chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.02
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Fever of 103.3 three days after receiving vaccines with taking Tylenol and Motrin. Rash on abdomen.
Age: 0.38
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Rash
Clinical narrative: Dtap, Hib, IPV, Prevnar given few minutes after injection. Pt broke out into a rash worse on left leg, head, face. Dtap and Hib was given left leg, IPV Prevnar right leg.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site oedema
Clinical narrative: Pt Came back to pharmacy and had some swelling of the arm near the injection site. I offered her oral Benadryl capsules 2 (25mg) caps.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, RV5
Symptoms: Pyrexia
Clinical narrative: Seriousness criteria other medically significant (OMIC). Initial report received on 10/11/06 from another manufacturer, report number WAES0609USA06301. An eight week old male pt, with no past medical history, and no history of allergies, had received a first dose, left leg, IM injection of ActHib, lot number UF011AA (SA lot number Z0838-2), a first dose , left leg IM injection of Pediarix lot number AC21B047BA, a first dose oral administration of Rotateq lot 653754/0139F, on 8/31/06 at 16:00pm. Five days post immunization, on 5/5/06 at 14:10 pm, the pt presented to the physicians office with a fever of unk origin. The pts family stated that the fever had gotten as high as 102.3 degs F (rectally)A At the time of the office visit, and after receiving Tylenol, the pts temp had gone down to 100.3 deg F (rectally). A lumbar puncture and complete blood count were performed in the office (results not reported). The pt was subsequently admitted to the hospital. Reportedly, the pts reaction to these adverse events resulted in prolongation of hospitalization. The other manufacturer considered the adverse events as immediately life threatening. At the time of this report, it was unk if the pt had recovered from these adverse events. A lot check was ordered by the other manufacturer, and additional information was requested.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, RV5
Symptoms: Unevaluable event
Clinical narrative: Seriousness criteria other medically significant (OMIC). Initial report received on 10/11/06 from another manufacturer, report number WAES0609USA06301. An eight week old male pt, with no past medical history, and no history of allergies, had received a first dose, left leg, IM injection of ActHib, lot number UF011AA (SA lot number Z0838-2), a first dose , left leg IM injection of Pediarix lot number AC21B047BA, a first dose oral administration of Rotateq lot 653754/0139F, on 8/31/06 at 16:00pm. Five days post immunization, on 5/5/06 at 14:10 pm, the pt presented to the physicians office with a fever of unk origin. The pts family stated that the fever had gotten as high as 102.3 degs F (rectally)A At the time of the office visit, and after receiving Tylenol, the pts temp had gone down to 100.3 deg F (rectally). A lumbar puncture and complete blood count were performed in the office (results not reported). The pt was subsequently admitted to the hospital. Reportedly, the pts reaction to these adverse events resulted in prolongation of hospitalization. The other manufacturer considered the adverse events as immediately life threatening. At the time of this report, it was unk if the pt had recovered from these adverse events. A lot check was ordered by the other manufacturer, and additional information was requested.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Syncope
Clinical narrative: Diagnosed with neuro-cardio syncope in August 2006.  Also diagnosed with degenerative disk disease in cervical spine.
Age: 16.0
Sex: M
Vaccine: MMR
Symptoms: Unevaluable event
Clinical narrative: Information has been received from a registered nurse concerning her currently 16 year old son who, at one year of age, in approx 1991, was vaccinated with a dose of MMR II. The mother reported that her son has problems due to the thimerosal in MMR II. The pt has many unspecified lab tests (results not provided). Unspecified medical attention was sought. At the time of the report, the pt had not recovered. The pts experience was considered to be disabling by the reporter. Additional information has been requested.
Age: 18.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Back pain, Decreased appetite, Ear disorder, Feeling hot, Headache
Clinical narrative: Father reports client looked funny about 15 minutes after injection. Face looked blotchy only ate 1/2 of lunch. Father reports about 1pm client said he had a headaches, felt warm, felt like he was going to be sick. Mother called at approx 2:20 to say client had headache. Denied any additional symptoms. Family reports client had problem with his ear popping this summer. Completed ABX 1-2 weeks ago and has appt with ENT on 10/09/2006. Also reports client has severe migraines. Instructed to have client evaluated at school health center and told he had a cold in his kidney, because he was c/o back pain. Temp at health center was 99 deg. Family reports client feeling better today but still c/o back discomfort but client attending school.
Age: 18.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Malaise, Migraine, Musculoskeletal discomfort, Pyrexia, Rash macular
Clinical narrative: Father reports client looked funny about 15 minutes after injection. Face looked blotchy only ate 1/2 of lunch. Father reports about 1pm client said he had a headaches, felt warm, felt like he was going to be sick. Mother called at approx 2:20 to say client had headache. Denied any additional symptoms. Family reports client had problem with his ear popping this summer. Completed ABX 1-2 weeks ago and has appt with ENT on 10/09/2006. Also reports client has severe migraines. Instructed to have client evaluated at school health center and told he had a cold in his kidney, because he was c/o back pain. Temp at health center was 99 deg. Family reports client feeling better today but still c/o back discomfort but client attending school.
Age: 18.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Renal disorder
Clinical narrative: Father reports client looked funny about 15 minutes after injection. Face looked blotchy only ate 1/2 of lunch. Father reports about 1pm client said he had a headaches, felt warm, felt like he was going to be sick. Mother called at approx 2:20 to say client had headache. Denied any additional symptoms. Family reports client had problem with his ear popping this summer. Completed ABX 1-2 weeks ago and has appt with ENT on 10/09/2006. Also reports client has severe migraines. Instructed to have client evaluated at school health center and told he had a cold in his kidney, because he was c/o back pain. Temp at health center was 99 deg. Family reports client feeling better today but still c/o back discomfort but client attending school.
Age: 18.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Back pain, Decreased appetite, Feeling hot, Headache, Nausea
Clinical narrative: Father reports client looked funny about 15 minutes after injection. Face looked blotchy only ate 1/2 of lunch. Father reports about 1pm client said he had a headaches, felt warm, felt like he was going to be sick. Mother called at approx 2:20 to say client had headache. Denied any additional symptoms. Family reports client had problem with his ear popping this summer. Completed ABX 1-2 weeks ago and has appt with ENT on 10/09/2006. Also reports client has severe migraines. Instructed to have client evaluated at school health center and told he had a cold in his kidney, because he was c/o back pain. Temp at health center was 99 deg. Family reports client feeling better today but still c/o back discomfort but client attending school.
Age: 18.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Rash macular
Clinical narrative: Father reports client looked funny about 15 minutes after injection. Face looked blotchy only ate 1/2 of lunch. Father reports about 1pm client said he had a headaches, felt warm, felt like he was going to be sick. Mother called at approx 2:20 to say client had headache. Denied any additional symptoms. Family reports client had problem with his ear popping this summer. Completed ABX 1-2 weeks ago and has appt with ENT on 10/09/2006. Also reports client has severe migraines. Instructed to have client evaluated at school health center and told he had a cold in his kidney, because he was c/o back pain. Temp at health center was 99 deg. Family reports client feeling better today but still c/o back discomfort but client attending school.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Injection site induration, Injection site oedema, Tenderness
Clinical narrative: Swollen from shot area to elbow, hard and tender to touch. No redness or warmth.
Age: 25.0
Sex: F
Vaccine: FLUN3
Symptoms: Pruritus
Clinical narrative: Pt present about 30 mins after exposure to latex and about 45 mins after getting flu mist. Symptoms began with local itch on chin and progressed to itching all over. No dyspnea/ dizzy.
Age: 73.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Diarrhoea, Hypokinesia, Injection site pain, Pain, Vomiting
Clinical narrative: Pain in arm (unable to lift it high), extreme pain (as of this date I still have this pain, Vomit 3x on 10/06/06, diarrhea on 10/06/06.
Age: 63.0
Sex: F
Vaccine: TDAP
Symptoms: Blister, Injection site oedema, Injection site pain, Oral mucosal blistering
Clinical narrative: Pain, swelling at the site of injection 2-5 days after the injection. Blistering in the mouth and vagina 3-5 days after injections.
Age: 18.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Erythema in injection site and induration 5cm x 4cm. Painful.
Age: 69.0
Sex: F
Vaccine: HEP, HEPA, TDAP, TYP, HEP, HEPA, TDAP, TYP
Symptoms: Herpes zoster, Pain, Rash, Urticaria, Viral infection
Clinical narrative: Rash, hives, pain, shingles, per Dr unilateral left arm and neck.
Age: 69.0
Sex: F
Vaccine: HEP, HEPA, TDAP, TYP, HEP, HEPA, TDAP, TYP
Symptoms: Herpes zoster, Immune system disorder, Pain, Skin ulcer, Urticaria
Clinical narrative: Rash, hives, pain, shingles, per Dr unilateral left arm and neck.
Age: 69.0
Sex: F
Vaccine: HEP, HEPA, TDAP, TYP, HEP, HEPA, TDAP, TYP
Symptoms: Viral infection
Clinical narrative: Rash, hives, pain, shingles, per Dr unilateral left arm and neck.
Age: 27.0
Sex: F
Vaccine: ANTH
Symptoms: Headache, Injection site erythema, Injection site oedema, Injection site warmth, Nausea
Clinical narrative: The site injected turned red and swelled up to about 3 inches in diameter. the site remained swollen for a week and was hot to the touch. In addition to the site reaction, I became nauseated and had severe headaches for several days. The site is still swollen but has gone down to about an inch and a half in diameter, headaches are still present.
Age: 1.51
Sex: M
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Irritability, Pyrexia, Tremor
Clinical narrative: Shaky legs, Fussy, 102.0 fever.
Age: 1.3
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Rash papular
Clinical narrative: Pt developed papular, papulo-vesicular lesions. over face, upper and lower extremities, trunk. Mother stated they increase in number from calling the office to the time she was seen.
Age: 32.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Back pain, Muscle spasms, Skin nodule
Clinical narrative: Cramping in hips for 1 week, bilateral cramps and pain in hips and back. Cramping in right leg behind knee, felt hard to touch.
Age: 30.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Pyrexia, Tenderness
Clinical narrative: Erythema, tender, indurated deltoid and bilat upper arm. Fever to 102 over 4 days.
Age: 1.18
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Blister, Erythema, Rash papular
Clinical narrative: Developed blisters with erythema and papular face and trunk.
Age: 1.05
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Red bumps on shoulder and neck spread to chest, back, legs, and arms. C/o itchiness exposed to Varicella disease.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Fluid retention, Rash, Viral infection
Clinical narrative: 10/14/2006 rash appeared on torso. Came to office today for DX no fever, fluid filled vesicles. DX chicken pox.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth, Skin irritation
Clinical narrative: On 10/12/06 noted quarter size redness, swelling around 9:30am, did not want his shirt on, arm hurt, clothing irritated him. Shirt on at 2pm off at 9pm, mother seen swelling, redness, heat from shoulder down to the elbow. Able to move arm. Advice Benadryl 1 1/2 tsp PO Q 8, Ice pack PRN, Motrin 1 1/2 tsp PO Q 8.
Age: 46.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Pyrexia
Clinical narrative: Fever, Joint pain, started 24 hours after getting MMR.
Sex: F
Vaccine: HEP, TD
Symptoms: Lymphadenopathy, Oedema
Clinical narrative: About 24 hours after receipt of TD in left deltoid and Hep B 1 in right deltoid. Noted Swelling  to left clavicle and sternomastoid muscle. and lymphadenopathy no localized reaction at site, exam findings other wise neg. SX resolved with in 72 hours.
Age: 45.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Dizziness, Feeling cold, Hot flush, Injection site oedema
Clinical narrative: Presented with swelling and warmth left upper arm. Felt dizzy and nausea, ROM of arm increased pain no fever, hot and cold flashes. Erythromycin 500mg for potential cellulitis. Returns 2 days. 10/12/06 recheck arm swelling and pain better, dizziness and nausea resolved.
Age: 45.0
Sex: F
Vaccine: PPV
Symptoms: Injection site warmth, Joint range of motion decreased, Nausea
Clinical narrative: Presented with swelling and warmth left upper arm. Felt dizzy and nausea, ROM of arm increased pain no fever, hot and cold flashes. Erythromycin 500mg for potential cellulitis. Returns 2 days. 10/12/06 recheck arm swelling and pain better, dizziness and nausea resolved.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Left anterolaterol thigh reddened and Hot.
Age: 57.0
Sex: F
Vaccine: HPV4, MMR
Symptoms: Chest pain, Hypoaesthesia, Lymphadenopathy, Paraesthesia
Clinical narrative: 09/19/2006 MMR and HBV adm 1, 10/03/2006 swollen glands, numbness and tingling of arm and legs bilat. Pt called hotline and states she was told this was from the MMR. 10/15/06 chest pain. Pt wonders if this is related to immunizations.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, HIBV, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Rash
Clinical narrative: Left deltoid, redness, swelling, rash 9/30/06, gave Benadryl, swelling, redness, rash subsiding.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Injection site induration, Injection site oedema, Tenderness
Clinical narrative: 7-8 Hours after vaccination. Stated swelling, tender at site worsened, by next am in office 16x15cm indurated, tender.
Age: 1.03
Sex: F
Vaccine: FLU3, HEPA, HIBV, VARZOS, VARZOS
Symptoms: Medication error
Clinical narrative: Zostavax given to 1 year old child rather than ProQuad. Parents advised to watch for redness, swelling at inj site, C Pox rash in 1-3 wks, bring child in for ProQuad in 3 months.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARZOS, DTAP, VARZOS
Symptoms: Medication error
Clinical narrative: Zostavax given to 4 1/2 year old child rather than ProQuad. Parents advised to watch for redness, swelling at injection site, C pox rash in 1-3 weeks. Return child to clinic in 3 months for Varicella vaccine.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARZOS, DTAP, VARZOS
Symptoms: Medication error, Pyrexia, Wrong drug administered
Clinical narrative: Zostavax given to 4 1/2 year old child rather than ProQuad. Parents advised to watch for redness, swelling at injection site, C pox rash in 1-3 weeks. Return child to clinic in 3 months for Varicella vaccine.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Vomiting
Clinical narrative: Had Rota vaccine 10/12/06, vomiting x 2 at 10/16/06 night at home, office visit 10/17/06
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Bradycardia, Coma, Heart rate irregular, Musculoskeletal stiffness, Pallor
Clinical narrative: Administred VAQTA, then GARDASIL, immediately after GARDASIL child became unresponsive, stiff, pale about 30 sex. Child lost bladder control, pulse 46-55 after event, child alert and aware after events.  11/27/06 Received medical records from provider/reporter which reveal patient had LOC, tonic/clonic movements & loss of bladder control after received 2nd GARDASIL vax.  HR was 46-55.  This was the 3rd episode of LOC within a year (1st after tetanus shot, 2nd after finding a tick & 3rd after 2nd dose of GARDASIL).  PCP recommended cardiac & neuro w/u.  Received cardiac consultation which revealed final dx: probable fainting.  Holter monitor was WNL.  Awaiting neuro consult.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Syncope, Urinary incontinence
Clinical narrative: Administred VAQTA, then GARDASIL, immediately after GARDASIL child became unresponsive, stiff, pale about 30 sex. Child lost bladder control, pulse 46-55 after event, child alert and aware after events.  11/27/06 Received medical records from provider/reporter which reveal patient had LOC, tonic/clonic movements & loss of bladder control after received 2nd GARDASIL vax.  HR was 46-55.  This was the 3rd episode of LOC within a year (1st after tetanus shot, 2nd after finding a tick & 3rd after 2nd dose of GARDASIL).  PCP recommended cardiac & neuro w/u.  Received cardiac consultation which revealed final dx: probable fainting.  Holter monitor was WNL.  Awaiting neuro consult.
Age: 0.37
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Eye swelling, Oedema peripheral, Pyrexia, Rash, Vomiting
Clinical narrative: Fever, eyes puffy, rash on legs, legs swollen, vomiting. treatment Pedialyte for 24 hours, Motrin every 8 hrs as needed for fever.
Age: 47.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Hypokinesia, Joint range of motion decreased, Lymphadenopathy, Rash erythematous
Clinical narrative: Administered MMR Vaccine 06/15/06.  06/25/06 reported "rash" raised and irregular, beginning on arms, spreading to chest, trunk of body and legs.  Rash itched.  Reported joint pain throughoutbody that began 06/27/06.  Reported lymph glands in neck slightly swollen also.  06/28/06 reported symptoms were improving.  Treated rash, because of itching with oral antihistamine and obtained relief.  Treated aching with oral ibuprofen.  06/29/06 reported she continued to have joint pain throughout body to point that she had difficulty raising her arms up and lifing her feetas well as some limited sensation in some of her fingers on one of her hands.  Sought medical attention 06/29/06. Completed blood testing for rheumatoid arthritis and did a sed rate.  Results were both at the "high end of normal".  Was taken off two medications to determine if these possibly were causing a reaction.  (Lipitor and Bactrim DS)  MD requested she restart medications one month apart after resolution of symptoms.  Patient reports she did restart medications without difficulty.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Lymphadenopathy, Pain, Pyrexia, Swelling
Clinical narrative: Patient developed a sore arm the same day and it worsened by Sunday. She developed lymph node swelling under the left arm with pain and tenderness. Patient may have had a fever, but never took her temperature to verify.
Age: 3.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Infection, Injection site infection, Injection site swelling
Clinical narrative: SWELLING AT SITE OF INJECTION WITH SECONDARY INFECTION 2 DAYS LATER.  3/16/07 Received medical records from PCP/hospital clinic which reveal patient hospitalized x 3 days for swelling, infuration & erythema of right arm where received DTaP & Hep A as catch up vax due to loss of vax records.  Dx w/cellulitis/abscess formation.  Tx w/IV antibiotics then d/c to home on oral antibiotics for 7 more days. When seen 10/16, was asymtomatic. PMH: intermittent asthma since age 6 mos; eczema; obesity; speech & developmental delays at age 2 yrs; dx w/autism at age 2.5 yrs. Plumbism (lead poisoning) dx 8/05. Birth HX: 41 wks, 7 lbs 8 oz.  Uncomplicated. Family Hx: cousins w/sickle cell; autistic aunt & uncle. LABS: high lead level of 14 8/05. FINAL DX: Cellulitis/abscess formation. 4/6/07 Received medical records from hospital which reveal patient experienced swelling & redness of RUE.  Admitted 10/5/06-10/7/06 following vax on 10/3/06.  Also had diarrhea w/abdominal cramping on day of admission.  Temp in ER was 100.  Tx w/IV antibiotics.  Patient progressed well & was d/c home on continued oral antibiotics & to f/u in clinic. FINAL DX: Right upper extremity cellulitis, resolving.
Age: 0.02
Sex: M
Vaccine: HIBV, MMRV
Symptoms: Pruritus, Pyrexia, Rash papular
Clinical narrative: Elevated fever 8 days later papular rash with itch appeared on face and spread all over body. Seen in clinic 12 days after immunization given.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain, Swelling
Clinical narrative: Patient called indicating that her right arm was swollen, sore.  This is the arm she recieved the pneumonia shot in.....  She applied ice to her right arm.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Swelling, Urticaria
Clinical narrative: Client called us indicating that her arm swelled, and exhibited hives.  She called her physician and us to report the incident.
Age: 51.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site warmth, Pyrexia, Swelling
Clinical narrative: Arm was swollen, hot to the touch...client indicated temperature of 102.  Client called her physician....doctor ordered antibiotics/ibuprofen.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: Pain shooting down back and arms.  She put ice on it and elevated her arm...
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site warmth, Skin striae
Clinical narrative: REDDENED AREA APPEARED 1 DAY AFTER INJECTION. AREA MEASURES 7.5CM X 4.5CM. AREA ALSO HAS RED STRECK INTO AXILLA AREA. AREA IS WARM TO TOUCH.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Patient received an influenza vaccination at hospital sponsored clinic for employees at approximately 8:30am.  She began to experience itching of the hands approximately 2 hours later, developed generalized hives - seen by Nurse, immediately escorted to Emergency Dept - received IV fluids, IV solumedrol, oral benadryl, albuterol via neb(has asthma).  Discharged home after treatment.  Instructed to remain out of work for one additional day.
Age: 68.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Redness & Swelling & itching
Age: 58.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site warmth, Skin nodule
Clinical narrative: Left deltoid noted warm to touch, redness with 1.0cm X 1.5cm nodule.  Dr. assessed area; ordered cool cloth then warm compress.
Age: 1.48
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Agitation, Dyskinesia, Febrile convulsion, Listless, Tremor
Clinical narrative: FEVER AND GRAND MAL SEIZURE. WAS MILDLY GROUCHY IN THE AFTERNOON. FELT WARM AT 4PM ONE DAY PRIOR TO ADMISSION. FAMILY WAS READY TO GIVE TYLENOL, SHE BECAME LISTLESS AND BEGAN TO SHAKE ALL EXTREMITIES. CALLED 911.THAN BEGAN WITH TONIC CLONIC MOVEMENTS. EMTS TOOK TEMP, IT WAS 106F. TONIC CLONIC LASTED HALF AN HOUR. FAMILY REPORTED MILD UPPER RESPIRATORY SYMPTOMS, EATING WELL ALTHOUGH DECREASED IN AM.SHE HAS HAD RED CHEEKS SINCE FRIDAY. NO NAUSEA OR VOMITING. 10/24/06 Received medical records from PCP which reveal that patient had temp of 99.0 on day of vax.  Taking cows milk.  +GERD.  HX: chickenpox 2/06 & developed fever & cellulitis./ss 11/7/06 Received medical records from hospital which reveal patient admitted 10/15/06-10/17/06 for febrile seizures.  Presented to ER after having seizure for approx 30 min w/fever greater than 106. Ped neuro consult done & included w/D/C summary. Family hx: several paternal aunts w/febrile seizures as children.  Final Dx: Febrile seizures./ss
Age: 1.48
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Vomiting
Clinical narrative: FEVER AND GRAND MAL SEIZURE. WAS MILDLY GROUCHY IN THE AFTERNOON. FELT WARM AT 4PM ONE DAY PRIOR TO ADMISSION. FAMILY WAS READY TO GIVE TYLENOL, SHE BECAME LISTLESS AND BEGAN TO SHAKE ALL EXTREMITIES. CALLED 911.THAN BEGAN WITH TONIC CLONIC MOVEMENTS. EMTS TOOK TEMP, IT WAS 106F. TONIC CLONIC LASTED HALF AN HOUR. FAMILY REPORTED MILD UPPER RESPIRATORY SYMPTOMS, EATING WELL ALTHOUGH DECREASED IN AM.SHE HAS HAD RED CHEEKS SINCE FRIDAY. NO NAUSEA OR VOMITING. 10/24/06 Received medical records from PCP which reveal that patient had temp of 99.0 on day of vax.  Taking cows milk.  +GERD.  HX: chickenpox 2/06 & developed fever & cellulitis./ss 11/7/06 Received medical records from hospital which reveal patient admitted 10/15/06-10/17/06 for febrile seizures.  Presented to ER after having seizure for approx 30 min w/fever greater than 106. Ped neuro consult done & included w/D/C summary. Family hx: several paternal aunts w/febrile seizures as children.  Final Dx: Febrile seizures./ss
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pruritus, Pyrexia
Clinical narrative: Noted redness left deltoid with itcing and fever 101 degrees.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Breast mass, Pain, Urticaria
Clinical narrative: Soreness, Hives & lumps under axillary to breast area.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Pain
Clinical narrative: Real sore.  Little bit of chills, No swelling or redness. Left arm/pneumonia shot.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site hypersensitivity, Injection site pain, Pain, Pyrexia
Clinical narrative: Day of injection 10-16-06 Felt sore, 10-17-06 Ache, feverish took tylenol, still feverish yesterday 10-18-06.  Continued to be sensitive at site of injection left arm. 10-19-06 seen by provider for above, treatment-no more td recommendation by provider.
Age: 13.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Bacterial infection, Condition aggravated, Eczema, Injection site induration, Injection site inflammation
Clinical narrative: At site of Varivax injection developed a week later an inflammatous indurated 1 cm lesion and centered pustule with  before or  with sites,  rash all over. 10/23/06 Received medical records from PCP which reveal patient seen in clinic 10/3/06 w/dx: acute flare up of chronic eczema x 2 days, worst on legs. Vomited & nauseated. Exam revealed warmth & swelling of bilateral LEs from knee to ankles.  Tx w/triamcinalone, moisturizers, atarax & prednisone.  Also given vax that visit.  Next note is for 10/18 for severe eczema, probable staph infection & scalded skin syndrome.  Presented with painful blisters on both hands x 1 day after having been recently hospitalized on 10/10 for eczema flare up.  Referred to rheumatology clinic for lupus w/u.  Blisters were fluid filled on palms with redness & warmth extending up the arms & edema of LEs & hands.  Entire trunk covere with fine erythematous macpap rash.   Varivax injection site with erythematous base pustular lesion with umbilication. Dx at that visit was: cellulitis, probable staph aureus; eczema severe; and varivax vaccine reaction.  She was admitted to hospital that day & consults with dermatology & rheumatology were requested. 12/4/06 Received medical records from hospital which reveal pateint admitted 10/8-10/10/06 for itchy rash & was noted to be globally edematous.  Thought to be atopic dermatitis exacerbation or diffuse erythoderma possiblya drug reaction (Keflex she was on for UTI).  Treated w/steroids & derm consult & rheum consults were done.   Final Dx: Eczema, exacerbation. Readmitted to hospital 10/18-10/23/06 for rash & blisters on hands as well as skin peeling on LEs.  Also had UTI 3 wks prior to admit & pleuritic rash on both calves which resolved but began with edema from ankles to face.  Finished steroids on 10/16. Noted to have vesicular rash on back, face, chest & wrists.  There was diffuse erythema of feet, legs & hands.  A different bolus rash was noted on palms & multiple denuded areas on both feet.  Rheum, Derm & ID consults revealed dx: erythroderma, bullae, acneiform & vesicles highly suggestive of varicella & staph or strep toxin production and perhaps vaccine strain varicella mild.  Started on anti virals & antibiotics & placed in isolation.   Final Dx: likely toxin mediated dermatitis.
Age: 13.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Laboratory test abnormal, Nausea, Oedema peripheral, Rash, Skin ulcer
Clinical narrative: At site of Varivax injection developed a week later an inflammatous indurated 1 cm lesion and centered pustule with  before or  with sites,  rash all over. 10/23/06 Received medical records from PCP which reveal patient seen in clinic 10/3/06 w/dx: acute flare up of chronic eczema x 2 days, worst on legs. Vomited & nauseated. Exam revealed warmth & swelling of bilateral LEs from knee to ankles.  Tx w/triamcinalone, moisturizers, atarax & prednisone.  Also given vax that visit.  Next note is for 10/18 for severe eczema, probable staph infection & scalded skin syndrome.  Presented with painful blisters on both hands x 1 day after having been recently hospitalized on 10/10 for eczema flare up.  Referred to rheumatology clinic for lupus w/u.  Blisters were fluid filled on palms with redness & warmth extending up the arms & edema of LEs & hands.  Entire trunk covere with fine erythematous macpap rash.   Varivax injection site with erythematous base pustular lesion with umbilication. Dx at that visit was: cellulitis, probable staph aureus; eczema severe; and varivax vaccine reaction.  She was admitted to hospital that day & consults with dermatology & rheumatology were requested. 12/4/06 Received medical records from hospital which reveal pateint admitted 10/8-10/10/06 for itchy rash & was noted to be globally edematous.  Thought to be atopic dermatitis exacerbation or diffuse erythoderma possiblya drug reaction (Keflex she was on for UTI).  Treated w/steroids & derm consult & rheum consults were done.   Final Dx: Eczema, exacerbation. Readmitted to hospital 10/18-10/23/06 for rash & blisters on hands as well as skin peeling on LEs.  Also had UTI 3 wks prior to admit & pleuritic rash on both calves which resolved but began with edema from ankles to face.  Finished steroids on 10/16. Noted to have vesicular rash on back, face, chest & wrists.  There was diffuse erythema of feet, legs & hands.  A different bolus rash was noted on palms & multiple denuded areas on both feet.  Rheum, Derm & ID consults revealed dx: erythroderma, bullae, acneiform & vesicles highly suggestive of varicella & staph or strep toxin production and perhaps vaccine strain varicella mild.  Started on anti virals & antibiotics & placed in isolation.   Final Dx: likely toxin mediated dermatitis.
Age: 13.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Vaccination complication, Vomiting
Clinical narrative: At site of Varivax injection developed a week later an inflammatous indurated 1 cm lesion and centered pustule with  before or  with sites,  rash all over. 10/23/06 Received medical records from PCP which reveal patient seen in clinic 10/3/06 w/dx: acute flare up of chronic eczema x 2 days, worst on legs. Vomited & nauseated. Exam revealed warmth & swelling of bilateral LEs from knee to ankles.  Tx w/triamcinalone, moisturizers, atarax & prednisone.  Also given vax that visit.  Next note is for 10/18 for severe eczema, probable staph infection & scalded skin syndrome.  Presented with painful blisters on both hands x 1 day after having been recently hospitalized on 10/10 for eczema flare up.  Referred to rheumatology clinic for lupus w/u.  Blisters were fluid filled on palms with redness & warmth extending up the arms & edema of LEs & hands.  Entire trunk covere with fine erythematous macpap rash.   Varivax injection site with erythematous base pustular lesion with umbilication. Dx at that visit was: cellulitis, probable staph aureus; eczema severe; and varivax vaccine reaction.  She was admitted to hospital that day & consults with dermatology & rheumatology were requested. 12/4/06 Received medical records from hospital which reveal pateint admitted 10/8-10/10/06 for itchy rash & was noted to be globally edematous.  Thought to be atopic dermatitis exacerbation or diffuse erythoderma possiblya drug reaction (Keflex she was on for UTI).  Treated w/steroids & derm consult & rheum consults were done.   Final Dx: Eczema, exacerbation. Readmitted to hospital 10/18-10/23/06 for rash & blisters on hands as well as skin peeling on LEs.  Also had UTI 3 wks prior to admit & pleuritic rash on both calves which resolved but began with edema from ankles to face.  Finished steroids on 10/16. Noted to have vesicular rash on back, face, chest & wrists.  There was diffuse erythema of feet, legs & hands.  A different bolus rash was noted on palms & multiple denuded areas on both feet.  Rheum, Derm & ID consults revealed dx: erythroderma, bullae, acneiform & vesicles highly suggestive of varicella & staph or strep toxin production and perhaps vaccine strain varicella mild.  Started on anti virals & antibiotics & placed in isolation.   Final Dx: likely toxin mediated dermatitis.
Age: 5.0
Sex: M
Vaccine: FLUN3, HEPA, MMRV
Symptoms: Cellulitis, Injection site erythema, Injection site oedema
Clinical narrative: 10/14/2006 pt presented with lateral thigh edema, erythema, cellulitis at site treated for cellulitis with Augmentin.
Age: 1.27
Sex: M
Vaccine: FLU3, HEPA, VARCEL
Symptoms: Pyrexia, Vomiting
Clinical narrative: Fever 102, vomited x 1
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site oedema, Urticaria
Clinical narrative: Hives around eye several hours afterwards. The next day redness, swelling at injection site.
Age: 28.0
Sex: F
Vaccine: TD
Symptoms: Injection site oedema, Injection site warmth, Tenderness
Clinical narrative: Localized area of swelling, warmth, tenderness. (about 5cm in diameter), TX with Keflex and Tylenol 3.
Age: 15.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Angioneurotic oedema, Decreased appetite, Feeling hot
Clinical narrative: Telephone call from mom she stated 4 hours after immunization pt started to get super hives all over body, that got worse through out day, no fever, skin hot to touch, decreased appetite. Treated only with warm bath, ice, continued through night but in am almost all gone.
Age: 15.0
Sex: F
Vaccine: HPV4, TDAP, DTAP, HPV4
Symptoms: Blister, Eosinophil count increased, Herpes simplex, Herpes simplex serology negative, Lip swelling
Clinical narrative: Received Tdap and HPV vaccine on 10/16/2006 noticed some blisters at the corner of mouth and swelling of lower lip on the evening of 10/18/2006 and facial swelling around eyes on 10/19/06. No fever, headache, dizziness or any GI symptoms. Information has been received from  nurse manager in a physician's office concerning a 15 year old female who on 16-OCT-2006 at 1600 was vaccinated in the right deltoid with the first dose of GARDASIL (lot # 653937/0637P). Concomitant therapy that day included DTP. Subsequently, the patient experienced an allergic reaction, her face and body began to swell. The physician recommended the patient take an unspecified dose of BENADRYL. After raking BENADRYL the patient's face and body swelling "went down". On 20-OCT-2006 it was reported that "the swelling became worse again". At the time of this report the patient had not recovered from the event. Follow up information was received from the patient's physician which stated that on 18-OCT-2006 the patient developed blisters in the corners of her mouth and swelling of her lip and face and she was seen in the office. She was treated with acyclovir for possible herpes simplex. Laboratory results from 19-OCT-2006 included HSV type 1 and/or 2 was 11% and Herpes simplex virus culture was negative. On approximately 23-OCT-2006 the patient was considered to have recovered from these events. On 02-NOV-2006 the patient reported swelling on her face and lower lip again. Laboratory results that same day included serum herpes simplex type 1 IgG Ab 5.6 and a eosinophil count of 11%. The physician reported that the patient recovered from these events on an unspecified date. This report was identified from a line listing obtained on request by the Company. A 15 year old female with no pre-existing conditions was vaccinated in 16-OCT-2006, intramuscularly into the right arm with GARDASIL (lot#653937/0637F). Concomitant therapy that day included DTAP (Lot # C2572AA), vaccinated into the left arm (route unknown). The patient noticed on the evening of 18-OCT-2006, some blisters at the corner of her mouth and swelling of lower lip and facial swelling around her eyes ib 19-OCT-2006. There was no reported fever, headche, dizziness or any gastrointestinal symptoms.  Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HPV4, TDAP, DTAP, HPV4
Symptoms: Swelling face
Clinical narrative: Received Tdap and HPV vaccine on 10/16/2006 noticed some blisters at the corner of mouth and swelling of lower lip on the evening of 10/18/2006 and facial swelling around eyes on 10/19/06. No fever, headache, dizziness or any GI symptoms. Information has been received from  nurse manager in a physician's office concerning a 15 year old female who on 16-OCT-2006 at 1600 was vaccinated in the right deltoid with the first dose of GARDASIL (lot # 653937/0637P). Concomitant therapy that day included DTP. Subsequently, the patient experienced an allergic reaction, her face and body began to swell. The physician recommended the patient take an unspecified dose of BENADRYL. After raking BENADRYL the patient's face and body swelling "went down". On 20-OCT-2006 it was reported that "the swelling became worse again". At the time of this report the patient had not recovered from the event. Follow up information was received from the patient's physician which stated that on 18-OCT-2006 the patient developed blisters in the corners of her mouth and swelling of her lip and face and she was seen in the office. She was treated with acyclovir for possible herpes simplex. Laboratory results from 19-OCT-2006 included HSV type 1 and/or 2 was 11% and Herpes simplex virus culture was negative. On approximately 23-OCT-2006 the patient was considered to have recovered from these events. On 02-NOV-2006 the patient reported swelling on her face and lower lip again. Laboratory results that same day included serum herpes simplex type 1 IgG Ab 5.6 and a eosinophil count of 11%. The physician reported that the patient recovered from these events on an unspecified date. This report was identified from a line listing obtained on request by the Company. A 15 year old female with no pre-existing conditions was vaccinated in 16-OCT-2006, intramuscularly into the right arm with GARDASIL (lot#653937/0637F). Concomitant therapy that day included DTAP (Lot # C2572AA), vaccinated into the left arm (route unknown). The patient noticed on the evening of 18-OCT-2006, some blisters at the corner of her mouth and swelling of lower lip and facial swelling around her eyes ib 19-OCT-2006. There was no reported fever, headche, dizziness or any gastrointestinal symptoms.  Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HPV4, TDAP, DTAP, HPV4
Symptoms: Hypersensitivity, Swelling
Clinical narrative: Received Tdap and HPV vaccine on 10/16/2006 noticed some blisters at the corner of mouth and swelling of lower lip on the evening of 10/18/2006 and facial swelling around eyes on 10/19/06. No fever, headache, dizziness or any GI symptoms. Information has been received from  nurse manager in a physician's office concerning a 15 year old female who on 16-OCT-2006 at 1600 was vaccinated in the right deltoid with the first dose of GARDASIL (lot # 653937/0637P). Concomitant therapy that day included DTP. Subsequently, the patient experienced an allergic reaction, her face and body began to swell. The physician recommended the patient take an unspecified dose of BENADRYL. After raking BENADRYL the patient's face and body swelling "went down". On 20-OCT-2006 it was reported that "the swelling became worse again". At the time of this report the patient had not recovered from the event. Follow up information was received from the patient's physician which stated that on 18-OCT-2006 the patient developed blisters in the corners of her mouth and swelling of her lip and face and she was seen in the office. She was treated with acyclovir for possible herpes simplex. Laboratory results from 19-OCT-2006 included HSV type 1 and/or 2 was 11% and Herpes simplex virus culture was negative. On approximately 23-OCT-2006 the patient was considered to have recovered from these events. On 02-NOV-2006 the patient reported swelling on her face and lower lip again. Laboratory results that same day included serum herpes simplex type 1 IgG Ab 5.6 and a eosinophil count of 11%. The physician reported that the patient recovered from these events on an unspecified date. This report was identified from a line listing obtained on request by the Company. A 15 year old female with no pre-existing conditions was vaccinated in 16-OCT-2006, intramuscularly into the right arm with GARDASIL (lot#653937/0637F). Concomitant therapy that day included DTAP (Lot # C2572AA), vaccinated into the left arm (route unknown). The patient noticed on the evening of 18-OCT-2006, some blisters at the corner of her mouth and swelling of lower lip and facial swelling around her eyes ib 19-OCT-2006. There was no reported fever, headche, dizziness or any gastrointestinal symptoms.  Additional information has been requested.
Age: 1.82
Sex: F
Vaccine: DTAP, HEPA, HIBV
Symptoms: Blister, Erythema, Fluid retention, Flushing
Clinical narrative: 3:30pm received shots, 3:35pm face covered especially around mouth with many small fluid filled spots. face red and flushed. 3:40 pm Dr to see and ordered Benadryl PO 6cc given. 4:05 pm resolved. Mother to talk child to Dr 1/18/06.
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Apnoea
Clinical narrative: Pt became dramatically apneic 5 days after receiving flu vaccine. No other SX noted.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site reaction, Injection site warmth
Clinical narrative: Cellulitis right thigh 10x12.5 cm induration, warmness and erythema.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Pain, Pyrexia
Clinical narrative: Redness, Swelling, tenderness, induration  to left thigh, measuring 12x13cm. Tylenol was prescribed for fever/pain.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Tenderness
Clinical narrative: Redness, Swelling, tenderness, induration  to left thigh, measuring 12x13cm. Tylenol was prescribed for fever/pain.
Age: 0.11
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, RV5
Symptoms: Coma, Sudden infant death syndrome
Clinical narrative: Apparent sudden infant death syndrome, fed normally at 1am, found unresponsive at 5:30am.
Age: 0.11
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, RV5
Symptoms: Sudden infant death syndrome
Clinical narrative: Apparent sudden infant death syndrome, fed normally at 1am, found unresponsive at 5:30am.
Age: 46.0
Sex: F
Vaccine: HEPAB, TYP
Symptoms: Blood pressure decreased, Dyspnoea, Flushing, Heart rate increased
Clinical narrative: Seriousness criteria other medically significant (OMIC). Initial report received on 10/10/06 from a health care professional. A 46 year old female pt, with a history of sinus problems, who takes Claritin and Zyrtec, had received a first, IM right deltoid dose of Typhim VI, lot number V0122-2, and a first , IM left deltoid dose of Twinrix, lot number AHABB068BB on 10/10/06 at 10:00am. At an specified amount of time later, on 10/10/06, the pt developed raspy breathing and flushing of her skin. Her blood pressure was 94/72 and heart rate was 150. The pt was transferred to the ER for further evaluation. Per the reporter, it was unknown what treatments, diagnostic testing or lab date were performed. At the time of this report, the recovery status of the pt was unk.
Sex: U
Vaccine: RV5
Symptoms: Apnoea
Clinical narrative: Information has been received from a physician concerning a pt who was vaccinated with the first dose of rotavirus vaccine. The physician reported that the pt subsequently stopped breathing. It was unk if medical attention was sought. The pt was considered to be recovered as they were noted to be ok and fine. Upon internal review, stopped breathing was determined to be an other important medical event (OMIC). Additional information has been requested.
Age: 0.6
Sex: F
Vaccine: FLUX
Symptoms: Agitation, Aspiration, Asthenia, Atelectasis, CSF test abnormal
Clinical narrative: 12/25/2004 Seen in ER for 2 week HX of cough, runny nose, weakness, crying. Not admitted 12/29/04 admitted to medical center diag with Guillain Barr syndrome. Hosp 2 weeks diag with dysphegia, tube fed for 3 months.   12/18/06 Received hospital medical records which indicate patient was hospitalized 12/29/2004-1/12/2005. Final Dx: Guillian Barre Syndrome; LLL atelectasis; swallowing difficulties/aspiration. Records reveal patient experienced gradual worsening of cough, respiratory distress & difficulty feeding over 2 weeks.  Gradual lethargy leading to loss of head control & limb movement. PCP treated for reactive airway diseas on 3 visits & was seen in ER x 1 for stridor secondary to viral syndrome.  Neuro consult done.  Noted to have general hypotonia with grunting respirations.  Treated w/IVIG.  Slow improvement.  PT/OT/feeding consults done with slow improvement.  Remained on NG tube feeds at d/c to home with Home Health nursing.
Age: 0.6
Sex: F
Vaccine: FLUX
Symptoms: Cough, Dysphagia, Feeding disorder neonatal, Guillain-Barre syndrome, Hypotonia
Clinical narrative: 12/25/2004 Seen in ER for 2 week HX of cough, runny nose, weakness, crying. Not admitted 12/29/04 admitted to medical center diag with Guillain Barr syndrome. Hosp 2 weeks diag with dysphegia, tube fed for 3 months.   12/18/06 Received hospital medical records which indicate patient was hospitalized 12/29/2004-1/12/2005. Final Dx: Guillian Barre Syndrome; LLL atelectasis; swallowing difficulties/aspiration. Records reveal patient experienced gradual worsening of cough, respiratory distress & difficulty feeding over 2 weeks.  Gradual lethargy leading to loss of head control & limb movement. PCP treated for reactive airway diseas on 3 visits & was seen in ER x 1 for stridor secondary to viral syndrome.  Neuro consult done.  Noted to have general hypotonia with grunting respirations.  Treated w/IVIG.  Slow improvement.  PT/OT/feeding consults done with slow improvement.  Remained on NG tube feeds at d/c to home with Home Health nursing.
Age: 0.6
Sex: F
Vaccine: FLUX
Symptoms: Lethargy, Respiratory distress, Rhinorrhoea, Viral infection
Clinical narrative: 12/25/2004 Seen in ER for 2 week HX of cough, runny nose, weakness, crying. Not admitted 12/29/04 admitted to medical center diag with Guillain Barr syndrome. Hosp 2 weeks diag with dysphegia, tube fed for 3 months.   12/18/06 Received hospital medical records which indicate patient was hospitalized 12/29/2004-1/12/2005. Final Dx: Guillian Barre Syndrome; LLL atelectasis; swallowing difficulties/aspiration. Records reveal patient experienced gradual worsening of cough, respiratory distress & difficulty feeding over 2 weeks.  Gradual lethargy leading to loss of head control & limb movement. PCP treated for reactive airway diseas on 3 visits & was seen in ER x 1 for stridor secondary to viral syndrome.  Neuro consult done.  Noted to have general hypotonia with grunting respirations.  Treated w/IVIG.  Slow improvement.  PT/OT/feeding consults done with slow improvement.  Remained on NG tube feeds at d/c to home with Home Health nursing.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Pain, Rash macular
Clinical narrative: Had pneumonia vaccine on 10/17/2006 states was sore that evening. Noticed the following day red streaks near vaccine. On 10/19 states, has several blotches on front and back of arm.