chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 34.0
Sex: M
Vaccine: PPV
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Injection site oedema, Pain
Clinical narrative: Local reaction 1 day after pneumococcal vaccine given, same arm. Complained of pain at site of injection. On exam: upper, outer right arm extending below elbow to below injection site is edematous, warm, firm with erythema, afebrile. Warm compresses, Motrin for pain, Benadryl ZS in AM and Erythromycin prescribed and given.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site induration
Clinical narrative: Received vaccines 3/14/03 afternoon, noticed red, warm area the next afternoon/evening. Child has no complaints at all. On exam on 3/17/03, had 5 cm x 5.5 cm warm, indurated area left thigh.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Urticaria
Clinical narrative: Erythema, induration, edema of skin involving 2 x 12 cm distoly of administration site. Erythema extended at medial aspect of forearm and preps right hand. Few hives at abdomen.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site erythema, Pyrexia
Clinical narrative: Immunizations given in office 3/11/03 approx 10:30 AM. Child taken to ER about 103.5 temp; right thigh slightly red on 3/12/03 at 12:09 AM Ibuprofen given. Temp down to 100.6 right before leaving. Only slight fever 100 degrees 3/12/03 all day.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Local redness and swelling involving most of the upper arm and into chest.
Age: 1.0
Sex: M
Vaccine: PNC, PNC
Symptoms: Convulsion, Pyrexia
Clinical narrative: A pediatrician reported that a male child received his fourth dose of Prevnar on 07/31/2002 at 12 months of age.  On 02/20/2003, at 19 months of age, the child developed a fever of 103F, and subsequently experienced a seizure.  He was hospitalized that same day.  Treatment medications included amoxicillin and Flovent.  The child recovered and was discharged on 02/23/2003.  No further information was available at the date of this report. Follow-up information received from the physician on 08May2003 included the pneumococcal isolate serotype. A pediatrician reported that a male child received his fourth dose of Prevnar on 31Jul2002 at 12 months of age. On 20Feb2003, at 18 months of age, the child developed  a fever of 103 deg. F. which led to a seizure. He was hospitalized that same day. A blood culture was performed; S. pneumoniae was isolated. Treatment medications included amoxicillin and Flovent (fluticasone). The child recovered, and he was discharged on 23Feb2003. A blood sample was sent to the CDC for serotyping; the pneumococcal isolate was identified as serotype 7F.
Age: 1.0
Sex: M
Vaccine: PNC, PNC
Symptoms: Febrile convulsion
Clinical narrative: A pediatrician reported that a male child received his fourth dose of Prevnar on 07/31/2002 at 12 months of age.  On 02/20/2003, at 19 months of age, the child developed a fever of 103F, and subsequently experienced a seizure.  He was hospitalized that same day.  Treatment medications included amoxicillin and Flovent.  The child recovered and was discharged on 02/23/2003.  No further information was available at the date of this report. Follow-up information received from the physician on 08May2003 included the pneumococcal isolate serotype. A pediatrician reported that a male child received his fourth dose of Prevnar on 31Jul2002 at 12 months of age. On 20Feb2003, at 18 months of age, the child developed  a fever of 103 deg. F. which led to a seizure. He was hospitalized that same day. A blood culture was performed; S. pneumoniae was isolated. Treatment medications included amoxicillin and Flovent (fluticasone). The child recovered, and he was discharged on 23Feb2003. A blood sample was sent to the CDC for serotyping; the pneumococcal isolate was identified as serotype 7F.
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Discomfort, Injection site erythema, Injection site hypersensitivity, Injection site swelling, Pain
Clinical narrative: Large local reaction to anthrax vaccine #3.  Upper arm is grossly swollen; erythematous, flat, well demarcated patch that is circumfrential around the vaccine site; maximum diameter >10 cm; pt reports itching and some pain; mild muscle disformort and "tingling reported" - because of prior reaction history this dose given shallow IM per DOD recommendations.    Reports similar, but much larger, reaction to vaccination #2 - (FAV 065 - given 13 Jan 2003).
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Paraesthesia, Pruritus
Clinical narrative: Large local reaction to anthrax vaccine #3.  Upper arm is grossly swollen; erythematous, flat, well demarcated patch that is circumfrential around the vaccine site; maximum diameter >10 cm; pt reports itching and some pain; mild muscle disformort and "tingling reported" - because of prior reaction history this dose given shallow IM per DOD recommendations.    Reports similar, but much larger, reaction to vaccination #2 - (FAV 065 - given 13 Jan 2003).
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus, Vaccination complication
Clinical narrative: SYMPTOMS OF AUTOINOCCULATION ON ARM AND FACE OCCURED 35-38 DAYS AFTER INITIAL VACCINATION. INITIALLY, THE PATIENT WAS DIAGNOSED AND TREATED FOR SCABIES ON 3/10/03. IT IS THOUGHT THAT HE MAY HAVE AUTOINOCULATED HIMSELF AT THAT TIME. HIS SCABIES HAS SINCE RESOLVED, BUT FOLLOWING DIAGNOSIS, HIS AUTOINOCCULATION SIGNS DEVELOPED.  HE HAS NOT MISSED ANY WORK DAYS.  SIGNS/SYMPTOMS CONSIST OF 10MM-12MM AREA OF PUSTULES AROUND INITIAL VACCINATION SITE AND PRURITIS.
Age: 38.0
Sex: M
Vaccine: MEN, SMALL, VARCEL
Symptoms: Abdominal pain, Myalgia, Pyrexia
Clinical narrative: Myalgia, fever, abdominal cramping.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: Developed rash on both arms, limited on chest and back.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL, TTOX, YF
Symptoms: Injection site hypersensitivity, Pruritus, Rash erythematous, Skin burning sensation
Clinical narrative: red bumps, itchy, slight burning.
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site vesicles, Pyrexia
Clinical narrative: Acne from eruption began about 11 days post smallpox vaccination. Had fever 8 days post vaccination, resolved with tylenol. ROS negative.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site pustule, Injection site reaction, Rash
Clinical narrative: Pt with 10cm reaction within tattoo on L shoulder. rash, papules & pustules within tattoo area only.
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Pyrexia, Rash pustular
Clinical narrative: Generalized vaccinia rash with occasional pustules, fever.
Age: 38.0
Sex: F
Vaccine: SMALL
Symptoms: Discomfort, Erythema
Clinical narrative: Client had smallpox vaccine administered on 3-6-03 at Health Dept. Take response completed 3-13-03. On 3-15-03 client observed reddened area under arm with some mild discomfort in armpit that was gone after several hours.
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Fatigue, Rash papular
Clinical narrative: Fatigue without fever, chills, numbness, papular eruptions without pruritus over anterior chest and abdomen. Not c/w generalized vaccinia.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Headache, Myalgia, Pyrexia, Rash erythematous, Rash papular
Clinical narrative: Fever, headache, myalgias began seven days post vaccination. Today with ? eruption over R shoulders and chest 50+ erythematous papules. No pruritus.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Rash erythematous, Rash papular, Rash pustular
Clinical narrative: Erythematous papular/pustular-generalized with ? concentration in groin/chest areas where he has shaved hair.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Rash macular, Rash papular, Rash pustular
Clinical narrative: Rash on chest, behind ears, on arms macular/papular with one/two pustules present.
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: Rash
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Vaccination complication
Clinical narrative: Inadvertent innoculation of scrotal/genital area with multiple site.
Age: 20.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Vaginal haemorrhage
Clinical narrative: Pt reported for vaccination on 2/22. Reported an LMP of 2/11. That report was actually vaginal bleeding. Pt discovered to be pregnant approximately 7 weeks on 2/24. Pregnancy outcome unknown.
Age: 34.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site oedema, Injection site reaction, Injection site ulcer, Lymphadenopathy
Clinical narrative: Pt stated day 9, wound swelled-10cm patch of "purple" and 30cm patch of "red." Purple patch resolved redness worsened to cover entire anterior and medial thigh. Pt stated L groin lymphnodes were swollen but resolved yesterday. At 1000 L thigh ulceration 1cm with eschar, 27cm of erythema, pos l linguinal tender lymphadenopathy. At 1200 pt returned with rapidly spreading erythema; medial protion spread 10cm over two hours.
Age: 45.0
Sex: F
Vaccine: SMALL
Symptoms: Chills, Malaise, Pyrexia, Rash macular, Rash papular
Clinical narrative: On 2/24/03 5 days post vaccine-developed fever, chills, malaise. Seven days post vaccine came to clinic with sudden onset of rash that morning macular, papular on arms, legs, neck, small amt. on face. Most intense on trunk. Temp 100 degrees, 2/26/03-rash subsided and pt defervesced over 48 hrs.
Age: 22.0
Sex: M
Vaccine: ANTH, YF
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: PATIENT PRESENTED WITH RIGHT ARM SWELLING AND REDNESS X 2 DAYS. DX WITH REACTION TO ANTHRAX VACCINE. PATIENT TREATED WITH DICLOXACILLIN AND IBUFROFEN. ANCEF 2 GM IV, TORADOL 30 MG IV.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Malaise, Pleuritic pain, Pyrexia
Clinical narrative: 3/20/03-developed temp 102 deg F and worsening pleuritic CP. Was seen in local ER, where below tests were run, started on Ibuprofen 600mg TID and D/C'd home. Today, he's feeling better, but still has malaise, and mild pleuritic chest pain.
Age: 28.0
Sex: M
Vaccine: HEPA, TTOX, YF
Symptoms: Headache, Laboratory test abnormal, Myalgia, Night sweats, Pharyngolaryngeal pain
Clinical narrative: 28yo medical student-vaccinated for travel 3/18/03. On 3/19 developed fever, headache, sore throat, myalgia, fever 103-101. Night sweats. Still symptoms.  Follow up 05/02/2003: "I did recover and now am traveling and have felt well the entire trip.  It seems that the diagnosis is still unclear.  The cultures from the rash showed staph and herpes, not zoster.  The staph may have been a superinfection but the herpes simplex was the oddball.  It appears to have been a primary infection and the cause of my pharyngitis as well.  My doctor did not seem to think it was vaccine related."
Age: 28.0
Sex: M
Vaccine: HEPA, TTOX, YF
Symptoms: Pyrexia
Clinical narrative: 28yo medical student-vaccinated for travel 3/18/03. On 3/19 developed fever, headache, sore throat, myalgia, fever 103-101. Night sweats. Still symptoms.  Follow up 05/02/2003: "I did recover and now am traveling and have felt well the entire trip.  It seems that the diagnosis is still unclear.  The cultures from the rash showed staph and herpes, not zoster.  The staph may have been a superinfection but the herpes simplex was the oddball.  It appears to have been a primary infection and the cause of my pharyngitis as well.  My doctor did not seem to think it was vaccine related."
Age: 57.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site induration, Injection site pustule, Lymphadenitis, Skin striae
Clinical narrative: Day 8. Erythema and induration 10.5 cm, 1/2 inch pustule leaking clear fluid.  Two short streaks of lymphangitis medially.  Inmpression: robust response, rule out bacterial infection, culture pending.
Age: 37.0
Sex: F
Vaccine: HEP, HEPA, SMALL, HEP, HEPA, SMALL
Symptoms: Headache, Musculoskeletal stiffness, Pyrexia, Vomiting
Clinical narrative: Pt rec'd Hep A #1 and Hep B#4 on 2/3/03 and rec'd SPV on 2/4/03. On 3/5/03 was reported to the ER with 3 day history of fever of 103, vomiting, neck stiffness, and headache. She was admitted into the ICU in Hospital where she remained for 3 days.  Received on 03/17/2003: "Patient continues to have extreme fatigue, requiring daily naps.  The fatigue has affected her work and quality of life.  She is unable to participate in family functions with her children.
Age: 37.0
Sex: F
Vaccine: HEP, HEPA, SMALL, HEP, HEPA, SMALL
Symptoms: Fatigue, Headache, Memory impairment, Musculoskeletal stiffness, Neck pain
Clinical narrative: Pt rec'd Hep A #1 and Hep B#4 on 2/3/03 and rec'd SPV on 2/4/03. On 3/5/03 was reported to the ER with 3 day history of fever of 103, vomiting, neck stiffness, and headache. She was admitted into the ICU in Hospital where she remained for 3 days.  Received on 03/17/2003: "Patient continues to have extreme fatigue, requiring daily naps.  The fatigue has affected her work and quality of life.  She is unable to participate in family functions with her children.
Age: 37.0
Sex: F
Vaccine: HEP, HEPA, SMALL, HEP, HEPA, SMALL
Symptoms: Pain, Photophobia, Pyrexia, Vomiting
Clinical narrative: Pt rec'd Hep A #1 and Hep B#4 on 2/3/03 and rec'd SPV on 2/4/03. On 3/5/03 was reported to the ER with 3 day history of fever of 103, vomiting, neck stiffness, and headache. She was admitted into the ICU in Hospital where she remained for 3 days.  Received on 03/17/2003: "Patient continues to have extreme fatigue, requiring daily naps.  The fatigue has affected her work and quality of life.  She is unable to participate in family functions with her children.
Age: 1.1
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MMR, VARCEL
Symptoms: Depressed level of consciousness, Dyspnoea, Hypotonia, Pyrexia, Rash
Clinical narrative: 10 days after shot was given he had a fever of 105.2 and a purple rash all over his forehead neck and 1/2 way down his back.  The nurse told me that because of this I needed to transport him by ambulance to  Hospital.  In the ambulance he had trouble breathing so they administered oxygen. At the hospital, they checked blood and urine and gave him 1 1/2 tsp of Motrin.  All the tests came back clear.  He had NO other symptoms except this high fever and being limp and hard to awaken.  About 45 minutes after taking the motrin, the rash went away, the fever dropped to 101 and he seemed like himself again.  They told me that this was just a "virus", but with NO other symptoms???  I also called his doctor this morning and they would not even let me speak to or give my doctor a message to call me, and they told me too, that this had NOTHING to do with his immunizations.  I believe it did.  I called the CDC and they told me it could definately be from the MMR shot, it takes 10 - 12 days after the shot!! It is now almost 12 hours since the onset of the high fever and he still seems fine with Tylenol and Motrin.
Age: 1.1
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MMR, VARCEL
Symptoms: Viral infection
Clinical narrative: 10 days after shot was given he had a fever of 105.2 and a purple rash all over his forehead neck and 1/2 way down his back.  The nurse told me that because of this I needed to transport him by ambulance to  Hospital.  In the ambulance he had trouble breathing so they administered oxygen. At the hospital, they checked blood and urine and gave him 1 1/2 tsp of Motrin.  All the tests came back clear.  He had NO other symptoms except this high fever and being limp and hard to awaken.  About 45 minutes after taking the motrin, the rash went away, the fever dropped to 101 and he seemed like himself again.  They told me that this was just a "virus", but with NO other symptoms???  I also called his doctor this morning and they would not even let me speak to or give my doctor a message to call me, and they told me too, that this had NOTHING to do with his immunizations.  I believe it did.  I called the CDC and they told me it could definately be from the MMR shot, it takes 10 - 12 days after the shot!! It is now almost 12 hours since the onset of the high fever and he still seems fine with Tylenol and Motrin.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Crying, Screaming
Clinical narrative: Mother brought patient in for 2nd series of shots. States with first series began crying about 2 hrs after immun. administered. He screemed and cried a high-pitched cry continuously until about 11 PM, when he finally fell asleep. He was fine the next morning. Denies any other symptoms was given tylenol.
Age: 2.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: My son broke out with lots of chicken pox all over his body and face on the 7th day from the day the vaccine was administered (3-10-2003).  No fever just severe marks all over.
Age: 13.0
Sex: M
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Pyrexia
Clinical narrative: Large (4 inches in diameter)red, tender, indurated area on left deltoid where PPV 23 given. Temperature elevation of 100.4 F. Seen by medical provider 3/20 and hot packs prescribed with appointment for follow up in one or four days.
Age: 13.0
Sex: M
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Unevaluable event
Clinical narrative: Large (4 inches in diameter)red, tender, indurated area on left deltoid where PPV 23 given. Temperature elevation of 100.4 F. Seen by medical provider 3/20 and hot packs prescribed with appointment for follow up in one or four days.
Age: 41.0
Sex: M
Vaccine: SMALL
Symptoms: Headache, Muscle rigidity, Vomiting
Clinical narrative: Worst headache of life with nuccal rigidity and vomiting culminating 27Feb. Follow up headache and nuccal rigidity resolved 2 March 2003. He was given the vaccination via 15 jabs of bifurcated needle.
Age: 56.0
Sex: M
Vaccine: SMALL
Symptoms: Arthralgia, Chills, Disorientation, Erythema, Fatigue
Clinical narrative: 3/19/03 (Day #14) c/o frontal HA's, neck pain (left and back side). Chills all nite-(didn't not take temp), could not get warm, knee pain (both from mid half to hip). Cold feet, extreme tiredness, shooting pain in both legs ankles to outside of thighs, like muscle pain. Took Tylenol PM on 3/19/03 and was able to sleep. 3/20/03 (Day 15) fever 101.1 at 8:45am. Left work at 10AM. Slept all day. PM fever broke, pain in neck gone. Slightly disoriented and stiff but able to eat in evening-feeling better. 3/21/03 (Day 16) feeling better. Back to work. Blood drawn for Parvovirus. HA's gone. Edema and redness on left ankle and lower leg noted. Pt associates this with yardwork he did on Sat. 3/15/03 when he was cutting down a Brazilian Pepper tree. Right leg and ankle looks good.
Age: 56.0
Sex: M
Vaccine: SMALL
Symptoms: Headache, Musculoskeletal stiffness, Myalgia, Neck pain, Oedema peripheral
Clinical narrative: 3/19/03 (Day #14) c/o frontal HA's, neck pain (left and back side). Chills all nite-(didn't not take temp), could not get warm, knee pain (both from mid half to hip). Cold feet, extreme tiredness, shooting pain in both legs ankles to outside of thighs, like muscle pain. Took Tylenol PM on 3/19/03 and was able to sleep. 3/20/03 (Day 15) fever 101.1 at 8:45am. Left work at 10AM. Slept all day. PM fever broke, pain in neck gone. Slightly disoriented and stiff but able to eat in evening-feeling better. 3/21/03 (Day 16) feeling better. Back to work. Blood drawn for Parvovirus. HA's gone. Edema and redness on left ankle and lower leg noted. Pt associates this with yardwork he did on Sat. 3/15/03 when he was cutting down a Brazilian Pepper tree. Right leg and ankle looks good.
Age: 56.0
Sex: M
Vaccine: SMALL
Symptoms: Peripheral coldness, Pyrexia
Clinical narrative: 3/19/03 (Day #14) c/o frontal HA's, neck pain (left and back side). Chills all nite-(didn't not take temp), could not get warm, knee pain (both from mid half to hip). Cold feet, extreme tiredness, shooting pain in both legs ankles to outside of thighs, like muscle pain. Took Tylenol PM on 3/19/03 and was able to sleep. 3/20/03 (Day 15) fever 101.1 at 8:45am. Left work at 10AM. Slept all day. PM fever broke, pain in neck gone. Slightly disoriented and stiff but able to eat in evening-feeling better. 3/21/03 (Day 16) feeling better. Back to work. Blood drawn for Parvovirus. HA's gone. Edema and redness on left ankle and lower leg noted. Pt associates this with yardwork he did on Sat. 3/15/03 when he was cutting down a Brazilian Pepper tree. Right leg and ankle looks good.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Balance disorder, Vertigo
Clinical narrative: I woke up on that morning and felt like the room was spinning. I went back to sleep for work but could not maintain my balance. I went to the hospital that day, and since then I have the attacks on and off.
Age: 0.2
Sex: M
Vaccine: PNC, PNC, PNC
Symptoms: Petechiae, Platelet count decreased, Thrombocytopenia
Clinical narrative: Parent stated child had PCV-7 on Friday (2/28) and Saturday afternoon they noticed petecchiae and bruising on face and trunk. No fever noted. Symptoms worsened and family took baby to pediatrician. Baby was hospitalized. He was found to have low platelet counts. Child was hospitalized and then transferred. Child received artificial platelets and immune globulin serum. Per father, hospitalized for 5 days. Today 3/10, child is ok. He is to return to MD on 3/11 for follow up blood work. 3/11/03 TC from father stating concerns about liability and was given vaccine compensation phone number. States child is to follow up with hematologist. The follow up received on 7/14/03 states new connection to box 13 (reverts to original VAERs report info). New correction to box 14 OMIT Prevnar. Child did receive the other 4 vax.
Age: 0.2
Sex: M
Vaccine: PNC, PNC, PNC
Symptoms: Contusion, Petechiae, Platelet count decreased
Clinical narrative: Parent stated child had PCV-7 on Friday (2/28) and Saturday afternoon they noticed petecchiae and bruising on face and trunk. No fever noted. Symptoms worsened and family took baby to pediatrician. Baby was hospitalized. He was found to have low platelet counts. Child was hospitalized and then transferred. Child received artificial platelets and immune globulin serum. Per father, hospitalized for 5 days. Today 3/10, child is ok. He is to return to MD on 3/11 for follow up blood work. 3/11/03 TC from father stating concerns about liability and was given vaccine compensation phone number. States child is to follow up with hematologist. The follow up received on 7/14/03 states new connection to box 13 (reverts to original VAERs report info). New correction to box 14 OMIT Prevnar. Child did receive the other 4 vax.
Age: 1.19
Sex: F
Vaccine: DTAP, HBHEPB, MMR
Symptoms: Dehydration, Gastroenteritis, Hypokalaemia, Vomiting
Clinical narrative: Vaccinations given on a Wednesday. Patient began vomiting on Sunday through Thursday. Was taken to the hospital on Monday for dehydration. Released Tuesday; doing fine now. Discharge summary states gastroenteritis, hypokalemia. msv
Age: 0.5
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Constipation, Cyanosis, Gastrointestinal disorder, Infantile spasms
Clinical narrative: Onset of infantile spasms two days after administration.  A 60 day follow up report adds: Pt's EEG has become normal. She responds on ACTH and phenoembiam for seizure. Annual follow up on 04/14/04: "Pt has not recovered from adverse events.  Pt continues on Phinobarbitor for seizure disorder."
Age: 1.4
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Anaphylactic reaction, Choking, Cough, Face oedema, Hypersensitivity
Clinical narrative: After vaccines administered, developed sneezing, coughing, choking, vomiting. In ER, noted to have diffuse urticarial lesions and facial edema. Received Benadryl IV and 2 doses of Secadin. Admitted for observation. Recovered completely. Follow up on 07/31/2003: nothing was put on form. The medical record states anaphylaxis, and an allergic reaction to vaccine.
Age: 1.4
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Skin ulcer, Sneezing, Urticaria, Vomiting
Clinical narrative: After vaccines administered, developed sneezing, coughing, choking, vomiting. In ER, noted to have diffuse urticarial lesions and facial edema. Received Benadryl IV and 2 doses of Secadin. Admitted for observation. Recovered completely. Follow up on 07/31/2003: nothing was put on form. The medical record states anaphylaxis, and an allergic reaction to vaccine.
Age: 0.5
Sex: F
Vaccine: PNC
Symptoms: Haemolytic anaemia, Pneumonia, Pyrexia, Sepsis
Clinical narrative: Fever, pneumonia, empyema and + blood culture. The discharge summary states, "pneumonia, and anemia-hemolytic."
Age: 0.01
Sex: M
Vaccine: HEP
Symptoms: Abdominal pain, Autism, Drug toxicity, Irritability, Psychomotor hyperactivity
Clinical narrative: Severe colic lasting three to four months. Followed by ? problems and fussiness. Later diagnosed with ADHD and PDD. Believed subsequent immunizations exacerbated symptoms. Believe mercury damaged. 60 day follow up states pt has not recovered. ADHD, Pervasive developmental disorder.
Age: 1.0
Sex: F
Vaccine: DTAP, HIBV, MMR, OPV, VARCEL
Symptoms: Abnormal behaviour, Autism, Cognitive disorder, Drug toxicity, Drug withdrawal syndrome
Clinical narrative: Fever, loss of acquired speech, loss of eye contact, loss of normal interest in her environment. Later diagnosed autistic. Believe mercury damaged. 60 day follow up states pt has not recovered. Autism-severe.
Age: 1.0
Sex: F
Vaccine: DTAP, HIBV, MMR, OPV, VARCEL
Symptoms: Pyrexia
Clinical narrative: Fever, loss of acquired speech, loss of eye contact, loss of normal interest in her environment. Later diagnosed autistic. Believe mercury damaged. 60 day follow up states pt has not recovered. Autism-severe.
Sex: M
Vaccine: DTP, HEP, HIBV
Symptoms: Autism, Drug toxicity, Nervous system disorder
Clinical narrative: This report describes the occurrence of autism in a male child of unspecified age who was vaccinated with hep B vaccine recombinant 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 an injection of Engerix B "in or about 1999." He also received injections of hep B vaccine (Recombivax-HB) "in or about 1997," Hib-Titer "in or about 1999," diphtheria and tetanus toxoids and pertussis vaccine "in or about 1997," and Tri-Immunol "in or about 1999." The subject's attorney alleged that "As a result of the mercury in the thimerosal-containing vaccinations received during these developmental years, the subject now suffers and in the future will continue to suffer, fromt he toxic neurological effects of his mercury poisoning, including but not limited to autism." The autism and mercury poisoning in this report are considered medically serious (OMIC).  Follow up on 12/08/03: "The most recent info, received on 11/21/03, did not provide the outcomes of the alleged events.  The autism and mercury poisoning in this report are considered to be medically serious by GSK."
Sex: M
Vaccine: HEP
Symptoms: Autism, Drug toxicity, Nervous system disorder
Clinical narrative: This report describes the occurrence of autism in a male child of unspecified age who was vaccinated with hep B vaccine recombinant 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 an unspecified number of Hib-Titer "in or about 1992 and 1993," diphtheria and tetanus toxoids and pertussis vaccine "in 1992 and 1993," and Tri-Immunol "in or about 1993." The subject's attorney alleged that "As a result of the mercury in the thimerosal-containing vaccinations received during these developmental years, the subject now suffers and in the future will continue to suffer, from the toxic neurological effects of his mercury poisoning, including but not limited to autism." The autism and mercury poisoning in this report are considered medically serious (OMIC).  Follow up on 12/08/03: "The most recent information, received on 11/21/03 did not provide the outcomes of the alleged events.  The autism and mercury poisoning in this report are considered to be medically serious by GSK."
Age: 10.0
Sex: F
Vaccine: HEP
Symptoms: Muscular weakness, Pain
Clinical narrative: Muscle weakness in bilateral upper and lower extremities pain in bilateral upper thighs and forearms. Symptoms occurred approximately 2-3 hours after vaccine given. She had no reactions to first hep B vaccine given 11/4/02.
Age: 33.0
Sex: M
Vaccine: PPV, TD
Symptoms: Injection site induration, Injection site warmth, Pyrexia
Clinical narrative: Fever 101.3 injection/warmth at slight with induration on RUA.
Age: 1.0
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Anorexia, Pyrexia, Rash
Clinical narrative: 2/26 97.5 deg C. A few spots behind ears. A few rashes on stomach Doc Dx-ed reactions she is fine. Temp 102 deg F. No appetite.
Age: 1.7
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Angioneurotic oedema, Urticaria
Clinical narrative: Pt was given DTaP, Hib, IPV, Prevnar on 3/13/03. On 3/14/03 developed hives and angioedema.
Age: 52.0
Sex: F
Vaccine: SMALL
Symptoms: Blood pressure increased, Dizziness, Fatigue, Headache, Hyperhidrosis
Clinical narrative: States low-grade fever, fatigue, ?, blurred vision. Has not felt well last few weeks, extreme fatigue 3/14/03. Called in sick 3/17/03, today acute onset of high BP 170/113, diaphoresis, decreased vision, dizzy, headache, Saw MD with felt it was and vaccine reaction. Orders two more drys (four total) off work.
Age: 52.0
Sex: F
Vaccine: SMALL
Symptoms: Malaise, Pyrexia, Vision blurred, Visual acuity reduced
Clinical narrative: States low-grade fever, fatigue, ?, blurred vision. Has not felt well last few weeks, extreme fatigue 3/14/03. Called in sick 3/17/03, today acute onset of high BP 170/113, diaphoresis, decreased vision, dizzy, headache, Saw MD with felt it was and vaccine reaction. Orders two more drys (four total) off work.
Age: 62.0
Sex: F
Vaccine: SMALL
Symptoms: Headache, Vision blurred
Clinical narrative: Severe headache with blurry vision and photophobia. Had MD visit on 3/10/03 and will see MD 3/12/03. 3/12/03 con't to have increase headache without relief. State: VAERS: HD notified. Will see neurlogist 3/13/03. Client saw PMD. Still symptomatic.
Age: 59.0
Sex: F
Vaccine: SMALL
Symptoms: Headache, Pyrexia
Clinical narrative: 3/12/03. Pt reports headweak, ? by phone (works at clinic). "Feels like back of head will lift off." T 98.5, no relief with any Advil 2-3x ? contacted MD by phone. 3/13/03 con't to have headache. 3/14 headache, going to md.
Age: 4.9
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Large indurated and warm red lesion at immunization site L upper arm.
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA, HIBV, PNC
Symptoms: Urticaria
Clinical narrative: Hives.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Oedema, Pruritus
Clinical narrative: The pt reported edema and itching (3/11). Two hours after administration advised to use OTC Benadryl and Advil. Edema noted on 3/13 at L elbow, shoulder, neck. Improvement by 3/14.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Agitation, Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: Couldn't lift L arm. Swollen x 3 times size of other arm. Hot low T 100.8 crying non stop. Swollen shoulder-elbow red line up neck went to ER.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Oedema, Vasodilation procedure
Clinical narrative: Left arm red, hot, swollen hard, 13 x 13 cm left lateral upper arm, Rocephia 700 mg given IM.
Sex: M
Vaccine: UNK
Symptoms: Erythema, Face oedema, Pain
Clinical narrative: PT states 8 hrs post vax, he developed a part of his lower lip swelled. He had redness and burning. Lasted 48 hrs. No other swelling occurred. No swelling at vax site. He was not seen by reporter (vax provider) at the time, but reporter withheld next dose.
Age: 25.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Chest pain, Dyspnoea
Clinical narrative: Dyspnea, chest tightness, odynopliagia
Age: 23.0
Sex: F
Vaccine: UNK
Symptoms: Injection site oedema, Myalgia
Clinical narrative: Swollen arm at inject site. Achy muscles. 6 to 8 cm across.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: 20 cm red, swollen from above elbow to upper forearm right arm. Motrin 800 mg and Allegra 60 mg prescribed. Recommended premedicate before annual booster.
Age: 19.0
Sex: M
Vaccine: ANTH
Symptoms: Dermatitis acneiform, Headache
Clinical narrative: Developed acneform eruption over ?? LP, neck, chest back - spread face headaches daily that began 1-2 days post vax.
Age: 35.0
Sex: M
Vaccine: ANTH, FLUX
Symptoms: Erythema, Oedema, Vasodilation procedure
Clinical narrative: 2nd Anthrax vax administered ?? at 14:00. Noted to have short swelling 24 hrs later. Presented today with moderated edema/erythema to upper arm from shoulder to elbow. Warmth right = 35 cm, left = 30 cm red arm measure? circulatory/ ?? implement Treated w/steroid, Benadryl.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Herpes zoster
Clinical narrative: Received Anthrax #6 on 1/13/03. Developed herpes zoster 1 wk later.
Age: 19.0
Sex: F
Vaccine: ANTH
Symptoms: Gastroenteritis, Pain, Vomiting
Clinical narrative: Emesis x 4 (1/2 day) after shot (approx 12 hrs later) "Burning" mid arm area, nontender abdomen, hyper BS began 10 mins after shot. Side affect vs. acute gastroenteritis. Second admission in 72 hrs with AGE over last 2 wks. Fluids, phenergan, 24 hr quarters with 48 hrs light duty / rest?.
Age: 26.0
Sex: U
Vaccine: ANTH
Symptoms: Herpes zoster
Clinical narrative: Herpes zoster (2/9/03) 2 wks after anthrax injection
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Blister, Injection site vesicles
Clinical narrative: Vesicular eruption next to inject site and T3 Dermatome
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Injection site induration, Oedema
Clinical narrative: 1/24/02 Right lateral arm: 8.5 x 10 cm edematous / erythematous area of induration. After consult w/allergist - given Tylenol 325 + Zyrtec 10 mg.
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Asthenia, Chest pain, Headache, Laryngospasm
Clinical narrative: "Throat feels like it's closing/tightening" "Very tired" chest pains, headache. "Butterfly feeling" throughout upper body for one week after received Anthrax vax.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema
Clinical narrative: See SS8 from ACC 1/15/03. Redness of face, neck, trunk, ears and ???
Age: 1.5
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Pyrexia, Vasodilation procedure
Clinical narrative: Onset 24 hrs after receiving vax. 3/13/03 - initially rubbing leg with redness & swelling at inject site. Temp 100 deg that PM. 3/14/03 Ant right thigh with swelling, mottled red appearance with warmth.
Sex: F
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Vasodilation procedure
Clinical narrative: Redness, swelling, warmth, tenderness 2 cm2 in area of vax admin left thigh. Rx'd with antibiotics on 3/7/03.
Age: 15.0
Sex: F
Vaccine: TD
Symptoms: Dizziness, Headache, Pharyngitis, Pyrexia, Rash
Clinical narrative: Received Td 2/27/03. On 2/28 developed rash, temp of 102.6, HA, dizziness, sinus congestion, clear mucus, sore throat. Rash gone 3/7. Fever gone 3/4. Sick with rest S/S x 1 week.
Age: 15.0
Sex: F
Vaccine: TD
Symptoms: Sinus congestion
Clinical narrative: Received Td 2/27/03. On 2/28 developed rash, temp of 102.6, HA, dizziness, sinus congestion, clear mucus, sore throat. Rash gone 3/7. Fever gone 3/4. Sick with rest S/S x 1 week.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Rash vesicular
Clinical narrative: Probable mild case of Varicella? 3/17/03
Age: 10.0
Sex: M
Vaccine: HEP
Symptoms: Rash
Clinical narrative: PT recovering from poison ivy. Reported move ? rashes 24 hrs after Help B vax.
Sex: M
Vaccine: HEP, IPV, MMR, VARCEL
Symptoms: Gaze palsy, Injection site reaction, Muscle twitching, Somnolence
Clinical narrative: Mom kept child in waiting room for 15 mins. 30 mins after vax, child became progressively more sleepy and they were unable to awaken him. Ambulance was called, and PT observed in ER for 1 hour. Mom stated child jerked/rolled eyes back just before he could not be awakened. Local reaction at MMR site.
Age: 1.0
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Coma, Convulsion, Dyskinesia, Electroencephalogram abnormal
Clinical narrative: Two hours after receiving vaccines, child was noticed to be shaking arms and legs and not responsive. Subsequently, she had many more of these episodes. Child currently being seen by Pediatric Neurologist and taking Tegretol.
Age: 32.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Complaint of left arm redness and swelling after receiving TD on 3/3/03. Returned on 3/9/03 for check of left arm.
Age: 0.5
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Pt seen in ER on 3/16/03 due to increased fever over the entire weekend. On 3/16/03, had blood and urine cultures done. Temperature of 104.8F (rectally) at ER.
Age: 6.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Mild vesicular rash.
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Thigh swelling 7cm X 9 1/2cm with redness and induration.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Noticed redness and swelling, felt hard and hot to touch. Starting on 3/12/03 at 13:00. Tylenol given for pain.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Pruritus
Clinical narrative: Received DTAP injection on 2/18/03 and returned on 2/21/03 with erythema with itching 11cm X 15cm area. Dx'd with cellulitis and put on Keflex X 7 days and Benadryl.
Age: 1.0
Sex: M
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Pyrexia
Clinical narrative: Temperature of 102F-104F less than 24 hours after injection.
Age: 1.6
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Infection, Rash
Clinical narrative: Pt developed a rash all over her body. Measles.
Age: 90.0
Sex: F
Vaccine: TTOX
Symptoms: Dizziness, Pain
Clinical narrative: Pt describes feeling lightheaded and slightly dizzy. Felt fearful that she would fall. Symptoms began in late afternoon on date of vaccine. Also noted aching in legs and soreness in one shoulder. On 3/19/03, is still having some slight dizziness.
Age: 27.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema, Hypersensitivity, Pruritus
Clinical narrative: Allergic reaction to tape around vaccination site with erythemia and itching eight days after vaccination.  Opsite removed and instructed to cover only with 2x2 gauze and use paper tape.  Also suggested a holiday from dressing and to wear long sleeves.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Laboratory test abnormal
Clinical narrative: Patient presented to Coast Guard Health clinic 12 days after receiving smallpox vaccine with c/o chest pain.  Pain was reproducible upon palpation.  No friction rub or gallop on cardiac exam.  Patient was afebrils and otherwise had no significant complaints.  Cardiac enzymes were sent and the patient was discharged on NSAIDS for presumed costochondritis.  The chest pain resolved after treatment with NSAID.  The cardiac enzymes subsequently came back elevated.  Patient was referred to the ER where repeat cardiac enzymes were also elevated.  EKG was normal.  Echo was normal.  He was admitted for overnight observation.  The following day a stress test was done and that was also normal.  The patient was dicharged later that day in good condition.
Age: 35.0
Sex: F
Vaccine: SMALL
Symptoms: Cellulitis, Injection site infection, Lymphadenopathy, Pain, Pyrexia
Clinical narrative: Bacterial infection of smallpox vaccination site: low grade fever, axillary lymphadenopathy, pain and cellulitis of arm, foul-smelling drainage at vaccination site after vaccination scab came off. All per patient report. Treated with cephalexin 1000 mg BID beginning 3/15/03. Patient has history of frequent infections at different sites in past two years (reported after this event occurred).
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site reaction, Injection site vesicles
Clinical narrative: Generalized red, vesicul0papular rash, otherwise, asymptomatic.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Blood pressure increased, Cow pox, Heart rate increased, Injection site pustule, Injection site reaction
Clinical narrative: 13 days after Smallpox vaccination, he presents with 3 days of fever/chills/malaise/poor appetite/slight spreading of red bumps across arms and chest. Also with decreasing in size but tender lymph nodes in chest/armpit and neck. Chest has bilateral supraclavicular LN; neck + right LAD. Right deltoid 5 X 5 erythematous patch surrounding inoculation site. Scattered multi-sized erythematous papulopustular lesions 2-8mm diameter; few scabbed lesions. Treated with Motrin 800mg, every 8 hours for fever/aches #21; Atarax 25mg 1 every 8 hours for itching #21, rest, contact isolation and follow-up in ED on 2/26/2003. Dx: Generalized vaccinia (mild).
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Malaise, Oral intake reduced, Pain, Pruritus, Pyrexia
Clinical narrative: 13 days after Smallpox vaccination, he presents with 3 days of fever/chills/malaise/poor appetite/slight spreading of red bumps across arms and chest. Also with decreasing in size but tender lymph nodes in chest/armpit and neck. Chest has bilateral supraclavicular LN; neck + right LAD. Right deltoid 5 X 5 erythematous patch surrounding inoculation site. Scattered multi-sized erythematous papulopustular lesions 2-8mm diameter; few scabbed lesions. Treated with Motrin 800mg, every 8 hours for fever/aches #21; Atarax 25mg 1 every 8 hours for itching #21, rest, contact isolation and follow-up in ED on 2/26/2003. Dx: Generalized vaccinia (mild).
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Blood pressure increased, Folliculitis, Injection site pustule
Clinical narrative: 23 year old S/P Smallpox, 13 days ago, now with 2-3 days of pimples of shoulders, neck and chest. Feeling well, no pain, no N/V/D. Chest has scattered punctate pustules 1-2mm surrounding hair follicles; right trapezius papule surrounding hair follicle and scalp has a few scattered 1-2mm papules. Care discussed and is to use non-perfumed soaps, no showering. Use Motrin/Benadryl for any itching. Follow-up with FPC for any problems. Dx: folliculitis.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Injection site nodule, Injection site pustule, Post vaccination autoinoculation, Pruritus
Clinical narrative: 31 year old male with 4 days after Smallpox vaccination, complained of itching but denies scratching. Pt today, noted 2 lesions on chest and shoulders similar to inoculation site. No fevers and no N/V/D. On exam, 6mm erythematous nodule area on deltoid with a small pustular foundation; 3mm erythematous papule over AC joint; linear erythematous area over anterior shoulder at stretch marks between shoulder pectoralis region with no papules, pustules or nodules. No axillary or supraclavicular LN. DX: Autoinoculation with vaccinia. Instructed to take Atarax 10mg 1 every 8 hours for itching. Cover lesions with bandaid only; leave open during the evening. Take Tylenol or Motrin for pain. Follow-up with PCM prn.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Vaccination complication
Clinical narrative: 31 year old male with 4 days after Smallpox vaccination, complained of itching but denies scratching. Pt today, noted 2 lesions on chest and shoulders similar to inoculation site. No fevers and no N/V/D. On exam, 6mm erythematous nodule area on deltoid with a small pustular foundation; 3mm erythematous papule over AC joint; linear erythematous area over anterior shoulder at stretch marks between shoulder pectoralis region with no papules, pustules or nodules. No axillary or supraclavicular LN. DX: Autoinoculation with vaccinia. Instructed to take Atarax 10mg 1 every 8 hours for itching. Cover lesions with bandaid only; leave open during the evening. Take Tylenol or Motrin for pain. Follow-up with PCM prn.
Age: 42.0
Sex: M
Vaccine: SMALL
Symptoms: Eye swelling
Clinical narrative: Left eye swelling and feels like sand in it. Symptoms X 2 days. Eye consult given.
Age: 30.0
Sex: F
Vaccine: SMALL
Symptoms: Headache, Influenza like illness, Nausea, Pain, Pyrexia
Clinical narrative: Missed 2 days of work due to flu-like symptoms with fever, body aches, headache and nausea, on day 8 and 9 of vaccination. Symptoms resolved on day 10.
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Rash pustular, Rash vesicular
Clinical narrative: Pt presents to this facility 3/8/03 w/ diffuse vesicular rash over chest, back, upper arms, neck and scalp approx. one week after vaccination; onset 30 hrs prior to exam. Lesions in various stages of early vesiculation. Pt then referred to hospital for further evaluation. Pustulation of vesiculated areas were observed. Pt was discharged after areas scabbed over. Resolved.
Age: 35.0
Sex: F
Vaccine: SMALL
Symptoms: Fatigue, Injection site erythema, Injection site oedema, Myalgia, Pyrexia
Clinical narrative: One 3/22/03 client noted raised, bumpy rash on Left elbow, Right arm and right side of neck on 3/22/03.  Called Medical Advisor Dr. and referred for evaluation to occupational med facility.  Client stated that she was running a low grade fever.  She experienced muscle aches and fatigue since 3/18.  A 'robust' take with redness and swelling of the left arm noted on 3/20. Client stated that 15 punctures given on 3/11/03.
Age: 35.0
Sex: F
Vaccine: SMALL
Symptoms: Rash erythematous
Clinical narrative: One 3/22/03 client noted raised, bumpy rash on Left elbow, Right arm and right side of neck on 3/22/03.  Called Medical Advisor Dr. and referred for evaluation to occupational med facility.  Client stated that she was running a low grade fever.  She experienced muscle aches and fatigue since 3/18.  A 'robust' take with redness and swelling of the left arm noted on 3/20. Client stated that 15 punctures given on 3/11/03.
Age: 45.0
Sex: M
Vaccine: SMALL
Symptoms: Headache, Migraine, Vision blurred
Clinical narrative: transient blurring of peripheral visual fields with tightness in temporal region.  Fundoscopic exam and CT WNL local neurologist dx'd as migraine headache.  Resolved without sequellae.  No evidence that condition was vaccine related.
Age: 54.0
Sex: F
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: 3/18/03 received smallpox vaccination, 3/20/03 bumps appeared on arm 3/21/03 bumps appeared on chest 3/22/03 bumps appeared on head and mouth
Age: 55.0
Sex: F
Vaccine: SMALL
Symptoms: Coma, Disorientation, Dizziness, Pain, Vomiting
Clinical narrative: Day 4 after vaccination, disorientation, dizziness, L. arm pain, vomiting Day 5 discovered unresponsive in bed, pronounced dead at hospital. No medical treatment other than normal meds in 24 hours prior to death known.
Age: 12.0
Sex: F
Vaccine: TD
Symptoms: Blister, Hypersensitivity, Rash, Thermal burn
Clinical narrative: deep red rash appeared in 48 hours with large blisters which have been confirmed as third degree burns due to an adverse reaction.
Age: 0.08
Sex: M
Vaccine: HEP
Symptoms: Lung disorder, Sudden infant death syndrome
Clinical narrative: SIDS.