chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Urticaria, Wheezing
Clinical narrative: Anaphylaxis:  Child presented with hives, itching and redness on face, also c/o feet itching at 1456 hrs - 7 minutes after receiving immunizations.  He was evaluated by physician, his lungs were clear, BENADRYL 12.5 mg PO administered, was monitored.  Child became lethargic, decreased responsiveness and wheezing bilat.  One dose epi - pen 0.15 mg was administered at 1518 hrs.  Child recovered within one minute.  Lungs were CTA, VS stable.  Monitored in clinic greater than 2 hours.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site swelling
Clinical narrative: 11 yo with large amount of swelling at injection site.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, PNC, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Shots given on 7/10/09 Pt in to U.C on 7/12/09.  Left thigh swollen (1/2 of thigh) redness approx 3 inches in diameter.  Tender to touch.  Gait normal pt not favoring that leg.
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Condition aggravated, Grand mal convulsion
Clinical narrative: Tonic-clonic seizures, 3 hours after vaccinations 7/10/09.  7/22/09 MR received for DOS 7/9-13/2009 with D/C DX:  Seizure Disorder. Pt presented several hours after 2 month shots with multiple recurring tonic-clonic seizures  with associated apnea.  O2 sats as low as 17%.  Improved with phenobarb.
Age: 2.0
Sex: F
Vaccine: HIBV, MMR
Symptoms: Skin lesion
Clinical narrative: Pts father stated that pt developed flat round disc shaped lesion 6 days post MMR & Hib adm.  Lesions nickel sized on hand + leg.
Age: 70.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: Patient was given Tdap immunization on 7/1/09.  Returned to our clinic on 7/8/09 c/o redness & itching around injection site.  Large reddened, hot area on (L) upper arm/deltoid are.  Pt denies pain but does c/o extreme itching in the area.  As of today (7/10/09) pt states the area is "still red but improving".  Taking CLARINEX 5mg daily/Hydrocortisone cream.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Computerised tomogram, Fall, Head injury, Loss of consciousness, Nuclear magnetic resonance imaging brain
Clinical narrative: Pt was given GARDASIL vaccine upon checkout Pt fainted. Lost consciousness for ~ 5 sec. Fell and hit head on floor. Sent to ER for CT scan, IV.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: Pt was given GARDASIL vaccine upon checkout Pt fainted. Lost consciousness for ~ 5 sec. Fell and hit head on floor. Sent to ER for CT scan, IV.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site movement impairment, Injection site pain, Nuclear magnetic resonance imaging
Clinical narrative: Patient called 7-6-09 c/o (L) arm stiffness from ADACEL. Advised to use ice and ibuprofen. Saw PCP on 7-7-09 advised to continue ibuprofen - Note states "Injection site high in deltoid" called doctor 7-14-09 to report continued severe pain and limitation of movement. Reports PCP, has been scheduled for MRI on shoulder for 7-16-09.
Age: 10.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Amnesia, Delirium, Headache, Speech disorder
Clinical narrative: - Acting delirious - severe headache - memory loss - couldn't speak certain words - couldn't remember words he was trying to say - "kind of out of it".
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt had redness & swelling to injection site right arm advised to give BENADRYL & MOTRIN & apply cool compresses.
Age: 1.0
Sex: F
Vaccine: DTAPIPVHIB, HEP, HEPA, MMR, PNC, VARCEL
Symptoms: Rash generalised, Rash morbilliform
Clinical narrative: Morbilliform rash - generalized - Rx calamine - BENADRYL.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Redness + itching at site, has persisted for several days. After 8 days after immunizationn rash and itching is dissipating, approx size 1inch by 1inch, only at injection site.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Angioedema, Throat irritation, Urticaria
Clinical narrative: Developed urticaria, angio edema, throat itching
Age: 1.37
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Right arm (erythematous & edematous at vaccine site) upper arm.  Apply ice, BENADRYL.
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Swelling, redness, severe itching at site of vaccine beginning day of vaccine, worsening for 3 days, then improving.
Age: 10.0
Sex: M
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: N/A given TDAP before age 11 yrs.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Dizziness, Dyspnoea, Vision blurred
Clinical narrative: Dizziness with Pt blurring of vision after GARDASIL. Few minutes later. She was short of breath > Briefly.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Dizziness, Syncope
Clinical narrative: Fainted briefly after immunization: in this order 1 MENACTRA, 2 ADACEL, 3 GARDASIL. Referred to ER because of continued dizziness.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Fall, Loss of consciousness, Malaise, Pallor
Clinical narrative: Patient was given GARDASIL on 7/20/09 at 1430 and seconds later patient stated she was not feeling well and asked for water. Patient then turned pale and and began falling backwards. Patient was on exam table and lowered to pillow - No injury from this. Patient lost consciousness for 30 seconds and then regained consciousness. Patient was given juice and re examined by doctor. Her father picked her up and drove her home. Advised patient if she has any SOB, swelling up tongue or throat call 911.
Age: 9.0
Sex: M
Vaccine: HEPA
Symptoms: Dizziness, Hypotension, Nausea, Pallor, Pulse pressure decreased
Clinical narrative: Became lightheaded and nauseous after receiving vaccine and walking to play room; sat in chair, still lightheaded, BP low, pulse weak and laid pt. down, gave juice and crackers BP at 210 - 62/40 and at 2:18 68/48 sitting, was pale when BP was low
Age: 58.0
Sex: F
Vaccine: HEPAB, TYP
Symptoms: Hallucination, Headache, Somnolence
Clinical narrative: 7-17-09 - Sleep & H/A  7-19-09 - H/A & hallucination (while awake) -> was taking food from ref. & thought it was falling on her.  About 2 PM (took med on am)
Age: 44.0
Sex: M
Vaccine: PPV
Symptoms: Body temperature increased, Erythema, Oedema peripheral, Pain, Skin warm
Clinical narrative: Client states about 4o after shot his arm got red and swollen, warm to touch and hurt when he moved it. He stated he had temp of 100.8. Went to ER + got antibiotic + painkiller.
Age: 6.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: L lump at injection site - egg size, red swollen; tender area on left mid-arm, hives in area with itching and pain. Advised BENADRYL 1 teaspoon every 6 hours. MOTRIN 10mg/kg.
Age: 6.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site urticaria
Clinical narrative: L lump at injection site - egg size, red swollen; tender area on left mid-arm, hives in area with itching and pain. Advised BENADRYL 1 teaspoon every 6 hours. MOTRIN 10mg/kg.
Age: 45.0
Sex: F
Vaccine: TD
Symptoms: Injection site pain
Clinical narrative: Pt. has persistent left arm pain since TD injection.  No signs of infection
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Fatigue, Headache, Malaise, Oedema peripheral
Clinical narrative: Arm swelled, red rash, itchy, ice 15 mins on 15 mins off 2 days, headache, felt sick tired, took antihistamine 4 to 6 hrs 3 days
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Pruritus, Rash
Clinical narrative: Arm swelled, red rash, itchy, ice 15 mins on 15 mins off 2 days, headache, felt sick tired, took antihistamine 4 to 6 hrs 3 days
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 16 cm + 11cm red area surrounding injection site. Minimal warmth, no blisters, no hives on L thigh.
Age: 4.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Cyanosis, Pallor, Pyrexia, Tremor, Vomiting
Clinical narrative: Spiked a fever, began vomiting, & shaking.  Feet turned blue & turned gray around mouth for over half an hour.
Sex: F
Vaccine: HPV4
Symptoms: Condition aggravated, Herpes zoster, Infectious mononucleosis
Clinical narrative: Information has been received from a physician concerning a female patient who was vaccinated with the first and only dose of GARDASIL when she was mildly ill.  After the vaccination, the patient got sicker.  She was determined to have "Mono" and developed shingles.  The patient eventually recovered.  The patient had seen the physician for medical attention.  Additional information has been requested.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Convulsion, Pyrexia
Clinical narrative: The patient had what were described as low-grade fevers (up to 101) the night after receiving her immunizations.  The parent witnessed a generalized seizure lasting approximately 40 seconds.  She did not know if the patient had another event prior to this.  The patient was taken to the emergency room--she was afebrile at the time, and had no focal neurological deficits, signs of localizing infection, or lethargy/toxicity.
Age: 0.21
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Apnoea, Bradycardia, Endotracheal intubation, Oxygen saturation decreased
Clinical narrative: 25 wker now 11 wks old received 2 mos vaccinations and one day later experienced apnea, brady's, desats resulting in intubation.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Pyrexia, Rash
Clinical narrative: Blister like spots to back, arms,chest, torso with a fever.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Contusion, Headache, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: I have received the ZOSTAVAX vaccine. The next day I had redness, pain, itching, warmth and swelling at the injection site. My arm had a red swollen spot about the size of a saucer. The swelling was about 1/4 inch high. I also had a severe headache and now have a large bruise. The severest symptoms lasted about 4 days. I now have intense muscle ache in my arm, radiating down to my wrist. I still have a headache.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Injection site warmth, Myalgia
Clinical narrative: I have received the ZOSTAVAX vaccine. The next day I had redness, pain, itching, warmth and swelling at the injection site. My arm had a red swollen spot about the size of a saucer. The swelling was about 1/4 inch high. I also had a severe headache and now have a large bruise. The severest symptoms lasted about 4 days. I now have intense muscle ache in my arm, radiating down to my wrist. I still have a headache.
Age: 62.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Bright red rash 3 x 7 cm at injection site that lasted more than 4 weeks. No vesicle, or bulla. Non tender. No Rx - This was at ZOSTAVAX site.
Age: 26.0
Sex: F
Vaccine: HEPA, YF
Symptoms: Burning sensation, Dizziness, Throat irritation, Vaccination complication
Clinical narrative: This case was reported by a pharmacist and described the occurrence of vaccination adverse reaction in a female subject of unspecified age who was vaccinated with HAVRIX (GlaxoSmithKline). Concurrent medical conditions included allergy to aluminum. On an unspecified date the subject received unspecified dose of HAVRIX (details unknown). At an unspecified time after vaccination with HAVRIX, the subject experienced vaccination adverse reaction. The type of reaction was unknown as the pharmacist had limited information. At the time of reporting the outcome of the event was unspecified. Follow up received from reporting pharmacist on 17 July 2009: This case described the occurrence of vaccination adverse reaction in a 26-year-old female subject who was vaccinated with HAVRIX (GlaxoSmithKline), HPV (Unknown manufacturer). Concurrent medications included allergy to aluminum, allergy to yeast and anxiety. Details regarding tobacco or alcohol use were not known. Previous and/or concurrent vaccination included Hep B (manufacturer unspecified; unknown) given on 25 June 1998 and 17 August 1998; yellow fever vaccine (manufacturer unspecified; subcutaneous) given on 05 May 2009. On an unspecified date the subject received 1st dose of HPV (detail unknown). At an unspecified time after vaccination with HPV, the subject experienced an allergic reaction (details not specified). The subject stated that she was "now hypersensitivity to yeast and aluminum". On 8 May 2009 the subject received 1st dose of HAVRIX (intramuscular, route unknown). During a wait of 30 minutes after vaccination with HAVRIX, the subject experienced dizziness, lip burning and itchy throat. She was taken to the urgent care facility and was treated with antihistamines and observed. The reporting pharmacist stated that "she was okay when she left". The date of onset for vaccination adverse reaction was reported as 08 May 2006 with resolution date of 12 May 2006, but this was commented as "not verified". The pharmacist considered the events which occurred on 08 May 2009 were clinically significant (or requiring intervention). At the time of reporting the events were resolved. The vaccination course with HAVRIX was discontinued. The pharmacist considered the events were related to vaccination with HAVRIX and HPV. The pharmacist also stated that the subject was very anxious at travel visit, and was also "anxious about getting shots and symptoms related to shot". The pharmacist also considered the events could have been associated with the prior allergic reaction to HPV, but noted that the HAVRIX insert does not identify aluminum as an ingredient.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Anxiety, Convulsion, Dizziness, Dysarthria, Dysgeusia
Clinical narrative: Seizures, Slurred speech, Dizziness, muffled hearing, blurred vision, involuntary joint movement, easily frustrated, muscle spasms, taste and memory disturbances, loss of sleep, extreme stress and anxiety related to symptoms and treatments.  7/23/09 Consultant records received DOS 7/31/07 to 7/13/09. Assessment: Partial seizure emanating from the left hemisphere. Patient "felt like something would happen" Then unable to speak appropriately, jumbled words, could not speak properly. Right arm made involuntary movements, felt like she was out of her body. Make loud noises. Hearing felt muffled. Felt on edge and not as sharp for 24 hours. Slightly mumbles, tired at times. Recurrent episode. Blotches in vision, headache. Agitated, irritability - Keppra.  ICD-9 Code: 345.11, 780.39, 784.0   7/28/09 Medical records received DOS 5/30/07 to 1/29/09. Patient requests Gardasil vaccine. 1st dose of Gardasil given. Oral contraceptive changed from Desogen to Seasonique. Has had two seizures, on Keppra. 2nd, 3rd doses of Gardasil given.  Denies any side effects from this medication (Gardasil).
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Dyskinesia, Electroencephalogram, Frustration, Hypoacusis, Insomnia
Clinical narrative: Seizures, Slurred speech, Dizziness, muffled hearing, blurred vision, involuntary joint movement, easily frustrated, muscle spasms, taste and memory disturbances, loss of sleep, extreme stress and anxiety related to symptoms and treatments.  7/23/09 Consultant records received DOS 7/31/07 to 7/13/09. Assessment: Partial seizure emanating from the left hemisphere. Patient "felt like something would happen" Then unable to speak appropriately, jumbled words, could not speak properly. Right arm made involuntary movements, felt like she was out of her body. Make loud noises. Hearing felt muffled. Felt on edge and not as sharp for 24 hours. Slightly mumbles, tired at times. Recurrent episode. Blotches in vision, headache. Agitated, irritability - Keppra.  ICD-9 Code: 345.11, 780.39, 784.0   7/28/09 Medical records received DOS 5/30/07 to 1/29/09. Patient requests Gardasil vaccine. 1st dose of Gardasil given. Oral contraceptive changed from Desogen to Seasonique. Has had two seizures, on Keppra. 2nd, 3rd doses of Gardasil given.  Denies any side effects from this medication (Gardasil).
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Memory impairment, Muscle spasms, Nuclear magnetic resonance imaging, Stress, Vision blurred
Clinical narrative: Seizures, Slurred speech, Dizziness, muffled hearing, blurred vision, involuntary joint movement, easily frustrated, muscle spasms, taste and memory disturbances, loss of sleep, extreme stress and anxiety related to symptoms and treatments.  7/23/09 Consultant records received DOS 7/31/07 to 7/13/09. Assessment: Partial seizure emanating from the left hemisphere. Patient "felt like something would happen" Then unable to speak appropriately, jumbled words, could not speak properly. Right arm made involuntary movements, felt like she was out of her body. Make loud noises. Hearing felt muffled. Felt on edge and not as sharp for 24 hours. Slightly mumbles, tired at times. Recurrent episode. Blotches in vision, headache. Agitated, irritability - Keppra.  ICD-9 Code: 345.11, 780.39, 784.0   7/28/09 Medical records received DOS 5/30/07 to 1/29/09. Patient requests Gardasil vaccine. 1st dose of Gardasil given. Oral contraceptive changed from Desogen to Seasonique. Has had two seizures, on Keppra. 2nd, 3rd doses of Gardasil given.  Denies any side effects from this medication (Gardasil).
Age: 17.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Acute disseminated encephalomyelitis, CSF protein normal, CSF test abnormal, CSF white blood cell count increased, Clonus
Clinical narrative: Acute disseminated encephalomyelitis (ADEM): leg weakness; left face, arm, and leg sensory symptoms; no fever or other viral illness symptoms; increased DTRs, sustained B/L ankle clonus; MRI brain and spine showed multiple enhancing white matter lesions; CSF showed 40 wbcs, 2 rbc, prot 41; treated with high dose steroids and improved. 8/27/09 Additional correspondence rec'd from parent and PCP from date of vax until admission to hospital for ADEM. Immediately after receiving vaccines pt became pale and diaphoretic-dx with Vagal Rxn by PCP and recovered. 1 week later pt developed back pain, numbness in the arms and legs, vomiting and collapse, abdominal pain, H/A and L sided facial numbness.  Several ER and office visits.  Later developed constipation and difficulty and pain emptying the bladder and worsening numbness causing inability to walk and falls.  Finally admitted with dx:  ADEM  9/14/09 Neurology Consultant records received DOS 8/5/09. Assessment: Acute disseminated encephalomyelitis (ADEM type). Felt sick to stomach, became dizzy and collapsed. Back pain one week later, collapsed and threw up. Abdominal pain backache, headache, left-sided facial numbness. Numbness of left leg, problems urinating constipation. CNS examination reveals small area of numbness Left V2 V3 distribution.10/16/2009 received hospital records from dates 7/18-7/22/2009. Presented with sx of lt facial numbness, bilateral arm/leg numbness, and back pain. PE noted bilateral ankle clonus, abnormal gait. MRI noted white matter lesions with longitudinally extense T4-T7. CSF abnormal. TX: IV Steroids x 5 days, DC DX: ADEM 10/19/09 DC summary and hospital records received for dates 7/18/09 to 7/22/09.  DC DX: Disseminated Encephalomyelitis. Presenting SX: backache, facial numbness, difficulty walking/standing, constipation. Pt.admitted for eval.  Assessment: Tender over lower thoracic region, loss of sensation over left side face, unsteady gait, ankle clonus, sluggish BS. Pt had tx and PT then DC with improved status.
Age: 17.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Hyperreflexia, Muscular weakness, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain abnormal, Red blood cells CSF positive
Clinical narrative: Acute disseminated encephalomyelitis (ADEM): leg weakness; left face, arm, and leg sensory symptoms; no fever or other viral illness symptoms; increased DTRs, sustained B/L ankle clonus; MRI brain and spine showed multiple enhancing white matter lesions; CSF showed 40 wbcs, 2 rbc, prot 41; treated with high dose steroids and improved. 8/27/09 Additional correspondence rec'd from parent and PCP from date of vax until admission to hospital for ADEM. Immediately after receiving vaccines pt became pale and diaphoretic-dx with Vagal Rxn by PCP and recovered. 1 week later pt developed back pain, numbness in the arms and legs, vomiting and collapse, abdominal pain, H/A and L sided facial numbness.  Several ER and office visits.  Later developed constipation and difficulty and pain emptying the bladder and worsening numbness causing inability to walk and falls.  Finally admitted with dx:  ADEM  9/14/09 Neurology Consultant records received DOS 8/5/09. Assessment: Acute disseminated encephalomyelitis (ADEM type). Felt sick to stomach, became dizzy and collapsed. Back pain one week later, collapsed and threw up. Abdominal pain backache, headache, left-sided facial numbness. Numbness of left leg, problems urinating constipation. CNS examination reveals small area of numbness Left V2 V3 distribution.10/16/2009 received hospital records from dates 7/18-7/22/2009. Presented with sx of lt facial numbness, bilateral arm/leg numbness, and back pain. PE noted bilateral ankle clonus, abnormal gait. MRI noted white matter lesions with longitudinally extense T4-T7. CSF abnormal. TX: IV Steroids x 5 days, DC DX: ADEM 10/19/09 DC summary and hospital records received for dates 7/18/09 to 7/22/09.  DC DX: Disseminated Encephalomyelitis. Presenting SX: backache, facial numbness, difficulty walking/standing, constipation. Pt.admitted for eval.  Assessment: Tender over lower thoracic region, loss of sensation over left side face, unsteady gait, ankle clonus, sluggish BS. Pt had tx and PT then DC with improved status.
Age: 17.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Sensory loss
Clinical narrative: Acute disseminated encephalomyelitis (ADEM): leg weakness; left face, arm, and leg sensory symptoms; no fever or other viral illness symptoms; increased DTRs, sustained B/L ankle clonus; MRI brain and spine showed multiple enhancing white matter lesions; CSF showed 40 wbcs, 2 rbc, prot 41; treated with high dose steroids and improved. 8/27/09 Additional correspondence rec'd from parent and PCP from date of vax until admission to hospital for ADEM. Immediately after receiving vaccines pt became pale and diaphoretic-dx with Vagal Rxn by PCP and recovered. 1 week later pt developed back pain, numbness in the arms and legs, vomiting and collapse, abdominal pain, H/A and L sided facial numbness.  Several ER and office visits.  Later developed constipation and difficulty and pain emptying the bladder and worsening numbness causing inability to walk and falls.  Finally admitted with dx:  ADEM  9/14/09 Neurology Consultant records received DOS 8/5/09. Assessment: Acute disseminated encephalomyelitis (ADEM type). Felt sick to stomach, became dizzy and collapsed. Back pain one week later, collapsed and threw up. Abdominal pain backache, headache, left-sided facial numbness. Numbness of left leg, problems urinating constipation. CNS examination reveals small area of numbness Left V2 V3 distribution.10/16/2009 received hospital records from dates 7/18-7/22/2009. Presented with sx of lt facial numbness, bilateral arm/leg numbness, and back pain. PE noted bilateral ankle clonus, abnormal gait. MRI noted white matter lesions with longitudinally extense T4-T7. CSF abnormal. TX: IV Steroids x 5 days, DC DX: ADEM 10/19/09 DC summary and hospital records received for dates 7/18/09 to 7/22/09.  DC DX: Disseminated Encephalomyelitis. Presenting SX: backache, facial numbness, difficulty walking/standing, constipation. Pt.admitted for eval.  Assessment: Tender over lower thoracic region, loss of sensation over left side face, unsteady gait, ankle clonus, sluggish BS. Pt had tx and PT then DC with improved status.
Age: 17.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Abdominal pain, Acute disseminated encephalomyelitis, Back pain, Hyperhidrosis, Loss of consciousness
Clinical narrative: Acute disseminated encephalomyelitis (ADEM): leg weakness; left face, arm, and leg sensory symptoms; no fever or other viral illness symptoms; increased DTRs, sustained B/L ankle clonus; MRI brain and spine showed multiple enhancing white matter lesions; CSF showed 40 wbcs, 2 rbc, prot 41; treated with high dose steroids and improved. 8/27/09 Additional correspondence rec'd from parent and PCP from date of vax until admission to hospital for ADEM. Immediately after receiving vaccines pt became pale and diaphoretic-dx with Vagal Rxn by PCP and recovered. 1 week later pt developed back pain, numbness in the arms and legs, vomiting and collapse, abdominal pain, H/A and L sided facial numbness.  Several ER and office visits.  Later developed constipation and difficulty and pain emptying the bladder and worsening numbness causing inability to walk and falls.  Finally admitted with dx:  ADEM  9/14/09 Neurology Consultant records received DOS 8/5/09. Assessment: Acute disseminated encephalomyelitis (ADEM type). Felt sick to stomach, became dizzy and collapsed. Back pain one week later, collapsed and threw up. Abdominal pain backache, headache, left-sided facial numbness. Numbness of left leg, problems urinating constipation. CNS examination reveals small area of numbness Left V2 V3 distribution.10/16/2009 received hospital records from dates 7/18-7/22/2009. Presented with sx of lt facial numbness, bilateral arm/leg numbness, and back pain. PE noted bilateral ankle clonus, abnormal gait. MRI noted white matter lesions with longitudinally extense T4-T7. CSF abnormal. TX: IV Steroids x 5 days, DC DX: ADEM 10/19/09 DC summary and hospital records received for dates 7/18/09 to 7/22/09.  DC DX: Disseminated Encephalomyelitis. Presenting SX: backache, facial numbness, difficulty walking/standing, constipation. Pt.admitted for eval.  Assessment: Tender over lower thoracic region, loss of sensation over left side face, unsteady gait, ankle clonus, sluggish BS. Pt had tx and PT then DC with improved status.
Age: 17.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Pallor
Clinical narrative: Acute disseminated encephalomyelitis (ADEM): leg weakness; left face, arm, and leg sensory symptoms; no fever or other viral illness symptoms; increased DTRs, sustained B/L ankle clonus; MRI brain and spine showed multiple enhancing white matter lesions; CSF showed 40 wbcs, 2 rbc, prot 41; treated with high dose steroids and improved. 8/27/09 Additional correspondence rec'd from parent and PCP from date of vax until admission to hospital for ADEM. Immediately after receiving vaccines pt became pale and diaphoretic-dx with Vagal Rxn by PCP and recovered. 1 week later pt developed back pain, numbness in the arms and legs, vomiting and collapse, abdominal pain, H/A and L sided facial numbness.  Several ER and office visits.  Later developed constipation and difficulty and pain emptying the bladder and worsening numbness causing inability to walk and falls.  Finally admitted with dx:  ADEM  9/14/09 Neurology Consultant records received DOS 8/5/09. Assessment: Acute disseminated encephalomyelitis (ADEM type). Felt sick to stomach, became dizzy and collapsed. Back pain one week later, collapsed and threw up. Abdominal pain backache, headache, left-sided facial numbness. Numbness of left leg, problems urinating constipation. CNS examination reveals small area of numbness Left V2 V3 distribution.10/16/2009 received hospital records from dates 7/18-7/22/2009. Presented with sx of lt facial numbness, bilateral arm/leg numbness, and back pain. PE noted bilateral ankle clonus, abnormal gait. MRI noted white matter lesions with longitudinally extense T4-T7. CSF abnormal. TX: IV Steroids x 5 days, DC DX: ADEM 10/19/09 DC summary and hospital records received for dates 7/18/09 to 7/22/09.  DC DX: Disseminated Encephalomyelitis. Presenting SX: backache, facial numbness, difficulty walking/standing, constipation. Pt.admitted for eval.  Assessment: Tender over lower thoracic region, loss of sensation over left side face, unsteady gait, ankle clonus, sluggish BS. Pt had tx and PT then DC with improved status.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Small, bumpy, itchy rash at injection site about 4 in diameter with a few stray bumps around the elbow starting a few hours after vaccination.  Bumps started to fade 4 days later.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Cardiac disorder, Fatigue, Headache, Injection site erythema, Injection site swelling
Clinical narrative: PT REPORTS WAKING WITH HEAD ACHE, NAUSEA, FEELING EXHAUSTED. THURSDAY 7/2 PT REPORTS FEELING OF HEART POUNDING, RACING, HEART PAIN. STATES IT REMINDS HER OF WHAT SHE FELT WHEN SHE HAD THE SHINGLES YRS AGO. DESCRIBES SITE AT WHICH VACCINE ADMINISTERED, PUFFY, RED, WARM TO TOUCH. AREA OF REDNESS IS A RECTANGULAR SHAPE PT STATES. PT FELT BETTER OVER WEEKEND 7/4 & 7/5 THEN STATES MONDAY 7/6 FELT HEART POUNDING FOR ABOUT 1 HR. AND SLIGHT NAUSEA, BUT FEELING BETTER THAN BEFORE. PT DID NOT REPORT REACTION UNTIL 7/6/09 AFTERNOON. PT INSTRUCT TO SEE DOCTOR IF SYMPTOMS WORSEN. PT WAS NOT SEEN BY DR AND NO TREATMENT FOR REACTION.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site warmth, Nausea, Palpitations
Clinical narrative: PT REPORTS WAKING WITH HEAD ACHE, NAUSEA, FEELING EXHAUSTED. THURSDAY 7/2 PT REPORTS FEELING OF HEART POUNDING, RACING, HEART PAIN. STATES IT REMINDS HER OF WHAT SHE FELT WHEN SHE HAD THE SHINGLES YRS AGO. DESCRIBES SITE AT WHICH VACCINE ADMINISTERED, PUFFY, RED, WARM TO TOUCH. AREA OF REDNESS IS A RECTANGULAR SHAPE PT STATES. PT FELT BETTER OVER WEEKEND 7/4 & 7/5 THEN STATES MONDAY 7/6 FELT HEART POUNDING FOR ABOUT 1 HR. AND SLIGHT NAUSEA, BUT FEELING BETTER THAN BEFORE. PT DID NOT REPORT REACTION UNTIL 7/6/09 AFTERNOON. PT INSTRUCT TO SEE DOCTOR IF SYMPTOMS WORSEN. PT WAS NOT SEEN BY DR AND NO TREATMENT FOR REACTION.
Age: 12.0
Sex: F
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: Parent states child c/o right arm pain Sunday 07/19/2009. Parent states right upper arm was red, swollen and warm to touch. Parent applied cold pack to area and gave Tylenol for discomfort. Vaccinations were administered Friday 7/17/2009. Right arm still has some swelling and is sore. Readness was not observed. ARNP in to see pt and recommended warm moist heat to area and to use OTC Ibuprofen for pain and swelling. To RTC if not better in 48 hours.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Hypoaesthesia, Injection site pain, Pain in extremity, Sleep disorder
Clinical narrative: Per patient secure message (email) to primary care physician: "I had a rather (for me) severe reaction to the PNEUMOCOCCAL vaccine I was given on Friday (June 17) AM.  I experienced NO PROBLEM until early evening, at which point, my right arm started to ache.  By the time I went to bed the ache had grown worse and my entire arm hurt clear down to my fingers.  My fingers actually became numb.  I was so uncomfortable I had to get out of bed and sat in the recliner for the next few hours.  The pain decreased in the early morning hours and I was able to return to bed.  I have never reacted to any kind of injection this way.  "
Age: 43.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Acute disseminated encephalomyelitis, CSF lymphocyte count increased, CSF protein increased, CSF white blood cell count increased, Dysgeusia
Clinical narrative: Patient experienced change in sense of taste and change in facial sensation within 12 hours of his 6th Anthrax and 3rd Typhoid vaccination.  The symptoms progressed, leading to brain MRI, hospitalization and ultimately the diagnosis of suspected acute disseminated encephalomyelitis.  7/31/09 Hospital records received DOS 7/10/09 to 7/11/09. Assessment: Suspected acute disseminated encephalomyelitis. Patient experienced some decrease in taste on his tongue as well as some loss of sensation over the lower portion of his jaw and face. Decreased sensation in the right upper extremity and the right lower extremity. Imaging revealed a cerebellar lesion. On admission patient presents with decreased sensation in bilateral lower face. Decreased to cold, pinprick, light touch throughout thr right side. Blurry vision.  8/18/09 ICD-9 Codes: 323.9 Encephalitis myelitis and encephalomyelitis unspecified cause.
Age: 43.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Gram stain negative, Nuclear magnetic resonance imaging brain abnormal, Sensory disturbance
Clinical narrative: Patient experienced change in sense of taste and change in facial sensation within 12 hours of his 6th Anthrax and 3rd Typhoid vaccination.  The symptoms progressed, leading to brain MRI, hospitalization and ultimately the diagnosis of suspected acute disseminated encephalomyelitis.  7/31/09 Hospital records received DOS 7/10/09 to 7/11/09. Assessment: Suspected acute disseminated encephalomyelitis. Patient experienced some decrease in taste on his tongue as well as some loss of sensation over the lower portion of his jaw and face. Decreased sensation in the right upper extremity and the right lower extremity. Imaging revealed a cerebellar lesion. On admission patient presents with decreased sensation in bilateral lower face. Decreased to cold, pinprick, light touch throughout thr right side. Blurry vision.  8/18/09 ICD-9 Codes: 323.9 Encephalitis myelitis and encephalomyelitis unspecified cause.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Bite, Head injury, Loss of consciousness, Mouth injury
Clinical narrative: Patient received a gardasil vaccine injection.  Appeared fine, walked to front office to check out.  Was speaking with the check-out person and without any warning fell to the floor.  She was unconscious briefly.  She hit her head on the floor and bit her lip.  She was given smelling salts and ice was placed on her lip.  She laid on the floor for about 20 minutes and was moved to an exam room where she was monitored for approximately 2 hours.  She called her father and he picked her up to take her home.
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Patient presents with redness and warmth at site of zoster vaccination recieved 06/25/09.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site of injection red, swollen, with pain for 2 days
Age: 0.21
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Death
Clinical narrative: The baby died under suspicious conditions this morning. 7/23/09 Medical records and DC summary received. Assessment: Multisystem organ failure, severe traumatic brain injury, acute respiratory distress syndrome, metabolic acidosis, rule out nonaccidental trauma. Patient presents with frontal traumatic brain injury, bilateral pneumothoraces, decreased hemoglobin and hematocrit. Pupils are 4 mm and fixed. Does not move face or extremities. GCS of 6T. Bruising to frontal scalp area, left knee. No corneal (reflex) no gag (reflex), no movement to pain. Diffuse hypotonia. Preretinal hemorrhage. Corneal edema. Anoxic encephalopathy. Depressed brain stem reflexes.
Age: 4.0
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR, VARCEL
Symptoms: Hypersensitivity, Injection site erythema, Injection site induration, Injection site inflammation, Injection site urticaria
Clinical narrative: Left upper arm wheal measured at 5cm x 6cm;  erythematous & warm to touch.  Puncture site noted at center of inflammation.  Slight induration noted.  No drainage.  Slight pain with palpation.  Encouraged cool compresses.  Zyrtec given for allergic reaction.
Age: 4.0
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR, VARCEL
Symptoms: Injection site warmth, Pain
Clinical narrative: Left upper arm wheal measured at 5cm x 6cm;  erythematous & warm to touch.  Puncture site noted at center of inflammation.  Slight induration noted.  No drainage.  Slight pain with palpation.  Encouraged cool compresses.  Zyrtec given for allergic reaction.
Age: 8.0
Sex: F
Vaccine: IPV, TD
Symptoms: Erythema, Induration, Pain, Rash, Swelling
Clinical narrative: 5/20/09 received telephone call from mother, pt. had received vaccines-Hep A #1;MMR #2 & Varicella #2 on 5/11/09. On 5/18/09 pt. received Td booster, IPV #4 as child was going to be excluded from school for not meeting school law. On 5/19/09 pt. "developed rash on face, arms & chest, appeared as needle points-swollen, red & hard. Child was seen at PCP's office 5/19/09, he prescribed benadryl, tylenol or ibuprofen prn pain.
Age: 1.5
Sex: M
Vaccine: DTAP
Symptoms: Convulsion, Laboratory test
Clinical narrative: SEIZURE LASTED 10-30 SECONDS; WENT TO ER; NO TREATMENT INITIATED.  AFTER BLINKING EYELIDS BUT RETURNED TO NORMAL ACTIVITY.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: localized swelling, redness, and warmth Rt. deltoid
Age: 60.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Injection site erythema, Pain
Clinical narrative: patient reports vaccination site with red mark "rash"  for 12 days past vaccination concern for extremity achiness  day 3-12 post vaccination
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Dyspnoea, Erythema, Oedema, Pain, Skin warm
Clinical narrative: On 7-14-09 pt received varicella and hep. a #1 injection while in the office. In late afternoon on the 14th noted redness, edema, pain, and warm to touch. Ice pack applied with no improvement. On the 15th late afternoon; the s/s worsen with redness & pain level increased and now SOB.  Therefore, pt was seen in ER with Benadryl and pain tx given. On 16th pt seen via PCP with orders to continue Tylenol and Benadryl. s/s improved by 19th.
Age: 26.0
Sex: M
Vaccine: HEPAB
Symptoms: Confusional state, Dizziness, Facial spasm, Feeling drunk, Gait disturbance
Clinical narrative: Pt went to ER on 6/26/09. Pt states he woke up and felt like he was drunk. Pt had dizziness, confusion, trouble with gait. Pt c/o muscle spasm on left side of face. Pt admitted to hospital for 5 days. Pt dx with transient ischemic attack and a hole in his heart.  8/25/09  MR received for DOS 6/26-30/09 with d/C DX:  Left thalamic small vessel acute infarct.  Patent Foramen Ovale. Pt presented after onset of headache, feeling abnormal, altered mental status, veering to the right while walking and facial asymmetry.  Anisocoria noted on PE.  Started on ASA tx and d/c for outpt f/u.
Age: 26.0
Sex: M
Vaccine: HEPAB
Symptoms: Muscle spasms
Clinical narrative: Pt went to ER on 6/26/09. Pt states he woke up and felt like he was drunk. Pt had dizziness, confusion, trouble with gait. Pt c/o muscle spasm on left side of face. Pt admitted to hospital for 5 days. Pt dx with transient ischemic attack and a hole in his heart.  8/25/09  MR received for DOS 6/26-30/09 with d/C DX:  Left thalamic small vessel acute infarct.  Patent Foramen Ovale. Pt presented after onset of headache, feeling abnormal, altered mental status, veering to the right while walking and facial asymmetry.  Anisocoria noted on PE.  Started on ASA tx and d/c for outpt f/u.
Age: 1.14
Sex: F
Vaccine: DTAPIPVHIB, HEPA, MMR, PNC, VARCEL
Symptoms: Antibody test, Full blood count, Petechiae, Pyrexia
Clinical narrative: Petechial Rash entire body. Fever to 102 degrees on day 13 post MMR. With possible insect bite day of rash.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Body temperature increased, Erythema, Swelling
Clinical narrative: Mother reported erythema swelling + temp of 104F.
Age: 17.8
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Rash, Throat irritation
Clinical narrative: Evening of vaccines, pt developed rash on extremities -hands, feet throat felt funny - next day rash cont - today rash is just to biceps no temp - no local reaction.
Age: 2.0
Sex: M
Vaccine: DTAPIPV, HEPA
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: None Stated.
Age: 58.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Culture negative, Erythema, Swelling
Clinical narrative: Onset of swelling, erythema <48 hours after vaccine administration. Seen in ER for I & D, cultures obtained and (-). Placed on P(o) ABTx x2 for 7 days. Packing remains in wound X10 days.
Sex: U
Vaccine: HEPAB, TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Approximately 4 days after vaccination, patient reported increase pain, swelling and redness at site of injection. Seen by Infectious Disease MD. No antibiotics prescribed. 2x2 cm induration noted L deltoid.
Age: 23.0
Sex: F
Vaccine: TD
Symptoms: Dyspnoea, Hyperhidrosis, Nausea, Pyrexia, Vomiting
Clinical narrative: Fever, sweats, nausea, vomiting & shortness of breath within a few hours after injection & seen the next AM 20 hours post injection with no fever, GSVB, some nausea & vomiting no treatment.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site pruritus, Injection site swelling, Injection site warmth, Tuberculin test
Clinical narrative: Pt came in on 20 Jul 09 to receive VARIVAX. Pt mom stated Monday nite. Patient became itchy, swollen, and warm to the touch at site of injection. 22nd of July mother brought Pt back in for TB test results and to check on sons arm. Treated with oral Benadryl and antibiotic.
Age: 12.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left upper arm over Tricep with 3x4cm redness with mild swelling, mild warmth shin with redness.
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site haematoma, Injection site induration
Clinical narrative: 7-10 days post injection, site of VARIVAX vaccine was red and firm, with residual bruising.
Age: 1.1
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site pain, Rash maculo-papular
Clinical narrative: 7-10 days after injection, at site of VARIVAX vaccine, red, hard, tender lumps had developed.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Dizziness, Headache
Clinical narrative: Headache, dizziness AP 89 reg R-20 BP 104/64. Rested flat recovered after 15 minutes.
Age: 23.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Chest discomfort, Wheezing
Clinical narrative: Pt came back to clinic after 15 min c/o tightness in her chest, she had audible wheezing. She was treated with 50mg BENADRYL (IM), albuterol via Neb, and 125mg SOLU-MEDROL IM.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site pain, Pyrexia
Clinical narrative: Vaccine administered on 6/22/2009 Left leg redness left leg pain, fever on 6/23/09. Continued redness left leg on 6/24/09 decreased pain, decreased fever.
Sex: F
Vaccine: HPV4
Symptoms: Headache, Musculoskeletal stiffness
Clinical narrative: Information has been received from a nurse concerning a female patient who on unspecified date was vaccinated with the first dose of GARDASIL vaccine (Lot nor reported). Subsequently the patient experienced headache and stiffness. The patient called her physician. The nurse reported that the patient was not going to finish the series of GARDASIL vaccine. At the time of report the outcome of the patient was unknown. Additional information has been requested.
Age: 0.6
Sex: U
Vaccine: DTAP, HIBV, IPV, PNC, RV5, RV5, RV5
Symptoms: Culture stool positive, Diarrhoea, Rotavirus infection, Rotavirus test positive
Clinical narrative: Information has been received from a physician concerning a "possibly around 7 months" patient who on an unspecified date was vaccinated orally with a 2 ml dose of ROTATEQ (lot number not reported). Subsequently the patient developed "severe compromised immunodeficiency syndrome" and was hospitalized (date not reported). A blood work test was performed on an unspecified date and the result not provided. At the time of this report, the outcome of the patient was unknown. The physician did not know if the severe compromised immunodeficiency syndrome was related to ROTATEQ. Severe compromised immunodefiency syndrome was considered to be life threatening by the physician. Additional information has been requested. Hospital name listed.
Age: 0.6
Sex: U
Vaccine: DTAP, HIBV, IPV, PNC, RV5, RV5, RV5
Symptoms: Blood test, Primary immunodeficiency syndrome
Clinical narrative: Information has been received from a physician concerning a "possibly around 7 months" patient who on an unspecified date was vaccinated orally with a 2 ml dose of ROTATEQ (lot number not reported). Subsequently the patient developed "severe compromised immunodeficiency syndrome" and was hospitalized (date not reported). A blood work test was performed on an unspecified date and the result not provided. At the time of this report, the outcome of the patient was unknown. The physician did not know if the severe compromised immunodeficiency syndrome was related to ROTATEQ. Severe compromised immunodefiency syndrome was considered to be life threatening by the physician. Additional information has been requested. Hospital name listed.
Age: 0.6
Sex: U
Vaccine: DTAP, HIBV, IPV, PNC, RV5, RV5, RV5
Symptoms: Bone marrow transplant, Combined immunodeficiency, Dehydration, Diarrhoea, Pneumocystis jiroveci infection
Clinical narrative: Information has been received from a physician concerning a "possibly around 7 months" patient who on an unspecified date was vaccinated orally with a 2 ml dose of ROTATEQ (lot number not reported). Subsequently the patient developed "severe compromised immunodeficiency syndrome" and was hospitalized (date not reported). A blood work test was performed on an unspecified date and the result not provided. At the time of this report, the outcome of the patient was unknown. The physician did not know if the severe compromised immunodeficiency syndrome was related to ROTATEQ. Severe compromised immunodefiency syndrome was considered to be life threatening by the physician. Additional information has been requested. Hospital name listed.
Age: 0.6
Sex: U
Vaccine: DTAP, HIBV, IPV, PNC, RV5, RV5, RV5
Symptoms: Rotavirus infection, Sputum culture positive, Stool analysis abnormal
Clinical narrative: Information has been received from a physician concerning a "possibly around 7 months" patient who on an unspecified date was vaccinated orally with a 2 ml dose of ROTATEQ (lot number not reported). Subsequently the patient developed "severe compromised immunodeficiency syndrome" and was hospitalized (date not reported). A blood work test was performed on an unspecified date and the result not provided. At the time of this report, the outcome of the patient was unknown. The physician did not know if the severe compromised immunodeficiency syndrome was related to ROTATEQ. Severe compromised immunodefiency syndrome was considered to be life threatening by the physician. Additional information has been requested. Hospital name listed.