chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: M
Vaccine: VARCEL
Symptoms: Pneumonia, Rales
Clinical narrative: Information has been received from a physician who is the father of a male child who was vaccinated "at 15 months old" with a dose of varicella virus vaccine live. In 2002, "in the past year," the pt developed necrotizing pneumonia, rales and had no lesions. It was noted that the father called the child's pediatrician and ordered an "unamed antibiotic." There was no culture obtained. Unspecified medical attention was sought. There was no product quality complaint involved. It was also noted that the pt's condition resolved. Upon internal medical review the necrotizing pneumonia was considered an other important medical event (OMIC). The reporter also mentioned his two other children who were not vaccinated but developed chickenpox. Additional info has been requested.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Neuropathy
Clinical narrative: R brachial plexus neuropathy.
Age: 1.5
Sex: M
Vaccine: DTAP
Symptoms: Autism, Cough, Diarrhoea, Drug toxicity, Hearing impaired
Clinical narrative: Fever after vaccine. No apparent change immediately. Then June 5, 2000 high fever and ear infection, June 19, 2000. ER high fever, ear infection July 21, 2000 fever, diarrhea, ear infection 8/7/00 fever 10/6/03 cough/fever, ear infection. Parents concerned about chronic ear infection pattern developing. 11/6/00 cough, fever, ear infection. Concerned about his effect on hearing w/ problems ear infect. Pattern of illness continued. Tubes in ears Feb. 2001. 12/14/00 concerned with hearing. Diagnosed with autism 5/6/02. Not date specific, but began to be concerned with chronic health, ears and noticing difference in development (hearing and speech) Dec 2000*-/Jan 2001. Not until after his surgery Feb 2001 and no improvements did we feel there was adverse event May-June 2001 time frame. A follow up report received 10/31/2003 adds: (Unable to provide specific onset date). Health decline 19-20 months. Chronic ear infections. Did not notice any developmental concerns, speech regression Dec 2000/Jan 2001 time frame. Tubes in ears Feb 2001. When language did not begin to build upon after Feb 2001 surgery, became concerned more April 2001. The 60 day follow up received on 12/24/03 states pt has high levels of bacteria and yeast in his system. In addition his body is retaining (not naturally detox) the preservatives-toxic metals used in the vaccines in mercury, arsenic, aluminum, tin, nickel, lead, uranium, tungsten, cadium. His immune system has been weak since and he developed chronic allergies to beef, trees, grass, dairy, wheat, gluten, casein, bees and did not exhibit these prior to.
Age: 1.5
Sex: M
Vaccine: DTAP
Symptoms: Hypersensitivity, Infection, Neurodevelopmental disorder, Pyrexia
Clinical narrative: Fever after vaccine. No apparent change immediately. Then June 5, 2000 high fever and ear infection, June 19, 2000. ER high fever, ear infection July 21, 2000 fever, diarrhea, ear infection 8/7/00 fever 10/6/03 cough/fever, ear infection. Parents concerned about chronic ear infection pattern developing. 11/6/00 cough, fever, ear infection. Concerned about his effect on hearing w/ problems ear infect. Pattern of illness continued. Tubes in ears Feb. 2001. 12/14/00 concerned with hearing. Diagnosed with autism 5/6/02. Not date specific, but began to be concerned with chronic health, ears and noticing difference in development (hearing and speech) Dec 2000*-/Jan 2001. Not until after his surgery Feb 2001 and no improvements did we feel there was adverse event May-June 2001 time frame. A follow up report received 10/31/2003 adds: (Unable to provide specific onset date). Health decline 19-20 months. Chronic ear infections. Did not notice any developmental concerns, speech regression Dec 2000/Jan 2001 time frame. Tubes in ears Feb 2001. When language did not begin to build upon after Feb 2001 surgery, became concerned more April 2001. The 60 day follow up received on 12/24/03 states pt has high levels of bacteria and yeast in his system. In addition his body is retaining (not naturally detox) the preservatives-toxic metals used in the vaccines in mercury, arsenic, aluminum, tin, nickel, lead, uranium, tungsten, cadium. His immune system has been weak since and he developed chronic allergies to beef, trees, grass, dairy, wheat, gluten, casein, bees and did not exhibit these prior to.
Age: 42.0
Sex: M
Vaccine: ANTH, SMALL, SMALL
Symptoms: Cardiomyopathy, Dyspnoea, Fatigue, Liver function test abnormal, Nausea
Clinical narrative: 42 y/o member with history of receiving smallpox vaccine as a re-vaccinee 3/6/03 along with "many other vaccines." He reports no ill effects at that time. In mid July he reports having GI symptoms (nausea), fatigue and SOB "about 2-3 weeks after receiving anthrax vaccine." On 8/14/03 he was admitted to hospital with increasing SOB, fatigue, abnormal liver function panel, and low levels of magnesium an dpotassium. A cardiac cath revealed minimal non-obstructed CAD, EF 10% and global HK. Since it has been determined that this member meets the criteria for Dilated Cardiomyopathy: 1) Cardiac muscle dysfunction exists, characterized by ventricular dilatation (e.g. left ventricular end-diatolic dimension >55 mm) and impaired contraction of one or both ventricles (e.g. left ventricular ejection fraction less than or equal to 0.45). 2) There is no evidence of DCM or congestive heart failure prior to vaccination, either by history (e.g. dyspnea on exertion, fatigue) or by cardiac evaluation, including chest radiography or echocardiography if available. 3) No other cardiac or non-cardiac disease can likely account for the symptoms or abnormalities present. If another cardiac disease co-exists, it is not sufficient to cause the degree of myocardial dysfunction present (e.g. ischemic or valvular heart disease or long-standing hypertension). No other etiology of DCM can be determined, such as blood or cocaine use, hypertension, morbid obesity, or other causes. A follow up report received 10/23/2003 adds: To best of reporter's knowledge, the Anthrax vaccine dose #3 was administered overseas sometime in 7/03. The exact date is unknown. No additional vaccines were administered at that time. 60-day follow up on 03/24/04: "Pt has recovered from adverse events. I spoke to pt via telephone on 03/02/04 and he reported that he had a heart transplant accomplished on 10/11/03.  He reports "feeling fine", no shortness of breath or chest pains.  He was last seen at the hospital 02/16/04 where he had an ECHO and a MUGA scan that were both "good" according to the pt and he has a return appointment scheduled for May.  He had a medical board which awarded him 100% compensation and is currently on the following medications: Cyclosporine 150mg two times a day, Mycophenolate 1000mg two times a day, Prednisone 10mg daily, Prilosec 20mg daily, Lisinopril 5mg daily, Magnesium oxide 420mg two times a day, Lescol 80mg daily, throch myec 10mg daily, KCL 20mEq daily and Bactrim DS every Mon, Wed, Fri.  He says that he exercises by walking at his own pace daily and has gained 15lbs.  Current weight: 160."
Age: 42.0
Sex: M
Vaccine: ANTH, SMALL, SMALL
Symptoms: Cardiomyopathy, Dyspnoea, Fatigue, Gastrointestinal disorder, Nausea
Clinical narrative: 42 y/o member with history of receiving smallpox vaccine as a re-vaccinee 3/6/03 along with "many other vaccines." He reports no ill effects at that time. In mid July he reports having GI symptoms (nausea), fatigue and SOB "about 2-3 weeks after receiving anthrax vaccine." On 8/14/03 he was admitted to hospital with increasing SOB, fatigue, abnormal liver function panel, and low levels of magnesium an dpotassium. A cardiac cath revealed minimal non-obstructed CAD, EF 10% and global HK. Since it has been determined that this member meets the criteria for Dilated Cardiomyopathy: 1) Cardiac muscle dysfunction exists, characterized by ventricular dilatation (e.g. left ventricular end-diatolic dimension >55 mm) and impaired contraction of one or both ventricles (e.g. left ventricular ejection fraction less than or equal to 0.45). 2) There is no evidence of DCM or congestive heart failure prior to vaccination, either by history (e.g. dyspnea on exertion, fatigue) or by cardiac evaluation, including chest radiography or echocardiography if available. 3) No other cardiac or non-cardiac disease can likely account for the symptoms or abnormalities present. If another cardiac disease co-exists, it is not sufficient to cause the degree of myocardial dysfunction present (e.g. ischemic or valvular heart disease or long-standing hypertension). No other etiology of DCM can be determined, such as blood or cocaine use, hypertension, morbid obesity, or other causes. A follow up report received 10/23/2003 adds: To best of reporter's knowledge, the Anthrax vaccine dose #3 was administered overseas sometime in 7/03. The exact date is unknown. No additional vaccines were administered at that time. 60-day follow up on 03/24/04: "Pt has recovered from adverse events. I spoke to pt via telephone on 03/02/04 and he reported that he had a heart transplant accomplished on 10/11/03.  He reports "feeling fine", no shortness of breath or chest pains.  He was last seen at the hospital 02/16/04 where he had an ECHO and a MUGA scan that were both "good" according to the pt and he has a return appointment scheduled for May.  He had a medical board which awarded him 100% compensation and is currently on the following medications: Cyclosporine 150mg two times a day, Mycophenolate 1000mg two times a day, Prednisone 10mg daily, Prilosec 20mg daily, Lisinopril 5mg daily, Magnesium oxide 420mg two times a day, Lescol 80mg daily, throch myec 10mg daily, KCL 20mEq daily and Bactrim DS every Mon, Wed, Fri.  He says that he exercises by walking at his own pace daily and has gained 15lbs.  Current weight: 160."
Age: 26.0
Sex: F
Vaccine: SMALL
Symptoms: Blister, Influenza like illness, Injection site reaction, Pain, Urinary tract infection
Clinical narrative: Pt was vaccinated with Dryvax on 3/12/03. At the end of June 2003, a small fluid filled blister formed in the middle of the original scarring of her left arm. It was associated with some mild pain, but no itching, fever or arm swelling. The blister scabbed over and fell off within a week. She did not seek any medical treatment. Since the time of her original vaccination, pt feels she has been more susceptible to illness and low energy. In June, she experienced a one day vomiting episode. At the beginning of July, she experienced flu like symptoms. At the end of July, she began having recurrent urinary tract infections for which she has been treated with 4 four difference antibiotics (Rocephin, Cipro, Macrobid and Bactrim). These UTI's have resulted in 3 days of time off from work. Her energy has not returned to pre vaccination levels.
Age: 26.0
Sex: F
Vaccine: SMALL
Symptoms: Vomiting
Clinical narrative: Pt was vaccinated with Dryvax on 3/12/03. At the end of June 2003, a small fluid filled blister formed in the middle of the original scarring of her left arm. It was associated with some mild pain, but no itching, fever or arm swelling. The blister scabbed over and fell off within a week. She did not seek any medical treatment. Since the time of her original vaccination, pt feels she has been more susceptible to illness and low energy. In June, she experienced a one day vomiting episode. At the beginning of July, she experienced flu like symptoms. At the end of July, she began having recurrent urinary tract infections for which she has been treated with 4 four difference antibiotics (Rocephin, Cipro, Macrobid and Bactrim). These UTI's have resulted in 3 days of time off from work. Her energy has not returned to pre vaccination levels.
Age: 18.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Fatigue, Feeling hot, Injection site erythema, Malaise, Pain
Clinical narrative: Redness, warmth, swelling, pain around vaccination site right shoulder. Fever, malaise, aches, fatigue.
Age: 18.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia
Clinical narrative: Redness, warmth, swelling, pain around vaccination site right shoulder. Fever, malaise, aches, fatigue.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Contusion, Injection site oedema, Pain
Clinical narrative: Vaccination given 10/6/03 LD. ER visit on 10/7/03 with c/o pain, swelling, bruising. Given cephalexin, Darvocet, Benadryl. Return to clinic 10/7/03 PM, given Decadron and Prednisone 30 qd x10. 10/8/03 improving. 10/10/03 swelling lower with extensive bruising.
Age: 58.0
Sex: M
Vaccine: HEP
Symptoms: Anorexia, Fatigue, Jaundice, Malaise, Pyrexia
Clinical narrative: Hep B #1 7/24/03, Dose #2 9/16/03. 9/26/03 possible fever, malaise, fatigue, anorexia. 10/3/03 Icteric, and dark urine, 5 lb weight loss. Examined 10/6/03 (pt 1st reported sx 10/6/03) Icteric, no HSM, LLQ and discomfort, no RUQ pain. LA Lg biv LFT Thili 5.2, Attephos 307, AST 220, ART 631.
Age: 58.0
Sex: M
Vaccine: HEP
Symptoms: Weight decreased
Clinical narrative: Hep B #1 7/24/03, Dose #2 9/16/03. 9/26/03 possible fever, malaise, fatigue, anorexia. 10/3/03 Icteric, and dark urine, 5 lb weight loss. Examined 10/6/03 (pt 1st reported sx 10/6/03) Icteric, no HSM, LLQ and discomfort, no RUQ pain. LA Lg biv LFT Thili 5.2, Attephos 307, AST 220, ART 631.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Pt developed swelling, redness, induration on right thigh which worsened over course of 48 to a size of 7"L x 8"W with warmth, target center, induration. Pt given Benadryl and cold compresses. Switched to Zyrtec and Prelone.
Age: 1.0
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Herpes zoster, Rash, Viral infection
Clinical narrative: Immunization given on 9/22/03. Noted rash on face 10/8/03. Consult with dermatology on 10/9/03. Diagnosis: shingles.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever 103.7 8 hours after vaccines administered.
Age: 36.0
Sex: F
Vaccine: HEP, TYP
Symptoms: Rash
Clinical narrative: Rash to face and arms for 2 days.
Age: 1.5
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: DTaP given to left thigh on 9/30/03; reaction started approx 8 hours after injection. Swelling to entire thigh from knee to hip. On 10/2/03 circumference of left thigh a 35cm, right thigh 21cm. Mild erythema. Not warm to touch, afebrile, weight bearing. Tx with Motrin and close observation. Looks like an exaggerated local reaction.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pain
Clinical narrative: Local reaction. Left deltoid area red, swollen, hot with some pain 4 x 5cm.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR
Symptoms: Injection site erythema, Pain
Clinical narrative: After administration of 1st MMR, pt developed tender, red area at administration site (approx 3cm diameter) on right upper thigh. This was during the 20 minutes we keep pt for observation. Pt given 100 mg Motrin and then an ice bag to leg intermittently for 20 minutes.
Age: 0.42
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Injection site discolouration
Clinical narrative: At right proximal anterolateral thigh, pt has a 1 1/2 cm (diameter) pale area of skin with loss of sub-cutaneous tissue (1st mentioned to physician 8/21/03). Pt was referred for a dermatology consult, refuses appointment.
Age: 11.0
Sex: M
Vaccine: HEP
Symptoms: Pyrexia
Clinical narrative: Child developed fever of 103 degrees approx 4 hours after vaccination. Parent gave Tylenol and used cold compresses. Child had fever off and on from 2 PM Thursday thru mid morning Saturday. No other symptoms. Parent did not take child to MD. Child has had no problems since Saturday.
Age: 0.67
Sex: F
Vaccine: PNC
Symptoms: Injection site induration, Injection site oedema, Pain, Rash
Clinical narrative: Swollen indurated area right thigh with moderate tenderness. Umbilicated rash - trunk/extremities, blanching rash.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Left leg red swollen warm to touch. No fever reported. Mother administered Tylenol. No reports of pain in the leg. Walking on the leg without difficulty.
Age: 35.0
Sex: U
Vaccine: MMR
Symptoms: Lymphadenopathy, Malaise
Clinical narrative: 5 days post vaccine developed malaise and swelling of parotid and sub mandibular salivary glands. Sx's decreasing now 10 days post vaccine.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site oedema
Clinical narrative: MD called clinic with report of 3"+ to right arm extending length of arm. "Diffused local reaction".
Age: 57.0
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: 3" diameter area of redness, swelling, warmth at site of injection for several days after injection.
Age: 38.0
Sex: M
Vaccine: RAB
Symptoms: Pruritus, Urticaria
Clinical narrative: 02/14/2003: Hives on both legs and slightly itching-per patient; 02/17/2003: Itching all over-per patient; 02/23/2003: Hives everywhere; went to ER-per patient; 02/28/2003: Saw allergist.
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Fluid retention, Oedema peripheral, Rash pruritic
Clinical narrative: Water retention in scrotum area.  Swelling of joints in hands and bottom of feet.  Swelling of toes and top of hands.  Red, itchy rash on both arms.
Age: 1.3
Sex: M
Vaccine: DTAPH, MMR, PNC, VARCEL
Symptoms: Urticaria
Clinical narrative: Hives on thighs near Varivax and MMR immunizations 1-2 per thigh.
Age: 52.0
Sex: F
Vaccine: TD
Symptoms: Injection site mass, Injection site pain, Joint stiffness
Clinical narrative: Within 24 hours of injection of Td patient developed tender nodule over injection site.  Increase in size to approximately 13-14 cm in diameter 48-56 hours after inject with tenderness, stiffness of joint.  Patient given injection of Kenalog 40 1cc IM, told to take non-sedating antihistamines and NSAIDS.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema, Pyrexia
Clinical narrative: Right arm swollen, redness, fever, pain
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site oedema, Urticaria
Clinical narrative: Swelling erythema of injection site with urticaria of legs and face.  Treated with Tylenol, ice pack to injection site, Benadryl per mouth.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site oedema, Skin burning sensation
Clinical narrative: Burning at site with swelling 9.5 cm by 6 cm.
Age: 0.08
Sex: F
Vaccine: HEP
Symptoms: Erythema, Oedema peripheral, Rash maculo-papular
Clinical narrative: Swelling of hands, feet, ears with erythema of hands, feet, ears. Extremities with erythematous splotchy areas, some with duskiness. Tx'd with Benadryl.
Age: 0.25
Sex: F
Vaccine: DTAP, HEP, IPV, PNC
Symptoms: Urticaria
Clinical narrative: Child received immunizations on 10/02/2003.  Started this AM with hives worsening throughout the day, all over the body about 20 was seen.
Age: 1.6
Sex: F
Vaccine: DTAP
Symptoms: Erythema multiforme
Clinical narrative: 09/03/2003: Immunizations (DTAP only) on 09/09/2003.  Seen for eyrthema multiforme.
Age: 1.3
Sex: F
Vaccine: HIBV, MMR
Symptoms: Injection site erythema, Pallor, Rash macular, Rash maculo-papular
Clinical narrative: Red, indurated quarter-sized reaction at site of medicine placement (right lower thigh) (not at needle entry) within 10 minutes of injection.  Central paleness at first.  Resolved to splotchy macular mass by 15 minutes.  Post Benadryl dose (12.5).  No respiratory or GI symptoms.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Cellulitis
Clinical narrative: Cellulitis-reaction with keflex
Age: 19.0
Sex: F
Vaccine: HEP, IPV, MMR, TD, VARCEL
Symptoms: Coma, Dizziness postural, Vomiting
Clinical narrative: Unresponsive to verbal stimuli for about 2-3 minutes.  Vomited about 100 cc of injested food.  Diciphoretic, felt dizzy.  Checked vital signs.  Monitored for one hour.
Age: 1.1
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash erythematous
Clinical narrative: Fever to 102, then raised rash 3-6 mm on face.
Sex: M
Vaccine: FLU3
Symptoms: Influenza like illness, Malaise
Clinical narrative: Febrile illness, flu-like illness
Sex: F
Vaccine: FLU3
Symptoms: Influenza like illness, Malaise
Clinical narrative: Febrile illness, flu-like syndrome?
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Patient states hives on body.  Not seen by MD or nurse.  States received flu vaccine on 10/18/2003.  Patient referred assessment by nurse and MD-walked out of clinic while attempting to complete form.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: No swelling. Pain at site of injection that progressed along entire arm and down to wrist.  No fever.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Red, edematous to upper left arm.  Prescribed amoxicillin for 10 days and atarax.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Patient received IM injection of DTAP using 1 inch sterile needle into left deltoid.  Arm swelled, turned red, hot, painful 24-48 hours after immunization was given.
Age: 2.5
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Urticaria, Wheezing
Clinical narrative: Per mom on 10/08/2003, left arm was swollen and red and patient had hives and wheezing (he is an asthmatic).  Symptoms persisted/progressed on 10/08/2003 and treatment sought at medical center on 10/08/2003.  Treated with Benadryl and inhaler.
Age: 53.0
Sex: M
Vaccine: ANTH
Symptoms: Arthritis, Bronchitis, Cough, Oedema, Pain
Clinical narrative: had swollen sore area in arm for 2 weeks; since 8 Sept I have been sick with upper respiratory type symptoms (bronchitis, productive cough, wheezing, sore throat). Also, I have hurt basically all over, most especially in my back, which I can describe best as arthritis-type pain in most joints.
Age: 53.0
Sex: M
Vaccine: ANTH
Symptoms: Pharyngolaryngeal pain, Wheezing
Clinical narrative: had swollen sore area in arm for 2 weeks; since 8 Sept I have been sick with upper respiratory type symptoms (bronchitis, productive cough, wheezing, sore throat). Also, I have hurt basically all over, most especially in my back, which I can describe best as arthritis-type pain in most joints.
Age: 34.0
Sex: F
Vaccine: TTOX
Symptoms: Discomfort, Feeling hot, Headache, Influenza like illness, Injection site erythema
Clinical narrative: flu-like symptoms 24 hours s/p tetanus toxoid vaccination.   Did not seek medical attention but reported these symptoms when returning to clinic to have her PPD read 3 days later.  Had treated symptoms with ibuprofen and ice pack.  Complained of "feeling bad", feverish, headache, arm discomfort, warmth and erythema at site of injection.
Age: 34.0
Sex: F
Vaccine: TTOX
Symptoms: Pyrexia
Clinical narrative: flu-like symptoms 24 hours s/p tetanus toxoid vaccination.   Did not seek medical attention but reported these symptoms when returning to clinic to have her PPD read 3 days later.  Had treated symptoms with ibuprofen and ice pack.  Complained of "feeling bad", feverish, headache, arm discomfort, warmth and erythema at site of injection.
Age: 4.0
Sex: F
Vaccine: HEPA
Symptoms: Feeling cold, Malaise, Pyrexia
Clinical narrative: Lowered Body temperature, overall not feeling well, real cold. The symptoms occured the same day. They occured that evening closer to night.  I went to go check on her in her room and her body felt extremely cold and so I took her temperature and it was 94.1.  I called the doctor and was told to go to the hosptital.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site oedema
Clinical narrative: Large area of swelling in right arm with extention to elbow and shoulder, are warm. Whitish color surrounding area of vaccine administration, clear fluid at site of injection. Began 1 day after injection, not improved after 24hours of benadryl, zyrtec,and cold compress. Added Augmentin after day 2 of reaction worsening
Age: 35.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis
Clinical narrative: INTENSE LOCALIZED REACTION WITH SECONDARY CELLULITIS
Age: 59.0
Sex: F
Vaccine: TYP
Symptoms: Rash pruritic, Rash pustular
Clinical narrative: Pt states that after taking her second typhoid capsule she noticed a pustule on the trunk of her body.  After taking the third capsule, the pustules multiplied to cover the entire trunk.  The pustules were dime size, with a pus-filled center.  Pt stated that she did not develop a fever but the pustules were itchy.  The pustules are just now dried up and starting to resolve.
Age: 30.0
Sex: M
Vaccine: FLUX
Symptoms: Dizziness, Visual disturbance
Clinical narrative: Approximately 5-10 minutes following injection I became extremely dizzy and lightheaded and was unable to see clearly.  Voices were muffled and seemed distant.  My family helped me into our home where I lied down for approximately 20-30 minutes.  After that time, I was still stomewhat lightheaded but was beginning to feel somewhat better.  I have received flu vaccination for the past 8 years and have never had any experience remotely similar.
Age: 74.0
Sex: F
Vaccine: FLUX
Symptoms: Arrhythmia, Gastritis, Hypertension, Nausea, Vomiting
Clinical narrative: Had flu vaccine 100303. C/O N & V after vaccine. Deceased 100703 AM cause of death not known. The autopsy report states cardiac arrhythmia and hypertensive heart disorder. Medical Record received on 10/20/2003 states gastritis.
Age: 30.0
Sex: M
Vaccine: TD
Symptoms: Hypokinesia, Injection site erythema, Injection site pain
Clinical narrative: Erythema, pain and tenderness at injection site (about 5-6 cm circular area of erythema), pain in left shoulder with decreased range of motion and numbness in left upper extremity(s) (decreased sensation left upper extremity).
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash vesicular
Clinical narrative: 3 days after vaccine administered-fever to 102 degrees.  2 small pox noted in diaper area.  No treatment required except Tylenol/Motrin.
Age: 56.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Pruritus
Clinical narrative: Received tetanus shot on 09/30/2003.  I felt a little itching, nothing was there, then a couple days ago the area I scratched the redness started appearing.
Age: 63.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Pain
Clinical narrative: right deltoid, red area 5-6 inches across, 7-8 inches, long hot to touch, painful.
Age: 69.0
Sex: F
Vaccine: TD, TYP, YF
Symptoms: Injection site erythema, Injection site oedema, Pruritus, Rash
Clinical narrative: Swelling and redness R/A deltoid and rash looking redness that spread to back side of R/A. Itching. C/o no pain.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Diarrhoea, Nausea, Psychomotor hyperactivity
Clinical narrative: Muscular aching, diahrea and nausea for 2 1/2 days.
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Dermatitis atopic, Eczema, Rash
Clinical narrative: Service member received Anthrax #1 on 08 Jan 03 and one month later developed a rash on bilateral elbows, knees, between fingers, and in the genital area.  This was initially diagnosed as contact dermatitis.  When it started recurring in the same areas, he was diagnosed with eczema/atopic dermatitis. Rx:  Kenalog creme  Continues to have monthly recurrences.    Denies any similar occurrences prior to receipt of Anthrax.
Age: 56.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Vaccine administered 10/11. She was seen in the office two days later with redness and pain at the vaccine site, bad enough for her to mention it to me.
Age: 33.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Began having pain and mild erythema at the vaccine site a day or two after the vaccination. It persisted until a visit today.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Acute abdomen
Clinical narrative: Was vaccinated 9/29/03. Had a positive take recorded on 10/06/03. Patient developed acute appendicitis and had an appendectomy performed on 10/09/03.
Age: 1.01
Sex: F
Vaccine: DTAP, HIBV, MMR, OPV, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Patient received the Varicella vaccine on 3/20/1997 at a office.  On 10/6/2003 he was diagnosed with chicken-pox.  He developed less than 50 pox and has recovered without any complications.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Cardiovascular disorder, Injection site pain
Clinical narrative: patient came into clinic 10/8 for follow up of hypertension, diabetes.  No symptoms reported.  Agreed to take influenza vaccine.  Medical resident who saw her was call by the medical examiner the next day.  she was found dead in bed by family.  Apparently c/o soreness at injection site; no other symptoms.  Medical examiner signed case out as hypertensive cardiovascular disease, but only did external exam, not full autopsy. The autopsy states hypertensive cardiovascular dx.
Age: 0.0
Sex: M
Vaccine: HEP
Symptoms: Convulsion, Dysphagia, Electroencephalogram abnormal, Laboratory test abnormal, Mental retardation severity unspecified
Clinical narrative: Six days following vaccination upon his birth, pt began having partial/focal petit mal seizures on a daily basis. Seizures range in length from 10-60 seconds each and occur 3-40 times per day. EEG indicates he is also having sub-clinical seizures. Sezures are thus far uncontrolled by Phenobarbital, Tegritol, Trileptol, Zonegran (zonisamide) and Clonipin. The 60 day follow up received on 12/31/03 states pt continues to have uncontrollable seizure, 20-30 each day. His MRIs are clean, "all metabolic" tests continue to come back negative. Doctors cannot determine what is causing the seizures. Medical records state developmental delay, difficulty swallowing.  msv
Age: 0.0
Sex: M
Vaccine: HEP
Symptoms: Petit mal epilepsy
Clinical narrative: Six days following vaccination upon his birth, pt began having partial/focal petit mal seizures on a daily basis. Seizures range in length from 10-60 seconds each and occur 3-40 times per day. EEG indicates he is also having sub-clinical seizures. Sezures are thus far uncontrolled by Phenobarbital, Tegritol, Trileptol, Zonegran (zonisamide) and Clonipin. The 60 day follow up received on 12/31/03 states pt continues to have uncontrollable seizure, 20-30 each day. His MRIs are clean, "all metabolic" tests continue to come back negative. Doctors cannot determine what is causing the seizures. Medical records state developmental delay, difficulty swallowing.  msv
Age: 2.0
Sex: F
Vaccine: TD
Symptoms: Arthralgia, Myalgia, Pain, Pyrexia
Clinical narrative: Few days of low grade fever by patient self report (no temperature was taken), +4 weeks of recurring muscle and joint aches and pains, which gradually decreased in frequency until gone.  None reported in last week.
Age: 28.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Oedema, Rash erythematous, Urticaria
Clinical narrative: Numerous erythematous hives with edema on trunk and upper extremities.   Treatment- Epinephrine-SQ, Benedryl, Prednisone, Atarax
Age: 18.0
Sex: F
Vaccine: MEN, MEN
Symptoms: Dysgeusia, Headache, Hypoaesthesia
Clinical narrative: 4 weeks after receiving meningitis vaccine, developed numbness on 1 side of cheek. 2 days later numbness progressed to 1 side of face. 5 days after numbness first started, one side of face was numb, headaches would "come and go". MRI was done - WNL. Pt also experienced some loss of taste. History of sister developing tingling on 1 side of body, later Dx with MS. Our medical director thinks it may be Bell's Palsy without the palsy. 9/20/03 still has numbness left side of face and taste.
Age: 18.0
Sex: F
Vaccine: MEN, MEN
Symptoms: Ageusia, Facial palsy, Headache, Hypoaesthesia
Clinical narrative: 4 weeks after receiving meningitis vaccine, developed numbness on 1 side of cheek. 2 days later numbness progressed to 1 side of face. 5 days after numbness first started, one side of face was numb, headaches would "come and go". MRI was done - WNL. Pt also experienced some loss of taste. History of sister developing tingling on 1 side of body, later Dx with MS. Our medical director thinks it may be Bell's Palsy without the palsy. 9/20/03 still has numbness left side of face and taste.
Age: 0.5
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Febrile convulsion, Muscle twitching, Pyrexia
Clinical narrative: Pt had fever of 101.8 at 3:30 in the afternoon, 101.4 in am. The same day child had immunizations child had twitching in legs and eyes. Child was taken to ER and hospitalized. The discharge summary received on 3/5/04 states febrile seizure.
Age: 32.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Confusional state, Convulsion, Dehydration, Fatigue
Clinical narrative: Severe pain in knee joints, feet and ankles. Chronic fatigue; tingling in face and numb below the waist down and then collapsed and was hospitalized. Severe dehydration and most recently vision is becoming worse and cloudy. Short term confusion; "absence seizure".
Age: 32.0
Sex: M
Vaccine: LYME
Symptoms: Hypoaesthesia, Pain in extremity, Vision blurred
Clinical narrative: Severe pain in knee joints, feet and ankles. Chronic fatigue; tingling in face and numb below the waist down and then collapsed and was hospitalized. Severe dehydration and most recently vision is becoming worse and cloudy. Short term confusion; "absence seizure".
Age: 1.5
Sex: M
Vaccine: DTAP, MMR
Symptoms: Agitation, Antisocial behaviour, Autism, Cognitive disorder, Laboratory test abnormal
Clinical narrative: Uncontrollable crying, high fever (104 deg), lethargy on 12/22/01. Loss of language and eye contact in the week to follow. Autism. The 60 day follow up received on 1/7/04 states no eye contact, poor communication, no social skills, sensory integration disorder, autistic traits, higher than normal blood titers.
Age: 1.5
Sex: M
Vaccine: DTAP, MMR
Symptoms: Lethargy, Pyrexia, Sensory disturbance, Speech disorder
Clinical narrative: Uncontrollable crying, high fever (104 deg), lethargy on 12/22/01. Loss of language and eye contact in the week to follow. Autism. The 60 day follow up received on 1/7/04 states no eye contact, poor communication, no social skills, sensory integration disorder, autistic traits, higher than normal blood titers.
Age: 3.25
Sex: M
Vaccine: HEP
Symptoms: Abnormal behaviour, Asthenia, Cough decreased, Dizziness, Dyspnoea
Clinical narrative: 9/21/03 unusual behavior around 9pm. 9/22/03 unusual behavior, fever 1:00pm 102 degrees, dizzy, lethargic, pale, vomiting, weakness. 9/23/03 fever 102 deg, unusual behavior, lethargy, dizzy, weakness, cough pm. 9/24/03 fever 104 deg, vomiting, dizzy, weak, unusual behavior, doctor appt. 9/25/03 fever 102 deg, vomiting, dizzy, weak, lethargy, unusual behavior, paleness, cough. 9/26/03 difficulty breathing, fast heartbeat, dizzy, weak, pale, fever 102, dizzy, unusual eye twitching. Doctor visit-nebulizer with Albuterol for wheezing and difficulty breathing-pneumonia L lung. Rx: Amox 250mg 2 tsp 2x1day for 10 days. 9/27/03 difficulty breathing, fast heartbeat, dizziness, weakness, paleness, ususual behavior-doctor visit. 10/8/03 dizziness and eye twitching still remains occasionally 1x1 day. The 60 day follow up received on 1/13/04 states pt has had constant respiraotyr and eye infections since the vaccine and occasionally still has dizzy spells and eye twitching. Also his breathing always seems more laborred than it ever was.
Age: 3.25
Sex: M
Vaccine: HEP
Symptoms: Heart rate increased, Infection, Lethargy, Muscle twitching, Pallor
Clinical narrative: 9/21/03 unusual behavior around 9pm. 9/22/03 unusual behavior, fever 1:00pm 102 degrees, dizzy, lethargic, pale, vomiting, weakness. 9/23/03 fever 102 deg, unusual behavior, lethargy, dizzy, weakness, cough pm. 9/24/03 fever 104 deg, vomiting, dizzy, weak, unusual behavior, doctor appt. 9/25/03 fever 102 deg, vomiting, dizzy, weak, lethargy, unusual behavior, paleness, cough. 9/26/03 difficulty breathing, fast heartbeat, dizzy, weak, pale, fever 102, dizzy, unusual eye twitching. Doctor visit-nebulizer with Albuterol for wheezing and difficulty breathing-pneumonia L lung. Rx: Amox 250mg 2 tsp 2x1day for 10 days. 9/27/03 difficulty breathing, fast heartbeat, dizziness, weakness, paleness, ususual behavior-doctor visit. 10/8/03 dizziness and eye twitching still remains occasionally 1x1 day. The 60 day follow up received on 1/13/04 states pt has had constant respiraotyr and eye infections since the vaccine and occasionally still has dizzy spells and eye twitching. Also his breathing always seems more laborred than it ever was.
Age: 3.25
Sex: M
Vaccine: HEP
Symptoms: Pneumonia, Pyrexia, Respiratory tract infection, Vomiting
Clinical narrative: 9/21/03 unusual behavior around 9pm. 9/22/03 unusual behavior, fever 1:00pm 102 degrees, dizzy, lethargic, pale, vomiting, weakness. 9/23/03 fever 102 deg, unusual behavior, lethargy, dizzy, weakness, cough pm. 9/24/03 fever 104 deg, vomiting, dizzy, weak, unusual behavior, doctor appt. 9/25/03 fever 102 deg, vomiting, dizzy, weak, lethargy, unusual behavior, paleness, cough. 9/26/03 difficulty breathing, fast heartbeat, dizzy, weak, pale, fever 102, dizzy, unusual eye twitching. Doctor visit-nebulizer with Albuterol for wheezing and difficulty breathing-pneumonia L lung. Rx: Amox 250mg 2 tsp 2x1day for 10 days. 9/27/03 difficulty breathing, fast heartbeat, dizziness, weakness, paleness, ususual behavior-doctor visit. 10/8/03 dizziness and eye twitching still remains occasionally 1x1 day. The 60 day follow up received on 1/13/04 states pt has had constant respiraotyr and eye infections since the vaccine and occasionally still has dizzy spells and eye twitching. Also his breathing always seems more laborred than it ever was.
Age: 57.0
Sex: M
Vaccine: FLU3, FLUX
Symptoms: Asthenia, Chest discomfort, Dyspnoea, Feeling hot, Hot flush
Clinical narrative: 1-2 hours after vaccine, complaints of flushing, being hot, weakness through day 4. 10/12/03 shortness of breath, chest tightness. Rx Benadryl, Epi and Solucatf IV. Discharged home. Returned to clinic 10/12; admitted with shortness of breath, "my throat is swelling", Epi, Benadryl. Solumedrol and hospitalized.
Age: 57.0
Sex: M
Vaccine: FLU3, FLUX
Symptoms: Pharyngeal oedema
Clinical narrative: 1-2 hours after vaccine, complaints of flushing, being hot, weakness through day 4. 10/12/03 shortness of breath, chest tightness. Rx Benadryl, Epi and Solucatf IV. Discharged home. Returned to clinic 10/12; admitted with shortness of breath, "my throat is swelling", Epi, Benadryl. Solumedrol and hospitalized.
Age: 57.0
Sex: M
Vaccine: FLU3, FLUX
Symptoms: Pharyngeal oedema, Pyrexia, Urticaria
Clinical narrative: 1-2 hours after vaccine, complaints of flushing, being hot, weakness through day 4. 10/12/03 shortness of breath, chest tightness. Rx Benadryl, Epi and Solucatf IV. Discharged home. Returned to clinic 10/12; admitted with shortness of breath, "my throat is swelling", Epi, Benadryl. Solumedrol and hospitalized.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site warmth, Pain, Pruritus
Clinical narrative: Day after injection site was tender to touch. Second day after it was red and feverish under the site. More tender to touch and itchy.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Hypersensitivity, Injection site erythema, Injection site oedema, Injection site warmth, Pain
Clinical narrative: 10/7: Awakened with lower arm pain. 10/8: lower arm swelling with redness and increased heat also red, splotchy area over injection site in upper left arm (deltoid). Saw private MD who stated probably allergy reaction and prescribed prednisone.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Rash maculo-papular
Clinical narrative: 10/7: Awakened with lower arm pain. 10/8: lower arm swelling with redness and increased heat also red, splotchy area over injection site in upper left arm (deltoid). Saw private MD who stated probably allergy reaction and prescribed prednisone.
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Face oedema, Hypoaesthesia, Lymphadenopathy, Pain
Clinical narrative: Injection given about 10 AM, sx began about 8-10 hours later with left sided facial swelling, numbness, swollen cervical (L) glands, tenderness, swelling improved by following morning (?) also improved.
Age: 1.0
Sex: F
Vaccine: FLU3, PNC, VARCEL
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: 4cm x 2cm area of redness and swelling around area of injection with warmth. Instructed to apply warm compress and observe. To return to office if worsening of Sx. The follow up received on 10/16/03 states left thigh (Prevnar site) problem area.
Age: 36.0
Sex: M
Vaccine: FLU3
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: Pain, fever, within 48 hours. Vomiting at 72 hours.
Age: 55.0
Sex: M
Vaccine: FLUX
Symptoms: Arthralgia, Fatigue, Pain
Clinical narrative: Localized soreness immediately after shot. Within 48 hours exhibited soreness in joints and fatigue not related to any other possible causes.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Angioneurotic oedema
Clinical narrative: Left eyelid angioedema about 3 hours after vaccine administration.
Age: 49.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Arthralgia, Fatigue, Lymphadenopathy, Malaise, Nausea
Clinical narrative: Symptoms onset within hours of receiving vaccine, complained of: ache at shot site, arthralgias, malaise, fatigue, ?fever/chills (temp not checked), lymph nodes tender and swollen, nausea, vomiting x1, missed work 3 days.
Age: 49.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: Symptoms onset within hours of receiving vaccine, complained of: ache at shot site, arthralgias, malaise, fatigue, ?fever/chills (temp not checked), lymph nodes tender and swollen, nausea, vomiting x1, missed work 3 days.
Age: 78.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Stated she had redness and swelling from shoulder to elbow of right arm beginning Friday PM 10/10/03 and continuing through Saturday 10/11/03. Applied ice packs to area.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Pain
Clinical narrative: Erythema, swelling and tenderness in area of left deltoid. The follow up received on 11/7/03 states, "mom unsure of the onset as she noticed the arm on the date that I reported the event."
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, PNC
Symptoms: Agitation, Crying, Pyrexia
Clinical narrative: 102.6 temp. Unconsolable crying for 30 minutes.
Age: 2.0
Sex: M
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Agitation, Crying, Injection site erythema, Injection site oedema, Pain
Clinical narrative: 1st noticed redness Monday night 9/15/03, some swelling. On 9/16/03 swelling and redness increased, woke up at 4 AM crying and arm hurting.
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Mom noticed 1st redness and swelling 9/16/03 and states much worse this AM - 10 x 7cm red hot area on arm at injection site.
Age: 6.0
Sex: M
Vaccine: DTAP
Symptoms: Blister, Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: 9/12/03: Arm very red and swollen, with 5-6 vesicles, fever (not sure how high), went to ER 9/14/03. Treated with Keflex and fever med.
Age: 53.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Arthralgia, Chills, Headache, Hyperhidrosis, Oedema peripheral
Clinical narrative: Pt came to HD today to report the following after vaccine (MMR) on 9/19/03: 9/20/03: headache and slight sore throat, night chills, sweating, arthralgia, swollen fingers, teeth hurt, rash on 9/24/03 (prickly) not itchy on chest, legs and trunk.
Age: 53.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Pharyngolaryngeal pain, Rash
Clinical narrative: Pt came to HD today to report the following after vaccine (MMR) on 9/19/03: 9/20/03: headache and slight sore throat, night chills, sweating, arthralgia, swollen fingers, teeth hurt, rash on 9/24/03 (prickly) not itchy on chest, legs and trunk.
Age: 1.0
Sex: M
Vaccine: HBHEPB, VARCEL
Symptoms: Infection
Clinical narrative: Pt received Varivax immunization on 4/3/03 and was diagnosed with Varicella on 10/9/03.
Age: 1.25
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Convulsion, Pyrexia
Clinical narrative: Seizure 10/7/03 (approx 10 minutes, resolved without meds given), concomitant fever 103 F, approx 6 hours post injection. (Seen in ER). F/U no abnormalities, no lingering fever.
Age: 0.2
Sex: M
Vaccine: DTP, HEP, HIBV, PPV
Symptoms: Pyrexia, Vomiting
Clinical narrative: Vomiting, fever.
Age: 0.3
Sex: M
Vaccine: UNK
Symptoms: Pyrexia
Clinical narrative: Fever-up to 104 degrees, also had perihilar infiltrates.
Age: 0.2
Sex: F
Vaccine: UNK
Symptoms: Pyrexia
Clinical narrative: Fever, came to ER, given Tylenol drops.
Age: 4.0
Sex: M
Vaccine: DT
Symptoms: Oedema peripheral
Clinical narrative: Right arm swelling, brought to ER.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Anorexia, Screaming
Clinical narrative: Cried for 4 hrs after immunization-refuse feeding at the time less active next day.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Site where Prevnar was given was swollen red and painful approximately 2-3 hrs after injection.
Age: 1.08
Sex: M
Vaccine: HBHEPB, IPV, MMR
Symptoms: Pyrexia, Rash, Rash maculo-papular, Rash morbilliform, Scrotal oedema
Clinical narrative: 9/16/02 child presented at office today via mother. A raised "measle" like rash was noted from head to toe. Events as reported by mother: 9/12/03 temp 104.3 axillary. Child was afebrile yesterday 9/15/03. Child vomited large amount one time Friday evening. 9/13/03 child seen by pediatrician. MD noted wheezing at this time and swelling of scrotum. Slightly faint rash noted on face (across bridge of nose) and on trunk. 9/16/03 child seen by pediatrician again. Impression: viral exanthem. On physical examination had a little pharyngeal redness. The eyes were clear. He had just a mild end expiratory wheeze and a little faint blanching maculopapular type of rash on the trunk that was very faint. A chest x-ray was essentially clear at that time and his white count was 8.7 with a normal differential. Hemoglobin, hematocrit, and platelets were also normal. His differential was 55 polys, 4 bands, 40 lymphs and 1 eosinophil. His hemoglobin was around 10.3 so a little low with  hypochromic microcytic indices and a 241,000 platelet count. He was treated with just a little oral Alburerol and cautious observation. The temperature slowly came down but he had the temperature on the 13th and the 14th and then on the 14th he was seen in the ER with a little right scrotal swelling and was seen and evaluated by Dr. At that point in time he still had a temp of 103 and there were no signs of any hernia but he had a more florid type of rash. He was continued on symptomatic treatment. He presents today on 9/16/03 referred from the health office because of concerns about an MMR reaction as the cause of the rash. They called and are in the process of completing a VAER's report at this time. He was referred out here for clinical evaluation. Today his mother reports that he seems to be much better. His temperature is now down and he is afebrile. His activity and appetite are back to normal. He still has a bit of a cough but it is less so. In the interim he had a little loose stools but otherwise his bowel habits have been normal and there has been no bleeding of course. He has an episode of vomiting on Friday evening.