From communications, with which I have been favoured from Dr.
Pearson, who has occasionally reported to me the result of his
private practice with the vaccine virus in London, and from Dr.
Woodville, who also has favoured me with an account of his more
extensive inoculation with the same virus at the Smallpox
Hospital, it appears that many of their patients have been
affected with eruptions, and that these eruptions have maturated
in a manner very similar to the variolous. The matter they made
use of was taken in the first instance from a cow belonging to
one of the great milk farms in London. Having never seen
maturated pustules produced either in my own practice among those
who were casually infected by cows, or those to whom the disease
had been communicated by inoculation, I was desirous of seeing
the effect of the matter generated in London, on subjects living
in the country. A thread imbrued in some of this matter was sent
to me, and with it two children were inoculated, whose cases I
shall transcribe from my notes.
Stephen Jenner, three years and a half old.
3d day: The arm shewed a proper and decisive inflammation.
6th: A vesicle arising.
7th: The pustule of a cherry colour.
8th: Increasing in elevation. A few spots now appear on each arm
near the insertion of the inferior tendons of the biceps muscles.
They are very small and of a vivid red colour. The pulse natural;
tongue of its natural hue; no loss of appetite or any symptom of
indisposition.
9th: The inoculated pustule on the arm this evening began to
inflame, and gave the child uneasiness; he cried and pointed to
the seat of it, and was immediately afterwards affected with
febrile symptoms. At the expiration of two hours after the
seizure a plaster of ung. hydrarg. fort, was applied, and its
effect was very quickly perceptible, for in ten minutes he
resumed his usual looks and playfulness. On examining the arm
about three hours after the application of the plaster its
effects in subduing the inflammation were very manifest.
10th: The spots on the arms have disappeared, but there are three
visible in the face.
11th: Two spots on the face are gone; the other barely
perceptible.
13th: The pustule delineated in the second plate in the Treatise
on the Variolae Vaccinae is a correct representation of that on
the child's arm as it appears at this time.
14th: Two fresh spots appear on the face. The pustule on the arm
nearly converted into a scab. As long as any fluid remained in it
it was limpid.
James Hill, four years old, was inoculated on the same day, and
with part of the same matter which infected Stephen Jenner. It
did not appear to have taken effect till the fifth day.
7th: A perceptible vesicle: this evening the patient became a
little chilly; no pain or tumour discoverable in the axilla.
8th: Perfectly well.
9th: The same.
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