chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Tremor
Clinical narrative: Employee began to develop pruritus without rash.  Began feeling weak and sweaty.  She started shaking and was reported to become extremely pale.  Felt she was going to pass out.  Was assisted in lying down.  Rested for about one hour and was driven home where she went to bed for the remainder of the night.  Feels her usual self this morning except for a new area of erythema distal to the injection site.  Area not indurated or excessively tender or warm to touch.  Warm pack applied and advised to see MD if area worsens.  Possible cellulitis.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Breast pain, Glossodynia
Clinical narrative: Pt reports sore on right underside of tongue and painful right nipple
Age: 1.64
Sex: M
Vaccine: FLUN3
Clinical narrative: Patient was given the FLUMIST Nasal Spray versus the injection.  This is not recommended for children under 2.  Was given in error.  Patient is a healthy 19month old.   I was looking at the wrong VIS sheet recommendations.
Age: 14.0
Sex: M
Vaccine: FLUN3, MNQ, TDAP
Symptoms: Dizziness, Fall, Head injury, Hypotension, Loss of consciousness
Clinical narrative: Syncopal episode in bathroom when trying to get into shower.  Felt dizzy,fell,hit top of head on sink, LOC for approx 45 seconds.  Arrived at office dizzy and hypotensive.  Drank 2 Liters of gatorade, observed for 1 hour, felt better and BP increased to 102/65.  Discharged home.  F/U later in evening doing well, no temp or dizzyness.  10/14/09 Received medical records. Date of Service 10/6/09. Dx:  Severe Vaccine Reaction. Presenting sx:  Pt. woke up and experienced dizzyness in the bathroom.  He had an episode of syncope and hit his head on the sink.  He presented with a headache, paleness,  fever, and unstable hypotension.  He drank 2 Liters of Gatorade and was walking and feeling good at time of discharge from physicians office an hour and 20 minutes later.
Age: 14.0
Sex: M
Vaccine: FLUN3, MNQ, TDAP
Symptoms: Syncope
Clinical narrative: Syncopal episode in bathroom when trying to get into shower.  Felt dizzy,fell,hit top of head on sink, LOC for approx 45 seconds.  Arrived at office dizzy and hypotensive.  Drank 2 Liters of gatorade, observed for 1 hour, felt better and BP increased to 102/65.  Discharged home.  F/U later in evening doing well, no temp or dizzyness.  10/14/09 Received medical records. Date of Service 10/6/09. Dx:  Severe Vaccine Reaction. Presenting sx:  Pt. woke up and experienced dizzyness in the bathroom.  He had an episode of syncope and hit his head on the sink.  He presented with a headache, paleness,  fever, and unstable hypotension.  He drank 2 Liters of Gatorade and was walking and feeling good at time of discharge from physicians office an hour and 20 minutes later.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Muscular weakness, Musculoskeletal pain, Rotator cuff syndrome
Clinical narrative: Developed pain and weakness in left shoulder. Seen for evaluation on 10/9/09 and clinically appeared to have rotator cuff tendonitis involving the supraspinatus and teres. Had complaint of weakness in the arm but could not confirm on testing as exam limited by pain.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Palpitations, Pruritus, Throat tightness
Clinical narrative: had been itching since shot but started feeling like my throat was closing, had heart palpatations, and felt nauseated. Took 50mg of benedryll and symtoms started improving within 20 minutes but itched almost all of next day.
Age: 12.0
Sex: M
Vaccine: FLU3
Symptoms: Fatigue, Feeling hot, No reaction on previous exposure to drug, Pain, Swelling
Clinical narrative: Has diabetes, received a FLUZONE for 8 yro-no problems-PM 10/5-50 cent swelling, hot tired, achy, went on to school, felt better by Thurs. 10/8, swelling better also by 10/8.
Age: 45.0
Sex: M
Vaccine: FLU3
Symptoms: Diarrhoea, Dyspepsia, Feeling hot, Flushing, Headache
Clinical narrative: Received vaccine 10/5/09 fu - several hours later swelling 50 cent size. digestive problems, diarrhea, flushed felt hot, achy, didn't feel well, HA, took TYLENOL - did not feel better until 10/9/09 - No PMD follow up. Pt attached had problems also-
Age: 45.0
Sex: M
Vaccine: FLU3
Symptoms: Malaise, Pain, Swelling
Clinical narrative: Received vaccine 10/5/09 fu - several hours later swelling 50 cent size. digestive problems, diarrhea, flushed felt hot, achy, didn't feel well, HA, took TYLENOL - did not feel better until 10/9/09 - No PMD follow up. Pt attached had problems also-
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Oedema peripheral, Pain, Skin warm, Tenderness
Clinical narrative: On Omnicef 1 wk prior to flu-resp sx's - on Levaquin day of, felt ok, no temp. PM-arm swollen, very hot to touch, tender, moving her arms. She felt area, school nurse practitioner saw Mon 10/5-9 cm area, red-reported to us on 10/8/09 area better by Wed 10/7-receive vaccine 10/2/09-no MD follow up-no other sx's reported.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, No reaction on previous exposure to drug
Clinical narrative: She took flu vaccine last year OK, prior not a vaccine for a number of years. Vaccine given 10/6-given AM-Tues. PM- reddened. Wed. AM 10/7-she could feel area when she moved her arm, 50 cent area. On 10/8 school nurse practioner reports 6-7 cm area. No other sxs, no PMD follow up. Today 10/9 area better.
Age: 15.0
Sex: F
Vaccine: FLU3, MNQ, VARCEL
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: 4cm X 3cm erythematous, warm to touch, red, swelling to area
Age: 6.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Cellulitis Left arm after receiving seasonal flu vaccine via pharmajet. Shoulder to elbow red, hot, swollen. Emergency room visit. Prescribed BACTRIM. Above noted 10/8 pm.
Age: 59.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site rash, Pain in extremity
Clinical narrative: Pt developed multiple large, raised, red areas all around arm and going up shoulder. Painful to touch. R arm.
Age: 59.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Rash macular
Clinical narrative: Pt developed multiple large, raised, red areas all around arm and going up shoulder. Painful to touch. R arm.
Age: 1.53
Sex: F
Vaccine: FLU3
Symptoms: Chest X-ray normal, Convulsion, Ear, nose and throat examination normal, Emergency care, Fluid replacement
Clinical narrative: Approx 2 hours after vaccination - seizure activity/fever taken to hospital via ambulance - temp 103.3. Nausea/vomiting - arrived in ER at 7:32 p.m. - given MOTRIN for fever. ZOFRAN for vomiting. IV fluids - temp 99.6  ax in ER labs, x-rays done, released to home at 9:20 pm
Age: 1.53
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Pyrexia, Streptococcal identification test negative, Vomiting, White blood cell count normal
Clinical narrative: Approx 2 hours after vaccination - seizure activity/fever taken to hospital via ambulance - temp 103.3. Nausea/vomiting - arrived in ER at 7:32 p.m. - given MOTRIN for fever. ZOFRAN for vomiting. IV fluids - temp 99.6  ax in ER labs, x-rays done, released to home at 9:20 pm
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Back pain, Chest pain, Dyspnoea, Myalgia
Clinical narrative: Woke up next day with back and muscle pain in chest and back. Difficulty breathing.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Muscle spasms
Clinical narrative: 10 days later injection site still has soreness & pain with movement. Patient complained occassionally has mild spasm with pain even when not moving her arm. She has been taking Tylenol for pain off & on.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chest discomfort, Dizziness, Dyspnoea
Clinical narrative: Weakness, chest wall, shortness of breath, some dizziness
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site haematoma
Clinical narrative: Bruise on injection site x 3 days.
Age: 39.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dizziness, Flushing, Hypoaesthesia oral, Malaise, Palpitations
Clinical narrative: Within moments of vaccine administration, patient reported not feeling well, dizzy, wanted to lie down after lying down, feet elevated, she reported her throat feeling tight, face flushed, around mouth feeling numb, heart feeling fast. HR ED, BP 140/80 911 called, pt transported to Emerg Dept (went to hosp)
Age: 39.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Throat tightness
Clinical narrative: Within moments of vaccine administration, patient reported not feeling well, dizzy, wanted to lie down after lying down, feet elevated, she reported her throat feeling tight, face flushed, around mouth feeling numb, heart feeling fast. HR ED, BP 140/80 911 called, pt transported to Emerg Dept (went to hosp)
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Biopsy, Rash
Clinical narrative: Patient reported having a bug bite then getting the flu shot. He reported a rash beginning 2 days after the immunization. He was to urgent care twice. The first time he was given hydrocortisone cream and oral diphenhydramine. He presented to urgent care a week later and the rash had not gone away. He was given oral methylprednisolone to accompany the hydrocortisone cream and diphenhydramine.
Age: 87.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Chills, Injected limb mobility decreased, Nausea
Clinical narrative: chills and nausea evening after the vaccine and the next morning could not lift his arm
Age: 2.0
Sex: F
Vaccine: FLUX
Symptoms: Pyrexia
Clinical narrative: Very High fever 105 with temporal artery thermometer, put straight in tub to cool down, and administered tylonol, fever reduced to 102 rectally, with alternation between tylonol and motrin fever is staying between normal and 100
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain
Clinical narrative: Center chest pain lasting for 2 hours
Age: 5.0
Sex: M
Vaccine: FLUN3
Symptoms: Headache, Oropharyngeal pain, Pyrexia, Skin warm
Clinical narrative: Dad reports that patient woke up during the night (due to bad weather - was scared) but found him to be warm.  No fever at school when checked at lunchtime, but 100.7 at 3 p.m.  Dad reports child was 100.1 upon arrival home.  He has also complained of a headache and sore throat. Mom called school this am to report that Pt would be out of school again today due to a fever and stuffy nose. Brought to MD today whom felt it was related to FluMist administration on 10/7/09 per Mom.
Age: 14.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure normal, Syncope
Clinical narrative: Per parent and EMS, patient had a fainting episode.  Blood pressure was checked but everything was fine.  Verified with father 10:00am 10/09/2009.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Drug administered at inappropriate site, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Shot was not given in the deltoid. Injection was given in wrong location. Caused are to be red, swollen and warm to touch. Greater care to ensure proper location used for giving an IM.
Age: 32.0
Sex: F
Vaccine: FLUN3
Symptoms: Pruritus, Rash
Clinical narrative: Rash, itching Benadryl PO
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Chest discomfort, Eye pruritus, Ocular hyperaemia
Clinical narrative: Red, Itchy Eyes Tightness in chest Temp 101 Pulse Oximetry at ER 91%
Age: 0.79
Sex: F
Vaccine: FLU3
Symptoms: Blood culture, Convulsion, Cough, Full blood count, Influenza serology
Clinical narrative: Fever (103.7) and cough on 10/8/09. Hospitalized with seizure on 10/8/09 - admitted through ER.  10/19/09:  Emergency Department records received for date of service 10/8/09.  Dx:  Complex febrile convulsion. Assessment:  Pt. was ill during the day with a febrile flu-like illness, appearing lethargic.  Began to have a tonic seizure involving the entire body while at home and continued in ambulance for approximately 20-30 minutes.  Medicated with Ativan with no results, so Versed was given.  Febrile with tachycardia upon admission to the ED. O2 sats. remained at 100%.  A lumbar puncture, CT scan and chest x-ray were all done.  Started on IV fluids for possible fluid depletion.  Medicated with Acyclovir, Rocephin and phenobarbital.  Transferred to a higher level of care.   ICD Code:  780.32
Age: 0.79
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Fever (103.7) and cough on 10/8/09. Hospitalized with seizure on 10/8/09 - admitted through ER.  10/19/09:  Emergency Department records received for date of service 10/8/09.  Dx:  Complex febrile convulsion. Assessment:  Pt. was ill during the day with a febrile flu-like illness, appearing lethargic.  Began to have a tonic seizure involving the entire body while at home and continued in ambulance for approximately 20-30 minutes.  Medicated with Ativan with no results, so Versed was given.  Febrile with tachycardia upon admission to the ED. O2 sats. remained at 100%.  A lumbar puncture, CT scan and chest x-ray were all done.  Started on IV fluids for possible fluid depletion.  Medicated with Acyclovir, Rocephin and phenobarbital.  Transferred to a higher level of care.   ICD Code:  780.32
Age: 85.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site haematoma, Injection site pruritus, Injection site warmth
Clinical narrative: Injection site: redness, little bruise, itching, warm.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site urticaria, Injection site warmth
Clinical narrative: L arm at injection site red, whelped (7" long, 5 1/2 " wide), itches, hot to touch. Shot received at pharmacy.
Age: 23.0
Sex: M
Vaccine: FLU3
Symptoms: Cough, Fatigue, Influenza, Nasopharyngitis, Oral herpes
Clinical narrative: About 3 days after flu shot some cold/flu symptoms began. Runny nose/sneezing. The 4th and 5th day had heavy sneezing runny nose and sore throat. 6th and 7th day felt fatigue and coughing. About seven days later I began to recover, but still had some coughing and sore throat. Cold sores on lips.
Age: 23.0
Sex: M
Vaccine: FLU3
Symptoms: Oropharyngeal pain, Rhinorrhoea, Sneezing
Clinical narrative: About 3 days after flu shot some cold/flu symptoms began. Runny nose/sneezing. The 4th and 5th day had heavy sneezing runny nose and sore throat. 6th and 7th day felt fatigue and coughing. About seven days later I began to recover, but still had some coughing and sore throat. Cold sores on lips.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Swelling, Throat tightness, Urticaria
Clinical narrative: After patient was given shot, chest and throat felt tight. Went to ER after 45 minutes. Was given BENADRYL and STEROID at ER had some swelling and hives.
Age: 29.0
Sex: M
Vaccine: HEPA
Symptoms: Cold sweat, Contusion, Fall, Hepatitis A virus test, Musculoskeletal stiffness
Clinical narrative: Client received 2nd A vaccine at 9:35a.m. No complaints made. 9:40 a.m. during conversation about the H1N1 vaccine client suddenly fell forward from the chair and curled up in a stiff fetal position. He opened his eyes within a 15 second period and asked: Quote "was I sleeping? Did I bite my tongue? I am ok." This happened before. He showed scars on his face and head to prove. Refused 911 call. B/P 106/65. P86. Resp. 20. He left after sitting awhile stating he was ok.  10/06/09 9:35 Client in clinic to receive a vaccine.  No complaints made. VIS given and explained H1Ni pamphlet given and discussed 2nd A vaccine given IM Lt Deltoid.  9:40 Discussion about the H1N1 vaccine was in progress when the client just suddenly shook and started bending forward & falling off the chair.  I tried to prevent him hitting his head by tugging & pulling on his shirt (he is very "tall Big person). He went down on the floor and was curled up in a stiff fetal position. He opened his eyes with 15 seconds and asked "quote" What happened was I sleeping? Did I bite my tongue, is it bleeding? This has happened before. I am ok" On examination client's skin was very clammy his tongue (at the end) was bitten and there a slight bruise in the top of his right ear. Client again said that this episode has happened before. He shows a scar on his face just above and between his eyes and one on his head sustained from this type of episode. Blood pressure was 106/65, pulse rate 86 and resp 20 shortly after the episode. He sat for a while and conversed then he said he was OK and left. he said he had not eaten, so he was encouraged to stop and have something to eat. Twice I tried to contact him by phone but no answer. Message left for him to return call. 10-07-09 Client returned call stating that he was ok and thanks for the concern.
Age: 29.0
Sex: M
Vaccine: HEPA
Symptoms: Posture abnormal, Tongue biting, Tremor
Clinical narrative: Client received 2nd A vaccine at 9:35a.m. No complaints made. 9:40 a.m. during conversation about the H1N1 vaccine client suddenly fell forward from the chair and curled up in a stiff fetal position. He opened his eyes within a 15 second period and asked: Quote "was I sleeping? Did I bite my tongue? I am ok." This happened before. He showed scars on his face and head to prove. Refused 911 call. B/P 106/65. P86. Resp. 20. He left after sitting awhile stating he was ok.  10/06/09 9:35 Client in clinic to receive a vaccine.  No complaints made. VIS given and explained H1Ni pamphlet given and discussed 2nd A vaccine given IM Lt Deltoid.  9:40 Discussion about the H1N1 vaccine was in progress when the client just suddenly shook and started bending forward & falling off the chair.  I tried to prevent him hitting his head by tugging & pulling on his shirt (he is very "tall Big person). He went down on the floor and was curled up in a stiff fetal position. He opened his eyes with 15 seconds and asked "quote" What happened was I sleeping? Did I bite my tongue, is it bleeding? This has happened before. I am ok" On examination client's skin was very clammy his tongue (at the end) was bitten and there a slight bruise in the top of his right ear. Client again said that this episode has happened before. He shows a scar on his face just above and between his eyes and one on his head sustained from this type of episode. Blood pressure was 106/65, pulse rate 86 and resp 20 shortly after the episode. He sat for a while and conversed then he said he was OK and left. he said he had not eaten, so he was encouraged to stop and have something to eat. Twice I tried to contact him by phone but no answer. Message left for him to return call. 10-07-09 Client returned call stating that he was ok and thanks for the concern.
Age: 78.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pneumovax = Left deltoid was swollen, achy to the size of a baseball with redness originating at injection site spreading down upper arms near elbow. No treatment necessary (seen on 10-9-09).
Age: 0.18
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Blood culture, CSF culture, Full blood count, Lumbar puncture, Metabolic function test
Clinical narrative: Infant developed fever when he arrived home from doctors visit - 105 degrees.  10/27/09 Vaccine records received. Medical records received for DOS 10/02. FINAL DIAGNOSIS: Fever, possible bacteremia. Neonate seen for well child exam and immunized. S/P developed fever and reduced intake of formula. Less active. Fever 38.9c. Irritable but easily consoled.  WBC increased. Blood cx abnormal. Urine cx neg. TX with ABX. Discharge to home. follow-up with PCP.
Age: 0.18
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Pyrexia
Clinical narrative: Infant developed fever when he arrived home from doctors visit - 105 degrees.  10/27/09 Vaccine records received. Medical records received for DOS 10/02. FINAL DIAGNOSIS: Fever, possible bacteremia. Neonate seen for well child exam and immunized. S/P developed fever and reduced intake of formula. Less active. Fever 38.9c. Irritable but easily consoled.  WBC increased. Blood cx abnormal. Urine cx neg. TX with ABX. Discharge to home. follow-up with PCP.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoacusis, Sinus congestion
Clinical narrative: Patient reports mild loss of hearing on day of vaccination, continues to persist x 6 days. Rec. PSE in case of sinus congestion.
Age: 9.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Injection site pain, Lip swelling, Pruritus, Urticaria
Clinical narrative: Patient received FLUZONE 10/06/09 that evening. She had arm pain where the shot was given. She took some MOTRIN. The next morning she woke up with swelling of the upper lip, then at the office at about 9:00 AM, she developed erythematous pruritic hives on both feet. She was put on PREDNISONE and ZYRTEC for 3 days.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: Large arathema of right upper arm Radiating from deltoid area to approximately halfway to elbow instructed to treat with benadryl & tylenol.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Body temperature increased, C-reactive protein, Erythema, Feeling of body temperature change, Full blood count
Clinical narrative: Redness, edema, tenderness increase temp heat/cold parental steroid.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: International normalised ratio, Oedema, Prothrombin time, Red blood cell sedimentation rate, Tenderness
Clinical narrative: Redness, edema, tenderness increase temp heat/cold parental steroid.
Age: 56.0
Sex: M
Vaccine: HEP
Symptoms: Antibody test negative, Dysphagia, Eyelid disorder, Facial palsy
Clinical narrative: Left Bell's Palsy.  Symptoms (difficulty drinking, eyelid was not working properly) came on over several hours 8/1/2009.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Drug administered at inappropriate site, Injection site haematoma, Lymphadenopathy, Neck pain
Clinical narrative: Swelling of lymph node under right collar bone was noticed.  Neck is sore.  Injection site on right arm has a small bruise.  Appears to be given too high in the deltoid muscle.  (Not three fingers below the acromion process).
Age: 46.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Large redness around injection site. Lasting for an extended amount of time, (Fri. 10/09/2009) and enlarging in size & soreness.
Age: 46.0
Sex: M
Vaccine: FLUX
Symptoms: Fatigue, Feeling of body temperature change, Nasopharyngitis, Pyrexia, Tremor
Clinical narrative: 101 degree fever, cold, shaking. Took 2 Advil. Ran 99.5 to 101 temp for about 10 hours. Was either cold or hot, changing back and forth all night. Stopped about 4am, felt ok, just tired from little sleep. Fever came back that afternoon about 3:15, it was 99.5-100.3 for several hours. Took 2 Advil, and was fine by 8:00pm, and slept well.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Reddened area and swelling size of tennis ball on Left leg.  Recieved Varicella and DTaP in Left leg
Age: 1.33
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Rash
Clinical narrative: rash on left knee
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Injection site discomfort, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Developed swelling, "size of large 50-cent piece at site of Varicella vaccination.  Deep red in color and hot to touch.  A little discomfort. That evening redness was progressing down the arm toward the elbow, still hot to touch.  No fever. Cold compresses applied. PCP suggested Benadryl, ibuprofen and warm compresses. Follow up phone to Mom on 10/06/2009 (6 days after vaccine given):  states redness and swelling "still a little there."  No fever, Bendadryl helped a lot.  Warm alternating with cold compresses applied.  Upper arm now light pink in color and swelling is "way down".  Instructed to call HCHD/PCP prn.
Age: 69.0
Sex: U
Vaccine: VARZOS
Symptoms: Abnormal sensation in eye, Injection site erythema, Injection site swelling
Clinical narrative: 1/2 of left arm swollen and red; left eye feeling different. Ask patient to call her doctor.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Excoriation, Injection site pruritus, Injection site urticaria, Skin lesion
Clinical narrative: Excoriated urticarial pruritic lesion R deltoid (inj site) after injection and lasting at least 2 weeks.
Age: 87.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Erythema, Local reaction, Malaise, Pruritus
Clinical narrative: Locally: itching, redness, warmth of arm overall; feeling of un-well shakiness lightheadedness.
Age: 87.0
Sex: F
Vaccine: FLU3
Symptoms: Skin warm, Tremor
Clinical narrative: Locally: itching, redness, warmth of arm overall; feeling of un-well shakiness lightheadedness.
Age: 11.0
Sex: M
Vaccine: FLUN3, TDAP, VARCEL
Symptoms: Abdominal pain upper, Nausea, Vomiting
Clinical narrative: "Nausea, vomiting, stomach aches"
Age: 4.0
Sex: M
Vaccine: FLU3, FLUN3
Symptoms: Unevaluable event
Clinical narrative: None reported by mother on 10/9/2009 at 2:30 PM.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Cardiac murmur, Chest pain, Dyspnoea, Electrocardiogram, Eye swelling
Clinical narrative: 10/8/09 awakened with Rt eye and face swelling, lips and tongue swollen, tongue numbness, SOB, chest pain. Assessment noted new heart murmur, 0.3 epinephrine, DEPO-MEDROL 80 mg and started on PREDNISONE taper. 10/9/09 heart murmur reduced, no SOB, no chest pain, swelling decreased. Numb tongue continues.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia oral, Lip swelling, Swelling face, Swollen tongue
Clinical narrative: 10/8/09 awakened with Rt eye and face swelling, lips and tongue swollen, tongue numbness, SOB, chest pain. Assessment noted new heart murmur, 0.3 epinephrine, DEPO-MEDROL 80 mg and started on PREDNISONE taper. 10/9/09 heart murmur reduced, no SOB, no chest pain, swelling decreased. Numb tongue continues.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash
Clinical narrative: Rash on chest itching
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Rash
Clinical narrative: Rash on chest and ankle pain.
Age: 20.0
Sex: F
Vaccine: ANTH
Symptoms: Arthralgia, Injection site pain, Neurological examination normal, Pain, Pain in extremity
Clinical narrative: Sudden onset of "excruciating" pain in right (injn) arm, shouder and infra-axillary region lasting for 2 hours. Took 1000 mg Tylenol, po. This was followed by "soreness" of right arm and restricted painful movements for another 48 hours. Examination at 11:35 AM 10/01/2009 - no erythema or swelling at inj. site. 1/4 tenderness medial to injection site over deltoid muscle and restricted abduction and external rotation of shoulder jt. neurological exam - WNL.   11:20 AM 10/05/2009 PE - WNL.
Age: 20.0
Sex: F
Vaccine: ANTH
Symptoms: Physical examination normal
Clinical narrative: Sudden onset of "excruciating" pain in right (injn) arm, shouder and infra-axillary region lasting for 2 hours. Took 1000 mg Tylenol, po. This was followed by "soreness" of right arm and restricted painful movements for another 48 hours. Examination at 11:35 AM 10/01/2009 - no erythema or swelling at inj. site. 1/4 tenderness medial to injection site over deltoid muscle and restricted abduction and external rotation of shoulder jt. neurological exam - WNL.   11:20 AM 10/05/2009 PE - WNL.
Age: 32.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Facial palsy
Clinical narrative: Bell's Palsy.  10/26/09:  Primary care records received for date of service 9/30/09 to 10/5/09. Dx:  Headache post Flumist, Bell's Palsy.    Assessment:  Presented one week after Flumist with c/o flu-like symptoms and HA w/o rash, fever, vomiting, photophobia, neck stiffness, nasal bleeding or facial pressure.  Given IM Toradol without relief.  Prescribed Epidrin for HA. Two weeks post Flumist presents with R facial sagging.  VSS.  Alert and oriented in NAD, normal speech, sensation and reflexes. Prescribed Acyclovir.
Age: 32.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Headache, Hypoaesthesia oral, Influenza like illness
Clinical narrative: Bell's Palsy.  10/26/09:  Primary care records received for date of service 9/30/09 to 10/5/09. Dx:  Headache post Flumist, Bell's Palsy.    Assessment:  Presented one week after Flumist with c/o flu-like symptoms and HA w/o rash, fever, vomiting, photophobia, neck stiffness, nasal bleeding or facial pressure.  Given IM Toradol without relief.  Prescribed Epidrin for HA. Two weeks post Flumist presents with R facial sagging.  VSS.  Alert and oriented in NAD, normal speech, sensation and reflexes. Prescribed Acyclovir.
Age: 9.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Swelling
Clinical narrative: swelling and shortness of breath
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Pruritus, Rash, Skin reaction, Swelling
Clinical narrative: 20min after flu shot, itching, swelling and sunburn rash.  Started with ears, face, then upper extremities.  Dermal reaction.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC
Symptoms: Erythema, Rash
Clinical narrative: Given Hepatitis B, Pentacel & Prevnar.   Bright red rash on top of head and forehead broke out.   A couple of red areas on Left knee.  Gave epinephrine 0.1mg IM in Right thigh.   Parent transported to ER per instructions of personal physician.  No respiratory distress.  Discharged from ER in a "short while."  Rash completely disappeared later in day.
Age: 46.0
Sex: F
Vaccine: FLUX
Symptoms: Dyspnoea, Feeling cold, Insomnia, Pain
Clinical narrative: Extreme aches and soreness. Was cold even though house was very warm.  Had a hard time sleeping; breathing in short breaths.  Took Advil, and was able to sleep through the night.
Age: 2.0
Sex: F
Vaccine: HIBV
Symptoms: Injection site urticaria
Clinical narrative: After lunch (had eaten nothing out of the ordinary) my daughter developed a SoftBall sized Hive on her Right thigh near Hib vaccination site.  She continually broke out in hives ranging in sizes from pencil eraser to softball (plus)sizes across her entire body for a full seven days before subsiding. At times I estimate about 50% coverage. Very scary! Luckily, she had no breathing issues, fever, etc.  We tried giving her Childrens Benadryl to counteract the reaction however, did not seem to help.
Age: 36.0
Sex: M
Vaccine: FLU3
Symptoms: Pruritus, Rash
Clinical narrative: Rash on head and chest with pruitus
Age: 5.0
Sex: M
Vaccine: FLUX
Symptoms: Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: My child complained of his arm hurting that night after receiving the Flu shot, the next morning his entire bisep was swollen and warm, the next day his whole arm was swollen, he had no fever...this swelling was not local, his entire arm was swollen, it appears to be resolving now.
Age: 7.0
Sex: M
Vaccine: FLUX
Symptoms: Joint swelling
Clinical narrative: Swelling at knee joint on the leg the vaccine was injected into.  The swelling WAS NOT at the injection site.  ONLY at the joint.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Erythema, Headache, Heart rate increased, Nausea
Clinical narrative: 1st 30 min: redness in face, pounding head went to CVS in Cohoes (where administered) to check on results. Heart Rate (HR) 125. Redness continued to worsen, they called 911. HR was 135 when EMS arrived. Took to ER. 30-60min (ambulance): HR about 140, was given Benadryl to ease symptoms. Almost vomited. given an IV. shaking started as soon as we arrived at the ER - compulsive, teeth shattering. 60-120min (ER): HR stayed at 140, was given prednisdone. redness had spread to my entire body, except hands/feet. 120-150min: completely red, but shaking stopped. 2 1/2 hrs-5hrs: HR dropped to about 115, redness was going down. discharged from hopsital approx 10:30 PM. Next day: face still red, HR back to normal. Followed up with doctors 11/5/2009 ED record for 10/8/2009, patient with c/o's rash, palpitations, swelling, difficulty breathing. TX: Benadryl and Zofran with sx resolution. DC DX: allergic reaction
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Skin test, Tremor
Clinical narrative: 1st 30 min: redness in face, pounding head went to CVS in Cohoes (where administered) to check on results. Heart Rate (HR) 125. Redness continued to worsen, they called 911. HR was 135 when EMS arrived. Took to ER. 30-60min (ambulance): HR about 140, was given Benadryl to ease symptoms. Almost vomited. given an IV. shaking started as soon as we arrived at the ER - compulsive, teeth shattering. 60-120min (ER): HR stayed at 140, was given prednisdone. redness had spread to my entire body, except hands/feet. 120-150min: completely red, but shaking stopped. 2 1/2 hrs-5hrs: HR dropped to about 115, redness was going down. discharged from hopsital approx 10:30 PM. Next day: face still red, HR back to normal. Followed up with doctors 11/5/2009 ED record for 10/8/2009, patient with c/o's rash, palpitations, swelling, difficulty breathing. TX: Benadryl and Zofran with sx resolution. DC DX: allergic reaction
Age: 5.0
Sex: F
Vaccine: FLUN3
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Child developed rash with hives & itching that began on torso and spread to extremities
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Musculoskeletal pain, Myalgia, Pain in extremity
Clinical narrative: Pt called with question on possible side effect to vaccine. Reports tenderness at injection site for 4-5 days after vaccine.She then traveled and slept in hotel overnight and woke with more pain down arm and muscles continued soreness around left shoulder and bicep area. Some improvement but almost 2 wks out and symptoms/muscle soreness not gone.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Breast pain, Immunisation reaction, Lymph node pain, Pain
Clinical narrative: severe pain under arm pit, lymph nodes extending into breast
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Sensation of heaviness, Swollen tongue
Clinical narrative: Within 15 minutes of administration arm felt heavy, "like it was asleep".  Within 1 hour tongue felt swollen, no difficulty swallowing or breathing.  Given 50mg of liquid Benadryl with symptoms resolved in 15 minutes.
Age: 56.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Skin warm
Clinical narrative: redness,hot to the touch Dr from a walk in health prescribed doxy 100mg 1 bid
Age: 3.0
Sex: F
Vaccine: FLU3, FLUN(H1N1)
Symptoms: Pyrexia
Clinical narrative: 103.6 degree F fever
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Body temperature increased, Injection site erythema, Injection site pain, Injection site swelling, Malaise
Clinical narrative: Upper left arm became swollen, sore and red at shot site. Later that nite while sleeping I was awakened to pain in left arm. It was swollen more and had red streaks in back of left arm and under left arm. 10/08/2009 I felt like I had the flu and arm was burning and very sore. That PM I ran a low grade temperature of 99.6. 10/09/2009 I still have red streaks running back of arm and under left arm and arm very sore
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity, Skin burning sensation
Clinical narrative: Upper left arm became swollen, sore and red at shot site. Later that nite while sleeping I was awakened to pain in left arm. It was swollen more and had red streaks in back of left arm and under left arm. 10/08/2009 I felt like I had the flu and arm was burning and very sore. That PM I ran a low grade temperature of 99.6. 10/09/2009 I still have red streaks running back of arm and under left arm and arm very sore
Age: 29.0
Sex: F
Vaccine: FLUX, TDAP
Symptoms: Burning sensation, Erythema, Insomnia, Mobility decreased, Oedema peripheral
Clinical narrative: Both my husband and I got a flu shot and a tetanus shot in our left arms.  Both of us experienced severe aching, which we expected.  His went away after about 2-3 days.  Mine got slightly better, then got worse, until I could barely move my arm, and certainly not without pain.  My arm became red, itchy and so swollen that beyond where I could move my arm without pain, there was a lot of lost mobility where it was impossible to move my arm because of how swollen it was.  When I tried, even with pain, it would be like I had a physical barrier blocking my arm.  Also, it occasionally felt like a burning sensation in my arm, and it was certainly warm/hot to the touch.  As well as hurting to move, it also hurts to touch my arm. It has been a week now, and I am on antibiotics, but it is currently only slightly better.  I have difficulty sleeping, am unable to sleep on my left side, and I can barely move my left arm.  My husband actually has to help me with changing my clothing, it is so bad.
Age: 29.0
Sex: F
Vaccine: FLUX, TDAP
Symptoms: Pain, Pruritus, Skin warm
Clinical narrative: Both my husband and I got a flu shot and a tetanus shot in our left arms.  Both of us experienced severe aching, which we expected.  His went away after about 2-3 days.  Mine got slightly better, then got worse, until I could barely move my arm, and certainly not without pain.  My arm became red, itchy and so swollen that beyond where I could move my arm without pain, there was a lot of lost mobility where it was impossible to move my arm because of how swollen it was.  When I tried, even with pain, it would be like I had a physical barrier blocking my arm.  Also, it occasionally felt like a burning sensation in my arm, and it was certainly warm/hot to the touch.  As well as hurting to move, it also hurts to touch my arm. It has been a week now, and I am on antibiotics, but it is currently only slightly better.  I have difficulty sleeping, am unable to sleep on my left side, and I can barely move my left arm.  My husband actually has to help me with changing my clothing, it is so bad.
Age: 22.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Depressed mood, Fatigue, Feeling hot, Headache, Nasal congestion
Clinical narrative: General fatigue, body aches, feeling of fever (however none), nasal congestion, headache, sore throat, cough, lung congestion, and depressed mood.
Age: 22.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Oropharyngeal pain, Pain, Pulmonary congestion
Clinical narrative: General fatigue, body aches, feeling of fever (however none), nasal congestion, headache, sore throat, cough, lung congestion, and depressed mood.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Injection site erythema, Lymphadenopathy, Pyrexia
Clinical narrative: Erythema of upper right arm, fever, chills, lymphadenopathy.  Treated with Bactrim DS 1 tablet 2 times a day for 10 days. Follow up with Dr. on 10-9-09.
Age: 59.0
Sex: M
Vaccine: ANTH
Symptoms: Body temperature fluctuation, Dyspnoea, Feeling of body temperature change, Lip swelling
Clinical narrative: My lips began to swell, I felt alternatingly hot/swetty or cold I could not control my body temperature. I also had increased breathing problems. About 1.5 hours later, I felt well enough to drive to the ER.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, PPV
Symptoms: Incorrect dose administered, Unevaluable event
Clinical narrative: No adverse event, gave incorrect dosage of pneumovax, should have been for Wyeth for age under 2, but gave Merck for age 2-18 yrs.
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Anion gap increased, Blood bilirubin increased, Blood sodium decreased, Dehydration, Full blood count
Clinical narrative: Myalgias, subjective fever, nausea/vomiting, "dehydration".
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Metabolic function test, Myalgia, Nausea, Pregnancy test, Pyrexia
Clinical narrative: Myalgias, subjective fever, nausea/vomiting, "dehydration".
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Urine analysis, Vomiting
Clinical narrative: Myalgias, subjective fever, nausea/vomiting, "dehydration".
Age: 65.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site discolouration, Mass, Oedema peripheral, Pruritus
Clinical narrative: Lumps in arm raised and itchy.purple at injection site. and still is a large discolored area on my arm after two weeks
Age: 12.0
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Convulsion, Crying, Fall, Gait disturbance
Clinical narrative: My son was given the DPT, Hib and Polio vaccinations. About 4-5 hours later  he was running around and playing happily and normally in the park. During this routine play, his entire body suddenly seized up and fell to the ground. He was unable to walk normally for the rest of the night. The cycle of trying to walk, crying and falling continued until the next morning.  I was advised by our pediatrician to give him Tylenol.
Age: 88.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Blood product transfusion, CSF cell count, Gram stain, Guillain-Barre syndrome
Clinical narrative: Guillain Barre syndrome (LE Weakness, numbness and tingling in extremities, severe back pain). TX: IV Ig.    10/23/09:  Hospital Records and Discharge Summary received for dates of service 9/28/09 to 10/14/09.  GBS, Severe back pain, UTI, Hypokalemia, Hyponatremia, Constipation, Syncope, Left humeral fractures, Accelerated HTN, PVD, Dyslipidemia, Osteoporosis with degenerative joint disease and disk disease, Anxiety. Assessment:  Presented with severe abdominal and back pain (8/10) after syncope episode.  Had some nausea and vomiting 36 hours prior to admission.  Patient fell recently and had left humeral fractures.  C/o numbness and tingling in LE's and UE's and significant pain not well controlled by meds as well as LE weakness.  Neuro consult & LP done. IVIG started for 5 days with slight improvement in motor function and motor strength.  Placed on a fentanyl patch and morhpine sulfate for back and hip pain.   UTI was treated which reduced pelvic and hip pain. Had trouble swallowing and and NG Tube was placed but pt. began gurgling up with NG tube, so a PEG tube was placed.   Blood pressure fluctuated throughout LOS, thought to be due to vasormotor instability secondary to GBS.   Discharged to long term care facility.
Age: 88.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Muscular weakness, Paraesthesia
Clinical narrative: Guillain Barre syndrome (LE Weakness, numbness and tingling in extremities, severe back pain). TX: IV Ig.    10/23/09:  Hospital Records and Discharge Summary received for dates of service 9/28/09 to 10/14/09.  GBS, Severe back pain, UTI, Hypokalemia, Hyponatremia, Constipation, Syncope, Left humeral fractures, Accelerated HTN, PVD, Dyslipidemia, Osteoporosis with degenerative joint disease and disk disease, Anxiety. Assessment:  Presented with severe abdominal and back pain (8/10) after syncope episode.  Had some nausea and vomiting 36 hours prior to admission.  Patient fell recently and had left humeral fractures.  C/o numbness and tingling in LE's and UE's and significant pain not well controlled by meds as well as LE weakness.  Neuro consult & LP done. IVIG started for 5 days with slight improvement in motor function and motor strength.  Placed on a fentanyl patch and morhpine sulfate for back and hip pain.   UTI was treated which reduced pelvic and hip pain. Had trouble swallowing and and NG Tube was placed but pt. began gurgling up with NG tube, so a PEG tube was placed.   Blood pressure fluctuated throughout LOS, thought to be due to vasormotor instability secondary to GBS.   Discharged to long term care facility.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Flushing, Urticaria
Clinical narrative: Patient given flu shot (seasonal) at 11:00 a.m. and approx 20 mins later developed flushing hives. Never any development of respiratory sx or anaphylaxis. Treatment consisted of patient monitoring admin of oral antihistamine and IM SOLUMEDROL.
Age: 12.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Chromaturia, Convulsion, Epilepsy, Haematuria, Laboratory test normal
Clinical narrative: Onset on September 5, two days post vaccination of new form of seizures, with low grade fevers (to 102.5), dark brown urine, protein urine and hematuria, tachycardia (100) and yellow skin. Intractable seizures admitted x20 day so far.   10/29/2009 hospital records from multiple admissions 9/15-10/16/2009. Patient with sx of fever, tonic/clonic seizures, sore throat, dark urine, tacchycardia, cervical lymphadenopathy. Initially seen at PCP and tx'd for strep throat as rapid strep test was + although culture was negative. Sx progressed to tonic/clonic seizure activity of bilateral UE's up to 15 x a day. Patient evaluated per Pediatric Neurology.  10/30/09  Emergency Room records received for date of service 9/10/09.   Dx:  New onset Myoclonic Seizures, hematuria Assessment:  Presented to ED after 15 seizures a day over two days with gross hematuria that started two days prior.  Denied dysuria, abd. pain, polyuria, frequency or urgency.  Treated with Ativan.  Discharged to home in stable condition.   10/30/09 Discharge Summary and Medical Records received for dates of service 9/22/09 to 10/8/09.  Dx:  Myoclonic Seizure disorder, history of nephrolithasis secondary to hypocitraturia and hypercalcuria, gross hematuria, developmental delay including speech delay, scoliosis, growth hormone deficiency, failure to thrive, hypothyroidism, constipation.  Assessment:  Since having his flu shot, this child who has been maintained seizure free for two years on Keppra and a ketogenic diet had experienced tonic clonic activity, fevers and dark colored urine.  Presented for this hospitlalization after experiencing an apneic event which required for to five rescue breaths.  EEG was abnormal and pt. admitted.  Afebrile throughout stay with no evidence of rash.  Ketogenic diet was maintained.  New episode of hematuria with normal renal function, nromal blood pressure and no evidence of fluid retention. Hemoglobin remained stable during inpatient stay ranging from 12.5 o 13.3.   Electrolytes remained WNL.  Stable on room air. Transferred.    10/30/09 ICD 9 Codes Received:  345.11, 599.70, 783.40, 783.41, 244.9, 253.3, 315.39, 592.0, 737.30./rmc
Age: 12.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Lumbar puncture normal, Nuclear magnetic resonance imaging brain normal, Protein urine present, Pyrexia, Tachycardia
Clinical narrative: Onset on September 5, two days post vaccination of new form of seizures, with low grade fevers (to 102.5), dark brown urine, protein urine and hematuria, tachycardia (100) and yellow skin. Intractable seizures admitted x20 day so far.   10/29/2009 hospital records from multiple admissions 9/15-10/16/2009. Patient with sx of fever, tonic/clonic seizures, sore throat, dark urine, tacchycardia, cervical lymphadenopathy. Initially seen at PCP and tx'd for strep throat as rapid strep test was + although culture was negative. Sx progressed to tonic/clonic seizure activity of bilateral UE's up to 15 x a day. Patient evaluated per Pediatric Neurology.  10/30/09  Emergency Room records received for date of service 9/10/09.   Dx:  New onset Myoclonic Seizures, hematuria Assessment:  Presented to ED after 15 seizures a day over two days with gross hematuria that started two days prior.  Denied dysuria, abd. pain, polyuria, frequency or urgency.  Treated with Ativan.  Discharged to home in stable condition.   10/30/09 Discharge Summary and Medical Records received for dates of service 9/22/09 to 10/8/09.  Dx:  Myoclonic Seizure disorder, history of nephrolithasis secondary to hypocitraturia and hypercalcuria, gross hematuria, developmental delay including speech delay, scoliosis, growth hormone deficiency, failure to thrive, hypothyroidism, constipation.  Assessment:  Since having his flu shot, this child who has been maintained seizure free for two years on Keppra and a ketogenic diet had experienced tonic clonic activity, fevers and dark colored urine.  Presented for this hospitlalization after experiencing an apneic event which required for to five rescue breaths.  EEG was abnormal and pt. admitted.  Afebrile throughout stay with no evidence of rash.  Ketogenic diet was maintained.  New episode of hematuria with normal renal function, nromal blood pressure and no evidence of fluid retention. Hemoglobin remained stable during inpatient stay ranging from 12.5 o 13.3.   Electrolytes remained WNL.  Stable on room air. Transferred.    10/30/09 ICD 9 Codes Received:  345.11, 599.70, 783.40, 783.41, 244.9, 253.3, 315.39, 592.0, 737.30./rmc