chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: F
Vaccine: IPV, MMRV
Symptoms: Wrong drug administered
Clinical narrative: Pt was given ADACEL instead of DAPTACEL.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Oedema peripheral, Skin tightness
Clinical narrative: Red swollen arm size os baseball and very hard
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Sensation of heaviness
Clinical narrative: Pt stated arm was dead and heavy, continued, was able to move it, no numbness or tingling. pt called next day arm felt fine.
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Hypoaesthesia
Clinical narrative: Pt stated arm was dead and heavy, continued, was able to move it, no numbness or tingling. pt called next day arm felt fine.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Rash, Varicella
Clinical narrative: Left arm with "varicella rash"
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Erythema, Swelling
Clinical narrative: Redness and swelling of the left shoulder. Noticed 3 days after injection was given. S/S gone by5th day with no treatment.
Age: 1.3
Sex: M
Vaccine: HIBV, MMRV
Symptoms: Varicella, Varicella post vaccine
Clinical narrative: Varicella vaccine breakthrough. Diagnosed with varicella on 8-14-07. Had T-100 for 2-3 days and approximately 20 vesicles with some crusting.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema
Clinical narrative: 13 1/2 x 7 1/2 cm erythema left deltoid.
Age: 16.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Clonus, Unresponsive to stimuli
Clinical narrative: After receiving vaccine patient had clonic movements and unresponsiveness lasting about 1 minute. Recovered with. Episode occurred after 2nd vaccine (Varivax).
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Skin warm, Tenderness
Clinical narrative: LLR left deltoid, hot red, tender about 10 x 9 cm.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Erythema, Induration, Skin warm, Swelling
Clinical narrative: Patient received DTAP and IPV in the right arm on 8/16/2007 and returned 1 day later with right arm and shoulder swelling, induration, erythema and warmth. Patient prescribed Keflex for cellulitis and asked to return on 8/20/2007. Ptaient did not return for follow up.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Herpes zoster
Clinical narrative: Child has no history of chicken pox disease or chicken pox exposure.  He was diagnosed with Shingles on 8/14/2007
Age: 0.42
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: PATIENT ENDED UP WITH 103 FEVER IN THE NIGHT.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Drug exposure during pregnancy
Clinical narrative: Patient discovered that she is pregnant approximately 4 days after the administration of Gardasil, Ttdap (Adacel), and Menactra.
Age: 32.0
Sex: F
Vaccine: HEP, HPV4
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: HPV administered on 7-3-07, pt is 32 years of age at time of receiving vaccine
Age: 55.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Headache, Injection site pustule, Oedema, Pyrexia
Clinical narrative: Client received a Td injection IM in left deltoid on 8/13/2007 following stepping on a piece of glass in her yard.  On 8/15/07 she reported to another health unit with erythema, edema & local heat of the Left deltoid area and a headache.  The next day she returned with the erythema, edema, heat which had spread distally from the deltoid area and a pustule at site of injection.  She was referred to her MD but did not go.  She returned here on 8/17/07 but the erythema and edema had subsided from deltoid but was still evident on upper arm near axilla. Client informed me that she had run a fever of at least 101 degrees for three days after receiving the vaccine. She was referred to her MD again and did go on this date. Her MD placed her on an antibiotic and anti-inflammatory medication and today she is much improved.  She says she had good mobility in the arm during this episode and she did continue to come to work.
Age: 55.0
Sex: F
Vaccine: TD
Symptoms: Skin warm
Clinical narrative: Client received a Td injection IM in left deltoid on 8/13/2007 following stepping on a piece of glass in her yard.  On 8/15/07 she reported to another health unit with erythema, edema & local heat of the Left deltoid area and a headache.  The next day she returned with the erythema, edema, heat which had spread distally from the deltoid area and a pustule at site of injection.  She was referred to her MD but did not go.  She returned here on 8/17/07 but the erythema and edema had subsided from deltoid but was still evident on upper arm near axilla. Client informed me that she had run a fever of at least 101 degrees for three days after receiving the vaccine. She was referred to her MD again and did go on this date. Her MD placed her on an antibiotic and anti-inflammatory medication and today she is much improved.  She says she had good mobility in the arm during this episode and she did continue to come to work.
Age: 32.0
Sex: F
Vaccine: HPV4
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Received HPV vaccine at age 32 years on 5-14-2007 and 7-17-2007. No adverse event.
Age: 27.0
Sex: F
Vaccine: HEP, HPV4
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: VAERS report submitted due to pt receiving the HPV vaccines on 4-26-07 (lot # 0962F) and 5-29-07 (lot # 0384U), at age 27 years (beyond the recommended age recommendations).
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Contusion, Urticaria
Clinical narrative: Pt was given vaccines on 8-16-2007. She then, on the same day, went to the circus and road a live Elephant. On 8-18-07 she developed Urticaria over her legs, which over the next 2 days spread over her body. Her mother called the office on 8-20-07 and we had her come in immediately. She was seen by Dr and FNP. She had Urticaria over most of her body,including her face, in which some of the previous hives were now brusies. She was treated with Zyrtec liquid and PediaPred and told to call the office if the hives continued to spread or if she had any other sx such as respiratory issues or fever.
Age: 28.0
Sex: F
Vaccine: HPV4
Symptoms: Inappropriate schedule of drug administration, No adverse effect
Clinical narrative: Pt received HPV vaccine on 5-22-07 (lot # 0387U) and 7-17-2007 (lot # 0387U. VAERS report submitted due to pt receiving HPV vaccines beyond the recommended age range of 26 years.  No adverse events occured.
Age: 1.01
Sex: F
Vaccine: HIBV, MMR, PPV, VARCEL
Symptoms: Abnormal behaviour, Diarrhoea, Erythema, Pyrexia, Rash
Clinical narrative: Vaccines administered Friday, 8-10.  Fevers began Sunday evening on 8-12.  Fevers have been inconsistent throughout the course of the weeks actually clearing for days and returning with a tendency to spike in the p.m. and remain low grade and unnoticed throughout the day.  Fevers had been noted at 101.6 under the arm under Tylenol control.  Diarrhea was inconsistently noted.  Weight maintained from well-check to two week lapse.  Appetite substantial with regression onto breast from usual table feedings.  Monday, 8-13 small, defined, red spots began to be seen around mouth and by Tuesday evening, 8-14 the trunk had small defined red spots and progressed to lower extremities with fainter coloring.  By Wednesday, 8-15 physician recommended treatment for hives with benadryl and claritin until clear.  Noted rash clearing over next few days and discontinued meds on Friday, 8-17.  Saturday, 8-18 she was noted by several acquiantances as having odd behavior and a full day without rest.  (?possible seizure spell)  Fever returned by Saturday afternoon and was controlled by Tylenol and Motrin.  P.M. spiking was again noted.  Sunday, 8-19 rash was seen returning on face.  Monday morning, 8-20 within one hour the rash had been noted as spreading behind ears to entire trunk and throughout lower extremities.  Again, the moderate-severe rash was small, defined red spots.  Seen by physician and again diagnosed as possible hives.  Physician did state viral infection more likely, but continue to treat  for hives with Bendadryl and Claritin.  As of today, Tuesday, 8-21 even with benadryl influence she is seen with a progressive severe covering of more confluent large raised rash groupings throughout face, neck, behind ears, trunk, genital area, and moderately throughout lower extremities.
Age: 1.01
Sex: F
Vaccine: HIBV, MMR, PPV, VARCEL
Symptoms: Urticaria
Clinical narrative: Vaccines administered Friday, 8-10.  Fevers began Sunday evening on 8-12.  Fevers have been inconsistent throughout the course of the weeks actually clearing for days and returning with a tendency to spike in the p.m. and remain low grade and unnoticed throughout the day.  Fevers had been noted at 101.6 under the arm under Tylenol control.  Diarrhea was inconsistently noted.  Weight maintained from well-check to two week lapse.  Appetite substantial with regression onto breast from usual table feedings.  Monday, 8-13 small, defined, red spots began to be seen around mouth and by Tuesday evening, 8-14 the trunk had small defined red spots and progressed to lower extremities with fainter coloring.  By Wednesday, 8-15 physician recommended treatment for hives with benadryl and claritin until clear.  Noted rash clearing over next few days and discontinued meds on Friday, 8-17.  Saturday, 8-18 she was noted by several acquiantances as having odd behavior and a full day without rest.  (?possible seizure spell)  Fever returned by Saturday afternoon and was controlled by Tylenol and Motrin.  P.M. spiking was again noted.  Sunday, 8-19 rash was seen returning on face.  Monday morning, 8-20 within one hour the rash had been noted as spreading behind ears to entire trunk and throughout lower extremities.  Again, the moderate-severe rash was small, defined red spots.  Seen by physician and again diagnosed as possible hives.  Physician did state viral infection more likely, but continue to treat  for hives with Bendadryl and Claritin.  As of today, Tuesday, 8-21 even with benadryl influence she is seen with a progressive severe covering of more confluent large raised rash groupings throughout face, neck, behind ears, trunk, genital area, and moderately throughout lower extremities.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Chills, Headache, Pain, Pyrexia, Vomiting
Clinical narrative: Tdap administered 8/20/07, 10:45 am.  Pt began c/o severe headache at 7:30 pm followed by body aches, fever of 102F.  Began vomiting at 11:30 pm.  PMD notified at 12:00 am, 8/21/2007 by phone.  Vomiting continued until 8 am 8/21/2007.  Con't to have 102 fever with chills 8/21/2007.
Age: 9.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site pain, Injection site vesicles, Pyrexia
Clinical narrative: with in 24hr of recieving immunization. pt developed 105 fever x 1 day, tenderness, vesicles locally around injection site. Pt was admitted to  Hosp on 7/27/07 and put on Vancomycin to prevent infection and also local Acyclovir for vesicles. Full recovery was made.  09/25/2007 MR received for hospital DOS 7/28-8/01/2007 for DX: Upper arm cellulitis. Erysipelas. Gastritis.  Fever. Asthma. Abdominal pain. Child presented with fever, erythema, and a vesicular rash on the arm where vax were given.  PE significant for decreased breath sounds bilat.  4x5 in area of cellulitis posterior RU arm.  Vesicular rash at the center 1x2 in with an area of necrosis at the center. During hospitalization c/o abd pain and loose stools thought to be gastroenteritis.
Age: 18.0
Sex: F
Vaccine: DTAPH, HEPA, HPV4, MNQ
Symptoms: Hyperhidrosis, Hypokinesia, Immediate post-injection reaction, Inappropriate schedule of drug administration, Nausea
Clinical narrative: Patient immediately became pale, nauseated, and diaphoretic. She was momentarily non responsive. Remained nauseated for the remainder of the day.
Age: 18.0
Sex: F
Vaccine: DTAPH, HEPA, HPV4, MNQ
Symptoms: Pallor, Wrong drug administered
Clinical narrative: Patient immediately became pale, nauseated, and diaphoretic. She was momentarily non responsive. Remained nauseated for the remainder of the day.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Urticaria
Clinical narrative: Urticarial rash. Onset 8/21/07 am. Seen in office on 8/21/07. Treated with Benadryl 12.5 mg/ 5 ml. 0.25 ml po q 8 hrs.
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Erythema, Local reaction, Pruritus, Swelling
Clinical narrative: Approximately 12 hours after receiving injections patient developed localized reaction 4 inches of redness, swelling, and itching
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Dyspnoea, Lip swelling, Pyrexia
Clinical narrative: lip swelling, fever, transient shortness of breath day after 2nd gardasil vaccination was given
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Drug exposure during pregnancy, Pregnancy test positive
Clinical narrative: On 8/16/07 during routine vaccination screening, Public Health Nurse questioned client and clients mother to see if she was possibly pregnant, and client stated no.  Nurse Administered HPV & MCV 4 to Client. Client then presented to Clinic on 8/21/07 with mother for pregnancy test and was positive.  Public Health Nurse phoned CDC information line and was encouraged to complete VAERS form and have Client to register with HPV Pregnancy Registry.  Client not to receive the followup doses of HPV vaccine until completion of pregnancy.
Age: 17.0
Sex: F
Vaccine: HPVX, MNQ, TDAP
Symptoms: Abdominal pain upper, Headache, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: pain at the injection site.redness and swelling at the injection site. moderate fever(102 F).  headache. stomach ache.
Age: 17.0
Sex: F
Vaccine: HPVX, MNQ, TDAP
Symptoms: Pyrexia
Clinical narrative: pain at the injection site.redness and swelling at the injection site. moderate fever(102 F).  headache. stomach ache.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Pruritus, Rash
Clinical narrative: Pt woke up day after vaccine administration (received only gardasil) with head itching, sides, bottom itching - elbows with rash - roundish red bumps. Pt denied throat symptoms, SOB. Clinician recommended claritin or benadrl until rash is gone plus 1% hydrocortisone to rash bid.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Cough, Culture throat positive, Headache, Lymphadenopathy, Rash
Clinical narrative: Pt's grandmother called. Rash started on ankles, also noted rash on face and arms. Throat glands got swollen. Non painful - 'felt funny'. Also developed headache. Came in to see practitioner 4 days after immunization - had 2-3d history of cough, negative rapid strep, but culture grew moderate amt Beta Strep, not group A or group B.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Streptococcal identification test
Clinical narrative: Pt's grandmother called. Rash started on ankles, also noted rash on face and arms. Throat glands got swollen. Non painful - 'felt funny'. Also developed headache. Came in to see practitioner 4 days after immunization - had 2-3d history of cough, negative rapid strep, but culture grew moderate amt Beta Strep, not group A or group B.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema
Clinical narrative: Within 2-3 minutes after vaccine area around injection site became red and raised. Pt was given Benadryl and a cold pack.  After 25 minutes site had not increased nor decreased in size.  Site was marked with instructions for mom to call FSP if site increased in size.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site pain, Injection site reaction, Pain in extremity, Paraesthesia
Clinical narrative: Left arm numbness and tingling with pain and tingling in the distribution of the radial nerve, starting at injection site and shooting down arm to thumb. 9/24/07-records received for DOS 8/20/07-Impression: numbness secondary to vaccine administration, possible neuropraxia. C/O numbness of thumb and outside aspect of left arm 15 minutes after receiving Menactra in left deltoid region.Numbness progressed initially and has stabilized. Denies weakness.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site inflammation, Injection site swelling
Clinical narrative: 48 hours p admin. of DTaP to R Deltoid, client experienced reddness and inflammation at IM site.  Sx doubled in size over 8 hours.  Taken to ED, treated by Dr., given 2 days of Cephalexin P.O.  Client was instructed to follow up at HD and was seen today (5 days p injection).  No reddness noted; denied pain or tenderness; slight swelling @ inj. site noted.  Client's father stated reddness and swelling was severely diminished p 48 hours of Cephalexin tx.  Client and father were advised to return to the Health Dept. if condition does not continue to improve.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Injection site pain, Injection site pain, Injection site rash, Injection site swelling, Pyrexia
Clinical narrative: Pt is a 5 yo girl who received her routine school vaccination one day prior to this office visit.  Mother reporting that patient found to have swelling and pain on the left leg at the site of vaccinations this morning. No fever. No dyspnea.  No swelling or redness on the opposite leg where Hep A and DTaP given. Interestingly Twin Sister developed tha same rash and swellign over the same area where she received the vaccination.  Same vaccinations and lot number as in this patient. Per follow-up: Mother reporting that the patient did not have any problems with vaccinations immediately after administration. Patient had fever but no dyspnea or chest pain. Site of injection is tender to palpation.
Age: 6.0
Sex: M
Vaccine: RAB
Symptoms: Abdominal pain, Body temperature increased
Clinical narrative: 7-10-07 - Temp 99-100, Tylenol. 7-17-07 - Temp 103, abd. pain - 4 hours. 7-31-07 - no temp.
Age: 8.0
Sex: F
Vaccine: RAB, TYP
Symptoms: Abdominal pain, Body temperature increased
Clinical narrative: 7-10-07 Tem 99-100 7-17-07 Tem 103, abd pain-Lasting 40 7-31-07 No temp/no discomfort
Age: 58.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Fatigue, Feeling hot, Nasopharyngitis, Pain
Clinical narrative: Pt. felt weak, feverish, cold, hot, exhausted, achy, constantly for 3-4 days after vaccination. arm was so sore, could use and could not tolerate touch. Arm was swollen, hot, w/red rash. On 5th day, feel better, still weak.
Age: 58.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity, Pyrexia, Swelling, Tenderness
Clinical narrative: Pt. felt weak, feverish, cold, hot, exhausted, achy, constantly for 3-4 days after vaccination. arm was so sore, could use and could not tolerate touch. Arm was swollen, hot, w/red rash. On 5th day, feel better, still weak.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Varicella
Clinical narrative: Break though Varicella
Age: 0.44
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PPV
Symptoms: Injection site erythema, Wrong drug administered
Clinical narrative: 5 month old infant received adult polysaccharide pneumonia vaccine in error. Telephone contact 36 hours later reveals no adverse reaction. No fever or irritability. Minor redness at inj. site.
Age: 4.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash
Clinical narrative: Rash 8/7/07-8/10/07
Age: 25.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm, Tenderness
Clinical narrative: Large swollen area on left upper arm. Hot, red, swollen, very tender to touch. Red area measured 5 inches in diameter.
Age: 41.0
Sex: F
Vaccine: HEP
Symptoms: Malaise, Pain in extremity
Clinical narrative: Immed after administration of #2 Hepatitis vaccine IM, emp. c/o feeling as if "punched in right arm"/deltoid and hand felt "tight". 45 min later emp "just didn't feel right" and throat felt spongy". Denied shortness of breath - sent immed to ER. Rec'd Benadryl PO and Claritin.
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: 29 y/o male with swelling and pain of (L) arm from injection site to the elbow due to Anthrax innoculations. Pt educate to monitor site to F/U for further rxn.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Pruritus, Skin warm, Swelling
Clinical narrative: Mother reported event this morning. Left upper arm hot, red, swollen. Size of a tennis ball and itchy. Referred pt to Dr.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Induration, Skin warm
Clinical narrative: hard, and warm to no fever no diarrhea: Prescribed Hc.25.
Age: 8.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Urticaria
Clinical narrative: Within < 24 hrs after receiving VZV #2 in right arm, pt developed redness and swelling at the site. See 24 hrs later in ER, noted to have hive on right arm (redness, induration about 3 cm diameter.
Age: 25.0
Sex: F
Vaccine: ANTH
Symptoms: Wrong drug administered
Clinical narrative: Patient came into clinic to receive TB test was accidentally was given Anthrax ID (.1 ml) in left arm.
Age: 68.0
Sex: F
Vaccine: UNK
Symptoms: Inflammation, Swelling
Clinical narrative: Inflammation and swelling (aprrox. 1 hr. after injection)
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Skin warm
Clinical narrative: Site of Proquad, large, red, warm, tennis ball size
Sex: F
Vaccine: DTAPHEPBIP, PNC
Symptoms: Abnormal faeces, Diarrhoea
Clinical narrative: Foul smelling diarrhea x > 2 wk
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site inflammation, Injection site pain, Injection site swelling
Clinical narrative: swelling; Inflammation; Tenderness left upper arm 10 1/2 cm x 13 cm (see attachment).  Do not know the exact time that reaction begin.  This was on the report already.
Age: 0.5
Sex: F
Vaccine: DTAP, DTAPHEPBIP, IPV
Symptoms: Urticaria, Wrong drug administered
Clinical narrative: Patient received Pediarix (DTaP/Hep B/IPV) and IPV and DTaP on 7/11/07. She had a few scattered 2-3mm hives while crying after vaccines, which faded after a few minutes. History of similar hives in other situations. Inadvertent administration of dose noted when returned for Prevnar vaccine (Pediarix had been given instead of Prevnar dose)
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: C-reactive protein normal, Full blood count normal, Injection site erythema, Pyrexia
Clinical narrative: 8/14/07 Erythema around MMR site. slight fever. Erythema started small Presented 8/15/07 with 6" x 3.5" area of erythema, 10W grade fever. CBC and CRP normal.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: 3x3 cm red swollen area on the right arm at the distal immunization site.
Age: 5.0
Sex: F
Vaccine: IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site inflammation
Clinical narrative: 5-6 hours after given sites were red, hard and inflammed.
Age: 1.3
Sex: F
Vaccine: DTAP, MMR, PNC
Symptoms: Vaccination complication
Clinical narrative: 08/14/07 - Mother stated: Patient had reaction to MMR vaccine 10 days post vaccination.
Age: 0.13
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Cough, Wheezing
Clinical narrative: 5 Hours after shots - coughing and wheezing
Age: 17.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Erythema, Pruritus, Rash, Varicella
Clinical narrative: Vaccine given on Thursday Aug 1, 2007. Broke into rashes immediately after shower on Saturday, Aug 3, 2007 around 2 pm. Itiching, redness, chicken pox marks of different color levels spread all over the body within 10 to 15 minutes. Called 24 hour line, and gave Benedryl -normal dosage at 6 hrly interval.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Alpha 1 foetoprotein amniotic fluid normal, Caesarean section, Drug exposure during pregnancy, Pre-eclampsia, Pregnancy
Clinical narrative: Initial and follow up information has been received as part of a pregnancy registry from a nurse practitioner concerning a 17 year old female with asthma, who in January 2007, was vaccinated with a 0.5mL dose of Gardasil (Lot# 653938/0954F). Concomitant medications included albuterol inhaler ("last used winter during allergy season") and Qvar. On 27-NOV-2006 the patient became pregnant. On 23-MAY-2007, the patient underwent a lab test that was positive and revealed that she was 23 weeks and 5 days pregnant. The patient's last menstrual period was 27-NOV-2006 and her estimated date of delivery was 03-SEP-2007. The patient had two previous births resulting in elective abortions. On 11-APR-2007 an alpha-fetalprotein test was taken and the results were negative. On 02-MAY-2007 an ultrasound was taken and the results were negative. The patient experienced pre-eclampsia resulting in a premature delivery by caeserian section on 12-JUL-2007. The infant was born normal and no congenital anomalies. The infant was a male with a low birthweight of 1510 grams, a length of 43.5cm, a head circumference of 31cm and an Apgar score of 8/9. At the time of the report, the patient's outcome was unknown. The pre-eclampsia and premature delivery were considered to be other important medical events. Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Pregnancy test positive, Premature labour, Ultrasound scan normal
Clinical narrative: Initial and follow up information has been received as part of a pregnancy registry from a nurse practitioner concerning a 17 year old female with asthma, who in January 2007, was vaccinated with a 0.5mL dose of Gardasil (Lot# 653938/0954F). Concomitant medications included albuterol inhaler ("last used winter during allergy season") and Qvar. On 27-NOV-2006 the patient became pregnant. On 23-MAY-2007, the patient underwent a lab test that was positive and revealed that she was 23 weeks and 5 days pregnant. The patient's last menstrual period was 27-NOV-2006 and her estimated date of delivery was 03-SEP-2007. The patient had two previous births resulting in elective abortions. On 11-APR-2007 an alpha-fetalprotein test was taken and the results were negative. On 02-MAY-2007 an ultrasound was taken and the results were negative. The patient experienced pre-eclampsia resulting in a premature delivery by caeserian section on 12-JUL-2007. The infant was born normal and no congenital anomalies. The infant was a male with a low birthweight of 1510 grams, a length of 43.5cm, a head circumference of 31cm and an Apgar score of 8/9. At the time of the report, the patient's outcome was unknown. The pre-eclampsia and premature delivery were considered to be other important medical events. Additional information has been requested.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Death
Clinical narrative: Information has been received from a pharmacy technician concerning a 75 year old (previously reported as "about 75 year old") female "in poor health" with heart problems and a history of stroke and other unspecified medical conditions who on 02-AUG-2007 was vaccinated with a dose of Zostavax. For an unspecified amount of time after vaccination the patient was observed for any reaction. The patient then left the pharmacy without any signs of an untoward reaction. Several days later the pharmacy technician read in the paper obituaries that the patient passed away on 06-AUG-2007. The cause of death was not reported. There was no product quality complaint involved. No further information was available. Additional information has been requested. 08/23/2007 Per email from FDA: A 75 y/o female in poor health with heart problem and a hx of stroke died 3 days after receiving Zostavax. Her name was in newspaper obituaries. She did not experience any immediate AEs after vaccination. Called Meck for follow up information including cause of death.  8/27/07 FDA obtained patient name & DOB from Merck.  No autopsy was done. COD was intracranial hemorrhage.  Merck will provide additional medical records.  9/7/07 Reviewed pcp medical records which reveal patient on chronic anticoagulant therapy for mitral valve replacement & was seen approx every 2 weeks for labs & eval.  Weight & vital signs stable.  10/29/07 Reviewed Death Certificate which states COD as subdural hematoma with anticoagulation for valvular heart disease as contributing factor.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema multiforme, Malaise, No reaction on previous exposure to drug
Clinical narrative: Initial report from a health care provider in the United States on 15 August 2007. A 12-year-old male with a history of seasonal allergies, had received a dose of Adacel (lot number, route and site not reported) on 01 August 2007 and nine days later complained of malaise and presented with erythema multiforme on hands, feet, elbows, and inside of moth (two lesions). The patient had no illness at the time of vaccination. The reporter stated the patient had not experienced any adverse events with prior pediatric vaccinations. The patient was last immunized with DTaP on 30 June 1999. The patient had not yet been evaluated by their physician for this event and their recovery status has been reported as "not recovered". No additional information had been provided at the time of this report.
Sex: F
Vaccine: TDAP
Symptoms: Diabetes mellitus
Clinical narrative: This case was reported by a consumer via another manufacturer on 14 August 2007. A patient reported that she received ADACEL (lot number not reported) and "became diabetic in a few weeks". No additional information was reported. This case was reported by a consumer via another manufacturer on 14 August 2007. SERIOUS CRITERIA OTHER-MEDICALLY SIGNIFICANT. A patient reported she received ADACEL (lot number not reported) and "became diabetic in a few weeks". No additional information was reported. A corrective version has been created using the prior receipt date in order to clarify that the reporter in this case was not a health professional. No medically significant information was added to the case.
Age: 41.0
Sex: F
Vaccine: TD
Symptoms: Back pain, Diarrhoea, Headache, Muscle spasms, Nausea
Clinical narrative: This case was received from a consumer in the United States on 13 August 2007. A 41-year-old female patient with a history of asthma, seasonal allergies, penicillin allergy, and varicose veins, received a right deltoid injection of Decavac (lot number U1953U) on 08 July 2007 for a "dirty wound". Two days later, on 10 July 2007, she began experiencing sharp pain in the left lower back, left eye "fuzzy", severe spasms and leg cramping in bilateral calves, headache, diarrhea, nausea, and feeling "throat closing". She presented to the emergency room, and was treated with steroids and nexium. She also required a doctor visit. At the time of the report, the events were still ongoing.
Age: 41.0
Sex: F
Vaccine: TD
Symptoms: Throat tightness, Vision blurred, Wound
Clinical narrative: This case was received from a consumer in the United States on 13 August 2007. A 41-year-old female patient with a history of asthma, seasonal allergies, penicillin allergy, and varicose veins, received a right deltoid injection of Decavac (lot number U1953U) on 08 July 2007 for a "dirty wound". Two days later, on 10 July 2007, she began experiencing sharp pain in the left lower back, left eye "fuzzy", severe spasms and leg cramping in bilateral calves, headache, diarrhea, nausea, and feeling "throat closing". She presented to the emergency room, and was treated with steroids and nexium. She also required a doctor visit. At the time of the report, the events were still ongoing.
Age: 64.0
Sex: F
Vaccine: TDAP
Symptoms: Dysarthria, Hypersensitivity
Clinical narrative: I had the Tdap shot. Shortly after my speech was getting slurred and still is. I've seen a neurologist, had 2 cat scans and MRI all kinds of blood tests and they cannot seem to find anything that is causing this. I even had my teeth pulled on the bottom and had a bottom denture put in. They thought it may be that I got an allergy to my partial which was made from Chronium and Cobalt which I found I am allergic to when I had my knee joint replaced; but that hasn't helped. Thought after a while that maybe it was the Tdap shot. Doctors cannot find anything else. I did not have it repeated, because they informed us that some people had reactions after the second shot. I'm not sure of the date of the shot. Asked the doctor about this and he made no comment 8/30/07-records received for DOS ranging from 12/13/05-6/25/07-Dysphagia. vaccine given on 12/13/2005. Second on 7/31/06-routine visit no complaints. 2/24/07-C/O thick tongue, trouble with speech. 2month HX of increasing tongue thickening sensation. PE tongue swollen no other focal neuro symptoms. Sinus congestion in the past few months. Antibiotics helped temporarily. Slight decreased nasolabial fold on left side.  Tongue swelling improving.  Tongue swelling returned in 3/15/07-Assessment tongue swelling most likely due to allergy. Sinusitis. Borderline HTN. 5/25/07-C/O persistent dysarthric speech and intermittent dysphagia. Cough. Saw allergist and has allergies to multiple metals.  Has decided to replace dental plate which contains metal. Depression with anxiety
Age: 19.0
Sex: F
Vaccine: HPVX
Symptoms: Full blood count, HIV antibody negative, White blood cell count decreased
Clinical narrative: Decreased WBC (2.1) now resolved (4 wks)
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pain, Pruritus, Skin nodule, Skin warm
Clinical narrative: 1 hr. after receiving Adacel - felt like needed to clear throat - took inhaler and then better (Albuterol inhaler). Noticed red bump 8/21/07 5x4cm red area - sl. raised - sl. warm to touch. Achy started yesterday AM - no fever - took Motrin to help sl. itchy.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Throat irritation
Clinical narrative: 1 hr. after receiving Adacel - felt like needed to clear throat - took inhaler and then better (Albuterol inhaler). Noticed red bump 8/21/07 5x4cm red area - sl. raised - sl. warm to touch. Achy started yesterday AM - no fever - took Motrin to help sl. itchy.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Pruritus, Rash generalised
Clinical narrative: Patient had 1st Gardasil vaccine administered on 8/20/07 -  called 8/22/07 c/o rash over entire body with itching - taking Benadryl with some relief. To see PCP today at 2:45pm.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Asthenia, Dizziness, Fatigue, Headache, Hyperhidrosis
Clinical narrative: Dizziness, blacked out - fainted (out for 1 min.), nausea, paleness, sweating, weakness, tired, weak, dizzy and headache for several hours after (still has symptoms 24 hours later)
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Loss of consciousness, Nausea, Pallor, Syncope
Clinical narrative: Dizziness, blacked out - fainted (out for 1 min.), nausea, paleness, sweating, weakness, tired, weak, dizzy and headache for several hours after (still has symptoms 24 hours later)
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Cold compress therapy, Erythema, Oedema, Skin warm
Clinical narrative: Left anterior/lateral aspect of front of thigh with erythema, edema, and warmth (11cm L x 16.4 cm W). No tenderness. No fever. Benadryl 7.5cc (12.5mg/5xx) QID. Cold compresses.
Age: 11.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Blood culture, Erythema, Full blood count, Laboratory test, Rash vesicular
Clinical narrative: Left upper arm with diffuse erythema, warm to touch, vesicular rash. Tx with Bactrim DS, Benadryl, Ibuprofen.
Age: 11.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Skin warm
Clinical narrative: Left upper arm with diffuse erythema, warm to touch, vesicular rash. Tx with Bactrim DS, Benadryl, Ibuprofen.
Age: 4.0
Sex: M
Vaccine: DTP, IPV
Symptoms: Injection site erythema
Clinical narrative: 1" red area around injection site. No fever, no treatment
Age: 19.0
Sex: M
Vaccine: TTOX
Symptoms: Blister
Clinical narrative: Donor received vaccination in his right arm and two hours later he noticed blisters on his left hand knuckles (ring and middle finger) and a blister on his left forearm.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, HIBV, IPV, PNC, VARCEL
Symptoms: Body temperature increased, Injection site inflammation
Clinical narrative: As per father pt has been running a temp. and inflammation to site.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Expired drug administered
Clinical narrative: Patient received meningococcal vaccine in left arm IM and it was expired. Exp. date 2/4/07. Immpact. and patient notified.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: 2 days after DTaP develop warm red indurated area right deltoid where placed x several days. Had begun to decrease when I saw pt 8/21/07.
Age: 10.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Eye pruritus, Eyelid oedema
Clinical narrative: Swelling and pruritus of eyelids bilaterally within 12-18 hours of receiving first Gardasil vaccine.
Age: 10.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Eyelid oedema, Eyelids pruritus
Clinical narrative: Swelling and pruritus of eyelids bilaterally within 12-18 hours of receiving first Gardasil vaccine.
Age: 19.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Erythema, Induration, Pain, Skin tightness, Skin warm
Clinical narrative: Redness, hardness, warm, pain, induration 4.5 x 4.5 cm right deltoid subcutaneous area.
Age: 14.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema
Clinical narrative: Left arm 4"x3" red
Age: 18.0
Sex: F
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Oedema peripheral, Pain in extremity
Clinical narrative: ADACEL 8-17-07. Symptoms started on 8-21-07, pain left arm, no redness, swelling noted entire arm. Pain in arm with movement.
Age: 11.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Dizziness, Tremor, Visual disturbance
Clinical narrative: Dizziness began 21 min after vaccines given. Pt lay down on exam table, B/P 110/76, color good, not cyanotic, pt. shaky, claimed to see "spots". All sx gone after 30 min.
Age: 56.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Oedema peripheral, Pruritus, Rash, Tinnitus
Clinical narrative: Rash with itching began within 1 hour after IZ starting on torso and spreading to extremities. Also experienced ring in ear. Client took Benadryl 50mg and Zyrtec 10mg and Claritin with no improvement. The next day she began experiencing edema in arms also. So went to ER. Received Prednisone, Epinephrine and Benadryl. Sent home with Prednisone 50mg PO x 5 days, Benadryl 25mg PO q 4 hrs x 5 days. Rash and itching and swelling gone 5-6 days later.
Age: 56.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Oedema peripheral, Rash, Rash pruritic, Tinnitus
Clinical narrative: Rash with itching began within 1 hour after IZ starting on torso and spreading to extremities. Also experienced ring in ear. Client took Benadryl 50mg and Zyrtec 10mg and Claritin with no improvement. The next day she began experiencing edema in arms also. So went to ER. Received Prednisone, Epinephrine and Benadryl. Sent home with Prednisone 50mg PO x 5 days, Benadryl 25mg PO q 4 hrs x 5 days. Rash and itching and swelling gone 5-6 days later.
Age: 33.0
Sex: F
Vaccine: TDAP, TYP
Symptoms: Hypoaesthesia, Muscle tightness, Pain in extremity, Red blood cell count increased, Red blood cell sedimentation rate increased
Clinical narrative: High RBC, high sed rate, arm still hurt; its been 3 weeks. At first I was numb then my muscles got tight everywhere. Now I am still in pain.
Age: 1.1
Sex: F
Vaccine: MMRV, PNC
Symptoms: Body temperature increased, Convulsion, Injection site bruising, Rash
Clinical narrative: Client returned to clinic 5/11/07; Mom mentioned on 3/17/07 child - T. 101/seizure/rash/bruse at injection site. Child was tx at ER. CT scan, Rx Motrin, D/C.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Inflammation, Swelling
Clinical narrative: Per Emergency Room MD: Inflammation with swelling left deltoid area, possibly secondary to Tdap vaccine (7/9/07)
Age: 1.5
Sex: M
Vaccine: HIBV
Symptoms: Erythema, Injection site induration, Rash macular
Clinical narrative: About 12cm diameter region of blotchy erythema with induration (minimal induration at vaccine site only) - + itchy
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cold compress therapy, Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Approx. 5x5cm avoid, erythematous, warm, indurated plaque at site of varicella vaccine (administered 2 days ago). No vesicles, no other lesions noted. Treatment: cold compresses pm.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site reaction, Urticaria
Clinical narrative: Immediate wheal and flare reaction at site of MMR left lower thigh
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Injection site urticaria, Urticaria
Clinical narrative: Hives at injection site and on arms.
Age: 0.3
Sex: M
Vaccine: IPV
Symptoms: Unevaluable event
Clinical narrative: No adverse reaction
Age: 48.0
Sex: F
Vaccine: ANTH
Symptoms: Chills, Dizziness, Headache, Nausea, Pyrexia
Clinical narrative: Nausea/vomiting, lightheaded, chills and fever, headache. Supportive care: increased fluids and Tylenol. Bedrest x 24 hrs.
Age: 48.0
Sex: F
Vaccine: ANTH
Symptoms: Vomiting
Clinical narrative: Nausea/vomiting, lightheaded, chills and fever, headache. Supportive care: increased fluids and Tylenol. Bedrest x 24 hrs.
Age: 1.17
Sex: F
Vaccine: HIBV, MMRV, PNC, VARCEL
Symptoms: Body temperature increased, Incorrect dose administered, Injection site erythema
Clinical narrative: Patient was mistakenly given MMRV and Varicella at the same time.  Mother reported elevated temp and redness at the site of the MMRV.  There aren't any adverse affects at this time, but we were told to complete this report anyway.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Hypotension
Clinical narrative: Dizziness after injection. Bp 80/60. Rechecked after 5 minutes-94/62.
Age: 1.08
Sex: F
Vaccine: DTAPH, HEPA, PNC
Symptoms: Crying, Gait disturbance, Pain, Weight bearing difficulty
Clinical narrative: 8/15/2007 After Immunes were given in upper Vaseus Lateralis, child crying and not weight bearing.  10 minutes later child stopped crying and was bearing weight. Later in day after child woke from nap, child had difficulity weight bearing. Child taken to pediatrician who stated that the vaccines were given too posterior and this traumatized the nerve - child should recover in a few days to a few weeks.  Child slept throught night on 8/15 and was able to walk with a limp on 8/16.  Pain was relieved with ibuprofen.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Dyspnoea, High-pitched crying, Injection site swelling, Pyrexia
Clinical narrative: Two hours after vaccines administered infant with high pitched non stop crying for 24 hours.  Fever 103, swollen site, and diff breathing for 24 hours.  Treated at home with Tylenol every four hours.  Contacted the ER by phone per family and instructed to continue with Tyl and if breathing worsened to go to ER.  Mom up all night with infant and evaluated per Dr on 08/18/07.  Symptoms subsided after 24 hours and Dr. instructed family to not give Pertussis in the vaccine.  3 maternal Uncles had mod -severe reactions to Pertussis.  One Uncle passed away at 4 mos of age from the pertussis vaccine.  Other two Uncles had mod reactions.  One with seizures and other with same symptoms as patient.
Age: 0.17
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Ecchymosis, Erythema multiforme, Urticaria
Clinical narrative: 12 days after receiving vaccines, child developed urticarial rash with some central ecchymoses suggesting progression to "urticaria multeforme" or mild erythema multeforme. child remained comfortable and with no other symptoms and rash resolved after 5 days with no apparent sequellae.
Age: 45.0
Sex: F
Vaccine: HEPAB, MMR, TDAP, VARCEL
Symptoms: Injection site discolouration, Injection site erythema, Injection site induration, Injection site warmth, Local reaction
Clinical narrative: right upper outer arm at site of Varicella infjection localized reaction with onset 8-9-07 3:00-4:00 p.m. with redness, induration, and increase skin temperature.  Area increase in size approximately 3" diameter.  8/10/07 Area remained firm and hot and purplish-red in color.  8/11/07 Area resolving with 8/13/07 a red very faded bruised appearance.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Blood pressure decreased, Hyperhidrosis, Pallor, Wheezing
Clinical narrative: client recieved Gardasil vaccine and then became diaphroetic pale and began to wheeze. 911 called We checked her vitals, bp 80/60 pulse 56-64. Ice applied to arm and forhead and she was placed on a mat. Juice and crackers recieved. Ems arrived and vitals were reevaluated. Stable at this time.Mother refused further EMS treatment but was  instructed to call if further problems. We will call in a.m. for follow up.
Age: 8.0
Sex: M
Vaccine: TDAP
Symptoms: Wrong drug administered
Clinical narrative: Client received TDAP
Age: 16.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Feeling abnormal, Throat tightness
Clinical narrative: Immediately felt "funny" faint, layed client down, blood pressure 106/60, put cool compress on back of neck - also said at first felt her throat was tighting for just a second.  Recovered with 10 minutes
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Erythema, Fatigue, Oral herpes, Pain
Clinical narrative: Tdap administered IM in L deltoid 8/15. 8am 8/17 L deltoid very tight and firm ,warm to touch, 1pm fever 101.6 w/ chills and generally body aches, ice applied,600mg ibuprofen administered.employee told to come to ED if any increase in fever. 8/20 she reports fever and chills 8/18 and 8/19 and increasing erythema. Left upper arm w/ 19cm X 17 cm erythema and very warm to touch. No fever. Arm remains tender to touch but overall less painful. ice continued. 8/22 erythema gone,she reports feeling tired but overall improved. herpes simplex on upper lip noted today.
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia, Skin necrosis, Skin tightness, Skin warm
Clinical narrative: Tdap administered IM in L deltoid 8/15. 8am 8/17 L deltoid very tight and firm ,warm to touch, 1pm fever 101.6 w/ chills and generally body aches, ice applied,600mg ibuprofen administered.employee told to come to ED if any increase in fever. 8/20 she reports fever and chills 8/18 and 8/19 and increasing erythema. Left upper arm w/ 19cm X 17 cm erythema and very warm to touch. No fever. Arm remains tender to touch but overall less painful. ice continued. 8/22 erythema gone,she reports feeling tired but overall improved. herpes simplex on upper lip noted today.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Erythema, Skin nodule, Skin warm
Clinical narrative: LARGE RED AREA THAT IS HOT TO THE TOUCH AND SLIGHT LUMP 2 DAYS POST VACCINATION LOCATED ON LEFT FRONT THIGH.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Abortion spontaneous
Clinical narrative: 8-6-07 Miscarriage
Age: 0.58
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, Food aversion, Listless, Pyrexia
Clinical narrative: Fever X 3 - 4 days, Seizure X one 6/28/2007 and X one 6/29/2007,  listlessness and poor feeding
Age: 34.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Asthenia, Cardiac stress test, Chest discomfort, Dyspnoea, Pericarditis
Clinical narrative: Pt seen at MC on 03Aug07 and then transferred for pericarditis diagnoses, felt to be possibly related to recent vaccination with smallpox or anthrax. Follow up following discharge from the hospital occurred on 07Aug07 at the Medical Clinic. Chest discomfort had resolved by time of visit and pt reported a decrease in SOB, but continued with lack of energy. Orders given for Ibuprofen and Prilosec at the time of his visit, he was instructed to follow up with TMC in 2 weeks or sooner if problems. 9/4/07-records received for DOS 8/3-8/6/07-atypical chest pain. Pressure sensation in throat,
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Erythema, Injection site discharge, Injection site vesicles, Pruritus, Rash
Clinical narrative: SM presented to the Troop Medical Clinic on 7/7/07 with c/o smallpox rash to his neck and upper torso. Red lesions present to neck with pruritis, smallpox site + for blister with exudate and very small white head papular lesion around adhesive. Orders given for Claritin and Motrin at time of visit.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Rash papular, Skin lesion
Clinical narrative: SM presented to the Troop Medical Clinic on 7/7/07 with c/o smallpox rash to his neck and upper torso. Red lesions present to neck with pruritis, smallpox site + for blister with exudate and very small white head papular lesion around adhesive. Orders given for Claritin and Motrin at time of visit.