chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 42.0
Sex: F
Vaccine: MEN, YF, YF
Symptoms: Fatigue, Headache, Lumbar puncture, Malaise, Meningitis aseptic
Clinical narrative: Initial report received on 15 April 2009 from a pharmacist. A 42 year old female patient, who has no known allergies, a history of hepatitis B infection, and medical conditions of SJOGREN's syndrome, hypothyroidism, and hyperlipidemia, had received on 08 April 2009 in preparation for future travel a first intramuscular injection of YF-VAX (lot number and site of administration unknown), and an intramuscular injection of a meningococcal vaccine (Trade name, manufacturer name and site of administration unknown). The subject was taking ZOCOR, ZANTAC, Levothyroxine and Belladonna (indication not reported) at the time of the vaccinations. Three days post-vaccination, the patient experienced fever with chills and sweating (lasting four days), generalized malaise, nausea, pain in all joints (without erythema or swelling), congestion with slight dry cough, neck pain, facial pain, headache and transaminitis. The patient was subsequently hospitalized (date not reported) for one day and received treatment with intravenous fluids, MOTRIN, ZOFRAN, and Ketorolac. Diagnostic testing included a CAT scan of the head without contrast, CAT scan of the abdomen, chest x-ray, blood cultures, urine cultures, urinalysis and lumbar puncture. The results of the tests were not reported except for the urine culture and chest x-ray which were normal. Diagnostic laboratory data revealed, ALK Phos 204, AST 122, ALT 201, WBC 4.6, neutrophil 84%, lymph 14%, ANC 3.8, ESR 30, and CRP 52. The patient recovered (date not reported). The diagnosis was viral syndrome versus "YF-VAX." Documents held by sender: None.  6/3/09 MR received for DOS 4/15-16/09 with D/C DX:  Fever NOS and ER record 4/14/09 with dx: fever-sinusitis/viral syndrome. Pt initially presented on 4/14/09 with c/o frontal H/A, neck pain, cough, joint pain and vomiting x 3 days. Recent travel to Africa.  Already on abx from PMD for suspected sinus inf. To ER with worsening sx. Tx with IVF and abx and d/c.  Returned next day with abd pain, photophobia, nausea, rigors, chills and mild facial swelling. Febrile and tachy in ER. PE (+) for abd tendernes of RUQ. Admitted for eval and d/c next day. ICD9:3393-Drug induced H/A.  E9493 YF Vax causing adverse effects in therapeutic use. 07999Y Unspecified viral infection.
Age: 42.0
Sex: F
Vaccine: MEN, YF, YF
Symptoms: Nausea, Pyrexia, Transaminases increased, Vaccination complication, Vomiting
Clinical narrative: Initial report received on 15 April 2009 from a pharmacist. A 42 year old female patient, who has no known allergies, a history of hepatitis B infection, and medical conditions of SJOGREN's syndrome, hypothyroidism, and hyperlipidemia, had received on 08 April 2009 in preparation for future travel a first intramuscular injection of YF-VAX (lot number and site of administration unknown), and an intramuscular injection of a meningococcal vaccine (Trade name, manufacturer name and site of administration unknown). The subject was taking ZOCOR, ZANTAC, Levothyroxine and Belladonna (indication not reported) at the time of the vaccinations. Three days post-vaccination, the patient experienced fever with chills and sweating (lasting four days), generalized malaise, nausea, pain in all joints (without erythema or swelling), congestion with slight dry cough, neck pain, facial pain, headache and transaminitis. The patient was subsequently hospitalized (date not reported) for one day and received treatment with intravenous fluids, MOTRIN, ZOFRAN, and Ketorolac. Diagnostic testing included a CAT scan of the head without contrast, CAT scan of the abdomen, chest x-ray, blood cultures, urine cultures, urinalysis and lumbar puncture. The results of the tests were not reported except for the urine culture and chest x-ray which were normal. Diagnostic laboratory data revealed, ALK Phos 204, AST 122, ALT 201, WBC 4.6, neutrophil 84%, lymph 14%, ANC 3.8, ESR 30, and CRP 52. The patient recovered (date not reported). The diagnosis was viral syndrome versus "YF-VAX." Documents held by sender: None.  6/3/09 MR received for DOS 4/15-16/09 with D/C DX:  Fever NOS and ER record 4/14/09 with dx: fever-sinusitis/viral syndrome. Pt initially presented on 4/14/09 with c/o frontal H/A, neck pain, cough, joint pain and vomiting x 3 days. Recent travel to Africa.  Already on abx from PMD for suspected sinus inf. To ER with worsening sx. Tx with IVF and abx and d/c.  Returned next day with abd pain, photophobia, nausea, rigors, chills and mild facial swelling. Febrile and tachy in ER. PE (+) for abd tendernes of RUQ. Admitted for eval and d/c next day. ICD9:3393-Drug induced H/A.  E9493 YF Vax causing adverse effects in therapeutic use. 07999Y Unspecified viral infection.
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Febrile convulsion
Clinical narrative: This serious case was received on 20 April 2009 from another manufacturer whose initial reporter was a consumer. A male patient (age not provided) received Diphtheria, Tetanus, Polio, Acellular Pertussis and Hib vaccine. The manufacturer and lot number were not known. Post vaccination, the patient experienced a febrile seizure (date not provided). Recovery status and details regarding the event were not provided. No further information was reported. List of documents held by sender: none.
Age: 69.0
Sex: M
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: No adverse effects.  Received the Tdap vaccination and current age is 69 years.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash generalised, Rash morbilliform
Clinical narrative: DEVELOPED FEVER ON 4/23/09. TOTAL BODY RASH(MORBILIFORM) DEVELOPED ON OR ABOUT 4/24/09.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, DTAPIPVHIB, PNC, RV5
Symptoms: Wrong drug administered
Clinical narrative: On 4/22/08 Client received both Pentacel (DTaP, IPV, HIB) and Pediarix (DTaP, IPV, Hep B) at the same visit.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Abnormal behaviour, Irritability
Clinical narrative: Patient was very irritable and "not himself" for a duration of 3 days after administration of the second dose of Hep A vaccine.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: None.  Patient recieved four doses of Anthrax between the dates of 02-JUN-08 and 06-AUG-08.
Age: 48.0
Sex: M
Vaccine: PPV
Symptoms: Arthralgia, Chills, Hyperhidrosis, Insomnia, Oedema peripheral
Clinical narrative: COULD NOT SLEEP AT ALL, JOINT PAIN, SWEATS, CHILLS, SWOLLEN ARM
Age: 5.0
Sex: F
Vaccine: DTAP, HEP, HEPA, VARCEL
Symptoms: Disorientation, Hyperhidrosis, Syncope
Clinical narrative: collapse, profuse sweating, disoriented for 10 minutes
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Within 4 hours of Tdap and Varivax administration, patient experienced redness,itching,and swelling of Left upper arm.Mom applied cool compresses and gave Benadryl over the weekend and then came to the office about 72 hours later.
Age: 1.0
Sex: M
Vaccine: HEPA, IPV, PNC
Symptoms: Injection site urticaria, Urticaria
Clinical narrative: About 10 minutes after IPV,Prevnar and Hep A given, child developed 3-4cm hive on right wrist and 2 smaller hives on back and chest.Wheals noted at all 3 injection sites,3-4 cm each. No wheezing,tachypnea or facial swelling. Benadryl 12.5mg given po. Twenty five minutes later,hives resolved. Wheal at polio and Hep A injection site approx 1/2cm. Prevnar site approx.2cm. Child discharged home.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Computerised tomogram, Convulsion
Clinical narrative: seizure activity taken by ambulance to hospital 18 hours after vaccine given.  Patient has no previous events of seizures ever.  5/4/09 MR received for 2 ER visits 11/20/08 and 11/21/08 with DX: Seizure.  Pt with no PMH found unresponsive at school with seizure activity.  Initially found to be post-ictal on arrival by EMS andransported. Continued seizure activity of shaking all over in EMS. Pt unresponsive to painful stim. Upon arrival to ER pt crying and yelling, tachycardic, now drawing back from pain.  Later to baseline and d/c. Returned 11/21/08 with c/o multiple episodes of seizure at home. Also c/o h/a.  PE WNL by arrival. D/C for outpt f/u. 5/12/09 Neuro consult received dated 2/17/09 with Impression: Hx c/w Partial Complex Epilepsy of the left frontal or temporal lobe.. Pt seen for eval of ?epilepsy and headaches. Pt had 2 spells, one in april 2008 where pt passed out and fell while running.  Afterwards, unable to speak x 1 hr then crying and sleepy. In 11/2008 episode of seizure-like activity as above. Started on Trileptal following EEG with a "spark on it".  To be sent for repeat EEG. ENT consult for chronic mastoidititis/sinusitis. PE tube placed 2' to R effusion.
Age: 37.0
Sex: F
Vaccine: TD
Symptoms: Facial pain, Headache, Hypoaesthesia facial, Injection site pain, Neurological examination
Clinical narrative: PATIENT HAD VACCINE ON 4/21/2009AM, CAME BACK ON 4/22/09PM AND WAS COMPLAINING OF PAIN AROUND THE INJECTION SITE, LEFT HAND TINGLING, LEFT SIDE OF FACE PAIN AND OVER LEFT SIDE OF NECK. DOCTOR ADVISE OVER THE COUNTER MOTRIN AND BENEDRYL EVERY EIGHT HOUR AND TO GO TO E.R IF NOT BETTER.PATIENT CAME BACK ON 4/25/09PM NOT FEELING ANY BETTER COMPLAINING OF LEFT ARM PAIN X 3DAYS, LEFT SIDE OF FACE NUMB, AND HEAD HURTS. DOCTOR SAID NOT INFECTION, REDNESS OR INDURATION. DR.  REFEERED FOR C-SPINE X-RAY AND NEUROLOGIST.
Age: 37.0
Sex: F
Vaccine: TD
Symptoms: Pain in extremity, Paraesthesia
Clinical narrative: PATIENT HAD VACCINE ON 4/21/2009AM, CAME BACK ON 4/22/09PM AND WAS COMPLAINING OF PAIN AROUND THE INJECTION SITE, LEFT HAND TINGLING, LEFT SIDE OF FACE PAIN AND OVER LEFT SIDE OF NECK. DOCTOR ADVISE OVER THE COUNTER MOTRIN AND BENEDRYL EVERY EIGHT HOUR AND TO GO TO E.R IF NOT BETTER.PATIENT CAME BACK ON 4/25/09PM NOT FEELING ANY BETTER COMPLAINING OF LEFT ARM PAIN X 3DAYS, LEFT SIDE OF FACE NUMB, AND HEAD HURTS. DOCTOR SAID NOT INFECTION, REDNESS OR INDURATION. DR.  REFEERED FOR C-SPINE X-RAY AND NEUROLOGIST.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Dyskinesia, Feeling cold, Gaze palsy, Pain in extremity, Pallor
Clinical narrative: Patient seated on a chair in exam room one with mother and younger brother present. Patient given HPV, Tdap, and Menactra vaccines at 4 pm by RNs. Patient chatted following the vaccine, said her arms really hurt, and was encouraged to move her arms using a small stacking toy, which she did. I discussed with patient's mom the vaccines and providing Tylenol/Advil to patient as needed. Toy suddenly fell onto the floor; patient's head leaned back against the wall, and patient's eyes rolled back into her head. Patient's mother shook her and spoke her name loudly several times with no response. Patient's color was becoming pale and slightly green. Patient's right hand briefly clenched into a fist and flexed at the wrist. I asked support staff to call 911 and ambulance was requested. Patient's mother and I lowered patient to floor and placed head onto floor and elevated legs onto chair. Patient opened eyes and eyes focused on us. Pulse and BP taken by RN and results were normal. RN made ready and available anaphylactic reaction medical protocol supplies. Patient covered with blanket and cool compress applied to forehead. Supervisor RN observed patient and noted that patient was now responding verbally and respirations were normal; ambulance request cancelled. Patient stated she was cold. Patient said she had not eaten much for lunch. Patient's coloring returned to normal. Patient's pulse continued to be normal. Patient assisted to a sitting position on the floor, given sweatshirt to wear, and drank 8 oz water. Patient assisted to standing position at 4:45 pm. Mother instructed to monitor patient's breathing and to take patient to ER immediately if breathing problems developed. Patient said she felt well enough to walk. Patient left to return home with mother and brother.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Skin discolouration, Unresponsive to stimuli
Clinical narrative: Patient seated on a chair in exam room one with mother and younger brother present. Patient given HPV, Tdap, and Menactra vaccines at 4 pm by RNs. Patient chatted following the vaccine, said her arms really hurt, and was encouraged to move her arms using a small stacking toy, which she did. I discussed with patient's mom the vaccines and providing Tylenol/Advil to patient as needed. Toy suddenly fell onto the floor; patient's head leaned back against the wall, and patient's eyes rolled back into her head. Patient's mother shook her and spoke her name loudly several times with no response. Patient's color was becoming pale and slightly green. Patient's right hand briefly clenched into a fist and flexed at the wrist. I asked support staff to call 911 and ambulance was requested. Patient's mother and I lowered patient to floor and placed head onto floor and elevated legs onto chair. Patient opened eyes and eyes focused on us. Pulse and BP taken by RN and results were normal. RN made ready and available anaphylactic reaction medical protocol supplies. Patient covered with blanket and cool compress applied to forehead. Supervisor RN observed patient and noted that patient was now responding verbally and respirations were normal; ambulance request cancelled. Patient stated she was cold. Patient said she had not eaten much for lunch. Patient's coloring returned to normal. Patient's pulse continued to be normal. Patient assisted to a sitting position on the floor, given sweatshirt to wear, and drank 8 oz water. Patient assisted to standing position at 4:45 pm. Mother instructed to monitor patient's breathing and to take patient to ER immediately if breathing problems developed. Patient said she felt well enough to walk. Patient left to return home with mother and brother.
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Autopsy, Death, Myocardial infarction
Clinical narrative: Patient (68 year old male) received a flu shot on 10/10/07.   He died that night in his sleep of a massive heart attack, presumably in the early morning hours of 10/11/07.   Although previously diagnosed with mild artherosclerosis, he had never had a prior heart attack.   He had just visited his doctor the previous day and been given a clean bill of health.  5/6/09 Autopsy report states COD as artherosclerotic & hypertensive-type cardiovascular disease w/obesity as contributing condition.  Manner of death natural.  Report also states 40-50% stenosis of LAD by calcified atherosclerotic plaque; atherosclerosis of aorta; cardiomegaly; obesity, BMI 34; hx of hypercholesterolemia; mild pulmonary edema/congestion; prostatic nodular hyperplasia; hx of seizure disorder.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, Eye swelling, Oedema peripheral, Pain in extremity, Pyrexia
Clinical narrative: Symptoms: hives, vasculitis, joint pain, swelling of feet, hands & eyes, extremity pain, fever up to 101. for 3 days. Treatment: benadryl, steroid pack, ibuprofen
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Urticaria, Vasculitis
Clinical narrative: Symptoms: hives, vasculitis, joint pain, swelling of feet, hands & eyes, extremity pain, fever up to 101. for 3 days. Treatment: benadryl, steroid pack, ibuprofen
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Pt developed an egg shaped reddened, hot area on the upper back part of her right arm where she got her varicella shot yesterday.  It was noted by the school nurse at school today.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: TDAP GIVEN 4/22/09 IN AFTERNOON. LEFT UPPER ARMS SORE REST OF LAST WEEK. EMPLOYEE DESCRIBED A FIRM LUMP AT INJECTION SITE LAST WEEK.  RED BLOTCHY AREA NOTED ON LEFT UPPER ARMS ON 4/27/07. REDNESS MORE GENERALIZED ALONG UPPER LEFT ARM. PATIENT REPORTS THAT HER ARM IS MORE SORE AND SWOLLEN TODAY WITH SORENESS DOWN TO ELBOW. FIRM TISSUE NOTED ALONG INERIOR LATERAL UPPER LEFT ARM. PATIENT ALSO REPORTS THAT UNDERSIDE OF ARM IS SORE. FURTHER EVALUATED BY C.MCGRATH APN AND PRESCRIBE CIPRO 500 MG BID #14. SCHEDULED FOR RE-EVALUATION BY NP ON 5/1/09
Age: 21.0
Sex: F
Vaccine: RAB
Symptoms: Pharyngeal oedema, Pruritus, Urticaria
Clinical narrative: Patient broke out in hives all over her body, which was highly pruritic.  Felt some throat swelling but not enough to constrict airway completely.  This occured approximately 6-8 hours after vaccination was administered.  Patient treated herself with 50 mg Benadryl and went to sleep.
Age: 9.0
Sex: M
Vaccine: IPV
Symptoms: Urticaria
Clinical narrative: he developed hives after injection and was seen in the ems - f/u at pcp today
Age: 60.0
Sex: F
Vaccine: FLU3, HEP, HEPA, MMR, PPV, TDAP, VARCEL, VARZOS, VARCEL, VARZOS
Symptoms: Pain, Pruritus, Urticaria
Clinical narrative: Client received the influenza, pneumococcal (PPV23), Tdap, MMR, Hepatitis A, Hepatitis B, and shingles Vaccine at 10:10 a.m. at clinic. Client then went to another clinic to get the influenza Vaccine at 2:15p.m. She was consequently also administered the Varicella Vaccine at 2:15 p.m.  Client noticed that she began having wheals (hives) on the left side of abdomen on Sunday, April 26, 2009 at 9:00 a.m. Client had itching (4 on a scale from 0-10). Pain level report at 2-3 on scale 0-10. The lesions were in a area four inches in diameter. On April 28, 2009 the hives spread to over 12 inches in diameter, somewhat confluent fashion. The lesions appear mainly on the left side of abdomen. There are no lesions on the back or any other area of the body except the abdomen area. Client used body lotion on the lesions and it helped with the itching. Client also took warm baths and it appeared to stop the itching. Client referred to medical provider for consultation.
Age: 60.0
Sex: F
Vaccine: FLU3, HEP, HEPA, MMR, PPV, TDAP, VARCEL, VARZOS, VARCEL, VARZOS
Symptoms: Pain of skin, Pruritus, Rash
Clinical narrative: Client received the influenza, pneumococcal (PPV23), Tdap, MMR, Hepatitis A, Hepatitis B, and shingles Vaccine at 10:10 a.m. at clinic. Client then went to another clinic to get the influenza Vaccine at 2:15p.m. She was consequently also administered the Varicella Vaccine at 2:15 p.m.  Client noticed that she began having wheals (hives) on the left side of abdomen on Sunday, April 26, 2009 at 9:00 a.m. Client had itching (4 on a scale from 0-10). Pain level report at 2-3 on scale 0-10. The lesions were in a area four inches in diameter. On April 28, 2009 the hives spread to over 12 inches in diameter, somewhat confluent fashion. The lesions appear mainly on the left side of abdomen. There are no lesions on the back or any other area of the body except the abdomen area. Client used body lotion on the lesions and it helped with the itching. Client also took warm baths and it appeared to stop the itching. Client referred to medical provider for consultation.
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Induration, Oedema peripheral, Skin warm
Clinical narrative: Pt received Tdap on 4-22-2009, IM in left deltoid swelling stated 3 days later. Redness from top of deltoid to elbow and area is hard and warm to the touch. Treatment includes warm packs and watch for infection.
Age: 15.0
Sex: F
Vaccine: HEP, IPV, MMR, TDAP
Symptoms: Body temperature increased, Eye swelling, Oedema mouth, Swelling face
Clinical narrative: Mother states arrived home @ about 11 am.  Pt. began having reaction starting @ about 11:30 am.  Began with swollen mouth, then right eye, then cheeks and finally entire face.  Denies redness or rash.  Temp 99.9 F.  Given injection by Dr.
Age: 15.0
Sex: M
Vaccine: HEP, HEPA, IPV, MMR, TDAP, VARCEL
Symptoms: Erythema, Pain in extremity
Clinical narrative: PATIENT C/O PAIN STARTING 8 HOURS AFTER SHOT WAS GIVEN. REDNESS ON ARMPIT AND LEFT DELTOID.
Age: 0.9
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Child received a 4th DTaP and IPV as well as a 5th Hep B when she was given a Pediarix vaccine 4/22/09 at less than 12 mos old, 1 Pediarix not on client's personal card. The client also received a Prevnar and Hib vaccination 4/22/09 at less than 12 mos old due to misreading of handwriting. Parent was notified of invalid doses.  Parent will have client return at 15 mos for Prevnar. Hib will be repeated when shortage ends.
Age: 17.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Loss of consciousness, Tremor
Clinical narrative: Approximately 1 minute after receiving the vaccines the patient passed out without any warning - he had a mild tremor of the arms and legs that last for less than 1 minute and then he came arround.  Cold compresses, supine with legs elevated for a few minutes and he was fine.
Age: 0.2
Sex: M
Vaccine: DTAP, RV5, DTAP, RV5
Symptoms: Decreased appetite, Diarrhoea, Gastrointestinal pain, Insomnia, Irritability
Clinical narrative: Initially patient was quite irritable and slept a lot, maybe for the first three days.  The worst symptoms I suspect come from the rotateq vaccine, since it works by creating a "mild" intestinal infection.  Patient has had horrible intestinal cramping that keeps us both up all night, and keeps patient from sleeping during the day as well; it also seems to interfere with his eating.  I can actually hear his intestines gurgling loudly since he received the vaccine.  The pain and gurgling then result in voluminous, forceful, watery diarrhea at least once a day.
Age: 0.2
Sex: M
Vaccine: DTAP, RV5, DTAP, RV5
Symptoms: Somnolence
Clinical narrative: Initially patient was quite irritable and slept a lot, maybe for the first three days.  The worst symptoms I suspect come from the rotateq vaccine, since it works by creating a "mild" intestinal infection.  Patient has had horrible intestinal cramping that keeps us both up all night, and keeps patient from sleeping during the day as well; it also seems to interfere with his eating.  I can actually hear his intestines gurgling loudly since he received the vaccine.  The pain and gurgling then result in voluminous, forceful, watery diarrhea at least once a day.
Age: 0.2
Sex: M
Vaccine: DTAP, RV5, DTAP, RV5
Symptoms: Abdominal pain upper, Anorexia, Diarrhoea, Frequent bowel movements, Gastrointestinal pain
Clinical narrative: Initially patient was quite irritable and slept a lot, maybe for the first three days.  The worst symptoms I suspect come from the rotateq vaccine, since it works by creating a "mild" intestinal infection.  Patient has had horrible intestinal cramping that keeps us both up all night, and keeps patient from sleeping during the day as well; it also seems to interfere with his eating.  I can actually hear his intestines gurgling loudly since he received the vaccine.  The pain and gurgling then result in voluminous, forceful, watery diarrhea at least once a day.
Age: 0.2
Sex: M
Vaccine: DTAP, RV5, DTAP, RV5
Symptoms: Pyrexia, Weight gain poor
Clinical narrative: Initially patient was quite irritable and slept a lot, maybe for the first three days.  The worst symptoms I suspect come from the rotateq vaccine, since it works by creating a "mild" intestinal infection.  Patient has had horrible intestinal cramping that keeps us both up all night, and keeps patient from sleeping during the day as well; it also seems to interfere with his eating.  I can actually hear his intestines gurgling loudly since he received the vaccine.  The pain and gurgling then result in voluminous, forceful, watery diarrhea at least once a day.
Age: 0.17
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Feeding disorder of infancy or early childhood, Neurological examination, Psychomotor skills impaired
Clinical narrative: Notable change in feeding pattern and marked temporary loss/regression of social milestones approximately 1 week following routine 2 month immunizations. Stabilized and started to return to baseline within about 3 weeks. Did have neurology consult. No treatment indicated. Have modified immunization schedule since that time.
Age: 1.0
Sex: M
Vaccine: MMR, MMR
Symptoms: Oedema mouth
Clinical narrative: Child developed bilateral buccal mucosa swelling 7 hours following MMR vaccine. swelling is non tender and only from the inside. no visible external cheek swelling. shotty occipital LNs. no gum lesions. otherwise acting normal. swelling hasn't regressed at time of visit to After hours clinic.
Age: 1.0
Sex: M
Vaccine: MMR, MMR
Symptoms: Swelling face
Clinical narrative: Child developed bilateral buccal mucosa swelling 7 hours following MMR vaccine. swelling is non tender and only from the inside. no visible external cheek swelling. shotty occipital LNs. no gum lesions. otherwise acting normal. swelling hasn't regressed at time of visit to After hours clinic.
Sex: M
Vaccine: LYME
Symptoms: Activities of daily living impaired, Arthralgia, Autoimmune disorder, Cognitive disorder, Decreased activity
Clinical narrative: This case was reported by a lawyer and described the occurrence of arthralgias in a male subject of unspecified age who was vaccinated with LYMERIX. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of LYMERIX (Unknown). At an unspecified time after vaccination with LYMERIX, the subject experienced arthralgias, myalgias, swollen joints, foot pain, wrist pain, stiffness, gastrointestinal problems, rheumatologic, neurologic and/or cognitive impairment of an autoimmune, immune-mediated, or other mechanism, all reportedly caused by vaccination with LYMERIX. He also experienced decreased activities of daily life and decreased ability to participate in recreational activities. At the time of reporting the outcome of the events was unspecified. This information was received via a Statement of Injuries. Follow-up information was received on 13 April 2009 via medical records. On 08 July 2000, the subject received lumbar epidural injection for disc herniation and stenosis at L2-3 and L3-4. It was reported that the subject underwent an operative procedure of decompressive laminectomy, with partial facetectomies and foraminotomies, L2-4 in August 2000. For this, the subject was admitted overnight. Later in August of 2000, the subject underwent L2-3 and L3-4 laminotomy, foraminotomy and diskectomy of L2-3.
Sex: M
Vaccine: LYME
Symptoms: Facetectomy, Foraminotomy, Gastrointestinal disorder, Intervertebral disc operation, Intervertebral disc protrusion
Clinical narrative: This case was reported by a lawyer and described the occurrence of arthralgias in a male subject of unspecified age who was vaccinated with LYMERIX. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of LYMERIX (Unknown). At an unspecified time after vaccination with LYMERIX, the subject experienced arthralgias, myalgias, swollen joints, foot pain, wrist pain, stiffness, gastrointestinal problems, rheumatologic, neurologic and/or cognitive impairment of an autoimmune, immune-mediated, or other mechanism, all reportedly caused by vaccination with LYMERIX. He also experienced decreased activities of daily life and decreased ability to participate in recreational activities. At the time of reporting the outcome of the events was unspecified. This information was received via a Statement of Injuries. Follow-up information was received on 13 April 2009 via medical records. On 08 July 2000, the subject received lumbar epidural injection for disc herniation and stenosis at L2-3 and L3-4. It was reported that the subject underwent an operative procedure of decompressive laminectomy, with partial facetectomies and foraminotomies, L2-4 in August 2000. For this, the subject was admitted overnight. Later in August of 2000, the subject underwent L2-3 and L3-4 laminotomy, foraminotomy and diskectomy of L2-3.
Sex: M
Vaccine: LYME
Symptoms: Joint swelling, Laboratory test abnormal, Lumbar spinal stenosis, Musculoskeletal stiffness, Myalgia
Clinical narrative: This case was reported by a lawyer and described the occurrence of arthralgias in a male subject of unspecified age who was vaccinated with LYMERIX. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of LYMERIX (Unknown). At an unspecified time after vaccination with LYMERIX, the subject experienced arthralgias, myalgias, swollen joints, foot pain, wrist pain, stiffness, gastrointestinal problems, rheumatologic, neurologic and/or cognitive impairment of an autoimmune, immune-mediated, or other mechanism, all reportedly caused by vaccination with LYMERIX. He also experienced decreased activities of daily life and decreased ability to participate in recreational activities. At the time of reporting the outcome of the events was unspecified. This information was received via a Statement of Injuries. Follow-up information was received on 13 April 2009 via medical records. On 08 July 2000, the subject received lumbar epidural injection for disc herniation and stenosis at L2-3 and L3-4. It was reported that the subject underwent an operative procedure of decompressive laminectomy, with partial facetectomies and foraminotomies, L2-4 in August 2000. For this, the subject was admitted overnight. Later in August of 2000, the subject underwent L2-3 and L3-4 laminotomy, foraminotomy and diskectomy of L2-3.
Sex: M
Vaccine: LYME
Symptoms: Nervous system disorder, Nuclear magnetic resonance imaging abnormal, Pain in extremity, Spinal X-ray, Spinal laminectomy
Clinical narrative: This case was reported by a lawyer and described the occurrence of arthralgias in a male subject of unspecified age who was vaccinated with LYMERIX. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of LYMERIX (Unknown). At an unspecified time after vaccination with LYMERIX, the subject experienced arthralgias, myalgias, swollen joints, foot pain, wrist pain, stiffness, gastrointestinal problems, rheumatologic, neurologic and/or cognitive impairment of an autoimmune, immune-mediated, or other mechanism, all reportedly caused by vaccination with LYMERIX. He also experienced decreased activities of daily life and decreased ability to participate in recreational activities. At the time of reporting the outcome of the events was unspecified. This information was received via a Statement of Injuries. Follow-up information was received on 13 April 2009 via medical records. On 08 July 2000, the subject received lumbar epidural injection for disc herniation and stenosis at L2-3 and L3-4. It was reported that the subject underwent an operative procedure of decompressive laminectomy, with partial facetectomies and foraminotomies, L2-4 in August 2000. For this, the subject was admitted overnight. Later in August of 2000, the subject underwent L2-3 and L3-4 laminotomy, foraminotomy and diskectomy of L2-3.
Sex: M
Vaccine: LYME
Symptoms: Spinal myelogram abnormal, X-ray abnormal
Clinical narrative: This case was reported by a lawyer and described the occurrence of arthralgias in a male subject of unspecified age who was vaccinated with LYMERIX. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of LYMERIX (Unknown). At an unspecified time after vaccination with LYMERIX, the subject experienced arthralgias, myalgias, swollen joints, foot pain, wrist pain, stiffness, gastrointestinal problems, rheumatologic, neurologic and/or cognitive impairment of an autoimmune, immune-mediated, or other mechanism, all reportedly caused by vaccination with LYMERIX. He also experienced decreased activities of daily life and decreased ability to participate in recreational activities. At the time of reporting the outcome of the events was unspecified. This information was received via a Statement of Injuries. Follow-up information was received on 13 April 2009 via medical records. On 08 July 2000, the subject received lumbar epidural injection for disc herniation and stenosis at L2-3 and L3-4. It was reported that the subject underwent an operative procedure of decompressive laminectomy, with partial facetectomies and foraminotomies, L2-4 in August 2000. For this, the subject was admitted overnight. Later in August of 2000, the subject underwent L2-3 and L3-4 laminotomy, foraminotomy and diskectomy of L2-3.
Sex: M
Vaccine: FLUX
Symptoms: Activities of daily living impaired, Anxiety, Chronic inflammatory demyelinating polyradiculoneuropathy, Deformity, Guillain-Barre syndrome
Clinical narrative: This case was reported by a lawyer and described the occurrence of Guillain-Barre Syndrome in an adult male subject who was vaccinated with INFLUENZA (manufacturer unspecified). A physician or other health care professional has not verified this report. The following information was obtained from a legal complaint. In December 1996 the subject received an unspecified dose of INFLUENZA (unknown). At an unspecified time after vaccination with INFLUENZA vaccine, the subject developed "an acute and chronic form of GBS syndrome known as chronic inflammatory demyelinating polyneuropathy (CIDP)". The subject reportedly "has suffered from this chronic form of GBS/CIDP for years and will continue to suffer from this disease for the rest of his life". The complaint further alleged that the subject "suffered bodily injury resulting in physical pain and suffering, disability, disfigurement, mental anguish, loss of capacity for the enjoyment of life, the expenses of hospitalization and medical care and treatment, loss of earnings in the past, and loss of the ability to earn money in the future". At the time of reporting the events were unresolved.
Sex: M
Vaccine: FLUX
Symptoms: Pain
Clinical narrative: This case was reported by a lawyer and described the occurrence of Guillain-Barre Syndrome in an adult male subject who was vaccinated with INFLUENZA (manufacturer unspecified). A physician or other health care professional has not verified this report. The following information was obtained from a legal complaint. In December 1996 the subject received an unspecified dose of INFLUENZA (unknown). At an unspecified time after vaccination with INFLUENZA vaccine, the subject developed "an acute and chronic form of GBS syndrome known as chronic inflammatory demyelinating polyneuropathy (CIDP)". The subject reportedly "has suffered from this chronic form of GBS/CIDP for years and will continue to suffer from this disease for the rest of his life". The complaint further alleged that the subject "suffered bodily injury resulting in physical pain and suffering, disability, disfigurement, mental anguish, loss of capacity for the enjoyment of life, the expenses of hospitalization and medical care and treatment, loss of earnings in the past, and loss of the ability to earn money in the future". At the time of reporting the events were unresolved.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Enema administration, Intussusception, X-ray
Clinical narrative: Intussusception reduced  5/04/09 Received vaccine & PCP medical records of 4/13-4/27 as well as hospital d/c summary  of 4/27-4/28/2009. FINAL DX: Intussusception, enema reduced Records reveal patient experienced projectile vomiting, irritability, decreased appetite, sleep disturbance, sunken eyes x 2 days.  Tx w/air enema & admitted overnight for observation.  Progressed well & d/c home.  6/8/09 Hospital records DC summary received DOS 4/27/09 to 4/28/09. FINAL DIAGNOSIS: Intussusception, reduced with air enema.  Post vaccination: Fussiness, not sleeping well. Projectile emesis, knees flexed. Admitted to hospital with abdominal pain and intermittant vomiting. Reduction by air enema. ICD-9 Codes: 5600 Intussusception.
Age: 72.0
Sex: M
Vaccine: YF
Symptoms: Abasia, Activities of daily living impaired, Encephalitis, Hot flush, Speech disorder
Clinical narrative: Received Yellow fever immunization 3-18-09 prior to trip to a foreign country. Developed flashing spells 3-29-09. Received 3 L IVF prior to departure. symptomatology worsened : inability to speak, walk or perform ADL'S. Hospitalized X 3 days. Symptomatology slowly improved. Dx with pneumonia and encephalitis.   4/28/09 Spoke with patient/MD who reports initially felt the perception of a flushing sensation in the head without actual facial flushing or fever.  Received IVF from family member (no medical facility) prior to boarding plane for foreign travel. Aboard the flight pt's family noted that pt c/o H/A, vomited and began speaking incoherently. Now weak and with fever requiring that pt be carried from the plane. Taken to unknown hospital for tx of mental status changes, confusion.  Unable to feed self.  Difficulty in walking.  Dx: Pneumonia however pt says no cough or other PNA sx and that pt does not believe that was the correct dx. D/c somewhat improved after 3 days. Spoke with ID and neuro colleagues upon arrival in this country who say most likely dx was YF vaccine rxn/encephalitis. Almost completely recovered with some residual fatigue and weakness (minimal) and decreased patience.
Age: 19.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Erythema elevatum diutinum, Rash
Clinical narrative: Extensor surfaces rash on elbows, knuckles, knees. Skin bx: leukoclastic vasculitis consistent with erythema elevatum diutinum.  5/26/09 medical records recieved DOS 5/8/09. FINAL DIAGNOSIS: Hypersensitivity Vasculitis Post vaccination developed leukocytoclastic vasculitis, erthythema elevatum diutinum.   6/15/09 Received hospital medical records for 8/6-8/8/2008 & clinic records. FINAL DX: costochondritis; leukocytoclastic vasculitis w/early findings of erythema elevatum diutinum Records reveal patient experienced chest pain, SOB x 1 day; continued pruritis, knuckle pain, elbow & knee granulomatous vesicular lesions x 2 weeks; fatigue, fevers/chills, lightheadedness, pain.  Exam revealed pallor, ill appearing, mod distress, injected sclera, dry mucous membranes.  Rheum, Derm, Allergy/Immunology consults done.  Tx /w topical & systemic steroids.  Improved & d/c to home w/outpatient w/u for autoimmune disorders. ICD9 Codes: 241 amputation for circ sys disorders; 446.29 hypersensitivity angiitis; 999.0 gen vaccinia; 695.89 erythematous condition; 86.11 skin biopsy; 88.72 US of heart.
Age: 19.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Biopsy skin abnormal, Erythema elevatum diutinum, Leukocytoclastic vasculitis, Rash
Clinical narrative: Extensor surfaces rash on elbows, knuckles, knees. Skin bx: leukoclastic vasculitis consistent with erythema elevatum diutinum.  5/26/09 medical records recieved DOS 5/8/09. FINAL DIAGNOSIS: Hypersensitivity Vasculitis Post vaccination developed leukocytoclastic vasculitis, erthythema elevatum diutinum.   6/15/09 Received hospital medical records for 8/6-8/8/2008 & clinic records. FINAL DX: costochondritis; leukocytoclastic vasculitis w/early findings of erythema elevatum diutinum Records reveal patient experienced chest pain, SOB x 1 day; continued pruritis, knuckle pain, elbow & knee granulomatous vesicular lesions x 2 weeks; fatigue, fevers/chills, lightheadedness, pain.  Exam revealed pallor, ill appearing, mod distress, injected sclera, dry mucous membranes.  Rheum, Derm, Allergy/Immunology consults done.  Tx /w topical & systemic steroids.  Improved & d/c to home w/outpatient w/u for autoimmune disorders. ICD9 Codes: 241 amputation for circ sys disorders; 446.29 hypersensitivity angiitis; 999.0 gen vaccinia; 695.89 erythematous condition; 86.11 skin biopsy; 88.72 US of heart.
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Abnormal behaviour, Feeding disorder neonatal, Hypotonia, Insomnia, Lethargy
Clinical narrative: High Pitch screams for 3 days and for 10 days: lethargy (limp) - Non reactive - lack eye contact avoid communication - stopped feeding - stopped laughing / smiling - stopped sleeping.
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Screaming, Unresponsive to stimuli
Clinical narrative: High Pitch screams for 3 days and for 10 days: lethargy (limp) - Non reactive - lack eye contact avoid communication - stopped feeding - stopped laughing / smiling - stopped sleeping.
Age: 51.0
Sex: F
Vaccine: FLUX
Symptoms: Anaphylactic reaction, Fatigue, Full blood count, Immunology test
Clinical narrative: Received Flu Vaccine on Oct. 10, 2008. 5 days later began fatigue which progressed to anaphylaxis, episode 1 on October. Received corticoteroids. Episode 2 anaphylaxis occurred Nov 5. Serious immune system overdrive. Caused first flare of either SLE or RA - tests confirmed +RF -. 5/8/09 - Medical records received DOS 10/30/08 to 1/22/09 FINAL DIAGNOSIS: Recurrent urticaria, migraine-like experience Neurological consult DOS 12/5/09: Urticaria associated with anaphylaxis. Nausea and photosensitivity. On this date PE WNL. Rheumatology consult DOS 1/8/09-1/22/09: C/O Blurred vision. Tingling in arms and feet. Anxiety, panic episode. Fullness and swelling in the supraclavicular area. Pseudocholinesterase deficiency. PE WNL.   5/11/09 - ED records recieved DOS 10/30/09.   FINAL DIAGNOSIS: Allergy Headache, itchy patches on right shoulder and left forearm. Lightheadedness. Small open lesions on upper back and neck. Double vision right eye. Advise cardiology and neurology consults.
Age: 14.0
Sex: M
Vaccine: VARCEL
Symptoms: Pruritus, Rash
Clinical narrative: Gave pt varicella #2 9/26/9 (1st dose was 5/03) within 24 hrs flat rash noted on chest, face & neck.  Wo c/o rash to chest c/o itching on neck, face with approx 8-9 small bumps noted.  P.O. Benadryl & topical hydrocortisone does not relieve symptoms.  No adverse reactions noted to injection on site.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, No reaction on previous exposure to drug, Oedema peripheral, Pain in extremity, Pruritus
Clinical narrative: R upper arm swelling red, tender, itchy after vaccines given 2 d ago- progressively worse 4/26/09 after pain but mostly itchy.  L arm few small slightly raised blotches beneath site of vaccine last Td 2005 no reaction.  Put on CEFTIN 250/50 2 tsp TID x 10d started on 4/25/09.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Rash macular, Tenderness
Clinical narrative: R upper arm swelling red, tender, itchy after vaccines given 2 d ago- progressively worse 4/26/09 after pain but mostly itchy.  L arm few small slightly raised blotches beneath site of vaccine last Td 2005 no reaction.  Put on CEFTIN 250/50 2 tsp TID x 10d started on 4/25/09.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Herpes zoster type rash developing on R lower leg 6-7 days after vaccination examined today 4-27-09.  No other identifiable cause.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, DTAP, IPV, DTAP, IPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Started with pain at the injection site 5 1/2 hrs after immunization, low grade fever 18 hrs after injection; 24 hrs after injection arm painful to touch, swollen from elbow & shoulder red at site; fever persisted for 24 hours despite MOTRIN; BENADRYL X 24 hrs; swelling began resolving to resolve 4/27, only slightly red at site uncomfortable to touch
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, DTAP, IPV, DTAP, IPV
Symptoms: Body temperature increased, Feeling hot, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Started with pain at the injection site 5 1/2 hrs after immunization, low grade fever 18 hrs after injection; 24 hrs after injection arm painful to touch, swollen from elbow & shoulder red at site; fever persisted for 24 hours despite MOTRIN; BENADRYL X 24 hrs; swelling began resolving to resolve 4/27, only slightly red at site uncomfortable to touch
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, DTAP, IPV, DTAP, IPV
Symptoms: Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Started with pain at the injection site 5 1/2 hrs after immunization, low grade fever 18 hrs after injection; 24 hrs after injection arm painful to touch, swollen from elbow & shoulder red at site; fever persisted for 24 hours despite MOTRIN; BENADRYL X 24 hrs; swelling began resolving to resolve 4/27, only slightly red at site uncomfortable to touch
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, DTAP, IPV, DTAP, IPV
Symptoms: Induration, Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Started with pain at the injection site 5 1/2 hrs after immunization, low grade fever 18 hrs after injection; 24 hrs after injection arm painful to touch, swollen from elbow & shoulder red at site; fever persisted for 24 hours despite MOTRIN; BENADRYL X 24 hrs; swelling began resolving to resolve 4/27, only slightly red at site uncomfortable to touch
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Injection site erythema, Injection site induration, Local reaction
Clinical narrative: "3 cm circle of erythema on right side of (L) thigh. A bit of induration, but no underlying mass and no warmth." This is MD's report. Also says "local reaction, will do VAERS report, may have all theses vaccines again." Patient seen for doctor visit. No treatment.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Dyspnoea, Hyperhidrosis, Paraesthesia
Clinical narrative: Shortness of breath, tingling, sweating.
Age: 53.0
Sex: M
Vaccine: TD
Symptoms: Arthralgia, Chills, Hyperhidrosis, Oedema peripheral, Pain
Clinical narrative: Body aches, high fever.  At night chills, sweating, sore joints.  Symptoms continued until Friday.  Sunday slept late still had sweating/chills.  Right now have rash on both arms, swollen, scaly, raised, red; all the other symptoms subsided.
Age: 53.0
Sex: M
Vaccine: TD
Symptoms: Pyrexia, Rash, Rash erythematous, Skin exfoliation
Clinical narrative: Body aches, high fever.  At night chills, sweating, sore joints.  Symptoms continued until Friday.  Sunday slept late still had sweating/chills.  Right now have rash on both arms, swollen, scaly, raised, red; all the other symptoms subsided.
Age: 41.0
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Unevaluable event
Clinical narrative: None stated
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt came into office + reported vaccine site was red, raised + warm to touch.  Presently abscent disappeared on its own.  Zero intervention needed.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Injection site pruritus, Mobility decreased, Oedema peripheral, Pain
Clinical narrative: About 2hrs after getting vaccine, arm became red, swollen, and described itching at site of vaccine, pain to move. Applied ice that evening. Mom states dad reported a fever but no meds given.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia
Clinical narrative: About 2hrs after getting vaccine, arm became red, swollen, and described itching at site of vaccine, pain to move. Applied ice that evening. Mom states dad reported a fever but no meds given.
Age: 5.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Presented to hospital 4/23/09 with reported edema - redness and tenderness of left deltoid. Treated with KEFLEX 250 mg TidX7days. 4/27/09 only site of injection noticeable.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain, Injection site warmth
Clinical narrative: Pt c/o pain at injection site beginning 4/13/09 in the evening. States she noticed inflammation, redness, and warmth at injection site on 4/15/09. Relief of symptoms on 4/16/09. To apply warm compress to site.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Crying, Immediate post-injection reaction, Petechiae
Clinical narrative: Small area of petechiea under right eye within 5 minutes of vaccine adm., approx 1/4" wide X 1/2" wide -was crying vigorously prior and during vaccine adm. No further tx. Described with no further symptoms
Age: 12.0
Sex: F
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Abdominal pain, Chills, Full blood count normal, Headache, Influenza serology negative
Clinical narrative: Fever 102 shakes chills abdominal pain sore throat, headache started at 10 pm on 4/6/09.