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. 2011 Apr;17(4):718–721. doi: 10.3201/eid1704.101316

Table. Cases of laboratory-confirmed secondary and tertiary transmission of vaccinia virus from US military service member, New York, USA, 2010*.

No.† Transmission
type Age, y/sex Exposure
Illness
Underlying risk factors VIG Duration of lesions, wk
Date Source Type Onset Location of lesions
1 Secondary 26/M Feb 27 Military vaccinee Wrestling Mar 1 Face, neck, chest None No ≈3
2 Secondary 24/M Feb 27 Military vaccinee Wrestling ≈Mar 1 Face, neck, chin, eye None No‡ ≈3
3 Tertiary 25/M Mar 5 Case-patient 1 Wrestling Mar 7 Chest, trunk, arm Mild eczema No ≈7
4 Tertiary 29/F After March Case-patient 1 Household Mar 9 Face, mandible, nostril None Yes ≈3

*VIG, varicella immune globulin.
†Case-patient no.
‡Use of VIG not indicated; treated with trifluridine ophthalmic solution (3).