chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from a Registered Nurse (R.N.) concerning a female patient who was vaccinated with a second dose of Gardasil. The nurse reported that after taking the second dose of Gardasil the patient developed a seizure disorder. The nurse alleged that the patient's private physician reported the adverse event (unspecified physician). No other symptoms, treatment or information available. It was unknown if patient sought medical attention. The outcome was unknown. Upon internal review, seizure was determined to be another important medical event. Additional information has been requested.
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Cardiac disorder, Catheterisation cardiac normal, Chest pain, Herpes zoster, Rash
Clinical narrative: Information has been received from a health care worker concerning a 65 (also reported as 66) year old male patient who on 10-JAN-2008 was vaccinated with Zostavax (Oka/Merck) (dose, frequency, route not specified).  On 14-JAN-2008, the patient was seen in the ER and was admitted for a cardiac condition but he has full blown shingles.  The patient was not admitted because of the Zostavax (Oka/Merck).  The patient's date of birth is 21-FEB-1942.  The called is interested in the VZV analysis by PCR.  There was no product complaint.  On 14-JAN-2008, the physician was contacted for follow up and offered the VZVIP.  The physician reported that the patient had a history of MS and was on interferon intermittently.  He also had a splenectomy in the past.  He explained that the patient was vaccinated "last week" with Zostavax (Oka/Merck) by his primary care physician.  The patient developed shingles on 13-JAN-2008 and had a rash, right thoracic area, T-8.  He explained that the patient was doing fine with his herpes zoster.  The patient also had CAD and had a stent placed previously.  He explained that the patient started to have chest pain so he was hospitalized to evaluate further.  The VZVIP was discussed with the physician and he indicated he would look at the packet of information.  On 15-JAN-2008, additional information was received from a physician.  The physician reported that the patient had a medical history of multiple sclerosis for the last 15 years.  It was reported that the patient's daughter came down with shingles on 05-JAN-2008 on her face, not in her eye.  The patient broke out with shingles rash on intercostal nerves on 14-JAN-2008.  On 15-JAN-2008, patient developed chest pain and went to the hospital and was admitted.  The patient underwent cardiac catheterization and it was normal.  On 16-JAN-2008, a call was received from another physician regarding the patient.  He reported that the patient was now home from the hospital.  The physician indicated he was interested in the VZVIP.  On 18-JAN-2008, the patient was contacted and he explained that the physician gave him information regarding the VZVIP.  He explained he currently had "full blown shingles" and would be happy to have someone obtain a sample.  He explained he had MS, and it was difficult for him to go places.  He indicated that his physician mentioned that it was "borderline" whether he should have received the vaccine, "but wanted to help with science and also other patients with MS".  He indicated that he did not have a doctor's appointment scheduled in the near future.  No further information is available.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Abscess limb, Culture wound negative, Granuloma, Incisional drainage, Injection site abscess
Clinical narrative: Patient dev deep quadricep abscess requiring surgical I&D on 5/12/07. Seen for presumed (R) quad granuloma 4/21/07 and surg. consult 4/9/07. 6/4/08-records received for DOS 4/9-5/22/07-On 5/11/07-Incision and drainage of right thigh abscess, culture negative. C/O infection site granuloma that developed into muscle abscess in right thigh. Firm mass on right anterior thigh occurred in March 07 several weeks after a vaccination on that side. No fever no pain.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, FLU3
Symptoms: Body temperature increased, Convulsion, Electroencephalogram, Infantile spasms
Clinical narrative: Infantile spasms-seizures. Treated with ACTH for 6 weeks. Seizures started one week after vaccinations. Pt did have a temperature of 102 deg (by ear) following vaccines-same day. Treated with Tylenol.  03/10/2008 MR received for DOS 11/22-12/04/2008 with DX: Infantile Spasms. Child presented to ER after several seizure-like episodes with increasing frequency over the past week. Pt stiffens up, then becomes limp for 10-15 seconds. these are occuring in clusters. PE WNL except pt is sleepy following several seizure episodes. EEG shows the presence of an epileptic encephalopathy with clinical infantile spasms correlating with a progressive tendency toward hypsarrhythmia. Tx with B6 and ACTH.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Allergy test, Eye swelling, Oedema peripheral, Pyrexia, Rash macular
Clinical narrative: Fluzone received at 9:00am on 12/14/07. Onset of swelling of hands, face and eyes with fever at 7:00pm.  Benadryl given.  Parent did not take to MD until 12-17-07.  Currently on Clarinex and Benadryl. Parent states still has "blotches" on hands and feet.  Previously (2 months prior) similar symptoms after eating food from concession stand.  Allergy testing done on 1-7-08 at Hospital. MD does not want child to receive 2nd dose of flu vaccine during this season. Follow-up Information 22-APR-2008: SC0726 - We are only aware of one filing of this report- E20331. Followup required - none. No contraindication to future flu & Td. SC0727 - no future flu vaccine unless MD approves. SC0728 - no followup required. No contraindications for future immunizations. SC0801 - no followup required.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Swelling face
Clinical narrative: Fluzone received at 9:00am on 12/14/07. Onset of swelling of hands, face and eyes with fever at 7:00pm.  Benadryl given.  Parent did not take to MD until 12-17-07.  Currently on Clarinex and Benadryl. Parent states still has "blotches" on hands and feet.  Previously (2 months prior) similar symptoms after eating food from concession stand.  Allergy testing done on 1-7-08 at Hospital. MD does not want child to receive 2nd dose of flu vaccine during this season. Follow-up Information 22-APR-2008: SC0726 - We are only aware of one filing of this report- E20331. Followup required - none. No contraindication to future flu & Td. SC0727 - no future flu vaccine unless MD approves. SC0728 - no followup required. No contraindications for future immunizations. SC0801 - no followup required.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Chest discomfort, Dizziness, Electrocardiogram normal, Palpitations
Clinical narrative: C/O Few seconds L chest sensation, lightheaded.  "I thought it was a muscle flutter" 1 hour after receiving HPV # 3.  Today, 1 day later, C/O "my heart is racing.  Pulse 105 and regular.
Age: 66.0
Sex: M
Vaccine: FLU3, PPV, VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt spouse states extreme redness and swelling at injection site.
Age: 1.51
Sex: F
Vaccine: MMRV
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: None reported or noted.
Age: 9.0
Sex: F
Vaccine: PPV
Symptoms: Swelling, Tenderness
Clinical narrative: Mild swelling of left deltoid area. No fever. No erythema. Tenderness. Symptoms started 24 hours after vaccine administration.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intussusception, Ultrasound scan
Clinical narrative: Developed intussusception at 8mo of age, 1-13-08. Unrelated to Rotateq? Transferred to hospital where this was corrected. 2/14/08-records received for DOS 1/8-1/12/08-DC DX: Intussusception. Intermittent fussiness began Wed, seen in ED treated with suppository with positive stool and vomiting resolved. Thursday fussy, black stool and low grade temp.
Age: 44.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Blood culture, Injection site erythema, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: Pneumococcal vaccine causes a localized sting on site of injection also a golf size knot. One hour later a localized area of redness and swelling and pain. Stiff arm end musles in arm very hot to the thouch. Also a fever of 100'4.  1/29/08 Reviewed hospital medical records which reveal that on 1/10/08 patient experienced abdominal pain & rectal bleeding.  Admitted 1/10-1/14/2008.  GI consult done & revealed epigastric pain, reflux, constipation & dysphagia.  No record of vaccinations w/hospitalization.  1/16/08 Returned to ER w/pain & swelling of left deltoid which stated was from flu shot received 1/14 in hospital.  Exam revealed erythematous rash, pain, paresthesias, swelling of left bicep & tricep w/decreased ROM.  Tx w/oral antibiotics & d/c to home on continued antibiotics to return next day for re-check. FINAL ER Dx: cellulitis left upper arm. 1/17/08 Returned to ER for re-check.  Exam revealed left upper arm mostly in left posterior elbow was red, hot, swollen & painful w/decreased ROM.  Tx w/additional antibiotics.  To return if worsened. FINAL ER Dx: abscess, allergic reaction, cellulitis & local reaction to flu shot.
Age: 44.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Musculoskeletal stiffness, Pyrexia, Skin warm
Clinical narrative: Pneumococcal vaccine causes a localized sting on site of injection also a golf size knot. One hour later a localized area of redness and swelling and pain. Stiff arm end musles in arm very hot to the thouch. Also a fever of 100'4.  1/29/08 Reviewed hospital medical records which reveal that on 1/10/08 patient experienced abdominal pain & rectal bleeding.  Admitted 1/10-1/14/2008.  GI consult done & revealed epigastric pain, reflux, constipation & dysphagia.  No record of vaccinations w/hospitalization.  1/16/08 Returned to ER w/pain & swelling of left deltoid which stated was from flu shot received 1/14 in hospital.  Exam revealed erythematous rash, pain, paresthesias, swelling of left bicep & tricep w/decreased ROM.  Tx w/oral antibiotics & d/c to home on continued antibiotics to return next day for re-check. FINAL ER Dx: cellulitis left upper arm. 1/17/08 Returned to ER for re-check.  Exam revealed left upper arm mostly in left posterior elbow was red, hot, swollen & painful w/decreased ROM.  Tx w/additional antibiotics.  To return if worsened. FINAL ER Dx: abscess, allergic reaction, cellulitis & local reaction to flu shot.
Age: 91.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Pruritus
Clinical narrative: Pt received Pneumovax 23 IM in the Lt deltiod on Tuesday, Jan 22. She had a previous dose 10 years ago. She states the arm became sore on Jan 23 with swelling, redness and itching. Swelling and redness became worse on Jan 24 with the swelling and redness going down the arm into the hand. Patient became concerned and came to the clinic for follow up.
Age: 1.01
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Pallor, Pyrexia, Rash generalised, Rash papular
Clinical narrative: Received shots on 1/14/08. Fever started on 1/23/08 and rash occured on 1/24/08. Tylenol for fever.  Diffuse blanching papular rash over entire body.
Age: 1.34
Sex: M
Vaccine: DTAPH, MMR, PNC, VARCEL
Symptoms: Blood test, Convulsion, Pyrexia
Clinical narrative: Had a fever of 101, went to sleep and had a seizure about 20 minutes later. All happened about 52 to 56 hours after immunizations were given.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, MMRV
Symptoms: Induration, Injection site erythema, Pruritus
Clinical narrative: L upper arm with an area of erythema surrounding the vaccine entry point, about 4" X 5 " in size, mild induration noticed today- 1/25/08. Child c/o itching. Benadryl PO prn itching. Cold packs locally.
Age: 39.0
Sex: M
Vaccine: HEPA, IPV, TDAP, TYP
Symptoms: Hypoaesthesia
Clinical narrative: Pt received vaccines on 01-03-08, on 01-05-08, he began experiencing numbness to bilateral feet.  By Sunday night his symptoms worsened, he went to ER on 01-07-08 at 1-2am at Health Center.  The physician ran various lab test, all which came back normal.  Patient left for a trip on 01-08-08 for 10 days.  During his visit, his numbness traveled up his legs, by 01-16-08, his numbness had reached to his waist.  On 01-18-08, I received a call from pt's wife, who explained this adverse event to me and thought that maybe the vaccinations he had received early in the month had caused his symptoms.  I spoke with pt. after he returned from his trip. Pt. states that he plans to go to his family doctor, at clinic.  I received a call from pt. on 01-21-08, he stated that his Dr. was unsure if the tetanus vaccine had caused these symptoms, but thought it may be a possibility of the vaccine and the medication, Malarone that he is currently taking for Malaria prevention.  Pt. states that he has begun to have some feeling return to his feet.  He also said the Dr. did some back x-rays, as the numbness was also in his back.  I talked to Pt's wife on 01-25-08 and she states that his symptoms have not changed.
Age: 21.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Chest pain, Echocardiogram normal, Electrocardiogram ST segment elevation, Pain, Pyrexia
Clinical narrative: Patient received Adacel in left arm and Havrix in right arm on 1/18/08. Patient had had mild URI prior to visit.  Temp at time of injections was 98.6 Fahrenheit.  He developed pain and fever the following day, along with mild chest pain. The pain increased on the second day, necessitating an ER visit.  Patient was diagnosed with viral pericarditis on basis of EKG with ST elevations across pericardium.  ECHO was normal. He was treated with Advil and rest.  He was seen by Cardiology on Jan 24.   EKG was now normal.  The impression was that the pericarditis was secondary to the antecendant viral illness and not the two injections.
Age: 21.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Viral pericarditis
Clinical narrative: Patient received Adacel in left arm and Havrix in right arm on 1/18/08. Patient had had mild URI prior to visit.  Temp at time of injections was 98.6 Fahrenheit.  He developed pain and fever the following day, along with mild chest pain. The pain increased on the second day, necessitating an ER visit.  Patient was diagnosed with viral pericarditis on basis of EKG with ST elevations across pericardium.  ECHO was normal. He was treated with Advil and rest.  He was seen by Cardiology on Jan 24.   EKG was now normal.  The impression was that the pericarditis was secondary to the antecendant viral illness and not the two injections.
Age: 49.0
Sex: F
Vaccine: MMR
Symptoms: Blood test normal, Pain, Swelling
Clinical narrative: After 2 weeks of receiving vaccine I felt soreness in my knees & feet & hands.  My hands have been extremely painful & swollen, ever since, especially at night.  I have tried Motrin, Naprozen & Celebrex.  They have lessened the symptoms but have not gone away completely.  I still wake up at night with pain & swelling.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 14.5X12 cm redness and 5X5.5 induration at injection site, started one day after vaccine administration.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Computerised tomogram normal, Dehydration, Endoscopy abnormal, Gastrooesophageal reflux disease, Malnutrition
Clinical narrative: We received from a physician via Sanofi Pasteur and the Medical agency the following information on 15 JAN 2008: A 55-year-old woman, born on 03 SEP 1952, diagnosed in SEP 2007 with a stage III gastric carcinoma and a status post partial gastrectomy with lymph node dissection, was vaccinated with Fluvirin, batch-no. 78479, i.m. into the left arm on 07 NOV 2007. She had been doing well with her nutrition as an outpatient. Two hours after the vaccination (after 3-4 hours was also reported) the patient suffered from nausea and excessive salivation with vomiting which intensified and led to dehydration and malnutrition. She was admitted to the hospital from 12 NOV-23 NOV 2007 to initial total parenteral nutrition (TPN) and to evaluate to cause for her symptoms. CT scans of the chest, abdomen and pelvis were performed which showed no evidence of recurrence of her cancer. She had an upper GI endoscopy which showed evidence of bile acid reflux with significant esophagitis and no definite evidence of recurrence of tumor and no evidence of stricture at the surgical anastomotic site. It was felt that the patient's nausea and vomiting was predominantly due to bile acid reflux following her recent surgery. She was initially treated with Carafate (sucralfate), high dose Protonix (pantoprazole) and intravenous Reglan (metoclopramide). With this, there was some modest improvement in her nausea and vomiting. Condition on discharge: improved with only mild nausea and vomiting. Company assessment: Seriousness criterion: hospitalisation. Causality: unrelated, due to biliary reflux following her recent partial gastrectomy. Expectedness assessment according to manufacturer label: The reported symptoms are due to the persistent symptomatic not expected after vaccination with Fluvirin. No change in benefit-risk-ratio. No measure necessary. Agency-no. NA08-000162 Sanofi Pasteur no.: 2007-03865 (0)
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Oesophagitis, Salivary hypersecretion, Vomiting, X-ray gastrointestinal tract abnormal
Clinical narrative: We received from a physician via Sanofi Pasteur and the Medical agency the following information on 15 JAN 2008: A 55-year-old woman, born on 03 SEP 1952, diagnosed in SEP 2007 with a stage III gastric carcinoma and a status post partial gastrectomy with lymph node dissection, was vaccinated with Fluvirin, batch-no. 78479, i.m. into the left arm on 07 NOV 2007. She had been doing well with her nutrition as an outpatient. Two hours after the vaccination (after 3-4 hours was also reported) the patient suffered from nausea and excessive salivation with vomiting which intensified and led to dehydration and malnutrition. She was admitted to the hospital from 12 NOV-23 NOV 2007 to initial total parenteral nutrition (TPN) and to evaluate to cause for her symptoms. CT scans of the chest, abdomen and pelvis were performed which showed no evidence of recurrence of her cancer. She had an upper GI endoscopy which showed evidence of bile acid reflux with significant esophagitis and no definite evidence of recurrence of tumor and no evidence of stricture at the surgical anastomotic site. It was felt that the patient's nausea and vomiting was predominantly due to bile acid reflux following her recent surgery. She was initially treated with Carafate (sucralfate), high dose Protonix (pantoprazole) and intravenous Reglan (metoclopramide). With this, there was some modest improvement in her nausea and vomiting. Condition on discharge: improved with only mild nausea and vomiting. Company assessment: Seriousness criterion: hospitalisation. Causality: unrelated, due to biliary reflux following her recent partial gastrectomy. Expectedness assessment according to manufacturer label: The reported symptoms are due to the persistent symptomatic not expected after vaccination with Fluvirin. No change in benefit-risk-ratio. No measure necessary. Agency-no. NA08-000162 Sanofi Pasteur no.: 2007-03865 (0)
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Guillain-Barre syndrome, Lumbar puncture
Clinical narrative: Child received vaccine (Menactra and Boostrix) On 1/2/08-diagnosed with Guillain-Barre. On 1/18/08 at med ctr child is in PICU presently.  2/5/08 Reviewed hospital medical records which reveal patient experienced over prior 6 days back neck & leg pain, stiffness, nausea, intermittent abdominal pain, emesis, decreased appetite, decreased activity, fatigue, excess sleepiness, 5# wt loss.  Admitted1/18-1/26/2008.  Neuro, ICU, ID consult done.  Developed left facial paralysis.  LP done.  Transferred to PICU.  IVIG x 5 days.  Improved dramatically & facial paralysis resolved w/IVIG & PT.  D/C to home w/ outpatient PT & neuro f/u. FINAL DX: Guillain-Barre.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Abdominal pain, Back pain, Blood culture negative, Blood product transfusion, C-reactive protein increased
Clinical narrative: Child received vaccine (Menactra and Boostrix) On 1/2/08-diagnosed with Guillain-Barre. On 1/18/08 at med ctr child is in PICU presently.  2/5/08 Reviewed hospital medical records which reveal patient experienced over prior 6 days back neck & leg pain, stiffness, nausea, intermittent abdominal pain, emesis, decreased appetite, decreased activity, fatigue, excess sleepiness, 5# wt loss.  Admitted1/18-1/26/2008.  Neuro, ICU, ID consult done.  Developed left facial paralysis.  LP done.  Transferred to PICU.  IVIG x 5 days.  Improved dramatically & facial paralysis resolved w/IVIG & PT.  D/C to home w/ outpatient PT & neuro f/u. FINAL DX: Guillain-Barre.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: CSF culture negative, CSF glucose normal, CSF protein increased, CSF white blood cell count increased, Chest X-ray normal
Clinical narrative: Child received vaccine (Menactra and Boostrix) On 1/2/08-diagnosed with Guillain-Barre. On 1/18/08 at med ctr child is in PICU presently.  2/5/08 Reviewed hospital medical records which reveal patient experienced over prior 6 days back neck & leg pain, stiffness, nausea, intermittent abdominal pain, emesis, decreased appetite, decreased activity, fatigue, excess sleepiness, 5# wt loss.  Admitted1/18-1/26/2008.  Neuro, ICU, ID consult done.  Developed left facial paralysis.  LP done.  Transferred to PICU.  IVIG x 5 days.  Improved dramatically & facial paralysis resolved w/IVIG & PT.  D/C to home w/ outpatient PT & neuro f/u. FINAL DX: Guillain-Barre.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Culture urine negative, Decreased activity, Decreased appetite, Echocardiogram normal, Facial palsy
Clinical narrative: Child received vaccine (Menactra and Boostrix) On 1/2/08-diagnosed with Guillain-Barre. On 1/18/08 at med ctr child is in PICU presently.  2/5/08 Reviewed hospital medical records which reveal patient experienced over prior 6 days back neck & leg pain, stiffness, nausea, intermittent abdominal pain, emesis, decreased appetite, decreased activity, fatigue, excess sleepiness, 5# wt loss.  Admitted1/18-1/26/2008.  Neuro, ICU, ID consult done.  Developed left facial paralysis.  LP done.  Transferred to PICU.  IVIG x 5 days.  Improved dramatically & facial paralysis resolved w/IVIG & PT.  D/C to home w/ outpatient PT & neuro f/u. FINAL DX: Guillain-Barre.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Fatigue, Full blood count, Guillain-Barre syndrome, Influenza serology negative, Laboratory test normal
Clinical narrative: Child received vaccine (Menactra and Boostrix) On 1/2/08-diagnosed with Guillain-Barre. On 1/18/08 at med ctr child is in PICU presently.  2/5/08 Reviewed hospital medical records which reveal patient experienced over prior 6 days back neck & leg pain, stiffness, nausea, intermittent abdominal pain, emesis, decreased appetite, decreased activity, fatigue, excess sleepiness, 5# wt loss.  Admitted1/18-1/26/2008.  Neuro, ICU, ID consult done.  Developed left facial paralysis.  LP done.  Transferred to PICU.  IVIG x 5 days.  Improved dramatically & facial paralysis resolved w/IVIG & PT.  D/C to home w/ outpatient PT & neuro f/u. FINAL DX: Guillain-Barre.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Lumbar puncture, Lymphocyte percentage decreased, Mononucleosis heterophile test negative, Musculoskeletal stiffness, Nausea
Clinical narrative: Child received vaccine (Menactra and Boostrix) On 1/2/08-diagnosed with Guillain-Barre. On 1/18/08 at med ctr child is in PICU presently.  2/5/08 Reviewed hospital medical records which reveal patient experienced over prior 6 days back neck & leg pain, stiffness, nausea, intermittent abdominal pain, emesis, decreased appetite, decreased activity, fatigue, excess sleepiness, 5# wt loss.  Admitted1/18-1/26/2008.  Neuro, ICU, ID consult done.  Developed left facial paralysis.  LP done.  Transferred to PICU.  IVIG x 5 days.  Improved dramatically & facial paralysis resolved w/IVIG & PT.  D/C to home w/ outpatient PT & neuro f/u. FINAL DX: Guillain-Barre.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Neck pain, Neutrophil percentage increased, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal, Pain in extremity
Clinical narrative: Child received vaccine (Menactra and Boostrix) On 1/2/08-diagnosed with Guillain-Barre. On 1/18/08 at med ctr child is in PICU presently.  2/5/08 Reviewed hospital medical records which reveal patient experienced over prior 6 days back neck & leg pain, stiffness, nausea, intermittent abdominal pain, emesis, decreased appetite, decreased activity, fatigue, excess sleepiness, 5# wt loss.  Admitted1/18-1/26/2008.  Neuro, ICU, ID consult done.  Developed left facial paralysis.  LP done.  Transferred to PICU.  IVIG x 5 days.  Improved dramatically & facial paralysis resolved w/IVIG & PT.  D/C to home w/ outpatient PT & neuro f/u. FINAL DX: Guillain-Barre.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Protein total increased, Red blood cell sedimentation rate increased, Somnolence, Ultrasound scan normal, Urine analysis abnormal
Clinical narrative: Child received vaccine (Menactra and Boostrix) On 1/2/08-diagnosed with Guillain-Barre. On 1/18/08 at med ctr child is in PICU presently.  2/5/08 Reviewed hospital medical records which reveal patient experienced over prior 6 days back neck & leg pain, stiffness, nausea, intermittent abdominal pain, emesis, decreased appetite, decreased activity, fatigue, excess sleepiness, 5# wt loss.  Admitted1/18-1/26/2008.  Neuro, ICU, ID consult done.  Developed left facial paralysis.  LP done.  Transferred to PICU.  IVIG x 5 days.  Improved dramatically & facial paralysis resolved w/IVIG & PT.  D/C to home w/ outpatient PT & neuro f/u. FINAL DX: Guillain-Barre.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Urine ketone body present, Vomiting, Weight decreased, White blood cell count increased
Clinical narrative: Child received vaccine (Menactra and Boostrix) On 1/2/08-diagnosed with Guillain-Barre. On 1/18/08 at med ctr child is in PICU presently.  2/5/08 Reviewed hospital medical records which reveal patient experienced over prior 6 days back neck & leg pain, stiffness, nausea, intermittent abdominal pain, emesis, decreased appetite, decreased activity, fatigue, excess sleepiness, 5# wt loss.  Admitted1/18-1/26/2008.  Neuro, ICU, ID consult done.  Developed left facial paralysis.  LP done.  Transferred to PICU.  IVIG x 5 days.  Improved dramatically & facial paralysis resolved w/IVIG & PT.  D/C to home w/ outpatient PT & neuro f/u. FINAL DX: Guillain-Barre.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Myalgia, Night sweats, Pain, Tremor
Clinical narrative: Client received flu vaccine at 400PM on 12/6/07.  She awoke at 200AM with shaking chills and total body aches.  At 400AM she awoke drenched in sweat, states this lasted until 600AM.  When she called heath department she c/o soreness.  Client phoned CDC and was informed to call the VAERS line which did not answer.  Called health department at 1035AM.
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Bone pain, Fatigue, Injection site bruising, Injection site pain, Nausea
Clinical narrative: 2 days after flu vaccination client became nauseated (lasting 1 1/2 days). He also developed pain at the injection site with bruising-pain in (L) and (R) arms, esp. elbows and spine. Sneezing and runny nose also continues. Very fatigued which is not normal for him. Symptoms continue.
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Pain in extremity, Rhinorrhoea, Sneezing
Clinical narrative: 2 days after flu vaccination client became nauseated (lasting 1 1/2 days). He also developed pain at the injection site with bruising-pain in (L) and (R) arms, esp. elbows and spine. Sneezing and runny nose also continues. Very fatigued which is not normal for him. Symptoms continue.
Age: 1.71
Sex: M
Vaccine: MMR, MMR
Symptoms: Basophil count normal, Convulsion, Eosinophil count normal, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: Fever 12/18/07, seizure 12/18/07, ITP onset 1/3/08. Platelet count < 5,000 1/4/08-1/6/08. Anti-D given 1/4/08. As of 1/11/08, platelet count up to 356,000.
Age: 1.71
Sex: M
Vaccine: MMR, MMR
Symptoms: Lymphocyte count decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Monocyte count decreased
Clinical narrative: Fever 12/18/07, seizure 12/18/07, ITP onset 1/3/08. Platelet count < 5,000 1/4/08-1/6/08. Anti-D given 1/4/08. As of 1/11/08, platelet count up to 356,000.
Age: 1.71
Sex: M
Vaccine: MMR, MMR
Symptoms: Neutrophil count, Platelet count decreased, Polymerase chain reaction, Pyrexia, Red blood cell count decreased
Clinical narrative: Fever 12/18/07, seizure 12/18/07, ITP onset 1/3/08. Platelet count < 5,000 1/4/08-1/6/08. Anti-D given 1/4/08. As of 1/11/08, platelet count up to 356,000.
Age: 1.71
Sex: M
Vaccine: MMR, MMR
Symptoms: Red blood cell microcytes, Red cell distribution width increased, White blood cell count normal
Clinical narrative: Fever 12/18/07, seizure 12/18/07, ITP onset 1/3/08. Platelet count < 5,000 1/4/08-1/6/08. Anti-D given 1/4/08. As of 1/11/08, platelet count up to 356,000.
Age: 1.71
Sex: M
Vaccine: MMR, MMR
Symptoms: Idiopathic thrombocytopenic purpura
Clinical narrative: Fever 12/18/07, seizure 12/18/07, ITP onset 1/3/08. Platelet count < 5,000 1/4/08-1/6/08. Anti-D given 1/4/08. As of 1/11/08, platelet count up to 356,000.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Discomfort, Injection site pain, Pain in extremity, Tenderness, X-ray limb
Clinical narrative: Fluzone injection 11/1/07 - noted more discomfort at injection site than usual.  Left deltoid pain did not resolve - no redness or swelling noted.  Tender to palpation.  Tx: local ice packs, may use small lidocaine patch.
Age: 0.4
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Depressed level of consciousness, Hypotonia, Lethargy
Clinical narrative: Excessive lethargy after injection, lasted x6 hours, difficult to arouse (hypotonia).
Age: 0.71
Sex: F
Vaccine: HIBV, PNC
Symptoms: Rash, Screaming
Clinical narrative: She was vaccinated on 3-15-06 between 4-6:00 pm.  Mom reported that within 1 hr patient began screaming non-stop for 4 1/2 hr.  Also patient developed a rash from her neck to her ankles - the description of this varies.  Three and a half hours after start of symptoms patient was taken to medical center.  They gave her one dose of Benadryl and Tylenol and sent her home in 4-5 hrs.  Mom continued Tylenol for 24 hrs.  Mom gave us the history.  Story is very scattered and changeable.  When I called mom for info for the VAER's report she also reported patient's half sister had a reaction to MMR.  This story goes that sister was given an MMR.  Within 20 min she had a temperature of 103-104.  Also in 10 min she developed a rash.  She was taken to medical center and admitted for 1-2 days.  Now she can't have chickenpox vaccine because of egg allergy - "But" - she may have recently had the chickenpox vaccine.  All her immunizations were administered at health department and mom says no report was filed.  I did call health department and they reviewed record and found she did have both the MMR and Chickenpox vaccines previously.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia
Clinical narrative: High fever since immunization that were received on 1-16-08. Seen for reaction and high fever on 1-17-08
Age: 50.0
Sex: F
Vaccine: FLUX
Symptoms: Musculoskeletal pain, Neck pain, Pain in extremity
Clinical narrative: Upper arm pain - shoulder and neck within one hour of flu vaccine being administered. Duration of 24-36 hrs. Ibuprofen and ice as treatments.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site warmth, Skin plaque
Clinical narrative: Posterior upper left arm 4x7 inch circular warm plaque started few days after Zostavax given (given 1/10/08).  Pt did not call about this until 1/18/08.
Age: 17.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Varicella #2 given to right upper arm, SQ on 1/16/08. Patient came in on 1/18/08 with redness, swelling, and pain to the site measuring 7.5cm. There was also heat to the site.
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Rash
Clinical narrative: Received call from attending physician of patient.  Dr. says his patient has vaccine related rash & believes it is shingles which became apparent within 48 hours after receiving the vaccine.  I called the manufacturer requesting more info regarding Zostavax.  Medical dept (Merck) says they are willing to test sample from rash to see if the rash is related to vaccination.  This info. was relayed to patient's doctor & other for user.
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, PNC
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 5 cm by 3 cm swollen redness upper left thigh
Age: 1.3
Sex: M
Vaccine: DTAP, HEPA, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site papule, Injection site rash, Injection site urticaria
Clinical narrative: Pt. developed red, papular, urticarial-like lesions to L thigh.  Benadryl administered and pt. monitored for 20 mins. - no other adverse effects noted.  Left office in NAD.
Age: 1.0
Sex: M
Vaccine: HIBV, PNC, VARCEL
Symptoms: Erythema, Full blood count, Skin nodule
Clinical narrative: 7 days after injection - red tender nodule at right thigh; No F/c - possible infection - no fructame, no d/c - will Rx with Aox to be safe
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Dry mouth, Eye pruritus, Lip dry, Pruritus, Throat irritation
Clinical narrative: Itchy skin, (face, right shoulder).  3 bite like hives on right upper arm, itchy eyes.  Dry mouth and lips.  Right side of throat felt strange.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Itchy skin, (face, right shoulder).  3 bite like hives on right upper arm, itchy eyes.  Dry mouth and lips.  Right side of throat felt strange.
Age: 0.35
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Injection site swelling, Irritability
Clinical narrative: R leg swollen and more fussy after receiving shots 12/27/07.
Age: 71.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Actinic keratosis, Dermatitis contact, Dry skin, Pruritus, Rash erythematous
Clinical narrative: On October 25, 2007, I received the Zostavax shingles vaccine.  This shot was given in my right deltoid.  The vaccine was Merck lot #1081U, expiration January 12, 2009.  At the same time, I was given a flu vaccine in my left deltoid.  This vaccine was Novartis lot #80074, expiration June 30, 2008.  My wife received the same vaccines.  My wife's only reaction was a very sore arm with a slight red swelling.  This decreased and the arm returned to normal in about four days.  However, my reaction was quite severe.  Over the next several days I began to develop a red rash.  I have enclosed five photos of myself taken in a relaxed posture.  The date and file number are on the back of the photos.  Photo JWG-11062007-0022 is a photo of my back made twelve days after receiving the vaccine.  This photo was made just before going to be treated by my dermatologist on November 6, 2007.  On this day she took a biopsy of the large red spot near my left shoulder blade.  The next four photos JWG-11162007-13, 14, 16, and 22 show my front, sides, and back, ten days later.  This is when the rash peaked.  From this time the rash continued to improve until my skin was back to near normal by January 1, 2008.  The rash also covered my hips and legs down to my ankles, even though that does not show well in the photos.  However, you can see a red spot on the front of my left ankle in photo -13 and on the rear of my right ankle in photo -22.  I am still being treated for the after effects of this vaccine.  Other visit dates included November 19, 27, and December 20, 2007.  A second biopsy was made on the bright red spot near my right shoulder blade on December 20.  Both Dermatopathology Reports came back with the same diagnosis: "Nummular/contact dermatitis.  The epidermis shows parakeratosis, serum exudates, spongiosis, and superficial chronic inflammatory infiltrate."  My treatment of this rash since November 6 included covering the rash area with Cetaphil cream and/or lotion and Triamcinolone Acetonide Cream USP, 0.1%.  The very red spots were treated with Clobetasol Propionate Cream USP, 0.05%.  This procedure was repeated morning and evening.  There was no pain associated with this rash, but it was quite itchy without the above treatment twice a day.  However my skin was extremely dry, scaly, and chapped.  The dry skin peeled easily.  I did not have my normal great feeling and I was somewhat mentally depressed over my skin condition, especially since I could not go to the gym to work out and swim as I frequently did.  As of this writing on January 22, 2008, my skin is well on its way to normal.
Age: 71.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Skin exfoliation
Clinical narrative: On October 25, 2007, I received the Zostavax shingles vaccine.  This shot was given in my right deltoid.  The vaccine was Merck lot #1081U, expiration January 12, 2009.  At the same time, I was given a flu vaccine in my left deltoid.  This vaccine was Novartis lot #80074, expiration June 30, 2008.  My wife received the same vaccines.  My wife's only reaction was a very sore arm with a slight red swelling.  This decreased and the arm returned to normal in about four days.  However, my reaction was quite severe.  Over the next several days I began to develop a red rash.  I have enclosed five photos of myself taken in a relaxed posture.  The date and file number are on the back of the photos.  Photo JWG-11062007-0022 is a photo of my back made twelve days after receiving the vaccine.  This photo was made just before going to be treated by my dermatologist on November 6, 2007.  On this day she took a biopsy of the large red spot near my left shoulder blade.  The next four photos JWG-11162007-13, 14, 16, and 22 show my front, sides, and back, ten days later.  This is when the rash peaked.  From this time the rash continued to improve until my skin was back to near normal by January 1, 2008.  The rash also covered my hips and legs down to my ankles, even though that does not show well in the photos.  However, you can see a red spot on the front of my left ankle in photo -13 and on the rear of my right ankle in photo -22.  I am still being treated for the after effects of this vaccine.  Other visit dates included November 19, 27, and December 20, 2007.  A second biopsy was made on the bright red spot near my right shoulder blade on December 20.  Both Dermatopathology Reports came back with the same diagnosis: "Nummular/contact dermatitis.  The epidermis shows parakeratosis, serum exudates, spongiosis, and superficial chronic inflammatory infiltrate."  My treatment of this rash since November 6 included covering the rash area with Cetaphil cream and/or lotion and Triamcinolone Acetonide Cream USP, 0.1%.  The very red spots were treated with Clobetasol Propionate Cream USP, 0.05%.  This procedure was repeated morning and evening.  There was no pain associated with this rash, but it was quite itchy without the above treatment twice a day.  However my skin was extremely dry, scaly, and chapped.  The dry skin peeled easily.  I did not have my normal great feeling and I was somewhat mentally depressed over my skin condition, especially since I could not go to the gym to work out and swim as I frequently did.  As of this writing on January 22, 2008, my skin is well on its way to normal.
Age: 27.0
Sex: F
Vaccine: YF
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Received Y.F. 1/22/08 evening.  The next day noticed redness size of 2 fists left upper arm.  Took Benadryl at night (1/23/08).  On morning of 1/24/08 noticed the redness traveling down left arm to elbow.  Area red, swollen & warm to touch.  Pt. seen by MD 1/25/08.
Age: 49.0
Sex: M
Vaccine: ANTH, MNQ
Symptoms: Headache, Nuclear magnetic resonance imaging, Speech disorder, Tympanometry normal
Clinical narrative: Within hours of vaccine receipt, he developed a headache. The headache got worse and peaked the next afternoon. (mild pain - 2-3/10 - but tightness/pressure type pain around his head was intense). The a.m. of 10 Oct he noted difficulty finding words and felt like his speech was slow. No slurring or difficulty understanding words. No other accompanying symptoms. Symptoms have now resolved. Seen by neurology on 10/17/07. No history of headaches.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Blood test, Diplegia, Fatigue, Gait disturbance
Clinical narrative: Fever 101+, pain in both legs, paralysis of right leg proceeding to paralysis of both legs by 11/20/07.  Slow recovery with weakness in quads of both legs.  Continued fatigue/weakness in right leg.  Currently in physical therapy.  Has slight right leg limp.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Pyrexia, Spinal X-ray, X-ray of pelvis and hip
Clinical narrative: Fever 101+, pain in both legs, paralysis of right leg proceeding to paralysis of both legs by 11/20/07.  Slow recovery with weakness in quads of both legs.  Continued fatigue/weakness in right leg.  Currently in physical therapy.  Has slight right leg limp.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Influenza, Urticaria
Clinical narrative: Hives on face "flu" x 6 days.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Rash generalised
Clinical narrative: Patient reported generalized rash to all extremities, torso and facial area approx. 3 hrs. after receiving vaccine. Offered and accepted 50 mg Benadryl. No SOA or hives
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Lipodystrophy acquired, Muscle atrophy, Nuclear magnetic resonance imaging, X-ray
Clinical narrative: Left deltoid 4 1/2 x 3 cm area muscle atrophy.  3mm deep lipodystrophy.  No loss of function.  Referral to MD.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Lip swelling, Local swelling, Swelling face
Clinical narrative: Swelling of neck, face, lips.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Localized redness, swelling of upper arm. Pt sought treatment Wed. sent home with Motrin. Told to apply ice PRN
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Blister, Herpes zoster, Pain in extremity, Rash erythematous
Clinical narrative: 76 yo female with onset pain left back and arm 4 days ago followed by redness and blisters.  Pain is 8/10 constant with new blisters arising.  No systemic symptoms, no HX of Immunosuppression.  Had Zoster vaccine 4/10/2007.  No relief with Tylenol.  Exam: Skin with grouped vesicles on erythematous base in linear distribution over left upper back, medial upper arm and left upper chest; right upper back with unassociated linear crusts attributed to scratch trauma by patient.  Face and hands clear.  Herpes Zoster (Shingles).
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Body temperature increased, Diarrhoea, Influenza like illness, Injection site erythema
Clinical narrative: 1/22/08 around 2300pm c/o feeling nauseated, and then started vomiting, felt weak. Then had diarrhea. Felt like she had the flu. Had swelling, pain, redness. 1/23/08 had large amount of swelling, pain, redness. Today temp 99.3, Injection site red. States called 2 phy. states may be vaccine or stomach virus.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Nausea, Pain, Swelling, Vomiting
Clinical narrative: 1/22/08 around 2300pm c/o feeling nauseated, and then started vomiting, felt weak. Then had diarrhea. Felt like she had the flu. Had swelling, pain, redness. 1/23/08 had large amount of swelling, pain, redness. Today temp 99.3, Injection site red. States called 2 phy. states may be vaccine or stomach virus.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, MMR, VARCEL
Symptoms: Erythema, Induration
Clinical narrative: Induration, erythema.
Age: 15.0
Sex: F
Vaccine: FLU3
Symptoms: Blood glucose normal, Blood pressure normal, Body temperature, Chromatopsia, Electrocardiogram normal
Clinical narrative: Immediately after receiving the influenza vaccine pt c/o feeling nauseous and "seeing black and blue".  Within 2 mins pt lost consciousness after her eyes rolled back and after becoming pale and diaphoretic.  911 called.  Pt regained consciousness before EMS arrived. 10 mins after EMS arrived pt lost consciousness again, recovered in 1 min.  Pt taken to ER.  Pt recovered before being taken to the ER.
Age: 15.0
Sex: F
Vaccine: FLU3
Symptoms: Gaze palsy, Hyperhidrosis, Immediate post-injection reaction, Loss of consciousness, Nausea
Clinical narrative: Immediately after receiving the influenza vaccine pt c/o feeling nauseous and "seeing black and blue".  Within 2 mins pt lost consciousness after her eyes rolled back and after becoming pale and diaphoretic.  911 called.  Pt regained consciousness before EMS arrived. 10 mins after EMS arrived pt lost consciousness again, recovered in 1 min.  Pt taken to ER.  Pt recovered before being taken to the ER.
Age: 15.0
Sex: F
Vaccine: FLU3
Symptoms: Pallor
Clinical narrative: Immediately after receiving the influenza vaccine pt c/o feeling nauseous and "seeing black and blue".  Within 2 mins pt lost consciousness after her eyes rolled back and after becoming pale and diaphoretic.  911 called.  Pt regained consciousness before EMS arrived. 10 mins after EMS arrived pt lost consciousness again, recovered in 1 min.  Pt taken to ER.  Pt recovered before being taken to the ER.
Age: 16.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Contusion, Injection site pain, Injection site swelling, Urticaria, Vaccine positive rechallenge
Clinical narrative: Mother and patient report pain, swelling at injection site, hives all over body with HPV #1 and #2. Also bruising 2x2 inches with #1 and #2. #3 not given.
Age: 40.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia
Clinical narrative: Reproducible joint pains following receipt of Anthrax vaccines 1-6. He also reports experiencing intermittent joint pain following receipt of each of his previous Anthrax shots. The pain affects his hands, neck, back, hips, knees, and ankles, primarily on his right side. The onset of joint pain usually occurred within 8-12 hours of vaccine receipt and lasted about 3-4 days. The pain is described as a dull aching. He rates the pain intensity level ranging from 3 to 5/10. He denies any joint swelling, redness or warmth and has not limited his activities significantly. He self treats with Motrin or Advil when pain occurs. Now, he experiences joint pains at least 5 times per month. He does not recall experiencing fatigue and headaches following previous Anthrax vaccines. He denies experiencing any unusual or prolonged reactions at previous vaccination sites, and specifically denies significant swelling, redness, tenderness, nodules and itching. Symptom: Joint Pain, multiple joints
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Local reaction
Clinical narrative: Large local reaction L upper arm.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, VARCEL
Symptoms: Local reaction
Clinical narrative: Large local reaction L upper arm.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Pruritus
Clinical narrative: Itching of the hands.  Sent to ER.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Lt deltoid 3.5 by 4.5 cm reddened area. Warm to touch. Underneath 3.5 cm by 4.5 cm it is reddened to 2 cm.
Age: 34.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Headache, Nausea
Clinical narrative: c/o dizziness approx 15 min after injection.  Sat for few min, felt better.  5:30pm c/o headache & nausea x1 hour, while at home.  Started taking 2 ibuprofen, advised to drink hot tea et broth.  Will recheck next day.