chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 48.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain, Skin irritation, Swelling, Tenderness
Clinical narrative: Patient received pneumovax at 13:31 on 06/06/2005.  CRP 8.3.  Patient received Benadryl 50mg - 22:00 on 06/06/2005.  On 06/07/2005 - marked area of inflammation, 8 inches on whole left arm with redness and tenderness.  Also painful.  Patient was ordered Benadryl 25-50mg by mouth every 8 hours, Morphine 2-4mg as needed for pain.  Tylenol 650mg every 4-6 hours as needed for pain.  Ice pack to left arm and elbow, swelling starting to decrease.
Age: 0.83
Sex: F
Vaccine: DTAP, PNC
Symptoms: Erythema, Swelling
Clinical narrative: Area red and swollen.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Body temperature increased, Dysarthria, Dyspnoea, Malaise, Muscle twitching
Clinical narrative: Mom states pt came home at 7:00 from date not feeling well. Temp 100 F. Took ibuprofen. At 10:00 began to mumble and moan. c/o SOB. Then started twitching all over- 911 called. Pt taken to nearest hospital. Pt given IV fluids- Tordal and Ativan.
Sex: M
Vaccine: IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Pt received IPV and MMR in the same arm and ended up with swelling and pain from the shoulder to the elbow on that arm with redness and warmth.
Age: 42.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Chest pain, Dyspnoea, Hyperhidrosis, Hypertension, Myalgia
Clinical narrative: Student reported symptoms of diaphoresis, dyspnea, and transient chest pain and muscle pain one hour after receiving MMR/Hep B vaccines. Evaluated in office, B/P slightly elevated, fever for 30-45 minutes, refused ER treatment at time. Symptoms resolved and later evaluated at ER.
Age: 42.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Pyrexia
Clinical narrative: Student reported symptoms of diaphoresis, dyspnea, and transient chest pain and muscle pain one hour after receiving MMR/Hep B vaccines. Evaluated in office, B/P slightly elevated, fever for 30-45 minutes, refused ER treatment at time. Symptoms resolved and later evaluated at ER.
Age: 40.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Arthralgia, Aspartate aminotransferase increased, Chest pain, Neck pain, Pain
Clinical narrative: After each shot, there were no immediate reactions as decribed in the anthrax handout.  But in late Feb 2004, a few months after receiving my sixth shot, I started to have sharp pain in the right hip but it eventually went away. At that time I considered it more related to resuming an exercise program to prepare for the fitness test.  In June 2004, pain started in the right knee which has never completely gone away.  These pains were occasional in nature and easily remedied with over the counter pain medication. In Jan 2005, I started to get random pains in my chest that were concentrated along the breast bone but radiate accross the chest and under the arm.  At that time I was deployed where an EKG was accomplished to rule out a cardiac problem.  Also at this time, the knee pain was persistent as well as occasionally the hip pain.  I was prescribed 800mg Motrin at that time which seemed to take care of the problems. In early May 2005, pain started in my neck.  It seems isolated to the top of the spine or base of the skull and never completely goes away even with 800mg of prescribed Motrin.  This was followed closely with pain in both shoulders.  On 11 May 2005, I went to Sick Call for the pains in my neck and was given 800 mg Motrin.  It did not completely eliminate the pain. On 6 June 2005, returned to clinic.  The neck pain was increasing and additional pains were developing in both wrists, both kness, both ankles, both elbows, and the pain in both shoulders was now constant.  The physician prescribed 15mg Mobic and ordered a series of blood tests.  The Mobic helps eliminate about 80% of the pains but not all of them. The pains do not seem to limit range or movement or strength, but they are always there.  Also, changing positions whether sitting, reclining, or standing of the limb does not provide releif from the pain. On 14 June 2005, I returned to clinic.  At this time, I was given a referal to Internal Medicine for a follow up.
Age: 40.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Shoulder pain
Clinical narrative: After each shot, there were no immediate reactions as decribed in the anthrax handout.  But in late Feb 2004, a few months after receiving my sixth shot, I started to have sharp pain in the right hip but it eventually went away. At that time I considered it more related to resuming an exercise program to prepare for the fitness test.  In June 2004, pain started in the right knee which has never completely gone away.  These pains were occasional in nature and easily remedied with over the counter pain medication. In Jan 2005, I started to get random pains in my chest that were concentrated along the breast bone but radiate accross the chest and under the arm.  At that time I was deployed where an EKG was accomplished to rule out a cardiac problem.  Also at this time, the knee pain was persistent as well as occasionally the hip pain.  I was prescribed 800mg Motrin at that time which seemed to take care of the problems. In early May 2005, pain started in my neck.  It seems isolated to the top of the spine or base of the skull and never completely goes away even with 800mg of prescribed Motrin.  This was followed closely with pain in both shoulders.  On 11 May 2005, I went to Sick Call for the pains in my neck and was given 800 mg Motrin.  It did not completely eliminate the pain. On 6 June 2005, returned to clinic.  The neck pain was increasing and additional pains were developing in both wrists, both kness, both ankles, both elbows, and the pain in both shoulders was now constant.  The physician prescribed 15mg Mobic and ordered a series of blood tests.  The Mobic helps eliminate about 80% of the pains but not all of them. The pains do not seem to limit range or movement or strength, but they are always there.  Also, changing positions whether sitting, reclining, or standing of the limb does not provide releif from the pain. On 14 June 2005, I returned to clinic.  At this time, I was given a referal to Internal Medicine for a follow up.
Age: 1.26
Sex: M
Vaccine: HIBV, MMR
Symptoms: Rash morbilliform
Clinical narrative: With in one week, measles rash broke out starting on face and working down body.  Patient feeling well.  Did notice koplic spots.  Vit A given 6/15/2005.
Age: 18.0
Sex: F
Vaccine: HEP, MEN
Symptoms: Erythema, Rash, Rash macular, Skin nodule
Clinical narrative: Received HBV#3 and Menamune left deltoid on 6/6/05.  6/7/05 red blothy bumps left arm, few days later right arm.  Face 6/11/05 or 6/12/05 red 7 felt bumps underneath skin, 6/13/05 thighs and lower legs red rash. Recovering after Benadryl.
Age: 39.0
Sex: M
Vaccine: TD
Symptoms: Dizziness, Neck pain, Pain in jaw
Clinical narrative: Severe pain started approximately 24 hours after immunization in left side of head in neck.  Pain is centered in joint of jaw and radiates to top of head, through upper and lower teeth, back through and behind ear area, and down into neck to the shoulder.  Jaw and neck are stiff on left side.  Dizzy spells started approximately the same time as severe pain.  Symptons persist at this time, 1400 June 15, 2005.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling, redness, and pain of left arm at injection site.  Area of erythema measured 10 x 12 cm.
Age: 39.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: #2 Anthrax injection next day reports swelling and redness @ injection site right upper arm. Now presents with redness, more pink than bright red from top of tricep to approximate 1" below elbow, soft Induration 4cm x 4 cm @ injection site.  Injections site from #1 injection left upper arm 2cm x 2cm induration, no redness, no change since 6/8/05.  Denies fever, GI upset, no body aches, no change in appetite.  Right axilla non tender, no nodules palpable.  Taking 400 mg. IBU TID and Benadryl 50 mg x3 doses. Needs Anthrax Immunization for work. No exacerbation of Asthma Symptoms.
Age: 0.36
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Apnoea, Respiratory disorder
Clinical narrative: Telephone call received from the daycare provider approximatley 1 hour after vaccines administered advising office that pt was in route to Emergency room via ambulance because pt had quit breathing 3 times since arriving at daycare.
Age: 0.36
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Cardiac arrest, Erythema, Feeling hot, Rash, Respiratory arrest
Clinical narrative: Telephone call received from the daycare provider approximatley 1 hour after vaccines administered advising office that pt was in route to Emergency room via ambulance because pt had quit breathing 3 times since arriving at daycare.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Decreased appetite, Injection site swelling, Injection site warmth, Lethargy
Clinical narrative: Local swelling and fever at injection site (radiating 5 inched from injection), lethargy, decreased appetite.
Age: 1.66
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Site sl swollen and red, 2 inches x2 inches, warm to touch but no fever, not worsening. Tylenol for pain given.
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema
Clinical narrative: Redness 1 day later Calamine lotion, Tylenol if any pain, appt next day for follow up.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Hypersensitivity, Injection site erythema, Injection site mass
Clinical narrative: Allergic reaction to immz (Dtap or IPV). Lt with 15x15cm area erythema, 5x5 induration, apply ice pt per providers notes, Rx: Atarax, Tylenol.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis
Clinical narrative: Developed localized cellulitis at injection site, Tx'd with azithromycin, prompt resolution, no sequelae or serious morbidity.
Age: 81.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Developed localized cellulitis at injection site, Tx'd with Azithromycin, prompt resolution, no sequelae or serious injury
Age: 33.0
Sex: F
Vaccine: RAB
Symptoms: Myalgia, Pyrexia
Clinical narrative: About 10 hr post RabAvert injection (Day 7), developed elevated temp 100-101 and c/o body ache, resolved with Advil/Tylenol.
Age: 61.0
Sex: F
Vaccine: TD
Symptoms: Dizziness, Dyspnoea
Clinical narrative: Pt. received Td vaccine at approx. 2:30pm, 8/12/04. States became short of breath approx. 15-20 min. after vaccine given. Also light-headed. was shopping and continued this activity. Later called nurse at Emergency and was told to take Benadryl. Spoke with her Dr. today and was told to continue Benadryl. Symptoms improving.
Age: 0.47
Sex: F
Vaccine: DT, FLU3, HBHEPB, PPV
Symptoms: Coma, Convulsion, Dyskinesia, Febrile convulsion, Gaze palsy
Clinical narrative: Immunizations given in am. On pm of same day to midnight upward gaze, unresponsive to mom followed by cluster of 20 episodes of jerking in all extremities Dn myoclonic seizures.
Age: 0.47
Sex: F
Vaccine: DT, FLU3, HBHEPB, PPV
Symptoms: Myoclonus
Clinical narrative: Immunizations given in am. On pm of same day to midnight upward gaze, unresponsive to mom followed by cluster of 20 episodes of jerking in all extremities Dn myoclonic seizures.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Blood creatine phosphokinase increased, Blood lactate dehydrogenase increased, Chest pain, Hepatic steatosis, Laboratory test abnormal
Clinical narrative: 9 APR 2005: 22 Y/O MALE PRESENTED TO URGENT CARE WITH CHEST PAIN, SUBSTERNAL WITH RADIATION TO EPIGASTRUM, AND ECG CHANGES SUGGESTING MYOCARDIAL ISCHEMIA, WITH A HISTORY OF RECEIVING THE SMALLPOX VACCINATION 8 DAYS PRIOR. ONSET OF CP WAS AT REST WATCHING TELEVISION. NO CARDIAC RISK FACTORS. DENIED EVER HAVING A SIMILAR PAIN IN THE PAST. EXERCISE TOLERANCE-ABLE TO JOG 20-30 MINUTES, 2-3 TIMES A WEEK WITHOUT ANY DIFFICULTY. NO INITIAL RESPONSE TO SUBLINGUAL NITRO OR BETA BLOCKER. HE RULED OUT BY ENZYMES AT ER, AND CP RESOLVED SPONTANEOUSLY OVER THE COURSE OF 3-4 HOURS. ECHO PERFORMED IN ER, NO ABNORMALITIES WERE NOTED BY THE OPERATOR.  11 APRIL 2005 F/U VISIT-NO FURTHER CHEST PAIN. ECG REPEATED AND NOTABLE FOR NON-SPECIFIC ST CHANGES. MILD TRANSAMINITIS PROMPTED ABDOMINAL ULTRASOUND, WHICH REVEALED MILD FATTY LIVER, OTHERWISE NORMAL (14 APRIL 2005).  21 APRIL 2005 A TREADMILL STRESS TEST WAS PERFORMED AT THE MEDICAL CENTER, WHICH REVEALED "SIGNIFICANT ST DEPRESSION IN LEADS II, III, AVF, V4-V6 (MAX 0.18mV)", PERFORM UP TO BRUCE PROTOCOL STAGE 3, FOR 8 MINUTES. A STRESS ECHO AND ANGIOGRAM WAS RECOMMENDED. 26 APRIL 2005 PATIENT FOLLOWED UP WITH TREADMILL RESULTS. STILL NO RECURRENCE OF CHEST PAIN. DAILY ASPIRIN WAS STARTED.  INCIDENTALLY, PATIENT ALSO BEGAN TREATMENT THIS DAY FOR AN ACUTE PHARYNGITIS (AZITHROMYCIN FOR PRESUMPTIVE GROUP A STREP), AND WE BEGAN A WORKUP FOR GROSS AND MICROSCOPIC HEMATURIA. 29 APR 2005 DECISION WAS MADE TO SEND THE PATIENT TO A HOSPITAL AT HOME. PAPERWORK WAS FILLED OUT AND SUBMITTED TO PATIENT ADMIN DEPARTMENT.  BETA BLOCKER WAS STARTED 28 APRIL 2005. IVP WAS SCHEDULED FOR 2MAY 2005 FOR HEMATURIA WORKUP. URI SYMPTOMS RESOLVED. 2MAY205 IVP PERFORMED, SUBSEQUENTLY READ AS NORMAL. UA REPEATED AND WAS COMPLETELY NORMAL. 10MAY2005 MILITARY AIR AVAILABLE WITH MEDICAL PERSONNEL ON-BOARD, PREPARATIONS BEING MADE TO SECURE TRAVEL ON THIS FLIGHT. 13MAY2005 DOCTOR'S  IMPRESSION/PLAN: SINGLE EPISODE OF CHEST PAIN IN THE SETTING OF SMALLPOX VACCINATION WITHOUT FURTHER RECURRENCE AND HAS GOOD EXERCISE TOLERANCE. SUSPECT UNCOMPLICATED POST-SMALLPOX PERICARDITIS W/O COMPLICATION (NOW RESOLVED) WHICH IN RESTROSPECTIVLEY I HAVE NO EKG, LAB OR PHYSICAL EXAMINATION EVIDENCE. HOWEVER, HE HAS NO SXS ON REPEAT ETT AD NORMAL ECHOCARDIOGRAM. PATIENT HAS LITTLE CARDIAC RISK FOR ASCAD AND NO FURTHER WORKUP IS NECESSARY. HE IS RELEASED TO FULL DUTY WITHOUT ANY PHYSICAL RESTRICTION.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Myocardial ischaemia, Pericarditis, Pharyngitis, Upper respiratory tract infection
Clinical narrative: 9 APR 2005: 22 Y/O MALE PRESENTED TO URGENT CARE WITH CHEST PAIN, SUBSTERNAL WITH RADIATION TO EPIGASTRUM, AND ECG CHANGES SUGGESTING MYOCARDIAL ISCHEMIA, WITH A HISTORY OF RECEIVING THE SMALLPOX VACCINATION 8 DAYS PRIOR. ONSET OF CP WAS AT REST WATCHING TELEVISION. NO CARDIAC RISK FACTORS. DENIED EVER HAVING A SIMILAR PAIN IN THE PAST. EXERCISE TOLERANCE-ABLE TO JOG 20-30 MINUTES, 2-3 TIMES A WEEK WITHOUT ANY DIFFICULTY. NO INITIAL RESPONSE TO SUBLINGUAL NITRO OR BETA BLOCKER. HE RULED OUT BY ENZYMES AT ER, AND CP RESOLVED SPONTANEOUSLY OVER THE COURSE OF 3-4 HOURS. ECHO PERFORMED IN ER, NO ABNORMALITIES WERE NOTED BY THE OPERATOR.  11 APRIL 2005 F/U VISIT-NO FURTHER CHEST PAIN. ECG REPEATED AND NOTABLE FOR NON-SPECIFIC ST CHANGES. MILD TRANSAMINITIS PROMPTED ABDOMINAL ULTRASOUND, WHICH REVEALED MILD FATTY LIVER, OTHERWISE NORMAL (14 APRIL 2005).  21 APRIL 2005 A TREADMILL STRESS TEST WAS PERFORMED AT THE MEDICAL CENTER, WHICH REVEALED "SIGNIFICANT ST DEPRESSION IN LEADS II, III, AVF, V4-V6 (MAX 0.18mV)", PERFORM UP TO BRUCE PROTOCOL STAGE 3, FOR 8 MINUTES. A STRESS ECHO AND ANGIOGRAM WAS RECOMMENDED. 26 APRIL 2005 PATIENT FOLLOWED UP WITH TREADMILL RESULTS. STILL NO RECURRENCE OF CHEST PAIN. DAILY ASPIRIN WAS STARTED.  INCIDENTALLY, PATIENT ALSO BEGAN TREATMENT THIS DAY FOR AN ACUTE PHARYNGITIS (AZITHROMYCIN FOR PRESUMPTIVE GROUP A STREP), AND WE BEGAN A WORKUP FOR GROSS AND MICROSCOPIC HEMATURIA. 29 APR 2005 DECISION WAS MADE TO SEND THE PATIENT TO A HOSPITAL AT HOME. PAPERWORK WAS FILLED OUT AND SUBMITTED TO PATIENT ADMIN DEPARTMENT.  BETA BLOCKER WAS STARTED 28 APRIL 2005. IVP WAS SCHEDULED FOR 2MAY 2005 FOR HEMATURIA WORKUP. URI SYMPTOMS RESOLVED. 2MAY205 IVP PERFORMED, SUBSEQUENTLY READ AS NORMAL. UA REPEATED AND WAS COMPLETELY NORMAL. 10MAY2005 MILITARY AIR AVAILABLE WITH MEDICAL PERSONNEL ON-BOARD, PREPARATIONS BEING MADE TO SECURE TRAVEL ON THIS FLIGHT. 13MAY2005 DOCTOR'S  IMPRESSION/PLAN: SINGLE EPISODE OF CHEST PAIN IN THE SETTING OF SMALLPOX VACCINATION WITHOUT FURTHER RECURRENCE AND HAS GOOD EXERCISE TOLERANCE. SUSPECT UNCOMPLICATED POST-SMALLPOX PERICARDITIS W/O COMPLICATION (NOW RESOLVED) WHICH IN RESTROSPECTIVLEY I HAVE NO EKG, LAB OR PHYSICAL EXAMINATION EVIDENCE. HOWEVER, HE HAS NO SXS ON REPEAT ETT AD NORMAL ECHOCARDIOGRAM. PATIENT HAS LITTLE CARDIAC RISK FOR ASCAD AND NO FURTHER WORKUP IS NECESSARY. HE IS RELEASED TO FULL DUTY WITHOUT ANY PHYSICAL RESTRICTION.
Age: 32.0
Sex: F
Vaccine: MMR
Symptoms: Abortion, Medication error, Unintended pregnancy
Clinical narrative: Information has been received from a physician concerning a 32 year old pregnant female who was vaccinated by another physician with a dose of MMR (lot # unknown). At the time of this report, 4/29/05, the patient was nine weeks into her pregnancy, LMP estimated as 2/24/05 and EDD 12/01/2005. The patient sought unspecified medical attention. As of 5/31/05, the physician reported that the patient had elected to terminate her pregnancy the week after the physician had seen her. It was reported that the patient had not returned to the physician but had been in telephone contact. Additional information has been requested.
Age: 2.0
Sex: M
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Cardio-respiratory arrest, Cardiomyopathy, Pneumonia, Premature baby, Pyrexia
Clinical narrative: Information has been received from a RN concerning a 21 month old immunocompromised male who was vaccinated with a dose of varicella virus vaccine live. Concomitant vaccination included a dose of measles virus vaccine live  (Enders-Edmonston) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3). Subsequently the pt was hospitalized and died two weeks later (not further specified). A product quality complaint was not involved. Additional information was received from the RN who reported that the pt had a lot of problems. The pt was hospitalized until he was 20 months old with a diagnosis of extreme prematurity among other problems. The nurse did not know the cause of death but did indicate that high temperatures were involved. Additional information was received from a health professional at a pediatricians office who reported that the pt's demise had nothing to do with the vaccinations. The pt's experience was considered to be immediately life threatening and disabling by the RN. Additional information has been requested. Received Autopsy Report which revealed COD as acute bronchopneumonia, bronchopulmonary dysplasia, dilated cardiomyopathy & prematurity.
Age: 2.0
Sex: M
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Alanine aminotransferase increased, Albuminuria, Aspartate aminotransferase increased, Blood calcium increased, Blood chloride increased
Clinical narrative: Information has been received from a RN concerning a 21 month old immunocompromised male who was vaccinated with a dose of varicella virus vaccine live. Concomitant vaccination included a dose of measles virus vaccine live  (Enders-Edmonston) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3). Subsequently the pt was hospitalized and died two weeks later (not further specified). A product quality complaint was not involved. Additional information was received from the RN who reported that the pt had a lot of problems. The pt was hospitalized until he was 20 months old with a diagnosis of extreme prematurity among other problems. The nurse did not know the cause of death but did indicate that high temperatures were involved. Additional information was received from a health professional at a pediatricians office who reported that the pt's demise had nothing to do with the vaccinations. The pt's experience was considered to be immediately life threatening and disabling by the RN. Additional information has been requested. Received Autopsy Report which revealed COD as acute bronchopneumonia, bronchopulmonary dysplasia, dilated cardiomyopathy & prematurity.
Age: 2.0
Sex: M
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Blood creatinine increased, Blood glucose increased, Blood potassium increased, Blood sodium increased, Blood urea increased
Clinical narrative: Information has been received from a RN concerning a 21 month old immunocompromised male who was vaccinated with a dose of varicella virus vaccine live. Concomitant vaccination included a dose of measles virus vaccine live  (Enders-Edmonston) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3). Subsequently the pt was hospitalized and died two weeks later (not further specified). A product quality complaint was not involved. Additional information was received from the RN who reported that the pt had a lot of problems. The pt was hospitalized until he was 20 months old with a diagnosis of extreme prematurity among other problems. The nurse did not know the cause of death but did indicate that high temperatures were involved. Additional information was received from a health professional at a pediatricians office who reported that the pt's demise had nothing to do with the vaccinations. The pt's experience was considered to be immediately life threatening and disabling by the RN. Additional information has been requested. Received Autopsy Report which revealed COD as acute bronchopneumonia, bronchopulmonary dysplasia, dilated cardiomyopathy & prematurity.
Age: 2.0
Sex: M
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Cardiac arrest, Cardiac failure congestive, Cardiovascular disorder, Choking, Corneal reflex decreased
Clinical narrative: Information has been received from a RN concerning a 21 month old immunocompromised male who was vaccinated with a dose of varicella virus vaccine live. Concomitant vaccination included a dose of measles virus vaccine live  (Enders-Edmonston) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3). Subsequently the pt was hospitalized and died two weeks later (not further specified). A product quality complaint was not involved. Additional information was received from the RN who reported that the pt had a lot of problems. The pt was hospitalized until he was 20 months old with a diagnosis of extreme prematurity among other problems. The nurse did not know the cause of death but did indicate that high temperatures were involved. Additional information was received from a health professional at a pediatricians office who reported that the pt's demise had nothing to do with the vaccinations. The pt's experience was considered to be immediately life threatening and disabling by the RN. Additional information has been requested. Received Autopsy Report which revealed COD as acute bronchopneumonia, bronchopulmonary dysplasia, dilated cardiomyopathy & prematurity.
Age: 2.0
Sex: M
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Cough, Cyanosis, Heart rate irregular, Hyperglycaemia, Hypotonia
Clinical narrative: Information has been received from a RN concerning a 21 month old immunocompromised male who was vaccinated with a dose of varicella virus vaccine live. Concomitant vaccination included a dose of measles virus vaccine live  (Enders-Edmonston) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3). Subsequently the pt was hospitalized and died two weeks later (not further specified). A product quality complaint was not involved. Additional information was received from the RN who reported that the pt had a lot of problems. The pt was hospitalized until he was 20 months old with a diagnosis of extreme prematurity among other problems. The nurse did not know the cause of death but did indicate that high temperatures were involved. Additional information was received from a health professional at a pediatricians office who reported that the pt's demise had nothing to do with the vaccinations. The pt's experience was considered to be immediately life threatening and disabling by the RN. Additional information has been requested. Received Autopsy Report which revealed COD as acute bronchopneumonia, bronchopulmonary dysplasia, dilated cardiomyopathy & prematurity.
Age: 2.0
Sex: M
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Hypoxia, Laboratory test abnormal, Livedo reticularis, Lung disorder, Mental impairment
Clinical narrative: Information has been received from a RN concerning a 21 month old immunocompromised male who was vaccinated with a dose of varicella virus vaccine live. Concomitant vaccination included a dose of measles virus vaccine live  (Enders-Edmonston) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3). Subsequently the pt was hospitalized and died two weeks later (not further specified). A product quality complaint was not involved. Additional information was received from the RN who reported that the pt had a lot of problems. The pt was hospitalized until he was 20 months old with a diagnosis of extreme prematurity among other problems. The nurse did not know the cause of death but did indicate that high temperatures were involved. Additional information was received from a health professional at a pediatricians office who reported that the pt's demise had nothing to do with the vaccinations. The pt's experience was considered to be immediately life threatening and disabling by the RN. Additional information has been requested. Received Autopsy Report which revealed COD as acute bronchopneumonia, bronchopulmonary dysplasia, dilated cardiomyopathy & prematurity.
Age: 2.0
Sex: M
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Pyrexia, Respiratory distress, Respiratory rate decreased, Stupor, Tachycardia
Clinical narrative: Information has been received from a RN concerning a 21 month old immunocompromised male who was vaccinated with a dose of varicella virus vaccine live. Concomitant vaccination included a dose of measles virus vaccine live  (Enders-Edmonston) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3). Subsequently the pt was hospitalized and died two weeks later (not further specified). A product quality complaint was not involved. Additional information was received from the RN who reported that the pt had a lot of problems. The pt was hospitalized until he was 20 months old with a diagnosis of extreme prematurity among other problems. The nurse did not know the cause of death but did indicate that high temperatures were involved. Additional information was received from a health professional at a pediatricians office who reported that the pt's demise had nothing to do with the vaccinations. The pt's experience was considered to be immediately life threatening and disabling by the RN. Additional information has been requested. Received Autopsy Report which revealed COD as acute bronchopneumonia, bronchopulmonary dysplasia, dilated cardiomyopathy & prematurity.
Age: 2.0
Sex: M
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: White blood cell count increased, White blood cell disorder
Clinical narrative: Information has been received from a RN concerning a 21 month old immunocompromised male who was vaccinated with a dose of varicella virus vaccine live. Concomitant vaccination included a dose of measles virus vaccine live  (Enders-Edmonston) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3). Subsequently the pt was hospitalized and died two weeks later (not further specified). A product quality complaint was not involved. Additional information was received from the RN who reported that the pt had a lot of problems. The pt was hospitalized until he was 20 months old with a diagnosis of extreme prematurity among other problems. The nurse did not know the cause of death but did indicate that high temperatures were involved. Additional information was received from a health professional at a pediatricians office who reported that the pt's demise had nothing to do with the vaccinations. The pt's experience was considered to be immediately life threatening and disabling by the RN. Additional information has been requested. Received Autopsy Report which revealed COD as acute bronchopneumonia, bronchopulmonary dysplasia, dilated cardiomyopathy & prematurity.
Age: 40.0
Sex: F
Vaccine: MNQ, TD
Symptoms: Injection site pain
Clinical narrative: Complaint of pain when vaccine given and states arm hurt from vaccine sight (left deltoid) to elbow.  Hurts when raises arm.  No swelling - redness or atrophy of muscle.  Called on 06/10 to report.  Talked again with patient on 06/13/2005 and she says it is getting better.  Advised to let us know if worsens or need to see PMD.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Erythema, Pain, Swelling
Clinical narrative: Got DTAP in right arm on 06/10/2005.  On 06/11/2005 12:00PM became red, size of golf ball - seen at emergency on 06/12/2005 - redness spread up and down leg with blister, complaint of hurting - no fever, still spreading on 06/13/2005.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site erythema, Injection site swelling
Clinical narrative: Injection site red and swollen.  Erythema and edema left deltoid area.  Keflex 250/5 one teaspoon, 2 times per day for 10 days.
Age: 3.0
Sex: M
Vaccine: VARCEL
Symptoms: Convulsion, Otitis media
Clinical narrative: Micah began having seizures 11 days after vaccination.  There have been no other health problems whatsoever in Micah.  He has had an occasional ear infection but very healthy since birth.  He continued to have seizures and we were referred to pediatric neurologist.  EEG and MRI were done.  No abnormalities were found.  Seizures continued and Micah had to be put on Lamectil - He is taking 50mg daily.  It has slowed down seizure activity to near missed, occasional seizures.  The Lamectil required cost $1000 a month - 50mg - dose cost $200 a month.
Sex: F
Vaccine: TD
Symptoms: Injection site induration, Swelling
Clinical narrative: Left arm swelling and induration, after injection.
Age: 15.0
Sex: M
Vaccine: DT
Symptoms: Injection site erythema, Tenderness
Clinical narrative: Dollar size erythema at injection site, tender node to left axilla.
Age: 27.0
Sex: M
Vaccine: HEPA
Symptoms: Cardiac disorder, Dizziness postural
Clinical narrative: Patient had HAV shot.  He walked to front desk after about 5 minutes of conversation.  At front desk he fell to floor.  He responded immediately, but said he felt dizzy.  We had him recline on cot for 15 minutes.  Gave him juice and crackers.  He was referred to PMD or ER, if any further problems.
Age: 0.56
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Musculoskeletal stiffness, Tremor
Clinical narrative: Mom states an episode of going stiff and shaking.  Looked like not breathing right, and acted confused afterward.  Dazed a few seconds.  Total episode lasted about 1 minute.  No fever temperature 97.0, and was sleepy after the episode.
Age: 0.16
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying
Clinical narrative: Crying 6 hours inconsolably; intermittently for 48 hours.  No pallar/fever/local reaction.   Treated with Tylenol, prior to immunization.
Age: 58.0
Sex: M
Vaccine: FLU3, HEPA, TD, TYP
Symptoms: Hypoaesthesia, Pain
Clinical narrative: A few days after shots, right arm became painful, then numb. Numbness continues in R index finger
Age: 1.05
Sex: F
Vaccine: FLU3, MMR, PNC, VARCEL
Symptoms: Convulsion, Eye movement disorder, Injection site erythema, Injection site pain, Pyrexia
Clinical narrative: 11/19/04 acc to mother, fever started late evening 101-102. Mild soreness, redness at injection site. No vomiting. 11/21/04 acc to mom. Fever 105 - apparent seizure - hands drew up as clams, eyes rolled, to ER - life flighted to another hospital where they gave amoxycillin and sent home for no apparent problems after shots on 12/29/04 - DTap & Hib
Age: 33.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia
Clinical narrative: 3 days after receiving influenza vaccine had pain in hands and left knee and ankle (left). Since then has spread to all joint discomfort. Taking tylenol arthritis formula per MD. To follow-up with this or if no improvement for blood work. Family history of rheumatoid Arthritis. He has no previous symptoms 12/27 still with symptoms
Age: 78.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema, Pain, Skin nodule
Clinical narrative: Aqd shot @ 1:30pm - Symptoms developed by 5:00pm - hard knot on upper left arm -> redness, swelling & pain (severe) around entire upper left arm. General redness ???? entire arm -> improving by 11/25/04, recovered by 11/29/04.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Herpes zoster
Clinical narrative: Client reports developing shingles - has not returned call to supply remaining info for this report. States she is leaving for vacation 3:00am
Age: 26.0
Sex: M
Vaccine: YF
Symptoms: Headache, Lymphadenopathy, Mouth ulceration, Pyrexia
Clinical narrative: x 1 week -- fever, lymphadenopathy, mouth ulcers, headache
Age: 34.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus
Clinical narrative: Client was given her 2nd Hepatitis B injection and 2 hours after she noticed itching all over her body.  She noted no rash, hives, difficultly breathing, itching or closing of the throat.  Took a warm bath and itching persisted.  She still has itching today all over body but no rash or hives.  Client advised to consult physician today and also ask if she should have final injection in the series.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: L DELTOID SWOLLEN,RED WARM TO TOUCH
Age: 1.04
Sex: F
Vaccine: HIBV, MMR, PPV
Symptoms: Blood glucose increased, Bradycardia, Brain oedema, Cough, Dehydration
Clinical narrative: Had been to MD week of 10/18 with normal well child exam. 10/19/2004 slight cough, chest clear temp 99.8 in our office. To MD office 10/21/04 - Dx beginning pneumonia. Antibiotic inj. given and sent home. 10/22/04 Rapid progression of pneumonia at ER. Blood sugar 700+ Dx: Diabetic Ketoacidosis. Life flight to Hosp. Brain stem swelling. Pt died 10/24.  Added code of dehydration from Death Certificate rec'd 06/13/2005.  From discharge Summary rec'd 06/21/2005, added terms are polyuris, lethargy, weight loss, tachycardia, dehydration, irritable, bradycardia, hypoventilation, pain, hyperventilation, pallow, and hyponatremia.
Age: 1.04
Sex: F
Vaccine: HIBV, MMR, PPV
Symptoms: Hyponatraemia, Hypoventilation, Irritability, Ketoacidosis, Lethargy
Clinical narrative: Had been to MD week of 10/18 with normal well child exam. 10/19/2004 slight cough, chest clear temp 99.8 in our office. To MD office 10/21/04 - Dx beginning pneumonia. Antibiotic inj. given and sent home. 10/22/04 Rapid progression of pneumonia at ER. Blood sugar 700+ Dx: Diabetic Ketoacidosis. Life flight to Hosp. Brain stem swelling. Pt died 10/24.  Added code of dehydration from Death Certificate rec'd 06/13/2005.  From discharge Summary rec'd 06/21/2005, added terms are polyuris, lethargy, weight loss, tachycardia, dehydration, irritable, bradycardia, hypoventilation, pain, hyperventilation, pallow, and hyponatremia.
Age: 1.04
Sex: F
Vaccine: HIBV, MMR, PPV
Symptoms: Pain, Pallor, Pneumonia, Polyuria, Pyrexia
Clinical narrative: Had been to MD week of 10/18 with normal well child exam. 10/19/2004 slight cough, chest clear temp 99.8 in our office. To MD office 10/21/04 - Dx beginning pneumonia. Antibiotic inj. given and sent home. 10/22/04 Rapid progression of pneumonia at ER. Blood sugar 700+ Dx: Diabetic Ketoacidosis. Life flight to Hosp. Brain stem swelling. Pt died 10/24.  Added code of dehydration from Death Certificate rec'd 06/13/2005.  From discharge Summary rec'd 06/21/2005, added terms are polyuris, lethargy, weight loss, tachycardia, dehydration, irritable, bradycardia, hypoventilation, pain, hyperventilation, pallow, and hyponatremia.
Age: 1.04
Sex: F
Vaccine: HIBV, MMR, PPV
Symptoms: Tachycardia, Weight decreased
Clinical narrative: Had been to MD week of 10/18 with normal well child exam. 10/19/2004 slight cough, chest clear temp 99.8 in our office. To MD office 10/21/04 - Dx beginning pneumonia. Antibiotic inj. given and sent home. 10/22/04 Rapid progression of pneumonia at ER. Blood sugar 700+ Dx: Diabetic Ketoacidosis. Life flight to Hosp. Brain stem swelling. Pt died 10/24.  Added code of dehydration from Death Certificate rec'd 06/13/2005.  From discharge Summary rec'd 06/21/2005, added terms are polyuris, lethargy, weight loss, tachycardia, dehydration, irritable, bradycardia, hypoventilation, pain, hyperventilation, pallow, and hyponatremia.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Oedema
Clinical narrative: RT ARM AWOLLEN
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Erythema overlying site of vaccination three days after the vaccination. No systemic illness. pain and erythema minor. (Left deltoid)
Age: 14.0
Sex: M
Vaccine: HEP
Symptoms: Headache, Nausea, Vision blurred, Vomiting
Clinical narrative: received inj #2 Hep B on 6/15/05 at health unit, 24 hours later awoke with headache, blurred vision and nausea and vomiting, was brought to hosp er, problems had resolved by the time he was seen by physician, he was observed with no further treatment given
Age: 12.0
Sex: M
Vaccine: FLU3, MMR, TD
Symptoms: Pruritus, Rash
Clinical narrative: Developed raised rash (? hives) on trunk and upper thighs approx 24 hrs after receiving vaccines. itching, no fever. Phoned family physician who did not elect to see him - Gave Benadryl and rash resolved within 24 hours.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Erythema, Fatigue, Headache, Rash, Vomiting
Clinical narrative: RCD VACCINE AT 10AM 6.15.05 AT 10PM SAME DAY DEVELOPED FINE RED RASH TO FACE, HA, VERY TIRED, VOMITING. TODAY STILL WITH HA, VERY TIRED AND WITH RASH STILL, THOUGH IT IS FAINTER.
Age: 6.0
Sex: M
Vaccine: HEP
Symptoms: Face oedema, Joint swelling, Pruritus, Pyrexia, Rash erythematous
Clinical narrative: Red raised rash began on both thighs in the evening of 6/10/05 and spread to both arms (worse on left arm.)  Rash and itching controlled with 1 1/2 tsp of Benadryl po.  Rash resolved on 6/12/05.  Swollen knee, swollen lower lip  and fever of 101 F occured on the evening of 6/11/05.  Immediately resolved with po Motrin.  Denied trouble breathing.  Parents chose not to contact physician.
Age: 0.6
Sex: M
Vaccine: DTAP, PNC
Symptoms: Cough, Croup infectious, Diarrhoea, Nasal congestion, Pyrexia
Clinical narrative: Spiked fever of 102 next day had vomiting and diarrhea, had to phone call into dr.    2 more urgent calls into the dr on day 4 after vaccination had to also then go into emergancy room 4 days after vaccination for croupy, congestion, cough, rhinorrhea, runny nose and fever continuation.  Only taking 3 bottles and had only 2 wet diapers. not drinking well  temp up to 103 and still vomiting, also pulling at ears.  diagnosed with an upper respiratory infection.  7 days after again in the emergancy room continuation of issues with not getting better and continued vomiting.
Age: 0.6
Sex: M
Vaccine: DTAP, PNC
Symptoms: Rhinorrhoea, Upper respiratory tract infection, Vomiting
Clinical narrative: Spiked fever of 102 next day had vomiting and diarrhea, had to phone call into dr.    2 more urgent calls into the dr on day 4 after vaccination had to also then go into emergancy room 4 days after vaccination for croupy, congestion, cough, rhinorrhea, runny nose and fever continuation.  Only taking 3 bottles and had only 2 wet diapers. not drinking well  temp up to 103 and still vomiting, also pulling at ears.  diagnosed with an upper respiratory infection.  7 days after again in the emergancy room continuation of issues with not getting better and continued vomiting.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site nodule, Injection site swelling
Clinical narrative: Redness started about 2 days after vaccine given. Redness around injection site, some slight swelling. Still using arm, relieved by cool compresses. Redness 3 inches long and 2 inches wide, 2-3 mm nodule under injection site.
Age: 1.48
Sex: M
Vaccine: DT, MMR, VARCEL
Symptoms: Oedema peripheral, Swelling
Clinical narrative: 3pm leg started to swell to toes. taken to ER 9pm for edema to leg and toes and no fever. No redness; tender to touch (9/2/04 per Dr left leg swelling status post vaccine).
Age: 5.0
Sex: F
Vaccine: DTAP, FLU3, MMR
Symptoms: Hypersensitivity, Injection site warmth, Swelling
Clinical narrative: Approx. 8 hrs after receiving mom reported arm swelling and warm to touch. Mom stated her arm was twice that of it's normal size. Pt. saw NP in local area, prescribed antibiotic and antihistamine. The NP thought it was more an allergic reaction than a cellulitis.
Age: 1.02
Sex: M
Vaccine: MMR, UNK, VARCEL
Symptoms: Anorexia, Asthma, Bronchiolitis, Convulsion, Cough
Clinical narrative: Fever up to 103.6 fussy, not eating well, coughing, not drinking well only 1 diaper in the AM, difficlutly breathing through nose and wheezing, ear pain, diarrhea.  Treatment- give Tylenol and ibuprofen, increase fluid intake, antibotic to 3rd generation cephalasporin, nebulizer for wheezing, coughing etc,  Robitussin, albuterol for nebulizer, Omnicef 125 mg/5ml  Had to call back in that night with 103.4 fever and diarrhea with blood in it- told to go to ER. Shaking on the way there (seizure) unable to communicate back to mother in car while shaking. Started in the tub, fine then started again in the car on way to emergancy room. Blood tests run there was a marked shift in the while blood count differential and bilateral otitis media with fever.  Continue with meds if not better in 3 days contact dr again.  2 days later still not better, more vomitting and diarrhea.  Temp up to 104 still fussy can't keep much down. Diagnosis of unchange in ear infection and fever.  7-22 knots in groin now, put now on augmentin (amoxicillin).  7-27 then had thrush.  7-29 yeast infection now on penial area from antiboxics from infection from vaccinations.  Recheck for fever on 8-5 now labeled with failure to thrive, poor weight gain not improving, ear infection still unchanged after 2 rounds of antibotics.  Months following he has now failed a hearing test and has lost language, also given RSV label.
Age: 1.02
Sex: M
Vaccine: MMR, UNK, VARCEL
Symptoms: Diarrhoea, Dyspnoea, Ear pain, Fungal infection, Gastrointestinal disorder
Clinical narrative: Fever up to 103.6 fussy, not eating well, coughing, not drinking well only 1 diaper in the AM, difficlutly breathing through nose and wheezing, ear pain, diarrhea.  Treatment- give Tylenol and ibuprofen, increase fluid intake, antibotic to 3rd generation cephalasporin, nebulizer for wheezing, coughing etc,  Robitussin, albuterol for nebulizer, Omnicef 125 mg/5ml  Had to call back in that night with 103.4 fever and diarrhea with blood in it- told to go to ER. Shaking on the way there (seizure) unable to communicate back to mother in car while shaking. Started in the tub, fine then started again in the car on way to emergancy room. Blood tests run there was a marked shift in the while blood count differential and bilateral otitis media with fever.  Continue with meds if not better in 3 days contact dr again.  2 days later still not better, more vomitting and diarrhea.  Temp up to 104 still fussy can't keep much down. Diagnosis of unchange in ear infection and fever.  7-22 knots in groin now, put now on augmentin (amoxicillin).  7-27 then had thrush.  7-29 yeast infection now on penial area from antiboxics from infection from vaccinations.  Recheck for fever on 8-5 now labeled with failure to thrive, poor weight gain not improving, ear infection still unchanged after 2 rounds of antibotics.  Months following he has now failed a hearing test and has lost language, also given RSV label.
Age: 1.02
Sex: M
Vaccine: MMR, UNK, VARCEL
Symptoms: Hearing impaired, Irritability, Lymphoedema, Oral intake reduced, Otitis media
Clinical narrative: Fever up to 103.6 fussy, not eating well, coughing, not drinking well only 1 diaper in the AM, difficlutly breathing through nose and wheezing, ear pain, diarrhea.  Treatment- give Tylenol and ibuprofen, increase fluid intake, antibotic to 3rd generation cephalasporin, nebulizer for wheezing, coughing etc,  Robitussin, albuterol for nebulizer, Omnicef 125 mg/5ml  Had to call back in that night with 103.4 fever and diarrhea with blood in it- told to go to ER. Shaking on the way there (seizure) unable to communicate back to mother in car while shaking. Started in the tub, fine then started again in the car on way to emergancy room. Blood tests run there was a marked shift in the while blood count differential and bilateral otitis media with fever.  Continue with meds if not better in 3 days contact dr again.  2 days later still not better, more vomitting and diarrhea.  Temp up to 104 still fussy can't keep much down. Diagnosis of unchange in ear infection and fever.  7-22 knots in groin now, put now on augmentin (amoxicillin).  7-27 then had thrush.  7-29 yeast infection now on penial area from antiboxics from infection from vaccinations.  Recheck for fever on 8-5 now labeled with failure to thrive, poor weight gain not improving, ear infection still unchanged after 2 rounds of antibotics.  Months following he has now failed a hearing test and has lost language, also given RSV label.
Age: 1.02
Sex: M
Vaccine: MMR, UNK, VARCEL
Symptoms: Pharyngitis, Pyrexia, Viral infection, Vomiting, Wheezing
Clinical narrative: Fever up to 103.6 fussy, not eating well, coughing, not drinking well only 1 diaper in the AM, difficlutly breathing through nose and wheezing, ear pain, diarrhea.  Treatment- give Tylenol and ibuprofen, increase fluid intake, antibotic to 3rd generation cephalasporin, nebulizer for wheezing, coughing etc,  Robitussin, albuterol for nebulizer, Omnicef 125 mg/5ml  Had to call back in that night with 103.4 fever and diarrhea with blood in it- told to go to ER. Shaking on the way there (seizure) unable to communicate back to mother in car while shaking. Started in the tub, fine then started again in the car on way to emergancy room. Blood tests run there was a marked shift in the while blood count differential and bilateral otitis media with fever.  Continue with meds if not better in 3 days contact dr again.  2 days later still not better, more vomitting and diarrhea.  Temp up to 104 still fussy can't keep much down. Diagnosis of unchange in ear infection and fever.  7-22 knots in groin now, put now on augmentin (amoxicillin).  7-27 then had thrush.  7-29 yeast infection now on penial area from antiboxics from infection from vaccinations.  Recheck for fever on 8-5 now labeled with failure to thrive, poor weight gain not improving, ear infection still unchanged after 2 rounds of antibotics.  Months following he has now failed a hearing test and has lost language, also given RSV label.
Age: 44.0
Sex: M
Vaccine: HEP, HEPA, MNQ, TD, TYP
Symptoms: Headache, Malaise, Pyrexia
Clinical narrative: Patient states that he developed headaches, low grade fever of 99 degrees and general malaise.
Age: 53.0
Sex: F
Vaccine: TD
Symptoms: Headache, Hot flush, Pain, Shoulder pain
Clinical narrative: Client received Td - left deltoid im on Fri. am 7/30/04. On Sun. 8/1/04, client began experiencing pain in left arm from elbow to shoulder. Later that day pain radiated to neck and down spine to mid-shoulder blade. H/A - back of head; hold/cold flashes. Did not consult physician - took ibuprofen for discomfort.
Age: 18.0
Sex: F
Vaccine: ANTH
Symptoms: Amnesia, Cough, Dyspnoea, Fatigue, Headache
Clinical narrative: Received AVA #1, had flu-like symptoms with cough, fever, felt like a really bad cold. When starting to get better, was given second AVA on Mar 23, coughing so severe hept her awake all night, tried lying on floors, bed, chairs to try to suppress cough. Deployed Mar 25th, severe cough, runny nose, mild fevers, using cold and cough syrup without effect. Seen by medic, given Tessalon perle, Sudafed, none helpful. Arrived overseas Apr 4, seen Apr 7 by MD, given Guifenisin, Levoquin. Cough relieved, but fatigue remained. Seen May 27, 04 for shortness of breath. Since that time SOB has continued and worsened, and additional symptoms now include headache on daily basis, mild fevers, short term memory loss that is particularly bothersome, body and muscle aches, and weight gain (from ususal wgt of 135-140 to now 165-180 lbs).