chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Syncope vasovagal
Clinical narrative: 9:30am 06/17/02 pt received hep B vaccine 2nd dose. Pt became nauseated, pale, diaphoretic, hypotensive and dizzy. Epipen 0.3mg auto-injection given left thigh at 9:35am and rescue was called as "ordered" by doctor. BP returned to WNL; color returned, no nausea or dizziness. ER MD felt it was a vasovagal reaction.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Hallucination, Pyrexia, Vomiting
Clinical narrative: Pt seen in clinic 06/13/02 10:00 for well check. Given immunization fever stated at 20:00. Hallucinations started at 23:00 seeing bugs on the wall and water flowing. Fever of 103, vomiting. Emesis X1. Fever lasted for a few hours. Awaken at 0100 with hallucinations again seeing people grabbing her. Child had dose of Tylenol and Motrin earlier in evening. Pt taken to ER at 01:15, observed until 04:00 then dismissed.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Crying, Screaming
Clinical narrative: Persistent crying for at least three hours without being able to console.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Pyrexia, Rash maculo-papular
Clinical narrative: Localized induration and redness right deltoid, generalized maculopapular rash, low grade fever. Benadryl, Tylenol, ice.
Age: 0.7
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site reaction
Clinical narrative: Day of shot, DTAP leg was slightly red. Tuesday mother did not notice anything. Wednesday AM mother noticed right leg swollen, red, and sore. She had her doctor look at it and he said the pt had a local reaction. Leg now back to normal-no residual symptoms.
Age: 2.4
Sex: M
Vaccine: DTAP, HEP, HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site reaction, Injection site warmth
Clinical narrative: Local reaction to DTaP #4 given in right arm on 06/04/02 approx. 8 x 4cm redness, warmth. Follow-up 06/08/02.
Age: 1.25
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema, Pallor
Clinical narrative: 13.5 x 11cm swelling/erythema at central blueness and paleness. Picture attached.
Age: 2.08
Sex: F
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: Urticaria rash on face, arms started post receving hep A vaccine.
Age: 29.0
Sex: F
Vaccine: TD
Symptoms: Injection site pain, Musculoskeletal stiffness, Neck pain, Rash
Clinical narrative: Given TD booster following injury to her foot, stepped on a nail. the evening she received the shot she report developing a hive like rash on her left cheek and then the following on below her right eye also very sore arm on right with right neck stiffness pain, symptoms resolving by 06/06/02.
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Pyrexia
Clinical narrative: 6hr post immunization fever 101 x 3 days no other symptoms.
Age: 35.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Nausea, Pain
Clinical narrative: About 3 days after shots, client felt mild bone pain in back, which spread over time to feet, hands, legs, arms, & throughout body.  Pain also worsened.  She called the LHD about 1 week after the shots & was told it was not from the shots.  She went to her doctor.  The nurses there said it was not from the shots, but the doctor said it was definitely arthritis from the shots and probably from having A & B together.  He put her on Vioxx & it took her about 3 weeks to improve.  She had the 2nd Hep B, with reservations, on 6/26/01 (same manufacturer & lot#) at the same health dept.  The nurses there told her to take Vioxx again if symptoms recurred.  Client had the same reaction, but milder, and took Vioxx again.  Second HepA (Merck, #0244L) & third HepB (GSK, #5236A4) given on 12/3/01.  Pain worsened during winter (client stated probably due to the cold), and decreased with warmer weather.  Currently, pain comes & goes in her back, but persists in her L hand so that she can't grip anything with that hand.  Client now takes Advil as needed, which is "quite often."  Pain worsens with activity, such as yard work.  Knees have not been affected.  Client also experienced "pretty bad nausea" after first set of shots. (NOTE: Injection sites listed in #13 may be opposite, but one shot was given in each arm). The 60 day follow-up states that the client states currently she is doing "quite well" and is without pain. However the pain in her L hand persisted quite badly throughout July 2002. Pain "flare up" with weather/barometer changes. She is concerned about how it will feel in the upcoming winter weather.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Pain, Tinnitus
Clinical narrative: Tinnitus and LLE pain post anthrax #1. After anthrax #1, pt experienced left sided tinnitus which resolved in approximately 2 weeks. This symptom did not occur after his 2nd and 3rd anthrax vaccination. He continues to be symptom free, state that his commercial airline physical in June 2001 showed no signs of hearing loss. Following anthrax vaccination #2, pt experienced pain in his LLE. An MRI showed an osteochondral lesion at the posterior aspect of the lateral femoral condyle. Pt states that he only experiences this pain when performing heavy weight lifting exercises at the gym. He stated that by avoiding this type of activity, he is able to remain pain free.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, DTAP, HIBV, IPV
Symptoms: Irritability, Lethargy, Musculoskeletal stiffness, Pyrexia
Clinical narrative: Unconsoleable crying x 3-4 hrs temp 101 lethargy x 3 days. Clinic was closed for day when symptoms were noted. Called her physician. Doctor gave next dose in his office with similar reaction. Pt came to clinic for 3rd immunization DTaP held per doctor. Pt's mother reported 01/23/02 reaction.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, DTAP, HIBV, IPV
Symptoms: Crying, Lethargy, Pyrexia, Screaming
Clinical narrative: Unconsoleable crying x 3-4 hrs temp 101 lethargy x 3 days. Clinic was closed for day when symptoms were noted. Called her physician. Doctor gave next dose in his office with similar reaction. Pt came to clinic for 3rd immunization DTaP held per doctor. Pt's mother reported 01/23/02 reaction.
Age: 0.53
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Apnoea, Decreased appetite, Drug toxicity, Lethargy
Clinical narrative: 36-40hrs after immunization he started having poor feeding and lethargy. He was taken to ER-CT and blood work. He then went apneic and was intubated. Since then it has been determined that he had botulism. He continues to be on the ventilator and is receiving supportive care. The 60 day follow-up states that the pt is still hospitalized in rehab unit. Slight improvement but probable continued rehab unit for few more months. Botulism, non-infantile. The follow up received on 7/17/03 states botulism, non-infantile type.
Age: 58.0
Sex: M
Vaccine: ANTH
Symptoms: Bursitis, Fatigue, Pain, Tinnitus
Clinical narrative: Right shoulder pain continues from time of shot to present. No has migrated to right arm and hand. Tinnitus continues at a level 6/10 and unresolving fatigue. Right subacromial bursitis. Pain has increased since last seen in 2001. Has pain when raises right arm; pain awakens him from sleep if he rolls on affected side, pain includes right hand and 1st finger. Takes no medication. tinnitus-rates intensity at 6/10, which increased immediately after receiving AVA #2.
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site pain, Injection site reaction, Injection site warmth
Clinical narrative: Anthrax #2 large local reaction 95mm x 100mm, erythema and warm to touch. Pt also had local reaction to #3 anthrax but half the size, even with pre-tx. 24hrs post anthrax#2, left arm had sore burning, itching and pain immediately afterwards. No fever, chills, NGV, no throat swelling or SOB, no hives or generalized pruritus, no PMH. Cloelasol, Allegra, Motrin, given.
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Pruritus
Clinical narrative: Anthrax #2 large local reaction 95mm x 100mm, erythema and warm to touch. Pt also had local reaction to #3 anthrax but half the size, even with pre-tx. 24hrs post anthrax#2, left arm had sore burning, itching and pain immediately afterwards. No fever, chills, NGV, no throat swelling or SOB, no hives or generalized pruritus, no PMH. Cloelasol, Allegra, Motrin, given.
Age: 21.0
Sex: F
Vaccine: ANTH
Symptoms: Abdominal pain, Constipation, Hypothyroidism, Rhinitis allergic
Clinical narrative: Hypothyroidism-symptoms started in September 1998, 2 months after the first dose of anthrax. Diagnosed May 2000 by labs and radioiodide thyroid uptake scan. August 2001: pt continues to experience daily cold intolerance and constipation, having a bowel movement approximately once a week. She has managed to lose approximately 10lbs by exercising, going from 143lbs. to 132 lbs. She is currently under ongoing evaluation by the gasteroenterology service. Perennial allergic rhinitis. chronic idiopathic abdominal pain. A follow up report received 6/26/2003 adds: Since her last VAERS report, pt's symptoms of fatigue have resolved. Her difficulty with concentration has improved significantly. She denies cold intolerance or constipation. She continues to have problems with unexplained weight fluctuations. She has not followed with Endocrinology regarding her hypothyroidism, but was urged to do so. Continues to get occasional "dark spots" on her skin "now and again" but has not had dermatologic evaluation. She has not received anthrax vaccine #6 at this time.
Age: 27.0
Sex: F
Vaccine: ANTH
Symptoms: Arthralgia, Fatigue, Hearing impaired
Clinical narrative: Joint pain, fatigue and "tunnel hearing" post each of four anthrax shots. She has been evaluated by the rheumatology service as well as locally for the arthralgias. At the time of evaluation (after the 4th shot) she was no longer experiencing the fatigue or "tunnel hearing" but continued to experience arthralgias. Pt states that the arthralgias subsided early in the summer of 2000, but could not be certain of an exact date. She also stated she was not entirely sure her symptoms were solely caused by the anthrax vaccine that she has no reservations about receiving her next dose.  A follow up report received 6/23/2003 adds: Continues to experience the following chronic problems: Chronic arthralgias - no change as far as intensity, locatino or quality of pain. Does not require medication, except for occasional Tylenol; Fatigue - has never completely resolved. Says she has just learned to "deal with it"; "tunnel hearing" - has never completely resolved. None of the above symptoms interfere with job functioning or activities of daily living. Pt received Anthrax #5 in April 2003. She pretreated with Ibuprofen 800 mg TID two days prior to the vaccination, and continued on Ibuprofen for 7 days after the vaccination, without an exacerbation of symptoms. Pt denies any new chronic symptoms or health problems.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Abnormal behaviour, Convulsion, Decreased appetite, Diarrhoea, Gastrointestinal disorder
Clinical narrative: Refusal to eat solid foods started in July 2000-June 2001. Unable to sleep for more than 3-4 hrs at a time (previously slept throught he night) this began in July 2000 until February 2002. Chronic diarrhea began in October 2000 and lasted until June 2001 when we began a Gluten and casein free diet. Fine motor skills ceased to continue to develop beginning in July of 2000 until September 2001. Occupational therapy for treatment. In July 2000 speech ceased to continue to develop. Speech problems continue today. Speech therapy for treatment. Sensor issues became obvious in August 2000 and continue to a mild degree today. Occupational therapy for treatment. In April 2002 the measles virus was found in pt's spinal fluid. No treatment known for this. The 60 day follow up received on 7/24/03 states seizures, chronic measles virus in brain, continued behavioral problems, GI problems. This is a chronic life long illnes. No cure. Life expectancy could be compromised due to MMR.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Hypokinesia, Laboratory test abnormal, Sensory disturbance, Sleep disorder, Speech disorder
Clinical narrative: Refusal to eat solid foods started in July 2000-June 2001. Unable to sleep for more than 3-4 hrs at a time (previously slept throught he night) this began in July 2000 until February 2002. Chronic diarrhea began in October 2000 and lasted until June 2001 when we began a Gluten and casein free diet. Fine motor skills ceased to continue to develop beginning in July of 2000 until September 2001. Occupational therapy for treatment. In July 2000 speech ceased to continue to develop. Speech problems continue today. Speech therapy for treatment. Sensor issues became obvious in August 2000 and continue to a mild degree today. Occupational therapy for treatment. In April 2002 the measles virus was found in pt's spinal fluid. No treatment known for this. The 60 day follow up received on 7/24/03 states seizures, chronic measles virus in brain, continued behavioral problems, GI problems. This is a chronic life long illnes. No cure. Life expectancy could be compromised due to MMR.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Convulsion
Clinical narrative: After 48hrs of immunization child had a seizure and was admitted for 24hrs. Observationwithout any further seizure during admission.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia, Respiratory rate increased
Clinical narrative: 06/18/02 fever 101.5, rapid breathing at 11pm. Taken to ER for eval.
Age: 1.0
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: After two hours right thigh edema, erythema surrounding injection site. In 48hrs edema extending toward knee with erythma surrounding site and back of leg at leg approx 1" > leg. Treated with Augmentin and improved.
Age: 0.7
Sex: M
Vaccine: PNC
Symptoms: Discomfort, Irritability, Lethargy, Nasal congestion, Pyrexia
Clinical narrative: My son had high feve 102.4 early the following morning. 2am approximately 12 hrs after shot, nasal congestion, lethargy, glassy eyes, irritability and discomfort. Fever lasted 5-6 days and went up/down. Administered Advil suspension for fever/discomfort. Took to doctor 2x. Doctor diagnosis-fever w/unknown etiology. Fever disappeared after five days. No follow-up with pediatrician needed.
Age: 0.7
Sex: M
Vaccine: PNC
Symptoms: Staring
Clinical narrative: My son had high feve 102.4 early the following morning. 2am approximately 12 hrs after shot, nasal congestion, lethargy, glassy eyes, irritability and discomfort. Fever lasted 5-6 days and went up/down. Administered Advil suspension for fever/discomfort. Took to doctor 2x. Doctor diagnosis-fever w/unknown etiology. Fever disappeared after five days. No follow-up with pediatrician needed.
Age: 37.0
Sex: F
Vaccine: ANTH
Symptoms: Chills, Headache, Injection site erythema, Injection site warmth, Myalgia
Clinical narrative: About 9hrs post immunization, I awoke with chills, muscle ache, headache, nausea. I had a large welt with redness in a diffuse area where the shot was given. It is still hot to the touch with redness three days post shot.
Age: 37.0
Sex: F
Vaccine: ANTH
Symptoms: Nausea, Urticaria
Clinical narrative: About 9hrs post immunization, I awoke with chills, muscle ache, headache, nausea. I had a large welt with redness in a diffuse area where the shot was given. It is still hot to the touch with redness three days post shot.
Age: 0.3
Sex: M
Vaccine: HIBV
Symptoms: Abscess, Anorexia, Eye disorder, Pyrexia
Clinical narrative: Abcess following HIB lot #1136L. Fever 99.1, loss of appetite, goopy eyes.
Age: 5.2
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Pt developed redness and swelling around injection site of DTaP on right leg size 4x5inches on right thigh.
Age: 0.5
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Localized redness and swelling.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Oedema, Urticaria
Clinical narrative: Pt developed hives and swelling in his mouth within 30 mins following hep B injection. No more info after many attemps could not get mother to return my call to obtain more info.
Age: 1.4
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Pyrexia, Vomiting
Clinical narrative: Immunizatins given 06/05/02 am. Mother called 06/06/02 and stated that child woke around 2:30am and vomited once then vomited x 3 during the day. Slight temp-maybe. Didn't seem to have any pain, no rash and wanting to eat. 06/07/02 2:15pm, spoke with mother/phone, child has no more vomiting, no temp, feeling fine and very active.
Age: 1.75
Sex: F
Vaccine: TTOX
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pyrexia
Clinical narrative: 06/04/02, vaccine given at 10am in well-child clinic. Tylenol and cold compresses used alter that evening. 06/05/02 T. 103, swelling left deltoid elevated temp cont. all day. Parent contacted ER-no visit. 0606/02 parent contacted health dept-encouraged to got o ER. Inst. to apply H2O2 left deltoid with swelling reddish purple hot to touch per parent.
Age: 34.0
Sex: M
Vaccine: TD
Symptoms: Dizziness, Muscle spasms, Pyrexia
Clinical narrative: 06/07/02 client called c/o feeling crampy all over, dizzy and fingers locking up. Thought he may have had some fever, but had not taken temp. Advised him to see a doctor or go to ER.
Age: 1.25
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Erythema, Rash maculo-papular
Clinical narrative: Rash on body, macular papules, erythema, papules in groin. Duricef po.
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Chest discomfort, Dyspnoea, Hypoventilation
Clinical narrative: Chest tightness and shortness of breath especially with exerbation x 2 days. Alert, NAD RR=8 shallow, afebrile, HR 100-104 regular, chest clear to ausc. no wheezes. Cor with SE.
Age: 51.0
Sex: F
Vaccine: MMR
Symptoms: Erythema, Feeling hot, Pruritus, Rash
Clinical narrative: 11/21/01 employee came to employee health office and stated she develoepd a rash on her neck and fast last Sunday and had now progressed to her chest, back, BUE's except palms and more faintly on BLE's. Rash is reportedly pruritic, hot, nonraised and reddish without open areas. Emploee saw doctor on this am for rash. Referred to FNP for consult. Saw FNP with assessment documented with "non-specific UH care." Put on Prednisone withdiscussion hydrocortisone cream and oatmeal baths . Potential allergic reaction.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Pruritus, Rash
Clinical narrative: Rash all over body with itching same day, three doses of Benadryl given by mother.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site oedema, Injection site reaction
Clinical narrative: Left leg swollen, red 2cm x 1, induration 4cm x 4cm x 48 hrs after injection. Pt started on Augmentin BID x 10 days. No fever noted at visit. Pt stable no lymphadenopathy. Cellulitis.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Abscess
Clinical narrative: Sterile abscess right thigh after Comvax.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Anorexia, Pharyngolaryngeal pain, Pyrexia, Rash, Sleep disorder
Clinical narrative: Mother states 3 hrs after IZ child had fever, sore throat, rash right and left arm, right knee, face, ears, chest-took child to ER  5 hrs later. Refused dinner, restless sleeping, ER felt reaction was not due to IZ's-order Benadryl-mother did not follow orders. Given instruction to follow ER instruction from hospital.
Age: 12.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Dizziness, Hyperhidrosis, Syncope
Clinical narrative: Pt c/o dizziness walking to car, mom states pt became weak, syncope-assist pt back to office. Pt weak, assisted to floor, BP 76/4, HR 76 mild diaphoresis noted.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Has varicella, just started breaking out these last 2-3 days.
Age: 61.0
Sex: M
Vaccine: PPV
Symptoms: Pain, Rash, Urticaria
Clinical narrative: Pt c/o rash/hives/pain at site given on day prior to c/o's.
Age: 13.0
Sex: F
Vaccine: HEP
Symptoms: Chills, Headache, Hyperventilation, Nausea
Clinical narrative: On 05/15/02 began complaining with headache, chills, nausea, hyperventilation. Seen in ER pm of 05/15/02. States X-rays, blood tests, urinalysis neg.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Pink, swollen approx 6cm diameter non tender 1-2 days after DTaP and IPV injection . Reactive lesion right deltoid area.
Age: 3.75
Sex: F
Vaccine: PNC
Symptoms: Injection site mass, Injection site pain, Pyrexia
Clinical narrative: Fever 102 x 3 days starting 1 day post pneumovax-painful left thigh lasted with knot up to 1 week later.
Age: 2.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Broke out in chicken pox 06/16/02 per mom hx of varivax vaccine 10/09/1997.
Age: 19.0
Sex: F
Vaccine: TD
Symptoms: Face oedema
Clinical narrative: Returned 90 mins post Td with mild swelling of left upper lip. No other unusual exposures. No history of edema. Given antihistamine (po) and corticosteroid (po). No reaction at injection site.
Age: 3.08
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Infection, Rash erythematous
Clinical narrative: Pt received varicella vaccine on 12/20/1996. Skin rash appeared on 06/13/02. She was diagnosed with varicella on 06/14/02. Small erythematous papules were distributed on chest wall, back, upper arms (total < 20).
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site oedema, Injection site warmth
Clinical narrative: Right arm is red swollen and hot to the touch.
Age: 2.8
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Varicella
Age: 27.0
Sex: M
Vaccine: TD
Symptoms: Salivary hypersecretion
Clinical narrative: Excessive salivation.
Age: 4.75
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site warmth, Nausea, Pruritus
Clinical narrative: Evening of shot, child experienced severe nausea, no vomiting. Mother took child to ER. Mother reported doctor there said it was a local reaction. Mother.child sent to me with Duricef and directions for mother to put warm compress on swollen area, hot, and itchy also. Additional info child was very fearful of receiving shots.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Had DTaP on 06/11/02, on 06/12/02 left arm swollen, fire red, hot, reac warm. More red 06/13/02. Decreased swelling today per mother 06/17/02. TC from mom-message left: 06/14/02 nausea, left arm still red swollen.  06/15/02 am resolved no further problem.
Age: 79.0
Sex: F
Vaccine: UNK
Symptoms: Cellulitis, Hypersensitivity, Injection site erythema, Injection site oedema, Injection site reaction
Clinical narrative: Swelling, redness, "heavy feeling" that night. Measured at clinic 06/09 11x11cm, red, hot, swollen below injection site. Dx: cellulitis. Rx Augmentin 875mg BID x 5 days.
Age: 79.0
Sex: F
Vaccine: UNK
Symptoms: Injection site warmth
Clinical narrative: Swelling, redness, "heavy feeling" that night. Measured at clinic 06/09 11x11cm, red, hot, swollen below injection site. Dx: cellulitis. Rx Augmentin 875mg BID x 5 days.
Age: 33.0
Sex: F
Vaccine: DT
Symptoms: Dyspnoea, Loss of consciousness, Oedema, Pain
Clinical narrative: Unable to breath, swollen, pain on whole right side (extremities), needed oxygen, was in and out of consciousness, excruciating pain.
Age: 29.0
Sex: F
Vaccine: TD
Symptoms: Chest pain, Fatigue, Injection site oedema, Injection site pain, Pain
Clinical narrative: Arm grossly swollen and painful, body aches, chest pain, fatigue-developed within 48 hrs of receiving vaccine. Tx'd at another facility with antibiotic and steroid-sx's only reported back to me.
Sex: F
Vaccine: MEN
Symptoms: Syncope
Clinical narrative: Gave meningitis vaccine. Patient was fine. About 5 minutes later, gave PPD intradermal and patient fainted. We lowered her to floor. She did not fall. BP 70/0. After 30 minutes BP 98/64. Went home. Called patient at home 06/14/2002. Has been fine since incident.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Body temperature increased, Rash pruritic
Clinical narrative: Temp of 102-103 8 days after dose and lasted 2 days. Then developed puritic small macules with few vesicles over much of body.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Injection site induration
Clinical narrative: Left deltoid red with about 2"x2.5" area of induration noted 06/15/2002 around 2 pm.
Age: 5.25
Sex: M
Vaccine: HEP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Tenderness
Clinical narrative: Injection 3 days ago in right anterior thigh. Next day, increase in redness and swelling; began yesterday. No fever. Complains of tenderness with walking and touching spot.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site reaction, Swelling
Clinical narrative: Mother called 06/23/2002 09:30. Stated child's arm hot, red, swollen. Local reaction.
Age: 0.25
Sex: M
Vaccine: DTAP, HBPV, IPV
Symptoms: Ecchymosis, Petechiae, Platelet count decreased, Thrombocytopenia
Clinical narrative: Thrombocytopenia with platelet count down to 3000. Petechia and ecchymosis. The 60 day follow-up states pt continues to have thrombocytopenia. Pt is being cared for by MD hematology. The annual follow up received on 7/17/03 states, "pt was lost to follow up in my clinic. He now receives pediatric care at another practice. I have heard he did recover but cannot substantiate that."
Age: 34.0
Sex: F
Vaccine: MMR, TD
Symptoms: Injection site erythema, Shoulder pain, Tenderness
Clinical narrative: Patient gives history of redness and tenderness at site of injections. Today reddened area is approx. 1"x2" at injection site of Tda and .5"x1" at MMR site. States left arm was painful from shoulder to wrist yesterday. Today moves arm freely and states "I have to move it around, I have things to do." Has used cool compresses, warm compresses and Advil. Today relates hx of Tda 2 years ago.
Age: 1.08
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Generalized rash.
Age: 1.08
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Child came in on 05/28/2002. Child came in with rash to body; mom denies fever. No changes in lifestyle. Rash started 1 day after MMR injection.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Anorexia, Body temperature increased, Irritability
Clinical narrative: Temp of 103 off and on for 4 days. Very fussy, no appetite, no URI symptoms, no rash.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema
Clinical narrative: Localized erythema
Age: 12.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Loss of consciousness, Syncope
Clinical narrative: Passed out approximately 15 minutes after infection.  Was unconscious for approximately 30 seconds.  BP 110/30, P 90.  Would become dizzy when standing for approximately 45 minutes.  No further symptoms after the first hours of receiving the injection.  Gave history of having not eating for 15 hours before the infection was given.
Age: 0.25
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Sudden infant death syndrome
Clinical narrative: Report 20010214131 describes sudden infant death syndrome in a 3 month old male who received an injection of Infanrix. Medical history and concurrent conditions were not specified. There were no concurrent medications. On 11/10/2000, the infant received his second injection of Infanrix. On that date, he also received his second injections of Prevnar, Comvax, and IPOL. He died on 11/11/2000, one day post-immunization. The Food and Drug Administration reported that an autopsy was performed; cause of death was reportedly recorded as sudden infant death syndrome.
Age: 36.0
Sex: F
Vaccine: ANTH
Symptoms: Dizziness
Clinical narrative: Had episodes of chest heaviness, clammy feeling, SOB and dizziness with shot #1, 2 and 3. Received shot #4 with only mild dizziness and local reaction following pre-treatment with NSAIDs and antihistamines.
Age: 0.7
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Nasal congestion
Clinical narrative: Report 20010157881 describes the death of an 8 month old male who received an injection of Infanrix. Medical history included bilateral inguinal hernias diagnosed on 11/01/2000. Concurrent conditions included nasal congestion. Concurrent medications were not provided. On 11/14/2000, at the age of 2 months, the infant received his first injection of Infanrix. On that date, he also received his second injection of Comvax, as well as, his first injections of Prevnar and inactivated IPOL. On 05/18/2001, at the age of 8 months, the infant died of undetermined causes; "however, the date of death is unclear, as the reporter also noted 'death within 24 hrs'."
Age: 0.25
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Sudden infant death syndrome
Clinical narrative: The infant received his first injection of Infanrix on 06/05/01. On that date, he also received his first injections of Prevnar, Comvax and IPOL. On 06/15/01, 10 days post-immunization, he was found dead in his crib.
Age: 0.25
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Sudden infant death syndrome
Clinical narrative: On 09/15/2000, the infant received her first injection of Infanrix. She also received her second injection of Recombivax-HB and her first injections of Prevnar, Hib-titer and IPOL. The infant died 10/14/00. Autopsy results were reported as consistent with sudden infant death syndrome. The investigator and medical monitor did not consider the event to be related to immunization.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Sudden infant death syndrome
Clinical narrative: Report 20010213481 describes sudden infant death syndrome in a 2 month old male who received an injection of Infanrix. Medical history and concurrent conditions were not specified. Acetaminophen was prescribed on the day of immunization; it was not specified if the acetaminophen had been administered. On 07/03/2001, the infant received his first injection of Infanrix. On that date, he also received his first injections of Prevnar, Comvax, and IPOL. On 07/04/2001, one day post-immunization, "the infant died as a result of sudden infant death syndrome."
Age: 0.25
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Unevaluable event
Clinical narrative: Report 2001204831 describes a 3 month old male who died following receipt of Infanrix vaccine. Medical history included premature birth at 35 weeks gestation, cystic adenoma malformation and patent ductus arteriosus. Concurrent condition and medications were not specified. On 07/16/2001, the infant received his second injection of Infanrix. On 07/16/2001, he also received his second injections of Prevnar, Comvax and IPOL. On 07/17/2001, one day post-immunization, the infant was found unresponsive. He was taken to the local ER and pronounced dead on arrival. At the time the report was submitted to the Food and Drug Administration, the cause of death was unknown.
Age: 1.08
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Cardiac arrest, Coma, Pallor, Pyrexia
Clinical narrative: Report 20010261731 describes a cardiac arrest in a 13 month old female who received an injection of Infanrix. Medical history and concurrent conditions were not specified. An injection of hep A immunoglobulin "was previously received." On 09/20/2001, the child received her third injection of Infanrix. On that date, she also received her third injections of Prevnar, ActHIB, and IPOL. Later that day, an unspecified time post-immunization, the child developed "some fever." On 09/21/2001, she "seemed asymptomatic." She was put to bed at 20:00 on 09/21/2001. When her family checked on her at 21:00, "her color was white" and she was unresponsive. She was taken to the local hospital, where she experienced a cardiac arrest. She "died as a result of these adverse events." The report from the manufacturer indicated that the vaccine administered was hep A vaccine. However, the VAERS of the food and drug administration confirmed that the vaccine administered was Infanrix.
Age: 40.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: Dyspnoea, Urticaria
Clinical narrative: The pt experienced shortness of breath and hives formed all over her body. The pt was not hospitalized. She was seen in an out-patient clinic. Treatment: Kenalog 40mg IM, Atarax 25mg q 8h.
Sex: F
Vaccine: MMR
Symptoms: Meningitis, Parotitis
Clinical narrative: Information has been received from a physician concerning a female who on unspecified date was vaccinated with a dose of MMR II vaccine. Subsequently the pt developed mumps meningitis. It was reported that the  pt is "now" five years old and needs another dose of MMR II vaccine. No further details were provided. Upon internal review, mumps meningitis was determined to be an other important medical event. Additional info has been requested.
Age: 1.2
Sex: M
Vaccine: MMR
Symptoms: Abnormal behaviour, Autism, Speech disorder
Clinical narrative: Information has been received from a physician and the mother of an 18 month old male with a history of many ear infections and a double hernia repair (at age 13 months) who on 09/22/1998 was vaccinated with the first dose of MMR II. The physician reported that the pt was a transfer into her practice. The pt was delivered by an emergency C-section for failure to progress after the mother was in labor for 36 hrs. The physician reported that when she first started to see the pt, shenoticed that the pt had behavior problems and a speech delay around 18 months of age (approximately March 1999). The pt was unable to say 8-10 words like he should be able to at the age of 18 months. The physician reported that the pt had multiple ear infections and referred him for audiology testing. It was reported that the testing was difficult because of pt's behavior. The pt was diagnosed with autism at 2 and a half years of age (in approximately January 2000). The physician reported that she saw the pt on 06/13/2002. He was vaccinated with the second dose of MMR II and that the pt attends a special school, receives speech therapy, and occupational therapy and was "doing much better." Upon internal review, autism was considered as an other medical event. Additional info has been requested.
Age: 2.0
Sex: M
Vaccine: MMR
Symptoms: Aphasia, Autism
Clinical narrative: Information has been received from a physician concerning a male child who on an unspecified date, at the age of 18 months, was vaccinated with MMRII (0.5 ml).  Subsequently, it was reported that at the age of 2 years, the child exhibited noncommunicative activities the child was seen by physicians and treatment for autism was initiated. No further details were provided. Upon internal review, the event of autism was felt to be an Other Medical Event.
Age: 1.0
Sex: F
Vaccine: MEA
Symptoms: Drug ineffective, Parotitis
Clinical narrative: Information has been received from a female consumer concerning her 4 year old female twin daughter who in 1991 was vaccinated with either the first or second dose of measles virus vaccine line. About 3-4 years later, in early 1995, the pt developed mumps and was hospitalized for a weeks. It was unknown if the pt had any past medical history, allergies, or if there were any concomitant therapies. The reporter refused to disclose anymore info about the event. Additional info is not expected. Follow-up info received from the consumer indicated that her daughter had been diagnosed with parotitis in another country in 1995. She questioned whether it was safe for her daughter to received MMR II after her experience. No further info is available.
Age: 32.0
Sex: M
Vaccine: MMR
Symptoms: Dyspnoea, Pyrexia, Rash
Clinical narrative: Information has been received from a licensed practical nurse concerning a 32 year old male who in 1971 was vaccinated with MMR. In 1971, the patient had a "terrible reaction" possibly to the MMR vaccine, which was suspected to be due to a reaction to horse serum. The patient had a fever, constricted airway and a rash within hours of receiving the vaccine. The patient was hospitalized for one week. Additional information has been requested.
Age: 0.2
Sex: M
Vaccine: MMR
Symptoms: Autism, Nervous system disorder
Clinical narrative: Information has been received regarding a case in litigation concerning an approximately 8 week old male child who in or about May 1992, through and including August 1996, was injected with vaccinations containing high levels of mercury contained in the preservative thimerosal. It is alleged that as a result of these vaccinations the pt sustained severe and permanent personal injuries, including being diagnosed with autism and other neurological disorders as well as other severe and permanent health consequences. In addition it is alleged that the pt sustained further neurologica insult and exacerbation of his neurological disorder as a result of innoculation with MMR II. Upon internal review, the pt's severe autism, severe and permanent personal injury, general physical health deterioration, and neurological disorder were considered to be other medical events. No further info is available.
Age: 1.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MMR
Symptoms: Convulsion, Dyskinesia, Pyrexia
Clinical narrative: 14 month old had MMR 7.5 days prior to onset of fever early on 06/06/07/02. Had generalized seizure at 01:45, lasted 30-45 seconds and second one later that morning. Temperature at 08:38 = 101.7. Admitted.. Tests performed. Had one more brief seizure on 06/09/02, 03:35. Right arm and leg jerking, associated with temperature of 102.5. Maximum temperature 104.8 at 21:00 that day. Afebrile by the next day. No antibiotics or antiseizure medication. Dismissed 06/09/2002. F/U on 06/11/02. No more fever or seizure. doing well.
Age: 4.0
Sex: M
Vaccine: IPV, MMR
Symptoms: Pyrexia
Clinical narrative: Visiting brother in hospital and began feeling hot. Mom says nurse checked temp and was 104 deg F. No treatment. Doing fine now.
Age: 43.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness, Malaise, Vomiting
Clinical narrative: Got in car, started car, felt dizzy and light-headed. Turn car off. Leaned back against chair. Passed out. Then came to put self back into chair and ask daughter for cell phone. Was sweating, called someone to transport me home. Got sick. A follow up report received 7/1/2002 adds: Vomiting x2.
Age: 56.0
Sex: F
Vaccine: TTOX, TD
Symptoms: Asthenia, Chest pain, Headache, Hypoacusis, Hypoaesthesia
Clinical narrative: Searing pain at base of brain. Searing pain through shoulders and lungs. pains and chills throughout body. Pain and ringing in ears. Swelling and redness at site of injection. Migraine headache for 2 days after injection. Pain and deadness in arm. Feel like been hit with a sledgehammer. Fever, Severe congestion, Weakness, Loss of hearing.  Annual follow up on 12/16/03: "Vaccine recipient did not recover from the adverse events that were reported for this vaccination.  I am still suffering with headaches and odd thrushing spasm in my head.  The ringing in the ears continues as does the loss of hearing.  Concentration is poor and I am plagued by fatigue.  On exposure to the sun and heat my face breaks out with red bumps.  It is grossly unfair that I have not received compensation for my pain, suffering, lethargy, weight gain etc.  Burning in lungs, unable to cool down after being exposed to heat.
Age: 56.0
Sex: F
Vaccine: TTOX, TD
Symptoms: Injection site erythema, Injection site swelling, Migraine, Nasal congestion, Pyrexia
Clinical narrative: Searing pain at base of brain. Searing pain through shoulders and lungs. pains and chills throughout body. Pain and ringing in ears. Swelling and redness at site of injection. Migraine headache for 2 days after injection. Pain and deadness in arm. Feel like been hit with a sledgehammer. Fever, Severe congestion, Weakness, Loss of hearing.  Annual follow up on 12/16/03: "Vaccine recipient did not recover from the adverse events that were reported for this vaccination.  I am still suffering with headaches and odd thrushing spasm in my head.  The ringing in the ears continues as does the loss of hearing.  Concentration is poor and I am plagued by fatigue.  On exposure to the sun and heat my face breaks out with red bumps.  It is grossly unfair that I have not received compensation for my pain, suffering, lethargy, weight gain etc.  Burning in lungs, unable to cool down after being exposed to heat.
Age: 56.0
Sex: F
Vaccine: TTOX, TD
Symptoms: Back pain, Injection site pain, Injection site reaction, Injection site swelling, Neck pain
Clinical narrative: Searing pain at base of brain. Searing pain through shoulders and lungs. pains and chills throughout body. Pain and ringing in ears. Swelling and redness at site of injection. Migraine headache for 2 days after injection. Pain and deadness in arm. Feel like been hit with a sledgehammer. Fever, Severe congestion, Weakness, Loss of hearing.  Annual follow up on 12/16/03: "Vaccine recipient did not recover from the adverse events that were reported for this vaccination.  I am still suffering with headaches and odd thrushing spasm in my head.  The ringing in the ears continues as does the loss of hearing.  Concentration is poor and I am plagued by fatigue.  On exposure to the sun and heat my face breaks out with red bumps.  It is grossly unfair that I have not received compensation for my pain, suffering, lethargy, weight gain etc.  Burning in lungs, unable to cool down after being exposed to heat.
Age: 2.4
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Rash papular, Rash vesicular
Clinical narrative: Rash x 1 day. Multiple papules and vesicles on face and trunk, some on extremities approx. 50 on trunk approx. 20 on face.
Age: 0.7
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Injection site induration
Clinical narrative: Approximately 3cm firm induration at vaccination sites (bilateral thigh) noted one day after the vaccine was given.
Age: 19.0
Sex: F
Vaccine: TYP, YF
Symptoms: Chills, Diarrhoea, Dizziness, Headache, Hyperhidrosis
Clinical narrative: 06/12/02, became dizzy and faint while shopping-to home and bed temp 102.4 restless sleep. 06/13/02, temp 100.2, sweaty, chills, achy-slept a lot to Dr's office, observe at home-temp decreased Ibuprofen to normal x a few horus. 06/14, 15, 16-symptoms same for fever, aches, sleep and some mild diarrhea on the 15th and headache on the 16th. 06/17/02, no temperature-returned to normal activities.
Age: 19.0
Sex: F
Vaccine: TYP, YF
Symptoms: Insomnia, Pain, Pyrexia
Clinical narrative: 06/12/02, became dizzy and faint while shopping-to home and bed temp 102.4 restless sleep. 06/13/02, temp 100.2, sweaty, chills, achy-slept a lot to Dr's office, observe at home-temp decreased Ibuprofen to normal x a few horus. 06/14, 15, 16-symptoms same for fever, aches, sleep and some mild diarrhea on the 15th and headache on the 16th. 06/17/02, no temperature-returned to normal activities.
Age: 13.0
Sex: F
Vaccine: MEN, YF
Symptoms: Eye swelling, Tongue oedema
Clinical narrative: Eye and tongue swelling 45 minutes later. Treated with 25mg Beandryl-1:1000 SQ epinephrine.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever < 24h from time two months shots were given.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Unevaluable event
Clinical narrative: PCV given today at 4 weeks a part. CDC recommends PCV given at 8 weeks if infant is younger than 7 months.
Age: 0.3
Sex: F
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Urticaria
Clinical narrative: Hives started on the night of 06/20/02 scattered throughout body. An oral steroid was given.
Age: 0.2
Sex: U
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Decreased appetite, Hypotonia, Lethargy, Respiratory disorder, Retching
Clinical narrative: Infant became hypotonic, lethargic, had poor appetite and gagged constantly to the left starting 2 days after immunization. Periodic breathing at night also noted. Torticollis present on exam. Symptoms and signs have resolved. Breathing abnormality during sleep still present.
Age: 0.2
Sex: U
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Torticollis
Clinical narrative: Infant became hypotonic, lethargic, had poor appetite and gagged constantly to the left starting 2 days after immunization. Periodic breathing at night also noted. Torticollis present on exam. Symptoms and signs have resolved. Breathing abnormality during sleep still present.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Feeling hot, Injection site erythema, Injection site hypersensitivity, Injection site pain, Pruritus
Clinical narrative: large area of erythema, warmth and tender on arm where injections given/pruritic.
Age: 18.0
Sex: F
Vaccine: HEP
Symptoms: Movement disorder, Nausea, Vomiting
Clinical narrative: Approximately 3 hrs post receiving vaccine, she took a nap-woke up and couldn't move. States she felt nausea then it wore off. Got up and vomited. Better now at 2:20 approximately 2 hrs after incident. Inst. to see physician today.
Age: 17.0
Sex: F
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: 06/13/02 reports developed red area at injection site warm to touch, sore to touch. 06/14/02 area 50 x 40mm no enlarged lymph nodes. Afebrile = 97.6.
Age: 3.75
Sex: F
Vaccine: VARCEL
Symptoms: Herpes zoster
Clinical narrative: Right tg varicella zoster.
Age: 23.0
Sex: M
Vaccine: HEP
Symptoms: Injection site rash, Pruritus, Rash maculo-papular
Clinical narrative: On evening after vaccine administration client noticed red rash on shoulder area above deltoid where vaccine was given. Presented to HD for evaluation on following day. Has large area of red macular papular rash, blandres. Puncture site and around puncture site. No redness or induration. Client reports rash is becoming puritic, but has no SOB, wheezing, etc. Advised to seek care of physician if rash not improved by 06/14/02.
Age: 1.0
Sex: M
Vaccine: DTAP, HBHEPB, MMR
Symptoms: Contusion, Injection site erythema, Injection site oedema, Injection site reaction, Pyrexia
Clinical narrative: Received DTaP and Comvax in right arm, MMR in left arm at 1:30pm. Within 1 hr right arm was swollen, red, bruised which continued to worsen x 2 days. Fever started within 2 hrs after immunizations 101-104 by evening. Fever continued to increase 104.5 through 06/07/02 despite Motrin. Seen by Dr on 06/06/02 dx. DTaP reaction, given Benadryl and Motrin.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site oedema
Clinical narrative: Swollen left upper arm after DTaP #5.
Age: 1.5
Sex: M
Vaccine: IPV
Symptoms: Urticaria
Clinical narrative: Hives on all parts of body on and off for three days. Treated with Diphenhydramine.
Age: 55.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Hypokinesia, Joint stiffness, Pain
Clinical narrative: After having LYMErix vaccine, I experienced extreme stiffness, soreness, and lack of mobility in my hands and wrists. This resulted in a Vioxx prescription.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Ecchymosis, Injection site swelling, Skin ulcer, Urticaria
Clinical narrative: Received Varivax 06/03/02, initial ecchymosis. 06/16/02, reaction purple welt (raised lesion-papular on left deltoid) afebrile.
Age: 1.75
Sex: M
Vaccine: DTAPH
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: 4 x 2.5cm redness and swelling.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site swelling, Rash erythematous, Rash papular
Clinical narrative: Rash developed 6 days following Varivax. Raised, erythematous papules without vesicles. Diffuse aver all surfaces.
Age: 7.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site oedema, Urticaria
Clinical narrative: Hives all over body, faint swelling after a few hrs of hep A vaccination #2.
Age: 44.0
Sex: F
Vaccine: LYME, TTOX
Symptoms: Arthralgia, Fatigue
Clinical narrative: Joint pain, fatigue, antibiotics and pain medication were prescribed. I still have the pain and fatigue.