chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 30.0
Sex: M
Vaccine: HEP
Symptoms: Blister, Erythema, Injection site reaction, Rash papular
Clinical narrative: 12 days after primary smallpox vaccine (3 jabs to left deltoid) patient returns to vaccination clinic complaining of pus filled vesicles on body.  Duration of 5 days, no itching, asymptomatic lesions.  No other complaints.  Was involved in MVA a few days ago and is taking hydrocodone.  No other medications.  Lesions on the occipital scalp described as acneiform papules, similar lesions on posterior neck, 8-10 lesions on back, left shoulder with mild erythema surrounding the scabbed over SP eschar.  No lesions to face, upper extremities, chest or abdomen.
Age: 45.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling, Lymphadenopathy, Myalgia, Pyrexia
Clinical narrative: The day following Adacel, the patient developed myalgias, fever and a tender erythematous area at injection site. No sore throat, cough, or other flu symptoms Pt. seen today.  Temp 100.7  4 cm tender erythematous swollen area at injection site.  ++ tender swollen  axillary nodes.  physical exam otherwise unremarkable.   Last dT was in 1996.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Erythema, Injection site reaction, Rash papular, Rash pustular, Skin ulcer
Clinical narrative: 13 days after primary Smallpox Vaccine (3 jabs to left deltoid) patient reports to vaccination clinic complaining of lesions on upper body, neck and scalp.  Stated they started 2 days ago and are not painful or itchy.  Otherwise healthy, no other skin complaints.  PE shows 3-4 erythematous 1-2 mm papules and pustules to occipital scalp, acneiform papules on post neck, smallpox vaccine eschar on left shoulder with surrounding erythema, right forearm 2 mm pustule, multiple erythematous papules to chest, few pustules, erythematous papules on abdomen.  No lesions on ear, face, armpits.
Age: 0.57
Sex: F
Vaccine: FLU3
Symptoms: Facial palsy
Clinical narrative: Fluzone .25ml administered on 2-23-06 in office. No problems at that time. ON 2-28-06 Mom states infant awoke with droopy left eye and mouth.No change neurological noted. Came into office a few hours later and symptoms had almost completely resolved. No problems notes.
Age: 1.02
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Irritability, Petechiae, Pyrexia, Rash maculo-papular, Stomatitis
Clinical narrative: Client was diagnosed with R AOM the day (2/16/06) she was given MMR, and was started on omnicef. Approximately 7-9 days later she developed fevers x 2 days followed by a macular papular rash over trunk  and extremities , sparing palms & soles. No N/V/D. Rash was blanchable. Petechiae were seen on buccal mucosae and anterior soft palate. TM's had yellow fluid but good mobility with insuflation and good landmarks noted. Mild irritability, but great P.O. liquids.  Supportive care only.
Age: 1.03
Sex: F
Vaccine: HIBV
Symptoms: Abnormal behaviour, Agitation, Anorexia, Crying, Irritability
Clinical narrative: High fever, prolonged crying and agitation, restlessness, irritability lasting 5 days, weightloss/loss of appetite.  Very unlike her everyday behavior.  Was examined at her 12 month well check    Then taken for follow up 5 days later (post vaccination), no explained illnesses could be found.  One week later, irritability and behavior returned to normal.
Age: 1.03
Sex: F
Vaccine: HIBV
Symptoms: Pyrexia, Restlessness, Weight decreased
Clinical narrative: High fever, prolonged crying and agitation, restlessness, irritability lasting 5 days, weightloss/loss of appetite.  Very unlike her everyday behavior.  Was examined at her 12 month well check    Then taken for follow up 5 days later (post vaccination), no explained illnesses could be found.  One week later, irritability and behavior returned to normal.
Age: 0.01
Sex: F
Vaccine: HEP
Symptoms: Convulsion, Laboratory test abnormal, Screaming
Clinical narrative: My newborn was given the vaccine the day we left the hospital (she was 2 days of age)...she left the hospital screaming. That night she screamed...the next night the seizures began, nightly until she was admitted to the NICU at age 6 days. I did not know they were seizures until I asked pediatrician about the convulsions at her 5 day checkup, she told me what to look for and this was confirmed the following morning at which point she went to ER, then to NICU and was there for 6 days. 3/9/06 Received Discharge Summary which revealed patient experienced seizures & agnormal labs.  Positive family hx for seizures/ss
Age: 15.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Dyskinesia, Stress, Tic
Clinical narrative: Within 1 to 2 weeks of Boostrix and Menactra, patient developed uncontrollable mouth opening and closing, especially with stress. Difficulty keeping food in her mouth. 60 Day Follow-up Information 18-MAY-2006: The Tics which developed were most likely secondary to the stress of receiving 2 vaccines
Age: 38.0
Sex: F
Vaccine: FLUN3, HEPAB, IPV, TYP
Symptoms: Rash
Clinical narrative: Client started oral Typhoid on 1/27/06 and she noticed facial rash-little red bumps not itching in week of 1/30/06. No more rash by the week of 2/6/06. Follow-up Information 31-MAR-2006: Client did not know when this rash started, she noticed the rash on the week of 1/30/06. No date or time provided by client.
Age: 0.16
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Urticaria
Clinical narrative: Faint urticaria 2 days after vaccine. Benadryl cream and PO Benadryl if rash continues after cream application.
Age: 53.0
Sex: F
Vaccine: TTOX
Symptoms: Feeling hot, Injection site erythema, Swelling
Clinical narrative: approx 3" round redness with swelling, hot to touch.
Age: 0.35
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Pyrexia
Clinical narrative: High fever 102.5
Age: 0.53
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Irritability, Pyrexia
Clinical narrative: 6 mos checkup 2/27/06 #3's Pediarix/Hib/PCV given. Mom called 2/28/06 w/fever 102.1 and fussy/irritable. Office visits 3/1/06 to check fever resolved, but irritable. Dx DTaP Rxn.
Age: 0.12
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Rash
Clinical narrative: Mother c/o bump to R thigh after immunization. Came in 2/27/06 with same complaint on visit. Tx: Massage;return in 1-2 mo.
Age: 35.0
Sex: F
Vaccine: TD
Symptoms: Chills, Flushing, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Local swelling, erythema, induration within 6l hours of administration. Prolonged deep muscle pain, tingling in hands, malaise, myalgias, chills, flushing.
Age: 35.0
Sex: F
Vaccine: TD
Symptoms: Malaise, Myalgia, Paraesthesia
Clinical narrative: Local swelling, erythema, induration within 6l hours of administration. Prolonged deep muscle pain, tingling in hands, malaise, myalgias, chills, flushing.
Age: 48.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Red arm, swollen, itchy for 1 1/2 hrs then went away.
Age: 0.7
Sex: M
Vaccine: HEP
Symptoms: Rash, Rash morbilliform
Clinical narrative: Information has been received from a physician concerning a 7 month old male with no allergies or medical history who on 16-Dec-2005 was vaccinated SC with a 0.5ml dose of hepatitis B virus vaccine rHBsAg (yeast). There was no concomitant medication. On 17-Dec-2005, about 24 hours post vaccination, the patient developed thousands of morbilliform papular eruptions of his entire body. No other symptoms were noted. No lab diagnostics were performed and at the time of the report the patient was recovering. Unspecified medical attention was sought. No product quality complaint was involved. Additional information has been requested.
Age: 14.0
Sex: M
Vaccine: TDAP
Symptoms: Torticollis
Clinical narrative: Torticollis/neck pain started 2 hours after immunization given. Left neck pain no associated weakness. Treated with ibuprofen, warm compress. ROM exercises. Slight improvement day 4 of symptoms.
Age: 13.0
Sex: M
Vaccine: HEP
Symptoms: Coma, Loss of consciousness
Clinical narrative: Received shots stood up for 5 min after receiving Hep B #3 ambulated across room and passed out while conversing with mother. Assisted to floor per nurse, leg rolled to side lying position, unresponsive approx. 3 min. Sat up and began talking asking what happened.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Eye swelling, Nasal congestion, Pain, Pharyngolaryngeal pain
Clinical narrative: Scratchy throat, congested, "achy," puffy eyes.
Age: 41.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Myalgia
Clinical narrative: Patient complains of soreness of left arm. Arm is warm to touch. VHC notified at 10:30. VHC provider evaluated patient and gave instructions: Alternate warm-cold compress for 48 hrs. Take Motrin for pain.
Age: 1.95
Sex: M
Vaccine: DTAPHEPBIP, FLU3, PNC
Symptoms: Cellulitis, Erythema, Pruritus
Clinical narrative: Developed cellulitis in L arm quarter size. 2/8/06 Dad called, son has cellulitis on L arm where Pediarix was given 10-31-05 given antibiotics, info given to Dr. 2-13-06 called Dr. she asked me to call dad and find out particular. Spoke with dad, son developed redness and cellulitis. The next day approx 1 1/2 months later after itching/digging at area he began to have a pus like discharge from L arm where inj. were given. Approx 2 wks later they took him to Dr and were told that it was cellulitis and he was placed on antibiotic course. That didn't seem to help so he was placed on another antibiotic, area is getting smaller. I have a call into Dr office to find out what antibiotics were given. VAERS report filed.
Age: 1.31
Sex: M
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC
Symptoms: Cellulitis, Erythema, Injection site reaction, Swelling
Clinical narrative: Developed cellulitis in RA < quarter size. 2/8/06 Dad called son has cellulitis where Pediarix was given on 1/11/06 given antibiotics info given to Dr. 2/13/06 Spoke with LPN, she asked me to call dad and find out particulars. Spoke with dad, states son had redness and swelling the day of the inj. They took him to see Dr 1 week later and was told it was cellulitis but not placed on antibiotic. Dad states area not any bigger. Will contact Dr to see what antibiotic he was placed on. Vaers report will be filed.
Age: 2.0
Sex: F
Vaccine: MMR, PPV
Symptoms: Erythema, Rash, Swelling
Clinical narrative: Pt developed on lt side of neck, rash that is red about 2 inches, with yellow crust that is still there. Not itchy, not bothering her, not appearing sick. Rt thigh is swollen with redness, about 3 inches in diameter indurated. No treatment is still there, getting a little better.
Age: 5.0
Sex: M
Vaccine: DTAPHEPBIP, MMR, VARCEL
Symptoms: Erythema, Injection site induration, Swelling
Clinical narrative: 13 x 16 cm area of redness, sl swelling and minimal induration on rt anterior thigh. No fever. Treat with Benadryl 1 tsp BID.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Varicella rash on trunk.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Crying, Irritability, Pyrexia
Clinical narrative: High fever, 101.5.  Irritability and constant crying.
Age: 47.0
Sex: M
Vaccine: TYP
Symptoms: Erythema, Oedema, Pain, Pruritus, Rash macular
Clinical narrative: Patient received Typhoid vaccine on 02/13/2006 in right arm puritis, erythema, edema, increased pain, macular rash.
Age: 37.0
Sex: M
Vaccine: TD
Symptoms: Discomfort, Dizziness
Clinical narrative: Dizziness for 48 hours, feeling of discomfort.
Age: 0.35
Sex: M
Vaccine: DTAP, PNC
Symptoms: Irritability, Urticaria
Clinical narrative: Hives on both legs noted on 02/23/2006, somewhat irritable.
Age: 6.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Oedema peripheral, Pyrexia
Clinical narrative: 02/15/2006 Mother called, child's right arm red and swollen, painful.  Good circulation in hand, feverish, didn't take temperature as didn't have thermometer.  Advised to give Tylenol or Advil as needed.  02/16/2006 mother states child went to school, arm still little swollen and reddish, but didn't complain about it hurting.
Age: 1.42
Sex: F
Vaccine: DTAP
Symptoms: Cough, Crying, Urticaria
Clinical narrative: Reported hives and cough.  Seen in ER and was given Benadryl.  Had uncontrollable crying in evening.
Age: 1.57
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Feeling hot, Injection site discolouration, Rash
Clinical narrative: Right thigh slightly warm to touch; nontender nonmovable; slightly red with blanching rash on back of thigh.  Diagnosed with local reaction to DTAP; Benadryl every 6 hours, to call MD if worsens.
Age: 1.01
Sex: F
Vaccine: HIBV, MMR
Symptoms: Rash morbilliform
Clinical narrative: Measles exanthem status post MMR 18 days.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site induration, Skin nodule, Swelling, Vaccination complication
Clinical narrative: Patient developed severe swelling, erythema and induration to right arm from top of deltoid to right above elbow. Developed knotting to entire arm, still present 3 days later.  Note: Larger than expected amount of blood oozed from needle site right after administration.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: DEVELOPED CELLULITIS IN RT ARM WITH REDNESS SWELLING AND WARM TO TOUCH.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash, Viral infection
Clinical narrative: Vaccine given 3/1/01. Varicella diagnosed 2/16/06.
Age: 0.33
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Injection site rash, Pyrexia
Clinical narrative: PATIENT STARTED DEVELOPING A FEVER OF 103.8 AT 5:00PM ON 03/01/2006.  PATIENT WAS GIVING TYLENOL AND THE FEVER WOULD NOT COME DOWN.  THE MOTHER SAID A FINE RASH CAME UP AT THE SITE OF THE INJECTION. PATIENT WENT TO THE ER AT 5:OOAM ON 03/02/2005 BECAUSE THE FEVER WOULD NOT COME DOWN.  PATIENT WAS GIVING A DOSE OF MOTRIN IN THE ER AND WAS RELEASED AT 7:00AM.  THE FEVER HAD BROKE AT THAT TIME.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: Mother reported that child was fine the evening that Dt was given.  By next AM, Child had a "goose-egg" on his right upper arm.  This AM, mom reports arm is "really red under shot", hot and painful/tender to touch.  Mom called pediatrician's office and was told that this is normal.  I advised that she apply cold compresses or an ice pck wrapped in a washcloth- on for 15 minutes, off for 15 minutes.  Childrens' Tylenol or Advil.  Elevate arm on pillows when watching TV, etc.  To call us back at 4 PM to let us know how he is doing.  Mom voiced understanding.  ( Child has no fever, skin on arm does not look wrinkled or different- only red and swollen, per mom).
Age: 1.57
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Rash maculo-papular, Skin ulcer
Clinical narrative: HAD RED AND WHITE SPLOTCHES ON HIS LEGS AND A RED LESION ON HIS FOREARM THE DAY AFTER DTAP VACCINE.  VACCINE WAS GIVEN ON HIS RIGHT THIGH. WENT TO ED AND TOLD BY STAFF THERE THAT IT WAS PROBABLY REACTION TO VACCINE.  GIVEN BENADRYL, AND RED SPLOTCHES ON LEGS DISAPPEARED AFTER SHORT WHILE.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site mass, Injection site pruritus, Injection site warmth, Swelling
Clinical narrative: 3 DAYS AFTER INJECTION MOM NOTICE RED BASEBALL SIZE LUMP ON L ARM. MOM TOOK HIM TO ER. NO FEVER. THEN ON FEB27TH MOM NOTICE IN SAME AREA OF INJECTION SITE A MOSQUITO BITE SIZE AND ITCHY. Follow-up Information 22-MAR-2006: Mom reports to Health Dept that her son was seen in the ER on March 1 with reoccuring symptom as reported before but has Temp 102.5 and his L shoulder swelling up big. He was put on antibiotic for 7 days and Labs were done. His STABS were elevated. Mom said ER doc told her he was "infectious". He f/u with his doctor she said he was fine. Then on March 21 his arm started hurting and swelled to approx. 2cm - red hard bump and warm to touch, but fever. Encourage mom to follow-up with her doctor again.
Age: 16.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Blister, Herpes zoster, Pain, Rash
Clinical narrative: Received  booster shot 9am 2/28/2006 Painful Rash on palm of hand 8pm 2/28/2006 Rash became blisters on hand 3/1/06 Rash/blisters spreading, very painful, MD visit diagnosed as Shingles  11:00 am  3/2/06. Reporter wanted to provide lot # for Hep B vax also found out pt received Hep A that day-please correct.
Sex: F
Vaccine: TTOX
Symptoms: Application site oedema, Erythema, Injection site rash, Nausea, Pain
Clinical narrative: The patient was admitted to the ER with a reaction to a tetanus shot that was given 2 days prior the the ER visit. The patient had right arm pain, redness and swelling and nausea. The patient was treated with Compazine and Tylenol. The patient improved and was discharged home. 3/9/06 REceived medical records which revealed patient experienced erythema, arm pain & rash, nausea & arm edema/ss
Age: 0.17
Sex: F
Vaccine: DTAP
Symptoms: Apnoea
Clinical narrative: Apneic episode probable pertussis vaccine reaction.
Age: 11.0
Sex: M
Vaccine: MNQ, TD
Symptoms: Myalgia
Clinical narrative: Deep muscle pain in deltoid for 3.5 weeks. Treatment with Motrin, ice, physical therapy ordered.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema
Clinical narrative: 8.5cmx 9.5cm reddened area on left thigh following DTap immunization.
Age: 38.0
Sex: F
Vaccine: PPV
Symptoms: Abdominal pain, Abdominal pain upper, Injection site induration, Injection site reaction, Injection site swelling
Clinical narrative: Patient was given Pneumococcal vaccine- developed reaction, swelling at site, pain and induration. (Patient had been admitted to hospital on 2/11/06 for colic, abdominal pain, syncope and collapse, vertigo.
Age: 38.0
Sex: F
Vaccine: PPV
Symptoms: Laboratory test abnormal, Pain, Syncope, Vertigo
Clinical narrative: Patient was given Pneumococcal vaccine- developed reaction, swelling at site, pain and induration. (Patient had been admitted to hospital on 2/11/06 for colic, abdominal pain, syncope and collapse, vertigo.
Age: 84.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site reaction, Oedema, Pruritus, Skin burning sensation
Clinical narrative: Localized reaction, redness, burning, itching & edema.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Swelling
Clinical narrative: Pt had come back on 3/1/06 with red swollen R arm. Pt's father stated that it had developed a bump so he proceeded to remove band-aid and massage with his hand. Pt ended up developing cellulitis in that spot.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site induration
Clinical narrative: L leg 7x8cm area of erythema, mild induration-seen 2 days after Dtap given.
Age: 1.51
Sex: F
Vaccine: HIBV
Symptoms: Erythema, Oedema, Rash macular
Clinical narrative: right thigh (macular rash), erythema, edema
Age: 1.16
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Lethargy, Pyrexia, Swelling face
Clinical narrative: Received MMR, VZV, DTAP, Prevnar, HIB on 2/27 in morning. Very lethargic during day started vomiting that night in AM 2/28 persistently lethargic, temp to 105, face began to swell. Cyariotic extremities. Went to ER 2/26 evening.
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Injection site reaction, Rash, Throat tightness, Urticaria
Clinical narrative: Patient called at 1pm 3-2-06, stated she was having reaction to Hep B given this AM. Rash on right arm and stomach along with welts. Felt like thickness in throat. Instructed to go to ER.
Age: 0.16
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, Pyrexia, Somnolence, Strabismus
Clinical narrative: Likely had a seizure the night of her first set of routine immunziations. It was an episode of not nuring, eyes deviating followed by sleepiness. Returned to normal and has been fine since. Temp was 100.4 axillary at the time. Dad had febrile seizures as a child. CT and EEG have been normal. Question is if the seizure was fever related or vaccine related.
Age: 54.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Amnesia, Asthenia, Dizziness, Fatigue, Myalgia
Clinical narrative: Developed severe nausea, vomiting and muscle aches 3-4 days after vaccine. ~1 week after developed severe dizziness, inability to focus, memory loss. Over the next months symptoms have improved slowly. Still complained of severe weakness and fatigue. Can only work 4 hrs day then has to rest.
Age: 54.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Nausea, Vision blurred, Vomiting
Clinical narrative: Developed severe nausea, vomiting and muscle aches 3-4 days after vaccine. ~1 week after developed severe dizziness, inability to focus, memory loss. Over the next months symptoms have improved slowly. Still complained of severe weakness and fatigue. Can only work 4 hrs day then has to rest.
Age: 43.0
Sex: F
Vaccine: HEPA, IPV, MNQ, YF
Symptoms: Abdominal pain, Injection site erythema, Injection site mass
Clinical narrative: Developed pain in left armpit approx 36 hrs after vaccinations given. Also some redness at injection site of L arm. Pain resolved by following am (2/22/06). Later that evening of 2/22/06 L arm pain returned and noticed a lump in L axilla. Advised cold pack and ibuprofen every 4-6hrs on MD consult.
Age: 1.03
Sex: M
Vaccine: VARCEL
Symptoms: Apraxia, Autism, Hypoglobulinaemia, Immune system disorder, Laboratory test abnormal
Clinical narrative: Patient ran a fever of over 104 degrees. There were great shaking and trembling of his body. We were still in front of doctor's office. Mother went back inside doctor office and doctor told mother that you don't get a fever from the chicken pox shot. She gave us some Tylenol and said to alternate it with Motrin until the fever go away. Fever did no go away. As the days went by patient started to wheeze and was given steroid (liquid). Patient was later diagnosed with transient hypogammaglobulinemia of infancy. Patient stopped talking and was very sickly for more than a year. Patient never spoke again. He was diagnosed at age 32 months with PDD/NOS.. Medical records state tonsillitis. msv
Age: 1.03
Sex: M
Vaccine: VARCEL
Symptoms: Leukocytosis, Mental retardation severity unspecified, Pyrexia, Tonsillitis, Tremor
Clinical narrative: Patient ran a fever of over 104 degrees. There were great shaking and trembling of his body. We were still in front of doctor's office. Mother went back inside doctor office and doctor told mother that you don't get a fever from the chicken pox shot. She gave us some Tylenol and said to alternate it with Motrin until the fever go away. Fever did no go away. As the days went by patient started to wheeze and was given steroid (liquid). Patient was later diagnosed with transient hypogammaglobulinemia of infancy. Patient stopped talking and was very sickly for more than a year. Patient never spoke again. He was diagnosed at age 32 months with PDD/NOS.. Medical records state tonsillitis. msv
Age: 1.03
Sex: M
Vaccine: VARCEL
Symptoms: Wheezing
Clinical narrative: Patient ran a fever of over 104 degrees. There were great shaking and trembling of his body. We were still in front of doctor's office. Mother went back inside doctor office and doctor told mother that you don't get a fever from the chicken pox shot. She gave us some Tylenol and said to alternate it with Motrin until the fever go away. Fever did no go away. As the days went by patient started to wheeze and was given steroid (liquid). Patient was later diagnosed with transient hypogammaglobulinemia of infancy. Patient stopped talking and was very sickly for more than a year. Patient never spoke again. He was diagnosed at age 32 months with PDD/NOS.. Medical records state tonsillitis. msv
Age: 8.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site induration, Swelling
Clinical narrative: Left arm -local swelling 2cm x 2.5 cm area of induration
Age: 30.0
Sex: F
Vaccine: TDAP
Symptoms: Hypoaesthesia, Injection site pain, Swelling
Clinical narrative: Left arm (site of injection), severe pain, swelling to writs, numbness.
Age: 0.16
Sex: M
Vaccine: HIBV, PNC, TDAP
Symptoms: Medication error
Clinical narrative: 2 month old given Boostrix vaccine instead of Pediarix.
Age: 1.58
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Rash papular, Rash vesicular, Skin ulcer
Clinical narrative: 8-10 scattered papular-vesicular-crusted lesions on trunk and scalp. Rash 1st appeared 23 day after the administration of Varivax vaccination.
Age: 65.0
Sex: U
Vaccine: PPV, PPV
Symptoms: Oedema, Pain, Swelling
Clinical narrative: Swelling and pain onset a few hours after the vaccine was administered on 2/22/06. 2/23/06 significant edema down to elbow. Looks like cellulitis. Started Keflex-well F/U.
Age: 65.0
Sex: U
Vaccine: PPV, PPV
Symptoms: Cellulitis, Injection site hypersensitivity, Injection site reaction, Skin burning sensation
Clinical narrative: Swelling and pain onset a few hours after the vaccine was administered on 2/22/06. 2/23/06 significant edema down to elbow. Looks like cellulitis. Started Keflex-well F/U.
Age: 4.0
Sex: F
Vaccine: IPV, MMR
Symptoms: Erythema, Rash, Swelling
Clinical narrative: Rash not limited to injection site. Diffuse swelling and erythema Left upper arm.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pruritus, Pyrexia, Swelling
Clinical narrative: 2/23/06 9:30AM DTAP given left arm; 2/24/2006 Left arm, swollen, red, itchy, low grade temp-Mom applied ice and gave Benadryl
Age: 12.0
Sex: M
Vaccine: PPV
Symptoms: Asthenia, Chills, Difficulty in walking, Pyrexia
Clinical narrative: Injection given 02/09/2006 in left arm outer aspect.  02/10/2006 patient developed weakness, shivering and eventually inability to walk.  Patient has cerebral palsy.  Had right hemisphrectomy 03/21/2001.  Mom refused pneumoccal vaccine in the past.  History of status epilepticus.  Had fever to 101, treated with Motrin.  Recovered 02/11/2006.
Age: 56.0
Sex: M
Vaccine: HEP, HEPA, TD
Symptoms: Injection site induration, Pruritus
Clinical narrative: 6 days after vaccine patient developed area pruritis/erythema with induration on left area in roughly deltoid area - quite large, axilla spared.  Resolved over several days with Benadryl.
Age: 3.0
Sex: M
Vaccine: PNC
Symptoms: Gait disturbance, Injection site erythema, Injection site warmth, Tenderness
Clinical narrative: 14 x 13 cm area of erythema, warmth, and tenderness at the injection site, lasted x 4-5 days, resolved with Benadryl. Pt was also limping.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Dermatitis bullous
Clinical narrative: Pt has a circular vesicular rash on left deltoid where Dtap was given. Rash has a clear center 10 cm.
Age: 19.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site vesicles
Clinical narrative: Three blisters outside immediate area of smallpox.
Age: 36.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Asthma, Chest pain, Chills, Cough
Clinical narrative: Vaccine administered 3/2/06 at 11:45 a.m.  Patient had onset of symptoms at 6:30 p.m. on 3/2/06 consisting of difficulty breathing like asthma; body muscle aches and weakness; chest heaviness; cough; and chills.  She did not take her temperature.  Symptoms resolved by 10:00 p.m. and she felt completely well by 11:30 p.m.  Patient did not seek medical attention and did not take any medications.  On 3/3/06 she developed bilateral ear itching at 11:15 a.m. and reported this at 11:45 a.m. at which time she was given Benadryl 25 mg p.o. and was told to report summary of events to her family doctor, which she did.  At 12:30 p.m. 3/3/06, she now reports she has had chest heaviness since her ears started to itch at 11:15 a.m.  The itching of the ears has resolved with Benadryl.
Age: 36.0
Sex: F
Vaccine: HEP
Symptoms: Dyspnoea, Myalgia, Pain, Pruritus
Clinical narrative: Vaccine administered 3/2/06 at 11:45 a.m.  Patient had onset of symptoms at 6:30 p.m. on 3/2/06 consisting of difficulty breathing like asthma; body muscle aches and weakness; chest heaviness; cough; and chills.  She did not take her temperature.  Symptoms resolved by 10:00 p.m. and she felt completely well by 11:30 p.m.  Patient did not seek medical attention and did not take any medications.  On 3/3/06 she developed bilateral ear itching at 11:15 a.m. and reported this at 11:45 a.m. at which time she was given Benadryl 25 mg p.o. and was told to report summary of events to her family doctor, which she did.  At 12:30 p.m. 3/3/06, she now reports she has had chest heaviness since her ears started to itch at 11:15 a.m.  The itching of the ears has resolved with Benadryl.
Age: 20.0
Sex: M
Vaccine: HEPAB, TD
Symptoms: Convulsion, Salivary hypersecretion, Staring, Tremor
Clinical narrative: On 3/1/2006 patient reports having "seizures" (fixed stares, tremors and "foaming at the mouth").  Pt. reports symptoms began 1/27/06 with symptoms occuring again on the following dates: 1/28/06, 1/29/2006, 2/22/2006, 2/24/2006 and 2/27/2006.  Pt. seen by a neurologist, on 2/28/2006 for the seizure activity.  Pt. has a follow-up appointment on 3/6/2006.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: Local reaction, redness, swelling, pain.
Age: 1.27
Sex: F
Vaccine: MMR
Symptoms: Erythema, Urticaria
Clinical narrative: Sm red hives chest/neck/back and Lt leg.  Benadryl 25mg IM, Monitored X15mins.  Hives disapeared after med given.
Age: 12.0
Sex: M
Vaccine: DTPHEP
Symptoms: Glomerulonephritis, Haematuria, Nephritis, Pyrexia
Clinical narrative: Boostrix administered on 2/27/2006.  Started with fever the day after up to 103. Fever lasted ~2 days.  on 3/1/06 fever was improving but started with gross hematuria in the evening.  Seen by nephrologist on 3/2/2006 and felt to have acute glomerulonephritis.
Age: 41.0
Sex: M
Vaccine: DTAP
Symptoms: Medication error
Clinical narrative: Adacel was given subq. into the abdomen of the patient by mistake.  Doctor grabbed the wrong syringe--thought it was Lidocaine injectable to numb up his abdomen for mole removal. Pt had no complaints after given or when he left the clinic on completion of procedure
Age: 1.27
Sex: F
Vaccine: MMR
Symptoms: Irritability, Pyrexia, Rash
Clinical narrative: 24 hour High fever rash on body cranky
Age: 0.36
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Apnoea, Epiglottitis, Laboratory test abnormal, Sudden infant death syndrome, Tracheitis
Clinical narrative: Mom reported no problems after immunizations.  Infant stopped breathing at daycare while sleeping.  Autopsy pending. 8/9/06 Received autopsy report which revealed COD as Sudden Unexplained Infant Death.  Pathologic diagnoses: mild chronic epiglottitis & tracheitis, pulmonary congestion & edema.
Age: 18.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Joint range of motion decreased, Nausea, Oedema peripheral, Pain
Clinical narrative: Extremely swollen left arm from elbow to shoulder. Swelling into left scapula and left side of neck. Entire upper arm painful & Red.  Unable to move arm up or away from body or straighten at elbow. Feeling faint when standing and Nausea from pain. Saw primary physician 2-28-2006; prescribed Medrol Dose Pack.  Elbow still swollen on 3-3-06.
Age: 18.0
Sex: F
Vaccine: PPV
Symptoms: Swelling, Syncope
Clinical narrative: Extremely swollen left arm from elbow to shoulder. Swelling into left scapula and left side of neck. Entire upper arm painful & Red.  Unable to move arm up or away from body or straighten at elbow. Feeling faint when standing and Nausea from pain. Saw primary physician 2-28-2006; prescribed Medrol Dose Pack.  Elbow still swollen on 3-3-06.
Age: 5.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Area of erythema and induration at Dtap site. Size 14 x 13 cm.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Discomfort, Hypokinesia, Muscular weakness, Myalgia, Pain
Clinical narrative: Info from patient: 51 year old healthy woman went Nov 16,2005, for a routine flu shot that was offered by Employee Benefits section of the County. She states that the injection was given very rapidly and with force that seemed like "stabbing." This was much more forceful and fast than previous shots she had received. She had local soreness that day and then had increasing soreness and weakness of her left arm. She states that since then she cannot lift heavy items with that arm and sometimes her arm is so weak that she has trouble getting her arm into a sleeve. She states that the pain varies between discomfort and more severe pain and is sometimes up into her shoulder and down to her wrist. She was seen at the office of her primary care doctor in December, 2005. She reports that the doctor said her symptoms could be from the shot, or could be tendon damage but that there were no specific answers. Ibuprofen was prescribed. She will return to her doctor because she still has the weakness and pain as of January 27,2006.
Age: 1.01
Sex: M
Vaccine: HBHEPB, PNC, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Sister had chicken pox 13 days ago. Today 3/3/06 child has about 50 chicken pox lesions on trunk. Came for Dx - Rx: Benadryl prn. Child had varivax 4/24/02. (Sister not seen by us for Dx but was vaccinated at another practice 3/9/98 - No lot # or site info available to us)
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: No lesions. Dx-Chicken pox (post vaccination). Tx: Acyclovir
Age: 1.0
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Dx- Chicken pox - <20 lesions, itching. Tx- Acyclovir.
Age: 1.02
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Pruritus, Pyrexia, Viral infection
Clinical narrative: Dx: Chicken pox - Papules and vesicles in different stages, wide spread, afebrile, itching. Tx: Zovirax (Acyclovir)
Age: 5.0
Sex: M
Vaccine: HIBV, PNC
Symptoms: Erythema, Injection site induration, Swelling
Clinical narrative: Swelling, redness, induration to left anteriolateral thigh; no systemic fever, no pallor, developed within 24 hours of vaccine administration.  Resolved within 72 hours.  Benadryl, Duricef, cool compresses.
Age: 0.16
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Medication error
Clinical narrative: Twin patients being vaccinated.  Two doses of IPV were administered to patient, instead of 1 to each twin.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Oedema peripheral, Pyrexia
Clinical narrative: 02/28/2006 arm became swollen.  Next day mom called, doctor ordered Pedia Pred- arm red, tender, little less swollen - mostly local reaction.  No loss range of motion.  Patient had 101 degree temperature the first night after DTAP shot.
Age: 1.41
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Erythema, Rash erythematous, Swelling, Urticaria
Clinical narrative: Patient had a little bit of swelling and redness on Tuesday in the left leg, the leg was better Wednesday am, but daycare called Wednesday afternoon to report his wrist were swollen.  When patient was picked up from daycare was noted what appeared to be hives/white welts on his cheeks and left thigh.  States that left leg was really swollen and red, hot and really rashy in appearance.  Welts on hands later appeared.  Patient remained his normal self and never acted like anything was wrong.  Patient was laughing, running, doing normal things.  Patient went to ER was diagnosed with allergic reaction to vaccine.  Benadryl was given and he is much improved.  Swelling much improved.  Left leg still appears reddened. 03/03/2006 Patient no longer has redness in his leg and no more hives, but left thigh remains a little raised.
Age: 0.16
Sex: F
Vaccine: PNC
Symptoms: Urticaria
Clinical narrative: Approx 48 hours PCV7 #1 given pt presents with 4 hives of R arm and 2 hive of R leg.
Age: 33.0
Sex: F
Vaccine: MMR
Symptoms: Cellulitis, Erythema, Pain, Pruritus
Clinical narrative: Received MMR vaccine on 01/05/2006, on 01/23/2006 pain erythema, itching at site of vaccine - seen in clinic.  Diagnosed with Cellulitis.
Age: 0.51
Sex: F
Vaccine: DTAP
Symptoms: Autism, Constipation, Coordination abnormal, Depressed level of consciousness, Encephalopathy
Clinical narrative: Slowness - not grabbing objects anymore, not pushing up on arms (posture), no attempts to crawl, poor coordination as well as eye contact. No more cooing - less crying - seems to have more problems with alertness. Encephalopathy - possible brachial neuritis except for crying she was reaching milestones until then. Flapping arms now and lethargic behavior (up to present) 3/9/06 Received medical records from PCP which revealed patient experienced PDD; allergy s/s of cough, congestion & runny nose; constipation; lethargy; & esotropia/ss. 4/10/06 Received medical records from hospital.  No new terms/ss
Age: 0.51
Sex: F
Vaccine: DTAP
Symptoms: Eye disorder, Hypersensitivity, Lethargy, Neurodevelopmental disorder, Radiculitis brachial
Clinical narrative: Slowness - not grabbing objects anymore, not pushing up on arms (posture), no attempts to crawl, poor coordination as well as eye contact. No more cooing - less crying - seems to have more problems with alertness. Encephalopathy - possible brachial neuritis except for crying she was reaching milestones until then. Flapping arms now and lethargic behavior (up to present) 3/9/06 Received medical records from PCP which revealed patient experienced PDD; allergy s/s of cough, congestion & runny nose; constipation; lethargy; & esotropia/ss. 4/10/06 Received medical records from hospital.  No new terms/ss
Age: 1.99
Sex: M
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: Child broke out in hives 02/29/2006.  Did not call doctor until 03/02/2006.  Seen by doctor on 03/02/2006.
Age: 5.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Erythema
Clinical narrative: Red arm deltoid to elbow on left.  Injection was given in left deltoid.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Blepharitis, Eyelid disorder, Rash pustular
Clinical narrative: 1 week post-smallpox vaccination patient presented with left, lower eyelid pustules, diagnosed as vaccinia blepharitis by ophthalmologist. Review of smallpox questionnaire shows patient responded he did have a skin problem (yes to question #9).  The questionnaire was not reviewed by a physician or completed by vaccine administrator. Follow-up: Per MD/Reporter there was no contraindication to Smallpox vaccination. I'm very glad that you contacted me since about 10 minutes after submitting the report I found that the patient actually had 2 smallpox questionnaires. The one that I initially saw was actually from his home station from Dec 2005 and the back page was not completed and he did not receive the vaccine at that time. The questionnaire for the date of his vaccination was found and it was completed correctly and he did not have any contraindication to the smallpox vaccinatin and provider approval was given - much to every's relief for the 10 minutes when we thought it had been administered to someone with a potential contraindication!  Thanks for the VAERS report #252297 ref: possible reaction to smallpox vaccination! And just need the name of the hospital where pt was admitted so that I can obtain records for the 1 day hospitalization to go along with your report. If you have the phone number for the hospital, that would be awesome. However, just the name would be a good start.
Age: 1.27
Sex: F
Vaccine: HEPA, MMR
Symptoms: Pyrexia
Clinical narrative: Fever 9 days after vaccination.
Age: 16.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Hypokinesia, Pain
Clinical narrative: Has been complaining of severe pain since the day of the immunization in his right arm--he is a weight lifter, and has been unable to lift weights--states when he rotates his arm hears a  crackling sound--no unusual redness or swelling noted by mom--referred to medical provider for an assessment of the problem.
Age: 1.06
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Diagnosed with chickenpox (post vaccination), treated with Acyclovir, approximately 30 lesions.
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Myalgia, Pain
Clinical narrative: Patient experienced extreme myalgia in upper right leg which persisted for 48 hours, then the pain subsided very slowly over the next 4 days. This started 4 hours after administration of the vaccine. (The date of vaccination entered in Question 10  approximate, actual date was within 10 days of 10/18/2005)
Age: 39.0
Sex: F
Vaccine: TTOX
Symptoms: Hypokinesia, Injection site infection, Injection site warmth, Pain, Swelling
Clinical narrative: 2/9/06 Injected at about 1300 for routine, preventative measures.  I felt fine all day.   2/10/06 @ 6:30 A.M. when I woke I had pain, swelling, tenderness, bruning, and heat to touch.  I was unable to reach sholder level and unable to grasp whith my arm at different positions.  A week later I was told by the office that the ice I was applying and tylenol/advil that I was taking was appropriate and I should continue.  On the second week doctor examined my arm and started me on antibiotic for concern that I may have gotten an infection in that arm.  My arm, although the swelling has improved greatly, and there is no more heat to touch, still has some tenderness and some weaknesses.
Age: 39.0
Sex: F
Vaccine: TTOX
Symptoms: Tenderness, Thermal burn
Clinical narrative: 2/9/06 Injected at about 1300 for routine, preventative measures.  I felt fine all day.   2/10/06 @ 6:30 A.M. when I woke I had pain, swelling, tenderness, bruning, and heat to touch.  I was unable to reach sholder level and unable to grasp whith my arm at different positions.  A week later I was told by the office that the ice I was applying and tylenol/advil that I was taking was appropriate and I should continue.  On the second week doctor examined my arm and started me on antibiotic for concern that I may have gotten an infection in that arm.  My arm, although the swelling has improved greatly, and there is no more heat to touch, still has some tenderness and some weaknesses.
Age: 30.0
Sex: F
Vaccine: VARCEL
Symptoms: Contusion, Injection site erythema, Tenderness
Clinical narrative: Injection area got real red immediately, then went away.  2 weeks later there was a pronounced magenta raised area a little larger than the size of a quarter.  The area was very tender.  After this went down, there was a bruise.
Age: 85.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site hypersensitivity, Injection site pain, Injection site reaction, Pneumonia
Clinical narrative: Initial report received from another company (reference number QAES0511USA00613) on 2/28/2006. This information was reported to the other company by a pharmacist. An 84 year old female patient with no reported medical history, had received an intramuscular injection of Fluzone SV 2005-2006 USP, lot number U1806AA, in the right deltoid and an intra muscular injection of Pneumovax 23, lot number 650453/0791P, in the left deltoid on 10/23/2005. The patients daughter called the pharmacist to report that on 10/24/2005, one day post vaccination, her mother developed redness and pain in the left shoulder where the Pneumovax 23 product was administered. the patient was treated with cold packs, ibuprofen and diphenhydramine hydrochloride (Benadryl). The pharmacist recommended that the patient should see her physician if the symptoms worsened. It was reported that the patient was hospitalized on the evening of 03/Nov/2005 with shortness of breath, rales and pneumonia.  The patient was released from the hospital the next day. It is unknown whether the patient had any illness at the time of vaccination. The patients recovery status was reported as unknown (also reported as not recovered). The pharmacist reported that he pulled all of his Pneumovax 23 vaccine off his shelf and requested a lot check be done. The records of testing prior to the release of the Pneumovax 23 lot were checked by the other company's Quality Assurance department and were found to be satisfactory. The lot complied with the standards of the center for biologics evaluation and research and was released.
Age: 48.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Dyspnoea, Headache, Hypokinesia, Musculoskeletal stiffness
Clinical narrative: Initial report received on 11/22/2005 from a patient. A 47 year old male with a history of ragweed allergies received a left deltoid injection of Fluzone SV 2005-2006 USP, lot number U1830AA, on 11/4/2005 at 6:00pm. One hour later, he developed a severe headache and sore arm. he now complains of stiffness and aches in his left arm, neck, shoulder and down his mid back. An electrocardiogram, chest x ray and complete blood count are reported as within normal limits. There was no illness at the time of vaccination, and the patients medications include Flonase and allergra. He also receives allergy shots every two weeks. Per the reporter, the patients symptoms are persisting, and he has not recovered. Follow up information received on 2/27/2006 from a health care professional. Per the new information, the adverse events were updated. it was reported that the patient was also allergic to cotton and sea weed. Per the reporter, the route of administration of the vaccine was intramuscular. The event was described as severe headache, sore and stiff muscles of the arm and shoulder that extended down between the patients shoulder blades. This occurred one hour post vaccination. At an unspecified time later, he was seen by a physician and results of blood tests, chest x ray and heart monitor seemed okay. Per the wife, on the evening of the vaccination, the patient could hardly get upstairs as he was weak and short of breath. At the time of this report, the patient had been taking Prednisone for three days and had been taking a muscle relaxant for one week. It was reported that the patient had not recovered from these events at the time of this report.
Age: 48.0
Sex: M
Vaccine: FLU3
Symptoms: Myalgia, Pain
Clinical narrative: Initial report received on 11/22/2005 from a patient. A 47 year old male with a history of ragweed allergies received a left deltoid injection of Fluzone SV 2005-2006 USP, lot number U1830AA, on 11/4/2005 at 6:00pm. One hour later, he developed a severe headache and sore arm. he now complains of stiffness and aches in his left arm, neck, shoulder and down his mid back. An electrocardiogram, chest x ray and complete blood count are reported as within normal limits. There was no illness at the time of vaccination, and the patients medications include Flonase and allergra. He also receives allergy shots every two weeks. Per the reporter, the patients symptoms are persisting, and he has not recovered. Follow up information received on 2/27/2006 from a health care professional. Per the new information, the adverse events were updated. it was reported that the patient was also allergic to cotton and sea weed. Per the reporter, the route of administration of the vaccine was intramuscular. The event was described as severe headache, sore and stiff muscles of the arm and shoulder that extended down between the patients shoulder blades. This occurred one hour post vaccination. At an unspecified time later, he was seen by a physician and results of blood tests, chest x ray and heart monitor seemed okay. Per the wife, on the evening of the vaccination, the patient could hardly get upstairs as he was weak and short of breath. At the time of this report, the patient had been taking Prednisone for three days and had been taking a muscle relaxant for one week. It was reported that the patient had not recovered from these events at the time of this report.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Dermatitis, Headache, Rash, Rash erythematous
Clinical narrative: 19yo male received smallpox vaccination 1 week ago. Upper chest and back (no palms, no mucous membrane, no face/neck). Broke out in erythematous raised rash (papules), one pustule, all actiniform in appearance but with dermatomal distribution. No fever but had mild headache 2-3 days ago. Had good 'take' at small pox site, no evidence of surrounding secondary vaccinia lesions. May be dermatitis given new environment, new detergents, new exposures (vests, uniforms, armor), but dermatome distribution (on back) raises possibility of viral exanthum, recent small pox immunization may be possibility but considered very low risk otherwise. He shows no evidence of illness, rash not bothering.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Right thigh redness and swelling 2cm and 2 diameter.  Reaction to DTAP.
Age: 30.0
Sex: F
Vaccine: HEPA, IPV, MEN, TD, TYP, YF
Symptoms: Urticaria
Clinical narrative: Patient states when she took her 3rd dose, she developed hives.  She visited her primary care physician.