chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 33.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Injection site induration, Injection site pain, Injection site warmth, Joint range of motion decreased
Clinical narrative: Per pt, left upper arm, swollen, red, hot with radiation to axilla and swollen left axillary nodes. Could not close arm. Given Keflex PO and then IM as worsens. Seen our office 04/01/2003 at 3:15. Left deltoid quarter size area of induration and tenderness only. All of them Sx resolved.
Age: 33.0
Sex: F
Vaccine: TD
Symptoms: Oedema
Clinical narrative: Per pt, left upper arm, swollen, red, hot with radiation to axilla and swollen left axillary nodes. Could not close arm. Given Keflex PO and then IM as worsens. Seen our office 04/01/2003 at 3:15. Left deltoid quarter size area of induration and tenderness only. All of them Sx resolved.
Age: 2.5
Sex: F
Vaccine: DTAPH, MMR
Symptoms: Erythema, Hypotonia, Oedema, Pain, Rash
Clinical narrative: Redness, swelling, pain, and limp till 5 days. Also falliculitis pilaris like rash on left thigh only started day after injection.
Age: 1.75
Sex: M
Vaccine: VARCEL
Symptoms: Rash vesicular
Clinical narrative: Pt came in office with rash, onset of one day, vesicular in nature involving his ears. today it is spread onto his face. He has lesions on his arms and legs.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema, Pain, Vasodilation procedure
Clinical narrative: Redness, swelling, warmth, and pain commenced w/in hours of vax admin.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site mass, Injection site oedema, Injection site pain, Injection site reaction
Clinical narrative: Significant (7-10cm) local reaction with edema, slight induration, mild tenderness. I?'s given near (not in) a hemangioma at left upper arm.
Age: 36.0
Sex: F
Vaccine: TYP
Symptoms: Oedema peripheral
Clinical narrative: Started oral typhoid 6/10/02 a.m. In evening had swollen left elbow. No NTV, no headache, no upset stomach, no anorexia. Swelling in antecubital fossa = only sign. no pain.
Age: 53.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Body temperature increased, Dysphonia, Laryngitis, Malaise
Clinical narrative: Vaccinia was given 2/24/03  in L deltoid, client reports feeling malaise six days later, possible temp.  Clients reports hoarseness 3/3/03 and not feeling well.  Could not come in for "Take" response, was major.  Noted laryngitis, malaise, vaccination site was well scabbed, some dressing irritation.  Onset 3/03/03 to present 4/2/03 with no resolution at this time.  No treatment at this time.
Age: 53.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Laryngitis, Malaise
Clinical narrative: Vaccinia was given 2/24/03  in L deltoid, client reports feeling malaise six days later, possible temp.  Clients reports hoarseness 3/3/03 and not feeling well.  Could not come in for "Take" response, was major.  Noted laryngitis, malaise, vaccination site was well scabbed, some dressing irritation.  Onset 3/03/03 to present 4/2/03 with no resolution at this time.  No treatment at this time.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Oedema
Clinical narrative: Received anthrax and approximately 24 hours later noticed swelling of right upper extremity.  This progressed over next 24 hours. No accompanying symptoms such as fever, chills, N/V/D, etc.  Denies history of trauma or insect bite.  No history of similar sx in past.
Age: 39.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain
Clinical narrative: Had two episodes of chest pain on 31 Mar 03 at about 1815.  Pt called the Clinic.  Saw a provider on 1 Apr. No follow up treatment advised.
Age: 41.0
Sex: F
Vaccine: SMALL
Symptoms: Eye irritation, Injection site vesicles, Rash, Rash papular
Clinical narrative: Day 7-Pt ruptured the vaccination site blister during a shower, no bandage in place. Continued to dry off with the same towel. Papules appeared at day 9. Vesicles x4 at Day 10. She also c/o of eye itching and small red bumps on the lowere arm and leg, but they disappeared without progressing. She was given Zantac and Claritin for itching. No other treatment at this time.
Age: 37.0
Sex: F
Vaccine: SMALL
Symptoms: Arteriospasm coronary, Chest pain, Enzyme abnormality
Clinical narrative: PT. RECEIVED SMALLPOX VACCINE IN LEFT ARM 3/26/03. EARLY MORNING OF 3/27, DEVELOPED CHEST PAIN AND WAS SEEN IN ER HOS. WITH ABNORMAL CARDIAC ENZYMES AND ECG.  HE WAS TRAN. TO ANOTHER HOS. AT 09:00 3/27.  EMERGENT CARDIAC CATH WAS NEG. HOWEVER, HIS REPEAT CARDIAC ENZYMES WERE AGAIN POSITIVE.  HE CONT. TO HAVE CHEST DISCOMFORT FOR REMAINDER OF HIS STAY.  THE CARDIOLOGIST FELT HIS CP WAS DUE TO CORONARY VASPOSPAMS. HIS ONLY RISK FACTOR FOR CAD WAS TOBACCO USE (1 PACK/DAY).
Age: 44.0
Sex: F
Vaccine: SMALL
Symptoms: Abdominal pain, Chest discomfort, Diarrhoea, Dyspnoea, Flushing
Clinical narrative: Tachycardia Heart rate 128, shortness of breath, chest-tightness, muscle weakness, trembling, low grade temp 99.9F abdominal cramping, diarrhea x3, facial flushing x3
Age: 44.0
Sex: F
Vaccine: SMALL
Symptoms: Heart rate increased, Muscular weakness, Pyrexia, Tachycardia, Tremor
Clinical narrative: Tachycardia Heart rate 128, shortness of breath, chest-tightness, muscle weakness, trembling, low grade temp 99.9F abdominal cramping, diarrhea x3, facial flushing x3
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Dehydration, Lymphadenopathy, Pyrexia, Skin irritation
Clinical narrative: Severe skin irritation apprx. 5 in in diameter. Excessive fluid drainage and sore lymph nodes under armpit with fever around 99.1 degrees.
Age: 43.0
Sex: M
Vaccine: SMALL
Symptoms: Headache, Injection site erythema, Lymphadenopathy, Myalgia, Nausea
Clinical narrative: Headaches, muscle aches, fever, lymph nodes swollen, sick to stomach, major redness around site.
Age: 43.0
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia
Clinical narrative: Headaches, muscle aches, fever, lymph nodes swollen, sick to stomach, major redness around site.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Lymphadenopathy, Pharyngitis, Rash erythematous, Rhinitis
Clinical narrative: Red bumps on neck and chest, cold symptoms, lymph nodes swollen. Symptoms began 26 Mar 2003. Cold Started 24th March.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Asthenia, Injection site erythema, Injection site pain
Clinical narrative: On the 12 day after vaccine I experienced a 6 in red area around the vaccinated area that is tender to the touch. Also I am experienced periods of weak feeling at which time I must lay down.
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Fatigue, Pain, Pyrexia, Rash
Clinical narrative: Rash on back, neck, and one on hand and one on eyelid. Body aches, fever, and fatigue.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Musculoskeletal stiffness, Nasal congestion, Renal pain
Clinical narrative: Red irritation running from site down to underneath arm (4 in x 1 in). Sore kidneys, congested head, muscles stiffness.
Age: 29.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain, Chills, Hypokinesia, Pericarditis, Red blood cell sedimentation rate increased
Clinical narrative: PT called 4/2/03 to report having chest pains at night for the past 2 wks. She had chest pains, cold hands and difficulty moving only in the evenings. PT was referred to private provider, who is considering Dx of pericarditis.
Age: 55.0
Sex: M
Vaccine: SMALL
Symptoms: Atrial fibrillation
Clinical narrative: New onset of Atrial Fibrillation
Age: 53.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site mass, Injection site pustule, Injection site reaction, Oedema, Rash erythematous
Clinical narrative: Red swollen nodule over smallpox vax site. Pustular drainage after aspiration.
Age: 44.0
Sex: F
Vaccine: SMALL
Symptoms: Anaemia, Bronchitis, Fatigue, Headache, Malaise
Clinical narrative: Day 10 post vax for smallpox, began having a headache. Described headache as halo type. She became progressively more ill and was not able to attend work due to extreme fatigue and constant headache.
Age: 44.0
Sex: F
Vaccine: SMALL
Symptoms: Sinusitis
Clinical narrative: Day 10 post vax for smallpox, began having a headache. Described headache as halo type. She became progressively more ill and was not able to attend work due to extreme fatigue and constant headache.
Age: 31.0
Sex: F
Vaccine: SMALL
Symptoms: Breast discharge, Lymphadenopathy
Clinical narrative: 3/11 - enlarge painful lymph nodes axilla neck 3/12 - some OHS sent home 3/17 - enlarge painful lymph nodes axilla cervical.  Breast with yellow drainage.
Age: 38.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Hyperhidrosis
Clinical narrative: Chest pain following smallpox vaccination. CP accompanied by diaphoresis.
Sex: M
Vaccine: SMALL
Symptoms: Arthralgia, Myalgia, Pain
Clinical narrative: About 6 hrs post receiving, PT developed severe pain in joints that increased during night and next day. Pain began to lessen 2nd day after vax, and was gone by end of that 2nd day. Also c/o entire body ached.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Abdominal pain, Chills, Headache, Myalgia, Pharyngitis
Clinical narrative: Pt with one day duration complaint of pharyngitis, fever, chills, intermittent headache, muscle aches including neck, limbs-UE/LE, resolved abdominal pain. Temp 100.8, pulse 102, BP 134/66, resp 14. NAD, right tonsil with eroded lesion, +2 bilateral tonsilar injection. Rest of exam WNL. Treated for viral pharyngitis w/ education re meningitis.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia
Clinical narrative: Pt with one day duration complaint of pharyngitis, fever, chills, intermittent headache, muscle aches including neck, limbs-UE/LE, resolved abdominal pain. Temp 100.8, pulse 102, BP 134/66, resp 14. NAD, right tonsil with eroded lesion, +2 bilateral tonsilar injection. Rest of exam WNL. Treated for viral pharyngitis w/ education re meningitis.
Age: 46.0
Sex: F
Vaccine: SMALL
Symptoms: Insomnia, Myalgia
Clinical narrative: 3/24/03 Reported to Infection control nurses at Hospital that one week after vaccine developed deep muscle pain in thighs, calves and arms.  Commented that it was larger muscles.  Takes motrin or ibuprofen with relief during day but did not want to take at night.  Says keeps her awake at night. Infection control called Dr. who ordered Sed. rate, C reactive protein, U/A,and CPK.  Told by infection control nurse that tests were benign.  Infection control spoke with patient on 4/2/03, who stated that pain isn't causing her to be unable to function but is still disturbing sleep.  Was told by infection control nurse to let her know if this was still a problem in one week.  Says did not have this before getting vaccine.
Age: 47.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Insomnia, Lymphadenopathy, Night sweats, Pyrexia, Skin striae
Clinical narrative: 03/24/2003 Patient c/o fever, night sweats, enlarged lymph nodes, insomnia times 4-5 days.  Had red streaks on the medial upper arm and the axilla. Patient also had 3 satellite lesions to his low and upper back. Was taking Benadryl and Tylenol.  Was referred to Dr. and was seen on 3/25/03. Was kept out of work til 4/3/03.
Age: 47.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Vaccination complication
Clinical narrative: 03/24/2003 Patient c/o fever, night sweats, enlarged lymph nodes, insomnia times 4-5 days.  Had red streaks on the medial upper arm and the axilla. Patient also had 3 satellite lesions to his low and upper back. Was taking Benadryl and Tylenol.  Was referred to Dr. and was seen on 3/25/03. Was kept out of work til 4/3/03.
Age: 47.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Erythema, Malaise, Vaccination complication
Clinical narrative: 03/24/2003 Patient c/o fever, night sweats, enlarged lymph nodes, insomnia times 4-5 days.  Had red streaks on the medial upper arm and the axilla. Patient also had 3 satellite lesions to his low and upper back. Was taking Benadryl and Tylenol.  Was referred to Dr. and was seen on 3/25/03. Was kept out of work til 4/3/03.
Age: 52.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Abdominal pain, Nausea
Clinical narrative: NAUSEA AND SEVERE ABDOMINAL PAIN
Age: 52.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Back pain, Headache, Hypertension
Clinical narrative: NAUSEA AND SEVERE ABDOMINAL PAIN
Age: 42.0
Sex: F
Vaccine: SMALL
Symptoms: Oedema, Tenderness
Clinical narrative: SWELLING AND TENDERNESS IN ANKLES BILATERAL
Age: 53.0
Sex: F
Vaccine: SMALL
Symptoms: Chest discomfort, Chest pain
Clinical narrative: Develop chest pain and pressure. Negative troponins. Given ASA 80mg po and 60mg Lovenox SC. Given Nitro tab with relief. O2/NC.
Age: 65.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain
Clinical narrative: 03-21-03 pt. c/o chest pain on 3rd day after vaccination. She consulted with ER Doctor and had an EKG (Abnormal results)and follow up with an angiogram with negative results. 03-25-2003 she states she is no longer having any complaints.
Age: 35.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain
Clinical narrative: Lab employee was vaccinated on March 12.Developed chest pain on Friday 3/21 which lasted for three days. Described as sharp, mild to moderate, came and went. Did usual activities and did not seek medical care. When received letter about cardiac complications called the health department. Saw her health care provider on 3/28 and had EKG which was read as normal. Cardiac enzymes done that day: CKMB 2.4 and Troponin I 0.2. Is recovered now.
Age: 54.0
Sex: M
Vaccine: SMALL
Symptoms: Conjunctivitis, Ocular hyperaemia
Clinical narrative: 03-26-03 pt. c/o reddness to right eye. He stated saw Dr. at Hospital/ER Dr. and DX with Conjunctivitis and a prescription was ordered. Pt. continued to have symptoms to the right eye and was referred to see Dr. /Infectious Disease Specialist for 2nd opinion.  Dr. stated pt had conjunctivitis to the right eye and this condition had nothing to do with the smallpox vaccine.
Age: 41.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Dizziness, Ear pain, Pain, Paraesthesia
Clinical narrative: History of Present Illness: Symptom Duration/Timing: Since date: 03/29/03 Approximate Time of onset Afternoon will walking ~1 mile: Symptom Location: Chest/ left arm    Describe: Tingling pain in chest and  radiating down left arm Symptom Quality/Severity: Quality: Tingling  Severity: 2-3/10 Associated Signs and Symptoms:  Denies dyspnea, n/v, dizziness, fever or old chills or sweating Modifying factors:Exacerbating:  None Mitigating:  None Prior Similar Symptoms:  ~ 8 years while working as a firefighter had similar discomfort after exposure to some unknown substance Symptom Duration/Timing:  Since date:03/31/2003 Approximate Time of onset 0430 hr : Symptom Location: Bil Ear Describe: Dizziness, tinnitus and bil ear pain Symptom Quality/Severity: Quality: dull ache  Severity: Pain 2/10; dizziness 9-10/10 Associated Signs and Symptoms: Bil ear pain, dizziness and tinnitus Modifying factors: None Exacerbating: None  Mitigating:  None Prior Similar Symptoms: None  Course of Treatment: Was seen at Health Care Center
Age: 41.0
Sex: M
Vaccine: SMALL
Symptoms: Tinnitus
Clinical narrative: History of Present Illness: Symptom Duration/Timing: Since date: 03/29/03 Approximate Time of onset Afternoon will walking ~1 mile: Symptom Location: Chest/ left arm    Describe: Tingling pain in chest and  radiating down left arm Symptom Quality/Severity: Quality: Tingling  Severity: 2-3/10 Associated Signs and Symptoms:  Denies dyspnea, n/v, dizziness, fever or old chills or sweating Modifying factors:Exacerbating:  None Mitigating:  None Prior Similar Symptoms:  ~ 8 years while working as a firefighter had similar discomfort after exposure to some unknown substance Symptom Duration/Timing:  Since date:03/31/2003 Approximate Time of onset 0430 hr : Symptom Location: Bil Ear Describe: Dizziness, tinnitus and bil ear pain Symptom Quality/Severity: Quality: dull ache  Severity: Pain 2/10; dizziness 9-10/10 Associated Signs and Symptoms: Bil ear pain, dizziness and tinnitus Modifying factors: None Exacerbating: None  Mitigating:  None Prior Similar Symptoms: None  Course of Treatment: Was seen at Health Care Center
Age: 49.0
Sex: M
Vaccine: SMALL
Symptoms: Chest discomfort, Chest pain, Dyspnoea
Clinical narrative: Intermittent chest discomfort for 3 days, complaints of pressure to central chest with occasional shortness of breath.
Age: 36.0
Sex: M
Vaccine: SMALL
Symptoms: Headache, Malaise, Pain, Pruritus, Pyrexia
Clinical narrative: On 03-25-03, Day 12 post-vaccination, a non-naive vaccinee reported to the hospital site care monitor with a recent onset of a slightly itchy, red macular rash on the arm opposite from the smallpox vaccination site.  Within about one hour a red macular lesion was noted on the left forearm.  The vaccinee was referred to the ER physician for an employee health visit and was deferred from duty due to rash of unknown etiology.  The following day the vaccinee was again deferred from duty due to continued rash on arms and new onset of slightly itchy, red macular rash on abdomen.  The vaccinee reported a history of high fever on 03-23-03 and 03-24-03, with temperature maximum of 103.2 on 03-23-03. Also reported body aches, headache, and malaise during febrile episode.  On 03-27-03 vaccinee reported rash resolved following self-medication with Benadryl and was cleared to return to work.
Age: 36.0
Sex: M
Vaccine: SMALL
Symptoms: Rash macular, Skin ulcer
Clinical narrative: On 03-25-03, Day 12 post-vaccination, a non-naive vaccinee reported to the hospital site care monitor with a recent onset of a slightly itchy, red macular rash on the arm opposite from the smallpox vaccination site.  Within about one hour a red macular lesion was noted on the left forearm.  The vaccinee was referred to the ER physician for an employee health visit and was deferred from duty due to rash of unknown etiology.  The following day the vaccinee was again deferred from duty due to continued rash on arms and new onset of slightly itchy, red macular rash on abdomen.  The vaccinee reported a history of high fever on 03-23-03 and 03-24-03, with temperature maximum of 103.2 on 03-23-03. Also reported body aches, headache, and malaise during febrile episode.  On 03-27-03 vaccinee reported rash resolved following self-medication with Benadryl and was cleared to return to work.
Age: 70.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain
Clinical narrative: Three days after receiving a smallpox vaccination, patient was awakened at 3:00 AM with sharp, left pectoral pain.  This sharp pain continued intermittantly for nine days, and then resolved.  Due to recent reports of cardiac pain following receipt of smallpox vaccine, she was evaluated by a physician on March 31, 2003.
Age: 20.0
Sex: F
Vaccine: SMALL
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Patient devloped cellulitis at site of smallpox vaccination on vaccine day 9 which required her to miss a day of work.
Age: 24.0
Sex: F
Vaccine: SMALL
Symptoms: Cow pox
Clinical narrative: Patient with possible disseminated vaccinia on vaccine day 14.  Treated with diphenydramine and missed a day of work.
Sex: M
Vaccine: DTAP, HEP
Symptoms: Autism, Drug toxicity, Nervous system disorder
Clinical narrative: Information has been received regarding a case in litigation concerning a minor male who in approximately 1997 was vaccinated with a dose of hep B vaccine (thimerosal containing). It was also noted that in approximately 1997 the pt was vaccinated with a dose of Tripedia, and in approximately 1999 a dose of Hibtiter, a dose of Acel-Imune, and a dose of Engerix B. Subsequently, it was reported that the pt suffers from the effects of mercury poisoning ("namely autism") caused by the vaccines he received during the time frame of approximately December 1996 through approximately February 1998. It was also reported that the pt received very high doses of mercury contained in thimerosal through vaccinations that were administered during the period from approximately 1997 to 1999. It was reported that during the first several years of the pt's life, he was poisoned by the cumulative doses of mercury in the thimerosal. It was reported that as a result of the mercury in the thimerosal-containing vaccinations received during these developmental years, the pt now suffers, and in the future will continue to suffer, from the toxic neurological effects of mercury poisoning, including but not limited to autism. Upon internal review, toxic neurological effects, mercury poisoning and autism were determined to be other important medical events (OMIC). No further info is available.
Age: 55.0
Sex: M
Vaccine: PPV
Symptoms: Arthralgia, Cellulitis, Injection site erythema, Injection site swelling, Laboratory test abnormal
Clinical narrative: Information has been received from a physician's assistant concerning a 55 year old male with hypercholesterolemia who on 3/18/03 was vaccinated with a first dose of pneumococcal vaccine 23 polyvalent (lot # 644105/0820M). Concomitant medications included pravastatin sodium (Pravachol) and simvastatin. There were no concomitant medications reported. Four to six hours after vaccination on 03/18/2003, the patient developed left arm swelling, left arm redness, joint pain, a temperature of 101 degrees, and cellulitis. The reporter indicated that the patient was hospitalized on 3/19/03. It was noted that his white blood cell count and SED rate were elevated. The patient was treated with dexamethasone, unspecified IV antibiotics, and morphine in the hospital. The reporter indicated that the patient has started to recovered, and was released from the hospital 3/23/03. Unspecified medical attention was sought. Follow up information received from physician's assistant indicated that the patient developed swelling and pain in his left arm, left shoulder, ankles, knees, and neck. He was noted to have 4+ edema of his left arm and 1+ edema of his lower extremities. The patient was hospitalized on 3/19/03. His WBC level upon admission was 14,000. He was diagnosed with septicemia. He was treated with IV dexamethasone, unspecified IV antibiotics, and an IV morphine pump. During the hospitalization, the patient's white blood cell level was 17,900. It was reported that the patient was hospitalized for 4 days. As of 3/25/03, the patient was being treated daily in the office as an outpatient with IV ceftriaxone sodium (ROCEPHIN). The reporter noted that the patient was recovering and that he no longer required pain medication. Additional information has been requested. Additional information from a aphysician's assistant indicated that the patient was seen on 03/21/2003 and was noted to have severe cellulitis, erythema, edema of the entire left arm, neck swelling, and pain of all extremeties and joints. The reporter indicated that the patient's experience required an emergency room/doctor's visit, required a 5 day hospitalization, resulted in a persistent for significant disability/incapacity, and required medical/surgical intervention. It also noted that the patient is still recovering.  Reported on 06/03/2003: " Follow up information received from a physician's assistant indicated that the patient "completely recovered and has no associated symptoms".  No further information is expected.
Age: 55.0
Sex: M
Vaccine: PPV
Symptoms: Pyrexia, Red blood cell sedimentation rate increased, Sepsis, White blood cell count increased
Clinical narrative: Information has been received from a physician's assistant concerning a 55 year old male with hypercholesterolemia who on 3/18/03 was vaccinated with a first dose of pneumococcal vaccine 23 polyvalent (lot # 644105/0820M). Concomitant medications included pravastatin sodium (Pravachol) and simvastatin. There were no concomitant medications reported. Four to six hours after vaccination on 03/18/2003, the patient developed left arm swelling, left arm redness, joint pain, a temperature of 101 degrees, and cellulitis. The reporter indicated that the patient was hospitalized on 3/19/03. It was noted that his white blood cell count and SED rate were elevated. The patient was treated with dexamethasone, unspecified IV antibiotics, and morphine in the hospital. The reporter indicated that the patient has started to recovered, and was released from the hospital 3/23/03. Unspecified medical attention was sought. Follow up information received from physician's assistant indicated that the patient developed swelling and pain in his left arm, left shoulder, ankles, knees, and neck. He was noted to have 4+ edema of his left arm and 1+ edema of his lower extremities. The patient was hospitalized on 3/19/03. His WBC level upon admission was 14,000. He was diagnosed with septicemia. He was treated with IV dexamethasone, unspecified IV antibiotics, and an IV morphine pump. During the hospitalization, the patient's white blood cell level was 17,900. It was reported that the patient was hospitalized for 4 days. As of 3/25/03, the patient was being treated daily in the office as an outpatient with IV ceftriaxone sodium (ROCEPHIN). The reporter noted that the patient was recovering and that he no longer required pain medication. Additional information has been requested. Additional information from a aphysician's assistant indicated that the patient was seen on 03/21/2003 and was noted to have severe cellulitis, erythema, edema of the entire left arm, neck swelling, and pain of all extremeties and joints. The reporter indicated that the patient's experience required an emergency room/doctor's visit, required a 5 day hospitalization, resulted in a persistent for significant disability/incapacity, and required medical/surgical intervention. It also noted that the patient is still recovering.  Reported on 06/03/2003: " Follow up information received from a physician's assistant indicated that the patient "completely recovered and has no associated symptoms".  No further information is expected.
Age: 1.0
Sex: M
Vaccine: MMR, UNK
Symptoms: Autism, Drug toxicity, Encephalitis toxic, Encephalopathy, Nervous system disorder
Clinical narrative: Information has been received from a legal firm regarding a case in litigation concerning a 12 month old male who was vaccinated with MMR II. It has been alleged that as a result of the vaccination administered during the period from 3/30/94 throught 4/17/98, the pt was exposed to very high doses of mercury and other heavy metals contained in the highly toxic preservative thimerosal. It was further alleged that the use of the live MMR II injured the pt by causing mercury toxicity and associated neurological injuries with specific symptoms and sequelae. It was reported that at 12 months old, the pt began struggling with the developmental milestones. At approximately 4 years old, the pt was neurologically devasted by the accumulation of mercury in his body, having been exposed via multi source exposure including but not limited to power plant emissions, amalgams, and IM vaccinations, either alone or in conjunction with the MMR II. It was reported that the pt's mother, a dentist, had amalgams placed in her mouth and implanted amalgams into her pt's mouth while she was pregnant. As a result of the cumulative doses of mercury in the environment, the amalgam fillings and the thimerosal-containing products the pt received as an infant and while in a prenatal state through the umbilical cord from his mother, he now suffers severe and permanent injuries from the toxic neuroloigcal effects of mercury poisoning. Also, the pt had been diagnosed as being autistic which was later determined to be mercury induced encephalopathy with autistic features and/or viral induced encephalitis with autistic features, a condition whose symptoms are materially indistinguishable to those of mercury poisoning. Additionally, the pt suffered the measles virus within his spinal fluids as a result of vaccination with MMR II. Upon internal review, mercury poisoning, neurological injuries, mercury induced encephalopathy with autistic features, viral induced encephalitis with autistic features, and measles virus in the spinal fluids were considered other important medical events (OMIC). No further info is available.
Age: 2.0
Sex: M
Vaccine: HEP
Symptoms: Autism
Clinical narrative: Information has been received from a physician concerning a 2 year old male patient who on 8/28/01 was vaccinated with a third dose of hepatitis B vaccine recombinant (yeast) (lot #640308/0815L) (Pl: 6/28/00 invalid lot # 2437K and 2431K reported: P:2 9/26/00 Lot # 636843/1029K). Additional vaccination included a dose of MMR vaccine (second generation) (invalid lot #2105K reported) administered on 1/29/01. At the time of vaccination with MMR (second generation), the patient was diagnosed with otitis media and was prescribed azithromycin. In approximately 2002 at the age of 2 years, the patient was diagnosed with autism. Unspecified medical attention was sought. As the time of the report, the patient was receiving therapy and was showing improvement. The child's mother felt that the autism was related to the hepatitis B vaccine recombinant (yeast). Otitis media was considered to be an incidental finding. Upon internal review, autism was considered to be an other important medical event (OMIC). Additional information has been requested. The follow up received on 5/14/03 states The physician stated, "there is no causal linkage which has been proven." The physician also noted that the doses of hep B vaccine recombinant that the pt received did not contain thimerosal. Additional info has been requested.
Age: 4.0
Sex: F
Vaccine: HIBV, MMR
Symptoms: Autism, Pyrexia, Somnolence
Clinical narrative: This report was received from manufacturer research and was assigned manufacturer control number HQWYE582221FEB03 concerning a four year old female who on 7/7/98 was vaccinated with a dose of MMR II. In December 2002, the pt developed autism, fever, somnolence and feeding problem. The pt's outcome was unknown. This was originally reported by a physician. Follow-up info received from the physician indicated that on 7/7/98 the pt was vaccinated with a dose of MMR II and a dose of Hibtiter. The pt was last seen in the physician's office on 3/9/00 and had subsequently left the practice and transferred to another physician. The physician noted that the pt must have been diagnosed with autism after leaving her practice. According to the physician, the pt had no significant past medical history and she was only seen in her office for well visits and occasional ear infections/colds. Autism, fever, somnolence and feeding problems were considered to be other important medical events (OMIC). Additional info is not expected.
Age: 34.0
Sex: F
Vaccine: SMALL
Symptoms: Conjunctivitis, Cough, Epistaxis, Eye discharge, Infection transmission via personal contact
Clinical narrative: Pt sleeps with her face on boyfriend's vaccinated arm. Has sinusitis, cough, nasal congestion: Bloody nose, pupular drainage from first right eye, now both eyes. Opthalmology consult reveals membranous conjunctivitis, no lesions or karatitis. Pt recovering. Inadvertent inoculation (vaccinee or contact)
Age: 34.0
Sex: F
Vaccine: SMALL
Symptoms: Nasal congestion, Sinusitis
Clinical narrative: Pt sleeps with her face on boyfriend's vaccinated arm. Has sinusitis, cough, nasal congestion: Bloody nose, pupular drainage from first right eye, now both eyes. Opthalmology consult reveals membranous conjunctivitis, no lesions or karatitis. Pt recovering. Inadvertent inoculation (vaccinee or contact)
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Pt developed erythema, edema, and induration at left deltoid vaccination site two days after anthrax vaccination and one day after smallpox vaccination. 15 x 20 cm erythema over anthrax immunization site with edema to elbow.
Age: 22.0
Sex: F
Vaccine: TTOX
Symptoms: Arthralgia, Hypotension, Malaise, Nausea, Pain
Clinical narrative: Nausea, fever, pain, hypotension, malaise, arthralgia; onset of Sx's 8:00 a.m. on 3/27/03; treated with IV fluids, phenergan IV 50 mg for vomiting. Observation.
Age: 22.0
Sex: F
Vaccine: TTOX
Symptoms: Pyrexia, Vomiting
Clinical narrative: Nausea, fever, pain, hypotension, malaise, arthralgia; onset of Sx's 8:00 a.m. on 3/27/03; treated with IV fluids, phenergan IV 50 mg for vomiting. Observation.
Age: 17.0
Sex: F
Vaccine: MEN, TD
Symptoms: Dermatitis bullous, Injection site hypersensitivity, Injection site reaction
Clinical narrative: Large area of erythema with center being inject site w/a blister like area. Erythema 135 mm length and 160 mm circumference with itching at center. No fever.
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Rash vesicular
Clinical narrative: Brake out with generalized chicken pox on 3/20/03.
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Rash vesicular
Clinical narrative: Broke out and chicken pox on 3/29/03 generalized.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Generalised oedema
Clinical narrative: Mom states child broke out with fluid filled blister on 3/18/03 generalized.
Age: 4.7
Sex: M
Vaccine: DTAP
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site reaction
Clinical narrative: Swelling 3 x 3 cm, redness at inject site (DTaP).
Age: 4.9
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Bronchitis, Cough, Upper respiratory tract infection
Clinical narrative: 1 wk post immunization, PT "sniffles" progressively to URI - chronic cough - __ phlym. To ER 3/12/03 or 3/19/03? Rx for Bronchitis with Amoxicillin. No improvement.
Age: 28.0
Sex: M
Vaccine: TTOX
Symptoms: Dizziness, Hyperhidrosis, Pallor
Clinical narrative: Donor stated feeling lightheaded and dizzy approx 8-9 mins post injection of vax. He also appeared pale and diaphoretic. Ice packs applied to neck region. Approx 450 cc po fluids and craclars ? given. 2s taken. Reaction lasted about 8 mins. Donor reported last meal intake approx 10 hrs before donation.
Age: 80.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Oedema, Vasodilation procedure
Clinical narrative: 6 days after vax, erythema, warmth from elbow up to shoulder. No pain. Edema present.
Age: 75.0
Sex: F
Vaccine: TD
Symptoms: Injection site hypersensitivity, Injection site pain
Clinical narrative: Redness around inject site. Pain. No Tx required.
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Pyrexia, Rash erythematous, Rash macular
Clinical narrative: Erythematous, macular rash on upper left arm, which began following the 15 mth. The rash began the day of the immunizations. Rash is red and spreading with fever of 101 deg. at home.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site inflammation, Injection site oedema, Rash erythematous
Clinical narrative: Light red rash on back and right leg. Redness and edema and fever at site. Follow up 05/07/2003: "04/11/2003: Spoke with mom regarding report of rash and fever noted after receiving immunizations.  Mom stated that on day that patient received the shots, he was fine.  Later on that evening, however, he developed a rash with red splotchin on his back and legs.  Mom stated that the rash and splotching subsided after a day or so.  Mom stated that she did not take patient to see an MD, and now he is better with out rash or fever."
Age: 1.6
Sex: M
Vaccine: HIBV
Symptoms: Febrile convulsion, Pyrexia, Rash
Clinical narrative: Sudden onset of 103.8 deg fever, rash, febrile seizure.
Age: 1.08
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Gait disturbance, Hypokinesia, Lethargy
Clinical narrative: 9 days after incurred lethargy, and appetite, unstable gait. ?? got progressively worse. 1 mo later was unable to sit or walk. Fed with acute cerbillar atoxia.
Age: 4.8
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: 10 cm x 10 cm red area w/swelling.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site oedema
Clinical narrative: Intense swelling at sign of injection. Involved entire upper arm. The follow up states intense swelling on L arm at injection site.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Child accompanied by mother. Mother stated child's left arm was swollen this am prior to going to school. Mother stated when she picked child up from school left arm was red, swollen and warm to the touch.  Mother stated teacher applied ice to left arm during school hours. Mother brought child to express care. Antibiotics was prescribed.
Age: 1.0
Sex: M
Vaccine: MMR, PNC
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Local swelling and erythema within minutes of vaccine administration (the MMR site)
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Rash pruritic, Rash pustular, Skin ulcer
Clinical narrative: Pt was vaccinated with vaccinia to L shoulder on 16Mar03. On or about 30Mar03 pt developed intensly pruritic and painfull pustular lesions to palms, soles, upper and lower extremities, trunk and face. These lesions have progressed to open lesions. The palmer lesions have become hemorrhagic and are begining to umbilicate in the typical vaccinia pustule.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Vaccination complication
Clinical narrative: Received Small Pox vaccination and approximately 4 days later noticed "another bump" (satellite lesionnext to vaccination site.  After 9 days post vaccination patient noted 3 "BUMPS" total around vaccination site.  Denies any pain but notes soreness at vaccination site;  visible erythema with minimal swelling locally.  No other complaints at this time.
Age: 47.0
Sex: F
Vaccine: HEPAB
Symptoms: Rash
Clinical narrative: Broke out in rash next day following vaccination of Twinix.  Rash predominanty on midriff, front and back.  No itching, red, raised bumps.
Age: 54.0
Sex: F
Vaccine: SMALL
Symptoms: Blister, Rash papular
Clinical narrative: 3/20/03 - approx. 9PM pt. had itching under L. arm and noted several (approx. 7) papules. client covered area with OpSite dressing. 3/21/03 Patient noted several papules under L & R breast and in roof of mouth and back of scalp.  3/22/03 - continued itching.  3/24/03 - Vesicles noted S arm.  4/3/03-vesicles noted on top of breast
Age: 47.0
Sex: F
Vaccine: SMALL
Symptoms: Anorexia, Erythema, Lymphadenopathy, Myalgia, Oedema
Clinical narrative: Day 7 after vaccination Temp.99.2. Swollen/tender lymph nodes, muscle pain, loss of appetite noted. Skin Findings included: redness,swelling,itching,pain, and streaks on left arm. Area checked by ICP @ hospital. Then referred to CHN office. Then referred to Dr.  @ Medical office. Opsite had been used to cover site while @ work. This was switched to Tegaderm. Patient was observed for three days by Dr. Symptoms resolved. No antibiotics given.
Age: 47.0
Sex: F
Vaccine: SMALL
Symptoms: Pain, Pruritus, Pyrexia
Clinical narrative: Day 7 after vaccination Temp.99.2. Swollen/tender lymph nodes, muscle pain, loss of appetite noted. Skin Findings included: redness,swelling,itching,pain, and streaks on left arm. Area checked by ICP @ hospital. Then referred to CHN office. Then referred to Dr.  @ Medical office. Opsite had been used to cover site while @ work. This was switched to Tegaderm. Patient was observed for three days by Dr. Symptoms resolved. No antibiotics given.
Age: 45.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Laboratory test abnormal, Myocardial ischaemia
Clinical narrative: Intermittant substernal "aching" 1 to 3 on pain scale of 10 on 3/14/03 and continues to present. History of hypertension. Working diagnosis is inferior wall cardiac ischemia. Patient was not on beta blockers, digitalis nor long-acting nitrate.
Age: 26.0
Sex: F
Vaccine: HEP, HEPA, TYP, YF
Symptoms: Injection site hypersensitivity, Injection site reaction, Injection site urticaria
Clinical narrative: 10 mins post vax developed localized redness and 1 hive at site. Benadryl given.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Influenza, Myalgia, Rash pruritic
Clinical narrative: 8 day s/p getting the smallpox vax, soldier developed generalized itchy rash over entire body a/w myalgias and flu like Sx's.
Age: 34.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site reaction, Paraesthesia
Clinical narrative: 4th shot - PT 2 days after shot developed large local reaction to mid forearm with erythema, edema, mild tingling. No systemic Sx's.
Sex: U
Vaccine: SMALL
Symptoms: Nausea, Rash, Vomiting
Clinical narrative: Rash and nausea with vomiting. Immunized 3/1/03.
Sex: M
Vaccine: SMALL
Symptoms: Cow pox
Clinical narrative: Disseminated vaccinia
Sex: U
Vaccine: SMALL
Symptoms: Rash maculo-papular, Skin ulcer, Vaccination complication
Clinical narrative: Series of secondary lesions near smallpox immunization site - red raised vesicles?
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox
Clinical narrative: Developed disseminated vaccinia on day 11 after receiving smallpox vax.
Age: 44.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site reaction, Urticaria
Clinical narrative: Received smallpox vax 3/20/03. Developed hives around site, back arms buttocks and chest. 3/30/03 Instructed to take Benadryl. If worsen go to ER. 3/31/03 Hives have intensified and spread to legs. Ref to MD.
Age: 36.0
Sex: F
Vaccine: SMALL
Symptoms: Lymphadenopathy, Pyrexia
Clinical narrative: Received smallpox vax 2/28/03. By 8th day had developed enlarged axillary nodes the "size of baseball". Unable to put arm down. Temp 103 deg F. Saw PMD on 10th day who felt PT having enhanced but normal reaction. PT stated after vax found out never had it before per father.
Age: 38.0
Sex: F
Vaccine: SMALL
Symptoms: Face oedema, Oedema peripheral, Paraesthesia
Clinical narrative: 3 days post vax for smallpox, experienced moderate swelling of face and hands w/tingling of arm opposite vax site.
Age: 46.0
Sex: M
Vaccine: SMALL
Symptoms: Cough, Lobar pneumonia, Pyrexia, Rash
Clinical narrative: Smallpox vaccine on 3/4/03 (Tuesday) non productive cough started Friday 3/7/03, fever 100 degrees, Saturday 101.9 fever Sunday 3/9/03 (+) notes L lower lobe-rash? to back to abd. presented to  ER on 3/9/03. Still in hospital. 3/10/03 reported by infection control nurse at the hospital-site of vaccination looks good. She relates no rash or any complications related to smallpox she is aware of. Dx LLL pneumonia with non productive cough. Pt was admitted on 3/9/03 was placed on respiratory isolation today 3/10/03-isolation discontinued.
Age: 39.0
Sex: F
Vaccine: SMALL
Symptoms: Dermatitis bullous, Oedema
Clinical narrative: 13 days post smallpox vax developed blisters on upper left lip. Area spread rapidly by day 14 and lip swollen. Called PMD for evaluation but refused to see her so referred to another hospital ER for testing. Smear of lesion showed acute inflam. cells - no viral cytopatoic effect. Day 16 showed much improved.
Age: 32.0
Sex: F
Vaccine: SMALL
Symptoms: Fatigue, Headache, Lymphadenopathy, Malaise, Myalgia
Clinical narrative: Systemic effects post-smallpox vax beginning 3/2/03 and lasting approx 48 hrs. Consisting of fatigue, myalgia, low-grade fever, lymphadenopathy, headache, and malaise. Headache occurred from 3/2 to 3/7/03.
Age: 32.0
Sex: F
Vaccine: SMALL
Symptoms: Pyrexia
Clinical narrative: Systemic effects post-smallpox vax beginning 3/2/03 and lasting approx 48 hrs. Consisting of fatigue, myalgia, low-grade fever, lymphadenopathy, headache, and malaise. Headache occurred from 3/2 to 3/7/03.
Age: 44.0
Sex: F
Vaccine: SMALL
Symptoms: Arthralgia, Headache, Injection site pustule, Lymphadenopathy, Neck pain
Clinical narrative: On 2/18/03 PT reported cervical neck and upper thoracic pain, axillary and cervical lymph node enlargement and tenderness, headache, joint aches; feels feverish but did not have thermometer; smallpox pustule 10 mm and beginning to dry. Tx - rest, missed 1 day of work.
Age: 44.0
Sex: F
Vaccine: SMALL
Symptoms: Pyrexia
Clinical narrative: On 2/18/03 PT reported cervical neck and upper thoracic pain, axillary and cervical lymph node enlargement and tenderness, headache, joint aches; feels feverish but did not have thermometer; smallpox pustule 10 mm and beginning to dry. Tx - rest, missed 1 day of work.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: Rash x 5 days on left arm / shoulder.
Age: 33.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain, Myalgia, Pain, Palpitations
Clinical narrative: Went to ER because of muscle aches, tenderness in right axillary and substernal chest pain. Pain was worse w/palpitation. Dx'd as muscular / skeletal pain. Sent home w/muscle relaxants and pain med.
Age: 45.0
Sex: F
Vaccine: SMALL
Symptoms: Urticaria
Clinical narrative: Developed fine, hive-like rash 11 days post smallpox vax. Took Benadryl before going to ER. Hives began to fade after taking med. Resolved w/in few hrs. No other complaints. Returned to work next day.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: 3-15-2003-Jean Vogel,ICP reports that patient noticed red spots on his shoulders, clavicle and scapula while getting out of shower in AM. Spots are approx. 3mm and are resolving at the time of the report at 11AM.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: PT HAD ANTHRAX #5 24 FEB 2000; FOR ANTHRAX 1-5 HAS HAD SLIGHTLY INCREASING AMOUNTS OF SWELLING AT INJ SITE. THEN HAD ANTHRAX #6 ON 1 APR 03, AND THE FOLLOWING MORNING NOTED VERY RED/SWOLLEN ARM 110MM X 130 MM. NO SYSTEMIC SYMPTOMS. GIVEN NSAIDS AND DIPHENHYDRAMINE.
Age: 55.0
Sex: F
Vaccine: SMALL
Symptoms: Chills, Erythema, Feeling hot, Oedema, Pain
Clinical narrative: Client has 4 lesions in total. The first lesion is on R. index finger with induration and edema with a central area that is scabbed over.  The area measures about 1"x1".  There are 2 lesions on the R. middle finger. One measures about 1" x1" and it is at the proximal end of the middle knuckle.the 2nd lesion is at the base of the middle finger and it is larger than the 1st.  It measures about 1.5" by 1.5".  There is edema and erythema up to within 1" of the wrist.  All 3 lesions have been opened by the patient and scabs are forming. There appears to be some pus in the proximal lesion of the middle finger.      The abdomen has a 6" x6" area of erythema at the 10 o'clock position from the umbilicus.  there is induration of 3" x 3" in the center.  There is a black center.  No pus is evident.  The area is warm to touch.  Client c/o fever, chills, and pain at abdominal lesion site.  Temp is 97.8 oral. The hand lesions have been present for about 3 days.  The abdominal lesion has been present 2 days.  The client also punctured this lesion and tried to express pus, but none was expressed.
Age: 55.0
Sex: F
Vaccine: SMALL
Symptoms: Pyrexia, Rash pustular
Clinical narrative: Client has 4 lesions in total. The first lesion is on R. index finger with induration and edema with a central area that is scabbed over.  The area measures about 1"x1".  There are 2 lesions on the R. middle finger. One measures about 1" x1" and it is at the proximal end of the middle knuckle.the 2nd lesion is at the base of the middle finger and it is larger than the 1st.  It measures about 1.5" by 1.5".  There is edema and erythema up to within 1" of the wrist.  All 3 lesions have been opened by the patient and scabs are forming. There appears to be some pus in the proximal lesion of the middle finger.      The abdomen has a 6" x6" area of erythema at the 10 o'clock position from the umbilicus.  there is induration of 3" x 3" in the center.  There is a black center.  No pus is evident.  The area is warm to touch.  Client c/o fever, chills, and pain at abdominal lesion site.  Temp is 97.8 oral. The hand lesions have been present for about 3 days.  The abdominal lesion has been present 2 days.  The client also punctured this lesion and tried to express pus, but none was expressed.
Age: 55.0
Sex: F
Vaccine: SMALL, SMALL, SMALL
Symptoms: Cardiac disorder, Fatigue, Malaise, Pain, Pyrexia
Clinical narrative: 3/22/03 client had malaise post vaccine on 3/18/03, 3/23/03- client improved, 3/30/03- felt like comming down with cold,temp 100.F,  3/31/03-improvement noted in AM-later progressively got worse with increased fatigue, aches, temp 4/1/03-client is a registered nurse and felt intermittence pain (L) side of neck and back under (L) scapula- heard odd heart sound, temp 100.F- aches, SOA, fatigue- called place of work and was told to come in.