chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Alanine aminotransferase normal, Angiogram, Aspartate aminotransferase normal, Blood creatinine normal, Blood glucose normal
Clinical narrative: 17 May 2010-12 ds post SPV....Brought to hospital by ambulance at approx 0345 reporting onset of mid retrosternal chest pain, SOB and lightheadedness about one hour prior. Described pain as 9/10. Described difficulty getting a deep breath. Vitals on scene were pulse in 80's, BP 142/p, SaO2 98% on RA. O2 at 2LNC was applied on scene. Pt arrived in hospital stating pain still 9/10. No nausea or diaphoresis but sl lightheaded and SOB. No palpitations. Denies any episodes of similar sx. Pt arrived at location 3 days ago. Had received his smallpox vaccine on 5 May. No h/o of URI or other viral illness in the last several months. Denied any OTC or prescribed meds and denied any supplement use. States he had been hydrating well but felt overheated two days prior after doing hand to hand combat training". Post vaccinia myocarditis.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Blood potassium normal, C-reactive protein increased, Catheterisation cardiac normal, Chest X-ray normal, Chest pain
Clinical narrative: 17 May 2010-12 ds post SPV....Brought to hospital by ambulance at approx 0345 reporting onset of mid retrosternal chest pain, SOB and lightheadedness about one hour prior. Described pain as 9/10. Described difficulty getting a deep breath. Vitals on scene were pulse in 80's, BP 142/p, SaO2 98% on RA. O2 at 2LNC was applied on scene. Pt arrived in hospital stating pain still 9/10. No nausea or diaphoresis but sl lightheaded and SOB. No palpitations. Denies any episodes of similar sx. Pt arrived at location 3 days ago. Had received his smallpox vaccine on 5 May. No h/o of URI or other viral illness in the last several months. Denied any OTC or prescribed meds and denied any supplement use. States he had been hydrating well but felt overheated two days prior after doing hand to hand combat training". Post vaccinia myocarditis.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Dizziness, Dyspnoea, Echocardiogram normal, Electrocardiogram normal, Feeling hot
Clinical narrative: 17 May 2010-12 ds post SPV....Brought to hospital by ambulance at approx 0345 reporting onset of mid retrosternal chest pain, SOB and lightheadedness about one hour prior. Described pain as 9/10. Described difficulty getting a deep breath. Vitals on scene were pulse in 80's, BP 142/p, SaO2 98% on RA. O2 at 2LNC was applied on scene. Pt arrived in hospital stating pain still 9/10. No nausea or diaphoresis but sl lightheaded and SOB. No palpitations. Denies any episodes of similar sx. Pt arrived at location 3 days ago. Had received his smallpox vaccine on 5 May. No h/o of URI or other viral illness in the last several months. Denied any OTC or prescribed meds and denied any supplement use. States he had been hydrating well but felt overheated two days prior after doing hand to hand combat training". Post vaccinia myocarditis.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Haematocrit normal, Haemoglobin normal, Myocarditis, Platelet count normal, Red blood cell sedimentation rate increased
Clinical narrative: 17 May 2010-12 ds post SPV....Brought to hospital by ambulance at approx 0345 reporting onset of mid retrosternal chest pain, SOB and lightheadedness about one hour prior. Described pain as 9/10. Described difficulty getting a deep breath. Vitals on scene were pulse in 80's, BP 142/p, SaO2 98% on RA. O2 at 2LNC was applied on scene. Pt arrived in hospital stating pain still 9/10. No nausea or diaphoresis but sl lightheaded and SOB. No palpitations. Denies any episodes of similar sx. Pt arrived at location 3 days ago. Had received his smallpox vaccine on 5 May. No h/o of URI or other viral illness in the last several months. Denied any OTC or prescribed meds and denied any supplement use. States he had been hydrating well but felt overheated two days prior after doing hand to hand combat training". Post vaccinia myocarditis.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Red blood cell sedimentation rate normal, Troponin increased, White blood cell count normal
Clinical narrative: 17 May 2010-12 ds post SPV....Brought to hospital by ambulance at approx 0345 reporting onset of mid retrosternal chest pain, SOB and lightheadedness about one hour prior. Described pain as 9/10. Described difficulty getting a deep breath. Vitals on scene were pulse in 80's, BP 142/p, SaO2 98% on RA. O2 at 2LNC was applied on scene. Pt arrived in hospital stating pain still 9/10. No nausea or diaphoresis but sl lightheaded and SOB. No palpitations. Denies any episodes of similar sx. Pt arrived at location 3 days ago. Had received his smallpox vaccine on 5 May. No h/o of URI or other viral illness in the last several months. Denied any OTC or prescribed meds and denied any supplement use. States he had been hydrating well but felt overheated two days prior after doing hand to hand combat training". Post vaccinia myocarditis.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Echocardiogram normal, Electrocardiogram normal, Myocarditis, Nuclear magnetic resonance imaging normal, Troponin I increased
Clinical narrative: 17 May 2010-12 ds post SPV....Brought to hospital by ambulance at approx 0345 reporting onset of mid retrosternal chest pain, SOB and lightheadedness about one hour prior. Described pain as 9/10. Described difficulty getting a deep breath. Vitals on scene were pulse in 80's, BP 142/p, SaO2 98% on RA. O2 at 2LNC was applied on scene. Pt arrived in hospital stating pain still 9/10. No nausea or diaphoresis but sl lightheaded and SOB. No palpitations. Denies any episodes of similar sx. Pt arrived at location 3 days ago. Had received his smallpox vaccine on 5 May. No h/o of URI or other viral illness in the last several months. Denied any OTC or prescribed meds and denied any supplement use. States he had been hydrating well but felt overheated two days prior after doing hand to hand combat training". Post vaccinia myocarditis.
Age: 27.0
Sex: M
Vaccine: ANTH, FLU(H1N1), FLUN3, HEP, HEPA
Symptoms: Activities of daily living impaired, Arthralgia, Mass, Muscular weakness, Pain in extremity
Clinical narrative: Service member reporting that he has residual pain in right arm (dominant arm) since receiving ANTHRAX #1 and HEP B, and HEP A (separately vaccines) all in the right arm on 6 March 10. He also received the injectable H1N1 vaccine in the left arm and the intranasal FLUMIST. He reports no significant local reaction, but had pain in the right arm with activity and certain movements. He did develop a "lump" in the right arm which has now resolved. Five months later, he continues with the same amount of pain in the arm as when first injected. The pain has not worsened but it has not improved. At rest the arm is pain free. Writing or typing does not cause discomfort. However, pain occurs with activity such as lifting an object or opening a door and also with certain positions, such as bending arm backwards past the shoulder. Pushups cause "excruciating pain," and he has received a profile for th P.T. Test. At time the pain radiates down the top of the right arm to the wrist. He reports no point tenderness. The radiation subsides when activity ceases, but the upper deltoid aches for many hours afterwards. He has taken no medications because he "didn't know what to take". There are no visible abnormalities. He states the arm is weaker since he cannot lift weights or perform many activities. He says he does not see any muscle atrophy.
Age: 61.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Blood test normal, Pruritus
Clinical narrative: October 09 itch from body to back to arm to legs until now July 10 and continuing. Treatment: Cream (Triamcinolone 0.1%, Clobetasol propionate) and one pill of Hydroxyzine 25 mg at night.
Age: 70.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Pruritus generalised
Clinical narrative: October 09 itch from body to all over body until continuing Treatment cream.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Chills, Headache, Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Swelling to vaccine injection site with redness; skin hot to touch; fever, chills, and headache associated with reaction.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Skin warm
Clinical narrative: Swelling to vaccine injection site with redness; skin hot to touch; fever, chills, and headache associated with reaction.
Age: 12.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness and swelling, warm to touch, starting night of immunization, worsening over 2 days.
Age: 24.0
Sex: F
Vaccine: HEP, IPV, YF
Symptoms: Blood test, Chills, Fatigue, Full blood count, Headache
Clinical narrative: 7-20-10 developed flu like symptoms-fever (100degrees) H.A., vomiting, nausea, chills, body aches-states felt better the next day. ER visit 7-25-10-4 hr stay-received fluids-nausea med (injectable) and BENADRYL. 7-26-10 was seen by MD office had blood work-given med for nausea. 7-28-10-seen by MD office-follow up visit. States since then has had HA's daily, aches-mostly in shoulder, nausea, and fatigue-all intermittently. Reports developed sore throat starting 8-6-10. 7-26-10 was diagnosed with Urinary Tract Infection treated with CIPRO. Patient did not tell me about the UTI-found out today from MD office.
Age: 24.0
Sex: F
Vaccine: HEP, IPV, YF
Symptoms: Influenza like illness, Nausea, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: 7-20-10 developed flu like symptoms-fever (100degrees) H.A., vomiting, nausea, chills, body aches-states felt better the next day. ER visit 7-25-10-4 hr stay-received fluids-nausea med (injectable) and BENADRYL. 7-26-10 was seen by MD office had blood work-given med for nausea. 7-28-10-seen by MD office-follow up visit. States since then has had HA's daily, aches-mostly in shoulder, nausea, and fatigue-all intermittently. Reports developed sore throat starting 8-6-10. 7-26-10 was diagnosed with Urinary Tract Infection treated with CIPRO. Patient did not tell me about the UTI-found out today from MD office.
Age: 24.0
Sex: F
Vaccine: HEP, IPV, YF
Symptoms: Urinary tract infection, Urine analysis abnormal, Vomiting
Clinical narrative: 7-20-10 developed flu like symptoms-fever (100degrees) H.A., vomiting, nausea, chills, body aches-states felt better the next day. ER visit 7-25-10-4 hr stay-received fluids-nausea med (injectable) and BENADRYL. 7-26-10 was seen by MD office had blood work-given med for nausea. 7-28-10-seen by MD office-follow up visit. States since then has had HA's daily, aches-mostly in shoulder, nausea, and fatigue-all intermittently. Reports developed sore throat starting 8-6-10. 7-26-10 was diagnosed with Urinary Tract Infection treated with CIPRO. Patient did not tell me about the UTI-found out today from MD office.
Age: 1.04
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Cyanosis, Lethargy, Respiratory arrest
Clinical narrative: History of having stopped breathing on 7-27-10 (A.M.). Turned blue - patted on back; blowing into mouth via GM. Lethargic about 5 mins. Transported to ER.
Age: 18.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Rash
Clinical narrative: (R) arm red swollen and hard at site where varicella was given when she got up 07/22 called clinic and told her to take BENADRYL 25-50 mg po. 7/23 symptoms worse and rash on upper legs, to clinic and had KENALOG IM and resolved.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: Several days after VARIVAX vaccine developed moderate amount of redness and swelling - no one measured - ice and BENADRYL.
Age: 1.11
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Diarrhoea, Injection site erythema, Injection site macule, Injection site rash, Rash macular
Clinical narrative: Red macular rash started at neck/chest and went to rest of trunk, arms, legs 12 days after vaccination, was starting to fade Day 13 also diarrhea.
Age: 1.27
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Rash
Clinical narrative: Had MMR July 15, then on 24th rash developed on face and progressed downward and got worse. Low grade fever 24 and 25th normal consumption of fluids.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: KINRIX and PROQUAD administered into (L) arm-patient presents with redness along arm and warmth.
Age: 65.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site warmth
Clinical narrative: Red, warm to touch 4" size area on left upper arm. Small hard lump in middle.
Age: 1.02
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Pyrexia, Teething
Clinical narrative: Fever x 3 days-MOTRIN and TYLENOL not working started pulling his ears last night-teething.
Age: 0.18
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Pyrexia
Clinical narrative: Fever of 100.7 and continued fever until seen in office 08/11/2010
Age: 4.0
Sex: F
Vaccine: DTAPIPV, HIBV
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: RIGHT LATERAL THIGH W/ INDURATION, REDNESS, WARM TO TOUCH AND TENDER.  SYMPTOMS FIRST NOTICED 8/2/10 IN AM, SITE INCREASED IN SIZE FRP, NICKEL SIZE IN AM TO APPROX 3 INCHES DIAMETER.  TREATEMENT:  RX ORAPRED, BENADRYL, BACTRIM
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, TDAP, VARCEL
Symptoms: Incorrect dose administered, Incorrect route of drug administration, No adverse event
Clinical narrative: No adverse s/s. This 5 year old child received a Dtap in Left Deltoid and by accident received a Tdap (Boostrix) in the left outer arm sub q.
Age: 12.0
Sex: M
Vaccine: MEN
Symptoms: Asthenia, Dizziness, Dyspnoea, Flushing, Malaise
Clinical narrative: ABOUT 45 MINUTES AFTER RECEIVING VACCINE AND LEAVING OFFICE, PATIENT STARTED FEELING UNWELL.  WEAK, FLUSHED, SOB, PANTING ALSO PALE AND DIZZY.  CALLED ON CALL PHYSICIAN.  FEELING BETTER, STRONGER BY 02:30 PM.  PATIENT DECLINED IN TO CHECK.
Age: 12.0
Sex: M
Vaccine: MEN
Symptoms: Pallor
Clinical narrative: ABOUT 45 MINUTES AFTER RECEIVING VACCINE AND LEAVING OFFICE, PATIENT STARTED FEELING UNWELL.  WEAK, FLUSHED, SOB, PANTING ALSO PALE AND DIZZY.  CALLED ON CALL PHYSICIAN.  FEELING BETTER, STRONGER BY 02:30 PM.  PATIENT DECLINED IN TO CHECK.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, RV5
Symptoms: Crying
Clinical narrative: Phone call received from Mom 07/20/2010: Stated infant "cried for 5 hours following shots". When asked if crying was high-pitched, stated "I don't know". When asked if infant also ran a fever, stated, "I don't know; I didn't take it". Referred to pediatrician to report above reaction before next set of immunizations due. Phone call received from mom 07/23/2010: Stated she talked with pediatrician and he said not to give pertussis with next shots.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Nausea, Oedema peripheral, Pain in extremity, Pyrexia
Clinical narrative: Pain in arm all days, swelling in arm day 2 & 3, low grade fever on day 2 & 3, nausea on day 2 & 3, headache on day 2. Taking Ibuprofen to keep fever and headache away.
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Crying, Injection site swelling
Clinical narrative: Child developed "golf ball" size swelling on leg which received Pediarix and Hib 4 hrs after injections. Cried inconsolably X 1 1/2hrs according to mom.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMR
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Redness and swelling and itching at injection site of Kinrix vaccine (Right Arm).
Age: 1.36
Sex: M
Vaccine: HIBV, MMR, PNC13, VARCEL
Symptoms: Urticaria
Clinical narrative: MOP noticed HIVES all over trunk of body.  ARNP available to see child and oral Benadryl administered.  Child remained in clinic another hour.  Remained otherwise stable without any other symptoms.  Released to home.  Follow up call - recovered from hives quickly that evening.
Age: 4.0
Sex: M
Vaccine: DTAP, HEP, HPV4, IPV
Symptoms: Drug administration error, Drug dispensing error
Clinical narrative: Office staff member incorrectly selected the Human Papillomavirus Quadrivalent, rather than the Intrapulmonary percussive ventilators (IPV), and handed it to MA who then administered the vaccine.
Age: 18.0
Sex: F
Vaccine: HEPA
Symptoms: Cold sweat, Loss of consciousness, Pallor
Clinical narrative: Client passed out in parking lot after receiving Hep A, dose #1.  Mother returned to clinic to inform nurse that her daughter passed out in the parking lot.  No injuries reported.  Skin was cold, clammy and pale.  Vital signs were BP 136/70, pulse 86, respirations 22.  Juice was provided and nurse applied cold compress.  Client left with mother and was alert, oriented X 3. Client was referred to family physician if symptoms returned.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Myalgia, Pyrexia
Clinical narrative: HIGH FEVER, MYALGIAS, FATIGUE X 24 HOURS
Sex: F
Vaccine: HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from a physician concerning a teenager female who on an unspecified date was vaccinated with GARDASIL (therapy dose, route and site unknown). Subsequently the patient experienced seizure. The patient sought unspecified medical attention. On an unknown date, the patient recovered from seizure. Upon internal review, seizure was considered to be an other important medical event. This is one of several reports from the same source. The health care professional contacted during telephone follow-up could not supply the following information: patient name, date of birth, dates of vaccination, dose number, lot number, date of event, and hospital name (if applicable). Additional information has been requested.
Age: 50.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Oedema peripheral
Clinical narrative: Initial case was received on 02 August 2010 from a healthcare professional. This was a cluster of three patients (two of them unidentified) who were reported to have reactions following an injection of ADACEL with the same lot number (sanofi pasteur Inc. U3083CA, sanofi pasteur Ltd. C3313). The two unidentified patients had localized reaction of swelling, redness and pain at the injection site. The serious adverse event of the identified patient is captured in this case (2010-04142). A 50 year old male patient received on 29 July 2010, a left deltoid injection of ADACEL (lot number sanofi pasteur Inc. U3083CA, sanofi pasteur Ltd. C3313). On an unspecified date following the vaccination the patient experienced severe swelling of the entire arm, redness to forearm and pain. On 02 August 2010 his hand became swollen. The treatment included prednisone and an antibiotic (NOS). It was unknown if the patient had any concurrent illnesses, pre-existing medical conditions, use of other medications, or if he had received any other vaccinations within 4 weeks of 29 July 2010. At the time of this report it was unknown if the patient had recovered. Documents held by sender: None.
Age: 13.0
Sex: M
Vaccine: TDAP
Symptoms: Formication, Gaze palsy, Hallucination, Headache, Pyrexia
Clinical narrative: Initial case was received on 04 August 2010 from a healthcare professional. A 13 year old male patient received on 13 August 2008 an intramuscular injection of ADACEL (lot number C2631AA). On 13 August 2008, the night (also reported as evening) of the vaccination, the patient experienced a fever (NOS), vomiting, and a headache. He experienced 2 episodes of hallucinations, where he felt things crawling on him and he had 2 episodes where his left eye turned inward. The patient had no illness at the time of the vaccination. Pre-existing medical conditions included asthma and a peanut allergy. No concomitant medications were reported. No adverse events were reported following prior vaccinations. The patient was seen by a physician (date and results of visit not reported). He recovered on an unspecified date. List of Documents held by Sender: None.
Age: 13.0
Sex: M
Vaccine: TDAP
Symptoms: Vomiting
Clinical narrative: Initial case was received on 04 August 2010 from a healthcare professional. A 13 year old male patient received on 13 August 2008 an intramuscular injection of ADACEL (lot number C2631AA). On 13 August 2008, the night (also reported as evening) of the vaccination, the patient experienced a fever (NOS), vomiting, and a headache. He experienced 2 episodes of hallucinations, where he felt things crawling on him and he had 2 episodes where his left eye turned inward. The patient had no illness at the time of the vaccination. Pre-existing medical conditions included asthma and a peanut allergy. No concomitant medications were reported. No adverse events were reported following prior vaccinations. The patient was seen by a physician (date and results of visit not reported). He recovered on an unspecified date. List of Documents held by Sender: None.
Age: 76.0
Sex: M
Vaccine: YF
Symptoms: Deafness
Clinical narrative: Initial case was received on 05 August 2010 from a healthcare professional. A 76 year old male patient received on 12 July 2010 a left tricep subcutaneous injection of YF VAX (lot number UF793AA). On 01 August 2010, the patient experienced "some hearing loss over the weekend." The patient's pre-existing medical conditions included hyperlipidemia and an unspecified cardiac condition. He was taking multiple unspecified medications. It was unknown if the patient was well at the time of the vaccination. However, he was cleared for vaccination by a physician. The patient was to have a hearing test. As of this report, it was unknown if the patient recovered from the hearing loss. Documents held by sender: None.
Age: 14.0
Sex: M
Vaccine: MEN, TTOX
Symptoms: Back pain, Chills, Pyrexia, Tremor
Clinical narrative: Initial case was received on 05 August 2010 from a healthcare professional. A 14 year old male patient received on 04 August 2010 an injection of MENINGOCOCCAL VACCINE (manufacturer and lot not reported) and an injection of TETANUS (manufacturer and lot not reported). On 05 August 2010 the patient presented to the emergency room (ER) with fever (NOS), chills, shaking and back pain. The ER physician stated that it appeared to be meningococcemia and labs were pending. No further information was provided and the outcome of the adverse event was unknown. List of Documents held by Sender: None.
Age: 13.0
Sex: M
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Abdominal pain, Blood test, Computerised tomogram abnormal, Cough, Ear infection
Clinical narrative: Mother stated that immediately after returning home from vaccination clinic that patient began to cough Tuesday 8/03/2010, and he has had persistant coughing ever since.  He eventually developed a fever Friday 8/6 and went to see his private physician.  Physician did not make any diagnosis at this time.  Symptoms continued to get worse so he went to Urgent Care Center on Sunday 8/8 and was diagnosed with Pneumonia.  Patient went to see private physician again on Monday 8/9 also diagnosed with ear infection.  Tuesday 8/10- one week post vaccination his fever remained above 100 degrees, Wednesdsay 8/11 child developed severe abdominal pain and went to Emergency Department for CT scan.  Mother stated to RN that CT scan showed a thickening of the intestinal wall.  Patient returned to Private Physician on 08/12 and continues to have abdominal pain.
Age: 13.0
Sex: M
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Gastrointestinal oedema, Pneumonia, Pyrexia
Clinical narrative: Mother stated that immediately after returning home from vaccination clinic that patient began to cough Tuesday 8/03/2010, and he has had persistant coughing ever since.  He eventually developed a fever Friday 8/6 and went to see his private physician.  Physician did not make any diagnosis at this time.  Symptoms continued to get worse so he went to Urgent Care Center on Sunday 8/8 and was diagnosed with Pneumonia.  Patient went to see private physician again on Monday 8/9 also diagnosed with ear infection.  Tuesday 8/10- one week post vaccination his fever remained above 100 degrees, Wednesdsay 8/11 child developed severe abdominal pain and went to Emergency Department for CT scan.  Mother stated to RN that CT scan showed a thickening of the intestinal wall.  Patient returned to Private Physician on 08/12 and continues to have abdominal pain.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Muscle spasms, Pain in extremity, Skin reaction
Clinical narrative: Patient c/o localized skin reaction, muscle cramping/pain in bilateral feet and HA.
Age: 1.13
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Pruritus, Rash, Scab
Clinical narrative: RECEIVED VARIVAX VACCINE IN THE AM AND STARTED DEVELOPING RASH THAT EVENING TO UPPER BODY.  ITCHY AND TURNING INTO OPEN SCABS.  SEEN IN OFFICE 7/28/2010 AND RX ZOVIRAX, BACTRABAN, AND BACTRIM.  8/3/10 PER RECPTIONIST RASH IS DRYING UP AND RESOLVING.
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Oedema peripheral
Clinical narrative: TDAP GIVEN ON 7/20, HAD PAIN AT THE SITE OF INJECTION ON 7/25 NOTED BURNING, SWELLING, AND REDNESS ON RT ARM.  I AM NOT CONVINCED THAT THIS IS RELATED TO THE TDAP.  RX FOR EARLY CELLULITIS ON 7/26 WITH KEFLEX.  8/3/10 PER NURSE, PATIENT DID NOT COME BACK FOR FOLLOW UP AFTER PRESCRIPTION WAS GIVEN.  ASSUMES PATIENT RECOVERED FULLY.
Age: 88.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Left upper extremity red hot and swollen. Examined by the physican and was started on Augmentin 875 mg. (1) by mouth two times a day for 10 days.
Age: 14.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Asthenia, Delusion, Diarrhoea, Hallucination
Clinical narrative: High fever of 105, delusions, hallucinations, weakness, swelling of face and neck and at immunization area, rash at immunization area, vomiting, diarrhea, pain and stiffness in the joints.
Age: 14.0
Sex: F
Vaccine: MMR
Symptoms: Injection site rash, Injection site swelling, Joint stiffness, Local swelling, Pyrexia
Clinical narrative: High fever of 105, delusions, hallucinations, weakness, swelling of face and neck and at immunization area, rash at immunization area, vomiting, diarrhea, pain and stiffness in the joints.
Age: 14.0
Sex: F
Vaccine: MMR
Symptoms: Swelling face, Vomiting
Clinical narrative: High fever of 105, delusions, hallucinations, weakness, swelling of face and neck and at immunization area, rash at immunization area, vomiting, diarrhea, pain and stiffness in the joints.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site reaction, Injection site warmth, Oedema peripheral
Clinical narrative: Large swelling, redness, hot to the touch, induration - spreading from injection site to axilla, shoulder and elbow - approximately 15 cm in diameter. Seems to spread from site of TdaP.
Age: 12.0
Sex: M
Vaccine: HPV4, MEN, TDAP
Symptoms: Dry skin, Erythema, Skin warm, Throat irritation
Clinical narrative: 9:05 MON STATED NOTED CLIENTS NOSE GOT RED.  CLIENT COMPLAINED OF ITCHING TO THROAT, CLEARING THROAT.  911 CALLED.  VIS 121/70, P85 RESP20 SKIN WARM AND DRY TO TOUCH. NO SOB NOTED.  9:15 121/73, P88, RESP 20 9:25 129/86, P84 RESP 20.  CLIENT STATED FEELS BETTER.  MOM AND CLIENT THEN STATED CLIENT HAS SEASONAL ALLERGIES TO ENVIRONMENT, TAKEN CLARITIN 2 DAYS AGO.  9:40 VIS 129-84, P88, RESP 20.  MOM REFUSED TO WAIT FOR AMBULANCE, STATED WOULD TAKE TO MD IF NEEDED.  CLIENT ESCORTED BY NURSE TO CAR.  NO SOB, CONVERSIVE ABOUT VIDEO GAMES.  ALERT.
Age: 16.0
Sex: F
Vaccine: HPV4, MEN, TDAP, VARCEL
Symptoms: Syncope
Clinical narrative: AFTER RECEIVING VACCINES, CLIENT EXPERIENCED SYNCOPE, REMAINED IN CHAIR, APPEARED TO FAINT FOR +/- 2 SECONDS, CAME TO QUICKLY. BY 20 MINUTES HAD RECOVERED FROM EVENT.  TOOK B/PX4 GAVE SNACK AND WATER.
Age: 60.0
Sex: M
Vaccine: PPV
Symptoms: Asthenia, Chest X-ray abnormal, Chills, Cough, Increased upper airway secretion
Clinical narrative: Onset; after the Pneumococcal vaccine;  Initial symptoms; coughing, feeling weak, achy, fevers and chills. Since this his symptoms are staying the same and not worsening. Coughing up scant phlegm, worse at night. Phlegm is tenacious.  Has not seen what it looks like.  Taking Excedrin when he feels the fever coming on and Nyquil at night. Falls asleep but will awaken by the cough. Started on Doxycycline 100 mg BID x 10 days on 8/11/10.
Age: 60.0
Sex: M
Vaccine: PPV
Symptoms: Lung infiltration, Pain, Productive cough, Pyrexia, Sleep disorder
Clinical narrative: Onset; after the Pneumococcal vaccine;  Initial symptoms; coughing, feeling weak, achy, fevers and chills. Since this his symptoms are staying the same and not worsening. Coughing up scant phlegm, worse at night. Phlegm is tenacious.  Has not seen what it looks like.  Taking Excedrin when he feels the fever coming on and Nyquil at night. Falls asleep but will awaken by the cough. Started on Doxycycline 100 mg BID x 10 days on 8/11/10.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Eye swelling, Pyrexia, Rash
Clinical narrative: The day after my daughter had her shots she woke up that early morning after around 2:30am with over 103 fever. She then broke out in bumps that looked like bug bites all over her eyes and her eyes swelled up to the point that she couldn't see out of them. I gave her Benadryl and Tylenol and after a day her fever lowered and after a day and a half the swelling in her eyes went away.
Age: 13.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Oedema, Pain
Clinical narrative: mild to moderate pain with edema
Age: 13.0
Sex: M
Vaccine: HEPA, HPV4, MMR, MNQ, TDAP, VARCEL
Symptoms: Dizziness, Injection site erythema, Injection site nodule, Injection site rash, Injection site swelling
Clinical narrative: Per mother of child, patient felt faint and dizzy upon leaving clinic. That evening around 5:00 pm, patient fainted when with Uncle. Family did not seek medical attention and states patient was fine after fainting. Mother noticed on 8/11/10 that patient had a knot on right tricep at injection site with some swelling. Applied heat pack to site. Bicep and tricep continued to swell and red band appeared around bicep and tricep on 8/12/10. Red rash around injection site on right tricep appears to be size of silver dollar per mother of child as of 8/12/10. Mother states patient had low-grade fever on 8/11/10 and treated with Tylenol. Mother of child states the injection site is not have pus or drainage and only appears to have swelling and redness. Instructed mother of child to follow up with doctor.
Age: 13.0
Sex: M
Vaccine: HEPA, HPV4, MMR, MNQ, TDAP, VARCEL
Symptoms: Pyrexia, Syncope
Clinical narrative: Per mother of child, patient felt faint and dizzy upon leaving clinic. That evening around 5:00 pm, patient fainted when with Uncle. Family did not seek medical attention and states patient was fine after fainting. Mother noticed on 8/11/10 that patient had a knot on right tricep at injection site with some swelling. Applied heat pack to site. Bicep and tricep continued to swell and red band appeared around bicep and tricep on 8/12/10. Red rash around injection site on right tricep appears to be size of silver dollar per mother of child as of 8/12/10. Mother states patient had low-grade fever on 8/11/10 and treated with Tylenol. Mother of child states the injection site is not have pus or drainage and only appears to have swelling and redness. Instructed mother of child to follow up with doctor.
Age: 69.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Rash
Clinical narrative: patient presented to this facility with rash
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, PNC13, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Lip swelling, Oedema mouth, Swelling face
Clinical narrative: When patient woke up mom noticed that his face lips & mouth were swollen.  At the daycare they noticed that his right arm over the deltoid muscle, was a 6X7 cm area of redness & edema.  There was no cough, wheeze or hives. The daycare gave the patient 1 1/2 tsp Benadryl at 9:30 am & the facial swelling resolved, but the arm pain & swelling remained.  Patient was seen at the Dr.s office at 3:30 and found to have the above described symptom on the arm, but no facial edema, wheezing or cough.
Age: 36.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Pruritus generalised, Rash
Clinical narrative: ITCHING ALL OVER, REDNESS, BUMPS FOR APPROX 24 HRS. BENADRYL WAS TAKEN APPROX 30 MIN AFTER VACCINE WAS GIVEN.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site mass, Injection site swelling
Clinical narrative: REDNESS, SWELLING, EGG SIZED LUMP AT INJECTION SITE.  EXAMINED BY MD.  GAVE ZYRTEC.  TOLD PATIENT TO START ANTIBIOTICS IF SIZE OF LUMP INCREASED.
Age: 0.51
Sex: M
Vaccine: DTAPIPVHIB, MMR, VARCEL
Symptoms: Injection site abscess, Injection site erythema, Injection site induration
Clinical narrative: Right Thigh Abscess.  Developed redness and induration that progressed, currently being treated.
Age: 19.0
Sex: F
Vaccine: HPV4, PPV
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Tenderness
Clinical narrative: Pain, Swelling, heat to area of administration, Tenderness throughout lateral deltoid and axilla.
Age: 60.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: CSF test, Electromyogram, Guillain-Barre syndrome
Clinical narrative: Admitted with GUILLAIN-BARRE 2/2/10.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Convulsion, Neurological examination normal
Clinical narrative: Sz like episodes within hours after her first set of immunizations.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, PNC13
Symptoms: Blood alkaline phosphatase increased, Blood culture negative, Blood parathyroid hormone normal, Body temperature increased, Chest X-ray normal
Clinical narrative: Complex febrile seizures. Fever began 8/2/10 in evening. Measured at 7:30 am on 8/3 -> 102.5, had stiffening episodes and eye deviation. Taken to ER. Given TYLENOL and MOTRIN over next 5-6 hrs. 2nd seizure at 4:30 pm, just before next dose of TYLENOL: 60 sec. tonic clonic sz. LP (-). UA/UC (-). WBC 5.7. (T 103.2) with 59P, 9B, Bld Cx (-). CXR (-). Observed x 24 hrs in hospital. Fever gone by 8/6. No antibiotics given.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, PNC13
Symptoms: Culture urine negative, Electroencephalogram, Eye movement disorder, Febrile convulsion, Gaze palsy
Clinical narrative: Complex febrile seizures. Fever began 8/2/10 in evening. Measured at 7:30 am on 8/3 -> 102.5, had stiffening episodes and eye deviation. Taken to ER. Given TYLENOL and MOTRIN over next 5-6 hrs. 2nd seizure at 4:30 pm, just before next dose of TYLENOL: 60 sec. tonic clonic sz. LP (-). UA/UC (-). WBC 5.7. (T 103.2) with 59P, 9B, Bld Cx (-). CXR (-). Observed x 24 hrs in hospital. Fever gone by 8/6. No antibiotics given.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, PNC13
Symptoms: Grand mal convulsion, Liver function test normal, Lumbar puncture normal, Musculoskeletal stiffness, Pyrexia
Clinical narrative: Complex febrile seizures. Fever began 8/2/10 in evening. Measured at 7:30 am on 8/3 -> 102.5, had stiffening episodes and eye deviation. Taken to ER. Given TYLENOL and MOTRIN over next 5-6 hrs. 2nd seizure at 4:30 pm, just before next dose of TYLENOL: 60 sec. tonic clonic sz. LP (-). UA/UC (-). WBC 5.7. (T 103.2) with 59P, 9B, Bld Cx (-). CXR (-). Observed x 24 hrs in hospital. Fever gone by 8/6. No antibiotics given.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, PNC13
Symptoms: Urine analysis normal, White blood cell count decreased
Clinical narrative: Complex febrile seizures. Fever began 8/2/10 in evening. Measured at 7:30 am on 8/3 -> 102.5, had stiffening episodes and eye deviation. Taken to ER. Given TYLENOL and MOTRIN over next 5-6 hrs. 2nd seizure at 4:30 pm, just before next dose of TYLENOL: 60 sec. tonic clonic sz. LP (-). UA/UC (-). WBC 5.7. (T 103.2) with 59P, 9B, Bld Cx (-). CXR (-). Observed x 24 hrs in hospital. Fever gone by 8/6. No antibiotics given.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Injection site nodule, Injection site pain
Clinical narrative: (R) thigh with 2 1cm knots, (L) thigh with 1 cm knot all tender to touch, no redness.
Age: 14.0
Sex: M
Vaccine: MMR, MNQ
Symptoms: Syncope
Clinical narrative: Patient fainted. Was seen by provider and mother was told to watch for other reactions, if any to go to emergency room.
Age: 17.0
Sex: M
Vaccine: HEP, MMRV
Symptoms: Injection site erythema, Injection site pain, Wrong drug administered
Clinical narrative: Redness, pain at injection site 24 hrs after MMRV given persisted for 6 days.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Erythema, Induration, Pruritus, Swelling
Clinical narrative: Red, swollen, hard, itchy.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Pallor, Syncope
Clinical narrative: After receiving vaccines, pt with syncope-lying down on table, pale, out for approximately 20 sec feet were raised; HR=60; BP 98/62; PT given lollipop and soda to drink (Pt did not have anything to drink or eat prior to vaccine administration). Pt stayed in office for 20 min-HR=60 BP 102/70. Pt walked out of office accompanied by mother.
Age: 3.0
Sex: U
Vaccine: DTAPIPVHIB
Symptoms: Injection site erythema, Injection site rash, Local reaction
Clinical narrative: (R) thigh local reaction 45mm reaction red raised - no itching or burning - per provider - apply Cortisone cream and watch.
Age: 49.0
Sex: M
Vaccine: HEPA, IPV, TDAP, TYP, YF
Symptoms: Paraesthesia, Pruritus
Clinical narrative: Pt called 8/5/10 to report intense itching & tingling especially on soles of feet & palms of hands beginning about 6 hours after vaccination- intermittent every few hours. Advised MD appointment. 8/11 pt called, left message stating "95% better", took BENADRYL. Mess. to call re: follow-up.
Age: 50.0
Sex: F
Vaccine: MMR
Symptoms: Chills, Fatigue, Migraine, Neck mass, Pain
Clinical narrative: Tiredness, body aches, fever, chills, rash, migraine headaches and lump at base of head on the back of neck.
Age: 50.0
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Rash
Clinical narrative: Tiredness, body aches, fever, chills, rash, migraine headaches and lump at base of head on the back of neck.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site swelling, Neck pain
Clinical narrative: Child had headache, neck pain (improved now 8/11/10). Injection site redness, pain, swelling which is improving also. Advised MOTRIN 300mg Q6, BENADRYL 25mg. F/u 1 month.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: Left arm with reaction of 3" X 3" red warm area, slightly swollen - no fever, no SOB.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Fall, Haemoglobin normal, Lethargy, Ocular hyperaemia, Tremor
Clinical narrative: After injection she stood up at sat down of stool in room she began to slump over. Father caught her and eased her to floor. Ammonia used pt lethargic RN and father of pt lifted her to exam table. Her eyes were bloodshot sclera red bilateral very shaky BP. 100/60 pulse regular. Lethargic but oriented to place and person. 911 called for transport to ER.
Age: 12.0
Sex: M
Vaccine: MEN, TDAP, VARCEL
Symptoms: Asthenia, Decreased appetite, Dizziness, Fatigue, Pallor
Clinical narrative: Fainting, 5-10 minutes post injection, weakness, paleness, dizziness, fatigue. No appetite. Received 3 vaccine on 8-10-10 at 4:45 pm. cont's with symptom at 1:00pm 8-11-10.
Age: 12.0
Sex: M
Vaccine: MEN, TDAP, VARCEL
Symptoms: Syncope
Clinical narrative: Fainting, 5-10 minutes post injection, weakness, paleness, dizziness, fatigue. No appetite. Received 3 vaccine on 8-10-10 at 4:45 pm. cont's with symptom at 1:00pm 8-11-10.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling and redness of entire upper left arm. Painful.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Rash papular, Skin lesion, Varicella post vaccine
Clinical narrative: Lesions consistent with mild varicella for 3 days mainly on back and neck, 3-4mm red papules with some slightly umbilicated vesicles.
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site vesicles
Clinical narrative: Varicella vaccine (R) upper arm now with redness, swelling, itching, blistering at site of injection.
Age: 5.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling & redness on Rt arm at deltoid area. No fever. No respiratory distress. Area involved = 4cm x 4cm. Advised MOTRIN & Ice locally to area.
Age: 5.0
Sex: M
Vaccine: HEPA
Symptoms: Blood test, Pallor, Syncope, Vomiting
Clinical narrative: Syncope & collapse in clinic as walking out the door, child also vomited. Child stabilized and released. Child also was pale in appearance. Child also has blood test drawn for lead and anemia at about same time as vaccination.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAPHEPBIP, PNC13, RV5
Symptoms: Blood albumin decreased, Blood sodium decreased, C-reactive protein increased, Clostridial infection, Coronary artery aneurysm
Clinical narrative: Pt developed fever 7/16/10, seen in clinic on 7/18/10, 7/19/10 and 7/20/10 for fever with rash, vomiting and diarrhea - presumed to be viral syndrome with erythema multiforme, continued to have fever, so was admitted for r/o Kawasaki on 7/22 - 7/25/10 - Pt developed fever on 7/16/10. Was seen in clinic on 7/18/10, 7/19/10 and 7/20/10 for fever with rash, vomiting, diarrhea - presumed to be viral syndrome with erythema multiforme. Continued to have fever >5 days, so was admitted from 7/22/10-7/25/10 for rule out Kawasaki disease. At that time, labs showed normal WBC, Hb and platelets; CRP > 27. Eventually, pt also developed albumin 2.8, Hb 9.3. Stool cultures positive for C. diff, so pt was discharged with 10 day course of PO FLAGYL. Continued to have low grade fevers, so was readmitted for r/o incomplete Kawasaki disease. At this admission pt with WBC 30K, ESR 95, CRP 17, Hb 9.4, Platelets> 450K, albumin 3.0, Na 133. Received IVIG and started on aspirin. Echocardiogram with + proximal coronary aneurysms.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAPHEPBIP, PNC13, RV5
Symptoms: Culture stool positive, Diarrhoea, Echocardiogram abnormal, Echocardiogram normal, Erythema multiforme
Clinical narrative: Pt developed fever 7/16/10, seen in clinic on 7/18/10, 7/19/10 and 7/20/10 for fever with rash, vomiting and diarrhea - presumed to be viral syndrome with erythema multiforme, continued to have fever, so was admitted for r/o Kawasaki on 7/22 - 7/25/10 - Pt developed fever on 7/16/10. Was seen in clinic on 7/18/10, 7/19/10 and 7/20/10 for fever with rash, vomiting, diarrhea - presumed to be viral syndrome with erythema multiforme. Continued to have fever >5 days, so was admitted from 7/22/10-7/25/10 for rule out Kawasaki disease. At that time, labs showed normal WBC, Hb and platelets; CRP > 27. Eventually, pt also developed albumin 2.8, Hb 9.3. Stool cultures positive for C. diff, so pt was discharged with 10 day course of PO FLAGYL. Continued to have low grade fevers, so was readmitted for r/o incomplete Kawasaki disease. At this admission pt with WBC 30K, ESR 95, CRP 17, Hb 9.4, Platelets> 450K, albumin 3.0, Na 133. Received IVIG and started on aspirin. Echocardiogram with + proximal coronary aneurysms.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAPHEPBIP, PNC13, RV5
Symptoms: Haemoglobin decreased, Immunoglobulin therapy, Platelet count normal, Pyrexia, Rash
Clinical narrative: Pt developed fever 7/16/10, seen in clinic on 7/18/10, 7/19/10 and 7/20/10 for fever with rash, vomiting and diarrhea - presumed to be viral syndrome with erythema multiforme, continued to have fever, so was admitted for r/o Kawasaki on 7/22 - 7/25/10 - Pt developed fever on 7/16/10. Was seen in clinic on 7/18/10, 7/19/10 and 7/20/10 for fever with rash, vomiting, diarrhea - presumed to be viral syndrome with erythema multiforme. Continued to have fever >5 days, so was admitted from 7/22/10-7/25/10 for rule out Kawasaki disease. At that time, labs showed normal WBC, Hb and platelets; CRP > 27. Eventually, pt also developed albumin 2.8, Hb 9.3. Stool cultures positive for C. diff, so pt was discharged with 10 day course of PO FLAGYL. Continued to have low grade fevers, so was readmitted for r/o incomplete Kawasaki disease. At this admission pt with WBC 30K, ESR 95, CRP 17, Hb 9.4, Platelets> 450K, albumin 3.0, Na 133. Received IVIG and started on aspirin. Echocardiogram with + proximal coronary aneurysms.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAPHEPBIP, PNC13, RV5
Symptoms: Red blood cell sedimentation rate increased, Viral infection, Vomiting, White blood cell count increased
Clinical narrative: Pt developed fever 7/16/10, seen in clinic on 7/18/10, 7/19/10 and 7/20/10 for fever with rash, vomiting and diarrhea - presumed to be viral syndrome with erythema multiforme, continued to have fever, so was admitted for r/o Kawasaki on 7/22 - 7/25/10 - Pt developed fever on 7/16/10. Was seen in clinic on 7/18/10, 7/19/10 and 7/20/10 for fever with rash, vomiting, diarrhea - presumed to be viral syndrome with erythema multiforme. Continued to have fever >5 days, so was admitted from 7/22/10-7/25/10 for rule out Kawasaki disease. At that time, labs showed normal WBC, Hb and platelets; CRP > 27. Eventually, pt also developed albumin 2.8, Hb 9.3. Stool cultures positive for C. diff, so pt was discharged with 10 day course of PO FLAGYL. Continued to have low grade fevers, so was readmitted for r/o incomplete Kawasaki disease. At this admission pt with WBC 30K, ESR 95, CRP 17, Hb 9.4, Platelets> 450K, albumin 3.0, Na 133. Received IVIG and started on aspirin. Echocardiogram with + proximal coronary aneurysms.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAPHEPBIP, PNC13, RV5
Symptoms: Anaemia, Blood albumin decreased, Blood sodium decreased, C-reactive protein increased, Clostridium difficile colitis
Clinical narrative: Pt developed fever 7/16/10, seen in clinic on 7/18/10, 7/19/10 and 7/20/10 for fever with rash, vomiting and diarrhea - presumed to be viral syndrome with erythema multiforme, continued to have fever, so was admitted for r/o Kawasaki on 7/22 - 7/25/10 - Pt developed fever on 7/16/10. Was seen in clinic on 7/18/10, 7/19/10 and 7/20/10 for fever with rash, vomiting, diarrhea - presumed to be viral syndrome with erythema multiforme. Continued to have fever >5 days, so was admitted from 7/22/10-7/25/10 for rule out Kawasaki disease. At that time, labs showed normal WBC, Hb and platelets; CRP > 27. Eventually, pt also developed albumin 2.8, Hb 9.3. Stool cultures positive for C. diff, so pt was discharged with 10 day course of PO FLAGYL. Continued to have low grade fevers, so was readmitted for r/o incomplete Kawasaki disease. At this admission pt with WBC 30K, ESR 95, CRP 17, Hb 9.4, Platelets> 450K, albumin 3.0, Na 133. Received IVIG and started on aspirin. Echocardiogram with + proximal coronary aneurysms.