chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Amnesia, Blood pressure decreased, Cold sweat, Convulsion, Fall
Clinical narrative: Pt. had immediate fainting spell.  Recovered for 2 minutes then had seizure like movements for 10 seconds.  Eyes rolled back into head, cold & clammy skin - ashen color, decreased BP & decreased P.  Once recovered had no memory of fainting or falling from chair.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Gaze palsy, Heart rate decreased, Immediate post-injection reaction, Pallor, Syncope
Clinical narrative: Pt. had immediate fainting spell.  Recovered for 2 minutes then had seizure like movements for 10 seconds.  Eyes rolled back into head, cold & clammy skin - ashen color, decreased BP & decreased P.  Once recovered had no memory of fainting or falling from chair.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Breast pain, Chills, Feeling cold, Pain, Skin irritation
Clinical narrative: 12 hours after administration, patient had freezing chills, prickly skin, aches lasting approximately 4 hours.  12 hours after the Shingles shot at 2:30am, I felt freezing cold - my skin was not icy - it felt prickly - my hands too, but also they ached.  I couldn't get warm even with blankets, long johns and warm night gown.  It's 4 AM and the intense cold has let up.  I'm drinking hot decaf tea.  I still feel prickly on my back arms, legs - but less intense.  Earlier today, I had stabbing pains on and off in my left breast.  4:15 the coldness is gone - skin feels prickly yet decreased during the day to normal.
Age: 14.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Ear pain, Headache, Pain, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Female patient developed fever, vomiting, body aches, sore throat, h/a & ear pain.
Age: 14.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Streptococcal identification test negative, Vomiting
Clinical narrative: Female patient developed fever, vomiting, body aches, sore throat, h/a & ear pain.
Age: 23.0
Sex: F
Vaccine: SMALL, TYP
Symptoms: Blood pressure, Dyspnoea, Epiglottic oedema, Heart rate, Pruritus
Clinical narrative: Epiglottal swelling, pruritis, tachycardia, SOB, EPI 0.3 IMx3 Solu Medrol 125mg IM IV O2, Zyrtec 10 mg + response to anti antiphlactic meds.
Age: 23.0
Sex: F
Vaccine: SMALL, TYP
Symptoms: Tachycardia
Clinical narrative: Epiglottal swelling, pruritis, tachycardia, SOB, EPI 0.3 IMx3 Solu Medrol 125mg IM IV O2, Zyrtec 10 mg + response to anti antiphlactic meds.
Age: 10.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Erythema, Local reaction, Pain, Wrong drug administered
Clinical narrative: Patient was to receive a Tdap.  He was given ADACEL which is indicated for age 11 yrs instead of BOOSTRIX which is indicated for age 10 yrs.  Pt was 10 yrs 6 1/2 mos of age.  Mother reports local redness after vaccine for 4 days.  8 days after the vacc he awoke w/ severe pain x2 hours.
Age: 14.0
Sex: F
Vaccine: MNQ
Symptoms: Body temperature increased, Full blood count, Headache, Streptococcal identification test, Vomiting
Clinical narrative: H/A started day after MENACTRA given.  Headache (1-2 time qd) relieved by TYLENOL.  Temp. 6/21/08-6/22/08 (Temp 99-102).  Vomited once today.
Age: 10.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Local reaction
Clinical narrative: Localized swelling and erythema 8cm in diameter around injection site and very tender.
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Oedema peripheral
Clinical narrative: Patient presented to clinic on 6/20/08 to show his right arm where he received his PNEUMOVAX injection (6/18/08). It was swollen and reddened and apparently tender. Patient states he has been taking TYLENOL and applying ice. Patient appeared eupneic and in no other distress. Nurse at clinic reported several (3 or 4) similar reactions to PNEUMOVAX of same lot. 3 remaining vials from same lot discarded and new lot ordered. Symptoms: 1. swollen, reddened arm (whole arm, not just injection site). Treatment Drugs Used: 1. Acetaminophen Dose: 325 Units: MG Free: QID Route: PO
Age: 0.6
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Urticaria
Clinical narrative: Developed hives on shoulders & thighs.  No lip/tongue swelling, 2 hours after vaccines administered.  Also on AMOXIL.  AMOXIL discontinued, BENADRYL 3/4 tsp q 6 hours.
Age: 43.0
Sex: M
Vaccine: TYP
Symptoms: Pruritus, Rash generalised
Clinical narrative: Patient returned to clinic on 2/19/08 for an IPV for foreign travel and verbally reports that the oral Typhoid I sent him home with on 2/3/08 caused a complete body rash and itching.
Age: 53.0
Sex: U
Vaccine: TD
Symptoms: Incorrect route of drug administration
Clinical narrative: None stated
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Culture urine, Pyrexia, Rash, Urine analysis
Clinical narrative: Received MMR and VARIVAX on 6/9/08. Seen on our office 6/24/08 with fever x 1wk-14 days after immunes. Temp 101 with mild rash (not Varicella) on face. No evidence of OM, PREVNAR, meningitis. VA; UC done (has Grade 2 urinary reflex)
Age: 10.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: No adverse events
Age: 30.0
Sex: F
Vaccine: MMR
Symptoms: Blood pressure, Cold sweat, Dyskinesia, Heart rate normal, Respiratory rate increased
Clinical narrative: Observed patient, lying face down on the floor, skin cool and clammy and slight jerking movements in upper extremities.  Patient able to respond to verbal commands such as gripping nurse's hand and movement of legs without difficulty.  Assisted to medical examination table.  Blood pressure 80/60 pulse 78 respirations 24 even and unlabored.  Patient responding verbally oriented to the correct time, place and person.  No noticeable bruises.  10:15 emergency team arrived B/P 110/60.  Patient refused to go to emergency room.  Released in the care of family members.
Age: 1.1
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash generalised, Rash vesicular
Clinical narrative: 20-30 Vesicular Lesions arms, legs, trunk and face.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Rash erythematous
Clinical narrative: Bumpy redness on L arm after MMR and varicella shots were given SQ.  1 tsp of BENADRYL was given with 1 1/2 tsp of TYLENOL.  5 mnts later redness started to fade away along with little bumps.
Age: 10.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: Area swollen, red, tender to touch.
Age: 1.1
Sex: F
Vaccine: FLU3, PNC, VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: Varicella vaccine breakthrough.  Seen 6-24-08 with over 100 lesions, no fever, diagnosed with varicella.
Age: 18.0
Sex: F
Vaccine: HEPA, MEN
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Hivelike rash and itching, trunk, arms, upper legs, trunk. Treated 6/30 with topical steroids and oral antihistamines. Systemic steroids avoided as there are no respiratory or joint symptoms.
Age: 1.0
Sex: M
Vaccine: PNC
Symptoms: Injection site cellulitis, Injection site erythema, Injection site warmth
Clinical narrative: Recieved prevnar # 4 on 6/16/08.  Stared on 6/18/08 wilth left thigh redness, area warm to touch.  Seen in our office for eval and diagnosed with cellulitis.  Treated with Keflex.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, MMR, VARCEL
Symptoms: Erythema
Clinical narrative: MOM NOTICED RED AREA TO RIGHT THIGH ON 6/29/2008  RED AREA 10CM BY 12CM TO TOP OF THIGH.  NO PAIN OR DISCOMFORT PER PATIENT
Age: 27.0
Sex: F
Vaccine: DTAP
Symptoms: Back pain, Chills, Computerised tomogram normal, Headache, Lumbar puncture normal
Clinical narrative: Within 24 hours of vaccine developed fever to 39.5C, headache, chills, neck and back pain.
Age: 27.0
Sex: F
Vaccine: DTAP
Symptoms: Neck pain, Pyrexia
Clinical narrative: Within 24 hours of vaccine developed fever to 39.5C, headache, chills, neck and back pain.
Age: 2.0
Sex: M
Vaccine: DTAP, HEP
Symptoms: Lethargy, Vomiting
Clinical narrative: On 6/27/08, my son received the 3rd doses of his Hep B and DTaP vaccines.  On 6/28/07, my son did not wake at his usual time - around 7 am.  I went into his room at 8:30 to check on him and there was vomit all over his bed.  He was very lethargic acting.  I took him downstairs and he threw up again.  I called his Dr. office and the nurse told me to give him Tylenol and bring him in.  I did not feel comfortable giving him Tylenol, as I did not want to mask his symptoms.  I monitored him and he started to improve, throughout the day.  He was able to keep lunch down and as the day progressed, perked up.
Age: 21.0
Sex: F
Vaccine: MNQ
Symptoms: Anorexia, Body temperature increased, Dizziness, Dyspnoea, Headache
Clinical narrative: Client woke up on 6/30/08 with a temperature of 100.2 F.  Left deltoid area was edematous, warm to touch, & tender. Complained of severe headache, dizziness, loss of appetite, & shortness of breath. Took Tylenol throughout the day.  On 6/27/08, she still had a temp. of 100.2 F and a slight headache. Saw her physician who said he thinks it was a reaction to the latex in the stopper of the vial.  Feeling much better on 6/30/08.
Age: 21.0
Sex: F
Vaccine: MNQ
Symptoms: Oedema peripheral, Skin warm, Tenderness
Clinical narrative: Client woke up on 6/30/08 with a temperature of 100.2 F.  Left deltoid area was edematous, warm to touch, & tender. Complained of severe headache, dizziness, loss of appetite, & shortness of breath. Took Tylenol throughout the day.  On 6/27/08, she still had a temp. of 100.2 F and a slight headache. Saw her physician who said he thinks it was a reaction to the latex in the stopper of the vial.  Feeling much better on 6/30/08.
Age: 24.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: redness, pain, swelling at tetanus site started 6/26/08.  Bactrim DS called in.  Patient started it on 6/28.  Called in again on 3/30, sx still persisting.  appt scheduled for 6/30 to check on arm.
Age: 1.25
Sex: F
Vaccine: DTP, MMR
Symptoms: Conjunctivitis, Cough, Pyrexia, Rash papular
Clinical narrative: Fever developed on 6/26/08, with max temp 104.7, down to lowest temp of 103.3 (with tylenol and motrin) for 3 days, then afebrile.  Widespread papular rash began 6/29/08, starting on head and neck, spreading to torso, arms and legs by 6/30/08.  +conjunctivitis and mild cough.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Nausea, Vomiting
Clinical narrative: Mom stated that by the time child got home from clinic, she was nauseated and began vomiting; this continued through most of night; vomited breakfast in the AM and then it was over.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Rash
Clinical narrative: LOCALIZED REDNESS AT SITE, RASH DEVELOPMENT ON UPPER TORSO.
Age: 33.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: swelling and redness to tetanus site.  rx'd Bactim DS.
Age: 70.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Amyotrophic lateral sclerosis, Neurological symptom
Clinical narrative: Patient began to develop neurological symptoms approximately 10 months after receiving Zostavax. In May 2008 she was diagnosed with Amyotrophic Lateral Sclerosis. 7/14/08-records received-4/1/08-seen for C/O low back pain since 2004, increasing in severity and intensity over past 6 months since 9/07. Left lower extremity numbness, foot drop involving left ankle and foot for past 3 months. Feel weak. Numbness in toes. Blurred vision, unsteady, tingling. 6/30/08-DX with ALS.
Age: 70.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Amyotrophic lateral sclerosis, Hypoaesthesia, Nerve compression, Paralysis, Peroneal nerve palsy
Clinical narrative: Patient began to develop neurological symptoms approximately 10 months after receiving Zostavax. In May 2008 she was diagnosed with Amyotrophic Lateral Sclerosis. 7/14/08-records received-4/1/08-seen for C/O low back pain since 2004, increasing in severity and intensity over past 6 months since 9/07. Left lower extremity numbness, foot drop involving left ankle and foot for past 3 months. Feel weak. Numbness in toes. Blurred vision, unsteady, tingling. 6/30/08-DX with ALS.
Age: 70.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Spinal column stenosis
Clinical narrative: Patient began to develop neurological symptoms approximately 10 months after receiving Zostavax. In May 2008 she was diagnosed with Amyotrophic Lateral Sclerosis. 7/14/08-records received-4/1/08-seen for C/O low back pain since 2004, increasing in severity and intensity over past 6 months since 9/07. Left lower extremity numbness, foot drop involving left ankle and foot for past 3 months. Feel weak. Numbness in toes. Blurred vision, unsteady, tingling. 6/30/08-DX with ALS.
Age: 0.34
Sex: M
Vaccine: DTAP, HIBV, IPV, RV5, DTAP, HIBV, IPV, RV5
Symptoms: Diet refusal, Discomfort, Intussusception, Lethargy, Pain
Clinical narrative: Received Rotavirus vaccine on Monday morning (am) (June 16th 2008) by Thursday morning my son had not had regular bowel movements, was discomfort during sleeping hours nights prior, Thursday morning my son began to show signs of being lethargic, refusal to eat and what ever he did eat he began to vomit and scream in pain. (reportingly a neighbor called the local police to report a child screaming excessively). My son was taken to our pediatrician for examination Thursday (June 19th, 2008) morning at that point the pediatrician recommended my son be taken to a local hospital for an X-Ray & Ultrasound for what appeared to be "Intussusceptions"; Local Hospital confirmed via. x-ray/ultrasound scans "Intussusceptions" but the facilities were unequipped for this type of pediatric condition and recommended my son be taken to "Hospital" immediately where it was confirmed via. scan the Intussusceptions was positive. A procedure was performed via. an "Enema" technique to reduce the intestine. The procedure worked, my son was hospitalized for observation and released on June 21st, 2008. In less than 24 hrs my son was rushed back to "Medical Center" on June 22nd, 2008 for the same condition reoccurring. All the previous signs began in the early morning of the 22nd of June. A scan was performed confirming the Intussusceptions had occurred for the second time in less than a few days apart from the 1st occurrence. The same "Enema" procedure was performed and my son was hospitalized again from June 22nd - to - June 25th. 7/14/08-records received for DOS 6/19/08-DX:Intussusception. Presented with irritability and intermittent inconsolability. Tenderness right side of abdomen. Day prior non-bloody non-bilious emesis and 2 non-bloody stools.. 7/25/08-records received for DOS 6/22-6/25/08-DX:Intussusception with successful reduction with air enema. C/O abdominal pain decreased oral intake. Seen prior to this admission for intussusception. No fever, diarrhea, vomiting. Abdomen nondistended, non tender.
Age: 0.34
Sex: M
Vaccine: DTAP, HIBV, IPV, RV5, DTAP, HIBV, IPV, RV5
Symptoms: Screaming, Ultrasound scan abnormal, Vomiting, X-ray
Clinical narrative: Received Rotavirus vaccine on Monday morning (am) (June 16th 2008) by Thursday morning my son had not had regular bowel movements, was discomfort during sleeping hours nights prior, Thursday morning my son began to show signs of being lethargic, refusal to eat and what ever he did eat he began to vomit and scream in pain. (reportingly a neighbor called the local police to report a child screaming excessively). My son was taken to our pediatrician for examination Thursday (June 19th, 2008) morning at that point the pediatrician recommended my son be taken to a local hospital for an X-Ray & Ultrasound for what appeared to be "Intussusceptions"; Local Hospital confirmed via. x-ray/ultrasound scans "Intussusceptions" but the facilities were unequipped for this type of pediatric condition and recommended my son be taken to "Hospital" immediately where it was confirmed via. scan the Intussusceptions was positive. A procedure was performed via. an "Enema" technique to reduce the intestine. The procedure worked, my son was hospitalized for observation and released on June 21st, 2008. In less than 24 hrs my son was rushed back to "Medical Center" on June 22nd, 2008 for the same condition reoccurring. All the previous signs began in the early morning of the 22nd of June. A scan was performed confirming the Intussusceptions had occurred for the second time in less than a few days apart from the 1st occurrence. The same "Enema" procedure was performed and my son was hospitalized again from June 22nd - to - June 25th. 7/14/08-records received for DOS 6/19/08-DX:Intussusception. Presented with irritability and intermittent inconsolability. Tenderness right side of abdomen. Day prior non-bloody non-bilious emesis and 2 non-bloody stools.. 7/25/08-records received for DOS 6/22-6/25/08-DX:Intussusception with successful reduction with air enema. C/O abdominal pain decreased oral intake. Seen prior to this admission for intussusception. No fever, diarrhea, vomiting. Abdomen nondistended, non tender.
Age: 0.34
Sex: M
Vaccine: DTAP, HIBV, IPV, RV5, DTAP, HIBV, IPV, RV5
Symptoms: Intussusception, Ultrasound abdomen
Clinical narrative: Received Rotavirus vaccine on Monday morning (am) (June 16th 2008) by Thursday morning my son had not had regular bowel movements, was discomfort during sleeping hours nights prior, Thursday morning my son began to show signs of being lethargic, refusal to eat and what ever he did eat he began to vomit and scream in pain. (reportingly a neighbor called the local police to report a child screaming excessively). My son was taken to our pediatrician for examination Thursday (June 19th, 2008) morning at that point the pediatrician recommended my son be taken to a local hospital for an X-Ray & Ultrasound for what appeared to be "Intussusceptions"; Local Hospital confirmed via. x-ray/ultrasound scans "Intussusceptions" but the facilities were unequipped for this type of pediatric condition and recommended my son be taken to "Hospital" immediately where it was confirmed via. scan the Intussusceptions was positive. A procedure was performed via. an "Enema" technique to reduce the intestine. The procedure worked, my son was hospitalized for observation and released on June 21st, 2008. In less than 24 hrs my son was rushed back to "Medical Center" on June 22nd, 2008 for the same condition reoccurring. All the previous signs began in the early morning of the 22nd of June. A scan was performed confirming the Intussusceptions had occurred for the second time in less than a few days apart from the 1st occurrence. The same "Enema" procedure was performed and my son was hospitalized again from June 22nd - to - June 25th. 7/14/08-records received for DOS 6/19/08-DX:Intussusception. Presented with irritability and intermittent inconsolability. Tenderness right side of abdomen. Day prior non-bloody non-bilious emesis and 2 non-bloody stools.. 7/25/08-records received for DOS 6/22-6/25/08-DX:Intussusception with successful reduction with air enema. C/O abdominal pain decreased oral intake. Seen prior to this admission for intussusception. No fever, diarrhea, vomiting. Abdomen nondistended, non tender.
Age: 18.0
Sex: F
Vaccine: DTAP, HPV4
Symptoms: Arthralgia, Cough, Fatigue, Headache, Laboratory test normal
Clinical narrative: About 1 hour after receiving her vaccines she became ill with fever, fatigue, muscle & joint aches & severe headache. Her fever increased over the next few days & she then also developed a sore throat & cough. She was seen in an urgent care center & required IV fluids. Tests were run but they are all negative or still pending. She is being treated with Tylenol & Advil for fever & discomfort & with cough medication. She was also reexamined by a doctor today (day 6 of her reaction) who confirmed a probable reaction to being vaccinated.
Age: 18.0
Sex: F
Vaccine: DTAP, HPV4
Symptoms: Myalgia, Pharyngolaryngeal pain, Pyrexia, Vaccination complication
Clinical narrative: About 1 hour after receiving her vaccines she became ill with fever, fatigue, muscle & joint aches & severe headache. Her fever increased over the next few days & she then also developed a sore throat & cough. She was seen in an urgent care center & required IV fluids. Tests were run but they are all negative or still pending. She is being treated with Tylenol & Advil for fever & discomfort & with cough medication. She was also reexamined by a doctor today (day 6 of her reaction) who confirmed a probable reaction to being vaccinated.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Local swelling
Clinical narrative: PATIENT HAD LOCALIZED REDNESS AND SWELLING RT ARM
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Agitation, Anxiety, Blood test normal, Cognitive disorder, Depression
Clinical narrative: Increasing depression, agitation, anxiety, paranoia, disordered thinking, attention difficulties cognitive deficits beginning shortly after first HPV shot. After second HPV shot began hearing voices with morbid thoughts/paranoid delusions. Within weeks of third shot, was hospitalized for psychosis. Current diagnosis is psychotic NOS; currently being treated with risperdal 2 mg. Hallucinations are gone but cognitive deficits linger. First vaccination was first week september, 2007; second vaccination was nov 6, 2008; third vaccination was mar 6, 2008. Hospitalization was april 25, 2008.  07/08/2008 MR received from psychiatric hospital for DOS 4/25-5/06/2008 with DX:  Psychotic Disorder NOS. Pt transfered from medical hospital with psychotic symptoms including paranoid ideation, ideas of reference, delusions, auditory hallucinations and disorganized thought processes. She had had worsening sx of of worry, anxiety and intusive thoughs over the past 2 weeks to 1 month.  Improved on Risperdal and d/c to day program.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Disturbance in attention, Electrocardiogram normal, Electroencephalogram normal, Hallucination, Hallucination, auditory
Clinical narrative: Increasing depression, agitation, anxiety, paranoia, disordered thinking, attention difficulties cognitive deficits beginning shortly after first HPV shot. After second HPV shot began hearing voices with morbid thoughts/paranoid delusions. Within weeks of third shot, was hospitalized for psychosis. Current diagnosis is psychotic NOS; currently being treated with risperdal 2 mg. Hallucinations are gone but cognitive deficits linger. First vaccination was first week september, 2007; second vaccination was nov 6, 2008; third vaccination was mar 6, 2008. Hospitalization was april 25, 2008.  07/08/2008 MR received from psychiatric hospital for DOS 4/25-5/06/2008 with DX:  Psychotic Disorder NOS. Pt transfered from medical hospital with psychotic symptoms including paranoid ideation, ideas of reference, delusions, auditory hallucinations and disorganized thought processes. She had had worsening sx of of worry, anxiety and intusive thoughs over the past 2 weeks to 1 month.  Improved on Risperdal and d/c to day program.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Nuclear magnetic resonance imaging normal, Paranoia, Psychotic disorder, Thinking abnormal
Clinical narrative: Increasing depression, agitation, anxiety, paranoia, disordered thinking, attention difficulties cognitive deficits beginning shortly after first HPV shot. After second HPV shot began hearing voices with morbid thoughts/paranoid delusions. Within weeks of third shot, was hospitalized for psychosis. Current diagnosis is psychotic NOS; currently being treated with risperdal 2 mg. Hallucinations are gone but cognitive deficits linger. First vaccination was first week september, 2007; second vaccination was nov 6, 2008; third vaccination was mar 6, 2008. Hospitalization was april 25, 2008.  07/08/2008 MR received from psychiatric hospital for DOS 4/25-5/06/2008 with DX:  Psychotic Disorder NOS. Pt transfered from medical hospital with psychotic symptoms including paranoid ideation, ideas of reference, delusions, auditory hallucinations and disorganized thought processes. She had had worsening sx of of worry, anxiety and intusive thoughs over the past 2 weeks to 1 month.  Improved on Risperdal and d/c to day program.
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Myalgia
Clinical narrative: Area Hard and red, muscle aches injection given X 4 days ago
Age: 25.0
Sex: F
Vaccine: DTAP
Symptoms: Lymphadenopathy, Neck pain
Clinical narrative: Neck sorenesss and a lump developed on the neck which sounds like a swollen lymph node.  The neck soreness lasted about three days and is now subsiding
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pain, Urticaria
Clinical narrative: 3 inch area on inside of right forearm; located 12" away from the injection site.  Area contains 2 1-cm welps and striated redness/welps sporadically up inside of right arm.  Pt expresses area does NOT itch, but is stinging.  Recommended diphenhydramine 25mg q4-6h.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Erythema, Screaming
Clinical narrative: AFTER LAST IM VACCINE, CHILD STARTED SCREAMING, AND ERYTHEMA OF THE FACE AND LOWER EXTERMITIES OCCURRED WHICH PROGRESSED TO OTHER PARTS OF THE BODY - ARMS, CHEST AND BACK. NO FRANK URTICARIA JUST A GENERALIZED BLANCHING ERYTHEMA. NO WHEEZING, NO SWELLING OF THE EYES OR LIPS NOTED. BLOW- BY O2 WAS STARTED AND BENADRYL 7.5 MG IM GIVEN WHILE 911 WAS ACTIVATED. THE ERYTHEMA SUBSIDED GRADUALLY AFTER bENADRYL. PATIENT WAS TAKEN TO ER BY AMBULANCE.
Age: 51.0
Sex: F
Vaccine: TD
Symptoms: Arthralgia, Headache, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Low grade fever, headache, arthralgias, then swelling, warmth, induration, erythema at the site of administration of vaccine.
Age: 51.0
Sex: F
Vaccine: TD
Symptoms: Injection site warmth, Pyrexia
Clinical narrative: Low grade fever, headache, arthralgias, then swelling, warmth, induration, erythema at the site of administration of vaccine.
Age: 17.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Computerised tomogram, Convulsion, Cyanosis, Disorientation, Laboratory test
Clinical narrative: Riding with mom, stopped talking in mid sentence. Pt turned blue-stopped breathing-heart still beating- began seizure that lasted 2-4 minutes. Mom called 911 - Emergency vehicle took pt to hospital. Responded after 20 minutes - disoriented for about 2 hrs. Given Atavan. 8/1/08-records received for DOS 6/23-6/24/08-DC DX: Seizure activity secondary to tetanus booster and Menactra. Presented to ED after seizure post vaccination. Postictal state. Prior to seizure activity C/O headache, numbness and tingling. In ED back to baseline.
Age: 17.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Respiratory arrest
Clinical narrative: Riding with mom, stopped talking in mid sentence. Pt turned blue-stopped breathing-heart still beating- began seizure that lasted 2-4 minutes. Mom called 911 - Emergency vehicle took pt to hospital. Responded after 20 minutes - disoriented for about 2 hrs. Given Atavan. 8/1/08-records received for DOS 6/23-6/24/08-DC DX: Seizure activity secondary to tetanus booster and Menactra. Presented to ED after seizure post vaccination. Postictal state. Prior to seizure activity C/O headache, numbness and tingling. In ED back to baseline.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Rash generalised
Clinical narrative: Client called at 9AM on 6/30/07 reporting that she had received a GARDASIL injection on 6/27/08 and developed a rash within 30 minutes of receiving it.  The rash has spread to other areas on body.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Blood pressure decreased, Heart rate decreased, Hyperhidrosis, Injection site pain, Nausea
Clinical narrative: Patient complained of lot of pain after shot was given in (L) deltoid area. Was initially or subsequently in 3-4 mm noticed to be looking "pale, faint. Did not pass out was found in trended position. Decreased HR, decreased BP pale, sweaty, felt nauseous and faint -> improved over 15-20 min or so.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Pallor, Syncope
Clinical narrative: Patient complained of lot of pain after shot was given in (L) deltoid area. Was initially or subsequently in 3-4 mm noticed to be looking "pale, faint. Did not pass out was found in trended position. Decreased HR, decreased BP pale, sweaty, felt nauseous and faint -> improved over 15-20 min or so.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Fatigue, Joint swelling, Malaise, Rheumatoid factor negative
Clinical narrative: After second injection of GARDASIL, experienced fatigue, malaise, joint swelling and pain (joint symptoms continued to worsen for next 6 weeks) the next day. She had severe upper respiratory infection 2 weeks following vaccine.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Upper respiratory tract infection
Clinical narrative: After second injection of GARDASIL, experienced fatigue, malaise, joint swelling and pain (joint symptoms continued to worsen for next 6 weeks) the next day. She had severe upper respiratory infection 2 weeks following vaccine.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Tenderness
Clinical narrative: Swollen, red 4cm area, L upper extremity - moderately tender.
Age: 18.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Activities of daily living impaired, Cough, Dyspnoea, Odynophagia, Pharyngolaryngeal pain
Clinical narrative: Within one hour client states she had a sore, scratchy throat and congestion.  (Lotrin one hour of vaccination).  Client states her signs and symptoms increased throughout the weekend, more coughing, pain with swallowing, wheezing.  Client went home from work 06/27/08 due to possible fever.  Client took Ibuprofen 06/29/08 pm and woke up in the night and had trouble breathing.  Client went to the ER at 4 am and received an Albuterol breathing treatment.  Client currently has a productive cough, runny nose, sore throat.  Follow up with physician at 5 pm 6/30/08.
Age: 18.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Productive cough, Pyrexia, Rhinorrhoea, Sleep disorder, Throat irritation
Clinical narrative: Within one hour client states she had a sore, scratchy throat and congestion.  (Lotrin one hour of vaccination).  Client states her signs and symptoms increased throughout the weekend, more coughing, pain with swallowing, wheezing.  Client went home from work 06/27/08 due to possible fever.  Client took Ibuprofen 06/29/08 pm and woke up in the night and had trouble breathing.  Client went to the ER at 4 am and received an Albuterol breathing treatment.  Client currently has a productive cough, runny nose, sore throat.  Follow up with physician at 5 pm 6/30/08.
Age: 18.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Upper respiratory tract congestion, Wheezing
Clinical narrative: Within one hour client states she had a sore, scratchy throat and congestion.  (Lotrin one hour of vaccination).  Client states her signs and symptoms increased throughout the weekend, more coughing, pain with swallowing, wheezing.  Client went home from work 06/27/08 due to possible fever.  Client took Ibuprofen 06/29/08 pm and woke up in the night and had trouble breathing.  Client went to the ER at 4 am and received an Albuterol breathing treatment.  Client currently has a productive cough, runny nose, sore throat.  Follow up with physician at 5 pm 6/30/08.
Age: 87.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Pt experienced a case of shingles beginning on 6/05/08. ER MD Rx'd on 6-9-08 Prednisone - PCP Rx'd Gabapentin on 6-13-08.
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Syncope vasovagal
Clinical narrative: Pt had vasovagal episode after receiving vaccines.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site swelling, Lymphadenopathy, Tenderness
Clinical narrative: At site of vaccine (MENACTRA) there was swelling, redness, tenderness and axillary gland on same side tender.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Facial pain, Hyperaesthesia, Rash, Rash vesicular
Clinical narrative: Pt given Zostavax in L arm 6/10/08 with onset of vesicular rash on L side of face and pain/ hyperesthesia. Seen by Dr 6/30/08
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Erythema, Musculoskeletal pain, Swelling, Tenderness
Clinical narrative: 5x5cm Patch of Erythema, Swollen and tender left shoulder
Age: 1.3
Sex: F
Vaccine: PNC, TDAP
Symptoms: Wrong drug administered
Clinical narrative: TDAP vaccine accidentally given on 6/27/08 instead of DTAP.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Varicella post vaccine
Clinical narrative: Varicella Outbreak
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Varicella post vaccine
Clinical narrative: Varicella out break
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Varicella post vaccine
Clinical narrative: Broke out in chicken pox
Age: 24.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Influenza like illness, Pruritus, Rash
Clinical narrative: 24 y/o male, Senior airman calls the DOD call center with a c\o difuse skin rash some 8-9 days after receipt of primary SPV and Typhoid vaccines. Symptoms: Rash, diffuse, Pruritis, Flu-like symptoms- 96 hours.
Age: 1.6
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Cough, Crying, Erythema, Oxygen saturation decreased, Oxygen supplementation
Clinical narrative: Patient back into clinic at 1520 pm with coughing, hives, red face and crying. 1525 PM gave albuterol sub treatment 02 oxy 86% before treatment, during treat was 94-98%; on 15L O2 via face mask. 1528pm Epi 1:1000 gave .15cc injection sq left leg 1535 pm once Benadryl given 11/ a top; 1545 Prednisone given 15mg ml O2 was 96-98% on RA; Hives disappear some
Age: 1.6
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Patient back into clinic at 1520 pm with coughing, hives, red face and crying. 1525 PM gave albuterol sub treatment 02 oxy 86% before treatment, during treat was 94-98%; on 15L O2 via face mask. 1528pm Epi 1:1000 gave .15cc injection sq left leg 1535 pm once Benadryl given 11/ a top; 1545 Prednisone given 15mg ml O2 was 96-98% on RA; Hives disappear some
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Grand mal convulsion, Pyrexia
Clinical narrative: 30 seconds generalized seizure with fever on 6-28-08.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Pyrexia, Rash vesicular
Clinical narrative: Received VAVIVAX on 6/24/08 mom noted vesicular rash on hands and legs, had low grade fever.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Pain & Swelling to R arm. Released with Ibuprofen.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Oedema peripheral
Clinical narrative: Redness with swelling to L arm.
Age: 49.0
Sex: U
Vaccine: ANTH
Symptoms: Arthralgia, Asthenia, Dizziness, Fatigue, Grip strength decreased
Clinical narrative: Pt received AVA #1 left arm on 3/31/08.  That evening pt felt fatigued which last about one week.  4/1/08 pt noted generalized joint muscle pain which has continued although less severe.  Continues with hand, elbow, knee, ankle, foot pain worse in arm or with nonactivity.  Relieved with ALEVE.  4/1/08 noted decrease hand grip strength.  Pt states it continues to feel like he has to exert more effort to exert the same amount of strength.  4/1/08 pt states that he noted intermittent dizziness (not balanced) which lasted about one month.  Symptoms: Dizziness, Muscle Pain, Joint Pain, multiple joints, Weakness, Fatigue, Malaise <60 Days.
Age: 49.0
Sex: U
Vaccine: ANTH
Symptoms: Malaise, Myalgia
Clinical narrative: Pt received AVA #1 left arm on 3/31/08.  That evening pt felt fatigued which last about one week.  4/1/08 pt noted generalized joint muscle pain which has continued although less severe.  Continues with hand, elbow, knee, ankle, foot pain worse in arm or with nonactivity.  Relieved with ALEVE.  4/1/08 noted decrease hand grip strength.  Pt states it continues to feel like he has to exert more effort to exert the same amount of strength.  4/1/08 pt states that he noted intermittent dizziness (not balanced) which lasted about one month.  Symptoms: Dizziness, Muscle Pain, Joint Pain, multiple joints, Weakness, Fatigue, Malaise <60 Days.
Age: 36.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Chills, Dermatitis bullous, Full blood count normal, Idiopathic thrombocytopenic purpura, Laboratory test normal
Clinical narrative: SM reports that he received the live, intranasal flumist on 5 NOV 07 at camp in foreign country. Approximately 1 week later, developed arthralgias (shoulders, hips and knees), myalgias and fatigue. He self medicated MOTRIN 800 mg and felt better in 2-3 days. On 15-Nov (10 days post-vaccine) he C/O headache (dull, frontal without sinus pain), fevers, chills and night sweats. He sought medical care in the clinic & was told to discontinue MOTRIN, start TYLENOL PRN and to increase his fluid intake. Two weeks post vaccine he developed nasal congestion, post nasal drip, "tickling" in his throat, and a cough described as "hacking all night long and during the day". The cough was associated with some SOB which prevented him from exercising. He took NYQUIL and ROBITUSSIN without improvement. On 4 Dec 2007 (1 month post vaccine) he noticed "some dark spots" on his lower lips & legs. This following day he had a nose bleed, bleeding from the lesion on lip and blood in the mucous from his nose and phlegm from coughing. He was seen in the clinic on 05 DEC 07 and diagnosed with pneumonia. A CBC showed thrombocytopenia with a platelet count of 0. He was transferred to medical center were he received a 6 pack platelet infusion and IVIG 110 grams x 1 dose. His platelets gradually increased. On 17 Dec 07 he was transferred to medical center on PREDNISONE 60 mg daily. He is currently on PREDNISONE 60 mg daily with a platelet count in the 260 range. His platelets are checked every 2 weeks and he is seen by Oncology once a month. Symptoms: Joint Pain, multiple joints, Muscle Pain, Fatigue, Malaise <60 Days, Flu-like symptoms < 96 hours.
Age: 36.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Liver function test normal, Malaise, Mononucleosis heterophile test negative, Productive cough, Pyrexia
Clinical narrative: SM reports that he received the live, intranasal flumist on 5 NOV 07 at camp in foreign country. Approximately 1 week later, developed arthralgias (shoulders, hips and knees), myalgias and fatigue. He self medicated MOTRIN 800 mg and felt better in 2-3 days. On 15-Nov (10 days post-vaccine) he C/O headache (dull, frontal without sinus pain), fevers, chills and night sweats. He sought medical care in the clinic & was told to discontinue MOTRIN, start TYLENOL PRN and to increase his fluid intake. Two weeks post vaccine he developed nasal congestion, post nasal drip, "tickling" in his throat, and a cough described as "hacking all night long and during the day". The cough was associated with some SOB which prevented him from exercising. He took NYQUIL and ROBITUSSIN without improvement. On 4 Dec 2007 (1 month post vaccine) he noticed "some dark spots" on his lower lips & legs. This following day he had a nose bleed, bleeding from the lesion on lip and blood in the mucous from his nose and phlegm from coughing. He was seen in the clinic on 05 DEC 07 and diagnosed with pneumonia. A CBC showed thrombocytopenia with a platelet count of 0. He was transferred to medical center were he received a 6 pack platelet infusion and IVIG 110 grams x 1 dose. His platelets gradually increased. On 17 Dec 07 he was transferred to medical center on PREDNISONE 60 mg daily. He is currently on PREDNISONE 60 mg daily with a platelet count in the 260 range. His platelets are checked every 2 weeks and he is seen by Oncology once a month. Symptoms: Joint Pain, multiple joints, Muscle Pain, Fatigue, Malaise <60 Days, Flu-like symptoms < 96 hours.
Age: 36.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Skin lesion
Clinical narrative: SM reports that he received the live, intranasal flumist on 5 NOV 07 at camp in foreign country. Approximately 1 week later, developed arthralgias (shoulders, hips and knees), myalgias and fatigue. He self medicated MOTRIN 800 mg and felt better in 2-3 days. On 15-Nov (10 days post-vaccine) he C/O headache (dull, frontal without sinus pain), fevers, chills and night sweats. He sought medical care in the clinic & was told to discontinue MOTRIN, start TYLENOL PRN and to increase his fluid intake. Two weeks post vaccine he developed nasal congestion, post nasal drip, "tickling" in his throat, and a cough described as "hacking all night long and during the day". The cough was associated with some SOB which prevented him from exercising. He took NYQUIL and ROBITUSSIN without improvement. On 4 Dec 2007 (1 month post vaccine) he noticed "some dark spots" on his lower lips & legs. This following day he had a nose bleed, bleeding from the lesion on lip and blood in the mucous from his nose and phlegm from coughing. He was seen in the clinic on 05 DEC 07 and diagnosed with pneumonia. A CBC showed thrombocytopenia with a platelet count of 0. He was transferred to medical center were he received a 6 pack platelet infusion and IVIG 110 grams x 1 dose. His platelets gradually increased. On 17 Dec 07 he was transferred to medical center on PREDNISONE 60 mg daily. He is currently on PREDNISONE 60 mg daily with a platelet count in the 260 range. His platelets are checked every 2 weeks and he is seen by Oncology once a month. Symptoms: Joint Pain, multiple joints, Muscle Pain, Fatigue, Malaise <60 Days, Flu-like symptoms < 96 hours.
Age: 36.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Activities of daily living impaired, Arthralgia, Blood chloride decreased, Blood glucose increased, Blood potassium decreased
Clinical narrative: SM reports that he received the live, intranasal flumist on 5 NOV 07 at camp in foreign country. Approximately 1 week later, developed arthralgias (shoulders, hips and knees), myalgias and fatigue. He self medicated MOTRIN 800 mg and felt better in 2-3 days. On 15-Nov (10 days post-vaccine) he C/O headache (dull, frontal without sinus pain), fevers, chills and night sweats. He sought medical care in the clinic & was told to discontinue MOTRIN, start TYLENOL PRN and to increase his fluid intake. Two weeks post vaccine he developed nasal congestion, post nasal drip, "tickling" in his throat, and a cough described as "hacking all night long and during the day". The cough was associated with some SOB which prevented him from exercising. He took NYQUIL and ROBITUSSIN without improvement. On 4 Dec 2007 (1 month post vaccine) he noticed "some dark spots" on his lower lips & legs. This following day he had a nose bleed, bleeding from the lesion on lip and blood in the mucous from his nose and phlegm from coughing. He was seen in the clinic on 05 DEC 07 and diagnosed with pneumonia. A CBC showed thrombocytopenia with a platelet count of 0. He was transferred to medical center were he received a 6 pack platelet infusion and IVIG 110 grams x 1 dose. His platelets gradually increased. On 17 Dec 07 he was transferred to medical center on PREDNISONE 60 mg daily. He is currently on PREDNISONE 60 mg daily with a platelet count in the 260 range. His platelets are checked every 2 weeks and he is seen by Oncology once a month. Symptoms: Joint Pain, multiple joints, Muscle Pain, Fatigue, Malaise <60 Days, Flu-like symptoms < 96 hours.
Age: 36.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Blood product transfusion, Chills, Coagulation test normal, Cough, Dyspnoea
Clinical narrative: SM reports that he received the live, intranasal flumist on 5 NOV 07 at camp in foreign country. Approximately 1 week later, developed arthralgias (shoulders, hips and knees), myalgias and fatigue. He self medicated MOTRIN 800 mg and felt better in 2-3 days. On 15-Nov (10 days post-vaccine) he C/O headache (dull, frontal without sinus pain), fevers, chills and night sweats. He sought medical care in the clinic & was told to discontinue MOTRIN, start TYLENOL PRN and to increase his fluid intake. Two weeks post vaccine he developed nasal congestion, post nasal drip, "tickling" in his throat, and a cough described as "hacking all night long and during the day". The cough was associated with some SOB which prevented him from exercising. He took NYQUIL and ROBITUSSIN without improvement. On 4 Dec 2007 (1 month post vaccine) he noticed "some dark spots" on his lower lips & legs. This following day he had a nose bleed, bleeding from the lesion on lip and blood in the mucous from his nose and phlegm from coughing. He was seen in the clinic on 05 DEC 07 and diagnosed with pneumonia. A CBC showed thrombocytopenia with a platelet count of 0. He was transferred to medical center were he received a 6 pack platelet infusion and IVIG 110 grams x 1 dose. His platelets gradually increased. On 17 Dec 07 he was transferred to medical center on PREDNISONE 60 mg daily. He is currently on PREDNISONE 60 mg daily with a platelet count in the 260 range. His platelets are checked every 2 weeks and he is seen by Oncology once a month. Symptoms: Joint Pain, multiple joints, Muscle Pain, Fatigue, Malaise <60 Days, Flu-like symptoms < 96 hours.
Age: 36.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Epistaxis, Fatigue, Full blood count abnormal, Haemoptysis, Headache
Clinical narrative: SM reports that he received the live, intranasal flumist on 5 NOV 07 at camp in foreign country. Approximately 1 week later, developed arthralgias (shoulders, hips and knees), myalgias and fatigue. He self medicated MOTRIN 800 mg and felt better in 2-3 days. On 15-Nov (10 days post-vaccine) he C/O headache (dull, frontal without sinus pain), fevers, chills and night sweats. He sought medical care in the clinic & was told to discontinue MOTRIN, start TYLENOL PRN and to increase his fluid intake. Two weeks post vaccine he developed nasal congestion, post nasal drip, "tickling" in his throat, and a cough described as "hacking all night long and during the day". The cough was associated with some SOB which prevented him from exercising. He took NYQUIL and ROBITUSSIN without improvement. On 4 Dec 2007 (1 month post vaccine) he noticed "some dark spots" on his lower lips & legs. This following day he had a nose bleed, bleeding from the lesion on lip and blood in the mucous from his nose and phlegm from coughing. He was seen in the clinic on 05 DEC 07 and diagnosed with pneumonia. A CBC showed thrombocytopenia with a platelet count of 0. He was transferred to medical center were he received a 6 pack platelet infusion and IVIG 110 grams x 1 dose. His platelets gradually increased. On 17 Dec 07 he was transferred to medical center on PREDNISONE 60 mg daily. He is currently on PREDNISONE 60 mg daily with a platelet count in the 260 range. His platelets are checked every 2 weeks and he is seen by Oncology once a month. Symptoms: Joint Pain, multiple joints, Muscle Pain, Fatigue, Malaise <60 Days, Flu-like symptoms < 96 hours.