chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: U
Vaccine: RV5
Symptoms: Rotavirus infection, Vaccine positive rechallenge
Clinical narrative: Information has been received from a physician concerning a patient who was vaccinated PO with the first, second and third 2.0 ml doses of Rotateq.  Subsequently after the first dose, the patient experienced mild case of rotavirus infection.  The patient recovered.  Subsequently after the third dose the patient experienced a severe rotavirus infection and was hospitalized in a foreign country.  It was not known if the patient received the third dose of Rotateq in the country or a foreign country.  Subsequently, the patient recovered.  There was no product quality complaint.  Additional information has been requested.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Diarrhoea haemorrhagic
Clinical narrative: Information has been received from a physician concerning a 21 week old male with no pertinent medical history or drug allergies who on 03-MAR-2008 was vaccinated PO with his second 2.0 ml dose of ROTATEQ (lot# 657977/1195U).  Concomitant vaccinations administered on that same day included a dose of PEDIARIX and a dose of PREVNAR.  On 30-MAR-2008 the patient experienced one bloody diarrhea.  The patient was seen by the physician for medical attention.  Lab diagnostic studies included a Rotazyme test and a culture.  Subsequently, the patient recovered.  There was no product quality complaint.  Upon internal review, bloody diarrhea was determined to be an other important medical event.  Additional information has been requested.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Computerised tomogram, Headache, Nuclear magnetic resonance imaging, Upper respiratory tract infection
Clinical narrative: Information has been received from a consumer concerning his 75 year old female friend with no known allergies or pertinent medical history who "about 3 weeks ago" on approximately 16-MAR-2008 was vaccinated with Zostavax (Oka/Merck). There was no concomitant medication. On approximately 29-MAR-2008, about two weeks after vaccination the patient developed an upper respiratory illness. Medical treatment was sought in the emergency room on 29-Mar-2008, and the patient was prescribed unspecified medication. The patient seemed to be recovering until 03-APR-2008. The patient experienced extreme weakness and pain on the side of her hand. On 05-APR-2008 the patient was admitted to the hospital and was undergoing a diagnostic work up which included a magnetic resonance imaging scan and computed tomography. No other symptoms or treatment reported. At the time of the report the patient had not recovered. There was no product quality complaint involved. Additional information has been requested.  4/18/08 Reviewed PCP medical records which consisted of vax record, hospital admit & transfer records of 4/7-4/10/2008. FINAL DX: general weakness following remote episode of transverse myelitis Records reveal patient experienced URI w/fever, stuffy nose & sore throat approx 1 week prior to admit.  Seen in urgent care & tx w/antibiotcs.  Developed dry cough but overall improved until developed sharp pain in left temple 3 days PTA followed by general malaise, shakiness, general weakness & inability to walk 1 day PTA.  Neuro consult done.  Exam revealed patient had difficulty standing.  W/U was WNL but remained weak clinically.  Transferred to rehab.  5/6/08 Reviewed additional hospital medical records of 4/10-4/23/2008. FINAL DX: Recurrent transverse myelitis; steroid induced hyperglycemia; hypothyroidism; osteoporosis; neurogenic bladder/bowel. Records for inpatient rehab stay reveal patient tx w/high dose IV steroids x 12 doses then tapering oral steroids, last dose 4/18.  Developed steroid induced hyperglycenia tx w/sliding scale insulin.  Received PT/OT & remained stable throughout.  Continueed intermittent self catheterization as at home.  Improved to ambulate w/rolling walker w/supervision.  D/C to home on oral antibiotics for UTI w/continued outpatient PT & f/u w/PCP & neuro.
Sex: M
Vaccine: MMRV
Symptoms: Blood culture negative, CSF test normal, Convulsion, Enterovirus serology test negative, Hypothermia
Clinical narrative: Information has been received from a physician concerning a male with no past medical history, who on 19-SEP-2007 was vaccinated with a dose of ProQuad (Enders-Edmonston, Jeryl Lynn, Wistar RA 27/3, Oka/Merck upgrade process).  On 21-SEP-2007 the patient experienced multiple seizures.  The patient was taken to the emergency room and admitted to the hospital.  It was mentioned that the patient was hypothermic.  Unspecified medications were administered to the patient.  Laboratory tests included a full blood and spinal cultures that were negative, "enteral viral and HSB test" that were negative.  No product quality complaint was involved.  Additional information has been requested.
Sex: M
Vaccine: MMRV
Symptoms: Laboratory test normal
Clinical narrative: Information has been received from a physician concerning a male with no past medical history, who on 19-SEP-2007 was vaccinated with a dose of ProQuad (Enders-Edmonston, Jeryl Lynn, Wistar RA 27/3, Oka/Merck upgrade process).  On 21-SEP-2007 the patient experienced multiple seizures.  The patient was taken to the emergency room and admitted to the hospital.  It was mentioned that the patient was hypothermic.  Unspecified medications were administered to the patient.  Laboratory tests included a full blood and spinal cultures that were negative, "enteral viral and HSB test" that were negative.  No product quality complaint was involved.  Additional information has been requested.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Death, Sudden infant death syndrome
Clinical narrative: Unexplained death/SIDS 6/12/2008 Autopsy received with COD Sudden Infant Death Syndrome. Manner of Death:  Natural. Neuropathology report DX: Gliosis of the Medullary Nuclei.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Autopsy, Cardiac arrest, Unresponsive to stimuli
Clinical narrative: Note: Pt had no fever. Next day after immunization - Pt found unresponsive during nap at daycare. Asystolic at daycare - unable to be resuscitated by paramedics nor by ED physician.  5/27 Autopsy report states COD as SIDS.  All labs WNL. 4/22/08 Reviewed ER medical records of 4/8/2008. Records reveal patient in cardiopulmonary arrest after being found unresponsive by daycare provider.  No bystander CPR provided.  EMS found patient in v-fib.  No defibrillation, just epi , intubation & intraosseous line.  Patient in asystole in ER, temp 95 (R), glucose 111, unresponsive & expired.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Burning sensation, Musculoskeletal pain, Myalgia, Neck pain, Neuralgia
Clinical narrative: 2 days later burning, pain and swelling of left arm/Keflex Rx. Pain up arm into shoulder and neck - cervical spine x-ray no abnormalities, ? post injection myalgia and neuralgia. Meds Rx/P.T./TENS Unit. 12/07 Neurologist - MRI cervical spine cord compression. 12/07 Cervical spine stabilization surgery - OOW extended time.  4/28/2008 MR received for ER visit 11/10/2007 with DX: Torticollis.  Pain, acute, chronic-neck, upper back.  Pt presented to ER with c/o sharp L sided neck, shoulder blade and shoulder pain. PE (+) muscle spasm and decreased ROM.  5/19/2008 MR received for DOS 12/11-14/2007 with D/C DX:  C3-C4 C4-C5 herniated disc with stenosis, radiculopathy, myelopathy. Pt had a C4 corpectomy, decompression of the spinal cord, foraminotomy, interbody fusion with allograft. 01/21/2010 Patient received a Tdap injection on 4/23/07. She began to experience pain in her shoulder and neck and was seen by our physician. Was referred to physical therapy. Doctor performed MRI with contrast with resulting surgery by doctor for bulging disc and reticulopathy to left arm. Fusion and plate were performed by doctor with expectation that she would be out of work until 12/26/07. Resulting scar was addressed by doctor. Doctor placed her on part time with hours to increase as her pain became more managable. Patient was leaving early when dictated by pain. MRI scheduled on 11/24/08 by doctor. Doctor ordered home exercises for chronic pain management and depression as there were problems regulating her medications. On 1/05./09 surgery was performed by Orthopedist and diagnosed with pocket of inflammation. Referral to Rheumatologist and to patient's PCP. Chronic pain is still a problem. 02/02/09 doctor felt that work schedule should remain restricted due to cervical pain and on 2.27/09 left shoudl arthroscopy was performed with resulting slight rotator cuff repair and clean up of inflammation. Doctor cleared her to return to work on 4/10/09 with no restiriction; however doctor still feels that work hours may need to be adjusted due to pain.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Nuclear magnetic resonance imaging abnormal, Oedema peripheral, Pain, Pain in extremity, Spinal cord compression
Clinical narrative: 2 days later burning, pain and swelling of left arm/Keflex Rx. Pain up arm into shoulder and neck - cervical spine x-ray no abnormalities, ? post injection myalgia and neuralgia. Meds Rx/P.T./TENS Unit. 12/07 Neurologist - MRI cervical spine cord compression. 12/07 Cervical spine stabilization surgery - OOW extended time.  4/28/2008 MR received for ER visit 11/10/2007 with DX: Torticollis.  Pain, acute, chronic-neck, upper back.  Pt presented to ER with c/o sharp L sided neck, shoulder blade and shoulder pain. PE (+) muscle spasm and decreased ROM.  5/19/2008 MR received for DOS 12/11-14/2007 with D/C DX:  C3-C4 C4-C5 herniated disc with stenosis, radiculopathy, myelopathy. Pt had a C4 corpectomy, decompression of the spinal cord, foraminotomy, interbody fusion with allograft. 01/21/2010 Patient received a Tdap injection on 4/23/07. She began to experience pain in her shoulder and neck and was seen by our physician. Was referred to physical therapy. Doctor performed MRI with contrast with resulting surgery by doctor for bulging disc and reticulopathy to left arm. Fusion and plate were performed by doctor with expectation that she would be out of work until 12/26/07. Resulting scar was addressed by doctor. Doctor placed her on part time with hours to increase as her pain became more managable. Patient was leaving early when dictated by pain. MRI scheduled on 11/24/08 by doctor. Doctor ordered home exercises for chronic pain management and depression as there were problems regulating her medications. On 1/05./09 surgery was performed by Orthopedist and diagnosed with pocket of inflammation. Referral to Rheumatologist and to patient's PCP. Chronic pain is still a problem. 02/02/09 doctor felt that work schedule should remain restricted due to cervical pain and on 2.27/09 left shoudl arthroscopy was performed with resulting slight rotator cuff repair and clean up of inflammation. Doctor cleared her to return to work on 4/10/09 with no restiriction; however doctor still feels that work hours may need to be adjusted due to pain.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Surgery
Clinical narrative: 2 days later burning, pain and swelling of left arm/Keflex Rx. Pain up arm into shoulder and neck - cervical spine x-ray no abnormalities, ? post injection myalgia and neuralgia. Meds Rx/P.T./TENS Unit. 12/07 Neurologist - MRI cervical spine cord compression. 12/07 Cervical spine stabilization surgery - OOW extended time.  4/28/2008 MR received for ER visit 11/10/2007 with DX: Torticollis.  Pain, acute, chronic-neck, upper back.  Pt presented to ER with c/o sharp L sided neck, shoulder blade and shoulder pain. PE (+) muscle spasm and decreased ROM.  5/19/2008 MR received for DOS 12/11-14/2007 with D/C DX:  C3-C4 C4-C5 herniated disc with stenosis, radiculopathy, myelopathy. Pt had a C4 corpectomy, decompression of the spinal cord, foraminotomy, interbody fusion with allograft. 01/21/2010 Patient received a Tdap injection on 4/23/07. She began to experience pain in her shoulder and neck and was seen by our physician. Was referred to physical therapy. Doctor performed MRI with contrast with resulting surgery by doctor for bulging disc and reticulopathy to left arm. Fusion and plate were performed by doctor with expectation that she would be out of work until 12/26/07. Resulting scar was addressed by doctor. Doctor placed her on part time with hours to increase as her pain became more managable. Patient was leaving early when dictated by pain. MRI scheduled on 11/24/08 by doctor. Doctor ordered home exercises for chronic pain management and depression as there were problems regulating her medications. On 1/05./09 surgery was performed by Orthopedist and diagnosed with pocket of inflammation. Referral to Rheumatologist and to patient's PCP. Chronic pain is still a problem. 02/02/09 doctor felt that work schedule should remain restricted due to cervical pain and on 2.27/09 left shoudl arthroscopy was performed with resulting slight rotator cuff repair and clean up of inflammation. Doctor cleared her to return to work on 4/10/09 with no restiriction; however doctor still feels that work hours may need to be adjusted due to pain.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness, swelling and pain Rt upper arm.  4/15/08 Reviewed hospital medical records for 4/11-4/12/2008. FINAL DX: no d/c available; admit dx acute cellulitis Records indicate patient experiencedswelling, redness & pain RUE since vaccination on 4/8/08.  Seen by PCP & tx w/antibiotics.  Returned to PCP with markedly increased swelling, tenderness & induration; no fever.  Sent to hospital for admission.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site cellulitis, Pyrexia
Clinical narrative: Cellulitis (R) thigh injection site 13x18cm, fever. Oral Clindamycin (prescribed at 3/27/08 office visit). IV Vancomycin, Ancef (admitted to hospital 3/27/08-3/31/08). Rocephin IM, Bactrim PO (admitted to hospital 4/1/08 - 4/2/08). 5/12/2008 MR received for DOS 3/27-29/2008 with DX: Cellulitis. Pt presented with enlarging R thigh erythema which was tender to palpation and warm. Pt had temp of 100.5. Tx with vanco and sent home on clindamycin.  04/15/2008 MR received for DOS 4/1-2/2008 with D/C DX:  R thigh Cellulits-improving.  Vomiting.  Diarrhea.  Obesity.  Also seen in ER 1 day prior for same and D/c'd.  Pt presented with 4 day hx of vomiting and blood streaked diarrhea which began after starting po abx for R thigh Cellulitis for which pt had been admitted to another hospital.   Pt unable to keep Clindamycin down.  PE WNL.
Age: 45.0
Sex: F
Vaccine: YF
Symptoms: Injection site erythema, Injection site swelling, Nausea, Pain, Pyrexia
Clinical narrative: On April 12th, patient became febrile, nauseated and complained of body aches.  The injection site was swollen, erythemic and measured about 10 cm in length.  Today, April 14th, injection site is greatly impoved and patient is afebrile.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Cellulitis, Erythema, Injection site bruising, Swelling
Clinical narrative: Recieved #2 on 4/7/08.  On 4/8/08 noted bruising at injection site.  Woke up on 4/9/08 aith increase swelling and redness.  Seen in our office and diagnosed with Left arm cellulitis secondary to immunization reaction.
Age: 54.0
Sex: F
Vaccine: TTOX
Symptoms: Erythema, Induration, Mass, Pruritus, Swelling
Clinical narrative: REDNESS, SWELLING, HARD LUMP, ITCHING, ALL SYMPTOMS  PERSISTENT FOR MULTIPLE DAYS.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Hypokinesia, Injection site erythema, Injection site swelling, Injection site warmth, Paraesthesia
Clinical narrative: At sight of injection: Extremely swollen, red, and hot to touch.  Swelling occurred all throughout the left arm and shoulder.  Fingers felt tingly and whole arm / shoulder itched.  Arm was painful to move and is still swollen at more than 5 days after injection.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Pruritus
Clinical narrative: At sight of injection: Extremely swollen, red, and hot to touch.  Swelling occurred all throughout the left arm and shoulder.  Fingers felt tingly and whole arm / shoulder itched.  Arm was painful to move and is still swollen at more than 5 days after injection.
Age: 29.0
Sex: M
Vaccine: SMALL, ANTH, HEP
Symptoms: Chills, Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: ROBUST REACTION; LOCALIZED PAIN, SWELLING, AND ERYTHEMA (4-5 INCHES) AROUND INOCULATION SITE.  UNDER LEFT ARM PATIENT COMPLAINED OF TENDERNESS TO TOUCH.  FEVERS, CHILLS ON 04/13/2008.  SENT TO CLINIC TO SEE PHYSICIAN FOR FURTHER EVALUATION.
Age: 29.0
Sex: M
Vaccine: SMALL, ANTH, HEP
Symptoms: Tenderness
Clinical narrative: ROBUST REACTION; LOCALIZED PAIN, SWELLING, AND ERYTHEMA (4-5 INCHES) AROUND INOCULATION SITE.  UNDER LEFT ARM PATIENT COMPLAINED OF TENDERNESS TO TOUCH.  FEVERS, CHILLS ON 04/13/2008.  SENT TO CLINIC TO SEE PHYSICIAN FOR FURTHER EVALUATION.
Age: 29.0
Sex: M
Vaccine: SMALL, ANTH, HEP
Symptoms: Chills, Injection site discharge, Injection site discolouration, Injection site erythema, Injection site pain
Clinical narrative: ROBUST REACTION; LOCALIZED PAIN, SWELLING, AND ERYTHEMA (4-5 INCHES) AROUND INOCULATION SITE.  UNDER LEFT ARM PATIENT COMPLAINED OF TENDERNESS TO TOUCH.  FEVERS, CHILLS ON 04/13/2008.  SENT TO CLINIC TO SEE PHYSICIAN FOR FURTHER EVALUATION.
Age: 29.0
Sex: M
Vaccine: SMALL, ANTH, HEP
Symptoms: Injection site swelling, Pain in extremity
Clinical narrative: ROBUST REACTION; LOCALIZED PAIN, SWELLING, AND ERYTHEMA (4-5 INCHES) AROUND INOCULATION SITE.  UNDER LEFT ARM PATIENT COMPLAINED OF TENDERNESS TO TOUCH.  FEVERS, CHILLS ON 04/13/2008.  SENT TO CLINIC TO SEE PHYSICIAN FOR FURTHER EVALUATION.
Age: 50.0
Sex: F
Vaccine: PPV
Symptoms: Dyspnoea, Injection site swelling, Swelling
Clinical narrative: Pt describes left arm and breast swelling and breathing was "funny".  Pt reported this to me but details were not available regarding time, lot, exp date, etc.  states she received this at the above MD office on the same date as her Xolair shot, and both shots were given in the same arm.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Induration, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient received VZV vaccine 4-11-08 then presented in the office 4-14-08 with redness and swelling at the injection site.  Onset of symptoms was 4-12-08.  Patient has an area of dark pinkish-red erythema and induration measuring 120 x 120 mm.  The site is warm and tender to touch. Movement of the left arm has improved since Saturday and Sunday. Treatment with Ibuprofen and Benadryl, warm or cool compresses were recommended at the 4-14-08 office visit.  Diagnosed by the provider seeing him on 4-14-08 as an allergic reaction to VZV vaccine.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site warmth
Clinical narrative: Patient received VZV vaccine 4-11-08 then presented in the office 4-14-08 with redness and swelling at the injection site.  Onset of symptoms was 4-12-08.  Patient has an area of dark pinkish-red erythema and induration measuring 120 x 120 mm.  The site is warm and tender to touch. Movement of the left arm has improved since Saturday and Sunday. Treatment with Ibuprofen and Benadryl, warm or cool compresses were recommended at the 4-14-08 office visit.  Diagnosed by the provider seeing him on 4-14-08 as an allergic reaction to VZV vaccine.
Age: 5.0
Sex: M
Vaccine: HEPA, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Swollen and red right upper thigh starting day of vaccine 4-11-08.
Age: 36.0
Sex: F
Vaccine: PPV
Symptoms: Coma, Dyspnoea, Epistaxis, Hypoventilation, Intensive care
Clinical narrative: Wife was having a shortness of breath and feeling ill for three days prior going to the emergency room and was admitted for pnemonia for 3 days observation. She was doing fine and showed no signs of worsening. The next day around 12:00 pm a nurse administerd the PNEUMOVAX 23 VACCINE. Around 4:00 pm she begane to experience ringing of the ears, a bloody nose and was put on oxygen by nose apparatus and soreness of the arm. By the next morning her breathing was becoming more shallow and more difficult. By late evening in a consultation with d.o. heart and a lung specialist they were informed by us that she had received the inoculation. They said they didn't order it and that the hospital has a policy that they give the vaccination prior to leaving the hospital. With in a couple of hours they moved her to ICU for closer observation. Her condition continued to get worse. The very next day she was ordered transferred to another hospital by me. She was there for three weeks in a drug induced coma under severe condition. She was in the hospital for a total of 6 weeks. 5/6/08-records received for DOS 9/24-10/20/06. DC DX: Lupus pneumonitis. Hypoxic respiratory failure secondary to pneumonia. ARDS. Pneumonia. DM.  Trach placed. Developed acute renal insufficiency which resolved.  4/30/08-records received for DOS 9/20-9/24/06-DC DX: Viral pneumonia. Unspecificed organism pneumonia. Hypoxemia. Acute respiratory failure. Fluid overload disorder.  Fever and sweating. Non productive cough. Chest pain.  Transferred to another facility.
Age: 36.0
Sex: F
Vaccine: PPV
Symptoms: Oxygen supplementation, Pain in extremity, Tinnitus
Clinical narrative: Wife was having a shortness of breath and feeling ill for three days prior going to the emergency room and was admitted for pnemonia for 3 days observation. She was doing fine and showed no signs of worsening. The next day around 12:00 pm a nurse administerd the PNEUMOVAX 23 VACCINE. Around 4:00 pm she begane to experience ringing of the ears, a bloody nose and was put on oxygen by nose apparatus and soreness of the arm. By the next morning her breathing was becoming more shallow and more difficult. By late evening in a consultation with d.o. heart and a lung specialist they were informed by us that she had received the inoculation. They said they didn't order it and that the hospital has a policy that they give the vaccination prior to leaving the hospital. With in a couple of hours they moved her to ICU for closer observation. Her condition continued to get worse. The very next day she was ordered transferred to another hospital by me. She was there for three weeks in a drug induced coma under severe condition. She was in the hospital for a total of 6 weeks. 5/6/08-records received for DOS 9/24-10/20/06. DC DX: Lupus pneumonitis. Hypoxic respiratory failure secondary to pneumonia. ARDS. Pneumonia. DM.  Trach placed. Developed acute renal insufficiency which resolved.  4/30/08-records received for DOS 9/20-9/24/06-DC DX: Viral pneumonia. Unspecificed organism pneumonia. Hypoxemia. Acute respiratory failure. Fluid overload disorder.  Fever and sweating. Non productive cough. Chest pain.  Transferred to another facility.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Musculoskeletal pain, Tenderness
Clinical narrative: Mother states 4 x2 inch redness of left arm on 4/9/08.  States pain from shoulder to elbow with tender to touch until 4/12/08.   Ring effect redness on lateral side of Lt arm.  Kept child awake at night. Seen by family physician on 4/10/08.  Benadryl and ABT prescribed.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Herpes zoster
Clinical narrative: 3 weeks after receiving DTaP, Varicella (Active Virus), MMR (live), and Polio (inactive) my son developed Herpes Zoster above his right ear.
Age: 14.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Overdose, Wrong drug administered
Clinical narrative: Patient was given 2 MCV-4 (Menactra) vaccines. One should have been HPV (Gardasil).
Age: 10.0
Sex: U
Vaccine: VARCEL
Symptoms: Pharyngeal oedema, Respiratory distress
Clinical narrative: Respiratory distress, throat swelling.  Tx: epinephrine, Benadryl, albuterol.
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Nerve injury
Clinical narrative: PATIENT CAME IN 04/07/2008 AND SAID HE BELIEVES HE HAS NERVE DAMAGE AND WANTED TO KNOW WHY SUCH A LONG NEEDLE WAS USED ON HIM AND WHO GAVE IT TO HIM. HE CLAIMS THE TECHNICIAN GAVE IT TO HIM AND USED A 4 TO 6 INCH NEEDLE WITH METAL HANDLE, THAT THE 1 AND 1/2 INCH DISPOSIBLE NEEDLE I SHOWED HIM WAS NOT USED ON HIM.  WE ONLY HAVE ONE SIZE ON SITE. I TOLD HIM IF HE BELIEVES HE HAS NERVE DAMAGE HE SHOULD SEE DR, HE HAS NOT SEEN ONE.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: 4/14/08 Patient is a 4 year old male. Complaint: worsening vaccine reaction on leg. HPI: Pt was seen 4/10/08 for 5 year WCC--received DTaP, IPV, MMR, and Varicella vaccines at that visit. Two days later pt was seen in Urgent Care for redness and swelling of L thigh at vaccine site (where Varicella and MMR were administered per report). I was asked by PA at Urgent Care to also examine pt that day. Pt was started on Keflex TID for possible cellulitis vs. adverse vaccine reaction. Pt returns today because L leg has increasing redness outside of the lines initially drawn on leg. Leg seems less painful, was itchy two nights ago in area of redness and was given dose of Benadryl. Otherwise is only taking Keflex, is not taking Ibuprofen or applying cool packs to leg No recent fevers, no lethargy. No wheezing, stridor, or increased WOB. No seizure activity. Pt is otherwise feeling well and is active, is playing and running around despite leg being red and swollen. Pt received first MMR in July 2004 but has not received Varicella prior to 4/10/08. Pertinent negatives: no fever, headache, vomiting or diarrhea. Fluid intake: normal, still eating well. PMHx: negative pertinent to this illness, no prior adverse reaction to vaccine. Pt does not take any chronic prescription medications PE: awake, alert, well hydrated and in no acute distress, looks well, talkative and playful. Skin: 11x13cm area of erythema over anterior/lateral L thigh region, erythema now extending a few cm beyond the initial lines drawn but initial central erythematous/indurated area less intensely erythematous, not as firm and indurated as with previous exam, mild warmth to touch, much less tender to touch today. Central area now with purplish hue and some scattered small patches of clearing. No vesicles, no surrounding urticaria.
Age: 76.0
Sex: F
Vaccine: FLUX
Symptoms: Blood pressure decreased, Chest pain, Dizziness, Headache, Palpitations
Clinical narrative: Palpitations, restlessness, stomach discomfort pharyngeal edema, headache, dizziness, chest pain, decreased blood pressure. 7/28/08-death certificate received; COD:respiratory failure. Chronic obstructive pulmonary disease.
Age: 76.0
Sex: F
Vaccine: FLUX
Symptoms: Pharyngeal oedema, Restlessness, Stomach discomfort
Clinical narrative: Palpitations, restlessness, stomach discomfort pharyngeal edema, headache, dizziness, chest pain, decreased blood pressure. 7/28/08-death certificate received; COD:respiratory failure. Chronic obstructive pulmonary disease.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Pt called on 4/11/2008 @ 0930 pt immunizations site has redness, swelling and itchiness denies any SOB, chest pain, or tightness on the chest. Instruct pt to call Primary care Provider for fu. Pt called Primary Care Provider (see attached note).
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Facial pain, Swelling face
Clinical narrative: Had varicella #2 yesterday. One side of face last night was painful and whole face this am was swelling.  No problem with breathing.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Dizziness, Malaise
Clinical narrative: Had injections. Walked out into waiting room and told Mom she "didn't feel good".  c/o feeling dizzy. Laid down on bench and immediately felt better.  B/P 92/62.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Blood test normal, Computerised tomogram normal, Convulsion, Familial risk factor
Clinical narrative: Patient received his Tdap vaccination and within 5-10 minutes had a seizure. Mother witnessed the seizure and feels it lasted about 1 minute. Patient has no history of seizure activity, but Mother's sister has a seizure disorder. Patient was examined at the emergency room that evening (CAT scan and bloodwork were unremarkable) and has a follow up appointment with a neurologist on 4-22-08. Patient attended school the following day.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Dermatitis allergic, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: SWELLING AROUND INJECTION SITE.  ERYTHMA, WARMTH SURROUNDING IMMUNIZATION INJECTION SITE RIGHT UPPER ARM (DELTOID).
Age: 43.0
Sex: F
Vaccine: PPV
Symptoms: Bedridden, Burning sensation mucosal, Cough, Eye irritation, Lacrimation increased
Clinical narrative: I was very sick within hours of getting the vaccine. I was sneezing repeatedly, my nose was burning severely, my eyes were watering and burning.  I was wheezing and coughing.  I was too sick to get out of bed for about 24 hours.  It went away quickly and I was perfectly well after about 30 hours.  It was like I had been poisoned.  I am severely allergic to cats, mold, mushrooms, and rabbits.
Age: 43.0
Sex: F
Vaccine: PPV
Symptoms: Sneezing, Wheezing
Clinical narrative: I was very sick within hours of getting the vaccine. I was sneezing repeatedly, my nose was burning severely, my eyes were watering and burning.  I was wheezing and coughing.  I was too sick to get out of bed for about 24 hours.  It went away quickly and I was perfectly well after about 30 hours.  It was like I had been poisoned.  I am severely allergic to cats, mold, mushrooms, and rabbits.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Cough, Hypersensitivity, Swelling face, Urticaria
Clinical narrative: Allergic reaction.  Coughing, facial swelling and hives 15 minutes after leaving the office.  Epi pen administered by mother en route to medical center.  Treated in ED and discharged home same day.  5/20/08 Reviewed ER medical records of 4/7/2008. FINAL DX: allergic reaction Records reveal patient experienced itching, SOB, throat tightness, rhinorrhea, chest tightness & hives approx 2 hours s/p vaccination.  Developed redness & swelling at varicella injection site.  Used epi-pen & antihistamine at home.  Called EMS who found patient SOB w/eye swelling, face red.  Tx w/steroids.  Improved & d/c to home on continued meds.
Age: 10.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Dizziness, Immediate post-injection reaction
Clinical narrative: 10 year old felt dizzy and lightheaded immediately after getting Hep A and Gardasil for 5-10 minutes. Patient vital signs were stable BP=90/60, P=70, RR=19. Patient drank 1 glass of water and was back to looking normal within 10 minutes. Patient observed in clinic for 1 hour after vaccine given
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Hypoaesthesia
Clinical narrative: Approximately 3 days after vaccine given in 3-26-08 (TdaP), pt developed numbness of left middle, ring and little fingers that perisited unchanged. (Same arm that vaccine administered.)
Age: 34.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, Pain
Clinical narrative: Joint pain (ankles, knee, pelvis, neck); muscle pain (calves, thighs, shoulder, neck); Pain stated 24 hours after shot, and lasted for 24 hours.
Age: 65.0
Sex: M
Vaccine: TDAP
Symptoms: Brachial plexopathy, Muscular weakness, Pain in extremity, Radiculopathy
Clinical narrative: Pain down left arm, weakness in hand brachial radiculopathy.  4/22/2008 MR received for neurology OV of 3/19/2008 with Dx: Left Brachial Neuritis s/p DPT.   Pt developed a "knot" feeling and pain in the mid scapular region which radiated to the inner arm, 2 weeks s/p TDaP. Pain decreased but tingling/paresthesias developed in the left 3rd and 4th fingers as well as the base of the palm.  Mild weakness. PE (+) for minimally decreased cervical ROM, and minimal weakness of the interossei ADQM on the left. Otherwise WNL.
Age: 38.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Infection, Injection site erythema, Injection site streaking, Local reaction
Clinical narrative: Local redness greater than puncture site with distal streaking > 50 mm obvious infection, secondary cellulitis Tx: Septra OS, Rifampin 300 mg. Resolving
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Blood pressure, Cold sweat, Heart rate normal, Pallor, Syncope
Clinical narrative: Pale, faint, clammy, B/P 100/54, HR 68.
Age: 11.0
Sex: F
Vaccine: FLU3, HPV4, MNQ, TDAP
Symptoms: Muscular weakness, Pain in extremity
Clinical narrative: Bilateral arm pain that developed 4 days after immunizations given. Left arm pain greater than right. Pain is diffuse, not localized at deltoid and weakness.
Age: 16.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Mass, Pruritus
Clinical narrative: Large, itchy bump to left arm after getting vaccinated.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Dermatitis allergic, Oedema peripheral, Rash pruritic
Clinical narrative: Patient developed allergic, itchy rash with raised bumps, swollen hands and feet on 3-28-08.  Rash did not start around eyes (on Vigamox since 3-26-08).  Mother gave Benadryl.  Rash gone when seen by Dr on 3-31-08 & then recurred through April 6, 2008.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: 10/27/07 Got shingles vaccine to prevent getting them.  March 6, 2008 had to go to the doctor "medical center" for shingles again.  The doctor gave me a prescription for Valtrex 500 mg.  I had to pay $200 for the shingle vaccine - my insurance would not cover this.  Should I get a booster shot or is there any help for me with this problem (shingles)?
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 9 y.o. girl received booster varicella vaccine.  Mother called the next day stating that upper arm was quite swollen surrounding injection site (and red) - about size of an orange.  Also tender.  After 1 day -> arm was back to normal per mother.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site pain, Local reaction, Swelling
Clinical narrative: Seen in ER for local swelling, soreness at injection site (DTaP).  I saw him on 4/2 and he had slight bruise there and local reaction decreased.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Injection site bruising, Injection site mass, Local reaction, Oedema peripheral
Clinical narrative: Seen in ER on 4/1/08 due to severe local reaction. Area on arm where shot given bright red and puffy, no fever or SOB. I saw this girl on 4/2 and arm was still puffy and redness about 3 1/2' diameter. On 4/4, mom said on phone swelling and redness almost to elbow. Not very sore-using aloe vera. Also suggested hydrocortisone OTC cram. 4/7/08 Talked to mom redness and swelling resolved. Lump and some bruising at injection site remains.
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Feeling hot, Local reaction, Oedema peripheral, Rash papular
Clinical narrative: (4/1) - Local reaction about 2" in diameter where VCZ given on arm - red, swollen lump, tender, hot to touch.  Increased to 3" by next day, (4/2).  4/4 redness, tenderness decreased, but lump still there.
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Tenderness
Clinical narrative: (4/1) - Local reaction about 2" in diameter where VCZ given on arm - red, swollen lump, tender, hot to touch.  Increased to 3" by next day, (4/2).  4/4 redness, tenderness decreased, but lump still there.
Age: 2.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Local reaction, Mass, Swelling, Tenderness
Clinical narrative: Local reaction where VCZ given, about 2" diameter, red, swollen, tender lump.  On 4/4, redness & tenderness decreased, but still has lump.
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Oedema, Skin discolouration, Skin warm
Clinical narrative: Right arm quarter size area bright and red surrounded by light pink border. Slightly warm to touch. No streaking noted. Minimal edema.
Age: 14.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Feeling hot, Tenderness
Clinical narrative: Right arm with 3 1/2 x 3 1/2 red and warm.  Center with 1" x 1/2" firmness and tenderness.
Age: 20.0
Sex: F
Vaccine: TTOX
Symptoms: Asthenia, Dizziness
Clinical narrative: Donor stated weakness about 5 pm and lightheaded.  Stated "layed down" slept the remainder of the day on 03/13/08.  Weakness lasted until 03/14/08 ending day Friday.  Saturday morning donor stated "felt fine for normal activities".
Age: 61.0
Sex: M
Vaccine: HEPAB, IPV
Symptoms: Activities of daily living impaired, Injection site pain, Joint range of motion decreased, Muscular weakness, Pain
Clinical narrative: Some pain with injection then approximately 2 days later extreme pain, muscle weakness and loss of range of motion having to limit activities.  Ibuprofen taken with mild relief.  Continues to have pain and muscle weakness on 3/28/08.  Pain wakes him up at night.
Age: 61.0
Sex: M
Vaccine: HEPAB, IPV
Symptoms: Sleep disorder
Clinical narrative: Some pain with injection then approximately 2 days later extreme pain, muscle weakness and loss of range of motion having to limit activities.  Ibuprofen taken with mild relief.  Continues to have pain and muscle weakness on 3/28/08.  Pain wakes him up at night.
Age: 19.0
Sex: M
Vaccine: TTOX
Symptoms: Headache, Nasal congestion, Pharyngitis, Pharyngolaryngeal pain, Sleep disorder
Clinical narrative: Reports temp 100 at 7 pm 2/29/08. Woke up 3/1/08 5 am - temp 102 unk duration. Headache 5 AM with sx lasting off/on until 11:00 AM 3/1/08. (Stuffy nose 5 am 3/1/08 - 8 or 9 am), sore throat 5 am 3/1/08 until 3/2/08 8 or 9am. Went to hospital 3/1/08 at 11 am or 12 pm and dx with "throat virus". Antibiotics given (unk names) t bid - finished 2/6/08. Temp 100 3/4/08. Temp 99.9 3/4/08. Temp 99 3/2/208.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling/redness at site of injection.  No fever or systemic symptoms.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Injection site induration, Skin warm
Clinical narrative: 5"x4" area of redness and warmth. No streaks. No pain. No limited mobility. Area of induration at injection site x 3 cm.
Age: 1.0
Sex: F
Vaccine: PNC
Symptoms: Irritability
Clinical narrative: Fussy at night x/w after PCV 7 #4.
Age: 1.3
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Rash, Redness, 3 small blisters on (R) thigh
Age: 1.1
Sex: F
Vaccine: HEPA, PNC, VARCEL
Symptoms: Pruritus, Rash macular, Scab, Varicella post vaccine
Clinical narrative: Probable break-through varicella infection (macules -> scabs).  Calamine lotion, Benadryl po for itchiness.  Diphenhydramine, syrup 12.5 mg/5 ml: 1 tsp p.o. Q 8 hr 12 hr x prn itchy rash.  120 ml.
Age: 1.1
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Rash both upper arms lat. aspect & few on ant. neck.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Skin discolouration, Skin papilloma, Skin warm
Clinical narrative: 07/11/2006 MILD Other LOCAL RED ELEVATION WARMTH WITH WHITE RING AROUND
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Swelling and tenderness at right deltoid at and around injection site. Notice 1 day after vaccination. No rash, no SOB, no other complaints. Rx- cold compress and motrin 2 tsp PO q6 hr PRN and gentle massage.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Pt. arm got red & swollen.  Notice on 4/11/08 quarter size.
Age: 1.2
Sex: F
Vaccine: DTAPH, MMR, VARCEL
Symptoms: Injection site pain, Injection site rash, Irritability, Pyrexia
Clinical narrative: Fussy and feverish x 3 days. Was seen in ER 2 days ago with same symptoms. She has a small rash on the right thigh with pain, leg rash confirmed as site of Varivax injection on 3/26/08.
Age: 9.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site discolouration, Injection site papule, Local reaction, Rash pruritic, Scratch
Clinical narrative: Pale pink papules, a few scratched at site of immunization; itchy rash (local).
Age: 24.0
Sex: F
Vaccine: MMR, TD
Symptoms: Limb discomfort, Oedema peripheral
Clinical narrative: 04/10/08 Client stated right arm hurt and that she could not feel her arm but she could move it.  Client denied swelling, itching but husband stated it was swollen.  Husband stated she was moving her arm but complaining it hurt.  Instructed husband to take her to doctor numerous times.  Return call from client that she could feel her hand, it just hurts her arm to move.  4/11/08 10AM TC to client did not go to MD, it feels much better.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site vesicles
Clinical narrative: (R) deltoid area swelling, (+) warm, red, mild tenderness. injection site blister 13 x 12 cm; induration 9 x 7 cm. T=98.7 F Benadryl 12.5mg/5ml 2tsp p.o q6-8hr prn, cool compress.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site warmth
Clinical narrative: (R) deltoid area swelling, (+) warm, red, mild tenderness. injection site blister 13 x 12 cm; induration 9 x 7 cm. T=98.7 F Benadryl 12.5mg/5ml 2tsp p.o q6-8hr prn, cool compress.
Age: 57.0
Sex: F
Vaccine: HEPAB, IPV
Symptoms: Activities of daily living impaired, Injection site pain, Movement disorder, Muscular weakness, Sleep disorder
Clinical narrative: Reports extreme pain with injection, muscle weakness, loss of range of motion in left arm causing limitation with activities. Ibuprofen taken with minimal relief. Pain waking her up from sleep. Continues to have the same pain level on 3/28/08 as she did when 1st vaccinated. Did not see her doctor. Tetanus give 1 month early in left arm, pain lasted only 2-3 days.
Age: 38.0
Sex: U
Vaccine: TD
Symptoms: Induration, Local reaction, Oedema peripheral, Pain, Swelling
Clinical narrative: Local pain/swelling/induration.  Edema of arm.
Age: 68.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Blood pressure, Cough, Decreased appetite, Dyspnoea, Heart rate
Clinical narrative: THICK MUCUS CAUSED COUGHING TO THE POINT THAT I COULDN'T BREATHE & FINALLY SOME OF IT WOULD CLEAR.  3 OR 4 DAYS THIS CONTINUED, I WENT TO THE DOCTOR & WAS PUT ON OXYGEN & AN ANTIBIOTIC WHICH DIDN'T HELP, PLUS A NEBULIZER. A FEW DAYS LATER ANOTHER ANTIBIOTIC & OXYGEN AT HOME THEN I STARTED TO RECOVER.  IT WAS THE END OF MARCH BEFORE I FELT O.K.
Age: 68.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Oxygen saturation decreased, Oxygen supplementation, Pyrexia, Rhinorrhoea
Clinical narrative: THICK MUCUS CAUSED COUGHING TO THE POINT THAT I COULDN'T BREATHE & FINALLY SOME OF IT WOULD CLEAR.  3 OR 4 DAYS THIS CONTINUED, I WENT TO THE DOCTOR & WAS PUT ON OXYGEN & AN ANTIBIOTIC WHICH DIDN'T HELP, PLUS A NEBULIZER. A FEW DAYS LATER ANOTHER ANTIBIOTIC & OXYGEN AT HOME THEN I STARTED TO RECOVER.  IT WAS THE END OF MARCH BEFORE I FELT O.K.
Age: 68.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Chest X-ray, Computerised tomogram, Cough, Dyspnoea
Clinical narrative: THICK MUCUS CAUSED COUGHING TO THE POINT THAT I COULDN'T BREATHE & FINALLY SOME OF IT WOULD CLEAR.  3 OR 4 DAYS THIS CONTINUED, I WENT TO THE DOCTOR & WAS PUT ON OXYGEN & AN ANTIBIOTIC WHICH DIDN'T HELP, PLUS A NEBULIZER. A FEW DAYS LATER ANOTHER ANTIBIOTIC & OXYGEN AT HOME THEN I STARTED TO RECOVER.  IT WAS THE END OF MARCH BEFORE I FELT O.K.
Age: 0.17
Sex: M
Vaccine: RV5, RV5
Symptoms: Apnoea, Chest X-ray normal, Heart rate, Oxygen saturation, Respiratory arrest
Clinical narrative: RECIEVING ROTAVIRUS VACCINE AT 2 MONTH WELL CHILD VISIT.  PATIENT STOPPED SWALLOWING AND BREATHING 3/4 THROUGH VACCINE ADMINISTRATION.  STIMULATED PATIENT. CALLED MD INTO ROOM. PATIENT WAS SUCTIONED. BEGAN BREATHING AGAIN. PULSE OX WHEN STABILIZED 98-98%. HR 144-150. PATIENT HAD COURSE BS WITH SOME INTERCOSTAL RETRACTIONS. TO RADIOLOGY FOR CHEST X-RAY PA AND LATERAL- RESULT WAS NORMAL.
Age: 0.17
Sex: M
Vaccine: RV5, RV5
Symptoms: Breath sounds abnormal, Chest X-ray, Dysphagia, Intercostal retraction, Oxygen saturation
Clinical narrative: RECIEVING ROTAVIRUS VACCINE AT 2 MONTH WELL CHILD VISIT.  PATIENT STOPPED SWALLOWING AND BREATHING 3/4 THROUGH VACCINE ADMINISTRATION.  STIMULATED PATIENT. CALLED MD INTO ROOM. PATIENT WAS SUCTIONED. BEGAN BREATHING AGAIN. PULSE OX WHEN STABILIZED 98-98%. HR 144-150. PATIENT HAD COURSE BS WITH SOME INTERCOSTAL RETRACTIONS. TO RADIOLOGY FOR CHEST X-RAY PA AND LATERAL- RESULT WAS NORMAL.
Age: 0.17
Sex: M
Vaccine: RV5, RV5
Symptoms: Respiratory arrest
Clinical narrative: RECIEVING ROTAVIRUS VACCINE AT 2 MONTH WELL CHILD VISIT.  PATIENT STOPPED SWALLOWING AND BREATHING 3/4 THROUGH VACCINE ADMINISTRATION.  STIMULATED PATIENT. CALLED MD INTO ROOM. PATIENT WAS SUCTIONED. BEGAN BREATHING AGAIN. PULSE OX WHEN STABILIZED 98-98%. HR 144-150. PATIENT HAD COURSE BS WITH SOME INTERCOSTAL RETRACTIONS. TO RADIOLOGY FOR CHEST X-RAY PA AND LATERAL- RESULT WAS NORMAL.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Rash
Clinical narrative: Herpes Zoster eruption on (R)  flank. Started on 4-12-08. Had Zostavax on 4-10-2008
Age: 0.2
Sex: F
Vaccine: HEP, HEP
Symptoms: Oedema, Petechiae, Pulmonary congestion, Sudden infant death syndrome
Clinical narrative: Information has been received regarding a case in litigation concerning a 7-week-old female who on 21-DEC-1994 was vaccinated with a dose of Recombivax HB (manufacturer unspecified). On 21-DEC-1994 the patient experienced sudden infant death syndrome (SIDS). The patient death occurred the same day as her 21-DEC-1994 vaccinated at 7 weeks old, which was reported to be too quickly to have been the result of a catastrophic auto-immune reaction called cytokine storm as pustulated by the petitioner. Cerebral Edema: "Reports of cerebral edema following infection of nervous tissue generally are acommpanied by fever and significant symptom development usually requires several days to occur," reported the petitioner. Although the patient received Recombivax HB (manufacturer unspecified) on the same day of her death, the physician opined that a cytokine-induced cerebral edema would have required days to manifest." The cause of death was ruled SIDS by a forensic pathologist in the coroner's office who noted signs associated with SIDS such as "rare epicardial petechia," pulmonary congestion and edema, the petitioner reporter. And her age was within the accepted temporal window for SIDS. Also the child's mother during her pregnancy took the antipsychotic haloperidol, which was said to have been associated with "sudden and unexpected death." The reporter felt that sudden infant death syndrome was not related to therapy with Recombivax HB (manufacturer unspecified). Additional information is not expected.
Age: 0.2
Sex: F
Vaccine: HEP, HEP
Symptoms: Asphyxia, Autopsy, Brain oedema, Hypersomnia, Hypoxia
Clinical narrative: Information has been received regarding a case in litigation concerning a 7-week-old female who on 21-DEC-1994 was vaccinated with a dose of Recombivax HB (manufacturer unspecified). On 21-DEC-1994 the patient experienced sudden infant death syndrome (SIDS). The patient death occurred the same day as her 21-DEC-1994 vaccinated at 7 weeks old, which was reported to be too quickly to have been the result of a catastrophic auto-immune reaction called cytokine storm as pustulated by the petitioner. Cerebral Edema: "Reports of cerebral edema following infection of nervous tissue generally are acommpanied by fever and significant symptom development usually requires several days to occur," reported the petitioner. Although the patient received Recombivax HB (manufacturer unspecified) on the same day of her death, the physician opined that a cytokine-induced cerebral edema would have required days to manifest." The cause of death was ruled SIDS by a forensic pathologist in the coroner's office who noted signs associated with SIDS such as "rare epicardial petechia," pulmonary congestion and edema, the petitioner reporter. And her age was within the accepted temporal window for SIDS. Also the child's mother during her pregnancy took the antipsychotic haloperidol, which was said to have been associated with "sudden and unexpected death." The reporter felt that sudden infant death syndrome was not related to therapy with Recombivax HB (manufacturer unspecified). Additional information is not expected.