chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 6.0
Sex: F
Vaccine: HIBV, MMR
Symptoms: Hearing impaired, Pyrexia
Clinical narrative: No side effects were documented at time of vax. Phone call received to state child had a fever 101 and no other symptoms 05/03/1994.  05/20/97 Mother completed report stating that child ran very high fever of 104. Called physician at 10:30 PM and was told to sponge her off with tepid water and rub briskly. Continue with Tylenol until fever cooled and check back in the morning.  Pt had bilateral hearing loss dxed 05/14/1997. Pt has received permanent medical exemption from receiving the MMR due to "severe reaction with previous vax" by her pediatrician as of 10/2/1998.  Follow up 08/22/2000: "Patient ran a high temperature for several days and nights.  One night went up to 104 and started vomiting.  Called MD at home and MD assured that patient was ok.  Spoke to nurse next day, nurse informed that it was normal for patient to have fever that high.  Tylenol was given every 4 hours.  Patient was very sick for several more days repressing to take formula and still running fever of 104-105.  MD refused to give patient the second shot stating that patient was allergic to the vaccine.  Patient wears hearing aids in both ears, and has speech problems."
Age: 23.0
Sex: F
Vaccine: VARCEL
Symptoms: Encephalitis, Infection
Clinical narrative: Information has been received from a 23 year old female pt who in May of 2000 was vaccinated with varicella virus vaccine live. Subsequently, in 2000, the pt went to an ER and was dx'd with infection. "Then she went to her MD and was dx'd with viral encephalitis (considered to be an other medical event). The pt has no medical history prior to this." Additional information has been requested.
Age: 38.0
Sex: M
Vaccine: LYME
Symptoms: Amnesia, Condition aggravated, Depression, Rhinitis, Sinusitis
Clinical narrative: This report describes the occurrence of reoccurring sinusitis in a 38-year old male who received 3 injections of Lymerix. This report has been received from & patient has not been verified by a physician. Between 1993 and 1994, the pt received 3 Lyme vaxs in a clinical trial protocol. Pt reported that he "experienced severe sinusitis and informed the study investigator and reports that he was told that he had nothing to do with the Lymerix." Pt also reported that he "was told after the study was complete, that he received study drug versus placebo. He also experienced an upper respiratory tract infection during the study and it lingered for a few weeks." Once the study was complete, the pt reported that he continued to experience frequent and severe sinusitis. he saw ear, nose and throat physicians who "would not touch him due to severity." He was referred to and ENT specialist and had four separate surgical procedures on his sinuses. He was hospitalized on 05/20/2000 for this fourth surgery where they "removed infected tissue, removed part of septum, and drilled holes so sinuses could drain." He also stated that he has seen an allergist who attempted desensitization but "discontinued as he kept getting sinusitis." He alleges that he has suffered from depression and memory loss over the past couple years and stated that he feel these events are due to the stress over all the surgeries. Pt reported that what prompted his call to manufacturer on 07/10/2000 was that "he read an editorial in his local paper written by a man who also was in a Lymerix study and claimed that information was withheld about Lymerix compromising the immune system." The most recent information received indicates that the URI resolved and the sinusitis, depression and memory loss are ongoing.
Age: 38.0
Sex: M
Vaccine: LYME
Symptoms: Upper respiratory tract infection
Clinical narrative: This report describes the occurrence of reoccurring sinusitis in a 38-year old male who received 3 injections of Lymerix. This report has been received from & patient has not been verified by a physician. Between 1993 and 1994, the pt received 3 Lyme vaxs in a clinical trial protocol. Pt reported that he "experienced severe sinusitis and informed the study investigator and reports that he was told that he had nothing to do with the Lymerix." Pt also reported that he "was told after the study was complete, that he received study drug versus placebo. He also experienced an upper respiratory tract infection during the study and it lingered for a few weeks." Once the study was complete, the pt reported that he continued to experience frequent and severe sinusitis. he saw ear, nose and throat physicians who "would not touch him due to severity." He was referred to and ENT specialist and had four separate surgical procedures on his sinuses. He was hospitalized on 05/20/2000 for this fourth surgery where they "removed infected tissue, removed part of septum, and drilled holes so sinuses could drain." He also stated that he has seen an allergist who attempted desensitization but "discontinued as he kept getting sinusitis." He alleges that he has suffered from depression and memory loss over the past couple years and stated that he feel these events are due to the stress over all the surgeries. Pt reported that what prompted his call to manufacturer on 07/10/2000 was that "he read an editorial in his local paper written by a man who also was in a Lymerix study and claimed that information was withheld about Lymerix compromising the immune system." The most recent information received indicates that the URI resolved and the sinusitis, depression and memory loss are ongoing.
Age: 19.0
Sex: F
Vaccine: LYME
Symptoms: Condition aggravated, Convulsion, Headache, Nausea, Pyrexia
Clinical narrative: Post vax, the pt experienced fever, nausea, headache, syncope, and seizure activity.
Age: 19.0
Sex: F
Vaccine: LYME
Symptoms: Syncope
Clinical narrative: Post vax, the pt experienced fever, nausea, headache, syncope, and seizure activity.
Sex: M
Vaccine: UNK
Symptoms: Influenza like illness, Visual disturbance
Clinical narrative: A male consumer reported that he contracted the most severe case of flu virus that he has ever experienced after being inoculated with the vax. This time the malady was not only the most painful, it affected his eye sight and lasted 17 days. Within hours of the onset of the virus, his eye sight was reduced to the point where he could not see any features of his face in the mirror. His eye sight gradually improved, but not to the condition which it was prior to the onset of the virus. He now finds it very difficult to read, write, drive, watch television and/or perform other functions which were not a problem before this incident.
Age: 0.3
Sex: F
Vaccine: DTAP
Symptoms: Mental retardation severity unspecified
Clinical narrative: Subsequently post vax, the pt developed developmental delays.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Urticaria
Clinical narrative: Urticaria treated with Benadryl.
Age: 4.0
Sex: F
Vaccine: PNC
Symptoms: Nausea, Pyrexia, Urticaria, Vomiting
Clinical narrative: Fever up to 102 (oral), nausea with vomiting X 1 and hives. Treated with prednisone.
Age: 1.0
Sex: M
Vaccine: PNC
Symptoms: Hand-foot-and-mouth disease, Irritability, Pain, Sleep disorder
Clinical narrative: Severe pain, irritability, sleep disturbance for 3 days. Fever started 48 hours post vax. Subsequently post vax, the pt was dx with hand, foot, and mouth disease.
Age: 0.7
Sex: M
Vaccine: DTAP
Symptoms: Urticaria
Clinical narrative: 72 hours post vax, pt developed generalized hives.
Age: 3.0
Sex: M
Vaccine: PNC
Symptoms: Injection site erythema
Clinical narrative: 3 x 2 1/2 inch area of mild erythema at injection site.
Age: 18.0
Sex: M
Vaccine: LYME
Symptoms: Feeling cold, Headache, Tremor
Clinical narrative: 30 minutes post vax, the pt began with violent shaking, cold feeling, and intense headache.
Age: 49.0
Sex: F
Vaccine: LYME
Symptoms: Arthralgia, Fatigue, Feeling cold, Headache, Hypoaesthesia
Clinical narrative: Pt developed fatigue, numbness in arms and hands, pain in joints, and flu-like symptoms. The annual follow-up states arthritis pain, flu like symptoms, headache, fatigue and cold-no circulation. 07/25/2000 09:25 1st attempt to reach pt-message left on answering machine requesting a call back. 07/26/2000 09:40 2nd attempt to reach pt-message left on answering machine requesting a call back. 07/26/2000 call from pt-her symptoms are presistant and is being seen by rheumatologist and Tx'd with Celebrex. She had other vaccines with 4 weeks prior to Lymerix #3. Consent form sent for rheumatogy records.
Age: 49.0
Sex: F
Vaccine: LYME
Symptoms: Infection, Influenza like illness
Clinical narrative: Pt developed fatigue, numbness in arms and hands, pain in joints, and flu-like symptoms. The annual follow-up states arthritis pain, flu like symptoms, headache, fatigue and cold-no circulation. 07/25/2000 09:25 1st attempt to reach pt-message left on answering machine requesting a call back. 07/26/2000 09:40 2nd attempt to reach pt-message left on answering machine requesting a call back. 07/26/2000 call from pt-her symptoms are presistant and is being seen by rheumatologist and Tx'd with Celebrex. She had other vaccines with 4 weeks prior to Lymerix #3. Consent form sent for rheumatogy records.
Age: 50.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Fatigue, Hypoaesthesia, Influenza like illness
Clinical narrative: Pt developed fatigue and numbness in hands and arms, pain in joints, and flu-like symptoms. The annual follow-up states that there are still pain in joints and fatigue. 07/25/2000 09:25 1st attempt to reach pt. Message left on answering machine requesting a call back. 07/26/2000 09:40 2nd attempt to reach pt. Message left on answering machine requestion call back. 07/26/2000 call frompt's wife. His symptoms of joint pain and flu symptoms "come and go". His PCP had diagnosed carpal tunnel syndrome, no Tx. Consent form sent for PCP records.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Cough, Fatigue, Headache, Pyrexia, Respiratory tract infection
Clinical narrative: Fever and vomiting lasting 12 hours. Low grade fever continued with onset of headaches, sinus pain, and yellow discharge. Symptoms lasted four days before migrating into upper respiratory track. Constant cough, fatigue, and thick green and brown phlegm persisted three weeks. A cycle of symptoms reoccurred with sinus infection four days and respiratory infection three weeks. Chronic fatigue lasted three months following remission of symptoms. No physician prescribed treatment.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Rhinorrhoea, Sinusitis, Vomiting
Clinical narrative: Fever and vomiting lasting 12 hours. Low grade fever continued with onset of headaches, sinus pain, and yellow discharge. Symptoms lasted four days before migrating into upper respiratory track. Constant cough, fatigue, and thick green and brown phlegm persisted three weeks. A cycle of symptoms reoccurred with sinus infection four days and respiratory infection three weeks. Chronic fatigue lasted three months following remission of symptoms. No physician prescribed treatment.
Age: 49.0
Sex: M
Vaccine: ANTH
Symptoms: Dizziness
Clinical narrative: Same day post vax, the pt experienced light-headedness and dizziness.
Age: 22.0
Sex: F
Vaccine: ANTH
Symptoms: Arthralgia, Hypoaesthesia, Joint swelling, Uveitis
Clinical narrative: 5 months post vax, the pt developed numbness in both hands and feet radiating up to both knees. Pt went to ER and received no treatment for his numbness but was prescribed medication for pink eye. Optometry dx pt with uveitis, which is an inflammation of the eye. She has not had any more incidents of numbness, however, since she woke up with the numbness she has had varying degrees of joint pain and swelling in both knees. Swelling in fingers on both hands.
Age: 22.0
Sex: F
Vaccine: ANTH
Symptoms: Pain, Pruritus, Swelling
Clinical narrative: Soreness, itching, and swelling. Pt advised to take Motrin.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Erythema, Swelling, Vasodilation procedure
Clinical narrative: Redness and swelling from the elbow to the lower part of the shoulder, hot over the whole area, pain in shoulder joint.  Follow up 10/13/2000: "Patient recovered from adverse event.  Patient did not receive any further shots, however the event is: swelling from the bottom of the right elbow to the top of the shoulder, itching, redness all over slight temperature."
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site urticaria
Clinical narrative: Pt developed tender bumps and/or itching hives intermittently in area where vax was given.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Paraesthesia
Clinical narrative: Pt first noticed ache in right shoulder which moved down to the elbow, then wrist. Later on, tingling in hand and fingers.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Rash
Clinical narrative: Rash and bumps on both arms and both legs. Reoccurring minor joint pain in both hands
Age: 1.4
Sex: M
Vaccine: DTAP, HIBV, IPV, DTAP, HIBV, IPV
Symptoms: Irritability, Otitis media, Pyrexia, Restlessness
Clinical narrative: Pt awakened with fever of 103, temperature never went below 100 the entire day. Approximately 9:00 pm fever went up to 105.3, pt was very tired and had shakes. Pt was treated with Motrin and baths then taken to ER
Age: 1.4
Sex: M
Vaccine: DTAP, HIBV, IPV, DTAP, HIBV, IPV
Symptoms: Fatigue, Pyrexia, Tremor
Clinical narrative: Pt awakened with fever of 103, temperature never went below 100 the entire day. Approximately 9:00 pm fever went up to 105.3, pt was very tired and had shakes. Pt was treated with Motrin and baths then taken to ER
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Pyrexia
Clinical narrative: Pt experienced a fever of 103 and was treated with Tylenol.
Age: 14.0
Sex: M
Vaccine: HEP, TD, VARCEL
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Pts left arm became very painful with redness and swelling extending from the elbow to the shoulder. Pt was seen in the ER and treated with antibiotic and Tylenol.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Pt experienced redness, swelling and pain after injection. Physical therapy was ordered - visit with orthopedic doctor week of 02/14/2000.
Age: 2.0
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Injection site erythema, Injection site mass, Injection site oedema, Injection site warmth
Clinical narrative: Pt experienced and area of swelling, redness, firm and warm to touch. Pt was treated with Benadryl.
Age: 13.0
Sex: M
Vaccine: HEP
Symptoms: Lethargy, Syncope
Clinical narrative: Approximately 5 minutes post vax pt had syncopal episode. Pt was very lethargic all afternoon. Pt was taken to the ER, however no treatment was received.
Age: 0.75
Sex: M
Vaccine: HBHEPB
Symptoms: Rash
Clinical narrative: One day post vax pt experienced a generalized fine, pimply rash with no fever, fussiness or irritability.
Sex: U
Vaccine: MMR
Symptoms: Feeling hot, Malaise, Pyrexia
Clinical narrative: Pt feeling overheated 2 hours post vax, followed by several days of fever and malaise. No symptoms at injection site. Suspected coincidental illness.
Age: 12.0
Sex: F
Vaccine: HEP, HEPA, TD
Symptoms: Agitation, Hyperhidrosis, Loss of consciousness, Pallor
Clinical narrative: Pt became pale, had LOC, became diaphoretic. After ammonia inhalant used pt awoke and started crying. Vital signs taken. Pt assisted to exam table to lie down. Orange juice given. Vital signs taken 15 minutes later, pt stable.
Age: 18.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Dizziness, Headache, Malaise, Nausea, Pain
Clinical narrative: Approximately 16 hours post vax pt woke up feeling sick with headache, body aches, dizziness, nausea and vomiting. Pt was treated with ibuprofen.
Age: 18.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Vomiting
Clinical narrative: Approximately 16 hours post vax pt woke up feeling sick with headache, body aches, dizziness, nausea and vomiting. Pt was treated with ibuprofen.
Age: 18.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Dizziness, Headache, Nausea, Pain, Vomiting
Clinical narrative: Approximately 16 hours post vax pt woke up feeling sick with headache, body aches, dizziness, nausea and vomiting. Pt was treated with ibuprofen.
Age: 4.0
Sex: M
Vaccine: UNK
Symptoms: Blister, Drug ineffective, Infection, Pruritus, Rash papular
Clinical narrative: Pt was exposed to chickenpox and broke out with sores typical of chickenpox. Seen in office with approximately 70 pox some red papules, some clear blisters, and some scabbed, on trunk, neck and upper extremities. Rash itches. Pt afebrile.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pyrexia
Clinical narrative: Pt experienced fever, local reaction, erythema, warmth and swelling at injection site.
Age: 3.0
Sex: M
Vaccine: HEPA
Symptoms: Cough, Nasal congestion, Pain, Pyrexia
Clinical narrative: Approximately one week post vax pt developed a fever of 103, subsequently pt experienced nasal congestion, cough, and pain in upper and lower extremities.
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Upper thigh red, swollen and warm. Child has recovered.
Age: 13.0
Sex: M
Vaccine: HEP
Symptoms: Chest discomfort, Tongue disorder, Wheezing
Clinical narrative: Pt experienced wheezing, tightness of chest and tongue jerking. Parent initiated two breathing treatments with some relief of tightness of chest. Tongue continued jerking. Pt taken to ER and Decadron injection was administered, breathing treatment given. Pt given a prescription for Prednisone and discharged.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Balance disorder, Difficulty in walking, Fatigue, Hypoaesthesia, Muscle twitching
Clinical narrative: Approximately 2 weeks post vax pt experienced body aches, difficulty with balance and walking. Symptoms continued for about 2 months and all symptoms stopped. Symptoms returned 3 weeks later with numbness, muscle twitching, fatigue. Pt continues evaluation with neurologist.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: Approximately 2 weeks post vax pt experienced body aches, difficulty with balance and walking. Symptoms continued for about 2 months and all symptoms stopped. Symptoms returned 3 weeks later with numbness, muscle twitching, fatigue. Pt continues evaluation with neurologist.
Age: 1.5
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Injection site urticaria
Clinical narrative: 5 minutes post vax pt developed redness, swelling and hives at injection site. Approximately 30 minutes later pt had redness, hive like swelling and heat on right upper portion of thigh.
Age: 3.0
Sex: M
Vaccine: VARCEL
Symptoms: Pyrexia
Clinical narrative: Pt experienced fever of 103 shortly after receiving vaccination.
Age: 14.0
Sex: F
Vaccine: TD
Symptoms: Abdominal pain, Dyspnoea, Hypersensitivity, Pain, Pleurisy
Clinical narrative: Pt developed abdominal cramping and trouble breathing with pain in side. Treated with Advil. Seen by physician the next day who diagnosed pleurisy, allergic reaction to immunizations. Given prescription for pain medicine. Pt has improved.
Age: 43.0
Sex: F
Vaccine: TD
Symptoms: Ear pain, Headache, Injection site pain, Pyrexia
Clinical narrative: 2 days post vax pt awakened with aching in ears, eyes and head, chills and fever of 101.2. Injection site was slightly sore.
Sex: F
Vaccine: DT
Symptoms: Cellulitis
Clinical narrative: cellulitis
Age: 26.0
Sex: F
Vaccine: TTOX
Symptoms: Anorexia, Dizziness, Feeling jittery, Nausea
Clinical narrative: Pt experienced light headedness, jittery, nausea and loss of appetite. Treated with  Zyrtex, Pepcid and Prevacid.
Age: 13.0
Sex: M
Vaccine: HEP, TTOX
Symptoms: Fall, Injury, Syncope
Clinical narrative: A few minutes post vax pt became faint, fell and struck his head in the lobby. Pt had some clonic movements, no urinary or bowel incontinence. Pt awoke alert. Pt was observed for about 30 minutes and sent home.
Age: 61.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Feeling hot, Headache, Influenza like illness, Oedema peripheral
Clinical narrative: Pt experienced headache right after injection. Also experienced flu like symptoms the next day. Hot; redness; arm swelling to elbow; hive like rash.
Age: 61.0
Sex: F
Vaccine: TD
Symptoms: Urticaria
Clinical narrative: Pt experienced headache right after injection. Also experienced flu like symptoms the next day. Hot; redness; arm swelling to elbow; hive like rash.
Age: 59.0
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Injection site erythema, Oedema, Pruritus
Clinical narrative: Pt experienced redness at injection site (3 - 4 inches) with itching, swelling and warmth.
Age: 1.0
Sex: U
Vaccine: HEP
Symptoms: Pyrexia
Clinical narrative: Pt experienced fever for 5 days.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Pyrexia, Rash maculo-papular
Clinical narrative: Approximately 2 hours post vax the injection site was painful. One day post vax the injection site was swollen, red, splotchy with fever.
Age: 1.0
Sex: F
Vaccine: IPV, MMR, VARCEL
Symptoms: Convulsion, Pyrexia
Clinical narrative: Pt experienced fever of 103.8 and 20 second seizure 2 days post vax. Pt treated with Motrin and Tylenol. Pt experienced additional seizures and temperature of 103.3 5 days post vax.
Age: 15.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: Rash all over.
Age: 21.0
Sex: M
Vaccine: TD
Symptoms: Cold sweat, Coma, Eye movement disorder, Flushing, Hypotonia
Clinical narrative: Subsequent to receiving vax, pt rolled his head back with a moaning sound, dropped eyes forward, then rolled eyes backward, body went limp. Pt was unresponsive for about 30 seconds. Face was flushed, color changed pale, skin clammy, pt alert and stated he felt like he was dreaming. Pt was advised to see physician.
Age: 5.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Rash
Clinical narrative: 2 hours post vax pt started developing small rash (wheels) on the neck and back. Condition gradually increased and progressed to include extremities and face.  Pt was treated with diphenhydramine with no relief. Pt taken to the ER.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Tremor
Clinical narrative: One day post vax, parent reported that the pt shook from head to foot and the eyes were not focusing. Condition lasted seconds.
Age: 12.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Rash
Clinical narrative: Rash bilateral arms, began on right arm within 24 hours post vax. Rash later spread to both arms and legs.
Age: 1.0
Sex: F
Vaccine: HEP, HIBV
Symptoms: Irritability, Pyrexia
Clinical narrative: Pt experienced a fever of 103 to 104 a few hours post vax that lasted for 2 days, with marked irritability.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Injection site hypersensitivity, Injection site oedema, Rash, Vasodilation procedure
Clinical narrative: Pt developed large, red, hot, swollen area immediately post vax, extending to lateral, posterior thigh. Raised pin dot rash on chest, sternum area. Monitored for 30 minutes without worsening.
Age: 19.0
Sex: F
Vaccine: TYP, YF
Symptoms: Erythema, Paraesthesia, Skin burning sensation
Clinical narrative: Pt developed a red area with burning and tingling sensation.
Age: 10.0
Sex: F
Vaccine: JEV
Symptoms: Nausea, Neck pain, Pyrexia, Sensation of heaviness
Clinical narrative: Pt developed fever, neck pain and nausea. Pts right arm felt really heavy.
Age: 2.0
Sex: F
Vaccine: HEP
Symptoms: Rash
Clinical narrative: Approximately 4 hours post vax pt developed pinpoint red rash on chest. Doctor notified and Benadryl given. Rash resolved within 24 hours.
Age: 14.0
Sex: M
Vaccine: HEP, TD
Symptoms: Diarrhoea, Urticaria
Clinical narrative: Pt developed diarrhea and hives after dinner.
Age: 1.0
Sex: M
Vaccine: IPV, MMR
Symptoms: Rash
Clinical narrative: 8 days post vax pt developed a rash that started on face and back and spread to the rest of the body.
Age: 1.6
Sex: M
Vaccine: DTAP, HBHEPB, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Two weeks post vax pt experienced fever. 15 days post vax pt developed a rash over hands, arms and legs.
Age: 9.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Headache, Hypoaesthesia, Livedo reticularis
Clinical narrative: Pt was feeling weak, skin mottled and pale. Funny feeling in legs described as numb. Advised mom to to take pt to ER. Mom declined for insurance reasons. Pt complained of headache, skin pale and dry. Lips pink. Mother thinks child may have possible blood sugar problems/diabetes and will follow up with physician.
Age: 18.0
Sex: F
Vaccine: HEP, MMR, TD
Symptoms: Cold sweat, Coma, Pallor
Clinical narrative: Pt experienced pale coloring and  clammy skin. Pt reclined with feet elevated, pt unresponsive for approximately 10 seconds. Pt was given apple juice and was discharged alert.
Age: 41.0
Sex: F
Vaccine: CHOL
Symptoms: Asthenia, Dizziness, Flushing, Heart rate increased, Hyperhidrosis
Clinical narrative: Pt complained of rapid pulse, weak, shaky and slightly dizzy, hot and flushed. Pt went to ER and had MD exam when she left the Health Dept. Pts skin diaphoretic.  Pt refused BP check. Pt advised to take antihistamine.
Sex: F
Vaccine: RUB
Symptoms: Photosensitivity reaction
Clinical narrative: Pt experienced a rash to face, chest and shoulders after being in the sun. Pt taken to ER and treated with Zyrtec and Prednisone.
Age: 0.3
Sex: F
Vaccine: HEP
Symptoms: Rash
Clinical narrative: Pt presented to ER with progressive rash subsequent to receiving vax.
Age: 30.0
Sex: M
Vaccine: HEP
Symptoms: Pruritus, Rash erythematous, Urticaria
Clinical narrative: Pt developed a generalized erythematous rash which was pruritic and urticaria. Treated with Zyrtec.
Age: 0.75
Sex: M
Vaccine: HEP
Symptoms: Swelling, Urticaria
Clinical narrative: Pt experienced swelling, urticaria and was treated with Benadryl.
Age: 2.0
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Swelling
Clinical narrative: Pt experienced swelling of thigh and advised to treat with Tylenol, Benadryl and ice.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Injection site haemorrhage, Injection site hypersensitivity, Injection site oedema, Vasodilation procedure
Clinical narrative: Pt experienced injection site reaction characterized by redness, swelling to the size of  silver dollar, warm to touch, and ecchymotic at site.
Age: 25.0
Sex: F
Vaccine: TD
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site pain
Clinical narrative: 3 - 4 days post vax pt experienced a local reaction characterized by redness, tenderness and induration.
Age: 44.0
Sex: F
Vaccine: TD
Symptoms: Injection site oedema, Pyrexia
Clinical narrative: 1 - 2 days post vax pt developed painful swelling in the area of injection. Over the next few days pt developed fever and pain.
Age: 23.0
Sex: M
Vaccine: YF
Symptoms: Erythema, Swelling
Clinical narrative: Pt experienced redness, swelling to right arm for 24 hours.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: 12 to 14 days post vax pt developed generalized hives.
Age: 0.4
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Dyskinesia
Clinical narrative: While sleeping in mothers arms, head began jerking forward and backward and body moving like a worm. Episode lasted approximately 3-5 seconds and was a one time occurrence.
Age: 1.08
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Pt developed a generalized red rash consistent with measles; lip and cheek swelling consistent with mumps. Pt treated with Duricef and Zyrtec.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Eye movement disorder, Hypotonia
Clinical narrative: Half hour post vax pt went limp, listless and slept for two days and through both nights. When pt tried to awaken his eyes would roll back in head.
Age: 0.6
Sex: F
Vaccine: DTAP
Symptoms: Injection site oedema, Irritability, Pyrexia
Clinical narrative: Pt developed a fever of 105F, redness and swelling at injection site and irritability. Pt was treated with Tylenol and a low grade fever persisted for 48 hours.
Age: 2.0
Sex: F
Vaccine: DTAP, HIBV, IPV, VARCEL
Symptoms: Injection site hypersensitivity, Injection site mass, Vasodilation procedure
Clinical narrative: Pt developed a red, raised, warm area 8 X 8 cm on right leg at injection site. Pt was treated with warm compresses and Benadryl.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Decreased appetite, Diarrhoea, Pruritus, Pyrexia, Rash
Clinical narrative: Pt experienced a temperature of 101 - 102 that started 2 days post vax and lasted for 5 days. Pt also had scattered red rash all over body starting 3 days post vax, with loose stools for 4 days, decreased appetite for solids, increased fluid intake. Pt treated with Benadryl for pruritus and Tylenol for fever.
Age: 70.0
Sex: F
Vaccine: LYME, LYME
Symptoms: Arthralgia, Arthritis, Blood test normal, Chest X-ray normal, Dizziness
Clinical narrative: On 03/01/00, vaccinee received 3rd dose of vax and subsequently experienced sore arm (injection site), painful and swollen hands, numbness at the finger tips and bottoms of feet (mostly right), hot flashes, light headedness, dizziness. She saw MD on 03/10/00 complaining of joint pain which was not attributed to Lymerix. On 03/22/00 she experienced chest pain, back pain, difficulty breathing, weakness, dizziness, and indigestion. She went to ER where BP was elevated. She felt as though she was having a heart attack. She felt better the next day. She was treated with Vioxx and prednisone. She stated her hands were stiff and painful and the pain radiated. They are numb and swell during the day. She had good and bad days. Pt known that she had hot spots and stated she had inflammation in right hand and both ankles. She was prescribed prednisone but the pt would not take it and Zoloft. Celebrex was also prescribed. The most recent info received states condition is ongoing.
Age: 70.0
Sex: F
Vaccine: LYME, LYME
Symptoms: Electrocardiogram normal, Hypoaesthesia, Local swelling, Oedema peripheral, Pain in extremity
Clinical narrative: On 03/01/00, vaccinee received 3rd dose of vax and subsequently experienced sore arm (injection site), painful and swollen hands, numbness at the finger tips and bottoms of feet (mostly right), hot flashes, light headedness, dizziness. She saw MD on 03/10/00 complaining of joint pain which was not attributed to Lymerix. On 03/22/00 she experienced chest pain, back pain, difficulty breathing, weakness, dizziness, and indigestion. She went to ER where BP was elevated. She felt as though she was having a heart attack. She felt better the next day. She was treated with Vioxx and prednisone. She stated her hands were stiff and painful and the pain radiated. They are numb and swell during the day. She had good and bad days. Pt known that she had hot spots and stated she had inflammation in right hand and both ankles. She was prescribed prednisone but the pt would not take it and Zoloft. Celebrex was also prescribed. The most recent info received states condition is ongoing.
Age: 70.0
Sex: F
Vaccine: LYME, LYME
Symptoms: Arthralgia, Asthenia, Back pain, Blood pressure increased, Chest pain
Clinical narrative: On 03/01/00, vaccinee received 3rd dose of vax and subsequently experienced sore arm (injection site), painful and swollen hands, numbness at the finger tips and bottoms of feet (mostly right), hot flashes, light headedness, dizziness. She saw MD on 03/10/00 complaining of joint pain which was not attributed to Lymerix. On 03/22/00 she experienced chest pain, back pain, difficulty breathing, weakness, dizziness, and indigestion. She went to ER where BP was elevated. She felt as though she was having a heart attack. She felt better the next day. She was treated with Vioxx and prednisone. She stated her hands were stiff and painful and the pain radiated. They are numb and swell during the day. She had good and bad days. Pt known that she had hot spots and stated she had inflammation in right hand and both ankles. She was prescribed prednisone but the pt would not take it and Zoloft. Celebrex was also prescribed. The most recent info received states condition is ongoing.
Age: 70.0
Sex: F
Vaccine: LYME, LYME
Symptoms: Dizziness, Dyspepsia, Dyspnoea, Hot flush, Hypoaesthesia
Clinical narrative: On 03/01/00, vaccinee received 3rd dose of vax and subsequently experienced sore arm (injection site), painful and swollen hands, numbness at the finger tips and bottoms of feet (mostly right), hot flashes, light headedness, dizziness. She saw MD on 03/10/00 complaining of joint pain which was not attributed to Lymerix. On 03/22/00 she experienced chest pain, back pain, difficulty breathing, weakness, dizziness, and indigestion. She went to ER where BP was elevated. She felt as though she was having a heart attack. She felt better the next day. She was treated with Vioxx and prednisone. She stated her hands were stiff and painful and the pain radiated. They are numb and swell during the day. She had good and bad days. Pt known that she had hot spots and stated she had inflammation in right hand and both ankles. She was prescribed prednisone but the pt would not take it and Zoloft. Celebrex was also prescribed. The most recent info received states condition is ongoing.
Age: 70.0
Sex: F
Vaccine: LYME, LYME
Symptoms: Inflammation, Injection site pain, Joint stiffness, Oedema peripheral, Pain
Clinical narrative: On 03/01/00, vaccinee received 3rd dose of vax and subsequently experienced sore arm (injection site), painful and swollen hands, numbness at the finger tips and bottoms of feet (mostly right), hot flashes, light headedness, dizziness. She saw MD on 03/10/00 complaining of joint pain which was not attributed to Lymerix. On 03/22/00 she experienced chest pain, back pain, difficulty breathing, weakness, dizziness, and indigestion. She went to ER where BP was elevated. She felt as though she was having a heart attack. She felt better the next day. She was treated with Vioxx and prednisone. She stated her hands were stiff and painful and the pain radiated. They are numb and swell during the day. She had good and bad days. Pt known that she had hot spots and stated she had inflammation in right hand and both ankles. She was prescribed prednisone but the pt would not take it and Zoloft. Celebrex was also prescribed. The most recent info received states condition is ongoing.
Age: 70.0
Sex: F
Vaccine: LYME, LYME
Symptoms: Similar reaction on previous exposure to drug, Vaccine positive rechallenge
Clinical narrative: On 03/01/00, vaccinee received 3rd dose of vax and subsequently experienced sore arm (injection site), painful and swollen hands, numbness at the finger tips and bottoms of feet (mostly right), hot flashes, light headedness, dizziness. She saw MD on 03/10/00 complaining of joint pain which was not attributed to Lymerix. On 03/22/00 she experienced chest pain, back pain, difficulty breathing, weakness, dizziness, and indigestion. She went to ER where BP was elevated. She felt as though she was having a heart attack. She felt better the next day. She was treated with Vioxx and prednisone. She stated her hands were stiff and painful and the pain radiated. They are numb and swell during the day. She had good and bad days. Pt known that she had hot spots and stated she had inflammation in right hand and both ankles. She was prescribed prednisone but the pt would not take it and Zoloft. Celebrex was also prescribed. The most recent info received states condition is ongoing.
Age: 3.0
Sex: M
Vaccine: RAB
Symptoms: Convulsion
Clinical narrative: A three year old boy was vaccinated with Rabipur (rabies vaccine) after a cat bite per post exposure. The first vax was carried out after the cat bite in the middle of June (possible June 12, 2000). Further vax on June 15, June 19, June 26. The boy suffered from focal convulsions on July 2 and 3.  No rabies specific immunoglobulin had been given. The child has not had any convulsions before.   This is considered Medically significant. Causality is pending.
Age: 0.5
Sex: F
Vaccine: DTAP, HBHEPB
Symptoms: Dehydration, Ileus paralytic, Vomiting
Clinical narrative: Same day post vax, the pt developed emesis. She was seen by a physician and dx with dehydration. She was admitted to the hospital and was treated for 2 days due to her persistent vomiting.
Age: 0.6
Sex: F
Vaccine: HBHEPB
Symptoms: Cardiac arrest, Cerebral palsy, Respiratory arrest
Clinical narrative: The child was found by the mother in AM, not breathing and without heart rate. Cause of death stated as complications of cerebral palsy. 07/26/2000 12:00 call to MD nurse who read baby's chart to me. She said she will fax mediccal records to us today. received at 13:00. 07/26/2000 call to coroner's office. Esitmate of what preliminary COD might be "complication of cerebral palsy". Letter of request for final autopsy report sent.
Age: 35.0
Sex: M
Vaccine: TYP
Symptoms: Cellulitis, Injection site erythema, Injection site mass
Clinical narrative: The pt experienced a local reaction to the typhoid vaccine he received on 5/30/00. The pt experienced redness, induration of 5 x 6 cm which became cellulitis. The pt was treated with Keflex. The symptoms became worse and the pt was admitted to the hospital from 6/2/00 through 6/5/00 for IV antibiotic therapy. The pt was discharged on 6/5/00 with a prescription for Cipro.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Pyrexia, Rash, White blood cell count increased
Clinical narrative: Pt developed fever, and pin point red rash over trunk, head, neck, and extremities.
Age: 70.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Erythema, Infection, Oedema peripheral, Pain
Clinical narrative: Post vax, the pt developed joint pain, redness, swelling of toes, ankles, wrists, and fingers. Severe pain in tendons of feet, shins/ankles, palms with swelling. Major exacerbation of pain in right lumber, buttocks, and thigh.
Age: 51.0
Sex: M
Vaccine: LYME
Symptoms: Difficulty in walking, Joint stiffness
Clinical narrative: Joints stiffened up and it was very hard to walk or get around. Seems to be a permanent increase in ability to be mobile. Has consulted physician.
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Injection site pain, Oedema peripheral
Clinical narrative: Post vax, the pt's arm began to swell at shoulder and over the next 12 hours it spread to forearm. He also had localized pain at injection site. Some pain in hand joints.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Swelling
Clinical narrative: Post vax, the pt developed redness and swelling the size of a baseball. I took Benadryl and it went away.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Pain
Clinical narrative: Post vax, the pt developed tenderness in the right arm below elbow while gripping objects or turning right wrist outward. Doctor said problem was with right supination muscular tendons/tendon sheath. Pain got worse until early April when there was difficulty holding objects with arm extended. Treating with Motrin, Naproxen, and physical therapy.
Age: 29.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain
Clinical narrative: Post vax, the pt developed redness, swelling, and pain at the injection site. Due to worsening symptoms, pt came to ER for medical help. Swelling and redness progressed to whole upper arm and passed down to elbow and the injection site appeared to be suggestive of cellulitis. Pt was given Ancef and started on oral antibiotics along with Tylenol and Motrin for temp and/or pain. Pt returned to ER in 24 hours for a recheck. Symptoms had improved when he was seen the 2nd time.
Age: 21.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: Post vax, the pt noted local erythema and swelling. It progressed in size and severity to 12 x 14 cm when pt saw the physician. Pt was treated with Motrin and ice packs.
Sex: M
Vaccine: ANTH
Symptoms: Asthenia, Blood bilirubin increased, Blood thyroid stimulating hormone decreased, Blood uric acid increased, Depersonalisation
Clinical narrative: Post vax, the pt complained of diarrhea, fatigue, malaise, decreased energy and motivation, and lack of desire to do anything.
Sex: M
Vaccine: ANTH
Symptoms: Diarrhoea, Fatigue, Malaise, Red blood cell sedimentation rate increased
Clinical narrative: Post vax, the pt complained of diarrhea, fatigue, malaise, decreased energy and motivation, and lack of desire to do anything.
Age: 56.0
Sex: F
Vaccine: ANTH
Symptoms: Asthenia, Dizziness, Injection site hypersensitivity, Nausea, Pruritus
Clinical narrative: Post vax, the pt developed dizziness, weakness, and nausea immediately after the vax and then the injection site became red and itchy in about 6 hours. Pt also complained of having a low-grade fever and felt like a lump is in her throat. Pt sought medical attention and was treated with Triamcinolone cream and Loratadine.
Age: 56.0
Sex: F
Vaccine: ANTH
Symptoms: Pyrexia
Clinical narrative: Post vax, the pt developed dizziness, weakness, and nausea immediately after the vax and then the injection site became red and itchy in about 6 hours. Pt also complained of having a low-grade fever and felt like a lump is in her throat. Pt sought medical attention and was treated with Triamcinolone cream and Loratadine.
Age: 30.0
Sex: F
Vaccine: ANTH
Symptoms: Erythema, Pruritus, Swelling, Vasodilation procedure
Clinical narrative: A few hours post vax, the pt presented to the ER with swelling, pain, redness, itching, and warmth in the right arm for 2 days after the shot. Swelling of 14 cm in diameter. Treated with cold compression pack and Motrin.
Age: 37.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site oedema, Vasodilation procedure
Clinical narrative: 6 hours post vax, the pt noted the injection site becoming swollen and warm to touch. Three days after the shot, the swelling became worse covering 15 cm in diameter over the left arm and torso with tenderness and warmth to touch. Pt sought medical help and was treated with Motrin.
Age: 50.0
Sex: M
Vaccine: ANTH
Symptoms: Pain, Pain in jaw
Clinical narrative: 6 days post vax, the pt developed soreness in the left thigh and tenderness inside the left jaw. Generalized soreness developed all over the body on the 2nd day post vax. Symptoms are slowly improving. Treated with Motrin.
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site mass, Oedema peripheral, Pain, Pruritus
Clinical narrative: Next day post vax, the pt woke up in the middle of the night with pain and swelling in the left arm. Pt was seen by physician for worsening of his symptoms. Induration was 10 cm in diameter. Pt also complained of having pruritus. Pt was treated with ice compression and Motrin.
Sex: F
Vaccine: LYME
Symptoms: Unevaluable event
Clinical narrative: Pt was given vax transplacentary. No problems during pregnancy. No further information was given.
Age: 52.0
Sex: F
Vaccine: LYME
Symptoms: Chills, Headache, Injection site pain, Myalgia, Tremor
Clinical narrative: Within one hour post vax, the pt experienced shaking, chills, myalgias, headache, and severe injection site pain. The symptoms lasted 3-4 days.
Age: 36.0
Sex: F
Vaccine: LYME
Symptoms: Unevaluable event
Clinical narrative: On 3/24/00, the pt received the first Lymerix vax by mistake. The physician asked for a blood draw to test for Lyme antibody, instead Lymerix was given. At the time of the event, the pt was pregnant approximately 8 months with an estimated delivery date of April 2000.
Sex: M
Vaccine: LYME
Symptoms: Arthralgia
Clinical narrative: Post vax, the pt experienced joint pain.
Age: 18.0
Sex: F
Vaccine: LYME
Symptoms: Arthralgia, Joint effusion, Joint stiffness, Red blood cell sedimentation rate increased
Clinical narrative: 3-4 weeks post vax, the pt experienced arthritic joint pain which started in her ankles and as of 3/28/00 was in all her joints. She also complained of progressive joint stiffness and swelling. She also has felt tired. She presented to the reporting pediatrician on 3/4/00, but upon examination, he did not detect joint swelling, tenderness, warmth, restriction of motion, or overlying erythema. On 3/15/00, the pt consulted a rheumatologist who noted mild left ankle swelling.
Age: 35.0
Sex: M
Vaccine: LYME
Symptoms: Heart rate increased, Tinnitus, Tremor
Clinical narrative: In January 2000, the pt experienced rapid heart beat, shaking, and ringing in his ears. He has experienced these symptoms periodically.
Age: 34.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia
Clinical narrative: Post vax, the pt experienced joint pain in elbows, wrists, and forearms.
Age: 44.0
Sex: M
Vaccine: LYME
Symptoms: Dyspnoea, Nasopharyngitis
Clinical narrative: Approximately two weeks post vax, the pt experienced a cold, shortness of breath, and stated possible walking pneumonia. His symptoms were treated with antibiotics and an asthma inhaler.
Age: 48.0
Sex: F
Vaccine: LYME, LYME, LYME
Symptoms: Erythema, Fatigue, Joint range of motion decreased, Joint swelling, Pain
Clinical narrative: On 5/15/00, the pt received her 3rd dose of Lymerix and sometime thereafter, she experienced joint pains in her hands with swelling and redness "to the point they are almost purple".
Age: 48.0
Sex: F
Vaccine: LYME, LYME, LYME
Symptoms: Skin discolouration
Clinical narrative: On 5/15/00, the pt received her 3rd dose of Lymerix and sometime thereafter, she experienced joint pains in her hands with swelling and redness "to the point they are almost purple".
Age: 48.0
Sex: F
Vaccine: LYME, LYME, LYME
Symptoms: Arthralgia, Erythema, Joint swelling
Clinical narrative: On 5/15/00, the pt received her 3rd dose of Lymerix and sometime thereafter, she experienced joint pains in her hands with swelling and redness "to the point they are almost purple".
Age: 48.0
Sex: F
Vaccine: LYME, LYME, LYME
Symptoms: Arthralgia, Erythema, Fatigue, Headache, Hypoacusis
Clinical narrative: On 5/15/00, the pt received her 3rd dose of Lymerix and sometime thereafter, she experienced joint pains in her hands with swelling and redness "to the point they are almost purple".
Age: 48.0
Sex: F
Vaccine: LYME, LYME, LYME
Symptoms: Hypokinesia, Laboratory test abnormal, Muscle twitching, Neck pain, Pain
Clinical narrative: On 5/15/00, the pt received her 3rd dose of Lymerix and sometime thereafter, she experienced joint pains in her hands with swelling and redness "to the point they are almost purple".
Age: 48.0
Sex: F
Vaccine: LYME, LYME, LYME
Symptoms: Pain in extremity, Pain in jaw, Paraesthesia, Swelling
Clinical narrative: On 5/15/00, the pt received her 3rd dose of Lymerix and sometime thereafter, she experienced joint pains in her hands with swelling and redness "to the point they are almost purple".
Age: 78.0
Sex: F
Vaccine: LYME
Symptoms: Anaemia, Arthritis, Back pain, Difficulty in walking, Pain
Clinical narrative: Approximately 9 months post vax, the pt experienced pain in both knees, lower back, and on the plantar surface of her left foot. The pt added that she has gone to many physicians all of whom have determined that she has a severe condition of arthritis. She was started on Vioxx by a neurologist but it was discontinued due to anemia and suspected but unconfirmed gastrointestinal bleeding. The pt noted the pain is increasing, she is having difficulty walking and she is in bad pain most of the time.
Age: 0.7
Sex: F
Vaccine: PNC, PNC
Symptoms: Musculoskeletal stiffness, Myelitis transverse
Clinical narrative: Post vax, the pt developed stiffening of lower extremities 1-2 weeks before dx of transverse myelitis was made. 60 Day FU states the last letter from the neurologist stated she has almost completely recovered by still has some residual decreased muscle tone.
Age: 0.7
Sex: F
Vaccine: PNC, PNC
Symptoms: Hypokinesia, Myelitis transverse
Clinical narrative: Post vax, the pt developed stiffening of lower extremities 1-2 weeks before dx of transverse myelitis was made. 60 Day FU states the last letter from the neurologist stated she has almost completely recovered by still has some residual decreased muscle tone.
Sex: M
Vaccine: DTAP, PNC
Symptoms: Injection site inflammation, Injection site mass, Pyrexia
Clinical narrative: 36 hours post vax, the pt developed a 10 cm indurated, inflamed area. Mild systemic fever also.
Age: 0.1
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Crying
Clinical narrative: Pt had intense crying all night. High-pitched in nature.