chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Injection site oedema, Injection site pain, Injection site warmth, Pyrexia
Clinical narrative: Information has been received from a RN concerning a 53 year old female who on 05/04/04 was vaccinated with pneumococcal 23v polysaccharide vaccine (Lot # 647271/1138N). Subsequently, the pt developed swelling, warmth and pain at injection site with a low grade fever. Medical treatment was sought.  Treatment included over the counter medication only. No product quality complaint involved. Additional information has been requested.
Sex: U
Vaccine: PPV
Symptoms: Injection site pain
Clinical narrative: Information has been received from a physician concerning a pt who was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine (Lot # 647271/1138N).  Subsequently the pt developed soreness after vaccination. The pt's outcome was unknown. There was no product quality complaint involved. The reporter also indicated that another pt (WAES # 0405USA00013) had a similar experience following exposure to pneumococcal 23v polysaccharide vaccine. Additional information has been requested.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Pain
Clinical narrative: Information has been received from a CMA concerning a 67 year old female with drug allergies to PCN and "sulfa" who on 05/11/04 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine (Lot # 647660/0945N). Subsequently, the pt developed pain in her shoulder and cellulitis down her arm. The reporter did not know if this happened on the date of injection. The reporter did not know if the adverse event abated. No further information was available. Unspecified medical attention was sought. There was no product quality complaint. The reporter "wanted to know if there were any similar reactions with this lot number". The records of testing prior to release of this lot have been checked by Quality Assurance and found to be satisfactory. The lot complies with the standards of the Center for Biologics Evaluation and Research and was released. Additional information has been requested.
Age: 30.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Information has been received from a physician concerning a 30 year old female with a history of frequent infections who was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine (Lot # 646712/1179N). The physician reported that, two days after being vaccinated, the pt was seen because her injection site was swollen, red and tender. At the time of this report, the outcome was unknown. The physician also reported that 2 other pt's developed adverse events after being vaccinated with pneumococcal 23v polysaccharide vaccine (WAES # 0405USA00961 & 0405USA01171).  Additional information has been requested.
Sex: F
Vaccine: PPV
Symptoms: Pain
Clinical narrative: Information has been received from a physician concerning a female with Addison's disease and a history of bulimia who was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine (Lot# 646494/1201N). The physician reported that the pt was seen in the office "falling over in pain". At the time of this report, the outcome was unknown.  The physician also reported that 2 other pt's developed adverse events after being vaccinated with pneumococcal 23v polysaccharide vaccine (WAES # 0405USA00961 & 0405USA01170).  Additional information has been requested.
Age: 64.0
Sex: M
Vaccine: PPV
Symptoms: Arthralgia, Dizziness, Headache, Hypertension, Injection site oedema
Clinical narrative: Information has been received from a physician and a 64 year old retired white male with coronary artery disease, psoriasis, hypercholesterolemia, arthritis, uses tobacco and alcohol and has no allergies who in 1994 and on 05/03/04 at 13:20 was vaccinated with a first and second dose of pneumococcal 23v polysaccharide vaccine (Lot # 647797/0987N). There was no illness at the time of vaccination. Concomitant therapy included losartan potassium 50mg per mouth daily, simvastatin 80mg per mouth daily, Zantac 150 mg per mouth daily, aspirin 81mg per mouth daily, Allegra 180mg per mouth daily, Ativan 0.5mg per mouth daily, cyanocobalamin 1000mg per mouth daily, methotrexate 10mg every Wednesday, ezetimibe 10mg per mouth daily, pyridoxine 100mg per mouth daily, ferrous SO4 300mg per mouth daily, folic acid 5mg per mouth daily, nitroglycerin 0.4mg per mouth as needed, montelukast sodium 10mg per mouth daily, ascorbic acid 500mg per mouth daily, vitamin E 400 units per mouth daily, multivitamins one per mouth daily and calcium (unspecified) one per mouth daily. On 05/03/04 the pt developed swelling and pain at the injection site, elevated blood pressure of 200/100 and 220/120, headaches, stomach upset, pain in right flank (kidney), body aches, muscle aches, joint aches, nausea, throat tightness and dizziness. AT 1700 that day the pt was seen in his physician's office. He stayed in the office until his blood pressure went back down to 180/90. He also reported that he was given Benadryl and another antihistamine. Unspecified lab tests showed no significant abnormalities. On 05/17/04 the pt reported that the headaches, body, muscle, and joint aches and nausea continued. On 05/19/04 the pt recovered. It was noted that the pt had no adverse events following prior vaccinations. No product quality complaint was involved. No further information is expected.
Age: 64.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pain, Myalgia, Nausea, Pain, Stomach discomfort
Clinical narrative: Information has been received from a physician and a 64 year old retired white male with coronary artery disease, psoriasis, hypercholesterolemia, arthritis, uses tobacco and alcohol and has no allergies who in 1994 and on 05/03/04 at 13:20 was vaccinated with a first and second dose of pneumococcal 23v polysaccharide vaccine (Lot # 647797/0987N). There was no illness at the time of vaccination. Concomitant therapy included losartan potassium 50mg per mouth daily, simvastatin 80mg per mouth daily, Zantac 150 mg per mouth daily, aspirin 81mg per mouth daily, Allegra 180mg per mouth daily, Ativan 0.5mg per mouth daily, cyanocobalamin 1000mg per mouth daily, methotrexate 10mg every Wednesday, ezetimibe 10mg per mouth daily, pyridoxine 100mg per mouth daily, ferrous SO4 300mg per mouth daily, folic acid 5mg per mouth daily, nitroglycerin 0.4mg per mouth as needed, montelukast sodium 10mg per mouth daily, ascorbic acid 500mg per mouth daily, vitamin E 400 units per mouth daily, multivitamins one per mouth daily and calcium (unspecified) one per mouth daily. On 05/03/04 the pt developed swelling and pain at the injection site, elevated blood pressure of 200/100 and 220/120, headaches, stomach upset, pain in right flank (kidney), body aches, muscle aches, joint aches, nausea, throat tightness and dizziness. AT 1700 that day the pt was seen in his physician's office. He stayed in the office until his blood pressure went back down to 180/90. He also reported that he was given Benadryl and another antihistamine. Unspecified lab tests showed no significant abnormalities. On 05/17/04 the pt reported that the headaches, body, muscle, and joint aches and nausea continued. On 05/19/04 the pt recovered. It was noted that the pt had no adverse events following prior vaccinations. No product quality complaint was involved. No further information is expected.
Age: 64.0
Sex: M
Vaccine: PPV
Symptoms: Throat tightness
Clinical narrative: Information has been received from a physician and a 64 year old retired white male with coronary artery disease, psoriasis, hypercholesterolemia, arthritis, uses tobacco and alcohol and has no allergies who in 1994 and on 05/03/04 at 13:20 was vaccinated with a first and second dose of pneumococcal 23v polysaccharide vaccine (Lot # 647797/0987N). There was no illness at the time of vaccination. Concomitant therapy included losartan potassium 50mg per mouth daily, simvastatin 80mg per mouth daily, Zantac 150 mg per mouth daily, aspirin 81mg per mouth daily, Allegra 180mg per mouth daily, Ativan 0.5mg per mouth daily, cyanocobalamin 1000mg per mouth daily, methotrexate 10mg every Wednesday, ezetimibe 10mg per mouth daily, pyridoxine 100mg per mouth daily, ferrous SO4 300mg per mouth daily, folic acid 5mg per mouth daily, nitroglycerin 0.4mg per mouth as needed, montelukast sodium 10mg per mouth daily, ascorbic acid 500mg per mouth daily, vitamin E 400 units per mouth daily, multivitamins one per mouth daily and calcium (unspecified) one per mouth daily. On 05/03/04 the pt developed swelling and pain at the injection site, elevated blood pressure of 200/100 and 220/120, headaches, stomach upset, pain in right flank (kidney), body aches, muscle aches, joint aches, nausea, throat tightness and dizziness. AT 1700 that day the pt was seen in his physician's office. He stayed in the office until his blood pressure went back down to 180/90. He also reported that he was given Benadryl and another antihistamine. Unspecified lab tests showed no significant abnormalities. On 05/17/04 the pt reported that the headaches, body, muscle, and joint aches and nausea continued. On 05/19/04 the pt recovered. It was noted that the pt had no adverse events following prior vaccinations. No product quality complaint was involved. No further information is expected.
Age: 64.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site warmth, Rash maculo-papular, Urticaria
Clinical narrative: Information has been received from a MA concerning a 64 year old female who on 05/17/04 was vaccinated IM in the left arm with a dose of pneumococcal 23v polysaccharide vaccine (Lot # 647657/0947N). On 05/19/04 the pt called the physician's office stating that she had pain all night in her left arm from the shoulder to the wrist. The pain had somewhat subsided but her left arm was not hot to touch with splotchy welts. No treatment was required. No product quality complaint was involved. It was also reported that 2 other pt's were vaccinated with a dose of pneumococcal 23v polysaccharide vaccine and developed adverse reactions (WAES # 0405USA02064 & 0405USA02065).  Additional information has been requested.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Information has been received from a physician concerning a 76 year old female who on 05/19/04 was vaccinated IM with a dose of pneumococcal 23v polysaccharide vaccine (Lot # 648139/0009P). On 05/19/04 the pt developed redness, swelling, and tenderness at the site of the injection. Unspecified medical attention was sought and the pt was treated with  Solumedrol. The pt was recovering with sequelae.  No product quality complaint was involved. Additional information has been requested.
Age: 44.0
Sex: M
Vaccine: PPV
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Information has been received from a RN concerning a male pt in his late 40's with cerebral palsy who in 2003 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine. The reporter stated the pt requested to be vaccinated with pneumococcal 23v polysaccharide vaccine. The reporter saw in the pt's record that he had previously been vaccinated with pneumococcal 23v polysaccharide vaccine approximately two or three times. The reporter recommended the pt should not be vaccinated again, but the physician wrote an order stating he had to have the vaccination. Subsequently, in approximately 2003, the pt developed a large cellulitis at the injection site. Unspecified medical attention was sought. A product quality complaint was not involved. Additional information has been requested. This is in follow-up to report(s) previously submitted on 7/30/2004. Information has been received from a registered nurse concerning a 44-year-old Caucasian male patient with cerebral palsy who on 11-DEC-2003 at 10:00 was vaccinated in the right deltoid with a second dose of PNEUMOVAX 23 (Lot # 647272/0664W). The reporter stated the patient requested to be vaccinated with PNEUMOVAX. The reporter saw in the patient's record that he had previously been vaccinated with PNEUMOVAX. The reporter recommended the patient should not be vaccinated again, but the physician wrote an order stating he had to have the vaccination. On 12-DEC-2003, the patient developed a large area of cellulitis at the injection site. The cellulitis was described as a local reaction with redness, hot to touch, painful and the size of a softball. Unspecified medical attention was sought. The patient was treated with alternate cold compress and ibuprofen for symptomatic relief. Three to five days later, the patient recovered. A product quality complaint was not involved. Additional information  is not expected.
Age: 19.0
Sex: F
Vaccine: PPV
Symptoms: Anaphylactic reaction, Drug ineffective, Medication error, Similar reaction on previous exposure to drug
Clinical narrative: Information has been received from a physician concerning an approximately 19 year old female who in approximately December 2002 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine as part of an immunologic work up. The physician reported that after vaccination, the pt had an anaphylactic reaction that required treatment at an ER.  The treatment details were unknown. It was noted that the pt recovered, but did not seroconvert. About three months later, in approximately March 2003, the pt was revaccinated with pneumococcal 4 6B 14 18C 19F 23F conj vaccine (CRM197) (Prevnar) and had another anaphylactic reaction with the same outcome. A product quality complaint was not involved. Additional information was received from manufacturer and was assigned manufacturer report number. The information indicated that the date of the vaccination and the adverse event was approximately two years ago. Anaphylactic reaction was considered to be immediately life threatening. Additional information has been requested.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth, Pyrexia
Clinical narrative: Information has been received from a health professional concerning an approximately 73 year old female heart pt who was vaccinated with a booster dose of pneumococcal 23v polysaccharide vaccine (Lot # 647038/0926N) 10 years after her last dose. Concomitant medications included Diovan and "unknown others". Within 48 hours of the vaccination, the pt experienced a site reaction from the shoulder to the elbow including "swollen, red, hot and tender to touch". It was reported that the pt was treated with antibiotics for the condition. This was one out of 2 pt's reported. It was reported that "one of the pt's developed a fever". The other pt (WAES # 0405USA00382) had a similar reaction after vaccination with pneumococcal 23v polysaccharide vaccine (Lot # 647038/0926N).  Additional information has been requested.
Age: 35.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Information has been received from a registered Pharmacist concerning a male pt in his 30's who on 04/07/04 and on 05/19/04 was vaccinated with a first and second dose of pneumococcal 23v polysaccharide vaccine. Subsequently, the pt developed redness, swelling and soreness in the injection arm. The arm was also reportedly warm to touch, however there was no fever. Unspecified medical attention was sought. No product quality complaint involved. Additional information has been requested.
Age: 40.0
Sex: U
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Information has been received from a healthcare worker concerning one person over 40 years old with no remarkable history who on 05/18/04, was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine (Lot # 648139/0009P). The healthcare worker reported that the pt received the vaccine on 05/18/04 and called the office today (05/19/04). The pt called the office to complaint of redness, swelling and arm pain which was described as occurring over half of the vaccination arm, not just at the vaccination site. The healthcare worker reported that the pt was triage over the phone and told to use ibuprofen and warm compresses as treatments. The pt was told to call back if the redness, swelling and arm pain worsened or did not go away. The pt did not call back. There was no product quality complaint reported. Additional information has been requested. The healthcare worker also reported that two other people over 40 years old had redness, swelling and arm pain over half of their vaccination arm not just at the vaccination site following vaccination with pneumococcal 23v polysaccharide vaccine (Lot # 648139/0009P)(WAES # 0405USA01488).
Age: 37.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Confusional state, Headache, Malaise, Pain
Clinical narrative: Information has been received from a RN concerning a 37 year old female with an allergy to PCN, erythromycin, Biaxin, and a possible allergy to Motrin who on 05/21/04 was vaccinated with pneumococcal 23v polysaccharide vaccine.  On 05/21/04 the pt developed a local reaction of redness and swelling of left tricep. "By next day", on 05/22/04, the pt developed severe malaise, severe headache, chills, body aches, fever of 102.5, speech difficulty and confusion. The physician prescribed prednisone (1 1/2 20mg tablets twice daily and then decreased dose to one 20mg tablet twice daily for 4 days after).  The pt had a follow up visit at the doctor's office and was improving. No product quality complaint involved. Additional information has been requested. Follow-up information received. The patient recovered.  No further information is expected.
Age: 37.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia, Speech disorder
Clinical narrative: Information has been received from a RN concerning a 37 year old female with an allergy to PCN, erythromycin, Biaxin, and a possible allergy to Motrin who on 05/21/04 was vaccinated with pneumococcal 23v polysaccharide vaccine.  On 05/21/04 the pt developed a local reaction of redness and swelling of left tricep. "By next day", on 05/22/04, the pt developed severe malaise, severe headache, chills, body aches, fever of 102.5, speech difficulty and confusion. The physician prescribed prednisone (1 1/2 20mg tablets twice daily and then decreased dose to one 20mg tablet twice daily for 4 days after).  The pt had a follow up visit at the doctor's office and was improving. No product quality complaint involved. Additional information has been requested. Follow-up information received. The patient recovered.  No further information is expected.
Age: 50.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Information has been received from a physician concerning a 50 year old male who on 05/25/04 was vaccinated IM in his deltoid with a first dose of pneumococcal 23v polysaccharide vaccine.  On 05/25/04, "later that evening" he began feeling soreness and tenderness in the injection arm. He returned to the clinic "today" on 05/26/04 with erythema and warmness from the deltoid region to about 4cm below his elbow of the injection arm. The arm was also warm to touch and had "a little" edema in the elbow area. There were no systemic effects present. There was no treatment required. Unspecified medical attention was sought. There was no product quality complaint involved. No further information was provided.  Additional information has been requested.
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Information has been received from a MA concerning a 59 year old female who on 11/04/03 was vaccinated IM in the left arm with a dose of pneumococcal 23v polysaccharide vaccine (Lot # 647634/0863N). On 11/05/03 the pt presented to the physician's office with swelling of the left arm, erythema and tenderness. The pt was treated with a Medrol pack and ice. Subsequently, the pt recovered. No product quality complaint was involved. Additional information has been requested. It was also reported that 2 other pt's were vaccinated with a dose of pneumococcal 23v polysaccharide vaccine and developed adverse reactions (WAES # 0405USA01451 & 0405USA02065).
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Information has been received from a MA concerning a pt who in 2004 was vaccinated with a dose of PNEUMOVAX 23 vaccine. Subsequently, the pt developed erythema and swelling of the arm. Unspecified medical attention was sought. Subsequently, the pt recovered. No product quality complaint was involved.  Additional information has been requested. It was also reported that 2 other pt's were vaccinated with a dose of PNEUMOVAX 23 vaccine and developed adverse reactions (WAES # 0405USA01451 & 0405USA02064).
Sex: F
Vaccine: IPV, YF
Symptoms: Erythema, Oedema, Urticaria
Clinical narrative: Local redness,swelling, hives on arm with yellow fever shot; no SOB. Pt given ice at site; VS-WNL; Pt advised re: antihistamine use if desired and or sx persist.
Age: 64.0
Sex: F
Vaccine: HEPAB, IPV
Symptoms: Asthenia, Dehydration, Diarrhoea, Difficulty in walking, Headache
Clinical narrative: Pt reports on 4/9/04 she developed extreeme HA, severe N/D, and itching in the morning.  By afternoon was dehydrated.  On 4/12/04 went to doctor, who admitted to hospital on 4/12/04.  By 4/12/04 states all symptoms persisting, "could hardly walk, but was coherent".  States received many IV fluids in hospital.  Liver enzymes apparently abnormal.  States did "every test" possible.  Discharged from hospital on 4/19/04.  On 4/23/04 ate barley soup and until 4/25/04 had diarrhea and nausea again.  Reports she continues to be weak all the time.  Seeing a GI specialist who has R/O most diagnosis but not Hepatitis A.  Not recovered but stable. Follow up 11/22/04: Patient states she is still weak and often has forgetfulness (states she did not have the problem before vaccination). States she received the Hep B disease from the vaccine. Unable to get patient to understand that she could not get the disease from the vaccine.
Age: 64.0
Sex: F
Vaccine: HEPAB, IPV
Symptoms: Hepatic enzyme abnormal, Hepatitis A, Laboratory test abnormal, Memory impairment, Nausea
Clinical narrative: Pt reports on 4/9/04 she developed extreeme HA, severe N/D, and itching in the morning.  By afternoon was dehydrated.  On 4/12/04 went to doctor, who admitted to hospital on 4/12/04.  By 4/12/04 states all symptoms persisting, "could hardly walk, but was coherent".  States received many IV fluids in hospital.  Liver enzymes apparently abnormal.  States did "every test" possible.  Discharged from hospital on 4/19/04.  On 4/23/04 ate barley soup and until 4/25/04 had diarrhea and nausea again.  Reports she continues to be weak all the time.  Seeing a GI specialist who has R/O most diagnosis but not Hepatitis A.  Not recovered but stable. Follow up 11/22/04: Patient states she is still weak and often has forgetfulness (states she did not have the problem before vaccination). States she received the Hep B disease from the vaccine. Unable to get patient to understand that she could not get the disease from the vaccine.
Age: 64.0
Sex: F
Vaccine: HEPAB, IPV
Symptoms: Pruritus
Clinical narrative: Pt reports on 4/9/04 she developed extreeme HA, severe N/D, and itching in the morning.  By afternoon was dehydrated.  On 4/12/04 went to doctor, who admitted to hospital on 4/12/04.  By 4/12/04 states all symptoms persisting, "could hardly walk, but was coherent".  States received many IV fluids in hospital.  Liver enzymes apparently abnormal.  States did "every test" possible.  Discharged from hospital on 4/19/04.  On 4/23/04 ate barley soup and until 4/25/04 had diarrhea and nausea again.  Reports she continues to be weak all the time.  Seeing a GI specialist who has R/O most diagnosis but not Hepatitis A.  Not recovered but stable. Follow up 11/22/04: Patient states she is still weak and often has forgetfulness (states she did not have the problem before vaccination). States she received the Hep B disease from the vaccine. Unable to get patient to understand that she could not get the disease from the vaccine.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site vesicles
Clinical narrative: Pt had a large red swollen area that turned into a couple of different blisters. The injection was on the 3rd of August and the reaction occured on 8/04/04 in the evening. This was approximently 24 hours after the injection.Pt's mom was instructed to use warm compresses and watch closely, call our office or go to ER if SOB develops.
Age: 30.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema
Clinical narrative: REDNESS ABOUT 4 IN. AROUND OFF 4 IN. TO THE LOWER RIGHT AREA OF SMALLPOX VACCINE SITE.  GIVEN BENEDRYL 50 MG.
Age: 67.0
Sex: F
Vaccine: TTOX
Symptoms: Anaemia, Arthralgia, Cough, Dehydration, Hyperglycaemia
Clinical narrative: Patient developed fever, myalgia, arthralgia, and serum sickness. Discharge summary states hyperglycemia, hypocalemia, hypokalemia, dehydration. msv Medical records states cough, anemia. msv
Age: 67.0
Sex: F
Vaccine: TTOX
Symptoms: Hypocalcaemia, Hypokalaemia, Laboratory test abnormal, Myalgia, Pyrexia
Clinical narrative: Patient developed fever, myalgia, arthralgia, and serum sickness. Discharge summary states hyperglycemia, hypocalemia, hypokalemia, dehydration. msv Medical records states cough, anemia. msv
Age: 67.0
Sex: F
Vaccine: TTOX
Symptoms: Red blood cell sedimentation rate decreased, Serum sickness
Clinical narrative: Patient developed fever, myalgia, arthralgia, and serum sickness. Discharge summary states hyperglycemia, hypocalemia, hypokalemia, dehydration. msv Medical records states cough, anemia. msv
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, Crying, Hyperhidrosis, Musculoskeletal stiffness, Mydriasis
Clinical narrative: RECEIVED A PHONE CALL FROM DOCTOR'S NURSE ON 8-3-04 AROUND 4:15 P.M.  THE INFANT WAS BEING SEEN IN THE OFFICE BY THE DR. AND WAS GOING TO BE ADMITTED FOR OBSERVATION.  THE MOTHER SAID THAT THE BABY WOKE FROM HER NAP CRYING AROUND 2:45 P.M.  SHE HAD SOME FOAM AROUND HER MOUTH AND STIFFENED HER BODY.  HER PUPILS WERE DILATED AND SHE DIDN'T BLINK.  SHE APPEARED TO BE STARING.  THE MOTHER WAS UPSET, BECAUSE SHE THOUGHT THAT THE BABY HAD A SEIZURE.  THE BABY WAS ALSO SWEATING.  THE MOTHER DIDN'T THINK THAT THE BABY HAD A FEVER, BUT SHE DIDN'T GIVE A FEVER REDUCER AFTER THE SHOTS OR CHECK THE BABY'S TEMPERATURE.  THE BABY DIDN'T HAVE A TEMPERATURE AT THE DRS. OFFICE.  THE INFANT WAS ADMITTED OVERNIGHT FOR OBSERVATION AND WAS DISCHARGED THE NEXT MORNING WITHOUT ANOTHER INCIDENT.  THE DR. IS GOING TO GIVE THE BABY DT INSTEAD OF DTaP FROM NOW ON, ACCORDING TO THE BABY'S MOTHER.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Salivary hypersecretion, Staring
Clinical narrative: RECEIVED A PHONE CALL FROM DOCTOR'S NURSE ON 8-3-04 AROUND 4:15 P.M.  THE INFANT WAS BEING SEEN IN THE OFFICE BY THE DR. AND WAS GOING TO BE ADMITTED FOR OBSERVATION.  THE MOTHER SAID THAT THE BABY WOKE FROM HER NAP CRYING AROUND 2:45 P.M.  SHE HAD SOME FOAM AROUND HER MOUTH AND STIFFENED HER BODY.  HER PUPILS WERE DILATED AND SHE DIDN'T BLINK.  SHE APPEARED TO BE STARING.  THE MOTHER WAS UPSET, BECAUSE SHE THOUGHT THAT THE BABY HAD A SEIZURE.  THE BABY WAS ALSO SWEATING.  THE MOTHER DIDN'T THINK THAT THE BABY HAD A FEVER, BUT SHE DIDN'T GIVE A FEVER REDUCER AFTER THE SHOTS OR CHECK THE BABY'S TEMPERATURE.  THE BABY DIDN'T HAVE A TEMPERATURE AT THE DRS. OFFICE.  THE INFANT WAS ADMITTED OVERNIGHT FOR OBSERVATION AND WAS DISCHARGED THE NEXT MORNING WITHOUT ANOTHER INCIDENT.  THE DR. IS GOING TO GIVE THE BABY DT INSTEAD OF DTaP FROM NOW ON, ACCORDING TO THE BABY'S MOTHER.
Age: 7.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pain Redness Swelling Of left arm 2 days post vaccine-Poss Allergic vs adverse reaction per MD
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Diarrhoea, Headache, Nausea, Pain, Pyrexia
Clinical narrative: NAUSEA, VOMITING, DIAHREA, HEADACHES, BODY ACHES, FEVER.  GIVEN TYLENOL.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Vomiting
Clinical narrative: NAUSEA, VOMITING, DIAHREA, HEADACHES, BODY ACHES, FEVER.  GIVEN TYLENOL.
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV, MMR
Symptoms: Pyrexia, Rash
Clinical narrative: Patient developed a slight fever on the day after she received the shot but it broke by the next day. On the night of July 30 she developed another fever.  It rose to 103.5 on July 31 and on August 1 she developed a rash on her face and chest and her fever spiked to 104.8.  We were giving her Tylenol and Motrin switching every three hours throughout the 4 days but nothing seemed to break the fever.
Age: 1.6
Sex: M
Vaccine: DTAP, IPV
Symptoms: Convulsion, Pyrexia
Clinical narrative: Brief, tonic clonic activity commenced approx 3 hrs after administration of vaccines.  Seizure was preceded by a fever of at least 102.4, which began about one hour after vaccine given.  The child was not post-ictal, and was in good health on re-evaluation, about one hour after the seizure.
Age: 8.0
Sex: F
Vaccine: DT
Symptoms: Chills, Injection site erythema, Injection site pain, Injection site warmth, Pyrexia
Clinical narrative: 24 hours after injection large area of errythema surrounding the injection site, hot and painful to the touch.  Also c/o fever and chills. T=100.5
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Diarrhoea, Myalgia, Nausea, Pyrexia
Clinical narrative: nausea, diarrhea, muscle aches, fever,
Age: 3.0
Sex: M
Vaccine: HEPA
Symptoms: Headache, Pain
Clinical narrative: Severe headache pain 2 days after shot administered, Ibuprofen not relieving pain.
Age: 0.5
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Cerebral infarction, Hemiparesis
Clinical narrative: Hemiparesis of right side of body; Brain infarct.
Age: 1.02
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Autism, Injection site mass
Clinical narrative: Information has been received from a consumer's mother concerning her 12 month old son with no prior medical history and no known allergies who on 10/29/98 was vaccinated with a dose of MMR. Concomitant vaccination included a dose of varicella virus vaccine live and a dose of poliovirus vaccine. Subsequently, the patient developed nodules in his thigh under the area where the vaccines were administered. The nodules lasted for nine months. In approximately 2000, at 3 years old, the patient was diagnosed with autism. The reporter stated that she believes that he was autistic from birth, but was not diagnosed until he was three years old. Unspecified medical attention was sought. Upon internal review, autism was considered to be an other important medical event (OMIC). Additional information has been requested.  Follow up on 08/09/04 states: "This is an amended report. The reporter's name now reads confidential."
Age: 10.0
Sex: F
Vaccine: HEPA
Symptoms: Diarrhoea, Hepatic enzyme abnormal, Hepatic enzyme increased, Jaundice
Clinical narrative: This case was reported but a nurse and described the occurrence of jaundice in a 10 year old female patient who received hepatitis A vaccine inactivated. The patient's medical history was notable for diabetes mellitus (type not reported). On 7/1/04 the patient received a dose of Havrix (dose number not specified). At an unspecified time following the administration of Havrix, on an unspecified date in July 2004, the patient experienced jaundice, elevated liver enzymes and diarrhea. The patient was seen at a physician's office. A test for antibodies to hepatitis A, performed on 7/23/04, was inconclusive. The outcome of the events is unknown. Jaundice and elevated liver enzymes were assessed as medically serious (OMIC). Follow up 02/14/05: A request for recovery statust has been made. 60 day follow-up report (October 1,2004 to October 21, 2004).
Age: 0.8
Sex: M
Vaccine: PNC
Symptoms: Febrile convulsion, Haemoglobin decreased, White blood cell count increased
Clinical narrative: Developed fever on 7/23/04; then subsequent seizure (thought to be febrile). Received work up at hospital: BC, Spinal Tap. Discharged on IV Rocephin until initial cultures required. Discharged home on 7/25/04.  Nurse follow up on 08/25/04 states: "No new information."
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Rash erythematous, Rash papular
Clinical narrative: Developed generalized erythemic rash. Patient states it felt bumpy in the beginning. No blisters. Note of entire body covered with rash except face. Hospitalized for 3 days.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Oedema, Pain
Clinical narrative: Right arm cellulitis from deltoid to elbow. Area red and swollen. Treated with Keflex 250/5cc 2tsp QID x 7 days. Pt follow up in 2 days. Decreased swelling, decreased pain.
Age: 4.0
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Erythema, Injection site rash
Clinical narrative: Received DTaP number 2, Comvax #2, IPV #2 and Prevnar #2 on 7/26/2004 in AM. On 7/28 pt went to our right clinic and presented with a rash on her left leg at the injections site with some raised erythema. Both extremities also had rash. No fever.
Sex: U
Vaccine: DT
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Given DT in left arm 7/7. Several days later noted numbness and tingling in arm to hand and up to neck which is now improving.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Rash and Distribution consistent with C-pox.
Age: 14.0
Sex: F
Vaccine: HEP, TD
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: Right deltoid 1 cm warmth erythema over injection site (Hepatitis B), Left deltoid 1.5cm warmth erythema over injection site (Td)
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Urticaria, Vomiting
Clinical narrative: Vomiting bad, urticaria within one hour of receiving DTaP, IPV, MMR. Sent to ER. Given Benadryl and Tylenol
Sex: U
Vaccine: MEN
Symptoms: Erythema, Injection site oedema, Throat tightness
Clinical narrative: Throat felt tight, reddened, swollen area around injection site, was seen in urgent care.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Erythema, Oedema
Clinical narrative: Mother called c/o right arm being red and swollen.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Erythema, Injection site mass, Oedema
Clinical narrative: Presented 1 day after vaccination with 5x7 cm induration at vaccination site, swelling and redness essentially resolved by 07/22/2004.
Age: 3.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR, VARCEL
Symptoms: Drug ineffective, Rash, Viral infection
Clinical narrative: Pt began having rash 7/28/2004. Pox broke out over entire body (>50pox). Was confirmed by PA 7/30/2004 at clinic.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema, Pain
Clinical narrative: Shots given 07/29/04, left arm sore since shots given but redness and swelling noticed today. Parent to apply cool compress and give Motrin.
Age: 15.0
Sex: F
Vaccine: HEP, TD
Symptoms: Erythema, Oedema, Pruritus
Clinical narrative: Left arm swollen, red, itches
Age: 2.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Oedema
Clinical narrative: Swelling of left thigh
Age: 0.75
Sex: F
Vaccine: DTAP
Symptoms: Anorexia, Chills, Crying, Screaming
Clinical narrative: Uncontrollable sobbing, no appetite not, not wanting to be held, throwing objects, arching back, shivering fits (as if someone was walking over her grave) 8-10 times a day whilst awake continuing to date with same severity.
Age: 1.01
Sex: F
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Rash vesicular
Clinical narrative: 2-3 day h/o of rash on trunk and face. On exam + vesicular lesions scattered on trunk and few on face, no signs of infection.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Erythema multiforme, Rash
Clinical narrative: Rash, erythema multiforme. Tx: Prednisone tapes, Zyrtec, Zantac
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Abdominal pain upper, Back pain, Fatigue, Neck pain, Pyrexia
Clinical narrative: Several belly aches, Back/neck pain, fatigue, and low grade fever (max 100.2) for 2-3 days.
Age: 57.0
Sex: F
Vaccine: TYP
Symptoms: Hypokinesia, Pain
Clinical narrative: Pt related that onset of sore arm was 5 days post vaccination. So severe that she contacted her PCP who in turn gave her a Rx for steroid medication. Condition resolved in approx 2 weeks, could barely move arm.
Age: 1.01
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Lymphadenopathy, Rash maculo-papular
Clinical narrative: Generalized macular papular rash. Post auricular adenopathy.
Age: 1.25
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Erythema, Feeling hot
Clinical narrative: Left deltoid area 3" red, warm.
Age: 3.0
Sex: F
Vaccine: DTP, HEP, HIBV, IPV, MMR
Symptoms: Pruritus, Rash maculo-papular, Skin ulcer
Clinical narrative: After few minutes of vaccine administration  (DTaP, Hib, Hep B, IPV, MMR). Pt developed maculopapular lesion with itching. She was treated with epinephrine pex. IM and Benadryl IM. She recovered without complications.
Age: 37.0
Sex: M
Vaccine: HEP
Symptoms: Hypoaesthesia
Clinical narrative: Here on 7/15/04. Client refused second (Hep B vaccine) stating "when I took my first shot on 01/06/04, my arm felt numb for a day or two." No doctor or ER visit was made, pt is doing fine.
Age: 81.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain, Swelling
Clinical narrative: redness, swelling, pain in right arm.
Age: 51.0
Sex: F
Vaccine: RAB
Symptoms: Eye disorder, Eye swelling, Rash, Skin ulcer
Clinical narrative: 4MAY04 1500: skin lesions on face that aren't healing. Since start of July bilateral puffy eyes and open lesion on right side of nose bridge.
Age: 4.4
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema
Clinical narrative: Per Dr's note: 7x9cm erythema. No induration. No tenderness. Treatment: Ice/ Benadryl. Left thigh.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Feeling hot, Infection, Swelling
Clinical narrative: 8/2/04: Dtap administered. 8/3/04: Pt presented with cellulitis at the immunization site. Right leg. Large swelling, warm to touch, red, and infected. Prescribed Keflex; Pt responding and better.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt had red, swollen, hot to touch site. Pt denied pain and was very active at follow ups. Pt was given Benadryl, Bactrim suspension 10cc po bid x 7 days and Prelone 15/5 5cc bidx 5 days.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Urticaria
Clinical narrative: MMR 1 given SC, RA , immediately developed single dime size hive alone but not a injection site. No respiratory distress. No wheeze. No further reaction. Benadryl 12.5 mg given STAT PO: pt observed x 1 hour then discharged to home.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Right thigh swollen, warm to touch with erythematous. Swelling started day after vaccine. Cool compresses and Tylenol given by mom. Benadryl started once seen in clinic.
Age: 1.33
Sex: M
Vaccine: DTAP
Symptoms: Urticaria
Clinical narrative: Acute onset of urticaria rash at site of injection-becoming generalized with scanty developed expiration. Received SQ Epinephrine.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC
Symptoms: Cold sweat, Cyanosis, Feeling cold, Pallor
Clinical narrative: 8/4/04: face pale /cold lips, cyanotic and clammy, not sucking. Last PM at ER, diagnosed with cyanotic spells/ Reflux. 8/6/04: in our office. Child seemed fine. No redness or swelling.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC
Symptoms: Cyanosis, Gastrointestinal disorder, Pallor
Clinical narrative: 8/4/04: face pale /cold lips, cyanotic and clammy, not sucking. Last PM at ER, diagnosed with cyanotic spells/ Reflux. 8/6/04: in our office. Child seemed fine. No redness or swelling.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC
Symptoms: Cyanosis, Gastrooesophageal reflux disease, Hypotonia, Laboratory test abnormal, Pallor
Clinical narrative: 8/4/04: face pale /cold lips, cyanotic and clammy, not sucking. Last PM at ER, diagnosed with cyanotic spells/ Reflux. 8/6/04: in our office. Child seemed fine. No redness or swelling.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: 8/4/04: face pale /cold lips, cyanotic and clammy, not sucking. Last PM at ER, diagnosed with cyanotic spells/ Reflux. 8/6/04: in our office. Child seemed fine. No redness or swelling.
Age: 9.0
Sex: U
Vaccine: UNK
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Edema, erythema and warmth at the site of injection. Began 2-3 hours after injection and lasted at least. Treated with Benadryl, NSAIDs and Ice.
Age: 0.75
Sex: F
Vaccine: PNC
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Received vaccine on 8/2/04. Child had hard knot about 4cm, redness quarter sized around knot at injection site. Child brought in next day around noon, examined by RN. Advised warm compresses observe. No other problems or fever noted.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pain, Palpitations, Rash macular
Clinical narrative: 14x11cm red macular area on left thigh that is painful with palpation. No systems signs. Denies fever, vomiting, diarrhea.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Oedema
Clinical narrative: Swelling and erythema 8cm x 8cm at vaccine site < 2:40 after administration (left deltoid)
Age: 13.0
Sex: F
Vaccine: TD
Symptoms: Oedema peripheral, Urticaria
Clinical narrative: 6-8 hours post injection, urticaria and swelling in hands and feet.
Age: 1.25
Sex: M
Vaccine: DTAP, HBHEPB, VARCEL
Symptoms: Erythema, Oedema
Clinical narrative: Pink area to left upper thigh with some swelling. No induration, no warm to touch. Advised Tylenol, cool packs to thigh
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site reaction, Oedema
Clinical narrative: Moderate local reaction with erythema and swelling ~8.5x7cm (left deltoid)
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site reaction, Oedema
Clinical narrative: Moderate local reaction to left deltoid with erythema and swelling ~8.0x7.0cm
Age: 0.17
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying, Erythema, Screaming
Clinical narrative: Crying non-stop red area, right thigh
Age: 1.17
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Erythema, Rash maculo-papular, Skin ulcer
Clinical narrative: Sm. multiple erythematous papular-macular rash on trunk and face. Approx 30-40 lesions, afebrile.
Age: 59.0
Sex: F
Vaccine: YF
Symptoms: Dehydration, Influenza like illness, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Mild reaction-  -sorenesss -about 1 inch in diameter red swelling where the shot was given -aches and flu-like feeling -feel like I need lots of liquids
Age: 59.0
Sex: F
Vaccine: YF
Symptoms: Pain
Clinical narrative: Mild reaction-  -sorenesss -about 1 inch in diameter red swelling where the shot was given -aches and flu-like feeling -feel like I need lots of liquids
Age: 56.0
Sex: M
Vaccine: HEPAB, MEN, TYP, YF
Symptoms: Guillain-Barre syndrome, Hypoaesthesia, Paraesthesia
Clinical narrative: 3 1/2 weeks after immunization Pt hand and feet became numb and tingling. The numbness went to his legs and body and he was unable to stand. On 6/26/04 he went to the ER  and they misdiagnosed him. He returned to hospital on 6/29/04 and was diagnosed with Guillian Barre Syndrome. He was treated with 5 blast IV CG Antibody.
Age: 46.0
Sex: M
Vaccine: ANTH
Symptoms: Asthenia, Cerebral ischaemia, Disturbance in attention, Hypoaesthesia, Malaise
Clinical narrative: Fingers feeling numb, nausea during times of stress, general malaise, trouble concentrating, weakness (ussually very active) after third shot in January 2003 while deployed. Member experienced same symptoms after fifth shot in May 2004. Member was hospitalized in theater during first adverse episode. First episode lasted approximately over the course of 8 months. The second episode lasted approximately 2 weeks. Follow up: sxs described as tunnel vision, unable to speak, thick tongue, difficulty speaking. Worked up in hospital. abroad Test negative except cholesterol of 238. Prescribed blood thinner, but doesn't recall the name. Pt returned to US and continued to experience sxs on occassion. usually these were milder and abated after pt took 2-3 aspirin. In August 2003, sxs recurred and did not abate. Pt hospitalized and worked up extensively again. Tests were apparently negative. Previous blood thinner replaced by Plavix. Pt states sxs occur less often sincet that time, but were more pronounced after Anthrax dose 4 onn 5/1/04. He adds sxs of slurred speach to those previously noted. Per review of medical records: facial pain, rhinitis, sinusitis, and rash possibly due to Amoxicillin in 7/04.  Nurse follow up on 09/17/04 states: "Per review of hospital d/c summary for admission of 8/12/2003, final diagnosis was TIA, aphasia resolved."
Age: 46.0
Sex: M
Vaccine: ANTH
Symptoms: Nausea, Pain, Rash, Rhinitis, Sinusitis
Clinical narrative: Fingers feeling numb, nausea during times of stress, general malaise, trouble concentrating, weakness (ussually very active) after third shot in January 2003 while deployed. Member experienced same symptoms after fifth shot in May 2004. Member was hospitalized in theater during first adverse episode. First episode lasted approximately over the course of 8 months. The second episode lasted approximately 2 weeks. Follow up: sxs described as tunnel vision, unable to speak, thick tongue, difficulty speaking. Worked up in hospital. abroad Test negative except cholesterol of 238. Prescribed blood thinner, but doesn't recall the name. Pt returned to US and continued to experience sxs on occassion. usually these were milder and abated after pt took 2-3 aspirin. In August 2003, sxs recurred and did not abate. Pt hospitalized and worked up extensively again. Tests were apparently negative. Previous blood thinner replaced by Plavix. Pt states sxs occur less often sincet that time, but were more pronounced after Anthrax dose 4 onn 5/1/04. He adds sxs of slurred speach to those previously noted. Per review of medical records: facial pain, rhinitis, sinusitis, and rash possibly due to Amoxicillin in 7/04.  Nurse follow up on 09/17/04 states: "Per review of hospital d/c summary for admission of 8/12/2003, final diagnosis was TIA, aphasia resolved."
Age: 46.0
Sex: M
Vaccine: ANTH
Symptoms: Speech disorder, Tongue oedema, Tunnel vision, Vaccine positive rechallenge
Clinical narrative: Fingers feeling numb, nausea during times of stress, general malaise, trouble concentrating, weakness (ussually very active) after third shot in January 2003 while deployed. Member experienced same symptoms after fifth shot in May 2004. Member was hospitalized in theater during first adverse episode. First episode lasted approximately over the course of 8 months. The second episode lasted approximately 2 weeks. Follow up: sxs described as tunnel vision, unable to speak, thick tongue, difficulty speaking. Worked up in hospital. abroad Test negative except cholesterol of 238. Prescribed blood thinner, but doesn't recall the name. Pt returned to US and continued to experience sxs on occassion. usually these were milder and abated after pt took 2-3 aspirin. In August 2003, sxs recurred and did not abate. Pt hospitalized and worked up extensively again. Tests were apparently negative. Previous blood thinner replaced by Plavix. Pt states sxs occur less often sincet that time, but were more pronounced after Anthrax dose 4 onn 5/1/04. He adds sxs of slurred speach to those previously noted. Per review of medical records: facial pain, rhinitis, sinusitis, and rash possibly due to Amoxicillin in 7/04.  Nurse follow up on 09/17/04 states: "Per review of hospital d/c summary for admission of 8/12/2003, final diagnosis was TIA, aphasia resolved."