chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth, Rash papular
Clinical narrative: L deltoid had lg 9x10.5cm erythema warm to touch and very tender. Sm 5cm central papule near needle insertion.
Age: 2.0
Sex: F
Vaccine: VARCEL
Symptoms: Blood glucose increased, Candidiasis, Diabetes mellitus, Infection, Vomiting
Clinical narrative: Child became a diabetic 12 days after having the varivax vaccine. Child first had a throat infection the following week. then about 3 days later started throwing up; got shot of Pherghan; then changed antibiotic and got thrash. The about 3 days later, diagnosed with Diabetes. Pt was dignosed with Type I diabetes, she will not recover from this takes 2-3 shots per day. Sticks finger at least 4 times a day. If you find any connection between the shot and her having diabetes- would you please let me know.  Annual follow up on 04/14/04: "Pt has not recovered from adverse events.  She has diabetes and takes 3 shots every day and sticks her finger 4 times a day.  We have to buy 7 medications every month.  In small children a virus can attack the pancreas and it will no longer produce insulin.  The varicella shot is a live virus.  Yes, where do we get help from for this child. No one in our family has diabetes on either side-so what happened?  I just want help.  My medical insurance is $500.00 a month.  There is no cure for this side effect.  We still got the chickenpox also.
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Pyrexia, Urticaria
Clinical narrative: Mom reported on 2/11/03 that after vaccine given on 11/11/02 one hour after shot developed hives then fever that pm taken to hospital was given steroid injection. Hives and fever off and on next two days.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site vesicles
Clinical narrative: Child experienced erythema (10cm x 13cm) with edema, ?, tenderness L upper arm one day after immunizations. Mother noticed rign of blisters (that ?) over deltoid on day one. Pt afebrile. Tx'd with Ibuprofen, Augmentin 400mg two tsp BID (due to extent of reaction). Seen five days after immunization. On day five, no longer with erythema, ? with mild edema over deltoid (3cm 2cm) (note also had +PPD at time of reaction on L forearm).
Age: 0.5
Sex: F
Vaccine: DTAP, HBHEPB, PNC
Symptoms: High-pitched crying, Urticaria
Clinical narrative: High pitched wailing - several hours after hot; lasted throughout night. Pea to quarter sized red welts which turned purplish after 2-3 days; began 3 days after shot and lasted for more than a week. Mostly on extremities.
Age: 1.75
Sex: F
Vaccine: DTAP
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Mom discovered left leg swollen in AM on 2/7 when changing her diaper. Mom reported hot, red and 2-3 times normal size. Instructed to try Motrin/Tylenol/warm baths and if not better or still worried ER. She called on her own doctor 200 miles away. This was on 2/7 that she called about this. 2/11/03 PC back to home and spoke with mom's step mother who said mom took child and disappeared. Mom was to have entered rehab today. Onset morning of 02/07/2003
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling and erythema left deltoid. Large area 6-10cm by 4-6cm in area where DTaP given.
Age: 1.0
Sex: M
Vaccine: MMR, OPV, VARCEL
Symptoms: Arthritis, Autism, Cognitive disorder, Constipation, Fatigue
Clinical narrative: Approximately 36 days after receiving MMR, Varicella, OPV, 13 month infant spiked high temperature, projectile vomiting and tonic/clonic grand mal seizure 2.5 minutes with loss of consciousness about 30 seconds. Rescue 911 called during seizure. To ER. CPH, Lab work. Postical state muscle weakness. The 60 day follow-up states states autism/ PDD diag: 27 mos. Phys symptoms: chronic fatigue, transient temps, resp virral syndromes, hyperactivity, speech delay, cognitive poor alteraltion, difficulty comprehending words, nausea-constipation, bulky stools, diff-retrieving words, over sensitive sounds, arthritis type symptoms, headaches (self-injury). These are some residual symptoms since immunization 1/20/99. The follow up states, "diagnosed with autism and speech delay."
Age: 1.0
Sex: M
Vaccine: MMR, OPV, VARCEL
Symptoms: Grand mal convulsion, Headache, Loss of consciousness, Muscular weakness, Nausea
Clinical narrative: Approximately 36 days after receiving MMR, Varicella, OPV, 13 month infant spiked high temperature, projectile vomiting and tonic/clonic grand mal seizure 2.5 minutes with loss of consciousness about 30 seconds. Rescue 911 called during seizure. To ER. CPH, Lab work. Postical state muscle weakness. The 60 day follow-up states states autism/ PDD diag: 27 mos. Phys symptoms: chronic fatigue, transient temps, resp virral syndromes, hyperactivity, speech delay, cognitive poor alteraltion, difficulty comprehending words, nausea-constipation, bulky stools, diff-retrieving words, over sensitive sounds, arthritis type symptoms, headaches (self-injury). These are some residual symptoms since immunization 1/20/99. The follow up states, "diagnosed with autism and speech delay."
Age: 1.0
Sex: M
Vaccine: MMR, OPV, VARCEL
Symptoms: Neurodevelopmental disorder, Pain, Psychomotor hyperactivity, Pyrexia, Viral infection
Clinical narrative: Approximately 36 days after receiving MMR, Varicella, OPV, 13 month infant spiked high temperature, projectile vomiting and tonic/clonic grand mal seizure 2.5 minutes with loss of consciousness about 30 seconds. Rescue 911 called during seizure. To ER. CPH, Lab work. Postical state muscle weakness. The 60 day follow-up states states autism/ PDD diag: 27 mos. Phys symptoms: chronic fatigue, transient temps, resp virral syndromes, hyperactivity, speech delay, cognitive poor alteraltion, difficulty comprehending words, nausea-constipation, bulky stools, diff-retrieving words, over sensitive sounds, arthritis type symptoms, headaches (self-injury). These are some residual symptoms since immunization 1/20/99. The follow up states, "diagnosed with autism and speech delay."
Age: 1.0
Sex: M
Vaccine: MMR, OPV, VARCEL
Symptoms: Vomiting projectile
Clinical narrative: Approximately 36 days after receiving MMR, Varicella, OPV, 13 month infant spiked high temperature, projectile vomiting and tonic/clonic grand mal seizure 2.5 minutes with loss of consciousness about 30 seconds. Rescue 911 called during seizure. To ER. CPH, Lab work. Postical state muscle weakness. The 60 day follow-up states states autism/ PDD diag: 27 mos. Phys symptoms: chronic fatigue, transient temps, resp virral syndromes, hyperactivity, speech delay, cognitive poor alteraltion, difficulty comprehending words, nausea-constipation, bulky stools, diff-retrieving words, over sensitive sounds, arthritis type symptoms, headaches (self-injury). These are some residual symptoms since immunization 1/20/99. The follow up states, "diagnosed with autism and speech delay."
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Neurosis
Clinical narrative: At 2 month visit, DaPT/Comvax given right thigh; IPV Prevnar given left thigh. At 4 month visit DaPT/Prevnar give right thigh; IPV/HIB given left thigh. DaPT site at 2 months and Prevnar site red, warm, swollen with fat neurosis to be drained by surgeon.
Age: 1.5
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Herpes zoster
Clinical narrative: Child developed herpes zoster of right arm.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site induration, Injection site mass, Injection site swelling
Clinical narrative: Lump noted on left shoulder on 2/9/03 (three days after vaccine administered). 1.5cmx2cm raised indurated area at the site of vaccine administration. No tenderness, warmth, or erythema.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Injection site swelling
Clinical narrative: Swelling right thigh that afternoon and early next day. Cold compresses only treatment.
Age: 21.0
Sex: F
Vaccine: MMR
Symptoms: Malaise, Throat tightness
Clinical narrative: Throat tightness 5 minutes after vaccine (swelling feeling and throbbing in throat); didn't feel right. VS stable in dept. and ED. Initially within 8 minutes of symptoms, Benadryl 50IM then transported to ED.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Difficulty in walking, Injection site inflammation, Injection site pain, Injection site swelling
Clinical narrative: Patient came to clinic 1/30/03 with inflammation, swelling, pain on left thigh. Inflammation area approximately .4 inch in diameter. Child complaining of pain on walking. 1/30/03 vaccines (DTaP/IPV) received 1/28/03. Seen by clinic doctor 1/30/03; reassured that symptoms were reaction to vaccine.
Age: 4.08
Sex: M
Vaccine: DTAP, IPV
Symptoms: Urticaria
Clinical narrative: Hives
Age: 1.08
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Varicella lesions - papular and vesicular pustular lesions on back, extremities.
Age: 79.0
Sex: M
Vaccine: TD
Symptoms: Stupor
Clinical narrative: Immediately after Td vax, PT slumped over, unresponsive. B/P 76 systolic, EKG rate 49.
Age: 1.6
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Vasodilation procedure
Clinical narrative: 24 hrs after vax, developed redness, induration. Seen in clinic at 48 hrs.  S____ on Benadryl and Augmedin
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema
Clinical narrative: 8x11 mm area of erythema w/out induration or tenderness. No adenopathy no fever.
Age: 2.08
Sex: M
Vaccine: IPV, MMR, PNC, VARCEL
Symptoms: Rash, Vasodilation procedure
Clinical narrative: Received Varivax 11/29/01. On 1/8/03 seen c/o red raised rash back, buttocks leap (not an adverse reaction)
Age: 33.0
Sex: F
Vaccine: MMR
Symptoms: Oedema, Pain, Vasodilation procedure
Clinical narrative: Received MMR. 14 days later developed pain, swelling and redness in right wrist.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site oedema, Injection site reaction, Vasodilation procedure
Clinical narrative: Local reaction of arm - redness, firmness, swelling.
Age: 5.0
Sex: F
Vaccine: DT
Symptoms: Crying, Muscle twitching, Sleep terror
Clinical narrative: Night of vax my daughter had night terrors every hour throughout the night. Each one involving violent kicking and crying and sitting up in bed but never waking. These continued for 8 nights consecutively but the terrors became more infrequent each night. She has never had night terrors before.
Age: 21.0
Sex: M
Vaccine: TD, VARCEL
Symptoms: Headache, Myalgia, Pyrexia, Somnolence
Clinical narrative: PT received TD and Varicella vaccine on 10/23/02 at 15:40. On 10/25/02, 9 a.m., c/o fever, severe headache, bodyaches, and lethargy noted by case worker. Taken to a medical center, treated & discharged to home.
Age: 0.3
Sex: F
Vaccine: HIBV, IPV, PNC
Symptoms: Crying, Injection site oedema, Injection site reaction, Pyrexia, Vasodilation procedure
Clinical narrative: Eliminated DPT from shots to see if there was a reaction and there was. 103 deg fever, screaming, unconsolable. Darkness, redness, swelling in inject site for 2 days.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site warmth, Pruritus
Clinical narrative: L arm with redness, warmth and itching from shoulder to elbow. Started on Keflex 5/16/02 MD thought reaction to DTaP not IPV.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Pt developed large swollen, tender, erythematous area at site of DTaP injection. Reaction occurred within 12 hrs of injection. Treated with ice/Zyrtec/Benadryl.
Age: 1.0
Sex: F
Vaccine: HEP, IPV, MMR
Symptoms: Lethargy, Nasal congestion, Pyrexia, Rhinitis
Clinical narrative: Nasal congestion, coryza, lethargy, T 101-max 104.7. Tx sx with Tylenol.
Age: 21.0
Sex: F
Vaccine: MMR, TD
Symptoms: Injection site induration, Injection site warmth, Skin nodule
Clinical narrative: 2/12/03, T-97 P 68, BP 12422. Injection site indurated warm to touch. Node upper L chest enlargement painful when touched.
Age: 1.5
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site induration, Injection site oedema
Clinical narrative: Purple indurated 9mm x 9mm, swollen pink R upper thigh injection site. Motrin q 6 prn.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Agitation, Crying, Decreased appetite, Eyelid oedema, Pyrexia
Clinical narrative: Mom states: slept 6 hrs post vaccines, then started screaming much of the time for five days. No illness symptoms. Fever of 99.0 degrees, no resp. symptoms. "Inconsolable." Fed poorly for five days. Seen in ER on 12/8/02 for L eyelid puffiness which resolved without treatment. Mother didn't notify me: excessive crying until the 2/5/03 well visit.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Convulsion
Clinical narrative: ? pt had a seizure activity after. Seizures
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: 11.5 x 11.5cm area of redness, swelling and induration which developed approximately 36-48 hours post immunization. No ffever and not determined to be cellulitis.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site induration, Injection site vesicles, Migraine, Nausea
Clinical narrative: During post-vaccination clinic pt reported nausea/vomiting, 6 days p VX.  Nausea continued for 1 week. At day 11 pt observed robust take including redness 10 cm induration, lymph agenitis, blistering. Also c/d migraines intermittently.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Vomiting
Clinical narrative: During post-vaccination clinic pt reported nausea/vomiting, 6 days p VX.  Nausea continued for 1 week. At day 11 pt observed robust take including redness 10 cm induration, lymph agenitis, blistering. Also c/d migraines intermittently.
Age: 1.5
Sex: M
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Convulsion, Pyrexia
Clinical narrative: 18 mo. old male received immunizations on 2/12/03.  Was taken to ER on 2/13/03 with 105 temp and seizures.  Was admitted to ICU given ivdilantun plus ativan and sent on to UMMC at 6:55 pm 2/13/03, seizures continued. A 60-day follow up report received 6/10/2003 states that the pt has recovered. Still in hospital as of 2/19/03. Pt. has had no other seizures since 1st episode. Takes no medications at present time.  Follow up on 5/21/2004: No information reported.
Age: 5.08
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: 1 1/2" x 2" red area-tender to touch.
Age: 30.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site reaction, Paraesthesia
Clinical narrative: Redness and swelling across right deltoid with parethesias-Probable cellulitis secondary to vaccination site.
Age: 0.5
Sex: M
Vaccine: DTAP, PNC
Symptoms: Decreased appetite, Irritability, Pyrexia, Vomiting
Clinical narrative: Afternoon of 2/6/03, fever of 101.1. Friday emesis; Saturday emesis. Decreased appetite and increase fussiness.
Age: 0.5
Sex: M
Vaccine: DTAP, PNC
Symptoms: Decreased appetite, Irritability, Vomiting
Clinical narrative: Emesis Friday and Saturday. Decreased of appetite; increased fussiness.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site inflammation, Injection site swelling
Clinical narrative: Redness, swelling, inflammation noted at right deltoid approximately 24 hours after injection of DTaP and IPV. Treated symptomatically with cool compresses/Benadryl.
Age: 11.0
Sex: M
Vaccine: HEP, HEPA, TD, TYP
Symptoms: Flushing, Pain, Rash, Skin reaction
Clinical narrative: 02/5/03 - skin reaction like sunburn, stinging, rash on abdomen, chest and back. Mother called pediatrician and was told rash would last 5-7 days; given Benadryl. 2/6/03 Child returned to school, cheeks still red, but feels fine according to father. Mother states rash was on hands and legs today. Decided taking child to pediatrician.
Age: 12.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Chest pain, Dyspnoea, Flushing, Headache, Hypersensitivity
Clinical narrative: Child slept notably more for 2 days after shots and had complaints of headaches. Then on 7/29/01 cheeks of face and arms at injection site were noted reddened. Child felt warm to the touch, but thermometer registered no fever. On 8/2/01 rash had spread to chest, stomach, legs and child complained of chest pain and shortness of breath. Taken to ER and diagnosed as an allergic reaction to something. Given Rx for Claritin; mom states Claritin no effect; gave gild her medicin Hydroxyzide 25mg - effect results.
Age: 12.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Rash, Skin warm, Somnolence
Clinical narrative: Child slept notably more for 2 days after shots and had complaints of headaches. Then on 7/29/01 cheeks of face and arms at injection site were noted reddened. Child felt warm to the touch, but thermometer registered no fever. On 8/2/01 rash had spread to chest, stomach, legs and child complained of chest pain and shortness of breath. Taken to ER and diagnosed as an allergic reaction to something. Given Rx for Claritin; mom states Claritin no effect; gave gild her medicin Hydroxyzide 25mg - effect results.
Age: 37.0
Sex: F
Vaccine: TYP
Symptoms: Abdominal pain, Diarrhoea, Nausea, Rash, Vomiting
Clinical narrative: Took the capsule at approximately 7:30am; one hour later became nauseated and vomited 3 to 4 hours later. Continued to feel ill the next day and also developed a rash to both cheeks. The day she took the capsule she also had abdominal cramps and a loose stool.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Skin ulcer
Clinical narrative: 2 lesions.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left arm became increasingly red, warm, slightly swollen. Grandmother states by next morning left arm from shoulder to elbow was red, warm, puffy; denies any fever. 2/12/03 Left arm remains pink, puffy, warm. Child denies discomfort although palpitations causes him to flinch. Have been applying warm packs. Moves left arm fine; actively playing.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Right arm red and swollen from upper deltoid to elbow. Started 3 hours after vaccination.
Age: 0.5
Sex: F
Vaccine: DTAP, PNC
Symptoms: Cyanosis, Hyperventilation, Hypotonia
Clinical narrative: Patient received immunizations at 6 months DTaP, Prevnar vaccine. Had uneventful day and night. Mom, during night, heard sound of heavy breathing. Went to check on baby and color was blue and limp. Parent gave mouth to mouth and infant responded after several minutes. Patient transported by ambulance to ER; seen and evaluated and placed on apneic monitor.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Abnormal behaviour, Neurodevelopmental disorder, Speech disorder
Clinical narrative: In early July 2002 the parents noted onset of a sustained period of developmental regression that though mild involved both motor and speech. The parents describe him as being detached and less responsive through the following months until December when he seemed to recover. They feel he has regained and exceeded prior progress in the last month. Parents noted developmental regression by mid July 2002.
Age: 0.3
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Sleep apnoea syndrome, Tremor
Clinical narrative: Within 10 min of vaccine, was nursing quietly when began having arm shaking. This progressed to total body shaking, lasting < 30 sec. Sleepy for about 5-10 min afterwards, then back to normal self. No further adverse events.
Age: 64.0
Sex: M
Vaccine: HEP, HEPA, IPV, TYP
Symptoms: Laboratory test abnormal
Clinical narrative: It was reported that a 64 year old male pt received an IPOL vaccination administered in July 2001. The pt was found to have an immunoglobulin G spike on a "routine" physical on 10/1/01. The pt's outcome is unknown. From additional correspondence received at manufacturer on 8/6/02, it was reported that pt received IPOL (T0485) SQ to left deltoid, Engerix B (lot 5208A2) IM to right deltoid, Havrix (704A4) IM to right deltoid on 6/14/01. Pt also received Typhim VI (R1230-4) IM to left deltoid and Engerix B (5252A2) IM to right deltoid.
Age: 35.0
Sex: F
Vaccine: TYP
Symptoms: Pruritus, Rash
Clinical narrative: It was reported by a nurse that a 35 year old female, born on 5/24/67, was vaccinated with Typhim VI (lot U1157-2) on 8/12/02 in the right thigh. The pt was receiving other travel vaccines in the deltoid. On 8/13/02, the pt developed little red bumps that were itchy on both extremities and also a red sunburn-like rash, which burned and was itchy. The pt was suggested to take antihistamine. The rash was resolved after taking Benadryl.
Age: 30.0
Sex: F
Vaccine: HEPAB, TD, TYP, YF
Symptoms: Injection site pain, Skin discolouration
Clinical narrative: on 11/6/02, a 30 year old adult female reported receiving the following four vaccines from for traveling purposes: Typhim VI, diphtheria and tetanus toxoids, Twinrix and Yellow fever vaccine on 9/26/02. She reported that the Typhim VI vaccine was the only vaccine that hurt as it was injected. The pain lasted for 1-2 weeks and the area became discolored, turning from red to brown. Her physician did not think the reaction was important, but the pt's concern was cosmetic, as the discoloration had not resolved and was still quite visible at the time of the report.
Age: 32.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Diarrhoea
Clinical narrative: This 32 y.o. female PT developed soon after the first Vivotif capsule mild diarrhea. After the 2nd capsule she experienced watery diarrhea for about 5 hrs. She was instructed by the registered nurse to stop regimen and diarrhea resolved. Immunization was finished by injectable typhoid vaccine.
Age: 51.0
Sex: M
Vaccine: TYP
Symptoms: Diarrhoea
Clinical narrative: This 51 y.o. male started Vivotif vax on 3/11/02. After ingestion of the 1st capsule at 6 p.m. he experienced diarrhea on 6 a.m. He again developed diarrhea after the 2nd capsule. The vax course was discontinued.
Age: 60.0
Sex: F
Vaccine: TYP
Symptoms: Fatigue, Pruritus, Rash macular
Clinical narrative: The PT took the last capsule of the oral vaccine on 10/21/02 6 p.m. On 10/26/02 10 a.m., itching started and slowly increased. The itching was treated w/Benadryl (diphenydramine). By 10/27, there was a red macular rash over parts of chest, belly, groin and back which generalized over the next 2 days and therapy w/Medrol (methylprednisolone) was started. Itching and rash slowly decreased and were gone on 11/5/02. There was no fever, no headache, or GI symptoms, no sore throat. There was fatigue which probably was due to Benadryl. The PT is known to have a penicillin allergy.
Age: 33.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema, Nausea, Pyrexia, Vomiting
Clinical narrative: Day 6 post vaccination - nausea/vomiting, low grade fever (100); lt neck-supraclavicular node-tender.   Day 8 post vacc - nausea; lt supraclavicular node enlarged; red; very tender; low grade fever.  Discussed with CDC CIL.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site reaction, Rash
Clinical narrative: Multiple red macules and papules L. arm from wrist to vaccination site. Patient stated that he noticed them in the AM of 2-19-03. At 1:30pm when examined by RN, the rash was starting to go away. On further inspection, the same rash was noted on the R. forearm. No rash noted on the chest or stomach. Patient denies any other problems. He was instructed by RN to see his primary care MD if condition worsens. Patient was seen on 2-19-2003 @ 1:30PM. The follow up states "follow up with pt on 4/17/03 #9 'yes'."
Age: 21.0
Sex: M
Vaccine: SMALL, TD
Symptoms: Chest pain, Discomfort, Lymphadenopathy
Clinical narrative: Patient was given smallpox immunization 2/12/03. I saw him 8 days later c/o pleuritic chest pain along with expected reactions of discomfort at vaccination site and axillary lymphadenopathy. Pt did not have uri sx's. lungs were clear, cxr wnl. I am unsure if the pleuritic chest pain is related to the vaccination and am erring on the side of caution and reporting this as a possible reaction to the vaccination.  Patient did receive other immunizations, I do not have his record available at the time of filling out this report to confirm what they were but I believe one of the other two was a tetanus vaccination.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Lymphadenitis, Oedema
Clinical narrative: Increased swelling over right deltoid regoin up into lower later cervical area on the right side with concurrent lymphadenitis and pain in corresponding region.
Age: 33.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Fatigue, Headache, Injection site pain, Neck pain
Clinical narrative: Pt c/o headaches, fatigue and pain in L upper arm later radiating to L neck area. Symptoms started on day 7 and lasted x 2 days. Pt given 24 hrs quarters to rest, given Toradol 60mg IM.
Age: 33.0
Sex: M
Vaccine: SMALL
Symptoms: Myalgia, Rash
Clinical narrative: This re-vaccinee developed scattered, non-pruritic papules and pustules on anterior and posterior shoulders on day 10 after smallpox vaccine. No other symptoms evident except mild , generalized myalgias. Had had axillary LAD on day 5-9 but was resolved at time of rash eruption. All sx resolved without treatment.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cough, Dyspnoea, Erythema, Eye irritation, Eye oedema
Clinical narrative: POST 10 MINUTES OF RECIEVING VACCINES,PATIENT PRESENTED WITH SWOLLEN EYES AND REDNESS AND COUGHING  SCRATCHING HER EYES WITH DIFFICULTY BREATHING MD ADMINISTERED EPINEPHRINE 1;1000 0.2MG  SQ,ORAPRED 30 MGPO,AND BENADRYL 12.5MG PO
Age: 23.0
Sex: F
Vaccine: SMALL
Symptoms: Blister, Dysphonia, Headache, Nasal congestion, Neck pain
Clinical narrative: headache, congestion, throat pain, hoarseness, Left neck pain, left tonsil blood blister; seen by physician today; quarters x three days; medication: motrin, entex,pse tablets for congestion; seen at March by another MD who concurred
Age: 23.0
Sex: F
Vaccine: SMALL
Symptoms: Pharyngolaryngeal pain
Clinical narrative: headache, congestion, throat pain, hoarseness, Left neck pain, left tonsil blood blister; seen by physician today; quarters x three days; medication: motrin, entex,pse tablets for congestion; seen at March by another MD who concurred
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Pruritus, Pyrexia
Clinical narrative: Pt. rcv'd injection 2/17/03. Mother states patient had a slight fever 2/17/03 PM. On 2/18/03 patient was feeling fine. 2/19/03 mother noticed redness around injection site. On 2/20/03 redness was described as big as a silver dollar. Pt not complining of pain, SOB, chest pain, no fever, slight itchiness.
Age: 24.0
Sex: U
Vaccine: SMALL, SMALL
Symptoms: Erythema, Fatigue, Headache, Injection site induration, Injection site mass
Clinical narrative: Non specific rash on face 8 days post vax, no lesions on eye involvement.
Age: 24.0
Sex: U
Vaccine: SMALL, SMALL
Symptoms: Injection site rash, Injection site vesicles, Lymph node pain, Muscle spasms, Night sweats
Clinical narrative: Non specific rash on face 8 days post vax, no lesions on eye involvement.
Age: 24.0
Sex: U
Vaccine: SMALL, SMALL
Symptoms: Pruritus
Clinical narrative: Non specific rash on face 8 days post vax, no lesions on eye involvement.
Age: 24.0
Sex: U
Vaccine: SMALL, SMALL
Symptoms: Rash
Clinical narrative: Non specific rash on face 8 days post vax, no lesions on eye involvement.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site oedema, Injection site pain, Pruritus
Clinical narrative: 6th anthrax shot since '98-'99 given on 2/7/03 with previous anthrax shot ? year ago by hx progressive R upper arm, R shoulder R axilla pain, itch, swelling, redness, tenderness with R axillary tenderness? Tx with Benadryl, prednisone, cool compresses. Pt being followed in clinic at this time.
Age: 26.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site induration, Injection site reaction
Clinical narrative: Severe local rxn. Erythemic/indurated area ivo. vaccine site, 15cm x 15cm. Pt on shot #6 of anthrax.
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Epistaxis, Haematemesis, Headache, Nuchal rigidity
Clinical narrative: Joint aches (all joints); severe in neck. Sore throat, epistaxis, hematemesis, mild headache. *F/UP report on 3/28/03: Gradual onset of complaints of severe stiff neck.*
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Pharyngolaryngeal pain
Clinical narrative: Joint aches (all joints); severe in neck. Sore throat, epistaxis, hematemesis, mild headache. *F/UP report on 3/28/03: Gradual onset of complaints of severe stiff neck.*
Age: 22.0
Sex: F
Vaccine: ANTH
Symptoms: Eye pain, Ocular hyperaemia
Clinical narrative: Pain in eyes, burst blood vessels in eyes, eyes have become sensitive to wind, soreness in eyes.
Age: 21.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Over two days developed 12 x 15cm area of induration, warm, redness.
Age: 47.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site mass
Clinical narrative: Lump approximately 7x8 cm right deltoid area
Sex: F
Vaccine: TD
Symptoms: Oedema, Vasodilation procedure
Clinical narrative: Red, swollen, hot on left arm x 2 days. (-) lymphangitic, resolving, and fluctuance
Age: 35.0
Sex: M
Vaccine: HEPA
Symptoms: Abdominal pain, Arthralgia, Chills
Clinical narrative: Abdominal pain, joint pain, chills. Tylenol tabs every 4 hrs.
Age: 0.4
Sex: F
Vaccine: HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: Temp 101.8 lasting > 5 days.
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Older brother had shingle 3 ago. PT broke out with chickenpox on 2/13/03.
Age: 2.08
Sex: M
Vaccine: VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: PT broke out in chicken pox.
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Injection site erythema, Pyrexia
Clinical narrative: Pt received DTaP, PPV vax's on 2/12/03 on left leg. On 2/13/03, mother noticed 2 erythematous papules at inject site. Fever 101.8 on same day.
Age: 9.0
Sex: M
Vaccine: PPV
Symptoms: Face oedema, Urticaria
Clinical narrative: Hives began 1/29/03 over total body. Face & lips slightly puffy. Began Benadryl Q6. Hives & puffiness relieved after Benadryl. Hives gone by day 2/2/03.
Age: 1.0
Sex: M
Vaccine: IPV, MMR, PNC
Symptoms: Asthma, Face oedema, Hypersensitivity
Clinical narrative: Facial angioedema, bronchospasm w/in 4 hrs, lasting until morning.
Age: 0.8
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Pyrexia, Screaming
Clinical narrative: 1 day after shots - ran 104 temp and nonstop crying for 3 or more hrs.
Age: 12.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema
Clinical narrative: Erythema 5.5cmx7cm on left deltoid.
Age: 0.8
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Convulsion, Hypotonia, Musculoskeletal stiffness, Pyrexia
Clinical narrative: Per mother, patient became stiff and then had generalized tonic/clonic activity for 1 minute. Was limp afterwards. Second episode lasted few minutes. Fever prior to seizure activity. Taken to ED; temp 102.3. No further episodes at ED; acted normally. Discharged home.
Age: 1.6
Sex: F
Vaccine: DTAPH, HEP, PNC
Symptoms: Injection site erythema, Injection site warmth, Rash
Clinical narrative: Right thigh red and warm to touch. .5"x1" about .5" below immunization site. Immunization given at 630PM 2/13/03. Reaction occurred 11AM 2/14/03. Patient was given 1/2 tsp Benadryl and advised to give every 4-6 hours while rash is present.
Age: 2.0
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Injection site reaction, Injection site vesicles
Clinical narrative: Localized reaction to immunization. 3.5 cm raised palipale, small vesicles right thigh.
Age: 1.0
Sex: F
Vaccine: DTAP, HBHEPB, IPV, VARCEL
Symptoms: Injection site erythema, Injection site vesicles
Clinical narrative: Small vesicles left upper thigh with palipale nodule with surrounding erythema.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Injection site mass, Pyrexia
Clinical narrative: Fever 103, 2cm lump left thigh.
Age: 0.75
Sex: M
Vaccine: HEP, PNC
Symptoms: Injection site mass
Clinical narrative: 3cm nodule right thigh started 2/3/03. Seen in office 2/5/03. No treatment.
Age: 37.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Rash vesicular
Clinical narrative: Has chicken pox - 20 or more. Contracted chicken pox from the varicella vaccine
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection, Rash vesicular
Clinical narrative: Varicella infection - rash. No treatment; symptomatics.
Age: 11.0
Sex: F
Vaccine: HEP, TD
Symptoms: Rash, Urticaria
Clinical narrative: Mother reports child broke out in a red rash 1/31/03 at night all over her body; given Benadryl as directed by private physician. On 2/1/03 at night she broke out in hives; Benadryl give again. Seen by private MD 2/5/03, diagnosed with viral exanthem, not allergic reaction.
Age: 1.3
Sex: F
Vaccine: DTAP, HBHEPB
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Cellulitis R leg Cephalcin x 10 days.
Age: 1.25
Sex: M
Vaccine: DTAP, HBHEPB
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Cellulitis R thigh Cephalexion x 10 d.
Age: 24.0
Sex: F
Vaccine: TYP
Symptoms: Abdominal pain, Diarrhoea, Pain, Pyrexia
Clinical narrative: Approximately 17 hrs after taking 1st capsule of vaccine, developed fever, body aches, abdominal pain and diarrhea. Persisted 5-6 day. Resolved with time and Septra DS po bid x 10 days.
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Mother reports outbreak of chicken pox blisters over-night and morning of 2/14/03. Blisters on back, chest, under arms, and face. No known exposure to chickenpox. Mom has given Tylenol for comfort. Referred her to PCP.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema
Clinical narrative: Red, macular line, circumferentially around right arm below smallpox immunization site. non-pruritic.  no lymphangitis, or local LAD.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Dyspnoea, Pyrexia, Rash, Tongue oedema
Clinical narrative: Started with body rash, high temperature 8 days after vaccine. Also with swollen tongue some SOB.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Cow pox, Rash pustular
Clinical narrative: Possible generalized vaccinia reaction to smallpox vaccination given 9 days ago.  Tx w/ observation - had 16 pox like pustules erupt across upper trunk and back - not large enough to culture yet.  No systemic s/s.  Expect full recovery.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Fever of 102F beginning exactly 1 week after MMR vaccine, lasting 3 days, followed by aching for 3 days.  Abdominal rash beginning 12 days after vaccine, lasting 3 days.
Age: 23.0
Sex: F
Vaccine: SMALL
Symptoms: Cellulitis, Injection site induration, Pain
Clinical narrative: Left arm vaccinated with vaccinia 2/11/03. Major take response noted 2/19/03. 2/20/03 5-6cm reaction, tender, warm, red deep induration. Left arm cellulitis. Treated with Keflex 500mg po qid for 10 days.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Headache, Influenza like illness, Rash
Clinical narrative: Rash, headache, Flu like symptoms
Age: 53.0
Sex: F
Vaccine: SMALL
Symptoms: Infection
Clinical narrative: Possible bacterial infection at vaccination site. Augmentin 875mg every 12 hours for 10 days.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Asthenia, Chills, Headache, Insomnia, Myalgia
Clinical narrative: Fatigue, body aches, chills, fever, headache, loss of sleep.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia
Clinical narrative: Fatigue, body aches, chills, fever, headache, loss of sleep.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Rash maculo-papular
Clinical narrative: Erythematous lesions on chest, back, splotch, some papular, pruritic; no vesicles.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Dry eye, Eye disorder, Lacrimal disorder, Paraesthesia
Clinical narrative: Began feeling right eye twitching and same facial tingling / pain h??? prior to receiving smallpox vax. Did not alert anyone to condition prior to receiving vax. Sx's worsened throughout the day which were dry/watery eyes and eventually facial disep??? Denies prior he of flu like symptoms. Assessment: CN VII paralysis. Right side only.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: Presents with rash across chest four days after receiving smallpox vaccine. Missed four days of work.
Age: 19.0
Sex: F
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: Nonspecific acne-like rash on face at upper torso (w/o eye or CNS involvement) with onset 11 days after 10 Vallinia vax.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Oedema, Vasodilation procedure
Clinical narrative: Redness and swelling involving whole lue axilla to wrist.
Age: 25.0
Sex: F
Vaccine: SMALL
Symptoms: Lymphadenitis, Malaise
Clinical narrative: Malaise, lymphadenitis, restricted duty for three days  RX: Motrin, ice pack
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Injection site reaction, Lymphangitis
Clinical narrative: 9 days after vaccination pt developed sudden onset of cellulitis and lymphangitis around vaccination site
Age: 23.0
Sex: F
Vaccine: SMALL, YF
Symptoms: Confusional state, Myalgia, Paralysis, Photophobia, Pyrexia
Clinical narrative: Awoke the day after smallpox and yellow fever with photophobia, myalgia, fever and "confusion". fever adn confusion resolved after "couple" hours, followed by paralysis (unable to speak, move arms, legs), this lasted "couple" hours. pt fell asleep.  awoke 20 feb with myalgia and photophobia. exam (including neuro) unremarkable. ophthalmology evaled pt and had no findings.  cbc nml. d/c'd from urgent care clinic.  Seen 21feb smiling, all sx's resolved except mild photophobia. will be evaled again later today by opthalmology.
Age: 23.0
Sex: F
Vaccine: SMALL, YF
Symptoms: Speech disorder
Clinical narrative: Awoke the day after smallpox and yellow fever with photophobia, myalgia, fever and "confusion". fever adn confusion resolved after "couple" hours, followed by paralysis (unable to speak, move arms, legs), this lasted "couple" hours. pt fell asleep.  awoke 20 feb with myalgia and photophobia. exam (including neuro) unremarkable. ophthalmology evaled pt and had no findings.  cbc nml. d/c'd from urgent care clinic.  Seen 21feb smiling, all sx's resolved except mild photophobia. will be evaled again later today by opthalmology.
Age: 49.0
Sex: M
Vaccine: SMALL
Symptoms: Headache, Night sweats, Vaccination complication
Clinical narrative: 7 da post vaccination, headache, nightsweats;   10 da post vaccination, single sattelite lesion on right wrist, headache, nightsweats 11 da post vaccination, 2 additional sattelite lesions(one on back-3mm pustule; the other 2 cm above vacination site), headache, lessening nightsweats.  Lesions not itchy.  Patient afibrile, looks and feels well.  No hx of immunosuppression.
Age: 35.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Fatigue, Injection site erythema, Injection site hypersensitivity, Injection site induration, Injection site oedema
Clinical narrative: On Day 5: Left axillary lymphangitis: Redness, swelling, induration, heat, itching, pain in 6-inch diameter around smallpox vaccination site, and radiating to underderside of left arm.  Egg-sized lymph node swelling under left axilla.  No fever.  Mild fatigue.  Mild malaise.  Acute symptoms lasted 4 days.  Symptoms mostly subsided by Day 11.
Age: 35.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Injection site pain, Injection site warmth, Lymphangitis, Malaise, Pruritus
Clinical narrative: On Day 5: Left axillary lymphangitis: Redness, swelling, induration, heat, itching, pain in 6-inch diameter around smallpox vaccination site, and radiating to underderside of left arm.  Egg-sized lymph node swelling under left axilla.  No fever.  Mild fatigue.  Mild malaise.  Acute symptoms lasted 4 days.  Symptoms mostly subsided by Day 11.
Age: 35.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Hearing impaired, Tinnitus
Clinical narrative: On Day 5: Left axillary lymphangitis: Redness, swelling, induration, heat, itching, pain in 6-inch diameter around smallpox vaccination site, and radiating to underderside of left arm.  Egg-sized lymph node swelling under left axilla.  No fever.  Mild fatigue.  Mild malaise.  Acute symptoms lasted 4 days.  Symptoms mostly subsided by Day 11.
Age: 41.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Pyrexia, Rash vesicular
Clinical narrative: Patient administered Varicella Vaccine on 1/21/03.  Developed Fever 102, and small papules, some of which have mild vesicular component centrally, consistent with Varicella.
Age: 19.0
Sex: F
Vaccine: SMALL
Symptoms: Dermatitis bullous, Infection transmission via personal contact, Rash macular
Clinical narrative: 02/14/03: impetigo-like lesion on upper lip. Vesicle in nasal centrum. 1/2cm macular lesion on L forehead. 1/4cm macular lesion on L chin. 2 similar macular lesions on anterior neck and back. An unconfirmed case of vaccinia, possibly transmitted through contact with a vaccinee. The woman whose boyfriend was vaccinated three weeks ago at a military base. The pt developed an impetigo-type lesion over the upper lip four days ago, a vesicular lesion in her medial nasal passage, and several macular lesions over face, neck and back. She is afebrile and has no systemic lesions at this time. The pt had varicella as a child, has no history of oral herpes, and is not pregnant. The pt does have intermittently active acne. The pt reported assisting her boyfriend with bandage changes and could not exclude the possibility of self-inoculation to her face. Lab results are pending. Case of possible inadvertent conjunctival auto-inoculation with vaccinia.
Age: 50.0
Sex: M
Vaccine: SMALL
Symptoms: Paraesthesia
Clinical narrative: Paresthesia (pins & needles) L arm (vaccination arm) and hand (especially) including all five digits.
Age: 41.0
Sex: F
Vaccine: SMALL
Symptoms: Hypoaesthesia, Injection site pain, Neck pain, Oedema, Paraesthesia
Clinical narrative: Sore axilla neck, side of vaccination swollen neck. Unilateral numbness tingling of jaw, side of vacc. Resolved within 12 hours. Upper arm numbness, tingling at night when sleeping on side of vacc.-continued six days.
Age: 34.0
Sex: M
Vaccine: SMALL
Symptoms: Arthralgia, Erythema, Injection site vesicles, Lymphadenopathy, Lymphangitis
Clinical narrative: Vaccinated 31 Jan 03.  Seen in clinic on 10 Feb 03 with c/o fever (peak oral 102.8F) and genreal malaise of 36 hours dration, lymphadenopathy, joint pain in wrists, elbows, shoulders, hips and knees associated with onset of fever.  Tylenol which improved fever(at visit oral 99.9F).  1.5 x 1.5 ruptured blister at site of scarification with 20 x 20 cm ertythema, streaking lyphangitis and axillary lymphadenopathy.  Provided naproxyn 500mg bid and afforded 24 hours of quarters.  Event reported because of loss of duty x24 hours.
Age: 34.0
Sex: M
Vaccine: SMALL
Symptoms: Malaise, Pyrexia, Skin striae, Vaccination complication
Clinical narrative: Vaccinated 31 Jan 03.  Seen in clinic on 10 Feb 03 with c/o fever (peak oral 102.8F) and genreal malaise of 36 hours dration, lymphadenopathy, joint pain in wrists, elbows, shoulders, hips and knees associated with onset of fever.  Tylenol which improved fever(at visit oral 99.9F).  1.5 x 1.5 ruptured blister at site of scarification with 20 x 20 cm ertythema, streaking lyphangitis and axillary lymphadenopathy.  Provided naproxyn 500mg bid and afforded 24 hours of quarters.  Event reported because of loss of duty x24 hours.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox
Clinical narrative: generalized vaccinia
Age: 56.0
Sex: M
Vaccine: SMALL
Symptoms: Conjunctivitis, Eye pain
Clinical narrative: 2/20/03 - reports tightness left eye at 3 p.m. at 5 p.m. noted redness both eyes. 2/21/03 - redness eyes worsened. Saw an MD- given Rx for Viroptic drops left eye aid. CDC consulted for vacelma done.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Chills, Dehydration, Diarrhoea, Hypotension, Nausea
Clinical narrative: Approximately 12 hours after receiving his second dose of anthrax vaccine the patient experienced chills, nausea, vomiting, diarrhea, dehydration and hypotension.  Patient was given three liters of IV normal saline and Reglan 10mg IV X 1 with improvement of symptoms. The follow up states the lot number is not known-pt was vaccinated at a military clinic.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Vomiting
Clinical narrative: Approximately 12 hours after receiving his second dose of anthrax vaccine the patient experienced chills, nausea, vomiting, diarrhea, dehydration and hypotension.  Patient was given three liters of IV normal saline and Reglan 10mg IV X 1 with improvement of symptoms. The follow up states the lot number is not known-pt was vaccinated at a military clinic.
Age: 28.0
Sex: F
Vaccine: SMALL
Symptoms: Headache, Malaise, Myalgia, Nausea, Pyrexia
Clinical narrative: Malaise, headache, fever nausea, muscle aches ony 4 days after a revaccination (15 jabs) -- clinical diagnosis: an unrelated viral-like syndrome. [Vaccination on 13 Feb 03 followed "no take" to 3 jabs a week earlier.]
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Injection site erythema, Injection site pustule, Injection site reaction, Skin ulcer
Clinical narrative: Lesion on left outer thigh began 4 days before presentation. Patient reports noting a red pustule 2 days before presenting. Upon clinical eval, a 3 cm erythemaous pustule with central eschar area. Area was smaller than 2 days previously.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Joint range of motion decreased, Oedema peripheral, Pain, Swelling
Clinical narrative: Acute onset (approx 3 hours) of left middle finger pain, swelling, decrease range of motion. No isolated joint swelling, erythema, increase warmth. WBC normal, ESR normal. Follow-up 2 days later, more swelling noted throughout hand, patient complain of pain in specific finger, but not over joint. Also reports remainder of left fingers and left wrist with some soreness. No erythema, joint swelling increase warmth. WBC normal, ESR normal.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Rash maculo-papular, Rash pruritic
Clinical narrative: Abrupt onset of mildly pruritic rash that worsened over 4 days. Erythematous maculo-papules, no pustules, all at different stages on arm, chest, back, legs.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site pustule, Vaccination complication
Clinical narrative: Patient presents ~ 2 weeks after primary smallpox vaccination c/o "spot" on L UE. PE demonstrates 4x3 mm pustule on L UE, ~ 5 cm proximal to primary inoculation site. Pustule is oblong in shape and comprises two well-defined confluent areas of purulent "pointing" w/o drainage or discharge. Lesion is well circumscribed w/ ~ 0.5 mm erythematous base/border surrounding central pustule. No local heat/tenderness/drainage. Diagnosis: probable secondary inoculation. Treatment: as directed for primary inoculation site.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Laboratory test abnormal, Myocarditis
Clinical narrative: Developed chest pain, found to have elevated cardiac enzymes, ECG-myocarditis, echocardiogram-normal, pain relieved by NSAIDs. Discharge diagnosis: Myo-pericarditis. Returned to duty
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Dyspnoea, Laboratory test abnormal, Myalgia, Myocarditis
Clinical narrative: Fever 101, myalgia, chest pain. Next day pleuritic chest pain, shortness of breath; cardiac enzymes elevated, ECG normal. Diagnosis: myocarditis. MUGA normal ejection fraction. Returned to duty with followup ECG scheduled.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Pleuritic pain, Pyrexia
Clinical narrative: Fever 101, myalgia, chest pain. Next day pleuritic chest pain, shortness of breath; cardiac enzymes elevated, ECG normal. Diagnosis: myocarditis. MUGA normal ejection fraction. Returned to duty with followup ECG scheduled.
Age: 38.0
Sex: M
Vaccine: SMALL
Symptoms: Confusional state, Delirium, Encephalitis, Encephalopathy, Hallucination
Clinical narrative: Confused, fever > 103F, hallucinations. CSF normal protein, normal glucose, WBC < 5. CT normal. ID consult: encephalopathy. Possible encephalitis. Possible delirium with fever.