chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 78.0
Sex: U
Vaccine: FLU3
Symptoms: Lung disorder, Pneumonia, Pulmonary hypertension
Clinical narrative: This subject is a 79 year old male who died while enrolled in the RSV 11 study. The subject received RSV vaccine or Placebo and influenza vaccine on 10/25/02. Investigator is waiting for medical records. The death was reported by the investigator as not related to the study vaccine. A 15-day follow up report received 11/13/2003 adds no new info. The hospital discharge summary received on 11/20/03 states pneumonia, and pulmonary hypertension. A follow-up received 11/20/2003 adds: Acute pneumonia, pulmonary HTN.
Age: 44.0
Sex: M
Vaccine: FLUX
Symptoms: Injection site pain
Clinical narrative: Arm soreness at site of flu shot still persists after 6 days
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site induration, Injection site warmth, Skin ulcer, Type III immune complex mediated reaction
Clinical narrative: In 24 hrs had very large melon size indurated lesion that was purpuric in nature warm but not tender to the touch at the site of the injection. Looked like an arthus reaction seen in immune complex disorders involved only the skin at the injection site Not uricarial.
Age: 80.0
Sex: F
Vaccine: FLUX
Symptoms: Face oedema, Nausea
Clinical narrative: monday  - pt was given flu shot tuesday - pt awaken with swollen face and top lip         - dr was called and dr prescribed benadryl wednesday - swelling continued and spreaded to bottom lip.  swelling was very very large. pt was taken to the emergency room.  Drs there started pt on a steroid for 7 days. Meds currently taking are : 1. Amiodarone   200mg 2. Metoprolol   100mg 3. Warfarin Sod  7.5mg 4. Triamterene  37.5mg 5. Monopril     40mg 6. Reminyl       8mg 7. Zyprexa     2.5mg 8. Levoxyl     0.25mg pt had also been taking aricept 5mg the prior week.  pt discontinued the use of aricept due to severe nausea.
Age: 40.0
Sex: M
Vaccine: FLU3
Symptoms: Coronary artery atherosclerosis
Clinical narrative: Patient expired 11/9/03  Cause of death  following autopsy:  Fatal Heart Disease (Athero- sclerotic heart disease) Fatal Arrythmia Diabetic Related
Age: 44.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Oedema
Clinical narrative: Reddish swelling, approximately 2" in diameter, within 3 days of vaccination.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Flushing, Injection site erythema, Injection site hypersensitivity, Injection site swelling, Injection site warmth
Clinical narrative: I recieved the Influenza Vaccine yesterday, November 10, 2003 @ 12:00 pm. Within the hour the site of injection was red, swollen, hot, and itching. I have had a temperature of 100-101.4 with serious nausea, and my face feels very flushed. I have taken anti-nausea med. and Tylenol. Nothing seems to help. It has been aproximately 31 hours.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Pyrexia
Clinical narrative: I recieved the Influenza Vaccine yesterday, November 10, 2003 @ 12:00 pm. Within the hour the site of injection was red, swollen, hot, and itching. I have had a temperature of 100-101.4 with serious nausea, and my face feels very flushed. I have taken anti-nausea med. and Tylenol. Nothing seems to help. It has been aproximately 31 hours.
Age: 40.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: localized swelling, site raised warm to touch, itches and is painful to touch
Age: 19.0
Sex: M
Vaccine: ANTH
Symptoms: Anaphylactic shock, Arthralgia, Arthropathy, Coagulopathy, Deep vein thrombosis
Clinical narrative: immediate lesion at injection site on arm, followed by lesion on left foot following day which lasted hours and prevented me to put on boot and train that day in boot camp.  Heard the DI's state that they "were glad not to be getting these shots" lesions continued througout bootcamp progressively getting more frequent predominately on legs.  After completion of boot camp my DI pulled me aside to address his concerns for the reaction I had due to innoculations.  I continued on in the military and so did the lesions and I have had numerous visits to base clinics for the lesions.  After leaving the military, I continued the lesions which were leaving no area of my body untouched and went to numerous hospitals both emergency and non with no understanding of what the lesions were.  I also had a major change in that I developed anaphalytic shock to expectorants in cold medicine (I attribute this to the major disturbances in my body due to reaction to vaccine(s))  I did in approx 93 go to the hospital to make a claim for the lesions and the hospital did say they were service-connected but not compensatable. I continued to work for the next few years until 95 when I developed dvt in my left leg in my return vein to my heart and also is the time my lesions completly disappeared ( the lesions were so detrimental physically and mentally and I thought this sickness was killing me and probably was but I was actually relieved when I got to the hospital even with the blood clot??  So basically now I have an incompetent venous system and a blocked stent and recurring ulcers on left foot which I currently do have an open ulcer that won't heal and am currently applying for SSD benefits and reopened my VA claim with these current health problems.  I feel and have felt the need to report this years ago but have been reluctant to do so because of lack of supporting evidence but now with all the stories of sickness and death or the GWS of which I am on the gulf war registry?  I see too many parallels to myself through others who have determined or have been determined to have suffered reactions to the vaccines.  Thank You. The discharge summary received on 3/30/04 states diagnosis of deep vein thrombosis confirmed. Add hypercoagulation syndrome, edema of left extremity, accidental electric shock, pain L ankle, stiffness L ankle and ecchymosis L leg.
Age: 19.0
Sex: M
Vaccine: ANTH
Symptoms: Ecchymosis, Injury, Oedema, Skin ulcer
Clinical narrative: immediate lesion at injection site on arm, followed by lesion on left foot following day which lasted hours and prevented me to put on boot and train that day in boot camp.  Heard the DI's state that they "were glad not to be getting these shots" lesions continued througout bootcamp progressively getting more frequent predominately on legs.  After completion of boot camp my DI pulled me aside to address his concerns for the reaction I had due to innoculations.  I continued on in the military and so did the lesions and I have had numerous visits to base clinics for the lesions.  After leaving the military, I continued the lesions which were leaving no area of my body untouched and went to numerous hospitals both emergency and non with no understanding of what the lesions were.  I also had a major change in that I developed anaphalytic shock to expectorants in cold medicine (I attribute this to the major disturbances in my body due to reaction to vaccine(s))  I did in approx 93 go to the hospital to make a claim for the lesions and the hospital did say they were service-connected but not compensatable. I continued to work for the next few years until 95 when I developed dvt in my left leg in my return vein to my heart and also is the time my lesions completly disappeared ( the lesions were so detrimental physically and mentally and I thought this sickness was killing me and probably was but I was actually relieved when I got to the hospital even with the blood clot??  So basically now I have an incompetent venous system and a blocked stent and recurring ulcers on left foot which I currently do have an open ulcer that won't heal and am currently applying for SSD benefits and reopened my VA claim with these current health problems.  I feel and have felt the need to report this years ago but have been reluctant to do so because of lack of supporting evidence but now with all the stories of sickness and death or the GWS of which I am on the gulf war registry?  I see too many parallels to myself through others who have determined or have been determined to have suffered reactions to the vaccines.  Thank You. The discharge summary received on 3/30/04 states diagnosis of deep vein thrombosis confirmed. Add hypercoagulation syndrome, edema of left extremity, accidental electric shock, pain L ankle, stiffness L ankle and ecchymosis L leg.
Age: 5.0
Sex: M
Vaccine: DT
Symptoms: Abscess, Asthenia, Bacterial infection, Cellulitis, Chills
Clinical narrative: Imm on Thurs 10/30/03. Began chills on Fri-localized  swelling at injection site-general malaise and weakness-called this clinic on Tuesday 11/4/03 advised to seek medical attn. Mom called here to inform pt admitted to hospital. Generalized rash also mom said abscess on buttock x 2-sent home with Bactrim x 10 days post 4 day hospital stay. The discharge summary received on 3/23/04 states cellulitis and MRSA.
Age: 5.0
Sex: M
Vaccine: DT
Symptoms: Injection site oedema, Malaise, Pathogen resistance, Rash
Clinical narrative: Imm on Thurs 10/30/03. Began chills on Fri-localized  swelling at injection site-general malaise and weakness-called this clinic on Tuesday 11/4/03 advised to seek medical attn. Mom called here to inform pt admitted to hospital. Generalized rash also mom said abscess on buttock x 2-sent home with Bactrim x 10 days post 4 day hospital stay. The discharge summary received on 3/23/04 states cellulitis and MRSA.
Age: 47.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Cellulitis
Clinical narrative: Mild cellulitis right shoulder.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Rash pustular, White blood cell count decreased
Clinical narrative: Pustular rash clustered on back of legs, dorsally on both feet, toes, arms, and back. Required dermatology consult and course of oral steroids (Prednisone).
Age: 89.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Rash macular
Clinical narrative: Small, red, macular rash on arms, back, and chest. Follow up clinic visit. No treatment; resolved.
Age: 32.0
Sex: M
Vaccine: FLU3
Symptoms: Eye swelling, Urticaria
Clinical narrative: 32 year old male with lung cancer vaccinated on 10/16/03. Given Taxol/Carboplatin on 10/16/03. Presented to ED with urticaria, eyes swollen shut on 10/30/03. Unclear association with flu vaccine. No other new meds.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Joint range of motion decreased, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Received flu shot Thursday. We saw patient 10/29/03 with fever, sore throat. Left arm where she got flu shot is very sore and is unable to lift left arm at all. Tender to touch. On exam, serious otitis media. Positive pain posterior bursa left arm.
Age: 11.0
Sex: F
Vaccine: TD, VARCEL
Symptoms: Cough, Lip ulceration, Nausea, Pyrexia, Rash
Clinical narrative: Patient presented 11/5/03 after being vaccinated for Td and Varivax 10/27/03. Temperature of 101 and rash with onset 11/3/03. Had cold sore last week, nausea and vomiting and cough 2 days prior to 11/05/03 visit. Numerous papules and vesicles in various stages (50-100 present).
Age: 11.0
Sex: F
Vaccine: TD, VARCEL
Symptoms: Vomiting
Clinical narrative: Patient presented 11/5/03 after being vaccinated for Td and Varivax 10/27/03. Temperature of 101 and rash with onset 11/3/03. Had cold sore last week, nausea and vomiting and cough 2 days prior to 11/05/03 visit. Numerous papules and vesicles in various stages (50-100 present).
Age: 1.25
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Skin discolouration, Skin ulcer
Clinical narrative: Patient developed vesicular lesions at area of injection that developed within 24 hours. Lesions faded over a week and discoloration remains on arm.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral, Tenderness
Clinical narrative: Swollen, red, and tender left deltoid to elbow.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Oedema peripheral, Pain
Clinical narrative: Pt's right arm began to to swell about 24 hours after administration of vaccine.  Pt reported edema and erythema to wrist of r arm.  Pt also c/o r elbow and wrist pain.  Pt denied fever/chills.  No difficulty breathing or swallowing.  When I evaluated pt 4 days after vaccination, he had minimal edema and erythema surrounding r elbow.  Otherwise, PE was unremarkable.  Pt denied trauma to r arm.
Age: 44.0
Sex: F
Vaccine: FLUN3
Symptoms: Fatigue, Nasal congestion, Rhinorrhoea, Sneezing
Clinical narrative: Runny nose, stuffy nose, sneezing, fatigue, scratchy throat
Age: 46.0
Sex: F
Vaccine: FLUX
Symptoms: Dizziness
Clinical narrative: DIZZINESS
Age: 0.0
Sex: F
Vaccine: FLUX
Symptoms: Blister, Erythema, Herpes simplex, Pain, Paraesthesia
Clinical narrative: the afternoon after the shot, tingling itching in areas I have had previous cold sores, plus the outside left side of nostril. By the next day cold sore appearing vesicals occured, by evening the nose was swollen and red, as well as a sort of channel area from the eye to nose, and a swelling under the left jaw area.  The area on my shoulder where I had shingles over 10 years ago was experiencing some shooting pains.  Treated with Zovirax per advice of my dentist as Dr. was out of town.  Did go to clinic Monday was given diagnosis of Rosecia and prescribed a tube of ointment.   Did get a 2nd opionion due to severe itching and pain, who thought it was herpes and said to continue Zovirax.
Age: 0.0
Sex: F
Vaccine: FLUX
Symptoms: Pruritus, Rosacea, Swelling
Clinical narrative: the afternoon after the shot, tingling itching in areas I have had previous cold sores, plus the outside left side of nostril. By the next day cold sore appearing vesicals occured, by evening the nose was swollen and red, as well as a sort of channel area from the eye to nose, and a swelling under the left jaw area.  The area on my shoulder where I had shingles over 10 years ago was experiencing some shooting pains.  Treated with Zovirax per advice of my dentist as Dr. was out of town.  Did go to clinic Monday was given diagnosis of Rosecia and prescribed a tube of ointment.   Did get a 2nd opionion due to severe itching and pain, who thought it was herpes and said to continue Zovirax.
Age: 43.0
Sex: M
Vaccine: FLUX, HEP, HEPA, SMALL, TYP, HBPV, HEP, HEPA, SMALL, TYP
Symptoms: Blister, Erythema, Pruritus, Skin burning sensation, Skin ulcer
Clinical narrative: 10/7/03- received anthrax #1, together with influenza, typhoid, hep B #1, Hep A #2, and repeat smallpox vaccines 10/16/03- started to feel a "burning, itching sensation" on his lower left calf- noticed a large blister surrounded by multiple small blisters on his lower left calf- lesions nontender, moderately pruritic, eryematous and edematous- no c/o f/c or malaise. 10/17/03- size and number of lesions decreased- most blisters "got popped" and some have already "crusted over"- no longer c/o burning sensation- less edema, erythema, and pruritus noted- patient seen at the clinic - denied any other blisters on body or having any lesions in his mouth- h/o chronic dry skin o/w unremarkable- FH insignificant- no h/o allergies- on no meds- no recent exposure to poison ivy or Chicken pox- no field exposure- no recent h/o friction/trauma to the area- no recent new skin product use- patient in NAD- afeb 10/20/03- no c/o sx/sx of infection 10/27/03- Lesions now replaced by dry black-colored scabs- no c/o sx/sx of infection- will obtain sera for the presence of pemphigus antibody  A copy of the patient's summary mailed to VAERS via FedEx on 11/12/03
Age: 43.0
Sex: M
Vaccine: FLUX, HEP, HEPA, SMALL, TYP, HBPV, HEP, HEPA, SMALL, TYP
Symptoms: Blister, Injection site erythema, Injection site reaction, Oedema, Pruritus
Clinical narrative: 10/7/03- received anthrax #1, together with influenza, typhoid, hep B #1, Hep A #2, and repeat smallpox vaccines 10/16/03- started to feel a "burning, itching sensation" on his lower left calf- noticed a large blister surrounded by multiple small blisters on his lower left calf- lesions nontender, moderately pruritic, eryematous and edematous- no c/o f/c or malaise. 10/17/03- size and number of lesions decreased- most blisters "got popped" and some have already "crusted over"- no longer c/o burning sensation- less edema, erythema, and pruritus noted- patient seen at the clinic - denied any other blisters on body or having any lesions in his mouth- h/o chronic dry skin o/w unremarkable- FH insignificant- no h/o allergies- on no meds- no recent exposure to poison ivy or Chicken pox- no field exposure- no recent h/o friction/trauma to the area- no recent new skin product use- patient in NAD- afeb 10/20/03- no c/o sx/sx of infection 10/27/03- Lesions now replaced by dry black-colored scabs- no c/o sx/sx of infection- will obtain sera for the presence of pemphigus antibody  A copy of the patient's summary mailed to VAERS via FedEx on 11/12/03
Age: 43.0
Sex: M
Vaccine: FLUX, HEP, HEPA, SMALL, TYP, HBPV, HEP, HEPA, SMALL, TYP
Symptoms: Skin burning sensation, Skin ulcer
Clinical narrative: 10/7/03- received anthrax #1, together with influenza, typhoid, hep B #1, Hep A #2, and repeat smallpox vaccines 10/16/03- started to feel a "burning, itching sensation" on his lower left calf- noticed a large blister surrounded by multiple small blisters on his lower left calf- lesions nontender, moderately pruritic, eryematous and edematous- no c/o f/c or malaise. 10/17/03- size and number of lesions decreased- most blisters "got popped" and some have already "crusted over"- no longer c/o burning sensation- less edema, erythema, and pruritus noted- patient seen at the clinic - denied any other blisters on body or having any lesions in his mouth- h/o chronic dry skin o/w unremarkable- FH insignificant- no h/o allergies- on no meds- no recent exposure to poison ivy or Chicken pox- no field exposure- no recent h/o friction/trauma to the area- no recent new skin product use- patient in NAD- afeb 10/20/03- no c/o sx/sx of infection 10/27/03- Lesions now replaced by dry black-colored scabs- no c/o sx/sx of infection- will obtain sera for the presence of pemphigus antibody  A copy of the patient's summary mailed to VAERS via FedEx on 11/12/03
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Facial palsy, Fatigue
Clinical narrative: Extreme fatigue Bell's Palsey
Age: 2.0
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MMR
Symptoms: Difficulty in walking, Gait disturbance, Tremor
Clinical narrative: Received vaccine's on 10/14/2003, mother called on 10/16/2003 stating that on the morning of 10/15/2003 child's left leg was "shaking" which prevented him from walking for 1 1/2 day's, and he limped for a total of 5 days.
Age: 1.1
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Drug ineffective, Rash vesicular
Clinical narrative: ONGONING SYMPTOMS OF RASH RELATED ILLNESS SINCE IMMUNIZATIONS GIVEN ON AUGUST 29, 2003.  VARICELLA LIKE VESICLES, SCABS, FROM HEAD TO TOE STARTING 3 DAYS AFTER IMMUNIZATION, HAS BEEN TREATED BY FAMILY PHYSICIAN WITH ANTIBIOTICS FOR RELATED INFECTIONS, ONE URGENT CENTER CARE VISIT FOR EYE INFECTION PLUS MULITPLE DRS OFFICE VISITS.  "ONE PART OF BODY SEEMS TO CLEAR AND THEN HE BREAKS OUT AGAIN WITH CHICKEN-POX LIKE SORES."
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site swelling
Clinical narrative: Arm "severely swollen" around immunization site.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chills, Delirium, Headache, Myalgia
Clinical narrative: Severe chills  High Fever ( too sick to get thermometer) Muscle aches Headache Shooting pains Delerium Weak Pale Nauseous Had shot at aprox. 1:30 p.m.  At 10;00pm all these symptoms began.  By 10:00 a.m. I was back to normal. Weak
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Pain, Pallor, Pyrexia
Clinical narrative: Severe chills  High Fever ( too sick to get thermometer) Muscle aches Headache Shooting pains Delerium Weak Pale Nauseous Had shot at aprox. 1:30 p.m.  At 10;00pm all these symptoms began.  By 10:00 a.m. I was back to normal. Weak
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Cellulitis, Erythema, Injection site erythema, Injection site swelling, Skin ulcer
Clinical narrative: dtp acell IM was given 11-5-03 and started getting red and swollen about 20 hours after the injection.the erythema and swelling rapididly increased and child was seen about 40 hours later in the pediatric office . child had a significant swelling from the shoulder to the proximal aspect  othe forearm with striking hot erythema and unable to flex the elbow . child had a small crusty lesion in the injection , right deltoid area of the right arm. With the consultation of the pediatric infectious disease,  child was admitted to the peditric ward and systemic antibiotic was initiatd.. Nafcilin 200 mg/kg/day and warm compressess every 2 hours .  child clinical condition improved by 50 % in the next 24 hours, by 75 % in the next 48 hours and by  90 % when about 72 hours of antibiotic, including the decreased of swelling and erythema that was in one point from the top of the shoulder to the mid aspect of the right forearm... child was discharge on augmentin , orally, bid.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Decreased appetite, Irritability, Pyrexia
Clinical narrative: This report was received from manufacturer for Prevnar and Acel-Imune and was assigned manufacturer control number HQ1368725SEP2000. This was originally reported by a physician. The report concerns a 10 week old male who on 7/2/00 was vaccinated with a second dose of hep B (634812/0553K). Concomitant vaccinations on 7/2/00 included a first dose of Prevnar (471204), a first dose of Acel-Imune (472251) and a first dose of IPOL (R06916). There were no other concomitant medications or illnesses at the time of vaccination. On 7/2/00 the pt developed a fever, irritability and fussiness. The mother also reported that the infant would not take his bottle. He was treated with Tylenol. The fever resolved in 24 hrs. No further info is available.
Age: 61.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Areflexia, Guillain-Barre syndrome, Immunoglobulin therapy, Intensive care, Lumbar puncture abnormal
Clinical narrative: From initial information received on 07/Nov/2003 from a health care professional regarding an adverse event, it was reported that a 61-year-old male patient (birth date not reported) received a dose of FLUZONE, lot number U1078AA, on 20/Oct/2003. The route and site of administration were not reported. Eight days later, the patient developed bilateral lower extremity weakness. A nerve conduction study was compatible with the diagnosis of Guillain-Barre. Examination showed the presence of bilateral weakness and the absence of deep tendon reflexes. The pt was admitted to the hospital and given five doses of immunoglobulins intravenously. He was then transferred to a rehabilitation center. A MRI was performed, which had no abnormal findings and a lumbar puncture was negative. The patient was still recovering at the time of this report. Discharge summary states hypertension, infection urinary tract, pain in back, pherial edema; GBS not confirmed. msv
Age: 61.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Muscular weakness, Nerve conduction studies abnormal, Nuclear magnetic resonance imaging normal
Clinical narrative: From initial information received on 07/Nov/2003 from a health care professional regarding an adverse event, it was reported that a 61-year-old male patient (birth date not reported) received a dose of FLUZONE, lot number U1078AA, on 20/Oct/2003. The route and site of administration were not reported. Eight days later, the patient developed bilateral lower extremity weakness. A nerve conduction study was compatible with the diagnosis of Guillain-Barre. Examination showed the presence of bilateral weakness and the absence of deep tendon reflexes. The pt was admitted to the hospital and given five doses of immunoglobulins intravenously. He was then transferred to a rehabilitation center. A MRI was performed, which had no abnormal findings and a lumbar puncture was negative. The patient was still recovering at the time of this report. Discharge summary states hypertension, infection urinary tract, pain in back, pherial edema; GBS not confirmed. msv
Age: 61.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Back pain, Guillain-Barre syndrome, Hypertension, Hyporeflexia, Laboratory test abnormal
Clinical narrative: From initial information received on 07/Nov/2003 from a health care professional regarding an adverse event, it was reported that a 61-year-old male patient (birth date not reported) received a dose of FLUZONE, lot number U1078AA, on 20/Oct/2003. The route and site of administration were not reported. Eight days later, the patient developed bilateral lower extremity weakness. A nerve conduction study was compatible with the diagnosis of Guillain-Barre. Examination showed the presence of bilateral weakness and the absence of deep tendon reflexes. The pt was admitted to the hospital and given five doses of immunoglobulins intravenously. He was then transferred to a rehabilitation center. A MRI was performed, which had no abnormal findings and a lumbar puncture was negative. The patient was still recovering at the time of this report. Discharge summary states hypertension, infection urinary tract, pain in back, pherial edema; GBS not confirmed. msv
Age: 61.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Muscular weakness, Oedema peripheral, Urinary tract infection
Clinical narrative: From initial information received on 07/Nov/2003 from a health care professional regarding an adverse event, it was reported that a 61-year-old male patient (birth date not reported) received a dose of FLUZONE, lot number U1078AA, on 20/Oct/2003. The route and site of administration were not reported. Eight days later, the patient developed bilateral lower extremity weakness. A nerve conduction study was compatible with the diagnosis of Guillain-Barre. Examination showed the presence of bilateral weakness and the absence of deep tendon reflexes. The pt was admitted to the hospital and given five doses of immunoglobulins intravenously. He was then transferred to a rehabilitation center. A MRI was performed, which had no abnormal findings and a lumbar puncture was negative. The patient was still recovering at the time of this report. Discharge summary states hypertension, infection urinary tract, pain in back, pherial edema; GBS not confirmed. msv
Age: 18.0
Sex: M
Vaccine: FLUN3
Symptoms: Chest pain, Condition aggravated, Pericarditis, Pharyngitis, Pyrexia
Clinical narrative: Pericarditis was considered medically important (OMIC). A mother reported that her 18 year old son received a dose of Flumist solution on 10/11/03. The pt's concurrent illnesses include an unspecified "nerve" disorder, allergies, and GERD. The pt also has a history of pericarditis and urinary tract problems as a result of a car accident in March 2003. Indication for Flumist was immunization. Product was administered on 10/11/03. Dose regimen was one dose. Concomitant therapy included Paxil, Detorl LA, Protonix, guaifenesin, Advair, and Clarinex. On 10/14/03, the reporter's son experienced sores in his mouth (stomatitis). The pt returned to his physician on 10/15/03 and received Valtrax to treat the mouth sores; however, it was reported "the Valtrex did not help." On 10/20/03, he developed fever of 102-104 deg F and chest pain. The mother believed that her son's pericarditis (condition aggravated) might have returned as a result of receiving Flumist. Her son had not returned to his physician since experiencing the fever and chest pain. All events were unresolved at the time of this report. No additional info was available at the time of this report.  The medical records received on 11/20/03 state pharengitis.
Age: 18.0
Sex: M
Vaccine: FLUN3
Symptoms: Stomatitis
Clinical narrative: Pericarditis was considered medically important (OMIC). A mother reported that her 18 year old son received a dose of Flumist solution on 10/11/03. The pt's concurrent illnesses include an unspecified "nerve" disorder, allergies, and GERD. The pt also has a history of pericarditis and urinary tract problems as a result of a car accident in March 2003. Indication for Flumist was immunization. Product was administered on 10/11/03. Dose regimen was one dose. Concomitant therapy included Paxil, Detorl LA, Protonix, guaifenesin, Advair, and Clarinex. On 10/14/03, the reporter's son experienced sores in his mouth (stomatitis). The pt returned to his physician on 10/15/03 and received Valtrax to treat the mouth sores; however, it was reported "the Valtrex did not help." On 10/20/03, he developed fever of 102-104 deg F and chest pain. The mother believed that her son's pericarditis (condition aggravated) might have returned as a result of receiving Flumist. Her son had not returned to his physician since experiencing the fever and chest pain. All events were unresolved at the time of this report. No additional info was available at the time of this report.  The medical records received on 11/20/03 state pharengitis.
Age: 40.0
Sex: F
Vaccine: HEP, MMR, TD
Symptoms: Erythema nodosum, Headache, Injection site rash, Pain, Pyrexia
Clinical narrative: Pt developed fever and rash on 10/10/03 on left deltoid, rash painful. On 10/12/03, papular, non-pruritic rash at injection site. Pt also had slight fever, caught headache. Rash on left deltoid worsened over next several days. Both left and right lower extremities developed rash on 10/15 or 10/16 and rash painful and non-pruritic lesions on leg dx by dermatologist erythema nodeosum.
Age: 40.0
Sex: F
Vaccine: HEP, MMR, TD
Symptoms: Rash
Clinical narrative: Pt developed fever and rash on 10/10/03 on left deltoid, rash painful. On 10/12/03, papular, non-pruritic rash at injection site. Pt also had slight fever, caught headache. Rash on left deltoid worsened over next several days. Both left and right lower extremities developed rash on 10/15 or 10/16 and rash painful and non-pruritic lesions on leg dx by dermatologist erythema nodeosum.
Age: 1.04
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Convulsion, Pharyngitis, Pyrexia, Rash
Clinical narrative: Father presented to child health for immunization. At interview reports questionable febrile seizure on 10/19/03 and had a work up at hospital. Child had temperature of 103 and seized with rash. Spoke with child's MD 11/4/03: EEG and work up negative. Spoke with mother 5PM 11/4/03 (per interpreter); child well at this time. Medical records received on 11/14/2003 states pharyngitis.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Hypoaesthesia, Neoplasm malignant, Paraesthesia, Pyrexia
Clinical narrative: Approximately 4 hours after vaccine patient became chilled, felt numbness and tingling at fingers. At 8 hours after the vaccination patient had temperature of 102. Temperature up and down all week. On 10/17 went to Internist and temperature 104. Labs and CT ordered stat. The discharge summary received on 11/21/03 states adeno carcinoma.
Age: 0.25
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Febrile convulsion
Clinical narrative: Mother states child had seizure one time when they got home and then another seizure that afternoon. Mother called ambulance. Child was transported to hospital; child had another seizure at hospital. Mother states child is fine now and is home; was given medicines to use of another seizure occurred.
Age: 41.0
Sex: M
Vaccine: SMALL
Symptoms: Hypoglobulinaemia, Lymphadenopathy
Clinical narrative: Starting one month after vaccine developed large hard axillary node, excised 8/29/03, fatty nodes then arm node also about 5cm hard, excised 10/7/03 nodular fibrosis. Pt workup revealed hypogamma-globulinemia subclass 1.
Age: 1.0
Sex: M
Vaccine: FLU3, HIBV, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Urticaria
Clinical narrative: 4:35 PM localized reaction right and left deltoid injection sites, redness and welt approx 5 minutes after varicella and MMR given. Dr made aware. 4:40 PM Applied cold compresses to bilateral deltoid areas. Checked per Dr. No other adverse reaction noted. Benadryl 4ml PO given at 5 PM. Checked every 5 minutes. Redness decreased and welt resolved. Checked per Dr. Pt home with parents, may give 4 ml Benadryl PO tonight every 6 hours PRN.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Infection, Injection site erythema, Injection site oedema, Injection site warmth, Pain
Clinical narrative: 10/29/03: Pt called health dept in the AM to report right arm a little swollen and red at injection site, reported increased pain. Advised pt to hold ice to arm and take antiinflammatory, e.g. ASA, Ikotrin as tolerated and to call back or see MD PM. 10/30/03: Pt to health dept, reports increased pain, increased redness, increased swelling. This nurse noted increased redness, increased swelling and hot to touch from site of injection at right deltoid to elbow. Referred to MD. 10/31/03: Nurse phoned pt, she reports she did see doctor and was Dx'd with infection. Is taking antibiotic (Keflex) and Benadryl per doctor's order. It states she ran a fever last night of 102 degrees. She states she is feeling better today, swelling is decreased and pain decreased.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site mass, Injection site oedema, Injection site warmth, Joint range of motion decreased
Clinical narrative: Pt states, "hard knot developed at site of injection, size of large lemon. Site was red and fevered. Could barely move arm. Knot had decreased in size by time of Dr visit." Reaction occurred approx 6 hours after injection. Tx'd with med for soreness.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: Pt states, "hard knot developed at site of injection, size of large lemon. Site was red and fevered. Could barely move arm. Knot had decreased in size by time of Dr visit." Reaction occurred approx 6 hours after injection. Tx'd with med for soreness.
Age: 4.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site vesicles, Pain, Pruritus, Rash, Skin ulcer
Clinical narrative: Multiple clusters of up to 5mm vesicular lesions on left anterior, medial and lateral thigh with a few lesions on anterior knee. Itching. c/o leg hurting since shots given 3 weeks ago, but mom just looked at skin, noted rash today. No tx given yet, I am prescribing hydroxyzine for itching and topical 1% hydrocortisone today.
Age: 58.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Feeling hot, Hyperhidrosis, Nausea
Clinical narrative: Member came into immunizations clinic on Saturday, 11/01/03 in the morning. He received 2 shots. Early in the afternoon, he began to feel lightheaded, dizzy, warm and sweaty with mild nausea. He came into the clinic and was assessed by the provider.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Neuroma, Pain in extremity, Phlebitis
Clinical narrative: Pt woke up in AM with foot pain. 10/26/03 No known injuries. 10/29/03 pain has moved into ankle, neuroma vs cellulitis/phlebitis. 11/3/03 4th day of antibiotic, tendon ROM ligs stable. Tendon anterior tib 1/3 up pain on palp arch of foot plantar dorsal.
Age: 4.0
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Erythema, Urticaria
Clinical narrative: 10 minutes after injections, PPD left forearm, flu vaccine left deltoid, #1 Hep A right deltoid, developed red cheeks with small hives, spread to forearms and upper arms. Left worse than right.
Age: 80.0
Sex: M
Vaccine: FLU3, TD
Symptoms: Joint range of motion decreased
Clinical narrative: Pt reports no significant reaction or problem until about 3 days ago when he began experiencing difficulty raising left arm above head. Denies swelling, heat, tenderness to touch or fever.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Flushing, Headache, Hypoaesthesia, Paraesthesia, Vision blurred
Clinical narrative: Approx 1 hour after vaccine pt developed "foggy vision", numbness/tingling mouth and lips, facial flushing, "neck and head ached".
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Feeling hot
Clinical narrative: 6 x 3cm cellulitis at site of administration warm to touch.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Tinnitus
Clinical narrative: Bilateral, high-pitched tinnitus beginning approx 2 weeks after flu vaccine. Has now had symptoms for 10 days. Otherwise well and no other identified etiology.
Age: 55.0
Sex: M
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: States had flu vaccine 10/6/03 at vocational school during public clinic, states developed pain right arm and hand shortly after, few hours, seen per MD, put on antibiotics. On Celebrex at present. C/o continued pain, not feel ROM, reported to agency on 11/05/03. No redness or edema RD.
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Blister, Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Came to office 10/30/03 AM. Left upper arm very red measuring 8 cm x 9 cm., hot to touch, swollen. Put on Zyrtec tsp per day and Keflex susp 1 tsp tid for 1 week. 10/31/03 Pt brought in, site started blistering all over last night, was still very red. According to mom much better this AM. Rx for Prelone syrup given.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Swelling and erythema of left upper arm.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Headache
Clinical narrative: Very serious headache - lasted 5 days.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Eyelid oedema, Urticaria
Clinical narrative: Received shot approximately at 3:30 PM. At around 9:00 PM the same day developed hives to bil forearms and then to bil upper thighs progressing to waist and trunk. Did not have welts or respiratory symptoms. Eyelids swollen next morning. Went to see a nurse practitioner next day and then to a dermatologist. Prescribed Prednisone for 17 days.
Age: 65.0
Sex: M
Vaccine: FLU3
Symptoms: Diarrhoea, Headache, Pain, Pyrexia, Sinus congestion
Clinical narrative: Approximately 5 hours after receiving flu shot, I came down with fever and body aches. The next day still had same problem with heavy drainage, weakness and headaches and plugs sinus. These symptoms have continued for over 7 days with slow recovery since also during this period, stomach uneasy and loose bowel.
Age: 65.0
Sex: M
Vaccine: FLU3
Symptoms: Stomach discomfort
Clinical narrative: Approximately 5 hours after receiving flu shot, I came down with fever and body aches. The next day still had same problem with heavy drainage, weakness and headaches and plugs sinus. These symptoms have continued for over 7 days with slow recovery since also during this period, stomach uneasy and loose bowel.
Age: 36.0
Sex: M
Vaccine: FLU3
Symptoms: Chest pain, Cough, Nasal congestion, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: 2 days after shot, started with sore throat, coughing, chest pain (from coughing), fever, congestion, runny nose that continued for just over one week. Taking antibiotics.
Age: 36.0
Sex: M
Vaccine: FLU3
Symptoms: Rhinorrhoea
Clinical narrative: 2 days after shot, started with sore throat, coughing, chest pain (from coughing), fever, congestion, runny nose that continued for just over one week. Taking antibiotics.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Loss of consciousness, Syncope, Tremor
Clinical narrative: Pt felt dizzy/shaky after receiving vaccine and sat down. She fainted approximately 3 minutes after receiving vaccine. She was unconscious for 1-2 minutes. Ammonia inhalant was used to regain consciousness. Paramedics arrived within 10 minutes. While waiting for paramedics, I used ammonia inhalant 2-3 times because she looked as if she might faint again. She had the urge to vomit, but did not vomit. When paramedics arrived her pulse was fine, and pt was alert. Her blood pressure was low but that is normal for the pt. Her blood sugar reading was 102. Pt was fine at 8:00 that night when I called to check on her and again she was fine on Saturday, November 1.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: 10/20/2003: Vaccine given; 10/22/2003: Swelling to left arm and redness, warm to touch; Diagnosis: Cellulitis left arm to elbow 2nd day to allergic reaction to Pneumovax.  Treatment: Cipro, Zyrtec, Tylenol.
Age: 89.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema
Clinical narrative: Patient noted large area of redness on upper arm on 11/04/2003 (injection was given 10/27/2003). 6 inch length by 2 3/4 inch width.  Non raised.  No other adverse effects noted.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Dizziness, Erythema, Fatigue, Headache
Clinical narrative: Started with light-headedness within 1 hour, decreased tiredness next day, above continued, plus got headache (severe) by 3rd day, blood pressure and pulse became elevated.  Rash started on arms and chest, headache severe, paleness 4th day-red, blotchy rash all over (except legs) and blood pressure and pulse continued to increase and low fever (on and off).
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Rash, Rash macular
Clinical narrative: Started with light-headedness within 1 hour, decreased tiredness next day, above continued, plus got headache (severe) by 3rd day, blood pressure and pulse became elevated.  Rash started on arms and chest, headache severe, paleness 4th day-red, blotchy rash all over (except legs) and blood pressure and pulse continued to increase and low fever (on and off).
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema
Clinical narrative: Approximately 8 cm erythema in area of injection.  Getting better at the time she came in to let MD check it.  Diagnosis per MD: local reaction to Pneumovax.  Patient to monitor and come back if size increases or gets fever.
Age: 76.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Diarrhoea, Nausea, Vomiting
Clinical narrative: 8 days after injection's, patient complained of nausea, vomiting, diarrhea (also had med changes during that time).  No fever.
Age: 43.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Pyrexia, Tenderness
Clinical narrative: Temperature 101, tenderness, edema, erythema left arm. Seen in ER.  Treatment Augmentin x 10 days.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Approximately 30 hours after vaccination, patient developed rash over her entire body.
Age: 8.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Disturbance in attention, Injection site oedema, Injection site pain, Pain, Pyrexia
Clinical narrative: Patient had an onset of 103 fever just a couple of hours after the vaccine.  His fever lasted 5 days an arm swelling up with soreness for over 2 weeks.  His speech became slurred and lasted over 30 days.  He is still having problems concentrating/body aches. MD will not have patient vaccine again.
Age: 8.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Speech disorder
Clinical narrative: Patient had an onset of 103 fever just a couple of hours after the vaccine.  His fever lasted 5 days an arm swelling up with soreness for over 2 weeks.  His speech became slurred and lasted over 30 days.  He is still having problems concentrating/body aches. MD will not have patient vaccine again.
Age: 1.6
Sex: F
Vaccine: DTAPHEPBIP, FLU3
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pyrexia, Tenderness
Clinical narrative: Mom noticed swelling and redness tuesday evening at bath time.  Redness and swelling-half inch above injection site to half way to elbow.  3-4 fingers in width.  Tender to touch.  Feels hot/warm to touch.  Fever up to 101.  Has been using Tylenol.  Recommended Motrin.  Call back as needed.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Rash on body-resembling hives
Age: 38.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site warmth, Oedema, Urticaria
Clinical narrative: "Welts" 2 at injection site, edemetous, red, hot to touch x 24 hours.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia
Clinical narrative: Progressive numbness from eyelid to nose to face to entire body, beginning 3 days after vaccination.
Age: 77.0
Sex: M
Vaccine: FLU3
Symptoms: Anorexia, Headache, Pyrexia, Weight decreased
Clinical narrative: Received vaccine shot at 10:30, and by 14:00 was feeling sick-with fever, chills, headache, symptoms lasted several days.  No appetite for several days-lost weight.
Age: 64.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Hypersensitivity, Injection site oedema, Injection site warmth
Clinical narrative: Allergic Reaction, went to ER.  Arm swollen, hot
Age: 35.0
Sex: M
Vaccine: FLU3
Symptoms: Ecchymosis, Rash macular
Clinical narrative: Blotch on chin-ecchymalis 17mmx3mm.  Denies any trauma.  Violaceous 16:00 (11/04/2003), No respiratory distress, S1 S2 (-), M-B.  Temperature 98.1-98.7.  Blood pressure: 124/80, Pulse: 80; Respiratory: 16;
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema, Tenderness
Clinical narrative: Onset evening of flu shot-redness and swelling to site, tender.  No abscess, no fever, no streaking, no respiratory or other problems.  Treatment: Local heat, advil. Unable to contact person @ home.  Left messages.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Tenderness
Clinical narrative: 3x3cm redness, no streaks, tender with palpation to right lateral thigh.  Reaction 24 hours post injection. Parent noticed about 19:30.  Treatment: Benadryl, Tylenol.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Myalgia, Pyrexia, Rhinorrhoea
Clinical narrative: I had the flu shot on Monday 10/20/2003, after that I had a low grade fever with muscle ache, running nose, coughing for 2 weeks.  (I have had flu shot every year for more than 10 years, but I have never felt sick for so long like this before).
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Pain
Clinical narrative: Pneumovaccine give 10/28/2003 on 10/29/2003, site red, swelling, warm to touch,painful.  Saw MD 11/03/2003.  Prescribed Atarax.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Hyperhidrosis, Pyrexia, Tremor
Clinical narrative: Approximately 12 hours after vaccination, patient complained of chills, diaphoresis, and was shaking.  Symptoms continued at least 24 hours. Before patient took temp (oral) 103.4.  Medical attention sough 10/23 Theraflu and Tylenol prescribed.
Age: 7.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Generalized hives lasting one days, started 18 hrs post vaccine.
Age: 2.08
Sex: F
Vaccine: PNC
Symptoms: Erythema, Feeling hot, Oedema peripheral
Clinical narrative: Left arm red swollen hot induration postive mild edema. Benadryl given.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site reaction, Injection site warmth
Clinical narrative: Swelling, redness and warmth medially and inferrorally to immunization site on RLE. Sx's began 24 hrs post immunization and associated with low grade temp approximately 100 degrees. Pt evaluated in office 48 hrs later, started on Omnicef for possible early cellulitis. Asked to f/u 2-3 d if sx's continue.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site rash
Clinical narrative: Localized swelling, redness, pain and rash LAT seen by physician treated with Benadryl.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Feeling hot, Pruritus
Clinical narrative: 11/3/03 client and her mom presented to the health dept with concern. I noted small red whole type area right arm, measured 2 x 1/2, warm to touch but not inflamed. Client denied pain and discomfort, just itchy. Mom stated she did give Motrin for the first day after immunization was given, did give Benadryl last night.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Oedema peripheral, Pain
Clinical narrative: Rec'd vaccine in afternoon by that evening area swollen and red and painful. Next morning arm swollen below elbow, red, warm, extremely pain. Seen by PMD given Prednisone, Zyrles and Amoxy. Pain decreased by 3rd day but swelling cont. to wrist area (slight swelling). 11/3/03 pt dates complete resolution.
Sex: F
Vaccine: PPV
Symptoms: Chest pain, Pain, Shoulder pain
Clinical narrative: C/O of L arm and shoulder pain, radiating to chest approximately 5 hrs s/p receiving a Pneumovax in left deltoid. Pt treated in ER with analgesics.
Age: 2.9
Sex: M
Vaccine: DTAP
Symptoms: Injection site reaction
Clinical narrative: Injection given 11/3/03 approx. 5:20pm. Explained to pt's father possible reaction-local. Told him to use ice and Tylenol or Motrin. Vis sheet given. Local reaction noted 48 hrs later 11/5/03.