chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 7.0
Sex: M
Vaccine: HEP, HEPA, IPV, MMR, TD
Symptoms: Erythema, Rash macular
Clinical narrative: Had red, macular rash on upper arm (L) since Td on 9/7/04.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: 24 hours after DTaP developed redness and swelling of left upper arm. No fever. No severe pain. Mostly itching. Mom giving Benadryl.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Skin discolouration, Swelling
Clinical narrative: Reaction swelling and pink discoloration to right thigh. Able to walk without difficulty. Lungs CTA. Heart RRR. Treated with Orapred.
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot
Clinical narrative: Large local reaction right thigh 10x7 area of redness, warm to touch, negative for groin nodes
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Redness, swelling in left arm: no headache, fever, no change in behavior
Age: 8.0
Sex: M
Vaccine: PPV
Symptoms: Pyrexia, Swelling
Clinical narrative: Left arm swollen between elbow and shoulder. Temp 102F 9/1/04 pm, 100F 9/2/04 am. Advised to drink fluids, use Tylenol/or Ibuprofen and Claritan.
Age: 24.0
Sex: M
Vaccine: RAB
Symptoms: Haematoma, Injection site induration, Injection site swelling
Clinical narrative: Pt received rabies vaccine 9/8/04, missed second vaccine on 9/15/04 due to being out of town. Came in on 9/17/04 for second shot and stated his left arm got a hematoma/ per doctor due to blood/ medicine pooling. States area is improving. I felt hardened , slightly raised area, no discoloration. Around size of 50 cent piece. Client had FX left arm and surgery in 1/04. pins/screws placed: states he had xray for hematoma and pins/screws were in place. No other complaints when asked.
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Feeling hot, Injection site swelling, Vaccine positive rechallenge
Clinical narrative: 1st varicella dose 5/10/04 with mild swelling and site (same lot) . Second dose swelling around 6"/hot resolving after 72 hours.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Significant redness, swelling and warmth of entire left thigh. Swelled > 1 inch. Compassed to right thigh. No few or significant systemic symptoms occurred.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Convulsion, Dyskinesia, Pyrexia, Similar reaction on previous exposure to drug
Clinical narrative: Seizure activity within 10 hours of injections. Feverish during first 6 hours (temp not taken) treated with Motrin. Seizure activity continued but improved after 7 days, then 4 days later, it returened (worse) and with facial ticks and neck jerking. Referred to pediatric neurologist
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: Left deltoid red and swollen
Age: 0.36
Sex: M
Vaccine: DTAP, PNC
Symptoms: Pyrexia
Clinical narrative: Mother brought child in for Immunization on 9/15/04. Stated had fever of T102 after Dtap and Prevnar on 8/17/04
Age: 1.08
Sex: U
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Erythema, Rash, Rash macular
Clinical narrative: 08/30/04 13:45 PC from clients parent stating child received immunizations and now has blotching red rash on face progressing to neck and chest. No Tylenol given and temp was not taken. Instructed parent to give Tylenol ASAP and present to PCP and/or ER.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: Cellulitis of right thigh
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site mass, Oedema
Clinical narrative: Child woke up AM of 8/27/04 with upper right arm swollen, hot and hard. Swelling from shoulder to just above elbow. Mom giving Tylenol for relief of pain. No other sx. Advised mom to continue with Tylenol or Ibuprofen for swelling and cold compresses and to call MD if sx worsen or don't get better over next 7 days. 9/8/04 TC: child is fine arm swelling lasted  6 days from onset.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Rash, Rash maculo-papular
Clinical narrative: Child developed flat, red, splotchy rash on arms, legs and face evening of 9/6/04. No fever. No other sx. Mom gave child Benadryl evening of 9/6 and rash seemed to resolve. Rash reoccurred evening of 9/7/ and mom gave another dose of Benadryl. No noticeable rash this AM (9/8). Child had been eating alot of nuts on 9/6 and 9/7. Advised mom to contact MD if rash reoccurs for evaluation of rash and to f/u with allergy testing.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Injection site reaction, Injection site vesicles
Clinical narrative: Child developed fever of 101 F. Left arm from shoulder to elbow became very swollen, red, hot, skin blistered around site of DTaP injection 3 days after vaccination continued to have temp of 102-103 mom in contact with physician and alternating Tylenol and Ibuprofen for fever and swelling. As of 8/11 skin blisters have dried up. Arm is still hard and discolored but today is first day child has not complained about her arm hurting. 8/13 TC arm swelling has resolved. Child doing fine.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Pyrexia, Skin discolouration
Clinical narrative: Child developed fever of 101 F. Left arm from shoulder to elbow became very swollen, red, hot, skin blistered around site of DTaP injection 3 days after vaccination continued to have temp of 102-103 mom in contact with physician and alternating Tylenol and Ibuprofen for fever and swelling. As of 8/11 skin blisters have dried up. Arm is still hard and discolored but today is first day child has not complained about her arm hurting. 8/13 TC arm swelling has resolved. Child doing fine.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Pruritus, Rash
Clinical narrative: 4 year black male with onset of rash x 3 days ago. Pruritic water blisters. Came in 1 stage. School excuse given until lesions heal.
Age: 0.21
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia, Urticaria
Clinical narrative: Given 2 mo immunizations 9/13. Returned 9/15/04 with urticaria. Mom states child had fever 9/13/04 of 102.6 that evening.
Age: 51.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Tenderness
Clinical narrative: Tender deltoid, right side, no significant- (erythema medial tricep), heal or effusion.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Injection site vesicles
Clinical narrative: Pt received Hep A #1 left deltoid. 5cc IM. ON 9/3/04 mom contacted our office on 9/7/04 with c/o swollen, redness, warm to touch, blistered around left deltoid, noticed this on 9/4/04.
Age: 56.0
Sex: F
Vaccine: TD
Symptoms: Asthenia, Chills, Erythema, Fatigue, Injection site mass
Clinical narrative: Received Td 9/7/04, on 9/8/04 fine. 9/9/04 developed severe fatigue and weakness with chills and fever. Right arm with redness and induration.
Age: 56.0
Sex: F
Vaccine: TD
Symptoms: Pyrexia
Clinical narrative: Received Td 9/7/04, on 9/8/04 fine. 9/9/04 developed severe fatigue and weakness with chills and fever. Right arm with redness and induration.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: Cellulitis rxn on arm for DTaP (or IPV)
Age: 19.0
Sex: M
Vaccine: MEN, TD
Symptoms: Feeling hot, Nausea, Pyrexia, Vomiting
Clinical narrative: Client received meningitis vaccine and Td booster (at 5 PM on 8/11/2004). At noon today 8/12/2004 he began to feel nauseated and at 3PM he vomited and stated he felt warm. His temp was 102.9 since vomiting he is feeling better. No recent illness prior to vaccinations. C/o sore arms bilaterally. Mother stated she had not notified her son's physician. Allergic to PCN. 8/13 client is feeling better, afebrile, eating regular diet.
Age: 0.59
Sex: F
Vaccine: DTAPHEPBIP, PNC, UNK
Symptoms: Diarrhoea, Pyrexia, Viral infection
Clinical narrative: 8/26/2004 Mom came to health dept to report that pt developed a temp of 104. 12 hrs after injections. Mom took her to ER where tests were performed. Mom was told symptoms were viral and not due to vaccines. Pt also has had diarrhea. Treated with antipyretic and Pedialyte. 8/27/04 Feeling fine, asymptomatic.
Age: 12.0
Sex: U
Vaccine: HEP, TD
Symptoms: Abdominal pain, Influenza, Injection site pain, Pyrexia
Clinical narrative: 8/26/04 mom called to report temp of 100.2 c/o severe abdominal pain which started around midnight. No N/V. Does have local soreness of injection site. Advised to call family physician as this pain is not associated with either vaccine. 8/27/04 client saw family Dr was told she had flu. Feeling much better today.
Age: 19.0
Sex: F
Vaccine: HEP
Symptoms: Feeling hot, Injection site erythema, Injection site mass, Pain
Clinical narrative: TC on Sat 8/7/04 by mother of client. Administrator on call. c/o reddened area at site of injection right arm and legs achy. TC Follow up 8/9/04 by supervisor-stated took daughter to Hospital for swollen area left arm size of quarter, now size of softball, warm and reddened, ache in legs gone. Told rxn to vaccine component but no Tx given. Cold cloths applied. Referred to PP or back to ER as sounds like symptoms persisting. 8/12 TC follow up- mother states area is a little hard but redness gone and better. Did not see pp as advised. Told to ct. pp regarding future additional doses.
Age: 1.56
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Oedema, Tenderness
Clinical narrative: redness and swelling left ant thigh with tenderness
Age: 0.75
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site mass
Clinical narrative: Mother wanted child checked. Child has small lump under the skin on her left leg. Received IM immunizations 9/10/04. No redness or fever, no pain, moves both extremities equally.
Age: 0.52
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Decreased appetite, Irritability, Pyrexia, Vomiting
Clinical narrative: Pt began to run a fever of 102F 4 to 6 hours after vaccination. Fussy, spitting up more than usual, poor appetite.
Age: 28.0
Sex: F
Vaccine: JEV
Symptoms: Chest discomfort, Flushing
Clinical narrative: c/o feeling flushed and slight chest tightness lasted 20 min, no treatment. BP 122/80-HR 80 respiratory 16 easy lungs clear.
Age: 31.0
Sex: M
Vaccine: ANTH, UNK, YF
Symptoms: Feeling hot, Injection site mass, Injection site reaction, Nasal congestion, Oedema
Clinical narrative: Hardness, swelling, sensitive, and hotter than body temp at source of injection on affected area. Fever and nasal congestion. Reaction to yellow fever site only.
Age: 31.0
Sex: M
Vaccine: ANTH, UNK, YF
Symptoms: Pyrexia, Tenderness
Clinical narrative: Hardness, swelling, sensitive, and hotter than body temp at source of injection on affected area. Fever and nasal congestion. Reaction to yellow fever site only.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Influenza like illness, Injection site abscess, Injection site erythema, Pyrexia, Vaccination complication
Clinical narrative: Large erythematous zone and drainage at vaccination site. Satellite lesions on upper trunk from top of head to waist. Fever and flu like symptoms.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Right arm large, red, swollen. Vaccinated on 8/11/04 and patient presented at office on 9/13/04. Treated with warm compress and tylenol.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site induration, Injection site warmth
Clinical narrative: 4x8 cm indurated, hot area, right deltoid, around injection site
Age: 39.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Chills, Hypoaesthesia, Nausea, Vomiting
Clinical narrative: Pt reported nausea and left arm numbness 1 1/2 hours after injections.  Vomited once approximately eight hours later, and experienced chills at this same time.
Age: 22.0
Sex: M
Vaccine: MMR
Symptoms: Cough, Myalgia, Pyrexia, Viral infection
Clinical narrative: Onset of high fever to 103 degrees, generalized myalgias and nonproductive cough beginning 9/17/04.  Was evaluated on 9/20/04 with dx of viral illness.  Seen in f/u the next day and had more coughing.  Was prescribed Zithromycin.  Later that day, the pt questioned the possibility of this illness being associated with the MMR injection.
Age: 0.36
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Cardiac arrest, Coma, Cyanosis, Hypoxia
Clinical narrative: Patient well at visit; received vaccines. Was fine when leaving office and at home. Was put in for a nap in early afternoon. Found 30 minutes later, was blue and nonresponsive. Received CPR and taken to ER.  Nurse follow up on 09/28/04 states: "No new information." Medical records reviewed state patient COD was cardia arrest.
Age: 0.34
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, Cyanosis, Irritability, Laboratory test abnormal, Pharyngitis
Clinical narrative: Developed fever 101, 3 hours after immunizations with fussiness. Gave Tylenol. Temperature increased to 103. Had 2.5 minute shaking episodes (probable seizures) above with perioral cyanosis. Approximately 4 hours after immunizations and 4.5 hours after immunizations. No further seizures. Temperature went down to 100.6 after Tylenol.  Pt experienced well at 7PM. Medical records state pharyngitis. msv
Age: 0.34
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia, Tremor
Clinical narrative: Developed fever 101, 3 hours after immunizations with fussiness. Gave Tylenol. Temperature increased to 103. Had 2.5 minute shaking episodes (probable seizures) above with perioral cyanosis. Approximately 4 hours after immunizations and 4.5 hours after immunizations. No further seizures. Temperature went down to 100.6 after Tylenol.  Pt experienced well at 7PM. Medical records state pharyngitis. msv
Age: 25.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Erythema, Feeling hot, Pyrexia
Clinical narrative: 3 x 4 mm warm erythematous patch on right deltoid. Temp 99. Affected area grew big in size over days, then symptoms improved. Pt completely recovered now as of 1SEP04.
Age: 36.0
Sex: F
Vaccine: ANTH
Symptoms: Erythema, Injection site pain, Paraesthesia, Pyrexia, Swelling
Clinical narrative: Complained of pain and tingling at site. Tenderness at site , redness and swelling 60.5 mm posterior on the right tricep. No complaints of fever, chills, SOB. Was not there last night, woke up this morning. Was half the size this morning. Temp 100.4. Treated 5x5 with HC 2.5% top and Keflex 250 mg qid x 10 days. Did not take oral MGB. Aviation off run.
Age: 36.0
Sex: F
Vaccine: ANTH
Symptoms: Tenderness
Clinical narrative: Complained of pain and tingling at site. Tenderness at site , redness and swelling 60.5 mm posterior on the right tricep. No complaints of fever, chills, SOB. Was not there last night, woke up this morning. Was half the size this morning. Temp 100.4. Treated 5x5 with HC 2.5% top and Keflex 250 mg qid x 10 days. Did not take oral MGB. Aviation off run.
Age: 41.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Erythema, Tenderness
Clinical narrative: 3 x 5 mm tender erythematous patch on right deltoid.
Age: 24.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Injection site reaction, Rash, Skin ulcer
Clinical narrative: Started getting outbreaks where actual needle was injected in right arm. Has not healed about 6 months ago was first shot. Also starting to get outbreaks on same arm and left arm, back same type of sores. Pt is undergoing skin test (biopsy). Area appears to be a scab.
Age: 38.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Pruritus, Pyrexia, Rash erythematous
Clinical narrative: Upon 7 hours after receiving both smallpox and Anthrax booster one after the other, most of my body became covered in red raised bumps that both itched, and fevered which lasted for approximately seven days. Only a topical ointment was used to relieve the itching.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Swollen  left upper arm, red , swollen, non-tender.
Age: 0.75
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Leg red and swollen at site of injection yesterday evening and early AM fever. Pt given Zyrtec to take.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: DTaP, IPV, MMR given 9/14. 24 hours swollen, erythematous deltoid where immunization given.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site induration
Clinical narrative: Developed 2 inch diameter of erythema with mild induration at injection site. Pt otherwise well. Afebrile. Treated with Clindamycin
Sex: U
Vaccine: SMALL
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Cellulitis surrounding small pox immunization.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Cold sweat, Coma, Irritability, Pallor
Clinical narrative: Mom said baby got shots in the morning. Went home and was fussy. Then turned pale and was clammy. Became unresponsive. mom thought she was dead. Aroused herself spontaneously within a few minutes. Had normal repeat exam in our clinic.
Age: 35.0
Sex: F
Vaccine: SMALL
Symptoms: Laboratory test abnormal, Pruritus, Rash
Clinical narrative: 35 year old female, no significant medical history, developed skin rash on 28JAN04, rash started on right hand, then to left hand, both elbows, both knees and right foot, associated with itching. Pt admitted for observation to rule out possible small pox adverse reaction. Rash biopsy (find Dx) features compatible with / vaccinia innoculation. Treated with Atarax 25 mg po.
Age: 4.0
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Vaccine failure. Mild varicella disease.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Rash, Swelling
Clinical narrative: Client received DTaP, MMR, IPV on 9/15/04. Client's left leg is twice the size of other thigh. It is hot to touch and rash. Mother is giving Children's Motrin, cold compress and put in tub.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Convulsion, Pyrexia
Clinical narrative: Child seen in office at 14:30 on 9/15/04 and had normal exam. Received immunization in box 13. At 19:30 child began running a fever, never above 103. About 5:30 on 9/16/04, child experienced generalized seizure lasting about 5 minutes.
Age: 6.0
Sex: M
Vaccine: DTAP, HEP, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness, swelling at injection site.
Age: 12.0
Sex: F
Vaccine: DT
Symptoms: Injection site pain, Myalgia
Clinical narrative: dT administered 7/19/04. Child had pain at site, continuing through 8/9/04 . Then much more severe left shoulder pain MR/X-ray shoulder normal. No obvious weakness.
Age: 6.0
Sex: M
Vaccine: HEPA, PPV
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Patient was given adult pneumo vaccinine 9/7/04. Mother of child reported he started running high fever with redness and swelling in left deltoid area where Pneumo immunization was given IM.
Age: 4.0
Sex: M
Vaccine: DTAP, HEP, IPV
Symptoms: Erythema, Feeling hot, Tension
Clinical narrative: Severe redness in upper left arm and warm to touch. No induration. Note: when I gave injection to child. Child was very tense and hard to hold while giving injection.
Age: 5.0
Sex: M
Vaccine: DTAP, HBPV, IPV
Symptoms: Erythema, Erythema multiforme, Pyrexia, Urticaria
Clinical narrative: Erythematous confluent, urticarial rash on trunks, extremities:? erythema multiforme. T 99.4-101.3
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Cellulitis, Erythema
Clinical narrative: Redness and blister left deltoid, redness (3-5mm) ferrous blister. Rx'd with Keflex for cellulitis.
Sex: M
Vaccine: IPV, PNC
Symptoms: Erythema, Rash
Clinical narrative: Rash occurring bilateral legs, arms, face, chest, feet and hands. Erythema only. No fever. Benadryl prescribed 1/2 tsp TIO to PRN.
Age: 11.0
Sex: M
Vaccine: HEP, IPV, MMR, TD
Symptoms: Syncope
Clinical narrative: Child fainted 1-2 minutes after injection.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Exposed to pt with C pox during his incubation period. Pt now has 15-20 little red spots in face and arms x 24 hrs; denies fever, rash or other symptoms.
Age: 0.51
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Crying, Screaming
Clinical narrative: Excessive crying
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Pruritus
Clinical narrative: Red ring around injection site 1 week later. Pt c/o itching in area. Tx. Benadryl and Hydrocortisone.
Age: 10.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Feeling hot, Hypokinesia, Injection site mass
Clinical narrative: Received Pneumovax 9/8/04 seen 9/10/04 c/o left arm sore immobile, Temp 101.3 x1d Rx Advil-Tylenol for relief. Dx Cellulitis Rx Augmentin 500mg tabs 1 BID x 10d and Claritin 10mg 1 QD x 10d. Rechecked 9/13/04- afebrile x/d- seen at urgent care 3 days ago- Dc'd Augmentin changed to Omnicef. Put on Prednisone 4cm diameter left deltoid, fading erythematous area with firmness. Warmth at site of injection. Dx resolving cellulitis 2 hours Pneumovax.
Age: 10.0
Sex: F
Vaccine: PPV
Symptoms: Pain, Pyrexia
Clinical narrative: Received Pneumovax 9/8/04 seen 9/10/04 c/o left arm sore immobile, Temp 101.3 x1d Rx Advil-Tylenol for relief. Dx Cellulitis Rx Augmentin 500mg tabs 1 BID x 10d and Claritin 10mg 1 QD x 10d. Rechecked 9/13/04- afebrile x/d- seen at urgent care 3 days ago- Dc'd Augmentin changed to Omnicef. Put on Prednisone 4cm diameter left deltoid, fading erythematous area with firmness. Warmth at site of injection. Dx resolving cellulitis 2 hours Pneumovax.
Age: 1.3
Sex: M
Vaccine: DTAP, HBHEPB
Symptoms: Injection site oedema
Clinical narrative: Left thigh swelling from upper thigh to below knee starting the afternoon shot was given.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Approx 24 hours after vaccine mother states LD became warm to touch, red, slightly swollen. No other effects seen.
Age: 44.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Dyspnoea
Clinical narrative: Pt reported she noted shortness of breath approx 1 1/2 to 2 hours after receiving imm's, went to ER, treat with Benadryl 50mg PO, Ativan IM g PO, Decadron 10mg IM 16:13 to 18:04, B/P 129/92, p-92, r-22, 02Sat97 at 16:34 and 17:32, B/P 116/77, P-90, R-18 02Sat96. To note: Pt reports allergies to Penicillin, Lidocaine, Iodine, shell fish, pain meds.
Age: 31.0
Sex: M
Vaccine: DTAP, HIBV, MMR
Symptoms: Rash maculo-papular
Clinical narrative: Rash, maculo-papular, started on neck then spread from head to trunk, continued.
Sex: M
Vaccine: DTAP, HBHEPB, MMR, PNC, VARCEL
Symptoms: Irritability, Rash maculo-papular
Clinical narrative: Mom noticed rash on child's torso, yesterday and extended to arms, legs, and face today: child cranky. Measles like rash over whole body and face today.
Age: 27.0
Sex: F
Vaccine: TD
Symptoms: Abdominal pain, Anorexia, Chest pain, Dizziness, Hypoaesthesia
Clinical narrative: Severe dizziness, numbness in legs, bad chest pains, contractions in stomach, no appetite, nauseated, muscle spasms, legs locking up, had to have help, intense pain travels all over body (back, feet, legs, hip, lower back, esp. head), couldn't get up and down without help.
Age: 27.0
Sex: F
Vaccine: TD
Symptoms: Hypokinesia, Muscle spasms, Myalgia, Nausea, Pain
Clinical narrative: Severe dizziness, numbness in legs, bad chest pains, contractions in stomach, no appetite, nauseated, muscle spasms, legs locking up, had to have help, intense pain travels all over body (back, feet, legs, hip, lower back, esp. head), couldn't get up and down without help.
Age: 0.14
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Convulsion, Pyrexia
Clinical narrative: Pt had fever at home an 30 seconds of generalized tonic clonic activity about 24 hours after vaccine (a little less).
Age: 0.56
Sex: F
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Injection site reaction, Pyrexia
Clinical narrative: Right thigh local reaction with fever (low grade) non-systemic)
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Injection site pain, Injection site reaction
Clinical narrative: Dtap was given in right deltoid. Two days later pt complaining of arm pain. Right deltoid swollen, warm to touch, and red. Mom gave Tylenol 9/14/04 for fevers.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia
Clinical narrative: Dtap was given in right deltoid. Two days later pt complaining of arm pain. Right deltoid swollen, warm to touch, and red. Mom gave Tylenol 9/14/04 for fevers.
Sex: F
Vaccine: UNK
Symptoms: Urticaria
Clinical narrative: Urticaria, started after 3rd dose of oral Typhoid, No resp distress, on face and neck. Tx- Clarinex. Started oral pill 9/9/04.
Age: 37.0
Sex: M
Vaccine: HEPA, IPV, MMR, TTOX
Symptoms: Convulsion, Gaze palsy, Pallor
Clinical narrative: 09:35 pt fell forward after receiving vaccines pt proceeded to jerk back. Right side stiffened, eyes rolled back, color pale. Pt lowered to stretcher. Event lasted 30 sec. B/P 90/62. Pt had no recollection of the event. Medic called.
Age: 52.0
Sex: F
Vaccine: RAB
Symptoms: Eye oedema, Oedema peripheral, Rash
Clinical narrative: Developed swelling of feet, eyes and rash on legs, 7/28/04. Rabies immunoglobulin 6/25, Rabies vaccine 6/28, 7/2, 7/9, 7/23.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Cardiac disorder, Chest pain, Dehydration, Diarrhoea, Laboratory test abnormal
Clinical narrative: This is a 21- year-old who developed a stomach virus on 16 April 2004. He reports that he had emesis and diarrhea and became dehydrated. He presented for deployment immunizations on 17 April. He was told that since he had been sick the day before he couldn't get his smallpox vaccination, but was given his anthrax vaccination. Prior to getting to receiving the anthrax he reported to the individuals providing immunizations that he has "a pain in the lower chest/upper abdomen area". He described the pain as "gas build up" lasting about 15 minutes that occurred only twice, once at 0300 on 04/17 and 04/18.  He rated it at 2/10. He felt that this was due to the vomiting he had done the day before.  On 18 April he reported for and received his smallpox vaccination at 0900 hrs. He worked his usual work, completed 8-hour shift.  At approximately 1700 he states that it felt like something was stuck in his throat with accompanying chest pain 2/10. His pain progressed over the next one hour to a 7/10 and felt like he was "being squeezed". He denies any shortness of breath. His pain was changed with position or activity. He reported to the Emergency Department at Hospital. He did not see a physician until approximately 2100. He underwent chest xray and laboratory work done. He was told he was being admitted for "deterioration around the heart".  He states that his chest pain was reach its worse point on Monday 04/19/2004 at which time he received morphine and oxygen. He remained in the hospital until 22 April 2004 at which time released without restrictions.  On 26 April 2004, he presented for medical clearance. MD saw him. He states he had his vitals check and auscultation of his heart and lungs done. He was then cleared for full duty and placed on deployment status. He deployed on 04 June 2004. Medical record states myocarditis.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Myocarditis, Throat tightness, Vomiting
Clinical narrative: This is a 21- year-old who developed a stomach virus on 16 April 2004. He reports that he had emesis and diarrhea and became dehydrated. He presented for deployment immunizations on 17 April. He was told that since he had been sick the day before he couldn't get his smallpox vaccination, but was given his anthrax vaccination. Prior to getting to receiving the anthrax he reported to the individuals providing immunizations that he has "a pain in the lower chest/upper abdomen area". He described the pain as "gas build up" lasting about 15 minutes that occurred only twice, once at 0300 on 04/17 and 04/18.  He rated it at 2/10. He felt that this was due to the vomiting he had done the day before.  On 18 April he reported for and received his smallpox vaccination at 0900 hrs. He worked his usual work, completed 8-hour shift.  At approximately 1700 he states that it felt like something was stuck in his throat with accompanying chest pain 2/10. His pain progressed over the next one hour to a 7/10 and felt like he was "being squeezed". He denies any shortness of breath. His pain was changed with position or activity. He reported to the Emergency Department at Hospital. He did not see a physician until approximately 2100. He underwent chest xray and laboratory work done. He was told he was being admitted for "deterioration around the heart".  He states that his chest pain was reach its worse point on Monday 04/19/2004 at which time he received morphine and oxygen. He remained in the hospital until 22 April 2004 at which time released without restrictions.  On 26 April 2004, he presented for medical clearance. MD saw him. He states he had his vitals check and auscultation of his heart and lungs done. He was then cleared for full duty and placed on deployment status. He deployed on 04 June 2004. Medical record states myocarditis.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Injection site induration, Pruritus
Clinical narrative: WITHIN 26 HOURS, PATIENT HAD A PRURITIC 7CM X 9CM ERYTHEMATOUS AREA OF INDURATION (LOCALOIZED REACTION).
Age: 4.0
Sex: F
Vaccine: DTAP, HEP, HEPA, HIBV, IPV, MMR, VARCEL
Symptoms: Abnormal behaviour, Anorexia, Asthenia, Balance disorder, Clumsiness
Clinical narrative: Symptoms started immediately after vaccines. The initial signs and thoughts were that after all vaccines children become fussy,sleepy and irratable. But as each day past her symptoms worsened. She started to cry for no apparent reason, she lost control of her bladder functions, complained of being cold, thirsty, she would fall(her legs became very limp),clumsy,loss of appetite,very lathargic,weakness, leg pains, difficulty walking, have to hold on when walking or climbing stairs,loss of balance, complete personality change(loss of interest in activity) she has reverted back to an infant stage. All these changes progess in about a 3 week time span. At this time she is in physical therapy two days a week. Her symptoms are still the same. Her newest symptoms are being cold all the time and very thirsty. At present she walks with a limp and very slow, she can not run and has not return to her normal activities.
Age: 4.0
Sex: F
Vaccine: DTAP, HEP, HEPA, HIBV, IPV, MMR, VARCEL
Symptoms: Crying, Difficulty in walking, Fall, Feeling cold, Guillain-Barre syndrome
Clinical narrative: Symptoms started immediately after vaccines. The initial signs and thoughts were that after all vaccines children become fussy,sleepy and irratable. But as each day past her symptoms worsened. She started to cry for no apparent reason, she lost control of her bladder functions, complained of being cold, thirsty, she would fall(her legs became very limp),clumsy,loss of appetite,very lathargic,weakness, leg pains, difficulty walking, have to hold on when walking or climbing stairs,loss of balance, complete personality change(loss of interest in activity) she has reverted back to an infant stage. All these changes progess in about a 3 week time span. At this time she is in physical therapy two days a week. Her symptoms are still the same. Her newest symptoms are being cold all the time and very thirsty. At present she walks with a limp and very slow, she can not run and has not return to her normal activities.
Age: 4.0
Sex: F
Vaccine: DTAP, HEP, HEPA, HIBV, IPV, MMR, VARCEL
Symptoms: Hypotonia, Irritability, Lethargy, Pain, Somnolence
Clinical narrative: Symptoms started immediately after vaccines. The initial signs and thoughts were that after all vaccines children become fussy,sleepy and irratable. But as each day past her symptoms worsened. She started to cry for no apparent reason, she lost control of her bladder functions, complained of being cold, thirsty, she would fall(her legs became very limp),clumsy,loss of appetite,very lathargic,weakness, leg pains, difficulty walking, have to hold on when walking or climbing stairs,loss of balance, complete personality change(loss of interest in activity) she has reverted back to an infant stage. All these changes progess in about a 3 week time span. At this time she is in physical therapy two days a week. Her symptoms are still the same. Her newest symptoms are being cold all the time and very thirsty. At present she walks with a limp and very slow, she can not run and has not return to her normal activities.
Age: 4.0
Sex: F
Vaccine: DTAP, HEP, HEPA, HIBV, IPV, MMR, VARCEL
Symptoms: Thirst, Urinary incontinence
Clinical narrative: Symptoms started immediately after vaccines. The initial signs and thoughts were that after all vaccines children become fussy,sleepy and irratable. But as each day past her symptoms worsened. She started to cry for no apparent reason, she lost control of her bladder functions, complained of being cold, thirsty, she would fall(her legs became very limp),clumsy,loss of appetite,very lathargic,weakness, leg pains, difficulty walking, have to hold on when walking or climbing stairs,loss of balance, complete personality change(loss of interest in activity) she has reverted back to an infant stage. All these changes progess in about a 3 week time span. At this time she is in physical therapy two days a week. Her symptoms are still the same. Her newest symptoms are being cold all the time and very thirsty. At present she walks with a limp and very slow, she can not run and has not return to her normal activities.
Age: 0.52
Sex: F
Vaccine: MMR
Symptoms: Herpes zoster, Infection, Malaise, Pain
Clinical narrative: Patient was given the chicken pox vaccination during a routine doctor's visit. All was well, but then she developed shingles this spring and she had never had chicken pox before and how could this happen without her having the chicken pox or being exposed to it? Doctor concluded it must be the vaccine. She was very ill and had a lot of pain but she is okay now. Patients are getting a false sense of security about this chicken pox shot...the whole reason I got it for her was to avoid all this.
Age: 35.0
Sex: F
Vaccine: MMR
Symptoms: Injection site mass, Injection site pain
Clinical narrative: Left arm pain on top of area where MMR was given subcutaneously on 08/13/04.  Egg sized knot felt.  Increased pain with palpation, entire arm aches and entire left side of body aches
Age: 1.02
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Erythema, Irritability, Pyrexia, Rash maculo-papular
Clinical narrative: On the 3rd day following vaccination, the above patient developed an extensive maculopapular rash--erythemetous, non-confluent, distributed around his face, neck, chest, back, groin, extremites, palm and soles--spared mucous membranes. Associated symptoms included "low grade fever" (100.1) and fussiness--though no lethargy. Patient had no symptoms and was taking no medications prior to onset of symptoms. He is receiving no treatment and will resume normal activites (daycare).
Age: 0.51
Sex: M
Vaccine: DTAPHEPBIP, PNC
Symptoms: Contusion, Erythema, Screaming
Clinical narrative: Pt screamed all night following IZ administration.  IZ's were given SQ not IM.  Large red bruise/bumps developed on both arms.
Age: 0.22
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Tremor
Clinical narrative: 2 month old white male who received Pediarix on 9/13/2004, approximately 5 hours later had a 2 hour episode of unconsollable crying and shaking/trembling of legs. no seizure activity noted, given tylenol for treatment.  This is mostly significant in that his sister DOB 4/22/01 had same reaction at age 4 mo. and was not given further pertussis doses but given Pediatric DT.  Mother is concerned that these reactions may be hereditary.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site induration
Clinical narrative: Large erythematous induration on anterior part of left thigh. Instructed patient to use ice compress.
Age: 26.0
Sex: F
Vaccine: VARCEL
Symptoms: Balance disorder, Difficulty in walking, Dizziness, Fall, Labyrinthitis
Clinical narrative: Vaccine received 8/3/04 in the morning. Client described feeling dizzy 24 hours after receiving the vaccine. States equalibrium off, could not walk, was falling. Started vomiting the evening of 8/4/04. Continued to vomit during the day of 8/5/04. Dizziness continued. Father took her to the ER the evening of 8/5/04 and waited 6 hours to be seen.  Seen on 8/6/04 by M.D. and was diagnosed with LABYRINTHITIS and discharge by  D.R.N. with a prescription for Valium and instructions for bed rest.  Had follow up care in one week with primary care physican's office. For 2 days after ER visit was unable to walk due to dizziness and was 2 weeks before the dizziness was totally resolved.
Age: 26.0
Sex: F
Vaccine: VARCEL
Symptoms: Vomiting
Clinical narrative: Vaccine received 8/3/04 in the morning. Client described feeling dizzy 24 hours after receiving the vaccine. States equalibrium off, could not walk, was falling. Started vomiting the evening of 8/4/04. Continued to vomit during the day of 8/5/04. Dizziness continued. Father took her to the ER the evening of 8/5/04 and waited 6 hours to be seen.  Seen on 8/6/04 by M.D. and was diagnosed with LABYRINTHITIS and discharge by  D.R.N. with a prescription for Valium and instructions for bed rest.  Had follow up care in one week with primary care physican's office. For 2 days after ER visit was unable to walk due to dizziness and was 2 weeks before the dizziness was totally resolved.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site reaction, Injection site warmth
Clinical narrative: Acute localized reaction to pneumovax within hours of injection patient experienced pain,redness and swelling, and warmth at the site of injection. 6-8cm diameter raised red flat patch of redness no fluctuation but tender.  No evidence of wheezing,shortness of breath,fever or mouth swelling.  Patient was advised to use ice at the site, ROM as tolerated, Tylenol or Vicoden for pain.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema, Pruritus
Clinical narrative: Itching, redness, and swelling in left arm; 2x3 inches in diameter; warm to touch; No fever
Age: 0.6
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Injection site mass, Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: From initial information received on 01/16/04 from another company (reference # A0416192A) regarding an adverse event occurring in the USA, it was initially reported by a RN that a 6 month old female pt received an INFANRIX, administered in the right thigh; IPOL, administration site not reported; HIB vaccine, manufacturer and administration site unknown; and a dose of PREVNAR, administered in the right thigh on 04/09/03.  That same day the pt experienced an injection site reaction characterized by swelling and pain. On 04/11/03, the pt also began to experience a fever, which was treated with Tylenol for 4 days.  The pt was not hospitalized. On 05/15/03, approximately 1 month after immunization, the pt was seen at the physician's office. Examination of the injection site revealed a small, persistent non-tender nodule. Outcome of the fever was not reported.  The nurse considered that the events were not serious and that they were probably related to vaccination with INFANRIX.  The reporter of this case is the same reporter of case # 2001-00168.
Age: 0.6
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Injection site mass, Injection site pain, Injection site reaction, Injection site swelling, Pyrexia
Clinical narrative: From initial information received on 01/16/04 from another company (reference # A0416192A) regarding an adverse event occurring in the USA, it was initially reported by a RN that a 6 month old female pt received an INFANRIX, administered in the right thigh; IPOL, administration site not reported; HIB vaccine, manufacturer and administration site unknown; and a dose of PREVNAR, administered in the right thigh on 04/09/03.  That same day the pt experienced an injection site reaction characterized by swelling and pain. On 04/11/03, the pt also began to experience a fever, which was treated with Tylenol for 4 days.  The pt was not hospitalized. On 05/15/03, approximately 1 month after immunization, the pt was seen at the physician's office. Examination of the injection site revealed a small, persistent non-tender nodule. Outcome of the fever was not reported.  The nurse considered that the events were not serious and that they were probably related to vaccination with INFANRIX.  The reporter of this case is the same reporter of case # 2001-00168.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling, Pyrexia
Clinical narrative: From initial information received on 01/16/04 from another company (reference # A0438882A) regarding an adverse event occurring in the USA, it was initially reported by a RN that a 2 month old male pt received IPOL;  a first dose of INFANRIX; a dose of PREVNAR, and a dose of HIB vaccine (manufacturer unknown) on 05/08/03.  The lot #'s, routes and sites of administration were not reported. The next day, on 05/09/03, the pt experienced an injection site reaction characterized by redness, swelling and pain at the site of INFANRIX administration. The pt was taken to the ER with a fever greater than 102 degrees F and vomiting. The pt was treated with Motrin. A sepsis work-up including spinal tap, blood work and urine testing was completed and sepsis was ruled-out. The injection site events resolved, however, the outcome of the fever and vomiting was not reported. The reporting nurse did not consider the events to be serious.  The reporter of this case is the same as for case 2004-00172.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Vomiting
Clinical narrative: From initial information received on 01/16/04 from another company (reference # A0438882A) regarding an adverse event occurring in the USA, it was initially reported by a RN that a 2 month old male pt received IPOL;  a first dose of INFANRIX; a dose of PREVNAR, and a dose of HIB vaccine (manufacturer unknown) on 05/08/03.  The lot #'s, routes and sites of administration were not reported. The next day, on 05/09/03, the pt experienced an injection site reaction characterized by redness, swelling and pain at the site of INFANRIX administration. The pt was taken to the ER with a fever greater than 102 degrees F and vomiting. The pt was treated with Motrin. A sepsis work-up including spinal tap, blood work and urine testing was completed and sepsis was ruled-out. The injection site events resolved, however, the outcome of the fever and vomiting was not reported. The reporting nurse did not consider the events to be serious.  The reporter of this case is the same as for case 2004-00172.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia, Vomiting
Clinical narrative: From initial information received on 01/16/04 from another company (reference # A0438882A) regarding an adverse event occurring in the USA, it was initially reported by a RN that a 2 month old male pt received IPOL;  a first dose of INFANRIX; a dose of PREVNAR, and a dose of HIB vaccine (manufacturer unknown) on 05/08/03.  The lot #'s, routes and sites of administration were not reported. The next day, on 05/09/03, the pt experienced an injection site reaction characterized by redness, swelling and pain at the site of INFANRIX administration. The pt was taken to the ER with a fever greater than 102 degrees F and vomiting. The pt was treated with Motrin. A sepsis work-up including spinal tap, blood work and urine testing was completed and sepsis was ruled-out. The injection site events resolved, however, the outcome of the fever and vomiting was not reported. The reporting nurse did not consider the events to be serious.  The reporter of this case is the same as for case 2004-00172.
Age: 22.0
Sex: M
Vaccine: HEPA, IPV, JEV
Symptoms: Fall, Fracture, Syncope vasovagal
Clinical narrative: From initial information received on 07/23/03 from a RN regarding an adverse event occurring in the USA, it was reported that a 22 year old male pt received IPOL, Lot # W0869, administered SC in the right arm, JE-VAX
Age: 20.0
Sex: M
Vaccine: JEV
Symptoms: Headache, Musculoskeletal stiffness, Pyrexia
Clinical narrative: From initial information received on 07/31/03 from a RN nurse, regarding an adverse event occurring in the US, it was reported that a 19 year old male pt received his third dose of JE-VAX, Lot # EJN-210B, given SC in the right deltoid at 11:40AM on 07/22/03.  On 07/25/03, three days later, the pt began having a headache which progressed to a stiff neck and a 100.5 degree fever, the headaches became severe. The pt went to the ER, date not specified, and had a spinal tap and CT taken, both were negative. The pt was treating himself with Tylenol, the events are resolving. The pt has an allergy to PCN.  On 07/15/03, the pt was also vaccinated with his dose of IPOL, Lot # W0869-2, given SC in the left deltoid and second dose of JE-VAX, Lot # EJN-210B, given SC in the left arm. And again on 07/08/03 with his first dose of JE-VAX, Lot # EJN-210B, given SC in the left arm. From additional information received on 12/23/03 from a RN, the pt's full name, address and telephone # were provided. Per the reporter, the information has been reviewed and there is no additional information at this time. No further information is anticipated, this case is considered closed.
Age: 1.52
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema multiforme, Pruritus, Pyrexia, Rash maculo-papular, Serum sickness
Clinical narrative: From initial information received on 29Sep03 from manufacturer, which was reported to them by a physician regarding an adverse event. It was reported that an 18 month old male pt received IPOL, lot number, route and site not reported, and Infanrix (lot number DTPA590A9) administered in the upper left thigh on 13Sep2003.  This report was received from a physician and described the occurrence of erythema multiforme in an 18 month old male pt who received diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed (Infanrix) for prophylaxis. The pt had no known allergies, no concurrent medications, and no adverse experiences following receipt of the first three doses of diphtheria and tetanus toxoids and enhanced pertussis vaccine (Daptacel). The pt was described by the physician as otherwise healthy. The pt received Infanrix on 13Sep03 for the fourth dose in the immunization series. On 17Sep03, four days post immunization, the pt developed a fever of less than 100 degrees, an itchy maculopapular rash that was confluent on the thigh where Infanrix had been administered, and a lot of other urticarial, target-like lesions on the whole  body. The target-like lesions ranged in size from greater than 3mm to 1.5 inches in diameter. The pt was seen by the physician, who made a diagnosis of typical erythema multiforme. She also stated that his whole set of symptoms were like a serum-sickness type reaction. The physician prescribed diphenhydramine, which helps with the itchy rash. The pt continued to have a fever and to get new lesions as of 18Sep03. The recovery status of the pt is UNK. (OMIC)