chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Medication error
Clinical narrative: Varicella storage at 8 deg for possibly > 24 deg, child to be revaccinated or titer drawn
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Medication error
Clinical narrative: Child received Varicella vaccine. The vaccine had been stored at 8 deg for 24 or longer hours. Children to be revaccinated or titers drawn.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Cellulitis, Erythema, Skin warm, Swelling, Tenderness
Clinical narrative: Cellulitis like reaction, with redness, warmth, swelling to elbow, laterally, and local tenderness
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome
Clinical narrative: This case was reported by a lawyer and described the occurrence of Guillain Barre syndrome in a 65-year-old female subject who was vaccinated with influenza virus vaccine for prophylaxis. A physician or other health care professional has not verified this report. According to the vaccination record forwarded by the reporting attorney, on 17 October 2006 at 13:!5 the subject received unspecified dose of Fluarix (.5 ml, intramuscular, unknown deltoid). The attorney reported that the "date of injury" occurred on the same day as the subject's vaccination with Fluarix, 17 October 2006. On an unknown date, she developed Guillain Barre syndrome, and she was hospitalized on 03 November 2006. At the time of reporting the outcome of the events were was unspecified.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Arthralgia, Musculoskeletal pain, Pain in extremity
Clinical narrative: On 3-24-07 this patient developed acute pain (arthralgias) of her L shoulder, L elbow, L knee, L shin, and L ankle (without frank arthritis, per se). Injection site was the L arm. All resolved within 3-4 days without sequelae.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Antinuclear antibody negative, Arthralgia, Full blood count normal, Red blood cell sedimentation rate normal
Clinical narrative: On 3-24-07 this patient developed acute pain (arthralgias) of her L shoulder, L elbow, L knee, L shin, and L ankle (without frank arthritis, per se). Injection site was the L arm. All resolved within 3-4 days without sequelae.
Age: 29.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: This case was reported by a consumer and described the occurrence of injection site soreness in a 29-year-old female subject who was vaccinated with Fluarix, GlaxoSmithKline. A physician or other health care professional has not verified this report. On 25 September 2006 at 05:30 the subject received unspecified dose of Fluarix intramuscularly in the left arm. On 27 September 2006, 2 days after vaccination with Fluarix, the subject experienced injection site soreness and pain in arm on lifting. On 25 November 2006, the events were resolved.
Age: 29.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injection site pain
Clinical narrative: This case was reported by a consumer and described the occurrence of injection site soreness in a 29-year-old female subject who was vaccinated with Fluarix, GlaxoSmithKline. A physician or other health care professional has not verified this report. On 25 September 2006 at 05:30 the subject received unspecified dose of Fluarix intramuscularly in the left arm. On 27 September 2006, 2 days after vaccination with Fluarix, the subject experienced injection site soreness and pain in arm on lifting. On 25 November 2006, the events were resolved.
Age: 36.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dizziness, Muscle spasms
Clinical narrative: This case was reported by a consumer and described the occurrence of dizziness in a 36-year-old female subject who was vaccinated with Fluarix (GlaxoSmithKline). A physician or other health care professional has not verified this report. Concurrent medications included Oral contraceptive (Birth control pill). On 25 October 2006 at 09:30 the subject received unspecified dose of Fluarix in the left arm. One hour after vaccination with Fluarix, the subject experienced dizziness. Muscle cramping started in the evening of 26 October 2006 which lasted for 90 minutes and then occurred at a later time for 15 minutes. The subject also experienced heat at the injection site which was helped with analgesic. At the time of reporting the events were resolved.
Age: 36.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dizziness, Injection site warmth, Muscle spasms
Clinical narrative: This case was reported by a consumer and described the occurrence of dizziness in a 36-year-old female subject who was vaccinated with Fluarix (GlaxoSmithKline). A physician or other health care professional has not verified this report. Concurrent medications included Oral contraceptive (Birth control pill). On 25 October 2006 at 09:30 the subject received unspecified dose of Fluarix in the left arm. One hour after vaccination with Fluarix, the subject experienced dizziness. Muscle cramping started in the evening of 26 October 2006 which lasted for 90 minutes and then occurred at a later time for 15 minutes. The subject also experienced heat at the injection site which was helped with analgesic. At the time of reporting the events were resolved.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4, HEPA, HPV4
Symptoms: Grand mal convulsion, Oxygen supplementation, Syncope
Clinical narrative: Patient received Hep A and HPV vaccines and was in waiting room she called out to mother and mom called for help. Drs went to child - she was having a generalized tonic-clonic seizure with mild perioral cyanosis, urinary incontenance - lasted about 3 min. O2 was given VS after seizure 1 AP 88, R:16, O2 sat: 100%, BP 92/62. During seizure sz no RRR chest CTA bilat. EMS activated during seizure and pt transported to ER.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4, HEPA, HPV4
Symptoms: Condition aggravated, Grand mal convulsion, Oxygen supplementation, Syncope, Urinary incontinence
Clinical narrative: Patient received Hep A and HPV vaccines and was in waiting room she called out to mother and mom called for help. Drs went to child - she was having a generalized tonic-clonic seizure with mild perioral cyanosis, urinary incontenance - lasted about 3 min. O2 was given VS after seizure 1 AP 88, R:16, O2 sat: 100%, BP 92/62. During seizure sz no RRR chest CTA bilat. EMS activated during seizure and pt transported to ER.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4, HEPA, HPV4
Symptoms: Cyanosis, Grand mal convulsion, Seizure anoxic, Syncope vasovagal, Urinary incontinence
Clinical narrative: Patient received Hep A and HPV vaccines and was in waiting room she called out to mother and mom called for help. Drs went to child - she was having a generalized tonic-clonic seizure with mild perioral cyanosis, urinary incontenance - lasted about 3 min. O2 was given VS after seizure 1 AP 88, R:16, O2 sat: 100%, BP 92/62. During seizure sz no RRR chest CTA bilat. EMS activated during seizure and pt transported to ER.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Nausea, Skin discolouration
Clinical narrative: Within minutes of receiving Gardasil vaccine turned green and became lightheaded. After laying down for 20 minutes sat up and became nauseous. Patient able to leave after being observed for 45 minutes - 1 hour.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Decreased appetite, Irritability, Pyrexia
Clinical narrative: Irritable, decreased eating and was febrile (101) admitted to rule out sepsis. 08/03/2007 MR received for DOS 5/6-9/2007 for fever post vaccines.  PE WNL, non-toxic with shotty nodes.  Discharge DX: Febrile Illness likely due to vaccines.
Age: 39.0
Sex: M
Vaccine: UNK
Symptoms: Aphasia, Autism, Convulsion, Diarrhoea, Ear infection
Clinical narrative: Diagnosed with childhood autism at age 3 (approx.). Began to get seizures at about 16 (?). Had a few grand mal seizures soon after. 07/16/2007 MR received for admission 10/4-7/1971. Much is difficult to read due to copy quality from microfilm, however D/C Summary from evaluation admission is intact and readable.  Child admitted for assessment of active problem list: Loss of Speech, Abnormal behavior: head banging and rocking motions, and Hyperactivity.  Child had a vocab of 4 words at age 2 when he suddenly stopped uttering any audible sounds.  With loss of speech the child with drew socially and began rockin and spinning motions as well as head banging.  Difficult for mother to control. PE: Significant for  low set ears, epicanthal folds, eye contact avoidance, no social smile, repetitive mannerisms, and bilateral hyperreflexia. Final DX:  Infantile Autism.  Probable central nervous system disease with autisitic behavior. Follow-up: Hospital of Birth of pt has been sold to new hospital and person says all records destroyed. She said they were only required to keep records maximum of 30 yrs. The doctor, only 7rs. We are sending only copy of any records of shots, but don't know where this is from. Diarrhea, ear infection, autism, retardation, loss of speaking ability at 1 1/2 yrs. Seizures at 14 years of age until now.  1/11/2010 Diagnosed with autism at  about 3 yrs old at hospital.
Age: 39.0
Sex: M
Vaccine: UNK
Symptoms: Grand mal convulsion, Mental retardation
Clinical narrative: Diagnosed with childhood autism at age 3 (approx.). Began to get seizures at about 16 (?). Had a few grand mal seizures soon after. 07/16/2007 MR received for admission 10/4-7/1971. Much is difficult to read due to copy quality from microfilm, however D/C Summary from evaluation admission is intact and readable.  Child admitted for assessment of active problem list: Loss of Speech, Abnormal behavior: head banging and rocking motions, and Hyperactivity.  Child had a vocab of 4 words at age 2 when he suddenly stopped uttering any audible sounds.  With loss of speech the child with drew socially and began rockin and spinning motions as well as head banging.  Difficult for mother to control. PE: Significant for  low set ears, epicanthal folds, eye contact avoidance, no social smile, repetitive mannerisms, and bilateral hyperreflexia. Final DX:  Infantile Autism.  Probable central nervous system disease with autisitic behavior. Follow-up: Hospital of Birth of pt has been sold to new hospital and person says all records destroyed. She said they were only required to keep records maximum of 30 yrs. The doctor, only 7rs. We are sending only copy of any records of shots, but don't know where this is from. Diarrhea, ear infection, autism, retardation, loss of speaking ability at 1 1/2 yrs. Seizures at 14 years of age until now.  1/11/2010 Diagnosed with autism at  about 3 yrs old at hospital.
Age: 14.0
Sex: M
Vaccine: TDAP
Symptoms: Burning sensation, Dizziness, Injection site pruritus, Nausea, Peripheral coldness
Clinical narrative: 6/14 Nausea, fever up to 102, feet felt like on fire "put in skillet". 6/15 C/O arms and neck burning. No tingling: feet cold with fever: dizziness; rash; itchy; dime size around site.
Age: 14.0
Sex: M
Vaccine: TDAP
Symptoms: Pruritus, Pyrexia, Rash
Clinical narrative: 6/14 Nausea, fever up to 102, feet felt like on fire "put in skillet". 6/15 C/O arms and neck burning. No tingling: feet cold with fever: dizziness; rash; itchy; dime size around site.
Age: 26.0
Sex: F
Vaccine: MEN
Symptoms: Cellulitis, Injection site erythema, Pyrexia
Clinical narrative: Fever to 104, redness at injection site - cellulitis
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Nausea, Vomiting
Clinical narrative: Red, swollen, warm spot at area of injection. Nausea and vomiting. Went to ER and received Phenergan which relieved nausea and vomiting. Site on arm is "getting better".
Age: 77.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Diplopia, VIth nerve paralysis, Vision blurred
Clinical narrative: She received Zostavax 6-8-07 awoke next day with blurred and double vision.  7/24/07 Received office note of 6/11/07 which reveals patient awoke w/double vision day after vax.  Exam revealed no abduction right eye.  Double vision worsened w/right gaze.  Pt dx w/6th nerve palsy right eye.
Age: 77.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Diplopia, Eye pain, Impaired driving ability, Neuralgia, VIth nerve paralysis
Clinical narrative: She received Zostavax 6-8-07 awoke next day with blurred and double vision.  7/24/07 Received office note of 6/11/07 which reveals patient awoke w/double vision day after vax.  Exam revealed no abduction right eye.  Double vision worsened w/right gaze.  Pt dx w/6th nerve palsy right eye.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site swelling, Oedema peripheral
Clinical narrative: Mother called office 6/04/07 reporting left upper leg to be swollen and red down to knee.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 1 Day after receiving vaccines, developed red, warm swollen area on left anterior thigh. Diagnosed 6/21/07 with cellulitis, treated with Keflex for a 10 day course.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Pallor, Presyncope
Clinical narrative: Patient near syncope, felt faint, upset, pale in color.
Age: 6.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMRV
Symptoms: Erythema
Clinical narrative: Left arm turned red immediately after injection. Right arm turned slightly red after injection. Left arm redness spread outward. Ice packs given PO Benadryl given.
Age: 1.0
Sex: M
Vaccine: HEP, MMRV, PNC
Symptoms: Medication error
Clinical narrative: No known adverse reaction to patient. Patient received PCV-7 and Hep B exposed to freezing temp in fridge. CDC and manufacturer contacted. To repeat Hep B in 2 weeks. Repeat Prevnar at 18 months WCC per doctor.
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Oedema peripheral
Clinical narrative: Swollen leg left side
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Blood culture, Electrocardiogram, Full blood count, Loss of consciousness, Opisthotonus
Clinical narrative: 10 Minutes after receiving Vaccines (Tdap and Menactra) Patient suddenly passed out in hallway (syncope), was arched and right arm flex to chest for 5-10 seconds, no loss of
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Syncope
Clinical narrative: 10 Minutes after receiving Vaccines (Tdap and Menactra) Patient suddenly passed out in hallway (syncope), was arched and right arm flex to chest for 5-10 seconds, no loss of
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness
Clinical narrative: Light headed felt as though she might pass out.
Age: 12.0
Sex: F
Vaccine: DTAPHEPBIP, MNQ
Symptoms: Wrong drug administered
Clinical narrative: Pediarix given inadvertently, when Boostrix was ordered.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: Swelling at site of injection from axilla to elbow.  Fever to 101 degrees.  Occured at site of varicella vaccine.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: WITHIN 24 HOURS OF INJECTION PATIENT'S MOM CALLED IN STATING SITE WAS RED, RAISED, AND WARM TO TOUCH APPROXIMATELY THE SIZE OF A QUARTER.  MOM WAS ADVISED TO GIVE CHILD BENADRYL AND APPLY COOL COMPRESS TO AREA.  AT APPROX 36 HOURS THE SIZE OF THE REDNESS GREW TO 2 1/2" HIGH BY 2 1/6" WIDE AS MEASURED IN THE OFFICE BY DR.  MOM DID STATE THAT SHE DID NOT GIVE CHILD BENADRYL AS INSTRUCTED.  PATIENT WAS DIAGNOSED WITH CELLULITIS AND PLACED ON CLINDAMYCIN FOR 10 DAYS.  THE FOLLOWING DAY MOM DID REPORT A REDUCE IN THE SIZE OF THE REDNESS TO APPROXIMATLY THAT OF A HALF DOLLAR.  MOM ALSO STATED SHE DID NOT GIVE THE PATIENT THE ANTIBOTICS.
Age: 40.0
Sex: M
Vaccine: ANTH, HEP
Symptoms: Arthralgia, Headache, Stomach discomfort
Clinical narrative: JOINT ACHES, HEADACHES, UPSET STOMACH
Age: 59.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Expired drug administered, Headache, Myalgia, Nausea
Clinical narrative: Patient had had HA, Nausea, Muscle Ache. The vaccine was exspired, and wasn't realized until after it was administered.
Sex: F
Vaccine: HEP
Symptoms: Computerised tomogram normal, Convulsion neonatal, Electroencephalogram abnormal, Grand mal convulsion, Laboratory test
Clinical narrative: 1 day old infant with Tonic-Clonic Seizures every couple of hours with no confirmed diagnosis (after months of tests).  Phenobarbital administered but did not prevent seizures.  Currently medicated with daily doses of Topamax, vitamin B6, and Trileptal.  No prior family history of seizures.  07/16/2007 MR received for newborn admission for infant who developed seizure activity on 2nd day of life. PE WNL. 1/11/2010 Seizures/developmental delays in motor and speech.  8/20/2007 MR received for DOS 4/12/2007-5/09/2007.  Infant transfered from hospital of birth on 3rd day of life after having witnessed seizure activity during newborn stay.  Infant averaging 1-2 seizures which last 1-2 min/day. Stridor noted.  Discharge Dx:  Former 38 week female.  Seizures.  Large arytenol and mild posterior laryngomalacia.  Suspected sepsis-unproven. She's on medication which control the seizures at this time.
Sex: F
Vaccine: HEP
Symptoms: Lumbar puncture, Lumbar puncture normal, Nerve conduction studies normal, Nuclear magnetic resonance imaging normal
Clinical narrative: 1 day old infant with Tonic-Clonic Seizures every couple of hours with no confirmed diagnosis (after months of tests).  Phenobarbital administered but did not prevent seizures.  Currently medicated with daily doses of Topamax, vitamin B6, and Trileptal.  No prior family history of seizures.  07/16/2007 MR received for newborn admission for infant who developed seizure activity on 2nd day of life. PE WNL. 1/11/2010 Seizures/developmental delays in motor and speech.  8/20/2007 MR received for DOS 4/12/2007-5/09/2007.  Infant transfered from hospital of birth on 3rd day of life after having witnessed seizure activity during newborn stay.  Infant averaging 1-2 seizures which last 1-2 min/day. Stridor noted.  Discharge Dx:  Former 38 week female.  Seizures.  Large arytenol and mild posterior laryngomalacia.  Suspected sepsis-unproven. She's on medication which control the seizures at this time.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site vesicles
Clinical narrative: PATIENT REPORTED VERY SWOOLEN ,ERYTHEMATOUS SITE OF VACCINATION,WITH CROPS OF SMALL BLISTER AT SITE APPROX 3.5 CM DIAMETERPRURITUS AT SITE STARTED ON EVENING OF ADMINISTRATION AND SWELLIN APPEARED NEXT DAY
Age: 79.0
Sex: M
Vaccine: IPV, MNQ
Symptoms: Inappropriate schedule of drug administration, No adverse effect
Clinical narrative: Menactra vaccine given to patient over 55.  No adverse reactions.  Manufacturer medical department notified and they stated no clinical data for side effects.  The doctors at manufacturer recommend not to reimmunize and feel this vaccine will be effective immunity for his travels. Vaccine hotline called and consulted.
Age: 17.0
Sex: F
Vaccine: HEPA, MMR, MNQ
Symptoms: Pain, Swelling, Tenderness
Clinical narrative: CLIENT REPORTS SHE STARTED EXPERIENCING PAIN,TENDERNESS AND SWELLING UNDER HER RIGHT ARMPIT AREAS ONE DAY AFTER RECEIVING A MENINGICOCCAL VACCINE IN HER RIGHT DELTOID MUSCLE ON 06/27/07.
Age: 0.51
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Convulsion, Electroencephalogram, Infantile spasms, Neurological examination, Neurological symptom
Clinical narrative: Pt w/ onset of Infantile Spasms 10/06/2006.  Received 6 mo immunizations 9/29/2006.  Now seizures have resolved. Pt w/ severe neurological delays.  07/05/2007 MR received from PCP with several WCCs prior to 9/2006.  Next visit 1/4/07 with mention of daily seizures which include jerking and drawing in of arms and legs and dilated pupils.  Last up to 5 minutes. Not smiling at mother.  Assessment: Epilepsy, NEC.  GERD.  Delayed childhood milestones. GI Consult of 1/10/07 for fussiness, burping, & flatulance.  Reports abnormal EEG in 10/2006. WCC 6/27/2007 with persistant delayed childhood milestones. 07/23/2007 MR received for DOS 10/6-9/2006 who presented with 1 week hx of having spells where childs hands and arms swing out and head bends forward.  Multiple episodes the DOA led to ER visit and admission.  PE (+) for brisk DTRs.  Discharge DX:  Infantile Spasms, cryptogenic in nature. Neuro F/U 12/06/2006 reportedly doing well with occasional jerking related feeding/burping.  Wearing helmet for plagiocephaly.
Age: 0.51
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Nuclear magnetic resonance imaging
Clinical narrative: Pt w/ onset of Infantile Spasms 10/06/2006.  Received 6 mo immunizations 9/29/2006.  Now seizures have resolved. Pt w/ severe neurological delays.  07/05/2007 MR received from PCP with several WCCs prior to 9/2006.  Next visit 1/4/07 with mention of daily seizures which include jerking and drawing in of arms and legs and dilated pupils.  Last up to 5 minutes. Not smiling at mother.  Assessment: Epilepsy, NEC.  GERD.  Delayed childhood milestones. GI Consult of 1/10/07 for fussiness, burping, & flatulance.  Reports abnormal EEG in 10/2006. WCC 6/27/2007 with persistant delayed childhood milestones. 07/23/2007 MR received for DOS 10/6-9/2006 who presented with 1 week hx of having spells where childs hands and arms swing out and head bends forward.  Multiple episodes the DOA led to ER visit and admission.  PE (+) for brisk DTRs.  Discharge DX:  Infantile Spasms, cryptogenic in nature. Neuro F/U 12/06/2006 reportedly doing well with occasional jerking related feeding/burping.  Wearing helmet for plagiocephaly.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Drug ineffective, Varicella
Clinical narrative: THIS PATIENT WAS GIVEN THE VARICELLA VACCINE AT 1 YEAR OF AGE & AT 5 YEARS OF AGE CONTRACTED CHICKEN POX.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV, MMRV, PNC
Symptoms: Rash
Clinical narrative: 24 hours after administration mother noticed two raised bumps on child's face and four on trunk resembling pimples. Afebrile.
Age: 1.3
Sex: M
Vaccine: DTAP
Symptoms: Body temperature increased, Crying, Eye swelling, Feeling hot, Tonsillitis
Clinical narrative: Aunt state, "Toddler started to shaking and crying, hot all over & around his eye was swollen around 3 or 4 o'clock in evening on same day of shot.  Treated in ER arouind 8 p.m. for swollen tonsils and increased temp 195.7 F. given Rx for augmentin 250 mg 1/2 teaspon TID. Aunt states toddler was given an injection @ Hopsital per Dr. in  EP didn't know what kind. Aunt states toddle cry off and on all night. Gave tylenol as nurse and doctor insturcted. Next morning while Drug Store an LPN there said the baby had a reaction to the vaccine and buy and give him some benadryl. After given toddler the benadryl, medication from drug store (Augmentin 250 mg) and Tylenol he did get better a day or so.
Age: 1.3
Sex: M
Vaccine: DTAP
Symptoms: Tremor
Clinical narrative: Aunt state, "Toddler started to shaking and crying, hot all over & around his eye was swollen around 3 or 4 o'clock in evening on same day of shot.  Treated in ER arouind 8 p.m. for swollen tonsils and increased temp 195.7 F. given Rx for augmentin 250 mg 1/2 teaspon TID. Aunt states toddler was given an injection @ Hopsital per Dr. in  EP didn't know what kind. Aunt states toddle cry off and on all night. Gave tylenol as nurse and doctor insturcted. Next morning while Drug Store an LPN there said the baby had a reaction to the vaccine and buy and give him some benadryl. After given toddler the benadryl, medication from drug store (Augmentin 250 mg) and Tylenol he did get better a day or so.
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Swelling and redness upperleft arm
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Discomfort, Erythema, Pruritus
Clinical narrative: Patient had varicella vaccine on 06/27/07,developed small area of redness,warm to the touch and some discomfort.Pruritis.
Age: 65.0
Sex: U
Vaccine: DTAP, PPV
Symptoms: Chills, Decreased appetite, Dizziness, Erythema, Headache
Clinical narrative: Fever, chills, local erythema and induration w/ pain, diffuse myalgia, decreased appetite, nausea, lightheadedness, headaches.  Symptoms developed 1 day after injection.
Age: 65.0
Sex: U
Vaccine: DTAP, PPV
Symptoms: Induration, Myalgia, Nausea, Pain, Pyrexia
Clinical narrative: Fever, chills, local erythema and induration w/ pain, diffuse myalgia, decreased appetite, nausea, lightheadedness, headaches.  Symptoms developed 1 day after injection.
Age: 65.0
Sex: U
Vaccine: DTAP, PPV
Symptoms: Wrong drug administered
Clinical narrative: Fever, chills, local erythema and induration w/ pain, diffuse myalgia, decreased appetite, nausea, lightheadedness, headaches.  Symptoms developed 1 day after injection.
Age: 2.25
Sex: M
Vaccine: PPV
Symptoms: Body temperature increased, Convulsion, Pyrexia
Clinical narrative: Information was received from a physician concerning a 27 month old male who in the morning of 14-JUN-2007 was vaccinated with Pneumovax 23, 0.5 ml, IM (lot # 654974/0355F). There was no concomitant medication. At 14:30 in the afternoon, the patient was sent to the clinic due to a fever. Meanwhile, his body temperature was measured as 39.6 degrees, Celsius. Ten minutes later, the patient developed a convulsion. At the time of the report, it was unknown if the patient recovered from fever or convulsion. The reporter felt that the patient's fever and convulsion were related to therapy with Pneumovax 23. Upon internal review it was considered that convulsion an other important medical event.
Age: 1.5
Sex: M
Vaccine: DTAP, HEP
Symptoms: Status epilepticus
Clinical narrative: 40 min seizure 3-15-07. Admitted to medical center-main stayed in hospital one day.  7/17/07 Received hospital medical records which reveal patient experienced convulsive seizure while at daycare lasting 40 min & stopped w/tx at outlying ER. Admitted overnight 3/22-3/23/07.  Had s/s of URI w/low grade fever.  Routinely followed by neuro w/slightly abnormal EEG & unchanged serial head CT scans.   Final DX: Convulsive seizure.
Age: 12.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Headache, Injection site erythema, Injection site induration, Oedema peripheral, Pain in extremity
Clinical narrative: Headache and left arm swelling/pain. Induration and erythema measures 10 x 6 cm on 6-29-07 at site of injection recovering.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Facial pain, Herpes zoster, Hyperaesthesia
Clinical narrative: Right sided face pain and touch sensitivity consisted with herpes zoster prodrome for which Acyclovir was started today.
Age: 45.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Hypoaesthesia, Pain
Clinical narrative: Pain radiating up to neck, from upper arm and numbness in arm - persisted through 06/08/07 when patient telephoned.
Age: 14.0
Sex: F
Vaccine: DTAP
Symptoms: Body temperature increased, Dizziness, Headache, Injection site oedema, Pain
Clinical narrative: Patient was given Daptacel vs Adacel left deltoid in PM on 6/28/07. At 12:30p on 6/29/07 c/o 101 temp, arm pain, dizziness, frontal HA, slight edema at injection site.
Age: 14.0
Sex: F
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: Patient was given Daptacel vs Adacel left deltoid in PM on 6/28/07. At 12:30p on 6/29/07 c/o 101 temp, arm pain, dizziness, frontal HA, slight edema at injection site.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Headache, Nausea, Pyrexia, Swelling
Clinical narrative: Mom called to report symptoms. Arrived at clinic examined injection site by RN. Left deltoid and arm red, swollen, tender. Mom reports fever 100.3 F, nausea, HA evening of injections 6/26/07. In a.m. 6/27/07 arm (L) swollen and red called and brought son to clinic 6/28/07 p.m. Child given Tylenol every 4 hours as needed.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Tenderness
Clinical narrative: Mom called to report symptoms. Arrived at clinic examined injection site by RN. Left deltoid and arm red, swollen, tender. Mom reports fever 100.3 F, nausea, HA evening of injections 6/26/07. In a.m. 6/27/07 arm (L) swollen and red called and brought son to clinic 6/28/07 p.m. Child given Tylenol every 4 hours as needed.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Cough, Nasal congestion, Sinusitis, Upper respiratory tract infection
Clinical narrative: Nasal congestion and cough 1-2 days after vaccine x 3 - Dx URI/ Sinusitis, Treatment Z-Pak.
Age: 16.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Syncope
Clinical narrative: Child received Boostrix and Menactra injection  - 2 minutes later - fainted. No external trauma, placed in reclined position, legs elevated, fluids given, BP taken elevated by doctor, released in good condition.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Body temperature decreased, Tachycardia
Clinical narrative: Low grade temperature and tachycardia
Sex: F
Vaccine: MNQ
Symptoms: Dizziness, Full blood count, Headache, Myalgia, Nausea
Clinical narrative: 102 Fever, headache, myalgias, nausea and dizziness.
Sex: F
Vaccine: MNQ
Symptoms: Pyrexia
Clinical narrative: 102 Fever, headache, myalgias, nausea and dizziness.
Age: 1.5
Sex: M
Vaccine: DTAPHEPBIP, HEPA
Symptoms: Cellulitis, Erythema, Incorrect dose administered, Injection site erythema, Injection site swelling
Clinical narrative: June 20, 2007, Patient received Pediarix in right anterior thigh #4 and Hepatitis A in left anterior thigh x 2. Patient moved quickly while being held by nurse and mother and Pediarix with needle came out with most of vaccine wasted. LPN revaccinated with Pediarix in right anterior thigh. Two days later increased swelling and redness at site on right leg to involve whole thigh on right. Mom brought patient to see FNP on 6-22-07 and diagnosis of cellulitis, treatment with Keflex. Patient returned again on 6-26-07 for resolving erythema, saw doctor.
Age: 0.2
Sex: F
Vaccine: HIBV
Symptoms: Screaming
Clinical narrative: Screaming
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Inflammation, Injection site erythema, Injection site pruritus, Skin warm
Clinical narrative: Inflammation to arm approx. "4" diameter. Warm to touch. Red at site, (+) pain full and itchy on left upper arm.
Age: 2.0
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Vesicles rash after Varivax vaccine.
Age: 0.2
Sex: M
Vaccine: UNK
Symptoms: Agitation, Feeding disorder
Clinical narrative: Fussy and not feeding well since vaccination
Age: 5.0
Sex: M
Vaccine: DTP, IPV, MMR, UNK
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling over arm where injection was
Age: 0.2
Sex: F
Vaccine: UNK
Symptoms: Agitation, Oral intake reduced
Clinical narrative: Fussy and not drinking well
Age: 18.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Deltoid - 3cm diameter area of mild swelling, erythema, warmth, tenderness, cellulitis.
Age: 0.2
Sex: M
Vaccine: UNK
Symptoms: Agitation, Crying, Sleep disorder
Clinical narrative: Fussy, crying, sleeping poorly
Age: 0.6
Sex: M
Vaccine: IPV
Symptoms: Agitation, Crying, Pyrexia, Rash generalised
Clinical narrative: Rash all over body, fussy and crying, fever of 101.
Age: 1.4
Sex: F
Vaccine: DTAP
Symptoms: Body temperature increased, Erythema
Clinical narrative: Left lateral thigh 4 x 8cm area with mild erythema, mild increase temp at site, 3cm area.
Age: 5.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Varicella
Clinical narrative: Varicella
Age: 4.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Hypersensitivity, Oedema peripheral, Pain, Skin warm
Clinical narrative: 6-19-07 Received vaccines. 6-20-07 Right arm swollen from shoulder to elbow, hot to touch. 6-21-07 Saw doctor who determined it to be an allergic reaction of local type to vaccine given in the right arm. 6-23-07 Swelling gone from arm. 6-25-07 Mother reports it is still achy.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Swollen arm over shot red.
Age: 50.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Headache, Nausea
Clinical narrative: 15 Minutes after injection lightheaded. Developed headache some nausea. No food intake this a.m. No hypertension taken today BP at 12:45 152/104, P 81, at 12:50 157/101 P 74, fell asleep 13:00p.m. Woke up 13:15 p.m. BP 145/105, P 87, RR 15. Right-sided pain of head. Employee encourage to go home and rest.
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Oedema, Tenderness, Urticaria
Clinical narrative: Erythema and edema - 5 x 5cm, mild tenderness and urticaria.
Age: 0.3
Sex: M
Vaccine: DTAP, HEPA, HIBV, IPV
Symptoms: Wrong drug administered
Clinical narrative: Hepatitis A administered, was supposed to be Prevnar.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC
Symptoms: Medication error
Clinical narrative: No known adverse reaction noted by parents. Patient received PCV-7 that had been exposed to freezing refrigerator temp. Parent notified CDC and manufacturer contacted. Patient to receive repeat vaccination at 18 months WCC per doctor.
Age: 28.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Drooling, Dyspnoea, Full blood count, Injection site mass, Injection site warmth
Clinical narrative: Rash, hives to face and arms, eventually started drooling, SOB, had to go to ER for treatment. She also had swelling a knot, and warmth to touch at injection site right arm. (Where Varivax was injected).
Age: 28.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Laboratory test, Rash, Urticaria
Clinical narrative: Rash, hives to face and arms, eventually started drooling, SOB, had to go to ER for treatment. She also had swelling a knot, and warmth to touch at injection site right arm. (Where Varivax was injected).
Age: 1.3
Sex: M
Vaccine: DTAP, PNC
Symptoms: Injection site reaction, Injection site swelling, Rash macular, Urticaria
Clinical narrative: Within 5-10" after injection large welts and blotches at injection sites, back/top of scalp, neck, back and cheek. Approximately 15" after injection increase swelling also at DTP-HIB site left thigh. Received 3/4 tsp Benadryl PO. Within 20' welts, fading. Happy, active with no respiratory distress at any point.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Drug ineffective, Immediate post-injection reaction, Incorrect route of drug administration, Influenza, Musculoskeletal pain
Clinical narrative: This case was reported by a physician who was also the subject and described the occurrence of shoulder pain in an adult female subject who was vaccinated with Fluarix (GlaxoSmithKline) for prophylaxis.  There were no concurrent medications.  At the time of reporting, the subject was lactating.  On an unspecified date in the past, prior to 1 December 2006, the subject received an unspecified flu shot (unknown manufacturer) and experienced lack of effect (she developed the flu).  At the time of reporting, the outcome was unspecified.  On 1 December 2006, the subject received an unspecified dose of Fluarix (.5 ml, intraarticular).  The same day, after vaccination with Fluarix, the subject experienced shoulder pain and drug administered via inappropriate route.  The subject believed she received the Fluarix injection in her right shoulder (intraarticular), but was not certain.  She reported that she has had pain in her shoulder since receiving Fluarix on 1 December 2006, and that the pain has worsened over the last week.  At the time of reporting, she had not consulted another physician regarding the pain.  The physician considered the pain in her shoulder was possibly related to vaccination with Fluarix.  According to the Fluarix prescribing information, injections of Fluarix should be administered intramuscularly, preferably in the region of the deltoid muscle.  Follow-up information was received on 02 March 2007 via the subject, who is also a physician.  The subject was 45-years-old at the time of the event.  The subject had been receiving influenza injections (manufacturer unknown) on an annual basis since 1990, and reported that she had developed influenza on two occasions despite vaccination (lack of effect).  She had no prior history of shoulder pain or rotator cuff injury.  On 01 December 2006, the subject received Fluarix which was injected into the posterolateral right shoulder.  The reporter noted that the "needle mark was at or only very slightly below joint line - not over the mid-deltoid as it should have been".  Immediately following injection, the subject developed shoulder pain which occurred daily but was "not constant".  The pain worsened in the two weeks following vaccination.  She noted that the pain occurred especially with external rotation, abduction, and some internal rotation of the shoulder, or with the use of the rotator cuff muscles.  The subject did not treat pain with medication due to continuing lactation.  At the time of this report, the event was unresolved.  The physician noted that the event did not involve severe disability, but that it was unknown whether the event resulted in permanent disability.  In the physician's opinion, the events were related to administration of Fluarix.  The physician specifically noted that the events were due to erroneous administration, and stated "The problem is not the product, but rather its incorrect administration."
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain, Pain in extremity, Paraesthesia, X-ray
Clinical narrative: This case was reported by a pharmacist and described the occurrence of arm pain in a 62-year-old female who was vaccinated with influenza virus vaccine (Fluarix, GlaxoSmithKline) for prophylaxis. Concurrent medications included Ibandronate sodium (Boniva). On 7 November 2006 the subject received a dose of Fluarix at 0.5ml, intramuscularly in the left arm. The vaccination was given about three inches below her shoulder joint, just above her bicep. The subject described to the pharmacist that she felt as though the administration of Fluarix was "deeper than any other" vaccination for influenza that she has received in the past. Initially, in November 2006, the subject experienced only mild pain at the injection site, which improved. However, in December 2006, the patient reported that the pain in her left upper arm, in the proximity to  the injection site of Fluarix, began to worsen. The pain was described as severe and radiating down her entire arm and sharp on movement. The pain worsens over time. The subject reported that at times she feels a "pins and needles" sensation in her left arm radiating down her arm and into her hand. The pain reportedly keeps the subject up at night. The subject has not received any treatment for the events. At the time of reporting the events were unresolved and the relationship of the events to Fluarix was not known.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: This case was reported by a consumer and described the occurrence of swelling injection site in a 32-year-old female subject who was vaccinated with Fluarix, GlaxoSmithKline for prophylaxis.  A physician or other health care professional has not verified this report.  On 27 October 2006 at 10:00 the subject received unspecified dose of Fluarix intramuscularly in the left arm.  On 28 October 2006, 1 day after vaccination with Fluarix, the subject experienced swelling injection site and a heat sensation at injection site.  A few days later, the subject developed injection site pruritus.  The subject also reported some injection site pain.  She treated the symptoms at the site with Tylenol and a heating pad with improvement.  At the time of reporting the events were resolved.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Nervous system disorder
Clinical narrative: This case was reported by a consumer and described the occurrence of neurological problem in a 51-year-old female subject who was vaccinated with Fluarix (GlaxoSmithKline) for prophylaxis.  A physician or other health care professional has not verified this report.  On an unspecified date the subject received unspecified dose of Fluarix (unknown).  At an unspecified time after vaccination with Fluarix, the subject experienced an unspecified neurological problem.  At the time of reporting the outcome of the event was unspecified.
Age: 52.0
Sex: F
Vaccine: FLUX
Symptoms: Herpes zoster
Clinical narrative: This case was reported by a consumer, via Merck, and described the occurrence of shingles in a 52-year-old female subject who was vaccinated with Flu vaccine (manufacturer unspecified) for prophylaxis.  A physician or other health care professional has not verified this report.  Concurrent medications include Levoxyl, Singulair, Zoloft and Advair.  On an unspecified date the subject received an unspecified dose of Flu vaccine.  One week after vaccination with Flu vaccine, the subject experienced shingles.  The subject reported that she believes that the flu vaccine caused her shingles.  The subject sought medical attention and had an "office visit".  At the time of reporting the outcome of the event was unspecified.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Abdominal pain upper, Arthralgia, Headache
Clinical narrative: headadache, stomacache, jointache
Age: 0.17
Sex: F
Vaccine: HIBV, IPV
Symptoms: Agitation, High-pitched crying, Pyrexia, Respiratory arrest
Clinical narrative: High pitched crying; change in breathing patterns.  The change in breathing patterns precipitated an emergency room visit. (fyi: ordinarily, She is a happy child who rarely cries (only when she is hungry, wet or sleepy). Fever of 100.5. She was given Tylenol at the hospital which made the symptoms subside.  She also was very fussy the next day and crying at night - fever of 100 the second night (crying less then the night before, Tylenol was given in the evening which again made her more comfortable).
Age: 2.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR, VARCEL
Symptoms: Pain in extremity
Clinical narrative: Parents feel that the child's left arm was excessively sore for 2 weeks following the administration of Dtap, IPV, and varicella. The symptoms were relieved by Tylenol which was administered every 4 hours for 2-3 days.  This child was vaccinated through a home visit program. The parents asked that the vaccines administered on 6/29/07 be given in the legs instead of the arms.  I agreed to report the complaint.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Abdominal pain upper, Arthralgia, Headache
Clinical narrative: stomachache, jointache, headache
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Chills, Cough, Eye pain, Full blood count, Hyperhidrosis
Clinical narrative: High Fevers (103.6 orally, shakingchills/sweats, eye pain/sorness,& non-productive cough. Received vaccine on 6/26/07, developed signs by 6/27/07 am & highest fever on 6/28/07. 6/30/07: She still has sweats but fever down normal 6/30/07. She still has eye pain/soreness esp. when moving eyes from side to side & non-productive cough. Saw Dr. on 6/29/007 :lab neg for  bacterial or strep. Dr. thinks it is all reaction to the meningococcal vaccine.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Pyrexia, Streptococcal identification test, Tremor
Clinical narrative: High Fevers (103.6 orally, shakingchills/sweats, eye pain/sorness,& non-productive cough. Received vaccine on 6/26/07, developed signs by 6/27/07 am & highest fever on 6/28/07. 6/30/07: She still has sweats but fever down normal 6/30/07. She still has eye pain/soreness esp. when moving eyes from side to side & non-productive cough. Saw Dr. on 6/29/007 :lab neg for  bacterial or strep. Dr. thinks it is all reaction to the meningococcal vaccine.
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Dizziness, Headache, Nausea, Pain
Clinical narrative: Symptoms started several hours after recieving injection on 6/29/07.  C/o chills, severe headache, nausea, mild fever, body aches, and dizziness.  Also c/o arm soreness.  Pt continues to have these symptoms in equal intensity today (6/30/07).
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Symptoms started several hours after recieving injection on 6/29/07.  C/o chills, severe headache, nausea, mild fever, body aches, and dizziness.  Also c/o arm soreness.  Pt continues to have these symptoms in equal intensity today (6/30/07).
Age: 0.83
Sex: M
Vaccine: RAB
Symptoms: Agitation, Blood culture negative, Decreased appetite, Fatigue, Lethargy
Clinical narrative: Rec'd 2 Imovax immunizations as post-exposure prophylaxis in a ED.  At the third visit to the ED (6/16/07) was given Rabavert. On 6/17 he became fussy, refusing to take solid foods. On 6/21 he had a fever to 38.4 with lethargy and fatigue.  On 6/22 he developed a blotchy generalized rash.  On 6/23 he presented to our ED with worsening fussiness, new petichiae and incosolability.  Work up was negative (LP, blood culture), was given ceftriaxone and dose #4 of rabies vaccine Imovax.  On 6/25 he no longer had a rash or fever, was taking POs and nearly back to baseline.
Age: 0.83
Sex: M
Vaccine: RAB
Symptoms: Lumbar puncture, Petechiae, Pyrexia, Rash generalised, Rash macular
Clinical narrative: Rec'd 2 Imovax immunizations as post-exposure prophylaxis in a ED.  At the third visit to the ED (6/16/07) was given Rabavert. On 6/17 he became fussy, refusing to take solid foods. On 6/21 he had a fever to 38.4 with lethargy and fatigue.  On 6/22 he developed a blotchy generalized rash.  On 6/23 he presented to our ED with worsening fussiness, new petichiae and incosolability.  Work up was negative (LP, blood culture), was given ceftriaxone and dose #4 of rabies vaccine Imovax.  On 6/25 he no longer had a rash or fever, was taking POs and nearly back to baseline.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PER, RV5
Symptoms: Urticaria
Clinical narrative: Severe Hives
Age: 0.51
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Chromosomal analysis, Computerised tomogram normal, Convulsion, Dystonia, Electrocardiogram abnormal
Clinical narrative: INFANTILE SPASMS WITH HYPSARRHYTHMIA CONFIRMED BY PHYSICIAN WITNESS OF EVENT COUPLED WITH EEG FINDINGS DEVELOPED 12 HOURS AFTER VACCINATION.  INITIAL EPISODES WERE FIRST CHARACTERIZED AS DYSTONIA BY HISTORY, THEN SANDIFER SYNDROME.  DIAGNOSIS MADE AFTER AN EVENT WAS WITNESSED IN THE OFFICE.  TREATMENT WAS INITIATED ON 6/28/2007 WITH ACTH WITH RESPONSE NOTED.  PATIENT IS STILL UNDERGOING THERAPY.  7/3/07 Hospital medical records received which reveal patient experienced multiple events of posturing followed by crying.  Episodes recurred & were videotaped multiple times over 4 days.  Seen by PCP who dx on 6/25 as Sandifer Syndrome.  Episodes continued & seen by PCP again on 6/28.  Referred to neurologist where witnessed episode was c/w infantile spasms.  Hospitalized 6/28-6/30/07.  No d/c summary dictated per med records. & ACTH theapy was started.    7/24/07 Received vax record which confirms vax info as reported. 1/11/2010 Infintile seizures/spasms thought to be secondary to DTAP vaccine but some disagreement among neurologist on this theory. Child is still having small brief seizures. 02/02/2010 Persistent infantile spasms; side affets of austism, irritability and obesity 20/2 medication. Developmental delay.
Age: 0.51
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Electroencephalogram, Infantile spasms, Metabolic function test, Nuclear magnetic resonance imaging brain normal, Obesity
Clinical narrative: INFANTILE SPASMS WITH HYPSARRHYTHMIA CONFIRMED BY PHYSICIAN WITNESS OF EVENT COUPLED WITH EEG FINDINGS DEVELOPED 12 HOURS AFTER VACCINATION.  INITIAL EPISODES WERE FIRST CHARACTERIZED AS DYSTONIA BY HISTORY, THEN SANDIFER SYNDROME.  DIAGNOSIS MADE AFTER AN EVENT WAS WITNESSED IN THE OFFICE.  TREATMENT WAS INITIATED ON 6/28/2007 WITH ACTH WITH RESPONSE NOTED.  PATIENT IS STILL UNDERGOING THERAPY.  7/3/07 Hospital medical records received which reveal patient experienced multiple events of posturing followed by crying.  Episodes recurred & were videotaped multiple times over 4 days.  Seen by PCP who dx on 6/25 as Sandifer Syndrome.  Episodes continued & seen by PCP again on 6/28.  Referred to neurologist where witnessed episode was c/w infantile spasms.  Hospitalized 6/28-6/30/07.  No d/c summary dictated per med records. & ACTH theapy was started.    7/24/07 Received vax record which confirms vax info as reported. 1/11/2010 Infintile seizures/spasms thought to be secondary to DTAP vaccine but some disagreement among neurologist on this theory. Child is still having small brief seizures. 02/02/2010 Persistent infantile spasms; side affets of austism, irritability and obesity 20/2 medication. Developmental delay.