chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Swollen tongue
Clinical narrative: Initial report received by another manufacturer on 12 January 2011 who had received the original report from the patient via the center. This case is not medically confirmed. A 41 year-old female patient had received a dose of DTAP (trade name, manufacturer name, and lot number not reported) on 27 December 2010. The same day at an unspecified amount of time later, the patient's tongue swelled up and she self medicated with BENADRYL which helped to some degree, but she continued with some swelling. No diagnostic studies or laboratory data were performed. The patient was not pregnant at time of vaccination, and she was not using any concomitant medications, nor did she have any pertinent medical history other than drug reactions/allergies to CIPRO and Z-PAK. The patient was reported as recovering. The patient requested that the physician not be contacted. Documents held by sender: None
Age: 1.91
Sex: F
Vaccine: FLU3
Symptoms: Gaze palsy, Posture abnormal, Unresponsive to stimuli
Clinical narrative: Had a 20 sec deviation of the head to the left with eyes rolled up & not responsive. Then she was normal. No fever.
Age: 6.0
Sex: M
Vaccine: FLUN3, HEPA
Symptoms: Aphagia, Gastroenteritis viral, Pyrexia, Vomiting
Clinical narrative: Fever of 99.5, req emergency medical action, vomited six times, and could not eat food next/following day.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Cough, Malaise, Pyrexia, Vomiting
Clinical narrative: Fever off/on, malaise, cough, vomiting.
Age: 0.51
Sex: F
Vaccine: DTAPIPVHIB, FLU3, PNC13, RV5
Symptoms: Pyrexia
Clinical narrative: Fever started within a couple hours after she received immunizations in our office. She also visited family the weekend of 1/15/11 and a few cousins also had fevers.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pain in extremity
Clinical narrative: Pain shot down left arm, throbbed. Pt had a swollen thumb red, possible thorn (cacti). Pt is going to a Dr (orthopedic) to follow up with thumb. Thumb unrelated to vaccine.
Age: 79.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Induration, Oedema peripheral, Skin warm
Clinical narrative: The patient returned to the pharmacy on 1/03/2011 stating that the arm in which she had received the flu vaccine (on 12/31/2010) was red, the area was swollen and felt hard and warm to the touch.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Hypersensitivity, Oedema peripheral, Rash, Reaction to preservatives
Clinical narrative: Allergy to thimersol rash, swelling red, hot arm 2 day after shot.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Skin warm
Clinical narrative: Allergy to thimersol rash, swelling red, hot arm 2 day after shot.
Age: 66.0
Sex: M
Vaccine: FLU3, PPV, TDAP
Symptoms: Erythema, Injection site erythema, Pain
Clinical narrative: Pt noticed soreness and redness the day after he received the vaccinations. The redness extends around the circumference of the deltoid.
Age: 7.0
Sex: F
Vaccine: FLU3
Symptoms: Flushing, Hyperventilation, Pallor
Clinical narrative: Pt was brought back in by teacher approximately 10-15 mins after vaccine was given. Pt was flushed in face, pale and hyperventilating. Pt denied any itchiness. No apparent rash. I sat with pt and had her take deep breaths and do some breathing in a paper bag. Breathing normalized after 5 minutes. Facial flushing continued for about 30 minutes sent to clinic with mom.
Age: 24.0
Sex: M
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Diplegia, Guillain-Barre syndrome
Clinical narrative: Legs paralyzed, BP 194/105. Hospitalized 12-16-10 -1-4-11. Rehabilitation center 1-4-11 - 1-15-11. Diagnosed Guillian-Barre syndrome.
Age: 81.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Abasia, Balance disorder, Bladder dysfunction, Guillain-Barre syndrome, Hypoaesthesia
Clinical narrative: Numbness and paralysis transcending from the foot to the hip area, painful spasms, loss of bowel and bladder function, inability to walk, loss of balance. Went to Emergency room. Spent 26 days total in hospital and rehab facility. Still receiving Home Health Care.
Age: 81.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Intestinal functional disorder, Lumbar puncture, Muscle spasms, Nerve conduction studies, Nuclear magnetic resonance imaging
Clinical narrative: Numbness and paralysis transcending from the foot to the hip area, painful spasms, loss of bowel and bladder function, inability to walk, loss of balance. Went to Emergency room. Spent 26 days total in hospital and rehab facility. Still receiving Home Health Care.
Age: 81.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Ultrasound scan, X-ray
Clinical narrative: Numbness and paralysis transcending from the foot to the hip area, painful spasms, loss of bowel and bladder function, inability to walk, loss of balance. Went to Emergency room. Spent 26 days total in hospital and rehab facility. Still receiving Home Health Care.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Myelitis transverse, Pain in extremity
Clinical narrative: Flu shot 10/1/10 - back pain and leg pain. 10/26/10 - hospitalized with Transverse myelitis/Guillain-Barre like symptoms for 37 days.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Confusional state, Hypotension, Oedema peripheral, Pain, Pyrexia
Clinical narrative: Fever (103 degrees), hypotension, pain, confusion, massive swelling of left arm synchronized with fever.  Did not contact clinic/ER.  Would likely have been admitted if I had.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, PNC13, VARCEL
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site rash, Pruritus, Rash
Clinical narrative: Immunizations given - immediate redness raised area around (KINRIX area) left deltoid - then he began to have flat rash on trunk, head, neck with itchiness. No swelling or respiratory difficulty. He was observed, assessed - Drs. office was called - BENADRYL 25 mg IM was ordered for him. Wt was 38.5#. BENADRYL given @ 11:35 am father was told what to watch for, for further allergic reaction. I called them 3 hours later & mom said he was doing fine.
Age: 81.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site mass, Injection site swelling
Clinical narrative: Redness & swelling with lump at injection site. She went to ER for another issue and they looked at arm & said it was normal.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Hyperhidrosis, Nausea, Pallor, Presyncope
Clinical narrative: HPV #2 vax given. 10" later pt displays pallor & c/o nausea, diaphoresis & feeling like she "may pass out" pt given 6oz water to drink, a sweet cereal snack & a peppermint hard candy. Phys exam was WNL. Pt laid down supine & felt better in 15" & went home.
Age: 31.0
Sex: F
Vaccine: HEPAB, TDAP, TYP, YF
Symptoms: Dizziness, Nausea
Clinical narrative: Dizziness, light headedness, nausea began about 2 min after vaccine administration and patient recovered about 1 hr. 15 min later. Client laid down - elevated feet.
Age: 12.0
Sex: M
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Vaccination site reaction
Clinical narrative: 2 inch area erythema @ site of VARIVAX injection. 1 inch area induration warm to touch. Dx: Local vaccine reaction. Treated with BENADRYL po & ice.
Age: 0.18
Sex: F
Vaccine: DTAPIPVHIB, PNC13
Symptoms: Death, Inappropriate schedule of drug administration
Clinical narrative: NONE
Age: 4.0
Sex: F
Vaccine: DTAP, MMR, PNC13
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site warmth
Clinical narrative: Small red bumps, warm to touch, tender to touch, red streaks toward groin - beginning 12-17-10 A.M. lessened 12/18/10 but red streaks remain. OMNICEF oral suspension 125mg/5mL 1 tsp po BID x 5 days.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Injection site induration, Injection site pruritus, Injection site swelling, Scratch
Clinical narrative: About 8 hours after receiving vaccines, (R) upper arm "started itching real bad". Started scratching it - continued itching for the next 24 hours or so. Pt denied trouble breathing, fever or any other rash. Pt reported this 1/12/11 - on exam mid right deltoid mild swelling (firm) & non-tender to palpation.
Age: 1.01
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC13, VARCEL
Symptoms: Skin depigmentation
Clinical narrative: Dtap and Prevnar 13 given in right thigh lateral to where we find a 2.0 cm x 3.5 cm depigmented area of skin and subcutaneous possible muscular tissue loss. There is no weakness or functional impairment. Child had unexplained decrease in weight gain between 6 and 12 months, gradually growing now. Development normal.
Age: 25.0
Sex: F
Vaccine: HEP, RAB
Symptoms: Dizziness, Headache, Hot flush, Nausea, Pain in extremity
Clinical narrative: reports frontal headache, leg aches, hot flashes w/o fever, nausea, dizziness all improved with rest and gone by the next day
Age: 68.0
Sex: F
Vaccine: TDAP
Symptoms: Ageusia, Asthenia, Decreased appetite, Oropharyngeal pain, Pyrexia
Clinical narrative: Sneezing, sore throat, congestion , mucous & thickness in throat, wheezing, loss of taste & appetite, loss of energy, fever. My usually excellent lung capacity felt diminished worst respiratory experience in memory.
Age: 68.0
Sex: F
Vaccine: TDAP
Symptoms: Respiratory disorder, Respiratory tract congestion, Rhinorrhoea, Sneezing, Wheezing
Clinical narrative: Sneezing, sore throat, congestion , mucous & thickness in throat, wheezing, loss of taste & appetite, loss of energy, fever. My usually excellent lung capacity felt diminished worst respiratory experience in memory.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Redness, tenderness, painful at injection site. KEFLEX 500mg QID x 10 days, BENADRYL, Ibuprofen.
Age: 1.0
Sex: F
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Crying, Diarrhoea, Pallor, Rash generalised, Rash maculo-papular
Clinical narrative: 1/4/11 No fever, rash all over body. Came in to office on 1/5/11 with diarrhea x 1 day, in am of visit cried x 1 hr- unusual/on exam normal except macular/papular rash over most of body, blanches with pressure.
Age: 76.0
Sex: M
Vaccine: VARZOS
Symptoms: Flank pain, Herpes zoster, Muscle spasms, Rash
Clinical narrative: Bilateral flank pain like shingles pain without rash on 12/26. On 12/29 had (R) calf cramps q 50 sec that he's never had & no new activity.
Age: 1.02
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Blister, Rash erythematous, Rash papular
Clinical narrative: Pt started getting a papular red rash with some fluid filled pockets. She came into our office 2 days after this occurred. She has a 6 yr old sister in school & who also has a rash.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Oropharyngeal pain
Clinical narrative: Redness at injection site - soreness at injection site - swelling at injection site - sore throat on same side as injection.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Diarrhoea, Headache, Pyrexia, Vomiting
Clinical narrative: Patient called stated headache, fever, vomiting & diarrhea about 5 hrs after receiving shingles vaccine.
Age: 0.4
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Injection site papule, Injection site rash, Rash papular
Clinical narrative: Fine papular rash appeared on cheeks then spread to trunk, neck, bottom, legs and all of face throughout the week 1/16/11 thru 1/24/2011.  Seen Physician Dr on 1/25/2011 and child was started on Zyrtec and Amoxicillin.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Patient received a ZOSTAVAX vaccine on 1/14/11. She returned to store 1/17/11 requested that pharmacist check arm. It was red, swollen and patient claims it was warm to touch. She said it was extremely sore 1/15/11. Pharmacist recommended ice packs frequently throughout day and have it looked @ by physician.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Loss of consciousness
Clinical narrative: Pass out right after injection approximately 5-7 seconds and recovers by herself.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia
Clinical narrative: Persisting ache in triceps muscle of left arm MD thought may have been given IM but was subcut. as should be.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Hypersensitivity, Injection site inflammation
Clinical narrative: Localized inflammatory reaction at vaccine site on (L) deltoid consistent with localized allergic reaction.
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pain, Pruritus, Pyrexia, Swelling
Clinical narrative: Got the shot on 01-12-2011 - swelling - red - soreness - fevered - welted - itchy.
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Urticaria
Clinical narrative: Got the shot on 01-12-2011 - swelling - red - soreness - fevered - welted - itchy.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Lymphadenitis, Rash macular, Rash pruritic
Clinical narrative: Pt c/o itchy rash, blotchy skin the day following - from fingers to elbow x 2 days. Pt presents today with fist size lymphadenitis in (R) axillary that started after rash. Provider is unsure if this & vaccine are related.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site mass, Injection site swelling
Clinical narrative: Pt had redness & swelling with a bump at the site of inj that is clearing up.
Age: 69.0
Sex: U
Vaccine: FLUX
Symptoms: Arthralgia, Bursitis, Tendonitis
Clinical narrative: My wife & I have been affected in our joints. We have pain & are going for therapy & medication & injections.
Age: 74.0
Sex: U
Vaccine: FLUX
Symptoms: Arthralgia, Bursitis, Tendonitis
Clinical narrative: My wife & I have been affected in our joints. We have pain & are going for therapy & medication & injections.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Loss of consciousness, Pallor
Clinical narrative: Pt passed out in check out area approx. 10 min after adm. of GARDASIL. Pale but conscious. Vitals stable 110/60 P 58, sat up without lightheadedness & stood within few minutes. Pt drank fluids in waiting area, felt better.
Age: 6.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Mother reported red slightly elevated area size of tennis ball. Very itchy to child. After injection mother reported allergic Rx to Neomycin when used topically prior to.
Age: 68.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Injection site erythema, Injection site rash, Myalgia, Nausea
Clinical narrative: Approx. 6-8 hours after receiving TDAP pt. developed fever, chills, nausea. Within 12-24 hours she had redness & rash at site of injection - generalized myalgias.
Age: 68.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: Approx. 6-8 hours after receiving TDAP pt. developed fever, chills, nausea. Within 12-24 hours she had redness & rash at site of injection - generalized myalgias.
Age: 46.0
Sex: F
Vaccine: HEPAB
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: C/o redness & itchy with some bumps under skin near insertion site. 1-17-2011 given KEFLEX 500 mg TID x 7. Pt stopped after 3 doses reaction to med. 1-24-11 - feeling better.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site vesicles
Clinical narrative: Area around shot became hard, red, and very swollen, and very fevered, and blistered at shot site, and was very pain.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site warmth
Clinical narrative: Area around shot became hard, red, and very swollen, and very fevered, and blistered at shot site, and was very pain.
Age: 56.0
Sex: F
Vaccine: HEP, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: SQ Varicella given on back of L arm, on 1-19-11 pt presented back to clinic 1-24-11. Spot of irregular, red raised rash where shot was given. Pt was referred to her PCP for further evaluation.
Age: 1.14
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Blister, Lip blister, Pyrexia, Scab, Varicella post vaccine
Clinical narrative: Fever on 17-19th. Spots on face/chest afternoon of 1/20. Spots all over him Fri, 21st. Blisters on lips noticed Fri am 1/21. On rest of body as well began Saturday early am. Took to urgent care on Saturday 130pm, confirmed as chicken pox. Still has chickenpox, most have scabbed. A few blisters remain.
Age: 80.0
Sex: M
Vaccine: PPV
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: swelling of left arm, with increased pain and swelling the next day
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pain, Muscular weakness, Myositis, Tendonitis
Clinical narrative: Patient developed and continues to experience significant pain at the injection site that began within hours of receiving the flu shot. Condition has been physician diagnosed as an inflamed muscle/tendinitis leading to pronounced muscle weakness in the affected arm.  Patient has received a cortisone shot and has been undergoing physical therapy, but the pain is continuing.
Age: 1.01
Sex: F
Vaccine: DTAPIPVHIB, FLU3, HEPA
Symptoms: Rash morbilliform
Clinical narrative: Received Hep A, PENTACEL & Flu (0.25) at 1 year PE 1/21/11. 24 hours after developed morbilliform rash ? R/T Hep A (noted as LAV (<1%) on insert for Hep A.
Age: 1.51
Sex: M
Vaccine: FLU3
Symptoms: Electroencephalogram normal, Gaze palsy, Staring
Clinical narrative: 12-19-10 Patient noted to have eye rolling and staring episodes approximately 5 hours apart. Admitted to hospital 12-17-10 - discharge 12-20-10. Patient has had subsequent similar behaviors and evaluation continues.
Age: 1.49
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: Swollen leg, red, bumps.
Age: 62.0
Sex: F
Vaccine: FLUX, UNK, FLU3, PPV
Symptoms: Abasia, Chills, Cough, Disorientation, Dysphonia
Clinical narrative: Feeling of achiness in fingers/hands-both, sluggish, tiredness, severe headache, had the chills, feeling hot and cold, voice harsh, runny nose, crankiness, developed a cough, unable to walk, disoriented, frequent urination - hot, redness & soreness of (L) arm, painful arm took ibuprofen.
Age: 62.0
Sex: F
Vaccine: FLUX, UNK, FLU3, PPV
Symptoms: Erythema, Fatigue, Feeling hot, Feeling of body temperature change, Headache
Clinical narrative: Feeling of achiness in fingers/hands-both, sluggish, tiredness, severe headache, had the chills, feeling hot and cold, voice harsh, runny nose, crankiness, developed a cough, unable to walk, disoriented, frequent urination - hot, redness & soreness of (L) arm, painful arm took ibuprofen.
Age: 62.0
Sex: F
Vaccine: FLUX, UNK, FLU3, PPV
Symptoms: Irritability, Pain in extremity, Pollakiuria, Rhinorrhoea, Sluggishness
Clinical narrative: Feeling of achiness in fingers/hands-both, sluggish, tiredness, severe headache, had the chills, feeling hot and cold, voice harsh, runny nose, crankiness, developed a cough, unable to walk, disoriented, frequent urination - hot, redness & soreness of (L) arm, painful arm took ibuprofen.
Age: 62.0
Sex: F
Vaccine: FLUX, UNK, FLU3, PPV
Symptoms: Activities of daily living impaired, Chills, Confusional state, Cough, Dyspnoea
Clinical narrative: Feeling of achiness in fingers/hands-both, sluggish, tiredness, severe headache, had the chills, feeling hot and cold, voice harsh, runny nose, crankiness, developed a cough, unable to walk, disoriented, frequent urination - hot, redness & soreness of (L) arm, painful arm took ibuprofen.
Age: 62.0
Sex: F
Vaccine: FLUX, UNK, FLU3, PPV
Symptoms: Feeling abnormal, Feeling of body temperature change, Headache, Injection site erythema, Irritability
Clinical narrative: Feeling of achiness in fingers/hands-both, sluggish, tiredness, severe headache, had the chills, feeling hot and cold, voice harsh, runny nose, crankiness, developed a cough, unable to walk, disoriented, frequent urination - hot, redness & soreness of (L) arm, painful arm took ibuprofen.
Age: 62.0
Sex: F
Vaccine: FLUX, UNK, FLU3, PPV
Symptoms: Pain, Pyrexia, Rhinorrhoea, Urinary incontinence, Vaccination site pain
Clinical narrative: Feeling of achiness in fingers/hands-both, sluggish, tiredness, severe headache, had the chills, feeling hot and cold, voice harsh, runny nose, crankiness, developed a cough, unable to walk, disoriented, frequent urination - hot, redness & soreness of (L) arm, painful arm took ibuprofen.
Age: 0.48
Sex: M
Vaccine: PNC13
Symptoms: Eczema, Hypersomnia, Pyrexia, Rash pustular, Sleep disorder
Clinical narrative: Infant ran a slight temp. 2 days after vaccine and was sleeping hours longer during his naps then usual.  4 days after vaccine the infant had a small pimply rash and a spot of eczema on his right thigh where he received the vaccine.  5 days after the vaccine he had a rectal temp. of 101.7.  Infant was not sleeping well and was waking frequently at night when he had previously slept 11 hours straight through. The pimply rash continued to spread across his entire thigh and a little onto the lower part of his leg.   The fever ended the next day. 1 month after the vaccine, the infant's pimply rash was gone and was now only dry crusty eczema spots where the pimply bumps had been.  Aquaphor was then applied onto the eczema daily and the eczema started to gradually clear up that week. A band-aid was tested on the infant's other thigh to see if the band-aid was the cause of his reaction.  Mother left the band-aid on for over 24 hours, but no reaction was observed. 2 months after the vaccine the eczema on the infant's thigh is almost completely cleared up.  Infant also has small eczema spot on his thumb, but it was not related to the vaccine. In January of 2011, infant again had a pimply bump rash/eczema, this time 2 days after receiving his 3rd dose of Pentacel (which he had previously had no reaction to).
Age: 0.93
Sex: F
Vaccine: FLU3
Symptoms: Febrile convulsion, Intensive care, Laboratory test, Lumbar puncture, Mechanical ventilation
Clinical narrative: MY DAUGHTER STARTED HAVING A SEIZURE AT APPROXIMATELY 5AM. I CALLED 911 AND AN AMBULANCE TOOK HER TO THE EMERGENCY ROOM. SHE WAS PUT THROUGH NUMEROUS TESTS, INCLUDING A SPINAL TAP. SHE WAS DIAGNOSED WITH HAVING A FEBRILE SEIZURE. SHE HAS SINCE HAD 3 MORE SEIZURES, THE LAST ON JANUARY 6, RESULTING IN HER BEING PLACED IN AN INTENSIVE CARE UNIT, AND ON A VENTILATOR.
Age: 26.0
Sex: M
Vaccine: FLU3, HEPAB, MNQ, TDAP, FLU3, HEPAB, MNQ, TDAP
Symptoms: Pruritus, Urticaria
Clinical narrative: PRURITUS, HIVES
Age: 0.57
Sex: M
Vaccine: DTAPHEPBIP, HIBV, RV5
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: No adverse reaction noted per patient's father. Pediarix given about 13 days apart. So, patient received an addtional dose.
Age: 0.72
Sex: F
Vaccine: FLU3
Symptoms: Convulsion, Epilepsy, Pyrexia
Clinical narrative: had a fever then a seizure
Age: 2.0
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Blood test normal, Chest X-ray normal, Electrocardiogram normal, Febrile convulsion, Gaze palsy
Clinical narrative: Child was seen "shaking with eyes rolling up in head" by parents who then rushed child to Emergency Room. Upon arrival child's temp was 104.5 degrees F, but no other symptoms. Mother states that child was not ill upon awakening, but did continue to have fever for 2 days. Parents were told child had a febrile seizure probably from a virus as blood tests, chest x-ray, and EKG were normal and her temp had risen so high so quickly. No further treatment was given except for antipyrectics. No previous hx of seizures.
Age: 2.0
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Pyrexia, Tremor, Viral infection
Clinical narrative: Child was seen "shaking with eyes rolling up in head" by parents who then rushed child to Emergency Room. Upon arrival child's temp was 104.5 degrees F, but no other symptoms. Mother states that child was not ill upon awakening, but did continue to have fever for 2 days. Parents were told child had a febrile seizure probably from a virus as blood tests, chest x-ray, and EKG were normal and her temp had risen so high so quickly. No further treatment was given except for antipyrectics. No previous hx of seizures.
Age: 8.0
Sex: F
Vaccine: FLU3
Symptoms: Flushing, Lip swelling
Clinical narrative: Few hours after vaccination, flushing on right side of cheek noted by mother, was intermittent (came and went several times). Next day started with swelling of upper lip.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Adverse reaction, Rash, Rash pruritic
Clinical narrative: Per Patient she developed a rash that evening after getting the flu-shot on 1/21. She said the rash is on her face and neck and look like pimples but are not.  She also said the rash itches and that it has not gotten any worse or better.  As of 1/25/11, the rash has not gone away and she cannot get in to see her primary Dr., therefore, she is going to go to urgent care. She called the pharmacy on 1/25/11 at about 9:05 AM to report adverse reaction.
Age: 2.0
Sex: M
Vaccine: FLU3, HEPA, PNC13, VARCEL
Symptoms: Blood test, Chest X-ray, Convulsion, Muscle spasms, Muscle twitching
Clinical narrative: HE WAS MOVING (TWITCHING AND HAVING MUSCLE SPASMS) EVERY 2-3 SECONDS DURING SLEEP.  HAD ONE SHORT SEIZURE AND ALSO DEVELOPED A TEMPORARY (48 HOUR) TIC.
Age: 2.0
Sex: M
Vaccine: FLU3, HEPA, PNC13, VARCEL
Symptoms: Tic, Urine analysis
Clinical narrative: HE WAS MOVING (TWITCHING AND HAVING MUSCLE SPASMS) EVERY 2-3 SECONDS DURING SLEEP.  HAD ONE SHORT SEIZURE AND ALSO DEVELOPED A TEMPORARY (48 HOUR) TIC.
Age: 4.0
Sex: F
Vaccine: FLUX, PNC13
Symptoms: Hyperhidrosis, Skin warm, Vomiting
Clinical narrative: SWEATS, WARM TO THE TOUCH, AND VOMITING
Age: 1.25
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Blood test normal, Body temperature fluctuation, Convulsion, Cyanosis, Echocardiogram normal
Clinical narrative: High temperature.  Initial seizure, stopped breathing and turned blue.  ( approximately a 25 minute episode.  Patient transported and admitted to hospital.  Fluctuation in temperature from 95 degrees to 104.7 degrees during the following 72 hours.  Two more episodes that were suspected to be atypical febrile seizures occurred on two different days.  Last episode that lasted approximately 45 minutes resulted in patient being transferred to peds ICU.
Age: 1.25
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Electrocardiogram normal, Electroencephalogram, Febrile convulsion, Influenza virus test negative, Intensive care
Clinical narrative: High temperature.  Initial seizure, stopped breathing and turned blue.  ( approximately a 25 minute episode.  Patient transported and admitted to hospital.  Fluctuation in temperature from 95 degrees to 104.7 degrees during the following 72 hours.  Two more episodes that were suspected to be atypical febrile seizures occurred on two different days.  Last episode that lasted approximately 45 minutes resulted in patient being transferred to peds ICU.
Age: 1.25
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Lumbar puncture normal, Nuclear magnetic resonance imaging normal, Pyrexia, Respiratory arrest, Staphylococcus test negative
Clinical narrative: High temperature.  Initial seizure, stopped breathing and turned blue.  ( approximately a 25 minute episode.  Patient transported and admitted to hospital.  Fluctuation in temperature from 95 degrees to 104.7 degrees during the following 72 hours.  Two more episodes that were suspected to be atypical febrile seizures occurred on two different days.  Last episode that lasted approximately 45 minutes resulted in patient being transferred to peds ICU.
Age: 1.25
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Streptococcus test negative
Clinical narrative: High temperature.  Initial seizure, stopped breathing and turned blue.  ( approximately a 25 minute episode.  Patient transported and admitted to hospital.  Fluctuation in temperature from 95 degrees to 104.7 degrees during the following 72 hours.  Two more episodes that were suspected to be atypical febrile seizures occurred on two different days.  Last episode that lasted approximately 45 minutes resulted in patient being transferred to peds ICU.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Hypoaesthesia, Hypoaesthesia facial, Hypoaesthesia oral, Malaise
Clinical narrative: numbness pins needles in hands legs, arms numbness in face and lips, very sick and dizzy feeling as I was going to have a stroke lasted several days till weeks.  still have some side affects
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia
Clinical narrative: numbness pins needles in hands legs, arms numbness in face and lips, very sick and dizzy feeling as I was going to have a stroke lasted several days till weeks.  still have some side affects
Age: 1.23
Sex: F
Vaccine: DTAPIPVHIB, FLU3, PNC13
Symptoms: Body temperature increased, Electroencephalogram, Grand mal convulsion, Nuclear magnetic resonance imaging normal, Pupil fixed
Clinical narrative: Tonic seizure began at home. Patient brought to office by parent. Arrived unresponsive with unresponsive pupils. Temp 101.4. Received oxygen in office. Transferred to ER by ambulance. Patient was observed in ER. The following day was brought in for follow up and appeared fine but 2 hours later was brought in again by parents with tonic-clonic seizure which was treated with oxygen and rectal valium. Temp 102. First seizure lasted about 15 minutes. The second seizure lasted 15-20 minutes and resulted in hospital admission.
Age: 1.23
Sex: F
Vaccine: DTAPIPVHIB, FLU3, PNC13
Symptoms: Tonic convulsion, Unresponsive to stimuli
Clinical narrative: Tonic seizure began at home. Patient brought to office by parent. Arrived unresponsive with unresponsive pupils. Temp 101.4. Received oxygen in office. Transferred to ER by ambulance. Patient was observed in ER. The following day was brought in for follow up and appeared fine but 2 hours later was brought in again by parents with tonic-clonic seizure which was treated with oxygen and rectal valium. Temp 102. First seizure lasted about 15 minutes. The second seizure lasted 15-20 minutes and resulted in hospital admission.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Contusion, Erythema, Induration, Nodule, Tenderness
Clinical narrative: Patient noted small of bruising 1/20/11; 1/21/11 - bruising increased with firm hard nodule noted beneath skin - tender to touch; 1/22/11 area increased in size with erythema noted with tenderness - ROM normal.
Age: 86.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site rash
Clinical narrative: Injection given on 1/17/11. Patient called RP on 1/24 said she had developed a rash on 1/23 at the injection site. RP told her to start BENADRYL & call her doctor for documentation.
Age: 21.0
Sex: M
Vaccine: TD
Symptoms: Hypoaesthesia, Injection site anaesthesia
Clinical narrative: BP 132/86 Ct. began to experience numbness approx. 10 minutes in (Lt.) arm after receiving TD vaccination - numbness extended to (Lt.) elbow  - into shoulder area and radiating to (Lt.) side of back - no complaints of breathing difficulty - no throat tightening or rash - referred immediately to M.D.
Age: 1.04
Sex: F
Vaccine: PNC13, VARCEL
Symptoms: Injection site reaction, Skin lesion
Clinical narrative: Local reaction to varicella vaccine 3 raised lesions around injection site.
Age: 65.0
Sex: M
Vaccine: HEPAB
Symptoms: Dental examination, Ear, nose and throat examination, Oral disorder
Clinical narrative: I have a gray/white spider web type anomaly in my mouth. I've been told it's ? skin growth. I suspect cause by HEP A B vaccination. Been evident for apprx 1 year, no treatment although seen at clinic as well as ENT .
Age: 56.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Erythema, Skin warm
Clinical narrative: Red, warm, no fever or chills. Patient given KEFLEX. Advised to report any fever or chills.
Age: 28.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Hypoaesthesia, Pallor, Posture abnormal, Presyncope
Clinical narrative: Pt received Anthrax #1 and Typhoid in separate deltoids. After 2nd injection, patient states started feeling numb and felt himself about to pass out. He then became pale and slouched in chair. Was in this state for about 5-7 seconds until shaken. Woke up feeling ok. Laid patient down, placed cool cloth on forehead, elevated his legs. Pt felt back to normal after about 5 minutes.
Age: 76.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Hypertension, Local swelling, Oedema peripheral, Skin warm
Clinical narrative: (L) arm red, and swollen, hot to the touch swelling in neck, next AM. Went to E.R. as per health dept said. M.D. prescribed doxycycline 100mg x 7 days.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Blood test, Computerised tomogram head, Electroencephalogram, Grand mal convulsion, Lumbar puncture
Clinical narrative: Pt had (L) arm shaking at approx 3 PM on 1/15, then at 9:30 PM (L) arm, (L) leg shaking. Went to ER, and had generalized tonic clonic sz lasting 2 min. Pt was admitted. Now taking TRILEPTAL 120 mg qd.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Nuclear magnetic resonance imaging brain, Tremor
Clinical narrative: Pt had (L) arm shaking at approx 3 PM on 1/15, then at 9:30 PM (L) arm, (L) leg shaking. Went to ER, and had generalized tonic clonic sz lasting 2 min. Pt was admitted. Now taking TRILEPTAL 120 mg qd.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Musculoskeletal pain, Swelling
Clinical narrative: Severe (R) shoulder pain within 12hrs of receiving PNEUMOVAX 23 pt had a large area of redness & swelling.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site nodule, Injection site reaction, Pain in extremity
Clinical narrative: Immed. local injection site reaction "muscle knot" with red colored skin. Skin not warmth to touch with no complaints of pain at injection site, (-) knot pain. The knot decreased in size to almost normal with no red skin color in 15 mins. Pt complained of tingling of fingers that resolved within minutes of injection.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia
Clinical narrative: Immed. local injection site reaction "muscle knot" with red colored skin. Skin not warmth to touch with no complaints of pain at injection site, (-) knot pain. The knot decreased in size to almost normal with no red skin color in 15 mins. Pt complained of tingling of fingers that resolved within minutes of injection.
Age: 56.0
Sex: F
Vaccine: TYP
Symptoms: Colonoscopy abnormal, Diarrhoea, Weight decreased
Clinical narrative: Chronic diarrhea x 2 wks & unintentional wt loss (15lbs in 2 weeks). Pt started a self administered oral typhoid vaccine 2 weeks prior to onset of symptoms.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Site of injection red and warm. Contacted MD. Advised to monitor for increasing redness/fever and to call back.
Age: 1.26
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Eye swelling
Clinical narrative: Pt returned to office after returning home from clinic because the Rt eye swelled shut and pt was rubbing it, no cough or wheeze. Given 5 ml prednisone - mom to cont. BENADRYL q 4-6 hrs & give 1 more dose of prednisolone next day.
Age: 4.0
Sex: U
Vaccine: DTAPIPV, MMRV
Symptoms: Rash maculo-papular
Clinical narrative: Papulomacular rash on trunk and upper extremities on Day 11 after MMR II vaccine.
Age: 9.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: On 24-Jan-2011, pt. was brought into her PCP office for a routine/annual check-up by her mother. It was determined by Dr., that a chicken pox and tetanus/diphtheria booster was needed on this visit. RN performed injections (2) on pt.'s left deltoid. After vaccination, Dr. reentered room to explain the wrong vaccination was given; GARDASIL instead of tetanus/diphtheria. No education or informed consent had been provided to mother prior to vaccination. Medication error due to (per MD) similar generic trade names. "ADACEL" vs. HPV vaccine (GARDASIL).
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Pyrexia
Clinical narrative: Fever of 104.9 F shortly after MMR-V & KINRIX (DTaP-POL) given 1/21/2011 resolved quickly with TYLENOL.
Age: 1.7
Sex: M
Vaccine: DTAPIPVHIB, PNC13
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Right thigh red & swollen occurred about 3 hours after the PENTACEL vaccine was administered to the right thigh.
Age: 76.0
Sex: F
Vaccine: TDAP
Symptoms: Blood test, Cardiac monitoring, Chills, Electrocardiogram, Electrocardiogram ambulatory
Clinical narrative: Slight chills the night before - 1-13-11 feel really hot, sweating, wave of nausea woke up on the floor, fainted one time only.
Age: 76.0
Sex: F
Vaccine: TDAP
Symptoms: Feeling hot, Hyperhidrosis, Nausea, Syncope
Clinical narrative: Slight chills the night before - 1-13-11 feel really hot, sweating, wave of nausea woke up on the floor, fainted one time only.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Pain, Pruritus, Rash, Swelling
Clinical narrative: Pt came to clinic c/o reaction to pneumonia vaccine pt received yesterday. Arm is red from shoulder down to hand, pt c/o itching, swelling and soreness. Pt injection site is clear. Pt has taken BENADRYL twice. Pt given IM 40 mg DEPO-MEDROL/ 4mg DECADRON to rt hip/per vo Dr. Pt tol well. Pt instructed to take BENADRYL every 6 hrs. Pt voiced understanding. Treatment Drugs Used: Diphenhydramine Dose: 25 units: MG Freq: BID Route: PO Dexamethasone Dose: 4 units: MG Freq: ONCE Route: PO.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Urticaria
Clinical narrative: Pt came to clinic c/o reaction to pneumonia vaccine pt received yesterday. Arm is red from shoulder down to hand, pt c/o itching, swelling and soreness. Pt injection site is clear. Pt has taken BENADRYL twice. Pt given IM 40 mg DEPO-MEDROL/ 4mg DECADRON to rt hip/per vo Dr. Pt tol well. Pt instructed to take BENADRYL every 6 hrs. Pt voiced understanding. Treatment Drugs Used: Diphenhydramine Dose: 25 units: MG Freq: BID Route: PO Dexamethasone Dose: 4 units: MG Freq: ONCE Route: PO.
Age: 49.0
Sex: M
Vaccine: PPV, TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: A male patient age 49 received TD vaccine and pneumococcal vaccine on 12/31/09 as routine; no illness at time of vaccination. On 01/01/10, the pt experienced severe pain, redness, swelling and warmth in this right arm at and around the injection site. The pt returned to the clinic on 01/04/10 and was treated with warm-packs and Ibuprofen. Follow-up on 1/19/10: pt resolved with no further complications.
Age: 50.0
Sex: F
Vaccine: TD
Symptoms: Antibody test positive, Injection site erythema, Injection site nodule, Injection site swelling, Local reaction
Clinical narrative: The patient received TD vaccine intradermally in the right arm on 5/1/2010. On 5/2/2010. On 5/2/2010, the patient developed a local reaction of swelling, redness, and a knot at the injection site. Patient visited the doctor on 5/3/2010, and the reaction was still ongoing. Follow up obtained on 06/11/10: patient recovered, titer test showed that patient was protected against diphtheria and tetanus.
Age: 66.0
Sex: F
Vaccine: TD
Symptoms: Abnormal sensation in eye, Arthralgia, Back pain, Chest discomfort, Cyanosis
Clinical narrative: Patient stepped on glass and received TD on 4/30/10. The next day (5/1/10) the injection site was hard and swollen. On 5/3/10, she was zoned out, tired, depressed, wanted to cry, obsessive with thoughts, and couldn't "get connections with her thought form", and couldn't function. On 5/4/10, patient's arms felt "like they had lead on them", her arm twitched, but that symptom has since resolved. She was very fatigued, had a horrible headache, lots of gas, and her stomach was swollen. The gas and swollen stomach symptoms have resolved as of 5/5/10. On 5/4/10, patient called clinic and was told to go to bed, drink lots of fluids, and go to the ER. Patient did not go to ER. On the evening of 5/4/10, the patient called the provider of the vaccine and again was told to go to the ER, and again, she did not. She also called her internist, and they advised her to go to the ER, and suggested she try activated charcoal powder. Patient did not go to ER, but did take some activated charcoal powder on 5/4/10. On 5/5/10, the injection site was warm, with a shooting pain when she touches the injection site. The patient has malaise, her eyes felt like there was too much pressure behind them, although they are feeling better, she feels tightness in her chest, her kidneys hurt, she feels unstable, has muscle spasms in her legs that are not severe, and are from the knee up. Despite this, she claims to be feeling better. Follow up Received 5/26/2010: The patient was contacted to see if her symptoms had resolved. The patient stated that she still has a lot of symptoms, including twitching in her arm, her fingernails went dark around the cuticle; first black, then blue. They are still blue, and the veins in her ankles are dark. The veins in her arms hurt, the nerves hurt, and her arms are very sore. She is having night sweats (she did not have them before receiving TD). Her sleeping patterns have changed, so she is really tired. She has not seen a health care provider for her symptoms, nor has she taken any medications to treat them. Follow up Received 7/7/2010: The patient stated that she was slowly getting better, but she still has some residual issues. She still has some muscle spasms at the site of injection, her kidneys are still hurting, but not every day. She has some back and joint pain, and swelling in her legs and ankles. She had a problem with her stools and a blockage, which has resolved. She is also complaining of very bad problems with her short term memory, which she attributes to the vaccine. The patient is treating her symptoms by taking one level teaspoon of charcoal powder for 5-7 days, waiting for 3-4 days, and then taking it again for 5-7 days.
Age: 66.0
Sex: F
Vaccine: TD
Symptoms: Depression, Dissociation, Emotional disorder, Fatigue, Feeling abnormal
Clinical narrative: Patient stepped on glass and received TD on 4/30/10. The next day (5/1/10) the injection site was hard and swollen. On 5/3/10, she was zoned out, tired, depressed, wanted to cry, obsessive with thoughts, and couldn't "get connections with her thought form", and couldn't function. On 5/4/10, patient's arms felt "like they had lead on them", her arm twitched, but that symptom has since resolved. She was very fatigued, had a horrible headache, lots of gas, and her stomach was swollen. The gas and swollen stomach symptoms have resolved as of 5/5/10. On 5/4/10, patient called clinic and was told to go to bed, drink lots of fluids, and go to the ER. Patient did not go to ER. On the evening of 5/4/10, the patient called the provider of the vaccine and again was told to go to the ER, and again, she did not. She also called her internist, and they advised her to go to the ER, and suggested she try activated charcoal powder. Patient did not go to ER, but did take some activated charcoal powder on 5/4/10. On 5/5/10, the injection site was warm, with a shooting pain when she touches the injection site. The patient has malaise, her eyes felt like there was too much pressure behind them, although they are feeling better, she feels tightness in her chest, her kidneys hurt, she feels unstable, has muscle spasms in her legs that are not severe, and are from the knee up. Despite this, she claims to be feeling better. Follow up Received 5/26/2010: The patient was contacted to see if her symptoms had resolved. The patient stated that she still has a lot of symptoms, including twitching in her arm, her fingernails went dark around the cuticle; first black, then blue. They are still blue, and the veins in her ankles are dark. The veins in her arms hurt, the nerves hurt, and her arms are very sore. She is having night sweats (she did not have them before receiving TD). Her sleeping patterns have changed, so she is really tired. She has not seen a health care provider for her symptoms, nor has she taken any medications to treat them. Follow up Received 7/7/2010: The patient stated that she was slowly getting better, but she still has some residual issues. She still has some muscle spasms at the site of injection, her kidneys are still hurting, but not every day. She has some back and joint pain, and swelling in her legs and ankles. She had a problem with her stools and a blockage, which has resolved. She is also complaining of very bad problems with her short term memory, which she attributes to the vaccine. The patient is treating her symptoms by taking one level teaspoon of charcoal powder for 5-7 days, waiting for 3-4 days, and then taking it again for 5-7 days.
Age: 66.0
Sex: F
Vaccine: TD
Symptoms: Flatulence, Gastric dilatation, Gastrointestinal disorder, Headache, Injection site induration
Clinical narrative: Patient stepped on glass and received TD on 4/30/10. The next day (5/1/10) the injection site was hard and swollen. On 5/3/10, she was zoned out, tired, depressed, wanted to cry, obsessive with thoughts, and couldn't "get connections with her thought form", and couldn't function. On 5/4/10, patient's arms felt "like they had lead on them", her arm twitched, but that symptom has since resolved. She was very fatigued, had a horrible headache, lots of gas, and her stomach was swollen. The gas and swollen stomach symptoms have resolved as of 5/5/10. On 5/4/10, patient called clinic and was told to go to bed, drink lots of fluids, and go to the ER. Patient did not go to ER. On the evening of 5/4/10, the patient called the provider of the vaccine and again was told to go to the ER, and again, she did not. She also called her internist, and they advised her to go to the ER, and suggested she try activated charcoal powder. Patient did not go to ER, but did take some activated charcoal powder on 5/4/10. On 5/5/10, the injection site was warm, with a shooting pain when she touches the injection site. The patient has malaise, her eyes felt like there was too much pressure behind them, although they are feeling better, she feels tightness in her chest, her kidneys hurt, she feels unstable, has muscle spasms in her legs that are not severe, and are from the knee up. Despite this, she claims to be feeling better. Follow up Received 5/26/2010: The patient was contacted to see if her symptoms had resolved. The patient stated that she still has a lot of symptoms, including twitching in her arm, her fingernails went dark around the cuticle; first black, then blue. They are still blue, and the veins in her ankles are dark. The veins in her arms hurt, the nerves hurt, and her arms are very sore. She is having night sweats (she did not have them before receiving TD). Her sleeping patterns have changed, so she is really tired. She has not seen a health care provider for her symptoms, nor has she taken any medications to treat them. Follow up Received 7/7/2010: The patient stated that she was slowly getting better, but she still has some residual issues. She still has some muscle spasms at the site of injection, her kidneys are still hurting, but not every day. She has some back and joint pain, and swelling in her legs and ankles. She had a problem with her stools and a blockage, which has resolved. She is also complaining of very bad problems with her short term memory, which she attributes to the vaccine. The patient is treating her symptoms by taking one level teaspoon of charcoal powder for 5-7 days, waiting for 3-4 days, and then taking it again for 5-7 days.