chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 41.0
Sex: F
Vaccine: RAB
Symptoms: Paraesthesia, Photophobia
Clinical narrative: Pt was "dizzy" after vaccination, felt better after approx 1/2 hour. Also felt "tingling" in feet. Approx 2 hours after shot, stated that "eyes were hurting", she needed to blink a lot and was sensitive to the light. By 4 PM, c/o being very weak. This weakness continued through next day. By 3 AM c/o diarrhea and frontal and temporal headache. Next day 9/18/03 c/o sore joints (wrists and elbows).
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Rash macular, Urticaria
Clinical narrative: I administered DTaP, MMR, IPV and a TB skin test on 8/19/03. On Thursday 9/28 mom reported a red macular spot had appeared the morning of 9/27 on child's right upper arm. She brought child in 9/28 because area was getting bigger. Irregular elongated lacey looking area across upper right arm at bottom of right deltoid. Child had been back in my office on 9/21 to have TB test read and reported no symptoms of any type side effect from the immunizations. Mom stated child did have hives once before but she didn't know why. I told her I didn't think it had anything to do with DTaP injection but it was an unusual looking hive and only one area. She did take child to local PA. Mom told me later that PA said it was a hive but didn't think it had any connection with immunization because it was much lower than where I gave DTaP at.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Urticaria
Clinical narrative: Have 2 small hives develop within a minute after injection right beside injection site.
Age: 25.0
Sex: F
Vaccine: TD
Symptoms: Pain
Clinical narrative: Left upper arm pain
Age: 15.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Facial palsy
Clinical narrative: Bells Palsy left side of face. Dx with strep 8/25/03. Tx with PCN.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Face oedema, Hypersensitivity, Lymphadenopathy, Oedema peripheral
Clinical narrative: On 08/18/2003 child had rash to extremities, rash spread and covered entire body, bright red, irregular shaped areas, swollen fingers, joints, lymph gland and lips. Temp up to 100 degrees. Did see PCP and mom states PCP stated pt was allergic to "a component in vaccine".
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Pyrexia, Rash
Clinical narrative: On 08/18/2003 child had rash to extremities, rash spread and covered entire body, bright red, irregular shaped areas, swollen fingers, joints, lymph gland and lips. Temp up to 100 degrees. Did see PCP and mom states PCP stated pt was allergic to "a component in vaccine".
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site mass, Injection site oedema, Injection site swelling, Pain
Clinical narrative: Left deltoid, mild swelling, raised knot noted, slight pain.
Age: 1.0
Sex: M
Vaccine: HBHEPB, VARCEL
Symptoms: Convulsion, Pyrexia
Clinical narrative: About 6-8 hours after receiving Comvax #3 and Varivax #1, child experienced febrile seizure with fevers persisting for 4 days then resolution with no other Sx. Treated with Motrin and Tylenol for fever.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Mom states large, red, swelling around vaccine injection site. Instructed to give Benadryl, Motrin and use warm compress.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema, Injection site oedema, Rash macular
Clinical narrative: Redness, swelling, blotches to right thigh.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Fall, Hyperhidrosis, Malaise, Somnolence
Clinical narrative: Pt given vaccines at approx 9:50 AM. Mom left clinic to go to (?). Complained to mother feeling sick and fell down. Mom returned to clinic. Pt was covered in sweat and very sleepy. Taken to exam room and observed for 1/2 hour to 45 minutes (offered juice and crackers) and was discharged to home.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Rash
Clinical narrative: Red rash localized edema warm to touch. Ice pack 9/17/03 in PM. Tylenol for 3 days.
Age: 61.0
Sex: F
Vaccine: HEPA, TD
Symptoms: Pruritus, Psoriasis, Rash, Rash macular
Clinical narrative: Rash began 2/15/03 on one arm and spread over her body. She visited her daughter where the rash intensified with itching. She sought medical care, treated for psoriasis, no improvement. Sought medical care again, treated for scabies, no improvement. Rash continued and progressed to sores with blotchy skin. Saw dermatologist. Biopsy confirmed a drug reaction. Pt blames shots but other meds were never stopped or changed. Cortisone cream and warm compresses have resolved situation.
Age: 71.0
Sex: F
Vaccine: HIBV, MEN, MMR
Symptoms: Fatigue, Pruritus, Rash, Urticaria
Clinical narrative: Pt c/o fatigue from ITP that increased after shots. She traveled to wedding which took place 8/30. She developed an itchy rash with hives at that time that continued. She went to ER facility on evening 9/5. They prescribed cephalexin for infected foot from injury. Symptoms have improved since that time. She is anticipating splenectomy in near future (that was the reason her Dr referred her here).
Age: 1.08
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Urticaria
Clinical narrative: Urticaria - to ER 2 days after DTaP and Hib given - given Prelone and Benadryl. Returned later in day to pediatrician - hives. Zyrtec syrup ordered.
Age: 0.3
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: L arm cellulitis.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: C/O soreness at injection site within one hour after injection. Next afternoon at 1:30 pm, mom noticed dark red, blotchy rash L arm starting at site of injection and going up the arm and halfway down his back. Pt described area as painful and itchy. Site not warm to touch rash slightly raised. No fever. "Cold feels good." Pt's sister noticed redness arm and back yesterday-worse today. Rash is "blotchy." 6/27/03-rash the same-no better-no worse. Still itchy and painful. Benadryl q 4 has not helped. Cold compress helped with discomfort but did not decrease rash. Rash gone by 7/3/03. 6/28 developed "bumps down over his back," "looks like pimples." 7/1/03 rash improving. Continues to receive Benadryl. Also developed headaches (dad thinks headaches were ? head and doctor not worried about headaches.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Pruritus, Rash macular
Clinical narrative: C/O soreness at injection site within one hour after injection. Next afternoon at 1:30 pm, mom noticed dark red, blotchy rash L arm starting at site of injection and going up the arm and halfway down his back. Pt described area as painful and itchy. Site not warm to touch rash slightly raised. No fever. "Cold feels good." Pt's sister noticed redness arm and back yesterday-worse today. Rash is "blotchy." 6/27/03-rash the same-no better-no worse. Still itchy and painful. Benadryl q 4 has not helped. Cold compress helped with discomfort but did not decrease rash. Rash gone by 7/3/03. 6/28 developed "bumps down over his back," "looks like pimples." 7/1/03 rash improving. Continues to receive Benadryl. Also developed headaches (dad thinks headaches were ? head and doctor not worried about headaches.
Age: 4.3
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cough, Erythema, Feeling hot, Lethargy, Oedema peripheral
Clinical narrative: Parent called today at 2pm. Child's R arm is swollen, hot, red the diameter of an apple. Temp=100.5 deg F. Child vomited x 1 last night coughing, had red, hot, itchy feet last night, gone today. Parent gave Benadryl and children's Motrin. Child is lethargic denies c/o pain.
Age: 4.3
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Pruritus, Pyrexia, Vomiting
Clinical narrative: Parent called today at 2pm. Child's R arm is swollen, hot, red the diameter of an apple. Temp=100.5 deg F. Child vomited x 1 last night coughing, had red, hot, itchy feet last night, gone today. Parent gave Benadryl and children's Motrin. Child is lethargic denies c/o pain.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: T/C from mom 8/13/03 1:30 pm, Rt arm where 2 shots were given, is swollen from top of shoulder to elbow, red and hot to touch. No fever. Tylenol given over last night 8/12/03, swelling, noted this am, painful for child. 8/25/03 T/C to mom, did not seek PMD. Gave Motrin x 1 1/2 days and child is fine now.
Age: 1.5
Sex: F
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Chicken pox.
Sex: U
Vaccine: HEP, VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Had swollen/red deltoid L arm DTaP #4 (hep B #1) also given. Resolved. Hep B #2 9/17 L deltoid red swollen rxn. 9/18-9/19 eval. ques. if sensitive to hep B when reacted to DTaP.
Age: 3.0
Sex: F
Vaccine: DTAP
Symptoms: Oedema peripheral, Pain
Clinical narrative: 9/10/03 4:45 pm, received call from father states leg is swollen, painful. PHN instructed family to see MD and asked family to report back to health dept. 9/11/03 11:40 dad brought child to HD to show PHN he waso n his way to MD to have family physician leg was swollen from mid knee up to fold in leg. Given antibiotic Keflex.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Oedema peripheral
Clinical narrative: 24 hrs after immunization parent brought child back with swelling of both legs, right more than left, mild superficial edema of whole thigh.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Received Pediarix (Hep B, IPV, DTaP) , Prevnar, Hib on 9/16/03. Two days later-onset explosive diarrhea lasting 3 days, 2 emesis, no fever, no other family ill.
Age: 31.0
Sex: F
Vaccine: TD
Symptoms: Dizziness, Injection site oedema, Muscle spasms, Myalgia
Clinical narrative: Muscle cramping, dizziness, muscle pain, swelling at site of injection.
Age: 5.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Pain, Rash
Clinical narrative: Imm admin 9/18/03 DTaP, HIB, IPV, MMR, varicella. 9/20/03 L thigh with red rash, pain 9/22/03 L thigh painful rash 4" wide covering febrile sent home from school by nurse. 9/24/03 rash fading-Benadryl given by mother 9/22/03-ice pack placed on thigh.
Age: 1.7
Sex: F
Vaccine: DTAP, MMR
Symptoms: Rash morbilliform
Clinical narrative: Measles like rash.
Age: 1.08
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Rash morbilliform
Clinical narrative: Measle like rash.
Age: 1.25
Sex: F
Vaccine: DTAP, HBHEPB, IPV, MMR
Symptoms: Erythema, Rash papular
Clinical narrative: IPV, DTaP, Comvax, MMR given on 9/10/03. 9/15/03 papular red rash on shoulder extended to entire ? during the next stage. Rash was itchy-Rx Atarax on 9/22/03 rash started fading. Rash first noted day after immunizations.
Age: 1.2
Sex: M
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Abscess, Cellulitis, Erythema, Feeling hot, Irritability
Clinical narrative: Vaccines of DTaP+Hib+Varicella were given on RT on the 4th of September evening. On the 14th mom noticed bump nickle size red, hot to touch and bruise around it cranky no fever. Taken to ER-dg with abcess. Recheck 9/15/03 ER dig. cellulitis. Prescribed Aphalosporine 125mg qid 6 susp. 9/25/03 TC with mom 14 mo old's leg is healed no further symptoms.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Red swollen area 4x4cm at injection site Rt thigh.
Age: 33.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Rash
Clinical narrative: Initial reticulated rash in first several days and 1 wk later polyarthralgia x 2 and wks. No fevers.
Age: 5.5
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Area (7 1/2 x 8 cm) red and hot to touch, by next morning, swollen (shots given 9/12/03).
Age: 1.5
Sex: M
Vaccine: DTAP
Symptoms: Feeling hot
Clinical narrative: 3.5" by 3" slightly indurated region in upper outer thigh, per clinician felt slightly warm. Dose of Benadryl given.  Follow up on 10/22/2003: "Per RN, ERROR, patient did not receive polio virus at the same time.  Last polio virus given 09/17/2002."
Age: 12.0
Sex: F
Vaccine: MMR
Symptoms: Parotitis
Clinical narrative: Child developed a left parotitis 3 days after received MMR.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Pruritus
Clinical narrative: Left deltoid area, red and firm radiating below elbow inner aspect 36 hours post injection. Also itching 2 1/2 days later dissipating. Cold pack applied 4-5 times qd.
Age: 45.0
Sex: F
Vaccine: TD
Symptoms: Paraesthesia, Radiculitis brachial
Clinical narrative: Paresthesias left upper extremity brrachial neuritis.   Follow up on 08/27/04 states: "While checking for pt whether we had a report on file I noticed that her DOB was entered wrong. It should be what is listed in box 3. See image for confirmation."
Age: 4.0
Sex: M
Vaccine: HIBV, IPV, MMR
Symptoms: Cough, Pain, Pyrexia
Clinical narrative: Fever; leg pain; cough. Zithromax.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Pain
Clinical narrative: Pain, hard swelling and redness knee to upper thigh for 3 days.
Age: 0.83
Sex: M
Vaccine: IPV, PNC
Symptoms: Rash, Vomiting
Clinical narrative: Developed rash on face and chest within hours after vaccines administered. Emesis x 1. Hadd also eaten eggs same day. Full resolution of symptoms in 3-4 hours.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Pyrexia
Clinical narrative: 9/26/03 Mother concerned, advised to come by. Left upper arm reddened area 2" induration. Fever 103 9/26/03. Recommended ice, pain meds, watch. 9/29/03 - Mom states swelling down, some redness, doing better.
Age: 1.25
Sex: M
Vaccine: DTAP, MMR
Symptoms: Pyrexia, Rash
Clinical narrative: Mother states received MMR/DPT on 9/16 at Health Dept. Rash noted 9/22. Temp 101.8 9/26.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Pain
Clinical narrative: About 7:30 AM 9/3/03 the mother noticed swelling, redness and pain at the site of injection about 1-2 inches in size. Used cold packs and Tylenol. 9/4/03 The swelling had increased to include the entire upper arm. Notified her doctor. Arm was less red 9/5/03. 9/8/03 swelling subsided. No pain on head noted. Reaction did not cause her to miss any school.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: CHILD WITH POST IMMUNIZATION TEMPERATURE OF 103F ON 12SEP03@0824; PATIENT SEEN AT THE clinic AND  DIAGNOSED WITH VIRUS. CHILD GIVEN SUPPOSITORIES FOR FEVER.  PATIENT EATING AND URINATING Q4 HOURS, CLINIC WILL SEE PATIENT AS WALK IN APPOINTMENT BEFORE 1100 HOURS. FATHER CONTACTED BY THE ON CALL NURSE , TO MAKE FOLLOW UP APPOINTMENT. CHILD TREATMENT WITH ANTIBIOTIC; AMOXICILLIN AND TYLENOL; PARENT TOLD NOT TO LET THE CHILD HAVE PETUSSIS VACCINE
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Pruritus, Rash erythematous
Clinical narrative: 9/25 4:30 mom brought child in for assessment of his upper arm.  Redness in 2 inches in diameter with fine red raised rash, warm to the touch.  Mom stated he complained of itching.  She just noticed  it 9/24 around 8 pm.  She stated gave him motrin it looked better not as swollen as it was.  advised parent ot give benedryl and use cortaid creme on site for itching.  If swelling continues any drainage, or increased pain take child to er.
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Feeling hot, Oedema, Rash
Clinical narrative: Client developed redness in face particularly cheeks. Reportedly warm to touch.  No other symptoms until 9/22 when developed rash on right forearm and chest.  Experienced some swelling in cheeks and below eyes. Mother reports she was also exposed to neighbor's rabbit on 9/19 and 9/20. Mother reports she gave dose of Benadryl on 9/22 and the swelling improved.  Sought medical advice on 9/22 at local FQHC.
Age: 25.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Dyspnoea, Eosinophilia, Lichenoid keratosis, Rash erythematous, Rash pustular
Clinical narrative: 25 yo AD E-5 received Vaccinia and anthrax #1 on 26Aug03. Vaccinia was L shoulder. That progressed properly with a jennerian pustule 7 days later and then the scab falling off approx 5Sep. He was well for the next 5 days and then, on 10Sep, began to notice lesions like acne in his L axilla. These doubled in # and size every day and then he began to notice them in his R arm pit, groin, and back. These were then evaluated by myself. The lesions were large (some 2-3cm across) placques with a red raised border, some central lichenification or scaling dermatiitis but no exudate or actual pustular appearance. These were biopsied that day with the appearance of spongiosis as well as a eosinophilic infiltration. Vaccinia PCR of one of the lesions was sent, under protocol, and that was negative. The lesions were itching and mildly painful. The lesions progressed, close to 50 new lesions developed in the ensuing 5 days. The distribution remained bilateral axilla, R back, and bilateral flanks, as well as bilateral groin. The lesions, once they stopped developing new, began to fade, the border first so that they became very uniform and then they began to fade altogether. The patient's symptoms were gone within three days and he only had the lesions without any symptoms. He complained twice about shortness of breath and PND type symptoms: CXR x2, Echocardiogram, EKG, Cardiac enzymes failed to show any abnormalities. Routine CBC did not show eosinophilia. The patient had a negative HIV test prior to the vaccination.
Age: 25.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Skin ulcer
Clinical narrative: 25 yo AD E-5 received Vaccinia and anthrax #1 on 26Aug03. Vaccinia was L shoulder. That progressed properly with a jennerian pustule 7 days later and then the scab falling off approx 5Sep. He was well for the next 5 days and then, on 10Sep, began to notice lesions like acne in his L axilla. These doubled in # and size every day and then he began to notice them in his R arm pit, groin, and back. These were then evaluated by myself. The lesions were large (some 2-3cm across) placques with a red raised border, some central lichenification or scaling dermatiitis but no exudate or actual pustular appearance. These were biopsied that day with the appearance of spongiosis as well as a eosinophilic infiltration. Vaccinia PCR of one of the lesions was sent, under protocol, and that was negative. The lesions were itching and mildly painful. The lesions progressed, close to 50 new lesions developed in the ensuing 5 days. The distribution remained bilateral axilla, R back, and bilateral flanks, as well as bilateral groin. The lesions, once they stopped developing new, began to fade, the border first so that they became very uniform and then they began to fade altogether. The patient's symptoms were gone within three days and he only had the lesions without any symptoms. He complained twice about shortness of breath and PND type symptoms: CXR x2, Echocardiogram, EKG, Cardiac enzymes failed to show any abnormalities. Routine CBC did not show eosinophilia. The patient had a negative HIV test prior to the vaccination.
Age: 33.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Joint range of motion decreased, Musculoskeletal stiffness
Clinical narrative: Joint pain in hands, stiffness in left arm, unable to lift arm over head.
Age: 37.0
Sex: M
Vaccine: ANTH, HEP, MEN, SMALL
Symptoms: Cardiomyopathy, Chest pain, Dyspnoea, Laboratory test abnormal
Clinical narrative: Developed chest pain day 5-day 8 after SPV on 14 Mar 03. Received no treatment at the time. On 24 Aug 03 collapsed while running. Had had multiple episodes of syncope prior to this incident. Medivaced to Germany then to military hospital for evaluation. Found to have Dilated Cardiomyopathy and meets the criteria for this diagnosis according to MD of the NIP,CDC as defined on 29 Sep 03: 1. Has ventricular dilatation, impaired contraction of the ventricle and diminished ejection fraction. 2. Has no evidence of DCM or CHF prior to vaccination 3. Has no other cardiac or non-cardiac disease which can likely account for the symptoms or abnormalities present. Patient has been started on ACEI and beta blocking medications. Is asymptomatic at present, even with exertional exercise. The 60 day follow up received on 12/17/03 states continue to have dilated cardiomyopathy but is asymptomatic at this time except for some periods of perceived SOB while at rest. Has been instructed by physician he should not engage in exertional exercise. Eventhough pt is medically stable, he will be medically discharged due to the uncertainty of what his condition will develop into in the future.
Age: 1.93
Sex: F
Vaccine: DTAP, IPV, PNC, VARCEL
Symptoms: Pyrexia, Rash erythematous, Rash papular, Rash pruritic, Skin exfoliation
Clinical narrative: 16 hours following vaccine administration, patient had vomiting and low grade temp (100 F).  Approximately 28 hours post vaccination, skin rash was noted- a fine papular erythematous rash which became generalized and was pruritic.  No visible lesions involving mucosa.  Possible atypical target lesions on upper extremities.  10 days post vaccinations, skin began peeling, including palms and soles.  Peeling may also have involved tongue.  Currently, still has some peeling of palms and soles. Patient evaluated by the patient's primary care physician who referred the patient to me.  Rapid strep test and strep DNA probe negative.  Pruritus treated with antihistamines. Regarding prior adverse events,  the patient received the DtaP (Aventis C1385AA), Act-HIB (Aventis UA847AA), MMR (Merck 10807) and IPV (Aventis W0869) on 7/9/03.  Within 48 hours she developed a fever to 103-104 F.  She also developed a fine papular rash on her chest which resolved within 3-4 days without exfoliation.
Age: 1.93
Sex: F
Vaccine: DTAP, IPV, PNC, VARCEL
Symptoms: Vomiting
Clinical narrative: 16 hours following vaccine administration, patient had vomiting and low grade temp (100 F).  Approximately 28 hours post vaccination, skin rash was noted- a fine papular erythematous rash which became generalized and was pruritic.  No visible lesions involving mucosa.  Possible atypical target lesions on upper extremities.  10 days post vaccinations, skin began peeling, including palms and soles.  Peeling may also have involved tongue.  Currently, still has some peeling of palms and soles. Patient evaluated by the patient's primary care physician who referred the patient to me.  Rapid strep test and strep DNA probe negative.  Pruritus treated with antihistamines. Regarding prior adverse events,  the patient received the DtaP (Aventis C1385AA), Act-HIB (Aventis UA847AA), MMR (Merck 10807) and IPV (Aventis W0869) on 7/9/03.  Within 48 hours she developed a fever to 103-104 F.  She also developed a fine papular rash on her chest which resolved within 3-4 days without exfoliation.
Age: 5.0
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Injection site inflammation, Injection site oedema
Clinical narrative: Pt received DPaT and varivax on 9/23/03.  Mother noticed swelling at site of DPaT next AM.  Swelling increased over the next 2 days.  Pt was seen on 9/26/03 for significant induration and inflammation at site (about 3").  Site was tender, red and warm.  Pt was otherwise well.
Age: 5.0
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Injection site pain
Clinical narrative: Pt received DPaT and varivax on 9/23/03.  Mother noticed swelling at site of DPaT next AM.  Swelling increased over the next 2 days.  Pt was seen on 9/26/03 for significant induration and inflammation at site (about 3").  Site was tender, red and warm.  Pt was otherwise well.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site oedema
Clinical narrative: Patient received DPaT on 9/24/03.  Mother noted swelling on the next day.  Swelling increased over the next day and was seen on 9/26/03.  Pt was afebrile, alert and in no distress.  There was 4" to 5" swelling at site of injection (warm, red and tender).
Age: 0.5
Sex: F
Vaccine: DTAP, PNC
Symptoms: Asthma, Bronchiolitis, Hypersensitivity, Wheezing
Clinical narrative: Severe and chronic asthma and allergies emerged, INCLUDING bronchiolitis, wheezing, asthma
Age: 26.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Rash vesicular
Clinical narrative: Right eye lid pustules, conjunctivitis and mild keratitis.  Also with pustule on left shoulder approx 6 inches from inoculation site.  Pt reports that inoculation site had been constantly covered since administration, and denies scratching inoculation site.  Pt treated with viroptic OU and oral acyclovir for 2 wks with full resolution of eye lesions.
Age: 26.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Conjunctivitis, Injection site pustule, Laboratory test abnormal, Rash pustular, Skin ulcer
Clinical narrative: Right eye lid pustules, conjunctivitis and mild keratitis.  Also with pustule on left shoulder approx 6 inches from inoculation site.  Pt reports that inoculation site had been constantly covered since administration, and denies scratching inoculation site.  Pt treated with viroptic OU and oral acyclovir for 2 wks with full resolution of eye lesions.
Sex: M
Vaccine: MMR
Symptoms: Autism, Drug toxicity, Encephalopathy, Growth retardation, Hypokinesia
Clinical narrative: Information has been received regarding a case in litigation concerning a minor child who from approximately 11/12/96 through 8/2/99, through his infant injections, was subjected to very high doses of mercury and other heavy metal contained in thimerosal. It is alleged that through thimerosal-adulterated infant injections administered to him, the patient was poisoned by the cumulative doses of mercury in thimerosal. Because of the patient's heightened vulnerability to heavy metals poisoning and his compromised condition related to the mercury poisoning, he was and is unable to process heavy metals and suffers neurological compromise as a result of the heavy metals and suffers neurological compromise as a result. His impaired condition is compounded by these exposures and his injuries made worse by them. The patient became neurologically devastated by the accumulation of mercury in his body, having been exposed via multi source exposure including but not limited to power plant emissions and/or intramuscular vaccinations either alone and/or in conjunction with measles virus contained in the MMR, and suddenly regressed developmentally. The patient's exposure to airborne mercury in the environment through inhalation and other sources contributed to the cumulative mercury toxicity and was a substantial factor causing his neurological damage. Subsequently the patient experienced serious and permanent neurological damage, autism, pervasive developmental disorder, oral-motor dysfunction, post-infectious autoimmune encephalopathy, autoimmunity and immunodeficiency condition and mercury poisoning. Upon internal review, serious and permanent neurological damage, autism, pervasive developmental disorder, oral-motor dysfunction, post-infectious autoimmune encephalopathy, and autoimmunity and immunodeficiency condition were determined to be other important medical events (OMIC). No further information is available.
Sex: M
Vaccine: MMR
Symptoms: Nervous system disorder, Speech disorder
Clinical narrative: Information has been received regarding a case in litigation concerning a minor child who from approximately 11/12/96 through 8/2/99, through his infant injections, was subjected to very high doses of mercury and other heavy metal contained in thimerosal. It is alleged that through thimerosal-adulterated infant injections administered to him, the patient was poisoned by the cumulative doses of mercury in thimerosal. Because of the patient's heightened vulnerability to heavy metals poisoning and his compromised condition related to the mercury poisoning, he was and is unable to process heavy metals and suffers neurological compromise as a result of the heavy metals and suffers neurological compromise as a result. His impaired condition is compounded by these exposures and his injuries made worse by them. The patient became neurologically devastated by the accumulation of mercury in his body, having been exposed via multi source exposure including but not limited to power plant emissions and/or intramuscular vaccinations either alone and/or in conjunction with measles virus contained in the MMR, and suddenly regressed developmentally. The patient's exposure to airborne mercury in the environment through inhalation and other sources contributed to the cumulative mercury toxicity and was a substantial factor causing his neurological damage. Subsequently the patient experienced serious and permanent neurological damage, autism, pervasive developmental disorder, oral-motor dysfunction, post-infectious autoimmune encephalopathy, autoimmunity and immunodeficiency condition and mercury poisoning. Upon internal review, serious and permanent neurological damage, autism, pervasive developmental disorder, oral-motor dysfunction, post-infectious autoimmune encephalopathy, and autoimmunity and immunodeficiency condition were determined to be other important medical events (OMIC). No further information is available.
Age: 57.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Body temperature increased, Cellulitis
Clinical narrative: Injection 9/16/03 left deltoid. 9/17/03 increased temperature/cellulitis. Rx Keflex, Motrin. Seen in ER 9/17/03 Rx IV antibiotics. Seen in ER 9/18/03 Rx IV antibiotics. 9/18/03 admitted to hospital. 9/19/03 discharged.
Age: 57.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Cellulitis, Erythema, Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Injection 9/16/03 left deltoid. 9/17/03 increased temperature/cellulitis. Rx Keflex, Motrin. Seen in ER 9/17/03 Rx IV antibiotics. Seen in ER 9/18/03 Rx IV antibiotics. 9/18/03 admitted to hospital. 9/19/03 discharged.
Age: 57.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Pyrexia, Rash
Clinical narrative: Injection 9/16/03 left deltoid. 9/17/03 increased temperature/cellulitis. Rx Keflex, Motrin. Seen in ER 9/17/03 Rx IV antibiotics. Seen in ER 9/18/03 Rx IV antibiotics. 9/18/03 admitted to hospital. 9/19/03 discharged.
Age: 43.0
Sex: M
Vaccine: SMALL
Symptoms: Abdominal pain upper, Arthralgia, Arthritis, Chest pain, Insomnia
Clinical narrative: Nausea, joint pain in hands, feet, knees, etc. Vomitting, dry heaving, insomnia, chest pain, inflammation of joints. Symptoms still occur daily several months later (09/03). Patient has never been sick in his life prior.) The 60 day follow up received on 12/12/03 states joint pain in feet, knees, arms and hands. Nausea. Eyes ache making it difficult to see. Chest pains. Stomach pains. Vomiting. Insomnia. Sinusitis. Pt did not have any sickness of this type prior to taking the shot.
Age: 43.0
Sex: M
Vaccine: SMALL
Symptoms: Nausea, Retching, Sinusitis, Vomiting
Clinical narrative: Nausea, joint pain in hands, feet, knees, etc. Vomitting, dry heaving, insomnia, chest pain, inflammation of joints. Symptoms still occur daily several months later (09/03). Patient has never been sick in his life prior.) The 60 day follow up received on 12/12/03 states joint pain in feet, knees, arms and hands. Nausea. Eyes ache making it difficult to see. Chest pains. Stomach pains. Vomiting. Insomnia. Sinusitis. Pt did not have any sickness of this type prior to taking the shot.
Age: 1.02
Sex: M
Vaccine: VARCEL
Symptoms: Grunting, Pallor, Pyrexia, Sepsis, Viral infection
Clinical narrative: 24 hours after varicella immunization, presented with pallor, grunting, fever, and sepsis-like picture.  Discharge Summary received on 10/09/2003 states sepsis.
Age: 1.02
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Convulsion, Pyrexia, Rash scarlatiniform, Tonsillitis
Clinical narrative: 24 hours of high fever 09/20/03 and 09/21/03. Led to febrile convulsion. Seen 9/23/03, fever gone; scarletina form rash with tonsillitis.
Age: 35.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Post vaccination autoinoculation, Skin ulcer, Vaccination complication
Clinical narrative: Autoinoculation of left hand, single lesion, identified on 03/05/03.
Age: 33.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Rash pruritic
Clinical narrative: Pt noticed pruritic rash on neck on 02/27/03. Presented to MD and diagnosed with generalized vaccinia on 03/03/03.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Diarrhoea, Injection site erythema, Injection site induration, Myalgia
Clinical narrative: 24 hours after vaccination (influenza) pt developed low grade fevers (99-100), diffuse joint pain, myalgias, nausea, diarrhea and localized induration and erythema at injection site (4cm x 3cm).
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Pyrexia
Clinical narrative: 24 hours after vaccination (influenza) pt developed low grade fevers (99-100), diffuse joint pain, myalgias, nausea, diarrhea and localized induration and erythema at injection site (4cm x 3cm).
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Rash on forearms, face, legs. Returned to clinic day after injection. Decadron 8mg IM and Benadryl OTC.
Age: 0.17
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Anorexia, Crying, Screaming, Vomiting
Clinical narrative: DTaP given 10:30 AM, 9/23/03. Inconsolable crying began at 1:00 PM and lasted through 4:30 PM. No fever. No local reaction. No other systemic reaction. Vomited at 1:00 PM. Anorexic afterwards.
Age: 16.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema, Joint range of motion decreased, Pain
Clinical narrative: Patient developed erythema, swelling and pain around site of injection. Erythema was originally circumferential, but decreased. Arm was 1.5 cm > than other (injection was in right arm). Also unable to lift arm above head.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Dermatitis bullous, Injection site erythema, Injection site oedema, Pain, Pyrexia
Clinical narrative: Erythema, swelling of right arm, pain, bullous formation locally, fever.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Urticaria
Clinical narrative: Child noted to have a hive at injection site of DTaP and IPB 4 days after vaccine administered. Hive resolved in 3-4 hours without treatment, although pt takes Zyrtec daily for allergies.
Age: 31.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Erythema, edema, induration at site of injection.
Age: 44.0
Sex: F
Vaccine: HEP
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Pt complained of redness, swelling, warm to touch left deltoid 12 hours after injection.
Age: 1.08
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Injection site discolouration, Injection site erythema, Pruritus, Rash papular
Clinical narrative: Erythematous papular, flat topped rash on face, neck, extremities, itchy. No target lesions. Mild hypopigmentation/whitening around red papules. Systemically well. Seen 9/14/03.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site oedema, Pain
Clinical narrative: Swelling and erythema around site of injection with tenderness and induration. Sought treatment in Emergency room, given antibiotics and told Dx cellulitis.
Age: 0.83
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Rash, Rash macular
Clinical narrative: Red, blotchy rash all over body.
Age: 0.08
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: 9/20/03 T 101.4 for 2 days. Rash on abdomen, back.
Age: 3.0
Sex: F
Vaccine: FLU3, IPV, PPV
Symptoms: Injection site erythema, Injection site induration, Pyrexia, Tremor
Clinical narrative: 5cm induration, 2cm erythema right anterior thigh. Fever, tremors at site of IPV.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Crying, Dizziness, Hypoaesthesia, Injection site erythema, Injection site induration
Clinical narrative: Shortly after receiving immunization, tingling, pain and numbness. Nauseated and dizzy for next 2 hours. Increased pain, crying all night. Right deltoid is red hot and hard. Reported by mother.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site warmth, Nausea, Pain, Paraesthesia, Screaming
Clinical narrative: Shortly after receiving immunization, tingling, pain and numbness. Nauseated and dizzy for next 2 hours. Increased pain, crying all night. Right deltoid is red hot and hard. Reported by mother.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Injection site induration, Injection site warmth, Pain
Clinical narrative: Local area of induration and heat covered area 6" long and 3-4" wide. Very tender to touch but no discoloration.
Age: 3.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erysipelas, Injection site erythema, Injection site induration, Injection site oedema, Injection site warmth
Clinical narrative: Child had DTaP/IPV morning 9/19. Reports that Saturday evening Mom took off his shirt and observed swelling from axilla to elbow of left arm, redness, hot and hard to touch. T 100.5. Dr's office nurse recommended to give Benadryl and Motrin and to see Dr in morning if not better. Saw Dr., 9/21. Dr Dx child with Erysipelas infection and prescribed antibiotic.
Age: 3.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Pyrexia
Clinical narrative: Child had DTaP/IPV morning 9/19. Reports that Saturday evening Mom took off his shirt and observed swelling from axilla to elbow of left arm, redness, hot and hard to touch. T 100.5. Dr's office nurse recommended to give Benadryl and Motrin and to see Dr in morning if not better. Saw Dr., 9/21. Dr Dx child with Erysipelas infection and prescribed antibiotic.
Age: 1.33
Sex: F
Vaccine: DTAPH, MMR, PNC
Symptoms: Erythema multiforme, Oedema peripheral
Clinical narrative: Erythema multiforme, swelling feet, hands.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Irritability, Pruritus
Clinical narrative: Red and irritable, felt warm and it showed an induratino of 2" x 2 1/2" with noticeable itching. Prescribed Hc 2.5%.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Red swollen shoulder to elbow left arm 2 days after immunized.
Age: 0.75
Sex: F
Vaccine: HEP
Symptoms: Cough, Rash, Stridor, Urticaria, Wheezing
Clinical narrative: Cough with stridor/wheeze about 1 hour after immunization given. Hives/rash 24 hours after immunization.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Large local reaction vs early cellulitis. Treated with Keflex.
Sex: U
Vaccine: MMR
Symptoms: Injection site erythema, Rash papular
Clinical narrative: Left arm 7 x 14cm area of localized redness without induration at site of injection. Fine discreet red papular rash left upper arm. No constitutional symptoms. No fever.
Age: 1.25
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Erythema multiforme
Clinical narrative: One week after vaccines given pt developed erythema multiforme.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Large hive around injection site of Varivax and MMR on right thigh.
Age: 0.33
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Eye disorder
Clinical narrative: Horners syndrome drooping left eyelid.
Age: 0.75
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Convulsion, Pyrexia, Viral infection
Clinical narrative: Temp 103 degrees, seizure 9/18/03, took to ER. Diagnosis at ER - febrile seizure, viral syndrome.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Pyrexia, Screaming
Clinical narrative: Pt's mom reports inconsolable crying lasting approximately 12 hours. Accompanied by fever.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Anorexia, Lethargy, Pyrexia
Clinical narrative: Fever, lethargy, anorexic for 4 days
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Pruritus
Clinical narrative: 5cm erythema, warmth, pruritus at injection site left deltoid 24 hours after injection. Afebrile. Cold packs, Tylenol, Benadryl prn for itch.
Age: 33.0
Sex: M
Vaccine: PPV
Symptoms: Oedema, Pain
Clinical narrative: 9/23/03 Pain and swelling day after. Seen by physician and given Prednisone and Ibuprofen for pain. T 97 P58 R18 Bp 118/78.
Age: 1.0
Sex: F
Vaccine: DTAP, HBHEPB, MMR, PNC, VARCEL
Symptoms: Convulsion, Pyrexia
Clinical narrative: 4 to 8 hours after IZZs had fever and seizure. After administration of Tylenol was afebrile and in no apparent distress.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Urticaria
Clinical narrative: Hives at injection site, as well as arms and neck.
Age: 18.0
Sex: M
Vaccine: MEN
Symptoms: Paraesthesia, Vertigo
Clinical narrative: Paresthesias of tongue for 45 minutes which began few minutes after vaccination. Resolved without treatment. Vertigo developed approximately 18 hours after vaccination. Resolved within 48 hours.
Age: 1.3
Sex: F
Vaccine: DTAP
Symptoms: Aphthous stomatitis, Fatigue, Pyrexia
Clinical narrative: Three days after vaccine, patient's mother brings her back to clinic reporting for the past 2 nights, fevers to 104 degrees F taken at home. Temp at clinic 99 degrees F(otic). (Possibly temperature could have been 2 hours to viral illness as mother developed fatigue and apthous stomatitis).
Age: 1.0
Sex: F
Vaccine: DT, MMR
Symptoms: Balance disorder, Coordination abnormal, Fatigue
Clinical narrative: Severe fatigue/naps increased from 30 minutes a day to 5 hours a day. Ataxia - unable to keep balance walking or standing.
Age: 2.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Rhinorrhoea
Clinical narrative: Varivax administered 9/8/03. Mom called child seen 9/18/03; red around immunization site, runny nose.
Age: 19.0
Sex: M
Vaccine: HEP, IPV, MMR, TD
Symptoms: Rash
Clinical narrative: 09/23 came back to clinic; developed rash on neck and arms. No other symptoms as per patient 9/23/03. Seen in hospital for mosquito bites, and was treated with hydrocortizone cream.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Oedema peripheral
Clinical narrative: 2 days after administration of DTaP and MMR to left deltoid, her entire left upper arm from shoulder to elbow became red and swollen with a 5cm round area of large vesicles up to 1cm in size on left upper arm. Bacterial culture of vesicles was negative. Antibiotics were prescribed.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Face oedema, Pharyngitis
Clinical narrative: Acute facial and oral pharyngeal swelling left side. 25ml Benadryl IM.
Age: 49.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Swelling
Clinical narrative: Patient developed a cellulitis after receiving Pneumovax. Patient was seen in ER and given antibiotic. Left arm was swollen.
Age: 1.08
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Rash
Clinical narrative: Received immunizations on 9/25/03. Noticed rash or tiny bumps to immunization site on arms (both) 9/29/03. Child has no allergies; notified health district. Thinks maybe a reaction to DTaP.  Will complete form and discuss with doctor. Suggested giving child Benadryl. Notified parent; track child very behind on immunizations.
Age: 45.0
Sex: F
Vaccine: HEPAB, TD, TYP
Symptoms: Chills, Dyspnoea, Nausea, Pain, Rash
Clinical narrative: Patient called to report extreme pain lasting 7 days at site of tetanus, diphtheria injection. Some swelling locally. Pain radiates down to elbow and up into neck. Denies temperature elevation. Chills, aches, nausea/vomiting, rash, SOB.
Age: 45.0
Sex: F
Vaccine: HEPAB, TD, TYP
Symptoms: Swelling, Vomiting
Clinical narrative: Patient called to report extreme pain lasting 7 days at site of tetanus, diphtheria injection. Some swelling locally. Pain radiates down to elbow and up into neck. Denies temperature elevation. Chills, aches, nausea/vomiting, rash, SOB.
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash vesicular
Clinical narrative: Vesicular eruption.
Age: 66.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Injection site hypersensitivity, Injection site inflammation, Injection site pain, Pruritus
Clinical narrative: Patient received injection on 9/19/03. Had tenderness at the site. On 9/26/03, redness, itchiness, hard, size of a half dollar. Went to ED; thought infected. Antibiotics given. Area bigger and continued to burn and itch.
Age: 4.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Injection site warmth
Clinical narrative: Patient had 3 inch diameter area around injection site; hard and warm to touch. Instructed to take Tylenol/Motrin and apply warm moist compress. Painless.
Age: 0.5
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Crying, Pyrexia
Clinical narrative: Temperature as high as 101.6 and crying all night and today.
Age: 9.0
Sex: M
Vaccine: UNK
Symptoms: Blister
Clinical narrative: 6 yellow vesicles on right eyelid. Meds: Famvir.
Age: 1.25
Sex: F
Vaccine: HIBV, MMR, PNC
Symptoms: Chills, Cyanosis, Urticaria
Clinical narrative: Hives generalized, chills, mucus secretions, peripheral cyanosis. Treatment: Prelone, Benadryl, Epipen times 2, ER management.
Age: 1.0
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Drug ineffective, Rash erythematous
Clinical narrative: Broke out in rash on 9/24/03. Erythema rash (mac); diffuse. Positive vesicles throat. Suspect varicella despite vaccine.
Age: 67.0
Sex: M
Vaccine: TD, TYP, YF, TD, TYP, YF
Symptoms: Hiccups, Muscle spasms
Clinical narrative: Wife phoned nurse on 9/12/03 and informed her that 24 hours post travel injections, client developed ? hiccups with one episode of stomach spasms. The hiccups have continued unresolved for one week and chest currently Admitted to the local hospital. Client discharged after 2.5 days and diagnosis unknown.
Age: 67.0
Sex: M
Vaccine: TD, TYP, YF, TD, TYP, YF
Symptoms: Hiccups, Muscle spasms, Respiratory distress
Clinical narrative: Wife phoned nurse on 9/12/03 and informed her that 24 hours post travel injections, client developed ? hiccups with one episode of stomach spasms. The hiccups have continued unresolved for one week and chest currently Admitted to the local hospital. Client discharged after 2.5 days and diagnosis unknown.
Age: 42.0
Sex: M
Vaccine: ANTH
Symptoms: Malaise, Myalgia, Pyrexia
Clinical narrative: Mild local reaction with generalized malaise, myalgias and possible low-grade fever.  24-hours afer vaccination.  Treated with Naproxen.  Patient reports improvement with self therapy.  Physician diagnosis:  Mild systemic reaction to anthrax vaccine, resolving.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Demyelination, Hypoaesthesia, Laboratory test abnormal, Multiple sclerosis
Clinical narrative: Pt was activated on 10/23/2001. After activation he received multiple vaccinations. January 7, 2002 he started his Hepatitis B series. August 13 and 20 he received his Meningococcal and his second Hepatitis B respectfully. He was deployed on September 2, 2002. Prior to deployment he had a physical exam and was reportedly normal.  On October 14, 2002 he received his first anthrax vaccination and on October 15 he received typhoid vaccine. His second and third anthrax vaccinations were on October 28, 2002 and November 11, 2002. This patient reports that he began experiencing numbness in his right lateral thigh approximately ¾ of the way up and into his hip area on November 20,2002. He has been diagnosed with multiple sclerosis.
Age: 40.0
Sex: F
Vaccine: MMR, TD
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Pain in right arm friday and saturday, noticed redness ans swelling sunday morning and used alcohol and warm packs since.
Age: 30.0
Sex: M
Vaccine: FLU3
Symptoms: Conjunctivitis, Diplopia
Clinical narrative: I REC'D DURING A HEALTH FAIR AT MY PLACE OF EMPLOYMENT (A YEARLY EVENT) ON 10/12/02.  I HAVE HAD FLU SHOTS FOR THE PAST 2 YEARS.  APPROX. 4 HOURS AFTER RECEIVING THE FLU SHOT, I DEVELOPED A SEVERE DOUBLE VISION PROBLEM.  I VISITED MY EYE DOCTOR SEVERAL TIMES AND HAD A CAT SCAN AND MRI.  THE PROBLEM "WENT AWAY" ABOUT 2-3 WEEKS AFTER THE FLU SHOT.  RECORDS FOR EXACT VACCINE TYPE WOULD BE AVAILABLE FROM MY EMPLOYER. Medical records state eyes reddened. msv