chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Dyskinesia, Hypotonia, Mydriasis, Pyrexia
Clinical narrative: Had fever after vaccine on 1st day to max of 103.5F, Had several brief episodes of eyes dilations arms and legs jerking for few seconds, then getting limp and then crying.  Was seen in ER that might with normel exam and ono episodes while there.  Has not had any episodes exception that 1st day, currently healthy infant with normal exam and normal growth.
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Amnesia, Influenza like illness, Memory impairment, Mood altered, Musculoskeletal stiffness
Clinical narrative: Cold and Flu like symptoms, memory difficulty, failure and loss memory, short term memory loss, mood angry, neck rigid, pain neck and sleep problem.
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Neck pain, Pharyngitis, Rhinitis
Clinical narrative: Cold and Flu like symptoms, memory difficulty, failure and loss memory, short term memory loss, mood angry, neck rigid, pain neck and sleep problem.
Age: 15.0
Sex: F
Vaccine: TDAP
Symptoms: Dyskinesia, Muscle rigidity, Urinary incontinence
Clinical narrative: Within 15 -20 minutes of receiving the vaccine, the patient and her mother left the builidng and while in their car, the patient began having muscle rigidity, clonic activity, urinary incontinence.  Total episode lasted approximately 45 seconds.  Mother immediately took patient to the ER of the closest hospital.
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Dizziness, Headache, Nausea, Pyrexia
Clinical narrative: Fever 101.8 Dizziness Nausea Headache  Tylenol 650 mg q4hrs PRN Ibuprofen 400mg q6hrs PRN if nausea controlled Push Fluids Office Visit if not controlled
Age: 76.0
Sex: M
Vaccine: PPV, TD
Symptoms: Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Right upper arm where vaccination was placed is warm to touch and slightly swollen. Temperature was taken - 98.2F. Reported to RN Manager. Doctor was called to assess, and she advised patient to put ice and to observe for fever and other worsening symptoms. Also made a follow-up appointment with patient's primary care provider on Aug 3, 2006 @ 10:45AM. Patient is aware of his appointment.
Age: 15.0
Sex: M
Vaccine: MNQ
Symptoms: Urticaria
Clinical narrative: Patient was healthy prior to administration of Menactra. Received vaccination on 7/6 and presented on 7/25 with urticaria. Urticaria lasted approx. 1 week and was treated with claritin during the day and benadryl at night.
Age: 19.0
Sex: M
Vaccine: MNQ
Symptoms: Arthralgia
Clinical narrative: Menactra vaccination administered on July 20, 2006. Patient's father called 8/2/06 to describe acute onset severe arthralgias in the bilateral feet and ankles.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Injection site induration, Injection site warmth, Pruritus, Swelling
Clinical narrative: Red, swollen, warm, itchy, firm to touch left arm from top of arm at shoulder down approximately 12 cm total length x8 cm width.
Age: 48.0
Sex: F
Vaccine: YF
Symptoms: Fatigue, Headache, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Low grade fever, moderate body aches, moderate fatigue, constant headache.  Required bed rest (2 days) and restricted activity for an additional 4 days, along with OTC pain relievers.  Site of injection was swollen, hot, and red for approximately 48 hours.
Age: 48.0
Sex: F
Vaccine: YF
Symptoms: Pain, Pyrexia
Clinical narrative: Low grade fever, moderate body aches, moderate fatigue, constant headache.  Required bed rest (2 days) and restricted activity for an additional 4 days, along with OTC pain relievers.  Site of injection was swollen, hot, and red for approximately 48 hours.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Arthropathy, Muscle disorder, Pain, Tendon disorder
Clinical narrative: 02/06 bursa sac irritation, persistent pain in left arm, 3/06 muscle therapy, 6/06 MRI showed a torn rotator cuff, 6/15/06 surgery for rotator cuff injury, Prednisone x 2 wks refer to ortho.
Sex: U
Vaccine: MNQ
Symptoms: Chills, Headache, Nasal congestion, Pyrexia
Clinical narrative: 15 hrs post immunization developed fever, chills, HA, congestion.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Tenderness
Clinical narrative: Pt came in 7/31/06 for vaccines tolerated well. Pt came in today 8/2/06 with red area (size of baseball), warm to touch/tender on Lt arm. Guardian states 5x, started 8/1/06 and worsening. Dr order warm compresses and Benadryl for tx and to f/up if sx persist.
Sex: F
Vaccine: MMR, TD, VARCEL
Symptoms: Blister, Headache
Clinical narrative: Discovered a chicken pox blister on right leg below patella. Had chickenpox as child. Currently has headaches, not sure whether she has fever.
Age: 1.54
Sex: M
Vaccine: DTAP, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Mother telephoned and described dime sized red and hard knot under shot site of left thigh.
Sex: F
Vaccine: HEPA, HIBV, VARCEL
Symptoms: Contusion, Muscle atrophy
Clinical narrative: On 07/20/06 the pt arrived in our office with quadriceps, muscle bruise, atrophy medially, reflexes normal, strength normal, tone normal. Per dad it has been there for a few months, he thinks it happened after her last set of immunizations. Referring pt to an ortho for evaluation.
Age: 51.0
Sex: F
Vaccine: MMR
Symptoms: Headache, Myalgia, Pyrexia, Rash, Rhinorrhoea
Clinical narrative: 7/29/06 aches, runny nose and headache, no fever. 7/30/06 noted a lump behind L ear with tenderness. Temp 101.4, headache and aches. 7/31/06 saw Dr at urgent care. He questioned symptoms due to MMR/virus. 8/1/06 rash over entire body also headache. No fever at this time.
Age: 51.0
Sex: F
Vaccine: MMR
Symptoms: Skin nodule, Tenderness
Clinical narrative: 7/29/06 aches, runny nose and headache, no fever. 7/30/06 noted a lump behind L ear with tenderness. Temp 101.4, headache and aches. 7/31/06 saw Dr at urgent care. He questioned symptoms due to MMR/virus. 8/1/06 rash over entire body also headache. No fever at this time.
Age: 45.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Diarrhoea, Injection site erythema, Injection site nodule, Injection site pain, Swelling
Clinical narrative: Large, red, painful, lumps on left arm into axillary area, states arm very painful and swollen, shirt sleeve tight, noted diarrhea as well. Denies fever, denies SOB. Pt advised use Tylenol, cold pack and Benedryl or visit local ER for further eval and treatment.
Age: 45.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Diarrhoea, Injection site mass, Injection site swelling
Clinical narrative: Large, red, painful, lumps on left arm into axillary area, states arm very painful and swollen, shirt sleeve tight, noted diarrhea as well. Denies fever, denies SOB. Pt advised use Tylenol, cold pack and Benedryl or visit local ER for further eval and treatment.
Age: 12.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Erythema, Injection site vesicles
Clinical narrative: 2 x 3 area erythema with control 4 x 1cm area of vesicles at site of injection w/i 24 hrs of having the vaccination.
Sex: F
Vaccine: VARCEL
Symptoms: Feeling hot, Injection site erythema, Injection site vesicles, Pyrexia
Clinical narrative: 7x8 cm area erythema and warmth with central 3x4 cm area of vesicles at sight of injection w/i 24 hrs of vaccination. Also with fever.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site mass, Injection site swelling
Clinical narrative: Immunization, received on 7/31/06. Pt present on 8/1/06 with increased swelling, erythema and induration of upper left arm measuring 10x25cm.
Age: 0.19
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Haematochezia, Irritability, Stomach discomfort
Clinical narrative: Initial report received on 7/26/2006 from another manufacturer who received the original information from a physician. The other manufacturer's reference number is WAES0607USA02285. A healthy, approximately 11 week old male patient with no history of vomiting, fever, or family history of bleeding disorders had received a dose of Daptacel, a dose of Ipol, a dose of Comvax, a dose of Prevnar and a 2ml oral dose of Rotateq, lot number 652964/0145F, on 6/5/06. The lot numbers, routes and sites of administration were not reported for the Daptacel, Ipol, Comvax and Prevnar. The patient had no other concomitant medications. Approximately 10 days post immunization, around 6/15/06, the patient experienced gross bloody stools. The patient was evaluated in the physicians office approximately weeks weeks later on 7/5/06. The patient was in no distress and appeared to have an occasional upset stomach but no vomiting. He had been breast feeding without any problems and was thriving. The mother had no recent changes in her diet. Stool cultures were negative, hemoccult was positive, and a smear of the patients stools had 1+ white blood cells. No treatment was provided. The patient was scheduled to have an evaluation with a gastroenterologist. The mother subsequently reported to the physician that the patient was mildly irritable with no vomiting, fever, or decreased urination in July 2006. As of 7/10/06, the mother reported to the physician that the patients stools were still with occasional blood. The recovery status of the patient was reported as recovering. The event of gross bloody stool was considered other medically important condition (OMIC).
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Pruritus, Urticaria
Clinical narrative: 3.0cm x 3.0cm slightly raised red, hive-like area. States itches slightly warm to touch. No temp.
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site hypersensitivity, Injection site induration, Injection site oedema, Injection site warmth, Joint range of motion decreased
Clinical narrative: TDaP vaccine given on 7/17/06. Initial muscle pain follow by red, swollen, warm and hard at the injection site. Felt like she had a fever. Difficulty with rotating the arm. Called and was advised NSAIDS and monitor worsening symptoms. Denies any lasting symptoms on 7/28/06, SX subsided with incident.
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Myalgia, Pyrexia
Clinical narrative: TDaP vaccine given on 7/17/06. Initial muscle pain follow by red, swollen, warm and hard at the injection site. Felt like she had a fever. Difficulty with rotating the arm. Called and was advised NSAIDS and monitor worsening symptoms. Denies any lasting symptoms on 7/28/06, SX subsided with incident.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Dysphagia, Tongue disorder, Tongue oedema
Clinical narrative: 07/29/2006 pt presented to office c/o bumps on sides of tongue with swelling. C/p a little difficulty swallowing only when she eats. Recommended Benadryl and see PMD pt in no obvious distress at time of examination. No SOB or difficulty breathing.
Age: 28.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: 2 days after vaccination right arm around and just above elbow swollen with redness, warm to touch painful per client. Saw PMD with instructions to take OTC pain meds and cold compresses.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Asthenia, Dizziness, Dyspnoea, Fatigue, Heart rate increased
Clinical narrative: Pt reports experiencing increased heart rate, dizziness, weakness and feverish. also felt short of breath at first.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Pyrexia
Clinical narrative: Pt reports experiencing increased heart rate, dizziness, weakness and feverish. also felt short of breath at first.
Age: 8.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site reaction, Urticaria
Clinical narrative: Immediate wheal at injection site pt was given Varicella on 7/31/06 in the right arm by Vaccine provider. Immediate wheal was seen at injection site. Pt was given 1 1/2 tsp Benadryl and he stayed at the office for 20 min for observation. Pt was doing fine and he was sent home we will call to check pt.
Age: 7.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site induration, Injection site reaction, Urticaria
Clinical narrative: 3cm x 3cm wheal at injection site with erythema about 10 mins after injection. Varivax was given 7/13/06 in the right thigh. within 5 min pt had reaction. Pt was asked to wait 15 min before leaving office. Pt was doing better, given Benadryl at home. Reaction 3cm x 3cm hard round wheal.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site induration, Injection site oedema
Clinical narrative: Redness, swelling, induration noted on left arm the next morning per mother, Apply ice give Benadryl, Augmentin as directed per Dr. Watch closely. Return as needed if no improvement or if gets worse.
Age: 0.15
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Urticaria
Clinical narrative: Mother called approximately 2 hours after vaccines were administered. Mother states he has hives on his face and neck. He is resting comfortably. She called private MD who referred he to clinic. Mother advised to seek medical care at PP's office or urgent care. No respiratory problems only hives. 7/12/06 PHN spoke with father child doing well. Mother followed up with private MD no other medical care required.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site warmth
Clinical narrative: Swelling of left upper arm red and warm.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV
Symptoms: Injection site hypersensitivity, Injection site reaction
Clinical narrative: Redness around DTap site note 2 days after immunization.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: Cellulitis after immunization. On Keflex.
Age: 0.35
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Screaming
Clinical narrative: 6 hours of uncontrollable crying started at 6:30 pm, two hours after receiving vaccinations and lasted until 11:30 pm, reported by mother.
Sex: U
Vaccine: UNK
Symptoms: Injection site reaction, Pruritus
Clinical narrative: Left deltoid reaction 53 centimeters wide by 85 centimeters in length, increase itchy.
Age: 8.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Convulsion, Headache, Hypertension, Injection site erythema
Clinical narrative: Swollen, redness and tenderness around injection site. 08/30/06-records received for DOS 07/28-07/31/06 DC DX: Seizure secondary to Xanax withdrawal.             Cellulitis of right great toe              Hypertension HX: 28 year old male transferred from Hospital with fever and chill and 2 episodes of seizures with LOC.  PM HX: hypertension, narcotic drug abuse and drug seeking behavior, treatment for tuberculosis in 2000. Stopped taking Xanax recently before episodes of seizures. Hospital course: admitted with diagnosis of possible meningitis. Treated with fosphenytoin then switched to Dilantin. IV Rocephin and vancomycin. Spike of fever on 7/30/06 to 102.5. DX right great toe cellulitis, continued on Rocephin. Complained of headaches but during hospital stay became less intense. Red arm redness and swelling improved. No seizure since admission. At time of discharge free of headache, erythema of great toe was better.  DC Medications: Augmentin, lisinopril and ibuprofen.
Age: 8.0
Sex: M
Vaccine: PPV
Symptoms: Injection site swelling, Laboratory test abnormal, Tenderness
Clinical narrative: Swollen, redness and tenderness around injection site. 08/30/06-records received for DOS 07/28-07/31/06 DC DX: Seizure secondary to Xanax withdrawal.             Cellulitis of right great toe              Hypertension HX: 28 year old male transferred from Hospital with fever and chill and 2 episodes of seizures with LOC.  PM HX: hypertension, narcotic drug abuse and drug seeking behavior, treatment for tuberculosis in 2000. Stopped taking Xanax recently before episodes of seizures. Hospital course: admitted with diagnosis of possible meningitis. Treated with fosphenytoin then switched to Dilantin. IV Rocephin and vancomycin. Spike of fever on 7/30/06 to 102.5. DX right great toe cellulitis, continued on Rocephin. Complained of headaches but during hospital stay became less intense. Red arm redness and swelling improved. No seizure since admission. At time of discharge free of headache, erythema of great toe was better.  DC Medications: Augmentin, lisinopril and ibuprofen.
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, MMR, PPV
Symptoms: Diarrhoea, Erythema, Pyrexia
Clinical narrative: Fever 102 degree red bumps stomach, back , face, neck, arms and legs.  Gave him TYLENOL but made it worse.  Change it MOTRIN and gave him 7-up with jello.  He also has diarrhea and couldn't eat.  He still has diarrhea till now
Age: 11.0
Sex: F
Vaccine: DTAP
Symptoms: Pain
Clinical narrative: Local pain, improved with TYLENOL, lasted for 48 hours approximately.
Age: 20.0
Sex: M
Vaccine: PPV
Symptoms: Anxiety, Dyspnoea, Tremor
Clinical narrative: Patient demonstrating sudden onset tremors, dyspnea and anxiety within minutes of immunization.  Patient immediately received BENADRYL 50 mg intramuscularly, Epinephrine 0.3 mg intramuscularly and cimetidine 600 mg intramuscularly when as needed orders.  Rapidly improved with treatment.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cough, Erythema, Eyelid oedema, Face oedema, Lacrimation increased
Clinical narrative: Within fives minutes he began to cough, wheeze, watering eyes and eyelids swell. It progressed over the next 20 minutes to include a rash covering his entire body, hives scattered everywhere, hives on his eyelids, lips and his nose swelled and his ears were swollen and beat red. He went to the ER and was given Benadryl and observed until his O2 saturation got better.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Rash, Wheezing
Clinical narrative: Within fives minutes he began to cough, wheeze, watering eyes and eyelids swell. It progressed over the next 20 minutes to include a rash covering his entire body, hives scattered everywhere, hives on his eyelids, lips and his nose swelled and his ears were swollen and beat red. He went to the ER and was given Benadryl and observed until his O2 saturation got better.
Age: 1.32
Sex: F
Vaccine: DTAPHEPBIP, PNC
Symptoms: Pyrexia, Rash, Urticaria
Clinical narrative: 8/1/06:  DTaP and PCV7 (4th doses in series for both vaccines)given at 8:30 am.  At approximately 7pm mother noticed 8-10 bumps on face and arms.  Gave BENADRYL.  Had low grade fever.  Patient slept through night.  8/2/06:  Awoke at 6:15 am with rash and hives over entire body.  Temp 99.6 axillary.  Saw family MD at 8:30 am.  Prescribed PRELONE 15/5 and gave instructions to use ADVIL and BENADRYL as needed.  No local reactions reported.
Age: 1.27
Sex: M
Vaccine: HIBV, PNC
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Received Hib and Prevnar on 8/1/2006. Had a febrile seizure 12 HOURS AFTER GETTING VACCINE.  Seen in ER.  BLOOD WORK DRAWN AND ALL WAS NORMAL. He alo developed a fever since getting the vaccines that he has had persistantly, running at 102-103 degrees F.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Viral infection
Clinical narrative: Pt. developed significant loose water stools 8 days after vaccine given.  Pt. had at least 20 large stools per day.
Age: 19.0
Sex: F
Vaccine: MNQ
Symptoms: Arthralgia, Asthenia, Back pain, Headache, Pharyngolaryngeal pain
Clinical narrative: Menactra vaccine rec on 7/31/06 approx 1pm. On 8/2 in the evening, sudden onset of aching pain in head, spine, joints with fever of 100.4.  Also c/o generalized weakness and sore throat.  Took to ER that evening, was given IV anti-inflammatory medication. Took blood and urine specimens. Sent home with Toredol po for pain. At 6 am this morning temp 102, has been taking tylenol for this. Normal @ 1pm but with tylenol. To call doctor for follow-up appointment tomorrow.
Age: 19.0
Sex: F
Vaccine: MNQ
Symptoms: Pyrexia
Clinical narrative: Menactra vaccine rec on 7/31/06 approx 1pm. On 8/2 in the evening, sudden onset of aching pain in head, spine, joints with fever of 100.4.  Also c/o generalized weakness and sore throat.  Took to ER that evening, was given IV anti-inflammatory medication. Took blood and urine specimens. Sent home with Toredol po for pain. At 6 am this morning temp 102, has been taking tylenol for this. Normal @ 1pm but with tylenol. To call doctor for follow-up appointment tomorrow.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Listless, Nausea, Pallor, Vomiting
Clinical narrative: DTaP, IPV, MMR given, 5 minutes later Mom says he told her he didn't feel good.  She took him to bathroom where he threw up, I say pt. then, he was pale, no color around his muth, listless, pt was laid on couch with feet elevated, color and alertness returned after 10 minutes.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Chills, Dehydration, Heart rate increased, Muscle spasms, Nausea
Clinical narrative: In the PM, began to have chills, muscle spasms, nausea, sent to ER.  Fever 101, dehydrated, chills, Stated reaction to Immunization shots, rapid heart beat (149).
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Pyrexia
Clinical narrative: In the PM, began to have chills, muscle spasms, nausea, sent to ER.  Fever 101, dehydrated, chills, Stated reaction to Immunization shots, rapid heart beat (149).
Age: 15.0
Sex: M
Vaccine: TDAP
Symptoms: Blood pressure decreased, Chest pain, Dyspnoea, Erythema, Injury
Clinical narrative: 15 minutes after injection, client collapsed and hit his head on the wall.  He was placed in shock position on the floor.  BP started to go down.  c/o horrible chest pain, afraid he would die, very pale, red rash around eyes, short of breath.  Epinephrine given and BP increased, rash relieved around eyes, chest pain relieved, and breathing returned to normal after he recieved epinephrine.
Age: 15.0
Sex: M
Vaccine: TDAP
Symptoms: Pallor, Rash, Syncope
Clinical narrative: 15 minutes after injection, client collapsed and hit his head on the wall.  He was placed in shock position on the floor.  BP started to go down.  c/o horrible chest pain, afraid he would die, very pale, red rash around eyes, short of breath.  Epinephrine given and BP increased, rash relieved around eyes, chest pain relieved, and breathing returned to normal after he recieved epinephrine.
Age: 15.0
Sex: M
Vaccine: TDAP
Symptoms: Dizziness, Pallor
Clinical narrative: His brother had an adverse reaction to vaccine at the same time.  He was standing and watching his brother and he became pale and c/o being lightheaded.  No rash, chest pain or shortness of breath.  He was placed on floor in shock position.  BP normal.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Flushing, Pyrexia, Vomiting
Clinical narrative: Facial flushing, temperature 103 and vomiting.  Cellulitis left upper arm.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site hypersensitivity, Injection site swelling, Pruritus, Rash
Clinical narrative: c/o right arm itching approximately 4 days after injection.  large, white, raised area (approximately 1/2 inch by 2 inches) surrounded by a red rash area.  Saw Physician 7/24/06 at 4pm.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Chills, Headache, Pyrexia, Tremor
Clinical narrative: Fever of 101, headache, shaking chills.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Blood cholesterol increased, Demyelination, Fatigue, Memory impairment, Multiple sclerosis
Clinical narrative: Since receiving 5th AVA vaccine March 2004, experiencing severe fatigue, vertigo, memory problems, urinary incontinence, tremors, and visual problems. I was told by my case manager I was the fourth patient to be diagnosed with Multiple Sclerosis (dx in May 2005).
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Optic neuritis, Tremor, Urinary incontinence, Vertigo, Visual disturbance
Clinical narrative: Since receiving 5th AVA vaccine March 2004, experiencing severe fatigue, vertigo, memory problems, urinary incontinence, tremors, and visual problems. I was told by my case manager I was the fourth patient to be diagnosed with Multiple Sclerosis (dx in May 2005).
Age: 41.0
Sex: F
Vaccine: DTP, HEP
Symptoms: Headache, Myalgia
Clinical narrative: Persistent aching muscles and headache.
Age: 0.56
Sex: M
Vaccine: DTAP
Symptoms: Apnoea, Convulsion
Clinical narrative: Baby covered with blanket on face, not breathing. Taken to hospital Dr's thought had a seizure. Spent 1 week in hospital. On 2nd day at hospital has seizures and since then is having seizures regularly they can't be controlled with any medication. Annual followup 01/4/2010 Has seizure 10-15 aday and has now been diagnose w/ cerebral palsy. 60 day Follow-up Information 23-OCT-2006: Patient has 5 to 6 seizures a day, hes is delay, he doesn't talk, can't feed himself like a two year old, he is average like a 9 month baby. Epilepsy run in my family, I believe this vaccine trigger patient to have seizure. Before the shot, he was a healthy baby.
Age: 1.37
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Febrile convulsion, Laboratory test abnormal
Clinical narrative: Febrile convulsion, Heat Ct neg. 8/24/06 Received medical records from hospital which reveal patient had fever & apparent seizure activity at home & witnessed seizures in ER.  Admitted for overnight observation. Initial temp 102.  No further seizure activity was noted & d/c to home next AM.  Patient was then seen as outpatient by pediatric neurologist on 7/20/06 & that report indicates that patient had another seizure at home since d/c but no medical care was sought.  Normal exam at that time/ss
Age: 1.01
Sex: M
Vaccine: HEPA, HIBV, MMRV, PNC
Symptoms: Band neutrophil percentage decreased, Body temperature increased, CSF glucose increased, CSF protein normal, CSF white blood cell count negative
Clinical narrative: Child had tonic clonic seizure activity sometime in the morning of 7/20/06 (mom not sure of time), EMS called, child taken to ER, had temp of 104, observed x2 days, no further seizure activity. 12/4/06 Received medical records from hospital which reveal patient admitted 7/20 for acute seizure lasting 10-30 sec followed by post ictal period, emesis x 1,  irritability & congestion for approx 1 day.  EMS temp was 104.5.  Treated w/antibiotics.  No further seizure activity noted & patient d/c home 7/21/06 on no meds & to see PCP 7/24. Final DX: acute febrile seizure.
Age: 1.01
Sex: M
Vaccine: HEPA, HIBV, MMRV, PNC
Symptoms: Chest X-ray abnormal, Computerised tomogram head, Computerised tomogram normal, Culture negative, Febrile convulsion
Clinical narrative: Child had tonic clonic seizure activity sometime in the morning of 7/20/06 (mom not sure of time), EMS called, child taken to ER, had temp of 104, observed x2 days, no further seizure activity. 12/4/06 Received medical records from hospital which reveal patient admitted 7/20 for acute seizure lasting 10-30 sec followed by post ictal period, emesis x 1,  irritability & congestion for approx 1 day.  EMS temp was 104.5.  Treated w/antibiotics.  No further seizure activity noted & patient d/c home 7/21/06 on no meds & to see PCP 7/24. Final DX: acute febrile seizure.
Age: 1.01
Sex: M
Vaccine: HEPA, HIBV, MMRV, PNC
Symptoms: Full blood count, Grand mal convulsion, Haematocrit normal, Haemoglobin increased, Hypertonia
Clinical narrative: Child had tonic clonic seizure activity sometime in the morning of 7/20/06 (mom not sure of time), EMS called, child taken to ER, had temp of 104, observed x2 days, no further seizure activity. 12/4/06 Received medical records from hospital which reveal patient admitted 7/20 for acute seizure lasting 10-30 sec followed by post ictal period, emesis x 1,  irritability & congestion for approx 1 day.  EMS temp was 104.5.  Treated w/antibiotics.  No further seizure activity noted & patient d/c home 7/21/06 on no meds & to see PCP 7/24. Final DX: acute febrile seizure.
Age: 1.01
Sex: M
Vaccine: HEPA, HIBV, MMRV, PNC
Symptoms: Hypotonia, Irritability, Laboratory test, Monocyte percentage, Nasal congestion
Clinical narrative: Child had tonic clonic seizure activity sometime in the morning of 7/20/06 (mom not sure of time), EMS called, child taken to ER, had temp of 104, observed x2 days, no further seizure activity. 12/4/06 Received medical records from hospital which reveal patient admitted 7/20 for acute seizure lasting 10-30 sec followed by post ictal period, emesis x 1,  irritability & congestion for approx 1 day.  EMS temp was 104.5.  Treated w/antibiotics.  No further seizure activity noted & patient d/c home 7/21/06 on no meds & to see PCP 7/24. Final DX: acute febrile seizure.
Age: 1.01
Sex: M
Vaccine: HEPA, HIBV, MMRV, PNC
Symptoms: Neutrophil count, Platelet count normal, Red blood cells CSF positive, Vomiting, White blood cell count normal
Clinical narrative: Child had tonic clonic seizure activity sometime in the morning of 7/20/06 (mom not sure of time), EMS called, child taken to ER, had temp of 104, observed x2 days, no further seizure activity. 12/4/06 Received medical records from hospital which reveal patient admitted 7/20 for acute seizure lasting 10-30 sec followed by post ictal period, emesis x 1,  irritability & congestion for approx 1 day.  EMS temp was 104.5.  Treated w/antibiotics.  No further seizure activity noted & patient d/c home 7/21/06 on no meds & to see PCP 7/24. Final DX: acute febrile seizure.
Age: 15.0
Sex: M
Vaccine: TDAP
Symptoms: Swelling
Clinical narrative: Slight swelling of right underarm lymph node.
Sex: U
Vaccine: UNK
Symptoms: Swelling
Clinical narrative: Local reaction swelling DtaP whole right area shoulder down to elbow.
Age: 0.24
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Screaming
Clinical narrative: Uncontrollable crying for greater than 8 hours.
Age: 0.34
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Nystagmus, Vaccine positive rechallenge
Clinical narrative: Horizontal Nystagmus next day following vaccine administration, pt did have Nystagmus week following 1st administration,  received Neuro w/u done then EEG neg MRI brain Neg.
Age: 0.34
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Nystagmus
Clinical narrative: Horizontal Nystagmus next day following vaccine administration, pt did have Nystagmus week following 1st administration,  received Neuro w/u done then EEG neg MRI brain Neg.
Age: 0.33
Sex: F
Vaccine: DTAP, IPV
Symptoms: Pyrexia, Rash
Clinical narrative: High fever 104 x 5 days. Broke 6th day then rash over body.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Crying, Pyrexia, Rhinorrhoea
Clinical narrative: Temp 104 the roc after vaccines runny nose, crying. 07/31/06 fever until Wed approx 36 hours, received Motrin.
Age: 19.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Apnoea, Coma, Pulse absent
Clinical narrative: Reported by MD that 18 year old male received Menactra vaccine on 7/24/2006, on 7/28/2006, Patient was found unresponsive, pulseless and not breathing in bed. Etiology unknown at this time. 12/21/06 Received medical records from PCP which did not include any lab reports.  T/C to PCP to check status of request for labs.  Office states no labs done since 2005.  4/10/07 Received Autopsy Report which reveals COD as presumed cardiac arrhythmia.  No anatomic, histologic or toxicologic cause.  Manner of death was natural.
Age: 17.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Abortion spontaneous, Endometritis decidual, Inflammation, Necrosis, Thrombosis
Clinical narrative: Initial report received from a healthcare provider on 5/9/06. A 16 year old female patient had received a right deltoid injection of Menactra, lot number U1769AA, and a left deltoid injection of Boostrix, lot number ACSB004AB, on 5/8/06. The patient had no period for two months and was referred to an OB.GYN for pregnancy follow up. An estimated date of delivery was not provided. Per the reporter, there was no adverse event. Follow information received on 6/26/06. Per the reporter, the patient was not evaluated in their medical office. Follow up information received on 7/24/06. The date of the patients last menstrual period was in Feb 2006 and her estimated date of delivery was in Nov 2006, She had no history of previous pregnancies. On 5/27/06, 19 days post vaccination, the patient was seen by a physician for bleeding during pregnancy. She was determined to be having a spontaneous abortion (less than 20 weeks gestation). A copy of the surgical pathology reported dated 5/27/06 was provided. Products of conception was submitted for examination and included were portions of blood clot. Chorionic villi were not identified. No changes were present to suggest malignancy. The patient has no known maternal drug exposure. She had no exposure to alcohol, tobacco or recreational drugs during her pregnancy. It was not reported whether the patient recovered from the event. Based upon the new information provided in this follow up report, this case is being upgraded to serious (OMIC).
Age: 17.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Unintended pregnancy, Vaginal haemorrhage
Clinical narrative: Initial report received from a healthcare provider on 5/9/06. A 16 year old female patient had received a right deltoid injection of Menactra, lot number U1769AA, and a left deltoid injection of Boostrix, lot number ACSB004AB, on 5/8/06. The patient had no period for two months and was referred to an OB.GYN for pregnancy follow up. An estimated date of delivery was not provided. Per the reporter, there was no adverse event. Follow information received on 6/26/06. Per the reporter, the patient was not evaluated in their medical office. Follow up information received on 7/24/06. The date of the patients last menstrual period was in Feb 2006 and her estimated date of delivery was in Nov 2006, She had no history of previous pregnancies. On 5/27/06, 19 days post vaccination, the patient was seen by a physician for bleeding during pregnancy. She was determined to be having a spontaneous abortion (less than 20 weeks gestation). A copy of the surgical pathology reported dated 5/27/06 was provided. Products of conception was submitted for examination and included were portions of blood clot. Chorionic villi were not identified. No changes were present to suggest malignancy. The patient has no known maternal drug exposure. She had no exposure to alcohol, tobacco or recreational drugs during her pregnancy. It was not reported whether the patient recovered from the event. Based upon the new information provided in this follow up report, this case is being upgraded to serious (OMIC).
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5, RV5
Symptoms: Diarrhoea
Clinical narrative: Diarrhea for 6 days after administration of vaccines.
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5, RV5
Symptoms: Diarrhoea, Diarrhoea, Similar reaction on previous exposure to drug
Clinical narrative: Diarrhea for 6 days after administration of vaccines.
Age: 1.02
Sex: U
Vaccine: HEPA, MMRV
Symptoms: Urticaria
Clinical narrative: Mother called 7/25/06 stated that child had hives a day after received vaccines listed on #, started on right arm 2-3 hives, a couple on left leg and 1 on right cheek. No other problems per mother 7/31/06 child doing well per mother hives resolved.
Age: 53.0
Sex: M
Vaccine: ANTH, HEP, HEPA
Symptoms: Unevaluable event
Clinical narrative: None Stated
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Injection site vesicles, Nausea, Oedema, Pyrexia
Clinical narrative: Received Tdap 7/28/06 right deltoid, 5X began 7/29/06 fever 101-102, nausea, swelling and erythema small vesicle at injection site. MD at her worksite stated it was a reaction to Tetanus. Sx still present 7/31/06.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site induration
Clinical narrative: Right thigh red, (erythema with slight induration).
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Injection site pain
Clinical narrative: C/O right arm hurting
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Hypokinesia, Oedema, Pain
Clinical narrative: Pneumo vaccine given am. Pt noticed swelling, pain, arm red, warm to touch, difficulty moving arm afternoon. Applies ice pack, took pain med, Increase arm movement. Came to clinic on 8/1/06. Dr examined arm. To continue with ice pack, increase arm movement.
Age: 35.0
Sex: F
Vaccine: HEPA
Symptoms: Abdominal pain upper, Anorexia, Fatigue, Myalgia, Nausea
Clinical narrative: C/O being very tired, loss of appetite, nausea, stomach ache, muscle arch, fever (no thermometer to take temp), starting at about 4pm lasting a few hours slept well rest of night and woke in AM without further SX.
Age: 35.0
Sex: F
Vaccine: HEPA
Symptoms: Pyrexia
Clinical narrative: C/O being very tired, loss of appetite, nausea, stomach ache, muscle arch, fever (no thermometer to take temp), starting at about 4pm lasting a few hours slept well rest of night and woke in AM without further SX.
Age: 1.04
Sex: M
Vaccine: HEP, IPV, MMR, VARCEL
Symptoms: Contusion, Drug ineffective, Platelet count decreased, Thrombocytopenic purpura, Viral infection
Clinical narrative: My son developed break-through chicken pox and just after his scabs started to heal he developed bruising and was eventually diagnosed with ideopathic thrombocytopenia purpura.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Diarrhoea, Nausea, Pain, Pyrexia
Clinical narrative: Pt had swelling, tenderness, chills, nausea, diarrhea, sharp shooting pain, fever, and area spreading.  Pt started noticing area Tuesday at 1600.  Pt was given 50mg of a Benadryl type medication that she takes q 6 hrs.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Swelling, Tenderness
Clinical narrative: Pt had swelling, tenderness, chills, nausea, diarrhea, sharp shooting pain, fever, and area spreading.  Pt started noticing area Tuesday at 1600.  Pt was given 50mg of a Benadryl type medication that she takes q 6 hrs.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Lymphadenopathy, Pyrexia, Swelling
Clinical narrative: 2 days after vaccination, pt noted swelling in upper arm (dependent to vaccine site) and swelling or R neck and jaw.  Temp 100.0 F x1day at 3 days post vaccine.  R neck, parotid, lymph node swelling persists 15 days post vaccination.
Age: 64.0
Sex: F
Vaccine: TDAP
Symptoms: Urticaria
Clinical narrative: Generalized hives beginning 30 hours after receiving vaccine. Patient took 50 mg Benadryl 12 hours after onset; recived 8 mg decadron IM, 25 mg Benadryl IM, and tapering course of po prednisone on 8/04/06.
Age: 8.0
Sex: F
Vaccine: HEPA, PPV
Symptoms: Bradycardia, Convulsion, Cyanosis, Syncope
Clinical narrative: (seizure/cyanosis/bradycardia)Within about 1 minute after pneumovax and hepatitis A vaccines were administered the child cried. When her mother hugged her to comfort her, the child threw her head back and appeared to have a syncopal episode hitting her head (not hard) against the wall. She then became cyanotic and had a myoclonic seizure lasting about 2 minutes. The child's 02 sat increased to 96%. HR 75, BP 96/62. HR decreased to 54. Oxygen administered 2L via nasal cannula. O2 sats increased 98-99. HR 68-72. Normal neuro recheck once patient regained consciousness (LOC lasted about 1 min) EMS called. EKG-WNL. Patient monitored about 1-2 hr.
Age: 19.0
Sex: F
Vaccine: MNQ
Symptoms: Asthenia, Dizziness, Headache, Pain
Clinical narrative: Mother called and talked to PHN on 8/3/06 after the twins received the Menactra vaccine. Reported that she was at the lakes and her daughters called her from their home.  Reported that the twins' complaints of being "dizzy, sore, weak, and had headaches". She was reassured of the safety of today's vaccines but encouraged her to have the twins follow up with a medical provider for their symptoms. She stated that a VAERS report would be filed.
Age: 19.0
Sex: F
Vaccine: MNQ
Symptoms: Asthenia, Dizziness, Headache, Pain
Clinical narrative: Mother called and talked to PHN on 8/3/06 after the twins received the Menactra vaccine.  PHN reported that mother was at the lakes and her daughters called her from their home.  She reported that the twins' complained of being "dizzy, sore, weak, and had headaches".  PHN reassured the mother of the safety of today's vaccines but encouraged her to have the twins follow up with a medical provider for their symptoms.  PHN stated that a VAER report would be filed.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Medication error
Clinical narrative: Pt. did not receive full dose of vaccine, syringe leaked.
Age: 30.0
Sex: F
Vaccine: HEP, HEPA, TD, YF
Symptoms: Dyspnoea, Fatigue, Muscle spasms, Pain, Pyrexia
Clinical narrative: After Vax had shortness of breath for 5 minutes. In the afternoon had some soreness, felt tired and sleepy. 7/27 felt exhausted, had fever in evening took Ibuprofen but it did not help. Had mild cramps but was able to fall asleep.
Age: 30.0
Sex: F
Vaccine: HEP, HEPA, TD, YF
Symptoms: Somnolence
Clinical narrative: After Vax had shortness of breath for 5 minutes. In the afternoon had some soreness, felt tired and sleepy. 7/27 felt exhausted, had fever in evening took Ibuprofen but it did not help. Had mild cramps but was able to fall asleep.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Medication error
Clinical narrative: Pt. received incorrect dose.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Medication error
Clinical narrative: Incorrect dose given.
Age: 0.74
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Cough, Injection site reaction, Pyrexia, Screaming
Clinical narrative: 3 hours after vaccines given, patient developed hives, coughing, high fever (temperature not taken), inconsolable screaming. Symptoms lasted, in varying degrees, for about 30 hours. Mom informed the provider 8/3/06 at which time Benadryl 6.25mg q6 hours was prescribed. Thereafter, patient started improving. By the time of evaluation by provider 8/4/06, patient's behavior was normal. He had 1-inch localized reactions around all injection sites except around the IPV site.
Age: 0.74
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Urticaria
Clinical narrative: 3 hours after vaccines given, patient developed hives, coughing, high fever (temperature not taken), inconsolable screaming. Symptoms lasted, in varying degrees, for about 30 hours. Mom informed the provider 8/3/06 at which time Benadryl 6.25mg q6 hours was prescribed. Thereafter, patient started improving. By the time of evaluation by provider 8/4/06, patient's behavior was normal. He had 1-inch localized reactions around all injection sites except around the IPV site.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site reaction, Injection site warmth, Swelling, Urticaria
Clinical narrative: Severe Localized reaction, Hive like rash from left groin to left knee, slight swelling of upper leg present and warm to the touch.
Age: 19.0
Sex: M
Vaccine: MNQ
Symptoms: Headache, Myalgia, Pyrexia
Clinical narrative: C/o fever, muscle ache and headache.  Temp 39 C.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Bacterial infection, Drug ineffective, Hypotension, Mental impairment, Myocardial infarction
Clinical narrative: Failed Vaccine 8/7/06 Received death certificate which revealed COD as streptococcal pneumoniae sepsis with underlying cause of streptococcal pneumoniae pneumonia. 8/11/06 Received D/C summary from hospital which reveal patient was hospitalized from 5/19/06-5/22/06 with bilateral pneumonia, hypotension, chronic CHF, acute mental status changes, hx of CAD & pulmonary embolism for which patient had recently d/c Coumadin and chronic abdominal pain.  Final dx: bilateral streptococcal pneumoniae pneumonis; sepsis secondary to streptococcus pnaumoniae; acute renal failure; MI on 5/21/06; hypotension;acute mental status change; & chronic abdominal pain.  Patient's clinical status worsened progressively until her death despite antibiotics, IVF & Dopamine & O2 by mask.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Pneumonia, Renal failure acute, Sepsis
Clinical narrative: Failed Vaccine 8/7/06 Received death certificate which revealed COD as streptococcal pneumoniae sepsis with underlying cause of streptococcal pneumoniae pneumonia. 8/11/06 Received D/C summary from hospital which reveal patient was hospitalized from 5/19/06-5/22/06 with bilateral pneumonia, hypotension, chronic CHF, acute mental status changes, hx of CAD & pulmonary embolism for which patient had recently d/c Coumadin and chronic abdominal pain.  Final dx: bilateral streptococcal pneumoniae pneumonis; sepsis secondary to streptococcus pnaumoniae; acute renal failure; MI on 5/21/06; hypotension;acute mental status change; & chronic abdominal pain.  Patient's clinical status worsened progressively until her death despite antibiotics, IVF & Dopamine & O2 by mask.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Joint range of motion decreased, Myalgia
Clinical narrative: Extreme arm/muscle pain from shoulder to wrist beginning a few hours after the injection.  Not typical injection site pain.  The extreme arm pain lasted at least 2 weeks resulting in a decrease in range of motion of the arm.  As of today (more than a month after injection given), pain and soreness still present limiting full arm mobility.  Ultrasound treatments recommended but did not result in improvement.
Age: 45.0
Sex: M
Vaccine: HEP, HEPA, MMR, OPV, PPV, TD, TYP
Symptoms: Hypersensitivity, Influenza like illness, Pharyngitis, Rhinitis
Clinical narrative: COLD, FLU, ALLERGY.  10/9/06 Received medical records from MC which reveal patient experienced a fall 3/03 with resultant knee and low back pain.  PMR eval 6/03 dx: knee sprain & low back pain muscle spasm.  Referred to PT, given HEP & meds & sent for x-rays.  Patient seen 7/03 for left arm pain s/p anthrax vax.  Neurosurg eval 6/05 for LBP revealed no neuro deficit.  MRI of c-spine done 5/05 revealed exagerated lordosis of c-spine with no cord compromise. Neurosurg eval 8/05 revealed dx: lumbar & cervical spondylosis. Psychiatry exam 1/06 revealed patient had been referred by outpatient med clinic psychiatrist where he had been treated for approx 6-7 mos.  He was to be eval for day hospital eval for major depressive disorder since returned from overseas; patient on multiple psych med at that time. Other medical history includes cervical & lumbar spondylosis, glaucoma, GERD, PUD (large gastric ulcer dx 3/05), H. pylori infection, hypertriglyceridemia  & idiopathic neuropathy (dx by outside source).  Noted to be using cane for ambulation at that time & it was felt that chronic back pain was a major contributor to his depression. D/C from psych day program 2/06 to continue outpatient treatment & meds.  In 3/07 was reeval by PMR for neck & back pain, peripheral neuropathy & carpal tunnel syndrome. LS MRI done 2/06 revealed disk herniation L4-L5, disk bulge at L5-S1 with loss of LS lordosis; MRI of c-spine done same time revealed no herniation but disk bulge at C5-6 & C6-7.  Both areas with DDD, facet arthrosis & spurring.  Referred for interventional pain clinic eval & additional PT.  Interventional pain recommended right sacroiliac joint injection under fluoroscopy.  PCP eval 8/06 revealed additional dx: adb obesity, insulin resistance & low HDL, most likely metabolic syndrome, & HTN.  Cardiac w/u ordered which was WNL.  EMG/NCS done to r/o bilateral carpal tunnel was WNL 9/06.
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Condition aggravated, Convulsion, Diarrhoea, Nausea, Oedema
Clinical narrative: Swollen arm, Jaw, Back bone, Nausea, Diarrhea, also caused a seizure.
Age: 8.0
Sex: M
Vaccine: DTAP
Symptoms: Medication error
Clinical narrative: Client was given DTaP, I should have given TD
Age: 43.0
Sex: M
Vaccine: MMR
Symptoms: Cellulitis, Lymphangitis, White blood cell count increased
Clinical narrative: Cellulitis and Lymphangitis left arm. IV antibiotic 6/08-6/12, PO antibiotic until 6/21/06.
Age: 10.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Erythema, Injection site induration
Clinical narrative: Cellulitis, given antibiotics, 4 1/2 diameter erythema and induration.
Age: 0.27
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Decreased appetite, Irritability, Pyrexia, Rash, Rash erythematous
Clinical narrative: On 7/28/06 7-8am infant was noticed to have fever about 101 and rash. He also had decreased appetite and was somewhat irritable. On Exam 7/31/06 he had generalized erythematous maculopapular rashes.
Age: 0.27
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Rash maculo-papular
Clinical narrative: On 7/28/06 7-8am infant was noticed to have fever about 101 and rash. He also had decreased appetite and was somewhat irritable. On Exam 7/31/06 he had generalized erythematous maculopapular rashes.