chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV, MMR
Symptoms: Autism, Oral intake reduced, Pyrexia, Somnolence
Clinical narrative: A physician described the occurrence of autism in a 5 year old female who was vaccinated with diphtheria and tetanus toxoids and acellular pertussis vaccine absorbed for prophylaxis. This report was received from manufacturer. The subject's medical history, concurrent conditions, and concurrent medications were not reported. On 7/7/98, the subject received an injection of Infanrix. In 12/98, the subject received an injection of Infanrix. In 12/02, the subject developed somnolence, fever, a feeding problem, and autism. Treatment and outcomes of the events were not reported. The autism in this report is considered medically serious. The follow up received on 4/1/03 states medical history included allergies to aspirin and pcn. The subject experienced no adverse events following previous immunizations. Concurrent medications were not reported. On 7/7/98, the subject received an injection of Infanrix. On the same date, the subject received injections of MMRII and haemohilus influenzae type B. In December 2002, the subject developed somnolence, fever, a "feeding problem," and autism. Treatment of the events was not reported. The reporting physician considered the autism to be not related to Infanrix administration. The reporting physiican considered the somnolence, feeding problem, and fever to be possibly related to Infanrix administration. As of 4/1/03, the outcomes of the events were unknown. The reporting physician considered the events to be nonserious; however, the autism in this report is considered medically serious (OMIC).
Age: 44.0
Sex: F
Vaccine: HEPAB
Symptoms: Anaphylactic reaction
Clinical narrative: Within 1/2 hour of receiving Twinrix, patient presented to doctor's office in anaphylaxis. Given epi 1:1000 times 2, 15 minutes apart. Also Benadryl 50mg PO. Did not respond. To Er where treatment with IV Benadryl and steroids. Discharged and readmitted 2 hours later; started in IV steriods and H, H2 blockers. Observed overnight. Discharge is today 3/14/03.
Age: 0.08
Sex: F
Vaccine: HEP
Symptoms: Pyrexia, Urticaria
Clinical narrative: As per mother child developed hives on leg and arm only. Develop fever of 102.
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Blood pressure increased, Heart rate increased, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Redness and induration 70mm X 75mm and 35cm circumference with itching and pain "1-2/10" achy. DX: Moderate Anthrax reaction. Tx: Medrol Dos-Pak, Prednisone 40mg, Atarax 10mg tid
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Pruritus, Respiratory rate decreased
Clinical narrative: Redness and induration 70mm X 75mm and 35cm circumference with itching and pain "1-2/10" achy. DX: Moderate Anthrax reaction. Tx: Medrol Dos-Pak, Prednisone 40mg, Atarax 10mg tid
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Heart rate increased, Intention tremor, Myalgia, Paraesthesia, Pharyngolaryngeal pain
Clinical narrative: ED visit: Sore throat and temperature of 105F at home and 39.7C. Feeling "jittery", dazed, occipital paresthesias, intention tremor (which exam confirmed) and myalgias. Discontinue Sudafed. DX: Exudative pharyngitis and given Ceftin, Tylenol, Motrin.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Pyrexia
Clinical narrative: ED visit: Sore throat and temperature of 105F at home and 39.7C. Feeling "jittery", dazed, occipital paresthesias, intention tremor (which exam confirmed) and myalgias. Discontinue Sudafed. DX: Exudative pharyngitis and given Ceftin, Tylenol, Motrin.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Joint range of motion decreased
Clinical narrative: Large (about 1") area with nodule on right arm/deltoid which is red and painful to touch and in raising arm. A small module (about 1/2" d) at 2 weeks after injection at the same site. No pain.
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: Member reports swelling of vaccine site within 4 hours of receiving vaccine with increased redness and warmth in 24 hours. Site warm and red today with noticeable swelling. Pt complained of the site itching.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: 21cm red, swollen from above elbow to upper forearm on the right arm. Motrin 800mg and Zyrtec 10mg prescribed. Also recommended to premedicate before next vaccine.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Dyspnoea, Headache, Nausea
Clinical narrative: Shortness of breath, HA, nausea.
Age: 18.0
Sex: M
Vaccine: ANTH, HEP, HEPA, TYP
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Pt noted redness for 5 days post vaccination a subcutaneous nodule appeared on day 7 post anthrax vaccine injection (SQ) #1 R arm.
Age: 54.0
Sex: F
Vaccine: SMALL
Symptoms: Blister, Erythema, Hypoaesthesia, Lymph node pain, Pain
Clinical narrative: 3/13/03 pain in R inguinal lymph nodes and down R thigh pain five on a scale of 1-10. 3/18-3/19 numbness noted (3/23) red area noted with blister like area noted in middle (3/22) several more areas broke out (3/23) last area broke out without hurting and burning and no itching. 3/20/03 post vaccination Vioxx, Aleva, Amoxicillin ? sinus 3/6/03.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Agitation, Irritability, Pyrexia, Screaming
Clinical narrative: Three hours of prolonged, irritable non-consolable crying, temp 102.8.
Age: 62.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Rash
Clinical narrative: This pt came to office for flu and pneumonia shot. Within 24 hrs pt had red blotches all over with itching he assumed it was from flu/Pneumo shot. Rash continue to get worse seen primary care doctor on 12/8/02 has had numerous office visit with primary care MD. Today's date 3/11/03-pt continues to have a rash but is seeing dermatologist agreed on a strict diet. Pt ahs not been able to work for three months due to rash.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Unevaluable event
Clinical narrative: Client was seen at pediatric center 3/18/03. We did not see pt and are unable to describe adverse events.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site hypersensitivity, Injection site pain, Injection site warmth, Pruritus, Rash erythematous
Clinical narrative: Pt had DTaP #5 on 3/21/03 developed rash-erythematous mildly tender itchy and warm to touch on left upper thigh at the site of injection, size 3 x 2.5 inches.
Age: 23.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Headache, Rash erythematous, Rash papular, Vomiting
Clinical narrative: Few hours after the administration pt developed dizziness headache and vomiting. ? day after she developed papulaoerythematous rash on face and upper chest. Pt given Benadryl and medrol dose pak.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Hypokinesia, Injection site pain, Pain
Clinical narrative: Pain in Rt arm on at injection site continues can still see puncture at site pain from shoulder to elbow unable to lift or carry or sweep no fever chills or redness site jerks red when heat applied. Pt has seen PMD x 3.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Injection site urticaria, Injection site warmth
Clinical narrative: R leg red, swollen, hot hive the size measuring 85mm in diameter. No systemic reaction only localized. Treated with 50mg of Benadryl po q 6 hrsx.
Age: 4.5
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site induration, Skin irritation
Clinical narrative: Irritation of L upper arm with induration since morning. Dr's appt 3/15/03-ice/Motrin prn.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Swelling L shoulder erythema sl. pain.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Syncope
Clinical narrative: Resident received vaccine around 10am. She called after 2pm that afternoon reporting she had fainted and her arm was sore and red. She was told to call her primary care. Her primary care was off but the RN told her to ice her arm and rest. She reports no fainting today and her arm feels better. I instructed her to call primary care if she fainted again or developed any other symptoms.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Agitation, Crying
Clinical narrative: Pt seen at approximately 10am for well check and had normal exam. Shots given-DTaP/IPV/Hib and Hep B and Prevnar #1. About one hour later at home began to cry continuously an din "unusual" way. Pt on Prilosec and Bavison for moderate GE reflux too. Fine by am 3/19/03.
Age: 0.3
Sex: M
Vaccine: HBHEPB, IPV, PNC
Symptoms: Agitation, Injection site erythema, Irritability, Screaming
Clinical narrative: Unusual amount of crying about one hour after immunizations, crying and unconsolability lasted for several hours. Repeat exam about five hours after immunizations showed by a fussy but consolable infant with minor redness at injection site.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Red, swollen warm R upper arm. Tense, not tender. Circ. 22 1/2cm (18cm on L).
Age: 1.25
Sex: U
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Chicken pox.
Age: 4.9
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Red, swollen R arm, hot to touch started 3/19/03pm.
Age: 4.9
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site reaction, Injection site warmth
Clinical narrative: Vaccines were given on 3/10/03. Pt presented to clinic on 3/12/03 with Ld red, warm to touch with induration. Rx'd Keflex 250mg po qid z 7d. Dx cellulitis. Pt to return to clinic week of March 17-21.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Feeling hot, Hyperhidrosis, Lethargy, Pallor, Somnolence
Clinical narrative: Pt felt hot within 5 minutes after the injection.  Then became diaphoretic, pale,  became lethargic and sleepy for 1 hour.
Age: 4.0
Sex: F
Vaccine: IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Injection site pain, Injection site vesicles
Clinical narrative: 1 X 1  ? /vesicular area surrounded by firm warm now tender Pruritic red area 20 X 20 cm
Age: 4.0
Sex: F
Vaccine: IPV, MMR
Symptoms: Pruritus
Clinical narrative: 1 X 1  ? /vesicular area surrounded by firm warm now tender Pruritic red area 20 X 20 cm
Age: 1.25
Sex: M
Vaccine: DTAP, MMR, PNC
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Left thigh are with redness and swelling to injection site since 3/18/2003 date of vaccination.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: Mom in clinic with son. States he noticed arm was red and told mom. Area is warm to touch, erythema approx 2 1/2 cm. Last night had Atrovent for allergies taken by mouth.
Age: 28.0
Sex: M
Vaccine: MEN
Symptoms: Pain
Clinical narrative: Constant sharp jolting pain X 4 days in back of left arm after Meningococcal with no radiation.  Denies fever, chills, rash or radiation of pain in arm. No bruising.
Age: 8.0
Sex: F
Vaccine: MMR
Symptoms: Infection, Oedema, Pyrexia, Rash papular, Tonsillitis
Clinical narrative: Twenty four hours s/p immunizations, pt developed fever and erythematous pinpoint papule eruption descending from face to proximal portion of lower extremities. She also developed tonsillar erythema and edema. Her rapid strept test was positive. She was treated with Amoxicillin with resolution of fever after 24 hours. Patient has not been seen after her initial follow up.  Scarlet Fever versus Acute reaction to immunization.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cyst, Injection site induration, Injection site mass, Skin ulcer
Clinical narrative: Developed a cystic type lesion, palpable, moveable, hard, subcutaneous about 2 cm X 1.5 cm on left arm according to Mother. Had induration the first few days after the injection and tenderness but developed a mass one month or two later. No general reaction or other problems. The adverse event (permanent induration or vesicle cyst) appeared gradually over a period of time and became eveident apprx. 1 or 2 after the shot. NOTE: To the best of mt knowledge the concerns of the mother are what to do with the cyst that is palpable and vesible and the cost of recovering it also if the vaccination provided are protection to the child. To the first concern, I believe it can be surgically removed by surgeon (we don't do surgery). I believe it should not be a certificated or difficult procedure, but pt is uninsecured. To the concern, it was the second MMR if are doubt can be repeated (the shot) or do lab levels (impractica). I provided above information with the only purpose of give as much information as possible, to contribute to the understanding of the event.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Arm swelled, became red, hard and hot to touch without fever. Pt went to Doctor on 3/14/2003 and received antibiotic for inflammation. Cefaclor 375 mg
Age: 12.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Developed fine red rash and itching about 20 minutes after receiving Hep B #2. Seen by MD and treated with Allegra 3 days later per mom.
Age: 20.0
Sex: F
Vaccine: FLU3, HEP, HEPA, TD
Symptoms: Hyperhidrosis, Hypotension, Pallor
Clinical narrative: Client at ACHD for immunizations for foreign travel.  History of fainting. Lay down for injections for 20 minutes past vaccine then sat in chair for 10 minutes. Became pale and  diaphoretic. Reclined 30 min then ambulatory with BP 104/64 pulse 68 versus 82/54 pulse 64. Discharged to home accompanied by mother.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Mom states child broke out with generalized chickenpox last night.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Febrile seizure (generalized) lasted 5 minutes without intervention. Temperature 103F in ER.
Age: 2.4
Sex: M
Vaccine: DT, HBHEPB, IPV, MMR
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: 4" X 3" cellulitis vs local reaction on left upper thigh. Cephalexin ordered.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Approx. 15:38, mother notified nurse that gave vaccines that left (outer) upper thigh of baby was red and indurated after receiving MMR and Varicella vaccines. MD was notified at 15:40.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Swelling, redness and induration (8cm X 8cm) on left upper arm at DPT injection site. Occurred 24 hours after shot.
Age: 12.0
Sex: M
Vaccine: DTAP, MMR, OPV
Symptoms: Rash vesicular
Clinical narrative: Onset 3/17/03 with several raised and itchy vesicles, moderate. On 3/18/03, on scalp, back and face.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Mouth ulceration, Pyrexia, Rash, Swelling face
Clinical narrative: Fever to 102F, swollen lips, rash starting on face and spread to arms and legs, ulcers on throat.
Age: 36.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt developed "large red area at site of injection within 12 hours". Area warm to touch and increased in size over 24 hours. Private MD treated with Augmentin and Rocephin IM. Treatment in progress.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Drug ineffective, Eye irritation, Infection, Viral infection
Clinical narrative: On 2/22/03, breakout with chickenpox. All pox crusted by 2/28/03. At worst peak, counted over 240 pox all over body, including her scalp, ears, rectal area, under the tongue and in the mouth and under eyelids. Eye became very red and required ophthalmologist visit and viral treatment. Other treatment for chickenpox included Tylenol, Benadryl, oatmeal baths and calamine lotion. There is no lot number on the vaccine record for this vaccine or any of the others she received from this office.
Age: 2.8
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Fever and significant swelling, redness and pain at injection site. 2" swelling 1/2 day after and over 8" swelling on the 2nd day. Fever 102F.
Age: 1.3
Sex: M
Vaccine: HBHEPB, VARCEL
Symptoms: Injection site erythema, Pyrexia, Rash erythematous, Rhinorrhoea
Clinical narrative: March 14, 2003, mother noted redness at injection site, followed by a raised welt, then developed a "head", opened and drained whitish, yellow drainage, after a bath on 3/18/03. Has run a fever of 99F for a couple of days, accompanied by runny nose. One red spot noted on back, mother says not like chickenpox. No other symptoms.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Rash
Clinical narrative: Diffuse rash and treatment required.
Age: 5.4
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pruritus, Pyrexia
Clinical narrative: Right arm red, itchy, swollen and warm to touch less than 24 hours, post vax. On 3/1/03, seen at Urgent Care and dx'd with severe local reaction to immunizations with increased redness and had a fever of 101F. On 3/2/03, started on Biaxin 250 BID.
Age: 53.0
Sex: F
Vaccine: TD
Symptoms: Hypoaesthesia oral, Injury, Paraesthesia
Clinical narrative: Pt had a cat bite and since it had been 30 plus years since her last tetanus vaccination, the pt opted to have the vaccine given. Approx 4 hours, post vax, she had numbness and tingling on the left side of her hand, palate, front of mouth extending into gum and 1 tooth. Resolved in 6 weeks. Partial numbness of upper lip remains. Pt did not seek medical evaluation. No local reaction at vaccination site. She had a reaction 30 plus years ago with general malaise, fever and diarrhea. No local reaction.
Age: 2.4
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Pruritus
Clinical narrative: Raised, red right upper arm, itchy and shoulder to elbow moves area well. Unable to reach parent (phone unlisted), number above is wrong.
Age: 52.0
Sex: F
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: RASH ACROSS ABDOMEN, UNDER THE ARMS AND LOWER BACK.
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Malaise, Vaccination complication
Clinical narrative: satellite lesions and malaise.
Age: 20.0
Sex: F
Vaccine: ANTH, IPV, MMR, SMALL, TYP
Symptoms: Unevaluable event
Clinical narrative: Patient is 4+ weeks pregnant and recieved smallpox vaccination on 20 March 2003.
Age: 29.0
Sex: F
Vaccine: ANTH
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Onset of Pain in vaccination arm starting 19 March @ 6 days S/P innoculation.  COntinued pain and eventual reythema and swelling of affected arm, classic for cellulitis.  Patient placed on parenteral antibiotics times two days and continued on po ciprofloxicin with good resolution of symptoms.  No cutures done (no abcess)
Age: 64.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain, Skin ulcer
Clinical narrative: day 18 post vaccine: patient describes pain in chest. day 22 post vaccine: patient has lesions in right breast area.  Given neurotin and valtrex. day 27 post vaccine: lesions drying.  Culture sent off for viral and DFA.  condition has resolved.  Lab cultures not back yet.  Digital photos were taken and sent to CIL.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Hypoaesthesia, Pruritus, Swelling
Clinical narrative: Swelling, redness to elbow; numbness in fingers, some itching, swelling under armpit
Age: 37.0
Sex: F
Vaccine: SMALL
Symptoms: Chest discomfort, Chills, Cow pox, Erythema, Headache
Clinical narrative: Day 2 post-vac: AM- Chills, headache, N/V, vertigo Day 2, PM: red spots on face, neck, stomach, leg, with low grade fever Day 3: mild headache, chest "tightness" Day 4: no complaint of discomfort  Patient was diagnosed with lab confirmed generalized vaccinia after vaccination with vaccinia in March, 2004. Pt now reports that she has had recurrent lesions over the last year since vaccination. They are usually few in number, may or may not be accompanied by systemic symptoms. Not certain if they become vessicula. Pt developed lesions on April 10. Were described as prurutic macules on forehead, both arms, left hand, foot, neck. The medical director for Schoharie County, Dr saw her on 4/13 and felt that the lesions were not able to be sampled. Blood was drawn on 4/16 and sent to Wadsworth lab on 4/19. It tested negative for vaccinia virus. Pt reports some aches and chillls. CDC hotline was called. It was suggested that the pt be seen by an immunologist or ID specialist in order to have an immune work-up. The patient is considering this action.
Age: 37.0
Sex: F
Vaccine: SMALL
Symptoms: Nausea, Polymerase chain reaction, Pyrexia, Vaccinia virus infection, Vertigo
Clinical narrative: Day 2 post-vac: AM- Chills, headache, N/V, vertigo Day 2, PM: red spots on face, neck, stomach, leg, with low grade fever Day 3: mild headache, chest "tightness" Day 4: no complaint of discomfort  Patient was diagnosed with lab confirmed generalized vaccinia after vaccination with vaccinia in March, 2004. Pt now reports that she has had recurrent lesions over the last year since vaccination. They are usually few in number, may or may not be accompanied by systemic symptoms. Not certain if they become vessicula. Pt developed lesions on April 10. Were described as prurutic macules on forehead, both arms, left hand, foot, neck. The medical director for Schoharie County, Dr saw her on 4/13 and felt that the lesions were not able to be sampled. Blood was drawn on 4/16 and sent to Wadsworth lab on 4/19. It tested negative for vaccinia virus. Pt reports some aches and chillls. CDC hotline was called. It was suggested that the pt be seen by an immunologist or ID specialist in order to have an immune work-up. The patient is considering this action.
Age: 37.0
Sex: F
Vaccine: SMALL
Symptoms: Vomiting
Clinical narrative: Day 2 post-vac: AM- Chills, headache, N/V, vertigo Day 2, PM: red spots on face, neck, stomach, leg, with low grade fever Day 3: mild headache, chest "tightness" Day 4: no complaint of discomfort  Patient was diagnosed with lab confirmed generalized vaccinia after vaccination with vaccinia in March, 2004. Pt now reports that she has had recurrent lesions over the last year since vaccination. They are usually few in number, may or may not be accompanied by systemic symptoms. Not certain if they become vessicula. Pt developed lesions on April 10. Were described as prurutic macules on forehead, both arms, left hand, foot, neck. The medical director for Schoharie County, Dr saw her on 4/13 and felt that the lesions were not able to be sampled. Blood was drawn on 4/16 and sent to Wadsworth lab on 4/19. It tested negative for vaccinia virus. Pt reports some aches and chillls. CDC hotline was called. It was suggested that the pt be seen by an immunologist or ID specialist in order to have an immune work-up. The patient is considering this action.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Cow pox, Insomnia, Pericarditis
Clinical narrative: Woke up Saturday afternoon and noticed 6 red dots on chest. Went to work that night and started to feel pain in chest at approx. 05:00. Relieved of duty at 06:00. Went home and couldn't sleep. Went to ER about 09:00 Sunday. Seen for chest pain 1-10 scale "7". Admitted to ward for generalized vaccinia with possible pericarditis vs costochondritis. Treated with 1 overnight stay at hospital. Motrin and Toradol given. Discharged with Motrin. Follow-up with cardiology for echo.
Age: 22.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Arthralgia, Chest pain, Electrocardiogram abnormal, Enzyme abnormality, Headache
Clinical narrative: Severe headaches, body aches and flu-like symptoms, 5 days after, on 2/19/03 AM. Woke up with a really bad sore throat at 06:00. Also had fever/chills and arthralgias. 24 hours in quarters with Motrin and Tylenol. Dx'd with viral syndrome. Later that night, started feeling chest pain radiating to neck. Went back to ER and was admitted on 2/19/03. Treated with GI Cocktail with no results. Treated with 3 nitroglycerin tablets and with IV Morphine. Discharged on 2/24/03. Convalescent leave for 7 days and take Motrin and Aspirin. Viral myocarditis can also be caused by enteroviruses and adenoviruses to name a few; however, if he has myocarditis, it is almost certainly related to Smallpox vaccination given the temporal relation. We also considered coronary vasospasm, especially given the cardiologist's subjective assessment of decreased myocardial perfusion on the catheterization which can be associated with coronary vasospasm. However, it is my understanding that vasospasm causing this degree of damage in the absence of concomitant CAD is a very, very rare occurrence. Furthermore, the pt never had any other symptoms consistent with angina and I would have expected nitroglycerin to give him prompt relief in the setting of vasospasm. Therefore, given the concomitant viral symptoms due to Smallpox vaccination and the normal catheterization results, I feel this pt most likely has acute viral myocarditis presumedly due to vaccinia. Yet, myocarditis is a clinical dx and there is no way to definitively test this hypothesis (except by myocardial biopsy). We will be re-evaluating this pt today and tomorrow in our ICU to get more info, however, I doubt my assessment will change.
Age: 22.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Influenza like illness, Myocarditis, Neck pain, Pain, Pharyngolaryngeal pain
Clinical narrative: Severe headaches, body aches and flu-like symptoms, 5 days after, on 2/19/03 AM. Woke up with a really bad sore throat at 06:00. Also had fever/chills and arthralgias. 24 hours in quarters with Motrin and Tylenol. Dx'd with viral syndrome. Later that night, started feeling chest pain radiating to neck. Went back to ER and was admitted on 2/19/03. Treated with GI Cocktail with no results. Treated with 3 nitroglycerin tablets and with IV Morphine. Discharged on 2/24/03. Convalescent leave for 7 days and take Motrin and Aspirin. Viral myocarditis can also be caused by enteroviruses and adenoviruses to name a few; however, if he has myocarditis, it is almost certainly related to Smallpox vaccination given the temporal relation. We also considered coronary vasospasm, especially given the cardiologist's subjective assessment of decreased myocardial perfusion on the catheterization which can be associated with coronary vasospasm. However, it is my understanding that vasospasm causing this degree of damage in the absence of concomitant CAD is a very, very rare occurrence. Furthermore, the pt never had any other symptoms consistent with angina and I would have expected nitroglycerin to give him prompt relief in the setting of vasospasm. Therefore, given the concomitant viral symptoms due to Smallpox vaccination and the normal catheterization results, I feel this pt most likely has acute viral myocarditis presumedly due to vaccinia. Yet, myocarditis is a clinical dx and there is no way to definitively test this hypothesis (except by myocardial biopsy). We will be re-evaluating this pt today and tomorrow in our ICU to get more info, however, I doubt my assessment will change.
Age: 22.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Pyrexia, Viral infection
Clinical narrative: Severe headaches, body aches and flu-like symptoms, 5 days after, on 2/19/03 AM. Woke up with a really bad sore throat at 06:00. Also had fever/chills and arthralgias. 24 hours in quarters with Motrin and Tylenol. Dx'd with viral syndrome. Later that night, started feeling chest pain radiating to neck. Went back to ER and was admitted on 2/19/03. Treated with GI Cocktail with no results. Treated with 3 nitroglycerin tablets and with IV Morphine. Discharged on 2/24/03. Convalescent leave for 7 days and take Motrin and Aspirin. Viral myocarditis can also be caused by enteroviruses and adenoviruses to name a few; however, if he has myocarditis, it is almost certainly related to Smallpox vaccination given the temporal relation. We also considered coronary vasospasm, especially given the cardiologist's subjective assessment of decreased myocardial perfusion on the catheterization which can be associated with coronary vasospasm. However, it is my understanding that vasospasm causing this degree of damage in the absence of concomitant CAD is a very, very rare occurrence. Furthermore, the pt never had any other symptoms consistent with angina and I would have expected nitroglycerin to give him prompt relief in the setting of vasospasm. Therefore, given the concomitant viral symptoms due to Smallpox vaccination and the normal catheterization results, I feel this pt most likely has acute viral myocarditis presumedly due to vaccinia. Yet, myocarditis is a clinical dx and there is no way to definitively test this hypothesis (except by myocardial biopsy). We will be re-evaluating this pt today and tomorrow in our ICU to get more info, however, I doubt my assessment will change.
Age: 22.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Chest pain, Headache, Myocarditis, Pyrexia
Clinical narrative: Severe headaches, body aches and flu-like symptoms, 5 days after, on 2/19/03 AM. Woke up with a really bad sore throat at 06:00. Also had fever/chills and arthralgias. 24 hours in quarters with Motrin and Tylenol. Dx'd with viral syndrome. Later that night, started feeling chest pain radiating to neck. Went back to ER and was admitted on 2/19/03. Treated with GI Cocktail with no results. Treated with 3 nitroglycerin tablets and with IV Morphine. Discharged on 2/24/03. Convalescent leave for 7 days and take Motrin and Aspirin. Viral myocarditis can also be caused by enteroviruses and adenoviruses to name a few; however, if he has myocarditis, it is almost certainly related to Smallpox vaccination given the temporal relation. We also considered coronary vasospasm, especially given the cardiologist's subjective assessment of decreased myocardial perfusion on the catheterization which can be associated with coronary vasospasm. However, it is my understanding that vasospasm causing this degree of damage in the absence of concomitant CAD is a very, very rare occurrence. Furthermore, the pt never had any other symptoms consistent with angina and I would have expected nitroglycerin to give him prompt relief in the setting of vasospasm. Therefore, given the concomitant viral symptoms due to Smallpox vaccination and the normal catheterization results, I feel this pt most likely has acute viral myocarditis presumedly due to vaccinia. Yet, myocarditis is a clinical dx and there is no way to definitively test this hypothesis (except by myocardial biopsy). We will be re-evaluating this pt today and tomorrow in our ICU to get more info, however, I doubt my assessment will change.
Age: 20.0
Sex: F
Vaccine: SMALL
Symptoms: Cow pox, Injection site erythema, Injection site pain, Injection site reaction, Pruritus
Clinical narrative: On 2/17/03, noticed raised, red blotches on/around site; itchy and burning, fever that night. OTC medication and slept. She worsened the next day, 2/18/02 and went to ER on 2/19/02, approx. 8 hours. She was treated with Motrin, Tylenol and deconamine. In 48 hours, saw results of healing. Generalized vaccinia.
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Cow pox, Dermatitis, Injection site mass, Malaise
Clinical narrative: Generalized vaccinia dx'd. On 2/25/03, soreness, swelling under arm and knot on anterior shoulder with traditional flu-like symptoms (congestion, malaise, fever, aches and muscles). Follow-up with army medic on the following day and they referred him to ER. He was treated with Dicloxcline and Entex and Afrin. F/u 48 hours for changes on 2/27/03. Follow-up with doctor if symptoms don't improve. Dx'd with generalized vaccinia cellulitis/lymph dermatitis. Addendum: Bumps across chest "sore, fire-ant bites" radiated from left arm to chest.
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Nasal congestion, Pain, Pyrexia, Swelling
Clinical narrative: Generalized vaccinia dx'd. On 2/25/03, soreness, swelling under arm and knot on anterior shoulder with traditional flu-like symptoms (congestion, malaise, fever, aches and muscles). Follow-up with army medic on the following day and they referred him to ER. He was treated with Dicloxcline and Entex and Afrin. F/u 48 hours for changes on 2/27/03. Follow-up with doctor if symptoms don't improve. Dx'd with generalized vaccinia cellulitis/lymph dermatitis. Addendum: Bumps across chest "sore, fire-ant bites" radiated from left arm to chest.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Pruritus
Clinical narrative: Pain and severe itching in left upper arm with redness that spread to elbows. Seen in ER on 2/17/03 and treated with IV fluids. Dx'd with cellulitis and treated with Dicloxacillin tabs 250mg. Severe swelling and redness.
Age: 22.0
Sex: F
Vaccine: SMALL
Symptoms: Pruritus, Urticaria
Clinical narrative: On 2/21/03, initially noticed red bumps on arms and legs with itching and no burning. Seen in Flight Med by MD and referred to ER. Seen in ER with back, legs, neck, face and arm with bumps. Treated with Zyrtec and told to follow-up on Thursday with internal med doctor and dx'd with urticaria.
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Erythema, Oedema peripheral, Pain, Skin discolouration
Clinical narrative: Received vaccine on 2/10/03 and woke up this afternoon with redness and hives on hands. Swelling on hands with difficulty in grabbing things. Blotchy hives are spreading throughout body. Testicular sac "feels like they're on fire". Site appears blue around the edges, with some bleeding. Site is approx. the size of a dime, with redness surrounding the site. Seen in ER on 2/19/03 and treated with 48 quarters and Motrin and Atarax. Dx'd with cellulitis.
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Testicular disorder, Urticaria
Clinical narrative: Received vaccine on 2/10/03 and woke up this afternoon with redness and hives on hands. Swelling on hands with difficulty in grabbing things. Blotchy hives are spreading throughout body. Testicular sac "feels like they're on fire". Site appears blue around the edges, with some bleeding. Site is approx. the size of a dime, with redness surrounding the site. Seen in ER on 2/19/03 and treated with 48 quarters and Motrin and Atarax. Dx'd with cellulitis.
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Injection site erythema, Injection site vesicles
Clinical narrative: Atypical Smallpox vaccine reaction with vesicle and cellulitis. Initial onset occurred (dime size), 10 days after vaccination with redness 3" in diameter.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Hypersensitivity, Pruritus, Rash
Clinical narrative: At noon on 2/25/03 had itchy moles that progressed to red dots on forearms and legs with itching. Seen at ER at 20:00 (approx.) and dx'd with mild clinical vaccinia. Treated with medications and to return to clinic as necessary.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Disturbance in attention, Dizziness, Injection site pain, Nausea
Clinical narrative: On 2/23/03, pt noticed red bumps over whole body (arms, legs, bottom of feet, back, etc). Pt went to ER where he had a slight temperature 99F. He stated he was dizzy, had nausea with no concentration and pain in left arm. Pt was given Motrin and Atarax, also placed on quarters for 24 hours and relocated from tents to a dorm. Pt was told to return to the ER the next day. Pt was experiencing symptoms, the same as the previous day. Pt was given IV's, pictures were taken of red bumps and the pt was told to remain at home (dorm room) on quarters. Pt returned to ER today for evaluation. Pt states he feels better today but still has pain in left arm. Pt told to return again to ER tomorrow. Pt is still on quarters at this time. Generalized vaccinia.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia
Clinical narrative: On 2/23/03, pt noticed red bumps over whole body (arms, legs, bottom of feet, back, etc). Pt went to ER where he had a slight temperature 99F. He stated he was dizzy, had nausea with no concentration and pain in left arm. Pt was given Motrin and Atarax, also placed on quarters for 24 hours and relocated from tents to a dorm. Pt was told to return to the ER the next day. Pt was experiencing symptoms, the same as the previous day. Pt was given IV's, pictures were taken of red bumps and the pt was told to remain at home (dorm room) on quarters. Pt returned to ER today for evaluation. Pt states he feels better today but still has pain in left arm. Pt told to return again to ER tomorrow. Pt is still on quarters at this time. Generalized vaccinia.
Age: 37.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus, Rash papular
Clinical narrative: On 2/18/03, 2 spots on elbow and right leg, thought they were bug bites; appeared larger and itchier 2 days later. On 2/22/03, another mark appeared on right calf. Seen in ER at 15:00, on 2/24/03. Treated with antibiotics (Dicloxacillin). Returned to ER on 2/26/03 for re-evaluation. No diagnoses at this time.
Age: 30.0
Sex: M
Vaccine: SMALL
Symptoms: Chills, Cow pox, Fatigue, Myalgia, Oedema
Clinical narrative: Rash on the back, chest and on top of head fever, chills, muscle aches, fatigue, swollen lymph nodes. Pt has been hospitalized for three days. Doctor plans to keep him for two more days. Doctor diagnosed as generalized vaccinia reaction. Recovering, not yet full recovery.
Age: 30.0
Sex: M
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: Rash on the back, chest and on top of head fever, chills, muscle aches, fatigue, swollen lymph nodes. Pt has been hospitalized for three days. Doctor plans to keep him for two more days. Doctor diagnosed as generalized vaccinia reaction. Recovering, not yet full recovery.
Age: 20.0
Sex: F
Vaccine: SMALL
Symptoms: Blister, Erythema, Pain, Pruritus, Skin exfoliation
Clinical narrative: On Wednesday, feet were itching, red with blisters and noticed that it was all over body and went to ER. Seen by Internal Medicine doctor and treated with Atarax and quarantined in quarters. Returned to ER every other day for observation. On 2nd return, released from quarantine. Maintained on convalescent leave 48 hours. Hands and feet peeling but no pain. No follow-up. Blister/skin burning and itching "blisters very tiny".
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Pruritus, Rash papular
Clinical narrative: Papular, pruritic erythema on hands and feet after receiving Smallpox vaccination.
Age: 21.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pruritus
Clinical narrative: 21 year old female with ACUT appt with reaction to Anthrax, left arm, states swollen on 3/13/03 with itching and redness. Significant erythema/pain in upper arm mostly down to lower arm. Also marked swelling. Seen in ER and given IM Benadryl; PO Motrin 800 to go and PO Keflex 250mg BID. Return for recheck tomorrow. Sick at quarters X 24 hours. Keep arm above level of heart and "continue" Keflex, just in case. Left arm 30.5cm X 27cm.
Age: 43.0
Sex: M
Vaccine: SMALL
Symptoms: Fatigue, Headache, Injection site erythema, Injection site vesicles, Lymphadenopathy
Clinical narrative: 43 year old male presents to clinic on 3/10/03 with c/o of tender supraclavicular lymphadenopathy. Has a headache and fatigue. Prior to Smallpox vaccination about 10 years ago, pt received recent Smallpox immunization on 3/7/03 in left arm with vesicle and surrounding erythema.
Age: 43.0
Sex: M
Vaccine: SMALL
Symptoms: Pain
Clinical narrative: 43 year old male presents to clinic on 3/10/03 with c/o of tender supraclavicular lymphadenopathy. Has a headache and fatigue. Prior to Smallpox vaccination about 10 years ago, pt received recent Smallpox immunization on 3/7/03 in left arm with vesicle and surrounding erythema.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Folliculitis, Infection transmission via personal contact, Vaccination complication
Clinical narrative: Possible inadvertent inoculation of Smallpox vaccination site. Pt has 2 small (2mm) pustules on right deltoid area that are c/w folliculitis, but pt states that direct contact to wife's vaccination site may have occurred. Pt requiring submission of Vaers form. Wife vaccinated on 2/27/03.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Pruritus, Rash pustular
Clinical narrative: Mild, itchy rash on face and trunk; some red macules and other tiny pustules c/w mild vaccinia. Recovered in 48 hours.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Pruritus, Rash pustular
Clinical narrative: Mild rash on face, trunk and thorax, itchy, some oval macular and some pustular. No fever. Feels well. Dx'd mild vaccinia received in 48 hours.
Age: 6.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Pruritus, Rash vesicular, Secondary transmission
Clinical narrative: Nanny of this pt given Smallpox vaccine on 2/22/03, without incident. This pt has severe erythema treated routinely by nanny. Now with outbreak of itchy/painful growing vesicles on erythematous base.
Age: 0.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema, Nasal congestion, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Patient developed "redness of the left eye" approximately 7 days after helping her boyfriend, a recent military smallpox vaccinee (he was 3-4 days post-vaccination at the time), change the bandage over his vaccination site.  She had been seen at the health clinic 2 days prior to onset of eye redness with c/o sore throat, nasal congestion, and transient fever (Tm 99).  Throat culture was sent and she was treated with penicillin and sudafed prn.  Three days later, on 3/21 she awoke in the morning with redness of the left eye.  She denied ocular pruritis, pain or changes in vision.  Her sore throat was still present (despite treatment with PCN) but she was otherwise asymptomatic.  She was seen at the health clinic who contacted the DOHMH because of the history of contact with a smallpox vaccinee.  She was referred to the Hospital for ophthalmologic consultation.  Thorough exam revealed only conjunctival injection on the left, but no periocular lesions, no evidence of keratitis, no changes in visual acuity.  After consultation with CDC, ocular specimens were sent for vaccinia PCR and for adenoviral culture.  No HSV testing done due to low clinical suspician.  She was treated with artificial tears and Naphcon A eye drops but NOT Viroptic.  Vaccinia PCR was subsequently negative (confirmatory testing at CDC pending).  Adenoviral testing is pending.  I spoke with an ophthalmologist on 3/24 who saw the patient that day and said she is "much improved."
Age: 35.0
Sex: F
Vaccine: SMALL
Symptoms: Decreased appetite, Fatigue, Headache, Pyrexia, Sleep disorder
Clinical narrative: Pt developed 101.5F fever on 3/19/03 about 00:30 hours. Took 650mg Tylenol. Tossed and turned while sleeping. Awoke at 05:30 and temperature was 100.6F and felt tired, weary and decreased appetite. Fever persisted between 100.5F and 100.9F yesterday, despite Motrin 400mg. Developed full constant headache over eyes about 08:00 on 3/20/03. Temperature was 99.8F. Pt looks nontoxic but looks as if she doesn't feel well. Right axillary.
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Face oedema
Clinical narrative: A week post admin of the vax PT's right eye (upper eyelid) became slightly swollen. He was treated with Benadryl. It resolved after 2.5 days.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: Rash that covered entire face. Went to a hospital. Just given medication for rash (Zyrtec 10 mg)
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Lymphadenopathy, Rash
Clinical narrative: 3/14/03 Rash on upper left chest occurred w/swollen lymph nodes - left armpit. 3/15/03 Rash spread to stomach, back & left arm.
Age: 50.0
Sex: F
Vaccine: SMALL
Symptoms: Headache, Laboratory test abnormal
Clinical narrative: Headache, developing on day of vaccination ("2/22/03")after being vaccinated; H/A continuous and escalated to 3/20, when described as 10 on a scale where 10 indicates worst pain ever experienced; hospitalized through Emergency Department of a local hospital on 3/21 for diagnostic studies and pain management.
Age: 56.0
Sex: F
Vaccine: SMALL
Symptoms: Discomfort, Erythema, Fatigue, Lymphadenitis, Myalgia
Clinical narrative: Noted sore eyes on Saturday 3/15/03 with muscle pain on 3/16/03 and fatigue on 3/17/03.  During the evening of 3/17 also noted pain in upper right arm with increasing discomfort into the next day.  Tuesday, 3/18/03 noted read rash outside the dressing with increased pain in arm.  Seen in Occupational Health on Wed. 3/19/03 and advised this was a "robust" take.  Seen later that day by second physician and advised it was lymphangitis and to treat with ice and NSAIDs.  On 3/20/03 rash spread down arm to within 1" of elbow, but pain localized at site of vaccine.  On 3/21/03, rash receded to just outside the dressing site and pain resolved.
Age: 56.0
Sex: F
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: Noted sore eyes on Saturday 3/15/03 with muscle pain on 3/16/03 and fatigue on 3/17/03.  During the evening of 3/17 also noted pain in upper right arm with increasing discomfort into the next day.  Tuesday, 3/18/03 noted read rash outside the dressing with increased pain in arm.  Seen in Occupational Health on Wed. 3/19/03 and advised this was a "robust" take.  Seen later that day by second physician and advised it was lymphangitis and to treat with ice and NSAIDs.  On 3/20/03 rash spread down arm to within 1" of elbow, but pain localized at site of vaccine.  On 3/21/03, rash receded to just outside the dressing site and pain resolved.
Age: 28.0
Sex: M
Vaccine: ANTH, SMALL, SMALL
Symptoms: Discomfort, Skin ulcer, Tenderness
Clinical narrative: Patient discovered lesions on his chest, also noted increased discomfort, tenderness in axillary area of extremity smallpox vaccine received in 10 days ago.
Age: 28.0
Sex: M
Vaccine: ANTH, SMALL, SMALL
Symptoms: Rash
Clinical narrative: Patient discovered lesions on his chest, also noted increased discomfort, tenderness in axillary area of extremity smallpox vaccine received in 10 days ago.
Age: 1.3
Sex: M
Vaccine: DTP, HIBV, MMR
Symptoms: Autism
Clinical narrative: AFTER MMR VACCINATION, SYMP. OF AUTISM DEVELOPED.
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV, MMR
Symptoms: Autism
Clinical narrative: MMR VACCINATION RESULTING IN AUTISM SYMPTOMS.
Age: 0.6
Sex: F
Vaccine: HEP, HIBV
Symptoms: Contusion, Laboratory test abnormal, Petechiae, Platelet count decreased, Pyrexia
Clinical narrative: Skin rash, bruises, petechia, decreased platelet counts. Later diagnosed with Idiopathic thrombocytopenia purpura. Received one platelet transfusion when platelet counts were down to 3,000. Have had 6 intravenous immunoglobulin infusions (IVIg). So far, when platelet counts are low, will receive the IVIg. Discharge summary states fever. msv
Age: 0.6
Sex: F
Vaccine: HEP, HIBV
Symptoms: Rash, Thrombocytopenic purpura
Clinical narrative: Skin rash, bruises, petechia, decreased platelet counts. Later diagnosed with Idiopathic thrombocytopenia purpura. Received one platelet transfusion when platelet counts were down to 3,000. Have had 6 intravenous immunoglobulin infusions (IVIg). So far, when platelet counts are low, will receive the IVIg. Discharge summary states fever. msv
Age: 13.0
Sex: M
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Pyrexia
Clinical narrative: Follow up reporting. Seen by MD and hotpacks ordered. Contacted staff at place of residence and was informed that symptoms releved with hot packs for three days.
Age: 13.0
Sex: M
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Unevaluable event
Clinical narrative: Follow up reporting. Seen by MD and hotpacks ordered. Contacted staff at place of residence and was informed that symptoms releved with hot packs for three days.