chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Eye oedema, Face oedema, Hypersensitivity, Hypotonia, Hypoventilation
Clinical narrative: Ten minutes post vax, pt became edematous, vomited, limp and shock-like. Given Adrenaline stat and rushed to ER where she received IV Benadryl and steroids. Physicians notes state that oropharyngeal swelling or redness occurred with swelling to orbit and lower lip. Stated in hospital report that experienced acute allergic reaction to vax.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pharyngeal oedema, Shock, Vomiting
Clinical narrative: Ten minutes post vax, pt became edematous, vomited, limp and shock-like. Given Adrenaline stat and rushed to ER where she received IV Benadryl and steroids. Physicians notes state that oropharyngeal swelling or redness occurred with swelling to orbit and lower lip. Stated in hospital report that experienced acute allergic reaction to vax.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Depressed level of consciousness, Encephalopathy
Clinical narrative: Post vax, pt experienced altered mental status per parents. Pt was admitted with possible encephalopathy associated with the vaccine. Per discharge summary pt went to sleep after leaving the office (from receiving vax) and had not awakened except briefly and incompletely to feed. She had not let anyone know of this previously. No vomiting, diarrhea, congestion, coughing, or fever.
Age: 54.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Joint stiffness
Clinical narrative: Since vaccine, pt has had allot of problems with joint, stiffness and pain. On 11/9/99, pt went to hospital with problems, had several tests that are still ongoing, no results yet.
Age: 25.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia
Clinical narrative: After 3rd shot, pt had left elbow and wrist pain significant enough to impair work for 12 days after the shot.
Age: 39.0
Sex: F
Vaccine: ANTH
Symptoms: Rash papular
Clinical narrative: Post 4th Anthrax shot, pt developed pruritic papular rash one week later which has persisted until today. Treating with antihistamine and oral steroids.
Age: 53.0
Sex: M
Vaccine: ANTH
Symptoms: Hypoaesthesia, Muscular weakness
Clinical narrative: Within 1 week, noted numbness and tingling in armpit and middle and ring finger left arm. Within 6 weeks, noted increase of weakness of lower left arm and weak left hand grasp. Occasional dropping of objects placed in left hand. Today, he feels some return of strength. Occaionally notices numbness and tingling of left armpit and fingers.  Follow up 06/05/2000: "Patient partially recovered from adverse event.  Numbness underarm in armpit area and numbness of ring finger some improvement in strength and grip."
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site pain
Clinical narrative: Burning sensation approximately 6"x4" on right bicep. Continued for approximately 3.5 days, with redness. Lump approximately quarter dollar size at injection site.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Chest pain, Injection site hypersensitivity, Injection site oedema, Injection site pain
Clinical narrative: This pt experienced similar reaction to all 3 anthrax vax - two to right deltoid and 1 to left. Reports immediate onset of pain that is throbbing in nature and 5-6/10 in severity, completely resolves in 30 minutes to 1 hour. This same pain extends across chest between clavicle and nipple line and halting at opposite shoulder, not felt across back, no associated shortness of breath, diaphoresis or weakness. Mild to moderate local swelling and erythema ensues for 3-4 days.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Headache
Clinical narrative: Pt experienced a headache, ranging from a dull ache to extreme pain since 2 1/2 hours after immunization. Persisted since 4/10/00.
Age: 30.0
Sex: F
Vaccine: ANTH
Symptoms: Pain
Clinical narrative: Shot #3 tolerated better (no nausea, fever or swelling) but was sore.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Dizziness, Fatigue, Hangover, Headache, Nausea
Clinical narrative: Headaches, fatigue, light-headed "hang over", post vax. Symptoms started 24 hours, post vax and lasted about 72 hours. Also, had nausea and vomiting.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Vomiting
Clinical narrative: Headaches, fatigue, light-headed "hang over", post vax. Symptoms started 24 hours, post vax and lasted about 72 hours. Also, had nausea and vomiting.
Age: 20.0
Sex: F
Vaccine: ANTH
Symptoms: Headache, Nausea, Oedema peripheral, Pain
Clinical narrative: Next day post vax, the pt developed swelling and soreness in arm. Pt also had nausea and headache which awakened her from her sleep.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Dry mouth, Feeling abnormal, Headache, Influenza like illness
Clinical narrative: Headache, sore neck, memory difficulty, feels in a fog, muscle and joint pain in left arm. Knot in arm <5cm. Dry mouth, flu-like symptoms occurred first. No lost duty time.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site mass, Memory impairment, Myalgia, Neck pain
Clinical narrative: Headache, sore neck, memory difficulty, feels in a fog, muscle and joint pain in left arm. Knot in arm <5cm. Dry mouth, flu-like symptoms occurred first. No lost duty time.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site oedema, Injection site pain
Clinical narrative: Sore, swollen arm 6cm X 9cm.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site pain
Clinical narrative: Pain deep in arm at injection site, continuing since 10/4/99, date of injection, left arm.
Age: 7.0
Sex: M
Vaccine: PNC
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Vasodilation procedure
Clinical narrative: Three x Two inch swelling in right deltoid area. Red, warm to touch vax. Treatment: Omnicef 250 mg daily for five days. Soreness at site day of vax. Redness and swelling noted on 04/22 when child awoke.
Age: 1.01
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: Mom noted rash that looked like hives on legs, knees and axilla. Treatment: Benadryl. No other symptoms. Rash lasted approximately 2 days. Bruised-like appearance: palpable purpura.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Agitation
Clinical narrative: Irritability for 4 days.
Age: 2.0
Sex: M
Vaccine: HEPA, PNC
Symptoms: Agitation, Pollakiuria
Clinical narrative: Frequency in urination, irritability for 4 days.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MER
Symptoms: Pruritus, Rash
Clinical narrative: Generalized rash over head, neck and both arms with pruritis. Treatment: Adrenaline 0.15ml subcutaneous dose 1.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Coma, Diarrhoea, Nasal congestion, Pneumonitis, Pulmonary haemorrhage
Clinical narrative: Mother stated to MD that the baby was fed formula and at 3:00am was returned to his crib. Baby seems to be sleeping later than usual and when mother checked infant at approximately 8:00am he was on his back and unresponsive. Per mothers report, infant experienced diarrhea, nasal congestion, no fever was noted. Autopsy states cause of death as interstital pneumonitis. Autopsy shows also pulmonary edema, focal intrapulmonic hemorrhage.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Pulmonary oedema
Clinical narrative: Mother stated to MD that the baby was fed formula and at 3:00am was returned to his crib. Baby seems to be sleeping later than usual and when mother checked infant at approximately 8:00am he was on his back and unresponsive. Per mothers report, infant experienced diarrhea, nasal congestion, no fever was noted. Autopsy states cause of death as interstital pneumonitis. Autopsy shows also pulmonary edema, focal intrapulmonic hemorrhage.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Acidosis, Cardiac arrest, Cardiac failure, Dehydration, Diarrhoea
Clinical narrative: Pt experienced vomiting, diarrhea, dehydration. Pt was hospitalized for 20 hours with dehydration. Pt went into cardiac arrest and transferred to ICU where pt continued to arrest and sustained organ failure.Autopsy shows high fever, pleural effusion, acidosis, hyperkalalemia
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Hyperkalaemia, Pleural effusion, Pyrexia, Vomiting
Clinical narrative: Pt experienced vomiting, diarrhea, dehydration. Pt was hospitalized for 20 hours with dehydration. Pt went into cardiac arrest and transferred to ICU where pt continued to arrest and sustained organ failure.Autopsy shows high fever, pleural effusion, acidosis, hyperkalalemia
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Apnoea, Sudden infant death syndrome
Clinical narrative: Pt went to local ER dead on arrival. Follow-up with mom states she brought baby to ER because he stopped breathing. Autopsy revealed SIDS.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, DTAP, HIBV, IPV, DTAP, HIBV, IPV, DTAP, HIBV, IPV
Symptoms: Apnoea, Cardiac arrest, Sudden infant death syndrome
Clinical narrative: Found apneic and asystolic, tied up in blankets 24 hours after vax. Autopsy shows final cause of death as sudden infant death syndrome. A follow up report received 6/12/2000 clarifies that pt was found "tangled up in his blankets" rather than "tied up in blankets".
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, DTAP, HIBV, IPV, DTAP, HIBV, IPV, DTAP, HIBV, IPV
Symptoms: Sudden infant death syndrome
Clinical narrative: Found apneic and asystolic, tied up in blankets 24 hours after vax. Autopsy shows final cause of death as sudden infant death syndrome. A follow up report received 6/12/2000 clarifies that pt was found "tangled up in his blankets" rather than "tied up in blankets".
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, DTAP, HIBV, IPV, DTAP, HIBV, IPV, DTAP, HIBV, IPV
Symptoms: Apnoea, Cardiac arrest
Clinical narrative: Found apneic and asystolic, tied up in blankets 24 hours after vax. Autopsy shows final cause of death as sudden infant death syndrome. A follow up report received 6/12/2000 clarifies that pt was found "tangled up in his blankets" rather than "tied up in blankets".
Age: 18.0
Sex: F
Vaccine: TTOX
Symptoms: Hemiplegia
Clinical narrative: A physician reported that a female, presently 38 years of age, received an injection approximately 20 years ago. She subsequently developed paralysis of the left side of her body. The paralysis was temporary and the pt fully recovered. This event is considered medically important.
Age: 1.6
Sex: M
Vaccine: DTPHIB, HEP, IPV, MMR
Symptoms: Abnormal behaviour, Autism
Clinical narrative: Pt lost eye contact, he appeared to have lost his hearing. He began to walk in circles bucking his head up and down making strange noises. He discontinued his "babbling" and he started hitting himself in the head, banging his head on the floor or wall and flapping his hands.60 day follow-up dated 11/01/00 provided no additional data.
Age: 0.08
Sex: M
Vaccine: HEP
Symptoms: Agitation, Cerebral haematoma, Convulsion, Crying, Visual disturbance
Clinical narrative: Pt experienced vomiting lasting for 4 days, seizures lasting for 1 day, experienced an unusual cry, fussiness lasting 4 days, visual disturbance lasting 1 day. The pt was subsequently hospitalized. Discharge summary dx: subdural hemtomas bilaterlly, seizures, neurological & developmental delay
Age: 0.08
Sex: M
Vaccine: HEP
Symptoms: Vomiting
Clinical narrative: Pt experienced vomiting lasting for 4 days, seizures lasting for 1 day, experienced an unusual cry, fussiness lasting 4 days, visual disturbance lasting 1 day. The pt was subsequently hospitalized. Discharge summary dx: subdural hemtomas bilaterlly, seizures, neurological & developmental delay
Age: 44.0
Sex: F
Vaccine: HEP
Symptoms: Amnesia, Asthenia, Fatigue, Fibromyalgia, Headache
Clinical narrative: Patient experienced noticeable fatigue and headache with 1st and 2nd vaccine. Pt experienced severe fatigue and was bed ridden for days, headaches, weakness, aches, progressively getting worse, and memory loss. Pt was diagnosed with chronic fatigue and fibromyalgia. 60 day follow up states pt has not recovered. Has developed chronic fatigue and had to resign from job
Age: 44.0
Sex: F
Vaccine: HEP
Symptoms: Pain
Clinical narrative: Patient experienced noticeable fatigue and headache with 1st and 2nd vaccine. Pt experienced severe fatigue and was bed ridden for days, headaches, weakness, aches, progressively getting worse, and memory loss. Pt was diagnosed with chronic fatigue and fibromyalgia. 60 day follow up states pt has not recovered. Has developed chronic fatigue and had to resign from job
Age: 35.0
Sex: M
Vaccine: ANTH, YF
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: Patient presents to flight Surgeon April 19, 8-15 cm area of erythema & warmth over olectanon process. Pt was hospitalized on IV antibiotics for 2 1/2 days, released to home on oral Augmentin for one week. 60 day follow-up dated 10/18/00 provided no additional data.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Asthenia, Chromaturia, Diarrhoea, Dysuria, Influenza
Clinical narrative: Pt states that after receiving 3rd Anthrax shot, a few weeks post vax he experienced a mild fever (a little over 100) and it remained for about 6 weeks. Pt states that after that time there were no symptoms. Approximately on 6/28/99, he experienced a fever, no energy, increased bowel movement and burning upon urination. On 7/1/99 he saw an MD and had some tests run. He states that the MD concluded that it was the flu and sent him home. On 7/3/99, the fever persisted and the pt went to the ER. The pt was given some medication and an IV, the fever then lowered and the MD sent him home. On 7/4/99 the symptoms returned and this time they admitted him and started running test on him. This time his temperature peaked at 104.5. The pt states on 7/8/99, he was transported to another Medical Center where they continued testing. Approximately on 7/12/99 the fever broke and two days later they sent him home. About a month later he went to see an MD about an unrelated issue and was told that he would be on a temporary waiver pending investigations. Pt states also between the 1st and 3rd of July, 1999, he was experiencing discolored urine which was found to be bile.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Pyrexia, Urine analysis abnormal
Clinical narrative: Pt states that after receiving 3rd Anthrax shot, a few weeks post vax he experienced a mild fever (a little over 100) and it remained for about 6 weeks. Pt states that after that time there were no symptoms. Approximately on 6/28/99, he experienced a fever, no energy, increased bowel movement and burning upon urination. On 7/1/99 he saw an MD and had some tests run. He states that the MD concluded that it was the flu and sent him home. On 7/3/99, the fever persisted and the pt went to the ER. The pt was given some medication and an IV, the fever then lowered and the MD sent him home. On 7/4/99 the symptoms returned and this time they admitted him and started running test on him. This time his temperature peaked at 104.5. The pt states on 7/8/99, he was transported to another Medical Center where they continued testing. Approximately on 7/12/99 the fever broke and two days later they sent him home. About a month later he went to see an MD about an unrelated issue and was told that he would be on a temporary waiver pending investigations. Pt states also between the 1st and 3rd of July, 1999, he was experiencing discolored urine which was found to be bile.
Age: 43.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Chills, Diarrhoea, Myalgia, Nausea, Pyrexia
Clinical narrative: same day of vax pt exp nausea, vomiting, diarrhea. body aches, fever/chills. sx have occurred w/each dose. recovered in 1wk
Age: 43.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Vomiting
Clinical narrative: same day of vax pt exp nausea, vomiting, diarrhea. body aches, fever/chills. sx have occurred w/each dose. recovered in 1wk
Age: 32.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Coordination abnormal, Dizziness, Tinnitus, Vomiting
Clinical narrative: p/vax pt c/o equilibrium problems, n/ v & feeling of almost passing ou; episode lasted 7-10 days; ringing in ears
Age: 55.0
Sex: F
Vaccine: LYME, LYME
Symptoms: Arthralgia, Globulins increased, Red blood cell sedimentation rate increased
Clinical narrative: 04/99 the pt received her first injection with no untoward effects. 05/99 the pt received the second dose and the frequency of her arthralgias increased, and she went to a rheumatologist. She was found to have erythrocyte sedimentation rate, and on 10/25 was diagnosed with Waldenstrom's macroglobulinemia. She was hospitalized in late November and received chemotherapy for one week. She was again hospitalized on 01/07/2000 and received another week of chemotherapy. The information received on 04/27 provides no further information. Additional information has been requested.
Age: 55.0
Sex: F
Vaccine: LYME, LYME
Symptoms: Blood disorder, Condition aggravated, Red blood cell sedimentation rate increased
Clinical narrative: 04/99 the pt received her first injection with no untoward effects. 05/99 the pt received the second dose and the frequency of her arthralgias increased, and she went to a rheumatologist. She was found to have erythrocyte sedimentation rate, and on 10/25 was diagnosed with Waldenstrom's macroglobulinemia. She was hospitalized in late November and received chemotherapy for one week. She was again hospitalized on 01/07/2000 and received another week of chemotherapy. The information received on 04/27 provides no further information. Additional information has been requested.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, DTAP, HIBV, IPV, DTAP, HIBV, IPV, DTAP, HIBV, IPV
Symptoms: Apnoea, Cardiac arrest, Sudden infant death syndrome
Clinical narrative: A nurse reported that a 2 month old male, post vax, on the morning of 5/3/2000, was found apneic and asystolic, tied up in blankets.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, DTAP, HIBV, IPV, DTAP, HIBV, IPV, DTAP, HIBV, IPV
Symptoms: Sudden infant death syndrome
Clinical narrative: A nurse reported that a 2 month old male, post vax, on the morning of 5/3/2000, was found apneic and asystolic, tied up in blankets.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, DTAP, HIBV, IPV, DTAP, HIBV, IPV, DTAP, HIBV, IPV
Symptoms: Apnoea, Cardiac arrest
Clinical narrative: A nurse reported that a 2 month old male, post vax, on the morning of 5/3/2000, was found apneic and asystolic, tied up in blankets.
Age: 26.0
Sex: F
Vaccine: HEP
Symptoms: Contusion, Injection site pain, Injection site swelling, Thrombophlebitis
Clinical narrative: On 4/17/2000, the vaccinee received her 3rd dose (right arm) of Engerix-B and 2 days later, on 4/19/200, she experienced a bruise on the right forearm. She experienced pain and swelling to the right forearm post vax. She denied local trauma and on 4/20/00, was referred to the local ER. There, the pt was prescribed Vicodin, warm compresses, and a sling. Aspirin was not prescribed. Medical leave records note that the pt had right forearm thrombophlebitis extending up the right arm. Reporter stated that she received a release for the vaccinee to return to work on full duty, 7/7/00. She added that no further issues/complications have been reported. The most recent information, received on 8/15/00, reports the condition of the vaccinee is resolved.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Back pain, Chest pain, Chills, Dyspepsia
Clinical narrative: Subsequent to second dose in vax series, pt previous symptoms form first vax worsened - flu-like symptoms without vomiting, extreme exhaustion, loss of weight, joint and muscle pain, headache, fever, muscle spasms, weakness, and elevated liver enzymes. Pt was see by physician and treated with Robaxin, Piorinal Clisoril, Klonopin, and Tylenol with codeine. Physician's reports on 05/30 indicate she reported at visit that she 'felt poorly' for 3 weeks. She had increased fever, but no temperature given by pt,chills, fatigue, and no appetite. She was diagnosed otitis media. She received vax in series at this time. 06/06 pt complained of persistent fatigue and chest congestion with cough, chest pain with deep inspiration. Ausoulaton: clear chest. 06/17 slipped on water and fell, pain in back and hips. 08/17 complained of fatigue, one reported, 'she can go to sleep at any time .' 09/19 ER reported mid-back pain. Referred to pain clinic. 09/25 complained right upper pain intermittently for several months. Discomfort can be relieved by stretching. The pain radiated to back. 05/25/1997 reported acute onset of severe right upper quadrant and epigastric pain which awoke her from sleep. Nml liver function noted. Dx not provided. 12/04/1997 swollen lymph nodes noted. 01/19/1998 progress notes document patient. 08/28/1999 Atypical chest pain and multiple body aches. Essentially nml stress. 10/07/98 Physicians records indicate pt stated she was 'sick for two and 1/2 years'. She reported feeling extremely fatigues/exhausted and spending days in be post physical activity. After review of labs, the physicians assessment was chronic fatigue syndrome with fibromyalgia. 10/15/98 Generalized malaise, fatigue, off and on muscular aches and pains, and foot swellings. 01/13/99 general joint achiness in feet. 11/07/99 Fibromyalgia flare-up with ataxia and weakness. 11/23/99 lumbar pain related to fibromyalgia syndrome. 01/06 chest pain radiated to back. Was seen in ER on 01/03/00 having increased muscle cramps and spasms. Was given Vicodin and was taking Baclofen and Motrin. Mostly localized to the left side. Was noted difficulty in moving left arm and hand. chronic pain. Noted trigger points being painful. Pain medications alleviate pain only partially. 03/27/00 noted some improvement, on cataflam, in easing up right-sided abdominal pain. Noted crepitus in joints. Had episodes of losing balance: fell down stairs once. Noted ataxia with difficult concentration. Had tremors and left-sided discomfort with paresthesia/dysesthesia. Apraxia at times. This case has been made medically serious as the pt indicated she was incapacitated as she was unable to work.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Fatigue, Fibromyalgia, Headache, Hepatic enzyme abnormal, Influenza like illness
Clinical narrative: Subsequent to second dose in vax series, pt previous symptoms form first vax worsened - flu-like symptoms without vomiting, extreme exhaustion, loss of weight, joint and muscle pain, headache, fever, muscle spasms, weakness, and elevated liver enzymes. Pt was see by physician and treated with Robaxin, Piorinal Clisoril, Klonopin, and Tylenol with codeine. Physician's reports on 05/30 indicate she reported at visit that she 'felt poorly' for 3 weeks. She had increased fever, but no temperature given by pt,chills, fatigue, and no appetite. She was diagnosed otitis media. She received vax in series at this time. 06/06 pt complained of persistent fatigue and chest congestion with cough, chest pain with deep inspiration. Ausoulaton: clear chest. 06/17 slipped on water and fell, pain in back and hips. 08/17 complained of fatigue, one reported, 'she can go to sleep at any time .' 09/19 ER reported mid-back pain. Referred to pain clinic. 09/25 complained right upper pain intermittently for several months. Discomfort can be relieved by stretching. The pain radiated to back. 05/25/1997 reported acute onset of severe right upper quadrant and epigastric pain which awoke her from sleep. Nml liver function noted. Dx not provided. 12/04/1997 swollen lymph nodes noted. 01/19/1998 progress notes document patient. 08/28/1999 Atypical chest pain and multiple body aches. Essentially nml stress. 10/07/98 Physicians records indicate pt stated she was 'sick for two and 1/2 years'. She reported feeling extremely fatigues/exhausted and spending days in be post physical activity. After review of labs, the physicians assessment was chronic fatigue syndrome with fibromyalgia. 10/15/98 Generalized malaise, fatigue, off and on muscular aches and pains, and foot swellings. 01/13/99 general joint achiness in feet. 11/07/99 Fibromyalgia flare-up with ataxia and weakness. 11/23/99 lumbar pain related to fibromyalgia syndrome. 01/06 chest pain radiated to back. Was seen in ER on 01/03/00 having increased muscle cramps and spasms. Was given Vicodin and was taking Baclofen and Motrin. Mostly localized to the left side. Was noted difficulty in moving left arm and hand. chronic pain. Noted trigger points being painful. Pain medications alleviate pain only partially. 03/27/00 noted some improvement, on cataflam, in easing up right-sided abdominal pain. Noted crepitus in joints. Had episodes of losing balance: fell down stairs once. Noted ataxia with difficult concentration. Had tremors and left-sided discomfort with paresthesia/dysesthesia. Apraxia at times. This case has been made medically serious as the pt indicated she was incapacitated as she was unable to work.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Lymphadenopathy, Muscle spasms, Myalgia, Oedema peripheral, Otitis media
Clinical narrative: Subsequent to second dose in vax series, pt previous symptoms form first vax worsened - flu-like symptoms without vomiting, extreme exhaustion, loss of weight, joint and muscle pain, headache, fever, muscle spasms, weakness, and elevated liver enzymes. Pt was see by physician and treated with Robaxin, Piorinal Clisoril, Klonopin, and Tylenol with codeine. Physician's reports on 05/30 indicate she reported at visit that she 'felt poorly' for 3 weeks. She had increased fever, but no temperature given by pt,chills, fatigue, and no appetite. She was diagnosed otitis media. She received vax in series at this time. 06/06 pt complained of persistent fatigue and chest congestion with cough, chest pain with deep inspiration. Ausoulaton: clear chest. 06/17 slipped on water and fell, pain in back and hips. 08/17 complained of fatigue, one reported, 'she can go to sleep at any time .' 09/19 ER reported mid-back pain. Referred to pain clinic. 09/25 complained right upper pain intermittently for several months. Discomfort can be relieved by stretching. The pain radiated to back. 05/25/1997 reported acute onset of severe right upper quadrant and epigastric pain which awoke her from sleep. Nml liver function noted. Dx not provided. 12/04/1997 swollen lymph nodes noted. 01/19/1998 progress notes document patient. 08/28/1999 Atypical chest pain and multiple body aches. Essentially nml stress. 10/07/98 Physicians records indicate pt stated she was 'sick for two and 1/2 years'. She reported feeling extremely fatigues/exhausted and spending days in be post physical activity. After review of labs, the physicians assessment was chronic fatigue syndrome with fibromyalgia. 10/15/98 Generalized malaise, fatigue, off and on muscular aches and pains, and foot swellings. 01/13/99 general joint achiness in feet. 11/07/99 Fibromyalgia flare-up with ataxia and weakness. 11/23/99 lumbar pain related to fibromyalgia syndrome. 01/06 chest pain radiated to back. Was seen in ER on 01/03/00 having increased muscle cramps and spasms. Was given Vicodin and was taking Baclofen and Motrin. Mostly localized to the left side. Was noted difficulty in moving left arm and hand. chronic pain. Noted trigger points being painful. Pain medications alleviate pain only partially. 03/27/00 noted some improvement, on cataflam, in easing up right-sided abdominal pain. Noted crepitus in joints. Had episodes of losing balance: fell down stairs once. Noted ataxia with difficult concentration. Had tremors and left-sided discomfort with paresthesia/dysesthesia. Apraxia at times. This case has been made medically serious as the pt indicated she was incapacitated as she was unable to work.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Pain, Pyrexia, Upper respiratory tract infection, Weight decreased
Clinical narrative: Subsequent to second dose in vax series, pt previous symptoms form first vax worsened - flu-like symptoms without vomiting, extreme exhaustion, loss of weight, joint and muscle pain, headache, fever, muscle spasms, weakness, and elevated liver enzymes. Pt was see by physician and treated with Robaxin, Piorinal Clisoril, Klonopin, and Tylenol with codeine. Physician's reports on 05/30 indicate she reported at visit that she 'felt poorly' for 3 weeks. She had increased fever, but no temperature given by pt,chills, fatigue, and no appetite. She was diagnosed otitis media. She received vax in series at this time. 06/06 pt complained of persistent fatigue and chest congestion with cough, chest pain with deep inspiration. Ausoulaton: clear chest. 06/17 slipped on water and fell, pain in back and hips. 08/17 complained of fatigue, one reported, 'she can go to sleep at any time .' 09/19 ER reported mid-back pain. Referred to pain clinic. 09/25 complained right upper pain intermittently for several months. Discomfort can be relieved by stretching. The pain radiated to back. 05/25/1997 reported acute onset of severe right upper quadrant and epigastric pain which awoke her from sleep. Nml liver function noted. Dx not provided. 12/04/1997 swollen lymph nodes noted. 01/19/1998 progress notes document patient. 08/28/1999 Atypical chest pain and multiple body aches. Essentially nml stress. 10/07/98 Physicians records indicate pt stated she was 'sick for two and 1/2 years'. She reported feeling extremely fatigues/exhausted and spending days in be post physical activity. After review of labs, the physicians assessment was chronic fatigue syndrome with fibromyalgia. 10/15/98 Generalized malaise, fatigue, off and on muscular aches and pains, and foot swellings. 01/13/99 general joint achiness in feet. 11/07/99 Fibromyalgia flare-up with ataxia and weakness. 11/23/99 lumbar pain related to fibromyalgia syndrome. 01/06 chest pain radiated to back. Was seen in ER on 01/03/00 having increased muscle cramps and spasms. Was given Vicodin and was taking Baclofen and Motrin. Mostly localized to the left side. Was noted difficulty in moving left arm and hand. chronic pain. Noted trigger points being painful. Pain medications alleviate pain only partially. 03/27/00 noted some improvement, on cataflam, in easing up right-sided abdominal pain. Noted crepitus in joints. Had episodes of losing balance: fell down stairs once. Noted ataxia with difficult concentration. Had tremors and left-sided discomfort with paresthesia/dysesthesia. Apraxia at times. This case has been made medically serious as the pt indicated she was incapacitated as she was unable to work.
Sex: F
Vaccine: VARCEL
Symptoms: Foetal distress syndrome
Clinical narrative: This female pt received vax in 1996. The pt was pregnant at the time of vax and subsequently had a stillborn birth, possibly prematurely, with bilateral renal agenesis. This report is part of the pregnancy registry. Additional information is requested.
Age: 50.0
Sex: F
Vaccine: HEP
Symptoms: Anaphylactic shock, Rash
Clinical narrative: Same day post vax, pt developed rash all over and was taken by ambulance to the ER with anaphylactic shock (considered an other medical event). At the time of this report, the pt had not yet been  discharged from the ER. Additional information has been requested. Follow up received indicated the pt has recovered. No further information is expected.
Age: 2.0
Sex: F
Vaccine: HIBV
Symptoms: Bacterial infection, Meningitis, Neurological symptom
Clinical narrative: 02/14/2000 pt was admitted to the ER, then hospitalized for ten days after a dx of meningitis. The pt was treated with an unspecified antibiotic. It was noted that on 02/16/2000 the pt was transferred to another facility for worsening neurological symptoms. The pt recovered in February. Additional information has been requested.
Age: 6.0
Sex: M
Vaccine: MMR
Symptoms: Autism
Clinical narrative: Autism. Subsequent to vax, pt was dx with autism. Upon the medical review the pt's autism was considered an other medical event. Additional information has been requested.
Age: 49.0
Sex: F
Vaccine: HEP
Symptoms: Anaphylactic reaction
Clinical narrative: Called by home heath nurse to say, pt developed a rash. Pt was seen in occupational medicine. Treatment given and ambulance called to transfer to hospital. Put on oxygen and getting IV prednisone.
Age: 13.0
Sex: F
Vaccine: HEP
Symptoms: Aplastic anaemia, Leukopenia
Clinical narrative: Vaccine given on 3/21/00. On 4/26/00, pt dxed with aplastic anemia. Annual follow states the pt has finally been diagnosed with Acute lymphoblastic leukemia.
Age: 0.25
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Agitation, Pyrexia, Somnolence
Clinical narrative: Fussiness, sleeping more than usual. Temperature of 101.1 per ear probe thermometer this morning (03/03). Has been using Tylenol as directed by RN on day of vaccines (every 4-6 hours). Motrin given for fever which was up to 104 per ear probe. Child taken to hospital. Blood work, urine, and observation conducted.
Age: 15.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain upper, Antinuclear antibody positive, Arthralgia, Autoimmune disorder, Brain stem syndrome
Clinical narrative: Post vax, pt experienced redness on cheeks and headaches. On 8/4/98, pt became sluggish, her reflex's slowed down, she experienced severe chronic headaches, severe stomach cramps, nausea, vomiting, uncharacteristic mood swings, very irritable, joint pain in knees, elbows, and ankles, excessive lingering bruising and swelling, ringing in ears, tongue red with swollen taste buds, disrupted sleep patterns, fatigue, disrupted menstruation, constipation, shortness of breath, flu like symptoms, and blurry vision. Pt symptoms worsening over the next year and she underwent multiple lab tests. On 5/11/99, pt was dxed with autonomic disorder, postural orthostatic tachycardia syndrome, and hypotension. She is currently being treated with Adderall.
Age: 15.0
Sex: F
Vaccine: HEP
Symptoms: Cardiovascular disorder, Constipation, Contusion, Dyspnoea, Erythema
Clinical narrative: Post vax, pt experienced redness on cheeks and headaches. On 8/4/98, pt became sluggish, her reflex's slowed down, she experienced severe chronic headaches, severe stomach cramps, nausea, vomiting, uncharacteristic mood swings, very irritable, joint pain in knees, elbows, and ankles, excessive lingering bruising and swelling, ringing in ears, tongue red with swollen taste buds, disrupted sleep patterns, fatigue, disrupted menstruation, constipation, shortness of breath, flu like symptoms, and blurry vision. Pt symptoms worsening over the next year and she underwent multiple lab tests. On 5/11/99, pt was dxed with autonomic disorder, postural orthostatic tachycardia syndrome, and hypotension. She is currently being treated with Adderall.
Age: 15.0
Sex: F
Vaccine: HEP
Symptoms: Fatigue, Glossitis, Headache, Hyporeflexia, Hypotension
Clinical narrative: Post vax, pt experienced redness on cheeks and headaches. On 8/4/98, pt became sluggish, her reflex's slowed down, she experienced severe chronic headaches, severe stomach cramps, nausea, vomiting, uncharacteristic mood swings, very irritable, joint pain in knees, elbows, and ankles, excessive lingering bruising and swelling, ringing in ears, tongue red with swollen taste buds, disrupted sleep patterns, fatigue, disrupted menstruation, constipation, shortness of breath, flu like symptoms, and blurry vision. Pt symptoms worsening over the next year and she underwent multiple lab tests. On 5/11/99, pt was dxed with autonomic disorder, postural orthostatic tachycardia syndrome, and hypotension. She is currently being treated with Adderall.
Age: 15.0
Sex: F
Vaccine: HEP
Symptoms: Irritability, Laboratory test abnormal, Menstruation irregular, Mood swings, Nausea
Clinical narrative: Post vax, pt experienced redness on cheeks and headaches. On 8/4/98, pt became sluggish, her reflex's slowed down, she experienced severe chronic headaches, severe stomach cramps, nausea, vomiting, uncharacteristic mood swings, very irritable, joint pain in knees, elbows, and ankles, excessive lingering bruising and swelling, ringing in ears, tongue red with swollen taste buds, disrupted sleep patterns, fatigue, disrupted menstruation, constipation, shortness of breath, flu like symptoms, and blurry vision. Pt symptoms worsening over the next year and she underwent multiple lab tests. On 5/11/99, pt was dxed with autonomic disorder, postural orthostatic tachycardia syndrome, and hypotension. She is currently being treated with Adderall.
Age: 15.0
Sex: F
Vaccine: HEP
Symptoms: Nervous system disorder, Orthostatic hypotension, Sleep disorder, Sluggishness, Tinnitus
Clinical narrative: Post vax, pt experienced redness on cheeks and headaches. On 8/4/98, pt became sluggish, her reflex's slowed down, she experienced severe chronic headaches, severe stomach cramps, nausea, vomiting, uncharacteristic mood swings, very irritable, joint pain in knees, elbows, and ankles, excessive lingering bruising and swelling, ringing in ears, tongue red with swollen taste buds, disrupted sleep patterns, fatigue, disrupted menstruation, constipation, shortness of breath, flu like symptoms, and blurry vision. Pt symptoms worsening over the next year and she underwent multiple lab tests. On 5/11/99, pt was dxed with autonomic disorder, postural orthostatic tachycardia syndrome, and hypotension. She is currently being treated with Adderall.
Age: 15.0
Sex: F
Vaccine: HEP
Symptoms: Vision blurred, Vomiting
Clinical narrative: Post vax, pt experienced redness on cheeks and headaches. On 8/4/98, pt became sluggish, her reflex's slowed down, she experienced severe chronic headaches, severe stomach cramps, nausea, vomiting, uncharacteristic mood swings, very irritable, joint pain in knees, elbows, and ankles, excessive lingering bruising and swelling, ringing in ears, tongue red with swollen taste buds, disrupted sleep patterns, fatigue, disrupted menstruation, constipation, shortness of breath, flu like symptoms, and blurry vision. Pt symptoms worsening over the next year and she underwent multiple lab tests. On 5/11/99, pt was dxed with autonomic disorder, postural orthostatic tachycardia syndrome, and hypotension. She is currently being treated with Adderall.
Age: 1.43
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Antisocial behaviour, Aphasia, Autism, Decreased eye contact, Developmental delay
Clinical narrative: Six to 8 weeks post vax, loss of speech, loss of eye contact, self injurious behavior, social withdrawal. Child was dx with developmental delay in 12/96 and Autism in 7/98. He continues to be severely delayed in all areas of development which he not before the DTaP vax on 5/96.  Follow-up: 7/27/00 Call to mom to clarify what role each of the 5 HCP's had in her son's eval. and tx for Autism. She has and will Fax to me the dgx of Autism from Dr - ped neuro. 7/28/00 Rec'd Fax'd copy of 7/8/98 eval. of pt. by MD. which confirms dgx of Autism - mod to severe. Awaiting current ped. record and then will close case. 8/16/00 Records rec'd from ped. develop. and behavioral MD. Autistic spectrum diagnosis w/ recent deterioration re: self deterioration behavior.
Age: 1.43
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Self injurious behaviour
Clinical narrative: Six to 8 weeks post vax, loss of speech, loss of eye contact, self injurious behavior, social withdrawal. Child was dx with developmental delay in 12/96 and Autism in 7/98. He continues to be severely delayed in all areas of development which he not before the DTaP vax on 5/96.  Follow-up: 7/27/00 Call to mom to clarify what role each of the 5 HCP's had in her son's eval. and tx for Autism. She has and will Fax to me the dgx of Autism from Dr - ped neuro. 7/28/00 Rec'd Fax'd copy of 7/8/98 eval. of pt. by MD. which confirms dgx of Autism - mod to severe. Awaiting current ped. record and then will close case. 8/16/00 Records rec'd from ped. develop. and behavioral MD. Autistic spectrum diagnosis w/ recent deterioration re: self deterioration behavior.
Age: 23.0
Sex: M
Vaccine: HEP
Symptoms: Asthenia, Balance disorder, Hypoaesthesia
Clinical narrative: Symptoms of numbness to hands and feet, general weakness of hands and legs and was not able to open clothespin or climb stairs, loss of balance which started approximately 5-7 days following vaccine for Hep-B. Treatment with physical therapy. 60 day follow-up dated 9/22/00 provided no additional data.
Age: 10.0
Sex: F
Vaccine: HEP
Symptoms: Hepatitis, Influenza like illness, Laboratory test abnormal, Malaise, Nausea
Clinical narrative: With each IZ, client developed flu-like symptoms, nausea, vomiting, malaise. Was ill off and on form months. Finally consulted physician who conducted tests. Was referred to another facility which also conducted test and determined the the mono spot gave a false positive. A liver biopsy revealed autoimmune hepatitis. Pt is chronically ill to date and is taking prednisone, Imuran, Prelone.   Doc # 198362 states that on 8/27/01 mother reports that child is still on Prednisone, Imuran, plus he is being followed by Children Hospital in Indianapolis every 3 months.
Age: 10.0
Sex: F
Vaccine: HEP
Symptoms: Vomiting
Clinical narrative: With each IZ, client developed flu-like symptoms, nausea, vomiting, malaise. Was ill off and on form months. Finally consulted physician who conducted tests. Was referred to another facility which also conducted test and determined the the mono spot gave a false positive. A liver biopsy revealed autoimmune hepatitis. Pt is chronically ill to date and is taking prednisone, Imuran, Prelone.   Doc # 198362 states that on 8/27/01 mother reports that child is still on Prednisone, Imuran, plus he is being followed by Children Hospital in Indianapolis every 3 months.
Age: 0.4
Sex: M
Vaccine: IPV
Symptoms: Convulsion
Clinical narrative: Three tonic clonic seizures one day post vax. The first 2 were very short. Mother was not sure. The 3rd was full tonic clonic lasting 40 seconds. Pt experienced another two, 2 days later. Pt is now taking phenobarbitol.
Age: 42.0
Sex: M
Vaccine: HEPA, IPV
Symptoms: Neuritis, Radiculitis brachial
Clinical narrative: Neuritis of left shoulder/brachial plexus nerve irritation possibly related to injection of IPV Lot No: R0100-2 or Hep A Lot #1758K.
Age: 13.0
Sex: M
Vaccine: UNK
Symptoms: Chills, Headache
Clinical narrative: During the blinded phase of the study the subject received 3 doses of the study vax. Upon unblinding at the end of the study, the subject was found to have received placebo, and therefore was eligible to received 3 doses of the open-label vax, per protocol. The subject received a first dose of Lymerix at 16:20.  At 17:20 one hour post vax, he had developed a severe frontal headache. The subject was seen in the ER at approximately 17:45, and began to experience rigors. He was observed in the ER for 2 hours, after which time all symptoms had subsided. The investigator reported the headache and rigors serious due to significant hazard, contraindication, side effect or precaution, and probably related to treatment with study vax. The subject's mother confirmed that he had not used his Maxair inhaler between the time of vaccination and the onset of the headache/rigors.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, UNK
Symptoms: Pallor
Clinical narrative: Post vax, pt turned markedly pale requiring epinephrine and oxygen.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, UNK
Symptoms: Hyperhidrosis, Pallor
Clinical narrative: Post vax, pt turned markedly pale requiring epinephrine and oxygen.
Age: 4.0
Sex: M
Vaccine: PNC, PNC
Symptoms: Discomfort, Dyspnoea, Eye irritation, Eye oedema
Clinical narrative: Left eye swelling, redness and discomfort followed by shortness of breath 10 minutes after injection. Pt was treated with an epinephrine injection and Benadryl.
Age: 4.0
Sex: M
Vaccine: PNC, PNC
Symptoms: Dyspnoea, Eye swelling, Ocular hyperaemia
Clinical narrative: Left eye swelling, redness and discomfort followed by shortness of breath 10 minutes after injection. Pt was treated with an epinephrine injection and Benadryl.
Age: 5.0
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Rash
Clinical narrative: Pt received vax on 04/24/2000. He came to the office on 05/01/2000 with about 300 lesions.
Age: 71.0
Sex: M
Vaccine: LYME
Symptoms: Oedema peripheral
Clinical narrative: Crippling and swelling of hands and feet, post vax, 2nd vaccine shot.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site mass, Pruritus
Clinical narrative: Post vax, after about 48 hours, member presents with larg (10cm x 9cm), itchy induration. No pain, no shortness of breath.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Dizziness, Feeling hot, Injection site oedema, Injection site pain
Clinical narrative: Dizziness, soft ball sized swelling on left posterior upper arm at injection site, with localized heat and pain, prompting ER visit, on Saturday evening.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site oedema, Pruritus
Clinical narrative: Pt noticed onset of symptoms, 3 days post vax, with swelling and itching at the injection site. He was prescribed steroid cream.
Age: 39.0
Sex: F
Vaccine: ANTH, TD
Symptoms: Headache, Hypersensitivity, Injection site oedema, Pruritus
Clinical narrative: Severe itching, dull headache for 4 days and large, red, swelling 4 1/2" x 2" for 3+ days.
Age: 28.0
Sex: F
Vaccine: ANTH
Symptoms: Pruritus
Clinical narrative: Diffuse itching over entire body with no hives.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Muscular weakness
Clinical narrative: Pt complaining of feeling as if upper extremity was slightly weaker.
Age: 18.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Pollakiuria, Urinary incontinence
Clinical narrative: Swelling of injection site, red and tender. Frequent urination and incontinent for a brief period of time; 2 1/2-3 months.
Age: 26.0
Sex: F
Vaccine: ANTH, FLU3
Symptoms: Dermatitis bullous, Pruritus, Vasodilation procedure
Clinical narrative: Pt complaining of rash on extremities, hot to touch, itchy, and bumpy liquid filled pustules 1-2mm in diameter. Rash is clustered and confined to the extremities. It has been evident for approximately 1 year following initial Anthrax IZ. Rash is intermittent and varying in severity.
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Fatigue, Muscular weakness, Pain
Clinical narrative: Post vax, the pt developed leg muscle weakness, soreness all the time; especially after running. Also, fatigue is an issue.
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Chest pain, Eczema, Fatigue, Gastrointestinal disorder, Mouth ulceration
Clinical narrative: Fatigue for 3 months, persistent eczema, chest pains, rashes on stomach and face, sores in mouth, weight loss and irritable bowel syndrome.
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Rash, Weight decreased
Clinical narrative: Fatigue for 3 months, persistent eczema, chest pains, rashes on stomach and face, sores in mouth, weight loss and irritable bowel syndrome.
Age: 40.0
Sex: F
Vaccine: ANTH
Symptoms: Bronchitis, Feeling abnormal
Clinical narrative: Received 1st shot on 3/4/2000, flew to Tucson and was sick when I arrived. Flew home on 3/18/2000 and received 2nd shot. Went to private DR on 3/30/2000 and was dx'd with Bronchitis and returned to DR on 4/11/2000, due to no change in condition. Received chest x-ray and more medicines.
Sex: M
Vaccine: ANTH
Symptoms: Hypoaesthesia, Injection site oedema
Clinical narrative: Numbness in wrist and joints and 5cm x 7cm swelling at site of shot on 4/6/2000 at 14:00.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Erythema and tenderness at injection site, 4cm x 12cm of right arm.  Follow up 06/05/2000: "Patient recovered from adverse event."
Age: 47.0
Sex: M
Vaccine: ANTH
Symptoms: Feeling hot, Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain
Clinical narrative: Severe local reaction in left arm with pain, redness, swelling, and warm to the touch from elbow to shoulder. Swelling and redness resolved 5-6 days, pain after 10 days. Firm knot at injection site for 10 days.
Age: 1.3
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Began on 4/3/00, had 10 lesions scattered on body and chest. Sibling had varicella on 3/22/00. Mother had shingles a few weeks ago.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Hypersensitivity, Insomnia, Oral intake reduced, Screaming, Urticaria
Clinical narrative: Welt at vaccine site, quarter-sized, gradually diminished over course of 2 months, right thigh. Had projectile vomiting for 24 hours, uncontrolable crying for several days, refusal to nurse for several days and insomnia for 2-3 weeks.