chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Warm, swollen, reddened area at upper thigh.
Age: 36.0
Sex: F
Vaccine: HEP
Symptoms: Cough, Dysphonia
Clinical narrative: Got deep hoarse cough.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site rash
Clinical narrative: Hive at site of injection approx 48 hours after immunizations given.
Age: 20.0
Sex: F
Vaccine: HEP, TD
Symptoms: Erythema, Injection site oedema, Injection site pain, Injection site reaction, Night sweats
Clinical narrative: July 3, 2002 NOTES ABOUT PT Client called on Wed July 2nd stating she was having a reaction to shots she received last week.  She received Td and HepB on Wed June 26 and MMR on Thursday June 27.  Complaint of fevers and sweats at night. Scalp itchy. And "baseball size welt" on the arm where tetanus was given.  States that area has been sore since the shots but swelling started on Tuesday night. (last night).  Fevers started on Monday night.  The welt is "hard and puffy."  Recommended that she see her dr.  States she cannot get to her doctor today.  I recommended she go to clinic and gave her their location and phone number.  Addendum: July 5, 2002 Message left on voicemail on Wednesday July 3, 2002. 6pm. Pt went to clinic.  They gave her antibiotics and told her it may be a secondary infection from the tetanus shot.  She said there was a ring around the red area and they told her to come back if the ring got any bigger.  She stated she will continue to take the antibiotics and call if any thing changes.  Spoke to pt's mother today and she said the red area had decreased significantly by July 4. (approx. 24 hours after antibiotics started.) Unknown how many previous doses of DTAP pt had. Last dose was for kindergarten entry.  Regarding adverse advent in sister, unknown age other than she was not in school yet. Did not receive any more DTP or DT vaccines according to mother.
Age: 20.0
Sex: F
Vaccine: HEP, TD
Symptoms: Pruritus, Pyrexia
Clinical narrative: July 3, 2002 NOTES ABOUT PT Client called on Wed July 2nd stating she was having a reaction to shots she received last week.  She received Td and HepB on Wed June 26 and MMR on Thursday June 27.  Complaint of fevers and sweats at night. Scalp itchy. And "baseball size welt" on the arm where tetanus was given.  States that area has been sore since the shots but swelling started on Tuesday night. (last night).  Fevers started on Monday night.  The welt is "hard and puffy."  Recommended that she see her dr.  States she cannot get to her doctor today.  I recommended she go to clinic and gave her their location and phone number.  Addendum: July 5, 2002 Message left on voicemail on Wednesday July 3, 2002. 6pm. Pt went to clinic.  They gave her antibiotics and told her it may be a secondary infection from the tetanus shot.  She said there was a ring around the red area and they told her to come back if the ring got any bigger.  She stated she will continue to take the antibiotics and call if any thing changes.  Spoke to pt's mother today and she said the red area had decreased significantly by July 4. (approx. 24 hours after antibiotics started.) Unknown how many previous doses of DTAP pt had. Last dose was for kindergarten entry.  Regarding adverse advent in sister, unknown age other than she was not in school yet. Did not receive any more DTP or DT vaccines according to mother.
Age: 54.0
Sex: F
Vaccine: MMR
Symptoms: Cold sweat, Dizziness, Heart rate increased, Lethargy, Syncope
Clinical narrative: Since vaccination have felt lethargic, dizzy, have passed out, rapid heart palpitations, clamminess.
Age: 59.0
Sex: F
Vaccine: HEP
Symptoms: Alopecia, Anaemia, Drug toxicity, Ear pain, Glossitis
Clinical narrative: Report A0303842A describes possible mercury poisoning in a 59 year old female who received hep B vaccine recombinant after sustaining a needle stick injury. This report was received from the vaccinee, who is a nurse and has not been verified by a physician. The vaccinee reported that she had no allergies or medical history. However, she also reported that she took conjugated estrogens (Premarin), Prozac and baby aspirin. The vaccinee reported that she received the first and second doses of Engerix B on 09/08/1998 and 10/08/1998, respectively. She reported that "within one to two weeks" of receiving the second injection of Engerix B, three-fourths of her hair fell out and was "coming off from the follicle." She also reported that her hair became limp. She stated that she also experienced "occasional "earaches, "occasional" sinus infectious, anemia (manifested by decreased hemoglobin concentration, decreased hematocrit, and decreased total protein concentration), polyarthritis, muscle pain, "thumb not in joint," and "beginning in late May 2002 or early June 2002, her "tongue has sores and is very red." She started that she "thinks" that she has "mercury poisoning" because she received thimerosal in the Engerix B injections in 1998. She also stated that she experienced dryness of "all mucous membranes" and that she "now has" Sjogren's syndrome. She considered the "mercury poisoning" and Sjogren's syndrome to be possibly related to Engerix B administration. The most recent info received on 06/19/02, indicated that all the reported events were ongoing. This report of "mercury poisoning" is considered medically serious.
Age: 59.0
Sex: F
Vaccine: HEP
Symptoms: Glossodynia, Haematocrit decreased, Haemoglobin decreased, Hypotrichosis, Infection
Clinical narrative: Report A0303842A describes possible mercury poisoning in a 59 year old female who received hep B vaccine recombinant after sustaining a needle stick injury. This report was received from the vaccinee, who is a nurse and has not been verified by a physician. The vaccinee reported that she had no allergies or medical history. However, she also reported that she took conjugated estrogens (Premarin), Prozac and baby aspirin. The vaccinee reported that she received the first and second doses of Engerix B on 09/08/1998 and 10/08/1998, respectively. She reported that "within one to two weeks" of receiving the second injection of Engerix B, three-fourths of her hair fell out and was "coming off from the follicle." She also reported that her hair became limp. She stated that she also experienced "occasional "earaches, "occasional" sinus infectious, anemia (manifested by decreased hemoglobin concentration, decreased hematocrit, and decreased total protein concentration), polyarthritis, muscle pain, "thumb not in joint," and "beginning in late May 2002 or early June 2002, her "tongue has sores and is very red." She started that she "thinks" that she has "mercury poisoning" because she received thimerosal in the Engerix B injections in 1998. She also stated that she experienced dryness of "all mucous membranes" and that she "now has" Sjogren's syndrome. She considered the "mercury poisoning" and Sjogren's syndrome to be possibly related to Engerix B administration. The most recent info received on 06/19/02, indicated that all the reported events were ongoing. This report of "mercury poisoning" is considered medically serious.
Age: 59.0
Sex: F
Vaccine: HEP
Symptoms: Mucous membrane disorder, Myalgia, Polyarthritis, Sjogren's syndrome
Clinical narrative: Report A0303842A describes possible mercury poisoning in a 59 year old female who received hep B vaccine recombinant after sustaining a needle stick injury. This report was received from the vaccinee, who is a nurse and has not been verified by a physician. The vaccinee reported that she had no allergies or medical history. However, she also reported that she took conjugated estrogens (Premarin), Prozac and baby aspirin. The vaccinee reported that she received the first and second doses of Engerix B on 09/08/1998 and 10/08/1998, respectively. She reported that "within one to two weeks" of receiving the second injection of Engerix B, three-fourths of her hair fell out and was "coming off from the follicle." She also reported that her hair became limp. She stated that she also experienced "occasional "earaches, "occasional" sinus infectious, anemia (manifested by decreased hemoglobin concentration, decreased hematocrit, and decreased total protein concentration), polyarthritis, muscle pain, "thumb not in joint," and "beginning in late May 2002 or early June 2002, her "tongue has sores and is very red." She started that she "thinks" that she has "mercury poisoning" because she received thimerosal in the Engerix B injections in 1998. She also stated that she experienced dryness of "all mucous membranes" and that she "now has" Sjogren's syndrome. She considered the "mercury poisoning" and Sjogren's syndrome to be possibly related to Engerix B administration. The most recent info received on 06/19/02, indicated that all the reported events were ongoing. This report of "mercury poisoning" is considered medically serious.
Age: 6.0
Sex: F
Vaccine: DTAP, MMR, OPV, VARCEL
Symptoms: Apnoea, Convulsion, Epilepsy, Nervous system disorder
Clinical narrative: At age two years realized severe learning difficulties, to this day at age 8 has ADHD and has still been unable to learn to read or do math. Had hep B at birth, 2+4, had multiple vaccines on 08/09/2000. On 08/28/2000 had complex partial seizure turned "deadly stop breathing." Med-flighted to hospital. Told them about the vaccinations but is on anti-seizure medicine. Follow up information received 09/25/02,stated "She continues to have seizures and is on medication to prevent them. She also has learning problems." An annual follow up report received 7/31/03 adds: She still suffers learning delays; she still suffers seizures.
Age: 1.5
Sex: M
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Diabetes mellitus, Vomiting
Clinical narrative: On June second, 2002, child became ill with vomiting, went to ER and dx with diabetes I.
Age: 1.25
Sex: M
Vaccine: HIBV, MMR, PNC
Symptoms: Grand mal convulsion, Pyrexia
Clinical narrative: Fever in 1-2 hr followed by grand mal seizure.
Age: 5.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site oedema, Injection site warmth, Pruritus
Clinical narrative: Pt developed redness and swelling to right upper arm 24 hrs post receiving inj warm to touch. C/O slight pain and itching sensation. Advised to ice and give Motrin for pain.
Age: 2.5
Sex: M
Vaccine: HEP
Symptoms: Blister, Urticaria
Clinical narrative: Hives-intense scratching. Blisters to bottom of feet and buttock. Rx. Tylenol, antibiotic oint-to affected areas bid x 10d. Benadryl 25mg po q 6 hrs.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Anaphylactic reaction, Face oedema, Rash
Clinical narrative: Anaphylactic reaction: approximately 30 minutes after shots. The pt was brought back to office due to rash over body and face. Face and lips were slightly swollen. No respiratory distress or wheezing. Epipen Benadryl was given. Pt was observed for about 2 hrs and was sent home on Benadryl  pacone.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Irritability, Pyrexia, Rash
Clinical narrative: On 06/24/02 mother called said baby has had a rash, high temp and irritable for a couple of days. She called doctor and he said "could be a reaction from MMR." Describe rash with elevation, drainage-more like "heat rash." Discussed need to follow physician order. Re: Tylenol. Encourage to see physician to have rashed looked at. Mom made appt for pm visit. Mom said doctor thought it was from MMR. Tylenol and Benadryl prescribed.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Agitation, Screaming, Sleep disorder
Clinical narrative: Mom relates infant became expressively irritable and crying post receiving a DTaP. Child was not like this prior to this immunization. Child has not slept well either, symptoms have perssited x 2 wks. Suggest no further DTP.
Age: 1.6
Sex: F
Vaccine: DTAP
Symptoms: Blister, Injection site erythema, Injection site oedema, Injection site warmth, Skin ulcer
Clinical narrative: Infant had DTaP #4 on 06/17/02. Seen Rx PMD on 06/19/2002. child had approximately 10 cm med raised area on left anterior thigh. Area warm to touch with several small blisters. child seen today by dr, immunizations given at 2:00 pm. Edema/ Redness, noted 8:00 pm on 06/17/02.
Age: 1.2
Sex: M
Vaccine: HEP, HIBV, IPV, VARCEL
Symptoms: Cellulitis, Injection site abscess, Injection site reaction
Clinical narrative: HBV-06/26/02 RLT. 06/30/02, mom called regarding infected bug bite to leg 1:40pm. 06/30/02, 6:18pm ER dx cellulitis.abscess right lateral thigh around the area where HBV vaccine given. Child also has some infected area lower right leg.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Purpura
Clinical narrative: Itchy rash all over body, no fever. Noticed rash @ 12:30 pm  Receiving immunizations the day before received #5 DTaP, #4IPV, #2 MMR, No signs illness.
Age: 2.0
Sex: M
Vaccine: DTAP, HEP, IPV
Symptoms: Injection site erythema
Clinical narrative: 4x5cm area of erythema at injection site. Treated with Augmentin, Claritan syrup. 07/01/02 site healed.
Age: 1.8
Sex: M
Vaccine: DTAP, HEP, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth, Pyrexia
Clinical narrative: Fever of 101 deg post injection. Left arm at injection site sore, red and swollen and hot to touch.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: 3 X 3 erythemic raised warm area left thigh. No other reaction.
Age: 4.75
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Left arm large reddened, swollen area approx 3" x 5" warm to touch. No temp, no other problems. Tx with compresses and Tylenol.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Rash and fever.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Body temperature increased, Urticaria
Clinical narrative: 04/25/02 Generalized hives and temperature of 102 degrees F. Given Benadryl and top hydrocortisone. Hives were gone by the afternoon. Treated by parent. Not seen by physician.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Arm and shoulder swelling - moderate. Warm to touch - very red.
Age: 5.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR, DTAP, HEP, IPV, MMR
Symptoms: Urticaria
Clinical narrative: Hives over his upper body, neck and chest area.
Age: 5.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR, DTAP, HEP, IPV, MMR
Symptoms: Injection site rash, Urticaria
Clinical narrative: Hives over his upper body, neck and chest area.
Age: 1.6
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Convulsion
Clinical narrative: At 10 pm, patient seizing while napping. Mom woke up patient and called 911. Patient taken to hospital emergency room. Mom stated patient had fever after seizure. Patient diagnosed with O.M. and given augmentin. Mom follow up with MD. Appointment made for neurologist per mom. Seizure lasted 2 minutes per mom.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site swelling
Clinical narrative: Swelling of right deltoid following DTaP. Booster administration on 06/20/2002. Swelling noted on 06/21/2002 PM
Age: 1.25
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Convulsion, Dyspnoea, Heart rate increased, Musculoskeletal stiffness, Pyrexia
Clinical narrative: Seizure (staring) caused by fever. (Stiffness, difficulty breathing, rapid heartbeat.) Lasting about 5-10 minutes. Treatment - alternate Tylenol and Motrin 1B for 48 hours.  Follow up 07/24/2002: "Information has been received from an investigator concerning an approximately 59 day old male who entered a study, titled "Open, controlled, randomized study on the safety of HEXAVAC compared to PENTACOQ and HBVAXPRO administered concimitantly at two separate sites at 2, 3, and 4 months of age; and on the safety of HEXAVAC administered as a booster dose to both groups during the second year of life.  On 06/21/2002, the patient was vaccinated with the first dose of hepatitis B vaccine recombinant (yeast)(batch # VA10038001), administered IM, in the left thigh.  Concomitant therapy, that same day, included the first dose of diphtheria toxoid (+) Haemophilus B conjugate vaccine (+) pertussis vaccine (+) poliovirus vaccine (+) tetanus toxoid (PENTACOQ)(batch #T1454-1), administered IM, in the right thigh.  Additional concomitant therapy included choleclaciferol (+) sodium fluoride (2YMADUO) PO, for prevention of rickets caries (therapy ongoing) and phytonadione (manufacturer unknown) PO, for prevention of newborn haemorrhagic disease (therapy ongoing).  On approximately 06/21/2002 (from D1 until D3) the patient developed "common fever".  The fever was treated with acetaminophen (Efferalgan) on 06/22/2002 (therapy duration unknown).  On 06/23/2002, and 06/14/2002 (from D3 to D4), the patient's fever bordered on 39 degrees, and was described as "severe".  The patient was developed anemia and leukipenia, of which the outcome is unknown.  Diagnostic laboratory testing results were as follows:  Hemoglobin 7.5 G/L, RBC 2,670,000, hematocrit 22.8, WBC 4,400, neutrophils 25%, lymphocytes 71%, monocytes 4%, platelets 338,000, iron 138, ESR, 26/60, CRP 6.6, and uring "sterile".  The investigator felt that the fever and "whinings" were "possible" related to study therapy.  It was also noted that the events were not related to therapy with cholecalciferol (+) sodium fluoride (ZYMADUO) or phytonadione (manufacturer unknown).  Subsequently, on 06/25/2002, the patient recovered.  Additional information is not expected.  Other business partners numbers include:  25105937, R020469, F2002-01751, & X00-AR21-402.
Age: 1.25
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Staring
Clinical narrative: Seizure (staring) caused by fever. (Stiffness, difficulty breathing, rapid heartbeat.) Lasting about 5-10 minutes. Treatment - alternate Tylenol and Motrin 1B for 48 hours.  Follow up 07/24/2002: "Information has been received from an investigator concerning an approximately 59 day old male who entered a study, titled "Open, controlled, randomized study on the safety of HEXAVAC compared to PENTACOQ and HBVAXPRO administered concimitantly at two separate sites at 2, 3, and 4 months of age; and on the safety of HEXAVAC administered as a booster dose to both groups during the second year of life.  On 06/21/2002, the patient was vaccinated with the first dose of hepatitis B vaccine recombinant (yeast)(batch # VA10038001), administered IM, in the left thigh.  Concomitant therapy, that same day, included the first dose of diphtheria toxoid (+) Haemophilus B conjugate vaccine (+) pertussis vaccine (+) poliovirus vaccine (+) tetanus toxoid (PENTACOQ)(batch #T1454-1), administered IM, in the right thigh.  Additional concomitant therapy included choleclaciferol (+) sodium fluoride (2YMADUO) PO, for prevention of rickets caries (therapy ongoing) and phytonadione (manufacturer unknown) PO, for prevention of newborn haemorrhagic disease (therapy ongoing).  On approximately 06/21/2002 (from D1 until D3) the patient developed "common fever".  The fever was treated with acetaminophen (Efferalgan) on 06/22/2002 (therapy duration unknown).  On 06/23/2002, and 06/14/2002 (from D3 to D4), the patient's fever bordered on 39 degrees, and was described as "severe".  The patient was developed anemia and leukipenia, of which the outcome is unknown.  Diagnostic laboratory testing results were as follows:  Hemoglobin 7.5 G/L, RBC 2,670,000, hematocrit 22.8, WBC 4,400, neutrophils 25%, lymphocytes 71%, monocytes 4%, platelets 338,000, iron 138, ESR, 26/60, CRP 6.6, and uring "sterile".  The investigator felt that the fever and "whinings" were "possible" related to study therapy.  It was also noted that the events were not related to therapy with cholecalciferol (+) sodium fluoride (ZYMADUO) or phytonadione (manufacturer unknown).  Subsequently, on 06/25/2002, the patient recovered.  Additional information is not expected.  Other business partners numbers include:  25105937, R020469, F2002-01751, & X00-AR21-402.
Sex: M
Vaccine: TYP, YF
Symptoms: Unevaluable event
Clinical narrative: Informed that pt died. His personal provider may have this information. Had only visited student health programs for his travel immunizations this one time.
Age: 1.0
Sex: M
Vaccine: HEP
Symptoms: Autism, Rash
Clinical narrative: Report A0372956A describes autism in a 28 month old male who received hep B vaccine recombinant (Engerix B). The medical history included allergy to penicillin. At the time of vaccination, the vaccinee had been "sick" for two weeks. when the vaccines were administered, a diagnosis of otitis media had been made. The vaccinee had been taking amoxicillin trihydrate (Amoxil) "prior to receiving the vaccines." On 08/16/2000, 11/22/2000, and 02/08/2001, the vaccinee received his first (lot ENG3221A2), second (lot ENG3223A2) and (lot ENG3324C2) injections of Engerix B, respectively. Additionally, on 06/06/2000, 08/16/2000 and 08/17/2001, the vaccinee received his second (lot DTPA921A2), third (lot DTPA955A2), and fourth (lot DTPA997A2) injections of diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed (Infanrix). Additional concurrent vaccines included Haemophilus influenzae type b conjugate vaccine (brand name unknown), and MMR II. On 02/12/2002, the vaccinee experienced a rash which resolved after an unspecified period of time. On 06/03/2002, the physician made a diagnosis of autism. The vaccinee was hospitalized for an unspecified period of time. As of 06/27/2002, the autism was ongoing.
Sex: M
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Status epilepticus
Clinical narrative: Information was received on 27 JUN 2002, from a registered nurse (infectious disease control nurse) and a physician concerning a male child who approximately three weeks ago (also reported as three weeks prior to onset of seizures) was vaccinated with a dose of varicella virus vacine live. On 18 JUN 2002, the child experienced status epilepticus and had a single vesicular lesion on his abdomen. That same day, he was admitted to the intensive care unit at the hospital. On 27 JUN 2002, the reporter stated that the child would be moved to a regular floor sometime today. It was reported on 28 JUN 2002 that the child had improved enough to be discharged from the ICU to a pediatric floor and he was being treated with intravenous antibiotics. An MRI was performed, with negative results. EEG results were pending, as of 28 JUN 2002. The physician was unsure of any lumbar puncture or results. Further information regarding medical history, concurrent conditions, medications, and treatment was not available at the time of the report. Additional information has been requested.
Age: 1.0
Sex: M
Vaccine: HEP, HIBV, MMR, PNC
Symptoms: Autism, Otitis media
Clinical narrative: Information has been received from a consumer concerning his 27 month old son with an ear infection (at the time of vaccination) who on 08 FEB 2001 was vaccinated with MMR vaccine. Concomitant therapy included HIB conjugate vaccine (HIBTITER), Streptococcus pneumoniae vaccine (PREVNAR) and hepatitis B vaccine recombinant (yeast) (manufacturer unknown). On 03 JUN 2002 the patient was diagnosed with autism. It was reported that the child will undergo additional testing. Upon internal review, autism was considered to be an other important medical event. Additional information has been requested.
Age: 0.2
Sex: M
Vaccine: HEP, HIBV, IPV
Symptoms: Autism, Nervous system disorder
Clinical narrative: Information has been received regarding a case in litigation which concerns a male pt who was vaccinated with injections containing toxic mercury in the form of thimerosal in approximately 15 doses between 3 months of age and two years of age. It is alleged that the pt has been diagnosed ith neurological injuries, including "disintegrative" (or "regressive," "late onset," "degenerative") autism. A hospital discharge summery was received as follow-up information. Per the record, the pt was inoculated with diphtheria, tetanus, pertussis, polio, haemophilus influenzae type B (manufacturer and batch unknown) and hep b vaccine recombinant (manufacturer and batch unknown) on 12/27/1998. On 01/11/1999, Synagis was administered. The pt has a history of being born prematurely at 27 weeks and five days gestation. He was considered a borderline "small for gestational age" male infant and was one of a set of triplets. The pt suffered with respiratory insufficiency and needed to use mechanical ventilation from birth to day three of his life, and then again from day eight through day 15 due to persistent apnea. On days four through eight he required aid from nasal continuous positive pressure air for respiration. "Apnea of prematurity" was medically treated with aminophylline on days two through nine, and then with caffeine citrate on day 26 through day 79 (01/05/1999). His last documented episode of apnea was 12/31/1999. He also suffered with pt ductus arteriosus that resolved on its own by 11/17/1998 (documented by echocardiogram on 11/12/1998 and 11/17/1998). In addition the pt has a history of an episode of supraventricular tachycardia which lasted 30-60 seconds and resolved with suctioning, sinus tachycardia on day 23. Echocardiogram on 11/12/1998 revealed hyperdynamic contractility and poor filling, pt was treated with propanolol HCL (Inderal) from 11/17/1998 through 12/12/1998. Other history included transient hypocalcemia and hypotnatremia, both conditions responded to supplementation; hyperbilirubinemia with total bilirubin maximum level was 6.8 and was treated with phototherapy on days 2 through 5, and on days 6 through 10; anemia (requiring three units of packed red blood cells, epoetin alfa (epogen) on 11/19/1998 through 12/18/1998 and ferrous sulfate (Fer-In-Sol) on 11/19/1998; and neutropenia with an absolute neutrophil count of 948 on 01/11/1999. Upon internal review, autism was determined to be an other important medical event. No further info is available.
Age: 0.8
Sex: F
Vaccine: HEP
Symptoms: Autism, Drug toxicity
Clinical narrative: Information has been received regarding a case in litigation concerning a female patient who was vaccinated with a first, second and third dose of hepatitis B vaccine recombinant on 23 OCT 1992, 29 DEC 1992, and 11 JUN 1993. Concomitant therapy included a first and second dose of MMR vaccine on 30 DEC 1993 and 26 SEPT 1997; a first, second and third and fourth dose of HIB conjugate vaccine on 23 OCT 1992, 29 DEC 1992, 06 MAR 1993 and 30 DEC 1993; a first, second, third, fourth and fifth dose of poliovirus vaccine on 23 OCT 1992, 29 DEC 1992, 05 MAR 1993, 30 DEC 1993 and 26 SEPT 1997; a first, second, third, fourth and fifth dose of diphtheria toxoid/pertussis vaccine/tetanus toxoid on 23 OCT 1992, 29 DEC 1992, 05 MAR 1993, 30 DEC 1993, and 26 SEPT 1997. It is alleged that these injections contained toxic mercury in the form of thimerosal and were given to the patient between 3 months of age and two years of age. It is alleged that the patient has been diagnosed with neurological injuries, including disintegrative (or regressive, late onset, degenerative) autism. Upon internal review, autism was determined to be an other important medical event. Additional information has been requested. MMR II has ben changed to concomitant therapy from secondary suspect therapy.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Convulsion, Electroencephalogram abnormal
Clinical narrative: Pt had a seizure within a few days (before 08/01/01) of receiving her 4 month old shots on 07/27/01. This has turned into epilepsy that is treated with Depakote. The 60 day follow-up states epilepsy (seizures) which requires blood work and twice daily doses of Depakote (1.5ml each) and Canitor 1/2 t. twice daily and frequent doctor visits to pediatric neurology.
Age: 5.0
Sex: F
Vaccine: MMR
Symptoms: Cough, Croup infectious, Erythema, Urticaria, Wheezing
Clinical narrative: Mother brought child back to office complaining of croupy cough, hives, and red face. Initial evaluation urticaria and wheezing post vaccination. Child was adm. oral prelone and benedryl with frequent nebulizer treatment and observed for 2.5 hours. Sent home to continue with treatment.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Abnormal behaviour, Autism, Diarrhoea, Irritability, Neurodevelopmental disorder
Clinical narrative: Vaccines were given on 12/19/2000. Cold symptoms on 12/29/2000 were the first signs of a reaction. Doctor was notified of cold symptoms on 01/02/2001. Fussiness, sore throat, and 100+ temperature had been going on for three weeks by 01/26/2001. Atypical varicella suspected on 02/20/2001. Skin and sinus conditions rapidly deteriorating as well as evident behavior changes by 03/01. Skin problems are out of control by 04/16/2001. Referred to a dermatologist. Open skin sores four months old by 07/16/2001 will not heal. Hearing test requested by us on 08/07/01 due to obvious developmental regression. Continued sinus and skin problems occasionally acoompanied by diarrhea 08/01 thru 12/01. Autism is suspected. Pediatric neurology referral given on 12/21/01. First neurologist gives autism as diagnosis and orders testing on 01/17/02. A second neurologist makes diagnosis of autism on 04/29/02. ABA (Applied Behavior Analysis) intensive behavioral intervention treatment program through CARD (the Center for Autism and Related Disorders) was began on 06/17/02. Pt is making some progress but the program is so expensive we will not be able to carry it on for very long. The estimated annual cost of implementing the program correctly is $35000-$55000. Social security, Medicaid, nor insurance will help with expenses. The 60 day follow-up states that, "I have been advised by my attorneys not to submit any additional info concerning this adverse event."  Annual follow up on 07/28/2003: "Patient did not recover from adverse event.  'Patient has autism spectrum disorder.  He has not recovered.  I feel that vaccines are the leading cause of regressive autism.'"
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pharyngitis, Pharyngolaryngeal pain, Pyrexia, Rhinitis, Sinusitis
Clinical narrative: Vaccines were given on 12/19/2000. Cold symptoms on 12/29/2000 were the first signs of a reaction. Doctor was notified of cold symptoms on 01/02/2001. Fussiness, sore throat, and 100+ temperature had been going on for three weeks by 01/26/2001. Atypical varicella suspected on 02/20/2001. Skin and sinus conditions rapidly deteriorating as well as evident behavior changes by 03/01. Skin problems are out of control by 04/16/2001. Referred to a dermatologist. Open skin sores four months old by 07/16/2001 will not heal. Hearing test requested by us on 08/07/01 due to obvious developmental regression. Continued sinus and skin problems occasionally acoompanied by diarrhea 08/01 thru 12/01. Autism is suspected. Pediatric neurology referral given on 12/21/01. First neurologist gives autism as diagnosis and orders testing on 01/17/02. A second neurologist makes diagnosis of autism on 04/29/02. ABA (Applied Behavior Analysis) intensive behavioral intervention treatment program through CARD (the Center for Autism and Related Disorders) was began on 06/17/02. Pt is making some progress but the program is so expensive we will not be able to carry it on for very long. The estimated annual cost of implementing the program correctly is $35000-$55000. Social security, Medicaid, nor insurance will help with expenses. The 60 day follow-up states that, "I have been advised by my attorneys not to submit any additional info concerning this adverse event."  Annual follow up on 07/28/2003: "Patient did not recover from adverse event.  'Patient has autism spectrum disorder.  He has not recovered.  I feel that vaccines are the leading cause of regressive autism.'"
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Skin disorder
Clinical narrative: Vaccines were given on 12/19/2000. Cold symptoms on 12/29/2000 were the first signs of a reaction. Doctor was notified of cold symptoms on 01/02/2001. Fussiness, sore throat, and 100+ temperature had been going on for three weeks by 01/26/2001. Atypical varicella suspected on 02/20/2001. Skin and sinus conditions rapidly deteriorating as well as evident behavior changes by 03/01. Skin problems are out of control by 04/16/2001. Referred to a dermatologist. Open skin sores four months old by 07/16/2001 will not heal. Hearing test requested by us on 08/07/01 due to obvious developmental regression. Continued sinus and skin problems occasionally acoompanied by diarrhea 08/01 thru 12/01. Autism is suspected. Pediatric neurology referral given on 12/21/01. First neurologist gives autism as diagnosis and orders testing on 01/17/02. A second neurologist makes diagnosis of autism on 04/29/02. ABA (Applied Behavior Analysis) intensive behavioral intervention treatment program through CARD (the Center for Autism and Related Disorders) was began on 06/17/02. Pt is making some progress but the program is so expensive we will not be able to carry it on for very long. The estimated annual cost of implementing the program correctly is $35000-$55000. Social security, Medicaid, nor insurance will help with expenses. The 60 day follow-up states that, "I have been advised by my attorneys not to submit any additional info concerning this adverse event."  Annual follow up on 07/28/2003: "Patient did not recover from adverse event.  'Patient has autism spectrum disorder.  He has not recovered.  I feel that vaccines are the leading cause of regressive autism.'"
Age: 0.3
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Musculoskeletal stiffness, Respiratory disorder, Staring
Clinical narrative: Started staring, stiffened up and stopped breathing 8 different times. Lasting around 20-30 sec each beginning 05/23/02. The worst 05/26/02 with 3 episodes within 1 hr. Went to ER and hospitalized. A 60-day follow up report received 6/10/2003 adds that pt has recovered.
Age: 0.3
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Oedema peripheral
Clinical narrative: Immediate swelling after 4 months WB immunizations: DTaP, HIB, IPV, Hep B, PCV.
Age: 2.5
Sex: F
Vaccine: HEP, MMR, PNC, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Pt had Varivax on 01/26/01. Developed chicken pox 06/21/02.
Age: 0.53
Sex: F
Vaccine: DTAP, HBPV, IPV
Symptoms: Erythema multiforme
Clinical narrative: Twenty-four hours after receiving DTaP, Hib, Prevnar, IPV patient developed erythema multiforme.
Age: 44.0
Sex: M
Vaccine: JEV
Symptoms: Injection site hypersensitivity, Pruritus
Clinical narrative: Developed rash,below site right arm. Rash- antecubital site on left arm-complained of pruitus.
Age: 1.5
Sex: M
Vaccine: HIBV, MMR
Symptoms: Erythema, Febrile convulsion, Hypoventilation, Laboratory test abnormal, Pyrexia
Clinical narrative: Had to bring him to doctor on 3/10. Has shallow breathing. Had high temperature. Had febrile convulsion. Had spinal tap. Had low blood cell count. Was checked for meningitis. Had few red lesions on trunk.
Age: 1.5
Sex: M
Vaccine: HIBV, MMR
Symptoms: Skin ulcer
Clinical narrative: Had to bring him to doctor on 3/10. Has shallow breathing. Had high temperature. Had febrile convulsion. Had spinal tap. Had low blood cell count. Was checked for meningitis. Had few red lesions on trunk.
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, HIBV
Symptoms: Erythema
Clinical narrative: 3 cm red area left mid thigh
Age: 1.5
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site warmth
Clinical narrative: Child brought to clinic by day care provider approx 45 hr following administration of #4 DTaP. Left leg/thigh with swelling and inuration approx 10 x 12cm. Red and warm to touch. No analysis given on sn presiding 24hr. Activity level normal. Adv Tylenol and cold packs to area. F/U at 24 hrs. Swelling resolved.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Swelling
Clinical narrative: Immediate reaction of leg swelling after 2 month WB immunizations. Right worse than left. R-IPV, Hep B
Age: 4.9
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site pain, Injection site reaction
Clinical narrative: Left upper arm swollen, red, tender, afebrile, CBC, blooc cx. Treatment-Keflex, Ancef IM. The pt is a 4 1/2 years old, who presents to the ED with left arm swelling and erythema. Started this morning. Two days ago she received vaccine in the left upper arm. Left upper arm cellulitis.
Age: 5.2
Sex: F
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Left arm swollen, red, tender, painful. Benadryl. Rx-Cefzil
Age: 1.9
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Dyspnoea, Injection site mass, Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: Pt's mother reports pt had swelling to left deltoid and rash to left arm two days after getting his shot on 06/10/02. Pt complained of pain to left arm that night. Mom also reports pt had difficulty breathing that night as well. Swelling and rash persisted to left arm for 10 days. Fever of 100 tat night mom used cold compresses. Pt continues to have large knot to left arm.
Age: 1.9
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Rash
Clinical narrative: Pt's mother reports pt had swelling to left deltoid and rash to left arm two days after getting his shot on 06/10/02. Pt complained of pain to left arm that night. Mom also reports pt had difficulty breathing that night as well. Swelling and rash persisted to left arm for 10 days. Fever of 100 tat night mom used cold compresses. Pt continues to have large knot to left arm.
Age: 26.0
Sex: F
Vaccine: MMR
Symptoms: Erythema, Lymphadenopathy, Pruritus, Rash
Clinical narrative: 06/29/02 noticed itching on bilateral forearms-noted a few isolated bumps/spots. Duration: 2 days. 07/02/02, noticed a swollen gland located lt cervical area. 07/03/02 awakened with red rash to face, chest and bilat upper extremities. Afebrile.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: The mother reports he developed erythema, induration on the left thigh at the vaccination site one day following the vaccine. At the time, it measured 5x3cm.
Age: 23.0
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Rash maculo-papular
Clinical narrative: Developed maculopapular rash, some vesicles.
Age: 1.08
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Dehydration, Pyrexia, Rash maculo-papular, Rash vesicular, Vomiting
Clinical narrative: Vomiting, dehydration, maculopapular/vesicular body rash, fever 102.5.
Age: 1.2
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: Maculopapulo body rash.
Age: 1.3
Sex: F
Vaccine: DTAP, MMR
Symptoms: Muscle atrophy
Clinical narrative: Pt given immz on 03/15/02 MMR, DTaP (IM R thigh). Parent did not notice any adverse events to this. No swelling, induration, redness at all but noticed 6 wks ago an indentation in right thigh and no muscle in that area (as of June 14th exam).
Age: 1.6
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MMR
Symptoms: Apnoea, Coma, Crying, Dyskinesia, Otitis media
Clinical narrative: Approx 36 hours after immunization pt developed a fever. Several hours later, mother reported was jerking in sleep and became apneic and unresponsive for approx 2 mins. Then woke up crying. Taken to ER by EMS- was okay at ER. Office F/U0had bilateral OM.
Age: 1.6
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MMR
Symptoms: Pyrexia
Clinical narrative: Approx 36 hours after immunization pt developed a fever. Several hours later, mother reported was jerking in sleep and became apneic and unresponsive for approx 2 mins. Then woke up crying. Taken to ER by EMS- was okay at ER. Office F/U0had bilateral OM.
Age: 49.0
Sex: F
Vaccine: HEP, MMR, TD
Symptoms: Blister, Hot flush, Rash papular, Skin ulcer
Clinical narrative: Received Hep B, MMR, TD on 06/05/02. Initially noted papules and water blister like lesions initially on face began on 06/20/02. Progressing to neck, arms and legs then abdomen extending to back. Lesions weeped then crusted. Lesions between thighs have progressed until confluent on inner thigh bilaterally. Saw MD on 06/24/02. Prescribed Clarinex. Topical Calidryl. Temp 98.9-feels flushed at time.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site induration, Injection site mass, Injection site pain
Clinical narrative: quarter size hard lump with redness, pain x that evening lasting x 4d.
Age: 1.3
Sex: M
Vaccine: DTAP
Symptoms: Injection site oedema
Clinical narrative: Swelling at leg  seen 24hrs (today).
Age: 1.0
Sex: M
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Erythema, Rash macular
Clinical narrative: Red macular rash on trunk, neck, face and extremities, non itchy. Seen in out-patient office visit. Reassured.
Age: 14.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Lymphadenopathy
Clinical narrative: Pt seen two days after administration of vaccine with complaint of left deltoid soreness with slight erythema and lymphadenopathy-1.5cm lymph node left neck above claricle and anterior to sternocleitomostoid.
Age: 1.25
Sex: F
Vaccine: MMR
Symptoms: Pyrexia
Clinical narrative: Onset of fever 103 AX 5 days after MMR given. No rash, no swelling of leg. Afebrile next am.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Convulsion, Pyrexia
Clinical narrative: Fever > 104 (106 in ambulance) and generalized tonic-clonic seizure 10d post shots were given. Child well before this (seen in office day before) febrile x approximately 24 hours non completely recovered. Med? Oin in ED, none 2 days later.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Pyrexia
Clinical narrative: Fever X 5 days. Started on 3rd day after vaccination. Peak temperature Tmas 40 deg C. Mild diarrhoea present on day of vaccination.
Age: 32.0
Sex: M
Vaccine: HEP
Symptoms: Injection site oedema, Muscular weakness, Sleep disorder
Clinical narrative: Pt complained of arm pain waking him up at night where hepatitis B vaccine given. Unable to have good strength in arm hours after administration.
Age: 1.0
Sex: M
Vaccine: HEP, HIBV, VARCEL
Symptoms: Urticaria
Clinical narrative: 10:00AM Varivax administered SQ outer right thigh. 4cm wheal appeared at 10:15 and was reported by mother. Doctor notified with orders to give pt 1tsp Benadryl and Moniter pt. Post 30 mins DR assessed pt and released pt with instructions of any increase  in status to come to clinic immediately.
Age: 3.75
Sex: F
Vaccine: DTAP, HEP, HEPA
Symptoms: Discomfort, Injection site erythema, Injection site hypersensitivity, Injection site oedema, Injection site pain
Clinical narrative: According to mother, pt c/o discomfort RUA on 06/25/02 without any noted visual changes. Mother reported redness, swelling and warmth to touch noted in AM on 06/26/02. Pt seen by this nurse at 12:38pm on 06/26/02. Redness at swelling noted RUA measuring 13x14cm area warm to touch. Pt c/o area "hurting it itching." Mother reports no scratching. T 98.5. Advised to observe for sos of infection. Cold application and pain relief measures advised.
Age: 3.75
Sex: F
Vaccine: DTAP, HEP, HEPA
Symptoms: Injection site warmth, Pruritus
Clinical narrative: According to mother, pt c/o discomfort RUA on 06/25/02 without any noted visual changes. Mother reported redness, swelling and warmth to touch noted in AM on 06/26/02. Pt seen by this nurse at 12:38pm on 06/26/02. Redness at swelling noted RUA measuring 13x14cm area warm to touch. Pt c/o area "hurting it itching." Mother reports no scratching. T 98.5. Advised to observe for sos of infection. Cold application and pain relief measures advised.
Age: 4.5
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pyrexia
Clinical narrative: Right thigh was reddened, mottled swollen-twice its normal size, hot. Fever was 102.2 orally. All this occurred within 24 hrs.
Age: 6.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site hypersensitivity, Injection site induration, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Pain, swelling, itching, and warmth on right deltoid where shot administered. Seen three days after shot-minimal swelling and warmth/firmness, no erythema or tenderness.
Age: 6.0
Sex: F
Vaccine: DTAP
Symptoms: Pruritus
Clinical narrative: Pain, swelling, itching, and warmth on right deltoid where shot administered. Seen three days after shot-minimal swelling and warmth/firmness, no erythema or tenderness.
Age: 1.2
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash papular
Clinical narrative: Red rash -papules over entire body noted 06/25/02-worse when warm.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Erythema and warmth left upper arm 6-8cm.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site pain
Clinical narrative: Left deltoid area mild swelling around site induration with surrounding 6cm area 2+ red, c/o sore to palp. Tx with Augmentin (also local sinus infection).
Age: 5.0
Sex: F
Vaccine: DTAP, HEP
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Right deltoid (hep b) 5x3.5cm induration/redness. Left deltoid (DTaP) 8.5x5.5cm induration/red.
Age: 3.08
Sex: F
Vaccine: DTAPH
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Rec'd DTaP/Hib combo in rt. delt IM on 06/17. Mother ret'dwith child on 06/19. Rt delt area reddened/hard/swollen. No tenderness. No fever. Mother to take to Dr if area worsened or child develops fever or illness.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site induration, Pruritus
Clinical narrative: 2-3 inch redness and hardness left arm itchy-noticed.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Injection site oedema, Injection site pain
Clinical narrative: Given in right deltoid "RT arm-swollen from shoulder to elbow-occurred on awakening 06/30/02 some pain as well." "ER checked pt thoroughly" per pt.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Left thigh swollen, warm, and red distal to injection site.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Coma, Convulsion, Dyskinesia
Clinical narrative: It was reported that an 18 year old female pt received a Menomune vaccination administered on 06/17/2002. Immediately she experienced seizure activity for 20 minutes with jerking movements of extremities. Pt was unresponsive for 30 seconds. Observed for 20 minutes with no further seizure activity completely resolved. She has no prior history of seizure activity.
Age: 23.0
Sex: M
Vaccine: YF
Symptoms: Rash papular
Clinical narrative: Generalized pruritic papular rash (not urticarial) started. Seen yesterday
Age: 0.4
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Crying, Feeling hot, Laboratory test abnormal, Pyrexia
Clinical narrative: On Monday evening 06/24 pt "felt hot" and had unconsolable crying all evening and most of day on Tuesday 06/25. Came to the county today for business and brought him by to be checked. Temp 106 rectally upon arrival. Motrin given in one hour, temp had decreased to 101.
Age: 0.75
Sex: F
Vaccine: DTAP, HBHEPB, IPV, MMR, PNC
Symptoms: Unevaluable event
Clinical narrative: Was discovered on review of chart that MMR was vigen to 9 month old pt.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Eye movement disorder, Injection site pain, Muscle twitching, Pyrexia, Retching
Clinical narrative: Seen at approximately 3:30pm for PE. DTaP, HIb and Prevnar given at 8:30pm he had twitching of body and lips, eyelid, eyes rolled up, "gagging" (no vomiting," "staring" lasted five minutes then better for 5, then another 3 min episode. Color always normal. At ER sepsis was negative, T102, sent home PE today 07/03/02 normal. Left thigh seems to hurt.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Staring
Clinical narrative: Seen at approximately 3:30pm for PE. DTaP, HIb and Prevnar given at 8:30pm he had twitching of body and lips, eyelid, eyes rolled up, "gagging" (no vomiting," "staring" lasted five minutes then better for 5, then another 3 min episode. Color always normal. At ER sepsis was negative, T102, sent home PE today 07/03/02 normal. Left thigh seems to hurt.