chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 50.0
Sex: M
Vaccine: TTOX, TTOX
Symptoms: Asthenia, Dyspnoea, Guillain-Barre syndrome, Myasthenic syndrome, Neuropathy
Clinical narrative: peripheral neuropathy characterized weakness in calves & thighs w/sharp pain;some pain in arms 2-3wks p/initial sxs devel SOB;tx out patient basis w/naprosyn for pain;p/2 months still has some weakness but is better;leg pain & paresthesia 07/11/2000 14:20 Pt had originally reported "peripheral neuropathy" in 1995- no follow up was done. He has reported conditions to manufacturer also. Now diagnosed with Guillian Barre and is permanently disabled, muscle weakness, pain in extremities and is currently Tx with physical therapy. He is on workman's comp. Consent form sent for medical records.
Age: 50.0
Sex: M
Vaccine: TTOX, TTOX
Symptoms: Pain, Paraesthesia
Clinical narrative: peripheral neuropathy characterized weakness in calves & thighs w/sharp pain;some pain in arms 2-3wks p/initial sxs devel SOB;tx out patient basis w/naprosyn for pain;p/2 months still has some weakness but is better;leg pain & paresthesia 07/11/2000 14:20 Pt had originally reported "peripheral neuropathy" in 1995- no follow up was done. He has reported conditions to manufacturer also. Now diagnosed with Guillian Barre and is permanently disabled, muscle weakness, pain in extremities and is currently Tx with physical therapy. He is on workman's comp. Consent form sent for medical records.
Age: 33.0
Sex: M
Vaccine: TTOX, TTOX
Symptoms: Hypokinesia, Myasthenic syndrome, Neuropathy, Paraesthesia
Clinical narrative: pt recv vax 1DEC78 & DEC78 & JAN79 noted inc numbness & weakness of feet w/diff walking & occasional numbness of hands;hosp 16JUN79;rt sural nerve biopsy revealed perinural fibrosis;dx profound mixed sensorimotor peripheral neuropathy;
Age: 3.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Anorexia, Hepatic function abnormal, Infection, Pyrexia
Clinical narrative: Pt was vaccinated on 10/05/99 with 1 dose of varicella vaccine live "despite mom's urging that he not receive it as it is a live vaccine." Also, that day, he had 1 dose of Hep-B (MSD). The reporting physician noted "mom not sure, but child may have gotten an MMR and a HIB vaccine along with the varicella vaccine on 10/5/99. On 10/23/99, the pt had chicken pox with serveral lesions on his abdomen and on 10/24/99, the lesions were generalized to the entire body. It was noted that lesions covered 50% of the pt's body with most being on the chest and back. An axillary temp of 104F was noted prior to hospitalization. The pt's fever was well controlled with Tylenol. On 10/25/99, the pt was hospitalized. On the day of admission the pt had a decreased appetite. Prior to this he had been taking good p.o. fluids and solids. The pt had no change in urine output, no nausea, vomiting, cough, diarrhea or constipation. The pt had not had any cough or other URI symptoms. The pt's mother denied any sick contacts. The pt was started on IV acyclovir and tolerated this well. On 10/27/99, the pt was changed to p.o. acyclovir. The reporting physician stated that the pt had no known history of varicella exposure. On 10/28/99, the pt was discharged from the hospital in stable condition. Discharge medication included acyclovir 300mg p.o. 4 times a day for 14 days. No further information is available.
Age: 31.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Dehydration, Infection
Clinical narrative: On 5/5/00, the pt experienced 300-400 multiple vesicles head to toe including the head, face, arms, chest, back, groin, mouth, throat, ears, genitals, and mucosa. She also experienced dehydration and a maximum temperature of 103.2.
Age: 31.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Dehydration, Infection, Laboratory test abnormal, Pyrexia
Clinical narrative: On 5/5/00, the pt experienced 300-400 multiple vesicles head to toe including the head, face, arms, chest, back, groin, mouth, throat, ears, genitals, and mucosa. She also experienced dehydration and a maximum temperature of 103.2.
Age: 4.0
Sex: M
Vaccine: HEPA, HEPA, HEPA
Symptoms: Rash, Swelling
Clinical narrative: Rash all over the body and swelling. Given epinephrine and Atrax.
Age: 4.0
Sex: M
Vaccine: HEPA, HEPA, HEPA
Symptoms: Face oedema, Rash, Urticaria
Clinical narrative: Rash all over the body and swelling. Given epinephrine and Atrax.
Age: 34.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Arthralgia, Subcutaneous nodule
Clinical narrative: Pt experienced hip pain and lumps on her left calf. Pt treated with Medrol.
Age: 34.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Arthralgia, Skin nodule
Clinical narrative: Pt experienced hip pain and lumps on her left calf. Pt treated with Medrol.
Age: 0.9
Sex: M
Vaccine: DTAP, HBHEPB
Symptoms: Difficulty in walking
Clinical narrative: Failure to walk. Pt was walking at 9 months of age per mom.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Pruritus
Clinical narrative: Pt was exposed to chickenpox 1 week prior to report. Pt experienced several vesicles on erythematous bases. Itchy.
Age: 1.6
Sex: M
Vaccine: VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: Increased spots - rash - macular areas with papules noted centrally.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: Left upper arm red, warm and slightly swollen. Area approximately 1.5 X 2 inch oval.
Age: 14.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Dizziness, Sinusitis
Clinical narrative: One hour post vax, pt felt weak and light headed. Rested with feet elevated. BP and AP wnl. Pt slept from 5:00pm 05/15/2000 until noon on 05/16/2000. Pt felt achy and tired. Was seen by physician on 05/19/2000 and was diagnosed with sinus/ear infection. No unusually high temperature was noted.
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site oedema
Clinical narrative: Starting one day post vax, pt experienced swelling at injection the size of a quarter. By two days post vax it was increasing in size and red. Condition improved after taking allergy medicine.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Injection site mass
Clinical narrative: A half a cm induration left thigh, not tender.
Age: 1.6
Sex: M
Vaccine: DTAP
Symptoms: Feeling hot, Injection site hypersensitivity, Injection site mass
Clinical narrative: On 06/16 right arm slightly red at injection site.  Later that afternoon developed lump in arm, warm and increased redness; favoring arm on 06/17. Right deltoid area 7 X 7 cm area of redness, warmth and induration. Pt treated with Tylenol.
Age: 0.08
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Apnoea, Crying, Eructation, Hypotonia
Clinical narrative: Two days post vax pt started crying as if he had colic. Pt was burped and suddenly eyes closed and body went limp. Pt stopped breathing and was taken to the ER.
Age: 72.0
Sex: M
Vaccine: TYP
Symptoms: Abdominal pain upper, Arthralgia, Chills, Headache, Influenza like illness
Clinical narrative: Pt experienced chills; no site reaction; hot-cold; flu like symptoms; headache; stomach cramps, gurgling with sensation to have diarrhea; increased joint pan. All symptoms lasted 3 days.
Age: 9.0
Sex: F
Vaccine: HEP
Symptoms: Cough, Dizziness, Headache, Injection site pain, Pyrexia
Clinical narrative: Pt developed temperature of 101-102 the following day along with dizziness and headache. The fever lasted 6 days. Pt also developed minor non-productive cough. Pt experienced soreness at injection site.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Oedema peripheral, Pruritus
Clinical narrative: Pt experienced swelling of hands and feet with itching. Pt was treated with antihistamines and symptoms were gone within two hours.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema, Pruritus
Clinical narrative: One day post vax, pt was seen in ER for injection site reaction characterized by swelling to elbow, redness and itchiness. Pt was treated with Benadryl and Zantac.
Age: 1.6
Sex: M
Vaccine: DTAP
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: Pt experienced an injection site reaction characterized by redness and swelling. Pt was treated with Tylenol and cold compresses.
Age: 26.0
Sex: F
Vaccine: TTOX
Symptoms: Dyspnoea, Hypoaesthesia, Muscular weakness
Clinical narrative: Pt experienced numbness in face, left arm and hand. Pt blacked out for about one minute. Pt experienced shortness of breath and muscle weakness.
Age: 1.3
Sex: F
Vaccine: DTAP
Symptoms: Irritability, Pyrexia
Clinical narrative: Pt had a temperature of 105 and was very fussy.
Age: 3.0
Sex: F
Vaccine: HEPA
Symptoms: Anorexia, Fatigue, Pyrexia
Clinical narrative: Pt experienced 4 days of fever, anorexia and fatigue.
Age: 1.5
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Erythema multiforme
Clinical narrative: Erythema multiforme
Age: 41.0
Sex: F
Vaccine: TD
Symptoms: Asthenia, Body temperature increased, Injection site hypersensitivity, Injection site oedema, Injection site pain
Clinical narrative: Pt experienced injection site reaction characterized by pain, swelling and redness. Pt also experienced weakness, elevated temperature, malaise. Treated with Tylenol
Age: 41.0
Sex: F
Vaccine: TD
Symptoms: Malaise
Clinical narrative: Pt experienced injection site reaction characterized by pain, swelling and redness. Pt also experienced weakness, elevated temperature, malaise. Treated with Tylenol
Age: 11.0
Sex: M
Vaccine: HEP, HEPA, TTOX
Symptoms: Loss of consciousness
Clinical narrative: 5 minutes post vax pt had loss of consciousness. Pt also had a vasovagal reaction. Pt was revived with ammonia inhalant.
Age: 16.0
Sex: M
Vaccine: HEP, MMR, TD
Symptoms: Dizziness, Nausea, Pallor
Clinical narrative: Pt felt nauseated, dizzy and looked pale.
Age: 61.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Swelling, Vasodilation procedure
Clinical narrative: Right arm became swollen, red and warm to touch that lasted one week.
Age: 48.0
Sex: M
Vaccine: HEPA
Symptoms: Pain, Vomiting
Clinical narrative: Pt reported on set of left upper quad sharp constant pain and vomiting approximately 1 hour post vax. Pt denies any other signs or symptoms.
Age: 1.25
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Erythema, Swelling
Clinical narrative: Pt diagnosed with redness and swelling in both thighs. Inflammatory reaction vs mild  cellulitis. Pt treated with Augmentin.
Age: 5.0
Sex: F
Vaccine: DTAP, MMR, OPV
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: Two days post vax, right thigh with 2 3/4 inch diameter wide with erythema and swelling.  Non-tender.
Age: 63.0
Sex: F
Vaccine: HEP, HEPA, TD, TYP
Symptoms: Feeling hot, Injection site hypersensitivity, Injection site pain, Pyrexia, Rash
Clinical narrative: Two days post vax pt developed a rash with redness at the injection site. The injection site was hot to touch and very tender. Pt had a fever of 101.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Staring
Clinical narrative: Bilateral downward gaze-consistant; lasting 2-3 weeks in duration.
Age: 14.0
Sex: M
Vaccine: HEP, TD
Symptoms: Lethargy, Malaise, Pain, Pyrexia
Clinical narrative: Pt experienced temperature of 103, lethargy, body achiness, general malaise starting on 06/16 and lasting for 4 days. Pt also experienced right and left deltoid soreness.
Age: 14.0
Sex: F
Vaccine: HEP
Symptoms: Back pain, Fatigue, Feeling hot, Pain, Pyrexia
Clinical narrative: Pt felt over heated, tired and arms were achy. Pt also experienced back ache with a fever of 103.
Age: 3.7
Sex: M
Vaccine: DTAP, IPV, MMR, RAB
Symptoms: Oedema peripheral, Pyrexia, Skin discolouration
Clinical narrative: Pt experienced increase temperature, right arm swollen and red/purple all the way to elbow.
Age: 1.8
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MMR
Symptoms: Decreased appetite, Diarrhoea, Flushing, Injection site erythema, Oedema peripheral
Clinical narrative: Pt experienced flushed face and temperature of 103. Pt also experienced swelling of left leg and redness at injection site. Pt acted like the leg was painful.  Pt also had severe diarrhea, decreased appetite and vomiting. Pt was treated with Benadryl.
Age: 1.8
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MMR
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: Pt experienced flushed face and temperature of 103. Pt also experienced swelling of left leg and redness at injection site. Pt acted like the leg was painful.  Pt also had severe diarrhea, decreased appetite and vomiting. Pt was treated with Benadryl.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Abdominal pain upper, Hallucination
Clinical narrative: Pt was seeing things on the wall and trying to pick something off the wall. Pt also experienced stomach ache.
Age: 39.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Pruritus, Rash
Clinical narrative: Pt received MMR on 06/29/2000. Pt started itching on 06/30/2000. Pt seen in ER due to rash over entire body that developed 07/01/2000
Age: 1.3
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: 2 days post vax pt experienced an injection site reaction characterized by soft ball sized redness and swelling. Non-tender, no fever. Pt treated with warm compresses and Amoxil.
Age: 34.0
Sex: U
Vaccine: TYP
Symptoms: Arthralgia, Erythema, Injection site oedema, Injection site pain, Joint swelling
Clinical narrative: Pt developed an injection site reaction on left arm characterized by swelling and tenderness, and low grade fever that resolved in two days. Pt then developed migrating arthralgia - joint pain and swelling or redness.
Age: 34.0
Sex: U
Vaccine: TYP
Symptoms: Pyrexia, Serum sickness
Clinical narrative: Pt developed an injection site reaction on left arm characterized by swelling and tenderness, and low grade fever that resolved in two days. Pt then developed migrating arthralgia - joint pain and swelling or redness.
Age: 26.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash pustular
Clinical narrative: Pt developed a few pustules on chest.
Age: 1.25
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Pruritus, Rash
Clinical narrative: Pt received vaccine on 06/14/2000. On 06/27/2000 parent noticed tiny blisters, rashes on trunk and limbs. Pt brought to the clinic on06/29/2000 and 30 tiny vesicles noted. Pt afebrile by pruritus. Treated with Aveeno bath, Benadryl and Tylenol.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Feeling hot, Oedema peripheral
Clinical narrative: Left leg swollen to below the knee, very warm, mild erythema. Pt treated with Keflex for early cellulitis.
Sex: U
Vaccine: DTAP, HIBV
Symptoms: Screaming
Clinical narrative: The pt experienced screaming for 8 hours.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Decreased appetite, Fatigue, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Pt experienced an injection site reaction characterized by pain, redness and swelling. Pt also experienced decreased appetite and felt tired.
Age: 1.5
Sex: F
Vaccine: DTAP, HEP, IPV, MMR, VARCEL
Symptoms: Erythema, Feeling hot, Oedema, Pyrexia, Rash macular
Clinical narrative: Two days post vax pts leg was swollen from the knee up to the top; area blotchy, red and warm to touch. Pt developed a fever of 100.1, which was reduced with Tylenol. Pt was seen in ER and advised to five Tylenol, Benadryl and Keflex. Swelling reduced gradually.
Age: 2.0
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema, Injection site haemorrhage, Injection site oedema, Injection site pain
Clinical narrative: Pts left thigh swollen the size of a softball and red and bruised looking; pain to left thigh. Pt treated with Tylenol and cool bath.
Age: 77.0
Sex: F
Vaccine: HEPA, TD
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain
Clinical narrative: Eleven days post vax, pt experienced pain, swelling and redness in left deltoid and left shoulder. Swelling and redness progressed throughout the day extending to left elbow area. Remained red and swollen the next day and gradually subsided.
Age: 4.0
Sex: F
Vaccine: HIBV, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Pt developed chickenpox
Age: 13.0
Sex: M
Vaccine: HEP
Symptoms: Feeling hot, Injection site hypersensitivity, Injection site oedema
Clinical narrative: Pt experienced an injection site reaction (right deltoid) characterized by redness, edematous, extremely warm to touch from distal tip of right clavical spreading to area just above right antecubital fossa.
Age: 0.5
Sex: M
Vaccine: DTAP, IPV
Symptoms: Screaming
Clinical narrative: 24 hours post vax, pt experienced inconsolable screaming that lasted for 1.5 hours.
Age: 1.0
Sex: F
Vaccine: HIBV, IPV, MMR, VARCEL
Symptoms: Febrile convulsion, Thrombocytopenia
Clinical narrative: Pt experienced a febrile seizure 9 days post vax. Pt also has thrombocytopenia.
Age: 0.3
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Hypotonia
Clinical narrative: Pts parent reported hypotonic/hyporesponsive episode which occurred 24 hours post vax.
Age: 0.3
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: 4 months post vax, pt developed varicella, diagnosed on 06/05/2000.
Age: 40.0
Sex: F
Vaccine: MMR, TD
Symptoms: Pain, Swelling
Clinical narrative: Two days post vax, right arm began to swell and became sore. At the time of this report it is the size of a golf ball, hard and pink in color. Pt advised to treat with ice compact and Tylenol.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Pyrexia, Rash
Clinical narrative: One day post vax pt felt warm and was given Tylenol. The next day pt broke out in rash on front of calf and small area on chest. No fever. The next day the rash was better but fever of 101. Treated with Tylenol for fever, hydrocortisone cream for rash.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Pyrexia
Clinical narrative: Pt developed a rash/blisters on arms, face and legs. Pt also ran a temperature.
Age: 18.0
Sex: M
Vaccine: MMR
Symptoms: Rash
Clinical narrative: Two days post vax pt was seen in ER for rash under arms and upper torso. Pt was treated with a steroid injection. Four days later pt was seen again in the ER and given IV steroids and Medrol.
Age: 11.0
Sex: M
Vaccine: HEP
Symptoms: Injection site hypersensitivity, Injection site oedema, Pruritus
Clinical narrative: Pt developed an injection site (right deltoid) reaction characterized by redness and swelling. 4 - 5 cm diameter and appeared whelped up. Area is not sore but itches badly.
Age: 71.0
Sex: F
Vaccine: TD
Symptoms: Injection site mass, Injection site pain, Pyrexia
Clinical narrative: Pt developed a knot, 2 X 1 inch wide with soreness. Has some fever in the area of the knot. Pain at site. Unable to lay on right side.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: One day, post vax, pt developed an area larger than a quarter, of redness on the left arm where IPV was given.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Agitation, Bradycardia, Crying, Decreased appetite, Pain
Clinical narrative: Pt experienced fever, pain, periods of screaming, and decrease in appetite. Five days, post vax, the pts heart monitor alarm went off X 2 for low heart rate while pt was asleep. Pt was treated with Maalox and Tylenol. Pts fever lasted approximately 4 days. Pt gradually stopped screaming and his appetite began to return.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Pt experienced fever, pain, periods of screaming, and decrease in appetite. Five days, post vax, the pts heart monitor alarm went off X 2 for low heart rate while pt was asleep. Pt was treated with Maalox and Tylenol. Pts fever lasted approximately 4 days. Pt gradually stopped screaming and his appetite began to return.
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Injection site swelling
Clinical narrative: Pt experienced 8cm X 5 cm swelling of left upper leg down to left knee.
Age: 1.08
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Parotid gland enlargement, Parotitis
Clinical narrative: Approximately 2 weeks post vax, pt developed unilateral parotitis, no fever, swelling present that lasted for 2 days. Pt recovered. Pts sibling experienced the same symptoms 1 day prior and lasted the same length of time.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Anorexia, Coma, Irritability, Somnolence, Vomiting
Clinical narrative: Post vax, pt became irritable, fussy and began vomiting. Pt would not take solids or liquid food. Pt fell asleep and would not awaken or arouse. Pt seen in ER that evening. Pt seen at physicians office the following day and was sleepy but awake and playful.
Age: 2.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site haemorrhage, Injection site swelling, Injection site warmth
Clinical narrative: Pt experienced redness, swelling and warmth at injection site on left arm. Bleeding noted immediately after injection. Pt treated with cold compress and Tylenol.
Age: 5.0
Sex: F
Vaccine: MMR
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood alkaline phosphatase increased, Hepatocellular damage, Pyrexia
Clinical narrative: Approximately 11 days post vax, the pt developed a moderate fever, a diffuse maculopapular rash and hepatocellular destruction. The pt was hospitalized and worked up. The rash gradually faded over a two day hospitalization and the pt never quite met the diagnostic criteria for Kawasaki disease which the reporting physician considered for a time. The pt's experience has since resolved and the reporting physician is contemplating giving the pt the second dose of MMR vax.
Age: 5.0
Sex: F
Vaccine: MMR
Symptoms: Rash maculo-papular
Clinical narrative: Approximately 11 days post vax, the pt developed a moderate fever, a diffuse maculopapular rash and hepatocellular destruction. The pt was hospitalized and worked up. The rash gradually faded over a two day hospitalization and the pt never quite met the diagnostic criteria for Kawasaki disease which the reporting physician considered for a time. The pt's experience has since resolved and the reporting physician is contemplating giving the pt the second dose of MMR vax.
Age: 0.2
Sex: F
Vaccine: DTAP
Symptoms: Breath holding, Crying, Cyanosis, Musculoskeletal stiffness
Clinical narrative: On 6/9/00, the pt developed crying and multiple 1 to 3 second episodes of stiffening, breath holding, and color changing where she turned red and purple and was hospitalized. She experienced these episodes more than 12 to 15 times during the first 2 to 3 hours; however, she did not experience any episodes while she was sleeping. They gradually decreased overnight. The reporter noted that the infant was monitored and that she did not become bradycardiac nor did she desaturate. She was treated with Tylenol, observed for less than 24 hours, and recovered.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Apnoea, Cardiac arrest, Cyanosis, Gastrooesophageal reflux disease
Clinical narrative: A physician reported that a 2 month old male who was born premature at 30.5 weeks gestation, received Prevnar, Acel-Imune, Pedivax-Hib (Merck) and IPV (Aventis Pasteur SA) vaccines on 7/5/00, and 2 hours, post vax, the infant developed a cyanotic episode while feeding. He developed 4 cyanotic episodes ranging in duration from 30 seconds to 3 minutes. After the 2nd episode, his parents called 911 and his father performed cardiopulmonary resuscitation for 1 1/2 minutes. He was hospitalized for monitoring and remained stable for 12 hours. F/U rec'd 11/17/00, it was reported the infant was hospitalized for 5 days. He was treated for GE reflux, No further events have ensued. The pt is doing very well, now 6 mo of age. He has now rec'd subsequent doses of all 4 vaccines without any reactions. No further information is anticipated for this report. This case is closed. From follow-up received on 5/1/01, it was reported, "pt recovered, brief hospitalization for cyanotic/apneic event possibly due to GE reflux, possible reaction to vaccines given at 2 months (incorrect age). Now pt is 11 months old and healthy". From F/U, it was stated that while in the hospital, the pt experienced 3 more episodes of apnea, which were described as "near-miss SIDS". The physician stated the adverse experience was apnea. The cyanosis noted in the original report was actually a symptom of apnea. The physician noted the pt would likely have died had he not been monitored, or the events had not been witnessed. A consulting pediatrician in the hospital thought the pt had possible "GE Reflux", which may have contributed to the symptoms; however, the reporting physician did not feel this was the case. The pt was hospitalized for 5 days and released. A CXR and CBC were normal. By 7/10/00, the pt completely recovered from the experience and had no further episodes of apnea. The physician did not believe the pt's experiences were related to the vaccinations. The pt's symptoms were considered life-threatening. F/U The pt rec'd subsequent doses of all 4 vaccines without any reactions. The pt's symptoms were noted to be a possible reaction to the vaccination given at 2 months of age. The pt was healthy at 11 months of age.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Apnoea, Cardiac arrest, Cyanosis
Clinical narrative: A physician reported that a 2 month old male who was born premature at 30.5 weeks gestation, received Prevnar, Acel-Imune, Pedivax-Hib (Merck) and IPV (Aventis Pasteur SA) vaccines on 7/5/00, and 2 hours, post vax, the infant developed a cyanotic episode while feeding. He developed 4 cyanotic episodes ranging in duration from 30 seconds to 3 minutes. After the 2nd episode, his parents called 911 and his father performed cardiopulmonary resuscitation for 1 1/2 minutes. He was hospitalized for monitoring and remained stable for 12 hours. F/U rec'd 11/17/00, it was reported the infant was hospitalized for 5 days. He was treated for GE reflux, No further events have ensued. The pt is doing very well, now 6 mo of age. He has now rec'd subsequent doses of all 4 vaccines without any reactions. No further information is anticipated for this report. This case is closed. From follow-up received on 5/1/01, it was reported, "pt recovered, brief hospitalization for cyanotic/apneic event possibly due to GE reflux, possible reaction to vaccines given at 2 months (incorrect age). Now pt is 11 months old and healthy". From F/U, it was stated that while in the hospital, the pt experienced 3 more episodes of apnea, which were described as "near-miss SIDS". The physician stated the adverse experience was apnea. The cyanosis noted in the original report was actually a symptom of apnea. The physician noted the pt would likely have died had he not been monitored, or the events had not been witnessed. A consulting pediatrician in the hospital thought the pt had possible "GE Reflux", which may have contributed to the symptoms; however, the reporting physician did not feel this was the case. The pt was hospitalized for 5 days and released. A CXR and CBC were normal. By 7/10/00, the pt completely recovered from the experience and had no further episodes of apnea. The physician did not believe the pt's experiences were related to the vaccinations. The pt's symptoms were considered life-threatening. F/U The pt rec'd subsequent doses of all 4 vaccines without any reactions. The pt's symptoms were noted to be a possible reaction to the vaccination given at 2 months of age. The pt was healthy at 11 months of age.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Cardio-respiratory arrest, Cyanosis
Clinical narrative: A physician reported that a 2 month old male who was born premature at 30.5 weeks gestation, received Prevnar, Acel-Imune, Pedivax-Hib (Merck) and IPV (Aventis Pasteur SA) vaccines on 7/5/00, and 2 hours, post vax, the infant developed a cyanotic episode while feeding. He developed 4 cyanotic episodes ranging in duration from 30 seconds to 3 minutes. After the 2nd episode, his parents called 911 and his father performed cardiopulmonary resuscitation for 1 1/2 minutes. He was hospitalized for monitoring and remained stable for 12 hours. F/U rec'd 11/17/00, it was reported the infant was hospitalized for 5 days. He was treated for GE reflux, No further events have ensued. The pt is doing very well, now 6 mo of age. He has now rec'd subsequent doses of all 4 vaccines without any reactions. No further information is anticipated for this report. This case is closed. From follow-up received on 5/1/01, it was reported, "pt recovered, brief hospitalization for cyanotic/apneic event possibly due to GE reflux, possible reaction to vaccines given at 2 months (incorrect age). Now pt is 11 months old and healthy". From F/U, it was stated that while in the hospital, the pt experienced 3 more episodes of apnea, which were described as "near-miss SIDS". The physician stated the adverse experience was apnea. The cyanosis noted in the original report was actually a symptom of apnea. The physician noted the pt would likely have died had he not been monitored, or the events had not been witnessed. A consulting pediatrician in the hospital thought the pt had possible "GE Reflux", which may have contributed to the symptoms; however, the reporting physician did not feel this was the case. The pt was hospitalized for 5 days and released. A CXR and CBC were normal. By 7/10/00, the pt completely recovered from the experience and had no further episodes of apnea. The physician did not believe the pt's experiences were related to the vaccinations. The pt's symptoms were considered life-threatening. F/U The pt rec'd subsequent doses of all 4 vaccines without any reactions. The pt's symptoms were noted to be a possible reaction to the vaccination given at 2 months of age. The pt was healthy at 11 months of age.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Bronchitis, Convulsion, Cough, Dyskinesia, Injection site hypersensitivity
Clinical narrative: On 5/16/00, the pt developed an injection site reaction which included redness, approximately the size of a quarter, with a welt. The pt also experienced a single muscular jerk before leaving the office. On 5/17/00, the pt developed coughing, congestion, and wheezing. On 5/21/00, the pt developed a rash on her cheek and wheezing. Later in the day, the rash was noted to be spreading and the office told the mother to bring the pt to the ER. On 5/25/00, the pt developed bronchitis. On 6/15/00, the pt developed a fever of 102 and seizures. The pt was again brought back to the ER.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Nasal congestion, Pyrexia, Rash, Wheezing
Clinical narrative: On 5/16/00, the pt developed an injection site reaction which included redness, approximately the size of a quarter, with a welt. The pt also experienced a single muscular jerk before leaving the office. On 5/17/00, the pt developed coughing, congestion, and wheezing. On 5/21/00, the pt developed a rash on her cheek and wheezing. Later in the day, the rash was noted to be spreading and the office told the mother to bring the pt to the ER. On 5/25/00, the pt developed bronchitis. On 6/15/00, the pt developed a fever of 102 and seizures. The pt was again brought back to the ER.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Apnoea, Coma, Nasal congestion, Pulmonary congestion, Pulmonary oedema
Clinical narrative: Post vax, on 6/1/2000 AM, the mother stated that infant was fine when he was put in bed with her and then when she tried to awaken the child, he was lying on his stomach with mucus from mouth and not breathing. Autopsy shows cause of death as sudden infant death, pulmonary congestion and edema, splenic congestion, renal congestion, unresponsive.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Salivary hypersecretion, Sudden infant death syndrome
Clinical narrative: Post vax, on 6/1/2000 AM, the mother stated that infant was fine when he was put in bed with her and then when she tried to awaken the child, he was lying on his stomach with mucus from mouth and not breathing. Autopsy shows cause of death as sudden infant death, pulmonary congestion and edema, splenic congestion, renal congestion, unresponsive.
Age: 0.4
Sex: M
Vaccine: DTPHIB, OPV
Symptoms: Abnormal behaviour, Aggression, Agitation, Anger, Autism
Clinical narrative: Two days post vax, the infant suffered fever and screeching screams. His face was distorted; he appeared as if he were in immense pain. At the age of 12 months the infant was overly active. At 18 months of age he reacted aggressively with changes in routine. For example, he was told to play in his room instead of playing in the living room. He reacted by angrily throwing clothes out of the drawer.   He did not play with toys appropriately. He did not know how to play with other children. He used very few words. When he wanted something he usually pulled me. However he could say a few of the words from the Barney song like "I love you". He never said mommy or daddy. There were no words after this. Later on he was unable to focus on activities. He like spinning objects, watching then go around. At 4 years of age he had a seizure (grand mal). He later experienced another seizure within 2 weeks. He was placed on Tegretol. Pt has impulsive behavior, inability to concentrate, obsessive behavior. Three different physicians have diagnosed him. Physician 1 - HDD, ADHS, OCD, Physician 2 - autism, Physician 3 - seizure disorder.
Age: 0.4
Sex: M
Vaccine: DTPHIB, OPV
Symptoms: Crying, Grand mal convulsion, Pyrexia
Clinical narrative: Two days post vax, the infant suffered fever and screeching screams. His face was distorted; he appeared as if he were in immense pain. At the age of 12 months the infant was overly active. At 18 months of age he reacted aggressively with changes in routine. For example, he was told to play in his room instead of playing in the living room. He reacted by angrily throwing clothes out of the drawer.   He did not play with toys appropriately. He did not know how to play with other children. He used very few words. When he wanted something he usually pulled me. However he could say a few of the words from the Barney song like "I love you". He never said mommy or daddy. There were no words after this. Later on he was unable to focus on activities. He like spinning objects, watching then go around. At 4 years of age he had a seizure (grand mal). He later experienced another seizure within 2 weeks. He was placed on Tegretol. Pt has impulsive behavior, inability to concentrate, obsessive behavior. Three different physicians have diagnosed him. Physician 1 - HDD, ADHS, OCD, Physician 2 - autism, Physician 3 - seizure disorder.
Age: 0.4
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Convulsion, Pyrexia
Clinical narrative: Next day post vax, the pt was brought to clinic with possible history of seizure. On 6/2/00, he was brought to clinic with actual witnessed seizure and temperature of 100.1. Taken to hospital where it was presumed to be seizure activity secondary to vax. Treated briefly with Phenobarbital.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Anorexia, Apnoea, Pyrexia, Somnolence, Tongue disorder
Clinical narrative: Refused to eat, slight temperature, increased sleepiness. The next day, the pt developed clicking of tongue, and stopped breathing.
Age: 0.2
Sex: M
Vaccine: PNC
Symptoms: Urticaria
Clinical narrative: The pt developed generalized urticaria.
Age: 1.7
Sex: M
Vaccine: PNC
Symptoms: Diarrhoea, Pyrexia, Vomiting
Clinical narrative: The pt experienced a fever of 104 within 30 minutes of receiving vaccine. The pt also experienced vomiting that night and diarrhea. On 7/1/00 had a normal physical exam.
Age: 1.75
Sex: F
Vaccine: PNC
Symptoms: Injection site oedema, Pyrexia, Rash
Clinical narrative: The pt experienced swelling to injection site. Fever of 101.5 for one day post injection. A rash was experienced for  2-3 days.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Injection site rash
Clinical narrative: The pt experienced a rash at the site of injection.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site induration
Clinical narrative: The pt experienced a 13 cm induration.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: The pt experienced a large local reaction, IV antibiotics for possible cellulitis.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site oedema, Injection site pain, Injection site rash, Injection site warmth, Paraesthesia
Clinical narrative: The area around the vaccination site is warm to touch, with swelling evident. Appears to be a rash about 5 inches in diameter around the site, very painful. Light tingling and numbness through arm into fingers.
Sex: U
Vaccine: VARCEL
Symptoms: Laboratory test abnormal
Clinical narrative: Pts were vaccinated with a first and second dose of varicella virus vaccine live.  Subsequently, the pts varicella antibody titers were either negative or equivocal. Additional information has been requested.
Sex: F
Vaccine: VARCEL
Symptoms: Herpes zoster, Infection
Clinical narrative: Pt was exposed to her son who was vaccinated with varicella virus vaccine live. One day after her son was vaccinated, pt developed shingles through possible secondary transmission.
Age: 32.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Rash vesicular
Clinical narrative: Twenty days, post vax, pt developed a pruritic varicella-like rash with scattered vesicles on her extremities, thorax and mid back. Pt also experienced a fever of 99.2F.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Pt experienced breakthrough chickenpox with a rash all over the torso, neck and extremities. Pt was exposed to chickenpox at school on an unknown date. The dx was made by a physician. Follow-up information from a physician indicated that the pt was vaccinated at a different physician's office. No further information is available.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Injury, Laboratory test abnormal, Skin ulcer
Clinical narrative: Pt presented with pustular lesions. The pts polymerase chain reaction results were positive for betaglobin and negative for VzV. Pt developed 50-75 lesions on upper extremities. Pt was exposed to varicella for 1-2 hours in his household one week prior to the beginning of symptoms. Pt was seen by a dermatologist who diagnosed the pt with bug bites. Additional information has been requested.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Skin ulcer
Clinical narrative: Nine days post vax pt experienced 8-10 lesions and was presented to physician with symptoms. Pt was afebrile.
Sex: U
Vaccine: VARCEL
Symptoms: Drug ineffective
Clinical narrative: An unspecified number of pts were vaccinated with the first and second doses of varicella virus vaccine live.  Subsequent laboratory evaluation revealed a lack of response. There were no adverse experiences.
Age: 3.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection, Pyrexia
Clinical narrative: Pt experienced chickenpox with a low grade fever.
Age: 31.0
Sex: F
Vaccine: VARCEL
Symptoms: Herpes zoster, Infection, Laboratory test abnormal, Lymphadenopathy, Pain
Clinical narrative: Information has been received from a registered nurse concerning a 31 year old female with allergies to penicillin, erythromycin, and sulfa, who on 27-Sep-1999 was vaccinated SC with the first dose of varicella virus vaccine live in the left deltoid. Concomitant therapy icluded ibuporfen. On 19-Oct-1999 the pt experienced herpes zoster on the right side of the face. Pt also experienced pain with the rash, painful lymphadenopathy on the right side of the face and a lesion on the right brow. The pain was evaluation by the patient as 5-6 on a scale of 0-10. On 19-Oct-1999, varicella zoster virus IgG antibody test was negative (after one dose). CBC, ESR, and sinus x-rays were performed (results not reported). On 25-Oct-1999 sge was seeb bt a physician for facial and preauricular lesions, and then was evaluated by an ophthalmologist (results not reported). Subsequently, the patient recovered. No further information is available.
Age: 31.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash, Skin ulcer
Clinical narrative: Information has been received from a registered nurse concerning a 31 year old female with allergies to penicillin, erythromycin, and sulfa, who on 27-Sep-1999 was vaccinated SC with the first dose of varicella virus vaccine live in the left deltoid. Concomitant therapy icluded ibuporfen. On 19-Oct-1999 the pt experienced herpes zoster on the right side of the face. Pt also experienced pain with the rash, painful lymphadenopathy on the right side of the face and a lesion on the right brow. The pain was evaluation by the patient as 5-6 on a scale of 0-10. On 19-Oct-1999, varicella zoster virus IgG antibody test was negative (after one dose). CBC, ESR, and sinus x-rays were performed (results not reported). On 25-Oct-1999 sge was seeb bt a physician for facial and preauricular lesions, and then was evaluated by an ophthalmologist (results not reported). Subsequently, the patient recovered. No further information is available.
Age: 25.0
Sex: F
Vaccine: VARCEL
Symptoms: Nausea, Pruritus, Rash vesicular
Clinical narrative: On 10/9/99, post vax, pt experienced severe nausea and itching. Approximately 5 days later, the pt developed a varicella-like rash, consisting of approximately 12 lesions, over a 7 day period of time. Unspecified medical attention was sought. Additional information has been requested.
Age: 20.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective
Clinical narrative: Pt was vaccinated with two doses of varicella virus vaccine live.  Subsequently the pt experienced a lack of seroconversion. Additional information has been requested.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Herpes zoster, Infection, Laboratory test abnormal, Vomiting
Clinical narrative: On 10/2/99, post vax, pt developed redness between left thumb and forefinger. The next day it became raised and was clear vesicles by two days later. There were approximately 20 vesicles tightly clustered on his left hand and a few on the palm of his hand. There were also two relatively large red patches on his arm. These red patches appeared 4-5 days after the onset of the initial vesicles on his hand and faded before the herpes zoster completely resolved. Pt was afebrile. Pt had one day of vomiting 6 days after the onset of the initial rash and 1 day after beginning acyclovir treatment.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: 10/04/1996 - pt received second dose of varicella virus vaccine live; 10/28/1999 pt arrived at day care with a raised rash on his arms, back and legs; 10/29/1999 pt was diagnosed in the ER with chickenpox.
Sex: F
Vaccine: VARCEL
Symptoms: Injection site hypersensitivity, Rash
Clinical narrative: Pt developed one lesion at the injection site and three lesions in the area.
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Pt experienced a mild case of chickenpox consisting of less than 50 lesions.
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Subsequent to receiving one dose of varicella virus vax live the pt developed chickenpox. She sought unspecified medical attention.
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Pt experienced atypical varicella subsequent to vaccination with varicella virus vaccine live.
Age: 1.5
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Pt presented to the dermatologist with atypical varicella subsequent to vaccination with varicella virus vaccine live.
Age: 27.0
Sex: F
Vaccine: VARCEL
Symptoms: Headache, Musculoskeletal stiffness, Nausea
Clinical narrative: Within half hour of second dose of varicella virus vaccine live, pt experienced stiff neck, headache and nausea. It had been 3 years since her first dose.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Two months post vax, this pt developed chickenpox with approximately 80 lesions. Unspecified medical attention was sought.
Sex: M
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Subsequent to receiving one dose of varicella virus vaccine live, pt experienced "a very mild case of chickenpox (10 lesions)."  Within the last few days the pt has now developed full blown chickenpox.
Age: 1.5
Sex: M
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: Pt developed one lesion on his forehead.  The next day the pt developed lesions on his arms, legs, and abdomen.  There were approximately 40-50 lesion total with no other signs of illness.
Age: 2.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: Pt developed 25 to 50 lesions, some of which were umbilicated with a central scab. Pt was exposed to her sibling approximately 2 weeks ago and the sibling was not vaccinated against varicella virus. The pt sought unspecified medical attention. Additional information has been requested.
Age: 1.08
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Pt experienced chickenpox, subsequent to receiving one dose of varicella virus vaccine live.
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Subsequent to receiving one dose of varicella virus vaccine live, pt developed chickenpox.  Pts two siblings had similar experiences.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Subsequent to receiving one dose of varicella virus vaccine live, pt developed chickenpox.  Pts two siblings also had similar experiences.
Age: 0.2
Sex: M
Vaccine: DTPHIB, HEP, OPV, DTPHIB, HEP, OPV
Symptoms: Urine analysis abnormal
Clinical narrative: pt recv vax 5DEC96 & 3 days later devel pink/peach-colored urine;taken to ER, urinalysis negative for red blood cells;
Age: 0.2
Sex: M
Vaccine: DTAP, HBPV, IPV, RV, DTAP, HIBV, IPV, RV
Symptoms: Flushing, Infection, Laboratory test abnormal, Pyrexia, Rash
Clinical narrative: within 24 hours post vax, the pt developed a beet red face, fever up to 102, vomiting, and a pimply rash extending down the trunk of his body. The pt recently recovered from an ear infection and had been treated with Amoxil. The pt was hospitalized.
Age: 0.2
Sex: M
Vaccine: DTAP, HBPV, IPV, RV, DTAP, HIBV, IPV, RV
Symptoms: Vomiting
Clinical narrative: within 24 hours post vax, the pt developed a beet red face, fever up to 102, vomiting, and a pimply rash extending down the trunk of his body. The pt recently recovered from an ear infection and had been treated with Amoxil. The pt was hospitalized.
Age: 0.2
Sex: M
Vaccine: DTAP, HBPV, IPV, RV, DTAP, HIBV, IPV, RV
Symptoms: Flushing, Pyrexia, Rash maculo-papular, Viral infection, Vomiting
Clinical narrative: within 24 hours post vax, the pt developed a beet red face, fever up to 102, vomiting, and a pimply rash extending down the trunk of his body. The pt recently recovered from an ear infection and had been treated with Amoxil. The pt was hospitalized.
Age: 60.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Asthenia, Blood bilirubin increased, Chromaturia
Clinical narrative: This report has was received from a pt and has not been verified by a physician or other health care professional. In 1998-1999, the pt received his first 2 injections with Hep-A vaccine. Afterward on 5/25/2000, he experienced chills, fever, weakness, muscle pain and flu-like symptoms. He continued his trip without treatment, went to Florida and was dx'd with a UTI and started on Bactrim DS. The pt went home to California and experienced jaundice, dark urine and clay colored stools. All drugs were discontinued. The most recent information received on 6/30/00, reported the pt felt better and his symptoms resolved. However, the lab values performed on 6/29/00, showed only a slight improvement. Pt was to consult a gastrointestinal specialist. Additional information has been requested. FU info states as a child the pt ate much raw shellfish and maybe had hepatitis A previously. The patients wife reported the hepatitis A that her husband is recovering from was "probably caused by an allergic reaction to Bactrim which was prescribed for his urinary tract infection.