chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Loss of consciousness, Low density lipoprotein normal, Nausea, Prostatic specific antigen increased, Shock
Clinical narrative: The patient came to his scheduled appointment after 6 months for the follow-up of diabetes mellitus, hypercholesterolemia, and coronary artery disease. He was a new patient to this clinic in June 2010 and this is his first follow-up visit. He was given injections of a flu shot and a pneumonia vaccine by the nursing staff after confirming that he never had any drug reaction to those vaccinations in the past. After the injections, however, he became very nauseated and threw-up clear bile stained gastric juice a couple of times and his heart rate slowed down to 39 beats per minute and blood pressure temporarily dropped to 80/50 and he was passing in and out. 911 call was made and he was transported to the triage room where he started recovering. His blood pressure began coming up and heart rate recovered to 80 times a minute and pulse oximetry remained above 90 all the way. He was still nauseated when the paramedics arrived and he was taken to the local emergency room. He reportedly brought bottles of FLOMAX and VICODIN and he had gallbladder surgery 3 months ago according to the nursing notes. He was very nauseated and he was passing in and out when this provider hurried up to the examining room and his blood pressure was as low as 80/50 and heart rate slowed down as low as 39 beats per minute on the machine. Initial heart rate was 104 and blood pressure 118/77 and after he was taken to the triage room his heart rate started picking up to over 80 beats per minute and blood pressure started rising and pulse oximetry was 96% saturation on room air. Lungs: Clear to auscultations bilaterally. Heart: Regular with normal S1 and S2. He was still having nausea and vomiting when the emergency transport team arrived and he was throwing up bile stained clear gastric juice. He had an urinalysis drawn earlier this afternoon and blood tests were done on May 15, 2010. TSH 2.072. PSA 5.89. A1c 6.66. Glucose 130, blood urea nitrogen 16, creatinine 0.87, sodium 142, potassium 5.2. Normal hepatic enzymes. Total cholesterol 180, HDL 43, LDL 103, triglycerides 209. CBC normal. Assessment: 1. Probable drug reaction with shock and bradycardia. 2. Diabetes mellitus, under good control. 3. Hypercholesterolemia, under fairly good control. 4. Coronary artery disease. 5. Elevated PSA. Plan: 1. EKG was done also and that showed normal sinus rhythm with minimal voltage criteria for left ventricular hypertrophy. 2. He was taken to the local emergency department by emergency transport team.
Age: 69.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Urine analysis, Vomiting
Clinical narrative: The patient came to his scheduled appointment after 6 months for the follow-up of diabetes mellitus, hypercholesterolemia, and coronary artery disease. He was a new patient to this clinic in June 2010 and this is his first follow-up visit. He was given injections of a flu shot and a pneumonia vaccine by the nursing staff after confirming that he never had any drug reaction to those vaccinations in the past. After the injections, however, he became very nauseated and threw-up clear bile stained gastric juice a couple of times and his heart rate slowed down to 39 beats per minute and blood pressure temporarily dropped to 80/50 and he was passing in and out. 911 call was made and he was transported to the triage room where he started recovering. His blood pressure began coming up and heart rate recovered to 80 times a minute and pulse oximetry remained above 90 all the way. He was still nauseated when the paramedics arrived and he was taken to the local emergency room. He reportedly brought bottles of FLOMAX and VICODIN and he had gallbladder surgery 3 months ago according to the nursing notes. He was very nauseated and he was passing in and out when this provider hurried up to the examining room and his blood pressure was as low as 80/50 and heart rate slowed down as low as 39 beats per minute on the machine. Initial heart rate was 104 and blood pressure 118/77 and after he was taken to the triage room his heart rate started picking up to over 80 beats per minute and blood pressure started rising and pulse oximetry was 96% saturation on room air. Lungs: Clear to auscultations bilaterally. Heart: Regular with normal S1 and S2. He was still having nausea and vomiting when the emergency transport team arrived and he was throwing up bile stained clear gastric juice. He had an urinalysis drawn earlier this afternoon and blood tests were done on May 15, 2010. TSH 2.072. PSA 5.89. A1c 6.66. Glucose 130, blood urea nitrogen 16, creatinine 0.87, sodium 142, potassium 5.2. Normal hepatic enzymes. Total cholesterol 180, HDL 43, LDL 103, triglycerides 209. CBC normal. Assessment: 1. Probable drug reaction with shock and bradycardia. 2. Diabetes mellitus, under good control. 3. Hypercholesterolemia, under fairly good control. 4. Coronary artery disease. 5. Elevated PSA. Plan: 1. EKG was done also and that showed normal sinus rhythm with minimal voltage criteria for left ventricular hypertrophy. 2. He was taken to the local emergency department by emergency transport team.
Age: 38.0
Sex: F
Vaccine: RV1
Symptoms: Diarrhoea, Flatulence, Infection transmission via personal contact
Clinical narrative: This case was reported by a consumer and described the occurrence of infection transmission via personal contact in a 38-year-old female subject whose son was vaccinated with ROTARIX (GlaxoSmithKline). A physician or other health care professional has not verified this report. On 16 December 2010 at 10:30 the subject's son received 1st dose of ROTARIX (unknown). On 17 December 2010 at 03:00, 1 day after vaccination with ROTARIX, the subject experienced infection transmission via personal contact, gas and diarrhea. The subject reported that her son received ROTARIX on 16 December 2010 approximately 10:30 and then on 17 December 2010 at about 03:00 she stated experienced the "listed gastrointestinal (GI) side effects". At the time of reporting the outcome of the gas and diarrhea were unspecified.
Age: 0.54
Sex: M
Vaccine: PNC13, PNC13
Symptoms: Dyspnoea, Infantile spitting up, Protrusion tongue, Swollen tongue
Clinical narrative: 30 minutes after PREVNAR 13 given mom noted the following changes = tongue hanging out, increased work of breathing, increased spit ups.
Age: 0.54
Sex: M
Vaccine: PNC13, PNC13
Symptoms: Dyspnoea, Infantile spitting up, Protrusion tongue
Clinical narrative: 30 minutes after PREVNAR 13 given mom noted the following changes = tongue hanging out, increased work of breathing, increased spit ups.
Age: 4.0
Sex: F
Vaccine: FLUN3
Symptoms: Urticaria
Clinical narrative: Patient was given Flumist.  24 hours later had urticaria.  Lasted for 4 weeks and responded to conservative therapy.
Age: 24.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Blood creatine phosphokinase increased, Chest pain, Echocardiogram normal, Electrocardiogram ST segment elevation, Myopericarditis
Clinical narrative: Patient arrived with chest pain to the emergency department. ECG demonstrated diffuse ST elevation consistent with pericarditis.  Cardiac biomarkers to include CK and troponin were elevated thereby confirming myopericarditis.
Age: 24.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Troponin increased
Clinical narrative: Patient arrived with chest pain to the emergency department. ECG demonstrated diffuse ST elevation consistent with pericarditis.  Cardiac biomarkers to include CK and troponin were elevated thereby confirming myopericarditis.
Age: 24.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Chest pain, Dyspnoea, Pericarditis
Clinical narrative: Patient arrived with chest pain to the emergency department. ECG demonstrated diffuse ST elevation consistent with pericarditis.  Cardiac biomarkers to include CK and troponin were elevated thereby confirming myopericarditis.
Age: 24.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Blood creatine phosphokinase increased, Chest pain, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Myopericarditis
Clinical narrative: Patient arrived with chest pain to the emergency department. ECG demonstrated diffuse ST elevation consistent with pericarditis.  Cardiac biomarkers to include CK and troponin were elevated thereby confirming myopericarditis.
Age: 24.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Pericarditis, Troponin increased
Clinical narrative: Patient arrived with chest pain to the emergency department. ECG demonstrated diffuse ST elevation consistent with pericarditis.  Cardiac biomarkers to include CK and troponin were elevated thereby confirming myopericarditis.
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Chest discomfort, Dysphagia, Headache, Nausea, Neck pain
Clinical narrative: Headache, nausea, aches in limbs, chest discomfort, hard to swallow, neck pain.  Took Pepto Bismol, ibuprofen, nitroglycerin tabs, Tylenol.
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Pain in extremity
Clinical narrative: Headache, nausea, aches in limbs, chest discomfort, hard to swallow, neck pain.  Took Pepto Bismol, ibuprofen, nitroglycerin tabs, Tylenol.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Crying
Clinical narrative: High pitch cry x 45 minutes unable to soothe child. TYLENOL (little fevers) given by mom, cool soaks to injection sites.
Age: 1.34
Sex: F
Vaccine: HIBV, MMR
Symptoms: Feeling abnormal, Gaze palsy, Lethargy, Pyrexia, Tonic convulsion
Clinical narrative: 24 hours after MMR & HIB, child was "spaced" out 5 hours, became febrile, had a tonic seizure 10 seconds, eye up in head, unresponsive. Had (2) ER visits same day due to lethargy.
Age: 1.34
Sex: F
Vaccine: HIBV, MMR
Symptoms: Unresponsive to stimuli
Clinical narrative: 24 hours after MMR & HIB, child was "spaced" out 5 hours, became febrile, had a tonic seizure 10 seconds, eye up in head, unresponsive. Had (2) ER visits same day due to lethargy.
Age: 1.47
Sex: M
Vaccine: HIBV
Symptoms: Eye pruritus, Eye swelling
Clinical narrative: One swollen itchy eye after received immunization no other symptoms reported. Mother denies child having difficulty breathing, hoarseness, wheezing, hive, paleness, weakness, fast heartbeat, dizziness, redness at shot site or fever.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Injection site pain, Pyrexia, Tremor
Clinical narrative: Fever 102 degrees - early in AM - around 3 AM chills & shakes injection site was sore not red patient took OTC MOTRIN & rested.
Age: 26.0
Sex: F
Vaccine: TTOX
Symptoms: Abdominal pain upper, Asthenia, Back pain, Blood test normal, Bone pain
Clinical narrative: See attached notes - Pt got a tetanus shot & developed a peculiar pain reaction with no evidence of any other medical problem to explain her symptoms. Likely conclusion - adverse reaction to vaccine.
Age: 26.0
Sex: F
Vaccine: TTOX
Symptoms: Influenza virus test negative, Muscle spasms, Urine analysis normal
Clinical narrative: See attached notes - Pt got a tetanus shot & developed a peculiar pain reaction with no evidence of any other medical problem to explain her symptoms. Likely conclusion - adverse reaction to vaccine.
Age: 47.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain, Injection site warmth, Pain
Clinical narrative: Redness at site, warmth at site, inflammation at site, pain at site when moving arm.
Age: 0.51
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Small red rash around Left thigh injection site, was slightly hot and swollen, has now since decreased.
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Chills, Influenza like illness
Clinical narrative: Flu like Symptoms, Shivering and weak for 24-36 hours. Could not report to work the next day.
Age: 38.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Arthralgia, Myalgia, Pain, Pyrexia, Rash
Clinical narrative: Employee complained of body aches and fever times 5 days.  She also stated a red rash to face and upper trunk.  Muscle and joint pain.  Employee told to take Ibuprofen
Age: 38.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Rash erythematous
Clinical narrative: Employee complained of body aches and fever times 5 days.  She also stated a red rash to face and upper trunk.  Muscle and joint pain.  Employee told to take Ibuprofen
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Feeling cold, Headache, Injection site induration, Injection site warmth, Pain
Clinical narrative: Feeling a little achy when I went to bed the night of getting the TDAP vaccine, then woke up at 2:00 AM feeling like I had been run over and I was very cold. The next day, I had the achiness off and on, and a slight headache all day. Ibuprofen helped a bit. This is the type of reaction I used to have with the flu shot. No achiness or headache today (48 hours post vaccine), but I still have a sore arm, with the injection site being hard and warm, but not discolored. I noticed in the leaflet that the nurse gave me that this is an "uncommon" reaction, so I wanted to report it.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity
Clinical narrative: Feeling a little achy when I went to bed the night of getting the TDAP vaccine, then woke up at 2:00 AM feeling like I had been run over and I was very cold. The next day, I had the achiness off and on, and a slight headache all day. Ibuprofen helped a bit. This is the type of reaction I used to have with the flu shot. No achiness or headache today (48 hours post vaccine), but I still have a sore arm, with the injection site being hard and warm, but not discolored. I noticed in the leaflet that the nurse gave me that this is an "uncommon" reaction, so I wanted to report it.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: rash
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Increase arm circumference 21.5cm, Redness, swelling, hot and hard to touch. Fever 100.2 Apply cold compress to area. RX: Benadryl 12.5mg/5ml, 1 tsp every 4-6 hours. Return to Clinic in 24 hours.
Age: 52.0
Sex: F
Vaccine: FLUX
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Woke up with itching on hands at 3:30 AM. Went back to sleep and woke at 5:30 AM with red rash all over my arms, chest, stomach, under arms. By 9:00 AM, had spread to scalp and face. Called my doctor and they are to call in a steroid pack.
Age: 0.34
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Blood test normal, Cardiomegaly, Chest X-ray abnormal, Injection site oedema, Injection site rash
Clinical narrative: Rash and edema appeared on (B) vaccinated legs the same day of the vaccines. The following day the patient started with fever. Presented to our office the day after vaccinations with Temp 102.3, HR 216 and RR 60.  (Febrile, tachypnea and tachycardia). Sent to ER. Erythema and edema persisted x 1-2 days in leg that received the PENTACEL.
Age: 0.34
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Pyrexia, Tachycardia, Tachypnoea, Urine analysis normal
Clinical narrative: Rash and edema appeared on (B) vaccinated legs the same day of the vaccines. The following day the patient started with fever. Presented to our office the day after vaccinations with Temp 102.3, HR 216 and RR 60.  (Febrile, tachypnea and tachycardia). Sent to ER. Erythema and edema persisted x 1-2 days in leg that received the PENTACEL.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Asthenia, Biopsy site unspecified abnormal, Chest X-ray abnormal, Chest pain, Dyspnoea
Clinical narrative: On 9/26/10, the patient developed midsternal chest pain. Evaluation within a short time showed a "black shadow" on chest xray which was diagnosed as pneumonia and treated with Azithromycin. She then started with vomiting which has continued about 1-2 times per week. She left school feeling weak and pale at the beginning of the vomiting episodes. Fever has been intermittent about once a week. This is not documented rather tactile fever. Her weight has also waxed and waned up and down. She has only once experienced any dyspnea at PE class. She had one bout of hematemesis. She was seen in the ED (July 2010) and was evaluated for pulmonary embolus and the results excluded the embolus but revealed multiple pulmonary nodules. The biopsy (performed in August 2010) showed a vasculitis of the small and medium vessels and a bronchiolitis obliterans. She started taking prednisone and methotrexate in August 2010. She is currently being followed in Pediatric Rheumatology at hospital.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Haematemesis, Nodule, Obliterative bronchiolitis, Pallor, Pneumonia
Clinical narrative: On 9/26/10, the patient developed midsternal chest pain. Evaluation within a short time showed a "black shadow" on chest xray which was diagnosed as pneumonia and treated with Azithromycin. She then started with vomiting which has continued about 1-2 times per week. She left school feeling weak and pale at the beginning of the vomiting episodes. Fever has been intermittent about once a week. This is not documented rather tactile fever. Her weight has also waxed and waned up and down. She has only once experienced any dyspnea at PE class. She had one bout of hematemesis. She was seen in the ED (July 2010) and was evaluated for pulmonary embolus and the results excluded the embolus but revealed multiple pulmonary nodules. The biopsy (performed in August 2010) showed a vasculitis of the small and medium vessels and a bronchiolitis obliterans. She started taking prednisone and methotrexate in August 2010. She is currently being followed in Pediatric Rheumatology at hospital.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Pyrexia, Vasculitis, Vomiting, Weight fluctuation
Clinical narrative: On 9/26/10, the patient developed midsternal chest pain. Evaluation within a short time showed a "black shadow" on chest xray which was diagnosed as pneumonia and treated with Azithromycin. She then started with vomiting which has continued about 1-2 times per week. She left school feeling weak and pale at the beginning of the vomiting episodes. Fever has been intermittent about once a week. This is not documented rather tactile fever. Her weight has also waxed and waned up and down. She has only once experienced any dyspnea at PE class. She had one bout of hematemesis. She was seen in the ED (July 2010) and was evaluated for pulmonary embolus and the results excluded the embolus but revealed multiple pulmonary nodules. The biopsy (performed in August 2010) showed a vasculitis of the small and medium vessels and a bronchiolitis obliterans. She started taking prednisone and methotrexate in August 2010. She is currently being followed in Pediatric Rheumatology at hospital.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Acne, Affect lability, Antinuclear antibody, Asthenia, Biopsy lung abnormal
Clinical narrative: On 9/26/10, the patient developed midsternal chest pain. Evaluation within a short time showed a "black shadow" on chest xray which was diagnosed as pneumonia and treated with Azithromycin. She then started with vomiting which has continued about 1-2 times per week. She left school feeling weak and pale at the beginning of the vomiting episodes. Fever has been intermittent about once a week. This is not documented rather tactile fever. Her weight has also waxed and waned up and down. She has only once experienced any dyspnea at PE class. She had one bout of hematemesis. She was seen in the ED (July 2010) and was evaluated for pulmonary embolus and the results excluded the embolus but revealed multiple pulmonary nodules. The biopsy (performed in August 2010) showed a vasculitis of the small and medium vessels and a bronchiolitis obliterans. She started taking prednisone and methotrexate in August 2010. She is currently being followed in Pediatric Rheumatology at hospital.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Chest X-ray abnormal, Chest pain, Computerised tomogram abnormal, Computerised tomogram head, Condition aggravated
Clinical narrative: On 9/26/10, the patient developed midsternal chest pain. Evaluation within a short time showed a "black shadow" on chest xray which was diagnosed as pneumonia and treated with Azithromycin. She then started with vomiting which has continued about 1-2 times per week. She left school feeling weak and pale at the beginning of the vomiting episodes. Fever has been intermittent about once a week. This is not documented rather tactile fever. Her weight has also waxed and waned up and down. She has only once experienced any dyspnea at PE class. She had one bout of hematemesis. She was seen in the ED (July 2010) and was evaluated for pulmonary embolus and the results excluded the embolus but revealed multiple pulmonary nodules. The biopsy (performed in August 2010) showed a vasculitis of the small and medium vessels and a bronchiolitis obliterans. She started taking prednisone and methotrexate in August 2010. She is currently being followed in Pediatric Rheumatology at hospital.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Cough, Crying, Decreased activity, Depression, Dyspnoea
Clinical narrative: On 9/26/10, the patient developed midsternal chest pain. Evaluation within a short time showed a "black shadow" on chest xray which was diagnosed as pneumonia and treated with Azithromycin. She then started with vomiting which has continued about 1-2 times per week. She left school feeling weak and pale at the beginning of the vomiting episodes. Fever has been intermittent about once a week. This is not documented rather tactile fever. Her weight has also waxed and waned up and down. She has only once experienced any dyspnea at PE class. She had one bout of hematemesis. She was seen in the ED (July 2010) and was evaluated for pulmonary embolus and the results excluded the embolus but revealed multiple pulmonary nodules. The biopsy (performed in August 2010) showed a vasculitis of the small and medium vessels and a bronchiolitis obliterans. She started taking prednisone and methotrexate in August 2010. She is currently being followed in Pediatric Rheumatology at hospital.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Fatigue, Haematemesis, Laceration, Lung neoplasm, Obliterative bronchiolitis
Clinical narrative: On 9/26/10, the patient developed midsternal chest pain. Evaluation within a short time showed a "black shadow" on chest xray which was diagnosed as pneumonia and treated with Azithromycin. She then started with vomiting which has continued about 1-2 times per week. She left school feeling weak and pale at the beginning of the vomiting episodes. Fever has been intermittent about once a week. This is not documented rather tactile fever. Her weight has also waxed and waned up and down. She has only once experienced any dyspnea at PE class. She had one bout of hematemesis. She was seen in the ED (July 2010) and was evaluated for pulmonary embolus and the results excluded the embolus but revealed multiple pulmonary nodules. The biopsy (performed in August 2010) showed a vasculitis of the small and medium vessels and a bronchiolitis obliterans. She started taking prednisone and methotrexate in August 2010. She is currently being followed in Pediatric Rheumatology at hospital.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Painful respiration, Pallor, Pneumonia, Poor quality sleep, Pulmonary vasculitis
Clinical narrative: On 9/26/10, the patient developed midsternal chest pain. Evaluation within a short time showed a "black shadow" on chest xray which was diagnosed as pneumonia and treated with Azithromycin. She then started with vomiting which has continued about 1-2 times per week. She left school feeling weak and pale at the beginning of the vomiting episodes. Fever has been intermittent about once a week. This is not documented rather tactile fever. Her weight has also waxed and waned up and down. She has only once experienced any dyspnea at PE class. She had one bout of hematemesis. She was seen in the ED (July 2010) and was evaluated for pulmonary embolus and the results excluded the embolus but revealed multiple pulmonary nodules. The biopsy (performed in August 2010) showed a vasculitis of the small and medium vessels and a bronchiolitis obliterans. She started taking prednisone and methotrexate in August 2010. She is currently being followed in Pediatric Rheumatology at hospital.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Pyrexia, Rhinorrhoea, Sleep disorder, Upper respiratory tract infection, Vomiting
Clinical narrative: On 9/26/10, the patient developed midsternal chest pain. Evaluation within a short time showed a "black shadow" on chest xray which was diagnosed as pneumonia and treated with Azithromycin. She then started with vomiting which has continued about 1-2 times per week. She left school feeling weak and pale at the beginning of the vomiting episodes. Fever has been intermittent about once a week. This is not documented rather tactile fever. Her weight has also waxed and waned up and down. She has only once experienced any dyspnea at PE class. She had one bout of hematemesis. She was seen in the ED (July 2010) and was evaluated for pulmonary embolus and the results excluded the embolus but revealed multiple pulmonary nodules. The biopsy (performed in August 2010) showed a vasculitis of the small and medium vessels and a bronchiolitis obliterans. She started taking prednisone and methotrexate in August 2010. She is currently being followed in Pediatric Rheumatology at hospital.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Weight fluctuation
Clinical narrative: On 9/26/10, the patient developed midsternal chest pain. Evaluation within a short time showed a "black shadow" on chest xray which was diagnosed as pneumonia and treated with Azithromycin. She then started with vomiting which has continued about 1-2 times per week. She left school feeling weak and pale at the beginning of the vomiting episodes. Fever has been intermittent about once a week. This is not documented rather tactile fever. Her weight has also waxed and waned up and down. She has only once experienced any dyspnea at PE class. She had one bout of hematemesis. She was seen in the ED (July 2010) and was evaluated for pulmonary embolus and the results excluded the embolus but revealed multiple pulmonary nodules. The biopsy (performed in August 2010) showed a vasculitis of the small and medium vessels and a bronchiolitis obliterans. She started taking prednisone and methotrexate in August 2010. She is currently being followed in Pediatric Rheumatology at hospital.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC13, VARCEL, HEPA, MMR, PNC13, VARCEL
Symptoms: Acute disseminated encephalomyelitis, Childhood disintegrative disorder, Inability to crawl, Lumbar puncture, Neurological examination
Clinical narrative: Lost developmental milestones such as pulling to a stand, sitting up and not crawling anymore.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC13, VARCEL, HEPA, MMR, PNC13, VARCEL
Symptoms: Nuclear magnetic resonance imaging
Clinical narrative: Lost developmental milestones such as pulling to a stand, sitting up and not crawling anymore.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC13, VARCEL, HEPA, MMR, PNC13, VARCEL
Symptoms: Blood test, Childhood disintegrative disorder, Fall, Inability to crawl, Lumbar puncture
Clinical narrative: Lost developmental milestones such as pulling to a stand, sitting up and not crawling anymore.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Gait disturbance, Injection site erythema, Injection site swelling
Clinical narrative: Parents noticed that left thigh was getting swollen and reddened and child was starting to limp some. Continued to monitor and then contacted clinic on the morning of 12 Jan 2011 because seemed to be getting worse. Was placed on oral steroids for 5 days.
Age: 48.0
Sex: M
Vaccine: HBHEPB
Symptoms: Asthenia, Blood test normal, Dyspnoea, Lip pain, Proctalgia
Clinical narrative: Persistent weakness, thirst, breathing problems, lips and rectum painful. Treatment: quit drinking coffee, cokes, and drink vast amounts of water.  Two doctor visits prescribed antibiotics but have not helped for long.  Docotor recommends doing extensive blood work and UA in additon to seeing Two specialist, !
Age: 48.0
Sex: M
Vaccine: HBHEPB
Symptoms: Thirst
Clinical narrative: Persistent weakness, thirst, breathing problems, lips and rectum painful. Treatment: quit drinking coffee, cokes, and drink vast amounts of water.  Two doctor visits prescribed antibiotics but have not helped for long.  Docotor recommends doing extensive blood work and UA in additon to seeing Two specialist, !
Age: 81.0
Sex: F
Vaccine: TD, TDAP
Symptoms: Erythema, Pain, Pruritus, Swelling, Urticaria
Clinical narrative: Red, Swollen, Sore, Itching. Redness went down arm to elbow and around,  Bumps like hives. Used Cortizone Cream and Allergy relief Diphenhydramine, Hydrochloride, Antihistamine.
Age: 81.0
Sex: F
Vaccine: TD, TDAP
Symptoms: Vaccination complication
Clinical narrative: Red, Swollen, Sore, Itching. Redness went down arm to elbow and around,  Bumps like hives. Used Cortizone Cream and Allergy relief Diphenhydramine, Hydrochloride, Antihistamine.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Rash
Clinical narrative: Reaction began locally at site of injection with redness and swelling. Then rash developed at site of injection.  The next day the rash spread down the right side of the body and then to the legs.  Patient was seen on 1/10/11 for treatment.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pain, Pruritus, Rash, Skin warm
Clinical narrative: Vaccine was administered correctly and per protocol/prescription.  Patient said she had itchiness, redness and the area was warm and sore from Sunday.  Patient unable to state whether has gotten worse over past 2 days but concerned it's cellulitis.  Pharmacist suggested she mark perimeter of rash and if worse tomorrow see clinician.
Age: 59.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Blister, Erythema, Rash pustular
Clinical narrative: USUAL COURSE OF EVENTS WITH SMALLPOX VACCINATION--FORMATION OF PUSTULE WITH DRAINAGE. USUAL CARE PROVIDED; HOWEVER SCAB NEVER FORMED AND RESIDUAL AREA OF ERYTHEMA WITH SMALL VESICLES REMAIN 5 MONTHS AFTER INNOCULATION
Age: 59.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Biopsy skin, Injection site erythema, Injection site vesicles, Laboratory test
Clinical narrative: USUAL COURSE OF EVENTS WITH SMALLPOX VACCINATION--FORMATION OF PUSTULE WITH DRAINAGE. USUAL CARE PROVIDED; HOWEVER SCAB NEVER FORMED AND RESIDUAL AREA OF ERYTHEMA WITH SMALL VESICLES REMAIN 5 MONTHS AFTER INNOCULATION
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Dysgraphia, Gait disturbance, Hypoaesthesia, Oedema peripheral
Clinical narrative: Numbness in feet and hands.  Swelling in feet and hands.  Comes and goes through out the day.  Sometimes impairs walking and writing.
Age: 82.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain, Joint range of motion decreased, X-ray limb
Clinical narrative: PATIENT EXPERIENCING DECREASED RANGE OF MOTION OF THE LEFT ARM/SHOULDER WITH MILD TENDERNESS AT THE INSERTION SITE OF LEFT DELTOID; ABLE TO LIFT LEFT ARM 100 DEGREE ONLY. PATIENT HAVING SEVERE LEFT SHOULDER PAIN.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site mass, Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: Pt called with adverse event.  Swelling, rash, and pain all at injection site.  Described lump at site as about the size of an egg.  Pain was refractory to treatment with acetaminophen, morphine, and a "pain patch."
Age: 5.0
Sex: M
Vaccine: PPV
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Swelling and redness at injection site (right arm) pain and hot to the touch.  High fever (102.6) which lasted 24 hours.  Low grade fever for 48 hours.  Pain/stiff neck.  Complaint of headache.
Age: 5.0
Sex: M
Vaccine: PPV
Symptoms: Musculoskeletal stiffness, Pain, Pyrexia
Clinical narrative: Swelling and redness at injection site (right arm) pain and hot to the touch.  High fever (102.6) which lasted 24 hours.  Low grade fever for 48 hours.  Pain/stiff neck.  Complaint of headache.
Age: 1.0
Sex: M
Vaccine: FLU3, PNC13
Symptoms: Pyrexia
Clinical narrative: Fever 104-105. Seen in ER.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC13, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: DTAP- injection given on 1/10/11. Lt deltoid swollen, erythematous & tender.
Age: 10.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Wrong drug administered
Clinical narrative: Patient should have received a TDAP. A KINRIX was given instead. To old for KINRIX.
Age: 1.06
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Rash.
Age: 58.0
Sex: F
Vaccine: TDAP
Symptoms: Musculoskeletal pain, Neck pain, Pain in extremity
Clinical narrative: Pt states 2 days after Tetanus shot was given pt started with (L) shoulder to neck pain. This does radiate down her arm at times. No injury during this time. Feels is from the shot. Pt called our office to report this pain continues on 1/7/11. Told to use ice, rest and that symptoms should be gone in more wks.
Age: 60.0
Sex: M
Vaccine: PPV
Symptoms: Pruritus, Rash
Clinical narrative: Rash & itching.
Age: 78.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site swelling
Clinical narrative: Pt had a pneumococcal shot on 1-6-11 and on 1-7-11 her arm is all red, swollen from site of injection to elbow.
Age: 62.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Allergy to vaccine, Chest discomfort, Dizziness, Feeling abnormal, Nausea
Clinical narrative: The patient had an allergic reaction to ZOSTAVAX. She complained of dizziness, nausea, chest tightness, hot feeling right. We called her husband and 911 and she was transported to the hospital.
Age: 62.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Blood pressure abnormal, Dizziness, Drug hypersensitivity, Feeling abnormal, Hypersensitivity
Clinical narrative: The patient had an allergic reaction to ZOSTAVAX. She complained of dizziness, nausea, chest tightness, hot feeling right. We called her husband and 911 and she was transported to the hospital.
Age: 62.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Nausea, Pruritus, Rash macular
Clinical narrative: The patient had an allergic reaction to ZOSTAVAX. She complained of dizziness, nausea, chest tightness, hot feeling right. We called her husband and 911 and she was transported to the hospital.
Age: 25.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Contraception, Drug exposure before pregnancy
Clinical narrative: Received GARDASIL # 2 9-17-10. LMP 10/4/10. Pt was using NUVARING. Pregnant now. 1/11/11 Pt terminating pregnancy.
Age: 25.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abortion induced, Drug exposure during pregnancy
Clinical narrative: Received GARDASIL # 2 9-17-10. LMP 10/4/10. Pt was using NUVARING. Pregnant now. 1/11/11 Pt terminating pregnancy.
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Insomnia, Rash, Rash erythematous, Rash pruritic, Varicella
Clinical narrative: Vaccine given 12/9/2010, rash erupted 12/21/2010 peaked 12/30/2010 -> resolving 1/10/2011. Consistent with chickenpox. Patient comes in for acute visit due to rash. He had a shingles vaccine on Dec 9, 2010 here in this office. On December 21, 2010, he broke out in a pruritic rash across his chest and upper arms. The rash was little red bumps---never big vesicles, but was quite itchy and prevented him from sleeping the week after Christmas. (After the rash erupted, it seemed to spread and get worse until the day after Christmas and stayed pruritic until about New Year's Day). Reviewed patient's history with him--he was diagnosed by a physician when he was a young child with chickenpox. His daughter (a pt of mine) had chickenpox when she was a child, and he didn't contract the disease then. Currently, no longer itching and he has felt fine the entire time--no fever, URI symptoms or other systemic symptoms since the rash first occurred.
Age: 12.0
Sex: F
Vaccine: FLU3, HPV4, MNQ, TDAP, VARCEL
Symptoms: Syncope
Clinical narrative: Fainting spell 10 minutes after vaccine. Had received catch up vaccines at same time sxs cleared within 10 minutes.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site oedema, Injection site pruritus, Rash
Clinical narrative: Developed a large local reaction of erythema & edema (17 X 12cm) at site of MENACTRA vaccine injection. Size increasing with time (+) pruritis. No resp symptoms. Treated with diphenhydramine, ice & prednisone. Also developed rash on upper torso. Symptoms resolved after 1 week. MENACTRA given 12-13-10.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: (R) arm swollen, red 4-5". Pt treated with PRELONE 15mg/5ml - 5ml daily x 4 days. BENADRYL 12.5mg PO. Per ED MD: swelling 10 x 15cm.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 1.28
Sex: F
Vaccine: DTAPIPVHIB, FLU3
Symptoms: Rash generalised, Urticaria
Clinical narrative: 2 days after getting flu vaccine and PENTACEL, child got 3-4mm "bumps" scattered over whole body & came & went x 48 hours before stopping ? urticaria - not brought for evaluation.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Pain
Clinical narrative: Prolonged arm weakness and soreness following vaccine.
Age: 2.0
Sex: F
Vaccine: DTAP, FLU3, HEPA, MMR, PNC
Symptoms: Erythema multiforme, Rash macular
Clinical narrative: Vacs given 12-31-10. Developed large blotchy rash with raised border at (B) buttocks (B) UE (B) ant thigh/perineum.  Eryth. Multiforme-like on 1-11-11. No other sx.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Site erythema and swelling hot to touch. No systemic involvement. Tx with MEDROL dose pack - 6 days.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Joint swelling, Pain in extremity, Rash, Tenderness
Clinical narrative: 24 hrs after VARIVAX some hives on abdomen and feet hurt. 36 hrs later (R) knee red & swollen & tender. 48 hrs later rash resolved, knee tender but no further swelling or redness. No fever.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Urticaria
Clinical narrative: 24 hrs after VARIVAX some hives on abdomen and feet hurt. 36 hrs later (R) knee red & swollen & tender. 48 hrs later rash resolved, knee tender but no further swelling or redness. No fever.
Age: 20.0
Sex: F
Vaccine: PPV
Symptoms: Injection site induration, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: About 24-48 hours after vaccine given developed fever (max 103 degrees F) and a large, hard, swollen and moderately tender area from her elbow to shoulder on the left arm where shot was given. Improved gradually over 4-5 days.
Age: 0.7
Sex: U
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site atrophy, Injection site erythema, Injection site rash
Clinical narrative: Area of indention measuring 3.5cm, area was red with a rash, two days. No treatment needed.
Age: 33.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Chest pain, Circumoral oedema, Electrocardiogram T wave inversion, Oropharyngeal pain, Pruritus
Clinical narrative: Pt was vaccinated 3 NOV 10. 13 NOV 10 Pt developed rash on hands. BENADRYL was given for pruritis. Generalized rash developed 14 DEC 10. Generalized rash was A/W perioral edema & sore throat. Pt was admitted. Received Iv steroids, ATARAX, TYLENOL & prophylactic Abx. Possible pericarditis for chest pain 16 NOV - resolved. INDOCIN, Aspirin given.
Age: 33.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Rash, Rash generalised
Clinical narrative: Pt was vaccinated 3 NOV 10. 13 NOV 10 Pt developed rash on hands. BENADRYL was given for pruritis. Generalized rash developed 14 DEC 10. Generalized rash was A/W perioral edema & sore throat. Pt was admitted. Received Iv steroids, ATARAX, TYLENOL & prophylactic Abx. Possible pericarditis for chest pain 16 NOV - resolved. INDOCIN, Aspirin given.
Age: 33.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Chest pain, Circumoral oedema, Electrocardiogram ST segment normal, Electrocardiogram T wave inversion, Oropharyngeal pain
Clinical narrative: Pt was vaccinated 3 NOV 10. 13 NOV 10 Pt developed rash on hands. BENADRYL was given for pruritis. Generalized rash developed 14 DEC 10. Generalized rash was A/W perioral edema & sore throat. Pt was admitted. Received Iv steroids, ATARAX, TYLENOL & prophylactic Abx. Possible pericarditis for chest pain 16 NOV - resolved. INDOCIN, Aspirin given.
Age: 33.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Pruritus, Rash, Rash generalised
Clinical narrative: Pt was vaccinated 3 NOV 10. 13 NOV 10 Pt developed rash on hands. BENADRYL was given for pruritis. Generalized rash developed 14 DEC 10. Generalized rash was A/W perioral edema & sore throat. Pt was admitted. Received Iv steroids, ATARAX, TYLENOL & prophylactic Abx. Possible pericarditis for chest pain 16 NOV - resolved. INDOCIN, Aspirin given.
Age: 33.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Asthenia, Cardiac stress test abnormal, Cardiovascular examination, Chest discomfort, Dyspnoea
Clinical narrative: Pt was vaccinated 3 NOV 10. 13 NOV 10 Pt developed rash on hands. BENADRYL was given for pruritis. Generalized rash developed 14 DEC 10. Generalized rash was A/W perioral edema & sore throat. Pt was admitted. Received Iv steroids, ATARAX, TYLENOL & prophylactic Abx. Possible pericarditis for chest pain 16 NOV - resolved. INDOCIN, Aspirin given.
Age: 33.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Echocardiogram normal, Ejection fraction normal, Electrocardiogram ST segment normal, Electrocardiogram T wave inversion, Electrocardiogram abnormal
Clinical narrative: Pt was vaccinated 3 NOV 10. 13 NOV 10 Pt developed rash on hands. BENADRYL was given for pruritis. Generalized rash developed 14 DEC 10. Generalized rash was A/W perioral edema & sore throat. Pt was admitted. Received Iv steroids, ATARAX, TYLENOL & prophylactic Abx. Possible pericarditis for chest pain 16 NOV - resolved. INDOCIN, Aspirin given.
Age: 33.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Exercise tolerance decreased, Pain, Palpitations, Pharyngeal erythema, Radioisotope scan
Clinical narrative: Pt was vaccinated 3 NOV 10. 13 NOV 10 Pt developed rash on hands. BENADRYL was given for pruritis. Generalized rash developed 14 DEC 10. Generalized rash was A/W perioral edema & sore throat. Pt was admitted. Received Iv steroids, ATARAX, TYLENOL & prophylactic Abx. Possible pericarditis for chest pain 16 NOV - resolved. INDOCIN, Aspirin given.
Age: 33.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Rash, Rash generalised, Rash maculo-papular, Rash pruritic, Single photon emission computerised tomogram normal
Clinical narrative: Pt was vaccinated 3 NOV 10. 13 NOV 10 Pt developed rash on hands. BENADRYL was given for pruritis. Generalized rash developed 14 DEC 10. Generalized rash was A/W perioral edema & sore throat. Pt was admitted. Received Iv steroids, ATARAX, TYLENOL & prophylactic Abx. Possible pericarditis for chest pain 16 NOV - resolved. INDOCIN, Aspirin given.
Age: 33.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Sinus rhythm, Supraventricular extrasystoles, Throat irritation, Troponin normal, Ventricular extrasystoles
Clinical narrative: Pt was vaccinated 3 NOV 10. 13 NOV 10 Pt developed rash on hands. BENADRYL was given for pruritis. Generalized rash developed 14 DEC 10. Generalized rash was A/W perioral edema & sore throat. Pt was admitted. Received Iv steroids, ATARAX, TYLENOL & prophylactic Abx. Possible pericarditis for chest pain 16 NOV - resolved. INDOCIN, Aspirin given.
Age: 72.0
Sex: F
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 40.0
Sex: F
Vaccine: HEP
Symptoms: Pain in extremity
Clinical narrative: When patient returned today 12-27-10 for her last HEP B vaccine she reports her (R) arm has pain if she presses deep ever since her last HEP B in July 2010 (6 mo. ago).
Age: 2.0
Sex: F
Vaccine: VARCEL
Symptoms: Nasal congestion, Rash, Skin lesion
Clinical narrative: Began with rash on Monday. Lesions on thigh & forehead. Clear nasal congestion. No fever.
Age: 0.42
Sex: F
Vaccine: DTAPIPVHIB, HEP
Symptoms: Incorrect dose administered, Pyrexia
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of low grade temperature in a 5-month-old female subject who was vaccinated with ENGERIX B (GlaxoSmithKline). Previous and/or concurrent vaccination included PENATCEL (non-gsk); non-GSK manufacturer; unknown; unknown given on 16 February 2010. There were no concomitant medications. On 16 February 2010 the subject received 2nd dose of ENGERIX B (20 mcg, unknown); lot number reported as "AHBCB772EA". On 16 February 2010, less than one day after vaccination with ENGERIX B, the subject experienced low grade temperature and overdose. A nurse reported that subject received an adult dose (20 mcg) of ENGERIX-B and low grade fever resolved subsequent to administration of TYLENOL. At the time of the report no further information was available. At the time of reporting the low grade fever was resolved. Follow-up information received on 07 July 2010 indicated that the subject had a mild viral illness without a fever prior to vaccinations. She developed a low grade temperature one day following vaccinations, on 17 February 2010, which resolved by 23 February 2010. The reported commented that the fever could have been due to any of the vaccinations received, but could have been the result of the adult hepatitis B vaccination. The subject received the proper 10 mcg dose of hepatitis B vaccine for the 1st dose.
Age: 75.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Deep vein thrombosis, Electromyogram abnormal, Erythema, Fall, Herpes virus infection
Clinical narrative: Initial report and a copy of the patient's immunization record was received 03 January 2011 from a health care professional, who is also the patient's spouse. A 75-year-old male patient had received a first dose intramuscular left deltoid injection of FLUZONE HIGH-DOSE, lot number U3609AA on 14 October 2010 and six days later on 20 October 2010, he developed weakness in his right leg. On 21 October 2010, the patient experienced a fall at home and he had developed bright red lesions on his right leg. He was seen by his physician on 25 October 2010 and was prescribed "VALTRAX" for Herpes and physical therapy. On 03 November 2010, the patient had intense bilateral leg pain. An EMG was performed and the patient was diagnosed with bilateral polyneuropathy. He also had a swollen leg, 3+ edema of the right leg, and his foot was discolored. On 29 November 2010 the patient was hospitalized. He was diagnosed with bilateral multiple DVT and received corrective treatment with LOVENOX and was prescribed PT (physical therapy) and rehabilitation for mobility. On 22 December 2010 (hospital duration was also reported as 21 days duration), the patient was discharged home on COUMADIN. Bilateral leg weakness, decreased mobility and decreased leg reflexes continued. Outcome was not recovered. The patient was scheduled to see their physician on 04 January 2011. Documents held by sender: Immunization record.