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Case Details (Sorted by Age)

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VAERS ID:198635 (history)  Vaccinated:2003-03-01
Age:20.0  Onset:2003-03-01, Days after vaccination: 0
Gender:Male  Submitted:2003-03-02, Days after onset: 1
Location:Idaho  Entered:2003-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: N/A
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV0700SCLA
Administered by: Military     Purchased by: Military
Symptoms: Diarrhoea, Malaise, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Nausea, diarrhea, vomiting, general malaise. Commenced within 12 hours following vaccination. Treatment: Saline Fluids (1l)Phenergan (25mg IV and Benadryl 50mg IV) Moderate resolution of signs and symptoms.

VAERS ID:198637 (history)  Vaccinated:2003-02-08
Age:20.0  Onset:2003-02-11, Days after vaccination: 3
Gender:Male  Submitted:2003-03-02, Days after onset: 19
Location:Maryland  Entered:2003-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Nexium-40 mg. once a day for GERD. Minocycline 75 mg once daily for face.
Current Illness: none
Preexisting Conditions: GERD
Diagnostic Lab Data: MD''s still testing for possible Crohn''s disease; however the colonoscopy showed normal bowels; Asking to have a 2nd opinion and a gastroenterologist do the work up... He saw that MD on Fri, 3/7 for an evaluation and to decide on what to do.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONS  IMLA
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER  IMLA
Administered by: Other     Purchased by: Unknown
Symptoms: Abdominal pain, Anorexia, Dehydration, Fatigue, Pain, Pallor, Pyrexia, Somnolence, Vomiting
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad)
Write-up: 1/11/03 - Anthrax shot 1. 1/17 & 1/18 - pale looking and tired 1/22 - tired. 1/25/03 - Anthrax shot 2. Started not going to the gym every day; extremely tired; going to bed earlier and sleeping late; did PT in patient''s room - sit-ups, pushups, and extremely tired afterwards. 2/8/03 - Anthrax shot 3. Feb 9 - could not pass any of his PT test and could not understand why; after PT test, he felt sick for several hours; very tired, small appetite. Feb 11 - 4 p.m. extremely tired; 6:30 to 7:00 - no appetite - drank a cup of water and threw it up; 9 p.m. he tried to eat and regurgitated again; abdominal pain throughout the night; every hr to 2 hrs he threw up; gagging; 2 times he had a normal bowel movement. 2/12 - drank cranberry juice in the morning and at 10 a.m. he threw it up; called for an appmt for 13:30 at a local health center; abdominal pain; at 13:30 he went to clinic - he was dehydrated enough they put him on an IV; he also had a slight temperature and constant dull abdominal pain; given Fedradine pain killer; urine test showed that he was dehydrated; blood test was taken and WBC was high at 15; the health clinic sent him to ER at another hospital for possible appendix problem; a CAT scan was done it showed the appendix was ok but there was inflamation in the bowel - small intestine. Had nothing to eat. 2/13 - in hispital - 2 antibiotics were given and his WBC started to go down; tired all day; nothing to eat; no pain except when MD''s pushed on his abdomen (both right & left side); drank 1 gallon of golytly to clean him out for the colonoscopy to be done the next morning on 2/14. Feb 14 - had colonoscopy done, came back to the room and slept, felt fine, ate dinner and drank 3 glasses of juice; went home for several days. Feb 15 - tired. Feb 16 - tired; body aches. Feb 17 - tired; helped his dad shovel snow; came inside and slept. Feb 18 - tired; helped his dad w/the snow, came inside & slept; it hurts to squat. Feb 19 - back to school; tired. 2/20 - 1st time he played his French Horn for a week and he felt

VAERS ID:198604 (history)  Vaccinated:2003-02-20
Age:20.0  Onset:2003-02-21, Days after vaccination: 1
Gender:Male  Submitted:2003-02-24, Days after onset: 3
Location:Georga  Entered:2003-03-03, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAB0671 LA
Administered by: Military     Purchased by: Military
Symptoms: Hypoaesthesia, Pollakiuria
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: For the past 2-3 days, have been using the bathroom more than regularly and my hands feel like they are asleep.

VAERS ID:198657 (history)  Vaccinated:2003-02-19
Age:20.0  Onset:2003-03-03, Days after vaccination: 12
Gender:Male  Submitted:2003-03-03, Days after onset: 0
Location:Unknown  Entered:2003-03-03
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: CT HEAD NORMAL
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH  IDLA
Administered by: Military     Purchased by: Military
Symptoms: Convulsion
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow)
Write-up: SEIZURES, HISTORY OF UNTREATED SEIZURE AS CHILD

VAERS ID:198662 (history)  Vaccinated:0000-00-00
Age:20.0  Onset:0000-00-00
Gender:Male  Submitted:0000-00-00
Location:Ohio  Entered:2003-03-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH   RA
Administered by: Military     Purchased by: Military
Symptoms: Blister
SMQs:, Severe cutaneous adverse reactions (broad), Hypersensitivity (broad)
Write-up: At day 14, small pustule on erythematous base on hands, forearm, elbow.

VAERS ID:198702 (history)  Vaccinated:2003-01-25
Age:20.0  Onset:2003-01-26, Days after vaccination: 1
Gender:Female  Submitted:2003-01-31, Days after onset: 5
Location:New York  Entered:2003-03-04, Days after submission: 32
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Slight URI at time of vax
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV0711SC 
Administered by: Other     Purchased by: Military
Symptoms: Injection site mass, Oedema, Vasodilation procedure
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)
Write-up: 2nd anthrax injection given on 1/25/03 in right arm. PT has redness and slight swelling from mid-arm to the elbow. Lymph nodes in armpit tender. Moderate hard know at site.

VAERS ID:198796 (history)  Vaccinated:2003-02-02
Age:20.0  Onset:2003-02-23, Days after vaccination: 21
Gender:Female  Submitted:2003-03-04, Days after onset: 9
Location:New Jersey  Entered:2003-03-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH40200710  
Administered by: Military     Purchased by: Military
Symptoms: Erythema, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Red spots (looked like ring worm) all over, my neck, back and chest. Occurred three weeks after vaccination, scab still present. Fifth week and spots appear larger and more abundant, scab still present, no treatment.

VAERS ID:198858 (history)  Vaccinated:2003-02-10
Age:20.0  Onset:2003-02-18, Days after vaccination: 8
Gender:Male  Submitted:2003-03-04, Days after onset: 14
Location:California  Entered:2003-03-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV0710SCLA
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH40200710  
Administered by: Military     Purchased by: Military
Symptoms: Cow pox, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: mild generalized vaccinia, complaints of one day of multiple red spots (0.5cm)on chest.

VAERS ID:198870 (history)  Vaccinated:2001-09-17
Age:20.0  Onset:2001-09-17, Days after vaccination: 0
Gender:Female  Submitted:2002-02-06, Days after onset: 142
Location:Indiana  Entered:2003-03-05, Days after submission: 392
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Sumycin, Retina
Current Illness: NONE
Preexisting Conditions: Acne
Diagnostic Lab Data:
CDC 'Split Type': U200200065
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEN: MENINGOCOCCAL (MENOMUNE)AVENTIS PASTEURUA444AA SCLA
Administered by: Other     Purchased by: Other
Symptoms: Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: It was reported that a 20 y.o. female PT received a Menomune A/C/Y/W-135 vax, administered SC in her left arm on 9/17/01 at 7 p.m. At 8:45 p.m. that same evening the PT started itching w/hives on right hand, wrist, neck itching. Benadryl 50 mg per oral was given at 9:05 p.m. Reportedly the PT recovered from this experience.

VAERS ID:198943 (history)  Vaccinated:2003-02-02
Age:20.0  Onset:2003-02-12, Days after vaccination: 10
Gender:Male  Submitted:2003-03-06, Days after onset: 22
Location:Unknown  Entered:2003-03-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH    
Administered by: Military     Purchased by: Military
Symptoms: Erythema multiforme, Injection site erythema, Rash
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Rash, over body/trunk with erythema around site, approx 9-10 post-vaccination a/p: erythema multiforme, given allegra with resolution in 4-5 days

VAERS ID:198948 (history)  Vaccinated:2003-01-31
Age:20.0  Onset:2003-02-10, Days after vaccination: 10
Gender:Male  Submitted:2003-03-06, Days after onset: 24
Location:Unknown  Entered:2003-03-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH40200710  
Administered by: Military     Purchased by: Military
Symptoms: Blister, Dermatitis contact, Injection site erythema, Injection site induration, Malaise, Pain, Pruritus, Pyrexia, Rash, Rash maculo-papular, Vaccinia
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: In early Jan, he was seen in clinic and felt to have a mild contact dermatitis with rash restricted to lateral sides of chest and flanks. He was given some kenalog cream and 5 days of oral prednisone (10 mg per day) and he had complete resolution. He has not had a recurrence of this problem. He had no h/o atopic dermatitis or eczema in the past. He received his primary smallpox vaccination on 30 January 2003 (3 jabs to right deltoid). He did not develop any systemic symptoms and presented on 8 February for site check. He reported no symptoms except for local itching and he had a major reaction manifest as some local redness, induration and a whitish blister. He presented to clinic on 13 Feb for eval of rash in his groin. He stated onset of lesions was 3 days previous (10 Feb) but he denied pruritis, fevers, pain, or malaise. He has not been sexually active. Examination of his primary site revealed a nicely formed eschar. He had a significant macular-papular eruption of many lesions in his pubic area, some with early pustular formation. There were a few scattered lesions over lower abd/supra-pubic area and at his proximal penis. Because of extent of number of lesions, we thought this was more likely a regional vaccinia rather than an autoinoculation. However, we had seen about 10 cases of macular-papular rashes after vaccination, all resolved in a few days. The patient returned for re-examination the next day (14 Feb), and lesions had already progressed to become more umbilicated and pustular. Photos were taken. No treatment given since he was asymptomatic. He followed up in clinic on 23 Feb and lesions had formed scabs/eschars and it was apparent this was a regional vaccinia. On 26 Feb 03, he returned to clinic again. The initial pubic area lesions again revealed good scabs/eschars. In addition, there were a few newer lesions in the supra-pubic area and on proximal thighs. Patient reported intermittent b

VAERS ID:198949 (history)  Vaccinated:2003-02-17
Age:20.0  Onset:2003-02-27, Days after vaccination: 10
Gender:Male  Submitted:2003-03-06, Days after onset: 7
Location:California  Entered:2003-03-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: UNKNOWN
Diagnostic Lab Data: NO LABS
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH40200710IDUN
Administered by: Military     Purchased by: Military
Symptoms: Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: FEVER. PATIENT WAS TREATED WITH IBUPROFEN.

VAERS ID:198965 (history)  Vaccinated:2003-01-21
Age:20.0  Onset:2003-02-01, Days after vaccination: 11
Gender:Female  Submitted:2003-03-06, Days after onset: 33
Location:California  Entered:2003-03-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: UNKNOWN
Preexisting Conditions: UNKNOWN
Diagnostic Lab Data: NO LABS.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH40200710IDUN
Administered by: Military     Purchased by: Military
Symptoms: Vaccination complication
SMQs:
Write-up: SMALLPOX VACCINE IN EYES BILATERALLY. MILIA BILATERAL EYES. TREATED WITH TOPICAL HYDROCORTIZONE 1%. PATIENT REFERRED TO OPTHAMOLOGY FOR FURTHER EVALUATION.

VAERS ID:198974 (history)  Vaccinated:2003-02-15
Age:20.0  Onset:2003-02-22, Days after vaccination: 7
Gender:Male  Submitted:2003-03-06, Days after onset: 12
Location:California  Entered:2003-03-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: UNKNOWN
Preexisting Conditions: UNKNOWN
Diagnostic Lab Data: TISSUE BIOPSY: EPIDERMAL NECROSIS WITH KERATINOCYTE BALLOONING DEGENERATION. FINDINGS CONSISTENT WITH VACCINIA VIRUS INFECTION.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH40200710IDUN
Administered by: Military     Purchased by: Military
Symptoms: Blister, Dermatitis bullous, Dizziness, Erythema, Headache, Malaise, Necrosis
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: SMALLPOX LESIONS ON BACK. ADVERSE REACTION TO SMALLPOX VACCINE. PATIENT REFERRED TO DERMATOLOGY. NO TREATMETN GIVEN. PT DEVELOPED TWO DISCRETE VISICLES WITH 1MM RIM OF ERYTHEMA ON BACK MEASURING 5MM IN DIAMETER WITH DIFFUSE BODYWIDE ERYTHEMA, MALAISE, DIZZINESS AND HA.

VAERS ID:198977 (history)  Vaccinated:2003-02-20
Age:20.0  Onset:2003-02-27, Days after vaccination: 7
Gender:Female  Submitted:2003-03-06, Days after onset: 7
Location:California  Entered:2003-03-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: UNKNOWN
Preexisting Conditions: UNKNOWN
Diagnostic Lab Data: NO LABS COMPLETED.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH40200710IDRA
Administered by: Military     Purchased by: Military
Symptoms: Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: PATIENT HAD SWEELING TO RIGHT ARM. PAITNET TREATED WITH DIPHENHYDRAMINE 25 MG PO.

VAERS ID:199047 (history)  Vaccinated:2003-02-02
Age:20.0  Onset:2003-02-10, Days after vaccination: 8
Gender:Male  Submitted:2003-03-02, Days after onset: 20
Location:New York  Entered:2003-03-07, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: DENIES
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV0710SC 
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH40200710 LA
Administered by: Military     Purchased by: Military
Symptoms: Dizziness, Fatigue, Headache, Oedema, Oedema peripheral, Pyrexia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Vestibular disorders (broad)
Write-up: 8 days post smallpox vax, PT experienced high fever, dizziness, and headache x 8 days. PT extremely fatigued x 2 days. Swollen tongue, hands, feet, joints, glands, went to ER but not admitted.

VAERS ID:199056 (history)  Vaccinated:2003-02-28
Age:20.0  Onset:2003-03-05, Days after vaccination: 5
Gender:Female  Submitted:2003-03-07, Days after onset: 2
Location:West Virginia  Entered:2003-03-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: unk
Preexisting Conditions: unk
Diagnostic Lab Data: DFA for varicella and herpes was negative; testing for vaccinia at Medical Center was positive by IFA method..
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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SMALL: SMALLPOX (DRYVAX)PFIZER/WYETHUNK SCUN
Administered by: Military     Purchased by: Military
Symptoms: Infection transmission via personal contact, Pain, Rash pruritic, Skin ulcer
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: husband in military vaccinated on Friday, February 28. Patient slept with husband (hedid not have a dressing on), and developed nasal and ulcer, crusts, itching, pain on 3/5. See by Dr. (ID specialist) on 3/6. treated symptomatically and is being followed daily.

VAERS ID:199127 (history)  Vaccinated:2003-01-30
Age:20.0  Onset:2003-02-03, Days after vaccination: 4
Gender:Male  Submitted:2003-02-13, Days after onset: 10
Location:California  Entered:2003-03-10, Days after submission: 25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH40200710 LA
Administered by: Military     Purchased by: Military
Symptoms: Injection site hypersensitivity, Pruritus, Vaccination complication
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Patient presents with 6 raised, round lesions adjacent to smallpox vaccination site. Lesions have no pustules. Patient complains of severe itching.

VAERS ID:199128 (history)  Vaccinated:2003-02-22
Age:20.0  Onset:2003-03-03, Days after vaccination: 9
Gender:Male  Submitted:2003-03-03, Days after onset: 0
Location:Oklahoma  Entered:2003-03-10, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH4020071   
Administered by: Military     Purchased by: Military
Symptoms: Rash pruritic
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Pruritic rashes all over the body about 7 hours prior to consultation ( today is 3/3/2003 ). Presence of rash on the extremities (upper and lower) and trunk. Smallpox vaccine given on 2/22/2003. Treated by Dr. with Sarna Topical Lotion to be applied as needed. Oral antihistamine given at the ER this AM.

VAERS ID:199156 (history)  Vaccinated:2003-02-27
Age:20.0  Onset:2003-03-01, Days after vaccination: 2
Gender:Female  Submitted:2003-03-03, Days after onset: 2
Location:Ohio  Entered:2003-03-11, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV0711SC 
Administered by: Military     Purchased by: Military
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Red area surrounding vaccination site x 3; pt describes as "warm and hard" surrounding vaccine site. Seen at ER.

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