chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 14.0
Sex: M
Vaccine: TTOX, TD
Symptoms: Amnesia, Dizziness, Feeling abnormal, Headache, Hypersensitivity
Clinical narrative: Three hours post injection pt experienced severe pain throughout his muscles and joints, and said his head felt "fuzzy".  He was seen at Hospital Emergency Room that night, blood was taken.  Over the course of the next three days he was seen by his pediatrician, a pediatric neurologist, had a CT scan, EEG and MRI.  He has also been seen by an infectious disease specialst.  During the period 9/24-9/27 his body pain persisted and he started to lose his memory.  By the morning of 9/27 he had complete episodic memory loss.  He has no recollection of who he is, where he was born, who family and friends are, nor of any events prior to 9/27.  He can read, write, do math, has normal body functions and can do routine tasks. He forgot how to use the computer. He can retain new memories. His body pain has lessened and is now localized in his arms and legs.  He has developed severe headaches (that cause dizziness and nausea), at times cannot tolerate light and noise.  His headaches are not relieved by over the counter medication. He was being home tutored, which had to be discontinued as he is having difficulty concentrating, and due to the headaches. Exposure to people and familiar things does not trigger his memory. No history of head injury (routine falls from skates, bike, always wears a helmet).  No psychiatric history.  No severe illnesses (mild chickenpox at 3 years, no high fevers. No recent illness, no recent injuries. No life-changing events.  No depression.  Very athletic. Doing well in school.  Good friends.  No drugs or alcohol.  Happy kid.
Age: 14.0
Sex: M
Vaccine: TTOX, TD
Symptoms: Nausea, Pain, Photosensitivity reaction
Clinical narrative: Three hours post injection pt experienced severe pain throughout his muscles and joints, and said his head felt "fuzzy".  He was seen at Hospital Emergency Room that night, blood was taken.  Over the course of the next three days he was seen by his pediatrician, a pediatric neurologist, had a CT scan, EEG and MRI.  He has also been seen by an infectious disease specialst.  During the period 9/24-9/27 his body pain persisted and he started to lose his memory.  By the morning of 9/27 he had complete episodic memory loss.  He has no recollection of who he is, where he was born, who family and friends are, nor of any events prior to 9/27.  He can read, write, do math, has normal body functions and can do routine tasks. He forgot how to use the computer. He can retain new memories. His body pain has lessened and is now localized in his arms and legs.  He has developed severe headaches (that cause dizziness and nausea), at times cannot tolerate light and noise.  His headaches are not relieved by over the counter medication. He was being home tutored, which had to be discontinued as he is having difficulty concentrating, and due to the headaches. Exposure to people and familiar things does not trigger his memory. No history of head injury (routine falls from skates, bike, always wears a helmet).  No psychiatric history.  No severe illnesses (mild chickenpox at 3 years, no high fevers. No recent illness, no recent injuries. No life-changing events.  No depression.  Very athletic. Doing well in school.  Good friends.  No drugs or alcohol.  Happy kid.
Age: 14.0
Sex: M
Vaccine: TTOX, TD
Symptoms: Amnesia, Back pain, Confusional state, Dyspnoea, Headache
Clinical narrative: Three hours post injection pt experienced severe pain throughout his muscles and joints, and said his head felt "fuzzy".  He was seen at Hospital Emergency Room that night, blood was taken.  Over the course of the next three days he was seen by his pediatrician, a pediatric neurologist, had a CT scan, EEG and MRI.  He has also been seen by an infectious disease specialst.  During the period 9/24-9/27 his body pain persisted and he started to lose his memory.  By the morning of 9/27 he had complete episodic memory loss.  He has no recollection of who he is, where he was born, who family and friends are, nor of any events prior to 9/27.  He can read, write, do math, has normal body functions and can do routine tasks. He forgot how to use the computer. He can retain new memories. His body pain has lessened and is now localized in his arms and legs.  He has developed severe headaches (that cause dizziness and nausea), at times cannot tolerate light and noise.  His headaches are not relieved by over the counter medication. He was being home tutored, which had to be discontinued as he is having difficulty concentrating, and due to the headaches. Exposure to people and familiar things does not trigger his memory. No history of head injury (routine falls from skates, bike, always wears a helmet).  No psychiatric history.  No severe illnesses (mild chickenpox at 3 years, no high fevers. No recent illness, no recent injuries. No life-changing events.  No depression.  Very athletic. Doing well in school.  Good friends.  No drugs or alcohol.  Happy kid.
Age: 14.0
Sex: M
Vaccine: TTOX, TD
Symptoms: Myalgia
Clinical narrative: Three hours post injection pt experienced severe pain throughout his muscles and joints, and said his head felt "fuzzy".  He was seen at Hospital Emergency Room that night, blood was taken.  Over the course of the next three days he was seen by his pediatrician, a pediatric neurologist, had a CT scan, EEG and MRI.  He has also been seen by an infectious disease specialst.  During the period 9/24-9/27 his body pain persisted and he started to lose his memory.  By the morning of 9/27 he had complete episodic memory loss.  He has no recollection of who he is, where he was born, who family and friends are, nor of any events prior to 9/27.  He can read, write, do math, has normal body functions and can do routine tasks. He forgot how to use the computer. He can retain new memories. His body pain has lessened and is now localized in his arms and legs.  He has developed severe headaches (that cause dizziness and nausea), at times cannot tolerate light and noise.  His headaches are not relieved by over the counter medication. He was being home tutored, which had to be discontinued as he is having difficulty concentrating, and due to the headaches. Exposure to people and familiar things does not trigger his memory. No history of head injury (routine falls from skates, bike, always wears a helmet).  No psychiatric history.  No severe illnesses (mild chickenpox at 3 years, no high fevers. No recent illness, no recent injuries. No life-changing events.  No depression.  Very athletic. Doing well in school.  Good friends.  No drugs or alcohol.  Happy kid.
Age: 62.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema
Clinical narrative: c/o redness and swelling in the arm she got the injection with a "line going down into armpit."  Described as "very tender and hurts if I reach for something."
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema, Pain
Clinical narrative: Pt c/o right arm being red, swollen and painful from her shot.
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Urticaria without respiratory distress within 8 hours of Fluzone vaccine.  Persisted for days. Widespread giant urticaria without joint symptoms.
Age: 41.0
Sex: M
Vaccine: PPV
Symptoms: Dizziness, Fatigue, Pain, Pyrexia
Clinical narrative: Received flu vaccination 1:30 PM 10/25/02, that evening felt sore and dizzy, Today 100 fever dizzy, ache, tired. took tylenol 4pm still dizzy sore
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Mild Hives on left side of torso: 1 A.M. 10/27/02 Mild Hives on right side of torso and inside  upper arm:10:00 A.M. 10/27/02
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Vomiting
Clinical narrative: PATIENT EXPERIENCED VOMITING AND DIARRHEA LATER IN THE EVENING AFTER RECEIVING THE INFLUENZA VACCINE
Age: 1.25
Sex: F
Vaccine: DTAPH, MMR, DTAP, HIBV, MMR
Symptoms: Convulsion, Cyanosis, Pyrexia
Clinical narrative: DTaP/HIB, MMR given 10/03/02, Developed fever on 10/10/02, Had a generalized seizure lasting approximately 5 minutes, Some cyanosis requiring O2, Taken to a hospital, NL CBC,CRP, teta, boli panrels, and lumbar puncture labs.
Sex: F
Vaccine: DTAP, HIBV, MMR, DTAP, HIBV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site induration
Clinical narrative: Right leg area redness 5-6" diameter, 3" core. Bright red, raised, hot, firm. Left leg also involved.
Sex: F
Vaccine: DTAP, HIBV, MMR, DTAP, HIBV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Right leg area redness 5-6" diameter, 3" core. Bright red, raised, hot, firm. Left leg also involved.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site reaction, Pruritus, Urticaria
Clinical narrative: Had a local reaction at time of immunization, i.e. hives, itching. Reported to MD and given EPI.2m1on on site and instructed patient to take Benadryl 25mg at home. Less than 24 hours later, had episode of seizure brought to clinic per ambulance and sent to hospital for follow up tests.
Age: 14.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain, Blood urine, Diarrhoea, Fatigue, Gastroenteritis
Clinical narrative: Patient with mild gastroenteritis including mild abdominal pain and diarrhea; received influenza vaccine 10/15. Next day, patient experienced severe abdominal pain/tenderness. Exploratory laparoscopy revealed no perforation or significant inflammation of appendix. Post laparoscopy, patient's pain resolved. Per 60 day follow up: Pt has not recovered. Pt still with ongoing abdominal pain, bloody urine, fatigue. No other additional comments.
Age: 4.6
Sex: M
Vaccine: DTAP, IPV, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site warmth
Clinical narrative: Rt leg 7x5cm red, swollen, hot area with 2cm firm area. Lt leg 15x11cm red, swollen, hot area with 4cm firm area at center.
Age: 1.5
Sex: M
Vaccine: DTP, PNC
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site induration, Injection site warmth, Pruritus
Clinical narrative: Red, itchy, swelling, hot to touch left thigh 8x10cm induration. R thigh nickel size induration.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Cerebral palsy, Neurological symptom, Speech disorder, Vomiting
Clinical narrative: Pt at 2 mos received DTaP. Had 48 hours of "startling" (Moro Reflex). These happened in clusters of 5 or 6. Pt ped notified. He stated "she's having a neurologic reaction to vaccine." Chart down plays incident. Pt now with CP-no other known events. Per 60 day follow up: Pt did not recover. Possible CP. No additional comments. Speech delay, feeding disorder (gagging). Annual follow up on 11/17/2003: "Vaccine recipient did not recover from adverse events.  CP-ongoing-LE bilateral."
Age: 7.0
Sex: F
Vaccine: FLU3, PNC
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site warmth, Musculoskeletal stiffness
Clinical narrative: Sore, stiff arm, knot at injection site, red and fevered. Treated with ice pack, heat and Motrin.
Age: 64.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site oedema, Pruritus
Clinical narrative: Three days after administration of vaccine developed redness/swelling/itching which progressed from shoulder to elbow.
Age: 33.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Blindness transient
Clinical narrative: On evening of receiving flu immunization developed temporary blindness in right eye. Symptoms resolved after starting medrol pack. No symptoms by evening of 10/16/02. Developed temporary blindness in right eye after vaccine 10/01 with symptoms lasting until 6/02. Connection not linked to vaccine until pt received vaccine this year and developed blindness.
Age: 33.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Blindness
Clinical narrative: On evening of receiving flu immunization developed temporary blindness in right eye. Symptoms resolved after starting medrol pack. No symptoms by evening of 10/16/02. Developed temporary blindness in right eye after vaccine 10/01 with symptoms lasting until 6/02. Connection not linked to vaccine until pt received vaccine this year and developed blindness.
Age: 1.5
Sex: U
Vaccine: DTAP, FLU3, IPV
Symptoms: Crying, Irritability, Lethargy, Vomiting
Clinical narrative: Within 2 hrs of DTaP, IPV, flu vaccine child became lethargic, whiney, inconsolable with forceful episode of emesis.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site erythema, Injection site oedema, Oedema
Clinical narrative: Local erythema and swelling, scattered areas of erythema and swelling on trunk and extremities.
Age: 5.0
Sex: M
Vaccine: DTAP, FLUX, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Pruritus, Rash
Clinical narrative: Bilateral deltoids and sq areas are slightly swollen, red and fine red bumps. Currently pt only c/o itching. Is walking, playing and verbalizing needs. (Currently is hungry). Also per mom no motrin given.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Fatigue, Malaise, Pyrexia
Clinical narrative: Vaccine given at 1pm, pm started to get fatigue 1am chills, fever, malaise.
Age: 61.0
Sex: F
Vaccine: FLUX
Symptoms: Dysphonia, Laryngitis, Pharyngolaryngeal pain
Clinical narrative: Sore throat. Laryngitis. Hoarsness.
Age: 75.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Pt received Pneumovax SQ notl arm. Sxs of red and swelling started 12 hrs post receiving injections. Pt states that redness and swelling was 2-3" width. Started antibiotics. Within 24 hrs and sxs started to improving. Pt states sxs cleared.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site oedema, Pruritus
Clinical narrative: Pt states reaction started 3-4 hrs post getting injection . had itching, redness and swelling started size of orange. Then redness moved down Lt arm warm to touch. Keflex 500mg tid #21, Allegra 180mg. Sxs resolved with 6 days post injection and tx.
Age: 76.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Redness, swelling, warm to touch painful to move arm.
Age: 22.0
Sex: M
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Rash to R arm and forearm L forearm, both hands and later over face 10/23/02. Claritin-rx 10mg #10 medrol dose pack 4mg #211 tabs and Depo Medrol 80mg at 1745pm
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Dyspnoea, Hyperhidrosis, Pallor
Clinical narrative: Pt had dizziness, paleness, diaphoresis, slight trouble breathing and weakness 3-4 hrs after receiving the flu vaccine. Went to ER treated and released same day.
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Dyspnoea, Heart rate increased, Hyperhidrosis, Wheezing
Clinical narrative: S/S-difficulty breathing, wheezing, weakness, increase HR; diaphoresis. Symptoms started at 10pm and lasted for 6.5 hrs. 10/23/02 Lantus insulin 10ml #30 (30 days) inject 100 units at bedtime.
Age: 42.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Arthralgia, Erythema, Swelling
Clinical narrative: Left arm red/swollen evening of 10/16/02. By next day, diffuse arthralgias bilateral arms, hands, knees, hips, jaw. Not red at site of injection. No fever, rash and petiache.
Age: 46.0
Sex: F
Vaccine: HEP, HEPA, YF
Symptoms: Asthenia, Diarrhoea, Fatigue, Muscle spasms, Vomiting
Clinical narrative: Stomach cramps (severe), vomiting, diarrhea for 6 hours. Tired/Weak for 48 hours.
Age: 36.0
Sex: F
Vaccine: DT, HEPAB
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Started meds 10/10/02 in morning developed a rash that night, small, red itchy bumps on trunk, arms, and legs.
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Erythema, Pruritus, Pyrexia, Rash
Clinical narrative: Mother called to report child had temperature of 1010 in the afternoon after the shot vaccinations. Stated a few hours, temperature gone after baby had warm bath. Then after 6 days, observed some rashes over baby's face, body, chest, and upper arms. Mother said moderate amount with redness and itchiness.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site induration
Clinical narrative: Patient came back to clinic to get PPD. Read 48 hours after vaccine given and nurse noticed hard and warm LUA and erythema.
Age: 47.0
Sex: F
Vaccine: TD
Symptoms: Pain, Pyrexia
Clinical narrative: Extreme soreness to arm and fever as high as 102-103 lasting 2 days. Vaccine was given as results from high water from hurricane.
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Feeling hot, Injection site induration
Clinical narrative: 5cm red, indurated hot left bicep.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Pt noted to have 5x5cm area of induration, erythema, warmth and tenderness at site of DTaP #5/IPV #4 immunizations-24 hrs prior to rxn.
Age: 1.4
Sex: M
Vaccine: DTAP
Symptoms: Injection site oedema
Clinical narrative: Significant swelling in leg post DTaP.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site urticaria, Pruritus
Clinical narrative: Extensive area of urticarial type erythema, very pruritic c/w allergic reaction.
Age: 40.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site swelling, Pruritus, Rash, Rash macular
Clinical narrative: Right arm site of injection with redness, swelling, tenderness. Chest with blotchy, itchy, red rash.
Age: 40.0
Sex: F
Vaccine: HEP
Symptoms: Tenderness
Clinical narrative: Right arm site of injection with redness, swelling, tenderness. Chest with blotchy, itchy, red rash.
Age: 46.0
Sex: F
Vaccine: HEP
Symptoms: Alopecia, Arthritis, Fatigue, Herpes zoster, Migraine
Clinical narrative: Herpes Zoster, Alopecia, Inflammatory arthritis, chronic fatigue, migraines.
Age: 31.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Erythema, Feeling hot, Pain
Clinical narrative: Developed right upper arm pain, warmth and redness at injection site approximately 24 hours after vaccination. 2 days later, pain and redness above right elbow area and seen in ER. No redness noted at injection site. Diagnosed as possible cellulitiis. Rx with Keflex.
Age: 39.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Shoulder pain, Tenderness
Clinical narrative: Developed redness/tenderness and swelling 24 hours after vaccination which patient reports caused severe pain in left shoulder requiring visit to ED 10/19/02. Given Ancef, Keflex for cellulitis. Now on prednisone.
Age: 74.0
Sex: F
Vaccine: UNK
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: Redness, warm to touch, and swelling.
Age: 3.0
Sex: M
Vaccine: DTAP, HBHEPB, HEPA
Symptoms: Injection site reaction
Clinical narrative: Client seen at clinic 48 hours after immunization. Right thigh reaction noted by parent within 29 hours. Reaction noted is 5.5"x5" inflamed area right thigh.
Sex: F
Vaccine: VARCEL
Symptoms: Rash vesicular
Clinical narrative: Varicella breakthrough case.
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling
Clinical narrative: A female consumer reported that she was given influenza virus vaccine, trivalent, types A & B 2001-2002 formula. Subsequent to immunization, her arm became swollen. No further information was available at the date of this report. This report was received from manufacturer.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling, Pyrexia
Clinical narrative: A healthcare professional reported that a 26 year old female patient received an injection of Flu Shield on an unspecified date. Approximately 12 hours after receiving the injection she developed an elevated temperature and an injection site reaction characterized by redness and swelling. The reporter indicated that the patient was treated with Tylenol and ice packs. The patient's concomitant medications include a birth control shot for contraception.
Age: 24.0
Sex: F
Vaccine: SMALL
Symptoms: Dermatitis bullous
Clinical narrative: Satellite lesion in vaccinated lab worker. See attached records. Believed to be first dose of smallpox vaccine pt has received. Report received via CDC rash illness surveillance. Pt presented with a primary vaccine "take" with a 1.5cm vesicle with surrounding erythema. No systemic symptoms or lymphadenopathy. On day 11 post vaccination, she noticed a second blister 3 inches from the primary lesion, about 1cm in diameter. Not itchy. She had kept the vaccination site covered. She recalled playing field hockey about 4 days after vaccination and was sweating at that time. She does not recall touching the primary lesion. History of asthma uses albutamol PRN, no steroids, no history of eczema. Physical exam-no significant finding apart from lesions as described. No fever or constitutional symptoms. Discussed likely diagnosis of satellite lesion caused by vaccinia virus. Pt instructed re local care and physician will re-evaluate her in 24 hrs and call back if there is progression.
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Lymphadenopathy, Pyrexia, Rash
Clinical narrative: The patient is a 26 year old male grad student, working in the vaccinia laboratory. He was vaccinated 17 days ago, and had a positive take. He subsequently developed a temperature to 100 and left axillary lymphadenopathy, but otherwise felt well. By post-vaccination day 12, the axillary nodes became so painful that he was evaluated daily for the next 5 days at the student health center. on post vaccination day 17, he presented to the hospital ER with a left axillary node that was fluctuant and the overlying skin was red. He was afebrile, felt generally well, but had a lacey reticular rash on his trunk on the same side as the inflamed lymph node. His CBC showed a WBC of 7,000, with no left shift. CT revealed a necrotic axillary node. The node was aspirated and the gram stain showed multiple polys with gram positive cocci in pairs. He was given Cefazolin and sent home on dicloxacillin, to follow up the next day. His temperature rose to 102 and the next day the lymph node was surgically debrided. Culture grew 3+ staph aureus. The patient is at home and doing well this morning. The rash resolved shortly after his first ER visit.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Cellulitis, Erythema, Feeling hot, Oedema, Pain
Clinical narrative: Patient received anthrax re-booster vaccine on 9 Oct 2002 (he has a history of completing past 6 sweries of the anthrax vaccine with 2 sppisodes of moderate induration).  He presented to aid center on 11 Oct 2002 with erythema, swelling (firm & taut), increased warmth to touch, mild pain, and mild pruritis.  The area involved covered 3/4 triceps region on left upper arm.  No streaking observed.  The area was outlined to monitor for spread and patient treated for cellulitis.  Treatment was benadryl 50mg caps po hs and erythromycin 250mg tabs, one tab po QID x 10 days (allergic to PCN).  Warm compresses to area TID.  F/U in 48 hours revealed no continuation of cellulitis - a response to therapy and by day 4, he was noted to have resolution of erythema with mild palpable swelling.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Pruritus
Clinical narrative: Patient received anthrax re-booster vaccine on 9 Oct 2002 (he has a history of completing past 6 sweries of the anthrax vaccine with 2 sppisodes of moderate induration).  He presented to aid center on 11 Oct 2002 with erythema, swelling (firm & taut), increased warmth to touch, mild pain, and mild pruritis.  The area involved covered 3/4 triceps region on left upper arm.  No streaking observed.  The area was outlined to monitor for spread and patient treated for cellulitis.  Treatment was benadryl 50mg caps po hs and erythromycin 250mg tabs, one tab po QID x 10 days (allergic to PCN).  Warm compresses to area TID.  F/U in 48 hours revealed no continuation of cellulitis - a response to therapy and by day 4, he was noted to have resolution of erythema with mild palpable swelling.
Age: 0.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Feeling hot
Clinical narrative: Redness, warmth approx 3inchesx2inches below site of injection
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Influenza like illness, Injection site nodule, Oedema
Clinical narrative: At first, severe flu-like reactions. Required one day of sick-call.Large swelling and hard bump at location of injection.  Long term, arthritic like symptoms began soon after first injection. Have worsened with each injection, continue to this day.
Age: 34.0
Sex: F
Vaccine: MMR
Symptoms: Abortion, Thyroiditis
Clinical narrative: Information has been received from a physician concerning a 34 year old white female patient with Hashimoto's thyroiditis, no known allergies, and a history of 1 pregnancy and 1 live birth, who on 9/18/02, was vaccinated with MMR (second generation) (lot # 638598/1305L). Concomitant therapy included 100 micrograms of levothyroxine Na (SYNTHROID), 1200 milligrams daily of calcium (unspecified) and vitamins (unspecified). The administration of the vaccine on 9/18/02 occurred 4 weeks after her LMP: 8/18/02. In approximately 9/02 a serum human chorionic gonadotropin test confirmed pregnancy. Follow up information received from a physician reports the patient had a spontaneous abortion 7 weeks from her last menstrual period (approximately 10/7/02). It was noted the patient did not have a miscarriage, stillbirth, or birth defects with her prior pregnancy.
Age: 0.7
Sex: F
Vaccine: HBHEPB
Symptoms: Hormone level abnormal, Meningitis
Clinical narrative: Information has been received from a physician concerning an 8 month old previously healthy female without medical history or concurrent conditions who in approximately June 2002 was vaccinated with the second dose of Haemophilus B conjugate vaccine (+) hepatitis B vaccine recombinant. It was reported that the pt received the first dose of vaccine in approximately April 2002, respectively. In August 2002, the pt was vaccinated with a dose of diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid. In October 2002, the pt developed HIB type 1 meningitis and was hospitalized. The physician reported that the pt had also developed syndrome of inappropriate ADH (STADH), and was being treated (unspecified) for that, as well as a 10 day course of antibiotics (unspecified). At the time of this report, CSF specimens were being analyzed, and the pt's HIB type 1 meningitis and SIADH persisted. The reporter considered the pt's HIB type 1 meningitis to be a disabling event. Upon internal review, it has been determined that the pt's SIADH was considered to be an other important medical event. Additional info has been requested.
Age: 63.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Injection site hypersensitivity, Injection site swelling, Pain
Clinical narrative: Information has been received from a physician concerning a 63 year old female with no know allergies, Hyperlipidemia, and a history of Gastroesophageal reflux disease, and lung cancer treated with a left lower lung lobectomy, who on 10/7/02 was vaccinated with pneumococcal vaccine 23 polyvalent. Concomitant therapy included influenza virus vaccine *aspirin (ASA), atorvastatin calcium (Lipitor), therapy (unspec'd) "premar", the start dates and doses were not indicated.* On the night of 10/7/02 the patient developed a local reaction, reported as swelling at the injection site. On approximately 10/8/02 when the patient was seen in the physician's office, the reporter stated the entire area, from front to back of upper arm, shoulder to elbow was red, and also reported the patient had an especially bad case of cellulitis. The patient was treated with a large dose of an unspecified antibiotic. On approximately 10/10/02 the patient's arm worsened and she was hospitalized for the cellulitis for a total of 2 days and was treated with unspecified intravenous antibiotics. It was noted she has recovered from the event. *F/UP report on 11/15/02: F/UP info received from a health professional included medical records which note the PT had received (no date provided) an unspec'd dose of oral cephalexin (Keflex) for the Tx of her increased left upper extremity pain, left upper arm inject site redness, and heat and tenderness at the inject site, subsequently there was no improvement. It was noted that on 10/10/02 the PT received "intravenous antibiotics" and methylprednisolone sodium succinate (Solumedrol). On 10/11/02 an MD indicated the arm looked "much" better, and she should continue the same medication. On 10/25/02 the reporter indicatd "her arm has improved but is still red". * Additional information has been requested. In additional info the reporter indicated the pt was seen in the office "today" (date not reported) and the pt stated, she still does not feel quite right. It was noted she felt fatigued. Follow-up info indicated illness at the time of vaccination as "redness of arm." In addition, it was noted by the reporter that the pt stated "now she is doing fine" (date not reported).
Age: 1.0
Sex: M
Vaccine: DTAP, HEP, HIBV
Symptoms: Coma, Drug toxicity, Emotional disorder, Hypokinesia, Neurodevelopmental disorder
Clinical narrative: Information has been received from a lawyer regarding a case in litigation concerning an approximately 12 month old male child who on 1/25/95, was vaccinated IM with his third dose of hepatitis B vaccine recombinant (yeast) lot # 611468/0653A given on 1/25/95; lot # 613800/1291A given on 3/27/95 and 5/26/97. An immunization record indicated that the patient was also vaccinated IM with four doses of alum, potassium (+) diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid (TRIPEDIA) lot #3C51043 given on 1/25/95, lot #4A61098 given on 3/27/95 and 5/26/95, and lot # U031 given 12/19/00; one dose of diphtheria toxoid (+) Hemophilus B conjugate vaccine (+) pertussis vaccine (+) tetanus toxoid (TETRAMUNE VACCINE) lot # 429 969 given on 1/29/96; and three doses of HIB conjugate vaccine (HIBTITER) lot # 305LF given on 1/25/95, lot # 265LJ given on 3/27/95, lot 005LK given on 5/26/95, lot 005LK given on 5/26/95. It was noted that all of these vaccinations contained the mercury laden preservative thimerosal. It is alleged that due to the accumulation of mercury in his body and the resultant mercury toxicity, the patient at approximately 12 months of age was neurologically devastated and suddenly regressed developmentally, losing milestones of neurological development previously achieved, specifically including, but not limited to, becoming withdrawn, unable to speak, unresponsive to his environment, engaging in repetitive behavior, and the loss of language skills, motor skills and affect. Upon internal review the patient's mercury toxicity, neurological devastation, withdrawn/unresponsive behavior, inability to speak, repetitive behavior and loss of language skills, loss of motor skills and loss of affect were determined to be other important medical events. Additional information is expected.
Age: 1.0
Sex: M
Vaccine: DTAP, HEP, HIBV
Symptoms: Speech disorder
Clinical narrative: Information has been received from a lawyer regarding a case in litigation concerning an approximately 12 month old male child who on 1/25/95, was vaccinated IM with his third dose of hepatitis B vaccine recombinant (yeast) lot # 611468/0653A given on 1/25/95; lot # 613800/1291A given on 3/27/95 and 5/26/97. An immunization record indicated that the patient was also vaccinated IM with four doses of alum, potassium (+) diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid (TRIPEDIA) lot #3C51043 given on 1/25/95, lot #4A61098 given on 3/27/95 and 5/26/95, and lot # U031 given 12/19/00; one dose of diphtheria toxoid (+) Hemophilus B conjugate vaccine (+) pertussis vaccine (+) tetanus toxoid (TETRAMUNE VACCINE) lot # 429 969 given on 1/29/96; and three doses of HIB conjugate vaccine (HIBTITER) lot # 305LF given on 1/25/95, lot # 265LJ given on 3/27/95, lot 005LK given on 5/26/95, lot 005LK given on 5/26/95. It was noted that all of these vaccinations contained the mercury laden preservative thimerosal. It is alleged that due to the accumulation of mercury in his body and the resultant mercury toxicity, the patient at approximately 12 months of age was neurologically devastated and suddenly regressed developmentally, losing milestones of neurological development previously achieved, specifically including, but not limited to, becoming withdrawn, unable to speak, unresponsive to his environment, engaging in repetitive behavior, and the loss of language skills, motor skills and affect. Upon internal review the patient's mercury toxicity, neurological devastation, withdrawn/unresponsive behavior, inability to speak, repetitive behavior and loss of language skills, loss of motor skills and loss of affect were determined to be other important medical events. Additional information is expected.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Paralysis
Clinical narrative: A nurse reported that a 45 year old female received an injection of influenza virus vaccine (manuf unk). Subsequently, the pt developed paralysis which lasted for three days. No further info was available at the date of this report. Paralysis is considered medically important (OMIC).
Age: 78.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Condition aggravated, Dyspnoea, Pyrexia, Renal failure
Clinical narrative: A healthcare professional reported that a 78 year old male, with a history of myelodysplastic syndrome received an injection of Flu Shield on an unspecified date. Concomitant therapy included Flomax, aspirin, Cardizem, Procrit, and Cipro. On 10/16/02, the pt was hospitalized with chills, fever and shortness of breath. It was later determined that the pt experienced an exacerbation of yelodysplastic syndrome. Lab test results were not provided. The pt also stated he developed renal failure. According to the pt, his attending physician felt the "exacerbation of myelodysplastic syndrome may have caused renal stone (calculus renal nOS) which in turn caused hyperkalemia and renal failure." The pt's experience of renal stones and hyperkalemia leading to renal failure was considered medically important (OMIC).
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Agitation, Convulsion, Grand mal convulsion, Meningitis, Pyrexia
Clinical narrative: Grand mal seizures. First had doctor's visit at 2:30 no signs of cold-had stuffy nose in am but could still nurse etc. We had construction going on and Dr and I felt that it was from dust. No temp, visit occurred at 2:30 pm 10/14 shots were discussed due to his weight 9 lbs 2 oz then he gave him 4 shots Hib DPaT Polio Hep went home he was very cranky/irritable, gave him Tylenol, he was definitely reacting to shots. By 6:30-6:45 he began to convulse, arms and chest jerked, eyes rolled back in head. ER visit began w/ three lumbar taps all were unsuccessful in getting any fluid to make a quick test (45 min) therefore all IV medications for meningitis/menococcal and encephylitis as well as for herpes. They also gave him phenobarbital for his seizures/convulsions and later on Tylenol for a low grade fever of 100.3 (Temp taken at 8:30 at night). We had a second tap taken after approx four days on medication (he had it on Thursday 10/17) the red blood cell count was 3300 and his white cell count was 24 they concluded he had a positive tap based on these results, they never grew any fungus or bacteria from either tap. My son was born 4'9'oz and had premature signs of development (he had a sunis hole that was closed above the rectum at the top of the crack of the behind and a small pinhole sunis hole at his right ear.) The doctor said a premature baby could have increased white cells and even though he had no direct signs mind you all the doctors felt he did not have meningitis and were shocked at the tap results. He remained in hospital for 14 days an EEG catscan and MRI all proved no effects to his body as a result of seizures etc. His eating and attitude were fine, and were up until he had shots and only dropped after the shots were given. He is absolutely perfect (thank heaven) and is advanced in his activities-hearing is excellent as is alertness.  Nurse follow up on 06/30/04 states: "ADD: meningitis, seizures."
Age: 1.6
Sex: F
Vaccine: DTAP
Symptoms: Anorexia, Anuria, Pyrexia
Clinical narrative: Child received DTaP mid morning on 10/7. Within a few hours, child would not eat and stopped urinating in her normal fashion (less urine output) that evening about 9 or 10, temp went up to 104. Mother gave Tylenol and Motrin but fever never came back to normal. Admitted to hosp 10/9.
Age: 15.0
Sex: M
Vaccine: TD
Symptoms: Eye movement disorder
Clinical narrative: Dad states "3 minutes after leaving clinic, we were in the truck when his eyes rolled back, I took him to the fire dept where he was taken by ambulance."
Age: 80.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Feeling hot
Clinical narrative: Redness, warmth to arm. Levaquin 500mg IV for 3 doses.
Age: 67.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site inflammation, Injection site oedema
Clinical narrative: Redness and swelling of injection site. Progression of inflammation with use of antibiotics. Admitted for IV antibiotics (Zosyn).
Age: 0.25
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Convulsion, Delirium
Clinical narrative: Focal seizures of R arm with some generalization started several hours after immunizations received. The infant was seen that evening and the following day, seizures stopped after 15mg/hg single IV dose of phenobarbital.
Age: 52.0
Sex: M
Vaccine: FLU3
Symptoms: Abasia, Guillain-Barre syndrome, Muscular weakness
Clinical narrative: Told by private doctor in day prior to vaccination it was okay to get the flu vaccine. Legs weak 10/11 pm, worse 10/12-hospitalized. 10/12, couldn't walk. 10/13 Did CAT, MRS, CSF. Doctor Dx as Guillain-Barr syndrome. Due to rapid onset of symptoms, doctors do not feel it's related to flu vaccine. Being treated for colon cancer. Had a virus sev. weeks earlier.  Per 60 day follow up: It is unknown if the pt has recovered.. Pt's phone is disconnected. Follow up on 6/2004: No information reported.
Age: 1.08
Sex: F
Vaccine: DTAP, HBHEPB, MMR, PNC
Symptoms: Convulsion, Cyanosis, Febrile convulsion, Pyrexia
Clinical narrative: Fever 104 f, 2-3 minute seizure, turned blue, Ar ER chest x-ray done blood work and urine samples.  Nurse follow up on 07/02/04 states: "ADD: febrile seizure."
Age: 0.5
Sex: M
Vaccine: DTP, HEP, HIBV
Symptoms: Autism, Flushing, Pyrexia, Somnolence
Clinical narrative: He didn't want to be held, wanted to be asleep. His cheeks were red with a little fever, and he just wanted to be in the baby swing. I called the doctor's office next day and told me to just give him Tylenol. MD diagnosed my son with autism spect.
Age: 26.0
Sex: F
Vaccine: HEP
Symptoms: Convulsion, Headache
Clinical narrative: Slight headache-no aching out of ordinary. 9/13/02 at 12:15am seizure, 3:15am seizure.
Age: 1.0
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Cyanosis, Eye movement disorder, Laboratory test abnormal, Lethargy, Pyrexia
Clinical narrative: On 10/22/02 at babysitter-who noted a 7 minute episode of cyanosis, eye rolling and generalized shaking. Lethargic afterwards for a period of time then started acting normally. Seen at center high temp 102.1. Questionable pneumonia tx'd Rocephen IV po dose.
Age: 1.0
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Tremor
Clinical narrative: On 10/22/02 at babysitter-who noted a 7 minute episode of cyanosis, eye rolling and generalized shaking. Lethargic afterwards for a period of time then started acting normally. Seen at center high temp 102.1. Questionable pneumonia tx'd Rocephen IV po dose.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Convulsion
Clinical narrative: Seizure 1 day after vaccination.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Temp of 102.8 the evening after vaccine given mother used Tylenol through the night.
Sex: U
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Otitis media, Pyrexia
Clinical narrative: 10/10/02 immunizations given in am-pt OK at time. By evening developed T102.4 sent to ER dx'd with B/L OM put on amoxicillin x 10 days. (9/25/02 shorts were deferred due to URI).
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying
Clinical narrative: Crying 3 hours non-stop. After receiving DTaP, IPV, Prevnar, HIB 8/30/02 (within first 72 hours) by history from parents.
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying, Screaming
Clinical narrative: Inconsolable crying for greater than or equal to 3 hrs-starting one hr after injections. DTaP, IPV, HIB, Prevnar 7/3/02 by history  from parents.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Injection site oedema
Clinical narrative: One day post immunization, pt had nickel sized bruise at injection site on L delt. Next day developed three more slightly swollen bruises in line at slight angle down from injection site about 2" apart. Bruises resolving 10 days later. No other injuries at that time noted by pt.
Age: 72.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pain
Clinical narrative: Pt called pharmacist, evening of 10/16/02. She told her right arm was hurting and painful. Was informed her to contact her doctor. Pt went to the ER later that evening.
Age: 39.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Alleged (pt called and reported over the telephone) T 102, chills, body aches that began ~ 6hrs post vaccine was given; referred him to PCP.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Injection site erythema, Injection site mass, Injection site pain, Injection site reaction
Clinical narrative: Pt stopped at clinic 10/22/02 14:30-states on 10/18/02 approx 20:00 L upper arm became reddened and tender. On 10/19/02 redness spread and had a lump on arm below bandaid that covered inj. site. Unable to contact MD by phone so pt went to ER 10/20/02-dx with cellulitis from Pneumovax in L deltoid. Started on Keflex. Today on exam red circle quarter size about 3/4" inferier to inj site.
Age: 72.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Immediate redness not only at site but distally with tenderness and erythema. Dx Cephalepan 500 bid x 7 days.
Age: 51.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site reaction
Clinical narrative: Localized skin reaction at injection site. Treatment Benadryl 50mg IM
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pain
Clinical narrative: 7cm x 4.5cm swollen, reddened area at injection site which was warm to touch. Sharp intermittent pain from R shoulder elbow to R fingers. Saw PMD morning of 10/18/02 who instructed pt to take Benadryl. Redness and swelling minimal by pm or 10/18 but pain persists.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Pt states arm got swollen and red at site of injection the day after shot. States in 2001 had slight redness at injection site.
Age: 39.0
Sex: M
Vaccine: FLUX
Symptoms: Asthenia, Blood pressure increased, Dyspnoea, Heart rate increased, Pyrexia
Clinical narrative: Increase in blood pressure and heart rate, slight shortness of breath. (Within 5 minutes of shot) (passed in about 30 minutes) Weakness and slight fever the following day.
Age: 59.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Significant redness, swelling and fever at injection site (left shoulder/arm).
Age: 0.75
Sex: F
Vaccine: FLU3, HEP, IPV
Symptoms: Acidosis, Lethargy, Vomiting, Weight decreased
Clinical narrative: Vomiting, lethargy, wt loss in two days, metabolic acidosis. Hospital x 24 hrs.
Age: 37.0
Sex: M
Vaccine: FLU3
Symptoms: Hyperhidrosis, Oedema, Pruritus
Clinical narrative: Generalized edema L arm from elbow to shoulder and torso itching, diaphoretic, no SOB. Heart 90, resp 20 B/P 142/6/. 25mg Benadryl PO, 60mg Prednisone PO.
Age: 68.0
Sex: F
Vaccine: FLUX
Symptoms: Hallucination, Insomnia, Nervousness, Palpitations, Pyrexia
Clinical narrative: I was feeling relaxed and sleepy, began getting nervous, heart palpitations, unable to sleep, hallucinations during hours of 12:30 midnight and 5 am. Slightly elevated temp 2 days. Recovered 5th day.
Age: 68.0
Sex: F
Vaccine: FLUX
Symptoms: Somnolence
Clinical narrative: I was feeling relaxed and sleepy, began getting nervous, heart palpitations, unable to sleep, hallucinations during hours of 12:30 midnight and 5 am. Slightly elevated temp 2 days. Recovered 5th day.
Age: 71.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Injection site reaction
Clinical narrative: 10/22/02 pt developed severe pain in right arm radiating from shoulder to fingertips. Later same day as vaccination, vaccine was Pneumovax. Pt contacted MD and was told to go to ER. ER MD ordered x-rays and administered ? 10/23 pt had f/u appointment with orthopedist. Ortho's impression was local rx. to vaccine and prescribed Celebrex. Improving 24 hours later.
Age: 33.0
Sex: F
Vaccine: FLUX, PPV, TD
Symptoms: Chest discomfort, Cough, Injection site induration, Pain, Pyrexia
Clinical narrative: 10/21/02 was at work. Received Td right arm. Received pneumovax and influenza vaccines left arm. 2 hours later felt general unease. By 8 PM was running a fever and left arm swollen, painful and hard to move. 10/22 Fever 103.5, chills, left arm still red, swollen. 10/23 fever 100.5 early morning--lost fever, heavy feeling in chest, slight coughing started 10/24. Feels light-headed, arm still very painful. Seen here; left arm with 3 indurated area left upper arm. Positive erythema of posterior pharynx. Negative strept screen. As per acknowledgement letter: as I wrote on my VAERS form, I did not give any of the vaccines (they were given  at work) and therefore have no lot #'s or manufact.
Age: 33.0
Sex: F
Vaccine: FLUX, PPV, TD
Symptoms: Swelling
Clinical narrative: 10/21/02 was at work. Received Td right arm. Received pneumovax and influenza vaccines left arm. 2 hours later felt general unease. By 8 PM was running a fever and left arm swollen, painful and hard to move. 10/22 Fever 103.5, chills, left arm still red, swollen. 10/23 fever 100.5 early morning--lost fever, heavy feeling in chest, slight coughing started 10/24. Feels light-headed, arm still very painful. Seen here; left arm with 3 indurated area left upper arm. Positive erythema of posterior pharynx. Negative strept screen. As per acknowledgement letter: as I wrote on my VAERS form, I did not give any of the vaccines (they were given  at work) and therefore have no lot #'s or manufact.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: 8cm area of erythema, induration, tenderness and heat in upper left arm after receiving flu vaccine on 10/21/02. Treated with Benadryl 25mg po q 9 prn, ice packs.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Rash, Rash papular
Clinical narrative: On 10/16 received Fluzone and allergy shots. On 10/18 developed rash over entire body, papular, red. Faded with Lorataine over 2-3 days.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Face oedema, Rash macular
Clinical narrative: Shot at app 2pm. Red cheeks at 3 (1 hr pr) hot face (a little). 8pm very blotchy face (6hr pr) 1am very red swollen face (11hr pr). 10/11/02 dermatologist prescribed 20mg preomsone.
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Shot given 10/16/02-on 10/18/02 pt returns to office with swollen arm L with moderate redness and tenderness over deltoid area of L arm (upper 2/3 of upper arm).
Age: 72.0
Sex: F
Vaccine: FLUX, FLUX
Symptoms: Back pain, Bone pain, Ear pain, Hyperhidrosis, Influenza like illness
Clinical narrative: Severe intolerable pain from clavicule to ear and from back to skull to the spinal bone. Fever of 103. Still have a fever of 100, sweats, flu-like symptoms, total debilitation.