chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 42.0
Sex: M
Vaccine: HEP, HEPA, TYP
Symptoms: Back pain, Chills, Headache, Hyperhidrosis, Nausea
Clinical narrative: About 45 minutes after receiving the 3 vaccines, he developed shaking chills, achiness across his back and legs, an episode of sweating and nausea, after which he vomited twice.  He had a very mild headache, and a tingling feeling in the head for a few seconds which resolved as the headache appeared.  The headache was mild and he said that he would not have sought treatment for this headache.
Age: 42.0
Sex: M
Vaccine: HEP, HEPA, TYP
Symptoms: Paraesthesia, Tremor, Vomiting
Clinical narrative: About 45 minutes after receiving the 3 vaccines, he developed shaking chills, achiness across his back and legs, an episode of sweating and nausea, after which he vomited twice.  He had a very mild headache, and a tingling feeling in the head for a few seconds which resolved as the headache appeared.  The headache was mild and he said that he would not have sought treatment for this headache.
Age: 24.0
Sex: M
Vaccine: DTAP
Symptoms: Fatigue, Loss of consciousness, Musculoskeletal stiffness, Vomiting
Clinical narrative: Vaccine was administered. After all the vaccine had been put into the deltoid muscle, the patient passed out. He had a loss of conscious for 5-10 seconds. After a sternal rub, the patient awakened. While he was unconscious, the patient was somewhat stiff. He vomitted when he woke up and said he felt tired. He acted appropriately and answered all questions appropriately. Vital signs were stable at all times.
Age: 0.0
Sex: U
Vaccine: FLU3
Symptoms: Blister, Erythema, Urticaria
Clinical narrative: "Approximately 2 hours after receiving the vaccine the employee broke out in hives with blisters. The hives progressed to multiple body parts. This employee was treated and was referred to an allergist for continued treatment.  A latex rast was performed and was negative.  The employee has remaining reddened areas but with treatment the itching has subsided." no further information was provided.
Age: 0.0
Sex: U
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Employee developed hives on arms, trunk and legs.  She was treated by her personal doctor.
Age: 0.0
Sex: U
Vaccine: FLU3
Symptoms: Erythema, Pain, Swelling
Clinical narrative: "Documented arm swellings with pain and redness lasting more than 3 days. Untreated." This is the 1st of two such identical documented reports from this source-no other information was provided.
Age: 0.0
Sex: U
Vaccine: FLU3
Symptoms: Erythema, Pain, Swelling
Clinical narrative: "Documented arm swellings with pain and redness lasting more than 3 days. Untreated." This is the 2nd of two such identical documented reports from this source-no other information was provided.
Age: 0.0
Sex: U
Vaccine: FLU3
Symptoms: Chills, Influenza like illness, Myalgia, Pyrexia
Clinical narrative: "Employee reports fever, chills muscle aches " felt like full blown flu" This is the first of 2 such identical reports from this source.  No other information provided
Age: 0.0
Sex: U
Vaccine: FLU3
Symptoms: Chills, Influenza like illness, Myalgia, Pyrexia
Clinical narrative: "Employee reports fever, chills muscle aches " felt like full blown flu" This is the second of 2 such identical reports from this source.  No other information provided
Age: 0.88
Sex: F
Vaccine: DTPIHI, HIBV, PNC
Symptoms: Unevaluable event
Clinical narrative: none
Age: 34.0
Sex: F
Vaccine: MMR, TD
Symptoms: Asthenia, Pain, Paraesthesia
Clinical narrative: Unilateral left shoulder and arm pain, weakness, and anesthesia beginning 12 hours after vaccination, worst within 5 days, but still recovering from it.
Age: 15.0
Sex: F
Vaccine: IPV, MMR, TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt returned to clinic 48 hrs post Td vaccination c/o redness, swelling,pain at injection site (L deltoid) beginning 12/15/2005. Denied lymphadenopathy, fever, or chills. Pt's mother was instructed to ice area, take tylenol prn for pain control, and call/return to clinic if symptom worsens or does not resolve.
Age: 1.22
Sex: M
Vaccine: HIBV, MMR
Symptoms: Pyrexia, Rash
Clinical narrative: Rash and mild fever.  I have given him fever reducer medication (Tylenol), and it seems to bring down the temperature.
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Herpes zoster, Influenza like illness
Clinical narrative: He has had 2 anthrax vaccinations.-- had his first anthax shot on 27 Jun 04 and developed flu like symptoms.  He then had his second shot on 11 Jul 04 and developed shingles 5 days after his second shot in July.  He then developed bilateral knee pain at the end of July.  His left knee is worse than the right.  He has no hx of arthritis or any trauma.  He now has pain with running and can not perform physical activity secondary to pain.
Sex: U
Vaccine: MMR
Symptoms: Unevaluable event
Clinical narrative: Information has been received from a consumer concerning a patient who was vaccinated with the second dose of measles virus vaccine live (+) mumps virus vaccine live (+) rubella virus vaccine live. The consumer reported that she "heard of a patient who died after the second MMR shot." No further information is available.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Abdominal pain, Coma, Lethargy, Rash, Sneezing
Clinical narrative: Shortly after immunizations, began sneezing and then complaining of abdominal pain. Then he began vomiting for about 45 minutes. Vomiting up thick clear phlegm. Also, developed a rash mainly over knees, elbows, stomach, hands, ears, chest, and on thighs where given injections. Became lethargic and non-responsive to voice. Admitted to PICU; given 30mg Solumedrol and a IVS bolus of 300ml.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Vomiting
Clinical narrative: Shortly after immunizations, began sneezing and then complaining of abdominal pain. Then he began vomiting for about 45 minutes. Vomiting up thick clear phlegm. Also, developed a rash mainly over knees, elbows, stomach, hands, ears, chest, and on thighs where given injections. Became lethargic and non-responsive to voice. Admitted to PICU; given 30mg Solumedrol and a IVS bolus of 300ml.
Age: 45.0
Sex: M
Vaccine: FLU3
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Itch trunk area since Wednesday 12-14-05 (raised rash back,  and stomach area)
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Diarrhoea, Headache, Lethargy, Pyrexia
Clinical narrative: C/O chills, headache, fever 102.6 degrees F, lethargic, diarrhea times 1. Headache with 1st flu shot. Denies nausea and vomiting. Brother c/o viral infection 1 wk ago. 12/16/05 Pt getting better fever broke.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Patient received the influenza vaccine on Thursday, 11-3-05. That evening she developed a rash on her back. She took Benadryl. The rash cleared up but returned on her neck and face the next day. She continued to take Benadryl. The rash spread to her arms and legs and was gone by Monday.
Age: 72.0
Sex: M
Vaccine: UNK
Symptoms: Nasopharyngitis, Pharyngolaryngeal pain
Clinical narrative: Extreme cold developed within 5 days of vaccination. Lasted for about 3 weeks, progressing from chest cold to sore throat to waterfall head cold. First cold in 7-8 yrs after my moving to Calif.  Flu vac each yr prior no reaction.
Age: 28.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Injection site induration, Injection site pain, Pruritus, Skin burning sensation
Clinical narrative: Left upper arm - tenderness/pain at injection site. Area of induration - 9 cm width/6 cm length. Slightly erythematous. Pt c/o itching/burning pain. Tx warm compresses observation .
Age: 28.0
Sex: F
Vaccine: TD
Symptoms: Tenderness
Clinical narrative: Left upper arm - tenderness/pain at injection site. Area of induration - 9 cm width/6 cm length. Slightly erythematous. Pt c/o itching/burning pain. Tx warm compresses observation .
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Urticaria, Wheezing
Clinical narrative: Approx 20 minutes after administration student developed hives and wheezing. Treated with epinephrine / Benadryl resolved.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Injection site swelling
Clinical narrative: Immediate swelling to site approx 6 cm x 6 cm. Within 30 min resolved to 1 cm with injection site. Client walking as usual in no distress.
Age: 1.01
Sex: F
Vaccine: HIBV
Symptoms: Injection site mass, Pain
Clinical narrative: Lump in leg at injection site and a little painful
Age: 1.01
Sex: M
Vaccine: MMR, UNK, VARCEL
Symptoms: Erythema, Pyrexia, Rash morbilliform
Clinical narrative: fever 105, measles rash 9 days later on 12/15/05.  12/16 fever 101 doing better coloring erythemitis plaques on entire body spreading to legs.
Age: 6.0
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Vaccination complication
Clinical narrative: CP _ on leg, back, buttocks ____ was seen 12/14/05 On zoverene, benadryl
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Dyspnoea, Hyperhidrosis, Hypoaesthesia, Injection site pain, Pain
Clinical narrative: A 36 year old female patient developed SOB with exertion and diaphoresis in the evening of the day she received the intramuscular injection of Adacel on 08/23/05 in the left deltoid. The patient has a history of asthma for 1.5 years and is on Albuternol inhaler and Maxeron. The patient received a Hapatitis B injection 2-3 weeks ago. The patient experienced pain at injection site half a hour after immunization. Two hours later she complained of entire left arm pain, numbness and was unable to lift a jar. At the time of report the symptoms were persisting but were less than at 24 hours post immunization. The evening of the vaccination the patient also developed SOB with exertion and diaphoresis episodes which are continuing. The patient has not seen a doctor for symptoms. As per reporter the patient has not recovered. Follow up information received on 10/13/05. As per reporter, the patient was seen by a physician in an emergency room. After the symptoms, she was back to work, returned to full duty within a few days. The patient had received prior hepatitis B vaccinations on 10/20/99 in right deltoid, on 11/05/99 in left deltoid, on 12/13/02 in left deltoid, on 08/01/05 in left deltoid and on 09/08/05 in right deltoid. The patient has not experienced similar reactions post previous vaccinations. No further information is available. The case is closed.
Age: 35.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Brachial plexopathy, Cellulitis, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: A 35 year old female patient developed a local reaction of redness, pain, warmth and induration at the injection site, 6 days after receiving the injection od Adacel in the left deltoid on 10/24/05. The patient received in concomitant a Pneumococcal vaccination in the right deltoid. The patient has a history of Hashimoto Thyroiditis was recovering from month long bronchitis. The patient went to the emergency department twice and was treated with IV Rocephin 2 gms and kefles. An ultrasound was negative, incision and drainage showed no puss, only blood. The patient was discharged with emergency room diagnosis of cellulitis. Recovery status of the patient was not reported.
Age: 35.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Skin warm
Clinical narrative: A 35 year old female patient developed a local reaction of redness, pain, warmth and induration at the injection site, 6 days after receiving the injection od Adacel in the left deltoid on 10/24/05. The patient received in concomitant a Pneumococcal vaccination in the right deltoid. The patient has a history of Hashimoto Thyroiditis was recovering from month long bronchitis. The patient went to the emergency department twice and was treated with IV Rocephin 2 gms and kefles. An ultrasound was negative, incision and drainage showed no puss, only blood. The patient was discharged with emergency room diagnosis of cellulitis. Recovery status of the patient was not reported.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Feeling hot, Injection site inflammation, Injection site nodule, Swelling
Clinical narrative: Initial report received from a patient on 31-August-2005. A 44 year old, female patient, developed injection site inflammation 48 hours after she received an injection in the right deltoid of Adacel (lot number C2151AC, route of administration not reported) on 24-August-2005. She had "localized redness, warmth and swelling 3" diameter." A "golf-ball sized nodule and redness are still present." At the time of reporting, the patient did not recover. Follow-up information received on 17/Oct/2005: The patient who was the reporter precised that she did not take any other medications and she did not presented with illness at time of vaccination. She recovered on unspecified date. Case is closed.
Age: 83.0
Sex: M
Vaccine: FLUX
Symptoms: Cerebrovascular accident, Craniotomy, Dizziness, Fall, Haemorrhage intracranial
Clinical narrative: My father received a flu vaccination from his doctor on Dec. 6, 2005. The next day, he began experiencing dizzy spells that continued to worsen. We thought he might have an inner ear infection, so he made an appointment with his doctor for Dec. 16, 2005. The doctor could find no infection. That night, Dec. 16, 2005, my father got up in the middle of the night and was very dizzy, and he fell and hit the back of his head, which caused subarachnoid bleeding in his brain. He did not realize he had fallen, so he did not call anyone or go to the hospital. The next evening, Dec. 17, 2005, he had seizures and had to be rushed to the hospital, where he is still a patient. I spoke with his neurologist last night at the hospital and he said he thinks my father had a stroke on Dec. 7, 2005, the day after he received the flu shot, and that the dizziness caused by the stroke caused him to fall and injure himself. Because the stroke happened the day after he received the flu shot, I'm very concerned the vaccine may have caused the stroke. Information received from the 60 day follow-up stated he became dizzy and suffered a light stroke two days after getting the shot, then fell and hit his head on December 16. From that, he suffered a subdural hematoma that required a borehole drilled, then later a craniotomy. He did not recover from that and passed away January 31, 2006
Age: 83.0
Sex: M
Vaccine: FLUX
Symptoms: Injury, Subdural haematoma
Clinical narrative: My father received a flu vaccination from his doctor on Dec. 6, 2005. The next day, he began experiencing dizzy spells that continued to worsen. We thought he might have an inner ear infection, so he made an appointment with his doctor for Dec. 16, 2005. The doctor could find no infection. That night, Dec. 16, 2005, my father got up in the middle of the night and was very dizzy, and he fell and hit the back of his head, which caused subarachnoid bleeding in his brain. He did not realize he had fallen, so he did not call anyone or go to the hospital. The next evening, Dec. 17, 2005, he had seizures and had to be rushed to the hospital, where he is still a patient. I spoke with his neurologist last night at the hospital and he said he thinks my father had a stroke on Dec. 7, 2005, the day after he received the flu shot, and that the dizziness caused by the stroke caused him to fall and injure himself. Because the stroke happened the day after he received the flu shot, I'm very concerned the vaccine may have caused the stroke. Information received from the 60 day follow-up stated he became dizzy and suffered a light stroke two days after getting the shot, then fell and hit his head on December 16. From that, he suffered a subdural hematoma that required a borehole drilled, then later a craniotomy. He did not recover from that and passed away January 31, 2006
Age: 0.35
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying
Clinical narrative: Crying for four straight hours, about 8 hours after vaccination.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Cellulitis at the injection site in the left deltoid, extending down to the elbow.  Patient started on antibiotics today.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Joint range of motion decreased, Shoulder pain
Clinical narrative: Patient presented on 12-21-05  11:35am complaining of continued pain in right shoulder area from Fluvirin injection received on 12-3-05. She also mentioned a decreased range of motion in the right shoulder area.
Age: 6.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Child brought in by parents due to 31/2" by 31/2" circumscribed area (L) deltoid. Area edematous and reddened, warm to touch. Seen by doctor: Children's Benadryl at bedtime recommended, compresses and follow up with PMD. To ER with any increase in symptoms.
Age: 17.0
Sex: M
Vaccine: FLUX
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: 9x9cm diameter area at the injection site that is red, hot, painful, tender, and swollen/fluctulant. Started on Keflex, presumed cellulitis.
Age: 17.0
Sex: M
Vaccine: FLUX
Symptoms: Injection site warmth
Clinical narrative: 9x9cm diameter area at the injection site that is red, hot, painful, tender, and swollen/fluctulant. Started on Keflex, presumed cellulitis.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Condition aggravated, Fibromyalgia, Hypoaesthesia, Hypokinesia, Injection site pain
Clinical narrative: The injection hurt. The arm continued to be painful, without redness or swelling. Have had some numbness ang tingling. Arm continues to have a dull pain making it hard to move and do things like getting dressed.  About a week and a half after the flu shot got a sore throat and laryngitis.  At that time the arm started to flare up and get painful again. Went to the doctor for the sore throat and mentioned the arm. He felt the shot had made her fibromyalgia flare and that it should be reported to VAERS.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Joint range of motion decreased, Pain, Paraesthesia, Pharyngolaryngeal pain
Clinical narrative: The injection hurt. The arm continued to be painful, without redness or swelling. Have had some numbness ang tingling. Arm continues to have a dull pain making it hard to move and do things like getting dressed.  About a week and a half after the flu shot got a sore throat and laryngitis.  At that time the arm started to flare up and get painful again. Went to the doctor for the sore throat and mentioned the arm. He felt the shot had made her fibromyalgia flare and that it should be reported to VAERS.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Patient reports pain, redness, swelling, and stiffness of the entire right upper arm, from elbow to shoulder, and the right upper back, associated with feeling feverish for 2 days (she didn't check her temperature.)  She was not examined until 2 weeks later, when all signs had resolved.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Rhinorrhoea, Wheezing
Clinical narrative: Gave vaccine early afternoon. Around 5 pm, developed wheezing, watery nose and tongue felt funny. Between 6-7 pm, lower jaw, lower lip and tongue felt numb. Wheezing got worse. Took benadryl 25 mg. Wheezing improved. Went to er and received pepcid. Took more benadryl and pepcid at midnight and symptoms resolved next day.
Age: 5.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Left arm red, warm,. swollen at injection site. 10 x 10 cm. Cellulitis. Tx with Keflex.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Loss of consciousness, Malaise, Memory impairment
Clinical narrative: Patient was given 0.5 ml of vaccine. She took the vaccine well but 10 seconds later patient complained that she did not feel well. She then lost consciousness and fell right of the chair. She awoke 30 seconds later with no memory of the event.
Age: 18.0
Sex: U
Vaccine: MNQ
Symptoms: Rash
Clinical narrative: Patient presented 5 days after receiving the MPSV4 vaccine with rash over her trunk and upper arms. Will monitor patient. Refer also to dermatology for further evaluation.
Sex: U
Vaccine: PPV
Symptoms: Abscess
Clinical narrative: Information has been received from a physician concerning a patient who was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine. On 19-Oct-2005 the patient developed an abscess and was hospitalized. The patient's outcome was unknown. Additional information has been requested.
Age: 46.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site induration, Tenderness
Clinical narrative: Erythema, induration, tenderness at injection site left deltoid, left upper arm. No fever. Symptoms resolved after 5-7 days.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Chills, Flank pain, Headache, Hyperhidrosis
Clinical narrative: Neck and headache, chill, diaphoresis, flank pain, chest pain. Symptoms last every night. Mild headache now.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Neck pain
Clinical narrative: Neck and headache, chill, diaphoresis, flank pain, chest pain. Symptoms last every night. Mild headache now.
Age: 0.22
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying
Clinical narrative: Mother called to report infant persistently crying, since immunizations given 11-11-05. Mom instructed to take infant to ER for evaluation on 11-14-05. Mom decide not to take infant to ER.
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Oedema
Clinical narrative: Red, swollen left upper outer deltoid area. Referred mother to private MD.
Age: 41.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Chills, Oedema peripheral, Pruritus
Clinical narrative: 12/8/05 Started having chills and joint aching. 12/16/05 Developed swelling of ankles and feet; also itching of feet and ankles. 12/18/05 Went to emergency room - blood work done and was told ok. Sent home with Lasix 20mg one po q.i.d. to follow up with family MD.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Swelling
Clinical narrative: Local erythema, swelling of arm 4" x 3"
Age: 1.2
Sex: M
Vaccine: FLU3, MMR, PPV, VARCEL
Symptoms: Medication error
Clinical narrative: Physician ordered Prevnar. Patient given pneumovax.
Age: 1.02
Sex: F
Vaccine: FLU3, MMR, VARCEL
Symptoms: Rash morbilliform
Clinical narrative: Morbilliform rash on trunk same on upper extremities, low grade fever.
Age: 27.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain
Clinical narrative: Pain started 12-20-05. Red 2-3 mm in size. Pain down left arm
Age: 33.0
Sex: M
Vaccine: SMALL
Symptoms: Chills, Erythema, Headache, Injection site reaction, Malaise
Clinical narrative: On Day 3-6, patient suffered from fever, nausea, chills, headache and malaise.  On day 9, the patient developed a generalized papular rash similar in apprearance to roseola, initially asymptomatic, but developing intense pruritis over the next 2-3 days.  Surrounding the vaccination site on the left deltoid area was intesnse erythema and edema.  Fevers, headache and malaise continued for the next 4-5 days concomitant with the rash.  On day 15, the rash began to lose it's widespread distribution and erythematous nature, lightening into a pink color.  By day 18, the rash was completely gone as well as all systemic symptoms.  Fever was always low-grade, not exceeding 100F.  At no time did the patient require airway management. He was treated effectively on an outpatient basis with Atarax and Tylenol.  He has made what appears to be a full recovery, the wound site appears intact and appropriate for the given innoculation timeline.  The scab has not yet fallen off as of today.     MY DIAGNOSIS WITHOUT THE LUXURY OF LOCAL DERMATALOGIC CONSULTATION IS GENERALIZED VACCINIA.
Age: 33.0
Sex: M
Vaccine: SMALL
Symptoms: Nausea, Oedema, Pruritus, Pyrexia, Rash papular
Clinical narrative: On Day 3-6, patient suffered from fever, nausea, chills, headache and malaise.  On day 9, the patient developed a generalized papular rash similar in apprearance to roseola, initially asymptomatic, but developing intense pruritis over the next 2-3 days.  Surrounding the vaccination site on the left deltoid area was intesnse erythema and edema.  Fevers, headache and malaise continued for the next 4-5 days concomitant with the rash.  On day 15, the rash began to lose it's widespread distribution and erythematous nature, lightening into a pink color.  By day 18, the rash was completely gone as well as all systemic symptoms.  Fever was always low-grade, not exceeding 100F.  At no time did the patient require airway management. He was treated effectively on an outpatient basis with Atarax and Tylenol.  He has made what appears to be a full recovery, the wound site appears intact and appropriate for the given innoculation timeline.  The scab has not yet fallen off as of today.     MY DIAGNOSIS WITHOUT THE LUXURY OF LOCAL DERMATALOGIC CONSULTATION IS GENERALIZED VACCINIA.
Age: 33.0
Sex: M
Vaccine: SMALL
Symptoms: Roseola
Clinical narrative: On Day 3-6, patient suffered from fever, nausea, chills, headache and malaise.  On day 9, the patient developed a generalized papular rash similar in apprearance to roseola, initially asymptomatic, but developing intense pruritis over the next 2-3 days.  Surrounding the vaccination site on the left deltoid area was intesnse erythema and edema.  Fevers, headache and malaise continued for the next 4-5 days concomitant with the rash.  On day 15, the rash began to lose it's widespread distribution and erythematous nature, lightening into a pink color.  By day 18, the rash was completely gone as well as all systemic symptoms.  Fever was always low-grade, not exceeding 100F.  At no time did the patient require airway management. He was treated effectively on an outpatient basis with Atarax and Tylenol.  He has made what appears to be a full recovery, the wound site appears intact and appropriate for the given innoculation timeline.  The scab has not yet fallen off as of today.     MY DIAGNOSIS WITHOUT THE LUXURY OF LOCAL DERMATALOGIC CONSULTATION IS GENERALIZED VACCINIA.
Age: 44.0
Sex: M
Vaccine: FLUX
Symptoms: Back pain, Bacterial infection, Blood urine, Chest pain, Cold sweat
Clinical narrative: Vaccine given on 11/16/05 at about 11:30 AM: 9 hours after receiving the shot: hot flashes, muscle aches, cold sweats: lasting for two days. Then on 11/21/05 5 days after the vaccine: cold sweats, low grade fever, insomnia, chest pains - as if a great weight was on the chest, back pains between the shoulder blades, body aches, trouble breathing. 11/22/05 8:30 AM - went to the clinic - low oxygen in blood, blood in urine, high white and red blood count, low grade fever, body aches, back pain, chest pain. Ambulanced to hospital: Arrived about 11:30AM given oral and IV MEDS, heart monitor, nitroglycerin ointment 2% 1GM, Troponin I, Magnesium, Promethazine HCL, Sod Chloride 0.9%, Cenftriaxone Injection, Morphine injection, Lopressor 50 mg, Aceta tablets 325 mg, Darvon 100 mg, Ambien 5mg, Plavix 75mg, Hum R Per unit, Diovvan HT 160/12.5, Pantoprazole 40mgp, Travenol, Insulin Glargine, zoccar 80mg, oxygen, admitted to the hospital, continued observation, heart monitoring, antibiotics, Discharged on 11/24/05 at 2:30 PM ordered to take CEFUROXIME AXETIL antibiotics 500 mg two times daily for ten days. On 11/25/05 10:00 am the right arm began to hurt, swelling, and hot to the touch. Pain got worst till swelling got very bad. 11/30/2005 8:00 AM saw my Cardiologistist to review what happened at the hospital and told him of the pain in the arm. He dignosied it as a staff infection and told me to continue to take the medication hospital assigned but if it got worst to go back to the hospital. On 12/01/05 went back to the hospital a blood clot was found and infection in my arm: treatment included Enoxaparin, saline flush 10ml, Sod Chloride 0.9%, Septra Ds Tablet, Ceftriaxone injection: Oral medication included Augmentin, Bactrim DS, Motrin, Vicodin. On 12/03/05 4:00 pm began to feel clammy, hot with cold sweats but no fever and was gone the next day. Have been healthy since.
Age: 44.0
Sex: M
Vaccine: FLUX
Symptoms: Dyspnoea, Hot flush, Hyperhidrosis, Injection site warmth, Insomnia
Clinical narrative: Vaccine given on 11/16/05 at about 11:30 AM: 9 hours after receiving the shot: hot flashes, muscle aches, cold sweats: lasting for two days. Then on 11/21/05 5 days after the vaccine: cold sweats, low grade fever, insomnia, chest pains - as if a great weight was on the chest, back pains between the shoulder blades, body aches, trouble breathing. 11/22/05 8:30 AM - went to the clinic - low oxygen in blood, blood in urine, high white and red blood count, low grade fever, body aches, back pain, chest pain. Ambulanced to hospital: Arrived about 11:30AM given oral and IV MEDS, heart monitor, nitroglycerin ointment 2% 1GM, Troponin I, Magnesium, Promethazine HCL, Sod Chloride 0.9%, Cenftriaxone Injection, Morphine injection, Lopressor 50 mg, Aceta tablets 325 mg, Darvon 100 mg, Ambien 5mg, Plavix 75mg, Hum R Per unit, Diovvan HT 160/12.5, Pantoprazole 40mgp, Travenol, Insulin Glargine, zoccar 80mg, oxygen, admitted to the hospital, continued observation, heart monitoring, antibiotics, Discharged on 11/24/05 at 2:30 PM ordered to take CEFUROXIME AXETIL antibiotics 500 mg two times daily for ten days. On 11/25/05 10:00 am the right arm began to hurt, swelling, and hot to the touch. Pain got worst till swelling got very bad. 11/30/2005 8:00 AM saw my Cardiologistist to review what happened at the hospital and told him of the pain in the arm. He dignosied it as a staff infection and told me to continue to take the medication hospital assigned but if it got worst to go back to the hospital. On 12/01/05 went back to the hospital a blood clot was found and infection in my arm: treatment included Enoxaparin, saline flush 10ml, Sod Chloride 0.9%, Septra Ds Tablet, Ceftriaxone injection: Oral medication included Augmentin, Bactrim DS, Motrin, Vicodin. On 12/03/05 4:00 pm began to feel clammy, hot with cold sweats but no fever and was gone the next day. Have been healthy since.
Age: 44.0
Sex: M
Vaccine: FLUX
Symptoms: Myalgia, Pain, Pyrexia, Red blood cell abnormality, Swelling
Clinical narrative: Vaccine given on 11/16/05 at about 11:30 AM: 9 hours after receiving the shot: hot flashes, muscle aches, cold sweats: lasting for two days. Then on 11/21/05 5 days after the vaccine: cold sweats, low grade fever, insomnia, chest pains - as if a great weight was on the chest, back pains between the shoulder blades, body aches, trouble breathing. 11/22/05 8:30 AM - went to the clinic - low oxygen in blood, blood in urine, high white and red blood count, low grade fever, body aches, back pain, chest pain. Ambulanced to hospital: Arrived about 11:30AM given oral and IV MEDS, heart monitor, nitroglycerin ointment 2% 1GM, Troponin I, Magnesium, Promethazine HCL, Sod Chloride 0.9%, Cenftriaxone Injection, Morphine injection, Lopressor 50 mg, Aceta tablets 325 mg, Darvon 100 mg, Ambien 5mg, Plavix 75mg, Hum R Per unit, Diovvan HT 160/12.5, Pantoprazole 40mgp, Travenol, Insulin Glargine, zoccar 80mg, oxygen, admitted to the hospital, continued observation, heart monitoring, antibiotics, Discharged on 11/24/05 at 2:30 PM ordered to take CEFUROXIME AXETIL antibiotics 500 mg two times daily for ten days. On 11/25/05 10:00 am the right arm began to hurt, swelling, and hot to the touch. Pain got worst till swelling got very bad. 11/30/2005 8:00 AM saw my Cardiologistist to review what happened at the hospital and told him of the pain in the arm. He dignosied it as a staff infection and told me to continue to take the medication hospital assigned but if it got worst to go back to the hospital. On 12/01/05 went back to the hospital a blood clot was found and infection in my arm: treatment included Enoxaparin, saline flush 10ml, Sod Chloride 0.9%, Septra Ds Tablet, Ceftriaxone injection: Oral medication included Augmentin, Bactrim DS, Motrin, Vicodin. On 12/03/05 4:00 pm began to feel clammy, hot with cold sweats but no fever and was gone the next day. Have been healthy since.
Age: 44.0
Sex: M
Vaccine: FLUX
Symptoms: White blood cell count increased
Clinical narrative: Vaccine given on 11/16/05 at about 11:30 AM: 9 hours after receiving the shot: hot flashes, muscle aches, cold sweats: lasting for two days. Then on 11/21/05 5 days after the vaccine: cold sweats, low grade fever, insomnia, chest pains - as if a great weight was on the chest, back pains between the shoulder blades, body aches, trouble breathing. 11/22/05 8:30 AM - went to the clinic - low oxygen in blood, blood in urine, high white and red blood count, low grade fever, body aches, back pain, chest pain. Ambulanced to hospital: Arrived about 11:30AM given oral and IV MEDS, heart monitor, nitroglycerin ointment 2% 1GM, Troponin I, Magnesium, Promethazine HCL, Sod Chloride 0.9%, Cenftriaxone Injection, Morphine injection, Lopressor 50 mg, Aceta tablets 325 mg, Darvon 100 mg, Ambien 5mg, Plavix 75mg, Hum R Per unit, Diovvan HT 160/12.5, Pantoprazole 40mgp, Travenol, Insulin Glargine, zoccar 80mg, oxygen, admitted to the hospital, continued observation, heart monitoring, antibiotics, Discharged on 11/24/05 at 2:30 PM ordered to take CEFUROXIME AXETIL antibiotics 500 mg two times daily for ten days. On 11/25/05 10:00 am the right arm began to hurt, swelling, and hot to the touch. Pain got worst till swelling got very bad. 11/30/2005 8:00 AM saw my Cardiologistist to review what happened at the hospital and told him of the pain in the arm. He dignosied it as a staff infection and told me to continue to take the medication hospital assigned but if it got worst to go back to the hospital. On 12/01/05 went back to the hospital a blood clot was found and infection in my arm: treatment included Enoxaparin, saline flush 10ml, Sod Chloride 0.9%, Septra Ds Tablet, Ceftriaxone injection: Oral medication included Augmentin, Bactrim DS, Motrin, Vicodin. On 12/03/05 4:00 pm began to feel clammy, hot with cold sweats but no fever and was gone the next day. Have been healthy since.
Age: 47.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Myalgia, Oedema, Pruritus
Clinical narrative: Patient called County Health Dept to report sore, red, swollen, itchy area size of 50 cent on left arm where she received varicella immunization. On 12-20-05 at RCHP, onset today at 0900. Has applied hydro-cortisone cream. Denies rash, hives, itch on rest of body. 12-22-05 PC to pt red area now pink, no itch, less sore.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Erythema, Oedema
Clinical narrative: 7 x 10 area of firm, swollen, reddened skin over right deltoid with axillary lymph gland enlargement and mild axillary swelling. NL distal arms.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Cough, Fatigue, Myalgia, Ocular hyperaemia
Clinical narrative: 4 hours after vaccination:  foreign body sensation in throat, dry cough 6 hours after vaccination:  fatigue, low-grade fever (temperature not taken), uncontrollable chills/rigors, muscle aches (entire body), injected eyes ("bloodshot") 7 hours after vaccination:  Treatment with Advil 400 mg 2 hours after Advil:  improvement in symptoms 8 hours after Advil:  further improvement except for tiredness
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Throat tightness
Clinical narrative: 4 hours after vaccination:  foreign body sensation in throat, dry cough 6 hours after vaccination:  fatigue, low-grade fever (temperature not taken), uncontrollable chills/rigors, muscle aches (entire body), injected eyes ("bloodshot") 7 hours after vaccination:  Treatment with Advil 400 mg 2 hours after Advil:  improvement in symptoms 8 hours after Advil:  further improvement except for tiredness
Age: 37.0
Sex: F
Vaccine: DTAP, FLU3
Symptoms: Cellulitis, Swelling
Clinical narrative: Received both the influenza vaccine and the new pertussis/diphtheria/tetanus in my right deltoid.  My arm swelled up the next day and developed a mild cellulitis.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Medication error
Clinical narrative: Patient received 0.5 cc Fluarix vaccination IM; this is not approved by the FDA for use in children younger than 18 years.  No apparent side effects.
Age: 7.0
Sex: M
Vaccine: FLU3
Symptoms: Medication error
Clinical narrative: Patient received Fluarix vaccination - this is not approved for those under age 18. No adverse reactions reported by Mom.
Age: 6.0
Sex: F
Vaccine: FLU3
Symptoms: Medication error
Clinical narrative: Patient received Fluarix vaccine, which is not approved for children under age 18.  No adverse reactions reported by Mom.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Medication error
Clinical narrative: Patient received Flurarix vaccine, which is only approved for those over age 18; no adverse reactions reported by Mother.
Age: 11.0
Sex: F
Vaccine: FLU3
Symptoms: Medication error
Clinical narrative: Patient received Fluarix vaccine, which is not approved for children under age 18.  No adverse reactions according to Mom.
Age: 16.0
Sex: F
Vaccine: FLU3
Symptoms: Medication error
Clinical narrative: Patient received Fluarix vaccine, which is not approved for children under age 18.  No apparent side effects according to mom.
Age: 17.0
Sex: F
Vaccine: FLU3
Symptoms: Medication error
Clinical narrative: Patient received Fluarix vaccine, which is not approved for those under age 18.  No apparent side effects according to Mom.
Age: 16.0
Sex: M
Vaccine: FLU3
Symptoms: Medication error
Clinical narrative: Patient received Fluarix vaccine, which is not approved for those under age 18.
Age: 17.0
Sex: M
Vaccine: FLU3
Symptoms: Medication error
Clinical narrative: Patient received Fluarix vaccine, which is not approved for use in those under age 18. No adverse reactions according to Mom.
Age: 17.0
Sex: M
Vaccine: FLU3
Symptoms: Medication error
Clinical narrative: Patient received Fluarix vaccine, which is not approved for children under the age of 18.  Mom reports no adverse reaction.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: LEFT DELTOID REGION WITH SWELLING & ERYTHEMA 6CM X 5CM AT IMMUN SITE TO DTaP.
Age: 35.0
Sex: F
Vaccine: TD
Symptoms: Asthenia, Injection site pain
Clinical narrative: After receiving the vaccination I would report that I had the mild reaction of soreness at site of injection.  That soreness became severe on the 4th day after the vaccination.  Today is the 13th day and the pain continues with some weakness in my left arm.  I went back to doctor and reported my symptoms.
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Swelling, Tenderness
Clinical narrative: Rt upper arm deltoid area  with mild diffuse deep swelling, tenderness. No skin discoloration.
Age: 0.35
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Feeling jittery, High-pitched crying, Sleep disorder, Speech disorder, Vomiting
Clinical narrative: For 3 weeks after receiving vaccinations mom reports patient with high pitched cry, "jumpy", vomited a few times, slept poorly during the day but fine at night, quit vocalizing and then gradually normalized to normal vocalizations.  After 3 weeks the symptoms spontaneously resolved.  No intercurrent viral symptoms, fevers, disruption of gross motor development or eye contact.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Azotaemia, Cardiac failure congestive, Hypercholesterolaemia, Hyperlipidaemia, Hypernatraemia
Clinical narrative: Received the flu 2 weeks after the shot then it turned pneumonia. 2/21/06 Received medical records which revealed patient experienced acute respiratory failure, pneumonia, CHF, hypernatremia, azotemia, HTN, MRSA pneumonia & MRSA UTI.  PMH: hypercholesterolemia, osteoporosis, compression fx, liver cyst, hypothyroidism & hyperlipidemia./ss
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Hypertension, Hypothyroidism, Osteoporosis, Pneumonia, Respiratory failure
Clinical narrative: Received the flu 2 weeks after the shot then it turned pneumonia. 2/21/06 Received medical records which revealed patient experienced acute respiratory failure, pneumonia, CHF, hypernatremia, azotemia, HTN, MRSA pneumonia & MRSA UTI.  PMH: hypercholesterolemia, osteoporosis, compression fx, liver cyst, hypothyroidism & hyperlipidemia./ss
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Urinary tract infection
Clinical narrative: Received the flu 2 weeks after the shot then it turned pneumonia. 2/21/06 Received medical records which revealed patient experienced acute respiratory failure, pneumonia, CHF, hypernatremia, azotemia, HTN, MRSA pneumonia & MRSA UTI.  PMH: hypercholesterolemia, osteoporosis, compression fx, liver cyst, hypothyroidism & hyperlipidemia./ss
Age: 47.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Drug ineffective, Pain
Clinical narrative: Patient had negative rubella titer and as part of pre-employment she received MMR vaccine on 10-19-2005.  Moderate to severe bilateral wrist/hand arthralgia began ten days later and lasted about 3 weeks, from 10-29-05 until about 11-21-05.  This pain was not accounted for by any activity at work or at home.  No prior history of such symptoms.  Previously healthy with no chronic meds or medical conditions.  She also had mild bilateral knee and ankle pain for a portion of this time.  Pain was fairly well-controlled with OTC ibuprofen.
Age: 52.0
Sex: F
Vaccine: HEPA
Symptoms: Face oedema, Pruritus, Tongue oedema, Urticaria
Clinical narrative: After 15 minutes, PT c/o itching at back of neck.  PT had large welt/hives that spread to arms within minutes.  PT was immediately taken to acute care, IV access was obtained, IV Benadryl (12.5 mg IV) was given.  Less than 20 minutes after receiving VAQTA (Hep A dose #2) PT developed swelling of tongue and lips.  12.5 mg of Benadryl was repeated.  All hives and swelling resolved and patient was discharged with PO Benadryl, methylprednisolone dose pack (PO), Zyrtec, and Epi-pen (all with instructions) and has appointments for follow up and with an allergist.
Age: 56.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Within 2 hours of administering the vaccine SQ in the left deltoid, had developed local redness, induration and pain with warmth.  Within 8 hours, had a subjective fever, chills malaise.  Over the next 24 hours, the redness, swelling warmth and pain spread down the arm to involve the entire deltoid region, down to the mid forearm.
Age: 56.0
Sex: M
Vaccine: PPV
Symptoms: Malaise, Pyrexia
Clinical narrative: Within 2 hours of administering the vaccine SQ in the left deltoid, had developed local redness, induration and pain with warmth.  Within 8 hours, had a subjective fever, chills malaise.  Over the next 24 hours, the redness, swelling warmth and pain spread down the arm to involve the entire deltoid region, down to the mid forearm.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Asthenia, Hypersensitivity, Injection site erythema, Lymphadenopathy, Nasal congestion
Clinical narrative: Approximately 1 hour after having had Menactra Meningococcal Conjugate Vaccine administered in her left deltoid muscle, the patient informed her mom that her throat felt tight and funny, and that she felt slightly weak in general, and felt weak in the legs in particular. She also noted some localized redness where her band-aid had been applied over the injection site. The patient, upon her mother calling us, was advised to take Benadryl, 25 mg PO, x one. She did so, and was evaluated within approximately an hour of calling. I diagnosed her with a seeming mild allergic reaction to the Menactra, and confirmed that this seemed to be a reportable adverse event. Upon objective assessment, the patient was in no acute distress. She was noted to NOT be having anaphylaxis. She was without any angioedema or swelling of her eyes. She had some mild nasal congestion and mild anterior cervical adenopathy, consistent with a possible early viral URI. Her breath sounds were clear with excellent aeration, and NO wheezing noted. She was noted to have localized erythema, predominantly underlying where her adhesive bandage has been, at the injection site. I prescribed Zyrtec 10mg tabs, to be taken 1 tab PO, daily for the next 7 to 10 days, to try and suppress any further allergic symptoms. To date, she has done fine since.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Throat tightness, Viral infection
Clinical narrative: Approximately 1 hour after having had Menactra Meningococcal Conjugate Vaccine administered in her left deltoid muscle, the patient informed her mom that her throat felt tight and funny, and that she felt slightly weak in general, and felt weak in the legs in particular. She also noted some localized redness where her band-aid had been applied over the injection site. The patient, upon her mother calling us, was advised to take Benadryl, 25 mg PO, x one. She did so, and was evaluated within approximately an hour of calling. I diagnosed her with a seeming mild allergic reaction to the Menactra, and confirmed that this seemed to be a reportable adverse event. Upon objective assessment, the patient was in no acute distress. She was noted to NOT be having anaphylaxis. She was without any angioedema or swelling of her eyes. She had some mild nasal congestion and mild anterior cervical adenopathy, consistent with a possible early viral URI. Her breath sounds were clear with excellent aeration, and NO wheezing noted. She was noted to have localized erythema, predominantly underlying where her adhesive bandage has been, at the injection site. I prescribed Zyrtec 10mg tabs, to be taken 1 tab PO, daily for the next 7 to 10 days, to try and suppress any further allergic symptoms. To date, she has done fine since.
Age: 0.34
Sex: M
Vaccine: DTAPH, FLUX, MMR
Symptoms: Agitation, Irritability, Screaming
Clinical narrative: At 2mths routine vax.. approx 1 hr after started having unconsolible screaming.. Was fussy/crabby for approx 2wks after. At 3mth routine vax. Pertussis vax was eliminated. Approx 1 hr after started having inconsolable crying.. Tylenol was administered after each vax approx every 4 hours.
Age: 28.0
Sex: M
Vaccine: FLUX
Symptoms: Pain, Sleep disorder
Clinical narrative: My arm hasn't stopped hurting since my shot.  I have about 50% strength in that arm and when I move my shoulder beyond certain angles I feel like someone is stabbing me.  The pain has caused me to awake in the middle of the night on several occassions.  My friend is a doctor and he told me that they a nerve was probably hit.  That it would just take time, I told him that was unacceptable.  What if I have permanent nerve damage in my arm?
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Hypokinesia, Injection site pain, Neuritis, Pain
Clinical narrative: FLU VACCINE RECEIVED AT PLACE OF EMPLOYMENT.  ACTUAL INJECTION WS NON-EVENTFUL HOWEVER, THE ADMINSTRATION OF THE VACCINATION MEDICATION WAS QUITE PAINFUL.  APPROXIMATELY TWO (2) HOURS AFTER INJECTION ARM STARTED BECOMING QUITE SORE.  HAVING RECEIVED FLU VACCINATIONS YEARLY FOR MANY YEARS, IT WAS NOT UNUSUAL TO EXPERIENCE SOME TENDERNESS IN THE HOURS AFTER THE INJECTION. THAT EVENING, I EXPERIENCED EXTREME PAIN IN THE ARM AND WAS BARELY ABLE TO MOVE IT.  THIS CONTINUED THROUGHOUT THE NIGHT KEEPING ME AWAKE MOST OF THE NIGHT.  AFTER A FEW DAYS IT DAYS IT WAS FEELING BETTER.  A LITTLE SORE BUT NOTHING SEVERE SO I ASSUMED MY ARM WAS RECOVERING.  HOWEVER, JUST AS I THOUGHT IT WAS IMPROVING, THE PAIN AGAIN BECAME QUITE SEVERE (THIS OCCURRED APPROX SEVEN (7) DAYS AFTER THE INJECTION.  OVER THE FOLLOWING WEEKS, THE LEVEL OF PAIN FLUCTUATED BETWEEN MILD (TOLERABLE) AND SEVERE (MOVEMENT CAUSED ME TO GASP).  ON DECEMBER 14, 2005, I VISITED MY PRIMARY CARE PHYSICIAN.  HE TOLD ME HE FELT THAT THE SYMPTOMS WERE NOT CAUSED BY NEEDLE, BUT DIAGNOSED IT AS A NEURITIS CAUSED BY THE VACCINE.  HE PRESCRIBED NEUROTININ (GABAPENTIN 300 MG TWICE DAILY FOR TWO WEEKS).  I WAS UNABLE TO CONTINUE WITH THAT TREATMENT BECAUSE IT CAUSED SEVERE DIARRHEA AND GAS.  I HAVE AN APPOINTMENT SCHEDULED WITH AN ORTHOPAEDIC SPECIALIST FOR DECEMBER 30, 2005.