chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 29.0
Sex: F
Vaccine: TTOX, TTOX
Symptoms: Asthenia, Dizziness, Dyspnoea, Hypoaesthesia, Loss of consciousness
Clinical narrative: Following tetanus injection, pt reported having symptoms of lightheadedness, nausea, blurred vision, weakness, numbness and tingling of extremities as well as shortness of breath. Loss of consciousness occurred 3 times, recovered within seconds each time. Pt vomited about 60 cc yellow emesis. Oxygen provided and 911 called.
Age: 29.0
Sex: F
Vaccine: TTOX, TTOX
Symptoms: Nausea, Paraesthesia, Vision blurred, Vomiting
Clinical narrative: Following tetanus injection, pt reported having symptoms of lightheadedness, nausea, blurred vision, weakness, numbness and tingling of extremities as well as shortness of breath. Loss of consciousness occurred 3 times, recovered within seconds each time. Pt vomited about 60 cc yellow emesis. Oxygen provided and 911 called.
Age: 0.18
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Apnoea, Coma, Sudden infant death syndrome
Clinical narrative: Infant found unresponsive, not breathing while at daycare. Taken to ER; resuscitation unsuccessful. Autopsy report received on 12/04/2003 states COD was SIDS.
Age: 0.8
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Apnoea, Convulsion, Eye movement disorder, Gastrooesophageal reflux disease, High-pitched crying
Clinical narrative: #1 series 12/24/02: On 12/26/02 piercing crying as if in severe pain; started focal seizures of hands. #2 series 4/17/03: More focal seizure, screaming, GERD, eyes rolling back. #3 Series 5/21/03: All the above only worse. Realized these were seizures. Went to ER; Grand mal 8/03 and stopped breathing 30 seconds. The hospital records received on 2/4/04 state infantile spasms, GERD, developmental delay and respiratory arrest.
Age: 0.8
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Infantile spasms, Neurodevelopmental disorder, Respiratory disorder, Screaming
Clinical narrative: #1 series 12/24/02: On 12/26/02 piercing crying as if in severe pain; started focal seizures of hands. #2 series 4/17/03: More focal seizure, screaming, GERD, eyes rolling back. #3 Series 5/21/03: All the above only worse. Realized these were seizures. Went to ER; Grand mal 8/03 and stopped breathing 30 seconds. The hospital records received on 2/4/04 state infantile spasms, GERD, developmental delay and respiratory arrest.
Age: 0.8
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Convulsion, Eye movement disorder, Gastrooesophageal reflux disease, Grand mal convulsion, Pain
Clinical narrative: #1 series 12/24/02: On 12/26/02 piercing crying as if in severe pain; started focal seizures of hands. #2 series 4/17/03: More focal seizure, screaming, GERD, eyes rolling back. #3 Series 5/21/03: All the above only worse. Realized these were seizures. Went to ER; Grand mal 8/03 and stopped breathing 30 seconds. The hospital records received on 2/4/04 state infantile spasms, GERD, developmental delay and respiratory arrest.
Age: 0.8
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Screaming
Clinical narrative: #1 series 12/24/02: On 12/26/02 piercing crying as if in severe pain; started focal seizures of hands. #2 series 4/17/03: More focal seizure, screaming, GERD, eyes rolling back. #3 Series 5/21/03: All the above only worse. Realized these were seizures. Went to ER; Grand mal 8/03 and stopped breathing 30 seconds. The hospital records received on 2/4/04 state infantile spasms, GERD, developmental delay and respiratory arrest.
Age: 1.08
Sex: F
Vaccine: IPV, MMR
Symptoms: Convulsion, Pyrexia
Clinical narrative: Received IPV, MMR on 8/21/02 and had seizure 8/28/02. Was not initially aware of vaccination but should have reported this earlier. Had 1 day hospitalized and all work ups were negative. Fever of 102 deg-103 deg noted at time of seizure.
Age: 1.0
Sex: F
Vaccine: HBHEPB, IPV, MMR, PNC
Symptoms: Otitis media, Petechiae, Pyrexia, Sepsis, Thrombocytopenia
Clinical narrative: 8/18/03 Office visit for fever 101-103, petechiae on legs and arms for 2 days. BOM persistent from 8/6/03 and diagnosed with thrombocytopenia (cath UA, CX, CBC/Blood CX, LP and CX. Rocephin 1gm IM). Admitted to hospital. Office recheck from hospital discharge on 8/21/03. Diagnosis - sepsis, OM, thrombocytopenia. Prescribed Omnicef. Office recheck 8/28/03 ITP 2 hours to MMR. 60-day follow up on 11/21/2003: "Vaccine recipient did recover from adverse events that were reported for this vaccination.  Seen 09/04/2003 follow up: ITP resolving.  Seen 09/10/2003 Diagnosis with upper respiratory and doing well." The hospital d/c records received on 1/23/04 confirms diagnosis of fever and thrombocytopenia.
Age: 5.0
Sex: F
Vaccine: SMALL
Symptoms: Hypokinesia
Clinical narrative: 1st smallpox-2/17/62 couldn't control my legs have had similar problems since I had the vaccine; including not being able to use my legs. Lasted for three weeks.
Age: 0.34
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Agitation, Apnoea, Bradycardia, High-pitched crying
Clinical narrative: High pitched cry, apnea. Discharge summary states bradycardia. msc
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Ecchymosis, Petechiae, Purpura, Thrombocytopenia
Clinical narrative: Vaccines given 7/2/03. Petechiae/purpura started 7/12. Severe thrombocytopenia. Received platelets, 2 doses IVIG; antibody mediated thrombocytopenia resolved. Suspect Hepatitis B. D/C summary and hematology consultation confirm diagnosis of thrombocytopenia. Per review of medical record, diagnosis of antibody-mediated thrombocytopenia is confirmed. Symptoms of ecchymosis and petechiae were noted.
Age: 53.0
Sex: F
Vaccine: TD
Symptoms: Muscular weakness, Pain
Clinical narrative: Pt received a Td vaccination left deltoid, IM on 7/29/03. She complained of pain and weakness to upper left arm since 8/4/03 and states that the pain "seems to be getting worse." MD appt 8/8/03. 8/25/03 Pt reports left arm pain and weakness seems to be resolving.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Pt received DTaP #4 in right deltoid using 25 5/8" needle. 2 days after shot, developed an area on right arm where shot was given a 3" long x 2" wide area of redness, hardness and hot to touch. Child weighs 48 pounds. Recommended use of age appropriate Tylenol or Motrin and Benadryl and cool compress.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Pyrexia
Clinical narrative: Developed elevated temperature-fever. Received vaccines about 11:15 AM 08/26/03. Temperature elevated to approx. 99 degrees F upon awakening from nap about 10:30 PM and increased to 101+ by 3:00 AM, 8/27/03. T max 102.6 ax.  Seen 8/27/03 hospital in AM and in office in PM. Treated with Children's Tylenol and Motrin, topical cool compresses only. Fever decreasing by exam.
Age: 1.25
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Injection site discolouration, Injection site erythema, Pruritus, Rash papular
Clinical narrative: 2 weeks after MMR developed erythematous blanching 2-3cm circular to red rash all over face, neck, spread to chest, arm/back/legs. Associated with itch, does not look like hives, raised papular, all lesions look the same (were not like chickenpox). No fever, no conjunctivitus. Benadyrl PM.
Age: 73.0
Sex: F
Vaccine: TD
Symptoms: Rash
Clinical narrative: Localized skin eruption around the injection site.
Age: 57.0
Sex: F
Vaccine: RAB
Symptoms: Feeling hot, Headache, Injection site erythema
Clinical narrative: Approx 24 hours post vaccine injection, pt noticed area of redness about 3" under injection site. Upon arrival here, finding an area of redness, tissue has a fluid filled texture and is warm to the touch. She also reports having a severe headache for several hours today.
Age: 39.0
Sex: M
Vaccine: RAB
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Approx 24 hours post vaccine injection pt noticed area of redness approx 3" in diameter at injection site. Slight induration also noted. Denied pain or any other discontent at this time.
Age: 0.5
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Discomfort, Somnolence
Clinical narrative: Excessive sleeping >18 hours past 24hours (Mom having to wake child from naps). No PO since 7AM feed (9 hours without nutrition). Very uncomfortable.
Age: 18.0
Sex: F
Vaccine: MMR
Symptoms: Injection site erythema, Pruritus, Urticaria
Clinical narrative: MMR given on 09/02/03. Pt returned on 09/04/03 with a 2.5" x 4" welt (redness) on right arm. Pt states itching. No Tx received. Pt to observe injection site and return if not better.
Age: 2.08
Sex: M
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: (not given)
Age: 12.0
Sex: M
Vaccine: HEP, MMR, TD
Symptoms: Back pain, Injection site erythema, Injection site oedema, Pain
Clinical narrative: Pt reports developed mid back pain, worse when lying down, pain in left shoulder and left upper arm. Ribs hurt when takes deep breath. No apparent fever, has redness or swelling at site. Had been playing basketball few days before symptoms occurred.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Contusion, Injection site erythema, Irritability
Clinical narrative: Experiencing some "fussiness" and a bruise with redness at injection site right deltoid area where DTaP administered. Bruise and redness 3+ inches per mother per telephone call. Mother did not feel necessary for MD follow-up, will monitor child's arm.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Swollen red and hard area at injection site about 2 inches in size right upper arm possible where DTaP administered per mother per telephone call. Mother did not feel MD follow-up necessary at this time, will monitor arm.
Age: 2.0
Sex: M
Vaccine: HEPA, PNC
Symptoms: Dyspnoea, Urticaria, Wheezing
Clinical narrative: Within 45 minutes of immunizations: generalized urticaria, SOB, exp wheezes. Tx: Epi 1:1000 SQ (0.1ml); Albuterol 2.5mg/2cc NS neb; Zyrtec 1 tsp po.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia, Vomiting
Clinical narrative: Temperature of 103.7 and vomiting for 2 days. Mom used Tylenol, Motrin and tepid baths to bring fever down.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, HIBV, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site oedema, Pain
Clinical narrative: Immunizations 8/11/03. Returned to clinic 8/13/03 with pain, swelling at immunization site (thigh). Noted 4cm x 4cm tender indurated erythematous mass. Tx with Zithromax. Pt also with URI. The symptoms (per mother) resolved.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA, PNC
Symptoms: Injection site oedema, Injection site warmth
Clinical narrative: Right arm swollen and feels hot >50% of circumference and length on 9/4/03.
Age: 35.0
Sex: F
Vaccine: TD, TYP
Symptoms: Headache, Myalgia, Pyrexia
Clinical narrative: 2 days post Typhoid vaccine/Td headache, myalgia, fever.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Pruritus
Clinical narrative: Mom called me on 9/4/03. Stated pt received her shots on 9/2/03. She now has a "hard spot that is red, hot and itchy" to her upper right arm where the vaccine was given. I encouraged Mom to continue to monitor, if no improvement or worsens to contact MD.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Feeling hot, Hypersensitivity
Clinical narrative: Allergic reaction to left thigh. Thigh was red, hot and hard. Hurt pt to walk. Received a decadion 4mg injection, Zyrtec rx and bactroloon cream.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Diarrhoea, Vomiting
Clinical narrative: 1 week post receiving MMR, IPV and DTaP. Pt started vomiting and diarrhea. Also happened post 12 mo shots same time frame.
Age: 11.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Infection, Pyrexia, Rash
Clinical narrative: 11 y seen in the office 9/3/03, history of varicella vaccination 2 weeks ago. 2 day history of rash diagnosed today as chicken pox. Mild rash with 1 days history of fever.
Age: 25.0
Sex: M
Vaccine: RAB
Symptoms: Contusion, Erythema, Pruritus
Clinical narrative: Donor's L deltoid red with itching following injection. Also, 3cm bruise at injection site. Symptoms occurred after donor left facility.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site warmth, Pruritus
Clinical narrative: MMR administered in R thigh-area size of golf ball hot to touch-red-itching-noticed on 8/28/03. Given Lidex cream bid-Benadryll prn Zyrtec 1 tspod.
Sex: U
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Irritability, Screaming
Clinical narrative: 1 1/2 hrs after receiving immunizations, started crying/irritable. Cried x 10 hrs even after receiving Tylenol without redness at any of immunization sites.
Age: 4.5
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: DTaP and IPV administered to L thigh-presented to office this AM with area red-hot to touch 4 1/2 inches long 6 1/2 inches wide. Rx for Benadryl 12.5mg/5ml tsp q 6 prn. Prelone 15mg/5ml 2 tsp bid day 1 tsp bid x 2 days-1/2 tsp bid x 2 days-Prenergan 12.5mg/5ml tsp q 4-6 prn.
Age: 3.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema
Clinical narrative: 1 d prior to vaccination R leg became erythematous. Exam 8/29/03 with 6x6 inch erythematous area. No fever Keflex prescribed and told to f/u if worsens.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site rash, Rash
Clinical narrative: Pt given MMR and within 10 minutes of injection pt developed rash on arm from site to shoulder. Pt given Benadryl and in 15 min rash had faded but spread to R cheek and upper back.
Age: 3.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Feeling hot, Oedema, Pruritus
Clinical narrative: Erythema, warmth, edema, itching L upper arm.
Age: 0.9
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Rt thigh 2.7x1.5cm red swollen area.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Hypotonia, Loss of consciousness, Stupor
Clinical narrative: Mom reports "unconscious x 2 min" with associated decreased tone. No fever. No sz activity. Mom did not call office, let us know at next visit. ? hypotonic, hyporesponsive episode.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Crying, Screaming
Clinical narrative: Unconsolable screaming and crying for more than 3 hrs.
Age: 1.08
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Erythema, Oedema peripheral, Pyrexia
Clinical narrative: Redness, swelling to R thigh began 8/29/03 (1 1/2cm x 4cm) fever (101-102 deg F) began 8/29/03; relieved by Tylenol.
Age: 0.08
Sex: F
Vaccine: HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever 105 for 2 days, then all better. No other symptoms.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Oedema peripheral, Pain
Clinical narrative: Received immunizations Wed 9/3. Yesterday am when he got up c/o of arm hurting. Mom noted Lt upper arm to be swollen/red. No temp. Red area 10x8cm with swelling from shoulder to elbow. Mom called today due to increase in size of redness/swelling.
Age: 0.4
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Abscess
Clinical narrative: Sterile abcess at site (~ 3cm).
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Cyst, Skin ulcer
Clinical narrative: Reaction to IPV, DTaP, HBV L thigh. presence of small ystic lesion on thigh. Pediarix was used on to immunize the pt.
Age: 3.0
Sex: U
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Oedema peripheral
Clinical narrative: Increased swelling and warmth of L deltoid area no fevers.
Age: 3.0
Sex: F
Vaccine: DTAP, HBHEPB
Symptoms: Erythema, Injection site rash, Oedema, Pain
Clinical narrative: Night of 08/28/2003, child crying and saying her leg hurt.  Next day 08/29 leg became very swollen.  08/30, leg was swollen, red and had rash that spread around the 2 injection sites.  ER visit: given Benadryl.  Child slept through night and swelling/soreness/had lessened the next day 08/31.
Age: 72.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Arthropathy, Laboratory test abnormal, Neuropathy peripheral
Clinical narrative: Patient believes vaccine caused pripheral neuropathy and left hip joint deterioration as long term sequelae.  Believes vaccine caused problem within those any one shot.
Age: 0.2
Sex: M
Vaccine: DTAP, HBPV, IPV, PNC
Symptoms: Urticaria
Clinical narrative: Immediately after DTAP & IPV were administered to the left thigh, patient developed hives around the vaccine site (left thigh) and hives on the face.
Age: 46.0
Sex: F
Vaccine: PPV
Symptoms: Chest pain, Chills, Pain
Clinical narrative: Received pneumonia vaccine while in hospital 08/11/2003 for elective defibrillator replacement.  Had sore arm and some rigors, but discharged from hospital 08/12 feeling well.  Later that evening had acute onset chest pain.  ER visit included labs.  CXR, E/G, Echo and VQ scan all (-).  Seen in output setting 08/20/2003.  Felt he had pleunsy related to procedure, not related to vaccine.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Pyrexia, Salivary hypersecretion, Tremor
Clinical narrative: 4 hours after immunization, mom describes high tactile temperature, constant crying, shaking, increased salivation.  Symptoms lasted approximately 12 hours.  Did not seek medical care.
Age: 2.2
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Injection site oedema
Clinical narrative: Swollen left thigh where injection was given.
Age: 4.2
Sex: U
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Mother states patient left arm became red and swollen after 2 hours of injection.  Patient seen and advised ice packs, Benadryl elevation and return in 24 hours if no improvement.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Abasia, Agitation, Injection site erythema, Injection site warmth
Clinical narrative: Mother reported baby crying unconsolably for over an hour, began ~ 4 1/2 hrs after immuz. administered. When seen in MD office ~ 6 hrs after admin, babe afebrile (99.6 F R); bandaids over sites on thighs bilaterally removed; sites erythematous RUT warm to touch. Tylenol 80mg adminstered PO. Babe quieted ~ 1/2 hr after. Babe nursed. After ~ 1 hr, sites remained erythematous; no edema; no warmth; exam WNL. D/C on Tylenol 80mg q 4-6hrs x 24 hrs. No further symptoms reported by mom after this. Baby acting normal. Redness/warmth resolved within 9 hrs of vaccine.
Age: 22.0
Sex: M
Vaccine: UNK
Symptoms: Urticaria
Clinical narrative: Acute urticaria.
Age: 0.5
Sex: M
Vaccine: DTAP
Symptoms: Agitation, Anorexia, Pyrexia, Screaming
Clinical narrative: Cried all day after shot, inconsollable, fever. Is refusing any food or drunk by mouth for 2 weeks (oral aversion).
Age: 1.8
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema, Pyrexia
Clinical narrative: Mom called 8/29/03, reported that pt had red areas on her thighs. R leg approx 2 1/2", L leg approx 1". Pt had temp 99 deg.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Localized skin reaction at site of DTaP. Initial erythema, swelling and warmth began several hours after receiving shot. Seen by provided about 48 hours later; 10cm x 15cm area. NO systemic symptoms, no respiratory component/complaints. Treated with Keflex and Benadryl. Mom reports similar reaction with prior DTaP.
Age: 1.1
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Rash
Clinical narrative: Redness and swelling at ihnjection site with rash.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Immunization DTaP given 8/22/03. Mom called to advise on 8/24/03, left arm red, swollen, painful and feverish. Seen 8/24/03 for evaluation and diagnosed with immunization local reaction of DTaP.
Age: 36.0
Sex: F
Vaccine: RAB
Symptoms: Dizziness, Fatigue, Headache, Injection site swelling, Lethargy
Clinical narrative: Rash, hives, swelling at injection site 6-7 hours after shot. Headache, nausea, fatigue, fever, dizziness, lethargy 24-36 hours after shot.
Age: 36.0
Sex: F
Vaccine: RAB
Symptoms: Nausea, Pyrexia, Rash, Urticaria
Clinical narrative: Rash, hives, swelling at injection site 6-7 hours after shot. Headache, nausea, fatigue, fever, dizziness, lethargy 24-36 hours after shot.
Age: 1.94
Sex: M
Vaccine: DTAP, MMR, PNC
Symptoms: Rash
Clinical narrative: Started with rash at 0430 on right hand then spread to right shoulder and right thigh. Went away at noon then returned on left side at 13:30.
Age: 5.2
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Developed redness at inj site on L leg covering 1/2 of thigh. Warm to touch, but receding when she came in.
Age: 0.9
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Leukopenia, Neutropenia, Pyrexia
Clinical narrative: 8/25/03 1620 fever to 102.3. Treated with acetaminophen. Resolved within 1 day. No other symptoms or signs. Had blood drawn prior to vaccination.
Age: 11.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Dyspnoea, Hypoaesthesia, Rash
Clinical narrative: SOB, numbness and rash in arm where vaccine was administered. Referral to allergist for allergy testing.
Age: 72.0
Sex: F
Vaccine: DT, PPV
Symptoms: Vertigo
Clinical narrative: Vertigo of varying intensity. Started morning after shot given.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Arthralgia, Myalgia, Nausea, Pyrexia, Vomiting
Clinical narrative: Fever 103.8 starting ~ 24 hrs post vaccine with arthralgias myalgias nausea vomiting.
Age: 1.3
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Received DTaP in RAT 8/28/03 in am 8/29/03 awoke with redness, hardness at vaccination site, reaction size 9cm x 6cm.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Pt came for PPD reading ID with 9 x 9 circular red, hot area.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Pain
Clinical narrative: Swelling redness and tenderness 2 days after vax administration. Treated with antibiotic (oral Keflex).
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Eyelid oedema, Face oedema, Flushing
Clinical narrative: Within 5 minutes approx of receiving vaccines, pt's eyelids and cheeks were swollen, skin was flushed on ears, face, trunk. On Sat. 97-100%. Given oxygen by mask. Benadryl po, Prednisone po, Epi SC. Observed for 2 hours then discharged to home.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Feeling hot, Injection site erythema, Pruritus
Clinical narrative: Symptoms began 8/27. Site of vaccination was red, nontender and warm. Cold compresses were recommended and Zyrtec for itching.
Age: 1.3
Sex: F
Vaccine: DTAP, PNC
Symptoms: Crying, Irritability, Screaming
Clinical narrative: Inconsolable crying that lasted about 3-4 hours and then fussiness for 14 hours. Symptoms started 25 hours after DTaP and PCV7 given.
Age: 32.0
Sex: M
Vaccine: TD
Symptoms: Hallucination, Injection site inflammation, Injection site oedema, Pain, Pyrexia
Clinical narrative: Fever, chills. Swelling/inflammation/pain. Hallucinated. Symptoms for 3 days, then resolved except for swelling/pain/inflammation (right deltoid).
Age: 0.3
Sex: F
Vaccine: HIBV
Symptoms: Injection site erythema, Pyrexia
Clinical narrative: Localized redness at injection site. 1 week post shot temp 101 degrees F.
Age: 49.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Nausea, Pain, Pyrexia
Clinical narrative: Pain, redness and swelling in right arm since last night. Fever with chills and nausea last night. Pt was administered pneumococcal vaccine in right arm yesterday. Pt is given Diphenhydramine 10 mg po every 6 hours, Motrin and use cold compresses. Advised not to drive.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Crying, Pyrexia
Clinical narrative: Excessive crying for 30 minutes, but stops with mother's soothing. Temp: 97.4 rectal. Site injection areas are soft, no swelling or redness.
Age: 2.0
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Rash, Rash maculo-papular
Clinical narrative: Started with white spots and slightly raised. Following day broke out in a body rash. Mother took pt to ER.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Swelling, erythema, induration encompassing 75% of thigh.
Age: 1.75
Sex: F
Vaccine: DTAP, PNC, VARCEL
Symptoms: Eye oedema, Feeling hot, Injection site erythema, Injection site swelling, Rash
Clinical narrative: Left thigh red, raised and warm to touch (fever). 8cm x 7cm circular, right eye swollen. Only DTaP given left thigh 9/8/03. Rash - cheeks, arms and pelvic area. Cont. rash and left thigh. Instructed to take to PMD for evaluation-suggest Benadryl.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Oliguria, Oral candidiasis, Pyrexia, Rash, Vomiting
Clinical narrative: Shots given at approximately 11AM, several hours later parents called because of Rash.  They were refered to MD.  received info that child was seen in ER on 8/16/03. Hospital discharge states vomiting, decreased urinary output, fever and thrush.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Crying, Oedema peripheral, Pyrexia, Rash, Rash erythematous
Clinical narrative: Shots given at approximately 11AM, several hours later parents called because of Rash.  They were refered to MD.  received info that child was seen in ER on 8/16/03. Hospital discharge states vomiting, decreased urinary output, fever and thrush.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Vomiting
Clinical narrative: Shots given at approximately 11AM, several hours later parents called because of Rash.  They were refered to MD.  received info that child was seen in ER on 8/16/03. Hospital discharge states vomiting, decreased urinary output, fever and thrush.
Age: 0.5
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Cyanosis, Dyspnoea, Irritability
Clinical narrative: Taken to ER by parents on 05/29/2003 for difficulty breathing, cyanotic skin changes and irritability after receiving immunizations
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth, Oedema
Clinical narrative: Mom reports:  noted basesball size area at shot site, left arm, on 8/21/03 A.M.-area was red and hot.  Ice applied and Advil given throughout the day.  By night time, area was the size of my whole hand.  On 8/22/03 A.M., swelling had spread under her arm; I took her to her doctor(8/22/03)-he said she had cellulitis and started her on Keflex."
Age: 30.0
Sex: F
Vaccine: ANTH
Symptoms: Pain, Palpitations, Rash maculo-papular
Clinical narrative: 4 DAYS POST ANTHRAX TO LEFT UPPER ARM, NOTED WALNUT SIZE, PAINFUL TO DEEP PALPATION, SPHERICAL, SMOOTH, LUMP LATERALLY JUST ABOVE LEFT ELBOW, APPROXIMATELY 8 INCHES FROM ORIGINAL INJECTION SITE
Age: 50.0
Sex: F
Vaccine: SMALL
Symptoms: Confusional state, Fatigue, Lethargy, Somnolence
Clinical narrative: STARTED FEELING TIRED AND WITH NO ENERGY ON 03/23/03. OVER NEXT SEVERAL DAYS DEVELOPED CONFUSION AND FURTHER LETHARGY.  SPENT 03/26-03/29/03 SLEEPING OR RESTING.  FELT USUAL SELF BY SUNDAY, 03/30/03.
Age: 0.5
Sex: U
Vaccine: DTAP, IPV, PNC
Symptoms: Erythema, Oedema
Clinical narrative: Redness and swelling of legs,feet and fingers 10 minutes after injection given. 1/2 tsp, benedryl given by clinic RN when symptoms noticed.
Age: 39.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Dyspnoea, Fatigue, Headache, Lymphadenopathy
Clinical narrative: Fatigue, achy joints, extreme swelling of glands in neck,under chin, and shoulder, rash, headache, aching swollen feet, one day of difficult breathing, sore dry throat.
Age: 39.0
Sex: F
Vaccine: MMR
Symptoms: Oedema peripheral, Pharyngolaryngeal pain, Rash
Clinical narrative: Fatigue, achy joints, extreme swelling of glands in neck,under chin, and shoulder, rash, headache, aching swollen feet, one day of difficult breathing, sore dry throat.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, PPV, DTAP, IPV, MMR, PPV
Symptoms: Body temperature increased, Crying, Pain, Vomiting
Clinical narrative: Temperature 105-106 7/24/03. Uncontrollable crying, complaints of pain at both injection sites but no localized reaction. Vomited once. No redness, no swelling.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, PPV, DTAP, IPV, MMR, PPV
Symptoms: Crying, Injection site pain, Pyrexia, Vomiting
Clinical narrative: Temperature 105-106 7/24/03. Uncontrollable crying, complaints of pain at both injection sites but no localized reaction. Vomited once. No redness, no swelling.
Age: 0.08
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAP, HEP, HIBV, IPV, PNC, DTAPHEPBIP, HIBV, PNC, IPV
Symptoms: Sudden infant death syndrome
Clinical narrative: From initial information received on 9/2/03 from the patient's parent, regarding an adverse event occurring in the USA, it was reported that a 1 month old female patient received IPOL, lot number not reported, administered on 8/5/03. That same day the patient died of sudden infant death syndrome.
Age: 18.0
Sex: M
Vaccine: FLU3, HEP, HEPA, MEN, MMR, PPV, FLU3, HEP, HEPA, MMR, PPV, TTOX, FLU3, HEP, HEPA, MEN, MMR, PPV
Symptoms: Bacterial infection, Cough, Drug ineffective, Dyspnoea, Laboratory test abnormal
Clinical narrative: From initial info received on 8/7/03 from a medical professional, regarding an adverse event. It was reported that an 18 year old male pt received Menomune, lot number UB245AA, Fluzone, Tubersol, Hep A vaccine, Hep B vaccine, MMR, and Pneumovax administered on 11/14/02. All vaccines were administered on the same date. The pt died on 12/15/02. The Center for Disease Control investigation confirmed that the pt was positive for serogroup C, Meningococcal infection. The onset date of signs and symptoms were not reported. An autopsy was performed; however, results were not available at the time of this report.
Age: 18.0
Sex: M
Vaccine: FLU3, HEP, HEPA, MEN, MMR, PPV, FLU3, HEP, HEPA, MMR, PPV, TTOX, FLU3, HEP, HEPA, MEN, MMR, PPV
Symptoms: Pharyngitis, Rash maculo-papular, Respiratory distress, Sepsis, Shock
Clinical narrative: From initial info received on 8/7/03 from a medical professional, regarding an adverse event. It was reported that an 18 year old male pt received Menomune, lot number UB245AA, Fluzone, Tubersol, Hep A vaccine, Hep B vaccine, MMR, and Pneumovax administered on 11/14/02. All vaccines were administered on the same date. The pt died on 12/15/02. The Center for Disease Control investigation confirmed that the pt was positive for serogroup C, Meningococcal infection. The onset date of signs and symptoms were not reported. An autopsy was performed; however, results were not available at the time of this report.
Age: 18.0
Sex: M
Vaccine: FLU3, HEP, HEPA, MEN, MMR, PPV, FLU3, HEP, HEPA, MMR, PPV, TTOX, FLU3, HEP, HEPA, MEN, MMR, PPV
Symptoms: Infection, Laboratory test abnormal
Clinical narrative: From initial info received on 8/7/03 from a medical professional, regarding an adverse event. It was reported that an 18 year old male pt received Menomune, lot number UB245AA, Fluzone, Tubersol, Hep A vaccine, Hep B vaccine, MMR, and Pneumovax administered on 11/14/02. All vaccines were administered on the same date. The pt died on 12/15/02. The Center for Disease Control investigation confirmed that the pt was positive for serogroup C, Meningococcal infection. The onset date of signs and symptoms were not reported. An autopsy was performed; however, results were not available at the time of this report.
Age: 18.0
Sex: M
Vaccine: FLU3, HEP, HEPA, MEN, MMR, PPV, FLU3, HEP, HEPA, MMR, PPV, TTOX, FLU3, HEP, HEPA, MEN, MMR, PPV
Symptoms: Meningitis
Clinical narrative: From initial info received on 8/7/03 from a medical professional, regarding an adverse event. It was reported that an 18 year old male pt received Menomune, lot number UB245AA, Fluzone, Tubersol, Hep A vaccine, Hep B vaccine, MMR, and Pneumovax administered on 11/14/02. All vaccines were administered on the same date. The pt died on 12/15/02. The Center for Disease Control investigation confirmed that the pt was positive for serogroup C, Meningococcal infection. The onset date of signs and symptoms were not reported. An autopsy was performed; however, results were not available at the time of this report.
Age: 83.0
Sex: F
Vaccine: FLU3
Symptoms: Cardiac failure congestive, Condition aggravated
Clinical narrative: This subject is a 83 year old female who died 6/15/03 in the hospital while enrolled in the RSV 1I study with RSV vaccine. The subject received a dose of RSV vaccine or Placebo and Influenza vaccine on 10/03/2002. The subject developed congestive heart failure and COPD with acute exacerbation 254 days post immunization and was admitted to the hospital 254 days later on 6/14/03. The subject died 255 days post immunization on 6/15/03. The investigator has assessed the events as unrelated to the study products. Medical Certificate of Death: Immediate cause resulting in Death - Congestive heart failure. Further information has been requested.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Apnoea, Bradycardia, Urinary tract infection
Clinical narrative: Significant increase in apnea, bradycardia, disaturations beginning PM of 8/24/03 after vaccines given. The discharge summary received on 2/2/04 states UTI.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Arteritis, Cardiovascular disorder, Coronary artery disease, Visual disturbance
Clinical narrative: Bilateral visual field cuts due to separately occurring bilateral retinal emboli. The medical/ hospital records received on 2/19/04 states temporal arteritis and mitral valve mass. Records also mention coronary artery disease was established during this hospital admission. Temporal arteritis
Age: 46.0
Sex: M
Vaccine: SMALL
Symptoms: Arthralgia, Injection site erythema, Lymphadenopathy, Malaise, Pain
Clinical narrative: Joint pain/polyarthralgias and paresthesias affecting feet and hands. Itching and redness at site. Experienced body aches, malaise and swollen glands. No fever or chills.
Age: 46.0
Sex: M
Vaccine: SMALL
Symptoms: Paraesthesia, Pruritus
Clinical narrative: Joint pain/polyarthralgias and paresthesias affecting feet and hands. Itching and redness at site. Experienced body aches, malaise and swollen glands. No fever or chills.
Age: 26.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site reaction
Clinical narrative: Received smallpox vaccine 8/25/03, major reaction read on 9/2/03 with erythema surrounding non streaky left arm. On 9/4/03 presented +LA, red warm streaking and deltoid to left axilla. Rx with Tequin 400mg po each hour #5, RTC 9/8/03 - erythematous streaking resolving, scab form at smallpox site - LA.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cough, Grunting, Lethargy, Pruritus
Clinical narrative: 3:40 PM, 20 minutes after immunizations given, child lethargic, coughing, grunting, itching head. Arousable. Evaluated by MD. Given Benadryl 125 mg  IM RVL. Monitored for 30 minutes. 1620 alert and oriented. No symptoms of reaction. Lungs clear. Discharged with aunt. Aunt advised of symptoms to observe for that type imm. Follow up 9/5/03. Spoke with aunt. No other signs or symptoms of reaction after leaving clinic. Child "doing fine".
Age: 31.0
Sex: F
Vaccine: HEP
Symptoms: Lymphadenopathy, Malaise, Pyrexia, Rash
Clinical narrative: About 4 days after immunization rash began on ankles and wrists. Within 1 day spread up extremities, buttock and back. Temp 99.5. Malaise. Swollen lymph glands. Significant malaise persists as of 9/9/03. Rx: allergy med and Atarax - no relief. Steroid injection. No benefit.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site oedema
Clinical narrative: Unusually large amount of swelling and warmth to left arm.
Age: 7.0
Sex: M
Vaccine: IPV, TD
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Pt seen in our office on 9/5/03 due to reaction on right deltoid from Td that was given 9/3/03. 12.5cm x 11cm red area on right arm with some swelling. Given Keflex 500 mg caps on 9/5/03.
Age: 1.6
Sex: F
Vaccine: DTAPH, IPV
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site warmth
Clinical narrative: At 4PM leg noted to be swollen like golf ball at injection site. Left thigh reddened and hot to touch and hardened next AM. Swelling down some, hardness and redness continue. Day 3 area red and hard to touch, no swelling. Day 4 area still hardened, no redness or swelling.
Age: 2.0
Sex: M
Vaccine: DTAP, HEP, PNC, VARCEL
Symptoms: Diarrhoea, Infection, Injection site erythema, Injection site oedema, Pain
Clinical narrative: 8/6/03: left anterior thigh red, blotching, swelling, tenderness. 8/7/03: left anterior thigh more swelling, more redness. 8/14/03: left anterior thigh chicken pock at site of injection. Temp 101.5 tynpanic. 8/18/03 diarrhea-has had 2 1/2 days and his mother reported 3 pock lesions on his body after vaccination.
Age: 2.0
Sex: M
Vaccine: DTAP, HEP, PNC, VARCEL
Symptoms: Rash macular
Clinical narrative: 8/6/03: left anterior thigh red, blotching, swelling, tenderness. 8/7/03: left anterior thigh more swelling, more redness. 8/14/03: left anterior thigh chicken pock at site of injection. Temp 101.5 tynpanic. 8/18/03 diarrhea-has had 2 1/2 days and his mother reported 3 pock lesions on his body after vaccination.
Age: 1.75
Sex: M
Vaccine: DTAP, PNC
Symptoms: Diarrhoea, Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: Mother called in, states pt's right thigh red, puffy. Temp ranging 99.9-100.2. Giving Tylenol. Also pt having watery diarrhea yesterday (8/21/03) and today (8/22/03).
Age: 25.0
Sex: F
Vaccine: TD
Symptoms: Joint range of motion decreased, Pain
Clinical narrative: Pt received Td on 7/23/03 and reported to us on 8/1/03 that since she had injection arm has felt like "someone hit her with baseball bat." At times could not move arm. Pt was examined on 8/1/03, X-ray done. Moist heat and Medrol dosepak ordered. Was seen again on 8/7/03. Slightly better. Still very painful.
Age: 0.17
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Vaccines received 5/28/03; presented to office for fever to 101 degrees F on 5/30/03. Received one dose of Rocephin 5/30/03. Mom reported lower vocalization at visit 7/29/03, but exam was normal.
Age: 80.0
Sex: M
Vaccine: TD
Symptoms: Injection site oedema, Shoulder pain
Clinical narrative: Had Td 7/24/03. Had swelling and severe pain in left shoulder within 24 hours of vaccine. No fever. Symptoms continued until pt made appt to see Dr 8/8/03. X-ray of shoulder was done. Advised moist heat, pain med given, antiinflammatory. No numbness, weakness or loss of function.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia, Rash
Clinical narrative: Increased temp, rash of face, trunk, extremities.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Red swollen left deltoid.
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Feeling cold, Injection site erythema, Injection site mass
Clinical narrative: Felt cold for 3 days, redness at area, knot about the size of a silver dollar at injection site.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site oedema, Rash erythematous
Clinical narrative: Red raised area size of orange on left arm, warm to touch.
Age: 11.0
Sex: M
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: Child broke out with hives on arms, and from groin down. Benadryl given my mom 2 times. Hives gone next AM.
Age: 1.0
Sex: F
Vaccine: HBHEPB, IPV
Symptoms: Pyrexia, Vomiting
Clinical narrative: Increased temp 101, 48 hours later. Vomited 1 time.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Upper left arm swollen, red and warm at the touch. Tx Cefzil 250 mg/5cc for 2 days.
Age: 1.25
Sex: F
Vaccine: VARCEL
Symptoms: Injection site oedema
Clinical narrative: Swelling on left thigh
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying, Insomnia, Pyrexia, Screaming
Clinical narrative: Crying from time of vaccines until next day. Sleeping only 2 hours at a time, low grade fever (1st day). Tylenol given then, met Dr at ER on 9/9/03. Baby calmed down and happy during car ride to ER.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Lymphangitis, Pruritus
Clinical narrative: GIVEN SMALLPOX IMMUNIZ ON 2 SEPT 2003, ON 10 SEPT 2003 NOTICED INCREASED REDNESS AND ITCHING. MBR WAS MONITORED OVERNIGHT, HE HAD INCREASED REDNESS EXTENDING OUTSIDE OF THE AREA OF INDURATION WITH LYMPHANGITIS. PLACED ON ABX FOR SECONDARY INFECTION.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site oedema
Clinical narrative: Swelling of right thigh began on 9/9/03 (3.5 moles x 3.5 moles). There was no induration or tenderness. Pt was active and afebrile, no pain at swelling. Pt attended school on 9/9/ and 9/10/03. Pt brought back to Dr's office on 9/10/03 (PM) because swelling was 7" x 6". Still no discomfort, no fever. Pt active and playful. Benadryl 25mg/BID Rx.
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Heart rate increased, Laboratory test abnormal, Myocarditis
Clinical narrative: Patient developed chest pain 02 SEP 2003.  Admitted to clinic 02SEP 2003, ruled out for MI, diagnosed with MYOCARDITIS, dischared 03 SEP 2003. He has been without symptoms ever since.  He Will repeat ECG in 1 week and 1 month.
Age: 25.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Chest pain, Dizziness, Dysarthria, Dyspnoea, Feeling hot
Clinical narrative: 04 Sept 03 Patient reports no problems on this date. He received anthrax and smallpox prevaccination briefings.Vaccinations received at Fort Drum. 05 Sept 03 Late in the evening, patient reports feeling lightheaded and felt like his "pulse was racing."  No chest pain or shortness of breath at that times.  Slept for 2 hours and when he awoke, he reports feeling much better. 06 Sept 03 Reports he felt better but that night started feeling warm with "night sweats." 07 Sept 03(Day 3) Began to note chest pain while eating dinner.  Describes the pain as a sharp, stabbing sensation in left chest.  Rates it as a 7 on a 0 (no pain)-10 (worst pain) scale.  Pain worsened with exertion and inspiration.  No radiation to neck, jaw, or arm.  Also experiencing shortness of breath.Took ASA and noted that his pain eased off to approximately a 3-4 on pain scale.  Patient was able to rest and finally sleep.  Did not awaken during the night with pain. 08 Sept 03(Day 4) Upon initial awakening, he did not note any chest pain or shortness of breath.  As he got up and started moving about, chest pain recurred as described above, along with shortness of breath.Presented to Emergency Room. Had work-up that reportedly included a normal physical exam, normal EKG, normal labs-Troponin < 0.1.  While his wife was driving him to hospital, he told her his right foot was becoming numb. Patient describes it to the point of "actually having to drag [his] foot behind him."  No pain in extremities.  Later developed numbness in his right hand.  Does not recall that any other areas were numb.  His wife reports that his speech was becoming slurred and he was disoriented to place and time upon initial arrival to the hospital.  Neurology consult obtained.  CT head was normal.  Patient unsure how long the numbness lasted.  Speech improved and orientation returned but patient's wife unsure of exact duration of symptoms.   09 Sept 03(Day 5) Patient remains at hospital.  Followed by Dr. in Neurology.  Has been scheduled for MRI-Brain, C-Spine, Echocardiogram, and Treadmill Stress Test.  Has been started on Plavix and ASA.Had one episode of chest pain (3 on pain scale) that lasted 5-10 minutes.  Did not require nitroglycerin.  Occurred while lying in bed.  Some shortness of breath.No further episodes of numbness in extremities. 10 Sept 03(Day 6) Patient remains in hospital. Received echo on 9/9/03 and Treadmill Stress test today (results pending).  No further paresthesias.  No chest pain today. The 60 day follow up received on 12/5/03 states this pt is currently deployed. He was medicalyb cleared for deployment per his wife's report. She states he has no further chest pain, or neurological symptoms at this time. I spoke with his wife on 10/31/03 and obtained this info.
Age: 25.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Heart rate increased, Hypoaesthesia, Night sweats
Clinical narrative: 04 Sept 03 Patient reports no problems on this date. He received anthrax and smallpox prevaccination briefings.Vaccinations received at Fort Drum. 05 Sept 03 Late in the evening, patient reports feeling lightheaded and felt like his "pulse was racing."  No chest pain or shortness of breath at that times.  Slept for 2 hours and when he awoke, he reports feeling much better. 06 Sept 03 Reports he felt better but that night started feeling warm with "night sweats." 07 Sept 03(Day 3) Began to note chest pain while eating dinner.  Describes the pain as a sharp, stabbing sensation in left chest.  Rates it as a 7 on a 0 (no pain)-10 (worst pain) scale.  Pain worsened with exertion and inspiration.  No radiation to neck, jaw, or arm.  Also experiencing shortness of breath.Took ASA and noted that his pain eased off to approximately a 3-4 on pain scale.  Patient was able to rest and finally sleep.  Did not awaken during the night with pain. 08 Sept 03(Day 4) Upon initial awakening, he did not note any chest pain or shortness of breath.  As he got up and started moving about, chest pain recurred as described above, along with shortness of breath.Presented to Emergency Room. Had work-up that reportedly included a normal physical exam, normal EKG, normal labs-Troponin < 0.1.  While his wife was driving him to hospital, he told her his right foot was becoming numb. Patient describes it to the point of "actually having to drag [his] foot behind him."  No pain in extremities.  Later developed numbness in his right hand.  Does not recall that any other areas were numb.  His wife reports that his speech was becoming slurred and he was disoriented to place and time upon initial arrival to the hospital.  Neurology consult obtained.  CT head was normal.  Patient unsure how long the numbness lasted.  Speech improved and orientation returned but patient's wife unsure of exact duration of symptoms.   09 Sept 03(Day 5) Patient remains at hospital.  Followed by Dr. in Neurology.  Has been scheduled for MRI-Brain, C-Spine, Echocardiogram, and Treadmill Stress Test.  Has been started on Plavix and ASA.Had one episode of chest pain (3 on pain scale) that lasted 5-10 minutes.  Did not require nitroglycerin.  Occurred while lying in bed.  Some shortness of breath.No further episodes of numbness in extremities. 10 Sept 03(Day 6) Patient remains in hospital. Received echo on 9/9/03 and Treadmill Stress test today (results pending).  No further paresthesias.  No chest pain today. The 60 day follow up received on 12/5/03 states this pt is currently deployed. He was medicalyb cleared for deployment per his wife's report. She states he has no further chest pain, or neurological symptoms at this time. I spoke with his wife on 10/31/03 and obtained this info.
Age: 2.0
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, VARCEL
Symptoms: Abscess, Erythema, Feeling hot, Hypersensitivity, Oedema
Clinical narrative: 8/19 - Client had rash evening/night, temp 103.  Next day, 8/20, temp 101.  Left arm became extremely swollen, Mom described 2-3 x normal size, red and hot.  Advised Dr. to evaluate.  Mom took client to PCP.  Says prescribed antibiotic and Tylenol #3.  Mom says on 8/21 arm better and almost normal size.
Age: 2.0
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: 8/19 - Client had rash evening/night, temp 103.  Next day, 8/20, temp 101.  Left arm became extremely swollen, Mom described 2-3 x normal size, red and hot.  Advised Dr. to evaluate.  Mom took client to PCP.  Says prescribed antibiotic and Tylenol #3.  Mom says on 8/21 arm better and almost normal size.