chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Rash erythematous, Scab
Clinical narrative: On March 3rd 2009 my son recieved the Varicella vaccine along with the Hepatitis A and MMR vaccine. Seven days later he had a slight fever around 100 degrees which I was expecting around 7 - 12 days after being vaccinated.About 30 minutes later I noticed that he had a rash on one side of his body, front and back. The fever and rash was gone by the next day. However that day I noticed a small red bump/blister. I thought it was a bug bite and monitored it to see if it was a spider bite. Over the next few days it progressively grew larger until it reached the size of a thumb print.About a week later as this blister crusted and finally went away another spot appeared and went through the same cycle but is still present to this day March 27th along with two other small formations that I dont believe will continue the entire blistering process. With my concerns on these symptoms I looked on the internet for a list of side effects for the Varicella vaccine that I believe was the cause.It stated that 1% of patients can get chicken pox from the vaccine (this was not on the paper I recieved for vaccine). It also said it can cause shingles(again not stated on info given to me). Many other serious side-effects were seizures, pneumonia, mood changes, brain damage. In conclusion I believe that my son developed a mild case of shingles and possibly chickenpox. This had a major affect on his mood. He cried randomly as if in pain (shingles causes alot of pain). I know it may have been a worse case if he had developed it naturally and it is great if the vaccine prevented him from more severe symptoms. However I feel as if I was not properly informed on all the possible side effects from the vaccine. If I had been informed on all the possible side effects of the vaccine my reaction would not have been as critical. I hope the FDA and CDC will consider these parental concerns and decide to further inform parents of everything to expect from these vaccines instead of telling them that basically nothing bad can happen.
Age: 30.0
Sex: M
Vaccine: ANTH, HEP, UNK
Symptoms: Arthralgia, Blood test, Chest X-ray, Chills, Computerised tomogram
Clinical narrative: Persisting headache from day after vaccine 4 March 2009 to 12 March 2009.  Accompanied by fever (101 deg), chills, burning eyes, cough, sore throat, joint pain stiffness, minor neck pain.  No loss of appetite.  Drank lots of fluids.
Age: 30.0
Sex: M
Vaccine: ANTH, HEP, UNK
Symptoms: Cough, Eye burns, Headache, Joint stiffness, Neck pain
Clinical narrative: Persisting headache from day after vaccine 4 March 2009 to 12 March 2009.  Accompanied by fever (101 deg), chills, burning eyes, cough, sore throat, joint pain stiffness, minor neck pain.  No loss of appetite.  Drank lots of fluids.
Age: 30.0
Sex: M
Vaccine: ANTH, HEP, UNK
Symptoms: Oropharyngeal pain, Pyrexia
Clinical narrative: Persisting headache from day after vaccine 4 March 2009 to 12 March 2009.  Accompanied by fever (101 deg), chills, burning eyes, cough, sore throat, joint pain stiffness, minor neck pain.  No loss of appetite.  Drank lots of fluids.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash generalised
Clinical narrative: child presented to er on 3-20-09 with a full body rash and fever of 105 F.  Admitted to hospital the next day.  currently the rash has faded, no temp., lab work show viral infection.  4/2/09 Received ER medical records.  3/21/09 ER visit FINAL DX: none provided Records reveal patient experienced red cheeks, rash over body x 2 days, vomiting & diarrhea x 1 day, reduced oral intake x 1 day.  Tx w/IV antibiotic & antinausea med.  Improved & d/c to home.  Hospital medical records of 3/23-3/28/2009. FINAL DX: no d/c summary available Records reveal patient irritable w/vomiting & diarrhea, diet refusal & rash all over.  Tx w/IV antibiotic & antinausea meds.  Admitted ICU.  4/7/09 Received additional hospital medical records of 3/23-3/28/2009. FINAL DX: Henoch Schonlein purpura, viral syndrome Records reveal patient had maculopapular rash, vomiting & diarrhea x 4 days.  Had been seen in ER & d/c to home.  Vomiting & diarrhea continued, developed fever, sleepiness & increased rash.  Exam revealed areas of petechial hemorrhage c/w vasculitis, swelling of feet & periorbital edema, OM, irritability.  Admitted overnight to ICU then to reg floor.  Improved w/IVF & IV antibiotics.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Crying, Gaze palsy, Muscle rigidity, Respiratory arrest
Clinical narrative: 2 y/o male. After receiving Hepatitis A IM 0.5ml injection the nurse noted that the patient was not breathing with his eyes rolled back and body had become very rigid, this lasted about 2 to 3 minutes, nurse sent a co-worker to get Dr. Patient eyes rolled to a normal position as his mother was calling his name, patient began to blink and then to cry. Physician spoke to parents and vital signs were repeat. Parents were asked to remain 15 minutes for further observation. Patient continue to cry with no further distress noted. Patient was referred to neurology for further evaluation.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site swelling, Injection site warmth, Joint range of motion decreased
Clinical narrative: Left arm and shoulder very sore, swollen, difficult to move arm or shoulder. Site reddened, swollen raised, warm to touch for several days.  4/28/09 Received hospital medical records of 3/24-3/27/2009. FINAL DX: sigmoid diverticulitis; LUE cellulitis & dermatitis secondary to Pneumovax. REcords reveal patient experienced cramping abdominal pain.  Surgery & interventional radiology consults done.  Tx w/IV antibiotics, improved & d/c to home on continued oral antibiotics.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Musculoskeletal pain, Oedema peripheral, Pain in extremity
Clinical narrative: Left arm and shoulder very sore, swollen, difficult to move arm or shoulder. Site reddened, swollen raised, warm to touch for several days.  4/28/09 Received hospital medical records of 3/24-3/27/2009. FINAL DX: sigmoid diverticulitis; LUE cellulitis & dermatitis secondary to Pneumovax. REcords reveal patient experienced cramping abdominal pain.  Surgery & interventional radiology consults done.  Tx w/IV antibiotics, improved & d/c to home on continued oral antibiotics.
Age: 55.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain, Pyrexia
Clinical narrative: site became red, inflamed, sore, patient developed fevers
Age: 4.0
Sex: M
Vaccine: DTAPIPVHIB, HEP, HEPA, MMR, PNC, VARCEL, DTAPIPVHIB, HEP, HEPA, MMR, PPV, VARCEL
Symptoms: Urticaria
Clinical narrative: Child was inoculated with 6 separate vaccines at approximately 3:40 p.m. and after about 2 min., Mom noticed that child's face had broken out with hives.  Immediately assessed child for shortness of breath. Called for help and PA came in to the room immediately and assessed child.  Child playful and no apparent wheezing. Administered Benadryl 25 mg po.
Age: 4.0
Sex: M
Vaccine: DTAPIPVHIB, HEP, HEPA, MMR, PNC, VARCEL, DTAPIPVHIB, HEP, HEPA, MMR, PPV, VARCEL
Symptoms: Rash, Urticaria
Clinical narrative: Child was inoculated with 6 separate vaccines at approximately 3:40 p.m. and after about 2 min., Mom noticed that child's face had broken out with hives.  Immediately assessed child for shortness of breath. Called for help and PA came in to the room immediately and assessed child.  Child playful and no apparent wheezing. Administered Benadryl 25 mg po.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Injection site rash, Pallor, Rash generalised, Rash papular
Clinical narrative: a rash that started at the site of the pentacel injection and then extended to the length of the leg, the other leg, the arms, the trunk, & the face; red/pink papules that are discrete on the arms, legs, and trunk; on cheeks they coalesce; they blanch upon pressure
Age: 0.17
Sex: F
Vaccine: DTPIPV, HIBV
Symptoms: Blood test, Cerebral palsy, Childhood disintegrative disorder, Convulsion, Cyanosis
Clinical narrative: Day after shot was given, her legs started teitching.  The doctor told me this was normal.  It kept up, got worse where she would turn blue, eyes bulged out and body folding in half.  She is now 9 and has epilepsy and cerebral palsy.  She has to take a total of 21 pills each day, which does not stop her seizures, it only makes then not as strong sometimes.  She is completely disabled.  Never has spoken, crawled or walked.  Has been dependant on us for everything since this shot.  4/22/09  Lengthy medical record received including multiple admissions and outpatient consultations-2000-2008. Pt first presented with myclonic seizures resembling infantile spasms/jerking of extremities in 12/1999. Multiple admissions with dx of Myoclonic Seizure Disorder. Later dx of Progressive Myoclonic Dystrophy, CP, refractory seizure d/o, and global developmental delays. Other dx: bradycardia, failure to thrive, gastroparesis with delayed gastric emptying, hearing loss, static encephalopathy, spastic quadriparesis of CP.  Most recently admitted with dx: Epilepsy-increased seizure activity.  At age 8yrs has developmental age of 9 months.`
Age: 0.17
Sex: F
Vaccine: DTPIPV, HIBV
Symptoms: Disability, Epilepsy, Exophthalmos, Lumbar puncture, Muscle twitching
Clinical narrative: Day after shot was given, her legs started teitching.  The doctor told me this was normal.  It kept up, got worse where she would turn blue, eyes bulged out and body folding in half.  She is now 9 and has epilepsy and cerebral palsy.  She has to take a total of 21 pills each day, which does not stop her seizures, it only makes then not as strong sometimes.  She is completely disabled.  Never has spoken, crawled or walked.  Has been dependant on us for everything since this shot.  4/22/09  Lengthy medical record received including multiple admissions and outpatient consultations-2000-2008. Pt first presented with myclonic seizures resembling infantile spasms/jerking of extremities in 12/1999. Multiple admissions with dx of Myoclonic Seizure Disorder. Later dx of Progressive Myoclonic Dystrophy, CP, refractory seizure d/o, and global developmental delays. Other dx: bradycardia, failure to thrive, gastroparesis with delayed gastric emptying, hearing loss, static encephalopathy, spastic quadriparesis of CP.  Most recently admitted with dx: Epilepsy-increased seizure activity.  At age 8yrs has developmental age of 9 months.`
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Redness & induration on left arm measuring 3 1/2 X 5 1/2.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Eye pain, Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: High fever, injection site pain, redness, swelling, pain in eyes Instructed to see physician
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Condition aggravated, Disturbance in attention, Dizziness, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: We received the following information from a consumer via the agency on 12 MAR 2009: A 58-year-old female patient, was vaccinated with FLUVIRIN i.m. in October 2008. Immediately after vaccination she felt dizzy. 48 hours after vaccination she lost consciousness for 1 hour. Further, she complained about exacerbation of chronic health problems since vaccination i.e. weight loss, pain and concentration problems. The patient has a history of "toxicity problems", weight loss, reaction to mercury poisoning, high arsenic level, pain and concentration problems. At time of report, the patient had not recovered. She refused information on treating MD and did not want her MD contacted. Concomitant medication: Phenobarbital, TENORMIN , Lisinopril, AVINZA, Simvastatin. Company assessment : Seriousousness criterion: medically significant. Causality: insufficient data. No medical information/confirmation provided. Expectedness assessment according to label: The reported symptoms are not expected after vaccination with FLUVIRIN. No change in benefit-risk ratio. No measures necessary. Med Com no. NA09-000772
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Weight decreased
Clinical narrative: We received the following information from a consumer via the agency on 12 MAR 2009: A 58-year-old female patient, was vaccinated with FLUVIRIN i.m. in October 2008. Immediately after vaccination she felt dizzy. 48 hours after vaccination she lost consciousness for 1 hour. Further, she complained about exacerbation of chronic health problems since vaccination i.e. weight loss, pain and concentration problems. The patient has a history of "toxicity problems", weight loss, reaction to mercury poisoning, high arsenic level, pain and concentration problems. At time of report, the patient had not recovered. She refused information on treating MD and did not want her MD contacted. Concomitant medication: Phenobarbital, TENORMIN , Lisinopril, AVINZA, Simvastatin. Company assessment : Seriousousness criterion: medically significant. Causality: insufficient data. No medical information/confirmation provided. Expectedness assessment according to label: The reported symptoms are not expected after vaccination with FLUVIRIN. No change in benefit-risk ratio. No measures necessary. Med Com no. NA09-000772
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Vaccinated with 2 doses of 2 month immunizations < 28 days no adverse reaction reported @ 5 days.
Age: 1.3
Sex: M
Vaccine: DTAP, PNC
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Lump Rt thigh and red area both size of a dime. No swelling of the leg. Applying cool pack and TYLENOL.
Age: 1.15
Sex: M
Vaccine: DTAP, HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site vesicles, Skin discolouration
Clinical narrative: Developed raised blister like lesions with erythema base at site of injection (clustered), then dried and became flesh colored. No fever, no other lesions. No crusted scab, scaling skin flakes.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Metabolic function test normal, Pyrexia
Clinical narrative: Fever 103F at 11 PM, following immunizations (PEDIARIX, HIB, PREVNAR, ROTATEQ) in the morning.  4/7/09 Received ER medical records of 3/27/2009. FINAL DX: acute febrile illness Records reveal patient experienced irritability, fever.  Family member sick w/cold s/s.  Left thigh injection sites noted to be bruised, erythematous & indurated.  Tx w/antipyretics & defervesced.  D/C to home on continued antipyretics.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Blood culture, Culture urine, Full blood count, Laboratory test, Pyrexia
Clinical narrative: Fever 103F at 11 PM, following immunizations (PEDIARIX, HIB, PREVNAR, ROTATEQ) in the morning.  4/7/09 Received ER medical records of 3/27/2009. FINAL DX: acute febrile illness Records reveal patient experienced irritability, fever.  Family member sick w/cold s/s.  Left thigh injection sites noted to be bruised, erythematous & indurated.  Tx w/antipyretics & defervesced.  D/C to home on continued antipyretics.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Left leg swollen @ injection site with mild pain induration measured @ 4 X 4, mom was told to apply cool compress to site.  Admin. BENADRYL 1 tsp. with Alt. LORATIDINE.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, MMR, VARCEL
Symptoms: Injection site pain, Injection site rash, Injection site warmth
Clinical narrative: Left upper leg with large warm erythematous area tender small rash macular to same leg lateral side, two days after vaccine. Treated with KEFLEX 187.5mg tid x 10 days.
Age: 54.0
Sex: F
Vaccine: TD
Symptoms: Arthralgia, Pyrexia
Clinical narrative: Left shoulder joint pain with occasional low grade fever at night.
Age: 58.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Injection site erythema, Injection site swelling, Musculoskeletal pain, Pain in extremity
Clinical narrative: Redness and swelling at injection site pain through shoulder, arm, 50 mm x 50ml L deltoid.
Age: 24.0
Sex: F
Vaccine: RAB
Symptoms: Hypokinesia, Injection site induration, Injection site pain
Clinical narrative: Client received IMOVAX IM on 3/26/09 on L deltoid. Reports severe pain and knot at injection site and limited range of motion L arm at 9am on 3/27/09. Recommended anti-inflammatory (Ibuprofen) every 4 hours, heat to site encouraged Rom.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Large area of swelling & redness in deltoid area of left arm.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, TDAP, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: Gave patient BOOSTRIX instead of HAVRIX along with IPOL, MMR, VARIVAX and DTap.
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dyspnoea, Respiratory disorder
Clinical narrative: 10 days after GARDASIL (#2) Pt developed acute respiratory problems.  "Lack of breath" after thanksgiving dinner.
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dyspnoea
Clinical narrative: 10 days after GARDASIL (#2) Pt developed acute respiratory problems.  "Lack of breath" after thanksgiving dinner.
Age: 67.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Dizziness, Hyperhidrosis, Nausea
Clinical narrative: Dizziness, nausea, sweating - soon after injection - Pt put head between legs - pt felt better in 10-15 minutes.  Offered pt. cold water - pt said she was ok & didn't need anything.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Erythema, Induration, Local reaction
Clinical narrative: Local reaction - redness and induration on left deltoid.
Age: 0.3
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5, DTAPIPVHIB, PNC, RV5
Symptoms: Rash macular, Rash maculo-papular, Skin exfoliation
Clinical narrative: Seen 3/27/09 for "diffuse maculo - papular rash "from abdomen down -slight "scaly" feel to it - macular rash on bottom of feet.
Age: 0.3
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5, DTAPIPVHIB, PNC, RV5
Symptoms: Rash maculo-papular
Clinical narrative: Seen 3/27/09 for "diffuse maculo - papular rash "from abdomen down -slight "scaly" feel to it - macular rash on bottom of feet.
Age: 4.0
Sex: F
Vaccine: MMR
Symptoms: Pain in extremity, Pyrexia, Screaming
Clinical narrative: 2 hrs after MMR began screaming, writhing and complaining of arm pain (not at site of injection which was not inflammed) screamed x 3 hrs, had fever. Resolved with TYLENOL at about 4 hrs after injection give today. Spent 3 hrs at office under observation.
Age: 4.0
Sex: M
Vaccine: DTP, IPV, MMR
Symptoms: Injection site swelling
Clinical narrative: Parent brought patient in stated that his R leg was swollen. Pt was given injection on 3/18/09 on his R leg was his IPV and DTP. Dr look at Pt and informed parent to use warm compresses.
Age: 30.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Paraesthesia, Skin warm
Clinical narrative: Client c/o tingly warm feeling in L fingers (1st and 2nd digits).
Age: 60.0
Sex: F
Vaccine: PPV, VARZOS, PPV, VARZOS
Symptoms: Injection site erythema, Injection site swelling, Malaise
Clinical narrative: Swelling at injection site, redness and swelling around elbow and an overall sick feeling.
Age: 60.0
Sex: F
Vaccine: PPV, VARZOS, PPV, VARZOS
Symptoms: Injection site reaction, Wrong technique in drug usage process
Clinical narrative: Swelling at injection site, redness and swelling around elbow and an overall sick feeling.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema, Feeling hot, Irritability, Oedema, Pyrexia
Clinical narrative: Fever > 102, irritable. S/S started pm 3/23/09. Redness, warm to touch right thigh edema. Left thigh edema and "knot" present treated with Tylenol.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Erythema, Oedema, Pain, Urticaria
Clinical narrative: Pt received HPV (GARDASIL) #2 in L deltoid. Here for TI DM follow-up, not acutely ill. Within < 1 min, pt c/o pain, and erythema noted. I was called in. Within < 3 mins, pt developed urticaria that spread from L deltoid to shoulders - to R arm. No SOB/wheezing or throat symptoms. Gave BENADRYL 50 mg and XYZAL 5 mg - decrease urticaria and decrease deltoid edema.
Age: 1.3
Sex: M
Vaccine: DTAP, HEPA, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Rash; Fever.
Age: 67.0
Sex: F
Vaccine: PPV, VARZOS, PPV, VARZOS
Symptoms: Injection site erythema, Injection site swelling, Malaise
Clinical narrative: Swelling at injection site, redness and swelling around elbow and overall sick feeling.
Age: 67.0
Sex: F
Vaccine: PPV, VARZOS, PPV, VARZOS
Symptoms: Injection site reaction, Wrong technique in drug usage process
Clinical narrative: Swelling at injection site, redness and swelling around elbow and overall sick feeling.
Age: 1.28
Sex: F
Vaccine: HIBV, TDAP
Symptoms: Wrong drug administered
Clinical narrative: TDAP was given but it was suppose to be a DTAP due to patients age.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Blood creatine phosphokinase, Dizziness, Dysarthria, Full blood count, Headache
Clinical narrative: Dizziness, nausea, headache, slurred speech.  4/17/09 MR received from PCP from 3/25 to 3/27/2009. Seen for PE and vax 3/25/09. Seen 3/26/09 for c/o dizziness, feeling hot, flushed and sweaty. Pt has vertigo when eyes are closed. Also had 1st dose Straterra that am. DX:  prob viral, possible vaccine rxn.  Seen again 3/27/09 for continued dizziness and "zoning out".  Sways when standing.  Eyes puffy, lightheaded, hot sweats. DX:  Probable Gardasil rxn-dizzy, H/A, faint. Back to normal by 4/2/09
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Metabolic function test, Nausea, Red blood cell sedimentation rate, Urine analysis
Clinical narrative: Dizziness, nausea, headache, slurred speech.  4/17/09 MR received from PCP from 3/25 to 3/27/2009. Seen for PE and vax 3/25/09. Seen 3/26/09 for c/o dizziness, feeling hot, flushed and sweaty. Pt has vertigo when eyes are closed. Also had 1st dose Straterra that am. DX:  prob viral, possible vaccine rxn.  Seen again 3/27/09 for continued dizziness and "zoning out".  Sways when standing.  Eyes puffy, lightheaded, hot sweats. DX:  Probable Gardasil rxn-dizzy, H/A, faint. Back to normal by 4/2/09
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Allergy test, Pruritus, Rash pruritic, Reaction to previous exposure to any vaccine, Throat irritation
Clinical narrative: Reported receipt of FLUSHIELD Lot #4998274 in 1999 to her left deltoid. The next day she noted fine pruritic red spots to bilateral cheeks progressing into and about her ears with a sense of throat itching and tightness. She denied shortness of breath, chest pain, difficulty swallowing, facial/oral swelling or rash elsewhere else. She went to the ER at work where she reports being given IV medication and released on a 7 day taper prednisone and BENADRYL. Her throat tightness resolved but the rash persisted another 2 days before resolving w/o reoccurrence. She has not received any vaccinations since. She reported the above reaction was similar to past/current food reactions which she describes as nasal/oral and skin itching, tight throat w/ sensation of closing off, runny nose, congestion, and redness to face with eating fresh apples, cherries, Jack fruit, and pomegranates. She has no problems eating eggs or cooked apples (apple sauce). She develops palmar dermatitis with carrots. She has had a similar fine red pruritic face/neck/ears rash December 2008 after using new make-up (where make-up was applied). She self-treated with CLARINEX/BENADRYL and removed/stop use of make-up with resolution w/in 3 days. She also reported total body pruritic hive-like rash within 24 hours after first dose of Hep B vaccine in summer 1989. She did not receive 2nd or 3rd vaccinations. Memory of events was unclear. She did not remember what vaccinations she received from birth to age 25. She denied any other vaccine adverse events. She has seasonal "pollen" allergies spring and fall (worse in spring) with watery eyes. Powdered gloved cause itchy hands/rash and sneezing. She is tolerant of Nitrile gloves. She has not had an Allergy evaluation. The pt has not received a flu or any other vaccination since 1999.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Throat tightness
Clinical narrative: Reported receipt of FLUSHIELD Lot #4998274 in 1999 to her left deltoid. The next day she noted fine pruritic red spots to bilateral cheeks progressing into and about her ears with a sense of throat itching and tightness. She denied shortness of breath, chest pain, difficulty swallowing, facial/oral swelling or rash elsewhere else. She went to the ER at work where she reports being given IV medication and released on a 7 day taper prednisone and BENADRYL. Her throat tightness resolved but the rash persisted another 2 days before resolving w/o reoccurrence. She has not received any vaccinations since. She reported the above reaction was similar to past/current food reactions which she describes as nasal/oral and skin itching, tight throat w/ sensation of closing off, runny nose, congestion, and redness to face with eating fresh apples, cherries, Jack fruit, and pomegranates. She has no problems eating eggs or cooked apples (apple sauce). She develops palmar dermatitis with carrots. She has had a similar fine red pruritic face/neck/ears rash December 2008 after using new make-up (where make-up was applied). She self-treated with CLARINEX/BENADRYL and removed/stop use of make-up with resolution w/in 3 days. She also reported total body pruritic hive-like rash within 24 hours after first dose of Hep B vaccine in summer 1989. She did not receive 2nd or 3rd vaccinations. Memory of events was unclear. She did not remember what vaccinations she received from birth to age 25. She denied any other vaccine adverse events. She has seasonal "pollen" allergies spring and fall (worse in spring) with watery eyes. Powdered gloved cause itchy hands/rash and sneezing. She is tolerant of Nitrile gloves. She has not had an Allergy evaluation. The pt has not received a flu or any other vaccination since 1999.
Age: 56.0
Sex: M
Vaccine: FLUX
Symptoms: Activities of daily living impaired, Asthma, Cough, Dyspnoea, Fatigue
Clinical narrative: The patient reported receipt of IM influenza vaccination at NMCP while working the ER in 2002 or 2003.  He denied any illness (URI) prior to this vaccination (date unknown).  Approximately 12-24 hours post vaccination, he complained of feeling tired, had a stuffy nose, sinus and chest congestion.  These symptoms worsened over the next few days to include shortness of breath and a cough which disrupted his ability to sleep.  He was evaluated by his PCP and placed on an antibiotic and TUSSINEX.  The cough medicine made him sleepy and he was unable to work for approximately one week before symptoms resolved.  He did not receive any further influenza vaccination until 12/7/2007 (AFLU #A312BA).  He again reported experiencing similar nasal, sinus and chest congestion, cough, and difficulty sleeping at night due to coughing and shortness of breath as in 2002/2003.  Early winter is a time period he experiences sinus infections.  He reported being out of work 2 weeks before symptoms eased.  However symptoms persisted for the next several months.  He was treated by his PCP with two antibiotics, FLONASE, PROVENTIL, ADVAIR, etc.  (There are no available records of evaluation by his Allergist).  In January 2009 he was referred to pulmonology where he was diagnosed with asthma and placed on SIMACORT.  One month later "all asthma medications were stopped due to worsening breathing difficulty".
Age: 56.0
Sex: M
Vaccine: FLUX
Symptoms: Nasal congestion, Respiratory tract congestion, Similar reaction on previous exposure to drug, Sinus congestion, Sinusitis
Clinical narrative: The patient reported receipt of IM influenza vaccination at NMCP while working the ER in 2002 or 2003.  He denied any illness (URI) prior to this vaccination (date unknown).  Approximately 12-24 hours post vaccination, he complained of feeling tired, had a stuffy nose, sinus and chest congestion.  These symptoms worsened over the next few days to include shortness of breath and a cough which disrupted his ability to sleep.  He was evaluated by his PCP and placed on an antibiotic and TUSSINEX.  The cough medicine made him sleepy and he was unable to work for approximately one week before symptoms resolved.  He did not receive any further influenza vaccination until 12/7/2007 (AFLU #A312BA).  He again reported experiencing similar nasal, sinus and chest congestion, cough, and difficulty sleeping at night due to coughing and shortness of breath as in 2002/2003.  Early winter is a time period he experiences sinus infections.  He reported being out of work 2 weeks before symptoms eased.  However symptoms persisted for the next several months.  He was treated by his PCP with two antibiotics, FLONASE, PROVENTIL, ADVAIR, etc.  (There are no available records of evaluation by his Allergist).  In January 2009 he was referred to pulmonology where he was diagnosed with asthma and placed on SIMACORT.  One month later "all asthma medications were stopped due to worsening breathing difficulty".
Age: 56.0
Sex: M
Vaccine: FLUX
Symptoms: Sleep disorder
Clinical narrative: The patient reported receipt of IM influenza vaccination at NMCP while working the ER in 2002 or 2003.  He denied any illness (URI) prior to this vaccination (date unknown).  Approximately 12-24 hours post vaccination, he complained of feeling tired, had a stuffy nose, sinus and chest congestion.  These symptoms worsened over the next few days to include shortness of breath and a cough which disrupted his ability to sleep.  He was evaluated by his PCP and placed on an antibiotic and TUSSINEX.  The cough medicine made him sleepy and he was unable to work for approximately one week before symptoms resolved.  He did not receive any further influenza vaccination until 12/7/2007 (AFLU #A312BA).  He again reported experiencing similar nasal, sinus and chest congestion, cough, and difficulty sleeping at night due to coughing and shortness of breath as in 2002/2003.  Early winter is a time period he experiences sinus infections.  He reported being out of work 2 weeks before symptoms eased.  However symptoms persisted for the next several months.  He was treated by his PCP with two antibiotics, FLONASE, PROVENTIL, ADVAIR, etc.  (There are no available records of evaluation by his Allergist).  In January 2009 he was referred to pulmonology where he was diagnosed with asthma and placed on SIMACORT.  One month later "all asthma medications were stopped due to worsening breathing difficulty".
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Blood test, Electroencephalogram abnormal, Petit mal epilepsy
Clinical narrative: 2 days after receiving the second injection in the series of Gardasil, she developed absence seizures.  The seizures have been confirmed by EEG and is currently taking Lamictal.  She did not receive the 3rd in the series.
Age: 1.58
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site swelling, Oedema peripheral
Clinical narrative: 1 Hour after injections, raised, red area around injection sites. Advised to apply cool compresses, and administor 1 tsp oral Benadryl every 6 hours as needed. Followup with phone call the day after injections were given, parent stated child had raised, red areas on front and back of legs, and arms. Advised parent to take child to Emergency Room for evaluation. Parent called 2 hours after advisment to report that Benadryl was given again and that child would not need to go to Emergency Room because raised, red areas on body were decreasing.
Age: 15.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Dizziness
Clinical narrative: FELT DIZZY AND LIGHTHEADED, FELT BETTER ONCE SHE LAID DOWN ON THE EXAM TABLE FOR ABOUT 20 MINS
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL
Symptoms: Blister, Blood pressure increased, Blood test abnormal, Constipation, Crying
Clinical narrative: 2/24/09REPORTED TO PEDIATRICIAN ABOUT HIGH FEVER. TYLENOL NOT WORKING. BY 2/28/09 FEVER HIT 103.7. TESTED POSITIVE FOR STREP AT URGENT CARE CENTER. HOSPITALIZED ON 3/4/09 FEVER, RASH, BLISTERS, NOS STOP CRYING. DIAGNOSED WITH POST VACCINE CHICKENPOX. READMITTED ON 3/20/09 BANGING HIS HEAD, PULLING HAIR OUT, WEAKNESS ON RIGHT SIDE OF BODY, LOSS OF MOTOR SKILLS ON RIGHT SIDE, EXCESSIVE DROOLING,, FEVER, ENLARGED LIVER, CONSTIPATION, KIDNEY PROBLEMS, HIGH BLOOD PRESSURE(170/107). CURRENTLY IN PEDIATRIC INTENSIVE CARE UNIT  4/6/09 MR received for DOS 3/4-7/09 with DX: post vaccine varicella breakthrough.  Pt presented  with 10 day  hx of fever, coryza, diffuse rash and b/l upper and lower extremity swelling/edema.  PE (+) for erythematous tonsils, shotty lymphadenopathy, b/l tibial/foot/hand edema, diffuse maculopapular rash on trunk and extremities with several papular lesions. Recent strep pharyngitis dx on abx.  Pt had increased BPs during admission. Cont tx with abx. Sx not c/w Kawasaki.  4/16/09 Received ER admission beginning 3/20/09-5/9/09.  DIAGNOSIS: Impetigo.  Pruritis.  Rash.  Irritability.  Dysphagia.  Cardiac arrest. HTN.  SIADH. Fever. pt still hospitalized as of 4/8/09 and record not available. Pt returned to ER 3/20/09 for abnormal behavior-head banging, irritability and hair pulling.  Seen by PCP to be evaluated for ear infection and enlarged lymph nodes noted on exam. Fever x 1-2 days, sleeping poorly, inconsolable. PE (+) for tender irritated scab behind R ear from recent chicken pox, face flushed, petechiae lateral to R eye. Impression:  Skin infection 2' to scratching at healing chicken pox. Admitted to ID for R sided ear and facial pruritis, unimproved with Benadryl+Atarax. Given Valium-still restless and agitated. Still admitted as of 4/28/09.  6/4/09 Hospital records received DOS 3/20/09 to 5/9/09.  DIAGNOSIS: Impetigo.  Pruritis.  Rash.  Irritability.  Dysphagia.  Cardiac arrest. HTN.  SIADH. Fever. Post vaccination: Irritable, scratching face, pulling out hair. Decreased activity. Upon examination presents with rash and itching. Nervous and anxious.  System based hospital course:  CV - HDS with tachycardia. Patient coded with successful resusitation. Renal - Hypertension Pulmonary - Required intubation. Pulmonary function gradually improved and became stable. ID - Multiple antibiotics followed by resolution of infections. GI - Elevated LFT's. Hepatomegaly.  FEN - Intitially NPO. IVF changed to NS when concern for intracranial pathology. No electrolyte abnormalities. Foley catheter placed and later d/c'd. NJ feedings followed by G-tube placement. Hyponatremia, SIADH, placed on D50.9NS with improvement. NEURO/CNS - Significant mental status changes with discoordinate movement and truncal ataxia. Decreased use of right hand. Gradual improvement of mentation and motor skills. GU - Urinary retention of unknown etiology. HEME - Hematocrit and Hemoglobin dropped - considered iatrogenic.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL
Symptoms: Drooling, Electrocardiogram, Electroencephalogram, Head banging, Hemiparesis
Clinical narrative: 2/24/09REPORTED TO PEDIATRICIAN ABOUT HIGH FEVER. TYLENOL NOT WORKING. BY 2/28/09 FEVER HIT 103.7. TESTED POSITIVE FOR STREP AT URGENT CARE CENTER. HOSPITALIZED ON 3/4/09 FEVER, RASH, BLISTERS, NOS STOP CRYING. DIAGNOSED WITH POST VACCINE CHICKENPOX. READMITTED ON 3/20/09 BANGING HIS HEAD, PULLING HAIR OUT, WEAKNESS ON RIGHT SIDE OF BODY, LOSS OF MOTOR SKILLS ON RIGHT SIDE, EXCESSIVE DROOLING,, FEVER, ENLARGED LIVER, CONSTIPATION, KIDNEY PROBLEMS, HIGH BLOOD PRESSURE(170/107). CURRENTLY IN PEDIATRIC INTENSIVE CARE UNIT  4/6/09 MR received for DOS 3/4-7/09 with DX: post vaccine varicella breakthrough.  Pt presented  with 10 day  hx of fever, coryza, diffuse rash and b/l upper and lower extremity swelling/edema.  PE (+) for erythematous tonsils, shotty lymphadenopathy, b/l tibial/foot/hand edema, diffuse maculopapular rash on trunk and extremities with several papular lesions. Recent strep pharyngitis dx on abx.  Pt had increased BPs during admission. Cont tx with abx. Sx not c/w Kawasaki.  4/16/09 Received ER admission beginning 3/20/09-5/9/09.  DIAGNOSIS: Impetigo.  Pruritis.  Rash.  Irritability.  Dysphagia.  Cardiac arrest. HTN.  SIADH. Fever. pt still hospitalized as of 4/8/09 and record not available. Pt returned to ER 3/20/09 for abnormal behavior-head banging, irritability and hair pulling.  Seen by PCP to be evaluated for ear infection and enlarged lymph nodes noted on exam. Fever x 1-2 days, sleeping poorly, inconsolable. PE (+) for tender irritated scab behind R ear from recent chicken pox, face flushed, petechiae lateral to R eye. Impression:  Skin infection 2' to scratching at healing chicken pox. Admitted to ID for R sided ear and facial pruritis, unimproved with Benadryl+Atarax. Given Valium-still restless and agitated. Still admitted as of 4/28/09.  6/4/09 Hospital records received DOS 3/20/09 to 5/9/09.  DIAGNOSIS: Impetigo.  Pruritis.  Rash.  Irritability.  Dysphagia.  Cardiac arrest. HTN.  SIADH. Fever. Post vaccination: Irritable, scratching face, pulling out hair. Decreased activity. Upon examination presents with rash and itching. Nervous and anxious.  System based hospital course:  CV - HDS with tachycardia. Patient coded with successful resusitation. Renal - Hypertension Pulmonary - Required intubation. Pulmonary function gradually improved and became stable. ID - Multiple antibiotics followed by resolution of infections. GI - Elevated LFT's. Hepatomegaly.  FEN - Intitially NPO. IVF changed to NS when concern for intracranial pathology. No electrolyte abnormalities. Foley catheter placed and later d/c'd. NJ feedings followed by G-tube placement. Hyponatremia, SIADH, placed on D50.9NS with improvement. NEURO/CNS - Significant mental status changes with discoordinate movement and truncal ataxia. Decreased use of right hand. Gradual improvement of mentation and motor skills. GU - Urinary retention of unknown etiology. HEME - Hematocrit and Hemoglobin dropped - considered iatrogenic.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL
Symptoms: Hepatic enzyme increased, Hepatomegaly, Hypertension, Intensive care, Lumbar puncture normal
Clinical narrative: 2/24/09REPORTED TO PEDIATRICIAN ABOUT HIGH FEVER. TYLENOL NOT WORKING. BY 2/28/09 FEVER HIT 103.7. TESTED POSITIVE FOR STREP AT URGENT CARE CENTER. HOSPITALIZED ON 3/4/09 FEVER, RASH, BLISTERS, NOS STOP CRYING. DIAGNOSED WITH POST VACCINE CHICKENPOX. READMITTED ON 3/20/09 BANGING HIS HEAD, PULLING HAIR OUT, WEAKNESS ON RIGHT SIDE OF BODY, LOSS OF MOTOR SKILLS ON RIGHT SIDE, EXCESSIVE DROOLING,, FEVER, ENLARGED LIVER, CONSTIPATION, KIDNEY PROBLEMS, HIGH BLOOD PRESSURE(170/107). CURRENTLY IN PEDIATRIC INTENSIVE CARE UNIT  4/6/09 MR received for DOS 3/4-7/09 with DX: post vaccine varicella breakthrough.  Pt presented  with 10 day  hx of fever, coryza, diffuse rash and b/l upper and lower extremity swelling/edema.  PE (+) for erythematous tonsils, shotty lymphadenopathy, b/l tibial/foot/hand edema, diffuse maculopapular rash on trunk and extremities with several papular lesions. Recent strep pharyngitis dx on abx.  Pt had increased BPs during admission. Cont tx with abx. Sx not c/w Kawasaki.  4/16/09 Received ER admission beginning 3/20/09-5/9/09.  DIAGNOSIS: Impetigo.  Pruritis.  Rash.  Irritability.  Dysphagia.  Cardiac arrest. HTN.  SIADH. Fever. pt still hospitalized as of 4/8/09 and record not available. Pt returned to ER 3/20/09 for abnormal behavior-head banging, irritability and hair pulling.  Seen by PCP to be evaluated for ear infection and enlarged lymph nodes noted on exam. Fever x 1-2 days, sleeping poorly, inconsolable. PE (+) for tender irritated scab behind R ear from recent chicken pox, face flushed, petechiae lateral to R eye. Impression:  Skin infection 2' to scratching at healing chicken pox. Admitted to ID for R sided ear and facial pruritis, unimproved with Benadryl+Atarax. Given Valium-still restless and agitated. Still admitted as of 4/28/09.  6/4/09 Hospital records received DOS 3/20/09 to 5/9/09.  DIAGNOSIS: Impetigo.  Pruritis.  Rash.  Irritability.  Dysphagia.  Cardiac arrest. HTN.  SIADH. Fever. Post vaccination: Irritable, scratching face, pulling out hair. Decreased activity. Upon examination presents with rash and itching. Nervous and anxious.  System based hospital course:  CV - HDS with tachycardia. Patient coded with successful resusitation. Renal - Hypertension Pulmonary - Required intubation. Pulmonary function gradually improved and became stable. ID - Multiple antibiotics followed by resolution of infections. GI - Elevated LFT's. Hepatomegaly.  FEN - Intitially NPO. IVF changed to NS when concern for intracranial pathology. No electrolyte abnormalities. Foley catheter placed and later d/c'd. NJ feedings followed by G-tube placement. Hyponatremia, SIADH, placed on D50.9NS with improvement. NEURO/CNS - Significant mental status changes with discoordinate movement and truncal ataxia. Decreased use of right hand. Gradual improvement of mentation and motor skills. GU - Urinary retention of unknown etiology. HEME - Hematocrit and Hemoglobin dropped - considered iatrogenic.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL
Symptoms: Motor dysfunction, Nuclear magnetic resonance imaging, Pyrexia, Rash, Renal disorder
Clinical narrative: 2/24/09REPORTED TO PEDIATRICIAN ABOUT HIGH FEVER. TYLENOL NOT WORKING. BY 2/28/09 FEVER HIT 103.7. TESTED POSITIVE FOR STREP AT URGENT CARE CENTER. HOSPITALIZED ON 3/4/09 FEVER, RASH, BLISTERS, NOS STOP CRYING. DIAGNOSED WITH POST VACCINE CHICKENPOX. READMITTED ON 3/20/09 BANGING HIS HEAD, PULLING HAIR OUT, WEAKNESS ON RIGHT SIDE OF BODY, LOSS OF MOTOR SKILLS ON RIGHT SIDE, EXCESSIVE DROOLING,, FEVER, ENLARGED LIVER, CONSTIPATION, KIDNEY PROBLEMS, HIGH BLOOD PRESSURE(170/107). CURRENTLY IN PEDIATRIC INTENSIVE CARE UNIT  4/6/09 MR received for DOS 3/4-7/09 with DX: post vaccine varicella breakthrough.  Pt presented  with 10 day  hx of fever, coryza, diffuse rash and b/l upper and lower extremity swelling/edema.  PE (+) for erythematous tonsils, shotty lymphadenopathy, b/l tibial/foot/hand edema, diffuse maculopapular rash on trunk and extremities with several papular lesions. Recent strep pharyngitis dx on abx.  Pt had increased BPs during admission. Cont tx with abx. Sx not c/w Kawasaki.  4/16/09 Received ER admission beginning 3/20/09-5/9/09.  DIAGNOSIS: Impetigo.  Pruritis.  Rash.  Irritability.  Dysphagia.  Cardiac arrest. HTN.  SIADH. Fever. pt still hospitalized as of 4/8/09 and record not available. Pt returned to ER 3/20/09 for abnormal behavior-head banging, irritability and hair pulling.  Seen by PCP to be evaluated for ear infection and enlarged lymph nodes noted on exam. Fever x 1-2 days, sleeping poorly, inconsolable. PE (+) for tender irritated scab behind R ear from recent chicken pox, face flushed, petechiae lateral to R eye. Impression:  Skin infection 2' to scratching at healing chicken pox. Admitted to ID for R sided ear and facial pruritis, unimproved with Benadryl+Atarax. Given Valium-still restless and agitated. Still admitted as of 4/28/09.  6/4/09 Hospital records received DOS 3/20/09 to 5/9/09.  DIAGNOSIS: Impetigo.  Pruritis.  Rash.  Irritability.  Dysphagia.  Cardiac arrest. HTN.  SIADH. Fever. Post vaccination: Irritable, scratching face, pulling out hair. Decreased activity. Upon examination presents with rash and itching. Nervous and anxious.  System based hospital course:  CV - HDS with tachycardia. Patient coded with successful resusitation. Renal - Hypertension Pulmonary - Required intubation. Pulmonary function gradually improved and became stable. ID - Multiple antibiotics followed by resolution of infections. GI - Elevated LFT's. Hepatomegaly.  FEN - Intitially NPO. IVF changed to NS when concern for intracranial pathology. No electrolyte abnormalities. Foley catheter placed and later d/c'd. NJ feedings followed by G-tube placement. Hyponatremia, SIADH, placed on D50.9NS with improvement. NEURO/CNS - Significant mental status changes with discoordinate movement and truncal ataxia. Decreased use of right hand. Gradual improvement of mentation and motor skills. GU - Urinary retention of unknown etiology. HEME - Hematocrit and Hemoglobin dropped - considered iatrogenic.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL
Symptoms: Streptococcal identification test positive, Trichotillomania, Ultrasound scan, Varicella post vaccine
Clinical narrative: 2/24/09REPORTED TO PEDIATRICIAN ABOUT HIGH FEVER. TYLENOL NOT WORKING. BY 2/28/09 FEVER HIT 103.7. TESTED POSITIVE FOR STREP AT URGENT CARE CENTER. HOSPITALIZED ON 3/4/09 FEVER, RASH, BLISTERS, NOS STOP CRYING. DIAGNOSED WITH POST VACCINE CHICKENPOX. READMITTED ON 3/20/09 BANGING HIS HEAD, PULLING HAIR OUT, WEAKNESS ON RIGHT SIDE OF BODY, LOSS OF MOTOR SKILLS ON RIGHT SIDE, EXCESSIVE DROOLING,, FEVER, ENLARGED LIVER, CONSTIPATION, KIDNEY PROBLEMS, HIGH BLOOD PRESSURE(170/107). CURRENTLY IN PEDIATRIC INTENSIVE CARE UNIT  4/6/09 MR received for DOS 3/4-7/09 with DX: post vaccine varicella breakthrough.  Pt presented  with 10 day  hx of fever, coryza, diffuse rash and b/l upper and lower extremity swelling/edema.  PE (+) for erythematous tonsils, shotty lymphadenopathy, b/l tibial/foot/hand edema, diffuse maculopapular rash on trunk and extremities with several papular lesions. Recent strep pharyngitis dx on abx.  Pt had increased BPs during admission. Cont tx with abx. Sx not c/w Kawasaki.  4/16/09 Received ER admission beginning 3/20/09-5/9/09.  DIAGNOSIS: Impetigo.  Pruritis.  Rash.  Irritability.  Dysphagia.  Cardiac arrest. HTN.  SIADH. Fever. pt still hospitalized as of 4/8/09 and record not available. Pt returned to ER 3/20/09 for abnormal behavior-head banging, irritability and hair pulling.  Seen by PCP to be evaluated for ear infection and enlarged lymph nodes noted on exam. Fever x 1-2 days, sleeping poorly, inconsolable. PE (+) for tender irritated scab behind R ear from recent chicken pox, face flushed, petechiae lateral to R eye. Impression:  Skin infection 2' to scratching at healing chicken pox. Admitted to ID for R sided ear and facial pruritis, unimproved with Benadryl+Atarax. Given Valium-still restless and agitated. Still admitted as of 4/28/09.  6/4/09 Hospital records received DOS 3/20/09 to 5/9/09.  DIAGNOSIS: Impetigo.  Pruritis.  Rash.  Irritability.  Dysphagia.  Cardiac arrest. HTN.  SIADH. Fever. Post vaccination: Irritable, scratching face, pulling out hair. Decreased activity. Upon examination presents with rash and itching. Nervous and anxious.  System based hospital course:  CV - HDS with tachycardia. Patient coded with successful resusitation. Renal - Hypertension Pulmonary - Required intubation. Pulmonary function gradually improved and became stable. ID - Multiple antibiotics followed by resolution of infections. GI - Elevated LFT's. Hepatomegaly.  FEN - Intitially NPO. IVF changed to NS when concern for intracranial pathology. No electrolyte abnormalities. Foley catheter placed and later d/c'd. NJ feedings followed by G-tube placement. Hyponatremia, SIADH, placed on D50.9NS with improvement. NEURO/CNS - Significant mental status changes with discoordinate movement and truncal ataxia. Decreased use of right hand. Gradual improvement of mentation and motor skills. GU - Urinary retention of unknown etiology. HEME - Hematocrit and Hemoglobin dropped - considered iatrogenic.