chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.8
Sex: M
Vaccine: DTAP, HEPA, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: Gave Hep A and Varicella by error at 9 mo old
Age: 37.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Blister, Chest X-ray, Erythema
Clinical narrative: Sm had PPD placed on 7/8/07 lt forearm. He now presents with a 20 mm blister in the center of a 45 mm erythema area.
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Pain in extremity
Clinical narrative: Anthrax Given on 6/20/07 Lt upper arm and SM noted pain under his arm, about 2-3 inches away from armpit, still c/o pain.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Erythema, Immediate post-injection reaction, Swelling
Clinical narrative: Immediately after vaccine, pt screamed inconsolably for 20-25 mins and legs became beefy red B from knees down. no palpable urticaria. Pt was eventually calmed and given 6.25 mg Benadryl. Redness gradually faded in patches.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site rash, Injection site warmth, Local reaction
Clinical narrative: wide local reaction (R) ant thigh, red, raised, sl warm 7 x 5.5 cm No tx
Age: 20.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Numbness, tingling/ fingers of both hands symptoms resolved 5 days later.
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 6 x 4" redness and induration at injection site . (-) for; mildly itchy, warm to touch.
Age: 1.4
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Contusion, Urticaria
Clinical narrative: 2 1/2 hours after shots patient had wheals with white dots on them went to emergency room and patient was given Benadryl and Prelone. Mom brought child to health unit on 6/18/07. Child still has solid bruises on legs and wheals still on the arms, legs and head.
Age: 64.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Pain, Skin warm, Swelling
Clinical narrative: Vaccine given 5/29/07. Nine days later had swelling, redness, skin warm to touch. Pain '8' on scale 1-10.
Age: 1.0
Sex: F
Vaccine: HIBV, MMRV, PNC, VARCEL
Symptoms: Electroencephalogram, Nuclear magnetic resonance imaging normal, Petit mal epilepsy, Staring, Unresponsive to stimuli
Clinical narrative: Child received Prevnar, MMRV, PedvaxHib on 6/21/07. On 6/23/07, 6/25/07 and 6/26/07 child had 5" "spell" with staring, unresponsiveness. Possible absence seizure.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Headache, Nausea, Pyrexia, Skin warm
Clinical narrative: 10 x 12cm erythema/heat. C/O headache, fever, nausea. Promethazine 6.75mg/15cc 2 tsp q6 prn nausea/vomiting. Alternate cold/heat to arm. Acetaminophen 325mg x 2 q6 prn.
Age: 13.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Pain, erythema and edema at injection site. Afebrile event 48 hrs post vaccination. Given Clindamycin and Advil.
Age: 50.0
Sex: F
Vaccine: DTAP
Symptoms: Unevaluable event, Wrong drug administered
Clinical narrative: none
Age: 17.0
Sex: M
Vaccine: RAB
Symptoms: Chills, Dyspnoea, Hypersensitivity
Clinical narrative: Discription by Mother - 07/03/07 At 6:30am client was discovered having chills and difficulty breathing. Ambulance was called and client was taken to ER. Client was observed and released. Recieved medication for possible allergic reaction.
Age: 50.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Feeling jittery, Hypokinesia, Induration, Injected limb mobility decreased
Clinical narrative: 1) Given in right shoulder not left as was supposed to, due to me being right hand dominant.  2) Within a couple of hours my right arm was mostly unusable and I had to drive.  3) By evenning, I had to call the on-call person because my right arm just hung by my side and was completely unusable; pain, shoulder swelling and hardness, minor effect on the bicep.  A steroid was ordered.  4) By Saturday morning redness had started to appear on the shoulder, and right bicep, along with more swelling and pain.  5) The steroid itself posed issues; severe jitters which I was not told about before hand.  6) Injection site is still somewhat painful while the lower right bicep cannot be taxed; weakness, spasms and pain.  7) These people are aware of it but choose to take a passive role for unrelated reasons.
Age: 50.0
Sex: M
Vaccine: PPV
Symptoms: Muscle spasms, Muscular weakness, Myalgia, Pain, Swelling
Clinical narrative: 1) Given in right shoulder not left as was supposed to, due to me being right hand dominant.  2) Within a couple of hours my right arm was mostly unusable and I had to drive.  3) By evenning, I had to call the on-call person because my right arm just hung by my side and was completely unusable; pain, shoulder swelling and hardness, minor effect on the bicep.  A steroid was ordered.  4) By Saturday morning redness had started to appear on the shoulder, and right bicep, along with more swelling and pain.  5) The steroid itself posed issues; severe jitters which I was not told about before hand.  6) Injection site is still somewhat painful while the lower right bicep cannot be taxed; weakness, spasms and pain.  7) These people are aware of it but choose to take a passive role for unrelated reasons.
Age: 16.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Hypersensitivity, Injection site erythema, Injection site reaction, Local reaction, Urticaria
Clinical narrative: Large local reaction. 1 x 4 cm welt 5 x 7 cm redness at injetion site.  Required additional doctor office visit.  Treated with Benadryl as an allergic reaction
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Dizziness, Hyperhidrosis, Pyrexia, Vomiting
Clinical narrative: Vomitting, Fever, Sweats, abdominal pain, and light headness.
Age: 1.12
Sex: F
Vaccine: VARCEL
Symptoms: Sick relative, Varicella, Varicella post vaccine
Clinical narrative: Patient developed chicken pox on her shoulders, underarms, and scalp.  We noticed 15-20 pock marks.  I took her into our doctor and he told us it was chicken pox from the vaccine.  We are currently treating her with calmine lotion and a topical antibotic ointment.  Also, her twin brother devloped chicken pox a few days earlier but we only noticed five pock marks and thought they were bug bites.  Most of them have gone away.
Age: 29.0
Sex: F
Vaccine: DTAP
Symptoms: Arthralgia, Breast pain, Injection site bruising, Injection site erythema, Injection site nodule
Clinical narrative: Left arm hurt immediately after vaccination.  Later in day, soreness from elbow to top of Lft shoulder, under arm and side of Lft breast.  Redness, bruise and knot @ injection site, "Feels like a ball in my armpit". Unable lay on left side or pick up her son. Nausea today.
Age: 29.0
Sex: F
Vaccine: DTAP
Symptoms: Musculoskeletal pain, Nausea, Pain in extremity, Wrong drug administered
Clinical narrative: Left arm hurt immediately after vaccination.  Later in day, soreness from elbow to top of Lft shoulder, under arm and side of Lft breast.  Redness, bruise and knot @ injection site, "Feels like a ball in my armpit". Unable lay on left side or pick up her son. Nausea today.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Convulsion, Fall, Injury, Syncope vasovagal
Clinical narrative: Pt. had a vasovagal response to Gardasil vaccine in the office, falling onto the floor and hitting her face. Pt had seizure activity, per her mother. Pt was moved to a chair, was sitting and talking and went on to have further seizure acitivty and 911 was called. we monitered the pt. until medics arrived and she was transported to the ED.
Age: 70.0
Sex: F
Vaccine: TD
Symptoms: Wrong technique in drug usage process
Clinical narrative: Td 0.1 ml given intradermally into left forearm --no reaction noted, arm rechecked 07/09/2007-no reaction noted , pt notified
Age: 28.0
Sex: M
Vaccine: TDAP, TYP
Symptoms: Myalgia, Pain
Clinical narrative: 3-4 HOURS AFTER RECEIVING TDAP AND TYPHOID PATIENT DEVELOPED SEVERE BODY ACHES.  CAME TO SICK-CALL 8-10 HOURS LATER WITH NORMAL EXAM BUT COMPLAINS OF MUSCLE PAINS
Age: 46.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Headache, Pyrexia, Weight decreased
Clinical narrative: Fever, headache, sore joints, weight loss
Age: 49.0
Sex: M
Vaccine: ANTH
Symptoms: Dizziness, Pruritus, Urticaria
Clinical narrative: signs and symptoms:itching, dizziness, hives symptoms began at around 1030. treated at clinic fo adverse reaction to anthrax vaccine.
Age: 18.0
Sex: F
Vaccine: TD
Symptoms: Hypoaesthesia, Injected limb mobility decreased, Swelling, Tenderness
Clinical narrative: About 5 min after recieving inj. R arm began getting numb. Continued to get worse the next day and has not been able to lift arm since 7-8-07. Deltoid area is swollen and tender to touch no redness noted.
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, MMRV, PNC
Symptoms: Decreased appetite, Erythema, Irritability, Pyrexia, Rash
Clinical narrative: PT CAME IN WITH APPROXIMATELY 30 SCATTERED, RED, PAPULES 7/7/07 ON ABDOMEN, THORAX, FACE; FEVER UP TO 101F; IRRITABILITY; DECREASED APPETITE
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, MMRV, PNC
Symptoms: Rash papular
Clinical narrative: PT CAME IN WITH APPROXIMATELY 30 SCATTERED, RED, PAPULES 7/7/07 ON ABDOMEN, THORAX, FACE; FEVER UP TO 101F; IRRITABILITY; DECREASED APPETITE
Age: 9.0
Sex: F
Vaccine: HEP, IPV, MMR, TTOX, VARCEL
Symptoms: Dyspnoea, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: SOB; ERTYTHEMA, INDURATION, PAIN @ RD SITE OF INJECTION WITHIN 2 HOURS OF VACCINATION.  PER REPORT OF CHILD, MOTHER APPLIED ICE PACKS TO INJECTION SITE.  ERYTHEMA (45 MM) AND INDURATION (20 MM) NOTED BY PHN TWO DAYS POST-VACCINATION; CHILD AFEBRILE.
Age: 19.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Abdominal pain upper, Cold sweat, Feeling cold
Clinical narrative: "cold clammy stomach cramping"
Age: 52.0
Sex: M
Vaccine: HEPAB, IPV, TDAP, TYP, YF
Symptoms: Pruritus, Urticaria
Clinical narrative: Began having hives & itching on 06/15/2007, 15 days after vaccination.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Verbal order to administer Adacel, last tetanus documented on office visit form as 6-20-06.  Visited with mom, mom stated that last time pt had shots was in kindergarten.  Vaccine administered, pt education given.  Pt left office.  Went to document vaccination, and noticed that Adacel was charted as a history immunization in computer.  Not charted in IRIS at all. Informed Dr. of event.  Tried to contact mom to inform of above event, not available, msg left for her to call office for instructions.  Will make sure mom informed of signs to watch for and how to proceed.
Age: 1.5
Sex: F
Vaccine: DTAP, HIBV, MMRV
Symptoms: Pyrexia, Rash
Clinical narrative: Mom called on 07-03-2007 to say had started running a fever et some scattered rash the day prior; had fever again this morning; 101 degrees
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, PNC, VARZOS
Symptoms: Wrong drug administered
Clinical narrative: Client was inadvertantly given Zostavax instead of MMRV
Age: 8.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, MMR
Symptoms: Wrong drug administered
Clinical narrative: none
Age: 0.1
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Intussusception, Surgery
Clinical narrative: Intussusception.  Surgical correction in June 2007. Hospital record for transfer facility rec'd for DOS 6/17-20/2007. Infant transfered to facility for surgical reduction of Intussusception which was non-reduceable by contrast enema.  Child presented at first facility with 1 day hx of grossly bloody, watery stools with mucus and one episode of emesis.  Child has been fussy. PE WNL. Barium contrast enema attempted to reduce IS but was unsuccessful.  Infant had an Exploratory Lap, reduction of IS and small bowel resection with primary reanastomosis. DX: Intussusception. F/U visit 7/13/2007 with report of some fussiness since the surgery but otherwise healing well.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Headache, Pyrexia, Vomiting
Clinical narrative: High Fever 103.1, vomitting and severe headache
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Headache, Pyrexia, Vomiting
Clinical narrative: Moderately high fever 102.1, vomitting, and severe headache
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Injection site cellulitis, Pain, Pyrexia
Clinical narrative: CELLULITIS OF RIGHT UPPER EXTREMITY, FROM SITE OF INJECTION DISTALLY BEYOND BEND OF THE ELBOW.  PRESENTED WITH PAIN, LOW GRADE FEVER AND REDNESS TIMES TWO DAYS.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Blood pressure, Dizziness, Lethargy
Clinical narrative: Patient was given 1st dose of Gardasil, along with Menactra, in the left deltoid.  Gardasil was given first, and then Menactra.  Patient was seated at time of administration of vaccines.  Within 5 seconds of the vaccines being given, the patient felt faint and closed her eyes.  She lay down and said she felt dizzy.  She was lethargic but responsive.  I came into the room within 1 minute of this episode.  The patient was laying down but felt better.  She denied any visual changes had occurred -- just that she felt faint and dizzy.  Blood pressure was 102/70.  She was given some juice.  She felt much better after about 5 minutes and was sent home.  Her mother will watch her and call me if any further problems.  No further Gardisil vaccines will be given to her.
Age: 10.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Influenza like illness, Pyrexia
Clinical narrative: This is report # 1 of 3, one for each Gardisil administered.  Mother stated to me on 05/18/07, that 24 hours after Gardisil vaccine, patient had fever, and then developed flu-like symptoms.
Age: 1.0
Sex: M
Vaccine: HIBV, MMRV, PPV
Symptoms: Irritability, Lymphadenopathy, Pneumonia, Pyrexia, Skin warm
Clinical narrative: Vaccinations were recieved on June 21st. On the 27th of June I noticed a slight fever, and irrability. Fever continued on the evening of June 29th my son woke in the night with a very high fever, in which I stripped his clothes, gave him tylenol and cool wash cloth. June 30th woke with slight fever in morning so I continued with tylenol. The docter said a slight fever could occur 7-10 days after shots so I thought nothing of it. By the afternoon when he woke from his nap he was very warm and acting out of sorts, he just wanted to be held and was staring off into distance mumbling and laughing to himself. I started to worry, and took his temp it was 103.7, I called the (800)-ask a nurse helpline and within a 1/2 hour he's temp was 104.4. We immediatley decided to bring him to the E.R.(which is a 45min. drive). The whole time he's mumbling, and giggling to himself not giving us any eye contact. I sat in back with him trying to give him water because he's little body was so hot to the touch. After giving him Motrin and Tylenol at the hospital to bring fever down they did x-rays, and discovered that he had pnemounia. It was a shock to us my son had no cold or flu symptons to bring on pnemounia, he has never even been in a smoking enviroment and he's been so healthy he hasn't even had an ear infection. Dr. put him on 400 ml of Amoxicillan 2ce a day for 9 days. He also got quite a few "chicken poxs" randomly showing up around the same time ranging from his head to toes. Also swollen glands on the back of neck.
Age: 1.0
Sex: M
Vaccine: HIBV, MMRV, PPV
Symptoms: Staring, Varicella
Clinical narrative: Vaccinations were recieved on June 21st. On the 27th of June I noticed a slight fever, and irrability. Fever continued on the evening of June 29th my son woke in the night with a very high fever, in which I stripped his clothes, gave him tylenol and cool wash cloth. June 30th woke with slight fever in morning so I continued with tylenol. The docter said a slight fever could occur 7-10 days after shots so I thought nothing of it. By the afternoon when he woke from his nap he was very warm and acting out of sorts, he just wanted to be held and was staring off into distance mumbling and laughing to himself. I started to worry, and took his temp it was 103.7, I called the (800)-ask a nurse helpline and within a 1/2 hour he's temp was 104.4. We immediatley decided to bring him to the E.R.(which is a 45min. drive). The whole time he's mumbling, and giggling to himself not giving us any eye contact. I sat in back with him trying to give him water because he's little body was so hot to the touch. After giving him Motrin and Tylenol at the hospital to bring fever down they did x-rays, and discovered that he had pnemounia. It was a shock to us my son had no cold or flu symptons to bring on pnemounia, he has never even been in a smoking enviroment and he's been so healthy he hasn't even had an ear infection. Dr. put him on 400 ml of Amoxicillan 2ce a day for 9 days. He also got quite a few "chicken poxs" randomly showing up around the same time ranging from his head to toes. Also swollen glands on the back of neck.
Age: 10.0
Sex: F
Vaccine: HPV4
Symptoms: Influenza like illness, Nausea, Pyrexia, Vomiting
Clinical narrative: This is report # 2 of 3 for this patient re: 3 Gardisil vaccines.  Mother states that after Gardisil #2, she had a fever, nausea, and vomiting, and then within 24 hours developed flu-like symptoms.  Mother feels that after Gardisil administration, patient seemed much more susceptible to flu-like illnesses and various infections, e.g. sinusitis.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Influenza like illness, Pyrexia
Clinical narrative: This is report # 3 of 3, one for each Gardisil administered.  Mother stated to me on 05/18/07, that 24 hours after Gardisil vaccines, patient had fever, and then developed flu-like symptoms.  Mother feels that after Gardisil administration, patient seemed much more susceptible to flu-like illness and various infections, e.g. sinusitis.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, TDAP
Symptoms: Loss of consciousness, Nuclear magnetic resonance imaging brain normal, Visual disturbance
Clinical narrative: On 4/11/2007, patient reported to me that after her 1st Gardisil vaccine on 01/02/2007, she had a "blackout" feeling as she was leaving the office.  This occurred again after the 2nd Gardisil vaccine was given on 3/28/2007.She stated that "everything went black" and she could not see.  She was very much alert and could hear, at that time.  This episode lasted approximately 1 minute.  These episodes have happened recurrently since that time, initially about once a week, now occurring less often.
Age: 11.0
Sex: F
Vaccine: FLUN3
Symptoms: Cardiomegaly, Cough, Dysphagia, Ejection fraction decreased, Fatigue
Clinical narrative: MEDI-0005846 is a serious spontaneous case from a physician involving cardiomegaly concerning a twelve-year-old female patient. No concomitant medications have been reported for this patient. The patient received FluMist in Oct/Nov 2006. Over past seven months, the patient developed dysphagia, acute fatigue, and cough which progressively worsened. The patient was diagnosed in the past week with cardiomegaly by x-ray with a ten percent ejection fraction. No outcome for the events was provided by the reporter. The reporter provided no causality assessment for the events. Per 60 day follow up: Three follow-up attempts made. No response from the reporter received. No additional information expected from the reporter. 07-MAR-08
Age: 11.0
Sex: F
Vaccine: FLUN3
Symptoms: X-ray abnormal
Clinical narrative: MEDI-0005846 is a serious spontaneous case from a physician involving cardiomegaly concerning a twelve-year-old female patient. No concomitant medications have been reported for this patient. The patient received FluMist in Oct/Nov 2006. Over past seven months, the patient developed dysphagia, acute fatigue, and cough which progressively worsened. The patient was diagnosed in the past week with cardiomegaly by x-ray with a ten percent ejection fraction. No outcome for the events was provided by the reporter. The reporter provided no causality assessment for the events. Per 60 day follow up: Three follow-up attempts made. No response from the reporter received. No additional information expected from the reporter. 07-MAR-08
Age: 0.24
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Rash
Clinical narrative: 0915 Immunization given. 0920-0923 Mom came out of exam room with baby, baby had slightly raised red rash on face, trunk, arms. 0925 Benadryl 10mg given.
Age: 1.3
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Patient has developed fine rash since receiving immunizations on 7/6/07. Fever (low grade) x 1 days.
Age: 3.0
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Hot, red, swollen deltoid
Age: 5.0
Sex: M
Vaccine: DTAPHEPBIP, HEPA, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Swollen, red, hot deltoid
Age: 5.0
Sex: M
Vaccine: DTAPHEPBIP, MMR, UNK
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Red, swollen, hot to touch deltoid at injection site.
Age: 5.0
Sex: M
Vaccine: DTAPHEPBIP, MMR
Symptoms: Body temperature increased, Erythema, Oedema peripheral, Skin warm, Vomiting
Clinical narrative: Left deltoid swollen, red, hot to touch, vomited x 1 5-17-07, temp 101.6 orally, given water, to give Motrin and refer to MD.
Age: 0.42
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5, DTAP, HIBV, IPV, PNC, RV5
Symptoms: Abdominal pain, Barium double contrast, Diarrhoea, Fluid replacement, Intussusception
Clinical narrative: Information has been received from an agency (VAERS# 281426) concerning a 22 week old female, with no medical history, who on 28-DEC-2006 was vaccinated with a second dose of Rotateq (Lot# 655153/0847F). Concomitant vaccines included a second dose of diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid (Lot# C2490AA5108), a second dose of Hib conj vaccine (manufacturer unknown) (Lot# UF058AA11108), a second dose of poliovirus vaccine inactivated (IPOL) (Lot# Z03244108) and a second dose of Prevnar (Lot# B08470K12107). Other concomitant medication included Lactobacillus rhamnosus (Culturelle) and a homeopathic antidiarrheal medication. The patient was admitted to the hospital on 31-JAN-2007 with abdominal pain, vomiting, and diarrhea, beginning on 29-JAN-2007. An air contrast enema during the hospitalization was felt to be consistent with intussusception, which resolved after the enema. The patient received intravenous fluids and was subsequently discharged home in good condition and was considered to be recovered. A lot check was requested. The records of testing prior to release of the lot in question has been rechecked and found to be satisfactory. The lot met the requirements and was released. Additional information is not expected.
Age: 0.42
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5, DTAP, HIBV, IPV, PNC, RV5
Symptoms: Vomiting
Clinical narrative: Information has been received from an agency (VAERS# 281426) concerning a 22 week old female, with no medical history, who on 28-DEC-2006 was vaccinated with a second dose of Rotateq (Lot# 655153/0847F). Concomitant vaccines included a second dose of diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid (Lot# C2490AA5108), a second dose of Hib conj vaccine (manufacturer unknown) (Lot# UF058AA11108), a second dose of poliovirus vaccine inactivated (IPOL) (Lot# Z03244108) and a second dose of Prevnar (Lot# B08470K12107). Other concomitant medication included Lactobacillus rhamnosus (Culturelle) and a homeopathic antidiarrheal medication. The patient was admitted to the hospital on 31-JAN-2007 with abdominal pain, vomiting, and diarrhea, beginning on 29-JAN-2007. An air contrast enema during the hospitalization was felt to be consistent with intussusception, which resolved after the enema. The patient received intravenous fluids and was subsequently discharged home in good condition and was considered to be recovered. A lot check was requested. The records of testing prior to release of the lot in question has been rechecked and found to be satisfactory. The lot met the requirements and was released. Additional information is not expected.
Age: 0.42
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5, DTAP, HIBV, IPV, PNC, RV5
Symptoms: Abdominal pain, Barium double contrast, Barium enema, Diarrhoea, Inappropriate schedule of drug administration
Clinical narrative: Information has been received from an agency (VAERS# 281426) concerning a 22 week old female, with no medical history, who on 28-DEC-2006 was vaccinated with a second dose of Rotateq (Lot# 655153/0847F). Concomitant vaccines included a second dose of diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid (Lot# C2490AA5108), a second dose of Hib conj vaccine (manufacturer unknown) (Lot# UF058AA11108), a second dose of poliovirus vaccine inactivated (IPOL) (Lot# Z03244108) and a second dose of Prevnar (Lot# B08470K12107). Other concomitant medication included Lactobacillus rhamnosus (Culturelle) and a homeopathic antidiarrheal medication. The patient was admitted to the hospital on 31-JAN-2007 with abdominal pain, vomiting, and diarrhea, beginning on 29-JAN-2007. An air contrast enema during the hospitalization was felt to be consistent with intussusception, which resolved after the enema. The patient received intravenous fluids and was subsequently discharged home in good condition and was considered to be recovered. A lot check was requested. The records of testing prior to release of the lot in question has been rechecked and found to be satisfactory. The lot met the requirements and was released. Additional information is not expected.
Age: 0.42
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5, DTAP, HIBV, IPV, PNC, RV5
Symptoms: Intussusception, Vomiting, X-ray abnormal
Clinical narrative: Information has been received from an agency (VAERS# 281426) concerning a 22 week old female, with no medical history, who on 28-DEC-2006 was vaccinated with a second dose of Rotateq (Lot# 655153/0847F). Concomitant vaccines included a second dose of diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid (Lot# C2490AA5108), a second dose of Hib conj vaccine (manufacturer unknown) (Lot# UF058AA11108), a second dose of poliovirus vaccine inactivated (IPOL) (Lot# Z03244108) and a second dose of Prevnar (Lot# B08470K12107). Other concomitant medication included Lactobacillus rhamnosus (Culturelle) and a homeopathic antidiarrheal medication. The patient was admitted to the hospital on 31-JAN-2007 with abdominal pain, vomiting, and diarrhea, beginning on 29-JAN-2007. An air contrast enema during the hospitalization was felt to be consistent with intussusception, which resolved after the enema. The patient received intravenous fluids and was subsequently discharged home in good condition and was considered to be recovered. A lot check was requested. The records of testing prior to release of the lot in question has been rechecked and found to be satisfactory. The lot met the requirements and was released. Additional information is not expected.
Age: 10.0
Sex: M
Vaccine: TD, VARCEL, DTAP, VARCEL
Symptoms: Urticaria
Clinical narrative: Patient's mother telephoned office approx 4 hours after vaccination and noted that patient was experiencing hives on neck, torso and legs. Patient did not have difficulty breathing, mother was instructed to give 1 dose of oral Benadryl and to bring patient to ER if symptoms worsen.
Age: 10.0
Sex: M
Vaccine: TD, VARCEL, DTAP, VARCEL
Symptoms: Urticaria, Wrong drug administered
Clinical narrative: Patient's mother telephoned office approx 4 hours after vaccination and noted that patient was experiencing hives on neck, torso and legs. Patient did not have difficulty breathing, mother was instructed to give 1 dose of oral Benadryl and to bring patient to ER if symptoms worsen.
Age: 1.25
Sex: F
Vaccine: MMRV
Symptoms: Decreased appetite, Injection site erythema, Injection site papule, Mouth ulceration, Pyrexia
Clinical narrative: fever x 3 days 101-103 degrees, decreased appetite, localized redness/papules at site of injection left thigh; scattered fine pink papules on torso; 2 Brandt ulcerations at soft palate.
Age: 1.25
Sex: F
Vaccine: MMRV
Symptoms: Rash papular
Clinical narrative: fever x 3 days 101-103 degrees, decreased appetite, localized redness/papules at site of injection left thigh; scattered fine pink papules on torso; 2 Brandt ulcerations at soft palate.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Dyspnoea, Headache, Nausea, Pain
Clinical narrative: Heart palpations, dizziness, headache, nausea, SOB - hurt to breathe, fever 3/30/09-records received-office visit 10/26/07-follow up of asthma since prior visit 1 year ago. No asthma flares has had significant exercise induced bronchospasm sysmptoms, exercise pretreatment is inconsistent. Office visit 2/12/08-C/O headche comes and goes, some blurring of vision mostly right eye, light sensitivity and sound sensitivity with nausea. Cheecks feel hot with headache. Currently menstrating. Family history of migraine. ER visit for headace pain. Now with neck pain on right side with right arm felt weak.New glasses Rx makes vision blurry and not helping her eye sight. Old rib injury in December. Assessment: headache, cervical subluxation. 4/11/08-follow-up for asthma, episode of shortness of breath. Intermittent abdominal pain into right lower quadrant especially when nauseated. Similar to reflux symptoms. 4/23/08-3 week history of abdominal pain, nausea vomiting and bloody emesis. Pain in epigastric region and right upper quadrant mid area. Assessment:epigastric pain secondary to gastritis or gastric ulcer disease. 1/10/09-evaluation for headaches, dizziness and syncopal episodes. Behavior started in 9/08 with dizziness and passing out episodes. Second episode in December with dizziness and collapsed and unresponsive and confused. C/O pain behind right eye, numbness and inability to move left leg for 30 minutes. Assessment: migraine headache. Vertigo. Functional component in patient's behavior.1/17/09- C/O dizziness and nausea and not feeling well. 2/20/09 presented to ED with altered LOC, can not remember events of day. Diagnosis:migraine variant. Office visit 2/23/09-follow up for C/O right upper quadrant abdominal pain with multiple vague complaints. Assessment:psychological and panic attacks.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Palpitations, Pyrexia
Clinical narrative: Heart palpations, dizziness, headache, nausea, SOB - hurt to breathe, fever 3/30/09-records received-office visit 10/26/07-follow up of asthma since prior visit 1 year ago. No asthma flares has had significant exercise induced bronchospasm sysmptoms, exercise pretreatment is inconsistent. Office visit 2/12/08-C/O headche comes and goes, some blurring of vision mostly right eye, light sensitivity and sound sensitivity with nausea. Cheecks feel hot with headache. Currently menstrating. Family history of migraine. ER visit for headace pain. Now with neck pain on right side with right arm felt weak.New glasses Rx makes vision blurry and not helping her eye sight. Old rib injury in December. Assessment: headache, cervical subluxation. 4/11/08-follow-up for asthma, episode of shortness of breath. Intermittent abdominal pain into right lower quadrant especially when nauseated. Similar to reflux symptoms. 4/23/08-3 week history of abdominal pain, nausea vomiting and bloody emesis. Pain in epigastric region and right upper quadrant mid area. Assessment:epigastric pain secondary to gastritis or gastric ulcer disease. 1/10/09-evaluation for headaches, dizziness and syncopal episodes. Behavior started in 9/08 with dizziness and passing out episodes. Second episode in December with dizziness and collapsed and unresponsive and confused. C/O pain behind right eye, numbness and inability to move left leg for 30 minutes. Assessment: migraine headache. Vertigo. Functional component in patient's behavior.1/17/09- C/O dizziness and nausea and not feeling well. 2/20/09 presented to ED with altered LOC, can not remember events of day. Diagnosis:migraine variant. Office visit 2/23/09-follow up for C/O right upper quadrant abdominal pain with multiple vague complaints. Assessment:psychological and panic attacks.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Erythema, Purpura, Rash
Clinical narrative: 10 days after immunization child developed a rash from head to toe. The initial lesions were hive like, an infuse erythema, they evolved into large lesions with purpuric centers, target lesions. All lesions were densely treated, the child looked grotesque.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site pain
Clinical narrative: Pain at injection site - lasted 2 weeks post-injection
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, PNC, VARZOS
Symptoms: Wrong drug administered
Clinical narrative: Client was inadvertently given Zoster vaccine instead of MMRV vaccine
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Headache, Vomiting
Clinical narrative: Patient was given the Tdap and Meningitis vaccine yesterday and since 5am this morning has been vomiting and has had a bad headache.  Has been taking Advil but has not kept any of this down. The last time he vomited was 3 pm. Recommended 400mg ibuprofen and up to 650mg tylenol for HA
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Hypotension, Injection site pain, Malaise, Mental impairment
Clinical narrative: Felt dizzy, shakey, arm pain and heaviness in the arm shot was given, nausea, difficulty thinking. States she just didn't feel well.
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Nausea, Sensation of heaviness, Tremor
Clinical narrative: Felt dizzy, shakey, arm pain and heaviness in the arm shot was given, nausea, difficulty thinking. States she just didn't feel well.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Cold sweat, Dyskinesia, Gaze palsy, Immediate post-injection reaction, Pallor
Clinical narrative: Immed. after receiving injection client eyes rolled and tongue protruded (siezure like activity)became VERY pale and fainted.  Skin was cold and clammy.  Took several minutes for her to come around.  Client had 2 injection prior to getting the HPV.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Peripheral coldness, Syncope
Clinical narrative: Immed. after receiving injection client eyes rolled and tongue protruded (siezure like activity)became VERY pale and fainted.  Skin was cold and clammy.  Took several minutes for her to come around.  Client had 2 injection prior to getting the HPV.
Age: 27.0
Sex: M
Vaccine: MMR
Symptoms: Joint stiffness, Lymphadenopathy, Photophobia, Pyrexia
Clinical narrative: Patient developed severely swollen glands in neck at approximately 10 days after MMR shot. Developed fever 18 days after MMR shot, followed by outbreak of measles rash, starting at the head and continuing downward over the body. This was accompanied with an extra sensitivity to bright light and overall joint stiffnes that persisted for 5-6 days.
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Abscess, Abscess drainage, Erythema, Skin warm, Tenderness
Clinical narrative: Patient developed abcess on left upper arm following Adacel vaccination. Was evaluated at practice office and prescribed antibiotics without relief, 8 cm warmm red tender abcess. 3 days later seen at local Emergency room. admitted to local hospital  for irrigation and drainage of abcess 8/8/07-records received-DX: abscess left arm. Temp 98.6. Received tetanus shot 8 days ago and on PE noted to have an area that is firm. Treated with IV antibiotics.
Age: 37.0
Sex: M
Vaccine: ANTH, HEPA, SMALL, TYP
Symptoms: Blood glucose increased, Cellulitis, Full blood count normal, Mean cell haemoglobin increased, Protein total normal
Clinical narrative: Pt presented to the ER on 7/6/07 with cellulitis noted to the L arm status post Smallpox injection to same arm 9 days prior. Given IV antibiotics initially, slow improvement so was admitted to hospital for further ATB treatment. Was given Rocephin. D/C'd on 7/7/07 with order for Keflex and to follow up at the MC. Seen at the MC  on 7/9/07 with improvement in sx noted. 7/245/07-records received for DOS 7/6-7/7/07-DC DX: Cellulitis left arm. Developed cellulitis in left arm following small pox injection. Seen in ED 2 days following initial start of the spreading erythema. Fever and chills.
Age: 37.0
Sex: M
Vaccine: ANTH, HEPA, SMALL, TYP
Symptoms: Red blood cell sedimentation rate increased
Clinical narrative: Pt presented to the ER on 7/6/07 with cellulitis noted to the L arm status post Smallpox injection to same arm 9 days prior. Given IV antibiotics initially, slow improvement so was admitted to hospital for further ATB treatment. Was given Rocephin. D/C'd on 7/7/07 with order for Keflex and to follow up at the MC. Seen at the MC  on 7/9/07 with improvement in sx noted. 7/245/07-records received for DOS 7/6-7/7/07-DC DX: Cellulitis left arm. Developed cellulitis in left arm following small pox injection. Seen in ED 2 days following initial start of the spreading erythema. Fever and chills.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Dyspnoea, Gaze palsy, Lethargy, Pallor, Retching
Clinical narrative: CLIENT HAD REACTION AT 12 MONTHS OF AGE. PARENTS TOOK CHILD TO ER, BECAUSE SHE BECAME LETHARGIC AFTER DTAP,HIB,POLIO,HEPB,MMR AND VARICELLA,AT ANOTHER CLINIC. THE PARENTS DID NOT TELL US THIS WHEN THEY PRESENTED THE CHILD FOR VACCINES ON 7/11/2007.  BUT THE MOTHER CHOSE TO ONLY GET ONE VACCINE AT A TIME AT THIS VISIT.  THE CHILD HAD DTAP ON 7/11/2007 AND LEFT THE HEALTH DEPT. WITH DRY HEAVES,PALE, AND THE MOTHER REPORTED THAT WHEN THEY LEFT IN THE CAR, THE CHILDS "EYES ROLLED BACK",AND THAT "THE CHILD WAS EXTREMELY SLEEPY" , THEN PROCEEDED TO CALL US.  THE CHILD HAD FELL ASLEEP, AND WAS BREATHING WITH OUT DIFFICULTY. INSTRUCTED TO WATCH CHILD FOR NEXT 48 HOURS, AND THAT I WOULD CALL TO CHECK ON THE CHILD.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Somnolence
Clinical narrative: CLIENT HAD REACTION AT 12 MONTHS OF AGE. PARENTS TOOK CHILD TO ER, BECAUSE SHE BECAME LETHARGIC AFTER DTAP,HIB,POLIO,HEPB,MMR AND VARICELLA,AT ANOTHER CLINIC. THE PARENTS DID NOT TELL US THIS WHEN THEY PRESENTED THE CHILD FOR VACCINES ON 7/11/2007.  BUT THE MOTHER CHOSE TO ONLY GET ONE VACCINE AT A TIME AT THIS VISIT.  THE CHILD HAD DTAP ON 7/11/2007 AND LEFT THE HEALTH DEPT. WITH DRY HEAVES,PALE, AND THE MOTHER REPORTED THAT WHEN THEY LEFT IN THE CAR, THE CHILDS "EYES ROLLED BACK",AND THAT "THE CHILD WAS EXTREMELY SLEEPY" , THEN PROCEEDED TO CALL US.  THE CHILD HAD FELL ASLEEP, AND WAS BREATHING WITH OUT DIFFICULTY. INSTRUCTED TO WATCH CHILD FOR NEXT 48 HOURS, AND THAT I WOULD CALL TO CHECK ON THE CHILD.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Arthritis, C-reactive protein increased, Joint effusion, Red blood cell sedimentation rate increased
Clinical narrative: R hip and knee effusion; seen by orthopedics at ER of Hospital, ESR 23 CRP 4.5 felt to be c/w inflammatory, post-infectious type arthritis
Age: 23.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Cellulitis, Injection site rash
Clinical narrative: Pt presented to the Medical Clinic on 7/9/07 with c/o rash to arm where she had received the Smallpox vaccination on 6/22/07. Rash developed a few days after vaccination according to patient. Diagnosed with cellulitis and placed on Bactrim. Was also given Ibuprofen and Benadryl.
Age: 47.0
Sex: M
Vaccine: ANTH, TDAP, TYP
Symptoms: Injection site erythema, Injection site mass, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Patient has a 3 inch by 8 inch area of erythema with mild raised area to right deltoid. First noticed swelling to area "knot" two days after receiving AVA vaccination which progressed to a large red area with itching four days post vac. Denies any SOB, fevers, weakness, fatigue, or paleness. No difficulty swallowing. No paresthesia.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Blood bicarbonate decreased, Blood glucose increased, Diabetes mellitus insulin-dependent, Diabetic ketoacidosis, Dyspnoea
Clinical narrative: Pt received vaccination on 5/14/07.  The next day was brought in by mother due to labored respiration.  Pt was sent to ED, intubated in the ED due to respirtaory failure.  Final diagnosis was congenital diabetes with the presentaiton of DKA.  Pt is currently on daily insulin dose 7/18/07-records received from PCP office. Preliminary DX congenital diabetes.Seen on 5/15/07- with C/O noisy respirations. Labored breathing Eating poorly. PE respiration rhythm and depth abnormal, tachypnea, abdominal breathing. inspiratory retraction and intercostal inspiratory retraction observed, subcostal inspriratory retraction noted. Abnormal breath sounds. No wheezing no rhonchi. Hospitalized for 2 days intubated and placed on insulin drip.  8/22/07-records received for DOS 5/15-5/23/07-DC DX: Diabetic ketoacidosis. Congenital diabetes mellitus. Presenting with hyperglycemia, acidosis and respiratory failure. Bicar<5, glucose 836. Intubated admitted to PICU. Treated with insulin drip. Seen in ED with labored shallow breathing. Decreased eating. Vomited times two in ED. Tachycardic and tachypneic with mottled skin. Had acetone smell. Kussmaul breathing and was not wheezing. Intubated. 2-3 week history of diaper rash.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intubation, Respiratory failure
Clinical narrative: Pt received vaccination on 5/14/07.  The next day was brought in by mother due to labored respiration.  Pt was sent to ED, intubated in the ED due to respirtaory failure.  Final diagnosis was congenital diabetes with the presentaiton of DKA.  Pt is currently on daily insulin dose 7/18/07-records received from PCP office. Preliminary DX congenital diabetes.Seen on 5/15/07- with C/O noisy respirations. Labored breathing Eating poorly. PE respiration rhythm and depth abnormal, tachypnea, abdominal breathing. inspiratory retraction and intercostal inspiratory retraction observed, subcostal inspriratory retraction noted. Abnormal breath sounds. No wheezing no rhonchi. Hospitalized for 2 days intubated and placed on insulin drip.  8/22/07-records received for DOS 5/15-5/23/07-DC DX: Diabetic ketoacidosis. Congenital diabetes mellitus. Presenting with hyperglycemia, acidosis and respiratory failure. Bicar<5, glucose 836. Intubated admitted to PICU. Treated with insulin drip. Seen in ED with labored shallow breathing. Decreased eating. Vomited times two in ED. Tachycardic and tachypneic with mottled skin. Had acetone smell. Kussmaul breathing and was not wheezing. Intubated. 2-3 week history of diaper rash.
Age: 17.0
Sex: M
Vaccine: HEP, IPV, MMR, TDAP
Symptoms: Body temperature increased, Chills, Fatigue, Headache, Pain
Clinical narrative: Call received from client's aunt on July 11, 2007.  States client received immunizations at our facility early in the afternoon of July 9, 2007.  Following receipt of the vaccines, client was "warm and achy" the evening of July 9.  Client felt warm to touch and aunt estimated temperature to be around 100.6 or 100.7 degrees, but temperature was not taken.  On Tuesday, July 10, 2007, client's temperature was 102 degrees by thermometer, and he was having chills and shivers along with feeling achy and having pounding in the temple area.  Client was taking Tylenol or Advil every 4 hours, which was bringing temperature down.  Today, Wednesday, July 11, 2007, client has no further fever, is cool to touch, is no longer taking fever reducing product.  Continues to feel tired and is resting on the couch. Child presented to health department without record of immunizations and is unable to obtain record from childhood.
Age: 17.0
Sex: M
Vaccine: HEP, IPV, MMR, TDAP
Symptoms: Skin warm
Clinical narrative: Call received from client's aunt on July 11, 2007.  States client received immunizations at our facility early in the afternoon of July 9, 2007.  Following receipt of the vaccines, client was "warm and achy" the evening of July 9.  Client felt warm to touch and aunt estimated temperature to be around 100.6 or 100.7 degrees, but temperature was not taken.  On Tuesday, July 10, 2007, client's temperature was 102 degrees by thermometer, and he was having chills and shivers along with feeling achy and having pounding in the temple area.  Client was taking Tylenol or Advil every 4 hours, which was bringing temperature down.  Today, Wednesday, July 11, 2007, client has no further fever, is cool to touch, is no longer taking fever reducing product.  Continues to feel tired and is resting on the couch. Child presented to health department without record of immunizations and is unable to obtain record from childhood.
Age: 37.0
Sex: F
Vaccine: VARCEL
Symptoms: Antibody test negative, Oral herpes, Photosensitivity reaction, Pruritus, Rash vesicular
Clinical narrative: UNILATERAL SUPRAPUBIC VESICULAR RASH, ITCHY. ITCHY ABDOMEN AND HEAD, SENSATION OF COLDSORE ERUPTING AND PHOTOSENSITIVE, 48 HOURS AFTER FIRST VACCINE.
Age: 1.3
Sex: F
Vaccine: MMR
Symptoms: Blood test, Chest X-ray, Convulsion, Electroencephalogram, Eye irritation
Clinical narrative: MMR vaccine was administered on June 18, around 10:30 a.m.  On Wed., July 20, patient began having seizures that were visible by eye twitches. She developed a fever that ran between 100.4 to 102 on Friday, June 22, 2007. After repeated phone calls from Wed (6/20)to Saturday (6/23), and one visit to the pediatrician (on 6/21), who said it was not a seizure, I took her to Emergency Room at which time the ER physician said immediately they were certainly seizures. Patient was admitted to Hospital from June 23 until discahrge on July 7, 2007. She was given 5 different meds before the seizures stopped and were no longer occurring. (There was some minor eye irritation on June 19, but we are not sure if that was the same twitching that began on June 20.) 8/30/07-recprds received for DOS 6/23-7/7/07-DC DX: Infantile hemiplegia. Conjunctivitis. Exotropia. Dermatitis due to drug and medicine taken internally. Unspecified anticonvulsant causing adverse effects in therapeutic use. Fever started yesterday and vomiting today. Fever 102. Patient saw PMD yesterday, probably had conjunctivitis. Temp in ED 100.7. Seizure like episodes described as 'zoning out' staring into space and drooling. Experiencing drainage from eye saw ophthalmologist who diagnosed conjunctivitis. Patient exhibited 2 episodes of seizure during exam consisting of rightward gaze, horizontal nystagmus, twitching bilateral eyelids. Annual followup 01/4/2010 MMR should be given separately (as 3 separate vaccines). I do not think thimerosal has anything to do with it, as ongoing controversy predicts. I do believe that 3 live viruses (MMR) option in one shot is welly too much for a child with known neurological injury and/or past seizures (see MMR vaccine P.I. enclosed). Many times this vaccine is given to children with no known cerebral injury but the is an underlying sine. This is dense and may cause problems. Obviously we (healthcare) cannot do MRIs on all children (whether known or unknown cerebral injury) before administering MMR vaccine. So why take a chance!?! Healthcare would benefit all around as would children and thier families. The health insurance companies would have to pay 3 administration vaccination fees, but that is pennies compared to what they later must pay for tests, therapy, hospitalization, specialist dr. visists, etc! Call a united you want to discuss this. Someone in poner of this needs to stand up for more children. Please share this with those who can affect  helpfull change!