chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 75.0
Sex: F
Vaccine: TDAP
Symptoms: Pain
Clinical narrative: Delayed onset Right deltoid arm pain. Started 2 weeks after injection. Patient sent for physical therapy.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Skin ulcer, Swelling
Clinical narrative: Large (20cmx15cm) erythematous, hot, swollen lesion on Right upper thigh.
Age: 1.06
Sex: M
Vaccine: FLU3, HEPA, PNC
Symptoms: Contusion, Petechiae, Platelet count decreased, Thrombocytopenia, White blood cell count increased
Clinical narrative: Thrombocytopenia, with platelet count of 17,000, developed on Dec. 7.  Patient had received vaccines on Dec. 6. 12/14/06 Received medical records from provider which reveal hospital labs of 12/8/06 with platelets of 17,000, segs 46, lymphs 40 compatible with ITP. 1/2/07 Received hospital medical records which reveal patient admitted 12/8/06 with spontaneous bruising & petechiae.  Improved & d/c to home 12/10 w/heme f/u.  No d/c summary available. HPI: diarrhea several days prior to admission, bruising/petechiae 1 day prior to admission on forehead, neck, arms, legs abdomen & buttocks.  Patient had been seen by PCP 2 days prior to admit for well child vs & given vax.  Took back to PCP & CBC revealed WBC of 8.72, plts 17,000, 46 % segs, 1% bands, 40% lymphs, 6% monos, 1% eos. ADMIT DX: probable ITP idiopathic thrombocytopenic purpura.
Age: 43.0
Sex: F
Vaccine: DTAP
Symptoms: Headache, Injection site erythema, Injection site induration, Injection site mass, Pain
Clinical narrative: Approximately 12 hours after shot (Adacel)administered, upper part of right arm became bright red, very hot, and hard lump the size of walnut appeared at site. Arm became very painful and doctor on untit suggested a visit to the ER. Continued to have arm pain and swelling for several days as well as as moderate headache. Went to ER on 11/23. Instructed to apply ice and take benadryl
Age: 43.0
Sex: F
Vaccine: DTAP
Symptoms: Swelling
Clinical narrative: Approximately 12 hours after shot (Adacel)administered, upper part of right arm became bright red, very hot, and hard lump the size of walnut appeared at site. Arm became very painful and doctor on untit suggested a visit to the ER. Continued to have arm pain and swelling for several days as well as as moderate headache. Went to ER on 11/23. Instructed to apply ice and take benadryl
Age: 0.0
Sex: F
Vaccine: DTAP
Symptoms: Dizziness, Headache, Pain, Rash
Clinical narrative: Employee received mandatory TDaP (Adacel) vaccine at 1100. Experienced severe arm soreness, rash on neck and chest, headache, and lightheadedness at 1430.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Chills, Decreased appetite, Erythema, Feeling hot
Clinical narrative: Employee receveid DTap shot (Adacel). 57YO female  who is a nurse with history of  DM type II presents with left arm edema, erythema and pain.  She states that on Thursday she had her DPT shot and had no pain, or fevers.  On Friday she noted that while at work 7-8/10 pain with increased warmth and swelling and she used ice. Over Saturday and Sunday she began to have" flu like symptoms", including fever, chills and sore throat with HA.  She has had decreased appetite and has had some nausea.  She took vitamin C for sore throat and two Tylenol with some relief.  She note increased axillary pain especially with movement and decided to come to hospital for cellulitis.   She denies vomiting, SOB, CP, diarrhea, constipation, or current sore throat, chills, fever or HA.  MR received revealing an a 1 night ER admit for a c/o left arm pain, erythema, and edema which began 1 day s/p DTaP vax.  This progressed to "flu-like symptoms" (fever, chills, sore throat) 24 hours after initial symptoms.   PE: WNL except 8 cm. erythematous, edematous, raised lesion, warm to touch. DX: Cellulitis s/p vaccination. Tx'd with IV and po clindamycin.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Influenza like illness, Nausea, Oedema, Pain
Clinical narrative: Employee receveid DTap shot (Adacel). 57YO female  who is a nurse with history of  DM type II presents with left arm edema, erythema and pain.  She states that on Thursday she had her DPT shot and had no pain, or fevers.  On Friday she noted that while at work 7-8/10 pain with increased warmth and swelling and she used ice. Over Saturday and Sunday she began to have" flu like symptoms", including fever, chills and sore throat with HA.  She has had decreased appetite and has had some nausea.  She took vitamin C for sore throat and two Tylenol with some relief.  She note increased axillary pain especially with movement and decided to come to hospital for cellulitis.   She denies vomiting, SOB, CP, diarrhea, constipation, or current sore throat, chills, fever or HA.  MR received revealing an a 1 night ER admit for a c/o left arm pain, erythema, and edema which began 1 day s/p DTaP vax.  This progressed to "flu-like symptoms" (fever, chills, sore throat) 24 hours after initial symptoms.   PE: WNL except 8 cm. erythematous, edematous, raised lesion, warm to touch. DX: Cellulitis s/p vaccination. Tx'd with IV and po clindamycin.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Pharyngolaryngeal pain, Pyrexia, Swelling
Clinical narrative: Employee receveid DTap shot (Adacel). 57YO female  who is a nurse with history of  DM type II presents with left arm edema, erythema and pain.  She states that on Thursday she had her DPT shot and had no pain, or fevers.  On Friday she noted that while at work 7-8/10 pain with increased warmth and swelling and she used ice. Over Saturday and Sunday she began to have" flu like symptoms", including fever, chills and sore throat with HA.  She has had decreased appetite and has had some nausea.  She took vitamin C for sore throat and two Tylenol with some relief.  She note increased axillary pain especially with movement and decided to come to hospital for cellulitis.   She denies vomiting, SOB, CP, diarrhea, constipation, or current sore throat, chills, fever or HA.  MR received revealing an a 1 night ER admit for a c/o left arm pain, erythema, and edema which began 1 day s/p DTaP vax.  This progressed to "flu-like symptoms" (fever, chills, sore throat) 24 hours after initial symptoms.   PE: WNL except 8 cm. erythematous, edematous, raised lesion, warm to touch. DX: Cellulitis s/p vaccination. Tx'd with IV and po clindamycin.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Vaccine adminstered 12/7/06 in the evening.  On 12/9/06 am noticed 3 to 4 inch long by 2-1/2 to 3 inch bright red area indurated to approx 1 inch with warmth at injection site.  Denied pain at sight.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: SWELLING OF LEFT ARM NEAR INJECTION SITE, 1 1/2'' IN WIDTH, REDNESS, PT.'S SYMPTOMS RESOLVED
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site haemorrhage, Injection site induration, Injection site pain
Clinical narrative: Pt complained of pain and redness at injection site following injection, 48 hours following injection developed significant pain and an area of induration with three red hematoma-appearing areas
Age: 42.0
Sex: M
Vaccine: FLUX, PPV, FLUX, PPV
Symptoms: Confusional state, Dizziness, Facial bones fracture, Grand mal convulsion, Head injury
Clinical narrative: severe swelling and pain in arms high fever nausea headache grand mal seizure loss of consciussness head injury with broken nose hearing and vision problems dizziness mental confusion muscle weakness lethargy
Age: 42.0
Sex: M
Vaccine: FLUX, PPV, FLUX, PPV
Symptoms: Headache, Hearing impaired, Lethargy, Loss of consciousness, Muscular weakness
Clinical narrative: severe swelling and pain in arms high fever nausea headache grand mal seizure loss of consciussness head injury with broken nose hearing and vision problems dizziness mental confusion muscle weakness lethargy
Age: 42.0
Sex: M
Vaccine: FLUX, PPV, FLUX, PPV
Symptoms: Nausea, Pain in extremity, Pyrexia, Swelling, Visual disturbance
Clinical narrative: severe swelling and pain in arms high fever nausea headache grand mal seizure loss of consciussness head injury with broken nose hearing and vision problems dizziness mental confusion muscle weakness lethargy
Age: 42.0
Sex: M
Vaccine: FLUX, PPV, FLUX, PPV
Symptoms: Confusional state, Dizziness, Grand mal convulsion, Headache, Hearing impaired
Clinical narrative: severe swelling and pain in arms high fever nausea headache grand mal seizure loss of consciussness head injury with broken nose hearing and vision problems dizziness mental confusion muscle weakness lethargy
Age: 42.0
Sex: M
Vaccine: FLUX, PPV, FLUX, PPV
Symptoms: Injury, Lethargy, Loss of consciousness, Mental impairment, Muscular weakness
Clinical narrative: severe swelling and pain in arms high fever nausea headache grand mal seizure loss of consciussness head injury with broken nose hearing and vision problems dizziness mental confusion muscle weakness lethargy
Age: 42.0
Sex: M
Vaccine: FLUX, PPV, FLUX, PPV
Symptoms: Nausea, Oedema, Pain, Pyrexia, Visual disturbance
Clinical narrative: severe swelling and pain in arms high fever nausea headache grand mal seizure loss of consciussness head injury with broken nose hearing and vision problems dizziness mental confusion muscle weakness lethargy
Age: 25.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Abdominal pain, Headache, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 12/7 IN AM WOKE WITH A HEADACHE. BY 5 PM , R ARM IS VERY SORE,RED AND SWELLING AT INJECTION SITE. 12/8 WOKE AT 4 AM AND PO TEMP. OF 103.8 F. WITH ABD PAIN AND VOMITING. CALLED PMD AND ADVISED TO GO TO ED. AT ED TX WITH IV FLUIDS AND ANTEMETICS. SENT HOME AT 6 AM. CONTINUED WITH NAUSEA AND FEVER THROUGH 12/10. FEVER RAN BETWEEN 101-102 F. SORENESS, REDNESS, SWELLING DECREASED IN R ARM. TODAY FEELS BACK TO NORMAL WITH EXCEPTION OF R ARM SLIGHTLY SORE. HE WAS TOLD AT ED ON 12/8 THAT HE HAD A VIRAL ILLNESS BUT TO REPORT TO HEALTH DEPT.
Age: 25.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Nausea, Pyrexia, Viral infection, Vomiting
Clinical narrative: 12/7 IN AM WOKE WITH A HEADACHE. BY 5 PM , R ARM IS VERY SORE,RED AND SWELLING AT INJECTION SITE. 12/8 WOKE AT 4 AM AND PO TEMP. OF 103.8 F. WITH ABD PAIN AND VOMITING. CALLED PMD AND ADVISED TO GO TO ED. AT ED TX WITH IV FLUIDS AND ANTEMETICS. SENT HOME AT 6 AM. CONTINUED WITH NAUSEA AND FEVER THROUGH 12/10. FEVER RAN BETWEEN 101-102 F. SORENESS, REDNESS, SWELLING DECREASED IN R ARM. TODAY FEELS BACK TO NORMAL WITH EXCEPTION OF R ARM SLIGHTLY SORE. HE WAS TOLD AT ED ON 12/8 THAT HE HAD A VIRAL ILLNESS BUT TO REPORT TO HEALTH DEPT.
Age: 0.79
Sex: M
Vaccine: FLU3
Symptoms: Anorexia, Cough, Crying, Incorrect dose administered, Irritability
Clinical narrative: Mother called health department on 12/11/2006 because she was worried that the child got a bigger dose of the influenza vaccine.  She states that he came down with a 102 fever on 12/6/2006, which was 2 days after the influenza vaccine was given and 104.5 temperature just under 3 days after the vaccine.  She states that my baby is not the same baby.  The child will only sleep an hour at a time and had been crying hour after hour up until 12/10/06.  She states that he was lethargic, fussy, not eating and constantly crying.  The baby also had a runny nose and slight cough.  Mother treated temperatures with Tylenol and did call the MD.  The MD told client it was a normal reaction from the vaccine.  She states that the client had a period of apnea after given Tylenol.  She states on 12/11/2006 the child had a vomitting episode as well.
Age: 0.79
Sex: M
Vaccine: FLU3
Symptoms: Lethargy, Pyrexia, Rhinorrhoea, Sleep disorder, Vomiting
Clinical narrative: Mother called health department on 12/11/2006 because she was worried that the child got a bigger dose of the influenza vaccine.  She states that he came down with a 102 fever on 12/6/2006, which was 2 days after the influenza vaccine was given and 104.5 temperature just under 3 days after the vaccine.  She states that my baby is not the same baby.  The child will only sleep an hour at a time and had been crying hour after hour up until 12/10/06.  She states that he was lethargic, fussy, not eating and constantly crying.  The baby also had a runny nose and slight cough.  Mother treated temperatures with Tylenol and did call the MD.  The MD told client it was a normal reaction from the vaccine.  She states that the client had a period of apnea after given Tylenol.  She states on 12/11/2006 the child had a vomitting episode as well.
Age: 4.0
Sex: M
Vaccine: HEP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling and erythema for 3 days at site of injection on left upper arm.
Age: 0.0
Sex: F
Vaccine: FLUN3
Symptoms: Chills, Fatigue, Hyperhidrosis, Nausea, Pain
Clinical narrative: Within several hours of the Flumist, she developed chills and aches followed by nausea and sweating.  The symptoms were more severe on the following day with a temperature of 103.  She continued to have some fever for approximately 48 hours.  On day #3 post vaccine, she felt very tired and was back to normal on day #4.
Age: 0.0
Sex: F
Vaccine: FLUN3
Symptoms: Pyrexia
Clinical narrative: Within several hours of the Flumist, she developed chills and aches followed by nausea and sweating.  The symptoms were more severe on the following day with a temperature of 103.  She continued to have some fever for approximately 48 hours.  On day #3 post vaccine, she felt very tired and was back to normal on day #4.
Age: 3.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Mother states redness occured at site of injection on 12/6/2006 on left thigh also with swelling.   Patient went to Dr.  and  Dr. upset nurse did not tell mother of Guillan Barre Syndrome.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Cough, Dizziness, Dysphagia, Dysphonia
Clinical narrative: - Tightness in the chest - Difficulty swallowing - Sweting - Hoarse/rough feeling in throat - Constant coughing attempting to open breathing path/ thight chest feeling - Dizziness
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Hyperhidrosis, Hypersensitivity, Pharyngolaryngeal pain
Clinical narrative: - Tightness in the chest - Difficulty swallowing - Sweting - Hoarse/rough feeling in throat - Constant coughing attempting to open breathing path/ thight chest feeling - Dizziness
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Biopsy skin, Ecchymosis, Erythema multiforme, Hypersensitivity, Injection site erythema
Clinical narrative: Vaccine AM 11/30/06.  About 6 hrs later about 6-in area of redness at site. Since then generalized rash on all body surfaces, with target lesions, and with lip involvement.  Some areas with petechiae, some with ecchymoses. Pt hospitalized today (I'm ID consultant).  No trouble with previous yearly flu shots. No h/o egg allergy. 12/13/06-inpatient H&P and I& D Consultation report received and reviewed. Impression: E. multiforme-like rash following flu shot. Suspect that if this is related to vaccine the offending agent is in the vehicle rather than in the subvirion components since rash with flu infection itself is so very rare. Rash at injection site occurred 6-8 hours after vaccine. Now on trunk, lips are sore. Rash is mainly itchy not painful.  HX breast cancer August 2006.  01/12/07-DC summary received and reviewed for DOS 12/11-12/13/06 DC DX: Hypersensitivity Reaction Treated with Solu-Medrol. DC on Prednisone and Benadryl.  Have not been able to reach pt. for follow-up   Follow-up received APR 02 2007 - pt partially recovered. According to PCP much improved by 12/21 but referred to dermatologist for follow-up.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site rash, Lip pain, No reaction on previous exposure to drug, Perivascular dermatitis, Petechiae
Clinical narrative: Vaccine AM 11/30/06.  About 6 hrs later about 6-in area of redness at site. Since then generalized rash on all body surfaces, with target lesions, and with lip involvement.  Some areas with petechiae, some with ecchymoses. Pt hospitalized today (I'm ID consultant).  No trouble with previous yearly flu shots. No h/o egg allergy. 12/13/06-inpatient H&P and I& D Consultation report received and reviewed. Impression: E. multiforme-like rash following flu shot. Suspect that if this is related to vaccine the offending agent is in the vehicle rather than in the subvirion components since rash with flu infection itself is so very rare. Rash at injection site occurred 6-8 hours after vaccine. Now on trunk, lips are sore. Rash is mainly itchy not painful.  HX breast cancer August 2006.  01/12/07-DC summary received and reviewed for DOS 12/11-12/13/06 DC DX: Hypersensitivity Reaction Treated with Solu-Medrol. DC on Prednisone and Benadryl.  Have not been able to reach pt. for follow-up   Follow-up received APR 02 2007 - pt partially recovered. According to PCP much improved by 12/21 but referred to dermatologist for follow-up.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Rash generalised, Rash pruritic, Skin lesion
Clinical narrative: Vaccine AM 11/30/06.  About 6 hrs later about 6-in area of redness at site. Since then generalized rash on all body surfaces, with target lesions, and with lip involvement.  Some areas with petechiae, some with ecchymoses. Pt hospitalized today (I'm ID consultant).  No trouble with previous yearly flu shots. No h/o egg allergy. 12/13/06-inpatient H&P and I& D Consultation report received and reviewed. Impression: E. multiforme-like rash following flu shot. Suspect that if this is related to vaccine the offending agent is in the vehicle rather than in the subvirion components since rash with flu infection itself is so very rare. Rash at injection site occurred 6-8 hours after vaccine. Now on trunk, lips are sore. Rash is mainly itchy not painful.  HX breast cancer August 2006.  01/12/07-DC summary received and reviewed for DOS 12/11-12/13/06 DC DX: Hypersensitivity Reaction Treated with Solu-Medrol. DC on Prednisone and Benadryl.  Have not been able to reach pt. for follow-up   Follow-up received APR 02 2007 - pt partially recovered. According to PCP much improved by 12/21 but referred to dermatologist for follow-up.
Age: 1.4
Sex: F
Vaccine: FLU3
Symptoms: Erythema multiforme, Full blood count
Clinical narrative: Developed erythema multiforme - started out on 12/4/06 looking like hives but on 12/5/06 looked more like erythema multiforme.  Also had PE tubes placed on 12/1/06 and given Floxin drops.  Also received flu vaccine on 11/29/06.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Arrhythmia, Blood pressure decreased, Bradycardia
Clinical narrative: Pt experienced drop in blood pressure and changes in HR. Pt received NS bolus and placed in supine position.
Age: 33.0
Sex: F
Vaccine: FLU3, IPV, TDAP, TYP, YF
Symptoms: Cough, Dysphagia, Eye disorder, Headache, Musculoskeletal stiffness
Clinical narrative: 11/20: PT DEVELOPED HA AND VOMITING ABOUT 1 HR AFTER SHOTS THEN GOT SORE MUSCLES 12/6: FIRST SPOT NOTED 12/8: PT HAVING DIFFICULTY USING HANDS DUE TO PAINFUL STIFFNESS.  PT C/O NIGHT SWEATS, SORE MUSCLES, NOW BREAKING OUT W/SPOTS, ITCHY AND PAINFUL.  TROUBLE SWALLOWING 2ND TO PAIN.  NO DIARRHEA.  URINE NL.  EYES ITCHY AND BLURRY.  COUGH FOR SEVERAL MONTHS - HURTS TO COUGH.  USING APAP AND IBUPROFEN AT HOME - MOSTLY APAP AT NL DOSES. RANITIDINE 150 MG BID FOR GERD AND IBUPROFEN 800 MG TID FOR PAIN/INFLAMMATION STARTED 12/11 (11:15 AM): PT STATES HA WORSENED AND BUMPY RASH ALL OVER BODY LABS NORMAL
Age: 33.0
Sex: F
Vaccine: FLU3, IPV, TDAP, TYP, YF
Symptoms: Myalgia, Pruritus, Rash, Rash pruritic, Vision blurred
Clinical narrative: 11/20: PT DEVELOPED HA AND VOMITING ABOUT 1 HR AFTER SHOTS THEN GOT SORE MUSCLES 12/6: FIRST SPOT NOTED 12/8: PT HAVING DIFFICULTY USING HANDS DUE TO PAINFUL STIFFNESS.  PT C/O NIGHT SWEATS, SORE MUSCLES, NOW BREAKING OUT W/SPOTS, ITCHY AND PAINFUL.  TROUBLE SWALLOWING 2ND TO PAIN.  NO DIARRHEA.  URINE NL.  EYES ITCHY AND BLURRY.  COUGH FOR SEVERAL MONTHS - HURTS TO COUGH.  USING APAP AND IBUPROFEN AT HOME - MOSTLY APAP AT NL DOSES. RANITIDINE 150 MG BID FOR GERD AND IBUPROFEN 800 MG TID FOR PAIN/INFLAMMATION STARTED 12/11 (11:15 AM): PT STATES HA WORSENED AND BUMPY RASH ALL OVER BODY LABS NORMAL
Age: 33.0
Sex: F
Vaccine: FLU3, IPV, TDAP, TYP, YF
Symptoms: Vomiting
Clinical narrative: 11/20: PT DEVELOPED HA AND VOMITING ABOUT 1 HR AFTER SHOTS THEN GOT SORE MUSCLES 12/6: FIRST SPOT NOTED 12/8: PT HAVING DIFFICULTY USING HANDS DUE TO PAINFUL STIFFNESS.  PT C/O NIGHT SWEATS, SORE MUSCLES, NOW BREAKING OUT W/SPOTS, ITCHY AND PAINFUL.  TROUBLE SWALLOWING 2ND TO PAIN.  NO DIARRHEA.  URINE NL.  EYES ITCHY AND BLURRY.  COUGH FOR SEVERAL MONTHS - HURTS TO COUGH.  USING APAP AND IBUPROFEN AT HOME - MOSTLY APAP AT NL DOSES. RANITIDINE 150 MG BID FOR GERD AND IBUPROFEN 800 MG TID FOR PAIN/INFLAMMATION STARTED 12/11 (11:15 AM): PT STATES HA WORSENED AND BUMPY RASH ALL OVER BODY LABS NORMAL
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Dyspnoea, Loss of consciousness, Nausea, Pallor
Clinical narrative: Within a minute after receiving the shot, I felt dizzy, then passed out completely. While passed out I was noted to be extremely pale & had trouble breathing. Within a few minutes I was awake & aware again. Felt nausea a few minutes after that. Within the next 30 minutes I slowly begin to feel more normal.
Age: 0.33
Sex: F
Vaccine: DPP, FLUX
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: Fever 103, not reduced by acet. or ibuprofen for 48 hours, swelling at injection site with pain
Age: 34.0
Sex: M
Vaccine: FLU3
Symptoms: Skin irritation
Clinical narrative: Shoulder began to feel irritated (itchy) could not see anything wrong. Just itchy under skin.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Crying, Difficulty in walking, Feeling abnormal, Hypertension
Clinical narrative: Took flu shot Tuesday 12/05/06 around 8:15am; 12/06/06 at (pt says "2:36AM") felt funny 12/06/06 AM. Developed Right side of tongue felt asleep. Right arm and hand weak and Right leg weak and reports slow in walking and joint tingles. (Friend with patient said patient thought she would get better and waited. 12/7/06 called Dr and went to see him around 9:30 12/07/06. Was "crying and depressed" (per patient) and Dr. told her no heart problem, no stroke and put her on Celexa. Today 12/11/06 (around 10:15am) patient here to report question about reaction to flu shot. Smile is normal, seems to have equal strength hands and legs. States her _____ is much better but she still feels funny, doesn't feel stable when walking. Doesn't write like normal and doesn't do things as fast as usual. She requested blood pressure taken. B/P 258/90. Sent immediately to Dr. if can't be seen to go to ER. Dr.'s office called and reported she is on her way.
Age: 1.25
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: A couple of pox noted by school nurse 11-21-06. Sibling diagnosed with chicken pox 11-16-06.
Age: 35.0
Sex: F
Vaccine: IPV, MNQ
Symptoms: Chills, Dizziness, Headache, Pyrexia
Clinical narrative: A 35 year old female patient received a dose of Ipol and a dose of Meningococcal vaccine on 26/Jul/2006 fro travel purpose. The lot numbers, routes and sites of administration were not reported. The following day, the patient presented to an urgent care facility with a headache and a fever of 103 degrees Fahrenheit. At the time of this report the patient had not recovered from the events. Follow up information received on 03 November 2006 from a health care professional. Ipol, lot number 904030, was administered in the left deltoid. Menactra, (previously reported as meningococcal vaccine), lot number U1978AA, was administered in the right deltoid. The patient experienced fever, headache, chills, and was dizzy for four days. A HCG test on 25 July 2006 was negative. The patient fully recovered.
Age: 51.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Anaphylactic reaction, Flushing, Hypertension, Malaise, Paraesthesia
Clinical narrative: 10:30am shot reaction 10:40 numbness, nausea, increase B/P, rash Benadryl PO given. To ER for Decadron  IV at 11:15am. Back to  Dr's 11/14/06 and more Decadron, Zyrtec and Medrol dose pack given along with Benadryl off x 1 week.
Age: 51.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Rash
Clinical narrative: 10:30am shot reaction 10:40 numbness, nausea, increase B/P, rash Benadryl PO given. To ER for Decadron  IV at 11:15am. Back to  Dr's 11/14/06 and more Decadron, Zyrtec and Medrol dose pack given along with Benadryl off x 1 week.
Age: 51.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Blood pressure increased, Hypoaesthesia, Nausea, Rash
Clinical narrative: 10:30am shot reaction 10:40 numbness, nausea, increase B/P, rash Benadryl PO given. To ER for Decadron  IV at 11:15am. Back to  Dr's 11/14/06 and more Decadron, Zyrtec and Medrol dose pack given along with Benadryl off x 1 week.
Age: 35.0
Sex: M
Vaccine: FLU3
Symptoms: Hypoaesthesia, Paraesthesia, Urticaria
Clinical narrative: 11/28/06-9-10pm to 11/29/06 12pm acute hives. Resolve with Claritin. 11/28/06 to present persisting numbness, tingling paresthesias present. No treatment.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Pain, Swelling
Clinical narrative: 1/2 upper arm swollen, bright red, warm to touch, very painful
Age: 1.31
Sex: M
Vaccine: HBPV, VARCEL
Symptoms: Urticaria
Clinical narrative: chickenpox
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Vaccination failure
Clinical narrative: NONE Reported
Age: 43.0
Sex: F
Vaccine: HEPA, MMR, TDAP, YF
Symptoms: Arthralgia, Malaise, Pain, Swelling
Clinical narrative: Had sore arms the same evening and next day. Severe malaise and body aches starting 24 hours later. 24 hours after vaccine state she had severe joint pain that moved from one joint to another lasting 1-3 days in each area-shoulders, hips, fingers, toes, wrist, elbow. Hip pain caused difficult walking. Right thumb was sore and swollen 2+ weeks. Used Advil, Aleve, warm baths and cold packs at 4 weeks states "90% better" with gradual easing of symptoms. Patient did not see a doctor. She called Dr.'s office for advice on 11-20-06. They advised her to take Aleve regularly and see her family doctor if no improvement in a few days. She still has not seen a doctor because pain is decreasing slowly but steadily.
Age: 0.19
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Coma, Sudden infant death syndrome
Clinical narrative: Patient was put to bed normally on 12/04/06.  Parents woke 12/5 a.m. to find baby unresponsive, pronounced dead at the scene.  Medical examiner preliminary report- suspected SIDS.  3/15/07 Received Autopsy Report which reveals COD as Sudden Unexplained Infant Death Syndrome.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, PNC, RV5, DTAP, HEP, HIBV, PNC, RV5
Symptoms: Dehydration, Gastroenteritis, Haematochezia, Haemoglobinaemia, Irritability
Clinical narrative: Information has been received from a physician concerning a 13 week old male, with no significant medical history, who on 10/11/06 was vaccinated with a first 2.0 ml oral dose of Rotavirus vaccine. concomitant vaccines administered on the same day included a dose of Prevnar, Dtap, ActHib, Hep B. On 10/31/06 the pt had three episodes of yellow vomiting and was fussy. On 11/17/06 the pt presented to the physicians office with acute persistent vomiting and pallor. The physician indicated that the pt looked sickly. the pt was hospitalized that same day. Hemoglobin on admission was 34. An abdominal X ray revealed bowel gas and an upper gastrointestinal series was normal. Intentions were to send the pt home as he seemed to be doing fine. Hemoglobin had decreased to 28 post hydration. the pt subsequently began to vomit again and he remained hospitalized. All labs were normal with the exception of a slightly increased white blood cell count of about 16000. Stool tests were neg (not further specified), but were guaiac positive. the physician indicated that the stools were not grossly bloody. The pt subsequently recovered and was discharged from the hospital (exact date was not known) with a diagnosis of gastroenteritis and dehydration. The reporter indicated that, although he suspected the event to be a case of intussusception, he could not be sure as no formal diagnosis of intussusception was made during the hospitalization as no Barium enema was performed. he also noted that the second dose of Rotavirus vaccine would not be administered. At the time of the report the pt was noted to be doing fine. The physician indicated that he would provide additional information, including medical records, if it became available. Additional information has been requested. 01/24/07-records received from facility for DOS 11/17-11/19/06 DC DX: gastroenteritis resolved versus milk protein allergy vomiting resolved Mild anemia Acute onset vomiting at 1500 on 11/1/706. Became bilious. KUB showed a paucity of bowel gas. GI performed:normal. In ER after hydration, improvement noted but at DC had foul smelling stool and vomited all Pedialyte and barium. Admitted.  After admission hematocrit decreased from 34 to 26 over approximatley 16 hours. PE:WNL.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, PNC, RV5, DTAP, HEP, HIBV, PNC, RV5
Symptoms: Malaise, Pallor, Vomiting, White blood cell count increased
Clinical narrative: Information has been received from a physician concerning a 13 week old male, with no significant medical history, who on 10/11/06 was vaccinated with a first 2.0 ml oral dose of Rotavirus vaccine. concomitant vaccines administered on the same day included a dose of Prevnar, Dtap, ActHib, Hep B. On 10/31/06 the pt had three episodes of yellow vomiting and was fussy. On 11/17/06 the pt presented to the physicians office with acute persistent vomiting and pallor. The physician indicated that the pt looked sickly. the pt was hospitalized that same day. Hemoglobin on admission was 34. An abdominal X ray revealed bowel gas and an upper gastrointestinal series was normal. Intentions were to send the pt home as he seemed to be doing fine. Hemoglobin had decreased to 28 post hydration. the pt subsequently began to vomit again and he remained hospitalized. All labs were normal with the exception of a slightly increased white blood cell count of about 16000. Stool tests were neg (not further specified), but were guaiac positive. the physician indicated that the stools were not grossly bloody. The pt subsequently recovered and was discharged from the hospital (exact date was not known) with a diagnosis of gastroenteritis and dehydration. The reporter indicated that, although he suspected the event to be a case of intussusception, he could not be sure as no formal diagnosis of intussusception was made during the hospitalization as no Barium enema was performed. he also noted that the second dose of Rotavirus vaccine would not be administered. At the time of the report the pt was noted to be doing fine. The physician indicated that he would provide additional information, including medical records, if it became available. Additional information has been requested. 01/24/07-records received from facility for DOS 11/17-11/19/06 DC DX: gastroenteritis resolved versus milk protein allergy vomiting resolved Mild anemia Acute onset vomiting at 1500 on 11/1/706. Became bilious. KUB showed a paucity of bowel gas. GI performed:normal. In ER after hydration, improvement noted but at DC had foul smelling stool and vomited all Pedialyte and barium. Admitted.  After admission hematocrit decreased from 34 to 26 over approximatley 16 hours. PE:WNL.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, PNC, RV5, DTAP, HEP, HIBV, PNC, RV5
Symptoms: Dehydration, Gastroenteritis, Haemoglobin decreased, Irritability, Malaise
Clinical narrative: Information has been received from a physician concerning a 13 week old male, with no significant medical history, who on 10/11/06 was vaccinated with a first 2.0 ml oral dose of Rotavirus vaccine. concomitant vaccines administered on the same day included a dose of Prevnar, Dtap, ActHib, Hep B. On 10/31/06 the pt had three episodes of yellow vomiting and was fussy. On 11/17/06 the pt presented to the physicians office with acute persistent vomiting and pallor. The physician indicated that the pt looked sickly. the pt was hospitalized that same day. Hemoglobin on admission was 34. An abdominal X ray revealed bowel gas and an upper gastrointestinal series was normal. Intentions were to send the pt home as he seemed to be doing fine. Hemoglobin had decreased to 28 post hydration. the pt subsequently began to vomit again and he remained hospitalized. All labs were normal with the exception of a slightly increased white blood cell count of about 16000. Stool tests were neg (not further specified), but were guaiac positive. the physician indicated that the stools were not grossly bloody. The pt subsequently recovered and was discharged from the hospital (exact date was not known) with a diagnosis of gastroenteritis and dehydration. The reporter indicated that, although he suspected the event to be a case of intussusception, he could not be sure as no formal diagnosis of intussusception was made during the hospitalization as no Barium enema was performed. he also noted that the second dose of Rotavirus vaccine would not be administered. At the time of the report the pt was noted to be doing fine. The physician indicated that he would provide additional information, including medical records, if it became available. Additional information has been requested. 01/24/07-records received from facility for DOS 11/17-11/19/06 DC DX: gastroenteritis resolved versus milk protein allergy vomiting resolved Mild anemia Acute onset vomiting at 1500 on 11/1/706. Became bilious. KUB showed a paucity of bowel gas. GI performed:normal. In ER after hydration, improvement noted but at DC had foul smelling stool and vomited all Pedialyte and barium. Admitted.  After admission hematocrit decreased from 34 to 26 over approximatley 16 hours. PE:WNL.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, PNC, RV5, DTAP, HEP, HIBV, PNC, RV5
Symptoms: Pallor, Vomiting, White blood cell count increased
Clinical narrative: Information has been received from a physician concerning a 13 week old male, with no significant medical history, who on 10/11/06 was vaccinated with a first 2.0 ml oral dose of Rotavirus vaccine. concomitant vaccines administered on the same day included a dose of Prevnar, Dtap, ActHib, Hep B. On 10/31/06 the pt had three episodes of yellow vomiting and was fussy. On 11/17/06 the pt presented to the physicians office with acute persistent vomiting and pallor. The physician indicated that the pt looked sickly. the pt was hospitalized that same day. Hemoglobin on admission was 34. An abdominal X ray revealed bowel gas and an upper gastrointestinal series was normal. Intentions were to send the pt home as he seemed to be doing fine. Hemoglobin had decreased to 28 post hydration. the pt subsequently began to vomit again and he remained hospitalized. All labs were normal with the exception of a slightly increased white blood cell count of about 16000. Stool tests were neg (not further specified), but were guaiac positive. the physician indicated that the stools were not grossly bloody. The pt subsequently recovered and was discharged from the hospital (exact date was not known) with a diagnosis of gastroenteritis and dehydration. The reporter indicated that, although he suspected the event to be a case of intussusception, he could not be sure as no formal diagnosis of intussusception was made during the hospitalization as no Barium enema was performed. he also noted that the second dose of Rotavirus vaccine would not be administered. At the time of the report the pt was noted to be doing fine. The physician indicated that he would provide additional information, including medical records, if it became available. Additional information has been requested. 01/24/07-records received from facility for DOS 11/17-11/19/06 DC DX: gastroenteritis resolved versus milk protein allergy vomiting resolved Mild anemia Acute onset vomiting at 1500 on 11/1/706. Became bilious. KUB showed a paucity of bowel gas. GI performed:normal. In ER after hydration, improvement noted but at DC had foul smelling stool and vomited all Pedialyte and barium. Admitted.  After admission hematocrit decreased from 34 to 26 over approximatley 16 hours. PE:WNL.
Age: 0.34
Sex: M
Vaccine: DTAP, HEP, HIBV, RV5, DTAP, HIBV, IPV, PNC, RV5
Symptoms: Intussusception, Irritability, Pyrexia, Viral infection, Vomiting
Clinical narrative: Information has been received from a physician concerning a 23 week old male, with no significant medical history, who, on 16-Jun-2006 was vaccinated with an oral, 2.0 ml, first dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine) (Lot#653661/0146F).  Concomitant vaccination administered on 16-Jun-2006 included a dose of diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid, a dose of Hib conj vaccine (tetanus toxoid) (ACTHIB), and a dose if hepatitis B virus vaccine rHBsAg (yeast).  On 14-Jul-2006 the patient was vaccinated with a second 2.0 ml oral dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine).  There were no concomitant vaccinations given on 14-Jul-2006.  In July 2006 the patient was noted to have fallen out of a shopping cart.  On 02-Aug-2006 the patient developed a fever.  The patient was taken to the emergency room where an x-ray and labs (not further specified) were normal.  No formal diagnosis was made and the patient was simply thought to have a virus.  On 17-Aug-2006 the patient was vaccinated with a third 2.0 ml oral dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine).  Concomitant vaccinations administered on 17-Aug-2006 included a dose of diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid, a dose of Hib conj vaccine (tetanus toxoid) (ACTHIB), a dose of pneumococcal 4 6B 9V 14 18C 19F 23F conj vaccine (CRM197) (PREVNAR) and a dose of poliovirus vaccine inactivated (IPOL).  On 28-Sep-2006 the patient developed vomiting and irritability.  The patient was subsequently hospitalized due to persistent vomiting.  While hospitalized intussusception was diagnosed and reduced via Barium enema.  The patient recovered within 24 hours and was discharged to home.  At the time of the report the patient was noted to be doing fine by the physician.  The physician indicated that he would provide additional information, including medical records if it became available.  No product quality complaint was involved. No other information was  provided.  Additional information has been requested.
Age: 0.34
Sex: M
Vaccine: DTAP, HEP, HIBV, RV5, DTAP, HIBV, IPV, PNC, RV5
Symptoms: Fall, Intussusception, Irritability, Pyrexia, Viral infection
Clinical narrative: Information has been received from a physician concerning a 23 week old male, with no significant medical history, who, on 16-Jun-2006 was vaccinated with an oral, 2.0 ml, first dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine) (Lot#653661/0146F).  Concomitant vaccination administered on 16-Jun-2006 included a dose of diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid, a dose of Hib conj vaccine (tetanus toxoid) (ACTHIB), and a dose if hepatitis B virus vaccine rHBsAg (yeast).  On 14-Jul-2006 the patient was vaccinated with a second 2.0 ml oral dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine).  There were no concomitant vaccinations given on 14-Jul-2006.  In July 2006 the patient was noted to have fallen out of a shopping cart.  On 02-Aug-2006 the patient developed a fever.  The patient was taken to the emergency room where an x-ray and labs (not further specified) were normal.  No formal diagnosis was made and the patient was simply thought to have a virus.  On 17-Aug-2006 the patient was vaccinated with a third 2.0 ml oral dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine).  Concomitant vaccinations administered on 17-Aug-2006 included a dose of diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid, a dose of Hib conj vaccine (tetanus toxoid) (ACTHIB), a dose of pneumococcal 4 6B 9V 14 18C 19F 23F conj vaccine (CRM197) (PREVNAR) and a dose of poliovirus vaccine inactivated (IPOL).  On 28-Sep-2006 the patient developed vomiting and irritability.  The patient was subsequently hospitalized due to persistent vomiting.  While hospitalized intussusception was diagnosed and reduced via Barium enema.  The patient recovered within 24 hours and was discharged to home.  At the time of the report the patient was noted to be doing fine by the physician.  The physician indicated that he would provide additional information, including medical records if it became available.  No product quality complaint was involved. No other information was  provided.  Additional information has been requested.
Age: 0.34
Sex: M
Vaccine: DTAP, HEP, HIBV, RV5, DTAP, HIBV, IPV, PNC, RV5
Symptoms: Vomiting
Clinical narrative: Information has been received from a physician concerning a 23 week old male, with no significant medical history, who, on 16-Jun-2006 was vaccinated with an oral, 2.0 ml, first dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine) (Lot#653661/0146F).  Concomitant vaccination administered on 16-Jun-2006 included a dose of diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid, a dose of Hib conj vaccine (tetanus toxoid) (ACTHIB), and a dose if hepatitis B virus vaccine rHBsAg (yeast).  On 14-Jul-2006 the patient was vaccinated with a second 2.0 ml oral dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine).  There were no concomitant vaccinations given on 14-Jul-2006.  In July 2006 the patient was noted to have fallen out of a shopping cart.  On 02-Aug-2006 the patient developed a fever.  The patient was taken to the emergency room where an x-ray and labs (not further specified) were normal.  No formal diagnosis was made and the patient was simply thought to have a virus.  On 17-Aug-2006 the patient was vaccinated with a third 2.0 ml oral dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine).  Concomitant vaccinations administered on 17-Aug-2006 included a dose of diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid, a dose of Hib conj vaccine (tetanus toxoid) (ACTHIB), a dose of pneumococcal 4 6B 9V 14 18C 19F 23F conj vaccine (CRM197) (PREVNAR) and a dose of poliovirus vaccine inactivated (IPOL).  On 28-Sep-2006 the patient developed vomiting and irritability.  The patient was subsequently hospitalized due to persistent vomiting.  While hospitalized intussusception was diagnosed and reduced via Barium enema.  The patient recovered within 24 hours and was discharged to home.  At the time of the report the patient was noted to be doing fine by the physician.  The physician indicated that he would provide additional information, including medical records if it became available.  No product quality complaint was involved. No other information was  provided.  Additional information has been requested.
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site inflammation, Injection site oedema, Injection site pain
Clinical narrative: Information has been received from a physician concerning a white female patient who on an unspecified date was vaccinated with a dose of Varicella-Zoster virus vaccine live.  Subsequently the patient developed swelling, pain, and inflammation all over the arm down to the elbow.  The patient came to the physician's office three times because of the reaction.  The physician was able to treat the symptoms with antibiotics (not further specified).  A product quality complaint was not involved.  Additional information has been received from the physician who reported that the patient experienced swelling, pain, and redness and was treated with antibiotics.  The patient subsequently recovered.  The patient's experience were considered to be other important medical events by the physician.  Additional information has been requested. (OMIC)
Age: 5.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Anaemia, Blood disorder, Hyperpyrexia, Injection site oedema, Laboratory test abnormal
Clinical narrative: Visible swelling of right arm over deltoid and extensor, aspect of triceps area with hyperpyrexia (up to 102) Full ROM but tender to touch. SX resolved in about 36 hours with full recovery.  MR received for an ER admit for c/o fever (102.7F), pain and swelling of the right upper arm at the pnemococcal vax. site.  PE: WNL except decribing a well-defined, erythematous, warm area of swelling on the RUE. Admitted for IV antibiotics. Final DX: Cellulitis, right arm.
Age: 5.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Tenderness
Clinical narrative: Visible swelling of right arm over deltoid and extensor, aspect of triceps area with hyperpyrexia (up to 102) Full ROM but tender to touch. SX resolved in about 36 hours with full recovery.  MR received for an ER admit for c/o fever (102.7F), pain and swelling of the right upper arm at the pnemococcal vax. site.  PE: WNL except decribing a well-defined, erythematous, warm area of swelling on the RUE. Admitted for IV antibiotics. Final DX: Cellulitis, right arm.
Age: 47.0
Sex: M
Vaccine: MMR
Symptoms: Headache, Hydrocephalus, Vertigo
Clinical narrative: The pt had severe headaches and vertigo after MMR vaccine. He ultimately developed obstructive hydrocephalus requiring ventriculo peritoneal shunt.  MR received for a 3 day admit for c/o progressive problems which began several weeks after MMR vax.  Pt. initially c/o flu-like symptoms-nausea and vomiting.  He developed tinnitis, and unsteady gait, agitation, headaches, and inability to concentrate.  Additional c/o on Review of Systems include: fever, chills, night sweats, weight loss, headaches, ear pain spinning sensation, post-nasal drip, voice changes, cough, change in sexual function, difficulty breathing at night, snoring murmer, nausea, urinary frequency, neck pain and popping, appetitie changes, nervousness, numbness, and weakness. PE: WNL except 1+ reflexes, plantar responses are flexor, and walks with a wide based gait at least one foot apart. Patient had a VP shunt placed during hospital stay. Discharge DX: Hydrocephalus, Sinusitis, Allergies, Pneumonia, Osteoarthritis, Headaches.
Age: 0.5
Sex: M
Vaccine: DTAP, FLU3, HIBV, PNC
Symptoms: Condition aggravated, Convulsion, Electroencephalogram abnormal, Hypokinesia, Infantile spasms
Clinical narrative: Infantile spasms, similar events occurred sporadically prior to his immunizations at 6 months, but increased dramatically in severity and frequency on 12/06/2006 12/19/06-records received and reviewed. PMH: Possible infantile spasm Regression 2 week history. Developed normally for 5 1/2 month old baby when he developed head nodding spells approximately 1 month prior to admission.  Formulation: 6 month old baby boy with onset of likely infantile spasms with an abnormal EEG.  DC DX: for DOS 12/11-12/14/06 Infantile spasms West's syndrome development regression, acute. Subtle infantile spasms identified 4 weeks prior to admission  MRI brain, normal for age Annual follow up information received indicates patient is now seizure free for a year and development is normal. Per 60 day follow up: Infantile spasms resolved. At this time, he still has hypertension related to ACTH treatment for infantile spasms.
Age: 0.5
Sex: M
Vaccine: DTAP, FLU3, HIBV, PNC
Symptoms: Nuclear magnetic resonance imaging brain normal
Clinical narrative: Infantile spasms, similar events occurred sporadically prior to his immunizations at 6 months, but increased dramatically in severity and frequency on 12/06/2006 12/19/06-records received and reviewed. PMH: Possible infantile spasm Regression 2 week history. Developed normally for 5 1/2 month old baby when he developed head nodding spells approximately 1 month prior to admission.  Formulation: 6 month old baby boy with onset of likely infantile spasms with an abnormal EEG.  DC DX: for DOS 12/11-12/14/06 Infantile spasms West's syndrome development regression, acute. Subtle infantile spasms identified 4 weeks prior to admission  MRI brain, normal for age Annual follow up information received indicates patient is now seizure free for a year and development is normal. Per 60 day follow up: Infantile spasms resolved. At this time, he still has hypertension related to ACTH treatment for infantile spasms.