chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 35.0
Sex: M
Vaccine: ANTH, FLU3, TYP
Symptoms: Scan brain, Syphilis test negative, Tri-iodothyronine free normal, Vitamin B12 normal
Clinical narrative: On 27 April 2009 he received AVA #2 to left deltoid. He again experienced site burning and soreness. Within 6-8 hours he was awakened from sleep with diffuse muscle aches, nausea and a headache. He was able to return to sleep. Within 12 hours post vaccination (28 Apr 09) he awoke complaining of paresthesia to lateral aspect of his right knee extending anteriorly down calf to dorsum of right foot ("along L5 nerve pattern"). He described this paresthesia as pins and needles or a buzzing sensation with no weakness or loss of sensation. He had been in the gym and undergoing physical therapy (PT) for lower back pain and attributed this discomfort to his exercises. 29 April 2009 (day 2) he awoke with paresthesia to both right and left lateral lower legs (L5 distribution pattern as above R>L) down to dorsum of both feet with lower back pain (3/10). He used MOBIC for pain with minimal relief. About day 4 he denied any myalgia, headache or nausea, but he was treated with a MEDROL dose pack for persistent paresthesia with partial relief (eased but did not eliminate). May 2009 PT notes report improvement in LBP (2/10) with traction treatment and decrease in "numbness/tingling" in right lateral calf and foot; however patient stated he stopped traction because symptoms were worse. 2009 Neurological examinations were normal. Review of Sept-Oct 2008 c-spine x-rays and MRI documented C5-7 central canal stenosis and degenerative disc disease and facet arthritis. (No lumbar studies available - was in theater). Paresthesia complaints persisted unchanged (denied numbness or weakness) until 04 July 2009 when he awoke with a strong stiff neck pain that he could not stretch out. O5 July 2009 he noted first bilateral upper extremity paresthesia (numbness and tingling) along ulnar nerve-C8 distribution pattern and later perineal-perianal tingling (no bowel-bladder incontinence) with spastic feelings in feet. Neck pain and bilateral upper extremity paresthesia worsened with flexion and extension of neck (such as bending over patients intubating or doing other procedures). 09 July 2009 exam noted 2 beats clonus bilaterally with L>R UE paresthesia. Spinal surgeon suspected central HNP, provided MEDROL dose pack and medevaced him to back. Patient advised "genital" paresthesia resolved within 1 1/2 weeks after using MEDROL with marked decrease in UE/LE paresthesia. However extremity paresthesia did not fully resolve. As of 11 Aug 2009, he continues to experience moderate to severe neck > lower back pain described as a stiff annoying aching (5/10) discomfort to posterior neck region. He has infrequent paresthesia at rest, experiencing paresthesia to all four extremities mainly with lifting and stretching. His paresthesia occurs with the pain and is described as a "burning feeling" lasting 30 seconds. His SF36 identified limitations with vigorous activities (running, lifting heavy objects) and with climbing several flights of stairs, kneeling, bending or stooping due to pain (not paresthesia).
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Incorrect dose administered
Clinical narrative: No adverse symptoms noted.
Age: 10.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Pain, Skin warm, Swelling
Clinical narrative: Swelling redness pain warmth of left shoulder.
Age: 11.0
Sex: M
Vaccine: DTAP, MNQ
Symptoms: Anger, Convulsion, Self injurious behaviour
Clinical narrative: Within 1 hour child developed angry outbursts and increase in self abusive behavior which has grown progressively worse.  We consulted a neuro psychologist & before follow up he had a seizure 8/27.
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Dyspnoea, Pyrexia
Clinical narrative: Pt. developed chills, fever, SOB after ADACEL administration on 8/24/09 - Evaluated on 8/26/09 - Tx OTC TYLENOL.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Malaise
Clinical narrative: Telephone call from parent reporting trip to urgent care on evening of 8-24-09 because pt was "sick." Parent stated H.C.P instructed mom to call public health "to let know shot given made him sick."
Age: 60.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Dizziness, Feeling abnormal, Myalgia, Rash erythematous
Clinical narrative: 24 hours after receiving vaccine, began to feel bad.  Muscle ached.  Large red rash appeared and is still visible 5 days later, although it seems to be diminishing.  Still very dizzy.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, VARCEL
Symptoms: Injection site cellulitis, Injection site erythema, Injection site inflammation, Injection site warmth
Clinical narrative: Erythema and inflammation onset appr 24 hours after injection; at 48 hours post injection - (L) anterior thigh with 11x15.5 cm area of erythema, warmth, inflammation. Diagnosis: cellulitis. Treatment: Cephalexin 500mg PO BIDx14 days.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Food allergy, Pruritus generalised, Rash generalised, Urticaria
Clinical narrative: About 30 min - 1 hr after vaccines pt began to develop rash and whelps all over body.  Also c/o itching.  Pts mom gave him BENADRYL, but it did not help.  Saw MD 2 days later and reported to health unit.  Was told allergic to eggs by MD that TX patient.  Was given SINGULAIR, antihist, FLUTICASONE 5% and PROTOPIC for treatment.
Age: 12.0
Sex: M
Vaccine: FLUN3, MNQ
Symptoms: Abdominal pain upper, Loss of consciousness
Clinical narrative: Passed out. Stomach pain.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Chest pain, Dizziness, Nausea, Presyncope
Clinical narrative: Near syncope - some chest pain & dizziness nausea.  2nd episode  19th/8/09 (same SX). 9/3/09-records recived-date of service 8/25/09-2 episodes of basically near syncope, chest pain and nausea associated with it-dizziness and lightheadedness. First occurred on 8/19/09. Heart beat felt rapid. Second episode on same day. General sense of fatigue which is longstanding.C/O back pain in office day vaccines administered.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Musculoskeletal stiffness, Myalgia, Pain
Clinical narrative: HA, neck stiffness, myalgias and pain.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site papule
Clinical narrative: Developed <12 erythematous papular lesions. 2-3 were at injection site. Others widely distributed. Developed from 2-17 days after vaccination. No actual vesicles.
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Hep B-dose #3 given at age 8 wks but should be given at 24 wks.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, VARCEL
Symptoms: Injection site haematoma, Injection site inflammation, Injection site swelling, Injection site warmth
Clinical narrative: Swelling, inflammation, bruising, warm to touch.  Lt arm bruising/ pale halo ring around site - IM site 13 cm X 8.5 cm - Sub Q site.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site haematoma, Injection site warmth
Clinical narrative: Redness, warmth, slight bruising to the right thigh.
Age: 12.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Left deltoid area redness, itching within 4-5 hrs about 4x8cm.
Age: 12.0
Sex: M
Vaccine: FLUN3, MNQ
Symptoms: Abdominal pain upper, Loss of consciousness
Clinical narrative: Passed out.  Stomach pain.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Hypersensitivity, Injection site erythema, Injection site swelling
Clinical narrative: Local hypersensitivity reaction to MMR.  Right leg at site of vaccine began with swelling, redness (borders ill - defined) within minutes of administration.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Post vaccination autoinoculation, Skin lesion
Clinical narrative: Isolated pox developed on right foot 09 Aug 09, likely focal auto inoculation (vs localized vaccine).
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Pyrexia
Clinical narrative: Severe headache with fever 100 degrees F on 7/23/09.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Acne, Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: Shot on 8/19/09.  Next day large red area around site small pimples within red area.  Pain, swollen & very itchy.  Had shingles - 10 yrs ago after death of husband.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling
Clinical narrative: Shot on 8/19/09.  Next day large red area around site small pimples within red area.  Pain, swollen & very itchy.  Had shingles - 10 yrs ago after death of husband.
Age: 20.0
Sex: F
Vaccine: HEPA
Symptoms: Immediate post-injection reaction, Incorrect storage of drug, Loss of consciousness
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of passing out in a 20-year-old female subject who was vaccinated with HAVRIX (GlaxoSmithKline). There were no concurrent medications. On 25 June 2009 at 09:45 the subject received unspecified dose of HAVRIX at 1.0 ml in the right arm. On 25 June 2009, immediately after vaccination with HAVRIX, the subject passed out. The healthcare professional considered the event disabling. The event resolved the same day and was considered by the reporter to possibly be related to HAVRIX. Incorrect storage of drug also occurred as it was reported that the HAVRIX administered was left out of refrigeration overnight. No adverse events were reported. The reporting nurse incidentally stated that a lot of teenage subjects pass out when "vaccines" are administered.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: Patient received HPV #3 on 07/13/09. No immediate adverse events noted. Patient presented to ER on 08/01/09 with syncope and again on 08/24/09 with possible seizures.   9/3/09-records received for follow-up visit 3/23/09-school physical-no complaints-Rash on face. Seb. Dermatitis. ED visit 8/1/09-and 8/24/09 for syncopal episode after getting out of hottub, flushing, lightheadedness and palpitations. Admitted for 3 days and to follow up with neurologist. Family HX of seizure disorder.   10/5/09 Hospital records and DC summary received, service dates 8/1/09 to 8/4/09. Assessment: Status post fall with questionable loss on consciousness.  Patient found by family face down after falling in bathtub with almost 1 foot of water. Some amnesia and questionable loss of consciousness.. No apparent injuries or acute injuries. No deformities of extremities.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Condition aggravated, Convulsion, Dizziness, Syncope
Clinical narrative: Dizziness (within 10 minutes of FLU vaccine admin.).  Fainted (between 10-15 minutes of administration).  Paramedics said that the patient had an episode of seizure.  Pt had a history of seizure (last time: 10 years ago).
Age: 5.0
Sex: M
Vaccine: DTAPIPV, FLUN3, MMR, VARCEL
Symptoms: Erythema multiforme
Clinical narrative: Erythema multiforme within 24 hours of receiving shots.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Cough, Lip swelling, Rhinorrhoea, Swelling face
Clinical narrative: A couple hours after vaccines L side of patient's face became swollen & lip on L side is real swollen.  Pt states he became a little mucosy & coughed, but that resolved.  Given dose of BENADRYL & sent to Urgent Care.
Age: 0.1
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: Student Nurse gave vaccines to young patient.  Vaccines were meant to be given to a 4yr old child.  The student got confused.  She thought that she had the right patient.  This patient needed shots but not the vaccines given.  No adverse effects.
Age: 14.0
Sex: F
Vaccine: MNQ
Symptoms: Fatigue, Mononucleosis heterophile test negative, Respiratory disorder, Streptococcal identification test negative, Viral infection
Clinical narrative: Extreme fatigue- persistent, preceded by respiratory viral symptoms started 2 weeks after MENACTRA.
Age: 1.0
Sex: M
Vaccine: DTAPIPVHIB, HEPA, MMR, PNC, VARCEL
Symptoms: Pruritus, Rash
Clinical narrative: Net like rash, itching, 12 days after vaccination.  TYLENOL, antihistamine as needed.
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, IPV
Symptoms: Headache, Pyrexia
Clinical narrative: Mother reported high fever and frontal headache the night of receiving the listed vaccines. Mother reported fever resolved but headache remained the following morning.
Age: 3.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Cough, Flushing, Oxygen saturation normal, Wheezing
Clinical narrative: Approx. 10-20 minutes after receiving MMR & varicella  vaccines pt started coughing. He was auscultated & found to be wheezing. Pulse ox 97% on room air. Cheeks were flushed, but no urticaria. Pt given albuterol neb x1 & oral diphenhydramine & had full resolution of wheezing & diminished facial flushing. Pulse ox after treatment 97% (about 30-40 mins. after vaccine).
Age: 48.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Injection site anaesthesia, Pain
Clinical narrative: Persistent pain; numbness in injection site and weakness distal to site, 1 month s/p immunization.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Feeling hot, Tachycardia
Clinical narrative: Symptoms of feeling overheated, tachycardia and shortness of breath began approximately one hour after receiving vaccine. Emergency room administered nebulizer treatment, ZYRTEC, PEPCID, and BENADRYL.
Age: 78.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Dyspnoea
Clinical narrative: After receiving her shots pt c/o shortness of breath. She recovered on her own before paramedics arrived.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Rash pustular
Clinical narrative: Within 2-4 days of receiveing menactra vaccine he had little pus filled bumps all over the top of his head in his hair.  The vaccine is the only thing I can think of that caused it because we did not change any soaps, shampoos, etc.  We did not go to the doctor with it, it went away within a few days time.
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Dizziness, Feeling abnormal, Wheezing
Clinical narrative: Per patient and mother, Shad felt "funny" later in the day after receiving varivax. Noted dizziness and wheezing when running at football and had to sit out. He had been practicing without these symptoms for 2 weeks prior to this. Resting releived symptoms, symptoms recur with return to activity. Continues to have this pattern 2 wks after event.
Age: 1.02
Sex: M
Vaccine: HEP, MMR, PNC, VARCEL
Symptoms: Eczema, Erythema, Irritability, Pyrexia
Clinical narrative: Patient (22 pounds, 7 oz; 31 inches) had his 12 month checkup on 28-AUG-2009 at 9:30am and received 4 vaccinations- MMRII, hep B, Prevnar and a varicella vaccine. He had no illness at the time of vaccination. Around 3pm he developed a mild fever and was very out of sorts. On 01-SEP-2009 when he awoke he had several red spots on his face and an eczema-like rash on his chest. He was still very out of sorts on 01-SEP-2009. Treatment included acetaminophen (CHILDREN'S TYLENOL) administered on 28-AUG-2009 and 01-SEP-2009. No medical attention was sought.
Age: 0.34
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Intestinal resection, Intussusception
Clinical narrative: Intussusception. Failed reduction. Required surgical resection.  9/14/09 Hospital records received DOS 8/27/09 to 8/31/09. Assessment: Intussusception. Infant presents with three days vomiting, poor oral intake, dehydration, diarrhea. On admission projectile vomiting. Blood tinged stool. Unable to reduce intussusception via air enema. Exploratory laparotomy, reducable intussusception, ileocecectomy. Initially febrile post-op, steadily improved, good po intake with return of bowel function.   ICD-9 Codes: 580.0 Intussusception, 285.1 AC Posthemorrhagic anemia, 997.4 Digestive system complication, 560.1 Paralytic ileus, E878.8 Abn React-Surg Proc nec.
Age: 5.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pain, Pyrexia
Clinical narrative: Patient had high fever spikes of 104 and 103 degrees F. He also had sever muscle pain in the leg of the injection. The injection site was WITHOUT redness, inflammation or heat.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL, HEPA, PNC, VARCEL
Symptoms: Pruritus, Rash generalised
Clinical narrative: Within three days had head to toe rash, itching, no temp, no known exposure to disease.  Given Tylenol prn
Age: 7.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Abdominal pain upper, Vomiting
Clinical narrative: According to mom approximately 5-6 hrs after recieving her Hep A and Varicella vaccines the pt. c/o her stomach hurting and she started throwing-up and that continued for about 6 hrs. and then just before bed that night she was finally able to hold down toast. She had no other symptoms and she was fine by the next day.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Allergy test, Injection site urticaria
Clinical narrative: Developed hives around injection site less than 24 hours after given.
Age: 4.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Varicella and MMR vaccines given on 8-18-09. Child developed mild redness at site of Varicella vaccine only on 8-19-09, called our office about it on 8-25-09, resolved after a few doses of Benadryl on 8-26-09.
Age: 0.36
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Crying, Eczema, Hypersomnia, Hypokinesia, Pain in extremity
Clinical narrative: After my daughter's 4mo check up and shots she remained more calm (as if sedated) than usual with spouts of screams here and there.  I assumed it was because of the pain in her legs (area of the shots).  This continued for 2 days.  She didn't much seem like herself and slept for about 12 hours.  I had to check on her because I feared the worst due to the amount of time that she slept.  If I touched her legs she would begin to cry.  And she did not move from the waist down for the 2 days. The next morning as I undressed her to wash her up for the day, I noticed that her entire chest and both legs were covered in bumps/rash.  Prior to this she had shown signs of eczema but only on her cheeks.  At the time I didn't know that the symptoms that she was experiencing were reportable until I did more research later.  I thought at this time that the nurses would say to give it a few days, that it's common etc.  But when I saw the rash I took her to her kinesiologist/chiropractor to work on reducing the rash (My son had eczema and since he's gone to the Dr. his rash has disappeared completely.  His pediatrician told me that his rash would stay until he's 9yrs old or never leave.  My son is 3 yrs old at this time and eczema free since his treatments). I began to take my daughter at about 2 months of age since she showed since of eczema.  Now since taking her to the Dr. it has reduced but is still being worked on.
Age: 0.36
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Rash, Screaming
Clinical narrative: After my daughter's 4mo check up and shots she remained more calm (as if sedated) than usual with spouts of screams here and there.  I assumed it was because of the pain in her legs (area of the shots).  This continued for 2 days.  She didn't much seem like herself and slept for about 12 hours.  I had to check on her because I feared the worst due to the amount of time that she slept.  If I touched her legs she would begin to cry.  And she did not move from the waist down for the 2 days. The next morning as I undressed her to wash her up for the day, I noticed that her entire chest and both legs were covered in bumps/rash.  Prior to this she had shown signs of eczema but only on her cheeks.  At the time I didn't know that the symptoms that she was experiencing were reportable until I did more research later.  I thought at this time that the nurses would say to give it a few days, that it's common etc.  But when I saw the rash I took her to her kinesiologist/chiropractor to work on reducing the rash (My son had eczema and since he's gone to the Dr. his rash has disappeared completely.  His pediatrician told me that his rash would stay until he's 9yrs old or never leave.  My son is 3 yrs old at this time and eczema free since his treatments). I began to take my daughter at about 2 months of age since she showed since of eczema.  Now since taking her to the Dr. it has reduced but is still being worked on.
Age: 0.51
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Blood test, Childhood disintegrative disorder, Culture stool, Diarrhoea, Hypotonia
Clinical narrative: received vaccineson 8/4/09. On 8/6/09 she was lethargic, runny nose and diarrhea. On 8/8/09 she was listless with the other symptoms too. No fever. Saw MD on 8/12/09 and grandma states he said it was a reaction from the vaccines. She gave a stool sample. On 8/18/09 she had some labwork done. She is not rolling over or holdng her head up which she was before. Grandma states she is "floppy".
Age: 0.51
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Lethargy, Listless, Rhinorrhoea
Clinical narrative: received vaccineson 8/4/09. On 8/6/09 she was lethargic, runny nose and diarrhea. On 8/8/09 she was listless with the other symptoms too. No fever. Saw MD on 8/12/09 and grandma states he said it was a reaction from the vaccines. She gave a stool sample. On 8/18/09 she had some labwork done. She is not rolling over or holdng her head up which she was before. Grandma states she is "floppy".
Age: 16.0
Sex: F
Vaccine: HEP, HPV4, MNQ, TDAP
Symptoms: Facial palsy, Nuclear magnetic resonance imaging brain normal
Clinical narrative: Bell's palsy (unilateral). 9/2/09 Consultant record received DOS 8/31/09. Assessment: Bell's Palsy. Patient presents with sudden onset (L) facial palsy / weakness. Feeling of weakness on (R) side.  9/17/09 Hospital records received DOS 8/31/09 to 9/1/09. Assessment: Bell's Palsy. Patient visiting from Mexico, presents with 2 day history of right facial numbness. Could not close left eye, drooling from left side of mouth. Facial numbness. Peripheral facial nerve palsy, asymmetry of forehead wrinkles, mouth asymmetry. White exudates left peritonsillar recess. Patient immproved.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Abdominal pain, Dyskinesia, Fall, Head injury, Loss of consciousness
Clinical narrative: Patient fainted and fell to floor hitting head on exam stool. LOC was approximatedly 10 seconds, BP 90/60, P 56, arms jerking, laceration on left side of forehead, c/o blurry vision and abd pain. EMS called and was transported to hospital via ambulance.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Skin laceration, Syncope, Vision blurred
Clinical narrative: Patient fainted and fell to floor hitting head on exam stool. LOC was approximatedly 10 seconds, BP 90/60, P 56, arms jerking, laceration on left side of forehead, c/o blurry vision and abd pain. EMS called and was transported to hospital via ambulance.
Age: 8.0
Sex: F
Vaccine: FLUN3, HEPA
Symptoms: Computerised tomogram, Convulsion, Fall, Head injury, Hyperhidrosis
Clinical narrative: Received Hep A and Flumist, left room and pt. became diaphoretic, fell at hit front of head, seized and was transported to ER.
Age: 9.0
Sex: F
Vaccine: HEPA, IPV, MMR, TD, VARCEL
Symptoms: Eye rolling, Fall, Head injury, Hyperhidrosis, Loss of consciousness
Clinical narrative: Child received TD, IPV,HEP A,MMR and VARICELLA on 8/31/2009. Within 5 mins. of receiving vaccines client got up and loss consciousness and fell to floor. Witnessed client hitting head on floor. Also noted twitching and eyes rolling up while lying supine on floor. Regained consciousness within 5 seconds. Pale and slightly diaphoretic. Talking and telling parent that she wanted to sleep. No obvious signs of injury including bumps,cuts or abrasions on head or body. No significant health history noted per parent. Parent instructed to take child to the Emergency Room for further assessment. Parent states understanding need for going to the ER. Child awake and offering no complaints at time of leaving health dept. Spoke to parent on 9/2/09 confirmed pt was taken to ER and later released.
Age: 9.0
Sex: F
Vaccine: HEPA, IPV, MMR, TD, VARCEL
Symptoms: Muscle twitching, Pallor
Clinical narrative: Child received TD, IPV,HEP A,MMR and VARICELLA on 8/31/2009. Within 5 mins. of receiving vaccines client got up and loss consciousness and fell to floor. Witnessed client hitting head on floor. Also noted twitching and eyes rolling up while lying supine on floor. Regained consciousness within 5 seconds. Pale and slightly diaphoretic. Talking and telling parent that she wanted to sleep. No obvious signs of injury including bumps,cuts or abrasions on head or body. No significant health history noted per parent. Parent instructed to take child to the Emergency Room for further assessment. Parent states understanding need for going to the ER. Child awake and offering no complaints at time of leaving health dept. Spoke to parent on 9/2/09 confirmed pt was taken to ER and later released.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Circulatory collapse, Dizziness, Gaze palsy, Head injury, Headache
Clinical narrative: syncope, occured about 2 min after administration of 3 IM vaccines -- MCV4, Hep A, and Tdap.  Child c/o headache and dizziness, and a couple of seconds later collasped, hitting head on wall on the way down.  Eyes were open but dazed, within 15 seconds he regained consciousness, BP and pulse were normal.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Syncope
Clinical narrative: syncope, occured about 2 min after administration of 3 IM vaccines -- MCV4, Hep A, and Tdap.  Child c/o headache and dizziness, and a couple of seconds later collasped, hitting head on wall on the way down.  Eyes were open but dazed, within 15 seconds he regained consciousness, BP and pulse were normal.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Knee arthroplasty
Clinical narrative: Subject in pneumococcal vaccine trial, with severe COPD was hospitalized for Unicompartmental RT Knee Replacement. Vaccination took place on 8/5/2008. According to the physician the relationship is 'None'.  We would be happy to forward Study's SAE reporting form upon request. 9/4/09-records received-for dates of service 6/23-6/26/09-DX: unicompartment right knee replacement. Presented with C/O right knee pain. ICD-9 code 81.54
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Muscle spasms
Clinical narrative: Severe leg cramps in the calves
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site rash, Pyrexia
Clinical narrative: Patient reports a rash, fever and headache that started on Friday and continued until Sunday.  The fever and headache were relieved with acetaminophen.  The patient reports no fever and headache on 9/1/2009.  There is a faint outline of a rash that remains at the injection site.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMR, VARCEL, DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Blister, Pruritus, Pyrexia, Rash generalised
Clinical narrative: Had a rash with blisters over some parts of body. Temp. of 101 degrees on Friday night. Then rash over body. Mom gave tylenol for fever,gave baths with baking soda for itching.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMR, VARCEL, DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Blister, Pruritus, Pyrexia, Rash generalised
Clinical narrative: Had a rash with blisters over some parts of body.  Temp. of 101 degrees on Friday night.  Then rash over body.  Mom gave TYLENOL for fever, gave baths with baking soda for itching.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, MMR, VARCEL
Symptoms: Rash morbilliform
Clinical narrative: Patient came to clinic on 8-17-09 complaining of rash on body.  Was examined by attending Dr. who is an infectious disease doctor and it was determined that the patient had a measles rash.  There were no major concerns about the child's health.
Age: 10.0
Sex: F
Vaccine: HEPA
Symptoms: Dizziness, Dizziness postural
Clinical narrative: On 8/21/09 Mother reported child had extreme dizziness- Felt dizzy a short time after vaccine and during day and night had difficulty standing due to dizziness- Did not seek medical care- vaccine date was 4/14/08- No previous report.
Age: 70.0
Sex: F
Vaccine: TTOX
Symptoms: Erythema
Clinical narrative: 10 cm x 6.5cm mild erythema left arm. Nontender, no discharge and no cellulitis.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Rash pruritic
Clinical narrative: 1 day following varicella administration patient noted to have red, non tender puritic area
Age: 56.0
Sex: F
Vaccine: HEPAB
Symptoms: Pruritus, Urticaria
Clinical narrative: client had twinrix vaccine (3rd dose) lot #AHABB131AB administered to left deltoid at approx. 2:30 pm  on 8/31/09.  She states that about 4 hours later she experienced itchy bumps, like mosquito bites on her knees and behind her knees and on her thighs.  She called the advice nurse who told her to take benedryl and notify the vaccine administrator.  She took 2 tabs benedryl and states that in about 1 hour, the itching subsided.  She denies fever, difficulty breathing, wheezing, weakness, or dizziness.  She states today they are just small red bumps, still a little itchy.  Denies problems with first two twinrix injections, except for a "hot" arm (at injection site) with the 2nd dose.
Age: 12.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Rash erythematous
Clinical narrative: 4 cm erythematous oval shaped area over left tricep.  No pain.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, DTAP, HEPA, HPV4, HEPA, HPV4, TDAP
Symptoms: Fall, Head injury
Clinical narrative: Patient administered Hep A and HPV vaccine. Sat in clinic room 10-15 minutes. Stated felt fine, color good. released to check out. stood 1-2 minutes and fell, possibly fainting, hitting head  9/22/09 ED and medical records received DOS 4/20/09 to 9/03/09. Assessment: Skull fracture and intracranial hemorrhage secondary to vasovagal syncope. Patient presents with headache and vomiting after syncope and a fall. Had felt light headed and lost consciousness, struck back of head on ground. Occipital skull fracture. Anterior intraparenchymal bleed and small subdural hemorrhage, occipital fracture, hematemesis. Pain left buttock and posterior left leg. Off balance gait. 10/2/09 Received ICD9 codes: 80121; 7802.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, DTAP, HEPA, HPV4, HEPA, HPV4, TDAP
Symptoms: Computerised tomogram abnormal, Haematemesis, Head injury, Loss of consciousness, Musculoskeletal pain
Clinical narrative: Patient administered Hep A and HPV vaccine. Sat in clinic room 10-15 minutes. Stated felt fine, color good. released to check out. stood 1-2 minutes and fell, possibly fainting, hitting head  9/22/09 ED and medical records received DOS 4/20/09 to 9/03/09. Assessment: Skull fracture and intracranial hemorrhage secondary to vasovagal syncope. Patient presents with headache and vomiting after syncope and a fall. Had felt light headed and lost consciousness, struck back of head on ground. Occipital skull fracture. Anterior intraparenchymal bleed and small subdural hemorrhage, occipital fracture, hematemesis. Pain left buttock and posterior left leg. Off balance gait. 10/2/09 Received ICD9 codes: 80121; 7802.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, DTAP, HEPA, HPV4, HEPA, HPV4, TDAP
Symptoms: Skull fracture, Subarachnoid haemorrhage
Clinical narrative: Patient administered Hep A and HPV vaccine. Sat in clinic room 10-15 minutes. Stated felt fine, color good. released to check out. stood 1-2 minutes and fell, possibly fainting, hitting head  9/22/09 ED and medical records received DOS 4/20/09 to 9/03/09. Assessment: Skull fracture and intracranial hemorrhage secondary to vasovagal syncope. Patient presents with headache and vomiting after syncope and a fall. Had felt light headed and lost consciousness, struck back of head on ground. Occipital skull fracture. Anterior intraparenchymal bleed and small subdural hemorrhage, occipital fracture, hematemesis. Pain left buttock and posterior left leg. Off balance gait. 10/2/09 Received ICD9 codes: 80121; 7802.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, DTAP, HEPA, HPV4, HEPA, HPV4, TDAP
Symptoms: Arthralgia, Balance disorder, Cerebral haemorrhage, Computerised tomogram abnormal, Dizziness
Clinical narrative: Patient administered Hep A and HPV vaccine. Sat in clinic room 10-15 minutes. Stated felt fine, color good. released to check out. stood 1-2 minutes and fell, possibly fainting, hitting head  9/22/09 ED and medical records received DOS 4/20/09 to 9/03/09. Assessment: Skull fracture and intracranial hemorrhage secondary to vasovagal syncope. Patient presents with headache and vomiting after syncope and a fall. Had felt light headed and lost consciousness, struck back of head on ground. Occipital skull fracture. Anterior intraparenchymal bleed and small subdural hemorrhage, occipital fracture, hematemesis. Pain left buttock and posterior left leg. Off balance gait. 10/2/09 Received ICD9 codes: 80121; 7802.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, DTAP, HEPA, HPV4, HEPA, HPV4, TDAP
Symptoms: Fall, Gait disturbance, Haematemesis, Haematocrit normal, Haemorrhage intracranial
Clinical narrative: Patient administered Hep A and HPV vaccine. Sat in clinic room 10-15 minutes. Stated felt fine, color good. released to check out. stood 1-2 minutes and fell, possibly fainting, hitting head  9/22/09 ED and medical records received DOS 4/20/09 to 9/03/09. Assessment: Skull fracture and intracranial hemorrhage secondary to vasovagal syncope. Patient presents with headache and vomiting after syncope and a fall. Had felt light headed and lost consciousness, struck back of head on ground. Occipital skull fracture. Anterior intraparenchymal bleed and small subdural hemorrhage, occipital fracture, hematemesis. Pain left buttock and posterior left leg. Off balance gait. 10/2/09 Received ICD9 codes: 80121; 7802.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, DTAP, HEPA, HPV4, HEPA, HPV4, TDAP
Symptoms: Head injury, Headache, Loss of consciousness, Lymphocyte count decreased, Lymphocyte percentage decreased
Clinical narrative: Patient administered Hep A and HPV vaccine. Sat in clinic room 10-15 minutes. Stated felt fine, color good. released to check out. stood 1-2 minutes and fell, possibly fainting, hitting head  9/22/09 ED and medical records received DOS 4/20/09 to 9/03/09. Assessment: Skull fracture and intracranial hemorrhage secondary to vasovagal syncope. Patient presents with headache and vomiting after syncope and a fall. Had felt light headed and lost consciousness, struck back of head on ground. Occipital skull fracture. Anterior intraparenchymal bleed and small subdural hemorrhage, occipital fracture, hematemesis. Pain left buttock and posterior left leg. Off balance gait. 10/2/09 Received ICD9 codes: 80121; 7802.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, DTAP, HEPA, HPV4, HEPA, HPV4, TDAP
Symptoms: Musculoskeletal pain, Neutrophil count, Neutrophil percentage increased, Pain in extremity, Red blood cell count normal
Clinical narrative: Patient administered Hep A and HPV vaccine. Sat in clinic room 10-15 minutes. Stated felt fine, color good. released to check out. stood 1-2 minutes and fell, possibly fainting, hitting head  9/22/09 ED and medical records received DOS 4/20/09 to 9/03/09. Assessment: Skull fracture and intracranial hemorrhage secondary to vasovagal syncope. Patient presents with headache and vomiting after syncope and a fall. Had felt light headed and lost consciousness, struck back of head on ground. Occipital skull fracture. Anterior intraparenchymal bleed and small subdural hemorrhage, occipital fracture, hematemesis. Pain left buttock and posterior left leg. Off balance gait. 10/2/09 Received ICD9 codes: 80121; 7802.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, DTAP, HEPA, HPV4, HEPA, HPV4, TDAP
Symptoms: Skull fractured base, Subarachnoid haemorrhage, Syncope, Vomiting, White blood cell count increased
Clinical narrative: Patient administered Hep A and HPV vaccine. Sat in clinic room 10-15 minutes. Stated felt fine, color good. released to check out. stood 1-2 minutes and fell, possibly fainting, hitting head  9/22/09 ED and medical records received DOS 4/20/09 to 9/03/09. Assessment: Skull fracture and intracranial hemorrhage secondary to vasovagal syncope. Patient presents with headache and vomiting after syncope and a fall. Had felt light headed and lost consciousness, struck back of head on ground. Occipital skull fracture. Anterior intraparenchymal bleed and small subdural hemorrhage, occipital fracture, hematemesis. Pain left buttock and posterior left leg. Off balance gait. 10/2/09 Received ICD9 codes: 80121; 7802.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Chills, Influenza like illness, Myalgia, Nasal congestion
Clinical narrative: Approximately 10-12 hours after receiving the vaccine, I developed flu like symptoms-fever, chills, nausea, muscle and joint pain.  I also developed some upper respitatory symptoms as well-stuffy nose primarily.  I went to see my family physician and they performed a flu nasal swab test, CBC, and urinalysis.  These all came back normal or negative for any disease process.  I was told to go home and take Tylenol/Ibuprofren q.6 hours and to rest.  I did so, and am feeling better this evening.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Pyrexia, Respiratory disorder
Clinical narrative: Approximately 10-12 hours after receiving the vaccine, I developed flu like symptoms-fever, chills, nausea, muscle and joint pain.  I also developed some upper respitatory symptoms as well-stuffy nose primarily.  I went to see my family physician and they performed a flu nasal swab test, CBC, and urinalysis.  These all came back normal or negative for any disease process.  I was told to go home and take Tylenol/Ibuprofren q.6 hours and to rest.  I did so, and am feeling better this evening.
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Rash, Scab, Vaccination complication
Clinical narrative: Pt had satellite lesions 1/2 an inch to the left and right of the original vaccination site.  All three lesion were healing well with scabbing.  Pt woke up this morning 01 Sep 09 with scattered red bumps across his chest.  Pt was seen by Dr.  She Dx the pt with a reactive rash from the smallpox vaccine.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Blood potassium decreased, Chest pain, Convulsion, Dizziness, Dyspnoea
Clinical narrative: Stiffening and aching muscles, chest pain, racing heart, aching leg (both), aching arm (both), shortness of breath, dizziness, nausea, rash, seizure-like activity (bottom of right lip drooped downward and she could not speak intelligibly), her fingers were opened straight out with the tips pointed toward the bone), headache, and blurry vision.  10/14/09 ED and Hospital records received service dates 8/28/09 to 8/31/09. Assessment: Asthma, acute exacerbation. Side effects from Gardasil. Hypokalemia. Patient is short of breath and presents with tachypnea. Cough. Crying. Hyperventilation. Improves after breathing into paper sack. Presents again with trouble breathing and shortness of breath. Cramping and numbness of extremities.  ICD-9 codes: 995.20 Unspecified adverse effect of unspecified drug, medicinal and biological substance, 276.8 Hypokalemia, E949.6 Adverse effects of other and unspecified viral and rickettsial vaccines.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Electrocardiogram normal, Facial palsy, Headache, Liver function test normal, Musculoskeletal stiffness
Clinical narrative: Stiffening and aching muscles, chest pain, racing heart, aching leg (both), aching arm (both), shortness of breath, dizziness, nausea, rash, seizure-like activity (bottom of right lip drooped downward and she could not speak intelligibly), her fingers were opened straight out with the tips pointed toward the bone), headache, and blurry vision.  10/14/09 ED and Hospital records received service dates 8/28/09 to 8/31/09. Assessment: Asthma, acute exacerbation. Side effects from Gardasil. Hypokalemia. Patient is short of breath and presents with tachypnea. Cough. Crying. Hyperventilation. Improves after breathing into paper sack. Presents again with trouble breathing and shortness of breath. Cramping and numbness of extremities.  ICD-9 codes: 995.20 Unspecified adverse effect of unspecified drug, medicinal and biological substance, 276.8 Hypokalemia, E949.6 Adverse effects of other and unspecified viral and rickettsial vaccines.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Myalgia, Nausea, Oxygen saturation normal, Pain in extremity, Palpitations
Clinical narrative: Stiffening and aching muscles, chest pain, racing heart, aching leg (both), aching arm (both), shortness of breath, dizziness, nausea, rash, seizure-like activity (bottom of right lip drooped downward and she could not speak intelligibly), her fingers were opened straight out with the tips pointed toward the bone), headache, and blurry vision.  10/14/09 ED and Hospital records received service dates 8/28/09 to 8/31/09. Assessment: Asthma, acute exacerbation. Side effects from Gardasil. Hypokalemia. Patient is short of breath and presents with tachypnea. Cough. Crying. Hyperventilation. Improves after breathing into paper sack. Presents again with trouble breathing and shortness of breath. Cramping and numbness of extremities.  ICD-9 codes: 995.20 Unspecified adverse effect of unspecified drug, medicinal and biological substance, 276.8 Hypokalemia, E949.6 Adverse effects of other and unspecified viral and rickettsial vaccines.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Rash, Renal function test normal, Speech disorder, Vision blurred
Clinical narrative: Stiffening and aching muscles, chest pain, racing heart, aching leg (both), aching arm (both), shortness of breath, dizziness, nausea, rash, seizure-like activity (bottom of right lip drooped downward and she could not speak intelligibly), her fingers were opened straight out with the tips pointed toward the bone), headache, and blurry vision.  10/14/09 ED and Hospital records received service dates 8/28/09 to 8/31/09. Assessment: Asthma, acute exacerbation. Side effects from Gardasil. Hypokalemia. Patient is short of breath and presents with tachypnea. Cough. Crying. Hyperventilation. Improves after breathing into paper sack. Presents again with trouble breathing and shortness of breath. Cramping and numbness of extremities.  ICD-9 codes: 995.20 Unspecified adverse effect of unspecified drug, medicinal and biological substance, 276.8 Hypokalemia, E949.6 Adverse effects of other and unspecified viral and rickettsial vaccines.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Blood potassium increased, Dizziness, Dyspnoea, Electrocardiogram normal, Metabolic function test
Clinical narrative: Stiffening and aching muscles, chest pain, racing heart, aching leg (both), aching arm (both), shortness of breath, dizziness, nausea, rash, seizure-like activity (bottom of right lip drooped downward and she could not speak intelligibly), her fingers were opened straight out with the tips pointed toward the bone), headache, and blurry vision.  10/14/09 ED and Hospital records received service dates 8/28/09 to 8/31/09. Assessment: Asthma, acute exacerbation. Side effects from Gardasil. Hypokalemia. Patient is short of breath and presents with tachypnea. Cough. Crying. Hyperventilation. Improves after breathing into paper sack. Presents again with trouble breathing and shortness of breath. Cramping and numbness of extremities.  ICD-9 codes: 995.20 Unspecified adverse effect of unspecified drug, medicinal and biological substance, 276.8 Hypokalemia, E949.6 Adverse effects of other and unspecified viral and rickettsial vaccines.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Muscle tightness, Oxygen saturation normal, Tachycardia, Vision blurred
Clinical narrative: Stiffening and aching muscles, chest pain, racing heart, aching leg (both), aching arm (both), shortness of breath, dizziness, nausea, rash, seizure-like activity (bottom of right lip drooped downward and she could not speak intelligibly), her fingers were opened straight out with the tips pointed toward the bone), headache, and blurry vision.  10/14/09 ED and Hospital records received service dates 8/28/09 to 8/31/09. Assessment: Asthma, acute exacerbation. Side effects from Gardasil. Hypokalemia. Patient is short of breath and presents with tachypnea. Cough. Crying. Hyperventilation. Improves after breathing into paper sack. Presents again with trouble breathing and shortness of breath. Cramping and numbness of extremities.  ICD-9 codes: 995.20 Unspecified adverse effect of unspecified drug, medicinal and biological substance, 276.8 Hypokalemia, E949.6 Adverse effects of other and unspecified viral and rickettsial vaccines.
Age: 15.0
Sex: M
Vaccine: MNQ
Symptoms: Headache, Pyrexia
Clinical narrative: HIGH FEVER 102.4, HEADACHE
Age: 74.0
Sex: F
Vaccine: DT, FLU3, PPV
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: pt recevied flu shot on left arm,and pneumovax ,and decavac on the right arm at 11 am on 8/28/09.the next day,she called ,and complained that she had pain on right arm,and it is not rotatable.she can not lift the arm.We called her on 8/30/09,and 8/31/09 .she said that she was getting better
Age: 61.0
Sex: F
Vaccine: FLU3, PPV, VARZOS
Symptoms: Body temperature increased, Cellulitis, Inflammation, Oedema peripheral, Rash
Clinical narrative: Her whole arm(on which vaccine was administered) was inflammed and swollen and she developed a rash within 1-2 days. She also had a mild temperature the day after vaccination and reported that she did not feel better. However the temperature subsided in a day. The rash was bothering her and so she decided to visit a walk-in clinic and she was daignosed with cellulitis. She was given antibiotic (IV) in the clinic and was prescribed a course of oral antibiotic also.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Dermatitis diaper, Injection site erythema, Injection site haematoma, Injection site urticaria, Rash
Clinical narrative: Approx. 4 hours after receiving MMR and Chickenpox vaccine child developed a rash all over chest, back, arms, diaper area and face.  Was given Benadryl which didn't help.  Taken back to doctor the next day (rash had worsened) and was given an anti-allergy medication and steroids. Has had consistent diaper rash since receiving the shots as well as a welp at the injection site (chickenpox) that has turned into a reddish, bruised area.
Age: 30.0
Sex: M
Vaccine: FLUX
Symptoms: Abdominal pain upper, Vertigo
Clinical narrative: Vertigo and stomach cramps beginning ~24 hours after injection and lasting for ~2 hours. Second bout of vertigo ~72 hours after injection, which is still continuing.
Age: 1.8
Sex: M
Vaccine: DTAPIPVHIB, HEPA, MMRV, PNC
Symptoms: Skin reaction
Clinical narrative: Superficial skin reaction occurred the day after administration of vaccine (PENTACEL).  0 treatment.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Zoster L chest
Age: 0.05
Sex: F
Vaccine: DTAPIPVHIB, RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Dr. went did physical & came out the room, handle me the chart, I look at the chart & saw the #2 under age and assumed pt was 2 mths & needed 2 mths shots. I drew up shot went into the room and administered the rotavirus & PENTACEL, when I realized pt was too small to be 2 mths old then, I asked mom how old is pt. (she sts) 2 wks. I then stop & told mom those were the only shots that she needs. She will get the rest at 2 mths. I called to ask for advice, she told me to call CDC and to tell Dr.
Age: 2.0
Sex: M
Vaccine: FLUN3
Symptoms: Asthma, Bronchospasm, Condition aggravated, Medication error
Clinical narrative: A serious, spontaneous report of medication error, bronchospasm and exacerbation of asthma has been received from a physician concerning a two-year-old male patient subsequent to FLUMIST administration.  Medical history included asthma.  The patient was not taking concomitant medications.  On 10-Aug-2009, the patient received FLUMIST.  On 11-Aug-2009, the patient developed bronchospasm and was admitted to the hospital.  The diagnosis was exacerbation of asthma.  On 12-Aug-2009, the patient was discharged from the hospital.  The outcome of the events, bronchospasm and asthma exacerbation was resolved.