chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 33.0
Sex: F
Vaccine: HEPA, IPV
Symptoms: Nausea, Rash, Rash pruritic, Vomiting
Clinical narrative: Patient received Adult Hep A Vaccination and Inactivate Polio Vaccination on 10/24/06 and developed a raised rash to her lower back the morning of 10/25/06. The rash was described as a circular border which progressed to spots with a red center with 5-10 spots appearing at a time. Patient stated the rash itched intensely and spread to her upper back, trunck, stomach and neck within 24 hours. Patient did not complain to dyspnea, throat itching and had previously received vaccinations without problems. Patient reported no history of allergies. Patient was examined by MD on 10/26/06 who diagnosed "allergic reaction to ?", treated with Zrytec and Adevax, and advised to return to MD in 5 days if rash did not resolve. On Oct. 29, patient reported episodes of vomiting, nausea and diarrhea and was seen at the Emergency Dept of Yampa Valley Medical Center in Steamboat, CO. She was rehydrated, treated with antinausea medication and released. No diagnosis was made. On November 1, 2006, patient reports rash is receding and itching has stopped, and is recovering from the earlier symptoms.
Age: 55.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: PT RETURNED DAY FOLLOWING INJECTION WITH LOCALIZED REACTION (REDNESS AND SWELLING) AT INJECTION SITE.  BENADRYL 50 MG IM GIVEN.  RX FOR ORAL BENADRYL GIVEN.  RX FOR AMOXICILLIN ALSO GIVEN.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 11 BY 9 CM. CIRCULAR, RED, INDURATED NON-TENDED LEFT ANTERIOR THIGH.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash, Skin ulcer, Viral infection
Clinical narrative: Chicken Pox 4 lesions and sent home from school.  30-50 % of the class is absent from school with chicken pox now.  this is 8 days after Varivax # 2 was givne on 10-23-2006.  Child is not acting sick but can not go to school with the lesions.  This occurred today and I expect no long term sequella other than to miss school.
Age: 37.0
Sex: M
Vaccine: MMR
Symptoms: Injection site erythema, Injection site rash, Injection site warmth, Rash, Urticaria
Clinical narrative: Patient received an MMR II on 10/19/06. That evening he noted a area of rash or redness around the site of the injection. The rash gradually spread to his trunk, then down both arms, and then down his legs.The rash got much worse on 10/25/06. Advised by nurse to come in for eval. on 10/27/06. Macular-papular rash noted, small dots to large confluences/hives everywhere but neck and head. Itchy, red warm to touch.
Age: 17.0
Sex: M
Vaccine: HEP, MMR, TD, VARCEL
Symptoms: Pyrexia, Stomach discomfort
Clinical narrative: Fever(102) and upset stomach. This was reported to us after the shots.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Abdominal pain, Haematuria, Proteinuria
Clinical narrative: Hematuria (blood in urine), proteinuria, and abdominal pain approximately 20 hours after receiving influenza vaccine. Exam normal including blood pressure. Normal ASO, serum albumin, urine Ca/creatinine ratior, urine culture. Complement profile pending. Patient will have followup exam 1 week after incident.
Age: 73.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Feeling hot, Pain
Clinical narrative: Left bottom side of arm, red, hot, painful to touch since Monday 10/30/06
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: 6x6 red, swollen, warm to touch area right deltoid. F/u 11/02/06, apply ice take Ibuprofen 600mg TID.
Age: 19.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema multiforme, Skin ulcer
Clinical narrative: Pt received Fluarix vaccination in left deltoid, one day later presented with 2 lesions his arm (c) diagnosed as erythema multiforme - appeared one day after vaccination.
Age: 35.0
Sex: F
Vaccine: FLU3, HEPAB
Symptoms: Erythema, Flushing, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Vaccine administered IM Left deltoid on 10/25/2006. Pt reported back to clinic and seen on 10/26/2006 with large erythematous induration, tenderness, and itching to left deltoid at injection site with red blotches all over body and facial flushing. Pt given prescription Atarax 25 mg PO Q4 PRN and instructed to go to ER if symptoms worsen.
Age: 35.0
Sex: F
Vaccine: FLU3, HEPAB
Symptoms: Injection site reaction, Pruritus
Clinical narrative: Vaccine administered IM Left deltoid on 10/25/2006. Pt reported back to clinic and seen on 10/26/2006 with large erythematous induration, tenderness, and itching to left deltoid at injection site with red blotches all over body and facial flushing. Pt given prescription Atarax 25 mg PO Q4 PRN and instructed to go to ER if symptoms worsen.
Age: 48.0
Sex: F
Vaccine: FLUX
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Erythema, Edema, warmth to touch. 10/20/06 10x7 in size. Treatment with Levaquin 500mg 1tab x 10 day, Claritin 10 mg daily.
Sex: F
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: Please see attached.
Sex: U
Vaccine: FLU3
Symptoms: Medication error
Clinical narrative: A newborn patient in a hospital setting was given influenza vaccine instead of the intended Hepatitis B vaccine. First vial sent by Pharmacy was the correct product, but it was dropped and had to be replaced. The second vaccine was sent and the baggie was labeled correctly but it contained the Fluarix instead of the Engerix-B. Products look very similar. Increased monitoring of patient with no apparent harm.
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Left deltoid cellulitis a site of smallpox vaccination. Resolving with IV ABX unk, x 2 doses and Augmentin 875 mg PO BID. Seen in ER after hours initially and for IV ABX. No admission, no issues now.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Eye oedema, Face oedema, Lacrimation increased, Sneezing
Clinical narrative: Facial swelling especially around eyes with sneezing and excessive tearing of eyes, approx 1 hour after injection. 50mg Benadryl taken by mouth per order of Dr, eye swelling gradually decreasing.
Age: 68.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Left arm was swollen, red, hot, had induration, sore. (only in the arm) x 3 days. Pt did not take any medication.
Age: 46.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: Fever, pain, redness and swelling at injection site.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Rash pruritic, Urticaria
Clinical narrative: Vaccine administered at 3:30pm 10/09/06 shortly after pt began itching and rash on arms legs torso, scalp and neck. Raised red welts. Was seen in Employee Health Clinic the next day. TX'D with IM and oral steroids and PO Benadryl.
Sex: F
Vaccine: FLU3
Symptoms: Injection site mass, Injection site swelling, Pain, Syncope vasovagal, Vasoconstriction
Clinical narrative: Pain down arm where vaccine administered. Patient described lump feeling, pain 8/10. 3:20 BP 109/71, P 84; 3:30 BP 112/70, P 93. 10/16/06 Patient reported swelling went down evening of 10/14 and she was not having any further problems
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Dyspnoea, Hypoaesthesia, Pallor, Syncope
Clinical narrative: Patient experienced dizziness and felt as though she was going to faint. Numbness in arm injection was given in left. Difficulty breathing when trying to speak, very pale. 911 called - patient started to recover on her own. 911 assessed and patient was able to go home with family. Asked by 911 to follow up with primary physician.
Age: 1.97
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Rash, itchy, redness, rough.
Age: 37.0
Sex: M
Vaccine: FLU3
Symptoms: Back pain, Face oedema, Fatigue, Somnolence
Clinical narrative: Received Fluzone vaccine 0.5 IM RD. Within 30 minutes of receiving vaccine, experienced facial swelling, became real tired and went to sleep. Also has had mid back pain. Swelling decreased this AM. This person presented to this clinic at 0815 10/27/06. Positive orbital swelling. Given Benadryl  PO. BP 104/80, AP 76. No acute distress at this time.
Age: 24.0
Sex: F
Vaccine: FLUN3
Symptoms: Medication error
Clinical narrative: Patient received FluMist while pregnant. Due 3/07.
Age: 37.0
Sex: F
Vaccine: FLUN3
Symptoms: Headache, Myalgia, Pyrexia, Rash
Clinical narrative: Fever, myalgias, HA and rash starting on day of FluMist administration.
Age: 72.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Fatigue, Hypothermia, Injection site induration, Injection site pain
Clinical narrative: 5 days - very tender, swollen and hard at site of injection. 2 days - body ache all over, chills, low temperature - very tired. 2 days - rash on arms, legs, chest, stomach. 2nd Day, took Advil for pain in arm - very sore. 3rd day - more rash and itches now - took Benadryl. 1st day only - sore throat. Most symptoms gone Sunday.
Age: 72.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site swelling, Pain, Pharyngolaryngeal pain, Pruritus, Rash
Clinical narrative: 5 days - very tender, swollen and hard at site of injection. 2 days - body ache all over, chills, low temperature - very tired. 2 days - rash on arms, legs, chest, stomach. 2nd Day, took Advil for pain in arm - very sore. 3rd day - more rash and itches now - took Benadryl. 1st day only - sore throat. Most symptoms gone Sunday.
Age: 74.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site abscess, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Patient called complained of bleeding from site of vaccination - several hours after placement. Seen in office, positive swelling, positive pain, site reddened and warm to touch. 6-8cm induration. Advised cool compresses, Tylenol Q 6H.
Age: 74.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site warmth
Clinical narrative: Patient called complained of bleeding from site of vaccination - several hours after placement. Seen in office, positive swelling, positive pain, site reddened and warm to touch. 6-8cm induration. Advised cool compresses, Tylenol Q 6H.
Age: 82.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Pyrexia, Rash
Clinical narrative: Fever 101 evening of 10-25-06. Rash on left arm (shot administered) 10-26-06 - 10-27-06
Age: 0.83
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Last PM, around 8 PM, 10/26/06, pt felt warm and T 102, received Flu shot at approx 2:30 10/26/06 at 0230 AM, temperature (rectal) was 104.5. This AM (10/27/06 at 0930, T 103.2) In office, T 98.9 rectal.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Injection site erythema
Clinical narrative: 1-2 hours after shot got uncontrollable severe diarrhea that lasted 3 days. Also got a red circle the side of baseball around injection site that lasted for about a week. This is the flu shot I reacted to.
Sex: F
Vaccine: FLU3
Symptoms: Skin irritation
Clinical narrative: Received flu shot on 10/25/06. Developed a rash which resembled skin being rub with sand paper.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Discomfort, Injection site erythema, Injection site induration, Injection site mass, Injection site warmth
Clinical narrative: Injection left large red hard lump - which stayed for three days. It was very warm in spite of ice pack. General pain and discomfort.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: Injection left large red hard lump - which stayed for three days. It was very warm in spite of ice pack. General pain and discomfort.
Age: 1.0
Sex: M
Vaccine: HIBV, MMRV, PNC
Symptoms: Febrile convulsion
Clinical narrative: Febrile seizure after immunizations.
Age: 75.0
Sex: F
Vaccine: FLUX
Symptoms: Urticaria
Clinical narrative: Hives on eyes and face. 2005 flu shot. I am not allergic to eggs or shellfish. Just wanted you to know. No need to follow up.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site reaction, Injection site warmth
Clinical narrative: Local reaction to left leg following flu shot. 8.5 by 10.5cm local reaction, red, hot and spreading.
Age: 28.0
Sex: M
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Vomiting
Clinical narrative: Patient reports she vomited 1 time approximately 4 hours following injection of Gardasil. Patient's mother reports that the patient vomited following the first injection in series.
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Pharyngitis, Pyrexia, Rash erythematous
Clinical narrative: 3-4 days post Tdap pharynigitis, fever, erythematous rash and arthralgia lasting 5-8 days.
Age: 81.0
Sex: U
Vaccine: UNK
Symptoms: Anorexia, Dizziness, Joint range of motion decreased, Nausea, Pyrexia
Clinical narrative: 1023/2006 1:00 pm both pneumonia and flu shot injected in right upper arm (hand lymphedema in left arm).  Arm progressively sorer till evening-slept fitfully.  Couldn't raise arm in am.  To medical doctor -temperature of 101, dizzy, nauseous,  Hot pad all day to upper arm.  No appetite.  Better in 48 hours.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dyspnoea, Paraesthesia, Urticaria
Clinical narrative: Employee received Influenza vaccine at 11:00 am 10/25/2006 at 13:05 reported to occupational health services with hives face, mouth, neck, trunk and arms, hands tingling, by mouth Diphenhydramine 50 mg given 1310.  Employee stated chest tightness, asthma like signs and symptoms. Three 1:1000 Epi given SQ taken to emergency room.
Age: 55.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Erythema, Oedema
Clinical narrative: Erythema, edema.  CBC-6200 WBC with 65/35% L/M.  BENADRYL over the counter as directed.
Age: 67.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Mild to moderate erythema/edema at injection site. ZYRTEC 10mg every day/ice to site.
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMRV
Symptoms: Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: 10/27/2006 at 4 year well check administered Dtap, Polio, ProQuad, Flu-mom advised Sunday following injection sites red and hot and developed a rash- seen at urgent care.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Chills, Nausea, Pyrexia, Vomiting
Clinical narrative: Nausea and vomiting, fever 99 degrees F- 100 degrees F, chills for 3 days.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Nausea, Vomiting
Clinical narrative: Nausea and vomiting, fever 99 degrees F- 100 degrees F, chills for 3 days.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Myalgia, Nausea, Pyrexia, Rash
Clinical narrative: Fever, rash, myalgias, nausea, vomiting, diarrhea.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: Fever, rash, myalgias, nausea, vomiting, diarrhea.
Age: 7.0
Sex: F
Vaccine: FLUN3
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: Woke up Sunday, 10/29, in the morning with fever of 101.7 and vomited.  Felt achy.  Parent gave TYLENOL/ADVIL.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Eye swelling, Pain, Pyrexia
Clinical narrative: Fever 101 degrees, eyes swollen. tightness in chest, body aches.  MOTRIN for temperature and aches.
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV, MMR
Symptoms: Convulsion, Eye movement disorder, Feeling hot, Hypotonia, Pyrexia
Clinical narrative: Patient became warm-temperature rose rapidly during night, became limp, eyes rolled back, she had flem coming out of her mouth-non responsive for about 5-10 minutes until emergency medical services arrived.  Febrile, seizure, rose.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Injection site induration
Clinical narrative: Erythema of left upper forearm, with induration.
Sex: M
Vaccine: MMR, TD, UNK
Symptoms: Erythema, Hyperaesthesia, Injection site induration, Myalgia
Clinical narrative: Redden area 2 1/4" wide 2 3/4" long sore and tender to touch, area firm to touch.
Age: 33.0
Sex: M
Vaccine: ANTH, HEPAB, SMALL, TYP
Symptoms: Chest pain, Cough, Fatigue, Hypoventilation, Malaise
Clinical narrative: 33 y/o male is seen in the ED for pneumonia approx five days after series of vaccinations. cough, dry start 9/9/06 end 9/15/06 started 2-3 days after vaccinations. fever start 9/11/06 end 9/15/06 up to 102-103F between 9/11 and 9/12. fatigue, malaise <60 days start 9/9/06 end 9/15/06, chest pain start 9/12/06 end 9/15/06, associated with inability to take a deep breath.
Age: 33.0
Sex: M
Vaccine: ANTH, HEPAB, SMALL, TYP
Symptoms: Pneumonia, Pyrexia
Clinical narrative: 33 y/o male is seen in the ED for pneumonia approx five days after series of vaccinations. cough, dry start 9/9/06 end 9/15/06 started 2-3 days after vaccinations. fever start 9/11/06 end 9/15/06 up to 102-103F between 9/11 and 9/12. fatigue, malaise <60 days start 9/9/06 end 9/15/06, chest pain start 9/12/06 end 9/15/06, associated with inability to take a deep breath.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Erythema, Myalgia, Nausea, Somnolence
Clinical narrative: Soreness in left arm-red and swollen, nausea, chills, slept 10-12 hours, 12 by 6 cm erythema left deltoid.
Sex: M
Vaccine: DTAP, HBHEPB
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Local area of redness and induration on both thighs anteriorly and laterally; noted on PM of 10/25/06.
Age: 38.0
Sex: F
Vaccine: PPV
Symptoms: Abdominal pain, Chills, Hyperhidrosis, Injection site erythema, Injection site pain
Clinical narrative: The patient comes in today with complaints of fever, chills, sweating, vomiting, nausea. She states the symptoms began two days ago. She thinks they are related to a Pneumovax injection she received the day before. She states that she had been having a flare of her asthma and came into the office and was given Medrol Dose-pack, Singulair, and a Pneumovax. The following day, she started feeling badly with a fever going up to 104 early this morning, headache, nausea, and vomiting. She has body aches. She feels horrible. She feels like a truck has hit her. She is not coughing. Coincidentally, her breathing is very well controlled. She has used her inhaler once since then. Has really felt ok. She has had no sore throat, no nasal congestion. No urinary frequency, no constipation, no diarrhea. She has a slight amount of abdominal pain. She is very sore where she was given the injection and she has a lot of redness. She has never had a reaction like this to any kind of immunization. She is keeping fluids down and she is urinating but not as much as usual. She has not eaten for two days because she feels so nauseous.
Age: 38.0
Sex: F
Vaccine: PPV
Symptoms: Malaise, Nausea, Pyrexia, Vomiting
Clinical narrative: The patient comes in today with complaints of fever, chills, sweating, vomiting, nausea. She states the symptoms began two days ago. She thinks they are related to a Pneumovax injection she received the day before. She states that she had been having a flare of her asthma and came into the office and was given Medrol Dose-pack, Singulair, and a Pneumovax. The following day, she started feeling badly with a fever going up to 104 early this morning, headache, nausea, and vomiting. She has body aches. She feels horrible. She feels like a truck has hit her. She is not coughing. Coincidentally, her breathing is very well controlled. She has used her inhaler once since then. Has really felt ok. She has had no sore throat, no nasal congestion. No urinary frequency, no constipation, no diarrhea. She has a slight amount of abdominal pain. She is very sore where she was given the injection and she has a lot of redness. She has never had a reaction like this to any kind of immunization. She is keeping fluids down and she is urinating but not as much as usual. She has not eaten for two days because she feels so nauseous.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Patient arm got red, hot and swollen.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site reaction, Tenderness
Clinical narrative: 24 hours post injection there was a 21 x 18 cm indurated, tender erythematous (severe localized reaction) on the left upper arm treated with NSAIDS and ice.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Rash
Clinical narrative: Shortly after vaccine given child complained of pain at site of injection.  Mother then noticed redness - Today erythema 4 cm x 41/2 cm induration 6 cm x 6 cm - Area quite painful to touch exanthema (maculopapular erythema) bilat neck supraclavicular area.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: 2nd day swelling/erythema/warmth.  Almost completely resolved by date seen (10/23).  no pain, no s/s cellulitis/abscess.  Supportive
Age: 47.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Diverticulitis, Headache, Joint swelling, Myalgia
Clinical narrative: Swollen and joint pain, diverticulitis, headache, muscular aches
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site reaction, Injection site swelling
Clinical narrative: 8.2 x 9.0 cm raised warm welt left upper arm - noticed today in the am (10/13/2006) no fever
Age: 43.0
Sex: M
Vaccine: ANTH
Symptoms: Anxiety, Cough, Haemorrhoids, Headache, Hyperhidrosis
Clinical narrative: Anxiety, insomnia, coughing and headaches.  Very nervous while sleeping.  Easily loose temper, continuous sweating.  Hemorrhoids.  Malabsorption syndrome.
Age: 43.0
Sex: M
Vaccine: ANTH
Symptoms: Insomnia, Irritability, Malabsorption, Nervousness
Clinical narrative: Anxiety, insomnia, coughing and headaches.  Very nervous while sleeping.  Easily loose temper, continuous sweating.  Hemorrhoids.  Malabsorption syndrome.
Age: 4.0
Sex: U
Vaccine: DTAP, IPV
Symptoms: Erythema, Injection site swelling, Rash
Clinical narrative: erythematous rash and swelling 17 X 1 cm left antero lateral thigh.
Age: 6.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: itchy, redness, swollen, 10 inch X 7 inch area
Age: 26.0
Sex: F
Vaccine: TTOX
Symptoms: Chills, Dizziness, Nausea
Clinical narrative: Patient became dizzy and nauseous with the chills approximately 1 hour after tetanus immunization and plasmapheresis.
Age: 0.25
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Eye movement disorder, Musculoskeletal stiffness, Pyrexia, Staring
Clinical narrative: Infant had fever of 102.4 rectally on morning after immunizations.  Baby was awake and interactive with Mom when suddenly became stiff, eyes rolled back and he stared to the side.  Episodes lasted less than 1 min but he had 3 episodes, each about 5 min apart.  She was unable to engage infant during the episode.  Was brought to ER where temp was 102.2, given Tylenol.  Normal exam in office
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Gait disturbance, Laboratory test abnormal, Pain in extremity
Clinical narrative: 2 year old who awoke 22 hours + after receiving Hep A number 1 with painless limp, favoring right leg.  No redness, no swelling, no trauma, no travel.  Occasional complaint of right foot pain 24 hours later.  No constitutional symptoms.  No preceding illness.
Age: 0.13
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying
Clinical narrative: Cried continuously for 2 to 3 hours.
Age: 48.0
Sex: F
Vaccine: PPV
Symptoms: Hypotension, Injection site erythema, Rash macular, Wheezing
Clinical narrative: Erythema around injection site x 10 cm (blotchy), wheezing, pulse oximeter down to 95%.  Mild blood pressure drop to 90/50.  No temp at present.  Adrenalin 0.3 IM/SQ (1/2 and 1/2), Kenalog Clarinex orally, Benadryl orally.
Age: 1.53
Sex: F
Vaccine: HEPA
Symptoms: Pyrexia
Clinical narrative: Fever 104.0
Age: 65.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Cellulitis, Chills, Condition aggravated, Diarrhoea, Injection site erythema
Clinical narrative: Pt developed redness and pain at site of injection in right arm, progressively got worse.  Pt developed chills, nausea, and fever.  Oral doxycycline was started on outpatient basis.  Fever and malaise progressed.  Pt was admitted to hospital with diagnosis of cellulitis at injection site. DC DX: for DOS 11/9-11/15/05 Cellulitis due to pneumovax infection with erythema Drug reaction to clindamycin, now an allergy diarrhea apparently becoming more firm and resolving other past medical history is hyperlipidemia, hypertension, history of migraines. leukocytosis that has since resolved cultures are negative at this time
Age: 65.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Injection site pain, Injection site reaction, Malaise, Nausea, Pyrexia
Clinical narrative: Pt developed redness and pain at site of injection in right arm, progressively got worse.  Pt developed chills, nausea, and fever.  Oral doxycycline was started on outpatient basis.  Fever and malaise progressed.  Pt was admitted to hospital with diagnosis of cellulitis at injection site. DC DX: for DOS 11/9-11/15/05 Cellulitis due to pneumovax infection with erythema Drug reaction to clindamycin, now an allergy diarrhea apparently becoming more firm and resolving other past medical history is hyperlipidemia, hypertension, history of migraines. leukocytosis that has since resolved cultures are negative at this time
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Acoustic stimulation tests normal, Dizziness, Laboratory test, Meniere's disease, Nuclear magnetic resonance imaging brain normal
Clinical narrative: On 5/30/2006 pt began having episodes of dizziness. These occur everyday and are intermittent throughout the day. She also had tinnitus and occasional tingling in hands and legs. She has been given a preliminary diagnosis of Meniere's disease, but this is unconfirmed. Impression: acute onset vertigo with no change in spite of using antibiotic tables. Normal neurological examination. Veritgo could be from the inner ear but she does not have any nystagmus or other vestibular symptoms or signs. Could be migraine variant. She never had any headache. Referred to neuro-otologist. Dr. MRI brain: normal. Symptoms began 3 1/2 weeks after Menactra probably incidental. krk 11/9/06-Dr's notes received. Impression:based on a left reduced caloric response findings are consistent with a left peripheral vestibular lesion. Vestibular evoked myogenic potential: abnormal suggesting a left saccular lesion. Taken together with patient's other vestibular laboratory testing, vestibular evoked myogenic potentials further confirm a left sided vestibular abnormality that appears to involve both the seimcurcular canals and otolith organs.  Per 60 day follow up: Pt still has daily episodes of dizziness and vertigo. She has been seen by multiple physicians/specialists. Diagnosis is still unclear-working diagnosis is atypical MENIERE'S disease.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Paraesthesia, Tinnitus, Vertigo
Clinical narrative: On 5/30/2006 pt began having episodes of dizziness. These occur everyday and are intermittent throughout the day. She also had tinnitus and occasional tingling in hands and legs. She has been given a preliminary diagnosis of Meniere's disease, but this is unconfirmed. Impression: acute onset vertigo with no change in spite of using antibiotic tables. Normal neurological examination. Veritgo could be from the inner ear but she does not have any nystagmus or other vestibular symptoms or signs. Could be migraine variant. She never had any headache. Referred to neuro-otologist. Dr. MRI brain: normal. Symptoms began 3 1/2 weeks after Menactra probably incidental. krk 11/9/06-Dr's notes received. Impression:based on a left reduced caloric response findings are consistent with a left peripheral vestibular lesion. Vestibular evoked myogenic potential: abnormal suggesting a left saccular lesion. Taken together with patient's other vestibular laboratory testing, vestibular evoked myogenic potentials further confirm a left sided vestibular abnormality that appears to involve both the seimcurcular canals and otolith organs.  Per 60 day follow up: Pt still has daily episodes of dizziness and vertigo. She has been seen by multiple physicians/specialists. Diagnosis is still unclear-working diagnosis is atypical MENIERE'S disease.
Age: 18.0
Sex: M
Vaccine: MEN
Symptoms: Asthenia, Blood pressure increased, Cardiomyopathy, Depression, Difficulty in walking
Clinical narrative: Developed difficulty walking 10/23/06. Admitted on 10/25/06 to ICU with rash, inability to lift legs off bed, bilateral arm weakness, headache, shortness of breath, neck weakness, voice affected, BP increase, tachycardic, Possible pulmonary emboli, getting 7 days of IVIG. 11/8/06-neurology consultation of 10/25/06: DX severe GBS with rapid ascending weakness of all four limbs and currently he has moderate cervical neck weakness and mild shortness of breath. 12/27/06-DC Summary received and reviewed for DOS 10/25-11/09/06 DC DX: Guillain Barre Syndrome Dysphagia, improving Possible depression possible heparin induced thrombocytopenia Sinus tachycardia history sinus pause on 10/28/06. RX with 5 day course IVIG with no improvement then RX with additional 2 days for total of 7 days.DC transferred to rehab facility.
Age: 18.0
Sex: M
Vaccine: MEN
Symptoms: Dysphagia, Dysphonia, Dyspnoea, Guillain-Barre syndrome, Headache
Clinical narrative: Developed difficulty walking 10/23/06. Admitted on 10/25/06 to ICU with rash, inability to lift legs off bed, bilateral arm weakness, headache, shortness of breath, neck weakness, voice affected, BP increase, tachycardic, Possible pulmonary emboli, getting 7 days of IVIG. 11/8/06-neurology consultation of 10/25/06: DX severe GBS with rapid ascending weakness of all four limbs and currently he has moderate cervical neck weakness and mild shortness of breath. 12/27/06-DC Summary received and reviewed for DOS 10/25-11/09/06 DC DX: Guillain Barre Syndrome Dysphagia, improving Possible depression possible heparin induced thrombocytopenia Sinus tachycardia history sinus pause on 10/28/06. RX with 5 day course IVIG with no improvement then RX with additional 2 days for total of 7 days.DC transferred to rehab facility.
Age: 18.0
Sex: M
Vaccine: MEN
Symptoms: Hypokinesia, Laboratory test abnormal, Pulmonary embolism, Rash, Tachycardia
Clinical narrative: Developed difficulty walking 10/23/06. Admitted on 10/25/06 to ICU with rash, inability to lift legs off bed, bilateral arm weakness, headache, shortness of breath, neck weakness, voice affected, BP increase, tachycardic, Possible pulmonary emboli, getting 7 days of IVIG. 11/8/06-neurology consultation of 10/25/06: DX severe GBS with rapid ascending weakness of all four limbs and currently he has moderate cervical neck weakness and mild shortness of breath. 12/27/06-DC Summary received and reviewed for DOS 10/25-11/09/06 DC DX: Guillain Barre Syndrome Dysphagia, improving Possible depression possible heparin induced thrombocytopenia Sinus tachycardia history sinus pause on 10/28/06. RX with 5 day course IVIG with no improvement then RX with additional 2 days for total of 7 days.DC transferred to rehab facility.
Age: 18.0
Sex: M
Vaccine: MEN
Symptoms: Thrombocytopenia
Clinical narrative: Developed difficulty walking 10/23/06. Admitted on 10/25/06 to ICU with rash, inability to lift legs off bed, bilateral arm weakness, headache, shortness of breath, neck weakness, voice affected, BP increase, tachycardic, Possible pulmonary emboli, getting 7 days of IVIG. 11/8/06-neurology consultation of 10/25/06: DX severe GBS with rapid ascending weakness of all four limbs and currently he has moderate cervical neck weakness and mild shortness of breath. 12/27/06-DC Summary received and reviewed for DOS 10/25-11/09/06 DC DX: Guillain Barre Syndrome Dysphagia, improving Possible depression possible heparin induced thrombocytopenia Sinus tachycardia history sinus pause on 10/28/06. RX with 5 day course IVIG with no improvement then RX with additional 2 days for total of 7 days.DC transferred to rehab facility.
Age: 29.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site swelling
Clinical narrative: Swelling at injection site 1/2 hour after receiving the dose and lasting over 4 days.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Blood pressure decreased, Loss of consciousness
Clinical narrative: Patient appeared to have lost conscious. Wife thought it was due to drop in glucose patient did not have breakfast. Wife gave a glucose tab. Patient appeared to begin to respond. We had called EMT when they arrived the indicated patient blood pressure was low he was then taken to ER for further evaluation.
Age: 51.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Fatigue, Headache, Injection site erythema, Injection site infection
Clinical narrative: Fever/severe pain and swelling at inoculation site/redness and infection at site of pneumococcal vaccine/chills/overall pain and fatigue/headache
Age: 51.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Injection site swelling, Pain, Pyrexia
Clinical narrative: Fever/severe pain and swelling at inoculation site/redness and infection at site of pneumococcal vaccine/chills/overall pain and fatigue/headache
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Asthenia, Hypoaesthesia
Clinical narrative: Information has been received from a physician concerning a 16 year old female who on an unspecified date was vaccinated with the first dose of HPV vaccine. subsequently the pt developed lower extremity weakness and was hospitalized for two days with Guillain [[name]]. The pt received treatment with gamma globulin during her hospitalization. At the time of this report, the pt was back to school and was 99% recovered having only some area of numbness to her lower extremities. The physician did not believe that the pt was on any other medications at the time and had no further details to provide. Additional information has been requested. Mild Guillane [[name]] Syndrome. EMG study on 10/10/2006: nerve conduction studies of right peroneal and tibial nerves were normal. F wave latencies were normal but some blocking was present. Conclusion: study consistent with mild Guillain [[name]] Syndrome.  12/12/06-records received from facility. DX Mild Guillain [[name]] Syndrome. 12/28/06-DC Summary received DC DX: Mild Guillain [[name]] Syndrome. 1.5 week duration of tingling below kness and above ankle bilaterally. Pain with walking. Office note for DO 12/28/06 from pediatric neurologist:continues to have tingling from elbow to hands, improving. On Neurontin 100 mg tabs 1 three times per day. Has pain across shoulders and neck also lower back. Will order labs.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Neuropathy, Pain
Clinical narrative: Information has been received from a physician concerning a 16 year old female who on an unspecified date was vaccinated with the first dose of HPV vaccine. subsequently the pt developed lower extremity weakness and was hospitalized for two days with Guillain [[name]]. The pt received treatment with gamma globulin during her hospitalization. At the time of this report, the pt was back to school and was 99% recovered having only some area of numbness to her lower extremities. The physician did not believe that the pt was on any other medications at the time and had no further details to provide. Additional information has been requested. Mild Guillane [[name]] Syndrome. EMG study on 10/10/2006: nerve conduction studies of right peroneal and tibial nerves were normal. F wave latencies were normal but some blocking was present. Conclusion: study consistent with mild Guillain [[name]] Syndrome.  12/12/06-records received from facility. DX Mild Guillain [[name]] Syndrome. 12/28/06-DC Summary received DC DX: Mild Guillain [[name]] Syndrome. 1.5 week duration of tingling below kness and above ankle bilaterally. Pain with walking. Office note for DO 12/28/06 from pediatric neurologist:continues to have tingling from elbow to hands, improving. On Neurontin 100 mg tabs 1 three times per day. Has pain across shoulders and neck also lower back. Will order labs.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Information has been received from a respiratory therapist concerning 7 pts with no medical history reported, who within the past month, were vaccinated (route unk) with a dose of Pneumococcal 23v polysaccharide vaccine. The therapist reported that 3 out of the 7 patients have had injection site reaction in the past month at the hospital. Some have not received Pneumococcal 23v polysaccharide vaccine prior to the vaccination but the majority have had the vaccine in the past. Unspecified medical attention was sought. No product quality complaint was involved. Additional information was received from the pharmacist concerning a 74 year old retired female with hypertension and arthritis. Illness at the time of the vaccination included nausea, vomiting, diarrhea and fever. On 7/24/06, the pt was vaccinated with first dose of Pneumococcal 23v polysaccharide vaccine (lot 651149/0088F) IM in the right deltoid at 1515 hours. On 7/25/06, at 1600 hours, the pts upper right arm was red, swollen, warm, and painful to touch. The pharmacist reported that the events required medical surgical intervention (other important medical events) (OMIC). On an unspecified date, the pt recovered. It was confirmed with the pharmacist via telephone call that the events were serious. The pharmacist reported that the pt required antibiotic therapy as intervention to prevent a serious outcome, and that it was not the pts illness at the time of the vaccination that required intervention. The pharmacist indicated that this was the only pt that they knew for sure who had a reaction. No additional information is expected.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Alopecia, Arthralgia, Arthritis, Asthenia, Back pain
Clinical narrative: Skin sores in throat and mouth, too much sleeping, night sweats, swelling joints, feet, and ankles, urinary frequency weakness, pain legs, knee right, lower back, ankles, hips, joints, muscle pain and rib cage, respiratory tract infection (pneumonia), respiratory problems upper airway obstruction, rhinitis, infections chronic to include ear and sinus, leukocytosis, sometime dizziness, irritable, nausea, vomiting, hair loss (alopecia), fatigue, arthritis, tachycardia, high cholesterol, vertigo, hemorrhoids, gastritis, chills, fever (over 40), cramps leg, cough, constipation, chest pain. Initial report received with attached records documenting a diagnosis of sepsis 2' to upper respiratory infection on 07/08/2004 as well as labs revealing hyperlipidemia and elevated LFTs frpm 8/26/2006.  MR received from March 2004 to Oct. 2006 for visits for the following problems: dyslipidemia (03/2005 and 07/2006) as well as low back pain, and knee arthralgias (10/31/2006) On OV of 3/29/2005 pt. reports no complaints. PE negative. C/o of joint pain (low back, hands, and knees) on 07/2006 10/2006. PEs negative except for +joint pain  treated with Sulindac.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Blood cholesterol increased, Chest pain, Chills, Constipation, Cough
Clinical narrative: Skin sores in throat and mouth, too much sleeping, night sweats, swelling joints, feet, and ankles, urinary frequency weakness, pain legs, knee right, lower back, ankles, hips, joints, muscle pain and rib cage, respiratory tract infection (pneumonia), respiratory problems upper airway obstruction, rhinitis, infections chronic to include ear and sinus, leukocytosis, sometime dizziness, irritable, nausea, vomiting, hair loss (alopecia), fatigue, arthritis, tachycardia, high cholesterol, vertigo, hemorrhoids, gastritis, chills, fever (over 40), cramps leg, cough, constipation, chest pain. Initial report received with attached records documenting a diagnosis of sepsis 2' to upper respiratory infection on 07/08/2004 as well as labs revealing hyperlipidemia and elevated LFTs frpm 8/26/2006.  MR received from March 2004 to Oct. 2006 for visits for the following problems: dyslipidemia (03/2005 and 07/2006) as well as low back pain, and knee arthralgias (10/31/2006) On OV of 3/29/2005 pt. reports no complaints. PE negative. C/o of joint pain (low back, hands, and knees) on 07/2006 10/2006. PEs negative except for +joint pain  treated with Sulindac.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Dizziness, Fatigue, Gastritis, Haemorrhoids, Hepatic enzyme abnormal
Clinical narrative: Skin sores in throat and mouth, too much sleeping, night sweats, swelling joints, feet, and ankles, urinary frequency weakness, pain legs, knee right, lower back, ankles, hips, joints, muscle pain and rib cage, respiratory tract infection (pneumonia), respiratory problems upper airway obstruction, rhinitis, infections chronic to include ear and sinus, leukocytosis, sometime dizziness, irritable, nausea, vomiting, hair loss (alopecia), fatigue, arthritis, tachycardia, high cholesterol, vertigo, hemorrhoids, gastritis, chills, fever (over 40), cramps leg, cough, constipation, chest pain. Initial report received with attached records documenting a diagnosis of sepsis 2' to upper respiratory infection on 07/08/2004 as well as labs revealing hyperlipidemia and elevated LFTs frpm 8/26/2006.  MR received from March 2004 to Oct. 2006 for visits for the following problems: dyslipidemia (03/2005 and 07/2006) as well as low back pain, and knee arthralgias (10/31/2006) On OV of 3/29/2005 pt. reports no complaints. PE negative. C/o of joint pain (low back, hands, and knees) on 07/2006 10/2006. PEs negative except for +joint pain  treated with Sulindac.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Irritability, Joint swelling, Leukocytosis, Mouth ulceration, Muscle spasms
Clinical narrative: Skin sores in throat and mouth, too much sleeping, night sweats, swelling joints, feet, and ankles, urinary frequency weakness, pain legs, knee right, lower back, ankles, hips, joints, muscle pain and rib cage, respiratory tract infection (pneumonia), respiratory problems upper airway obstruction, rhinitis, infections chronic to include ear and sinus, leukocytosis, sometime dizziness, irritable, nausea, vomiting, hair loss (alopecia), fatigue, arthritis, tachycardia, high cholesterol, vertigo, hemorrhoids, gastritis, chills, fever (over 40), cramps leg, cough, constipation, chest pain. Initial report received with attached records documenting a diagnosis of sepsis 2' to upper respiratory infection on 07/08/2004 as well as labs revealing hyperlipidemia and elevated LFTs frpm 8/26/2006.  MR received from March 2004 to Oct. 2006 for visits for the following problems: dyslipidemia (03/2005 and 07/2006) as well as low back pain, and knee arthralgias (10/31/2006) On OV of 3/29/2005 pt. reports no complaints. PE negative. C/o of joint pain (low back, hands, and knees) on 07/2006 10/2006. PEs negative except for +joint pain  treated with Sulindac.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Myalgia, Nausea, Night sweats, Oedema peripheral, Otitis media
Clinical narrative: Skin sores in throat and mouth, too much sleeping, night sweats, swelling joints, feet, and ankles, urinary frequency weakness, pain legs, knee right, lower back, ankles, hips, joints, muscle pain and rib cage, respiratory tract infection (pneumonia), respiratory problems upper airway obstruction, rhinitis, infections chronic to include ear and sinus, leukocytosis, sometime dizziness, irritable, nausea, vomiting, hair loss (alopecia), fatigue, arthritis, tachycardia, high cholesterol, vertigo, hemorrhoids, gastritis, chills, fever (over 40), cramps leg, cough, constipation, chest pain. Initial report received with attached records documenting a diagnosis of sepsis 2' to upper respiratory infection on 07/08/2004 as well as labs revealing hyperlipidemia and elevated LFTs frpm 8/26/2006.  MR received from March 2004 to Oct. 2006 for visits for the following problems: dyslipidemia (03/2005 and 07/2006) as well as low back pain, and knee arthralgias (10/31/2006) On OV of 3/29/2005 pt. reports no complaints. PE negative. C/o of joint pain (low back, hands, and knees) on 07/2006 10/2006. PEs negative except for +joint pain  treated with Sulindac.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Pain, Pneumonia, Pollakiuria, Pyrexia, Respiratory disorder
Clinical narrative: Skin sores in throat and mouth, too much sleeping, night sweats, swelling joints, feet, and ankles, urinary frequency weakness, pain legs, knee right, lower back, ankles, hips, joints, muscle pain and rib cage, respiratory tract infection (pneumonia), respiratory problems upper airway obstruction, rhinitis, infections chronic to include ear and sinus, leukocytosis, sometime dizziness, irritable, nausea, vomiting, hair loss (alopecia), fatigue, arthritis, tachycardia, high cholesterol, vertigo, hemorrhoids, gastritis, chills, fever (over 40), cramps leg, cough, constipation, chest pain. Initial report received with attached records documenting a diagnosis of sepsis 2' to upper respiratory infection on 07/08/2004 as well as labs revealing hyperlipidemia and elevated LFTs frpm 8/26/2006.  MR received from March 2004 to Oct. 2006 for visits for the following problems: dyslipidemia (03/2005 and 07/2006) as well as low back pain, and knee arthralgias (10/31/2006) On OV of 3/29/2005 pt. reports no complaints. PE negative. C/o of joint pain (low back, hands, and knees) on 07/2006 10/2006. PEs negative except for +joint pain  treated with Sulindac.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Rhinitis, Sepsis, Sinusitis, Somnolence, Tachycardia
Clinical narrative: Skin sores in throat and mouth, too much sleeping, night sweats, swelling joints, feet, and ankles, urinary frequency weakness, pain legs, knee right, lower back, ankles, hips, joints, muscle pain and rib cage, respiratory tract infection (pneumonia), respiratory problems upper airway obstruction, rhinitis, infections chronic to include ear and sinus, leukocytosis, sometime dizziness, irritable, nausea, vomiting, hair loss (alopecia), fatigue, arthritis, tachycardia, high cholesterol, vertigo, hemorrhoids, gastritis, chills, fever (over 40), cramps leg, cough, constipation, chest pain. Initial report received with attached records documenting a diagnosis of sepsis 2' to upper respiratory infection on 07/08/2004 as well as labs revealing hyperlipidemia and elevated LFTs frpm 8/26/2006.  MR received from March 2004 to Oct. 2006 for visits for the following problems: dyslipidemia (03/2005 and 07/2006) as well as low back pain, and knee arthralgias (10/31/2006) On OV of 3/29/2005 pt. reports no complaints. PE negative. C/o of joint pain (low back, hands, and knees) on 07/2006 10/2006. PEs negative except for +joint pain  treated with Sulindac.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Upper respiratory tract infection, Vertigo, Vomiting, White blood cell count increased
Clinical narrative: Skin sores in throat and mouth, too much sleeping, night sweats, swelling joints, feet, and ankles, urinary frequency weakness, pain legs, knee right, lower back, ankles, hips, joints, muscle pain and rib cage, respiratory tract infection (pneumonia), respiratory problems upper airway obstruction, rhinitis, infections chronic to include ear and sinus, leukocytosis, sometime dizziness, irritable, nausea, vomiting, hair loss (alopecia), fatigue, arthritis, tachycardia, high cholesterol, vertigo, hemorrhoids, gastritis, chills, fever (over 40), cramps leg, cough, constipation, chest pain. Initial report received with attached records documenting a diagnosis of sepsis 2' to upper respiratory infection on 07/08/2004 as well as labs revealing hyperlipidemia and elevated LFTs frpm 8/26/2006.  MR received from March 2004 to Oct. 2006 for visits for the following problems: dyslipidemia (03/2005 and 07/2006) as well as low back pain, and knee arthralgias (10/31/2006) On OV of 3/29/2005 pt. reports no complaints. PE negative. C/o of joint pain (low back, hands, and knees) on 07/2006 10/2006. PEs negative except for +joint pain  treated with Sulindac.