chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Abnormal behaviour, Autism, Cognitive disorder, Pyrexia
Clinical narrative: Information has been received from a consumer, who is a registered nurse, concerning her son, 4 years old at the time of the report, who in July 1999, was vaccinated with a dose of MMR II (lot not given). After the vaccination, in July 1999, the pt developed a fever that resolved within a day. "Sometime later the child stopped talking and became detached." At the age of 22 months the child was diagnosed, by a doctor of philosophy, with "PPD with moderate autism." Unspecified medical attention was sought. Upon internal review, autism was determined to be an other important medical event. Additional info has been requested. Follow up info received from the pt's mother indicated that the pt "had early speech developed prior to 12 mo then later slowly slipped into his own world with complete loss of speech. He had early intervention and is developing normally now with few speech problems. Hearing test were normal. This symptom occurred slowly over time after the MMR vaccine was given to him." Follow up info received from a physician indicated that the pt had no allergies, no past medical history and there was no illness at the time of vaccination. The physicians also indicated that there were no adverse events. Upon internal review, autism was determined to be an other important medical event (OMIC). Additional info is not expected.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Confusional state, Encephalitis, Gait disturbance, Hypoaesthesia, Injection site pain
Clinical narrative: A consumer reported that his 40 year old wife, who is a nurse, received Flu Shield (2000-2001 formula) (influenza virus vaccine, trivalent, types A & B) on 11 NOV 2000. Subsequent to immunization, she experienced injection site pain for about a week and then progressive neurological problems. She developed numbness and tingling, mostly in the right arm and leg, followed by confusion and stumbling. The husband reported that in JAN 2001, a neurologist said it could be from the vaccination but tried to rule out other things. At that time in JAN 2001, she had meningitis. The patient has improved, but not as quickly as expected by her physician. The husband states that his wife has been diagnosed with post-vaccinal encephalomyelitis. Twenty-one months post-immunization she finally felt better for about a week. However, as she increased her activity, the symptoms came back. This case was considered serious since post-vaccinal encephalomyelitis meningitis and neurological problems were considered medically important in this case.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Meningitis, Nervous system disorder, Paraesthesia
Clinical narrative: A consumer reported that his 40 year old wife, who is a nurse, received Flu Shield (2000-2001 formula) (influenza virus vaccine, trivalent, types A & B) on 11 NOV 2000. Subsequent to immunization, she experienced injection site pain for about a week and then progressive neurological problems. She developed numbness and tingling, mostly in the right arm and leg, followed by confusion and stumbling. The husband reported that in JAN 2001, a neurologist said it could be from the vaccination but tried to rule out other things. At that time in JAN 2001, she had meningitis. The patient has improved, but not as quickly as expected by her physician. The husband states that his wife has been diagnosed with post-vaccinal encephalomyelitis. Twenty-one months post-immunization she finally felt better for about a week. However, as she increased her activity, the symptoms came back. This case was considered serious since post-vaccinal encephalomyelitis meningitis and neurological problems were considered medically important in this case.
Age: 1.0
Sex: F
Vaccine: HEP, HIBV, IPV, MMR, VARCEL
Symptoms: Abdominal pain, Dehydration, Diarrhoea, Gastroenteritis, Otitis media
Clinical narrative: Vomiting, episodic abdominal pain/cramps, no fever, mild diarrhea, hives. Patient was hospitalized 2-3 days later at hospital under MD care. Diagnosed with gastroenteritis, dehydration and OM. 60DAY FOLLOW UP STATES PT HAS RECOVERED.
Age: 1.0
Sex: F
Vaccine: HEP, HIBV, IPV, MMR, VARCEL
Symptoms: Urticaria, Vomiting
Clinical narrative: Vomiting, episodic abdominal pain/cramps, no fever, mild diarrhea, hives. Patient was hospitalized 2-3 days later at hospital under MD care. Diagnosed with gastroenteritis, dehydration and OM. 60DAY FOLLOW UP STATES PT HAS RECOVERED.
Age: 55.0
Sex: M
Vaccine: SMALL
Symptoms: Lymphadenopathy, Pyrexia
Clinical narrative: Fever, Chills with local lymphodenopathy (marked) resolved 07/18/02
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site induration, Injection site oedema, Injection site vesicles, Lymphadenopathy, Pyrexia
Clinical narrative: 8-9 days after smallpox vaccine, developed intense local induration axillary adenopathy and a few pruritic spots on body & vesicles @ site of vaccine. Low grade fever to 99.8 on day 11.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Rash pruritic
Clinical narrative: 8-9 days after smallpox vaccine, developed intense local induration axillary adenopathy and a few pruritic spots on body & vesicles @ site of vaccine. Low grade fever to 99.8 on day 11.
Age: 0.34
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying
Clinical narrative: 3 hours of uncontrollable screaming/crying  without any obvious source. No fever.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, PNC, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Irritability
Clinical narrative: Redness and swelling @ inj. site-> DTaP (right thigh), warm to touch, fussy, redness size- 5"  X 3". Taking Tylenol, to give Motrin every 6-8 hours and use warm compresses.
Age: 62.0
Sex: M
Vaccine: FLUX
Symptoms: Injection site pain
Clinical narrative: Left arm hurts, at the spot of the shot when arm is used a certain way. Since shot was given this has been a problem. Went to doctor's on 08/12/02. He did not know what problem was. He prescribed medication. Go back on 09/02/02
Age: 1.08
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Otitis media, Pyrexia, Rash macular, Rash pustular
Clinical narrative: 08/01/02- Fever 101-102 degree F past two days -BOM, 08/03/02-rash all over the body, 08/09/02-Fever 101-102 for past 2days-rash all over body-several reds pustules on face, arms, legs, rash-macular
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Area left arm started getting red  and swollen four hours post shots, later that evening child c/o pain, Wed am 08/07/2002 red and swollen, on Thurs.  08/08/02 Arm was swollen with a blue cast color and hard. Mom called HD 08/08/02. Referred to pediatrician. Taken to clinic. 08/08/02, Dx as cellulitis, Placed on antibiotics, (Cephderm?)250 mg, Benadryl and Motrin, Arm warm to the touch. 08/09/02-Doing better states mom.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Skin discolouration
Clinical narrative: Area left arm started getting red  and swollen four hours post shots, later that evening child c/o pain, Wed am 08/07/2002 red and swollen, on Thurs.  08/08/02 Arm was swollen with a blue cast color and hard. Mom called HD 08/08/02. Referred to pediatrician. Taken to clinic. 08/08/02, Dx as cellulitis, Placed on antibiotics, (Cephderm?)250 mg, Benadryl and Motrin, Arm warm to the touch. 08/09/02-Doing better states mom.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Contusion, Injection site erythema
Clinical narrative: 8 X 6.5 cm area of erythema & bruising at site of injection (R upper arm).
Age: 32.0
Sex: F
Vaccine: HEP
Symptoms: Rash, Rash pruritic
Clinical narrative: 081902 come to get # 2 Hep B Ad reports she broke out in rash that was around her waist 3-4 days after vaccine. Looked like blisters, but did not drain c/o itching-no pain. Rash did not clear up until Aug. 2nd/3rd. Denied headaches, nausea,synapse, chest pain, or sob. No new skin products, no change in soaps. Told pt to check with PMD before continuing services.
Age: 15.0
Sex: F
Vaccine: TD
Symptoms: Back pain, Neck pain, Pain
Clinical narrative: Received Td on 8/05/2002- Developed severe l arm pain 4 days after vaccine which spread to r arm, up neck, down back, and down leg- seen on 8/14/2002 with NL exam, persist symptoms, and NL CBC, CPK, ESR--no Tx
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Syncope
Clinical narrative: After injection, patient begin to feel faint, fell out of chair onto floor. Pt never loss consciousness Assist child onto exam table, placed on  (?) Position Monitors vitals B/P 85/60-  Remains stable, O2-stable-98% Pt was talking and coherent. Observed for  45 minutes.(?)  Tylenol 325 (?). Pt left clinic with mother.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Rash, Restlessness, Sneezing
Clinical narrative: Approx. 45 min to 1 hr after receiving imm. began sneezing uncontrollably with rash to face and restlessness "like all the energy drained out of him". No fever, no respiratory difficulty. Tx with Benadryl, and observation. Symptoms persisted x 24 hrs
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Injection site reaction, Rash erythematous, Urticaria
Clinical narrative: MMR admin to RUE, within X 3 min, 2-3 small reddened, raised bumps appeared @ site of vaccine. Redness cont. to spread with more whelps appearing in approx. 2 minutes. PCP notified and pt taken to PCP by parents. Pt alert, MD say anaphylactic reaction.
Age: 1.87
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Mom called 8/08/2002 at 10:00am. Said child had awakened with whelps on lower legs this am and she called Dr. and he ordered Benadryl cream on phone.
Age: 12.0
Sex: F
Vaccine: HEP, TTOX
Symptoms: Injection site oedema, Skin discolouration
Clinical narrative: Mother c/o extreme "swelling of arm" and" arm black"," turned black"
Age: 58.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Flushing, Injection site erythema, Myalgia, Pyrexia
Clinical narrative: Fever, chills, myalsias, facial flushing,redness and tenderness at arm. Treated with rest, Vicodin, and Benadryl.
Age: 58.0
Sex: F
Vaccine: PPV
Symptoms: Tenderness
Clinical narrative: Fever, chills, myalsias, facial flushing,redness and tenderness at arm. Treated with rest, Vicodin, and Benadryl.
Age: 4.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Right arm swelling and redness, shoulder to elbow, Started 2 days after injections. Swelling equal to 2X original size of right arm. (?)
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site oedema, Pruritus
Clinical narrative: Had shots Mon. pm- mom noticed his arm was swollen this pm- child said arm itched this am. No fever at hospital today.
Age: 32.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Diarrhoea, Rash
Clinical narrative: Took oral Typhoid x 2 on 8/12-14. Developed rashes on both cheeks. On 8/15/2002 noticed more rashes on neck. On 08/16 she was advised to take Benadryl and hold off the 3rd and 4th Typhoid oral vaccine. On 8/20/2002 pt took the 3rd Typhoid. 8/21/2002 diarrhea x 9. Advised stop #4 vaccine. Take Imodium AD and fl.up with M.D.
Age: 1.3
Sex: F
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Decreased appetite, Dermatitis bullous, Pyrexia, Rash
Clinical narrative: Fever started 08/21/, Came to doctor 08/22/02 Temperature 104.6 am, was 98.2 @ in office , rash, decreased appetite, chicken pox seconadary to varicella vaccine
Age: 62.0
Sex: F
Vaccine: HEPAB, IPV, TD, TYP
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Vaccine Td and Twinrix administered to left deltoid 8/16/2002. Pt returned 8/19/2002 with redness, warmth, and swelling measuring 3in x 6in distal to IM site.
Age: 1.4
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Pt had varivax at 12 months, on 04/23/2002. On 08/14/2002, pt came to office with dew drop rash, crusted on extremities. Diagnosed with chicken pox, Varivax failure.
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Back pain, Joint range of motion decreased, Musculoskeletal stiffness, Neck pain
Clinical narrative: An 11 year old white female with parents complaining of back and neck pain "spasm" while sitting on her knees giving mother a "manicure". Gave children's Motrin 3 tsp at 15:45 but continued to have left neck pain. Pt and parents deny injury, fall, chest pain, abdominal pain or SOB. No history of similar symptoms. Pt had Hep-B vaccine 2 days earlier. No fever or headache. She is crying in pain but cooperative and pleasant. Neck is tender to palpation at left anterior neck, decreased ROM of neck secondary to pain. DX: neck stiffness/possible side effect of Hep-B vaccine. Gave 2.5mg of Valium X 1 and 20 minutes later gave 2.5mg Valium X 1. Treated with Motrin 400mg q 6 hr and return if worse. Referred to PCP in the morning.
Age: 14.0
Sex: F
Vaccine: HEP, HEPA, TD
Symptoms: Hypotension, Hypothermia, Loss of consciousness, Rash
Clinical narrative: Pt had fainting episode after IM vaccine of TD, HBV and HAV. Temperature was 97.5, BP-102/59; R-73 and rash to LVT. Event lasting 1-2 seconds after IM shot. Pt observed for 30 minutes. Now alert and vital signs are normal.
Age: 12.0
Sex: F
Vaccine: TD
Symptoms: Dizziness, Injection site reaction, Irritability, Pain, Pyrexia
Clinical narrative: Had TD given on 8/19/02. Came in on 8/10/02 complaining of pain in left hand, fussy, dizziness and fever. Questionable reaction to TD. Dx reaction to TD; R/O cellulitis. Put on Amoxil.
Age: 15.0
Sex: M
Vaccine: TD
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Pain
Clinical narrative: Seen by MD on 8/15/02 with generalized achy left arm with large amount of swelling, redness with soreness X 2 days. Had TD on 8/13/02. Dx'd with cellulitis on 8/15/02. Treated with Keflex.
Age: 13.0
Sex: M
Vaccine: HEP, TD
Symptoms: Headache, Pain, Pyrexia, Viral infection
Clinical narrative: Came in on 8/16/02 complaining of headache, fever of 103F and aching left arm sore. Had TD on 8/15/02. Seen in office with questionable virus or reaction to TD. No swelling or redness. Viral infection R/O reaction to TD.
Age: 1.08
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Varicella-like rash on trunk, scalp and extremities about 8 days after Varivax and MMR vaccines.
Age: 55.0
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Carbon dioxide decreased, Diarrhoea, Fatigue
Clinical narrative: Acute onset of nausea, fatigue, myalgias, diarrhea and elevated liver function tests within 48 hours of receiving vaccine. Still in recovery.
Age: 55.0
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Liver function test abnormal, Monocytosis, Myalgia, Nausea
Clinical narrative: Acute onset of nausea, fatigue, myalgias, diarrhea and elevated liver function tests within 48 hours of receiving vaccine. Still in recovery.
Age: 55.0
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Fatigue, Hepatitis, Liver function test abnormal
Clinical narrative: Acute onset of nausea, fatigue, myalgias, diarrhea and elevated liver function tests within 48 hours of receiving vaccine. Still in recovery.
Age: 55.0
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Malaise, Nausea, Viral infection
Clinical narrative: Acute onset of nausea, fatigue, myalgias, diarrhea and elevated liver function tests within 48 hours of receiving vaccine. Still in recovery.
Age: 39.0
Sex: M
Vaccine: LYME
Symptoms: Influenza like illness, Nausea, Pain, Pyrexia
Clinical narrative: Flu-like symptoms, fever, chills, nausea and aches.
Age: 39.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Arthritis, Back pain, Carpal tunnel syndrome, Hypoaesthesia
Clinical narrative: In 8/00, I received the 1st dose of Lymerix. Within 1 or 2 days, I was home in bed with nausea, fever, chills, aches and pains. They went away after a day or two. I thought it was a coincidence. In 9/00, I received a 2nd shot; did not experience any of the above (as I recall). In 11/00, my lower back pain had gotten bad enough that I was in the ER. The pain was so bad I could barely move. They felt it was a muscle strain and gave me some pain killers and told me to follow-up with my family doctor. She felt it was a strain and prescribed pain pills and either an anti-inflammatory or a muscle relaxer. In 5/01, my lower back pain has never gone away. On follow-up with my doctor, she ordered an MRI that showed some arthritis in my lower back. In 6/01, I was having a problem with my hands hurting a bit and going numb and returned to my family doctor. I had just returned from a week long fly fishing trip and she felt that the problem could be a bit of a Carpal Tunnel Syndrome. At the same time, she did some blood work that showed a problem with a liver function test. I believe she felt that the problem could be related to the Doxycycline I had been taking for many months as prescribed by a Dermatologist for rosacea. To be safe, she checked for Hepatitis which was also negative. The liver numbers have been checked quarterly and I believe are normal at this time. Spring, 2002, I started to experience a great deal of pain in my neck. It was difficult to sleep sometimes and hard to turn my head while driving. I could even hear the bones or cartilage cracking when I moved my head. I've been seeing an Orthopedic doctor for a badly sprained ankle since September. On a follow-up with him, I asked him about my neck. He felt it was a bit of arthritis and essentially said that until the pain starts to move down my arm, there was not a lot to be done. 8/02, I wasn't sure whether if I was due for another booster shot or not. I was due for another blood test to monitor the situation with my liver, so I looked on the internet regarding Lymerix to see how many boosters were required. That's when I saw the drug was off the market and there were potentially many problems associated with this vaccine. I went for my blood tests and met with the NP and told her of my concerns. She was not aware of any problems with Lymerix. She ordered additional blood work and a back X-ray. I dropped off some general information about what was going on. My regular doctor called me back, seemed grateful for the information, I dropped off and not only referred me to a rheumatologist, but called him to discuss my situation. I'm to see him in early September. Ongoing: I can't say when it started, but my shoulders, knees and hips seem to ache a lot more lately (at least the last year).
Age: 39.0
Sex: M
Vaccine: LYME
Symptoms: Hypokinesia, Liver function test abnormal, Neck pain, Pain, Sleep disorder
Clinical narrative: In 8/00, I received the 1st dose of Lymerix. Within 1 or 2 days, I was home in bed with nausea, fever, chills, aches and pains. They went away after a day or two. I thought it was a coincidence. In 9/00, I received a 2nd shot; did not experience any of the above (as I recall). In 11/00, my lower back pain had gotten bad enough that I was in the ER. The pain was so bad I could barely move. They felt it was a muscle strain and gave me some pain killers and told me to follow-up with my family doctor. She felt it was a strain and prescribed pain pills and either an anti-inflammatory or a muscle relaxer. In 5/01, my lower back pain has never gone away. On follow-up with my doctor, she ordered an MRI that showed some arthritis in my lower back. In 6/01, I was having a problem with my hands hurting a bit and going numb and returned to my family doctor. I had just returned from a week long fly fishing trip and she felt that the problem could be a bit of a Carpal Tunnel Syndrome. At the same time, she did some blood work that showed a problem with a liver function test. I believe she felt that the problem could be related to the Doxycycline I had been taking for many months as prescribed by a Dermatologist for rosacea. To be safe, she checked for Hepatitis which was also negative. The liver numbers have been checked quarterly and I believe are normal at this time. Spring, 2002, I started to experience a great deal of pain in my neck. It was difficult to sleep sometimes and hard to turn my head while driving. I could even hear the bones or cartilage cracking when I moved my head. I've been seeing an Orthopedic doctor for a badly sprained ankle since September. On a follow-up with him, I asked him about my neck. He felt it was a bit of arthritis and essentially said that until the pain starts to move down my arm, there was not a lot to be done. 8/02, I wasn't sure whether if I was due for another booster shot or not. I was due for another blood test to monitor the situation with my liver, so I looked on the internet regarding Lymerix to see how many boosters were required. That's when I saw the drug was off the market and there were potentially many problems associated with this vaccine. I went for my blood tests and met with the NP and told her of my concerns. She was not aware of any problems with Lymerix. She ordered additional blood work and a back X-ray. I dropped off some general information about what was going on. My regular doctor called me back, seemed grateful for the information, I dropped off and not only referred me to a rheumatologist, but called him to discuss my situation. I'm to see him in early September. Ongoing: I can't say when it started, but my shoulders, knees and hips seem to ache a lot more lately (at least the last year).
Sex: F
Vaccine: FLU3
Symptoms: Injection site reaction, Unevaluable event
Clinical narrative: A female consumer reported that she received influenza virus vaccine, trivalent, types a & b (1998-1999 formula). The pt's concurrent illnesses include hypersensitivity and eczema with a past history of asthma and bronchitis. Following the immunization, she developed a "worse than normal skin reaction" all over her body. The reporter noted that at the time of the event, she attributed these symptoms to the winter weather and dry skin. The consumer reported 2 similar occurrences following previous immunizations with a flu vaccine. See HQ8356213NOV2001 and HQ9120205DEC2001. No additional information was available as of the date of this report.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: A nurse reported that a 55 year old female received an injection of Flu Shield (1998-1999 Formula). Subsequently, she developed an injection site reaction characterized by redness, soreness and warmth which extended to her elbow. The symptoms resolved in 5 days. This pt developed an injections site reaction following receipt of Flu Shield (1999-2000 Formula) and Flu Shield (2000-2001 Formula). See HQ8940328NOV2001 and HQ9179606DEC2001.
Age: 1.6
Sex: F
Vaccine: DTAP, HEP, IPV
Symptoms: Erythema, Injection site mass, Rash
Clinical narrative: 8/10/02-Hard red lump formed, mom treated with cool compresses, with no relief noted... 8/11-15/02 area increasing in size with black area in center surrounded by a red ring.  mom gave tylenol allergy med. 08/20/02 mom states a rash moving down arm to wrist...applied hct cream with some relief. will take child to her pmd.
Age: 3.0
Sex: M
Vaccine: HEPA
Symptoms: Anorexia, Epistaxis, Lethargy, Pyrexia, Vomiting
Clinical narrative: Pt received his his first Hepatitis A vaccination on Monday, August 19th at 10:00 AM.  On August 22nd at 6:00 PM he was lethargic, did not want to eat dinner or drink anything and fell asleep.  He awoke at 9:30 PM and had a high fever of 102.5, was lethargic, vomited 4 times and had a bloody nose.  Gave him Motrin at 10:00 PM and he vomited again.  His fever went down to 101.2 at 12:00 AM and then to 98.3 at 2:00 AM.  The next morning he was fine.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Anaemia, Convulsion, Encephalitis, Hepatomegaly, Hypertension
Clinical narrative: ENCEPHALITIS STATUS EPILEPTICUI 60 Day follow up states seizures, death. On October 25,2002, pt died as a result of complications of his seizures Discharge Summary received on 9/23/2002 states viral infection, Hepatomegaly, anemia, and thrombocytosis.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Thrombocythaemia, Viral infection
Clinical narrative: ENCEPHALITIS STATUS EPILEPTICUI 60 Day follow up states seizures, death. On October 25,2002, pt died as a result of complications of his seizures Discharge Summary received on 9/23/2002 states viral infection, Hepatomegaly, anemia, and thrombocytosis.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Brain oedema, Convulsion, Dehydration, Hearing impaired, Influenza like illness
Clinical narrative: Annika had a temperature of 100 or greater that started the evening she received the vaccines (which was a Friday) until Monday.  By the end of the week she had flu like symptoms and starting having thick drainage come out of her ears.  I took her in the following Monday and was diagnosed with a double outer ear infection which she battled on and off for three weeks.  About three weeks after the vaccines she started to vomit up alot of her formula every time she ate.  On May 15th (about a month out from her immunizations) she was admitted to the hospital for dehydration and that evening had her first of many focal seizures.  The physician on call performed a spinal tap and it came back positive for pnuemococal menigitis and also a pnuemoccocal infection in her blood system.  She was put on IV antibiotics and was sedated for the next week and half until the swelling around her brain went down and was discharged from the hospital 16 days from admission.  She now has a moderate to severe hearing loss and is involved in both PT and OT for motor delays. 60 day follow up states she has motor delays and has a moderate to severe hearing loss becasue of her bacterial meningitis. She will have a disability for her life. She was admitted with bacterial meningitis a month after she received her immunizations. She ran a temperature the whole weekend after the shots and then within a week she had an unexplained outer ear infection which never resolved until tubes were put in on 5/31/02 which was after she was treated for the meningitis.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Meningitis, Otitis externa, Pyrexia, Vomiting
Clinical narrative: Annika had a temperature of 100 or greater that started the evening she received the vaccines (which was a Friday) until Monday.  By the end of the week she had flu like symptoms and starting having thick drainage come out of her ears.  I took her in the following Monday and was diagnosed with a double outer ear infection which she battled on and off for three weeks.  About three weeks after the vaccines she started to vomit up alot of her formula every time she ate.  On May 15th (about a month out from her immunizations) she was admitted to the hospital for dehydration and that evening had her first of many focal seizures.  The physician on call performed a spinal tap and it came back positive for pnuemococal menigitis and also a pnuemoccocal infection in her blood system.  She was put on IV antibiotics and was sedated for the next week and half until the swelling around her brain went down and was discharged from the hospital 16 days from admission.  She now has a moderate to severe hearing loss and is involved in both PT and OT for motor delays. 60 day follow up states she has motor delays and has a moderate to severe hearing loss becasue of her bacterial meningitis. She will have a disability for her life. She was admitted with bacterial meningitis a month after she received her immunizations. She ran a temperature the whole weekend after the shots and then within a week she had an unexplained outer ear infection which never resolved until tubes were put in on 5/31/02 which was after she was treated for the meningitis.
Age: 5.0
Sex: M
Vaccine: IPV, MMR, IPV, MMR, IPV, MMR
Symptoms: Condition aggravated, Dysarthria, Urticaria, Wheezing
Clinical narrative: It was reported that a 5 year old male received MMR on 8/12/02. Within minutes, pt experienced wheezing and hives. Epinephrine was administered and paramedics were called. IV Benadryl, Solu-Medrol, albuterol and oxygen were administered. Pt was sent to the ER. Pt recovered.
Age: 5.0
Sex: M
Vaccine: IPV, MMR, IPV, MMR, IPV, MMR
Symptoms: Urticaria, Wheezing
Clinical narrative: It was reported that a 5 year old male received MMR on 8/12/02. Within minutes, pt experienced wheezing and hives. Epinephrine was administered and paramedics were called. IV Benadryl, Solu-Medrol, albuterol and oxygen were administered. Pt was sent to the ER. Pt recovered.
Age: 5.0
Sex: M
Vaccine: IPV, MMR, IPV, MMR, IPV, MMR
Symptoms: Respiratory failure, Urticaria, Wheezing
Clinical narrative: It was reported that a 5 year old male received MMR on 8/12/02. Within minutes, pt experienced wheezing and hives. Epinephrine was administered and paramedics were called. IV Benadryl, Solu-Medrol, albuterol and oxygen were administered. Pt was sent to the ER. Pt recovered.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Anaphylactic shock, Erythema
Clinical narrative: The pt's father reported that his 10 week old son received an IPOL, a Tripedia and an ActHib vaccination on 8/9/02 and immediately, developed redness in his legs and anaphylactic shock. The pt was sent to ER and admitted to the hospital overnight. From additional telephone conversation with the pt's mother on 8/19/02, it was reported that the pt was vaccinated on 8/9/02 with the adverse event occurring immediately following. The pt was admitted to the hospital on Friday and discharged on Sunday. Treatment of Benadryl and Solu-Medrol IV was given. The pt recovered from this experienced.  Reported on 02/27/2003: "From follow-up (follow-up all received at Aventis Pasteur Inc. on 02/24/2003, it was reported that the patient received first doses of ACTHIB, UA647AA, given intra-muscular in the left leg.  Patient has a history of gastroesophageal reflux.  Patient had no illnesses or was taking any medication at time of vaccination.
Age: 0.51
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Convulsion, Mental retardation severity unspecified
Clinical narrative: The hospital ER called HD at 13:30 on 7/18/02 to report that baby was having 2 episodes of focal type seizures. No fever. Thought possibly related to vaccine. On 7/17/02 or 7/18/02, child saw pediatrician and as of 7/18/02, child at hospital being evaluated. There may be another underlying reason for the seizures. The 60 day follow up states the child has had five hospital visits since the initial VAERS report. He is still having seizures and is still undergoing tests to determine cause. The follow up received on 10/1/03 states pt has not returned to so a call was made to the family. The father reported "pt still has a lot of disabilities. Both mental and physical and no one is really sure that they were caused by vaccine or that they were not." Annual follow up on 11/21/2003: "Vaccine recipient did not recover from the adverse events that were reported for this vaccination.  11/17/2003: Patient still has seizures and is lethargic all of the time.  Patient has low immunity and gets sick a lot because of it.  Patient was hospitalized and received a G-tube in Dec 2002.  They are not sure that the vaccines caused problems but, he never had any problems before he received the vaccines and then hours later he was having seizures reports his mother. "
Age: 44.0
Sex: M
Vaccine: MMR
Symptoms: Loss of consciousness, Syncope
Clinical narrative: Patient received MMR @0730 on 08/06/2002 at 13:30, patient fainted, fell, and lacerated head and right elbow. Seen in ER, suture of lacerations done. Cardiac work up consisting of treadmill stress test, echocardiogram, serial enzymes, EKG x3, continuous cardiac monitoring done while patient was admitted on cardiac floor overnight for observation. Patient did not have a cardiac event as all testing was WNL. Physicians question of patient had an adverse event from MMR. Reports his daughter had similar episode after receiving MMR vaccine.   Discharge Summary states diagnosis is Syncope.
Age: 2.0
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Blood glucose decreased, Body temperature decreased, Dermatitis bullous, Infection, Loss of consciousness
Clinical narrative: My son received the Varivax and Prevnar vaccines on the same day. Ten days later, he developed a minor case of the chicken pox,which one pox got infected. He was put on antibiotics for the infection. Six days later, he was admitted into the ER for losing consciousness, which was caused by low blood sugar
Age: 1.0
Sex: F
Vaccine: PNC
Symptoms: Insomnia, Pyrexia, Rash
Clinical narrative: Generalized rash at focal site.  How grade.  Temperature-sleeping poorly x 3 days.  Prescribed : advil/tylenol, antipyrectics-Benadryl PO.
Age: 0.5
Sex: F
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Urticaria
Clinical narrative: On 8/1/02, MD's office called and said pt seen by MD on 7/30/02 with whelp-like rash on face, arms and legs that occurred after shots were given on 7/15/02. Phone call to mom revealed rash started a week after the shots were received and now is doing fine. A follow up report received 8/27/2002 states: No site reaction.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Convulsion
Clinical narrative: Seizure A follow up report received 8/27/2002 adds: No fever noted with seizure activity.
Age: 0.5
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Lethargy, Pyrexia, Tachycardia, Tachypnoea
Clinical narrative: Temperature of 104.1F, lethargic, tachypnea and tachycardia per mother.  A follow up report received 8/27/2002 adds: Child seen in both ER and Dr's office - Tylenol for fever control. No more pertussis.
Age: 0.6
Sex: M
Vaccine: HBHEPB
Symptoms: Urticaria
Clinical narrative: Pt was given Comvax on 07/12/2002 and reacted with Hives- treated with Benadryl.
Age: 5.0
Sex: M
Vaccine: MMR
Symptoms: Ear pain, Oedema
Clinical narrative: Swelling right neck jaw area. Awoke with c/o right ear pain since 5:15 am. Pt took Ibuprofen at 5:20 am. States pains better. Parotid gland inflammation post MMR
Age: 4.5
Sex: F
Vaccine: DTAP, MMR, OPV
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: 18 x 17.5 cm raised red hot area site of MMR injection. Site on Right ant thigh.
Age: 21.0
Sex: M
Vaccine: TD
Symptoms: Arthralgia, Chest pain, Fatigue, Influenza like illness, Pyrexia
Clinical narrative: Onset of fever to 103.6F, 24 hours, post vax, with vomiting, flu-like symptoms, chest pressure, joint pains, fatigue and called PCP on Tuesday, 8/20/02. On 8/22/02, still has a temperature of 100.9F, joint pains and fatigue. Still recovering.
Age: 21.0
Sex: M
Vaccine: TD
Symptoms: Vomiting
Clinical narrative: Onset of fever to 103.6F, 24 hours, post vax, with vomiting, flu-like symptoms, chest pressure, joint pains, fatigue and called PCP on Tuesday, 8/20/02. On 8/22/02, still has a temperature of 100.9F, joint pains and fatigue. Still recovering.
Age: 35.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Malaise, Pain, Pyrexia
Clinical narrative: Pain and erythema left deltoid. Fever up to 102 degrees accompanied by general body malaise.
Age: 57.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site pain
Clinical narrative: Severe local swelling, pain, erythema, induration lasting > 1 wk.
Age: 52.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 24 hours after vaccination, pt complained of redness, pain and swelling in injection site, generalized. RX: hydrocortisone cream.
Age: 2.0
Sex: F
Vaccine: DTAP, IPV, MMR, TD, VARCEL
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: Red, warm to touch, golf ball size area to right arm.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Vaccine was administered Wednesday, 8/16/02. Dad stated that after vaccine was given, the pt had a red coloration to the area. That night, noticed swelling. Two days later, had swelling that traveled down to the knee. No treatment was given.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Left arm with redness and swelling, 2 days after shots with fever to 102.7F. Treat symptoms with Benadryl, Tylenol or ibuprofen.
Age: 11.0
Sex: M
Vaccine: HEP
Symptoms: Blood pressure decreased, Bradycardia, Dizziness, Pallor
Clinical narrative: Pt lightheaded 5-10 minutes after the shot while going out of the office. Was pale and bradycardic to 52/min; BP-70/50. He was given orange juice and recovered. Pt had no lunch.
Age: 12.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Pyrexia
Clinical narrative: Localized redness, warmth and tenderness at injection site about 6cm. Temperature max 103F.
Age: 14.0
Sex: M
Vaccine: HEP, TD
Symptoms: Convulsion, Dyskinesia, Laboratory test abnormal
Clinical narrative: Woke up at 05:00, the following morning, having seizures. Could not control his arms and hands. Has never seized that violently before. Took him to ER by 06:00. Had blood test and given Valium.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site reaction, Injection site warmth, Rash vesicular
Clinical narrative: Size 3" to 3 1/2" circle with small bubbles to left arm and hot to touch.
Age: 0.9
Sex: F
Vaccine: DTAP
Symptoms: Injection site induration, Injection site reaction, Rash
Clinical narrative: Fine red rash with small red knot on leg.
Age: 3.3
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Entire left arm swollen, red and warm to touch.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Child was seen by medical necessity screening RN for redness and swelling 1 day, post vax. Pt active, alert and afebrile. Large induration noted on exam. Was seen by MD.
Age: 3.0
Sex: F
Vaccine: DTAP, HEP, HEPA, IPV
Symptoms: Injection site induration, Injection site reaction
Clinical narrative: Child received vaccine on 8/12/02 and come to clinic on 8/13/02 for physician provider. On exam, noted area of induration RLT. Pt not acting ill and was active. Mom instructed to administer Benadryl.
Age: 1.6
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Received call concerning redness and swelling at site of injection that was given on 8/7/02. Mom reported child was active and playing, taking fluids and food. There was no fever. Mom given instructions to apply cold compresses and give Tylenol as needed.
Age: 1.7
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Pyrexia, Rash maculo-papular
Clinical narrative: DTAP and Varicella vaccines on 8/7/02, followed by 5 days of fever, gradually resolving. Pt then developed 3 small maculopapular lesions around area of the right thigh injection, 1 had clear fluid. Per records, varicella given on left thigh not right thigh where lesions appeared.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Agitation, Pyrexia, Rash macular, Rash papular
Clinical narrative: Fever first noted 07/16/2002 at 8:30pm-99.5 degrees-also fussy 07/17/2002 in morning 102.5 degrees-rash noted. macula papular rash on legs, torso, and face- course rash, rather than fine- smaller than chicken pox also remarkable diaper rash- possibly not related.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Convulsion, Hyperexplexia, Staring, Tension
Clinical narrative: Seizure-type activity. Acting "startled", tensing up, "in a daze", then went into seizures. Lab and test done- sent to neuro. W/ sequelae/on Phenobarb.
Age: 12.0
Sex: F
Vaccine: DT
Symptoms: Injection site erythema, Injection site pain, Pyrexia
Clinical narrative: Left arm pain, fever, redness at site. Dx Cellulitis- Tx Augmentin 500mg   BID 7 days
Age: 12.0
Sex: M
Vaccine: DT, HEP
Symptoms: Injection site erythema, Injection site oedema, Tenderness
Clinical narrative: Left deltoid swelling, tenderness, redness.   Dx Cellulitis    Tx Augmentin 500mg  BID 5days
Age: 10.0
Sex: M
Vaccine: DT
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Left arm swollen and red and warm.  Dx Cellulitis due to injection  Tx  Augmentin ES 600/5- 2tsp BID x 7 days
Age: 2.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: DTAP- left deltoid- redness, swelling
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling and redness on right arm where DTAP administered.
Age: 4.2
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site mass, Injection site swelling, Injection site warmth
Clinical narrative: Very large and hard knot, swelling, redness and hot to touch at the site of injection. No fever mom says.
Age: 0.3
Sex: F
Vaccine: DTAP
Symptoms: Hypotonia, Lethargy, Pallor, Pyrexia, Screaming
Clinical narrative: Temperature 102F, pale, limp and lethargic. Cried 3-4 hours at a time non-stop. Give plenty of fluids.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Pyrexia, Rash
Clinical narrative: Received shot on 7/23/02. On 7/26/02, right arm became very swollen and red with red rash on both arms, neck and face; low-grade fever today, 7/29/02. Seen at office and continues to complain of rash.
Age: 1.08
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Dermatitis bullous, Irritability, Lethargy, Pyrexia
Clinical narrative: On 4/18/02 in the evening, had 101F (Rectal) temperature and fussy. During the night, temperature was 104F (Rectal). Went to MD on 4/19/02 and temperature was 105F with ear thermometer. Child had total of 5-6 pox at various places. Friday, activity level was very low but they progressively got better over the weekend. MD did Strept test, CXR's and UA-all were negative. On 4/20/02, temperature was 102F (Rectal). No fever by Sunday night; activity level was normal by Tuesday 4/23/02 or Wednesday 4/24/02.
Age: 32.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site induration, Injection site reaction
Clinical narrative: 60mm X 60mm induration on left upper arm. Cephalexin 500mg po q 12 hr X 7 days. Instructions.
Age: 29.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Rheumatoid arthritis
Clinical narrative: On 8/01, onset of joint pain, worse in knees. No redness or swelling of joints. Wrist and ankle pain is intermittent; knee pain all day. Rx: for Bextra 8/19/02. No med prior. Had 2nd (LY116A2) and 3rd (LY128A2) Lymerix.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Obesity, Pyrexia
Clinical narrative: Approx. 15 vesicles on trunk and upper arms. Temperature 101.2F. Obesity. Treat with Acetasol, 1 drop QID and fruits and veggies and cereal.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Lethargy, Pruritus, Rash
Clinical narrative: DTAP and IPV given at 11:30. Mom called at 15:15 complaining of son being lethargic and rash on his back and itching. Told to call MD at clinic. Called back at 16:30 to follow-up and states rash is gone and he is doing fine.
Age: 1.08
Sex: F
Vaccine: MMR
Symptoms: Dyskinesia, Staring
Clinical narrative: ER visit. Mom reports that for 32 seconds child starred into space and jerking arms X 2.
Age: 33.0
Sex: F
Vaccine: HEPA
Symptoms: Hypoaesthesia
Clinical narrative: Pt developed numbness in fingers and toes shortly after receiving Hep-A vaccine. Symptoms have persisted to this date.
Age: 5.4
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Leg red, hard, swollen the day after immunization given DTAP in left leg.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Left leg red, swollen, hard and tender X several days after immunization given.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Left leg red, swollen, hard and tender 5 days after immunization given.
Age: 1.5
Sex: F
Vaccine: HBHEPB, PNC, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Complained of rash on arm; lesion on right arm with secondary impetigo which started 7 days after shots given.
Age: 0.6
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Sudden infant death syndrome
Clinical narrative: Actual cause of death unknown. Pending Coroner Report. The autopsy report states SIDS.
Sex: U
Vaccine: MMR
Symptoms: Cognitive disorder, Convulsion, Rash
Clinical narrative: Information has been received from a company representative concerning a child (gender not reported) who at about one year of age in 1998 was vaccinated with a dose of MMR II (lot not given). Subsequently, the child developed an "MMR type rash and seizures," which required hospitalization. The pt's mother stated that the child has regressed after having the seizure, has had to relearn walking and talking and now has attention deficit disorder. Upon internal review, has regressed after having the seizure, has had to relearn walking, has had to relearn talking and attention deficit disorder were determined to be other important medical events. Additional info has been requested.
Age: 0.4
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Diarrhoea, Ear disorder, Pneumonia, Pyrexia, Respiratory syncytial virus infection
Clinical narrative: 5/12-inconsolable crying/screaming lasting 30-50 mins baby reached for right side of head. 5/21-EEG; negative-baby continues crying fits. 6/3-hospitalized with RSV; 104 degrees fever; pneumonia. 6/28-another 104 degrees fever. An annual follow up report received 10/20/2003 adds: At present, he (pt) has no known residual symptoms. However, it is difficult to conclude that any problems he might encounter down the road is or is not related to his reaction to the vaccine. He has not received any vaccine shots since his reaction because he seems to get sick frequently. So much so that his doctor does not want him to be vaccinated at this time. To me, a mother of 3 children, it seems as if his immune system did not fully "recover". He's constantly developing colds, coughs and fevers. In February 2003 he underwent surgery to place tubes in his ears after tests revealed he had "negative pressure" in the right ear. His problems with his ears began when he was hospitalized June 2002. Prior to receiving the vaccine DTaP, he had never been sick. 2/6/08-psychological consultation note received for DOS 9/26/07-Diagnosis Autistic Disorder.
Age: 0.4
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Screaming, Tremor
Clinical narrative: 5/12-inconsolable crying/screaming lasting 30-50 mins baby reached for right side of head. 5/21-EEG; negative-baby continues crying fits. 6/3-hospitalized with RSV; 104 degrees fever; pneumonia. 6/28-another 104 degrees fever. An annual follow up report received 10/20/2003 adds: At present, he (pt) has no known residual symptoms. However, it is difficult to conclude that any problems he might encounter down the road is or is not related to his reaction to the vaccine. He has not received any vaccine shots since his reaction because he seems to get sick frequently. So much so that his doctor does not want him to be vaccinated at this time. To me, a mother of 3 children, it seems as if his immune system did not fully "recover". He's constantly developing colds, coughs and fevers. In February 2003 he underwent surgery to place tubes in his ears after tests revealed he had "negative pressure" in the right ear. His problems with his ears began when he was hospitalized June 2002. Prior to receiving the vaccine DTaP, he had never been sick. 2/6/08-psychological consultation note received for DOS 9/26/07-Diagnosis Autistic Disorder.
Age: 81.0
Sex: M
Vaccine: RAB
Symptoms: Drooling, Eye disorder, Hyperhidrosis, Nausea, Pallor
Clinical narrative: Pt received Imovax and Imogan IG in ER for possible rabies exposure. Aprox 6 1/2 hrs later pt returned to ER by family, diaphoretic, pallor, nausea, dry heaves, tremors, fixed eyes and drooling. No motor activity. Admitted and started on enteric coated ASA. Recoverred well, ambulated without difficulty and discharged the following day.