chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.13
Sex: M
Vaccine: RV5
Symptoms: Skin exfoliation, Virus culture negative, White blood cell count increased
Clinical narrative: Patient had received Rotateq on 9/5/07 along with other immunizations (we were not able to obtain the immunization record but mom firmly held to this date).  Patient subsequently presented to an facility on 9/28 with fevers and was being evaluated there when he developed an ALTE.  EEG noted a dense area of R temporal epileptiform activity.  Patient was being treated for HHV-6 encephalitis but while hospitalized developed conjunctivitis, rash, irritability, hand and foot changes, dry red cracked lips, but no lymph node enlargement. While hospitalized he also developed peeling of his hands and feet.  Patient required 3 doses of IVIG before he finally defervesced but developed coronary artery dilation and aneursym formation as outlined below.  01/25/2008 MR received for DOS 10/02-23/2008 with D/C Dx: Seizures, Kawasaki disease, Aortic Aneurysm, feeding difficulty, ALTE. Pt presented to local hospital 9/28/07 with c/o fever, poor feeding and fussiness following 1.5 weeks of nasal congestion. Pt was admitted for hydration and sepsis w/u. On HD 3# pt developed an episode of coughing, emesis and possible seizure. Pt became dusky, hypotonic, and was gasping. O2 sat 86%. Transfered to current facility PICU. Cause of seizure presumed HHV-6.  Pt was intubated and txd with IV abx. Pt was tachycardic with HR up to 220 while febrile. Extubated 10/4/07. On 10/6/07 pt had an episode of respiratory distress and possible aspiration pneumonia. Pt on NG feeds. Conjunctivitis was noted during an ophthalmology consult. Pt then developed diffuse macular rash, red cracked lips, swollen hands and feet, and desquamation of skin on fingers and feet. Kawasaki Disease dxd by ID consult. Txd with ASA and IVIG. Pt transfused with PRBCs for low Hgb.  No further seizures.  1/19/2019 Residual 3.1mm Sanular Ancuryan of his proximal right coronay artery. He remains on Aspirin and will follow up in 1 year.
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Head injury, Syncope
Clinical narrative: Syncope about 5 minutes after injection.  Fell off exam table & hit head on floor.
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Computerised tomogram normal, Fall, Head injury, Immediate post-injection reaction, Syncope
Clinical narrative: Syncope about 5 minutes after injection.  Fell off exam table & hit head on floor.
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Computerised tomogram normal, Fall, Head injury, Inappropriate schedule of drug administration, Syncope
Clinical narrative: Syncope about 5 minutes after injection.  Fell off exam table & hit head on floor.
Age: 17.0
Sex: M
Vaccine: DTAPHEPBIP, FLU3, HEPA, MNQ, VARCEL
Symptoms: Inappropriate schedule of drug administration, Medication error, Wrong drug administered
Clinical narrative: Patient was given the Pediarix combination vaccine (dtap,hep b,ipv).  This vaccine is not recommended for his age group.  Patient should have received tdap,hep b,ipv.  Per CDC, and Glaxosmithkline no known adverse effects and patient does not need to be revaccinated.
Age: 62.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Diarrhoea, Injection site mass
Clinical narrative: Developed a lump nickel sized after receiving her Tdap vaccination that is still present today.  Also had diarrhea and chills on 01/02/2008.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Eye swelling, Ophthalmological examination, Retinal disorder, Scab
Clinical narrative: developed shingles.  had no known reporting of chicken pox prior.  had received chicken pox vaccine and booster.  Examinations described below. Developed bleb on eye, swollen eye and scabs on upper right quandrant of face.  Still visible after 6 weeks. 7/29/08-records received-presented to PCP with vesicular eruption right eyelid. 11/21/07-eye swollen but less pain, treated with acyclovir. 12/28/07-ongoing cough history of asthma. wheeze and rales. No mention of previous C/O related to eyelid swelling.
Age: 38.0
Sex: F
Vaccine: FLU3, PPV, TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 12/6/2007 9:00 AM Client reported Lt arm swollen, sore and red at injection site and moving toward armpit.  Site warm to the touch.  She was started on an antibotic and Benadryl. Immunization history flu 02/18/2005, pneumo 10/26/2004 & Td 12/09/1986.
Age: 14.0
Sex: F
Vaccine: HEP, HPV4, MNQ, TDAP
Symptoms: Pruritus, Rash
Clinical narrative: Immunizations given in our office at 11:30 a.m.  Patient left office and was in town shopping when she began to experience itching and rash on neck, face and upper extremities.  Symptoms began around 1 p.m. and patient presented to local ER around 1:30 p.m.  She was given IM Benadryl 50 mg and IM SoluMedrol 125 mg in the ER.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Foetal heart rate abnormal, Pregnancy test positive, Ultrasound scan abnormal
Clinical narrative: Information has been received from an RN concerning an 18 year old female patient who had delivered her first child in January 2007 who on 20-OCT-2007 was vaccinated IM with a a first dose of Gardasil. Within 2 weeks she had a positive pregnancy test at another facility. Her LMP was 05-OCT-2007. Sonagrams on 14-DEC-2007 and 17-DEC-2007 did not detect a fetal heartbeat. It was reported that she "later" miscarried. Medical attention was sought in the office. Her outcome was not reported. Upon internal review, miscarriage was considered to be an other important medical event. Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Hyperhidrosis, Immediate post-injection reaction
Clinical narrative: Dizziness, felt faint, diaphoretic, immediately after injection.  Reclined and recovered after 5 minutes.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Dizziness, Feeling hot, Immediate post-injection reaction, Nausea, Vomiting
Clinical narrative: Reported Feeling "hot and nauseous" immediately after shot. Complained of being dizzy. Reclined. BP was 90/60.  Vomited twice.  After 10 minutes felt better.  BP now 110/70.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain upper, Anorexia, Diarrhoea
Clinical narrative: Severe stomach pain, accompanied by explosive stools. That lasted for 2 1/2 days. Started a few hours after the 1st vaccine. Couldn't eat or drink without stomach pain occurring right after.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Lip swelling, Pruritus, Throat tightness, Urticaria
Clinical narrative: 12/18/07 Gardasil given 12/18/07. 12/19/07 Patient developed swollen lower lip and sl thickness in posterior throat in AM 12/19/07. Had same reaction to food allergy in past. Loratadine 10mg given and symptoms resolved. 12/20/07 Developed 2 large hives on chest and/on back. Loratadine 10mg given. Itching stopped. Hx of milk allergy. Had half and half in cereal both morning then developed symptoms.
Age: 68.0
Sex: M
Vaccine: YF
Symptoms: Arthralgia, Asthenia, Chills
Clinical narrative: Approx. 5 hrs. after receiving yellow fever vaccine c/o chills, progressively worse through evening.  Did not check his temp.  Today 1/4/08 c/o "no energy, joint soreness".
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Rash, Urticaria
Clinical narrative: Developed rash and welts on all four extremities > 24 hours after receiving immunizations. Seen in local ER, given Solumedrol and Benadryl, rash and welts resolved. Given Rx for oral prednisolone to take at home.
Age: 35.0
Sex: F
Vaccine: DTAP
Symptoms: Unevaluable event
Clinical narrative: None - No adverse events
Age: 17.0
Sex: M
Vaccine: HEPA, IPV
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Vaccines given 11/26/07.  Patient reported nausea and vomiting on 12/26/07 which he stated had been going on for 2 weeks.  He was seen by an MD on 12/26/07 who diagnosed and started treatment.  Patient reported fever after vaccines.  Contacted school nurse.  Patient presented to school nurse on 12/10/2007 with fever.  She remembers the fever being 101.4.  Patient stated he stayed home 2 days with the fever.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: Significant local reaction to DTaP. Dense raised red rash surrounding injection site extending up shoulder and scapula and to the elbow (onset eve day after injection) (seen by doctor). Treated with Keflex 500mg BID x 10 days.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: 3x5 cm red, raised area, slight edema, no tenderness, slightly warm to touch. Applied cool compresses, Tylenol for discomfort.
Age: 71.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Laboratory test, Pain, Skin burning sensation
Clinical narrative: Burning sensation to back of thighs.  No redness or rash.  Moved to burning sensation abdomen, lower back, lower buttock, and right side of face.  Tried Lidocaine .5%, doesn't help.  1/3/08 minimal spots on abd & lower back but right side of scalp hurts when touched.  Burning sensation.
Age: 71.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Arthralgia, Burning sensation, Discomfort, Laboratory test normal, Pain
Clinical narrative: Burning sensation to back of thighs.  No redness or rash.  Moved to burning sensation abdomen, lower back, lower buttock, and right side of face.  Tried Lidocaine .5%, doesn't help.  1/3/08 minimal spots on abd & lower back but right side of scalp hurts when touched.  Burning sensation.
Age: 13.0
Sex: M
Vaccine: FLU3
Symptoms: Borrelia burgdorferi serology negative, Eosinophil count normal, Erythema multiforme, Haematocrit normal, Haemoglobin normal
Clinical narrative: 48 hours after vaccine pt started with erythema multiforme over entire body, but shot site without reaction.  After 5 dys still with scattered hives (previous no egg allergy).
Age: 13.0
Sex: M
Vaccine: FLU3
Symptoms: Laboratory test, Lymphocyte count normal, Monocyte count normal, Neutrophil count normal, Platelet count normal
Clinical narrative: 48 hours after vaccine pt started with erythema multiforme over entire body, but shot site without reaction.  After 5 dys still with scattered hives (previous no egg allergy).
Age: 13.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria, White blood cell count increased
Clinical narrative: 48 hours after vaccine pt started with erythema multiforme over entire body, but shot site without reaction.  After 5 dys still with scattered hives (previous no egg allergy).
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Headache, Injection site erythema, Injection site induration, Injection site oedema, Injection site pain
Clinical narrative: MD contacted the health center on 3 Jan 08 re a pt who had a large local reaction to AVA #2.  He stated that during the first wk there was a 15 cm area of induration with erythema, then it started to subside.  At day 9 the area reblossomed with an induration, tenderness and on day 11 he was started on antibiotics.  Currently he is feeling better but does report occasional headaches.  Symptom: Edema at injection site, <30 mm; start: 12/29/2007.  Symptom: Headache, general; start: 12/2007.
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Local reaction
Clinical narrative: MD contacted the health center on 3 Jan 08 re a pt who had a large local reaction to AVA #2.  He stated that during the first wk there was a 15 cm area of induration with erythema, then it started to subside.  At day 9 the area reblossomed with an induration, tenderness and on day 11 he was started on antibiotics.  Currently he is feeling better but does report occasional headaches.  Symptom: Edema at injection site, <30 mm; start: 12/29/2007.  Symptom: Headache, general; start: 12/2007.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria
Clinical narrative: Diffuse urticaria.  Given Axid, Zyrtec & Depomedrol.  2 days later recurred.  Received 2nd dose Depomedrol.
Age: 1.0
Sex: M
Vaccine: FLU3, PNC, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Injection site was erythematous.  On 11/11 worsened, became indurated.  On exam had an eryth patch 1.9 x 4.8 cm with slight induration.  Rx ibuprofen, Elacon.  No fever, no drainage.
Age: 0.7
Sex: F
Vaccine: FLU3
Symptoms: Convulsion, Pyrexia, Urinary tract infection
Clinical narrative: Had influenza vaccine #2 on 1/2/08.  Later that day possible seizure.  To ER, temp 104, diagnosed with UTI, not admitted.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Alanine aminotransferase normal, Albumin globulin ratio decreased, Anion gap normal, Antinuclear antibody negative, Arthralgia
Clinical narrative: A few days after receiving the flu vaccine, patient bumped his thigh on the edge of a glass table.  It was not sore to touch but ached near the bone.  Dr. said that perhaps it was a 'bone bruise' resulting in a bursitis.  A day later, the pain also involved the hip and got progressively worse.  On 11/6/07 an office visit with Dr.  Perhaps the bone bruise provided a weakened area for the virus to multiply.  Ten days after the flu vaccine was administered, the Zostavax injection was given at the doctor's office.  10/29/07 received flu shot from health dept.  11/6/07 office visit with Dr. because of pain in left hip.  Diagnosis; mild arthritis.  Lipid panel blood test ordered.  Physical therapy ordered.  Rx: ibuprofen 600 mg 3 times daily.  11/9/07 received Zostavax injection at Dr. office.  11/9, 13 and 16/07 physical therapy as ordered by doctor.  Therapist baffled since physical observation is not usual for arthritis.  11/21/07 office visit: pain from left hip moves to include right hip.  No reduction in severity.  Rx: 2 ibuprofen 600 mg and 1 Tylenol 3x's daily.  Dr. ordered blood work that MD (family friend) suggested; sed rate, complete blood count, CPK, rheumatoid arthritis, antinuclear antibody, Lyme titer.  11/21/07 sed rate 99.  11/22/07 (Thanksgiving Day) black stools.  Stopped ibuprofen myself.  Severe pain in upper abdomen/chest area.  Couldn't finish dinner.  Went to bed (head of bed elevated).  Pain continued for several hours.  11/23/07 Office visit with associate MD.  Diagnosis: polymylasia rheumatica.  Stopped ibuprofen and Tylenol.  Prescribed Prednisone 5 mg 3 tablets daily.  Aciphex 1 tablet daily at breakfast.  Ordered blood test.  Called few hours later to say that blood count was up slightly from previous test on 11/6.  Apparently no more bleeding.  11/23/07 bone density X-ray.  11/26/07 Prednisone increased to 10 mg twice daily.  11/27/07 sed rate 56.  Complains of pain in hips and burning in the upper leg; the same sensation experienced with 'shingles'.  12/06/07 sed rate 84.  12/07/07 upper endoscopy (gastroscopy) by Dr. who also ordered blood test and stool OB 3x.  12/21/07 office visit rheumatologist.  12/22/07 sed rate 26.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Arthritis, Aspartate aminotransferase normal, Basophil percentage, Biopsy oesophagus, Blood albumin decreased
Clinical narrative: A few days after receiving the flu vaccine, patient bumped his thigh on the edge of a glass table.  It was not sore to touch but ached near the bone.  Dr. said that perhaps it was a 'bone bruise' resulting in a bursitis.  A day later, the pain also involved the hip and got progressively worse.  On 11/6/07 an office visit with Dr.  Perhaps the bone bruise provided a weakened area for the virus to multiply.  Ten days after the flu vaccine was administered, the Zostavax injection was given at the doctor's office.  10/29/07 received flu shot from health dept.  11/6/07 office visit with Dr. because of pain in left hip.  Diagnosis; mild arthritis.  Lipid panel blood test ordered.  Physical therapy ordered.  Rx: ibuprofen 600 mg 3 times daily.  11/9/07 received Zostavax injection at Dr. office.  11/9, 13 and 16/07 physical therapy as ordered by doctor.  Therapist baffled since physical observation is not usual for arthritis.  11/21/07 office visit: pain from left hip moves to include right hip.  No reduction in severity.  Rx: 2 ibuprofen 600 mg and 1 Tylenol 3x's daily.  Dr. ordered blood work that MD (family friend) suggested; sed rate, complete blood count, CPK, rheumatoid arthritis, antinuclear antibody, Lyme titer.  11/21/07 sed rate 99.  11/22/07 (Thanksgiving Day) black stools.  Stopped ibuprofen myself.  Severe pain in upper abdomen/chest area.  Couldn't finish dinner.  Went to bed (head of bed elevated).  Pain continued for several hours.  11/23/07 Office visit with associate MD.  Diagnosis: polymylasia rheumatica.  Stopped ibuprofen and Tylenol.  Prescribed Prednisone 5 mg 3 tablets daily.  Aciphex 1 tablet daily at breakfast.  Ordered blood test.  Called few hours later to say that blood count was up slightly from previous test on 11/6.  Apparently no more bleeding.  11/23/07 bone density X-ray.  11/26/07 Prednisone increased to 10 mg twice daily.  11/27/07 sed rate 56.  Complains of pain in hips and burning in the upper leg; the same sensation experienced with 'shingles'.  12/06/07 sed rate 84.  12/07/07 upper endoscopy (gastroscopy) by Dr. who also ordered blood test and stool OB 3x.  12/21/07 office visit rheumatologist.  12/22/07 sed rate 26.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal, Blood chloride normal, Blood cholesterol normal
Clinical narrative: A few days after receiving the flu vaccine, patient bumped his thigh on the edge of a glass table.  It was not sore to touch but ached near the bone.  Dr. said that perhaps it was a 'bone bruise' resulting in a bursitis.  A day later, the pain also involved the hip and got progressively worse.  On 11/6/07 an office visit with Dr.  Perhaps the bone bruise provided a weakened area for the virus to multiply.  Ten days after the flu vaccine was administered, the Zostavax injection was given at the doctor's office.  10/29/07 received flu shot from health dept.  11/6/07 office visit with Dr. because of pain in left hip.  Diagnosis; mild arthritis.  Lipid panel blood test ordered.  Physical therapy ordered.  Rx: ibuprofen 600 mg 3 times daily.  11/9/07 received Zostavax injection at Dr. office.  11/9, 13 and 16/07 physical therapy as ordered by doctor.  Therapist baffled since physical observation is not usual for arthritis.  11/21/07 office visit: pain from left hip moves to include right hip.  No reduction in severity.  Rx: 2 ibuprofen 600 mg and 1 Tylenol 3x's daily.  Dr. ordered blood work that MD (family friend) suggested; sed rate, complete blood count, CPK, rheumatoid arthritis, antinuclear antibody, Lyme titer.  11/21/07 sed rate 99.  11/22/07 (Thanksgiving Day) black stools.  Stopped ibuprofen myself.  Severe pain in upper abdomen/chest area.  Couldn't finish dinner.  Went to bed (head of bed elevated).  Pain continued for several hours.  11/23/07 Office visit with associate MD.  Diagnosis: polymylasia rheumatica.  Stopped ibuprofen and Tylenol.  Prescribed Prednisone 5 mg 3 tablets daily.  Aciphex 1 tablet daily at breakfast.  Ordered blood test.  Called few hours later to say that blood count was up slightly from previous test on 11/6.  Apparently no more bleeding.  11/23/07 bone density X-ray.  11/26/07 Prednisone increased to 10 mg twice daily.  11/27/07 sed rate 56.  Complains of pain in hips and burning in the upper leg; the same sensation experienced with 'shingles'.  12/06/07 sed rate 84.  12/07/07 upper endoscopy (gastroscopy) by Dr. who also ordered blood test and stool OB 3x.  12/21/07 office visit rheumatologist.  12/22/07 sed rate 26.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Blood creatine phosphokinase normal, Blood creatinine normal, Blood glucose normal, Blood immunoglobulin G normal, Blood immunoglobulin M
Clinical narrative: A few days after receiving the flu vaccine, patient bumped his thigh on the edge of a glass table.  It was not sore to touch but ached near the bone.  Dr. said that perhaps it was a 'bone bruise' resulting in a bursitis.  A day later, the pain also involved the hip and got progressively worse.  On 11/6/07 an office visit with Dr.  Perhaps the bone bruise provided a weakened area for the virus to multiply.  Ten days after the flu vaccine was administered, the Zostavax injection was given at the doctor's office.  10/29/07 received flu shot from health dept.  11/6/07 office visit with Dr. because of pain in left hip.  Diagnosis; mild arthritis.  Lipid panel blood test ordered.  Physical therapy ordered.  Rx: ibuprofen 600 mg 3 times daily.  11/9/07 received Zostavax injection at Dr. office.  11/9, 13 and 16/07 physical therapy as ordered by doctor.  Therapist baffled since physical observation is not usual for arthritis.  11/21/07 office visit: pain from left hip moves to include right hip.  No reduction in severity.  Rx: 2 ibuprofen 600 mg and 1 Tylenol 3x's daily.  Dr. ordered blood work that MD (family friend) suggested; sed rate, complete blood count, CPK, rheumatoid arthritis, antinuclear antibody, Lyme titer.  11/21/07 sed rate 99.  11/22/07 (Thanksgiving Day) black stools.  Stopped ibuprofen myself.  Severe pain in upper abdomen/chest area.  Couldn't finish dinner.  Went to bed (head of bed elevated).  Pain continued for several hours.  11/23/07 Office visit with associate MD.  Diagnosis: polymylasia rheumatica.  Stopped ibuprofen and Tylenol.  Prescribed Prednisone 5 mg 3 tablets daily.  Aciphex 1 tablet daily at breakfast.  Ordered blood test.  Called few hours later to say that blood count was up slightly from previous test on 11/6.  Apparently no more bleeding.  11/23/07 bone density X-ray.  11/26/07 Prednisone increased to 10 mg twice daily.  11/27/07 sed rate 56.  Complains of pain in hips and burning in the upper leg; the same sensation experienced with 'shingles'.  12/06/07 sed rate 84.  12/07/07 upper endoscopy (gastroscopy) by Dr. who also ordered blood test and stool OB 3x.  12/21/07 office visit rheumatologist.  12/22/07 sed rate 26.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Blood potassium normal, Blood sodium normal, Blood triglycerides normal, Blood urea normal, Bone densitometry
Clinical narrative: A few days after receiving the flu vaccine, patient bumped his thigh on the edge of a glass table.  It was not sore to touch but ached near the bone.  Dr. said that perhaps it was a 'bone bruise' resulting in a bursitis.  A day later, the pain also involved the hip and got progressively worse.  On 11/6/07 an office visit with Dr.  Perhaps the bone bruise provided a weakened area for the virus to multiply.  Ten days after the flu vaccine was administered, the Zostavax injection was given at the doctor's office.  10/29/07 received flu shot from health dept.  11/6/07 office visit with Dr. because of pain in left hip.  Diagnosis; mild arthritis.  Lipid panel blood test ordered.  Physical therapy ordered.  Rx: ibuprofen 600 mg 3 times daily.  11/9/07 received Zostavax injection at Dr. office.  11/9, 13 and 16/07 physical therapy as ordered by doctor.  Therapist baffled since physical observation is not usual for arthritis.  11/21/07 office visit: pain from left hip moves to include right hip.  No reduction in severity.  Rx: 2 ibuprofen 600 mg and 1 Tylenol 3x's daily.  Dr. ordered blood work that MD (family friend) suggested; sed rate, complete blood count, CPK, rheumatoid arthritis, antinuclear antibody, Lyme titer.  11/21/07 sed rate 99.  11/22/07 (Thanksgiving Day) black stools.  Stopped ibuprofen myself.  Severe pain in upper abdomen/chest area.  Couldn't finish dinner.  Went to bed (head of bed elevated).  Pain continued for several hours.  11/23/07 Office visit with associate MD.  Diagnosis: polymylasia rheumatica.  Stopped ibuprofen and Tylenol.  Prescribed Prednisone 5 mg 3 tablets daily.  Aciphex 1 tablet daily at breakfast.  Ordered blood test.  Called few hours later to say that blood count was up slightly from previous test on 11/6.  Apparently no more bleeding.  11/23/07 bone density X-ray.  11/26/07 Prednisone increased to 10 mg twice daily.  11/27/07 sed rate 56.  Complains of pain in hips and burning in the upper leg; the same sensation experienced with 'shingles'.  12/06/07 sed rate 84.  12/07/07 upper endoscopy (gastroscopy) by Dr. who also ordered blood test and stool OB 3x.  12/21/07 office visit rheumatologist.  12/22/07 sed rate 26.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Bone pain, Burning sensation, Bursitis, Carbon dioxide normal, Chest X-ray
Clinical narrative: A few days after receiving the flu vaccine, patient bumped his thigh on the edge of a glass table.  It was not sore to touch but ached near the bone.  Dr. said that perhaps it was a 'bone bruise' resulting in a bursitis.  A day later, the pain also involved the hip and got progressively worse.  On 11/6/07 an office visit with Dr.  Perhaps the bone bruise provided a weakened area for the virus to multiply.  Ten days after the flu vaccine was administered, the Zostavax injection was given at the doctor's office.  10/29/07 received flu shot from health dept.  11/6/07 office visit with Dr. because of pain in left hip.  Diagnosis; mild arthritis.  Lipid panel blood test ordered.  Physical therapy ordered.  Rx: ibuprofen 600 mg 3 times daily.  11/9/07 received Zostavax injection at Dr. office.  11/9, 13 and 16/07 physical therapy as ordered by doctor.  Therapist baffled since physical observation is not usual for arthritis.  11/21/07 office visit: pain from left hip moves to include right hip.  No reduction in severity.  Rx: 2 ibuprofen 600 mg and 1 Tylenol 3x's daily.  Dr. ordered blood work that MD (family friend) suggested; sed rate, complete blood count, CPK, rheumatoid arthritis, antinuclear antibody, Lyme titer.  11/21/07 sed rate 99.  11/22/07 (Thanksgiving Day) black stools.  Stopped ibuprofen myself.  Severe pain in upper abdomen/chest area.  Couldn't finish dinner.  Went to bed (head of bed elevated).  Pain continued for several hours.  11/23/07 Office visit with associate MD.  Diagnosis: polymylasia rheumatica.  Stopped ibuprofen and Tylenol.  Prescribed Prednisone 5 mg 3 tablets daily.  Aciphex 1 tablet daily at breakfast.  Ordered blood test.  Called few hours later to say that blood count was up slightly from previous test on 11/6.  Apparently no more bleeding.  11/23/07 bone density X-ray.  11/26/07 Prednisone increased to 10 mg twice daily.  11/27/07 sed rate 56.  Complains of pain in hips and burning in the upper leg; the same sensation experienced with 'shingles'.  12/06/07 sed rate 84.  12/07/07 upper endoscopy (gastroscopy) by Dr. who also ordered blood test and stool OB 3x.  12/21/07 office visit rheumatologist.  12/22/07 sed rate 26.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Chest pain, Chronic obstructive pulmonary disease, Contusion, Culture stool negative, Eosinophil percentage
Clinical narrative: A few days after receiving the flu vaccine, patient bumped his thigh on the edge of a glass table.  It was not sore to touch but ached near the bone.  Dr. said that perhaps it was a 'bone bruise' resulting in a bursitis.  A day later, the pain also involved the hip and got progressively worse.  On 11/6/07 an office visit with Dr.  Perhaps the bone bruise provided a weakened area for the virus to multiply.  Ten days after the flu vaccine was administered, the Zostavax injection was given at the doctor's office.  10/29/07 received flu shot from health dept.  11/6/07 office visit with Dr. because of pain in left hip.  Diagnosis; mild arthritis.  Lipid panel blood test ordered.  Physical therapy ordered.  Rx: ibuprofen 600 mg 3 times daily.  11/9/07 received Zostavax injection at Dr. office.  11/9, 13 and 16/07 physical therapy as ordered by doctor.  Therapist baffled since physical observation is not usual for arthritis.  11/21/07 office visit: pain from left hip moves to include right hip.  No reduction in severity.  Rx: 2 ibuprofen 600 mg and 1 Tylenol 3x's daily.  Dr. ordered blood work that MD (family friend) suggested; sed rate, complete blood count, CPK, rheumatoid arthritis, antinuclear antibody, Lyme titer.  11/21/07 sed rate 99.  11/22/07 (Thanksgiving Day) black stools.  Stopped ibuprofen myself.  Severe pain in upper abdomen/chest area.  Couldn't finish dinner.  Went to bed (head of bed elevated).  Pain continued for several hours.  11/23/07 Office visit with associate MD.  Diagnosis: polymylasia rheumatica.  Stopped ibuprofen and Tylenol.  Prescribed Prednisone 5 mg 3 tablets daily.  Aciphex 1 tablet daily at breakfast.  Ordered blood test.  Called few hours later to say that blood count was up slightly from previous test on 11/6.  Apparently no more bleeding.  11/23/07 bone density X-ray.  11/26/07 Prednisone increased to 10 mg twice daily.  11/27/07 sed rate 56.  Complains of pain in hips and burning in the upper leg; the same sensation experienced with 'shingles'.  12/06/07 sed rate 84.  12/07/07 upper endoscopy (gastroscopy) by Dr. who also ordered blood test and stool OB 3x.  12/21/07 office visit rheumatologist.  12/22/07 sed rate 26.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Eosinophil percentage increased, Faeces discoloured, Gastritis, Globulin, Glomerular filtration rate normal
Clinical narrative: A few days after receiving the flu vaccine, patient bumped his thigh on the edge of a glass table.  It was not sore to touch but ached near the bone.  Dr. said that perhaps it was a 'bone bruise' resulting in a bursitis.  A day later, the pain also involved the hip and got progressively worse.  On 11/6/07 an office visit with Dr.  Perhaps the bone bruise provided a weakened area for the virus to multiply.  Ten days after the flu vaccine was administered, the Zostavax injection was given at the doctor's office.  10/29/07 received flu shot from health dept.  11/6/07 office visit with Dr. because of pain in left hip.  Diagnosis; mild arthritis.  Lipid panel blood test ordered.  Physical therapy ordered.  Rx: ibuprofen 600 mg 3 times daily.  11/9/07 received Zostavax injection at Dr. office.  11/9, 13 and 16/07 physical therapy as ordered by doctor.  Therapist baffled since physical observation is not usual for arthritis.  11/21/07 office visit: pain from left hip moves to include right hip.  No reduction in severity.  Rx: 2 ibuprofen 600 mg and 1 Tylenol 3x's daily.  Dr. ordered blood work that MD (family friend) suggested; sed rate, complete blood count, CPK, rheumatoid arthritis, antinuclear antibody, Lyme titer.  11/21/07 sed rate 99.  11/22/07 (Thanksgiving Day) black stools.  Stopped ibuprofen myself.  Severe pain in upper abdomen/chest area.  Couldn't finish dinner.  Went to bed (head of bed elevated).  Pain continued for several hours.  11/23/07 Office visit with associate MD.  Diagnosis: polymylasia rheumatica.  Stopped ibuprofen and Tylenol.  Prescribed Prednisone 5 mg 3 tablets daily.  Aciphex 1 tablet daily at breakfast.  Ordered blood test.  Called few hours later to say that blood count was up slightly from previous test on 11/6.  Apparently no more bleeding.  11/23/07 bone density X-ray.  11/26/07 Prednisone increased to 10 mg twice daily.  11/27/07 sed rate 56.  Complains of pain in hips and burning in the upper leg; the same sensation experienced with 'shingles'.  12/06/07 sed rate 84.  12/07/07 upper endoscopy (gastroscopy) by Dr. who also ordered blood test and stool OB 3x.  12/21/07 office visit rheumatologist.  12/22/07 sed rate 26.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Haematocrit decreased, Haematocrit normal, Haemoglobin decreased, Haemoglobin normal, Hiatus hernia
Clinical narrative: A few days after receiving the flu vaccine, patient bumped his thigh on the edge of a glass table.  It was not sore to touch but ached near the bone.  Dr. said that perhaps it was a 'bone bruise' resulting in a bursitis.  A day later, the pain also involved the hip and got progressively worse.  On 11/6/07 an office visit with Dr.  Perhaps the bone bruise provided a weakened area for the virus to multiply.  Ten days after the flu vaccine was administered, the Zostavax injection was given at the doctor's office.  10/29/07 received flu shot from health dept.  11/6/07 office visit with Dr. because of pain in left hip.  Diagnosis; mild arthritis.  Lipid panel blood test ordered.  Physical therapy ordered.  Rx: ibuprofen 600 mg 3 times daily.  11/9/07 received Zostavax injection at Dr. office.  11/9, 13 and 16/07 physical therapy as ordered by doctor.  Therapist baffled since physical observation is not usual for arthritis.  11/21/07 office visit: pain from left hip moves to include right hip.  No reduction in severity.  Rx: 2 ibuprofen 600 mg and 1 Tylenol 3x's daily.  Dr. ordered blood work that MD (family friend) suggested; sed rate, complete blood count, CPK, rheumatoid arthritis, antinuclear antibody, Lyme titer.  11/21/07 sed rate 99.  11/22/07 (Thanksgiving Day) black stools.  Stopped ibuprofen myself.  Severe pain in upper abdomen/chest area.  Couldn't finish dinner.  Went to bed (head of bed elevated).  Pain continued for several hours.  11/23/07 Office visit with associate MD.  Diagnosis: polymylasia rheumatica.  Stopped ibuprofen and Tylenol.  Prescribed Prednisone 5 mg 3 tablets daily.  Aciphex 1 tablet daily at breakfast.  Ordered blood test.  Called few hours later to say that blood count was up slightly from previous test on 11/6.  Apparently no more bleeding.  11/23/07 bone density X-ray.  11/26/07 Prednisone increased to 10 mg twice daily.  11/27/07 sed rate 56.  Complains of pain in hips and burning in the upper leg; the same sensation experienced with 'shingles'.  12/06/07 sed rate 84.  12/07/07 upper endoscopy (gastroscopy) by Dr. who also ordered blood test and stool OB 3x.  12/21/07 office visit rheumatologist.  12/22/07 sed rate 26.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: High density lipoprotein, Injury, Low density lipoprotein, Lymphocyte percentage, Lymphocyte percentage decreased
Clinical narrative: A few days after receiving the flu vaccine, patient bumped his thigh on the edge of a glass table.  It was not sore to touch but ached near the bone.  Dr. said that perhaps it was a 'bone bruise' resulting in a bursitis.  A day later, the pain also involved the hip and got progressively worse.  On 11/6/07 an office visit with Dr.  Perhaps the bone bruise provided a weakened area for the virus to multiply.  Ten days after the flu vaccine was administered, the Zostavax injection was given at the doctor's office.  10/29/07 received flu shot from health dept.  11/6/07 office visit with Dr. because of pain in left hip.  Diagnosis; mild arthritis.  Lipid panel blood test ordered.  Physical therapy ordered.  Rx: ibuprofen 600 mg 3 times daily.  11/9/07 received Zostavax injection at Dr. office.  11/9, 13 and 16/07 physical therapy as ordered by doctor.  Therapist baffled since physical observation is not usual for arthritis.  11/21/07 office visit: pain from left hip moves to include right hip.  No reduction in severity.  Rx: 2 ibuprofen 600 mg and 1 Tylenol 3x's daily.  Dr. ordered blood work that MD (family friend) suggested; sed rate, complete blood count, CPK, rheumatoid arthritis, antinuclear antibody, Lyme titer.  11/21/07 sed rate 99.  11/22/07 (Thanksgiving Day) black stools.  Stopped ibuprofen myself.  Severe pain in upper abdomen/chest area.  Couldn't finish dinner.  Went to bed (head of bed elevated).  Pain continued for several hours.  11/23/07 Office visit with associate MD.  Diagnosis: polymylasia rheumatica.  Stopped ibuprofen and Tylenol.  Prescribed Prednisone 5 mg 3 tablets daily.  Aciphex 1 tablet daily at breakfast.  Ordered blood test.  Called few hours later to say that blood count was up slightly from previous test on 11/6.  Apparently no more bleeding.  11/23/07 bone density X-ray.  11/26/07 Prednisone increased to 10 mg twice daily.  11/27/07 sed rate 56.  Complains of pain in hips and burning in the upper leg; the same sensation experienced with 'shingles'.  12/06/07 sed rate 84.  12/07/07 upper endoscopy (gastroscopy) by Dr. who also ordered blood test and stool OB 3x.  12/21/07 office visit rheumatologist.  12/22/07 sed rate 26.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Mean cell haemoglobin concentration decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume normal
Clinical narrative: A few days after receiving the flu vaccine, patient bumped his thigh on the edge of a glass table.  It was not sore to touch but ached near the bone.  Dr. said that perhaps it was a 'bone bruise' resulting in a bursitis.  A day later, the pain also involved the hip and got progressively worse.  On 11/6/07 an office visit with Dr.  Perhaps the bone bruise provided a weakened area for the virus to multiply.  Ten days after the flu vaccine was administered, the Zostavax injection was given at the doctor's office.  10/29/07 received flu shot from health dept.  11/6/07 office visit with Dr. because of pain in left hip.  Diagnosis; mild arthritis.  Lipid panel blood test ordered.  Physical therapy ordered.  Rx: ibuprofen 600 mg 3 times daily.  11/9/07 received Zostavax injection at Dr. office.  11/9, 13 and 16/07 physical therapy as ordered by doctor.  Therapist baffled since physical observation is not usual for arthritis.  11/21/07 office visit: pain from left hip moves to include right hip.  No reduction in severity.  Rx: 2 ibuprofen 600 mg and 1 Tylenol 3x's daily.  Dr. ordered blood work that MD (family friend) suggested; sed rate, complete blood count, CPK, rheumatoid arthritis, antinuclear antibody, Lyme titer.  11/21/07 sed rate 99.  11/22/07 (Thanksgiving Day) black stools.  Stopped ibuprofen myself.  Severe pain in upper abdomen/chest area.  Couldn't finish dinner.  Went to bed (head of bed elevated).  Pain continued for several hours.  11/23/07 Office visit with associate MD.  Diagnosis: polymylasia rheumatica.  Stopped ibuprofen and Tylenol.  Prescribed Prednisone 5 mg 3 tablets daily.  Aciphex 1 tablet daily at breakfast.  Ordered blood test.  Called few hours later to say that blood count was up slightly from previous test on 11/6.  Apparently no more bleeding.  11/23/07 bone density X-ray.  11/26/07 Prednisone increased to 10 mg twice daily.  11/27/07 sed rate 56.  Complains of pain in hips and burning in the upper leg; the same sensation experienced with 'shingles'.  12/06/07 sed rate 84.  12/07/07 upper endoscopy (gastroscopy) by Dr. who also ordered blood test and stool OB 3x.  12/21/07 office visit rheumatologist.  12/22/07 sed rate 26.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Monocyte percentage, Neutrophil percentage, Neutrophil percentage increased, Occult blood negative, Oesophagitis
Clinical narrative: A few days after receiving the flu vaccine, patient bumped his thigh on the edge of a glass table.  It was not sore to touch but ached near the bone.  Dr. said that perhaps it was a 'bone bruise' resulting in a bursitis.  A day later, the pain also involved the hip and got progressively worse.  On 11/6/07 an office visit with Dr.  Perhaps the bone bruise provided a weakened area for the virus to multiply.  Ten days after the flu vaccine was administered, the Zostavax injection was given at the doctor's office.  10/29/07 received flu shot from health dept.  11/6/07 office visit with Dr. because of pain in left hip.  Diagnosis; mild arthritis.  Lipid panel blood test ordered.  Physical therapy ordered.  Rx: ibuprofen 600 mg 3 times daily.  11/9/07 received Zostavax injection at Dr. office.  11/9, 13 and 16/07 physical therapy as ordered by doctor.  Therapist baffled since physical observation is not usual for arthritis.  11/21/07 office visit: pain from left hip moves to include right hip.  No reduction in severity.  Rx: 2 ibuprofen 600 mg and 1 Tylenol 3x's daily.  Dr. ordered blood work that MD (family friend) suggested; sed rate, complete blood count, CPK, rheumatoid arthritis, antinuclear antibody, Lyme titer.  11/21/07 sed rate 99.  11/22/07 (Thanksgiving Day) black stools.  Stopped ibuprofen myself.  Severe pain in upper abdomen/chest area.  Couldn't finish dinner.  Went to bed (head of bed elevated).  Pain continued for several hours.  11/23/07 Office visit with associate MD.  Diagnosis: polymylasia rheumatica.  Stopped ibuprofen and Tylenol.  Prescribed Prednisone 5 mg 3 tablets daily.  Aciphex 1 tablet daily at breakfast.  Ordered blood test.  Called few hours later to say that blood count was up slightly from previous test on 11/6.  Apparently no more bleeding.  11/23/07 bone density X-ray.  11/26/07 Prednisone increased to 10 mg twice daily.  11/27/07 sed rate 56.  Complains of pain in hips and burning in the upper leg; the same sensation experienced with 'shingles'.  12/06/07 sed rate 84.  12/07/07 upper endoscopy (gastroscopy) by Dr. who also ordered blood test and stool OB 3x.  12/21/07 office visit rheumatologist.  12/22/07 sed rate 26.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Oesophagogastroduodenoscopy, Physiotherapy, Platelet count normal, Polymyalgia rheumatica, Protein total normal
Clinical narrative: A few days after receiving the flu vaccine, patient bumped his thigh on the edge of a glass table.  It was not sore to touch but ached near the bone.  Dr. said that perhaps it was a 'bone bruise' resulting in a bursitis.  A day later, the pain also involved the hip and got progressively worse.  On 11/6/07 an office visit with Dr.  Perhaps the bone bruise provided a weakened area for the virus to multiply.  Ten days after the flu vaccine was administered, the Zostavax injection was given at the doctor's office.  10/29/07 received flu shot from health dept.  11/6/07 office visit with Dr. because of pain in left hip.  Diagnosis; mild arthritis.  Lipid panel blood test ordered.  Physical therapy ordered.  Rx: ibuprofen 600 mg 3 times daily.  11/9/07 received Zostavax injection at Dr. office.  11/9, 13 and 16/07 physical therapy as ordered by doctor.  Therapist baffled since physical observation is not usual for arthritis.  11/21/07 office visit: pain from left hip moves to include right hip.  No reduction in severity.  Rx: 2 ibuprofen 600 mg and 1 Tylenol 3x's daily.  Dr. ordered blood work that MD (family friend) suggested; sed rate, complete blood count, CPK, rheumatoid arthritis, antinuclear antibody, Lyme titer.  11/21/07 sed rate 99.  11/22/07 (Thanksgiving Day) black stools.  Stopped ibuprofen myself.  Severe pain in upper abdomen/chest area.  Couldn't finish dinner.  Went to bed (head of bed elevated).  Pain continued for several hours.  11/23/07 Office visit with associate MD.  Diagnosis: polymylasia rheumatica.  Stopped ibuprofen and Tylenol.  Prescribed Prednisone 5 mg 3 tablets daily.  Aciphex 1 tablet daily at breakfast.  Ordered blood test.  Called few hours later to say that blood count was up slightly from previous test on 11/6.  Apparently no more bleeding.  11/23/07 bone density X-ray.  11/26/07 Prednisone increased to 10 mg twice daily.  11/27/07 sed rate 56.  Complains of pain in hips and burning in the upper leg; the same sensation experienced with 'shingles'.  12/06/07 sed rate 84.  12/07/07 upper endoscopy (gastroscopy) by Dr. who also ordered blood test and stool OB 3x.  12/21/07 office visit rheumatologist.  12/22/07 sed rate 26.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Red blood cell count decreased, Red blood cell count normal, Red blood cell sedimentation rate increased, Red cell distribution width decreased, Red cell distribution width increased
Clinical narrative: A few days after receiving the flu vaccine, patient bumped his thigh on the edge of a glass table.  It was not sore to touch but ached near the bone.  Dr. said that perhaps it was a 'bone bruise' resulting in a bursitis.  A day later, the pain also involved the hip and got progressively worse.  On 11/6/07 an office visit with Dr.  Perhaps the bone bruise provided a weakened area for the virus to multiply.  Ten days after the flu vaccine was administered, the Zostavax injection was given at the doctor's office.  10/29/07 received flu shot from health dept.  11/6/07 office visit with Dr. because of pain in left hip.  Diagnosis; mild arthritis.  Lipid panel blood test ordered.  Physical therapy ordered.  Rx: ibuprofen 600 mg 3 times daily.  11/9/07 received Zostavax injection at Dr. office.  11/9, 13 and 16/07 physical therapy as ordered by doctor.  Therapist baffled since physical observation is not usual for arthritis.  11/21/07 office visit: pain from left hip moves to include right hip.  No reduction in severity.  Rx: 2 ibuprofen 600 mg and 1 Tylenol 3x's daily.  Dr. ordered blood work that MD (family friend) suggested; sed rate, complete blood count, CPK, rheumatoid arthritis, antinuclear antibody, Lyme titer.  11/21/07 sed rate 99.  11/22/07 (Thanksgiving Day) black stools.  Stopped ibuprofen myself.  Severe pain in upper abdomen/chest area.  Couldn't finish dinner.  Went to bed (head of bed elevated).  Pain continued for several hours.  11/23/07 Office visit with associate MD.  Diagnosis: polymylasia rheumatica.  Stopped ibuprofen and Tylenol.  Prescribed Prednisone 5 mg 3 tablets daily.  Aciphex 1 tablet daily at breakfast.  Ordered blood test.  Called few hours later to say that blood count was up slightly from previous test on 11/6.  Apparently no more bleeding.  11/23/07 bone density X-ray.  11/26/07 Prednisone increased to 10 mg twice daily.  11/27/07 sed rate 56.  Complains of pain in hips and burning in the upper leg; the same sensation experienced with 'shingles'.  12/06/07 sed rate 84.  12/07/07 upper endoscopy (gastroscopy) by Dr. who also ordered blood test and stool OB 3x.  12/21/07 office visit rheumatologist.  12/22/07 sed rate 26.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Red cell distribution width normal, Rheumatoid factor negative, Total cholesterol/HDL ratio normal, White blood cell count increased, White blood cell count normal
Clinical narrative: A few days after receiving the flu vaccine, patient bumped his thigh on the edge of a glass table.  It was not sore to touch but ached near the bone.  Dr. said that perhaps it was a 'bone bruise' resulting in a bursitis.  A day later, the pain also involved the hip and got progressively worse.  On 11/6/07 an office visit with Dr.  Perhaps the bone bruise provided a weakened area for the virus to multiply.  Ten days after the flu vaccine was administered, the Zostavax injection was given at the doctor's office.  10/29/07 received flu shot from health dept.  11/6/07 office visit with Dr. because of pain in left hip.  Diagnosis; mild arthritis.  Lipid panel blood test ordered.  Physical therapy ordered.  Rx: ibuprofen 600 mg 3 times daily.  11/9/07 received Zostavax injection at Dr. office.  11/9, 13 and 16/07 physical therapy as ordered by doctor.  Therapist baffled since physical observation is not usual for arthritis.  11/21/07 office visit: pain from left hip moves to include right hip.  No reduction in severity.  Rx: 2 ibuprofen 600 mg and 1 Tylenol 3x's daily.  Dr. ordered blood work that MD (family friend) suggested; sed rate, complete blood count, CPK, rheumatoid arthritis, antinuclear antibody, Lyme titer.  11/21/07 sed rate 99.  11/22/07 (Thanksgiving Day) black stools.  Stopped ibuprofen myself.  Severe pain in upper abdomen/chest area.  Couldn't finish dinner.  Went to bed (head of bed elevated).  Pain continued for several hours.  11/23/07 Office visit with associate MD.  Diagnosis: polymylasia rheumatica.  Stopped ibuprofen and Tylenol.  Prescribed Prednisone 5 mg 3 tablets daily.  Aciphex 1 tablet daily at breakfast.  Ordered blood test.  Called few hours later to say that blood count was up slightly from previous test on 11/6.  Apparently no more bleeding.  11/23/07 bone density X-ray.  11/26/07 Prednisone increased to 10 mg twice daily.  11/27/07 sed rate 56.  Complains of pain in hips and burning in the upper leg; the same sensation experienced with 'shingles'.  12/06/07 sed rate 84.  12/07/07 upper endoscopy (gastroscopy) by Dr. who also ordered blood test and stool OB 3x.  12/21/07 office visit rheumatologist.  12/22/07 sed rate 26.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Fatigue, Pain, Pyrexia, Rash
Clinical narrative: Body ache, fever, tired, rash.
Age: 1.0
Sex: F
Vaccine: HEPA, HIBV, MMR, VARCEL
Symptoms: Decreased appetite, Irritability, Pyrexia, Rash generalised, Rash maculo-papular
Clinical narrative: Received 1 year vaccines on 9/21/07.  That night with fever to 102.  9/22/07 with vomiting and low appetite and slight fever (-100).  Vomiting through 9/25, no diarrhea.  Fussy and not acting herself.  9/26 generalized macular/papular rash.