chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 57.0
Sex: M
Vaccine: SMALL
Symptoms: Ventricular extrasystoles
Clinical narrative: 03-26-2003- RN received a call from Dr. nurse stating that Dr. was having some patient and he has never had heart trouble before. The only thing different that he has done is get the smallpox vaccine. Nurse was directed to have MD call another MD.
Sex: M
Vaccine: SMALL
Symptoms: Headache, Malaise, Musculoskeletal stiffness, Neck pain, Pyrexia
Clinical narrative: Smallpox vaccine received 3/28/2003. On 3/31/2003, pt reports slept all day. Woke up at 10pm with fever 101. Called in sick on Monday c/o headache and neck pain. Headache continued Tuesday with fever 101. Continued malaise, wanting to sleep. C/o axillary pain at left side. To employee health. Reports continued headache, neck pain and stiffness. Transferred to ER. Reports negative spinal tap. Kept for observation. IV Rocephin given. Discharged home.
Sex: M
Vaccine: SMALL
Symptoms: Somnolence
Clinical narrative: Smallpox vaccine received 3/28/2003. On 3/31/2003, pt reports slept all day. Woke up at 10pm with fever 101. Called in sick on Monday c/o headache and neck pain. Headache continued Tuesday with fever 101. Continued malaise, wanting to sleep. C/o axillary pain at left side. To employee health. Reports continued headache, neck pain and stiffness. Transferred to ER. Reports negative spinal tap. Kept for observation. IV Rocephin given. Discharged home.
Sex: F
Vaccine: SMALL
Symptoms: Back pain, Pyrexia
Clinical narrative: 10 days after vax, c/o severe backache and fever (high temp 101.5 deg). Backache persisted for 3 days. Saw MD on 3rd day. MD prescribed Norflex for back. Recommended Tylenol for fever. PT recovered by 4th day.
Age: 48.0
Sex: F
Vaccine: SMALL
Symptoms: Bone pain, Fatigue, Lymphadenopathy, Oedema
Clinical narrative: Had vax on 2/13/03 w/a major take, had an enlarged lymph node under left arm and minor fatigue that is still noted. On 4/5/03 started having severe pain in tail bone, but no memory of injury or fall. On 4/6/03 went to ER and a x-ray of the coccyx was done and showed no fractures but showed inflammation which was Tx'd with an injection and 2 prescriptions, Bextra & Percocet. Off from work on 4/7/03. On Wed, 4/9, went to family MD for routine 6 month blood work (has taken 20-40 mg Zocor for about 2 yrs, Levoxil, and INH for positive skin test since Jan. 03). Lab results showed Alk. P. 211 SGPT 874, and SGOT 666. Family MD and TB clinic MD recommended to stop all meds except Levoxil for Thyroid prob's (had Thyroid removed in 2001). Thyroid levels at blood work was w/in the normal range and Cholesterol level was 274. Due to return to family MD for repeat blood work on Wed, 4/16/03.
Age: 19.0
Sex: F
Vaccine: MMR
Symptoms: Abortion, Unintended pregnancy
Clinical narrative: Information has been received from a nurse practitioner concerning a 19 year old (initially reported as a 17 year old) black female who on 2/12/03 was vaccinated with a second dose of MMR (second generation) (lot # 642700/0528) five weeks after her last menstrual period (approximately 1/8/03). The patient then found out that she was already pregnant at the time of vaccination. In approximately March 2003 a urine beta-human chorionic gonadoptropin test confirmed the pregnancy. The patient had no previous pregnancies. It was reported that no diagnostic testing was done during pregnancy and the patient had no reported illnesses or infections during pregnancy. It was reported that the patient took no prescription drugs during pregnancy. In March 200 the pregnancy ended in a spontaneous abortion 9 weeks after the last menstrual period. Unspecified medical attention was sought for the vaccine exposure during pregnancy, but it is unknown if medical attention was sought for the spontaneous abortion. No further information is expected.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Aneurysm, Arterial thrombosis, Diarrhoea, Kawasaki's disease, Laboratory test abnormal
Clinical narrative: Baby started vomiting and diarrhea and fever 1st week. effected by swelling of hands, feet, reports splenomegaly, fever resolved. Admitted to med center. Dx Kawasaki, + coronary aneurysm, fever not responding to IgG x 4 courses, steroids and eventually  ? in 1 month. Discharged with aneurysm readmitted for thrombus treated at hospital. A follow up report received 6/30/2003 adds: Coronary aneurysm still persists at 8mm diameter. Follow up in 2004: No information reported. Huge coronary aneurysms still persists. Under cardiologists care. On Aspirin & Coumadin, check INR of monthly.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Oedema peripheral, Pyrexia, Splenomegaly, Vomiting
Clinical narrative: Baby started vomiting and diarrhea and fever 1st week. effected by swelling of hands, feet, reports splenomegaly, fever resolved. Admitted to med center. Dx Kawasaki, + coronary aneurysm, fever not responding to IgG x 4 courses, steroids and eventually  ? in 1 month. Discharged with aneurysm readmitted for thrombus treated at hospital. A follow up report received 6/30/2003 adds: Coronary aneurysm still persists at 8mm diameter. Follow up in 2004: No information reported. Huge coronary aneurysms still persists. Under cardiologists care. On Aspirin & Coumadin, check INR of monthly.
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Cellulitis, Injection site hypersensitivity, Injection site reaction, Oedema
Clinical narrative: Vax administered on 4/1/03. PT with erythema at inject site on 4/2/03. Gradually increase in size since then. On 4/3/03 ED for cellulitis - abx (antibiotics) started.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Superficial cellulitis postural to injection site.
Age: 30.0
Sex: F
Vaccine: ANTH
Symptoms: Chills, Nasal congestion, Pyrexia
Clinical narrative: Nasal congestion, fever, chills.
Age: 84.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: On 04/07 patient received pneumonia and flu shot in left arm IM. That same day, patient's arm swelled from site of injection to elbow turning red and skin warm.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: DTaP left arm. Red/swollen 9cmx9cm. Benadryl and Tylenol.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: After 48 hours from DTaP vaccine, Right deltoid area red/swollen 5.5cm. Treated with Benadryl and Tylenol.
Age: 1.25
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Drug ineffective, Rash vesicular
Clinical narrative: Vesicular rash - varicella
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left thigh silver dollar sized raised, red area; warm to touch.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Patient has an area of erythema and induration over right upper arm ascending from tip of shoulder to the lower third of upper arm. Patient was treated with Benadryl and Keflex.
Age: 36.0
Sex: F
Vaccine: SMALL
Symptoms: Arthralgia, Cellulitis, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Vaccinated 3/28/03, follow up visit 4/4/03 (day seven) mild erythema with major response. Patient related day 8 erythema increased approximately 6" distally from site with warmth and tenderness, arthralgias and fever-low grade. Symptoms persisted on 4/6 and 4/7. Seen 4/8 with erythema approximately 5cm surrounding SP site; skin warm/tender. Vaccine site umbilicaled and swollen. No lymphoma. 4/11/03 Cellulitis results after 5 day on Tequin.
Age: 36.0
Sex: F
Vaccine: SMALL
Symptoms: Pyrexia
Clinical narrative: Vaccinated 3/28/03, follow up visit 4/4/03 (day seven) mild erythema with major response. Patient related day 8 erythema increased approximately 6" distally from site with warmth and tenderness, arthralgias and fever-low grade. Symptoms persisted on 4/6 and 4/7. Seen 4/8 with erythema approximately 5cm surrounding SP site; skin warm/tender. Vaccine site umbilicaled and swollen. No lymphoma. 4/11/03 Cellulitis results after 5 day on Tequin.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Arthralgia, Blister, Cough, Headache, Lymphadenopathy
Clinical narrative: 15 days post varivax, developed fever (104), joint pain, headache, cough, 3 lesions on back/buttocks, 2 lesions on abdomen. Lesions have erythematous base with raised vesicle with clear fluid. Anterior cervical adenopathy. Fresh vesicles still today. Brother had varivax same day and has similar reaction.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Pyrexia, Skin ulcer
Clinical narrative: 15 days post varivax, developed fever (104), joint pain, headache, cough, 3 lesions on back/buttocks, 2 lesions on abdomen. Lesions have erythematous base with raised vesicle with clear fluid. Anterior cervical adenopathy. Fresh vesicles still today. Brother had varivax same day and has similar reaction.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Blister, Erythema, Lymphadenopathy, Pyrexia
Clinical narrative: 15 days post varivax, developed fever and T perianal T mm vesicle on erythematous base. Anterior cervical adenopathy. Brother got varivax same day and having similar reaction. Still has fresh vesicles today.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia, Swelling
Clinical narrative: Child developed marked swelling of whole anterior aspect of lower thigh from knee to flexor crease of hip. Fever to 101.1.
Age: 39.0
Sex: F
Vaccine: RUB
Symptoms: Pharyngolaryngeal pain, Pyrexia, Rash
Clinical narrative: 4/7/03 This morning, noted rash over most of body after shower. Sore throat one week ago but better now. Lymph node post cervical chain. Temp 99.2.
Sex: M
Vaccine: HIBV, PNC
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Mother noted large redness, swelling next day at each injection site. HIB was largest. Child had some fever. Large redness, swelling and warmth remained 4/3/02
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site reaction
Clinical narrative: Right ? area of erythema, induration, rubor consistentwith local reaction. 9cmx10cm. Resolved rapidly with ice. No systemic signs.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Urticaria on feet and lower extremities approximately 10 minutes after immunization. Given Benadryl and observed for 30 minutes.
Age: 0.25
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Injection site reaction, Pyrexia
Clinical narrative: Local reaction only; low grade fever.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Rash, Urticaria
Clinical narrative: Grandmother phoned 4/10 reports that child had hives, rash and itching all over body approximately 1 hour after immunizatins. States was not having any problems breathing but took child to ER; seen by doctor and given Benadryl IV and an oral steroid to take for 6 days. Home at approximately 17L30 and child fine. Rash, hives gone. Denies fever or redness at injection site. Seen by family doctor on 4/4 as directed by ER. Doctor oral steroid stopped. No further problems noted.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site mass, Injection site warmth
Clinical narrative: Developed a 4"x2" red, warm, lump around DTaP site within 24 hours of vaccine.
Age: 1.5
Sex: F
Vaccine: DTAP, PNC
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Right thigh at injection site developed deep red indurated plaque about 5" within 24 hours of vaccination. Treated with cool compress and Benadryl.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Rash vesicular
Clinical narrative: Varivax vaccine failure. Patient developed hundreds of chicken pox lesions about 2.5 years after the vaccine was given.
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash pruritic
Clinical narrative: Systemic rash (trunk) had pruritis.
Age: 61.0
Sex: F
Vaccine: RUB
Symptoms: Arthralgia
Clinical narrative: Joint pain (knees - primarily right) began approximately 4 weeks prior to this writing. Ibuprofen as needed. Vaccine administered 2/12/03.
Age: 1.0
Sex: M
Vaccine: HBHEPB, MMR, PNC
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Erythema and edema at left arm injection site. Treated with Tylenol and compress.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Rash
Clinical narrative: Benadryl 1 tsp PO one time. Rash started about 24 hours post vaccine on entire body.
Age: 0.5
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Pt received 6 month vaccines - DTAP, IPV IM L thigh.  Developed significant redness/induration at injection site lasting 18 hours before resolving.  Area of induration larger than 50 cent piece.
Age: 1.25
Sex: F
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Herpes zoster, Rash vesicular
Clinical narrative: Patient developed herpes zoster (Varicella) from varicella vaccine all along left hand and arm. She went to ER after visit at clinic for confirmation of disease process.
Age: 1.0
Sex: M
Vaccine: DTAP, HBHEPB, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left thigh with erythema and warm to touch with some swelling.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site swelling, Rash, Urticaria
Clinical narrative: 3/13 Swelling at site; rash, hives, welts. Seen on 3/24: rash, Aveeno baths, Benadryl every 6 hours. 3/28/03 Benadryl to Claritin; ongoing hives.
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Injection site swelling, Urticaria
Clinical narrative: Patient received MMR vaccine. Approximately 5 minutes after getting vaccination, he developed hives on face and swelling of area around injection site. No respiratory symptoms. Patient was given Benadryl.
Age: 2.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Patient received DTaP, IPV, MMR on 4/7/03. Left thigh began to swell on 4/9/03. + erythema, + warmth, - fever. No limp or pain. - rash. Swelling appears left upper thigh and spreading down to knee.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Myalgia, Neck pain, Pain, Pharyngolaryngeal pain
Clinical narrative: Child awoke with body aches, sore muscle, sore throat, neck pain; rapid strep positive. Treated with Cefzel.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Rash, Skin ulcer
Clinical narrative: On 9th day after vaccination, positive generalized rash on torso, upper arm, and back. No complaints of fever, chills or tender axilla. Exam on 14th day, rash is diffuse and dried except for 1 lesion on left shoulder. No axillary adenopathy; tenderness. Lesion about 8-12mm with erythema; no vesicles. Slight flakiness to site. Only on chest, back and upper arm. No on mucous membranes or hands.
Age: 1.3
Sex: F
Vaccine: HBHEPB, MMR
Symptoms: Dyskinesia, Muscle twitching, Pyrexia
Clinical narrative: Fever 103 9 days after administration accompanied by head jerking/twitching. These tics have persisted occurring several times a day since 3/22/03. Currently, patient seen in our office 4/10/03.
Age: 1.0
Sex: F
Vaccine: DTAP, PNC
Symptoms: Rash, Rash macular
Clinical narrative: Child developed a rash on evening of 4/3/02. Mom describes rash as little red dots on back and stomach; rash did not spread to limbs and now is blotchy. Denies other symptoms. No fever.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash
Clinical narrative: Rash on head and chest. Seen by doctor 4/9/03. No treatment.
Age: 7.0
Sex: M
Vaccine: DT, HEP, MMR, VARCEL
Symptoms: Injection site reaction
Clinical narrative: 5-7cm ? eruption to injection site and ?.
Age: 17.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Drug ineffective, Fatigue, Pharyngolaryngeal pain, Pruritus, Pyrexia
Clinical narrative: 2 weeks after varicella immunization, client had sore throat, felt tired and feverish, then started to break out in papular lesions on foot, left arm, chest, back, face and scalp. About 25 total in period of 4-5 days. Contacted health department and then health department contacted state immunization agency. Felt was probably a reaction to vaccine or wild virus. Papules did become itchy and scabbed, size of 1/4" to a few size of a dime. Did not seek medical attention. Recovered well. Declines 2nd Varicella dose.
Age: 17.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Rash papular, Skin ulcer
Clinical narrative: 2 weeks after varicella immunization, client had sore throat, felt tired and feverish, then started to break out in papular lesions on foot, left arm, chest, back, face and scalp. About 25 total in period of 4-5 days. Contacted health department and then health department contacted state immunization agency. Felt was probably a reaction to vaccine or wild virus. Papules did become itchy and scabbed, size of 1/4" to a few size of a dime. Did not seek medical attention. Recovered well. Declines 2nd Varicella dose.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, MMR, PPV
Symptoms: Abscess, Difficulty in walking, Feeling hot, Pain, Swelling
Clinical narrative: Prior to leaving for school on 4/8/03, complaints of progressive pain and swelling in left anterior/lateral upper area of thigh. Warm to touch, hurts to walk. At office by 9AM 4/8/03. Site mildy warm, non-fluctuant, pale pine approximately 10cm diameter, mildly tender to touch. Felt to be sterile abscess but covered with antibiotic (Cephalexin). Use PO Ibuprofen and intermittent warm moist packs.
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Convulsion, Facial palsy, Musculoskeletal stiffness
Clinical narrative: Mother reported seizure-like side effects; right arm stiffened, lip drooped on right. Happened 4-5 times lasting a few seconds each. No respiratory symptoms. Brought back to our office; neuro exam WNL by that time.
Age: 2.0
Sex: M
Vaccine: HEPA, PNC
Symptoms: Injection site erythema, Injection site induration, Pruritus
Clinical narrative: Induration, erythema right thigh 13cmx13cm surrounding injection site. Afebrile, pruritic. No significant tenderness; full weight bearing and ROM. Plan: Benadryl Elixir 6ml PO every 6 hours for 24-48 hours. Phone follow up.
Age: 6.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Diarrhoea, Pruritus, Viral infection, Vomiting
Clinical narrative: Received vaccines during 1pm hour. Began vomiting having diarrhea and itching all over within 10 minutes of vaccinations. Taken to ER at approx 5pm; will see family Dr. today as well. ER actually felt illness was viral and prescribed only Benadryl. Child will see family Dr. 4/15/03.
Age: 15.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: 4/10/03 vaccine given Thurs. approx 5:30pm-soreness noted Friday am-swollen from injection site to elbow-also red and hot to touch.
Age: 49.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Vaccine given Thursday 4/10/03 approx. 5pm-soreness noted Friday 4/11/03-am arm swollen from injection site-elbow-also red and hot to touch.
Age: 63.0
Sex: F
Vaccine: DT
Symptoms: Erythema, Oedema, Pruritus
Clinical narrative: Starting on Tues. 4/8 redness swelling itching. Seen in office on 4/10/03 T 98.1. Given Rx Allegra.
Age: 24.0
Sex: F
Vaccine: TD
Symptoms: Hypoaesthesia, Injection site erythema, Injection site oedema, Injection site pain, Paraesthesia
Clinical narrative: Numbness and tingling to L arm down to fingers upon administration. Soreness to injection site. Four days later swelling with redness surrounding site appeared. Swelling noted to entire upper extremity including fingers on left arm.
Age: 0.5
Sex: M
Vaccine: DTAP
Symptoms: Body temperature decreased
Clinical narrative: 12 hrs after DTaP shot pt's body temperature dropped 95.6 (he held a normal temp before the shot).
Age: 4.8
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: R arm swollen reported from mom possibly started yesterday didn't notice until this AM. In clini shoulder to elbow redness and warmth noted. One inch swelling all around. Uses arm. Denies pain or itching. Referred to take Motrin as needed and prescribed 7 1/4" bicep R compared 6 3/4".
Age: 7.0
Sex: M
Vaccine: PNC
Symptoms: Injection site erythema, Injection site pain, Irritability, Somnolence
Clinical narrative: Large local reaction with erythema, tenderness, pt exhibited increased somnolence and irritability and was admitted to r/o occultinfection. (Pt has VP shunt and port-a cath).
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Gait disturbance, Injection site oedema, Injection site pain
Clinical narrative: Noted by aunt to have tenderness and R thing swelling, limping. On 4/8/03 noted to be limping with increased tenderness to R ant thigh-now measures 13 1/ 8" circumferentially compared with 12 1/2" L thigh.
Age: 1.5
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Erythema and induration to anterior, lateral and medial aspect of thigh.  Very significant local reaction.  Analgesic and cool compresses.
Age: 1.5
Sex: F
Vaccine: PNC
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Approximately 7 cm x 5 cm hard, eryethematous, hot tissue reaction around inoculation site on R thigh.  Non-fluctuant.  No fever. Lump was painful.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Started with fever - 101.6 (tympanic) per mom.  Gave infant Tylenol.  Acting pleasant, feeling well.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site swelling, Injection site warmth, Tenderness
Clinical narrative: Red, swollen tender area to right upper arm.  Hot to the touch.  Immunization reaction  VS cellulitis.  Prescribed Benadryl PRN and Omnicef for 10 days.
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Urticaria
Clinical narrative: Urticaria
Age: 21.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Unintended pregnancy
Clinical narrative: Patient was vaccinated againist smallpox on 12 March 2003, pregnancy diagnosed on 2 April 2003 with LMP on 2 March 2003.  No unusal symptoms experienced at this time.  SUPPLEMENTAL INFO FORM COMPLETED BY OB/GYN STAFF
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Difficulty in walking, Feeling hot, Oedema, Pain, Pyrexia
Clinical narrative: Fever 4-10-03, red rash over left leg; extreme swelling in leg, painful to walk; rash is hot to touch.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Rash
Clinical narrative: Fever 4-10-03, red rash over left leg; extreme swelling in leg, painful to walk; rash is hot to touch.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Irritability, Pyrexia, Rash erythematous
Clinical narrative: Mother states red raised area on right leg appeared next day after vaccinations, child had slight temp. and fussy. on 3-28-03 mother reports lef raised area more raised and red area larger-OV NP and observed lef area to be red and raised 50mm in diam and feverish in site. Referred to family physician
Age: 49.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Hyperhidrosis, Nausea, Vomiting
Clinical narrative: Received on 0230 4/16/03 with pass. NI. smallpox vaccine 5 days prior. CPK 384 Triponin 5.0 Triglucerides 428 HDL 33. Hx of hypertension-tx with Lisinipril. Hx diaphoresis several days chest pain at 11:00pm 4/15/03 nausea/vomiting. No previous hx heart disease.
Age: 44.0
Sex: F
Vaccine: SMALL
Symptoms: Shoulder pain, Sleep disorder
Clinical narrative: 1 week after administration, L shoulder joint started hurting, aching.  This has continued with decreased mobility in shoulder, difficulty sleeping if joint not positioned correctly.
Age: 1.3
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site vesicles
Clinical narrative: 3/27/03 Child had Varicella/DTaP.  Mother reports He was initally red & a little swollen.  On 4/8/03, injection site suddenly became red, swollen(1 1/2- 2 cm) with induration & vesicle.  No drainage noted.  childs twin also received the same injection without any reportable reaction.
Age: 30.0
Sex: M
Vaccine: SMALL
Symptoms: Skin ulcer
Clinical narrative: Multiple satellite lesions to left arm.  Also had auto-inoculation to left ear.  Recovered without complications.
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Folliculitis, Skin ulcer
Clinical narrative: Small right scrotal lesion.  Folliculitis versus single auto inoculation.  Recurred without incident.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Vaccination complication
Clinical narrative: Auto-inoculation of vaccinia virus to left groin region. Treated with local wound care and discharged from ward. no further complications.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Dermatitis bullous, Erythema, Vaccination complication
Clinical narrative: Suspected vaccinia auto inoculation.  Received smallpox vaccine 2/24/03.  Symptoms started 2/13/03, red dots on abdomen.  2 weeks to form blister.  3/10/03 returned to clinic, 3/30/03 abdomen blisters started to "ooze".
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Injection site hypersensitivity, Rash erythematous, Rash maculo-papular
Clinical narrative: Received smallpox vax 2/10/03 and 2/17/03. Started to feel chafing of legs, redness bumps, treated w/lotion - no results. AM of 2/19 noticed redness on back of left knee, left hip under right arm, splotches on stomach and back. Site of vax redness size of donut. Redness and dark. Seen in ER  this a.m. 2/19/03. Tx w/hydroxycine and acetaminophen. Dx'd w/general vaccinia.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Rash erythematous
Clinical narrative: 2/20/03 approx 18:00 noticed small red bumps on back, chest and arms. No itch, no swelling. Seen in a medical clinic this a.m. (2/21), referred to ER, Dx'd with generalized vaccinia. No medications given. No quarters, released. Return if SXs worsen.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Injection site inflammation, Injection site oedema, Rash maculo-papular
Clinical narrative: Left arm blew up puffy. Red splotch size of grapefruit approx 8 in. wrapped around tricep. Burning sensation. Went to ER directly at time of noticing. Generalized vaccinia.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Headache, Pharyngitis, Rash, Viral infection
Clinical narrative: Dx'd w/viral syndrome. Rash on chest. Sore throat, headaches 72 hrs quarter. Return to clinic 5 days for re-evaluation. Tx'd w/Motrin, Sudafed, Tylenol.
Age: 55.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Chills, Injection site reaction, Lymphadenopathy, Musculoskeletal stiffness
Clinical narrative: Irritation at site, chills, fever, shivers, tightness in tendon of right hand, swollen lymph node under right arm. Pt diagnosed with cellulitis. Pt treated with Nafcillin.
Age: 55.0
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia
Clinical narrative: Irritation at site, chills, fever, shivers, tightness in tendon of right hand, swollen lymph node under right arm. Pt diagnosed with cellulitis. Pt treated with Nafcillin.
Age: 37.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema
Clinical narrative: Red spot started on right hand and face on 03/23/03.  03/24/03 red spot on bicep and another on face.  Pt was not given meds or actual diagnosis.
Age: 17.0
Sex: F
Vaccine: RAB
Symptoms: Rash
Clinical narrative: Patient is an employee that chose to vaccinate employees for Rabies. Patient received two of three doses of series ( 3/26/03 and 4/3/03 ) Mother of patient called today to report a general rash that has been increasing over past two weeks.Taking daughter to Dermatologist and request Rabies vacc insert be sent to the doctors office.
Age: 30.0
Sex: F
Vaccine: TD
Symptoms: Injection site pain, Joint range of motion decreased, Nausea, Pain, Shoulder pain
Clinical narrative: No pain until 24 hours after, then mild soreness.  That night the pain woke me several times.  In the morning, the 2nd day after injection, there was severe, aching pain and my arm was very sore.  It was difficult to use.  I took aspirin and used a warm compress throughout the day (I took a sick day at work.)  I felt okay to return to work on Thursday, but by noon I began having severe pain,which seemed to spread to the upper shoulder muscle,and nausea.  I took aspirin and within an hour I began to feel better.  I was able to finish the day at work.  The soreness and pain continued through Sunday (the 6th day after injection)but each day was less severe.
Age: 26.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site pain, Nausea, Syncope, Vaccination complication, Vomiting
Clinical narrative: Syncope, nausea/vomiting, left arm swelling/pain/tenderness w/ copious amounts of drainage (exudate), and one small satellite lesion
Age: 35.0
Sex: F
Vaccine: SMALL
Symptoms: Fatigue, Infection, Injection site swelling, Malaise, Pyrexia
Clinical narrative: General malaise, ekeavated temperatures, bilateral ear nfections, fatigue, swelling to left arm @ vaccination site
Age: 55.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain, Malaise, Nausea, Pain, Pyrexia
Clinical narrative: General malaise, body aches, low grade temperatures, syncope, nausea, chest pains.
Age: 55.0
Sex: F
Vaccine: SMALL
Symptoms: Syncope
Clinical narrative: General malaise, body aches, low grade temperatures, syncope, nausea, chest pains.
Age: 56.0
Sex: M
Vaccine: SMALL
Symptoms: Arthralgia, Chest pain, Cough, Dyspnoea, Fatigue
Clinical narrative: Vaccinee is a 56 yo physician (ER doc), re-vaccinee who received vaccine on 3/4/03; some itching otherwise no initial complaints, major reaction read on 3/11/03 He developed mild headache, sweats on evening of 3/16.  Noted pleuritic chest pain, tachycadia (110), PVCs, myalgias, arthralgias.  Had mild cough slightly productive, fatigue.  Worked despite fatigue and symptoms 3/17. 3/18 noted dyspnea upon exertion and continued myalgias. Began to improve 3/19 and was much better 3/20.  Happened to be at CDC for a meeting when the health alert came out and when back in MN went to ER for w/u.  Had EKG which revealed borderline first degree AV block (PR interval of 214 ms) Also low R waves in anterior leads. ECHO by his report: very small amount of pericardial fluid, larger space so seemed to be resolving fluid.  Normal EF. CXR- atelectasis left base. ESR of 1, CRP of < 0.5, CK-MB and troponin I were not elevated. He now feels fine. He plans to get f/u EKG. PMH: no cardiac does have labile hypertension. Meds: lipitor, adacan HCL weight 310 pounds.
Age: 56.0
Sex: M
Vaccine: SMALL
Symptoms: Headache, Hyperhidrosis, Myalgia, Pleuritic pain, Tachycardia
Clinical narrative: Vaccinee is a 56 yo physician (ER doc), re-vaccinee who received vaccine on 3/4/03; some itching otherwise no initial complaints, major reaction read on 3/11/03 He developed mild headache, sweats on evening of 3/16.  Noted pleuritic chest pain, tachycadia (110), PVCs, myalgias, arthralgias.  Had mild cough slightly productive, fatigue.  Worked despite fatigue and symptoms 3/17. 3/18 noted dyspnea upon exertion and continued myalgias. Began to improve 3/19 and was much better 3/20.  Happened to be at CDC for a meeting when the health alert came out and when back in MN went to ER for w/u.  Had EKG which revealed borderline first degree AV block (PR interval of 214 ms) Also low R waves in anterior leads. ECHO by his report: very small amount of pericardial fluid, larger space so seemed to be resolving fluid.  Normal EF. CXR- atelectasis left base. ESR of 1, CRP of < 0.5, CK-MB and troponin I were not elevated. He now feels fine. He plans to get f/u EKG. PMH: no cardiac does have labile hypertension. Meds: lipitor, adacan HCL weight 310 pounds.
Age: 55.0
Sex: F
Vaccine: SMALL
Symptoms: Arthralgia, Hypothermia, Myalgia, Nausea
Clinical narrative: Experienced hypothermia (temp 95 F), wretching, nausea, myalgias, and joint pain beginning on 3/31/2003. Had left subscapular pain on 4/3/2003 and saw a doctor on 4/4/2003.
Age: 32.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema multiforme, Rash erythematous, Rash papular
Clinical narrative: Vesicular 3-4 mm papule on neck with an erythematous base.  Did not progress to pustule.  Probably Dx. erythema multiforme
Age: 48.0
Sex: F
Vaccine: SMALL
Symptoms: Chest discomfort, Cough, Fatigue, Pain, Pharyngitis
Clinical narrative: 3/28/2003  chest tightness, aching under left shoulder blade in back 3/29/2003  above continued 3/30/2003  above continued, cough & cold symptoms began, felt "achey, bad" 3/31/2003  missed work due to illness 4/1/2003  "cold symptoms" gone by noon, chest tigtness cont. 4/2/2003  called doctor, chest tightness cont. 4/3/2003  chest tightness with any activity, fatigue 4/4/2003  saw doctor in office, CXR, EKG done...admitted to hospital 4/6/2003  discharged to home, adverse event reported. 4/7/2003  saw doctor--cardiac evaluation 4/8/2003  angiogram done 4/15/2003  CAT scan of lung
Age: 48.0
Sex: F
Vaccine: SMALL
Symptoms: Rhinitis
Clinical narrative: 3/28/2003  chest tightness, aching under left shoulder blade in back 3/29/2003  above continued 3/30/2003  above continued, cough & cold symptoms began, felt "achey, bad" 3/31/2003  missed work due to illness 4/1/2003  "cold symptoms" gone by noon, chest tigtness cont. 4/2/2003  called doctor, chest tightness cont. 4/3/2003  chest tightness with any activity, fatigue 4/4/2003  saw doctor in office, CXR, EKG done...admitted to hospital 4/6/2003  discharged to home, adverse event reported. 4/7/2003  saw doctor--cardiac evaluation 4/8/2003  angiogram done 4/15/2003  CAT scan of lung
Age: 1.9
Sex: U
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Fever and rash 8 days after MMR and varivax. I do not have lot #'s secondary to patient receiveing at health department.
Age: 44.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Face oedema, Pain
Clinical narrative: Previous vaers report involving shingles on the right side of my face.  This has since resolved.  On Monday April 14, 2003 I was diagnosed with an accute case of colitis.  On January 23, 2003 I had a colonoscopy done with results negative for any disease.
Age: 44.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Colitis
Clinical narrative: Previous vaers report involving shingles on the right side of my face.  This has since resolved.  On Monday April 14, 2003 I was diagnosed with an accute case of colitis.  On January 23, 2003 I had a colonoscopy done with results negative for any disease.
Age: 1.5
Sex: U
Vaccine: MMR
Symptoms: Abnormal behaviour, Antisocial behaviour, Autism, Cognitive disorder, Disturbance in attention
Clinical narrative: It was reported in a published article, that an 18 month old pt who in approximately March 1996 was vaccinated with a first dose of MMR II (no Thimerosal). Prior vaccinations included a first dose of hep B vaccine recombinant (manuf unk) (parenteral Mercury dosage 12.5mg HG as Thimerosal) on approximately 12/15/94, a second dose in approximately February 1995 and a third dose in approximately June 1995. The pt also received the frist dose of diphtheria toxoid/pertussis vaccine/tetanus toxoid (manuf unk) (parenteral Mercury dosage 25mg Hg) and HIB conjugate vaccine (manuf unk) (parenteral Mercury dosage 25mg Hg) in approximately February 1995, the second dose in approximately April 1995 and the third doses in approximately June 1995. The pt received a fourth dose of diphtheria toxoid/pertussis vaccine/tetanus toxoid (manuf unk) parenteral Mercury dosage 25mg Hg) in approximately June 1996 at the age of 18 months. It was reported that this was a "regressed autistic child with normal development until 18-20 months of age, then loss of speech, eye contact, social interaction and attentiveness." It was also reported that the pt exceeded the concern level for total mercury exposure. Upon internal review, autism was considered to be an important medical event (OMIC). Additional info has been requested. It was also reported that a second pt developed necrotizing measles lymphadenitis after being treated with MMR II (WAES0304USA00946).
Age: 23.0
Sex: F
Vaccine: VARCEL
Symptoms: Abortion, Unintended pregnancy
Clinical narrative: Information has been received, though the varicella virus vaccine live pregnancy registry, from an office manager in a physician's office and a 23 year old female with no allergies who in approximately February 2002 was vaccinated with a dose of varicella virus vaccine live. There was no concomitant therapy. The pt reported that, a month later, in approximately March 2002, she found out that she was pregnant. Unspecified medical attention was sought. The office manager in a physician's office subsequently reported that the pt decided to have an elective termination early in the pregnancy. Additional info is not expected.
Age: 28.0
Sex: F
Vaccine: TD
Symptoms: Chills, Malaise, Paraesthesia, Tendinous contracture, Tremor
Clinical narrative: 04/03/2003 9:00am malaise with chills. Also felt shaky. 04/03/03 7:00 pm Hands and feet contractions with tingling in both. Cont. to feel shaky. Went to ER but did not wait for exam by MD. 04/04/03 Continues to feel shaky. Advised to see PCP
Age: 19.0
Sex: F
Vaccine: VARCEL
Symptoms: Infection, Rash
Clinical narrative: Rash appear 03/20/2003 on abdomen and spread all over body. Was dx'd as varicella disease by PMD
Age: 0.2
Sex: M
Vaccine: DT, HIBV, PNC
Symptoms: Injection site reaction, Skin depigmentation
Clinical narrative: Depigmentation 1cm x 1/2cm at site of injection, right thigh.
Age: 2.0
Sex: F
Vaccine: DTAP, HBHEPB, VARCEL
Symptoms: Injection site erythema
Clinical narrative: 3 x 2 cm local central 3-4 red area with loss of skin on right leg. Right thigh circum 24 1/2 cm. Left thigh circum 23cm.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: DTaP Right arm deltoid lower, red/ swollen 16 x 9cm. Tx Benadryl/Tylenol.
Age: 1.2
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Erythema, Rash
Clinical narrative: Lazy pinkish red rash over site and extending down thigh apprx. 2 cm on right leg
Age: 0.4
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Hypotonia, Irritability, Pyrexia, Screaming
Clinical narrative: Developed tactile fever and became fussy at 1pm. Premedicated before shots with Tylenol apprx. 9am and given Tylenol again at 1pm. By 3pm., child had temp 103.2 degrees, was screaming an inconsolible (screaming/crying for 1 1/2 hours straight). Then became "limp" per mom at 3pm. No seizures witnessed. Went to ER. Given motrin and all symptoms improved. Normal now.
Sex: F
Vaccine: RUB
Symptoms: Unevaluable event
Clinical narrative: Information has been received from a registered nurse concerning an adult female patient who, on an unspecified date, was vaccinated with an unknown number of rubella virus vaccine II and failed to serooconvert. It was reported that she had "the same problem with her rubella vaccinations", that her sister had experienced (WAES01051551). The nurse stated that she did not have any further vaccination information due to the fact that the vaccinations were not administered there.  No further information is available.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Coma, Cyanosis
Clinical narrative: 15 minutes after adminstration, pt was unresponsive to initial situation and had cyanotic to face. Had spontaneous recovery without need for intervention. Seen by ED facility with normal vital signs and normal physical exam find
Age: 1.0
Sex: M
Vaccine: HBHEPB, PNC, VARCEL
Symptoms: Irritability, Nasal congestion, Pyrexia
Clinical narrative: Mom called to report , pt developed congestion, fever up to 103 degrees right, and irritability following vaccine administration.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Screaming
Clinical narrative: Crying non stop beginning 12 hours after vaccines x continuing for 6 hours.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Haematoma
Clinical narrative: Hematoma, right deltoid for 3 days non tender. Tx cold compress which resolved after 3 days.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Area lateral aspect of left arm, swollen tender erythematous (marked) not circumferential. Report day after inject given.
Age: 4.8
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: Mom states arm (left - inject site) red / swollen area 3.5 x 3.5" "size of orange".
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Injection site reaction, Injection site swelling, Nasal congestion, Pyrexia, Tenderness
Clinical narrative: Injection site reaction NOS; Nasal congestion; Pyrexia. This report describes the occurrence of an injection site reaction in a 4-year-old female who was vaccinated with diphtheria and tetanus toxoids and acellular pertussis adsorbed, hepatitis B (recombinant) and inactivated poliovirus vaccine combined (Pediarix) for prophylaxis.  This report was received from a consumer and has not been verified by a physician or other healthcare professional. The subject's medical history, concurrent conditions, and concurrent medications were not reported. The subject reportedly had no adverse experiences following receipt of prior immunizations.  On 01/28/2003, the subject received an injection of Pediarix as the fourth injection in the DTP immunization series.  Within three days post-immunization, she developed an injection site reaction characterized by swelling and soreness.  She also experienced congestion and a "slight" fever. These events were reported as "not major, and symptoms have gradually gone away."  The injection site remained "tender" as of 02/05/2003. On 3/18/2003, the mother stated that she had not taken the subject to the vaccine provider post-immunization. The mother declined to grant authorization to GlaxoSmithKline to contact the vaccine provider. Comment:  The reporter indicated that the subject received Pediarix from lot A58659; however, this is not a valid lot number.
Age: 4.0
Sex: M
Vaccine: HEP
Symptoms: Erythema nodosum
Clinical narrative: erythema nodosum, on shins and ankles, one finger and upper right arm It is being treated with prednisone (Pediapred)
Age: 41.0
Sex: F
Vaccine: SMALL
Symptoms: Headache, Lymphadenopathy, Myalgia, Nausea, Pyrexia
Clinical narrative: Nausea, headache, muscle aches, swollen lymph under Left arm, and low grade fever.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Rash pruritic, Rash vesicular
Clinical narrative: 5 day Hx evolving palm lesions, both hands; lesions vesicular, umbilicated, intensely pruritic, in various stages of progression. Dx: generalized vaccinia. PT medically evaluated to another military hospital.
Sex: F
Vaccine: SMALL
Symptoms: Asthenia, Hemiparesis, Hypoaesthesia, Neuropathy, Pain
Clinical narrative: Began with pain, burning sensation, numbness, weakness and tingling of left arm/leg. Symptoms continued and began in R arm and leg on 4/10/03 with generalized weakness over entire body. To ER on 4/10/03 continues with neuropathy.
Sex: F
Vaccine: SMALL
Symptoms: Paraesthesia
Clinical narrative: Began with pain, burning sensation, numbness, weakness and tingling of left arm/leg. Symptoms continued and began in R arm and leg on 4/10/03 with generalized weakness over entire body. To ER on 4/10/03 continues with neuropathy.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Pharyngolaryngeal pain, Pyrexia, White blood cell count increased
Clinical narrative: Fever and sore throat. Increased WBC admitted to hospital x 24h. Released on antibiotic illness not thought to be related to vaccine.
Age: 22.0
Sex: F
Vaccine: SMALL
Symptoms: Pyrexia, Rash maculo-papular, Rash pruritic
Clinical narrative: Pruritic rash behind knees (maculopapular)
Age: 23.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Erythema, Injection site reaction
Clinical narrative: Local reaction to smallpox vax (large area of redness - 2 palms in diameter)
Age: 29.0
Sex: F
Vaccine: SMALL
Symptoms: Hypersensitivity, Injection site hypersensitivity, Oedema, Pyrexia
Clinical narrative: Redness at site of smallpox vax. (Erythema, edema, chemical reaction)
Age: 43.0
Sex: F
Vaccine: FLUX, HEP, SMALL
Symptoms: Asthenia, Headache, Paraesthesia, Pyrexia, Speech disorder
Clinical narrative: Left CVA - headache, weakness, numbness, speech slurring, left face asymmetry.
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Hypersensitivity, Rash
Clinical narrative: Rash / possible reaction to smallpox vax. Generalized vaccinia vs. hypersensitivity Dx.
Age: 48.0
Sex: M
Vaccine: SMALL
Symptoms: Convulsion, Electroencephalogram abnormal, Hypoglycaemia
Clinical narrative: Known diabetic on insulin, developed seizures following hypoglycemia. Admitted to Hospital on 4/13/2003.
Age: 32.0
Sex: F
Vaccine: SMALL
Symptoms: Headache, Malaise
Clinical narrative: complained of malaise and prolonged headache.  Had several ED visits.  Treated with Dilaudid, Toradel, and flexeril.  Prescriptions given: vicodin, motrin, and flexeril, ativan
Age: 41.0
Sex: F
Vaccine: SMALL
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Diarrhea started day 2 after vaccination.  Diarrhea continued for 10 days.  Patient experienced vomiting on day 7.  Patient had returned from Nicaragua 2 days prior to vaccination. Patient was seen by physician and no diagnostic test were performed.
Age: 36.0
Sex: M
Vaccine: SMALL
Symptoms: Chills, Diarrhoea, Dizziness, Erythema, Gastrooesophageal reflux disease
Clinical narrative: On 4/9, developed myalgia, headahce, stiff neck. On 4/10, he had diffuse myalgia and chills. 4/11-T 102.5, nausea, vomiting and diarrhea. 4/12-rapidly spreading erythema over the arm, fever, chills and ? like lesion at ? treated with IV Ancef. Dx vaccine ?, aseptic meningitis, lymphangitis ? Follow up: 37year old hispanic male was admitted in Apr2003 for a robust take in response to his smallpox vaccine (lyphangitis and regional adenitis) and suspected aseptic meningitis (complained of fever, chills, myalgias, stiff neck and headache; no LP completed). He was discharged after 4 days of supportive care. Upon discharge, he continued to have persistent headaches, so his deployment was deferred for 2 weeks. On 4/29/03, pt was cleared for deployment by Dr. At that time, pt reported being asymptomatic except for occasional stress related headache. In August 2003, pt reported a viral infection with respiratory symptoms, body aches, temperature of 102 and recurrence of neck pain and headaches similar to those experienced following receipt of his smallpox vaccination in April 2003. While undergoing his post deployment physical evaluation, he continues to experience headaches and neck pain and requests additional evaluation and treatment. Headaches have been persistent since August-September 2003. Describes as constant, throbbing pressure-type pain in occipital area, which radiates to his neck. Usually wakes up with headaches and pain is constant throughout the day. Rates level of pain as ranging between levels 3-5 on pain scale of 0-10. Longest period without a headache over the past 9 months has been 2 days. Unable to identify any triggering or aggravating factors. No associated symptoms such as visual changes, photosensitivity, or nausea. Reports some dizziness with position changes when getting up in the morning. Usually takes Excedrin with some relief. Has tried heat and massage to neck without improvement of pain. Pt denies any other significant changes in his health since April 2003, except he fractured his left 4th finger after an injury. He also discontinued his Nexium and had not had recurrence of his GERD symptoms.