chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, TDAP, HEPA, HPV4, TDAP
Symptoms: Diarrhoea, Epstein-Barr virus antibody positive, Fatigue, Gallbladder disorder, Hepatic failure
Clinical narrative: At time and the months up to March there was no local or systemic reaction to any of the Immunizations given on 12/19/08. On March 3 patient came to the office with s/sx of fatigue, abd pain,and jaundice. UA done showed 3 plus Bilirubin and 2 plus Urobilirubin. She had hepatomegaly and splenomegaly and pharyngitis. Labs revealed Epstein Barr Positive IgG  antibody which may indicate a past infection-mono. Patient returned to the clinic with severe jaundice, Negative Hepatitis panel with abnormal Hepatic levels. Was consulted with Pediatric Infectious Disease Specialist, repeat labs showed increases in liver enzymes and bilirubin level and US showed enlarged grossly thickened gallblader wall, mild hepatomegaly and mod splenomegaly. There was no evidence of bilary duct obstruction or pancreatic abnormality noted. Hospital consulted and patient was admitted where her hepatic levels continued to rise as well as her INR. She was at hospital for almost three weeks and a bone marrow was done. She was discharged 4/5/2009 and her hepatic functions and INR are continuing to be monitered.  This form is filled out at the request of physicians in the event the vaccines contributed to the illness. We can send copies of hospital visit and labs if needed. Dr. is calling this "seronegative hepatitis". 4/16/09-records received-for DOS 3/17-4/5/09-DC DX:DC DX: Liver failure.   Rash. Presented with sudden onset of emesis,l abdominal pain, diarrhea and jaundice 3 weeks  prior to admission. Developed erthematous pruritic papular rash.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, TDAP, HEPA, HPV4, TDAP
Symptoms: Hepatitis acute, Hepatomegaly, International normalised ratio increased, Jaundice, Liver function test abnormal
Clinical narrative: At time and the months up to March there was no local or systemic reaction to any of the Immunizations given on 12/19/08. On March 3 patient came to the office with s/sx of fatigue, abd pain,and jaundice. UA done showed 3 plus Bilirubin and 2 plus Urobilirubin. She had hepatomegaly and splenomegaly and pharyngitis. Labs revealed Epstein Barr Positive IgG  antibody which may indicate a past infection-mono. Patient returned to the clinic with severe jaundice, Negative Hepatitis panel with abnormal Hepatic levels. Was consulted with Pediatric Infectious Disease Specialist, repeat labs showed increases in liver enzymes and bilirubin level and US showed enlarged grossly thickened gallblader wall, mild hepatomegaly and mod splenomegaly. There was no evidence of bilary duct obstruction or pancreatic abnormality noted. Hospital consulted and patient was admitted where her hepatic levels continued to rise as well as her INR. She was at hospital for almost three weeks and a bone marrow was done. She was discharged 4/5/2009 and her hepatic functions and INR are continuing to be monitered.  This form is filled out at the request of physicians in the event the vaccines contributed to the illness. We can send copies of hospital visit and labs if needed. Dr. is calling this "seronegative hepatitis". 4/16/09-records received-for DOS 3/17-4/5/09-DC DX:DC DX: Liver failure.   Rash. Presented with sudden onset of emesis,l abdominal pain, diarrhea and jaundice 3 weeks  prior to admission. Developed erthematous pruritic papular rash.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, TDAP, HEPA, HPV4, TDAP
Symptoms: Needle biopsy site unspecified abnormal, Pharyngitis, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: At time and the months up to March there was no local or systemic reaction to any of the Immunizations given on 12/19/08. On March 3 patient came to the office with s/sx of fatigue, abd pain,and jaundice. UA done showed 3 plus Bilirubin and 2 plus Urobilirubin. She had hepatomegaly and splenomegaly and pharyngitis. Labs revealed Epstein Barr Positive IgG  antibody which may indicate a past infection-mono. Patient returned to the clinic with severe jaundice, Negative Hepatitis panel with abnormal Hepatic levels. Was consulted with Pediatric Infectious Disease Specialist, repeat labs showed increases in liver enzymes and bilirubin level and US showed enlarged grossly thickened gallblader wall, mild hepatomegaly and mod splenomegaly. There was no evidence of bilary duct obstruction or pancreatic abnormality noted. Hospital consulted and patient was admitted where her hepatic levels continued to rise as well as her INR. She was at hospital for almost three weeks and a bone marrow was done. She was discharged 4/5/2009 and her hepatic functions and INR are continuing to be monitered.  This form is filled out at the request of physicians in the event the vaccines contributed to the illness. We can send copies of hospital visit and labs if needed. Dr. is calling this "seronegative hepatitis". 4/16/09-records received-for DOS 3/17-4/5/09-DC DX:DC DX: Liver failure.   Rash. Presented with sudden onset of emesis,l abdominal pain, diarrhea and jaundice 3 weeks  prior to admission. Developed erthematous pruritic papular rash.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, TDAP, HEPA, HPV4, TDAP
Symptoms: Splenomegaly, Transaminases increased, Ultrasound scan abnormal, Urine analysis abnormal, Urine bilirubin increased
Clinical narrative: At time and the months up to March there was no local or systemic reaction to any of the Immunizations given on 12/19/08. On March 3 patient came to the office with s/sx of fatigue, abd pain,and jaundice. UA done showed 3 plus Bilirubin and 2 plus Urobilirubin. She had hepatomegaly and splenomegaly and pharyngitis. Labs revealed Epstein Barr Positive IgG  antibody which may indicate a past infection-mono. Patient returned to the clinic with severe jaundice, Negative Hepatitis panel with abnormal Hepatic levels. Was consulted with Pediatric Infectious Disease Specialist, repeat labs showed increases in liver enzymes and bilirubin level and US showed enlarged grossly thickened gallblader wall, mild hepatomegaly and mod splenomegaly. There was no evidence of bilary duct obstruction or pancreatic abnormality noted. Hospital consulted and patient was admitted where her hepatic levels continued to rise as well as her INR. She was at hospital for almost three weeks and a bone marrow was done. She was discharged 4/5/2009 and her hepatic functions and INR are continuing to be monitered.  This form is filled out at the request of physicians in the event the vaccines contributed to the illness. We can send copies of hospital visit and labs if needed. Dr. is calling this "seronegative hepatitis". 4/16/09-records received-for DOS 3/17-4/5/09-DC DX:DC DX: Liver failure.   Rash. Presented with sudden onset of emesis,l abdominal pain, diarrhea and jaundice 3 weeks  prior to admission. Developed erthematous pruritic papular rash.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, TDAP, HEPA, HPV4, TDAP
Symptoms: Urobilin urine present, Vomiting
Clinical narrative: At time and the months up to March there was no local or systemic reaction to any of the Immunizations given on 12/19/08. On March 3 patient came to the office with s/sx of fatigue, abd pain,and jaundice. UA done showed 3 plus Bilirubin and 2 plus Urobilirubin. She had hepatomegaly and splenomegaly and pharyngitis. Labs revealed Epstein Barr Positive IgG  antibody which may indicate a past infection-mono. Patient returned to the clinic with severe jaundice, Negative Hepatitis panel with abnormal Hepatic levels. Was consulted with Pediatric Infectious Disease Specialist, repeat labs showed increases in liver enzymes and bilirubin level and US showed enlarged grossly thickened gallblader wall, mild hepatomegaly and mod splenomegaly. There was no evidence of bilary duct obstruction or pancreatic abnormality noted. Hospital consulted and patient was admitted where her hepatic levels continued to rise as well as her INR. She was at hospital for almost three weeks and a bone marrow was done. She was discharged 4/5/2009 and her hepatic functions and INR are continuing to be monitered.  This form is filled out at the request of physicians in the event the vaccines contributed to the illness. We can send copies of hospital visit and labs if needed. Dr. is calling this "seronegative hepatitis". 4/16/09-records received-for DOS 3/17-4/5/09-DC DX:DC DX: Liver failure.   Rash. Presented with sudden onset of emesis,l abdominal pain, diarrhea and jaundice 3 weeks  prior to admission. Developed erthematous pruritic papular rash.
Age: 31.0
Sex: F
Vaccine: FLU3, HEP, PPV, TDAP
Symptoms: Injection site erythema, Injection site swelling, Malaise, Myalgia, Pyrexia
Clinical narrative: WITHIN 48HRS DEVELOPED LOCALIZED REDNESS AND SWELLING IN RIGHT ARM, FEVER, MALAISE, MYALGIAS. REACTION OCCURED AT THE SITE OF PNUEMOVAX INJECTION
Age: 0.4
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Blood test, Cyanosis, Dyspnoea, Hypotonia, Loss of consciousness
Clinical narrative: Within 10 minutes of receiving the vaccines, patient developed hives on his head and then experienced shortness of breath, wheezing and his lips turned blue. He went limp, losing consciousness. He went into anaphylactic shock, required an epi pen, oxygen, benedryl and then was taken in critical condition by ambulance to hospital. He was treated in the emergency room, had an IV placed in his head, several breathing treatments, more drugs and was then admitted to the hospital for three days. 4/20/09-records received for DOS 4/2-4/4/09-DC DX: Anaphylaxis. Allergic reaction.  Ten minutes after receiving vaccines, developed hives on head and had trouble breathing turned blue and cyanotic around mouth and dusky all over, eyes rolled back and went limp and passed out. PE: wheezing, shortness of breath and labored breathing, rash erythema all over, cyanotic episode and hypertonia. Scratching all over.
Age: 0.4
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Urticaria, Wheezing
Clinical narrative: Within 10 minutes of receiving the vaccines, patient developed hives on his head and then experienced shortness of breath, wheezing and his lips turned blue. He went limp, losing consciousness. He went into anaphylactic shock, required an epi pen, oxygen, benedryl and then was taken in critical condition by ambulance to hospital. He was treated in the emergency room, had an IV placed in his head, several breathing treatments, more drugs and was then admitted to the hospital for three days. 4/20/09-records received for DOS 4/2-4/4/09-DC DX: Anaphylaxis. Allergic reaction.  Ten minutes after receiving vaccines, developed hives on head and had trouble breathing turned blue and cyanotic around mouth and dusky all over, eyes rolled back and went limp and passed out. PE: wheezing, shortness of breath and labored breathing, rash erythema all over, cyanotic episode and hypertonia. Scratching all over.
Age: 0.4
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Anaphylactic reaction, Loss of consciousness, Urticaria
Clinical narrative: Within 10 minutes of receiving the vaccines, patient developed hives on his head and then experienced shortness of breath, wheezing and his lips turned blue. He went limp, losing consciousness. He went into anaphylactic shock, required an epi pen, oxygen, benedryl and then was taken in critical condition by ambulance to hospital. He was treated in the emergency room, had an IV placed in his head, several breathing treatments, more drugs and was then admitted to the hospital for three days. 4/20/09-records received for DOS 4/2-4/4/09-DC DX: Anaphylaxis. Allergic reaction.  Ten minutes after receiving vaccines, developed hives on head and had trouble breathing turned blue and cyanotic around mouth and dusky all over, eyes rolled back and went limp and passed out. PE: wheezing, shortness of breath and labored breathing, rash erythema all over, cyanotic episode and hypertonia. Scratching all over.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Abdominal pain lower, Computerised tomogram abnormal, Laparoscopy
Clinical narrative: (Per mother), child went to ER 2-13-09 with LLQ pain had CT- Showed ovarian cyst was told by ER physician- was result of HPV immunizations. Laparoscopy for ovarian cyst 2-13-09.  4/10/09 Received hospital medical records of 2/13-2/14/2009. FINAL DX: ruptured left corpus hemorrhagicum; laparoscopy Records reveal patient experienced progressive left flank, nausea & LLQ abdominal pain x 1 wk.  Taken to OR for laparoscopic surgery.  Findings at the time of surgery include: ruptured corpus hemorrhagicum, blood clots in anterior & posterior cul-de-sac.  Did well postoperatively & d/c to home next day.
Age: 20.0
Sex: M
Vaccine: FLUN3, HEPAB, MMR, MNQ, PPV
Symptoms: Alanine aminotransferase normal, Alpha 1 globulin normal, Alpha 2 globulin normal, Aspartate aminotransferase normal, Balance disorder
Clinical narrative: Pt received immunizations (FLUMIST, HepA/B, Meningococcal, MMR, Pneumococcal) on 2/18/09. Per the pt he received these vaccinations on 2/19 or 2/20/09 (he arrived at Boot Camp on 2/18/09). On 2/27/09 the pt noted a dry cough. On 3/2/09 the pt reported sick. Call with a productive cough and rhinnorhhea. He denied sore throat, earache, fever, N,V, diarrhea, headache or decreased appetite. He was treated with SUDAFED, MOTRIN and MUCINEX. Also, noted at the visit was paronychia middle finger/bilateral which was treated with KEFLEX. On 3/4/09 the pt noted numbness of his right forearm which progressed to his right hand/fingers then to his right shoulder by 3/6/09. He had minimal weakness of his UE. By 3/6/09 he also noted numbness of his left arm/hand/fingers/shoulder and "weakness in his lower legs. On 3/7/09 the pt also noted numbness from his anterior neck to his chest and his feet felt "cold and tingly". The numbness radiated to his back on 3/8. By 3/9/09 the pt was barely able to move his legs, he had problems with balance and his arms were weak. He was seen in Sick Call and diagnosed with and treated for dehydration. By 3/12/09 the pt was worse; he was having hard time walking independently; his UE were weak; he hands and feet were completely numb. The pt states he was sent to the ER and admitted to hospital on 3/13/09. Tx with IVIG for 3days and PT. Discharged on 3/20/09. 4/3/09 residual numbness on bilateral great toes.   4/15/09 Received medical records of 3/16-3/31/2009. FINAL DX: Guillain-Barre syndrome Records reveal patient experienced dry cough on 2/27/09, then developed productive cough & rhinnorhea, seen in clinic, dx w/URI & tx symptomatically.  Also had paronychia & tx w/oral antibiotics.  Patient noted numbness UEs beginning 3/4/09 & progressing to include LBP, weakness & tingling of LEs.  By 3/9 barely able to move legs.  Seen in clinic & dx w/dehydration.  By 3/12 had difficulty walking, balance disturbance & hand/feet were completely numb.  Seen in ER & admitted 3/13-3/20/09.  Tx w/IVIG x 3.  D/C to home w/PT & Neuro clinic f/u.
Age: 20.0
Sex: M
Vaccine: FLUN3, HEPAB, MMR, MNQ, PPV
Symptoms: Basophil count decreased, Basophil percentage, Beta globulin normal, Bilirubin conjugated, Blood albumin decreased
Clinical narrative: Pt received immunizations (FLUMIST, HepA/B, Meningococcal, MMR, Pneumococcal) on 2/18/09. Per the pt he received these vaccinations on 2/19 or 2/20/09 (he arrived at Boot Camp on 2/18/09). On 2/27/09 the pt noted a dry cough. On 3/2/09 the pt reported sick. Call with a productive cough and rhinnorhhea. He denied sore throat, earache, fever, N,V, diarrhea, headache or decreased appetite. He was treated with SUDAFED, MOTRIN and MUCINEX. Also, noted at the visit was paronychia middle finger/bilateral which was treated with KEFLEX. On 3/4/09 the pt noted numbness of his right forearm which progressed to his right hand/fingers then to his right shoulder by 3/6/09. He had minimal weakness of his UE. By 3/6/09 he also noted numbness of his left arm/hand/fingers/shoulder and "weakness in his lower legs. On 3/7/09 the pt also noted numbness from his anterior neck to his chest and his feet felt "cold and tingly". The numbness radiated to his back on 3/8. By 3/9/09 the pt was barely able to move his legs, he had problems with balance and his arms were weak. He was seen in Sick Call and diagnosed with and treated for dehydration. By 3/12/09 the pt was worse; he was having hard time walking independently; his UE were weak; he hands and feet were completely numb. The pt states he was sent to the ER and admitted to hospital on 3/13/09. Tx with IVIG for 3days and PT. Discharged on 3/20/09. 4/3/09 residual numbness on bilateral great toes.   4/15/09 Received medical records of 3/16-3/31/2009. FINAL DX: Guillain-Barre syndrome Records reveal patient experienced dry cough on 2/27/09, then developed productive cough & rhinnorhea, seen in clinic, dx w/URI & tx symptomatically.  Also had paronychia & tx w/oral antibiotics.  Patient noted numbness UEs beginning 3/4/09 & progressing to include LBP, weakness & tingling of LEs.  By 3/9 barely able to move legs.  Seen in clinic & dx w/dehydration.  By 3/12 had difficulty walking, balance disturbance & hand/feet were completely numb.  Seen in ER & admitted 3/13-3/20/09.  Tx w/IVIG x 3.  D/C to home w/PT & Neuro clinic f/u.
Age: 20.0
Sex: M
Vaccine: FLUN3, HEPAB, MMR, MNQ, PPV
Symptoms: Blood alkaline phosphatase normal, Blood bilirubin normal, Blood creatine phosphokinase MB normal, Blood creatine phosphokinase normal, Blood culture negative
Clinical narrative: Pt received immunizations (FLUMIST, HepA/B, Meningococcal, MMR, Pneumococcal) on 2/18/09. Per the pt he received these vaccinations on 2/19 or 2/20/09 (he arrived at Boot Camp on 2/18/09). On 2/27/09 the pt noted a dry cough. On 3/2/09 the pt reported sick. Call with a productive cough and rhinnorhhea. He denied sore throat, earache, fever, N,V, diarrhea, headache or decreased appetite. He was treated with SUDAFED, MOTRIN and MUCINEX. Also, noted at the visit was paronychia middle finger/bilateral which was treated with KEFLEX. On 3/4/09 the pt noted numbness of his right forearm which progressed to his right hand/fingers then to his right shoulder by 3/6/09. He had minimal weakness of his UE. By 3/6/09 he also noted numbness of his left arm/hand/fingers/shoulder and "weakness in his lower legs. On 3/7/09 the pt also noted numbness from his anterior neck to his chest and his feet felt "cold and tingly". The numbness radiated to his back on 3/8. By 3/9/09 the pt was barely able to move his legs, he had problems with balance and his arms were weak. He was seen in Sick Call and diagnosed with and treated for dehydration. By 3/12/09 the pt was worse; he was having hard time walking independently; his UE were weak; he hands and feet were completely numb. The pt states he was sent to the ER and admitted to hospital on 3/13/09. Tx with IVIG for 3days and PT. Discharged on 3/20/09. 4/3/09 residual numbness on bilateral great toes.   4/15/09 Received medical records of 3/16-3/31/2009. FINAL DX: Guillain-Barre syndrome Records reveal patient experienced dry cough on 2/27/09, then developed productive cough & rhinnorhea, seen in clinic, dx w/URI & tx symptomatically.  Also had paronychia & tx w/oral antibiotics.  Patient noted numbness UEs beginning 3/4/09 & progressing to include LBP, weakness & tingling of LEs.  By 3/9 barely able to move legs.  Seen in clinic & dx w/dehydration.  By 3/12 had difficulty walking, balance disturbance & hand/feet were completely numb.  Seen in ER & admitted 3/13-3/20/09.  Tx w/IVIG x 3.  D/C to home w/PT & Neuro clinic f/u.
Age: 20.0
Sex: M
Vaccine: FLUN3, HEPAB, MMR, MNQ, PPV
Symptoms: Blood lactate dehydrogenase normal, CSF culture negative, CSF glucose normal, CSF lymphocyte count normal, CSF monocyte count
Clinical narrative: Pt received immunizations (FLUMIST, HepA/B, Meningococcal, MMR, Pneumococcal) on 2/18/09. Per the pt he received these vaccinations on 2/19 or 2/20/09 (he arrived at Boot Camp on 2/18/09). On 2/27/09 the pt noted a dry cough. On 3/2/09 the pt reported sick. Call with a productive cough and rhinnorhhea. He denied sore throat, earache, fever, N,V, diarrhea, headache or decreased appetite. He was treated with SUDAFED, MOTRIN and MUCINEX. Also, noted at the visit was paronychia middle finger/bilateral which was treated with KEFLEX. On 3/4/09 the pt noted numbness of his right forearm which progressed to his right hand/fingers then to his right shoulder by 3/6/09. He had minimal weakness of his UE. By 3/6/09 he also noted numbness of his left arm/hand/fingers/shoulder and "weakness in his lower legs. On 3/7/09 the pt also noted numbness from his anterior neck to his chest and his feet felt "cold and tingly". The numbness radiated to his back on 3/8. By 3/9/09 the pt was barely able to move his legs, he had problems with balance and his arms were weak. He was seen in Sick Call and diagnosed with and treated for dehydration. By 3/12/09 the pt was worse; he was having hard time walking independently; his UE were weak; he hands and feet were completely numb. The pt states he was sent to the ER and admitted to hospital on 3/13/09. Tx with IVIG for 3days and PT. Discharged on 3/20/09. 4/3/09 residual numbness on bilateral great toes.   4/15/09 Received medical records of 3/16-3/31/2009. FINAL DX: Guillain-Barre syndrome Records reveal patient experienced dry cough on 2/27/09, then developed productive cough & rhinnorhea, seen in clinic, dx w/URI & tx symptomatically.  Also had paronychia & tx w/oral antibiotics.  Patient noted numbness UEs beginning 3/4/09 & progressing to include LBP, weakness & tingling of LEs.  By 3/9 barely able to move legs.  Seen in clinic & dx w/dehydration.  By 3/12 had difficulty walking, balance disturbance & hand/feet were completely numb.  Seen in ER & admitted 3/13-3/20/09.  Tx w/IVIG x 3.  D/C to home w/PT & Neuro clinic f/u.
Age: 20.0
Sex: M
Vaccine: FLUN3, HEPAB, MMR, MNQ, PPV
Symptoms: CSF polymorphonuclear cell count increased, CSF protein increased, CSF white blood cell count negative, Computerised tomogram abnormal, Cough
Clinical narrative: Pt received immunizations (FLUMIST, HepA/B, Meningococcal, MMR, Pneumococcal) on 2/18/09. Per the pt he received these vaccinations on 2/19 or 2/20/09 (he arrived at Boot Camp on 2/18/09). On 2/27/09 the pt noted a dry cough. On 3/2/09 the pt reported sick. Call with a productive cough and rhinnorhhea. He denied sore throat, earache, fever, N,V, diarrhea, headache or decreased appetite. He was treated with SUDAFED, MOTRIN and MUCINEX. Also, noted at the visit was paronychia middle finger/bilateral which was treated with KEFLEX. On 3/4/09 the pt noted numbness of his right forearm which progressed to his right hand/fingers then to his right shoulder by 3/6/09. He had minimal weakness of his UE. By 3/6/09 he also noted numbness of his left arm/hand/fingers/shoulder and "weakness in his lower legs. On 3/7/09 the pt also noted numbness from his anterior neck to his chest and his feet felt "cold and tingly". The numbness radiated to his back on 3/8. By 3/9/09 the pt was barely able to move his legs, he had problems with balance and his arms were weak. He was seen in Sick Call and diagnosed with and treated for dehydration. By 3/12/09 the pt was worse; he was having hard time walking independently; his UE were weak; he hands and feet were completely numb. The pt states he was sent to the ER and admitted to hospital on 3/13/09. Tx with IVIG for 3days and PT. Discharged on 3/20/09. 4/3/09 residual numbness on bilateral great toes.   4/15/09 Received medical records of 3/16-3/31/2009. FINAL DX: Guillain-Barre syndrome Records reveal patient experienced dry cough on 2/27/09, then developed productive cough & rhinnorhea, seen in clinic, dx w/URI & tx symptomatically.  Also had paronychia & tx w/oral antibiotics.  Patient noted numbness UEs beginning 3/4/09 & progressing to include LBP, weakness & tingling of LEs.  By 3/9 barely able to move legs.  Seen in clinic & dx w/dehydration.  By 3/12 had difficulty walking, balance disturbance & hand/feet were completely numb.  Seen in ER & admitted 3/13-3/20/09.  Tx w/IVIG x 3.  D/C to home w/PT & Neuro clinic f/u.
Age: 20.0
Sex: M
Vaccine: FLUN3, HEPAB, MMR, MNQ, PPV
Symptoms: Culture throat negative, Dehydration, Drug screen negative, Eosinophil count normal, Eosinophil percentage
Clinical narrative: Pt received immunizations (FLUMIST, HepA/B, Meningococcal, MMR, Pneumococcal) on 2/18/09. Per the pt he received these vaccinations on 2/19 or 2/20/09 (he arrived at Boot Camp on 2/18/09). On 2/27/09 the pt noted a dry cough. On 3/2/09 the pt reported sick. Call with a productive cough and rhinnorhhea. He denied sore throat, earache, fever, N,V, diarrhea, headache or decreased appetite. He was treated with SUDAFED, MOTRIN and MUCINEX. Also, noted at the visit was paronychia middle finger/bilateral which was treated with KEFLEX. On 3/4/09 the pt noted numbness of his right forearm which progressed to his right hand/fingers then to his right shoulder by 3/6/09. He had minimal weakness of his UE. By 3/6/09 he also noted numbness of his left arm/hand/fingers/shoulder and "weakness in his lower legs. On 3/7/09 the pt also noted numbness from his anterior neck to his chest and his feet felt "cold and tingly". The numbness radiated to his back on 3/8. By 3/9/09 the pt was barely able to move his legs, he had problems with balance and his arms were weak. He was seen in Sick Call and diagnosed with and treated for dehydration. By 3/12/09 the pt was worse; he was having hard time walking independently; his UE were weak; he hands and feet were completely numb. The pt states he was sent to the ER and admitted to hospital on 3/13/09. Tx with IVIG for 3days and PT. Discharged on 3/20/09. 4/3/09 residual numbness on bilateral great toes.   4/15/09 Received medical records of 3/16-3/31/2009. FINAL DX: Guillain-Barre syndrome Records reveal patient experienced dry cough on 2/27/09, then developed productive cough & rhinnorhea, seen in clinic, dx w/URI & tx symptomatically.  Also had paronychia & tx w/oral antibiotics.  Patient noted numbness UEs beginning 3/4/09 & progressing to include LBP, weakness & tingling of LEs.  By 3/9 barely able to move legs.  Seen in clinic & dx w/dehydration.  By 3/12 had difficulty walking, balance disturbance & hand/feet were completely numb.  Seen in ER & admitted 3/13-3/20/09.  Tx w/IVIG x 3.  D/C to home w/PT & Neuro clinic f/u.
Age: 20.0
Sex: M
Vaccine: FLUN3, HEPAB, MMR, MNQ, PPV
Symptoms: Gait disturbance, Gram stain positive, Guillain-Barre syndrome, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: Pt received immunizations (FLUMIST, HepA/B, Meningococcal, MMR, Pneumococcal) on 2/18/09. Per the pt he received these vaccinations on 2/19 or 2/20/09 (he arrived at Boot Camp on 2/18/09). On 2/27/09 the pt noted a dry cough. On 3/2/09 the pt reported sick. Call with a productive cough and rhinnorhhea. He denied sore throat, earache, fever, N,V, diarrhea, headache or decreased appetite. He was treated with SUDAFED, MOTRIN and MUCINEX. Also, noted at the visit was paronychia middle finger/bilateral which was treated with KEFLEX. On 3/4/09 the pt noted numbness of his right forearm which progressed to his right hand/fingers then to his right shoulder by 3/6/09. He had minimal weakness of his UE. By 3/6/09 he also noted numbness of his left arm/hand/fingers/shoulder and "weakness in his lower legs. On 3/7/09 the pt also noted numbness from his anterior neck to his chest and his feet felt "cold and tingly". The numbness radiated to his back on 3/8. By 3/9/09 the pt was barely able to move his legs, he had problems with balance and his arms were weak. He was seen in Sick Call and diagnosed with and treated for dehydration. By 3/12/09 the pt was worse; he was having hard time walking independently; his UE were weak; he hands and feet were completely numb. The pt states he was sent to the ER and admitted to hospital on 3/13/09. Tx with IVIG for 3days and PT. Discharged on 3/20/09. 4/3/09 residual numbness on bilateral great toes.   4/15/09 Received medical records of 3/16-3/31/2009. FINAL DX: Guillain-Barre syndrome Records reveal patient experienced dry cough on 2/27/09, then developed productive cough & rhinnorhea, seen in clinic, dx w/URI & tx symptomatically.  Also had paronychia & tx w/oral antibiotics.  Patient noted numbness UEs beginning 3/4/09 & progressing to include LBP, weakness & tingling of LEs.  By 3/9 barely able to move legs.  Seen in clinic & dx w/dehydration.  By 3/12 had difficulty walking, balance disturbance & hand/feet were completely numb.  Seen in ER & admitted 3/13-3/20/09.  Tx w/IVIG x 3.  D/C to home w/PT & Neuro clinic f/u.
Age: 20.0
Sex: M
Vaccine: FLUN3, HEPAB, MMR, MNQ, PPV
Symptoms: Hepatitis B antibody negative, Hepatitis B surface antigen negative, Hepatitis C antibody negative, Hypoaesthesia, Hypokinesia
Clinical narrative: Pt received immunizations (FLUMIST, HepA/B, Meningococcal, MMR, Pneumococcal) on 2/18/09. Per the pt he received these vaccinations on 2/19 or 2/20/09 (he arrived at Boot Camp on 2/18/09). On 2/27/09 the pt noted a dry cough. On 3/2/09 the pt reported sick. Call with a productive cough and rhinnorhhea. He denied sore throat, earache, fever, N,V, diarrhea, headache or decreased appetite. He was treated with SUDAFED, MOTRIN and MUCINEX. Also, noted at the visit was paronychia middle finger/bilateral which was treated with KEFLEX. On 3/4/09 the pt noted numbness of his right forearm which progressed to his right hand/fingers then to his right shoulder by 3/6/09. He had minimal weakness of his UE. By 3/6/09 he also noted numbness of his left arm/hand/fingers/shoulder and "weakness in his lower legs. On 3/7/09 the pt also noted numbness from his anterior neck to his chest and his feet felt "cold and tingly". The numbness radiated to his back on 3/8. By 3/9/09 the pt was barely able to move his legs, he had problems with balance and his arms were weak. He was seen in Sick Call and diagnosed with and treated for dehydration. By 3/12/09 the pt was worse; he was having hard time walking independently; his UE were weak; he hands and feet were completely numb. The pt states he was sent to the ER and admitted to hospital on 3/13/09. Tx with IVIG for 3days and PT. Discharged on 3/20/09. 4/3/09 residual numbness on bilateral great toes.   4/15/09 Received medical records of 3/16-3/31/2009. FINAL DX: Guillain-Barre syndrome Records reveal patient experienced dry cough on 2/27/09, then developed productive cough & rhinnorhea, seen in clinic, dx w/URI & tx symptomatically.  Also had paronychia & tx w/oral antibiotics.  Patient noted numbness UEs beginning 3/4/09 & progressing to include LBP, weakness & tingling of LEs.  By 3/9 barely able to move legs.  Seen in clinic & dx w/dehydration.  By 3/12 had difficulty walking, balance disturbance & hand/feet were completely numb.  Seen in ER & admitted 3/13-3/20/09.  Tx w/IVIG x 3.  D/C to home w/PT & Neuro clinic f/u.
Age: 20.0
Sex: M
Vaccine: FLUN3, HEPAB, MMR, MNQ, PPV
Symptoms: Immunoglobulins normal, Influenza serology negative, Legionella serology, Lymphocyte count normal, Lymphocyte percentage
Clinical narrative: Pt received immunizations (FLUMIST, HepA/B, Meningococcal, MMR, Pneumococcal) on 2/18/09. Per the pt he received these vaccinations on 2/19 or 2/20/09 (he arrived at Boot Camp on 2/18/09). On 2/27/09 the pt noted a dry cough. On 3/2/09 the pt reported sick. Call with a productive cough and rhinnorhhea. He denied sore throat, earache, fever, N,V, diarrhea, headache or decreased appetite. He was treated with SUDAFED, MOTRIN and MUCINEX. Also, noted at the visit was paronychia middle finger/bilateral which was treated with KEFLEX. On 3/4/09 the pt noted numbness of his right forearm which progressed to his right hand/fingers then to his right shoulder by 3/6/09. He had minimal weakness of his UE. By 3/6/09 he also noted numbness of his left arm/hand/fingers/shoulder and "weakness in his lower legs. On 3/7/09 the pt also noted numbness from his anterior neck to his chest and his feet felt "cold and tingly". The numbness radiated to his back on 3/8. By 3/9/09 the pt was barely able to move his legs, he had problems with balance and his arms were weak. He was seen in Sick Call and diagnosed with and treated for dehydration. By 3/12/09 the pt was worse; he was having hard time walking independently; his UE were weak; he hands and feet were completely numb. The pt states he was sent to the ER and admitted to hospital on 3/13/09. Tx with IVIG for 3days and PT. Discharged on 3/20/09. 4/3/09 residual numbness on bilateral great toes.   4/15/09 Received medical records of 3/16-3/31/2009. FINAL DX: Guillain-Barre syndrome Records reveal patient experienced dry cough on 2/27/09, then developed productive cough & rhinnorhea, seen in clinic, dx w/URI & tx symptomatically.  Also had paronychia & tx w/oral antibiotics.  Patient noted numbness UEs beginning 3/4/09 & progressing to include LBP, weakness & tingling of LEs.  By 3/9 barely able to move legs.  Seen in clinic & dx w/dehydration.  By 3/12 had difficulty walking, balance disturbance & hand/feet were completely numb.  Seen in ER & admitted 3/13-3/20/09.  Tx w/IVIG x 3.  D/C to home w/PT & Neuro clinic f/u.
Age: 20.0
Sex: M
Vaccine: FLUN3, HEPAB, MMR, MNQ, PPV
Symptoms: Mean cell haemoglobin concentration normal, Mean cell haemoglobin decreased, Mean cell volume normal, Mean platelet volume normal, Monocyte count normal
Clinical narrative: Pt received immunizations (FLUMIST, HepA/B, Meningococcal, MMR, Pneumococcal) on 2/18/09. Per the pt he received these vaccinations on 2/19 or 2/20/09 (he arrived at Boot Camp on 2/18/09). On 2/27/09 the pt noted a dry cough. On 3/2/09 the pt reported sick. Call with a productive cough and rhinnorhhea. He denied sore throat, earache, fever, N,V, diarrhea, headache or decreased appetite. He was treated with SUDAFED, MOTRIN and MUCINEX. Also, noted at the visit was paronychia middle finger/bilateral which was treated with KEFLEX. On 3/4/09 the pt noted numbness of his right forearm which progressed to his right hand/fingers then to his right shoulder by 3/6/09. He had minimal weakness of his UE. By 3/6/09 he also noted numbness of his left arm/hand/fingers/shoulder and "weakness in his lower legs. On 3/7/09 the pt also noted numbness from his anterior neck to his chest and his feet felt "cold and tingly". The numbness radiated to his back on 3/8. By 3/9/09 the pt was barely able to move his legs, he had problems with balance and his arms were weak. He was seen in Sick Call and diagnosed with and treated for dehydration. By 3/12/09 the pt was worse; he was having hard time walking independently; his UE were weak; he hands and feet were completely numb. The pt states he was sent to the ER and admitted to hospital on 3/13/09. Tx with IVIG for 3days and PT. Discharged on 3/20/09. 4/3/09 residual numbness on bilateral great toes.   4/15/09 Received medical records of 3/16-3/31/2009. FINAL DX: Guillain-Barre syndrome Records reveal patient experienced dry cough on 2/27/09, then developed productive cough & rhinnorhea, seen in clinic, dx w/URI & tx symptomatically.  Also had paronychia & tx w/oral antibiotics.  Patient noted numbness UEs beginning 3/4/09 & progressing to include LBP, weakness & tingling of LEs.  By 3/9 barely able to move legs.  Seen in clinic & dx w/dehydration.  By 3/12 had difficulty walking, balance disturbance & hand/feet were completely numb.  Seen in ER & admitted 3/13-3/20/09.  Tx w/IVIG x 3.  D/C to home w/PT & Neuro clinic f/u.
Age: 20.0
Sex: M
Vaccine: FLUN3, HEPAB, MMR, MNQ, PPV
Symptoms: Monocyte percentage, Muscular weakness, Mycoplasma serology positive, Neutrophil count normal, Neutrophil percentage
Clinical narrative: Pt received immunizations (FLUMIST, HepA/B, Meningococcal, MMR, Pneumococcal) on 2/18/09. Per the pt he received these vaccinations on 2/19 or 2/20/09 (he arrived at Boot Camp on 2/18/09). On 2/27/09 the pt noted a dry cough. On 3/2/09 the pt reported sick. Call with a productive cough and rhinnorhhea. He denied sore throat, earache, fever, N,V, diarrhea, headache or decreased appetite. He was treated with SUDAFED, MOTRIN and MUCINEX. Also, noted at the visit was paronychia middle finger/bilateral which was treated with KEFLEX. On 3/4/09 the pt noted numbness of his right forearm which progressed to his right hand/fingers then to his right shoulder by 3/6/09. He had minimal weakness of his UE. By 3/6/09 he also noted numbness of his left arm/hand/fingers/shoulder and "weakness in his lower legs. On 3/7/09 the pt also noted numbness from his anterior neck to his chest and his feet felt "cold and tingly". The numbness radiated to his back on 3/8. By 3/9/09 the pt was barely able to move his legs, he had problems with balance and his arms were weak. He was seen in Sick Call and diagnosed with and treated for dehydration. By 3/12/09 the pt was worse; he was having hard time walking independently; his UE were weak; he hands and feet were completely numb. The pt states he was sent to the ER and admitted to hospital on 3/13/09. Tx with IVIG for 3days and PT. Discharged on 3/20/09. 4/3/09 residual numbness on bilateral great toes.   4/15/09 Received medical records of 3/16-3/31/2009. FINAL DX: Guillain-Barre syndrome Records reveal patient experienced dry cough on 2/27/09, then developed productive cough & rhinnorhea, seen in clinic, dx w/URI & tx symptomatically.  Also had paronychia & tx w/oral antibiotics.  Patient noted numbness UEs beginning 3/4/09 & progressing to include LBP, weakness & tingling of LEs.  By 3/9 barely able to move legs.  Seen in clinic & dx w/dehydration.  By 3/12 had difficulty walking, balance disturbance & hand/feet were completely numb.  Seen in ER & admitted 3/13-3/20/09.  Tx w/IVIG x 3.  D/C to home w/PT & Neuro clinic f/u.
Age: 20.0
Sex: M
Vaccine: FLUN3, HEPAB, MMR, MNQ, PPV
Symptoms: Nuclear magnetic resonance imaging brain abnormal, Paraesthesia, Paronychia, Peripheral coldness, Platelet count normal
Clinical narrative: Pt received immunizations (FLUMIST, HepA/B, Meningococcal, MMR, Pneumococcal) on 2/18/09. Per the pt he received these vaccinations on 2/19 or 2/20/09 (he arrived at Boot Camp on 2/18/09). On 2/27/09 the pt noted a dry cough. On 3/2/09 the pt reported sick. Call with a productive cough and rhinnorhhea. He denied sore throat, earache, fever, N,V, diarrhea, headache or decreased appetite. He was treated with SUDAFED, MOTRIN and MUCINEX. Also, noted at the visit was paronychia middle finger/bilateral which was treated with KEFLEX. On 3/4/09 the pt noted numbness of his right forearm which progressed to his right hand/fingers then to his right shoulder by 3/6/09. He had minimal weakness of his UE. By 3/6/09 he also noted numbness of his left arm/hand/fingers/shoulder and "weakness in his lower legs. On 3/7/09 the pt also noted numbness from his anterior neck to his chest and his feet felt "cold and tingly". The numbness radiated to his back on 3/8. By 3/9/09 the pt was barely able to move his legs, he had problems with balance and his arms were weak. He was seen in Sick Call and diagnosed with and treated for dehydration. By 3/12/09 the pt was worse; he was having hard time walking independently; his UE were weak; he hands and feet were completely numb. The pt states he was sent to the ER and admitted to hospital on 3/13/09. Tx with IVIG for 3days and PT. Discharged on 3/20/09. 4/3/09 residual numbness on bilateral great toes.   4/15/09 Received medical records of 3/16-3/31/2009. FINAL DX: Guillain-Barre syndrome Records reveal patient experienced dry cough on 2/27/09, then developed productive cough & rhinnorhea, seen in clinic, dx w/URI & tx symptomatically.  Also had paronychia & tx w/oral antibiotics.  Patient noted numbness UEs beginning 3/4/09 & progressing to include LBP, weakness & tingling of LEs.  By 3/9 barely able to move legs.  Seen in clinic & dx w/dehydration.  By 3/12 had difficulty walking, balance disturbance & hand/feet were completely numb.  Seen in ER & admitted 3/13-3/20/09.  Tx w/IVIG x 3.  D/C to home w/PT & Neuro clinic f/u.
Age: 20.0
Sex: M
Vaccine: FLUN3, HEPAB, MMR, MNQ, PPV
Symptoms: Productive cough, Protein total decreased, Red blood cell count decreased, Red blood cells CSF positive, Red cell distribution width normal
Clinical narrative: Pt received immunizations (FLUMIST, HepA/B, Meningococcal, MMR, Pneumococcal) on 2/18/09. Per the pt he received these vaccinations on 2/19 or 2/20/09 (he arrived at Boot Camp on 2/18/09). On 2/27/09 the pt noted a dry cough. On 3/2/09 the pt reported sick. Call with a productive cough and rhinnorhhea. He denied sore throat, earache, fever, N,V, diarrhea, headache or decreased appetite. He was treated with SUDAFED, MOTRIN and MUCINEX. Also, noted at the visit was paronychia middle finger/bilateral which was treated with KEFLEX. On 3/4/09 the pt noted numbness of his right forearm which progressed to his right hand/fingers then to his right shoulder by 3/6/09. He had minimal weakness of his UE. By 3/6/09 he also noted numbness of his left arm/hand/fingers/shoulder and "weakness in his lower legs. On 3/7/09 the pt also noted numbness from his anterior neck to his chest and his feet felt "cold and tingly". The numbness radiated to his back on 3/8. By 3/9/09 the pt was barely able to move his legs, he had problems with balance and his arms were weak. He was seen in Sick Call and diagnosed with and treated for dehydration. By 3/12/09 the pt was worse; he was having hard time walking independently; his UE were weak; he hands and feet were completely numb. The pt states he was sent to the ER and admitted to hospital on 3/13/09. Tx with IVIG for 3days and PT. Discharged on 3/20/09. 4/3/09 residual numbness on bilateral great toes.   4/15/09 Received medical records of 3/16-3/31/2009. FINAL DX: Guillain-Barre syndrome Records reveal patient experienced dry cough on 2/27/09, then developed productive cough & rhinnorhea, seen in clinic, dx w/URI & tx symptomatically.  Also had paronychia & tx w/oral antibiotics.  Patient noted numbness UEs beginning 3/4/09 & progressing to include LBP, weakness & tingling of LEs.  By 3/9 barely able to move legs.  Seen in clinic & dx w/dehydration.  By 3/12 had difficulty walking, balance disturbance & hand/feet were completely numb.  Seen in ER & admitted 3/13-3/20/09.  Tx w/IVIG x 3.  D/C to home w/PT & Neuro clinic f/u.
Age: 20.0
Sex: M
Vaccine: FLUN3, HEPAB, MMR, MNQ, PPV
Symptoms: Respiratory syncytial virus test negative, Rhinorrhoea, Spinal X-ray abnormal, Sputum culture positive, Streptococcal identification test negative
Clinical narrative: Pt received immunizations (FLUMIST, HepA/B, Meningococcal, MMR, Pneumococcal) on 2/18/09. Per the pt he received these vaccinations on 2/19 or 2/20/09 (he arrived at Boot Camp on 2/18/09). On 2/27/09 the pt noted a dry cough. On 3/2/09 the pt reported sick. Call with a productive cough and rhinnorhhea. He denied sore throat, earache, fever, N,V, diarrhea, headache or decreased appetite. He was treated with SUDAFED, MOTRIN and MUCINEX. Also, noted at the visit was paronychia middle finger/bilateral which was treated with KEFLEX. On 3/4/09 the pt noted numbness of his right forearm which progressed to his right hand/fingers then to his right shoulder by 3/6/09. He had minimal weakness of his UE. By 3/6/09 he also noted numbness of his left arm/hand/fingers/shoulder and "weakness in his lower legs. On 3/7/09 the pt also noted numbness from his anterior neck to his chest and his feet felt "cold and tingly". The numbness radiated to his back on 3/8. By 3/9/09 the pt was barely able to move his legs, he had problems with balance and his arms were weak. He was seen in Sick Call and diagnosed with and treated for dehydration. By 3/12/09 the pt was worse; he was having hard time walking independently; his UE were weak; he hands and feet were completely numb. The pt states he was sent to the ER and admitted to hospital on 3/13/09. Tx with IVIG for 3days and PT. Discharged on 3/20/09. 4/3/09 residual numbness on bilateral great toes.   4/15/09 Received medical records of 3/16-3/31/2009. FINAL DX: Guillain-Barre syndrome Records reveal patient experienced dry cough on 2/27/09, then developed productive cough & rhinnorhea, seen in clinic, dx w/URI & tx symptomatically.  Also had paronychia & tx w/oral antibiotics.  Patient noted numbness UEs beginning 3/4/09 & progressing to include LBP, weakness & tingling of LEs.  By 3/9 barely able to move legs.  Seen in clinic & dx w/dehydration.  By 3/12 had difficulty walking, balance disturbance & hand/feet were completely numb.  Seen in ER & admitted 3/13-3/20/09.  Tx w/IVIG x 3.  D/C to home w/PT & Neuro clinic f/u.
Age: 20.0
Sex: M
Vaccine: FLUN3, HEPAB, MMR, MNQ, PPV
Symptoms: Virus serology test, White blood cell count normal
Clinical narrative: Pt received immunizations (FLUMIST, HepA/B, Meningococcal, MMR, Pneumococcal) on 2/18/09. Per the pt he received these vaccinations on 2/19 or 2/20/09 (he arrived at Boot Camp on 2/18/09). On 2/27/09 the pt noted a dry cough. On 3/2/09 the pt reported sick. Call with a productive cough and rhinnorhhea. He denied sore throat, earache, fever, N,V, diarrhea, headache or decreased appetite. He was treated with SUDAFED, MOTRIN and MUCINEX. Also, noted at the visit was paronychia middle finger/bilateral which was treated with KEFLEX. On 3/4/09 the pt noted numbness of his right forearm which progressed to his right hand/fingers then to his right shoulder by 3/6/09. He had minimal weakness of his UE. By 3/6/09 he also noted numbness of his left arm/hand/fingers/shoulder and "weakness in his lower legs. On 3/7/09 the pt also noted numbness from his anterior neck to his chest and his feet felt "cold and tingly". The numbness radiated to his back on 3/8. By 3/9/09 the pt was barely able to move his legs, he had problems with balance and his arms were weak. He was seen in Sick Call and diagnosed with and treated for dehydration. By 3/12/09 the pt was worse; he was having hard time walking independently; his UE were weak; he hands and feet were completely numb. The pt states he was sent to the ER and admitted to hospital on 3/13/09. Tx with IVIG for 3days and PT. Discharged on 3/20/09. 4/3/09 residual numbness on bilateral great toes.   4/15/09 Received medical records of 3/16-3/31/2009. FINAL DX: Guillain-Barre syndrome Records reveal patient experienced dry cough on 2/27/09, then developed productive cough & rhinnorhea, seen in clinic, dx w/URI & tx symptomatically.  Also had paronychia & tx w/oral antibiotics.  Patient noted numbness UEs beginning 3/4/09 & progressing to include LBP, weakness & tingling of LEs.  By 3/9 barely able to move legs.  Seen in clinic & dx w/dehydration.  By 3/12 had difficulty walking, balance disturbance & hand/feet were completely numb.  Seen in ER & admitted 3/13-3/20/09.  Tx w/IVIG x 3.  D/C to home w/PT & Neuro clinic f/u.
Age: 1.3
Sex: M
Vaccine: DTAP
Symptoms: Injection site discomfort, Injection site erythema, Injection site oedema, Injection site swelling
Clinical narrative: Local (L) thigh-redness, 14x17 cm swelling and discomfort from upper thigh to knee area.  Involved thigh 2.5cm larger in circumference - secondary edema.
Age: 52.0
Sex: M
Vaccine: HEP
Symptoms: Vaccination complication
Clinical narrative: Pt states today that he had a reaction to RECOMBIVAX HB #2 in October 20008.
Age: 1.1
Sex: F
Vaccine: VARCEL
Symptoms: Body temperature, Rash vesicular
Clinical narrative: Developed rash around belly button and on thighs- chicken pox looking rash with temp received varicella 2/26/09.
Age: 88.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Swelling
Clinical narrative: Swelling, redness, 12 cmx8cm.  Noticed 4/8/09 @ 0630.  Vaccine 4/7/09 2130.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache
Clinical narrative: Headache began about 3 days after ZOSTAVAX injection.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Injection site erythema, Injection site urticaria, Pruritus
Clinical narrative: Patient noticed red welt on site of injection the following day. In the afternoon around 3 pm. she experienced slight itch on left arm. The red welt on right arm grew to the size of a tennis ball in a few days. Ice was applied during this time. Left arm became very itchy and Pt saw a dermatologist on 4/1/09 and doctor confirmed she has shingles. Pt was given a week course of VALTREX and cream to apply. Symptoms resolved. Pt has no other complaints
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Silver sized red itchy mark ant injection site.