chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: This case was reported by a nurse via call center representative and described the occurrence of pain in arm in a adult female patient who received FLUARIX QUADRIVALENT. On an unknown date, the patient received FLUARIX QUADRIVALENT (injection). On an unknown date, an unknown time after receiving FLUARIX QUADRIVALENT, the patient experienced pain in arm and mobility decreased. On an unknown date, the outcome of the pain in arm and mobility decreased were recovering/resolving. The reporter considered the pain in arm and mobility decreased to be possibly related to FLUARIX QUADRIVALENT. Additional information received: A nurse reported adverse events for 3 patients. Each patient was a female adult patient between 30 and 40 years of age. The patient's all received the flu vaccine from the same lot number. Each patient experienced extreme arm pain and limited arm mobility. The patients are recovering. The dose given was 0.5 mL for each patient. The field rep had no other information about the event. Additional information received on 07 April 2015: This case was reported for a 34-year-old female patient. Patient previously experienced idiopathic anaphylaxis reaction. On 10th January 2014, the patient experienced extreme arm pain and limited mobility in the arm.
Sex: F
Vaccine: FLUX, TTOX, FLUX, TTOX
Symptoms: Pain in extremity, Urticaria
Clinical narrative: This case was reported by a consumer via other manufacturer and described the occurrence of hives in a adult female patient who received Influenza vaccine. Co-suspect products included Tetanus vaccine. The patient's past medical history included cesarean section, hysterectomy, appendectomy, cholecystectomy, thyroid neoplasm, colostomy closure and cardiac catheterization. Concurrent medical conditions included bipolar disorder, Addison's disease, atrial flutter, hypothyroidism, arthritis multiple joint (both knees and left shoulder), leg edema, muscle spasm, chronic insomnia, esophageal acid reflux, type II diabetes mellitus, gastric bypass, diabetic neuropathy (both feet), multiple allergies, urinary incontinence, migraine headache and essential tremor. Concomitant products included DEPAKOTE, ZYPREXA, hydrocortisone, digoxin, LOPRESSOR, COUMADIN, SYNTHROID, CYTOMEL, oxycodone, ZANAFLEX, FLEXERIL, LASIX, trazodone, ranitidine hydrochloride, NEXIUM, potassium chloride, metformin, MAXALT, SYMBICORT, SUDAFED, BENADRYL Allergy, IMODIUM, BENGAY Cream, CENTRUM, Vitamin C, Vitamin D3 and Vitamin B12. On an unknown date, the patient received Influenza vaccine at an unknown dose and Tetanus Vaccine at an unknown dose. On an unknown date, an unknown time after receiving Influenza vaccine, the patient experienced hives and pain in arm. On an unknown date, the outcome of the hives and pain in arm were recovered/resolved. It was unknown if the reporter considered the hives and pain in arm to be related to Influenza vaccine. Additional information: The patient developed hives, very painful arm for many weeks.
Sex: U
Vaccine: MMR
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: This spontaneous report was received from a health professional (nurse) refers to a patient of unknown demographics. Reporting nurse stated that the patient received a dose of VARIVAX (Merck) on 24-MAR-2015 and then received a dose of M-M-R II on 13-APR-2015 which was less than the minimal interval of 1 month between 2 live virus vaccines. No adverse effects were reported. Outcome of the event, inappropriate schedule of drug administration was unknown. Reporting nurse considered the adverse event to be not related to VARIVAX (Merck) and M-M-R II. Additional information has been requested.
Age: 44.0
Sex: M
Vaccine: TYP, TYP
Symptoms: Abnormal behaviour, Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood urea nitrogen/creatinine ratio, Brucella test negative
Clinical narrative: Immunization Healthcare Branch was contacted by Occupational Health staff for assistance with VAERS for this patient and guidance on use of last oral typhoid dose in association with below symptoms. This 56 year old retired employee, received booster vaccinations on 3/10/2015 to include Yellow Fever and Meningococcal vaccines. He started his oral Typhoid vaccine on 3/11/2015 in compliance with employment immunization requirements. He advised he had received these same vaccines with IM Typhoid during his 23 year career without any reactions. Over the next few days he began to experience a runny nose, nasal congestion and fever noticing with 2nd and 3rd dose of oral typhoid (3/15/2015) his symptoms worsened (also day 5 after YF/MEN). He presented to PCP c/o persistent fever ranging 101-103.1F, chills, night sweats, generalized malaise, URI like symptoms (runny nose, congestion, post nasal drip, non-productive cough), body aches and episodic headaches (diffuse-facial). His complained urine was tea colored with first void but cleared after 4 liters water/Gatorade during the day. His wife reported he did not seem himself and was not "thinking clearly" as he did prior to his vaccinations. On 3/20/15 he continued alternating MOTRIN/TYLENOL for persistent recurrent fevers which would go down to 100 deg F. His PCP advised his CXR was normal and he had mild elevation in AST (53) and ALT (54) and low BUN/Creat (7/1.1) with BUN/Cr ratio low at 7.4. His WBC was normal at 7.4, H/H low 12.4/35.3, plt 189, RBC 3.95 (MCV/MCH/RDW all normal). Lab values suggest dehydration. Further labs were ordered for salmonella typhi, blood cultures, and viral studies (CMV, HSV, enterovirus, EBV). He reported being unable to work and was on personal sick leave greater than 24 hours. A VAERS will be filed by IHB. 3/23/2015: He advised his fevers were 99 degree F between MOTRIN doses; he uses NYQUIL at night, has stopped TYLENOL usage and has stopped using decongestants because it makes his mucus taste bad. No antibiotic therapy was initiated with normal WBC and he did not take the final dose of oral typhoid. He was eating well but had a queasy stomach at times due to post nasal drip, his night sweats were less and no headaches (last headache was 3/22/2015). 3/24/2015 he reported his temperature was stable at 98-99 deg F and he stopped use of MOTRIN. However, his temperature elevated to 101 degree F and he restarted use of his MOTRIN. He still has nasal congestion and post nasal drip with a mild cough, otherwise is doing fine. He advised his wife now has a cold. He is scheduled to see Infectious disease provider on Thursday 3/26/2015. 3/31/2015 he advised he no longer has a fever/temperature; however he continues with a mild cough. He advised he did return to work.
Age: 44.0
Sex: M
Vaccine: TYP, TYP
Symptoms: Chest X-ray normal, Chills, Chromaturia, Cough, Cytomegalovirus test negative
Clinical narrative: Immunization Healthcare Branch was contacted by Occupational Health staff for assistance with VAERS for this patient and guidance on use of last oral typhoid dose in association with below symptoms. This 56 year old retired employee, received booster vaccinations on 3/10/2015 to include Yellow Fever and Meningococcal vaccines. He started his oral Typhoid vaccine on 3/11/2015 in compliance with employment immunization requirements. He advised he had received these same vaccines with IM Typhoid during his 23 year career without any reactions. Over the next few days he began to experience a runny nose, nasal congestion and fever noticing with 2nd and 3rd dose of oral typhoid (3/15/2015) his symptoms worsened (also day 5 after YF/MEN). He presented to PCP c/o persistent fever ranging 101-103.1F, chills, night sweats, generalized malaise, URI like symptoms (runny nose, congestion, post nasal drip, non-productive cough), body aches and episodic headaches (diffuse-facial). His complained urine was tea colored with first void but cleared after 4 liters water/Gatorade during the day. His wife reported he did not seem himself and was not "thinking clearly" as he did prior to his vaccinations. On 3/20/15 he continued alternating MOTRIN/TYLENOL for persistent recurrent fevers which would go down to 100 deg F. His PCP advised his CXR was normal and he had mild elevation in AST (53) and ALT (54) and low BUN/Creat (7/1.1) with BUN/Cr ratio low at 7.4. His WBC was normal at 7.4, H/H low 12.4/35.3, plt 189, RBC 3.95 (MCV/MCH/RDW all normal). Lab values suggest dehydration. Further labs were ordered for salmonella typhi, blood cultures, and viral studies (CMV, HSV, enterovirus, EBV). He reported being unable to work and was on personal sick leave greater than 24 hours. A VAERS will be filed by IHB. 3/23/2015: He advised his fevers were 99 degree F between MOTRIN doses; he uses NYQUIL at night, has stopped TYLENOL usage and has stopped using decongestants because it makes his mucus taste bad. No antibiotic therapy was initiated with normal WBC and he did not take the final dose of oral typhoid. He was eating well but had a queasy stomach at times due to post nasal drip, his night sweats were less and no headaches (last headache was 3/22/2015). 3/24/2015 he reported his temperature was stable at 98-99 deg F and he stopped use of MOTRIN. However, his temperature elevated to 101 degree F and he restarted use of his MOTRIN. He still has nasal congestion and post nasal drip with a mild cough, otherwise is doing fine. He advised his wife now has a cold. He is scheduled to see Infectious disease provider on Thursday 3/26/2015. 3/31/2015 he advised he no longer has a fever/temperature; however he continues with a mild cough. He advised he did return to work.
Age: 44.0
Sex: M
Vaccine: TYP, TYP
Symptoms: Dehydration, Enterovirus test negative, Epstein-Barr virus test negative, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: Immunization Healthcare Branch was contacted by Occupational Health staff for assistance with VAERS for this patient and guidance on use of last oral typhoid dose in association with below symptoms. This 56 year old retired employee, received booster vaccinations on 3/10/2015 to include Yellow Fever and Meningococcal vaccines. He started his oral Typhoid vaccine on 3/11/2015 in compliance with employment immunization requirements. He advised he had received these same vaccines with IM Typhoid during his 23 year career without any reactions. Over the next few days he began to experience a runny nose, nasal congestion and fever noticing with 2nd and 3rd dose of oral typhoid (3/15/2015) his symptoms worsened (also day 5 after YF/MEN). He presented to PCP c/o persistent fever ranging 101-103.1F, chills, night sweats, generalized malaise, URI like symptoms (runny nose, congestion, post nasal drip, non-productive cough), body aches and episodic headaches (diffuse-facial). His complained urine was tea colored with first void but cleared after 4 liters water/Gatorade during the day. His wife reported he did not seem himself and was not "thinking clearly" as he did prior to his vaccinations. On 3/20/15 he continued alternating MOTRIN/TYLENOL for persistent recurrent fevers which would go down to 100 deg F. His PCP advised his CXR was normal and he had mild elevation in AST (53) and ALT (54) and low BUN/Creat (7/1.1) with BUN/Cr ratio low at 7.4. His WBC was normal at 7.4, H/H low 12.4/35.3, plt 189, RBC 3.95 (MCV/MCH/RDW all normal). Lab values suggest dehydration. Further labs were ordered for salmonella typhi, blood cultures, and viral studies (CMV, HSV, enterovirus, EBV). He reported being unable to work and was on personal sick leave greater than 24 hours. A VAERS will be filed by IHB. 3/23/2015: He advised his fevers were 99 degree F between MOTRIN doses; he uses NYQUIL at night, has stopped TYLENOL usage and has stopped using decongestants because it makes his mucus taste bad. No antibiotic therapy was initiated with normal WBC and he did not take the final dose of oral typhoid. He was eating well but had a queasy stomach at times due to post nasal drip, his night sweats were less and no headaches (last headache was 3/22/2015). 3/24/2015 he reported his temperature was stable at 98-99 deg F and he stopped use of MOTRIN. However, his temperature elevated to 101 degree F and he restarted use of his MOTRIN. He still has nasal congestion and post nasal drip with a mild cough, otherwise is doing fine. He advised his wife now has a cold. He is scheduled to see Infectious disease provider on Thursday 3/26/2015. 3/31/2015 he advised he no longer has a fever/temperature; however he continues with a mild cough. He advised he did return to work.
Age: 44.0
Sex: M
Vaccine: TYP, TYP
Symptoms: Headache, Herpes simplex serology negative, Impaired work ability, Influenza virus test negative, Laboratory test normal
Clinical narrative: Immunization Healthcare Branch was contacted by Occupational Health staff for assistance with VAERS for this patient and guidance on use of last oral typhoid dose in association with below symptoms. This 56 year old retired employee, received booster vaccinations on 3/10/2015 to include Yellow Fever and Meningococcal vaccines. He started his oral Typhoid vaccine on 3/11/2015 in compliance with employment immunization requirements. He advised he had received these same vaccines with IM Typhoid during his 23 year career without any reactions. Over the next few days he began to experience a runny nose, nasal congestion and fever noticing with 2nd and 3rd dose of oral typhoid (3/15/2015) his symptoms worsened (also day 5 after YF/MEN). He presented to PCP c/o persistent fever ranging 101-103.1F, chills, night sweats, generalized malaise, URI like symptoms (runny nose, congestion, post nasal drip, non-productive cough), body aches and episodic headaches (diffuse-facial). His complained urine was tea colored with first void but cleared after 4 liters water/Gatorade during the day. His wife reported he did not seem himself and was not "thinking clearly" as he did prior to his vaccinations. On 3/20/15 he continued alternating MOTRIN/TYLENOL for persistent recurrent fevers which would go down to 100 deg F. His PCP advised his CXR was normal and he had mild elevation in AST (53) and ALT (54) and low BUN/Creat (7/1.1) with BUN/Cr ratio low at 7.4. His WBC was normal at 7.4, H/H low 12.4/35.3, plt 189, RBC 3.95 (MCV/MCH/RDW all normal). Lab values suggest dehydration. Further labs were ordered for salmonella typhi, blood cultures, and viral studies (CMV, HSV, enterovirus, EBV). He reported being unable to work and was on personal sick leave greater than 24 hours. A VAERS will be filed by IHB. 3/23/2015: He advised his fevers were 99 degree F between MOTRIN doses; he uses NYQUIL at night, has stopped TYLENOL usage and has stopped using decongestants because it makes his mucus taste bad. No antibiotic therapy was initiated with normal WBC and he did not take the final dose of oral typhoid. He was eating well but had a queasy stomach at times due to post nasal drip, his night sweats were less and no headaches (last headache was 3/22/2015). 3/24/2015 he reported his temperature was stable at 98-99 deg F and he stopped use of MOTRIN. However, his temperature elevated to 101 degree F and he restarted use of his MOTRIN. He still has nasal congestion and post nasal drip with a mild cough, otherwise is doing fine. He advised his wife now has a cold. He is scheduled to see Infectious disease provider on Thursday 3/26/2015. 3/31/2015 he advised he no longer has a fever/temperature; however he continues with a mild cough. He advised he did return to work.
Age: 44.0
Sex: M
Vaccine: TYP, TYP
Symptoms: Malaise, Mean cell haemoglobin normal, Mean cell volume normal, Nasal congestion, Nasopharyngitis
Clinical narrative: Immunization Healthcare Branch was contacted by Occupational Health staff for assistance with VAERS for this patient and guidance on use of last oral typhoid dose in association with below symptoms. This 56 year old retired employee, received booster vaccinations on 3/10/2015 to include Yellow Fever and Meningococcal vaccines. He started his oral Typhoid vaccine on 3/11/2015 in compliance with employment immunization requirements. He advised he had received these same vaccines with IM Typhoid during his 23 year career without any reactions. Over the next few days he began to experience a runny nose, nasal congestion and fever noticing with 2nd and 3rd dose of oral typhoid (3/15/2015) his symptoms worsened (also day 5 after YF/MEN). He presented to PCP c/o persistent fever ranging 101-103.1F, chills, night sweats, generalized malaise, URI like symptoms (runny nose, congestion, post nasal drip, non-productive cough), body aches and episodic headaches (diffuse-facial). His complained urine was tea colored with first void but cleared after 4 liters water/Gatorade during the day. His wife reported he did not seem himself and was not "thinking clearly" as he did prior to his vaccinations. On 3/20/15 he continued alternating MOTRIN/TYLENOL for persistent recurrent fevers which would go down to 100 deg F. His PCP advised his CXR was normal and he had mild elevation in AST (53) and ALT (54) and low BUN/Creat (7/1.1) with BUN/Cr ratio low at 7.4. His WBC was normal at 7.4, H/H low 12.4/35.3, plt 189, RBC 3.95 (MCV/MCH/RDW all normal). Lab values suggest dehydration. Further labs were ordered for salmonella typhi, blood cultures, and viral studies (CMV, HSV, enterovirus, EBV). He reported being unable to work and was on personal sick leave greater than 24 hours. A VAERS will be filed by IHB. 3/23/2015: He advised his fevers were 99 degree F between MOTRIN doses; he uses NYQUIL at night, has stopped TYLENOL usage and has stopped using decongestants because it makes his mucus taste bad. No antibiotic therapy was initiated with normal WBC and he did not take the final dose of oral typhoid. He was eating well but had a queasy stomach at times due to post nasal drip, his night sweats were less and no headaches (last headache was 3/22/2015). 3/24/2015 he reported his temperature was stable at 98-99 deg F and he stopped use of MOTRIN. However, his temperature elevated to 101 degree F and he restarted use of his MOTRIN. He still has nasal congestion and post nasal drip with a mild cough, otherwise is doing fine. He advised his wife now has a cold. He is scheduled to see Infectious disease provider on Thursday 3/26/2015. 3/31/2015 he advised he no longer has a fever/temperature; however he continues with a mild cough. He advised he did return to work.
Age: 44.0
Sex: M
Vaccine: TYP, TYP
Symptoms: Nausea, Night sweats, Pain, Platelet count normal, Pyrexia
Clinical narrative: Immunization Healthcare Branch was contacted by Occupational Health staff for assistance with VAERS for this patient and guidance on use of last oral typhoid dose in association with below symptoms. This 56 year old retired employee, received booster vaccinations on 3/10/2015 to include Yellow Fever and Meningococcal vaccines. He started his oral Typhoid vaccine on 3/11/2015 in compliance with employment immunization requirements. He advised he had received these same vaccines with IM Typhoid during his 23 year career without any reactions. Over the next few days he began to experience a runny nose, nasal congestion and fever noticing with 2nd and 3rd dose of oral typhoid (3/15/2015) his symptoms worsened (also day 5 after YF/MEN). He presented to PCP c/o persistent fever ranging 101-103.1F, chills, night sweats, generalized malaise, URI like symptoms (runny nose, congestion, post nasal drip, non-productive cough), body aches and episodic headaches (diffuse-facial). His complained urine was tea colored with first void but cleared after 4 liters water/Gatorade during the day. His wife reported he did not seem himself and was not "thinking clearly" as he did prior to his vaccinations. On 3/20/15 he continued alternating MOTRIN/TYLENOL for persistent recurrent fevers which would go down to 100 deg F. His PCP advised his CXR was normal and he had mild elevation in AST (53) and ALT (54) and low BUN/Creat (7/1.1) with BUN/Cr ratio low at 7.4. His WBC was normal at 7.4, H/H low 12.4/35.3, plt 189, RBC 3.95 (MCV/MCH/RDW all normal). Lab values suggest dehydration. Further labs were ordered for salmonella typhi, blood cultures, and viral studies (CMV, HSV, enterovirus, EBV). He reported being unable to work and was on personal sick leave greater than 24 hours. A VAERS will be filed by IHB. 3/23/2015: He advised his fevers were 99 degree F between MOTRIN doses; he uses NYQUIL at night, has stopped TYLENOL usage and has stopped using decongestants because it makes his mucus taste bad. No antibiotic therapy was initiated with normal WBC and he did not take the final dose of oral typhoid. He was eating well but had a queasy stomach at times due to post nasal drip, his night sweats were less and no headaches (last headache was 3/22/2015). 3/24/2015 he reported his temperature was stable at 98-99 deg F and he stopped use of MOTRIN. However, his temperature elevated to 101 degree F and he restarted use of his MOTRIN. He still has nasal congestion and post nasal drip with a mild cough, otherwise is doing fine. He advised his wife now has a cold. He is scheduled to see Infectious disease provider on Thursday 3/26/2015. 3/31/2015 he advised he no longer has a fever/temperature; however he continues with a mild cough. He advised he did return to work.
Age: 44.0
Sex: M
Vaccine: TYP, TYP
Symptoms: Red blood cell count decreased, Red cell distribution width normal, Rhinorrhoea, Salmonella test positive, Thinking abnormal
Clinical narrative: Immunization Healthcare Branch was contacted by Occupational Health staff for assistance with VAERS for this patient and guidance on use of last oral typhoid dose in association with below symptoms. This 56 year old retired employee, received booster vaccinations on 3/10/2015 to include Yellow Fever and Meningococcal vaccines. He started his oral Typhoid vaccine on 3/11/2015 in compliance with employment immunization requirements. He advised he had received these same vaccines with IM Typhoid during his 23 year career without any reactions. Over the next few days he began to experience a runny nose, nasal congestion and fever noticing with 2nd and 3rd dose of oral typhoid (3/15/2015) his symptoms worsened (also day 5 after YF/MEN). He presented to PCP c/o persistent fever ranging 101-103.1F, chills, night sweats, generalized malaise, URI like symptoms (runny nose, congestion, post nasal drip, non-productive cough), body aches and episodic headaches (diffuse-facial). His complained urine was tea colored with first void but cleared after 4 liters water/Gatorade during the day. His wife reported he did not seem himself and was not "thinking clearly" as he did prior to his vaccinations. On 3/20/15 he continued alternating MOTRIN/TYLENOL for persistent recurrent fevers which would go down to 100 deg F. His PCP advised his CXR was normal and he had mild elevation in AST (53) and ALT (54) and low BUN/Creat (7/1.1) with BUN/Cr ratio low at 7.4. His WBC was normal at 7.4, H/H low 12.4/35.3, plt 189, RBC 3.95 (MCV/MCH/RDW all normal). Lab values suggest dehydration. Further labs were ordered for salmonella typhi, blood cultures, and viral studies (CMV, HSV, enterovirus, EBV). He reported being unable to work and was on personal sick leave greater than 24 hours. A VAERS will be filed by IHB. 3/23/2015: He advised his fevers were 99 degree F between MOTRIN doses; he uses NYQUIL at night, has stopped TYLENOL usage and has stopped using decongestants because it makes his mucus taste bad. No antibiotic therapy was initiated with normal WBC and he did not take the final dose of oral typhoid. He was eating well but had a queasy stomach at times due to post nasal drip, his night sweats were less and no headaches (last headache was 3/22/2015). 3/24/2015 he reported his temperature was stable at 98-99 deg F and he stopped use of MOTRIN. However, his temperature elevated to 101 degree F and he restarted use of his MOTRIN. He still has nasal congestion and post nasal drip with a mild cough, otherwise is doing fine. He advised his wife now has a cold. He is scheduled to see Infectious disease provider on Thursday 3/26/2015. 3/31/2015 he advised he no longer has a fever/temperature; however he continues with a mild cough. He advised he did return to work.
Age: 44.0
Sex: M
Vaccine: TYP, TYP
Symptoms: Upper respiratory tract infection, Upper-airway cough syndrome, White blood cell count normal
Clinical narrative: Immunization Healthcare Branch was contacted by Occupational Health staff for assistance with VAERS for this patient and guidance on use of last oral typhoid dose in association with below symptoms. This 56 year old retired employee, received booster vaccinations on 3/10/2015 to include Yellow Fever and Meningococcal vaccines. He started his oral Typhoid vaccine on 3/11/2015 in compliance with employment immunization requirements. He advised he had received these same vaccines with IM Typhoid during his 23 year career without any reactions. Over the next few days he began to experience a runny nose, nasal congestion and fever noticing with 2nd and 3rd dose of oral typhoid (3/15/2015) his symptoms worsened (also day 5 after YF/MEN). He presented to PCP c/o persistent fever ranging 101-103.1F, chills, night sweats, generalized malaise, URI like symptoms (runny nose, congestion, post nasal drip, non-productive cough), body aches and episodic headaches (diffuse-facial). His complained urine was tea colored with first void but cleared after 4 liters water/Gatorade during the day. His wife reported he did not seem himself and was not "thinking clearly" as he did prior to his vaccinations. On 3/20/15 he continued alternating MOTRIN/TYLENOL for persistent recurrent fevers which would go down to 100 deg F. His PCP advised his CXR was normal and he had mild elevation in AST (53) and ALT (54) and low BUN/Creat (7/1.1) with BUN/Cr ratio low at 7.4. His WBC was normal at 7.4, H/H low 12.4/35.3, plt 189, RBC 3.95 (MCV/MCH/RDW all normal). Lab values suggest dehydration. Further labs were ordered for salmonella typhi, blood cultures, and viral studies (CMV, HSV, enterovirus, EBV). He reported being unable to work and was on personal sick leave greater than 24 hours. A VAERS will be filed by IHB. 3/23/2015: He advised his fevers were 99 degree F between MOTRIN doses; he uses NYQUIL at night, has stopped TYLENOL usage and has stopped using decongestants because it makes his mucus taste bad. No antibiotic therapy was initiated with normal WBC and he did not take the final dose of oral typhoid. He was eating well but had a queasy stomach at times due to post nasal drip, his night sweats were less and no headaches (last headache was 3/22/2015). 3/24/2015 he reported his temperature was stable at 98-99 deg F and he stopped use of MOTRIN. However, his temperature elevated to 101 degree F and he restarted use of his MOTRIN. He still has nasal congestion and post nasal drip with a mild cough, otherwise is doing fine. He advised his wife now has a cold. He is scheduled to see Infectious disease provider on Thursday 3/26/2015. 3/31/2015 he advised he no longer has a fever/temperature; however he continues with a mild cough. He advised he did return to work.
Age: 44.0
Sex: M
Vaccine: TYP, TYP
Symptoms: Abasia, Abnormal behaviour, Activities of daily living impaired, Alanine aminotransferase increased, Aspartate aminotransferase increased
Clinical narrative: Immunization Healthcare Branch was contacted by Occupational Health staff for assistance with VAERS for this patient and guidance on use of last oral typhoid dose in association with below symptoms. This 56 year old retired employee, received booster vaccinations on 3/10/2015 to include Yellow Fever and Meningococcal vaccines. He started his oral Typhoid vaccine on 3/11/2015 in compliance with employment immunization requirements. He advised he had received these same vaccines with IM Typhoid during his 23 year career without any reactions. Over the next few days he began to experience a runny nose, nasal congestion and fever noticing with 2nd and 3rd dose of oral typhoid (3/15/2015) his symptoms worsened (also day 5 after YF/MEN). He presented to PCP c/o persistent fever ranging 101-103.1F, chills, night sweats, generalized malaise, URI like symptoms (runny nose, congestion, post nasal drip, non-productive cough), body aches and episodic headaches (diffuse-facial). His complained urine was tea colored with first void but cleared after 4 liters water/Gatorade during the day. His wife reported he did not seem himself and was not "thinking clearly" as he did prior to his vaccinations. On 3/20/15 he continued alternating MOTRIN/TYLENOL for persistent recurrent fevers which would go down to 100 deg F. His PCP advised his CXR was normal and he had mild elevation in AST (53) and ALT (54) and low BUN/Creat (7/1.1) with BUN/Cr ratio low at 7.4. His WBC was normal at 7.4, H/H low 12.4/35.3, plt 189, RBC 3.95 (MCV/MCH/RDW all normal). Lab values suggest dehydration. Further labs were ordered for salmonella typhi, blood cultures, and viral studies (CMV, HSV, enterovirus, EBV). He reported being unable to work and was on personal sick leave greater than 24 hours. A VAERS will be filed by IHB. 3/23/2015: He advised his fevers were 99 degree F between MOTRIN doses; he uses NYQUIL at night, has stopped TYLENOL usage and has stopped using decongestants because it makes his mucus taste bad. No antibiotic therapy was initiated with normal WBC and he did not take the final dose of oral typhoid. He was eating well but had a queasy stomach at times due to post nasal drip, his night sweats were less and no headaches (last headache was 3/22/2015). 3/24/2015 he reported his temperature was stable at 98-99 deg F and he stopped use of MOTRIN. However, his temperature elevated to 101 degree F and he restarted use of his MOTRIN. He still has nasal congestion and post nasal drip with a mild cough, otherwise is doing fine. He advised his wife now has a cold. He is scheduled to see Infectious disease provider on Thursday 3/26/2015. 3/31/2015 he advised he no longer has a fever/temperature; however he continues with a mild cough. He advised he did return to work.
Age: 44.0
Sex: M
Vaccine: TYP, TYP
Symptoms: Blood creatinine normal, Blood urea decreased, Blood urea nitrogen/creatinine ratio, Brucella test negative, Chest X-ray normal
Clinical narrative: Immunization Healthcare Branch was contacted by Occupational Health staff for assistance with VAERS for this patient and guidance on use of last oral typhoid dose in association with below symptoms. This 56 year old retired employee, received booster vaccinations on 3/10/2015 to include Yellow Fever and Meningococcal vaccines. He started his oral Typhoid vaccine on 3/11/2015 in compliance with employment immunization requirements. He advised he had received these same vaccines with IM Typhoid during his 23 year career without any reactions. Over the next few days he began to experience a runny nose, nasal congestion and fever noticing with 2nd and 3rd dose of oral typhoid (3/15/2015) his symptoms worsened (also day 5 after YF/MEN). He presented to PCP c/o persistent fever ranging 101-103.1F, chills, night sweats, generalized malaise, URI like symptoms (runny nose, congestion, post nasal drip, non-productive cough), body aches and episodic headaches (diffuse-facial). His complained urine was tea colored with first void but cleared after 4 liters water/Gatorade during the day. His wife reported he did not seem himself and was not "thinking clearly" as he did prior to his vaccinations. On 3/20/15 he continued alternating MOTRIN/TYLENOL for persistent recurrent fevers which would go down to 100 deg F. His PCP advised his CXR was normal and he had mild elevation in AST (53) and ALT (54) and low BUN/Creat (7/1.1) with BUN/Cr ratio low at 7.4. His WBC was normal at 7.4, H/H low 12.4/35.3, plt 189, RBC 3.95 (MCV/MCH/RDW all normal). Lab values suggest dehydration. Further labs were ordered for salmonella typhi, blood cultures, and viral studies (CMV, HSV, enterovirus, EBV). He reported being unable to work and was on personal sick leave greater than 24 hours. A VAERS will be filed by IHB. 3/23/2015: He advised his fevers were 99 degree F between MOTRIN doses; he uses NYQUIL at night, has stopped TYLENOL usage and has stopped using decongestants because it makes his mucus taste bad. No antibiotic therapy was initiated with normal WBC and he did not take the final dose of oral typhoid. He was eating well but had a queasy stomach at times due to post nasal drip, his night sweats were less and no headaches (last headache was 3/22/2015). 3/24/2015 he reported his temperature was stable at 98-99 deg F and he stopped use of MOTRIN. However, his temperature elevated to 101 degree F and he restarted use of his MOTRIN. He still has nasal congestion and post nasal drip with a mild cough, otherwise is doing fine. He advised his wife now has a cold. He is scheduled to see Infectious disease provider on Thursday 3/26/2015. 3/31/2015 he advised he no longer has a fever/temperature; however he continues with a mild cough. He advised he did return to work.
Age: 44.0
Sex: M
Vaccine: TYP, TYP
Symptoms: Chills, Chromaturia, Cough, Cytomegalovirus test positive, Dehydration
Clinical narrative: Immunization Healthcare Branch was contacted by Occupational Health staff for assistance with VAERS for this patient and guidance on use of last oral typhoid dose in association with below symptoms. This 56 year old retired employee, received booster vaccinations on 3/10/2015 to include Yellow Fever and Meningococcal vaccines. He started his oral Typhoid vaccine on 3/11/2015 in compliance with employment immunization requirements. He advised he had received these same vaccines with IM Typhoid during his 23 year career without any reactions. Over the next few days he began to experience a runny nose, nasal congestion and fever noticing with 2nd and 3rd dose of oral typhoid (3/15/2015) his symptoms worsened (also day 5 after YF/MEN). He presented to PCP c/o persistent fever ranging 101-103.1F, chills, night sweats, generalized malaise, URI like symptoms (runny nose, congestion, post nasal drip, non-productive cough), body aches and episodic headaches (diffuse-facial). His complained urine was tea colored with first void but cleared after 4 liters water/Gatorade during the day. His wife reported he did not seem himself and was not "thinking clearly" as he did prior to his vaccinations. On 3/20/15 he continued alternating MOTRIN/TYLENOL for persistent recurrent fevers which would go down to 100 deg F. His PCP advised his CXR was normal and he had mild elevation in AST (53) and ALT (54) and low BUN/Creat (7/1.1) with BUN/Cr ratio low at 7.4. His WBC was normal at 7.4, H/H low 12.4/35.3, plt 189, RBC 3.95 (MCV/MCH/RDW all normal). Lab values suggest dehydration. Further labs were ordered for salmonella typhi, blood cultures, and viral studies (CMV, HSV, enterovirus, EBV). He reported being unable to work and was on personal sick leave greater than 24 hours. A VAERS will be filed by IHB. 3/23/2015: He advised his fevers were 99 degree F between MOTRIN doses; he uses NYQUIL at night, has stopped TYLENOL usage and has stopped using decongestants because it makes his mucus taste bad. No antibiotic therapy was initiated with normal WBC and he did not take the final dose of oral typhoid. He was eating well but had a queasy stomach at times due to post nasal drip, his night sweats were less and no headaches (last headache was 3/22/2015). 3/24/2015 he reported his temperature was stable at 98-99 deg F and he stopped use of MOTRIN. However, his temperature elevated to 101 degree F and he restarted use of his MOTRIN. He still has nasal congestion and post nasal drip with a mild cough, otherwise is doing fine. He advised his wife now has a cold. He is scheduled to see Infectious disease provider on Thursday 3/26/2015. 3/31/2015 he advised he no longer has a fever/temperature; however he continues with a mild cough. He advised he did return to work.
Age: 44.0
Sex: M
Vaccine: TYP, TYP
Symptoms: Enterovirus test negative, Epstein-Barr virus antibody positive, Full blood count normal, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: Immunization Healthcare Branch was contacted by Occupational Health staff for assistance with VAERS for this patient and guidance on use of last oral typhoid dose in association with below symptoms. This 56 year old retired employee, received booster vaccinations on 3/10/2015 to include Yellow Fever and Meningococcal vaccines. He started his oral Typhoid vaccine on 3/11/2015 in compliance with employment immunization requirements. He advised he had received these same vaccines with IM Typhoid during his 23 year career without any reactions. Over the next few days he began to experience a runny nose, nasal congestion and fever noticing with 2nd and 3rd dose of oral typhoid (3/15/2015) his symptoms worsened (also day 5 after YF/MEN). He presented to PCP c/o persistent fever ranging 101-103.1F, chills, night sweats, generalized malaise, URI like symptoms (runny nose, congestion, post nasal drip, non-productive cough), body aches and episodic headaches (diffuse-facial). His complained urine was tea colored with first void but cleared after 4 liters water/Gatorade during the day. His wife reported he did not seem himself and was not "thinking clearly" as he did prior to his vaccinations. On 3/20/15 he continued alternating MOTRIN/TYLENOL for persistent recurrent fevers which would go down to 100 deg F. His PCP advised his CXR was normal and he had mild elevation in AST (53) and ALT (54) and low BUN/Creat (7/1.1) with BUN/Cr ratio low at 7.4. His WBC was normal at 7.4, H/H low 12.4/35.3, plt 189, RBC 3.95 (MCV/MCH/RDW all normal). Lab values suggest dehydration. Further labs were ordered for salmonella typhi, blood cultures, and viral studies (CMV, HSV, enterovirus, EBV). He reported being unable to work and was on personal sick leave greater than 24 hours. A VAERS will be filed by IHB. 3/23/2015: He advised his fevers were 99 degree F between MOTRIN doses; he uses NYQUIL at night, has stopped TYLENOL usage and has stopped using decongestants because it makes his mucus taste bad. No antibiotic therapy was initiated with normal WBC and he did not take the final dose of oral typhoid. He was eating well but had a queasy stomach at times due to post nasal drip, his night sweats were less and no headaches (last headache was 3/22/2015). 3/24/2015 he reported his temperature was stable at 98-99 deg F and he stopped use of MOTRIN. However, his temperature elevated to 101 degree F and he restarted use of his MOTRIN. He still has nasal congestion and post nasal drip with a mild cough, otherwise is doing fine. He advised his wife now has a cold. He is scheduled to see Infectious disease provider on Thursday 3/26/2015. 3/31/2015 he advised he no longer has a fever/temperature; however he continues with a mild cough. He advised he did return to work.
Age: 44.0
Sex: M
Vaccine: TYP, TYP
Symptoms: Headache, Herpes simplex serology negative, Impaired work ability, Influenza virus test negative, Malaise
Clinical narrative: Immunization Healthcare Branch was contacted by Occupational Health staff for assistance with VAERS for this patient and guidance on use of last oral typhoid dose in association with below symptoms. This 56 year old retired employee, received booster vaccinations on 3/10/2015 to include Yellow Fever and Meningococcal vaccines. He started his oral Typhoid vaccine on 3/11/2015 in compliance with employment immunization requirements. He advised he had received these same vaccines with IM Typhoid during his 23 year career without any reactions. Over the next few days he began to experience a runny nose, nasal congestion and fever noticing with 2nd and 3rd dose of oral typhoid (3/15/2015) his symptoms worsened (also day 5 after YF/MEN). He presented to PCP c/o persistent fever ranging 101-103.1F, chills, night sweats, generalized malaise, URI like symptoms (runny nose, congestion, post nasal drip, non-productive cough), body aches and episodic headaches (diffuse-facial). His complained urine was tea colored with first void but cleared after 4 liters water/Gatorade during the day. His wife reported he did not seem himself and was not "thinking clearly" as he did prior to his vaccinations. On 3/20/15 he continued alternating MOTRIN/TYLENOL for persistent recurrent fevers which would go down to 100 deg F. His PCP advised his CXR was normal and he had mild elevation in AST (53) and ALT (54) and low BUN/Creat (7/1.1) with BUN/Cr ratio low at 7.4. His WBC was normal at 7.4, H/H low 12.4/35.3, plt 189, RBC 3.95 (MCV/MCH/RDW all normal). Lab values suggest dehydration. Further labs were ordered for salmonella typhi, blood cultures, and viral studies (CMV, HSV, enterovirus, EBV). He reported being unable to work and was on personal sick leave greater than 24 hours. A VAERS will be filed by IHB. 3/23/2015: He advised his fevers were 99 degree F between MOTRIN doses; he uses NYQUIL at night, has stopped TYLENOL usage and has stopped using decongestants because it makes his mucus taste bad. No antibiotic therapy was initiated with normal WBC and he did not take the final dose of oral typhoid. He was eating well but had a queasy stomach at times due to post nasal drip, his night sweats were less and no headaches (last headache was 3/22/2015). 3/24/2015 he reported his temperature was stable at 98-99 deg F and he stopped use of MOTRIN. However, his temperature elevated to 101 degree F and he restarted use of his MOTRIN. He still has nasal congestion and post nasal drip with a mild cough, otherwise is doing fine. He advised his wife now has a cold. He is scheduled to see Infectious disease provider on Thursday 3/26/2015. 3/31/2015 he advised he no longer has a fever/temperature; however he continues with a mild cough. He advised he did return to work.
Age: 44.0
Sex: M
Vaccine: TYP, TYP
Symptoms: Mean cell haemoglobin normal, Mean cell volume normal, Nasal congestion, Nausea, Night sweats
Clinical narrative: Immunization Healthcare Branch was contacted by Occupational Health staff for assistance with VAERS for this patient and guidance on use of last oral typhoid dose in association with below symptoms. This 56 year old retired employee, received booster vaccinations on 3/10/2015 to include Yellow Fever and Meningococcal vaccines. He started his oral Typhoid vaccine on 3/11/2015 in compliance with employment immunization requirements. He advised he had received these same vaccines with IM Typhoid during his 23 year career without any reactions. Over the next few days he began to experience a runny nose, nasal congestion and fever noticing with 2nd and 3rd dose of oral typhoid (3/15/2015) his symptoms worsened (also day 5 after YF/MEN). He presented to PCP c/o persistent fever ranging 101-103.1F, chills, night sweats, generalized malaise, URI like symptoms (runny nose, congestion, post nasal drip, non-productive cough), body aches and episodic headaches (diffuse-facial). His complained urine was tea colored with first void but cleared after 4 liters water/Gatorade during the day. His wife reported he did not seem himself and was not "thinking clearly" as he did prior to his vaccinations. On 3/20/15 he continued alternating MOTRIN/TYLENOL for persistent recurrent fevers which would go down to 100 deg F. His PCP advised his CXR was normal and he had mild elevation in AST (53) and ALT (54) and low BUN/Creat (7/1.1) with BUN/Cr ratio low at 7.4. His WBC was normal at 7.4, H/H low 12.4/35.3, plt 189, RBC 3.95 (MCV/MCH/RDW all normal). Lab values suggest dehydration. Further labs were ordered for salmonella typhi, blood cultures, and viral studies (CMV, HSV, enterovirus, EBV). He reported being unable to work and was on personal sick leave greater than 24 hours. A VAERS will be filed by IHB. 3/23/2015: He advised his fevers were 99 degree F between MOTRIN doses; he uses NYQUIL at night, has stopped TYLENOL usage and has stopped using decongestants because it makes his mucus taste bad. No antibiotic therapy was initiated with normal WBC and he did not take the final dose of oral typhoid. He was eating well but had a queasy stomach at times due to post nasal drip, his night sweats were less and no headaches (last headache was 3/22/2015). 3/24/2015 he reported his temperature was stable at 98-99 deg F and he stopped use of MOTRIN. However, his temperature elevated to 101 degree F and he restarted use of his MOTRIN. He still has nasal congestion and post nasal drip with a mild cough, otherwise is doing fine. He advised his wife now has a cold. He is scheduled to see Infectious disease provider on Thursday 3/26/2015. 3/31/2015 he advised he no longer has a fever/temperature; however he continues with a mild cough. He advised he did return to work.
Age: 44.0
Sex: M
Vaccine: TYP, TYP
Symptoms: Pain, Platelet count normal, Pyrexia, Rash macular, Red blood cell count decreased
Clinical narrative: Immunization Healthcare Branch was contacted by Occupational Health staff for assistance with VAERS for this patient and guidance on use of last oral typhoid dose in association with below symptoms. This 56 year old retired employee, received booster vaccinations on 3/10/2015 to include Yellow Fever and Meningococcal vaccines. He started his oral Typhoid vaccine on 3/11/2015 in compliance with employment immunization requirements. He advised he had received these same vaccines with IM Typhoid during his 23 year career without any reactions. Over the next few days he began to experience a runny nose, nasal congestion and fever noticing with 2nd and 3rd dose of oral typhoid (3/15/2015) his symptoms worsened (also day 5 after YF/MEN). He presented to PCP c/o persistent fever ranging 101-103.1F, chills, night sweats, generalized malaise, URI like symptoms (runny nose, congestion, post nasal drip, non-productive cough), body aches and episodic headaches (diffuse-facial). His complained urine was tea colored with first void but cleared after 4 liters water/Gatorade during the day. His wife reported he did not seem himself and was not "thinking clearly" as he did prior to his vaccinations. On 3/20/15 he continued alternating MOTRIN/TYLENOL for persistent recurrent fevers which would go down to 100 deg F. His PCP advised his CXR was normal and he had mild elevation in AST (53) and ALT (54) and low BUN/Creat (7/1.1) with BUN/Cr ratio low at 7.4. His WBC was normal at 7.4, H/H low 12.4/35.3, plt 189, RBC 3.95 (MCV/MCH/RDW all normal). Lab values suggest dehydration. Further labs were ordered for salmonella typhi, blood cultures, and viral studies (CMV, HSV, enterovirus, EBV). He reported being unable to work and was on personal sick leave greater than 24 hours. A VAERS will be filed by IHB. 3/23/2015: He advised his fevers were 99 degree F between MOTRIN doses; he uses NYQUIL at night, has stopped TYLENOL usage and has stopped using decongestants because it makes his mucus taste bad. No antibiotic therapy was initiated with normal WBC and he did not take the final dose of oral typhoid. He was eating well but had a queasy stomach at times due to post nasal drip, his night sweats were less and no headaches (last headache was 3/22/2015). 3/24/2015 he reported his temperature was stable at 98-99 deg F and he stopped use of MOTRIN. However, his temperature elevated to 101 degree F and he restarted use of his MOTRIN. He still has nasal congestion and post nasal drip with a mild cough, otherwise is doing fine. He advised his wife now has a cold. He is scheduled to see Infectious disease provider on Thursday 3/26/2015. 3/31/2015 he advised he no longer has a fever/temperature; however he continues with a mild cough. He advised he did return to work.