chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient presented with 7cm x 7cm area of swelling and extreme tenderness to left lateral thigh with 3cm x 3cm area of centered erythema.  Seen in pediatrician's office for symptoms 10 days after injections.  Patient given Ceftriaxone q day for 3 days and Clindamycin for 10 days.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, TYP, SMALL
Symptoms: Immunisation reaction, Musculoskeletal stiffness, Myositis, Pain in extremity, Pyrexia
Clinical narrative: Patient presented to ER on 3/23/08 with c/o left arm pain and fever s/p smallpox vaccination on 3/14/08. States sx. started this date. Diagnosed with myositis and given Vicodin. F/U at Medical Clinic on 3/24/08 with continued c/o left arm pain and stiffness. Diagnosed with localized reaction to smallpox vaccination. Motrin and rtc as needed.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, TYP, SMALL
Symptoms: Myositis
Clinical narrative: Patient presented to ER on 3/23/08 with c/o left arm pain and fever s/p smallpox vaccination on 3/14/08. States sx. started this date. Diagnosed with myositis and given Vicodin. F/U at Medical Clinic on 3/24/08 with continued c/o left arm pain and stiffness. Diagnosed with localized reaction to smallpox vaccination. Motrin and rtc as needed.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema, Urticaria
Clinical narrative: 3/19/08:  Mother of client spoke via phone reporting infant developed onset of hives beginning approx @ 1:00 pm.  Hives localized to shoulders & associated with redness.  Advised to contact primary care provider.  3/20/08:  Follow up phone call to client's grandmother by RN.  Reports hives & redness lasted approx 2 hrs and infant now asymptomatic.
Age: 0.11
Sex: M
Vaccine: RV5, RV5
Symptoms: Choking, Eye rolling, Heart rate increased, Hypotonia, Oxygen saturation normal
Clinical narrative: After administration of Rotateq PO vaccine, baby was laid back down and baby appeared to be choking and looked limp. Eyes rolled and looked hazed. Baby subsequently had another similar episode in front of MDs. He was suctioned and had a oxygen saturation of 99%, HR 150. He gagged, and appeared to be choking and looked sleepy.   He was sent to the ER for further observation.
Age: 0.11
Sex: M
Vaccine: RV5, RV5
Symptoms: Retching, Somnolence
Clinical narrative: After administration of Rotateq PO vaccine, baby was laid back down and baby appeared to be choking and looked limp. Eyes rolled and looked hazed. Baby subsequently had another similar episode in front of MDs. He was suctioned and had a oxygen saturation of 99%, HR 150. He gagged, and appeared to be choking and looked sleepy.   He was sent to the ER for further observation.
Age: 0.11
Sex: M
Vaccine: RV5, RV5
Symptoms: Choking, Decreased activity, Oxygen saturation
Clinical narrative: After administration of Rotateq PO vaccine, baby was laid back down and baby appeared to be choking and looked limp. Eyes rolled and looked hazed. Baby subsequently had another similar episode in front of MDs. He was suctioned and had a oxygen saturation of 99%, HR 150. He gagged, and appeared to be choking and looked sleepy.   He was sent to the ER for further observation.
Age: 39.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Pt received a 7th dose of Anthrax in error on 3/21/08 and a Typhoid dose on 3/21/08 when he had previously received a Typhoid dose on 1/12/08.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Induration, Livedo reticularis
Clinical narrative: Same day of injection, that night, reddish skin changes appeared, next day induration of skin of the thigh area appeared, with mottling of the skin, an area of about 2x2 inches. It keeps growing induration. No pain, no fever, no decreased activity reported. Today I found on right lateral thigh, about middle third aspect, an induration area, very hard, non tender, of about 3.5 x 3.5 cm with erythematous skin change, and a mottled area of skin with mild soft induration of 10 x 12 cm roundish, not tender, not warm, not fluctuant. This corresponds to the IPV injection site.
Age: 44.0
Sex: F
Vaccine: TD
Symptoms: Injection site discomfort, Injection site swelling, Tenderness
Clinical narrative: Employee the day after receiving Td vaccine to right deltoid she felt swelling and discomfort to site that radiated to right axilla.  Reports extreme tenderness to glands at right axilla region.
Age: 0.17
Sex: M
Vaccine: DTAPIPV, HIBV, PPV, RV5
Symptoms: Anorexia, Body temperature decreased, Body temperature increased, Chest X-ray normal, Cough
Clinical narrative: 5 mo old M received 2mo old vaccinations in Dec07 and inconsolable cried for rest of day without relief with Tylenol.  Mom states that Tmax 102 with one swollen thigh.  MOC took patient to ER that night, ran labs and patient finally fell asleep.  MOC states that tired, poor eating but sleeping well for next few days.  Later that week developed URI (chest congestion, cough, rhinorrhea, no fever but low temp, no N/V,D) and resolved after 2-3 weeks with Tylenol and suction bulb only.  MOC states that then got another URI every month for 1-2 weeks and resolves with time.  Never any ATB to clear, no diagnosis with AOM or sinus infections, no pneumonias.
Age: 0.17
Sex: M
Vaccine: DTAPIPV, HIBV, PPV, RV5
Symptoms: Crying, Fatigue, Full blood count normal, Inappropriate schedule of drug administration, Laboratory test normal
Clinical narrative: 5 mo old M received 2mo old vaccinations in Dec07 and inconsolable cried for rest of day without relief with Tylenol.  Mom states that Tmax 102 with one swollen thigh.  MOC took patient to ER that night, ran labs and patient finally fell asleep.  MOC states that tired, poor eating but sleeping well for next few days.  Later that week developed URI (chest congestion, cough, rhinorrhea, no fever but low temp, no N/V,D) and resolved after 2-3 weeks with Tylenol and suction bulb only.  MOC states that then got another URI every month for 1-2 weeks and resolves with time.  Never any ATB to clear, no diagnosis with AOM or sinus infections, no pneumonias.
Age: 0.17
Sex: M
Vaccine: DTAPIPV, HIBV, PPV, RV5
Symptoms: Respiratory tract congestion, Rhinorrhoea, Swelling, Upper respiratory tract infection, Urine analysis normal
Clinical narrative: 5 mo old M received 2mo old vaccinations in Dec07 and inconsolable cried for rest of day without relief with Tylenol.  Mom states that Tmax 102 with one swollen thigh.  MOC took patient to ER that night, ran labs and patient finally fell asleep.  MOC states that tired, poor eating but sleeping well for next few days.  Later that week developed URI (chest congestion, cough, rhinorrhea, no fever but low temp, no N/V,D) and resolved after 2-3 weeks with Tylenol and suction bulb only.  MOC states that then got another URI every month for 1-2 weeks and resolves with time.  Never any ATB to clear, no diagnosis with AOM or sinus infections, no pneumonias.
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Gastroenteritis, Pyrexia, Urinary tract infection, Vomiting projectile
Clinical narrative: On 03/24/2008, baby for 2nd set immunization. Mom said baby recieved Rotateq vaccination on 01/18/2008 and became ill with severe diarrhea and projectile vomiting on 01/19/2008.  Baby also had fever 101 - 102. Seen in physician office on 01/22/2008 with continued diarrhea and was able to keep Pedialyte down, no fever at that time. No lab work drawn.  Mom said physician verbally told her baby probaby got rotavirus from vaccine but progress notes document acute gastroentritis. Baby returned to physician office on 01/28/2008 and was diag with UTI.
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia, Vomiting
Clinical narrative: Vomiting, fever of 100.4.
Age: 1.37
Sex: M
Vaccine: DTAP, MMR, PPV
Symptoms: Blood culture negative, Blood sodium normal, Chest X-ray abnormal, Convulsion, Full blood count normal
Clinical narrative: Patient presented to the emergency department from home after mother called emergency medical services stating that the child was having a seizure. Upon arrival, patient was found to still be seizing. Patient received intravenous Ativan, after which the seizures stopped. Seizure-like activity did reappear, for which the patient received an additional dose of Ativan with good relief. The patient was transferred to Hospital for observation and treatment. Patient was found to be febrile at presentation (100.6 F), although mother had reported giving the child Children's Tylenol (dose unknown). Patient was also found to have pneumonia as demonstrated on chest x-ray. PLEASE NOTE: Vaccines were identified based on VIS provided by mother, who reports she received them at appointment.
Age: 1.37
Sex: M
Vaccine: DTAP, MMR, PPV
Symptoms: Hypokalaemia, Metabolic function test normal, Pneumonia, Pyrexia
Clinical narrative: Patient presented to the emergency department from home after mother called emergency medical services stating that the child was having a seizure. Upon arrival, patient was found to still be seizing. Patient received intravenous Ativan, after which the seizures stopped. Seizure-like activity did reappear, for which the patient received an additional dose of Ativan with good relief. The patient was transferred to Hospital for observation and treatment. Patient was found to be febrile at presentation (100.6 F), although mother had reported giving the child Children's Tylenol (dose unknown). Patient was also found to have pneumonia as demonstrated on chest x-ray. PLEASE NOTE: Vaccines were identified based on VIS provided by mother, who reports she received them at appointment.
Age: 13.0
Sex: F
Vaccine: VARCEL
Symptoms: Cellulitis, Erythema, Induration, Injection site pain
Clinical narrative: cellulitis with induration erythema and pain at injection site 5cm by 9 cm
Age: 53.0
Sex: F
Vaccine: TD
Symptoms: Asthenia, Blister, Erythema, Induration, Pruritus
Clinical narrative: Severe swelling of a large area about 5" across turning red and hard, Red area was hot with blisters. 102 fever for 3 days. Itching and redness spread over entire front of upper arm. Due to high fever for 3 days I am now very weak.
Age: 53.0
Sex: F
Vaccine: TD
Symptoms: Skin warm, Swelling
Clinical narrative: Severe swelling of a large area about 5" across turning red and hard, Red area was hot with blisters. 102 fever for 3 days. Itching and redness spread over entire front of upper arm. Due to high fever for 3 days I am now very weak.
Age: 54.0
Sex: F
Vaccine: FLUX
Symptoms: Bronchitis, Cough, Ear infection, Laryngitis, Pharyngitis streptococcal
Clinical narrative: Within 2-3 weeks of immunization, pt. began experiencing several illnesses, one following the other.  First, approx 11/7/07 bronchitis and laryngitis, 3 weeks later, laryngitis with symptoms of strep throat, 3-4 weeks later bronchitis, 3 weeks later severe coughing and repeated laryngitis, 2 weeks later double ear infection and double sinus infection with accompanying cough and post nasal drip.  2 weeks later continued sinusitis accompanied with severe cough and strep throat.  10 days later pt. still has sore throat and severe cough accompanied by laryngitis.
Age: 54.0
Sex: F
Vaccine: FLUX
Symptoms: Postnasal drip, Sinusitis
Clinical narrative: Within 2-3 weeks of immunization, pt. began experiencing several illnesses, one following the other.  First, approx 11/7/07 bronchitis and laryngitis, 3 weeks later, laryngitis with symptoms of strep throat, 3-4 weeks later bronchitis, 3 weeks later severe coughing and repeated laryngitis, 2 weeks later double ear infection and double sinus infection with accompanying cough and post nasal drip.  2 weeks later continued sinusitis accompanied with severe cough and strep throat.  10 days later pt. still has sore throat and severe cough accompanied by laryngitis.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Body temperature increased, Oral intake reduced
Clinical narrative: Shots given around lunchtime - mother says about 3 hours later - spiked temp - on & off until the day seen.  T max 103-104.  Decreased po intake.  No seizure activity - pt seen 3/19.  Admitted overnight at hospital, discharged 3/20.  Afebrile, good suck, good po tolerance.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site reaction, Oedema peripheral, Pyrexia
Clinical narrative: Pt given Pneumovax at time of discharge. Came back with reaction at site of injection. Red, swollen arm to shoulder, pain fever. 03/26/08-records received for DOS 3/20-3/22/08-DC DX: Cellulitis reaction to pneumovax. Presented to ED with C/O increased temperature and malaise.Erythema to arm, warm and tender to touch.
Age: 12.0
Sex: M
Vaccine: HEP, HEPA, MMR, MNQ, TDAP
Symptoms: Syncope vasovagal
Clinical narrative: Patient had vaso-vagal reaction after receiving vaccinations
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site oedema, Injection site pruritus, Injection site rash
Clinical narrative: Rash, itch, edema at site
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Culture stool negative, Diarrhoea, Parasite stool test negative
Clinical narrative: Diarrhea started 1 day after getting Gardasil vaccine, associated with abdominal pain and possible bloody stool. Seen at urgent care on 2/29/08 (same address as above)
Age: 5.0
Sex: F
Vaccine: DTAP, FLU3, HEPA, IPV, MMR, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Left arm red, painful, swollen at vaccine injection site 3 days ago. No fever. Upper arm with 3 inch area of A/P cellulitis; Keflex 250mg PO Tid cool compress Qid; Follow up 48 hours if not better.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Lip swelling, Pruritus, Rash
Clinical narrative: Facial rash and itch; Upper lip swelling; Hx of drool
Age: 29.0
Sex: M
Vaccine: FLU3
Symptoms: Brain stem auditory evoked response, Computerised tomogram, Diplopia, Laboratory test, Nuclear magnetic resonance imaging
Clinical narrative: 11-30-07 presented to ER with diplopia (double vision) was given Compazine 2.5mg thru IV in ER. Referred to Neurologist same day. 12/05, 12/06, 12/07/07 given Soludro Medrol 1g IV infusion x 3 days. Follow up with Dr. bi-weekly. Follow up was also done with Ophthalmology. Follow-up with neurosurgeon on 12/18/07 and 2/05/08. Double vision cease on 12/21/08.
Age: 29.0
Sex: M
Vaccine: FLU3
Symptoms: Visual evoked potentials
Clinical narrative: 11-30-07 presented to ER with diplopia (double vision) was given Compazine 2.5mg thru IV in ER. Referred to Neurologist same day. 12/05, 12/06, 12/07/07 given Soludro Medrol 1g IV infusion x 3 days. Follow up with Dr. bi-weekly. Follow up was also done with Ophthalmology. Follow-up with neurosurgeon on 12/18/07 and 2/05/08. Double vision cease on 12/21/08.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Mom called 3/17/08 to RN stated - Baby developed red lump where vaccines given 3/12/08 took to Dr. 3/14/08 with no treatment insite to warm areas - or warm bath. Called 3/20/08 by RN no answer left muscle to call SDHD - called RN message from 3/17/08 given (RN on 3/20/08 called again 3/21/08 left message to call SDHD - did not return call. RN called SDHD 3/24/08 with sustain to not use alcohol at site give differ IM send on private practice MD at facility for next shots - called parent 3/24/08 left message to call SDHD
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Induration, Oedema peripheral
Clinical narrative: Notice on Saturday 3/22/08 redness, swollen, no fever, hard deltoid and start to increase on Sunday 3/23/08.
Age: 1.1
Sex: M
Vaccine: HEPA, HIBV, MMR, VARCEL
Symptoms: Erythema, Physical examination, Rash papular, Swelling
Clinical narrative: Redness, swelling within less than a minute patient still has bumps on legs per mom on 3/19/08.
Age: 1.1
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Redness around injection site - left thigh - acutely occurred within 1-2 minutes, several cm wide.
Age: 48.0
Sex: F
Vaccine: DTP, HEPAB, HEPAB, TDAP
Symptoms: Bronchitis, Cough, Fatigue, Increased upper airway secretion, Influenza like illness
Clinical narrative: Immunization given 2-29-08; symptoms developed 3-3-08, "flu-like" with cough (green phlegm), no fever, had fatigue on 3-8-08. Seen at clinic, diagnosed with "bronchitis", given Amoxicillin.
Age: 48.0
Sex: F
Vaccine: DTP, HEPAB, HEPAB, TDAP
Symptoms: Bronchitis
Clinical narrative: Immunization given 2-29-08; symptoms developed 3-3-08, "flu-like" with cough (green phlegm), no fever, had fatigue on 3-8-08. Seen at clinic, diagnosed with "bronchitis", given Amoxicillin.
Age: 26.0
Sex: F
Vaccine: DTP, HEP, HEPA
Symptoms: Cough, Influenza like illness, Pharyngolaryngeal pain, Productive cough
Clinical narrative: Day after immunization developed cough, sore throat, cough with yellow phlegm, "flu-like symptoms". Symptoms lasted approximately 7 days, now resolved. She did not seek medical care.
Age: 56.0
Sex: M
Vaccine: DTP, HEP, HEPA, HEP, HEPA, TDAP
Symptoms: Body temperature increased, Bronchitis, Chills, Nasal congestion, Productive cough
Clinical narrative: 1 to 1 1/2 days after immunization, patient reports "shivers and chills". 5 days post immunization he had "bronchitis" with "temp of 99, nasal and chest congestion, productive cough with yellow phlegm". Symptoms essentially resolved after seeing his doctor and had 3 days rx of Z-Pak.
Age: 56.0
Sex: M
Vaccine: DTP, HEP, HEPA, HEP, HEPA, TDAP
Symptoms: Respiratory tract congestion
Clinical narrative: 1 to 1 1/2 days after immunization, patient reports "shivers and chills". 5 days post immunization he had "bronchitis" with "temp of 99, nasal and chest congestion, productive cough with yellow phlegm". Symptoms essentially resolved after seeing his doctor and had 3 days rx of Z-Pak.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Body temperature increased, Erythema, Feeling hot, Oedema peripheral, Tenderness
Clinical narrative: 3/19 upper left arm (site of DTaP #3) red, swollen, firm, warm - received OTC (Tylenol, Ibuprofen) and cold compress.  Not painful.  3/20 worse, swelling, temperature 99.  3/21 mostly reddened patient much better today.
Age: 65.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: IIIrd nerve paralysis
Clinical narrative: Pt states that after receiving the ZOSTAVAX he experienced blurred vision and double vision. The eye doctor ruled out that it was b/c of ZOSTAVAX, but could be a diabetic complication. It was diagnosed as 3rd nerve palsy. Pt insists it is b/c of ZOSTAVAX. He has to wear a patch sometimes.
Age: 65.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Diplopia, IIIrd nerve paralysis, Nuclear magnetic resonance imaging, Vision blurred
Clinical narrative: Pt states that after receiving the ZOSTAVAX he experienced blurred vision and double vision. The eye doctor ruled out that it was b/c of ZOSTAVAX, but could be a diabetic complication. It was diagnosed as 3rd nerve palsy. Pt insists it is b/c of ZOSTAVAX. He has to wear a patch sometimes.
Age: 23.0
Sex: F
Vaccine: FLUN3, FLUN3
Symptoms: Dizziness, Erythema, Skin warm
Clinical narrative: ONE HOUR AFTER RECEIVING INFLUENZA VACCINATION PATIENT BEGAN TO FEEL DIZZY AND RIGHT SIDE OF BODY BECAME RED/HOT TO TOUCH.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL, DTAP, IPV, MMR, VARCEL, DTAP, IPV
Symptoms: Injection site swelling
Clinical narrative: Left arm swollen.  Prelone and Keflex given for treatment.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL, DTAP, IPV, MMR, VARCEL, DTAP, IPV
Symptoms: Oedema peripheral
Clinical narrative: Left arm swollen.  Prelone and Keflex given for treatment.
Age: 1.0
Sex: M
Vaccine: HEP, MMR, VARCEL
Symptoms: Herpes zoster
Clinical narrative: Herpes Zoster, Shingles developed in same leg as Varivax vaccine injection site, two and a half years later.  Diagnosis by urgent care and pediatrician.  Child has never had or been exposed to anyone with chicken pox.
Age: 0.3
Sex: M
Vaccine: RV5, RV5
Symptoms: Enema administration, Intussusception
Clinical narrative: Pt was hospitalized at hospital for treatment of intussusception treated with an contrast enema. Received ROTATEQ 6/16/07, 8/23/07.  04/09/2008 MR received for DOS 1/13-14/2008 with D/C DX: Intussusception. Pt presented to ER with acute onset of bilious vomiting  and abdominal discomfort.  PE (+) for abdominal tenderness and RLQ emptiness. Air contrast barium enema able to reduce IS.  Normal BMs by HD#3.   PCP f/U 1/17/08 with report of normal stool.
Age: 0.3
Sex: M
Vaccine: RV5, RV5
Symptoms: Intussusception
Clinical narrative: Pt was hospitalized at hospital for treatment of intussusception treated with an contrast enema. Received ROTATEQ 6/16/07, 8/23/07.  04/09/2008 MR received for DOS 1/13-14/2008 with D/C DX: Intussusception. Pt presented to ER with acute onset of bilious vomiting  and abdominal discomfort.  PE (+) for abdominal tenderness and RLQ emptiness. Air contrast barium enema able to reduce IS.  Normal BMs by HD#3.   PCP f/U 1/17/08 with report of normal stool.
Age: 0.34
Sex: F
Vaccine: DTP, HBHEPB, IPV, PNC, RV5
Symptoms: Condition aggravated, Convulsion, Grand mal convulsion, Nuclear magnetic resonance imaging normal
Clinical narrative: Pt with generalized seizure within 24 hours after immunizations 4/4/08-records received for DOS 2/10/08-DC DX: Seizures. Tonic clonic activity. Right arm twitching.  Follow-up: Chronic recurrent seizures. Pt has not been seen in office since immunization. Pt was seen by neurology and started on antiseizure meds.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Barium double contrast, Haematochezia, Intussusception, Vomiting
Clinical narrative: Received ROTATEQ on 3/4/08. On evening of 3/10/08, she began to have blood in her stool. Also had some vomiting. Was seen in our office and then in ER. Diagnosed with intussusception, failed air reduction and had surgery to reduce it.  04/23/2008 MR received for DOS 3/12-16/2008 with D/C DX:  Intussusception.  Infant presented to ER with several day hx of emesis and abdominal pain, now with currant jelly stool.  PE (+) abdominal distention.  Unable to reduce IS with barium Enema. Pt taken to OR for Exploratory Lap, Reduction of IS, Right Hemicolectomy. Multiple serosal tears to the colon and ascites noted.  Pt had NG tube post-op. By 3/16 pt tolerating po with normal BMs. D/C home.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Colectomy, Haematochezia, Intussusception, Vomiting
Clinical narrative: Received ROTATEQ on 3/4/08. On evening of 3/10/08, she began to have blood in her stool. Also had some vomiting. Was seen in our office and then in ER. Diagnosed with intussusception, failed air reduction and had surgery to reduce it.  04/23/2008 MR received for DOS 3/12-16/2008 with D/C DX:  Intussusception.  Infant presented to ER with several day hx of emesis and abdominal pain, now with currant jelly stool.  PE (+) abdominal distention.  Unable to reduce IS with barium Enema. Pt taken to OR for Exploratory Lap, Reduction of IS, Right Hemicolectomy. Multiple serosal tears to the colon and ascites noted.  Pt had NG tube post-op. By 3/16 pt tolerating po with normal BMs. D/C home.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Enema administration, Haematochezia, Intussusception, Surgery, Vomiting
Clinical narrative: Received ROTATEQ on 3/4/08. On evening of 3/10/08, she began to have blood in her stool. Also had some vomiting. Was seen in our office and then in ER. Diagnosed with intussusception, failed air reduction and had surgery to reduce it.  04/23/2008 MR received for DOS 3/12-16/2008 with D/C DX:  Intussusception.  Infant presented to ER with several day hx of emesis and abdominal pain, now with currant jelly stool.  PE (+) abdominal distention.  Unable to reduce IS with barium Enema. Pt taken to OR for Exploratory Lap, Reduction of IS, Right Hemicolectomy. Multiple serosal tears to the colon and ascites noted.  Pt had NG tube post-op. By 3/16 pt tolerating po with normal BMs. D/C home.
Age: 0.34
Sex: F
Vaccine: DTP, HBHEPB, IPV, PNC, RV5
Symptoms: Convulsion, Excessive eye blinking, Grand mal convulsion
Clinical narrative: None stated 4/4/08-records received for DOS 2/7/08-DC DX: Seizure. Influenza A. Seen in ED for left sided twitching then right sided twitching, eye fluttering. Temp 101.6. Tonic clonic seizure activity  1/21/2010 Chronic recurrent seizures. Pt has not been seen since 1/17/08. Pt did see a neurologist for seizures.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Auricular swelling, Lip swelling, Oedema peripheral, Swelling face
Clinical narrative: Received VARIVAX on 3/18/08 at 10:30 AM. By 10:50 AM, arms, lips, ears, face started swelling. Mom gave 1/2 tsp Benadryl and called office. Was instructed to give another 1/2 tsp Benadryl and take to urgent care. Arrived at urgent care at 11:50, was discharged at 1:30. Was given oral steroids. 3/26/08-records received for DOS 3/18/08-DX: anaphylasis rection to varivax, angiodedma to vaccine. C/O lips tingling, scratching, eyes swollen. Seen in PCP office on 3/19/08-recovered, but eyes remain swollen. referred to allergiest.
Age: 10.0
Sex: M
Vaccine: TDAP
Symptoms: Abnormal behaviour, Allergy to vaccine, Body temperature increased, Diet refusal, Injection site erythema
Clinical narrative: Client received Tdap vaccine at 10:00 AM. At approximately 12:30 AM, 3-20-08 client began vomiting and had increased temp of 102 F (PO). Vomited several times until 4 AM when mother noticed injection site was swollen with deep red rash approximately 6"x3". Clients primary care physician examined child on 3-20-08 and said child was "allergic" to the vaccine and should never receive it again. Child was prescribed Claritin, Benadryl, and Motrin. Temp 3-20-08 later in day was 101.4 (PO). Today child is subdued, not eating, but retaining all fluids.
Age: 10.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site rash, Injection site swelling, Vomiting
Clinical narrative: Client received Tdap vaccine at 10:00 AM. At approximately 12:30 AM, 3-20-08 client began vomiting and had increased temp of 102 F (PO). Vomited several times until 4 AM when mother noticed injection site was swollen with deep red rash approximately 6"x3". Clients primary care physician examined child on 3-20-08 and said child was "allergic" to the vaccine and should never receive it again. Child was prescribed Claritin, Benadryl, and Motrin. Temp 3-20-08 later in day was 101.4 (PO). Today child is subdued, not eating, but retaining all fluids.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Dizziness, Hypoaesthesia, Syncope
Clinical narrative: Patient got dizzy and felt like legs numb.  Eyes closed and patient became syncopal.  Patient vs stable.  Drank juice and felt ok.  Patient ambulated out of office.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Dizziness, Dyspnoea, Syncope
Clinical narrative: Patient stated onset began immediately after receiving vaccination - stated feeling light headed, weakness and feeling faint (she did not let staff know).  That night she went to bed and her legs felt like 1/2 left leg went to sleep.  The next day after school, she took a nap and woke up feeling shortness of breath and went to the urgent care.  She continued having symptoms as of 3/22/08.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Rash generalised
Clinical narrative: Patient received flu shot approximately 12:00 noon on 3/10/08.  First noticed systemic rash last PM - Presented into hospital after overall symptoms "burning rash" at 11:45AM 3/11/08.  Seen by N.P. - advised to take over the counter 50mg Benadryl and go to ER if difficulty breathing or swallowing.
Age: 10.0
Sex: F
Vaccine: FLUN3
Symptoms: Expired drug administered
Clinical narrative: None - vaccine expired 1/16/08 and vaccine given 2/7/08.
Age: 1.0
Sex: M
Vaccine: MMRV, PNC
Symptoms: Rash, Varicella
Clinical narrative: Chickenpox rash.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, TDAP
Symptoms: Feeling abnormal, Gaze palsy, Syncope, Tremor
Clinical narrative: Sitting in chair after vaccines and said "I don't feel good."  Head drooped, patient's eyes rolled back and arms started shaking.  Patient became syncopal.  Laid down, drank juice.  Patient states that she did not eat that day.  Ok to ambulance.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Feeling hot, Injection site pain
Clinical narrative: Tenderness at injection site with some warmth.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Irritability
Clinical narrative: "incessant crying, unconsolable for 4 hours". Was given Tylenol every 4 hrs - unsure of fever. Occurred the evening the shot was given at 2 month old WCC.
Age: 19.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Pruritus, Pruritus generalised
Clinical narrative: 2 hours after receiving vaccines stomach starting itching. Woke up next morning with whole body itching.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Stool analysis abnormal
Clinical narrative: Diarrhea following rotavirus vaccine, positive reducing substance in stool 12/07/07. Diarrhea x 6 wks - nl growth.
Age: 74.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Erythema, Rash, Rash papular
Clinical narrative: ZOSTAVAX given 3/18/08. Pt called 3/19/08 describing a rash on abdomen confined mostly to left side (red, papular) with one site to the right of midline. The rash was not sore or itchy. Advised patient to contact physician immediately.
Age: 74.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster
Clinical narrative: ZOSTAVAX given 3/18/08. Pt called 3/19/08 describing a rash on abdomen confined mostly to left side (red, papular) with one site to the right of midline. The rash was not sore or itchy. Advised patient to contact physician immediately.
Age: 24.0
Sex: F
Vaccine: ANTH, SMALL, TYP
Symptoms: Dysphagia, Dyspnoea, Lymphadenopathy
Clinical narrative: Swelling of right side lymph node and throat, difficulty swallowing, burning while breathing. Steroid injection, antibiotics, penicillin injection.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying
Clinical narrative: Crying w/out stop x 3 days. Non-consolable. Used acetaminophen.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV, TTOX
Symptoms: Inflammation, Injected limb mobility decreased, Tenderness
Clinical narrative: Patient states she received 2 immunizations Dec. 3 07, which she believes caused inflammation and tenderness with dorsal aspect (L) shoulder and especially proximal - lateral (L) arm. We are referring to doctors as result of ongoing tenderness and decreased ROM.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Crying
Clinical narrative: Prolonged crying for 2-3 weeks after 2 months vaccines administered.
Age: 15.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Body temperature increased, Cellulitis, Erythema, Feeling hot, Myalgia
Clinical narrative: Localized redness, pain, swelling and warmth within 24 hours.  Also low grade temperature and myalgia.  No regenerating symptoms or generalized urticaria.  Area of erythema increased and Keflex 250 qid for 7 days given to cover cellulitis (right arm).
Age: 15.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Pain, Swelling
Clinical narrative: Localized redness, pain, swelling and warmth within 24 hours.  Also low grade temperature and myalgia.  No regenerating symptoms or generalized urticaria.  Area of erythema increased and Keflex 250 qid for 7 days given to cover cellulitis (right arm).
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Body temperature increased, Gaze palsy, Hypotonia, Vomiting
Clinical narrative: Had 3 episodes of vomiting, then followed by limpness and eyes rolling back, lasting about 30 seconds.  Did have fever 102 F in ER.  Next day had another limp, eyes rolling back episode not associated with vomiting or fever.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Induration, Injection site reaction, Local reaction, Pyrexia
Clinical narrative: Local reaction, wide, at site of injection with erythema and induration.  Self monitored fever at home 24 hours after injection.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Tenderness
Clinical narrative: At site of injection (right upper thigh) - 6.5cm x 5.5cm red, warm indurated lesion - tender to touch.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Rash generalised
Clinical narrative: Rash all over body - MMR reaction - fluids and supportive treatments.
Age: 6.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Feeling hot
Clinical narrative: Local hot red.
Age: 7.0
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Blister, Convulsion, Dermatitis bullous, Rash papular
Clinical narrative: Varicella vaccine breakthrough.  Diagnosed with Varicella in our office on 3-21-08.  Had 40-50 lesions, papules and vesicles.  Afebrile.
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Irritability, Myoclonus, Vomiting
Clinical narrative: Fussy since vaccines given yesterday.  Slept well last night.  Fussy again today after emesis times 2 and small spit-ups.  For 1 hour period today had symmetic myoclonic movements of arms and legs, as well as head.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Redness, swelling, warmth in oval shape 4"x3" on right thigh.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Feeling hot, Injection site pain, Rash erythematous
Clinical narrative: Right upper arm 8 1/2 x 6 1/2 inch erythematous raised warm to touch patch with tenderness at site where injection given.  No joint pain, swelling, qd ROM, negative streaking.  Treated with Keflex 25015 1 tsp PO (0.10 x 10d  with rev within 24-48 hours.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, IPV, MMR
Symptoms: Wrong drug administered
Clinical narrative: 3/6/08 PEDIARIX was inadvertently given in place of DTaP at Kindergarten shot visit.  No symptoms reported.
Age: 43.0
Sex: F
Vaccine: HEPAB
Symptoms: Dysphagia, Rash, Urine analysis
Clinical narrative: Client describes rash on face, chest, abdomen on Tuesday, Wednesday morning, difficulty swelling. IV fluids administered at hospital. IV Benadryl and "steroids" administered by ER doctors. Rx's for Prednisone 20mg BID for 5 days given.
Age: 2.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Dysarthria, Pyrexia, Rash
Clinical narrative: 5 days after vaccinations given child's speech became slurred, regressed to only "babbling" for 1 week - rash and fever for 2 days.
Age: 1.1
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Body temperature increased, Febrile convulsion, White blood cell count
Clinical narrative: Febrile seizure approximately 7 hours after vaccines.  Temperature 39.7 - 40 for 4 days after vaccine.  Labs: OBC wnl, Flu negative, RSV negative, CRP 0.67, blood culture negative for 7 days.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Rash
Clinical narrative: Pt's face and neck on (L) side had rash. Later in day was covered with red raised dots-went to urgent care-all within 22 hours of receiving DTaP #5 on 3/11/08 at clinic.
Age: 28.0
Sex: F
Vaccine: MMR
Symptoms: Pruritus, Rash
Clinical narrative: Within the hour of MMR injection - client's husband called (10:30 AM) to say she was having some itching and rash on her legs. Advised to return to clinic - by 12:30 pm - rash gone - no itching. Symptoms gone. Did not return.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Erythema, Induration, Pain, Pruritus
Clinical narrative: Redness, firm to touch Rt upper arm - 11 cm length x 10 cm. Notice small redness. Child began to scratch Rt upper arm. Enlarged in size by evening. C/O pain eating (2-3). Instructed parent to apply cool compress, Tylenol 1.5 tsp Benadryl ointment.
Age: 35.0
Sex: F
Vaccine: PPV
Symptoms: Unevaluable event
Clinical narrative: Inj (Pneumovax) given (L) deltoid, was told that injection was given posterior to exact site.
Age: 1.6
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Induration, Tenderness
Clinical narrative: 4th DPT on 3/17/08 within 24 hr upper thigh 2x size and 8 x 10 cm induration, tenderness.
Age: 1.62
Sex: M
Vaccine: DTAP, HEPA, PNC
Symptoms: Erythema, Feeling hot, Induration, Rash papular
Clinical narrative: Left anterior thigh 7.5cm length redness + 2 with underlying hardness at tip.  4.0cm width.  Warm to touch.  Sm pimples present.  Instructed parent to apply cool compressor x 10 min 2 x day, and return for rev within 3 days.
Age: 1.0
Sex: M
Vaccine: HEPA, PNC
Symptoms: Erythema, Induration
Clinical narrative: Erythema and induration 30x 25 over () arm (PCV 7). No treatment except for warm compress.
Age: 1.2
Sex: F
Vaccine: VARCEL
Symptoms: Varicella
Clinical narrative: Got chickenpox on 3/7/08 8 years after vaccine.
Age: 1.1
Sex: F
Vaccine: VARCEL
Symptoms: Varicella
Clinical narrative: 4/2/01 Got Varivax immun. Case of chicken pox on 3/18/08.
Age: 4.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Urticarial rash on thighs in the hours following vaccination.
Age: 17.0
Sex: F
Vaccine: HEP, HPV4
Symptoms: Limb discomfort
Clinical narrative: 03/25/2008 Client's grandmother telephoned to report client c/o left arm and hand discomfort since injection on 03/12/2008.  Referred to PCP.
Age: 0.16
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, VARCEL
Symptoms: No adverse reaction, Wrong drug administered
Clinical narrative: Patient was accidentally give Varicella vaccine. No signs or symptoms of adverse reaction to vaccine.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Redness and swelling upper arm-red streaks down arm-quite painful and hot to the touch.  Went to local urgent care facility after speaking with nurse.  Was given antibiotic to take for ten days and asked not to leave on planned trip.  Was cautioned to receive immediate care if symptoms did not subside or worsened. Responded positively to treatment within approximately 6 days.
Age: 21.0
Sex: F
Vaccine: HEPA, IPV, TYP, YF
Symptoms: No reaction on previous exposure to drug, Pruritus generalised
Clinical narrative: 21 yr old who recieved the following shots today;  on right arm Hep A and IPV;  on Left Typhoid and YF along with PPD;  pt about 1 hr after getting the vaccines started to feel itchy in left arm;  that became generalized to body;  no hives, no dif. breathing, no chest pain, no nausea, no problems with walking;  pt went to facility and was sent there;  pt walked to Health clinic without a problem;  never had similar reaction in past;  no rashes;  Recommendations for future;  pt should not get all of the listed vaccines at the same time;  VAERs form done;  did not put as allergic reaction because pt is doing well with no signs of analph.  no hives;  Benadryl prn;  f/u with PCM in morning as needed;  pt needs to be with roommate tonight;  volunteer drove pt back to dorms  Medication(s):   -DIPHENHYDRAMINE--PO 25MG CAP - T1 CAP PO Q6H FOR 24 HRS #30 RF0 Qt: 30 Rf: 0
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, MMRV, PNC
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling, heat to area of injection of MMRV. Site of IM injection near this site was normal.
Age: 12.0
Sex: F
Vaccine: DTAP
Symptoms: Inappropriate schedule of drug administration, No adverse reaction
Clinical narrative: Pt. had no adverse reaction
Age: 12.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Menorrhagia, Vaccine positive rechallenge
Clinical narrative: My daughter received the Gardisil vaccine on May 19, 2007. The next day her menstrual cycle started and lasted 6 weeks. I called the doctor and they assured me it was just coincidence. She had the second booster on July 19, 2007. The following day, her menstrual cycle started again and lasted 4 weeks this time. Up to this date, she had always had regular cycles. We never went back for the final vaccination. She has had regular cycles since then.
Age: 45.0
Sex: F
Vaccine: TYP, YF
Symptoms: Dizziness, Nausea, Syncope
Clinical narrative: Patient fainted at 1 am, experienced dizziness and slight nausea into the next day.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Blood bicarbonate decreased, Blood culture negative, Blood sodium decreased, Body temperature increased, CSF culture negative
Clinical narrative: Day after vaccination, began having watery-explosive diarrhea and vomiting.  Baby attempted to nurse but acted like she was in pain each time she tried.  Baby was irratable and crying more than usual.  Admitted to hospital for dehydration and subsequently had a seizure and required intubation.  After transfer to the intensive care unit baby was able to be extubated within 24 hours but remained hospitalized for diarrhea and inability to tolerate feeding.  Baby was started on TPN and eventually began feeding by mouth as tolerated.  04/08/2008 MR received for DOS 3/14-26/2008 with DX:  Dehydration, Hyponatremic Seizures, Diarrhea.  Pt presented to local hospital with 2 day hx of watery diarrhea and vomiting. Pt febrile and admitted for dehydration. Pt's weight had dropped from 11-13 to 10-5 on admission. Pt had poor feeding and became less responsive and ultimately began seizing, in which there were slow rhythmic leg movements and pt's eyes rolled back.  Valium was given and pt became apneic requiring intubation. Transfered to current facility for higher level of care.  Sodium levels normalized and pt was extubated and abx d/cd. Still having frequent, watery stool.  Trial of po feeds failed and TPN initiated. Transfered to regular peds floor on 3/17/08. Weaned from TPN when taking po well.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Convulsion, Crying, Culture stool negative, Culture urine negative, Dehydration
Clinical narrative: Day after vaccination, began having watery-explosive diarrhea and vomiting.  Baby attempted to nurse but acted like she was in pain each time she tried.  Baby was irratable and crying more than usual.  Admitted to hospital for dehydration and subsequently had a seizure and required intubation.  After transfer to the intensive care unit baby was able to be extubated within 24 hours but remained hospitalized for diarrhea and inability to tolerate feeding.  Baby was started on TPN and eventually began feeding by mouth as tolerated.  04/08/2008 MR received for DOS 3/14-26/2008 with DX:  Dehydration, Hyponatremic Seizures, Diarrhea.  Pt presented to local hospital with 2 day hx of watery diarrhea and vomiting. Pt febrile and admitted for dehydration. Pt's weight had dropped from 11-13 to 10-5 on admission. Pt had poor feeding and became less responsive and ultimately began seizing, in which there were slow rhythmic leg movements and pt's eyes rolled back.  Valium was given and pt became apneic requiring intubation. Transfered to current facility for higher level of care.  Sodium levels normalized and pt was extubated and abx d/cd. Still having frequent, watery stool.  Trial of po feeds failed and TPN initiated. Transfered to regular peds floor on 3/17/08. Weaned from TPN when taking po well.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Extubation, Feeding disorder, Intensive care, Intubation
Clinical narrative: Day after vaccination, began having watery-explosive diarrhea and vomiting.  Baby attempted to nurse but acted like she was in pain each time she tried.  Baby was irratable and crying more than usual.  Admitted to hospital for dehydration and subsequently had a seizure and required intubation.  After transfer to the intensive care unit baby was able to be extubated within 24 hours but remained hospitalized for diarrhea and inability to tolerate feeding.  Baby was started on TPN and eventually began feeding by mouth as tolerated.  04/08/2008 MR received for DOS 3/14-26/2008 with DX:  Dehydration, Hyponatremic Seizures, Diarrhea.  Pt presented to local hospital with 2 day hx of watery diarrhea and vomiting. Pt febrile and admitted for dehydration. Pt's weight had dropped from 11-13 to 10-5 on admission. Pt had poor feeding and became less responsive and ultimately began seizing, in which there were slow rhythmic leg movements and pt's eyes rolled back.  Valium was given and pt became apneic requiring intubation. Transfered to current facility for higher level of care.  Sodium levels normalized and pt was extubated and abx d/cd. Still having frequent, watery stool.  Trial of po feeds failed and TPN initiated. Transfered to regular peds floor on 3/17/08. Weaned from TPN when taking po well.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Irritability, Parenteral nutrition, Respiratory rate, Rotavirus test negative, Virus serology test
Clinical narrative: Day after vaccination, began having watery-explosive diarrhea and vomiting.  Baby attempted to nurse but acted like she was in pain each time she tried.  Baby was irratable and crying more than usual.  Admitted to hospital for dehydration and subsequently had a seizure and required intubation.  After transfer to the intensive care unit baby was able to be extubated within 24 hours but remained hospitalized for diarrhea and inability to tolerate feeding.  Baby was started on TPN and eventually began feeding by mouth as tolerated.  04/08/2008 MR received for DOS 3/14-26/2008 with DX:  Dehydration, Hyponatremic Seizures, Diarrhea.  Pt presented to local hospital with 2 day hx of watery diarrhea and vomiting. Pt febrile and admitted for dehydration. Pt's weight had dropped from 11-13 to 10-5 on admission. Pt had poor feeding and became less responsive and ultimately began seizing, in which there were slow rhythmic leg movements and pt's eyes rolled back.  Valium was given and pt became apneic requiring intubation. Transfered to current facility for higher level of care.  Sodium levels normalized and pt was extubated and abx d/cd. Still having frequent, watery stool.  Trial of po feeds failed and TPN initiated. Transfered to regular peds floor on 3/17/08. Weaned from TPN when taking po well.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Vomiting, Weight decreased, White blood cell count increased
Clinical narrative: Day after vaccination, began having watery-explosive diarrhea and vomiting.  Baby attempted to nurse but acted like she was in pain each time she tried.  Baby was irratable and crying more than usual.  Admitted to hospital for dehydration and subsequently had a seizure and required intubation.  After transfer to the intensive care unit baby was able to be extubated within 24 hours but remained hospitalized for diarrhea and inability to tolerate feeding.  Baby was started on TPN and eventually began feeding by mouth as tolerated.  04/08/2008 MR received for DOS 3/14-26/2008 with DX:  Dehydration, Hyponatremic Seizures, Diarrhea.  Pt presented to local hospital with 2 day hx of watery diarrhea and vomiting. Pt febrile and admitted for dehydration. Pt's weight had dropped from 11-13 to 10-5 on admission. Pt had poor feeding and became less responsive and ultimately began seizing, in which there were slow rhythmic leg movements and pt's eyes rolled back.  Valium was given and pt became apneic requiring intubation. Transfered to current facility for higher level of care.  Sodium levels normalized and pt was extubated and abx d/cd. Still having frequent, watery stool.  Trial of po feeds failed and TPN initiated. Transfered to regular peds floor on 3/17/08. Weaned from TPN when taking po well.
Age: 58.0
Sex: M
Vaccine: HEPA, IPV, TDAP, TYP
Symptoms: Immediate post-injection reaction, Injection site pain, Injection site swelling, Rash
Clinical narrative: Received vaccine Hepatitis A - given right deltoid IM. Polio given left deltoid sq and Tdap given left deltoid IM on 3/13/08.  Had right arm pain immediately following vaccine.  Swelling at site and a rash started on 3/23/08.  Went to Emergency room at Hospital because pain had intensified and rash was worsening. Benadryl and Naproxyn were given for treatment. Patient has an allergy to Penicillin.
Age: 1.06
Sex: M
Vaccine: HEPA, HIBV, PNC
Symptoms: Febrile convulsion, Streptococcal identification test, White blood cell count
Clinical narrative: Febrile seizure the nite of vaccinations.  Seen for well child exam at 11 am, no apparent illness/fever at that time.  Fever developed in late evening and seized within a few hours.  Seen in ER.  Dx'd with febrile seizure of probable vaccine relation.  Seen the following day by myself fever had subsided, no clinical evidence of infection, and strep screen and WBC count was normal.  Child appeared well.