chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 31.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Pruritus
Clinical narrative: Anthrax #3, given SC on 3/25/03 in the right upper arm. Pt had a 5" area of induration and 8" on arm of redness noted with a complaint of severe itching and burning. Pt referred to Urgent Care for treatment. Too soon to know if pt recovered.
Age: 5.0
Sex: F
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Cough, Rhinorrhoea, Urticaria
Clinical narrative: Coughing, rhinorrhea and several red urticaria on trunk, scalp and all extremities. No breathing difficulties.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: Generalized erythematous maculopapular rash on the posterior torso and a few in the upper and lower extremities. None on palms or soles.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: DTAP and IPV shots given in pt's right arm with swelling, warm to touch and redness at the site. Pt is itching at the site.
Age: 72.0
Sex: M
Vaccine: HEPAB
Symptoms: Feeling hot, Paraesthesia
Clinical narrative: "Tingling, feeling of warmth, numbness in both feet". Paresthesia in the evening of the same day after receiving vaccine; symptoms have continued but lessened in degree. Seen by FMD on 12/02/02. No treatment and advised no more vaccines.
Age: 0.9
Sex: M
Vaccine: VARCEL
Symptoms: Infection, Infection transmission via personal contact
Clinical narrative: Mom called and stated that child broke out with chickenpox. Brother had them first.
Age: 1.5
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Mom called up on 3/6/03 and stated her child broke out with generalized chickenpox.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Erythema multiforme, Pruritus
Clinical narrative: Erythema Multiforme with no treatment other than Benadryl prn itching.
Age: 1.6
Sex: F
Vaccine: DTAP, HIBV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Mother called on 3/24/03 with a report of the pt's left leg being red, hot, swollen and a fever of 101F, over the weekend. She was seen by MD.
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Red, swollen and painful mid-half of left upper arm, 2-3 days after immunization.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Red, hot, swollen of entire left deltoid which lasted 2-3 days after pneumovax. Continued with slight ache in left deltoid.
Age: 48.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Red, swollen on left deltoid area 2" X 4" at largest X 4 days.
Age: 5.5
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling, painful right thigh, unable to bend knee and redness to knee. Treated with Benadryl prn. Allergic reaction.
Age: 6.0
Sex: M
Vaccine: DTPHIB, MMR, VARCEL
Symptoms: Infection
Clinical narrative: Rash started at neck and developed to trunk. No fever or itch. Looked like chickenpox but have ordered test for confirmation.
Age: 8.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash
Clinical narrative: On 2/7/03, 3 spots on his chest for 3 days. No fever.
Age: 19.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Chest pain, Pyrexia
Clinical narrative: I had chest pains and chills and a little fever. Had shortness of breath with right lung pain or towards center of chest.
Age: 19.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Hypersensitivity, Pruritus, Rash papular
Clinical narrative: RECEIVED SMALLPOX AND ANTHRAX #3 IMMUNIZATIONS ON 21 MAR 2003. ON 23 MAR 2003 DEVELOPED RASH TO FACE, UE, TRUNK (ANTERIOR AND POSTERIOR) AND PROX THIGHS. EVAL BY ME 27 MAR 2003. HAD PAPULAR RASH IN HEAVY CONCENTRATION TO UE (SPARING PALMS), CHEST, BACK, ABDOMEN, PROX THIGHS, AND FACE WITH A FEW PUSTULES TO FOREHEAD. RASH WAS MOST CONCENTRATED ON FOREHEAD AND HANDS. RASH WAS EVAL BY DERM WHO FELT THIS COULD BE AN INCREASED IMMUNE RESPONSE TO THE SMALLPOX VACCINATION. IN APPEARANCE THE RASH WAS SOMEWHAT SIMILAR TO ATOPIC DERM (HEAVY CONCENTRATION OF PAPULES) AS WELL AS ID REACTION AS IT AFFECTED SIDES OF FINGERS/DORSAL HANDS IN INCREASED CONCENTRATION. MILDLY PRURITIC (PRIMARILY WITH SWEATING). NO SYSTEMIC C/O. NO HX OF ATOPIC DERMATITIS. + HX OF PSEUDOFOLLICULITIS BARBAE, CURRENTLY NOT ON MEDS AND IS ON A NO-SHAVE CHIT.
Age: 59.0
Sex: F
Vaccine: SMALL
Symptoms: Confusional state, Flushing, Headache, Hypoaesthesia
Clinical narrative: I received the smallpox vaccine on 3/19/03.  Headache begun within few hours and persisted since then.  Blood pressure measured on 3/20/03 was 175/82.  Hypertension has continued since then with peak on 3/22/03: 198/84.  Symptoms include headache, flushing, facial numbness and mild confusion.  No previous history of hypertension.  Last measured BP in October, 2003 was 142/80.  Pertinent medical history includes paroxysmal atrial tachycardia of over 20 years, well controlled with 60 mg/day of nadolol.  Starting on 3/21/03, dose of nadolol has been increased to 80 mg/day, and hydrochloratiazide, 25mg/day has been added without significant improvement.  Burst of hypertension with systolic variations from 195-200 to 128-160 have continued.  Work up begun for pheochromocytoma/carcinoid. Could there been any relationship, other than temporary with the onset of severe/symptomatic hypertension and day of smallpox vaccination?
Age: 48.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain
Clinical narrative: Patient experienced an approximately 1 hour episode of chest pain (early morning of 3/24/03 approx 2:00 am).  No other signs or symptoms. Described pain as possibly consistent with severe heartburn, but says he does not often get heartburn.  Patient has no cardiac disease risk factors with the exception of hyperlipidemia.
Age: 2.0
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Injection site mass
Clinical narrative: On 12/20/02 got DTap, mom stated she got a knot the size of her hand on that site.  Child was taken to Urgent Care.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Paraesthesia
Clinical narrative: 20 year old c/o tingling sensation in distal fingers 1st and 2nd digits, and a red dot at injection site. No other sx. ROS unremarkable. Third shot.
Sex: U
Vaccine: ANTH, SMALL
Symptoms: Erythema, Rash macular
Clinical narrative: Diffuse 5-7mm reddish blanching macular rash over trunk 12 days post vaccine.
Age: 25.0
Sex: F
Vaccine: SMALL
Symptoms: Cellulitis, Folliculitis, Injection site reaction
Clinical narrative: L>R bilat axillary cellulitis/folliculitis with primary reaction at site of vaccinia vaccination; some mild folliculitis involving R lateral arm.
Age: 26.0
Sex: F
Vaccine: SMALL
Symptoms: Cellulitis, Injection site erythema, Injection site reaction, Lymphangitis, Pain
Clinical narrative: Pain, fever, erythema with streaking 10x20cm area, lymphoadenopathy, lymphangitis. D: cellulitis. Tx: 1gm IV Ancet/Keflex 500mg bid x 14 days/Tylenol prn.
Age: 26.0
Sex: F
Vaccine: SMALL
Symptoms: Pyrexia, Skin striae
Clinical narrative: Pain, fever, erythema with streaking 10x20cm area, lymphoadenopathy, lymphangitis. D: cellulitis. Tx: 1gm IV Ancet/Keflex 500mg bid x 14 days/Tylenol prn.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Lymphadenopathy, Lymphangitis, Pain
Clinical narrative: Pain, minor adenopathy, lymphangitis, erythema 4cm x 4cm. Minor reaction. Tx: Tylenol/Motrin prn.
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Headache, Lymphangitis, Pain, Skin striae
Clinical narrative: HA/pain/erythema with streaking/lymphangitis. Tx: Tylenol/Motrin prn. Keflex 250 bid x 3 days.
Age: 38.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Erythema, Lymphadenopathy, Lymphangitis, Pyrexia
Clinical narrative: Erythema with streaking. Fever, lymphangitis, adenopathy. Dx: cellulitis. Tx Keflex 500mg bid x 14 days/Tylenol/Motrin.
Age: 38.0
Sex: M
Vaccine: SMALL
Symptoms: Skin striae
Clinical narrative: Erythema with streaking. Fever, lymphangitis, adenopathy. Dx: cellulitis. Tx Keflex 500mg bid x 14 days/Tylenol/Motrin.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Lymphangitis, Pain, Skin striae
Clinical narrative: Pain, erythema with streaking, lymphangitis. Tx: Augmentin/Motrin prn 7 po bid x 3 days.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Pain, Skin striae
Clinical narrative: Pain, erythema with streaking. Tx Motrin prn.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Oedema, Pain, Pruritus
Clinical narrative: Edema, erythema, pain, itching. Tx: Benadryl/ Motrin prn.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Malaise, Pruritus, Rash papular
Clinical narrative: Erythema/papular rash R arms/hands/face/neck/itching/malaise. Tx: Benadryl/Motrin prn.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Mild erythematous rash to face and R arms/itching. Tx: Benadryl/Tylenol/Motrin prn.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Skin striae
Clinical narrative: Erythema with streaking to axilla. Tx Motrin Augmentin T po Bid x 3 days.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site pain, Injection site pustule, Injection site vesicles
Clinical narrative: L shoulder with vaccination pustule with surrounding blistering, minimal erythema, (+) axillary tenderness. Tx: Keflex 250mg po qid x 14 days.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Headache, Injection site erythema, Injection site pain, Lymphadenopathy, Lymphangitis
Clinical narrative: HA, fever, pain in L arm axilla. Erythema with streaking/(+) lymphangitis/(+) adenopathy. Tx: Tylenol prn.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia, Skin striae
Clinical narrative: HA, fever, pain in L arm axilla. Erythema with streaking/(+) lymphangitis/(+) adenopathy. Tx: Tylenol prn.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Feeling hot, Lymphangitis, Pain, Pyrexia
Clinical narrative: Erythema/pain/lymphangitis/warm to touch/fever. Tx: Tylenol po q 4-6h.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site pustule, Rash erythematous, Rash macular, Rash papular
Clinical narrative: Vaccine pustule L shoulder with mild erythema surrounding multiple erythematous papules/macules at hands/forearms/upper arms/face/neck. Tx Benadryl T po Q 6h/tylenol po q4-6 hrs.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Chills, Erythema, Lymphadenopathy, Lymphangitis, Pyrexia
Clinical narrative: Fever/chills/erythema/lymphangitis/adenopathy. Tx: Tylenol po q4-6hrs. Motrin po q 8 hrs bed rest.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Lymphangitis, Pyrexia, Skin striae
Clinical narrative: Fever/erythema with streaking/lymphangitis. Tx: Zithromax po now then po qd x 4 days.
Age: 20.0
Sex: F
Vaccine: SMALL
Symptoms: Decreased appetite, Headache, Lymphadenopathy, Pain, Pharyngolaryngeal pain
Clinical narrative: HA/body aches/sore throat/decrease appetite/fever/adenopathy. Dx: Prodrome to smallpox. Tx: Tylenol po  6h, two liter NSbolus bed rest.
Age: 20.0
Sex: F
Vaccine: SMALL
Symptoms: Pyrexia
Clinical narrative: HA/body aches/sore throat/decrease appetite/fever/adenopathy. Dx: Prodrome to smallpox. Tx: Tylenol po  6h, two liter NSbolus bed rest.
Age: 53.0
Sex: F
Vaccine: SMALL
Symptoms: Blood pressure increased, Headache
Clinical narrative: On 3/25/03 associate went for routine blood pressure check with primary care physician.  Her B/P was noted to be unusually elevated with complaint of headache.  B/P was repeated on 3/26 150-160/100.  Past B/P's have been approx. 130/84.
Age: 48.0
Sex: F
Vaccine: SMALL
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Patient described itching and tightness on forehead, and one or two red, broad-based, slightly raised bumps on back, inner thigh, without fever or other signs/symptoms. Treated with antihistamines.  Forehead rash gone by Wed. 3/19; inner thigh and back rash gone by Fri., 3/21.  No loss of work.  Take at site of vaccination.
Age: 47.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Rash, Rash pustular, Rash vesicular, Tenderness
Clinical narrative: 47 y/o male who received Smallpox vaccine on 13 MAR 03.  Nine days after vaccination, soldier experienced a bump in his left nostril associated with c/o soreness. Within two days, 2-3 mm vesicles developed in his nostril and on his distal left nose, which became slightly larger, coalesced and became pustular.  Pt notes a mild take on his vaccination in left deltoid area, which was nearly completely healed at the time he developed his Rash on the nose.  He denies pain, fevers or other rashes.  He has no history of rashes on skin, though does have a history of sarcoidosis.
Age: 1.1
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Blister, Dermatitis bullous, Infection, Pyrexia, Skin ulcer
Clinical narrative: pt presented to clinic with "skin problem started with some pin-point blisters, some popped with size to 1cm, some dry with crusts overlapping".  Temp: 100.8 F Pt was put on camamile lotion, tylenol PRN.  The patient was diagnosed with Chickenpox.   The patient then came back to the clinic on 3/25/2003 with "unresolved skin problem, has worsened, more redness, some pin-point blisters, some appreaed to be sores with crusts overlapping, some with oozing oil and pus"  Temp: 99.6.  Patient was put on cephalexin for 10 days and was told to continue to bathe daily and cover with dressings.  The patient was then brought to health center on 3/26/2003 with "multiple vessicles with secondary infection, ulcerated sores on feet, more involvement in trunk and extremeties with total body involvement", pt is afebrile.  Pt was admited as an in-patient in the hospital, and   is being treated with Ancef, Tylenol and Vistarel.
Age: 1.5
Sex: F
Vaccine: PNC
Symptoms: Convulsion, Cyanosis, Eye movement disorder, Fatigue, Hypotonia
Clinical narrative: Child was given 0.5 ml Prevnar R thigh IM per Dr. order. Approx 2 seconds after injection, child's eyes rolled back, she became limp and cyanotic, Code was called, airway repositioned, child seized less than 60 seconds with improvement of color and effective respirations.  Small amt Oxygen via face mask given. Became alert,angry, and tired.
Age: 44.0
Sex: M
Vaccine: SMALL
Symptoms: Convulsion
Clinical narrative: Generalized seizure on 3/26/2003.  26 days post vaccination; started Dilantin; had seizure in June 20002; tx to hospital.
Age: 0.1
Sex: M
Vaccine: HEP
Symptoms: Abdominal pain, Crying
Clinical narrative: Patient received Hepatitis-B Vaccine on 03/17/2003 Since that night infant has been having excessive crying and Colic symptoms. Infant has been feeding, voiding and stooling well.No fever. No local reactions at the vaccine injection site have been noticed. Medical exam normal for age.
Age: 63.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Asthenia, Joint range of motion decreased, Pain
Clinical narrative: Extreme pain, loss of ROM in left arm/shoulder,loss of strength in left arm, radiating pain to neck & fingers. Tx. ASA & heating pad
Age: 65.0
Sex: F
Vaccine: PPV, FLUX
Symptoms: Injection site induration, Injection site pain, Swelling
Clinical narrative: Within 15 minutes after shot-the area swollen to the size of 1/2 dollar. Arm was red swollen from elbow to over top of shoulder. Pain very bad that evening. The swelling was double in size and hard as a rock. Next day went to MD. Nurse said swelling is expected but would go down. Don't worry about it. Swelling did not start going down as well as redness until 2 wks later. During that time I called the office and they assessed me all was OK. Finally was able to see a MD 12/09/2002 - 01/02/2002  01/05/2003 ER  MD again 01/09/2003 - 01/22/2003. Ungodly pain from day one. Orthopedic 01/13/2002, 01/27 and 02/28/2003.
Age: 65.0
Sex: F
Vaccine: PPV, FLUX
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Within 15 minutes after shot-the area swollen to the size of 1/2 dollar. Arm was red swollen from elbow to over top of shoulder. Pain very bad that evening. The swelling was double in size and hard as a rock. Next day went to MD. Nurse said swelling is expected but would go down. Don't worry about it. Swelling did not start going down as well as redness until 2 wks later. During that time I called the office and they assessed me all was OK. Finally was able to see a MD 12/09/2002 - 01/02/2002  01/05/2003 ER  MD again 01/09/2003 - 01/22/2003. Ungodly pain from day one. Orthopedic 01/13/2002, 01/27 and 02/28/2003.
Age: 22.0
Sex: U
Vaccine: ANTH, ANTH, ANTH
Symptoms: Back pain, Neuralgia, Neuritis, Neuropathy, Optic neuritis
Clinical narrative: Loss of peripheral vision in left eye w/blurryness w/in 30 mins after 1st Anthrax vax. Tunnel vision 1st noticed approx 12 hrs later. Treated w/steroids for optic neuritis.    The 60 day follow up received on 9/24/03 states pt has moved out of the area without f/u phone #.
Age: 22.0
Sex: U
Vaccine: ANTH, ANTH, ANTH
Symptoms: Stupor
Clinical narrative: Loss of peripheral vision in left eye w/blurryness w/in 30 mins after 1st Anthrax vax. Tunnel vision 1st noticed approx 12 hrs later. Treated w/steroids for optic neuritis.    The 60 day follow up received on 9/24/03 states pt has moved out of the area without f/u phone #.
Age: 22.0
Sex: U
Vaccine: ANTH, ANTH, ANTH
Symptoms: Amblyopia, Headache, Myalgia, Nausea, Optic neuritis
Clinical narrative: Loss of peripheral vision in left eye w/blurryness w/in 30 mins after 1st Anthrax vax. Tunnel vision 1st noticed approx 12 hrs later. Treated w/steroids for optic neuritis.    The 60 day follow up received on 9/24/03 states pt has moved out of the area without f/u phone #.
Age: 22.0
Sex: U
Vaccine: ANTH, ANTH, ANTH
Symptoms: Rash, Visual field defect
Clinical narrative: Loss of peripheral vision in left eye w/blurryness w/in 30 mins after 1st Anthrax vax. Tunnel vision 1st noticed approx 12 hrs later. Treated w/steroids for optic neuritis.    The 60 day follow up received on 9/24/03 states pt has moved out of the area without f/u phone #.
Age: 22.0
Sex: U
Vaccine: ANTH, ANTH, ANTH
Symptoms: Optic neuritis, Vision blurred
Clinical narrative: Loss of peripheral vision in left eye w/blurryness w/in 30 mins after 1st Anthrax vax. Tunnel vision 1st noticed approx 12 hrs later. Treated w/steroids for optic neuritis.    The 60 day follow up received on 9/24/03 states pt has moved out of the area without f/u phone #.
Age: 52.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Hypersensitivity, Rash maculo-papular
Clinical narrative: Generalized maculopapular rash(hypersensitivity-not disseminated vaccinia)- onset day #10 after vaccination on 3/10/03. No constitational symptoms No enanthem. Patient symptoms have improved,not totally resolved.
Age: 19.0
Sex: F
Vaccine: HEP, MEN
Symptoms: Laboratory test abnormal, Meningitis
Clinical narrative: From initial information at manufacturer, it was reported that a 19 year old female patient received Menomune A/C/Y/W 135, UB034AA, on 7/2/01. Route/site were not reported. Patient had cultures sero group C. On 2/15/03, patient had blood cultures and was positive for ? of meningitis group C. Patient was hospitalized for 4 days, then died on 2/18/03.
Age: 16.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Headache, Retinal haemorrhage, Retinopathy, Visual disturbance
Clinical narrative: A nurse reported that her 16 year old daughter developed venostasis retinopathy after receiving hepatitis B vaccine recombinant for prophylaxis. The subject had no known medical history or allergies to food or medicine. The subject received no concurrent vaccines. The subject's concurrent medications included unspecified vitamins. The subject experienced arm soreness following unspecified previous immunizations. On 3/17/03, 71 hrs post immunization, the subject experienced "lines or flashing in and out" of the vision of one eye and a headache. She was seen by an optometrist, who found that the subject had developed a retinal hemorrhage. The subject was referred to a retinal specialist, who made a diagnosis of venostasis retinopathy of unknown cause. The specialist state that the retinopathy, "would resolve on its own" and that "if could be of viral origin." The headache resolved "within a few hours." The reporter stated that the venostasis retinopathy had "improved" but she was "not sure" if the visual disturbance was "100% resolved." The venostasis retinopathy in this report is considered medically serious (OMIC). Follow up on 07/11/2003: "The subject was evaluated by the retinal specialist on 03/21/2003.  At that time, she reported pain in the back of her right eye that had been present since 03/20/2003.  the physician noted that "Retinal examination of the right eye revealed swelling of the nasal disc....There was also marked dilation of the retinal veins.  There was a small punctate hemorrhage nasal to the macula and along the superior temporal arcade."  Examination of the left eye was unremarkable.  Results of MRI of the brain were interpreted as "negative".  The results of other tests were also "negative".  Please see Lab Data section.  The retinal specialists impression was, "The subject has presented with a picture compatible with mild venous stasis retinopathy."  The subject's mother reported that the retinal specialist stated that the retinopathy 'would resolve on it's own' and that 'it could be of viral origin.'  The headache resolved 'within a few hours'.  The subject's mother stated that the venostasis retinopathy had 'improved' but she was 'not sure' if the visual disturbance was 100% resolved.  On 04/18/2003, an eye exam was reportedly normal.  The most recent information received on 07/07/2003, did not specify the outcome of the event.  The venostasis retinopathy in this report is considered medically serious."
Age: 16.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Headache, Visual disturbance
Clinical narrative: A nurse reported that her 16 year old daughter developed venostasis retinopathy after receiving hepatitis B vaccine recombinant for prophylaxis. The subject had no known medical history or allergies to food or medicine. The subject received no concurrent vaccines. The subject's concurrent medications included unspecified vitamins. The subject experienced arm soreness following unspecified previous immunizations. On 3/17/03, 71 hrs post immunization, the subject experienced "lines or flashing in and out" of the vision of one eye and a headache. She was seen by an optometrist, who found that the subject had developed a retinal hemorrhage. The subject was referred to a retinal specialist, who made a diagnosis of venostasis retinopathy of unknown cause. The specialist state that the retinopathy, "would resolve on its own" and that "if could be of viral origin." The headache resolved "within a few hours." The reporter stated that the venostasis retinopathy had "improved" but she was "not sure" if the visual disturbance was "100% resolved." The venostasis retinopathy in this report is considered medically serious (OMIC). Follow up on 07/11/2003: "The subject was evaluated by the retinal specialist on 03/21/2003.  At that time, she reported pain in the back of her right eye that had been present since 03/20/2003.  the physician noted that "Retinal examination of the right eye revealed swelling of the nasal disc....There was also marked dilation of the retinal veins.  There was a small punctate hemorrhage nasal to the macula and along the superior temporal arcade."  Examination of the left eye was unremarkable.  Results of MRI of the brain were interpreted as "negative".  The results of other tests were also "negative".  Please see Lab Data section.  The retinal specialists impression was, "The subject has presented with a picture compatible with mild venous stasis retinopathy."  The subject's mother reported that the retinal specialist stated that the retinopathy 'would resolve on it's own' and that 'it could be of viral origin.'  The headache resolved 'within a few hours'.  The subject's mother stated that the venostasis retinopathy had 'improved' but she was 'not sure' if the visual disturbance was 100% resolved.  On 04/18/2003, an eye exam was reportedly normal.  The most recent information received on 07/07/2003, did not specify the outcome of the event.  The venostasis retinopathy in this report is considered medically serious."
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Abdominal pain, Arrhythmia, Leukocytosis, Nausea
Clinical narrative: Acute abdominal pain w/nausea / irregular heat rate / neutrophilic leukocytosis: All w/in hours of receiving Anthrax vax. Seen in ER, evaluated, released home. Reports resolution of Sx over next 2 days.
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Pain
Clinical narrative: Soreness in right knee started after 2 days, had continued since. Non-existent during days at night starts to ache and throb.
Age: 19.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema multiforme, Rash maculo-papular
Clinical narrative: Apparent erythema multiforme recession. Erythematous papular / macules on arms/trunk. Raised irregular plagues on ankles.
Age: 4.9
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site hypersensitivity, Injection site reaction, Pruritus, Skin ulcer
Clinical narrative: Large local and systemic reaction to imm. after urticarial lesion of right arm; itchy eyes and mouth.
Age: 2.0
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Cellulitis, Injection site hypersensitivity, Injection site oedema, Injection site reaction, Vasodilation procedure
Clinical narrative: PT received 4 immunizations on 3/20/03. When picked up from babysitter 3/21, noted warm, red, swollen right thigh. Sx's worsened until seen on 3/23/03 and treated w/Keflex Nodup. Seen 3/24 with improvement. Dx cellulitis vs. severe immunization local reaction. PE otherwise normal. Recovered by 3/27/03. Firm nodule still, but no redness / edema.
Age: 60.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Injection site mass, Myalgia, Oedema, Pain
Clinical narrative: 2/10/03 p.m. Noted knot and soreness on left upper arm above inject site. 2/11/03 p.m. Noted redness to upper arm, also itching and slight discomfort went to see private MD - Temp. 98.8, edema, erythema, and punitis - MD's diagnosis -> insect bite, treated. 2/28/ Redness, pain, swelling, itching lasted 2 wks.
Age: 60.0
Sex: F
Vaccine: TD
Symptoms: Pruritus, Pyrexia
Clinical narrative: 2/10/03 p.m. Noted knot and soreness on left upper arm above inject site. 2/11/03 p.m. Noted redness to upper arm, also itching and slight discomfort went to see private MD - Temp. 98.8, edema, erythema, and punitis - MD's diagnosis -> insect bite, treated. 2/28/ Redness, pain, swelling, itching lasted 2 wks.
Age: 1.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site rash, Rash
Clinical narrative: An MD's office called on 2/4/03 at 10:30 stated child had large palm sized rash on left thigh, no fever, no swelling. Also had quarter sized rash on right thigh, no swelling or fever.
Age: 3.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site oedema
Clinical narrative: Palm size swelling on left leg, no fever, no rash.
Age: 1.4
Sex: F
Vaccine: DTAP
Symptoms: Injection site oedema, Injection site rash
Clinical narrative: Palm size rash on left thigh (inject site), swelling, no fever. MD gave antibiotics and Benadryl.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site oedema
Clinical narrative: Palm sized swelling on left thigh, no fever or redness.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site reaction
Clinical narrative: Left arm swollen from inject site past elbow to middle forearm, redened, feverish at inject site. Inject site fine on 3/1/03 after returning from dad's house 3/2/03 above noted.
Age: 0.4
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Crying, Pyrexia
Clinical narrative: Mother stated child received DTaP, Prevnar, Comvax and IPV. Child slept until he arrived home then had a blood curdling scream for 6 hrs. Fever as high as 102 with Tylenol fever and to normal by 2 a.m. Would not take bottle until next morning.
Age: 1.25
Sex: M
Vaccine: HIBV, MMR
Symptoms: Pyrexia
Clinical narrative: MMR given on 2/25/03. Client spiked 103 temp on 3/4 and 3/5. No other Sx's. PT called local health department  and also called Pediatrician. No treatment.
Age: 15.0
Sex: F
Vaccine: HEP
Symptoms: Chest pain, Paraesthesia
Clinical narrative: Telephone call today from mother 1/17/03 to report - patient c/o heaviness in her chest at 2 a.m. on 8/8/02 - "Like an elephant was sitting on her chest" also had tingly feeling from her neck down to chest. No other concerns. Did not call site - no other prob's since that time.
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Hive like rash left arm with c/o itch noted 1/3/03 a.m. Rash also noted on neck and face 1/4/03 then cleared. Benadryl PO taken PRN for itchiness.
Age: 0.25
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Conjunctivitis, Cough, Pharyngitis, Pyrexia, Rhinitis
Clinical narrative: According to baby's mother, PT cried constantly for 3 hours beginning approx 3 hrs after receiving the immunizations. He would nurse for short periods of time, and fall asleep for short intervals during this 3 hr period of crying - not a high shrill cry. That night at approx 2:30 a.m., fever was 103 deg; he had received 3 doses of infant Tylenol, 1 dropperful prior to fever. Mother noticed that he seemed "stuffy" and eyes were redenned (described by mother as appearance of "pink eye"). She set up the vaporizer and called pediatrician, who advised her to alternate Motrin and Tylenol every 2 hrs for fever management (according to mother). Fever persisted for 2 days; subsided the night of 3/6/03. On 3/7/03 baby exhibited cold Sx's - cough, congestion and sore throat. Mother continued use of vaporizer. Did not take baby to MD's office. Sx's are subsiding now - 3/12/03.
Age: 0.25
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Screaming
Clinical narrative: According to baby's mother, PT cried constantly for 3 hours beginning approx 3 hrs after receiving the immunizations. He would nurse for short periods of time, and fall asleep for short intervals during this 3 hr period of crying - not a high shrill cry. That night at approx 2:30 a.m., fever was 103 deg; he had received 3 doses of infant Tylenol, 1 dropperful prior to fever. Mother noticed that he seemed "stuffy" and eyes were redenned (described by mother as appearance of "pink eye"). She set up the vaporizer and called pediatrician, who advised her to alternate Motrin and Tylenol every 2 hrs for fever management (according to mother). Fever persisted for 2 days; subsided the night of 3/6/03. On 3/7/03 baby exhibited cold Sx's - cough, congestion and sore throat. Mother continued use of vaporizer. Did not take baby to MD's office. Sx's are subsiding now - 3/12/03.
Age: 15.0
Sex: F
Vaccine: HEP
Symptoms: Face oedema, Pruritus
Clinical narrative: Awoke next day with itching, facial swelling. Tx: Benadryl by MD's at hospital.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site inflammation, Injection site oedema
Clinical narrative: Mother reported left arm hot to touch, red and swollen. Saw MD this a.m. and he ordered cold pack, antibiotics and Tylenol (3/7/03) stated left arm (inject site) was 1.5 times the size of right arm.
Age: 2.08
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Dermatitis bullous, Rash maculo-papular
Clinical narrative: Right lateral thigh with maculopapular red rash in anular pattern, 3 cm circumference. 5 distinct papules, one beginning to become vesicle.
Age: 11.0
Sex: F
Vaccine: HEP, TD
Symptoms: Erythema, Injection site mass, Pyrexia
Clinical narrative: 02/13/2003 Red 2 1/2 inches x 2 1/2 inches. Fever, hard knot
Age: 1.0
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Vesicular "chicken pox" rash, no fever. Child playful and alert.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Joint range of motion decreased
Clinical narrative: Left upper arm just below injection site red, 1/2 dollar in size warm, firm to trunk, limitations but flexible. Parents said child c/o arm last evening. no fever. Has been giving child Advil. Apply some cold compresses. Pt presents, child looks well and is able to attend day care. I asked parent to continue Advil and to apply warmth when they can. Also asked them to bring the child back 03/10/2003.
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Infection, Pyrexia
Clinical narrative: Developed fever 02/27/2003 and broke out with chicken pox 02/28/2003. ( 20+ pox). Sister recevied varicella vaccine same day, no pox developed.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Hypotonia, Injection site erythema, Injection site pain, Pyrexia
Clinical narrative: Moderate erythema, pain and limp. Temp increase 102. 24-48 hours after vaccine left thigh
Age: 4.0
Sex: M
Vaccine: UNK
Symptoms: Infection
Clinical narrative: Child developed chickenpox on 03/10/2003. Lesions on trunk (front and back) neck, forehead, back of knee, upper arms, no hands or privates. At least 20 lesions noted and mom says he continues to break out. (child has hypogammaglobulinemia(diag before injection)
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Child has varicella which she contracted from her brother
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Blister
Clinical narrative: 03/07 was on amoxicillin , has thought it was allergic RX, but by late pm he was covered and had vesicles in various stages and remains that way with most on his trunk and hair.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Has chicken pox
Age: 1.08
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Pt came in 2 days later with slight swelling and redness around vaccine area on right leg.
Age: 51.0
Sex: F
Vaccine: LYME
Symptoms: Arthralgia, Fatigue, Insomnia, Memory impairment, Myalgia
Clinical narrative: Fatigue, muscle and joint pain, problems sleeping, memory problems
Age: 1.4
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Child received Varivax 01/11/2002 and 02/12/2002. She presented with about 10-15 pox lesions on head, face, arm, and abdomin. Recovered with no problems. The follow up received on 4/11/03 states the child received Varivax on 1/31/03. On 2/13/03 she presented with approximately 10-15 pox lesion on head, face, arm and abdomen.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: 4cm area of erythema and warmth around site of DTaP injection left deltoid.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: 4cm area of erythema and warmth around site of DaPT injection left deltoid.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Left post lateral thigh area 1 1/4 diameter redness/induration. Right thigh 5in x 6in area/severe swelling thigh redness/induration. (Pt given Augmentin ES,Orapred Syrup and Benadryl- on follow up visit next day)
Age: 31.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Injection site pain
Clinical narrative: After vaccine of #2 dose varicella on 18 March 03 noticed small redness on thigh (am 20Mar 03) apprx. 1 in diameter- Increased to hand size by 1300. red area with yellowish center-no lesons. No fever. instructed to see MD. 24 Mar 03- site improving. Still tender.
Age: 51.0
Sex: F
Vaccine: FLUX
Symptoms: Dysgeusia, Headache, Pain, Stomach discomfort
Clinical narrative: Upset stomache, headache, achy all over, metallic taste in mouth. All for a couple days.
Age: 1.75
Sex: M
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Abasia, Irritability
Clinical narrative: Mother informed nurse of the day that son was unable to walk and cried when he tried to do so. There was no fever,redness or swelling.
Age: 20.0
Sex: M
Vaccine: HEPA, TYP
Symptoms: Headache, Lymphadenopathy, Nausea
Clinical narrative: Clients mother called regarding Typhim VI reactions. Client on vacation and states to his mother today 03/18/2003 that he has swollen glands. Clients mother states he also had nausea, headache, and felt like crap over the weekend. Unable to obtain further information. Clients mother leaving town. Clients mother states she will have him follow up with a physician .
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling
Clinical narrative: Local reaction with swelling, erythema, over 24-36 hours after injection; left anterior thigh. OTC Benadryl only.
Age: 53.0
Sex: F
Vaccine: TD
Symptoms: Injection site hypersensitivity, Injection site mass, Myalgia
Clinical narrative: PT called clinic stating she had a red area, the size of a quarter, and a firm knot at the inject site. Area only sore to touch. Denies fever, red streaks or swelling. Pt advised to use warm compresses and Tylenol for discomfort.
Sex: F
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: Edema, erythema - left UE near inject site. Resolved with Prednisone.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Client has a bad case of chicken pox (whole classroom is getting it)
Age: 13.0
Sex: F
Vaccine: HEP
Symptoms: Pharyngitis, Rash, Rash pruritic, Rhinitis
Clinical narrative: 2/19/03 Step-mom called and stated when PT came home yesterday had itchy rash all over body (had Hep B inject); states they called poison control and was advised to give Benadryl - states child still has itchy rash today - advised to s/u? with P/ and let another medical organization know if they think rash is shot related or not. 2/19/03 Spoke with step mom, states school nurse told her child was better (rash better, no itching) - step-mom states PT also "has a cold" - states school was to call her if any prob's but they haven't called her back (didn't to go MD since she was better) - asked step mom to notify center if any further prob's. 2/20 - Step mom called and said PT was taken to ER last night - rash was on face, neck, all over - state Dx was Hep B reaction, was given prednisone and atarax. She states PT's doing better today - no school x 48 hrs per MD - asked step mom to ask dad to come by the center and sign ROT for hospital records - she said she would.
Age: 8.0
Sex: F
Vaccine: DT, HIBV, IPV
Symptoms: Injection site mass, Injection site oedema
Clinical narrative: Right leg (inject site) swollen, hard 2 cm x 4 cm
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Oedema, Pain, Pyrexia, Vasodilation procedure
Clinical narrative: 3/17/03 - DTaP injection at right deltoid. 3/18 a.m. - pain, swelling, redness, 5 x 8 cm area of right shoulder. Fever of 101.1 deg F.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Erythema, Injection site mass, Oedema, Pain
Clinical narrative: Edema, erythema, induration with tenderness
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site oedema
Clinical narrative: Edema, erythema, induration with tenderness
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Dermatitis bullous, Erythema, Injection site mass, Oedema, Pain
Clinical narrative: Erythema, edema, induration with tenderness, blisters.
Age: 4.5
Sex: F
Vaccine: MMR
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: Large approx 5-10 cm area redness, swelling localized near inject site (MMR) (had IPV same leg)
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site mass, Rash maculo-papular
Clinical narrative: Right thigh redness, patchy over 10 cm area noted today (3/17)
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Crying, Injection site mass
Clinical narrative: Induration to right thigh inject site, uncont? rolled crying
Age: 17.0
Sex: F
Vaccine: HEP
Symptoms: Lymphadenopathy, Malaise, Myalgia, Nausea, Systemic lupus erythematosus
Clinical narrative: 3/20/02 Hep B #1 c/o not feeling good 1 wk post shot; 4/25/02 Hep B #2, 1-2 wks Nausea, run down, muscle ache; 5/21/02 Lymph nodes enlarges decreased platelet, blood work; 6/02 Lupus Dx
Age: 17.0
Sex: F
Vaccine: HEP
Symptoms: Thrombocytopenia
Clinical narrative: 3/20/02 Hep B #1 c/o not feeling good 1 wk post shot; 4/25/02 Hep B #2, 1-2 wks Nausea, run down, muscle ache; 5/21/02 Lymph nodes enlarges decreased platelet, blood work; 6/02 Lupus Dx
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash vesicular
Clinical narrative: Chicken pox x 3 in past 3 yrs. Mother reports Dx'd by MD's last/currently Dx 3/3/03.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: At approx 5 p.m. on 3/25/03 mom noticed redness and swelling at inject site. Worse? on 3/26/03. Brought PT into see MD on 3/27/03 at 11:00. Left lat / anterior thigh 7 x 7.5 cm round erythema around vax site.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Cellulitis, Injection site oedema, Lymphadenopathy
Clinical narrative: LEFT ARM SWELLING, NKO LYMPHADENOPATHY OR SIGNS OF CELLULITIS.  TREATED WITH ORAL ANTIINFLAMATORIES.
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Cellulitis, Injection site oedema, Lymphadenopathy
Clinical narrative: LEFT ARM SWELLING, NO LYMPHADENOPATHY OR SIGNS OF CELLULITIS.  TREATED WITH ORAL ANTIINFLAMATORIES.
Age: 44.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain, Injection site pain, Lymphadenopathy, Tenderness
Clinical narrative: 44 yo female with no known history of cardiac disease presented one week after vaccination for her take check.  At that time she c/o pain at vaccination site and swollen tender axillary lymph nodes on the same side as the vaccination.  She complained that the pain had begun to spread across her chest to the other axilla.  Pain was described as a "tenderness", not squeezing, not sharp, less than 5/10 in intensity.  No other accompanying symptoms were reported.  An EKG, troponin, ESR, and echo were done all of which were within normal limits.  She was able to go back to work later that day.
Age: 40.0
Sex: F
Vaccine: SMALL
Symptoms: Cow pox
Clinical narrative: Generalized Vaccinia
Age: 0.53
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Convulsion, Cyanosis, Electroencephalogram abnormal, Eye disorder, Hypokinesia
Clinical narrative: Stereotypical paroxysimal episodes of eye movements, staring, decreased responsiveness, perioral cyanosis. Seen in hospital and transferred to another hospital. Treated for seizure disorder. CT scan showed small subarch cyst. MRI scheduled.
Age: 0.53
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Laboratory test abnormal, Staring
Clinical narrative: Stereotypical paroxysimal episodes of eye movements, staring, decreased responsiveness, perioral cyanosis. Seen in hospital and transferred to another hospital. Treated for seizure disorder. CT scan showed small subarch cyst. MRI scheduled.
Age: 46.0
Sex: F
Vaccine: SMALL
Symptoms: Influenza like illness, Lethargy, Malaise, Nasal congestion, Pharyngitis
Clinical narrative: WOKE UP DAY AFTER VACCINATION WITH FLU LIKE SYMPTOMS. LETHARGY AND MALAISE. SCRATCHY THROAT, STUFFY NOSE. LETHARGY AND MALAISE SYMPTOMS WORSENED. NO FURTHER "COLD LIKE" SYMPTOMS. SEEN BY DR. ON 3/25/03. HAD CBC AND MONONUCLEOSIS TEST. MONO NEGATIVE. CBC WITHIN NORMAL LIMITS. SAW FAMILY PHYSICIAN ON 3/27. NO SYMPTOMS OF ANY "BUGS" CURRENTLY BEING EXPERIENCED IN OUR AREA. B-12 INJECTION GIVEN.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Anorexia, Fatigue, Headache, Lymphadenopathy, Nasal congestion
Clinical narrative: Headache, intermitent fever, loss of appetite, swollen lymph nodes of axilla and neck, fatigue, and congestion. Onset of sx 8 days after vaccination.  Treated with Motrin and Deconsal, rest.  Good relief of body aches and fevers after 24 hrs.  Axillary nodes prominent on affected side (Right) and erythema of vaccination site extends 10cm x 8cm with streaking around ant upper arm to axilla.  No necrosis of vaccination pustule. Patient is continuing to improve, but has not completely resolved at this time.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Pain, Pyrexia, Skin striae
Clinical narrative: Headache, intermitent fever, loss of appetite, swollen lymph nodes of axilla and neck, fatigue, and congestion. Onset of sx 8 days after vaccination.  Treated with Motrin and Deconsal, rest.  Good relief of body aches and fevers after 24 hrs.  Axillary nodes prominent on affected side (Right) and erythema of vaccination site extends 10cm x 8cm with streaking around ant upper arm to axilla.  No necrosis of vaccination pustule. Patient is continuing to improve, but has not completely resolved at this time.
Age: 55.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site pustule, Rash papular
Clinical narrative: Vaccinated 02/24/2003. Developed pustular lesions in left axilla 03/18/2003. Lesions improving but not yet resolved. on 03/28/2003 developed two papular lesions on left chest/back and one on right chest. no fever or systemic Sx. no scab developed at vaccination site. drainage continued from site until 03/26/2003
Age: 25.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Erythema, Erythema multiforme, Fatigue, Malaise, Rash
Clinical narrative: red rash, fatigue, malaise diffuse erythematous rash over chest and back  erythema multiforme vs viral exanthum
Age: 25.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Rash erythematous
Clinical narrative: red rash, fatigue, malaise diffuse erythematous rash over chest and back  erythema multiforme vs viral exanthum
Age: 25.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Erythema, Fatigue, Malaise, Rash
Clinical narrative: red rash, fatigue, malaise diffuse erythematous rash over chest and back  erythema multiforme vs viral exanthum
Age: 53.0
Sex: M
Vaccine: SMALL
Symptoms: Atrial fibrillation
Clinical narrative: 3 hrs atrial fibrillation - no anociated discomfort. Documented by EKG, nl thyroid tests, hohx Cardiac dz (mild childhood murmur) Spontaneous resolution w/out med. No reoccurrence. No meds - user nicorettegen. nl electrolyter, CBC.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Headache, Migraine
Clinical narrative: Created severe migraine headaches. Pt began having a prolonged, severe headache starting on day 7 after Sp vaccination and lasting several days. Lp WNL. Pt has hx of migraines, but none lasting this long. Migraines have been controlled with prophylatic meds
Age: 21.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Several local reaction. Redness, pain, edema of left upper arm 21 cm x 17cm around vaccination sit. (10 days after vaccination). Treatment Ibuprofen 500mg TID, Allegra 60mg BID
Age: 37.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Paraesthesia, Sensation of heaviness, Skin burning sensation
Clinical narrative: Severe burning that spread along arm to right anterior posterior chest. onset within 10 sec. Duration app 15 minutes. 2 weeks after right arm still has pins/needles sensation with heavy feel.
Age: 41.0
Sex: F
Vaccine: SMALL
Symptoms: Dizziness, Headache, Nausea
Clinical narrative: Vaccinee was vaccinated twice, on 3/3 and 3/18.  On Day 9 after first vaccination, she had dizziness, headache, and nausea, and stayed home in bed for about 36 hours, missing one day of work.  She said that these symptoms got better on bedrest and ibuprofen.  Then, due to no take on the first try, she was re-vaccinated on 3/18.  This time, on day 2 (3/20/03) she again became dizzy and nauseated with headache, although not as bad as the first time, and she was able to continue working.  She describes dizziness was associated with rapid head-turning.  Didn't see a provider.  Still feeling slightly fatigued, but not dizzy, headachy, or nauseated.