chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 11.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Feeling hot, Inflammation, Injection site erythema, Rash erythematous
Clinical narrative: Area/injection site became red and inflammed on Saturday 2-23-08 after injection on 2-22-08.  Entire upper left arm, medial and posterior aspects is erythematous and warm but not raised.  Diagnosis: Cellulitis of upper arm.
Age: 11.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Cystogram, Discomfort, Injection site cellulitis, Pain in extremity, Rash
Clinical narrative: Area/injection site became red and inflammed on Saturday 2-23-08 after injection on 2-22-08.  Entire upper left arm, medial and posterior aspects is erythematous and warm but not raised.  Diagnosis: Cellulitis of upper arm.
Age: 11.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Skin warm
Clinical narrative: Area/injection site became red and inflammed on Saturday 2-23-08 after injection on 2-22-08.  Entire upper left arm, medial and posterior aspects is erythematous and warm but not raised.  Diagnosis: Cellulitis of upper arm.
Age: 37.0
Sex: F
Vaccine: ANTH, HEP, SMALL
Symptoms: Injection site erythema, Injection site streaking, Injection site swelling, Injection site warmth, Oedema peripheral
Clinical narrative: Erythema around injection site with heat and swelling, spreading from shoulder to elbow. red streaking down right forearm. Treated with Motrin and ice pack.
Age: 10.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Patient received his varicella vaccine on 2-21-08 and on the morning of 2-22-08 developed a 6cm x 6cm raised, warm, erythematous circular area, pruritic, on his R deltoid area.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Herpes zoster, Rash erythematous
Clinical narrative: On 2/14/08 she developed erythematous plaques and patches on her left upper arm and left side of neck.  Within 2 days, multiple vesicles within these areas consistent with herpes zoster.  She came into our clinic on 2/19/08 for evaluation.  Treated with 7 day course of Valacyclovir.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Cellulitis
Clinical narrative: Patient had Varivax 2/18/08 and on 2/20/08 presented with cellulitis. Pt was treated with Augmentin 500mg po BID x 10 days.
Age: 19.0
Sex: M
Vaccine: ANTH
Symptoms: Vaccination complication
Clinical narrative: Patient had anthrax vac on 9Feb08 and had adverse reaction on or about 11-12Feb08.  Member did seek medical care.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Urticaria
Clinical narrative: Hives starting evening of 2-14-08.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site cellulitis, Injection site erythema
Clinical narrative: area #redness 5x6 1/2cm; center dark red 2x3cm; early cellulitis - Advised Benadryl/Dad call with update in 24hrs
Age: 1.5
Sex: M
Vaccine: DTAP, PNC
Symptoms: Blister, Body temperature increased, Erythema, Feeling hot, Induration
Clinical narrative: Fever on 2-5-08 of 101 and right arm in deltoid area was red and indurated 3cm x 2 1/2cm area, warm to touch.  Returned to office on 2-6-08 and arm was worse, increased redness, edema, tenderness, warmth and blistering.  Culture was done and was negative.  Treated with Keflex for cellulitis vs allergic reaction.
Age: 1.5
Sex: M
Vaccine: DTAP, PNC
Symptoms: Oedema, Tenderness
Clinical narrative: Fever on 2-5-08 of 101 and right arm in deltoid area was red and indurated 3cm x 2 1/2cm area, warm to touch.  Returned to office on 2-6-08 and arm was worse, increased redness, edema, tenderness, warmth and blistering.  Culture was done and was negative.  Treated with Keflex for cellulitis vs allergic reaction.
Age: 7.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema
Clinical narrative: 4x5 cm erythematous patch at site of Varicella vaccine #2.
Age: 4.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Induration, Oedema peripheral, Skin warm
Clinical narrative: L arm v, warm, firm & swollen.  Not painful to touch.  To use cool compresses & take ibuprofen.
Age: 12.0
Sex: M
Vaccine: HEPA
Symptoms: Asthenia, Nausea, Pallor, Syncope
Clinical narrative: paleness, weakness, nausea, faintness upon leaving dr. office and for 15-20 minutes thereafter; fatigued for rest of day
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Developed hives, started @ 9:30 pm 2-19-08 and covered body by 11:30 pm. Seen at hospital ER after 11:30 pm by Dr. Treated with oral Benadryl and Oralprerd. Symptoms beginning to subside 2-20-08 am.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Pyrexia
Clinical narrative: Redness around site, fever.
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Body temperature increased, Chills, Headache, Injected limb mobility decreased
Clinical narrative: Onset about 6:00 pm on day of vaccination - arm very sore; temp >102 deg, Nausea, sever HA, arthralgias, stiff neck - on 6/21/07 left deltoid area very hot, red, tender, pain with abduction to 10deg forward to 20deg pt. reports arthralgias - continues at this time. Fever and chills 6/19 pm, 6/20 day - unable to move arm at all 20 to pain 6/19 pm and 6/20, (arm ok after 7 d.)
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Musculoskeletal stiffness, Nausea, Pain in extremity, Pyrexia, Skin warm
Clinical narrative: Onset about 6:00 pm on day of vaccination - arm very sore; temp >102 deg, Nausea, sever HA, arthralgias, stiff neck - on 6/21/07 left deltoid area very hot, red, tender, pain with abduction to 10deg forward to 20deg pt. reports arthralgias - continues at this time. Fever and chills 6/19 pm, 6/20 day - unable to move arm at all 20 to pain 6/19 pm and 6/20, (arm ok after 7 d.)
Age: 0.1
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Band neutrophil count increased, Body temperature increased, Crying, Full blood count, Lymphocyte count normal
Clinical narrative: Beginning 2 hours after shots, child cried for about 10 days.  Any change of position, cried.  Injection sites negative.  T max 100.9.
Age: 0.1
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Neutrophil percentage decreased, White blood cell count normal
Clinical narrative: Beginning 2 hours after shots, child cried for about 10 days.  Any change of position, cried.  Injection sites negative.  T max 100.9.
Age: 55.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: Subject occasionally notes (3 times since 5/31/06, dates unknown) that area surrounding injection site on left deltoid becomes hot, red, itchy, swollen (approx 2 in. x 2 in.) with bumps. No treatment required. Symptoms resolve within 24 hours of appearance. He also states that when the symptoms occur he also feels aching of his left arm and hand. The aching resolves with the injection site symptoms.
Age: 46.0
Sex: F
Vaccine: ANTH
Symptoms: Arthralgia, Headache, Injection site erythema, Injection site swelling, Pain
Clinical narrative: Subject reports that she experienced increasing joint pain during the evening on date of vaccination. Next day severe joint pain with body aches and headache. She was seen at the health clinic on 07-MAR-07, prescribed Tylenol Ext. Strength and rest. She noted redness and swelling at injection site beginning 08-MAR-07.
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Fluctuance, Inflammation, Injection site pain, Injection site swelling, Mass
Clinical narrative: Physician reported that subject reported swelling and pain at the injection site in mid-February.  Right deltoid had a 4 x 5 cm area of localized inflammation, fluctuant and tender.  Raised 1/2 cm in height.  Ultrasound showed inflammatory reaction.  3/7/07 - Patient states bump "really never went away" after immunization when asked about date of onset of symptoms.  3/15/07 - Patient left message clarifying anthrax vaccination dates.
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Tenderness, Ultrasound scan abnormal
Clinical narrative: Physician reported that subject reported swelling and pain at the injection site in mid-February.  Right deltoid had a 4 x 5 cm area of localized inflammation, fluctuant and tender.  Raised 1/2 cm in height.  Ultrasound showed inflammatory reaction.  3/7/07 - Patient states bump "really never went away" after immunization when asked about date of onset of symptoms.  3/15/07 - Patient left message clarifying anthrax vaccination dates.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site pain, Local swelling, Lymph node pain, Lymphadenopathy
Clinical narrative: Swollen, painful lymph nodes on both sides of neck right greater than left.  Immunization site was tender, no other symptoms.  No fever, no sore throat.
Sex: F
Vaccine: ANTH
Symptoms: Injection site nodule, Injection site pain, Injection site pruritus
Clinical narrative: 1st shot 1 year ago.  Had 2 shots within past 2 weeks.  Last shot on Friday, (3/23/07).  Site tender, itches, bumps.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site nodule, Injection site pain, Injection site warmth
Clinical narrative: Injection site red, warm, sore with nodule.
Sex: U
Vaccine: ANTH
Symptoms: Reaction to preservatives, Skin reaction
Clinical narrative: A patient experienced a moderate cutaneous reaction as well as a systemic reaction.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Skin exfoliation
Clinical narrative: Noted areas of redness on legs; 2 areas on inner left thigh and 1 area on inner right lower leg.  All areas approximately 1 cm, round, slightly raised, scaly.  No itching, no drainage.  Areas not tender.  5-11-2007 update received:  Patient reports his spots have completely disappeared.
Age: 52.0
Sex: M
Vaccine: ANTH
Symptoms: Pain in extremity, Skin lesion, Skin test negative
Clinical narrative: Reporter writes that subject received 1st anthrax injection on 12/18/2006 and about 2 weeks after he experienced deep left arm pain which lasted about 1 week. At about the same time he reportedly developed a lesion on his right upper thigh (1.5 cm circumscribed light pink slightly scaly lesion on the anterior aspect of right upper thigh). Subject is a veterinarian and he reportedly performed a skin scraping of the lesion, which was negative for fungus. This report is linked to report #07AV00147SP. The subject is the same for both reports, however the reports reflect different doses of the vaccine.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Rash generalised
Clinical narrative: Reportedly, the subject stated he had his 3rd Anthrax vaccine on 02 May 07 and is currently working in California.  On May 12, 2007, the subject developed a red (pimple-like) rash over his whole body.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Injection site pain, Pain in extremity
Clinical narrative: Four hours after immunization, noted pain around injection site with arm motion. Pain lasted approx 30 hours and completely resolved. 48 hours after immunization, noted pain in right inner knee/thigh area and quad muscle when climbing or descending stairs. Leg pain lasted 36 hours and has completely resolved.
Age: 25.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Paraesthesia
Clinical narrative: Subject c/o right arm tingling (like it has fallen asleep) from elbow to hand. Visible redness, warm to touch, with palpable lump at injection site right deltoid. Subject self treated with Tylenol. Symptoms resolved on 7/22/07.
Age: 24.0
Sex: F
Vaccine: ANTH
Symptoms: Abdominal pain upper, Dizziness, Headache, Lethargy, Nausea
Clinical narrative: Approximately 20 minutes after immunization experienced dizziness, nausea, lethargy and headache.  Itchy rash, hive-like, appeared 40 minutes after shot.  Rash was seen on upper arms.  Nose felt itchy.  Approximately 12 hours after immunization she noted puffiness of fingers, lower legs and face.  She also reports stomach pains and has not eaten since immunization.  8/8/07 patient left a message on the clinic phone voice mail stating symptoms have all resolved and she feels "back to normal".
Age: 24.0
Sex: F
Vaccine: ANTH
Symptoms: Oedema peripheral, Rash pruritic, Swelling face, Urticaria
Clinical narrative: Approximately 20 minutes after immunization experienced dizziness, nausea, lethargy and headache.  Itchy rash, hive-like, appeared 40 minutes after shot.  Rash was seen on upper arms.  Nose felt itchy.  Approximately 12 hours after immunization she noted puffiness of fingers, lower legs and face.  She also reports stomach pains and has not eaten since immunization.  8/8/07 patient left a message on the clinic phone voice mail stating symptoms have all resolved and she feels "back to normal".
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Cough, Headache, Pain, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: 8/14/07 noted fatigue in evening. 8/15/07 noted body aches, headache, cough, sore throat and fever. Physician diagnosed him with sinusitis. He was prescribed Augmentin to treat his symptoms. All his symptoms have resolved.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Sinusitis
Clinical narrative: 8/14/07 noted fatigue in evening. 8/15/07 noted body aches, headache, cough, sore throat and fever. Physician diagnosed him with sinusitis. He was prescribed Augmentin to treat his symptoms. All his symptoms have resolved.
Age: 43.0
Sex: F
Vaccine: ANTH
Symptoms: Diarrhoea, Dizziness, Fatigue, Headache
Clinical narrative: 2 hours after immunization developed major headache, with fatigue and diarrhea. Treatment with Motrin 800 mg po and sleep. 9/18/07: Headache, fatigue & diarrhea continues. Stayed home from work to rest and recover. 9/19/07 Diarrhea resolved. Returned to work with decreasing headache and fatigue. Noted light headedness with bending over. Recovered as of 9/21/07.
Age: 22.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Subject reports receiving AVA vaccine #1 on 10/8/07.  She states she started having pain at the injection site on the evening of 10/9/07.  Complained of slight injection site swelling and injection site warmth.  Denies any systemic effects.  10-17-07 subject reports that symptoms resolved as of 10-12-07.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site rash, Rash, Rash macular
Clinical narrative: Blotchy red rash across shoulders and upper chest area. Largest noted to be dime sized. 3-4 inch area of concentrated redness around injection site. Took Benadryl and Tylenol the morning of 11/11/07, and Benadryl in the evening. Rash faded considerably. All symptoms resolved on 11/13/07.
Age: 51.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Pain, Pruritus, Swelling
Clinical narrative: Noted redness, swelling, pain and itching of right arm on 12/13/07.  Swelling, itching, pain and redness extended from right shoulder/chest to below elbow on right arm.  Patient had self-medicated with Benadryl.  Seen by physician for evaluation and treatment.  Per follow up report - normal ROM, without neuro/vascular deficit issues.  Prescribed ice, elevate, Prednisone 10 mg and Tagamet 400 mg.  12/21/07 subject reports all symptoms resolved.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling rt. upper arm site of DTaP.
Sex: F
Vaccine: FLU3, RAB
Symptoms: Autopsy, Death, Sensation of heaviness
Clinical narrative: We received from a physician the following information on 13 FEB 2008: In 2006 a rabies vaccine (manufacturer unknown was given to a female veterinarian technician, who was in her mid 20's (see case no. MA2008-0186). She decided to get vaccinated in the context of a rabies preexposure trial, due to cost reasons. Between the first and second dose of the rabies vaccine the subject received an additional flu shot (manufacturer unknown). After the vaccination the subject felt heavy on one side of her body, she was hospitalised and passed away one week after the second (?) vaccination. An autopsy has been performed. Addendum: We received on 17 FEB 2008 the information from the physician, that the woman was vaccinated with Imovax and not with RabAvert. No change in assessment.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Electrocardiogram normal, Migraine, Nuclear magnetic resonance imaging normal, Paraesthesia, Syncope
Clinical narrative: Fainting, seizure like symptoms, migraines, numbness and tingling in arms, legs, hands, feet and face. (Seen in ER twice once by ambulance). Had MRI of brain, neck, CT, EEG and blood tests.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Urine iron decreased
Clinical narrative: Fainting, seizure like symptoms, migraines, numbness and tingling in arms, legs, hands, feet and face. (Seen in ER twice once by ambulance). Had MRI of brain, neck, CT, EEG and blood tests.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Blood test, Computerised tomogram, Convulsion, Electroencephalogram normal, Hypoaesthesia
Clinical narrative: Fainting, seizure like symptoms, migraines, numbness and tingling in arms, legs, hands, feet and face. (Seen in ER twice once by ambulance). Had MRI of brain, neck, CT, EEG and blood tests.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Hypoaesthesia facial, Migraine, Nuclear magnetic resonance imaging, Nuclear magnetic resonance imaging brain normal, Paraesthesia
Clinical narrative: Fainting, seizure like symptoms, migraines, numbness and tingling in arms, legs, hands, feet and face. (Seen in ER twice once by ambulance). Had MRI of brain, neck, CT, EEG and blood tests.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Syncope
Clinical narrative: Fainting, seizure like symptoms, migraines, numbness and tingling in arms, legs, hands, feet and face. (Seen in ER twice once by ambulance). Had MRI of brain, neck, CT, EEG and blood tests.
Age: 84.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Computerised tomogram, Deafness, Facial palsy, Headache, Herpes zoster oticus
Clinical narrative: On or about March 15, 2007, woke up with right side of my face paralyzed.  The doctor diagnosed me with Bell's Palsy.  Few days later, after suffering excruciating pain and total dizziness.  Was diagnosed by doctor with Ramsay-Hunt Syndrome.  Suffered horribly for 6 months.  Illness left me deaf in right ear, and permanently 20% vertigo. 1/20/2010 This vaccine did indeed "bring-on" my Ramsay-Hunt Syndrome, which lasted for 6 months. As a result it left me about 60% deaf in my right ear. I have also suffered about a 40% permanent vertigo.
Age: 84.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Hypoaesthesia, Laboratory test, Nuclear magnetic resonance imaging
Clinical narrative: On or about March 15, 2007, woke up with right side of my face paralyzed.  The doctor diagnosed me with Bell's Palsy.  Few days later, after suffering excruciating pain and total dizziness.  Was diagnosed by doctor with Ramsay-Hunt Syndrome.  Suffered horribly for 6 months.  Illness left me deaf in right ear, and permanently 20% vertigo. 1/20/2010 This vaccine did indeed "bring-on" my Ramsay-Hunt Syndrome, which lasted for 6 months. As a result it left me about 60% deaf in my right ear. I have also suffered about a 40% permanent vertigo.
Age: 84.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Computerised tomogram normal, Deafness unilateral, Dizziness, Facial palsy, Herpes zoster oticus
Clinical narrative: On or about March 15, 2007, woke up with right side of my face paralyzed.  The doctor diagnosed me with Bell's Palsy.  Few days later, after suffering excruciating pain and total dizziness.  Was diagnosed by doctor with Ramsay-Hunt Syndrome.  Suffered horribly for 6 months.  Illness left me deaf in right ear, and permanently 20% vertigo. 1/20/2010 This vaccine did indeed "bring-on" my Ramsay-Hunt Syndrome, which lasted for 6 months. As a result it left me about 60% deaf in my right ear. I have also suffered about a 40% permanent vertigo.
Age: 84.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Pain, Vertigo
Clinical narrative: On or about March 15, 2007, woke up with right side of my face paralyzed.  The doctor diagnosed me with Bell's Palsy.  Few days later, after suffering excruciating pain and total dizziness.  Was diagnosed by doctor with Ramsay-Hunt Syndrome.  Suffered horribly for 6 months.  Illness left me deaf in right ear, and permanently 20% vertigo. 1/20/2010 This vaccine did indeed "bring-on" my Ramsay-Hunt Syndrome, which lasted for 6 months. As a result it left me about 60% deaf in my right ear. I have also suffered about a 40% permanent vertigo.
Age: 0.24
Sex: F
Vaccine: DTAP, HEP, HIBV
Symptoms: Crying, Injection site swelling, Oedema peripheral, Pain in extremity, Pyrexia
Clinical narrative: Entire leg swollen x3 days, pain upon movement of leg x1 week, unusual crying x3 days, fever x3 days.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Joint swelling, Parvovirus B19 serology positive
Clinical narrative: Information has been received from a health professional concerning a 20 year old female with no illness at the time of vaccination and no pertinent medical history or drug reactions/allergies who on 12-OCT-2007 was vaccinated with a second dose of GARDASIL (lot# 658560/1062U) in the left arm at 9:15 AM. On 26-OCT-2007 the mother described patient had joint pain and swelling. An evaluation by a rheumatologist was performed and reported negative findings. On 12-FEB-2008 the mother reported that the patient was positive for parvovirus. At the time of reporting it was unknown if the patient had recovered from the events. Additional information is not expected. The health care professional considered arthralgia, positive for papovirus and swelling to be disabling.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Autoimmune disorder, Body temperature increased, Exposure to communicable disease, Immunology test normal, Laboratory test normal
Clinical narrative: Information has been received from a physician concerning a 10-year-old female with a sulfa allergy who on an unspecified date, was vaccinated with a first dose of VARIVAX. On an unspecified date, the patient was exposed to chickenpox and was given a second dose of VARIVAX (lot# 658302/1032U). Post vaccination, the child had febrile episodes, up to 103 F at times and was hospitalized twice. During the first hospitalization, all sorts of extensive tests were performed including auto immune and neurological testing. All tests were normal. The patient was diagnosed with a fever and was discharged after several days. The second hospitalization was on 01-Dec-2007 where another extensive evaluation was performed, all tests were normal and the patient was diagnosed with fever again. It was suspected that the patient has Pediatric Autoimmune Neuropsychiatric Disorders Associated with Strep (PANDAS) because the patient had developed tic and tremors. The outcome was not reported. Not product quality complaint was involved. The physician considered the adverse events to be disabling. This is one of several reports from the same reporter. A lot check has been initiated. Additional information has been requested.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Neurological examination normal, Pyrexia, Tic, Tremor
Clinical narrative: Information has been received from a physician concerning a 10-year-old female with a sulfa allergy who on an unspecified date, was vaccinated with a first dose of VARIVAX. On an unspecified date, the patient was exposed to chickenpox and was given a second dose of VARIVAX (lot# 658302/1032U). Post vaccination, the child had febrile episodes, up to 103 F at times and was hospitalized twice. During the first hospitalization, all sorts of extensive tests were performed including auto immune and neurological testing. All tests were normal. The patient was diagnosed with a fever and was discharged after several days. The second hospitalization was on 01-Dec-2007 where another extensive evaluation was performed, all tests were normal and the patient was diagnosed with fever again. It was suspected that the patient has Pediatric Autoimmune Neuropsychiatric Disorders Associated with Strep (PANDAS) because the patient had developed tic and tremors. The outcome was not reported. Not product quality complaint was involved. The physician considered the adverse events to be disabling. This is one of several reports from the same reporter. A lot check has been initiated. Additional information has been requested.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Laboratory test abnormal, Meningitis meningococcal
Clinical narrative: A 15-year-old male patient, with no pre-existing medical conditions, received an injection of Menactra (lot number, route, and site not reported on 30 June 2005. On 27 January 2008, two years and seven months after vaccination, he was diagnosed with Neisseria Meningitidis, Strain Y. Per the patient's parent, this was confirmed via laboratory testing by the State Health Department. He was hospitalized for four days, and treated with Vancomycin and Rocephin. The patient was subsequently discharged to home, and had recovered with no sequelae.  03/05/2008 MR received for DOS 1/27-30/2008 with D/C DX:  Meningococcal Meningitis.  Pt had meningitis vax at age 12.  Pt presented to local hospital with fevers, headache, vomiting, achiness, and petechial rash which was worsening. LP revealed increased WBCs and protein and pt was transfered for higher level of care. Pt had poor po intake, rhinorrhea, myalgias and arthragias in addition to above on admission.  PICC line was inserted for IV abx.  Petechial rah was fading and po intake improved upon d/c.  To continue IV abx as an outpt.
Age: 0.1
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Death
Clinical narrative: Pt died within 24 hours of immunizations 3/28/08-autopsy report received cause of death:sudden unexpected infant death. 3/28/08-autopsy report received-COD: Sudden unexpected infant death.
Age: 1.7
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Rash maculo-papular
Clinical narrative: 12 mo male received flu shot yesterday returns today with rash on knees, elbows, torso and face maculopapular with erythema - no hives. Does not appear viral most likely reaction to  to immunization
Age: 28.0
Sex: F
Vaccine: HEPAB, MMR, TDAP
Symptoms: Drug exposure during pregnancy, Pregnancy test positive
Clinical narrative: was given MMR on 12.17.07, patient may have been pregnant. Positive pregnancy test on 1/7/08. No LMP to determine gestation.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Electrocardiogram normal
Clinical narrative: Patient presented with shortness of breath, chest pressure, dizzy.  Patient states that it was from TB and Influenza vaccines that she received 2 days ago.  No fever was present, no redness/swelling at injection sites.  No oral mucusol edema.  Lungs clear.
Age: 11.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Erythema, Local reaction, Oedema peripheral
Clinical narrative: Severe local reaction, about 9-10" x 4" at redness and swelling into axilla
Age: 11.0
Sex: U
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Redness of injection site about 5 cm.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Pain
Clinical narrative: Pt has been having ongoing body aches since the night she received the vaccine. She has been taking ibp. which has helped.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Pt received 4 yo health check on 2-19-08. Pt came back 2-21-08 arm was red and swollen. Referred pt to surgeon.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4, MNQ, HPV4
Symptoms: Asthenia, Diarrhoea, Dizziness, Heart rate increased, Nausea
Clinical narrative: Fainting, dizziness, weakness, fast heart rate, nausea, diarrhea
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4, MNQ, HPV4
Symptoms: Syncope
Clinical narrative: Fainting, dizziness, weakness, fast heart rate, nausea, diarrhea
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4, MNQ, HPV4
Symptoms: Dizziness, Feeling hot, Nausea, Oral intake reduced
Clinical narrative: Fainting, dizziness, weakness, fast heart rate, nausea, diarrhea
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4, MNQ, HPV4
Symptoms: Asthenia, Blood test, Computerised tomogram normal, Decreased appetite, Dizziness
Clinical narrative: Fainting, dizziness, weakness, fast heart rate, nausea, diarrhea
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4, MNQ, HPV4
Symptoms: Heart rate increased, Laboratory test normal, Nausea, Syncope, Weight decreased
Clinical narrative: Fainting, dizziness, weakness, fast heart rate, nausea, diarrhea
Age: 14.0
Sex: M
Vaccine: FLU3, MNQ, VARCEL
Symptoms: Oedema peripheral, Skin warm
Clinical narrative: 02-21-08 received Varicella and flu vaccine in left arm.  Patient noted swelling and skin warm within 24 hours.  No other symptoms.  2-25-08 saw doctor to follow up on swelling.
Age: 27.0
Sex: F
Vaccine: HEP
Symptoms: Dyspnoea, Rash, Vision blurred
Clinical narrative: Client here for HEP B shot stated, "The last time I got my HEP B shot I got a rash and it was hard to breath.  While I was driving home, my vision was blurry also so I went home and went to bed".  Client reports rash lasted for four days.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Pruritus
Clinical narrative: Client has swollen, red left arm following #5 DTap.  #2 Varicella given in left arm on 2/12/08.  Mother has been using cold pack, ibuprofen.  Benadryl also suggested related to itching site.  Mother denies other symptoms i.e., shortness of breath, wheezing, coughing, no rash.
Age: 73.0
Sex: F
Vaccine: HEPAB
Symptoms: Arthralgia, Body temperature decreased, Nausea, Pain
Clinical narrative: Client called this nurse and reported that after receiving #1 Twinrix a couple hours later client noted her ankles hurting.  Now client reports severe aching in all joints, a low grade fever 99-100.  Nausea and shooting pain.
Age: 61.0
Sex: M
Vaccine: TYP
Symptoms: Abdominal pain, Body temperature increased, Headache, Hepatic enzyme increased
Clinical narrative: Client phoned and stated that after taking Oral Typhoid (Vivotif) 2nd capsule on 12-12-07, he started having a headache, abdominal pain, fever in the morning of 12-13-07.  Client went to see PMD on 12-14-07 for headache and abdominal pain.  PMD told client to stop all his medicine, and drew blood for test.  Client went back to see PMD on 12-17-07 for same symptoms.  Client was told that his blood test showed elevation of enzymes in liver, stop drinking for 1 week, just take BP medicine, not to take Tylenol and follow up in 1 week.
Age: 9.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Dyspnoea, Pruritus, Wheezing
Clinical narrative: Patient arrived complaining of itching and difficulty breathing.  No swelling noted but wheeze.  Patient had difficult AESU, plus wheeze.  Albuterol with O2 administered by doctor.  Benadryl x 1, Jr Epi-Pen x 1.
Age: 9.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Dyspnoea, Erythema, Oxygen supplementation, Pruritus, Wheezing
Clinical narrative: Patient arrived complaining of itching and difficulty breathing.  No swelling noted but wheeze.  Patient had difficult AESU, plus wheeze.  Albuterol with O2 administered by doctor.  Benadryl x 1, Jr Epi-Pen x 1.
Age: 0.36
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Injection site scar, Keloid scar
Clinical narrative: Pt seen 20 Feb 08 for persistent keloid-type lesions on both (R) and (L) anterior thighs. These lesions, one on each anterior thigh, measure approx. 5mm x 10mm, and appeared within a week of vaccination. ** This report relates to the injections given 31 Oct 07, which led to the lesion on the (R) thigh. ** A seperate report details injections given 21 Dec 07, related to the lesion on the (L) thigh.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, FLU3, PNC, RV5
Symptoms: Injection site scar, Keloid scar
Clinical narrative: Pt seen 20 Feb 08 for persistent keloid-type lesions on both (R) and (L) anterior thighs. These lesions, one on each anterior thigh, measure approx. 5mm x 10mm, and appeared within a week of vaccination. ** This report relates to the injections given 21 Dec 07, which led to the lesion on the (L) thigh. ** A seperate report details injections given 31 Oct 07, related to the lesion in the (R) thigh.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Pt. accidentally given 2 HPV vaccines at same time. No side affect.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Breath sounds abnormal, Disorientation, Feeling abnormal, Hypotonia, Musculoskeletal stiffness
Clinical narrative: 1:55 p.m. - patient waiting in lobby after shot as instructed: clerk observed start of reaction with gurgling breath sounds, head dropped to right, patient became limp in chair.  I responded to patient who demonstrated "seizure-like" activity: mild shaking, stiffness, eyes and mouth closed but could not tell if teeth clenched.  Within a minute, activity stopped, skin and lips pallid, patient opened eyes, appeared dazed but was responsive.  Parent denied history of seizures.  Patient was kept in clinic til 2:40 p.m. when I walked her to vehicle with parent.  Treatment: cold packs to head/neck area, caffeinated cola drink given, later placed in supine position with legs elevated.  3:40 p.m. - called father who said patient was sleeping.  2/14/08, 8:50 a.m. - called father who stated patient was feeling fine.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Pallor, Posture abnormal, Tremor
Clinical narrative: 1:55 p.m. - patient waiting in lobby after shot as instructed: clerk observed start of reaction with gurgling breath sounds, head dropped to right, patient became limp in chair.  I responded to patient who demonstrated "seizure-like" activity: mild shaking, stiffness, eyes and mouth closed but could not tell if teeth clenched.  Within a minute, activity stopped, skin and lips pallid, patient opened eyes, appeared dazed but was responsive.  Parent denied history of seizures.  Patient was kept in clinic til 2:40 p.m. when I walked her to vehicle with parent.  Treatment: cold packs to head/neck area, caffeinated cola drink given, later placed in supine position with legs elevated.  3:40 p.m. - called father who said patient was sleeping.  2/14/08, 8:50 a.m. - called father who stated patient was feeling fine.
Age: 19.0
Sex: M
Vaccine: HEP, HEPA, TYP
Symptoms: Fall
Clinical narrative: Patient was being given the following vaccines hep a hep b typhoid when giving the vaccines hep a and typhoid the patient was given bandages then the hn was going to give the hep b in the other arm and he fell to the floor hn got help and then returned to the patient and he was awake hn help him to a chair and he went to lay in the back were he was deemed ok by the doc.
Age: 0.5
Sex: M
Vaccine: HBHEPB
Symptoms: Injection site mass
Clinical narrative: MOTHER STATED THAT MILES GOT A LUMP TWO DAYS AFTER COMVAX WAS GIVEN. NO FEVER, CHILD WAS NEVER FUSSY.
Age: 1.97
Sex: M
Vaccine: DTAP, HEPA, PNC
Symptoms: Gait disturbance, Injection site erythema, Injection site mass, Injection site swelling, Oedema peripheral
Clinical narrative: Patient had three immunizations on 2/25/08.  He received two immunizations in the left thigh and one in the right thigh.  He awoke on 2/26/08 with a hard red bump at the top immunization site on the left thigh.  The thigh then became progressively more red and now the child has a red bump the size of a baseball according to the mother.  The thigh is also swollen and painful.  The child does not want to walk on the affected leg.  There is no fever but the child has a decreased appetite.  Mother advised to apply cool compresses to area.  Mother advised she was administering Motrin as directed every four to six hours.  Mother advised to call physician for further instructions.  Mother advised she had called the physician and was waiting for him to return her call.  She just wanted to know what immunizations were done in the affected thigh so she could advise the physician.  I requested the mother call back to let us know the outcome of this situation once she spoke to the physician.
Age: 1.97
Sex: M
Vaccine: DTAP, HEPA, PNC
Symptoms: Pain in extremity
Clinical narrative: Patient had three immunizations on 2/25/08.  He received two immunizations in the left thigh and one in the right thigh.  He awoke on 2/26/08 with a hard red bump at the top immunization site on the left thigh.  The thigh then became progressively more red and now the child has a red bump the size of a baseball according to the mother.  The thigh is also swollen and painful.  The child does not want to walk on the affected leg.  There is no fever but the child has a decreased appetite.  Mother advised to apply cool compresses to area.  Mother advised she was administering Motrin as directed every four to six hours.  Mother advised to call physician for further instructions.  Mother advised she had called the physician and was waiting for him to return her call.  She just wanted to know what immunizations were done in the affected thigh so she could advise the physician.  I requested the mother call back to let us know the outcome of this situation once she spoke to the physician.
Age: 7.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Contusion, Fall, Head injury, Pallor, Scratch
Clinical narrative: 02/26/08 Administered Hep. A and Hep. B Child then went to front lobby to wait for his brother to get his immunizations and office staff paged for nurses to come to the front lobby. Upon staff's arrival chlid laying on floor on his stomach. Another client setting in lobby stated this boy was setting in chair and slid out hitting his head on the floor. Rolled client over he was pale, alert and responding to questions by nodding his head. Gave client a sucker and a bottle of orange pop and cool cloth to head. He then began feeling much better talking, setting up and alert. Mother at childs side, assuring child that he was o.k. and that he must have gotten that fear of shots from her because she had done the same thing her self before. 2/27/08 Called child parent to check on child, mother stated child had a bruise a small scratch to underneath side of rt. eye and is feeling o.k. and denies any further problems.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Induration
Clinical narrative: Left posterior arm 3X6 cm induration
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Facial palsy
Clinical narrative: Left sided Bell's palsy 3 days after vaccine administration.  Was resolving at time of examination 21 days later.  No treatment was required at that point in time.  5/23/08 Reviewed PCP medical records & vax records. FINAL DX: left Bell's palsy. Records reveal patient experienced prior casted arm fracture & was referred to ortho. Also experienced vision deficits & referred to ophthal.  Returned to PCP 2/25/08 w/left facial weakness & cough that had started 2/4/08.  Family noticed w/talking. No treatment provided as was resolving spontaneously.  Labs revealed impaired glucose metabolism & referred for further w/u.
Age: 0.52
Sex: M
Vaccine: DTAP
Symptoms: Injection site mass
Clinical narrative: MOTHER STATED THAT CHILD DEVELOPED A LUMP ON THE LEG IMMEDIATELY AFTER VACCINE WAS ADMINISTERED. THE CHILD NEVER BECAME FUSSY OR NEVER DEVELOPED A FEVER.
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Bacterial infection, Blood pressure, Body temperature, Culture positive, Fatigue
Clinical narrative: PT recieved Small Pox Vaccine after screening on 14 Feb 2008 (in Conjunction w/ Anthrax Vaccine #1). Site was covered w/ tegaderm dressing and PT instructed on after care, dressing changes, and given Trifold instruction card. Recorded as "major" take on 21 Feb 08, then on 25 Feb 08 at 0721 (local time) PT reported to myself at morning sick call, c/o generally not feeling well, fatigued, and "hot soreness" to left shoulder small pox immunization site. Exam revealed @ dime sized vaccine pox plus @ 6 satellite vaccina blisters. Erythematous, indurated skin over entire area (Approx. 12cm in circum.) and positive lymphadenopathy to left axillary nodes. VS were stable at 98.9 temp (oral) BP:124/71 P:78 R:16 Po2: 98%. pox lesions were oozing at site of vaccination and satellite lesion (honey colored mix w/ purulence). Preliminary DX of Vaccina (localized w/ secondary bacterial infection. Wound cultures were obtained. Member placed on Keflex 250mg oral. PT f/u 26 Feb 08 0730 w/ reduction in erythema and induration plus all lesions were drying and no discharge. PT f/u 28 Feb 008 @0835 w/ continued resolution of symptoms.
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Heart rate, Injection site discharge, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: PT recieved Small Pox Vaccine after screening on 14 Feb 2008 (in Conjunction w/ Anthrax Vaccine #1). Site was covered w/ tegaderm dressing and PT instructed on after care, dressing changes, and given Trifold instruction card. Recorded as "major" take on 21 Feb 08, then on 25 Feb 08 at 0721 (local time) PT reported to myself at morning sick call, c/o generally not feeling well, fatigued, and "hot soreness" to left shoulder small pox immunization site. Exam revealed @ dime sized vaccine pox plus @ 6 satellite vaccina blisters. Erythematous, indurated skin over entire area (Approx. 12cm in circum.) and positive lymphadenopathy to left axillary nodes. VS were stable at 98.9 temp (oral) BP:124/71 P:78 R:16 Po2: 98%. pox lesions were oozing at site of vaccination and satellite lesion (honey colored mix w/ purulence). Preliminary DX of Vaccina (localized w/ secondary bacterial infection. Wound cultures were obtained. Member placed on Keflex 250mg oral. PT f/u 26 Feb 08 0730 w/ reduction in erythema and induration plus all lesions were drying and no discharge. PT f/u 28 Feb 008 @0835 w/ continued resolution of symptoms.
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Injection site vesicles, Injection site warmth, Lymphadenopathy, Malaise, Oxygen saturation
Clinical narrative: PT recieved Small Pox Vaccine after screening on 14 Feb 2008 (in Conjunction w/ Anthrax Vaccine #1). Site was covered w/ tegaderm dressing and PT instructed on after care, dressing changes, and given Trifold instruction card. Recorded as "major" take on 21 Feb 08, then on 25 Feb 08 at 0721 (local time) PT reported to myself at morning sick call, c/o generally not feeling well, fatigued, and "hot soreness" to left shoulder small pox immunization site. Exam revealed @ dime sized vaccine pox plus @ 6 satellite vaccina blisters. Erythematous, indurated skin over entire area (Approx. 12cm in circum.) and positive lymphadenopathy to left axillary nodes. VS were stable at 98.9 temp (oral) BP:124/71 P:78 R:16 Po2: 98%. pox lesions were oozing at site of vaccination and satellite lesion (honey colored mix w/ purulence). Preliminary DX of Vaccina (localized w/ secondary bacterial infection. Wound cultures were obtained. Member placed on Keflex 250mg oral. PT f/u 26 Feb 08 0730 w/ reduction in erythema and induration plus all lesions were drying and no discharge. PT f/u 28 Feb 008 @0835 w/ continued resolution of symptoms.
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Respiratory rate, Staphylococcal bacteraemia
Clinical narrative: PT recieved Small Pox Vaccine after screening on 14 Feb 2008 (in Conjunction w/ Anthrax Vaccine #1). Site was covered w/ tegaderm dressing and PT instructed on after care, dressing changes, and given Trifold instruction card. Recorded as "major" take on 21 Feb 08, then on 25 Feb 08 at 0721 (local time) PT reported to myself at morning sick call, c/o generally not feeling well, fatigued, and "hot soreness" to left shoulder small pox immunization site. Exam revealed @ dime sized vaccine pox plus @ 6 satellite vaccina blisters. Erythematous, indurated skin over entire area (Approx. 12cm in circum.) and positive lymphadenopathy to left axillary nodes. VS were stable at 98.9 temp (oral) BP:124/71 P:78 R:16 Po2: 98%. pox lesions were oozing at site of vaccination and satellite lesion (honey colored mix w/ purulence). Preliminary DX of Vaccina (localized w/ secondary bacterial infection. Wound cultures were obtained. Member placed on Keflex 250mg oral. PT f/u 26 Feb 08 0730 w/ reduction in erythema and induration plus all lesions were drying and no discharge. PT f/u 28 Feb 008 @0835 w/ continued resolution of symptoms.
Age: 24.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Atelectasis, Chest tube insertion, Intensive care, Pleural effusion, Pneumonia
Clinical narrative: Patient had surgery on L diaphragm on 1-22-2008.  Vaccines were administered on discharge on 1-29-08. On 1-31-08, patient developed fever and impaired respirations.  She was taken to the local ER where she was diagnosed with large L pleural effusion.  She was admitted to the ICU and chest tube placed.  Removed after 6 days, then had to be replaced due to reaccumulation.  Second tube removed on 2-12-08 and patient released.  On 2-21-08, again developed fever.  Taken to ER where was dx'ed with atelectasis/pneumona.  Treated with enteral antibiotics.  3/11/08 Reviewed hospital medical record for 1/31-2/12/2008 admission which reveal patient experienced fever, respiratory distress approx 2 wks s/p left diaphragmatic hernia repair.   FINAL DX: left pleural effusion & possible left lower lobe pneumonia.  Hypokalemia, respiratory alkalosis & hyponatremia, all resolved. Admitted to ICU.  Chest tube placed left lung & drained 500 ml bloody fluid.  Tx w/IV antibiotics.  Transfused for anemia.  Clinically improved & chest tube d/c. Fever & fluid collection recurred & 2nd chest tube placed.  Eventually chest tube d/c & improved.  D/C to home  6/2/08 Reviewed hospital medical records for 1/22-1/29/2008. FINAL DX: s/p repair paraesophageal hernia Records reveal patient d/c to home with G-tube feedings & J-P drain in place.  Pneumo & flu vaccinations done 1/29/08 but no lot #s included.  Received lot #s verbally from parent. 01/20/2010 Continues to have persistent/recurrent. Left lower lobe atelectasis and recurrent pneumonias.  Left diaphragm does not function properly. This is partially dure to the patch repair of the diapragmatic hernia. Right after surgery, however, muscular portion functioned properly. After the effusion and associated lenes, muscular portion moves paradoxically.
Age: 24.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia, Respiration abnormal, X-ray
Clinical narrative: Patient had surgery on L diaphragm on 1-22-2008.  Vaccines were administered on discharge on 1-29-08. On 1-31-08, patient developed fever and impaired respirations.  She was taken to the local ER where she was diagnosed with large L pleural effusion.  She was admitted to the ICU and chest tube placed.  Removed after 6 days, then had to be replaced due to reaccumulation.  Second tube removed on 2-12-08 and patient released.  On 2-21-08, again developed fever.  Taken to ER where was dx'ed with atelectasis/pneumona.  Treated with enteral antibiotics.  3/11/08 Reviewed hospital medical record for 1/31-2/12/2008 admission which reveal patient experienced fever, respiratory distress approx 2 wks s/p left diaphragmatic hernia repair.   FINAL DX: left pleural effusion & possible left lower lobe pneumonia.  Hypokalemia, respiratory alkalosis & hyponatremia, all resolved. Admitted to ICU.  Chest tube placed left lung & drained 500 ml bloody fluid.  Tx w/IV antibiotics.  Transfused for anemia.  Clinically improved & chest tube d/c. Fever & fluid collection recurred & 2nd chest tube placed.  Eventually chest tube d/c & improved.  D/C to home  6/2/08 Reviewed hospital medical records for 1/22-1/29/2008. FINAL DX: s/p repair paraesophageal hernia Records reveal patient d/c to home with G-tube feedings & J-P drain in place.  Pneumo & flu vaccinations done 1/29/08 but no lot #s included.  Received lot #s verbally from parent. 01/20/2010 Continues to have persistent/recurrent. Left lower lobe atelectasis and recurrent pneumonias.  Left diaphragm does not function properly. This is partially dure to the patch repair of the diapragmatic hernia. Right after surgery, however, muscular portion functioned properly. After the effusion and associated lenes, muscular portion moves paradoxically.
Age: 3.0
Sex: F
Vaccine: HEPA
Symptoms: Abasia, Antinuclear antibody, Arthralgia, Cyanosis, Decreased appetite
Clinical narrative: Serum Sickness developed one week after given Hepatitis A vaccine.  She initially had severe hives, followed by extreme swelling of extremities, blue extremities.  Urgent care was sought and patient was treated with steroids and antihistamines.  Patient was unable to walk for two days due to pain and swelling of joints. She began sitting 2 days after the event and walking three days after the event. Patient had significantly decreased appetite for 2 days.