chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: TD
Symptoms: Hypokinesia, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: It was reported that a female pt received a TD vaccination on 4/13,99. Reportedly, on 4/14/99, she experienced redness, swelling and pain at the injection site and limited range of movement in the shoulder area. The pt was reportedly treated with Medrol pack, Tylenol and compresses by physician at office. Follw-up #1 - Attempted one-year follow-up letter was sent to reporter on 25-Apr-2001, letter was returned to sender "unable to forward." Attempted to call the provided phone number for the reporter on 21-May-2001 and again on 25-May-2001, no answer. Researched on Internet: telephone number of residential/unlisted. Attempts are exhausted. This case is closed.
Age: 60.0
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: It was reported that a female pt received a TD vaccine on 4/9/99 and reportedly, 2 days later, the pt experienced "swelling, redness and warmth to touch at the site of injection". The pt reportedly, went to the doctor. From additional information received on 5/17/99, it was reported that the pt recovered from this experience.
Age: 38.0
Sex: M
Vaccine: TD
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: It was reported that a male pt received a TD vaccine on 4/13/99 and reportedly, 2 days later, the pt experienced "swelling, redness and warm to the touch at the site of the injection". The pt went to the doctor and from additional information received on 5/17/99, it was reported that the pt recovered from this experience.
Age: 42.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: It war reported, "Employee was given TD 0.1 ml intradermally instead of intended Tubersol. Upon reporting for reading of Mantoux, employee was found to have large area of erythema and 26mm induration. Reader felt this may be due to incorrect med administration." Reportedly the pt recovered from this experience.
Sex: M
Vaccine: TD
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: It was reported "A physician called her (the reporter) stating a pt developed local reaction and dx'd it as cellulitis." From follow-up #1 correspondence returned on 7-May-2001, it was reported that the patient's recovery status is unknown. 'The MD's office filed a VAERS also.'
Age: 50.0
Sex: F
Vaccine: TD
Symptoms: Chest pain, Feeling hot, Injection site hypersensitivity, Pain, Swelling face
Clinical narrative: Two days post vax, the pt experienced scapular pain, chest pain on left side when she takes a deep breath, sensation of discomfort in throat on left side and puffiness, also redness and warmth at injection site.
Sex: M
Vaccine: TD
Symptoms: Neuritis
Clinical narrative: It was reported that a male pt received a TD vax on 4/7/99 and reportedly, the TD was administered in the pt's left deltoid. The pt developed brachial plexitis on left side. The pt was seen by a neurologist, who confirmed the dx.
Age: 41.0
Sex: M
Vaccine: TD
Symptoms: Injury, Insomnia, Pain
Clinical narrative: It was reported that a 41 year old male sustained a trampoline injury and was treated for a broken nose and stitches. The pt was given a TD booster in the right deltoid. Reportedly, the pt was fine until 6-7 days later, at which time he developed an intermittent pain in the right forearm; severe enough to awaken him during sleep at night. The pain is reportedly not subsiding.
Sex: U
Vaccine: TD
Symptoms: Malaise, Pain, Pallor, Pharyngitis, Pyrexia
Clinical narrative: It was reported that a pt received TD vaccine (1st dose in series) on 6/11/99. Reportedly on 6/12/99, the pt became pale and developed a fever, malaise and achy legs. From additional received on 6/22/99, it was reported MD stated ADR not vaccine related, stated pt had a throat infection. From follow-up #1 correspondence received on 4-May2003, the correct reporter infroamtion was provided. This case is closed.
Age: 78.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: It was reported that a female pt received a TD vaccination on 6/4/99. Reportedly, sometime after the vaccination, the pt developed cellulitis at the injection site. The pt was seen at a physician's office.
Age: 74.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Some time post vax, this pt developed cellulitis at the site of injection. The pt sought medical treatement.
Age: 30.0
Sex: M
Vaccine: TD
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: Forty-eight hours post vax, this pt developed a red swollen area at injection site.
Age: 40.0
Sex: F
Vaccine: TD
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: This pt developed a red swollen area at the injection site.
Age: 62.0
Sex: F
Vaccine: TD
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: This pt experienced a red swollen area at the injection site one week post vax.
Age: 35.0
Sex: M
Vaccine: MMR, TD
Symptoms: Injection site hypersensitivity, Injection site mass, Pruritus
Clinical narrative: Seven days post vax. this pt experienced redness, itching, and a hard nodule at the site of injection. *Follow-up report on 2/12/03: From add'l correspondence received on 7/30/99, add'l PT info. was provided. From follow-up #1 correspondence received on 5/7/01, it was reported that the PT cannot be identified. This case is closed. See reports U199900416 and U199900415, same reporter.
Age: 28.0
Sex: F
Vaccine: TD
Symptoms: Rash, Urticaria
Clinical narrative: Post vax, this pt developed a moderate skin rash and hives. *Follow-up report on 2/12/03: From add'l info. received on 8/5/99, it was reported that the PT received TD as a routine vaccination on the left deltoid IM. Add'l PT, vaccine and responsible MD info. was also provided. From follow-up #1 correspondence received on 5/14/01, it was reported that the PT recovered from this experience. This case is closed.
Age: 45.0
Sex: F
Vaccine: TD
Symptoms: Injection site hypersensitivity
Clinical narrative: It was reported that a 45 year old female received TD ADS Adult vaccine on 6/20/99 and reportedly, on 6/27/99, she experienced a large local reaction at the injection site that appears to be getting larger.
Sex: F
Vaccine: TD
Symptoms: Joint swelling, Pyrexia, Viral infection
Clinical narrative: Reportedly, on 7/21/99, the pt developed a fever of 102F and hands swollen at the joints. The pt was not evaluated by a physician, stated pt spoke with her physician and the physician stated over the phone that the pt has something viral in process.
Sex: U
Vaccine: TD
Symptoms: Injection site erythema, Lymphadenopathy
Clinical narrative: It was reported that a pt experienced redness at the injection site and swollen lymph nodes, sometime after receiving a TD vaccination. (No specifics were provided).
Sex: U
Vaccine: TD
Symptoms: Injection site erythema, Paraesthesia, Pruritus
Clinical narrative: It was reported that a pt received TD vaccine during the last week of July. Reportedly, sometime after the vaccination, the pt's arm turned red and became tingly and itchy at the injection site. From follow-up #1 telephone conversation on 21-May-2001, the correct reporter address was provided.
Age: 16.0
Sex: M
Vaccine: TD
Symptoms: Hypersensitivity, Urticaria
Clinical narrative: It was reported that a 16 year old male received TD Adult vaccine on 7/22/99. Reportedly, on 8/6/99, the pt returned to the office with a generalized urticarial reaction most extensive on legs. From additional information received on 9/23/99, additional physician information was provided.
Age: 43.0
Sex: F
Vaccine: HEP, HEPA, MMR, TD
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain
Clinical narrative: Reportedly 24 hours post vax, she developed a severe local reaction which was very red, swollen, and painful.
Age: 27.0
Sex: F
Vaccine: TD
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: Reportedly on 9/1/99, the pt experienced redness and hardness at the injection site on her left arm. The pt reportedly recovered from this experience.
Age: 27.0
Sex: F
Vaccine: TD
Symptoms: Injection site hypersensitivity, Injection site mass
Clinical narrative: Post vax, the pt experienced redness and hardness at the injection site of the left arm. *Follow-up report on 2/12/03: From add'l info. received on 9/24/99, it was reported, "This is an expected outcome with this particular vaccine, but not an adverse event. See attached. The 2 girls in question presented at the health center accompanied by their manager and she demanded I fill out this report, so I did." From add'l info. received on 10/4/99, it was reported that the PT recovered from this experience. From follow-up #1 correspondence returned on 5/7/01, no further info. was provided. This case is closed.
Age: 12.0
Sex: F
Vaccine: TD
Symptoms: Hypoaesthesia, Pain
Clinical narrative: On 8/18/99, the pt experienced pain on both of her legs and numbness below her knees. She also experienced numbness in her fingers bilaterally.
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: It was reported that a female pt received a TD Adult vaccine on 8/31/99. Reportedly, within 24 hours, the pt experienced swelling from shoulder to hand which was also red, hot and painful.
Age: 41.0
Sex: M
Vaccine: TD
Symptoms: Headache, Injection site erythema, Injection site pain, Malaise, Nausea
Clinical narrative: It was reported that a 41 year old male pt received a TD Adult vaccination on 9/8/99 and approximately 24 hours, post vax, he experienced soreness and redness at the injection site, headache, malaise and nausea.
Sex: U
Vaccine: TD
Symptoms: Pyrexia
Clinical narrative: It was reported, that a pt (1 of 2) received a TD vaccination. Reportedly, sometime after the vaccination, the pt experienced a high fever for 2 days. No specifics were provided.
Sex: U
Vaccine: TD
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: It was reported, that a pt (2 of 2) received a TD vaccination. Reportedly, sometime, post vax, the pt's arm became swollen and painful at the injection site. No specifics were provided.
Age: 0.3
Sex: F
Vaccine: DTP, TD
Symptoms: Injection site nodule, Injection site warmth
Clinical narrative: It was reported, "The pt, a 4 month old white female, was vaccinated on 7/23/99 with 3 vaccines of which only 2 were provided as DPT and TD. On 7/26/99 the pt's leg that had received 2 of the 3 vaccinations, developed a red bump at the injection site." "It was high and hard and warm to the touch." The reporter indicated that his physician had told him to take his sister to the ER room. No further information was provided." From correspondence received on 10/12/99, additional pt and responsible information was provided.
Age: 18.0
Sex: M
Vaccine: TD
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema
Clinical narrative: It was reported that an 18-year-old male received the TD vaccine on 8/23/99. At some point following the vaccination the patient experienced redness, swelling, and a hardness surrounding the injection site. From follow-up received on 5/15/01, it was reported, "no further information available regarding this patient of this case. " This case is closed.
Age: 33.0
Sex: F
Vaccine: TD
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema
Clinical narrative: It was reported that a 33-year-old female received the TD vaccine on 8/24/99. At some point following the vaccination the patient experienced redness, swelling, and a hardness surrounding the injection site. From follow-up received on 5/15/01, it was reported, "No further information available regarding this patient or this case." This case is closed.
Age: 36.0
Sex: F
Vaccine: LYME
Symptoms: Pruritus, Rash
Clinical narrative: Twelve hours post vax, the pt experienced a total body rash with itching. Treatment included Benadryl and prednisone. The reporting physician considered the events incapacitating. 15-day follow up received on 9/5/00 states the pt's past hx.
Age: 61.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Guillain-Barre syndrome
Clinical narrative: A physician reported that a 61 year old male received a dose of influenza virus vaccine in September, 1999. On 6/22/00 he was hospitalized. There a neurologist made a diagnosis of Guillain Barre syndrome, the pt was treated with Iv immunglobulin. The reporter indicated that he is not sure the neurologist's diagnosis is correct for Guillain Barre syndrome at this time. This report is of a serious labeled event.
Age: 0.4
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Pulmonary congestion, Sudden infant death syndrome
Clinical narrative: SIDS. Autopsy states congested pulmonary parenchyma
Age: 0.6
Sex: F
Vaccine: DTAP, HEP, IPV
Symptoms: Convulsion, Muscle spasms, Muscle twitching
Clinical narrative: The baby had just gotten done eating and she and I were playing and her face started twitching. This happened several times in a few seconds. Then she had a full body seizure and small facial spasms, thereafter. Immediately I called the MD and was advised to observe the baby and document the seizures. Between the time of the shot and the seizures was about 9 hours. She had 20 seizures by the time she was admitted to the hospital and several after that. A follow up report received 8/3/2000 adds: Consult report from neurologist received 7/26/2000. Seizures documented. Development subsequently is found to be NL, no recurrence of seizures. Advised to avoid pertussis vaccines. Neuro exam of 4/25/2000 NL, no meds for seizures.
Age: 1.25
Sex: M
Vaccine: DTAP, HEP, VARCEL
Symptoms: Autism, Convulsion, Injection site erythema, Pyrexia
Clinical narrative: The morning following vax, he had a large (2-3") hot red circle at injection site. The pt also experienced a fever of 101-102 followed by a seizure. He was taken to a nearby pediatricians office. He had another seizure since and now has autism. The annual follow-up states seizure disorder and autism.
Age: 0.25
Sex: M
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Agitation, Apnoea, Eye movement disorder, Hypotonia, Pallor
Clinical narrative: Approximately 4 hours after immunization, pt experienced severe crying, eyes rolling back, apnea, pallor, limpness, this reoccurred 2 hours later and pt was rushed to the hospital and admitted.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site reaction, Urticaria
Clinical narrative: Pt experienced a severe local reaction to the left thigh. Hives from 24 to 72 hours post injection on left and right leg.
Age: 35.0
Sex: F
Vaccine: ANTH
Symptoms: Alopecia, Asthenia, Hypoaesthesia, Muscular weakness, Myelitis transverse
Clinical narrative: Pt developed numbness, tingling, and weakness of the legs. Temporary loss of pedal dorsi-flexion bilaterally. She also had rash on face, arms, legs, and torso; along with hair loss. She was dx with transverse myelitis. 60 Day FU: continues numbness, rashes (periodic).
Age: 35.0
Sex: F
Vaccine: ANTH
Symptoms: Rash
Clinical narrative: Pt developed numbness, tingling, and weakness of the legs. Temporary loss of pedal dorsi-flexion bilaterally. She also had rash on face, arms, legs, and torso; along with hair loss. She was dx with transverse myelitis. 60 Day FU: continues numbness, rashes (periodic).
Sex: U
Vaccine: ANTH
Symptoms: Injection site cyst, Injection site mass
Clinical narrative: Pt experienced a lump on right arm where the vaccine was given. Pt had it cut it out because it was large and growing. Pt has other lumps as well. It was dx as as cyst.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Diarrhoea, Erythema, Fatigue, Oedema, Pain
Clinical narrative: Pt experienced burning in left arms since 2nd vaccination of Anthrax. The pt also experienced swelling, redness, diarrhea, and tired for 2 weeks.
Sex: F
Vaccine: ANTH
Symptoms: Dizziness, Fatigue, Myalgia, Pyrexia
Clinical narrative: The pt experienced fevers, chills, myalgias, extreme fatigue for 3 days starting 24 hours post vax. On second day, the pt experienced a pre-syncopal episode. Treated with Motrin. Symptoms resolved by day 5.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Headache, Influenza like illness, Injection site erythema, Injection site pain, Myalgia
Clinical narrative: Pt experienced a burning sensation at the injection site for 1 hour. 6-7 hours post vax pt experienced a fever, 7-9 hours post vax, the pt developed a headache, and fever was 102. Pt woke up on the following morning with sore muscles and flu like symptoms, a general skin rash (full body) with injection site red. Flu symptoms increased, and lasted over 2 weeks.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Pyrexia, Rash
Clinical narrative: Pt experienced a burning sensation at the injection site for 1 hour. 6-7 hours post vax pt experienced a fever, 7-9 hours post vax, the pt developed a headache, and fever was 102. Pt woke up on the following morning with sore muscles and flu like symptoms, a general skin rash (full body) with injection site red. Flu symptoms increased, and lasted over 2 weeks.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Cough, Headache, Malaise, Pyrexia
Clinical narrative: Pt experienced malaise, headache, fever, cough for 1 day post vax.
Age: 59.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Groin pain, Hypokinesia, Laboratory test abnormal, Neck pain
Clinical narrative: Joint pain in hips, groin, left shoulder, and both wrists.60 day follow-up dated 09/29/00 states the pt has pain in back of neck. Pain hampers walking and driving an automobile. The annual follow-up states neck pain, loss of flexibility in both wrists and weakness. Also, the right shoulder pain and much groin pain.
Age: 44.0
Sex: F
Vaccine: LYME
Symptoms: Influenza like illness, Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: One hour post vax, pt complained of flu-like symptoms, nausea, vomiting, body aches and fever lasting for 24 hours.
Age: 46.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Cough, Injection site oedema, Pyrexia
Clinical narrative: Pt experienced swelling of arm at injection site, fever, joint pain, cough for a week.
Age: 29.0
Sex: M
Vaccine: LYME
Symptoms: Musculoskeletal stiffness, Myalgia
Clinical narrative: Pt experienced muscle "tension" and pain. This has increased since the vaccination.
Age: 23.0
Sex: F
Vaccine: LYME
Symptoms: Headache, Hypoaesthesia, Neck pain, Pain, Pyrexia
Clinical narrative: About 40 minutes post vax, the pt developed shaking chills and suspected that she was running a fever. She noticed pain in her left arm and also the left side of the neck as well as a headache. She developed numbness or tingling in the left arm. There was not shortness of breath and no chest pain. she had not had any of this previously. She was seen at an ER and her treatment included an IV of normal saline, IV SoluMedrol, Benadryl, Zantac as well as Tylenol. She was afebrile by the time she left the ER. MD states this was an adverse reaction to Lyme vaccine.
Age: 23.0
Sex: F
Vaccine: LYME
Symptoms: Tremor
Clinical narrative: About 40 minutes post vax, the pt developed shaking chills and suspected that she was running a fever. She noticed pain in her left arm and also the left side of the neck as well as a headache. She developed numbness or tingling in the left arm. There was not shortness of breath and no chest pain. she had not had any of this previously. She was seen at an ER and her treatment included an IV of normal saline, IV SoluMedrol, Benadryl, Zantac as well as Tylenol. She was afebrile by the time she left the ER. MD states this was an adverse reaction to Lyme vaccine.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection, Rash
Clinical narrative: The child received the vax on 2/11/99. Mother called on 5/10/00 reported child with chicken pox with a count of 63 bumps. No fever, child started on 5/6/00.
Age: 1.0
Sex: F
Vaccine: DTAP, HBHEPB, IPV, MMR
Symptoms: Contusion, Erythema, Injection site reaction, Swelling, Vasodilation procedure
Clinical narrative: 56 inch diameter red and swollen area. Warm and tender to touch. 1 inch diameter faint black and blue mark at area of injection. Area was on leg. Treated with Tylenol and cold compresses.
Age: 1.75
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Injection site oedema
Clinical narrative: The pt received the vaccines on 6/5/00. The Father called the health department on 6/6/00 to report notable swelling of right leg where vax was given. The RN requested that the child be seen by a pediatrician. The MD diagnoses a "local reaction", swelling reported as heavy to calf and mid thigh of right leg. The RN contacted the mother on 6/8/00. The child's leg still described as swollen but decreasing in size. No other symptoms or complications at report date.
Age: 52.0
Sex: F
Vaccine: HEP
Symptoms: Rash, Urticaria
Clinical narrative: The pt experienced a rash, hives on torso that lasted for 4 days.
Age: 16.0
Sex: M
Vaccine: HEP, HIBV, TD, HEP, HIBV, TD
Symptoms: Alanine aminotransferase increased, Arthralgia, Blood disorder, Blood lactate dehydrogenase increased, Blood uric acid increased
Clinical narrative: The pt received his vaccines on 4/13/00 and returned to the MD's office on 4/17/00 with an urticarial rash, and was placed on Benadryl and Prednisone. He returned to the office on 4/18/00 at which time there was no rash, but he now had arthralgias of his knees, hips, elbows and shoulders. He was diagnosed with serum sickness and increased his Prednisone and added Ibuprofen. On 4/20/00 his joints were normal, but he again had urticaria. Meds were continued. On 4/22/00 the Prednisone was discontinued and on 4/24/00 he developed joint pain. The Prednisone was resumed. On 4/25/00 an urticarial rash was still present but his joint exam was normal. Prednisone will be tapered off over the next 3-4 days. By 5/12/00 the pt had developed a fever, vomiting and night sweats, URI symptoms.  The pt is having further evaluation by another MD. At this time it is not clear whether his medical problems were caused by any of the vaccines.
Age: 16.0
Sex: M
Vaccine: HEP, HIBV, TD, HEP, HIBV, TD
Symptoms: Night sweats, Pyrexia, Red blood cell sedimentation rate increased, Serum sickness, Upper respiratory tract infection
Clinical narrative: The pt received his vaccines on 4/13/00 and returned to the MD's office on 4/17/00 with an urticarial rash, and was placed on Benadryl and Prednisone. He returned to the office on 4/18/00 at which time there was no rash, but he now had arthralgias of his knees, hips, elbows and shoulders. He was diagnosed with serum sickness and increased his Prednisone and added Ibuprofen. On 4/20/00 his joints were normal, but he again had urticaria. Meds were continued. On 4/22/00 the Prednisone was discontinued and on 4/24/00 he developed joint pain. The Prednisone was resumed. On 4/25/00 an urticarial rash was still present but his joint exam was normal. Prednisone will be tapered off over the next 3-4 days. By 5/12/00 the pt had developed a fever, vomiting and night sweats, URI symptoms.  The pt is having further evaluation by another MD. At this time it is not clear whether his medical problems were caused by any of the vaccines.
Age: 16.0
Sex: M
Vaccine: HEP, HIBV, TD, HEP, HIBV, TD
Symptoms: Urticaria, Vomiting, White blood cell count increased
Clinical narrative: The pt received his vaccines on 4/13/00 and returned to the MD's office on 4/17/00 with an urticarial rash, and was placed on Benadryl and Prednisone. He returned to the office on 4/18/00 at which time there was no rash, but he now had arthralgias of his knees, hips, elbows and shoulders. He was diagnosed with serum sickness and increased his Prednisone and added Ibuprofen. On 4/20/00 his joints were normal, but he again had urticaria. Meds were continued. On 4/22/00 the Prednisone was discontinued and on 4/24/00 he developed joint pain. The Prednisone was resumed. On 4/25/00 an urticarial rash was still present but his joint exam was normal. Prednisone will be tapered off over the next 3-4 days. By 5/12/00 the pt had developed a fever, vomiting and night sweats, URI symptoms.  The pt is having further evaluation by another MD. At this time it is not clear whether his medical problems were caused by any of the vaccines.
Age: 16.0
Sex: M
Vaccine: HEP, HIBV, TD, HEP, HIBV, TD
Symptoms: Arthralgia, Autoimmune disorder, Blood lactate dehydrogenase increased, Blood uric acid increased, Crohn's disease
Clinical narrative: The pt received his vaccines on 4/13/00 and returned to the MD's office on 4/17/00 with an urticarial rash, and was placed on Benadryl and Prednisone. He returned to the office on 4/18/00 at which time there was no rash, but he now had arthralgias of his knees, hips, elbows and shoulders. He was diagnosed with serum sickness and increased his Prednisone and added Ibuprofen. On 4/20/00 his joints were normal, but he again had urticaria. Meds were continued. On 4/22/00 the Prednisone was discontinued and on 4/24/00 he developed joint pain. The Prednisone was resumed. On 4/25/00 an urticarial rash was still present but his joint exam was normal. Prednisone will be tapered off over the next 3-4 days. By 5/12/00 the pt had developed a fever, vomiting and night sweats, URI symptoms.  The pt is having further evaluation by another MD. At this time it is not clear whether his medical problems were caused by any of the vaccines.
Age: 16.0
Sex: M
Vaccine: HEP, HIBV, TD, HEP, HIBV, TD
Symptoms: Joint swelling, Lymphadenopathy, Night sweats, Pyrexia, Rash papular
Clinical narrative: The pt received his vaccines on 4/13/00 and returned to the MD's office on 4/17/00 with an urticarial rash, and was placed on Benadryl and Prednisone. He returned to the office on 4/18/00 at which time there was no rash, but he now had arthralgias of his knees, hips, elbows and shoulders. He was diagnosed with serum sickness and increased his Prednisone and added Ibuprofen. On 4/20/00 his joints were normal, but he again had urticaria. Meds were continued. On 4/22/00 the Prednisone was discontinued and on 4/24/00 he developed joint pain. The Prednisone was resumed. On 4/25/00 an urticarial rash was still present but his joint exam was normal. Prednisone will be tapered off over the next 3-4 days. By 5/12/00 the pt had developed a fever, vomiting and night sweats, URI symptoms.  The pt is having further evaluation by another MD. At this time it is not clear whether his medical problems were caused by any of the vaccines.
Age: 16.0
Sex: M
Vaccine: HEP, HIBV, TD, HEP, HIBV, TD
Symptoms: Red blood cell sedimentation rate increased, Serum sickness, Upper respiratory tract infection, Urticaria, Vasculitis
Clinical narrative: The pt received his vaccines on 4/13/00 and returned to the MD's office on 4/17/00 with an urticarial rash, and was placed on Benadryl and Prednisone. He returned to the office on 4/18/00 at which time there was no rash, but he now had arthralgias of his knees, hips, elbows and shoulders. He was diagnosed with serum sickness and increased his Prednisone and added Ibuprofen. On 4/20/00 his joints were normal, but he again had urticaria. Meds were continued. On 4/22/00 the Prednisone was discontinued and on 4/24/00 he developed joint pain. The Prednisone was resumed. On 4/25/00 an urticarial rash was still present but his joint exam was normal. Prednisone will be tapered off over the next 3-4 days. By 5/12/00 the pt had developed a fever, vomiting and night sweats, URI symptoms.  The pt is having further evaluation by another MD. At this time it is not clear whether his medical problems were caused by any of the vaccines.
Age: 16.0
Sex: M
Vaccine: HEP, HIBV, TD, HEP, HIBV, TD
Symptoms: Vomiting, Wegener's granulomatosis, White blood cell count increased
Clinical narrative: The pt received his vaccines on 4/13/00 and returned to the MD's office on 4/17/00 with an urticarial rash, and was placed on Benadryl and Prednisone. He returned to the office on 4/18/00 at which time there was no rash, but he now had arthralgias of his knees, hips, elbows and shoulders. He was diagnosed with serum sickness and increased his Prednisone and added Ibuprofen. On 4/20/00 his joints were normal, but he again had urticaria. Meds were continued. On 4/22/00 the Prednisone was discontinued and on 4/24/00 he developed joint pain. The Prednisone was resumed. On 4/25/00 an urticarial rash was still present but his joint exam was normal. Prednisone will be tapered off over the next 3-4 days. By 5/12/00 the pt had developed a fever, vomiting and night sweats, URI symptoms.  The pt is having further evaluation by another MD. At this time it is not clear whether his medical problems were caused by any of the vaccines.
Age: 1.7
Sex: F
Vaccine: DTAP, FLU3, HIBV, IPV
Symptoms: Thrombocytopenia, Thrombocytopenic purpura
Clinical narrative: The pt experienced idiopathic thrombocytopenic purpura. This started on 3/6/00 and the pt was first seen on 3/13/00. No treatment was given.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: R/O Chicken pox.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: The pt developed chicken pox.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: The pt was diagnosed with chicken pox.
Age: 0.3
Sex: F
Vaccine: DT
Symptoms: Agitation, Respiratory disorder
Clinical narrative: For 48 hours following vax, the infant had episodes about every 3 hours of having respiration's in which she would appear panicked, breath audibly and have retractions. She would then become more upset and start to cry and would fall asleep with exhaustion. Her breathing would then become normal. By 5:00 am on the following morning she had no further episodes.
Age: 48.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Feeling hot, Oedema, Pain
Clinical narrative: The pt experienced swelling, heat, redness and pain on 6/10/00. Seen in ER on 6/12/00. Treated with Keflex. On 6/13/00, the pt had a marked improvement.
Age: 1.0
Sex: M
Vaccine: HBHEPB, MMR
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: 2 days post vax, the pt developed an erythematous indurated lesion on the right thigh, no tenderness or itching. Most of leg is normal and the pt is walking well.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Abscess, Injection site hypersensitivity, Injection site mass, Injection site pain
Clinical narrative: Pt complained of red bump at site of IZ. Pt saw physician who noted a 2.5 cm lump under the skin with minimal erythema and tenderness. Dx was sterile abscess to be treated with warm compresses and ibuprofen.
Age: 0.3
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Injection site erythema
Clinical narrative: The child received vax on 6/29/00. Dad brought the child in with a 3 cm red swollen area to the left thigh. No fever, no site tenderness. Advised to apply cold compress to area and symptoms should decrease in 24 to 48 hours.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Convulsion
Clinical narrative: The pt experienced an absence (petit mal) seizure disorder within two weeks of vax.
Age: 1.0
Sex: M
Vaccine: HIBV, IPV, VARCEL
Symptoms: Rash
Clinical narrative: The pt's mother called on 6/22/00 at 1:10 PM. Her son had developed red bumps on his chest and abdomen. No other symptoms or problems noted. The pt was immunized the day prior. On 6/23/00 a follow up call was made and rash was reported as being better, no other problems.
Age: 1.6
Sex: M
Vaccine: DTAP, HEP, HIBV, OPV
Symptoms: Malaise, Pyrexia, Tachypnoea
Clinical narrative: The pt experienced tachypnea, sick, fever of 103 - 104 for several days.
Age: 3.5
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: Mom called on 5/27/00 to report that the pt experienced erythema, swelling and a hard lump at the site of injection. The swelling extended to involve much of the upper leg.
Age: 38.0
Sex: M
Vaccine: YF
Symptoms: Hypoaesthesia, Musculoskeletal stiffness, Pain
Clinical narrative: On 6/7/00, the pt experienced severe pain to left arm, extremely tight muscles on left shoulder. On 6/7 and 6/8, the pt's MD prescribed pain killers and muscle relaxers, with no response. On 6/9/00 a different meds were prescribed, this time some minor relief occurred. On 6/10/00, the pt's left thumb began feeling numb. On 6/12/00, the pt made an appt with a military facility.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Pyrexia, Rash vesicular
Clinical narrative: The pt experienced a typical varicella rash with vesicles, papules and crusts. The pt also experienced a fever.
Age: 55.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Oedema, Pruritus
Clinical narrative: On 6/20/00, the pt woke up with redness and itching. The symptoms then progressed into swelling to large sized approximately 60 x 70 mm. No systemic reactions.
Age: 16.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Hyperhidrosis, Pallor, Syncope, Tachycardia
Clinical narrative: The pt became very faint, pale, diaphoretic, tachycardic. This episode lasted approximately 3-5 minutes.
Age: 51.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site warmth, Pyrexia
Clinical narrative: Following the vax, the pt experienced a hard, red, raised area on the right arm at the site of injection. This was hot to the touch and tender. The pt also experienced intermittent fever and chills. On exam on 6/19/00, the area remains hard, red, and tender. Measures 5 1/2 x 3 1/2.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Pyrexia
Clinical narrative: History of fever of 104 within 4-5 hours post vax. Remained elevated for 4-5 hours and returned to normal.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Pain, Swelling
Clinical narrative: 24-48 hours post vax, the pt developed right arm redness and swelling down to the elbow; hot and tender.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Skin ulcer
Clinical narrative: Pt developed 10-20 skin lesions. He was afebrile.
Age: 12.0
Sex: M
Vaccine: DT
Symptoms: Pain, Skin discolouration, Vasculitis
Clinical narrative: On 6/14/99, the pt awoke with pain and inflammation with red/purple dime sized areas on the balls of both feet. Examined by physician and dx with significant vasculitis involving the metatarsal region of both feet; possible serum sickness. Treated with Trentil for 4 weeks, rest, and Motrin.
Age: 11.0
Sex: F
Vaccine: HEP, MMR, TD
Symptoms: Injection site erythema
Clinical narrative: 1 x 2 cm erythema and welt at injection site.
Age: 27.0
Sex: F
Vaccine: TD
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Myalgia, Pyrexia
Clinical narrative: Post vax, the pt developed a mild fever and diffuse myalgias. She also developed significant local edema with erythema/pruritus. 72 hours post vax, the pt developed 5-6 cm diameter area of induration, erythema, and warmth around injection site.
Age: 27.0
Sex: F
Vaccine: TD
Symptoms: Vasodilatation
Clinical narrative: Post vax, the pt developed a mild fever and diffuse myalgias. She also developed significant local edema with erythema/pruritus. 72 hours post vax, the pt developed 5-6 cm diameter area of induration, erythema, and warmth around injection site.
Age: 14.0
Sex: F
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: Hives
Age: 47.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia
Clinical narrative: Generalized arthralgias-NSAIDS
Age: 17.0
Sex: M
Vaccine: HEP
Symptoms: Paraesthesia
Clinical narrative: Left arm paresthesia on/off, post vax; full strength in left arm.
Age: 17.0
Sex: F
Vaccine: MEN
Symptoms: Convulsion, Hypoxia, Injury, Orthostatic hypotension, Syncope
Clinical narrative: Approximately 5 minutes, post vax, pt fainted and struck her left temple on the floor. She then had clonic/tonic type seizure. She was revived with ammonia inhalant. Pt was seen by PMD and he felt that the seizure was related to hypoxia, secondary to orthostatic hypotension from fainting; not vaccine related.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Hypokinesia, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: On 6/21/00, left arm began to swell from shoulder to hand and including hand; also, had redness in tricep area but not red on 6/22/00. Difficulty lifting arm up over head or bending at elbow. Upper arm "tight" with swelling and painful. Afebrile. MD checked child on 6/22/00 at 09:00.
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: 2" redness and swelling. Pt complained of itching.
Age: 1.25
Sex: M
Vaccine: HIBV, MMR
Symptoms: Convulsion, Electroencephalogram abnormal
Clinical narrative: Pt developed seizures x 3; the third seizure was stopped by rectal valium after approximately 5 minutes. Pt admitted to ICU. Started on phenobarbital.
Age: 51.0
Sex: M
Vaccine: TD
Symptoms: Hyperhidrosis, Injection site erythema, Injection site pain, Pain, Pyrexia
Clinical narrative: It was reported that a 51 year old male received a TD on 9/20/99. On 9/21/99, the pt experienced a fever, achiness and a local reaction of redness and soreness at the site along with sweats. Pt was told to take Benadryl and apply ice to the site. From correspondence received on 10/4/99, it was reported that the pt recovered from this experience.
Age: 30.0
Sex: F
Vaccine: TD
Symptoms: Arthralgia, Arthritis, Cellulitis, Erythema multiforme, Eye swelling
Clinical narrative: On 5/20/99, the pt experienced pain, swelling and erythema. Ibuprofen was given and hot packs as treatment. On 5/21/99, the pt had arthralgias, whelps on trunk of body and extremities. The pt went to the ER and was dx'd with cellulitis and treated with Keflex and Zyrtec. On 6/8/99, the pt had a headache, facial swelling, whelps on skin and arthritis, dx of possible erythema multiforme. On 6/10/99, the pt received prednizone as treatment. On 6/13/99, the pt had swelling of eyes, lips and throat. The pt again went to ER and was given Solu-Medrol, Atarax and continued prednisone. As of 6/14/99, the pt is receiving prednisone tapering and hydrocyzine. On 7/22/99, the pt had a rash. The next day, the pt had swelling around eyes, itching of hands and fingers. On 7/25/99, the pt had rash on trunk and extremities, with joint aching in areas of rash, treated with Allegra. On 8/8/99, the symptoms reoccurred; tapering of prednisone, Atarax and Allegra was given. On 8/10/99, plans for referral of pt to allergist.
Age: 30.0
Sex: F
Vaccine: TD
Symptoms: Face oedema, Headache, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: On 5/20/99, the pt experienced pain, swelling and erythema. Ibuprofen was given and hot packs as treatment. On 5/21/99, the pt had arthralgias, whelps on trunk of body and extremities. The pt went to the ER and was dx'd with cellulitis and treated with Keflex and Zyrtec. On 6/8/99, the pt had a headache, facial swelling, whelps on skin and arthritis, dx of possible erythema multiforme. On 6/10/99, the pt received prednizone as treatment. On 6/13/99, the pt had swelling of eyes, lips and throat. The pt again went to ER and was given Solu-Medrol, Atarax and continued prednisone. As of 6/14/99, the pt is receiving prednisone tapering and hydrocyzine. On 7/22/99, the pt had a rash. The next day, the pt had swelling around eyes, itching of hands and fingers. On 7/25/99, the pt had rash on trunk and extremities, with joint aching in areas of rash, treated with Allegra. On 8/8/99, the symptoms reoccurred; tapering of prednisone, Atarax and Allegra was given. On 8/10/99, plans for referral of pt to allergist.
Age: 30.0
Sex: F
Vaccine: TD
Symptoms: Pharyngeal oedema, Pruritus, Swelling face, Urticaria
Clinical narrative: On 5/20/99, the pt experienced pain, swelling and erythema. Ibuprofen was given and hot packs as treatment. On 5/21/99, the pt had arthralgias, whelps on trunk of body and extremities. The pt went to the ER and was dx'd with cellulitis and treated with Keflex and Zyrtec. On 6/8/99, the pt had a headache, facial swelling, whelps on skin and arthritis, dx of possible erythema multiforme. On 6/10/99, the pt received prednizone as treatment. On 6/13/99, the pt had swelling of eyes, lips and throat. The pt again went to ER and was given Solu-Medrol, Atarax and continued prednisone. As of 6/14/99, the pt is receiving prednisone tapering and hydrocyzine. On 7/22/99, the pt had a rash. The next day, the pt had swelling around eyes, itching of hands and fingers. On 7/25/99, the pt had rash on trunk and extremities, with joint aching in areas of rash, treated with Allegra. On 8/8/99, the symptoms reoccurred; tapering of prednisone, Atarax and Allegra was given. On 8/10/99, plans for referral of pt to allergist.
Sex: M
Vaccine: TD
Symptoms: Injection site inflammation, Injection site pain
Clinical narrative: The same day of vaccination, the pt experienced inflammation and tenderness. On 9/28/99, the pt reports area still sore to the touch with pain in back and down arm, especially when lifting objects. It was reported that are unable to obtain further information on phone call.
Age: 32.0
Sex: M
Vaccine: TD
Symptoms: Coordination abnormal, Disorientation, Injection site hypersensitivity, Injection site mass, Injection site pain
Clinical narrative: 6-8 hours post vax, the pt developed injection site erythema, induration, pain, itching hives around neck, general malaise, myalgia, fever, disorientation, and mild ataxia. Treated with Benadryl and Tylenol. Recovered within 24 hours.
Age: 32.0
Sex: M
Vaccine: TD
Symptoms: Malaise, Myalgia, Pyrexia, Urticaria
Clinical narrative: 6-8 hours post vax, the pt developed injection site erythema, induration, pain, itching hives around neck, general malaise, myalgia, fever, disorientation, and mild ataxia. Treated with Benadryl and Tylenol. Recovered within 24 hours.
Age: 59.0
Sex: F
Vaccine: FLU3, HIBV, TD
Symptoms: Injection site hypersensitivity
Clinical narrative: On 10/8/99, the pt's right deltoid and right upper inner arm was red with a whelp. The symptoms persisted for seven days. Treated with Claritan.
Age: 13.0
Sex: M
Vaccine: HIBV, TD
Symptoms: Pyrexia
Clinical narrative: It was reported that a male patient received a TD vaccination on 10/27/99. Approximately 16 hours post vaccination the pt developed a transient fever. Correspondence received 12/1/99, provided complete patient and phsyician data and stated that the patient has recovered from the reaction. This case is closed.
Age: 14.0
Sex: F
Vaccine: HEP, TD
Symptoms: Anaphylactic reaction, Dehydration, Headache, Vomiting
Clinical narrative: Same day post vax, the pt experienced a severe headache and vomiting. The reportedly went into anaphylaxis. Pt became dehydrated and was admitted to the ER. Physician prescribed Alleve.
Age: 47.0
Sex: F
Vaccine: TD
Symptoms: Injection site hypersensitivity, Pruritus
Clinical narrative: One day post vax, this pt experienced a "reddened area 5 cm x 3 cm at injection site. Also itching noted from left arm." The pt recovered.
Age: 74.0
Sex: F
Vaccine: TD
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Vasodilation procedure
Clinical narrative: One day post vax, this pt presented complaining of redness, swelling, and warmth around injection site - right deltoid. Right arm edematous, right arm warm to touch, erythematous and indurated at injection site. She recovered.
Age: 14.0
Sex: M
Vaccine: TD
Symptoms: Paraesthesia
Clinical narrative: Immediately post vax, this pt reportedly developed tingling in his left hand.
Age: 53.0
Sex: F
Vaccine: TD
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: Two weeks post vax, this pt had a delayed local reaction of redness and swelling. He recovered.
Age: 78.0
Sex: F
Vaccine: TD
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: Seven days post vax, this pt reported a delayed localized reaction of redness and swelling. She recovered.
Age: 43.0
Sex: F
Vaccine: TD
Symptoms: Injection site hypersensitivity
Clinical narrative: Three days post vax, this pt reported having a wheal of 2 inches at the site and erythema of 6-8 inches at the injection site.
Age: 54.0
Sex: F
Vaccine: TD
Symptoms: Injection site hypersensitivity
Clinical narrative: Two days post vax, this pt reported having a wheal of 2 inches and erythema 6-8 inches at injection site.
Age: 59.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Oedema peripheral, Pyrexia
Clinical narrative: Three days post vas, this pt developed cellulitis, a temperature of 99.3 F and swelling of the left upper arm and elbow.
Age: 37.0
Sex: F
Vaccine: TD
Symptoms: Chest discomfort, Cough
Clinical narrative: Sixty minutes post vax, this pt developed coughing and tightness in the chest. She was pretreated with antihistamines the day before and treated with epinephrine and albuterol inhaler post immunization. The physician reportedly feels that the adverse reaction is latex related.
Age: 29.0
Sex: M
Vaccine: TD
Symptoms: Cellulitis
Clinical narrative: One day post vax, this pt was dxed with cellulitis per ER physician. He was on antibiotics for 2 weeks and sick in bed for one week.
Age: 35.0
Sex: F
Vaccine: TD
Symptoms: Muscle rigidity, Tetany
Clinical narrative: The same day post vax, this pt experienced acute tetany, and her whole body went ridged. The pt was sent to the ER. As of 01/31/00, the pt had recovered.
Age: 48.0
Sex: F
Vaccine: TD
Symptoms: Hypoaesthesia
Clinical narrative: Four to five hours post vax, this pt developed numbness and tingling in the deltoid, thumb and first finger. Reportedly these symptoms are still occurring.
Age: 16.0
Sex: F
Vaccine: HEP, TD, HEP, TD
Symptoms: Hypoaesthesia
Clinical narrative: On 2/23/00, the pt experienced numbness and tingling in her face. A physician did not evaluate her.
Age: 16.0
Sex: F
Vaccine: HEP, TD, HEP, TD
Symptoms: Paraesthesia
Clinical narrative: On 2/23/00, the pt experienced numbness and tingling in her face. A physician did not evaluate her.
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection, Pyrexia
Clinical narrative: On 1/14/00, the pt presented with chickenpox that consisted of "scattered pink papules including vesicles on neck, torso, and lower extremities, and a temperature of 104F." Medical intervention was required in the form of treatment with calamine, camphor, pramoxine hydrochloride (Aveeno). Additional information has been requested.
Age: 1.3
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection, Pruritus, Pyrexia
Clinical narrative: On 1/5/00, the pt experienced chickenpox. There were 72 pos throughout the body. The pox were not very large or pus-filled. They were mildly itchy. She also had a low-grade fever. On 1/10/00, the pt recovered from chickenpox.
Age: 1.6
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: On 1/16/00, the pt developed a "rash on her trunk, neck, arms and legs. The lesions were widespread but were not counted. The pt had a low-grade fever. On 1/18/00, it was reported that the pt is better today with no new lesions." The pt sought unspecified medical attention. Additional information has been requested.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Pruritus
Clinical narrative: On 1/15/00, the pt developed a generalized, red, blistered, itchy rash with scabs all over the body. On approximately 1/28/00, the pt recovered from his experience.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: On 1/18/00, the pt was dx'd with chickenpox. Unspecified medical attention was sought. Follow-up information reported that the pt subsequently, recovered.
Age: 22.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Laboratory test abnormal
Clinical narrative: Information has been received from a 22 year old female who in 1995 was vaccinated with the 1st and 2nd doses of varicella virus vaccine live. In 1995 and May, 1999, laboratory evaluation revealed a lack of response. No further information is available.
Age: 2.0
Sex: U
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Information has been received from a NP concerning a 2 year old pt who in about 1998 at the age of 12 month old was vaccinated with varicella virus vaccine live. On 12/26/99, the pt developed chickenpox. It was reported that the pt has 150 lesions and is still getting 4-5 new ones each day. Additional information has been requested.