chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Otitis media, Pharyngitis, Pyrexia, Stupor, Urinary incontinence
Clinical narrative: On December 28, patient had a fever resulting in seizure. Taken to emergency room. Lab test for flu. Mom states A-B showed of flu. Transferred to hospital and kept overnight for observation. Siblings and parents also had flu at the time. The discharge summary received on 2/9/04 states decreased appetite, sore throat, otitis, and cough. The ER record received on 2/9/04 states incontinent, starting into space and biting.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Increased temperature 108 after received flu vaccine, mom gave Motrin.  Increased fluids.  Pedialyte and used cool compreses to decrease temperature.  Temperature decreased to 102.  About 1 hour after child taken to see MD that same night, mother was instructed to carry Motrin and to push fluids.  Mother was told that child has increased temperature due to flu vaccine, child continue with temperature 100-101 x2 day.  After this was fine.
Age: 1.0
Sex: F
Vaccine: FLU3
Symptoms: Oral mucosal blistering, Pyrexia
Clinical narrative: Increased temperature 108 after received flu vaccine.  Mom gave Motrin, pedialyte and advised cool compresses to cool child down.  Temperature decreased to 101 after a few hours.  Child was taken to MD that same night.  MD told parent that increased temperature was due to flu vaccine. Child developed blister in mouth also.  MD instructed parents to continue with Motrin, pedialyte, cool compresses and to give prescription of Amoxicillin ever 6 hours for 7 days.  child ok now.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Skin burning sensation, Urticaria
Clinical narrative: Skin only reaction, burning itch, plague/redness hives.
Age: 1.11
Sex: M
Vaccine: FLU3, HEPA, PNC
Symptoms: Cellulitis, Injection site erythema, Injection site oedema
Clinical narrative: Seen in ER for redness and swelling treated for cellulitis with Keflex. Cellulitis of left thigh.
Age: 32.0
Sex: F
Vaccine: ANTH
Symptoms: Asthenia, Hypoaesthesia, Paraesthesia, Vaccine positive rechallenge
Clinical narrative: Left side of face numbness, tingling, weakness
Age: 4.5
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash papular
Clinical narrative: Papular lesions on mainly chest.
Sex: F
Vaccine: HBHEPB, MMR, PNC
Symptoms: Irritability, Rash, Urticaria
Clinical narrative: Within 12 hours abdomen and neck rash "welt-like"; fussiness.  Office visit on 01/16/04 @ 09:00.
Age: 30.0
Sex: F
Vaccine: TYP
Symptoms: Urticaria
Clinical narrative: Took oral Typhoid 1 capsule 01/17/04.  Developed hives on face spread to neck and back.  Seen at hospital.  Received IV steroids, pepsid, Benardyl.  Released.
Age: 2.0
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MMR
Symptoms: Erythema, Rash macular
Clinical narrative: Diffuse red macular rash 10-14 days after MMR.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site reaction, Injection site warmth
Clinical narrative: Injection arm red, swollen and hot to touch. Appears like a cellulitis infection. Treated with Keflex 500mg qid x 10 days Benadryl 25mg q 6 hrs.
Age: 18.0
Sex: F
Vaccine: MMR
Symptoms: Fatigue, Pyrexia, Rash, Rash maculo-papular
Clinical narrative: MMR given 11/6/03; approx 11/29/03 seen in ER with rash; 12/8/03 saw Dr and maculopapular rash, c/o low grade fever and feeling tired. CBC+CMP done. Bland creams and Atarax.
Age: 3.0
Sex: M
Vaccine: DTAP, HEP
Symptoms: Erythema, Oedema
Clinical narrative: Left thigh developed erythema and swelling but no tenderness beginning about 5 hours after the immunizations.
Age: 31.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Acne, Arthralgia, Blister
Clinical narrative: Approximately 36 hrs after vaccinations I received unusual pimples on my face, arms and torso.  They began as bright red and eventually formed white heads.  After a week, the pimples still were forming breaking and then new ones reformed after.  No more than about 20 blisters at any one time, mostly on the torso.  At the same time my joints started to feel extremely sore.  My ankles, knees, shoulders, elbows, wrist, each small joint in my hands& fingers and neck all feel like they were all sprained/strained.  It has been 12 day since vaccination.
Age: 66.0
Sex: F
Vaccine: PPV, TD
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: In left arm where Pneumovax was given, pain began within 1 hour.  Pain and swelling within 4 hours.  Client says left arm was 1 1/2 inches larger than right arm.  Client took Advil every 4 hours times 1 day, then once on day 2.Tylenol take once on day 3.  Blanchable redness in 3-4 inch round area descended from shot site to elbow over 6 days.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Received PPV23 in left deltoid on 1-12-04.  Patient states that on morning of 1-13-04, her arm directly below injection site became "very red and hot to touch".  Presented at health dept. on 1-15-04.  Observed reddened from below site to midway upper arm into inner arm.  Hot to touch and sore per patient.  Sent to PMD.  Was given an antibiotic and instructed to return if no improvement. Patient states arem is "better" today with less soreness and redness.
Age: 45.0
Sex: M
Vaccine: ANTH, TTOX, TYP
Symptoms: Drug administration error, Inflammation
Clinical narrative: ANTHRAX VACCINE WAS ADMINISTERED ID INSTEAD OF SC, BY ACCIDENT.  PT FELT IMMEDIATE BURNING WHICH SUBSIDED AFTER A FEW MINUTES.  B/P-102/78, P-84, R-16.
Age: 1.2
Sex: F
Vaccine: DTAP, MMR, PNC
Symptoms: Rash morbilliform
Clinical narrative: MEASLES-LIKE RASH AT TRUNK
Age: 90.0
Sex: F
Vaccine: PPV
Symptoms: Convulsion, Dehydration, Dyspnoea, Respiratory failure, Restlessness
Clinical narrative: Shortness of breath, had to increase to non-rebreather mask.  Restlessness and 2 seizures. The hospital discharge summary received on 2/3/04 states seizure, tachycardia, respiratory failure, and dehydration.
Age: 90.0
Sex: F
Vaccine: PPV
Symptoms: Tachycardia
Clinical narrative: Shortness of breath, had to increase to non-rebreather mask.  Restlessness and 2 seizures. The hospital discharge summary received on 2/3/04 states seizure, tachycardia, respiratory failure, and dehydration.
Age: 25.0
Sex: F
Vaccine: SMALL
Symptoms: Pruritus, Rash, Skin ulcer
Clinical narrative: Patient states that she has been getting these itchy lumpy lesions on her arms, chest, abdomen, and legs that started approximately 2 weeks after receiving the smallpox vaccination on 6/23/04.  Has not noted any lesions on her face, hands, and feet.  States that rash gets better than reoccurs in approximately 2-3 weeks.  States that she has about 2 episodes a month.  Has taken the following medication in the past for the reoccurring rash: Allegra, Benadryl, hydrocortisone cream and steroids.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Arthritis, Oedema peripheral, Pruritus, Rash erythematous, Skin ulcer
Clinical narrative: symptons described below started  jan-18-04.. With multiples erythematous blanching lesions that progresively were spreading all over the body . When fully evaluated on jan-20 infant presented generalized blanching, minimal pruritic erythamous lesions all over the body; with target lesions  without evidence of peripheral edema or arthritis.  The rest of physical examination was completely normal.
Age: 37.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain, Chills, Cow pox, Headache, Laboratory test abnormal
Clinical narrative: This case was considered medically important (OMIC). Information regarding smallpox virus vaccine, was received from the published literature article. Generalized vaccinia 2 days after smallpox revaccination. The article directs attention to the national effort to immunize hospital and public health personnel against smallpox, in the event of a possible deliberate release of the virus. The authors specifically focus on the clinical course and lab diagnosis in a 37 year old female pt who, after revaccination, developed generalized vaccinia. The pt reported a hisotry of at least one uncomplicated childhood inoculation that left a vaccination scar. She had no contraindications to vaccination. She did not have a skin disease or a history of eczema or atopic dermatitis, nor was she pregnant or allergic to any component of the vaccine. On 3/14/03, some 44 hrs after vaccination, the pt reported that she had developed a headache, chills, pruritus, chest pain (described as chest "heaviness"), recurrent vomiting, and maculopapular lesions. The pt described the lesions as "mosquito bites," which first appeared on her face, then her legs, and then her trunk and upper extremities. Her maximum oral temp was37.7 deg C. Over the next four days, approximately 30 pustules developed, several of which began to drain. Nausea persisted, and the pt had a stiff neck and recurring chest tightness. Physical examination, echocardiography, electrocardiography and chest radiography were within normal limits. On 3/18/03, pustular material obtained from two unroofed lesions on the pt's shoulder and back, tested positive for vaccinia virus DNA by a polymerase chain reaction assay. The presence of ortho-poxvirus was confirmed by electron microscopy of lesion fluid. By 3/25/03, the pt's lesions had all scabbed, and the scabs had fallen off. The pt felt well enough to return to work. The authors concluded that this case represents the first report of a laboratory-confirmed case of GV among recent civilian vaccinees, and is notable for the GV occurrence in a revaccinee. The laboratory confirmation of GV demonstrates the potential of laboratory testing in determining the cause of a post-vaccination rash. The clinical course of this pt is recognized for the onset of GV 2 days after vaccination, suggesting that viremia can occur quickly after vaccination. See attached literature article for additional information. This case was considered medically important (OMIC).  No additional info was available at the time of this report.
Age: 37.0
Sex: F
Vaccine: SMALL
Symptoms: Musculoskeletal stiffness, Nausea, Pruritus, Pyrexia, Rash maculo-papular
Clinical narrative: This case was considered medically important (OMIC). Information regarding smallpox virus vaccine, was received from the published literature article. Generalized vaccinia 2 days after smallpox revaccination. The article directs attention to the national effort to immunize hospital and public health personnel against smallpox, in the event of a possible deliberate release of the virus. The authors specifically focus on the clinical course and lab diagnosis in a 37 year old female pt who, after revaccination, developed generalized vaccinia. The pt reported a hisotry of at least one uncomplicated childhood inoculation that left a vaccination scar. She had no contraindications to vaccination. She did not have a skin disease or a history of eczema or atopic dermatitis, nor was she pregnant or allergic to any component of the vaccine. On 3/14/03, some 44 hrs after vaccination, the pt reported that she had developed a headache, chills, pruritus, chest pain (described as chest "heaviness"), recurrent vomiting, and maculopapular lesions. The pt described the lesions as "mosquito bites," which first appeared on her face, then her legs, and then her trunk and upper extremities. Her maximum oral temp was37.7 deg C. Over the next four days, approximately 30 pustules developed, several of which began to drain. Nausea persisted, and the pt had a stiff neck and recurring chest tightness. Physical examination, echocardiography, electrocardiography and chest radiography were within normal limits. On 3/18/03, pustular material obtained from two unroofed lesions on the pt's shoulder and back, tested positive for vaccinia virus DNA by a polymerase chain reaction assay. The presence of ortho-poxvirus was confirmed by electron microscopy of lesion fluid. By 3/25/03, the pt's lesions had all scabbed, and the scabs had fallen off. The pt felt well enough to return to work. The authors concluded that this case represents the first report of a laboratory-confirmed case of GV among recent civilian vaccinees, and is notable for the GV occurrence in a revaccinee. The laboratory confirmation of GV demonstrates the potential of laboratory testing in determining the cause of a post-vaccination rash. The clinical course of this pt is recognized for the onset of GV 2 days after vaccination, suggesting that viremia can occur quickly after vaccination. See attached literature article for additional information. This case was considered medically important (OMIC).  No additional info was available at the time of this report.
Age: 37.0
Sex: F
Vaccine: SMALL
Symptoms: Rash pustular, Skin ulcer, Vomiting
Clinical narrative: This case was considered medically important (OMIC). Information regarding smallpox virus vaccine, was received from the published literature article. Generalized vaccinia 2 days after smallpox revaccination. The article directs attention to the national effort to immunize hospital and public health personnel against smallpox, in the event of a possible deliberate release of the virus. The authors specifically focus on the clinical course and lab diagnosis in a 37 year old female pt who, after revaccination, developed generalized vaccinia. The pt reported a hisotry of at least one uncomplicated childhood inoculation that left a vaccination scar. She had no contraindications to vaccination. She did not have a skin disease or a history of eczema or atopic dermatitis, nor was she pregnant or allergic to any component of the vaccine. On 3/14/03, some 44 hrs after vaccination, the pt reported that she had developed a headache, chills, pruritus, chest pain (described as chest "heaviness"), recurrent vomiting, and maculopapular lesions. The pt described the lesions as "mosquito bites," which first appeared on her face, then her legs, and then her trunk and upper extremities. Her maximum oral temp was37.7 deg C. Over the next four days, approximately 30 pustules developed, several of which began to drain. Nausea persisted, and the pt had a stiff neck and recurring chest tightness. Physical examination, echocardiography, electrocardiography and chest radiography were within normal limits. On 3/18/03, pustular material obtained from two unroofed lesions on the pt's shoulder and back, tested positive for vaccinia virus DNA by a polymerase chain reaction assay. The presence of ortho-poxvirus was confirmed by electron microscopy of lesion fluid. By 3/25/03, the pt's lesions had all scabbed, and the scabs had fallen off. The pt felt well enough to return to work. The authors concluded that this case represents the first report of a laboratory-confirmed case of GV among recent civilian vaccinees, and is notable for the GV occurrence in a revaccinee. The laboratory confirmation of GV demonstrates the potential of laboratory testing in determining the cause of a post-vaccination rash. The clinical course of this pt is recognized for the onset of GV 2 days after vaccination, suggesting that viremia can occur quickly after vaccination. See attached literature article for additional information. This case was considered medically important (OMIC).  No additional info was available at the time of this report.
Age: 0.3
Sex: M
Vaccine: DTP, OPV
Symptoms: Brain oedema
Clinical narrative: Pt was pronounced dead 3 1/2 hrs after his DPT shot. He was mis-diagnosed a SIDS death and then amended to cerebral edema-probable cause-DPT.
Age: 82.0
Sex: M
Vaccine: LYME
Symptoms: Arthritis, Infection, Medication error, Musculoskeletal stiffness, Oedema
Clinical narrative: This report described the occurrence of Lyme arthritis and/or Lyme disease in an 82 year old male pt who received Lyme disease vaccine recombinant OspA (LYMErix) for prophylaxis. This report was received as part of litigation proceedings, and has not been verified by a physician or other health care professional. The pt received injections of LYMErix on 6/8/99 and 7/9/99 "according to the client." This was considered to be a drug maladministration due to the fact that LYMErix is not indicated for immunizing individuals greater than 70 years of age. On 1/12/04, the pt's attorney alleged that the pt developed "treatment resistant Lyme arthritis and/or treatment resistant Lyme disease," with symptoms including "aches, stiffness, and swelling of his lower extremities." The attorney further alleged that the pt suffered pain that was described as "at times debilitating" and which "severely limited her employment options and opportunities." According to the attorney the pt was under the care of a general practitioner, and received anti-inflammatory and other medications without relief of symptoms. Information from Annual Follow-up report states this adverse event was received through the litigation process. Additional information regarding the event, including outcome information, is being pursued through the litigation process and will be reported if obtained.
Age: 82.0
Sex: M
Vaccine: LYME
Symptoms: Pain
Clinical narrative: This report described the occurrence of Lyme arthritis and/or Lyme disease in an 82 year old male pt who received Lyme disease vaccine recombinant OspA (LYMErix) for prophylaxis. This report was received as part of litigation proceedings, and has not been verified by a physician or other health care professional. The pt received injections of LYMErix on 6/8/99 and 7/9/99 "according to the client." This was considered to be a drug maladministration due to the fact that LYMErix is not indicated for immunizing individuals greater than 70 years of age. On 1/12/04, the pt's attorney alleged that the pt developed "treatment resistant Lyme arthritis and/or treatment resistant Lyme disease," with symptoms including "aches, stiffness, and swelling of his lower extremities." The attorney further alleged that the pt suffered pain that was described as "at times debilitating" and which "severely limited her employment options and opportunities." According to the attorney the pt was under the care of a general practitioner, and received anti-inflammatory and other medications without relief of symptoms. Information from Annual Follow-up report states this adverse event was received through the litigation process. Additional information regarding the event, including outcome information, is being pursued through the litigation process and will be reported if obtained.
Age: 86.0
Sex: F
Vaccine: FLU3
Symptoms: Cardiovascular disorder, Cerebrovascular accident, Difficulty in walking, Malaise, Memory impairment
Clinical narrative: Information regarding a "flu shot" was received from a consumer regarding his 86 year old mother who experienced stroke, slight fever and malaise. The pt received a dose on an unspecified date four years ago. The pt's medical history included a "weak heart," arthritis, and high blood pressure; however, onset dates were not specified. The reporter stated that the pt "previously got flu shot without any problems." The pt developed a slight fever and malaise after receiving an unknown brand of "flu shot" four years ago. The next afternoon, she experienced a stroke. She was hospitalized for about one month. She was then admitted to a nursing home for three months due to paralysis on her left side. She experienced trouble with her left leg while walking, which required "a lot of therapy." She also experienced some memory problems and incontinence. The reporter indicated that the pt continues to have problems walking, and "can't even get around with a walker." She now also has "circulation problems." The reporter stated that the pt's current medications include: buffered aspirin, vitamin E, Lasix, Plavix, and an unknown blood pressure medication. No additional info was available at the date of this report.
Age: 86.0
Sex: F
Vaccine: FLU3
Symptoms: Paralysis, Pyrexia, Urinary incontinence
Clinical narrative: Information regarding a "flu shot" was received from a consumer regarding his 86 year old mother who experienced stroke, slight fever and malaise. The pt received a dose on an unspecified date four years ago. The pt's medical history included a "weak heart," arthritis, and high blood pressure; however, onset dates were not specified. The reporter stated that the pt "previously got flu shot without any problems." The pt developed a slight fever and malaise after receiving an unknown brand of "flu shot" four years ago. The next afternoon, she experienced a stroke. She was hospitalized for about one month. She was then admitted to a nursing home for three months due to paralysis on her left side. She experienced trouble with her left leg while walking, which required "a lot of therapy." She also experienced some memory problems and incontinence. The reporter indicated that the pt continues to have problems walking, and "can't even get around with a walker." She now also has "circulation problems." The reporter stated that the pt's current medications include: buffered aspirin, vitamin E, Lasix, Plavix, and an unknown blood pressure medication. No additional info was available at the date of this report.
Age: 32.0
Sex: M
Vaccine: FLU3
Symptoms: Chest discomfort
Clinical narrative: Had tightness in chest about 30 minutes after he left the health department. EMS reported this to me. I called him later that day and he said he felt fine and did not go see a MD.
Age: 7.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Influenza like illness
Clinical narrative: EMS reported patient with increased BP and flu like symptoms about 30 minutes after injection. Doctor watched her for several hours and said she was fine. I called later and her mother said she was fine.
Age: 12.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Hyperhidrosis, Pallor
Clinical narrative: EMS reported patient with increased BP, paleness and sweating about 30 minutes after injection. Doctor's office called and said she was fine. I called later and the father said she was doing fine.
Age: 8.0
Sex: M
Vaccine: FLU3
Symptoms: Blood pressure increased, Hyperhidrosis, Influenza like illness, Pallor
Clinical narrative: EMS reported patient with elevated BP, pale and sweating (flu-like symptoms). Doctor's office called and said that he was fine. I called later that day and the father said he was fine.
Age: 32.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Nausea
Clinical narrative: Stated he got weak and nauseous about 30 minutes after flu injection. EMS reported this to me. I called him later that day and he said he was fine and did not go see a doctor.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Received the injection at 11:15am 1/15/04. At approx. 1pm arm red, swollen and erythema from shoulder sore to elbow bullae at injection site. Benadryl 100mg-ce pack. Sent home.
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Anorexia, Arthralgia, Asthenia, Atelectasis, Bronchiectasis
Clinical narrative: Chills, fever, malaise, headache, weakness, ongoing but improved (also profuse sweating)-aseptic meningitis and focal encephalitis. The discharge summary received on 3/23/04 states pulmonary nodule, pulmonary edema, bronchiectasis, swollen lymph nodes, anorexia, weight loss, atelectasis, nausea andn sedation. 60-day follow up on 04/21/04: "Pt has recovered from adverse events.  Pt developed focal encephalitis and aseptic meningitis temporally associated with influenza vaccination.  His headaches were disabling but have resolved.  Coincedental versus cause and effect...other cases?" Medical records state myalgia, arthralgia, dizziness. msv
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: CSF test abnormal, Chills, Dizziness, Encephalitis, Headache
Clinical narrative: Chills, fever, malaise, headache, weakness, ongoing but improved (also profuse sweating)-aseptic meningitis and focal encephalitis. The discharge summary received on 3/23/04 states pulmonary nodule, pulmonary edema, bronchiectasis, swollen lymph nodes, anorexia, weight loss, atelectasis, nausea andn sedation. 60-day follow up on 04/21/04: "Pt has recovered from adverse events.  Pt developed focal encephalitis and aseptic meningitis temporally associated with influenza vaccination.  His headaches were disabling but have resolved.  Coincedental versus cause and effect...other cases?" Medical records state myalgia, arthralgia, dizziness. msv
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Herpes simplex, Hyperhidrosis, Hyponatraemia, Lung disorder, Lymphadenopathy
Clinical narrative: Chills, fever, malaise, headache, weakness, ongoing but improved (also profuse sweating)-aseptic meningitis and focal encephalitis. The discharge summary received on 3/23/04 states pulmonary nodule, pulmonary edema, bronchiectasis, swollen lymph nodes, anorexia, weight loss, atelectasis, nausea andn sedation. 60-day follow up on 04/21/04: "Pt has recovered from adverse events.  Pt developed focal encephalitis and aseptic meningitis temporally associated with influenza vaccination.  His headaches were disabling but have resolved.  Coincedental versus cause and effect...other cases?" Medical records state myalgia, arthralgia, dizziness. msv
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Malaise, Meningitis, Meningitis aseptic, Myalgia, Nausea
Clinical narrative: Chills, fever, malaise, headache, weakness, ongoing but improved (also profuse sweating)-aseptic meningitis and focal encephalitis. The discharge summary received on 3/23/04 states pulmonary nodule, pulmonary edema, bronchiectasis, swollen lymph nodes, anorexia, weight loss, atelectasis, nausea andn sedation. 60-day follow up on 04/21/04: "Pt has recovered from adverse events.  Pt developed focal encephalitis and aseptic meningitis temporally associated with influenza vaccination.  His headaches were disabling but have resolved.  Coincedental versus cause and effect...other cases?" Medical records state myalgia, arthralgia, dizziness. msv
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Pulmonary oedema, Pyrexia, Somnolence, Weight decreased
Clinical narrative: Chills, fever, malaise, headache, weakness, ongoing but improved (also profuse sweating)-aseptic meningitis and focal encephalitis. The discharge summary received on 3/23/04 states pulmonary nodule, pulmonary edema, bronchiectasis, swollen lymph nodes, anorexia, weight loss, atelectasis, nausea andn sedation. 60-day follow up on 04/21/04: "Pt has recovered from adverse events.  Pt developed focal encephalitis and aseptic meningitis temporally associated with influenza vaccination.  His headaches were disabling but have resolved.  Coincedental versus cause and effect...other cases?" Medical records state myalgia, arthralgia, dizziness. msv
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Blood pressure increased, Feeling hot, Pallor
Clinical narrative: States he got hot from head to toe; very pale and increased BP. Reported by EMS. I called the family later that day, grandmother said he was fine and did not go to doctor. This happened about 30 minutes of vaccination.
Age: 12.0
Sex: M
Vaccine: FLU3
Symptoms: Blood pressure increased, Influenza like illness
Clinical narrative: EMS reported patient with elevated BP and flu like symptoms about 30 minutes after injection. I called the mother later she said she did not take him to the doctor but he was fine.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Lethargy, Oral intake reduced, Otitis media, Pyrexia
Clinical narrative: Temperature of 104 16 hours after injection. Laying around; decreased PO intake. Fever lasted two days. No fever 3 and 4 days after but fever 104 on the 5th day. Brought to Pediatrician on 5th day. Dx'ed with OM.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site swelling, Pruritus
Clinical narrative: Within 15 minutes of receipt of vaccine, developed swelling, redness, itching at immunization site. Took 50mgs Benadryl with good response. Repeated Benadryl dose the next day.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth, Pruritus
Clinical narrative: Mom noticed day after vaccine given, had 1/5 dollar sized area of redness on thigh. Over next day increase in size, redness, questionable itchy, at times painful. Area of redness 3"x4", indurated, warmth outlined area of redness. Started on Keflex 250mg TID for 7 days and Atorvax, Hep TID.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Cellulitis, Injection site erythema, Injection site pain
Clinical narrative: 1-2 days after receiving shot in left deltoid, it became tender and red. Was seen in the ER and diagnosed with cellulitis requiring antibiotics and felt to be a reaction to the immunizatino.
Age: 19.0
Sex: F
Vaccine: HEP
Symptoms: Chills, Hot flush, Nausea, Vomiting
Clinical narrative: Patient complained of hot flashes, chills, nausea, vomiting approximately 10-15 minutes after receiving Hep B vaccine.
Age: 88.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site pain, Injection site warmth
Clinical narrative: Redness from injection site to elbow of left arm. Patient states painful, warm to touch; no swelling noted.
Age: 1.2
Sex: M
Vaccine: DTAP, HBHEPB, MMR
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Bilateral, anterior thigh warm, erythematous 2cmx2cm. Discharged Rx, warm compress. Tylenol PRN for fever/pain.
Age: 1.25
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Dermatitis bullous, Infection, Skin ulcer
Clinical narrative: Patient had apparent atypical varicella noted 8/31/03 that resolved after 1 week but then recurred 9/10/03. Lesions seemed to become infected with spreading 9/22/03 and resolved with Keflex but returned again 10/5/03. Resolved with Keflex.
Age: 5.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Dyspnoea, Pruritus, Urticaria
Clinical narrative: Child received MMR#2 and DTAP #5 approximately 11:30 am, left the office, mom and child had lunch with dad.  Approximately 12:15pm, mom noticed hives, child complained of itching.  School nurse gave Benadryl then child had difficulty breathing.  Epi pcn administered and 911 called.
Age: 4.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Diffuse vesicular rash.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Urticaria
Clinical narrative: Pt developed diffuse urticaria within 24 hours of vaccine administration.
Age: 4.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: Diffuse macular, papular rash.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, VARCEL
Symptoms: Blister, Rash papular
Clinical narrative: Multiple papules, vesicles, trunk, neck, arms.
Sex: M
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Fall, Irritability, Pyrexia, Rash macular, Upper respiratory tract infection
Clinical narrative: 12/11 Temp 101 degrees. Seen and dx'ed with URI. 12/13 Seen  again with complaints of crankiness, falling a lot, fever 12/11 and 12/12, palpable occipital lymph nodes and truncal blanching macular rash.
Sex: M
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Cerebellar ataxia, Diarrhoea, Flatulence, Pyrexia, Rash morbilliform
Clinical narrative: 12/11 Temp 101 degrees. Seen and dx'ed with URI. 12/13 Seen  again with complaints of crankiness, falling a lot, fever 12/11 and 12/12, palpable occipital lymph nodes and truncal blanching macular rash.
Sex: M
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Viral infection
Clinical narrative: 12/11 Temp 101 degrees. Seen and dx'ed with URI. 12/13 Seen  again with complaints of crankiness, falling a lot, fever 12/11 and 12/12, palpable occipital lymph nodes and truncal blanching macular rash.
Age: 26.0
Sex: M
Vaccine: HEP, HEPA, IPV, TD
Symptoms: Headache
Clinical narrative: Sharp pain on well on pounding to left side of head 2-3 times per week.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Irritability, Pyrexia
Clinical narrative: About 4x3 inch red, swollen and hot area below where DTAP given (left arm), irritable, fever 100.3.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Laboratory test abnormal, Urticaria
Clinical narrative: Pt developed hives over face and neck within 30 minutes of receiving her 4 year vaccines (DTAP, IPV, MMR) (-) lip swelling or respiratory distress. Benadryl 12mg/5cc - 1.5 tsp given my mouth x1.
Age: 4.0
Sex: M
Vaccine: UNK
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Lt arm, red, swollen, less on Lt side abd. area. Rt arm. Rx-Cephalexin.
Age: 1.25
Sex: M
Vaccine: DTAP, HBHEPB, PNC, HBHEPB
Symptoms: Asthenia, Difficulty in walking
Clinical narrative: Vaccines given 1030A. When he woke from nap at 3P mom felt like "he couldn't walk." He did stand and he did walk a little. she felt his limbs were weak. He was given Motrin. Also called 1/23 and felt his limbs were weak by 10pm pt was fine (not seen by MD).
Age: 1.25
Sex: M
Vaccine: DTAP, HBHEPB, PNC, HBHEPB
Symptoms: Difficulty in walking, Hypokinesia
Clinical narrative: Vaccines given 1030A. When he woke from nap at 3P mom felt like "he couldn't walk." He did stand and he did walk a little. she felt his limbs were weak. He was given Motrin. Also called 1/23 and felt his limbs were weak by 10pm pt was fine (not seen by MD).
Age: 1.2
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Decreased appetite, Otitis media, Pyrexia, Rash papular, Somnolence
Clinical narrative: Vaccines given 1/14/04. Pt developed fever 1/17/04. Decreased appetite. Increased sleeping. Rash on abdomen and back 1/21/04. Seen office 1/21/04. Diffuse papular rash abdomen and back high febrile, nontoxic approving possible OM. Tx: symptomatic.
Age: 0.2
Sex: M
Vaccine: HBHEPB, IPV, PNC, TTOX
Symptoms: Decreased appetite, Irritability, Pyrexia
Clinical narrative: Temperature of 104 deg irritability, decreased appetite.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash, Urticaria
Clinical narrative: Pt had MMR and varicella on 1/12/04 3 hrs later mom noted rash on the legs w/c spread throughout body. On exam pt had hives-possibly from vaccines.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Pruritus, Rash macular, Skin burning sensation
Clinical narrative: Approx 10 min post injection c/o abdominal upset, had emesis. Face became blotchy pink and then c/o itching of ears and neck. Was given 1 1/2 tsp po of Benadryl approx 1 hr late pt stilll c/o itching and now c/o skin burning. Skin very red and warm to touch. Pt was then given Epi. 0.2ml SQ and within 15 min decreased redness and no longer warm.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Stomach discomfort, Vomiting
Clinical narrative: Approx 10 min post injection c/o abdominal upset, had emesis. Face became blotchy pink and then c/o itching of ears and neck. Was given 1 1/2 tsp po of Benadryl approx 1 hr late pt stilll c/o itching and now c/o skin burning. Skin very red and warm to touch. Pt was then given Epi. 0.2ml SQ and within 15 min decreased redness and no longer warm.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site infection, Injection site oedema
Clinical narrative: Varicella vaccine given left arm on 1/8/04. 1/19/04 mother noticed injection site swollen and red. Mother took client to doctor-doctor said "injection site infected."
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Erythema, Injection site induration, Injection site swelling
Clinical narrative: Reddened swollen-hard area L deltoid 9cm x 6 1/2cm induration at center. Injection given 1/21/04. Redness and swelling began afternoon of 1/22/04. Tx with Keflex, f/u apt with MD 1/23/04.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Amnesia, Headache, Muscle spasms, Muscle twitching, Nausea
Clinical narrative: The client states that he had intermittent mild headaches until January 1999. He then began to experience more severe headaches for which he sought medical care. Prior to this point he would present to the Hospital and would receive Tylenol® or Motrin®. This approach was no longer adequate for the relief of his symptoms. He states that he continues to experience these "horrible" headaches. He describes the headaches in varying locations and intensity. He states that some are "creeping pain" that begins at the base of his skull and creeps forward with "incredible" pressure. These usually localize in the sagittal and occipital areas of his skull. At other times he describes his headache starting with a "shooting pain" that localizes in different areas. He also experiences a "dull ache" type of headache, which generally localizes behind his left eye and left frontal lobe area. The later type of headache has a "severe pressure" or "grating" pain and lasts usually last 3-5 days.  He states that he has had to miss work or leave early because the headaches are so severe that he becomes nauseous and vomits.  In addition he complains of symptoms whose onset is more recent, one of which is short-term memory loss. He states that he will go to a certain location and then cannot remember why he is there. He also states that he "goes blank in the middle of a conversation". He states that he began experiencing these symptoms about six (6) months ago. He is also experiencing muscle spasms in his arms and legs at night while he is trying to fall asleep. He states that at times he actually "jumps" and twitches because of the spasms. He reports experiencing this for the last 2.5 years. Finally, he reports a rapid deterioration of his vision in both near and far vision over the last one (1) year.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Pain, Visual acuity reduced, Vomiting
Clinical narrative: The client states that he had intermittent mild headaches until January 1999. He then began to experience more severe headaches for which he sought medical care. Prior to this point he would present to the Hospital and would receive Tylenol® or Motrin®. This approach was no longer adequate for the relief of his symptoms. He states that he continues to experience these "horrible" headaches. He describes the headaches in varying locations and intensity. He states that some are "creeping pain" that begins at the base of his skull and creeps forward with "incredible" pressure. These usually localize in the sagittal and occipital areas of his skull. At other times he describes his headache starting with a "shooting pain" that localizes in different areas. He also experiences a "dull ache" type of headache, which generally localizes behind his left eye and left frontal lobe area. The later type of headache has a "severe pressure" or "grating" pain and lasts usually last 3-5 days.  He states that he has had to miss work or leave early because the headaches are so severe that he becomes nauseous and vomits.  In addition he complains of symptoms whose onset is more recent, one of which is short-term memory loss. He states that he will go to a certain location and then cannot remember why he is there. He also states that he "goes blank in the middle of a conversation". He states that he began experiencing these symptoms about six (6) months ago. He is also experiencing muscle spasms in his arms and legs at night while he is trying to fall asleep. He states that at times he actually "jumps" and twitches because of the spasms. He reports experiencing this for the last 2.5 years. Finally, he reports a rapid deterioration of his vision in both near and far vision over the last one (1) year.
Age: 13.0
Sex: F
Vaccine: HEPA, YF
Symptoms: Diarrhoea, Rash pruritic
Clinical narrative: The day following vaccine administration the patient developed a mildly pruititc facial rash and the day after that she developed diarrhea. After 2 more days symptoms were almost completely resolved.
Age: 27.0
Sex: F
Vaccine: ANTH
Symptoms: Erythema, Oedema, Pruritus, Urticaria
Clinical narrative: On day of vaccination patient developed severe pruritis without obvious urticaria.  No SOB or respiratory complants.  On day 4 the arm was swollen and red with local reaction at 150 mm by 150 mm. Patient also had pain and itching at the injection site.  She was given IM kenalog and a tapering dose of prednisone by her PCP.  Also recommended elevation and steroid cream.  Off work for 1 day.  By day 6 the swelling was decreasing and patient had returned to work by day 7 with some residual swelling but much imporved.
Age: 1.5
Sex: M
Vaccine: DTAPH
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Mother made an appointment and was seen by  her pediatrician less than 24 hours after her child received his immunization due to localized redness, swelling and soreness at the injection site. Complete resolution of extensive swelling resolved by day 4, January 2. 2004.
Age: 19.0
Sex: M
Vaccine: HEPAB, MMR, TD, YF
Symptoms: Erythema, Rash papular
Clinical narrative: Pt developed a facial rash three days after receiving the vaccination.  The rash was a papular rash and was located on the right side of the face.  The patient was issued shaving restrictions.  By January 26, the rash had improved somewhat on the R side but had spread to the L side of the fack and the anterior neck.  The malar region of the face, chin and anterior neck are erythematous and there are scattered papules and pustules.
Age: 2.0
Sex: F
Vaccine: VARCEL
Symptoms: Feeling hot, Oedema, Pyrexia, Rash
Clinical narrative: Client began running fever on 01-20-04 of 101.  Mother noticed area left vastus reil edematous with mild rash. edematous area approx. 20mm in diameter. Warm to touch, injection given l vastus.  Saw physician, no treatment.  Afebrile on evening of 1-21-04
Age: 0.4
Sex: M
Vaccine: DTAPH, HIBV, IPV, PNC
Symptoms: Rash, Wheezing
Clinical narrative: mom brought the child in with wheezing starting right after the injections and the rash 2 days after the injections  Drs. office came in for the shots.
Age: 15.0
Sex: M
Vaccine: HEP
Symptoms: Aplastic anaemia, Arthralgia, Asthenia, Bone marrow depression, Cellulitis
Clinical narrative: HIGH FEVER, SEVERE JOINT PAIN, LARGE RED LUMPS, BRUISING, RASH, SEVERE WEIGHT LOSS, WEAKNESS, SEVERE FATIGUE, TROUBLE WALKING.  WAS TAKEN TO ER ON THE 27TH OF AUGUST, 2001, WAS TOLD HE HAD A VIRAL INFECTION.. SYMPTOMS CONTINUED TO WORSEN, HE WAS IN AND OUT OF DR'S OFFICE WITH BLOOD COUNTS TAKEN ALMOST EVERY OTHER DAY. ON  SEPTEMBER 11TH, 2001, WE TOOK HIM TO HOSPITAL AND HE WAS ADMITTED FOR 16 DAYS...   HE LOOKED LIKE HE HAD LUPUS, LUEKEMIA, CHRONS DEASEASE...HE LOST ABOUT 30 LBS IN 4 WEEKS, HIS IMMUNE SYSTEM WAS FAILING, MANY TESTS WERE DONE INCLUDING A BONE MARROW ASPIRATION,BIOPSIES--HE HAD MANY DIAGNOSIS AND WAS SEEN BY MANY SPECIALISTS WHILE HOSPITALIZED.   RECORDS ARE AT HOSPITAL.HE DEVELOPED RHEUMATOID ARTHRITIS,FLUID AROUND HIS HEART,APLASTIC ANEMIA,KIDNEY PROBLEMS,HYPERTENSION---HE WAS IN THE CARE OF MANY SPECIALISTS AND WAS GIVEN THE FOLLOWING MEDICATIONS: PROCARDIA XL-ZANTAC-NAPROXEN--PREDNISONE.... FOR THE FIRST 14 DAYS AT HOSPITAL THE ONLY MEDICINE HE WAS GIVEN WAS TYLENOL, ON THE NIGHT OF THE 15TH DAY, THEY GAVE HIM PREDNISONE, BY THE NEXT MORNING HIS FEVER WAS GONE... IT HAD BEEN SPIKING TO 105* THEN DN TO 97*... THE NEXT MORING HIS TEMP WAS ONLY ABOUT 95*....DR. WAS THE DR THAT ADMITTED HIM TO HOSPITAL... BUT MY SON HAD MANY DR'S TENDING TO HIM... The ER records received on 2/19/04 states erythema nodosum. The discharge summary received on 2/24/04 states necrotizing lobular panniculitis and bone marrow dysplasia.
Age: 15.0
Sex: M
Vaccine: HEP
Symptoms: Contusion, Difficulty in walking, Erythema, Erythema nodosum, Fatigue
Clinical narrative: HIGH FEVER, SEVERE JOINT PAIN, LARGE RED LUMPS, BRUISING, RASH, SEVERE WEIGHT LOSS, WEAKNESS, SEVERE FATIGUE, TROUBLE WALKING.  WAS TAKEN TO ER ON THE 27TH OF AUGUST, 2001, WAS TOLD HE HAD A VIRAL INFECTION.. SYMPTOMS CONTINUED TO WORSEN, HE WAS IN AND OUT OF DR'S OFFICE WITH BLOOD COUNTS TAKEN ALMOST EVERY OTHER DAY. ON  SEPTEMBER 11TH, 2001, WE TOOK HIM TO HOSPITAL AND HE WAS ADMITTED FOR 16 DAYS...   HE LOOKED LIKE HE HAD LUPUS, LUEKEMIA, CHRONS DEASEASE...HE LOST ABOUT 30 LBS IN 4 WEEKS, HIS IMMUNE SYSTEM WAS FAILING, MANY TESTS WERE DONE INCLUDING A BONE MARROW ASPIRATION,BIOPSIES--HE HAD MANY DIAGNOSIS AND WAS SEEN BY MANY SPECIALISTS WHILE HOSPITALIZED.   RECORDS ARE AT HOSPITAL.HE DEVELOPED RHEUMATOID ARTHRITIS,FLUID AROUND HIS HEART,APLASTIC ANEMIA,KIDNEY PROBLEMS,HYPERTENSION---HE WAS IN THE CARE OF MANY SPECIALISTS AND WAS GIVEN THE FOLLOWING MEDICATIONS: PROCARDIA XL-ZANTAC-NAPROXEN--PREDNISONE.... FOR THE FIRST 14 DAYS AT HOSPITAL THE ONLY MEDICINE HE WAS GIVEN WAS TYLENOL, ON THE NIGHT OF THE 15TH DAY, THEY GAVE HIM PREDNISONE, BY THE NEXT MORNING HIS FEVER WAS GONE... IT HAD BEEN SPIKING TO 105* THEN DN TO 97*... THE NEXT MORING HIS TEMP WAS ONLY ABOUT 95*....DR. WAS THE DR THAT ADMITTED HIM TO HOSPITAL... BUT MY SON HAD MANY DR'S TENDING TO HIM... The ER records received on 2/19/04 states erythema nodosum. The discharge summary received on 2/24/04 states necrotizing lobular panniculitis and bone marrow dysplasia.
Age: 15.0
Sex: M
Vaccine: HEP
Symptoms: Hypertension, Immune system disorder, Laboratory test abnormal, Pyrexia, Rash
Clinical narrative: HIGH FEVER, SEVERE JOINT PAIN, LARGE RED LUMPS, BRUISING, RASH, SEVERE WEIGHT LOSS, WEAKNESS, SEVERE FATIGUE, TROUBLE WALKING.  WAS TAKEN TO ER ON THE 27TH OF AUGUST, 2001, WAS TOLD HE HAD A VIRAL INFECTION.. SYMPTOMS CONTINUED TO WORSEN, HE WAS IN AND OUT OF DR'S OFFICE WITH BLOOD COUNTS TAKEN ALMOST EVERY OTHER DAY. ON  SEPTEMBER 11TH, 2001, WE TOOK HIM TO HOSPITAL AND HE WAS ADMITTED FOR 16 DAYS...   HE LOOKED LIKE HE HAD LUPUS, LUEKEMIA, CHRONS DEASEASE...HE LOST ABOUT 30 LBS IN 4 WEEKS, HIS IMMUNE SYSTEM WAS FAILING, MANY TESTS WERE DONE INCLUDING A BONE MARROW ASPIRATION,BIOPSIES--HE HAD MANY DIAGNOSIS AND WAS SEEN BY MANY SPECIALISTS WHILE HOSPITALIZED.   RECORDS ARE AT HOSPITAL.HE DEVELOPED RHEUMATOID ARTHRITIS,FLUID AROUND HIS HEART,APLASTIC ANEMIA,KIDNEY PROBLEMS,HYPERTENSION---HE WAS IN THE CARE OF MANY SPECIALISTS AND WAS GIVEN THE FOLLOWING MEDICATIONS: PROCARDIA XL-ZANTAC-NAPROXEN--PREDNISONE.... FOR THE FIRST 14 DAYS AT HOSPITAL THE ONLY MEDICINE HE WAS GIVEN WAS TYLENOL, ON THE NIGHT OF THE 15TH DAY, THEY GAVE HIM PREDNISONE, BY THE NEXT MORNING HIS FEVER WAS GONE... IT HAD BEEN SPIKING TO 105* THEN DN TO 97*... THE NEXT MORING HIS TEMP WAS ONLY ABOUT 95*....DR. WAS THE DR THAT ADMITTED HIM TO HOSPITAL... BUT MY SON HAD MANY DR'S TENDING TO HIM... The ER records received on 2/19/04 states erythema nodosum. The discharge summary received on 2/24/04 states necrotizing lobular panniculitis and bone marrow dysplasia.
Age: 15.0
Sex: M
Vaccine: HEP
Symptoms: Renal impairment, Rheumatoid arthritis, Urticaria, Viral infection, Weight decreased
Clinical narrative: HIGH FEVER, SEVERE JOINT PAIN, LARGE RED LUMPS, BRUISING, RASH, SEVERE WEIGHT LOSS, WEAKNESS, SEVERE FATIGUE, TROUBLE WALKING.  WAS TAKEN TO ER ON THE 27TH OF AUGUST, 2001, WAS TOLD HE HAD A VIRAL INFECTION.. SYMPTOMS CONTINUED TO WORSEN, HE WAS IN AND OUT OF DR'S OFFICE WITH BLOOD COUNTS TAKEN ALMOST EVERY OTHER DAY. ON  SEPTEMBER 11TH, 2001, WE TOOK HIM TO HOSPITAL AND HE WAS ADMITTED FOR 16 DAYS...   HE LOOKED LIKE HE HAD LUPUS, LUEKEMIA, CHRONS DEASEASE...HE LOST ABOUT 30 LBS IN 4 WEEKS, HIS IMMUNE SYSTEM WAS FAILING, MANY TESTS WERE DONE INCLUDING A BONE MARROW ASPIRATION,BIOPSIES--HE HAD MANY DIAGNOSIS AND WAS SEEN BY MANY SPECIALISTS WHILE HOSPITALIZED.   RECORDS ARE AT HOSPITAL.HE DEVELOPED RHEUMATOID ARTHRITIS,FLUID AROUND HIS HEART,APLASTIC ANEMIA,KIDNEY PROBLEMS,HYPERTENSION---HE WAS IN THE CARE OF MANY SPECIALISTS AND WAS GIVEN THE FOLLOWING MEDICATIONS: PROCARDIA XL-ZANTAC-NAPROXEN--PREDNISONE.... FOR THE FIRST 14 DAYS AT HOSPITAL THE ONLY MEDICINE HE WAS GIVEN WAS TYLENOL, ON THE NIGHT OF THE 15TH DAY, THEY GAVE HIM PREDNISONE, BY THE NEXT MORNING HIS FEVER WAS GONE... IT HAD BEEN SPIKING TO 105* THEN DN TO 97*... THE NEXT MORING HIS TEMP WAS ONLY ABOUT 95*....DR. WAS THE DR THAT ADMITTED HIM TO HOSPITAL... BUT MY SON HAD MANY DR'S TENDING TO HIM... The ER records received on 2/19/04 states erythema nodosum. The discharge summary received on 2/24/04 states necrotizing lobular panniculitis and bone marrow dysplasia.