chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.3
Sex: M
Vaccine: DTAP
Symptoms: Diarrhoea, Injection site oedema, Irritability, Pyrexia
Clinical narrative: 24 hrs after DaPT child developed swelling in the thigh (where vaccine was administered), fever to 103.  36 hrs after vaccine child had 1 minute of episodes of muscular spasms (remained alert, no seizure noted).  Continued to have a fever for 4 days.  Was irritable, had diarrhea.  Seen in an Emergency Room 48 hrs after vaccination - no abnormality noted, no testing was done.  Managed with ibuprofen.
Age: 1.1
Sex: F
Vaccine: MMR, PNC
Symptoms: Otitis media, Rash maculo-papular
Clinical narrative: Developed diffuse macular/papular rash over torso with areas of confluence approximately 11 days after MMR #1 vaccine.  No s/sx of anaphylaxis.  Incidental bilateral otitis media on this exam.
Age: 25.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Condition aggravated, Fibromyalgia
Clinical narrative: Information has been received from an approximately 25 year old female registered nurse who in approximately 1993 was vaccinated with a dose of hepatitis B virus vaccine. Concomitant vaccination included a dose of MMR (second generation). The reporter stated that she has been suffering from fibromyaglia since approximately 1993 and that the symptoms began within the same time period as when she received hepatitis B virus vaccine and MMR (second generation) The reporter noted that she needed the vaccines as a precaution for working in the hospital. Unspecified medical attention was sought. The reporter is trying to get her records from employee health and has been investigating her fibromyalgia. It was noted that a product quality complaint was not involved. Upon internal review, fibromyalgia was considered to be an other important medical event (OMIC). Additional information has been requested. A 15-day follow up report received 7/3/2003 adds no new info.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Cerebral infarction, Cerebrovascular accident, Convulsion, Hemiparesis, Infarction
Clinical narrative: Fever, Left middle cerebral artery infarct, seizure, R. sided weaknedd (resolved) Symptoms occurred 1 day after vaccine administration, started on phenobarbital and aspirin.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever, Left middle cerebral artery infarct, seizure, R. sided weaknedd (resolved) Symptoms occurred 1 day after vaccine administration, started on phenobarbital and aspirin.
Age: 0.34
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Apnoea, Blood pressure decreased, Cold sweat, Heart rate increased, Hyperhidrosis
Clinical narrative: Vaccines given 5/6/03. On 5/7/03, patient presented to office with complaints of temp 101.4, yellow vomiting and lethargy (per great grandmother). On exam, the patient was lethargic, pale, skin cool, diaphoretic. BP 88/48, Pulse 210. The patient had a very brief apneic episode but aroused with stimulation. IV access in office with LR initiated in office. Patient transferred via EMS to medical center. Discharge summary states lethergy. msv
Age: 0.34
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Lethargy, Pallor, Pyrexia, Vomiting
Clinical narrative: Vaccines given 5/6/03. On 5/7/03, patient presented to office with complaints of temp 101.4, yellow vomiting and lethargy (per great grandmother). On exam, the patient was lethargic, pale, skin cool, diaphoretic. BP 88/48, Pulse 210. The patient had a very brief apneic episode but aroused with stimulation. IV access in office with LR initiated in office. Patient transferred via EMS to medical center. Discharge summary states lethergy. msv
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Asthma, Condition aggravated, Laboratory test abnormal, Respiratory distress, Vaccination complication
Clinical narrative: Respiratory distress/wheezing. O2 sat of 68% on room air. Medical Records received on 6/24/2003 states bronchospasm and vaccine reaction.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Wheezing
Clinical narrative: Respiratory distress/wheezing. O2 sat of 68% on room air. Medical Records received on 6/24/2003 states bronchospasm and vaccine reaction.
Age: 32.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Arthralgia, Injection site oedema, Rash erythematous
Clinical narrative: Soreness of shoulder/tightness of general area. Rash: localized erythema and edema. Treatment: Motrin prn pain, hydrocortisone 1% cream to affected area.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Dysphagia, Flushing, Pruritus, Sneezing, Vomiting
Clinical narrative: Began by sneezing - swallowing frequently and got very quiet when spoken to, he answered appropriately. Then he said "I feel like I'm going to throw up". He did a few minutes later. Then his face and ears became flushed, sclera red. No noted breathing probably approx 20 minutes after injection. He said his feet were itching. Had mother to take him to hospital ER. He and mom later returned all back to normal. Mom said Dr. at ER gave some type med.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: DTaP #5 was given 5/2/03. Child got up on Sat 5/3/03 with right arm swollen from where injection given to almost down to elbow with redness. Edema and redness did not go around arm. No temp and child remained playful and well seeming throughout. Mom says did not take to PCP as did not seem to bother him.
Age: 18.0
Sex: M
Vaccine: HEP
Symptoms: Dizziness, Headache, Nausea, Vomiting
Clinical narrative: Pt called approx 30 minutes post vaccine complaining of dizziness, headache, nausea and vomiting. Was advised to go to ER where he was given Tylenol for headache and advised it might be a possible reaction to Hep B. 8:30 PM telephone call to pt - states he was improved.
Age: 1.0
Sex: M
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Cough, Pneumonia
Clinical narrative: 4/4/03: Mom states vaccines given with minor cold symptom (runny nose, minor cough). Denies fever. 4/7/03: Noticed more cough with higher severity. 4/8/03: Concerned about symptoms. Child taken to ER with difficulty breathing. CXR done with diagnosis pneumonia.
Age: 0.5
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever (103)
Age: 1.25
Sex: F
Vaccine: DTAPH, PNC
Symptoms: Feeling hot, Injection site erythema, Injection site mass
Clinical narrative: Red, warm, lump on left leg. Pt's mother will monitor and come to clinic if no improvement or enlargement in 24-48 hours.
Age: 40.0
Sex: F
Vaccine: MMR
Symptoms: Injection site mass, Tenderness
Clinical narrative: Received MMR 2/10/03 with no symptoms until 2/22/03 noticed tenderness with nodule at injection on 2/23/03. Palpable tender mass 25 mm x 35 mm. No erythema.
Age: 55.0
Sex: F
Vaccine: HEP, HEPA, TD, TYP
Symptoms: Haematochezia, Malaise, Pyrexia
Clinical narrative: Bloody stools starting first Typhoid pill on 5/11/03. Has BM qd however bloody stools occur only 12 hours after taking Typhoid pill. Feels "unwell". Low grade fever.
Age: 27.0
Sex: F
Vaccine: MMR
Symptoms: Pain in jaw, Parotitis
Clinical narrative: After administration of MMR on 2/24/03  pt developed parotitis. Initially went to the dentist and complained of jaw pain. Pt treated with Keflex 500 mg BID for 20 days beginning 4/2/03. Did not return for recheck but called and stated she was fine.
Age: 17.0
Sex: F
Vaccine: TD
Symptoms: Chills, Hot flush, Syncope
Clinical narrative: Experienced chills, hot flashes during evening and night. Syncopal episode this AM. Examined by MD. No cause for symptoms revealed on exam. No further treatment.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema, Pruritus
Clinical narrative: 3/26/03: Mom and Dad called to report redness and swelling on right arm at site of immunization's injection. Child playing - no fever - in no discomfort. Size of area 2" x 4". 3/27/03: redness and swelling now extending below elbow and radiating to shoulder/back area. Pt states it itches. Color has changed from red to light pink. No fever.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Arm was red and swollen from the side of the DTaP to about 2/3 of way from elbow to wrist and proximally over the entire shoulder and extending anteriorally to about 1" from nipple.
Age: 49.0
Sex: F
Vaccine: TD
Symptoms: Abscess, Arthralgia, Asthenia, Injection site induration, Malaise
Clinical narrative: Abcess like reaction, right gluteal at site of administration 10 cm x 7 cm with deep induration, also malaise, fever, weakness, arthralgias.
Age: 49.0
Sex: F
Vaccine: TD
Symptoms: Pyrexia
Clinical narrative: Abcess like reaction, right gluteal at site of administration 10 cm x 7 cm with deep induration, also malaise, fever, weakness, arthralgias.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site erythema, Injection site swelling, Screaming
Clinical narrative: After vaccination on 5/7/03, child screamed nonstop; had swelling/redness of left leg. Treated with Tylenol and cool compresses.
Age: 4.0
Sex: F
Vaccine: DTAP, PNC
Symptoms: Feeling hot, Injection site erythema, Pain
Clinical narrative: Pt presented with redness, pain and warmth to right upper arm surrounding site where vaccine was administered. Treated with antibiotic and Tylenol.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Urticaria
Clinical narrative: Vaccine given at 4 PM. At 6:45 hives noted in diaper area, on chest and back. Called ER. Physician prescribed 25 mg Benadryl and close observation of airway. Ears, face with hives, nose swelling noted. By 10:30 hives were fading. Next morning had few spots. Pt has been seeing allergy specialist; specific allergies not pinpointed due to young age.
Age: 1.08
Sex: M
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Left thigh, red with inner aspect discolored. Firm to touch, 2.5 x 3" area. No fever.
Age: 47.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Swelling, itching, erythema distal to injection site.
Age: 53.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Arthralgia, Back pain
Clinical narrative: Leg pain, joint pain left leg and sacral vertebrae pain. Test were D-Dimer, bone scan X-ray, referred to orthopedic physician. Doctor suggested arthritis. Dr put on ultram for pain and HCTZ for elevated BP. Leg pain intermittent.
Age: 53.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Chest pain
Clinical narrative: Leg pain, joint pain left leg and sacral vertebrae pain. Test were D-Dimer, bone scan X-ray, referred to orthopedic physician. Doctor suggested arthritis. Dr put on ultram for pain and HCTZ for elevated BP. Leg pain intermittent.
Age: 1.5
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Feeling hot, Swelling
Clinical narrative: 05/16/2003: Administered DTAP in right thigh-case is on 05/19/2003 with right thigh and swollen & warm to touch.  On Omnicef for OM
Age: 1.8
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Erythema, Pyrexia, Swelling, Tenderness
Clinical narrative: Vaccine (DTAP) administered 05/14/2003.  Returned to office on 05/16/2003 with left leg thigh-swollen, red and tender; low grade fever.  Treatment: ice packs and Motrin and Tylenol for fever.
Age: 5.0
Sex: M
Vaccine: DTP, IPV
Symptoms: Pyrexia, Swelling
Clinical narrative: Fever up to 101 degrees F, left arm swollen at the area of vaccination-on Saturday 05/17/2003, Monday 05/19/2003 area only slightly swollen afebrile-98.5 degree F.
Age: 39.0
Sex: F
Vaccine: MMR
Symptoms: Viral infection
Clinical narrative: Has measles and rubella
Age: 0.9
Sex: M
Vaccine: HBHEPB
Symptoms: Crying, Decreased appetite, Pyrexia
Clinical narrative: Fever up: 102.3 Axillary, Crying, Wanting to be held, low appetite.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Swollen right thigh, red, warm to touch.  Hot packs, augmentin.
Age: 4.5
Sex: U
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Pyrexia
Clinical narrative: 05/13/2003: DTAP administered in left deltoid -05/15/2003-erythma, warmth in left deltoid-fever to 101.8 degrees F.  Treatment: ice packs and Tylenol and Motrin for fever.
Age: 12.0
Sex: M
Vaccine: HEP, HEP
Symptoms: Abdominal pain, Diarrhoea, Liver tenderness, Nausea, Pyrexia
Clinical narrative: High fever.  Abdominal type pain.  Liver pain.  Diarrhea.  Nausea.
Age: 12.0
Sex: M
Vaccine: HEP, HEP
Symptoms: Abdominal pain, Diarrhoea, Lethargy, Pyrexia
Clinical narrative: High fever.  Abdominal type pain.  Liver pain.  Diarrhea.  Nausea.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Cellulitis
Clinical narrative: Cellulitis at injection site.  Penicillin intramuscular, Augmentin by mouth.
Age: 24.0
Sex: F
Vaccine: UNK
Symptoms: Pain, Rash, Swelling
Clinical narrative: Rash, swelling, pain in upper arm
Age: 34.0
Sex: M
Vaccine: MMR
Symptoms: Headache, Influenza like illness, Lethargy, Malaise, Pharyngolaryngeal pain
Clinical narrative: Received 1st dose of MMR 04/17/2003.  Within 24 hours developed headache, lethargy, malaise, sore throat, and felt feverish.  Symptoms persisted 10 days then on 04/28/2003 developed itchy, prickly rash, rist on face, then neck, trunk, arms.  Examined 05/01/2003: Confllent erythematous macules and papules on face, discrete macules/papules on trunk, arms.  + Pharyngeal erythema, (-)Kopliks shots, (-)Lan.
Age: 34.0
Sex: M
Vaccine: MMR
Symptoms: Pruritus, Rash erythematous, Rash papular
Clinical narrative: Received 1st dose of MMR 04/17/2003.  Within 24 hours developed headache, lethargy, malaise, sore throat, and felt feverish.  Symptoms persisted 10 days then on 04/28/2003 developed itchy, prickly rash, rist on face, then neck, trunk, arms.  Examined 05/01/2003: Confllent erythematous macules and papules on face, discrete macules/papules on trunk, arms.  + Pharyngeal erythema, (-)Kopliks shots, (-)Lan.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site inflammation, Injection site swelling, Tenderness
Clinical narrative: Localized swelling, warmth, inflammation, tenderness at site of injection (at left deltoid).  4 x 5cm area of swelling and erythema.
Age: 4.1
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: 05/03/2003: Edema-redness from left shoulder to 2in above antecubital fossa.  Benadryl. 05/06/2003: Mother reports by phone that swelling/redness are gone.
Age: 4.5
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: Vaccine given 05/05/2003 left upper arm onset erythema on same day but worsened with edema noted on day #3.  Patient seen on 05/07/2003 and given 10 doses Keflex.  Will follow up
Age: 51.0
Sex: M
Vaccine: TYP
Symptoms: Arthralgia, Fatigue, Malaise, Myalgia, Swelling face
Clinical narrative: Approximately 24 hours following vaccination developed malaise, arthralgia/myalgia, bad fatigue.  Feels he had a slight temperature, did not take his temperature.  The following morning, approximately 36 hours following vaccination awoke with swelling of upper lip and lower third of nose.  Denied difficulty breathing.  Day 4 improving.
Age: 13.0
Sex: F
Vaccine: TD
Symptoms: Chills, Hypoaesthesia, Pyrexia, Throat tightness
Clinical narrative: chills, fever 99.7, sore all over even fingernails, legs felt like jello.  tongue was numb, throat was tight feeling, started to feel better when she felt needles sticking into fingers.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Redness, warmth, swelling started 2 hours after immunization.  Persisted for 3 days.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Feeling hot
Clinical narrative: 5 1/4in x 4 3/4in, red, warm, local reaction
Age: 1.0
Sex: M
Vaccine: DTAP, PPV
Symptoms: Erythema, Feeling hot, Injection site erythema, Injection site induration
Clinical narrative: Day after vaccine administered patient developed redness at site of DTaP injection.  Patient seen 2 days after injection and a 6 x 9cm area of erythema/induration and warmth was noted at site.  Patient given Atorox laflex, to cover for allergy and infection.
Sex: U
Vaccine: VARCEL
Symptoms: Rash pruritic, Rash vesicular, Skin ulcer
Clinical narrative: Rash x 5in. Started on trunk.  Vesicular, pruritic.  Many lesions now scabbed, others vesicules.
Age: 1.4
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, VARCEL
Symptoms: Contusion, Pyrexia
Clinical narrative: Has what appears to be a scabbed over chicken pox at site of varicella injection. Also had one possible pox on abdomen per mother. Mother states he ran a fever 100-101 off and on x 2 weeks.
Sex: F
Vaccine: IPV, MMR
Symptoms: Rash maculo-papular
Clinical narrative: Rash- macu'papular  Rubcola tire rash
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site warmth
Clinical narrative: Left arm swollen, slightly red, warm to touch, slight hardness. Tx Advil, warm compresses. MD advised: Benadryl and cold compress x 3 days.
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth, Pruritus
Clinical narrative: Erythema (3 x 3in), swelling, warmth at site of DTaP injection. Itchy not tender. Rx Benadryl, Tylenol
Age: 0.7
Sex: M
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Agitation, Irritability, Pyrexia, Screaming, Somnolence
Clinical narrative: Constant crying and extreme irritability for a couple days. Very sick and slept a lot. We could not console him. 103.5 fever.
Age: 1.0
Sex: M
Vaccine: IPV, MMR
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Pt had seizure with temp 104. Was taken to hospital. Dx febrile seizure
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash erythematous, Rash papular
Clinical narrative: Red, papular rash on face- 3 lesions, 8 papules on chest, 13 lesion on abdomen- mostly crusted. Began 05/08/2003. Afebrile
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Cellulitis at injection site. Treated with Keflex
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Right arm swollen, tight, red at injection site. Tx: ice packs, Motrin
Age: 2.0
Sex: M
Vaccine: MMR
Symptoms: Cough, Eyelid oedema, Hypersensitivity, Oedema, Pyrexia
Clinical narrative: Six days after MMR vaccine, my son woke up with swollen hands and genitals. He had a mild cough and during the day started breaking out in hives. Pediatrician started on Benadryl and Orapred. By evening, whole body covered in hives and face swollen tight. Fever 101 degrees and eyes swelled up and he started shaking. Admitted to ER with IV steroids, Benadryl, Pepcid. Follow up at home with Orapred, Benadryl, Zyrtec. Lasted about 4-5 days. Dx was unknown allergic reaction.
Age: 2.0
Sex: M
Vaccine: MMR
Symptoms: Tremor, Urticaria
Clinical narrative: Six days after MMR vaccine, my son woke up with swollen hands and genitals. He had a mild cough and during the day started breaking out in hives. Pediatrician started on Benadryl and Orapred. By evening, whole body covered in hives and face swollen tight. Fever 101 degrees and eyes swelled up and he started shaking. Admitted to ER with IV steroids, Benadryl, Pepcid. Follow up at home with Orapred, Benadryl, Zyrtec. Lasted about 4-5 days. Dx was unknown allergic reaction.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Erythema, Feeling hot, Rash maculo-papular
Clinical narrative: 4 x 2 cm erythema with warm. Slight raised patch left anterior thigh. 2 days ago. Immunization received 04/21.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Rash maculo-papular
Clinical narrative: Right anterior thigh 2 1/2 x 4 cm patch warm raised painful. Left anterior thigh 4 x 7cm raised erythemic painful patch.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Pain
Clinical narrative: Left anterior thigh slight raised erythema patch- pain (4 x 5 cm)
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Nausea, Rash, Respiratory distress, Vomiting
Clinical narrative: Nausea, vomiting within minutes. Respiratory distress within 3 - 4 hours. Rash onset within 4 hours.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Pruritus
Clinical narrative: Pt returned to clinic 2 days after receiving IPV, DTaP left arm, MMR right arm. Complained of left arm redness, heat, swelling, itching. 12 cm x 12 cm red area. No symptoms of infection, tx with Keflex 375 mg TID for 7 days and Motrin.
Age: 1.25
Sex: F
Vaccine: DTAPH, PNC
Symptoms: Urticaria
Clinical narrative: Received DTaP/Hib and Prevnar 5/7/03. 5/8 broke out with hives in AM per parents. Seen in office 2:30 5/8 confirmed.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Pyrexia, Rash maculo-papular
Clinical narrative: Maculopapular rash on anterior and posterior trunk, neck and face. Fever to 102.0 F.
Age: 1.3
Sex: F
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Urticaria
Clinical narrative: Pt's mother reports 2 days after Prevnar, Comvax, MMR, Varivax child developed 'hives' over lower extremity. Child now fine. Hives resolved with Tylenol and Augmentin at same time.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Pain
Clinical narrative: Erythema, slight edema, warmth, slight pain around injection site. Grew to 14 x 9.5 cms. No LOM.
Age: 0.75
Sex: M
Vaccine: PNC
Symptoms: Pyrexia
Clinical narrative: Mother reported during most recent visit (6 months after last PCV7 dose) that child had 103.2 F fever 'after receiving pneumoccal'. Nurses note did not indicate which dose. Had 2 here. Parent did not respond to phone messages requesting info for this report. Date of dose causing high fever unknown.
Sex: F
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling and erythema 10 x 4 cm left arm around vaccination site for DTaP.
Age: 1.4
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Urticaria
Clinical narrative: Urticaria left thigh starting 4 hrs after immunization.  Prescribed: Zyrtec
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister
Clinical narrative: Varicella type vessicles
Age: 53.0
Sex: F
Vaccine: SMALL
Symptoms: Fatigue, Injection site erythema, Injection site induration, Injection site pain, Pyrexia
Clinical narrative: 53 YO F REVACCINE 8D POST-VAX EXQUISITE PAIN AT SITE, FATIGUE, FEVER; 15D POST-VAX PUSTULE DRAINING, 1-2CM; REDNESS 7CM, INDURATED, PAINFUL.  DIGITAL IMAGES PENDING.  WORKING/FINAL DX: MAJOR REACTION.
Age: 54.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Back pain, Chills, Fatigue, Nausea
Clinical narrative: 54 YO F REVACINEE 7D POST-VAX FATIGUE, BACK PAIN, CHILLS, NAUSEA; PT HAD CARDIAC ECHO 11D PRIOR TO VACCINATION, F/U ECHO 19D POST-VAX; BEING FOLLOWED BY CDC CLINICAL TEAM, WORKING DX: FATIGUE.
Age: 54.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Back pain, Dyspnoea, Fatigue
Clinical narrative: 54 YO F REVACINEE 7D POST-VAX FATIGUE, BACK PAIN, CHILLS, NAUSEA; PT HAD CARDIAC ECHO 11D PRIOR TO VACCINATION, F/U ECHO 19D POST-VAX; BEING FOLLOWED BY CDC CLINICAL TEAM, WORKING DX: FATIGUE.
Age: 54.0
Sex: F
Vaccine: SMALL
Symptoms: Blister, Dermatitis, Erythema, Rash macular, Rash pruritic
Clinical narrative: 54 YO NY F 11D POST-VAX PURITIC RASH BILATERAL ARMS, LEGS; UPPER L ARM ERYTHEMATOUS, MACULAR RASH; LOWER ARMS AND R LEG SCATTERED PAPULES AND SMALLER VESICLES; PATIENT HISTORY SEVER POISON IVY REACTIONS; DERMATOLOGIST DX POISON IVY DERMATITIS, TX 40MG/D PREDNISONE WITH 1 MONTH TAPER, OBSERVE FOR EVOLUTION OF LESIONS; WORKING DX: CONTACT DERMATITIS FROM POISON IVY, UNRELATED TO VACCINE
Age: 29.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Dermatitis contact, Rash
Clinical narrative: 29 YO WV M 20D POST-VAX RASH ON CHEEKBONE; QUESTION FROM STATE AE COORDINATOR ABOUT STEROID TREATMENT; HISTORY OF POISON IVY ON HANDS 1-2 DAYS PRIOR TO CHEEKBONE RASH ONSET; WORKING DX: NON-SPECIFIC RASH, MOST LIKELY CONTACT DERMATITIS
Age: 29.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Rash maculo-papular
Clinical narrative: 29 YO WV M 20D POST-VAX RASH ON CHEEKBONE; QUESTION FROM STATE AE COORDINATOR ABOUT STEROID TREATMENT; HISTORY OF POISON IVY ON HANDS 1-2 DAYS PRIOR TO CHEEKBONE RASH ONSET; WORKING DX: NON-SPECIFIC RASH, MOST LIKELY CONTACT DERMATITIS
Age: 44.0
Sex: F
Vaccine: PPV, TTOX
Symptoms: Erythema, Feeling hot, Infection
Clinical narrative: Vaccine administered 4-29-03.  Client saw MD 5-1-03.  MD's office called to report reaction 5-2-03.  Left posterior tricep area red with heat - 7x11 cm.  Keflex prescribed.  Client also had sinus infection.
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Rash macular, Rash papular
Clinical narrative: Presentation 9th day status post immunization with generalized macular-papular rash on trunk and compaints of generalized fatigue.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox
Clinical narrative: 3 months after receiving vaccine, a generalized vaccinia reaction involving the upper extremities and bacl occurred.  His original smallpox vaccination site also became inflamed again.  One week prior to onset of the generalized vaccinia, patient got a tattoo on his back.
Age: 22.0
Sex: M
Vaccine: ANTH, HEPA, SMALL
Symptoms: Injection site erythema, Injection site pustule, Pain, Swelling
Clinical narrative: He is a primary vaccinee who received smallpox, anthrax #2 and hepatitis A #1 on 02/21/2003.  On 03/06/2003 he complaines of painful, swollen left arm at the smallpox site, with a "quarter-sized redden area with a pus filled lesion surrounded by 1/4 inch white ring with 1/8 black circular pit at the center".  He denies fever or enlarged lymph nodes.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Eczema
Clinical narrative: Primary vaccination 02/14/2003.  Failed to show for "take/no take" assessment 7-10 days post.  Returned to medical attention 03/21/2003.  Initial c/s to derm incomplete.  Returned again to medical 04/01/2003.  Presumed to be mild exzema vaccination 2 hours to newly recognized eczema on right hand - Resolving- no treatment indicated at this time.
Age: 36.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Erythema, Headache, Influenza like illness, Pharyngolaryngeal pain
Clinical narrative: Patient received smallpox vaccine and Anthrax #2 on 02/21/2003.  4 days later, he had flu-like symptoms, sore throat, headache.  He was seen by PCP and prescribed with 2-pac, motrin, and cough syrup.  Smallpox site at day 8 with 1/2 blister with 1/4 in erythema around the blister.
Age: 32.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain, Dyspnoea, Headache, Heart rate increased, Tremor
Clinical narrative: 04-29-03:  Awakened around 4AM with chest pain, heaviness, SOB, elevated heart rate, headache, shaking.  Examined at Center ER.  Admitted.  EKG-normal; all cardiac tests normal.  Discharged home 04-03-03 with diagnosis of possible reflux.
Age: 36.0
Sex: F
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: 36 YO MO F 60D POST-VAX PERSISTENT SCAB AT SITE WITH POISON OAK/IVY; CONSULT QUESTION TO CDC CLINICAL TEAM FROM PMD RE PULSE DOSE TEROID TX AND TAPER; ANSWER IS TO GIVE CAUTIOUSLY
Age: 46.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain, Headache, Myocardial infarction, Pyrexia
Clinical narrative: Patient vaccinated for smallpox on 4-8-03.  Experienced severe headache x 3 days post vaccination and fever (greatest temp = 101 degrees F) x 2 days post vaccination, but did not report these symptoms.  Two weeks post vaccination patient experienced chest pain with exertion x2 while on nursing duty.  Patient sent to ER where EKG showed superventricular MI.  Patient admitted to hospital x 2 days. Cardiac cath done - no pathology seen.  Discharged 04-24-03.  Patient recovered.
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: High-pitched crying, Pyrexia, Screaming
Clinical narrative: Approximately 36 hours after vaccinations, patient awoke screaming with a 102 F fever. He continued high-pitched screaming for about an hour, then slept 45 minutes, then awoke again screaming. This pattern lasted about 10 hours. In the morning, patient was taken to physician who examined him. Reaction subsided on its own without treatment.
Age: 45.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site pustule, Myalgia, Pyrexia
Clinical narrative: Recurrent small pustules around original vaccination site starting 2 months after initial vaccine; low-grade fever and myalgia with pustules.
Age: 50.0
Sex: F
Vaccine: SMALL
Symptoms: Blister, Erythema, Injection site induration, Lymphadenopathy, Pruritus
Clinical narrative: Smallpox vaccination and subsequent major reaction, scab took over four weeks to detach. Following detachment, site was still erythematous and pruritic and there was persistent axillary lymphadenopathy. 4/27/03 site became indurated and was raised, however no lymphadenopathy. Evaluated by an Infectious Disease physician on 4/29/2003: 0.8 cm area of erythema on scar, indurated, raised non-tender, large flat vesicles in the area. Specimens were collected from the site and tested for vaccinia.
Age: 35.0
Sex: M
Vaccine: SMALL
Symptoms: Blister, Chills, Injection site vesicles, Lymphadenopathy, Pain
Clinical narrative: Smallpox vaccination on 2/25/2003 with a major reaction documented on 3/4/2003. Started itching on day 1, with onset of fever, chills, pain and lymphadenopathy within a week, all of which persisted for 2 months. Blistering and pustule formation from 3/9/03, scab fell off approximately 1 month after vaccination. Approx 4/30/2003 he noticed a small lesion, gradually increasing with vesiculation at the vaccination site. Associated with fever and chills. He also noticed a growth on his nasal bridge which started 1 month ago. Evaluated by a dermatologist on 5/5/03: 8 mm erythematous, vesicular plaque noted with surrounding tape irritation. 1mm filliform verrucoid papule noted on superior aspect of nasal bridge.
Age: 35.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus, Pyrexia, Rash pustular
Clinical narrative: Smallpox vaccination on 2/25/2003 with a major reaction documented on 3/4/2003. Started itching on day 1, with onset of fever, chills, pain and lymphadenopathy within a week, all of which persisted for 2 months. Blistering and pustule formation from 3/9/03, scab fell off approximately 1 month after vaccination. Approx 4/30/2003 he noticed a small lesion, gradually increasing with vesiculation at the vaccination site. Associated with fever and chills. He also noticed a growth on his nasal bridge which started 1 month ago. Evaluated by a dermatologist on 5/5/03: 8 mm erythematous, vesicular plaque noted with surrounding tape irritation. 1mm filliform verrucoid papule noted on superior aspect of nasal bridge.
Age: 58.0
Sex: F
Vaccine: SMALL
Symptoms: Hypersensitivity, Injection site vesicles, Skin irritation
Clinical narrative: Vaccinee with non-healing vaccination site, no itching, no redness, no fever. Scab persists, had two episodes of vesicle formation and drainiage and reprots allergy/iiritation to dressing. Evaluated on 5/16/2003 in ER: no evidence of bacterial superinfection, no itching, fever, lymphadenopathy.
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Child developed chickenpox 12/13/02.
Age: 53.0
Sex: F
Vaccine: SMALL
Symptoms: Genitalia external painful, Pyrexia, Rash, Skin ulcer
Clinical narrative: RECEIVED SMALL POX VACCINE ON 5/13/O3.  ON 5/15/O3 DEVELOPED SORENESS IN GENITALS.  5/17/03 HAD FEVER OF 101.F.  TO THE ER ON 5/18/03 WITH VAGINITIS, GENITAL ULCERS AND RASH.  RETURNED TO ER FOR RE-CHECK ON 5/20/03.  VAGINITIS AND GENITAL ULCERS ARE NO BETTER.  HAD BEEN TREATED WITH MONOSTAT VAGINAL CREAM.  NO IMPROVEMENT.  GIVEN RX FOR VALTREX,1GM PO BID X10 DAYS, Z PACK, AND LORTAB FOR PAIN.  CULTURES INCLUDING VIRAL CULTURES WERE OBTAINED AND SENT TO THE LAB.
Age: 1.4
Sex: M
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Child developed chickenpox 1-20-2003
Age: 49.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Arthralgia, Oedema
Clinical narrative: Onset of joint pain 4/13/03 until present. Intense pain, edema especially of knees. Celebrex, Ibuprofen
Age: 49.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Arthralgia
Clinical narrative: Onset of joint pain 4/13/03 until present. Intense pain, edema especially of knees. Celebrex, Ibuprofen
Age: 0.01
Sex: M
Vaccine: HEP
Symptoms: Drug toxicity
Clinical narrative: This report describes the occurrence of mercury poisoning in a 4 year old male who was vaccinated with hep B vaccine recombinant (Engerix B) for prophylaxis. This report was received as part of litigation proceedings and has been verified by a physician or other healthcare professional. The subject's medical history, concurrent conditions, concurrent medications, and concomitant vaccines were not reported. The subject reportedly received injections of Engerix B on 11/19/96 and 12/17/96.The subject's attorney stated that the subject "was diagnosed with mercury poisoning in May 2001." The subject's attorney alleged that, as a result of receiving Engerix B, the subject "was caused to suffer severe and disabling injuries due to mercury poisoning."
Age: 1.7
Sex: M
Vaccine: DTAP
Symptoms: Autism
Clinical narrative: A nurse reported the occurrence of autism in a 25 month old male who was vaccinated with Infanrix and hep B vaccine (Engerix B) for prophylaxis. The subject had no relevant medical history. Concurrent conditions and medications were not reported. The subject received injections of Infanrix on 6/19/01 (995A2), 8/22/01 (983A2), and 7/23/02 (528F9). He also received an injection of tetanus and diphtheria toxoids and acellular pertussis vaccine (Tripedia) on an unspecified date, for the third dose in the immunization series. The subject received his first two injections of Engerix B on unspecified dates. He received his third injection of Engerix B on 2/4/02 (5214A2). Subsequently, on an unspecified date, the physician made a diagnosis of autism. The reporting nurse was "concerned about the preservatives in Infanrix and Engerix B potentially causing this." The autism persisted as of 5/13/03. The autism in this report is considered medically serious (OMIC). The most recent info was received on 7/22/03. The autism had "improved" as of 7/15/03. The reporter considered the autism to involve severe or permanent disability. The reporter considered the autism to be unrelated to immunization.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Urticaria
Clinical narrative: Give MMR-Polio-DTaP, pt and mother went to lab dept for appt child developed hives rash while down there. Given Epipen Jr-Benadryl and 0.2ml Epinephrine SQ. Admitted pt to hosp.
Age: 58.0
Sex: F
Vaccine: LYME
Symptoms: Arthralgia, Arthritis, Back pain, Injection site erythema, Injection site pain
Clinical narrative: Red, warm, painful area at injection site. Duration four days. Resolved self. 2nd injection 7/10/00 lot #128A2. Rtn to Dr. 7/26/00 with constant back pain and swelling and pain in hands/knuckle, shoulders. X-rays-referred to rheumatologist. 3rd injection 6/8/01 lot #128A2-joint conditions worsening. 12-2000 diagnosed with rheumatoid arthritis. A 60-day follow up report received 8/4/2003 adds: Rheumatoid arthritis-joint swelling, redness, pain specifically in hands, wrists, feet, knees, elbows, neck and shoulders, hips. Presently working with rheumatologist to try to find a medication, or combination of medicines, to control the above symptoms. Presently on Humira, Methotrexate and Prednisone. The medical record states confirmation of diagnosis of arthritis and elevated rheumatoid factor.
Age: 58.0
Sex: F
Vaccine: LYME
Symptoms: Injection site warmth, Oedema peripheral, Rheumatoid arthritis
Clinical narrative: Red, warm, painful area at injection site. Duration four days. Resolved self. 2nd injection 7/10/00 lot #128A2. Rtn to Dr. 7/26/00 with constant back pain and swelling and pain in hands/knuckle, shoulders. X-rays-referred to rheumatologist. 3rd injection 6/8/01 lot #128A2-joint conditions worsening. 12-2000 diagnosed with rheumatoid arthritis. A 60-day follow up report received 8/4/2003 adds: Rheumatoid arthritis-joint swelling, redness, pain specifically in hands, wrists, feet, knees, elbows, neck and shoulders, hips. Presently working with rheumatologist to try to find a medication, or combination of medicines, to control the above symptoms. Presently on Humira, Methotrexate and Prednisone. The medical record states confirmation of diagnosis of arthritis and elevated rheumatoid factor.
Age: 53.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Large amount redness and soreness; warm to touch upper arm, swollen. Patient stated last time she had a Td she had a red area on arm. Diagnosis: Cellulitis.  Allergic reaction to Td.
Age: 0.5
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Coma, Febrile convulsion, Viral infection
Clinical narrative: Pt was seen at hospital for a febrile seizure. She was unresponsive for a few minutes. Pt was admitted for observation and discharged within 36 hours.
Age: 28.0
Sex: F
Vaccine: ANTH
Symptoms: Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Fever, fatigue, aches, headaches x 72 hrs.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Pruritus
Clinical narrative: Received vaccine on 2/1/03. Noticed swelling on the night of the 2nd, I am experiencing aching pains, itching, swelling that is moving down my arm, tightness.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Guillain-Barre syndrome, Laboratory test abnormal, Muscular weakness
Clinical narrative: Pt is a 25 year old male who was transferred on 4/18/03 from medical center with a diagnosis of Guillain-Barre Syndrome. The A/I service was consulted due to recent Anthrax and Smallpox vaccinations. The pt developed symptoms of leg weakness during a run on Monday 4/14/03. On 4/15/03 pt had bilateral feet and hand weakness, he presented for his scheduled smallpox vaccination. He states he made the screening physician aware of his symptoms and they were attributed to "exhaustion" from running on the previous day. He received his smallpox vaccine in his left deltoid. On 4/16 he awoke with worsened weakness in hands and legs and was then taken to the ER and labs were done, there doctor made the diagnosis of GBS. The pt received two doses of IVIG while there. He was given 400mg/kg each dose of Venoglobulin S lot GL02015. No complications or side effects with the infusions. He was transferred and admitted on 4/18/03 for further evaluation and treatment. He completed a full five day course of IVIG receiving a total of 2gm/kg over 5 days with no worsening of his symptoms. He was discharged on 5/28/03 with a return appt on 6/3/03. Assessment: GBS temporally associated with anthrax vaccine #2; one day before smallpox vaccine.
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Abdominal pain, Blood pressure increased, Chest pain, Constipation, Cough
Clinical narrative: Pt is a 20 year old. He states that he was in good health until receiving his 2nd anthrax injection on 3/4/03. Since then he as been troubled with multiple complaints to include headache, nausea and vomiting, abdominal pain, paresthesia of his lower extremities and testicular pain. A description of these symptoms is as follows: left arm-erythema and swelling with "quarter-size nodule" again lasted 2-3 days. Reported "cold symptoms" dry cough and chest congestion 4 days after injection. Seen and Rx with zithromax and cough syrup. On 3/12 he developed a red, itchy rash across his chest that spread to include his upper body after showering. He was seen at the clinic Dx as atopic dermatitis, and given Benadryl that afforded little relief. he was seen in he ER later that evening, given a steroid shot and a Medrol dose-pak. On 3/14 he had "sharp shooting chest pains," SOB, elevated BP, abdominal pains, nausea, vomiting, constipation and myalgias. His EKG, X-ray ahd labs were essentially normal. He was diagnosed with viral gastritis, RX with IV fluids, phenergan, Lortab and Aciphex. He continued to vomit and was seen again in the ER March 15 where he was Dx with dehydration, again given phenergan, IV fluids and colase. On March 17 he began having bilateral leg pains (described as 10 on the pain scale) with "tingling" from thighs down to his feet "my toes turned purple." He was seen in ER where Doppler studies were negative, given pain meds, and ZoFram for nausea (the abdominal and leg pains remained at 8). On March 23rd he experienced excruciating abdominal pains radiating down into his testicles that necessitated in ambulance trip to the ER. There testicular US, labs, U/A and physical exam were essentially WNL. He was given MS injection and sent home with Darvocet. His abdominal, testicular and myalgias persist at an 8 on the pain scale.
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Dyspnoea, Erythema, Gastritis, Headache, Myalgia
Clinical narrative: Pt is a 20 year old. He states that he was in good health until receiving his 2nd anthrax injection on 3/4/03. Since then he as been troubled with multiple complaints to include headache, nausea and vomiting, abdominal pain, paresthesia of his lower extremities and testicular pain. A description of these symptoms is as follows: left arm-erythema and swelling with "quarter-size nodule" again lasted 2-3 days. Reported "cold symptoms" dry cough and chest congestion 4 days after injection. Seen and Rx with zithromax and cough syrup. On 3/12 he developed a red, itchy rash across his chest that spread to include his upper body after showering. He was seen at the clinic Dx as atopic dermatitis, and given Benadryl that afforded little relief. he was seen in he ER later that evening, given a steroid shot and a Medrol dose-pak. On 3/14 he had "sharp shooting chest pains," SOB, elevated BP, abdominal pains, nausea, vomiting, constipation and myalgias. His EKG, X-ray ahd labs were essentially normal. He was diagnosed with viral gastritis, RX with IV fluids, phenergan, Lortab and Aciphex. He continued to vomit and was seen again in the ER March 15 where he was Dx with dehydration, again given phenergan, IV fluids and colase. On March 17 he began having bilateral leg pains (described as 10 on the pain scale) with "tingling" from thighs down to his feet "my toes turned purple." He was seen in ER where Doppler studies were negative, given pain meds, and ZoFram for nausea (the abdominal and leg pains remained at 8). On March 23rd he experienced excruciating abdominal pains radiating down into his testicles that necessitated in ambulance trip to the ER. There testicular US, labs, U/A and physical exam were essentially WNL. He was given MS injection and sent home with Darvocet. His abdominal, testicular and myalgias persist at an 8 on the pain scale.
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Nasal congestion, Nausea, Oedema, Pain, Paraesthesia
Clinical narrative: Pt is a 20 year old. He states that he was in good health until receiving his 2nd anthrax injection on 3/4/03. Since then he as been troubled with multiple complaints to include headache, nausea and vomiting, abdominal pain, paresthesia of his lower extremities and testicular pain. A description of these symptoms is as follows: left arm-erythema and swelling with "quarter-size nodule" again lasted 2-3 days. Reported "cold symptoms" dry cough and chest congestion 4 days after injection. Seen and Rx with zithromax and cough syrup. On 3/12 he developed a red, itchy rash across his chest that spread to include his upper body after showering. He was seen at the clinic Dx as atopic dermatitis, and given Benadryl that afforded little relief. he was seen in he ER later that evening, given a steroid shot and a Medrol dose-pak. On 3/14 he had "sharp shooting chest pains," SOB, elevated BP, abdominal pains, nausea, vomiting, constipation and myalgias. His EKG, X-ray ahd labs were essentially normal. He was diagnosed with viral gastritis, RX with IV fluids, phenergan, Lortab and Aciphex. He continued to vomit and was seen again in the ER March 15 where he was Dx with dehydration, again given phenergan, IV fluids and colase. On March 17 he began having bilateral leg pains (described as 10 on the pain scale) with "tingling" from thighs down to his feet "my toes turned purple." He was seen in ER where Doppler studies were negative, given pain meds, and ZoFram for nausea (the abdominal and leg pains remained at 8). On March 23rd he experienced excruciating abdominal pains radiating down into his testicles that necessitated in ambulance trip to the ER. There testicular US, labs, U/A and physical exam were essentially WNL. He was given MS injection and sent home with Darvocet. His abdominal, testicular and myalgias persist at an 8 on the pain scale.
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Pharyngitis, Pruritus, Rash, Rhinitis, Vomiting
Clinical narrative: Pt is a 20 year old. He states that he was in good health until receiving his 2nd anthrax injection on 3/4/03. Since then he as been troubled with multiple complaints to include headache, nausea and vomiting, abdominal pain, paresthesia of his lower extremities and testicular pain. A description of these symptoms is as follows: left arm-erythema and swelling with "quarter-size nodule" again lasted 2-3 days. Reported "cold symptoms" dry cough and chest congestion 4 days after injection. Seen and Rx with zithromax and cough syrup. On 3/12 he developed a red, itchy rash across his chest that spread to include his upper body after showering. He was seen at the clinic Dx as atopic dermatitis, and given Benadryl that afforded little relief. he was seen in he ER later that evening, given a steroid shot and a Medrol dose-pak. On 3/14 he had "sharp shooting chest pains," SOB, elevated BP, abdominal pains, nausea, vomiting, constipation and myalgias. His EKG, X-ray ahd labs were essentially normal. He was diagnosed with viral gastritis, RX with IV fluids, phenergan, Lortab and Aciphex. He continued to vomit and was seen again in the ER March 15 where he was Dx with dehydration, again given phenergan, IV fluids and colase. On March 17 he began having bilateral leg pains (described as 10 on the pain scale) with "tingling" from thighs down to his feet "my toes turned purple." He was seen in ER where Doppler studies were negative, given pain meds, and ZoFram for nausea (the abdominal and leg pains remained at 8). On March 23rd he experienced excruciating abdominal pains radiating down into his testicles that necessitated in ambulance trip to the ER. There testicular US, labs, U/A and physical exam were essentially WNL. He was given MS injection and sent home with Darvocet. His abdominal, testicular and myalgias persist at an 8 on the pain scale.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Headache, Laboratory test abnormal
Clinical narrative: Pt is a 24 y/o. He has been in good health throughout his life until February 2000 when after receiving his 2nd anthrax vaccination he began having severe recurrent headaches. Since that time he has persistent and worsening headache after subsequent doses of the anthrax vaccine. He received his first shot ; the 2nd and 3rd. His symptoms immediately following his anthrax injections are listed below. Anthrax #4 headache occurred three days after injection, increased in intensity. Rx with compazine and Percocet, helped for short period, but headaches returned. Reports he is having a difficult time at work due to either to his headaches or the effect of the medication he is taking. His work schedule (on 2 days, off two days and on three days)-also makes it hard for him to recover from his recurrent headaches. He is currently taking Motrin for mild headache and lying down in a darken room for mild headaches; for the more severe ones he has taken Percocet-up to 3/day. Has been treated in ER 6 times during last month where he has received Dilaudid and phenergan IV. Seeing neurologist MD who wants him to begin a trial medical regime on Maxalt 10mg at onset of headache; repeat in 2 hrs prn limit 3 tablets/24 hrs or 8/week. If no relief Zomig 5mg, repeat in 2 hrs prn limit 2 tabs/24 hrs or 8 tabs/week. If no relief Axert 12/5mg at onset, repeat in 2 hrs prn limit 2/24 hrs or 8 tabs/ week. His symptoms have hindered his ability to exercise. Previously he would exercise 4 times a week running at 2 miles and doing some weight-lifting. He is currently unable to run. He has a profile that does not allow him to "arm up" or to drive when on pain medication.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Oedema
Clinical narrative: Oval-red swelling. Cool compresses-Benadryl cream.