chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 52.0
Sex: F
Vaccine: ANTH
Symptoms: Headache, Malaise, Pyrexia, Rash maculo-papular
Clinical narrative: 1 hour s/p fever malaise, HA, 2 days post macualar papular rash back trunk and posterior deltoid area x 2 weeks.  Treatment topical steriod
Age: 46.0
Sex: M
Vaccine: ANTH
Symptoms: Influenza like illness, Rash maculo-papular
Clinical narrative: flu symptoms  macular papular rash anterior and posterior trunk area
Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Anorexia, Asthenia, CSF protein increased, Hypocalcaemia, Hypotension
Clinical narrative: Initial overall body pain 3 days post immunization of shingles vaccine.  Given Tramadol for pain. Tingling in feet and arm.  Overall weakness, loss of appetite. Hospitalization on 4/23/07 for severe hypotension and hypokalcemia for five days.  Returned to hospital on 4/30/07 for another 5 days. Current stay at hospital 5/14/07 to present for orthostatic hypotension.  Elevated protein levels (120) in spinal fluid. Tentative prognosis is Guillan -Barre Syndrome.  MR received for admission 4/23-27/2007 for c/o body aches and weakness x 4 days.  Seen by PCP and BP was 74/48 so admitted with dx of hypotension, body pain, dehydration, recent neck surgery, R/O infection source.  PE significant for inability to sit up w/o c/o of dizziness/weakness, mild sinus mucus, c/o pain L arm, teeth , jaw and whole body, low BP (somewhat improved with IVF), and decreased POM of the neck 2' to cervical collar.  Discharge DX: S/P dehydration 2' to N/V, possibly viral syndrome with side effect from sulfa and Ultram.  S/P hyponatremia due to dehydration, resolved. R/O Viral syndrome. Gastroenteritis.   8/27/2007 MR received for DOS 5/14 to 6/30/2007 with initial c/o leg weakness, dizziness, and orthostatic symptoms.  Seen twice prior to this admission for same sx. PE (+) for L eyelid lag and some ptosis.  Bilateral weakness > in proximal muscles. Neuro consult 5/14/07 which notes tingling dysthesias, extremity weakness, hypotension, unsteady gait.  DX: Dysautonomia with symptomatic orthostatic hypotension. Anemia.   Pt transfered to nursing facility. 1/15/2010 Dr stil requiring medication for orhtostatic hypotension, but is greatly improved.
Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Orthostatic hypotension, Pain, Paraesthesia
Clinical narrative: Initial overall body pain 3 days post immunization of shingles vaccine.  Given Tramadol for pain. Tingling in feet and arm.  Overall weakness, loss of appetite. Hospitalization on 4/23/07 for severe hypotension and hypokalcemia for five days.  Returned to hospital on 4/30/07 for another 5 days. Current stay at hospital 5/14/07 to present for orthostatic hypotension.  Elevated protein levels (120) in spinal fluid. Tentative prognosis is Guillan -Barre Syndrome.  MR received for admission 4/23-27/2007 for c/o body aches and weakness x 4 days.  Seen by PCP and BP was 74/48 so admitted with dx of hypotension, body pain, dehydration, recent neck surgery, R/O infection source.  PE significant for inability to sit up w/o c/o of dizziness/weakness, mild sinus mucus, c/o pain L arm, teeth , jaw and whole body, low BP (somewhat improved with IVF), and decreased POM of the neck 2' to cervical collar.  Discharge DX: S/P dehydration 2' to N/V, possibly viral syndrome with side effect from sulfa and Ultram.  S/P hyponatremia due to dehydration, resolved. R/O Viral syndrome. Gastroenteritis.   8/27/2007 MR received for DOS 5/14 to 6/30/2007 with initial c/o leg weakness, dizziness, and orthostatic symptoms.  Seen twice prior to this admission for same sx. PE (+) for L eyelid lag and some ptosis.  Bilateral weakness > in proximal muscles. Neuro consult 5/14/07 which notes tingling dysthesias, extremity weakness, hypotension, unsteady gait.  DX: Dysautonomia with symptomatic orthostatic hypotension. Anemia.   Pt transfered to nursing facility. 1/15/2010 Dr stil requiring medication for orhtostatic hypotension, but is greatly improved.
Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Antineutrophil cytoplasmic antibody, Antinuclear antibody, Arthralgia, Asthenia, Autonomic nervous system imbalance
Clinical narrative: Initial overall body pain 3 days post immunization of shingles vaccine.  Given Tramadol for pain. Tingling in feet and arm.  Overall weakness, loss of appetite. Hospitalization on 4/23/07 for severe hypotension and hypokalcemia for five days.  Returned to hospital on 4/30/07 for another 5 days. Current stay at hospital 5/14/07 to present for orthostatic hypotension.  Elevated protein levels (120) in spinal fluid. Tentative prognosis is Guillan -Barre Syndrome.  MR received for admission 4/23-27/2007 for c/o body aches and weakness x 4 days.  Seen by PCP and BP was 74/48 so admitted with dx of hypotension, body pain, dehydration, recent neck surgery, R/O infection source.  PE significant for inability to sit up w/o c/o of dizziness/weakness, mild sinus mucus, c/o pain L arm, teeth , jaw and whole body, low BP (somewhat improved with IVF), and decreased POM of the neck 2' to cervical collar.  Discharge DX: S/P dehydration 2' to N/V, possibly viral syndrome with side effect from sulfa and Ultram.  S/P hyponatremia due to dehydration, resolved. R/O Viral syndrome. Gastroenteritis.   8/27/2007 MR received for DOS 5/14 to 6/30/2007 with initial c/o leg weakness, dizziness, and orthostatic symptoms.  Seen twice prior to this admission for same sx. PE (+) for L eyelid lag and some ptosis.  Bilateral weakness > in proximal muscles. Neuro consult 5/14/07 which notes tingling dysthesias, extremity weakness, hypotension, unsteady gait.  DX: Dysautonomia with symptomatic orthostatic hypotension. Anemia.   Pt transfered to nursing facility. 1/15/2010 Dr stil requiring medication for orhtostatic hypotension, but is greatly improved.
Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Autonomic neuropathy, Blood creatinine, Blood culture, Blood electrolytes, Blood glucose
Clinical narrative: Initial overall body pain 3 days post immunization of shingles vaccine.  Given Tramadol for pain. Tingling in feet and arm.  Overall weakness, loss of appetite. Hospitalization on 4/23/07 for severe hypotension and hypokalcemia for five days.  Returned to hospital on 4/30/07 for another 5 days. Current stay at hospital 5/14/07 to present for orthostatic hypotension.  Elevated protein levels (120) in spinal fluid. Tentative prognosis is Guillan -Barre Syndrome.  MR received for admission 4/23-27/2007 for c/o body aches and weakness x 4 days.  Seen by PCP and BP was 74/48 so admitted with dx of hypotension, body pain, dehydration, recent neck surgery, R/O infection source.  PE significant for inability to sit up w/o c/o of dizziness/weakness, mild sinus mucus, c/o pain L arm, teeth , jaw and whole body, low BP (somewhat improved with IVF), and decreased POM of the neck 2' to cervical collar.  Discharge DX: S/P dehydration 2' to N/V, possibly viral syndrome with side effect from sulfa and Ultram.  S/P hyponatremia due to dehydration, resolved. R/O Viral syndrome. Gastroenteritis.   8/27/2007 MR received for DOS 5/14 to 6/30/2007 with initial c/o leg weakness, dizziness, and orthostatic symptoms.  Seen twice prior to this admission for same sx. PE (+) for L eyelid lag and some ptosis.  Bilateral weakness > in proximal muscles. Neuro consult 5/14/07 which notes tingling dysthesias, extremity weakness, hypotension, unsteady gait.  DX: Dysautonomia with symptomatic orthostatic hypotension. Anemia.   Pt transfered to nursing facility. 1/15/2010 Dr stil requiring medication for orhtostatic hypotension, but is greatly improved.
Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Blood test, CSF protein increased, Chest X-ray, Computerised tomogram, Culture urine
Clinical narrative: Initial overall body pain 3 days post immunization of shingles vaccine.  Given Tramadol for pain. Tingling in feet and arm.  Overall weakness, loss of appetite. Hospitalization on 4/23/07 for severe hypotension and hypokalcemia for five days.  Returned to hospital on 4/30/07 for another 5 days. Current stay at hospital 5/14/07 to present for orthostatic hypotension.  Elevated protein levels (120) in spinal fluid. Tentative prognosis is Guillan -Barre Syndrome.  MR received for admission 4/23-27/2007 for c/o body aches and weakness x 4 days.  Seen by PCP and BP was 74/48 so admitted with dx of hypotension, body pain, dehydration, recent neck surgery, R/O infection source.  PE significant for inability to sit up w/o c/o of dizziness/weakness, mild sinus mucus, c/o pain L arm, teeth , jaw and whole body, low BP (somewhat improved with IVF), and decreased POM of the neck 2' to cervical collar.  Discharge DX: S/P dehydration 2' to N/V, possibly viral syndrome with side effect from sulfa and Ultram.  S/P hyponatremia due to dehydration, resolved. R/O Viral syndrome. Gastroenteritis.   8/27/2007 MR received for DOS 5/14 to 6/30/2007 with initial c/o leg weakness, dizziness, and orthostatic symptoms.  Seen twice prior to this admission for same sx. PE (+) for L eyelid lag and some ptosis.  Bilateral weakness > in proximal muscles. Neuro consult 5/14/07 which notes tingling dysthesias, extremity weakness, hypotension, unsteady gait.  DX: Dysautonomia with symptomatic orthostatic hypotension. Anemia.   Pt transfered to nursing facility. 1/15/2010 Dr stil requiring medication for orhtostatic hypotension, but is greatly improved.
Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Dysphagia, Full blood count, HIV test, Hypotension, Myalgia
Clinical narrative: Initial overall body pain 3 days post immunization of shingles vaccine.  Given Tramadol for pain. Tingling in feet and arm.  Overall weakness, loss of appetite. Hospitalization on 4/23/07 for severe hypotension and hypokalcemia for five days.  Returned to hospital on 4/30/07 for another 5 days. Current stay at hospital 5/14/07 to present for orthostatic hypotension.  Elevated protein levels (120) in spinal fluid. Tentative prognosis is Guillan -Barre Syndrome.  MR received for admission 4/23-27/2007 for c/o body aches and weakness x 4 days.  Seen by PCP and BP was 74/48 so admitted with dx of hypotension, body pain, dehydration, recent neck surgery, R/O infection source.  PE significant for inability to sit up w/o c/o of dizziness/weakness, mild sinus mucus, c/o pain L arm, teeth , jaw and whole body, low BP (somewhat improved with IVF), and decreased POM of the neck 2' to cervical collar.  Discharge DX: S/P dehydration 2' to N/V, possibly viral syndrome with side effect from sulfa and Ultram.  S/P hyponatremia due to dehydration, resolved. R/O Viral syndrome. Gastroenteritis.   8/27/2007 MR received for DOS 5/14 to 6/30/2007 with initial c/o leg weakness, dizziness, and orthostatic symptoms.  Seen twice prior to this admission for same sx. PE (+) for L eyelid lag and some ptosis.  Bilateral weakness > in proximal muscles. Neuro consult 5/14/07 which notes tingling dysthesias, extremity weakness, hypotension, unsteady gait.  DX: Dysautonomia with symptomatic orthostatic hypotension. Anemia.   Pt transfered to nursing facility. 1/15/2010 Dr stil requiring medication for orhtostatic hypotension, but is greatly improved.
Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Nausea, Nuclear magnetic resonance imaging brain, Orthostatic hypotension, Pain, Presyncope
Clinical narrative: Initial overall body pain 3 days post immunization of shingles vaccine.  Given Tramadol for pain. Tingling in feet and arm.  Overall weakness, loss of appetite. Hospitalization on 4/23/07 for severe hypotension and hypokalcemia for five days.  Returned to hospital on 4/30/07 for another 5 days. Current stay at hospital 5/14/07 to present for orthostatic hypotension.  Elevated protein levels (120) in spinal fluid. Tentative prognosis is Guillan -Barre Syndrome.  MR received for admission 4/23-27/2007 for c/o body aches and weakness x 4 days.  Seen by PCP and BP was 74/48 so admitted with dx of hypotension, body pain, dehydration, recent neck surgery, R/O infection source.  PE significant for inability to sit up w/o c/o of dizziness/weakness, mild sinus mucus, c/o pain L arm, teeth , jaw and whole body, low BP (somewhat improved with IVF), and decreased POM of the neck 2' to cervical collar.  Discharge DX: S/P dehydration 2' to N/V, possibly viral syndrome with side effect from sulfa and Ultram.  S/P hyponatremia due to dehydration, resolved. R/O Viral syndrome. Gastroenteritis.   8/27/2007 MR received for DOS 5/14 to 6/30/2007 with initial c/o leg weakness, dizziness, and orthostatic symptoms.  Seen twice prior to this admission for same sx. PE (+) for L eyelid lag and some ptosis.  Bilateral weakness > in proximal muscles. Neuro consult 5/14/07 which notes tingling dysthesias, extremity weakness, hypotension, unsteady gait.  DX: Dysautonomia with symptomatic orthostatic hypotension. Anemia.   Pt transfered to nursing facility. 1/15/2010 Dr stil requiring medication for orhtostatic hypotension, but is greatly improved.
Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Red blood cell sedimentation rate, Rheumatoid factor, Syncope, Vomiting, Weight decreased
Clinical narrative: Initial overall body pain 3 days post immunization of shingles vaccine.  Given Tramadol for pain. Tingling in feet and arm.  Overall weakness, loss of appetite. Hospitalization on 4/23/07 for severe hypotension and hypokalcemia for five days.  Returned to hospital on 4/30/07 for another 5 days. Current stay at hospital 5/14/07 to present for orthostatic hypotension.  Elevated protein levels (120) in spinal fluid. Tentative prognosis is Guillan -Barre Syndrome.  MR received for admission 4/23-27/2007 for c/o body aches and weakness x 4 days.  Seen by PCP and BP was 74/48 so admitted with dx of hypotension, body pain, dehydration, recent neck surgery, R/O infection source.  PE significant for inability to sit up w/o c/o of dizziness/weakness, mild sinus mucus, c/o pain L arm, teeth , jaw and whole body, low BP (somewhat improved with IVF), and decreased POM of the neck 2' to cervical collar.  Discharge DX: S/P dehydration 2' to N/V, possibly viral syndrome with side effect from sulfa and Ultram.  S/P hyponatremia due to dehydration, resolved. R/O Viral syndrome. Gastroenteritis.   8/27/2007 MR received for DOS 5/14 to 6/30/2007 with initial c/o leg weakness, dizziness, and orthostatic symptoms.  Seen twice prior to this admission for same sx. PE (+) for L eyelid lag and some ptosis.  Bilateral weakness > in proximal muscles. Neuro consult 5/14/07 which notes tingling dysthesias, extremity weakness, hypotension, unsteady gait.  DX: Dysautonomia with symptomatic orthostatic hypotension. Anemia.   Pt transfered to nursing facility. 1/15/2010 Dr stil requiring medication for orhtostatic hypotension, but is greatly improved.
Age: 51.0
Sex: F
Vaccine: ANTH
Symptoms: Arthralgia, Erythema, Pain, Paraesthesia, Skin nodule
Clinical narrative: Shot #1: (10Apr07) No reaction.  Shot #2 (24Apr07) Hard knot in left arm, reddened patch approx 2" across. Started having joint pain in left elbow area, sharp pains resembling a pinched nerve in upper part of arm, tingling in fingertips of left arm.  Shot#3: (18May07) Larger hard knot in left arm, reddened area now 4" in diameter, continued pain in left elbow joint, sharp intermittent pains in upper left arm, increased tingling in left fingertips/hand, feeling sluggish, achy.
Age: 51.0
Sex: F
Vaccine: ANTH
Symptoms: Sluggishness
Clinical narrative: Shot #1: (10Apr07) No reaction.  Shot #2 (24Apr07) Hard knot in left arm, reddened patch approx 2" across. Started having joint pain in left elbow area, sharp pains resembling a pinched nerve in upper part of arm, tingling in fingertips of left arm.  Shot#3: (18May07) Larger hard knot in left arm, reddened area now 4" in diameter, continued pain in left elbow joint, sharp intermittent pains in upper left arm, increased tingling in left fingertips/hand, feeling sluggish, achy.
Age: 0.27
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, RV5
Symptoms: Barium enema, Central venous catheterisation, Colostomy, Diarrhoea, Endotracheal intubation
Clinical narrative: Vomiting, Diaherria, intussusception 4-5 days post vaccination--tx surgery  (has colostomy bag resulting in 2nd operation in 6-8 weeks). 5/22/07 Received medical records from hospital which reveal patient experienced emesis for 1 day, 3 loose stools w/bloody mucous & abdominal pain.  On admit 5/14/07 was lethargic. FINAL DX: Intusussception, transferred to higher level of care for surgery. 5/29/07 Received hospital medical records which reveal patient was received from outlying hospital after vomiting, bloody diarrhea, pallor & lethargy.  Admitted 5/14-5/18/07.  Unable to reduce the IS & was taken to OR for exp lap & resection of sholecolonic IS, colostomy & placement of central line.  26 cm of colon was removed & patient was in ICU post op, intubated & on multiple IV antibiotics.  Initially on TPN but was able to be extubated & diet advanced to oral FINAL DX: Cholecolonic intussusception; intussusception nonreducible, w/perforation.  Follow-up: He will always have the risk of bowel obstruction and other bowel conditions due to the intensity of the surgeries.
Age: 0.27
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, RV5
Symptoms: Enema administration, Intensive care, Intussusception, Lymphocyte count decreased, Mucous stools
Clinical narrative: Vomiting, Diaherria, intussusception 4-5 days post vaccination--tx surgery  (has colostomy bag resulting in 2nd operation in 6-8 weeks). 5/22/07 Received medical records from hospital which reveal patient experienced emesis for 1 day, 3 loose stools w/bloody mucous & abdominal pain.  On admit 5/14/07 was lethargic. FINAL DX: Intusussception, transferred to higher level of care for surgery. 5/29/07 Received hospital medical records which reveal patient was received from outlying hospital after vomiting, bloody diarrhea, pallor & lethargy.  Admitted 5/14-5/18/07.  Unable to reduce the IS & was taken to OR for exp lap & resection of sholecolonic IS, colostomy & placement of central line.  26 cm of colon was removed & patient was in ICU post op, intubated & on multiple IV antibiotics.  Initially on TPN but was able to be extubated & diet advanced to oral FINAL DX: Cholecolonic intussusception; intussusception nonreducible, w/perforation.  Follow-up: He will always have the risk of bowel obstruction and other bowel conditions due to the intensity of the surgeries.
Age: 0.27
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, RV5
Symptoms: Occult blood, Surgery, Vomiting, X-ray
Clinical narrative: Vomiting, Diaherria, intussusception 4-5 days post vaccination--tx surgery  (has colostomy bag resulting in 2nd operation in 6-8 weeks). 5/22/07 Received medical records from hospital which reveal patient experienced emesis for 1 day, 3 loose stools w/bloody mucous & abdominal pain.  On admit 5/14/07 was lethargic. FINAL DX: Intusussception, transferred to higher level of care for surgery. 5/29/07 Received hospital medical records which reveal patient was received from outlying hospital after vomiting, bloody diarrhea, pallor & lethargy.  Admitted 5/14-5/18/07.  Unable to reduce the IS & was taken to OR for exp lap & resection of sholecolonic IS, colostomy & placement of central line.  26 cm of colon was removed & patient was in ICU post op, intubated & on multiple IV antibiotics.  Initially on TPN but was able to be extubated & diet advanced to oral FINAL DX: Cholecolonic intussusception; intussusception nonreducible, w/perforation.  Follow-up: He will always have the risk of bowel obstruction and other bowel conditions due to the intensity of the surgeries.
Age: 0.27
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, RV5
Symptoms: Intestinal resection, Intussusception, Surgery
Clinical narrative: Vomiting, Diaherria, intussusception 4-5 days post vaccination--tx surgery  (has colostomy bag resulting in 2nd operation in 6-8 weeks). 5/22/07 Received medical records from hospital which reveal patient experienced emesis for 1 day, 3 loose stools w/bloody mucous & abdominal pain.  On admit 5/14/07 was lethargic. FINAL DX: Intusussception, transferred to higher level of care for surgery. 5/29/07 Received hospital medical records which reveal patient was received from outlying hospital after vomiting, bloody diarrhea, pallor & lethargy.  Admitted 5/14-5/18/07.  Unable to reduce the IS & was taken to OR for exp lap & resection of sholecolonic IS, colostomy & placement of central line.  26 cm of colon was removed & patient was in ICU post op, intubated & on multiple IV antibiotics.  Initially on TPN but was able to be extubated & diet advanced to oral FINAL DX: Cholecolonic intussusception; intussusception nonreducible, w/perforation.  Follow-up: He will always have the risk of bowel obstruction and other bowel conditions due to the intensity of the surgeries.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Cerebrovascular accident, Facial palsy, Facial paresis, Fatigue, Guillain-Barre syndrome
Clinical narrative: Guillain-[[name]] Syndrome, Bell's Palsy.  7/2/07 Received pcp medical records which reveal patient experienced her usual state of health on day of vax.  RTC on 10/21 w/facial assymetry & droop.  Dx at that time was CVA 7/3/07 Received hospital medical records which reveal patient admitted initially on 10/21-10/23 for severe migrain & left facial weakness, Bells Palsy, uncontrolled HTN, NIDDM, R/O CVA.  Neuro consult obtained.  MRI/MRA wer WNL.  HTN becamed controlled, Bells Palsy tx w/prednisone & anti viral med.  At d/c had continued difficulty closing left eye & had left facial asymmetry but had improved.  Readmitted 11/3-11/10/2005 due to arm & leg weakness. Neuro consult done & revealed muscle weakness & areflexia of LEs.  Tx w/IVIG & improved at d/c to outpatient f/u w/continued eye patching, outpatient PT/OT & neuro f/u. FINAL DX: Guillain [[name]] syndrome, left Bells Palsy. 1/4/10 Gullian [[name]] Syndrome left me with sever chronic fatigue and muscle weakness. Also Bell's Palsy left me with mild facial disfigurment, chronic eye watering and facial tick.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Head deformity, Hypertension, Lacrimation increased, Lumbar puncture, Occupational therapy
Clinical narrative: Guillain-[[name]] Syndrome, Bell's Palsy.  7/2/07 Received pcp medical records which reveal patient experienced her usual state of health on day of vax.  RTC on 10/21 w/facial assymetry & droop.  Dx at that time was CVA 7/3/07 Received hospital medical records which reveal patient admitted initially on 10/21-10/23 for severe migrain & left facial weakness, Bells Palsy, uncontrolled HTN, NIDDM, R/O CVA.  Neuro consult obtained.  MRI/MRA wer WNL.  HTN becamed controlled, Bells Palsy tx w/prednisone & anti viral med.  At d/c had continued difficulty closing left eye & had left facial asymmetry but had improved.  Readmitted 11/3-11/10/2005 due to arm & leg weakness. Neuro consult done & revealed muscle weakness & areflexia of LEs.  Tx w/IVIG & improved at d/c to outpatient f/u w/continued eye patching, outpatient PT/OT & neuro f/u. FINAL DX: Guillain [[name]] syndrome, left Bells Palsy. 1/4/10 Gullian [[name]] Syndrome left me with sever chronic fatigue and muscle weakness. Also Bell's Palsy left me with mild facial disfigurment, chronic eye watering and facial tick.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Physiotherapy, Tic
Clinical narrative: Guillain-[[name]] Syndrome, Bell's Palsy.  7/2/07 Received pcp medical records which reveal patient experienced her usual state of health on day of vax.  RTC on 10/21 w/facial assymetry & droop.  Dx at that time was CVA 7/3/07 Received hospital medical records which reveal patient admitted initially on 10/21-10/23 for severe migrain & left facial weakness, Bells Palsy, uncontrolled HTN, NIDDM, R/O CVA.  Neuro consult obtained.  MRI/MRA wer WNL.  HTN becamed controlled, Bells Palsy tx w/prednisone & anti viral med.  At d/c had continued difficulty closing left eye & had left facial asymmetry but had improved.  Readmitted 11/3-11/10/2005 due to arm & leg weakness. Neuro consult done & revealed muscle weakness & areflexia of LEs.  Tx w/IVIG & improved at d/c to outpatient f/u w/continued eye patching, outpatient PT/OT & neuro f/u. FINAL DX: Guillain [[name]] syndrome, left Bells Palsy. 1/4/10 Gullian [[name]] Syndrome left me with sever chronic fatigue and muscle weakness. Also Bell's Palsy left me with mild facial disfigurment, chronic eye watering and facial tick.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PPV
Symptoms: Barium double contrast, Full blood count, Intussusception
Clinical narrative: intussusception, reduced via air contrast enema.  5/21/07 Received hospital medical records which reveal patient experienced fever, inconsolable fussiness, loose stools.  Exam revealed abdominal tenderness & distention.  Admitted 5/19-5/20/07 for overnight observation after contrast enema revealed no IS, probable spontaneous resolution.  Continued to have fever but abdomen was benign & was able to tolerate oral feeds at d/c to home. FINAL DX: Reduced intussusception & fever.
Age: 23.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Asthenia, Chills, Dizziness, Dyspnoea
Clinical narrative: 5/9/07 16:30 Pain at the injection site. 5/9/07 22:00 Headache, fatigue 5/10/07 15:00 Body aches, fever, chills,    headache, tiredness, mild nausea, joint pain 5/10/07 19:00 Severe muscle pain (all over body), migraine 5/10/07 20:30 Fever over 102 F, severe nausea/nearly vomiting, difficulty breathing, wheezing, violent muscle pain, weakness (could barely stand up), dizziness, rapid heart beat, redness and significant swelling at injection site 5/11/07 11:00 Symptoms had subsided over night, but worsened again 5/12/07 17:30 Rash around injection site with about 4 inch radius (might have been there previously, but didn't notice it before.)  Still experiencing muscle aches, fatigue, persistent headache  5/16/07--Injection site still sore, red, swollen, warm, and hard.
Age: 23.0
Sex: F
Vaccine: TDAP
Symptoms: Fatigue, Headache, Heart rate increased, Injection site erythema, Injection site induration
Clinical narrative: 5/9/07 16:30 Pain at the injection site. 5/9/07 22:00 Headache, fatigue 5/10/07 15:00 Body aches, fever, chills,    headache, tiredness, mild nausea, joint pain 5/10/07 19:00 Severe muscle pain (all over body), migraine 5/10/07 20:30 Fever over 102 F, severe nausea/nearly vomiting, difficulty breathing, wheezing, violent muscle pain, weakness (could barely stand up), dizziness, rapid heart beat, redness and significant swelling at injection site 5/11/07 11:00 Symptoms had subsided over night, but worsened again 5/12/07 17:30 Rash around injection site with about 4 inch radius (might have been there previously, but didn't notice it before.)  Still experiencing muscle aches, fatigue, persistent headache  5/16/07--Injection site still sore, red, swollen, warm, and hard.
Age: 23.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site necrosis, Injection site pain, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: 5/9/07 16:30 Pain at the injection site. 5/9/07 22:00 Headache, fatigue 5/10/07 15:00 Body aches, fever, chills,    headache, tiredness, mild nausea, joint pain 5/10/07 19:00 Severe muscle pain (all over body), migraine 5/10/07 20:30 Fever over 102 F, severe nausea/nearly vomiting, difficulty breathing, wheezing, violent muscle pain, weakness (could barely stand up), dizziness, rapid heart beat, redness and significant swelling at injection site 5/11/07 11:00 Symptoms had subsided over night, but worsened again 5/12/07 17:30 Rash around injection site with about 4 inch radius (might have been there previously, but didn't notice it before.)  Still experiencing muscle aches, fatigue, persistent headache  5/16/07--Injection site still sore, red, swollen, warm, and hard.
Age: 23.0
Sex: F
Vaccine: TDAP
Symptoms: Migraine, Myalgia, Nausea, Pain, Pyrexia
Clinical narrative: 5/9/07 16:30 Pain at the injection site. 5/9/07 22:00 Headache, fatigue 5/10/07 15:00 Body aches, fever, chills,    headache, tiredness, mild nausea, joint pain 5/10/07 19:00 Severe muscle pain (all over body), migraine 5/10/07 20:30 Fever over 102 F, severe nausea/nearly vomiting, difficulty breathing, wheezing, violent muscle pain, weakness (could barely stand up), dizziness, rapid heart beat, redness and significant swelling at injection site 5/11/07 11:00 Symptoms had subsided over night, but worsened again 5/12/07 17:30 Rash around injection site with about 4 inch radius (might have been there previously, but didn't notice it before.)  Still experiencing muscle aches, fatigue, persistent headache  5/16/07--Injection site still sore, red, swollen, warm, and hard.
Age: 23.0
Sex: F
Vaccine: TDAP
Symptoms: Wheezing
Clinical narrative: 5/9/07 16:30 Pain at the injection site. 5/9/07 22:00 Headache, fatigue 5/10/07 15:00 Body aches, fever, chills,    headache, tiredness, mild nausea, joint pain 5/10/07 19:00 Severe muscle pain (all over body), migraine 5/10/07 20:30 Fever over 102 F, severe nausea/nearly vomiting, difficulty breathing, wheezing, violent muscle pain, weakness (could barely stand up), dizziness, rapid heart beat, redness and significant swelling at injection site 5/11/07 11:00 Symptoms had subsided over night, but worsened again 5/12/07 17:30 Rash around injection site with about 4 inch radius (might have been there previously, but didn't notice it before.)  Still experiencing muscle aches, fatigue, persistent headache  5/16/07--Injection site still sore, red, swollen, warm, and hard.
Age: 43.0
Sex: M
Vaccine: MNQ
Symptoms: Dizziness, Electrocardiogram, Oxygen saturation normal, Paraesthesia, Tachycardia
Clinical narrative: lightheadedness, tingling, tachycardia
Age: 0.17
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PPV, RV5
Symptoms: Blood sodium decreased, Chest X-ray, Full blood count, Pyrexia, Urine analysis
Clinical narrative: fever  of 101.9 within 9 hours of vaccine administration requiring a visit to an emergency room
Age: 0.17
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PPV, RV5
Symptoms: Wrong drug administered
Clinical narrative: fever  of 101.9 within 9 hours of vaccine administration requiring a visit to an emergency room
Age: 1.0
Sex: F
Vaccine: HEPA, MMRV, MMRV
Symptoms: Pyrexia, Rash morbilliform, Red blood cell sedimentation rate increased
Clinical narrative: Information has been received from a physician and follow up information was received from other health professionals concerning a 12 month old female with no known allergies or past medical history who on 26-FEB-2007 at 15:00 was vaccinated subcutaneously in the left thigh with a 0.5 ml first dose of MMR II (lot # 656551/1532F). There was no illness at the time of vaccination. Subsequently, on 28-FEB-2007 at 06:30 the patient experienced a very high fever up to 104.5 for five days (also reported as about three or four days). The patient then developed a rash (also reported as a rash at the injection site) after day 5, on 04-MAR-2007. Medical attention was sought. It was reported that the patient has an elevated ESR of 90 and her WBC count was 12.5 K. On an unspecified date that patient recovered. It was reported that the patient had no adverse events following prior vaccination. No product quality complaint was involved. The reporter considered the patient's events to be other important medical events. Additional information is not expected.
Age: 1.0
Sex: F
Vaccine: HEPA, MMRV, MMRV
Symptoms: Injection site rash, Pyrexia, Red blood cell sedimentation rate increased, White blood cell count normal
Clinical narrative: Information has been received from a physician and follow up information was received from other health professionals concerning a 12 month old female with no known allergies or past medical history who on 26-FEB-2007 at 15:00 was vaccinated subcutaneously in the left thigh with a 0.5 ml first dose of MMR II (lot # 656551/1532F). There was no illness at the time of vaccination. Subsequently, on 28-FEB-2007 at 06:30 the patient experienced a very high fever up to 104.5 for five days (also reported as about three or four days). The patient then developed a rash (also reported as a rash at the injection site) after day 5, on 04-MAR-2007. Medical attention was sought. It was reported that the patient has an elevated ESR of 90 and her WBC count was 12.5 K. On an unspecified date that patient recovered. It was reported that the patient had no adverse events following prior vaccination. No product quality complaint was involved. The reporter considered the patient's events to be other important medical events. Additional information is not expected.
Age: 30.0
Sex: M
Vaccine: ANTH, TYP, ANTH, TYP
Symptoms: Loss of consciousness
Clinical narrative: Within 10 minutes of receiving shot, became nauseaus and extrememly dizzy.  Eventually passed out.  Received oxygen and IV fluids in ambulance and at hospital.  Stayed in hospital for 24 hours for observation.  Had a minor headache and dizziness for the next 5 days.
Age: 30.0
Sex: M
Vaccine: ANTH, TYP, ANTH, TYP
Symptoms: Blood test, Chest X-ray, Dizziness, Fluid replacement, Headache
Clinical narrative: Within 10 minutes of receiving shot, became nauseaus and extrememly dizzy.  Eventually passed out.  Received oxygen and IV fluids in ambulance and at hospital.  Stayed in hospital for 24 hours for observation.  Had a minor headache and dizziness for the next 5 days.
Age: 30.0
Sex: M
Vaccine: ANTH, TYP, ANTH, TYP
Symptoms: Loss of consciousness, Nausea, Oxygen supplementation
Clinical narrative: Within 10 minutes of receiving shot, became nauseaus and extrememly dizzy.  Eventually passed out.  Received oxygen and IV fluids in ambulance and at hospital.  Stayed in hospital for 24 hours for observation.  Had a minor headache and dizziness for the next 5 days.
Age: 0.25
Sex: M
Vaccine: RV5, RV5, RV5
Symptoms: Barium swallow abnormal, Gastrointestinal necrosis, Intussusception, Mass, Surgery
Clinical narrative: Information has been received from a registered nurse concerning a 3 month old male who on 12-FEB-2007 was vaccinated with a 2 mL oral dose of Rotateq. On 13-MAR-2007 the patient developed intussusception and was admitted to the hospital for two weeks. The exact dated of hospitalization were unknown. Subsequently, the patient recovered from intussusception on 01-APR-2007. The patient's intussusception was considered to be immediately life-threatening. Surgery was performed. There was no product quality complaint involved. Additional information has been requested.
Age: 0.25
Sex: M
Vaccine: RV5, RV5, RV5
Symptoms: Urinary system X-ray
Clinical narrative: Information has been received from a registered nurse concerning a 3 month old male who on 12-FEB-2007 was vaccinated with a 2 mL oral dose of Rotateq. On 13-MAR-2007 the patient developed intussusception and was admitted to the hospital for two weeks. The exact dated of hospitalization were unknown. Subsequently, the patient recovered from intussusception on 01-APR-2007. The patient's intussusception was considered to be immediately life-threatening. Surgery was performed. There was no product quality complaint involved. Additional information has been requested.
Age: 0.25
Sex: M
Vaccine: RV5, RV5, RV5
Symptoms: Intussusception, Surgery
Clinical narrative: Information has been received from a registered nurse concerning a 3 month old male who on 12-FEB-2007 was vaccinated with a 2 mL oral dose of Rotateq. On 13-MAR-2007 the patient developed intussusception and was admitted to the hospital for two weeks. The exact dated of hospitalization were unknown. Subsequently, the patient recovered from intussusception on 01-APR-2007. The patient's intussusception was considered to be immediately life-threatening. Surgery was performed. There was no product quality complaint involved. Additional information has been requested.
Age: 0.25
Sex: M
Vaccine: RV5, RV5, RV5
Symptoms: Barium swallow abnormal, Gastrointestinal necrosis, Intussusception, Surgery, Urinary system X-ray
Clinical narrative: Information has been received from a registered nurse concerning a 3 month old male who on 12-FEB-2007 was vaccinated with a 2 mL oral dose of Rotateq. On 13-MAR-2007 the patient developed intussusception and was admitted to the hospital for two weeks. The exact dated of hospitalization were unknown. Subsequently, the patient recovered from intussusception on 01-APR-2007. The patient's intussusception was considered to be immediately life-threatening. Surgery was performed. There was no product quality complaint involved. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Blood glucose decreased, Guillain-Barre syndrome, Laboratory test, Muscular weakness, Red blood cell count normal
Clinical narrative: Extreme weakness in extremities arms and legs.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Red blood cells CSF positive
Clinical narrative: Extreme weakness in extremities arms and legs.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Muscular weakness
Clinical narrative: Extreme weakness in extremities arms and legs.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Asthenia, Autoimmune disorder, Feeling abnormal, Gait disturbance, Guillain-Barre syndrome
Clinical narrative: Extreme weakness in extremities arms and legs.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Monoplegia, Muscular weakness, Walking aid user
Clinical narrative: Extreme weakness in extremities arms and legs.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Guillain-Barre syndrome
Clinical narrative: Extreme weakness in extremities arms and legs.
Sex: U
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, RV5
Symptoms: Barium enema, Haematochezia, Intussusception, Pain
Clinical narrative: Information has been received from a physician concerning a patient who was vaccinated with a dose of Rotateq. Subsequently the patient experienced intussusception. Subsequently, the patient recovered from intussusception. It was reported that the patient "had at least one dose of Rotateq". There was no product quality complaint involved. Additional information has been requested.
Sex: U
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, RV5
Symptoms: Intussusception
Clinical narrative: Information has been received from a physician concerning a patient who was vaccinated with a dose of Rotateq. Subsequently the patient experienced intussusception. Subsequently, the patient recovered from intussusception. It was reported that the patient "had at least one dose of Rotateq". There was no product quality complaint involved. Additional information has been requested.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Cough, Eye swelling, Flushing, Urticaria, Vomiting
Clinical narrative: approx Two minutes after 3 vaccines (Proquad, DTaP, IPV) administered, pt developed cough. He then vomited x once. This cough continued. Benadryl (12.5/g) 1 1/2 tsp po given. flushed face, puffy eyes and few hives on palms/wrist developed. Epinephrine 0.15mg IM given. Pt sx improved. Pt transported to hospital via EMS.  05/29/2007 MR received for o/n hospitalization for an allergic reaction to vaccinations. W/in 2 minutes of receiving vax child began to cough and vomited x 1. He developed hives, puffy eyes, facial flushing and began to itch. Continued coughing.  Admitted for observation. DX:  Allergic reaction after immunization.
Age: 26.0
Sex: F
Vaccine: TTOX
Symptoms: Dizziness, Limb discomfort, Nausea, Presyncope, Vision blurred
Clinical narrative: Donor stated as soon as she received tetanus she felt tighten in arm, nauseated, blurred vision, near syncope. Tech not alerted. Upon getting payment Donor c/o lightheadedness. Admits to minimal hydration for past 24 hrs. Donor provided oral fluids 16 ox water, 14 oz juice Eval 25 mins - CP called immediately on need for VAERS. No per CP Donor w/o symptoms and Departure. BP 98/64 HR 68 T.O, pending CP review
Age: 7.0
Sex: F
Vaccine: HEP, IPV, MMR, SMALL, TD, HEP, IPV, MMRV, TD
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: 7 Y/O FEMALE HAD NO RECORD OF PREVIOUS VACCINATIONS. MOTHER STATES CHILD HAD ALL OF HER SHOTS AT APPROPRIATE AGES, RECORDS ARE LOST. HAS NO PCP, SEEN IN THE ER 2.5 DAYS POST VACCINATION. NOTED TO HAVE HAD A QUARTER SIZES REDDENED, SWOLLEN, WARM TO TOUCH AREA, BELOW INJECTION SITE. CHILD ALSO COMPLAINED OF ITCHINESS AT AREA. NO H/O PREVIOUS ADVERSE REACTIONS. PRESCRIBED PRELONE 15MG DAILY TIMES 3 DAYS AND BENEDRYL 12.5MG DAILY TIMES 5 DAYS. Follow-up information received April 1, 2010: The swelling redness of the patient's body was located on her upper left arm below the injection site of the polio vaccination.
Age: 7.0
Sex: F
Vaccine: HEP, IPV, MMR, SMALL, TD, HEP, IPV, MMRV, TD
Symptoms: Injection site warmth, Oedema peripheral
Clinical narrative: 7 Y/O FEMALE HAD NO RECORD OF PREVIOUS VACCINATIONS. MOTHER STATES CHILD HAD ALL OF HER SHOTS AT APPROPRIATE AGES, RECORDS ARE LOST. HAS NO PCP, SEEN IN THE ER 2.5 DAYS POST VACCINATION. NOTED TO HAVE HAD A QUARTER SIZES REDDENED, SWOLLEN, WARM TO TOUCH AREA, BELOW INJECTION SITE. CHILD ALSO COMPLAINED OF ITCHINESS AT AREA. NO H/O PREVIOUS ADVERSE REACTIONS. PRESCRIBED PRELONE 15MG DAILY TIMES 3 DAYS AND BENEDRYL 12.5MG DAILY TIMES 5 DAYS. Follow-up information received April 1, 2010: The swelling redness of the patient's body was located on her upper left arm below the injection site of the polio vaccination.
Age: 7.0
Sex: F
Vaccine: HEP, IPV, MMR, SMALL, TD, HEP, IPV, MMRV, TD
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, No reaction on previous exposure to drug
Clinical narrative: 7 Y/O FEMALE HAD NO RECORD OF PREVIOUS VACCINATIONS. MOTHER STATES CHILD HAD ALL OF HER SHOTS AT APPROPRIATE AGES, RECORDS ARE LOST. HAS NO PCP, SEEN IN THE ER 2.5 DAYS POST VACCINATION. NOTED TO HAVE HAD A QUARTER SIZES REDDENED, SWOLLEN, WARM TO TOUCH AREA, BELOW INJECTION SITE. CHILD ALSO COMPLAINED OF ITCHINESS AT AREA. NO H/O PREVIOUS ADVERSE REACTIONS. PRESCRIBED PRELONE 15MG DAILY TIMES 3 DAYS AND BENEDRYL 12.5MG DAILY TIMES 5 DAYS. Follow-up information received April 1, 2010: The swelling redness of the patient's body was located on her upper left arm below the injection site of the polio vaccination.
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Chills, Condition aggravated, Hyperhidrosis, Pyrexia, Rash
Clinical narrative: 1am - Woke up shaking/ shivering x 1 1/2 hour. 430am - Broke out sweating with fever.
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Tremor, Urticaria
Clinical narrative: 1am - Woke up shaking/ shivering x 1 1/2 hour. 430am - Broke out sweating with fever.
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Chills, Hyperhidrosis, Pyrexia, Tremor
Clinical narrative: 1am - Woke up shaking/ shivering x 1 1/2 hour. 430am - Broke out sweating with fever.
Age: 48.0
Sex: M
Vaccine: ANTH
Symptoms: Abscess, Abscess drainage, Incisional drainage, Pain in extremity
Clinical narrative: Six days of increasing arm soreness s/p anthrax vaccine.  Incision and drainage of skin abscess deltoid area.  Keflex 500mg TID.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Hyperaesthesia, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Right upper arm red, swollen, warm and painful to touch two days after Dtap immunization given.  Ice pain, reliever.
Age: 14.0
Sex: F
Vaccine: DTP
Symptoms: Convulsion, Fall, Head injury, Headache, Injection site pain
Clinical narrative: Seizure within 5 minutes of receiving the DTP vaccine.  She fell and hit her head.  Treatment consisted of icepack to the back of her head, feet up.  Xray taken of head - negative.  Patient ran fever for 24 hrs following incident. Is still complaining of mild headaches off and on and pain to arm where vaccine was given.
Age: 14.0
Sex: F
Vaccine: DTP
Symptoms: Pyrexia, Skull X-ray
Clinical narrative: Seizure within 5 minutes of receiving the DTP vaccine.  She fell and hit her head.  Treatment consisted of icepack to the back of her head, feet up.  Xray taken of head - negative.  Patient ran fever for 24 hrs following incident. Is still complaining of mild headaches off and on and pain to arm where vaccine was given.
Sex: F
Vaccine: TDAP
Symptoms: Urticaria
Clinical narrative: Pt stated hives started 5/18/07 in the evening and became worse over the weekend.  Pt has taken Benadryl without any improvement. Referred pt to prescribing doctor for evaluation of symptoms.
Age: 22.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Pyrexia
Clinical narrative: Patient developed 3cm red, indurated area at injection site within 24hrs of administration of Td. Area increased in size to 5cm and pain within 48hrs of administration. Also ran intermittant low grade fever of 99.5 F for 3-4 days. Treated with cephalexin 500mg PO QID for 5 days, loratadine 10mg QD, ibuprofen and icing PRN. She never developed hives, rash or respiratory symptoms. Fever, redness and pain resolved and induration was decreased to 1.5cm by 72 hours post administration.
Age: 38.0
Sex: F
Vaccine: RAB
Symptoms: Back pain, Diarrhoea, Fatigue, Headache, Myalgia
Clinical narrative: Pt. received rabies post-exposure prophylaxis according to the following schedule:  4/7/07 received HRIG and vaccine #1.  Remainder of vaccines given on:  4/10/07, 4/14/07, 4/21/07, and 5/5/07.  After each dose of vaccine, pt. developed headache, nausea, myalgia, jaw, hip and back pain, fever, extreme fatigue and mild fever.  The fatigue, myalgias, generalized achiness and headache lasted about 5 days.  Approximately 24 hours after each vaccine, diarrhea developed which lasted about 1 day.  Diagnosed by MD as serum sickness related to rabies vaccine.  Treated with tylenol and advil, subsequent doses pre-treated with tylenol and advil with little decrease in symptoms.  Symptoms severe enough to impact ability to work.  The symptoms were more severe after the last three vaccines.  Pt seen in ER after third dose, and in medical clinic after fourth dose for evaluation of symptoms.  One week after last dose, patient reports symptoms resolved.
Age: 38.0
Sex: F
Vaccine: RAB
Symptoms: Nausea, Pain, Pain in jaw, Pyrexia, Serum sickness
Clinical narrative: Pt. received rabies post-exposure prophylaxis according to the following schedule:  4/7/07 received HRIG and vaccine #1.  Remainder of vaccines given on:  4/10/07, 4/14/07, 4/21/07, and 5/5/07.  After each dose of vaccine, pt. developed headache, nausea, myalgia, jaw, hip and back pain, fever, extreme fatigue and mild fever.  The fatigue, myalgias, generalized achiness and headache lasted about 5 days.  Approximately 24 hours after each vaccine, diarrhea developed which lasted about 1 day.  Diagnosed by MD as serum sickness related to rabies vaccine.  Treated with tylenol and advil, subsequent doses pre-treated with tylenol and advil with little decrease in symptoms.  Symptoms severe enough to impact ability to work.  The symptoms were more severe after the last three vaccines.  Pt seen in ER after third dose, and in medical clinic after fourth dose for evaluation of symptoms.  One week after last dose, patient reports symptoms resolved.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Barium enema, Diarrhoea haemorrhagic, Surgery, Urinary system X-ray, Vomiting
Clinical narrative: VOMITING, BLOODY DIARRHEA  5/25/07 Received vax records from pcp which confirm RO lot # & dose as reported.  6/1/07 Received partial hospital medical records with note that patient is still inpatient. Records indicate patient admitted 5/18/06 for vomiting, bloody stools, lethargy & dehydration.  Seen in PCP office earlier same day & was pale & very lethargic w/an episode of projectile vomiting in office.  Sent to hospital for admission.  Barium enema revealed intussusception but was unable to reduce.  Surgical consult done on day of admission revealed colicky abdominal pain.  TO OR for exp lap, reduction of ileocolic IS & appendectomy on 5/18.   FINAL DX: none available beyond IS.  Will contact hospital for D/C summary.  6/15/07 Received D/C Summary which reveals patient admitted 5/18-5/23/07 after bloody stool & abdominal pain.  Unable to reduce w/barium enema & taken to OR.  Findings at time of surgery include ischemic bowel which pinked up w/warm stimulation & was not resected.  Observed in hospital on IV antibiotics & had slow but uncomplicated recovery.  D/C to home. FINAL DX: Ilial-ilial intussusception & ileocolic intussusception, surgically reduced.
Age: 4.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Pyrexia, Urticaria
Clinical narrative: Developed hives and fever following Hepatitis A and Varicella vaccine at the local health department