chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.2
Sex: F
Vaccine: HEPA, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Hypotonia, Hypoventilation, Screaming, Somnolence
Clinical narrative: Baby received shot at 14:15 and slept from 15:20 to 18:20. Awakened for a bottle. Mom gave Tylenol infant drops prior to feeding. Baby ate well, laughed and was cooing. Mom turned away from baby to run bath water and baby let out a scream. When she turned and looked, baby's eyes were closed and she was limp as though in a deep sleep. She was breathing shallow breaths. Mom picked her up and brought to ER and when doctor placed on table, she opened her eyes. Arrived at 19:25 at ER. She was then transferred to another facility and then discharged on 5/19/01.
Age: 0.2
Sex: F
Vaccine: HEPA, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Crying, Hypotonia, Stupor
Clinical narrative: Baby received shot at 14:15 and slept from 15:20 to 18:20. Awakened for a bottle. Mom gave Tylenol infant drops prior to feeding. Baby ate well, laughed and was cooing. Mom turned away from baby to run bath water and baby let out a scream. When she turned and looked, baby's eyes were closed and she was limp as though in a deep sleep. She was breathing shallow breaths. Mom picked her up and brought to ER and when doctor placed on table, she opened her eyes. Arrived at 19:25 at ER. She was then transferred to another facility and then discharged on 5/19/01.
Age: 0.2
Sex: F
Vaccine: HEPA, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Coma
Clinical narrative: Baby received shot at 14:15 and slept from 15:20 to 18:20. Awakened for a bottle. Mom gave Tylenol infant drops prior to feeding. Baby ate well, laughed and was cooing. Mom turned away from baby to run bath water and baby let out a scream. When she turned and looked, baby's eyes were closed and she was limp as though in a deep sleep. She was breathing shallow breaths. Mom picked her up and brought to ER and when doctor placed on table, she opened her eyes. Arrived at 19:25 at ER. She was then transferred to another facility and then discharged on 5/19/01.
Age: 67.0
Sex: M
Vaccine: LYME, LYME
Symptoms: Arthritis, Headache, Infection
Clinical narrative: Post vax, 2nd Lymerix, pt experienced severe joint pain, fatigue and joint swelling. Pt was advised by Infectious Disease MD to have Lymerix after seeing him in 2/99. Pt was lethargic after having Lyme disease in late 10/98.
Age: 67.0
Sex: M
Vaccine: LYME, LYME
Symptoms: Arthralgia, Fatigue, Joint swelling, Lethargy
Clinical narrative: Post vax, 2nd Lymerix, pt experienced severe joint pain, fatigue and joint swelling. Pt was advised by Infectious Disease MD to have Lymerix after seeing him in 2/99. Pt was lethargic after having Lyme disease in late 10/98.
Age: 7.0
Sex: M
Vaccine: HEPA
Symptoms: Bradycardia, Hypotension, Lymphadenopathy, Urticaria, Viral infection
Clinical narrative: Information has been received from an RN concerning a 7 year old Caucasian male pt who was vaccinated with a 1st and 2nd dose of Hep-A virus vaccine inactivated on 5/9/99 and 5/9/00, IM in the left deltoid, respectively. On 5/12/00, the pt developed a rash that "would come and go. It seemed that the rash would recur with eating (mealtime). The rash was always mild and the pt did not develop a fever. Swollen lymph glands in the neck were also observed. The pt's physician felt the reaction was due to the vaccination." The pt sought unspecified medical attention. Follow-up information from an RN, indicated that the pt was seen by a physician on 5/15/00. At that time, there was no rash present, no problem with breathing, no wheezing and no swelling of lips or tongue. The physician recommended diphenhydramine HCL (Benadryl) when hives appear. The pt had 1 swollen post-cervical lymph node. The pt's nose, throat, and eyes were clear, blood pressure 90/50, pulse 60 and lungs were clear. The school nurse did a CBC which showed mononucleosis. "Otherwise, th pt is doing fine." Subsequently, the pt recovered.
Age: 39.0
Sex: F
Vaccine: HEPA, TYP, YF
Symptoms: Rash
Clinical narrative: Within 7 minutes post vax the pt developed an injection site rash. On hour post onset the pt recovered.  Additional information has been requested.
Age: 4.0
Sex: M
Vaccine: HEPA, PNC
Symptoms: Pyrexia, Vomiting
Clinical narrative: Information has been received from a physician and an MA concerning a 4 year old sale with penicillin allergy and DPT allergy who on 5/18/00 was vaccinated with the 3rd dose of MMR SC (lot 634132/1719J) (MSD). On 5/18/00, the pt was also vaccinated with the 5th dose of poliovirus vaccine IM (lot R06172). On 6/8/00, the pt was vaccinated with the 2nd dose of Hep-A virus vaccine inactivated IM in the thigh (lot 634329/0506K). On 6/8/00, the pt was also vaccinated with the 2nd dose of streptococcus pneumonia vaccine (PREVNAR) IM in the thigh (lot 471220). On 6/9/00, the pt developed vomiting X 1 day and a fever X 2 days. Subsequently, the pt recovered from the events. The reporter indicated that the physician did not relate this event to streptococcus pneumonia vaccine (PREVNAR). No further details were provided.
Sex: M
Vaccine: HEPA
Symptoms: Fatigue, Hepatomegaly, Jaundice, Nausea, Pain
Clinical narrative: Subsequently the pt experienced liver swelling, jaundice, tenderness, fever, nausea, chills, and fatigue. Follow-up information from a physician indicated that she did not have any information in her records indicating this problem. No further information is expected.
Sex: M
Vaccine: HEPA
Symptoms: Pyrexia
Clinical narrative: Subsequently the pt experienced liver swelling, jaundice, tenderness, fever, nausea, chills, and fatigue. Follow-up information from a physician indicated that she did not have any information in her records indicating this problem. No further information is expected.
Age: 70.0
Sex: M
Vaccine: HEPA, TD, YF, HEPA, TD, YF
Symptoms: Rash maculo-papular, Urticaria
Clinical narrative: Information has been received from a physician concerning a 70 year old Caucasian male pt with no past medical history who on 5/15/00 was vaccinated IM in the right deltoid with a 1st dose of Hep-A virus vaccine inactivated (629698/1935H). Concomitant therapy on 5/15/00, included a 1st dose in the left deltoid of DT and a 1st dose in the left arm of yellow fever virus vaccine live. There were no illnesses at the time of vaccination. On 5/25/00, the pt developed a pruritus rash on his scalp and trunk. On 5/26/00, he developed a macularpapular rash located mainly on the trunk with few areas on the scalp and extremities. The pt was seen by a physician and noted to be afebrile. On 5/30/00, the pt recovered. No further information available.
Age: 70.0
Sex: M
Vaccine: HEPA, TD, YF, HEPA, TD, YF
Symptoms: Pruritus, Rash maculo-papular
Clinical narrative: Information has been received from a physician concerning a 70 year old Caucasian male pt with no past medical history who on 5/15/00 was vaccinated IM in the right deltoid with a 1st dose of Hep-A virus vaccine inactivated (629698/1935H). Concomitant therapy on 5/15/00, included a 1st dose in the left deltoid of DT and a 1st dose in the left arm of yellow fever virus vaccine live. There were no illnesses at the time of vaccination. On 5/25/00, the pt developed a pruritus rash on his scalp and trunk. On 5/26/00, he developed a macularpapular rash located mainly on the trunk with few areas on the scalp and extremities. The pt was seen by a physician and noted to be afebrile. On 5/30/00, the pt recovered. No further information available.
Age: 19.0
Sex: M
Vaccine: HEPA, TYP, HEPA, TYP
Symptoms: Influenza like illness, Injection site reaction, Swelling
Clinical narrative: Information has been received from a healthcare professional concerning a 19 year old male patient who on 02/23/00 was vaccinated with Hepatitis A virus vaccine inactivated IM in the right arm. Concomitant therapy included Typhoid vaccine I SQ in the right arm. On 02/24/00, the patient experienced flu-like symptoms and a injection site reaction the size of an orange characterized by a red, swollen arm. This information was received from Wyeth-Ayerst manuf # HQ1345802MAR20000. Additional information has been requested.
Age: 19.0
Sex: M
Vaccine: HEPA, TYP, HEPA, TYP
Symptoms: Influenza like illness, Injection site erythema, Injection site oedema
Clinical narrative: Information has been received from a healthcare professional concerning a 19 year old male patient who on 02/23/00 was vaccinated with Hepatitis A virus vaccine inactivated IM in the right arm. Concomitant therapy included Typhoid vaccine I SQ in the right arm. On 02/24/00, the patient experienced flu-like symptoms and a injection site reaction the size of an orange characterized by a red, swollen arm. This information was received from Wyeth-Ayerst manuf # HQ1345802MAR20000. Additional information has been requested.
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, DTAP, HEP, HIBV, PNC, DTAP, HEP
Symptoms: Asthenia, Intussusception, Leukocytosis, Vomiting
Clinical narrative: Vomiting and weakness occurred on 4/25/01. Visited ER on 4/26/01 at 03:00 and transferred to ER of another hospital at 10:30 on 4/26/01, Pt died at hospital.
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, DTAP, HEP, HIBV, PNC, DTAP, HEP
Symptoms: Asthenia, Leukocytosis, Vomiting, White blood cell count increased
Clinical narrative: Vomiting and weakness occurred on 4/25/01. Visited ER on 4/26/01 at 03:00 and transferred to ER of another hospital at 10:30 on 4/26/01, Pt died at hospital.
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, DTAP, HEP, HIBV, PNC, DTAP, HEP
Symptoms: Asthenia, Leukocytosis, Vomiting
Clinical narrative: Vomiting and weakness occurred on 4/25/01. Visited ER on 4/26/01 at 03:00 and transferred to ER of another hospital at 10:30 on 4/26/01, Pt died at hospital.
Age: 0.7
Sex: M
Vaccine: DTAP, HEP, HIBV, OPV
Symptoms: Anaphylactic reaction, Apnoea, Brain oedema, Cerebral haemorrhage, Contusion
Clinical narrative: The pt experienced convulsions, eye contusion, lethargy, encephalitis, high pitched screaming, pneumonitis, apnea, anaphylaxis, sclerosis. Autopsy states cause of death as a result of blunt head trauma injuries. Autopsy reports contusions of the scalp, fractures of the parietal bone, subdural hematoma, subdural hemorrhage, subarachnoid hemorrhage, retinal hemorrhages, hemorrhage in the optic nerve, cerebral edema, contusions, abrasions.
Age: 0.7
Sex: M
Vaccine: DTAP, HEP, HIBV, OPV
Symptoms: Convulsion, Encephalitis, Eye disorder, Fracture, Injury
Clinical narrative: The pt experienced convulsions, eye contusion, lethargy, encephalitis, high pitched screaming, pneumonitis, apnea, anaphylaxis, sclerosis. Autopsy states cause of death as a result of blunt head trauma injuries. Autopsy reports contusions of the scalp, fractures of the parietal bone, subdural hematoma, subdural hemorrhage, subarachnoid hemorrhage, retinal hemorrhages, hemorrhage in the optic nerve, cerebral edema, contusions, abrasions.
Age: 0.7
Sex: M
Vaccine: DTAP, HEP, HIBV, OPV
Symptoms: Lethargy, Pneumonitis, Retinal haemorrhage, Screaming, Skin disorder
Clinical narrative: The pt experienced convulsions, eye contusion, lethargy, encephalitis, high pitched screaming, pneumonitis, apnea, anaphylaxis, sclerosis. Autopsy states cause of death as a result of blunt head trauma injuries. Autopsy reports contusions of the scalp, fractures of the parietal bone, subdural hematoma, subdural hemorrhage, subarachnoid hemorrhage, retinal hemorrhages, hemorrhage in the optic nerve, cerebral edema, contusions, abrasions.
Age: 0.7
Sex: M
Vaccine: DTAP, HEP, HIBV, OPV
Symptoms: Subarachnoid haemorrhage, Subdural haematoma
Clinical narrative: The pt experienced convulsions, eye contusion, lethargy, encephalitis, high pitched screaming, pneumonitis, apnea, anaphylaxis, sclerosis. Autopsy states cause of death as a result of blunt head trauma injuries. Autopsy reports contusions of the scalp, fractures of the parietal bone, subdural hematoma, subdural hemorrhage, subarachnoid hemorrhage, retinal hemorrhages, hemorrhage in the optic nerve, cerebral edema, contusions, abrasions.
Age: 0.6
Sex: M
Vaccine: DTAP, HEP, IPV, PNC
Symptoms: Dyskinesia, Eye movement disorder, Grand mal convulsion, Opisthotonus, Postictal state
Clinical narrative: On 3/8/01 at 20:00, had grand mal seizure when lying in grandmother's lap, 30 minutes after a bath. Head went back, eyes rolled back, clonic movements all extremities and cyanotic. Grandmother gave CPR. All of episode lasting 3-5 minutes. He was lethargic afterwards. No fever. Saw in ER. On 3/11/01, 30 minutes after a bath, had a grand mal seizure. No CPR. Seen in ER and hospitalized 3 days. On 3/12/01, had a seizure lasting 1-2 minutes. Dx'd with epilepsy. Put on Phenobarbital.
Age: 69.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Asthenia, Difficulty in walking, Fatigue, Hyperhidrosis
Clinical narrative: Tiredness, weakness, achy, severe weakness, sweating and hospitalized on 10/26/01 through 10/28/01. Similar occurrence approx. 2/3/00. Tires easily and cannot drive a distance and had blurred vision. Symptoms began on 6/15/00. The 60 day follow-up states that the pt is very tired and weka; pain in joints; hard walking and bending legs; cannot drive far (tires out). The follow-up states additional symptoms; severe cramps and pain in legs, arms, etc. The annual follow up received on 6/19/02 states tiredness, weakness, achy joints, muscles, severe weakness and sweating, blurred vision, cannot drive far, severe cramps, short memeory los (very weak and tired). Searching for anther doctors for help.
Age: 69.0
Sex: M
Vaccine: LYME
Symptoms: Memory impairment, Muscle spasms, Myalgia, Pain, Vision blurred
Clinical narrative: Tiredness, weakness, achy, severe weakness, sweating and hospitalized on 10/26/01 through 10/28/01. Similar occurrence approx. 2/3/00. Tires easily and cannot drive a distance and had blurred vision. Symptoms began on 6/15/00. The 60 day follow-up states that the pt is very tired and weka; pain in joints; hard walking and bending legs; cannot drive far (tires out). The follow-up states additional symptoms; severe cramps and pain in legs, arms, etc. The annual follow up received on 6/19/02 states tiredness, weakness, achy joints, muscles, severe weakness and sweating, blurred vision, cannot drive far, severe cramps, short memeory los (very weak and tired). Searching for anther doctors for help.
Age: 0.3
Sex: M
Vaccine: PNC, PNC
Symptoms: Fontanelle bulging, Hydrocephalus, Pyrexia
Clinical narrative: At 18:00 on 2/10/01, pt had temperature and the fontanel was raised and firm. At 08:00 on 2/11/01, pt was brought to ER and about 11:00 on 2/11/01, pt underwent a CT Scan that showed hydrocephalus. An MRI was performed on pt on 2/12/01 at 13:00 and the report stated that pt had prominent hydrocephalus. Pt was seen by a neurosurgeon on 2/11/01 and started a treatment of acetazolamide. He took this for approx. 3 months. After 1 week of last dose, another MRI was done on 4/27/01 and still shows hydrocephalus. Follow up information received 09/18/02 states "(the child) is developing normally without any delays. His neurosurgeon has told me that she is no longer needs to see him,unless something happens that causes his hydroceohalus to begin progressing. I am intersted in trying to get another MRI done to see (the child) present condition.". The annual follow-up states "pt still has hydrocephalus, eventhough it is not progressing. Pt is developing normally without any delays. His neurosurgeon has tol dme that she no longer needs to see him, unless something happens that causes his hydrocephalus to begin progressing. I am interested in trying to get another MIR done to see pt's present condition." MRI done 04/21/2001 shows improvement from 02/12/2001 study, however prominent ? persuits despite Tx w/ acetazolamide.Pt was seen in ER on 06/03/2001 for a fever of 101.3. Some nasal congestion. Dx "virus", P O good, well hydrated, D/C'd to home.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Faeces pale, Gastrointestinal disorder, Hypersensitivity, Neurodevelopmental disorder
Clinical narrative: Pt's bowel ceased working, 12 hours, post vax. Pt had 2 grey, foaming, bubbly stools, then nothing for 17 days. Per doc 197792, patient still suffers from significant intestinal difficulties, food allergies and has developmental delays.
Age: 7.0
Sex: M
Vaccine: DTAP
Symptoms: Pancytopenia, Purpura, Thrombocytopenia
Clinical narrative: On 5/11/01, mother noted bruising, small purpuric lesions of legs, trunk and face. Pt was admitted to a hospital for 2 days. Given IV therapy.  diagnosed with thrombocytopenia and pancytopenia
Age: 0.46
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Hypotension, Nervous system disorder, Pyrexia, Shock, Tachycardia
Clinical narrative: Pt was stable in PICU and preparing for discharge. Received immunizations and within 24 hours, became hypotensive, tachycardic, febrile-shock state. All septic workup was negative. Required ionotropic support X 48 hours. Returned to baseline. From the acute event, child will not recover from the congenital problems. She is presently still on vent at hospital for rehab.
Sex: F
Vaccine: HEP
Symptoms: Lethargy, Lymphocytosis, Monocytosis, Oral intake reduced, Pyrexia
Clinical narrative: Mother noted poor feeding, vomiting X 2, lethargy and fever about 4-5 hours, post vax. Fever to 101F. Admitted to the hospital for suspected sepsis (ruled out).
Sex: F
Vaccine: HEP
Symptoms: Vomiting
Clinical narrative: Mother noted poor feeding, vomiting X 2, lethargy and fever about 4-5 hours, post vax. Fever to 101F. Admitted to the hospital for suspected sepsis (ruled out).
Age: 0.7
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Agitation, Cough, Diarrhoea, Eructation, Pharyngitis
Clinical narrative: Mother phoned on 5/18/01 and stated child started "non-stop" crying on the evening of 5/17/01 at 19:00 and "acted like hurt". Not usual cry, high-pitched, did go to sleep but awoke during the night and took 1 hours to calm. No fever. Fussy Friday; awoke Saturday and was "ok". Had diarrhea and gas on Saturday, 5/19/01. On 5/22/01, had cold and cough symptoms.
Age: 0.7
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Rhinitis, Screaming
Clinical narrative: Mother phoned on 5/18/01 and stated child started "non-stop" crying on the evening of 5/17/01 at 19:00 and "acted like hurt". Not usual cry, high-pitched, did go to sleep but awoke during the night and took 1 hours to calm. No fever. Fussy Friday; awoke Saturday and was "ok". Had diarrhea and gas on Saturday, 5/19/01. On 5/22/01, had cold and cough symptoms.
Age: 1.25
Sex: M
Vaccine: HEP, HIBV, PNC
Symptoms: Irritability, Pyrexia
Clinical narrative: At 17:00, started with temperature of 103.5F. 101.9F (ax). Irritable. Given Motrin and temperature went away and down in the morning.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Hypotonia, Lethargy
Clinical narrative: Seems lethargic, sleepy, relaxed, hypotonic, not fussy, no fever, lasted 4-5 hours, post vax.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Erythema, Eye swelling, Pyrexia
Clinical narrative: 5/9/01 at 10:50 AM, phone call from mother, face is red (looks like a rash) swelling under one eye. No pain on fever. Will give Benadryl. On 5/11/01, I called mother and still face is red, no swelling pain. Had low fever last night and the night before. Gave Motrin and giving Benadryl every 4 hours and since 5/7/01. Child active with no complaints. On 5/15/01, child with non redness and doing well.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Dyspnoea, Irritability, Pallor, Pyrexia, Vomiting
Clinical narrative: Dad took infant via EMS to ER at 03:00 on 5/12/01 with vomiting, dry heaves, fever of 101.4F, fussy, pale and apparent difficulty breathing. When EMS arrived, infant had short, shallow breathing per dad. Had shots on 5/11/01. Information taken over the phone.
Age: 1.0
Sex: M
Vaccine: HIBV, IPV, PNC
Symptoms: Ear disorder, Infection, Pyrexia, Rash
Clinical narrative: 104F fever, within 24 hours. Rash, within 48 hours. Was seen on 5/18/01 and dx'd with bilateral ear infections.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Crying
Clinical narrative: Prolonged crying and screaming (1 1/2 hrs) approx. 4-5 hours, post vax. Resolved in car en route to ED: not seen.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC
Symptoms: Erythema, Urticaria
Clinical narrative: Approx. 1 minute, post vax of Prevnar, pt developed generalized redness with numerous hives all over.
Age: 0.75
Sex: F
Vaccine: PNC
Symptoms: Diarrhoea, Urticaria
Clinical narrative: Hives all over body except face and back, for 2 days; 1 day after shot. Also, diarrhea for 2 days.
Age: 1.0
Sex: M
Vaccine: PNC
Symptoms: Erythema, Feeling hot, Injection site swelling, Rash
Clinical narrative: Post vax, that day, developed red, hot and bumpy rash on trunk and in corners of arms and legs. Was not scratching. Given Benadryl with no help. Temperature not taken. Rash persisted for about 1 week. Also had quarter-sized swelling at the injection site.
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Injection site urticaria, Urticaria
Clinical narrative: Urticaria, diffusely, over entire body, worse in left thigh area at site of Prevnar injection. No respiratory distress. Onset of symptoms approx. 8 hours, post vax of DTAP #3, Prevnar #3 and HIB #3.
Age: 1.25
Sex: M
Vaccine: DTAP, HEP, MMR, PNC
Symptoms: Abdominal pain upper, Crying, Oral intake reduced, Pyrexia, Vomiting
Clinical narrative: Pt came in on 5/18/01, complaining of stomachache, low-grade fever, crying, rubs head, not himself, decreased appetite, dry heaves last night. On Augmentin for right otitis media, rash on trunk on 5/21/01.
Age: 6.0
Sex: M
Vaccine: PNC
Symptoms: Injection site pain, Injection site swelling, Somnolence
Clinical narrative: Post vax, pt slept mostly the whole day, then woke up complaining of some swelling and tenderness on the injection site. He was asymptomatic after 48 hours.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Stupor
Clinical narrative: Mother stated child was hyporesponsive after Prevnar (4 month shots) last time X 6 hours. NP spoke to mom, 4 hours, post vax, 6 month shots and he's doing fine.
Age: 0.25
Sex: M
Vaccine: IPV, PNC
Symptoms: Urticaria
Clinical narrative: Approx. 5 minutes, post vax of Prevnar, baby had red (small) blotches around nose and in hair line. No other symptoms noted. Normal temperature. The MD states "hives".
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Injection site erythema, Injection site warmth, Pyrexia, Screaming
Clinical narrative: Pt came in for 6 month check-up before given 6 month immunizations. The mother states the last time the pt was her on 3/27/01, he had a reaction that night to the immunizations. She states he screamed inconsolably for 7 hours, fever of 102F, site hot and red. The pt was taken to ER, that evening, and was told he had an allergic reaction to immunizations.
Age: 1.5
Sex: M
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Gait disturbance, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: About 1-1 1/2 hours, post vax. noted to be limping. Mom then noted right thigh to be swollen and tender. Tried to apply cool compress on my advice but too tender. Tylenol was given. On exam, 10cm swelling and redness. Tender but limp is very mild.
Age: 22.0
Sex: M
Vaccine: LYME, LYME
Symptoms: Arthralgia, Cartilage development disorder, Cyst, Hypokinesia
Clinical narrative: This report was received from the vaccinee and from the vaccinee's mother and has not been verified by a physician or other healthcare professional. His medical history included mononucleosis, "recent" conjunctivitis, chondromalacia and 2 episodes of Lyme disease. He had Lyme arthritis at the age of 11, with hospitalization and treatment with Rocephin. He again had Lyme disease in high school. The vaccinee did not have gout, psoriasis or Crohn's disease. There was no family history of rheumatoid arthritis or lupus. The pt admitted "heavy" involvement in contact sports, including football, wrestling and track. There was no illness at the time of vaccination. On 02/16/2000 and 03/22/20000, the pt received his 1st dose of Lymerix. On approx. 5/22/00, the pt began to experience right knee pain. There was no swelling; there was pain with walking and running and with getting out of bed in the morning. X-rays and MRI revealed a "spot/cyst" on the right femur. A bone scan was performed on 5/20/01; results were not known to the pt. The 2nd and 3rd doses of Lymerix were administered on approx. 10/2/00 and approx. 4/2/01, respectively. As of 5/22/01, the event was resolved. On follow-up received on 06/15/2001, the physician indicated that "no adverse reactions were reported to me."
Age: 22.0
Sex: M
Vaccine: LYME, LYME
Symptoms: Arthralgia, Cyst, Difficulty in walking
Clinical narrative: This report was received from the vaccinee and from the vaccinee's mother and has not been verified by a physician or other healthcare professional. His medical history included mononucleosis, "recent" conjunctivitis, chondromalacia and 2 episodes of Lyme disease. He had Lyme arthritis at the age of 11, with hospitalization and treatment with Rocephin. He again had Lyme disease in high school. The vaccinee did not have gout, psoriasis or Crohn's disease. There was no family history of rheumatoid arthritis or lupus. The pt admitted "heavy" involvement in contact sports, including football, wrestling and track. There was no illness at the time of vaccination. On 02/16/2000 and 03/22/20000, the pt received his 1st dose of Lymerix. On approx. 5/22/00, the pt began to experience right knee pain. There was no swelling; there was pain with walking and running and with getting out of bed in the morning. X-rays and MRI revealed a "spot/cyst" on the right femur. A bone scan was performed on 5/20/01; results were not known to the pt. The 2nd and 3rd doses of Lymerix were administered on approx. 10/2/00 and approx. 4/2/01, respectively. As of 5/22/01, the event was resolved. On follow-up received on 06/15/2001, the physician indicated that "no adverse reactions were reported to me."
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: The pt experienced hives on the left side of the face and neck.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site mass, Injection site oedema, Injection site urticaria
Clinical narrative: 36 hours post vax, the pt experienced erythema and edema with urticaria extending from injection site to just above the elbow according to Mom. There was a small knot at the injection site. No other symptoms were observed. Treated with Ice, Benadryl and Tylenol.
Age: 47.0
Sex: F
Vaccine: TD
Symptoms: Fatigue, Feeling hot, Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: On 5/17/01 the pt was achy all over, warm and tire, in the afternoon, increased pain, hot, red, firm to the touch at the injection site. On 5/18/01 the pt was unable to lift injected arm more than 90 degrees from torso. Pain, hot red, firmness continues. On 5/19/01 and 5/20/01 decrease in symptoms and increase in ROM. Treated with Tylenol, Aleve OTC medication.
Age: 47.0
Sex: F
Vaccine: TD
Symptoms: Joint range of motion decreased, Pain
Clinical narrative: On 5/17/01 the pt was achy all over, warm and tire, in the afternoon, increased pain, hot, red, firm to the touch at the injection site. On 5/18/01 the pt was unable to lift injected arm more than 90 degrees from torso. Pain, hot red, firmness continues. On 5/19/01 and 5/20/01 decrease in symptoms and increase in ROM. Treated with Tylenol, Aleve OTC medication.
Age: 1.6
Sex: F
Vaccine: DTAP, HBHEPB, MMR, PNC, VARCEL
Symptoms: Infection, Lacrimation increased, Nasal congestion, Oral intake reduced, Pyrexia
Clinical narrative: Vaccine associated measles (Rubeola), fever X 5 days followed by morbilliform rash on face, trunk and extremities; decreased appetite and some congestion and watery eyes.
Age: 1.6
Sex: F
Vaccine: DTAP, HBHEPB, MMR, PNC, VARCEL
Symptoms: Rash morbilliform
Clinical narrative: Vaccine associated measles (Rubeola), fever X 5 days followed by morbilliform rash on face, trunk and extremities; decreased appetite and some congestion and watery eyes.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Developed chickenpox.
Age: 11.0
Sex: F
Vaccine: DT
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Two inch diameter of redness around site of injection with soreness at site on right arm. Using cold pack and Tylenol.
Age: 12.0
Sex: F
Vaccine: HEP
Symptoms: Eye swelling, Urticaria
Clinical narrative: Hives over entire body, more so on face and chest with some swelling under eyes. Denies SOB or other discomfort. Time course-2 hours, post vax. Treated with Benadryl 50mg IM in right deltoid. Notified MD at 15:15.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Injection site erythema, Injection site warmth
Clinical narrative: Two, 1cm red and warm nodule. Possible infection.
Age: 0.9
Sex: F
Vaccine: DTP
Symptoms: Irritability, Mouth ulceration, Oral intake reduced, Pharyngeal oedema, Pyrexia
Clinical narrative: Pt had fevers, sores in her mouth, crankiness, not eating, drinking only water, swelling in her throat and it happened almost immediately.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Pt got chickenpox.
Age: 21.0
Sex: M
Vaccine: HEPA, TD, TYP, YF
Symptoms: Abdominal pain, Cough, Dizziness, Dyspnoea, Nausea
Clinical narrative: After about 45 minutes, post vax, I started to have a sick stomach and a phlegm in my throat causing me to cough and have difficulty breathing. I drank some juice and ate some bread to settle my stomach but I still was sick. After I got sick, I came to the clinic and after a little while I started feeling better. I could breath fine but my stomach was still a little upset. I feel better, though. Pt complained of single episode of vomiting with mild dizziness, abdominal cramps and extreme nausea. Pt complained of "felt phlegm" in throat with feeling a need to take a deep breath every couple of minutes. Pt's skin was slightly pale. No diaphoresis, flushing or systemic itching. No local reaction of injection site. Pt denies any self medication for nausea or cramps other than juice and bread. Pt taken to treatment room, placed in position of comfort. Pts symptoms resolved on presentation. Pt sent home with Epi-Pen and po Benadryl. Referred to allergy for evaluation.
Age: 21.0
Sex: M
Vaccine: HEPA, TD, TYP, YF
Symptoms: Pallor, Vomiting
Clinical narrative: After about 45 minutes, post vax, I started to have a sick stomach and a phlegm in my throat causing me to cough and have difficulty breathing. I drank some juice and ate some bread to settle my stomach but I still was sick. After I got sick, I came to the clinic and after a little while I started feeling better. I could breath fine but my stomach was still a little upset. I feel better, though. Pt complained of single episode of vomiting with mild dizziness, abdominal cramps and extreme nausea. Pt complained of "felt phlegm" in throat with feeling a need to take a deep breath every couple of minutes. Pt's skin was slightly pale. No diaphoresis, flushing or systemic itching. No local reaction of injection site. Pt denies any self medication for nausea or cramps other than juice and bread. Pt taken to treatment room, placed in position of comfort. Pts symptoms resolved on presentation. Pt sent home with Epi-Pen and po Benadryl. Referred to allergy for evaluation.
Age: 1.25
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Hyperaemia, Injection site erythema
Clinical narrative: 24 hours, post vax, pt brought in with 8-10cm of erythema and hyperemia to right thigh. Pt to use Benadryl and ice.
Age: 27.0
Sex: M
Vaccine: HEPA
Symptoms: Back pain, Epistaxis, Headache, Nausea, Tremor
Clinical narrative: Feeling of heaviness in the back at shoulders, headache, sore throat heaves with nausea, trembling (very little) occurred several hours, post vax, lasting about 3 hours. Finally, had unusual occurence of a nose bleed at 04:00 on 5/15/01.
Age: 27.0
Sex: M
Vaccine: HEPA
Symptoms: Vomiting
Clinical narrative: Feeling of heaviness in the back at shoulders, headache, sore throat heaves with nausea, trembling (very little) occurred several hours, post vax, lasting about 3 hours. Finally, had unusual occurence of a nose bleed at 04:00 on 5/15/01.
Age: 60.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Local induration, redness and swelling.
Age: 26.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Local induration and erythema with discomfort. Seen on the 7th day and was resolving with 4cm X 3cm diameter area.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: Right anterolateral mid arm swollen and itching and hot. DTAP was given 2 days ago.
Age: 1.7
Sex: F
Vaccine: MMR
Symptoms: Flushing, Pyrexia, Rash
Clinical narrative: Pt developed several "spots" around neck and trunk and became flushed with a temperature of 101.5F, on the afternoon of 3/11/01. The spots darkened and spread over the next 2 days to her entire body with the densest rash on the neck and chest. Pt had a mild temperature of 101F-102F over those 2 days. The rash gradually lightened over the next 5 days.
Age: 48.0
Sex: M
Vaccine: TD
Symptoms: Arthralgia, Fatigue, Injection site pain, Malaise
Clinical narrative: Left deltoid pain noted about 36 hours, post vax. Symptoms of malaise, arthralgias, general fatigue. No wheezing, SOB or itching.
Age: 1.25
Sex: M
Vaccine: HIBV, IPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Irritability, Pyrexia
Clinical narrative: Redness, swelling and warmth at injection site with irritability and a fever of 102F.
Age: 20.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Diarrhoea, Nausea, Vomiting
Clinical narrative: The pt experienced nausea, vomiting (1 time) diarrhea (1 time) occurring 3-4 hours post vax.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site swelling
Clinical narrative: Local reaction with swelling without redness, warmth or tenderness.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: On 5/17/01, aunt called to report swelling, tenderness and redness in left arm to elbow. Aunt states it "looks almost like a burn area". Instructed aunt to use cold compress/ice to affected area and fever medicines for fever. Referred child to child's doctor or ER for evaluation per the RN. Child evaluated by FMC ER doctor on 5/17/01 and doctor told parent that it was a local reaction per RN.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Eyelid oedema
Clinical narrative: 30 minutes, post vax, pt developed eyelid swelling that lasted 30 minutes. The pt recovered completely. On 4/7/01, HIB skin testing was given and as it was negative, pt was vaccinated without incident. Further testing is pending. This case illustrates the clinical problem of having multiple vaccines given on the same day: when there is an adverse reaction, all of the vaccines become suspect as the causative agent; even if the event cannot be proven to be due to vaccination.
Age: 16.0
Sex: F
Vaccine: HEPA, YF
Symptoms: Cough, Dyspnoea, Injection site erythema, Injection site induration, Urticaria
Clinical narrative: Approx. 45 minutes, post vax, pt experienced erythematous, indurated local reaction followed by cough, wheezing, shortness of breath and urticaria. Required ER visit to receive epi and breathing treatments.
Age: 16.0
Sex: F
Vaccine: HEPA, YF
Symptoms: Wheezing
Clinical narrative: Approx. 45 minutes, post vax, pt experienced erythematous, indurated local reaction followed by cough, wheezing, shortness of breath and urticaria. Required ER visit to receive epi and breathing treatments.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Cellulitis noted, 3 days, post vax, at injection site of DTAP.  Pt given Keflex
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Pruritus, Rash vesicular
Clinical narrative: "Chickenpox" looking rash on back, mainly under right scapula. 7 or 8 pox on left side of back. No cold symptoms, fever or pain. Very itchy. Treat with Aveeno bath and Benadryl.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Infection
Clinical narrative: 20 or so pox on trunk and thighs. A couple on arms. First ones to appear have broken open and scabbed over. No s/s itching. No treatment at this time.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Urticaria
Clinical narrative: 24 hours post vax, the pt experienced urticaria.
Age: 23.0
Sex: F
Vaccine: MMR
Symptoms: Asthenia, Dizziness, Muscle twitching, Pharyngeal oedema
Clinical narrative: This patient complained of dizziness, weakness, and swelling of the pharynx. PE - WNL. No evidence of pharyngeal edema. Normal VS. The patient was monitored for 1 hour and patient is feeling better. The patient also observed to have intermittent left leg twitching. No previous history of seizure disorder.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: On 5/22/01 the pt broke out with modified chicken pox lesions.
Age: 9.0
Sex: F
Vaccine: HEPA
Symptoms: Heart rate decreased, Hyperhidrosis, Malaise, Pallor
Clinical narrative: Immediately post vax the pt became pale, sweat, stated she felt sick and her heart rate fell to less than 40. Her blood pressure was normal by the time the nurse was able to obtain a reading. The pt sought unspecified medical attention. Follow up information indicates that the symptoms lasted 1-2 minutes and she stated she felt better. After a few minutes she again started to get pale, sweat, and her pulse was 43. The pt was placed with her feet elevated and an ambulance was called. The pt was transferred to a hospital. It was noted that the pt felt better and was able to walk to the ambulance. The pt recovered the same day as onset. No further information is expected.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Urticaria
Clinical narrative: Information has been received from a physician concerning a 4 year old male pt who on 5/5/00 was vaccinated with 1 dose of Hep-B virus vaccine inactivated. Concomitant therapy included cefaclor and it was noted that the pt has tolerated cephalosporin antibiotics well in the past. On 5/5/00, the pt experienced "a generalized urticarial rash". He was taken to a local ER for treatment. Additional information has been requested.
Age: 45.0
Sex: F
Vaccine: HEPA
Symptoms: Fatigue, Nausea, Pharyngolaryngeal pain
Clinical narrative: Information has been received from a 45 year old female with an allergy to acetaminophen + oxycodone hydrochloride (Percocet) who on 5/8/00 was vaccinated with Hep-A virus vaccine inactivated. Concomitant therapy included alendronate sodium (MSD). On 5/10/00, the pt experienced nausea, sore throat, and was "very, very tired". She had to "slap her face to stay up". No further information is available.
Age: 17.0
Sex: M
Vaccine: HEPA
Symptoms: Hyperbilirubinaemia
Clinical narrative: Information has been received from an NP concerning a 17 year old male who was vaccinated with Hep-A virus vaccine inactivated. In 2000, the pt experienced elevated bilirubin levels. Lab evaluation also revealed AST and ALT normal. It was noted LFT's would be checked in 1 month. Medical attention was sought. No further information is available.
Age: 5.0
Sex: M
Vaccine: HEPA
Symptoms: Pruritus, Rash vesicular
Clinical narrative: Information has been received from a PA concerning a 5 year old male pt who on 6/13/00 was vaccinated with Hep-A virus vaccine inactivated. The same day of vaccination, the pt had a tuberculin skin test (results not reported). On 6/15/00, the pt presented with an "itchy, generalized rash all over his body with pustules on his chin." Unspecified medical attention was sought. Additional information has been requested.
Sex: U
Vaccine: HEPA
Symptoms: Drug ineffective
Clinical narrative: Information has been received from a pharmacist concerning a pt who is "believed to be HIV (+). On an unspecified date, the pt was vaccinated with a 2nd dose of Hep-A virus vaccine inactivated. The reporter stated that, on an unspecified date, antibody titer results "did not show immunity after 2 dose series". The pt sought unspecified medical attention. Additional information has been requested.
Sex: M
Vaccine: HEPA
Symptoms: Hepatitis A, Immunoglobulins decreased
Clinical narrative: Information has been received from a physician concerning a male who is an International "adaptee" who on 6/1/00 was vaccinated with 1 dose of Hep-A virus vaccine inactivated. Three weeks later, the pt had a full hepatitis panel done and was found to be positive for Hep-A IgM. The pt had no signs or symptoms and his liver function tests are normal. The pt's sister also underwent a full hepatitis panel, results unspecified. Medical attention was sought. Additional information has been requested.
Sex: M
Vaccine: HEPA
Symptoms: Aneurysm, Headache
Clinical narrative: Information has been received from a physician concerning an adult male who was vaccinated with one dose of Hepatitis A virus vaccine inactivated. Thirteen days post-vaccination the patient developed a headache so severe he had to be hospitalized. An MRI was performed to r/o an aneurysm, however, at the time of reporting no results were available. The headache "has lasted for about one week now". Additional information has been requested.
Age: 3.0
Sex: M
Vaccine: HEPA
Symptoms: Erythema, Rash papular
Clinical narrative: Information has been received from a physician concerning a 3 year old male pt who on approx. 6/13/00, was vaccinated with 1 dose of Hep-A virus vaccine inactivated. Approx. 4 days, post vax, the pt experienced a "skin reaction" characterized by a "general papular, erythematous rash". Unspecified medical attention was sought. Additional information has been requested.
Sex: U
Vaccine: HEPA
Symptoms: Drug ineffective
Clinical narrative: Information has been received from a women in a physician's office concerning 6 pts who were vaccinated with Hep-A virus vaccine inactivated. In 1996, the pt's failed to seroconvert. Additionally it was noted that the pt's failed to seroconvert after therapy with Hep-B virus vaccine, recombinant (MSD) (WAES 00070242). Additional information has been requested.
Sex: F
Vaccine: HEPA
Symptoms: Abdominal pain, Hepatitis A
Clinical narrative: On 7/5/00 the pt developed abdominal pain. The pt sought medical attention and was diagnosed with hepatitis A. Confirmatory tests are pending. Additional information is expected.
Age: 13.0
Sex: F
Vaccine: HEPA
Symptoms: Hepatitis viral
Clinical narrative: Subsequently the pt developed "hepatitis-like" symptoms. The pt sought unspecified medical attention. Additional information has been requested.
Age: 21.0
Sex: F
Vaccine: HEPA
Symptoms: Jaundice, Liver function test abnormal
Clinical narrative: Two months post vax, the pt experienced jaundice and increased LFT's. Unspecified medical attention was sought. Additional information has been requested.
Age: 48.0
Sex: M
Vaccine: HEPA
Symptoms: Dermatitis, Rash
Clinical narrative: Information has been received from a registered nurse concerning a 48 year old male with dermatitis and no known drug allergies who was vaccinated with a 1st and 2nd dose of Hepatitis A virus vaccine inactivated on 03/07/00 and 09/15/00, respectively. Subsequently on 09/26/00, the patient presented to the physician's office with severe dermatitis that may require hospitalization. It was reported that the patient experienced a rash after the 1st dose in March 2000, however neglected to inform the health care professional before administration of the 2nd dose. Follow-up information from the physician indicated that "she didn't think that this was an adverse event. The patient's dermatitis has been present for years with a recent flare after the vaccine. It was reported that the dermatitis was still flaring, but was not related to the vaccine". No further information is expected.
Sex: F
Vaccine: HEP, HEPA, UNK
Symptoms: Pain, Pyrexia
Clinical narrative: The pt experienced a fever, achiness, and body pain. Unspecified medical attention was sought. Additional information has been requested.
Sex: M
Vaccine: HEPA
Symptoms: Hepatitis A
Clinical narrative: Information has been received from a physician concerning a fellow male employee who was vaccinated with the 1st dose of  Hepatitis A virus vaccine inactivated. Subsequently, the patient developed Hepatitis A after he should have received the 2nd dose of the vaccine. Additional information has been requested.
Age: 11.0
Sex: F
Vaccine: HEPA
Symptoms: Vomiting
Clinical narrative: The pt vomited several hours after receiving a hepatitis A vaccine given at another health care providers office. No further information is available.
Age: 6.0
Sex: F
Vaccine: HEPA
Symptoms: Abdominal pain
Clinical narrative: Information has been received from a registered nurse and a physician's office concerning a 6 year old Caucasian female with no known allergies, who on 10/06/00, was vaccinated with Hepatitis A virus vaccine inactivated. On 10/27/00, the patient experienced stomach pain and stomach cramping. Unspecified medical attention was sought. Subsequently, the patient recovered from stomach cramping.  Additional information has been requested.
Age: 59.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Cholestasis
Clinical narrative: The patient developed Hepatitis A. The patient sought unspecified medical attention. IN FOLLOW-UP information, the reporter stated "that the patient was treated and recovered, however he couldn't confirm if the patient had Hepatitis A". FOLLOW-UP information from the medical records, dated 12/18/00, indicated that the patient was a 59- year old female whoi has longstanding diabetes and was taking glimepirade (Amaryl) and Metformin hydrochloride(Glucophage). It was also indicated that she recntly had an area in breast taken out which showed a caricinoma in situ and was getting "tamoxifen" as a prophylaxis. Her liver enzymes were all normal on 03/20/00.The physician indicated that the patient developed some sort of "ill understood" syndrome of fever, chills and jaundice around 11/18/00. The patient's  bilirubin went up to 10.3 mg/dl. Her alkaline phosphatases were up to around 460 U/L on 11/20/00 and her SGPT and SGOT were at 150 and 81 U/L respectively. Her Hepatitis panel was unremarkable, just showing an old proctective IgG antibody to help Hepatitis A virus  but no acute  antibody. Her liver enzymes gradually drifted down to normal by 12/04/00. Her alkaline phosphatases were down to 175 and SGOT and SGPT were normal. Her bilirubin  was back down to 1.5. She never had any pain and never had any pruritus. she only had the fever and chills for a  couple days. She was not taking any new medications during this period of time. The patient had a liver/spleen scan which showed a normally functioning and normal sized liver and spleen with no filling defects. The patient had a CT scan done on 11/20/00 , to rule out obstruction, and the liver and spleen were both normal in size, and no focal abnormalities were seen. There were some coincidental radiologic abnormality (possible artifact) was seen with some dilated tortuous veins around the spleen, and these were confluent with the left gonadal veins on the iliac crest. The physician indicated that the patient's physical examination revealed no sclerae icterus and a normal abdominal examination. The physician indicated that the patient had acute intrahepatic cholestasis which may have been of a viral etiology and had resolved. The physician stated "she doe not appear to have cirrhosis. She did not have a typical A,B or C acute Hepatitis, and this may have been related to some other virus as regards to the syndrome of fever, chills and acute development of jaundice that she experienced on 11/18/00". Abnormal labs from 11/20/00 included :glucose: 204 mg/dl; alkaline phosphate: 460 U/L; SGOT: 81 U/L; SGPT:150 U/L; T. bilirubin; 7:3 mg/dl; anti-HAV AB: positive.