chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.15
Sex: F
Vaccine: FLU3
Symptoms: Tremor
Clinical narrative: My daughter's pediatrician does not believe that the flu vaccine caused my daughter's seizures, which occurred 14 days after the vaccine was given, approx. on 11/15/02 at 10:30am. My daughter was perfectly healthy with no colds or illness prior to the flu shot being given. 14 days later we have been in and out of the hospital(s) with her seizures and have had tests including: Catscan, spinal tap, EEG, and an MRI run at the hospital, where they could find no cause for the seizures. There is no family history of epilepsy or seizures on either parent's side. My daughter has stopped breathing for 5 mins. with her first seizure in which I called 9-1-1 and she was taken by ambulance to the Medical Center and released that afternoon. She returned home, had more seizures and was taken to The Hospital where she stayed 5 days.  She has since had to ride in an ambulance due to the seizure two more times.  She is on a very high dose of Phenabarbitol for her seizures and is still having trouble controlling them. I would like this to be investigated because I feel that the flu shot may have caused the seizures, because she did not have them before. Medical record states shaking, limp, mental retardation, irritable. msv
Age: 0.12
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Unevaluable event
Clinical narrative: Death
Age: 0.12
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Apnoea, Grunting
Clinical narrative: Death
Sex: F
Vaccine: OPV, IPV
Symptoms: Pleural mesothelioma
Clinical narrative: An attorney reported that a 65 year old female received either IPV or OPV (manuf unk) in the 1950s. She was reportedly diagnosed with mesothelioma on or about May 2000. It is alleged that, exposure to SV40 in the vaccine was a cause of the pt's mesothilioma. The reporter also noted exposure to asbestos and asbestos containing products as a cause. No further info was available at the date of this report.
Sex: F
Vaccine: OPV, IPV
Symptoms: Dyspnoea, Lung neoplasm malignant, Pleural mesothelioma
Clinical narrative: An attorney reported that a 65 year old female received either IPV or OPV (manuf unk) in the 1950s. She was reportedly diagnosed with mesothelioma on or about May 2000. It is alleged that, exposure to SV40 in the vaccine was a cause of the pt's mesothilioma. The reporter also noted exposure to asbestos and asbestos containing products as a cause. No further info was available at the date of this report.
Age: 62.0
Sex: M
Vaccine: FLU3
Symptoms: Conjunctival haemorrhage
Clinical narrative: Patient developed right subconjuctival hemorrhage 3 hours after receiving vaccine. Patient reportedly received no other medication prior to event. Patient was given artificial tears to keep eyes moist. 60 day follwow up states assume yes that pt has recovered.
Age: 1.25
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MMR
Symptoms: Abnormal behaviour, Agitation, Autism, Crying, Hearing impaired
Clinical narrative: Pt started crying uncontrollably. Extremely irritated for no apparent reason. Tantrums, screaming, crying during the night. Started jumping out of his crib. The night of the vaccination we gave him Tylenol fever. Developmental and computer test scores dx: autism,PDD< ADHD and hearing loss. Annual follow up on 01/28/04: "The vaccine recipient has not recovered from the adverse events that were reported for this vaccination.  Immediately after vaccines were given pt started crying uncontrollably. Extremely irritated for no apparent reason.  Tantrums, screaming, crying out during the night.  Pt started jumping out of his crib.  The night of the vaccination we gave him Tylenol. Fever.
Age: 1.25
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MMR
Symptoms: Irritability
Clinical narrative: Pt started crying uncontrollably. Extremely irritated for no apparent reason. Tantrums, screaming, crying during the night. Started jumping out of his crib. The night of the vaccination we gave him Tylenol fever. Developmental and computer test scores dx: autism,PDD< ADHD and hearing loss. Annual follow up on 01/28/04: "The vaccine recipient has not recovered from the adverse events that were reported for this vaccination.  Immediately after vaccines were given pt started crying uncontrollably. Extremely irritated for no apparent reason.  Tantrums, screaming, crying out during the night.  Pt started jumping out of his crib.  The night of the vaccination we gave him Tylenol. Fever.
Age: 25.0
Sex: F
Vaccine: ANTH
Symptoms: Headache, Migraine
Clinical narrative: Received 1st anthrax vaccine in left arm, and within an hour, I developed a migraine on the left side of my head. I took some Exederin Migraine, and for three days, the headache still lingered. The headache was from the base of my neck to my temples. Felt like a beating drum.
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Injection site mass
Clinical narrative: Knot, soreness, redness; size of golfball.
Age: 27.0
Sex: F
Vaccine: ANTH
Symptoms: Dizziness, Migraine, Syncope
Clinical narrative: Dizziness, fainting, migraine headaches for 3 days. Blood pressure issues for approximately 1 hour following vaccination. Patient assessed on 12/24/02; recommended discontinuing series.
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Abdominal pain, Dizziness, Headache, Joint stiffness, Nausea
Clinical narrative: Headache, dizzy, nausea, stiffness in joints. Stomach cramps, vision impairment. Mild flashes.
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Visual acuity reduced
Clinical narrative: Headache, dizzy, nausea, stiffness in joints. Stomach cramps, vision impairment. Mild flashes.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Dizziness, Fatigue, Headache
Clinical narrative: Pain in joints, dizziness, headache, fatigue, sore at site.
Age: 39.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Redness, edema on both injection sites.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Joint range of motion decreased, Myalgia, Shoulder pain
Clinical narrative: Received flu shot 11/7/02 during shot clinic. Developed decreased range of motion. No swelling. Saw doctor 12/9/02 X-ray was done. Celebrex was prescribed. Saw doctor again on 12/11/02. Has completed Celebrex; still having soreness in right shoulder.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dizziness, Vision blurred
Clinical narrative: Patient received flu vaccine and about 7 minutes later, she complained of blurred vision, dizziness, and tight chest. EMS was called. NP was 104/88, Pulse 80. EMS arrived and assessed patient at about 16:12. Patient was feeling better; believed she was having an anxiety attack. Patient stated all symptoms were gone. She signed a consent to refuse transport. Patient was released to her husband, a deputy sheriff.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Hyperhidrosis, Nausea
Clinical narrative: I woke up the next morning with cold sweats, nauseated, very weak feeling. Lasting until the morning of 12/6/02.
Age: 0.5
Sex: F
Vaccine: DTAP, IPV
Symptoms: Rash
Clinical narrative: 12/12/02 rec'd DTA + IPV. Rash over entire body-more on face.
Age: 11.0
Sex: M
Vaccine: HEP, MMR, TD, VARCEL
Symptoms: Fall, Feeling abnormal
Clinical narrative: Fell out of chair-caught before hitting floor. Child stated, "I feel bad."
Age: 10.0
Sex: F
Vaccine: IPV, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site reaction
Clinical narrative: Presented to clinic with c/o red, swollen and found area at VZV injection site LA. Recommended to f/u with MD. ER MD dx with reaction to VZV.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Erythema, Rash
Clinical narrative: 10 days after MMR and varicella vaccines given awoke with red spots all over body.
Age: 21.0
Sex: F
Vaccine: HEP
Symptoms: Anaphylactic reaction
Clinical narrative: Pt had anaphylactic response to the hep B vaccination. Pt was transported to ER by ambulance for tx and eval.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Errythemic swollen area to R deltoid area.
Age: 8.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Erythema and edema approximately 2.5x2.5in over L buttock.
Age: 1.7
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Lethargy, Rash papular
Clinical narrative: Varicella-type rash (~30 lesions papulovesicular in various stages) scattered on trunk, mild lethargy.
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Otitis media, Pyrexia
Clinical narrative: Fever 104.2 deg R: onset 2 hr after vaccines-persisted x 4 days; ultimately diagnosed with otitis media and treated with antibiotics.
Age: 14.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Pt got Varivax 12/6/02. Pt had 20 lesions break out, probably represents varicella disease from vaccine. Pt started on Acyclovir since unknown if exposure to wild type.
Age: 0.3
Sex: U
Vaccine: DTAP, HIBV, IPV
Symptoms: Eye swelling, Rash
Clinical narrative: Rash to face, chest, both thighs and puffiness of both eyes.
Age: 29.0
Sex: F
Vaccine: TD
Symptoms: Contusion, Injection site erythema, Injection site pain
Clinical narrative: Redness around injection site almost immediately; resolved with hydrocortisone cream. Area bruised and tender x 2 days; on 3rd day, again develoepd redness that spread 2/3 down upper arm and radiated to axilla. Started on Keflex 250mg po qid x 10 days. Symptoms started resolving within 24 hrs.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR
Symptoms: Urticaria
Clinical narrative: Approximately 10 minutes after immunizations pt developed hives at the site-and more became apparent as time progressed over face and head.
Age: 3.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: 12/3/02am red rash at injection site-non-tender. Two weeks prior received varicella.
Age: 60.0
Sex: F
Vaccine: UNK
Symptoms: Agitation, Anxiety, Chest pain, Depression, Diarrhoea
Clinical narrative: Adverse reaction to Larium c/o nausea, depression, very labile and crying easily. Diarrhea, panic anxiety attack. Experienced hallucinations, chest heaviness, fear of death.
Age: 60.0
Sex: F
Vaccine: UNK
Symptoms: Hallucination, Nausea, Panic reaction
Clinical narrative: Adverse reaction to Larium c/o nausea, depression, very labile and crying easily. Diarrhea, panic anxiety attack. Experienced hallucinations, chest heaviness, fear of death.
Age: 1.0
Sex: M
Vaccine: HEP, PNC, VARCEL
Symptoms: Herpes zoster, Infection
Clinical narrative: Despite receiving varicella vaccine 1/25/02, pt dev. shingles R arm 12/17/02. Seen 12/17/02 and 12/19/02 for shingles. Vesicles appeared on right hand and arm 12/17/2002. Do not know the time.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Respiratory disorder
Clinical narrative: Mom stated about 8pm (day of shots) child was sitting on dad's lap, slumped and quit breathing. Started hitting head, lasted about one minute. They shook her and started breathing. Watched no further problem.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus
Clinical narrative: Developed generalized itching two hours after receiving fluzone. Notified employee health at 4:30pm. Benadryl 25mg ordered. Asumptematic on 11/5/02.
Age: 14.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema
Clinical narrative: R delt-pink area 2v 3/4" wide-seen 12/26/02 1:30pm for reaction from TD given 12/23/02 10:30am.
Age: 1.25
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Eye movement disorder, Pyrexia
Clinical narrative: Received vaccine above had fever at 9pm, received Tylenol PO. Started rolling of eye balls, no seizures temp 102 deg F. Seen in ER, discharged home. No symptoms.
Age: 42.0
Sex: F
Vaccine: JEV
Symptoms: Vasculitis
Clinical narrative: 2000 approx May rec'd Japanese encephalitis vaccine developed leukocytoclastic vascultis one month later. The follow up states "vaccine was given elsewhere info not available to me."
Age: 1.0
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Pyrexia, Rash, Rash maculo-papular
Clinical narrative: 12/18/02 fever per father. 12/20/02 rash all over body. States clinic looked like measles. 12/23/02 clinic visit. maculopapular rash-2 days to vaccine.
Age: 1.3
Sex: F
Vaccine: MMR
Symptoms: Rash morbilliform
Clinical narrative: Morbidly form rash on chest, abdomen and back.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Apnoea, Cyanosis, Depressed level of consciousness, Dyspnoea, Eye movement disorder
Clinical narrative: 3 1/2 hrs after immunizations, infant was breast feeding but fussy. He then appeared sleepy and his eyes rolled back. Mom began changing his diaper but he developed difficulty breathing, then stopped breathing and became cyanotic/pale. She attempted to rouse him. He had a small mild and perocic breathing persisted. He was difficult to arouse for 20-30 mins. In ER, difficulty breathing, cyanotic, retracting improved: oxygen, albuterol. No fever.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Irritability, Pallor, Somnolence
Clinical narrative: 3 1/2 hrs after immunizations, infant was breast feeding but fussy. He then appeared sleepy and his eyes rolled back. Mom began changing his diaper but he developed difficulty breathing, then stopped breathing and became cyanotic/pale. She attempted to rouse him. He had a small mild and perocic breathing persisted. He was difficult to arouse for 20-30 mins. In ER, difficulty breathing, cyanotic, retracting improved: oxygen, albuterol. No fever.
Age: 25.0
Sex: F
Vaccine: FLUX
Symptoms: Abdominal pain lower, Asthenia, Loss of consciousness
Clinical narrative: Severe low abdominal pain; weak, blacked out, sat down. Seen in ER. Rx painkillers.
Age: 3.0
Sex: M
Vaccine: VARCEL
Symptoms: Abscess, Cellulitis, Hypotonia, Infection, Pyrexia
Clinical narrative: cellulits,progressed to buttock abscess with fever and limp,hositalised, IV antibiotics and abscess incised,MRSA cultured. Varicella.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Abasia, Abdominal pain, Gastrointestinal disorder, Guillain-Barre syndrome, Laboratory test abnormal
Clinical narrative: A medical assistant reported that a 3 year old female received Flu Shield on 12/9/02. The infant developed Guillain Barre syndrome and was hospitalized for approximately 10 days. No additional info was available as of the date of this report. This report of a serious labeled event is being submitted in a 15 day time fram as requested by the FDA. Follow up info received 1/14/03 from physician provided ptdetails, description of course of illness, hospitalization dates, treatment, and discharge diagnosis. A medical assistant reported that a 3 year old feamle received Flu Shield/2002-2003 formula on 12/9/02. Medical history includes birth by caesarean section and apnea. On 12/11/02, she returned to the office with abdominal pain and vomiting and difficulty having a bowel movement. While examining the child it was noticed that her legs were limp, with no strength or movement. It was decided for her to go to the ER. On 12/12/02, she was admitted to the hospital for further evaluation of the condition and for possible Guillain-Barre syndrome. She also has been unable to urinate and cannot walk. The neurological exam was "essentially negative except for the deep tendon reflexes which are 3+ and Babinski is negative." Lab tests include a blood culture (negative), urine culture (positive organism not specified) and a renal ultrasound (positive). She was diagnosed with a urianry tract infection and treated with Bactrim. On 12/19/02, she was discharged from the hospital. The discharge diagnosis was "BGS 2 hr. to Flu vaccination, Lower Ext., UTI." The discharge instructions provide for physical therapy 3x per week for 3 weeks, then the pt will be re-evaluated. This report of a serious labeled event is being submitted in a 15-day time frame as requested by the FDA.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Urinary tract infection, Vomiting
Clinical narrative: A medical assistant reported that a 3 year old female received Flu Shield on 12/9/02. The infant developed Guillain Barre syndrome and was hospitalized for approximately 10 days. No additional info was available as of the date of this report. This report of a serious labeled event is being submitted in a 15 day time fram as requested by the FDA. Follow up info received 1/14/03 from physician provided ptdetails, description of course of illness, hospitalization dates, treatment, and discharge diagnosis. A medical assistant reported that a 3 year old feamle received Flu Shield/2002-2003 formula on 12/9/02. Medical history includes birth by caesarean section and apnea. On 12/11/02, she returned to the office with abdominal pain and vomiting and difficulty having a bowel movement. While examining the child it was noticed that her legs were limp, with no strength or movement. It was decided for her to go to the ER. On 12/12/02, she was admitted to the hospital for further evaluation of the condition and for possible Guillain-Barre syndrome. She also has been unable to urinate and cannot walk. The neurological exam was "essentially negative except for the deep tendon reflexes which are 3+ and Babinski is negative." Lab tests include a blood culture (negative), urine culture (positive organism not specified) and a renal ultrasound (positive). She was diagnosed with a urianry tract infection and treated with Bactrim. On 12/19/02, she was discharged from the hospital. The discharge diagnosis was "BGS 2 hr. to Flu vaccination, Lower Ext., UTI." The discharge instructions provide for physical therapy 3x per week for 3 weeks, then the pt will be re-evaluated. This report of a serious labeled event is being submitted in a 15-day time frame as requested by the FDA.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, PNC, DTAP, HIBV, PNC
Symptoms: Crying, Myocarditis
Clinical narrative: Reported on 02/04/2003:  From faxed information received at Aventis Pasteur Inc. on 12-26-2002, it was reported that a 6-month-old male child (DOB 05/14/2002) received ActHib (log # UA756AA) intra-muscularly in the right arm.  Infanrix DaPT (lot # 568A9) intra-muscularly in the left leg, and Prevnar (lot # 489473), manufacturer form INfanrix DaPT was reported as Aventis, however the lot number provided does not match an Aventis product.  All vaccines were given as dose #3.  At the time of vaccination, the patient had an upper respiratory infection and conjunctivitis.  On 11-29-2002 at 01:56:00, the patient's mother called the reporting physician's answering service and stated that the baby was "screaming in pain".  The on-call physician referred the patient to emergency department, where the baby was coded and passed away on 11-29-2002 at 07:30:00.  An autopsy was performed at the hospital; no results were provided.  Follow-up #3 (latest received date 01-27-2003): From information received at Aventis Pasteur Inc., via telephone on 01-27-2003, it was reported by the responsible physician that the verbal report from the medical examiner provided the results of the autopsy as "viral infection, probable myocarditis".  The medical examiner requires a written request and a court order for an autopsy report.  No additional information was provided. A 15-day follow up report received 03/13/2003 adds: Additional info was received on 3/3/2003 provided additional event info and probable cause of death. Info has been received from a healthcare professional regarding a 6-month-old male who received his third dose of Prevnar, Act-Hib (Aventis) and Infanrix (GSK) vaccines on 11/26/2002. On 11/29/2002, his mother reported to the reporting physician that he was 'screaming in pain'. That day, he was taken to the ER where he was coded and died. Abdominal ultrasound, X-rays, and an autopsy were performed. No results were provided. A verbal report from the Medical Examiner stated the cause of death as 'viral infection, probable myocarditis.' This report was received from Aventis Pasteur SA (MFR Control No. F2003-00003 (o)). A 15-day follow up report received 7/7/2003 adds: From additional info received on 6/25/2003 from the responsible physician, it was reported that the manufacturer for Infanrix is SmithKline Beecham and the lot number for this product was confirmed as 568A9. Per the physician, additional info is not anticipated. Case is closed.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, PNC, DTAP, HIBV, PNC
Symptoms: Agitation, Crying, Pain
Clinical narrative: Reported on 02/04/2003:  From faxed information received at Aventis Pasteur Inc. on 12-26-2002, it was reported that a 6-month-old male child (DOB 05/14/2002) received ActHib (log # UA756AA) intra-muscularly in the right arm.  Infanrix DaPT (lot # 568A9) intra-muscularly in the left leg, and Prevnar (lot # 489473), manufacturer form INfanrix DaPT was reported as Aventis, however the lot number provided does not match an Aventis product.  All vaccines were given as dose #3.  At the time of vaccination, the patient had an upper respiratory infection and conjunctivitis.  On 11-29-2002 at 01:56:00, the patient's mother called the reporting physician's answering service and stated that the baby was "screaming in pain".  The on-call physician referred the patient to emergency department, where the baby was coded and passed away on 11-29-2002 at 07:30:00.  An autopsy was performed at the hospital; no results were provided.  Follow-up #3 (latest received date 01-27-2003): From information received at Aventis Pasteur Inc., via telephone on 01-27-2003, it was reported by the responsible physician that the verbal report from the medical examiner provided the results of the autopsy as "viral infection, probable myocarditis".  The medical examiner requires a written request and a court order for an autopsy report.  No additional information was provided. A 15-day follow up report received 03/13/2003 adds: Additional info was received on 3/3/2003 provided additional event info and probable cause of death. Info has been received from a healthcare professional regarding a 6-month-old male who received his third dose of Prevnar, Act-Hib (Aventis) and Infanrix (GSK) vaccines on 11/26/2002. On 11/29/2002, his mother reported to the reporting physician that he was 'screaming in pain'. That day, he was taken to the ER where he was coded and died. Abdominal ultrasound, X-rays, and an autopsy were performed. No results were provided. A verbal report from the Medical Examiner stated the cause of death as 'viral infection, probable myocarditis.' This report was received from Aventis Pasteur SA (MFR Control No. F2003-00003 (o)). A 15-day follow up report received 7/7/2003 adds: From additional info received on 6/25/2003 from the responsible physician, it was reported that the manufacturer for Infanrix is SmithKline Beecham and the lot number for this product was confirmed as 568A9. Per the physician, additional info is not anticipated. Case is closed.
Sex: F
Vaccine: IPV
Symptoms: Convulsion, Pyrexia
Clinical narrative: It was reported that a female pt experienced a febrile convulsion sometime after receiving IPOL, no specifics were provided. The pt's recovery status is currently unknown. Further info is expected. Seriousness criteria: other medically significant (OMIC). Follow up on 07/08/2003: "From additional information received on 06/30/2003, "This case was reported by a physician.  Attempts to contact the physician have been unsuccessful".  It was not reported whether this patient was seen in the emergency room or at doctor's office, but since this report came from the doctor, the outcome screen was checked as required doctor's visit.  No further information is anticipated, this case is considered closed."
Age: 0.67
Sex: M
Vaccine: FLU3
Symptoms: Paralysis, Thrombosis
Clinical narrative: Paralysis affecting left arm, leg and facial features. Hospitalized after Dr's office visit on 11/11/02. Parents told two blood clots in brain. Treatment-physical therapy one baby aspirin daily. Diagnosed with opening between atria of heart. Being treated for mitochondrial defect and blood clotting disorders. In process of recovery. On 60-day followup report received 04/25/2003, reporter states, "Patient was tested at facility after Vx and they found a hole in his heart and said it was not Vx-related. Pt is going back to facility in 5 months to see if hole in heart has closed."  Annual follow up on 04/21/04: "Pt has recovered from adverse event."
Sex: F
Vaccine: FLU3, PPV, PPV
Symptoms: Arthralgia, Chills, Hyperhidrosis, Injection site erythema, Injection site pain
Clinical narrative: Pr received a Pneumovax & flu injection during her office visit.  Pt states that 6 hours after receiving the  injection,she presented with sx - chills, sweats, lowgrafe fever, nausea, arm pain, localized redness and swelling @ injection site, Also c/o some left sided joint pain (arm & knee), Poor appetite Sx: resolved in approx 3 days.
Sex: F
Vaccine: FLU3, PPV, PPV
Symptoms: Injection site swelling, Nausea, Pyrexia
Clinical narrative: Pr received a Pneumovax & flu injection during her office visit.  Pt states that 6 hours after receiving the  injection,she presented with sx - chills, sweats, lowgrafe fever, nausea, arm pain, localized redness and swelling @ injection site, Also c/o some left sided joint pain (arm & knee), Poor appetite Sx: resolved in approx 3 days.
Sex: F
Vaccine: FLU3, PPV, PPV
Symptoms: Chills, Hyperhidrosis, Injection site erythema, Injection site oedema, Pain
Clinical narrative: Pr received a Pneumovax & flu injection during her office visit.  Pt states that 6 hours after receiving the  injection,she presented with sx - chills, sweats, lowgrafe fever, nausea, arm pain, localized redness and swelling @ injection site, Also c/o some left sided joint pain (arm & knee), Poor appetite Sx: resolved in approx 3 days.
Sex: F
Vaccine: FLU3, PPV, PPV
Symptoms: Pyrexia
Clinical narrative: Pr received a Pneumovax & flu injection during her office visit.  Pt states that 6 hours after receiving the  injection,she presented with sx - chills, sweats, lowgrafe fever, nausea, arm pain, localized redness and swelling @ injection site, Also c/o some left sided joint pain (arm & knee), Poor appetite Sx: resolved in approx 3 days.
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Headache, Nausea, Vomiting
Clinical narrative: Developed HA, nausea, about 9:30 pm same day as vaccine. Vomiting started 10:45 am Friday 11/22/02 went to emergenv room that  evening, Seen by family physician doctor, Sunday 11/24/02 diarrhea lasting one day, Symptoms subsided Monday
Age: 55.0
Sex: M
Vaccine: FLU3
Symptoms: Arthropathy, Balance disorder, Eye pain, Heart rate increased, Injection site pain
Clinical narrative: Loss of equilibrium,ringing in the ears, pain in right eye and in right side of brain, sensation of bubbles in my right ankle,, mild chest, heart papitation, gritty grinding noise like sand in my neck joint when I turn my head
Age: 55.0
Sex: M
Vaccine: FLU3
Symptoms: Tinnitus
Clinical narrative: Loss of equilibrium,ringing in the ears, pain in right eye and in right side of brain, sensation of bubbles in my right ankle,, mild chest, heart papitation, gritty grinding noise like sand in my neck joint when I turn my head
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Balance disorder, Feeling cold, Headache, Hyperhidrosis, Nausea
Clinical narrative: Flu vaccine  given  8-9 am on 11/07/02 15 mins later- HA,Vertigo,nausea, ''cold sweats" + advancing edema of hand on arm , 15 mins after above vomiting,very unsteady on feet, Sent to hospital ER
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Oedema peripheral, Vertigo, Vomiting
Clinical narrative: Flu vaccine  given  8-9 am on 11/07/02 15 mins later- HA,Vertigo,nausea, ''cold sweats" + advancing edema of hand on arm , 15 mins after above vomiting,very unsteady on feet, Sent to hospital ER
Age: 25.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Mother called12/26/02 states (child) had a red,swollen right arm; On 12/24/02, she took him to ER; Started on Iorabid 200 mg for local reaction; To return to ER 12/26/02 for rechecks
Age: 1.08
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Rash pruritic
Clinical narrative: Pt developed about 50 vesicles over period of 24 hours c/o itching.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Pharyngolaryngeal pain, Pyrexia, Rash pruritic
Clinical narrative: Developed about 150 vesicles over a period of 24 hours; C/o itching; ST, fever
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site swelling, Myalgia
Clinical narrative: Foster mother stated child developed low grade fever to 100 next 24 hours after DTaP; C/o sore muscles; Redness and swelling at site. Pt seen in ER; Area circled with pen was 3-4 cm, irregular, border; Was red, hard, painful; I saw  72 hours later when it was normal skin in the area, No swelling or redness.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Pyrexia
Clinical narrative: Foster mother stated child developed low grade fever to 100 next 24 hours after DTaP; C/o sore muscles; Redness and swelling at site. Pt seen in ER; Area circled with pen was 3-4 cm, irregular, border; Was red, hard, painful; I saw  72 hours later when it was normal skin in the area, No swelling or redness.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Cellulitis, Crying
Clinical narrative: After several hours, pt had red streaks up his leg and cried with pain X 3 hrs. Mom gave Benadryl.
Age: 0.4
Sex: F
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Diarrhoea, Injection site erythema, Injection site oedema, Injection site pain, Rash
Clinical narrative: Edema, erythema,. tenderness @ site left AT- Generalized rash, diarrhea; Rec'd Benadryl
Sex: U
Vaccine: TTOX
Symptoms: Injection site oedema, Medication error
Clinical narrative: A physician reported that an unidentified pt received Tetanus Toxoid Adsorbed. Purogenated vaccine intradermally, instead of PPD (manuf unk) and subsequently developed swelling at the injection site. No additional info was available as of the date of this report. This is one of several patients reported by this physician to have received Tetanus Toxoid Adsorbed Purogenated vaccine intradermally. See case HQ6756804OCT2001.
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Rash maculo-papular
Clinical narrative: pt with macualr -papular rash on chest abdomen, arms,  palm, soles, legs face spared + itching treated with benadryl, hydrocortisone, calamine. He recently had rash, itching and was found to be allergic to multiple grasses and trees.
Age: 22.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Oedema, Pyrexia
Clinical narrative: Pt developed fever of 102 with swelling in Left arm 3 by 3 inches. Was on her way to London mother called on 1-2-03 with report and swelling increasing saw Dr in airport and was given Benadryl.Mother called this am and pt arm swollen to elbow now and is seeing a physician in another country.
Age: 36.0
Sex: F
Vaccine: DT, HEP, MMR
Symptoms: Dizziness
Clinical narrative: Received Td, MMR, Hep B vaccines on 12/16/02.  On the morning of 12/18/02, I woke up feeling dizzy.  Every morning now I am dizzy, and when I am in certain positions (looking up, head tilted backwards to rinse shampoo out of hair, bendign over to pick something up,etc) have a dizzy sensation for a few seconds.
Age: 0.1
Sex: M
Vaccine: DTAP, HEP, IPV
Symptoms: Aggression, Autism, Head banging, Metal poisoning, Speech disorder
Clinical narrative: Severe autism with a C.A.R.S. rating of 39.  Headbanging, tantrums, speech disorder. Son received a total of 75 micrograms of mercury from 3 DTAP vaccines within first 6 months.
Age: 33.0
Sex: M
Vaccine: VARCEL
Symptoms: Chills, Pruritus, Pyrexia, Rash, Skin ulcer
Clinical narrative: 12-25-02 CHILLS AND TEMPERATURE 102. 12-26-02 GENERALIZED ITCHING, RED RAISED RASH- FIRST ON BACK, THEN CHEST, FACE AND NECK. FEW ON LOWER EXTREMITIES. FEW VESICLES NOTED ON BACK. LESIONS IMPROVING, DRIED AND FEELING BETTER 12-30-02. TEMP ONLY FOR 2 DAYS.
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Injection site oedema, Pain
Clinical narrative: PATIENT RETURNED TO OUR OFFICE TODAY WITH REDNESS & SWELLING AT INJECTION SITE. ALSO COMPLAINED OF EXTREME NECK AND SHOULDER PAIN. NSAID,ANTISPASMOTIC,STERIOD GIVEN IN OFFICE TODAY
Age: 0.8
Sex: M
Vaccine: PNC
Symptoms: Abdominal discomfort, Abdominal pain, Injection site rash
Clinical narrative: Distress, stomach cramps, rash starting at injection site, proceeding to shoulders and into sides of stomach. The rash was bright red, and underneath the skin. Could not get in touch with his pediatrician. The pediatrician on call advised Benadryl. Treated for three days, until the rash subsided.
Age: 34.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Pain, Pruritus
Clinical narrative: Patient developed moderately severe erythema surrounding L Deltoid injection site.  This was associated with mild pain and pruritis and occured 3-5 days after the injection.  Patient self treated with naproxen and diphenhydramine and was feeling improved when I examined her on 31 Dec 2002.  She missed no work from these events.
Age: 0.8
Sex: M
Vaccine: HEP
Symptoms: Autism
Clinical narrative: This report describes the occurrence of autism in a 28 month old male who was vaccinated with hep B vaccine recombinant (Engerix B) for prophylaxis. This report was received from manufacturer (HQ5640406DEC2002), who received it from the subject's mother. This report has not been verified by a physician or other healthcare professional. The subject's medical history, concurrent conditions, and concurrent medications were not reported. The subject reportedly received injections of Engerix B on 5/4/00, 6/7/00 and 2/28/01; lot numbers were not provided. The notifications from manufacturer indicated that the subject's mother reported to manufacturer that the subject received a diagnosis of autism in September 2000, approximately 19 months following receipt of the third injection of Engerix B. Treatment and outcome of the event were not known. The autism in this report is considered medically serious (OMIC).
Sex: M
Vaccine: DTAP
Symptoms: Autism, Nervous system disorder
Clinical narrative: This report describes the occurrence of autism spectrum disorder in a male child of unspecified age who was vaccinated with Infanrix and hep B vaccine recombinant (Engerix B) for prophylaxis. This report was received as part of litigation proceedings and has not been verified by a physician or other healthcare professional. The subject's medical history, concurrent conditions, and concurrent medications were not reported. The subject received injections of Infanrix on 11/14/97 (lot 4027A; not a valid lot number) and 1/15/98 (lot 839A2). He received injections of Engerix B on 9/26/97 (lot 405A2) and 11/14/97 (lot 2405A2).. The subject' attorney stated, "We believe that as a result of (the subject's) exposure to thimerosal from the above vaccine (sic), he sustained neurological injuries and as a result of those injuries has been diagnosed with autism spectrum disorder." Time to onset, treatment, and outcome of the event were not provided. The autism spectrum disorder in this report is considered medically serious (OMIC).
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Anorexia, Cellulitis, Chills, Injection site induration, Injection site oedema
Clinical narrative: Pain swelling induration at injection site diagnosed as cellultiis. Negative blood cultures temp 100 deg-101.8 deg F. Clinically toxic. Treated with IV Kefzol. Discharged on Augmentin. The discharge summary states chills, anorexia, nausea, and pain.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Nausea, Pain, Pyrexia, White blood cell count increased
Clinical narrative: Pain swelling induration at injection site diagnosed as cellultiis. Negative blood cultures temp 100 deg-101.8 deg F. Clinically toxic. Treated with IV Kefzol. Discharged on Augmentin. The discharge summary states chills, anorexia, nausea, and pain.
Age: 50.0
Sex: F
Vaccine: FLUX
Symptoms: Hypokinesia, Infection, Pain, Pyrexia, White blood cell count increased
Clinical narrative: Low grade fever, pain. Shot received on 11/4/02. On 11/11/02 shot boosted immune system. Could not use arm, shoulder shot was given in. MD removed fluid-? of infection. Had arthroscopic surgery on 11/14/02-surgeon MD. Still has pain from shoulder.
Age: 19.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site hypersensitivity, Pruritus
Clinical narrative: Both shoulder redness and itching
Age: 29.0
Sex: F
Vaccine: ANTH
Symptoms: Oedema, Pruritus
Clinical narrative: Itching of throat on 12/24 as well as swelling
Age: 12.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Malaise, Nausea, Oedema, Pyrexia
Clinical narrative: Left shoulder swelling, redness, tenderness, nausea, malaise, fever to 102. Treated with IV and PO antibiotics as cellulitis both complete improvement.
Age: 12.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Tenderness, Vasodilation procedure
Clinical narrative: Left shoulder swelling, redness, tenderness, nausea, malaise, fever to 102. Treated with IV and PO antibiotics as cellulitis both complete improvement.
Age: 1.9
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Oedema, Vasodilation procedure
Clinical narrative: Reaction to DTAP - red, swelling, hot to right deltoid.
Age: 1.2
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Convulsion, Pyrexia
Clinical narrative: High fever, convulsions occur after 20 hours following administration of vaccines.
Age: 1.3
Sex: F
Vaccine: MMR
Symptoms: Rash
Clinical narrative: Red rash
Age: 73.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Rash maculo-papular
Clinical narrative: Patient was given pneumococcal vaccine 11/22/02. Patient stated after leaving the office she experieince a red itchy rash and bumps. Area affected was chest, back and both arms. Patient did not report this adverse reaction until a month later. Patient felling better. Rash is clearing.
Age: 65.0
Sex: F
Vaccine: LYME
Symptoms: Arthralgia, Coordination abnormal, Hypertonia, Myalgia
Clinical narrative: Stiffness, joints and muscle pain, headaches. After third shot a short time lost balance and fell. That cleared up but always in pain in joints and muscles.
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Broke out in macular papular lesions 12/25/2002
Sex: M
Vaccine: FLU3, MMR, VARCEL
Symptoms: Infection
Clinical narrative: Broke out in chicken pox.
Age: 13.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Mom noted rash on 12/27/02. Was seen on 12/28/02 and diagnosed with varicella. Zovirax prescribed.
Age: 1.25
Sex: F
Vaccine: HEP, HIBV, PNC
Symptoms: Affect lability, Insomnia, Pyrexia, Screaming
Clinical narrative: Within 24 hours of receiving the vaccines, my babies temperature was between 102 -103 degrees rectally. In addition, she cried inconsolably and would not sleep. This lasted 1 week. She was put on Motrin and Tylenol alternating every 3 hours.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Urticaria
Clinical narrative: Hives all over starting on 12/12/2002. Vaccines DTAP, HIB, IPV, and Prevnar administered on 12/10/2002. No other new exposures. Had had DTAP, HIB, and IPV at 2 months, but first time for Prevnar
Age: 43.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Pneumococcal 0.1 ml given intradermal for PPD. Pt developed redness, soreness. Size of area 1 1/2 x 1 inches. No treatment required.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Pt's mother phoned office reporting pt's left upper arm red and swollen. Describes as apprx. 6 inch area below shoulder to apprx. 1 inch above elbow. Pt denies pain. Remains playful and energized. Using arm as usual.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA, HIBV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Edematous and erythamous locally on anterior aspect of the left thigh
Age: 69.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site warmth
Clinical narrative: 5 days post injection, pt had significant left deltoid pain, painfull mass, heat and erythema 1/2 way down humerix. Tx'd antihistamine and cool compress. Area marked and ie checked 1 day later. Improved. CBC checked for cellulitis.
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Pt broke out with rash, had fever. Dx reaction varicella
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash erythematous
Clinical narrative: Bumps on chest. legs x 2 days
Age: 1.2
Sex: F
Vaccine: VARCEL
Symptoms: Diarrhoea, Rash
Clinical narrative: Rash x 4-5 days, diarrhea x 2-3 days x 3bm qd
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Pt diagnosed with varicella on 12/23/2002. Sym: fever, rash on back, groin, chest, temp. 102.6 x 2 days
Age: 4.0
Sex: U
Vaccine: DTAP
Symptoms: Drug ineffective, Infection
Clinical narrative: A health care professional reported that a child received an injection of Acel-Imune vaccine on 5/16/96 at 4 years of age. At 10 years of age, the child developed pertussis. No further info was available at the date of this report. Pertussis was considerred medically important (OMIC).
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Hypoaesthesia, Muscle twitching
Clinical narrative: Patient's right side of face started twitching and went numb.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Fatigue, Feeling hot, Headache, Injection site discolouration, Injection site erythema
Clinical narrative: The patient is a 23 year old active duty male who presented to the medical center and clinic for follow up. He was previously seen in the ER on 12/28/02 for a routine bandage check and was noted to have viral lymphangitis. He received the smallpox immunization on 12/18/02. The patient has no history of previous smallpox immunization. 12/18/02 3 jabs given, slight petechiae at site, no symptoms. 12/19/02 dressing dry, no symptoms. 12/20/02 dressing change C/D/I, no symptoms. 12/21/02 dressing change C/D/I, no symptoms. 12/22/02 dressing change C/D/I, no symptoms. 12/23/02 dressing change C/D/I, no symptoms, 5mmx10mm erythema, 3mmx5mm vesicle. 12/24/02 dressing change in ER--mild exudate on dressing, approximately 20x20mm erythema, 10x9mm vesicle, no symptoms. 12/25/02 dressing change in ER, dressing dry, 5x5mm vesicle, no symptoms. 12/26/02 dressing change--mild exudates on dressing, 10x10mm erythema, 7x6mm vesicle, diffuse, global, dull, achy headache 5/10, local pruritis 5/10. 12/27/02 dressing change--dry, diffuse, dull, achy headache 5/10, local pruritis 5/10. 12/28/02 dressing change in ER--C/D/I, 200x150mm erythema, 10x10mm vesicle, erythema extended contiguously from his elbow to proximal humerus, satellite urticarial lesion 3x3cm medial to the large erythematous area near axilla, warmth, swelling, slight tenderness at site, fatigue 8/10, slept 14 hours, local pruritis 5/10, diffuse, dull, achy headache 5/10, sent home to quarters x24 hours, decreased mobility of arm secondary to swelling. 12/29/02 dressing change in ER--C/D/I, decreased erythema and swelling at site, no tenderness, FROM, area of erythema increased, fatigue 6/10, dull, diffuse, achy headache 3/10. 12/30/02 dull, diffuse headache 2/10, dressing change--C/D/I, 140x220mm mild erythema, blanching, minimal erythema near inoculation site with increased erythema distal to site, no warmth, tenderness, edema, 9x9mm ulcer with 7x7mm eschar, dry, no cervical, axillary lymphadenopathy.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site hypersensitivity, Injection site pain, Injection site reaction, Injection site swelling, Injection site ulcer
Clinical narrative: The patient is a 23 year old active duty male who presented to the medical center and clinic for follow up. He was previously seen in the ER on 12/28/02 for a routine bandage check and was noted to have viral lymphangitis. He received the smallpox immunization on 12/18/02. The patient has no history of previous smallpox immunization. 12/18/02 3 jabs given, slight petechiae at site, no symptoms. 12/19/02 dressing dry, no symptoms. 12/20/02 dressing change C/D/I, no symptoms. 12/21/02 dressing change C/D/I, no symptoms. 12/22/02 dressing change C/D/I, no symptoms. 12/23/02 dressing change C/D/I, no symptoms, 5mmx10mm erythema, 3mmx5mm vesicle. 12/24/02 dressing change in ER--mild exudate on dressing, approximately 20x20mm erythema, 10x9mm vesicle, no symptoms. 12/25/02 dressing change in ER, dressing dry, 5x5mm vesicle, no symptoms. 12/26/02 dressing change--mild exudates on dressing, 10x10mm erythema, 7x6mm vesicle, diffuse, global, dull, achy headache 5/10, local pruritis 5/10. 12/27/02 dressing change--dry, diffuse, dull, achy headache 5/10, local pruritis 5/10. 12/28/02 dressing change in ER--C/D/I, 200x150mm erythema, 10x10mm vesicle, erythema extended contiguously from his elbow to proximal humerus, satellite urticarial lesion 3x3cm medial to the large erythematous area near axilla, warmth, swelling, slight tenderness at site, fatigue 8/10, slept 14 hours, local pruritis 5/10, diffuse, dull, achy headache 5/10, sent home to quarters x24 hours, decreased mobility of arm secondary to swelling. 12/29/02 dressing change in ER--C/D/I, decreased erythema and swelling at site, no tenderness, FROM, area of erythema increased, fatigue 6/10, dull, diffuse, achy headache 3/10. 12/30/02 dull, diffuse headache 2/10, dressing change--C/D/I, 140x220mm mild erythema, blanching, minimal erythema near inoculation site with increased erythema distal to site, no warmth, tenderness, edema, 9x9mm ulcer with 7x7mm eschar, dry, no cervical, axillary lymphadenopathy.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site vesicles, Joint range of motion decreased, Lymphadenopathy, Lymphangitis, Petechiae
Clinical narrative: The patient is a 23 year old active duty male who presented to the medical center and clinic for follow up. He was previously seen in the ER on 12/28/02 for a routine bandage check and was noted to have viral lymphangitis. He received the smallpox immunization on 12/18/02. The patient has no history of previous smallpox immunization. 12/18/02 3 jabs given, slight petechiae at site, no symptoms. 12/19/02 dressing dry, no symptoms. 12/20/02 dressing change C/D/I, no symptoms. 12/21/02 dressing change C/D/I, no symptoms. 12/22/02 dressing change C/D/I, no symptoms. 12/23/02 dressing change C/D/I, no symptoms, 5mmx10mm erythema, 3mmx5mm vesicle. 12/24/02 dressing change in ER--mild exudate on dressing, approximately 20x20mm erythema, 10x9mm vesicle, no symptoms. 12/25/02 dressing change in ER, dressing dry, 5x5mm vesicle, no symptoms. 12/26/02 dressing change--mild exudates on dressing, 10x10mm erythema, 7x6mm vesicle, diffuse, global, dull, achy headache 5/10, local pruritis 5/10. 12/27/02 dressing change--dry, diffuse, dull, achy headache 5/10, local pruritis 5/10. 12/28/02 dressing change in ER--C/D/I, 200x150mm erythema, 10x10mm vesicle, erythema extended contiguously from his elbow to proximal humerus, satellite urticarial lesion 3x3cm medial to the large erythematous area near axilla, warmth, swelling, slight tenderness at site, fatigue 8/10, slept 14 hours, local pruritis 5/10, diffuse, dull, achy headache 5/10, sent home to quarters x24 hours, decreased mobility of arm secondary to swelling. 12/29/02 dressing change in ER--C/D/I, decreased erythema and swelling at site, no tenderness, FROM, area of erythema increased, fatigue 6/10, dull, diffuse, achy headache 3/10. 12/30/02 dull, diffuse headache 2/10, dressing change--C/D/I, 140x220mm mild erythema, blanching, minimal erythema near inoculation site with increased erythema distal to site, no warmth, tenderness, edema, 9x9mm ulcer with 7x7mm eschar, dry, no cervical, axillary lymphadenopathy.