chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 67.0
Sex: M
Vaccine: PPV, TD
Symptoms: Vertigo, Vomiting
Clinical narrative: Dizziness, vertigo, fever, malaise, nausea, headache, and vomiting.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site oedema, Injection site rash, Injection site warmth, Pruritus
Clinical narrative: Vaccine placed on 4/25/06. ACP and IPV on left arm MMR on Right arm SQ. Mom noticed 9:00am on 4/26/06 child complaining of itching notably swollen and warm to the touch. left arm only. Itch, rash and swelling resolved on day 5.
Age: 30.0
Sex: M
Vaccine: SMALL
Symptoms: Chills, Dermatitis, Erythema, Erythema multiforme, Headache
Clinical narrative: Patient received primary SPV on 4/17/06. He noted that he had one night of fever, chills and headache about one week post vaccination but no other symptoms until he noted lesions spreading from inoculation site approx. one day later (8 days post vaccination). Denied any chest pain, SOB, N/V, body aches. The lesions were initially only around the inoculation site but then spread to his posterior/anterior trunk and were very pruritic. Stated that he had no other contact with anu possible allergan. Multiple erythematous macular-papular lesions noted scattered about SPV inoculation site as well as truncal region. None noted on legs, palms or soles or face. The primary SPV inoculation site looked appropriate for approx. 10 day post vaccination. Was initially diagnosed as non-specific dermatitis related to SPV and treated with claritin. Pt returned the following day to the clinic (4/28/06) and noted that the lesions were now larger and spreading more (neck, arms, legs) and more pruritic. The lesions were now increased in size with a more bull's eye appearance and on the legs as well as the neck and both arms. Digital photos were obtained and reviewed with MD at HC and erythema multiforme was diagnosed. Hydroxyzone was added to the treatment regimen. Pt was told to return to clinic on 5/1/06 if no improvement in lesions because he was scheduled to deploy 5/3/06.
Age: 30.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site reaction, Pruritus, Pyrexia, Rash maculo-papular, Skin ulcer
Clinical narrative: Patient received primary SPV on 4/17/06. He noted that he had one night of fever, chills and headache about one week post vaccination but no other symptoms until he noted lesions spreading from inoculation site approx. one day later (8 days post vaccination). Denied any chest pain, SOB, N/V, body aches. The lesions were initially only around the inoculation site but then spread to his posterior/anterior trunk and were very pruritic. Stated that he had no other contact with anu possible allergan. Multiple erythematous macular-papular lesions noted scattered about SPV inoculation site as well as truncal region. None noted on legs, palms or soles or face. The primary SPV inoculation site looked appropriate for approx. 10 day post vaccination. Was initially diagnosed as non-specific dermatitis related to SPV and treated with claritin. Pt returned the following day to the clinic (4/28/06) and noted that the lesions were now larger and spreading more (neck, arms, legs) and more pruritic. The lesions were now increased in size with a more bull's eye appearance and on the legs as well as the neck and both arms. Digital photos were obtained and reviewed with MD at HC and erythema multiforme was diagnosed. Hydroxyzone was added to the treatment regimen. Pt was told to return to clinic on 5/1/06 if no improvement in lesions because he was scheduled to deploy 5/3/06.
Age: 42.0
Sex: M
Vaccine: TD
Symptoms: Myalgia
Clinical narrative: Deep muscle pain of deltoid and triceps with deep palpation or extension of left arm above shoulder height.
Age: 35.0
Sex: F
Vaccine: MMR
Symptoms: Chest pain, Face oedema, Insomnia, Laboratory test abnormal, Viral infection
Clinical narrative: Patient reports that about 12 hours after getting her MMR vaccination she started having pain in her right side over her ribs.  She reports pain that made it difficult for her to sleep the whole night.  She was seen in the ER and found to have an elevated WBC and they performed an X-ray, UA, and an Ultrasound.  They sent her home with Naprosyn when her testing was all normal.  She woke up the next day with swelling of the face and the rib pain being markedly improved.  She was seen in the ER for swelling of the face and there was concern for possible Mumps.  Prior to the vaccination she was totally well.  No exposure to Mumps and no recent travel to high risk areas.  She does work with Cadets (college students) and she reports that she works with make-up and gets exposed to other women on a weekly basis.  No fevers or chills during this illness.  Does not feel ill.
Age: 35.0
Sex: F
Vaccine: MMR
Symptoms: White blood cell count increased
Clinical narrative: Patient reports that about 12 hours after getting her MMR vaccination she started having pain in her right side over her ribs.  She reports pain that made it difficult for her to sleep the whole night.  She was seen in the ER and found to have an elevated WBC and they performed an X-ray, UA, and an Ultrasound.  They sent her home with Naprosyn when her testing was all normal.  She woke up the next day with swelling of the face and the rib pain being markedly improved.  She was seen in the ER for swelling of the face and there was concern for possible Mumps.  Prior to the vaccination she was totally well.  No exposure to Mumps and no recent travel to high risk areas.  She does work with Cadets (college students) and she reports that she works with make-up and gets exposed to other women on a weekly basis.  No fevers or chills during this illness.  Does not feel ill.
Age: 1.07
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Urticaria
Clinical narrative: MILD URTICARIA BEGINNING ONE DAY AFTER VACCINATIONS
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Headache, Pyrexia, Vomiting
Clinical narrative: Vaccine given about 4pm 5.1.06 to healthy child. Parents report he came to their bed with fever and headache after midnight. At 7:30 a.m. emesis and then twice more before 2:00 p.m. 5.2.06. By noon fever was 103. At office visit 2:50 p.m. temperature was 102.4; Tylenol given. He looked tired but physical exam was otherwise WNL.
Age: 1.51
Sex: M
Vaccine: HEPA
Symptoms: Pyrexia
Clinical narrative: Fever 103 the next day after shot given
Age: 1.33
Sex: F
Vaccine: MMR, MMR
Symptoms: Irritability, Pyrexia, Skin ulcer
Clinical narrative: Multiple papules/vesicles
Age: 1.33
Sex: F
Vaccine: MMR, MMR
Symptoms: Blister, Rash papular
Clinical narrative: Multiple papules/vesicles
Age: 28.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Arrhythmia, Chest pain, Electrocardiogram abnormal, Laboratory test abnormal, Nausea
Clinical narrative: MYOCARDITIS, EVACUATED TO HOSPITAL. 20 APRIL 2006, TREATED AND EVACUATED TO ANOTHER HOSPITAL. RELEASED ON 01 MAY 2006, WITH FOLLOW UP FOR CARDIOLOGY AT PRESENT.
Age: 28.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Myocarditis
Clinical narrative: MYOCARDITIS, EVACUATED TO HOSPITAL. 20 APRIL 2006, TREATED AND EVACUATED TO ANOTHER HOSPITAL. RELEASED ON 01 MAY 2006, WITH FOLLOW UP FOR CARDIOLOGY AT PRESENT.
Age: 28.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Chest pain, Dyspnoea, Hypokinesia, Pericardial effusion
Clinical narrative: MYOCARDITIS, EVACUATED TO HOSPITAL. 20 APRIL 2006, TREATED AND EVACUATED TO ANOTHER HOSPITAL. RELEASED ON 01 MAY 2006, WITH FOLLOW UP FOR CARDIOLOGY AT PRESENT.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Petechiae
Clinical narrative: Child immunized with Hep-A No. 1 and within 10 minutes, developed (B) petechia cheeks. No edema or respiratory s/s.
Age: 62.0
Sex: U
Vaccine: TD
Symptoms: Hypokinesia, Injection site pain
Clinical narrative: 7/4/99 at 20:30 PM, stung by 5 bees and went to hospital. I received a tetanus shot in my left arm. I still cannot raise my arm. X-rayed-nothing. Dr. at the hospital said nothing was wrong but I have a messed up arm. Still sore.
Age: 11.0
Sex: U
Vaccine: UNK
Symptoms: Rash papular
Clinical narrative: Vesicular rash-papules scattered on trunk, arms and legs onset 4/25/06. Course of illness now.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Redness, edema and pain over total upper arm from vaccine in R arm. Area of edema Stretched from deltoid down to elbow, hot to touch, red and painful.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Hypersensitivity, Lethargy, Oral intake reduced, Pyrexia
Clinical narrative: Vaccines given 18:00 PM on 12/20/05. Bedtime 22:00 PM lethargic and mother gave Tylenol, 6ml every 6 hrs. On 12/21/05, still lethargic and took 2 oz milk at noon. Dr. appt. did blood test and all were negative. Tried no Tylenol and fever back up to 102.7 on 12/22/05. Gave Tylenol and took 2 oz milk. Dr. diagnosed as post vaccination.
Age: 34.0
Sex: M
Vaccine: RAB
Symptoms: Facial palsy, Neurological symptom, Paralysis
Clinical narrative: Donor went to emergency dept for neurological paralytic symptoms, mostly on face.  Diagnosis of Bell's Palsy. Treated and released.
Age: 1.62
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Drug ineffective
Clinical narrative: Child clinically diagnosed with mumps per doctor.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Anaphylactic shock, Chest discomfort, Chest pain, Chills, Dehydration
Clinical narrative: Received a flu shot on 12/8/2005 through my employer.  Within 5 minutes after injection, I was itching profusely, but itching ceased within 15 minutes.  Then, 10 days later, all hell broke loose.  I went into anaphylactic shock on two occasions and have been experiencing a long list of frightening symptoms which are consistent with chemical exposure:  Hives; mysterious rashes (on face, hands, knees and feet)experienced indoors and when exposed to cold temperatures outdoors; difficulty breathing; airway constriction; itchy burning skin; drastic shifts beween the chills and sweating; numbness in extremeties; pins and needles pain in extremeties; nausea; diarrhea; tachycardia; neurocardiogenic syncope; chest pain and tightness;  lightheadiness; constant sensation of wanting to "pass out"; constant dehydration; rashes and difficulty breathing with products, chemicals and odors the I was NOT previously sensitive to.  I've been living a nightmare for 5 months and have suffered financially as a result of lost working hours and medical bills.  I've seen numerous doctors including my primary care physician, been to the emergency room twice and have had various blood labs drawn.  I've been diagnosed as having an ongoing allergic reaction, but have received little to no help or direction for treatment from the medical community.  My pcp informed me that she had no idea of how to test for chemical poisoning or toxicity?  I asked for a mercury level test to be done via blood and am still awaiting results.  I also had a skin/tissue analysis done to see what toxins my body was releasing:  I tested positive for mercury, aluminum, copper and arsenic.  In addition, I've done much research on the chemicals used to preserve the flu vaccine and it's horrifying!!!  If I knew then, back in December, what I know know, I would have never received the flu shot.  I'm appalled, to say the least, that the FDA, the CDC and our governments would allow such toxic chemicals to be used in a vaccine that the masses receive.  Currently, my health has improved "a bit", but I await a long road to recovery before my immune system is back on track.  I require various medications to suppress/control the allergic reactions and to prevent cardiac dysfunction (tachycardia and NCS).
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Dizziness, Dyspnoea, Hyperhidrosis, Hypoaesthesia
Clinical narrative: Received a flu shot on 12/8/2005 through my employer.  Within 5 minutes after injection, I was itching profusely, but itching ceased within 15 minutes.  Then, 10 days later, all hell broke loose.  I went into anaphylactic shock on two occasions and have been experiencing a long list of frightening symptoms which are consistent with chemical exposure:  Hives; mysterious rashes (on face, hands, knees and feet)experienced indoors and when exposed to cold temperatures outdoors; difficulty breathing; airway constriction; itchy burning skin; drastic shifts beween the chills and sweating; numbness in extremeties; pins and needles pain in extremeties; nausea; diarrhea; tachycardia; neurocardiogenic syncope; chest pain and tightness;  lightheadiness; constant sensation of wanting to "pass out"; constant dehydration; rashes and difficulty breathing with products, chemicals and odors the I was NOT previously sensitive to.  I've been living a nightmare for 5 months and have suffered financially as a result of lost working hours and medical bills.  I've seen numerous doctors including my primary care physician, been to the emergency room twice and have had various blood labs drawn.  I've been diagnosed as having an ongoing allergic reaction, but have received little to no help or direction for treatment from the medical community.  My pcp informed me that she had no idea of how to test for chemical poisoning or toxicity?  I asked for a mercury level test to be done via blood and am still awaiting results.  I also had a skin/tissue analysis done to see what toxins my body was releasing:  I tested positive for mercury, aluminum, copper and arsenic.  In addition, I've done much research on the chemicals used to preserve the flu vaccine and it's horrifying!!!  If I knew then, back in December, what I know know, I would have never received the flu shot.  I'm appalled, to say the least, that the FDA, the CDC and our governments would allow such toxic chemicals to be used in a vaccine that the masses receive.  Currently, my health has improved "a bit", but I await a long road to recovery before my immune system is back on track.  I require various medications to suppress/control the allergic reactions and to prevent cardiac dysfunction (tachycardia and NCS).
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Laboratory test abnormal, Nausea, Paraesthesia, Pruritus, Rash
Clinical narrative: Received a flu shot on 12/8/2005 through my employer.  Within 5 minutes after injection, I was itching profusely, but itching ceased within 15 minutes.  Then, 10 days later, all hell broke loose.  I went into anaphylactic shock on two occasions and have been experiencing a long list of frightening symptoms which are consistent with chemical exposure:  Hives; mysterious rashes (on face, hands, knees and feet)experienced indoors and when exposed to cold temperatures outdoors; difficulty breathing; airway constriction; itchy burning skin; drastic shifts beween the chills and sweating; numbness in extremeties; pins and needles pain in extremeties; nausea; diarrhea; tachycardia; neurocardiogenic syncope; chest pain and tightness;  lightheadiness; constant sensation of wanting to "pass out"; constant dehydration; rashes and difficulty breathing with products, chemicals and odors the I was NOT previously sensitive to.  I've been living a nightmare for 5 months and have suffered financially as a result of lost working hours and medical bills.  I've seen numerous doctors including my primary care physician, been to the emergency room twice and have had various blood labs drawn.  I've been diagnosed as having an ongoing allergic reaction, but have received little to no help or direction for treatment from the medical community.  My pcp informed me that she had no idea of how to test for chemical poisoning or toxicity?  I asked for a mercury level test to be done via blood and am still awaiting results.  I also had a skin/tissue analysis done to see what toxins my body was releasing:  I tested positive for mercury, aluminum, copper and arsenic.  In addition, I've done much research on the chemicals used to preserve the flu vaccine and it's horrifying!!!  If I knew then, back in December, what I know know, I would have never received the flu shot.  I'm appalled, to say the least, that the FDA, the CDC and our governments would allow such toxic chemicals to be used in a vaccine that the masses receive.  Currently, my health has improved "a bit", but I await a long road to recovery before my immune system is back on track.  I require various medications to suppress/control the allergic reactions and to prevent cardiac dysfunction (tachycardia and NCS).
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Syncope, Tachycardia, Throat tightness
Clinical narrative: Received a flu shot on 12/8/2005 through my employer.  Within 5 minutes after injection, I was itching profusely, but itching ceased within 15 minutes.  Then, 10 days later, all hell broke loose.  I went into anaphylactic shock on two occasions and have been experiencing a long list of frightening symptoms which are consistent with chemical exposure:  Hives; mysterious rashes (on face, hands, knees and feet)experienced indoors and when exposed to cold temperatures outdoors; difficulty breathing; airway constriction; itchy burning skin; drastic shifts beween the chills and sweating; numbness in extremeties; pins and needles pain in extremeties; nausea; diarrhea; tachycardia; neurocardiogenic syncope; chest pain and tightness;  lightheadiness; constant sensation of wanting to "pass out"; constant dehydration; rashes and difficulty breathing with products, chemicals and odors the I was NOT previously sensitive to.  I've been living a nightmare for 5 months and have suffered financially as a result of lost working hours and medical bills.  I've seen numerous doctors including my primary care physician, been to the emergency room twice and have had various blood labs drawn.  I've been diagnosed as having an ongoing allergic reaction, but have received little to no help or direction for treatment from the medical community.  My pcp informed me that she had no idea of how to test for chemical poisoning or toxicity?  I asked for a mercury level test to be done via blood and am still awaiting results.  I also had a skin/tissue analysis done to see what toxins my body was releasing:  I tested positive for mercury, aluminum, copper and arsenic.  In addition, I've done much research on the chemicals used to preserve the flu vaccine and it's horrifying!!!  If I knew then, back in December, what I know know, I would have never received the flu shot.  I'm appalled, to say the least, that the FDA, the CDC and our governments would allow such toxic chemicals to be used in a vaccine that the masses receive.  Currently, my health has improved "a bit", but I await a long road to recovery before my immune system is back on track.  I require various medications to suppress/control the allergic reactions and to prevent cardiac dysfunction (tachycardia and NCS).
Age: 39.0
Sex: F
Vaccine: VARCEL
Symptoms: Chills, Dizziness, Pain, Pyrexia
Clinical narrative: Dizziness, chills, body aches and fever >100.
Age: 54.0
Sex: M
Vaccine: TD
Symptoms: Dysphonia, Face oedema, Pharyngeal oedema, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: 4-6-2006 THE MORNING AFTER THE TD SHOT IN HIS LEFT ARM, MY HUSBAND HAD INCREASING FEVER TO 101F, LEFT FACIAL SWELLING, LEFT THROAT PAIN AND SWELLING AND GRADUAL LOSS OF VOICE.  THIS CONTINUED AND HE WENT BACK TO THE EMERGENCY ROOM ON 4-10-06. HIS SYMPTOMS DID NOT FULLY SUBSIDE UNTIL 4-18-06. HE HAD HX OF SEVERE DIPHTHERIA CONTRACTED AT AGE 5 YRS OLD.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Pyrexia
Clinical narrative: 9PM tympanic temp 103.9, fussy and crying until midnight, then went to sleep around 1 or 2AM.  Mom gave tylenol and fever dropped to 101, mom notified our office at 10:45AM on 05/03/2006 and was instructed to bring patient in office to check if anything else could be wrong. Exam did not reveal any abnormalities.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Dizziness, Dyspnoea, Nausea, Pyrexia, Tenderness
Clinical narrative: Mother called stating patient C/O Shortness of breath, dizziness, nausea, fever, arm tenderness.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: @ days after injection of pneumococcal vaccine, she developed a reddened area about 3" in diameter, some soreness, and slight swelling of area.  She is to use ice to area and Tylenol.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Drug ineffective, Lobar pneumonia, Pyrexia
Clinical narrative: Pt admitted with RLL Pnuemonia.  Final Dx of Fever secondary to DTAP, Hep B, Polio, HIB, and prevnar.  "Unspecified vaccine or biological substance causing adverse effects in therapeutic use."  Doctor states this is a normal reaction to this medication.
Age: 1.27
Sex: F
Vaccine: MMRV, PNC
Symptoms: Convulsion, Febrile convulsion, Nuclear magnetic resonance imaging brain abnormal, Vomiting
Clinical narrative: Vomiting, followed by recurrent afebrile seizures, some with localizing signs. 06/08/06-2 page gastroenterology consult of 12/12/05-Impression:Probably fatty acid metabolic disorder which has yet to be diagnoses. Plan: Follow-up on metabolic workup. 2 page DC summary 5/8/06-ED observed 2 additional seizures. In route to hospital generalized tonic clonic seizure observed. Afebrile during initial seizure episode and afebrile during hospitalization. Post vaccine and prior to onset of seizures, parents had discontinued nightly cornstarch feeding. HX significant for profound hypoglycemia and an undiagnosed metabolic disorder. Neurology consult recommended Keppra for seizure control. On day 4 of hospitalization developed vomiting and diarrhea and that symptoms were most likely viral. DC medications included Diastat for seizures lasting longer than 3 minutes.
Age: 0.28
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Apnoea, Bradycardia, Gastrooesophageal reflux disease, Patent ductus arteriosus, Premature baby
Clinical narrative: Vaccine admin on 4/20/2006. Death from apnea/bradycardia reportedly on 4/23/2006. I do not have details. 6/1/06 Received medical records from hospital which reveal patient had been readmitted to hospital 3/28/06 after having been transferred to university med center for bronchoscopy & trach placement 3/17/06.  Concurrent dx: GERD, retinopathy of preemie, left hydrocele and perianal excoriations, anemia, PDA, pulmonary HTN & hyperbilirubinemia.  Patient had continued occasional desaturation spells & occasional chronic lung disease shutdown spells but was felt to be stable overall.  D/C from hospital 4/18/06 w/final dx: preemie, chronic lung disease, persistent apnea, subglottic stenosis s/p trach, HTN, retinopathy of preemie, bilateral hydrocele/ss
Age: 0.28
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pulmonary hypertension, Respiratory disorder, Retinopathy
Clinical narrative: Vaccine admin on 4/20/2006. Death from apnea/bradycardia reportedly on 4/23/2006. I do not have details. 6/1/06 Received medical records from hospital which reveal patient had been readmitted to hospital 3/28/06 after having been transferred to university med center for bronchoscopy & trach placement 3/17/06.  Concurrent dx: GERD, retinopathy of preemie, left hydrocele and perianal excoriations, anemia, PDA, pulmonary HTN & hyperbilirubinemia.  Patient had continued occasional desaturation spells & occasional chronic lung disease shutdown spells but was felt to be stable overall.  D/C from hospital 4/18/06 w/final dx: preemie, chronic lung disease, persistent apnea, subglottic stenosis s/p trach, HTN, retinopathy of preemie, bilateral hydrocele/ss
Sex: U
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Entire upper arm induration and erythema. Local reaction, not injection. 48 hours after injection of DPT, IPV, left arm, large local reaction.
Age: 32.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Diarrhoea, Hypokinesia, Injection site erythema, Injection site pain, Pyrexia
Clinical narrative: Pneumovax 0.5cc 4/28/2006-4/29/2006 mid-day (+) fevers, diarrhea L deltoid red, painful. Unable to lift arm. ER-temperature 103-LP done-Keflex 500 po qid x 10 days, Motrin prn. Seen in clinic 5/1/06.
Age: 1.03
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Abasia, Hypokinesia, Injection site induration
Clinical narrative: Holds L leg stiffly-will not bend at knee or bear weight. Shot areas on LT w/induration, no erythema or specific pt tenderness. F/up in ortho if not walking or bearing wt by 1/9/06.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Dizziness, Injection site pain
Clinical narrative: Chills, dizziness, left arm pain one day after vaccine. Treatment-Motrin, fluids.
Age: 25.0
Sex: U
Vaccine: HEP, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Pneumovax vaccine 0.5 to right deltoid on 5/1/06 12pm pt noted pain at infection site that evening and warmth no fever and erythema deltoid, right axilla. returned to clinic 5/2. Cephalexin 500 QID 10d, Codeine PRN.
Age: 66.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site warmth, Pruritus
Clinical narrative: Erythema, itching, warmth developed next day and persisted, but improved with Benadryl.
Sex: M
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Injection site vesicles
Clinical narrative: Backward C-shaped area of small yellow blisters (Rt thigh).
Age: 16.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Developed a reddened, raised local reaction at the injection site (R deltoid) about size 6cm (length) X 6cm (width).
Age: 54.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Malaise, Pain
Clinical narrative: Swelling, warmth, redness at injection site which began on 4/25/06 about 24 hrs after vaccination, worsened over next 2 days, he also felt ill, generally achy on 4/25/06. Band of induration of skin measured 10cm wide by 30cm in length.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Injection site reaction, Injection site swelling
Clinical narrative: Mild swelling of R thigh, no erythema, warmness and no signs of infection.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Dtap, IPV given 4 y/o Dtap LUL, IPV LLL, MMR RL given 4/25/06. Mother called 4/27/06 states L leg size baseball. 4/26 today red, extending  toward knee. Referred to PMD which placed her on antibiotics. Told her a reaction. Dr contacted he stated the entire left upper legs involved he would not know which vaccine caused this (Dtap or IPV).
Age: 0.34
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Crying, Pyrexia
Clinical narrative: Prolonged crying (over 24 hours) onset within one hour of vaccine. Fever-onset in less than 24 hrs.
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Irritability, Rash morbilliform
Clinical narrative: Morbilliform rash 11 days past MMR, prodrome of irritability
Age: 1.76
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Left shoulder 5 x 5cm induration, red rxn, nonfluctuant.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Pallor, Syncope vasovagal
Clinical narrative: Vasovagal episode within 10 minutes of shots. Pallor, no SOB, no hives, pulse ox maintained at 98-100 in room air. Raised, red around IPV site, 8 hours later. No rash at D/C from office. 90 minutes was.
Age: 0.68
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia, Rash
Clinical narrative: Ant rash slightly raised face; mild pink rash arms, legs, upper back; abd not raised; no edema or redness at site of immunization. Slight temp. 99.6. Referred to see physician for rash, no other symptoms. Went to follow-up physician on 4/24/06.
Age: 2.0
Sex: M
Vaccine: DTAP, HBHEPB, HEPA, IPV, PNC
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Redness and swelling about the size of an egg, no fever, no SOB, behaves normally. DTaP and Comvax were given, IM left thigh, not possible to tell which one caused reaction. (I2 by 2hrs chemox1 yr)
Age: 7.0
Sex: F
Vaccine: DTAP, HEP, VARCEL
Symptoms: Coma, Restlessness, Sleep disorder, Staring, Tremor
Clinical narrative: Staring in space, couldn't answer teacher, high fever, trembling (no seizure activity), unable to sleep, restless, not "herself" until 3 days later.
Sex: F
Vaccine: DTAP
Symptoms: Dizziness, Fatigue, Injection site erythema, Injection site mass, Nausea
Clinical narrative: Vaccine given 4/10/2006, 2 days later redness, not to touch, 4x2cm induration, dizziness, fatigue, nausea, low grade fever.
Sex: F
Vaccine: DTAP
Symptoms: Pyrexia
Clinical narrative: Vaccine given 4/10/2006, 2 days later redness, not to touch, 4x2cm induration, dizziness, fatigue, nausea, low grade fever.
Age: 1.88
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema, Urticaria
Clinical narrative: Pt. given DTAP/HIB vaccine. Pt (per mom) had "large" red area at site of injection and diffuse urticaria within 30 minutes of vaccine. Resolved. No resp. distress. (This was a repeat vaccination due to concerns that our vaccines may have been as effective secondary to refrigerator storage issue). We followed recommendations of the state and the CDC. Rx: Decadron and Benadryl.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site inflammation
Clinical narrative: Rt deltoid red, inflamed, warm, approx 7cm afebrile
Age: 1.25
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Gait disturbance, Injection site erythema, Injection site oedema
Clinical narrative: Right thigh swollen, red, refused to bear weight gave Ibuprofen.
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Injection site reaction
Clinical narrative: Engerix-B given 5/1/06. Seen in office on 5/3/06. Developed site rxn few hours after vaccination.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Feeling hot, Injection site erythema, Injection site mass
Clinical narrative: 9 x 6.6cm area of erythema, warm and mild induration just distal to injection site in left arm. Antibiotics were prescribed for cellulitis.
Age: 51.0
Sex: M
Vaccine: MMR
Symptoms: Cough, Lymphadenopathy, Pharyngolaryngeal pain, Testicular disorder, Upper respiratory tract congestion
Clinical narrative: Reports sore throat, swollen glands in neck and pain in testicles, 7 days after receiving MMR vaccination. Symptoms lasted x 2 days. Then developed URI symptoms: nasal and chest congestion and cough.
Age: 48.0
Sex: F
Vaccine: HEPA, IPV, MEN, PPV, TYP, YF, HEPA, IPV, MNQ, PPV, TYP, HEPA, IPV, TYP, YF
Symptoms: Chills, Musculoskeletal stiffness, Pyrexia, Shoulder pain, Tremor
Clinical narrative: See vaccine schedule below.  48 hours after receiving YF and other vaccines on 5/1/06, and 4 hours after receiving Pneumovax and Menomune on 5/3/06, she developed shaking chills, and shoulder pain.  Today I received a phone message that she is hospitalized with fever 103 and stiff neck.
Age: 48.0
Sex: F
Vaccine: HEPA, IPV, MEN, PPV, TYP, YF, HEPA, IPV, MNQ, PPV, TYP, HEPA, IPV, TYP, YF
Symptoms: Abdominal pain upper, Chills, Hyperventilation, Injection site hypersensitivity, Injection site pain
Clinical narrative: See vaccine schedule below.  48 hours after receiving YF and other vaccines on 5/1/06, and 4 hours after receiving Pneumovax and Menomune on 5/3/06, she developed shaking chills, and shoulder pain.  Today I received a phone message that she is hospitalized with fever 103 and stiff neck.
Age: 48.0
Sex: F
Vaccine: HEPA, IPV, MEN, PPV, TYP, YF, HEPA, IPV, MNQ, PPV, TYP, HEPA, IPV, TYP, YF
Symptoms: Neck pain, Pain, Pyrexia, Rash, Tremor
Clinical narrative: See vaccine schedule below.  48 hours after receiving YF and other vaccines on 5/1/06, and 4 hours after receiving Pneumovax and Menomune on 5/3/06, she developed shaking chills, and shoulder pain.  Today I received a phone message that she is hospitalized with fever 103 and stiff neck.
Age: 48.0
Sex: F
Vaccine: HEPA, IPV, MEN, PPV, TYP, YF, HEPA, IPV, MNQ, PPV, TYP, HEPA, IPV, TYP, YF
Symptoms: Blood sodium decreased, Chills, Myalgia, Neck pain, Pyrexia
Clinical narrative: See vaccine schedule below.  48 hours after receiving YF and other vaccines on 5/1/06, and 4 hours after receiving Pneumovax and Menomune on 5/3/06, she developed shaking chills, and shoulder pain.  Today I received a phone message that she is hospitalized with fever 103 and stiff neck.
Age: 48.0
Sex: F
Vaccine: HEPA, IPV, MEN, PPV, TYP, YF, HEPA, IPV, MNQ, PPV, TYP, HEPA, IPV, TYP, YF
Symptoms: Tremor, White blood cell count increased
Clinical narrative: See vaccine schedule below.  48 hours after receiving YF and other vaccines on 5/1/06, and 4 hours after receiving Pneumovax and Menomune on 5/3/06, she developed shaking chills, and shoulder pain.  Today I received a phone message that she is hospitalized with fever 103 and stiff neck.
Age: 7.0
Sex: M
Vaccine: HEPA
Symptoms: Thrombocytopenic purpura
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of idiopathic thrombocytopenia purpura in a 7 year old male subject who was vaccinated with hepatitis A vaccine inactivated (Havrix) for prophylaxis. The subject had no pre existing medical conditions. There were no concurrent medications. On 4/14/2006 the subject received 1st dose of Havrix in the left arm (lot AHAVB090AA). On 5/1/2006, 17 days after vaccination with Havrix, the subject experienced idiopathic thrombocytopenia purpura. The subject was hospitalised and was treated with intravenous immunoglobulin. The healthcare professional considered the event was clinically significant or requiring intervention (OMIC). At the time of initial reporting, 5/2/2006, the event was ongoing. The healthcare professional considered the event to probably be related to vaccination with Havrix.
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Dizziness, Injection site erythema, Mental impairment, Pyrexia
Clinical narrative: Fever 103, cloudy mentation, dizziness and redness at site of immunization.
Age: 74.0
Sex: F
Vaccine: PPV, TD
Symptoms: Injection site erythema
Clinical narrative: Red rash on shoulder/arm/chest/back about 20 x 30cm, starting from injection site (TD).  None stated.
Age: 23.0
Sex: F
Vaccine: TD
Symptoms: Diarrhoea, Dizziness, Headache, Hypokinesia, Injection site induration
Clinical narrative: 04/26/06 am right arm site of injection warm to touch, pain, swollen at site of injection, 1/2 inch induration, unable to move arm. 4/26/06 pm body aches, nausea, dizzy, fever, diarrhea, headache. Pt also started oral Typhoid vaccination on 4/24/06 (1 dose).
Age: 23.0
Sex: F
Vaccine: TD
Symptoms: Injection site oedema, Injection site pain, Injection site warmth, Nausea, Pain
Clinical narrative: 04/26/06 am right arm site of injection warm to touch, pain, swollen at site of injection, 1/2 inch induration, unable to move arm. 4/26/06 pm body aches, nausea, dizzy, fever, diarrhea, headache. Pt also started oral Typhoid vaccination on 4/24/06 (1 dose).
Age: 23.0
Sex: F
Vaccine: TD
Symptoms: Pyrexia
Clinical narrative: 04/26/06 am right arm site of injection warm to touch, pain, swollen at site of injection, 1/2 inch induration, unable to move arm. 4/26/06 pm body aches, nausea, dizzy, fever, diarrhea, headache. Pt also started oral Typhoid vaccination on 4/24/06 (1 dose).
Age: 0.54
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Coma, Pyrexia, Vomiting
Clinical narrative: Fever 102.9C. decreased responsiveness x about 1 hr Morning after shots given. Vomited x 1 also.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site reaction
Clinical narrative: 5 year old vaccines given 5/3/06. DTaP and MMR given in left arm. On 5/4/06 child awoke with redness and edema of left deltoid where DTaP was administered. Treated with Augmentin and Tylenol.
Age: 0.78
Sex: F
Vaccine: HEP, IPV
Symptoms: Urticaria
Clinical narrative: Rash appeared approx 7 hours after IPV/Hep B. Urticarial rash diffuse over entire body. Parents deny any new foods, soaps, exposure etc.
Age: 1.18
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Injection site hypersensitivity, Injection site rash
Clinical narrative: Left thigh has local reaction to vaccine a redness and dime size rash around the local area of the thigh.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Asthenia, Dizziness, Eyelid oedema, Headache, Nausea
Clinical narrative: Headache, Leg weakness, facial and periorbital puffiness, fever 102 x 1d, nausea and dizziness.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Pyrexia, Swelling face
Clinical narrative: Headache, Leg weakness, facial and periorbital puffiness, fever 102 x 1d, nausea and dizziness.
Age: 40.0
Sex: F
Vaccine: MMR
Symptoms: Chest discomfort, Cough, Pharyngolaryngeal pain
Clinical narrative: Reports sore throat, tight chest and loose cough after MMR vaccination 2 days ago.
Age: 58.0
Sex: F
Vaccine: MMR
Symptoms: Face oedema, Fatigue, Hypokinesia, Pyrexia
Clinical narrative: Given MMR, 24 hours later developed fever, fatigue, swollen jaws, difficulty opening her mouth lasted 3 days.
Age: 0.34
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Crying, Screaming
Clinical narrative: Pt had Pediarix, Hib and Prevnar immunization today at 9:30am and has been screaming inconsolably for 3 hours. I spoke to dad at 4:30 and she had calmed down.
Age: 0.05
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site hypersensitivity, Injection site oedema, Tenderness
Clinical narrative: 1-2 days after injection increased swell, red, tender.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Gastroenteritis, Injection site hypersensitivity, Injection site oedema, Injection site pain
Clinical narrative: One day after arm increased red two day increase painful, swollen.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Injection site erythema, Injection site inflammation, Injection site mass, Injection site reaction
Clinical narrative: Dtap given 4/25/06 on 4/26/06 slight erythema at injection site, then on 4/27/06 more inflammation and much more erythema, heat with firm borders 10x12 cm, TX'D with OMNICEF 150mg BIS X 10D for cellulitis RXN to DTaP.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site warmth
Clinical narrative: Dtap given 4/25/06 on 4/26/06 slight erythema at injection site, then on 4/27/06 more inflammation and much more erythema, heat with firm borders 10x12 cm, TX'D with OMNICEF 150mg BIS X 10D for cellulitis RXN to DTaP.
Age: 1.07
Sex: F
Vaccine: MMR
Symptoms: Febrile convulsion
Clinical narrative: Patient had febrile seizure 8 days following MMR administration.
Age: 1.01
Sex: F
Vaccine: HIBV, MMRV, PNC
Symptoms: Pyrexia, Rash
Clinical narrative: Patient was brought into office for evaluation of a fever and rash. Fever developed 7 days following an MMRV vaccine and a rash developed 11 days following vaccine.
Age: 19.0
Sex: F
Vaccine: TD
Symptoms: Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Swelling at injection site, heat, rash on arm down to elbow.  Advised to see personal physician.  Initial report on 4/21/06.  At follow up call on 5/4/06 reports site still swollen, slight rash at injection site.  Did not seek medical help.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pyrexia, Swelling
Clinical narrative: Returned to office on 5/4/06 w/ elevated temperature.  Marked erythema and swelling of thigh, tense tissue, very tender.
Age: 33.0
Sex: M
Vaccine: SMALL
Symptoms: Anaemia, Blood creatine phosphokinase MB increased, Blood creatine phosphokinase increased, Catheterisation cardiac, Chest pain
Clinical narrative: Patient received Smallpox vaccination 04/21/2006 in left deltoid (Lot number 4020072) in anticipation of deployment. On 05/03/2006, he developed feverishness, increased left arm pain and pleuritic substernal chest pain. Evaluated at Clinic, then a hospital. Subsequently transferred to another hospital. Transferred again 05/04/2006.  5/11/06 Received medical records from initial hospital which reveal patient admitted with chest pain, right arm pain & elevated ST.  Dx w/MI & transferred for cardiac cath.6/6/06 Received medical records from 2nd hospital which reveal final dx of acute myopericarditis, serum reaction, allergic reaction, anemia, abnormal reaction to vaccine and PMH of testicular cancer.  Family hx reveals patient's father had MI. 6/19/06 Received medical records from HC.  No new diagnosis. Date of Update: 8 August 2006. An initial VAERS was filled on this patient from hospital in May 2006 reporting myocarditis following receipt of Hep B, SPV, and Typhoid vaccines. I am including a hospital Clinical Summary with his history, as well as his most recent Cardiology evaluations. Please feel free to contact the undersigned with any questions.
Age: 33.0
Sex: M
Vaccine: SMALL
Symptoms: Coronary artery disease, Echocardiogram abnormal, Ejection fraction decreased, Electrocardiogram ST segment elevation, Electrocardiogram abnormal
Clinical narrative: Patient received Smallpox vaccination 04/21/2006 in left deltoid (Lot number 4020072) in anticipation of deployment. On 05/03/2006, he developed feverishness, increased left arm pain and pleuritic substernal chest pain. Evaluated at Clinic, then a hospital. Subsequently transferred to another hospital. Transferred again 05/04/2006.  5/11/06 Received medical records from initial hospital which reveal patient admitted with chest pain, right arm pain & elevated ST.  Dx w/MI & transferred for cardiac cath.6/6/06 Received medical records from 2nd hospital which reveal final dx of acute myopericarditis, serum reaction, allergic reaction, anemia, abnormal reaction to vaccine and PMH of testicular cancer.  Family hx reveals patient's father had MI. 6/19/06 Received medical records from HC.  No new diagnosis. Date of Update: 8 August 2006. An initial VAERS was filled on this patient from hospital in May 2006 reporting myocarditis following receipt of Hep B, SPV, and Typhoid vaccines. I am including a hospital Clinical Summary with his history, as well as his most recent Cardiology evaluations. Please feel free to contact the undersigned with any questions.
Age: 33.0
Sex: M
Vaccine: SMALL
Symptoms: Hypersensitivity, Laboratory test abnormal, Left ventricular dysfunction, Left ventricular end-diastolic pressure increased, Myocarditis
Clinical narrative: Patient received Smallpox vaccination 04/21/2006 in left deltoid (Lot number 4020072) in anticipation of deployment. On 05/03/2006, he developed feverishness, increased left arm pain and pleuritic substernal chest pain. Evaluated at Clinic, then a hospital. Subsequently transferred to another hospital. Transferred again 05/04/2006.  5/11/06 Received medical records from initial hospital which reveal patient admitted with chest pain, right arm pain & elevated ST.  Dx w/MI & transferred for cardiac cath.6/6/06 Received medical records from 2nd hospital which reveal final dx of acute myopericarditis, serum reaction, allergic reaction, anemia, abnormal reaction to vaccine and PMH of testicular cancer.  Family hx reveals patient's father had MI. 6/19/06 Received medical records from HC.  No new diagnosis. Date of Update: 8 August 2006. An initial VAERS was filled on this patient from hospital in May 2006 reporting myocarditis following receipt of Hep B, SPV, and Typhoid vaccines. I am including a hospital Clinical Summary with his history, as well as his most recent Cardiology evaluations. Please feel free to contact the undersigned with any questions.
Age: 33.0
Sex: M
Vaccine: SMALL
Symptoms: Myopericarditis, Pain, Pain in extremity, Pericarditis, Pyrexia
Clinical narrative: Patient received Smallpox vaccination 04/21/2006 in left deltoid (Lot number 4020072) in anticipation of deployment. On 05/03/2006, he developed feverishness, increased left arm pain and pleuritic substernal chest pain. Evaluated at Clinic, then a hospital. Subsequently transferred to another hospital. Transferred again 05/04/2006.  5/11/06 Received medical records from initial hospital which reveal patient admitted with chest pain, right arm pain & elevated ST.  Dx w/MI & transferred for cardiac cath.6/6/06 Received medical records from 2nd hospital which reveal final dx of acute myopericarditis, serum reaction, allergic reaction, anemia, abnormal reaction to vaccine and PMH of testicular cancer.  Family hx reveals patient's father had MI. 6/19/06 Received medical records from HC.  No new diagnosis. Date of Update: 8 August 2006. An initial VAERS was filled on this patient from hospital in May 2006 reporting myocarditis following receipt of Hep B, SPV, and Typhoid vaccines. I am including a hospital Clinical Summary with his history, as well as his most recent Cardiology evaluations. Please feel free to contact the undersigned with any questions.
Age: 33.0
Sex: M
Vaccine: SMALL
Symptoms: Serum sickness, Troponin increased, Vaccination complication, Vaccination complication
Clinical narrative: Patient received Smallpox vaccination 04/21/2006 in left deltoid (Lot number 4020072) in anticipation of deployment. On 05/03/2006, he developed feverishness, increased left arm pain and pleuritic substernal chest pain. Evaluated at Clinic, then a hospital. Subsequently transferred to another hospital. Transferred again 05/04/2006.  5/11/06 Received medical records from initial hospital which reveal patient admitted with chest pain, right arm pain & elevated ST.  Dx w/MI & transferred for cardiac cath.6/6/06 Received medical records from 2nd hospital which reveal final dx of acute myopericarditis, serum reaction, allergic reaction, anemia, abnormal reaction to vaccine and PMH of testicular cancer.  Family hx reveals patient's father had MI. 6/19/06 Received medical records from HC.  No new diagnosis. Date of Update: 8 August 2006. An initial VAERS was filled on this patient from hospital in May 2006 reporting myocarditis following receipt of Hep B, SPV, and Typhoid vaccines. I am including a hospital Clinical Summary with his history, as well as his most recent Cardiology evaluations. Please feel free to contact the undersigned with any questions.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Abasia, Back pain, Encephalopathy, Gait disturbance, Headache
Clinical narrative: This healthy 22 year old reported receiving his primary Smallpox vaccination on 18 Feb 2006.  He reported experiencing typical flu like body aches and pains with a frontal headache (3/10 pain scale) the first week that resolved with use of Tylenol and rest. He stated his smallpox vaccine site had a "typical" reaction he was told to expect with the scab falling off about day 21-28. However after resolution of his "flu-like" symptoms he never "felt right".  He is unable to describe other than he just felt different.     On 10 April 2006 he reported to the reserve center where he noted he was unable to urinate.  He was sent to the hospital where he was catherized and admitted for evaluation. He also noted increased sensitivity to his right side (arm, abdomen, back) and to both legs with associated numbness and tingling.  He reported over the next few days he was nauseated, has 1-2 episodes of vomiting preferring not to eat due to feeling ill, and was "unable to walk as his balance and gait were off". To walk he required the use a cane and used the wall for support. He denied any pain, paralysis, shortness of breath, bowel incontinence/constipation, weakness to upper extremities or change in behavior/mentality. He was diagnosed with ADEM and treated with IV antibiotics, steroids and IVIG with resolution of these symptoms within a few days (bladder and gait problems).  He was placed in physical therapy for muscle retraining and strengthing and complaints of lower back pain 1-4/10.  On 11 April 2006 doctor consulted and referred this service member to the Vaccine Healthcare Center.     He contacted Vaccine Healthcare Center on 4 May 2006 upon returning home. He reported he was "almost normal" as he continues to have numbness and tingling with hypersensitivity to the skin along his right side (forearm and abdomen). He has no difficulty urinating and has full use of all extremities. He can walk without difficulty. He denied any shortness of breath, abdominal pain, incontinence/constipation/retention, or erectile dysfunction.  He does admit with questioning to some "fogginess" in his brain when answering questions. He described this as a delay in answering questions he wasn't aware of prior to his diagnosis of ADEM.