chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 3.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Lumbar puncture normal, Mechanical ventilation, Microbiology test normal, Nervous system disorder, Nuclear magnetic resonance imaging abnormal
Clinical narrative: 4 year old ex32 week IVF twin F with no past medical history who presented to an OSH on 7/25 with fever (Tmax 104), emesis, rash, and respiratory distress for 3 days after receiving her varicella vaccine on 7/22. On presentation to OSH, she was in significant respiratory distress and had a CXR that was consistent with ARDS. She was transferred to hospital where she was intubated and required pressors (dopamine) and steriods. Started on vanc and cefotax and got 6 day course for sepsis rule out. Her blood cultures were all negative, and a respiratory viral panel on admission was negative for EBV, CMV, mycoplasma. However, her throat culture was group A strep postive and she got a 10 day course of amoxicillin. On HD 6 started on 10 day course of azithromycin for concern for Legionella.  During her ICU stay she was also found to be anemic with a negative hemolysis work up. On HD 2 she had one GTC but had a normal EEG. On 8/1 she was successfully weaned off sedation and extubated and was at her neurological baseline. Has been afebrile since 8/2. However on 8/3 her mental status worsened and became unresponsive to external stimuli and began displaying abnormal limb movements. A repeat EEG demonstrated right sided periodic lateralizing epileptiform discharges (PLEDs). She was started on Keppra at this time. An LP on 8/5 had 1 RBC 4 WBC with a glucose of 66 and protein of 24. Viral studies for HSV, VZV, and enterovirus were negative. An MRI on 8/5 demonstrated region of diffusion restriction in the right temporal lobe, and she was started on acyclovir for presumed HSV encephalitis. On 8/6 she was found to have a E.coli UTI that was highly resistent and started on Cipro. Patient remained stably encephalopathic  not following commands or verbalizing with purposeless stereotyped movements of her left arm. Transferred to hospital on 8/11 for further management.
Age: 3.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Nuclear magnetic resonance imaging brain, Pyrexia, Respiratory distress, Respiratory failure, Rheumatoid factor
Clinical narrative: 4 year old ex32 week IVF twin F with no past medical history who presented to an OSH on 7/25 with fever (Tmax 104), emesis, rash, and respiratory distress for 3 days after receiving her varicella vaccine on 7/22. On presentation to OSH, she was in significant respiratory distress and had a CXR that was consistent with ARDS. She was transferred to hospital where she was intubated and required pressors (dopamine) and steriods. Started on vanc and cefotax and got 6 day course for sepsis rule out. Her blood cultures were all negative, and a respiratory viral panel on admission was negative for EBV, CMV, mycoplasma. However, her throat culture was group A strep postive and she got a 10 day course of amoxicillin. On HD 6 started on 10 day course of azithromycin for concern for Legionella.  During her ICU stay she was also found to be anemic with a negative hemolysis work up. On HD 2 she had one GTC but had a normal EEG. On 8/1 she was successfully weaned off sedation and extubated and was at her neurological baseline. Has been afebrile since 8/2. However on 8/3 her mental status worsened and became unresponsive to external stimuli and began displaying abnormal limb movements. A repeat EEG demonstrated right sided periodic lateralizing epileptiform discharges (PLEDs). She was started on Keppra at this time. An LP on 8/5 had 1 RBC 4 WBC with a glucose of 66 and protein of 24. Viral studies for HSV, VZV, and enterovirus were negative. An MRI on 8/5 demonstrated region of diffusion restriction in the right temporal lobe, and she was started on acyclovir for presumed HSV encephalitis. On 8/6 she was found to have a E.coli UTI that was highly resistent and started on Cipro. Patient remained stably encephalopathic  not following commands or verbalizing with purposeless stereotyped movements of her left arm. Transferred to hospital on 8/11 for further management.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Dizziness, Neurological examination, Unresponsive to stimuli
Clinical narrative: Patient received vaccines approx 0920-0925: 4 shots 2 on each deltoid. After receiving vaccines patient complained of feeling dizzy. Rested on table in exam room in 5-7 minutes, when questioned: Patient stated she felt fine. Patient escorted to chair seated with dad in 0945 noticed patient to have laid head back in chair with hands in a fist unresponsive quickly brought patient to floor and she awaken right away.
Age: 11.0
Sex: M
Vaccine: HPV4, TDAP
Symptoms: Erythema, Hypoaesthesia, Oedema peripheral, Tenderness
Clinical narrative: Left arm swollen, red, tender, some complaints of numbness.  Has appt to see the doctor this morning 8/13/10. Has been giving ibuprofen and applying ice to arm.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Ophthalmological examination, Pain, Pyrexia, Rash
Clinical narrative: RASH ON LOWER RIGHT HIP; BURNING PAIN FOLLOWING A NERVE; SLIGHT FEVER JUST BEFORE OTHER SYMPTOMS
Age: 11.0
Sex: M
Vaccine: MMR, TDAP, VARCEL
Symptoms: Headache, Pyrexia, Rash
Clinical narrative: Headache, fever, rash within 6-8 hours of vaccinations.  Symptoms were treated with TYLENOL by parents.  Brought to doctor's office 3 days later after weekend and fevers and headache resolved.  Continued rash was treated with PREDNISONE and BENADRYL.
Age: 1.3
Sex: F
Vaccine: HIBV, PNC13
Symptoms: Condition aggravated, Febrile convulsion, Full blood count normal, Laboratory test, Neutrophil count increased
Clinical narrative: Pt received HIB and PREVNAR vaccine on 8/13 then had a febrile seizure on 8/16. Hospital follow up mom reports that pt has a seizure yesterday they had called EMS because she looked like she was not breathing seizure lasted 6 minutes mom reports seizure occurred at 8:15 yesterday pm was in the ED until 2:00am pt has developed a fever since Sunday temp was 105 in ambulance yesterday
Age: 1.3
Sex: F
Vaccine: HIBV, PNC13
Symptoms: Pyrexia, Respiratory arrest, White blood cell count normal
Clinical narrative: Pt received HIB and PREVNAR vaccine on 8/13 then had a febrile seizure on 8/16. Hospital follow up mom reports that pt has a seizure yesterday they had called EMS because she looked like she was not breathing seizure lasted 6 minutes mom reports seizure occurred at 8:15 yesterday pm was in the ED until 2:00am pt has developed a fever since Sunday temp was 105 in ambulance yesterday
Age: 32.0
Sex: F
Vaccine: ANTH, RAB, TYP
Symptoms: Headache
Clinical narrative: Received Anthrax, Rabies, and Typhoid vaccines as well as PPD. Within 1 hour of receiving vaccines, started having a headache. Anthrax and Rabies were first time vaccines.
Age: 34.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Injection site discharge, Injection site reaction, Skin lesion
Clinical narrative: Despite proper care of vaccine site, there was still spreading of the vaccine site.  Other sores/oozing appeared in several locations on his arm.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Mom states child had some swelling to injection site Right Leg, redness approx the size of a baseball, warm to touch, no fever, no pain, states child is running around without any limping or indication of pain to are, call PCP instructed to apply cool soaks to area and to give child Tylenol, states on 8/18/10 in am most of swelling is gone, redness is much smaller and lighter to area, and only slightly warm to touch at this time.
Age: 48.0
Sex: M
Vaccine: TDAP
Symptoms: Hyperhidrosis, Nausea
Clinical narrative: profuse sweating, nausea was taken home by co-workers 8/18/10, co-workers contacted health department 8/18/10, RN advised to contact EMS or MD ASAP
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, PNC13
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient's mother picked up patient at Father's house Right leg was red with golf ball sized swelling, and left leg was red with grapefruit sized swelling, Mother states child does not appear to have any pain at this time, Mother to call PCP, will call back if family has any questions.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Feeling abnormal, Loss of consciousness, Pallor, Resuscitation
Clinical narrative: Information has been received from a physician concerning an 11 year old female patient who on 26-JUL-2010 was vaccinated intramuscularly with a 0.5ml dose of GARDASIL (lot# 663559/1178Y). Vaccination on the same date also included a dose of VAQTA (MSD) (lot# not reported), a dose of MENACTRA and a dose of ADACEL. On 27-JUL-2010 the patient passed out and was pale and lifeless. The patient's father performed CPR and took her to the Emergency Room. At the time of this report, the patient had recovered. The patient's events were considered to be other important medical events by the reporter because the patient's father performed CPR. Follow-up information has been received from a medical assistant in the physician's office. The MA reported that the 11 year old female was with concurrent condition of asthma and was allergic to SEPTRA and AUGMENTIN. The patient on 26-JUL-2010 was vaccinated with VAQTA (MSD) (lot# 667262/0245Z), MENACTRA (lot# U3089AA) and ADACEL (lot# U3042CA). Concomitant therapy included albuterol inhaler. Onset of the event was the day after the vaccines were administered. On 27-JUL-2010 the patient was at home and passed out. The father performed CPR, although not needed. The patient was taken to Emergency room. Unknown what diagnostics were performed or what treatment was given. No further information is available.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Blood test, Epilepsy, Pyrexia, X-ray
Clinical narrative: Information has been received from a consumer concerning her approximately 12 month old son who in 2006 was vaccinated with the first dose of MMR II 0.5ml SC (therapy site unknown). In 2006 the patient got a very bad reaction to the first dose. After getting the shot, he had a high fever for 10 days and his temperature went up to 105 degrees. The patient was taken to the hospital 3 times in one week. X-ray and blood work were done (results unknown). At the hospital (name and location unspecified), they treated him and brought the fever down, but when the patient got home, the fever would start all over again. Subsequently, "10 days after", the patient recovered. Also, the patient developed epilepsy in approximately 2007, "about a year later". Upon internal review, epilepsy was determined to be an other important medical event. Additional information has been requested.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site vesicles, Injection site warmth
Clinical narrative: Patient brought back to office 8/13/10 by grandmother and father approximately 8 AM. (R) upper arm red, warm to touch. Erythema measures approximately 3 x 4 inches with approximately 2 inch area in center with raised, fluid filled blisters. Complains of itching, gave BENADRYL 8/12/10.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redden swollen warm to touch per mother.
Age: 1.1
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 18 x 30 mm reddened hard area (L) upper thigh x 9 days.
Age: 2.0
Sex: M
Vaccine: HEPA, PNC13
Symptoms: Computerised tomogram head, Febrile convulsion
Clinical narrative: Febrile seizure w/ T.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, HEPA
Symptoms: Erythema
Clinical narrative: Red, swollen area to (L) arm x 2 days. Pt instructed to use MOTRIN and ice packs.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Culture wound positive, Injection site erosion, Injection site erythema, Injection site swelling, Staphylococcal infection
Clinical narrative: Information has been received from a pharmacist and nurse on 06-AUG-2010. A 71 year-old hospitalized female received flu vaccine (manufacturer unspecified) on 05-FEB-2010 as a routine order prior to discharge. No concurrent vaccinations were performed at the time. Concomitant therapy was unspecified by reporters. Medical history included allergy to aspirin, COUMADIN and Metformin. After hospital discharge and at home, the patient developed redness and swelling of her right arm at the injection site. This progressed to an "eaten away" area on her arm. On 22-MAR-2010, the patient was re-hospitalized for wound packing treatment and VANCOMYCIN. The pharmacist "thought" the patient had a wound culture revealing methicillin resistant staphylococcus infection (MRSA). The patient was discharged on 08-APR-2010 and was recovering. On 29-JUL-2010, the nurse refused to provide any additional information. No further information is expected. This case was originally reported to Merck and Co., Inc. (manufacturer case# 1003USA04591). The company considered event serious due to patient hospitalization. The company considered events possible to flu vaccine, however, brand is unspecified. Information derived from this AE report does not change the current safety profile of the product.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Wound
Clinical narrative: Information has been received from a pharmacist and nurse on 06-AUG-2010. A 71 year-old hospitalized female received flu vaccine (manufacturer unspecified) on 05-FEB-2010 as a routine order prior to discharge. No concurrent vaccinations were performed at the time. Concomitant therapy was unspecified by reporters. Medical history included allergy to aspirin, COUMADIN and Metformin. After hospital discharge and at home, the patient developed redness and swelling of her right arm at the injection site. This progressed to an "eaten away" area on her arm. On 22-MAR-2010, the patient was re-hospitalized for wound packing treatment and VANCOMYCIN. The pharmacist "thought" the patient had a wound culture revealing methicillin resistant staphylococcus infection (MRSA). The patient was discharged on 08-APR-2010 and was recovering. On 29-JUL-2010, the nurse refused to provide any additional information. No further information is expected. This case was originally reported to Merck and Co., Inc. (manufacturer case# 1003USA04591). The company considered event serious due to patient hospitalization. The company considered events possible to flu vaccine, however, brand is unspecified. Information derived from this AE report does not change the current safety profile of the product.
Age: 0.51
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Febrile convulsion, Musculoskeletal stiffness, Unresponsive to stimuli
Clinical narrative: Fever to 102.4 within 24 hours of vaccination, presumed febrile seizure - 5 min episode of stiffness and unresponsive.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Erythema, Feeling hot, Pyrexia, Rash
Clinical narrative: Dad states patient felt "hot" within 1/4 hr. of receiving his shots (MMR, VARIVAX and Hep A) on 8-12-10. He had fever Thurs, Fri and Sat and it "broke" Sunday. Today, Tues, he broke out in a red pinpoint rash on his torso.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Induration, Mass, Skin warm
Clinical narrative: Right arm yesterday morning 5cm lump no pain hard - hot to touch.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Diarrhoea
Clinical narrative: Diarrhea (26x/day), watery 3 days after receiving vaccine.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Varicella post vaccine
Clinical narrative: Pt saw another MD at different location with rash which was diagnosed as shingles. This was 4 wks post Immunization.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Received 2 immunizations, one to (L) ant. forearm on Sat 8-7-10. Entire ant. surface of forearm became swollen, red, painful. Seen in ER on 8-9-10 with follow-up with family physician on 8-10-10. Today 5cm x 6cm area of redness, induration. Vaccine give in forearm not deltoid.
Age: 1.01
Sex: M
Vaccine: DTAPIPVHIB, HEPA, MMR, PNC, VARCEL
Symptoms: Blood culture, Blood test, Lymphadenopathy, Oral disorder, Pyrexia
Clinical narrative: Mom states child woke her up screaming at 12:00AM Thursday night. Symptoms started with swollen glands on back of neck. Friday a rash appeared on face. Saturday a red flat spotty rash covered his whole body. Pt ran fever of up to 104.7 for 4-5 days. Child was seen at hospital. They said child had a virus s/s was not related to vaccines. Also had white bumps inside cheeks.
Age: 1.01
Sex: M
Vaccine: DTAPIPVHIB, HEPA, MMR, PNC, VARCEL
Symptoms: Rash, Rash erythematous, Rash generalised, Screaming, Viral infection
Clinical narrative: Mom states child woke her up screaming at 12:00AM Thursday night. Symptoms started with swollen glands on back of neck. Friday a rash appeared on face. Saturday a red flat spotty rash covered his whole body. Pt ran fever of up to 104.7 for 4-5 days. Child was seen at hospital. They said child had a virus s/s was not related to vaccines. Also had white bumps inside cheeks.
Age: 1.18
Sex: F
Vaccine: DTAPIPVHIB, HEPA, MMR, PNC, VARCEL
Symptoms: Crying, Erythema, Oral pain, Pyrexia, Rash
Clinical narrative: Mom states child woke up crying non stop around 10:00 pm on 7-24-10. She took child to ER. No tests or tx done. Sunday child broke out in red spotty raised rash mostly on arms and legs. She acted like mouth was sore. Had a fever up to 100.2 x 2 days.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Induration, Skin tightness, Skin warm, Wound
Clinical narrative: Injection given on Left Arm, deltoid muscle. Injection given on Weds, pt presented on Friday with left upper inner arm with well demarked induration, taut skin, non-fluctuant, increased warmth and redness, small punctate wound 2-3 fingersbredth below mid upper deltoid insertion with faint pink red area inferior to presumed injection site.  But reaction is noted inside upper arm, near axilla area.
Age: 39.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Abdominal discomfort, Arthralgia, Mucous membrane disorder, Nausea, Oral mucosal exfoliation
Clinical narrative: Employee developed skin itching after Hepatitis B injection #2. Began around 30 minutes to 45 minutes post injection. No hives. Took Benadryl over the counter with some relief but it made her very drowsy so she quit taking it.  Over the next few days she reported joint aches, fever, mucous membranes peeling around mouth and nose. Also experience some nausea and stomach upset that has resolved. Itching continues 6 days later but is less than the first few days. Still no rash or hives.
Age: 39.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Pruritus, Pyrexia, Skin exfoliation
Clinical narrative: Employee developed skin itching after Hepatitis B injection #2. Began around 30 minutes to 45 minutes post injection. No hives. Took Benadryl over the counter with some relief but it made her very drowsy so she quit taking it.  Over the next few days she reported joint aches, fever, mucous membranes peeling around mouth and nose. Also experience some nausea and stomach upset that has resolved. Itching continues 6 days later but is less than the first few days. Still no rash or hives.
Age: 39.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Arthralgia, Eye swelling, Mucosal exfoliation, Pruritus, Skin exfoliation
Clinical narrative: Employee developed skin itching after Hepatitis B injection #2. Began around 30 minutes to 45 minutes post injection. No hives. Took Benadryl over the counter with some relief but it made her very drowsy so she quit taking it.  Over the next few days she reported joint aches, fever, mucous membranes peeling around mouth and nose. Also experience some nausea and stomach upset that has resolved. Itching continues 6 days later but is less than the first few days. Still no rash or hives.
Age: 39.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Urticaria, Vision blurred
Clinical narrative: Employee developed skin itching after Hepatitis B injection #2. Began around 30 minutes to 45 minutes post injection. No hives. Took Benadryl over the counter with some relief but it made her very drowsy so she quit taking it.  Over the next few days she reported joint aches, fever, mucous membranes peeling around mouth and nose. Also experience some nausea and stomach upset that has resolved. Itching continues 6 days later but is less than the first few days. Still no rash or hives.
Age: 12.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Nausea, Syncope
Clinical narrative: Patient came in to receive vaccinations for school. Patient received Hepatitis A, Varicella, Tdap, and Meningococcal. After patient received vaccinations had patient stay in chair. I finished up information in ECW, patient fainted I placed cold pack behind patient's neck, elevated feet, and fanned patient. Called out patient's name she responded and stated " I think I have to throw up." I placed trash can beside patient, patient did not throw up. I pulled out an orange juice for patient to drink she started feeling better. While leaving clinic room walked behind patient. Patient left with no signs or symptoms of distress.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Induration, Injection site erythema, Injection site pruritus, Injection site warmth, Mass
Clinical narrative: Fever 100 degrees, hard knot, erythematous, itchy, puffy 3-3.5 inches in diameter.  Mom states she applied ice and Preparation H to site for comfort and gave Tylenol for fever.  08/13/10 parent of child called HD with questions she was told to bring child in to HD for evaluation.  Child in at 11:25AM Temp 98.3 site to R posterior upper outer arm measured 45mmX50mm warm erythematous area and child states continues to be itchy.  Called Physician and he states he would like to evaluate child, sent child over at that time for evaluation per Physician.  Spoke to office later that day Physician put child on Benadryl cream, and OTC Claritin.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Pyrexia, Swelling
Clinical narrative: Fever 100 degrees, hard knot, erythematous, itchy, puffy 3-3.5 inches in diameter.  Mom states she applied ice and Preparation H to site for comfort and gave Tylenol for fever.  08/13/10 parent of child called HD with questions she was told to bring child in to HD for evaluation.  Child in at 11:25AM Temp 98.3 site to R posterior upper outer arm measured 45mmX50mm warm erythematous area and child states continues to be itchy.  Called Physician and he states he would like to evaluate child, sent child over at that time for evaluation per Physician.  Spoke to office later that day Physician put child on Benadryl cream, and OTC Claritin.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMRV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: The child was at sitter's house when left thigh started swelling and turning hot and red. Parents took child to ER. Received antibiotics at the ER and to take home. Possible DX of staph or strep. Parents took child home. On 8/18/2010 dad called health department to report event. He stated that the leg was still quite swollen, but they took child to the sitters house. Is currently on antibiotics.
Age: 37.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: C/O approximately 3 inches of redness around the site of vaccine that was given in right arm. Area slightly raised, non-tender, warm to touch and itching. Varicella vaccine administered in right arm SQ.
Age: 12.0
Sex: M
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Diet refusal, Feeling abnormal, Nausea, Oedema peripheral, Pain in extremity
Clinical narrative: 4:30 AM T-103.5, Rt. arm swollen and sore, mom giving Advil 200mg q6 hr. for fever, c/o nausea, will not eat or drink. Feels real bad according to mom referred to MD or ER for eval of fever. 103-104 and feeling really bad.
Age: 12.0
Sex: M
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Pyrexia
Clinical narrative: 4:30 AM T-103.5, Rt. arm swollen and sore, mom giving Advil 200mg q6 hr. for fever, c/o nausea, will not eat or drink. Feels real bad according to mom referred to MD or ER for eval of fever. 103-104 and feeling really bad.
Age: 51.0
Sex: F
Vaccine: DPP, HEPAB
Symptoms: Asthenia, Bed rest, Chills, Dizziness, Fatigue
Clinical narrative: High Fever, Chills, Aches, Headache, Dizziness, Weakness, Fatigue.  Took Aleve, bedrest, drank water, went to sleep. Stayed home from work due to dizziness, still had low fever, tired.
Age: 51.0
Sex: F
Vaccine: DPP, HEPAB
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: High Fever, Chills, Aches, Headache, Dizziness, Weakness, Fatigue.  Took Aleve, bedrest, drank water, went to sleep. Stayed home from work due to dizziness, still had low fever, tired.
Age: 13.0
Sex: M
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: NEW PATIENT TO PRACTICE, RECORDS NOT COMLPLETE. PT GIVEN BOOSTRIX IN 2008, ADACEL GIVEN HERE 8/16/2010
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Feeling hot, Headache, Hyperhidrosis
Clinical narrative: Patient called the office on 8/17/2010 to report complaints of feeling hot, excessive sweating, and increased headaches since receiving Gardasil on 7/14/2010.  She was referred to her primary care physician for further evaluation.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Gait disturbance, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Kinrix vaccine was administered in the R thigh on 8/16 in the morning. She did fine that day. The next morning (8/17) parents noticed some swelling and redness at the injection site which got progressively worse over the next day. Afebrile. Just started complaining of pain ("burning") the morning of 8/18. Had a slight limp upon waking the morning of 8/18 which resolved. She was seen in the office on 8/18 ~1:10 PM. On exam she appeared well, running and jumping. She had a 16x16cm area that was firm, erythematous and warm, minimally tender. Treatment consistent of ibuprofen.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site warmth, Pain
Clinical narrative: Kinrix vaccine was administered in the R thigh on 8/16 in the morning. She did fine that day. The next morning (8/17) parents noticed some swelling and redness at the injection site which got progressively worse over the next day. Afebrile. Just started complaining of pain ("burning") the morning of 8/18. Had a slight limp upon waking the morning of 8/18 which resolved. She was seen in the office on 8/18 ~1:10 PM. On exam she appeared well, running and jumping. She had a 16x16cm area that was firm, erythematous and warm, minimally tender. Treatment consistent of ibuprofen.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Culture, Erythema, Eye discharge, Eye swelling, Herpes zoster
Clinical narrative: HAD TINGLING SENSATION (LT) FRONTAL SCALP AREA THE END OF WEEK (8/2/10), REDNESS AND BUMPS PRESENT 8/9 ALONG WITH SENSITIVITY TO (LT) SCALP AND LEFT UPPER QUADRANT OF FACE.  EYE RED AND SWOLLEN WITH DRAINAGE.  WENT TO PCP ON 8/11 WHO DIAGNOSED CLIENT WITH SHINGLES.  REFERRED HER TO OPHTHALMOLOGIST TO BE EVALUATED D/T EYE INVOLVEMENT.  DR. REFERRED HER TO EYE SURGEON D/T INVOLVEMENT WITH EYE.  CLIENT STATED DR DID SWAB EYE.  UNSURE IF CULTURES WERE OBTAINED.  SHE WAS SEEN BY ALL 3 DRS ON 8/11.  WAS PRESCRIBED VALTREX TID X 7 DAYS-TOOK 1ST DOSE 8.11.  TAKING OTC PAIN RELIEVERS FOR THE DISCOMFORT.  TODAY STILL HAS SENSITIVITY TO AFFECTED AREAS AND SWOLLEN, DRAINING EYE.  EYE SURGEON INSTRUCTED CLIENT ON HOW TO CARE FOR EYE AND TO RETURN IF IT WORSENS.  CLIENT AND MOTHER RECEIVED VACCINE ON 2/4/09.  MOTHER HAD SHINGLES SUMMER 2009 SAME AREA OF FACE/SCALP.  INSTRUCTED CLIENT TO CALL IF CONDITION WORSENS.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Hyperaesthesia, Ocular hyperaemia, Paraesthesia, Skin disorder
Clinical narrative: HAD TINGLING SENSATION (LT) FRONTAL SCALP AREA THE END OF WEEK (8/2/10), REDNESS AND BUMPS PRESENT 8/9 ALONG WITH SENSITIVITY TO (LT) SCALP AND LEFT UPPER QUADRANT OF FACE.  EYE RED AND SWOLLEN WITH DRAINAGE.  WENT TO PCP ON 8/11 WHO DIAGNOSED CLIENT WITH SHINGLES.  REFERRED HER TO OPHTHALMOLOGIST TO BE EVALUATED D/T EYE INVOLVEMENT.  DR. REFERRED HER TO EYE SURGEON D/T INVOLVEMENT WITH EYE.  CLIENT STATED DR DID SWAB EYE.  UNSURE IF CULTURES WERE OBTAINED.  SHE WAS SEEN BY ALL 3 DRS ON 8/11.  WAS PRESCRIBED VALTREX TID X 7 DAYS-TOOK 1ST DOSE 8.11.  TAKING OTC PAIN RELIEVERS FOR THE DISCOMFORT.  TODAY STILL HAS SENSITIVITY TO AFFECTED AREAS AND SWOLLEN, DRAINING EYE.  EYE SURGEON INSTRUCTED CLIENT ON HOW TO CARE FOR EYE AND TO RETURN IF IT WORSENS.  CLIENT AND MOTHER RECEIVED VACCINE ON 2/4/09.  MOTHER HAD SHINGLES SUMMER 2009 SAME AREA OF FACE/SCALP.  INSTRUCTED CLIENT TO CALL IF CONDITION WORSENS.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA, HIBV, PNC13
Symptoms: Hyperaesthesia, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Red, swollen, warm to touch, no drainage, painful to touch, site was double size of none effected leg.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA, HIBV, PNC13
Symptoms: Hyperaesthesia, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: left leg red, swollen. warm to touch, painful to touch, no drainage
Age: 91.0
Sex: F
Vaccine: VARZOS
Symptoms: Eye pruritus, Herpes zoster
Clinical narrative: JULY 2009 UNSURE OF EXACT DATE, CLIENT BROKE OUT WITH SHINGLES TO HER UPPER QUADRANT OF FACE AND SCALP INCLUDING EYE.  NOTICED ON A FRIDAY OR SATURDAY.  WENT TO PCP ON MONDAY.  DIAGNOSED WITH SHINGLES AND WAS GIVEN MEDICATION.  CLIENT DOES NOT REMEMBER WHAT MEDICATION SHE WAS GIVEN.  STILL HAS ITCHING TO EYE.  DAUGHTER AND MOTHER RECEIVED VARICELLA ZOSTER VACCINE ON 2/4/09.  DAUGHTER REPORTED THAT SHE CURRENTLY HAS SHINGLES TO SAME AREA OF FACE WITH EYE INVOLVEMENT AS HER MOTHER DID.  STATED SHE HAD CALLED ABOUT HER MOTHER IN JUNE OR JULY OF LAST YEAR AND TALKED WITH RN ABOUT HER MOTHER'S OUTBREAK. RN RECALLS THAT IT WAS BROUGHT UP/MENTIONED DURING FLU CLINIC LAST FALL.  CALLED AND TALKED WITH CLIENT AND DAUGHTER TODAY.  STATED SHE DID NOT REMEMBER WHEN HER OUTBREAK WAS, BUT THAT IT WAS ON THE LEFT UPPER QUADRANT OF HER FACE AND SCALP.  STILL HAS RESIDUAL ITCHING TO UPPER EYE AREA/EYEBROW AND IT IS WORSE AT NIGHT.  DID TAKE MEDICATION THAT DR PRESCRIBED BUT DOES NOT REMEMBER WHAT IT WAS.  DOES NOT RECALL HOW LONG OUTBREAK LASTED.
Age: 55.0
Sex: M
Vaccine: PPV
Symptoms: Oedema peripheral
Clinical narrative: Edema of Arm
Age: 3.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Foot deformity, Gait disturbance, Pain in extremity, X-ray abnormal
Clinical narrative: Pt starting limping on the left leg and complaining of his leg hurting while walking.
Age: 4.0
Sex: F
Vaccine: DTPIPV, PPV
Symptoms: Heart rate increased, Pyrexia, Urticaria
Clinical narrative: Hives, elevated heart rate, fever
Age: 18.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Patient noted that when she woke up her arm was sore at site of injection and as the day went on it was getting more red around the injection site.  She did not seek treatment until 8-19-10 when the pain got unbearable.  She tried no home treatments.  Patient was treated with Tylenlol, Benadryl and an icepack in the clinic and felt better.
Age: 17.0
Sex: F
Vaccine: HEP, MNQ, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site vesicles
Clinical narrative: Pain, redness, blistering at injection site.  Itching also reported.
Age: 11.0
Sex: M
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Decreased appetite, Nausea, Vomiting
Clinical narrative: nausea, vomiting, loss of appetite Mother contacted health department, RN advised to see MD if symptoms persist
Age: 12.0
Sex: F
Vaccine: HPV2
Symptoms: Dyskinesia, Syncope
Clinical narrative: fainting episode with 2-3 seconds jerking
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Inappropriate schedule of drug administration, Pyrexia
Clinical narrative: Child vaccinated at Dr. office on 7/19/2010 and again at Health Department on 7/20/2010.  Child received two MMRs, two Varicella, and 2 Kinrix within 24 hours; Child had low grade fever on 7/20/10 p.m. Central Office called mom 8/18/2010 for followup.  Mother not at home; Unsucessful attempt to reach mom on cell phone; left message; Central Office will continue to call for follow up.
Age: 12.0
Sex: M
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Erythema, Herpes zoster, Mobility decreased, Musculoskeletal pain, Rash
Clinical narrative: Started having pain in right shoulder on 8/13. On 8/15 developed a red rash on right shoulder and arm. Pain increased. Saw MD on 8/15/10, diagnosed herpes zoster, started on Acyclovir 800mg 5x daily. 8/16 Parent reports severe pain and limited mobility of right shoulder/arm.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Condition aggravated, Convulsion
Clinical narrative: Increase in number seiures noted. Previously about 2 / week. Now 2-5 per day.
Age: 42.0
Sex: F
Vaccine: HEPAB
Symptoms: Fatigue, Lymphadenopathy, Oropharyngeal pain, Pain
Clinical narrative: Pt reports waking up after receiving 2nd Twinrix vaccine 8/3 with sore throat, lymphadenopathy of throat, fatigue, achiness. This has continued off and on for two weeks.
Age: 1.25
Sex: M
Vaccine: MMRV
Symptoms: Diarrhoea, Lethargy, Pyrexia
Clinical narrative: High fever (104 degrees), Diarrhea, lethargic.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Eye pain, Headache, Herpes zoster, Pain of skin, Rash
Clinical narrative: Fairly severe headache - sharp pain behind right eye managed with Ibuprofen.  Rash above right eyebrow and mild pain when touched in scalp above rash.
Age: 4.0
Sex: M
Vaccine: DTAP, MMRV
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: DTTAP AND MMRV GIVEN IN R LEG ON 8/4/10 HAS GOTTEN MORE RED AND SWOLLEN SINCE THEN ITCHES AND HURTS.
Age: 17.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Pallor, Syncope
Clinical narrative: Varicella admin. to (R) arm. Pt stood up & walked short distance, then fainted. We safely guided her to floor, elevated legs, then revived with ammonia smelling salt. Pallor & thready pulse monitored until VSS PMD & father notified. 0840= BP 110/60, P 88, R 24 (Lying) 0850 = 84/50, 60, 20 (L), 0900 = 70/40, 50, 16 (sit), 0915 = 90/40, 60, 20 (sit), 0930 = 90/45, 56, 18 (stand). Father drove home @ 0945.
Age: 17.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Blood pressure decreased, Heart rate decreased, Pallor, Pulse abnormal, Syncope
Clinical narrative: Varicella admin. to (R) arm. Pt stood up & walked short distance, then fainted. We safely guided her to floor, elevated legs, then revived with ammonia smelling salt. Pallor & thready pulse monitored until VSS PMD & father notified. 0840= BP 110/60, P 88, R 24 (Lying) 0850 = 84/50, 60, 20 (L), 0900 = 70/40, 50, 16 (sit), 0915 = 90/40, 60, 20 (sit), 0930 = 90/45, 56, 18 (stand). Father drove home @ 0945.
Age: 41.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Arthralgia, Swelling
Clinical narrative: Client called c/o of joint pain, swelling stiff neck aching all over & diarrhea. These symptoms started around 8:00 pm after receiving HBV on 7-13-10 at 10:00 am. Instructed to take Ibuprofen & rest.
Age: 41.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Arthralgia, Diarrhoea, Local swelling, Musculoskeletal stiffness, Pain
Clinical narrative: Client called c/o of joint pain, swelling stiff neck aching all over & diarrhea. These symptoms started around 8:00 pm after receiving HBV on 7-13-10 at 10:00 am. Instructed to take Ibuprofen & rest.
Age: 72.0
Sex: F
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Blister, Erythema, Inflammation, Myalgia, Pruritus
Clinical narrative: Patient had a shingles vaccination on the 07/07/2010. Four days afterwards she developed severe pain in her groin & lower back. Five days after the shot the shingles blistering appeared on her right leg, groin & lower back. She has been in extreme pain and discomfort for nearly a month. Patient reported this reaction to Merck & VAERS.
Age: 72.0
Sex: F
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Rash, Skin warm, Swelling
Clinical narrative: Patient had a shingles vaccination on the 07/07/2010. Four days afterwards she developed severe pain in her groin & lower back. Five days after the shot the shingles blistering appeared on her right leg, groin & lower back. She has been in extreme pain and discomfort for nearly a month. Patient reported this reaction to Merck & VAERS.
Age: 72.0
Sex: F
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Back pain, Blister, Blood test, Electrocardiogram, Groin pain
Clinical narrative: Patient had a shingles vaccination on the 07/07/2010. Four days afterwards she developed severe pain in her groin & lower back. Five days after the shot the shingles blistering appeared on her right leg, groin & lower back. She has been in extreme pain and discomfort for nearly a month. Patient reported this reaction to Merck & VAERS.
Age: 72.0
Sex: F
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Herpes zoster, Malaise, Post herpetic neuralgia
Clinical narrative: Patient had a shingles vaccination on the 07/07/2010. Four days afterwards she developed severe pain in her groin & lower back. Five days after the shot the shingles blistering appeared on her right leg, groin & lower back. She has been in extreme pain and discomfort for nearly a month. Patient reported this reaction to Merck & VAERS.
Age: 3.0
Sex: F
Vaccine: HEP, IPV, PNC, HEP, IPV, PNC
Symptoms: Erythema, Injection site erythema, Urticaria
Clinical narrative: Mom reports child had small area "whelp" on face on the night of the immunization and was "broken out" next morning; nurse noted several areas of erythema on abdomen, arms, and legs; mom gave Benadryl and warm baths; area went away next day 8/5/2010.
Age: 3.0
Sex: F
Vaccine: HEP, IPV, PNC, HEP, IPV, PNC
Symptoms: Rash erythematous, Urticaria
Clinical narrative: Mom reports child had small area "whelp" on face on the night of the immunization and was "broken out" next morning; nurse noted several areas of erythema on abdomen, arms, and legs; mom gave Benadryl and warm baths; area went away next day 8/5/2010.
Age: 18.0
Sex: F
Vaccine: MNQ, MNQ, MNQ
Symptoms: Chills, Condition aggravated, Fatigue, Headache, Nausea
Clinical narrative: Approx 24 hr after receiving MCV4, pt began with fever, chills, nausea, malaise and sore throat lasting about 24 hr.  Sore throat persisted and patient was seen by PCP 8/16/10 AM.  Rapid strep - neg.  Client states all other s/s resolved.
Age: 18.0
Sex: F
Vaccine: MNQ, MNQ, MNQ
Symptoms: Oropharyngeal pain, Pain, Pyrexia, Streptococcus test negative, Tonsillar disorder
Clinical narrative: Approx 24 hr after receiving MCV4, pt began with fever, chills, nausea, malaise and sore throat lasting about 24 hr.  Sore throat persisted and patient was seen by PCP 8/16/10 AM.  Rapid strep - neg.  Client states all other s/s resolved.
Age: 18.0
Sex: F
Vaccine: MNQ, MNQ, MNQ
Symptoms: Chills, Culture throat negative, Malaise, Nausea, Oropharyngeal pain
Clinical narrative: Approx 24 hr after receiving MCV4, pt began with fever, chills, nausea, malaise and sore throat lasting about 24 hr.  Sore throat persisted and patient was seen by PCP 8/16/10 AM.  Rapid strep - neg.  Client states all other s/s resolved.
Age: 18.0
Sex: F
Vaccine: MNQ, MNQ, MNQ
Symptoms: Pyrexia, Streptococcus test
Clinical narrative: Approx 24 hr after receiving MCV4, pt began with fever, chills, nausea, malaise and sore throat lasting about 24 hr.  Sore throat persisted and patient was seen by PCP 8/16/10 AM.  Rapid strep - neg.  Client states all other s/s resolved.
Age: 18.0
Sex: F
Vaccine: MNQ, MNQ, MNQ
Symptoms: Chills, Malaise, Nausea, Oropharyngeal pain, Pyrexia
Clinical narrative: Approx 24 hr after receiving MCV4, pt began with fever, chills, nausea, malaise and sore throat lasting about 24 hr.  Sore throat persisted and patient was seen by PCP 8/16/10 AM.  Rapid strep - neg.  Client states all other s/s resolved.
Age: 18.0
Sex: F
Vaccine: MNQ, MNQ, MNQ
Symptoms: Streptococcus test negative
Clinical narrative: Approx 24 hr after receiving MCV4, pt began with fever, chills, nausea, malaise and sore throat lasting about 24 hr.  Sore throat persisted and patient was seen by PCP 8/16/10 AM.  Rapid strep - neg.  Client states all other s/s resolved.
Age: 15.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Her arm started swelling in the injection site and it kept growing and getting more heat in it.  It got to the size of about 2 softballs and was so hot and very very painful.  Still visable.
Age: 50.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Skin warm, Swelling
Clinical narrative: Grapefruit size swelling: area warm to touch;  MD visit with treatment with Benadryl P O
Age: 28.0
Sex: M
Vaccine: FLUX
Symptoms: Immunoglobulin therapy, Muscle disorder, Paraesthesia
Clinical narrative: Tingling in bottoms of feet that spread very slowly. Lost all muscle control and was treated with immunoglobin plasma. 1 month in hospital and 1 month in rehab was not admitted to hospital until January 31st 2008
Age: 22.0
Sex: F
Vaccine: HEPA
Symptoms: Fatigue, Nausea, Paraesthesia, Rash erythematous, Rash pruritic
Clinical narrative: I had a red rash covering my chest, neck, back and arms. The rash was very itchy. I had tingling in my arms and hands as well as being nauseated and fatigued.
Age: 15.0
Sex: F
Vaccine: TDAP
Symptoms: Pertussis
Clinical narrative: Initial report received from a health care professional via a company representative on 12 August 2010. A 15-year-old girl received at age 12-years an injection (site and route not provided) of ADACEL, lot number C2720AA, and now has confirmed pertussis. The outcome was not reported. Documents held by sender: None.
Age: 16.0
Sex: F
Vaccine: TDAP
Symptoms: Pertussis, Vaccine breakthrough infection
Clinical narrative: Initial report received from a health care professional via a company representative on 12 August 2010. A 16-year-old girl received at age 12-years an injection (site and route not provided) of ADACEL, lot number C2341AA, and now has confirmed pertussis. The outcome was not reported. Documents held by sender: None.
Sex: M
Vaccine: MNQ
Symptoms: Convulsion, Headache, Meningitis viral, Rash, Vaccine breakthrough infection
Clinical narrative: Initial case received from a consumer, who is also the patient's uncle, on 13 August 2010. A male patient received an injection of MENACTRA (lot not reported) prior to entering college. A few days post-vaccination, he complained of severe headaches, and subsequently experienced a seizure. He was admitted to the hospital, where he experienced another seizure and also developed a rash. He was transferred to another hospital, and was diagnosed with viral meningitis. No additional information was reported.
Age: 50.0
Sex: F
Vaccine: HEP
Symptoms: Diarrhoea, Injection site pain, Pyrexia
Clinical narrative: Ran a fever 101 for 24 hours, diarrhea, soreness in infection spot.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Rash papular, Swelling
Clinical narrative: Red raised papules on trunk, few on arms.
Age: 1.01
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Erythema, Rash generalised, Rash papular, Swelling
Clinical narrative: Red raised papules, rashes on trunk (front-back) few on face, neck, thighs & arms.
Age: 8.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Abdominal pain upper, Rash generalised, Vomiting
Clinical narrative: 7/27/10 mother came to clinic to report that the day after child rec'd shots a rash over her body appeared & went away with the treatment of BENADRYL gel (on face, back, chest & legs). On July 24th (Sat.) child experienced stomach cramping & threw up after taking Pepto bismol. She is able to eat & keep food down.
Age: 1.1
Sex: U
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 1.02
Sex: M
Vaccine: HEPA, HIBV, PNC13
Symptoms: Pyrexia
Clinical narrative: Pt had fever of 103 degrees for 24 hours, treated with IBP. PRN.
Age: 3.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Rash
Clinical narrative: Red, warm, swollen below injection site reported. Instructed to apply indirect ice & Ibuprofen or TYLENOL q 6 hrs. When seen again 8/12 new red spots along left anterior/upper thigh. Redness/swelling significantly reduced at time of appt.
Age: 8.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site swelling, Injection site warmth, Rash vesicular
Clinical narrative: Swelling of injection site, warm to the touch. Patient afebrile, vesicular rash.
Age: 0.52
Sex: M
Vaccine: PNC
Symptoms: Convulsion, Electroencephalogram abnormal, Infantile spasms, Medical diet, Nuclear magnetic resonance imaging brain normal
Clinical narrative: Information regarding PREVNAR was received from a healthcare professional regarding a 6-month-old male patient who experienced idiopathic infantile spasm, high pitched screaming and infantile seizures. The patient received the second dose on 13-May-2010. On 13-May-2010, about 6 hours after receiving vaccine, the patient developed high pitched screaming which continued on occasion until 17-May-2010, when the reporter described her son as having had a seizure. The child was subsequently diagnosed with infantile seizures during hospitalization after an electroencephalogram had been performed. On 19-May-2010 the patient was transferred to another hospital. An EEG was performed while the child was having a seizure: the patient was diagnosed with idiopathic infantile spasms and was started on a ketogenic diet as treatment. It was noted that the child had 2 seizures/infantile spasms while at the second hospital and remained hospitalized for about 2 weeks. The reporter called the patient's diet treatment "alternative therapy instead of using medication like TOPAMAX". He has been free of infantile spasms/seizures since 07-Jun-2010. On 17-Jun-2010 the patient had a magnetic resonance imaging that showed normal brain development. The neurologist saw no neurologic reason from the imaging why the patient was having infantile spasms/seizures, although they could have been an auto-immune response to PREVNAR. As of 09-Aug-2010 the patient continues on his ketogenic diet and is "wonderful". The outcome for the screaming was reportedly resolved. No additional information was available at the time of this report.
Age: 0.52
Sex: M
Vaccine: PNC
Symptoms: Screaming
Clinical narrative: Information regarding PREVNAR was received from a healthcare professional regarding a 6-month-old male patient who experienced idiopathic infantile spasm, high pitched screaming and infantile seizures. The patient received the second dose on 13-May-2010. On 13-May-2010, about 6 hours after receiving vaccine, the patient developed high pitched screaming which continued on occasion until 17-May-2010, when the reporter described her son as having had a seizure. The child was subsequently diagnosed with infantile seizures during hospitalization after an electroencephalogram had been performed. On 19-May-2010 the patient was transferred to another hospital. An EEG was performed while the child was having a seizure: the patient was diagnosed with idiopathic infantile spasms and was started on a ketogenic diet as treatment. It was noted that the child had 2 seizures/infantile spasms while at the second hospital and remained hospitalized for about 2 weeks. The reporter called the patient's diet treatment "alternative therapy instead of using medication like TOPAMAX". He has been free of infantile spasms/seizures since 07-Jun-2010. On 17-Jun-2010 the patient had a magnetic resonance imaging that showed normal brain development. The neurologist saw no neurologic reason from the imaging why the patient was having infantile spasms/seizures, although they could have been an auto-immune response to PREVNAR. As of 09-Aug-2010 the patient continues on his ketogenic diet and is "wonderful". The outcome for the screaming was reportedly resolved. No additional information was available at the time of this report.