chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 85.0
Sex: F
Vaccine: VARZOS
Symptoms: Lymphocyte count decreased, Mean cell haemoglobin, Mean cell haemoglobin concentration, Mean cell volume increased, Monocyte count increased
Clinical narrative: 85 year old female with acute onset of diffuse body rash this am.  On a.m. of 7 Nov 2007, after her exercises, she noticed the body rash.  Rash is non-pruritic.  No pustules or vesicles.  She denies fevers, chills, malaise, fatigue, shortness of breath, chest pains, GI or GU complaints.  Rash, diffuse, generalized (arms, trunk, back, neck, legs, face).
Age: 85.0
Sex: F
Vaccine: VARZOS
Symptoms: Platelet count decreased, Protein total normal, Rash generalised, Red blood cell count normal, Red blood cell sedimentation rate increased
Clinical narrative: 85 year old female with acute onset of diffuse body rash this am.  On a.m. of 7 Nov 2007, after her exercises, she noticed the body rash.  Rash is non-pruritic.  No pustules or vesicles.  She denies fevers, chills, malaise, fatigue, shortness of breath, chest pains, GI or GU complaints.  Rash, diffuse, generalized (arms, trunk, back, neck, legs, face).
Age: 85.0
Sex: F
Vaccine: VARZOS
Symptoms: Urine analysis normal, Vitamin B12 abnormal, White blood cell count decreased
Clinical narrative: 85 year old female with acute onset of diffuse body rash this am.  On a.m. of 7 Nov 2007, after her exercises, she noticed the body rash.  Rash is non-pruritic.  No pustules or vesicles.  She denies fevers, chills, malaise, fatigue, shortness of breath, chest pains, GI or GU complaints.  Rash, diffuse, generalized (arms, trunk, back, neck, legs, face).
Age: 16.0
Sex: F
Vaccine: FLU3, HEPA, HPV4, MNQ
Symptoms: Pruritus, Urticaria
Clinical narrative: itching-since injection urticaria
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, FLUX, HIBV, PNC
Symptoms: Inappropriate schedule of drug administration, Medication error
Clinical narrative: Pt inadvertantly given flu vaccine at age 4 mos instead of 6 months. No problems upon leaving clinic-CDC notified. Baby's mother notified.
Age: 31.0
Sex: F
Vaccine: FLUX
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Biopsy bone marrow normal, Chills, Computerised tomogram normal
Clinical narrative: Fever, chills, rigors, T > 102 developed 2 days after vaccination, then neutropenia down to WBC = 1.3 and absolute neutrophil count 500 by 11/08/07, AST = 265; ALT = 106.  12/11/07 Reviewed hospital medical records which reveal patient experienced fever of unknown origin intermittently x 3 weeks of 102-103 with sweats & chills, HA, sinus congestion, sore throat, semi-productive cough, malaise, swollen tender submandibular lymph glands, fatigue & arthralgia when febrile. Seen by pcp multiple times & had ID & hematology outpatient consults prior to admission.  Admitted 11/8-11/13/2007 for antibiotic & further eval .  ID, heme & rheumatology consults obtained while hospitalized.  Tx w/IV antibiotics.  Fever gradually resolved. FINAL DX: pancytopenia, possibly related to underlying viral illness or autoimmune disorder; Fever of unknown origin, possibly related to viral syndrome, collagen vascular disease or reaction to flu vaccine.
Age: 31.0
Sex: F
Vaccine: FLUX
Symptoms: Neutropenia, Neutrophil count decreased, Pyrexia, White blood cell count decreased
Clinical narrative: Fever, chills, rigors, T > 102 developed 2 days after vaccination, then neutropenia down to WBC = 1.3 and absolute neutrophil count 500 by 11/08/07, AST = 265; ALT = 106.  12/11/07 Reviewed hospital medical records which reveal patient experienced fever of unknown origin intermittently x 3 weeks of 102-103 with sweats & chills, HA, sinus congestion, sore throat, semi-productive cough, malaise, swollen tender submandibular lymph glands, fatigue & arthralgia when febrile. Seen by pcp multiple times & had ID & hematology outpatient consults prior to admission.  Admitted 11/8-11/13/2007 for antibiotic & further eval .  ID, heme & rheumatology consults obtained while hospitalized.  Tx w/IV antibiotics.  Fever gradually resolved. FINAL DX: pancytopenia, possibly related to underlying viral illness or autoimmune disorder; Fever of unknown origin, possibly related to viral syndrome, collagen vascular disease or reaction to flu vaccine.
Age: 10.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Lt arm red & swollen 7.5x7 cm - round erythematous, warm to touch outer aspect of lt arm.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Lymphadenopathy
Clinical narrative: enlarged (L) axillary lymph nodes 3.5 x 3.5 cm
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site inflammation, Injection site pain
Clinical narrative: Severe injection site reaction with inflammation and severe pain. Immunized 10/8/2007. Methylprednisone 4 mg dose pack 10/18/2007. Subacromial cortisteroid injection given on 10/28/2007.
Age: 8.0
Sex: F
Vaccine: FLU3
Symptoms: Medication error
Clinical narrative: PT given influenza vaccine on 11/12/07.  Second influenza vaccination given on 11/14/07 due to miscommunication between physician and nurse.
Age: 63.0
Sex: F
Vaccine: FLU3, PPV, VARZOS
Symptoms: Eye discharge, Eye pruritus, Pruritus, Rash macular, Urticaria
Clinical narrative: Hives located on left thigh area over to left buttocks. Symptoms included an approximately 5" x 10 " rectangular area of hives with persistent itching (red blotches and welts) for a period of three days; also itchy eyes with watery discharge during same three day period. Treatment included cold water packs, administering Calamine lotion to affected area and the taking of Advil tablets. Per follow up: Our office did not report a reaction.
Age: 1.1
Sex: F
Vaccine: FLU3, HEPA, HIBV, MMRV
Symptoms: Pyrexia, Rash, Vaccination complication, Viral rash
Clinical narrative: Fever and rash 12 days after vaccines. Viral exanthem vs vaccine reaction
Age: 2.0
Sex: M
Vaccine: FLUX
Symptoms: Nausea, Oedema peripheral, Pyrexia, Vomiting
Clinical narrative: Fever of 102.2 degrees, nausea, vomiting, extremely swollen in the entire upper right arm. Required antibiotic and steroid, cream application
Age: 56.0
Sex: F
Vaccine: FLUX, TTOX
Symptoms: Agitation, Dizziness, Mood altered
Clinical narrative: Dizziness for two days and explainable agitated mood - lasting for seven days.
Age: 7.0
Sex: M
Vaccine: FLU3, VARCEL
Symptoms: Blister, Erythema, Oedema peripheral
Clinical narrative: Arm swollen and red, vesicle x 2 on arm.
Age: 34.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Anorexia, Cellulitis, Fatigue, Malaise, Palpitations
Clinical narrative: Local cellulitis (resolving), palpations, malaise, loss of appetite, fatigue.
Age: 29.0
Sex: M
Vaccine: FLU3
Symptoms: Blood pressure, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: -pt passed out in chair-5 minutes after shot -pt regained conscious after-mild shake and loud voice -pt explained later that he has done this at his last Dr visit -Transported to ER by paramedics
Age: 1.07
Sex: M
Vaccine: DTAP, FLU3, HEP, PNC
Symptoms: Type III immune complex mediated reaction
Clinical narrative: Imms rec'd 11-13-07. Noted reaction 11-14/15-07 (Arthus). Treated with ice, antihistamine and pt f/u on 11-17-07.
Age: 1.1
Sex: M
Vaccine: DTAP, FLU3, HEP, PNC
Symptoms: Type III immune complex mediated reaction
Clinical narrative: Imms rec'd 11-13-07. Noted reaction 11-14/15-07 (Arthus). Treated with ice, antihistamine and pt f/u on 11-17-07.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Erythema, Skin warm
Clinical narrative: Localized cellulitis 2 days after influenza vaccine.  Red, hot to touch, four inch area on L deltoid.
Age: 20.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Erythema, Local reaction, Pruritus, Skin warm, Swelling
Clinical narrative: Local reaction left upper arm 3x3 cm erythema with increased heat, tender, pruritus, slight swelling.
Age: 20.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Tenderness
Clinical narrative: Local reaction left upper arm 3x3 cm erythema with increased heat, tender, pruritus, slight swelling.
Age: 60.0
Sex: M
Vaccine: FLUX
Symptoms: Asthenia, Headache, Myalgia, Pain, Pain of skin
Clinical narrative: High fever, pounding headaches, heart racing, weak, muscle aches, soreness to touch of skin. Lasted 1 week. Took - Tylenol extra strength for fever - Darvocet for pain.
Age: 60.0
Sex: M
Vaccine: FLUX
Symptoms: Palpitations, Pyrexia
Clinical narrative: High fever, pounding headaches, heart racing, weak, muscle aches, soreness to touch of skin. Lasted 1 week. Took - Tylenol extra strength for fever - Darvocet for pain.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site bruising, Injection site erythema, Injection site pain
Clinical narrative: Bruising, soreness and red spot at injection site day after immunization (Friday, Nov. 16th). On Saturday, Nov. 17th, red spot spread to 2 1/2 inches in diameter just below injection site.
Age: 22.0
Sex: M
Vaccine: FLU3, HEPA, VARCEL
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis over deltoid
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Asthma, Dyspnoea, Rash
Clinical narrative: Rash, breathing difficulty, asthma-like attack.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, DTAP, HEPA, IPV, MMR
Symptoms: Dyspnoea, Eye swelling, Swelling face
Clinical narrative: Swelling of face and eyes - problems breathing - seen at Hosp -ER after 7pm 11/26/2007
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, DTAP, HEPA, IPV, MMR
Symptoms: Anaphylactic reaction, Dyspnoea, Lip swelling, Urticaria
Clinical narrative: Swelling of face and eyes - problems breathing - seen at Hosp -ER after 7pm 11/26/2007
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Body temperature increased, Haematoma
Clinical narrative: 10-9-07 Left leg Varicella and PCV7 vaccine given 1:00 10-18-07 TC from mother Pt at doctor's office to to temp. and hematoma on left leg. Pt given Amoxicillin.
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Excessive local reaction - 4th day after varicella vaccine still has 7 cm by 5 cm area erythema right triceps area along with warmth and slight induration.  No fluctuance, no tenderness.
Age: 5.0
Sex: U
Vaccine: FLU3, MMR, VARCEL
Symptoms: Swollen tongue
Clinical narrative: Swelling tongue
Age: 19.0
Sex: F
Vaccine: TTOX
Symptoms: Abdominal pain, Body temperature increased, Diarrhoea, Vomiting
Clinical narrative: Complained of increased fever of 103, abdominal cramps/pain, diarrhea, watery stools x3, Emesis x2 undigested food - Donor said she did not eat prior to donating - Donor received Tetanus Toxoid injection 0.5 mg - Donor state she went to ER about 12AM 11-16-2007 State she is okay Now.
Sex: U
Vaccine: UNK, HIBV, MMR, PNC, VARCEL
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Diarrhea vomit started 24 hr after injection and continue x 3 days
Age: 40.0
Sex: F
Vaccine: MMR
Symptoms: Antinuclear antibody negative, Arthralgia, Gait disturbance, Muscular weakness, Nasopharyngitis
Clinical narrative: 9-25-07 given MMR vaccine after delivery (child birth) 1 1/2 weeks later developed cold symptoms by the end of two weeks had sever arthritic pain in joints, to the point that I could not walk or hold my baby. Lasted approx. 6 days. Now mild to moderate, pain only. Also has shooting pain in (Rt) leg and arm and chest
Age: 40.0
Sex: F
Vaccine: MMR
Symptoms: Pain
Clinical narrative: 9-25-07 given MMR vaccine after delivery (child birth) 1 1/2 weeks later developed cold symptoms by the end of two weeks had sever arthritic pain in joints, to the point that I could not walk or hold my baby. Lasted approx. 6 days. Now mild to moderate, pain only. Also has shooting pain in (Rt) leg and arm and chest
Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Anorexia, Asthenia, CSF protein increased, Hypocalcaemia, Hypotension
Clinical narrative: Pt received Zostivax 4/12/2007 at her PCP's office. Was admitted to hospital 4/23/2007- 4/27/2007 with hypotension (BP 74/48) and a prior 4 day hx of diffuse body pain, nausea and vomiting. No fever. She was treated with IV fluids, BP medications held. She was admitted 4/30-5/3/2007 for arthralgia, myalgia, orthostatic hypotension. Admitted 5/14-6/30/2007 for dysautonomia with orthostatic hypotension (severe). She was treated with fludrocortisone, later added midodrine. Given course of IVIg. Admitted 7/15-7/26/2007. Was also seen at hospital with Dr. who felt she may have had vaccine-related autonomic neuropathy. Has dysphagia, weight loss, severe deconditioning due to inability to stand for long periods of time (syncope/near-syncope with orthostatic hypotension). She is receiving physical therapy, still on fludrocortisone, midodrine.
Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Orthostatic hypotension, Pain, Paraesthesia
Clinical narrative: Pt received Zostivax 4/12/2007 at her PCP's office. Was admitted to hospital 4/23/2007- 4/27/2007 with hypotension (BP 74/48) and a prior 4 day hx of diffuse body pain, nausea and vomiting. No fever. She was treated with IV fluids, BP medications held. She was admitted 4/30-5/3/2007 for arthralgia, myalgia, orthostatic hypotension. Admitted 5/14-6/30/2007 for dysautonomia with orthostatic hypotension (severe). She was treated with fludrocortisone, later added midodrine. Given course of IVIg. Admitted 7/15-7/26/2007. Was also seen at hospital with Dr. who felt she may have had vaccine-related autonomic neuropathy. Has dysphagia, weight loss, severe deconditioning due to inability to stand for long periods of time (syncope/near-syncope with orthostatic hypotension). She is receiving physical therapy, still on fludrocortisone, midodrine.
Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Antineutrophil cytoplasmic antibody, Antinuclear antibody, Arthralgia, Asthenia, Autonomic nervous system imbalance
Clinical narrative: Pt received Zostivax 4/12/2007 at her PCP's office. Was admitted to hospital 4/23/2007- 4/27/2007 with hypotension (BP 74/48) and a prior 4 day hx of diffuse body pain, nausea and vomiting. No fever. She was treated with IV fluids, BP medications held. She was admitted 4/30-5/3/2007 for arthralgia, myalgia, orthostatic hypotension. Admitted 5/14-6/30/2007 for dysautonomia with orthostatic hypotension (severe). She was treated with fludrocortisone, later added midodrine. Given course of IVIg. Admitted 7/15-7/26/2007. Was also seen at hospital with Dr. who felt she may have had vaccine-related autonomic neuropathy. Has dysphagia, weight loss, severe deconditioning due to inability to stand for long periods of time (syncope/near-syncope with orthostatic hypotension). She is receiving physical therapy, still on fludrocortisone, midodrine.
Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Autonomic neuropathy, Blood creatinine, Blood culture, Blood electrolytes, Blood glucose
Clinical narrative: Pt received Zostivax 4/12/2007 at her PCP's office. Was admitted to hospital 4/23/2007- 4/27/2007 with hypotension (BP 74/48) and a prior 4 day hx of diffuse body pain, nausea and vomiting. No fever. She was treated with IV fluids, BP medications held. She was admitted 4/30-5/3/2007 for arthralgia, myalgia, orthostatic hypotension. Admitted 5/14-6/30/2007 for dysautonomia with orthostatic hypotension (severe). She was treated with fludrocortisone, later added midodrine. Given course of IVIg. Admitted 7/15-7/26/2007. Was also seen at hospital with Dr. who felt she may have had vaccine-related autonomic neuropathy. Has dysphagia, weight loss, severe deconditioning due to inability to stand for long periods of time (syncope/near-syncope with orthostatic hypotension). She is receiving physical therapy, still on fludrocortisone, midodrine.
Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Blood test, CSF protein increased, Chest X-ray, Computerised tomogram, Culture urine
Clinical narrative: Pt received Zostivax 4/12/2007 at her PCP's office. Was admitted to hospital 4/23/2007- 4/27/2007 with hypotension (BP 74/48) and a prior 4 day hx of diffuse body pain, nausea and vomiting. No fever. She was treated with IV fluids, BP medications held. She was admitted 4/30-5/3/2007 for arthralgia, myalgia, orthostatic hypotension. Admitted 5/14-6/30/2007 for dysautonomia with orthostatic hypotension (severe). She was treated with fludrocortisone, later added midodrine. Given course of IVIg. Admitted 7/15-7/26/2007. Was also seen at hospital with Dr. who felt she may have had vaccine-related autonomic neuropathy. Has dysphagia, weight loss, severe deconditioning due to inability to stand for long periods of time (syncope/near-syncope with orthostatic hypotension). She is receiving physical therapy, still on fludrocortisone, midodrine.
Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Dysphagia, Full blood count, HIV test, Hypotension, Myalgia
Clinical narrative: Pt received Zostivax 4/12/2007 at her PCP's office. Was admitted to hospital 4/23/2007- 4/27/2007 with hypotension (BP 74/48) and a prior 4 day hx of diffuse body pain, nausea and vomiting. No fever. She was treated with IV fluids, BP medications held. She was admitted 4/30-5/3/2007 for arthralgia, myalgia, orthostatic hypotension. Admitted 5/14-6/30/2007 for dysautonomia with orthostatic hypotension (severe). She was treated with fludrocortisone, later added midodrine. Given course of IVIg. Admitted 7/15-7/26/2007. Was also seen at hospital with Dr. who felt she may have had vaccine-related autonomic neuropathy. Has dysphagia, weight loss, severe deconditioning due to inability to stand for long periods of time (syncope/near-syncope with orthostatic hypotension). She is receiving physical therapy, still on fludrocortisone, midodrine.
Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Nausea, Nuclear magnetic resonance imaging brain, Orthostatic hypotension, Pain, Presyncope
Clinical narrative: Pt received Zostivax 4/12/2007 at her PCP's office. Was admitted to hospital 4/23/2007- 4/27/2007 with hypotension (BP 74/48) and a prior 4 day hx of diffuse body pain, nausea and vomiting. No fever. She was treated with IV fluids, BP medications held. She was admitted 4/30-5/3/2007 for arthralgia, myalgia, orthostatic hypotension. Admitted 5/14-6/30/2007 for dysautonomia with orthostatic hypotension (severe). She was treated with fludrocortisone, later added midodrine. Given course of IVIg. Admitted 7/15-7/26/2007. Was also seen at hospital with Dr. who felt she may have had vaccine-related autonomic neuropathy. Has dysphagia, weight loss, severe deconditioning due to inability to stand for long periods of time (syncope/near-syncope with orthostatic hypotension). She is receiving physical therapy, still on fludrocortisone, midodrine.
Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Red blood cell sedimentation rate, Rheumatoid factor, Syncope, Vomiting, Weight decreased
Clinical narrative: Pt received Zostivax 4/12/2007 at her PCP's office. Was admitted to hospital 4/23/2007- 4/27/2007 with hypotension (BP 74/48) and a prior 4 day hx of diffuse body pain, nausea and vomiting. No fever. She was treated with IV fluids, BP medications held. She was admitted 4/30-5/3/2007 for arthralgia, myalgia, orthostatic hypotension. Admitted 5/14-6/30/2007 for dysautonomia with orthostatic hypotension (severe). She was treated with fludrocortisone, later added midodrine. Given course of IVIg. Admitted 7/15-7/26/2007. Was also seen at hospital with Dr. who felt she may have had vaccine-related autonomic neuropathy. Has dysphagia, weight loss, severe deconditioning due to inability to stand for long periods of time (syncope/near-syncope with orthostatic hypotension). She is receiving physical therapy, still on fludrocortisone, midodrine.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Blindness unilateral, Multiple sclerosis
Clinical narrative: Note : Report from tertiary facility so information is per medical record.  Patient received first dose of Gardasil 2 months prior and the second dose  "1 week" prior to hospitalization (so field 10 is an estimate).  Patient did report some visual symptoms prior to receiving any doses of vaccine.  Patient reported HA and loss of vision in R eye on 7/6/07 which worsend and progressed to both eyes by eve of 7/8.  CT at outside hospital showed lesions in brain and pt transferred to our facility for w/u.  MRI and brain biopsy revealed a demylenating process c/w multiple sclerosis per neurologist.  Patient remained hospitalized until 7/27.  As of 9/7 patient has neither improved or declined per neurologist.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Antibody test, Antinuclear antibody, Antiphospholipid antibodies, Biopsy brain, Blindness
Clinical narrative: Note : Report from tertiary facility so information is per medical record.  Patient received first dose of Gardasil 2 months prior and the second dose  "1 week" prior to hospitalization (so field 10 is an estimate).  Patient did report some visual symptoms prior to receiving any doses of vaccine.  Patient reported HA and loss of vision in R eye on 7/6/07 which worsend and progressed to both eyes by eve of 7/8.  CT at outside hospital showed lesions in brain and pt transferred to our facility for w/u.  MRI and brain biopsy revealed a demylenating process c/w multiple sclerosis per neurologist.  Patient remained hospitalized until 7/27.  As of 9/7 patient has neither improved or declined per neurologist.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Blood immunoglobulin G, Blood immunoglobulin M, Computerised tomogram abnormal, Demyelination, Headache
Clinical narrative: Note : Report from tertiary facility so information is per medical record.  Patient received first dose of Gardasil 2 months prior and the second dose  "1 week" prior to hospitalization (so field 10 is an estimate).  Patient did report some visual symptoms prior to receiving any doses of vaccine.  Patient reported HA and loss of vision in R eye on 7/6/07 which worsend and progressed to both eyes by eve of 7/8.  CT at outside hospital showed lesions in brain and pt transferred to our facility for w/u.  MRI and brain biopsy revealed a demylenating process c/w multiple sclerosis per neurologist.  Patient remained hospitalized until 7/27.  As of 9/7 patient has neither improved or declined per neurologist.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Multiple sclerosis, Nervous system disorder, Nuclear magnetic resonance imaging, Visual disturbance
Clinical narrative: Note : Report from tertiary facility so information is per medical record.  Patient received first dose of Gardasil 2 months prior and the second dose  "1 week" prior to hospitalization (so field 10 is an estimate).  Patient did report some visual symptoms prior to receiving any doses of vaccine.  Patient reported HA and loss of vision in R eye on 7/6/07 which worsend and progressed to both eyes by eve of 7/8.  CT at outside hospital showed lesions in brain and pt transferred to our facility for w/u.  MRI and brain biopsy revealed a demylenating process c/w multiple sclerosis per neurologist.  Patient remained hospitalized until 7/27.  As of 9/7 patient has neither improved or declined per neurologist.
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Antiphospholipid antibodies positive, Colour vision tests normal, Eye pain, Eye pain, Heterophoria
Clinical narrative: 5/04/07 Gardasil 9/08/07 Gardasil #2 8/4/07-new eye pain (L) eye when looking to the (L) color midday 10/07-(R) eye decreased vision, less pain
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Hypermetropia, Laboratory test normal, Neurological examination, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal
Clinical narrative: 5/04/07 Gardasil 9/08/07 Gardasil #2 8/4/07-new eye pain (L) eye when looking to the (L) color midday 10/07-(R) eye decreased vision, less pain
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Ophthalmological examination abnormal, Optic neuritis, Visual acuity reduced, Visual acuity tests abnormal, Visual evoked potentials normal
Clinical narrative: 5/04/07 Gardasil 9/08/07 Gardasil #2 8/4/07-new eye pain (L) eye when looking to the (L) color midday 10/07-(R) eye decreased vision, less pain
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Eye pain, Visual acuity reduced
Clinical narrative: 5/04/07 Gardasil 9/08/07 Gardasil #2 8/4/07-new eye pain (L) eye when looking to the (L) color midday 10/07-(R) eye decreased vision, less pain
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Eye pain, Optic neuritis
Clinical narrative: 5/04/07 Gardasil 9/08/07 Gardasil #2 8/4/07-new eye pain (L) eye when looking to the (L) color midday 10/07-(R) eye decreased vision, less pain
Age: 23.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Abdominal pain, Activated partial thromboplastin time, Dizziness, Haemoglobin, Monocyte count
Clinical narrative: A 23 year old received  single dose of Rabies Vaccine on November 7, 2007 at 8:15 a.m. Three hours later presented dizziness, nausea, vomits and abdominal pain. Patient vital signs where observed for one hour and discharged home in stable condition. Twelve hours later, she had to be evaluated at hospital Emergency Room when she presented generalized urticarial rash and pruritus. No respiratory distress was referred.  12/21/2007 Received medical records from reporter however, records are mostly in another language.  Seen in ER 11/7/07 for dx allergic reaction to Imovax.  Records from 5/3/07 are for papillary thyroid cancer, anemia & hypoglycemia.  Patient had total thyroidectomy.
Age: 23.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Nausea, Pruritus, Rash generalised, Urticaria, Vomiting
Clinical narrative: A 23 year old received  single dose of Rabies Vaccine on November 7, 2007 at 8:15 a.m. Three hours later presented dizziness, nausea, vomits and abdominal pain. Patient vital signs where observed for one hour and discharged home in stable condition. Twelve hours later, she had to be evaluated at hospital Emergency Room when she presented generalized urticarial rash and pruritus. No respiratory distress was referred.  12/21/2007 Received medical records from reporter however, records are mostly in another language.  Seen in ER 11/7/07 for dx allergic reaction to Imovax.  Records from 5/3/07 are for papillary thyroid cancer, anemia & hypoglycemia.  Patient had total thyroidectomy.
Age: 23.0
Sex: F
Vaccine: RAB, RAB
Symptoms: White blood cell count
Clinical narrative: A 23 year old received  single dose of Rabies Vaccine on November 7, 2007 at 8:15 a.m. Three hours later presented dizziness, nausea, vomits and abdominal pain. Patient vital signs where observed for one hour and discharged home in stable condition. Twelve hours later, she had to be evaluated at hospital Emergency Room when she presented generalized urticarial rash and pruritus. No respiratory distress was referred.  12/21/2007 Received medical records from reporter however, records are mostly in another language.  Seen in ER 11/7/07 for dx allergic reaction to Imovax.  Records from 5/3/07 are for papillary thyroid cancer, anemia & hypoglycemia.  Patient had total thyroidectomy.
Age: 23.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Abdominal pain, Dizziness, Haemoglobin decreased, Monocyte count increased, Nausea
Clinical narrative: A 23 year old received  single dose of Rabies Vaccine on November 7, 2007 at 8:15 a.m. Three hours later presented dizziness, nausea, vomits and abdominal pain. Patient vital signs where observed for one hour and discharged home in stable condition. Twelve hours later, she had to be evaluated at hospital Emergency Room when she presented generalized urticarial rash and pruritus. No respiratory distress was referred.  12/21/2007 Received medical records from reporter however, records are mostly in another language.  Seen in ER 11/7/07 for dx allergic reaction to Imovax.  Records from 5/3/07 are for papillary thyroid cancer, anemia & hypoglycemia.  Patient had total thyroidectomy.
Age: 23.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Platelet count normal, Pruritus, Urticaria, Vomiting, White blood cell count
Clinical narrative: A 23 year old received  single dose of Rabies Vaccine on November 7, 2007 at 8:15 a.m. Three hours later presented dizziness, nausea, vomits and abdominal pain. Patient vital signs where observed for one hour and discharged home in stable condition. Twelve hours later, she had to be evaluated at hospital Emergency Room when she presented generalized urticarial rash and pruritus. No respiratory distress was referred.  12/21/2007 Received medical records from reporter however, records are mostly in another language.  Seen in ER 11/7/07 for dx allergic reaction to Imovax.  Records from 5/3/07 are for papillary thyroid cancer, anemia & hypoglycemia.  Patient had total thyroidectomy.
Age: 32.0
Sex: F
Vaccine: FLUX
Symptoms: Blood blister, Chest pain, Chills, Fatigue, Headache
Clinical narrative: Pain and swelling at injection site, body aches, headache, low fever (100 F), fatigue, chills, rash on both arms and on chest and on both sides of neck, swollen lymph nodes under arms and on sides of neck, itching all over body, sore throat, and mild chest pains directly over heart.  Also, patch of 'blood freckles' appeared on right shoulder--perhaps it is small rupture of blood vessels showing on the skin?  Not sure of medical term for 'blood freckles'. Received the vaccine approximately 8 hours ago.
Age: 32.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site pain, Injection site swelling, Lymphadenopathy, Pain, Pharyngolaryngeal pain
Clinical narrative: Pain and swelling at injection site, body aches, headache, low fever (100 F), fatigue, chills, rash on both arms and on chest and on both sides of neck, swollen lymph nodes under arms and on sides of neck, itching all over body, sore throat, and mild chest pains directly over heart.  Also, patch of 'blood freckles' appeared on right shoulder--perhaps it is small rupture of blood vessels showing on the skin?  Not sure of medical term for 'blood freckles'. Received the vaccine approximately 8 hours ago.
Age: 32.0
Sex: F
Vaccine: FLUX
Symptoms: Pruritus generalised, Pyrexia, Rash, Skin discolouration
Clinical narrative: Pain and swelling at injection site, body aches, headache, low fever (100 F), fatigue, chills, rash on both arms and on chest and on both sides of neck, swollen lymph nodes under arms and on sides of neck, itching all over body, sore throat, and mild chest pains directly over heart.  Also, patch of 'blood freckles' appeared on right shoulder--perhaps it is small rupture of blood vessels showing on the skin?  Not sure of medical term for 'blood freckles'. Received the vaccine approximately 8 hours ago.
Age: 32.0
Sex: M
Vaccine: FLUN3
Symptoms: Atelectasis, Chest X-ray abnormal, Cough, Dizziness, Dyspnoea
Clinical narrative: PATIENT RECIEVED INMMUNIZATION AT GROUP FLU INJ SESSION. 50MINS AFER RECEIVING INJECTION AFTER BACK IN BARRACKS FELT SHORT OF BREATH, FAINT, AND HAD COUGH. PT DID NOT SEEK MEDICAL ATTENTION UNTIL 4 DAYS LATER WITH COMPLAINTS OF COUGH. GIVEN ALBUTEROL TX IN CLINIC AND INHALER. 2 DAYS AFTER TX PT STATED THAT THE FELT BETTER. NO HX OF ASTHMA.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, DTAP, HEPA, IPV, MMR
Symptoms: Dyspnoea, Eye swelling, Swelling face
Clinical narrative: 11/27/2007 A.M. PHONE CALL FROM MOTHER OF CHILD TO REPORT CHILD HAD AN ANAPHYLACTIC REACTION TWO HOURS AFTER THE VACCINES WRE ADMINISTERED, STATED HE HAD HIVES, SWELLING OF THE LIPS, AND SHORTNESS OF BREATH. ALSO STATED THAT AN ANAPHYLACTIC SHOT WAS GIVEN AT THE EMERGENCY ROOM.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, DTAP, HEPA, IPV, MMR
Symptoms: Anaphylactic reaction, Dyspnoea, Lip swelling, Urticaria
Clinical narrative: 11/27/2007 A.M. PHONE CALL FROM MOTHER OF CHILD TO REPORT CHILD HAD AN ANAPHYLACTIC REACTION TWO HOURS AFTER THE VACCINES WRE ADMINISTERED, STATED HE HAD HIVES, SWELLING OF THE LIPS, AND SHORTNESS OF BREATH. ALSO STATED THAT AN ANAPHYLACTIC SHOT WAS GIVEN AT THE EMERGENCY ROOM.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Arthralgia, Back pain, Feeling hot, Myalgia, Pain in extremity
Clinical narrative: Child became ill on 10-24-07 (AM) with backache, pain in legs, arms, and knees.  Had feeling of "being hot".  Muscle and joint pain severe enough to limit walking and school attendance - out of school until Monday, 10/29 per MD.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Body temperature increased, Pyrexia, Rash, Streptococcal identification test negative
Clinical narrative: Mother presented in clinic with child on 11/2/07 at 8:30AM.  Stated child had a reaction to vaccine given the previous week on 10/25/07.  After reviewing the chart, it was determined that she received three immunizations (DTaP, IPV, and MMR)on 10/25/07. Mother states on the day that the child received her immunizations she ran a slight temp and child complained that her arms were sore but had no further problems until this morning when she noticed a rash.  Child did not have a fever this am. Upon assessment a sporadic (diffuse) rash was noted on child's arms, legs, face, abdomen, and back.  Rash is described as red, raised, and is not itchy.  Mother states that child has not had any new foods or a change in soaps.  Mother instructed to follow-up with a physician. 11/2/2007 at 4pm:  Telephone call placed to follow-up on child's condition.  Spoke with father who stated that they gave the child benadryl and at this time the rash is almost gone.Parents are not going to follow-up with MD unless symptoms persist or get worse. Subsequent to conversation with father, child's mother phoned and stated that she had taken child into emergency room on 11/5/07 around 6:30pm for continued rash and fever of 102 degrees.  Child tested for strep throat-tested negative.  Per mother, MD believes child experienced reaction to one of the vaccines.  Steroid injection given in ER for treatment of rash.  Mother instructed by ER MD to continue with benadryl and tylenol as needed and follow-up with primary care provider. Per mother today (11/6/07) child has a low-grade fever of 99 degrees and rash is clearing up. 11/07/2007:  Follow-up phone call placed to mother who states that rash seems to be returning. Community resources for privated MD follow-up provided to mother.  11/08/2007pm:  Phone call to mother who states that child is doing much better.  No fever and rash nearly gone. 11/13/07 pm:  Phone call yielded report from mother that rash is completely gone and child is back to normal self.
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Received influenza vaccination on 10/30/07.  On 11/3/07,1:30AM, awakeded with hives with itching on chest, arms and hands - not difficulty breathing.  Took OTC benadryl.  At 12 noon 11/3, no improvement. Went to private MD and was advised to take OTC antihistamines and Rx for steroid which was not used. That day also ate fresh cranberry relish (immediate allergic reaction when eats fresh fruit, applesauce, etc).
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Pain
Clinical narrative: Patient developed achiness, then diffuse swelling at immunization site within 24 hours of administration. When seen in office 48 hours later area of overlying erythema consistent with large local reaction to immunization vs cellulitis. Placed on course of Keflex and improved.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site inflammation
Clinical narrative: The patient wasa given the influenza vaccine in the left deltoid muscle upon admission.  The patient developed an inflammatory reaaction at the site.
Age: 43.0
Sex: M
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: flu vaccine was administerd by Rn of L deltoid. No bleeding or redness occured at injection site immediately post injection. Approx 3 hours post injection  employee began experiencing pain of L upper arm. Pain moved to L elbow area the next day.Pain is only present when the arm is moving . No pain noted present when the arm is fully extended, or after arm is flexed . Arm hurts only on initial movement. Duration of symptoms, 37 days.Employee sought medical consult with Occupation health physician. Employee  referred to private physician for further evaluation and treatment of ongoing symptoms
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Hypoaesthesia, Injected limb mobility decreased, Neck pain, Pain in extremity
Clinical narrative: 3-4 hrs after injection R arm became numb with progressive pain radiating into neck and down to finger tips. Severe pain and complete limitation of the R arm followed.  ER visit was within 24 hrs, with slow recovery over next 48-72 hrs.
Age: 87.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Ear pain, Herpes zoster, Oral disorder, Otorrhoea, Rash
Clinical narrative: Patient received Zoster vaccination on 11/16/07.  Onset of left ear pain on 11-23-07.  Mild rash reported on left side of face and ear (vesicular).  Left ear drainage.  Pain and rash increased and was seen in Emergency Dept. on 11/25/07.  Diagnosis of shingles secondary to vaccination was made.  Follow up to personal physician on 11/26/07 reports leisons inside mouth, rash and pain on left side only and a ruptured ear drum. Mild facial swelling, on left noted.   Was treated with Famvir 500 mg tid, Medrol dose pack and Zithromax 5 day course.  Follow up on 11/28/07 reports improvement in symtoms.  12/21/07 Reviewed death certificate which reveals COD as respiratory failure, cardiac arrest & CVA.  1/4/08 Reviewed hospital medical records which reveal patient experienced blisters & cold sores on the left mouth & left ear pain on 11/17 & went to ER. Tx w/steroids, antivirals & antibiotics & d/c to home.  Improved initially then patient began to experience balance difficulty & multiple falls.  Returned to hospital & was admitted 11/30-12/5/2007.  Patient developed respiratory distress which progressed to cardiopulmonary arrest.  Resuscitated, intubated & transferred to ICU.  Was able to be extubated but had trouble swallowing.  Otherwise progressed well until 12/5 when developed sudden onset of bradycardia leading to asystole & expiration. FINAL DX: herpes zoster, CVA, respiratory failure, cardiopulmonary arrest.
Age: 87.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Rash vesicular, Swelling face, Tympanic membrane perforation
Clinical narrative: Patient received Zoster vaccination on 11/16/07.  Onset of left ear pain on 11-23-07.  Mild rash reported on left side of face and ear (vesicular).  Left ear drainage.  Pain and rash increased and was seen in Emergency Dept. on 11/25/07.  Diagnosis of shingles secondary to vaccination was made.  Follow up to personal physician on 11/26/07 reports leisons inside mouth, rash and pain on left side only and a ruptured ear drum. Mild facial swelling, on left noted.   Was treated with Famvir 500 mg tid, Medrol dose pack and Zithromax 5 day course.  Follow up on 11/28/07 reports improvement in symtoms.  12/21/07 Reviewed death certificate which reveals COD as respiratory failure, cardiac arrest & CVA.  1/4/08 Reviewed hospital medical records which reveal patient experienced blisters & cold sores on the left mouth & left ear pain on 11/17 & went to ER. Tx w/steroids, antivirals & antibiotics & d/c to home.  Improved initially then patient began to experience balance difficulty & multiple falls.  Returned to hospital & was admitted 11/30-12/5/2007.  Patient developed respiratory distress which progressed to cardiopulmonary arrest.  Resuscitated, intubated & transferred to ICU.  Was able to be extubated but had trouble swallowing.  Otherwise progressed well until 12/5 when developed sudden onset of bradycardia leading to asystole & expiration. FINAL DX: herpes zoster, CVA, respiratory failure, cardiopulmonary arrest.
Age: 87.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Cerebrovascular accident, Death, Herpes zoster
Clinical narrative: Patient received Zoster vaccination on 11/16/07.  Onset of left ear pain on 11-23-07.  Mild rash reported on left side of face and ear (vesicular).  Left ear drainage.  Pain and rash increased and was seen in Emergency Dept. on 11/25/07.  Diagnosis of shingles secondary to vaccination was made.  Follow up to personal physician on 11/26/07 reports leisons inside mouth, rash and pain on left side only and a ruptured ear drum. Mild facial swelling, on left noted.   Was treated with Famvir 500 mg tid, Medrol dose pack and Zithromax 5 day course.  Follow up on 11/28/07 reports improvement in symtoms.  12/21/07 Reviewed death certificate which reveals COD as respiratory failure, cardiac arrest & CVA.  1/4/08 Reviewed hospital medical records which reveal patient experienced blisters & cold sores on the left mouth & left ear pain on 11/17 & went to ER. Tx w/steroids, antivirals & antibiotics & d/c to home.  Improved initially then patient began to experience balance difficulty & multiple falls.  Returned to hospital & was admitted 11/30-12/5/2007.  Patient developed respiratory distress which progressed to cardiopulmonary arrest.  Resuscitated, intubated & transferred to ICU.  Was able to be extubated but had trouble swallowing.  Otherwise progressed well until 12/5 when developed sudden onset of bradycardia leading to asystole & expiration. FINAL DX: herpes zoster, CVA, respiratory failure, cardiopulmonary arrest.
Age: 40.0
Sex: F
Vaccine: DTAP, FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Softball-sized area of redness and warmth around injection site
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Idiopathic thrombocytopenic purpura, Platelet count decreased, Pyrexia
Clinical narrative: on 6/20/05, more than one month after the 12 month vaccines, this child was seen for a fever and cbc was done. Platelet count was 32. She was not symptomatic and recovered to a normal platelet count over the next several months. She saw Hematology at Yale and they thought ITP was likely secondary to the MMR vaccine.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Syncope
Clinical narrative: Patient died from unknown causes 7/25/2007 following syncopal episode playing soccer. Similar episode of syncopal like events in 5/2006 playing soccer however he received typhoid vac in 5/2006 not AVA. Someone asked if AVA vaccine may be an underlying cause.  3 AVA vac received 3/9/2004, 5/13/04, 7/7/04.  Typh received 5/1/06  4/18/08 Reviewed medical records from HC which included vax records & autopsy report.   FINAL COD: cardiac arrhythmia.  Summary diagnoses: pulmonary congestion & edema; mild cerebral edema; passive visceral congestion.  Tox screen neg.  Manner of death natural. Vax records indicate patient received Typhoid VI lot # Z0042, Aventis on 5/1/2006.  Narrative reports patient received influenza vaccine 1/10/2007 but is not recorded on vax record.  Received Anthrax #1 FAV082 on 3/9/2004; #2 FAV084 on 5/13/2004; & #3 FAV 084 on 7/7/2004 & was medically exempted from remainder of anthrax series.  Records reveal patient had been ill w/flu-like symptoms for approx 1 week prior to death.  Same type symptoms had recurred several times since 12/2006.  Work-up s/p vaso-vagal syncopal episode in 8/2006 playing soccer while deployed reported as: x-rays, EKG, labs all WNL. No seizure activity or postictal state at that time. Records reveal patient experienced feeling ill, collapsed, had seizure & died on 7/25/2007 while playing soccer.  Patient had been d/c from military 05/05/2007 in good health.
Age: 2.0
Sex: M
Vaccine: DTAP, PNC
Symptoms: Blister, Erythema
Clinical narrative: erythema, not involving joints, blisters. not tender. appears non- cellulitis per md. abx not needed but do to blistering R/O inection will start keflex, per md.
Age: 0.67
Sex: M
Vaccine: FLU3
Symptoms: Cough, Discomfort, Dyspnoea, Erythema, Screaming
Clinical narrative: Hives - head/face, trunk, arms; facial swelling, redness; coughing/difficulty breathing within 30-50 min of vaccination; prior to physical symptoms (30 min after vaccination), infant was screaming with discomfort
Age: 0.67
Sex: M
Vaccine: FLU3
Symptoms: Swelling face, Urticaria
Clinical narrative: Hives - head/face, trunk, arms; facial swelling, redness; coughing/difficulty breathing within 30-50 min of vaccination; prior to physical symptoms (30 min after vaccination), infant was screaming with discomfort
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema
Clinical narrative: Redness around the injection site about 14cm x 10cm.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Throat irritation
Clinical narrative: 0915 felt knot in throat.  0958 informed RN of knot in throat, rash on neck. 1000 EMS called  arrived at 1005 am. Rash progress to face No sneezing,SOA, coughing, or itching as stated by patient. Taken by EMS to ED treated with antihistamine, steroids, and discharged around 1330.States no c/o at this time.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia
Clinical narrative: On 11-4, 8 days after vaccine, pt noticed decreased sesation/numbness during bowel movement. The following day, pt noticed decreased sensation/numbness advanced to entire perineal area.  11-15 pt noticed numbness in posterior of right buttocks. On 11-16, pt called neurologists office and spoke with nurse. Told by drs. office to call back on Tuesday if not better.  On Tues. 11-19, pt called (the neurologist- see details in 19.) 11-21, pt noticed numbness in lateral aspect of right calf and bottom of heel. Symptoms have not progressed further since that date. 1/2/08-records received-DOS 11/29/07-on 11/2/07-middle two toes of right foot numb times 1 hour then on 11/14/07 noticed difference in sensation right buttock and loss of sensation right perineal area, difference in sensation had spread down right leg, right leg feels weaker, upper thigh. Right side of abdomen sensation is different. Feels urge to have bowel movement but feels does not have control during bowel movements. PE: Romberg negative. Intact thermal, intact vibratory. Impression: possible MS.
Age: 26.0
Sex: F
Vaccine: FLUX
Symptoms: Injected limb mobility decreased, Insomnia, Myalgia
Clinical narrative: I received a flu vaccination on 11.15.07. About 72 hours post vaccination, I noticed that the muscle pain in my deltoid did not resolve. It is now 11.29.07 and I am still having pain. It is difficult for me to put my shirt on and take it off, as well as pulling my left arm across my body. Last night, I had so much pain in my left arm (deltoid region) that I could not sleep. I took pain medicine, IB profen, and applied therogesic cream which helped the pain subside somewhat.
Age: 1.1
Sex: M
Vaccine: HIBV, MMRV, PNC
Symptoms: Electroencephalogram abnormal, Influenza, Muscle twitching, Myoclonic epilepsy, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Two weeks after immunization, mother began to notice 'twitches' regularly. Five weeks after immunization, patient admitted to hospital for seizure.  Diagnosed with Parainfluenza pneumonia and myclonic seizure disorder. 12/26/07-DC summary received for DOS 4/13-4/24/07-DC DX: Parainfluenza pneumonia. Secondary diagnosis myoclonic seizure disorder. Presented to ED after C/O being sick for approximately 2 days with congestion, cough, vomiting and diarrhea. Fever of 103. Parent found patient with eyes rolling back in head and perioral cyanosis, limp and unresponsive. CPR.  Normal eye exam. On 4/22/07 new onset of diarrhea with decreased oral intake.
Age: 1.1
Sex: M
Vaccine: HIBV, MMRV, PNC
Symptoms: Pneumonia haemophilus
Clinical narrative: Two weeks after immunization, mother began to notice 'twitches' regularly. Five weeks after immunization, patient admitted to hospital for seizure.  Diagnosed with Parainfluenza pneumonia and myclonic seizure disorder. 12/26/07-DC summary received for DOS 4/13-4/24/07-DC DX: Parainfluenza pneumonia. Secondary diagnosis myoclonic seizure disorder. Presented to ED after C/O being sick for approximately 2 days with congestion, cough, vomiting and diarrhea. Fever of 103. Parent found patient with eyes rolling back in head and perioral cyanosis, limp and unresponsive. CPR.  Normal eye exam. On 4/22/07 new onset of diarrhea with decreased oral intake.