chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Intensive care, Urine analysis
Clinical narrative: GUILLIAN BARRE Syndrome after receiving the flu shot.  Very severe case, currently in intensive care at Hospital 2/25/09-records received for DOS 1/5-2/9/09-DC DX:Central Nervous System Vasculopoathy due to Primary versus Secondary Central Nervous System Vasculitis. Bilateral parietoccipital ischemic strokes. GUILLIAN-BARRE syndrome MILLDER FISHER variant.  Presented with uncontrollable back pain and body aches, general malaise, nausea and vomiting.PE: Gait instability, ataxia, dysmetria. Altered mental status and hypertensive crisis and autonomic instability. Patellar reflexes absent, mild left facial palsy. IVIG treatment. Mechanical ventilation and intubation with tracheostomy.  2/25/09 Hospital records, DC summary received. Service dates 1/5/09 too 2/9/09. Assessment:  Principle Diagnosis - Central Nervous System Vasculopathy due to Primary vs Secondary Central Nervous System Vasculitis. Other Diagnoses - Bilateral Parietooccipial Ischemic Strokes, Guillain-Barre Syndrome, Coronary Artery Disease, Hyperlipidemia, Hypothyroidism, Depression.  Viral gastroenteritis with abdominal discomfort and diarrhea 2 weeks prior. Patient presented with uncontrollable back pain and body aches. General malaise, nausea and vomiting. Difficulty with balance. Gait instability, ataxia, dysmetria. Altered mental status, hypertensive crisis, admitted to ICU. Patellar reflexes initially present, later patellar and Achilles reflexes absent. 1+ reflexes biceps / triceps.  Mild left facial palsy. IVIG administration. Mental status worsened. Acute bilateral strokes. Babinski present. Right thigh hematoma. Mechanical ventilation. Gastrostomy tube. Aspiration pneumonia. Follow-up: Serious vision impairment Started with flu-like symptoms about a week or two after receiving shot. Seemed to recover but still weak, stomach pain. Jan 1, 2009 - intense stomach pain, nausea, weakness, inability to walk, shoulder and back pain, dizziness. Admitted to hospital Jan 5, 2009. Flu vaccine 10/31/08, possibly also shingles vaccine.
Age: 42.0
Sex: F
Vaccine: MMR
Symptoms: Injection site pain, Injection site warmth
Clinical narrative: I received an MMR shot on December 19, 2008 as part of my registration requrements.  As of today, there remains a very tender area on my right arm where the vaccine was given.  There is a lump about the size of a half-dollar and the skin around the area is warm.
Age: 4.0
Sex: F
Vaccine: MMR, PNC
Symptoms: Pneumonia, Reaction to previous exposure to any vaccine
Clinical narrative: Diagnosis of double pneumonia one week after vaccines were given. Treated w/ initial antibiotic shots, then oral antibiotic Amoxicillin. This was her 2nd MMR vaccine which was given along w. her first and only Prevnar shot. 5 days after her first MMR which was given w/ a DT@P on 6/23/08, she came down w/ a fever of 101 which lasted for 2 days.  2/6/09 Received clinic & urgent care medical records of 10/8-10/9/2008. FINAL DX: recurring bibasilar pneumonia Urgent care records reveal patient experienced fever, cold s/s, tachpnea & cough x 4 days with increasing breathing difficulty & grunting.  Exam revealed pulse ox 91-92% on RA.  Tx w/IM antibiotic & albuterol.  Seen by PCP next day w/improvement, grunting & fever resolved, decreased appetite.  Tx w/oral antibiotics.  was to return for immunologic w/u & possible pulm clinic referral.
Age: 0.17
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5, DTAP, HIBV, IPV, PNC, RV5
Symptoms: Autopsy, Death, Intussusception, Unresponsive to stimuli
Clinical narrative: Patient found unresponsive in crib by parents. No symptoms prior - autopsy revealed intussusception. Pronounced dead at ER.  1/23/09 Autopsy report states COD as complications of intussusception. Also states: six areas of IS of small intestine; changes of distant intestine present; early pneumonia; inflammation of lung tissue & small airways.  Patient had been found unresponsive in crib after recent history of cold like symptoms with fever.
Age: 0.17
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5, DTAP, HIBV, IPV, PNC, RV5
Symptoms: Death, Intussusception, Unresponsive to stimuli
Clinical narrative: Patient found unresponsive in crib by parents. No symptoms prior - autopsy revealed intussusception. Pronounced dead at ER.  1/23/09 Autopsy report states COD as complications of intussusception. Also states: six areas of IS of small intestine; changes of distant intestine present; early pneumonia; inflammation of lung tissue & small airways.  Patient had been found unresponsive in crib after recent history of cold like symptoms with fever.
Age: 0.15
Sex: M
Vaccine: DTAPHEPBIP, DTAPIPVHIB, HEP, PNC
Symptoms: Abdominal distension, Infantile spitting up, Irritability, Laboratory test, Lumbar puncture
Clinical narrative: Onset of bilious vomiting, abd. bloating, pain - ER admitted - multiple tests run (x-rays, labs) - no etiology - remains fussy, spitting more - mother feels fussiness started after immunizations. 1/14/09-records received for DOS 1/5-1/6/09 DC DX: Bilious Vomiting. Irritability. metabolic acidosis. Abdominal pain, generalized. Shock. Presented to ED with C/O spitting up, acute onset of bilious emesis, extreme fussiness. Vomiting, dry heave. Nauseous. Watery diarrhea. Pale.
Age: 0.15
Sex: M
Vaccine: DTAPHEPBIP, DTAPIPVHIB, HEP, PNC
Symptoms: Pain, Urinary system X-ray, Urine analysis, Vomiting, X-ray with contrast upper gastrointestinal tract
Clinical narrative: Onset of bilious vomiting, abd. bloating, pain - ER admitted - multiple tests run (x-rays, labs) - no etiology - remains fussy, spitting more - mother feels fussiness started after immunizations. 1/14/09-records received for DOS 1/5-1/6/09 DC DX: Bilious Vomiting. Irritability. metabolic acidosis. Abdominal pain, generalized. Shock. Presented to ED with C/O spitting up, acute onset of bilious emesis, extreme fussiness. Vomiting, dry heave. Nauseous. Watery diarrhea. Pale.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Eyelid oedema, Hypoaesthesia oral, Lip swelling, Rash, Sinus disorder
Clinical narrative: Numbness of upper lip < lower lip as well a little swelling. Sinus area feel dry, rash developed on legs, arms, and face. Swelling of lower eye lids.
Age: 1.24
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Erythema
Clinical narrative: Several fluid-filled vesicles on red bases appeared on 1/2/09.  VARIVAX done 12/15/08.
Age: 82.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site cellulitis, Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Cellulitis to RUE to include erythema and edema 15cmx9cm. Warm to touch and pain. SXS started last night. Pt tx'd IV Abx and PO Abx.
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Local reaction to ADACEL .  Pt has redness, warmth, pain, induration measuring as 3"x5" around injection site.
Age: 74.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Pain & redness - Left deltoid - pt. did not use ice or take analgesic.  She decided not to wait for Dr. - he was seeing in-pts @ hospital.  Advised to use ice on arm & return if still red & painful.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Loss of consciousness
Clinical narrative: Loss of consciousness approximately ten minutes after GARDASIL, episode lasting less than 30 seconds.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Abdominal pain upper, Irritability, Occult blood negative, Screaming
Clinical narrative: 12 hrs after vaccine, infant became extremely fussy, "stomach hurting" screamed with feelings- has only gradually improved- on RANITIDE and Hypoallergenic formula now.
Age: 4.0
Sex: F
Vaccine: MMR
Symptoms: Abasia, Activities of daily living impaired, Aphasia, Blood lead increased, Blood mercury abnormal
Clinical narrative: Information has been received regarding a case in litigation as reported in a newspaper article that the author's normal 4 year old daughter was transformed into a seizure-stricken, neurologically impaired child with no ability to walk, talk or feed herself. Subsequent tests revealed an inordinate level of lead and mercury in her body, "clearly the result of the MMR II. She had "undergone eight years of therapy and faces a lifetime of more. "Seizure-stricken" and "neurological impaired" were considered to be disabling. No further information is available.
Age: 4.0
Sex: F
Vaccine: MMR
Symptoms: Convulsion, Nervous system disorder
Clinical narrative: Information has been received regarding a case in litigation as reported in a newspaper article that the author's normal 4 year old daughter was transformed into a seizure-stricken, neurologically impaired child with no ability to walk, talk or feed herself. Subsequent tests revealed an inordinate level of lead and mercury in her body, "clearly the result of the MMR II. She had "undergone eight years of therapy and faces a lifetime of more. "Seizure-stricken" and "neurological impaired" were considered to be disabling. No further information is available.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Caesarean section, Drug exposure during pregnancy, Failed induction of labour, Gestational diabetes, Nausea
Clinical narrative: Initial and follow up information has been received from a licensed practical nurse (L.P.N.) for the Pregnancy Registry for GARDASIL concerning a 26 year old female with a history of drug hypersensitivity to TYLENOL #3, DEMEROL, and CODEINE, who on 23-JAN-2008 was IM vaccinated with her first dose of GARDASIL (lot number 659439/1267U). On 24-MAR-2008 the patient was IM vaccinated with her second dose of GARDASIL (lot number 659964/1978U). The patient became pregnant after receiving two doses. She has not received her third dose yet. The patient's LMP is 08-Mar-2008. The patient sought unspecified medical treatment with an office visit. The patient has had one previous pregnancy and one previous live birth, with no birth defects and no infant complications reported. Patient outcome was not reported. Follow-up information was received 05-JAN-2009 from the L.P.N. indicating that the patient's estimated conception date was approximately 22-MAR-2008. Ultrasounds were performed on 07-JUL-2008, 19-AUG-2008, 15-SEP-2008, 22-OCT-2008 and 04-NOV-2008, respectively (results not provided). Other medication used during this pregnancy included HUMALOG daily for the treatment of gestational diabetes, LANTUS daily for the treatment of gestational diabetes, "gummi vitamin/folic acid" daily and ZOFRAN), as needed for the treatment of nausea. On 03-DEC-2008, the patient had a C-section due to failure to progress and delivered a normal female baby, weighing 6 pounds, 12 ounces. The baby's length was 18 inches, head circumference was 13 inches and apgar score was 9/9. There were no congenital anomalies or other complications. The patient had no concurrent medical conditions. The outcome of the patient was not reported. Upon internal review, "C-section due to failure to progress" was determined to be an other important medical event. Additional information has been requested.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Pregnancy test positive
Clinical narrative: Initial and follow up information has been received from a licensed practical nurse (L.P.N.) for the Pregnancy Registry for GARDASIL concerning a 26 year old female with a history of drug hypersensitivity to TYLENOL #3, DEMEROL, and CODEINE, who on 23-JAN-2008 was IM vaccinated with her first dose of GARDASIL (lot number 659439/1267U). On 24-MAR-2008 the patient was IM vaccinated with her second dose of GARDASIL (lot number 659964/1978U). The patient became pregnant after receiving two doses. She has not received her third dose yet. The patient's LMP is 08-Mar-2008. The patient sought unspecified medical treatment with an office visit. The patient has had one previous pregnancy and one previous live birth, with no birth defects and no infant complications reported. Patient outcome was not reported. Follow-up information was received 05-JAN-2009 from the L.P.N. indicating that the patient's estimated conception date was approximately 22-MAR-2008. Ultrasounds were performed on 07-JUL-2008, 19-AUG-2008, 15-SEP-2008, 22-OCT-2008 and 04-NOV-2008, respectively (results not provided). Other medication used during this pregnancy included HUMALOG daily for the treatment of gestational diabetes, LANTUS daily for the treatment of gestational diabetes, "gummi vitamin/folic acid" daily and ZOFRAN), as needed for the treatment of nausea. On 03-DEC-2008, the patient had a C-section due to failure to progress and delivered a normal female baby, weighing 6 pounds, 12 ounces. The baby's length was 18 inches, head circumference was 13 inches and apgar score was 9/9. There were no congenital anomalies or other complications. The patient had no concurrent medical conditions. The outcome of the patient was not reported. Upon internal review, "C-section due to failure to progress" was determined to be an other important medical event. Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Enzyme abnormality, Vomiting
Clinical narrative: Information has been received from a consumer concerning her 16 year old daughter with no medical history or drug allergies who on 06-DEC-2008 was vaccinated with the first dose of GARDASIL. There was no concomitant medication. Within 24 hours after vaccination the patient started experiencing pain and within 2 days she started vomiting. She was admitted to a hospital on 12-DEC-2008 (enzyme levels were over 800) and released on the 16th. The hospital determined it was pancreatitis. Multiple tests were performed in the hospital including CAT scan and ultrasound but the results were not provided. The patient was not fully recovered yet, however her mother stated that she was better and her enzyme levels were coming back to normal. Additional information has been requested.  3/16/09 Received PCP medical records of 7/31/08-2/13/2009. FINAL DX: acute on chronic pancreatitis w/strictures & pancreatic stones s/p stent placement; pancreas divisum; asymptomatic until 12/10/08. Records reveal patient experienced good health on 12/6/08 when received HPV #1 & flu shot.  RTC 12/10/08 w/cough, cold s/s & chest/upper abdomen pain near diaphragm.  Dx w/muscle strain & URI.  RTC 12/12 w/continued upper abdominal pain w/vomiting, watery diarrhea, pale w/decreased bowel sounds, guarding & rebound.  Sent to hospital for acute abdomen.  RTC 12/17 s/p hospitalization w/resolving pancreatitis.    4/16/09 Received hospital medical records of 12/12-12/15/2008. FINAL DX: pancreatitis, etiology unknown Records reveal patient experienced progressively worsening epigastric pain x 5 days, N/V x 1 day.  Seen by PCP & dx w/musculoskeletal pain.  Continued to worsen &unable to walk or attend school.  ALso had cold s/s during the week & multiple sick contacts. Surgery & GI consult done. Labs & PE improved & able to tolerate diet.  D/C to home W/PCP & GI f/u.
Age: 7.0
Sex: M
Vaccine: FLU3
Symptoms: Induration, Pain in extremity
Clinical narrative: Knot on Rt. Arm c/o hurting
Age: 69.0
Sex: U
Vaccine: UNK
Symptoms: Pruritus generalised, Rash
Clinical narrative: 1. Received vaccine on 12-10-08. 2. Itching around neck and back 7 day later. 3. Itching from head to toe. Also rash inside mouth.
Age: 6.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, MMR, UNK
Symptoms: Body temperature increased, Diarrhoea, Vomiting
Clinical narrative: Fever, malaise, loose stools and mac-pap. exanthem approximately 1 week after MMR and other vaccines were given at a different clinic.
Age: 6.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, MMR, UNK
Symptoms: Diarrhoea, Malaise, Pyrexia, Rash maculo-papular
Clinical narrative: Fever, malaise, loose stools and mac-pap. exanthem approximately 1 week after MMR and other vaccines were given at a different clinic.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Blood grouping, Drug exposure during pregnancy, HIV antibody negative, Hepatitis B antibody negative, Pre-eclampsia
Clinical narrative: Information has been received from a consumer, who is the mother of the patient, for the pregnancy registry for GARDASIL concerning an 18 year old female who sometime last year (2007) was vaccinated with the first dose of GARDASIL (lot# not reported). Per the reporter, the patient received the second dose of GARDASIL (lot # not reported) either in November or December 2007. About a week ago, the patient found out that she was pregnant (gestation = "patient is 3 months pregnant") and her due date is on 27-OCT-2008 (LMP is approximately 19-JAN-2008). The patient sought unspecified medical attention. About a week ago the patient had a positive urine pregnancy test. No further AE information was provided. Follow-up information was received from a physician concerning the patient with no known allergies and a history of epilepsy, loop electrosurgical excision procedure in Aug 2007 and gastroesophageal reflux disease who at 06:06 on 05-NOV-2008, delivered a normal male infant with no congenital anomalies. It was reported that patient's prenatal testing included ultrasound which was performed on 30-MAY_2008, 05-AUG-2008 and 25-SEP-2008, and her estimated delivery date was 01-DEC-2008. The patient's medication used during pregnancy included prenatal vitamins, prilosec, 20 mg for gastroesophageal reflux disease and Zetran 4 mg for nausea. It was reported that the patient experienced mild pre-eclampsia since 14:23 28-OCT-2008, and severe pre-eclampsia since 13:46 30-OCT-2008. Vacuum assisted delivery was done for problematic fetal heart rate pattern (deep recurrent variables to 100 returning to baseline with overshoots. Minimal progress with pushing from +2 station). Apgar scores included: apgar 1 min: 6; apgar 5 min: 7. The outcome of birth infant included: weight: 2845 gm (6lbs + 4.354 oz) length: 49.50 cm (19.5 inches), head circumference: 34.50 cm (13.6 inches), chest circumference: 32.50 cm (12.8 inches). Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Pregnancy test positive, Syphilis test negative
Clinical narrative: Information has been received from a consumer, who is the mother of the patient, for the pregnancy registry for GARDASIL concerning an 18 year old female who sometime last year (2007) was vaccinated with the first dose of GARDASIL (lot# not reported). Per the reporter, the patient received the second dose of GARDASIL (lot # not reported) either in November or December 2007. About a week ago, the patient found out that she was pregnant (gestation = "patient is 3 months pregnant") and her due date is on 27-OCT-2008 (LMP is approximately 19-JAN-2008). The patient sought unspecified medical attention. About a week ago the patient had a positive urine pregnancy test. No further AE information was provided. Follow-up information was received from a physician concerning the patient with no known allergies and a history of epilepsy, loop electrosurgical excision procedure in Aug 2007 and gastroesophageal reflux disease who at 06:06 on 05-NOV-2008, delivered a normal male infant with no congenital anomalies. It was reported that patient's prenatal testing included ultrasound which was performed on 30-MAY_2008, 05-AUG-2008 and 25-SEP-2008, and her estimated delivery date was 01-DEC-2008. The patient's medication used during pregnancy included prenatal vitamins, prilosec, 20 mg for gastroesophageal reflux disease and Zetran 4 mg for nausea. It was reported that the patient experienced mild pre-eclampsia since 14:23 28-OCT-2008, and severe pre-eclampsia since 13:46 30-OCT-2008. Vacuum assisted delivery was done for problematic fetal heart rate pattern (deep recurrent variables to 100 returning to baseline with overshoots. Minimal progress with pushing from +2 station). Apgar scores included: apgar 1 min: 6; apgar 5 min: 7. The outcome of birth infant included: weight: 2845 gm (6lbs + 4.354 oz) length: 49.50 cm (19.5 inches), head circumference: 34.50 cm (13.6 inches), chest circumference: 32.50 cm (12.8 inches). Additional information has been requested.
Age: 2.0
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Injection site pain
Clinical narrative: Prolonged soreness/pain complaints from site of injection diminishing over time but lasting 5 weeks. Complaints finally subsided 12/31/09.
Age: 8.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pruritus, Injection site swelling, Paraesthesia oral, Pruritus
Clinical narrative: Mother states child developed swelling to the left deltoid area approximately 8-12 hours after receiving flu vaccine. Also he complained of itching at the site and itching to his tongue. Mother states that both cold and hot compresses were applied as well as vicks vapor rub. Violet was applied to the tongue by mother. Child returned to Health Center after 24 hours was examined and instructed to use cool compresses only and to give 1 TSP Benadryl every 6 hours as needed.
Age: 14.0
Sex: M
Vaccine: MMR, MNQ, TDAP
Symptoms: Asthenia, Eye disorder, Head lag, Pallor
Clinical narrative: After vaccination patient appeared pale and weak. He was instructed to sit down. His head fell to the side and his eyes closed. He opened his eyes seconds later and took sips of water he was instructed to wait 15 more minutes to monitor.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Fall, Syncope
Clinical narrative: Approximately ten minutes after his vaccination, patient was standing by the door and began to faint and slowly fall to floor.  No injuries reported.  He opened his eyes within seconds and was instructed to wait 15 minutes to monitor.
Age: 18.0
Sex: F
Vaccine: TD, TDAP
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Patient was mistakenly administered both DT & TDAP vaccines - no adverse reaction was observed subsequently
Age: 38.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Pyrexia
Clinical narrative: Pt presented with redness on his torso and reported having a fever the night after receiving influenza vaccine.  Pt referred to primary care provider.
Age: 15.0
Sex: F
Vaccine: FLU3, HPV4, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site rash, Injection site warmth
Clinical narrative: Rec'd varicella and FLUZONE R arm 12/15/2008.  Mother reports today an area " 3"x4", that is warm, red, hard and rashy" at the injection site R arm.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Loss of consciousness, Respiratory arrest, Syncope, Urinary incontinence
Clinical narrative: Pt passed and approximately 15-30 sec after injection.  Was assisted to prone position.  No respiratory effort for approximately 30 seconds.  Color remained pink.  Pulse present , Chin - lift position to open airways and pt regained consciousness.  Monitored x 30 min.   Parents came to take pt home.  Incontinent of urine during syncope episode.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Pain, Rash
Clinical narrative: Information has been received from a physician concerning a 77 year old female patient with VICODIN, LYRICA and AMBIEN allergies, diabetes mellitus, hypertension and obesity, who on 05-OCT-2007 (also reported as 07-OCT-2007) was vaccinated with a dose of ZOSTAVAX in the left arm. On 07-DEC-2008 the patient experienced a zoster rash on the left side of her abdominal wall. Physician reported that the patient went to the ER for treatment either Sunday or Monday and was seen for a follow up visit in the office either Monday or Tuesday. Physician reported that the patient was treated with LYRICA and VALTREX. The patient was slow to recovered. The patient sought unspecified medical attention. The patient was enrolled in the Varicella Zoster Virus Identification Program to identify if VZV is present and if it is present to identify if it is associated with the wild type (WT) VZV strain or with the OKA/Merck vaccine VZV strain. Follow up information received on 16-DEC-2008 stated that the patient was slow to recover. The patient had a 10 on a pain scale. There were no other symptoms. There was no history or exposure to chickenpox or herpes zoster. Follow up information received on 06-JAN-2009 stated that the patient developed zoster and TIO dermatome on the left side; the patient was treated with LYRICA and VALTREX. At the time of this report the patient was recovering. Zoster at TIO dermatome on the left side were considered to be disabling. Additional information is not expected.
Age: 0.1
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Crying
Clinical narrative: Crying nonstop day of vaccines unconsolable
Age: 50.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Local reaction, Oedema, Pain
Clinical narrative: Patient had right deltoid IM injection of PNEUMOVAX and since then had local reaction, large, of pain, edema, a erythema slowly improving.
Age: 14.0
Sex: M
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Arthralgia, Dizziness, Pain in extremity
Clinical narrative: Right deltoid soreness, dizziness and joint pain.
Age: 1.1
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Otitis media, Rash generalised, Upper respiratory tract infection
Clinical narrative: Patient received vaccines (PREVNAR, HAVRIX, VARIVAX and MMR II) on 10-16-08. Follow up with FNP on 10-20-08 d/t a rash that started on 10-17-08. Mother stated that rash was from head to toe. Patient was treated for rash, ROM and URI. Patient recovered with no problems.
Age: 0.25
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema, Injection site swelling, Listless
Clinical narrative: No physical exam. Child received HIB and DTP on 7/15/08. Child was very limp, quiet the next day, and left leg where HIB was given was red and a small swelling.
Age: 28.0
Sex: F
Vaccine: HEPA
Symptoms: Headache, Migraine, Nausea
Clinical narrative: Migraine with auras, nausea and headache.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Cervical dysplasia, Cervicitis, Colposcopy abnormal, Papilloma viral infection, Pregnancy test positive
Clinical narrative: Information has been received from a Registered Nurse for the Pregnancy Registry for GARDASIL concerning an 18 year old female who on 11-OCT-2007 was vaccinated with the first dose of GARDASIL (lot number not provided) and on 06-FEB-2008 was vaccinated with the second 0.5 ml dose of GARDASIL (lot number not provided) and is now pregnant.  There was no concomitant medications.  The patient was not experiencing any known symptoms.  Medical attention was sought in the practice.  Patient outcome was unknown.  No product quality complaint was involved.  Follow-up information was received from another health professional who reported that on 06-FEB-2008 a PAP test showed atypical squamous cell of undetermined significance s/o HPV.  She had the second dose of GARDASIL the same day.  On 13-MAR-2008 the patient underwent colposcopy and was diagnosed with cervicitis, focal HPV changes.  The patient received MACROBID 100 mg, twice a day for the treatment of urinary tract infection from 07-MAY-2008 to 14-MAY-2008.  On 02-JUN-2008 an ultrasound was performed which was within normal limits and showed a fetal anatomy scan at 19 weeks.  An MSAFP was declined.  Patient declined genetic screening.  This was the patient's first pregnancy.  On 15-AUG-2008 (at 28 weeks) because she was Rh negative the patient received globulin, RHOGAM intramuscularly.  The outcome of cervicitis and urinary tract infection was unknown.  On 08-NOV-2008, at 40.5 weeks from LMP, the patient gave birth to a liveborn female infant weighing 5 pounds, 5 ounces, length was 18 inches, head circumference was 12 inches.  Apgar score was 8.  There were no complications during delivery.  The infant was normal.  There were no congenital anomalies or other complications or abnormalities.  No further information is available.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Smear cervix abnormal, Urinary tract infection
Clinical narrative: Information has been received from a Registered Nurse for the Pregnancy Registry for GARDASIL concerning an 18 year old female who on 11-OCT-2007 was vaccinated with the first dose of GARDASIL (lot number not provided) and on 06-FEB-2008 was vaccinated with the second 0.5 ml dose of GARDASIL (lot number not provided) and is now pregnant.  There was no concomitant medications.  The patient was not experiencing any known symptoms.  Medical attention was sought in the practice.  Patient outcome was unknown.  No product quality complaint was involved.  Follow-up information was received from another health professional who reported that on 06-FEB-2008 a PAP test showed atypical squamous cell of undetermined significance s/o HPV.  She had the second dose of GARDASIL the same day.  On 13-MAR-2008 the patient underwent colposcopy and was diagnosed with cervicitis, focal HPV changes.  The patient received MACROBID 100 mg, twice a day for the treatment of urinary tract infection from 07-MAY-2008 to 14-MAY-2008.  On 02-JUN-2008 an ultrasound was performed which was within normal limits and showed a fetal anatomy scan at 19 weeks.  An MSAFP was declined.  Patient declined genetic screening.  This was the patient's first pregnancy.  On 15-AUG-2008 (at 28 weeks) because she was Rh negative the patient received globulin, RHOGAM intramuscularly.  The outcome of cervicitis and urinary tract infection was unknown.  On 08-NOV-2008, at 40.5 weeks from LMP, the patient gave birth to a liveborn female infant weighing 5 pounds, 5 ounces, length was 18 inches, head circumference was 12 inches.  Apgar score was 8.  There were no complications during delivery.  The infant was normal.  There were no congenital anomalies or other complications or abnormalities.  No further information is available.
Age: 28.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect route of drug administration
Clinical narrative: SM RECEIVED THE INFLUENZA INTRAMUSCARLY VACCINE VIA INTRANASAL ROUTE
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness/Swelling 4 inches around injection site; observation
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Ageusia, Body temperature increased, Ear pain, Eye swelling, Facial palsy
Clinical narrative: Had been sick the week before vaccine with a 'virus'. Day of vaccine was feeling ok, day following vaccine (11/21/08) thought she had burner her tongue and could not taste. 11/22/08 developed headache and ear ache.  11/24/08 had headache behind eye and low grade temp.  11/25/08 eye felt swollen, later lips not working, taste off, rt. side slightly drooping - went to ER.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Paraesthesia oral
Clinical narrative: Had been sick the week before vaccine with a 'virus'. Day of vaccine was feeling ok, day following vaccine (11/21/08) thought she had burner her tongue and could not taste. 11/22/08 developed headache and ear ache.  11/24/08 had headache behind eye and low grade temp.  11/25/08 eye felt swollen, later lips not working, taste off, rt. side slightly drooping - went to ER.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Incorrect route of drug administration
Clinical narrative: SM RECEIVED THE INFLUENZA INTRAMUSCARLY VACCINE VIA INTRANASAL ROUTE
Age: 27.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect route of drug administration
Clinical narrative: SM RECEIVED THE INFLUENZA INTRAMUSCARLY VACCINE VIA INTRANASAL ROUTE
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Incorrect route of drug administration
Clinical narrative: SM RECEIVED THE INFLUENZA INTRAMUSCARLY VACCINE VIA INTRANASAL ROUTE
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Incorrect route of drug administration
Clinical narrative: SM RECEIVED THE INFLUENZA INTRAMUSCARLY VACCINE VIA INTRANASAL ROUTE
Age: 36.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect route of drug administration
Clinical narrative: SM RECEIVED THE INFLUENZA INTRAMUSCARLY VACCINE VIA INTRANASAL ROUTE
Age: 29.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect route of drug administration
Clinical narrative: SM RECEIVED THE INFLUENZA INTRAMUSCARLY VACCINE VIA INTRANASAL ROUTE
Age: 43.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect route of drug administration
Clinical narrative: SM RECEIVED THE INFLUENZA INTRAMUSCARLY VACCINE VIA INTRANASAL ROUTE
Age: 38.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect route of drug administration
Clinical narrative: SM RECEIVED THE INFLUENZA INTRAMUSCARLY VACCINE VIA INTRANASAL ROUTE
Age: 37.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect route of drug administration
Clinical narrative: SM RECEIVED THE INFLUENZA INTRAMUSCARLY VACCINE VIA INTRANSASAL ROUTE
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Injection site haematoma, Injection site induration, Injection site pain, Musculoskeletal pain
Clinical narrative: pain from left elbow to left shoulder with pain/deep ache all around the left shoulder, and Nausea. She states the nausea started just shortly after receiving the injection, and the pain started two hours after receiving the injection. She states she hates shots and gets nervous; however, the nausea continued until the next day. the injection site is hard, sore to touch with mild bruising noted. No redness or heat noted. However, this time the band-aid did produce a local rash (in the shape of the Band-aid) it's the same type of band-aids i've applied to her skin with previous vaccinations.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Nausea, Pain in extremity
Clinical narrative: pain from left elbow to left shoulder with pain/deep ache all around the left shoulder, and Nausea. She states the nausea started just shortly after receiving the injection, and the pain started two hours after receiving the injection. She states she hates shots and gets nervous; however, the nausea continued until the next day. the injection site is hard, sore to touch with mild bruising noted. No redness or heat noted. However, this time the band-aid did produce a local rash (in the shape of the Band-aid) it's the same type of band-aids i've applied to her skin with previous vaccinations.
Age: 32.0
Sex: M
Vaccine: FLUN3
Symptoms: Back pain, Laboratory test, Mechanical ventilation, Myelitis transverse, Neurological symptom
Clinical narrative: Patient recieved Flumist (lot 500570P) intranasal 13Nov08 as part of his vaccination program.  He developed vague lower back pain approx 10Dec08, sought care 16Dec08, and over next several days had progressive neurologic deficits.  This lead to evaluations on 23 and 24Dec08, with admission to hospital, rapid deterioration, and ICU admission-intubation due to respiratory compromise due to neurologic impairment 26Dec08.  The patient is currently in the ICU with a diagnosis of multilevel (C-2 to T-10) transverse myelitis of unclear etiology.  He is on the ventilator for respiratory support, and has severe neurologic deficits corresponding to the levels of his myelitis.  Due to the proximity of his Flumist vaccine a VAERS report is being filed.  The treatment team recognizes that this vaccine is unlikely to be the causal agent and continues to actively pursue other causes and treatments.
Age: 32.0
Sex: M
Vaccine: FLUN3
Symptoms: Respiratory distress
Clinical narrative: Patient recieved Flumist (lot 500570P) intranasal 13Nov08 as part of his vaccination program.  He developed vague lower back pain approx 10Dec08, sought care 16Dec08, and over next several days had progressive neurologic deficits.  This lead to evaluations on 23 and 24Dec08, with admission to hospital, rapid deterioration, and ICU admission-intubation due to respiratory compromise due to neurologic impairment 26Dec08.  The patient is currently in the ICU with a diagnosis of multilevel (C-2 to T-10) transverse myelitis of unclear etiology.  He is on the ventilator for respiratory support, and has severe neurologic deficits corresponding to the levels of his myelitis.  Due to the proximity of his Flumist vaccine a VAERS report is being filed.  The treatment team recognizes that this vaccine is unlikely to be the causal agent and continues to actively pursue other causes and treatments.
Age: 27.0
Sex: F
Vaccine: HEPAB
Symptoms: Chills, Diarrhoea, Pain, Pyrexia, Vomiting
Clinical narrative: TC from patient @ 11am. Started w/diarrhea after getting 1st Hep a/b combo.injection during the night(approx.12-14 hours after shot). Morning is  now vomiting, has chills, aches and feels like she has fever but has not taken it. Could be shot, however; there is a GI bug in our community.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain, Chest X-ray, Deep vein thrombosis, Dyspnoea, Flushing
Clinical narrative: 1) 5 min after injection, heat flush & abd cramping. 2) 10 min after, itching & heat @ injection site. 3) 15 min after, itching & hives over entire arm/shoulder area. 50mg Benadryl given. 4) 25-30 min after, heat flush, diaphoretic taken next door to urgent care. 5) 45 min after, diaphoretic, shortness of breath, spasms in throat. Epi dose of 0.3mg given. Ambulance called to urgent care. 6) ER - O2 100% NRB face mask, patient doesn't remember other treatments except stated she was given ativan.  She was in the hospital for 3 days.  After discharge, saw primary care physician for severe arm pain & swelling.  Ultrasound showed DVT in arm from infiltrated IV. Currently on Coumadin for 6 months.  Primary physician will have to strip vein. Released for return to work on 10/31/08.  2/10/2009 MR received for DOS 10/10-12/2008 with D/C DX:  Anaphylactic Reaction to Flu vaccine.  Mild metabolic acidosis.  Tachycardia. Pt presented to ER following receipt of Flu shot and immediate flushing, hives, diaphoresis, abdominal pain and H/A. Received Benadryl, Solumedrol and epi prior to arrival with poor response. Becam tachycardic, hypertensive and anxious en route to hospital. Upon arrival pt still c/o of throat closing and difficulty breathing. BP 212/69. PE WNL. Admitted for further med mgmt.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Hyperhidrosis, Immediate post-injection reaction, Injection site pruritus, Injection site warmth, Oedema peripheral
Clinical narrative: 1) 5 min after injection, heat flush & abd cramping. 2) 10 min after, itching & heat @ injection site. 3) 15 min after, itching & hives over entire arm/shoulder area. 50mg Benadryl given. 4) 25-30 min after, heat flush, diaphoretic taken next door to urgent care. 5) 45 min after, diaphoretic, shortness of breath, spasms in throat. Epi dose of 0.3mg given. Ambulance called to urgent care. 6) ER - O2 100% NRB face mask, patient doesn't remember other treatments except stated she was given ativan.  She was in the hospital for 3 days.  After discharge, saw primary care physician for severe arm pain & swelling.  Ultrasound showed DVT in arm from infiltrated IV. Currently on Coumadin for 6 months.  Primary physician will have to strip vein. Released for return to work on 10/31/08.  2/10/2009 MR received for DOS 10/10-12/2008 with D/C DX:  Anaphylactic Reaction to Flu vaccine.  Mild metabolic acidosis.  Tachycardia. Pt presented to ER following receipt of Flu shot and immediate flushing, hives, diaphoresis, abdominal pain and H/A. Received Benadryl, Solumedrol and epi prior to arrival with poor response. Becam tachycardic, hypertensive and anxious en route to hospital. Upon arrival pt still c/o of throat closing and difficulty breathing. BP 212/69. PE WNL. Admitted for further med mgmt.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Pruritus, Throat tightness, Urticaria
Clinical narrative: 1) 5 min after injection, heat flush & abd cramping. 2) 10 min after, itching & heat @ injection site. 3) 15 min after, itching & hives over entire arm/shoulder area. 50mg Benadryl given. 4) 25-30 min after, heat flush, diaphoretic taken next door to urgent care. 5) 45 min after, diaphoretic, shortness of breath, spasms in throat. Epi dose of 0.3mg given. Ambulance called to urgent care. 6) ER - O2 100% NRB face mask, patient doesn't remember other treatments except stated she was given ativan.  She was in the hospital for 3 days.  After discharge, saw primary care physician for severe arm pain & swelling.  Ultrasound showed DVT in arm from infiltrated IV. Currently on Coumadin for 6 months.  Primary physician will have to strip vein. Released for return to work on 10/31/08.  2/10/2009 MR received for DOS 10/10-12/2008 with D/C DX:  Anaphylactic Reaction to Flu vaccine.  Mild metabolic acidosis.  Tachycardia. Pt presented to ER following receipt of Flu shot and immediate flushing, hives, diaphoresis, abdominal pain and H/A. Received Benadryl, Solumedrol and epi prior to arrival with poor response. Becam tachycardic, hypertensive and anxious en route to hospital. Upon arrival pt still c/o of throat closing and difficulty breathing. BP 212/69. PE WNL. Admitted for further med mgmt.
Age: 3.0
Sex: M
Vaccine: PNC
Symptoms: Cellulitis, Injection site cellulitis, Injection site swelling, Soft tissue infection
Clinical narrative: Mom noted swelling to left upper arm @ 7pm on 12/4/08 but did't think much of it until swelling had increased the next morning.  Child seen in health department by nurse practitioner then referred to hospital received dignosis soft tissue infection/cellulitis and started on antibiotic.
Age: 26.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Arthralgia, Blood test, Pain in extremity, X-ray
Clinical narrative: HAD THE SERIES OF 3 GARDISIL VACCINES, HAVE BEEN EXPERIENCING PAIN IN FEET, HANDS, THEN OTHER JOINTS, BEEN TO DOCTORS, JUST BEEN TOLD MAY HAVE RHEUMATOID ARTHRITIS!!  AT AGE 28.  THESE SYMPTOMS STARTED AFTER THE VACCINE,BUT HAVE WORSENED OVER LAS 9-12 MONTHS!!  I THNIK IT IS FROM THIS VACCINE!  WHAT CAN WE DO? DON'T WANT MY DAUGHTER TAKING RA MEDS IF SOMETHING ELSE CAN HELP!!  2/2/09 Rheumatology consult received for eval of joint pain dated 12/19/08.  Pt initially c/o sore feet, particularly in MTP joints x 2 yrs. Hand pain x 1 yr.  Recent hand swelling jaw pain, and R shoulder, elbow and wrist pain with morning stiffness x 30 minutes. (+) canker sores and fever blisters. PE (+) for L posterior cervical lymph node, decreased thumb flexion, joint tenderness, synovitis, and swelling. Presntation c/w inflammatory arthritis such as RA.
Age: 26.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Arthralgia, Pain in extremity, Rheumatoid arthritis
Clinical narrative: HAD THE SERIES OF 3 GARDISIL VACCINES, HAVE BEEN EXPERIENCING PAIN IN FEET, HANDS, THEN OTHER JOINTS, BEEN TO DOCTORS, JUST BEEN TOLD MAY HAVE RHEUMATOID ARTHRITIS!!  AT AGE 28.  THESE SYMPTOMS STARTED AFTER THE VACCINE,BUT HAVE WORSENED OVER LAS 9-12 MONTHS!!  I THNIK IT IS FROM THIS VACCINE!  WHAT CAN WE DO? DON'T WANT MY DAUGHTER TAKING RA MEDS IF SOMETHING ELSE CAN HELP!!  2/2/09 Rheumatology consult received for eval of joint pain dated 12/19/08.  Pt initially c/o sore feet, particularly in MTP joints x 2 yrs. Hand pain x 1 yr.  Recent hand swelling jaw pain, and R shoulder, elbow and wrist pain with morning stiffness x 30 minutes. (+) canker sores and fever blisters. PE (+) for L posterior cervical lymph node, decreased thumb flexion, joint tenderness, synovitis, and swelling. Presntation c/w inflammatory arthritis such as RA.
Age: 26.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Inappropriate schedule of drug administration, Rheumatoid arthritis
Clinical narrative: HAD THE SERIES OF 3 GARDISIL VACCINES, HAVE BEEN EXPERIENCING PAIN IN FEET, HANDS, THEN OTHER JOINTS, BEEN TO DOCTORS, JUST BEEN TOLD MAY HAVE RHEUMATOID ARTHRITIS!!  AT AGE 28.  THESE SYMPTOMS STARTED AFTER THE VACCINE,BUT HAVE WORSENED OVER LAS 9-12 MONTHS!!  I THNIK IT IS FROM THIS VACCINE!  WHAT CAN WE DO? DON'T WANT MY DAUGHTER TAKING RA MEDS IF SOMETHING ELSE CAN HELP!!  2/2/09 Rheumatology consult received for eval of joint pain dated 12/19/08.  Pt initially c/o sore feet, particularly in MTP joints x 2 yrs. Hand pain x 1 yr.  Recent hand swelling jaw pain, and R shoulder, elbow and wrist pain with morning stiffness x 30 minutes. (+) canker sores and fever blisters. PE (+) for L posterior cervical lymph node, decreased thumb flexion, joint tenderness, synovitis, and swelling. Presntation c/w inflammatory arthritis such as RA.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Blood culture positive, Flatulence, Irritability, Otitis media, Pyrexia
Clinical narrative: ON 1/1/2009 CHILD STARTED RUNNING A FEVER, 1O2.2 PARENTS WERE ADVISED TO TAKE TO ER.  2 DAYS PRIOR TO THIS CHILD WAS FUSSY AN GASSY. ER TREATED CHILD WITH ROSEPHIN VIA IV.  DX WITH OM WITH REPTURE OF TM. FEVER OF UNKNOWN ORGIN.  URINE AND BLOOD SAMPLES COLLECTED.  SEEN IN PCP OFFICE ON 01/02 GIVEN ROCEPHIN IM, SAT 01/03 & SUN 01/04 SEEN IN ER FOR ROCEPHIN VIA IV.  MONDAY 01/05-TODAY  GIVEN ROCEPHIN IM.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Tympanic membrane perforation
Clinical narrative: ON 1/1/2009 CHILD STARTED RUNNING A FEVER, 1O2.2 PARENTS WERE ADVISED TO TAKE TO ER.  2 DAYS PRIOR TO THIS CHILD WAS FUSSY AN GASSY. ER TREATED CHILD WITH ROSEPHIN VIA IV.  DX WITH OM WITH REPTURE OF TM. FEVER OF UNKNOWN ORGIN.  URINE AND BLOOD SAMPLES COLLECTED.  SEEN IN PCP OFFICE ON 01/02 GIVEN ROCEPHIN IM, SAT 01/03 & SUN 01/04 SEEN IN ER FOR ROCEPHIN VIA IV.  MONDAY 01/05-TODAY  GIVEN ROCEPHIN IM.
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Received tdap in the afternoon of 1-06-09. At 6pm that evening noticed a rash around site (Left arm) that injection was given. Reported this on 1-09-09 to agency. Was seen at that time by Dr.  Measured an area of erythema 5cm X 6cm. Was slightly reddened. Denied any pain, pruritus or drainage. Dr. informed  pt. to  take zyrtec. Will rtc if worsens. No red streaks noted per Dr.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Local reaction, Rash pruritic, Skin warm
Clinical narrative: AFTER TWO DAYS OFIMMUNIZATION RASH APPEARED AT LOCAL SITE BECAME BIGGER THROUGH OUT DAY TO APPROX 7 INCHES IN DIAMETER. RASH ITCHED AND WAS WARM TO TOUCH. HYDROCORTISONE CREAM APPLIED. LASTED FOR 2 DAYS THEN DISAPPEARED. NO FURTER REACTION.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Dyspnoea, Familial risk factor, Hypercoagulation, Pulmonary embolism
Clinical narrative: Patient received HPV vaccine on 10/23/07 and 12/31/07.  On 2/25/08 patient presented with breathing difficulty and was diagnosed with pulmonary embolism.   Sibling and mother subsequently diagnosed with Protein S deficiency and patient presumed to have this as well.  Patient began OCPs 10/07.  Pulmonary embolism likely related to underlying hypercoagualability and use of OCPs, but we are reporting just in case HPV could also have been a factor.  01/26/09 Reviewed hospital medical records of 2/25-3/4/2008. FINAL DX: bilateral pulmonary emboli w/left common iliac DVT. Records reveal patient experienced DOE x 3 weeks & acute SOB w/chest pressure on 2/25.  Fever & dizziness 2 weeks prior.  Frontal HA 1 week prior.  Seen by PCP 2/25 & found to have tachycardia, tachypnea, orthostatic BP.  Admitted to PICU. Cardio, vascular surgery, Heme, Pulm  consults done.  Tx w/anticoagulant meds.  D/C to home on continued anticoagulant meds w/thrombotic w/u to continue as outpatient in Hematology clinic.  4/24/09 Received Heme clinic med recs of 3/4/08-1/13/09. FINAL DX: PE assoc w/OCP Records reveal coumadin d/c 7/14/08 & covered w/lovenox to permit protein s testing.  Patient self d/c coumadin as of 1/13/09 & no further medical records available.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Left arm where dtap and polio was given is red and warm to touch.  Not painful.  Moving fine, no fever, no other s/s illness