evaluation and treatment of optic neuritis.
Age: 0.5
Sex: M
Vaccine: PNC, PNC
Symptoms: Hypokinesia, Injection site oedema, Injection site pain, Pain, Pyrexia
Clinical narrative: Baby was given Prevnar vacc. last 4/15/03. Baby developed fever and swelling at site of injection. 5/16/03-fever was 104 and baby seemed to be in pain when L thigh is touched. Can't move L leg-sent to hospital for admission. 60 day follow up states pt has recovered.
Age: 0.5
Sex: M
Vaccine: PNC, PNC
Symptoms: Hypokinesia, Injection site swelling, Pyrexia
Clinical narrative: Baby was given Prevnar vacc. last 4/15/03. Baby developed fever and swelling at site of injection. 5/16/03-fever was 104 and baby seemed to be in pain when L thigh is touched. Can't move L leg-sent to hospital for admission. 60 day follow up states pt has recovered.
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Pain, Swelling
Clinical narrative: Left arm is swollen to about twice the normal size. Pain is a 2. Swelling is below elbow.
Age: 51.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Secondary transmission
Clinical narrative: Pt's husband received vaccination on 4/1/03, and wife contacted reaction from vaccine on right arm on 4/9/03, and reaction tags on left arm 4/10/03.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Hepatic enzyme abnormal, Tenderness
Clinical narrative: Labs drawn for routine PE. A few days after the immunization showed elevated liver functions which then resolved 3 weeks later. Her injection site was extremely sore. No fever or jaundice. The local reaction resolved in one week. She feels fine. No other meds.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: Swelling, erythema, warmth left upper arm. 16cm in length not below elbow.
Age: 80.0
Sex: F
Vaccine: TD
Symptoms: Dyspnoea, Injection site induration, Palpitations, Pruritus, Rash macular
Clinical narrative: Received tetanus shot 3/23/03, at hospital emergency room for gash in leg. Next day, red blotch and hardness appeared on arm and very itchy. Palpitations and difficulty breathing increased, red blotch and hardness spread; itch worsened. Made appt. for 5/26. MD said never take Tetracyclin again - bad reaction. Prescribed Benadryl for itch. Stopped after one day because I couldn't stay awake. Palpitations and breathing bad.
Age: 5.0
Sex: F
Vaccine: DTAPH, IPV, MMR
Symptoms: Injection site reaction
Clinical narrative: Vaccine site reaction to DaTP
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Pruritus, Swelling
Clinical narrative: Left arm swollen, red and hot to touch. Complained of itching at site and hard to lift arm. Went to MD today - given antibiotic, Zyrtec and Benadryl.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Lymphadenopathy
Clinical narrative: Administered DTaP in right deltoid 4/14/03. Pt's mom called clinic 4/16/03 - stated right upper arm red, swollen, enlarged lymph node in axillary. Took to PMD 4/16/03.  Dx - localized reaction.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Lymphadenopathy
Clinical narrative: Administered DTaP in right deltoid 4/14/03. Pt's mom called clinic 4/16/03 - stated right upper arm red, swollen, enlarged lymph node in axillary. Took to PMD 4/16/03.  Dx - localized reaction.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, UNK
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: Swelling, erythema, warmth left thigh. The left thigh became twice the size of other leg.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site inflammation, Injection site oedema, Pruritus
Clinical narrative: PT's arm at area where vax'd is red, swollen and hot to touch, child feels itching at that area, has not had any fever. Child fine otherwise (DTaP 5th dose)
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site mass, Injection site swelling
Clinical narrative: 4/19/03 Pt has grapefruit sized red, swollen, tender to touch Left thigh at site of DTaP injection. Afebrile. Tx: cold compresses, Tylenol or Ibuprofen for discomfort.
Sex: F
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain
Clinical narrative: Tenderness, redness and swelling at inject site left upper arm.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Redness and swelling (6 1/2 cm diameter) surrounding injection site.
Age: 1.5
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Convulsion
Clinical narrative: Pt had two self limited generalized seizures with fever (tonic-clonic) within 24 hours of immunization. Each lasted less than 10 minutes.
Age: 37.0
Sex: F
Vaccine: RAB
Symptoms: Back pain, Diarrhoea, Malaise, Myalgia
Clinical narrative: With each succeeding rabies vaccination had increase symptoms of malaise, fatigue, backache, and some diarrhea. Dose # 3 had extreme fatigue, soreness of back and other muscles. no joint redness/swelling or at injection site.
Age: 1.8
Sex: M
Vaccine: DTPHIB, IPV, PNC
Symptoms: Urticaria
Clinical narrative: Apprx. 10-15 minutes after immunization, Pt developed welts. Pt was at hospital to get blood test- went to ER. Paremed told it was hives and to give Benadryl.
Age: 73.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Oedema, Skin nodule, Tenderness
Clinical narrative: Erythema, induration, soft tissue swelling, tenderness involving upper arm. Augmentin 875 mg BID x 10d. Ibuprophen 800 mg q 8 hours. Vicodin 1-2 po q 4-6 hours cold compress. PRN pain.
Age: 21.0
Sex: F
Vaccine: MMR
Symptoms: Injection site erythema
Clinical narrative: 3 x 5 cm red area at site of injection of MMR 48 hours after receiving vaccine.
Age: 1.6
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Cellulitis, Erythema, Feeling hot, Injection site erythema
Clinical narrative: 1 day after given left leg LAT (DTaP/HIB) 0.5cc IM- redness and warmth noted. cm area of erythema. No induration- some swelling and red line running down leg to knee. Afebrile. Tylenol, Benadryl, Cool compress prescribed. P120 R16 Temp 98
Age: 53.0
Sex: F
Vaccine: RUB
Symptoms: Petechiae
Clinical narrative: Barely visible rash on inner aspect both arms, lower legs, upper chest and sides of face (similar to petichae) Non prurutic.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Rash papular
Clinical narrative: Scattered, pink, papular rash on torso 4 hours after immunization. No fever. Required no treatment.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Rash erythematous
Clinical narrative: Pt received vaccines on 04/21/2003. Developed rash 04/22/2003. Erythematous circular rash on the arm, hand, leg , face. Tender to touch. + X Ray
Age: 20.0
Sex: M
Vaccine: ANTH, HEP, HEPA, SMALL
Symptoms: Grand mal convulsion, Headache, Myalgia, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Patient received vaccines 12 April 03.  12 days later had a grand mal seizure.  C/o subjective fever, headache, sore throat, myalgias x 2 days. Physical exam: T 37.5, + classic jennerian scab L deltoid c tender L axillary adenopathy.  Few macular lesions ant and post chest wall.  Remainder of physical including mental status, head CT, CSF studies wnl.
Age: 20.0
Sex: M
Vaccine: ANTH, HEP, HEPA, SMALL
Symptoms: Rash macular
Clinical narrative: Patient received vaccines 12 April 03.  12 days later had a grand mal seizure.  C/o subjective fever, headache, sore throat, myalgias x 2 days. Physical exam: T 37.5, + classic jennerian scab L deltoid c tender L axillary adenopathy.  Few macular lesions ant and post chest wall.  Remainder of physical including mental status, head CT, CSF studies wnl.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Hyperhidrosis, Pericarditis
Clinical narrative: 19 year old male smoker, diaphoretic/SOB with acute chest pain at 2 AM 4/6/03 following 2 days of chest pressure. Received vaccinia vaccination 3/26/03. Diagnosed at medical center with myopericarditis and released 4/7/03. Has follow up appointment with attending doctor 4/21/03 at hospital.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Skin ulcer
Clinical narrative: Developed satellite lesions near the vaccination site.  Total of 4 lesions developed. No treatment given. Resolved on its own after 2 weeks.
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Rash
Clinical narrative: Developed a flat red non-itchy rash on upper torso. One pimple like mass did develop but did not become a blister in the upper back.  The rash were 4 mm in diameter.
Age: 60.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Neck pain, Pain
Clinical narrative: Complained of pain in left posterior side of neck. Eventually went away in few days.
Age: 68.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Chest pain
Clinical narrative: Complained of right iliac chest pain. States he think it's from the anthrax shot (C#4).
Age: 41.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Back pain, Nuchal rigidity
Clinical narrative: PT complained of upper back pain and neck with tightening.
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Hypoaesthesia, Pain, Pyrexia
Clinical narrative: Had smallpox vaccination. About 7 days after, site started to drain. Had arm pit pain with numbness of forearm. Fever of 101.1. Placed on bed rest for 2 days. Full recovery then.
Age: 19.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Erythema, Rash
Clinical narrative: Developed flat red non-itchy, non-indurated rash in upper torso. Developed 7-10 lestions after smallpox vaccination. Rash eventually resolved by itself.
Age: 57.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Neck pain
Clinical narrative: Complained of left posterior side of neck in pain.
Age: 49.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Pain
Clinical narrative: Received smallpox in left arm. Developed axillary lymph nodes with pain. Pain radiated to beyond left anterior axillary line to almost the mid blavicular(?) line.
Age: 23.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Vaccination complication
Clinical narrative: Smallpox vax site had a quarter size lesion which was draining. Satellite lesions (3) also developed. No colors. Had to use 4 x 4 sponges as a band aid.
Age: 23.0
Sex: M
Vaccine: HBHEPB, TD, VARCEL, YF
Symptoms: Cough, Pneumonia, Viral infection
Clinical narrative: Mild pneumonia right middle lobe < 7 days post 2nd set vax's. Resp Sx, esp coughing, occurred for 3 wks prior, starting < 7 days post initial set of vax's. (2/6/03). Gradually recovered over the weeks following the CXR 3/14/03. No antibiotics given. Practitioner Dx'd as viral, not bacterial.
Age: 61.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus, Rash papular, Urticaria
Clinical narrative: Smallpox vaccination 3/21/03.  On 03/25/03 - developed hives-like rash on face, neck, and torso - 03/27/03 Saw Infectious Disease MD and treated with topical steroids - Papules became confluent, lasted 10 days.  Intense itching.
Age: 31.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema, Headache, Injection site erythema, Pruritus, Rash
Clinical narrative: 04/09/03 - complained of rash on left wrist and 1 spot on right breast.  Complained of itching- this was gone by 04/11/03.  No fever-has headache. 04/12/03 - blotchy, red rash, "itchy on shoulders, back, stomach,legs, feet - reddened. No fever.  Consulted with Dr.  04/14/03 - patient in clinic-much improved-arm slightly reddened above vaccination site.
Age: 31.0
Sex: F
Vaccine: SMALL
Symptoms: Rash macular
Clinical narrative: 04/09/03 - complained of rash on left wrist and 1 spot on right breast.  Complained of itching- this was gone by 04/11/03.  No fever-has headache. 04/12/03 - blotchy, red rash, "itchy on shoulders, back, stomach,legs, feet - reddened. No fever.  Consulted with Dr.  04/14/03 - patient in clinic-much improved-arm slightly reddened above vaccination site.
Age: 59.0
Sex: F
Vaccine: SMALL
Symptoms: Blood pressure increased, Chest discomfort, Chest pain, Dizziness, Nausea
Clinical narrative: This patient is a 59 year old female with a history of hypertension, hypercholesterolemia, mitral valve prolapse, prior breast cancer, migraine headaches and apparently an MI in 1994.  Her medications include atenolol, Zocor, Vasotec, and Lexapro.  She had been on HCTZ in the past. The patient received smallpox vaccination on 3-11-03.  On 3-28-03, while at her job she developed chest tightness, and felt faint although she did not pass out.  Co-workers laid her on the floor and took her blood pressure, which was reported in her physician's note to have been 210/105. She was apparently checked in the ER of the hospital and released.  I do not have that portion of the record, although I do have the EKG that was done.  It shows QS waves in leads V1 and V2 which appear to be old, and not acute. The patient is normally on Vasotec and hydrochlorothiazide, and her doctor apparently adjusted these meds when he checked her.  On 4-1-03, she was rechecked at her doctor's office and was doing fine.  Her blood pressure was down to 100/60. A basic metabolic panel done at the doctor's office showed a mildly elevated BUN and creatinine (30 and 1.5 respectively) but no other abnormalities.  The doctor's office note indicates she was in no distress and had a normal exam except for perhaps some mild lower extremity edema. On 4-13-03 she was seen in the ER again, with a complaint of mid-sternal chest pressure, after having become symptomatic while at work.  This was accompanied by nausea, one episode of vomiting, but no shortness of breath.  It apparently came on during light activity at work.  Again, her colleagues apparently checked her BP and found it to be 151/119, so they sent her down to the ER.  Her vitals were BP 112/73, P 66, R 18, T 97.2 and she was not orthostatic.  Pulse ox was 95%.  She was given some sublingual nitroglycerin, apparently with complete resolution of her symptoms.  Her exam was unremarkable and her EKG on this occasion was completely normal, not even showing the small QS deflection in V2 that had been present on the earlier tracing.  Her cardiac enzymes (CK, troponin, cardiac index and myoglogin) were normal.  Her other labs were also unremarkable except once again for a minimally elevated BUN/Creatinine. For reasons that are not clear from the record, the patient also had a renal artery MRA which was normal, witn no stenosis.  She also had MRA of the carotid arteries which was unremarkable, and an MRI of the brain, which showed possible areas of small vessel disease in the paraventricular areas, but nothing definite.  A Circle of Willis MRA was also done, and was normal. It is not clear to me why the patient received these tests when her presenting complaint was chest pain. As of 4-22-03, the patient was reported to be doing very well, with no further complaints.
Age: 59.0
Sex: F
Vaccine: SMALL
Symptoms: Oedema peripheral, Vomiting
Clinical narrative: This patient is a 59 year old female with a history of hypertension, hypercholesterolemia, mitral valve prolapse, prior breast cancer, migraine headaches and apparently an MI in 1994.  Her medications include atenolol, Zocor, Vasotec, and Lexapro.  She had been on HCTZ in the past. The patient received smallpox vaccination on 3-11-03.  On 3-28-03, while at her job she developed chest tightness, and felt faint although she did not pass out.  Co-workers laid her on the floor and took her blood pressure, which was reported in her physician's note to have been 210/105. She was apparently checked in the ER of the hospital and released.  I do not have that portion of the record, although I do have the EKG that was done.  It shows QS waves in leads V1 and V2 which appear to be old, and not acute. The patient is normally on Vasotec and hydrochlorothiazide, and her doctor apparently adjusted these meds when he checked her.  On 4-1-03, she was rechecked at her doctor's office and was doing fine.  Her blood pressure was down to 100/60. A basic metabolic panel done at the doctor's office showed a mildly elevated BUN and creatinine (30 and 1.5 respectively) but no other abnormalities.  The doctor's office note indicates she was in no distress and had a normal exam except for perhaps some mild lower extremity edema. On 4-13-03 she was seen in the ER again, with a complaint of mid-sternal chest pressure, after having become symptomatic while at work.  This was accompanied by nausea, one episode of vomiting, but no shortness of breath.  It apparently came on during light activity at work.  Again, her colleagues apparently checked her BP and found it to be 151/119, so they sent her down to the ER.  Her vitals were BP 112/73, P 66, R 18, T 97.2 and she was not orthostatic.  Pulse ox was 95%.  She was given some sublingual nitroglycerin, apparently with complete resolution of her symptoms.  Her exam was unremarkable and her EKG on this occasion was completely normal, not even showing the small QS deflection in V2 that had been present on the earlier tracing.  Her cardiac enzymes (CK, troponin, cardiac index and myoglogin) were normal.  Her other labs were also unremarkable except once again for a minimally elevated BUN/Creatinine. For reasons that are not clear from the record, the patient also had a renal artery MRA which was normal, witn no stenosis.  She also had MRA of the carotid arteries which was unremarkable, and an MRI of the brain, which showed possible areas of small vessel disease in the paraventricular areas, but nothing definite.  A Circle of Willis MRA was also done, and was normal. It is not clear to me why the patient received these tests when her presenting complaint was chest pain. As of 4-22-03, the patient was reported to be doing very well, with no further complaints.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: RUA-deltoid area red, swollen, warm to touch, no drainage. Child says kinda hurts when I squeeze it. Also noted a small scratch in same area. Temp 97.6 took child to ER and was given Amox-Trxk for a secondary reaction to shots. phone call 4-21-03
Age: 1.3
Sex: M
Vaccine: DTAP
Symptoms: Pruritus, Rash papular
Clinical narrative: Pt. developed a diffuse, pruritic, papular rash the day after his 4th dtap.  It has received no treatment to date, but it is now a week later and not resolved.  No other identifiable etiology.
Age: 53.0
Sex: F
Vaccine: SMALL
Symptoms: Fatigue, Headache, Malaise, Myalgia, Nausea
Clinical narrative: April 3-7 (days 10 thru 20 after vaccination) experienced nausea, vomiting, muscle aches, headache, malaise and fatigue.  Did not see MD. Missed 3 days of work.
Age: 53.0
Sex: F
Vaccine: SMALL
Symptoms: Vomiting
Clinical narrative: April 3-7 (days 10 thru 20 after vaccination) experienced nausea, vomiting, muscle aches, headache, malaise and fatigue.  Did not see MD. Missed 3 days of work.
Age: 58.0
Sex: F
Vaccine: SMALL
Symptoms: Arthralgia, Joint swelling
Clinical narrative: On March 27, which was 12 days after smallpox vaccine, Pt developed swelling and pain in joints of shoulders and knees some in others. Denies fever. Went to doctor on April 9, 2003 and had testing done. Pt did not miss any work and is managing her usual activities. 4/14/03 Pt reports all tests for rheumatoid arthritis or colloid or other disease are negative, probably mild osteoarthritis.
Age: 42.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema, Lymphadenopathy, Oedema, Pain
Clinical narrative: On day 4 after smallpox vaccination, Pt's upper arm had swelling, redness and pain. Swelling extended around the circumference of the arm. Redness was greater than 3 inches around vaccination site. Also had lympadenopathy in axilla. Symptoms lasted 3 full days, then less. One week later severe headache for one day - stayed home from work.
Age: 55.0
Sex: F
Vaccine: SMALL
Symptoms: Fatigue, Headache, Lymphadenopathy, Malaise, Pain
Clinical narrative: On March 16, which was 4 days after vaccine, Pt experienced extreme malaise, fatigue and headache. These symptoms lasted for 5 days. She also had pain and lymphadenopathy left arm. She did not miss work but did limited desk work and cancelled scheduled home visits.
Age: 62.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain, Palpitations
Clinical narrative: Chest pain and palpitations lasting for at least 15 minutes several times. EKG and lab work done
Age: 30.0
Sex: F
Vaccine: RAB
Symptoms: Urticaria
Clinical narrative: Acute Urticarial reaction developed 1 day after receiving her 3rd prophalactic dose of Rabies Vaccine.
Age: 1.3
Sex: M
Vaccine: DTAP, PNC
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Red, swollen, area in auxcillary region of right arm. Warm to touch. Rand-Aid present over injection sight in right deltoid. Probable allergic reactions but possible cellulitis.
Age: 39.0
Sex: M
Vaccine: SMALL
Symptoms: Dyspnoea, Pharyngolaryngeal pain, Upper respiratory tract infection
Clinical narrative: This patient is a 39 year old lab tech employed at the local hospital.  He is previously healthy but smokes about 3/4 pack of cigarettes a day.  He has no heart or pulmonary problems.  He was vaccinated on 4-8-03 and several days later began having throat discomfort and vague URI symptoms.  On 4-18-03 he became very short of breath and went to the ER at the local hospital, where he was noted to be extremely dyspneic, with O2 saturations in the high 70's to low 80's.  His respiratory rate was around 40.  A chest x-ray was essentially unremarkable but a neck x-ray showed a prominent epiglottis.  However, he had little or no stridor clinically.  He was afebrile.  He was admitted to the ICU where he was observed carefully for deterioration.  He was treated with racemic epinephrine, inhaled bronchodilators and high-dose IV steroids (methylprednisolone 125 mg Q6h) and over the next few days he improved dramatically.  He did not require intubation or any other respiratory assist except supplemental oxygen.  His vaccination site did well, he had no satellite lesions or other obvious vaccine complications.  He was in the hospital about 5 days, and continues to do well, as per a follow-up phone call to his treating physicians today.
Age: 39.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: ERRYTHEMIA LEFT UPPER ARM CIRCUMFRENTIAL WITH EDEMA.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema multiforme, Injection site erythema, Injection site pustule, Vaccination complication
Clinical narrative: 5 CM erythema, satellite lesions, catter pustules,c/w erythema multiforme
Age: 0.17
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Cerebral palsy, Chromosome abnormality, Convulsion, Encephalopathy, Mental retardation severity unspecified
Clinical narrative: MOTHER REPORTS THAT AFTER FIRST SERIES (CARD NOT YET AVAILABLE) BECGAN NEUROLOGICAL DETERIORATION AND IS CURRENTLY SEVERELY-PROFOUNDLY DELAYED WITH SEVERE HYPOTONIC CEREBRAL PALSY AND AN ACTIVE SEIZURE DISORDER (AS DOES THE SISTER WITH SIMILAR HISTORY), FOR WHICH A WORK-UP HAS NOT PROVIDED A SPECIFIC DIAGNOSES.  I WOULD LIKE TO KNOW IF THIS WAS PREVIOUSLY DIAGNOSED, AND ASK FOR HELP (ALONG WITH HIS NEUROLOGIST) IN ESTABLISHING OR DYSESTABLISHING A DIAGNOSIS OF VACCINE ASSOCIATED ENCEPHALOPATHY. 60 day follow up states pt has not recovered. Still has severe quadiplegia, profound delay and significant. The office and hospital records of his initial deteioration are still not available to use. Follow up on 06/09/2004: His handicap remains as before (severe CP, profound delay, seizures, fever ,a-tube) The issue of causality is confined by his sister developing comparable neurologic handicaps without a clear association to immunization, but also without an established medical etiologic diagnosis.
Age: 0.17
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Nervous system disorder, Quadriplegia
Clinical narrative: MOTHER REPORTS THAT AFTER FIRST SERIES (CARD NOT YET AVAILABLE) BECGAN NEUROLOGICAL DETERIORATION AND IS CURRENTLY SEVERELY-PROFOUNDLY DELAYED WITH SEVERE HYPOTONIC CEREBRAL PALSY AND AN ACTIVE SEIZURE DISORDER (AS DOES THE SISTER WITH SIMILAR HISTORY), FOR WHICH A WORK-UP HAS NOT PROVIDED A SPECIFIC DIAGNOSES.  I WOULD LIKE TO KNOW IF THIS WAS PREVIOUSLY DIAGNOSED, AND ASK FOR HELP (ALONG WITH HIS NEUROLOGIST) IN ESTABLISHING OR DYSESTABLISHING A DIAGNOSIS OF VACCINE ASSOCIATED ENCEPHALOPATHY. 60 day follow up states pt has not recovered. Still has severe quadiplegia, profound delay and significant. The office and hospital records of his initial deteioration are still not available to use. Follow up on 06/09/2004: His handicap remains as before (severe CP, profound delay, seizures, fever ,a-tube) The issue of causality is confined by his sister developing comparable neurologic handicaps without a clear association to immunization, but also without an established medical etiologic diagnosis.
Age: 4.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Cellulitis, Gait disturbance, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: The evening of 4/15/2003 my daughters were administered the Varivax vaccine. The vaccine was given IM (it is supposed to be given Subcutaneously)  I also noticed she did not aspirate before injection into the muscle tissue.  My daughter complained that her leg her since that date and this morning I noticed approximately 3" diameter cirle surrounding the injection site which was raised, red, streaked, and very hot to the touch.  She also ran a low grade fever yesterday. She was also limping and complaining of severe leg pain.  I took her to the Dr.  and she diagnosed cellulitis/phlebitis around and surrounding the injection site and we are now treating with Keflex.  She also let me know it is not supposed to be given IM.
Age: 4.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Pain, Phlebitis, Pyrexia, Skin striae
Clinical narrative: The evening of 4/15/2003 my daughters were administered the Varivax vaccine. The vaccine was given IM (it is supposed to be given Subcutaneously)  I also noticed she did not aspirate before injection into the muscle tissue.  My daughter complained that her leg her since that date and this morning I noticed approximately 3" diameter cirle surrounding the injection site which was raised, red, streaked, and very hot to the touch.  She also ran a low grade fever yesterday. She was also limping and complaining of severe leg pain.  I took her to the Dr.  and she diagnosed cellulitis/phlebitis around and surrounding the injection site and we are now treating with Keflex.  She also let me know it is not supposed to be given IM.
Age: 4.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Bacterial infection, Cellulitis, Injection site phlebitis, Injection site reaction
Clinical narrative: The evening of 4/15/2003 my daughters were administered the Varivax vaccine. The vaccine was given IM (it is supposed to be given Subcutaneously)  I also noticed she did not aspirate before injection into the muscle tissue.  My daughter complained that her leg her since that date and this morning I noticed approximately 3" diameter cirle surrounding the injection site which was raised, red, streaked, and very hot to the touch.  She also ran a low grade fever yesterday. She was also limping and complaining of severe leg pain.  I took her to the Dr.  and she diagnosed cellulitis/phlebitis around and surrounding the injection site and we are now treating with Keflex.  She also let me know it is not supposed to be given IM.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Asthenia, Chest pain, Malaise, Myocarditis, Pyrexia
Clinical narrative: Onset of fever 4/25/03 with chest pain, malaise, some weakness, and generalized viral syndrome sxs. Pt. presented to Hospital ER and was admitted for possible post-vaccinia peri-myocarditis.  Verbal report called in from Dr. to Dr. on 4/26/03 for possible post-vaccinia reactions. Dr. presently unavailable to complete VAERS.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cough, Pyrexia, Vomiting
Clinical narrative: 1st symptom: Friday, April 25, 2003 apprx.10a.m.              Vomited once 2nd symptom: Saturday, April 26, 2003 all day              coughing, fever(99.6 underarm)
Age: 16.0
Sex: M
Vaccine: RAB
Symptoms: Chest pain, Dysphagia, Muscle spasms
Clinical narrative: From initial information received at manufacturer on 4/11/03, it was reported that a 16 year old male patient received, in the left deltoid, the first dose in series of 4 IMOVAX RABIES vaccinations on 3/7/03, lot number/route not reported. Patient also received, in the left deltoid, the first dose of RABIES IMMUNE GLOBULIN on 3/7/03, lot number/route not reported. Patient then received, within 4 weeks of vaccination date, 2nd, 3rd, and 4th doses of this series. Second dose was given on 3/14/03, third dose given on 3/21/03, and fourth dose was given on 4/4/03, all were given in the left deltoid. ON 3/10/03, the patient experienced dysphagia, severe pain over his chest wall and muscle spasms. He did not have a fever. Patient was hospitalized for 4 days, date and time were not reported. Patient has not recovered from these events. Patient was not taking any medications at time of vaccination and had no pre-existing diagnosis. Patient was bit by a Feral cat sometime in early March 2003. From additional info received on 9/12/03 from a health care professional at the reporting physician's office, the physician's address and phone number were updated. From additional info received on 10/7/03, from the reporting physician's office, it ws reported that the pt had recovered from the events. The physician stated that he "would have someone fax over a copy of the discharge summary regarding this pt." This info was also requested from the medical records dept at the hospital. No further info is available at this time. Follow up on 11/03/2003: "From additional information received on 10/23/2003 from the medical records department it was reported that the patient cannot be identified.  No further information is anticipated, this case is considered closed." Follow up on 11/17/2003: "From additional information received on 09/12/2003 from a health care professional at the reporting physician's office, the physician's address and phone number were updated.  From additional information received on 10/07/2003, from the reporting physician's office, it was reported that the patient had recovered from the events.  The physician stated that he "would have someone fax over a copy of the discharge summary regarding this patient."  This information was also requested fromt he medical records department at the hospital.  No further information is available at this time."
Age: 38.0
Sex: F
Vaccine: TD
Symptoms: Hypersensitivity, Injection site erythema, Kidney infection, Muscle twitching, Pyrexia
Clinical narrative: 2 days after vaccination, patient called complaining of muscle twitching in right arm which radiates to neck. Also complaints of redness at site and running a fever with sick stomach. Patient had called her insurance companies nurse help line and told her to see her doctor. Patient went to the doctor on 4/17/03 and was admitted with a severe reaction to vaccine and patient states she also had a kidney infection.