chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 31.0
Sex: F
Vaccine: TD
Symptoms: Injection site inflammation, Pain
Clinical narrative: Approx 1 wk after receiving TD booster, pt reports that arm is still sore. Deltoid/ injection site is inflammed. Recommended ibuprofen and report back if no improvement.
Age: 1.0
Sex: M
Vaccine: HEP, IPV, MMR, VARCEL
Symptoms: Dermatitis bullous, Drug ineffective
Clinical narrative: 6 yo WM had varicella vaccine at 1 yr of age yesterday presented with >100 vesicles or erythematous base consistent with chicken pox- vaccine failure.
Age: 8.0
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Pt received chicken pox (varicella ) vaccine on 03/12/1997, but has chicken pox on 2/10/2004. Treated with - Zovirax orall (200mg/ 5ul) 11am- QID X5 day/ Alanax
Age: 3.0
Sex: M
Vaccine: MMR
Symptoms: Pyrexia, Rash
Clinical narrative: Child had 102 fever 3/20/04 in pm (5:00) Mom treated with Tylenol, full body rash developed 3/22/04 AM. Mom treated with Benadryl. Mom states rash and fever have lessened since 3/22/04 when she called to report on 3/24/04.
Age: 44.0
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Injection site erythema, Injection site pain, Injection site swelling, Tenderness
Clinical narrative: Left upper arm redness, swelling, warmth + pain. C/O pain firm left upper arm to fingertips. Having difficulty lifting left arm. Reports feeling pain since she received injection & has had continuous tenderness and pain since 3/22/2004
Age: 4.0
Sex: F
Vaccine: DTP, IPV, MMR
Symptoms: Erythema, Injection site erythema, Injection site warmth
Clinical narrative: Red/ warm area at site of injection 65mmX9mm area of erythema. No pus.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Tenderness
Clinical narrative: Right deltoid red 50x60 cm puffy/ tender to touch. Tx: Tylenol/ Benadryl
Age: 4.0
Sex: F
Vaccine: DTAP, HBHEPB, IPV, MMR
Symptoms: Contusion, Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: The night following immunization pt ran fever 100 degrees. Site of injection hot, red, swollen approx 1.5 inches in diameter. 2 days later site still red swollen and hot to touch. Bruised area approx 1 cm at injection site. Reddened area spread approx. 5 inches around site.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Left arm red/ swollen
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Fever and rash began approximately 2 days prior to dr's visit on 3/24/2004. Fever was recorded at 102. Therapies tried included Ibuprofen and Tylenol. The rash started on the abdomen and spread graduallly.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Pain, Pyrexia, Swelling
Clinical narrative: -vaccine administration 3/23/2004. - child complained to parent 3/24/04 sore right arm with redness around injection site and mild swelling. Also with low grade temp 99 degrees, no other complaints.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Rt upper arm swollen, red and hot to touch. Rt arm was 3x larger than Lt arm.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Tenderness
Clinical narrative: Area around injection site red, swollen, sore warm to touch.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site rash, Rash
Clinical narrative: 24 hours after IM injection of #5 dose DTaP administered a faint pink rash on arm at site and upper back, no difficulty breathing.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Erythema, Feeling hot
Clinical narrative: Redness to right arm started 3/25/2004 from shoulder to elbow. Warm to touch. Cool compresses on after as possible. Benadryl TID for 2-3 days.
Age: 1.0
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Erythema multiforme, Rash
Clinical narrative: 3/17/04 Past vaccine Exantham started 3-12-04. 3/6/04,3/5/04- erythema multiforme minor persisted through 3-11. Treated tih Orapred and Zyrtec.
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Erythema, Pyrexia, Swelling
Clinical narrative: Some fever treated with Tylenol. Local reaction, red and swelling from right deltoid to 1" below elbow. Treated with Benedryl, totally better by 3/22/2004.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot
Clinical narrative: Red warm area on arm. No fever.
Age: 1.0
Sex: F
Vaccine: IPV, MMR, VARCEL
Symptoms: Irritability, Nausea, Pyrexia, Vomiting
Clinical narrative: 3-24-04 during night temp 99. Temp 103 3-25-04 afternoon. Tylenol being given. Temp 3-26-04 AM 102. Fussy since shots. Nausea Vomiting one time this AM.
Sex: U
Vaccine: FLUN3, FLUN3
Symptoms: Guillain-Barre syndrome
Clinical narrative: This case was considered medically important (OMIC). Information regarding Flumist nasal solution was received from an attorney regarding a patient who experienced Guillain Barre. The patient received vaccine on an unspecified date. Relevant medical history was not provided. Indication for Flumist was immunization. Product was administered on an unspecified date. Dose regimen was not provided. Concomitant medications were not reported. An attorney reported that a patient experienced GBS following receipt of Flumist. The attorney declined to provide any further information due to potential litigation; no lawsuit has been filed. The attorney stated that if improperly shipped and stored Flumist had been administered to a patient, then interstate commerce could be involved if a patient got sick. The attorney mentioned, "there is a bill in Congress which lists influenza as covered for compensation, which is an attempt by your company to limit liability towards problems like this." No additional information was available at the time of this report.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Cellulitis, Erythema, Feeling hot
Clinical narrative: Warm/ red cellulitis left upper arm approximately 10 x 10 inches. No nodes. No fever. Started yesterday afternoon approximately 24 hours after vaccine. No problem with previous vaccine.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: On 3-25-04 pt was seen for WCC and immunes on 3-26-2004 pt returned to clinic with complaint of red & swollen right upper arm. The pt did not have a fever & states that her arm did not hurt when it was touched. Pt mom was instructed to used warm compresses & give Benadryl as needed. She was to follow up on 3/28/04 but cancelled the appt.
Age: 49.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Rash
Clinical narrative: Received her third in a series of HB vaccines at 2:34 pm on 3/10/04. At 5:15 pm 3/10/04 she reported an itchy rash on her forearms, worse on left than right. No history or problems with previous HBV immunizations. Diagnosed: Probable reaction to Hep B vaccine prescribed with Benadryl 50 mg every 4 hours as needed for itching.
Age: 54.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Asthma, Atrioventricular block, Blood pressure increased, Condition aggravated, Cough
Clinical narrative: 14 days after taking flu vaccine I got sore throat, lung congestion. Seen at ER on 11/9/03 w/ all symptoms of flu. Am still having breathing problems as of 3/4/04 w/ wheezing, SOB. I was in perfect health before taking vaccines. Given Prednisone, Albuterol inhaler, Cedal, Mavaquin, Keflex, Singulair. Respiratory tract infection, sore throat, cough, chest congestion-no strep throat hosp. does not have flu test but ER Dr states was flu. Information from Annual Follow-up report states I now have adult onset asthma following the flu/pneumonia I got a week after I got the vaccines. I just found out I have 3 blockages in my heart; this is probably due to being put on steroids for flu/pneumonia against my wishes and I have gained 20 pounds. My blood pressure is also elevated. Since I had the shots, my health has deteriorated! I was in perfect health before taking these vaccines. I have had loss of income, health, normal activites and energy. I intend to sue. These vaccines gave me the flu/pneumonia, and I have not been healthy or felt right since. I'll never take them again.
Age: 54.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Dyspnoea, Influenza like illness, Nasal congestion, Pharyngolaryngeal pain, Pulmonary congestion
Clinical narrative: 14 days after taking flu vaccine I got sore throat, lung congestion. Seen at ER on 11/9/03 w/ all symptoms of flu. Am still having breathing problems as of 3/4/04 w/ wheezing, SOB. I was in perfect health before taking vaccines. Given Prednisone, Albuterol inhaler, Cedal, Mavaquin, Keflex, Singulair. Respiratory tract infection, sore throat, cough, chest congestion-no strep throat hosp. does not have flu test but ER Dr states was flu. Information from Annual Follow-up report states I now have adult onset asthma following the flu/pneumonia I got a week after I got the vaccines. I just found out I have 3 blockages in my heart; this is probably due to being put on steroids for flu/pneumonia against my wishes and I have gained 20 pounds. My blood pressure is also elevated. Since I had the shots, my health has deteriorated! I was in perfect health before taking these vaccines. I have had loss of income, health, normal activites and energy. I intend to sue. These vaccines gave me the flu/pneumonia, and I have not been healthy or felt right since. I'll never take them again.
Age: 54.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Respiratory tract infection, Upper respiratory tract infection, Weight increased
Clinical narrative: 14 days after taking flu vaccine I got sore throat, lung congestion. Seen at ER on 11/9/03 w/ all symptoms of flu. Am still having breathing problems as of 3/4/04 w/ wheezing, SOB. I was in perfect health before taking vaccines. Given Prednisone, Albuterol inhaler, Cedal, Mavaquin, Keflex, Singulair. Respiratory tract infection, sore throat, cough, chest congestion-no strep throat hosp. does not have flu test but ER Dr states was flu. Information from Annual Follow-up report states I now have adult onset asthma following the flu/pneumonia I got a week after I got the vaccines. I just found out I have 3 blockages in my heart; this is probably due to being put on steroids for flu/pneumonia against my wishes and I have gained 20 pounds. My blood pressure is also elevated. Since I had the shots, my health has deteriorated! I was in perfect health before taking these vaccines. I have had loss of income, health, normal activites and energy. I intend to sue. These vaccines gave me the flu/pneumonia, and I have not been healthy or felt right since. I'll never take them again.
Age: 54.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Dyspnoea, Fatigue, Lung disorder, Malaise, Nasal congestion
Clinical narrative: 14 days after taking flu vaccine I got sore throat, lung congestion. Seen at ER on 11/9/03 w/ all symptoms of flu. Am still having breathing problems as of 3/4/04 w/ wheezing, SOB. I was in perfect health before taking vaccines. Given Prednisone, Albuterol inhaler, Cedal, Mavaquin, Keflex, Singulair. Respiratory tract infection, sore throat, cough, chest congestion-no strep throat hosp. does not have flu test but ER Dr states was flu. Information from Annual Follow-up report states I now have adult onset asthma following the flu/pneumonia I got a week after I got the vaccines. I just found out I have 3 blockages in my heart; this is probably due to being put on steroids for flu/pneumonia against my wishes and I have gained 20 pounds. My blood pressure is also elevated. Since I had the shots, my health has deteriorated! I was in perfect health before taking these vaccines. I have had loss of income, health, normal activites and energy. I intend to sue. These vaccines gave me the flu/pneumonia, and I have not been healthy or felt right since. I'll never take them again.
Age: 54.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Otitis media, Pharyngolaryngeal pain, Rhinorrhoea, Wheezing
Clinical narrative: 14 days after taking flu vaccine I got sore throat, lung congestion. Seen at ER on 11/9/03 w/ all symptoms of flu. Am still having breathing problems as of 3/4/04 w/ wheezing, SOB. I was in perfect health before taking vaccines. Given Prednisone, Albuterol inhaler, Cedal, Mavaquin, Keflex, Singulair. Respiratory tract infection, sore throat, cough, chest congestion-no strep throat hosp. does not have flu test but ER Dr states was flu. Information from Annual Follow-up report states I now have adult onset asthma following the flu/pneumonia I got a week after I got the vaccines. I just found out I have 3 blockages in my heart; this is probably due to being put on steroids for flu/pneumonia against my wishes and I have gained 20 pounds. My blood pressure is also elevated. Since I had the shots, my health has deteriorated! I was in perfect health before taking these vaccines. I have had loss of income, health, normal activites and energy. I intend to sue. These vaccines gave me the flu/pneumonia, and I have not been healthy or felt right since. I'll never take them again.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Feeling hot, Injection site erythema
Clinical narrative: 3/26/04- Redness noted at injection site, left arm warm to touch. Redness increased by next day. Seen in ER on 3/27/04. Diagnosed cellulitis. Cettriaxone given.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Oedema
Clinical narrative: Red swollen right leg (Cellulitis- ER) CBC, Blood cultures, Ceftriazone xi. Augmentin orally for 9 days.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Tenderness
Clinical narrative: 3/27/04-Taken to ER with redness, tenderness, and warm to touch at left leg injection site. Slight redness first noticed 3/26/04 at home.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Face oedema, Rash
Clinical narrative: Woke up on 3-30-04 with a rash all over body and lips swollen. Being treated with Benadryl. Few spots noted at bed time 3-29-04.
Age: 17.0
Sex: F
Vaccine: YF
Symptoms: Fatigue, Hypoaesthesia, Paraesthesia
Clinical narrative: Several hours after vaccination patient noted numbness & paresthesias involving the right medial scapula and entire right arm. Vaccination received in distal right posterior deltoid. No systemic symptoms. Seen in Emergency department 5/24/04 with weariness of right hand and numbness.
Age: 75.0
Sex: M
Vaccine: HEPA, TYP, YF
Symptoms: Back pain, Chest pain, Injection site pain
Clinical narrative: Pt. given Typoid OI and Hepatitis A left arm, Yellow fever right arm- next day pt complained of severe pain in the site are of the left arm where injections were given radiating some what to the back area on inwards side of chest wall. Severe pain for 3 days and 2 weeks later pain when lifting.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Oedema
Clinical narrative: Swelling of upper right arm with swollen lumphs in axilla began 12 hours after injection. Temp 101.2.
Age: 53.0
Sex: M
Vaccine: SMALL
Symptoms: Atrial fibrillation, Chest pain, Condition aggravated, Dyspnoea
Clinical narrative: Vaccinee is a ER physician who is Hep C+, has a h/o PAF, controlled with beta blocker and Fleccanide. About 3-4 weeks after vaccination developed refractory A Fib/Flutter. Saw cardiologist. Had normal LFT's prior to vacc. and now with elevated LFT's. Had appendectomy 8/03, five months after vacc.
Age: 53.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain, Dyspnoea, Pain
Clinical narrative: 55 year old female with h/o hypertension controlled with medication. About 3-5 days after vaccination experience "pleuritic chest pain." Pain with breathing and movement. Rx'd with NSAID. Has h/o of pleurisy and said pain was just like previous pain from pleurisy. Saw pcp and had EKG< Xray which were normal. No blood work. Lasted 2-3 weeks.
Age: 36.0
Sex: M
Vaccine: SMALL
Symptoms: Discomfort, Heart rate increased, Injury, Pain
Clinical narrative: Day 16 -20 after vaccination developed chest discomfort, SOB, rapid heart rate. Saw pcp. Has EKG-normal. Diagnosed with injury from work. Not sure if blood work done. Pain lasted about 4 days then went away.
Age: 42.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Headache, Rhinorrhoea
Clinical narrative: MAR 27,2004 RECEIVED ANTHRAX, 2 HOURS AFTER HAD A HEADACHE, 6 HOURS AFTER HAD PAIN IN MY JOINTS, MARCH 28, 2004 PAIN IN JOINTS REDUCED BUT STILL THERE. AFTERNOON NOSE STARTED RUNNING AND HAD CONTINUED TO MARCH 30, 2004. JOINT PAIN IS GONE.
Age: 48.0
Sex: M
Vaccine: SMALL
Symptoms: Abdominal pain upper
Clinical narrative: Vaccinated against smallpox on 3/20/03. Began to experience RUQ pain approximately 3-4 days after being vaccinated. Pain described as mild, intermittent. No other signs or symptoms. Had this intermittent pain up until 3-4 months ago. Is a physician. Was not seen by  another physician or evaluated.
Age: 60.0
Sex: F
Vaccine: HEPAB, YF, HEPAB, YF
Symptoms: Chest pain, Dyspnoea, Electrocardiogram abnormal, Hypertension, Laboratory test abnormal
Clinical narrative: 3 hours after Hepatitis A & B vaccine and Yellow Fever vaccine  - chest began to ache.  The aching got progressively worse, as well as breathing became painful.  12 hours after vaccine, breathing and chest pain was too severe to lie down.  Went to Emergency room where oxygen and blood pressure medications were administered following irregular EKG and high blood pressure readings. I was admitted to hospital.  Cardiologist had blood tests and thalium treadmill test to rule out symptoms were heart related, and he determined that the symptoms were caused by adverse reaction to vaccine, probably the Hepititis A.
Age: 60.0
Sex: F
Vaccine: HEPAB, YF, HEPAB, YF
Symptoms: Chest pain, Dyspnoea
Clinical narrative: 3 hours after Hepatitis A & B vaccine and Yellow Fever vaccine  - chest began to ache.  The aching got progressively worse, as well as breathing became painful.  12 hours after vaccine, breathing and chest pain was too severe to lie down.  Went to Emergency room where oxygen and blood pressure medications were administered following irregular EKG and high blood pressure readings. I was admitted to hospital.  Cardiologist had blood tests and thalium treadmill test to rule out symptoms were heart related, and he determined that the symptoms were caused by adverse reaction to vaccine, probably the Hepititis A.
Age: 35.0
Sex: M
Vaccine: DT, TTOX
Symptoms: Agitation, Chills, Headache, Irritability, Laboratory test abnormal
Clinical narrative: Fever (101.7) myalgias, chills, mild headache 24 hours after administration irritability/agitation immediately after vaccine
Age: 35.0
Sex: M
Vaccine: DT, TTOX
Symptoms: Myalgia, Pyrexia
Clinical narrative: Fever (101.7) myalgias, chills, mild headache 24 hours after administration irritability/agitation immediately after vaccine
Age: 35.0
Sex: M
Vaccine: DT, TTOX
Symptoms: Chills, Dehydration, Fatigue, Headache, Hypoglycaemia
Clinical narrative: Fever (101.7) myalgias, chills, mild headache 24 hours after administration irritability/agitation immediately after vaccine
Age: 35.0
Sex: M
Vaccine: DT, TTOX
Symptoms: Irritability, Lymphopenia, Pain, Pyrexia
Clinical narrative: Fever (101.7) myalgias, chills, mild headache 24 hours after administration irritability/agitation immediately after vaccine
Age: 1.0
Sex: M
Vaccine: HIBV, MMR
Symptoms: Convulsion, Pyrexia
Clinical narrative: Patient developed temperature to 103.8 rectally and tonic clonic seizure activity that lasted 5 minutes on evening on 3/31/2004
Age: 0.5
Sex: M
Vaccine: DTAP, IPV, PNC, DTAP, HIBV, IPV, PNC, DTAP, PNC
Symptoms: Sudden infant death syndrome
Clinical narrative: This case was reported by a health professional and described the occurrence of sudden infant death syndrome in a 6 month old male who received diphtheria and tetanus toxoids and acellular pertussis absorbed. Medical history included amoxicillin therapy in November 2003 for an unspecified indication. The reporter stated that there were no other known predisposing factors or preceding symptoms. Prior to or at the time of vaccination, the patient received an unknown antibiotic for treatment of cough. On 9/25/03, the patient received the initial administration of diphtheria and tetanus toxoids and acellular pertussis absorbed vaccine. On 2/5/04, the patient received the third doses of diphtheria and tetanus toxoids and acellular pertussis absorbed vaccine (Infanrix, lot number DTPA602A2) and Prevnar. Five days post-immunization, on 2/10/04, the infant died. The cause of death according to the coroner was sudden infant death syndrome. Information on the circumstances surrounding the patient's death and family history was unavailable. An autopsy was performed; results were requested, but were not expected for several months at the time of reporting. According to the reporter, this case was also reported by the district health department.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Coma, Sudden infant death syndrome
Clinical narrative: This case was reported by a health professional and described the occurrence of sudden infant death syndrome in a 2 month old female who received diphtheria and tetanus toxoids and acellular pertussis absorbed, hepatitis B recombinant and inactivated poliovirus vaccine combined. Medical history included constipation. The reporter stated that there were no other known predisposing factors or preceding symptoms. The patient received a birth dose of hepatitis B vaccine recombinant (Engerix B, lot number ENG5557A9). On 2/24/04, the patient received the initial doses of Pediarix (lot number 21918D2), PedvaxHIB, and Prevnar. Four days post-immunization, on 2/28/04, the infant died. The cause of death according to the coroner was sudden infant death syndrome. Information on the circumstances surrounding the patient's death and family history was unavailable. An autopsy was performed; results were requested, but were not expected for several months at the time of reporting. Follow-up on 07/09/04: "The VAERS identification # for this case (217542) was subsequently provided by the CDC."
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Sudden infant death syndrome
Clinical narrative: This case was reported by a health professional and described the occurrence of sudden infant death syndrome in a 2 month old female who received diphtheria and tetanus toxoids and acellular pertussis absorbed, hepatitis B recombinant and inactivated poliovirus vaccine combined. Medical history included constipation. The reporter stated that there were no other known predisposing factors or preceding symptoms. The patient received a birth dose of hepatitis B vaccine recombinant (Engerix B, lot number ENG5557A9). On 2/24/04, the patient received the initial doses of Pediarix (lot number 21918D2), PedvaxHIB, and Prevnar. Four days post-immunization, on 2/28/04, the infant died. The cause of death according to the coroner was sudden infant death syndrome. Information on the circumstances surrounding the patient's death and family history was unavailable. An autopsy was performed; results were requested, but were not expected for several months at the time of reporting. Follow-up on 07/09/04: "The VAERS identification # for this case (217542) was subsequently provided by the CDC."
Age: 0.33
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Sudden infant death syndrome
Clinical narrative: Patient found dead in crib on 3/30/04. Other correspondence on 05/05/04 states: file complete. Autopsy Report received on 6/17/2004 states COD was SIDS.
Age: 7.0
Sex: M
Vaccine: MMR
Symptoms: Autism
Clinical narrative: Information has been received from a consumer concerning a 7 year old pt with no medical history and no allergies who on an unspecified date was vaccinated with a dose of MMR . There were no concomitant medications. The mother reported that her son has autism. She did not believe that it was from MMR vaccine live that her son had autism. She believes that he may have been autistic prior to being given the vaccine. The pt was diagnosed with autism after administration of the MMR vaccine live. Unspecified medical attention was sought. Upon internal review autism was determined to be an other important medical event (OMIC). Additional info is not expected.
Sex: U
Vaccine: MMR
Symptoms: Autism, Drug toxicity
Clinical narrative: Information has been received from a consumer concerning a pt who, on an unknown date, was vaccinated with a dose of MMR vaccine live. Subsequently the pt developed autism. It was noted that at the time of the report, the pt was being treated for autism. The reporter stated that the pt's family "believed that it was the thimerosal in the vaccine that caused the autism." The pt had not recovered. Autism was determined to be an other important medical event (OMIC). Additional info has been requested.
Age: 15.0
Sex: F
Vaccine: FLU3
Symptoms: Arthritis, Dehydration, Gastrointestinal haemorrhage, Glomerulonephritis, Laboratory test abnormal
Clinical narrative: Developed palpable purpuric rash, arthritis, gastrointestinal bleeding, needed blood transfusion. Also developed blood clot in left arm needing anticoagulation. Work-up showed crescentic glomerulonephritis and C-ANCA positive vascultiis. Later had pulmonary hemorrhage. Information from Annual Follow-up report states this patient is still on anti-congulation therapy.  Nurse follow up on 08/31/04 states: "loss of consciousness; Dehydration; venious thrombosis; pleural effusion."  Nurse follow up on 09/15/04 states: "loss of consciousness, dehydration, venious thrombosis, pleural effusion."
Age: 15.0
Sex: F
Vaccine: FLU3
Symptoms: Loss of consciousness, Pleural effusion, Pruritus, Pulmonary haemorrhage, Syncope
Clinical narrative: Developed palpable purpuric rash, arthritis, gastrointestinal bleeding, needed blood transfusion. Also developed blood clot in left arm needing anticoagulation. Work-up showed crescentic glomerulonephritis and C-ANCA positive vascultiis. Later had pulmonary hemorrhage. Information from Annual Follow-up report states this patient is still on anti-congulation therapy.  Nurse follow up on 08/31/04 states: "loss of consciousness; Dehydration; venious thrombosis; pleural effusion."  Nurse follow up on 09/15/04 states: "loss of consciousness, dehydration, venious thrombosis, pleural effusion."
Age: 15.0
Sex: F
Vaccine: FLU3
Symptoms: Thrombophlebitis, Thrombosis, Vasculitis
Clinical narrative: Developed palpable purpuric rash, arthritis, gastrointestinal bleeding, needed blood transfusion. Also developed blood clot in left arm needing anticoagulation. Work-up showed crescentic glomerulonephritis and C-ANCA positive vascultiis. Later had pulmonary hemorrhage. Information from Annual Follow-up report states this patient is still on anti-congulation therapy.  Nurse follow up on 08/31/04 states: "loss of consciousness; Dehydration; venious thrombosis; pleural effusion."  Nurse follow up on 09/15/04 states: "loss of consciousness, dehydration, venious thrombosis, pleural effusion."
Age: 23.0
Sex: F
Vaccine: ANTH
Symptoms: Arthralgia
Clinical narrative: Joint pain in elbows and wrists started evening after receipt of anthrax vaccine #1 and lasted until vaccine #2. After anthrax vaccine #2, joint pain continued through July 03. After anthrax vaccine #2 in June, started having bilateral knee pain which continues today.
Age: 23.0
Sex: F
Vaccine: ANTH
Symptoms: Arthralgia, Fatigue, Haematochezia, Headache
Clinical narrative: Daily headaches- July 03. Changes in short term memory/ cognitive functioning- Aug 03. Fatigue Oct 03. Altered sensation in both feet and ankles- late Oct 03. Hematochezia- Jun 04. Anthrax #2 left- 7 July 2003-Symptoms: Local: Does not recall specific local reaction. Systemic: Joint pain in elbows and wrists continued from vaccine #2. Pain resolved after approximately 2-3 weeks. Pain did not limit duties. See above discussion in HPI for details of other symptoms following anthrax vaccine #3. 24-year-old F who was in her usual state of good health until she began having headaches in June 2003. No history of headaches prior to June 2003, except for occasional headaches associated with colds and sinus congestion. Initially, headaches were intermittent, 2-3 times a week. After her 3rd anthrax vaccine in July, headaches became daily, and by August 2003, were near constant. Current headache pain described as constant, bi-frontal pressure with more severe sharp, shoting pains 1-3 times a day. Intense episodes with onset and resolution within a perior of 5-15 minutes. Level of pain intensity of constant, bi-frontal pain rated as level 2-3 on pain scale of 0-10, and pain intensity of sharp shooting pains usually rated as level 7-8, but has been as high as a level 10. Unable to associate headaches with menstrual cycle, environmental changes, including changes in pressure during flying, stress, or foods. Bright sunlight after leaving poorly lit building aggravates headaches and somewhat triggers sharp, shooting pains. No problems with balance, visual changes, speech or swallowing difficulties, sinus congestion or drainage. Denies history of head trauma. No family history of headaches. Sough evaluation of headaches in August 2003. Initial evaluation and treatment by primary care provider. Referred for civilian Neurologist in October 2003. Referred to military Neurologist in December 2003. Treatments tried include: NSAIDs (no relief), allergy medications (Claritin and Sudafed, Flonase- not effective) and antibiotics (no relief), relaxation- no releif, Imitrex- minimal relief, Relpax- (no relief), Amerge- (no relief),  Maxa;t 10 mg, Axert 12.4 mg and Frova 2.5 mg (no improvement), Lexapro 10 mg (stopped secondary to nausea), Zoloft 25 mg (discontinued secondary to sedation and no improvement of headache), Prednisone taper (decreased intensity of pain while taking, but headaches returned within 2 weeks of last dose), Neurontoin (currently taking with dose adjustment on March 2004.) Evaluation is ongoing through Clinic, with civilian Neurology follow-up in April.
Age: 6.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Herpes zoster, Infection
Clinical narrative: Child seen 3/26/04 temp 97.9. Diagnosed with shingles on left upper anter. arm & palm & middle finger of left hand.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site nodule
Clinical narrative: Large edematous nodule approx 9cm on left anterior thigh at immunization site. Occurred 6-7 hrs after administration and persisted for 36 hours. Treated with ice, Benadryl and hydrocortisone. Office evaluation on 3/31/04 reveals 2.75 cm
Age: 43.0
Sex: F
Vaccine: HEPA, TD
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Area where shot was given was red and swollen extending down arm (2" long almost to elbow 1" wide)
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site warmth, Pyrexia
Clinical narrative: Left deltoid 2 in x 2.5 in erythema, warm at injection site. PO Tem 99.3 F.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Rash
Clinical narrative: Pink firm rash distal to injection site on anterior left thigh.
Age: 8.0
Sex: U
Vaccine: VARCEL
Symptoms: Conjunctival deposit, Hypoventilation, Nasal congestion
Clinical narrative: Child developed stuffy nose with injected both conjunctia. Low breathing sound with pale (after about 15 min later). Treated with epinephrine SC X3 and (Prednisone, Benadryl) PO
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia, Vomiting
Clinical narrative: Receive immunization 3/25/04. Woke up in middle of the night vomiting and tem 101. Used Motrin. No further vomiting.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pruritus
Clinical narrative: Pt presented in office 2 days post infection with redness, pain and swelling at injection site (left upper arm/ deltoid). Area also pruritic.
Age: 5.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Injection site swelling, Pruritus
Clinical narrative: Swelling around injection site--right arm (DTAP and MMR given), 6 hours after imm. Itching - 3/30 but stopped on 3/31/04 but stopped on 3/31/04 with swelling persisting 10cmx8cm. No tenderness.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site swelling, Injection site vesicles, Injection site warmth, Urticaria
Clinical narrative: Red welt around area of SHOT. Little blisters that were seeping clear liquid around shot area. Hot to touch. 10.25inx8.5in (outside) 2inx1.75in (inside)
Age: 38.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain
Clinical narrative: Local reaction in right arm 9cm with redness and pain.
Age: 42.0
Sex: F
Vaccine: RAB, TD
Symptoms: Rash
Clinical narrative: On 3/8/04, given total 19.2cc Imogem rabies immunoglobulin-4cc was infiltrated in right forearm (15.2cc with 4 injections of 3.8cc IM right and left upper outer quadrant of buttocks at right and left mid vast lateralis. 3/11/04 she returned for rabies vaccine only. 3/15/04 she came for  day 7 rabies  Imovax and she has a rash on chest, arms, legs and on her back. She had huge rash size of a cross on her right forearm where it was infiltrated. She had a rash on legs and buttocks but not actually where shots were given. It would appear to be a reaction from rabies immunoglobulin. There was no rash on the sight of diptheria tetanus or rabies vaccine. She took antihistamine OTC. She also had been put on Clindamycin 300 mgx3dx7 days, finished 3/12/2004. Avalox 400mg  a day bidX7days. We changed her rabies vaccine to RabAvert which was to be given  fourth 3/22/04. She will finish on 4/5/05.
Age: 25.0
Sex: M
Vaccine: HEP, HEPA, MEN, TYP
Symptoms: Chills, Ear pain, Lymphadenopathy, Pain, Pyrexia
Clinical narrative: Pt on 11/30/03 1st from his mother. He felt ill 11/28/03 with earache, increase in temp, aching and chills, started hives all over toso and lower arms and face, raised welt left arm top where shot was given. Swollen lymph nodes left axillary area of arm size of dime, very painful to touch, 12/1/03 rash neck, back, chest and some face. Given Benadryl, 12/2/03 rash still there. PC to SKB 12/3/04 talked with and difficult to know chat ? ? was from.  Pt was told to see MD 12/1/04. 12/4/04 still rash, his MD said to premedicate with Benadryl 50mg and Tagamet 400mg every hour by next HepB and Td.
Age: 25.0
Sex: M
Vaccine: HEP, HEPA, MEN, TYP
Symptoms: Urticaria
Clinical narrative: Pt on 11/30/03 1st from his mother. He felt ill 11/28/03 with earache, increase in temp, aching and chills, started hives all over toso and lower arms and face, raised welt left arm top where shot was given. Swollen lymph nodes left axillary area of arm size of dime, very painful to touch, 12/1/03 rash neck, back, chest and some face. Given Benadryl, 12/2/03 rash still there. PC to SKB 12/3/04 talked with and difficult to know chat ? ? was from.  Pt was told to see MD 12/1/04. 12/4/04 still rash, his MD said to premedicate with Benadryl 50mg and Tagamet 400mg every hour by next HepB and Td.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash
Clinical narrative: Viral rash mainly on legs
Age: 30.0
Sex: F
Vaccine: TD, TYP
Symptoms: Tenderness
Clinical narrative: Seen 11/12/2003 for soreness right arm one week post tetanus diptheria- persistant discomfort right deltoid. Told to take Ibuprofen PRN as she had not previously. Resolved itself finally 12/3/03 right arm still somewhat sore).
Age: 34.0
Sex: M
Vaccine: DT, TTOX
Symptoms: Agitation, Chills, Headache, Irritability, Laboratory test abnormal
Clinical narrative: Roughly 3 hours after the Tetanus Immunization was given, I felt very irritable and hypoglycemic.   24 hours later I developed high fever, chills, headache, body aches, fatigue, and dehydration.  This required a six hour visit in the ER where I was given benadryl and given an IV and placed in a bed.
Age: 34.0
Sex: M
Vaccine: DT, TTOX
Symptoms: Myalgia, Pyrexia
Clinical narrative: Roughly 3 hours after the Tetanus Immunization was given, I felt very irritable and hypoglycemic.   24 hours later I developed high fever, chills, headache, body aches, fatigue, and dehydration.  This required a six hour visit in the ER where I was given benadryl and given an IV and placed in a bed.
Age: 34.0
Sex: M
Vaccine: DT, TTOX
Symptoms: Chills, Dehydration, Fatigue, Headache, Hypoglycaemia
Clinical narrative: Roughly 3 hours after the Tetanus Immunization was given, I felt very irritable and hypoglycemic.   24 hours later I developed high fever, chills, headache, body aches, fatigue, and dehydration.  This required a six hour visit in the ER where I was given benadryl and given an IV and placed in a bed.
Age: 34.0
Sex: M
Vaccine: DT, TTOX
Symptoms: Irritability, Lymphopenia, Pain, Pyrexia
Clinical narrative: Roughly 3 hours after the Tetanus Immunization was given, I felt very irritable and hypoglycemic.   24 hours later I developed high fever, chills, headache, body aches, fatigue, and dehydration.  This required a six hour visit in the ER where I was given benadryl and given an IV and placed in a bed.
Age: 51.0
Sex: F
Vaccine: ANTH
Symptoms: Chills, Dyspnoea, Hot flush, Injection site hypersensitivity, Injection site pain
Clinical narrative: Patient is 51-year-old female with complains of large local reaction after Anthrax #4.  She complains of swelling noticed the evening after the injection.  She reports feeling sick.  She complains of being nauseated and vomiting.  She had episodes of chills and then feeling hot.  No diarrhea.  Complains of feeling itchy at the site.  Pain at the site and tenderness.  Some swelling that started the first day of the injection.  She reports feeling "like I had the flu"  and this lasted for approximately 48 hours.  She reports some difficulty "catching her breath" for the first day but no severe dyspnea or problems breathing.  No itching except at the site.  No hives on body.  No specific joint pain but generally just felt uncomfortable.  Did not check her temperature.  This was given on 29 Mar 04.
Age: 51.0
Sex: F
Vaccine: ANTH
Symptoms: Nausea, Pruritus, Swelling, Vomiting
Clinical narrative: Patient is 51-year-old female with complains of large local reaction after Anthrax #4.  She complains of swelling noticed the evening after the injection.  She reports feeling sick.  She complains of being nauseated and vomiting.  She had episodes of chills and then feeling hot.  No diarrhea.  Complains of feeling itchy at the site.  Pain at the site and tenderness.  Some swelling that started the first day of the injection.  She reports feeling "like I had the flu"  and this lasted for approximately 48 hours.  She reports some difficulty "catching her breath" for the first day but no severe dyspnea or problems breathing.  No itching except at the site.  No hives on body.  No specific joint pain but generally just felt uncomfortable.  Did not check her temperature.  This was given on 29 Mar 04.
Age: 41.0
Sex: M
Vaccine: YF
Symptoms: Diarrhoea, Fatigue, Headache, Laboratory test abnormal, Lymphocytosis
Clinical narrative: 2-3 weeks after YF vaccine, had fatigue, malaise, rare diarrhea, HA and neck pain. LFT's increased. WBC's increased. Also had glossitis and gingivitis and took food grade peroxide for this. Now fully recovered.
Age: 41.0
Sex: M
Vaccine: YF
Symptoms: Malaise, Neck pain, White blood cell count increased
Clinical narrative: 2-3 weeks after YF vaccine, had fatigue, malaise, rare diarrhea, HA and neck pain. LFT's increased. WBC's increased. Also had glossitis and gingivitis and took food grade peroxide for this. Now fully recovered.
Age: 4.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Feeling hot, Lymphadenopathy, Lymphangitis, Tenderness
Clinical narrative: Diffuse erythema, warmth and tenderness over entire deltoid area with lymphangitic streak to axilla. Mild positive axillary lymphadenopathy. Arthus Reaction
Age: 4.0
Sex: M
Vaccine: ANTH
Symptoms: Type III immune complex mediated reaction
Clinical narrative: Diffuse erythema, warmth and tenderness over entire deltoid area with lymphangitic streak to axilla. Mild positive axillary lymphadenopathy. Arthus Reaction
Age: 0.2
Sex: M
Vaccine: DT, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: PT DEVELOPED A 104 DEGREE TEMP 4-5 HOURS AFTER RECEIVING IMMUNIZATIONS.  THE FEVER DID NOT RESPOND TO TYLENOL OR A BATH, SO MOM TOOK PT TO THE ER TO EVALUATION.  Nurse follow up on 06/03/04 states: ADD: (+) rechallenge.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Rash
Clinical narrative: Left upper arm had redness which started 10 minutes after injection at 3:10pm and which proceeded to extend down to left wrist by 3:20pm, by 3:35pm redness started to recede, (per phone call to mother, rash receded after benadryl po
Age: 34.0
Sex: F
Vaccine: ANTH
Symptoms: Abdominal pain, Amnesia, Arthralgia, Depression, Disturbance in attention
Clinical narrative: Depression, difficulty sleeping/concentrating, short term memory loss. Itchy rash on bil legs since Dec 03 after 4th shot. Constant ringing in bil ears. Recurrence of left shoulder pain. Knots in arms with swelling on all four shots-last a little over 1 wk for all shots. lower abd pain 1 month after 1st shot, burst cyst on right ovary,bil removal of tubes/ovaries at various times. Diagnosed with endometriosis with no prior hx. Partial Hysterectomy 1998. Still having abd pain causing problems doing her assigned duties. Mood swings, nasal drainage and bil knee pain without exercise.
Age: 34.0
Sex: F
Vaccine: ANTH
Symptoms: Endometriosis, Injection site mass, Insomnia, Mood swings, Pruritus
Clinical narrative: Depression, difficulty sleeping/concentrating, short term memory loss. Itchy rash on bil legs since Dec 03 after 4th shot. Constant ringing in bil ears. Recurrence of left shoulder pain. Knots in arms with swelling on all four shots-last a little over 1 wk for all shots. lower abd pain 1 month after 1st shot, burst cyst on right ovary,bil removal of tubes/ovaries at various times. Diagnosed with endometriosis with no prior hx. Partial Hysterectomy 1998. Still having abd pain causing problems doing her assigned duties. Mood swings, nasal drainage and bil knee pain without exercise.
Age: 34.0
Sex: F
Vaccine: ANTH
Symptoms: Rash, Rhinorrhoea, Shoulder pain
Clinical narrative: Depression, difficulty sleeping/concentrating, short term memory loss. Itchy rash on bil legs since Dec 03 after 4th shot. Constant ringing in bil ears. Recurrence of left shoulder pain. Knots in arms with swelling on all four shots-last a little over 1 wk for all shots. lower abd pain 1 month after 1st shot, burst cyst on right ovary,bil removal of tubes/ovaries at various times. Diagnosed with endometriosis with no prior hx. Partial Hysterectomy 1998. Still having abd pain causing problems doing her assigned duties. Mood swings, nasal drainage and bil knee pain without exercise.
Age: 1.8
Sex: M
Vaccine: HBPV
Symptoms: Muscle spasms
Clinical narrative: developed severe muscle cramping in leg.  Cramping began approximately 3 hours after administration.  Continued for approximately 15 hours.
Age: 8.0
Sex: M
Vaccine: HEPA
Symptoms: Headache, Stomach discomfort
Clinical narrative: Immunization given on 3/23/04 (Hep A only). Starting on 3/29/04 clieNt complains of headache in the morning and misses school. 4/1/04 Mother calls and states client still waking with headache and now has upset stomach. Mother states he has been home from school for four days and questions if vaccine has anything to to with symptoms.
Age: 28.0
Sex: M
Vaccine: FLUX
Symptoms: Anaemia, Anxiety, Arthralgia, Blood prolactin increased, Blood testosterone decreased
Clinical narrative: Severe myalgia and joint pain. Elevated liver enzymes, decreased testosterone, increased prolactin, mild anemia, severe fatigue, nausea, depression, anxiety over a period of just over four months (Late Oct, 2003 - Early Mar, 2004).   Treatment included pain management (morphine sulphate), Pherergan for nausea, Testim 1% for hypogonaotrophism, Ativan then Klonipin for anxiety, Lexapro and Wellbutrin for depression/anxiety, methotrexate injections for joint inflammation, nortryptiline for pain management. Levitra for sexual dysfunction
Age: 28.0
Sex: M
Vaccine: FLUX
Symptoms: Depression, Fatigue, Hepatic enzyme abnormal, Myalgia, Nausea
Clinical narrative: Severe myalgia and joint pain. Elevated liver enzymes, decreased testosterone, increased prolactin, mild anemia, severe fatigue, nausea, depression, anxiety over a period of just over four months (Late Oct, 2003 - Early Mar, 2004).   Treatment included pain management (morphine sulphate), Pherergan for nausea, Testim 1% for hypogonaotrophism, Ativan then Klonipin for anxiety, Lexapro and Wellbutrin for depression/anxiety, methotrexate injections for joint inflammation, nortryptiline for pain management. Levitra for sexual dysfunction
Age: 28.0
Sex: M
Vaccine: FLUX
Symptoms: Sexual dysfunction
Clinical narrative: Severe myalgia and joint pain. Elevated liver enzymes, decreased testosterone, increased prolactin, mild anemia, severe fatigue, nausea, depression, anxiety over a period of just over four months (Late Oct, 2003 - Early Mar, 2004).   Treatment included pain management (morphine sulphate), Pherergan for nausea, Testim 1% for hypogonaotrophism, Ativan then Klonipin for anxiety, Lexapro and Wellbutrin for depression/anxiety, methotrexate injections for joint inflammation, nortryptiline for pain management. Levitra for sexual dysfunction
Age: 43.0
Sex: M
Vaccine: ANTH, TD
Symptoms: Asthenia, Chest pain, Diarrhoea, Dyspnoea, Headache
Clinical narrative: Deployed (OCT-03 to JAN 04) Upon leaving within a months time I recieved 4 other vaccines in close proximity (2 influenza,1 smallpox,and 1 Anthrax) Began with Shortness of breath, chest pains and onset of pneumonia,diarrhea,weakness,constant migraine cluster headaches. Proponolol for high-blood presure to try to reduce headaches,CAT scan, and blood work. Symptons started month into my deployment. I got sicker with each series, which led to pneumonia with the 2nd & 3rd series. Shortly after the cluster migraines and shortness of breath started. Scheduling follow up summary narritive.
Age: 43.0
Sex: M
Vaccine: ANTH, TD
Symptoms: Hypertension, Migraine, Pneumonia, Vaccine positive rechallenge
Clinical narrative: Deployed (OCT-03 to JAN 04) Upon leaving within a months time I recieved 4 other vaccines in close proximity (2 influenza,1 smallpox,and 1 Anthrax) Began with Shortness of breath, chest pains and onset of pneumonia,diarrhea,weakness,constant migraine cluster headaches. Proponolol for high-blood presure to try to reduce headaches,CAT scan, and blood work. Symptons started month into my deployment. I got sicker with each series, which led to pneumonia with the 2nd & 3rd series. Shortly after the cluster migraines and shortness of breath started. Scheduling follow up summary narritive.
Age: 0.9
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MMR, PNC, VARCEL
Symptoms: Face oedema, Rash
Clinical narrative: Following immunizations, patient had swelling of the lips for 1-2 days.  Eight days later he developed a rash starting on his buttocks and face and spread throughout his body.  Slightly raised red dots not itchy.  Parents refused to return my calls.
Age: 11.0
Sex: M
Vaccine: DT, HEP
Symptoms: Drooling, Dysarthria, Facial palsy, Paraesthesia
Clinical narrative: The day following vaccinations with dT and HepB (#3), he experienced paresthesias that began in hand and ascended arm.  Subsequent symptoms included right facial weakness, slurred speech, and drooling.  These symptoms gradually resolved.  No seizure activity; unremarkable past medical history
Age: 33.0
Sex: M
Vaccine: SMALL
Symptoms: Infection transmission via personal contact, Vaccination complication
Clinical narrative: The patient was playing with his 9 year old daughter. The daughter touched the vaccine site and touched her neck. About 6 days after the exposre, she had 3 itchy papules on the back of her neck -- two of them have small (pinpoint) vessicles. She is otherwise fine. She was sent home with instructions to not touch the wound site, limit exposure with anything that touches the site, and will stay home from school until the lesions go away. The local public health department was contacted -- they requested a culture of the site.