chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 46.0
Sex: F
Vaccine: SMALL
Symptoms: Heart rate increased, Insomnia, Lymphadenopathy, Pain, Pyrexia
Clinical narrative: On Sunday, 03/09/2003 in the evening the patient began experiencing a lot of pain to (l) shoulder with throbbing and shooting pain. Pt reported that that evening she also had difficulty sleeping, rapid heart rate, and three enlarged lymph nodes to the axillary area and a fever of a 102.  She measured her lymph nodes and reported that the largest was six inches and the other two were about three inches.  She saw her primary care physician, on Monday 3/10/2003 and was given ibuprofen 500mg, Tylenol and Benadryl.  She was also given a sling for her arm.  As of 3/14/2003 patient with 3 large nodes of 3", 3" and 2" totaling 8 inches in diameter and nodes began to develop color but no fluctuance.  Dr consulted with CDC clinician and pt started on Cephalexin 500 QID for 10 days on 03/14/2003.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema
Clinical narrative: Developed area of erythema that involved the majority of the right thigh.  Developed small amount of erythema on day #1, yet noticed significant worsening by day #2.  Treated with benadryl and keflex.
Age: 34.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth, Joint range of motion decreased
Clinical narrative: Monday, March 10, 2003, I received the Tetanus vaccine at my doctor's office around 2:30 p.m. It was sore and had typical results, however as the evening approached, the pain began to intensify.  Tuesday, March 11, 2003, the pain was becoming severe and swelling around the needle/vaccination entrance was very noticible.  By evening the pain caused interference from moving and lifting, the (left) arm  and was terribly uncomfortable even when not moving.  The severe pain prevented me from laying on that side at bedtime and the whole arm including fingers, shoulder, left side of neck were not comfortable.  The swelling had also increased with redness, and was hot to the touch.  By morning, Wednesday, March 12, 2003, a large bright red area was produced approximately one and a half inches in diameter over the inflamed area.  The pain was continuous.  Movement was extremely painful.  I called my family doctor to make an appointment and was able to get in with the immediate care provider around 5:00 p.m.  I was seen byMD who prescribed Cephalexin 500 mg. four times per day for seven days, Benadryl, and Tylenol or Advil. That evening I put a hot pack on the arm at bedtime, it was extremely sore.  Thursday, March 13, 2003, The red area was approximately two inches in diameter and hot to the touch.  Even wearing the seatbelt in my car was painful to have on.  My upper arm was still swollen and painful, although by evening the pain had lessened some.  Friday, March 14, 2003, the area around the vaccination site is lighter red to pink, still warm and sore but less swollen.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Rash
Clinical narrative: generalized exantham occurring 10 days after primary vaccinia (right deltoid) involving trunk and back and arms consistent with generalized vaccinia
Age: 45.0
Sex: F
Vaccine: SMALL
Symptoms: Vaccination complication
Clinical narrative: 4 satellite lesions near vaccination site and possibly 5 additional lesions on back between shoulder blades. Inadvertent inoculation. Diluent 802236A.
Age: 33.0
Sex: F
Vaccine: SMALL
Symptoms: Aphthous stomatitis, Discomfort, Nasal congestion, Skin ulcer, Swelling
Clinical narrative: Vaccinee developed small red tender/painful spot under tongue on day 3 post-smallpox vaccination. Over next two days, lesion progressed from what was described as bubble like into an ulcer. Mouth lesion progressed much faster than vaccination site lesion.  Appearance and progression consistent with aphthous ulcer, although vaccinee did not report history of similar mouth lesions.   No fever. Mild "sinus congestion" reported. Brief episode of bilateral hand "puffiness" and knee discomfort which resolved in less than a day.  Aside from vaccination site, no other skin lesions. No history of skin disorders/eczema/atopic dermatitis.   Mouth lesion resolved by day 11. Vaccinee had documented major reaction. No other unusual symptoms reported.
Age: 33.0
Sex: F
Vaccine: SMALL
Symptoms: Vaccination complication
Clinical narrative: Vaccinee developed small red tender/painful spot under tongue on day 3 post-smallpox vaccination. Over next two days, lesion progressed from what was described as bubble like into an ulcer. Mouth lesion progressed much faster than vaccination site lesion.  Appearance and progression consistent with aphthous ulcer, although vaccinee did not report history of similar mouth lesions.   No fever. Mild "sinus congestion" reported. Brief episode of bilateral hand "puffiness" and knee discomfort which resolved in less than a day.  Aside from vaccination site, no other skin lesions. No history of skin disorders/eczema/atopic dermatitis.   Mouth lesion resolved by day 11. Vaccinee had documented major reaction. No other unusual symptoms reported.
Age: 39.0
Sex: M
Vaccine: SMALL
Symptoms: Muscle twitching, Paraesthesia
Clinical narrative: 3/14/03 1 p.m. Left side of mouth tingly 3/14/03 10 p.m. Left side of mouth drawn and Left eye muscles twitching  Prednisone 60 mg 3 tablets on day 1, 2 tablets on day 2 and 1 tablet on day 3
Age: 18.0
Sex: M
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: Rash. raised, red, no vesicles located on abdomen, chest and back spreading onto neck and proximal arms
Age: 0.2
Sex: M
Vaccine: DTAP, HBPV, IPV
Symptoms: Conjunctivitis, Crying, Cyanosis, Fatigue, Irritability
Clinical narrative: My fiance  recently took our son  for his 2 month check up on March 4, 2003. He received three vaccines that day DTP, IPV and Hib. That night he was very fussy, wouldn't take his bottle and cried all night. Patient usually would go back to sleep in the middle of the night after he ate, but this night was different. It was so bad I stayed home from work to be with him. I didn't think nothing of it due to the fact he was colic.      March 7th I took him to his Doctor because he had conjunctivitis and they gave him a routine check up. The next two nights he wouldn't sleep much and a little fussy, but not as bad as when he first got the vaccines. Saturday night March 8th I put my baby down to sleep around 12:45am. Patient woke up around 6 am. His daddy tried to feed him but he wouldn't take his bottle all he did was cry. Finally patient fell asleep from exhaustion.      Around 9:30am I woke up and checked on my baby and he was all blue, he died in his sleep. He was rushed to the hospital in the matter of minutes. They worked on him for about a half hour and there was nothing they could do. My angel was gone.       The Doctors said they believed it was a case of SIDS. His tissues are still under investigation for the next 6 weeks. I really believe his death had something to do with the vaccines.    He was born December 25, 2002 and rec'd the hepatitis vaccine, and agian on Jan.29,2003. I had a healty normal full term pregnancy. The only problem was that I had to get an emergency c-section due to patients heart rate was dropping.   I was never informed of all the risks from vaccines. Please help me.       --------------------------------------------------------------------------------
Age: 0.2
Sex: M
Vaccine: DTAP, HBPV, IPV
Symptoms: Sudden infant death syndrome
Clinical narrative: My fiance  recently took our son  for his 2 month check up on March 4, 2003. He received three vaccines that day DTP, IPV and Hib. That night he was very fussy, wouldn't take his bottle and cried all night. Patient usually would go back to sleep in the middle of the night after he ate, but this night was different. It was so bad I stayed home from work to be with him. I didn't think nothing of it due to the fact he was colic.      March 7th I took him to his Doctor because he had conjunctivitis and they gave him a routine check up. The next two nights he wouldn't sleep much and a little fussy, but not as bad as when he first got the vaccines. Saturday night March 8th I put my baby down to sleep around 12:45am. Patient woke up around 6 am. His daddy tried to feed him but he wouldn't take his bottle all he did was cry. Finally patient fell asleep from exhaustion.      Around 9:30am I woke up and checked on my baby and he was all blue, he died in his sleep. He was rushed to the hospital in the matter of minutes. They worked on him for about a half hour and there was nothing they could do. My angel was gone.       The Doctors said they believed it was a case of SIDS. His tissues are still under investigation for the next 6 weeks. I really believe his death had something to do with the vaccines.    He was born December 25, 2002 and rec'd the hepatitis vaccine, and agian on Jan.29,2003. I had a healty normal full term pregnancy. The only problem was that I had to get an emergency c-section due to patients heart rate was dropping.   I was never informed of all the risks from vaccines. Please help me.       --------------------------------------------------------------------------------
Age: 13.0
Sex: M
Vaccine: HEP, MMR, HEP, MMR
Symptoms: Arthralgia, Emotional disorder, Irritability, Migraine, Shoulder pain
Clinical narrative: Lump on neck. Forced to leave regular education; home tutor. Distant, daily migraines, leg joint pain, shoulder pain, irritable, less tolerant of world around him.
Age: 13.0
Sex: M
Vaccine: HEP, MMR, HEP, MMR
Symptoms: Migraine, Pain
Clinical narrative: Lump on neck. Forced to leave regular education; home tutor. Distant, daily migraines, leg joint pain, shoulder pain, irritable, less tolerant of world around him.
Age: 69.0
Sex: M
Vaccine: TD, TD
Symptoms: Arthralgia, Injury, Myalgia
Clinical narrative: 12/23/02 Td administered per Rd. 2wks later ? exact date pt unable to elevate both arms with pain at both sites. PCP tx'd with prednisone. Symptoms became/ or improved then symptoms restarted. Pt to go to PCP today ? tx. Pt unable to give exact date and time of onset of symptoms. Pt stated apprx. 2 weeks post vaccine (date of vaccination 12/23/2003). Symptoms started.
Age: 69.0
Sex: M
Vaccine: TD, TD
Symptoms: Injection site pain, Joint range of motion decreased
Clinical narrative: 12/23/02 Td administered per Rd. 2wks later ? exact date pt unable to elevate both arms with pain at both sites. PCP tx'd with prednisone. Symptoms became/ or improved then symptoms restarted. Pt to go to PCP today ? tx. Pt unable to give exact date and time of onset of symptoms. Pt stated apprx. 2 weeks post vaccine (date of vaccination 12/23/2003). Symptoms started.
Age: 0.25
Sex: M
Vaccine: HIBV, PNC, HIBV, PNC
Symptoms: Convulsion
Clinical narrative: On 2/10/03, my son received HIB and pneumococcal conjugate vaccines. After the vaccines he was very fussy and pale, then on 2/14 at 3:30 AM, he had a seizure followed by a cluster of seizures on 2/16 totaling 5 seizures. Admitted to the hospital and loaded with phenobarbital and all tests normal including EEG and MRI, urine culture, blood culture and metabolic work. Discharged home on phenobarbital.
Age: 0.25
Sex: M
Vaccine: HIBV, PNC, HIBV, PNC
Symptoms: Convulsion, Irritability, Pallor
Clinical narrative: On 2/10/03, my son received HIB and pneumococcal conjugate vaccines. After the vaccines he was very fussy and pale, then on 2/14 at 3:30 AM, he had a seizure followed by a cluster of seizures on 2/16 totaling 5 seizures. Admitted to the hospital and loaded with phenobarbital and all tests normal including EEG and MRI, urine culture, blood culture and metabolic work. Discharged home on phenobarbital.
Age: 29.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Asthenia, Dysphagia, Dyspnoea, Paraesthesia
Clinical narrative: Numbing in hands & feet 15 mins. Rapid breathing. Difficulty swallowing.
Age: 29.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Dysphagia, Hyperventilation, Paraesthesia
Clinical narrative: Numbing in hands & feet 15 mins. Rapid breathing. Difficulty swallowing.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Sudden infant death syndrome, Unevaluable event
Clinical narrative: According to the death investigation report, this 2 month old white female infant was transported to the hospital ER at about 21:21.  CPR was performed by ER service for 30 minutes.  The patient was found unresponsive by her mother at about 20:30 after being put down for a nap on the parent's bed at about 18:30.  The infant was pronounced dead at 21:30 by the doctor.  The doctor estimated the length of time that the infant was unresponsive was from 30 minutes to 2.5 hours.  The said decedent died of Sudden Infant Death Syndrome.  Children in the early months of infancy can often die without any pathological changes seen at autopsy.  The only injury seen at autopsy was a very small dot-like purple abrasion of the chin to the left of the midline.  This injury was the result of blunt trauma and did not contribute to the patients death.  Postmertem blood alcohol test and drug screen were negative.  The manner of death is classified as Natural.
Age: 0.6
Sex: M
Vaccine: DTAP, HEP, HIBV
Symptoms: Bacterial infection, Coagulopathy, Hepatic failure, Hypoglycaemia, Jaundice
Clinical narrative: Pt previously healthy. Six days after 6 mo WCC and vaccines x 3 (hep B, DTaP, HIB), pt presented with vomiting and jaundice. Transferred to hospital on 12/20/02. Developed fulminant liver failure of unknown etiology and died 1/22/03. Principal diagnosis: idiopathic liver failure. Secondary diagnoses: hypoglycemia. Coagulopathy. Citrobacter freundii bacteremia and line infection. Multiorgan system failure.
Age: 0.6
Sex: M
Vaccine: DTAP, HEP, HIBV
Symptoms: Laboratory test abnormal, Multi-organ failure, Vomiting
Clinical narrative: Pt previously healthy. Six days after 6 mo WCC and vaccines x 3 (hep B, DTaP, HIB), pt presented with vomiting and jaundice. Transferred to hospital on 12/20/02. Developed fulminant liver failure of unknown etiology and died 1/22/03. Principal diagnosis: idiopathic liver failure. Secondary diagnoses: hypoglycemia. Coagulopathy. Citrobacter freundii bacteremia and line infection. Multiorgan system failure.
Age: 0.25
Sex: F
Vaccine: DTAP, HEP, IPV, PNC
Symptoms: Accidental overdose, Cyanosis, Pneumonia, Pulse absent, Respiratory distress
Clinical narrative: From initial information received at manufacturer on 2/28/03, it was reported that a female, date of birth 10/12/02, received Daptacel on 12/17/02 and 1/30/03 as part of a post-marketing phase IV study. She also received IPV, PRP-T, Hepatitis B, and Pneumo Conjugate vaccines on 1/30/03. The patient presented to the ER on 2/8/03 at 13:35 in severe respiratory distress and cyanosis. Her respiratory rate was in the 60's and oxygen saturation in the low 80's. Initial capillary refill was greater than three seconds. The labs were consistent with infection, and her chest x-ray showed three large infiltrates. The electrolytes were remarkable for a very high potassium level and the CBC showed a very high white cell count with a picture that was subsequently interpreted by the hematologist as being a leuko-erythromblastic response. She was intubated by an anesthesiologist who reported child was very hard to ventilate. Child then lost pulse and cardiac rhythmn. Resuscitation measures taken including Epinephrine, Normal Saline, Albumin, Calcium Chloride, Atropine, Albuterol, and Vaporephrine. The patient was pronounced dead at 15:35. The pathologist indicates patient had been regurgitating gastric content and aspirating. The event was considered by the investigator as unlikely/not related to the vaccines. The patient was born at 26-27 weeks gestation with a complicated post-natan NICU course for two months. Eventually discharged to home on oxygen and was first tried off oxygen on 12/28/02. Then re-admitted to the hospital on 12/18/02 for pneumonia and was found to have high dose of acetaminophen accidentally, she was given a wrong dose over a one-week duration during febrile illness requiring Mucomist to Detoxify. She had been off of this medication for two weeks prior to this last illness when there was recurrence of viral illness before she expired. Case is closed.
Age: 3.5
Sex: F
Vaccine: DTAPH, FLUX, IPV, OPV, VARCEL
Symptoms: Difficulty in walking, Gait disturbance, Laboratory test abnormal, Lymphadenopathy, Osteomyelitis
Clinical narrative: A report was rec'd concerning a child vaccinated who experienced mycobacterium avium complex (MAC) osteomyelitis an unspecified length of time after receiving influenza vaccine (brand unspecified), DTaP with hepatitis B (brand unspecified), inactivated polio vaccine (brand unspecified), oral polio (brand unspecified), and varicella vaccine (brand unspecified) on an unknown date. No BCG was administered. On an unspecified date the pt presented with a 3 month history of L lower leg pain and a 3 wk history of fevers up to 38.9C. the leg pain was constant dull ache that had increased gradually. Her pain localized over the anterior L lower leg but there was no swelling or erythema. She had a noticeable limp and avoided walking. There was no improvement with non-steroidal anti-inflammatory drugs. The was no history of previous leg pain, trauma, lymph node swelling, rash, insect bite, viral infection or joint swelling. the pt's mother had a history of recurrent MAC osteomyelitis. The pt was not toxic on physical exam but was anxious and guarded her left leg. Her temp was 38.5C, pulse 120 beats/minute, respiratory rate 28 breaths/minute, and blood pressure 85/45. the exam was remarkable for  1X1cm non tender, soft, mobile, L submandibular lymph node. Her L tibia was tender to palpation without visible edema or erythema. There was no lymphadenopathy or organomegaly. Laboratory date initially revealed a leukocyte count of 17,500 cells/mm3 with 50% lymphocytes, 37 % neutrophils and 1% eosinophils. The haemoglogin was 7.3 g/dl and the platelet count was 583,000 cell/mm3. Erythrocyte sedimentation rate (ESR) and C-reactive protein were elevated at 105 mm/hr and 8.1 mg/dl, respectively. Plain X-rays demonstrated lytic lesions of the tibia and femur. In the opinion of the reporters, the dx was unlikely to have been growing pains as massage and acetaminophen did not help. In addition, growing pains are intermittent, and she had progressive unilateral lower leg pain. Cellulitis was ruled out as there was a lack of localized swelling AND ERYTHEMA OVER THE SYMPTOMATIC AREAS. The pt's newborn screen was negative for sickle cell disease and titers were no sickle cells on the peripheral blood smear thereby excluding sickle cell disease. The presence of the lutic lesions sad the absence of joint symptoms, make JRA unlikely. There was insufficient information to determine the reporters causality assessment.
Age: 3.5
Sex: F
Vaccine: DTAPH, FLUX, IPV, OPV, VARCEL
Symptoms: Pain, Pyrexia
Clinical narrative: A report was rec'd concerning a child vaccinated who experienced mycobacterium avium complex (MAC) osteomyelitis an unspecified length of time after receiving influenza vaccine (brand unspecified), DTaP with hepatitis B (brand unspecified), inactivated polio vaccine (brand unspecified), oral polio (brand unspecified), and varicella vaccine (brand unspecified) on an unknown date. No BCG was administered. On an unspecified date the pt presented with a 3 month history of L lower leg pain and a 3 wk history of fevers up to 38.9C. the leg pain was constant dull ache that had increased gradually. Her pain localized over the anterior L lower leg but there was no swelling or erythema. She had a noticeable limp and avoided walking. There was no improvement with non-steroidal anti-inflammatory drugs. The was no history of previous leg pain, trauma, lymph node swelling, rash, insect bite, viral infection or joint swelling. the pt's mother had a history of recurrent MAC osteomyelitis. The pt was not toxic on physical exam but was anxious and guarded her left leg. Her temp was 38.5C, pulse 120 beats/minute, respiratory rate 28 breaths/minute, and blood pressure 85/45. the exam was remarkable for  1X1cm non tender, soft, mobile, L submandibular lymph node. Her L tibia was tender to palpation without visible edema or erythema. There was no lymphadenopathy or organomegaly. Laboratory date initially revealed a leukocyte count of 17,500 cells/mm3 with 50% lymphocytes, 37 % neutrophils and 1% eosinophils. The haemoglogin was 7.3 g/dl and the platelet count was 583,000 cell/mm3. Erythrocyte sedimentation rate (ESR) and C-reactive protein were elevated at 105 mm/hr and 8.1 mg/dl, respectively. Plain X-rays demonstrated lytic lesions of the tibia and femur. In the opinion of the reporters, the dx was unlikely to have been growing pains as massage and acetaminophen did not help. In addition, growing pains are intermittent, and she had progressive unilateral lower leg pain. Cellulitis was ruled out as there was a lack of localized swelling AND ERYTHEMA OVER THE SYMPTOMATIC AREAS. The pt's newborn screen was negative for sickle cell disease and titers were no sickle cells on the peripheral blood smear thereby excluding sickle cell disease. The presence of the lutic lesions sad the absence of joint symptoms, make JRA unlikely. There was insufficient information to determine the reporters causality assessment.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Autism, Drug toxicity, Nervous system disorder
Clinical narrative: This report describes autism in a male child of unspecified age who was vaccinated with Infanrix for prophylaxis. This report was received as part of litigation proceedings and has not been verified by a physician or other health care professional. The subject's medical history, concurrent conditions, and concurrent medications were not reported. The subject received an injection of Infanrix on 6/10/97. He also received injections of Tri-Immunol; 8/12/97 and 2/24/98, hep B vaccine 12/27/96 and 3/5/97, Hib-Titer 6/10/97, 8/12/97 and 1/14/98. The subject's attorney alleged that "As a result of the mercury in thimerosal-containing vaccinations received during those developmental years, the subject now suffers, and in the future will continue to suffer from the toxic neurological effects of his mercury poisoning, including but not limited to autism." The mercury poisoning and autism in this report are considered to be medically serious (OMIC).  Follow up on 12/08/03: "Following the administration of GSK vaccines, the subject experienced five upper respiratory infections, two episodes of left otitis media, pharyngitis, and one episode of bilateral otitis media.  Those were not reported as adverse events due to vaccine administration, but were found during the course of review of the subject's medical records.  Therefore, they are not listed as adverse events.  The most recent info received on 11/21/03 did not provide the outcome of the alleged events. The mercury poisoning and autism in this report are considered to be medically serious by GSK."
Age: 26.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site nodule, Injection site pain, Injection site swelling, Pruritus
Clinical narrative: Anthrax administered 1/19/03. Had erythema, redness, swelling, tenderness, edema, 3cm X 4cm nodule noted, itching and edema to elbow. Local reaction with injection site erythema, 1-5cm (dia) or mild tenderness within 24 hours. Systemic reaction.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling and erythema to right arm X 2 days. Treated with Benadryl 50mg Q 6 hours. Distal arm edema alone, or distal arm edema plus extensive injection site edema.
Age: 29.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site swelling, Pruritus
Clinical narrative: Swollen 70cm and itching. Treated with clobetasol CL (0.09%); Benadryl 25mg po once or twice prn.
Age: 19.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Pruritus
Clinical narrative: Redness, swelling and itching on left arm and forearm.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness, swelling and soreness on right arm.
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pruritus
Clinical narrative: Redness, swelling, itching and pain on left arm.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness, soreness and swelling on right arm.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site oedema, Injection site pain, Pruritus
Clinical narrative: Swelling soreness redness R arm mild itching.
Age: 0.75
Sex: M
Vaccine: PNC
Symptoms: Pallor, Pharyngitis
Clinical narrative: Prevnar administered 3/5/03. Pt healthy-no s/s of infection at visit. Presented 3/6/03 very pale with pharyngitis. CBC with WBC 18.7, granulocytes 13 (69%), CXR done, Rocephin IM administered. Pt follow-up to clinic 3/7/03, CBC done and WBC 9.2, gran 2.9 (31%).
Age: 1.0
Sex: F
Vaccine: HBHEPB, PNC, VARCEL
Symptoms: Dermatitis bullous, Rash papular
Clinical narrative: Skin-small papules scattered on face and body (approx. 2 dozen); some are scabbed. Present for four days; still breaking out.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Lethargy, Pyrexia, Vomiting
Clinical narrative: Given vaccine Tues aft. Weds 1am-T 104 degrees, 7am vomited T102, vomiting, lethargy-8pm. ER WBC 17K received IV Rocephin BC and UC done.
Age: 5.4
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Reddened and slightly swollen arm four days post immunizations.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site inflammation, Injection site warmth
Clinical narrative: L deltoid-hot and red with burning at top of shoulder. Keflex 250/5-1 1/2 tsp BID x 10 days.
Age: 20.0
Sex: F
Vaccine: HEP, TD
Symptoms: Erythema, Rash, Urticaria
Clinical narrative: Rash began 2/5/03 2-3 have after receiving vaccine. Begans as a roused, red whelt ? into a red one. The rash comes and goes and has spread all over. The rash began on her hands. Now today on arms and some at the feet. ? Has taken Benadryl oral has use local ? To go to MD today.
Age: 2.25
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Mother called to say child's arm where the vaccine was given is red, swollen and painful. No fever as far as she knows.
Age: 1.7
Sex: F
Vaccine: DTAP, PNC
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Mother called fRi 1/31/03 stating child's L arm swollen, and deep red from shoulder to elbow; painful to touch. Parent not sure if running temp. Said noticed swollen arm Thurs pm. have been giving child Tylenol.
Age: 31.0
Sex: F
Vaccine: MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Redden induration on L outer arm of 55mm. 1/27/03 client back into clinic. Noted induration on reactive area diminished to reddened area approx 20mm.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Pallor, Urticaria
Clinical narrative: Urticaria/pallor within minutes of shots. Faded quickly without Rx. Clear within 10-15 mins. Fed well, lungs clear. No distress-home. Brother had a few ? that cleared and shots. Pt's skin clear?
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Urticaria
Clinical narrative: Pt came into office with hives, red and raised on left upper thigh around site of injection.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: L arm redness 7x6cm, swelling 45rcm. DTaP #5 and IPV #4 given on 3/5/03.
Age: 27.0
Sex: F
Vaccine: TD
Symptoms: Injection site oedema, Injection site pain, Pharyngolaryngeal pain
Clinical narrative: Admin-Tet/Dip 0.5cc L deltoid on 3/6/03. Presents 3/7/03 g/c L upper arm swollen and painful. C/O sore throat.
Age: 1.5
Sex: M
Vaccine: DTAP, PNC
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Swelling, redness, pain upper arm (our office receiving increased of similar complaints following DTaP over past week).
Age: 1.6
Sex: M
Vaccine: DTAP, PNC
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Swelling of upper arm, redness, pain (our office receiving many more complaints than usual of similar rxn following DTaP in past week). Resolved without treatment.
Age: 51.0
Sex: M
Vaccine: TD
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Thick red raised rash from mid forearm to mid upper arm-rash itched and burned. Advised to continue Allegra and use hydrocortizone cream 1% to areas tid.
Age: 25.0
Sex: M
Vaccine: HEPAB, TYP
Symptoms: Hypoaesthesia
Clinical narrative: PC 2pm c/o numbness moved down L arm into fingers. No other problems. Felt numbness at site after injection. No c/o's at tha time. Did light exercise this am after injections. 3:40 numbness is subsiding, much better. 3/6/03 no problems.
Age: 1.25
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: 3/14/03 10:09am 15 month B/B mom c/o swelling and redness to L thigh after immunixzation yesterday of DTaP. No fever. Benadryl 12.5/5yo 2cc po q 6. Cold packs wrosened s/s of infection or spreading.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: Redness, swelling of upper arm. (reporting office received increased number of similar complaints following DTaP during previous week of this report date). Resolved w/out treatment.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: Swelling, redness of upper arm. Resolved with ice, Motrin. (Reporting office received similar complaints following recent DTaP)
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Oedema, Pain, Pyrexia
Clinical narrative: Swelling, pain, redness upper arm. Fever 100.5 (reporting office received similar complaints following DTaP)
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Unevaluable event
Clinical narrative: Unevaluable reaction
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Fatigue, Hypersensitivity, Rash erythematous, Rash maculo-papular
Clinical narrative: PT DEVELOPED A MACULAR/PAPULAR ERYTHEMATOUS BLANCHING RASH STARTING APPROX 2-3 DAYS AFTER IMMUNIZATION, WAS EVAL 14 MAR 2003 FOR THIS. RASH AFFECTED PRIMARILY FACE (PRIMARILY AT SCALP LINE AND RASH AT THIS AREA WAS DEEPLY ERYTHEMATOUS), AND MILDLY TO BILATERAL UPPER EXTREMITIES (R>L, MILDLY ERYTHEMATOUS). WAS SEEN BY DERMATOLOGY WHO FELT RASH WAS MOST LIKELY DUE TO AN IMMUNE RESPONSE TO THE VACCINATION. PT OTHERWISE HEALTHY, C/O MILD FATIGUE SINCE INJECTION. NO OTHER C/O. POSITIVE TAKE TO VACCINE.
Age: 21.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Pt developed mild erythemic rash in upper extremities and face in AM, no other symptoms except for pruritus. Pt was treated with Benadryl. rash became generalized and raised in PM.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Caretaker called clinic to report that site was red and swollen 2 days after vaccine.
Age: 41.0
Sex: M
Vaccine: SMALL
Symptoms: Blister, Erythema, Herpes zoster, Pain, Pruritus
Clinical narrative: Pt was seen in the ER 3/15/03, C/O redness and pain and itching in R rib area. Dx: shingles, had past history of shingles. Rec'd smallpox vaccine 6 wks ago. No fever or chills. Erythema over lower lateral rib cage in dermatomal  distribution with small vesicles present.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Chills, Dehydration, Dizziness, Fatigue, Hyperhidrosis
Clinical narrative: Was well at time of vaccination with AVA #1 on 22 Feb 03. On 25 Feb experienced fatigue, myalgias, chills, sweats, light headedness, vertigo and "couldn't get out of bed". On 27 Feb 03 developed white coating on tongue and mouth ulcerations over surface of tongue, around upper and lower teeth and gums and on bilateral buccal mucosa. Was unable to eat and could drink only clear fluids for several days.On 1 mar 03 went to the Military Clinic and saw Dr. who subsequently contacted the VHC. On 2Mar 03 pt was worse and went to a civilian emergency room where he received IV fluids for dehydration and was perscribed valtrex, triamicin, motrin and magic mouthwash. Seen at military hospital on 11 Mar03.Oral lesions resolving , asymptomatic otherwise.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Mouth ulceration, Myalgia, Vertigo
Clinical narrative: Was well at time of vaccination with AVA #1 on 22 Feb 03. On 25 Feb experienced fatigue, myalgias, chills, sweats, light headedness, vertigo and "couldn't get out of bed". On 27 Feb 03 developed white coating on tongue and mouth ulcerations over surface of tongue, around upper and lower teeth and gums and on bilateral buccal mucosa. Was unable to eat and could drink only clear fluids for several days.On 1 mar 03 went to the Military Clinic and saw Dr. who subsequently contacted the VHC. On 2Mar 03 pt was worse and went to a civilian emergency room where he received IV fluids for dehydration and was perscribed valtrex, triamicin, motrin and magic mouthwash. Seen at military hospital on 11 Mar03.Oral lesions resolving , asymptomatic otherwise.
Age: 31.0
Sex: F
Vaccine: SMALL
Symptoms: Infection transmission via personal contact, Vaccination complication
Clinical narrative: Pt's husband vaccinated 2/16 or 17/03. Pt awoke in drainage from husband's vaccination around face on 2/22/03. 2/26/03 pt noted onset of pustules on face which have since spread.
Age: 58.0
Sex: M
Vaccine: HEPAB, TYP, YF, HEPAB, TYP, YF, HEPAB, TYP
Symptoms: Chromaturia, Hepatitis, Jaundice, Lethargy, Liver function test abnormal
Clinical narrative: It was reported a occurrence of elevated liver enzymes in a pt who was vaccinated with hepatitis A inactivated and hepatitis B recombinant vaccine (Twinrix) for prophylaxis. There were no known allergies.  On 1/16/03, the pt rec'd an injection of Twinrix; the number of previous injections of Twinrix was not specified. On the same day, the subject also rec'd typhoid vaccine (manufacturer unknown) and yellow fever vaccine (YF-Vax, Aventis Pasteur). On 1/22/03 6 days post immunization, the subject developed elevated liver enzyme (NOS), jaundice, lethargy, and dark urine. The pt was seen by his physician. As of 2/6/03, the events had improved. The reporter considered the events to be possibly related to Twinrix administration. The jaundice in this report is considered GSK medically serious.  Follow-up information received on 5/14/2003 states: On ? January 2003, concentrations of alkaline phosphate, total and direct bilirubin, asparte amniotransferase, ?alanin aminotransferase were found to be increased. Please see laboratory data section. The physician made a diagnosis of chemical hepatitis.  The physcian considered made diagnosis of chemical hepatitis.  The physician considered the chemical hepatitis to be related to Twinrix administration. The chemical hepatitis resolved on 27 March 2003.  Hepatitis is considered medically serious (OMIC).
Age: 58.0
Sex: M
Vaccine: HEPAB, TYP, YF, HEPAB, TYP, YF, HEPAB, TYP
Symptoms: Chromaturia, Hepatic enzyme abnormal, Jaundice, Lethargy
Clinical narrative: It was reported a occurrence of elevated liver enzymes in a pt who was vaccinated with hepatitis A inactivated and hepatitis B recombinant vaccine (Twinrix) for prophylaxis. There were no known allergies.  On 1/16/03, the pt rec'd an injection of Twinrix; the number of previous injections of Twinrix was not specified. On the same day, the subject also rec'd typhoid vaccine (manufacturer unknown) and yellow fever vaccine (YF-Vax, Aventis Pasteur). On 1/22/03 6 days post immunization, the subject developed elevated liver enzyme (NOS), jaundice, lethargy, and dark urine. The pt was seen by his physician. As of 2/6/03, the events had improved. The reporter considered the events to be possibly related to Twinrix administration. The jaundice in this report is considered GSK medically serious.  Follow-up information received on 5/14/2003 states: On ? January 2003, concentrations of alkaline phosphate, total and direct bilirubin, asparte amniotransferase, ?alanin aminotransferase were found to be increased. Please see laboratory data section. The physician made a diagnosis of chemical hepatitis.  The physcian considered made diagnosis of chemical hepatitis.  The physician considered the chemical hepatitis to be related to Twinrix administration. The chemical hepatitis resolved on 27 March 2003.  Hepatitis is considered medically serious (OMIC).
Age: 58.0
Sex: M
Vaccine: HEPAB, TYP, YF, HEPAB, TYP, YF, HEPAB, TYP
Symptoms: Anorexia, Asthenia, Chromaturia, Diarrhoea, Jaundice
Clinical narrative: It was reported a occurrence of elevated liver enzymes in a pt who was vaccinated with hepatitis A inactivated and hepatitis B recombinant vaccine (Twinrix) for prophylaxis. There were no known allergies.  On 1/16/03, the pt rec'd an injection of Twinrix; the number of previous injections of Twinrix was not specified. On the same day, the subject also rec'd typhoid vaccine (manufacturer unknown) and yellow fever vaccine (YF-Vax, Aventis Pasteur). On 1/22/03 6 days post immunization, the subject developed elevated liver enzyme (NOS), jaundice, lethargy, and dark urine. The pt was seen by his physician. As of 2/6/03, the events had improved. The reporter considered the events to be possibly related to Twinrix administration. The jaundice in this report is considered GSK medically serious.  Follow-up information received on 5/14/2003 states: On ? January 2003, concentrations of alkaline phosphate, total and direct bilirubin, asparte amniotransferase, ?alanin aminotransferase were found to be increased. Please see laboratory data section. The physician made a diagnosis of chemical hepatitis.  The physcian considered made diagnosis of chemical hepatitis.  The physician considered the chemical hepatitis to be related to Twinrix administration. The chemical hepatitis resolved on 27 March 2003.  Hepatitis is considered medically serious (OMIC).
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Petechiae, Pyrexia
Clinical narrative: On the 9th day post vaccine the pt developed fever 101F, petechia rash L arm. No fever on 10th day. No progression of petechia.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site inflammation, Lymphadenopathy, Pyrexia
Clinical narrative: On day 10 post vaccine pt developed mild lymphadenopathy, fever, chills at home. (He took ibuprofen) local inflammation around site of approx 3-4 inches.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Agitation, Injection site inflammation, Insomnia, Malaise, Nausea
Clinical narrative: Pt reports 9 days post vaccine he had insomnia, irritability, local inflammation 3-4", malaise, nausea.
Age: 30.0
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia, Rash, Vaccination complication
Clinical narrative: Generalized rash mild on trunk, fever 3/7/03. Satellite lesions 3/9/03.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: It was reported that  9 days posts vaccine (3/7/03) the pt was afebrile, rash on back and shoulders.
Age: 42.0
Sex: M
Vaccine: SMALL
Symptoms: Unevaluable event
Clinical narrative: No sign or symptoms given.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Injection site reaction, Lymphadenopathy, Lymphangitis
Clinical narrative: Reported post vaccine: cellulitis, lymphangitis, lymphadenopathy.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Lymph node pain, Lymphangitis, Malaise, Myalgia
Clinical narrative: Lymphangitis, tender nodes, malaise and muscle aches. Treated with Motrin 800mg tid.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Feeling cold, Hot flush, Nausea, Pain, Pyrexia
Clinical narrative: Hot/cold flushes, body aches, temperature 101.5F and nausea.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Diarrhoea, Hyperhidrosis, Nausea, Pain, Pyrexia
Clinical narrative: Nausea, vomiting and diarrhea, body aches, temperature 100.1F, shaking chills and sweats. Treated with IV fluids, Phenergan suppositories, Motrin and Tylenol.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Vomiting
Clinical narrative: Nausea, vomiting and diarrhea, body aches, temperature 100.1F, shaking chills and sweats. Treated with IV fluids, Phenergan suppositories, Motrin and Tylenol.
Age: 25.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Headache, Hypertrophy, Myalgia, Pharyngitis
Clinical narrative: Severe headache for 5 days prior to admit to hospital for 48 hours. Muscle aches, tonsillar hypertrophy, pharyngitis. Given PCN, Tylenol, Phenergan, Motrin.
Sex: U
Vaccine: ANTH, SMALL, SMALL
Symptoms: Myocardial infarction
Clinical narrative: Patient admitted to hospital for 48 hours on 2/25/03 and discharged with minor heart attacks. Patient had several other risk factors (smoker, family history).
Sex: U
Vaccine: ANTH, SMALL, SMALL
Symptoms: Chest pain, Hypokinesia, Myalgia, Pericardial effusion, Pyrexia
Clinical narrative: Patient admitted to hospital for 48 hours on 2/25/03 and discharged with minor heart attacks. Patient had several other risk factors (smoker, family history).
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Headache, Injection site erythema, Injection site pustule, Nausea, Orthostatic hypotension
Clinical narrative: Nausea and vomiting (5 episodes) with orthostasis, no diarrhea or abdominal pain. Vaccine site .7cm pus-filled area with 1.2cm erythematous region. Also had a headache. Required 3L NS IV to resolve orthostasis. Temperature 101F maximum. Pt was given 24 hours in quarters.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia, Vomiting
Clinical narrative: Nausea and vomiting (5 episodes) with orthostasis, no diarrhea or abdominal pain. Vaccine site .7cm pus-filled area with 1.2cm erythematous region. Also had a headache. Required 3L NS IV to resolve orthostasis. Temperature 101F maximum. Pt was given 24 hours in quarters.
Age: 21.0
Sex: F
Vaccine: HEPAB, YF
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site swelling, Oral mucosal blistering
Clinical narrative: Left arm swollen with a red rash (big red lumps) less painful today. Blisters on top and bottom of lips. Pt had fever yesterday but no fever today. On 3/7/03, spoke with pt and swelling is considerably reduced, fever is normal but still has red rash on left arm around vaccination site.
Age: 21.0
Sex: F
Vaccine: HEPAB, YF
Symptoms: Pyrexia
Clinical narrative: Left arm swollen with a red rash (big red lumps) less painful today. Blisters on top and bottom of lips. Pt had fever yesterday but no fever today. On 3/7/03, spoke with pt and swelling is considerably reduced, fever is normal but still has red rash on left arm around vaccination site.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Headache, Meningitis, Pyrexia
Clinical narrative: Fever and worst headache of life led to lumbar puncture revealing increased OP of 31mm, 13 WBC (96% lymphs, 14% monos), normal glucose, and negative culture. Dx: viral meningitis. Hospitalized for three days for pain control/hydration/ R/O bacterial.
Age: 61.0
Sex: F
Vaccine: SMALL
Symptoms: Anorexia, Dehydration, Diarrhoea, Erythema, Fatigue
Clinical narrative: On day of vaccination, patient experienced acute onset of vomiting, diarrhea and headache with resolution of vomiting and headache within 24 hours.  The initial illness was attributed to norovirus (known to be circulating in the community at the time with multiple nursing home outbreaks)  Relief occurred but diarrhea and nausea resurfaced about day 5-6; however, and worsened by day 7 when a robust take was documented in clinic. On days 8 and 9 a large area (> 3 inches) of erythema was documented in photographs.  This robust take was resolved by day 12 without specific therapy.  Patient was seen by private MD for continued diarrhea, anorexia, fatigue and malaise and weight loss of 7-8 lbs on 3/26/03 (day12).  Blood work including electrolytes, LFTs and WBC was normal.  Stool O&P and shigella, salmonella and campylobacter were negative.  The patient spent most of her time in bed days 12 - 16.  Pt is stoic.  Returned to work on day 17, thinking she was improved.  She was seen by her son-in-law, an anesthesiologist, who gave her IV fluids.  By history, she was so dehydrated her skin was tenting. At this time (day 20-21), she had experienced a total of 10 lbs weight loss because she was unable to eat.  Ultimately seen by private physician again (3/10).  Repeat bloodwork included a second set of electrolytes and LFTs, all normal.  An ultrasound of the common bile duct, pancreas and gall bladder was performed - normal.  Patient was started on protonix, and reglan on day 31 with symptomatic relief by day 32.  Symptoms have continued to improve and weight has stabilized at this writing.  Scab fell off on day 37.
Age: 61.0
Sex: F
Vaccine: SMALL
Symptoms: Headache, Malaise, Vomiting, Weight decreased
Clinical narrative: On day of vaccination, patient experienced acute onset of vomiting, diarrhea and headache with resolution of vomiting and headache within 24 hours.  The initial illness was attributed to norovirus (known to be circulating in the community at the time with multiple nursing home outbreaks)  Relief occurred but diarrhea and nausea resurfaced about day 5-6; however, and worsened by day 7 when a robust take was documented in clinic. On days 8 and 9 a large area (> 3 inches) of erythema was documented in photographs.  This robust take was resolved by day 12 without specific therapy.  Patient was seen by private MD for continued diarrhea, anorexia, fatigue and malaise and weight loss of 7-8 lbs on 3/26/03 (day12).  Blood work including electrolytes, LFTs and WBC was normal.  Stool O&P and shigella, salmonella and campylobacter were negative.  The patient spent most of her time in bed days 12 - 16.  Pt is stoic.  Returned to work on day 17, thinking she was improved.  She was seen by her son-in-law, an anesthesiologist, who gave her IV fluids.  By history, she was so dehydrated her skin was tenting. At this time (day 20-21), she had experienced a total of 10 lbs weight loss because she was unable to eat.  Ultimately seen by private physician again (3/10).  Repeat bloodwork included a second set of electrolytes and LFTs, all normal.  An ultrasound of the common bile duct, pancreas and gall bladder was performed - normal.  Patient was started on protonix, and reglan on day 31 with symptomatic relief by day 32.  Symptoms have continued to improve and weight has stabilized at this writing.  Scab fell off on day 37.
Age: 16.0
Sex: F
Vaccine: HEP, IPV, MMR, TTOX
Symptoms: Flushing, Rash
Clinical narrative: red rash on chest,arms, and back face flushed afebrile pt. administered Benadryl 50mg by mouth rash resolved with medication
Age: 19.0
Sex: F
Vaccine: HEPA, TD, TYP, YF
Symptoms: Injection site pain, Nausea, Pyrexia
Clinical narrative: Client's mother reports client has 103.4 degree temperature which started 24 hrs. ago. The client is taking Tylenol. The client is slightly nauseated and her left arm is sore.
Age: 52.0
Sex: F
Vaccine: SMALL
Symptoms: Laboratory test abnormal, Mouth ulceration, Oedema, Rash, Rash pustular
Clinical narrative: Developed 2 ulcers in roof of mouth 2/16/03.  Developed rash on right cheek with dark swollen area on 2/20/03.  Developed 2 pustules on face resembling a pimple on 2/24/03.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Anorexia, Arthralgia, Feeling abnormal, Joint stiffness, Night sweats
Clinical narrative: Day 8, post smallpox vaccination: "felt very bad... no appetite.  Also c/o mild night sweats.  On day 12, the day Specialist corresponded with me, he claimed to have had body aches for 3 days ("more like joint pain"), no muscle aches or headache... "Just pain and stiffness in my distal joints. Both ankles and feet, both wrists. Right wrist is very bad. It's only been bad for a couple of days.... Yesterday morning, and this morning [January 28, 2003] they're real bad. It's not the cold weather. It's all-day. They're stiff and very sore when I move them. Like the tendons are inflexible. It'll probably go away in a couple of days, so I'm not going to sick-call or anything. I'm taking ibuprofen with some relief."  Patient was seen in ER on Jan 29, diagnosed with Atypical Pneumonia (told it could be Bronchitis)...  received 3 days home in bed.  All symptoms resolved within 2 or 3 weeks.