chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Dysgeusia, Facial paresis, Pain
Clinical narrative: Left facial weakness started 1 week after receiving Gardasil and Menactra. Started with sense of fullness on left side of face with left retroauricular pain and abnormal taste - seen with doctor ER. Treatment Acyclovir 200mg qd x 10 days and Prednisone 40mg qd x 2 weeks tape left eye shut q bedtime.  9/10/07 Received ER medical records of 7/25/07 from hospital which reveals patient experienced left sided headache, weakness, numbness, tingling & left facial droop upon awakening on 7/25/07.  Had left tongue numbness w/altered taste x 4 days prior.  Exam revealed prominent tearing of left eye, left facial weakness, weak left side smile & inability to completely close left eye or to wrinkle left forehead.  Tx w/eye patch, steroids & anti virals.  D/C to home from ER to f/u w/neurologist. FINAL DX: Left sided Bell's palsy. 9/18/07 Received vax record which confirms as reported & neuro note of 8/6/07. S/S had markedly improved but w/ mod left facial weakness.  Neuro DX: Post vaccinal idiopathic left sided Bell's palsy.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Immediate post-injection reaction, Syncope
Clinical narrative: Immediately with administration, fainted in chair. (-) fall. lasted 3-5 seconds.
Age: 10.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dizziness, Gaze palsy, Pallor
Clinical narrative: 8/16/07 12pm Gardasil administered. Child felt light headed. 10 Minutes later while sitting, eyes rolled back, and turned pale/ (-) LOC. Duration 10-15 seconds.
Age: 10.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dizziness, Eye rolling, Nausea, Pallor
Clinical narrative: 8/16/07 12pm Gardasil administered. Child felt light headed. 10 Minutes later while sitting, eyes rolled back, and turned pale/ (-) LOC. Duration 10-15 seconds.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Dyskinesia, Loss of consciousness, Pallor, Urinary incontinence
Clinical narrative: After the shot became pale and had jerking movement twice and passed out. Also urinated. Lasted 15 seconds.
Age: 13.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Skin nodule, Skin warm, Swelling, Tenderness
Clinical narrative: Minutes after receiving vaccine in right SQ arm erythema began 13cm x 5cm. Swelling began yesterday, tenderness. Today 7.5 x 7 cm oral patch of erythema, warmth, center of patch with raised nodule 3 x 3 cm
Age: 0.4
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Abdominal pain, Decreased appetite, Flatulence, Vomiting
Clinical narrative: Vomiting, abdominal pain, increased intestinal gas, decreased appetite 24 hours after Rotateq
Age: 1.2
Sex: F
Vaccine: HEPA, MMRV
Symptoms: Body temperature increased, Postictal state, Tremor
Clinical narrative: 7 days post Proquad - temp 104 in ER. Had episode of shaking x 6 mins. Postictal x 6 min. Exam not focal.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Hot flush, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Per statement from patient: On 8-14-07 symptoms began with a headache. There was swelling, warmth, tenderness, and itching at the injection site. Also, there was soreness in neck and right arm. Patient stated she felt sharp pains in left arm and leg. Fever x 2 days; felt nauseated with hot flashes. Went to MD on same day. Received steroid injection. Pain/headache stopped that day. Swelling lasted until Sunday evening 8/19/07.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site warmth, Nausea, Neck pain, Pain in extremity, Pyrexia
Clinical narrative: Per statement from patient: On 8-14-07 symptoms began with a headache. There was swelling, warmth, tenderness, and itching at the injection site. Also, there was soreness in neck and right arm. Patient stated she felt sharp pains in left arm and leg. Fever x 2 days; felt nauseated with hot flashes. Went to MD on same day. Received steroid injection. Pain/headache stopped that day. Swelling lasted until Sunday evening 8/19/07.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Diarrhoea, Eustachian tube disorder, Nausea
Clinical narrative: Approximately 2-3 hours after shot was administered, I had diarrhea, nausea, chills and Eustachian tube pressure.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, HEPA, HPV4
Symptoms: Blood pressure decreased, Hyperhidrosis, Oxygen saturation normal, Syncope
Clinical narrative: Pt. received 3 injections: HPV #3 (Gardasil), Hep A #2 and Depo Provera. Pt. fainted in hallway of clinic approx 5-10 min. after injections. Sweaty. BP 98/60. HR 70 O2 sat 98; 15 min. later (after lying down) felt better, BP 110.70, HR 82, O2 sat 99; to home to rest.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, HEPA, HPV4
Symptoms: Hyperhidrosis, Loss of consciousness
Clinical narrative: Pt. received 3 injections: HPV #3 (Gardasil), Hep A #2 and Depo Provera. Pt. fainted in hallway of clinic approx 5-10 min. after injections. Sweaty. BP 98/60. HR 70 O2 sat 98; 15 min. later (after lying down) felt better, BP 110.70, HR 82, O2 sat 99; to home to rest.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Condition aggravated, Convulsion, Tremor
Clinical narrative: 15 yr female with PM hx of sz d/o. Seizure free for 2 years. Off meds for 1 yr. NL EEG. Off meds. 10 days after Gardasil, had seizure. Now with tremors in hand also.  3/12/09 MR received from PCP. Pt in for 14 yr WCC 8/6/2007 with impression: Well Adolescent. No seizures x 1 yr off meds. Vax given.  ER visit for "stiff convulsion" on 8/17/07.  To see neurologist 9/17/07. 4/8/09 Pt not seen 9/17/07. Saw another neurologist. 4/24/09 Neuro records received dated 10/12/07-7/2/2008 with DX: Seizures. Pt with PMH of seizures off tx x1 year with no seizures presented following seizure in 8/2007. PE WNL.  Anti-convulsants restarted. No EEG or imaging studies done. Pt returned 11/26/08 with c/o anxiety, poor concentration, panic attacks and fatigue thought to be side-effect of Keppra.  Med changed to Carbatrol with improvement in mood and concentration.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Convulsion, Tremor
Clinical narrative: 15 yr female with PM hx of sz d/o. Seizure free for 2 years. Off meds for 1 yr. NL EEG. Off meds. 10 days after Gardasil, had seizure. Now with tremors in hand also.  3/12/09 MR received from PCP. Pt in for 14 yr WCC 8/6/2007 with impression: Well Adolescent. No seizures x 1 yr off meds. Vax given.  ER visit for "stiff convulsion" on 8/17/07.  To see neurologist 9/17/07. 4/8/09 Pt not seen 9/17/07. Saw another neurologist. 4/24/09 Neuro records received dated 10/12/07-7/2/2008 with DX: Seizures. Pt with PMH of seizures off tx x1 year with no seizures presented following seizure in 8/2007. PE WNL.  Anti-convulsants restarted. No EEG or imaging studies done. Pt returned 11/26/08 with c/o anxiety, poor concentration, panic attacks and fatigue thought to be side-effect of Keppra.  Med changed to Carbatrol with improvement in mood and concentration.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Hypersomnia, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Spent entire day after shot asleep. Spot where shot was given has raised red area warm to the touch.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Chest X-ray, Crying, Dyspnoea, Vomiting
Clinical narrative: Pt had 1 episode of vomiting about 2 hours after immunization following by excessive crying x 1-2 hours. Parents felt pt may be having trouble breathing. T 98.5 (R). CXR done.
Age: 64.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: Significantly high fever 1 day after vaccination. Vaccine given 8/16/07 -  then fever to 102.0 to 103.0 that night, persistent 8/17/07 to 8/18/07. Resolved by 8/21/07.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, MMR
Symptoms: Cellulitis, Oedema peripheral, Pyrexia
Clinical narrative: Swollen L-Arm with mild fever, DX cellulitis per NP. Treated with Keflex 250/5 TID x 7 days.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria
Clinical narrative: Hives on hand (1), hip (1), back (1); total of 3 hives. Advised Benadryl PO q 4 hrs x 24 hrs.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Head injury, Loss of consciousness, Unresponsive to stimuli
Clinical narrative: Pt proceeded to check out after receiving HPV vaccine. Started to say "I don't feel so", passed out hitting head on counter then floor. Pt was unresponsive/out of it for approx 2 minutes. After approx 5 min., pt was moved to exam room, monitored then released.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Dyskinesia, Loss of consciousness
Clinical narrative: Approximately 30 seconds after immunization pt had LOC with jerking motion rt and rt leg, lasted for 45 seconds. Witnessed by MA with tongue biting, no tongue biting, no loss of bladder or bowel function. Pt recovered fully with normal vital signs. Was sent to ER for eval.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Injection site erythema
Clinical narrative: Parents brought back to PH - stated just noted this AM lg red area on lt upper arm approx 4cm in size - encouraged to go to doctor to have checked.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abnormal faeces, Decreased appetite, Dehydration, Diarrhoea, Pyrexia
Clinical narrative: On 8/14/2007 given Rotateq, Pediarix, PCV7, Hib on 8/15/07 developed emesis and decrease appetite by 8/17/07 had diarrhea that is very liquid, foul smelling, emesis continue as does diarrhea 1 week later with some low grade fever and mild dehydration. Still with symptoms.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Stool analysis, Vomiting
Clinical narrative: On 8/14/2007 given Rotateq, Pediarix, PCV7, Hib on 8/15/07 developed emesis and decrease appetite by 8/17/07 had diarrhea that is very liquid, foul smelling, emesis continue as does diarrhea 1 week later with some low grade fever and mild dehydration. Still with symptoms.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Asthenia, Back pain, Pain, Streptococcal identification test negative
Clinical narrative: Went to work at 1100am. Called mom at 400pm with complaints of feeling weak, achy and sore back. No fever, no limitation of activity, didn't feel needed to come home.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site swelling, Lymphadenopathy, Swelling
Clinical narrative: Severe swelling to left deltoid region extending to anterior region of axilla.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Dizziness, Headache
Clinical narrative: Headache, dizziness x 1 day. No treatment.
Age: 21.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain, Injection site warmth, Local reaction
Clinical narrative: 1 Week after Varivax vaccine administered - pateint noticed redness at site. Then developed to inflammation, redness, warmth and tenderness to touch - local reaction no systemic response.
Age: 21.0
Sex: F
Vaccine: VARCEL
Symptoms: Therapeutic response decreased
Clinical narrative: 1 Week after Varivax vaccine administered - pateint noticed redness at site. Then developed to inflammation, redness, warmth and tenderness to touch - local reaction no systemic response.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Injection site nodule, Injection site oedema, Injection site pain, Pain
Clinical narrative: SM developed burning pain, persistent soreness at the PPD site, associated red streaking ascending up the left arm towards the axilla. The member is concerned he may have been given the wrong vaccine at the site. Symptom: Edema at injection site 30-50mm Start: 08/16/2007 Comment: Swelling began approximately 4-6 hours after the PPD was placed Symptoms: Swelling Start: 08/16/2007 Comment: At the PPD site occurred approximately 4-6 hours after the shot Symptom: Erythema Start: 08/17/07 Comment: A streak of redness emanating from the left forearm nodule ascended up the medial aspect of the arm towards the axilla Symptom: Pain Start: 08/16/07 Comment: The left forearm and the nodular PPD site were painful from the time of injection until current.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Swelling
Clinical narrative: SM developed burning pain, persistent soreness at the PPD site, associated red streaking ascending up the left arm towards the axilla. The member is concerned he may have been given the wrong vaccine at the site. Symptom: Edema at injection site 30-50mm Start: 08/16/2007 Comment: Swelling began approximately 4-6 hours after the PPD was placed Symptoms: Swelling Start: 08/16/2007 Comment: At the PPD site occurred approximately 4-6 hours after the shot Symptom: Erythema Start: 08/17/07 Comment: A streak of redness emanating from the left forearm nodule ascended up the medial aspect of the arm towards the axilla Symptom: Pain Start: 08/16/07 Comment: The left forearm and the nodular PPD site were painful from the time of injection until current.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness, swelling and pain at site of injection. She was treated with Benadryl. Prednisone and Levaquin.
Age: 1.1
Sex: M
Vaccine: HBHEPB, MMR, PNC
Symptoms: Irritability, Pyrexia
Clinical narrative: High fever, irritable
Age: 4.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Erythema, Irritability, Oedema peripheral, Skin warm
Clinical narrative: Left arm swollen red, hot to touch patient very irritable.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema peripheral, Pain
Clinical narrative: Mom states swelling right arm with redness associated with pain started next day. No treatment necessary. Mom called back Monday 8/27/07 patient doing good. No symptoms patient went to school.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Infection, Oedema peripheral, Swelling
Clinical narrative: Left upper arm: redness and swelling - no fever. Child is active but left arm swelling continue to set large spread down to elbow. 8/27/07 - PC follow up - redness and swelling getting better child is doing fine.
Age: 19.0
Sex: F
Vaccine: TTOX
Symptoms: Nausea, Vomiting
Clinical narrative: Donor phoned center on 8/25/07 at 1235 stating that she had gotten Tetanus shot on 8/27/07 and had felt fine until 0600 8/25/07 when she awoke with nausea and vomiting. Donor sent to work fitness for eval.
Age: 19.0
Sex: M
Vaccine: TYP
Symptoms: Dyspnoea, Headache, Hyperhidrosis, Pallor, Photophobia
Clinical narrative: In 1995 got Typhoid - injection and soon after starting not feeling well- headache and feeling short of breath, with progressive worsening of headache, photophobia, and noted to be pale and diaphoretic, very short of breath, possible LOC (about 6 hours later). Called 911 and woke up in ED, got shots of 7 and also got full resus including cardioversion. Patient denies any unusual activity, travel, exposures at that time. Reports he was in school, not out in field. Patient was hospitalized overnite, and told that 2 others had similar reactions to his. Patient has since received oral version of typhoid 1995, and tolerated with no symptoms that he can recall. Symptoms: Dyspnea (shortness of breath), diaphoresis, Pallor, Headache (onset within hour of vaccine receipt and worsened over period of about 6-8 hours), and Syncope. 9/18/07 Received medical records which reveal patient experienced HA & SOB which worsened & developed photophobia, pallor & diaphoresis after receiveing injectable typhoid vax.  Possible LOC & taken to ER, resuscitation & cardioversion.  Admitted overnight in 1995.  Received oral typhoid vax in 1995 w/o any noted problems.  Seen in Allergy clinic 8/2007 when told had to have typhoid vax prior to deployment for Oct/2007.  Tx w/oral typhoid vax while in clinic & then monitored for 2 hours w/o any AE.  Sent home w/epi pen.  Returned to clinic for 2nd & 3rd dose at clinic & to be monitored.  Developed a HA after 2nd dose otherwise well tolerated.
Age: 19.0
Sex: M
Vaccine: TYP
Symptoms: Syncope
Clinical narrative: In 1995 got Typhoid - injection and soon after starting not feeling well- headache and feeling short of breath, with progressive worsening of headache, photophobia, and noted to be pale and diaphoretic, very short of breath, possible LOC (about 6 hours later). Called 911 and woke up in ED, got shots of 7 and also got full resus including cardioversion. Patient denies any unusual activity, travel, exposures at that time. Reports he was in school, not out in field. Patient was hospitalized overnite, and told that 2 others had similar reactions to his. Patient has since received oral version of typhoid 1995, and tolerated with no symptoms that he can recall. Symptoms: Dyspnea (shortness of breath), diaphoresis, Pallor, Headache (onset within hour of vaccine receipt and worsened over period of about 6-8 hours), and Syncope. 9/18/07 Received medical records which reveal patient experienced HA & SOB which worsened & developed photophobia, pallor & diaphoresis after receiveing injectable typhoid vax.  Possible LOC & taken to ER, resuscitation & cardioversion.  Admitted overnight in 1995.  Received oral typhoid vax in 1995 w/o any noted problems.  Seen in Allergy clinic 8/2007 when told had to have typhoid vax prior to deployment for Oct/2007.  Tx w/oral typhoid vax while in clinic & then monitored for 2 hours w/o any AE.  Sent home w/epi pen.  Returned to clinic for 2nd & 3rd dose at clinic & to be monitored.  Developed a HA after 2nd dose otherwise well tolerated.
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient received V-vax booster on 8/16/07. Next day reported redness, swelling and itching at site. Tylenol/ Motrin as needed pain relief. Benadryl as needed itch, swelling.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, UNK
Symptoms: Injection site erythema, Injection site inflammation, Injection site swelling
Clinical narrative: Large localized redness, swelling and inflammation extending to entire upper arm and to scapular region of back.
Age: 26.0
Sex: F
Vaccine: TTOX
Symptoms: Hyperhidrosis, Nausea, Pain in extremity, Skin warm, Tenderness
Clinical narrative: Donor arrived at facility at 3pm. C/C her right arm was sore and tender warm to touch after Tetanus shot on 8/14/07 at 1350pm. She complained she had nausea, sweating last night at about midnight, but resolved by early AM. Advised ice packs on right arm, call if any other problems.
Age: 78.0
Sex: M
Vaccine: HEPA
Symptoms: Inappropriate schedule of drug administration, Incorrect dose administered, Wrong drug administered
Clinical narrative: No adverse events/reactions up to follow-up visit on 8/15/07. Reason for report is that patient received 2 doses of Hep A Havrix 1440U same day.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia
Clinical narrative: Mother brought child in today for a routine check up and stated slightly over 48 hours after last vaccines given (2000) he had fever to 105 and went to emergency room and did not notify me.
Age: 37.0
Sex: M
Vaccine: TDAP
Symptoms: Chills, Pyrexia, Tremor
Clinical narrative: Developed fever up to 103.2 degrees farenheit and shaking chills by 8/21/07 at 8am.  Had received the vaccine as prophylaxis for minor human bite sustained 8/20/07.  Evaluated in the ER at Hospital and received IV antibiotics x1.  Discharged on po antibiotics.  Fever persisted into 8/22/07, then subsided.  No other symptoms reported.  No redness or swelling at injection site (L) deltoid.
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Local reaction, Rash pustular, Serology normal, Varicella, Viral test negative
Clinical narrative: Pt seen at MckayDee Medical Center on 10 Aug @ 0850.  He received the vaccine 10 days prior.  He was having local reaction on Rt deltoid and postular rash on torso and upper shoulder area.
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Virus serology test negative
Clinical narrative: Pt seen at MckayDee Medical Center on 10 Aug @ 0850.  He received the vaccine 10 days prior.  He was having local reaction on Rt deltoid and postular rash on torso and upper shoulder area.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Lymphadenopathy, Malaise, Rash
Clinical narrative: Patient came in on 8/16/2007 with significant lymph adenonopathy a short time after getting MMRV and had several minor complications from getting imm, rash on face and malaize.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Echocardiogram normal, Pericarditis
Clinical narrative: This is a deployed soldier who received the small pox vaccine on 13 Aug 2007.  On 21 August 2007 he developed chest pains consistent with pericarditis.  Only objective finding was a measureable troponin I of .24 at LRMC on 27 August 2007.  ECG showed nonspecific ST changes and the echo was normal.  Chest pain is responding well to indocin. Patient is AD Air Force.  The vaccine was administered down range.
Age: 22.0
Sex: M
Vaccine: MMR, TDAP, VARCEL
Symptoms: Discomfort, Local swelling, Rash maculo-papular
Clinical narrative: Patient initially seen at this clinic 8/16, 2 days after vaccine with local swelling and discomfort, which would not be reported.  Phone call 8/21 from Dr. who was seeing patient in his office for rash, described to me as maculopapular, on the arms and legs, without vesicles or pustules. Patient told Dr. the rash had started about 4 days after the vaccine.  No fever or lymphadenopathy.  No treatment was recommended by the physician other than observation.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Fatigue, Headache, Injection site erythema, Injection site pain
Clinical narrative: Vaccine administered in Employee Health on 8/20/07.  Patient reports that her right arm hurt the rest of that day and the entire next day.  Following work on 8/21/07, Patient applied ice (which she states made her arm hurt worse) and then heat to her right arm. She then states on 8/22/07, her legs felt "crampy" and although she felt like going back to bed, she did work that day.  Her arm was warm, but no redness noted.  She was instructed to take Tylenol for discomfort.  That night, Patient reports her temperature increased to 102 degrees, she hurt "everywhere," and had a bad headache.  She did not come into work on 8/23/07 and contacted Employee Health regarding her symptoms.  When seen in EH on that day, Patient reports that she is feeling better, her arm is less swollen and hurting less.  She does report still being very tired.  "Pinkness" was noted in her right upper arm around injection site and it remained warm to touch.  She no longer had any temperature.  On 8/24/07, Dr. was notified of "reaction."  Today (8/28/07), Patient reports that she is "pretty much back to normal."  States that the pink on her arm is pretty much gone and that even rubbing it vigorously she is not having any pain.  Also states the swelling is gone and she is back to doing all normal activities.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site warmth, Muscle spasms, Swelling
Clinical narrative: Vaccine administered in Employee Health on 8/20/07.  Patient reports that her right arm hurt the rest of that day and the entire next day.  Following work on 8/21/07, Patient applied ice (which she states made her arm hurt worse) and then heat to her right arm. She then states on 8/22/07, her legs felt "crampy" and although she felt like going back to bed, she did work that day.  Her arm was warm, but no redness noted.  She was instructed to take Tylenol for discomfort.  That night, Patient reports her temperature increased to 102 degrees, she hurt "everywhere," and had a bad headache.  She did not come into work on 8/23/07 and contacted Employee Health regarding her symptoms.  When seen in EH on that day, Patient reports that she is feeling better, her arm is less swollen and hurting less.  She does report still being very tired.  "Pinkness" was noted in her right upper arm around injection site and it remained warm to touch.  She no longer had any temperature.  On 8/24/07, Dr. was notified of "reaction."  Today (8/28/07), Patient reports that she is "pretty much back to normal."  States that the pink on her arm is pretty much gone and that even rubbing it vigorously she is not having any pain.  Also states the swelling is gone and she is back to doing all normal activities.
Age: 18.0
Sex: M
Vaccine: HEP, MNQ, TDAP
Symptoms: Hypoaesthesia
Clinical narrative: Mother of patient called HD today, 08-28-07, stating that patient c/o numbness in left ring and little finger on Friday, 08-24-07 which was the morning after the injections were given.  Numbness as described above is persisting, but has not gotten worse.  No other s/s of illness or distress at this time.  No treatment at this time.  Patient is at college now and mom is to contact him to advise him to seek medical care/treatment at the med center on the college campus.  He does not have a PCP to contact.
Age: 14.0
Sex: U
Vaccine: HEPA
Symptoms: Hepatitis A, Hepatitis A antibody positive
Clinical narrative: Possible vaccine failure. Patient diagnosed with Hepatitis A infection - IgM positive in August 2007. He received 2nd dose of Hep A vaccine 6/22/07 (Lot # 0442U).  9/04/2007 MR received for ER visit 8/07/2007 with c/o 3-4 week hx of L sided chest pain, > with inspiration.  Fever of 104' several days ago.  Seen by PCP 1 day prior to ER visit. DX: with pericarditis.  TC to PCP reporter for clarification on this.  During W/U for pericarditis, pt was found to have Hep A IgM (+).  Pt reported to PCP that several weeks ago while in Mexico pt had symptoms of fever, chills, vomiting and diarrhea. Pt was not seen for this so no medical records.  MD concern for possible vaccine failure.  PCP feels pericarditis is unrelated.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Pruritus, Skin warm, Swelling
Clinical narrative: Redness and puffiness size of softball.  Itchy, warm.
Age: 15.0
Sex: F
Vaccine: HEP, HPV4
Symptoms: Borrelia burgdorferi serology negative, Facial palsy, Full blood count normal, HIV test negative, Laboratory test normal
Clinical narrative: Facial nerve paralysis left began 24-36 hours after receiving Gardisial vaccine #1 and Heptatis B vaccine #2.  There were no lesions, fever, pain, decrease in salivation, taste decrease, or vision loss.  She did not report any problems with her first Hep B vaccine. Treated with valcyclovir and prednisone.  Saw her back in the office 10 days later.  She had made a nearly complete recovery.
Age: 15.0
Sex: F
Vaccine: HEP, HPV4
Symptoms: Nuclear magnetic resonance imaging brain normal
Clinical narrative: Facial nerve paralysis left began 24-36 hours after receiving Gardisial vaccine #1 and Heptatis B vaccine #2.  There were no lesions, fever, pain, decrease in salivation, taste decrease, or vision loss.  She did not report any problems with her first Hep B vaccine. Treated with valcyclovir and prednisone.  Saw her back in the office 10 days later.  She had made a nearly complete recovery.
Age: 11.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Gaze palsy, Immediate post-injection reaction, Loss of consciousness, Musculoskeletal stiffness, Nausea
Clinical narrative: Administered Hep. A #2 left deltoid and then followed with Varicella #2 left upper arm. Client lost consciousness immediately after receiving 2nd vaccination. Client's eyes rolled back, was pale with his right arm clutched to his chest and his left arm straight down. Stiffness in upper body remained until client placed on the floor with his legs elevated. Consciousness returned right after his legs were elevated. Client may have lost consciousness for 1 minute or less. Client c/o nausea and was placed in the recovery position. Vitals were taken and were within normal limits. Some candy was given, vitals taken-WNL- and patient was released after being able to sit then stand without any further dizziness. The concern was the rigidity of his arms.
Age: 11.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Pallor
Clinical narrative: Administered Hep. A #2 left deltoid and then followed with Varicella #2 left upper arm. Client lost consciousness immediately after receiving 2nd vaccination. Client's eyes rolled back, was pale with his right arm clutched to his chest and his left arm straight down. Stiffness in upper body remained until client placed on the floor with his legs elevated. Consciousness returned right after his legs were elevated. Client may have lost consciousness for 1 minute or less. Client c/o nausea and was placed in the recovery position. Vitals were taken and were within normal limits. Some candy was given, vitals taken-WNL- and patient was released after being able to sit then stand without any further dizziness. The concern was the rigidity of his arms.
Age: 32.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Erythema, Paraesthesia, Pruritus, Rash
Clinical narrative: Sharp tingly sensation on finger tips (very itchy), palm of hand, back of hand, and forearms lasts for about 20 -30 minutes at a time - currently occurs about once to twice a day. ....After initial Vaccination in Iraq July 28, 2003 I experienced the same symptoms with additional redness and rash like appearance immediately after touching anything cold. I was also on Malaria pills at the time but quit and still had those symptoms. Doctors did not know why and did not think it was related to Anthrax vacc. But I am having same symptoms with out the rash.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Erythema, Eye swelling, Lip swelling, Urticaria
Clinical narrative: Patient was given DTAP, MMR/Varicella (combined vaccine), IPV and Hepatitis A.  Approximately 15min after injections developed swelling of eyes and lips. He developed hives and diffuse erythema.  No skin changes at the local sites of injections.
Age: 66.0
Sex: F
Vaccine: HEPAB, IPV
Symptoms: Headache, Nausea, Vomiting
Clinical narrative: sudden onset of headache, nausea and vomiting, treated with injected compazine followed by oral compazine
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Haematoma, Muscle twitching, Syncope, Tooth injury
Clinical narrative: 3 to 5 second Syncopal episode after HPV vaccine given.  Twitching of right arm noted, recovered alertness quickly after postictel.  Hematoma left brow/temple and chipped left lower incisor.  NV intact. Observed patient for 1 hour.  Had not had a meal in 15 hours(skipped breakfast).
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: 11 year old female brought by both parents with mild redness and swelling at the site of Varicella vaccination in the right upper arm 2 days ago. No fever or breathing difficulty. No pus at the punctum.Skin: 7 x 6 cm area of redness with a 2.5 x 2 cm area of induration at the site of injection in the posterolateral aspect of the right upper arm, no pus in the punctum; no streaking
Age: 1.0
Sex: F
Vaccine: IPV, MMR, PNC, VARCEL
Symptoms: Blood glucose increased, Blood potassium normal, Blood sodium normal, Carbon dioxide decreased, Febrile convulsion
Clinical narrative: 5 minute seizure occurred on 8/26, patient seen in ED and released with dx febrile seizure (T 103).  Pt. had another seizure about 3 hours later lasting 8 minutes with ~90 minute post-ictal period and was given lorazepam and phosphenytoin.  Then admitted for overnight observation; no further meds given.  Less active than usual for ~24 hours.  Was seen again today and is just returning to normal activity.  10/15/2007 MR received for DOS 8/26-27/2007 for DX:  Complex Febrile Seizures.  ALOM.  While eating child appeared pale and then developed GTC seizure which lasted ~4 minutes. Taken by EMS to ER where fever/OM was dxd and child was released.  About 1 hour later child had another GTC seizure lasting ~8 min which was still occuring upon arrival in ER.   PE (+) for small petechia R upper chest.  LTM dull, erythematous and retracted.Refusing to bear weight. Otherwise WNL.   No further seizures. D/C home next day.
Age: 1.0
Sex: F
Vaccine: IPV, MMR, PNC, VARCEL
Symptoms: Full blood count normal, Postictal state, Urine analysis normal
Clinical narrative: 5 minute seizure occurred on 8/26, patient seen in ED and released with dx febrile seizure (T 103).  Pt. had another seizure about 3 hours later lasting 8 minutes with ~90 minute post-ictal period and was given lorazepam and phosphenytoin.  Then admitted for overnight observation; no further meds given.  Less active than usual for ~24 hours.  Was seen again today and is just returning to normal activity.  10/15/2007 MR received for DOS 8/26-27/2007 for DX:  Complex Febrile Seizures.  ALOM.  While eating child appeared pale and then developed GTC seizure which lasted ~4 minutes. Taken by EMS to ER where fever/OM was dxd and child was released.  About 1 hour later child had another GTC seizure lasting ~8 min which was still occuring upon arrival in ER.   PE (+) for small petechia R upper chest.  LTM dull, erythematous and retracted.Refusing to bear weight. Otherwise WNL.   No further seizures. D/C home next day.
Age: 35.0
Sex: F
Vaccine: DTAP, UNK
Symptoms: Arthralgia, Chills, Dizziness, Fatigue, Inappropriate schedule of drug administration
Clinical narrative: 24 Hours after hot painful swelling at injection site. Chills nausea, sore joints, tired. It has taken 4-5 days to feel better. Dizzy feelings. Doctor prescribed Cephalexin but I did not take it at all.
Age: 35.0
Sex: F
Vaccine: DTAP, UNK
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Nausea, Wrong drug administered
Clinical narrative: 24 Hours after hot painful swelling at injection site. Chills nausea, sore joints, tired. It has taken 4-5 days to feel better. Dizzy feelings. Doctor prescribed Cephalexin but I did not take it at all.
Age: 49.0
Sex: F
Vaccine: UNK
Symptoms: Eye irritation, Facial palsy, Facial paresis
Clinical narrative: 8AM - 14 days after administration of vaccine felt right sided facial weakness, right eye irritation and then right eye did not close. Dripping liquids from mouth. Asymmetrical smile. Dx with right Bells Palsy on 8/21/07. Treating with doctor.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site rash, Injection site swelling, Rash pruritic, Urticaria
Clinical narrative: Given DTaP #5, IPV #4 (L) thigh on 8/20/07, next AM had hives all over, injection site splotchy rash Benadryl helped. Day 2, Hives again in am, itchy rash on face, swollen at site. Day 3 improved, no hives.
Age: 21.0
Sex: M
Vaccine: HEPA
Symptoms: Blood pressure increased, Convulsion, Dizziness, Gaze palsy, Hyperhidrosis
Clinical narrative: A 21 year old male received Havrix #1, IM at job site. c/o feeling lightheaded after vaccine administered. Color became pale and began perspiring. Seated with head between knees and cold compress to neck. A few minutes later sat up. Color better. Approximately 11:40am while still seated appeared to experience seizure. Body convulsed. Eyes rolled back. Not responsive to stimuli. Diaphoretic. EMS called 11:40 AM BP 88/64 P62 prior to seizure, 11:45am approximately appeared to experienced seizure as described, 11:46am approximately BP 102/70 P80 now responding to his name. Alert. "Fells like had a dream! Oriented to date and place. EMS arrived and took VS. Patient alert, but dazed 1205 pm Transported by EMS to hospital accompanied by co-worker for follow up evaluation. Ambulated to transport vehicle without problems.
Age: 21.0
Sex: M
Vaccine: HEPA
Symptoms: Pallor, Unresponsive to stimuli
Clinical narrative: A 21 year old male received Havrix #1, IM at job site. c/o feeling lightheaded after vaccine administered. Color became pale and began perspiring. Seated with head between knees and cold compress to neck. A few minutes later sat up. Color better. Approximately 11:40am while still seated appeared to experience seizure. Body convulsed. Eyes rolled back. Not responsive to stimuli. Diaphoretic. EMS called 11:40 AM BP 88/64 P62 prior to seizure, 11:45am approximately appeared to experienced seizure as described, 11:46am approximately BP 102/70 P80 now responding to his name. Alert. "Fells like had a dream! Oriented to date and place. EMS arrived and took VS. Patient alert, but dazed 1205 pm Transported by EMS to hospital accompanied by co-worker for follow up evaluation. Ambulated to transport vehicle without problems.
Age: 1.5
Sex: M
Vaccine: DTAPHEPBIP, HEPA, MMR, PNC
Symptoms: Convulsion, Dyspnoea, Pyrexia
Clinical narrative: At 1am mom heard patient breathing funny and found him having a seizure that lasted about 20 minutes. She gave him Diastat as prescribed per doctor and called 911. Fever was 101.9 at that time. Was last given Ibuprofen @ 8p. States doctor felt it was fever induced.
Age: 27.0
Sex: M
Vaccine: HEP, TYP
Symptoms: Induration, Pruritus, Swelling
Clinical narrative: 07/26/07 - Anthrax #6 in left deltoid 1800 hrs - itching. 27Jul07 - 0600Hrs, itching, deltoid completely hardened and swollen. No numbness/tingling distal to site 1830Hrs - swelling shifted to under side of arm. 28 Jul 07 - same as day before. 29 Jul 07 - swelling moved toward elbow with itching. 30 Jul 07. No swelling, hardness, itching.
Age: 3.0
Sex: M
Vaccine: HEPA
Symptoms: Allergy test, Urticaria
Clinical narrative: Hives within 8 hours of administration of Hep A went to facility that night - treated as hives - gave Epipen didn't use Benadryl came to doctor's office 8/23/07 because hive were worse - treated with Zyrtec 5mg BID and 2mL Epinephrine SQ.
Age: 1.1
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Decreased appetite, Irritability, Pyrexia
Clinical narrative: Fever x 5 days, decrease appetite. Motrin altered with Tylenol as directed. Irritable
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Rash, Throat irritation, Urticaria
Clinical narrative: Mom called about 30 minutes following administration of vaccines to report rash and complaint of itchy throat. Patient came back to office had an urticarial rash around ears, neck, upper chest. C/O itchy feet - no rash seen. POX 97%, Lungs CTA, throat without ant erythema - patient stable - sent to ER for observation.
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: Tenderness, redness, swelling 4 x 4 1/2 cm erythema
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Pain, Skin warm, Swelling
Clinical narrative: 8/22/07 AM noted redness, swelling then increase warmth, pain. Rx: Rocephin 250mg IM LUOQ @ 1120.
Age: 5.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Rash
Clinical narrative: Mother presents to office with c/o rash noted this a.m. on child. Initially began on lips now spreading to arms, chest?, lower lip. Afebrile, denies pain or pruritus.
Age: 3.0
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Received vaccines 8/21/07 - presented 8/23/07 with area of induration 8cm x 6cm and overlying erythema of 4cm x 6cm - in left upper thigh. Due to high prevalence of MRSA in community placed on antibiotics.
Age: 8.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Cellulitis, Erythema, Oedema, Skin warm, Tenderness
Clinical narrative: Cellulitis of left thigh developed on 8/21/07. There was increased erythema, edema, tenderness and warmth on the left thigh that was worsening 48 hours after vaccination.
Age: 0.8
Sex: M
Vaccine: DTAPHEPBIP, PNC
Symptoms: Urticaria
Clinical narrative: Hives to face, arms, neck and legs per mother, no fever.
Age: 10.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Contusion, Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: Noticed on 8/18/07 a rash with raised red bumps, rash was itchy and was diameter of 1/2 dollar at site of Varicella injection. On 8/20/07 it is flat and bruised per father.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Hypersensitivity, Pruritus, Swelling
Clinical narrative: Local hypersensitivity reaction an right arm with pruritis, swelling, redness treated with Benadryl and local ice.
Age: 60.0
Sex: M
Vaccine: PPV
Symptoms: Eye swelling, Eyelid oedema, Swelling face
Clinical narrative: Pneumococcal vaccine given at 1122 on 8/16/07 prior to discharge wife called around 1500 hours concerned about swelling around patient's eye. Patient denies visual disturbances, itching, SOB, or feeling that throat closing. Patient did have a small laceration above eye to which bacitracin had been applied at 0850 hours. Patient went to express care chart notes facial swelling with edema to both eyelids. Benadryl 50mg IM given.
Age: 3.0
Sex: M
Vaccine: HEPA
Symptoms: Abdominal distension, Pyrexia
Clinical narrative: Mom reports child developed a fever of 101 on the evening IZ was administered, also c/o "tummy being full". Tylenol and Ibuprofen given alternately q4 to keep fever down. He fever related seizures (see encounter 8/22).
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV, DTAP, HIBV, IPV, PNC, RV
Symptoms: Crying, Pyrexia
Clinical narrative: This case has the same reporter as cases 2007-00289 and 2007-00290.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV, DTAP, HIBV, IPV, PNC, RV
Symptoms: Unevaluable event
Clinical narrative: This case has the same reporter as cases 2007-00289 and 2007-00290.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV, DTAP, IPV, MMR
Symptoms: Erythema, Oedema peripheral, Pain
Clinical narrative: Initial report received from a health care professional on 29 January 2007. A 4 year old, female patient developed a red and swollen left arm that was very painful, after she received Daptacel (lot number C2521AA0 intramuscularly in the left arm; IPOL (lot number Z0018) subcutaneously in the left arm and MMR (lot number 0660F) subcutaneously in the right arm on 26 January 2007. It was reported the patient recovered. Follow-up information received on 20 February 2007 from a health care professional. The case was reviewed by the reporter, and there was no additional information at this time. This case has the same reporter as cases 2007-00288 and 200700289.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV, DTAP, IPV, MMR
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: Initial report received from a health care professional on 29 January 2007. A 4 year old, female patient developed a red and swollen left arm that was very painful, after she received Daptacel (lot number C2521AA0 intramuscularly in the left arm; IPOL (lot number Z0018) subcutaneously in the left arm and MMR (lot number 0660F) subcutaneously in the right arm on 26 January 2007. It was reported the patient recovered. Follow-up information received on 20 February 2007 from a health care professional. The case was reviewed by the reporter, and there was no additional information at this time. This case has the same reporter as cases 2007-00288 and 200700289.
Age: 1.3
Sex: F
Vaccine: DTAP, IPV, PNC, DTAP, IPV, PNC
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Edema thigh, Redness of legs, Injection site warmth, Same reporter as case 2007-01275
Age: 1.3
Sex: F
Vaccine: DTAP, IPV, PNC, DTAP, IPV, PNC
Symptoms: Erythema, Injection site warmth, Oedema peripheral
Clinical narrative: Edema thigh, Redness of legs, Injection site warmth, Same reporter as case 2007-01275
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Hypoaesthesia facial, Throat tightness
Clinical narrative: HPV - Gardasil inj given - 2nd dose. 20-30" had left cheek numb, some tightening of throat. Did not call us first. At arm pain. Given 50mg Benadryl PO. Symptoms abated.
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Hypoaesthesia facial, Pain in extremity, Throat tightness
Clinical narrative: HPV - Gardasil inj given - 2nd dose. 20-30" had left cheek numb, some tightening of throat. Did not call us first. At arm pain. Given 50mg Benadryl PO. Symptoms abated.
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Diarrhoea, Headache, Salivary hypersecretion, Urticaria
Clinical narrative: urticaria, itching, sensation of thick tongue
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Pruritus, Swollen tongue, Urticaria
Clinical narrative: urticaria, itching, sensation of thick tongue
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Immediate post-injection reaction, Loss of consciousness, Pallor
Clinical narrative: This case was reported by a health professional on 22 August 2007. A 16-year-old male patient with no known medical history received an intramuscular left deltoid injection of Menactra (lot number U2393BA) on 20 August 2007. Immediately after receiving the injection, the patient became very pale, and lost consciousness for approximately two minutes. No intervention was required, and the patient recovered.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Bronchitis, Caesarean section, Cardiac stress test, Cough
Clinical narrative: Initial report received 14 August 2007 from a health care professional. A 31-year-old female patient had received a prophylactic injection of Fluzone on 26 December 2006 during her second trimester of pregnancy. The patient's date of conception had been reported as 25 August 2006 with an estimated delivery date of 18 May 2007. Exposures reported during pregnancy included alcohol, passive smoke, caffeine, and mold "in office". During her third trimester, beginning on 12 February 2007, she experienced a cough which lasted seven days, ending on 18 February 2007. Then, beginning 08 March 2007, she experienced a temperature of 100 degrees Fahrenheit, and "bronchitis/cold" symptoms. Her temperature returned to normal the following day but her bronchitis/cold symptoms persisted until 04 May 2007. She had been prescribed "antibiotics NCS" from 01 April 2007 until 30 April 2007 and Z-PAKs from 15 April 2007 to 04 May 2007. An ultrasound performed 02 May 2007 revealed "low amniotic fluid" and a non-stress test performed on 08 May 2007 had normal results. The patient had a c-section after diagnosis of oligohydramnics on 18 May 2007, her AFI was 2. The baby had cyanosis at birth which resolved within 2 hours. Shortly after birth the baby started having difficulties breathing and was diagnosed with pulmonary hypertension and intubated for 24 hours and the pulmonary hypertension resolved. Oxygen was administered another 24 hours and on 20 May 2007, the baby was breathing normally. The baby had been prescribed antibiotics for one week and all laboratory results were normal, negative for infection. The baby had been monitored for five additional days and had been released on 26 May 2007. This case was originally reported as non-serious, however, it was upgraded to serious by manufacturer. This case is linked to the baby's case 2007-02795 (pulmonary hypertension, jaundice).
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Drug exposure during pregnancy, Foetal disorder, Glucose tolerance test normal, Nasopharyngitis, Oligohydramnios
Clinical narrative: Initial report received 14 August 2007 from a health care professional. A 31-year-old female patient had received a prophylactic injection of Fluzone on 26 December 2006 during her second trimester of pregnancy. The patient's date of conception had been reported as 25 August 2006 with an estimated delivery date of 18 May 2007. Exposures reported during pregnancy included alcohol, passive smoke, caffeine, and mold "in office". During her third trimester, beginning on 12 February 2007, she experienced a cough which lasted seven days, ending on 18 February 2007. Then, beginning 08 March 2007, she experienced a temperature of 100 degrees Fahrenheit, and "bronchitis/cold" symptoms. Her temperature returned to normal the following day but her bronchitis/cold symptoms persisted until 04 May 2007. She had been prescribed "antibiotics NCS" from 01 April 2007 until 30 April 2007 and Z-PAKs from 15 April 2007 to 04 May 2007. An ultrasound performed 02 May 2007 revealed "low amniotic fluid" and a non-stress test performed on 08 May 2007 had normal results. The patient had a c-section after diagnosis of oligohydramnics on 18 May 2007, her AFI was 2. The baby had cyanosis at birth which resolved within 2 hours. Shortly after birth the baby started having difficulties breathing and was diagnosed with pulmonary hypertension and intubated for 24 hours and the pulmonary hypertension resolved. Oxygen was administered another 24 hours and on 20 May 2007, the baby was breathing normally. The baby had been prescribed antibiotics for one week and all laboratory results were normal, negative for infection. The baby had been monitored for five additional days and had been released on 26 May 2007. This case was originally reported as non-serious, however, it was upgraded to serious by manufacturer. This case is linked to the baby's case 2007-02795 (pulmonary hypertension, jaundice).