chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 12.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Pain, Pyrexia, Skin warm
Clinical narrative: Body aches starting 3/17/06; fever (starting 3/17/06) - mother does not have thermometer but says she feels "hot" to the touch.
Age: 2.0
Sex: F
Vaccine: MMR, PNC
Symptoms: Injection site erythema
Clinical narrative: Redness left quadriceps area where prenar injection was given on 3/15/06. Local reaction to inj. Dr. saw the patient on 3/17/06. Cephalexin 125 mg.
Age: 35.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Palpitations, Tenderness
Clinical narrative: Patient developed 5 cm X 7.5 cm area of induration and erythema at injection site. C/O tenderness at site. Tender to light palpation.
Age: 17.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Abdominal pain, Headache
Clinical narrative: Moderate to severe headache - same night. Mild abdominal pain. Given tylenol 3 / elavil.
Age: 1.74
Sex: F
Vaccine: DTAP
Symptoms: Conjunctivitis, Convulsion, Otitis media, Pyrexia
Clinical narrative: Pt was afebrile with conjuntivitis and otitis. Antibiotic Rx (but ed filled). Family Hx of seizures. Pt had 104 degree fever and a 2 minute seizure about 12 hours after immunization. The following am acting normal. (Seen in ER the night of seizure).
Age: 4.0
Sex: F
Vaccine: UNK
Symptoms: Feeling hot, Injection site erythema, Tenderness
Clinical narrative: Right upper arm very tender, hot, red area around vaccine site  approx 10 X 10 cm.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema, Pain
Clinical narrative: Left upper arm edema, redness. Warmth and painful to touch.
Age: 5.0
Sex: F
Vaccine: DTAP, HEP, HEPA, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: Right arm deltoid muscle swollen and red, noted by parent 2 days after vaccination. Applied ice to sight.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: Swelling to left deltoid with redness.
Age: 6.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site warmth
Clinical narrative: Right deltoid area red, swollen, and warm to touch.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site warmth, Tenderness
Clinical narrative: Redness, heat, swelling, tenderness left deltoid and 2/3 way to elbow.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site warmth, Pruritus
Clinical narrative: Redness, heat, swelling, itching left arm middle of upper arm 03/10/2006.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Agitation, Cold sweat, Coma, Crying, Depressed level of consciousness
Clinical narrative: At 2:55pm after Pt received shots he sat in chair awaiting his brother to receive shots. Pt fell out of chair and hit his head on door and floor. Pt crying with eyes closed and then no response B/P 53 systolic and unable to obtain diastolic, unable to palpate pulse but pt breathing and would open his eyes when trying to rouse. Pt lying on floor with feet elevated. Ammonia placed under his nostril and pt aroused up and attempted to sit up. Instructed hi to stay lying down. Pt very pale and pt cool and clammy. Pt then speaking and c/o of being dizzy. B/P checked again 80/53 and palpable pulse noted. Assisted pt by picking him up and took to exam room and placed in supine position with legs elevated. B/P after 5 mins 86/50. Pt continues to respond but still pale and dizzy, EMS called to take pt to ER. B/P 2:55 pm 53 no diastolic , no palpable pulse, 3:00 pm B/P 80/53 HR 80, 3:05 B/P 85/50 HR 84, 3:10 B/P 92/52 Pulse 87.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Dizziness, Fall, Injury, Pallor, Peripheral coldness
Clinical narrative: At 2:55pm after Pt received shots he sat in chair awaiting his brother to receive shots. Pt fell out of chair and hit his head on door and floor. Pt crying with eyes closed and then no response B/P 53 systolic and unable to obtain diastolic, unable to palpate pulse but pt breathing and would open his eyes when trying to rouse. Pt lying on floor with feet elevated. Ammonia placed under his nostril and pt aroused up and attempted to sit up. Instructed hi to stay lying down. Pt very pale and pt cool and clammy. Pt then speaking and c/o of being dizzy. B/P checked again 80/53 and palpable pulse noted. Assisted pt by picking him up and took to exam room and placed in supine position with legs elevated. B/P after 5 mins 86/50. Pt continues to respond but still pale and dizzy, EMS called to take pt to ER. B/P 2:55 pm 53 no diastolic , no palpable pulse, 3:00 pm B/P 80/53 HR 80, 3:05 B/P 85/50 HR 84, 3:10 B/P 92/52 Pulse 87.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Pulse absent
Clinical narrative: At 2:55pm after Pt received shots he sat in chair awaiting his brother to receive shots. Pt fell out of chair and hit his head on door and floor. Pt crying with eyes closed and then no response B/P 53 systolic and unable to obtain diastolic, unable to palpate pulse but pt breathing and would open his eyes when trying to rouse. Pt lying on floor with feet elevated. Ammonia placed under his nostril and pt aroused up and attempted to sit up. Instructed hi to stay lying down. Pt very pale and pt cool and clammy. Pt then speaking and c/o of being dizzy. B/P checked again 80/53 and palpable pulse noted. Assisted pt by picking him up and took to exam room and placed in supine position with legs elevated. B/P after 5 mins 86/50. Pt continues to respond but still pale and dizzy, EMS called to take pt to ER. B/P 2:55 pm 53 no diastolic , no palpable pulse, 3:00 pm B/P 80/53 HR 80, 3:05 B/P 85/50 HR 84, 3:10 B/P 92/52 Pulse 87.
Age: 1.25
Sex: F
Vaccine: DTPHIB, IPV, MMR, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Diagnosed with chickenpox on 3/21/2006, received Varivax on 8/11/1998.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site induration, Injection site oedema, Injection site pain
Clinical narrative: 03/08/2006 Mom Tell, left upper arm an area size of egg, red and swollen and painful. 3/13 still hard and swollen, 3/17 seen in office area size of pea now.
Age: 24.0
Sex: F
Vaccine: HEPA, TD
Symptoms: Dizziness, Feeling hot, Headache, Injection site erythema, Injection site oedema
Clinical narrative: One hr after admin of vaccines: onset. Nausea and dizziness, Left deltoid: redness, warmth, swelling, itchy, measuring 35mm 48 hrs later. Headache after 24 hrs.
Age: 24.0
Sex: F
Vaccine: HEPA, TD
Symptoms: Nausea, Pruritus
Clinical narrative: One hr after admin of vaccines: onset. Nausea and dizziness, Left deltoid: redness, warmth, swelling, itchy, measuring 35mm 48 hrs later. Headache after 24 hrs.
Age: 1.37
Sex: F
Vaccine: DTAP, PNC, VARCEL
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: erythema, swelling and warmth at injection site in less than 8 hours, pain in left thigh where only varicella vax was given.
Age: 7.0
Sex: F
Vaccine: DTAP, HEPA, IPV
Symptoms: Swelling
Clinical narrative: Left arm swelling after immz on 3/15/06. Swelling started 24 hours after immz given on 3/16/06. Benadryl and cool pack given. Swelling resolved.
Age: 6.0
Sex: M
Vaccine: DTAP, HEP
Symptoms: Dyskinesia
Clinical narrative: Rapid, repeated involuntary movements of hands, head and shoulders.
Age: 1.35
Sex: F
Vaccine: DTAPHEPBIP, HIBV, MMR
Symptoms: Convulsion, Pyrexia
Clinical narrative: Had imm 12/12/05. Morning of 12/13/05 found in crib with apparent seizure activity (GTCS). Taken to Emerg Room. Temp noted to be 102 degrees.
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Irritability, Pyrexia
Clinical narrative: Night of vaccines DTaP/HIB DOV 103 degrees irritability Next evening afebrile. NL exam happy playful.
Age: 1.02
Sex: M
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Conjunctivitis, Otitis media, Pruritus, Rash vesicular
Clinical narrative: Break through varicella rash (had vaccine) itchy bath. Aveeno bath. Also - Dx with otitis media and conjunctivitis - put on zithromax and ciprodix otic, put on vigamox eye drops. Dx with varicella without complications.
Age: 0.06
Sex: F
Vaccine: IPV
Symptoms: Pyrexia, Somnolence
Clinical narrative: Pt ran low grade temp. Slept most of the following day.
Age: 0.19
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Abdominal pain, Agitation, Anorexia, Crying, Injection site pain
Clinical narrative: 3 hours after vaccination started crying: becoming completely inconsolable - refused to breast feed, couldn't hold her, lay down, etc. Taken to ER- was told she had colic (no prior history) - given 120 mg tylenol suppository; sent home. Fell asleep after 4.5 hours of screaming - Woke up the next day and was ok. " Legs where she got the 2 shots" seemed to be really sore.
Age: 0.19
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pain
Clinical narrative: 3 hours after vaccination started crying: becoming completely inconsolable - refused to breast feed, couldn't hold her, lay down, etc. Taken to ER- was told she had colic (no prior history) - given 120 mg tylenol suppository; sent home. Fell asleep after 4.5 hours of screaming - Woke up the next day and was ok. " Legs where she got the 2 shots" seemed to be really sore.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site pain, Injection site swelling
Clinical narrative: Injection was on 3/22/06 at 14:15 in right thigh. That night her thigh was swollen and hurting her. She came back to clinic on 3/24/06. Dr. looked at the thigh. Warm to touch. 9cm induration. No redness noted. She was sent home and was told to put ice on it. Call if it gets worse or if she gets a fever.
Age: 40.0
Sex: F
Vaccine: RAB
Symptoms: Amnesia, Anxiety, Headache, Memory impairment, Paraesthesia
Clinical narrative: Five months after completing shots, still having intermittent problems with short term memory loss, odd sensations in my head, headaches, forgetting of simple vocabulary, itching all over my body.  problems started with first Rabavert shot, continued throughout series, which also included vision problems, anxiety, tingling in cheek, headaches, itching, etc. although problems have abated somewhat, I have not returned to my normal level of functioning.
Age: 40.0
Sex: F
Vaccine: RAB
Symptoms: Pruritus, Visual disturbance
Clinical narrative: Five months after completing shots, still having intermittent problems with short term memory loss, odd sensations in my head, headaches, forgetting of simple vocabulary, itching all over my body.  problems started with first Rabavert shot, continued throughout series, which also included vision problems, anxiety, tingling in cheek, headaches, itching, etc. although problems have abated somewhat, I have not returned to my normal level of functioning.
Age: 14.0
Sex: F
Vaccine: MNQ, TD
Symptoms: Anorexia, Heart rate increased, Injection site erythema, Injection site warmth, Malaise
Clinical narrative: WITHIN 24 HRS., RAPID HEART RATE, REDNESS & FEVER AT SITE, MALAISE, POOR APPETITE. ARM HAS PROGRESSIVELY GOTTEN WORSE OVER THE LAST 3 DAYS, NOW REQUIRING AN E.R. VISIT. I WAS NOT TOLD BY THE HEALTH DEPT. THAT GBS CAN OCCUR, OR THAT AN ADVISORY IS OUT. I AM AN ANGRY R.N. MY CHILD IS ON TYLENOL AND BENADRYL FOR THIS.
Age: 6.0
Sex: F
Vaccine: DTAP, HEP, HEPA, IPV, PNC
Symptoms: Abdominal pain, Diarrhoea, Headache, Injection site erythema, Injection site swelling
Clinical narrative: Localized redness and swelling at injection site within hours, lethargy, listlessness. 24 hours: vomiting and diarrhea, headache.  48 hours: continuing diarrhea, painful, stomach cramps, body aches, headache.  No fever during this time.
Age: 6.0
Sex: F
Vaccine: DTAP, HEP, HEPA, IPV, PNC
Symptoms: Lethargy, Listless, Pain, Vomiting
Clinical narrative: Localized redness and swelling at injection site within hours, lethargy, listlessness. 24 hours: vomiting and diarrhea, headache.  48 hours: continuing diarrhea, painful, stomach cramps, body aches, headache.  No fever during this time.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Urticaria
Clinical narrative: Woke up the next morning after his shots were given with hives all over both legs and both arms.  Per Dr's office, give Benedryl.  In the evening of 3/23/06, hives more severe and all over his body and face.  Went to ER per Dr's instructions after oral Predisone did not relieve hives.
Age: 93.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Agitation, Infection, Lethargy, Pyrexia, White blood cell count decreased
Clinical narrative: Information has been received from a physician's assistant concerning a 93 year old male with lymphoma who on 15-Nov-2005 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine. On 02-Nov-2005 therapy included a dose of influenza virus vaccine (unspecified). On 21-Nov-2005 the patient's lab results were white blood cells (WBC) = 1.3, platelets = 58,000, red blood cells 3.24 and 10.9/31.8 for hemoglobin/hematocrit. On 21-Nov-2005 the patient's family reported that there was a change in the patient's mental status and a temperature reading of 101 F. It was also reported that "earlier in the week, the patient did not want to get out of bed." Unspecified medical attention was sought. Subsequently, the patient died on 17-Dec-2005. Additional information has been requested.
Age: 93.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Mental impairment, Pyrexia
Clinical narrative: Information has been received from a physician's assistant concerning a 93 year old male with lymphoma who on 15-Nov-2005 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine. On 02-Nov-2005 therapy included a dose of influenza virus vaccine (unspecified). On 21-Nov-2005 the patient's lab results were white blood cells (WBC) = 1.3, platelets = 58,000, red blood cells 3.24 and 10.9/31.8 for hemoglobin/hematocrit. On 21-Nov-2005 the patient's family reported that there was a change in the patient's mental status and a temperature reading of 101 F. It was also reported that "earlier in the week, the patient did not want to get out of bed." Unspecified medical attention was sought. Subsequently, the patient died on 17-Dec-2005. Additional information has been requested.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Swelling
Clinical narrative: Large swollen indurated area on thigh size of small grapefruit
Age: 18.0
Sex: F
Vaccine: TDAP
Symptoms: Amnesia
Clinical narrative: One week after boostrix child reported loss of memory. Went to school nurse. Told to see her usual physician. 3/23/06
Age: 7.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Swelling
Clinical narrative: Swelling and erythema of Rt deltoid area x 3 days
Age: 45.0
Sex: F
Vaccine: HEPA, YF
Symptoms: Headache, Nausea, Rash macular
Clinical narrative: Patient received iz's on Monday 11/28/05. Had headache and nausea that evening which resolved by next am. Friday 12/2/05 was first time she noticed red blotches, pea-size starting near rib cage, under breasts, up back to shoulders. Denies itching, fever, breathing difficulties. Recommended a visit to her MD. Otherwise no Tx at this time.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Blood glucose increased, Decreased appetite, Diabetes mellitus, Fatigue, Laboratory test abnormal
Clinical narrative: Initial report received on 14-Mar-2006 from an investigator participating in the above mentioned trial under the reference number MTA30. A 17 year old female subject developed a one week history of fatigue, increased thirst and urination, variable appetite and weight loss of several pounds. She was found to have Type I Diabetes Mellitus with no evidence of acidosis, 26 days after she had received an administration (route and site not reported) of Menactra, lot number U1892AA, on 20/Jan/2006. The subject had no significant medical history. She also has no family history of Diabetes Mellitus. On 15/Feb/2006, 26 days after receiving the study vaccine, the subject developed fatigue, increased thirst and urination, and variable appetite with a reported weight loss of several pounds leading to hospitalization on 22/Jan/2006. A urinalysis was found to be abnormal. It showed glucose 1000 mg% with moderate blood and 50 mg% ketones. Lab work was completed and her HGB A1C was 10.7% (normal range 4.6-3.0), her random blood glucose was 608 mg/dL (normal range 60-159) and it went down to 307 on 23/Jan/2006, ketone was positive. The patient was positive for varicella-zoster IgG. She was treated with IV fluids for hydration and started on Novolog and Lantus. She was discharged on 24/Jan/2006 with a Glucagon emergency kit. At the time of this report, the events were ongoing. According to the investigator, the event was reported as possible related to the study vaccine. Documents held by sender: hospital discharge summary, laboratory work.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Pollakiuria, Thirst, Urine analysis abnormal, Weight decreased
Clinical narrative: Initial report received on 14-Mar-2006 from an investigator participating in the above mentioned trial under the reference number MTA30. A 17 year old female subject developed a one week history of fatigue, increased thirst and urination, variable appetite and weight loss of several pounds. She was found to have Type I Diabetes Mellitus with no evidence of acidosis, 26 days after she had received an administration (route and site not reported) of Menactra, lot number U1892AA, on 20/Jan/2006. The subject had no significant medical history. She also has no family history of Diabetes Mellitus. On 15/Feb/2006, 26 days after receiving the study vaccine, the subject developed fatigue, increased thirst and urination, and variable appetite with a reported weight loss of several pounds leading to hospitalization on 22/Jan/2006. A urinalysis was found to be abnormal. It showed glucose 1000 mg% with moderate blood and 50 mg% ketones. Lab work was completed and her HGB A1C was 10.7% (normal range 4.6-3.0), her random blood glucose was 608 mg/dL (normal range 60-159) and it went down to 307 on 23/Jan/2006, ketone was positive. The patient was positive for varicella-zoster IgG. She was treated with IV fluids for hydration and started on Novolog and Lantus. She was discharged on 24/Jan/2006 with a Glucagon emergency kit. At the time of this report, the events were ongoing. According to the investigator, the event was reported as possible related to the study vaccine. Documents held by sender: hospital discharge summary, laboratory work.
Sex: U
Vaccine: MMR
Symptoms: Autism
Clinical narrative: Information has been received from a consumer concerning children who were each vaccinated with a dose of measles virus vaccine live (+) mumps virus vaccine live (+) rubella virus vaccine live. It was reported that "the children were fine before receiving the vaccination" but later developed autism. The reporter felt that measles virus vaccine live (+) mumps virus vaccine live (+) rubella virus vaccine live caused the autism. No further information was available at the time of this report. No product quality complaint was involved. Upon internal review, autism was considered to be an other important medical event (OMIC). Additional information has been requested.
Age: 46.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Condition aggravated, Pain, Pneumonia, White blood cell count increased
Clinical narrative: Information has been received from a medical assistant concerning a 45 year old female with migraines (approximately 18-Mar-2005), multiple sclerosis relapse with optic neuritis and dizziness (approximately September 2005), burning with injections of interferon beta-la (REBIF) therapy, pneumonia (December 2005) and a history of pneumonia (2000) who on 03-Jan-2006 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine (lot #651319/1007P). Concomitant suspect therapy included interferon beta-la (REBIF), SC, 44 mcg, 3 times weekly, for the treatment of multiple sclerosis, initiated on 18-Mar-2005. Other concomitant therapy included eletriptan hydrobromide (RELPAX) and levofloxacin (LEVAQUIN). On 03-Jan-2006, the patient went to an emergency room, and subsequently, was hospitalized. The patient's pneumonia was reported as not worse, however, had not cleared up. Therefore, the patient's pneumonia was evaluated at that time. In January 2006, the patient's white blood cell count was noted to be 19,000. The patient was placed on intravenous antibiotics and pain medication for the treatment of cellulitis. On 10-Jan-2006, the patient was discharged with a peripherally inserted central catheter (PICC) to continue intravenous antibiotic treatment. The patient had a discussion with her neurologist on approximately 11-Jan-2006, the cellulitis area was no longer painful and had looked better, and the patient stated that her pneumonia was better, although, she felt tired. It was reported that as of 01-Mar-2006, the patient was doing well and "everything had completely resolved." It was also reported that the patient's physician stated she felt therapy with interferon beta-la (REBIF) contributed to both the pneumonia and vaccination site cellulitis due to interferon bet-la (REBIF) causing decreased immunity. Additional information has been requested.
Age: 22.0
Sex: M
Vaccine: ANTH, HEPA, SMALL, TYP
Symptoms: Adenovirus test positive, Amino acid level increased, Antinuclear antibody increased, Arthralgia, Bronchitis
Clinical narrative: Generalized joint pain that has continued until present. Needs high dose NSADS daily and still walks with a limp. 4/7/06 Review of medical records confirms diagnosis of idiopathic peripheral neuropathy. Initial symptoms included cough, fever, dizziness, and congestion since approximately 11/19/05. Temp was 104 for 3 days, diagnosed with bronchitis and treated with antibiotics. Diagnosed with pharyngitis, URI, cough, cerumen impaction, and dizziness.  4/27/06 Reviewed 3-page d/c summary. Diagnosis was non-organic pain syndrome, r/o conversion disorder. 60 Day Follow-up Information 20-JUN-2006: Still has difficulty running due to foot pains bilaterally. Functioning much better though. Follow-up: Service member deployed, unable to contact.
Age: 22.0
Sex: M
Vaccine: ANTH, HEPA, SMALL, TYP
Symptoms: Cerumen impaction, Cough, Dizziness, Electromyogram normal, Gait disturbance
Clinical narrative: Generalized joint pain that has continued until present. Needs high dose NSADS daily and still walks with a limp. 4/7/06 Review of medical records confirms diagnosis of idiopathic peripheral neuropathy. Initial symptoms included cough, fever, dizziness, and congestion since approximately 11/19/05. Temp was 104 for 3 days, diagnosed with bronchitis and treated with antibiotics. Diagnosed with pharyngitis, URI, cough, cerumen impaction, and dizziness.  4/27/06 Reviewed 3-page d/c summary. Diagnosis was non-organic pain syndrome, r/o conversion disorder. 60 Day Follow-up Information 20-JUN-2006: Still has difficulty running due to foot pains bilaterally. Functioning much better though. Follow-up: Service member deployed, unable to contact.
Age: 22.0
Sex: M
Vaccine: ANTH, HEPA, SMALL, TYP
Symptoms: Neuropathy peripheral, Pain, Pain in extremity, Pharyngitis, Pyrexia
Clinical narrative: Generalized joint pain that has continued until present. Needs high dose NSADS daily and still walks with a limp. 4/7/06 Review of medical records confirms diagnosis of idiopathic peripheral neuropathy. Initial symptoms included cough, fever, dizziness, and congestion since approximately 11/19/05. Temp was 104 for 3 days, diagnosed with bronchitis and treated with antibiotics. Diagnosed with pharyngitis, URI, cough, cerumen impaction, and dizziness.  4/27/06 Reviewed 3-page d/c summary. Diagnosis was non-organic pain syndrome, r/o conversion disorder. 60 Day Follow-up Information 20-JUN-2006: Still has difficulty running due to foot pains bilaterally. Functioning much better though. Follow-up: Service member deployed, unable to contact.
Age: 22.0
Sex: M
Vaccine: ANTH, HEPA, SMALL, TYP
Symptoms: Respiratory tract congestion, Streptococcus test positive, Upper respiratory tract infection
Clinical narrative: Generalized joint pain that has continued until present. Needs high dose NSADS daily and still walks with a limp. 4/7/06 Review of medical records confirms diagnosis of idiopathic peripheral neuropathy. Initial symptoms included cough, fever, dizziness, and congestion since approximately 11/19/05. Temp was 104 for 3 days, diagnosed with bronchitis and treated with antibiotics. Diagnosed with pharyngitis, URI, cough, cerumen impaction, and dizziness.  4/27/06 Reviewed 3-page d/c summary. Diagnosis was non-organic pain syndrome, r/o conversion disorder. 60 Day Follow-up Information 20-JUN-2006: Still has difficulty running due to foot pains bilaterally. Functioning much better though. Follow-up: Service member deployed, unable to contact.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Abdominal pain, Bacterial infection, Blood sodium decreased, Cough, Diarrhoea
Clinical narrative: Infant developed vomiting and diarrhea AM 3/23/00, then developed fever to 102 AM 3/24/06 with abdominal pain. Labs in ED showed sodium of 124. Subsequent urine culture positive for E Coli. She had ongoing need for sodium supplementation and evaluation by pediatric nephrologist.4/10/06 Received ER medical records which reveal patient experienced fever, nausea/vomiting, rhinorrhea & cough.  She was diagnosed with rotavirus and E coli febrile UTI she was hospitalized for dehydration, Hyponatremia, and febrile UTI.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Laboratory test abnormal, Pyrexia, Rhinorrhoea, Sepsis, Vomiting
Clinical narrative: Infant developed vomiting and diarrhea AM 3/23/00, then developed fever to 102 AM 3/24/06 with abdominal pain. Labs in ED showed sodium of 124. Subsequent urine culture positive for E Coli. She had ongoing need for sodium supplementation and evaluation by pediatric nephrologist.4/10/06 Received ER medical records which reveal patient experienced fever, nausea/vomiting, rhinorrhea & cough.  She was diagnosed with rotavirus and E coli febrile UTI she was hospitalized for dehydration, Hyponatremia, and febrile UTI.
Sex: M
Vaccine: ANTH
Symptoms: Nonspecific reaction
Clinical narrative: Fort Bragg, NC
Age: 52.0
Sex: F
Vaccine: FLUX
Symptoms: Musculoskeletal stiffness, Myalgia
Clinical narrative: Left upper arm became very sore, painful and stiff over a few weeks. 1/9/06 - MD diagnosed "frozen shoulder" and injected with cortizone. Arm was better for about 2 weeks and progressively returned to pain and stiffness. Arm being treated by a chiropractor since 1/30/2006; arm is still stiff and painful in deltoid muscle. Difficult to lift arm, put on seatbelt. Arm still stiff, sore and painful.
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Erythema induratum, Feeling hot
Clinical narrative: Right upper thigh erythema 8 X 10 cm induration 3.5 X 5 cm erythema centrally covering. Warm to touch. Started 3/22/06. Vaccines given 3/21/06 Tx'd with benadryl 1.5-2 tsp tid. Keflex 250/s 1 tsp tid #150 cc.
Age: 1.31
Sex: M
Vaccine: DTAP, FLU3, MMR
Symptoms: Lymphadenopathy, Swelling
Clinical narrative: Pt received immunizations on 3/14/06. Parents noted right groin swelling 3/19/06. Denies fever, rash. Groin area swelling same color/temp as surrounding areas with size "less than a dime" per father. Father took child to MD. States MD said it was lymph node reaction. To keep eye on it. Return if not resolved by 2nd week of April.
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Presented in office on 3/15/06 c/o reaction to shots in both arms. Received Menactra right arm 3/13/06, received DTaP and HEP A left arm 3/13/06. Both arms red and painful and swollen.
Age: 15.0
Sex: F
Vaccine: TDAP
Symptoms: Joint range of motion decreased, Swelling, Torticollis
Clinical narrative: Pt received an injection in one right deltoid on 3/14/06. That night her arm swelled to one point where she could not move it. She took advil and returned to one office and received (on 3/17) and received Benadryl 2.5 and Prednisone 50 mg. Came to office on 3/21 with tarchcollis. Rx flexeril 10 mg Ibuprofen. Still under Rx.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: Within 12 hours after administration of vaccine, pt c/o nausea, vomiting, body aches, fever 102 degrees. Resolved approx 48 hours later. Pt c/o nausea only at vaccine visit.
Age: 14.0
Sex: F
Vaccine: MNQ
Symptoms: Dizziness, Insomnia, Pain, Pyrexia, Urticaria
Clinical narrative: Could not sleep then in am dizzy, achey, temp 102 degrees. 3/17/06 evening - hives. Fever for 48 hours. Hives for 24 hours.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Lymphangitis
Clinical narrative: Cellulitis like reaction, left deltoid area with lymphangitis streaks. Treated with augmention BID X 1 week.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Unevaluable event
Clinical narrative: Blank
Age: 5.0
Sex: F
Vaccine: DTAP, HBHEPB, HEPA, IPV
Symptoms: Injection site swelling, Rash
Clinical narrative: Mom called 3/17/06 (Imm given 3/16/06) explained pt broke out with small bump at injection site, no itching just irregular shaped raised area.
Age: 1.0
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC
Symptoms: Febrile convulsion, Irritability, Otitis media, Pyrexia
Clinical narrative: 9 days after vaccines given, child very fussy, cutting molars. On Tylenol/Motrin. Sudden onset 102.8 rectal temp and congestion. Febrile seizure lasting 4-5 mins. ER DX ear infection? 911 was called. Parent transported. F/U visit office 3-16-06 no ear infection noted.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: L arm small amt induration at injection site. Erythema around site of injection. Dose not extend to elbow or shoulder. Tx: Cool compress and ibuprofen.
Age: 0.27
Sex: M
Vaccine: DTAP, HBHEPB
Symptoms: Anorexia, Breath holding, Crying, Musculoskeletal stiffness
Clinical narrative: Went to ER crying uncontrollably, breath holding episode, went rigid, wouldn't feed. Occurred within hours of 1st vaccinations.
Age: 5.0
Sex: M
Vaccine: UNK
Symptoms: Pain, Pyrexia
Clinical narrative: Seen in clinic on 3/17/06 for axilla pain after immunization on 3/16/06. Temp 101.
Age: 0.49
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: Pediarix given 02/27/2006- Fever increase to 104 degrees early am of 2/28/06 and fever persisted for next 3-4 days 101-102 degrees. Fever decrease with Tylenol drops.
Age: 54.0
Sex: F
Vaccine: VARCEL
Symptoms: Balance disorder, Disturbance in attention, Dizziness, Hearing impaired, Laboratory test
Clinical narrative: Beginning Jan/24/06 pt woke in middle of night with dizziness, continued each day with increasing dizziness. Eye could not focus, felt like they were drawing to center. This lasted approximately 3 weeks - went to 2 - eye, ear, nose and throat Drs as well as ophthalmologist - was put on acyclovir, still taking. Unable to concentrate - stressful. Was put on acylcoivr 21 day. Still taking. Pt still has dizziness at night -sometimes day- Prescribed 2nd prescription was diagnosed with viral inner ear infection on 3/14/06 for 6 wks. Unable to concentrate-stressful. Took acyclovir 21 day. Prescribed 2nd prescription was diagnosed with viral inner ear infection. On 5/14/06 for 6 wks.
Age: 54.0
Sex: F
Vaccine: VARCEL
Symptoms: Otitis media, Stress
Clinical narrative: Beginning Jan/24/06 pt woke in middle of night with dizziness, continued each day with increasing dizziness. Eye could not focus, felt like they were drawing to center. This lasted approximately 3 weeks - went to 2 - eye, ear, nose and throat Drs as well as ophthalmologist - was put on acyclovir, still taking. Unable to concentrate - stressful. Was put on acylcoivr 21 day. Still taking. Pt still has dizziness at night -sometimes day- Prescribed 2nd prescription was diagnosed with viral inner ear infection on 3/14/06 for 6 wks. Unable to concentrate-stressful. Took acyclovir 21 day. Prescribed 2nd prescription was diagnosed with viral inner ear infection. On 5/14/06 for 6 wks.
Age: 1.6
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: 3/16/06 - From mother of child - Mother saying child got shots on 3/6/06. Now has a rash on her face and bumps on her legs. Child rec. Immun. on 3/6/06. No fever, pain, rash, illness for several days after shots. Then on 3/14/06 mother noticed few bumps on legs. One under R elbow, one on Lt arm, 2 on L hand. Raised - no pustule. No drainage. None on abd, back or elsewhere noted. Child had fever 3/15/06 x 2 "I know because she was hot." Unknown temperature readings, has not had any since. Child has not been ill, has been her "normal self." Rash on face is only on R side of cheek and not spreading. Filled out form VAERS-1 and advised mother to take child to her PMD. She will see MD 3/17/06 at 11:00 am. Reviewed with mother adverse reaction events info, PMD Children's Clinic, asked mother to call if any change in child after seeing PMD.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pharyngeal oedema, Rash
Clinical narrative: Went to get something to eat after visit at Health dept. Received Dtap, IPV, MMR-2 shortly before. Developed rash and sensation of throat closing. Went directly to ER.
Age: 35.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain, Chest pain
Clinical narrative: Vaccine given in L deltoid. Pt c/o L arm pain and chest pain that is rather strong and continuous. The sx started at midnight after a  2 pm vaccination 1/6/06. She continues with chest pain today 1/12/06 arm pain, left 1/9. Pt states she had #1 and #2 Hepatitis B injections without adverse reaction.
Age: 27.0
Sex: M
Vaccine: HEPA
Symptoms: Pruritus, Urticaria
Clinical narrative: 1/17/06 received Hep A vaccination #1. 1/19/06 started itching, mild hives. 1/20/06 severe hives, severe itching, started Benadryl. Over days, itching relieved but as of 1/31/06, hives remain. 1/31/06 pt called to report reaction. Pt instructed to see PMD. Given phone no for PHC (Hives from head to foot).
Age: 9.0
Sex: F
Vaccine: UNK
Symptoms: Pharyngitis, Viral infection
Clinical narrative: On 2/23/06 patient presented with mild case of chicken pox in an immunized child with pharyngitis. Throat culture done which was negative. Immunization records obtained through school.
Age: 5.0
Sex: U
Vaccine: DTAP, IPV
Symptoms: Pharyngitis, Pyrexia, Rash pruritic, Viral infection
Clinical narrative: 1-2 day hx fever, prior to outbreak. Saw with moderate case chicken pox. 3/21/06 In an immunized child with mild pharyngitis. Found multiple papules vesicles in different stages. Pruritic in nature. Started abd and spread to entire body.
Age: 1.25
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MMR, VARCEL
Symptoms: Unevaluable event
Clinical narrative: 3/24/06 - Mother reports child is doing fine.
Age: 1.04
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Rash, Skin ulcer
Clinical narrative: 3/22/06- Broke out with rash - 30-50 lesions mainly torso. Dr confirmed.
Age: 32.0
Sex: F
Vaccine: TTOX
Symptoms: Pain
Clinical narrative: L upper arm pain after tetanus. Prescribed pain medication.
Age: 35.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Influenza like illness, Rash vesicular
Clinical narrative: Developed flu-like symptoms 3/21/06. Developed vesicular rash late 3/21/069 and early 3/22/06. Varivax given 2/6/06.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis
Clinical narrative: Cellulitis of R upper extremity.
Age: 10.0
Sex: M
Vaccine: UNK
Symptoms: Dermatitis bullous
Clinical narrative: Chicken pox rash 3/21/06.
Age: 1.07
Sex: F
Vaccine: UNK
Symptoms: Dermatitis bullous
Clinical narrative: Experienced varicella rash.
Age: 22.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash vesicular, Skin ulcer
Clinical narrative: Varivax 2/28/06 - Rash occurred 3/17/06. Seen 3/20/06 - Lesions breast, arms, chest and back. ? vesicular
Age: 5.0
Sex: F
Vaccine: UNK
Symptoms: Infection
Clinical narrative: Got chicken pox - according to mom has had varivax vaccine. UTD per mom
Age: 1.03
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Infection
Clinical narrative: Got chicken pox had vaccine
Age: 1.1
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Unevaluable event
Clinical narrative: Had varivax vaccine. Got disease
Age: 11.0
Sex: F
Vaccine: UNK
Symptoms: Infection
Clinical narrative: Got chicken pox. Had varivax vaccine per Mom. New pt.
Age: 1.54
Sex: M
Vaccine: DTP, IPV, VARCEL
Symptoms: Infection
Clinical narrative: Got chicken pox already had varivax vaccine.
Sex: M
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Got chicken pox already had varivax vaccine
Age: 1.06
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Infection
Clinical narrative: Got chicken pox already had varivax vaccine.
Age: 7.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Rash vesicular, Viral infection
Clinical narrative: Got chicken pox. All ready had Varivax vaccine.
Age: 2.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Rash vesicular, Viral infection
Clinical narrative: Got chicken pox all ready, had Varivax vaccine.
Age: 1.21
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Got chickenpox already had vaccine.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Got chicken pox - already had vaccine.
Age: 1.17
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: 2 papular vesicular lesions. Sibling with past vaccine varicella. Dx varicella, Tx symptomatic.
Age: 1.01
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Widespread > 50 papules/macules, vesicles. Dx: Varicella, Tx: Symptomatic
Age: 1.68
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: 7-10 papular lesions - scattered. Dx. Varicella, Tx: Acyclovir.
Age: 1.02
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Erythematous lesions over trunk, scalp some more vesicular. Dx varicella, Tx;Symptomatic
Age: 74.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness
Clinical narrative: Per Patient's story, Patient got Hepatitis B injection on 3/19/06.  The day after, patient developed dizziness and came to back to clinic to see by me (physician) on 3/26 because of persistence.  Dizziness described as lightheaded.  Denies vertigo.  Vital signs stable.  Gross neurological exam normal.  Patient stated dizziness improving.  Called hotline and was told can persist up to 10 days and to f/u if no improvement.  Was sent home with supportive care only with follow up on 3/28/06 with Primary care physician.
Age: 1.18
Sex: F
Vaccine: DTAP
Symptoms: Urticaria
Clinical narrative: Patient received third dose of DTaP at approx 10am 3/24/06. On 3/25/06 at approx 8am small hive/welt was notice on her face.  By 11am hives were increasing.  Hives were on face, bands around uppper thighs, wrists, right ear and right eye.  I called pediatriacian she confirmed what hospital answering service said to give for treatment.  I gave her 2.5 ml of Benadryl since 3/25/06.  To date they are still pronounced.
Age: 1.01
Sex: F
Vaccine: MMR
Symptoms: Rash erythematous, Rash papular, Rash vesicular
Clinical narrative: Patient presented to office with no temperature and less than 25 erythematous vesico-papular lesions on chest. No other symptoms. Rash started the previous day 3/20/06. Varicella vaccine given at previous pediatrician in 2003.
Age: 23.0
Sex: M
Vaccine: TYP
Symptoms: Headache, Nausea, Pain, Pyrexia
Clinical narrative: Fever, nausea, body aches, headache--took Motrin and Benadryl; improved one week after injection.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cough, Erythema, Ocular hyperaemia, Otitis media, Pain
Clinical narrative: LT DELTOID APPEARS RED AND SWOLLEN. CLIENT COMPLAINT OF PAIN AND WENT TO HOSPITAL 3/23/2006 AT AROUND 9:30 PM PER MOTHER.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Swelling
Clinical narrative: LT DELTOID APPEARS RED AND SWOLLEN. CLIENT COMPLAINT OF PAIN AND WENT TO HOSPITAL 3/23/2006 AT AROUND 9:30 PM PER MOTHER.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Swelling
Clinical narrative: PT REC'D DTAP IN LEFT THIGH, I ASPIRATED AND REC'D NO BLOOD RETURN.  AFTER WITHDRAWING NEEDLE, LEG IMMEDIATELY BECAME RED AND SWOLLEN. LEG WAS MASSAGED WITH WARM COMPRESS, SWELLING REMAINED THE SAME.  LEG BECAME WARM TO TOUCH.  IMMEDIATELY WALKED PT TO THE URGENT CARE CENTER TO BE EVALUATED BY A PHYSICIAN.
Age: 55.0
Sex: M
Vaccine: HEP
Symptoms: Anaphylactic reaction, Dizziness, Dyspnoea, Feeling hot, Hyperhidrosis
Clinical narrative: Approx. 15-20 minutes after being injected, he stated he was hot.  He then became nauseated, dizzy, pale and extremely diaphoretic.  Before we could administer an Epipen, he lost consciousness and had snoring respirations.  He regained consciousness about 30 seconds after the Epipen was administered.  He received O2 and was transported to a local hospital where he remained overnight for observation.  While there he rec'd steroids, IV therapy and cardiac monitoring.  - 4/5/06 Review of 4-page d/c summary confirms anaphylactic reaction as final diagnosis. Shortness of breath was noted. Tx. with Prednisone and Benadryl.
Age: 55.0
Sex: M
Vaccine: HEP
Symptoms: Loss of consciousness, Nausea, Pallor
Clinical narrative: Approx. 15-20 minutes after being injected, he stated he was hot.  He then became nauseated, dizzy, pale and extremely diaphoretic.  Before we could administer an Epipen, he lost consciousness and had snoring respirations.  He regained consciousness about 30 seconds after the Epipen was administered.  He received O2 and was transported to a local hospital where he remained overnight for observation.  While there he rec'd steroids, IV therapy and cardiac monitoring.  - 4/5/06 Review of 4-page d/c summary confirms anaphylactic reaction as final diagnosis. Shortness of breath was noted. Tx. with Prednisone and Benadryl.
Age: 1.58
Sex: M
Vaccine: DTAP, HBHEPB, HEPA, PNC
Symptoms: Rash macular, Urticaria
Clinical narrative: "Red Dots" noted on lower legs on Thursday evening (3-23)spread throughout the weekend; afebrile, no itching noted. No Respiratory Distress or Wheezing noted. MD eval on 3-27:  Raised pink macular whelps covering face, trunk, prox. arms, legs, calves; few target lesions noted.
Age: 15.0
Sex: F
Vaccine: HEP, MNQ, TDAP, HEP, MNQ, TDAP, HEP, MNQ, TDAP
Symptoms: Guillain-Barre syndrome, Muscular weakness, Urinary retention
Clinical narrative: Initial Left leg weakness followed by weakness bilaterally in hip flexion.  Loss of two point discrimination of the lower extremities below the knees with urinary retention.  MRI showed mild enhancement throughout the nerve roots in the lumbar spinal canal involving the cauda equina and surface of the conus medullaris.  Started IVIG and treated as Guillain Barre.
Age: 15.0
Sex: F
Vaccine: HEP, MNQ, TDAP, HEP, MNQ, TDAP, HEP, MNQ, TDAP
Symptoms: Guillain-Barre syndrome, Muscular weakness, Paraesthesia
Clinical narrative: Initial Left leg weakness followed by weakness bilaterally in hip flexion.  Loss of two point discrimination of the lower extremities below the knees with urinary retention.  MRI showed mild enhancement throughout the nerve roots in the lumbar spinal canal involving the cauda equina and surface of the conus medullaris.  Started IVIG and treated as Guillain Barre.
Age: 15.0
Sex: F
Vaccine: HEP, MNQ, TDAP, HEP, MNQ, TDAP, HEP, MNQ, TDAP
Symptoms: Asthenia, Guillain-Barre syndrome, Laboratory test abnormal, Urinary retention
Clinical narrative: Initial Left leg weakness followed by weakness bilaterally in hip flexion.  Loss of two point discrimination of the lower extremities below the knees with urinary retention.  MRI showed mild enhancement throughout the nerve roots in the lumbar spinal canal involving the cauda equina and surface of the conus medullaris.  Started IVIG and treated as Guillain Barre.
Age: 0.39
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Crying, Decreased appetite, Face oedema, Pyrexia, Rash
Clinical narrative: Vaccine given on 19Mar06.  40 hrs of fever off and on. Increased crying by the 3rd day. Decreased appetite by the 4th day. Swelling face and feverish on the 6th day. Pin like rash on the 7th day. All of the above on the 8th day.
Age: 0.88
Sex: M
Vaccine: DTP
Symptoms: Gait disturbance, Hypotonia, Muscle spasticity, Prostration, Pyrexia
Clinical narrative: HIGH FEVER AND PROSTATION SINCE THE PREVIOUS NIGHT; VOMITED TWICE AND AT THE TIME OF THE EXAMINATION ENTERED MY OFFICE ON HIS MOTHERS ARMS COMPLETELY LIMP AND HAD FINE TREMORS ON ALL EXTREMITIES. AFTER 10-15 MINUTES OF HIS STAY IN THE OFFICE, GRADUALLY RECOVERED CONSCIOUSNESS. THE REMAINER OF HIS PHYSICAL EXAM, INCLUDING HTE NEURO EXAM WERE NORMAL. SUBSEQUENTLY DEVELOPED SPASTIC QUADRIPLEGIA. UNDERWENT EXTENSIVE TESTING BY SEVERAL PEDIATRIC NEUROLOGISTS (EEG'S, MRI'S, BLOOD TESTS, ETC.). 4/24/06 Received medical records from PCP which reveal pt had uneventful birth w/Apgars of 8&9, followed by mild jaundice.  Pt very cranky w/fever, vomiting & tremors s/p 2nd DTP vax on 4/89.  Parents noted speech delay. 1991 thought to have a seizure after being hospitalized for severe bilateral maxillary sinusitis & periorbital cellulitis in 4/91.  After that, patient began to experience difficulty walking which  continued to progress.  CT scans & MRI's were WNL. In 1992 dx w/dystonia & hyperreflexia & leg weakness continued to progress despite intensive PT/OT.  1995 dx w/progressive spino-cerebellarl disorder after CT scan showed abnormality in white matter area known to control legs.  Started on Sinemet & had some slight improvement.  Now walks only minimally & w/great difficulty per PCP & w/use of crutches.  Pt had been in Portugal for approx 10 years & only just returned to USA 2/2006./ss
Age: 0.88
Sex: M
Vaccine: DTP
Symptoms: Speech disorder, Tremor, Vomiting
Clinical narrative: HIGH FEVER AND PROSTATION SINCE THE PREVIOUS NIGHT; VOMITED TWICE AND AT THE TIME OF THE EXAMINATION ENTERED MY OFFICE ON HIS MOTHERS ARMS COMPLETELY LIMP AND HAD FINE TREMORS ON ALL EXTREMITIES. AFTER 10-15 MINUTES OF HIS STAY IN THE OFFICE, GRADUALLY RECOVERED CONSCIOUSNESS. THE REMAINER OF HIS PHYSICAL EXAM, INCLUDING HTE NEURO EXAM WERE NORMAL. SUBSEQUENTLY DEVELOPED SPASTIC QUADRIPLEGIA. UNDERWENT EXTENSIVE TESTING BY SEVERAL PEDIATRIC NEUROLOGISTS (EEG'S, MRI'S, BLOOD TESTS, ETC.). 4/24/06 Received medical records from PCP which reveal pt had uneventful birth w/Apgars of 8&9, followed by mild jaundice.  Pt very cranky w/fever, vomiting & tremors s/p 2nd DTP vax on 4/89.  Parents noted speech delay. 1991 thought to have a seizure after being hospitalized for severe bilateral maxillary sinusitis & periorbital cellulitis in 4/91.  After that, patient began to experience difficulty walking which  continued to progress.  CT scans & MRI's were WNL. In 1992 dx w/dystonia & hyperreflexia & leg weakness continued to progress despite intensive PT/OT.  1995 dx w/progressive spino-cerebellarl disorder after CT scan showed abnormality in white matter area known to control legs.  Started on Sinemet & had some slight improvement.  Now walks only minimally & w/great difficulty per PCP & w/use of crutches.  Pt had been in Portugal for approx 10 years & only just returned to USA 2/2006./ss
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Pruritus, Rash macular, Skin ulcer
Clinical narrative: Small maculo-papalar spot to anterior trunk which began to enlarge quickly. Then other lesions began to form to arms, shoulder, trunk and now legs. Mildly pruritus, scaly. Now lesions continuing to form even on 16th days after 1st lesion.
Age: 82.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Feeling hot
Clinical narrative: L arm upper deltoid and biceps red, warm area non tender. TX; hydrocortisone cream and Benadryl prn.
Age: 39.0
Sex: M
Vaccine: VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Receive varicella vaccine 2/27/06. 3/19/06 had a few pox on body. Now 3/27/06 has total body pox rash. Will see infectious disease MD today.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema
Clinical narrative: Erythema Rt upper arm. Office visit to evaluate.