chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Pyrexia
Clinical narrative: At night, chills and sweats began and fever of 101 took aspirin. On Wednesday symptoms on and off. Red blotch appeared 2 inches below injection sites, a streak appearred on one side. Today, doctor diagnosed it as phebotis type reaction. Red and hard in certain areas. Prescribed cephalexin for next 2 weeks. (500 mg, 3 x day)
Age: 0.58
Sex: M
Vaccine: DTAP, PNC
Symptoms: Injection site induration
Clinical narrative: Moderately indurated left thigh
Age: 1.01
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Erythema, Otitis media, Pyrexia, Swelling, Vomiting
Clinical narrative: Right thigh with redness and swelling, emesis, fever up to 102; increase BM x 3 in one hour, otitis
Sex: M
Vaccine: DTAPH, HEPA, MMR, PNC
Symptoms: Hypersensitivity
Clinical narrative: 1 HC Insta care called on 11/16/05 asking what Imms were given and sites. Nurse told me that pt had allergic reaction.
Age: 52.0
Sex: M
Vaccine: HEPA
Symptoms: Anorexia, Diarrhoea, Pyrexia, Retching
Clinical narrative: 24 hours following injection of Hepatitis A vaccine, employee reported high fever, dry heaves, loose stools and lack of appetite. Unable to report for duty because of this illness.
Age: 0.16
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Choking, Convulsion, Gastrooesophageal reflux disease, Musculoskeletal stiffness
Clinical narrative: 48 hrs after administration and 96 hrs after administration of 3 vax had choke up and stiffen up. ?GERD and SZ
Age: 0.12
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Crying
Clinical narrative: Inconsolable - crying times 1 1/2 hrs
Age: 19.0
Sex: F
Vaccine: VARCEL
Symptoms: Pruritus, Rash
Clinical narrative: 24 hrs after injection pt c/o itching all over. Rash observed on right arm. State had temp 100.5. Referred to DR for evaluation. 11-11-05 Ordered Medrol DOS pack
Age: 1.24
Sex: M
Vaccine: MMR, PNC
Symptoms: Unevaluable event
Clinical narrative: None Stated
Age: 36.0
Sex: F
Vaccine: HEP, JEV, RAB
Symptoms: Pruritus, Urticaria
Clinical narrative: Day 4 after admin of JE vax #2 client dev. hives on both arms from shoulder to elbow front of arms only and hives front of legs from hip to thigh. Hives raised with small white center, client states hundreds. Rash lasted time 14 days (approx) ten resolved. Client didn't call office rash reported by husband at his next visit. Client only used cool clothes, rash very itchy didn't take any antihistamines no fever.
Age: 15.0
Sex: F
Vaccine: HEP, MMR, VARCEL
Symptoms: Myalgia, Oedema, Pharyngeal oedema
Clinical narrative: Pt received MMR, V2V and 2nd Hep B shot on 12/2/05 presented to ER on 12/3/05 with swollen left arm, severe soreness and throat swelling.
Age: 83.0
Sex: F
Vaccine: PPV
Symptoms: Unevaluable event
Clinical narrative: Several days after patients were vaccinated, it was discovered that the refrigerator that housed the vaccine had temperatures ranging from 32 degrees-33 degrees F for 3-4 days. No adverse events noted and no abnormality note with vaccine itself, but manufacturer instructed facility to fill out VAERS form. Vial discarded and replaced.
Age: 81.0
Sex: M
Vaccine: PPV
Symptoms: Unevaluable event
Clinical narrative: Several days after patients were vaccinated, it was discover that the refrigerator that housed the vaccine had temperatures varying from 32.8 - 33 degrees F for 3-4 days. No adverse events noted. No abnormality noted after vaccine itself, but manufacturer instructed facility to fill out VAERS form.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Unevaluable event
Clinical narrative: Several days after patients were vaccinated, it was discovered that the refrigerator that housed the vaccine had temperatures ranging from 32.8 - 33 degrees F for up to 3-4 days. No adverse events noted but manufacturer of vaccine instructed facility to fill out VAERS form. Rest of vial discarded and replaced.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Feeling hot, Pain
Clinical narrative: Right arm red, warm, slight pain.
Age: 20.0
Sex: F
Vaccine: HEPA
Symptoms: Unevaluable event
Clinical narrative: Pt given 2 Hepatitis hosts at time of visit. No symptoms. For reporting purposes only
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Anorexia, Crying, Irritability, Pyrexia, Sleep disorder
Clinical narrative: Immediate crying after vaccines at 2 month age. Same day fever to 102 degrees. Fevers times 3 days. Cried non stop for 4 hours day 1. Refused to eat times 8 hrs. For 10 days after vaccines, had irritability and fussing and not sleeping well. Pt not re-evaluated during this time.
Sex: U
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying
Clinical narrative: Patient had inconsolable crying more then 3 hrs a day times 6 days.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash vesicular
Clinical narrative: Varicella
Age: 1.0
Sex: M
Vaccine: OPV, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Varicella
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash vesicular
Clinical narrative: Varicella
Age: 1.26
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Developed Fever 104 - 105 degrees the evening after administration of vaccine.  Seizure occured at 5AM the following morning.  Transported to emergency room.  CBC and blood culture drawn.  CBC normal.  Blood culture no growth.  Temperature the following day up to 103 degrees and temperature 2 days later 101.7.  3 days later fever resolved.  Mild upper respiratory symptoms were noted the day of vaccine administration and continued for several days.  No exanthem developed.
Age: 13.0
Sex: F
Vaccine: MNQ
Symptoms: Asthenia, Pyrexia
Clinical narrative: About 5 hours following vaccine, developed severe weakness and a fever around 100 degress F.  The fever continued for 2 days, the weakness for 5 days.  No treatment recommended by doctor.  Note: she had recurrent weakness this week coincident with a stomach flu that took her 4 days to recover from.
Age: 48.0
Sex: F
Vaccine: DT, FLU3, PPV
Symptoms: Cellulitis, Chills, Hyperhidrosis, Injection site erythema, Injection site swelling
Clinical narrative: Developed a severe case of cellulitis. Fever, chills, sweats, swelling on site of needle in right arm and severe swelling and redness in area next to where needle when in.  Extreme pain for 5-7 days.  Put on antibiotics, ceflex and cipro, pain relievers, and steroids.
Age: 48.0
Sex: F
Vaccine: DT, FLU3, PPV
Symptoms: Pyrexia
Clinical narrative: Developed a severe case of cellulitis. Fever, chills, sweats, swelling on site of needle in right arm and severe swelling and redness in area next to where needle when in.  Extreme pain for 5-7 days.  Put on antibiotics, ceflex and cipro, pain relievers, and steroids.
Age: 48.0
Sex: M
Vaccine: HEPAB, YF
Symptoms: Arthralgia, Depression, Malaise
Clinical narrative: Within 5-7 days of second series fo Twinix Hep A and Hep B vaccination suffered from joint pain in most joints and particularly in hands. In addition, had trouble thinking clearly and suffered from malaise, depression, and inability to perform work. Reported to physician but no tests showed anything abnormal.  Continue to suffer from joint pain in hands sometimes severely if I use my hands a lot.
Age: 54.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Erythema, Eye disorder, Hypoacusis, Hypokinesia, Influenza like illness
Clinical narrative: Whelps mostly left exterior. Right thigh very painful edematous and increase erythema painful, shoulder pain up to back - fever 102 degrees. Headache, fatigue, right  eye drooping. Later blurred vision - plus hearing loss - sharp pain to back of eye and right jaw ear area. Flu pneumonia type symptoms. Confusion, dizziness , disoriented, right leg give out. 5am Dr read letter for doses 2 tsp prednisone. Keflex, Depo-Medrol IM, Depo-Medrol dose back if or when Keflex one 4 time day everyday. 5 ER Dr's had never seen pt many side effects. ER and several DR visits waiting on other. As of today all symptoms remain same expect increase blurred vision.
Age: 54.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site oedema, Injection site pain, Injection site rash, Injection site warmth, Medication error
Clinical narrative: Whelps mostly left exterior. Right thigh very painful edematous and increase erythema painful, shoulder pain up to back - fever 102 degrees. Headache, fatigue, right  eye drooping. Later blurred vision - plus hearing loss - sharp pain to back of eye and right jaw ear area. Flu pneumonia type symptoms. Confusion, dizziness , disoriented, right leg give out. 5am Dr read letter for doses 2 tsp prednisone. Keflex, Depo-Medrol IM, Depo-Medrol dose back if or when Keflex one 4 time day everyday. 5 ER Dr's had never seen pt many side effects. ER and several DR visits waiting on other. As of today all symptoms remain same expect increase blurred vision.
Age: 54.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Otitis media, Pain, Pruritus, Rash, Vulvovaginal disorder
Clinical narrative: Whelps mostly left exterior. Right thigh very painful edematous and increase erythema painful, shoulder pain up to back - fever 102 degrees. Headache, fatigue, right  eye drooping. Later blurred vision - plus hearing loss - sharp pain to back of eye and right jaw ear area. Flu pneumonia type symptoms. Confusion, dizziness , disoriented, right leg give out. 5am Dr read letter for doses 2 tsp prednisone. Keflex, Depo-Medrol IM, Depo-Medrol dose back if or when Keflex one 4 time day everyday. 5 ER Dr's had never seen pt many side effects. ER and several DR visits waiting on other. As of today all symptoms remain same expect increase blurred vision.
Age: 54.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Confusional state, Difficulty in walking, Disorientation, Dizziness, Erythema
Clinical narrative: Whelps mostly left exterior. Right thigh very painful edematous and increase erythema painful, shoulder pain up to back - fever 102 degrees. Headache, fatigue, right  eye drooping. Later blurred vision - plus hearing loss - sharp pain to back of eye and right jaw ear area. Flu pneumonia type symptoms. Confusion, dizziness , disoriented, right leg give out. 5am Dr read letter for doses 2 tsp prednisone. Keflex, Depo-Medrol IM, Depo-Medrol dose back if or when Keflex one 4 time day everyday. 5 ER Dr's had never seen pt many side effects. ER and several DR visits waiting on other. As of today all symptoms remain same expect increase blurred vision.
Age: 54.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Eye disorder, Eye pain, Fatigue, Headache, Hypoacusis
Clinical narrative: Whelps mostly left exterior. Right thigh very painful edematous and increase erythema painful, shoulder pain up to back - fever 102 degrees. Headache, fatigue, right  eye drooping. Later blurred vision - plus hearing loss - sharp pain to back of eye and right jaw ear area. Flu pneumonia type symptoms. Confusion, dizziness , disoriented, right leg give out. 5am Dr read letter for doses 2 tsp prednisone. Keflex, Depo-Medrol IM, Depo-Medrol dose back if or when Keflex one 4 time day everyday. 5 ER Dr's had never seen pt many side effects. ER and several DR visits waiting on other. As of today all symptoms remain same expect increase blurred vision.
Age: 54.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Influenza, Oedema, Pain, Pneumoconiosis, Pyrexia
Clinical narrative: Whelps mostly left exterior. Right thigh very painful edematous and increase erythema painful, shoulder pain up to back - fever 102 degrees. Headache, fatigue, right  eye drooping. Later blurred vision - plus hearing loss - sharp pain to back of eye and right jaw ear area. Flu pneumonia type symptoms. Confusion, dizziness , disoriented, right leg give out. 5am Dr read letter for doses 2 tsp prednisone. Keflex, Depo-Medrol IM, Depo-Medrol dose back if or when Keflex one 4 time day everyday. 5 ER Dr's had never seen pt many side effects. ER and several DR visits waiting on other. As of today all symptoms remain same expect increase blurred vision.
Age: 54.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Urticaria, Vision blurred
Clinical narrative: Whelps mostly left exterior. Right thigh very painful edematous and increase erythema painful, shoulder pain up to back - fever 102 degrees. Headache, fatigue, right  eye drooping. Later blurred vision - plus hearing loss - sharp pain to back of eye and right jaw ear area. Flu pneumonia type symptoms. Confusion, dizziness , disoriented, right leg give out. 5am Dr read letter for doses 2 tsp prednisone. Keflex, Depo-Medrol IM, Depo-Medrol dose back if or when Keflex one 4 time day everyday. 5 ER Dr's had never seen pt many side effects. ER and several DR visits waiting on other. As of today all symptoms remain same expect increase blurred vision.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Depressed level of consciousness, Nasal oedema, Rash, Tongue oedema
Clinical narrative: Approx 30 min after receiving vaccines pt. had diffuse red rash &  itching over entire body, especially palms.  Vomited.  Decreased LOC.  Returned to office immed.  Received Benadryl 25mg IM & sent to ER for IV fluids.  Prednisone, pepcid & PO  Benadryl.  No resp. symptoms lungs clear, got 100%.  Diagnosed as "systemic allergic reaction".
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Loss of consciousness, Pruritus, Rash, Vomiting
Clinical narrative: Approx 30 min after receiving vaccines pt. had diffuse red rash &  itching over entire body, especially palms.  Vomited.  Decreased LOC.  Returned to office immed.  Received Benadryl 25mg IM & sent to ER for IV fluids.  Prednisone, pepcid & PO  Benadryl.  No resp. symptoms lungs clear, got 100%.  Diagnosed as "systemic allergic reaction".
Age: 0.58
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Candidiasis, Crying, Cyanosis, Depressed level of consciousness, Dermatitis contact
Clinical narrative: On the day of admission, a previously healthy 7 month old boy, received intravenous, poliovirus, Diphtheria tetanus toxoids, acellular pertussis (DTaP), Hib/HBV and pneumococcal conjugate vaccines at 1:20pm. Eight hours later at 9:30pm, the patient was difficult to arouse, was limp, had blue extremities that were cool to touch and had a rectal temp of 104.3 degrees F. The patient arrived at a local Emergency department at 10:25pm. The patient was ill appearing and crying but consolable. The patient was easy to arouse, had a appropriate tone and was no longer cyanotic. His extremities were mottled and cool. White blood cell count was 7.2 x 10 to the 9th/l, hemoglobin 12.3 g/dl, hematocrit 35%, platelets 304 x 10 to the 9th/l. Serum electrolytes, blood urea nitrogen, creatine and glucose were normal. A roentgenogram of the chest was normal. The patient received 20 nl/kg normal saline and 100 mg kg ceftriaxone IV. The patients heart rate decreased after the fluid administration, and sinus tachycardia 140-190 was documented on a rhythm strip recorded during transport to the hospital. At the hospital vital signs were temp 100.6 degrees F rectal, pulse 180/min, respiratory rate 30 min, blood pressure 101/57 mm Hg. Pulse oximetry was 100% on room air. The patient was responsive and had the appropriate tone and color. the patient appeared ill and cried intermittently but did not appear toxic. The patient had a macular, erythematous rash on his cheeks, an erythematous macular rash with satellite lesions in diaper area and scattered, elevated white plaques on the buccal mucosa and tongue. No local reaction to vaccine administered was noted. The remainder of the examination was normal. The patient had no further HHE. Test for respiratory syncytial virus, influenza, parainfluenza and adenovirus were negative. Serum electrolytes were normal. Blood cultures obtained after 1 dose of ceftriaxone were sterile. A second dose of Ceftriaxone 50 mg/kg, was given 24 hours after admission. The patient defervesce within 40 hours of admission and remained afebrile for the remainder of the hospital course. The patient was treated for thrush and candida diaper dermatitis and was discharged home with no antibacterial agents. prescribed after 62 hours of hospitalization. The patient continued to received scheduled immunization expect pertussis. The patient has not had further adverse events associated with vaccine administration.
Age: 0.58
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Hypotonia, Mouth plaque, Peripheral coldness, Pyrexia, Rash macular
Clinical narrative: On the day of admission, a previously healthy 7 month old boy, received intravenous, poliovirus, Diphtheria tetanus toxoids, acellular pertussis (DTaP), Hib/HBV and pneumococcal conjugate vaccines at 1:20pm. Eight hours later at 9:30pm, the patient was difficult to arouse, was limp, had blue extremities that were cool to touch and had a rectal temp of 104.3 degrees F. The patient arrived at a local Emergency department at 10:25pm. The patient was ill appearing and crying but consolable. The patient was easy to arouse, had a appropriate tone and was no longer cyanotic. His extremities were mottled and cool. White blood cell count was 7.2 x 10 to the 9th/l, hemoglobin 12.3 g/dl, hematocrit 35%, platelets 304 x 10 to the 9th/l. Serum electrolytes, blood urea nitrogen, creatine and glucose were normal. A roentgenogram of the chest was normal. The patient received 20 nl/kg normal saline and 100 mg kg ceftriaxone IV. The patients heart rate decreased after the fluid administration, and sinus tachycardia 140-190 was documented on a rhythm strip recorded during transport to the hospital. At the hospital vital signs were temp 100.6 degrees F rectal, pulse 180/min, respiratory rate 30 min, blood pressure 101/57 mm Hg. Pulse oximetry was 100% on room air. The patient was responsive and had the appropriate tone and color. the patient appeared ill and cried intermittently but did not appear toxic. The patient had a macular, erythematous rash on his cheeks, an erythematous macular rash with satellite lesions in diaper area and scattered, elevated white plaques on the buccal mucosa and tongue. No local reaction to vaccine administered was noted. The remainder of the examination was normal. The patient had no further HHE. Test for respiratory syncytial virus, influenza, parainfluenza and adenovirus were negative. Serum electrolytes were normal. Blood cultures obtained after 1 dose of ceftriaxone were sterile. A second dose of Ceftriaxone 50 mg/kg, was given 24 hours after admission. The patient defervesce within 40 hours of admission and remained afebrile for the remainder of the hospital course. The patient was treated for thrush and candida diaper dermatitis and was discharged home with no antibacterial agents. prescribed after 62 hours of hospitalization. The patient continued to received scheduled immunization expect pertussis. The patient has not had further adverse events associated with vaccine administration.
Age: 0.58
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Stupor, Tachycardia
Clinical narrative: On the day of admission, a previously healthy 7 month old boy, received intravenous, poliovirus, Diphtheria tetanus toxoids, acellular pertussis (DTaP), Hib/HBV and pneumococcal conjugate vaccines at 1:20pm. Eight hours later at 9:30pm, the patient was difficult to arouse, was limp, had blue extremities that were cool to touch and had a rectal temp of 104.3 degrees F. The patient arrived at a local Emergency department at 10:25pm. The patient was ill appearing and crying but consolable. The patient was easy to arouse, had a appropriate tone and was no longer cyanotic. His extremities were mottled and cool. White blood cell count was 7.2 x 10 to the 9th/l, hemoglobin 12.3 g/dl, hematocrit 35%, platelets 304 x 10 to the 9th/l. Serum electrolytes, blood urea nitrogen, creatine and glucose were normal. A roentgenogram of the chest was normal. The patient received 20 nl/kg normal saline and 100 mg kg ceftriaxone IV. The patients heart rate decreased after the fluid administration, and sinus tachycardia 140-190 was documented on a rhythm strip recorded during transport to the hospital. At the hospital vital signs were temp 100.6 degrees F rectal, pulse 180/min, respiratory rate 30 min, blood pressure 101/57 mm Hg. Pulse oximetry was 100% on room air. The patient was responsive and had the appropriate tone and color. the patient appeared ill and cried intermittently but did not appear toxic. The patient had a macular, erythematous rash on his cheeks, an erythematous macular rash with satellite lesions in diaper area and scattered, elevated white plaques on the buccal mucosa and tongue. No local reaction to vaccine administered was noted. The remainder of the examination was normal. The patient had no further HHE. Test for respiratory syncytial virus, influenza, parainfluenza and adenovirus were negative. Serum electrolytes were normal. Blood cultures obtained after 1 dose of ceftriaxone were sterile. A second dose of Ceftriaxone 50 mg/kg, was given 24 hours after admission. The patient defervesce within 40 hours of admission and remained afebrile for the remainder of the hospital course. The patient was treated for thrush and candida diaper dermatitis and was discharged home with no antibacterial agents. prescribed after 62 hours of hospitalization. The patient continued to received scheduled immunization expect pertussis. The patient has not had further adverse events associated with vaccine administration.
Age: 0.58
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Agitation, Crying, Cyanosis, Depressed level of consciousness, Heart rate increased
Clinical narrative: On the day of admission, a previously healthy 7 month old boy, received intravenous, poliovirus, Diphtheria tetanus toxoids, acellular pertussis (DTaP), Hib/HBV and pneumococcal conjugate vaccines at 1:20pm. Eight hours later at 9:30pm, the patient was difficult to arouse, was limp, had blue extremities that were cool to touch and had a rectal temp of 104.3 degrees F. The patient arrived at a local Emergency department at 10:25pm. The patient was ill appearing and crying but consolable. The patient was easy to arouse, had a appropriate tone and was no longer cyanotic. His extremities were mottled and cool. White blood cell count was 7.2 x 10 to the 9th/l, hemoglobin 12.3 g/dl, hematocrit 35%, platelets 304 x 10 to the 9th/l. Serum electrolytes, blood urea nitrogen, creatine and glucose were normal. A roentgenogram of the chest was normal. The patient received 20 nl/kg normal saline and 100 mg kg ceftriaxone IV. The patients heart rate decreased after the fluid administration, and sinus tachycardia 140-190 was documented on a rhythm strip recorded during transport to the hospital. At the hospital vital signs were temp 100.6 degrees F rectal, pulse 180/min, respiratory rate 30 min, blood pressure 101/57 mm Hg. Pulse oximetry was 100% on room air. The patient was responsive and had the appropriate tone and color. the patient appeared ill and cried intermittently but did not appear toxic. The patient had a macular, erythematous rash on his cheeks, an erythematous macular rash with satellite lesions in diaper area and scattered, elevated white plaques on the buccal mucosa and tongue. No local reaction to vaccine administered was noted. The remainder of the examination was normal. The patient had no further HHE. Test for respiratory syncytial virus, influenza, parainfluenza and adenovirus were negative. Serum electrolytes were normal. Blood cultures obtained after 1 dose of ceftriaxone were sterile. A second dose of Ceftriaxone 50 mg/kg, was given 24 hours after admission. The patient defervesce within 40 hours of admission and remained afebrile for the remainder of the hospital course. The patient was treated for thrush and candida diaper dermatitis and was discharged home with no antibacterial agents. prescribed after 62 hours of hospitalization. The patient continued to received scheduled immunization expect pertussis. The patient has not had further adverse events associated with vaccine administration.
Age: 0.58
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Hypotonia, Malaise, Mouth plaque, Peripheral coldness, Peripheral vascular disorder
Clinical narrative: On the day of admission, a previously healthy 7 month old boy, received intravenous, poliovirus, Diphtheria tetanus toxoids, acellular pertussis (DTaP), Hib/HBV and pneumococcal conjugate vaccines at 1:20pm. Eight hours later at 9:30pm, the patient was difficult to arouse, was limp, had blue extremities that were cool to touch and had a rectal temp of 104.3 degrees F. The patient arrived at a local Emergency department at 10:25pm. The patient was ill appearing and crying but consolable. The patient was easy to arouse, had a appropriate tone and was no longer cyanotic. His extremities were mottled and cool. White blood cell count was 7.2 x 10 to the 9th/l, hemoglobin 12.3 g/dl, hematocrit 35%, platelets 304 x 10 to the 9th/l. Serum electrolytes, blood urea nitrogen, creatine and glucose were normal. A roentgenogram of the chest was normal. The patient received 20 nl/kg normal saline and 100 mg kg ceftriaxone IV. The patients heart rate decreased after the fluid administration, and sinus tachycardia 140-190 was documented on a rhythm strip recorded during transport to the hospital. At the hospital vital signs were temp 100.6 degrees F rectal, pulse 180/min, respiratory rate 30 min, blood pressure 101/57 mm Hg. Pulse oximetry was 100% on room air. The patient was responsive and had the appropriate tone and color. the patient appeared ill and cried intermittently but did not appear toxic. The patient had a macular, erythematous rash on his cheeks, an erythematous macular rash with satellite lesions in diaper area and scattered, elevated white plaques on the buccal mucosa and tongue. No local reaction to vaccine administered was noted. The remainder of the examination was normal. The patient had no further HHE. Test for respiratory syncytial virus, influenza, parainfluenza and adenovirus were negative. Serum electrolytes were normal. Blood cultures obtained after 1 dose of ceftriaxone were sterile. A second dose of Ceftriaxone 50 mg/kg, was given 24 hours after admission. The patient defervesce within 40 hours of admission and remained afebrile for the remainder of the hospital course. The patient was treated for thrush and candida diaper dermatitis and was discharged home with no antibacterial agents. prescribed after 62 hours of hospitalization. The patient continued to received scheduled immunization expect pertussis. The patient has not had further adverse events associated with vaccine administration.
Age: 0.58
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia, Rash erythematous, Rash macular, Skin ulcer
Clinical narrative: On the day of admission, a previously healthy 7 month old boy, received intravenous, poliovirus, Diphtheria tetanus toxoids, acellular pertussis (DTaP), Hib/HBV and pneumococcal conjugate vaccines at 1:20pm. Eight hours later at 9:30pm, the patient was difficult to arouse, was limp, had blue extremities that were cool to touch and had a rectal temp of 104.3 degrees F. The patient arrived at a local Emergency department at 10:25pm. The patient was ill appearing and crying but consolable. The patient was easy to arouse, had a appropriate tone and was no longer cyanotic. His extremities were mottled and cool. White blood cell count was 7.2 x 10 to the 9th/l, hemoglobin 12.3 g/dl, hematocrit 35%, platelets 304 x 10 to the 9th/l. Serum electrolytes, blood urea nitrogen, creatine and glucose were normal. A roentgenogram of the chest was normal. The patient received 20 nl/kg normal saline and 100 mg kg ceftriaxone IV. The patients heart rate decreased after the fluid administration, and sinus tachycardia 140-190 was documented on a rhythm strip recorded during transport to the hospital. At the hospital vital signs were temp 100.6 degrees F rectal, pulse 180/min, respiratory rate 30 min, blood pressure 101/57 mm Hg. Pulse oximetry was 100% on room air. The patient was responsive and had the appropriate tone and color. the patient appeared ill and cried intermittently but did not appear toxic. The patient had a macular, erythematous rash on his cheeks, an erythematous macular rash with satellite lesions in diaper area and scattered, elevated white plaques on the buccal mucosa and tongue. No local reaction to vaccine administered was noted. The remainder of the examination was normal. The patient had no further HHE. Test for respiratory syncytial virus, influenza, parainfluenza and adenovirus were negative. Serum electrolytes were normal. Blood cultures obtained after 1 dose of ceftriaxone were sterile. A second dose of Ceftriaxone 50 mg/kg, was given 24 hours after admission. The patient defervesce within 40 hours of admission and remained afebrile for the remainder of the hospital course. The patient was treated for thrush and candida diaper dermatitis and was discharged home with no antibacterial agents. prescribed after 62 hours of hospitalization. The patient continued to received scheduled immunization expect pertussis. The patient has not had further adverse events associated with vaccine administration.
Age: 36.0
Sex: F
Vaccine: MMR
Symptoms: Dyspnoea, Face oedema, Rash, Swelling
Clinical narrative: Strange bumps/rash on uvala, uvala was swollen, breathing difficulty, lips swelled.
Age: 0.55
Sex: M
Vaccine: DTAP, FLU3, HIBV, PNC, UNK
Symptoms: Abnormal behaviour, Autism, Cognitive disorder, Developmental delay, Irritability
Clinical narrative: Infant began flailing/self-stimming on 12-25-04. Infant stopped babbling, eating, was irritable, not cuddly, had disturbed sleep problems, and was diagnosed with autism spectrum on 8-10-05. Medical record states congenital muscle anomally. msv  Per annual follow-up: Encepholathy, speech and language regression, cognitive impairment, autism, global developmental delay, severe egg and peanut allergy, severe gastric intestinal issues.  Additional comments: Children should not be made to receive these shots. Parents should have informed consent .  Our twins received this vaccine at 6 months and just shy of 7 months. Follow-up: Patient still has dx of regressive encephalopathy w/ features of autism.
Age: 0.55
Sex: M
Vaccine: DTAP, FLU3, HIBV, PNC, UNK
Symptoms: Oral intake reduced, Regressive behaviour
Clinical narrative: Infant began flailing/self-stimming on 12-25-04. Infant stopped babbling, eating, was irritable, not cuddly, had disturbed sleep problems, and was diagnosed with autism spectrum on 8-10-05. Medical record states congenital muscle anomally. msv  Per annual follow-up: Encepholathy, speech and language regression, cognitive impairment, autism, global developmental delay, severe egg and peanut allergy, severe gastric intestinal issues.  Additional comments: Children should not be made to receive these shots. Parents should have informed consent .  Our twins received this vaccine at 6 months and just shy of 7 months. Follow-up: Patient still has dx of regressive encephalopathy w/ features of autism.
Age: 0.55
Sex: M
Vaccine: DTAP, FLU3, HIBV, PNC, UNK
Symptoms: Abnormal behaviour, Autism, Cognitive disorder, Congenital anomaly, Encephalopathy
Clinical narrative: Infant stopped babbling, looked at us as though he did not know who we were, began gazing, stopped eating, was irritable, not cuddly, had disturbed sleep problems, began surface scanning objects, crossing eyes, and was diagnosed with autism spectrum on 8-10-05. Medical record states congenital abnormality. msv Encephalopathy, speech and language regression, cognitive impairment, autism, gilobal dev. delay severe egg & peanut allergy, severe GI issues.  This should not be a mandated vaccine.  Our twins received this vaccine at 6 months and just shy of 7 months.  Parents should be informed. Follow-up: Patient still has a dx of regressive encephalopathy w/ features of autism.
Age: 0.55
Sex: M
Vaccine: DTAP, FLU3, HIBV, PNC, UNK
Symptoms: Food allergy, Irritability, Oral intake reduced, Sleep disorder, Staring
Clinical narrative: Infant stopped babbling, looked at us as though he did not know who we were, began gazing, stopped eating, was irritable, not cuddly, had disturbed sleep problems, began surface scanning objects, crossing eyes, and was diagnosed with autism spectrum on 8-10-05. Medical record states congenital abnormality. msv Encephalopathy, speech and language regression, cognitive impairment, autism, gilobal dev. delay severe egg & peanut allergy, severe GI issues.  This should not be a mandated vaccine.  Our twins received this vaccine at 6 months and just shy of 7 months.  Parents should be informed. Follow-up: Patient still has a dx of regressive encephalopathy w/ features of autism.
Age: 0.55
Sex: M
Vaccine: DTAP, FLU3, HIBV, PNC, UNK
Symptoms: Strabismus
Clinical narrative: Infant stopped babbling, looked at us as though he did not know who we were, began gazing, stopped eating, was irritable, not cuddly, had disturbed sleep problems, began surface scanning objects, crossing eyes, and was diagnosed with autism spectrum on 8-10-05. Medical record states congenital abnormality. msv Encephalopathy, speech and language regression, cognitive impairment, autism, gilobal dev. delay severe egg & peanut allergy, severe GI issues.  This should not be a mandated vaccine.  Our twins received this vaccine at 6 months and just shy of 7 months.  Parents should be informed. Follow-up: Patient still has a dx of regressive encephalopathy w/ features of autism.
Age: 0.51
Sex: F
Vaccine: DTAP, FLU3, HBHEPB, PNC
Symptoms: Urticaria
Clinical narrative: Urticaria
Age: 72.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Hypokinesia, Pain
Clinical narrative: Pain in right arm starting 2 days post vaccination. Still unable to lift arm. Has not visited a doctor as of 12/04/2005.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Tremor
Clinical narrative: Occurrence 12/07/2005 approx 24 hours after shots. 2-3 seconds low amplitude shaking left hand when excited. Recurrence 3-4 times over the following 48 hours. No loss of consciousness, no change in color, no other changes. Patient is on orajel for teething uses once daily average. Neurologic exam normal.
Age: 13.0
Sex: M
Vaccine: HEP, TDAP, VARCEL
Symptoms: Rash, Viral infection
Clinical narrative: Came to Dr office 11/30/2005. Has rash on body that began 11/28/2005. Diagnosed with varicella. DR states its likely due to vaccine.
Age: 1.37
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Blister, Herpes zoster, Rash, Viral infection
Clinical narrative: 11/05 began blistering rash wrist, next day DX with shingles.
Age: 1.03
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Pyrexia, Viral infection
Clinical narrative: Clinical varicella (mild) < 50 lesions, mild tactile fever. Vaccine given 1997, DX varicella 2005.
Age: 0.36
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Anoxia, Diabetes mellitus, Ecchymosis, Fracture, Pyrexia
Clinical narrative: Questionable beaten.  Fever, Vomit aded from med rec rec'd 12/22/2005/sr    Terms added from Discharge summary rec'd 01/20/2006: subarachnoid hemorrhage, anoxia, DM, retinal Hemorrhage, contusions, fractures./sr No additional terms added from Autopsy report rec'd 12/30/2005.
Age: 0.36
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Retinal haemorrhage, Subarachnoid haemorrhage, Vomiting
Clinical narrative: Questionable beaten.  Fever, Vomit aded from med rec rec'd 12/22/2005/sr    Terms added from Discharge summary rec'd 01/20/2006: subarachnoid hemorrhage, anoxia, DM, retinal Hemorrhage, contusions, fractures./sr No additional terms added from Autopsy report rec'd 12/30/2005.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Convulsion
Clinical narrative: Initial report received on 12/5/05 from a health care provider. An adult female patient received an IM injection of Fluzone SV 2005-2006, lot number U1930AA, on an unspecified date. Number of previous doses was reported as one.  Within five minutes of receiving the vaccine, she had a seizure. An ambulance was called. However, the patient refused transport. There was no illness at the time of vaccination and no known pre-existing medical conditions. The patient will reportedly follow up with her physician. At the time of this report, the patient had fully recovered. (OMIC)
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site hypersensitivity, Injection site oedema, Tenderness
Clinical narrative: Red, swollen, tender area on right deltoid where flu vaccine was administered.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site oedema, Injection site pain, Myalgia, Pyrexia
Clinical narrative: Pt with febrile illness, myalgias, sore swollen arm at site.
Age: 1.1
Sex: F
Vaccine: DTAP, FLU3, HIBV, MMR, PNC, VARCEL
Symptoms: Feeling hot, Injection site hypersensitivity
Clinical narrative: Mother notice reaction the night that the vaccines were given. The area where shot were given was warm and red pt had no symptoms. R leg 80 x 40 cm left 30 x 10 cm.
Age: 13.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Chest pain, Erythema, Lymphadenitis, Oedema, Type III immune complex mediated reaction
Clinical narrative: Arthus reaction (redness, swelling, wheezing, lymphadenitis, intermittent chest pain.
Age: 13.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Wheezing
Clinical narrative: Arthus reaction (redness, swelling, wheezing, lymphadenitis, intermittent chest pain.
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pain, Paraesthesia
Clinical narrative: Patient called 11/08/2005 and had described Pain in injection arm after flu shot, subsiding and state tingling in left hand, pinkie, and ring finger. Recommended to patient that if continues or worsens to contact his doctor and make appointment.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Feeling hot, Pruritus
Clinical narrative: Immediate itching, later hot to touch and red for about 5 days.
Age: 1.11
Sex: F
Vaccine: FLU3, HBHEPB, PNC, VARCEL
Symptoms: Cellulitis, Injection site hypersensitivity, Injection site oedema, Injection site warmth
Clinical narrative: Redness, warmth, swelling, around vaccine site started 48 hours after vaccine, cellulitis diagnosed. Treated with Augmentin.
Age: 1.26
Sex: F
Vaccine: DTAP, FLU3, PNC, VARCEL
Symptoms: Oedema, Pharyngeal oedema, Urticaria
Clinical narrative: Pharyngeal swelling, urticaria, right arm swelling, required epinephrine, Steroids, Diphenhydramine.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Myalgia, Red blood cell sedimentation rate increased
Clinical narrative: Arthralgias, Myalgias, increased sed rate 50.
Age: 75.0
Sex: M
Vaccine: FLU3
Symptoms: Arthritis, Red blood cell sedimentation rate increased, White blood cell count increased
Clinical narrative: Severe arthritis left shoulder and left knee on day after vaccine.
Age: 77.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Myalgia, Pyrexia
Clinical narrative: Arthralgias, myalgias, fever 102.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Throat tightness, Urticaria
Clinical narrative: Hives, sensation of throat closing, Given epinephrine x 2 and taken to hospital.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Oedema, Pain, Pruritus, Tenderness
Clinical narrative: Redness, swelling, tenderness, sore and itchy.
Age: 17.0
Sex: F
Vaccine: FLU3, MNQ, TDAP
Symptoms: Hypoaesthesia, Oedema, Pain
Clinical narrative: Pt received Menactra and Tdap in right deltoid about 10 hours later developed swollen arm to fingers with numbness, C?O wrist pain slowly improving.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Back pain, Chest pain, Headache, Injection site induration, Listless
Clinical narrative: Left deltoid soreness with small area information and induration. Severe headache, backache, left shoulder, left neck pain. Left sided chest pain, pain on inspiration, listless, temp 99.1.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Neck pain, Pain, Pyrexia, Shoulder pain
Clinical narrative: Left deltoid soreness with small area information and induration. Severe headache, backache, left shoulder, left neck pain. Left sided chest pain, pain on inspiration, listless, temp 99.1.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Abdominal pain upper, Headache, Pain
Clinical narrative: Left deltoid soreness, severe headache 10/18/05 and stomach pain
Age: 70.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis
Clinical narrative: Left arm cellulitis developed 24 hours after injection, started under --- and moving to forearm.
Age: 33.0
Sex: M
Vaccine: TTOX
Symptoms: Injection site pain, Swelling
Clinical narrative: Donor noticed soreness in right arm at site 12/08/05 20:00 hrs still sore today 12/10/05. Marked and swelling 12/09/05 2330 hrs same condition 12/10/05 1400 hrs. no treatments
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 8 cm erythema and swelling at injection site 6-8 hours after injection - right anterior thigh.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site rash, Injection site swelling
Clinical narrative: 7 cm red raised rash at injection site
Age: 1.27
Sex: F
Vaccine: HBPV, PNC
Symptoms: Hyperaesthesia
Clinical narrative: Child received Hib and Prevnar in right leg.  Came back to office two days later with redness at both sites.
Age: 5.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Patient developed varicella on 11/1/05, seen in my office 11/2/05 to confirm diagnosis.  Had received Varivax 8/20/04.
Age: 1.07
Sex: F
Vaccine: HBHEPB, PNC, VARCEL
Symptoms: Erythema, Hypokinesia, Swelling
Clinical narrative: Both legs red, hot, swollen and painful.  Started several hours after they got home and mom gave her a warm bath on 12/5/05.  Not wanting to move legs-12/6/05.  Mom called Dr. and he started her on Benadryl, Tylenol and Motrin and cool compresses.
Age: 1.07
Sex: F
Vaccine: MMR
Symptoms: Skin ulcer
Clinical narrative: < 50 lesions-Atavax 1 tsp QID and A  cyclovine 2tsp QID x 7 days.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Influenza like illness, Myalgia, Rash
Clinical narrative: Myalgia and "Flu" like symptoms, Papillar skin rash on abdomen and thighs 24-48 hrs post vac administration.  No fever.  Symptoms resolved 72 hrs post vaccination.  No treatment given.
Age: 39.0
Sex: F
Vaccine: VARCEL
Symptoms: Dizziness, Hypersensitivity, Pruritus, Pyrexia
Clinical narrative: Dizziness after injection with temp of 100-102 F every other day since injection.  Itching at site for 1 day.  Being tired for 2 days.  Allergic to PCN & Sulfa.  Temp in clinic today 98.8.  Has not seen PMD per symptoms right back to PMD.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Acne, Condition aggravated, Headache, Injection site pain, Injection site reaction
Clinical narrative: Localized reaction at inoculation site 7 days post vaccine to consist of 3 inch diameter pain and swelling.  Systemic reaction to include headache, malaise, and worsening of previously controlled acne on forehead.  No treatment provided.  Counseling regarding worsening and site hygeine discussed.  Dermatology consult obtained and completed 08 Dec. 2005.  Today, 12/12/05, symptoms are begining to resolve to include localized swelling.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site swelling, Malaise
Clinical narrative: Localized reaction at inoculation site 7 days post vaccine to consist of 3 inch diameter pain and swelling.  Systemic reaction to include headache, malaise, and worsening of previously controlled acne on forehead.  No treatment provided.  Counseling regarding worsening and site hygeine discussed.  Dermatology consult obtained and completed 08 Dec. 2005.  Today, 12/12/05, symptoms are begining to resolve to include localized swelling.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Swelling
Clinical narrative: On 12/8/05, patient contacted me regarding a swelling and redness in  her right arm.  This arm she received a pneumonia shot on 12/8/05.  The reaction began about 24 hours after the shot.  Her daughter is an R.N. and suggested that she notify us regarding the problem.  I advised her to keep her arm elevated and apply ice.  In the event the events became worse over the weekend to call her physicians exchange.  She also said she would let me know this week on how she is doing.
Age: 1.52
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Left arm red/raised area 10 cm. x 7 cm. Not tender.
Age: 0.64
Sex: F
Vaccine: FLU3, HIBV, PNC
Symptoms: Pyrexia, Rhinorrhoea
Clinical narrative: The patient had her shots yesterday. Last night, she developed a 103 fever. Her twin sister had the same shots and she developed same symptoms. She has had runny nose for one week, but she did not seem at all sick. After her first set of shots on 8/31/05, she had fever up to 104, which lasted three days and resolved spontaneously. After her second set of shots, she had no problems. The shots that were given both the first and thrid times are the HIB and PREVNAR. Fevers this time lasted 48 hrs.
Age: 0.64
Sex: F
Vaccine: FLU3, HIBV, PNC
Symptoms: Pyrexia, Rhinorrhoea
Clinical narrative: She received some immunizations day before being seen. 3-4 Hrs later she developed high fever to 103. She has no other symptoms now, except for a little runny nose, which she has had for about 1 wk. After her first set of shots, she had a high fever to 104 lasting 72 hrs, along with her twin sister. With the second set of shots, she had no reactions. The fever after the first set of shots started 3-4 hours after receiving the immunizations and lasted 72 hrs. The shots that were given both first and third times are the HIB and PREVNAR.
Age: 44.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site mass, Injection site pain
Clinical narrative: Persistant pain at the injection site, small palpable nodule at the site.
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Injection site erythema, Injection site reaction, Injection site warmth
Clinical narrative: ON 12/1/05 P.M. PATIENTS ARM BELOW SITE OF INJECTION TURNED PURPLISH-RED AND WAS VERY HOT. MOTHER TOOK CHILD TO NP @ 3 P.M ON 12/2/05 AND WAS TOLD THAT CHILD HAD CELLULITIS. RX FOR ANTIBIOTICS, STEROIDS, AND BENADRYL. RED AREA MEASURES ABOUT 2 1/2 INCHES BY 1 1/2 INCHES.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Cough, Neuralgia, Pharyngeal oedema, Rhinorrhoea
Clinical narrative: Flu vaccine administered at approx 2 pm, at approx. 5:45pm, patient thought she had something lodged in throat.  looked in mouth and observed swelling in throat and had "nerve pain in mouth and throat area" also experienced chest pain across front and back, had coughing and runny nose. Took Baclofen and aspirin and laid down.  At approx. 10pm, her symptoms subsided.
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: CSF test abnormal, Cough, Demyelination, Guillain-Barre syndrome, Hypokinesia
Clinical narrative: Patient admitted to hospital 12/9/5 with an acute, rapidly ascending motor weakness diagnosed as Guillain-Barre, for which he received a 5 day course of IVIG followed by inpatient rehab (ongoing at the time of this report).  The patient had no URI or GI symtoms or sick contacts in the preceeding 4 weeks (he did have his usual chronic smoker's cough but no acute change in sputum).  The patient's symtoms began on 12/8/5; he had received the flu vaccine at work on 12/6/5.  The patient had received flu vaccines at this same place of work over the last 12 years without any remembered ill effect. Medical records state paresthesia. msv
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Laboratory test abnormal, Neuropathy, Paraesthesia
Clinical narrative: Patient admitted to hospital 12/9/5 with an acute, rapidly ascending motor weakness diagnosed as Guillain-Barre, for which he received a 5 day course of IVIG followed by inpatient rehab (ongoing at the time of this report).  The patient had no URI or GI symtoms or sick contacts in the preceeding 4 weeks (he did have his usual chronic smoker's cough but no acute change in sputum).  The patient's symtoms began on 12/8/5; he had received the flu vaccine at work on 12/6/5.  The patient had received flu vaccines at this same place of work over the last 12 years without any remembered ill effect. Medical records state paresthesia. msv
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP, FLU3, MMR, VARCEL
Symptoms: Joint swelling, Swelling
Clinical narrative: Significant swelling to right thigh.  Swelling was from the groin to below the knee.