chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dizziness, Electroencephalogram, Endotracheal intubation, Grand mal convulsion, Headache
Clinical narrative: February 2008 first shot experienced headaches, dizziness, back pain, soreness at injection site (still feels pain in arm today). April 2008 after second infection in addition to above symptoms, confustion, lethargic, gagging, nausea, vomiting, massive warts on the bottom of feet, mood swings, altered personality, shaking. In May 2008 was brought to the hospital had a MRI and cat-scan both normal. The doctor said she was experiencing headaches. In June 2008 she woke up with a headache and vomiting, collasped into a grand-mal seizure. Tranferred to a hosptal. Went through every test possible and came home for a few days. Went into another grand-mal seizure that lasted about three hours, had to be intabated again and transported to the hospital again where they did another MRI, EEG, Spinal Tap and more and more blood tests. Her protein level in her Spinal Tap was very high (159). We are still dealing with a very ill child. On Christmas day she had a seizure and back to hospital which is two and a half hours away from where we live. She takes 14 pills a day with really no answers to why she is ill. Her immune system is confused, confusing her brain. Her life has changed dramatically as she is unable to do the things a healthy 17 year old should be able to do.  2/17/09 Neuro consult dated 1/2/09 received with dx: probable Hashimoto's Encephalopathy.  Report reveals pt had 2 prolonged seizures in summer 2008 with behavioral and mood changes.  Dx with Hashimoto's Encephalopathy and tx with steroids x 3 mon which were tapered off. On 12/25/09 pt woke feeling nauseous and gagging, tremoulous, and feeling sick.  Felt like face "was pulling off".  Unable to yell or move. Found by parents seizing ~ 10 minutes.  Diastat administered. Transferred to hospital. Post-ictal then later combative and agitative. Pt reports being tired and achey since 11/08.  Neuro exam WNL.   3/19/09 Additional records received from 7/23/08, 8/26/08 and 2/20/09 Neuro consults as well as rheum consult 2/20/20009 as well. Pt hospitalized in June 2008 and July 2, 2008 for prolonged seizure in status epilepticus which required intubation and ICU time. Pt had prodrome beginning 2/2008 which consisted of H/A, personality changes and deterioration in school performance. Seen in 8/2008 for increased shakiness, twitching of extremities and unusual posturing with walking. Tx with Ativan for anxiety. W/U (-). Seen in f/u 7/23/08 and 8/26/08. Still with decreased energy, weakness and H/A. Recent weight loss of 15-20lbs 2' to decreased appetite. PE (+) for brisk reflexes.  Improving on steroids. DX:  Presumed Hashimoto's encephalopathy.  Rheum consult 2/20/09. DX not suggestive of Lupus. No further dx noted.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Injection site pain, Lethargy, Lumbar puncture, Mood swings, Nausea
Clinical narrative: February 2008 first shot experienced headaches, dizziness, back pain, soreness at injection site (still feels pain in arm today). April 2008 after second infection in addition to above symptoms, confustion, lethargic, gagging, nausea, vomiting, massive warts on the bottom of feet, mood swings, altered personality, shaking. In May 2008 was brought to the hospital had a MRI and cat-scan both normal. The doctor said she was experiencing headaches. In June 2008 she woke up with a headache and vomiting, collasped into a grand-mal seizure. Tranferred to a hosptal. Went through every test possible and came home for a few days. Went into another grand-mal seizure that lasted about three hours, had to be intabated again and transported to the hospital again where they did another MRI, EEG, Spinal Tap and more and more blood tests. Her protein level in her Spinal Tap was very high (159). We are still dealing with a very ill child. On Christmas day she had a seizure and back to hospital which is two and a half hours away from where we live. She takes 14 pills a day with really no answers to why she is ill. Her immune system is confused, confusing her brain. Her life has changed dramatically as she is unable to do the things a healthy 17 year old should be able to do.  2/17/09 Neuro consult dated 1/2/09 received with dx: probable Hashimoto's Encephalopathy.  Report reveals pt had 2 prolonged seizures in summer 2008 with behavioral and mood changes.  Dx with Hashimoto's Encephalopathy and tx with steroids x 3 mon which were tapered off. On 12/25/09 pt woke feeling nauseous and gagging, tremoulous, and feeling sick.  Felt like face "was pulling off".  Unable to yell or move. Found by parents seizing ~ 10 minutes.  Diastat administered. Transferred to hospital. Post-ictal then later combative and agitative. Pt reports being tired and achey since 11/08.  Neuro exam WNL.   3/19/09 Additional records received from 7/23/08, 8/26/08 and 2/20/09 Neuro consults as well as rheum consult 2/20/20009 as well. Pt hospitalized in June 2008 and July 2, 2008 for prolonged seizure in status epilepticus which required intubation and ICU time. Pt had prodrome beginning 2/2008 which consisted of H/A, personality changes and deterioration in school performance. Seen in 8/2008 for increased shakiness, twitching of extremities and unusual posturing with walking. Tx with Ativan for anxiety. W/U (-). Seen in f/u 7/23/08 and 8/26/08. Still with decreased energy, weakness and H/A. Recent weight loss of 15-20lbs 2' to decreased appetite. PE (+) for brisk reflexes.  Improving on steroids. DX:  Presumed Hashimoto's encephalopathy.  Rheum consult 2/20/09. DX not suggestive of Lupus. No further dx noted.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Nuclear magnetic resonance imaging normal, Personality change, Retching, Skin papilloma, Tremor
Clinical narrative: February 2008 first shot experienced headaches, dizziness, back pain, soreness at injection site (still feels pain in arm today). April 2008 after second infection in addition to above symptoms, confustion, lethargic, gagging, nausea, vomiting, massive warts on the bottom of feet, mood swings, altered personality, shaking. In May 2008 was brought to the hospital had a MRI and cat-scan both normal. The doctor said she was experiencing headaches. In June 2008 she woke up with a headache and vomiting, collasped into a grand-mal seizure. Tranferred to a hosptal. Went through every test possible and came home for a few days. Went into another grand-mal seizure that lasted about three hours, had to be intabated again and transported to the hospital again where they did another MRI, EEG, Spinal Tap and more and more blood tests. Her protein level in her Spinal Tap was very high (159). We are still dealing with a very ill child. On Christmas day she had a seizure and back to hospital which is two and a half hours away from where we live. She takes 14 pills a day with really no answers to why she is ill. Her immune system is confused, confusing her brain. Her life has changed dramatically as she is unable to do the things a healthy 17 year old should be able to do.  2/17/09 Neuro consult dated 1/2/09 received with dx: probable Hashimoto's Encephalopathy.  Report reveals pt had 2 prolonged seizures in summer 2008 with behavioral and mood changes.  Dx with Hashimoto's Encephalopathy and tx with steroids x 3 mon which were tapered off. On 12/25/09 pt woke feeling nauseous and gagging, tremoulous, and feeling sick.  Felt like face "was pulling off".  Unable to yell or move. Found by parents seizing ~ 10 minutes.  Diastat administered. Transferred to hospital. Post-ictal then later combative and agitative. Pt reports being tired and achey since 11/08.  Neuro exam WNL.   3/19/09 Additional records received from 7/23/08, 8/26/08 and 2/20/09 Neuro consults as well as rheum consult 2/20/20009 as well. Pt hospitalized in June 2008 and July 2, 2008 for prolonged seizure in status epilepticus which required intubation and ICU time. Pt had prodrome beginning 2/2008 which consisted of H/A, personality changes and deterioration in school performance. Seen in 8/2008 for increased shakiness, twitching of extremities and unusual posturing with walking. Tx with Ativan for anxiety. W/U (-). Seen in f/u 7/23/08 and 8/26/08. Still with decreased energy, weakness and H/A. Recent weight loss of 15-20lbs 2' to decreased appetite. PE (+) for brisk reflexes.  Improving on steroids. DX:  Presumed Hashimoto's encephalopathy.  Rheum consult 2/20/09. DX not suggestive of Lupus. No further dx noted.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Vomiting
Clinical narrative: February 2008 first shot experienced headaches, dizziness, back pain, soreness at injection site (still feels pain in arm today). April 2008 after second infection in addition to above symptoms, confustion, lethargic, gagging, nausea, vomiting, massive warts on the bottom of feet, mood swings, altered personality, shaking. In May 2008 was brought to the hospital had a MRI and cat-scan both normal. The doctor said she was experiencing headaches. In June 2008 she woke up with a headache and vomiting, collasped into a grand-mal seizure. Tranferred to a hosptal. Went through every test possible and came home for a few days. Went into another grand-mal seizure that lasted about three hours, had to be intabated again and transported to the hospital again where they did another MRI, EEG, Spinal Tap and more and more blood tests. Her protein level in her Spinal Tap was very high (159). We are still dealing with a very ill child. On Christmas day she had a seizure and back to hospital which is two and a half hours away from where we live. She takes 14 pills a day with really no answers to why she is ill. Her immune system is confused, confusing her brain. Her life has changed dramatically as she is unable to do the things a healthy 17 year old should be able to do.  2/17/09 Neuro consult dated 1/2/09 received with dx: probable Hashimoto's Encephalopathy.  Report reveals pt had 2 prolonged seizures in summer 2008 with behavioral and mood changes.  Dx with Hashimoto's Encephalopathy and tx with steroids x 3 mon which were tapered off. On 12/25/09 pt woke feeling nauseous and gagging, tremoulous, and feeling sick.  Felt like face "was pulling off".  Unable to yell or move. Found by parents seizing ~ 10 minutes.  Diastat administered. Transferred to hospital. Post-ictal then later combative and agitative. Pt reports being tired and achey since 11/08.  Neuro exam WNL.   3/19/09 Additional records received from 7/23/08, 8/26/08 and 2/20/09 Neuro consults as well as rheum consult 2/20/20009 as well. Pt hospitalized in June 2008 and July 2, 2008 for prolonged seizure in status epilepticus which required intubation and ICU time. Pt had prodrome beginning 2/2008 which consisted of H/A, personality changes and deterioration in school performance. Seen in 8/2008 for increased shakiness, twitching of extremities and unusual posturing with walking. Tx with Ativan for anxiety. W/U (-). Seen in f/u 7/23/08 and 8/26/08. Still with decreased energy, weakness and H/A. Recent weight loss of 15-20lbs 2' to decreased appetite. PE (+) for brisk reflexes.  Improving on steroids. DX:  Presumed Hashimoto's encephalopathy.  Rheum consult 2/20/09. DX not suggestive of Lupus. No further dx noted.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Autoimmune thyroiditis, Convulsion, Electroencephalogram, Encephalitis, Endotracheal intubation
Clinical narrative: February 2008 first shot experienced headaches, dizziness, back pain, soreness at injection site (still feels pain in arm today). April 2008 after second infection in addition to above symptoms, confustion, lethargic, gagging, nausea, vomiting, massive warts on the bottom of feet, mood swings, altered personality, shaking. In May 2008 was brought to the hospital had a MRI and cat-scan both normal. The doctor said she was experiencing headaches. In June 2008 she woke up with a headache and vomiting, collasped into a grand-mal seizure. Tranferred to a hosptal. Went through every test possible and came home for a few days. Went into another grand-mal seizure that lasted about three hours, had to be intabated again and transported to the hospital again where they did another MRI, EEG, Spinal Tap and more and more blood tests. Her protein level in her Spinal Tap was very high (159). We are still dealing with a very ill child. On Christmas day she had a seizure and back to hospital which is two and a half hours away from where we live. She takes 14 pills a day with really no answers to why she is ill. Her immune system is confused, confusing her brain. Her life has changed dramatically as she is unable to do the things a healthy 17 year old should be able to do.  2/17/09 Neuro consult dated 1/2/09 received with dx: probable Hashimoto's Encephalopathy.  Report reveals pt had 2 prolonged seizures in summer 2008 with behavioral and mood changes.  Dx with Hashimoto's Encephalopathy and tx with steroids x 3 mon which were tapered off. On 12/25/09 pt woke feeling nauseous and gagging, tremoulous, and feeling sick.  Felt like face "was pulling off".  Unable to yell or move. Found by parents seizing ~ 10 minutes.  Diastat administered. Transferred to hospital. Post-ictal then later combative and agitative. Pt reports being tired and achey since 11/08.  Neuro exam WNL.   3/19/09 Additional records received from 7/23/08, 8/26/08 and 2/20/09 Neuro consults as well as rheum consult 2/20/20009 as well. Pt hospitalized in June 2008 and July 2, 2008 for prolonged seizure in status epilepticus which required intubation and ICU time. Pt had prodrome beginning 2/2008 which consisted of H/A, personality changes and deterioration in school performance. Seen in 8/2008 for increased shakiness, twitching of extremities and unusual posturing with walking. Tx with Ativan for anxiety. W/U (-). Seen in f/u 7/23/08 and 8/26/08. Still with decreased energy, weakness and H/A. Recent weight loss of 15-20lbs 2' to decreased appetite. PE (+) for brisk reflexes.  Improving on steroids. DX:  Presumed Hashimoto's encephalopathy.  Rheum consult 2/20/09. DX not suggestive of Lupus. No further dx noted.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Laboratory test, Lumbar puncture, Respiratory arrest, Weight increased
Clinical narrative: February 2008 first shot experienced headaches, dizziness, back pain, soreness at injection site (still feels pain in arm today). April 2008 after second infection in addition to above symptoms, confustion, lethargic, gagging, nausea, vomiting, massive warts on the bottom of feet, mood swings, altered personality, shaking. In May 2008 was brought to the hospital had a MRI and cat-scan both normal. The doctor said she was experiencing headaches. In June 2008 she woke up with a headache and vomiting, collasped into a grand-mal seizure. Tranferred to a hosptal. Went through every test possible and came home for a few days. Went into another grand-mal seizure that lasted about three hours, had to be intabated again and transported to the hospital again where they did another MRI, EEG, Spinal Tap and more and more blood tests. Her protein level in her Spinal Tap was very high (159). We are still dealing with a very ill child. On Christmas day she had a seizure and back to hospital which is two and a half hours away from where we live. She takes 14 pills a day with really no answers to why she is ill. Her immune system is confused, confusing her brain. Her life has changed dramatically as she is unable to do the things a healthy 17 year old should be able to do.  2/17/09 Neuro consult dated 1/2/09 received with dx: probable Hashimoto's Encephalopathy.  Report reveals pt had 2 prolonged seizures in summer 2008 with behavioral and mood changes.  Dx with Hashimoto's Encephalopathy and tx with steroids x 3 mon which were tapered off. On 12/25/09 pt woke feeling nauseous and gagging, tremoulous, and feeling sick.  Felt like face "was pulling off".  Unable to yell or move. Found by parents seizing ~ 10 minutes.  Diastat administered. Transferred to hospital. Post-ictal then later combative and agitative. Pt reports being tired and achey since 11/08.  Neuro exam WNL.   3/19/09 Additional records received from 7/23/08, 8/26/08 and 2/20/09 Neuro consults as well as rheum consult 2/20/20009 as well. Pt hospitalized in June 2008 and July 2, 2008 for prolonged seizure in status epilepticus which required intubation and ICU time. Pt had prodrome beginning 2/2008 which consisted of H/A, personality changes and deterioration in school performance. Seen in 8/2008 for increased shakiness, twitching of extremities and unusual posturing with walking. Tx with Ativan for anxiety. W/U (-). Seen in f/u 7/23/08 and 8/26/08. Still with decreased energy, weakness and H/A. Recent weight loss of 15-20lbs 2' to decreased appetite. PE (+) for brisk reflexes.  Improving on steroids. DX:  Presumed Hashimoto's encephalopathy.  Rheum consult 2/20/09. DX not suggestive of Lupus. No further dx noted.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Pruritus, Rash erythematous, Skin discolouration
Clinical narrative: On 1-22-2008, broke out in rash on chest- spread to back, arms, legs & hands.  Red raised, flat in middle- brown spot- itchy, Tx with CALAMINE lotion, BENADRYL -  Going to dermatologist today.
Age: 44.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Blister, Culture, Herpes zoster, Pain, Pruritus
Clinical narrative: Patient states she gets frequent breakouts of "shingles", about 3x/yr for the last 6 yrs. MD recommended ZOSTAVAX. Patient was clear of any symptoms. Shot was administered 1/14/09. On 1/26/09 patient developed rash on mid-back, Left thigh. It blistered, was itchy and painful. VALTREX was began on 1/27 1gm tid x 7days and VICODIN on 1/28-186 PRN.
Age: 44.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Rash
Clinical narrative: Patient states she gets frequent breakouts of "shingles", about 3x/yr for the last 6 yrs. MD recommended ZOSTAVAX. Patient was clear of any symptoms. Shot was administered 1/14/09. On 1/26/09 patient developed rash on mid-back, Left thigh. It blistered, was itchy and painful. VALTREX was began on 1/27 1gm tid x 7days and VICODIN on 1/28-186 PRN.
Sex: F
Vaccine: VARZOS
Symptoms: Varicella
Clinical narrative: Pt. received ZOSTAVAX IN; approx. 6 months ago at a local retail pharmacy (not at one facility).  Pt presented to an ED with other problems, and on assessment appeared to have chicken pox.  Had been exposed to family member w/ severe case of chicken pox within recent time.
Age: 1.25
Sex: M
Vaccine: DTAP, FLU3, HEPA, PNC
Symptoms: Wrong drug administered
Clinical narrative: Pt given 5th PCV7 instead of Hept A vaccine. Hept A vaccine then administered.  MTR notified of event.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 1-2 inch red & warm spot just below injection site pt reports not painful
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Abdominal pain upper, Hallucination, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 5 m. erythema, swelling L upper arm, pain, tenderness, low fever, hallucination at nights, belly ache- no vomiting or diarrhea.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Pyrexia
Clinical narrative: 5 m. erythema, swelling L upper arm, pain, tenderness, low fever, hallucination at nights, belly ache- no vomiting or diarrhea.
Age: 16.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Erythema, Induration
Clinical narrative: LA posterior redness 3x4 1/2 in elevated in duration 1 1/2in initial 0 dc 0 Adenopathy.
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Allergy to vaccine, Latex allergy, Ocular hyperaemia, Rash macular, Stomatitis
Clinical narrative: Started giving RATATEQ by mouth, noticed that pt. started having redness around mouth, eyes, right ear & blotchy redness on scalp.  Gloves were latex therefor took them off, washed hands & by the time I got MD to view the redness was gone.  Dad informed me that mom had a latex allergy.  MD told to try again without latex gloves.  Attempted redness appeared again just slightly.  I stopped, got MD, and redness was gone again by the time MD arrived from next door.  Attempted one more (per MD who was present) time & noticed a small amount of redness by ear.  Stopped. Redness by ear subsided within 12 mins.   No more given. Pt. never had any increased woe or shortness of breath observed.  Gave other vaccines in presence of MD- 0 RXNS noted.  Put allergy sticker on chart for questionable latex allergy & ROTATEQ allergy so no more ROTATEQ will be given.
Age: 51.0
Sex: M
Vaccine: FLU3, TDAP
Symptoms: Chills, Muscle spasms, Pyrexia, Vomiting
Clinical narrative: Fever, Chills, and cramps, vomiting
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Injection site swelling
Clinical narrative: Patient was given 0.5 ml pneumoccocal vaccine.  Developed swelling at injection site.
Age: 41.0
Sex: F
Vaccine: DT
Symptoms: Chills, Erythema, Injection site swelling, Post procedural drainage, Pyrexia
Clinical narrative: 12/1/08 patient received tetanus/diptheria injection.  Returned 1/19/09 with complaint of injection site swelling - left deltoid- Reported increased reddening over 3 weeks.  On 1/17/09 area burst wit greenish drainage.  Complained of pain at site, decreased swelling.  Complained of chills and fever for 1-2 days.  Treated conservatively:  TYLENOL for pain, no antibiotics.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Caesarean section, Drug exposure during pregnancy
Clinical narrative: Information has been received from a registered nurse for the Pregnancy Registry for GARDASIL concerning a 28 year old female patient with no pertinent medical history, no drug reactions/allergies, who on 03-AUG-2007 was vaccinated intramuscularly with the first 0.5 mL dose of GARDASIL (Lot # 658222/0927U). There was no concomitant medication. On 05-OCT-2007 the patient was vaccinated intramuscularly with the second 0.5 mL dose of GARDASIL (Lot # 658563/1063U). The patient became pregnant after receiving her second dose of GARDASIL. Her LMP was on 19-APR-2008 and estimated date of delivery was 24-JAN-2009. On 19-JAN-2009 the patient delivered by caesarean section. Upon internal review, patient delivered by caesarian section was determined to be an other important medical event. Additional information has been requested.
Age: 0.4
Sex: F
Vaccine: RV5
Symptoms: Haematochezia
Clinical narrative: Information has been received from a registered nurse concerning a 20 week old female patient who on an unspecified date was vaccinated per oral with the second 2 mL dose of ROTATEQ. About 2 weeks after receiving her second dose of ROTATEQ, the patient developed blood in her stool. The patient sought unspecified medical attention. At the time of reporting, the patient's outcome is unknown. Upon internal review, patient developed blood in her stool was determined to be an other important medical event. Additional information has been requested.
Age: 1.3
Sex: F
Vaccine: RV5
Symptoms: Dehydration, Diarrhoea, Rotavirus test negative
Clinical narrative: Information has been received from a physician concerning an approximately 15 month old female patient who on unspecified dates was vaccinated per oral with all three doses of ROTATEQ. After receiving the ROTATEQ, on an unspecified date the patient had developed very bad diarrhea in which the physician thought the patient had rotavirus. But because the patient had a bad case of diarrhea the patient became dehydrated and was hospitalized. The physician did not mention how long the patient was in the hospital, but a rotavirus test was given, but the results came back negative for rotavirus. The patient had recovered on an unspecified date. Additional information has been requested.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site mass, Injection site warmth, Musculoskeletal pain, Neck pain, Oedema peripheral
Clinical narrative: Early the next day after receiving injection her deltoid was swollen, hot to touch, knot @ injection site.  The knot went away and the hot feeling.  Swelling remains and has pain that comes & goes from shoulder to her neck.  Arm hurts with movement. Has seen Dr for pain in arm/neck. Last year the same thing happend on the other arm.  She made several visits to the doctor, was seen by bone & joint specialist, had physical therapy and MRI done last year.  No problem was found.  Pain lasted for 11 months.  Still has residual pain sometime with movement.  Last year she did not consider her flu shot as being the problem with her pain, but now it has happened again this year.  She has no known allergies to foods or drugs.
Age: 69.0
Sex: M
Vaccine: DTOX, PPV, TTOX, TYP
Symptoms: Erythema, Lymph node pain, Muscle swelling, Pain in extremity
Clinical narrative: Red and swollen underarm muscle with pain traveling up and down to below the elbow and into the lymph nodes of the arm.
Age: 24.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Cold sweat, Hypoaesthesia, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Severe swelling, cold sweats, vomiting, finger numbness, point tenderness at site of injection, severe fever for 5 days post injection; followed by 10 day antibiotic treatment which required 13 days before swelling and point tenderness were eliminated.
Age: 24.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Vomiting
Clinical narrative: Severe swelling, cold sweats, vomiting, finger numbness, point tenderness at site of injection, severe fever for 5 days post injection; followed by 10 day antibiotic treatment which required 13 days before swelling and point tenderness were eliminated.
Age: 11.0
Sex: U
Vaccine: DPP, HEPA, VARCEL
Symptoms: Allergy to vaccine, Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: 2 DAYS AFTER INJECTION, SHE DEVELOPED PAIN, REDNESS AND SWELLING AT INJECTION SITE.  ALSO FEVER AND GENERALIZED RED RASH ALL OVER HER BODY.
Age: 11.0
Sex: U
Vaccine: DPP, HEPA, VARCEL
Symptoms: Rash generalised
Clinical narrative: 2 DAYS AFTER INJECTION, SHE DEVELOPED PAIN, REDNESS AND SWELLING AT INJECTION SITE.  ALSO FEVER AND GENERALIZED RED RASH ALL OVER HER BODY.
Age: 11.0
Sex: U
Vaccine: DPP, HEPA, VARCEL
Symptoms: Pyrexia, Skin warm
Clinical narrative: 2 DAYS AFTER INJECTION, SHE DEVELOPED PAIN, REDNESS AND SWELLING AT INJECTION SITE.  ALSO FEVER AND GENERALIZED RED RASH ALL OVER HER BODY.
Age: 1.2
Sex: F
Vaccine: DTAP, HEPA, MMR, PNC, VARCEL
Symptoms: Body temperature increased, Convulsion, Musculoskeletal stiffness, Tremor
Clinical narrative: Mom states child had a seizure 1/31/09 around 5am, lasting approx 3 minutes (stiffness, then body shaking), temp 99.8 F.  Called 911. Child taken to Hospital by ambulance.  No seizure during ambulance transport or at hospital. No treatment, just observation.  Child discharged to home.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site urticaria, Pain
Clinical narrative: DAY AFTER INJECTION-FEVER ACHES WHICH RESOLVED IN 24 HRS BUT DEVELOPED LARGE RED WHEEL AND INDURATION AT INJECTION SITE AND PAIN AT SITE.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: DAY AFTER INJECTION-FEVER ACHES WHICH RESOLVED IN 24 HRS BUT DEVELOPED LARGE RED WHEEL AND INDURATION AT INJECTION SITE AND PAIN AT SITE.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Lip swelling, Rash generalised, Rash pruritic, Throat irritation
Clinical narrative: swelling lips , throat and very itchy rash all over the body
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Injection site erythema, Injection site nodule, Injection site pain, Injection site pruritus
Clinical narrative: Headache 6 hours after injection lasting 24 hours, pain, itching and redness at injection site starting 8 hours after injection and continuing at this time, nodule at injection site and continuing at this time.  No medical treatment sought.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Retching, Stomach discomfort, Vomiting
Clinical narrative: 2 month old in for immunizations.  Began administration with oral RotaTeq.  Infant had not even taken the entire amount when she began vomitting.  At first just on herself and her clothing, but then projectile vomitted the remainder of her stomach contents.  Could audibly hear stomach upset, and a few dry heaves after stomach was empty.  Mother reports that infant does not have regular issues with spitting up or vomitting, has had no signs or symptoms of illness.  Took temperature with thermal scan on forehead and rec'd 98.8 reading.  Infant's stomach settled within 5 minutes.  Did then administer remainder of immunizations that were due.  Advised mother that we will not administer any add'l doses of RotaTeq to this child.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC
Symptoms: Pyrexia, Rash
Clinical narrative: fever w/ poss tonic seizure, mild rash
Age: 48.0
Sex: M
Vaccine: FLUX
Symptoms: Chills, Cough, Dizziness, Pain, Pyrexia
Clinical narrative: 7:00 p.m. fever and dizziness. 8:00 p.m. vomiting chills and cough. 12:00 a.m. awoke with body aches which lasted for 72 hours. It felt like an actual live virus infection.
Age: 48.0
Sex: M
Vaccine: FLUX
Symptoms: Vomiting
Clinical narrative: 7:00 p.m. fever and dizziness. 8:00 p.m. vomiting chills and cough. 12:00 a.m. awoke with body aches which lasted for 72 hours. It felt like an actual live virus infection.
Age: 33.0
Sex: M
Vaccine: HEPAB, MMRV, TDAP, VARCEL
Symptoms: Blister, Blood test, Erythema, Malaise, Rash pruritic
Clinical narrative: Received vaccines on 1-12-09.  Symptoms started on Sunday, 1-25-09, with a fever, "just not feeling well"  Took ibuprofen and slept.  On Monday, January 26, 09 noticed red, raised, "pimple like" rash on head, progressing to chest, back, arms and legs.  Rash was itching, blisters scabbed over.  Rash continued to appear for 2-3 days.  Saw Dr. on Wednesday, !-28-09.  Dr. gave pt. Claritan.  Dr. called Health Dept. asking this be reported to Vaers. Pt is feeling fine today.  Noted "I have a few scars from the rash".
Age: 33.0
Sex: M
Vaccine: HEPAB, MMRV, TDAP, VARCEL
Symptoms: Scar
Clinical narrative: Received vaccines on 1-12-09.  Symptoms started on Sunday, 1-25-09, with a fever, "just not feeling well"  Took ibuprofen and slept.  On Monday, January 26, 09 noticed red, raised, "pimple like" rash on head, progressing to chest, back, arms and legs.  Rash was itching, blisters scabbed over.  Rash continued to appear for 2-3 days.  Saw Dr. on Wednesday, !-28-09.  Dr. gave pt. Claritan.  Dr. called Health Dept. asking this be reported to Vaers. Pt is feeling fine today.  Noted "I have a few scars from the rash".
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain, Rash erythematous, Rash maculo-papular, Rash pruritic
Clinical narrative: Pt presents to the emergency room on Sat 1/31/09 complaining of painful, itchy rash on torso.  During review of systems and physical exam, pt noted to have the following: + erythematous maculopapular rash  over (L) ant abd and (L) paraspinal area in dermatomal distribution. No vescicles; no bullae. Pt had previously received the vaccination on 1/22/09
Age: 40.0
Sex: F
Vaccine: PPV
Symptoms: Hypokinesia, Oedema peripheral, Pain, Pain in extremity
Clinical narrative: 40 yo 70kg WF received 0.5ml Pneuomvax injection IM in her left deltoid at 0930 1/27/09 with no complaints or complications. This was her first exposure. 15 minutes later at 0945, pt called provider's secretary to report severe arm pain. Pt called back at 1425 with worsening arm pain from neck to wrist and inability to raise her left arm. Unable to move arm enough to remove shirt to inspect for redness but pt could tell her arm was swelling. Pt came to clinic at 1600 and was examined. Arm swollen but not red or hot. 40mg prednisone given @ 1715. Pt observed until 1810 when she was taken to ED as precaution for continued observation. At ED, pt found to have erythematous diffuse nonblanching rash covering left arm, upper chest, left neck and few spots on upper back. Treated symptomatically and observed until determined to be stable. Discharged ~2016 on Percocet and diphenhydramine prn and Motrin 800mg po TID x 1week.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Eyelid disorder, Ocular hyperaemia, Pyrexia
Clinical narrative: After getting the MMR, Hep A, and Varicella vaccines my daughter woke up the next morning with her right eye looking red and half closed.  It took 3-4 days before her eye started looking normal.  She also had a fever for 4 days.  The highest that I know it got was 101.3.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Amnesia, Hypokinesia, Induration, Pain
Clinical narrative: At approximately 6:00 pm on 1/24/09 He was unable to lift his right arm due to severe pain.  Pain then moved to left shoulder then both knees began to ache.  States he then started to go "crazy yelling & screaming due to hurting so much"  At 11:30 he went to bed woke x2 in a "puddle of water."  States he next "woke up in a hotel on 1/29/09 unaware of how he got there.  He returned to his home @ 6pm 1/29/09. Right shoulder continues to ache.  States he has no memory of driving to place but his vehicle was in parking lot of hotel.
Age: 1.1
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Low grade fever (100-107 F) multiform rash on face only.  No (grand or trunk) or est or surface.
Age: 11.0
Sex: M
Vaccine: FLU3, HEPA, MNQ, TDAP
Symptoms: Injection site erythema, Injection site haemorrhage, Injection site pain, Injection site swelling
Clinical narrative: 1/30/09 - seen in office with redness, swelling 8 x 10cm with soreness to injection site.  2 x 2 cm ecchymotic right arm about inj. site.  Encouraged rest and ice.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Immediate post-injection reaction, Urticaria
Clinical narrative: 2pm - received shots.  2:08pm- developed hives.  EPINEPHRINE given at 2:10, BENADRYL given at 2:15.
Age: 47.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Erythema, Pain in extremity, Pruritus, Skin warm
Clinical narrative: Shot 1-27-09 reported 1-30-09 L arm sore, itchy, warm to touch with erythema.  After exam per doctor no cellulitis.  Hx D.M. Tx with Cephalexin 500 mg Tid.  Ice 3-4 x a day.  Benadryl every 6-8 hours for 24 hours.  Call if no better.
Age: 0.38
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia
Clinical narrative: fever > 102 X 48 degrees.  Fever decreased with TYLENOL & IBUPROFEN.  Q 4 degrees.
Age: 49.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site mass, Injection site swelling
Clinical narrative: Flu vaccine received on 1/30/08 here in the office at 430 pm - over the past 3 days pt c/o R arm swelling at site with redness 2-4 cm non-puritic bump.  Not allergic to eggs, has received flu imm before.  Tx Benadryl/50mg every 6-8 hours.  Contact us if no improvement.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pain upon injection, in 24 hours, hot, red, swelling.  These symptoms dissipated, then pain into arm to wrist and under arm.  TX: arm sling, cortisone P.O.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Swelling
Clinical narrative: Pain upon injection, in 24 hours, hot, red, swelling.  These symptoms dissipated, then pain into arm to wrist and under arm.  TX: arm sling, cortisone P.O.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Onset pain in upper outer arm where vaccine administered.  Persisting from time of injection, on/off to 1/13/09 was seen - note worse again.  Hurts to palpule deltoid muscle, use deltoid muscle.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, MMR, VARCEL
Symptoms: Pyrexia, Rash pustular
Clinical narrative: Fever- few pustules on trunk (small vesicular lesions).
Age: 60.0
Sex: M
Vaccine: TDAP, VARZOS
Symptoms: Injection site erythema, Injection site irritation
Clinical narrative: Hours after following injection patient states she had erythema and slight burning of right upper arm where the ZOSTAVAX vaccine was injected. Erythemic area measured 15cmx17cm with mildly raised area (1.5cm) each in middle of erythemic area.
Age: 45.0
Sex: M
Vaccine: FLU3
Symptoms: Facial palsy, Laboratory test normal
Clinical narrative: Bell's Palsy
Age: 1.01
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL
Symptoms: Autopsy, Death
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of death nos in a 12-month-old female subject who was vaccinated with HAVRIX (GlaxoSmithKline), MMR II (strain not specified), VARIVAX and PREVNAR. On 21 January 2009 at 07:43, the subject received unspecified dose of HAVRIX (.5 ml, unknown, right thigh), unspecified dose of MMR II (unknown), unspecified dose of VARIVAX (unknown), and unspecified dose of PREVNAR (unknown). On 22 January 2009, 1 day after vaccination with HAVRIX, after vaccination with MMR II, PREVNAR, and VARIVAX, the subject experienced death nos. The healthcare professional considered the event was disabling, life threatening and clinically significant (or requiring intervention). The subject died on 22 January 2009 from death nos. It was unknown whether an autopsy was performed. It was reported the subject had "no history of illness or medical problems. Not on medications at time of death. Medical examiner stated undetermined cause of death on death certificate".  3/5/09 Autopsy report received with COD:  Undetermined.  Manner of Death:  Undetermined. Child had presented to PCP earlier on the DOD with fever and URI sx. 4 vax given taht day. Child remained cranky and put down to nap.  Approx 1 hour later found face down without pulse or respirations.  Resuscitation unsuccessful.
Age: 1.01
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL
Symptoms: Death, Respiratory arrest, Unresponsive to stimuli
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of death nos in a 12-month-old female subject who was vaccinated with HAVRIX (GlaxoSmithKline), MMR II (strain not specified), VARIVAX and PREVNAR. On 21 January 2009 at 07:43, the subject received unspecified dose of HAVRIX (.5 ml, unknown, right thigh), unspecified dose of MMR II (unknown), unspecified dose of VARIVAX (unknown), and unspecified dose of PREVNAR (unknown). On 22 January 2009, 1 day after vaccination with HAVRIX, after vaccination with MMR II, PREVNAR, and VARIVAX, the subject experienced death nos. The healthcare professional considered the event was disabling, life threatening and clinically significant (or requiring intervention). The subject died on 22 January 2009 from death nos. It was unknown whether an autopsy was performed. It was reported the subject had "no history of illness or medical problems. Not on medications at time of death. Medical examiner stated undetermined cause of death on death certificate".  3/5/09 Autopsy report received with COD:  Undetermined.  Manner of Death:  Undetermined. Child had presented to PCP earlier on the DOD with fever and URI sx. 4 vax given taht day. Child remained cranky and put down to nap.  Approx 1 hour later found face down without pulse or respirations.  Resuscitation unsuccessful.
Age: 1.01
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL
Symptoms: Death
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of death nos in a 12-month-old female subject who was vaccinated with HAVRIX (GlaxoSmithKline), MMR II (strain not specified), VARIVAX and PREVNAR. On 21 January 2009 at 07:43, the subject received unspecified dose of HAVRIX (.5 ml, unknown, right thigh), unspecified dose of MMR II (unknown), unspecified dose of VARIVAX (unknown), and unspecified dose of PREVNAR (unknown). On 22 January 2009, 1 day after vaccination with HAVRIX, after vaccination with MMR II, PREVNAR, and VARIVAX, the subject experienced death nos. The healthcare professional considered the event was disabling, life threatening and clinically significant (or requiring intervention). The subject died on 22 January 2009 from death nos. It was unknown whether an autopsy was performed. It was reported the subject had "no history of illness or medical problems. Not on medications at time of death. Medical examiner stated undetermined cause of death on death certificate".  3/5/09 Autopsy report received with COD:  Undetermined.  Manner of Death:  Undetermined. Child had presented to PCP earlier on the DOD with fever and URI sx. 4 vax given taht day. Child remained cranky and put down to nap.  Approx 1 hour later found face down without pulse or respirations.  Resuscitation unsuccessful.
Age: 16.0
Sex: F
Vaccine: MNQ, VARCEL, MNQ, VARCEL
Symptoms: Dizziness, Headache, Muscular weakness, Vertigo, Vomiting
Clinical narrative: MENACTRA + VARIVAX given on 1/19/09.  On 1/20/09 seen in office for vertigo feeling of weakness in legs, headache, vomiting.  Was seen in ER in AM at hospital 1/19/09.  Follow up visit 1/23/09 c/o persisting dizziness, headache.  Adv. neurology consult.  1/30/09 Pt 70% better.  Adv. CT head. 22/2/09-records received with report-presented to ED on 1/21/09 with C/O dizziness and lower extremity weakness. Acute headache. Office notes 1/20/09-received vaccine and C/O headahce weakness, PE normal. Office note 1/23/09-Feeling tired, decreased appetite but feeling better. Improving dizziness and headaches. 1/30/09-not fully recovered, headaches continue. Neurology appointment to be scheduled along with CT scan.  /13/09-neurology report received for DOS 1/21/09-feeling well. PE unremarkable. Neuro exam WNL. Patient has recovered from vaccine adverse reaction, it is not necessary to perform neuro imaging scan. No evidence of Guillain-Barre. Relexes normal and strength normal.   8/21/09 PCP medical records received DOS 1/19/09 to 1/30/09. Mother reports child taken to ER c/o fever, dizziness and weakness. Vomited, headaches. C/O persistent dizziness, frontal headache. Feeling tired, decreased appetite.
Age: 16.0
Sex: F
Vaccine: MNQ, VARCEL, MNQ, VARCEL
Symptoms: Balance disorder, Dizziness, Dysstasia, Fatigue, Gait disturbance
Clinical narrative: MENACTRA + VARIVAX given on 1/19/09.  On 1/20/09 seen in office for vertigo feeling of weakness in legs, headache, vomiting.  Was seen in ER in AM at hospital 1/19/09.  Follow up visit 1/23/09 c/o persisting dizziness, headache.  Adv. neurology consult.  1/30/09 Pt 70% better.  Adv. CT head. 22/2/09-records received with report-presented to ED on 1/21/09 with C/O dizziness and lower extremity weakness. Acute headache. Office notes 1/20/09-received vaccine and C/O headahce weakness, PE normal. Office note 1/23/09-Feeling tired, decreased appetite but feeling better. Improving dizziness and headaches. 1/30/09-not fully recovered, headaches continue. Neurology appointment to be scheduled along with CT scan.  /13/09-neurology report received for DOS 1/21/09-feeling well. PE unremarkable. Neuro exam WNL. Patient has recovered from vaccine adverse reaction, it is not necessary to perform neuro imaging scan. No evidence of Guillain-Barre. Relexes normal and strength normal.   8/21/09 PCP medical records received DOS 1/19/09 to 1/30/09. Mother reports child taken to ER c/o fever, dizziness and weakness. Vomited, headaches. C/O persistent dizziness, frontal headache. Feeling tired, decreased appetite.
Age: 16.0
Sex: F
Vaccine: MNQ, VARCEL, MNQ, VARCEL
Symptoms: Headache, Muscular weakness, Paraesthesia, Vaccination complication
Clinical narrative: MENACTRA + VARIVAX given on 1/19/09.  On 1/20/09 seen in office for vertigo feeling of weakness in legs, headache, vomiting.  Was seen in ER in AM at hospital 1/19/09.  Follow up visit 1/23/09 c/o persisting dizziness, headache.  Adv. neurology consult.  1/30/09 Pt 70% better.  Adv. CT head. 22/2/09-records received with report-presented to ED on 1/21/09 with C/O dizziness and lower extremity weakness. Acute headache. Office notes 1/20/09-received vaccine and C/O headahce weakness, PE normal. Office note 1/23/09-Feeling tired, decreased appetite but feeling better. Improving dizziness and headaches. 1/30/09-not fully recovered, headaches continue. Neurology appointment to be scheduled along with CT scan.  /13/09-neurology report received for DOS 1/21/09-feeling well. PE unremarkable. Neuro exam WNL. Patient has recovered from vaccine adverse reaction, it is not necessary to perform neuro imaging scan. No evidence of Guillain-Barre. Relexes normal and strength normal.   8/21/09 PCP medical records received DOS 1/19/09 to 1/30/09. Mother reports child taken to ER c/o fever, dizziness and weakness. Vomited, headaches. C/O persistent dizziness, frontal headache. Feeling tired, decreased appetite.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Convulsion
Clinical narrative: (see attached) seizure - like episode.
Age: 17.0
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Headache, Myalgia, Pain, Urine analysis
Clinical narrative: At  about 6pm he received his two vaccines HAVRIX and FLUZONE. He was well and with his mother. At 4am that night he woke up in extreme pain, headache, myalgias and he was taken to ER. The end diagnosis was presumed Aseptic Meningitis. He never was sick enough upon presentation for LP so no organism was identified.
Age: 84.0
Sex: M
Vaccine: PPV
Symptoms: Oedema peripheral, Skin warm, Tenderness
Clinical narrative: Right upper arm swollen and warm-tender to touch. MEDROL dose pak ordered per Dr. Encouraged patient to alternate heat and cool compresses to right arm and elevate.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Fever for 4-6 hr > 24 hrs post vaccine red, warm, swollen 3 X 5 cm around shot site
Age: 1.1
Sex: F
Vaccine: DTAP
Symptoms: Muscle twitching, Sleep disorder
Clinical narrative: After all three Dtap vaccines pt developed twitching that occurs during sleep and causes her to be wakeful. 1st shot= developed twitching after 24 hours.  2nd shot= developed after 3 weeks and lasted about 4 weeks.  3rd shot= developed after 2 weeks and lasted for about 9 months.
Age: 29.0
Sex: F
Vaccine: ANTH, HEP, SMALL, TYP
Symptoms: Amnesia, Disorientation, Dizziness, Fatigue, Headache
Clinical narrative: This case was received on 27 November 2008 via a search of the VAERS database (reference number 308950).  It was originally reported to VAERS by another unknown manufacturer.  A 29-year-old female patient received the following vaccinations on 10 March 2008: ACAM2000 (manufacturer Acambis, lot number not reported); TYPHIM VI (lot number not reported); HEPTAVAX (manufacturer Merck, lot number not reported); VAQTA (manufacturer Merck, lot number not reported); Anthrax vaccine (trade name, manufacturer and lot number not reported).  The patient reported that she felt nauseated, lightheaded and had an odd pain in her head which began soon after the vaccinations.  The patient could not focus her eyes on anything slightly bright for longer than a few seconds.  Later that night, her eyesight became blurry and everything looked "gummy" and saw she tracers.  Turning her head too much to either side made the head pain worse.  The next day, the patient went to work and the lights in the office and on her computer made her nauseated and she nearly vomited on several occasions.  The patient wasn't able to eat anything for lunch.  The patient left work early that afternoon and went to the emergency room.  The patient was prescribed Motrin and nausea medication (not specified) and given 24-hour quarters.  The next day, the patient slept most of the day because she felt horrible and it hurt her eyes to watch television.  Everything looked "swirly" and she had trouble with short-term memory loss.  The patient randomly walked across a busy street and was nearly hit by a car.  The patient was afraid to drive while this was affecting her.  The patient reported that things just "looked weird".  The symptoms slowly decreased over the course of the next two weeks.  During that time, the patient felt disoriented and lightheaded, very tired and her eyes were "not normal".  The patient recovered.  Relevant Test/Laboratory Data: Not reported.