chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Similar reaction on previous exposure to drug, Sleep disorder, Tendon injury, Wrong technique in drug usage process, X-ray normal
Clinical narrative: Information has been received from a 24 year old female who in approximately July 2008 (reported as "about 9 months ago", also reported "about 6 months before her second dose"), was vaccinated with a first dose of GARDASIL and on 19-FEB-2009 was vaccinated with a second dose of GARDASIL which was accidentally administered in her bone rather than in her muscle. There was no concomitant medication. On approximately 20-FEB-2009 (about a day after second vaccination) the patient experienced pain in the arm which has increased over time. The MRI was performed. At the time of reporting, the patient's pain in the arm which has increased over time persisted. The patient sought unspecified medical attention. Additional information has been requested.
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Nuclear magnetic resonance imaging, Pain in extremity, Wrong technique in drug usage process
Clinical narrative: Information has been received from a 24 year old female who in approximately July 2008 (reported as "about 9 months ago", also reported "about 6 months before her second dose"), was vaccinated with a first dose of GARDASIL and on 19-FEB-2009 was vaccinated with a second dose of GARDASIL which was accidentally administered in her bone rather than in her muscle. There was no concomitant medication. On approximately 20-FEB-2009 (about a day after second vaccination) the patient experienced pain in the arm which has increased over time. The MRI was performed. At the time of reporting, the patient's pain in the arm which has increased over time persisted. The patient sought unspecified medical attention. Additional information has been requested.
Age: 6.0
Sex: M
Vaccine: MMR
Symptoms: Autism, Pyrexia
Clinical narrative: Information has been received from a consumer concerning her first 6 year old child who was vaccinated with his first dose of MMR II. Subsequently the patient was diagnosed with autism and had been in special education classes. The patient received different unspecified vaccines including MMR II. The mother did not want to provide the names of other vaccines that the patient received along with MMR II because she did not have the information available with her "right now". The mother added that the patient experienced high fever as well after receiving MMR II. The patient had sought unspecified medical attention. At the time of reporting the patient's autism and high fever persisted. Upon internal review, autism was considered to be an other important medical event. This is one of two reports from the same source. No further information is available.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Foetal disorder, Pregnancy test positive
Clinical narrative: Information has been received from an 18 year old female with migraine and no allergies for GARDASIL, a Pregnancy Registry product, who in February 2007, was vaccinated with the first dose of GARDASIL (lot# not reported). Concomitant therapy included vitamins (unspecified). In April 2007, the the patient received her second dose of GARDASIL (lot# not reported) 0.5 mL when she was 2 weeks pregnant. The patient requested a pregnancy test before receiving the shot of second dose however it was never given to her. On 13-FEB-2008, the patient delivered a baby. It was reported that the baby experienced unexplained fever almost every other day as well as seizures. The baby was also congested all the time and was diagnosed with asthma. The reporter felt that the baby's unexplained fever, seizures and asthma were related to therapy with GARDASIL. Unspecified medical attention was sought. Upon internal review, seizure was considered to be an other important medical event. No further information is available.
Sex: U
Vaccine: RV5
Symptoms: Gastroenteritis rotavirus
Clinical narrative: Information has been received from an office staff member concerning a patient who on unspecified dates was vaccinated with all three doses of ROTATEQ, orally. The patient received all three doses of ROTATEQ and sometime, after receiving ROTATEQ the patient was hospitalized for rotavirus gastroenteritis. The reporter did not specify how long the patient was in the hospital. At the time of reporting, the patient's outcome was unknown. Additional information has been received on 10-APR-2009 from the office staff member. It was reported that they could not locate any of the records or could not recall the child that they originally told the company representative had three doses of ROTATEQ and developed rotavirus gastroenteritis and was hospitalized. The reporter stated that they asked every one on the staff and no one could recall or knew the patient's name or anything about the event. No further information is available.
Sex: U
Vaccine: VARCEL
Symptoms: Induration, Local reaction
Clinical narrative: 5 cm indurated local reaction.
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Local reaction, Pain, Pruritus
Clinical narrative: Large local reaction 10-12 cm, with pain, mild pruritis.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever morning after vaccine T max 103.1.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Pyrexia
Clinical narrative: Child had a DTAP on 4/09/09. Benefits and risks explained - VIS info given. Mom noted fever at 11 PM 4-9/09, redness at site of injection noted in the morning. Size gradually increasing to present size.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Auricular swelling, Erythema, Rash generalised, Swelling face
Clinical narrative: 3/20/09 had GARDASIL #2 at approx. 4:15 pm. Took CLARITIN in AM for allergies. Also takes CONCERTA and ORTHO TRICYCLEN low dose. Used tanning bed and Pomegranate lotion. 3/22/09 had rash behind ears. Used hot tub. 2/23/09 Had rash on chest face and back - "red, bumpy, tiny dots." Went to school nurse at 10 AM and was given BENADRYL and Hydrocortisone cream. Mon. night has rash on inner thighs. 3/24/09 returned to nurse - ears and nose were red and swollen. Nurse called Dr. who wanted her seen at ER. At ER was given steroid shot and Prednisone bid x 4d. Rash was no longer spreading. Was told no to get third GARDASIL. To see regular Dr. 3/27/09.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, VARCEL
Symptoms: Asthenia, Dizziness, Pain in extremity, Paraesthesia, Vomiting
Clinical narrative: Pt. had acute onset of severe vomiting and dizziness.  Lasted into next day.  Also began to have leg pain & perceived weakness, tingling.  The leg symptoms lasted >/wk.  Pt totally normal on 4/8/09
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Varicella
Clinical narrative: Chicken Pox with HX of one dose of VARIVAX.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Blood culture negative, Body temperature increased, Cellulitis, Malaise, Oedema peripheral
Clinical narrative: Same evening arm soreness + swelling - ice applied 4/2/09 arm increased soreness, increased swelling, warmth, elevated temp + not feeling well. To ER labs drawn + antibiotic started. 4/3/09 to ER again as increased swelling of arm. Continue TX. 4/6/09 to MD for follow-up. Continue TX Cellulitis. Return to work 4/8/09.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity, Skin warm, White blood cell count increased
Clinical narrative: Same evening arm soreness + swelling - ice applied 4/2/09 arm increased soreness, increased swelling, warmth, elevated temp + not feeling well. To ER labs drawn + antibiotic started. 4/3/09 to ER again as increased swelling of arm. Continue TX. 4/6/09 to MD for follow-up. Continue TX Cellulitis. Return to work 4/8/09.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Nausea, Pain
Clinical narrative: Headache, bodyache, some nausea. 4/10/09.  Advised TYLENOL 500 mg 2 tabs P.O. Q6 PRN.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, PNC
Symptoms: Oedema peripheral
Clinical narrative: Patient's leg starting swelling right after immunizations were received.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Rash generalised
Clinical narrative: Rash on stomach, chest, genitals
Age: 9.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Mass, Oedema peripheral, Skin warm
Clinical narrative: Right arm swollen, red, and hot to the touch.  Patients arm also had a tight knot under skin.  Dr. advised on 4-11-09 that patient should take BENADRYL
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Crying, Dyskinesia, Gaze palsy, Musculoskeletal stiffness
Clinical narrative: [As reported to me by ER physician:]  After shots, went home, took nap about 1 hrs.  Went awake, cried inconsolably.  Then had stiffening, jerking, & eyes rolled back.  Lasted 1 min.  "Not himself". -> ER.  Transferred to hospital for eval.  Status to day unknown
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Abdominal pain upper, Anorexia, Diarrhoea, Pyrexia, Rash
Clinical narrative: 04/09/09 vomit, diarrhea, stomach pain. 04/10/09 fever (104.7) rash. No GI symptoms except anorexia. 04/11/09 varicella - like rash.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Rash vesicular, Vomiting
Clinical narrative: 04/09/09 vomit, diarrhea, stomach pain. 04/10/09 fever (104.7) rash. No GI symptoms except anorexia. 04/11/09 varicella - like rash.
Age: 73.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Injection site erythema, Injection site swelling, Skin warm
Clinical narrative: Patient developed chills overnight after getting the vaccine.  Site of injection was swollen and red.  On March 29th, the swelling and redness extended to the elbow and was warm to the touch.  Benadryl was given, both orally and topically.  The oral benadryl given on a prn basis, was given 6 times over the course of 4 days, and seemed to work well for the patient.  6/17/09 Hospital records and DC summary received DOS 3/25/09 to 3/30/09. FINAL DIAGNOSIS: Severe aortic stenosis. Single vessel cornary artery diseases. Allergic reaction to a Pneumovax vaccination. Type-2 diabetes. Hypertension. Hyperlipidemia with a very high triglyceride level. Patient presented with induration and erthyma of R arm.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Phone call from parent on 4/15/09 @ 10:15am. She reports child's left arm/shoulder is swollen around injection site. Area, red per report. Mom states she has been giving tylenol. Advised continue with tylenol. Add Cool compress this morning and late afternoon-warm compress. Call MD if no improvement or to see if Benadryl is appropriate to give.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Blister, Herpes simplex serology negative, Herpes zoster
Clinical narrative: ON 04/12/2009, PT BROKE OUT ON FACE AND FOREHEAD WITH BLISTERS. WAS DIAGNOSED WITH HUTCHINSON VARIATION OF FACIAL SHINGLES. TREATED WITH ORAL ACYCLOVIR, PREDNISONE, CLINDAMYCIN AND PERCOCET. BLISTERING WAS SPREADING AND PATIENT WAS HOSPITALIZED 04/16/2009 AND STARTED ON IV ACYCLOVIR.  4/21/09 MR received for DOS 4/16-17/2009 with DX: Huthinson variation of facial shingles.  Pt initially presented to PCP with c/o facial pain and blistering on the nose with redness and swelling. Placed on antivirals however cellulitis developed and also placed on abx however progression continued. Admitted for IV antivirals and abx.  Ophth consult confirmed no zoster migrated to eyes. (+) neuralgia tx with pain meds.
Sex: F
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Erythema, Induration, Pruritus, Swelling
Clinical narrative: The patient received the Zostavax vaccine on 4/3/2009. About 2 days after the injection she noticed a big, red, swollen area on her upper arm. She reported it being about 5 inches in size. She also noted that there was a hard spot and it looked similiar to a bee sting. She stated that she experienced minimal itching and it was not painful. It lasted for about a week before it disappeared. During this time she did not do anything to treat this.
Sex: F
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Erythema, Induration, Oedema peripheral, Pruritus
Clinical narrative: The patient received the Zostavax vaccine on 4/3/2009. About 2 days after the injection she noticed a big, red, swollen area on her upper arm. She reported it being about 5 inches in size. She also noted that there was a hard spot and it looked similiar to a bee sting. She stated that she experienced minimal itching and it was not painful. It lasted for about a week before it disappeared. During this time she did not do anything to treat this.
Age: 80.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site erythema, Injection site urticaria
Clinical narrative: The patient received the Zostavax vaccine on 4/10/2009. After administration of the vaccine, she reported a dollar size red wheel around the injection site. It was not raised or bumpy. She did not experience any pain or itching.
Age: 69.0
Sex: U
Vaccine: PNC
Symptoms: Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: Subject in pneumococcal vaccine trial, with severe COPD, was hospitalized on 2/19/2009 with COPD exacerbation. Vaccination took place on 11/7/2007. According to the physician, the relationship is 'Unlikely'. We would be happy to forward the Study's SAE reporting form upon request.  4/23/09 Received SAE report of 2/19-2/23/2009. FINA DX: COPD exacerbation likely secondary to respiratory infection, continued cigarette use & under-utilization of COPD meds. Records reveal patient experienced worsening wheeze, increased productive cough of yellow sputum & SOB at rest beginning 2/15/09.  Had episode of unresponsiveness 2/18.  Tx w/IV antibiotics, steroids.  Transferred to nursing home.
Age: 3.0
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Parent noted redness and swelling of Lt arm increasing 24 hrs after injection. Increasing at 48hours. No fever. Marked erythema and induration of Lt arm from shoulder to above elbow.
Age: 10.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Flushing, Hyperhidrosis, Injection site erythema, Lip swelling, Urticaria
Clinical narrative: Pt received immunizations and about 5 minutes afterwards the school nurse brought pt in to where shots were being given stating that pt was having a possible reaction.  Nurse who administered pt examined patient and he was found to an area of redness at site of varicella injection.  Pt was flushed and sweating.  Denied any SOB.  After several minutes pt developed hives and swollen lips.  Parent/family MD was contacted and child was sent to ER via family
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Urticaria
Clinical narrative: moderate sized erythema to left thigh . 8 cm raised wheal, old compress was applied for 30 minutes and Benadryl 1tsp given po .
Age: 12.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Granuloma annulare, Rash, Vaccination complication
Clinical narrative: Patient developed red "Rash" according to mother on top of both legs on 4/13/2009 and was taken to doctor on 4/16/2009
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Injection site pain, Musculoskeletal pain, Nodule
Clinical narrative: Received Tdap vaccination on 4/13/09 in upper left arm. Injection site is still painful on 4/17/09, but real issue is pain caused by two pea sized nodules that have formed since 4/15/09. The nodules are 3-5 inches from the injection site over my left shoulder blade. Skin is slightly red over the area, but pain is constant, and worsens if touched.
Age: 37.0
Sex: F
Vaccine: MMRV
Symptoms: Diarrhoea, Injection site erythema, Injection site swelling, Injection site urticaria, Injection site warmth
Clinical narrative: I developed I large area around the injection that was fire red and hot to the touch. It was welped up rasied. About the size of 1/2 dollar or little larger and ran down arm little bit too. I also had diarreah.
Age: 34.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Chills, Drooling, Hyperhidrosis, Injection site erythema
Clinical narrative: Redness and swelling at injection site, by 4/13/09 fever of 102, sweats and chills, swelling in jaw, swelling in R arm and joints, significant drooling, tenderness & pain in joints, mild to moderate muscle weakness
Age: 34.0
Sex: F
Vaccine: MMR
Symptoms: Injection site swelling, Joint swelling, Muscular weakness, Oedema peripheral, Osteitis
Clinical narrative: Redness and swelling at injection site, by 4/13/09 fever of 102, sweats and chills, swelling in jaw, swelling in R arm and joints, significant drooling, tenderness & pain in joints, mild to moderate muscle weakness
Age: 34.0
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Tenderness
Clinical narrative: Redness and swelling at injection site, by 4/13/09 fever of 102, sweats and chills, swelling in jaw, swelling in R arm and joints, significant drooling, tenderness & pain in joints, mild to moderate muscle weakness
Age: 13.0
Sex: F
Vaccine: MNQ
Symptoms: Fatigue, Headache, Skin warm
Clinical narrative: fatigue,headache ,feels warm ,no feverheadache improving headache ,not weak ,no numbness
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Patient had some redness appear at the site of the injection >24 hours after recieving the vaccine.  Not raised, slightly warm, not hard and not itchy.  Advised the patient to contact her physician as well and to take an antihistamine (i.e. benadryl or claritin).
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Tolerated immunizations fine Given four on 4/14/2009. Next day 4/15 some tenderness and on 4/16/09 noted sweling left deltoid down to elbow with redness. Went to Urgent Care in evening.  Per Dr. noted some pain, warm to touch, erythema and swelling but has excellant range of motion. No evidence of abscess.  Dr felt a "normal immune reaction"  but gave a RX for Keflex. Mom states later the redness went down to the hand, but with antibiotics improved.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, MMR
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: PT LEFT ARM SWOLLEN AND WARM TO TOUCH.  APPRX THE SIZE OF AN ORANGE.  PT DENIES INCREASED PAIN.  NO FEVER.  PT FEELS FINE OTHERWISE.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Enema administration, Intussusception
Clinical narrative: Intussusception  4/29/09 Received hospital medical records of 4/13-4/15/2009. FINAL DX: Intussusception, enema reduced Records reveal patient experienced bilious vomiting & bloody stools.  Admitted for observation s/p enema reduction, progressed well & d/c to home.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Oedema peripheral, Vomiting
Clinical narrative: right arm red and swollen and vomiting / 4th time this lot # has been reported
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Abdominal pain upper, Alanine aminotransferase increased, Anxiety, Aspartate aminotransferase increased, Back pain
Clinical narrative: During summer of 2008, patient had many episodes of anxiety which she never had before, she also is more easily confused;                   9/30/08 Dr visit for side pains, and sore neck, 2nd dose of gardasil given at this visit; 10/28/08 Dr visit for dizziness, headaches and stomach pain, Dr attributed to gas, and rec increase fluids, and tylenol; 11/11/08 Dr visit for muscle pain, near inability to walk, inability to raise arms, stomach pain, back pain, tingling, vibrating sensation of extremities, Dr rec continue Ibuprofen or aleve daily; symptoms slightly resolved for a short time; 3/26/09 Dr visit with another doctor in practice- gained 10 lbs in fluids, severe ankle swelling numbness and tingling of feet, had been having nightly fevers for 10 days prior, legs and arms go numb when "crossed" for a few seconds, these symptoms have gotten better for now, she does still have headaches, dizziness and lightheadedness.  5/4/09 Received PCP medical records of 10/19/07-3/26/2009. FINAL DX: polymyositis Records reveal patient experienced usual state of good health on 10/19/07 when received HPV & Menactra. RTC 2/9/08 w/sore throat x 2 days, fever x 1 day, nasal congestion & fatigue.  Dx w/strep throat & tx w/IM antibiotics.  RTC 4/18/08 w/fever & sore throat x 2 days.  Dx w/laryngitis/croup.  RTC 10/28/08 w/dizziness, HA, stomach pains, low grade fever, hoarseness & cough x 2-3 days.  Dx viral laryngitis & URI.  RTC 11/11 w/muscle pain & tingling x 2-3 wks.  Dx w/myalgias & paresthesias.  Referred to Neuro.  RTC 1/14/09 w/resolved polymyositis. RTC 3/16/09 w/pharyngitis.  RTC w/ bilateral ankle swelling, possible facial edema, malaise, tonsillitis.  Labs done but were unrevealing.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Blood alkaline phosphatase increased, Blood pressure increased, Confusional state, Dizziness, Flank pain
Clinical narrative: During summer of 2008, patient had many episodes of anxiety which she never had before, she also is more easily confused;                   9/30/08 Dr visit for side pains, and sore neck, 2nd dose of gardasil given at this visit; 10/28/08 Dr visit for dizziness, headaches and stomach pain, Dr attributed to gas, and rec increase fluids, and tylenol; 11/11/08 Dr visit for muscle pain, near inability to walk, inability to raise arms, stomach pain, back pain, tingling, vibrating sensation of extremities, Dr rec continue Ibuprofen or aleve daily; symptoms slightly resolved for a short time; 3/26/09 Dr visit with another doctor in practice- gained 10 lbs in fluids, severe ankle swelling numbness and tingling of feet, had been having nightly fevers for 10 days prior, legs and arms go numb when "crossed" for a few seconds, these symptoms have gotten better for now, she does still have headaches, dizziness and lightheadedness.  5/4/09 Received PCP medical records of 10/19/07-3/26/2009. FINAL DX: polymyositis Records reveal patient experienced usual state of good health on 10/19/07 when received HPV & Menactra. RTC 2/9/08 w/sore throat x 2 days, fever x 1 day, nasal congestion & fatigue.  Dx w/strep throat & tx w/IM antibiotics.  RTC 4/18/08 w/fever & sore throat x 2 days.  Dx w/laryngitis/croup.  RTC 10/28/08 w/dizziness, HA, stomach pains, low grade fever, hoarseness & cough x 2-3 days.  Dx viral laryngitis & URI.  RTC 11/11 w/muscle pain & tingling x 2-3 wks.  Dx w/myalgias & paresthesias.  Referred to Neuro.  RTC 1/14/09 w/resolved polymyositis. RTC 3/16/09 w/pharyngitis.  RTC w/ bilateral ankle swelling, possible facial edema, malaise, tonsillitis.  Labs done but were unrevealing.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Flatulence, Fluid retention, Gait disturbance, Haematocrit decreased, Headache
Clinical narrative: During summer of 2008, patient had many episodes of anxiety which she never had before, she also is more easily confused;                   9/30/08 Dr visit for side pains, and sore neck, 2nd dose of gardasil given at this visit; 10/28/08 Dr visit for dizziness, headaches and stomach pain, Dr attributed to gas, and rec increase fluids, and tylenol; 11/11/08 Dr visit for muscle pain, near inability to walk, inability to raise arms, stomach pain, back pain, tingling, vibrating sensation of extremities, Dr rec continue Ibuprofen or aleve daily; symptoms slightly resolved for a short time; 3/26/09 Dr visit with another doctor in practice- gained 10 lbs in fluids, severe ankle swelling numbness and tingling of feet, had been having nightly fevers for 10 days prior, legs and arms go numb when "crossed" for a few seconds, these symptoms have gotten better for now, she does still have headaches, dizziness and lightheadedness.  5/4/09 Received PCP medical records of 10/19/07-3/26/2009. FINAL DX: polymyositis Records reveal patient experienced usual state of good health on 10/19/07 when received HPV & Menactra. RTC 2/9/08 w/sore throat x 2 days, fever x 1 day, nasal congestion & fatigue.  Dx w/strep throat & tx w/IM antibiotics.  RTC 4/18/08 w/fever & sore throat x 2 days.  Dx w/laryngitis/croup.  RTC 10/28/08 w/dizziness, HA, stomach pains, low grade fever, hoarseness & cough x 2-3 days.  Dx viral laryngitis & URI.  RTC 11/11 w/muscle pain & tingling x 2-3 wks.  Dx w/myalgias & paresthesias.  Referred to Neuro.  RTC 1/14/09 w/resolved polymyositis. RTC 3/16/09 w/pharyngitis.  RTC w/ bilateral ankle swelling, possible facial edema, malaise, tonsillitis.  Labs done but were unrevealing.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Hepatic enzyme increased, Hyperpallaesthesia, Hypoaesthesia, Joint swelling, Lymphocyte count increased
Clinical narrative: During summer of 2008, patient had many episodes of anxiety which she never had before, she also is more easily confused;                   9/30/08 Dr visit for side pains, and sore neck, 2nd dose of gardasil given at this visit; 10/28/08 Dr visit for dizziness, headaches and stomach pain, Dr attributed to gas, and rec increase fluids, and tylenol; 11/11/08 Dr visit for muscle pain, near inability to walk, inability to raise arms, stomach pain, back pain, tingling, vibrating sensation of extremities, Dr rec continue Ibuprofen or aleve daily; symptoms slightly resolved for a short time; 3/26/09 Dr visit with another doctor in practice- gained 10 lbs in fluids, severe ankle swelling numbness and tingling of feet, had been having nightly fevers for 10 days prior, legs and arms go numb when "crossed" for a few seconds, these symptoms have gotten better for now, she does still have headaches, dizziness and lightheadedness.  5/4/09 Received PCP medical records of 10/19/07-3/26/2009. FINAL DX: polymyositis Records reveal patient experienced usual state of good health on 10/19/07 when received HPV & Menactra. RTC 2/9/08 w/sore throat x 2 days, fever x 1 day, nasal congestion & fatigue.  Dx w/strep throat & tx w/IM antibiotics.  RTC 4/18/08 w/fever & sore throat x 2 days.  Dx w/laryngitis/croup.  RTC 10/28/08 w/dizziness, HA, stomach pains, low grade fever, hoarseness & cough x 2-3 days.  Dx viral laryngitis & URI.  RTC 11/11 w/muscle pain & tingling x 2-3 wks.  Dx w/myalgias & paresthesias.  Referred to Neuro.  RTC 1/14/09 w/resolved polymyositis. RTC 3/16/09 w/pharyngitis.  RTC w/ bilateral ankle swelling, possible facial edema, malaise, tonsillitis.  Labs done but were unrevealing.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Mobility decreased, Myalgia, Neck pain, Neutrophil percentage decreased, Paraesthesia
Clinical narrative: During summer of 2008, patient had many episodes of anxiety which she never had before, she also is more easily confused;                   9/30/08 Dr visit for side pains, and sore neck, 2nd dose of gardasil given at this visit; 10/28/08 Dr visit for dizziness, headaches and stomach pain, Dr attributed to gas, and rec increase fluids, and tylenol; 11/11/08 Dr visit for muscle pain, near inability to walk, inability to raise arms, stomach pain, back pain, tingling, vibrating sensation of extremities, Dr rec continue Ibuprofen or aleve daily; symptoms slightly resolved for a short time; 3/26/09 Dr visit with another doctor in practice- gained 10 lbs in fluids, severe ankle swelling numbness and tingling of feet, had been having nightly fevers for 10 days prior, legs and arms go numb when "crossed" for a few seconds, these symptoms have gotten better for now, she does still have headaches, dizziness and lightheadedness.  5/4/09 Received PCP medical records of 10/19/07-3/26/2009. FINAL DX: polymyositis Records reveal patient experienced usual state of good health on 10/19/07 when received HPV & Menactra. RTC 2/9/08 w/sore throat x 2 days, fever x 1 day, nasal congestion & fatigue.  Dx w/strep throat & tx w/IM antibiotics.  RTC 4/18/08 w/fever & sore throat x 2 days.  Dx w/laryngitis/croup.  RTC 10/28/08 w/dizziness, HA, stomach pains, low grade fever, hoarseness & cough x 2-3 days.  Dx viral laryngitis & URI.  RTC 11/11 w/muscle pain & tingling x 2-3 wks.  Dx w/myalgias & paresthesias.  Referred to Neuro.  RTC 1/14/09 w/resolved polymyositis. RTC 3/16/09 w/pharyngitis.  RTC w/ bilateral ankle swelling, possible facial edema, malaise, tonsillitis.  Labs done but were unrevealing.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Pyrexia, Red blood cell count decreased, Red blood cell sedimentation rate increased, Red cell distribution width, Weight increased
Clinical narrative: During summer of 2008, patient had many episodes of anxiety which she never had before, she also is more easily confused;                   9/30/08 Dr visit for side pains, and sore neck, 2nd dose of gardasil given at this visit; 10/28/08 Dr visit for dizziness, headaches and stomach pain, Dr attributed to gas, and rec increase fluids, and tylenol; 11/11/08 Dr visit for muscle pain, near inability to walk, inability to raise arms, stomach pain, back pain, tingling, vibrating sensation of extremities, Dr rec continue Ibuprofen or aleve daily; symptoms slightly resolved for a short time; 3/26/09 Dr visit with another doctor in practice- gained 10 lbs in fluids, severe ankle swelling numbness and tingling of feet, had been having nightly fevers for 10 days prior, legs and arms go numb when "crossed" for a few seconds, these symptoms have gotten better for now, she does still have headaches, dizziness and lightheadedness.  5/4/09 Received PCP medical records of 10/19/07-3/26/2009. FINAL DX: polymyositis Records reveal patient experienced usual state of good health on 10/19/07 when received HPV & Menactra. RTC 2/9/08 w/sore throat x 2 days, fever x 1 day, nasal congestion & fatigue.  Dx w/strep throat & tx w/IM antibiotics.  RTC 4/18/08 w/fever & sore throat x 2 days.  Dx w/laryngitis/croup.  RTC 10/28/08 w/dizziness, HA, stomach pains, low grade fever, hoarseness & cough x 2-3 days.  Dx viral laryngitis & URI.  RTC 11/11 w/muscle pain & tingling x 2-3 wks.  Dx w/myalgias & paresthesias.  Referred to Neuro.  RTC 1/14/09 w/resolved polymyositis. RTC 3/16/09 w/pharyngitis.  RTC w/ bilateral ankle swelling, possible facial edema, malaise, tonsillitis.  Labs done but were unrevealing.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: White blood cell count increased
Clinical narrative: During summer of 2008, patient had many episodes of anxiety which she never had before, she also is more easily confused;                   9/30/08 Dr visit for side pains, and sore neck, 2nd dose of gardasil given at this visit; 10/28/08 Dr visit for dizziness, headaches and stomach pain, Dr attributed to gas, and rec increase fluids, and tylenol; 11/11/08 Dr visit for muscle pain, near inability to walk, inability to raise arms, stomach pain, back pain, tingling, vibrating sensation of extremities, Dr rec continue Ibuprofen or aleve daily; symptoms slightly resolved for a short time; 3/26/09 Dr visit with another doctor in practice- gained 10 lbs in fluids, severe ankle swelling numbness and tingling of feet, had been having nightly fevers for 10 days prior, legs and arms go numb when "crossed" for a few seconds, these symptoms have gotten better for now, she does still have headaches, dizziness and lightheadedness.  5/4/09 Received PCP medical records of 10/19/07-3/26/2009. FINAL DX: polymyositis Records reveal patient experienced usual state of good health on 10/19/07 when received HPV & Menactra. RTC 2/9/08 w/sore throat x 2 days, fever x 1 day, nasal congestion & fatigue.  Dx w/strep throat & tx w/IM antibiotics.  RTC 4/18/08 w/fever & sore throat x 2 days.  Dx w/laryngitis/croup.  RTC 10/28/08 w/dizziness, HA, stomach pains, low grade fever, hoarseness & cough x 2-3 days.  Dx viral laryngitis & URI.  RTC 11/11 w/muscle pain & tingling x 2-3 wks.  Dx w/myalgias & paresthesias.  Referred to Neuro.  RTC 1/14/09 w/resolved polymyositis. RTC 3/16/09 w/pharyngitis.  RTC w/ bilateral ankle swelling, possible facial edema, malaise, tonsillitis.  Labs done but were unrevealing.
Age: 74.0
Sex: F
Vaccine: PPV, TD
Symptoms: Chest discomfort, Chest pain, Pain in extremity, Skin warm
Clinical narrative: Vaccinated with Pneumovax on 3/31/2009. Called office on 4/1/2009 stating arm was red. sore and hot to touch. Advised to come in that day. Came in on 4/2/09 with chest pain/pressure and edematous, reddend arm. Admitted to hospital to rull out MI and Cellulitis of the arm. Received IV antibiotics in the hospital.  5/4/09 MR received for DOS 4/2-3/2009 with D/C DX:  Atrial Fibrillation.  Cellulitis of Arm.  Pt presented with c/o palpitations with dizziness and chest pain as well as swelling and erythema at site on pneumonia vaccine. Initially seen by cardiologist who noted A-fib and referred to ER. Cardiac w/u (-) and d/c on abx for cellulitis. Confirmed with reporter hospitalization of 1 night not 10, typo.
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Asthenia, Dizziness, Flushing, Injection site pustule, Injection site swelling
Clinical narrative: Palm size hot swelling at injection site with pustules inside the swollen area on the first day of the injection.  Then outbreak of pustules scattered over  body.  Then total body itching after pustules cleared.  Two weeks of steroids to counteract itching.  Now flushed and feverish and all over pain.  Weakness and lethargy, dizzy and days of school missed.
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site warmth, Lethargy, Pain, Pruritus generalised, Pyrexia
Clinical narrative: Palm size hot swelling at injection site with pustules inside the swollen area on the first day of the injection.  Then outbreak of pustules scattered over  body.  Then total body itching after pustules cleared.  Two weeks of steroids to counteract itching.  Now flushed and feverish and all over pain.  Weakness and lethargy, dizzy and days of school missed.
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash pustular
Clinical narrative: Palm size hot swelling at injection site with pustules inside the swollen area on the first day of the injection.  Then outbreak of pustules scattered over  body.  Then total body itching after pustules cleared.  Two weeks of steroids to counteract itching.  Now flushed and feverish and all over pain.  Weakness and lethargy, dizzy and days of school missed.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: PT REPORTS LOCALIZED (R) UPPER ARM PAIN EVENING OF 4-16-2009.  REDNESS, SWELLING AND TENDERNESS TO TOUCH NOTED 4/7/2009.  MOM STATES DOSING PT WITH TYLENOL AND APPLYING ICE PACKS TO SITE FOR COMFORT.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Condition aggravated, Erythema, Herpes zoster, Hypersensitivity, Pruritus
Clinical narrative: Red rash on left arm (arm of injection). Appeared 3 days after vaccine administration.  Was very red and itchy however not quite so bad today.  Specialist told patient over phone that she had an allergic reaction however patient has also had the shingles 3 times in the past (twice in the past 9 months) so we believe it may actually be a mild case. Suggested to the patient to try cortisone cream and benadryl/claritin.  Also suggested that she should follow-up with an ergent care facility tomorrow if gets worse.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Red rash on left arm (arm of injection). Appeared 3 days after vaccine administration.  Was very red and itchy however not quite so bad today.  Specialist told patient over phone that she had an allergic reaction however patient has also had the shingles 3 times in the past (twice in the past 9 months) so we believe it may actually be a mild case. Suggested to the patient to try cortisone cream and benadryl/claritin.  Also suggested that she should follow-up with an ergent care facility tomorrow if gets worse.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Skin warm, Tenderness
Clinical narrative: Warm, redness and tenderness 6x13cm. Seen on 4/17/09, Cephalexin 500 mg PO given. Pt to f/u with provider next week.
Age: 53.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: 6x8 cm area around injection site tender, red and warm. No streaking or adenopathy
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Left deltoid = 4x5 cm area of erythema with subcutaneous induration at site of Tdap injection; no fluctuance; tender to palpation; no streaking; no adenopathy.
Age: 0.4
Sex: F
Vaccine: DTAPIPVHIB, RV5, UNK
Symptoms: Chest X-ray, Dyspnoea, Eyes sunken, Lethargy, Listless
Clinical narrative: Paleness, vomiting, lethargic, breathing difficulties, sunken eyes, listless. Baby was brought to hospital, they then transferred her by ambulance to another facility. They kept her over night to watch her. They did tests and only found that she had Rhino-virus (cold). I told them she had her shots the day before.  4/22/09 ER record received for DOS 12/7/09 with dx: ALTE.  Rhinovirus. Pertussis test pending. Pt presented after episode of emesis, gagging with pallor, hypotonia and shaking. Had rhinorrhea and cough x 2 weeks. Decreased responsiveness after episodes. W/u (-).
Age: 0.4
Sex: F
Vaccine: DTAPIPVHIB, RV5, UNK
Symptoms: Pallor, Rhinovirus infection, Vomiting
Clinical narrative: Paleness, vomiting, lethargic, breathing difficulties, sunken eyes, listless. Baby was brought to hospital, they then transferred her by ambulance to another facility. They kept her over night to watch her. They did tests and only found that she had Rhino-virus (cold). I told them she had her shots the day before.  4/22/09 ER record received for DOS 12/7/09 with dx: ALTE.  Rhinovirus. Pertussis test pending. Pt presented after episode of emesis, gagging with pallor, hypotonia and shaking. Had rhinorrhea and cough x 2 weeks. Decreased responsiveness after episodes. W/u (-).
Age: 0.5
Sex: M
Vaccine: FLU3, PNC, RV5
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Erythematous, warm 7X7 cm. induration left lateral thigh.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Local erythema + induration 3X2 cm on L - Deltoid arm. Complained L-arm pain.  Plan warm compression.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Nausea, Oxygen supplementation
Clinical narrative: After immunization was given pt went to the waiting where she stated she was "feeling like she is going to throw up".  Pt was given .30 Epi pen in left thigh, 6L 02, notified Dr.  Pt was treated over 3 hrs.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Local reaction
Clinical narrative: Localized reaction right upper arm + edema + red.  No complaint of tenderness.  Treated with BENADRYL & TYLENOL.
Age: 1.2
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Blood culture negative, CSF culture negative, Computerised tomogram normal, Convulsion, Culture throat negative
Clinical narrative: Pt had fever followed by generalized seizure - Requiring intubation. 3 seizures back to back.
Age: 1.2
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Endotracheal intubation, Pyrexia
Clinical narrative: Pt had fever followed by generalized seizure - Requiring intubation. 3 seizures back to back.
Age: 1.3
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Injection site erythema, Injection site urticaria
Clinical narrative: Pts mom called on 4/16/09 & said 4/15/09 pt had red welt size nickel at inj site and then on 4/16  was size of a quarter. Pts mom will give benedryl & if not improved would call office back.
Age: 10.0
Sex: F
Vaccine: HPV4
Symptoms: Electroencephalogram normal, Full blood count, Laboratory test normal, Petit mal epilepsy
Clinical narrative: Patient started on GARDASIL series 5/15/2007- 2nd given 7/16/2007. Mom noticed in fall of 2007 that absence type seizures began.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Foetal disorder
Clinical narrative: Information has been received through the Merck pregnancy registry from a Physician's Assistant concerning a female who is social alcohol drinker and smoker who on 11-MAY-2007 was vaccinated IM in the left arm with the first 0.5 mL dose of GARDASIL (Lot #655503/0012U). There was no concomitant medication. The patient received the second 0.5 mL dose via IM of GARDASIL (Lot #658554/0928U) on 22-JAN-2008. The patient reported that she became pregnant. Her LMP is December 2007. Follow up information was received. The patient a female had her last menstrual period on 01-DEC-2007. Her estimated delivery date was reported as 06-SEP-2008. The patient had no previous pregnancies. Follow-up information was received from the 18 year old mother who on 15-SEP-2008 delivered a full-term, health and normal girl, weighing 9LBS 7 OZ. She had an uncomplicated, spontaneous vaginal delivery. She said her pregnancy was fine-there were no complications. The baby was doing well, and was diagnosed at 3 month with "some eczema". The baby had gotten treatment (not specified) for the eczema and was ok with no problems. The mother stated that she was also well and had recovered from the pregnancy without any complications. No further information is available.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Acoustic stimulation tests abnormal, Apgar score abnormal, Drug exposure during pregnancy, Pregnancy test positive
Clinical narrative: Information has been received via the Merck pregnancy registry, from a registered nurse, concerning a 15 year old female patient, who on 03-MAR-2008 was vaccinated with a dose of GARDASIL (lot # not reported). During the appointment, the patient mentioned that her period began on 02-MAR-2008. However, after the physical exam, the physician ordered a pregnancy test, and the results were positive (date of LMP and gestation details were not provided). On 03-MAR-2008, a physical exam and urine pregnancy test were positive. No symptoms have been reported. Information has been received from a physician concerning a 14 year old female with eczema, asthma, left clubfoot and refractive error with a history of 0 pregnancies and 0 live births and a history of bacterial infection due to streptococcus, group b and positive for Chlamydia trachomatis and gonococcus, who on 03-MAR-2008 was vaccinated with first dose of GARDASIL (dose, route not reported, lot number 659657/1487U). Concomitant therapy included FLOVENT and albuterol.  The physician reported that on 05-JUN-08, the patient delivered a normal, healthy female baby weighing 7 pounds 8 ounces. A hearing test was performed on 05-JUN-2008 and 06-JUN-2008 and failed for right ear both times. Apgar score was 8/9. Hearing test was performed again on 24-FEB-2009 and the patient passed the test for both ears. No further information is available.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Herpes simplex, Pregnancy test positive, Ultrasound scan normal
Clinical narrative: Information and follow up information have been received from a nurse practitioner for the Pregnancy Registry for GARDASIL concerning 23 year old female who on 15-FEB-2008 was vaccinated intramuscularly with her first dose of GARDASIL (lot# 659655/1486U) and was pregnant. Other medications used during pregnancy included PRENATE ELITE taken daily during entire pregnancy and VALTREX which was from 20-MAR-2008 to 23-MAR-2008 for the treatment of herpes simplex. The patient's LMP was 19-JAN-2008 with an estimated due date of 25-OCT-2008. She had a positive pregnancy test and on 06-MAR-2008 a fetal ultrasound for dating (results were within normal limits). The patient was seen in the doctors office. Follow up information has been received from a nurse practitioner concerning the now 24 year old female patient who on 03-NOV-2008, 42 weeks after her last menstrual period delivered a healthy and normal baby female, weight: 8 pounds 5.2 ounces, and height: 20.08 inches. Apgar score 8/9. There were no congenital anomalies, complications or abnormalities. Additional information is not expected.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Labour complication, Pregnancy test positive, Urinary tract infection
Clinical narrative: Information has been received from a certified medical assistant concerning a 16 year old female who on 27-FEB-2008 was vaccinated with her first dose of GARDASIL (658094/0524U) and is now pregnant.  Concomitant medication included DOXYCYCLINE from 03-MAR-2008 to 05-MAR-2008 and ZITHROMAX on 06-MAR-2008 for the treatment of Chlamydia and ORTHO TRI-CYCLEN.  The patient's LMP was 25-JAN-2008 with an EDD of 01-NOV-2008. The patient sought medical attention in the office.  Follow up information has been received from a complete questionnaire for the pregnancy Registry for GARDASIL from a Physician concerning a 16 year old female with cervical dysplasia.  During the second trimester of pregnancy in approximately April 2008, the patient experienced a UTI (urinary tract infection) and treated on 16-APR-2008 with ROCEPHIN.  On 04-NOV-2008 there was an occiput posterior (OP) position of the infant and a vacuum assisted delivery was necessary.  The patient delivered a normal, healthy female baby weighting 7 pounds 2.3 ounces.  Additional information was received on 27-MAR-2009, from a certified medical assistant who stated that the patient delivered the baby and the outcome was "fine/normal".  Additional information is not expected.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Drug exposure during pregnancy, Foetal disorder, Laboratory test normal, Pregnancy test, Ultrasound scan normal
Clinical narrative: Information has been received through the Merck pregnancy registry, for GARDASIL, concerning a 14 year old female patient with attention deficit disorder and no drug allergies reported, who on 07-APR-2008 was vaccinated with the first dose of GARDASIL (Lot # 659964/1978U). Concomitant therapy included a dose of HAVRIX, a dose of MENACTRA and RITALIN. Subsequently, it was reported that the patient was pregnant at the time she received the GARDASIL. At the time of this report, the patient is presently fourteen weeks pregnant. The patient did not have any adverse experiences as a result of the vaccine. The patient sought unspecified medial attention. A pregnancy test was performed. At the time of this report the patient's outcome was unknown. No product quality complaint was involved. Follow up information indicated that the patient delivered a 6.8 pound normal baby boy on 03-NOV-2008 at 39 weeks. There were no complications, abnormalities or congenital anomalies. The patient also used vitamins and calcium during pregnancy. Pediatric medical records were received. On 12-NOV-2008 the 9 day old baby went in for a pediatric visit. The newborn screen results were normal. The birth history included the baby being induced due to possible leakage. The Apgar score was 8/9.5. The physician commented the baby was alert and looking about. The assessment was the baby was back to the birth weight. The plan was feeding and G&D was discussed. Weight check was in 3 weeks. On 26-NOV-2008 at the age of 3 weeks the baby came in for a well child visit for weight check and growth. There was occasional spitting. The baby was having bowel movements daily; does grunt/cry with stooling. Diluted juice was used if needed. There were no hard stools now but did have. The baby was waking up 2 to 3 times a night. Impression was a 3 week infant with excellent growth. Discussed stools - normal versus constipation. Discussed fever and illness again. Call if any concerns. On 17-DEC-2008 at the age of 6 weeks. There was no spitting. Bowel Movement was good, an occasional use of apple juice. Tends to be fussy with gassy; gas drops were used. The assessment was  a 6 week infant with good growth. The plan was a follow-up in 2 months. The outcome of grunting, crying and flatulence was not reported. On 12-DEC-2007 the baby had the following immunizations DTAP (unspecified), HIB (unspecified carrier), POLIO (unspecified),  PREVENAR, Hep B (unspecified) and ROTATEQ. Pediatric medical records were received and reviewed and the following experience was identified: grunting, crying, feces hard, infantile spitting and flatulence. Additional information not expected.