chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 4.0
Sex: M
Vaccine: HEPA, MMRV, HEPA, MMRV
Symptoms: Pruritus, Vomiting
Clinical narrative: Itching within 5 minutes immediately followed by flushing, vomiting, drop in O2 Sat. Treated with epinephrine in office and twice more in ER. Gelatin allergy confirmed by skin testing at allergy clinic. 03/13/07-records received from facility for DOS 12/5/2006 DC DX:Allergic reaction after Hep A and proquad, MMR varivax. Within minutes of receiving vaccines he developed angioedema, lethargy, respiratory signs and symptoms and hives. Received EPI SQ, decadron, benadryl and pepcid prior to transfer to facility. IN ER alert, PE: WNL except for tube patent in left ear but TM is scarred.  Eyelid edema. Seen on 1/24/07 allergy clinic-anaphylaxis to gelatin in Proquad.
Age: 3.0
Sex: M
Vaccine: DTAP, FLU3, IPV, DTAP, FLU3, IPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Right thigh area to medical aspect of where immunization given with obvious redness and swelling. Warm to touch. Lines around redness and within 20 mins, lines had spread & swelling enlarged.  3/15/07 Received medical records from hospital which reveal patient experienced right lower extremity pain, swelling & redness on 1/30/07, day after vax.  Initially seen at outlying ER on 1/30 for eval & d/c to home.  Then on 1/31 had increased swelling, pain & limp & was admitted for IV antibiotics overnight, responded well & was d/c to home on oral antibiotics for 7 more days. FINAL DX: right lower extremity swelling, likely secondary to adverse immunization reaction.
Age: 3.0
Sex: M
Vaccine: DTAP, FLU3, IPV, DTAP, FLU3, IPV
Symptoms: Arthralgia, Blood culture negative, Cough, Dysstasia, Erythema
Clinical narrative: Right thigh area to medical aspect of where immunization given with obvious redness and swelling. Warm to touch. Lines around redness and within 20 mins, lines had spread & swelling enlarged.  3/15/07 Received medical records from hospital which reveal patient experienced right lower extremity pain, swelling & redness on 1/30/07, day after vax.  Initially seen at outlying ER on 1/30 for eval & d/c to home.  Then on 1/31 had increased swelling, pain & limp & was admitted for IV antibiotics overnight, responded well & was d/c to home on oral antibiotics for 7 more days. FINAL DX: right lower extremity swelling, likely secondary to adverse immunization reaction.
Age: 3.0
Sex: M
Vaccine: DTAP, FLU3, IPV, DTAP, FLU3, IPV
Symptoms: Full blood count, Gait disturbance, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Right thigh area to medical aspect of where immunization given with obvious redness and swelling. Warm to touch. Lines around redness and within 20 mins, lines had spread & swelling enlarged.  3/15/07 Received medical records from hospital which reveal patient experienced right lower extremity pain, swelling & redness on 1/30/07, day after vax.  Initially seen at outlying ER on 1/30 for eval & d/c to home.  Then on 1/31 had increased swelling, pain & limp & was admitted for IV antibiotics overnight, responded well & was d/c to home on oral antibiotics for 7 more days. FINAL DX: right lower extremity swelling, likely secondary to adverse immunization reaction.
Age: 3.0
Sex: M
Vaccine: DTAP, FLU3, IPV, DTAP, FLU3, IPV
Symptoms: Joint effusion, Nasal mucosal discolouration, Oedema peripheral, Otitis media, Pain in extremity
Clinical narrative: Right thigh area to medical aspect of where immunization given with obvious redness and swelling. Warm to touch. Lines around redness and within 20 mins, lines had spread & swelling enlarged.  3/15/07 Received medical records from hospital which reveal patient experienced right lower extremity pain, swelling & redness on 1/30/07, day after vax.  Initially seen at outlying ER on 1/30 for eval & d/c to home.  Then on 1/31 had increased swelling, pain & limp & was admitted for IV antibiotics overnight, responded well & was d/c to home on oral antibiotics for 7 more days. FINAL DX: right lower extremity swelling, likely secondary to adverse immunization reaction.
Age: 3.0
Sex: M
Vaccine: DTAP, FLU3, IPV, DTAP, FLU3, IPV
Symptoms: Rhinitis allergic, Rhinorrhoea, Sinus disorder, Soft tissue disorder, White blood cell count normal
Clinical narrative: Right thigh area to medical aspect of where immunization given with obvious redness and swelling. Warm to touch. Lines around redness and within 20 mins, lines had spread & swelling enlarged.  3/15/07 Received medical records from hospital which reveal patient experienced right lower extremity pain, swelling & redness on 1/30/07, day after vax.  Initially seen at outlying ER on 1/30 for eval & d/c to home.  Then on 1/31 had increased swelling, pain & limp & was admitted for IV antibiotics overnight, responded well & was d/c to home on oral antibiotics for 7 more days. FINAL DX: right lower extremity swelling, likely secondary to adverse immunization reaction.
Age: 3.0
Sex: M
Vaccine: DTAP, FLU3, IPV, DTAP, FLU3, IPV
Symptoms: X-ray limb
Clinical narrative: Right thigh area to medical aspect of where immunization given with obvious redness and swelling. Warm to touch. Lines around redness and within 20 mins, lines had spread & swelling enlarged.  3/15/07 Received medical records from hospital which reveal patient experienced right lower extremity pain, swelling & redness on 1/30/07, day after vax.  Initially seen at outlying ER on 1/30 for eval & d/c to home.  Then on 1/31 had increased swelling, pain & limp & was admitted for IV antibiotics overnight, responded well & was d/c to home on oral antibiotics for 7 more days. FINAL DX: right lower extremity swelling, likely secondary to adverse immunization reaction.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash
Clinical narrative: Influenza vaccine given 2/3/07. At bedtime on 2/4/07 Mom noted mosquito looking bumps at at daughters hairline. Child was given Benadryl and bumps disappeared. Mom repeated Benadryl 2/5/07 do to bumps on arms. Bumps do itch. Mom denies diarrhea or fever. Mom referred to MD. This was daughters 3rd time receiving the influenza vaccine.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Lymphadenopathy, Malaise, Musculoskeletal stiffness, Myalgia, Pharyngolaryngeal pain
Clinical narrative: On 19 Jan 07 pt was evaluated for general malaise, myalgia, sore throat, R axillary lymphadenopathy. This was 11 days post smallpox vaccination. In addition to the above, he also c/o stiff neck. Exam essentially neg. Some axillary lymph node noted VSS A febrile.
Age: 5.0
Sex: M
Vaccine: FLU3, VARCEL
Symptoms: Erythema, Pruritus
Clinical narrative: Erythematous itchy area upper arm L, seen by me 2/5/07. Pt already seen by Peds first urgent care and put on Keflex. Recommended Benadryl PO, Topical Cortisone.
Age: 0.25
Sex: M
Vaccine: MMR, TDAP
Symptoms: Inappropriate schedule of drug administration, Laboratory test, No adverse effect
Clinical narrative: NONE
Age: 1.04
Sex: F
Vaccine: FLU3, IPV, PNC, VARCEL
Symptoms: Unevaluable event
Clinical narrative: Chicken Pox
Age: 1.02
Sex: F
Vaccine: FLU3, IPV, PNC, VARCEL
Symptoms: Unevaluable event
Clinical narrative: Chicken Pox
Age: 0.9
Sex: F
Vaccine: FLU3
Symptoms: Angioneurotic oedema, Irritability, Urticaria
Clinical narrative: Mother states noted hives both groin and arm pit areas less than 24 hr after injection. Hives giant size and spreading to face and trunk. Irritable no fever, cold symptoms prior to immunization. No reaction noted after 1st influenza shot.
Age: 0.88
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia
Clinical narrative: Fever 103
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Musculoskeletal pain, Pain in extremity
Clinical narrative: 2 days after giving Menactra and HPV vaccine #1, pt developed L shoulder and L arm pain, with ok strength but pain with motion.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Muscular weakness, Paraesthesia
Clinical narrative: 2 days after giving Menactra and HPV vaccine #1, pt developed L shoulder and L arm pain, with ok strength but pain with motion.
Age: 15.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Abdominal pain, Erythema, Pruritus, Tongue disorder
Clinical narrative: None seen here, took to medical center from school via ambulance, as per school nurse c/o ABD pain, itchy tongue and red skin.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Loss of consciousness, Oxygen supplementation, Somnolence, Syncope vasovagal, Tinnitus
Clinical narrative: Patient experienced a Vasovagal responsive after the admin of Tdap and Menactra respectively. Patient lost consciousness and needed to be placed on the floor. O2 by face mask, vitals 9 10 min. Patient stabilized after 15 min. Continued observation for another 30 min due to stated buzzing in ears and drowsiness.
Age: 65.0
Sex: F
Vaccine: FLUX
Symptoms: Malaise, Rash pruritic
Clinical narrative: Pruritic rash (entire body) X few days was ill 3-4 days after flu shot.
Age: 53.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Chills, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Same day of shot nausea, fever, chills, body aches, left humerous red, swollen and tender. Pt was seen 2 days after onset and treated with Septra DS. Pt was diagnosed with Cellulitis.
Age: 53.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Nausea, Pain, Pyrexia
Clinical narrative: Same day of shot nausea, fever, chills, body aches, left humerous red, swollen and tender. Pt was seen 2 days after onset and treated with Septra DS. Pt was diagnosed with Cellulitis.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Diarrhoea, Headache, Nausea
Clinical narrative: Woke up with nausea and diarrhea at 0445, headache received 3 bags NS Zofran and Toradol.
Age: 60.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Pyrexia, Skin tightness
Clinical narrative: 1 1/2 hrs with vaccine Rt arm felt tight and tender. Worse in evening red, swollen and more tender all below shot site. Fever on 1/16/07 100.6. Treated with Septra DS, Zyrtec, and ice. Almost completely resolved by 1/19/07.
Age: 1.45
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Abscess
Clinical narrative: Dtap site developed moderately severe abscess subcutaneously, responding to antibiotic.
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Body temperature increased, Chills, Fatigue, Headache
Clinical narrative: 5 PM 01/20/07 chills, headache, 102 temp lasted through 1/21/07, 1/22/07 just tired, T 99.9. Mom req we fill VAERS.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pain, Pruritus, Swelling
Clinical narrative: Signs redness itching, swollen hurts. time course 1/26/07 time 11:00am. Treatment Hydrocortisone cream USP 1%. Diphenhydramine (Benadryl) 25mg. Naproxen (Naprosyn) 500 mg.
Age: 0.17
Sex: M
Vaccine: HBHEPB, IPV, PNC, RV5
Symptoms: Body temperature increased, Vomiting
Clinical narrative: Within 4 days after admin immun PO pt had emesis with increased temp 99.4
Age: 32.0
Sex: F
Vaccine: UNK
Symptoms: Hypoaesthesia facial
Clinical narrative: Patient stated immediately after receiving flu vaccine in fall of 2005 and 11/06. She had right sided facial numbness lasting approximately 3 hours, then it subsided.
Age: 1.59
Sex: M
Vaccine: HBHEPB, MMRV
Symptoms: Body temperature increased, Diarrhoea, Erythema, Feeling hot, Folliculitis
Clinical narrative: ProQuad (MMR-V) and Comvax given 9/13/06. Folliolitis at time of vaccines. treated with Keflex. Rash resolved after five days but had emesis, diarrhea (4-5 x day) 3-4 days after visit, increase temp, onset of macular papular erythematous rash,eyes red, watery, no vesicles. on 9/25/06 grouchy and warm few days prior.
Age: 1.59
Sex: M
Vaccine: HBHEPB, MMRV
Symptoms: Irritability, Lacrimation increased, Ocular hyperaemia, Rash, Rash maculo-papular
Clinical narrative: ProQuad (MMR-V) and Comvax given 9/13/06. Folliolitis at time of vaccines. treated with Keflex. Rash resolved after five days but had emesis, diarrhea (4-5 x day) 3-4 days after visit, increase temp, onset of macular papular erythematous rash,eyes red, watery, no vesicles. on 9/25/06 grouchy and warm few days prior.
Age: 1.59
Sex: M
Vaccine: HBHEPB, MMRV
Symptoms: Streptococcal serology negative, Vomiting
Clinical narrative: ProQuad (MMR-V) and Comvax given 9/13/06. Folliolitis at time of vaccines. treated with Keflex. Rash resolved after five days but had emesis, diarrhea (4-5 x day) 3-4 days after visit, increase temp, onset of macular papular erythematous rash,eyes red, watery, no vesicles. on 9/25/06 grouchy and warm few days prior.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Aphasia, Blindness, Deafness, Loss of consciousness, Nasopharyngitis
Clinical narrative: Awoke about 10pm on 1/31/07 couldn't see, hear, speak, had a cold, body hurt all over, vomiting, blacking out. Daughter called 911 transported to ER released about 11:45 pm received IV fluids and some lab work. Dr ruled it an adverse reaction to flu shot.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Vaccination complication, Vomiting
Clinical narrative: Awoke about 10pm on 1/31/07 couldn't see, hear, speak, had a cold, body hurt all over, vomiting, blacking out. Daughter called 911 transported to ER released about 11:45 pm received IV fluids and some lab work. Dr ruled it an adverse reaction to flu shot.
Age: 45.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Hypokinesia, Injection site erythema, Injection site pain, Injection site urticaria, Injection site warmth
Clinical narrative: About 3:00 pm a lot of heat in 6 inch spot of injection site. 5:00 pm looked at it - it was very red and hives were starting. 7:00 pm - a lot of pain. By 9:00 pm couldn't bend elbow. Patient didn't do anything. Then went to bed after 9:00 pm, slept horribly because pain was extreme. Every time turned or moved pain woke her up. 7:00 am next morning took a shower but couldn't raise right arm. it was swollen and hives spread 3 inches below the elbow, 1/2 around upper arm and 6 inches short of shoulder and 1/4 high, lots of heat. She went to church, left church and laid down for 1/2 hour. Then at 2:00 pm went home and laid down. A friend called her doctor. He said to ice it and take Benadryl. She iced it but felt physically better, but didn't look better. Went to bed early around 8:00 pm and slept fitfully, was still painful, but less than the night before. on 2/5 at 7:00 am was told shot was in her right arm. Went to dentist at 9:00 am and they looked at it and told her to take Benadryl and asked if she was okay to stay for appointment. She said yes. After appointment at 11:00 picked up her mom and drove to pharmacy and bought Benadryl. Waited untl 1:00 pm to take it, until she was home because it makes her drowsy. Took a nap until 2:30 and then picked up son from school at 3:00. Drove him to bass lesson at 4:30, home at 7:00 pm, took another dose of Benadryl at 9:00 pm and ibupropen - 3 tablets of 200 mg and went to sleep. Slept much better. At 6:00 am next morning heat is gone, mild pain, but redness from below the elbow until 6 inches above shoulder.
Age: 45.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Oedema peripheral, Sleep disorder
Clinical narrative: About 3:00 pm a lot of heat in 6 inch spot of injection site. 5:00 pm looked at it - it was very red and hives were starting. 7:00 pm - a lot of pain. By 9:00 pm couldn't bend elbow. Patient didn't do anything. Then went to bed after 9:00 pm, slept horribly because pain was extreme. Every time turned or moved pain woke her up. 7:00 am next morning took a shower but couldn't raise right arm. it was swollen and hives spread 3 inches below the elbow, 1/2 around upper arm and 6 inches short of shoulder and 1/4 high, lots of heat. She went to church, left church and laid down for 1/2 hour. Then at 2:00 pm went home and laid down. A friend called her doctor. He said to ice it and take Benadryl. She iced it but felt physically better, but didn't look better. Went to bed early around 8:00 pm and slept fitfully, was still painful, but less than the night before. on 2/5 at 7:00 am was told shot was in her right arm. Went to dentist at 9:00 am and they looked at it and told her to take Benadryl and asked if she was okay to stay for appointment. She said yes. After appointment at 11:00 picked up her mom and drove to pharmacy and bought Benadryl. Waited untl 1:00 pm to take it, until she was home because it makes her drowsy. Took a nap until 2:30 and then picked up son from school at 3:00. Drove him to bass lesson at 4:30, home at 7:00 pm, took another dose of Benadryl at 9:00 pm and ibupropen - 3 tablets of 200 mg and went to sleep. Slept much better. At 6:00 am next morning heat is gone, mild pain, but redness from below the elbow until 6 inches above shoulder.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Pruritus, Rash
Clinical narrative: Presented with rash various parts of body and extremities. Itching. Afebrile.
Age: 11.0
Sex: F
Vaccine: TD, TD
Symptoms: Erythema, Pain in extremity, Swelling
Clinical narrative: Redness, swelling on left arm deltoid area. Pain two days- Tylenol - ice to effected area.
Age: 11.0
Sex: F
Vaccine: TD, TD
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Redness, swelling on left arm deltoid area. Pain two days- Tylenol - ice to effected area.
Age: 11.0
Sex: F
Vaccine: TD, TD
Symptoms: Erythema, Pain in extremity, Swelling
Clinical narrative: REDNESS, SWELLING, PAIN, HARD TO TOUCH ON LEFT DELTOID AREA...STARTED THE NEXT DAY AND WAS GETTING WORSE 2 DAYS LATER. SEEN BY MD..TOLD TO USE TYLENOL FOR PAIN, ICE TO AFFECTED AREA AND MOTRIN FOR SWELLING
Age: 11.0
Sex: F
Vaccine: TD, TD
Symptoms: Erythema, Pain, Swelling
Clinical narrative: REDNESS, SWELLING, PAIN, HARD TO TOUCH ON LEFT DELTOID AREA...STARTED THE NEXT DAY AND WAS GETTING WORSE 2 DAYS LATER. SEEN BY MD..TOLD TO USE TYLENOL FOR PAIN, ICE TO AFFECTED AREA AND MOTRIN FOR SWELLING
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Headache, Myalgia, Pain, Pruritus, Pyrexia
Clinical narrative: PCP note reads myalgias, pruritus, general achiness and possibly a fever. Also a headache, resolved within 6 hours of injection.
Age: 1.34
Sex: F
Vaccine: DTAP
Symptoms: Convulsion
Clinical narrative: Seizure within 24 hours of vaccine administration.
Age: 0.19
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Per mom swelling and redness injection site L thigh on exam Sl swelling, 0 erythema, increased warmth, or ecchymosis L thigh.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: Macular Papular rash on torso and arms.
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Rash generalised
Clinical narrative: Joint pain (knees, elbows) problem with ligaments.  Body rash basically in all the body.  I've been treated with Celebrex for my joint pain, ice compress and for the rash some Benadryl and a sore joints (knees and elbow mostly).
Age: 33.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Abdominal discomfort, Affective disorder, Anorexia, Balance disorder, Confusional state
Clinical narrative: Abdominal- burning, cramps, pain, acid reflux (Tx), appetite loss, concentration- difficulty, trouble, confusion, cramps, depression (Tx), diarrhea, balance, endurance-loss, energy, fatigue, feeling sluggish, headaches, hearing, memory, neurological, mood, pain-legs, tachycardia, skin, suicide, sweats, thyroid, vision, weight problem.
Age: 33.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Depression, Diarrhoea, Disturbance in attention, Exercise tolerance decreased, Fatigue
Clinical narrative: Abdominal- burning, cramps, pain, acid reflux (Tx), appetite loss, concentration- difficulty, trouble, confusion, cramps, depression (Tx), diarrhea, balance, endurance-loss, energy, fatigue, feeling sluggish, headaches, hearing, memory, neurological, mood, pain-legs, tachycardia, skin, suicide, sweats, thyroid, vision, weight problem.
Age: 33.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Gastrooesophageal reflux disease, Headache, Hyperhidrosis, Muscle spasms, Nervous system disorder
Clinical narrative: Abdominal- burning, cramps, pain, acid reflux (Tx), appetite loss, concentration- difficulty, trouble, confusion, cramps, depression (Tx), diarrhea, balance, endurance-loss, energy, fatigue, feeling sluggish, headaches, hearing, memory, neurological, mood, pain-legs, tachycardia, skin, suicide, sweats, thyroid, vision, weight problem.
Age: 33.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Pain, Pain in extremity, Sluggishness, Suicidal behaviour, Tachycardia
Clinical narrative: Abdominal- burning, cramps, pain, acid reflux (Tx), appetite loss, concentration- difficulty, trouble, confusion, cramps, depression (Tx), diarrhea, balance, endurance-loss, energy, fatigue, feeling sluggish, headaches, hearing, memory, neurological, mood, pain-legs, tachycardia, skin, suicide, sweats, thyroid, vision, weight problem.
Age: 33.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Thyroid disorder, Visual disturbance, Weight abnormal
Clinical narrative: Abdominal- burning, cramps, pain, acid reflux (Tx), appetite loss, concentration- difficulty, trouble, confusion, cramps, depression (Tx), diarrhea, balance, endurance-loss, energy, fatigue, feeling sluggish, headaches, hearing, memory, neurological, mood, pain-legs, tachycardia, skin, suicide, sweats, thyroid, vision, weight problem.
Age: 3.0
Sex: F
Vaccine: HEPA, PNC
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: right deltoid injection site erythema, edema, heat
Age: 1.25
Sex: F
Vaccine: DTAPH, PNC
Symptoms: Convulsion
Clinical narrative: Seizure < 10 minutes. Taken to ER. No further treatment.
Age: 25.0
Sex: F
Vaccine: HEP
Symptoms: Rash
Clinical narrative: Patient came to me c/o rash on L side chest and neck thinking it may have been from injection 2 days prior. Denied SOB or CP. Pt stated onset was the day of injection.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Induration, Limb discomfort
Clinical narrative: Indurated red area approximately 7.5 cm in diameter, "sore" hurts with arm movement. Instr. Benadryl plus cool compress
Age: 1.0
Sex: F
Vaccine: HIBV, PNC, VARCEL
Symptoms: Rash papular
Clinical narrative: Patient broke out with a papular rash 2 days after receiving varicella vaccine. Mom stated this after child received MMR on 1/30/07
Age: 1.26
Sex: F
Vaccine: DTAP, MMR
Symptoms: Urticaria
Clinical narrative: Pt received MMR vaccine on 1/30/07. Mom stated child broke out with a rash on the night of 01/31/07. Brought child to office on 02/01/07 with urticarial rash all over.
Age: 5.0
Sex: M
Vaccine: DTAPHEPBIP, IPV
Symptoms: Inappropriate schedule of drug administration, Medication error
Clinical narrative: Documenting patient received 2 doses of IPV in one appointment because the nurse gave wrong vaccines grabbed Pediarix instead of Dtap, so child received double dose of Polio immunizations.
Age: 42.0
Sex: F
Vaccine: HEPA
Symptoms: Face oedema, Rash, Throat tightness, Tongue oedema, Vomiting
Clinical narrative: Rec'd Hep A injection 11/20 at 1500 at 2400 vomited, had facial swelling and bumps on neck, mostly R mild swelling of tongue, mild sensation of throat tightening.
Age: 7.0
Sex: F
Vaccine: PPV, VARCEL, PPV, VARCEL
Symptoms: C-reactive protein increased, Injection site erythema, Injection site induration, Injection site oedema, Injection site pain
Clinical narrative: Swollen, red painful injection site. The arm was significantly swollen, indurated and tender. She was running a fever. 03/01/07-records received from PCP and facility for DOS 01/21-02/02/07 DC DX: Cellulitis of left upper arm. Reaction to Pneumovax vaccination Developed significant swelling, redness, warmth, pain and tenderness of left upper arm. Temp 100.8.
Age: 7.0
Sex: F
Vaccine: PPV, VARCEL, PPV, VARCEL
Symptoms: Lymphopenia, Neutrophil count increased, Pyrexia, White blood cell count increased
Clinical narrative: Swollen, red painful injection site. The arm was significantly swollen, indurated and tender. She was running a fever. 03/01/07-records received from PCP and facility for DOS 01/21-02/02/07 DC DX: Cellulitis of left upper arm. Reaction to Pneumovax vaccination Developed significant swelling, redness, warmth, pain and tenderness of left upper arm. Temp 100.8.
Age: 7.0
Sex: F
Vaccine: PPV, VARCEL, PPV, VARCEL
Symptoms: C-reactive protein increased, Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site rash
Clinical narrative: Swollen, red painful injection site. The arm was significantly swollen, indurated and tender. She was running a fever. 03/01/07-records received from PCP and facility for DOS 01/21-02/02/07 DC DX: Cellulitis of left upper arm. Reaction to Pneumovax vaccination Developed significant swelling, redness, warmth, pain and tenderness of left upper arm. Temp 100.8.
Age: 7.0
Sex: F
Vaccine: PPV, VARCEL, PPV, VARCEL
Symptoms: Injection site swelling, Lymphocyte count decreased, Neutrophil count increased, Pyrexia, White blood cell count increased
Clinical narrative: Swollen, red painful injection site. The arm was significantly swollen, indurated and tender. She was running a fever. 03/01/07-records received from PCP and facility for DOS 01/21-02/02/07 DC DX: Cellulitis of left upper arm. Reaction to Pneumovax vaccination Developed significant swelling, redness, warmth, pain and tenderness of left upper arm. Temp 100.8.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Erythema, Feeling hot, Injection site oedema, Myalgia
Clinical narrative: Swelling upper and lower left arm, severe erythema, heat, chills, myalgias. Mostly gone after 2 days. No treatment.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Oedema
Clinical narrative: Swelling upper and lower left arm, severe erythema, heat, chills, myalgias. Mostly gone after 2 days. No treatment.
Age: 62.0
Sex: M
Vaccine: PPV
Symptoms: Injection site cellulitis
Clinical narrative: Left upper extremity has cellulitis. Symptoms started same day as shot. Next day got Rocephin 1 gm IM and Keflex.
Age: 1.07
Sex: M
Vaccine: HEPA
Symptoms: Medication error, No adverse effect
Clinical narrative: Irregular scheduling event gave Hep A 30Jan, found minutes afterwards record of receiving same injection of Hep A on 24 Jan 2007. No reactions noted while in the clinic.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain in extremity, Swelling
Clinical narrative: Left arm pain, redness,swelling.
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Chills, Dizziness, Erythema, Feeling cold, Headache
Clinical narrative: 6 hours post vaccine chill-freezing, 18 hours post vaccine dizzy, HA, passed out x 10", a 2nd time. Squad checked out sweating, 9x6 cm redness , tender.
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Hyperhidrosis, Inappropriate schedule of drug administration, Loss of consciousness, Tenderness
Clinical narrative: 6 hours post vaccine chill-freezing, 18 hours post vaccine dizzy, HA, passed out x 10", a 2nd time. Squad checked out sweating, 9x6 cm redness , tender.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site cellulitis, Injection site erythema, Injection site warmth
Clinical narrative: 4-11-06 presented to Dr's office c/o L arm erythematous warm area over lateral arm extending to elbow and to axilla. No area of induration, no fever. DX with cellulitis RX'd with Keflex. Returned to office x 2 resolved cellulitis.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema
Clinical narrative: Shot received 1/30/07. 1/31/07 developed redness around in.
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Asthenia, Cellulitis, Erythema, Pain, Swelling
Clinical narrative: On 7/1/06 c/o increase pain, redness, swelling R elbow and under arm, temp 100 felt weak. Sought ED tx placed on Keflex with improvement is SX of cellulitis.
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Injection site cellulitis, Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: L upper arm with 2x4 cm area of redness and mild induration well circumscribed, mildly tender and warm vaccine imm reaction. No cellulitis. 7/29/06 seen again for persisting 5 x 6cm erythema and fever DX with cellulitis places on Keflex.
Age: 41.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Chills, Erythema, Injection site erythema, Injection site pain
Clinical narrative: 2 days following injection, pt seen for fever, chills, red spot size of sm plate, itchy, red, painful right arm locally, myalgias. DX with cellulitis treated with Keflex.
Age: 41.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pruritus, Myalgia, Pyrexia, Rash
Clinical narrative: 2 days following injection, pt seen for fever, chills, red spot size of sm plate, itchy, red, painful right arm locally, myalgias. DX with cellulitis treated with Keflex.
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: None Stated
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Rash erythematous, Swelling
Clinical narrative: left thigh was swollen and erythematous within approximately 8 hr of shots.  It was a large swelling involving whole thigh.  Hep A and Dtap was given that thigh
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: Red, warm, raised bump at injection site
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: Red, warm, raised bump at injection site
Age: 60.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site warmth, Neck pain, Pain in extremity
Clinical narrative: T-100.0 Painful to move her arm.  Pain in all of arm and neck. Unable to move. Site tender to touch and hot. Painful with extension.
Age: 58.0
Sex: M
Vaccine: IPV, MEN, TTOX, TYP, YF
Symptoms: Lyme disease, Pain, Pyrexia, Swelling
Clinical narrative: 2 days after vaccine-woke up with low grade fever 99.  Left knee and thigh (lower) swollen sore to move. Pt flew to California saw MD-blood work showed positive Lyme disease. Started on Doxycycline and is going to ID MD.
Age: 1.1
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Blood electrolytes normal, Computerised tomogram normal, Convulsion, Full blood count normal
Clinical narrative: afebrile seizure after MMR and Varicella 2 days after shots
Age: 30.0
Sex: F
Vaccine: PPV
Symptoms: Blood culture negative, Blood pressure decreased, Body temperature increased, Chest X-ray normal, Chest pain
Clinical narrative: Pt c/o chest pains about 3-4 hrs. after shot.  Then began with body aches,fever, chills, and errythemia of R upper arm the next morning.  By Wednesday morning symptoms were worsening and family took her to ER when fingernail beds were turing blue.  BP in ER 81/55.  Md felt she was starting to go into shock.  WBC count 24.9  in ER at 2 pm on 01/31/07.  Admitted to Acute Care.  WBC on 02/02/07 was 10.6. Highest oral temp in ACF was 101.3.  02/16/2007  MR received from hospital admission of 5 days for a progressive, worsening reaction to Pnumovax.  Pt. presented to the ER with flu-like symptoms (fever of 101'F, dizziness, chills) and severe right shoulder pain. HPI: The evening following pneumovax, pt. began to experience "chest tightening". The following morning the arm was swollen and sore with decreased ROM.  She had a temp. of 101' and felt dizzy.  Later that day it was noted that she was experiencing nailbed duskyness which prompted the trip to the ER.  BP upon arrival was 81/51.  The right shoulder showed erythema and prominent tenderness upon PE. Treated with triple antibiotics with improvement. Impression:  Severe allergic infectious process to the right shoulder after pneumovax.  Cellulitis/abscess could not be ruled out.
Age: 30.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Culture urine negative, Cyanosis, Erythema, Full blood count
Clinical narrative: Pt c/o chest pains about 3-4 hrs. after shot.  Then began with body aches,fever, chills, and errythemia of R upper arm the next morning.  By Wednesday morning symptoms were worsening and family took her to ER when fingernail beds were turing blue.  BP in ER 81/55.  Md felt she was starting to go into shock.  WBC count 24.9  in ER at 2 pm on 01/31/07.  Admitted to Acute Care.  WBC on 02/02/07 was 10.6. Highest oral temp in ACF was 101.3.  02/16/2007  MR received from hospital admission of 5 days for a progressive, worsening reaction to Pnumovax.  Pt. presented to the ER with flu-like symptoms (fever of 101'F, dizziness, chills) and severe right shoulder pain. HPI: The evening following pneumovax, pt. began to experience "chest tightening". The following morning the arm was swollen and sore with decreased ROM.  She had a temp. of 101' and felt dizzy.  Later that day it was noted that she was experiencing nailbed duskyness which prompted the trip to the ER.  BP upon arrival was 81/51.  The right shoulder showed erythema and prominent tenderness upon PE. Treated with triple antibiotics with improvement. Impression:  Severe allergic infectious process to the right shoulder after pneumovax.  Cellulitis/abscess could not be ruled out.
Age: 30.0
Sex: F
Vaccine: PPV
Symptoms: Pain, Pyrexia, Shock, White blood cell count increased
Clinical narrative: Pt c/o chest pains about 3-4 hrs. after shot.  Then began with body aches,fever, chills, and errythemia of R upper arm the next morning.  By Wednesday morning symptoms were worsening and family took her to ER when fingernail beds were turing blue.  BP in ER 81/55.  Md felt she was starting to go into shock.  WBC count 24.9  in ER at 2 pm on 01/31/07.  Admitted to Acute Care.  WBC on 02/02/07 was 10.6. Highest oral temp in ACF was 101.3.  02/16/2007  MR received from hospital admission of 5 days for a progressive, worsening reaction to Pnumovax.  Pt. presented to the ER with flu-like symptoms (fever of 101'F, dizziness, chills) and severe right shoulder pain. HPI: The evening following pneumovax, pt. began to experience "chest tightening". The following morning the arm was swollen and sore with decreased ROM.  She had a temp. of 101' and felt dizzy.  Later that day it was noted that she was experiencing nailbed duskyness which prompted the trip to the ER.  BP upon arrival was 81/51.  The right shoulder showed erythema and prominent tenderness upon PE. Treated with triple antibiotics with improvement. Impression:  Severe allergic infectious process to the right shoulder after pneumovax.  Cellulitis/abscess could not be ruled out.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Feeling hot, Injection site erythema, Injection site irritation, Injection site mass, Injection site swelling
Clinical narrative: Patient reported a 15 second intense burning at subcutaneous injection site followed by a warm sensation down his affected arm.  The patient reports "redness and swelling developed quickly at the injection site (which I understand is not uncommon for that vaccine) with a large (2-3 cm), palpable, mass in the deeper tissue.  There was also considerable itching over the next few days.  The mass finally disappeared after about five days, and the redness is much smaller in diameter (from several centimeters down to 2.5 to 3 cm today). "
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Pruritus
Clinical narrative: Patient reported a 15 second intense burning at subcutaneous injection site followed by a warm sensation down his affected arm.  The patient reports "redness and swelling developed quickly at the injection site (which I understand is not uncommon for that vaccine) with a large (2-3 cm), palpable, mass in the deeper tissue.  There was also considerable itching over the next few days.  The mass finally disappeared after about five days, and the redness is much smaller in diameter (from several centimeters down to 2.5 to 3 cm today). "
Age: 0.35
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Infrequent bowel movements, Insomnia, Irritability
Clinical narrative: Patient was in usual happy, content state when he received his 4 month vaccines 02/02/07. Since that evening he has been crying, fussy. Parents are unable to put him down. No bowel movement for 3days(also unusual). Just very irritable. Parents claim baby has only slept 3-4 hours over the last 4 days. Patient was seen at the clinic,02-06-07 and found to have a normal exam.
Age: 33.0
Sex: M
Vaccine: MNQ
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: PT STATES HE RECEIVED MCG ON 2 FEB 07, SITE: SQ LEFT TRICEP REGION.  NOTICED RASH DEVELOPING THE MORNING OF 3 FEB. STARTED IN UNDERARM REGION OF LEFT ARM THEN TRAVELED THEN RIGHT ARM.  LATER BACK AND SIDE OF TORSO SHOWED RASH.  NO OTHER SYMPTOMS NOTED.  RASH IS VERY RED AND ITCHY.  PT WAS SEEN AT BY PCM ON 6 FEB 07.
Age: 3.0
Sex: M
Vaccine: MMR
Symptoms: CSF test, Coma, Condition aggravated, Convulsion, Intensive care
Clinical narrative: Patient has a seizure and developmental disorder of unknown etiology. After a long admission to the hospital in which his anti seizures medications were adjusted, ketogenic diet started, gastrostomy tube with fundoplication placed he was discharged. On follow up visit to his pediatrician he got a dose of MMR. After the vaccine (within 24-48 hours) parents noticed changed on patients neurologic status that evolved from an ambulating child to a child with altered mental status and uncontrollable seizures. He required pentobarbital coma to control the seizures. He was again discharged home and since his seizures were very difficult to control (now he is on his second phenobarbital induction coma). Given the prior abnormal neurologic status it is difficult to prove cause of effect but parents believe that there is an association between the worsening of neurologic status and the vaccine. CSF studies done 20 days post vaccine showed 0 wbc, 0 rbc, protein of 10mg/dl, glucose of 74 mg/dl, negative titers (IgG and Igm) for measles in CSF with appropriate serologic response to measles 3/26/07 Received medical records from hospital which reveal patient experienced multiple seizures starting s/p MMR vax & lasting approx 3 weeks prior to admit on 10/28/06-12/12/06.  Transferred from floor to PICU & placed in pentobarb coma for 2 wks.  Extubated w/o difficulty. Weaned off drips & spontaneous increased motor movement noted thought to be related to mitochodrial movement disorder secondary to ketogenic diet patient had been on.  Consults by genetics, ID, GI & GI surg, neuro.  Received 5 days of IVIG for possible encephalitis & multiple IV antibiotics.  Developed secondary UTI, pneumonia & pancreatitis during hospital stay.  Transferred to rehab on 12/12/06 FINAL DX: Seizure disorder s/p status epilepticus; global developmental delay; medication induced pancreatitis; & motor regression. 3/31/201 Follow-up: Patient's seizures and loss of celibitone still a problem.
Age: 3.0
Sex: M
Vaccine: MMR
Symptoms: Measles antibody negative, Mental status changes, Neurological symptom, Protein total normal, Red blood cell abnormality
Clinical narrative: Patient has a seizure and developmental disorder of unknown etiology. After a long admission to the hospital in which his anti seizures medications were adjusted, ketogenic diet started, gastrostomy tube with fundoplication placed he was discharged. On follow up visit to his pediatrician he got a dose of MMR. After the vaccine (within 24-48 hours) parents noticed changed on patients neurologic status that evolved from an ambulating child to a child with altered mental status and uncontrollable seizures. He required pentobarbital coma to control the seizures. He was again discharged home and since his seizures were very difficult to control (now he is on his second phenobarbital induction coma). Given the prior abnormal neurologic status it is difficult to prove cause of effect but parents believe that there is an association between the worsening of neurologic status and the vaccine. CSF studies done 20 days post vaccine showed 0 wbc, 0 rbc, protein of 10mg/dl, glucose of 74 mg/dl, negative titers (IgG and Igm) for measles in CSF with appropriate serologic response to measles 3/26/07 Received medical records from hospital which reveal patient experienced multiple seizures starting s/p MMR vax & lasting approx 3 weeks prior to admit on 10/28/06-12/12/06.  Transferred from floor to PICU & placed in pentobarb coma for 2 wks.  Extubated w/o difficulty. Weaned off drips & spontaneous increased motor movement noted thought to be related to mitochodrial movement disorder secondary to ketogenic diet patient had been on.  Consults by genetics, ID, GI & GI surg, neuro.  Received 5 days of IVIG for possible encephalitis & multiple IV antibiotics.  Developed secondary UTI, pneumonia & pancreatitis during hospital stay.  Transferred to rehab on 12/12/06 FINAL DX: Seizure disorder s/p status epilepticus; global developmental delay; medication induced pancreatitis; & motor regression. 3/31/201 Follow-up: Patient's seizures and loss of celibitone still a problem.
Age: 3.0
Sex: M
Vaccine: MMR
Symptoms: White blood cell disorder
Clinical narrative: Patient has a seizure and developmental disorder of unknown etiology. After a long admission to the hospital in which his anti seizures medications were adjusted, ketogenic diet started, gastrostomy tube with fundoplication placed he was discharged. On follow up visit to his pediatrician he got a dose of MMR. After the vaccine (within 24-48 hours) parents noticed changed on patients neurologic status that evolved from an ambulating child to a child with altered mental status and uncontrollable seizures. He required pentobarbital coma to control the seizures. He was again discharged home and since his seizures were very difficult to control (now he is on his second phenobarbital induction coma). Given the prior abnormal neurologic status it is difficult to prove cause of effect but parents believe that there is an association between the worsening of neurologic status and the vaccine. CSF studies done 20 days post vaccine showed 0 wbc, 0 rbc, protein of 10mg/dl, glucose of 74 mg/dl, negative titers (IgG and Igm) for measles in CSF with appropriate serologic response to measles 3/26/07 Received medical records from hospital which reveal patient experienced multiple seizures starting s/p MMR vax & lasting approx 3 weeks prior to admit on 10/28/06-12/12/06.  Transferred from floor to PICU & placed in pentobarb coma for 2 wks.  Extubated w/o difficulty. Weaned off drips & spontaneous increased motor movement noted thought to be related to mitochodrial movement disorder secondary to ketogenic diet patient had been on.  Consults by genetics, ID, GI & GI surg, neuro.  Received 5 days of IVIG for possible encephalitis & multiple IV antibiotics.  Developed secondary UTI, pneumonia & pancreatitis during hospital stay.  Transferred to rehab on 12/12/06 FINAL DX: Seizure disorder s/p status epilepticus; global developmental delay; medication induced pancreatitis; & motor regression. 3/31/201 Follow-up: Patient's seizures and loss of celibitone still a problem.
Age: 28.0
Sex: F
Vaccine: DTAP
Symptoms: Headache, Injection site erythema, Injection site induration, Pyrexia
Clinical narrative: Redness and induration at injection site.  Headache and mild fever
Age: 1.2
Sex: F
Vaccine: FLU3, MMR, PNC, VARCEL
Symptoms: Alopecia, Erythema, Rash, Rash vesicular
Clinical narrative: Presents to clinic 2/3/07 - bright red rash covering entire body.  Some hair loss.  No VZV type of rash noted.
Age: 12.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Anaphylactic reaction, Blood pressure normal, Oxygen saturation normal, Pruritus, Wheezing
Clinical narrative: Pt had an anaphylactic reaction -- no previous history of allergies, asthma, food allergies.  About 5 minutes after administration of both vaccines, the patient started to complain of full body itching, especially his throat and ears.  At that time, we checked vital signs which were all normal, and administered 25mg of Benadryl by mouth.  15 minutes later, Pt was wheezing on exam (inspiratory and expiratory).  Normal oxygenation.  Pt was given 1 albuterol nebulizer treatment at that time.  Halfway through the treatment, the patient was no longer wheezing, and felt much better.  I reassessed the patient intermittently over an hour, and the patient did not have any further itching or wheezing.  During that time, I also gave him 60mg of prednisone.  I also sent the family home with prednisone for 5 days (30mg twice daily), benadryl prn, and albuterol 2 puffs with spacer every 4 hrs for 24 hrs, and then prn afterwards.
Age: 1.0
Sex: F
Vaccine: DTAPHEPBIP, HIBV, MMRV, PNC
Symptoms: Body temperature increased, Rash
Clinical narrative: Initial rash on trunk: not raised, pink, no drainage, skin intact. Temp 1/11/07: 101.0
Age: 36.0
Sex: M
Vaccine: TDAP
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Numbness, paresthesias over L forearm
Age: 0.38
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Developmental delay, Dyskinesia, Electroencephalogram, Encephalopathy neonatal, Eye rolling
Clinical narrative: 3 days after shot she began having eye rolling and weird jerking movements in arms and face. Called DR several times to report this and they were not concerned at 1st. finally got appt to be seen exactly 1 week after shots were recvd and they made appt for EEG. 4 EEG's later and she is develop behind to a 1 month old per Dr and PT/OT. She may not be able to see/hear. She suffers from Infantile spasms/static encephalopathy and progressive myclonic epilepsy.  02/19/2007 MR received from PCP for office visits beginning on 11/06/2006 (date of vax.) to 01/30/2007. HPI: 1 week following vax. infant presented to PCP with parental c/o increasing frequency of eye movements.  Infant also has startle-like movements associated with the episodes PE: WNL. Assessment: ? seizures.  EEG to be obtained. Several more office visits for increasing frequency of seizures.  Seizures are focal, motor manifestations. Diagnosed with infantile spasms.  Pt did have a very short episode of upper extremity jerking during 12/09/2006 office visit. Assessment: Seizures/Other convulsions, non-febrile.  Infantile Spasms without mention of intractable epilepsy.  Treated with Topamax and ACTH.  02/26/2007 MR received from evaluating hospital for an admission to further work up child's infantile spasms. Admission PE showed a very chubby irritable child with slightly low tone in the musculoskeletal area.  Inconsistant tracking.  Can hold head when pulled up but cannot sit unsupported.  Does not reach for objects.  Axial hypotonia.  No attempt to roll over.  Otherwise WNL. Assessment:  Child appears to have a progressive encephalopathy in association with the onset of infantile spasms. Genetics and Metabolism Consult: Loss of developmental milestones now with developmental delay and seizure-like activity.  03/26/2007 DC Summary received from hospital stay. DC DX: Infantile Spasms.  Developmental Regression of milestones/delay. Developmentally delayed to a 2 month old still has abnormal EEG with Sz.