chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 11.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Full blood count normal, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Injection given on 9/17/07; on 9/18/07 - pt developed redness, swelling and tenderness to touch (size of 1 1/1 silver dollar) on area where shot was given. On 9/19/07, area had enlarged (baseball sized) with golf ball size induration in center. Warm and tender. Pt also developed fever.
Age: 11.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Pyrexia
Clinical narrative: Injection given on 9/17/07; on 9/18/07 - pt developed redness, swelling and tenderness to touch (size of 1 1/1 silver dollar) on area where shot was given. On 9/19/07, area had enlarged (baseball sized) with golf ball size induration in center. Warm and tender. Pt also developed fever.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Localized reaction of erythema swelling of 6mm x 4 mm at site of injection. Recommended Benadryl, cold packs.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea
Clinical narrative: Had 6-10 loose stools per day from giving the Rotateq. Lasted 3 wks.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Injection site red and tender and swollen, afebrile.
Age: 0.6
Sex: M
Vaccine: DTAP, FLU3, HBHEPB, IPV, PNC
Symptoms: Convulsion, Electroencephalogram normal, Nuclear magnetic resonance imaging normal
Clinical narrative: Seizure 2 days after vaccine.
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Pain - redness - swelling
Age: 31.0
Sex: F
Vaccine: HEP, MMRV, TTOX
Symptoms: Induration, Skin warm, Swelling, Wrong drug administered
Clinical narrative: Swelling on the side of left tricep, felt hard and warm 20mm x 28mm.
Age: 1.0
Sex: F
Vaccine: IPV, MMRV
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Area to left arm warm, red, swollen, painful to touch. Suggested to follow up with MD.
Age: 1.0
Sex: F
Vaccine: IPV, MMRV
Symptoms: Pain, Skin warm, Swelling
Clinical narrative: Area to left arm warm, red, swollen, painful to touch. Suggested to follow up with MD.
Age: 9.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Mother noticed swelling of left upper arm 8-21-07 at 8:30 pm. She applied an ice gel pack to arm. On 8-22-07, at 10:00 am, she came to the health department where nurses noted a swollen, raised, reddened area 4.5 x 2.5 " below deltoid muscle.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Abdominal pain, Diarrhoea, Headache, Lethargy, Pharyngolaryngeal pain
Clinical narrative: Mom reports client has been lethargic and c/o headache, sore throat, fever, diarrhea, abd. cramps since vaccine given 8-16-07. Will see physician today 8-20-07 for eval. 8-23-07 Dr eval does not think it is reaction to vaccines. Client still lethargic with diarrhea 8-23-07 but improved.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Pyrexia
Clinical narrative: Mom reports client has been lethargic and c/o headache, sore throat, fever, diarrhea, abd. cramps since vaccine given 8-16-07. Will see physician today 8-20-07 for eval. 8-23-07 Dr eval does not think it is reaction to vaccines. Client still lethargic with diarrhea 8-23-07 but improved.
Age: 1.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MMRV, PNC
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Warm, red, swollen area to left leg (upper). Pt appears to be ok, runs on legs with no problems. Suggested to follow up with MD.
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Urticaria
Clinical narrative: Pt has red whelps on arms, legs, back, neck. No problems breathing, no swelling to limbs, face or neck. Instructed to follow up with MD.
Age: 11.0
Sex: M
Vaccine: HEP, HEPA, MNQ, TDAP
Symptoms: Injection site abscess, Injection site cellulitis
Clinical narrative: Cellulitis abscess formation at vaccine site - treated left deltoid
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives to body and itching.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Pain in extremity, Vomiting
Clinical narrative: Headache, vomiting, leg pain
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Headache, Paraesthesia, Skin warm, Swelling
Clinical narrative: Had Tdap 9-21-07, by 9-23-07 was experiencing headache, localized swelling, erythema, warm, tenderness (B) lower extremity tingling, weakness, came in 9-25-07 and reaction almost gone.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Tenderness
Clinical narrative: Had Tdap 9-21-07, by 9-23-07 was experiencing headache, localized swelling, erythema, warm, tenderness (B) lower extremity tingling, weakness, came in 9-25-07 and reaction almost gone.
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Body temperature increased, Diarrhoea
Clinical narrative: Inj given 9:30 AM (9/11/07) - 3rd inj. Temp 99.3 - abd pn, diarrhea (2:30 pm)
Age: 46.0
Sex: F
Vaccine: TD
Symptoms: Arthralgia, Headache, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness, Swelling,tenderness in area of shot, Severe joint pain, headache, body aches for 3 days after injection. No treatment required. Shot administered Thursday September 20th as of today slight itching and some redness, soreness at injection site.
Age: 46.0
Sex: F
Vaccine: TD
Symptoms: Pain, Pruritus
Clinical narrative: Redness, Swelling,tenderness in area of shot, Severe joint pain, headache, body aches for 3 days after injection. No treatment required. Shot administered Thursday September 20th as of today slight itching and some redness, soreness at injection site.
Age: 27.0
Sex: F
Vaccine: HEP
Symptoms: Cough, Dizziness, Dysphonia, Hepatitis B, Nasopharyngitis
Clinical narrative: Cold Symptoms: hoarseness, sore throat, and cough; After food and over-the counter cough medicine:  feverish, light-headedness, faint, dizziness. I've been very feverish and nauseus for the last 2 or 3 night before the vaccination. But the nurse said it would be fine because I was not sick at the present moment.
Age: 27.0
Sex: F
Vaccine: HEP
Symptoms: Pharyngolaryngeal pain, Pyrexia, Syncope
Clinical narrative: Cold Symptoms: hoarseness, sore throat, and cough; After food and over-the counter cough medicine:  feverish, light-headedness, faint, dizziness. I've been very feverish and nauseus for the last 2 or 3 night before the vaccination. But the nurse said it would be fine because I was not sick at the present moment.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Headache, Malaise, Nausea, Neck pain
Clinical narrative: 5 cm flare, headache, neck pain without nuchal rigidity, nausea, malaise.    Advised to take acetaminophen as directed on package for symptoms.  To see physician if symptoms persist or worsen.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, PNC
Symptoms: Death
Clinical narrative: Reported to immunization staff by a physician. A mother refused vaccine due to a death the mother heard about.  All the information on this case at this time.  11/27/07 Reviewed autopsy report which states COD as Sepsis, blood culture positive for Klebsiella pneumoniae.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Clinical narrative: Cause of death undetermined at this time. Reported from a doctor with a mother who refused vaccine due to 2 deaths she heard about after children received vaccines. Only information available at this time.  2/21/08 Reviewed autopsy report which states COD as sudden unexplained & unexpected death in infancy. Manner of death as undetermined (co-sleeping).  2/29/08 Reviewed vax record & database updated w/same.
Age: 1.25
Sex: M
Vaccine: DTAPH
Symptoms: Body temperature increased, Lethargy, Oedema peripheral, Penile oedema, Swelling face
Clinical narrative: 2 hours after receiving the vaccine dtap/hib ( trihibit) the child had hives/swelling of left leg, facial swelling, penis edema, lethargy and temp of 100.
Age: 1.25
Sex: M
Vaccine: DTAPH
Symptoms: Urticaria
Clinical narrative: 2 hours after receiving the vaccine dtap/hib ( trihibit) the child had hives/swelling of left leg, facial swelling, penis edema, lethargy and temp of 100.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL, HPV4, MNQ, TDAP, VARCEL
Symptoms: Arthralgia, Blood electrolytes normal, Cold sweat, Computerised tomogram normal, Dizziness
Clinical narrative: 15 minutes after vaccines were administered pt experienced lightheadedness, headache and nausea.  Pt vital signs were stable, but she was pale and clammy, unable to keep pretzel or water down, pt vomited multiple times.  Complained of headache (severe).  30 min after administration pt c/o muscle and joint aches.  pt was transferred to local emergency department.  There she had head CT (normal), electrolytes/CBC eval (normal), bolus of IV fluid, given demerol and valium and discharged to home. Pt today (one day later) still c/o headache, but body aches and nausea are resolved.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL, HPV4, MNQ, TDAP, VARCEL
Symptoms: Full blood count normal, Headache, Myalgia, Nausea, Pallor
Clinical narrative: 15 minutes after vaccines were administered pt experienced lightheadedness, headache and nausea.  Pt vital signs were stable, but she was pale and clammy, unable to keep pretzel or water down, pt vomited multiple times.  Complained of headache (severe).  30 min after administration pt c/o muscle and joint aches.  pt was transferred to local emergency department.  There she had head CT (normal), electrolytes/CBC eval (normal), bolus of IV fluid, given demerol and valium and discharged to home. Pt today (one day later) still c/o headache, but body aches and nausea are resolved.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL, HPV4, MNQ, TDAP, VARCEL
Symptoms: Vomiting
Clinical narrative: 15 minutes after vaccines were administered pt experienced lightheadedness, headache and nausea.  Pt vital signs were stable, but she was pale and clammy, unable to keep pretzel or water down, pt vomited multiple times.  Complained of headache (severe).  30 min after administration pt c/o muscle and joint aches.  pt was transferred to local emergency department.  There she had head CT (normal), electrolytes/CBC eval (normal), bolus of IV fluid, given demerol and valium and discharged to home. Pt today (one day later) still c/o headache, but body aches and nausea are resolved.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL, HPV4, MNQ, TDAP, VARCEL
Symptoms: Blood electrolytes normal, Computerised tomogram normal, Dehydration, Dizziness, Headache
Clinical narrative: 15 minutes after vaccines were administered pt experienced lightheadedness, headache and nausea.  Pt vital signs were stable, but she was pale and clammy, unable to keep pretzel or water down, pt vomited multiple times.  Complained of headache (severe).  30 min after administration pt c/o muscle and joint aches.  pt was transferred to local emergency department.  There she had head CT (normal), electrolytes/CBC eval (normal), bolus of IV fluid, given demerol and valium and discharged to home. Pt today (one day later) still c/o headache, but body aches and nausea are resolved.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL, HPV4, MNQ, TDAP, VARCEL
Symptoms: Nausea
Clinical narrative: 15 minutes after vaccines were administered pt experienced lightheadedness, headache and nausea.  Pt vital signs were stable, but she was pale and clammy, unable to keep pretzel or water down, pt vomited multiple times.  Complained of headache (severe).  30 min after administration pt c/o muscle and joint aches.  pt was transferred to local emergency department.  There she had head CT (normal), electrolytes/CBC eval (normal), bolus of IV fluid, given demerol and valium and discharged to home. Pt today (one day later) still c/o headache, but body aches and nausea are resolved.
Age: 2.0
Sex: U
Vaccine: VARCEL
Symptoms: Skin lesion, Varicella
Clinical narrative: BEGAN CLASSIC VARICELLA LESIONS ON TRUNK
Age: 43.0
Sex: F
Vaccine: HEPAB
Symptoms: Chest discomfort, Dyspnoea, Hyperhidrosis, Palpitations
Clinical narrative: Pt complained of heart palpitations, sweating, shortness of breath and chest heaviness.  Sx started ~ 1 hour after vaccination.  Relief after about 20-30 minutes with no treatment.  She spoke with the nurse practitioner at her MD office who thought she was having an anxiety attack (no hx of same).  Previous Tdap given at MD office 8/29 per patient (I do not have info regarding this asked for in question 14).
Age: 11.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema
Clinical narrative: On 9-22-07 large area of redness on L arm where vaccine was given on 9-21-07.In our office on 9-24-07 measured 14cm X 13cm with smaller more red (darker) area measuring 2cm X 3cm with in larger area. Patinet come back to office on 9-25-07 area of redness with still there but with some vading. Parent advised to give Benadryl, Tylenol or Motrin, and to apply cool compresses.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Cellulitis, Contusion, Erythema, Swelling
Clinical narrative: 04/23/07 Mom stated right leg redness yesterday, this am  increased to 4" diameter dark redness with purple edges, swollen.   Mother states diagnosis of cellulitis per PA. Rx for Kislex 250mg tid x 7d.  05/02/2007 Redness clear in 5 days.
Age: 10.0
Sex: F
Vaccine: TDAP
Symptoms: Syncope
Clinical narrative: Post Vaccination Syncope
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Dysphagia, Ear pain, Facial palsy, Headache, Irritability
Clinical narrative: Ramsey Hunt Syndrome including: Extreme pain in left ear, swelling at the back of the throat on the soft pallet as well as a herpes like sore in the same area. Headaches, sleepiness & irritable. Unable to swallow solid foods for up to a week at this time. Facial parallelizations of the left side including the lips, cheek nostril & lower eye lid.  9/28/07 Received vax record from pcp.  VAERS database updated w/same./ss 11/9/07 Received urgent care facility medical records which reveal patient experienced viral illness x 1 week.  Seen by pcp & tx w/antibiotics for sore throat.  Now presented w/obvious left facial droop, weakness, unable to completely close left eye, left eye droop, left facial nerve palsy.  Tx w/antiviral meds. FINAL DX: Bell's palsy, left.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Oral herpes, Pharyngeal oedema, Somnolence
Clinical narrative: Ramsey Hunt Syndrome including: Extreme pain in left ear, swelling at the back of the throat on the soft pallet as well as a herpes like sore in the same area. Headaches, sleepiness & irritable. Unable to swallow solid foods for up to a week at this time. Facial parallelizations of the left side including the lips, cheek nostril & lower eye lid.  9/28/07 Received vax record from pcp.  VAERS database updated w/same./ss 11/9/07 Received urgent care facility medical records which reveal patient experienced viral illness x 1 week.  Seen by pcp & tx w/antibiotics for sore throat.  Now presented w/obvious left facial droop, weakness, unable to completely close left eye, left eye droop, left facial nerve palsy.  Tx w/antiviral meds. FINAL DX: Bell's palsy, left.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Swelling to (R) deltoid with redness.
Age: 1.0
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Urticaria
Clinical narrative: 9/27/2007 per mother child woke 830am hives over body - arrived in office. No hives - after 25 minutes. Hives again - below diaper on back.
Age: 0.94
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: Patient still got chicken pox after being vaccinated with Varivax.
Age: 7.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Rash, Varicella post vaccine
Clinical narrative: Few bumps on back, arms. Child feels well happen 2 days go kids in class with chicken pox. This is Varivax #2.
Age: 10.0
Sex: F
Vaccine: HEPA
Symptoms: Incorrect dose administered, Overdose
Clinical narrative: One extra dose of Hepatitis A was administered.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Body temperature, Cellulitis, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: 9/18/07 Morning after injection noticed redness and swelling, temperature later that day drainage noted from site increase redness and swelling the next day 9-19-07 seen in office 9-19-07 at 16:30p - area of induration and erythema 3' x 4" - cellulitis - Rx with Keflex. Received Varivax #2 afternoon of 9-17-07 in left arm. Rechecked 9/21/07 decrease Rx.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Blister, Injection site swelling
Clinical narrative: Localized swelling at vaccine site with superimposed 1cm blister tx with Bactroban.
Age: 39.0
Sex: F
Vaccine: MMR
Symptoms: Erythema, Local reaction, Nodule
Clinical narrative: Local reaction left upper arm erythema nodule
Age: 58.0
Sex: F
Vaccine: PPV, TD
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Upper arm red, swollen and hot to touch. Red streak moves upward to left clavicular area.
Age: 54.0
Sex: F
Vaccine: TTOX
Symptoms: Myositis, Pyrexia, Tenderness, X-ray limb abnormal
Clinical narrative: Fever, tenderness deltoid area x 1 mo. Given Toradol IM and Loddul x 10 d - XR - (L) shoulder abnormal - refer pt to ortho.
Age: 31.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Flushing
Clinical narrative: Patient reports dizzy feeling with some flushing almost immediately after injection. Symptoms prescribed for approximately 45 minutes. Patient appeared to have diminishing symptoms upon exit.
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Pain
Clinical narrative: Red and swollen right arm - hurts
Age: 1.1
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Chest X-ray, Cough, Full blood count, Pyrexia, Restlessness
Clinical narrative: Onset of mild cough before giving to bed. Increase in cough, ? wheezing, restless asleep low grade fever early a.m. received Rocephin IM and Z-pak.
Age: 1.1
Sex: M
Vaccine: MMR, VARCEL
Symptoms: White blood cell count increased
Clinical narrative: Onset of mild cough before giving to bed. Increase in cough, ? wheezing, restless asleep low grade fever early a.m. received Rocephin IM and Z-pak.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pruritus, Rash vesicular, Scratch, Skin lesion
Clinical narrative: Lesions started on 9/6/07. Started on trunk and moved outward. Very itchy. Start looking vesicular, but patient will scratch them.
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Skin lesion, Skin warm
Clinical narrative: 4 hours after injection patient developed swelling, pain, redness over IM site. Seen in clinic 8/24/07 with 7 inch x 6 inch erythematous, hot, swollen tender lesion over left quadriceps.
Sex: F
Vaccine: DTAP, IPV
Symptoms: Swelling, Tenderness
Clinical narrative: 4 hours after injection patient developed swelling, pain, redness over IM site. Seen in clinic 8/24/07 with 7 inch x 6 inch erythematous, hot, swollen tender lesion over left quadriceps.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Macular oedema, Pyrexia
Clinical narrative: Fever of 104, macular erythema within 12 hours of receiving 4 month vaccine.
Sex: M
Vaccine: VARCEL
Symptoms: Blood glucose normal, Hyperhidrosis, Oxygen saturation normal, Tremor
Clinical narrative: Patient received Varivax vaccine/ no reaction/ checked out left clinic, in car with father, patient started shaking and sweating, nothing to eat all day, came back to clinic 02 sats 98% on Room air, Patient given orange juice.
Age: 16.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site cellulitis
Clinical narrative: Localized cellulitis at injection site developed the day following vaccine administration treated with Keflex x 10 days.
Age: 1.0
Sex: M
Vaccine: HBHEPB, MMR, PNC
Symptoms: Body temperature increased
Clinical narrative: 101 Temp started today
Age: 53.0
Sex: F
Vaccine: TDAP, TDAP, TDAP, TDAP
Symptoms: Guillain-Barre syndrome
Clinical narrative: Initial report received from a health care professional on 19 September 2007. A 53-year-old female who received a left deltoid intramuscular injection of Adacel (Lot number C2771AA) on 09 August 2007 was diagnosed with Guillain-Barre Syndrome (onset date not reported). The patient and presented to the emergency room with a history of low back pain and tingling in feet, progressing to numbness in legs, abdomen and hands. She was admitted for immunoglobulin therapy. Work-up included MRI of the lumbar spine, MRI of the cervical spine and CT of the abdomen, all with negative findings. Results of a lumbar puncture were not reported. The patient was discharged from the hospital on 10 September 2007 and was to follow-up with neurology and physical therapy. recovery status was reported as "unknown".
Age: 53.0
Sex: F
Vaccine: TDAP, TDAP, TDAP, TDAP
Symptoms: Computerised tomogram, Guillain-Barre syndrome, Hypoaesthesia, Lumbar puncture, Nuclear magnetic resonance imaging normal
Clinical narrative: Initial report received from a health care professional on 19 September 2007. A 53-year-old female who received a left deltoid intramuscular injection of Adacel (Lot number C2771AA) on 09 August 2007 was diagnosed with Guillain-Barre Syndrome (onset date not reported). The patient and presented to the emergency room with a history of low back pain and tingling in feet, progressing to numbness in legs, abdomen and hands. She was admitted for immunoglobulin therapy. Work-up included MRI of the lumbar spine, MRI of the cervical spine and CT of the abdomen, all with negative findings. Results of a lumbar puncture were not reported. The patient was discharged from the hospital on 10 September 2007 and was to follow-up with neurology and physical therapy. recovery status was reported as "unknown".
Age: 53.0
Sex: F
Vaccine: TDAP, TDAP, TDAP, TDAP
Symptoms: Paraesthesia, Unevaluable event
Clinical narrative: Initial report received from a health care professional on 19 September 2007. A 53-year-old female who received a left deltoid intramuscular injection of Adacel (Lot number C2771AA) on 09 August 2007 was diagnosed with Guillain-Barre Syndrome (onset date not reported). The patient and presented to the emergency room with a history of low back pain and tingling in feet, progressing to numbness in legs, abdomen and hands. She was admitted for immunoglobulin therapy. Work-up included MRI of the lumbar spine, MRI of the cervical spine and CT of the abdomen, all with negative findings. Results of a lumbar puncture were not reported. The patient was discharged from the hospital on 10 September 2007 and was to follow-up with neurology and physical therapy. recovery status was reported as "unknown".
Age: 53.0
Sex: F
Vaccine: TDAP, TDAP, TDAP, TDAP
Symptoms: Back pain, Computerised tomogram normal, Guillain-Barre syndrome, Hypoaesthesia, Immunoglobulins
Clinical narrative: Initial report received from a health care professional on 19 September 2007. A 53-year-old female who received a left deltoid intramuscular injection of Adacel (Lot number C2771AA) on 09 August 2007 was diagnosed with Guillain-Barre Syndrome (onset date not reported). The patient and presented to the emergency room with a history of low back pain and tingling in feet, progressing to numbness in legs, abdomen and hands. She was admitted for immunoglobulin therapy. Work-up included MRI of the lumbar spine, MRI of the cervical spine and CT of the abdomen, all with negative findings. Results of a lumbar puncture were not reported. The patient was discharged from the hospital on 10 September 2007 and was to follow-up with neurology and physical therapy. recovery status was reported as "unknown".
Age: 53.0
Sex: F
Vaccine: TDAP, TDAP, TDAP, TDAP
Symptoms: Lumbar puncture, Nuclear magnetic resonance imaging normal, Paraesthesia
Clinical narrative: Initial report received from a health care professional on 19 September 2007. A 53-year-old female who received a left deltoid intramuscular injection of Adacel (Lot number C2771AA) on 09 August 2007 was diagnosed with Guillain-Barre Syndrome (onset date not reported). The patient and presented to the emergency room with a history of low back pain and tingling in feet, progressing to numbness in legs, abdomen and hands. She was admitted for immunoglobulin therapy. Work-up included MRI of the lumbar spine, MRI of the cervical spine and CT of the abdomen, all with negative findings. Results of a lumbar puncture were not reported. The patient was discharged from the hospital on 10 September 2007 and was to follow-up with neurology and physical therapy. recovery status was reported as "unknown".
Age: 26.0
Sex: F
Vaccine: TD, TD
Symptoms: Asthenia, Fatigue, Laboratory test normal, Local swelling, Myalgia
Clinical narrative: Abnormally big local swelling for 1.5 months severe fatigue severe weakness-passing out; muscle aches and knee swelling and difficulty walking; Nerve problems; severe muscle spasms for 2 months and sensitivity to warmth and heat fever 103-105 deg; disorientation
Age: 26.0
Sex: F
Vaccine: TD, TD
Symptoms: Asthenia, Disorientation, Fatigue, Loss of consciousness, Myalgia
Clinical narrative: Abnormally big local swelling for 1.5 months severe fatigue severe weakness-passing out; muscle aches and knee swelling and difficulty walking; Nerve problems; severe muscle spasms for 2 months and sensitivity to warmth and heat fever 103-105 deg; disorientation
Age: 26.0
Sex: F
Vaccine: TD, TD
Symptoms: Pyrexia, Swelling
Clinical narrative: Abnormally big local swelling for 1.5 months severe fatigue severe weakness-passing out; muscle aches and knee swelling and difficulty walking; Nerve problems; severe muscle spasms for 2 months and sensitivity to warmth and heat fever 103-105 deg; disorientation
Age: 9.0
Sex: F
Vaccine: FLU3, HEPA, VARCEL, FLU3, HEPA, VARCEL, FLU3, HEPA, VARCEL
Symptoms: Confusional state, Dizziness, Encephalitis, Facial palsy, Gait disturbance
Clinical narrative: Immunizations given 9/13 7:13 pm. Pt developed marked headache over several hours in the evening. Pt appeared normal in morning and went to school. Pt became symptomatic in school with disorientation, slurred speech, pain writing. Pt was seen in doctor office midday and had confusion, rt papuled area, rt facial palsy, and rt sided weakness. Pt immediately sent to medical center for stat CT brain scan and transport to another hospital. Pt was diagnosed with stroke, etiology not yet determined. MRA abnormal. Eventually pt to be transferred to another facility for rehab therapy.
Age: 9.0
Sex: F
Vaccine: FLU3, HEPA, VARCEL, FLU3, HEPA, VARCEL, FLU3, HEPA, VARCEL
Symptoms: Headache, Hemiparesis, Memory impairment
Clinical narrative: Immunizations given 9/13 7:13 pm. Pt developed marked headache over several hours in the evening. Pt appeared normal in morning and went to school. Pt became symptomatic in school with disorientation, slurred speech, pain writing. Pt was seen in doctor office midday and had confusion, rt papuled area, rt facial palsy, and rt sided weakness. Pt immediately sent to medical center for stat CT brain scan and transport to another hospital. Pt was diagnosed with stroke, etiology not yet determined. MRA abnormal. Eventually pt to be transferred to another facility for rehab therapy.
Age: 9.0
Sex: F
Vaccine: FLU3, HEPA, VARCEL, FLU3, HEPA, VARCEL, FLU3, HEPA, VARCEL
Symptoms: Cerebrovascular accident, Confusional state, Disorientation, Dysarthria, Dysgraphia
Clinical narrative: Immunizations given 9/13 7:13 pm. Pt developed marked headache over several hours in the evening. Pt appeared normal in morning and went to school. Pt became symptomatic in school with disorientation, slurred speech, pain writing. Pt was seen in doctor office midday and had confusion, rt papuled area, rt facial palsy, and rt sided weakness. Pt immediately sent to medical center for stat CT brain scan and transport to another hospital. Pt was diagnosed with stroke, etiology not yet determined. MRA abnormal. Eventually pt to be transferred to another facility for rehab therapy.
Age: 9.0
Sex: F
Vaccine: FLU3, HEPA, VARCEL, FLU3, HEPA, VARCEL, FLU3, HEPA, VARCEL
Symptoms: Facial palsy, Headache, Hemiparesis, Nuclear magnetic resonance imaging brain abnormal, Pain
Clinical narrative: Immunizations given 9/13 7:13 pm. Pt developed marked headache over several hours in the evening. Pt appeared normal in morning and went to school. Pt became symptomatic in school with disorientation, slurred speech, pain writing. Pt was seen in doctor office midday and had confusion, rt papuled area, rt facial palsy, and rt sided weakness. Pt immediately sent to medical center for stat CT brain scan and transport to another hospital. Pt was diagnosed with stroke, etiology not yet determined. MRA abnormal. Eventually pt to be transferred to another facility for rehab therapy.
Age: 9.0
Sex: F
Vaccine: FLU3, HEPA, VARCEL, FLU3, HEPA, VARCEL, FLU3, HEPA, VARCEL
Symptoms: Rash papular, Scan brain
Clinical narrative: Immunizations given 9/13 7:13 pm. Pt developed marked headache over several hours in the evening. Pt appeared normal in morning and went to school. Pt became symptomatic in school with disorientation, slurred speech, pain writing. Pt was seen in doctor office midday and had confusion, rt papuled area, rt facial palsy, and rt sided weakness. Pt immediately sent to medical center for stat CT brain scan and transport to another hospital. Pt was diagnosed with stroke, etiology not yet determined. MRA abnormal. Eventually pt to be transferred to another facility for rehab therapy.
Age: 9.0
Sex: F
Vaccine: FLU3, HEPA, VARCEL, FLU3, HEPA, VARCEL, FLU3, HEPA, VARCEL
Symptoms: Headache, Memory impairment
Clinical narrative: Immunizations given 9/13 7:13 pm. Pt developed marked headache over several hours in the evening. Pt appeared normal in morning and went to school. Pt became symptomatic in school with disorientation, slurred speech, pain writing. Pt was seen in doctor office midday and had confusion, rt papuled area, rt facial palsy, and rt sided weakness. Pt immediately sent to medical center for stat CT brain scan and transport to another hospital. Pt was diagnosed with stroke, etiology not yet determined. MRA abnormal. Eventually pt to be transferred to another facility for rehab therapy.
Age: 0.5
Sex: F
Vaccine: 6VAX-F, OPV, PPV, RVX
Symptoms: Convulsion, Fatigue, Inappropriate schedule of drug administration, Irritability
Clinical narrative: Very fussy and tired throughout the day.  Had seizure approx. 10 hours after vaccinations were administered.
Age: 0.19
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Ultrasound abdomen normal, Vomiting projectile
Clinical narrative: Initial and follow-up information has been received from a physician and medical assistant respectively concerning a 10 week old female who on 27-AUG-2007 was vaccinated po with a 2 ml first dose of Rotateq (lot #657459/0509U). Concomitant vaccination included Pediarix (Lot# AC21B124BA), ActHib (Lot # UF2088A), and Prevnar (lot # B47442K). On 29-AUG-2007 to 30-AUG-2007 the experienced projectile vomiting. On 30-AUG-2007 to 31-AUG-2007 the pateint experienced diarrhea. The patient went to the hospital on 31-AUG-2007 to rule out intussusception. The patient had an ultrasound in the hospital which ruled out intussusception. The patient was watched due to symptoms and released from the hospital on 01-SEP-2007. The patient's outcome was not reported. There was no product quality complaint involved. No further information was reported. The patient's projectile vomiting and diarrhea were considered serious for hospitalization. Additional information has been requested. This is one of several reports from the same source.
Age: 0.17
Sex: M
Vaccine: RV5
Symptoms: Gastroenteritis rotavirus
Clinical narrative: Information has been received from a physician concerning a 2 month old male who was vaccinated with a dose of Rotateq (lot number not available). Unspecified medical attention was sought and the patient was subsequently hospitalized and diagnosed with rotavirus. The patient was not recovered at the time of this report. There was no product quality complaint. Additional information has been requested.
Age: 0.17
Sex: F
Vaccine: RV5, UNK
Symptoms: Haematochezia, Stool analysis, X-ray with contrast upper gastrointestinal tract
Clinical narrative: Information has been received from a physician concerning a 2 month old female who was vaccinated PO with her first 2.0 ml dose of Rotateq. Concomitant vaccinations included "4 other vaccinations at the same time." Subsequently the patient developed a bloody stool. Unspecified medical attention was sought. Lab diagnostics studies performed included "stool samples and an upper GI". The patient's recovery status was unknown. There was no product quality complaint. Upon internal review, a bloody stool was determined to be an other important medical event. Additional information has been requested.
Age: 46.0
Sex: M
Vaccine: VARCEL
Symptoms: Abdominal pain, Autoimmune disorder, Condition aggravated, Laboratory test, Panniculitis
Clinical narrative: Information has been received from a physician concerning a 46-year-old male with omental panniculitis, and no allergies, who on 10-SEP-2007 was vaccinated with a subcutaneous 0.5 milliter dose in the right arm of Varivax. Concomitant therapy included hyoscyamineSO4 (LEVBID) and prednisone, 10 milligrams daily for his omental panniculitis. On 10-SEP-2007, the patient experienced pain in the abdomen, which is a symptom of his autoimmune disease (omental panniculitis). The patient was experiencing rectal symptoms (unspecified) on the day of vaccination. The patient was seen in the doctor's office on 14-Sep-2007 and 17-Sep-2007. On 14-Sep-2007, prednisone dosage was increased to 30 milligrams daily. On an unspecified date, the patient was hospitalized for symptoms of his disease. Laboratory and diagnostic tests performed included white blood cell count and a chemistry panel. The reporter felt that worsening of omental panniculitis was not related to therapy with Varivax. The outcome is reported as not recovered. No product quality complaint was involved. The reporter considered omental panniculitis disabling. Additional information has been requested.
Age: 46.0
Sex: M
Vaccine: VARCEL
Symptoms: White blood cell count
Clinical narrative: Information has been received from a physician concerning a 46-year-old male with omental panniculitis, and no allergies, who on 10-SEP-2007 was vaccinated with a subcutaneous 0.5 milliter dose in the right arm of Varivax. Concomitant therapy included hyoscyamineSO4 (LEVBID) and prednisone, 10 milligrams daily for his omental panniculitis. On 10-SEP-2007, the patient experienced pain in the abdomen, which is a symptom of his autoimmune disease (omental panniculitis). The patient was experiencing rectal symptoms (unspecified) on the day of vaccination. The patient was seen in the doctor's office on 14-Sep-2007 and 17-Sep-2007. On 14-Sep-2007, prednisone dosage was increased to 30 milligrams daily. On an unspecified date, the patient was hospitalized for symptoms of his disease. Laboratory and diagnostic tests performed included white blood cell count and a chemistry panel. The reporter felt that worsening of omental panniculitis was not related to therapy with Varivax. The outcome is reported as not recovered. No product quality complaint was involved. The reporter considered omental panniculitis disabling. Additional information has been requested.
Age: 0.4
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Abdominal pain, Surgery, Vomiting
Clinical narrative: Pt had abdominal pain, vomiting on 09/10/2007 was seen in Emergency Room and was transferred to another hospital had surgery performed and dismissed on 9/24/2007.  10/09/2007 MR received for hospital DOS 9/10-24/2007 for DX: Incarcerated Intussusception.  Infant presented to local ER with 6-7 episodes of greenish yellow emesis, high-pitched crying and back arching. He had a sunken fontanelle, decreased BS and (+) rectal bleeding.  Transfered to current facility to r/o intussusception vs bowel obstruction.  PE was (+) for a palpable mass in the mid upper abdomen and currant jelly stool.  Child taken to OR for laparoscopic reduction of incarcerated intussusception which was reduced.  However post-op pt developed increasing abd distention and pain.   Taken again to OR for a Diagnostic laparoscopy with exploratory lap and resection of intestinal perferation with primary anastamosis of ileum. 10/29/2007 Vax record received and corrolates to info on VAERS submission.
Age: 0.7
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Crying, Hyperhidrosis, Inability to crawl, Injection site pain, Pain
Clinical narrative: Fever, pain, inconsolable crying for 3 days. Pain in legs at site. unable to crawl. 2 hours screaming and each day fitfulness, sweating heavily. 12/14/07-records received for DOS 5/20/02-6/20/05-include well and sick visits.Fever times 2 days, cold symptoms with frequent stools on 9/29/02-Congested, fever vomited on 1/12/03-. Vomiting and increased fatigue on 2/13/03. Achieving milestones 6/20/03. Fever vomiting and shaking 6/26/03. Drooling, fever runny nose congested 10/14/03-upper respiratory infection.
Age: 0.7
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Pain in extremity, Pyrexia, Screaming
Clinical narrative: Fever, pain, inconsolable crying for 3 days. Pain in legs at site. unable to crawl. 2 hours screaming and each day fitfulness, sweating heavily. 12/14/07-records received for DOS 5/20/02-6/20/05-include well and sick visits.Fever times 2 days, cold symptoms with frequent stools on 9/29/02-Congested, fever vomited on 1/12/03-. Vomiting and increased fatigue on 2/13/03. Achieving milestones 6/20/03. Fever vomiting and shaking 6/26/03. Drooling, fever runny nose congested 10/14/03-upper respiratory infection.
Age: 1.8
Sex: F
Vaccine: VARCEL
Symptoms: Aphasia, Autism, Fatigue, Lacrimation increased, Lethargy
Clinical narrative: Hideous reaction. Unsafe vaccine most likely destroyed child's health and life. Should be recalled by CDC. Irresponsible and unsafe to give this to baby. 104 fever (6/25/03), shaking, glazed eyes. Total lethargy. 6/26 105 fever, high fever 8 days. Rash on entire body even scalp, exhaustion 8 days. Never the same again. Lost all speech, glazed eyes - spaced out look. Lost eye contact, became autistic. 7/1 still sick. 103 fever 8 days.12/14/07-records received for DOS 5/20/02-6/20/05-include well and sick visits.Fever times 2 days, cold symptoms with frequent stools on 9/29/02-Congested, fever vomited on 1/12/03-. Vomiting and increased fatigue on 2/13/03. Achieving milestones 6/20/03. Fever vomiting and shaking 6/26/03. Drooling, fever runny nose congested 10/14/03-upper respiratory infection.
Age: 1.8
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Rash generalised, Tremor
Clinical narrative: Hideous reaction. Unsafe vaccine most likely destroyed child's health and life. Should be recalled by CDC. Irresponsible and unsafe to give this to baby. 104 fever (6/25/03), shaking, glazed eyes. Total lethargy. 6/26 105 fever, high fever 8 days. Rash on entire body even scalp, exhaustion 8 days. Never the same again. Lost all speech, glazed eyes - spaced out look. Lost eye contact, became autistic. 7/1 still sick. 103 fever 8 days.12/14/07-records received for DOS 5/20/02-6/20/05-include well and sick visits.Fever times 2 days, cold symptoms with frequent stools on 9/29/02-Congested, fever vomited on 1/12/03-. Vomiting and increased fatigue on 2/13/03. Achieving milestones 6/20/03. Fever vomiting and shaking 6/26/03. Drooling, fever runny nose congested 10/14/03-upper respiratory infection.
Age: 1.1
Sex: F
Vaccine: HEP
Symptoms: Blood test, Cognitive disorder, Crying, Pain, Pyrexia
Clinical narrative: Fever 104. Pain, inconsolable crying 3 days. Did not recognize family members after reaction. Was denied care by pediatrician. She was not seen by doctor.12/14/07-records received for DOS 5/20/02-6/20/05-include well and sick visits.Fever times 2 days, cold symptoms with frequent stools on 9/29/02-Congested, fever vomited on 1/12/03-. Vomiting and increased fatigue on 2/13/03. Achieving milestones 6/20/03. Fever vomiting and shaking 6/26/03. Drooling, fever runny nose congested 10/14/03-upper respiratory infection.
Age: 1.1
Sex: F
Vaccine: HEP
Symptoms: Urine analysis
Clinical narrative: Fever 104. Pain, inconsolable crying 3 days. Did not recognize family members after reaction. Was denied care by pediatrician. She was not seen by doctor.12/14/07-records received for DOS 5/20/02-6/20/05-include well and sick visits.Fever times 2 days, cold symptoms with frequent stools on 9/29/02-Congested, fever vomited on 1/12/03-. Vomiting and increased fatigue on 2/13/03. Achieving milestones 6/20/03. Fever vomiting and shaking 6/26/03. Drooling, fever runny nose congested 10/14/03-upper respiratory infection.
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Blood test, Communication disorder, Crying, Disturbance in social behaviour, Erythema
Clinical narrative: Pain, crying for hours. Redness on arm. Lost more language. Ceased developing communication and social skills. Doctor would not see her, was requested.12/14/07-records received for DOS 5/20/02-6/20/05-include well and sick visits.Fever times 2 days, cold symptoms with frequent stools on 9/29/02-Congested, fever vomited on 1/12/03-. Vomiting and increased fatigue on 2/13/03. Achieving milestones 6/20/03. Fever vomiting and shaking 6/26/03. Drooling, fever runny nose congested 10/14/03-upper respiratory infection.
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Hypokinesia, Pain, Speech disorder developmental, Urine analysis
Clinical narrative: Pain, crying for hours. Redness on arm. Lost more language. Ceased developing communication and social skills. Doctor would not see her, was requested.12/14/07-records received for DOS 5/20/02-6/20/05-include well and sick visits.Fever times 2 days, cold symptoms with frequent stools on 9/29/02-Congested, fever vomited on 1/12/03-. Vomiting and increased fatigue on 2/13/03. Achieving milestones 6/20/03. Fever vomiting and shaking 6/26/03. Drooling, fever runny nose congested 10/14/03-upper respiratory infection.
Age: 2.0
Sex: F
Vaccine: MMR
Symptoms: Abnormal behaviour, Aggression, Blood test, Crying, Irritability
Clinical narrative: Fussiness. Pain. Erratic behavior. Completely changed child's personality w/in one week. Resulted in permanent disability. Violent behaviors never before seen. Biting, tantrums, inconsolable. Regressive in speech. Complete withdrawal of social interactions, social inability to play.12/14/07-records received for DOS 5/20/02-6/20/05-include well and sick visits.Fever times 2 days, cold symptoms with frequent stools on 9/29/02-Congested, fever vomited on 1/12/03-. Vomiting and increased fatigue on 2/13/03. Achieving milestones 6/20/03. Fever vomiting and shaking 6/26/03. Drooling, fever runny nose congested 10/14/03-upper respiratory infection.
Age: 2.0
Sex: F
Vaccine: MMR
Symptoms: Pain, Personality change, Social avoidant behaviour, Speech disorder developmental, Urine analysis
Clinical narrative: Fussiness. Pain. Erratic behavior. Completely changed child's personality w/in one week. Resulted in permanent disability. Violent behaviors never before seen. Biting, tantrums, inconsolable. Regressive in speech. Complete withdrawal of social interactions, social inability to play.12/14/07-records received for DOS 5/20/02-6/20/05-include well and sick visits.Fever times 2 days, cold symptoms with frequent stools on 9/29/02-Congested, fever vomited on 1/12/03-. Vomiting and increased fatigue on 2/13/03. Achieving milestones 6/20/03. Fever vomiting and shaking 6/26/03. Drooling, fever runny nose congested 10/14/03-upper respiratory infection.
Age: 21.0
Sex: M
Vaccine: TYP
Symptoms: Anorexia, Arthralgia, Chills, Influenza like illness, Lobar pneumonia
Clinical narrative: 21 y/o male SM developed aching shoulder, sluggishness, flu-like symptoms, progressing to nausea, and recurrent vomiting over the next few days. Symptoms development is temporally associated with receipt of Typhoid IM on 9/7/07. Flu-like symptoms <96 hours Start: 09/07/2007 Comment: Started the day following Typhoid IM. His sxs were mostly 'overall' body aching (muscle and joints). Chills Start: 09/08/07 Comment: Noted first on 9/8 associated with flu-like symptoms. Joint Pain, multiple joints Start: 09/08/2007 Comment: Noted on 9/8 associated with muscle aches. Anorexia Start: 09/08/2007 End: 09/12/2007 Comment: Appetite gone on 9/8. Nausea w/vomiting Start: 09/10/2007 End: 09/12/2007 Comment: Started on 9/10, ~ 6-7 times before admission to the medical ward.  03/03/2008 MR received from VHC for DOS 9/10-15/2007 with DX: Adverse Effect; Typhoid vaccine.  Pneumonia-due to other organisms. Nausea and Vomiting resulting in dehydration. Pt developed sluggishness, aching, flu-like symptoms and chills on the day following typoid vax.  Later developed loss of appetite, decreased po intake, and pt "passed out".  Taken to ED and found to be febrile (101.9'F) and dehydrated. Fluid bolus given and D/Cd. The next day pt began vomiting and returned to the ED on 9/11/07 where pt was found to be dehydrated and hypokalemic.  Cough developed and was Dx with RUL pneumonia. Tx with abx and IVF.  Feeling better at F/U 9/20/07.
Age: 21.0
Sex: M
Vaccine: TYP
Symptoms: Musculoskeletal pain, Myalgia, Nausea, Pain, Sluggishness
Clinical narrative: 21 y/o male SM developed aching shoulder, sluggishness, flu-like symptoms, progressing to nausea, and recurrent vomiting over the next few days. Symptoms development is temporally associated with receipt of Typhoid IM on 9/7/07. Flu-like symptoms <96 hours Start: 09/07/2007 Comment: Started the day following Typhoid IM. His sxs were mostly 'overall' body aching (muscle and joints). Chills Start: 09/08/07 Comment: Noted first on 9/8 associated with flu-like symptoms. Joint Pain, multiple joints Start: 09/08/2007 Comment: Noted on 9/8 associated with muscle aches. Anorexia Start: 09/08/2007 End: 09/12/2007 Comment: Appetite gone on 9/8. Nausea w/vomiting Start: 09/10/2007 End: 09/12/2007 Comment: Started on 9/10, ~ 6-7 times before admission to the medical ward.  03/03/2008 MR received from VHC for DOS 9/10-15/2007 with DX: Adverse Effect; Typhoid vaccine.  Pneumonia-due to other organisms. Nausea and Vomiting resulting in dehydration. Pt developed sluggishness, aching, flu-like symptoms and chills on the day following typoid vax.  Later developed loss of appetite, decreased po intake, and pt "passed out".  Taken to ED and found to be febrile (101.9'F) and dehydrated. Fluid bolus given and D/Cd. The next day pt began vomiting and returned to the ED on 9/11/07 where pt was found to be dehydrated and hypokalemic.  Cough developed and was Dx with RUL pneumonia. Tx with abx and IVF.  Feeling better at F/U 9/20/07.
Age: 21.0
Sex: M
Vaccine: TYP
Symptoms: Vomiting
Clinical narrative: 21 y/o male SM developed aching shoulder, sluggishness, flu-like symptoms, progressing to nausea, and recurrent vomiting over the next few days. Symptoms development is temporally associated with receipt of Typhoid IM on 9/7/07. Flu-like symptoms <96 hours Start: 09/07/2007 Comment: Started the day following Typhoid IM. His sxs were mostly 'overall' body aching (muscle and joints). Chills Start: 09/08/07 Comment: Noted first on 9/8 associated with flu-like symptoms. Joint Pain, multiple joints Start: 09/08/2007 Comment: Noted on 9/8 associated with muscle aches. Anorexia Start: 09/08/2007 End: 09/12/2007 Comment: Appetite gone on 9/8. Nausea w/vomiting Start: 09/10/2007 End: 09/12/2007 Comment: Started on 9/10, ~ 6-7 times before admission to the medical ward.  03/03/2008 MR received from VHC for DOS 9/10-15/2007 with DX: Adverse Effect; Typhoid vaccine.  Pneumonia-due to other organisms. Nausea and Vomiting resulting in dehydration. Pt developed sluggishness, aching, flu-like symptoms and chills on the day following typoid vax.  Later developed loss of appetite, decreased po intake, and pt "passed out".  Taken to ED and found to be febrile (101.9'F) and dehydrated. Fluid bolus given and D/Cd. The next day pt began vomiting and returned to the ED on 9/11/07 where pt was found to be dehydrated and hypokalemic.  Cough developed and was Dx with RUL pneumonia. Tx with abx and IVF.  Feeling better at F/U 9/20/07.