chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Right anterior thigh with 10x10cm area of erythema & induration, mild tenderness noticed about 48 hrs after vaccine given. Warm compresses, BENADRYL & f/u in 2-3 days.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Mass, Skin warm, Swelling
Clinical narrative: Pt rec'd vaccine Thurs. Rec'd call Fri PM stating lump the size of an egg. It was red and hot in center and raised. Wife applied cool compress and swelling went down somewhat. Follow up 1 week later, pt is fine & symptoms resolved.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Itching, swelling and redness at injection site. Tx BENADRYL, Ice, Topical steroid.
Age: 21.0
Sex: M
Vaccine: FLU3
Symptoms: Hyperhidrosis, Pruritus
Clinical narrative: Itching & sweating. Itching around the face.
Age: 4.0
Sex: F
Vaccine: DTAP, FLUN3, IPV, MMR, VARCEL
Symptoms: Pyrexia, Vomiting
Clinical narrative: Vaccines given at 0856 on 8/31/11. Fever started around 8pm, up to 103 degrees F. Parents gave appropriate doses acetaminophen without relief from fever, until the next am 9/1/11. Vomited twice.
Age: 82.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Convulsion
Clinical narrative: Patient received a flu shot on 8/26/11 and had a seizure the following day at 4:35 AM. No prior history of seizures. Patient was hospitalized for four days and seems to be fine now.
Age: 82.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Computerised tomogram normal, Convulsion, Electroencephalogram normal, Nuclear magnetic resonance imaging normal
Clinical narrative: Patient received a flu shot on 8/26/11 and had a seizure the following day at 4:35 AM. No prior history of seizures. Patient was hospitalized for four days and seems to be fine now.
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Streptococcus test negative
Clinical narrative: Fever 102.8 otherwise no symptoms.
Age: 17.0
Sex: F
Vaccine: TDAP
Symptoms: Gait disturbance, Headache, Hyperhidrosis, Mobility decreased, Painful respiration
Clinical narrative: Mother called at 415 states her daughter is having a reaction from Tdap & what can she do. Spoke to daughter & states she woke up at night, sweating, at 745 severe headache, hurts to breathe & difficulty bending & walking. Called Mom back at 450 pt was asleep. Instructed to see a doctor if sx gets worse. 9/2/11 920 pt doing well.
Sex: F
Vaccine: HPV4
Symptoms: Headache
Clinical narrative: Dizzy & headache evening vaccine given & headache, con't till next day on & off per mom relieved with TYLENOL. Still having h/a intermittently according to pt & not every day. Encouraged to see a provider if h/a continues or gets worse. Started 7/29/11, had another one 8/21/11 & 8/22.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Round red circle & hot to touch at injection site.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Fatigue, Pyrexia
Clinical narrative: Fever to 104 degrees 24 hr after injection with fatigue lasting 48 hrs.
Age: 4.0
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site vesicles, Injection site warmth
Clinical narrative: (R) arm upper aspect - noted with warmth, redness, some blistering. Rx: Diphenhydramine Syrup 6mL PO q 6 hours x 5-7 days, Triamcinolone oint BID x 7d.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Abasia, Arthralgia, Asthenia, Diarrhoea, Eye inflammation
Clinical narrative: Low grade fever on the onset Sun 8/7. Low grade continued thru Monday and intestinal pain started 8/8. Joint pain started 8/11 along with eye inflammation causing the white area to bleed. By 8/13 I couldn't walk as my legs were weak. Now at one month after Zoster vac I am still having fever spells, severe joint pain and swelling, diarrhea, extreme low energy.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Full blood count abnormal, Gastrointestinal pain, Joint swelling, Muscular weakness, Pyrexia
Clinical narrative: Low grade fever on the onset Sun 8/7. Low grade continued thru Monday and intestinal pain started 8/8. Joint pain started 8/11 along with eye inflammation causing the white area to bleed. By 8/13 I couldn't walk as my legs were weak. Now at one month after Zoster vac I am still having fever spells, severe joint pain and swelling, diarrhea, extreme low energy.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Scleral haemorrhage, White blood cell count increased
Clinical narrative: Low grade fever on the onset Sun 8/7. Low grade continued thru Monday and intestinal pain started 8/8. Joint pain started 8/11 along with eye inflammation causing the white area to bleed. By 8/13 I couldn't walk as my legs were weak. Now at one month after Zoster vac I am still having fever spells, severe joint pain and swelling, diarrhea, extreme low energy.
Age: 57.0
Sex: F
Vaccine: FLUX
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Pain in right muscle area where shot was given. Pain has been intense since given. Can't raise are, lift or pick up anything without intense pain. This has been going on for almost a year.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Barium enema, Barium enema abnormal, Clostridium test, Culture stool negative, Full blood count normal
Clinical narrative: Vomiting, bloody stool, diagnosed with intussusception on 8/29/2011 which was reduced with a barium enema.  She was hospitalized overnight 8/29 to 8/30 for IV fluids.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Haematochezia, Intussusception, Laboratory test normal, Metabolic function test normal, Ultrasound abdomen
Clinical narrative: Vomiting, bloody stool, diagnosed with intussusception on 8/29/2011 which was reduced with a barium enema.  She was hospitalized overnight 8/29 to 8/30 for IV fluids.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Ultrasound scan abnormal, Vomiting, White blood cells stool negative
Clinical narrative: Vomiting, bloody stool, diagnosed with intussusception on 8/29/2011 which was reduced with a barium enema.  She was hospitalized overnight 8/29 to 8/30 for IV fluids.
Age: 26.0
Sex: F
Vaccine: HEP
Symptoms: Burning sensation, Erythema, Pruritus, Rash
Clinical narrative: Itching, rash, redness, burning
Age: 1.54
Sex: F
Vaccine: DTAP, DTP, MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Rash. Spotty. Fever on 09/02/2011 taken to the hospital.  They think measles or chicken pox caused by shot given.
Age: 17.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal discomfort, Autoimmune disorder, Candidiasis, Hypotension, Loss of consciousness
Clinical narrative: Gi upset, hypotension, loss of consciousness
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Menstruation delayed
Clinical narrative: delayed menses since administration of Gardasil
Age: 85.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Oedema peripheral
Clinical narrative: On Thursday 8/25/11 I gave a FLUZONE HD flu shot to an 85 y.o. female. On 8/27, in the evening she came to the store with some redness & swelling on her arm around her elbow area. She then saw a doctor regarding her arm, the doctor was not sure if it's related to the flu shot, put her on KEFLEX, and she got better after starting the KEFLEX.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 1 day after receiving Hepatitis A vaccine in left arm - pt developed redness & swelling at site. On 9/2 - pt seen by doctor in office - Recommended ice to arm & BENADRYL 25mg BID.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Respiratory distress, Urticaria
Clinical narrative: (1) Generalised urticaria. (2) Mild respiratory distress.
Age: 72.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site reaction, Injection site swelling
Clinical narrative: Redness and swelling in (L) deltoid 10 days after Tdap injection.
Age: 51.0
Sex: F
Vaccine: PPV
Symptoms: Swelling, Tenderness
Clinical narrative: Extreme swelling & tenderness.
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Induration, Oedema peripheral
Clinical narrative: 2" x 2 1/2 inch raised indurated area of erythema (L) arm.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Injection site rash, Injection site urticaria, Pyrexia, Rash, Urticaria
Clinical narrative: Vaccines given on 8/29/11. Same night developed fever & rash on legs on 8/31/11 has rash on upper limbs no fever - seen at clinic. Seen in clinic on 9/1/11 welts on upper legs, abd, arms; advised BENADRYL. 9/2/11 seen at clinic for f/u on welts -> symptoms resolved.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Asthenia, Convulsion, Dizziness, Heart rate decreased, Hyperhidrosis
Clinical narrative: Patient received flu & pneumonia shots. About 10 minutes after vaccination patient felt dizziness, weak, & began having seizures. Blood pressure & pulse were low. Patient rested & applied cool compresses to help with sweats/other symptoms.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Hypotension
Clinical narrative: Patient received flu & pneumonia shots. About 10 minutes after vaccination patient felt dizziness, weak, & began having seizures. Blood pressure & pulse were low. Patient rested & applied cool compresses to help with sweats/other symptoms.
Age: 0.62
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site mass
Clinical narrative: 2 cm mark at (R) thigh (anteriorly) nontender. No erythema. Advised to gentle massage.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5, DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Injection site erythema, Injection site papule, Papule
Clinical narrative: Red raised tiny scattered papules on bilateral upper legs, groin area spreading up to mid abdomen.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5, DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Rash papular
Clinical narrative: Red raised tiny scattered papules on bilateral upper legs, groin area spreading up to mid abdomen.
Age: 36.0
Sex: F
Vaccine: FLUN3
Symptoms: Balance disorder, Ear discomfort, Facial pain, Fall, Gait disturbance
Clinical narrative: Suspected adverse reaction following her 2006 FLUMIST vaccine. She remembers no immediate reaction following this intranasal vaccination; however about 24 hours later she noted onset of nasal congestion, runny nose, facial - head pain, and bilateral ear fullness/pressure. She also reported when she bent forward to examine a patient and she lost her balance experiencing a bout of vertigo. She described the sensation as a room spinning with stumbling gait. Her balance stabilized once head up and by holding to nearby counter top. Her dizziness resolved and gait steadied, but she needed to move slowly and was unable to bend over as symptoms returned. She continued to experience loss of balance and dizziness whenever she bent her head and did fall onto floor with stumbling gait trying to regain her balance. She denied any injury from falling and stayed home from work x 24 hours. She and her husband monitored her symptoms and did not seek further medical care. She denied any fever, malaise or myalgia with this episode. She advised it took 72 hours for dizziness to fully resolve and about 5 days for URI like symptoms to resolve. She has had no recurrences as of 2011. Between 2006 and 2010 her influenza prophylaxis was in the form of injectable TIV.
Age: 36.0
Sex: F
Vaccine: FLUN3
Symptoms: Headache, Nasal congestion, Rhinorrhoea, Vertigo
Clinical narrative: Suspected adverse reaction following her 2006 FLUMIST vaccine. She remembers no immediate reaction following this intranasal vaccination; however about 24 hours later she noted onset of nasal congestion, runny nose, facial - head pain, and bilateral ear fullness/pressure. She also reported when she bent forward to examine a patient and she lost her balance experiencing a bout of vertigo. She described the sensation as a room spinning with stumbling gait. Her balance stabilized once head up and by holding to nearby counter top. Her dizziness resolved and gait steadied, but she needed to move slowly and was unable to bend over as symptoms returned. She continued to experience loss of balance and dizziness whenever she bent her head and did fall onto floor with stumbling gait trying to regain her balance. She denied any injury from falling and stayed home from work x 24 hours. She and her husband monitored her symptoms and did not seek further medical care. She denied any fever, malaise or myalgia with this episode. She advised it took 72 hours for dizziness to fully resolve and about 5 days for URI like symptoms to resolve. She has had no recurrences as of 2011. Between 2006 and 2010 her influenza prophylaxis was in the form of injectable TIV.
Age: 84.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Reddened area around injection site, pain from elbow up to shoulder.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Induration, Skin lesion, Tenderness
Clinical narrative: Red, somewhat indurated lesion approx. 5 cm in diameter. Minimally-to-moderately tender. There is no fluctuance noted.
Age: 8.0
Sex: M
Vaccine: HEPA, IPV, MMR, TD
Symptoms: Erythema, Pallor, Pruritus, Rash macular
Clinical narrative: 9-1-11 7:00 am c/o both hands itching , "red & white" . Blotchy noticed by mom. 8-31-11 playing in sandbox for 1hr.
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling, Pyrexia, White blood cell count increased
Clinical narrative: Noticed redness after injection Monday, swelling Tuesday night. By noon on 08/29/2011 her thigh had swelled so much her shorts could not fit over and she was running a fever. Went to pediatricians, then to ER. She was admitted with cellulitis and received IV antibiotics through 09/02/2011. Currently on a 7 day oral course and a recheck with the pediatrician next week.
Age: 12.0
Sex: F
Vaccine: HPVX
Symptoms: Pyrexia, Rash, Urticaria
Clinical narrative: Rash: hive looking on arms, back, part of neck and stomach.  Fever: about 100F, Hydrocortisone/anti-itch cream.
Age: 9.0
Sex: F
Vaccine: RAB
Symptoms: Injection site erythema, Lip swelling, Urticaria
Clinical narrative: redness at site and hives on body, lips swelling
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Productive cough, Respiratory disorder
Clinical narrative: Patient called back to pharmacy stating that she was experiencing trouble fulling expanding her lungs, and that she was also expectorating mucus.  Patient also stated that she was an asthmatic as a child and that this event felt like it did as a child.  Patient was instructed to take diphenhydramine to limit the reaction and that if she experienced any additional trouble to visit the emergency room.  Patient was contacted on 09/03/2011 to assess her current status.  The patient said that she felt better, and was breathing easier, but that her arm was sore.  She also stated that she did not need to visit the emergency room last night but was okay with the diphenhydramine.
Age: 11.0
Sex: M
Vaccine: MEN
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: My son woke up with a large, red, itchy, hot circle (approx. 5" diameter) around the injection site.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Injection site erythema, Injection site pruritus, Injection site rash, Rash erythematous
Clinical narrative: Red, itchy rash appearing first around injection site spreading to back and chest. Headache.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Rash pruritic
Clinical narrative: Red, itchy rash appearing first around injection site spreading to back and chest. Headache.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dyspnoea, Eye pruritus, Lacrimation increased, Pharyngitis
Clinical narrative: Patient's husband reported signs of "throat and lungs feeling raw, difficult breathing, coughing, watery & itching eyes"
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Respiratory tract irritation
Clinical narrative: Patient's husband reported signs of "throat and lungs feeling raw, difficult breathing, coughing, watery & itching eyes"
Age: 63.0
Sex: M
Vaccine: HEP, HEP
Symptoms: Death
Clinical narrative: EMPLOYEE RECEIVED HEP B ON 8/23/2011. DONOR PASSED ON 9/1/2011. UNKNOWN IF SHOT ASSOCIATED WITH DEATH.
Age: 63.0
Sex: M
Vaccine: HEP, HEP
Symptoms: Death, Influenza like illness, Myocardial infarction
Clinical narrative: EMPLOYEE RECEIVED HEP B ON 8/23/2011. DONOR PASSED ON 9/1/2011. UNKNOWN IF SHOT ASSOCIATED WITH DEATH.
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Hypoaesthesia
Clinical narrative: Patient called pharmacy about 5:30PM on 9/2/11 and said that her right hand is numb particularly around the thumb region.  She said it started about 20 minutes after receiving the flu shot (received at 3:30 PM in right deltoid). I followed up with the patient at 7:00PM on 9/2/11 and she said the numbness is still there but it is getting better.  I spoke with her again at 8:45PM that evening and she said the numbness was finally gone.  I followed up with her again on 9/3 at 10:15AM and she said the numbness has not returned and her hand is fine.  She did say she was currently having a really bad headache which began on 9/2 (late evening before bedtime) and was still present at 10:15AM on 9/3.  She took 2 Ibuprofen (200mg strength) but she was relieved her hand was back to normal.
Age: 62.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Injection site discolouration, Injection site haematoma
Clinical narrative: Hematoma at injection site (brown skin discoloring). No pain or itching. Pt presented 5 days after injection administered.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dyspnoea, Gait disturbance, Oedema peripheral
Clinical narrative: Pt had trouble breathing 3 hrs after injection. She used her Albuterol inhaler. She had chest tightness. She also had swelling in her (R) foot making it difficult to walk.
Age: 79.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema
Clinical narrative: 3" x 3" area of redness at site of injection.
Age: 52.0
Sex: M
Vaccine: MMR
Symptoms: Asthenia, Decreased appetite, Fatigue, Headache, Lymphadenopathy
Clinical narrative: Swelling of lymph glands, head aches, swollen throat, pain in testicles, loss of appetite, tiredness, low energy.
Age: 52.0
Sex: M
Vaccine: MMR
Symptoms: Pharyngeal oedema, Testicular pain
Clinical narrative: Swelling of lymph glands, head aches, swollen throat, pain in testicles, loss of appetite, tiredness, low energy.
Age: 4.0
Sex: M
Vaccine: DTAPIPVHIB, FLUN3, PNC13
Symptoms: Cellulitis, Erythema, Local reaction, Oedema peripheral, Pyrexia
Clinical narrative: Marked swelling of left thigh compared to right with patchy erythema, and warmth.  Fevers starting the day after vaccination to 102, and up to 105 F on 9/3. Concern for cellulitis vs. localized reaction to vaccine.  Started on treatment with empiric clindamycin.
Age: 4.0
Sex: M
Vaccine: DTAPIPVHIB, FLUN3, PNC13
Symptoms: Skin warm
Clinical narrative: Marked swelling of left thigh compared to right with patchy erythema, and warmth.  Fevers starting the day after vaccination to 102, and up to 105 F on 9/3. Concern for cellulitis vs. localized reaction to vaccine.  Started on treatment with empiric clindamycin.
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Hypertension, Tachycardia
Clinical narrative: Rapid onset dizziness, tachycardia (150+ pulse), high BP (200+/140+); symptoms persisted for about 4 hours, gradually returning to normal pulse and BP: 75-80 pulse, BP 115/77
Age: 26.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Asthenia, Chills, Decreased appetite, Fatigue, Headache
Clinical narrative: Severe headache, fatigue, weakness, fever of 103, chills, sweating, loss of appetite
Age: 26.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Hyperhidrosis, Pyrexia
Clinical narrative: Severe headache, fatigue, weakness, fever of 103, chills, sweating, loss of appetite
Age: 26.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Cough, Migraine, Pain, Photophobia, Pyrexia
Clinical narrative: Severe headache, fatigue, weakness, fever of 103, chills, sweating, loss of appetite
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Headache, Herpes zoster, Pain in jaw, Pruritus
Clinical narrative: Shingles appeared in the same location I had 7 years ago, in spite of the vaccination received 8/17/2011.  Itching, jaw pain, headache.  Went to urgent care clinic and received anti-viral prescription.
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Blister, Erythema, Paraesthesia, Pruritus
Clinical narrative: Shingles appeared in the same location I had 7 years ago, in spite of the vaccination received 8/17/2011.  Itching, jaw pain, headache.  Went to urgent care clinic and received anti-viral prescription.
Age: 15.0
Sex: M
Vaccine: TDAP
Symptoms: Nuclear magnetic resonance imaging abnormal, Optic neuritis, Visual impairment
Clinical narrative: Optic neuritis in both eyes with improvement in vision after hospitalization and steroid treatment.
Age: 0.18
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Cough, Diarrhoea, Feeding disorder, Pyrexia, Ultrasound abdomen
Clinical narrative: Infant coughing and not eating well.  Vomited bile 3 times from 1 a.m. until 3 a.m.  In emergency room and put on fluids.  Started eating by mouth again at 8 a.m. on 09/03 and vomiting everything within minutes.  Vomited until 3 a.m. on 09/04.  Slowly starting to take food again and holding it down.  Fever was 100.4.  Diarrhea.
Age: 0.18
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Ultrasound scan normal, Vomiting, X-ray gastrointestinal tract normal
Clinical narrative: Infant coughing and not eating well.  Vomited bile 3 times from 1 a.m. until 3 a.m.  In emergency room and put on fluids.  Started eating by mouth again at 8 a.m. on 09/03 and vomiting everything within minutes.  Vomited until 3 a.m. on 09/04.  Slowly starting to take food again and holding it down.  Fever was 100.4.  Diarrhea.
Age: 1.02
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Pyrexia, Rash generalised
Clinical narrative: Fever of 102 F for 2 days, followed by rash all over body on day 3.  Fever elevated to high of 104 F on day 3.
Sex: M
Vaccine: FLUN3
Symptoms: Drug administration error
Clinical narrative: Single dose of FLUMIST was administered in one nostril.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Rash on the arm (more on the left) (shingles like).
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Feeling hot, Pharyngeal oedema, Thirst
Clinical narrative: Approximately 15 min after flu shot, patient feeling hot, dizzy, thirsty and said her throat felt like it was swelling EPIPEN administered. EMTs took patient to hospital she was given oxygen observed and released same evening.
Age: 65.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Headache, Injected limb mobility decreased, Musculoskeletal stiffness, Myalgia, Pain in extremity
Clinical narrative: Few hrs later arm sore, muscle sore/stiff, hard to lift arm injection given in, neck on that side stiff. Slight headache. Couldn't sleep on that side of body.
Age: 65.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Headache, Injected limb mobility decreased, Injection site pain, Musculoskeletal stiffness, Myalgia
Clinical narrative: Few hrs later arm sore, muscle sore/stiff, hard to lift arm injection given in, neck on that side stiff. Slight headache. Couldn't sleep on that side of body.
Age: 65.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Pain in extremity
Clinical narrative: Few hrs later arm sore, muscle sore/stiff, hard to lift arm injection given in, neck on that side stiff. Slight headache. Couldn't sleep on that side of body.
Age: 52.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Blood culture, Erysipelas, Full blood count, Metabolic function test, Musculoskeletal pain
Clinical narrative: Nausea, shoulder pain, & erysipelas.
Age: 52.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Nausea
Clinical narrative: Nausea, shoulder pain, & erysipelas.
Age: 63.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site mass, Pain, Pain in extremity, Serum sickness-like reaction
Clinical narrative: C/O right arm pain. 48-72 hours after injection lump felt where shot given. Hurts all the time. No relief with MOTRIN/ALEVE. Dr. diagnosis serum sickness like reaction to TDAP.
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Patient came in on 9-4-11 to show me a raised, red area around the site of her ZOSTAVAX injection. She said she feels no pain or discomfort only itching. I told her to keep an eye on it and if gets worse or no better by 9-6-11 to contact her doctor.
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Information has been received from a doctor of pharmacy concerning a female patient, who on approximately 02-FEB-2011, "one week ago", was vaccinated with a possible first dose of PNEUMOVAX 23  (it was unknown if the patient had also received this dose) and on 09-FEB-2011 was vaccinated with a dose of PNEUMOVAX 23 (Lot # 667692/1110Z). The pharmacist reported that on 09-FEB-2011 the patient developed swelling and pain at the injection site. At the time of report, the patient's outcome was unknown. This is one of several reports received from the same source. No further information is available.
Age: 1.13
Sex: M
Vaccine: DTAP, DTAP
Symptoms: Convulsion, Cyanosis, Pyrexia, Vomiting
Clinical narrative: TONIC-CLONIC SEIZURE (LASTING LESS THAN 5 MINUTES) OBSERVED BY PARENTS, WHO CALLED 911. EMS MEASURED TEMP AT 103.5. AFTER SEIZURE ACTIVITY CEASED, PT WAS POST-ICTAL BUT AROUSABLE. VOMITED X 1. RECTAL TEMP IN ER 101.2 (NOT KNOWN IF ANTIPYRETIC GIVEN IN AMBULANCE)
Age: 1.13
Sex: M
Vaccine: DTAP, DTAP
Symptoms: Anaemia, Blood culture negative, C-reactive protein increased, Culture throat negative, Grand mal convulsion
Clinical narrative: TONIC-CLONIC SEIZURE (LASTING LESS THAN 5 MINUTES) OBSERVED BY PARENTS, WHO CALLED 911. EMS MEASURED TEMP AT 103.5. AFTER SEIZURE ACTIVITY CEASED, PT WAS POST-ICTAL BUT AROUSABLE. VOMITED X 1. RECTAL TEMP IN ER 101.2 (NOT KNOWN IF ANTIPYRETIC GIVEN IN AMBULANCE)
Age: 1.13
Sex: M
Vaccine: DTAP, DTAP
Symptoms: Lymphocyte count, Mean cell haemoglobin increased, Mean cell volume decreased, Metabolic function test normal, Neutrophil count
Clinical narrative: TONIC-CLONIC SEIZURE (LASTING LESS THAN 5 MINUTES) OBSERVED BY PARENTS, WHO CALLED 911. EMS MEASURED TEMP AT 103.5. AFTER SEIZURE ACTIVITY CEASED, PT WAS POST-ICTAL BUT AROUSABLE. VOMITED X 1. RECTAL TEMP IN ER 101.2 (NOT KNOWN IF ANTIPYRETIC GIVEN IN AMBULANCE)
Age: 1.13
Sex: M
Vaccine: DTAP, DTAP
Symptoms: Postictal state, Pyrexia, Red cell distribution width increased, Streptococcus test negative, Vomiting
Clinical narrative: TONIC-CLONIC SEIZURE (LASTING LESS THAN 5 MINUTES) OBSERVED BY PARENTS, WHO CALLED 911. EMS MEASURED TEMP AT 103.5. AFTER SEIZURE ACTIVITY CEASED, PT WAS POST-ICTAL BUT AROUSABLE. VOMITED X 1. RECTAL TEMP IN ER 101.2 (NOT KNOWN IF ANTIPYRETIC GIVEN IN AMBULANCE)
Age: 6.0
Sex: M
Vaccine: FLUN3
Symptoms: Oropharyngeal pain, Pruritus, Pyrexia, Rash
Clinical narrative: Small bumps/rash over Trunk of body; top, front and back of thighs, buttocks, chest, back, shoulders. Itched moderately. 09/02/2011 sore throat. 09/03/2011-fever of 101.5 with sore throat.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash pustular
Clinical narrative: mild pustular rash on arms, trunk   No treatment
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Injection site reaction, Local reaction, Pain, Pyrexia
Clinical narrative: Fever, body ache, headache, local site reaction
Age: 76.0
Sex: M
Vaccine: TDAP
Symptoms: Asthenia, Dizziness, Fall
Clinical narrative: Dizziness, Weakness, Falling
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Eructation, Fatigue, Flatulence, Frequent bowel movements, Headache
Clinical narrative: excessive defecation (every 20 minutes), excessive gas, belching, tiredness, headache - lasted 2 days
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Induration, Pain, Pruritus, Swelling
Clinical narrative: PT. INITIALLY HAD SEVERE SORENESS ON DAY 2, AND THEN PROCEEDED TO HAVE AREA GROW VERY ERYTHEMATOUS AND PRURITIC.  THE AREA IS WORSENING.  THE AREA IS HARD, SWOLLEN, AND SORE.  THE CONCERN IS THAT AREA IS WORSENING.  ICE PACK HAS BEEN APPLIED.  PER INTERNET RESEARCH, NSAIDS HAVE NOT BEEN EFFECTIVE, SO WE HAVE NOT PURSUED THIS.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Dizziness, Dyspnoea, Heart rate irregular
Clinical narrative: Almost immediate onset - irregular heartbeat, elevated blood pressure, labored breathing, dizziness,
Age: 12.0
Sex: F
Vaccine: MEN
Symptoms: Dizziness, Fall, Immediate post-injection reaction, Loss of consciousness, Unresponsive to stimuli
Clinical narrative: Immediately after vaccine given patient states she felt dizzy and fell from sitting to lying position on stretcher. She aroused with tactile simulation. States she passed out. Was unresponsive for only a second.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: vomiting
Age: 31.0
Sex: F
Vaccine: DTOX, FLUX
Symptoms: Mass, Pain, Pruritus, Swelling
Clinical narrative: Soreness, Swelling, Itching, Lump 2x3" on left arm
Age: 41.0
Sex: F
Vaccine: DTAP
Symptoms: Asthenia, Blister, Dizziness, Erythema, Hyperhidrosis
Clinical narrative: On Tuesday after the shot it was very sore and red. It had knotted up. There was fever. When I got up to go to work the next morning it hurt bad, I was weak and very dizzy. I was running a fever. I thought I was going to pass out. I broke out in a sweat. I called the clinic and they said that it should go away in 36hrs. On Thursday I called and they had me come so a nurse could look at it. She said that everyone reacts differently. It should go away in 36-48hrs. On Friday I had clear blisters on my hands and the arm is very swollen, red and hard and hot. I called and went to clinic. Dr looked at it said that I was having an allergic reaction to it and it was turning into staph. She wrote me prescriptions for Bactrim DS TAB 800-160, Prednisone TAB 20MG, and Triamcinolon CRE 0.1%. She told me to call her Saturday morning to let her know how it is doing. Then she said if it got worse go to the ER. She said to come back to clinic on Tuesday 9/6 for her to look at it. That is tomorrow.
Age: 41.0
Sex: F
Vaccine: DTAP
Symptoms: Hypersensitivity, Induration, Oedema peripheral, Pain, Pyrexia
Clinical narrative: On Tuesday after the shot it was very sore and red. It had knotted up. There was fever. When I got up to go to work the next morning it hurt bad, I was weak and very dizzy. I was running a fever. I thought I was going to pass out. I broke out in a sweat. I called the clinic and they said that it should go away in 36hrs. On Thursday I called and they had me come so a nurse could look at it. She said that everyone reacts differently. It should go away in 36-48hrs. On Friday I had clear blisters on my hands and the arm is very swollen, red and hard and hot. I called and went to clinic. Dr looked at it said that I was having an allergic reaction to it and it was turning into staph. She wrote me prescriptions for Bactrim DS TAB 800-160, Prednisone TAB 20MG, and Triamcinolon CRE 0.1%. She told me to call her Saturday morning to let her know how it is doing. Then she said if it got worse go to the ER. She said to come back to clinic on Tuesday 9/6 for her to look at it. That is tomorrow.
Age: 41.0
Sex: F
Vaccine: DTAP
Symptoms: Skin warm
Clinical narrative: On Tuesday after the shot it was very sore and red. It had knotted up. There was fever. When I got up to go to work the next morning it hurt bad, I was weak and very dizzy. I was running a fever. I thought I was going to pass out. I broke out in a sweat. I called the clinic and they said that it should go away in 36hrs. On Thursday I called and they had me come so a nurse could look at it. She said that everyone reacts differently. It should go away in 36-48hrs. On Friday I had clear blisters on my hands and the arm is very swollen, red and hard and hot. I called and went to clinic. Dr looked at it said that I was having an allergic reaction to it and it was turning into staph. She wrote me prescriptions for Bactrim DS TAB 800-160, Prednisone TAB 20MG, and Triamcinolon CRE 0.1%. She told me to call her Saturday morning to let her know how it is doing. Then she said if it got worse go to the ER. She said to come back to clinic on Tuesday 9/6 for her to look at it. That is tomorrow.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypersensitivity, Rash, Urticaria
Clinical narrative: Pt developed a rash and hives on trunk and legs early Saturday morning. She took a BENADRYL and went to ER. They determined she was having an allergic rxn but could not confirm it was to the vaccine. She was given BENADRYL, SOLU-MEDROL and ZANTAC and sent home. On 9/5 pt came into pharmacy and rash had cleared up.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Rash erythematous, Skin warm, Swelling
Clinical narrative: Hot to touch, swollen, red rash to elbow.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphagia, Swollen tongue
Clinical narrative: Patient complained of swollen tongue and difficulty swallowing.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Urine analysis normal, Vaccination site swelling
Clinical narrative: Swelling, redness to area where vaccine was administered (LA).
Age: 11.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling and redness to area where vaccine was administered (LA).
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Urine analysis normal, Vaccination site swelling
Clinical narrative: Swelling and redness to area where vaccine was administered (LA).
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site pruritus, Injection site swelling
Clinical narrative: Patient came into pharmacy 8/29/11 to show pharmacist her skin reaction to flu shot administered 8/24/11. She said that two days after injection, observed hard lump at injection site with itching. On 8/29/11 she presents with approx. 4"x4" square area of red skin around injection site, raised, with intense itching, and "hot" feeling at site.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site warmth
Clinical narrative: Patient came into pharmacy 8/29/11 to show pharmacist her skin reaction to flu shot administered 8/24/11. She said that two days after injection, observed hard lump at injection site with itching. On 8/29/11 she presents with approx. 4"x4" square area of red skin around injection site, raised, with intense itching, and "hot" feeling at site.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Erythema, Oedema peripheral
Clinical narrative: Swollen red arm, temperature of 99.9.
Age: 59.0
Sex: F
Vaccine: FLU3, PPV, TTOX
Symptoms: Injection site reaction, Pneumonia
Clinical narrative: Information has been received from a registered nurse who reported that on 01-OCT-2007 a 59 year old female was vaccinated with a dose of PNEUMOVAX 23 (lot #658074/0961U) 0.5 ml subcutaneously. The patient also received FLUVIRIN (Novartis) and tetanus (manufacturer unknown) on the same day. The patient experienced a site reaction and developed pneumonia. The patient went to the emergency room and was told by an unspecified emergency room physician that the patient developed pneumonia because the patient received the PNEUMOVAX 23 vaccine. The patient was hospitalized (dates not provided). It was reported that the patient had recovered at the time of the report. Additional information has been requested.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Conjunctivitis, Conjunctivitis bacterial, Conjunctivitis infective, Culture positive, Erythema
Clinical narrative: This case was received on 30 September 2010 via a QScan search on the VAERS database, under reference number 393040. A 25-year-old male patient was exposed to the following vaccine on 24 June 2010: ACAM2000 (lot number not reported). The patient had no medical history and no illness at the time. On 24 June 2010, the patient was exposed to recent vaccines of smallpox vaccine by wrestling contact and developed right arm contact transmission with vaccinial lesions and eye itching. A polymerase chain reaction (PCR) culture for vaccinia was sent to the laboratory and was declared with a positive result. His left eye symptoms progressed to swelling, leakage, and lid lesions and eventually diagnosed as Ocular Vaccinia. The patient was currently on treatment with ophthalmology. The patient's medication was reported as doxycycline. The outcome was reported as unknown. Follow-up information was retrieved from the scientific literature on 22 August 2011. Abstract: "A patient developed severe ocular vaccinia via autoinoculation after acquiring unrecognized contact-transmitted vaccinia from wrestling with vaccinated members of his unit. This case highlights both the need to reinforce infection-control measures among vaccinees and the need for providers to be familiar with the identification and treatment of cutaneous and ocular vaccinia infection." The patient presented with severe left blepharoconjunctivitis 17 days after exposure to ACAM2000. Approximately 6 to 8 days post exposure, the patient developed "multiple papular skin lesions in his right anticubital fossa that quickly increased in size, becoming erythematous and tender." The patient had a history of wrestling-associated staphylococcal skin infections. Within a few days, despite oral antibiotic treatment, the lesions pustulated and the patient began covering the site. Four days after onset, he presented with "progressively worsening left eyelid pain and swelling, conjunctival injection, eye (globe) pain, and discharge. The upper and lower eyelids were swollen and erythematous, and there was marked palpebral and bulbar conjunctival injection and abundant mucoid discharge on the lashes and in the fornix." Visual acuity was diminished at 20/50. He was treated with ophthalmic vancomycin for presumed bacterial conjunctivitis, however his symptoms worsened and pustules formed in the upper and lower lid margins, and he was unable to open his eye voluntarily. Based upon the history of smallpox vaccination of other personnel in his unit, he was tentatively diagnosed with vaccinia autoinoculation and he began treatment with ophthalmic trifluridine. Within 24 hours his symptoms improved dramatically, and blepharoconjunctivitis was completely resolved within 12 days. Subsequent PCR testing from his arm and eye lesions was positive for orthoporvirus. Documents held by sender: None.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema of eyelid, Exposure to vaccinated person, Eye discharge, Eye movement disorder, Eye pain
Clinical narrative: This case was received on 30 September 2010 via a QScan search on the VAERS database, under reference number 393040. A 25-year-old male patient was exposed to the following vaccine on 24 June 2010: ACAM2000 (lot number not reported). The patient had no medical history and no illness at the time. On 24 June 2010, the patient was exposed to recent vaccines of smallpox vaccine by wrestling contact and developed right arm contact transmission with vaccinial lesions and eye itching. A polymerase chain reaction (PCR) culture for vaccinia was sent to the laboratory and was declared with a positive result. His left eye symptoms progressed to swelling, leakage, and lid lesions and eventually diagnosed as Ocular Vaccinia. The patient was currently on treatment with ophthalmology. The patient's medication was reported as doxycycline. The outcome was reported as unknown. Follow-up information was retrieved from the scientific literature on 22 August 2011. Abstract: "A patient developed severe ocular vaccinia via autoinoculation after acquiring unrecognized contact-transmitted vaccinia from wrestling with vaccinated members of his unit. This case highlights both the need to reinforce infection-control measures among vaccinees and the need for providers to be familiar with the identification and treatment of cutaneous and ocular vaccinia infection." The patient presented with severe left blepharoconjunctivitis 17 days after exposure to ACAM2000. Approximately 6 to 8 days post exposure, the patient developed "multiple papular skin lesions in his right anticubital fossa that quickly increased in size, becoming erythematous and tender." The patient had a history of wrestling-associated staphylococcal skin infections. Within a few days, despite oral antibiotic treatment, the lesions pustulated and the patient began covering the site. Four days after onset, he presented with "progressively worsening left eyelid pain and swelling, conjunctival injection, eye (globe) pain, and discharge. The upper and lower eyelids were swollen and erythematous, and there was marked palpebral and bulbar conjunctival injection and abundant mucoid discharge on the lashes and in the fornix." Visual acuity was diminished at 20/50. He was treated with ophthalmic vancomycin for presumed bacterial conjunctivitis, however his symptoms worsened and pustules formed in the upper and lower lid margins, and he was unable to open his eye voluntarily. Based upon the history of smallpox vaccination of other personnel in his unit, he was tentatively diagnosed with vaccinia autoinoculation and he began treatment with ophthalmic trifluridine. Within 24 hours his symptoms improved dramatically, and blepharoconjunctivitis was completely resolved within 12 days. Subsequent PCR testing from his arm and eye lesions was positive for orthoporvirus. Documents held by sender: None.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Eye pruritus, Eye swelling, Eyelid oedema, Eyelid pain, Infection transmission via personal contact
Clinical narrative: This case was received on 30 September 2010 via a QScan search on the VAERS database, under reference number 393040. A 25-year-old male patient was exposed to the following vaccine on 24 June 2010: ACAM2000 (lot number not reported). The patient had no medical history and no illness at the time. On 24 June 2010, the patient was exposed to recent vaccines of smallpox vaccine by wrestling contact and developed right arm contact transmission with vaccinial lesions and eye itching. A polymerase chain reaction (PCR) culture for vaccinia was sent to the laboratory and was declared with a positive result. His left eye symptoms progressed to swelling, leakage, and lid lesions and eventually diagnosed as Ocular Vaccinia. The patient was currently on treatment with ophthalmology. The patient's medication was reported as doxycycline. The outcome was reported as unknown. Follow-up information was retrieved from the scientific literature on 22 August 2011. Abstract: "A patient developed severe ocular vaccinia via autoinoculation after acquiring unrecognized contact-transmitted vaccinia from wrestling with vaccinated members of his unit. This case highlights both the need to reinforce infection-control measures among vaccinees and the need for providers to be familiar with the identification and treatment of cutaneous and ocular vaccinia infection." The patient presented with severe left blepharoconjunctivitis 17 days after exposure to ACAM2000. Approximately 6 to 8 days post exposure, the patient developed "multiple papular skin lesions in his right anticubital fossa that quickly increased in size, becoming erythematous and tender." The patient had a history of wrestling-associated staphylococcal skin infections. Within a few days, despite oral antibiotic treatment, the lesions pustulated and the patient began covering the site. Four days after onset, he presented with "progressively worsening left eyelid pain and swelling, conjunctival injection, eye (globe) pain, and discharge. The upper and lower eyelids were swollen and erythematous, and there was marked palpebral and bulbar conjunctival injection and abundant mucoid discharge on the lashes and in the fornix." Visual acuity was diminished at 20/50. He was treated with ophthalmic vancomycin for presumed bacterial conjunctivitis, however his symptoms worsened and pustules formed in the upper and lower lid margins, and he was unable to open his eye voluntarily. Based upon the history of smallpox vaccination of other personnel in his unit, he was tentatively diagnosed with vaccinia autoinoculation and he began treatment with ophthalmic trifluridine. Within 24 hours his symptoms improved dramatically, and blepharoconjunctivitis was completely resolved within 12 days. Subsequent PCR testing from his arm and eye lesions was positive for orthoporvirus. Documents held by sender: None.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Orthopox virus infection, Orthopoxvirus test positive, Polymerase chain reaction, Post vaccination autoinoculation, Rash erythematous
Clinical narrative: This case was received on 30 September 2010 via a QScan search on the VAERS database, under reference number 393040. A 25-year-old male patient was exposed to the following vaccine on 24 June 2010: ACAM2000 (lot number not reported). The patient had no medical history and no illness at the time. On 24 June 2010, the patient was exposed to recent vaccines of smallpox vaccine by wrestling contact and developed right arm contact transmission with vaccinial lesions and eye itching. A polymerase chain reaction (PCR) culture for vaccinia was sent to the laboratory and was declared with a positive result. His left eye symptoms progressed to swelling, leakage, and lid lesions and eventually diagnosed as Ocular Vaccinia. The patient was currently on treatment with ophthalmology. The patient's medication was reported as doxycycline. The outcome was reported as unknown. Follow-up information was retrieved from the scientific literature on 22 August 2011. Abstract: "A patient developed severe ocular vaccinia via autoinoculation after acquiring unrecognized contact-transmitted vaccinia from wrestling with vaccinated members of his unit. This case highlights both the need to reinforce infection-control measures among vaccinees and the need for providers to be familiar with the identification and treatment of cutaneous and ocular vaccinia infection." The patient presented with severe left blepharoconjunctivitis 17 days after exposure to ACAM2000. Approximately 6 to 8 days post exposure, the patient developed "multiple papular skin lesions in his right anticubital fossa that quickly increased in size, becoming erythematous and tender." The patient had a history of wrestling-associated staphylococcal skin infections. Within a few days, despite oral antibiotic treatment, the lesions pustulated and the patient began covering the site. Four days after onset, he presented with "progressively worsening left eyelid pain and swelling, conjunctival injection, eye (globe) pain, and discharge. The upper and lower eyelids were swollen and erythematous, and there was marked palpebral and bulbar conjunctival injection and abundant mucoid discharge on the lashes and in the fornix." Visual acuity was diminished at 20/50. He was treated with ophthalmic vancomycin for presumed bacterial conjunctivitis, however his symptoms worsened and pustules formed in the upper and lower lid margins, and he was unable to open his eye voluntarily. Based upon the history of smallpox vaccination of other personnel in his unit, he was tentatively diagnosed with vaccinia autoinoculation and he began treatment with ophthalmic trifluridine. Within 24 hours his symptoms improved dramatically, and blepharoconjunctivitis was completely resolved within 12 days. Subsequent PCR testing from his arm and eye lesions was positive for orthoporvirus. Documents held by sender: None.