chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Anorexia, Erythema, Pyrexia, Urticaria
Clinical narrative: Patient given Immunaztion at 12:25pm.  father oc child's S/O picked child up at daycare.  Provider stated child seeemed tired starting around 3:00pm and remained that way all afternoon, S/O took tempature of child around 6:30pm when child felt warm, temp was 104F. S/O called nurse line on insurance card, Patient given Motrin per nurse instructions and told to watch for hives, and administer benadryl if hives seen.  Patient given bath around 7:30pm  3-4 hives noticed on trunk and face, benadryl given.  Patient had no appetite in the evening.  Patient awoke around 10:45pm, with a fever 104.5F and all over body redness.  Given another dose mortin and benadryl, and taken to ER by father.
Age: 39.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Rash pruritic
Clinical narrative: Received Anthrax #1 6/23/03. Developed pruritic rash from shoulder to hand of vaccinated arm within 10 hours of vaccination.  No treatment sought.  Received Anthrax #2 8/7/03.  Was pretreated with oral Benadryl and oral steroid.  Developed same reaction within 24 hours of vaccination.  No treatment sought.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Blood pressure increased, Chest discomfort, Dizziness, Dyspnoea
Clinical narrative: RECEIVED FLU SHOT 11/2/03 AROUND 1430. AFTER AROUND AN HOUR C/O FEELING STUFFY HEAD, DIZZY, SHAKEY FEELING,AND BODY WEAKNESS.BENEDRYL 25MG PO. DOCTOR ORDERED 24MG MEDROL PO GIVEN @ 1634. WENT TO ER @ 1640. 1900 IV NS 1000CC BOLUS, BENEDRYL 25MG IVP, ZANTAC 50MG IVP. 1915 ORTHOSTATIC BPS 139/94 HR 92 LYING, BP 144/90 HR 84 SITTING, STANDING 112/65 HR 96. 1915 C/O CHEST TIGHTNESS EKG DONE. ADMITTED 23HOUR OBSERVATION @ 2248. D/C'D FROM HOSPITAL 11/3/03 @ 1230. The medical records received on 1/12/04 states achey, body pain, headache and SOB.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Laboratory test abnormal, Nasal congestion, Pain, Tremor
Clinical narrative: RECEIVED FLU SHOT 11/2/03 AROUND 1430. AFTER AROUND AN HOUR C/O FEELING STUFFY HEAD, DIZZY, SHAKEY FEELING,AND BODY WEAKNESS.BENEDRYL 25MG PO. DOCTOR ORDERED 24MG MEDROL PO GIVEN @ 1634. WENT TO ER @ 1640. 1900 IV NS 1000CC BOLUS, BENEDRYL 25MG IVP, ZANTAC 50MG IVP. 1915 ORTHOSTATIC BPS 139/94 HR 92 LYING, BP 144/90 HR 84 SITTING, STANDING 112/65 HR 96. 1915 C/O CHEST TIGHTNESS EKG DONE. ADMITTED 23HOUR OBSERVATION @ 2248. D/C'D FROM HOSPITAL 11/3/03 @ 1230. The medical records received on 1/12/04 states achey, body pain, headache and SOB.
Age: 46.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site warmth, Pain, Skin irritation, Swelling
Clinical narrative: Patient had some swelling in the arm around where the shot was given.  It was hot to the touch.  She complained it was painful to move.  The redness and irritation started about 24 hours after vaccination.  She was advised to take Benadryl by mouth.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site warmth, Pain
Clinical narrative: 11/04/03- Throbbing pain L upper arm- pain continues. 11/06/03 Devoloped red flat warm area approximately 2.5" long and 0.5" wide approximately 7" away from vaccine injection site
Age: 74.0
Sex: M
Vaccine: FLUX
Symptoms: Joint stiffness, Pain, Skin irritation
Clinical narrative: Within 1-2 hours of receiving flu shot, I started to get aches, irritation and stiffness in the first and second joints of first and middle fingers of my left hand (shot in left arm).  After several days, same in middle finger of right hand. This has lasted 10 days to date. This is my first flu shot and my fingers definitely do not feel the same as they were before the shot.  I am convinced these strange symptoms were due to the shot and would like to know whether they will disappear in time.
Age: 0.08
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Unevaluable event
Clinical narrative: Patient was seen for well check on 10/29/03. She received vaccines and per parents tolerated them very well. She was well over the following days but found dead on 11/03/2003 AM.
Age: 48.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Anaphylactic reaction, Apnoea, Cold sweat, Dizziness, Pallor
Clinical narrative: From initial information received on 11/3/03 from a health care professional, regarding an adverse event occurring in the USA, it was reported that a 48 year old female patient received FLUZONE, lot number U1271AA, administered IM in the left deltoid on 10/31/03 at 7:50 AM. Immediately following administration of the product, the patient complained of feeling faint. Approximately one minute after sitting her down, she went into anaphylaxis and had a loss of pulse and breathing. She was pale, cool and clammy. Epinephrine .2 cc was administered SC and the patient responded in approximately 30 seconds. The patient was transported to the hospital and was seen in the ER. The patient reportedly did recover from this event. (OMIC)  Follow up on 01/09/04: "From additional information received on 12/29/03 from mail correspondence received from the initial reporter, the ER physician and telephone number where the pt was treated was provided.  It was also reported that the ER records were not available and that this pt had no previous influenza immunizations.  The adverse reaction lasted approximately three minutes.  The reporter states that this pt initially stated there were no known allergies, but in a recent conversation stated she had an allergy to sulfa drugs.  No allergy testing was performed.  The reporter stated, "Reviewed, no additional information at this time."  No additional information is expected, therefore, this case is considered closed." 60-day follow up on 02/11/04: "Pt has recovered from adverse event. Per conversation, she has been monitored (by her family doctor) for a possible irregular heartbeat-the results being inconclusive."
Age: 48.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Pulse absent
Clinical narrative: From initial information received on 11/3/03 from a health care professional, regarding an adverse event occurring in the USA, it was reported that a 48 year old female patient received FLUZONE, lot number U1271AA, administered IM in the left deltoid on 10/31/03 at 7:50 AM. Immediately following administration of the product, the patient complained of feeling faint. Approximately one minute after sitting her down, she went into anaphylaxis and had a loss of pulse and breathing. She was pale, cool and clammy. Epinephrine .2 cc was administered SC and the patient responded in approximately 30 seconds. The patient was transported to the hospital and was seen in the ER. The patient reportedly did recover from this event. (OMIC)  Follow up on 01/09/04: "From additional information received on 12/29/03 from mail correspondence received from the initial reporter, the ER physician and telephone number where the pt was treated was provided.  It was also reported that the ER records were not available and that this pt had no previous influenza immunizations.  The adverse reaction lasted approximately three minutes.  The reporter states that this pt initially stated there were no known allergies, but in a recent conversation stated she had an allergy to sulfa drugs.  No allergy testing was performed.  The reporter stated, "Reviewed, no additional information at this time."  No additional information is expected, therefore, this case is considered closed." 60-day follow up on 02/11/04: "Pt has recovered from adverse event. Per conversation, she has been monitored (by her family doctor) for a possible irregular heartbeat-the results being inconclusive."
Age: 48.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Anaphylactic shock, Apnoea, Cold sweat, Pallor, Pulse absent
Clinical narrative: From initial information received on 11/3/03 from a health care professional, regarding an adverse event occurring in the USA, it was reported that a 48 year old female patient received FLUZONE, lot number U1271AA, administered IM in the left deltoid on 10/31/03 at 7:50 AM. Immediately following administration of the product, the patient complained of feeling faint. Approximately one minute after sitting her down, she went into anaphylaxis and had a loss of pulse and breathing. She was pale, cool and clammy. Epinephrine .2 cc was administered SC and the patient responded in approximately 30 seconds. The patient was transported to the hospital and was seen in the ER. The patient reportedly did recover from this event. (OMIC)  Follow up on 01/09/04: "From additional information received on 12/29/03 from mail correspondence received from the initial reporter, the ER physician and telephone number where the pt was treated was provided.  It was also reported that the ER records were not available and that this pt had no previous influenza immunizations.  The adverse reaction lasted approximately three minutes.  The reporter states that this pt initially stated there were no known allergies, but in a recent conversation stated she had an allergy to sulfa drugs.  No allergy testing was performed.  The reporter stated, "Reviewed, no additional information at this time."  No additional information is expected, therefore, this case is considered closed." 60-day follow up on 02/11/04: "Pt has recovered from adverse event. Per conversation, she has been monitored (by her family doctor) for a possible irregular heartbeat-the results being inconclusive."
Age: 48.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Urinary incontinence
Clinical narrative: From initial information received on 11/3/03 from a health care professional, regarding an adverse event occurring in the USA, it was reported that a 48 year old female patient received FLUZONE, lot number U1271AA, administered IM in the left deltoid on 10/31/03 at 7:50 AM. Immediately following administration of the product, the patient complained of feeling faint. Approximately one minute after sitting her down, she went into anaphylaxis and had a loss of pulse and breathing. She was pale, cool and clammy. Epinephrine .2 cc was administered SC and the patient responded in approximately 30 seconds. The patient was transported to the hospital and was seen in the ER. The patient reportedly did recover from this event. (OMIC)  Follow up on 01/09/04: "From additional information received on 12/29/03 from mail correspondence received from the initial reporter, the ER physician and telephone number where the pt was treated was provided.  It was also reported that the ER records were not available and that this pt had no previous influenza immunizations.  The adverse reaction lasted approximately three minutes.  The reporter states that this pt initially stated there were no known allergies, but in a recent conversation stated she had an allergy to sulfa drugs.  No allergy testing was performed.  The reporter stated, "Reviewed, no additional information at this time."  No additional information is expected, therefore, this case is considered closed." 60-day follow up on 02/11/04: "Pt has recovered from adverse event. Per conversation, she has been monitored (by her family doctor) for a possible irregular heartbeat-the results being inconclusive."
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Anxiety, Bronchitis acute, Chest pain, Condition aggravated, Cough
Clinical narrative: Became ill with acute bronchitis shortly after receiving injection. Did not respond to treatment as quickly as he usually does.  60-day follow up on 01/28/04: "Pt has recovered from adverse events." Nurse follow up on 05/18/04: shortness of breath, wheezing, pneumonia, chest pain, cough, anxiety, fatigue.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Dyspnoea, Fatigue, Laboratory test abnormal, Pneumonia, Wheezing
Clinical narrative: Became ill with acute bronchitis shortly after receiving injection. Did not respond to treatment as quickly as he usually does.  60-day follow up on 01/28/04: "Pt has recovered from adverse events." Nurse follow up on 05/18/04: shortness of breath, wheezing, pneumonia, chest pain, cough, anxiety, fatigue.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: White blood cell count increased
Clinical narrative: Became ill with acute bronchitis shortly after receiving injection. Did not respond to treatment as quickly as he usually does.  60-day follow up on 01/28/04: "Pt has recovered from adverse events." Nurse follow up on 05/18/04: shortness of breath, wheezing, pneumonia, chest pain, cough, anxiety, fatigue.
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Diarrhoea, Fatigue, Pyrexia, Stomach discomfort
Clinical narrative: Diarrhea and upset stomach (mentioned first).  Feverish feeling; fever not verified; patient didn't have thermometer.  Fatigue.  Time course that evening, next day.  Recommended APAP (OTC) and fluids.  (Diarrhea is not a side effect of vaccine).
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dizziness, Nausea, Panic reaction, Wheezing
Clinical narrative: Panic attack like symptoms.  Tightness in chest.  Wheezing, dizziness, nausea.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Urticaria
Clinical narrative: Patient received flu clinic at am off-site clinic at school on 10/24/2003 afternoon Sat.  Noted welt and redness.  Later saturday evening-noted more redness around site.  No fever or other steady state noted.  Went to ER.  Instructed to take Benadryl, ice and ret if worsen.  Patient recovered completely.  No other complaints.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling cold, Feeling hot, Headache, Injection site erythema, Injection site pain
Clinical narrative: Received flu vaccine yesterday 10/28/2003.  Patient had a "little stomach ache before cause for vaccination."  None since receiving.  Has noticed slight headache, some chilling.  Local redness and warmth noted at site (left deltoid) and slight tenderness today.  Referred to MD (family) per follow up.  To report back to health department.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Hot flush, Somnolence
Clinical narrative: Approximately 10 minutes after receiving vaccine, patient reports feeling "very hot"-this started gradually and escalated to the point where "I felt like I was on fire".  She soon developed weakness of her lower extremities (within 20 minutes), making standing difficult.  She reported trouble with her thought processes and verbalization.  Within 30-40 minutes, she became somnolent; difficult to engage in any conversation, but answered simple questions appropriately.  She was taken to the ER at that time.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Muscular weakness, Sensation of pressure, Tachycardia
Clinical narrative: Patient states that "almost instantaneously" she began feeling something "strange" in her cheeks and below her eyes.  She could not move her facial muscles as usual.  She then felt a pressure-like feeling at top of her neck and her left arm became weak and insensitive to touch.  States both legs were "jelly-like and wobbly".  She denied any shortness of breath, diaphoresis at that time.  She was taken to the ER at that time.  Vital signs were stable (slightly tachycardic).
Age: 39.0
Sex: F
Vaccine: ANTH
Symptoms: Arthralgia, Hypokinesia, Oedema, Pain
Clinical narrative: Pain and swelling in left elbow, 3-7 days post vaccination.  Limitation of motion.  Unable to write.  Recurrent polyarthralgias over last 7 months.  Now right shoulder effected.
Age: 77.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Chills, Pain
Clinical narrative: Patient began feeling chills, achy and pain under ribs shortly after returning home from receiving influenza vaccine.  Patient also began to feel chest tightness next day and went to hospital next morning (10/18/2003).  Patient reports feeling much better but still feels chest tightness (10/28/2003).
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Dizziness, Headache, Pain, Pyrexia
Clinical narrative: Headache, dizziness, fever, chills, body aches.
Age: 89.0
Sex: F
Vaccine: FLU3
Symptoms: Blood glucose increased, Blood pressure decreased, Heart rate decreased, Hyperhidrosis, Loss of consciousness
Clinical narrative: Patient lost consciousness became diaphorec.  Blood pressure 90/60.  Pulse 60.  Patient diabetic as per niece. Paramedics called blood sugar. 247 patient transported to ER.
Age: 26.0
Sex: F
Vaccine: SMALL
Symptoms: Cellulitis
Clinical narrative: Left axillary (LAD) and mild cellulitis around vaccination site.  Given Keflex 250mg 1 4 times a day #46; Clarinex 5mg 1 every day # 16.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: Employer received flu vaccine left arm 10/30/2003 in AM. Complained of pain in right arm in afternoon and went to the ER.  No redness or swelling noted.  MD believes it is neuropathy of brachiol pleause.  To go to neurologist.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Blood glucose increased, Dizziness, Paraesthesia
Clinical narrative: 3-4 minutes after immunization.  Tingling arms, back and lightheadedness so patient was reclined.  Then complained of worsening arm, neck, back and chest pain.  Continued to worsen over 5 minute period.  Ambulance called.  Crew reported hypertensive both laying down and sitting and high blood glucose.  Patient transported by family to ER for follow up.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Hypokinesia, Injection site pain, Oedema, Pain
Clinical narrative: Gave flu and pneumo shot in same left arm.  Arm was sore that night.  Started to feel achy that night.  Had fever and chills next day.  Arm couldn't move.  Red and swollen arm.  Took Aspirin.  Large 4 inches.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia
Clinical narrative: Gave flu and pneumo shot in same left arm.  Arm was sore that night.  Started to feel achy that night.  Had fever and chills next day.  Arm couldn't move.  Red and swollen arm.  Took Aspirin.  Large 4 inches.
Age: 70.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Injection site oedema, Injection site pain, Pain, Pyrexia
Clinical narrative: Badly swollen right arm near shoulder - very painful between shoulder and elbow on muscle at rear of arm.  Nurse gave shot on back of arm in this muscle-shot was painful, fever of 101.  Also ached over entire body.  Call doctor, he started to take Tylenol.  Stay in bed and drink warm chicken soup, which I did.  It took almost three days for the swelling to go down though I only stayed in bed one day.
Sex: F
Vaccine: FLU3, PPV
Symptoms: Feeling hot, Injection site erythema, Injection site inflammation, Injection site pain, Pyrexia
Clinical narrative: Fever and chills same day after vaccine given.  Also localized reaction in the right deltoid/arm.  Red/tender/warm down arm.  Localized inflammation.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dizziness
Clinical narrative: Approximately 2 hours after shot, I began to feel dizzy and kinda weak.  Sat down.  Finally laid down to see if dizziness would car up (missed class).  Approximately 7 hours later the dizziness was clearing and returned to normal shortly thereafter.
Age: 75.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Pruritus
Clinical narrative: Adverse reaction was only to pneumococcal vaccine.  Swelling was excessive and covered approximately a 4 inch length in muscle area above elbow.  Redness was excessive and covered the entire swollen area.  There was itching, soreness and pain in this area.  It took approximately 5 days before all symptoms cleared up.  I used hydrocortisone and Wal-iton recommended by pharmacist.  I had one pneumonia shot 5 years prior to this one with no reaction.  Follow up on 11/25/03: "I had no problem with the Influenza vaccine."
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Father reports that the evening that patient received the vaccine he complained of pain at injection site.  Thigh became edematous and red from the left groin to left knee.  Patient sought medical treatment on 11/03/2003.
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Chest pain, Fatigue, Flushing, Gait disturbance, Throat tightness
Clinical narrative: Upon waking on 10/23/2003, he complained of right sided chest pain on deep breath, pain in back of throat, feeling flushed and fatigued.  Has history of spinal compression.  Complains of feeling increased spastic and unsteady on feet.  Symptoms resolved 10/26/2003.
Age: 61.0
Sex: M
Vaccine: FLUX
Symptoms: Anorexia, Cough, Nasal congestion, Pain, Pharyngolaryngeal pain
Clinical narrative: Shot taken on Wednesday (Oct 15). 4 days later started having congestion, coughing and sore throat. Very aching body. Loss of appetite. Lung area very tender and painful. (Temperature).
Age: 61.0
Sex: M
Vaccine: FLUX
Symptoms: Pyrexia
Clinical narrative: Shot taken on Wednesday (Oct 15). 4 days later started having congestion, coughing and sore throat. Very aching body. Loss of appetite. Lung area very tender and painful. (Temperature).
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Anorexia, Cough, Nasal congestion, Pain, Pharyngolaryngeal pain
Clinical narrative: Shot taken on Wednesday (Oct 15). 4 days later started having congestion, coughing and sore throat. Very aching body. Loss of appetite. Lung area very tender and painful. One round (10 days) of Tequin tablets 400 mg. Need another. (Temperature).
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Shot taken on Wednesday (Oct 15). 4 days later started having congestion, coughing and sore throat. Very aching body. Loss of appetite. Lung area very tender and painful. One round (10 days) of Tequin tablets 400 mg. Need another. (Temperature).
Age: 55.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Hypoaesthesia
Clinical narrative: Right side body numbness, 5 episodes to date, recover in 10 minutes from each episode. Flu and pneumonia shots received on 10/22/2003. First episode 10/25/03. Numbness starts in face and works down the body, right side only.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Dizziness
Clinical narrative: Severe chest pain, extreme dizziness.
Age: 46.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Nausea
Clinical narrative: Nausea, arthralgias including upper and lower extremities.
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Injection site warmth, Pain, Urticaria
Clinical narrative: Redness, hot, soreness, hives
Age: 49.0
Sex: M
Vaccine: RAB
Symptoms: Dizziness, Influenza like illness, Pyrexia
Clinical narrative: 10/28/2003 phone call from pt fever 101-102, flu-like symptoms. Saw FNP through job ? flu. Gave pill for flu. 10/27/03 pc to pt at work. Dizzy yesterday and today fever last evening 100. 10/29/03 no fever, no dizziness.
Age: 1.33
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Pt received MMR left upper arm SQ and varicella vaccine right upper arm. Vaccines administered at 11:10 AM. At 11:28 AM mother request PHN to look at left upper arm. Left upper arm red, warm to touch, swollen 4 cm diameter. Saw PMD 11/3/03. Prednisone 15mg/5ml, give 1 tsp by mouth qd for 2 days.
Age: 0.25
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Right thigh where Hib and Prevnar were given induration and erythema of overlying skin.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Urticaria
Clinical narrative: Within one hour after receiving Varivax pt presented with generalized urticaria.
Age: 2.0
Sex: F
Vaccine: DTAP, HEP, MMR, VARCEL
Symptoms: Pallor, Respiratory arrest
Clinical narrative: On 10/14/03 father child "gray and not breathing". Was taken to hospital ER.
Age: 5.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Rash papular
Clinical narrative: Rash started on 10/28/2003. Office visit 10/29/03. No fever or ill symptoms noted. 6-10 papules with surrounding edema/erythema 1-2mm (1-1mm on back) on abdomen and back.
Age: 54.0
Sex: F
Vaccine: TD
Symptoms: Injection site oedema
Clinical narrative: 3 days after vaccination, site swelled to size of an egg. Two weeks later it is size of quarter.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Pain
Clinical narrative: Left upper arm above elbow red, firm, slightly tender swelling. Benadryl po.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Swelling and redness covering entire lateral aspect left upper arm, from shoulder to elbow. Warm to touch. Cool compresses applied by pt.
Age: 36.0
Sex: F
Vaccine: MMR
Symptoms: Amnesia, Asthenia, Confusional state, Diarrhoea, Nausea
Clinical narrative: Diarrhea up to 4 times a day. Am going to a gastroenterologist on 11/11. Nausea, ringing of ears, extreme weakness, confusion, memory loss.
Age: 36.0
Sex: F
Vaccine: MMR
Symptoms: Tinnitus
Clinical narrative: Diarrhea up to 4 times a day. Am going to a gastroenterologist on 11/11. Nausea, ringing of ears, extreme weakness, confusion, memory loss.
Age: 51.0
Sex: M
Vaccine: HEP
Symptoms: Confusional state, Pain
Clinical narrative: Hep B #1: one hour later aching in fingers, 2 hours later mentally "spacey", elbow aching for 10-12 hours, OK next day.
Age: 0.08
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Blister
Clinical narrative: Questionable complex spot on the soft palate. Skin has multiple vesicular noted, none of which are excoriated or oozing at the present time.
Age: 0.67
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion
Clinical narrative: Tonic seizure 15-20 episodes lasting 10-30 seconds within 24 hours of Pediarix, Hib, Prevnar 10/29/03.
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, HEPA, IPV, MMR
Symptoms: Coma, Cyanosis, Lethargy
Clinical narrative: Within 2 minutes of injections, pt said she wanted to go home. Lay down on ground in exam room; mom lifted her up, noted blue-tinged lips. MD assessment at about 5 minutes: unresponsive, eyes closed, heart rate 40-48, clear breath sounds, pulse ox 100%. Given O2 and SQ epinephrine - HR to 70-80, opened eyes, still lethargic, more responsive, verbal response at 15-20 minutes. Full recovery at about 1 hour, after transport to ER.
Age: 2.0
Sex: M
Vaccine: DTAP, HEP, HIBV, MMR, RUB
Symptoms: Cellulitis, Injection site erythema, Injection site oedema
Clinical narrative: Swelling right thigh with erythema 10 x 14cm. Cellulitis.
Age: 45.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Fever, aches, chills. Localized.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site inflammation
Clinical narrative: Pt presented 11/6/03 with significant inflammation of left upper arm. Plan of Tx included Benadryl, cool compresses and Alotin. Will return 11/7/03.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Face oedema, Lethargy, Urticaria, Vomiting
Clinical narrative: Pt present about 45 minutes after vaccine administered with lethargy, vomiting, urticaria and mild facial swelling. Was given PO Benadryl and sent by ambulance to ER.
Age: 5.0
Sex: F
Vaccine: DTAP, FLU3, HEPA, IPV, MMR
Symptoms: Contusion, Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Swollen, red, hot, bruised.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Ear disorder, Pyrexia, Rash
Clinical narrative: Baby has rash at left leg before the vaccine shots, then 2 hours after receiving the shot rashes were observed by mom to the face then to the whole body. Then at 8 PM baby had fever of 103.7 F. Baby was taken to clinic and treated with Benadryl. C-Pap. Baby is receiving amoxicillin for 4 days now for ear infection.
Age: 2.0
Sex: M
Vaccine: UNK
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Localized swelling and erythema at site. Keflex oral antibiotic for 1 week.
Age: 64.0
Sex: F
Vaccine: FLUX
Symptoms: Rash, Urticaria
Clinical narrative: Broke out in hives on legs,feet and hips 6 days after vaccination.  Treated the rash with Lidex Cream 0.05% that my dermatologist had prescribed previously.  The hives lasted 2 days.
Age: 19.0
Sex: F
Vaccine: FLU3, HEPAB
Symptoms: Injection site hypersensitivity, Injection site swelling, Nausea, Pruritus, Vomiting
Clinical narrative: PATIENT COMPLAINED OF NAUSEA AND VOMITTING, ALSO SWELLING AND ITCHING AT THE SITE OF INJECTION. ON EXAM THERE WAS A 5CM INDURATION ON THE DELTOID OF LEFT ARM. PATIENT WAS TREATED WITH DIPHENHYDRAMINE 25MG
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: After 24 hr recieveing Anthrax #2 vaccine, large local induration/edema/erythema/pain to r arm, max size 13in x 8 in. took Benadryl/Motrin on day 2, by day 4, symtoms resolved
Age: 13.0
Sex: M
Vaccine: HEP
Symptoms: Pruritus, Rash
Clinical narrative: Client noted "large bumps" of a two inch diameter around injection site 3-4 days after administration.  These bumps itched and did become smaller until disappearing approximately 8 days after administration.  Client states no redness at sight and no other symptoms.  Client checked with doctor who stated not to get third vaccine and to have titre drawn in one year.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Cardiomegaly, Chest pain, Dizziness, Dyspnoea, Electrocardiogram abnormal
Clinical narrative: Primary Smallpox vaccination on October 22, 2003. On October 31, at 2:00 am, he began to have chest pain. He describes the pain as sharp and stabbing in the center of his chest but also located at the bottom of his chest where his diaphragm is and in the area in front of his shoulders. The intensity initially was 5/10. The pain was worse when lying down and slightly better sitting upright. The most pain relief was when he was standing up, however, when standing, he would become light-headed. The pain would increase when he attempted to take a deep breath. The pain eventually eased and he was able to go back to sleep. When he woke in the morning he only felt only soreness in his chest that he rates 3/10. He reported to work and was running physical training when he began to have chest pain again. This time the pain was much worse and he also had difficulty breathing. This pain was rated 8/10. He became light-headed and was helped to the clinic. From there he was sent to the emergency room at the hospital. While in the ER he had an EKG and chest x-ray which were reportedly.  He was discharged home with Tylenol and Maalox. That afternoon, he reports that he felt better. He awakened at 4:00 am (Nov 1, 2003) with chest pain. This pain was the worst and rated 10/10. Again, he had difficulty breathing he became light-headed and passed out. He was transported to the hospital again and a repeat chest X-ray showed an enlarging heart when compared with the previous days x-ray. He was then transported by ambulance to the hospital. He was found to have a pericardial effusion. On Monday November 3, 2003 he had a pericardialcentesis performed and 600 ccs of serosanguineous fluid. The pericardial drain was left in place and he was put in the Intensive Care Unit. He reports that since having the fluid removed he finds that breathing is easier. The medical record received on 1/6/04 confirms pericardial effusion and states pericarditis and fever.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Pericardial effusion, Pericarditis, Pyrexia
Clinical narrative: Primary Smallpox vaccination on October 22, 2003. On October 31, at 2:00 am, he began to have chest pain. He describes the pain as sharp and stabbing in the center of his chest but also located at the bottom of his chest where his diaphragm is and in the area in front of his shoulders. The intensity initially was 5/10. The pain was worse when lying down and slightly better sitting upright. The most pain relief was when he was standing up, however, when standing, he would become light-headed. The pain would increase when he attempted to take a deep breath. The pain eventually eased and he was able to go back to sleep. When he woke in the morning he only felt only soreness in his chest that he rates 3/10. He reported to work and was running physical training when he began to have chest pain again. This time the pain was much worse and he also had difficulty breathing. This pain was rated 8/10. He became light-headed and was helped to the clinic. From there he was sent to the emergency room at the hospital. While in the ER he had an EKG and chest x-ray which were reportedly.  He was discharged home with Tylenol and Maalox. That afternoon, he reports that he felt better. He awakened at 4:00 am (Nov 1, 2003) with chest pain. This pain was the worst and rated 10/10. Again, he had difficulty breathing he became light-headed and passed out. He was transported to the hospital again and a repeat chest X-ray showed an enlarging heart when compared with the previous days x-ray. He was then transported by ambulance to the hospital. He was found to have a pericardial effusion. On Monday November 3, 2003 he had a pericardialcentesis performed and 600 ccs of serosanguineous fluid. The pericardial drain was left in place and he was put in the Intensive Care Unit. He reports that since having the fluid removed he finds that breathing is easier. The medical record received on 1/6/04 confirms pericardial effusion and states pericarditis and fever.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Headache, Visual disturbance
Clinical narrative: Within 2 hours patient experienced moderate headache, with visual disturbances specifically depth perception problems and weakness.  Left arm also extremely sore. Patients vitals taken and stable but placed in bed and allowed to rest and then sent home.
Age: 32.0
Sex: M
Vaccine: ANTH, FLUX
Symptoms: Eyelid oedema, Face oedema, Rash, Scrotal oedema, Skin ulcer
Clinical narrative: Patient received Anthrax #5 and influenza on 3 June 2003.  The evening following vaccination, aproximately 6-8 hours, he developed multiple papule/urticaria lesions on the lower extremities that progressed to the lower back,abdomen,arms and shoulders. The rash non-erythematous and pruritic lasting 15 minutes.  The rash reoccurred one week later around the same time in the evening.  He was treated with benadryl and zyrtec.  Symptoms resolved.  Two weeks later, he was deployed.  During his deployment, he experienced 3 more episodes of urticaria.  The third episode consisted of facial swelling of the lips, eye lids and testicular area lasting several hours.   Since his return from deployment in August, he has not had any further outbreaks.
Age: 32.0
Sex: M
Vaccine: ANTH, FLUX
Symptoms: Swelling face, Urticaria
Clinical narrative: Patient received Anthrax #5 and influenza on 3 June 2003.  The evening following vaccination, aproximately 6-8 hours, he developed multiple papule/urticaria lesions on the lower extremities that progressed to the lower back,abdomen,arms and shoulders. The rash non-erythematous and pruritic lasting 15 minutes.  The rash reoccurred one week later around the same time in the evening.  He was treated with benadryl and zyrtec.  Symptoms resolved.  Two weeks later, he was deployed.  During his deployment, he experienced 3 more episodes of urticaria.  The third episode consisted of facial swelling of the lips, eye lids and testicular area lasting several hours.   Since his return from deployment in August, he has not had any further outbreaks.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pharyngeal oedema, Throat tightness
Clinical narrative: Shot give at 11:30 Am at 7:30 PM arm swollen and red tightening in throat and got funny  Went to ED and received benadryl and epi
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Face oedema, Injection site erythema, Injection site hypersensitivity, Injection site swelling, Pruritus
Clinical narrative: DEVELOPED REDNESS, SWELLING, & ITCHING AT VACCINATION SITE APPROXIMATELY 12 HOURS AFTER RECEIVING FLU SHOT.  SHE TOOK DIPHENHYDRAMINE  EVERY 4-6 HOURS FOR 24 HOURS BUT BY NEXT DAY (10/22 AM) REPORTED HIVES OVER ENTIRE LEFT ARM AND ACROSS CHEST AND LOWER LIP SWOLLEN.  WAS TREATED AT CLINIC WITH ATARAX AND STEROID INJECTION AND PRESCRIBED ZYRTEC FOR 7 DAYS.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: DEVELOPED REDNESS, SWELLING, & ITCHING AT VACCINATION SITE APPROXIMATELY 12 HOURS AFTER RECEIVING FLU SHOT.  SHE TOOK DIPHENHYDRAMINE  EVERY 4-6 HOURS FOR 24 HOURS BUT BY NEXT DAY (10/22 AM) REPORTED HIVES OVER ENTIRE LEFT ARM AND ACROSS CHEST AND LOWER LIP SWOLLEN.  WAS TREATED AT CLINIC WITH ATARAX AND STEROID INJECTION AND PRESCRIBED ZYRTEC FOR 7 DAYS.
Age: 0.15
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Apnoea, Bradycardia, Laboratory test abnormal, Tachypnoea
Clinical narrative: Patient is a former premature infant now 2 months of age receiving first series of vacinations.  Infant with a history of apnea/bradycardia requiring oxygen and Theophylline.  Theophylline was discontinued on 8/18/03 and resumed on 8/21/03 for increased episodes of apnea/bradycardia.  Theophylline was again discontinued on 8/25/03.  The infant had no episodes of apnea/bradycardia since 8/21/03.  At 0900 am on 8-24-03 the nasal cannula was discontinued with ocassional oxygen desaturations noted.  The Pediarix combination vacine was administered 8-26-03 at 1330 pm.  At 2330 pm on 8/26/03, the nasal cannula was restarted at 1/2 lpm for desaturations.  The infant continued to nipple feed all feedings.  On 8-27-03 at 0300 am, the physician was called to the bedside for apnea/bradycardic episodes.  A CBC was obtained with unremarkable findings.  The NC flow was increased to 1 lpm and a CRX/KUB was obtained.  On exam, upper airway congestion was noted.  The infant was reloaded with Theophylline in the am, but continued to have oxygen desaturations.  On 8-28-03, the nasal cannula was discontinued at 1100 am with one apneic epsisode ntoed that day.  The infant continued to nipple all feedings.  On 8-29-03 the infant continued to have ocassional desaturations with feeding.  On 9-1-03 Theophylline was discontinued. Discharge Summary received on 11/25/2003 states tachypnea.
Age: 32.0
Sex: F
Vaccine: FLU3, HEP
Symptoms: Cough, Fatigue, Headache, Influenza like illness, Pain
Clinical narrative: Classic flu-like symptoms - headache, body ache, sore throat, dry cough, low grade fever, fatigue
Age: 32.0
Sex: F
Vaccine: FLU3, HEP
Symptoms: Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Classic flu-like symptoms - headache, body ache, sore throat, dry cough, low grade fever, fatigue
Age: 33.0
Sex: M
Vaccine: HEP, HEPA, IPV, MEN, MMR, SMALL, TD, TYP
Symptoms: Chest pain, Loss of consciousness, Myocarditis
Clinical narrative: This is a 33 y/o male that received revaccination of smallpox vaccine on 14 July 2003.  One week following vaccination he developed persistent chest pain for approximately 4-5 days.  He described the pain as a daily mid- sternal "pulling pressure".  The pain progressed to a sharp sensation and worsened with moving, bending or leaning over.  He associated the pain with physical activities at work and did not seek evaluation.   The same week he had a dental procedure performed.  Following his dental procedure he went down to the ER to wait for his ride.  While he was waiting in the emergency room he passed out.  He was monitored in the Emergency room for two hours and then transferred to a hospital for further evaluation.  He was admitted for one week.  He underwent several diagnostic and laboratory test and  was diagnosed with myocarditis by a cardiologist.  He was discharged after one week and instructed not to deploy until further evaluation and follow-up that was scheduled for 13 August 2003.   In August 2003, he was deployed before his cardiology follow-up appt.  During his deployment, he experienced episodes of chest pain.  On 4 October 2003, he was airvac for evaluation of chest pain.  He was seen by cardiologist, and hospitalized for one week.  He was then transferred.  A repeat echocardiogram, EKG, and MRI were done.   He is currently on convalescence leave. He continues to experience mild dull chest  "aches".  He denies SOB, fatigue, nausea, myalgia/arthralgias. 60-day follow up received on 01/22/04: "It is unknown if the pt recovered from the adverse events."
Age: 0.19
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Bradycardia, Laboratory test abnormal
Clinical narrative: This is former premature patient stable in room air and on full enteral feedings.  The infant was previously on Theophylline which was discontinued on 6-9-03 with the last reported level of 13.9.  The patient received immunizations on 6-10-03 at 145 pm.  On 6-11-03 at 0220 am, the infant had 5 episodes of bradycardia over a 1 1/2 hour period.  The infant does have a history of apnea/bradycardia and anemia of prematurity.  The patient received a blood transfusion on 6-9-03.  At 0220 am on 6-11-03 a CBC with diff/plts and a CXR was ordered.  A random theophylline level was also ordered.  The infant was then reloaded with theophylline.  The infant continued in RA with ocassional oxygen desaturations and an unlabored breathing.  On 6-16-03, another CBC with diff/plats was ordered and the infnat was restarted on synthroid which had been previouly discontinued on 6-1-03.  A urine sample was also sent with negative results noted.  On 6-18-03 the Theophylline was discontinued.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Received vaccine at approx 1430 on 11/6/03.  Hives noticed at 0800 11/7/03. Greatest concentration noted on extremity where vaccine administerd
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Dyspnoea, Pericarditis
Clinical narrative: Patient presented to clinic 9 days after vaccination with chest pain and sob. Worse when recombant.  Diagnosed with vaccine related pericarditis, responded to tordol and treated with indocin.
Age: 73.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Joint range of motion decreased, Oedema peripheral, Pyrexia
Clinical narrative: Pneumovax administered in right arm on 11/5 in the morning.  By that evening, patient's right arm from her shoulder and one half way to her elbow was swollen.  She felt so much pain there that she couldn't lift her arm.  She had a fever of 102 degrees. On 11/6, her fever was 101.8 degrees.  Her arm still hurt, but less.  She spent the day in bed. Today, 11/7, she is still recovering, but feels a little better.  Though her arm is still tender, it is functional.  She is afebrile today.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Hypotension, Laboratory test abnormal, Malaise, Rash, Syncope
Clinical narrative: rash, malaise, syncope; The follow up received on 11/12/03 states onset of rash same day; treated in office 11/5/03 with Zantac/Solucottep. 11/4/03 returned to office with syncopy, hypotensive-to hospital ICU-remains in hospital 11/11/03.
Age: 60.0
Sex: M
Vaccine: PPV
Symptoms: Anorexia, Arthralgia, Chills, Fatigue, Injection site erythema
Clinical narrative: I received the Pneumo vax on Wednesday, November 5, 2003 at 11 AM and by 2 PM, experienced a feeling of exhaustion. Symptoms are typical of what once was called the 'grip', i.e., Fever (102D Fahrenheit), shaking chills, exhaustion, arthralgias, nausea, with loss of appitite. I slept all day Thursday. I also have a very red, inflammed, tennis ball size swelling at the vaccination site on my left deltoid, with swelling and tenderness extending to my left axila.
Age: 60.0
Sex: M
Vaccine: PPV
Symptoms: Injection site inflammation, Injection site pain, Injection site swelling, Nausea, Pyrexia
Clinical narrative: I received the Pneumo vax on Wednesday, November 5, 2003 at 11 AM and by 2 PM, experienced a feeling of exhaustion. Symptoms are typical of what once was called the 'grip', i.e., Fever (102D Fahrenheit), shaking chills, exhaustion, arthralgias, nausea, with loss of appitite. I slept all day Thursday. I also have a very red, inflammed, tennis ball size swelling at the vaccination site on my left deltoid, with swelling and tenderness extending to my left axila.
Age: 60.0
Sex: M
Vaccine: PPV
Symptoms: Tremor
Clinical narrative: I received the Pneumo vax on Wednesday, November 5, 2003 at 11 AM and by 2 PM, experienced a feeling of exhaustion. Symptoms are typical of what once was called the 'grip', i.e., Fever (102D Fahrenheit), shaking chills, exhaustion, arthralgias, nausea, with loss of appitite. I slept all day Thursday. I also have a very red, inflammed, tennis ball size swelling at the vaccination site on my left deltoid, with swelling and tenderness extending to my left axila.
Age: 27.0
Sex: F
Vaccine: HEP
Symptoms: Arthritis, Asthenia, Bone pain, Contusion, Erythema nodosum
Clinical narrative: Erythema nodosum,muscle aches, bone pain , arthritis. During the last 9 years I have no energy, bone, muscle  aches, bruising. Feeling of tireness. At the time of administration in 1994 AN immunologist was following my situation but I was never taken seriously  because HBV vaccine is considered safe Need to contact the hospital for more information
Age: 27.0
Sex: F
Vaccine: HEP
Symptoms: Myalgia
Clinical narrative: Erythema nodosum,muscle aches, bone pain , arthritis. During the last 9 years I have no energy, bone, muscle  aches, bruising. Feeling of tireness. At the time of administration in 1994 AN immunologist was following my situation but I was never taken seriously  because HBV vaccine is considered safe Need to contact the hospital for more information
Age: 61.0
Sex: U
Vaccine: FLUX, FLUX
Symptoms: Chills, Dysphagia, Ear pain, Headache, Joint range of motion decreased
Clinical narrative: First day after shot..... had a slight headache, arm ached where shot was given,sore throat and fever of 99.6.  Second day after shot.... had a bad headache, whole body ached, worse sore throat, chills all day and fever of 100.1.  Then last night.... I was up all night with chills and such a sore throat that I could not swallow. I have a headache, my whole body aches, my nose is burning and running hot water. My ears are hurting and itching terribly. My are where I got the shot is so sore that I can bearly lift it.
Age: 61.0
Sex: U
Vaccine: FLUX, FLUX
Symptoms: Pain, Pharyngolaryngeal pain, Pruritus, Pyrexia
Clinical narrative: First day after shot..... had a slight headache, arm ached where shot was given,sore throat and fever of 99.6.  Second day after shot.... had a bad headache, whole body ached, worse sore throat, chills all day and fever of 100.1.  Then last night.... I was up all night with chills and such a sore throat that I could not swallow. I have a headache, my whole body aches, my nose is burning and running hot water. My ears are hurting and itching terribly. My are where I got the shot is so sore that I can bearly lift it.
Age: 61.0
Sex: U
Vaccine: FLUX, FLUX
Symptoms: Blister, Chills, Cough, Headache, Pharyngolaryngeal pain
Clinical narrative: First day after shot..... had a slight headache, arm ached where shot was given,sore throat and fever of 99.6.  Second day after shot.... had a bad headache, whole body ached, worse sore throat, chills all day and fever of 100.1.  Then last night.... I was up all night with chills and such a sore throat that I could not swallow. I have a headache, my whole body aches, my nose is burning and running hot water. My ears are hurting and itching terribly. My are where I got the shot is so sore that I can bearly lift it.
Age: 61.0
Sex: U
Vaccine: FLUX, FLUX
Symptoms: Pyrexia
Clinical narrative: First day after shot..... had a slight headache, arm ached where shot was given,sore throat and fever of 99.6.  Second day after shot.... had a bad headache, whole body ached, worse sore throat, chills all day and fever of 100.1.  Then last night.... I was up all night with chills and such a sore throat that I could not swallow. I have a headache, my whole body aches, my nose is burning and running hot water. My ears are hurting and itching terribly. My are where I got the shot is so sore that I can bearly lift it.
Age: 47.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema multiforme
Clinical narrative: Erythma Multiforma (oval bulls-eye rashes around midsection and under arms) - potential immune response to Flu Shot
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Swelling
Clinical narrative: Redness and swelling of arm where vaccine was administered with area of redness measuring 12X8 cm.
Age: 46.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Anorexia, Lethargy, Myalgia, Pyrexia
Clinical narrative: Muscle aches, fever spikes, loss of appetite, lethargy