chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.33
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Apnoea, Cardiac arrest neonatal, Cyanosis, Multi-organ failure, Respiratory arrest
Clinical narrative: Initial and follow up information has been received from an office administrator and a physician concerning a 16 wk old male pt (weight at birth, 8lb, 4 oz) using an apnea monitor who on 05Jun06 was vaccinated with a first dose of hep B virus vaccine rHBsAg (yeast) (+) Hib conj vaccine. On 01Aug06 at 10:15AM he was vaccinated IM in right thigh with a 2nd dose of hep B virus vaccine rHBsAg (yeast) (+) Hib conj vaccine (lot 654424/0268F). Concomitant suspect therapy also administered on 01Aug06 at 10:15AM included a 2nd dose of pneumococcal 4 6B 9V 14 18C 19F 23F conj vaccine (crm197) (Prevnar) (lotb086838) IM in left thigh, a 2nd dose of poliovirus vaccine (lot Z0001) IM in left thigh, and a 2nd dose of diphtheria toxoid (+) pertussis acellular vaccine (unsp) (+) tetanus toxoid (lotU1857BA) IM in right thigh. The pt had an upper respiratory infection at the time of vaccinations. It was reported that at 10PM on 01Aug06 the infant had an apnea event which required CPR/advanced resuscitation. Approx 12 hrs after the resuscitation, the infant died from complications from a prolonged cardio pulmonary arrest. The physician stated that she had received this information from the pathologist: on the evening the vaccines had been administered the apnea monitor in the child's bedroom went off and the mother found the baby blue. She assumed he had thrown up and was blue due to lack of breathing. The baby was rushed to the ER where after continued resuscitation for 25 mins they got the heart rate back. The baby was transported to ICU but there was already organ damage. 12 hrs later organ failure occurred and the baby died. There had been retinal hemorrhages on autopsy. The physician noted that retinal hemorrhage may be caused by such things as shaken baby syndrome or CPR. An autopsy report was requested however the physician indicated it may take some time to determine etiology. Initial information indicated that the infant died on 02Aug06 and that the cause of death was retinal haemorrhage which occurred when an attempt was made to resuscitate the infant. Additional information has been requested.
Age: 0.33
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Retinal haemorrhage
Clinical narrative: Initial and follow up information has been received from an office administrator and a physician concerning a 16 wk old male pt (weight at birth, 8lb, 4 oz) using an apnea monitor who on 05Jun06 was vaccinated with a first dose of hep B virus vaccine rHBsAg (yeast) (+) Hib conj vaccine. On 01Aug06 at 10:15AM he was vaccinated IM in right thigh with a 2nd dose of hep B virus vaccine rHBsAg (yeast) (+) Hib conj vaccine (lot 654424/0268F). Concomitant suspect therapy also administered on 01Aug06 at 10:15AM included a 2nd dose of pneumococcal 4 6B 9V 14 18C 19F 23F conj vaccine (crm197) (Prevnar) (lotb086838) IM in left thigh, a 2nd dose of poliovirus vaccine (lot Z0001) IM in left thigh, and a 2nd dose of diphtheria toxoid (+) pertussis acellular vaccine (unsp) (+) tetanus toxoid (lotU1857BA) IM in right thigh. The pt had an upper respiratory infection at the time of vaccinations. It was reported that at 10PM on 01Aug06 the infant had an apnea event which required CPR/advanced resuscitation. Approx 12 hrs after the resuscitation, the infant died from complications from a prolonged cardio pulmonary arrest. The physician stated that she had received this information from the pathologist: on the evening the vaccines had been administered the apnea monitor in the child's bedroom went off and the mother found the baby blue. She assumed he had thrown up and was blue due to lack of breathing. The baby was rushed to the ER where after continued resuscitation for 25 mins they got the heart rate back. The baby was transported to ICU but there was already organ damage. 12 hrs later organ failure occurred and the baby died. There had been retinal hemorrhages on autopsy. The physician noted that retinal hemorrhage may be caused by such things as shaken baby syndrome or CPR. An autopsy report was requested however the physician indicated it may take some time to determine etiology. Initial information indicated that the infant died on 02Aug06 and that the cause of death was retinal haemorrhage which occurred when an attempt was made to resuscitate the infant. Additional information has been requested.
Sex: U
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Erythema, Pyrexia, Rash papular
Clinical narrative: Received 6 shots on 08/09/2006 , I had fever up to 103  on 08/19 and 08/20 with red papular rashes all over the body except legs.  Left arm more than right.  Patient had Varicella at left arm
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Pyrexia
Clinical narrative: Left arm local erythema, subjective low grade fever.  Treatment Ibuprofen, fluid watch 1-2 more days. Ok otherwise.
Age: 75.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Information has been received from a physician concerning a 75 year old retired male who at 9:am on 5/30/06 was vaccinated, route unknown, in the right deltoid with a second dose of Pneumococcal 23v polysaccharide vaccine (lot 651322/1044P). Subsequently, onset date not specified, the pt developed right arm deltoid erythema, edema and pain on flexion and extension. On 6/3/2006 the pt recovered. It was reported that the pt was in for a routine physical exam. Ice and acetaminophen Tylenol were administered and a CBC was performed. It was noted that the pt did not experience any adverse events following the prior vaccination. The physician indicated that medical intervention was required (OMIC). Additional information is not expected.
Age: 1.22
Sex: M
Vaccine: MMR
Symptoms: Autism, Speech disorder
Clinical narrative: Information has been received from a consumer concerning her approximately 16 month old son with no known allergies or past medical history who in approximately August 200, at "14-16 months old" was vaccinated with a first 0.5 ml dose of measles virus vaccine live (+) mumps virus vaccine live (+) rubella virus vaccine live. There was no concomitant medication. In approximately September 2002, "a month after the shot" the patient was "only saying three words" though he was speaking "normally" prior to vaccination. The patient was diagnosed with a mild form of autism "called PPD". The patient was hospitalized once to have an EEG done. It was also reported that the patient had blood tests, an MRI, an EKG, an MRA, and "MRS" performed, all results unspecified. At the time of the report that patient was five years old and he has "improved". He can now speak, dress himself, and go to the bathroom properly although he may have "future problems". There was no product quality complaint involved. Additional information has been requested.
Sex: F
Vaccine: MMRV
Symptoms: Encephalitis, Sepsis, Shock
Clinical narrative: Information has been received from a physician concerning a female who about 2 wks ago on approx 27Jul06 was vaccinated with a SC dose of MMR. In approx Aug 2006, the pt was admitted into the hospital in septic shock and the pt had encephalitis after receiving MMR + varicella virus vaccine live. The length of hospitalization was unspecified, however, the physician mentioned that the pt was still in the hospital. There was no product quality complaint involved. Septic shock and encephalitis were considered to be immediately life threatening and other important medical events (OMIC). Additional information has been requested.
Age: 27.0
Sex: F
Vaccine: MMR
Symptoms: Asthenia, Convulsion, Dizziness, Electroencephalogram abnormal, Hypokalaemia
Clinical narrative: 8/4/06 TC from mom. Pt fainted that AM. Recovered from faint, but continued to feel weak and light headed. No other sx. Advised mom to have pt evaluated by MD. Pt was admitted to hospital for observation on 8/4/06. Per pt blood tests showed low potassium levels and EEG showed seizure activity. All other tests wnl. 8/11/06 pt reports doing fine and is taking a mineral supplement. Advised pt to get ok from MD before receiving a 2nd MMR shot.  Summary although consultation report provides diagnosis and discharge plans. HX of present illness: Patient had no convulsive movements. She had no warning leading up to the blackout which occurred on 8/4/06. She did have no response to surrounding environment for several minutes even in horizontal position, afterwards she was confused and fatigued for about 2 hours. Only last night did she begin to feel back to her normal self. Ten years ago while combating an eating disorder she did have a convulsion that was witnessed by her mother, that convulsion was blamed on the eating disorder and the patient did not seek medical attention.  PMH: Remarkable for intravenous drug abuse that the patient ceased last year. She does have occasional spells in which she develops tunnel vision with a flickering border followed by some mild head pain. Presumably this is migraine but she is not on any special medication for that. No headache or migraine's symptoms associated with the episode yesterday. Smokes 3/4 pack per day and has some smoker's cough, does abuse alcohol. PE: WNL Analysis: blackout probably epileptic mechanism, exact risk of recurrence unclear. Migraine. History of eating disorder.
Age: 27.0
Sex: F
Vaccine: MMR
Symptoms: Migraine, Syncope
Clinical narrative: 8/4/06 TC from mom. Pt fainted that AM. Recovered from faint, but continued to feel weak and light headed. No other sx. Advised mom to have pt evaluated by MD. Pt was admitted to hospital for observation on 8/4/06. Per pt blood tests showed low potassium levels and EEG showed seizure activity. All other tests wnl. 8/11/06 pt reports doing fine and is taking a mineral supplement. Advised pt to get ok from MD before receiving a 2nd MMR shot.  Summary although consultation report provides diagnosis and discharge plans. HX of present illness: Patient had no convulsive movements. She had no warning leading up to the blackout which occurred on 8/4/06. She did have no response to surrounding environment for several minutes even in horizontal position, afterwards she was confused and fatigued for about 2 hours. Only last night did she begin to feel back to her normal self. Ten years ago while combating an eating disorder she did have a convulsion that was witnessed by her mother, that convulsion was blamed on the eating disorder and the patient did not seek medical attention.  PMH: Remarkable for intravenous drug abuse that the patient ceased last year. She does have occasional spells in which she develops tunnel vision with a flickering border followed by some mild head pain. Presumably this is migraine but she is not on any special medication for that. No headache or migraine's symptoms associated with the episode yesterday. Smokes 3/4 pack per day and has some smoker's cough, does abuse alcohol. PE: WNL Analysis: blackout probably epileptic mechanism, exact risk of recurrence unclear. Migraine. History of eating disorder.
Age: 0.01
Sex: F
Vaccine: HEP
Symptoms: Abnormal sleep-related event, Sudden infant death syndrome
Clinical narrative: Undetermined - Category II SIDS 9/15/06 Received autopsy report which reveals COD as Category II SIDS.  Patient cosleeping in adult bed between 2 adults & lay over could not be excluded/ss
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Unevaluable event
Clinical narrative: None Stated
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Diarrhoea, Headache, Injection site hypersensitivity, Injection site induration, Injection site warmth
Clinical narrative: Mother informed staff on 8/17/06 that after pt received Adacel on 7/13/06 he had diarrhea, fever t102, nausea, headache, and arm was hot, hard as a baseball, red within 24 hours.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Nausea, Pyrexia
Clinical narrative: Mother informed staff on 8/17/06 that after pt received Adacel on 7/13/06 he had diarrhea, fever t102, nausea, headache, and arm was hot, hard as a baseball, red within 24 hours.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Balance disorder, Dizziness, Fall
Clinical narrative: Pt felt dizzy, lost her balance, then fell, within 5 mins of receiving vaccine.
Age: 0.51
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PPV
Symptoms: Medication error, Unevaluable event
Clinical narrative: No reaction
Age: 57.0
Sex: M
Vaccine: HEP
Symptoms: Cough, Dyspnoea, Lymphadenopathy, Pyrexia, Rash
Clinical narrative: Reports 8/4 at 5pm had fever 103. Coughed so much on 8/5 he vomited. 8/6 has a little shortness of breath, fever 102-103. Mom 8/7 slight rash on chest. Seen in Immediate care. Lt lymph node was swollen. Put on Penicillin and antihistamine, 8/8 no fever feeling better.
Age: 57.0
Sex: M
Vaccine: HEP
Symptoms: Vomiting
Clinical narrative: Reports 8/4 at 5pm had fever 103. Coughed so much on 8/5 he vomited. 8/6 has a little shortness of breath, fever 102-103. Mom 8/7 slight rash on chest. Seen in Immediate care. Lt lymph node was swollen. Put on Penicillin and antihistamine, 8/8 no fever feeling better.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 5cm indurated, red area left deltoid.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Mild erythema, induration 2-3 cm x 5-6 cm oval shaped right deltoid
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site reaction
Clinical narrative: Left deltoid about 5x4" erythema, induration at site of DTap immunization.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Red, swollen area approx size of Quarter left deltoid area.
Age: 0.37
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Mother states child running fever 103 all day and night after receiving shots.
Age: 0.34
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema
Clinical narrative: About 4cm x 3cm redness pt was given Augmentin 600/5 1.8cc PO BID x 7 days.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Vomiting and diarrhea for 3 days starting 12 hours after dose given.
Age: 1.0
Sex: F
Vaccine: HIBV, PNC, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site warmth
Clinical narrative: Seen on 7/24/06 right thigh redness, warmth, redness started same day as injection, 5x6 cm, DX cellulitis, RX Keflex 250/5 1 tsp BID x 10 days.
Age: 1.0
Sex: M
Vaccine: HEP, HIBV, PNC, VARCEL
Symptoms: Cellulitis, Injection site erythema
Clinical narrative: Seen on 7/21/06 for cellulitis right leg had redness for 2 weeks, RX Keflex 250/5 3cc po Bid x 10 days.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site warmth, Pyrexia
Clinical narrative: 8x10 cm warm, red, swelling around injection site left thigh medial aspect fever, with cellulitis. RX Cephalexin PO Motrin, Prednisolone.
Age: 5.0
Sex: M
Vaccine: IPV, MMR
Symptoms: Agitation, Crying, Medication error, Pyrexia
Clinical narrative: Pt given 2 doses of Dtap accidentally, I picked up wrong syringe when doing Immunizations on pt and brother. 8/17/06 2:00pm spoke with mom, she states that pt had slight fever last pm and some crying mom states doing good today.
Age: 1.01
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash vesicular
Clinical narrative: Pt seen 8/17/06 per parent has had rash and fever x 1 wk. Temp 96.5 F, vesicular rash at different stages of crusting lower back and buttocks per MD eval. Tx acyclovir 200 mg susp 1 tsp 3x a day. Loratadine 5mg syrup 1 tsp daily PRN.
Age: 4.0
Sex: F
Vaccine: DT
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: Rec'd ped DT on 8/11/06. Developed high fever of 103.7 that persisted x days. Parent alternated Motrin and Tylenol. Fever 102.3 on day 5. Also had redness, swelling, Knot and soreness in arm where injection was given.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: 08/15/06 vaccines given DTaP, IPV, MMR. 8/17/06 call from Dr saw pt 8/17 for total reaction, 5cm redness around injection site which was Rt deltoid. No treatment. Dr gave antibiotic prescription to parents to fill if needed they were traveling on 8/17/06.
Age: 65.0
Sex: F
Vaccine: PPV, TD
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site reaction, Injection site warmth
Clinical narrative: Pt states swelling within 2 hrs after admin at office 14 hours later red, swelling, heat, pain from deltoid to elbow right. Pneumovax site.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Dyspnoea, Rash, Swelling face
Clinical narrative: Swelling in lips/face difficult to breath from nose and rash.  Mother treated with BENADRYL, swelling went down.  No breathing problems.  No more rash.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema
Clinical narrative: Child received immunization on 08/05/2006 called next day brought in for exam, 3 to 4 reddened area on left thigh.  Also had multiple insect bites on body also.
Age: 13.0
Sex: M
Vaccine: HEP, IPV, TDAP, UNK
Symptoms: Erythema, Swelling
Clinical narrative: Arm became swelling and red, no pain.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: 1 week after having vaccines, increased temperature greater than 104 degrees causing febrile seizure, no previous history of seizures, second seizure 12-2003, third Nov 2004, no other seizure reported.
Age: 0.55
Sex: F
Vaccine: DTAP, PNC, RV5
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Patient received Rotateq vacccine on 8/18/06 within 24 hours Dad developed vomiting and diarrhea.  He had no other known contacts.  The next day mom, grandmother, and grandfather also developed vomiting and diarrhea.  The patient developed vomiting and diarrhea 4 days after vaccination.  She required only oral rehydration.
Age: 0.48
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Medication error
Clinical narrative: None were made aware to us.  Client was administered (2) PEDIARIX pn the same day at the same visit.
Age: 13.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Left arm red, swollen, hot to the touch, and sore.
Age: 37.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site mass, Injection site warmth, Pain, Pyrexia
Clinical narrative: CLIENT REPORTS HE HAD A LOW GRADE FEVER AND WAS ACHY FOR THREE DAYS. HAD A LUMP ON HIS ARM WHERE THE TDAP WAS GIVEN. PLAYED TWO SOCCER GAMES DURING THIS TIME, SAID MAY HAVE BEEN ACHY FROM THAT. THEN DEVELOPED A LARGER AREA OF REDNESS ON HIS ARM. LUMP GONE TODAY.ARM APPEARED BLOTCHY ON THE SHOULDER, RED ON THE BICEP AREA OF THE ARM DOWN TO THE ELBOW. SLIGHT HEAT IN THE AREA. ADVISED TO SEE HIS DR TODAY FOR EVALUATION.
Age: 37.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Rash macular
Clinical narrative: CLIENT REPORTS HE HAD A LOW GRADE FEVER AND WAS ACHY FOR THREE DAYS. HAD A LUMP ON HIS ARM WHERE THE TDAP WAS GIVEN. PLAYED TWO SOCCER GAMES DURING THIS TIME, SAID MAY HAVE BEEN ACHY FROM THAT. THEN DEVELOPED A LARGER AREA OF REDNESS ON HIS ARM. LUMP GONE TODAY.ARM APPEARED BLOTCHY ON THE SHOULDER, RED ON THE BICEP AREA OF THE ARM DOWN TO THE ELBOW. SLIGHT HEAT IN THE AREA. ADVISED TO SEE HIS DR TODAY FOR EVALUATION.
Age: 47.0
Sex: F
Vaccine: TD
Symptoms: Headache, Nausea, Pain
Clinical narrative: Unsure of onset of symptoms. States "sometime last week"; c/o aching, calves hurting, headache, and nausea.  Referred to PMD.
Age: 1.51
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Rash, Viral infection
Clinical narrative: Break-through chickenpox.
Age: 59.0
Sex: F
Vaccine: TDAP
Symptoms: Chest discomfort, Headache, Myalgia, Pain
Clinical narrative: Severe headache the day after ( 8/16/06)  the vaccine was given and lasted through 8/21/06. Also experienced body aches, sore arm, and sore (one sided) shoulder/chest discomfort on the side the vaccine was administered. Slight headache and shoulder/arm muscle soreness are still present.
Age: 57.0
Sex: F
Vaccine: MMR
Symptoms: Erythema, Eye irritation, Rash
Clinical narrative: Pt received vaccine on 8/7/06 and noted rash of her trunk on 8/18/06 which has spread over most of her body, rash is fine pale pink, she notes burning of her eyes, and in other areas assoc w/rash, no fevers noted.
Age: 12.0
Sex: M
Vaccine: TD
Symptoms: Rash
Clinical narrative: Rash - was resolving after 3 days when last seen.
Age: 37.0
Sex: F
Vaccine: MMR
Symptoms: Injection site erythema, Injection site swelling, Lymphadenopathy, Neck pain, Pain
Clinical narrative: On 8/21/2006 client came into the clinic with complaint of left axillary lymph node pain and swelling, raised, red rash (approx. 5 papules) on back near left axillary and raised red rash on upper left breast area.  Symptoms began one week after receiving MMR dose in left arm.  Also complained of pain in left side of neck.  Swollen and reddened area at injection site.  Client stated on 8/21 that her symptoms were improved since the onset.
Age: 37.0
Sex: F
Vaccine: MMR
Symptoms: Rash erythematous
Clinical narrative: On 8/21/2006 client came into the clinic with complaint of left axillary lymph node pain and swelling, raised, red rash (approx. 5 papules) on back near left axillary and raised red rash on upper left breast area.  Symptoms began one week after receiving MMR dose in left arm.  Also complained of pain in left side of neck.  Swollen and reddened area at injection site.  Client stated on 8/21 that her symptoms were improved since the onset.
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Joint swelling
Clinical narrative: This case was reported by a lawyer and described the occurrence of rheumatological symptoms in a male subject ages between 40 and 49 yrs old who was vaccinated with Lyme disease vaccine recombinant (Lymerix) for prophylaxis. The pt was 47 yrs old at the time of this report. The pt received vaccination with Lymerix on 02Jun00, 06Jul00, and 16Jun01. At an unspecified time after vaccination with Lymerix, the pt experienced rheumatological symptoms including constant and intense joint pain and joint swelling in the shoulders, ankles, and hands. The attorney stated that the pt's knuckles have swollen to three times their normal size, and alleged that due to the severity of the symptoms the pt was placed on social security disability. Treatment included infliximab (Remicade). At the time of reporting the events were unresolved.
Age: 55.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Cardiac disorder, Cognitive disorder, Fatigue, Headache
Clinical narrative: This case was reported by a lawyer and described the occurrence of joint pain and swelling in a male subject of unspecified age who was vaccinated with Lyme disease vaccine recombinant (Lymerix) for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of Lymerix (unk). On an unspecified date after vaccination with Lymerix, the subject experienced joint pain and swelling, flu like symptoms, fatigue, cardiac problems, charley horse type pain in calves, headaches, sleep disorder, cognitive problems, decreased activities of daily life, rheumatologic, neurologic and/or cognitive impairment of an autoimmune, immune mediated, or other mechanism. At the time of reporting the outcome of the events was unspecified. This information was received via a statement of injuries. Follow up information was received on 18Aug06 via the attorney, who reported that the pt was a 55 yr old male who was vaccinated with Lyme disease vaccine recombinant (Lymerix) on 24May99, 01Jul99, and 27Jun00. Approx one and a half months after vaccination (unspecified which vaccination of the series), the pt developed symptoms including severe rheumatologic and neurological injuries, fatigue, and cognitive impairment. Treatment included intravenous immunoglobulin. According to the attorney, the pt's symptoms were debilitating to the point that he has been forced to go on private disability and subsequently apply for social security disability. The attorney also reported that the events had gotten progressively worse.
Age: 55.0
Sex: M
Vaccine: LYME
Symptoms: Influenza like illness, Joint swelling, Muscle spasms, Nervous system disorder, Pain
Clinical narrative: This case was reported by a lawyer and described the occurrence of joint pain and swelling in a male subject of unspecified age who was vaccinated with Lyme disease vaccine recombinant (Lymerix) for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of Lymerix (unk). On an unspecified date after vaccination with Lymerix, the subject experienced joint pain and swelling, flu like symptoms, fatigue, cardiac problems, charley horse type pain in calves, headaches, sleep disorder, cognitive problems, decreased activities of daily life, rheumatologic, neurologic and/or cognitive impairment of an autoimmune, immune mediated, or other mechanism. At the time of reporting the outcome of the events was unspecified. This information was received via a statement of injuries. Follow up information was received on 18Aug06 via the attorney, who reported that the pt was a 55 yr old male who was vaccinated with Lyme disease vaccine recombinant (Lymerix) on 24May99, 01Jul99, and 27Jun00. Approx one and a half months after vaccination (unspecified which vaccination of the series), the pt developed symptoms including severe rheumatologic and neurological injuries, fatigue, and cognitive impairment. Treatment included intravenous immunoglobulin. According to the attorney, the pt's symptoms were debilitating to the point that he has been forced to go on private disability and subsequently apply for social security disability. The attorney also reported that the events had gotten progressively worse.
Age: 55.0
Sex: M
Vaccine: LYME
Symptoms: Rheumatoid arthritis, Sleep disorder
Clinical narrative: This case was reported by a lawyer and described the occurrence of joint pain and swelling in a male subject of unspecified age who was vaccinated with Lyme disease vaccine recombinant (Lymerix) for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of Lymerix (unk). On an unspecified date after vaccination with Lymerix, the subject experienced joint pain and swelling, flu like symptoms, fatigue, cardiac problems, charley horse type pain in calves, headaches, sleep disorder, cognitive problems, decreased activities of daily life, rheumatologic, neurologic and/or cognitive impairment of an autoimmune, immune mediated, or other mechanism. At the time of reporting the outcome of the events was unspecified. This information was received via a statement of injuries. Follow up information was received on 18Aug06 via the attorney, who reported that the pt was a 55 yr old male who was vaccinated with Lyme disease vaccine recombinant (Lymerix) on 24May99, 01Jul99, and 27Jun00. Approx one and a half months after vaccination (unspecified which vaccination of the series), the pt developed symptoms including severe rheumatologic and neurological injuries, fatigue, and cognitive impairment. Treatment included intravenous immunoglobulin. According to the attorney, the pt's symptoms were debilitating to the point that he has been forced to go on private disability and subsequently apply for social security disability. The attorney also reported that the events had gotten progressively worse.
Age: 0.35
Sex: U
Vaccine: DTAPHEPBIP, PNC, RV5, DTAPHEPBIP, PNC, RV5
Symptoms: Apnoea, Intussusception, Pyrexia, Urinary tract infection, Vomiting
Clinical narrative: Received rotavirus shot 7/18/06. Diagnosed with Intussusception 8/10/06. Medical record states apnea, urinary tract infection, vomiting, fever. msv
Age: 0.35
Sex: U
Vaccine: DTAPHEPBIP, PNC, RV5, DTAPHEPBIP, PNC, RV5
Symptoms: Apnoea, Hypoxia, Intussusception, Urinary tract infection
Clinical narrative: Received rotavirus shot 7/18/06. Diagnosed with Intussusception 8/10/06. Medical record states apnea, urinary tract infection, vomiting, fever. msv
Age: 13.0
Sex: M
Vaccine: TDAP
Symptoms: Fatigue, Headache, Injection site pain, Injection site swelling, Neck pain
Clinical narrative: 08-22-2006 wake up in the am, complaining of headache, swelling at injection site, pain at injection site, low grade fever.  08-23-2006 in the afternoon complaining of low grade fever of 99.5 degrees, pain in the back of the neck, fatigue, pain at injection site and under arm area.
Age: 13.0
Sex: M
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: 08-22-2006 wake up in the am, complaining of headache, swelling at injection site, pain at injection site, low grade fever.  08-23-2006 in the afternoon complaining of low grade fever of 99.5 degrees, pain in the back of the neck, fatigue, pain at injection site and under arm area.
Age: 44.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Headache, Nausea, Pain
Clinical narrative: Vaccine at 11am 08/17/2006 complain of headache 08/18/2006 am with a headache which increases in intensity, complained of nausea, dizziness as headache increased. Complain of general achiness, "like someone" pulled out rug from under me" described.  States called in sick for Saturday/Sunday due to headache.
Age: 1.45
Sex: F
Vaccine: DTAP, HEPA, HIBV
Symptoms: Hypersensitivity, Pyrexia, Rash psoriaform
Clinical narrative: High fever 102-104 F since 08/08/2006 day of vaccination until 08/12/2006.  Punctiform rash over whole body from 08/12/2006 til present.
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Cellulitis, Erythema, Injection site warmth, Swelling, Tenderness
Clinical narrative: Swelling, erythema, tenderness increase warmth left thigh, localized cellulitis, Cephalexin 250mg twice a day for 7 days.
Age: 1.65
Sex: F
Vaccine: MMR, PNC
Symptoms: Skin ulcer, Viral infection
Clinical narrative: 08/20/2006 developed chicken pox head to toe.  Multiple lesions
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: Seen 8/22/ for cellulitis at right deltoid site of IPV. Treated with Keflex and Motrin. Follow up in 2 days.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Reported by RN school nurse. Left deltoid area red, hot to touch, edematous area measures 2 1/2"x3". She called child's mother and referred to their private doctor for evaluation.
Age: 51.0
Sex: M
Vaccine: MMR, MU
Symptoms: Audiogram, Blood immunoglobulin G, Blood immunoglobulin M, Deafness unilateral, Dizziness
Clinical narrative: Information has been received from a 51 year old male physician with no pertinent medical history or known allergies, who sometime in 1967 was vaccinated with a dose of MUMPSVAX II. In July 2006 he had a mumps antibody titer test performed and it fell in the intermediate range. He was advised by the infectious control staff to get the mumps virus vaccine live vaccine. On or about 7/20/06, the physician was vaccinated with a dose of MUMPSVAX II. On 8/9/06 at 3:00am he developed ringing in his right ear and when he woke up that morning he was deaf in the right ear. It was reported that in the week of 8/7/06 he had an audiogram performed and the results indicated that he was 100% deaf in the right ear. Unspecified medical attention was sought and he was treated with 80 mg of prednisone for a two week taper. At the time of this report he was not recovered. No product quality complaint was involved. Deafness in his right ear was considered to be disabling and was also considered to be an other important medical event. Additional information has been requested.
Age: 51.0
Sex: M
Vaccine: MMR, MU
Symptoms: Gait disturbance, Inner ear disorder, Laboratory test, Mumps antibody test, Nausea
Clinical narrative: Information has been received from a 51 year old male physician with no pertinent medical history or known allergies, who sometime in 1967 was vaccinated with a dose of MUMPSVAX II. In July 2006 he had a mumps antibody titer test performed and it fell in the intermediate range. He was advised by the infectious control staff to get the mumps virus vaccine live vaccine. On or about 7/20/06, the physician was vaccinated with a dose of MUMPSVAX II. On 8/9/06 at 3:00am he developed ringing in his right ear and when he woke up that morning he was deaf in the right ear. It was reported that in the week of 8/7/06 he had an audiogram performed and the results indicated that he was 100% deaf in the right ear. Unspecified medical attention was sought and he was treated with 80 mg of prednisone for a two week taper. At the time of this report he was not recovered. No product quality complaint was involved. Deafness in his right ear was considered to be disabling and was also considered to be an other important medical event. Additional information has been requested.
Age: 51.0
Sex: M
Vaccine: MMR, MU
Symptoms: Nuclear magnetic resonance imaging normal, Tinnitus, Vertigo, Vomiting
Clinical narrative: Information has been received from a 51 year old male physician with no pertinent medical history or known allergies, who sometime in 1967 was vaccinated with a dose of MUMPSVAX II. In July 2006 he had a mumps antibody titer test performed and it fell in the intermediate range. He was advised by the infectious control staff to get the mumps virus vaccine live vaccine. On or about 7/20/06, the physician was vaccinated with a dose of MUMPSVAX II. On 8/9/06 at 3:00am he developed ringing in his right ear and when he woke up that morning he was deaf in the right ear. It was reported that in the week of 8/7/06 he had an audiogram performed and the results indicated that he was 100% deaf in the right ear. Unspecified medical attention was sought and he was treated with 80 mg of prednisone for a two week taper. At the time of this report he was not recovered. No product quality complaint was involved. Deafness in his right ear was considered to be disabling and was also considered to be an other important medical event. Additional information has been requested.
Age: 51.0
Sex: M
Vaccine: MMR, MU
Symptoms: Deafness, Laboratory test abnormal, Tinnitus
Clinical narrative: Information has been received from a 51 year old male physician with no pertinent medical history or known allergies, who sometime in 1967 was vaccinated with a dose of MUMPSVAX II. In July 2006 he had a mumps antibody titer test performed and it fell in the intermediate range. He was advised by the infectious control staff to get the mumps virus vaccine live vaccine. On or about 7/20/06, the physician was vaccinated with a dose of MUMPSVAX II. On 8/9/06 at 3:00am he developed ringing in his right ear and when he woke up that morning he was deaf in the right ear. It was reported that in the week of 8/7/06 he had an audiogram performed and the results indicated that he was 100% deaf in the right ear. Unspecified medical attention was sought and he was treated with 80 mg of prednisone for a two week taper. At the time of this report he was not recovered. No product quality complaint was involved. Deafness in his right ear was considered to be disabling and was also considered to be an other important medical event. Additional information has been requested.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Swelling
Clinical narrative: Redness, swelling right upper arm, treated 8/4/06 by HD provider with antibiotics.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness, swelling right upper arm, treated 8/4/06 by HD provider with antibiotics.
Age: 39.0
Sex: M
Vaccine: SMALL
Symptoms: Dermatitis, Pruritus, Rash papular
Clinical narrative: DIFFUSE PAPULA RASH ON SHOULDER AND SPREAD OVER BACK WITH PRURITIS. ZERO VESICLES/ULCERS. C/W HEAT RASH AND MILD TAPE DERMATITIS.
Age: 12.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Cold sweat, Muscle twitching, Musculoskeletal stiffness
Clinical narrative: Head called to the room body stiffened and started to slide off chair.  Assisted to floor by RN and mother.  Some twitching "came to" and didn't know where she was (4 minutes).  Sat on floor, then up in chair, moved to private room, blood pressure 90/60 taken again 80/60 and complain of throat feeling funny, "full", clammy. Epi pen administered right thigh. Blood pressure remain at 80/50.  Transferred by mother to emergency room, walked to car by RN
Age: 0.19
Sex: F
Vaccine: RV5
Symptoms: Diarrhoea, Haematochezia
Clinical narrative: Information has been received from a physician concerning a 12 week old female who on 6/22/06 was vaccinated with a 2ml oral dose of Rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human Bovine) (lot 653754/0139F). Concomitant therapy included lansoprazole Prevacid for the treatment of reflux, which was discontinued on 6/22/06. Three weeks later, on approximately 7/13/06, the pt experienced diarrhea, with no fever. Lab tests were negative for stool culture, Giardia, and ovum and parasites. Stools for occult blood were positive three times and negative once. There was no change in formula and it was noted that it was lactose free. It was reported that the pt continued to thrive and gain weight. The pt was initially started on antibiotic but it was discontinued after the lab results were negative. It was noted that the pt was receiving lactobacillus. It was noted that no member of the pts family were ill ore experienced similar symptoms. At the time of the report the pt had not recovered. No other information was provided. Positive occult blood in the stool was considered to be an other important medical event (OMIC). Additional information has been requested.
Age: 10.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Information has been received from a physician concerning a 10 year old male who was vaccinated SC with a second 0.5 ml dose of varicella virus vaccine live (lot 652725/0249F). Concomitant vaccination included a dose of diphtheria toxoid + pertussis acellular 3 component vaccine + tetanus toxoid (Boostrix). On 8/9/2006 the pt developed redness and localized swelling and a localized feeling of heat. Unspecified medical attention was sought. The office recommended that the pt take Benadryl. At the time of this report, the pt was recovering. No product quality complaint was involved. The reporter considered the pts adverse experienced to be other important medical events (OMIC). Additional information has been requested.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Information has been received from a physician concerning an 8 year old female who was vaccinated SC with a second 0.5ml dose of varicella virus vaccine live (lot 652725/0249F). There was no concomitant medication. On 8/9/06 the pt experienced swelling and redness at the injection site. It was noted that they recommended that she tale Benadryl. Unspecified medical attention was sought. There were no lab diagnostic studied performed. The outcome was reported as recovering. There was no product quality complaint. The events were considered to be other important medical events by the reporter (OMIC). Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: SMALL
Symptoms: Rash pustular
Clinical narrative: Pt received smallpox vaccine approx 3 wks ago. 1 1/2 wks later pt developed pustules and sores on site then on initial vaccine site on left upper arm and left inner thigh (auto inoculation).
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Cellulitis
Clinical narrative: Cellulitis on L arm; Keflex 200mg PO q 6 hrs x 10 days (45mg/kg/day)
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: Reaction from Daptacel vaccine. Left thigh is red, swollen, warm to touch. Measures 19.5cm by 7 cm in size. Right thigh has same sx's and measures 5cm x 5cm in size.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Feeling cold, Headache, Hot flush, Lethargy, Pain
Clinical narrative: Woke up in middle of the night with fever, temp rose to 103.8, complained of headache, being hot and cold, stomach, threw up once, was lethargic, had larger than golf ball size local reaction. Could not move arm without considerable pain that radiated to neck.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia, Sleep disorder, Stomach discomfort, Vomiting
Clinical narrative: Woke up in middle of the night with fever, temp rose to 103.8, complained of headache, being hot and cold, stomach, threw up once, was lethargic, had larger than golf ball size local reaction. Could not move arm without considerable pain that radiated to neck.
Age: 64.0
Sex: F
Vaccine: TDAP
Symptoms: Contusion, Urticaria
Clinical narrative: Noted hives on hands. The next day hives on legs. 8/16 hives on wrists and hands. Injection site, no hives, small bruise noted.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Anorexia, Chills, Dyspnoea, Myalgia, Nausea
Clinical narrative: Presents with fever, chills, myalgias, short of breath, loss of appetite with initial nausea, treated with Benadryl and Tylenol.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Pyrexia
Clinical narrative: Presents with fever, chills, myalgias, short of breath, loss of appetite with initial nausea, treated with Benadryl and Tylenol.
Age: 13.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Dystonia, Muscle twitching
Clinical narrative: 2 hrs after pt had Hep A and Boostrix pt had involuntary twitching of upper extremities. Resolved 1 hr after Cogentin given orally. Dystonic reaction?
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Reaction reported 8/2/06 from IZ received on 7/31/06. C/o lt lateral thigh swelling with minimal redness. 4x2cm swelling area.
Age: 17.0
Sex: M
Vaccine: TDAP
Symptoms: Headache, Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: 1 pain severe, 2 nausea, 3 vomiting, 4 headache, 5 fever 101.
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, MMRV
Symptoms: Urticaria
Clinical narrative: Urticaria
Age: 44.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Nausea
Clinical narrative: Dizziness, nausea and lightheadedness "hearing voices" due to dizziness. Symptoms reoccurred however 2 wks later.
Age: 15.0
Sex: F
Vaccine: MNQ
Symptoms: Alopecia, Skin nodule
Clinical narrative: the pt had her shot, 2 months later she experienced a small bump at her left hair margin, no real symptoms then her hair fell out within a week or two at site. The area is now a bonafide Alopecia area.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Asthenia, Decreased appetite, Lethargy, Meningitis, Musculoskeletal stiffness
Clinical narrative: Menactra vaccine administered on 07/20/06 at HD without incident. Pt's mother phoned HD or 7/25/06 and stated that pt had been in bed since Saturday and that pt complained of stiff neck, weakness, lethargy, and poor appetite. Per mother pt assessed by internist and subsequently diagnoses with viral meningitis per result of lumbar puncture. Afebrile per mother.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Viral infection
Clinical narrative: Menactra vaccine administered on 07/20/06 at HD without incident. Pt's mother phoned HD or 7/25/06 and stated that pt had been in bed since Saturday and that pt complained of stiff neck, weakness, lethargy, and poor appetite. Per mother pt assessed by internist and subsequently diagnoses with viral meningitis per result of lumbar puncture. Afebrile per mother.
Age: 39.0
Sex: U
Vaccine: ANTH
Symptoms: Arthralgia, Blister, Dizziness, Fatigue, Fibromyalgia
Clinical narrative: Swollen lymph nodes, headaches, joint and muscle pain, skin blisters (see pictures attached), photo sensitiveness, fatigue, vertigo, dizziness.
Age: 39.0
Sex: U
Vaccine: ANTH
Symptoms: Headache, Lymphadenopathy, Migraine, Myalgia, Nervous system disorder
Clinical narrative: Swollen lymph nodes, headaches, joint and muscle pain, skin blisters (see pictures attached), photo sensitiveness, fatigue, vertigo, dizziness.
Age: 39.0
Sex: U
Vaccine: ANTH
Symptoms: Photophobia, Skin disorder, Vertigo, Vestibular disorder
Clinical narrative: Swollen lymph nodes, headaches, joint and muscle pain, skin blisters (see pictures attached), photo sensitiveness, fatigue, vertigo, dizziness.
Age: 54.0
Sex: M
Vaccine: TDAP
Symptoms: Cough, Fatigue, Feeling hot, Malaise, Pain
Clinical narrative: Received vaccine Sat sore arm that night and 24 hours later felt very tired, felt warm and body aches, was unable to get up for work Monday morning and had cough.
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Unevaluable event
Clinical narrative: None Stated
Age: 35.0
Sex: F
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Injection site erythema, Injection site urticaria, Pruritus
Clinical narrative: Localized erythema day 2 to morning of day 5 not exceeding shoulder of elbow. At 10:30am on day 6 after receiving shot developed intense pruritus and urticaria covering arm from shoulder to elbow Rx with allergra and Zantac. No improvement in skin symptoms. Also received smallpox same day.
Age: 35.0
Sex: F
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Blister, Erythema, Fatigue, Headache, Injection site warmth
Clinical narrative: Localized erythema day 2 to morning of day 5 not exceeding shoulder of elbow. At 10:30am on day 6 after receiving shot developed intense pruritus and urticaria covering arm from shoulder to elbow Rx with allergra and Zantac. No improvement in skin symptoms. Also received smallpox same day.
Age: 35.0
Sex: F
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Pain, Pyrexia
Clinical narrative: Localized erythema day 2 to morning of day 5 not exceeding shoulder of elbow. At 10:30am on day 6 after receiving shot developed intense pruritus and urticaria covering arm from shoulder to elbow Rx with allergra and Zantac. No improvement in skin symptoms. Also received smallpox same day.
Age: 46.0
Sex: M
Vaccine: ANTH
Symptoms: Rash
Clinical narrative: Rash other disorder attack to the form and VAR.
Age: 34.0
Sex: M
Vaccine: VARCEL
Symptoms: Medication error
Clinical narrative: Varicella vaccine given VS MMR
Age: 1.05
Sex: M
Vaccine: HEP, MMR, VARCEL
Symptoms: Drug ineffective, Rash vesicular, Viral infection
Clinical narrative: Varicella, after immunization
Age: 0.76
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Ocular hyperaemia, Pyrexia, Roseola
Clinical narrative: Increase temperature 101.6 and 103.6, temperature spikes at night, eyes red.  Advised parent to take child to emergency room.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Pruritus, Skin ulcer
Clinical narrative: Itching 25-50 lesions.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site swelling, Urticaria
Clinical narrative: Red round raised area where DtaP was given on right thigh, started evening of 08-08-2006, went to emergency room, ice and BENADRYL ordered.  Came back to office 08-10-2006, almost entire right thigh had red raised welt.  Doctor advised continue ice and BENADRYL.  Doctor spoke with family member 0-13-2006 better.  Also spoke with sister 08-14-2006 almost gone.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: Redness, warmth, swelling at site of left thigh, where DTaP/IPV given.
Age: 1.09
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Rash
Clinical narrative: He had a rash all over his upper body and face that did spread to his lip, started 08-15-2006, no fever.  Acts normal