chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Anaphylactic reaction
Clinical narrative: Pt developed anaphylactic rx S/P 10-15 min after receiving vaccines
Age: 5.0
Sex: M
Vaccine: DTAPHEPBIP, VARCEL
Symptoms: Erythema, Injection site inflammation, Rash papular, Rash pruritic
Clinical narrative: Hrs after Pediarix vaccine left delt - developed pruritic papules and quarter-size surrounding redness on arms, trunk. Left deltoid became inflamed. No systemic symptoms such as fever, cough, chills. Resolving with Benadryl. Still present - papules - 1 week later.
Age: 70.0
Sex: F
Vaccine: TD
Symptoms: Injection site rash
Clinical narrative: Pt developed rash at injection site which subsequently spread to chest area No cellulitis or infection noted Treated with warm soaks and Benadryl Dr. examined pt 8/8/07 Treated with Prednisone
Age: 19.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Mass, Skin warm, Swelling
Clinical narrative: Swollen, heated, mild lump, red left arm.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Blood pressure, Headache, Syncope
Clinical narrative: Patient received shot, walked to waiting room and fainted. Brought back into exam room. HA and ST occurred at time of feeling faint. No SOB, BP 115/50
Age: 27.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Chills, Erythema, Headache, Nausea, Pain
Clinical narrative: nausea, vomiting, fever, chills, headache area erythema approx 3 cm, warm painful to touch
Age: 27.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Pyrexia, Skin warm, Vomiting
Clinical narrative: nausea, vomiting, fever, chills, headache area erythema approx 3 cm, warm painful to touch
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, TDAP
Symptoms: Dizziness, Electrocardiogram normal, Nausea, Pyrexia
Clinical narrative: dose #1-Nausea, fever one day after shot same day-lightheaded, queasy Dose #2 severe queasiness, lightheaded, nausea
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Loss of consciousness, Pallor, Syncope
Clinical narrative: After receiving HPV and HepA vaccines patient became pale and "everything looked black." Patient had a syncopal episode for a few seconds.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Expired drug administered
Clinical narrative: Administrator administered inadvertently Menactra which had an expiration date of 8-3-07 (03Aug07).  No adverse effect.  Was given a dose of expired vaccine.
Age: 27.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Erythema, Hypoaesthesia, Paraesthesia
Clinical narrative: After 2 days felt numbness and tingling left arm (50mmx50mm), (+) erythema and no edema. Left mid tricep region. Ibuprofen Rx.
Age: 27.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Erythema, Hypoaesthesia, Induration, Myalgia, Paraesthesia
Clinical narrative: After 2 days felt numbness and tingling left arm (50mmx50mm), (+) erythema and no edema. Left mid tricep region. Ibuprofen Rx.
Age: 61.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Injection site erythema, Injection site oedema, Malaise, Urticaria
Clinical narrative: Lt upper arm had erythema, edema, hives on body, employee not feeling well. To clinic. Augmentin and Prednisone Rxs.
Age: 61.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Erythema, Malaise, Oedema, Pain, Urticaria
Clinical narrative: Lt upper arm had erythema, edema, hives on body, employee not feeling well. To clinic. Augmentin and Prednisone Rxs.
Age: 61.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Discomfort, Erythema, Induration, Oedema, Skin warm
Clinical narrative: Lt arm 3 in x 3 in area of erythema and edema. Hard to touch, warm and uncomfortable. Treated with Augmentin Rx.
Age: 61.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Injection site cellulitis, Injection site discomfort, Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Lt arm 3 in x 3 in area of erythema and edema. Hard to touch, warm and uncomfortable. Treated with Augmentin Rx.
Age: 61.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Injection site pruritus, Injection site warmth
Clinical narrative: Lt arm 3 in x 3 in area of erythema and edema. Hard to touch, warm and uncomfortable. Treated with Augmentin Rx.
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site oedema, Injection site pruritus
Clinical narrative: Had Tdap 6/12/07. Woke up 6/19/07 am with itchy, erythema, edematous right upper arm
Age: 24.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Chills, Headache, Malaise, Pain, Pyrexia
Clinical narrative: Developed h.a., fever 101.7, chills, malaise, local soreness LA 12-24 hours after administration of vaccines. Had colposcopy 10am the morning of vaccines; reported sxs to both clinics - has F/U appt for colposcopy 8/16/07 - recommended antipyretics and cold compress. TC to pt: 8/16 for F/U: Message taken. TC from pt: 8/16 - feels better - fever gone, soreness in arm improving.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Back pain, Dizziness, Headache, Musculoskeletal stiffness, Myalgia
Clinical narrative: Spinal pain, headache, muscle pain, stiffness. Light headed, pain: light headedness began about 1 hour after vaccines given. No tx. Pt stated he was flat on his back in bed for three days; very stiff and sore.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ, HPV4
Symptoms: Facial palsy
Clinical narrative: left sided facial nerve paralysis (Bell's palsy) 9/7/07 Reviewed pcp medical records which reveal patient well & healthy on day of vax.  Only concern was for hair loss.  Returned to pcp on 8/15 s/p developed left eye watery & twitchy x 3 days.  Awakened 8/14 & could not smile or squint.  Exam revealed left ptosis w/sluggish light reflex & left side facial paralysis.  Tx w/steroid taper.  PCP discussed case w/neurologist & started on antiviral 8/16.  Noted to have tingling/burning s/s of herpetic outbreak 8/13 but no actual vesicles.  F/U visit on 8/29 revealed smile almost normal but still residual eye involvement.  Exam revealed improved smile but still mildly weak on left.  Eye exam WNL.  Immunization records do not include lot #s.  Does indicate patient received initial meningococcal 8/22/06.    FINAL DX: Bell's Palsy
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Body temperature increased, Crying, Irritability
Clinical narrative: Inconsolable and irritable 3 hours from 7 PM - 10 PM night of vaccine administration. Temp 100.4 R.
Sex: F
Vaccine: VARZOS
Symptoms: Cold compress therapy, Erythema, Injection site pain
Clinical narrative: 40 x 40 mm erythema, site tenderness cool compress (localized reaction) To call if area becomes worse
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Headache, Myalgia, Nausea, Pyrexia, Vomiting
Clinical narrative: Fever (102.8), myalgias; headache; nausea; vomiting, sx lasted about 6-8 hours after immunizations.
Age: 35.0
Sex: F
Vaccine: MNQ
Symptoms: Chills, Headache, Malaise, Myalgia, Pyrexia
Clinical narrative: fever, chills, malaise, myalgia, headache local tenderness
Age: 35.0
Sex: F
Vaccine: MNQ
Symptoms: Tenderness
Clinical narrative: fever, chills, malaise, myalgia, headache local tenderness
Age: 1.0
Sex: F
Vaccine: MMRV, PNC, RV5
Symptoms: Inappropriate schedule of drug administration, Pyrexia, Rash vesicular
Clinical narrative: Fever onset 8/7/07 lasted four days developed rash vesicular in nature on 8/13/07
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Left leg redness (large area), swelling, heat to touch. 6cm diameter
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: Pt with left arm swelling and erythema after receiving vaccines. No associated pain.
Age: 1.83
Sex: F
Vaccine: DTAP
Symptoms: Rash, Swelling
Clinical narrative: Leg red, swollen, hard, rash - abdomen
Age: 25.0
Sex: M
Vaccine: ANTH, HEP
Symptoms: Pruritus, Skin warm, Swelling
Clinical narrative: Adverse reaction to Anthrax. Pt C/O itchy, swollen, and warm. Naproxen and Tylenol given for pain. Keflex x 10d given
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Lg area of redness across rt upper arm, lg circle of firmness/warmth
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Pruritus, Swelling
Clinical narrative: Pt received V-vax booster 8/15/07 - redness approx 3 in wide and tender to left arm after V-vax booster. No fever, lesions, or blisters. Tylenol or Motrin PRN pain and warm compress - Benadryl every 6 hours PRN itch, swelling. Call with further concerns.
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP, HEPA, MMR, VARCEL
Symptoms: Injection site vesicles, Scab
Clinical narrative: 4 yo male developed fluid-filled blister (0.2-1.0mm) at vaccination site (LA) on day 3. Blisters evolved to crater-like, scabbed lesions on day 5 and healed within 10 days. Otherwise well
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, VARCEL
Symptoms: Body temperature increased, Injection site erythema, Injection site pain, Injection site warmth, Nausea
Clinical narrative: Immunizations given on 8/15/07, that night exp nausea, low grade temp and area surrounding DTaP became red, warm and tender
Age: 81.0
Sex: M
Vaccine: PPV
Symptoms: Body temperature increased, Injection site erythema, Musculoskeletal pain, Pain in extremity
Clinical narrative: 7/26/07 9:47 AM, left sided pain arm, shoulder, leg/redness at injection site/temp 101 F. Pt went to ER where he reports he was advised to take Benadryl, given antibiotic and advised to ice area.
Age: 17.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Erythema, tenderness and induration at vaccine site.
Age: 13.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site vesicles
Clinical narrative: Redness, vesicles at vaccination site. No tenderness or pruritus. No systemic sx.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: After receiving vaccine, patient fainted as needle was being removed.  Patient responded within seconds of fainting.  B/P 90/60
Age: 30.0
Sex: F
Vaccine: HEP, MMRV, MNQ
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: No adverse events reported. MMR/V given outside of age limits
Age: 41.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Joint swelling
Clinical narrative: Employee received MMR & Hepatitis B vaccines. One week after vaccines were given, she experienced "swelling" in both knees.  Two weeks after vaccines were given, she experienced "swelling" in both hands. She has episodes of "hands falling asleep when sleeping".
Age: 12.0
Sex: F
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: no adverse reaction
Age: 61.0
Sex: F
Vaccine: DTAP
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Wrong drug administered
Clinical narrative: developed swelling  redness and pain at injection site one day after injection.  Swelling and redness increased for five days after injection. Pateint was started on antibiotic for possible cellulitis.
Age: 25.0
Sex: U
Vaccine: HEP, HPV4
Symptoms: Abdominal pain, Hyperhidrosis, Loss of consciousness, Nausea, Pallor
Clinical narrative: Approximately 10 minutes after receving #1 Gardisil and 15 mintues after receiving #2 Hep , client suddenly lost consciousness while seated in the waitng area of the clinic. This lasted for about 1 minute. She slowly returned to consciousness, but was very diaphoretic and pale. Ammonia capsule used and client's color improved and diphoresis subsided. Within 20-30 minutes of initially losing consciousness she was able to walk out of clinic with family, fully alert and with no complaints. Principal complaint when able to speak about incident was that she felt very nauseated, had sudden abdominal cramping and then everything went black.
Age: 1.5
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Rash, Swelling face
Clinical narrative: Patient received vaccines on 08/07/07; on 08/09/07 patient woke up with rash spreading from trunk toinner thighs and face.  Swelling to face noted. Primary notified and Benadryl ordered and given by parent.
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Chills, Diarrhoea, Headache, Joint swelling
Clinical narrative: Pt c/o Headache, body aches, muscle weakness, chills, sore and swollen joints, nausea,diarrhea, fever.
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Muscular weakness, Nausea, Pain, Pyrexia
Clinical narrative: Pt c/o Headache, body aches, muscle weakness, chills, sore and swollen joints, nausea,diarrhea, fever.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Oedema peripheral
Clinical narrative: Rt. Deltoid swollen from shoulder to elbow, Mother called in to report. Rn recommended to apply ice and call family MD.
Age: 1.6
Sex: F
Vaccine: HEPA
Symptoms: Crying, Hypersensitivity, Scratch, Urticaria
Clinical narrative: When child woke up on the morning of the 8-15-07 at 8am she had hives covering all of her body except in the diaper area.  She was crying and was scratching herself.  Her mom took her to Dr. that morning and she was given a prescription of oral medication called Prednisol 2ml BID X 2-3 days as symptoms persist and was also instructed to get Benadryl cream to apply to the  hives prn for itching. Their pediatrician said she had an allergic reaction to the vaccination that was given the day previously. When I spoke to mom today, she said her child still has hives, she called the pediatricians office and they said it may take awhile longer before the hives will resolve.
Age: 4.0
Sex: F
Vaccine: HBHEPB
Symptoms: Gaze palsy, Oral mucosal blistering
Clinical narrative: Reported bumps like blisters inside mouth and on tongue on 8-15.  Called ER, but told not to come in unless worth.   No fever, but eyes have "glazed over" look.  Call to parent without response on 8-15. Recall to parent states child no worse.  Referred to physician.  Reviewed allergy list and confirmed child had a Comvax not an IPV as parent originally thought.  Referred to physician.
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Erythema, Induration, Skin warm, Swelling
Clinical narrative: Immunization given on 8/15/07, parent noticed swelling and gave Tylenol.  Brought patient to the clinic on 8/16/07, indurated area 3 X 3 1/2" noted on right arm where shot had been given. Slight redness and warm to touch.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site pruritus, Injection site rash, Rash generalised
Clinical narrative: Developed an itchy rash in the right arm at the injection site of the Menactra vaccine. The rash became generalized, splotchy and slightly raised within approximately 1 hour. Was treated with oral Benedryl. No difficult breathing noted.Rash remained the same the next day with less itching. Continued Benedryl.
Age: 1.0
Sex: F
Vaccine: HEPA, MMRV
Symptoms: Body temperature increased, Cold compress therapy, Crying, Erythema, Insomnia
Clinical narrative: Started on 08/12/07 with little red bumps on the face and body. Mother administered Benadryl 1/2 tsp every 6 hours. On 08/13/07 the little red bumps spread to the rest of the body and they became severe red raised hives covering the face, in the hair, body, arms, vaginal area, legs, feet. She was running a slight temperature and mother administered 1.28 ml infant motrin every 4 hours. She was unable to sleep or wear any clothes because she would cry when anything touched her skin. Mother placed cool, wet cloths on her skin to cool her down and ease her discomfort throughout the night. She was also itching because patient was scratching her eyes and face with her hands and against her crib.  On 08/14/07, mother took patient to pediatrician where PA gave mother Zyrtec (1 tsp/once daily) to administer to patient.  Patient has been on Zyrtec for three days now and the hives are still visible on her face and the bumpy hives are still covering her entire body. Some of the red bumps have turned into open sores with a red scab on them.
Age: 1.0
Sex: F
Vaccine: HEPA, MMRV
Symptoms: Pruritus, Rash, Scab, Urticaria
Clinical narrative: Started on 08/12/07 with little red bumps on the face and body. Mother administered Benadryl 1/2 tsp every 6 hours. On 08/13/07 the little red bumps spread to the rest of the body and they became severe red raised hives covering the face, in the hair, body, arms, vaginal area, legs, feet. She was running a slight temperature and mother administered 1.28 ml infant motrin every 4 hours. She was unable to sleep or wear any clothes because she would cry when anything touched her skin. Mother placed cool, wet cloths on her skin to cool her down and ease her discomfort throughout the night. She was also itching because patient was scratching her eyes and face with her hands and against her crib.  On 08/14/07, mother took patient to pediatrician where PA gave mother Zyrtec (1 tsp/once daily) to administer to patient.  Patient has been on Zyrtec for three days now and the hives are still visible on her face and the bumpy hives are still covering her entire body. Some of the red bumps have turned into open sores with a red scab on them.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Fatigue, Injection site erythema, Injection site induration, Nausea
Clinical narrative: Patient developed a large erythematous, indurated area at the site of injection.  The area was oblong and about 13cm on the long axis.  She also developed some nausea and fatigue.
Age: 5.0
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Allergy test negative, Injection site induration, Injection site urticaria, Injection site warmth, Urticaria
Clinical narrative: Child was in office on 8/10/07 for routine WCC, child had no symptoms of illness.  Child received the following immunizations with MD order.  Infarix,IPV,Comvax.  Child came to office again on 8/15/07 as Mother reported that within 24 hours of child being given the immunizations she developed increased warmth at the injection site, indurated hive like lesions surrounding injection site.  Over the next few days child developed hives over the upper and lower extremities, at no time did the child experience shortness of breath. There was no compliant of the hives being itchy as well as the inject sites were not bothersome in terms of itching.  There has been no other reactions noted for this child with previous immunizations.  Patient does have a documented allergy to PCN and Sulfa based drugs which she had not received.  Treatment plan was to apply warm compresses over the injection sites, benadryl prn (dosing chart provided), and MD prescribed Prelone15/5, 5ml B.I.D. x 5days. Also mother was instructed on the symptoms that would require child to go to the ER department. Also Mother was asked to call office in 48 hours even if child was better.  Mother expressed understanding of instructions given.  This date writer spoke with child's Mom.  Mom reports child is much better "welts" remain but seem to be fading.
Age: 4.0
Sex: F
Vaccine: DT
Symptoms: Epistaxis, Immediate post-injection reaction
Clinical narrative: Almost immediately following the DT shot, patient began profusely bleeding from the nose and  subsequently had several nosebleeds over the next 8 hours.  (Patient has only had 1 very minor nosebleed in her life prior from hitting her nose on a toy).
Age: 24.0
Sex: F
Vaccine: DTAP
Symptoms: Adverse event, Anorexia, Arthralgia, Chills, Cold sweat
Clinical narrative: DIZZINESS, HEADACHE, JOINT PAIN, MUSCLE ACHES, FEVER 101F,  CHILLS, CLAMMY SKIN, HOT FLASHES, SWEATS, NAUSEA, LOSS OF APPETITE, EXTREME EXHAUSTION, SEVERE PAIN WHERE VACCINATION ADMINISTERED, VACCINE LOCATION SWOLLEN - ADVERSE REACTION OCCURRED WITHIN 16 HOURS OF ADMINISTRATION, AND LASTED 36 HOURS CAUSING ME TO MISS A DAY OF WORK
Age: 24.0
Sex: F
Vaccine: DTAP
Symptoms: Dizziness, Fatigue, Headache, Hot flush, Hyperhidrosis
Clinical narrative: DIZZINESS, HEADACHE, JOINT PAIN, MUSCLE ACHES, FEVER 101F,  CHILLS, CLAMMY SKIN, HOT FLASHES, SWEATS, NAUSEA, LOSS OF APPETITE, EXTREME EXHAUSTION, SEVERE PAIN WHERE VACCINATION ADMINISTERED, VACCINE LOCATION SWOLLEN - ADVERSE REACTION OCCURRED WITHIN 16 HOURS OF ADMINISTRATION, AND LASTED 36 HOURS CAUSING ME TO MISS A DAY OF WORK
Age: 24.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site pain, Injection site swelling, Myalgia, Nausea, Pyrexia
Clinical narrative: DIZZINESS, HEADACHE, JOINT PAIN, MUSCLE ACHES, FEVER 101F,  CHILLS, CLAMMY SKIN, HOT FLASHES, SWEATS, NAUSEA, LOSS OF APPETITE, EXTREME EXHAUSTION, SEVERE PAIN WHERE VACCINATION ADMINISTERED, VACCINE LOCATION SWOLLEN - ADVERSE REACTION OCCURRED WITHIN 16 HOURS OF ADMINISTRATION, AND LASTED 36 HOURS CAUSING ME TO MISS A DAY OF WORK
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Enema administration, Full blood count, Haematochezia, Haemoglobin normal
Clinical narrative: On Aug 9th had crying and bloody stool noted by parent.  Brought to emergency department, diagnosed with ileocolic intussusception. Reduced with air enema.  8/21/07 Received vax record from provider which confirms RO dose & lost # as reported.  10/16/07 Received hospital medical records which reveal patient experienced irritability & bloody stool x 1 day.  Admitted 8/8-8/9/2007. FINAL DX: Ileocolic intussusception, enema reduced.  Records faxed to CDC.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intussusception, Platelet count normal, White blood cell count increased
Clinical narrative: On Aug 9th had crying and bloody stool noted by parent.  Brought to emergency department, diagnosed with ileocolic intussusception. Reduced with air enema.  8/21/07 Received vax record from provider which confirms RO dose & lost # as reported.  10/16/07 Received hospital medical records which reveal patient experienced irritability & bloody stool x 1 day.  Admitted 8/8-8/9/2007. FINAL DX: Ileocolic intussusception, enema reduced.  Records faxed to CDC.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Enema administration, Haematochezia, Haemoglobin normal, Intussusception
Clinical narrative: On Aug 9th had crying and bloody stool noted by parent.  Brought to emergency department, diagnosed with ileocolic intussusception. Reduced with air enema.  8/21/07 Received vax record from provider which confirms RO dose & lost # as reported.  10/16/07 Received hospital medical records which reveal patient experienced irritability & bloody stool x 1 day.  Admitted 8/8-8/9/2007. FINAL DX: Ileocolic intussusception, enema reduced.  Records faxed to CDC.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Laboratory test normal, Platelet count normal, Ultrasound abdomen abnormal, White blood cell count increased, X-ray abnormal
Clinical narrative: On Aug 9th had crying and bloody stool noted by parent.  Brought to emergency department, diagnosed with ileocolic intussusception. Reduced with air enema.  8/21/07 Received vax record from provider which confirms RO dose & lost # as reported.  10/16/07 Received hospital medical records which reveal patient experienced irritability & bloody stool x 1 day.  Admitted 8/8-8/9/2007. FINAL DX: Ileocolic intussusception, enema reduced.  Records faxed to CDC.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: X-ray gastrointestinal tract abnormal
Clinical narrative: On Aug 9th had crying and bloody stool noted by parent.  Brought to emergency department, diagnosed with ileocolic intussusception. Reduced with air enema.  8/21/07 Received vax record from provider which confirms RO dose & lost # as reported.  10/16/07 Received hospital medical records which reveal patient experienced irritability & bloody stool x 1 day.  Admitted 8/8-8/9/2007. FINAL DX: Ileocolic intussusception, enema reduced.  Records faxed to CDC.
Age: 44.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Allergy test negative, Dizziness, Dysgeusia, Erythema, Flushing
Clinical narrative: 44 year old patient reported receipt of AVA #1 and third typhoid booster 8/13/07. Less than one minute later, c/o sudden onset metallic taste in his mouth. Within 2 minutes he c/o neck, oral mucosal, lip, tongue and facial itching, flushing, dizziness (if move too fast he'll fall over) and he felt his mouth-throat begin to tingle and swell. He denied any respiratory distress or dysphagia or chest pain. He worked as an RN at a medical clinic and sought treatment with the attending physician assistant. He was given subcutaneous epinephrine, IV Solumedrol, benadryl and Zantac. He was released on Benadryl, Zantac, and 5 days Prednisone 40 mg. He has changed the Benadryl to Allegra due to sedative properties and hangover effects. The next day (8/14/07) he complained of reoccurring facial swelling and redness with palmar redness and pruritis (due for allegra). He again denied any respiratory reactions, tongue swelling/tingling, problems swallowing, or palpitations/chest pain. His PCP increased Allegra to BID.    As of this interview 8/15/07, he stated the Allegra holds symptoms for approximately 6-7 hours then the itching sensation increases with facial tightness and rash begins. His wife advised redness and fine sandpaper like rash (as if sunburned) begining to all unclothed areas but not to his torso (she is an ER RN also). All symptoms resolve after antihistamines taken.
Age: 44.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Oedema mouth, Palmar erythema, Paraesthesia oral, Pruritus, Rash
Clinical narrative: 44 year old patient reported receipt of AVA #1 and third typhoid booster 8/13/07. Less than one minute later, c/o sudden onset metallic taste in his mouth. Within 2 minutes he c/o neck, oral mucosal, lip, tongue and facial itching, flushing, dizziness (if move too fast he'll fall over) and he felt his mouth-throat begin to tingle and swell. He denied any respiratory distress or dysphagia or chest pain. He worked as an RN at a medical clinic and sought treatment with the attending physician assistant. He was given subcutaneous epinephrine, IV Solumedrol, benadryl and Zantac. He was released on Benadryl, Zantac, and 5 days Prednisone 40 mg. He has changed the Benadryl to Allegra due to sedative properties and hangover effects. The next day (8/14/07) he complained of reoccurring facial swelling and redness with palmar redness and pruritis (due for allegra). He again denied any respiratory reactions, tongue swelling/tingling, problems swallowing, or palpitations/chest pain. His PCP increased Allegra to BID.    As of this interview 8/15/07, he stated the Allegra holds symptoms for approximately 6-7 hours then the itching sensation increases with facial tightness and rash begins. His wife advised redness and fine sandpaper like rash (as if sunburned) begining to all unclothed areas but not to his torso (she is an ER RN also). All symptoms resolve after antihistamines taken.
Age: 44.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Swelling face
Clinical narrative: 44 year old patient reported receipt of AVA #1 and third typhoid booster 8/13/07. Less than one minute later, c/o sudden onset metallic taste in his mouth. Within 2 minutes he c/o neck, oral mucosal, lip, tongue and facial itching, flushing, dizziness (if move too fast he'll fall over) and he felt his mouth-throat begin to tingle and swell. He denied any respiratory distress or dysphagia or chest pain. He worked as an RN at a medical clinic and sought treatment with the attending physician assistant. He was given subcutaneous epinephrine, IV Solumedrol, benadryl and Zantac. He was released on Benadryl, Zantac, and 5 days Prednisone 40 mg. He has changed the Benadryl to Allegra due to sedative properties and hangover effects. The next day (8/14/07) he complained of reoccurring facial swelling and redness with palmar redness and pruritis (due for allegra). He again denied any respiratory reactions, tongue swelling/tingling, problems swallowing, or palpitations/chest pain. His PCP increased Allegra to BID.    As of this interview 8/15/07, he stated the Allegra holds symptoms for approximately 6-7 hours then the itching sensation increases with facial tightness and rash begins. His wife advised redness and fine sandpaper like rash (as if sunburned) begining to all unclothed areas but not to his torso (she is an ER RN also). All symptoms resolve after antihistamines taken.
Age: 8.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Anaphylactic reaction, Dyspnoea, Urticaria, Wheezing
Clinical narrative: Anaphylactic reaction involving wheezing, dyspnea and urticaria. Given subcutaneous epinephrine.  8/21/07 Received pcp office notes & vax records which confirm dose & lot #s.  Well child on day of vax.  Was nurse visit for vax only.  Received varivax in RA & was giving Hep A in LA when jerked away & then given in RA.  Shortly thereafter, began having difficulty breathing, wheezng, raised urticarial erythematous rash on trunk & puffiness of eyes. Given EpiPen & within 5 min resp symptoms resolved. Rash resolved w/n 15 minutes. FINAL DX: anaphylactic reaction, presumably to immunization.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, IPV, MMRV, PNC, DTAP, HIBV, IPV, MMRV
Symptoms: Erythema, Measles antibody negative, Pyrexia, Rash morbilliform, Rash papular
Clinical narrative: Patient developed moderate measles like rash and fever to >103 that required office visit and nmerous phone calls.  Rash was morbilliform red papules that began on face and progressed to rest of body.  Fever began on 8/5 ans rach on 8/7/07
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, IPV, MMRV, PNC, DTAP, HIBV, IPV, MMRV
Symptoms: Measles, Pyrexia
Clinical narrative: Patient developed moderate measles like rash and fever to >103 that required office visit and nmerous phone calls.  Rash was morbilliform red papules that began on face and progressed to rest of body.  Fever began on 8/5 ans rach on 8/7/07
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Fatigue, Pain, Pain in extremity
Clinical narrative: pt is c/o sore red arm- fever of 101- fatigue and aches
Age: 3.0
Sex: M
Vaccine: IPV, MMRV
Symptoms: Blood culture negative, CSF glucose increased, CSF protein increased, CSF test abnormal, CSF white blood cell count increased
Clinical narrative: FEVER, NECK STIFFNESS, MALAISE,HEADACHE ONE DAY AFTER VACCINATION, ADMITTED TO HOSPITAL, DIAGNOSED WITH ASEPTIC MENINGITIS. SPENT 4 DAYS IN PEDS UNITS, DISCHARGED IN STABLE CONDITION. 9/11/07 Reviewed hospital medical records which reveal patient experienced lethargy, fatigue, fever, decreased appetite, epigastric pain HA & neck stiffness.  Admitted 8/12-8/15/07.  Tx w/IV antibioticsContinued w/intermittent fever while hospitalized. Symptoms otherwise improved & was d/c to home on no additional antibiotics.  FINAL DX: Aseptic meningitis, likely viral; GERD
Age: 3.0
Sex: M
Vaccine: IPV, MMRV
Symptoms: Culture negative, Headache, Malaise, Meningitis aseptic, Musculoskeletal stiffness
Clinical narrative: FEVER, NECK STIFFNESS, MALAISE,HEADACHE ONE DAY AFTER VACCINATION, ADMITTED TO HOSPITAL, DIAGNOSED WITH ASEPTIC MENINGITIS. SPENT 4 DAYS IN PEDS UNITS, DISCHARGED IN STABLE CONDITION. 9/11/07 Reviewed hospital medical records which reveal patient experienced lethargy, fatigue, fever, decreased appetite, epigastric pain HA & neck stiffness.  Admitted 8/12-8/15/07.  Tx w/IV antibioticsContinued w/intermittent fever while hospitalized. Symptoms otherwise improved & was d/c to home on no additional antibiotics.  FINAL DX: Aseptic meningitis, likely viral; GERD
Age: 3.0
Sex: M
Vaccine: IPV, MMRV
Symptoms: Pyrexia
Clinical narrative: FEVER, NECK STIFFNESS, MALAISE,HEADACHE ONE DAY AFTER VACCINATION, ADMITTED TO HOSPITAL, DIAGNOSED WITH ASEPTIC MENINGITIS. SPENT 4 DAYS IN PEDS UNITS, DISCHARGED IN STABLE CONDITION. 9/11/07 Reviewed hospital medical records which reveal patient experienced lethargy, fatigue, fever, decreased appetite, epigastric pain HA & neck stiffness.  Admitted 8/12-8/15/07.  Tx w/IV antibioticsContinued w/intermittent fever while hospitalized. Symptoms otherwise improved & was d/c to home on no additional antibiotics.  FINAL DX: Aseptic meningitis, likely viral; GERD
Age: 5.0
Sex: F
Vaccine: DTAP, MMRV
Symptoms: Body temperature increased, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: 14Aug07 4:30 P.M. Shots administered at clinic.  15Aug07 6:30 A.M. Patient awoke with 101.6 degree temperature, and localized mild swelling at injection site.  Began alernating schedule of ibuprofen and acetiminophen every three hours (or so).  5:00 P.M. Patient's fever rises to 104.0 degrees, swelling increased to moderate with acute pain at injection site.  16Aug07 6:00 A.M. Patient's fever has dropped to 103.0 degrees.  10:45 A.M. Patient's fever reduced to 88.8 degrees.  Treatment continues.
Age: 73.0
Sex: F
Vaccine: DT
Symptoms: Injection site erythema, Injection site urticaria, Injection site warmth
Clinical narrative: Injection site is developed large hive with redness anf hot to touch.  there is no tenderness. no fever, no SOB. Normal mental status.  the Hive was developed in 48 hourse after injection.
Age: 0.2
Sex: F
Vaccine: RV5
Symptoms: Nausea, Vomiting
Clinical narrative: Information has been received from a physician concerning a 2month old female who on an unspecified date in 2007 was vaccinated with the first dose of Rotateq, 2 ml, oral. Concomitant medication was not reported. On an unspecified date in 2007, the patient experienced nausea and vomiting for one week after her first vaccination of Rotateq. The patient sought unspecified medical attention. Subsequently, the patient recovered from the nausea and vomiting after a week. No product quality complaint was involved. Additional information has been requested.
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abnormal faeces, Diarrhoea, Laboratory test
Clinical narrative: Information has been received from a nurse concerning a male on 26-APR-2007 who was vaccinated with Rotateq (LOT 656385/0030U) first dose and the second dose on 20-JUN-2007 (LOT # 656184/0558U). Concomitant therapy included PEDIARIX, PEDVAX HIB and PREVNAR given on 26-APR-2007 and 20-JUN-2007. The nurse reported that the child had presented to the office with foul smelling diarrhea with no fever. The nurse reported that they were testing the child for rotavirus. The nurse reported that the patient had not recovered. There was no product quality complaint. Additional information ha been requested.
Age: 0.1
Sex: U
Vaccine: RV5
Symptoms: Inappropriate schedule of drug administration, No adverse effect
Clinical narrative: Information has been received from a registered nurse concerning a 4 week old patient who was vaccinated with a dose of Rotateq (Lot #657049/0503U). No symptoms have been reported. Additional information has been requested.
Age: 0.17
Sex: F
Vaccine: RV5
Symptoms: Diarrhoea
Clinical narrative: This is in follow-up to report (s) submitted on 8/14/2007. Information has been received from a physician concerning a 2 month old female with pertinent medical history and drug reactions/allergies reported as non who on 11-JUN-2007 was vaccinated with ROTATEQ a first dose (lot #656835/0624U), oral. Concomitant medication was reported as none. In approximately June 2007, several weeks post vaccination, the patient experienced stools that were looser than normal. No other symptoms were noted. The patient sought unspecified medical attention. The outcome and causality of the event were not reported. No product quality complaint was involved. Additional information has been requested.
Age: 0.33
Sex: F
Vaccine: RV5
Symptoms: Tongue discolouration
Clinical narrative: Information has been received from a registered nurse concerning an approximately 4 month old female who in April 2007 (about two and a half months ago), was vaccinated with the first dose of Rotateq, 2 mL, oral. On an unspecified date in 2007, the patient received the second dose of Rotateq. Concomitant medication was reported as none. On an unspecified date in 2007, after the patient received both the first and second dose of Rotateq, she experienced a greenish tint to the tongue. The patient sought unspecified medical attention. Subsequently on an unspecified date, the patient recovered completely from the greenish tint to tongue. No product quality complaint was involved. Additional information has been requested.
Age: 0.2
Sex: F
Vaccine: RV5
Symptoms: Diarrhoea
Clinical narrative: Information has been received from a certified nurse practitioner concerning a 2 month old female who on 21-JUN-2007 was vaccinated with a dose of Rotateq (lot # 656388/0506U), 2 mL, oral. On 23-JUN-2007, after the patient received Rotateq, the patient experienced diarrhea for approximately 5 days. The patient sought unspecified medical attention. Subsequently on 28-JUN-2007, the patient recovered from diarrhea. No product quality complaint was involved. Additional information has been requested.
Age: 0.5
Sex: M
Vaccine: RV5
Symptoms: Abdominal pain upper, Irritability, Vaccine positive rechallenge
Clinical narrative: Information has been received from a physician concerning his 5 month old male son who was vaccinated with Rotateq PO (LOT # 656194/0024U). The physician reported that after receiving Rotateq PO, the patient was experiencing irritability and stomach cramping for about 24 hours. "The patient had the same reaction to both doses of Rotateq PO," but he will still have the third dose". Subsequently, the patient recovered from irritability and stomach cramping. Additional information has been requested.
Sex: U
Vaccine: RV5
Symptoms: Haematemesis
Clinical narrative: Information has been received from a health care provider in a physician office concerning a patient who was vaccinated with ROTATEQ. The health care provided reported something about a "baby spitting up blood" and ROTATEQ. No additional information or details were provided. The patient sought unspecified medical attention. Further information has been requested.
Age: 0.2
Sex: M
Vaccine: RV5
Symptoms: Diarrhoea
Clinical narrative: Information has been received from a health professional concerning an 8 week old white male (weight 20# 13 oz., height 27.25") with no known drug allergies who on 30-APR-2007 was vaccinated with the first dose of Rotateq (lot #656188/1238F), oral. Concomitant medication was not reported. On 30-APR-2007, the patient's mother reported that the patient experienced diarrhea for 24 hours. Subsequently after 24 hours, the patient recovered from diarrhea. Additional information has been requested.
Sex: F
Vaccine: RV5
Symptoms: Urticaria
Clinical narrative: Information has been received from a physician concerning a female who on approximately 01-JUL-2007 was vaccinated PO with a 2mL dose of Rotateq. On approximately 05-JUL-2007 or 06-JUL-2007, the patient experienced hives. No lot number was provided. Unspecified medical attention was sought. No further information was provided. There was no product quality complaint. Additional information has been requested.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Vaccine positive rechallenge
Clinical narrative: Information has been received from a health professional concerning an 8-week-old male with no pre-existing allergies, birth defects, or medical conditions who on 27-FEB-2007 and 22-APR-2007 was vaccinated PO with the first and second doses of ROTATEQ (Lot # 656188/1238F and Lot # 656383/0235U, respectively). Concomitant therapy on 27-FEB-2007 and 22-APR-2007 included doses of PREVNAR (Lot # B08684C and Lot # B08670H, respectively) administered IM, doses of PEDIARIX (Lot # AC21B92AA and Lot # AC21B114CA, respectively) administered IM, and doses of ACTHIB (Lot # UF073AA and Lot # UF974AA) administered IM. On 27-FEB-2007, after the first vaccination, the patient experienced 2-3 liquid stools for 2 weeks. No blood was noted. Subsequently, the patient recovered. On 22-APR-2007, after the second vaccination, the patient experienced 2-3 liquid stools for 2 days. No blood was noted. Subsequently, the patient recovered. The mother refused the third dose of ROTATEQ on 03-JUL-2007. There were no events following prior vaccinations of the patient or his siblings. Additional information has been requested.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, RV5
Symptoms: Diarrhoea, Diarrhoea
Clinical narrative: Information has been received from a nurse practitioner concerning a 2 month old male who was vaccinated PO with the first dose of Rotateq (Lot #655296/0979F). Concomitant therapy included PedvaxHIB and Pediarix. Subsequently the patient experienced explosive diarrhea. The physician changed the formula and sent the patient to the emergency room. The physician is going to follow up but did not know the patient's current state at the time of the report. Unspecified medical attention was sought. There was no product quality complaint. Additional information has been requested. Follow-up information was received from the NP concerning the 10-week-old male with no medical history who on the morning of 21-JUN-2007 was vaccinated PO with the first dose of ROTATEQ (lot # 635296/0979P). There was no illness at time of vaccination. The NP reported that on 02-JUL-2007, at 1547, the patient developed loose, watery, explosive diarrhea 10 x/day until 06-JUL-2007. No laboratory/diagnostic tests were performed. The patient's formula was changed to soy formula x 2 weeks with no further evaluation or illness reported. Additional information is not expected.
Age: 0.42
Sex: F
Vaccine: RV5
Symptoms: Immediate post-injection reaction, Vomiting
Clinical narrative: Information has been received from a physician concerning a 21-week-old female with no pre-existing allergies, birth defects, or medical conditions who on 09-APR-2007 and 11-JUL-2007 in the PM was vaccinated with the first and second (PO) dose of Rotateq (Lot # 656833/0407U - second dose). There was no illness at the time of vaccination. On 11-JUL-2007, within a minute (also reported as 15 seconds) of vaccination, the patient vomited. There was no adverse effect after the first dose was administered. Unspecified medical attention was sought. There was no product quality complaint. There were no relevant diagnostic tests or laboratory data. Additional follow up information indicated that the baby was fine and she believed that the baby was "worked up" over getting the shots and threw everything up. The baby will receive her second dose of Rotateq at 6 months of age. No additional information is expected.
Age: 1.0
Sex: F
Vaccine: RV5
Symptoms: Diarrhoea, Inappropriate schedule of drug administration, Pyrexia, Vaccine positive rechallenge, Vomiting
Clinical narrative: Information has been received from a physician concerning a less than 12 month old female with a history of diarrhoea (patient recovered one day prior to first vaccination of Rotateq from a previous case of diarrhea) who on unspecified dates was vaccinated with the first and second doses of Rotateq. Concomitant medication was not reported. Subsequently on an unknown date, the patient received the first dose of Rotateq and experienced fever, diarrhea, vomiting and fever (unspecified time course and resolution). On an unspecified date, the patient received the second dose of Rotateq and experienced fever, diarrhea, vomiting starting the same day (resolution unspecified). The patient sought unspecified medical attention. The physician decided not to administer the third dose of Rotateq. Subsequently on an unspecified dates, the patient recovered from both incidents of fever, diarrhea and vomiting. Additional information has been requested.
Age: 0.08
Sex: U
Vaccine: RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Information has been received from a physician concerning a patient who was vaccinated with the first oral dose of Rotateq at five weeks of age. No adverse event was reported. It was unknown if medical attention was sought. No product quality complaint reported. No further information is available.
Age: 0.5
Sex: M
Vaccine: RV5
Symptoms: Inappropriate schedule of drug administration, Unevaluable event
Clinical narrative: Information has been received from a registered nurse (RN) concerning a 6 month old male who on 12-jul-2007 was vaccinated with the first dose of Rotateq. Unspecified medical attention was sought. No product quality complaint was reported. Additional information has been requested.
Sex: U
Vaccine: RV5
Symptoms: Underdose, Vomiting
Clinical narrative: Information has been received from a registered nurse concerning a patient who on 13-JUL-2007 was vaccinated with the first dose of Rotateq. On 13-JUL-2007 the patient developed vomiting during administration and the patient only received some of the dose. It is unknown if medical attention was sought. The patient's present status is unknown at this time. No product quality complaint was reported. Additional information has been requested.
Age: 0.2
Sex: U
Vaccine: RV5
Symptoms: Diarrhoea
Clinical narrative: Information has been received from a physician concerning a 2 month old patient with no medical history who was vaccinated with the first oral dose of Rotateq. Subsequently the patient developed diarrhea within 5 days of receiving Rotateq. It was reported that the patient had 3 bowel movements for 3 weeks. Unspecified medical attention was sought. No labs were performed. Subsequently, the patient recovered. No product quality complaint reported. Additional information has been requested. This is in follow-up to report (s) previously submitted on 8/14/2007.  Information has been received from a physician concerning a 2 month old patient with no medical history who was vaccinated with the first oral dose of ROTATEQ.  Subsequently the patient developed diarrhea within 5 days of receiving ROTATEQ.  It was reported that the patient had 3 bowel movements a day for 3 weeks.  Unspecified medical attention was sought.  No labs were performed.  Subsequently, the patient recovered.  There were no product quality complaint reported.  Additional information has been requested.
Age: 1.0
Sex: F
Vaccine: RV5
Symptoms: Dehydration, Diarrhoea, Gastroenteritis rotavirus, Inappropriate schedule of drug administration, Vomiting projectile
Clinical narrative: Information has been received from a medical assistant, who reported that her approximately one year daughter received her first dose of Rotateq at 2 months and the second dose at 4 months in January 2007. In February, the patient was taken to the emergency room for projectile vomiting and diarrhea and was treated for dehydration. The patient was not admitted to the hospital. Onset date was also reported as "one month after the second dose (January 2007)". The medical assistant reported that the patient was exposed to two other children who had similar symptoms. These children had not been vaccinated with Rotateq. There was no product quality complaint. In follow-up information it was clarified that the patient was experiencing rotavirus and not intussusception. Additional information is not expected.
Age: 0.1
Sex: U
Vaccine: RV5
Symptoms: Inappropriate schedule of drug administration, Unevaluable event
Clinical narrative: Information has been received from a physician concerning a 7-day-old patient who on 16-JUL-2007 was vaccinated with the first dose of Rotateq. It was unknown if medical attention was sought. No adverse experience was reported. This is one of several reports from the same source. Additional information has been requested.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Musculoskeletal stiffness, Pain, Pallor, Screaming
Clinical narrative: Information has been received from a licensed practical nurse a 9 weeks old white male (weight 13#, height 24.25") with medical conditions, birth defects and allergies reported as none who on 30-APR-2007 at 11:30 am was vaccinated with the first dose of Rotateq (lot # 656193/0023U), oral. On that same day the patient received concomitant therapy which included PREVNAR (lot #B08689H), IM in the right thigh, Hib conj vaccine (lot # 655079/01435F), IM in the right thigh and PEDIARIX (lot #AC21B110AB) IM in the left thigh. No illness was noted at the time of vaccination. On 07-MAY-2007 (about six days after getting the Rotateq), the patient woke up early one morning screaming in pain, no fever, very pale, very watery diarrhea and refused to eat. The patient would get stiff as a board and curl knees to abdomen which lasted for about a day and a half. Subsequently, the patient recovered from screaming in pain, very pale, very water diarrhea, refused to eat, stiff as a board and curl knees to abdomen. Additional information has been requested.