chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 76.0
Sex: F
Vaccine: PPV, TD
Symptoms: Vasodilatation
Clinical narrative: p/vax pt office visit lt upper arm redness; swelling & pain; T97.5; symptoms worse in AM; redness; swelling below inj site; ER PM; rx not filled; Dx: cellulitis from ER MD
Age: 25.0
Sex: M
Vaccine: ANTH, MEN
Symptoms: Diarrhoea, Dizziness, Vomiting
Clinical narrative: vomiting, diarrhea, lightheaded 8/26/99 IV hydrated felt much better;returned to duty;
Age: 0.1
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Agitation, Cyanosis, Hypotonia, Respiratory disorder
Clinical narrative: pt cried twice & then held breath;became cyanotic & floppy;rescue breathing/stimulation restored color; blow-by o2 admin c/pinking of skin color;pt observed in office;episode felt to be secondary to breath holding spell
Age: 4.0
Sex: F
Vaccine: DTAP, MMR, OPV
Symptoms: Pruritus, Rash maculo-papular
Clinical narrative: p/vax pt rash raised ``like mosquito bites'' stated rash spread to ``all over''; no other symptoms x/itching; counselled to take pt to MD; phone disconnected before sent
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, RV
Symptoms: Diarrhoea, Gastrointestinal haemorrhage, Weight decreased
Clinical narrative: p/vax pt devel D; then hematochezia; seen by GI; milk protein intolerance; devel failure to thrive & recurrence of hematochezia;
Age: 11.0
Sex: M
Vaccine: HEP, TD
Symptoms: Injection site reaction
Clinical narrative: p/vax pt devel 8x9 cm lt arm; no swelling; tx: benadryl & ice ordered by MD
Age: 5.0
Sex: F
Vaccine: DTAP, OPV, VARCEL
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: p/vax pt exp swelling/4cmx4cm area of erythema rt arm;
Age: 8.0
Sex: M
Vaccine: TD
Symptoms: Feeling hot, Oedema, Oedema peripheral, Pruritus
Clinical narrative: p/vax pt arm very swollen; very hot & hard; lt also itches; MD recommended ice pack; Vaccinated arm is very swollen, very hot and hard. It also itches. Started 24 hrs after vaccine DT. Doctor recommended ice pack, continued conditions for two days. Doctor not able to see patient. Office was closed at 1:30 PM
Sex: M
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: p/vax pt devel urticarial rash on lt side face; abd
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Cough, Infection, Lymphadenopathy, Pyrexia, Rash
Clinical narrative: p/vax pt devel rash; small pink papules scattered over trunk & few on extremities; coalesced in 2 areas on chest & pink patch rt axilla; possible viral exanthem? sl cough & T101 9/11 & 9/12 subjective palpable fever per mom
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Rash maculo-papular
Clinical narrative: p/vax pt devel rash; small pink papules scattered over trunk & few on extremities; coalesced in 2 areas on chest & pink patch rt axilla; possible viral exanthem? sl cough & T101 9/11 & 9/12 subjective palpable fever per mom
Age: 36.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Pyrexia
Clinical narrative: p/vax pt mild fever & one pock mark then one & half weeks later has no fever but has 10-12 fresh pock marks
Age: 13.0
Sex: F
Vaccine: MMR
Symptoms: Injection site hypersensitivity, Pruritus, Vasodilatation
Clinical narrative: p/vax pt itchy & pink skin around immun site; area was warm to touch
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Agitation, Pyrexia, Rash, Rash maculo-papular
Clinical narrative: p/vax pt T100; whining & rash started 9/11; progressed to head et upper torso-splotchy rash on skin; not bumpy
Age: 1.3
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Injection site hypersensitivity, Injection site oedema, Vasodilatation
Clinical narrative: p/vax pt lt thigh was swollen from buttock to lt knee; area warm to touch but not reddened; cool compress applied to area
Age: 52.0
Sex: F
Vaccine: LYME
Symptoms: Hypokinesia, Pain, Paraesthesia, Paralysis
Clinical narrative: p/vax pt lt arm pain c/numbness; felt like paralysis; could not lift up hand; rt arm hurt also had pain; numbness & tingling sensation in head; fine next day but still had pain in arm
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Insomnia, Muscle spasms, Tremor
Clinical narrative: p/vax pt exp shaking while trying to fall asleep; from moms description sounded like infantile spasm
Age: 0.3
Sex: M
Vaccine: HEP, IPV, RV, HEP, IPV, RV, HEP, IPV, RV
Symptoms: Agitation, Apnoea, Cardiac arrest, Coma, Encephalopathy
Clinical narrative: poss obstruction;x-ray-gaseous distention of stomach,small & large bowel;hosp;cardiac arrest;resuscitated;transferred;KUB- ileus;2nd cardiac arrest;expired;autopsy-dehiscence of cecum,cecal necrosis,mesenteric thrombosis,intra-abdominal flu Case reference number 1999022880-1 is a post-marketing, non-SB study, sponsored by Wyeth-Ayerst Pharmaceuticals. This report refers to a 3-month-old male (patient identification number not specified). The subject's medical history included duodenal atresia, diagnosed at birth, with surgical repair on 25-Mar-1999 and small bowel obstruction (08-Jun-1999). Concomitant medications were not provided in this report. On 27-May-1990, the infant was seen by a physician due to fussiness and feeding changes. An x-ray revealed possible ileus or small bowel obstruction. On 08-Jun-1999, the subject developed vomiting. An abdominal x-ray revealed distended large and small bowel and adhesions. The infant was hospitalized and underwent peritoneal adhesiolysis. The subject received ROTA SHIELD, IPV, and ENGERIX-B concurrently on 12-Jul-1999 as part of a ROTA-SHIELD post-marketing study. On 14-Jul-1999, two days after study vaccine was given, the subject developed clinical evidence of obstruction. An x-ray demonstrated gaseous distention of the stomach together with a number of loops of small bowel and a number of loops of small bowel together with large bowel, including what appeared to be the transverse colon. There did not seem to be significant gas beyond the splenic flexure of the colon. The findings "raise concern about a possible bowel obstruction". The patient experienced a cardiac arrest and was resuscitated and transferred to a tertiary care center. One day later, on 15-Jul-1999, a KUB (kidney, ureter, bladder) revealed air fluid levels in loops of dilated bowel, consistent with ileus. That same day, the infant developed another cardiac arrest and died. On autopsy, the coroner obseved dehiscence of the cecum with cecal necrosis, mesenteric thrombosis, intra-abdominal blood-stained fluid with no evidence of intussusception. The cause of death was reported to be cecal perforation. The medical monitor and investigator reported the perforation of the large intestine with fatal outcome possibly related to ROTA SHIELD.
Age: 0.3
Sex: M
Vaccine: HEP, IPV, RV, HEP, IPV, RV, HEP, IPV, RV
Symptoms: Gastrointestinal disorder, Gastrointestinal malformation, Ileus, Intestinal obstruction, Large intestine perforation
Clinical narrative: poss obstruction;x-ray-gaseous distention of stomach,small & large bowel;hosp;cardiac arrest;resuscitated;transferred;KUB- ileus;2nd cardiac arrest;expired;autopsy-dehiscence of cecum,cecal necrosis,mesenteric thrombosis,intra-abdominal flu Case reference number 1999022880-1 is a post-marketing, non-SB study, sponsored by Wyeth-Ayerst Pharmaceuticals. This report refers to a 3-month-old male (patient identification number not specified). The subject's medical history included duodenal atresia, diagnosed at birth, with surgical repair on 25-Mar-1999 and small bowel obstruction (08-Jun-1999). Concomitant medications were not provided in this report. On 27-May-1990, the infant was seen by a physician due to fussiness and feeding changes. An x-ray revealed possible ileus or small bowel obstruction. On 08-Jun-1999, the subject developed vomiting. An abdominal x-ray revealed distended large and small bowel and adhesions. The infant was hospitalized and underwent peritoneal adhesiolysis. The subject received ROTA SHIELD, IPV, and ENGERIX-B concurrently on 12-Jul-1999 as part of a ROTA-SHIELD post-marketing study. On 14-Jul-1999, two days after study vaccine was given, the subject developed clinical evidence of obstruction. An x-ray demonstrated gaseous distention of the stomach together with a number of loops of small bowel and a number of loops of small bowel together with large bowel, including what appeared to be the transverse colon. There did not seem to be significant gas beyond the splenic flexure of the colon. The findings "raise concern about a possible bowel obstruction". The patient experienced a cardiac arrest and was resuscitated and transferred to a tertiary care center. One day later, on 15-Jul-1999, a KUB (kidney, ureter, bladder) revealed air fluid levels in loops of dilated bowel, consistent with ileus. That same day, the infant developed another cardiac arrest and died. On autopsy, the coroner obseved dehiscence of the cecum with cecal necrosis, mesenteric thrombosis, intra-abdominal blood-stained fluid with no evidence of intussusception. The cause of death was reported to be cecal perforation. The medical monitor and investigator reported the perforation of the large intestine with fatal outcome possibly related to ROTA SHIELD.
Age: 0.3
Sex: M
Vaccine: HEP, IPV, RV, HEP, IPV, RV, HEP, IPV, RV
Symptoms: Lung disorder, Mesenteric occlusion, Pallor, Pneumonia, Respiratory disorder
Clinical narrative: poss obstruction;x-ray-gaseous distention of stomach,small & large bowel;hosp;cardiac arrest;resuscitated;transferred;KUB- ileus;2nd cardiac arrest;expired;autopsy-dehiscence of cecum,cecal necrosis,mesenteric thrombosis,intra-abdominal flu Case reference number 1999022880-1 is a post-marketing, non-SB study, sponsored by Wyeth-Ayerst Pharmaceuticals. This report refers to a 3-month-old male (patient identification number not specified). The subject's medical history included duodenal atresia, diagnosed at birth, with surgical repair on 25-Mar-1999 and small bowel obstruction (08-Jun-1999). Concomitant medications were not provided in this report. On 27-May-1990, the infant was seen by a physician due to fussiness and feeding changes. An x-ray revealed possible ileus or small bowel obstruction. On 08-Jun-1999, the subject developed vomiting. An abdominal x-ray revealed distended large and small bowel and adhesions. The infant was hospitalized and underwent peritoneal adhesiolysis. The subject received ROTA SHIELD, IPV, and ENGERIX-B concurrently on 12-Jul-1999 as part of a ROTA-SHIELD post-marketing study. On 14-Jul-1999, two days after study vaccine was given, the subject developed clinical evidence of obstruction. An x-ray demonstrated gaseous distention of the stomach together with a number of loops of small bowel and a number of loops of small bowel together with large bowel, including what appeared to be the transverse colon. There did not seem to be significant gas beyond the splenic flexure of the colon. The findings "raise concern about a possible bowel obstruction". The patient experienced a cardiac arrest and was resuscitated and transferred to a tertiary care center. One day later, on 15-Jul-1999, a KUB (kidney, ureter, bladder) revealed air fluid levels in loops of dilated bowel, consistent with ileus. That same day, the infant developed another cardiac arrest and died. On autopsy, the coroner obseved dehiscence of the cecum with cecal necrosis, mesenteric thrombosis, intra-abdominal blood-stained fluid with no evidence of intussusception. The cause of death was reported to be cecal perforation. The medical monitor and investigator reported the perforation of the large intestine with fatal outcome possibly related to ROTA SHIELD.
Age: 0.3
Sex: M
Vaccine: HEP, IPV, RV, HEP, IPV, RV, HEP, IPV, RV
Symptoms: Sepsis, Shock
Clinical narrative: poss obstruction;x-ray-gaseous distention of stomach,small & large bowel;hosp;cardiac arrest;resuscitated;transferred;KUB- ileus;2nd cardiac arrest;expired;autopsy-dehiscence of cecum,cecal necrosis,mesenteric thrombosis,intra-abdominal flu Case reference number 1999022880-1 is a post-marketing, non-SB study, sponsored by Wyeth-Ayerst Pharmaceuticals. This report refers to a 3-month-old male (patient identification number not specified). The subject's medical history included duodenal atresia, diagnosed at birth, with surgical repair on 25-Mar-1999 and small bowel obstruction (08-Jun-1999). Concomitant medications were not provided in this report. On 27-May-1990, the infant was seen by a physician due to fussiness and feeding changes. An x-ray revealed possible ileus or small bowel obstruction. On 08-Jun-1999, the subject developed vomiting. An abdominal x-ray revealed distended large and small bowel and adhesions. The infant was hospitalized and underwent peritoneal adhesiolysis. The subject received ROTA SHIELD, IPV, and ENGERIX-B concurrently on 12-Jul-1999 as part of a ROTA-SHIELD post-marketing study. On 14-Jul-1999, two days after study vaccine was given, the subject developed clinical evidence of obstruction. An x-ray demonstrated gaseous distention of the stomach together with a number of loops of small bowel and a number of loops of small bowel together with large bowel, including what appeared to be the transverse colon. There did not seem to be significant gas beyond the splenic flexure of the colon. The findings "raise concern about a possible bowel obstruction". The patient experienced a cardiac arrest and was resuscitated and transferred to a tertiary care center. One day later, on 15-Jul-1999, a KUB (kidney, ureter, bladder) revealed air fluid levels in loops of dilated bowel, consistent with ileus. That same day, the infant developed another cardiac arrest and died. On autopsy, the coroner obseved dehiscence of the cecum with cecal necrosis, mesenteric thrombosis, intra-abdominal blood-stained fluid with no evidence of intussusception. The cause of death was reported to be cecal perforation. The medical monitor and investigator reported the perforation of the large intestine with fatal outcome possibly related to ROTA SHIELD.
Age: 0.3
Sex: M
Vaccine: HEP, IPV, RV, HEP, IPV, RV, HEP, IPV, RV
Symptoms: Abdominal distension, Apnoea, Cardiac arrest, Flatulence, Gastrointestinal haemorrhage
Clinical narrative: poss obstruction;x-ray-gaseous distention of stomach,small & large bowel;hosp;cardiac arrest;resuscitated;transferred;KUB- ileus;2nd cardiac arrest;expired;autopsy-dehiscence of cecum,cecal necrosis,mesenteric thrombosis,intra-abdominal flu Case reference number 1999022880-1 is a post-marketing, non-SB study, sponsored by Wyeth-Ayerst Pharmaceuticals. This report refers to a 3-month-old male (patient identification number not specified). The subject's medical history included duodenal atresia, diagnosed at birth, with surgical repair on 25-Mar-1999 and small bowel obstruction (08-Jun-1999). Concomitant medications were not provided in this report. On 27-May-1990, the infant was seen by a physician due to fussiness and feeding changes. An x-ray revealed possible ileus or small bowel obstruction. On 08-Jun-1999, the subject developed vomiting. An abdominal x-ray revealed distended large and small bowel and adhesions. The infant was hospitalized and underwent peritoneal adhesiolysis. The subject received ROTA SHIELD, IPV, and ENGERIX-B concurrently on 12-Jul-1999 as part of a ROTA-SHIELD post-marketing study. On 14-Jul-1999, two days after study vaccine was given, the subject developed clinical evidence of obstruction. An x-ray demonstrated gaseous distention of the stomach together with a number of loops of small bowel and a number of loops of small bowel together with large bowel, including what appeared to be the transverse colon. There did not seem to be significant gas beyond the splenic flexure of the colon. The findings "raise concern about a possible bowel obstruction". The patient experienced a cardiac arrest and was resuscitated and transferred to a tertiary care center. One day later, on 15-Jul-1999, a KUB (kidney, ureter, bladder) revealed air fluid levels in loops of dilated bowel, consistent with ileus. That same day, the infant developed another cardiac arrest and died. On autopsy, the coroner obseved dehiscence of the cecum with cecal necrosis, mesenteric thrombosis, intra-abdominal blood-stained fluid with no evidence of intussusception. The cause of death was reported to be cecal perforation. The medical monitor and investigator reported the perforation of the large intestine with fatal outcome possibly related to ROTA SHIELD.
Age: 0.3
Sex: M
Vaccine: HEP, IPV, RV, HEP, IPV, RV, HEP, IPV, RV
Symptoms: Gastrointestinal necrosis, Ileus, Intestinal obstruction, Large intestine perforation, Mesenteric occlusion
Clinical narrative: poss obstruction;x-ray-gaseous distention of stomach,small & large bowel;hosp;cardiac arrest;resuscitated;transferred;KUB- ileus;2nd cardiac arrest;expired;autopsy-dehiscence of cecum,cecal necrosis,mesenteric thrombosis,intra-abdominal flu Case reference number 1999022880-1 is a post-marketing, non-SB study, sponsored by Wyeth-Ayerst Pharmaceuticals. This report refers to a 3-month-old male (patient identification number not specified). The subject's medical history included duodenal atresia, diagnosed at birth, with surgical repair on 25-Mar-1999 and small bowel obstruction (08-Jun-1999). Concomitant medications were not provided in this report. On 27-May-1990, the infant was seen by a physician due to fussiness and feeding changes. An x-ray revealed possible ileus or small bowel obstruction. On 08-Jun-1999, the subject developed vomiting. An abdominal x-ray revealed distended large and small bowel and adhesions. The infant was hospitalized and underwent peritoneal adhesiolysis. The subject received ROTA SHIELD, IPV, and ENGERIX-B concurrently on 12-Jul-1999 as part of a ROTA-SHIELD post-marketing study. On 14-Jul-1999, two days after study vaccine was given, the subject developed clinical evidence of obstruction. An x-ray demonstrated gaseous distention of the stomach together with a number of loops of small bowel and a number of loops of small bowel together with large bowel, including what appeared to be the transverse colon. There did not seem to be significant gas beyond the splenic flexure of the colon. The findings "raise concern about a possible bowel obstruction". The patient experienced a cardiac arrest and was resuscitated and transferred to a tertiary care center. One day later, on 15-Jul-1999, a KUB (kidney, ureter, bladder) revealed air fluid levels in loops of dilated bowel, consistent with ileus. That same day, the infant developed another cardiac arrest and died. On autopsy, the coroner obseved dehiscence of the cecum with cecal necrosis, mesenteric thrombosis, intra-abdominal blood-stained fluid with no evidence of intussusception. The cause of death was reported to be cecal perforation. The medical monitor and investigator reported the perforation of the large intestine with fatal outcome possibly related to ROTA SHIELD.
Age: 0.3
Sex: M
Vaccine: HEP, IPV, RV, HEP, IPV, RV, HEP, IPV, RV
Symptoms: Abdominal X-ray, Abdominal distension, Apnoea, Autopsy, Cardiac arrest
Clinical narrative: poss obstruction;x-ray-gaseous distention of stomach,small & large bowel;hosp;cardiac arrest;resuscitated;transferred;KUB- ileus;2nd cardiac arrest;expired;autopsy-dehiscence of cecum,cecal necrosis,mesenteric thrombosis,intra-abdominal flu Case reference number 1999022880-1 is a post-marketing, non-SB study, sponsored by Wyeth-Ayerst Pharmaceuticals. This report refers to a 3-month-old male (patient identification number not specified). The subject's medical history included duodenal atresia, diagnosed at birth, with surgical repair on 25-Mar-1999 and small bowel obstruction (08-Jun-1999). Concomitant medications were not provided in this report. On 27-May-1990, the infant was seen by a physician due to fussiness and feeding changes. An x-ray revealed possible ileus or small bowel obstruction. On 08-Jun-1999, the subject developed vomiting. An abdominal x-ray revealed distended large and small bowel and adhesions. The infant was hospitalized and underwent peritoneal adhesiolysis. The subject received ROTA SHIELD, IPV, and ENGERIX-B concurrently on 12-Jul-1999 as part of a ROTA-SHIELD post-marketing study. On 14-Jul-1999, two days after study vaccine was given, the subject developed clinical evidence of obstruction. An x-ray demonstrated gaseous distention of the stomach together with a number of loops of small bowel and a number of loops of small bowel together with large bowel, including what appeared to be the transverse colon. There did not seem to be significant gas beyond the splenic flexure of the colon. The findings "raise concern about a possible bowel obstruction". The patient experienced a cardiac arrest and was resuscitated and transferred to a tertiary care center. One day later, on 15-Jul-1999, a KUB (kidney, ureter, bladder) revealed air fluid levels in loops of dilated bowel, consistent with ileus. That same day, the infant developed another cardiac arrest and died. On autopsy, the coroner obseved dehiscence of the cecum with cecal necrosis, mesenteric thrombosis, intra-abdominal blood-stained fluid with no evidence of intussusception. The cause of death was reported to be cecal perforation. The medical monitor and investigator reported the perforation of the large intestine with fatal outcome possibly related to ROTA SHIELD.
Age: 0.3
Sex: M
Vaccine: HEP, IPV, RV, HEP, IPV, RV, HEP, IPV, RV
Symptoms: Death, Feeding disorder of infancy or early childhood, Flatulence, Gastrointestinal haemorrhage, Gastrointestinal necrosis
Clinical narrative: poss obstruction;x-ray-gaseous distention of stomach,small & large bowel;hosp;cardiac arrest;resuscitated;transferred;KUB- ileus;2nd cardiac arrest;expired;autopsy-dehiscence of cecum,cecal necrosis,mesenteric thrombosis,intra-abdominal flu Case reference number 1999022880-1 is a post-marketing, non-SB study, sponsored by Wyeth-Ayerst Pharmaceuticals. This report refers to a 3-month-old male (patient identification number not specified). The subject's medical history included duodenal atresia, diagnosed at birth, with surgical repair on 25-Mar-1999 and small bowel obstruction (08-Jun-1999). Concomitant medications were not provided in this report. On 27-May-1990, the infant was seen by a physician due to fussiness and feeding changes. An x-ray revealed possible ileus or small bowel obstruction. On 08-Jun-1999, the subject developed vomiting. An abdominal x-ray revealed distended large and small bowel and adhesions. The infant was hospitalized and underwent peritoneal adhesiolysis. The subject received ROTA SHIELD, IPV, and ENGERIX-B concurrently on 12-Jul-1999 as part of a ROTA-SHIELD post-marketing study. On 14-Jul-1999, two days after study vaccine was given, the subject developed clinical evidence of obstruction. An x-ray demonstrated gaseous distention of the stomach together with a number of loops of small bowel and a number of loops of small bowel together with large bowel, including what appeared to be the transverse colon. There did not seem to be significant gas beyond the splenic flexure of the colon. The findings "raise concern about a possible bowel obstruction". The patient experienced a cardiac arrest and was resuscitated and transferred to a tertiary care center. One day later, on 15-Jul-1999, a KUB (kidney, ureter, bladder) revealed air fluid levels in loops of dilated bowel, consistent with ileus. That same day, the infant developed another cardiac arrest and died. On autopsy, the coroner obseved dehiscence of the cecum with cecal necrosis, mesenteric thrombosis, intra-abdominal blood-stained fluid with no evidence of intussusception. The cause of death was reported to be cecal perforation. The medical monitor and investigator reported the perforation of the large intestine with fatal outcome possibly related to ROTA SHIELD.
Age: 0.3
Sex: M
Vaccine: HEP, IPV, RV, HEP, IPV, RV, HEP, IPV, RV
Symptoms: Ileus, Intestinal obstruction, Irritability, Large intestine perforation, Mesenteric occlusion
Clinical narrative: poss obstruction;x-ray-gaseous distention of stomach,small & large bowel;hosp;cardiac arrest;resuscitated;transferred;KUB- ileus;2nd cardiac arrest;expired;autopsy-dehiscence of cecum,cecal necrosis,mesenteric thrombosis,intra-abdominal flu Case reference number 1999022880-1 is a post-marketing, non-SB study, sponsored by Wyeth-Ayerst Pharmaceuticals. This report refers to a 3-month-old male (patient identification number not specified). The subject's medical history included duodenal atresia, diagnosed at birth, with surgical repair on 25-Mar-1999 and small bowel obstruction (08-Jun-1999). Concomitant medications were not provided in this report. On 27-May-1990, the infant was seen by a physician due to fussiness and feeding changes. An x-ray revealed possible ileus or small bowel obstruction. On 08-Jun-1999, the subject developed vomiting. An abdominal x-ray revealed distended large and small bowel and adhesions. The infant was hospitalized and underwent peritoneal adhesiolysis. The subject received ROTA SHIELD, IPV, and ENGERIX-B concurrently on 12-Jul-1999 as part of a ROTA-SHIELD post-marketing study. On 14-Jul-1999, two days after study vaccine was given, the subject developed clinical evidence of obstruction. An x-ray demonstrated gaseous distention of the stomach together with a number of loops of small bowel and a number of loops of small bowel together with large bowel, including what appeared to be the transverse colon. There did not seem to be significant gas beyond the splenic flexure of the colon. The findings "raise concern about a possible bowel obstruction". The patient experienced a cardiac arrest and was resuscitated and transferred to a tertiary care center. One day later, on 15-Jul-1999, a KUB (kidney, ureter, bladder) revealed air fluid levels in loops of dilated bowel, consistent with ileus. That same day, the infant developed another cardiac arrest and died. On autopsy, the coroner obseved dehiscence of the cecum with cecal necrosis, mesenteric thrombosis, intra-abdominal blood-stained fluid with no evidence of intussusception. The cause of death was reported to be cecal perforation. The medical monitor and investigator reported the perforation of the large intestine with fatal outcome possibly related to ROTA SHIELD.
Age: 0.3
Sex: M
Vaccine: HEP, IPV, RV, HEP, IPV, RV, HEP, IPV, RV
Symptoms: Urinary system X-ray, Vomiting, X-ray abnormal
Clinical narrative: poss obstruction;x-ray-gaseous distention of stomach,small & large bowel;hosp;cardiac arrest;resuscitated;transferred;KUB- ileus;2nd cardiac arrest;expired;autopsy-dehiscence of cecum,cecal necrosis,mesenteric thrombosis,intra-abdominal flu Case reference number 1999022880-1 is a post-marketing, non-SB study, sponsored by Wyeth-Ayerst Pharmaceuticals. This report refers to a 3-month-old male (patient identification number not specified). The subject's medical history included duodenal atresia, diagnosed at birth, with surgical repair on 25-Mar-1999 and small bowel obstruction (08-Jun-1999). Concomitant medications were not provided in this report. On 27-May-1990, the infant was seen by a physician due to fussiness and feeding changes. An x-ray revealed possible ileus or small bowel obstruction. On 08-Jun-1999, the subject developed vomiting. An abdominal x-ray revealed distended large and small bowel and adhesions. The infant was hospitalized and underwent peritoneal adhesiolysis. The subject received ROTA SHIELD, IPV, and ENGERIX-B concurrently on 12-Jul-1999 as part of a ROTA-SHIELD post-marketing study. On 14-Jul-1999, two days after study vaccine was given, the subject developed clinical evidence of obstruction. An x-ray demonstrated gaseous distention of the stomach together with a number of loops of small bowel and a number of loops of small bowel together with large bowel, including what appeared to be the transverse colon. There did not seem to be significant gas beyond the splenic flexure of the colon. The findings "raise concern about a possible bowel obstruction". The patient experienced a cardiac arrest and was resuscitated and transferred to a tertiary care center. One day later, on 15-Jul-1999, a KUB (kidney, ureter, bladder) revealed air fluid levels in loops of dilated bowel, consistent with ileus. That same day, the infant developed another cardiac arrest and died. On autopsy, the coroner obseved dehiscence of the cecum with cecal necrosis, mesenteric thrombosis, intra-abdominal blood-stained fluid with no evidence of intussusception. The cause of death was reported to be cecal perforation. The medical monitor and investigator reported the perforation of the large intestine with fatal outcome possibly related to ROTA SHIELD.
Age: 26.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: 1997 employment test positive varicella seroconversion; 4/99 re-employment blood test- no seroconversion; 4/26 varivax administered; 5/26 varivax administered; 9/8/99 pt acquired chickenpox (vax failure)
Age: 1.7
Sex: M
Vaccine: RV
Symptoms: Abdominal pain, Gastroenteritis, Gastrointestinal haemorrhage, Infection
Clinical narrative: p/vax pt work up for GE + occult blood in stools; severe abd cramps; #1 barium enema-intussusception suspected, believed to be reduced w/ diagnostic enema;hosp; 2 additional BE's confirm no further intuss;disch
Age: 0.3
Sex: M
Vaccine: RV
Symptoms: Dehydration, Gastroenteritis, Gastrointestinal haemorrhage, Infection
Clinical narrative: p/vax seen by MD;hosp w/ Dx acute gastroenteritis c/clinical dehydration 5 to 6%; possible exposure to Camphylobacter jejuni enteritis;disch
Age: 22.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Arthralgia, Dizziness, Hepatic neoplasm, Hypoxia, Influenza
Clinical narrative: p/vax pt rpt dizziness; tinnitus;joint pains; seen @ clinic & Dx: flu;home;next day worse; hosp;renal failure; devel liver abscess; has had 2 operations for drainage;being weaned off ventilator;suspected lot contamination;
Age: 22.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Renal failure, Respiratory disorder, Tinnitus
Clinical narrative: p/vax pt rpt dizziness; tinnitus;joint pains; seen @ clinic & Dx: flu;home;next day worse; hosp;renal failure; devel liver abscess; has had 2 operations for drainage;being weaned off ventilator;suspected lot contamination;
Age: 22.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Abdominal pain, Asthenia, Chest pain, Hepatic neoplasm, Hypoxia
Clinical narrative: p/vax pt rpt dizziness; tinnitus;joint pains; seen @ clinic & Dx: flu;home;next day worse; hosp;renal failure; devel liver abscess; has had 2 operations for drainage;being weaned off ventilator;suspected lot contamination;
Age: 22.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Myalgia, Renal failure, Respiratory disorder, Sepsis, Shock
Clinical narrative: p/vax pt rpt dizziness; tinnitus;joint pains; seen @ clinic & Dx: flu;home;next day worse; hosp;renal failure; devel liver abscess; has had 2 operations for drainage;being weaned off ventilator;suspected lot contamination;
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV, OPV, VARCEL
Symptoms: Dermatitis bullous, Infection
Clinical narrative: a bump appeared on pt's face; pt scratched the bump & it became infect c/staph infect; hosp; pt has scar on face
Age: 37.0
Sex: F
Vaccine: TD
Symptoms: Nuchal rigidity, Pain
Clinical narrative: p/vax pt c/o lt stiff neck; pain/swelling lt arm; pain lt arm to finger tips
Age: 11.0
Sex: F
Vaccine: HEP, MMR, TD
Symptoms: Agitation, Anxiety, Chest pain, Dizziness, Hypertension
Clinical narrative: c/o dizziness;very tense; anxious; crying;chest tight p/lying down; BP 130/80;resp inc d/t hyperventilating; O2;benadryl;per protocol; pt had not eaten;ER;sl pale color; chest tightness;hosp for observation & tests;
Age: 11.0
Sex: F
Vaccine: HEP, MMR, TD
Symptoms: Hyperventilation, Hypoxia, Nervousness, Pallor
Clinical narrative: c/o dizziness;very tense; anxious; crying;chest tight p/lying down; BP 130/80;resp inc d/t hyperventilating; O2;benadryl;per protocol; pt had not eaten;ER;sl pale color; chest tightness;hosp for observation & tests;
Age: 3.0
Sex: M
Vaccine: HEPA
Symptoms: Face oedema, Oedema peripheral, Pruritus, Urticaria
Clinical narrative: pt c/o scratching in genital area;neck;stomach & ears; has welts corners of mouth;MD said did not know if vax caused problems;benadryl & return to MD if not better; mom states hands/ears swollen;ears seemed sl puffy;pt appeared s/ distress;
Age: 14.0
Sex: F
Vaccine: HEP, TD
Symptoms: Abdominal pain, Vomiting
Clinical narrative: p/vax pt became sick c/ cramps c/violent vomiting; continued throughout night into next day; went to ER; IV fluids& meds to stop vomiting; 8/26 rt leg went numb from 2'' below knee to big toe-front of leg only
Age: 1.3
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema
Clinical narrative: p/vax local react; swelling; redness; knot
Age: 0.3
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Agitation, Injection site oedema
Clinical narrative: p/vax pt exp swelling of site; also had inc crying; seen on 9/7 & tylenol; ice +/or heat was prescribed
Age: 5.0
Sex: M
Vaccine: DTAP, MMR, OPV
Symptoms: Cough, Face oedema
Clinical narrative: p/vax pt exp face swelling; some coughing; seen in ER; kept approx 3 hr p/epinephrine; benadryl; pediapred; breathing tx
Age: 5.0
Sex: M
Vaccine: DTAP, MMR, OPV
Symptoms: Pyrexia, Rash maculo-papular
Clinical narrative: p/vax pt began running fever 101-102 & broke out c/ red spots all over; mom took to ER pt had T100; 8/23 recovered
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Oedema peripheral, Vasodilatation
Clinical narrative: p/vax pt exp redness from top of leg to knee; swelling size of dime; tenderness around inj site; tx in ER; ice pack; ibuprofen;
Age: 0.6
Sex: F
Vaccine: UNK
Symptoms: Hypotonia, Paralysis
Clinical narrative: p/vax pt exp legs paralyzed & couldn't hold up head; called ER & was advised to watch pt & call back if no improvement in symptoms; better following morning
Age: 1.3
Sex: M
Vaccine: DTAP, OPV, DTAP, OPV
Symptoms: Agitation, Diarrhoea, Pyrexia
Clinical narrative: p/vax pt T104.9 via ear thermometer in rectal made;temp came back in 3-4yr;quiet & lethargic, listless but responded to mom;fever persisted 2 days spiking to 104+;
Age: 1.3
Sex: M
Vaccine: DTAP, OPV, DTAP, OPV
Symptoms: Malaise, Pyrexia, Somnolence
Clinical narrative: p/vax pt T104.9 via ear thermometer in rectal made;temp came back in 3-4yr;quiet & lethargic, listless but responded to mom;fever persisted 2 days spiking to 104+;
Age: 74.0
Sex: F
Vaccine: FLU3, FLU3, FLU3
Symptoms: Asthenia, Bone disorder, Dysphagia, Hypokinesia, Myasthenic syndrome
Clinical narrative: could not swallow;large silent aspirations;could not walk;hosp; tx: plasma exchanges;IVIG;pred;PEG tube placement;blood transfusions;currently Dx:auto immune mediated motor neuron degeneration;new Dx:warm autoimmune hemolytic anemia
Age: 74.0
Sex: F
Vaccine: FLU3, FLU3, FLU3
Symptoms: Myopathy, Osteonecrosis, Respiratory disorder, Speech disorder
Clinical narrative: could not swallow;large silent aspirations;could not walk;hosp; tx: plasma exchanges;IVIG;pred;PEG tube placement;blood transfusions;currently Dx:auto immune mediated motor neuron degeneration;new Dx:warm autoimmune hemolytic anemia
Age: 74.0
Sex: F
Vaccine: FLU3, FLU3, FLU3
Symptoms: Abasia, Aspiration, Autoimmune disorder, Blood product transfusion, Death
Clinical narrative: could not swallow;large silent aspirations;could not walk;hosp; tx: plasma exchanges;IVIG;pred;PEG tube placement;blood transfusions;currently Dx:auto immune mediated motor neuron degeneration;new Dx:warm autoimmune hemolytic anemia
Age: 74.0
Sex: F
Vaccine: FLU3, FLU3, FLU3
Symptoms: Disability, Dysphagia, Guillain-Barre syndrome, Haemolytic anaemia, Intensive care
Clinical narrative: could not swallow;large silent aspirations;could not walk;hosp; tx: plasma exchanges;IVIG;pred;PEG tube placement;blood transfusions;currently Dx:auto immune mediated motor neuron degeneration;new Dx:warm autoimmune hemolytic anemia
Age: 74.0
Sex: F
Vaccine: FLU3, FLU3, FLU3
Symptoms: Neuropathy, Pneumonia bacterial, Respiratory disorder, Transfusion
Clinical narrative: could not swallow;large silent aspirations;could not walk;hosp; tx: plasma exchanges;IVIG;pred;PEG tube placement;blood transfusions;currently Dx:auto immune mediated motor neuron degeneration;new Dx:warm autoimmune hemolytic anemia
Age: 74.0
Sex: F
Vaccine: FLU3, FLU3, FLU3
Symptoms: Affect lability, Bronchitis, Dysphagia, Haemolytic anaemia, Hypokinesia
Clinical narrative: could not swallow;large silent aspirations;could not walk;hosp; tx: plasma exchanges;IVIG;pred;PEG tube placement;blood transfusions;currently Dx:auto immune mediated motor neuron degeneration;new Dx:warm autoimmune hemolytic anemia
Age: 74.0
Sex: F
Vaccine: FLU3, FLU3, FLU3
Symptoms: Immune system disorder, Myasthenic syndrome, Neuropathy, Osteonecrosis, Respiratory disorder
Clinical narrative: could not swallow;large silent aspirations;could not walk;hosp; tx: plasma exchanges;IVIG;pred;PEG tube placement;blood transfusions;currently Dx:auto immune mediated motor neuron degeneration;new Dx:warm autoimmune hemolytic anemia
Age: 74.0
Sex: F
Vaccine: FLU3, FLU3, FLU3
Symptoms: Thinking abnormal
Clinical narrative: could not swallow;large silent aspirations;could not walk;hosp; tx: plasma exchanges;IVIG;pred;PEG tube placement;blood transfusions;currently Dx:auto immune mediated motor neuron degeneration;new Dx:warm autoimmune hemolytic anemia
Age: 0.24
Sex: F
Vaccine: DTAP, HBHEPB, IPV, RV, DTAP, HBHEPB, IPV, RV, DTAP, HBHEPB, IPV, RV
Symptoms: Diarrhoea, Gastrointestinal haemorrhage
Clinical narrative: p/vax pt devel loose stools containing blood-tinged mucus; pt seen by MD & formula changed;other medical event
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, RV, DTAP, HBHEPB, IPV, RV, DTAP, HBHEPB, IPV, RV
Symptoms: Abdominal pain, Agitation, Crying, Dysphagia, Gastroenteritis
Clinical narrative: devel screaming spells;hosp;preliminary Dx intermittent colic episodes& tx antacid;antispasmodic therapy w/ sl dec in Sx;disch; as of 7/21/99 definitive dx not made; 9/10/99 f/u pt exp daily episodes abd pain 5 min duration for 2weeks;
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, RV, DTAP, HBHEPB, IPV, RV, DTAP, HBHEPB, IPV, RV
Symptoms: Gastrointestinal disorder, Pallor
Clinical narrative: devel screaming spells;hosp;preliminary Dx intermittent colic episodes& tx antacid;antispasmodic therapy w/ sl dec in Sx;disch; as of 7/21/99 definitive dx not made; 9/10/99 f/u pt exp daily episodes abd pain 5 min duration for 2weeks;
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, RV, DTAP, HBHEPB, IPV, RV, DTAP, HBHEPB, IPV, RV
Symptoms: Abdominal pain, Agitation, Crying, Pain
Clinical narrative: devel screaming spells;hosp;preliminary Dx intermittent colic episodes& tx antacid;antispasmodic therapy w/ sl dec in Sx;disch; as of 7/21/99 definitive dx not made; 9/10/99 f/u pt exp daily episodes abd pain 5 min duration for 2weeks;
Age: 39.0
Sex: F
Vaccine: HEP
Symptoms: Deafness, Ear disorder, Gait disturbance, Tinnitus
Clinical narrative: pt exp fullness in ear;MRI;Dx w/unilateral hearing loss;f/u pt unable to walk w/o staggering to one side;dec hearing w/tinnitus;saw ENT; 40% hearing loss;tx:prednisone & meclizine hcl w/temporary relief; improving by July
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Pain, Vasodilatation
Clinical narrative: p/vax pt exp tenderness; redness & warmth which originated from fingers to shoulder; chills;seen by MD; therapy w/solu-medrol;zyrtec;pt Sx required medical intervention to prevent serious outcome
Age: 5.0
Sex: M
Vaccine: HEPA, HEPA
Symptoms: Muscle twitching, Paraesthesia
Clinical narrative: pt started blowing on fingers & shaking them vigorously;rpt shaking hands to prevent "fingers from catching fire" sensation spread to feet;arms;chin;pt ``afraid of catching fire'' medical attention sought;f/u pt Dx c/tourette's syndrome
Age: 5.0
Sex: M
Vaccine: HEPA, HEPA
Symptoms: Headache, Hyperhidrosis, Movement disorder, Muscle twitching, Neurosis
Clinical narrative: pt started blowing on fingers & shaking them vigorously;rpt shaking hands to prevent "fingers from catching fire" sensation spread to feet;arms;chin;pt ``afraid of catching fire'' medical attention sought;f/u pt Dx c/tourette's syndrome
Age: 5.0
Sex: M
Vaccine: HEPA, HEPA
Symptoms: Pain
Clinical narrative: pt started blowing on fingers & shaking them vigorously;rpt shaking hands to prevent "fingers from catching fire" sensation spread to feet;arms;chin;pt ``afraid of catching fire'' medical attention sought;f/u pt Dx c/tourette's syndrome
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Asthenia, Coordination abnormal, Hemiplegia, Hypokinesia, Myasthenic syndrome
Clinical narrative: p/vax pt unable to crawl; walk; or sit up; pt has no balance; keeps leaning over; lt arm acted like a mini-stroke, by way he was holding it and not using it; weakens easily;vomiting; difficulty holding head up; now seems to be resolved;
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Vomiting
Clinical narrative: p/vax pt unable to crawl; walk; or sit up; pt has no balance; keeps leaning over; lt arm acted like a mini-stroke, by way he was holding it and not using it; weakens easily;vomiting; difficulty holding head up; now seems to be resolved;
Age: 1.1
Sex: M
Vaccine: VARCEL
Symptoms: Pyelonephritis, Rash
Clinical narrative: p/vax pt exp pyelonephritis & was hosp; devel rash while in hosp; rash resolved p/1 day; @ time of rpt pt still hosp
Age: 10.0
Sex: M
Vaccine: DTP, HEP
Symptoms: Confusional state, Headache, Malaise, Myasthenic syndrome, Vomiting
Clinical narrative: p/vax pt exp confusion; 2days later head began to hurt; exp weakness in legs, which persisted; pt did not feel well;& began vomiting;hosp;neurological consult requested; Dx had not been made at time of rpt
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, RV
Symptoms: Gastrointestinal haemorrhage, Pallor, Vomiting
Clinical narrative: p/vax pt began vomiting throughout day; hosp;tx c/IV fluid; vomiting persisted & became very pale;passed bloody stool;surgery; Dx intussusception;pt recovered & disch p/3-4 days;
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Blood creatinine increased, Cough, Dehydration, Dysuria, Gastroenteritis
Clinical narrative: p/vax pt exp fever; vomiting & dehydration; hosp for dehydration; pt rehydrated on 8/31, alert, active, playful and discharged & recovered.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rhinitis, Somnolence, Thrombocythaemia, Vomiting
Clinical narrative: p/vax pt exp fever; vomiting & dehydration; hosp for dehydration; pt rehydrated on 8/31, alert, active, playful and discharged & recovered.
Age: 1.3
Sex: M
Vaccine: DTPHIB, MMR, OPV
Symptoms: Autism, Convulsion, Pyrexia, Speech disorder, Stupor
Clinical narrative: p/vax pt devel fever & seizures; loss of eye contact; stopped communicating; less responsive; Dx: c/autism; Dx nl a/vax  Doc  195663 states the following: lack of communication, seizures, eye contact laching occurred. Possible additional problem occurred when chicken pox shot was administered on 04/22/1998. No MMR fooster given per pediatrician's recommandation that could cause further damage.
Age: 57.0
Sex: F
Vaccine: ANTH, HEP
Symptoms: Hypokinesia, Injection site oedema, Injection site pain, Oedema peripheral, Pain
Clinical narrative: p/vax pt exp edema & swelling above & below elbow; throbbing; severe pain x4 days; partial loss of function due to pain
Age: 1.2
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: p/vax pt w/disease;
Age: 1.4
Sex: F
Vaccine: MMR, OPV
Symptoms: Agitation, Anorexia, Convulsion, Gaze palsy, Hypertonia
Clinical narrative: p/vax pt awoke & could not sleep;devel fever 100.6 to 102.0;pt not eating but is drinking okay;pt crabby & fussy;sl erythema;dec mobility;mild pharyngitis secondary to fever & vax;pt screaming, stiff, T104;snoring;can't swallow;sz;
Age: 1.4
Sex: F
Vaccine: MMR, OPV
Symptoms: Hyperventilation, Hypokinesia, Hypothermia, Insomnia, Laryngospasm
Clinical narrative: p/vax pt awoke & could not sleep;devel fever 100.6 to 102.0;pt not eating but is drinking okay;pt crabby & fussy;sl erythema;dec mobility;mild pharyngitis secondary to fever & vax;pt screaming, stiff, T104;snoring;can't swallow;sz;
Age: 1.4
Sex: F
Vaccine: MMR, OPV
Symptoms: Pharyngitis, Pyrexia, Rash, Respiratory disorder, Stupor
Clinical narrative: p/vax pt awoke & could not sleep;devel fever 100.6 to 102.0;pt not eating but is drinking okay;pt crabby & fussy;sl erythema;dec mobility;mild pharyngitis secondary to fever & vax;pt screaming, stiff, T104;snoring;can't swallow;sz;
Age: 31.0
Sex: M
Vaccine: RAB
Symptoms: Arthralgia, Headache, Hyperhidrosis, Myalgia, Nausea
Clinical narrative: p/vax pt exp severe groin pain, fever of101, sore throat, h/a, pharyngitis, weight loss, nausea, noc sweats, arthralgia, myalgia;pt was not adm to hosp tx as an outpatient;
Age: 31.0
Sex: M
Vaccine: RAB
Symptoms: Pelvic pain, Pharyngitis, Pyrexia, Weight decreased
Clinical narrative: p/vax pt exp severe groin pain, fever of101, sore throat, h/a, pharyngitis, weight loss, nausea, noc sweats, arthralgia, myalgia;pt was not adm to hosp tx as an outpatient;
Age: 59.0
Sex: F
Vaccine: HEP
Symptoms: Headache, Injection site hypersensitivity, Injection site oedema
Clinical narrative: 9/16/99 deltoid area swollen 2in;no redness, no heat, T97.4;9/17/99 pt stated area became red-also had h/a;
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Back pain, Convulsion, Gaze palsy, Hypertonia, Tachycardia
Clinical narrative: p/vax pt suddenly went into sz w/stiffness of upper & lower extremities, spinal column was aching forward;pt was assisted to floor to avoid falling;P120, eyes rolled upwards, shaking whole body;
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Tremor
Clinical narrative: p/vax pt suddenly went into sz w/stiffness of upper & lower extremities, spinal column was aching forward;pt was assisted to floor to avoid falling;P120, eyes rolled upwards, shaking whole body;
Age: 9.0
Sex: M
Vaccine: HEP
Symptoms: Pallor, Syncope
Clinical narrative: p/vax pt fainted in hallway;pt limp, pale w/in a few min a/ox4;BP nl, resp nl, pulse nl;
Age: 5.0
Sex: F
Vaccine: DT, HEP, IPV, MMR
Symptoms: Facial palsy, Pyrexia, Vomiting
Clinical narrative: p/vax pt had n/v & fever;fever ran as high as 103 for 3 days;tx w/motrin, rest, etc;2 days later went to kindergarten could not smile;went to MD dx w/Bell's rPalsey_;Acyclovir rx given;platelet rx given but still has facial paralysis;
Age: 12.0
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: large hive like swellings on arms & neck;DPH;
Age: 15.0
Sex: M
Vaccine: HEP
Symptoms: Injection site abscess, Injection site hypersensitivity
Clinical narrative: sterile abscess @ site erythema 2cm diameter w/central furuncle 2cc expressed pus;
Age: 1.1
Sex: M
Vaccine: DTAP, HIBV, MMR, OPV
Symptoms: Injection site hypersensitivity, Injection site mass, Vasodilatation
Clinical narrative: p/vax pt had redness on rt thigh;9/3/99 entire thigh reddened & firm & warm to touch;reddened area measures approx 2" by 3";encouraged to apply cold packs & refer to MD if any problems;
Age: 44.0
Sex: F
Vaccine: TD
Symptoms: Headache, Injection site hypersensitivity, Malaise, Vasodilatation
Clinical narrative: 8/10/99 inj site reddened & warm to touch, had malaise, nausea & h/a;8/11/99 redness went down arm more & warm;8/12/99 redness down arm more & warm;
Age: 1.1
Sex: F
Vaccine: VARCEL
Symptoms: Injection site hypersensitivity, Urticaria
Clinical narrative: p/vax exp hive appeared about inj site;given DPH kept in office now sleeping-hive has diminished;
Age: 34.0
Sex: M
Vaccine: TD
Symptoms: Dizziness, Headache, Hyperhidrosis, Pyrexia, Thirst
Clinical narrative: past 2 nights, temp elevation, fever breaks in AM w/diaphoresis;dizzy w/h/a & diarrhea x 36hr;inc fluid intake, especially H2), Ibuprofen for fever;
Age: 1.3
Sex: F
Vaccine: RV
Symptoms: Diarrhoea, Gastrointestinal haemorrhage
Clinical narrative: pt had bloody diarrhea;cx negative;
Sex: F
Vaccine: DTP, HEP, MMR
Symptoms: Asthma, Dyspnoea, Tongue oedema
Clinical narrative: pt exp shortness of breath; swollen tongue; wheezing; resolved same day; 9/15 pt exp an exacerbation of Sx; hosp; as of 9/16 pt still in hosp; stable condition; tx: breathing tx & intravenous steroids;
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Agitation, Pyrexia
Clinical narrative: p/vax pt devel T101-103; extreme irritability which lasted 48 hr before resolving completely