chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: F
Vaccine: HEPAB, MMR, TTOX
Symptoms: Erythema, Hypoaesthesia, Inflammation, Joint swelling, Oedema peripheral
Clinical narrative: Information has been received from a health professional concerning a 54 year old female with a history of penicillin allergy and mechanical low back pain who on 11-APR-2006 was vaccinated with dose of MMR II (lot # 649808/0488R). Concomitant vaccination included a dose of TWINRIX and tetanus toxoid. It was reported that the patient was vaccinated for overseas travel. Other concomitant medication included baby aspirin, calcium and ibuprofen. On 27-APR-2006 the patient developed swollen painful knees and was treated with anti inflammatory medications. On 28-APR-2006 she had red, swollen and painful wrists, hands and elbows. She was started on prednisone on 09-MAY-2006 for her painful joints and swollen hands. There was no product quality complaint involved. Additional information from the physician that indicated on 27-APR-2006 the patient woke up in th morning with severe pain in the right knee. She also complained of numerous other body aches that are associated with yoga. The patient denied any significant injury or trauma. She has had increased pain in her bands and wrist with numbness along the fourth and fifth digits bilaterally. The patient states at her job she dose a fair amount of hand work, no excessive keyboarding. No rashes or bruises were noted and vital signs were stable. The upper extremities were palpated. There was no pain over the ulnar tunnel. There was no pain tapping over the carpal tunnel. She had a negative Phalen's and negative Tinel's sign. She had normal strength distally. Normal sensation was noted distally. The knee was palpated and there was no laxity of the medical of lateral collateral ligaments and the ACL and PCL appeared intact. The impression was right knee pain and probable ulnar palsy. The physician suspected that the patient may have inflamed the ulnar nerve with her numbness and problems that she was having with her hand. The patient was treated conservatively; RELAFEN 75 BID was provided. Physical therapy was referred to help "calm down some of the inflammation". The patient was given recommendations to use an ACE wrap on her leg and hand. The physician also prescribed trazodone 50 mg Q HS to help her with sleep. On 01-MAY-2006 the physician spoke with the patient who was "doing better". The patient thought "it was related to vaccine for her international trip". She was till not 100%, but improving with physical therapy. She was seen at the clinic on 22-MAY-2006 and her knees were still swollen and she continued to take prescription anti inflammatory medications. At the time of the report the patient was recovering. The patient's experiences were considered to be disabling. Additional information has been requested.
Age: 54.0
Sex: F
Vaccine: HEPAB, MMR, TTOX
Symptoms: Swelling, Ulnar nerve palsy
Clinical narrative: Information has been received from a health professional concerning a 54 year old female with a history of penicillin allergy and mechanical low back pain who on 11-APR-2006 was vaccinated with dose of MMR II (lot # 649808/0488R). Concomitant vaccination included a dose of TWINRIX and tetanus toxoid. It was reported that the patient was vaccinated for overseas travel. Other concomitant medication included baby aspirin, calcium and ibuprofen. On 27-APR-2006 the patient developed swollen painful knees and was treated with anti inflammatory medications. On 28-APR-2006 she had red, swollen and painful wrists, hands and elbows. She was started on prednisone on 09-MAY-2006 for her painful joints and swollen hands. There was no product quality complaint involved. Additional information from the physician that indicated on 27-APR-2006 the patient woke up in th morning with severe pain in the right knee. She also complained of numerous other body aches that are associated with yoga. The patient denied any significant injury or trauma. She has had increased pain in her bands and wrist with numbness along the fourth and fifth digits bilaterally. The patient states at her job she dose a fair amount of hand work, no excessive keyboarding. No rashes or bruises were noted and vital signs were stable. The upper extremities were palpated. There was no pain over the ulnar tunnel. There was no pain tapping over the carpal tunnel. She had a negative Phalen's and negative Tinel's sign. She had normal strength distally. Normal sensation was noted distally. The knee was palpated and there was no laxity of the medical of lateral collateral ligaments and the ACL and PCL appeared intact. The impression was right knee pain and probable ulnar palsy. The physician suspected that the patient may have inflamed the ulnar nerve with her numbness and problems that she was having with her hand. The patient was treated conservatively; RELAFEN 75 BID was provided. Physical therapy was referred to help "calm down some of the inflammation". The patient was given recommendations to use an ACE wrap on her leg and hand. The physician also prescribed trazodone 50 mg Q HS to help her with sleep. On 01-MAY-2006 the physician spoke with the patient who was "doing better". The patient thought "it was related to vaccine for her international trip". She was till not 100%, but improving with physical therapy. She was seen at the clinic on 22-MAY-2006 and her knees were still swollen and she continued to take prescription anti inflammatory medications. At the time of the report the patient was recovering. The patient's experiences were considered to be disabling. Additional information has been requested.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, RV5, DTAP, HBHEPB, IPV, RV5
Symptoms: Barium double contrast, Intussusception
Clinical narrative: Information has been received from a physician concerning a 11 week female who on 29-MAR-2007 was vaccinated with the first dose of Rotateq (Lot # 656189/1239F). Concomitant vaccinations included Dtap, PREVNAR, Comvax, poliovirus vaccine. On 23-APR-2007, the patient experienced intussusception and was hospitalized and given an air contrast enema. The patient recovered from intussusception on 25-APR-2007. Additional information has been requested.  5/15/07 Received vax record which confirmed RO Lot & dose as reported.  VAERS database updated w/additional vax info from same date. 5/22/07 Received hospital medical records which reveal patient experienced irritability, bilious vomiting & bloody stool x 1 day.  Seen in ER on 4/23 & dx w/IS by barium enema which also reduced successfully.  Kept for overnight observation s/p reduction & progressed well.  D/C home 4/24/07.  Returned to ER on 4/27/07 for irritability/crying w/BM.  Abdominal x-ray revealed nonspecific bowel gas pattern.  US of abd was WNL & pt was d/c to home.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, RV5, DTAP, HBHEPB, IPV, RV5
Symptoms: Barium double contrast, Barium enema, Flatulence, Haematochezia, Infantile spitting up
Clinical narrative: Information has been received from a physician concerning a 11 week female who on 29-MAR-2007 was vaccinated with the first dose of Rotateq (Lot # 656189/1239F). Concomitant vaccinations included Dtap, PREVNAR, Comvax, poliovirus vaccine. On 23-APR-2007, the patient experienced intussusception and was hospitalized and given an air contrast enema. The patient recovered from intussusception on 25-APR-2007. Additional information has been requested.  5/15/07 Received vax record which confirmed RO Lot & dose as reported.  VAERS database updated w/additional vax info from same date. 5/22/07 Received hospital medical records which reveal patient experienced irritability, bilious vomiting & bloody stool x 1 day.  Seen in ER on 4/23 & dx w/IS by barium enema which also reduced successfully.  Kept for overnight observation s/p reduction & progressed well.  D/C home 4/24/07.  Returned to ER on 4/27/07 for irritability/crying w/BM.  Abdominal x-ray revealed nonspecific bowel gas pattern.  US of abd was WNL & pt was d/c to home.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, RV5, DTAP, HBHEPB, IPV, RV5
Symptoms: Intussusception, Laboratory test abnormal, Pain, Screaming
Clinical narrative: Information has been received from a physician concerning a 11 week female who on 29-MAR-2007 was vaccinated with the first dose of Rotateq (Lot # 656189/1239F). Concomitant vaccinations included Dtap, PREVNAR, Comvax, poliovirus vaccine. On 23-APR-2007, the patient experienced intussusception and was hospitalized and given an air contrast enema. The patient recovered from intussusception on 25-APR-2007. Additional information has been requested.  5/15/07 Received vax record which confirmed RO Lot & dose as reported.  VAERS database updated w/additional vax info from same date. 5/22/07 Received hospital medical records which reveal patient experienced irritability, bilious vomiting & bloody stool x 1 day.  Seen in ER on 4/23 & dx w/IS by barium enema which also reduced successfully.  Kept for overnight observation s/p reduction & progressed well.  D/C home 4/24/07.  Returned to ER on 4/27/07 for irritability/crying w/BM.  Abdominal x-ray revealed nonspecific bowel gas pattern.  US of abd was WNL & pt was d/c to home.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Allergy to vaccine, Choking sensation, Drug hypersensitivity, Influenza like illness, Respiratory disorder
Clinical narrative: Information has been received from a physician and a medical assistant concerning a 79 year old female with hypertension and a history of psoriasis, polio, and cataracts and no prior history of respiratory problems who in the morning of 01-APR-2007 was vaccinated SC (also reported as IM) with a 0.65 ml dose of Zostavax (lot # 652936/0981F). The next morning, on 11-APR-2007, she started getting flu-like symptoms. By noon, she started having more severe symptoms, to the extent that she started having a choking feeling. She developed respiratory problems and was admitted to the hospital. She spent one night (24 hours) in the hospital and was found to have had an allergic reaction to Zostavax and a throat spasm. She was given antihistaminic and steroids. She was discharged the following morning and was recovered and was "completely fine". The physician felt that the patient's experiences were related to therapy with Zostavax. Additional information has been requested.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Throat tightness
Clinical narrative: Information has been received from a physician and a medical assistant concerning a 79 year old female with hypertension and a history of psoriasis, polio, and cataracts and no prior history of respiratory problems who in the morning of 01-APR-2007 was vaccinated SC (also reported as IM) with a 0.65 ml dose of Zostavax (lot # 652936/0981F). The next morning, on 11-APR-2007, she started getting flu-like symptoms. By noon, she started having more severe symptoms, to the extent that she started having a choking feeling. She developed respiratory problems and was admitted to the hospital. She spent one night (24 hours) in the hospital and was found to have had an allergic reaction to Zostavax and a throat spasm. She was given antihistaminic and steroids. She was discharged the following morning and was recovered and was "completely fine". The physician felt that the patient's experiences were related to therapy with Zostavax. Additional information has been requested.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Dyspnoea, Ear pain, Injection site erythema, Injection site swelling, Malaise
Clinical narrative: Information has been received from a health Medical Assistant (N.A.) concerning a 22 year old female patient who is currently sexually active and had a history of thyroid cancer in OCT-2006. On 19-APR-2007 patient was vaccinated IM in left deltoid with a first dose of Gardasil, lot #657617/0384U. Concomitant therapy included LOESTRIN and LEVOXYL. The medical assistant reported that one or two days post injection the patient's injection site was little red, swollen and puffy. On 23-APR-2007 patient called the office saying she had not felt good since getting the injections. The injection site was no longer red or swollen and she had no fever but her throat was swollen and she was having trouble breathing (unknown time period injections site reaction resolved and new symptoms occurred). The patient was complaining of a stuffy nose, sore throat, ears ache and ringing of the ears. She wanted to "pull her hair out" because of the ringing of the ears. The patient was instructed to go to the Emergency room (ER) or walk in clinic for treatment. The outcome of trouble breathing, ear pain, feeling unwell, nasal congestion, throat was swollen, sore throat and ringing of the ears was not recovered. The reporter considered the event "difficulty breathing" to be life threatening. The reporter felt the events to be disabling because the patient was not able to go to work or school. Additional information has been requested.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Nasal congestion, Pharyngeal oedema, Pharyngolaryngeal pain, Tinnitus
Clinical narrative: Information has been received from a health Medical Assistant (N.A.) concerning a 22 year old female patient who is currently sexually active and had a history of thyroid cancer in OCT-2006. On 19-APR-2007 patient was vaccinated IM in left deltoid with a first dose of Gardasil, lot #657617/0384U. Concomitant therapy included LOESTRIN and LEVOXYL. The medical assistant reported that one or two days post injection the patient's injection site was little red, swollen and puffy. On 23-APR-2007 patient called the office saying she had not felt good since getting the injections. The injection site was no longer red or swollen and she had no fever but her throat was swollen and she was having trouble breathing (unknown time period injections site reaction resolved and new symptoms occurred). The patient was complaining of a stuffy nose, sore throat, ears ache and ringing of the ears. She wanted to "pull her hair out" because of the ringing of the ears. The patient was instructed to go to the Emergency room (ER) or walk in clinic for treatment. The outcome of trouble breathing, ear pain, feeling unwell, nasal congestion, throat was swollen, sore throat and ringing of the ears was not recovered. The reporter considered the event "difficulty breathing" to be life threatening. The reporter felt the events to be disabling because the patient was not able to go to work or school. Additional information has been requested.
Age: 8.0
Sex: F
Vaccine: FLU3
Symptoms: Arthritis, Biopsy kidney, Biopsy kidney abnormal, Blood albumin decreased, Blood cholesterol increased
Clinical narrative: Patient received 11/1/06 started with rash 11/2/06 - admit to hosp 11/2-11/3 dx with hsp with arthritis. Later developed hematuria and proteinuria hsp nephritis with nephrotic syndrome. Required renal biopsy. Tx with Prednisone an then Cellcept. Pt also hypertensive requiring Isradipine and Lisinopril.  5/8/07 Received medical records from reporter/provider which reveal patient experienced rash & pain of her buttocks & legs w/swelling of her ankles & knees on 11/2/06  Hospitalized 11/2/06 for HSP.  Rash, pain & swelling improved but continued as of 11/20/06.  Labs revealed hematuria/proteinuria.  Patient had slight weight gain, HTN & decreased albumin.  During this time patient also had several severe nosebleeds & blood noted in stool.  Patient readmitted to hospital on 11/27/06 for kidney biopsy.  Continued to experience HTN & headaches severe enough to be seen in ER.  6/29/07 Received hospital medical records which reveal patient experienced HSP beginning 11/2/06 & was admitted to hospital 11/27-11/29/06 due to worsening creatinine & albumin for a renal biopsy & eval & treatment.  Treated w/steroids & low Na diet.  Initial eval in Renal Clinic 11/22/06 note reveals patient developed purpura, arthritis & abdominal pain on 11/2 following 2 days of LE pain & cramping.  Fatigue, pallor & blood in stools developed few days prior to initial eval along w/puffiness esp of eyes & LEs.  FINAL DX: Henoch-Schonlein purpura nephritis; nephrotic syndrome; s/p left renal biopsy. 1/4/2010 At the time patient off medicaton but still being followed closely by nephrology.
Age: 8.0
Sex: F
Vaccine: FLU3
Symptoms: Blood creatine decreased, Haematuria, Henoch-Schonlein purpura, Hypertension, Necrosis
Clinical narrative: Patient received 11/1/06 started with rash 11/2/06 - admit to hosp 11/2-11/3 dx with hsp with arthritis. Later developed hematuria and proteinuria hsp nephritis with nephrotic syndrome. Required renal biopsy. Tx with Prednisone an then Cellcept. Pt also hypertensive requiring Isradipine and Lisinopril.  5/8/07 Received medical records from reporter/provider which reveal patient experienced rash & pain of her buttocks & legs w/swelling of her ankles & knees on 11/2/06  Hospitalized 11/2/06 for HSP.  Rash, pain & swelling improved but continued as of 11/20/06.  Labs revealed hematuria/proteinuria.  Patient had slight weight gain, HTN & decreased albumin.  During this time patient also had several severe nosebleeds & blood noted in stool.  Patient readmitted to hospital on 11/27/06 for kidney biopsy.  Continued to experience HTN & headaches severe enough to be seen in ER.  6/29/07 Received hospital medical records which reveal patient experienced HSP beginning 11/2/06 & was admitted to hospital 11/27-11/29/06 due to worsening creatinine & albumin for a renal biopsy & eval & treatment.  Treated w/steroids & low Na diet.  Initial eval in Renal Clinic 11/22/06 note reveals patient developed purpura, arthritis & abdominal pain on 11/2 following 2 days of LE pain & cramping.  Fatigue, pallor & blood in stools developed few days prior to initial eval along w/puffiness esp of eyes & LEs.  FINAL DX: Henoch-Schonlein purpura nephritis; nephrotic syndrome; s/p left renal biopsy. 1/4/2010 At the time patient off medicaton but still being followed closely by nephrology.
Age: 8.0
Sex: F
Vaccine: FLU3
Symptoms: Nephritis, Nephrotic syndrome, Proteinuria, Rash, Ultrasound kidney
Clinical narrative: Patient received 11/1/06 started with rash 11/2/06 - admit to hosp 11/2-11/3 dx with hsp with arthritis. Later developed hematuria and proteinuria hsp nephritis with nephrotic syndrome. Required renal biopsy. Tx with Prednisone an then Cellcept. Pt also hypertensive requiring Isradipine and Lisinopril.  5/8/07 Received medical records from reporter/provider which reveal patient experienced rash & pain of her buttocks & legs w/swelling of her ankles & knees on 11/2/06  Hospitalized 11/2/06 for HSP.  Rash, pain & swelling improved but continued as of 11/20/06.  Labs revealed hematuria/proteinuria.  Patient had slight weight gain, HTN & decreased albumin.  During this time patient also had several severe nosebleeds & blood noted in stool.  Patient readmitted to hospital on 11/27/06 for kidney biopsy.  Continued to experience HTN & headaches severe enough to be seen in ER.  6/29/07 Received hospital medical records which reveal patient experienced HSP beginning 11/2/06 & was admitted to hospital 11/27-11/29/06 due to worsening creatinine & albumin for a renal biopsy & eval & treatment.  Treated w/steroids & low Na diet.  Initial eval in Renal Clinic 11/22/06 note reveals patient developed purpura, arthritis & abdominal pain on 11/2 following 2 days of LE pain & cramping.  Fatigue, pallor & blood in stools developed few days prior to initial eval along w/puffiness esp of eyes & LEs.  FINAL DX: Henoch-Schonlein purpura nephritis; nephrotic syndrome; s/p left renal biopsy. 1/4/2010 At the time patient off medicaton but still being followed closely by nephrology.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Burning sensation, Dizziness, Dizziness postural, Dysstasia, Hypersensitivity
Clinical narrative: 4/19/07 after HPV (Cardasil) 2 doses patient feel dizzy even laying down BP = 85/50, At 1:30 pm patient BP = 90/60 Still dizzy when standing up, still with leg elevated increase receive fluid juice at 1:48 pm, BP 95/60 improving, left walking with her mother. Patient 16 years old arrive to my office at 12: 22 pm. In 4/19/2007 for the second doses of Gardasil (HPV) Vaccine. The First dose was given in 02/19/2007 with no side effects. Because I received information of 500 cases  of fainting spell I always place my patients on her back to prevent any fainting spells but even in this position Patient develop dizziness spells after around 10 mins after the injection of Gardasil, check the BP and was 85/50 and weak pulse, sitting up develop dizziness spells and not feeling well. At 1:30 pm BP = 90/60 persist dizziness spell and unable to stand up; receive juice by mouth at 1:48 pm. And recheck the BP=95/60 no more dizziness spells, no nausea left with her mother walking. At 1:50 pm call Regional Director of the Health Department unavailable , left message with detail of the event. 04/20/2007 at 8:25 am Dr left in my answering machine the information that patient must not receive the 3rd doses of Gardasil. 04/20/2007 at 8:36 call mother of patient informed me the report of Dr and advice do not receive the 3rd dose of Gardasil because of severe reaction may be happen understood mother inform that patient yesterday after left my office went to sleep and feel a hot burning sensation inside her body and today 04/20/2007 patient went to school
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Hypotension, Malaise, Pulse pressure decreased
Clinical narrative: 4/19/07 after HPV (Cardasil) 2 doses patient feel dizzy even laying down BP = 85/50, At 1:30 pm patient BP = 90/60 Still dizzy when standing up, still with leg elevated increase receive fluid juice at 1:48 pm, BP 95/60 improving, left walking with her mother. Patient 16 years old arrive to my office at 12: 22 pm. In 4/19/2007 for the second doses of Gardasil (HPV) Vaccine. The First dose was given in 02/19/2007 with no side effects. Because I received information of 500 cases  of fainting spell I always place my patients on her back to prevent any fainting spells but even in this position Patient develop dizziness spells after around 10 mins after the injection of Gardasil, check the BP and was 85/50 and weak pulse, sitting up develop dizziness spells and not feeling well. At 1:30 pm BP = 90/60 persist dizziness spell and unable to stand up; receive juice by mouth at 1:48 pm. And recheck the BP=95/60 no more dizziness spells, no nausea left with her mother walking. At 1:50 pm call Regional Director of the Health Department unavailable , left message with detail of the event. 04/20/2007 at 8:25 am Dr left in my answering machine the information that patient must not receive the 3rd doses of Gardasil. 04/20/2007 at 8:36 call mother of patient informed me the report of Dr and advice do not receive the 3rd dose of Gardasil because of severe reaction may be happen understood mother inform that patient yesterday after left my office went to sleep and feel a hot burning sensation inside her body and today 04/20/2007 patient went to school
Age: 18.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Injection site induration, Injection site pain, Injection site warmth, Pyrexia
Clinical narrative: Developed fever 4/24/07. The injection site of Varivax had 4" round induration that was hot, painful.
Age: 54.0
Sex: M
Vaccine: HEPA, IPV, MMR, TDAP, TYP
Symptoms: Hypoaesthesia, Joint swelling, Pain in extremity, Sleep disorder
Clinical narrative: 4-6-07 Reports swelling in (R) ankle, (R) wrist, both knees. Pain in arms. Numbness and pain in hands, worse in two middle fingers-this occurs at night and awakes him from sleep. Hands hurt to make a fist. Phone call to client today 4/9/07 reports symptoms are gone. Adds he is a carpenter and had dental work and crown, since received vaccines.
Age: 1.0
Sex: M
Vaccine: DTAP, HEPA, HIBV, IPV, MMRV
Symptoms: Rash generalised, Rash vesicular
Clinical narrative: Varicella type rash/rxn per np. Rash over whole body. Family states started 4 or 5 days ago. Pt in today, 4-27-07
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema
Clinical narrative: 6.0 X 6.5 cm area of redness (R) thigh. No keflax 2Seg 1.5 T sp  Its x 1od almost clear by 4/30/2007
Age: 22.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Asthenia, Chills, Influenza like illness, Pyrexia
Clinical narrative: per patient 2-3 days post vaccine "almost flu like" "mild" fever (pt did not take temp). "chills" "felt weak" all sx x 1 day only pt. did not report this until 2 months later
Age: 22.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Influenza like illness, Pyrexia
Clinical narrative: per patient 2-3 days post vaccine "almost flu like" "mild" fever (pt did not take temp). "chills" "felt weak" all sx x 1 day only pt. did not report this until 2 months later
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: 12cm redness, swelling around central infection sites. 3 cm induration. Treated with Prednisolone
Age: 4.0
Sex: F
Vaccine: IPV, MMRV, TDAP
Symptoms: Erythema, Rash
Clinical narrative: Redness around eyes, rash
Age: 0.51
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Chest X-ray normal, Diarrhoea, Febrile convulsion, Full blood count, Laboratory test normal
Clinical narrative: Fever starting after immunization given, same day, and on 2nd day fever peaked to 103.6 degrees and had questionable febrile sz. Same day, fever peaked to 104 and (R) and had witnessed febrile seizure. To ER via EMSA x 2. following day (day 3) , developed diambes along and continued fevers , low grade.
Age: 0.51
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia, Urine analysis
Clinical narrative: Fever starting after immunization given, same day, and on 2nd day fever peaked to 103.6 degrees and had questionable febrile sz. Same day, fever peaked to 104 and (R) and had witnessed febrile seizure. To ER via EMSA x 2. following day (day 3) , developed diambes along and continued fevers , low grade.
Age: 7.0
Sex: M
Vaccine: HEP, IPV, MMRV, TDAP
Symptoms: Inappropriate schedule of drug administration, Medication error, Unevaluable event
Clinical narrative: None Stated
Age: 13.0
Sex: F
Vaccine: DTAP, HPV4, VARCEL
Symptoms: Medical device complication, No adverse effect, Wrong drug administered
Clinical narrative: Box of DTaP placed with Tdap. Pt given DTaP instead of Tdap. No adverse reactions.
Age: 0.5
Sex: U
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Pyrexia
Clinical narrative: Fever 102.5 1-2 days after vaccination
Age: 14.0
Sex: M
Vaccine: HEP, MNQ
Symptoms: Fall, Pallor, Syncope
Clinical narrative: Pt had syncope, turned pale and fell. Treatment given and leg elevation, oral fluids. Pt improved.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site reaction, Paraesthesia, Rash
Clinical narrative: c/o rash over cheeks 2 d after vaccination and tingling sensation of upper extremities and lower extremities at the same side of injection.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site rash, Injection site swelling, Injection site vesicles
Clinical narrative: Red swollen hard circle with rash on (L) arm w/Blisters one sized of grapes. RLA smaller blisters
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site warmth
Clinical narrative: Varivax administered 04/02/2007. On 4/3/07, notice redness @ injection site @ (R) thigh area, size of a silver dollar, slightly raised. Area doubled in size by this morning. Area warm, red, tender to touch. Mom administered Ibuprofen 200mg last night and this AM
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site infection, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patients mother called 4-4-07 at 11:00 am to report redness and swelling in arm where varicella was given. States "It's hot to the touch and he complains its sore. I plan to take him to ER." 4-4--07 2:00 pm mother and patient came by health dept and said ER said it was infected and gave antibiotics." Slight swelling at injection site noted, redness from shoulders to elbow noted.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site rash, Pyrexia
Clinical narrative: Broke out with a rash down leg where shot was given, rash noticed 3 hours after shot given. Also fever of 103+. Mother took her to Comm Hosp and was told to give Benadryl and Motrin every 6 hours until resolved and not to get Hep A #2 vaccine
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Starting in afternoon 4/11/07 noted quarter sized redness and swelling at injection site of back of (L) arm then 4/12 progressed to "baseball" size swelling/redness with warmth to touch. Denies generalized fever or other c/o
Age: 33.0
Sex: M
Vaccine: ANTH, HEP, TYP
Symptoms: Unevaluable event
Clinical narrative: None Stated
Age: 1.6
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Injection site (L leg thigh( became swollen, warm and hard at 8 hors post vaccination after Dtap.
Age: 21.0
Sex: F
Vaccine: HEPA, MMR, PNC
Symptoms: Chills, Cough, Headache, Injection site erythema, Injection site pain
Clinical narrative: 7 1/2 x 5 cm area of redness and swelling of (R) mild thigh-mildly tender. Two shot punctures seen. No fever, chills, hives, HA, wheezing, cough
Age: 21.0
Sex: F
Vaccine: HEPA, MMR, PNC
Symptoms: Injection site swelling, Urticaria, Wheezing
Clinical narrative: 7 1/2 x 5 cm area of redness and swelling of (R) mild thigh-mildly tender. Two shot punctures seen. No fever, chills, hives, HA, wheezing, cough
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Rash
Clinical narrative: Mother called 5-1-07; related child broke out in "spots" on 4-29-07. Today related he has 9 "Pox" that are crusted over, and that child is feeling "fine".
Age: 41.0
Sex: F
Vaccine: TTOX
Symptoms: Rash pruritic
Clinical narrative: Broke out in rash on face and arms next day went back to MD 4 days later gave me cortisone went back 1 week later gave pills for itching 1 week later referred to dermatologist-creams now given still have to date
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Patient vaccine site became red and swollen after vaccination. ? Cellutitis diagnosis - Pt prescribed Keflex - sx resolved.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: 18 x 19 cm erythema, swelling and tenderness
Age: 1.33
Sex: F
Vaccine: HBHEPB, MMRV, PNC
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Local reaction
Clinical narrative: local Rx (R) thigh edema, erythema, warm, no tender 6 1/2" by 5 1/2"
Age: 10.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Wrong drug administered
Clinical narrative: None stated
Age: 25.0
Sex: F
Vaccine: DTAP
Symptoms: No adverse effect, Wrong drug administered
Clinical narrative: Box of DTaP placed with Tdap. Pt given DTaP instead of Tdap No adverse reactions.
Age: 48.0
Sex: F
Vaccine: DTAP
Symptoms: No adverse effect, Wrong drug administered
Clinical narrative: Box of Dtap placed with Tdap. Pt. given Dtap instead of Tdap. No adverse reaction
Age: 25.0
Sex: F
Vaccine: DTAP
Symptoms: No adverse effect, Wrong drug administered
Clinical narrative: Box of Dtap placed with Tdap. Pt given Dtap instead of Tdap, No adverse reactions.
Age: 27.0
Sex: F
Vaccine: DTAP
Symptoms: No adverse effect, Wrong drug administered
Clinical narrative: No adverse reactions. Pt given Dtap instead of Tdap. Box of Dtap placed with Tdap.
Age: 18.0
Sex: F
Vaccine: MMR
Symptoms: Expired drug administered
Clinical narrative: given expired MMR vaccine, lot 0292R Expires 11, March 2007
Age: 11.0
Sex: M
Vaccine: DT
Symptoms: Wrong drug administered
Clinical narrative: None stated
Age: 32.0
Sex: F
Vaccine: VARCEL
Symptoms: Blood immunoglobulin G, Rash generalised, Rash papular, Vaccination failure, Varicella
Clinical narrative: I got vaccine 3/26/07. On 4/14/07 I notice 3 pimples on my right shoulder. By 4/17/07 there was 2 on my shoulder blade on the 4/18/07 it was all over my back and on my right forehead one under my right nose and one on my left eyebrow. I went to emergency room on 4/20/07. By this time the first outbreaks were getting scabs.
Age: 32.0
Sex: F
Vaccine: ANTH
Symptoms: Condition aggravated, Fatigue, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Felt a little tired on Friday 4/27/07 with a little redness over vaccine site on left triceps area. On Saturday, 4/28/07, woke up feeling fine, but after a couple hours, she felt really tired (like she worked a double shift) and felt feverish (did not check temperature; no sweats or chills). She noted that the back of her left arm was red, swollen, tender, warm and pruritic. This worsened a little on Sunday (redness, warmth, swelling and tenderness extended to left elbow). She also noted 2 days of intense aching at old Right tib-fib fracture site (This normally only occurs with significant weather changes and there were no significant weather changes over the week-end.) No other systemic symptoms. By Monday, the local reaction was improving (area smaller with less pruritus). Takes Mobic q day. By Tuesday, 5/1/07, there was an area of about 1' in diameter of redness, induration, tenderness and increased warmth. Pruritus reported as minimal.
Age: 32.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site swelling, Injection site warmth, Pathological fracture, Pyrexia
Clinical narrative: Felt a little tired on Friday 4/27/07 with a little redness over vaccine site on left triceps area. On Saturday, 4/28/07, woke up feeling fine, but after a couple hours, she felt really tired (like she worked a double shift) and felt feverish (did not check temperature; no sweats or chills). She noted that the back of her left arm was red, swollen, tender, warm and pruritic. This worsened a little on Sunday (redness, warmth, swelling and tenderness extended to left elbow). She also noted 2 days of intense aching at old Right tib-fib fracture site (This normally only occurs with significant weather changes and there were no significant weather changes over the week-end.) No other systemic symptoms. By Monday, the local reaction was improving (area smaller with less pruritus). Takes Mobic q day. By Tuesday, 5/1/07, there was an area of about 1' in diameter of redness, induration, tenderness and increased warmth. Pruritus reported as minimal.
Age: 37.0
Sex: M
Vaccine: HEP
Symptoms: Expired drug administered
Clinical narrative: PT given 1 dose - Hepatitis B vaccine IM, RD. Vaccine had expired 01/25/07.
Age: 28.0
Sex: F
Vaccine: TTOX
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: Dizzy lasted 30 minutes nausea/ vomiting, felt nauseated for 10 minutes then vomited on 4/24/07.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Axillary mass, Injection site pruritus, Lip swelling
Clinical narrative: Developed itchy lumps under axilla about seven days after second shot.  Lumps symptoms come and go; lumps are more prevent in evening. Also, noticed lumps around waist 9 or 10 days after second shot.  Upper lip became swollen once about four days after second shot.  Bottom lip became swollen 11 days after second shot.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Headache, Myalgia, Nausea, Pyrexia
Clinical narrative: pt develop myalgias, anthralgias, subjective fever, headache and nausea one day after receiving anthrax vaccine. Symptoms improved and are continuing to improve with symptomatic care.
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Herpes zoster, Rash
Clinical narrative: HERPES ZOSTER IN A PREVIOUSLY VACCINATED CHILD.  THE RASH WAS IN THE C5 DERMATOME AND RESOLVED WITHOUT COMPLICATION. CHILD HAS NO HISTORY OF VARICELLA ILLNESS.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Abnormal behaviour, Amnesia, Arthralgia, Back pain, Blood test
Clinical narrative: LOWER BACK PAIN, RIGHT SHOULDER MASS OPERATED, MEMORY LOSS, HEADACHES, JOINT PAIN, DRY MOUTH, HEARING LOSS, POOR VISION, BLURRY VISION, LIVER PROBLEMS (HIGH ENZYMES)CRAMPS, JUMPING IN BED AT NIGHT, DIFFICULTY SLEEPING.  05/21/2007 MR received from VA from 11/25/2005 to 1/30/2007.  Initial visit with c/o LBP and Migraine.  PE: WNL. Asessment LBP. PTSD screen (+). OV 12/07/05 with c/o LBP since June 2005, Headache since Nov. 2004, and epigastric pain x 2 years.  LPB 2' to "heavy equipment" and prolonged standing.  Has suffered from H/A since a bomb explosion. Primary care problem list:  Low Back pain, chronic allergic conjuctivitis, senile cataract, Person with feared complaint in whom no DX was made, Elevated LFTs.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Computerised tomogram, Deafness, Dry mouth, Electrocardiogram, Headache
Clinical narrative: LOWER BACK PAIN, RIGHT SHOULDER MASS OPERATED, MEMORY LOSS, HEADACHES, JOINT PAIN, DRY MOUTH, HEARING LOSS, POOR VISION, BLURRY VISION, LIVER PROBLEMS (HIGH ENZYMES)CRAMPS, JUMPING IN BED AT NIGHT, DIFFICULTY SLEEPING.  05/21/2007 MR received from VA from 11/25/2005 to 1/30/2007.  Initial visit with c/o LBP and Migraine.  PE: WNL. Asessment LBP. PTSD screen (+). OV 12/07/05 with c/o LBP since June 2005, Headache since Nov. 2004, and epigastric pain x 2 years.  LPB 2' to "heavy equipment" and prolonged standing.  Has suffered from H/A since a bomb explosion. Primary care problem list:  Low Back pain, chronic allergic conjuctivitis, senile cataract, Person with feared complaint in whom no DX was made, Elevated LFTs.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Hepatic enzyme abnormal, Insomnia, Mass, Muscle spasms, Vision blurred
Clinical narrative: LOWER BACK PAIN, RIGHT SHOULDER MASS OPERATED, MEMORY LOSS, HEADACHES, JOINT PAIN, DRY MOUTH, HEARING LOSS, POOR VISION, BLURRY VISION, LIVER PROBLEMS (HIGH ENZYMES)CRAMPS, JUMPING IN BED AT NIGHT, DIFFICULTY SLEEPING.  05/21/2007 MR received from VA from 11/25/2005 to 1/30/2007.  Initial visit with c/o LBP and Migraine.  PE: WNL. Asessment LBP. PTSD screen (+). OV 12/07/05 with c/o LBP since June 2005, Headache since Nov. 2004, and epigastric pain x 2 years.  LPB 2' to "heavy equipment" and prolonged standing.  Has suffered from H/A since a bomb explosion. Primary care problem list:  Low Back pain, chronic allergic conjuctivitis, senile cataract, Person with feared complaint in whom no DX was made, Elevated LFTs.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Visual acuity reduced, X-ray
Clinical narrative: LOWER BACK PAIN, RIGHT SHOULDER MASS OPERATED, MEMORY LOSS, HEADACHES, JOINT PAIN, DRY MOUTH, HEARING LOSS, POOR VISION, BLURRY VISION, LIVER PROBLEMS (HIGH ENZYMES)CRAMPS, JUMPING IN BED AT NIGHT, DIFFICULTY SLEEPING.  05/21/2007 MR received from VA from 11/25/2005 to 1/30/2007.  Initial visit with c/o LBP and Migraine.  PE: WNL. Asessment LBP. PTSD screen (+). OV 12/07/05 with c/o LBP since June 2005, Headache since Nov. 2004, and epigastric pain x 2 years.  LPB 2' to "heavy equipment" and prolonged standing.  Has suffered from H/A since a bomb explosion. Primary care problem list:  Low Back pain, chronic allergic conjuctivitis, senile cataract, Person with feared complaint in whom no DX was made, Elevated LFTs.
Age: 31.0
Sex: U
Vaccine: ANTH, ANTH
Symptoms: Amnesia, Arthralgia, Back pain, Blood test, Dry mouth
Clinical narrative: SINUS,LOWER BACK PAIN,HEADACHES,LOSS OF MEMORY,JOINT PAIN,HEART BURN,DRY MOUTH AND LIPS,SLEEPING DISORDER.
Age: 31.0
Sex: U
Vaccine: ANTH, ANTH
Symptoms: Dyspepsia, Electrocardiogram, Headache, Lip dry, Sinus disorder
Clinical narrative: SINUS,LOWER BACK PAIN,HEADACHES,LOSS OF MEMORY,JOINT PAIN,HEART BURN,DRY MOUTH AND LIPS,SLEEPING DISORDER.
Age: 31.0
Sex: U
Vaccine: ANTH, ANTH
Symptoms: Sleep disorder, X-ray
Clinical narrative: SINUS,LOWER BACK PAIN,HEADACHES,LOSS OF MEMORY,JOINT PAIN,HEART BURN,DRY MOUTH AND LIPS,SLEEPING DISORDER.
Age: 40.0
Sex: M
Vaccine: TDAP
Symptoms: Asthenia, Electromyogram abnormal, Musculoskeletal pain, Nuclear magnetic resonance imaging normal, Radiculitis brachial
Clinical narrative: Acute brachial plexus neuritis of right arm.  Tdap vaccine recieved in left deltoid 3/29/07.  Developed severe pain in right shoulder/arm 4/14/07, progressed to right shoulder weakness.  Seen in Hospital Emergency Department on 4/16/07, diagnosed with acute brachial plexus neuritis.  Treated with 1 gram methyprednisolone IV daily for 3 days.  Patient had a previous similar episode of acute brachial plexus neuritis in left arm approximately 10 years previously which ocurred 2 weeks after an inluenza vaccine.
Age: 40.0
Sex: M
Vaccine: TDAP
Symptoms: X-ray limb normal
Clinical narrative: Acute brachial plexus neuritis of right arm.  Tdap vaccine recieved in left deltoid 3/29/07.  Developed severe pain in right shoulder/arm 4/14/07, progressed to right shoulder weakness.  Seen in Hospital Emergency Department on 4/16/07, diagnosed with acute brachial plexus neuritis.  Treated with 1 gram methyprednisolone IV daily for 3 days.  Patient had a previous similar episode of acute brachial plexus neuritis in left arm approximately 10 years previously which ocurred 2 weeks after an inluenza vaccine.
Age: 1.0
Sex: M
Vaccine: HEPA, MMRV
Symptoms: Exposure to communicable disease, Pyrexia, Rash erythematous, Rash papular
Clinical narrative: FEVER DAY OF INJECTION, 3 DAYS LATER PRESENTS WITH LESS THAN 10 PAPULAR ERYTHMATEOUS ON HEAD, NO VESSICLES, NO CRUST YET. WAS EXPOSED TO COUSIN WITH WILD TYPE VARICELLA 3-4 WEEKS PRIOR
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abnormal behaviour, Diarrhoea, Fatigue, Intussusception, Irritability
Clinical narrative: Patient received rotavirus vaccines on 11/29/2006 and 1/22/2007.  Patient presented on 4/21/07 with a 1 day h/o episodic fussyness, vomiting a few times, clingy, tired between episodes, pale.  Seen in clinic 5 days prior with cold symptoms and fever and diagnosed with an AOM and placed on amoxicillin.  Had a few day h/o diarrhea without blood a few days ago which resolved.  Cold symptoms improving.  Barium enema revealed intussusception from ileocecal area completely through ascending colon which reduced 1/3 of the way.  Life flight to hospital where peds surgeon reduced with air enema.  6/12/07 Received medical records from PCP which also included ER records & vax records.  Patient experienced abdominal pain, nausea/vomiting & diarrhea & was not acting himself since awakening from nap on 4/21/07.  Insoncolable crying & decreased activity.  Parent reported fever approx 3 days prior & was on antibiotic since 4/16 when dx w/acute otitis media.  Exam revealed slight eye discharge.  Abdominal x-ray revealed IS.  Patient transferred via helicopter to higher level of care for probable surgery.  PCP records indicate IS was reduced w/air enema. VAX record: Does not include vax lot numbers.  Vax received at Health Department.  Will request from them. PCP Records: Patient had extensive port wine stain over lower back down to feet & had US of lower spine to eval which was reported as WNL.  Had normal newborn labs.  Experienced dry skin, viral URI, fussiness, keratosis pilaris w/mild atopic dermatitis, diaper rash, bronchiolitis, bilateral otitis media, heart murmur.  Leg length & circumference was unequal & referred to ortho specialist.  On 4/16 dx w/left acute otitis media & started on antibiotics.  06/13/07-vac rec received. VAERS updated with information and record faxed to CDC.  6/19/07 Received hospital medical records which reveal patient was transferred from outlying ER for incompletely reduced IS.  Patient had become very lethargic after vomiting.  Mass was still palpable in RUQ & air contrast enema was repeated successfully.  Had a bloody stool & vomiting s/p enema.  Kept overnight for observation & d/c home next am. FINAL DX: ileocolonic intussusception, reduced by air enema.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Nasopharyngitis, Otitis media acute, Pallor, Pyrexia, Vomiting
Clinical narrative: Patient received rotavirus vaccines on 11/29/2006 and 1/22/2007.  Patient presented on 4/21/07 with a 1 day h/o episodic fussyness, vomiting a few times, clingy, tired between episodes, pale.  Seen in clinic 5 days prior with cold symptoms and fever and diagnosed with an AOM and placed on amoxicillin.  Had a few day h/o diarrhea without blood a few days ago which resolved.  Cold symptoms improving.  Barium enema revealed intussusception from ileocecal area completely through ascending colon which reduced 1/3 of the way.  Life flight to hospital where peds surgeon reduced with air enema.  6/12/07 Received medical records from PCP which also included ER records & vax records.  Patient experienced abdominal pain, nausea/vomiting & diarrhea & was not acting himself since awakening from nap on 4/21/07.  Insoncolable crying & decreased activity.  Parent reported fever approx 3 days prior & was on antibiotic since 4/16 when dx w/acute otitis media.  Exam revealed slight eye discharge.  Abdominal x-ray revealed IS.  Patient transferred via helicopter to higher level of care for probable surgery.  PCP records indicate IS was reduced w/air enema. VAX record: Does not include vax lot numbers.  Vax received at Health Department.  Will request from them. PCP Records: Patient had extensive port wine stain over lower back down to feet & had US of lower spine to eval which was reported as WNL.  Had normal newborn labs.  Experienced dry skin, viral URI, fussiness, keratosis pilaris w/mild atopic dermatitis, diaper rash, bronchiolitis, bilateral otitis media, heart murmur.  Leg length & circumference was unequal & referred to ortho specialist.  On 4/16 dx w/left acute otitis media & started on antibiotics.  06/13/07-vac rec received. VAERS updated with information and record faxed to CDC.  6/19/07 Received hospital medical records which reveal patient was transferred from outlying ER for incompletely reduced IS.  Patient had become very lethargic after vomiting.  Mass was still palpable in RUQ & air contrast enema was repeated successfully.  Had a bloody stool & vomiting s/p enema.  Kept overnight for observation & d/c home next am. FINAL DX: ileocolonic intussusception, reduced by air enema.
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Cold compress therapy, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: 4/27 Itching, swelling & red at injection site; began earlier this week.  No streaks or swelling of axillary through nodes.                      4/29 Smptoms improved with Benadryl and cold compress, but still very itchy.                  5/1 Continues to improve, redness greatly reduced
Age: 31.0
Sex: U
Vaccine: ANTH
Symptoms: Alopecia, Amnesia, Arthralgia, Arthropathy, Dizziness
Clinical narrative: HEADACHES, DISINESS, MEMORY LOSS, PAIN IN JOINTS, TRICK JOINTS, HAIR LOSS
Age: 31.0
Sex: U
Vaccine: ANTH
Symptoms: Headache
Clinical narrative: HEADACHES, DISINESS, MEMORY LOSS, PAIN IN JOINTS, TRICK JOINTS, HAIR LOSS
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Body temperature increased, Cyanosis, Respiratory arrest, Urinary tract infection
Clinical narrative: Grandmother reports that the evening after vaccines were given baby had temperature of 104 degrees, stopped breathing and turned blue. They called 911 and baby is now on an apnea monitor when sleeping. Baby was found to have urinary tract infection at time of episode.
Age: 33.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Bloody discharge, Breast discharge, Lymphadenitis, Lymphadenopathy, Ultrasound scan abnormal
Clinical narrative: Pt reported to the Immunizations clinic on the 30 April 2007 and stated she had noticed a bloody discharge from her nipple and wanted to know if that was a side effect of the smallpox vaccine. I asked If she was still having the discharged and she stated no, she just noticed it one time. I told the patient to have a seat and talked to doctor about the issue. He advised me to let her know that we hadn't heard of this, nipple dischage, being a side effect of the smallpox vaccine, but it is common to have swollen lymph nodes under the arm. He advised me to have her to make an appointment with her PCM to find out what was going on. She made an appointment and was seen the same day. An U/S was ordered. Patient did not complain if discharge when she came in on 4/25/07 for her smallpox recheck.