chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RVX, DTAP, HEP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Barium enema, Colectomy, Intestinal anastomosis, Intussusception, Surgery
Clinical narrative: Pt was diagnosed by us to have intussusception that required surgery. Pt was diagnosed in ED and transferred for possible reduction or surgery, where colectomy was performed.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RVX, DTAP, HEP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Colectomy, Intussusception, Surgery, Ultrasound abdomen abnormal
Clinical narrative: Pt was diagnosed by us to have intussusception that required surgery. Pt was diagnosed in ED and transferred for possible reduction or surgery, where colectomy was performed.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RVX, DTAP, HEP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Gastrointestinal oedema, Intussusception, Rectal haemorrhage, Surgery, Ultrasound scan abnormal
Clinical narrative: Pt was diagnosed by us to have intussusception that required surgery. Pt was diagnosed in ED and transferred for possible reduction or surgery, where colectomy was performed.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RVX, DTAP, HEP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Abdominal X-ray, Abdominal mass, Abdominal pain, Barium enema abnormal, Blood culture
Clinical narrative: Pt was diagnosed by us to have intussusception that required surgery. Pt was diagnosed in ED and transferred for possible reduction or surgery, where colectomy was performed.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RVX, DTAP, HEP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Blood test normal, Colectomy, Crying, Diet refusal, Enema administration
Clinical narrative: Pt was diagnosed by us to have intussusception that required surgery. Pt was diagnosed in ED and transferred for possible reduction or surgery, where colectomy was performed.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RVX, DTAP, HEP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Full blood count normal, Intestinal anastomosis, Intestinal gangrene, Intestinal resection, Intussusception
Clinical narrative: Pt was diagnosed by us to have intussusception that required surgery. Pt was diagnosed in ED and transferred for possible reduction or surgery, where colectomy was performed.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RVX, DTAP, HEP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Laparotomy, Large intestinal obstruction reduction, Lethargy, Rectal haemorrhage, Surgery
Clinical narrative: Pt was diagnosed by us to have intussusception that required surgery. Pt was diagnosed in ED and transferred for possible reduction or surgery, where colectomy was performed.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RVX, DTAP, HEP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Ultrasound abdomen abnormal, Urine output decreased, Vomiting, X-ray abnormal
Clinical narrative: Pt was diagnosed by us to have intussusception that required surgery. Pt was diagnosed in ED and transferred for possible reduction or surgery, where colectomy was performed.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Dehydration, Drug exposure during pregnancy, Haemorrhage, Nausea
Clinical narrative: Information has been received for Merck Pregnancy Registry for Gardasil from a mother of a nineteen year old patient witno allergies, inflammation of appendix, cholecystitis "needed to go out", and spleen disorder.  She also had a history of infectious mononucleosis in September 2007.  The patient received a first dose of Gardasil on an unspecified day and on 31-OCT-2007 she received the second injection.  Concomitant therapy included PRENATE, ferrous sulfate, children's vitamins (unspecified) and iron supplement (unspecified).  It was reported that PRENATE and ferrous sulfate were discontinued since it upset her stomach (no date for start and stop of therapy reported).  The reporter reported that her daughter got pregnant after she received the injection.  She had been to the emergency room four times because of dehydration.  She experienced pregnancy related nausea.  Patient also experienced abdominal pain and had a urine beta-human chorionic gonadotropin test (PAP) which caused some bleeding.  She was in the emergency room (E.R) on 13-MAR-2008 and was given morphine and intravenous (I.V) fluids.  Serum beta-human chorionic gonadotropin tests were done but result was not reported.  She had not needed hospitalization during this time.  No other information was available.  The outcome was unknown.  Additional information has been requested.  This is in follow-up to report(s) previously submitted on 4/14/2008. Additional information has been received from a Nurse who reported that the patient on 20-AUG-2008 had a healthy and normal baby. Additional information is not expected.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Pregnancy test, Urine human chorionic gonadotropin positive
Clinical narrative: Information has been received for Merck Pregnancy Registry for Gardasil from a mother of a nineteen year old patient witno allergies, inflammation of appendix, cholecystitis "needed to go out", and spleen disorder.  She also had a history of infectious mononucleosis in September 2007.  The patient received a first dose of Gardasil on an unspecified day and on 31-OCT-2007 she received the second injection.  Concomitant therapy included PRENATE, ferrous sulfate, children's vitamins (unspecified) and iron supplement (unspecified).  It was reported that PRENATE and ferrous sulfate were discontinued since it upset her stomach (no date for start and stop of therapy reported).  The reporter reported that her daughter got pregnant after she received the injection.  She had been to the emergency room four times because of dehydration.  She experienced pregnancy related nausea.  Patient also experienced abdominal pain and had a urine beta-human chorionic gonadotropin test (PAP) which caused some bleeding.  She was in the emergency room (E.R) on 13-MAR-2008 and was given morphine and intravenous (I.V) fluids.  Serum beta-human chorionic gonadotropin tests were done but result was not reported.  She had not needed hospitalization during this time.  No other information was available.  The outcome was unknown.  Additional information has been requested.  This is in follow-up to report(s) previously submitted on 4/14/2008. Additional information has been received from a Nurse who reported that the patient on 20-AUG-2008 had a healthy and normal baby. Additional information is not expected.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Syncope
Clinical narrative: Information has been received from a physician concerning a "12 year old" female with no known drug allergies and known drug allergies and no past medical history who on 26-MAR-2008 was vaccinated with her first of three doses of GARDASIL (lot# unspecified, sit not reported.). Concomitant therapy included MENACTRA. The physician reported that the patient fainted after receiving the vaccination. Subsequently, the patient recovered. No additional information was provided. Additional information has been requested. Follow-up information received from the office worker on 12-May-2008 indicated that she was unable to identify the patient who had this event. No additional information is expected.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Autoimmune disorder, Headache, Lip swelling, Musculoskeletal stiffness
Clinical narrative: Information has been received from a company representative concerning a female who on approximately 14-FEB-2008 was vaccinated with the first dose of Gardasil (lot# not reported).  On approximately 14-FEB-2008 the patient experienced a stiff neck, swollen lip and headache.  Per the reporter, the stiff neck, swollen lip and headache had resolved in about 24 hours.  The patient has recently been experiencing autoimmune issues and is going for lupus testing.  There is no other information to report.  Additional information has been requested.   5/23/08 Reviewed PCP medical records & vax records.  2/13/08 note indicates patient was experiencing breast leakage.  Had amenorhea & was on depo-provera.  Dx w/hypothyroid & tx w/meds.  On 3/25, c/o swollen joints, itching all over, fever, tender digits, rash.  Dx w/viral syndrome & acute CTD of unknown origin.  On 3/28 had exudative pharyngitis & tx w/antibiotics.   This is in follow-up to report(s) previously submitted on 4/14/2008. Additional information received from telephone call (14-MAY-2008): The nurse was able to provide the patient's name and date of birth. The nurse also reported that the patient was vaccinated with the first dose of GARDASIL (659962/1740U) on 13-FEB-2008. On 25-MAR-2008 the patient experienced swollen joints, itching all over, and "autoimmune type stuff". The office did a lot of lab work and sent the patient to internal medicine. The nurse reported that "nothing came back abnormal". She thought that the patient's symptoms may be "anxiety related". She also stated that the patient was treated with steroids and ATIVAN for the anxiety. The patient's rash was resolved. Additional information not expected.
Sex: F
Vaccine: HPV4
Symptoms: Dyspnoea
Clinical narrative: Information has been received from a physician concerning a female (age unknown), who, on an unspecified date, was vaccinated with a first dose of GARDASIL. Subsequently, two days post vaccination, the patient experienced shortness of breath to the point that she needed to be hospitalized. The duration of the hospitalization was unknown. It was reported that the patient planned to receive the following doses of GARDASIL. At the time of the report, the outcome of the patient was unknown. No product quality complaint was involved. Additional information is not expected.
Age: 0.2
Sex: M
Vaccine: RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intussusception, Irritability, Nasal congestion, Surgery, Vomiting
Clinical narrative: Information has been received from a physician concerning an approximately 12 week old male who on 01-JAN-2008 was vaccinated with a first dose of ROTATEQ. On approximately 06-JAN-2008, or earlier, it was reported that the patient developed vomiting. On 07-JAN-2008 the patient was seen by the physician for nasal congestion and vomiting. It was noted that on 08 JAN 2008, the child was fussy and still had vomiting. On 08 JAN 2008 the patient was taken to the emergency room where they were diagnosed with intussusception and hospitalized. The patient underwent surgery on either 08 January or 09 January. It was noted that "there was no dissection". At the time of reporting the patient was recovered, date unspecified. Additional information has been requested.  2/6/08-records received for DOS 1/9-1/10/08-Air contrast enema partially reduced intussusception. Laparotomy reduction of ileo-colic intussusception and suture of multiple tears peri ileo-colic band. Intussusception in hepatic flexure.  10/2/09 Surgical report received DOS 1/9/08. Assessment: Ileocolic intussusception. Procedures: Laparotomy, reduction of ileocecal intussusception, resection of peri-ileocolic bands, suture repair of several serosal tears.
Age: 0.2
Sex: M
Vaccine: RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Diarrhoea, Enema administration, Flatulence, Intussusception
Clinical narrative: Information has been received from a physician concerning an approximately 12 week old male who on 01-JAN-2008 was vaccinated with a first dose of ROTATEQ. On approximately 06-JAN-2008, or earlier, it was reported that the patient developed vomiting. On 07-JAN-2008 the patient was seen by the physician for nasal congestion and vomiting. It was noted that on 08 JAN 2008, the child was fussy and still had vomiting. On 08 JAN 2008 the patient was taken to the emergency room where they were diagnosed with intussusception and hospitalized. The patient underwent surgery on either 08 January or 09 January. It was noted that "there was no dissection". At the time of reporting the patient was recovered, date unspecified. Additional information has been requested.  2/6/08-records received for DOS 1/9-1/10/08-Air contrast enema partially reduced intussusception. Laparotomy reduction of ileo-colic intussusception and suture of multiple tears peri ileo-colic band. Intussusception in hepatic flexure.  10/2/09 Surgical report received DOS 1/9/08. Assessment: Ileocolic intussusception. Procedures: Laparotomy, reduction of ileocecal intussusception, resection of peri-ileocolic bands, suture repair of several serosal tears.
Age: 0.2
Sex: M
Vaccine: RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Irritability, Respiratory tract congestion, Ultrasound scan normal, Urine analysis normal, Vomiting
Clinical narrative: Information has been received from a physician concerning an approximately 12 week old male who on 01-JAN-2008 was vaccinated with a first dose of ROTATEQ. On approximately 06-JAN-2008, or earlier, it was reported that the patient developed vomiting. On 07-JAN-2008 the patient was seen by the physician for nasal congestion and vomiting. It was noted that on 08 JAN 2008, the child was fussy and still had vomiting. On 08 JAN 2008 the patient was taken to the emergency room where they were diagnosed with intussusception and hospitalized. The patient underwent surgery on either 08 January or 09 January. It was noted that "there was no dissection". At the time of reporting the patient was recovered, date unspecified. Additional information has been requested.  2/6/08-records received for DOS 1/9-1/10/08-Air contrast enema partially reduced intussusception. Laparotomy reduction of ileo-colic intussusception and suture of multiple tears peri ileo-colic band. Intussusception in hepatic flexure.  10/2/09 Surgical report received DOS 1/9/08. Assessment: Ileocolic intussusception. Procedures: Laparotomy, reduction of ileocecal intussusception, resection of peri-ileocolic bands, suture repair of several serosal tears.
Age: 0.2
Sex: M
Vaccine: RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: White blood cell count increased
Clinical narrative: Information has been received from a physician concerning an approximately 12 week old male who on 01-JAN-2008 was vaccinated with a first dose of ROTATEQ. On approximately 06-JAN-2008, or earlier, it was reported that the patient developed vomiting. On 07-JAN-2008 the patient was seen by the physician for nasal congestion and vomiting. It was noted that on 08 JAN 2008, the child was fussy and still had vomiting. On 08 JAN 2008 the patient was taken to the emergency room where they were diagnosed with intussusception and hospitalized. The patient underwent surgery on either 08 January or 09 January. It was noted that "there was no dissection". At the time of reporting the patient was recovered, date unspecified. Additional information has been requested.  2/6/08-records received for DOS 1/9-1/10/08-Air contrast enema partially reduced intussusception. Laparotomy reduction of ileo-colic intussusception and suture of multiple tears peri ileo-colic band. Intussusception in hepatic flexure.  10/2/09 Surgical report received DOS 1/9/08. Assessment: Ileocolic intussusception. Procedures: Laparotomy, reduction of ileocecal intussusception, resection of peri-ileocolic bands, suture repair of several serosal tears.
Age: 0.2
Sex: M
Vaccine: RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Barium enema abnormal, Crying, Diarrhoea, Enema administration, Flatulence
Clinical narrative: Information has been received from a physician concerning an approximately 12 week old male who on 01-JAN-2008 was vaccinated with a first dose of ROTATEQ. On approximately 06-JAN-2008, or earlier, it was reported that the patient developed vomiting. On 07-JAN-2008 the patient was seen by the physician for nasal congestion and vomiting. It was noted that on 08 JAN 2008, the child was fussy and still had vomiting. On 08 JAN 2008 the patient was taken to the emergency room where they were diagnosed with intussusception and hospitalized. The patient underwent surgery on either 08 January or 09 January. It was noted that "there was no dissection". At the time of reporting the patient was recovered, date unspecified. Additional information has been requested.  2/6/08-records received for DOS 1/9-1/10/08-Air contrast enema partially reduced intussusception. Laparotomy reduction of ileo-colic intussusception and suture of multiple tears peri ileo-colic band. Intussusception in hepatic flexure.  10/2/09 Surgical report received DOS 1/9/08. Assessment: Ileocolic intussusception. Procedures: Laparotomy, reduction of ileocecal intussusception, resection of peri-ileocolic bands, suture repair of several serosal tears.
Age: 0.2
Sex: M
Vaccine: RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Inflammation, Intussusception, Irritability, Lymphadenopathy, Respiratory tract congestion
Clinical narrative: Information has been received from a physician concerning an approximately 12 week old male who on 01-JAN-2008 was vaccinated with a first dose of ROTATEQ. On approximately 06-JAN-2008, or earlier, it was reported that the patient developed vomiting. On 07-JAN-2008 the patient was seen by the physician for nasal congestion and vomiting. It was noted that on 08 JAN 2008, the child was fussy and still had vomiting. On 08 JAN 2008 the patient was taken to the emergency room where they were diagnosed with intussusception and hospitalized. The patient underwent surgery on either 08 January or 09 January. It was noted that "there was no dissection". At the time of reporting the patient was recovered, date unspecified. Additional information has been requested.  2/6/08-records received for DOS 1/9-1/10/08-Air contrast enema partially reduced intussusception. Laparotomy reduction of ileo-colic intussusception and suture of multiple tears peri ileo-colic band. Intussusception in hepatic flexure.  10/2/09 Surgical report received DOS 1/9/08. Assessment: Ileocolic intussusception. Procedures: Laparotomy, reduction of ileocecal intussusception, resection of peri-ileocolic bands, suture repair of several serosal tears.
Age: 0.2
Sex: M
Vaccine: RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Surgery, Ultrasound scan normal, Urine analysis normal, Vomiting, White blood cell count normal
Clinical narrative: Information has been received from a physician concerning an approximately 12 week old male who on 01-JAN-2008 was vaccinated with a first dose of ROTATEQ. On approximately 06-JAN-2008, or earlier, it was reported that the patient developed vomiting. On 07-JAN-2008 the patient was seen by the physician for nasal congestion and vomiting. It was noted that on 08 JAN 2008, the child was fussy and still had vomiting. On 08 JAN 2008 the patient was taken to the emergency room where they were diagnosed with intussusception and hospitalized. The patient underwent surgery on either 08 January or 09 January. It was noted that "there was no dissection". At the time of reporting the patient was recovered, date unspecified. Additional information has been requested.  2/6/08-records received for DOS 1/9-1/10/08-Air contrast enema partially reduced intussusception. Laparotomy reduction of ileo-colic intussusception and suture of multiple tears peri ileo-colic band. Intussusception in hepatic flexure.  10/2/09 Surgical report received DOS 1/9/08. Assessment: Ileocolic intussusception. Procedures: Laparotomy, reduction of ileocecal intussusception, resection of peri-ileocolic bands, suture repair of several serosal tears.
Sex: U
Vaccine: TTOX
Symptoms: Guillain-Barre syndrome
Clinical narrative: This case was received from a health professional, via another manufacturer, on 13 March 2008.  SERIOUSNESS CRITERIA: OTHER - MEDICALLY SIGNIFICANT.  A nurse reported that a patient experienced Guillain-Barre syndrome following administration of a Tetanus vaccine.  No other information was available.
Age: 17.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Syncope
Clinical narrative: SERIOUSNESS CRITERIA: OTHER - MEDICALLY SIGNIFICANT.  Initial report received on 13 March 2008 from another manufacturer, case number not reported.  The reporter to this manufacturer had been a health care provider.  A 17-year-old male patient had received an injection of Menactra, lot number not reported, on an unspecified date.  At an unspecified time post-vaccination, the patient experienced syncope.  Recovery status was not reported.  Additional information was not provided.  The reporter in this case was the same as in case 2008-00786.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Syncope
Clinical narrative: SERIOUSNESS CRITERIA: OTHER - MEDICALLY SIGNIFICANT.  Initial report received on 13 March 2008 from another manufacturer, case number not reported.  The reporter to this manufacturer had been a health care provider.  A 13-year-old male patient had received an injection of Menactra, lot number not reported, on an unspecified date.  At an unspecified time post-vaccination, the patient experienced syncope.  Recovery status was not reported.  Additional information was not provided.  The reporter in this case was the same as in case 2008-00775.
Sex: U
Vaccine: TTOX
Symptoms: Anaphylactic reaction
Clinical narrative: SERIOUSNESS CRITERIA: OTHER - MEDICALLY SIGNIFICANT.  Initial report received on 16 April 2008 from an other manufacturer, who received the original report through their National Service Center.  The original reporter to the other manufacturer was a pharmacist.  An unidentified patient (demographics not provided) received a dose of tetanus vaccine (Trade name, manufacturer name, lot number, route and site of administration not provided), and a dose of erythromycin approximately 10 years ago (in 1998), and experienced an "anaphylaxis reaction to the erythromycin and tetanus."  No further information was available at the time of this report.  Treatments received, and diagnostic tests performed were not provided.  The recovery status of the patient was not reported.  Additional information has been requested.
Sex: M
Vaccine: HEP
Symptoms: Condition aggravated, Eosinophil count increased, Erythema toxicum neonatorum, Full blood count, Jaundice
Clinical narrative: (1) Extensive rash of erythema toxicum about 6 hours after injection. (2) Possibly exacerbated Jaundice due to breast feeding  5/2/08 Reviewed PCP medical records 4/11-4/18/2008.   Records reveal patient experienced decreased activity x 1 day.  5/2/08 Reviewed hospital medical records of 4/12-4/13/2008. FINAL DX: Hyperbilirubinemia & rash on abdomen/groin. Records reveal patient experienced decreased activity x 1 day.  Icteric sclera, rash & jaundice to lower chest.  Tx w/antibiotic ointment; no phototherapy done.  Seen by pediatric hospitalist who felt rash likely erythema toxicum & elevated bilirubin likely physiologic.  D/C to home to f/u w/PCP.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Gaze palsy, Irritability, Lumbar puncture, Musculoskeletal stiffness, Pyrexia
Clinical narrative: Received 4 mon. shots on 4-14-08 but started early yesterday a.m with increased fussiness & fever up to 103 degrees.  About 7 A.M. yesterday morning had episode of getting stiff, eyes rolled back in head.  15 min later fell asleep.  Came to office at 9:10 A.M.  CBC obtained increased leukocytes.  LP done.  Pt. transferred to hosp. 6/12/08-records received for DOS 4/15-4/17/08- DC DX-Fever. One day history of fever and 2 spells concerning for seizure activity. Fussy. Fever 102.7. Eyes rolled back, hands turned blue.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Urine analysis, White blood cell count increased
Clinical narrative: Received 4 mon. shots on 4-14-08 but started early yesterday a.m with increased fussiness & fever up to 103 degrees.  About 7 A.M. yesterday morning had episode of getting stiff, eyes rolled back in head.  15 min later fell asleep.  Came to office at 9:10 A.M.  CBC obtained increased leukocytes.  LP done.  Pt. transferred to hosp. 6/12/08-records received for DOS 4/15-4/17/08- DC DX-Fever. One day history of fever and 2 spells concerning for seizure activity. Fussy. Fever 102.7. Eyes rolled back, hands turned blue.
Age: 0.39
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Autopsy
Clinical narrative: Presented to ER DOA, autopsy pending.  10/7/08 Autopsy states COD as undetermined.  Pathological diagnosis: hyperglycemia, likely related to physiologic stress.  10/7/08 Autopsy report states patient experienced irritability w/teething at time of vaccination.  Infant sleeping in car seat within cluttered closet w/door partially closed & baby monitor in closet.  Parents bedroom (w/monitor found turned off) on another floor in house.  Infant was put to sleep approx midnight but not checked or attempted to be fed until approx 2PM when parent entered closet for clothing. Found unresponsive, damp w/sweat, w/blanket partially over face.  DOA in ER w/core temp of 85.  Autopsy found no traumatic injury.
Age: 43.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, Body temperature increased, Influenza like illness, Pain, Pharyngolaryngeal pain
Clinical narrative: Complained of low grade temp. 99.4, flu like symptoms, body aches, sore throat, and achy joints; The patient had a mild to moderate reaction to a Tdap
Age: 43.0
Sex: M
Vaccine: TDAP
Symptoms: Pyrexia, Vaccination complication
Clinical narrative: Complained of low grade temp. 99.4, flu like symptoms, body aches, sore throat, and achy joints; The patient had a mild to moderate reaction to a Tdap
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Syncope
Clinical narrative: Syncopal episode pt recovered after 30 seconds.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Condition aggravated, Convulsion, Dizziness, Electroencephalogram, Migraine
Clinical narrative: Increased migraines.  Dizzy all the time.  Seizure/syncope.  All have started since first dose of Gardasil vaccine.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Nuclear magnetic resonance imaging, Syncope
Clinical narrative: Increased migraines.  Dizzy all the time.  Seizure/syncope.  All have started since first dose of Gardasil vaccine.
Age: 4.0
Sex: M
Vaccine: IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: Right leg edema and redness - treat with oral Benadryl and Tylenol or Motrin.
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site induration
Clinical narrative: 24x9 cm Violoceous indurated area descending from injection site inferiorly.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site induration, Pyrexia
Clinical narrative: Patient developed large violaceous induration surrounding injection site.  Fever 102.
Age: 73.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Erythema, Pain, Swelling
Clinical narrative: large, swollen, reddened area. Patient states - painful; Site examined by Dr recommended warm compress and antihistamines.
Age: 65.0
Sex: F
Vaccine: JEV, YF
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: 3.5cm bulbus eruption to injection site with localized pruritis
Age: 1.6
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site rash, Injection site urticaria
Clinical narrative: Pt given immunizations 4-16-08. Pt seen 4-18-08 with c/o rash on (R) thigh, where the Prevnar and Hib immunizations were given. Rash was diagnosed as urticaria, and treated with Benadryl.
Age: 1.16
Sex: M
Vaccine: HEPA, HIBV, MMR, VARCEL
Symptoms: Decreased appetite, Pyrexia, Rash
Clinical narrative: Pt is a foster child that was seen in our office for well child exam and immunizations; MMR #1, varicella #1, Hib #4, and Hep A #1 were administered on 04/07/08.  On 04/16/08 pt was seen x fever, poor appetite and exanthema over legs x 12-24 hr duration.
Age: 6.0
Sex: M
Vaccine: HEPA
Symptoms: Exfoliative rash, Induration, Rash papular
Clinical narrative: (Rt arm) Rt upper arm with mild induration with papular spots with scals formation in an area 2 inches diameter
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site warmth, Pyrexia, Swelling, Tenderness
Clinical narrative: Large reddened area - warm to touch at site of injection, swelling, tenderness, fever.
Age: 15.0
Sex: F
Vaccine: VARCEL
Symptoms: Flushing, Headache, Pain, Pyrexia, Rash
Clinical narrative: Varivax R arm 3/31/2008 well until 4/20/08.  Onset skin stinging, then fever, HA, cheeks very flushed.  T to 101.9 x 1 1/2 days.  Seen 4/22/08 no fever, faint rash on cheeks.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Oedema peripheral
Clinical narrative: 7 x 5 cm, slightly swollen erythematous area on left upper arm
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Fall, Haemorrhage, Head injury, Skin laceration
Clinical narrative: Approx 5 min after receiving HPV vaccine #2 Pt was atanding at appt desk and suddenly fell backwards and hit head on window ledge. Pt moved to exam room for evaluation. Bleeding controlled, 11/2 inch "C" shaped laceration noted to back of head. I staple placed by Physician covering for Attending. Pt was alert and oriented. Pt stated she did not have much to eat. Drink and snack given in office.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Concussion, Head injury, Suture insertion, Syncope
Clinical narrative: Approx 5 min after receiving HPV vaccine #2 Pt was atanding at appt desk and suddenly fell backwards and hit head on window ledge. Pt moved to exam room for evaluation. Bleeding controlled, 11/2 inch "C" shaped laceration noted to back of head. I staple placed by Physician covering for Attending. Pt was alert and oriented. Pt stated she did not have much to eat. Drink and snack given in office.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Echocardiogram, Grand mal convulsion, Nuclear magnetic resonance imaging brain, Ultrasound scan, Vaccine positive rechallenge
Clinical narrative: First episode occurred three weeks after she had the first shot of Gardasil and the second episode also occured about three weeks after she had the second shot of Gardasil. She was diagnosed with a grand mal seizure. Patient was seen in the ER on Sept 8, 2007 for her first episode. Patient was then seen in our office on Sept 10, 2007 and referred to Neurology. Patient was then seen in our office again on Nov 27, 2007 and wanted the doctor to report to vaccine manufacturer about the possible adverse reaction to the vaccine. The patient is very convinced that there is an association between the Gardasil vaccine and seizures.
Age: 69.0
Sex: M
Vaccine: FLUX
Symptoms: Blindness cortical, Demyelination, Lumbar puncture
Clinical narrative: Central nervous system demylination 7 days after flu vaccine that led to cortical blindness.  Pathology confirmed demyelination.  5/23/08 Reviewed hospital medical records of 11/13-11/26/2007. FINAL DX: ADEM secondary to flu vaccine Records reveal patient experienced blurry vision 10/18, then lost vision on right side, then bilateral vision loss x 3 days.  Saw PCP 10/23 & had head CT scan done which revealed old infarcts.  Admitted to outlying hospital for w/u which was c/w ischemic stroke, tx & d/c to home.  Was stable until 11/9/07 when again had blurry vision which progressed to vision loss, perceiving only bright light.  Returned to outlying ER & transferred to higher level of care.  Tx w/high dose steroids w/o improvement.  Surgical biopsy done which showed inflammatory white matter disease c/w demyelination.  Additional steroids given w/o improvement. D/C to home w/outpatient therapy.
Age: 1.3
Sex: F
Vaccine: HIBV
Symptoms: Aphasia, Diarrhoea, Dyskinesia, Faeces discoloured, Staring
Clinical narrative: Staring spells, loss of 12 word language, loss of eye contact, no longer looks when named is called, excessive spinning, loss of finger pointing, white coated tongue, yellow colored diarrhea on/off for three weeks straight.
Age: 1.3
Sex: F
Vaccine: HIBV
Symptoms: Tongue discolouration, Unresponsive to stimuli
Clinical narrative: Staring spells, loss of 12 word language, loss of eye contact, no longer looks when named is called, excessive spinning, loss of finger pointing, white coated tongue, yellow colored diarrhea on/off for three weeks straight.
Age: 0.5
Sex: M
Vaccine: HIBV, PPV
Symptoms: Dermatitis bullous
Clinical narrative: Rash to lower extremities within 30 minutes of immunizations.  Antihistamine immediately administered and rash began to resolve.  Sent home with continued antihistamines and recheck by phone in am.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Feeling abnormal, Lethargy, Nausea, Somnolence
Clinical narrative: Very sleepy, dizzy, nauseous, light headed.  Started at 6pm after receiving the shingles vaccine at 4:30pm.  Most of the symptoms resolved before 12pm. The rest of that week I felt a little lethargic and not quite right.  That resolved within 7 days.
Age: 35.0
Sex: F
Vaccine: HEPAB, TD, TYP
Symptoms: Computerised tomogram, Convulsion, Electroencephalogram
Clinical narrative: Patient recieved vaccinies through CDC in April of 2005 for overseas travel.  Three days after vaccination, patient began having seizures.  Seizures have been spreed out over time; however condition has not been cured.  Patient has seen specialist (nuerologist), administered several medication to treat seizures, participated in clinical trial studies and frequently admitted to Emergency Rooms.
Age: 16.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site swelling
Clinical narrative: SWELLING AT INJECTION SITE, SEEN SCHOOL NURSE ON 04/21/2008, APPLIED ICE TO AREA.
Age: 34.0
Sex: M
Vaccine: HEP, MEN, TYP
Symptoms: Dizziness, Eye pain
Clinical narrative: STABBING PAIN BEHIND RIGHT EYE.  NON-VERTIGINOUS LIGHT HEADEDNESS.  NO CHANGE IN VISUAL ACUITY.  NO CHANGE LASTED FOR 5 MINUTES.  RESOLVED SPONTANEOUSLY.
Age: 26.0
Sex: F
Vaccine: TD, VARCEL
Symptoms: Injection site urticaria
Clinical narrative: Patient phoned 4/23/08 to report a welt over Varicella immunization site approximately 1 inch wide and two inches long.
Age: 15.0
Sex: M
Vaccine: MNQ
Symptoms: Blood test, Chest X-ray, Dyspnoea, Pyrexia, Tremor
Clinical narrative: Fever, breathing difficulties and shaking. Chest xray, bloodwork, IV fluids and urine test.
Age: 15.0
Sex: M
Vaccine: MNQ
Symptoms: Urine analysis
Clinical narrative: Fever, breathing difficulties and shaking. Chest xray, bloodwork, IV fluids and urine test.
Age: 0.19
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Haematochezia
Clinical narrative: Patient presented with blood in his stools approximately 48 hours after vaccination. He has continued to have bloody stools for the following few days.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 3.5 cm x 5.0 cm area of induration and erythema at injection site.
Age: 1.25
Sex: F
Vaccine: DTAPHEPBIP, HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Body temperature, Heart rate increased, Immediate post-injection reaction, Injection site erythema, Injection site reaction
Clinical narrative: Patient had an immediate reaction on the left leg. Received Hib, PCV7 and Varicella in left leg.  Erythema of 2cm x 3cm welt of .08cm x 1.5cm.  Dr came and evaluated will have patient stay in clinic for 30 minutes for continued monitoring. April 23, 2008 11:20 AM Vitals were retaken before patient left.   Pulse 120   Respirations 24  Temp: 36.6 C  April 23, 2008 11:42 AM No problems noted after 30 minutes of observation erythemia started to resolve at end of 30 minutes welt still present.  Advised if further issues to either call office or 911 depending on continued reaction. April 23, 2008 2:41 PM.
Age: 1.25
Sex: F
Vaccine: DTAPHEPBIP, HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Respiratory rate, Urticaria
Clinical narrative: Patient had an immediate reaction on the left leg. Received Hib, PCV7 and Varicella in left leg.  Erythema of 2cm x 3cm welt of .08cm x 1.5cm.  Dr came and evaluated will have patient stay in clinic for 30 minutes for continued monitoring. April 23, 2008 11:20 AM Vitals were retaken before patient left.   Pulse 120   Respirations 24  Temp: 36.6 C  April 23, 2008 11:42 AM No problems noted after 30 minutes of observation erythemia started to resolve at end of 30 minutes welt still present.  Advised if further issues to either call office or 911 depending on continued reaction. April 23, 2008 2:41 PM.
Age: 1.01
Sex: M
Vaccine: MMR
Symptoms: Erythema, Pyrexia
Clinical narrative: Temp. 102 degrees started April 17th in the pm.  Fever went to 103.7 on April 18th in pm.  Used Tylenol to help reduce fever, also used ice pack on groin area and under arms.  Had a few red dots on body and progressively got more as the days went on.  Fever lasted until April 21st, which was a low grade 99.7.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Fatigue, Hepatic enzyme abnormal, Mononucleosis heterophile test positive
Clinical narrative: This case was reported by a physician and described the occurrence of elevated liver enzymes in a 18-year-old female subject who was vaccinated with HAVRIX, GlaxoSmithKline.  Concurrent medical conditions included fatigue.  Concurrent vaccination included GARDASIL, Merck given on 8 April 2008.  On 8 April 2008 the subject received 1st dose of HAVRIX (unknown).  On 9 April 2008, 1 day after vaccination with HAVRIX, blood work was done on the subject (due to concurrent condition of fatigue) which revealed elevated aspartate aminotransferase (AST) at 129 (0-40) and elevated alanine aminotransferase (ALT) at 223 (0-40).  A mononucleosis test was also done which returned positive.  The physician questioned the HAVRIX vaccine for both elevating the liver enzymes and the possibility of giving a false positive mono test.  This case was assessed as medically serious by GSK.  At the time of reporting the outcome of the events was unspecified.
Age: 0.0
Sex: M
Vaccine: HEP
Symptoms: Bilirubin conjugated increased, Blood bilirubin increased, Hepatitis B surface antigen positive
Clinical narrative: This case was reported by a physician and described the occurrence of elevated direct bilirubin in a 1-day-old male subject who was vaccinated with Engerix B (GlaxoSmithKline).  There were no concurrent medications.  On 8 April 2008 the subject received 1st dose of Engerix B at 0.5 ml in an unknown thigh.  On 8 April 2008, less than one day after vaccination with Engerix B, the subject experienced elevated direct bilirubin.  On 14 April 2008, 6 days after administration of Engerix B, the subject tested positive for hepatitis B surface antigen.  The baby was to be hospitalized on 22 April 2008 for further evaluation.  At the time of reporting the events were unresolved.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Amnesia, Cerebrovascular accident, Hypoaesthesia, Hypoaesthesia facial, Nuclear magnetic resonance imaging brain abnormal
Clinical narrative: Pt had CVA on 3/28/08.  Started with L hand & facial numbness which progressed on that 1/2 of body, went to ER. Oral contraception.  4/30/08-records received for DOS 03/28/08-Presented to ED with C/O right sided facial swelling right arm 'asleep' feeling, hand numbness. Symmetrical smile able to raise eyebrows. Medications: birth control pills.  8/29/08-DC summary received for DOS 3/28-4/2/08-DC DX: Acute cerebrovascular accident.  New onset of slurred speech and right arm weakness more than right leg weakness and positive finding is decreased attention, decreased affect, dysarthria, decreased memory, slightly reduced nasal labial area fold and right arm weakness 3-4/5 and plantar was extended and sensory was reduced on right side.  Follow-up: Pt dx M.S. 3/08.
Age: 86.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Patient says area of upper left arm has been bothering her since time of vaccine.  She says it is 3"x6" area and is "annoying".  "Not" constant pain deep in arm.  "No redness or swelling".  (*Note: patient did not call for 7 months).
Age: 16.0
Sex: F
Vaccine: HEP, MNQ, TDAP, VARCEL
Symptoms: Body temperature, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Temperature 99.9 degrees on 4/18/2008.  Right upper arm red, warm, and swollen on 4/19/2008.  16 x 20 cm area of erythema, heat & edema of R upper arm above the elbow on 4/21/2008.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Blood test normal, Chest X-ray normal, Heart rate increased, Pain, Pyrexia
Clinical narrative: 104 degree fever; aches; rapid heartbeat; hives all over body; wheezing; ER visit; IV, Benadryl injection; 3 weeks of prednisone; ongoing antihistamine regimen.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Urine analysis normal, Urticaria, Wheezing
Clinical narrative: 104 degree fever; aches; rapid heartbeat; hives all over body; wheezing; ER visit; IV, Benadryl injection; 3 weeks of prednisone; ongoing antihistamine regimen.
Age: 21.0
Sex: M
Vaccine: MNQ
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: Complained of body aches, fever, unable to button shirt - fingers hurt.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Culture stool, Haematochezia, Irritability, Mucous stools, Occult blood positive
Clinical narrative: Irritability for 2-3 days - Grossly bloody stool x 48 hrs; guaiac pos, mucous visible in stool
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness & swelling on arm at site of DTaP administration.  Swelling started within 1 hour of vaccine & has been stable for 2 days.
Age: 10.0
Sex: M
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: None.  Patient should have gotten TDAP instead but DTAP can be used as booster for Tetanus.
Age: 17.0
Sex: F
Vaccine: HEP
Symptoms: Dysphagia, Pruritus
Clinical narrative: Given hepatitis B vaccine at approx 0945, told to wait in waiting room x15 mins.  At 0955 c/o reporting itching of face, chest, arm, diff with swallowing, returned pt to pt room vs taken.  Seen by Dr.  Adm. Benadryl liquid 50mg p.o. at 1000.  At 1020 feeling better.  At 1040 released to return to Institute.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Oedema peripheral
Clinical narrative: 24 hours after administration, right thigh swollen 15 x 10cm where 5th DTAP was given.  Advised Benadryl every 6 hours PRN.
Age: 1.3
Sex: F
Vaccine: DTAP
Symptoms: Injection site swelling, Local reaction
Clinical narrative: Swelling around the injection site - localized reaction.  tx - cool compresses/Tylenol.
Age: 1.5
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: No fever.  Entire thigh swelled from groin to knee.  Sx noted on 2/25/08.  Leg was red & swollen.  Pt was seen 2/27/08 - thigh diameter 25 cm.
Age: 68.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Full blood count
Clinical narrative: Cellulitis left upper arm; Treated with Levaquin 750 daily for 10 days
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema
Clinical narrative: Left upper arm with slight redness.  Benadryl PRN.
Age: 67.0
Sex: F
Vaccine: HEPAB, TD
Symptoms: Erythema, Headache, Mass, Pyrexia
Clinical narrative: Patient said, she had redness/fever/headaches and a golf ball-size lump - She took Apap 500mg and ice packs.
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Erythema, Rash vesicular, Skin lesion
Clinical narrative: R ant chest at 10 red lesion w/ some blister.  Back 1 red, no blister.  Rash is very attenuated chickenpox like + pt has received 2 shots!  Varicella 9/27/95 and 3/12/07!
Age: 1.3
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 10 1/2 cm x 7 1/2 cm area of erythema to left upper lateral thigh - slightly warm to the touch.  Motrin q 6-8 hrs PRN.
Age: 47.0
Sex: F
Vaccine: MMR
Symptoms: Feeling abnormal, Injection site erythema, Injection site pruritus, Injection site rash, Local swelling
Clinical narrative: Pt went home feeling very bad, running fever and went to bed.  Woke up with red raised itchy rash near site of injection.  Rash also present on L side of face, eye, and ear.  L side of neck swollen.  Pt called today (4-23-08) to report reaction.  Still has symptoms to present.  Has not gone to see MD.  Is using OTC Benadryl & Tylenol.
Age: 47.0
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Rash
Clinical narrative: Pt went home feeling very bad, running fever and went to bed.  Woke up with red raised itchy rash near site of injection.  Rash also present on L side of face, eye, and ear.  L side of neck swollen.  Pt called today (4-23-08) to report reaction.  Still has symptoms to present.  Has not gone to see MD.  Is using OTC Benadryl & Tylenol.
Age: 1.0
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, MMR, PNC
Symptoms: Body temperature increased, Full blood count normal, Lumbar puncture abnormal, Meningitis pneumococcal, Otitis media
Clinical narrative: Information regarding PREVNAR was received from a healthcare professional regarding a 6-year-old male patient who experienced otitis media, pneumococcal meningitis and lack of drug effect. The patient received the fourth dose on 17-Apr-2002. The patient has a past history of bronchitis. Indication for PREVNAR was immunisation. Product was administered on 17-Apr-2002. Dose regimen was 0.5 mL 1 time per day (intramuscular). Additional suspect medication included Pneumococcal 7-valent Conj Vac (Diphtheria CRM197) (pneumococcal 7-valent conjugate vaccine (diphtheria crm197 protein) injection). Concomitant therapy included POLIO-VACCINE, VARIVAX, Hepatitis B Vaccine, M-M-R II, Diphtheria/Tetanus Toxoids/Acellular Pertussis Vaccine (diphtheria/tetanus toxoid/acellular pertussis vaccine) and haemophilus b conjugate vaccine (diphtheria crm 197 protein conjugate) injection (manufacturer not specified). On 30-Apr-2007, the patient presented to the physician with otitis media, which was considered medically important. Treatment included OMNISTAFF. On 02-May-2007, the child was admitted to the hospital with pneumococcal meningitis (drug ineffective). Clinical symptoms included fever 103 degrees Fahrenheit and vomiting. The child was treated with VANCOMYCIN and ROCEPHIN. On 12-May-2007, the child was discharged from the hospital and all events resolved. On 02-May-2007 test results were: body temperature (results: 103 deg. F.); full blood count (results: "normal"); white blood cell count (results: "normal"); and lumbar puncture (results: which revealed cloudy spinal fluid). No additional information was available at the time of this report.
Age: 1.0
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, MMR, PNC
Symptoms: Pyrexia, Vaccination failure, Vomiting, White blood cell count normal
Clinical narrative: Information regarding PREVNAR was received from a healthcare professional regarding a 6-year-old male patient who experienced otitis media, pneumococcal meningitis and lack of drug effect. The patient received the fourth dose on 17-Apr-2002. The patient has a past history of bronchitis. Indication for PREVNAR was immunisation. Product was administered on 17-Apr-2002. Dose regimen was 0.5 mL 1 time per day (intramuscular). Additional suspect medication included Pneumococcal 7-valent Conj Vac (Diphtheria CRM197) (pneumococcal 7-valent conjugate vaccine (diphtheria crm197 protein) injection). Concomitant therapy included POLIO-VACCINE, VARIVAX, Hepatitis B Vaccine, M-M-R II, Diphtheria/Tetanus Toxoids/Acellular Pertussis Vaccine (diphtheria/tetanus toxoid/acellular pertussis vaccine) and haemophilus b conjugate vaccine (diphtheria crm 197 protein conjugate) injection (manufacturer not specified). On 30-Apr-2007, the patient presented to the physician with otitis media, which was considered medically important. Treatment included OMNISTAFF. On 02-May-2007, the child was admitted to the hospital with pneumococcal meningitis (drug ineffective). Clinical symptoms included fever 103 degrees Fahrenheit and vomiting. The child was treated with VANCOMYCIN and ROCEPHIN. On 12-May-2007, the child was discharged from the hospital and all events resolved. On 02-May-2007 test results were: body temperature (results: 103 deg. F.); full blood count (results: "normal"); white blood cell count (results: "normal"); and lumbar puncture (results: which revealed cloudy spinal fluid). No additional information was available at the time of this report.